Trial Outcomes & Findings for Study of Docetaxel and Oxaliplatin in Metastatic Transitional Cell Cancer (TCC) of the Urothelial Tract (NCT NCT03159143)

NCT ID: NCT03159143

Last Updated: 2017-08-11

Results Overview

Percentage of patients who experienced a greater than or equal to a 30% reduction in measurable disease, as per the RECIST criteria.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

22 participants

Primary outcome timeframe

Up to 4 years

Results posted on

2017-08-11

Participant Flow

Participant milestones

Participant milestones
Measure
Docetaxel and Oxaliplatin
Docetaxel administered at a dose of 60mg/m\^2 IV infusion, followed by oxaliplatin at a dose of 110mg/m\^2 as a 2 hour IV infusion. Docetaxel: Docetaxel (28) is a semi-synthetic taxane which blocks mitosis by preventing microtubule depolymerization. It mediates its actions by binding to a different set of microtubule-associated proteins than paclitaxel. It is administered every 3 weeks as a 30 minute infusion at doses between 60 to 75 mg/m\^2. Oxaliplatin: Alkylating antineoplastic agent. It is administered on day 1 of each cycle at a dose of 110 mg/m2
Overall Study
STARTED
22
Overall Study
COMPLETED
22
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of Docetaxel and Oxaliplatin in Metastatic Transitional Cell Cancer (TCC) of the Urothelial Tract

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Docetaxel and Oxaliplatin
n=22 Participants
Docetaxel administered at a dose of 60mg/m\^2 IV infusion, followed by oxaliplatin at a dose of 110mg/m\^2 as a 2 hour IV infusion. Docetaxel: Docetaxel (28) is a semi-synthetic taxane which blocks mitosis by preventing microtubule depolymerization. It mediates its actions by binding to a different set of microtubule-associated proteins than paclitaxel. It is administered every 3 weeks as a 30 minute infusion at doses between 60 to 75 mg/m\^2. Oxaliplatin: Alkylating antineoplastic agent. It is administered on day 1 of each cycle at a dose of 110 mg/m2
Age, Continuous
66.4 years
n=99 Participants
Sex: Female, Male
Female
9 Participants
n=99 Participants
Sex: Female, Male
Male
13 Participants
n=99 Participants

PRIMARY outcome

Timeframe: Up to 4 years

Population: Patients who received between 1 and 6 cycles of oxaliplatin with docetaxel.

Percentage of patients who experienced a greater than or equal to a 30% reduction in measurable disease, as per the RECIST criteria.

Outcome measures

Outcome measures
Measure
Docetaxel and Oxaliplatin
n=19 Participants
Docetaxel administered at a dose of 60mg/m\^2 IV infusion, followed by oxaliplatin at a dose of 110mg/m\^2 as a 2 hour IV infusion. Docetaxel: Docetaxel (28) is a semi-synthetic taxane which blocks mitosis by preventing microtubule depolymerization. It mediates its actions by binding to a different set of microtubule-associated proteins than paclitaxel. It is administered every 3 weeks as a 30 minute infusion at doses between 60 to 75 mg/m\^2. Oxaliplatin: Alkylating antineoplastic agent. It is administered on day 1 of each cycle at a dose of 110 mg/m2
Response Rate
11 percentage of participants
Interval 3.0 to 31.0

SECONDARY outcome

Timeframe: Up to 4 years

Population: Patients received at least one cycle of docetaxel and oxaliplatin and were assessed for toxic effects.

Time to progression (TTP) will be calculated as number of months from the date of first treatment to the date of disease progression or the date of death (disease-related causes) or the cut-off date.

Outcome measures

Outcome measures
Measure
Docetaxel and Oxaliplatin
n=22 Participants
Docetaxel administered at a dose of 60mg/m\^2 IV infusion, followed by oxaliplatin at a dose of 110mg/m\^2 as a 2 hour IV infusion. Docetaxel: Docetaxel (28) is a semi-synthetic taxane which blocks mitosis by preventing microtubule depolymerization. It mediates its actions by binding to a different set of microtubule-associated proteins than paclitaxel. It is administered every 3 weeks as a 30 minute infusion at doses between 60 to 75 mg/m\^2. Oxaliplatin: Alkylating antineoplastic agent. It is administered on day 1 of each cycle at a dose of 110 mg/m2
Time to Progression (TTP)
3 months
Interval 0.2 to 5.8

SECONDARY outcome

Timeframe: Up to 4 years

Population: Patients who received at least one cycle of docetaxel and oxaliplatin and were assessed for toxic effects

Percentage of patients who achieved complete response, partial response and stable disease. DCR will be calculated from the first day of the first cycle to the date of metastatic or primary tumor relapse, or last contact date, or date of death (if death comes before disease progression), or data cut-off.

Outcome measures

Outcome measures
Measure
Docetaxel and Oxaliplatin
n=22 Participants
Docetaxel administered at a dose of 60mg/m\^2 IV infusion, followed by oxaliplatin at a dose of 110mg/m\^2 as a 2 hour IV infusion. Docetaxel: Docetaxel (28) is a semi-synthetic taxane which blocks mitosis by preventing microtubule depolymerization. It mediates its actions by binding to a different set of microtubule-associated proteins than paclitaxel. It is administered every 3 weeks as a 30 minute infusion at doses between 60 to 75 mg/m\^2. Oxaliplatin: Alkylating antineoplastic agent. It is administered on day 1 of each cycle at a dose of 110 mg/m2
Disease Control Rate (DCR)
26.3 percentage of participants
Interval 12.0 to 49.0

SECONDARY outcome

Timeframe: Up to 4 years

Population: Patients received at least one cycle of docetaxel and oxaliplatin and were assessed for toxic effects.

The overall survival will be calculated as the number of months from the date of first treatment until death or the cut-off date.

Outcome measures

Outcome measures
Measure
Docetaxel and Oxaliplatin
n=22 Participants
Docetaxel administered at a dose of 60mg/m\^2 IV infusion, followed by oxaliplatin at a dose of 110mg/m\^2 as a 2 hour IV infusion. Docetaxel: Docetaxel (28) is a semi-synthetic taxane which blocks mitosis by preventing microtubule depolymerization. It mediates its actions by binding to a different set of microtubule-associated proteins than paclitaxel. It is administered every 3 weeks as a 30 minute infusion at doses between 60 to 75 mg/m\^2. Oxaliplatin: Alkylating antineoplastic agent. It is administered on day 1 of each cycle at a dose of 110 mg/m2
Overall Survival
7 months
Interval 4.6 to 9.4

Adverse Events

Docetaxel and Oxaliplatin

Serious events: 16 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Docetaxel and Oxaliplatin
n=22 participants at risk
Docetaxel administered at a dose of 60mg/m\^2 IV infusion, followed by oxaliplatin at a dose of 110mg/m\^2 as a 2 hour IV infusion. Docetaxel: Docetaxel (28) is a semi-synthetic taxane which blocks mitosis by preventing microtubule depolymerization. It mediates its actions by binding to a different set of microtubule-associated proteins than paclitaxel. It is administered every 3 weeks as a 30 minute infusion at doses between 60 to 75 mg/m\^2. Oxaliplatin: Alkylating antineoplastic agent. It is administered on day 1 of each cycle at a dose of 110 mg/m2
Cardiac disorders
Cardiovascular/Arrhythmia - Other
4.5%
1/22
Gastrointestinal disorders
Vomiting
9.1%
2/22
Blood and lymphatic system disorders
Neutrophils/granulocytes (ANC/AGC)
9.1%
2/22
Cardiac disorders
Cardiac-ischemia/infarction
4.5%
1/22
Gastrointestinal disorders
Gastric ulcer (requires radiographic or endoscopic documentation)
4.5%
1/22
Gastrointestinal disorders
Ileus (or neuroconstipation)
4.5%
1/22
Gastrointestinal disorders
Gastrointestinal - Other
4.5%
1/22
Gastrointestinal disorders
Diarrhea patients with a colostomy
4.5%
1/22
General disorders
Dehydration
4.5%
1/22
Gastrointestinal disorders
Diarrhea
13.6%
3/22
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
4.5%
1/22
Gastrointestinal disorders
Gastric ulcer
4.5%
1/22
Blood and lymphatic system disorders
Hemoglobin
4.5%
1/22
Respiratory, thoracic and mediastinal disorders
Hypoxia
4.5%
1/22
Infections and infestations
Infection with ANC or Grade 1 or 2 neutrophils, Lung (pneumonia)
4.5%
1/22
Nervous system disorders
Neurology-Other
4.5%
1/22
Respiratory, thoracic and mediastinal disorders
Pneumonitis/pulmonary infiltrates
4.5%
1/22
Blood and lymphatic system disorders
Potassium, serum-low (hypokalemia)
4.5%
1/22
Respiratory, thoracic and mediastinal disorders
Pulmonary - Other
4.5%
1/22
Blood and lymphatic system disorders
Sodium, serum-low (hyponatremia)
4.5%
1/22

Other adverse events

Other adverse events
Measure
Docetaxel and Oxaliplatin
n=22 participants at risk
Docetaxel administered at a dose of 60mg/m\^2 IV infusion, followed by oxaliplatin at a dose of 110mg/m\^2 as a 2 hour IV infusion. Docetaxel: Docetaxel (28) is a semi-synthetic taxane which blocks mitosis by preventing microtubule depolymerization. It mediates its actions by binding to a different set of microtubule-associated proteins than paclitaxel. It is administered every 3 weeks as a 30 minute infusion at doses between 60 to 75 mg/m\^2. Oxaliplatin: Alkylating antineoplastic agent. It is administered on day 1 of each cycle at a dose of 110 mg/m2
Blood and lymphatic system disorders
Platelets
13.6%
3/22
Blood and lymphatic system disorders
Leukocytes (total WBC)
27.3%
6/22
Blood and lymphatic system disorders
Neutrophils/granulocytes (ANC/AGC)
31.8%
7/22
Blood and lymphatic system disorders
Hemoglobin
54.5%
12/22
Cardiac disorders
Hypotension
9.1%
2/22
General disorders
Insomnia
9.1%
2/22
General disorders
Weight loss
9.1%
2/22
General disorders
Fever (in the absence of neutropenia, where neutropenia is defined as ANC <1.0 x 10e9/L)
18.2%
4/22
General disorders
Fatigue (asthenia, lethargy, malaise)
72.7%
16/22
Skin and subcutaneous tissue disorders
Hair loss/alopecia (scalp or body)
13.6%
3/22
Skin and subcutaneous tissue disorders
Injection site reaction/extravasation changes
13.6%
3/22
Skin and subcutaneous tissue disorders
Rash/desquamation
18.2%
4/22
Gastrointestinal disorders
Gastrointestinal - Other (Specify, __)
13.6%
3/22
Gastrointestinal disorders
Mucositis/stomatitis (clinical exam), Oral cavity
13.6%
3/22
Gastrointestinal disorders
Dehydration
18.2%
4/22
Gastrointestinal disorders
Constipation
22.7%
5/22
Gastrointestinal disorders
Anorexia
31.8%
7/22
Gastrointestinal disorders
Diarrhea
31.8%
7/22
Gastrointestinal disorders
Vomiting
31.8%
7/22
Gastrointestinal disorders
Nausea
50.0%
11/22
Blood and lymphatic system disorders
Edema: limb
22.7%
5/22
Metabolism and nutrition disorders
Alkaline phosphatase
9.1%
2/22
Nervous system disorders
Neurology - Other (Specify, __)
13.6%
3/22
Nervous system disorders
Neuropathy: sensory
54.5%
12/22
General disorders
Pain, Bone
9.1%
2/22
General disorders
Pain, Extremity-limb
9.1%
2/22
General disorders
Pain, Joint
9.1%
2/22
General disorders
Pain, Vagina
9.1%
2/22
General disorders
Pain, Back
13.6%
3/22
General disorders
Pain, Muscle
13.6%
3/22
General disorders
Pain, Abdomen NOS
18.2%
4/22
Respiratory, thoracic and mediastinal disorders
Cough
13.6%
3/22
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
18.2%
4/22
Renal and urinary disorders
Renal/Genitourinary - Other (Specify, __)
9.1%
2/22
Vascular disorders
Phlebitis (including superficial thrombosis)
9.1%
2/22

Additional Information

Leonard Appleman, MD

University of Pittsburgh

Phone: 412-648-6538

Results disclosure agreements

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