Trial | Outcome |
NCT00005908 (4) [back to overview] | Overall Clinical Response Rate |
NCT00005908 (4) [back to overview] | Complementary Deoxyribonucleic Acid (cDNA) Expression |
NCT00005908 (4) [back to overview] | Number of Participants With Adverse Events |
NCT00005908 (4) [back to overview] | Number of Participants, e.g. Responders and Non-responders With a Percent Change in Expression Patterns After Chemotherapy With Changes in Expression Patterns After Chemotherapy in Preclinical Models |
NCT00009737 (6) [back to overview] | Disease-free Survival |
NCT00009737 (6) [back to overview] | Number of Participants With Abnormalities for Blood Chemistry and Hematological Parameters |
NCT00009737 (6) [back to overview] | Mean Change From Baseline in Global Health Status at Week 25 |
NCT00009737 (6) [back to overview] | Overall Survival |
NCT00009737 (6) [back to overview] | Relapse-Free Survival |
NCT00009737 (6) [back to overview] | Number of Participants With Any Adverse Events and Serious Adverse Events |
NCT00022698 (9) [back to overview] | Duration of Overall Complete Response |
NCT00022698 (9) [back to overview] | Duration of Overall Response |
NCT00022698 (9) [back to overview] | Overall Survival |
NCT00022698 (9) [back to overview] | Percentage of Participants With One-year Survival |
NCT00022698 (9) [back to overview] | Time to Disease Progression |
NCT00022698 (9) [back to overview] | Time To Objective Response |
NCT00022698 (9) [back to overview] | Time to Treatment Failure |
NCT00022698 (9) [back to overview] | Number of Participants With Any Adverse Events, Serious Adverse Events and Deaths |
NCT00022698 (9) [back to overview] | Tumor Response Rate Based on Tumor Measurement as Per Response Evaluation Criteria In Solid Tumors Version 1.0 (RECIST 1.0) |
NCT00024102 (3) [back to overview] | Relapse-free Survival Rates at 2.4 Years |
NCT00024102 (3) [back to overview] | Number of Participants With Grade 3, 4 or 5 Adverse Event at Least Possibly Related to Treatment. |
NCT00024102 (3) [back to overview] | Overall Survival Rate at 2.4 Years |
NCT00033540 (5) [back to overview] | Overall Survival |
NCT00033540 (5) [back to overview] | Accrual of Patients With This Disease Site |
NCT00033540 (5) [back to overview] | Median Survival Time for Participants With Relevant Biologic Markers |
NCT00033540 (5) [back to overview] | Number of Patients With Grade 3 Through 5 Adverse Events That Are Related to Study Drug |
NCT00033540 (5) [back to overview] | Response |
NCT00050167 (1) [back to overview] | Percentage of Participants With Reoccurrence |
NCT00068588 (2) [back to overview] | Maximum Tolerated Dose Determined by Dose-limiting Toxicities |
NCT00068588 (2) [back to overview] | Response Rate of a Combination of GTI-2040 and Capecitabine |
NCT00069095 (22) [back to overview] | PFS by General Approach, Participants With Curative Surgery Not Censored: Superiority of Chemotherapy Plus BV Over Chemotherapy Alone |
NCT00069095 (22) [back to overview] | Progression-free Survival (PFS) as Assessed by the Investigator According to Response Evaluation Criteria in Solid Tumors (RECIST) by General Approach (Participants With Curative Surgery Censored): Non-inferiority of XELOX Versus FOLFOX-4 |
NCT00069095 (22) [back to overview] | Time to Response as Assessed by the Investigator According to RECIST: Non-inferiority of XELOX Versus FOLFOX-4 |
NCT00069095 (22) [back to overview] | Time to Response as Assessed by the Investigator According to RECIST: Superiority of Chemotherapy Plus BV Over Chemotherapy Alone |
NCT00069095 (22) [back to overview] | Time to Treatment Failure (TTF) as Assessed by the Investigator According to RECIST: Non-inferiority of XELOX Versus FOLFOX-4 |
NCT00069095 (22) [back to overview] | Time to Treatment Failure as Assessed by the Investigator According to RECIST: Superiority of Chemotherapy Plus BV Over Chemotherapy Alone |
NCT00069095 (22) [back to overview] | Overall Survival: Non-inferiority of XELOX Versus FOLFOX-4 |
NCT00069095 (22) [back to overview] | Overall Survival: Superiority of Chemotherapy Plus BV Over Chemotherapy Alone |
NCT00069095 (22) [back to overview] | PFS (On-treatment Approach): Non-inferiority of XELOX Versus FOLFOX-4 |
NCT00069095 (22) [back to overview] | PFS (On-treatment Approach): Superiority of Chemotherapy Plus BV Over Chemotherapy Alone |
NCT00069095 (22) [back to overview] | PFS as Assessed by the Independent Review Committee (IRC) (General Approach, Participants With Curative Surgery Censored) - Non-inferiority of XELOX Versus FOLFOX-4 |
NCT00069095 (22) [back to overview] | PFS as Assessed by the Investigator According to Response Evaluation Criteria in Solid Tumors (RECIST) by General Approach (Participants With Curative Surgery Censored) - Superiority of Chemotherapy Plus BV Over Chemotherapy Alone |
NCT00069095 (22) [back to overview] | PFS as Assessed by the Independent Review Committee (IRC) (General Approach, Participants With Curative Surgery Censored) - Superiority of Chemotherapy Plus BV Over Chemotherapy Alone |
NCT00069095 (22) [back to overview] | Duration of Overall Response as Assessed by the Investigator According to RECIST: Non-inferiority of XELOX Versus FOLFOX-4 |
NCT00069095 (22) [back to overview] | Best Overall Response (BOR) as Assessed by the Investigator According to RECIST: Superiority of Chemotherapy Plus BV Over Chemotherapy Alone |
NCT00069095 (22) [back to overview] | Best Overall Response (BOR) as Assessed by the Investigator According to Response Evaluation Criteria in Solid Tumors (RECIST): Non-inferiority of XELOX Versus FOLFOX-4 |
NCT00069095 (22) [back to overview] | BOR as Assessed by the IRC According to RECIST: Non-inferiority of XELOX Versus FOLFOX-4 |
NCT00069095 (22) [back to overview] | BOR as Assessed by the IRC According to RECIST: Superiority of Chemotherapy Plus BV Over Chemotherapy Alone |
NCT00069095 (22) [back to overview] | Duration of Complete Response as Assessed by the Investigator According to RECIST: Non-inferiority of XELOX Versus FOLFOX-4 |
NCT00069095 (22) [back to overview] | Duration of Complete Response as Assessed by the Investigator According to RECIST: Superiority of Chemotherapy Plus BV Over Chemotherapy Alone |
NCT00069095 (22) [back to overview] | PFS by General Approach, Participants With Curative Surgery Not Censored: Non-inferiority of XELOX Versus FOLFOX-4 |
NCT00069095 (22) [back to overview] | Duration of Overall Response as Assessed by the Investigator According to RECIST: Superiority Analysis of Chemotherapy Plus Bevacizumab Versus Chemotherapy Alone |
NCT00069108 (11) [back to overview] | Best Overall Response, Investigators' Assessments |
NCT00069108 (11) [back to overview] | Best Overall Response, Independent Review Committee Assessment |
NCT00069108 (11) [back to overview] | Time To Treatment Failure |
NCT00069108 (11) [back to overview] | Progression Free Survival Based on Treatment Analysis- Per Population |
NCT00069108 (11) [back to overview] | Progression Free Survival Based on Treatment Analysis- Intent To Treat Population |
NCT00069108 (11) [back to overview] | Overall Survival |
NCT00069108 (11) [back to overview] | Duration Of Response |
NCT00069108 (11) [back to overview] | Progression Free Survival |
NCT00069108 (11) [back to overview] | Time To Response |
NCT00069108 (11) [back to overview] | Number of Participants With Marked Post-baseline Laboratory Abnormalities by Trial Treatment |
NCT00069108 (11) [back to overview] | Progression Free Survival Based on Independent Review Committee Assessment |
NCT00069121 (7) [back to overview] | Relapse-Free Survival (RFS) [Number of Events] |
NCT00069121 (7) [back to overview] | Overall Survival [Number of Events] |
NCT00069121 (7) [back to overview] | Number of Participants With at Least One Adverse Event by Most Severe Intensity |
NCT00069121 (7) [back to overview] | Disease-Free Survival (DFS) [Time to Event] |
NCT00069121 (7) [back to overview] | Disease-Free Survival (DFS) [Number of Events] |
NCT00069121 (7) [back to overview] | Relapse-Free Survival (RFS) [Time to Event] |
NCT00069121 (7) [back to overview] | Overall Survival [Time to Event] |
NCT00077857 (7) [back to overview] | Duration of Overall Response |
NCT00077857 (7) [back to overview] | Overall Survival |
NCT00077857 (7) [back to overview] | Percentage of Participants With Best Overall Response Being Complete Response (CR) or Partial Response (PR) |
NCT00077857 (7) [back to overview] | Time to Progression of Disease or Death |
NCT00077857 (7) [back to overview] | Time to Treatment Failure |
NCT00077857 (7) [back to overview] | Number of Participants With Adverse Events and Serious Adverse Events |
NCT00077857 (7) [back to overview] | Time to Overall Response |
NCT00080301 (7) [back to overview] | Symptom Assessment Score Changes From Baseline for Functional Assessment of Cancer Therapy-Breast Symptom Index (FBSI) |
NCT00080301 (7) [back to overview] | Time to Response Per IRRC |
NCT00080301 (7) [back to overview] | Progression-free Survival (PFS) Per Independent Radiology Review Committee (IRRC) |
NCT00080301 (7) [back to overview] | Overall Survival (OS) |
NCT00080301 (7) [back to overview] | Overall Response Rate (ORR) Per IRRC |
NCT00080301 (7) [back to overview] | Duration of Response Per IRRC |
NCT00080301 (7) [back to overview] | Treatment-related Safety Summary |
NCT00081289 (18) [back to overview] | Pathologic Complete Response Rate |
NCT00081289 (18) [back to overview] | Second Primary Rate at 4 Years |
NCT00081289 (18) [back to overview] | Survival Rate at 4 Years |
NCT00081289 (18) [back to overview] | Change From Baseline in QLQ-C30 Global Health Status Score at Two Years |
NCT00081289 (18) [back to overview] | Disease-free Survival Rate at 4 Years |
NCT00081289 (18) [back to overview] | Distant Failure Rate at 4 Years |
NCT00081289 (18) [back to overview] | Local-regional Failure Rate at 4 Years |
NCT00081289 (18) [back to overview] | Number of Participants With Grade 3+ Treatment-related Adverse Events |
NCT00081289 (18) [back to overview] | Change From Baseline in EORTC QLQ-CR38 Gastro-intestinal Symptom Score at Two Years |
NCT00081289 (18) [back to overview] | Change From Baseline in EORTC QLQ-CR38 Gastro-intestinal Symptom Score at Completion of Chemoradiation |
NCT00081289 (18) [back to overview] | Change From Baseline in EORTC QLQ-CR38 Defecation Symptom Score at Two Years |
NCT00081289 (18) [back to overview] | Change From Baseline in EORTC QLQ-CR38 Defecation Symptom Score at Post-operative Chemotherapy |
NCT00081289 (18) [back to overview] | Change From Baseline in EORTC QLQ-CR38 Defecation Symptom Score at Completion of Chemoradiation |
NCT00081289 (18) [back to overview] | Number of Participants With Grade 3+ Treatment-related Adverse Events Postoperatively |
NCT00081289 (18) [back to overview] | Number of Participants With Grade 3+ Treatment-related Adverse Events Preoperatively |
NCT00081289 (18) [back to overview] | Change From Baseline in EORTC QLQ-CR38 Gastro-intestinal Symptom Score at Completion of Post-operative Chemotherapy |
NCT00081289 (18) [back to overview] | Change From Baseline in QLQ-C30 Global Health Status Score at Completion of Chemoradiation |
NCT00081289 (18) [back to overview] | Change From Baseline in QLQ-C30 Global Health Status Score at Completion of Post-operative Chemotherapy |
NCT00082433 (7) [back to overview] | Symptom Assessment Score Changes From Baseline for Functional Assessment of Cancer Therapy-Breast Symptom Index (FBSI) |
NCT00082433 (7) [back to overview] | Treatment-Related Safety Summary |
NCT00082433 (7) [back to overview] | Time to Response |
NCT00082433 (7) [back to overview] | Response Rate (RR) |
NCT00082433 (7) [back to overview] | Progression-Free Survival (PFS) |
NCT00082433 (7) [back to overview] | Overall Survival (OS) |
NCT00082433 (7) [back to overview] | Duration of Response |
NCT00084617 (3) [back to overview] | Response Rates (RR) in Metastatic Gastric/GE Junction Tumors |
NCT00084617 (3) [back to overview] | Overall Survival |
NCT00084617 (3) [back to overview] | Complete Response (CR) and Partial Response (PR) Duration |
NCT00087152 (3) [back to overview] | Progression-free Survival at 6 Months |
NCT00087152 (3) [back to overview] | Number of Patients With Grade 3 Through 5 Adverse Events That Are Related to Study Drug |
NCT00087152 (3) [back to overview] | Confirmed Response Rate (Complete and Partial) |
NCT00089479 (10) [back to overview] | Overall Survival [Number of Events] |
NCT00089479 (10) [back to overview] | Disease Free Survival Including New Primary Breast Cancer as Event [Number of Events] |
NCT00089479 (10) [back to overview] | Disease Free Survival Including Any New Cancer as Event [Number of Events] |
NCT00089479 (10) [back to overview] | Breast Cancer Free Survival [Time to Event] |
NCT00089479 (10) [back to overview] | Breast Cancer Free Survival [Number of Events] |
NCT00089479 (10) [back to overview] | Disease Free Survival [Number of Events] |
NCT00089479 (10) [back to overview] | Overall Survival [Time to Event] |
NCT00089479 (10) [back to overview] | Disease Free Survival Including New Primary Breast Cancer as Event [Time to Event |
NCT00089479 (10) [back to overview] | Disease Free Survival [Time to Event] |
NCT00089479 (10) [back to overview] | Disease Free Survival Including Any New Cancer as Event [Time to Event] |
NCT00093379 (3) [back to overview] | Number of Participants With Complete Response at 2 Years |
NCT00093379 (3) [back to overview] | Number of Participants With 2-year Colostomy-Free Survival |
NCT00093379 (3) [back to overview] | 2 Year Failure Free Survival |
NCT00093808 (4) [back to overview] | Overall Survival as Assessed by Time |
NCT00093808 (4) [back to overview] | Time to Progression (TTP) |
NCT00093808 (4) [back to overview] | Duration of Response as Measured by RECIST Criteria |
NCT00093808 (4) [back to overview] | Confirmed Response Rate |
NCT00100815 (5) [back to overview] | Percentage of Participants With Improved Quality of Life |
NCT00100815 (5) [back to overview] | Clinical Response |
NCT00100815 (5) [back to overview] | Overall Survival |
NCT00100815 (5) [back to overview] | Percentage of Participants With Grades 3-5 Treatment Related Toxicities |
NCT00100815 (5) [back to overview] | Progression-free Survival |
NCT00101686 (14) [back to overview] | Survival Time: Celecoxib and Placebo |
NCT00101686 (14) [back to overview] | 1 Year Survival: FOLFIRI, mIFL and CapeIRI |
NCT00101686 (14) [back to overview] | Time to Progression: Bevacizumab With FOLFIRI, mIFL |
NCT00101686 (14) [back to overview] | Survival Time at Last Follow-Up Visit: Bevacizumab With FOLFIRI, mIFL |
NCT00101686 (14) [back to overview] | Overall Response: FOLFIRI, mIFL and CapeIRI |
NCT00101686 (14) [back to overview] | Overall Response: Celecoxib and Placebo |
NCT00101686 (14) [back to overview] | Overall Response: Bevacizumab With FOLFIRI, mIFL |
NCT00101686 (14) [back to overview] | Dose Reduction Due to Treatment Emergent Adverse Events |
NCT00101686 (14) [back to overview] | Time to Progression: FOLFIRI, mIFL and CapeIRI |
NCT00101686 (14) [back to overview] | Overall Relative Dose Intensity of Irinotecan |
NCT00101686 (14) [back to overview] | 1 Year Survival: Bevacizumab With FOLFIRI, mIFL |
NCT00101686 (14) [back to overview] | Survival Time: FOLFIRI, mIFL and CapeIRI |
NCT00101686 (14) [back to overview] | Time to Progression : Celecoxib and Placebo |
NCT00101686 (14) [back to overview] | Time to Progression (TTP) at Primary Completion: FOLFIRI and mIFL |
NCT00107276 (3) [back to overview] | Progression-free Survival and Overall Survival |
NCT00107276 (3) [back to overview] | Response Rate (Complete and Partial, Confirmed and Unconfirmed) |
NCT00107276 (3) [back to overview] | Toxicity |
NCT00112918 (6) [back to overview] | Overall Survival in Stage III Cancer Patients - Time to Event |
NCT00112918 (6) [back to overview] | Overall Survival in Stage III Cancer Patients - Number of Events: Final Analysis |
NCT00112918 (6) [back to overview] | Overall Survival in Stage III Cancer Patients - Number of Events |
NCT00112918 (6) [back to overview] | Disease-free Survival in Stage III Cancer Patients - Number of Events |
NCT00112918 (6) [back to overview] | Overall Survival in Stage III Cancer Patients - Time to Event: Final Analysis |
NCT00112918 (6) [back to overview] | Disease-free Survival in Stage III Cancer Patients - Time to Event |
NCT00113230 (1) [back to overview] | Pathologic Local Tumor Response |
NCT00114231 (5) [back to overview] | Morbidity and Mortality Rate |
NCT00114231 (5) [back to overview] | Rate of Pathologic Complete Response of the Primary Tumor |
NCT00114231 (5) [back to overview] | R0 Resection Rate (Negative Margin Rate) |
NCT00114231 (5) [back to overview] | 3-Year Disease-free Survival |
NCT00114231 (5) [back to overview] | Local Recurrence Rate |
NCT00118755 (4) [back to overview] | Duration of Overall Clinical Response (CR or PR) |
NCT00118755 (4) [back to overview] | Overall Survival |
NCT00118755 (4) [back to overview] | Progression-free Survival (PFS) |
NCT00118755 (4) [back to overview] | Best Overall Clinical Response |
NCT00121134 (1) [back to overview] | The Completion Rate of 1 Year of Bevacizumab Therapy for All Four Cohorts |
NCT00121251 (3) [back to overview] | Number of Participants Who Survived (Overall Survival) |
NCT00121251 (3) [back to overview] | Median Number of Months of Progression Free Survival (PFS) |
NCT00121251 (3) [back to overview] | Objective Response for BAY 43-9006 in Combination With Gemcitabine and Capecitabine Evaluated by the Response Evaluation Criteria in Solid Tumors (RECIST) |
NCT00121836 (4) [back to overview] | Number of Subjects With Adverse Events |
NCT00121836 (4) [back to overview] | Number of Participants With Marked Laboratory Abnormalities |
NCT00121836 (4) [back to overview] | Overall Survival |
NCT00121836 (4) [back to overview] | Premature Withdrawal From Study Due to Adverse Events |
NCT00127036 (1) [back to overview] | Number of Participants With Serious Adverse Events (SAEs) |
NCT00127933 (6) [back to overview] | Participants With Disease-Free Survival |
NCT00127933 (6) [back to overview] | Percentage of Participants Assessed for Pathological Complete Response (pCR) Plus Near Complete (npCR) in Primary Breast Tumor at Time of Definitive Surgery |
NCT00127933 (6) [back to overview] | Percentage of Participants With Complete Pathological Response in the Primary Breast Tumor at the Time of Definitive Surgery |
NCT00127933 (6) [back to overview] | Percentage of Participants With Overall Clinical Response (Complete Response (CR) Plus Partial Response (PR)) |
NCT00127933 (6) [back to overview] | Percentage of Participants With Local Recurrence |
NCT00127933 (6) [back to overview] | Participants With Overall Survival |
NCT00129935 (4) [back to overview] | Quality of Life Questionnaire: Time to Taking Off the Wig |
NCT00129935 (4) [back to overview] | Number of Participants With Overall Survival (OS) Event |
NCT00129935 (4) [back to overview] | The Number of Participants Who Experienced Adverse Events (AE) |
NCT00129935 (4) [back to overview] | Number of Participants With Disease-free Survival (DFS) Event |
NCT00130533 (3) [back to overview] | Disease Free Survival (DFS) Events |
NCT00130533 (3) [back to overview] | The Number of Participants Who Experienced Adverse Events (AE) |
NCT00130533 (3) [back to overview] | Overall Survival (OS) Event |
NCT00148122 (3) [back to overview] | Frequency of Grade III/IV Toxicities Experienced by Participants |
NCT00148122 (3) [back to overview] | Probability of Progression Free Survival |
NCT00148122 (3) [back to overview] | Overall Response Rate at 4 Months |
NCT00159432 (2) [back to overview] | Median Time for Progression Free Survival |
NCT00159432 (2) [back to overview] | Number of Participants With Grade 3 or Higher Toxicity |
NCT00177255 (2) [back to overview] | Overall Survival |
NCT00177255 (2) [back to overview] | Overall Response Rate |
NCT00177307 (4) [back to overview] | 1-, 2-, and 3-year Overall Survival |
NCT00177307 (4) [back to overview] | Response Rate (RR) |
NCT00177307 (4) [back to overview] | Progression Free Survival (PFS) |
NCT00177307 (4) [back to overview] | Overall Survival |
NCT00191152 (13) [back to overview] | Summary of Changes in Karnofsky Performance Status (KPS) by Treatment (Crossover Treatment) |
NCT00191152 (13) [back to overview] | Best Overall Response (Crossover Treatment) |
NCT00191152 (13) [back to overview] | Time to Disease Progression (Crossover Treatment) |
NCT00191152 (13) [back to overview] | Progression-Free Survival (Initial Treatment) |
NCT00191152 (13) [back to overview] | Time to Disease Progression (Initial Treatment) |
NCT00191152 (13) [back to overview] | Progression-Free Survival (Crossover Treatment) |
NCT00191152 (13) [back to overview] | Summary of Changes in Karnofsky Performance Status (KPS) by Treatment (Initial Treatment) |
NCT00191152 (13) [back to overview] | Overall Survival |
NCT00191152 (13) [back to overview] | Summary of Changes in Rotterdam Symptom Checklist by Treatment (Crossover Treatment) |
NCT00191152 (13) [back to overview] | Duration of Response (Crossover Treatment) |
NCT00191152 (13) [back to overview] | Duration of Response (Initial Treatment) |
NCT00191152 (13) [back to overview] | Best Overall Response (Initial Treatment) |
NCT00191152 (13) [back to overview] | Summary of Changes in Rotterdam Symptom Checklist (RSCL) by Treatment (Initial Treatment) |
NCT00193128 (3) [back to overview] | Overall Survival (OS) |
NCT00193128 (3) [back to overview] | Disease-Free Survival (DFS) |
NCT00193128 (3) [back to overview] | Pathologic Complete Response Rate (PCRR), the Percentage of Patients Who Have No Evidence of Cancer in Their Surgical Specimen Following Surgery |
NCT00193609 (2) [back to overview] | Overall Survival |
NCT00193609 (2) [back to overview] | Progression Free Survival |
NCT00194779 (6) [back to overview] | Time to Progression |
NCT00194779 (6) [back to overview] | Combined Rate of Microscopic pCR and Macroscopic Pathologic Complete Response (mCR) |
NCT00194779 (6) [back to overview] | Relapse Rate in Patients With Operable Breast Cancer Treated With Neoadjuvant Chemotherapy for 12 Weeks Followed by Weekly Paclitaxel for 12 Weeks and Adjuvant Chemotherapy |
NCT00194779 (6) [back to overview] | Disease-free Survival |
NCT00194779 (6) [back to overview] | OS in Patients With Operable Breast Cancer Treated With Neoadjuvant Chemotherapy for 12 Weeks Followed Weekly Paclitaxel for 12 Weeks and Adjuvant Chemotherapy With XMN |
NCT00194779 (6) [back to overview] | Number and Percent of Patients Reporting Grade 2, 3, 4, or Fatal Toxicities of These Regimens, Need for Dose Reduction, or Treatment Interruption or Discontinuation |
NCT00194792 (6) [back to overview] | Overall Survival |
NCT00194792 (6) [back to overview] | Quantification of All Grade 2, 3, 4 Adverse Events or Fatal Toxicities |
NCT00194792 (6) [back to overview] | Number of Participants With Microscopic Pathologic Complete Response and Macroscopic Pathologic Complete Response |
NCT00194792 (6) [back to overview] | Number of Participants With Clinical Response |
NCT00194792 (6) [back to overview] | Disease-free Survival |
NCT00194792 (6) [back to overview] | Number of Participants With Dose Reduction, Treatment Interruption, or Treatment Discontinuation |
NCT00201734 (6) [back to overview] | Objective Response Rate (ORR) for the Phase II Portion of the Study. CR+PR Per RECIST v1.0 Criteria Using a Single Arm , Two Stage Minimax Design. |
NCT00201734 (6) [back to overview] | One Year Survival for Patients |
NCT00201734 (6) [back to overview] | Progression-Free Survival at 6 Months for Patients |
NCT00201734 (6) [back to overview] | Phase I: To Determine Side Effects |
NCT00201734 (6) [back to overview] | Maximum Tolerated Dose in Phase I Portion of Study |
NCT00201734 (6) [back to overview] | Time to Tumor Progression for Patients |
NCT00201825 (3) [back to overview] | Time to Tumor Progression |
NCT00201825 (3) [back to overview] | Determine Objective Response Rate |
NCT00201825 (3) [back to overview] | One Year Survival |
NCT00203411 (4) [back to overview] | Quality of Life of Patients |
NCT00203411 (4) [back to overview] | Response Rates |
NCT00203411 (4) [back to overview] | Time to Disease Progression |
NCT00203411 (4) [back to overview] | Number of Subjects Requiring Dose Modifications |
NCT00209092 (2) [back to overview] | Number of Participants With Complete Pathologic Response Rate to Pre-operative Treatment in Arm A (Docetaxel for 4 Cycles Followed by Capecitabine for 4 Cycles) or Arm B (Docetaxel + Capecitabine for 8 Cycles) in Patients With Early Stage Breast Cancer. |
NCT00209092 (2) [back to overview] | Long Term Follow up Data on Recurrence and Survival |
NCT00215644 (5) [back to overview] | Overall Survival (OS) |
NCT00215644 (5) [back to overview] | Duration of Objective Response Assessed by Independent Review Committee |
NCT00215644 (5) [back to overview] | Percentage of Participants With Objective Response Assessed by Independent Review Committee |
NCT00215644 (5) [back to overview] | Progression-Free Survival |
NCT00215644 (5) [back to overview] | Best Overall Change From Baseline in European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire-Core 30 (EORTC QLQ-C30) Global Health Status (GHS)/Quality of Life (QoL) Score |
NCT00216086 (3) [back to overview] | Pathological Complete Response (pCR) Rate |
NCT00216086 (3) [back to overview] | Local and Distant Disease Recurrence Rates |
NCT00216086 (3) [back to overview] | Disease-Free Survival |
NCT00226941 (7) [back to overview] | Survival at 5 Years |
NCT00226941 (7) [back to overview] | Overall Survival (OS) |
NCT00226941 (7) [back to overview] | Dose-limiting Toxicity (DLT) - Number of Participants Affected |
NCT00226941 (7) [back to overview] | Dose-limiting Toxicity (DLT) - Number of DLTs by Treatment Group |
NCT00226941 (7) [back to overview] | Pathologic Response Rate |
NCT00226941 (7) [back to overview] | Tumor Downstaging at Surgical Resection |
NCT00226941 (7) [back to overview] | Time-to-Progression (TTP) |
NCT00250835 (6) [back to overview] | Incidence of Sphincter-sparing Surgery |
NCT00250835 (6) [back to overview] | Pelvic Local Control Rate |
NCT00250835 (6) [back to overview] | Progression-free Survival (PFS) |
NCT00250835 (6) [back to overview] | Toxicity |
NCT00250835 (6) [back to overview] | Surgical Downstaging Rate |
NCT00250835 (6) [back to overview] | Pathologic Complete Response (PCR) |
NCT00258310 (4) [back to overview] | Recurrence-free Survival |
NCT00258310 (4) [back to overview] | Overall Survival |
NCT00258310 (4) [back to overview] | Compliance With Treatment . |
NCT00258310 (4) [back to overview] | Incidence of Second Primary Tumors |
NCT00266279 (2) [back to overview] | Qualitative and Quantitative Toxicity |
NCT00266279 (2) [back to overview] | Overall Response Rate |
NCT00266799 (5) [back to overview] | Overall Survival Time in the PLD and Capecitabine Treatment Groups |
NCT00266799 (5) [back to overview] | Number of Participants With an Overall Response (Complete Response [CR] + Partial Response [PR]) Between PLD and Capecitabine Treatment Groups |
NCT00266799 (5) [back to overview] | Quality of Life (QoL) Measured by QoL Questionnaire (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) + Subjective Significance Questionnaire (SSQ)) |
NCT00266799 (5) [back to overview] | Time to Disease Progression (TTP) Using Response Evaluation Criteria in Solid Tumors (RECIST) |
NCT00266799 (5) [back to overview] | Time to Treatment Failure in the PLD and the Capecitabine Treatment Groups |
NCT00274768 (6) [back to overview] | Adherence and Compliance to Oral Medication Using Electronic Monitoring |
NCT00274768 (6) [back to overview] | Clinical Benefit as Assessed by Lack of Progression for at Least 24 Weeks |
NCT00274768 (6) [back to overview] | Response Rate |
NCT00274768 (6) [back to overview] | Time to Treatment Failure |
NCT00274768 (6) [back to overview] | Pharmacokinetics of Capecitabine and Metabolites as Assessed by Maximum Plasma Concentration |
NCT00274768 (6) [back to overview] | Pharmacokinetics of Capecitabine and Metabolites as Assessed by Area Under the Curve (AUC) |
NCT00276744 (1) [back to overview] | 6-month Overall Survival |
NCT00278863 (2) [back to overview] | Number of Patients With Adverse Events |
NCT00278863 (2) [back to overview] | Response Rate |
NCT00290615 (4) [back to overview] | Response Rate (Percentage of Participants With Partial or Complete Response) |
NCT00290615 (4) [back to overview] | Progression-free Survival |
NCT00290615 (4) [back to overview] | Overall Survival |
NCT00290615 (4) [back to overview] | Safety and Tolerability |
NCT00290693 (5) [back to overview] | Number of Study Participants Experiencing Toxicity After Receiving Protocol Therapy |
NCT00290693 (5) [back to overview] | Overall Surival (OS) |
NCT00290693 (5) [back to overview] | Progression-free Survival (PFS) |
NCT00290693 (5) [back to overview] | Rate of Participants Achieving a 50% or More Reduction in CA 19-9 Levels |
NCT00290693 (5) [back to overview] | Rate of Participants Achieving Complete Response or Partial Response to Therapy. |
NCT00291486 (11) [back to overview] | Impact of Capecitabine on 131I-huA33 Clearance (CL) as Measured by Initial and Therapy Dose Clearance (CL) |
NCT00291486 (11) [back to overview] | Mean Specific Absorbed Dose of 131I-huA33 for Normal Organs Calculated From the Initial Infusion |
NCT00291486 (11) [back to overview] | Pharmacokinetics (PK) of 131I-huA33 as Measured by Area Under the Serum Concentration Curve Extrapolated to Infinite Time (AUC) |
NCT00291486 (11) [back to overview] | Pharmacokinetics (PK) of 131I-huA33 as Measured by Clearance (CL) |
NCT00291486 (11) [back to overview] | Number of Patients With Dose-Limiting Toxicities (DLT) |
NCT00291486 (11) [back to overview] | Pharmacokinetics (PK) of 131I-huA33 as Measured by Maximum Serum Concentration (Cmax) |
NCT00291486 (11) [back to overview] | Pharmacokinetics (PK) of 131I-huA33 as Measured by T½α and T½β (Half Lives of the Initial and Terminal Phases of Disposition, Respectively) |
NCT00291486 (11) [back to overview] | Pharmacokinetics (PK) of 131I-huA33 as Measured by the Volume of the Central Compartment (V1) |
NCT00291486 (11) [back to overview] | Number of Patients With Human Anti-human Antibodies (HAHA) to 131I-huA33 |
NCT00291486 (11) [back to overview] | Biodistribution of 131I-huA33 Measured by Whole Body Clearance and Normal Organ Clearance Reported as Mean Biological Half-life (T1/2 Biological) After Initial 131I-huA33 Infusion |
NCT00291486 (11) [back to overview] | Mean Total Tumor Dose of 131I-huA33 |
NCT00305877 (3) [back to overview] | Two-year Overall Survival Rate |
NCT00305877 (3) [back to overview] | Two-year Disease-free Survival (DFS) |
NCT00305877 (3) [back to overview] | Proportion of Patients With Specific Protocol Defined Adverse Event at Conclusion of All Therapy |
NCT00320749 (3) [back to overview] | Common Toxicities |
NCT00320749 (3) [back to overview] | Maximum Tolerated Dose (MTD) |
NCT00320749 (3) [back to overview] | Therapeutic Response |
NCT00321100 (3) [back to overview] | Overall Survival |
NCT00321100 (3) [back to overview] | Objective Response Rate (ORR) |
NCT00321100 (3) [back to overview] | Time to Progression (TTP) |
NCT00321685 (5) [back to overview] | Resection Rate for T4 Rectal Cancers |
NCT00321685 (5) [back to overview] | Resection Rate for T3 Rectal Cancers |
NCT00321685 (5) [back to overview] | Pathologic Complete Response Rate |
NCT00321685 (5) [back to overview] | 5-year Overall Survival Rate |
NCT00321685 (5) [back to overview] | 5-year Recurrence-free Survival Rate |
NCT00335959 (2) [back to overview] | Number of Patients With Grade 3 Through 5 Adverse Events That Are Related to Study Drug |
NCT00335959 (2) [back to overview] | Pathologic Complete Response |
NCT00337103 (14) [back to overview] | Progression Free Survival (PFS) |
NCT00337103 (14) [back to overview] | Overall Survival (OS) |
NCT00337103 (14) [back to overview] | Objective Response Rate (ORR): Independent Review |
NCT00337103 (14) [back to overview] | Number of Participants With Treatment-emergent Markedly Abnormal Laboratory Parameter Values |
NCT00337103 (14) [back to overview] | Number of Participants With Consumption of Analgesics During the Study |
NCT00337103 (14) [back to overview] | Number of Participants Who Took at Least One Concomitant Medication |
NCT00337103 (14) [back to overview] | Duration of Response (DOR): Independent Review |
NCT00337103 (14) [back to overview] | Change From Baseline in Global Health Status/Quality of Life (QoL) Measured by European Organization for the Treatment of Cancer Quality of Life Core Questionnaire Scores Based on Core 30 Items (EORTC-QLQ-C30) at Week 6 |
NCT00337103 (14) [back to overview] | Change From Baseline in Pain Intensity by Visual Analog Scale (VAS) Until 30 Days After the Last Dose of Study Drug |
NCT00337103 (14) [back to overview] | Change From Baseline in European Organization for the Treatment of Cancer Quality of Life Core Questionnaire Scores Based on Breast Cancer Specific 23 Items (EORTC-QLQ- BR 23) at Week 6 |
NCT00337103 (14) [back to overview] | Plasma Concentrations of Eribulin Mesylate |
NCT00337103 (14) [back to overview] | Overall Survival Rate |
NCT00337103 (14) [back to overview] | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) |
NCT00337103 (14) [back to overview] | Duration of Eribulin Mesylate Exposure |
NCT00338039 (2) [back to overview] | Median Overall Survival |
NCT00338039 (2) [back to overview] | Overall Survival Rate |
NCT00338988 (1) [back to overview] | Number of Participants With Objective Response |
NCT00347438 (4) [back to overview] | Complete Clinical Response Rate (CCR) |
NCT00347438 (4) [back to overview] | Complete Pathologic Response Rate (cPR) |
NCT00347438 (4) [back to overview] | Partial Clinical Response Rate (PR) |
NCT00347438 (4) [back to overview] | Overall Clinical Response Rate (OCR) |
NCT00353262 (14) [back to overview] | Maximum Plasma Concentration (Cmax) of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL) |
NCT00353262 (14) [back to overview] | Clearance of Total And Free Platinum |
NCT00353262 (14) [back to overview] | Marked Laboratory Abnormalities |
NCT00353262 (14) [back to overview] | Elimination Half-life Period (t1/2 Beta) of Capecitabine and Its Metabolites (5'-DFUR , 5'-DFCR, 5 FU, and FBAL) |
NCT00353262 (14) [back to overview] | Cmax of Total And Free Platinum |
NCT00353262 (14) [back to overview] | AUC (0-infinity) of Capecitabine and Its Metabolites (5'-DFCR, 5-FU, and FBAL) |
NCT00353262 (14) [back to overview] | AUC0-inf for Free Platinum |
NCT00353262 (14) [back to overview] | AUC0-infinity for Total Platinum |
NCT00353262 (14) [back to overview] | AUC0-last of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL) |
NCT00353262 (14) [back to overview] | AUC0-last of Total And Free Platinum |
NCT00353262 (14) [back to overview] | Volume of Distribution at Steady State (VSS) of Total And Free Platinum |
NCT00353262 (14) [back to overview] | Number Of Participants With Adverse Events (AEs) |
NCT00353262 (14) [back to overview] | Area Under The Plasma Concentration-Time Curve From Zero To Infinity (AUC0-Inf) of 5'-Deoxy-5-fluorouridine 5'-(DFUR) |
NCT00353262 (14) [back to overview] | T1/2 Beta of Total And Free Platinum |
NCT00354224 (1) [back to overview] | Number of Adverse Events |
NCT00354601 (1) [back to overview] | Number of Participants With Grade 3 or Higher Toxicity |
NCT00354887 (1) [back to overview] | Number of Participants With Overall Response |
NCT00365417 (8) [back to overview] | Number of Patients With at Least One Surgical Complications (Wound Dehiscence, Infection, Seroma, or Hematoma). |
NCT00365417 (8) [back to overview] | Clinical Response Rate (cRR) of the Sequential Regimen |
NCT00365417 (8) [back to overview] | Cardiac Events |
NCT00365417 (8) [back to overview] | pCR in the Breast and Nodes |
NCT00365417 (8) [back to overview] | Progression-free Survival |
NCT00365417 (8) [back to overview] | Overall Survival |
NCT00365417 (8) [back to overview] | Pathologic Complete Response (pCR) in the Breast |
NCT00365417 (8) [back to overview] | Reported Adverse Events |
NCT00373113 (5) [back to overview] | Time to Tumor Progression (TTP) |
NCT00373113 (5) [back to overview] | Number of Participants With Overall Response (OR) |
NCT00373113 (5) [back to overview] | Overall Survival (OS) |
NCT00373113 (5) [back to overview] | Progression-Free Survival (PFS) |
NCT00373113 (5) [back to overview] | Duration of Response (DR) |
NCT00382720 (3) [back to overview] | Overall Survival (OS) |
NCT00382720 (3) [back to overview] | Time to Progression |
NCT00382720 (3) [back to overview] | Best Overall Response Rate (ORR) |
NCT00398320 (5) [back to overview] | 12-month Progression Free Survival (PFS) |
NCT00398320 (5) [back to overview] | Overall Survival (OS) |
NCT00398320 (5) [back to overview] | Number of Patients Who Experienced Treatment-related Grade 3 or Higher Adverse Events by CTCAE Version 3.0 |
NCT00398320 (5) [back to overview] | Biochemical Markers |
NCT00398320 (5) [back to overview] | Response Rates |
NCT00398398 (4) [back to overview] | Progression-free Survival |
NCT00398398 (4) [back to overview] | Toxicity Profile |
NCT00398398 (4) [back to overview] | Overall Survival |
NCT00398398 (4) [back to overview] | Overall Response Rate |
NCT00399035 (7) [back to overview] | Rate of Resection of Liver Metastases |
NCT00399035 (7) [back to overview] | Time to Wound Healing Complications |
NCT00399035 (7) [back to overview] | Overall Survival |
NCT00399035 (7) [back to overview] | Overall Response Rate |
NCT00399035 (7) [back to overview] | Progression-free Survival |
NCT00399035 (7) [back to overview] | Duration of Response |
NCT00399035 (7) [back to overview] | Best Percentage Change in Tumour Size |
NCT00408408 (9) [back to overview] | Toxicities Including Events Other Than Congestive Heart Failure, of Chemotherapy Alone, Bevacizumab With Chemotherapy, and Bevacizumab Alone |
NCT00408408 (9) [back to overview] | Clinical Complete Resonse: cCR as Assessed by Physical Exam at the Completion of the Sequential Chemotherapy Regimens |
NCT00408408 (9) [back to overview] | Clinical Complete Response (cCR) Following Docetaxel Alone, Docetaxel/Capecitabine, and Docetaxel/Gemcitabine Hydrochloride, With or Without Bevacizumab, as Assessed by Physical Exam at Completion of Therapy |
NCT00408408 (9) [back to overview] | Clinical Overall Response: cOR as Assessed by Physical Exam at the Completion of the Sequential Chemotherapy Regimens |
NCT00408408 (9) [back to overview] | Pathologic Complete Response (pCR) of the Primary Tumor in the Breast |
NCT00408408 (9) [back to overview] | pCR in the Breast and Nodes |
NCT00408408 (9) [back to overview] | Clinical Overall Response (cOR) Following Docetaxel Alone, Docetaxel/Capecitabine, and Docetaxel/Gemcitabine Hydrochloride, With or Without Bevacizumab, as Assessed by Physical Exam at the Completion of the Docetaxel-based Portion of Chemotherapy |
NCT00408408 (9) [back to overview] | Disease-free Survival (DFS) |
NCT00408408 (9) [back to overview] | Surgical Complication |
NCT00408564 (4) [back to overview] | Number of Participants With Grade 3-4 Adverse Events Reported |
NCT00408564 (4) [back to overview] | Response Rate |
NCT00408564 (4) [back to overview] | Progression-free Survival at 6 Months |
NCT00408564 (4) [back to overview] | Overall Survival |
NCT00411762 (2) [back to overview] | Median Overall Survival |
NCT00411762 (2) [back to overview] | Median Progression Free Survival |
NCT00414271 (4) [back to overview] | Feasibility and Safety of Pre-operative Chemotherapy in Locally Advanced Gastric Cancer as Assessed by Number of Participants Who Experienced Adverse Events Grade 3 or Higher as Defined by CTCAE. |
NCT00414271 (4) [back to overview] | Overall Survival |
NCT00414271 (4) [back to overview] | Progression-free Survival as Measured by Number of Participants Without Disease Progression. |
NCT00414271 (4) [back to overview] | Number of Participants With Pathological Response |
NCT00416494 (5) [back to overview] | Time to Progression |
NCT00416494 (5) [back to overview] | Safety and Tolerability |
NCT00416494 (5) [back to overview] | Overall Survival |
NCT00416494 (5) [back to overview] | Disease Free Survival |
NCT00416494 (5) [back to overview] | Response Rate (Percentage of Participants With Partial or Complete Response) |
NCT00418028 (7) [back to overview] | Response Rate |
NCT00418028 (7) [back to overview] | Response Duration |
NCT00418028 (7) [back to overview] | Progression Free Survival |
NCT00418028 (7) [back to overview] | Overall Survival |
NCT00418028 (7) [back to overview] | Time to Progression |
NCT00418028 (7) [back to overview] | Time to Treatment Failure |
NCT00418028 (7) [back to overview] | Clinical Benefit |
NCT00433550 (5) [back to overview] | Duration of Response |
NCT00433550 (5) [back to overview] | Confirmed Tumor Response Rate (Proportion of Participants With Complete Response) |
NCT00433550 (5) [back to overview] | Time to Treatment Failure |
NCT00433550 (5) [back to overview] | Progression Free Survival |
NCT00433550 (5) [back to overview] | Overall Survival |
NCT00435409 (5) [back to overview] | Overall Survival (OS) |
NCT00435409 (5) [back to overview] | Duration of Response (DR) |
NCT00435409 (5) [back to overview] | Percent Chance of Participant Survival |
NCT00435409 (5) [back to overview] | Percentage of Participants With Objective Response (OR) |
NCT00435409 (5) [back to overview] | Progression Free Survival (PFS) |
NCT00437073 (2) [back to overview] | Number of Participants With the Indicated Central Nervous System (CNS) Objective Response (OR) |
NCT00437073 (2) [back to overview] | Number of Participants With the Indicated CNS Responses |
NCT00437294 (8) [back to overview] | Pharmacokinetics: Area Under the Concentration Versus Time Curve During One Dosing Interval at Steady State |
NCT00437294 (8) [back to overview] | Pharmacology Toxicity and Adverse Events (AEs) |
NCT00437294 (8) [back to overview] | Duration of Response (DOR) |
NCT00437294 (8) [back to overview] | Pharmacokinetics: Maximum Observed Concentration (Cmax) of Capecitabine |
NCT00437294 (8) [back to overview] | Overall Survival (OS) |
NCT00437294 (8) [back to overview] | Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Objective Response Rate) |
NCT00437294 (8) [back to overview] | Progression Free Survival (PFS) |
NCT00437294 (8) [back to overview] | Pharmacokinetics: Area Under the Concentration Curve Versus Time From Time 0 to Last Quantifiable Value (AUC0-tlast) of Capecitabine |
NCT00438100 (1) [back to overview] | Progression Free Survival |
NCT00438256 (7) [back to overview] | Median Progression Free Survival |
NCT00438256 (7) [back to overview] | 30-Day Post Operative Mortality |
NCT00438256 (7) [back to overview] | Number of Participants With Dose Limiting Toxicities in the 5 Radiation Sessions in One Week Arm |
NCT00438256 (7) [back to overview] | Number of Participants With a Pathological Complete Response |
NCT00438256 (7) [back to overview] | Number of Participants With Grade 3 or Greater Toxicity in Phase II |
NCT00438256 (7) [back to overview] | Number of Participants With Surgical Morbidity |
NCT00438256 (7) [back to overview] | Number of Participants With Treatment Related Serious Adverse Events |
NCT00444678 (4) [back to overview] | Toxicity Rates |
NCT00444678 (4) [back to overview] | Time to Progression |
NCT00444678 (4) [back to overview] | Survival |
NCT00444678 (4) [back to overview] | Response Rate for the Combination Treatment |
NCT00446290 (1) [back to overview] | Number of Participants With DLTs |
NCT00447330 (4) [back to overview] | Median Progression-Free Survival (PFS) |
NCT00447330 (4) [back to overview] | Response Rate |
NCT00447330 (4) [back to overview] | To Assess the Safety and Tolerability of the Combination of Bevacizumab, Oxaliplatin and Capecitabine in Patients With Previously Untreated Metastatic Esophagogastric Adenocarcinoma |
NCT00447330 (4) [back to overview] | Median Survival |
NCT00452673 (6) [back to overview] | Objective Response Rate (ORR) and Disease Control Rate - Efficacy Evaluable Population |
NCT00452673 (6) [back to overview] | Number of Participants With Dose Limiting Toxicities Per Dose Level - Safety Population |
NCT00452673 (6) [back to overview] | Number of Participants On-study With Grade 3 - 4 Chemistry Laboratory Values in Those Participants With a Baseline Laboratory Value of Grade 0 - Safety Population |
NCT00452673 (6) [back to overview] | Number of Participants With Overall Response to Tumor - Efficacy Evaluable Population |
NCT00452673 (6) [back to overview] | Number of Participants With Deaths, Serious Adverse Events, Adverse Events, Adverse Events Leading to Discontinuation and Treatment-related Adverse Events - Safety Population |
NCT00452673 (6) [back to overview] | Number of Participants On-Study With Grade 3 - 4 Hematology Laboratory Test Values in Those Participants With a Baseline Laboratory Value of Grade 0 - Safety Population |
NCT00454636 (6) [back to overview] | Time to Response |
NCT00454636 (6) [back to overview] | Progression-Free Survival (PFS) |
NCT00454636 (6) [back to overview] | Percentage of Participants With Grade 3 Hand-Foot Syndrome (HFS) |
NCT00454636 (6) [back to overview] | Overall Survival (OS) |
NCT00454636 (6) [back to overview] | Duration of Response |
NCT00454636 (6) [back to overview] | Overall Response Rate (ORR) |
NCT00454649 (34) [back to overview] | Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)] for Carboplatin |
NCT00454649 (34) [back to overview] | Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)] for Docetaxel |
NCT00454649 (34) [back to overview] | Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)] for Gemcitabine |
NCT00454649 (34) [back to overview] | Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)] for Paclitaxel |
NCT00454649 (34) [back to overview] | Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)] for Pemetrexed |
NCT00454649 (34) [back to overview] | Area Under the Curve From Time Zero to Time 24 Hours [AUC (0-24)] for Axitinib (AG-013736) |
NCT00454649 (34) [back to overview] | Area Under the Curve From Time Zero to Time 24 Hours [AUC (0-24)] for Capecitabine |
NCT00454649 (34) [back to overview] | Area Under the Curve From Time Zero to Time 8 Hours [AUC (0-8)] for Cisplatin |
NCT00454649 (34) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Axitinib (AG-013736) |
NCT00454649 (34) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Capecitabine |
NCT00454649 (34) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Carboplatin |
NCT00454649 (34) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Cisplatin |
NCT00454649 (34) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Docetaxel |
NCT00454649 (34) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Gemcitabine |
NCT00454649 (34) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Paclitaxel |
NCT00454649 (34) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Pemetrexed |
NCT00454649 (34) [back to overview] | Maximum Tolerated Dose (MTD) of Axitinib (AG-013736) in Combination With Chemotherapy |
NCT00454649 (34) [back to overview] | Percentage of Participants With Objective Response |
NCT00454649 (34) [back to overview] | Plasma Clearance (CL) for Carboplatin |
NCT00454649 (34) [back to overview] | Plasma Clearance (CL) for Cisplatin |
NCT00454649 (34) [back to overview] | Plasma Clearance (CL) for Docetaxel |
NCT00454649 (34) [back to overview] | Plasma Clearance (CL) for Gemcitabine |
NCT00454649 (34) [back to overview] | Plasma Decay Half Life (t1/2) for Paclitaxel |
NCT00454649 (34) [back to overview] | Plasma Decay Half Life (t1/2) for Pemetrexed |
NCT00454649 (34) [back to overview] | Plasma Clearance (CL) for Pemetrexed |
NCT00454649 (34) [back to overview] | Plasma Decay Half Life (t1/2) for Axitinib (AG-013736) |
NCT00454649 (34) [back to overview] | Plasma Decay Half Life (t1/2) for Capecitabine |
NCT00454649 (34) [back to overview] | Plasma Decay Half Life (t1/2) for Carboplatin |
NCT00454649 (34) [back to overview] | Plasma Decay Half Life (t1/2) for Cisplatin |
NCT00454649 (34) [back to overview] | Plasma Decay Half Life (t1/2) for Docetaxel |
NCT00454649 (34) [back to overview] | Plasma Decay Half Life (t1/2) for Gemcitabine |
NCT00454649 (34) [back to overview] | Apparent Oral Clearance (CL/F) for Axitinib (AG-013736) |
NCT00454649 (34) [back to overview] | Apparent Oral Clearance (CL/F) for Capecitabine |
NCT00454649 (34) [back to overview] | Plasma Clearance (CL) for Paclitaxel |
NCT00462865 (2) [back to overview] | Number of Participants With Recurrent Disease |
NCT00462865 (2) [back to overview] | Toxicity Related to Treatment |
NCT00468585 (1) [back to overview] | Overall Objective Response |
NCT00470184 (4) [back to overview] | Overall Response Rate (Complete and Partial Response) as Measured by RECIST Criteria After Course 1 |
NCT00470184 (4) [back to overview] | Quality of Life Improved Rate |
NCT00470184 (4) [back to overview] | Complete Response |
NCT00470184 (4) [back to overview] | Median Time to Progression |
NCT00477464 (20) [back to overview] | Trough Concentration of Lapatinib |
NCT00477464 (20) [back to overview] | 6-Month Progression-free Survival (Independent Reviewer-assessed) |
NCT00477464 (20) [back to overview] | Area Under the Plasma Concentration-time Curve From Zero to 24 Hours AUC0-24 of Lapatinib |
NCT00477464 (20) [back to overview] | Area Under the Plasma Concentration-time Curve Within the Dosing Interval AUC0-tau of Lapatinib |
NCT00477464 (20) [back to overview] | Clinical Benefit Response (Independent Reviewer-assessed) |
NCT00477464 (20) [back to overview] | Duration of Response (Independent Reviewer-assessed) |
NCT00477464 (20) [back to overview] | Maximum Plasma Concentration (Cmax) of Lapatinib |
NCT00477464 (20) [back to overview] | Objective Response (Independent Reviewer-assessed) |
NCT00477464 (20) [back to overview] | Overall Survival (Independent Reviewer-assessed) |
NCT00477464 (20) [back to overview] | Progression-free Survival (PFS) (Independent Reviewer-assessed) |
NCT00477464 (20) [back to overview] | Terminal Elimination Half-life (t1/2) of Lapatinib |
NCT00477464 (20) [back to overview] | Time to Maximum Plasma Concentration (Tmax) of Lapatinib |
NCT00477464 (20) [back to overview] | Time to Progression (Independent Reviewer-assessed) |
NCT00477464 (20) [back to overview] | Time to Response (Independent Reviewer-assessed) |
NCT00477464 (20) [back to overview] | Area Under the Plasma Concentration-time Curve From Zero to 12 Hours (AUC0-12) of Capecitabine, 5'-Fluorouracil (5-FU), and Alpha-fluoro-beta-alanine (FBAL) |
NCT00477464 (20) [back to overview] | AUC0-tau of Capecitabine, 5'-Fluorouracil (5-FU), and Alpha-fluoro-beta-alanine (FBAL) |
NCT00477464 (20) [back to overview] | Cmax of Capecitabine, 5'-Fluorouracil (5-FU), and Alpha-fluoro-beta-alanine (FBAL) |
NCT00477464 (20) [back to overview] | t1/2 of Capecitabine, 5'-Fluorouracil (5-FU), and Alpha-fluoro-beta-alanine (FBAL) |
NCT00477464 (20) [back to overview] | Tmax of Capecitabine, 5'-Fluorouracil (5-FU), and Alpha-fluoro-beta-alanine (FBAL) |
NCT00477464 (20) [back to overview] | Trough Concentration of Capecitabine, 5-FU, and FBAL |
NCT00479856 (1) [back to overview] | Overall Tumor Response |
NCT00483405 (4) [back to overview] | Time to Progression |
NCT00483405 (4) [back to overview] | Disease Response Rate |
NCT00483405 (4) [back to overview] | Number of Subjects Experiencing Adverse Events |
NCT00483405 (4) [back to overview] | Overall Survival |
NCT00484939 (8) [back to overview] | Duration of Follow-up |
NCT00484939 (8) [back to overview] | Duration of Response |
NCT00484939 (8) [back to overview] | Time to Response |
NCT00484939 (8) [back to overview] | Progression-free Survival |
NCT00484939 (8) [back to overview] | Percentage of Participants Requiring Additional Treatment for Malignancy |
NCT00484939 (8) [back to overview] | Overall Survival |
NCT00484939 (8) [back to overview] | Best Overall Response (BOR) |
NCT00484939 (8) [back to overview] | Eastern Cooperative Oncology Group (ECOG) Performance Status |
NCT00493636 (5) [back to overview] | Progression Free Survival |
NCT00493636 (5) [back to overview] | Overall Survival |
NCT00493636 (5) [back to overview] | Overall Response Rate |
NCT00493636 (5) [back to overview] | Duration of Overall Response |
NCT00493636 (5) [back to overview] | Time to Progression |
NCT00496366 (2) [back to overview] | -Determine the Clinical Benefit Rate (Complete Response, Partial Response, or Stable Disease for at Least 6 Months) of Capecitabine and Lapatinib. -Determine Time to Disease Progression After Treatment With Capecitabine and Lapatinib. -Evaluate Overall |
NCT00496366 (2) [back to overview] | Determine the Response Rate (as Determined by RECIST Criteria) of Capecitabine and Lapatinib as First-line Therapy in Patients With Advanced or Metastatic Breast Cancer That Overexpress HER2. |
NCT00496587 (3) [back to overview] | Time to Treatment Failure (TTF) |
NCT00496587 (3) [back to overview] | Objective Response Rate (ORR) |
NCT00496587 (3) [back to overview] | Progression Free Survival (PFS) |
NCT00502671 (2) [back to overview] | Percentage of Participants With an Adverse Event (AE), Serious AE, or Death Due to an AE |
NCT00502671 (2) [back to overview] | Percentage of Participants With Early Withdrawal or Discontinuation Due to an AE |
NCT00504660 (2) [back to overview] | 6 Month Progression-free Survival for Participants With Glioblastoma |
NCT00504660 (2) [back to overview] | 12 Month-progression-free Survival for Participants With Anaplastic Tumors |
NCT00508274 (7) [back to overview] | Number of Participants With Central Nervous System (CNS) as First Site of Relapse |
NCT00508274 (7) [back to overview] | All Collected Deaths |
NCT00508274 (7) [back to overview] | Time to Response (TTR) |
NCT00508274 (7) [back to overview] | Six Months Progression-Free Survival |
NCT00508274 (7) [back to overview] | Progression-Free Survival (PFS) |
NCT00508274 (7) [back to overview] | Duration of Response (DOR) |
NCT00508274 (7) [back to overview] | Clinical Benefit Rate (CBR) |
NCT00523640 (3) [back to overview] | Progression-free Survival |
NCT00523640 (3) [back to overview] | Overall Survival |
NCT00523640 (3) [back to overview] | Objective Response Rate |
NCT00526669 (26) [back to overview] | PFS |
NCT00526669 (26) [back to overview] | Response Rate (Measured as the Percentage of Participants With Response [Complete Response or Partial Response]) |
NCT00526669 (26) [back to overview] | Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Creatinine at the Indicated Time Points |
NCT00526669 (26) [back to overview] | Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Potassium at the Indicated Time Points |
NCT00526669 (26) [back to overview] | Number of Participants With Change From Baseline (Measured as Any Grade Increase [AGI], Increase to Grade 3 [ItoG3], and Increase to Grade 4 [ItoG4]) in Toxicity Grades for Albumin at the Indicated Time Points |
NCT00526669 (26) [back to overview] | Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Lymphocytes at the Indicated Time Points |
NCT00526669 (26) [back to overview] | Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Magnesium at the Indicated Time Points |
NCT00526669 (26) [back to overview] | Duration of Response |
NCT00526669 (26) [back to overview] | Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Platelet Count at the Indicated Time Points |
NCT00526669 (26) [back to overview] | Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Sodium at the Indicated Time Points |
NCT00526669 (26) [back to overview] | Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Total Bilirubin at the Indicated Time Points |
NCT00526669 (26) [back to overview] | Time to Progression (All Deaths Are Treated as Competing Risk) |
NCT00526669 (26) [back to overview] | Time to Progression (All Deaths Due to Non-PD Are Treated as Competing Risk) |
NCT00526669 (26) [back to overview] | Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Total Neutrophils at the Indicated Time Points |
NCT00526669 (26) [back to overview] | Overall Survival (OS) |
NCT00526669 (26) [back to overview] | Time to Response |
NCT00526669 (26) [back to overview] | Change From Start of Run-in Period in Biomarker Expression Levels at Day 0 |
NCT00526669 (26) [back to overview] | Number of Participants in the Indicated Categories for Best Overall Response (BOR) |
NCT00526669 (26) [back to overview] | Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4 ) in Toxicity Grades for Alanine Aminotransferase (ALT) at the Indicated Time Points |
NCT00526669 (26) [back to overview] | Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Alkaline Phosphatase (ALP) at the Indicated Time Points |
NCT00526669 (26) [back to overview] | Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Aspartate Aminotransferase (AST) at the Indicated Time Points |
NCT00526669 (26) [back to overview] | Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Calcium at the Indicated Time Points |
NCT00526669 (26) [back to overview] | Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Glucose at the Indicated Time Points |
NCT00526669 (26) [back to overview] | Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Hemoglobin at the Indicated Time Points |
NCT00526669 (26) [back to overview] | Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for White Blood Cell (WBC) Count at the Indicated Time Points |
NCT00526669 (26) [back to overview] | Percentage of Participants (Par.) With 5-month Progression-free Survival (PFS) |
NCT00532948 (8) [back to overview] | Number of Participants With Baseline Shift From Normal to Low or High in Blood Chemistry Parameters |
NCT00532948 (8) [back to overview] | Number of Participants With Baseline Shift From Normal to Low or High in Hematology Parameters |
NCT00532948 (8) [back to overview] | The Area Under the Plasma Concentration-time Curve From Time of Dosing to the Last Measurable Concentration (AUClast) of Capecitabine and Its Metabolites (5'-DFCR, 5'-DFUR, 5-FU and FBAL) |
NCT00532948 (8) [back to overview] | Time to Maximum Plasma Concentration (Tmax) of Capecitabine and Its Metabolites (5'-DFCR, 5'-DFUR, 5-FU and FBAL) |
NCT00532948 (8) [back to overview] | Dose Limiting Toxicities (DLTs) |
NCT00532948 (8) [back to overview] | Maximum Tolerated Dose (MTD) of Capecitabine. |
NCT00532948 (8) [back to overview] | Number of Participants With Adverse Events (AE) |
NCT00532948 (8) [back to overview] | Maximum Observed Plasma Concentration (Cmax) of Capecitabine and Its Metabolites (5'-Deoxy-5-Fluorocytidine [5'-DFCR], 5'-Deoxy-5-Fluorouridine [5'-DFUR], 5-Fluorouracil [5-FU] and Alpha-fluoro-beta-alanine [FBAL]) |
NCT00534417 (9) [back to overview] | Patients Experiencing Severe Symptom Burden (Physical Symptoms) |
NCT00534417 (9) [back to overview] | Patients Experiencing Severe Symptom Burden (Psychiatric Symptoms) |
NCT00534417 (9) [back to overview] | Patients Experiencing Severe Symptom Burden (Physical Functioning) |
NCT00534417 (9) [back to overview] | Best Overall Response |
NCT00534417 (9) [back to overview] | Time to Progression (TTP) |
NCT00534417 (9) [back to overview] | Clinical Benefit Rate |
NCT00534417 (9) [back to overview] | Progression-free Survival (PFS) |
NCT00534417 (9) [back to overview] | Overall Survival (OS) |
NCT00534417 (9) [back to overview] | Overall Response Rate |
NCT00536809 (1) [back to overview] | Overall Response in Phase II |
NCT00538291 (1) [back to overview] | Response Rate |
NCT00546364 (8) [back to overview] | Median Number of Treatment Cycles |
NCT00546364 (8) [back to overview] | Percentage of Nontriple-negative (NTN) Participants With Best Response to Treatment of Complete or Partial Per Cohort |
NCT00546364 (8) [back to overview] | Percentage of Participants With Best Response to Treatment of Complete or Partial |
NCT00546364 (8) [back to overview] | Percentage of Triple-negative (TN) Participants With Best Response to Treatment of Complete or Partial |
NCT00546364 (8) [back to overview] | Number of Participants With Abnormalities in Hematology Laboratory Results by Worst Common Terminology Criteria (CTC) Grade |
NCT00546364 (8) [back to overview] | Number of Participants With Best Tumor Response as Assessed With Response Evaluation Criteria in Solid Tumors (RECIST) |
NCT00546364 (8) [back to overview] | Number of Participants With Death, Adverse Events (AEs), Drug-related AEs, Serious AEs (SAEs), Drug-related SAEs, AEs Leading to Discontinuation (AEDs), Drug-related AEDs, and Drug-related Peripheral Neuropathy |
NCT00546364 (8) [back to overview] | Number of Participants With Abnormalities in Serum Chemistry Laboratory Results |
NCT00548548 (8) [back to overview] | Overall Survival |
NCT00548548 (8) [back to overview] | Participants With Adverse Events |
NCT00548548 (8) [back to overview] | Progression-free Survival |
NCT00548548 (8) [back to overview] | Progression-free Survival During First-line Therapy |
NCT00548548 (8) [back to overview] | Participants With Disease Control |
NCT00548548 (8) [back to overview] | Duration of Response |
NCT00548548 (8) [back to overview] | Time to Disease Progression |
NCT00548548 (8) [back to overview] | Participants With a Best Overall Response of Complete or Partial Response |
NCT00551213 (6) [back to overview] | Number of Participants Who Experienced One or More Adverse Events (AEs) |
NCT00551213 (6) [back to overview] | Number of Participants Who Discontinued Study Drug Due to an AE |
NCT00551213 (6) [back to overview] | Best Overall Tumor Response Per Central Review |
NCT00551213 (6) [back to overview] | Change From Baseline in Tumor Growth Rate |
NCT00551213 (6) [back to overview] | Best Overall Tumor Response Per Investigator Review |
NCT00551213 (6) [back to overview] | Number of Participants With a >20% Decrease in Positron Emission Tomography (PET)-Assessed Tumor Glucose Metabolism: Fluorodeoxyglucose (FDG) Standardized Uptake Value (SUV) in the Target Lesion |
NCT00555620 (30) [back to overview] | Progression-Free Survival (PFS) |
NCT00555620 (30) [back to overview] | Percentage of Participants With Objective Response |
NCT00555620 (30) [back to overview] | Number of Participants With First-cycle Dose Limiting Toxicities (DLTs) |
NCT00555620 (30) [back to overview] | Duration of Response (DR) |
NCT00555620 (30) [back to overview] | Tmax for CAP |
NCT00555620 (30) [back to overview] | Tmax for 5'DFUR |
NCT00555620 (30) [back to overview] | Tmax for 5'DFCR |
NCT00555620 (30) [back to overview] | Tmax for 5-FU |
NCT00555620 (30) [back to overview] | Time to Reach Maximum Observed Plasma Concentration (Tmax) for SU, SU012662, and Total Drug (SU + SU012662) |
NCT00555620 (30) [back to overview] | Minimum Observed Plasma Trough Concentration (Cmin) of SU, SU012662, and Total Drug (SU + SU012662) |
NCT00555620 (30) [back to overview] | t1/2 for CAP |
NCT00555620 (30) [back to overview] | t1/2 for 5'DFUR |
NCT00555620 (30) [back to overview] | Cmax of 5'-Deoxy-5-fluorouridine (Metabolite of CAP, 5'DFUR) |
NCT00555620 (30) [back to overview] | Cmax of 5'-Deoxy-5-fluorocytidine (Metabolite of CAP, 5'DFCR) |
NCT00555620 (30) [back to overview] | Cmax of 5-fluorouracil (Metabolite of CAP, 5-FU) |
NCT00555620 (30) [back to overview] | AUClast for 5'DFUR |
NCT00555620 (30) [back to overview] | Cmin of 5-FU |
NCT00555620 (30) [back to overview] | Cmin of 5'DFCR |
NCT00555620 (30) [back to overview] | Cmin of 5'DFUR |
NCT00555620 (30) [back to overview] | Cmin of CAP |
NCT00555620 (30) [back to overview] | t1/2 for 5-FU |
NCT00555620 (30) [back to overview] | t1/2 for 5'DFCR |
NCT00555620 (30) [back to overview] | Cmax of CAP |
NCT00555620 (30) [back to overview] | Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for CAP |
NCT00555620 (30) [back to overview] | Maximum Observed Plasma Concentration (Cmax) of SU, SU012662 (Metabolite of SU), and Total Drug (SU + SU012662) |
NCT00555620 (30) [back to overview] | AUClast for 5'DFCR |
NCT00555620 (30) [back to overview] | AUClast for 5-FU |
NCT00555620 (30) [back to overview] | Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)]: CAP, 5'DFCR, 5'DFUR, and 5-FU |
NCT00555620 (30) [back to overview] | Area Under the Curve From Time Zero to 12 Hours [AUC (12)] for CAP, 5'DFCR, 5'DFUR, and 5-FU |
NCT00555620 (30) [back to overview] | Area Under the Curve From Time 0 to 24 Hours Postdose (AUC [0-24]) for SU, SU012662, and Total Drug (SU + SU012662) |
NCT00562718 (3) [back to overview] | Recurrence |
NCT00562718 (3) [back to overview] | Cosmesis |
NCT00562718 (3) [back to overview] | Overall Safety |
NCT00565370 (5) [back to overview] | Overall Survival |
NCT00565370 (5) [back to overview] | Number of Participants Who Experienced Dose Limiting Toxicities (DLTs) |
NCT00565370 (5) [back to overview] | Progression-free Survival |
NCT00565370 (5) [back to overview] | Response Rate |
NCT00565370 (5) [back to overview] | Toxicity Profile (According to National Cancer Institute Common Terminology Criteria for Adverse Event Version 3.0) |
NCT00568022 (9) [back to overview] | Mean Ixabepilone Terminal Elimination Half Life (T 1/2) in One Dosing Interval |
NCT00568022 (9) [back to overview] | Mean Ixabepilone Volume of Distribution at Steady State (Vss) in One Dosing Interval |
NCT00568022 (9) [back to overview] | Mean Ixabepilone Area Under the Concentration Curve (AUC INF) in One Dosing Interval |
NCT00568022 (9) [back to overview] | Mean Ixabepilone Maximum Plasma Concentration (Cmax) in One Dosing Interval |
NCT00568022 (9) [back to overview] | Mean Ixabepilone Total Body Clearance (CLT) in One Dosing Interval |
NCT00568022 (9) [back to overview] | Participants Experiencing Dose Limiting Toxicity (DLT) |
NCT00568022 (9) [back to overview] | Adverse Events (AEs) and Serious Adverse Events (SAEs) |
NCT00568022 (9) [back to overview] | Participant Tumor Response at Study Endpoint |
NCT00568022 (9) [back to overview] | Participants Achieving the Maximum Tolerated Dose (MTD) and Recommended Phase 2 Dose (RP2D) |
NCT00570908 (1) [back to overview] | Progression Free Survival |
NCT00574171 (1) [back to overview] | Response Rate of Lapatinib/Capecitabine. |
NCT00578071 (4) [back to overview] | Number of Participants With Dose-limiting Toxicities (DLTs) |
NCT00578071 (4) [back to overview] | Overall Survival Rates for the Patients Studied on This Protocol. |
NCT00578071 (4) [back to overview] | Panitumumab Maximum Tolerated Dose in Milligrams (mg) |
NCT00578071 (4) [back to overview] | Pathological Complete Response Rates Associated With This Regimen. |
NCT00585078 (4) [back to overview] | Response Rate |
NCT00585078 (4) [back to overview] | Overall Survival |
NCT00585078 (4) [back to overview] | Progression-Free Survival |
NCT00585078 (4) [back to overview] | Best Response |
NCT00600340 (15) [back to overview] | Unconfirmed Objective Response Rate and Disease Control Rate (ITT Population) |
NCT00600340 (15) [back to overview] | Observation Time (ITT Population) |
NCT00600340 (15) [back to overview] | Duration of Response (PP Population) |
NCT00600340 (15) [back to overview] | Duration of Response (ITT Population) |
NCT00600340 (15) [back to overview] | Overall Survival (PP Population) |
NCT00600340 (15) [back to overview] | Progression Free Survival (ITT Population) |
NCT00600340 (15) [back to overview] | Progression Free Survival (PP Population) |
NCT00600340 (15) [back to overview] | Time to Treatment Failure (ITT Population) |
NCT00600340 (15) [back to overview] | Overall Survival (ITT Population) |
NCT00600340 (15) [back to overview] | Time to Treatment Failure (PP Population) |
NCT00600340 (15) [back to overview] | Objective Response Rate and Disease Control Rate (ITT Population) |
NCT00600340 (15) [back to overview] | Time to Response (ITT Population) |
NCT00600340 (15) [back to overview] | Unconfirmed Objective Response Rate and Disease Control Rate (PP Population) |
NCT00600340 (15) [back to overview] | Time to Response (PP Population) |
NCT00600340 (15) [back to overview] | Objective Response Rate and Disease Control Rate (PP Population) |
NCT00601627 (5) [back to overview] | One Year Survival Rate |
NCT00601627 (5) [back to overview] | Time to Treatment Failure |
NCT00601627 (5) [back to overview] | Confirmed Response Rate |
NCT00601627 (5) [back to overview] | Overall Survival |
NCT00601627 (5) [back to overview] | Progression Free Survival (PFS) |
NCT00609336 (7) [back to overview] | Pathologic Response Rate (Complete, Near-complete, Partial) to Neoadjuvant Chemotherapy and Chemoradiotherapy |
NCT00609336 (7) [back to overview] | Percent of Patients Surviving at 5 Years |
NCT00609336 (7) [back to overview] | Frequency and Severity of Toxicities Associated With This Treatment Regimen as Assessed by NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 |
NCT00609336 (7) [back to overview] | Percent of Patients Surviving at Annual Intervals |
NCT00609336 (7) [back to overview] | Surgical Completion Rate and Complication Rate |
NCT00609336 (7) [back to overview] | Median Overall Survival of Patients With Adenocarcinoma of the Pancreas |
NCT00609336 (7) [back to overview] | Median Recurrence Free Survival Following Pancreaticoduodenectomy |
NCT00613080 (9) [back to overview] | Disease-free Survival: 4-year Rate |
NCT00613080 (9) [back to overview] | The Percentage of Patients Experiencing Treatment-related Gastrointestinal Adverse Events ≥ Grade 2 Per National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v. 3.0, Occurring Preoperatively |
NCT00613080 (9) [back to overview] | Number of Patients in Protocol Adherence Categories for Intensity-modulated Radiotherapy (IMRT) Planning |
NCT00613080 (9) [back to overview] | Percentage of Patients With Grade 3 or Higher Treatment-related Adverse Events as Assessed by the Common Terminology Criteria for Adverse Events (CTCAE) v3.0 |
NCT00613080 (9) [back to overview] | Overall Survival: 4-year Rate |
NCT00613080 (9) [back to overview] | Number of Patients With Pathologic Complete Response |
NCT00613080 (9) [back to overview] | Number of Patients Who Underwent Abdominoperineal Resection |
NCT00613080 (9) [back to overview] | Local-regional Failure: 4-year Rate |
NCT00613080 (9) [back to overview] | Distant Failure: 4-year Rate |
NCT00623805 (5) [back to overview] | Percentage of Participants With Metastatic Lesions Previously Considered Inoperable Who Became Operable and Underwent Surgery |
NCT00623805 (5) [back to overview] | Time Until a Complete Response or a Partial Response |
NCT00623805 (5) [back to overview] | Progression-free Survival |
NCT00623805 (5) [back to overview] | Percentage of Participants With a Complete Response or a Partial Response |
NCT00623805 (5) [back to overview] | Overall Survival |
NCT00625183 (1) [back to overview] | Safety and Tolerability as Assessed by NCI CTCAE Version 3.0 |
NCT00632489 (2) [back to overview] | To Determine the Maximum Tolerated Doses (MTD) and Dose-limiting Toxicities (DLT) of LBH589 in Combination With Capecitabine When Administered to Patients With Refractory and Advanced Tumor Types That Are Sensitive to 5-fluorouracil |
NCT00632489 (2) [back to overview] | To Determine the Maximum Tolerated Doses (MTD) and Dose-limiting Toxicities (DLT) of LBH589 in Combination With Capecitabine When Administered to Patients With Refractory and Advanced Tumor Types That Are Sensitive to 5-fluorouracil |
NCT00634088 (10) [back to overview] | Number of Participants With Abnormalities in Hematology Laboratory Results by Worst CTC Grade |
NCT00634088 (10) [back to overview] | Area Under the Concentration-time Curve From 0 to Infinity (AUC[INF]) and AUC From 0 to Last Quantifiable Concentration (AUC[O-T] of Ixabepilone |
NCT00634088 (10) [back to overview] | Volume of Distribution at Steady State of Ixabepilone |
NCT00634088 (10) [back to overview] | Time to Peak Concentration of Ixabepilone |
NCT00634088 (10) [back to overview] | Number of Participants With DLT |
NCT00634088 (10) [back to overview] | Terminal Half-life of Ixabepilone |
NCT00634088 (10) [back to overview] | Maximum Concentration of Ixabepilone |
NCT00634088 (10) [back to overview] | Overall Tumor Response By Number of Participants |
NCT00634088 (10) [back to overview] | Number of Participants With Death, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, Treatment-related AEs, Treatment-related AEs (Grade 3 or 4), Peripheral Neuropathy (PN), PN (Grade 3 or 4) |
NCT00634088 (10) [back to overview] | Number of Participants With Abnormalities in Serum Chemistry Laboratory Results by Worst CTC Grade |
NCT00634751 (3) [back to overview] | Overall Survival |
NCT00634751 (3) [back to overview] | Progression-free Survival (PFS) |
NCT00634751 (3) [back to overview] | Overall Response Rate |
NCT00662025 (17) [back to overview] | Time to Objective Tumor Response (TTR) |
NCT00662025 (17) [back to overview] | AUC(0-24) for Sunitinib, SU012662, and Total Drug (Sunitinib+SU012662) |
NCT00662025 (17) [back to overview] | Time to Tumor Progression (TTP) |
NCT00662025 (17) [back to overview] | Tmax for Sunitinib, SU012662, and Total Drug (Sunitinib+SU012662) |
NCT00662025 (17) [back to overview] | Trough Plasma Concentration (Ctrough) for Sunitinib, SU012662, and Total Drug (Sunitinib+SU012662) |
NCT00662025 (17) [back to overview] | Cmax for Capecitabine and Its Metabolites (5'-DFCR, 5'-DFUR and 5-FU) |
NCT00662025 (17) [back to overview] | Overall Survival (OS) |
NCT00662025 (17) [back to overview] | AUC(0-inf) for Capecitabine and Its Metabolites (5'-DFCR, 5'-DFUR and 5-FU) |
NCT00662025 (17) [back to overview] | Progression-Free Survival (PFS) |
NCT00662025 (17) [back to overview] | Duration of Objective Tumor Response (DR) |
NCT00662025 (17) [back to overview] | t1/2 for Capecitabine and Its Metabolites (5'-DFCR, 5'-DFUR and 5-FU) |
NCT00662025 (17) [back to overview] | Number of Subjects With CBR Based on Investigator's Assessment |
NCT00662025 (17) [back to overview] | Tmax for Capecitabine and Its Metabolites (5'-DFCR, 5'-DFUR and 5-FU) |
NCT00662025 (17) [back to overview] | Number of Participants With Objective Response Based on Investigator's Assessment |
NCT00662025 (17) [back to overview] | Number of Participants With Objective Response Based on Data Review Committee's Assessment |
NCT00662025 (17) [back to overview] | Number of Participants With Clinical Benefit Response (CBR) Based on Data Review Committee's Assessment |
NCT00662025 (17) [back to overview] | Cmax for Sunitinib, SU012662, and Total Drug (Sunitinib+SU012662) |
NCT00665457 (1) [back to overview] | Number of Participants With Grade 4 Adverse Events |
NCT00678535 (6) [back to overview] | Quality of Life (QoL) Assessed by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) |
NCT00678535 (6) [back to overview] | Quality of Life (QoL) Assessed by EuroQol 5Dimensions (EQ-5D) Questionnaire |
NCT00678535 (6) [back to overview] | Safety - Number of Participants With Adverse Events (AEs) |
NCT00678535 (6) [back to overview] | Progression-free Survival (PFS) Time: Independent Review Committee (IRC) Assessments |
NCT00678535 (6) [back to overview] | Overall Survival (OS) |
NCT00678535 (6) [back to overview] | Best Overall Response (BOR) Rate: Independent Review Committee (IRC) Assessments |
NCT00680901 (15) [back to overview] | Number of Participants With Any Non-serious Adverse Event (AE: Occurring in >=5% Participants in Any Treatment Arm) or Any Serious Adverse Event (SAE) |
NCT00680901 (15) [back to overview] | Number of Participants With Adverse Events of the Indicated Severity, Per the National Cancer Institute (NCI) Common Terminology Criteria in Adverse Events (CTCAE) |
NCT00680901 (15) [back to overview] | Number of Participants With a Worst-case on Therapy Grade 3 or Grade 4 for the Indicated Hematology Parameters |
NCT00680901 (15) [back to overview] | Overall Survival |
NCT00680901 (15) [back to overview] | Number of Participants With a Worst-case on Therapy Grade 3 or Grade 4 for the Indicated Clinical Chemistry Parameters |
NCT00680901 (15) [back to overview] | Mean Change in Scores on the Questionnaire EuroQoL-5 Dimensions (EQ-5D) From Baseline to Week 36 |
NCT00680901 (15) [back to overview] | Mean Change in Scores on the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life (QOL) Questionnaire Core 30 (QLQ-C30) From Baseline to Week 36 |
NCT00680901 (15) [back to overview] | Mean Change in Scores on the EORTC Quality of Life (QOL) Questionnaire of Stomach 22 (QLQ-STO22) From Baseline to Week 36 |
NCT00680901 (15) [back to overview] | Mean Change in Scores on the EORTC Quality of Life (QOL) Questionnaire of Stomach 22 (QLQ-STO22) From Baseline to Week 36 |
NCT00680901 (15) [back to overview] | Time to Response (TTR) |
NCT00680901 (15) [back to overview] | Progression Free Survival (PFS) |
NCT00680901 (15) [back to overview] | Overall Survival in All Randomized Participants |
NCT00680901 (15) [back to overview] | Duration of Response (DOR) |
NCT00680901 (15) [back to overview] | Number of Participants With a Response of Confirmed Complete Response (CR) or Confirmed Partial Response (PR) |
NCT00680901 (15) [back to overview] | Number of Participants With Clinical Benefit (CB) |
NCT00684983 (6) [back to overview] | Overall Survival |
NCT00684983 (6) [back to overview] | Adverse Event Profile of Capecitabine and Lapatinib With and Without IMC-A12 (Using NCI CTCAE v3.0) |
NCT00684983 (6) [back to overview] | Confirmed Tumor Response, Defined as Either a Complete Response (CR) or Partial Response (PR) Noted as the Objective Status on 2 Consecutive Evaluations at Least 6 Weeks Apart, Assessed by Response Evaluation Criteria for Solid Tumors (RECIST) |
NCT00684983 (6) [back to overview] | Duration of Response |
NCT00684983 (6) [back to overview] | Progression-free Survival (PFS) |
NCT00684983 (6) [back to overview] | Time to Treatment Failure |
NCT00685763 (1) [back to overview] | Cumulative Incidence of grade3+ Bowel Perforation, Grade 3+ Bleeding (Ocurring Withing 1 Years) and grade4+ Nonhematologic Acute Adverse Events (Limited to Within 90 Days of Treatment Start) |
NCT00686166 (3) [back to overview] | 3-year Disease-free Survival |
NCT00686166 (3) [back to overview] | Pathologic Complete Response Rate |
NCT00686166 (3) [back to overview] | Number of Patients With Grade 3 Through Grade 5 Adverse Events That Are Related to This Regimen. |
NCT00700570 (5) [back to overview] | Percentage of Participants With Disease Progression |
NCT00700570 (5) [back to overview] | Time to Disease Progression |
NCT00700570 (5) [back to overview] | Percentage of Participants by Best Overall Tumor Response According to RECIST Version 1.1 |
NCT00700570 (5) [back to overview] | Percentage of Participants With a Best Overall Tumor Response of Complete Response (CR) or PR According to RECIST Version 1.1 |
NCT00700570 (5) [back to overview] | Percentage of Participants With Conversion From Unresectable to Resectable Liver Metastases |
NCT00711412 (7) [back to overview] | Toxicity Profile |
NCT00711412 (7) [back to overview] | Time to Progression |
NCT00711412 (7) [back to overview] | Recurrence Rate |
NCT00711412 (7) [back to overview] | Determine Pathologic Complete Response |
NCT00711412 (7) [back to overview] | Clinical Response Rate |
NCT00711412 (7) [back to overview] | Overall Survival |
NCT00711412 (7) [back to overview] | Determine Progressive Free Survival |
NCT00717197 (1) [back to overview] | Percentage of Participants With Progression-free Survival. |
NCT00721630 (1) [back to overview] | Number of Participants With Toxicities Associated With Capecitabine and Lapatinib |
NCT00737438 (1) [back to overview] | Overall Response Will be Characterized by the Patient's FDG-PET Scan |
NCT00741260 (6) [back to overview] | Maximum Tolerated Dose (MTD) of Neratinib |
NCT00741260 (6) [back to overview] | Maximum Tolerated Dose (MTD) of Capecitabine |
NCT00741260 (6) [back to overview] | Duration of Response |
NCT00741260 (6) [back to overview] | Overall Response Rate |
NCT00741260 (6) [back to overview] | Clinical Benefit Rate |
NCT00741260 (6) [back to overview] | Number of Participants With Dose Limiting Toxicities |
NCT00745134 (7) [back to overview] | Tumor Regression Grade |
NCT00745134 (7) [back to overview] | Progression Free Survival (PFS) |
NCT00745134 (7) [back to overview] | Overall Survival (OS) |
NCT00745134 (7) [back to overview] | Number of Participants With Tumor Downstaging |
NCT00745134 (7) [back to overview] | Number of Participants With Pathologic Complete Response (pCR) Rate |
NCT00745134 (7) [back to overview] | Change in Curcumin Level in Tumor Tissue |
NCT00745134 (7) [back to overview] | Change in Curcumin Level in Serum |
NCT00777101 (7) [back to overview] | Frequency of CNS Metastases (Frequency) |
NCT00777101 (7) [back to overview] | Time to CNS Metastases |
NCT00777101 (7) [back to overview] | Clinical Benefit Rate |
NCT00777101 (7) [back to overview] | Duration of Response |
NCT00777101 (7) [back to overview] | Progression Free Survival |
NCT00777101 (7) [back to overview] | Overall Survival (OS) |
NCT00777101 (7) [back to overview] | Objective Response Rate (ORR). |
NCT00780494 (4) [back to overview] | Adverse Events ≥ Grade 3 and Related to Bevacizumab |
NCT00780494 (4) [back to overview] | Progression-Free Survival (PFS) |
NCT00780494 (4) [back to overview] | Objective (Overall) Therapeutic Response |
NCT00780494 (4) [back to overview] | Overall Survival (OS) |
NCT00787787 (2) [back to overview] | Median Overall Survival |
NCT00787787 (2) [back to overview] | Median Progression-free Survival |
NCT00789958 (7) [back to overview] | 2-year Stratum-specific Disease-free Survival |
NCT00789958 (7) [back to overview] | 2-year Stratum-specific Local Relapse Rate |
NCT00789958 (7) [back to overview] | Stratum-specific (R0 and R1) 2-year Overall Survival |
NCT00789958 (7) [back to overview] | Number of Patients With Grade 3 Through Grade 5 Adverse Events That Are Related to Study Drug |
NCT00789958 (7) [back to overview] | 2-year Disease-free Survival in All Patients |
NCT00789958 (7) [back to overview] | 2-year Overall Local Relapse Rate |
NCT00789958 (7) [back to overview] | 2-year Overall Survival for All Patients |
NCT00796718 (4) [back to overview] | Percentage of Participants With Response to Treatment Assessed 4-6 Weeks After the Completion of Radiochemotherapy (Complete Response, Partial Remission or No Response to the Treatment) |
NCT00796718 (4) [back to overview] | Percentage of Participants With Adverse Events |
NCT00796718 (4) [back to overview] | Percentage of Participants With Response to the Treatment Assessed 1 Month After Surgery (Complete Response, Partial Remission or No Response to the Treatment) |
NCT00796718 (4) [back to overview] | Percentage of Participants With Pathological Complete Response |
NCT00811135 (9) [back to overview] | Progression Free Survival (PFS) |
NCT00811135 (9) [back to overview] | Number of Participants With Response |
NCT00811135 (9) [back to overview] | Number of Participants With Time to Progression (TTP) |
NCT00811135 (9) [back to overview] | Overall Survival (OS) |
NCT00811135 (9) [back to overview] | Percentage of Participants With a Best Overall Response (BOR) of Confirmed Complete Response (CR) or Partial Response (PR) |
NCT00811135 (9) [back to overview] | Duration of Response (DR) |
NCT00811135 (9) [back to overview] | Time to Progression (TTP) |
NCT00811135 (9) [back to overview] | Number of Participants With Disease Progression or Death |
NCT00811135 (9) [back to overview] | Number of Participants With Overall Survival (OS) |
NCT00820222 (9) [back to overview] | Number of Participants With CNS Progression at Any Time |
NCT00820222 (9) [back to overview] | Number of Participants With the Indicated Grade 3 or Grade 4 Adverse Events (AEs) Occurring in >=2% of Participants in Either Treatment Arm |
NCT00820222 (9) [back to overview] | Overall Survival |
NCT00820222 (9) [back to overview] | Progression Free Survival (PFS), as Assessed by the Investigator |
NCT00820222 (9) [back to overview] | Number of Participants With Overall Response (OR), as Assessed by the Investigator |
NCT00820222 (9) [back to overview] | Duration of Response |
NCT00820222 (9) [back to overview] | Number of Participants With Central Nervous System (CNS) Metastases (as Assessed by Independent Review) as the Site of First Relapse |
NCT00820222 (9) [back to overview] | Time to First CNS Progression, Defined as the Time From Randomization Until the Date of Documented CNS Progression as the First Site of Relapse |
NCT00820222 (9) [back to overview] | Number of Participants With Clinical Benefit (CB) |
NCT00828672 (7) [back to overview] | Death Rates and Overall Survival |
NCT00828672 (7) [back to overview] | Number of Participants With Histopathologic R0 and Negative CRM Resection |
NCT00828672 (7) [back to overview] | Number of Participants With Pathologic Complete Response at Surgery. Number of Participants With Good or Little Pathological Tumour Regression at Surgery. |
NCT00828672 (7) [back to overview] | Pathologic Response at Surgery. Overview of Complete Pathologic Responses, Good and Little Tumour Regression Rates at Surgery. |
NCT00828672 (7) [back to overview] | Recurrence Rates and Disease Free Survival |
NCT00828672 (7) [back to overview] | Types and Numbers of Adverse Events - General Overview |
NCT00828672 (7) [back to overview] | Clinical Response Rate |
NCT00829166 (17) [back to overview] | PFS as Assessed by the Investigator |
NCT00829166 (17) [back to overview] | Time to Treatment Failure |
NCT00829166 (17) [back to overview] | Duration of Objective Response (DOR) as Assessed by an IRC |
NCT00829166 (17) [back to overview] | Overall Survival: Final Analysis |
NCT00829166 (17) [back to overview] | Overall Survival: Second Interim Analysis (Co-primary Endpoint) |
NCT00829166 (17) [back to overview] | Percentage of Participants Who Died: Final Analysis |
NCT00829166 (17) [back to overview] | Percentage of Participants Who Died: Second Interim Analysis |
NCT00829166 (17) [back to overview] | Percentage of Participants Who Were Alive at Year 1 |
NCT00829166 (17) [back to overview] | Percentage of Participants Who Were Alive at Year 2 |
NCT00829166 (17) [back to overview] | Percentage of Participants With Clinical Benefit as Assessed by an IRC |
NCT00829166 (17) [back to overview] | Progression-free Survival (PFS) as Assessed by an IRC (Co-primary Endpoint) |
NCT00829166 (17) [back to overview] | Percentage of Participants With Objective Response (OR) as Assessed by an IRC |
NCT00829166 (17) [back to overview] | Percentage of Participants With PD or Death as Assessed by an Independent Review Committee (IRC) |
NCT00829166 (17) [back to overview] | Time to Symptom Progression |
NCT00829166 (17) [back to overview] | Percentage of Participants With PD or Death as Assessed by the Investigator |
NCT00829166 (17) [back to overview] | Percentage of Participants With Symptom Progression |
NCT00829166 (17) [back to overview] | Percentage of Participants With Treatment Failure |
NCT00842244 (15) [back to overview] | Volume of Distribution (Vz) for Cisplatin |
NCT00842244 (15) [back to overview] | Duration of Response (DR) |
NCT00842244 (15) [back to overview] | Time to Reach Maximum Observed Plasma Concentration (Tmax) for Axitinib, Capecitabine, Capecitabine's Metabolites and Cisplatin |
NCT00842244 (15) [back to overview] | Plasma Decay Half-Life (t1/2) for Axitinib, Capecitabine, Capecitabine's Metabolites and Cisplatin |
NCT00842244 (15) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Axitinib, Capecitabine, Capecitabine's Metabolites and Cisplatin |
NCT00842244 (15) [back to overview] | Clearance (CL) for Cisplatin |
NCT00842244 (15) [back to overview] | Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Capecitabine, Capecitabine's Metabolites and Cisplatin |
NCT00842244 (15) [back to overview] | Area Under the Curve From Time Zero to 24 Hours [AUC (0-24)] for Axitinib |
NCT00842244 (15) [back to overview] | Area Under the Curve From Time Zero Extrapolated to Infinite Time [AUC (0 - ∞)] for Axitinib, Capecitabine, Capecitabine's Metabolites and Cisplatin |
NCT00842244 (15) [back to overview] | Apparent Volume of Distribution (Vz/F) for Axitinib, Capecitabine and Capecitabine's Metabolites |
NCT00842244 (15) [back to overview] | Apparent Oral Clearance (CL/F) for Axitinib, Capecitabine and Capecitabine's Metabolites |
NCT00842244 (15) [back to overview] | Progression-Free Survival (PFS) |
NCT00842244 (15) [back to overview] | Percentage of Participants With Objective Response (OR) |
NCT00842244 (15) [back to overview] | Maximum Tolerated Dose (MTD) of Axitinib (AG-013736) in Combination With Cisplatin and Capecitabine |
NCT00842244 (15) [back to overview] | Number of Participants With Cycle 1 Dose-limiting Toxicities (DLTs) |
NCT00848783 (1) [back to overview] | Number of Patients With One-year Recurrence-free Survival |
NCT00869050 (2) [back to overview] | Number of Participants With Partial Response (PR) |
NCT00869050 (2) [back to overview] | Number of Participants With Complete Response (CR) |
NCT00881621 (4) [back to overview] | Overall Survival |
NCT00881621 (4) [back to overview] | Clinical Benefit Response |
NCT00881621 (4) [back to overview] | Adverse Events |
NCT00881621 (4) [back to overview] | Progression Free Survival |
NCT00885755 (14) [back to overview] | Overall Survival in ITT Population |
NCT00885755 (14) [back to overview] | Overall Survival in Per Protocol Population |
NCT00885755 (14) [back to overview] | Part I: TTP in Intent to Treat (ITT) Population |
NCT00885755 (14) [back to overview] | Part II: PFS in ITT Population |
NCT00885755 (14) [back to overview] | Part II: TTP in Intent to Treat (ITT) Population |
NCT00885755 (14) [back to overview] | Part I and II: Percentage of Participants With a Best Overall Response of CR or PR in ITT Population |
NCT00885755 (14) [back to overview] | Part I: Percentage of Participants With a Best Overall Response (BOR) of Complete Response (CR), Partial Response (PR), Stable Disease (SD) or Progrerssive Disease (PD) by Biomarker |
NCT00885755 (14) [back to overview] | Part I and II: Percentage of Participants With a Response by Best Overall Response by CR, PR, SD or PD in ITT Population |
NCT00885755 (14) [back to overview] | Part I: Time to Progression (TTP) by Biomarker |
NCT00885755 (14) [back to overview] | Part II: Percentage of Participants With a Best Overall Response of CR, PR, SD or PD by Biomarker |
NCT00885755 (14) [back to overview] | Part II: Progression Free Survival (PFS) by Biomarker |
NCT00885755 (14) [back to overview] | Part II: TTP by Biomarker |
NCT00885755 (14) [back to overview] | Part I: Progression Free Survival (PFS) by Biomarker |
NCT00885755 (14) [back to overview] | Part I: PFS in ITT Population |
NCT00887822 (13) [back to overview] | Time to Progression |
NCT00887822 (13) [back to overview] | Change From Cycle 1 in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 36 (QLQ-C30) Scale Over Time |
NCT00887822 (13) [back to overview] | Change From Cycle 1 in EORTC QLQ-STO22 Scale Over Time |
NCT00887822 (13) [back to overview] | Progression-Free Survival (PFS) |
NCT00887822 (13) [back to overview] | PFS During First-line Therapy |
NCT00887822 (13) [back to overview] | Percentage of Participants With Progression-Free Survival (PFS) Events (Disease Progression/Death) |
NCT00887822 (13) [back to overview] | Percentage of Participants With PFS Events (Disease Progression/Death) During First-line Therapy |
NCT00887822 (13) [back to overview] | Percentage of Participants With Event (Death) |
NCT00887822 (13) [back to overview] | Percentage of Participants With Disease Progression |
NCT00887822 (13) [back to overview] | Percentage of Participants With Disease Control During First-Line Therapy |
NCT00887822 (13) [back to overview] | Percentage of Participants With Best Overall Response as Assessed by RECIST During First-Line Therapy |
NCT00887822 (13) [back to overview] | Overall Survival |
NCT00887822 (13) [back to overview] | Duration of Response During First-Line Therapy |
NCT00889187 (2) [back to overview] | Dose Limiting Toxicity (DLT) [Phase I] |
NCT00889187 (2) [back to overview] | Neoadjuvant Short-Course Photon Radiation Therapy Maximum Tolerated Dose (MTD) [Phase I] |
NCT00891878 (6) [back to overview] | Response Rate (Complete Response or Partial Response) |
NCT00891878 (6) [back to overview] | Time to Treatment Failure |
NCT00891878 (6) [back to overview] | Comparison of Progression-free Survival |
NCT00891878 (6) [back to overview] | Duration of Response |
NCT00891878 (6) [back to overview] | Overall Survival |
NCT00891878 (6) [back to overview] | Time to Disease Progression |
NCT00916578 (1) [back to overview] | Response Rate of Patients Who Receive Pre-operative or Palliative Concurrent Radiation w/ Capecitabine to the Breast & at Risk or Involved Regional Lymph Nodes Basins. |
NCT00925769 (10) [back to overview] | Part 1: Last Quantifiable Drug Concentration (Clast) of Erlotinib and Its Metabolite OSI-420 (CP373420), Capecitabine and Its Metabolites (5'-DFCR and 5'-DFUR) |
NCT00925769 (10) [back to overview] | Part 1: Maximum Serum Concentration (Cmax) of Erlotinib and Its Metabolite OSI-420 (CP373420), Capecitabine and Its Metabolites (5'-Deoxy-5-Fluorocytidine [5'-DFCR] and 5'-Deoxy-5-Fluorouridine [5'-DFUR]) |
NCT00925769 (10) [back to overview] | Part 1: Time to Reach Cmax (Tmax) of Erlotinib and Its Metabolite OSI-420 (CP373420), Capecitabine and Its Metabolites (5'-DFCR and 5'-DFUR) |
NCT00925769 (10) [back to overview] | Part 1: MTD of Erlotinib |
NCT00925769 (10) [back to overview] | Part 1: Maximum Tolerated Dose (MTD) of Capecitabine |
NCT00925769 (10) [back to overview] | Part 1: MTD of Bevacizumab |
NCT00925769 (10) [back to overview] | Part 1: PRD of Bevacizumab for Part 2 |
NCT00925769 (10) [back to overview] | Part 1: PRD of Erlotinib for Part 2 |
NCT00925769 (10) [back to overview] | Part 1: Preliminary Recommended Dose (PRD) of Capecitabine for Part 2 |
NCT00925769 (10) [back to overview] | Part 1: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Measurable Concentration (AUClast) of Erlotinib and Its Metabolite OSI-420 (CP373420), Capecitabine and Its Metabolites (5'-DFCR and 5'-DFUR) |
NCT00929240 (12) [back to overview] | Percentage Of Participants With PD or Death Due to PD (Maintenance Phase Data Cutoff October 4, 2013) |
NCT00929240 (12) [back to overview] | Time To Progression (Maintenance Phase Data Cutoff October 4, 2013) |
NCT00929240 (12) [back to overview] | Quality of Life Assessed As Change From Baseline in Global Health Status Using The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - 30 (EORTC QLQ - C30) (Maintenance Phase Data Cutoff October 4, 2013) |
NCT00929240 (12) [back to overview] | Percentage of Participants Expected to Be Alive After 1 and 2 Years on Treatment (Maintenance Phase Data Cutoff October 4, 2013) |
NCT00929240 (12) [back to overview] | Overall Survival (Maintenance Phase Data Cutoff October 4, 2013) |
NCT00929240 (12) [back to overview] | Percentage of Participants Who Died (Maintenance Phase Data Cutoff October 4, 2013) |
NCT00929240 (12) [back to overview] | Percentage of Participants With Best Overall Confirmed Objective Response of CR or PR Per RECIST 1.0 (Maintenance Phase Data Cutoff October 4, 2013) |
NCT00929240 (12) [back to overview] | Percentage of Participants With Clinical Benefit (CR, PR and SD) Per RECIST 1.0 (Data Cutoff October 4, 2013) |
NCT00929240 (12) [back to overview] | Percentage of Participants With Clinical Benefit (CR, PR and SD) Per RECIST 1.0 (Initial Treatment Phase) |
NCT00929240 (12) [back to overview] | Percentage of Participants With Disease Progression or Death (Maintenance Phase Data Cutoff October 4, 2013) |
NCT00929240 (12) [back to overview] | Progression Free Survival (Maintenance Phase Data Cutoff October 4, 2013) |
NCT00929240 (12) [back to overview] | Percentage of Participants With Best Overall Confirmed Objective Response of CR or PR Per RECIST 1.0 (Initial Treatment Phase) |
NCT00938470 (5) [back to overview] | Overall Survival |
NCT00938470 (5) [back to overview] | Percentage of Participants With Overall Clinical Tumor Response (CR or PR) |
NCT00938470 (5) [back to overview] | Number of Participants Who Experienced a Maximum Grade of 3 or Above Adverse Event |
NCT00938470 (5) [back to overview] | Percentage of Participants With Pathologic Complete Response (PCR) |
NCT00938470 (5) [back to overview] | Disease-free Survival |
NCT00959946 (3) [back to overview] | Percentage of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs) - Part 1 |
NCT00959946 (3) [back to overview] | Best Overall Response - Part 1 |
NCT00959946 (3) [back to overview] | Maximum Tolerated Dose (MTD) - Part 1 |
NCT00961571 (1) [back to overview] | Progression-free Survival |
NCT00977379 (14) [back to overview] | Percentage of Participants With Objective CNS Response at 4 Weeks After Completion of WBRT, Assessed by Investigator According to MRI |
NCT00977379 (14) [back to overview] | Time to CNS Progression, Assessed by Investigator According to MRI |
NCT00977379 (14) [back to overview] | Percentage of Participants With Objective Extra-cranial Disease Response at 4 Weeks After Completion of WBRT, Assessed by Investigator According to CT |
NCT00977379 (14) [back to overview] | Time to Extra-cranial Disease Progression, Assessed by Investigator According to CT |
NCT00977379 (14) [back to overview] | Time to Progression, Assessed by Investigator According to MRI and CT |
NCT00977379 (14) [back to overview] | Absolute Change From Baseline in Mini Mental State (MMS) Total Score |
NCT00977379 (14) [back to overview] | Duration of CNS Response, Assessed by Investigator According to MRI |
NCT00977379 (14) [back to overview] | Overall Survival (OS) |
NCT00977379 (14) [back to overview] | Percentage of Participants With Best Objective Central Nervous System (CNS) Response, Assessed by Centralized Independent Expert According to Magnetic Resonance Imaging (MRI) - Intent-to-Treat (ITT) Population |
NCT00977379 (14) [back to overview] | Percentage of Participants With Best Objective CNS Response, Assessed by Centralized Independent Expert According to MRI - Per-Protocol (PP) Population |
NCT00977379 (14) [back to overview] | Percentage of Participants With Best Objective CNS Response, Assessed by Investigator According to MRI |
NCT00977379 (14) [back to overview] | Percentage of Participants With Best Objective Extra-cranial Disease Response, Assessed by Investigator According to Computed Tomography (CT) |
NCT00977379 (14) [back to overview] | Percentage of Participants With Clinical Benefit, Assessed by Investigator According to MRI |
NCT00977379 (14) [back to overview] | Percentage of Participants With Objective CNS Response at 4 Weeks After Completion of WBRT, Assessed by Centralized Independent Expert According to MRI |
NCT01007552 (6) [back to overview] | Assess Overall Survival (OS) |
NCT01007552 (6) [back to overview] | Circulating Tumor Cells (CTC) Will be Assessed at Baseline, Day 22 and Day 43 |
NCT01007552 (6) [back to overview] | Assess the Change in the Quality of Life Among Patients Using the FACT-Hep (Version 4) for Hepatobiliary Cancers. |
NCT01007552 (6) [back to overview] | The Primary Objective of This Study is to Assess Progression Free Survival (PFS) With Proposed Therapy for Patients With Locally Advanced or Metastatic Gallbladder and Biliary Cancers. |
NCT01007552 (6) [back to overview] | Estimate the Proportion of Patients With Clinical Response |
NCT01007552 (6) [back to overview] | Assess the Toxicity of the Regimen. |
NCT01013740 (7) [back to overview] | Duration of Response (DOR) in the Randomized Phase |
NCT01013740 (7) [back to overview] | Number of Participants With Clinical Benefit (CB) in the Randomized Phase |
NCT01013740 (7) [back to overview] | Number of Participants With Overall Response (OR), as Assessed by the Investigator in the Randomized Phase |
NCT01013740 (7) [back to overview] | Overall Survival (OS) |
NCT01013740 (7) [back to overview] | Progression Free Survival (PFS) in the Randomized Phase |
NCT01013740 (7) [back to overview] | Time to Response in the Randomized Phase |
NCT01013740 (7) [back to overview] | Number of Participants With Grade 4 and Grade 5 Adverse Events (AE) |
NCT01026142 (9) [back to overview] | Time to Progression (TTP) Based Upon Independent Review Facility (IRF) Assessment |
NCT01026142 (9) [back to overview] | Progression Free Survival (Independent Assessment) |
NCT01026142 (9) [back to overview] | Overall Survival (OS) Rate Based on a 2-year Truncated Analysis |
NCT01026142 (9) [back to overview] | Overall Objective Response Rate (ORR) |
NCT01026142 (9) [back to overview] | Clinical Benefit Rate (CBR) |
NCT01026142 (9) [back to overview] | Duration of Objective Response |
NCT01026142 (9) [back to overview] | Investigator Assessment Progression-Free Survival (PFS) |
NCT01026142 (9) [back to overview] | Time to Treatment Failure (TTF) Based Upon Independent Review Facility (IRF) Assessment |
NCT01026142 (9) [back to overview] | Overall Survival (OS) |
NCT01032850 (4) [back to overview] | Number of Participants Experiencing Adverse Events |
NCT01032850 (4) [back to overview] | Disease Control Rate of Response (DCR) |
NCT01032850 (4) [back to overview] | Progression Free Survival (PFS) |
NCT01032850 (4) [back to overview] | Overall Survival (OS) |
NCT01041404 (19) [back to overview] | Pain Intensity Scores as Assessed By Visual Analog Scale (VAS) |
NCT01041404 (19) [back to overview] | Trastuzumab Minimum Serum Concentration (Cmin) |
NCT01041404 (19) [back to overview] | Percentage of Participants With Change From Baseline in Body Weight by Percentage Change in Weight |
NCT01041404 (19) [back to overview] | Duration of Response - Percentage of Participants With an Event |
NCT01041404 (19) [back to overview] | Overall Survival - Time to Event |
NCT01041404 (19) [back to overview] | Body Weight (Kilograms [kg]) at BL |
NCT01041404 (19) [back to overview] | Steady State Trastuzumab Area Under the Concentration (AUC) |
NCT01041404 (19) [back to overview] | Percentage of Participants With a Change in Analgesic Medication During the Study |
NCT01041404 (19) [back to overview] | Time to Progression - Time to Event |
NCT01041404 (19) [back to overview] | European Organisation For the Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ C-30) Questionnaire Scores |
NCT01041404 (19) [back to overview] | EORTC Quality of Life Questionnaire-Stomach Cancer Specific (QLQ STO22) Questionnaire Scores |
NCT01041404 (19) [back to overview] | Progression-Free Survival - Time to Event |
NCT01041404 (19) [back to overview] | Trastuzumab Maximum Serum Concentration (Cmax) |
NCT01041404 (19) [back to overview] | Time to Progression (TTP) - Percentage of Participants With an Event |
NCT01041404 (19) [back to overview] | Progression-Free Survival (PFS) - Percentage of Participants With an Event |
NCT01041404 (19) [back to overview] | Duration of Response |
NCT01041404 (19) [back to overview] | Percentage of Participants With Confirmed Complete Response (CR) or Partial Response (PR) Determined by Response Evaluation Criteria in Solid Tumors (RECIST) |
NCT01041404 (19) [back to overview] | Percentage of Participants With Clinical Benefit |
NCT01041404 (19) [back to overview] | Overall Survival (OS) - Percentage of Participants With an Event |
NCT01044433 (5) [back to overview] | Number of Participants With Adverse Events and Serious Adverse Events |
NCT01044433 (5) [back to overview] | Disease Control Rate |
NCT01044433 (5) [back to overview] | Overall Survival |
NCT01044433 (5) [back to overview] | Response Rate |
NCT01044433 (5) [back to overview] | Progression-free Survival |
NCT01060007 (9) [back to overview] | Rate of Locoregional Control |
NCT01060007 (9) [back to overview] | Preoperative Gastrointestinal Morbidity |
NCT01060007 (9) [back to overview] | Rate of Overall Control |
NCT01060007 (9) [back to overview] | Determine Quality of Anorectal Function |
NCT01060007 (9) [back to overview] | Incidence of Any Late Grade 3 or Higher Morbidity |
NCT01060007 (9) [back to overview] | Local Control |
NCT01060007 (9) [back to overview] | Rate of T Stage Downstaging |
NCT01060007 (9) [back to overview] | Incidence of Post Chemoradiotherapy Grade 3 or Higher Morbidity |
NCT01060007 (9) [back to overview] | Freedom From Disease Relapse |
NCT01077739 (4) [back to overview] | Percentage of Participants With an Overall Response of Complete Response (CR) or Partial Response (PR) |
NCT01077739 (4) [back to overview] | PFS From the Start of First-Line Therapy |
NCT01077739 (4) [back to overview] | Progression-Free Survival (PFS) From the Start of Treatment Beyond Progression |
NCT01077739 (4) [back to overview] | Geometric Mean Values of Pro-Angiogenic Cytokine Concentrations at Baseline and Prior to Progression |
NCT01081262 (10) [back to overview] | Patient Reported Quality of Life |
NCT01081262 (10) [back to overview] | Patient Reported Quality of Life |
NCT01081262 (10) [back to overview] | Patient Reported Quality of Life |
NCT01081262 (10) [back to overview] | Patient Reported Neurotoxicity |
NCT01081262 (10) [back to overview] | Patient Reported Neurotoxicity |
NCT01081262 (10) [back to overview] | Participants With Grade 1 or Higher Non-serious Adverse Effects Assessed by CTCAE Version 4.0 |
NCT01081262 (10) [back to overview] | Progression-free Survival |
NCT01081262 (10) [back to overview] | Objective Tumor Response |
NCT01081262 (10) [back to overview] | Patient Reported Neurotoxicity |
NCT01081262 (10) [back to overview] | Overall Survival |
NCT01095003 (5) [back to overview] | Duration of Response |
NCT01095003 (5) [back to overview] | Overall Survival |
NCT01095003 (5) [back to overview] | Progression Free Survival |
NCT01095003 (5) [back to overview] | Overall Response Rate (ORR) |
NCT01095003 (5) [back to overview] | Disease Control Rate |
NCT01118377 (3) [back to overview] | Progression-free Survival |
NCT01118377 (3) [back to overview] | Percentage of Participants With a Tumor Response |
NCT01118377 (3) [back to overview] | Overall Survival |
NCT01128842 (6) [back to overview] | Tolerated Dose |
NCT01128842 (6) [back to overview] | Progression Free Survival |
NCT01128842 (6) [back to overview] | Objective Response Rate |
NCT01128842 (6) [back to overview] | Maximum Plasma Concentration of Neratinib in Combination With Capecitabine |
NCT01128842 (6) [back to overview] | Dose Limiting Toxicity (DLT) - Percentage of Participants With DLT Events |
NCT01128842 (6) [back to overview] | Area Under the Curve (AUC) of Neratinib in Combination With Capecitabine |
NCT01130337 (4) [back to overview] | Percentage of Participants With Pathological Complete Response (pCR) |
NCT01130337 (4) [back to overview] | Percentage of Participants With Objective Response |
NCT01130337 (4) [back to overview] | Percentage of Participants With Disease-free Survival (DFS) at Month 18 |
NCT01130337 (4) [back to overview] | Percentage of Participants With Complete Tumor Resection (R0) |
NCT01131078 (17) [back to overview] | Time to Progression (TTP) |
NCT01131078 (17) [back to overview] | Time to Treatment Failure |
NCT01131078 (17) [back to overview] | Duration of Overall Complete Response |
NCT01131078 (17) [back to overview] | Duration of Overall Response |
NCT01131078 (17) [back to overview] | Duration of Stable Disease (SD) |
NCT01131078 (17) [back to overview] | Overall Survival |
NCT01131078 (17) [back to overview] | Percentage of Participants Who Died |
NCT01131078 (17) [back to overview] | Percentage of Participants With a Best Overall Response of CR or PR |
NCT01131078 (17) [back to overview] | Percentage of Participants With Disease Progression or Death |
NCT01131078 (17) [back to overview] | Time to Progression Excluding Deaths Not Related to Underlying Cancer |
NCT01131078 (17) [back to overview] | Percentage of Participants With Progression Excluding Deaths |
NCT01131078 (17) [back to overview] | Percentage of Participants With Progression Excluding Deaths Not Related to Underlying Cancer |
NCT01131078 (17) [back to overview] | Percentage of Participants With Progressive Disease Within 12 Weeks From Start of Treatment |
NCT01131078 (17) [back to overview] | Percentage of Participants With Stable Disease |
NCT01131078 (17) [back to overview] | Time to Progression Excluding Deaths |
NCT01131078 (17) [back to overview] | Percentage of Participants by Best Overall Response |
NCT01131078 (17) [back to overview] | Percentage of Participants With Treatment Failure |
NCT01132664 (5) [back to overview] | Progression Free Survival (PFS) - Based on Investigator Review Using Kaplan Meier - Phase l & ll |
NCT01132664 (5) [back to overview] | Overall Response Rate (ORR) - Phase ll |
NCT01132664 (5) [back to overview] | Clinical Benefit Rate (CBR) - Phase l & ll |
NCT01132664 (5) [back to overview] | Disease Control Rate (DCR) Based on Investigator Assessment- Phase l & ll |
NCT01132664 (5) [back to overview] | Dose Limiting Toxicity (DLT) - Phase l Only |
NCT01134601 (1) [back to overview] | Here is the Number of Participants With Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). |
NCT01135498 (6) [back to overview] | Percentage of Participants Achieving Disease Control (CR, PR, or No Change [NC]) |
NCT01135498 (6) [back to overview] | Percentage of Participants Achieving Objective Response (Complete Response [CR] or Partial Response [PR]) |
NCT01135498 (6) [back to overview] | Percentage of Participants Who Died |
NCT01135498 (6) [back to overview] | Percentage of Participants With Disease Progression or Death |
NCT01135498 (6) [back to overview] | Progression-Free Survival |
NCT01135498 (6) [back to overview] | Overall Survival (OS) |
NCT01151761 (8) [back to overview] | Freedom From Local Progression at 12 Months |
NCT01151761 (8) [back to overview] | Liver Transplant Conversion Rate |
NCT01151761 (8) [back to overview] | Median Time to Overall Survival |
NCT01151761 (8) [back to overview] | Liver Transplant Rate |
NCT01151761 (8) [back to overview] | Overall Survival at 12 Months |
NCT01151761 (8) [back to overview] | Pathologic Complete Response Rate |
NCT01151761 (8) [back to overview] | Progression-free Survival at 12 Months |
NCT01151761 (8) [back to overview] | Serum CA 19-9 Levels |
NCT01159171 (12) [back to overview] | Duration of Response |
NCT01159171 (12) [back to overview] | Duration of Response - Percentage of Participants With an Event by 24 Months |
NCT01159171 (12) [back to overview] | Duration of Stable Disease |
NCT01159171 (12) [back to overview] | Duration of Stable Disease - Percentage of Participants With an Event by 24 Months |
NCT01159171 (12) [back to overview] | Overall Survival |
NCT01159171 (12) [back to overview] | Overall Survival (OS) - Percentage of Participants With an Event by 24 Months |
NCT01159171 (12) [back to overview] | Percentage of Participants With Objective Response (OR) |
NCT01159171 (12) [back to overview] | Time to Progression |
NCT01159171 (12) [back to overview] | Time to Progression (TTP) - Percentage of Participants With an Event by 24 Months |
NCT01159171 (12) [back to overview] | Time to Treatment Failure |
NCT01159171 (12) [back to overview] | Time to Treatment Failure (TTF) - Percentage of Participants With an Event by 24 Months |
NCT01159171 (12) [back to overview] | Percentage of Participants by Best Overall Response |
NCT01191697 (4) [back to overview] | Median Duration of Response (DOR) |
NCT01191697 (4) [back to overview] | Median Progression Free Survival (PFS) |
NCT01191697 (4) [back to overview] | Median Overall Survival |
NCT01191697 (4) [back to overview] | Objective Response Rate (ORR) |
NCT01193517 (2) [back to overview] | Maximum Tolerated Dose (MTD) of Azacitidine, and Capecitabine and Oxaliplatin (CAPOX) |
NCT01193517 (2) [back to overview] | Response Rate of Azacitidine, and Capecitabine and Oxaliplatin (CAPOX) |
NCT01208103 (5) [back to overview] | Number of Participants With Adverse Events |
NCT01208103 (5) [back to overview] | Number of Participants With Progression-free Survival (PFS) at Six Months |
NCT01208103 (5) [back to overview] | To Determine the Overall Survival (OS) for CAPOX and Bevacizumab |
NCT01208103 (5) [back to overview] | To Determine the Response Rate (RR) for CAPOX and Bevacizumab |
NCT01208103 (5) [back to overview] | To Determine the Overall PFS for CAPOX and Bevacizumab |
NCT01226732 (3) [back to overview] | Preliminary Efficacy Assessment: Response Rate (RR) |
NCT01226732 (3) [back to overview] | Drug Related Toxicities |
NCT01226732 (3) [back to overview] | Dose Determination |
NCT01227707 (13) [back to overview] | Overall Survival (OS) - Percentage of Participants With an Event |
NCT01227707 (13) [back to overview] | Percentage of Participants With an Overall Response of CR at the End of Neoadjuvant Treatment |
NCT01227707 (13) [back to overview] | Percentage of Participants Undergoing Sphincter-Saving Surgery by Type of Procedure |
NCT01227707 (13) [back to overview] | Percentage of Participants With Pathological Complete Response (pCR) |
NCT01227707 (13) [back to overview] | Percentage of Participants by Primary Tumor (T), Regional Lymph Nodes (N), and Distant Metastasis (M) Clinical Stage at Baseline and at the End of Neo-Adjuvant Treatment (NAT) |
NCT01227707 (13) [back to overview] | DFS - Time to Event |
NCT01227707 (13) [back to overview] | Disease-Free Survival (DFS) - Percentage of Participants With an Event |
NCT01227707 (13) [back to overview] | TTP - Time to Event |
NCT01227707 (13) [back to overview] | Percentage of Participants With New Lesions at the Primary Tumor Site at the End of Neoadjuvant Treatment |
NCT01227707 (13) [back to overview] | Time to Disease Progression (TTP) - Percentage of Participants With an Event |
NCT01227707 (13) [back to overview] | Percentage of Participants With Relapse During Follow-Up |
NCT01227707 (13) [back to overview] | Percentage of Participants With Complete Response (CR) at the End of Neoadjuvant Treatment |
NCT01227707 (13) [back to overview] | OS - Time to Event |
NCT01234337 (12) [back to overview] | Maximum Observed Drug Concentration (Cmax) of Capecitabine and 5-fluorouracil |
NCT01234337 (12) [back to overview] | Number of Participants With Treatment-emergent Grade 3 and 4 Laboratory Abnormalities |
NCT01234337 (12) [back to overview] | Patient Reported Outcomes: Euroqol-5 Dimensions (EQ-5D) - Visual Analogue Scale (VAS) Score |
NCT01234337 (12) [back to overview] | Patient Reported Outcomes: Euroqol-5 Dimensions (EQ-5D) - Index Score |
NCT01234337 (12) [back to overview] | Objective Response Rate (ORR) by Central Review |
NCT01234337 (12) [back to overview] | Area Under Curve From Time Zero to Last Quantifiable Concentration (AUC[0-tlast]) of Capecitabine and 5-fluorouracil |
NCT01234337 (12) [back to overview] | Time to Progression (TTP) by Central Review |
NCT01234337 (12) [back to overview] | Duration of Response (DOR) by Central Reader |
NCT01234337 (12) [back to overview] | Overall Survival (OS) |
NCT01234337 (12) [back to overview] | Progression-free Survival (PFS) Assessed by the Independent Review Panel According to Response Evaluation Criteria for Solid Tumors (RECIST) 1.1 |
NCT01234337 (12) [back to overview] | Disease Control Rate (DCR) by Central Review |
NCT01234337 (12) [back to overview] | Patient Reported Outcomes: Functional Assessment of Cancer Therapy-Breast Symptom Index (8 Item) (FBSI-8) |
NCT01234402 (13) [back to overview] | Overall Survival (OS) |
NCT01234402 (13) [back to overview] | Number of Participants With Serious Adverse Events (SAEs) |
NCT01234402 (13) [back to overview] | Area Under the Concentration Versus Time Curve From Time Zero to Infinity of Ramucirumab or Icrucumab |
NCT01234402 (13) [back to overview] | Number of Participants With Anti-Ramucirumab and Anti-Icrucumab Antibodies |
NCT01234402 (13) [back to overview] | Minimum Concentration (Cmin) Ramucirumab Drug Product (DP) or Icrucumab |
NCT01234402 (13) [back to overview] | Volume of Distribution at Steady State (Vss) of Ramucirumab or Icrucumab |
NCT01234402 (13) [back to overview] | Number of Participants With Adverse Events (AEs) |
NCT01234402 (13) [back to overview] | Duration of Response |
NCT01234402 (13) [back to overview] | Clearance (Cl) of Ramucirumab or Icrucumab |
NCT01234402 (13) [back to overview] | Maximum Concentration (Cmax) Ramucirumab Drug Product (DP) or Icrucumab |
NCT01234402 (13) [back to overview] | Progression-Free Survival (PFS) |
NCT01234402 (13) [back to overview] | Terminal Half-life (t½) of Ramucirumab or Icrucumab |
NCT01234402 (13) [back to overview] | Percentage of Participants With Objective Response Rate (ORR) |
NCT01267240 (3) [back to overview] | Survival |
NCT01267240 (3) [back to overview] | Progression-free Survival |
NCT01267240 (3) [back to overview] | Response Rate According to Response Evaluation Criteria in Solid Tumors |
NCT01268943 (1) [back to overview] | Dose Related Toxicity |
NCT01279681 (4) [back to overview] | Number of Participants With Grade 3 Adverse Events At Least Possibly Related to Treatment |
NCT01279681 (4) [back to overview] | Overall Survival |
NCT01279681 (4) [back to overview] | Progression-Free Survival |
NCT01279681 (4) [back to overview] | Response Rate, Defined as the Percentage of Patients in Each Arm Who Have an Objective Status of Complete Response or Partial Response, Confirmed by a Second Assessment Measured at Least 6 Weeks From the Initial Assessment |
NCT01323530 (10) [back to overview] | Phase 2: Clinical Benefit Rate (CBR) |
NCT01323530 (10) [back to overview] | Phase 2: Stable Disease (SD) Rate |
NCT01323530 (10) [back to overview] | Phase 2: Duration of Response (DOR) |
NCT01323530 (10) [back to overview] | Phase 2: Disease Control Rate (DCR) |
NCT01323530 (10) [back to overview] | Phase 2: Objective Response Rate (ORR) |
NCT01323530 (10) [back to overview] | Phase 2: Progression-free Survival (PFS) |
NCT01323530 (10) [back to overview] | Phase 2: Time to Response |
NCT01323530 (10) [back to overview] | Phase 2: Duration of Stable Disease (SD) |
NCT01323530 (10) [back to overview] | Phase 1b and Phase 2: Percentage of Participants With Non-CR/Non-PD |
NCT01323530 (10) [back to overview] | Phase 1b: Number of Participants With Dose-limiting Toxicities (DLTs) as Per National Cancer Institute Common Terminology Criteria for Adverse Events Version 3.0 (NCI CTCAE v3.0) |
NCT01326481 (1) [back to overview] | TRC105 Steady State Pharmacokinetic Trough Concentration at the RP2D |
NCT01355302 (4) [back to overview] | Number of Participants With a Treatment-Emergent Adverse Event (TEAE) |
NCT01355302 (4) [back to overview] | Area Under The Concentration-Time Curve (AUC) From 0 to 24 Hours of Golvatinib |
NCT01355302 (4) [back to overview] | Maximum Concentration (Cmax) of Golvatinib |
NCT01355302 (4) [back to overview] | Time to Maximum Concentration (Tmax) of Golvatinib |
NCT01360593 (9) [back to overview] | Objective Response Rate (ORR) (Surgery After Chemotherapy and SBRT) |
NCT01360593 (9) [back to overview] | Acute Toxicities Associated With SBRT |
NCT01360593 (9) [back to overview] | Objective Response Rate (ORR) (Neoadjuvant Chemotherapy) |
NCT01360593 (9) [back to overview] | Overall Survival (OS) |
NCT01360593 (9) [back to overview] | The Functional Assessment of Cancer Therapy - General (FACT-G) |
NCT01360593 (9) [back to overview] | Number of Participants Able to Undergo a Margin-negative Resection After Neoadjuvant Therapy |
NCT01360593 (9) [back to overview] | Local Progression-free Survival (LPFS) |
NCT01360593 (9) [back to overview] | Late Toxicities Associated With SBRT |
NCT01360593 (9) [back to overview] | Time to Progression (TTP) |
NCT01369433 (1) [back to overview] | Number of Subjects With Adverse Events (AEs) and Serious AEs |
NCT01374425 (37) [back to overview] | PFS According to RECIST Version 1.1 in Participants With High ERCC-1 and Low VEGF-A Levels |
NCT01374425 (37) [back to overview] | PFS According to RECIST Version 1.1 in Participants With High ERCC-1 Levels Versus Participants With Low ERCC-1 Levels |
NCT01374425 (37) [back to overview] | PFS According to RECIST Version 1.1 in Participants With High Vascular Endothelial Growth Factor (VEGF)-A Levels Versus Participants With Low VEGF-A Levels |
NCT01374425 (37) [back to overview] | PFS According to RECIST Version 1.1 in Participants With Low ERCC-1 and High VEGF-A Levels |
NCT01374425 (37) [back to overview] | PFS According to RECIST Version 1.1 in Participants With Low ERCC-1 and Low VEGF-A Levels |
NCT01374425 (37) [back to overview] | Percentage of Participants With Objective Response According to RECIST Version 1.1 |
NCT01374425 (37) [back to overview] | PFS According to RECIST Version 1.1 in Participants With Low ERCC-1 Levels |
NCT01374425 (37) [back to overview] | Percentage of Participants With Disease Control According to RECIST Version 1.1 in Participants With High VEGF-A Levels Versus Participants With Low VEGF-A Levels |
NCT01374425 (37) [back to overview] | OS in Participants With High ERCC-1 Levels |
NCT01374425 (37) [back to overview] | Percentage of Participants With Liver Metastasis Resection |
NCT01374425 (37) [back to overview] | Percentage of Participants With Liver Metastasis Resection in Participants With High ERCC-1 Levels |
NCT01374425 (37) [back to overview] | Percentage of Participants With Liver Metastasis Resection in Participants With High ERCC-1 Levels Versus Participants With Low ERCC-1 Levels |
NCT01374425 (37) [back to overview] | Percentage of Participants With Liver Metastasis Resection in Participants With High VEGF-A Levels Versus Participants With Low VEGF-A Levels |
NCT01374425 (37) [back to overview] | Percentage of Participants With Liver Metastasis Resection in Participants With Low ERCC-1 Levels |
NCT01374425 (37) [back to overview] | OS in Participants With High ERCC-1 Levels Versus Participants With Low ERCC-1 Levels |
NCT01374425 (37) [back to overview] | Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 |
NCT01374425 (37) [back to overview] | PFS According to RECIST Version 1.1 in Participants With Wild-Type V-Ki-ras2 Kirsten Rat Sarcoma Viral Oncogene Homolog (KRAS) Versus Participants With Mutant KRAS |
NCT01374425 (37) [back to overview] | PFS According to RECIST Version 1.1 in Participants With High ERCC-1 Levels |
NCT01374425 (37) [back to overview] | Percentage of Participants With Complete Liver Metastasis Resection |
NCT01374425 (37) [back to overview] | Percentage of Participants With Objective Response According to RECIST Version 1.1 in Participants With High ERCC-1 Levels |
NCT01374425 (37) [back to overview] | Percentage of Participants With Complete Liver Metastasis Resection in Participants With High ERCC-1 Levels |
NCT01374425 (37) [back to overview] | Percentage of Participants With Complete Liver Metastasis Resection in Participants With High ERCC-1 Levels Versus Participants With Low ERCC-1 Levels |
NCT01374425 (37) [back to overview] | Overall Survival (OS) |
NCT01374425 (37) [back to overview] | Percentage of Participants With Complete Liver Metastasis Resection in Participants With High VEGF-A Levels Versus Participants With Low VEGF-A Levels |
NCT01374425 (37) [back to overview] | Percentage of Participants With Complete Liver Metastasis Resection in Participants With Low ERCC-1 Levels |
NCT01374425 (37) [back to overview] | Percentage of Participants With Disease Control According to RECIST Version 1.1 |
NCT01374425 (37) [back to overview] | Percentage of Participants With Disease Control According to RECIST Version 1.1 in Participants With High ERCC-1 Levels |
NCT01374425 (37) [back to overview] | Percentage of Participants With Disease Control According to RECIST Version 1.1 in Participants With High ERCC-1 Levels Versus Participants With Low ERCC-1 Levels |
NCT01374425 (37) [back to overview] | Percentage of Participants With Objective Response According to RECIST Version 1.1 in Participants With High ERCC-1 Levels Versus Participants With Low ERCC-1 Levels |
NCT01374425 (37) [back to overview] | OS in Participants With High VEGF-A Levels Versus Participants With Low VEGF-A Levels |
NCT01374425 (37) [back to overview] | Percentage of Participants With Objective Response According to RECIST Version 1.1 in Participants With Wild-Type KRAS Versus Participants With Mutant KRAS |
NCT01374425 (37) [back to overview] | PFS According to RECIST Version 1.1 in Participants With High ERCC-1 and High VEGF-A Levels |
NCT01374425 (37) [back to overview] | OS in Participants With Low ERCC-1 Levels |
NCT01374425 (37) [back to overview] | Percentage of Participants With Objective Response According to RECIST Version 1.1 in Participants With High VEGF-A Levels Versus Participants With Low VEGF-A Levels |
NCT01374425 (37) [back to overview] | Percentage of Participants With Objective Response According to RECIST Version 1.1 in Participants With Low ERCC-1 Levels |
NCT01374425 (37) [back to overview] | OS in Participants With Wild-Type KRAS Versus Participants With Mutant KRAS |
NCT01374425 (37) [back to overview] | Percentage of Participants With Disease Control According to RECIST Version 1.1 in Participants With Low ERCC-1 Levels |
NCT01387295 (4) [back to overview] | Adverse Events |
NCT01387295 (4) [back to overview] | Number of Patients Suitable for Local Therapy (Radiofrequency) |
NCT01387295 (4) [back to overview] | PFS |
NCT01387295 (4) [back to overview] | Survival |
NCT01399190 (3) [back to overview] | Percentage of Participants With Adverse Events |
NCT01399190 (3) [back to overview] | Response Rate (Tumor Assessments According to RECIST) |
NCT01399190 (3) [back to overview] | Progression-free Survival |
NCT01423604 (5) [back to overview] | Summary of Clinical Benefit |
NCT01423604 (5) [back to overview] | Durable Response Rate |
NCT01423604 (5) [back to overview] | Overall Survival |
NCT01423604 (5) [back to overview] | Progression-Free Survival (PFS) |
NCT01423604 (5) [back to overview] | Objective Response Rate |
NCT01439282 (3) [back to overview] | Use of Cold Cap for Alopecia |
NCT01439282 (3) [back to overview] | Percentage of Participants Who Achieved the Target Relative Dose Intensity (RDI) of 85% |
NCT01439282 (3) [back to overview] | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) |
NCT01442155 (2) [back to overview] | Disease-Free Survival (Time to Event) |
NCT01442155 (2) [back to overview] | Safety: Percentage of Participants With Adverse Events |
NCT01450696 (9) [back to overview] | Percentage of Participants Who Died - Per Protocol Set (PPS) |
NCT01450696 (9) [back to overview] | Percentage of Participants With Disease Progression or Death - PPS |
NCT01450696 (9) [back to overview] | Percentage of Participants Who Died - FAS |
NCT01450696 (9) [back to overview] | Trastuzumab Cmin on Day 21 of Cycles 1 to 11 - FAS |
NCT01450696 (9) [back to overview] | Trastuzumab Serum Concentration on Day 1 of Cycle 1 - FAS |
NCT01450696 (9) [back to overview] | Overall Survival - PPS |
NCT01450696 (9) [back to overview] | Overall Survival - FAS |
NCT01450696 (9) [back to overview] | Progression-Free Survival - PPS |
NCT01450696 (9) [back to overview] | Percentage of Participants With Objective Response - PPS |
NCT01459614 (5) [back to overview] | Number of Patients Experiencing a Grade 3 or Above Treatment-related Toxicity |
NCT01459614 (5) [back to overview] | Disease Control Rate (DCR) |
NCT01459614 (5) [back to overview] | Percentage of Participants Without Disease Progression (Progression-Free Survival) at 6 Months |
NCT01459614 (5) [back to overview] | Progression-free Survival (PFS) |
NCT01459614 (5) [back to overview] | Overall Survival (OS) |
NCT01461057 (2) [back to overview] | Percentage of Participants With Day 43 Serum Pertuzumab Trough Concentrations (Cmin) Greater Than or Equal to (>=) 20 Microgram Per Milliliter (mcg/mL) |
NCT01461057 (2) [back to overview] | Number of Participants With Adverse Events (AEs) |
NCT01463982 (2) [back to overview] | Objective Response Rate (ORR), Response Rate (RR) and Disease Control Rate (DCR) |
NCT01463982 (2) [back to overview] | Dose Limiting Toxicity Assessment and Maximum Tolerated Dose Determination |
NCT01471353 (4) [back to overview] | Response Rate |
NCT01471353 (4) [back to overview] | Sorafenib Activity |
NCT01471353 (4) [back to overview] | Toxicity (Percentage of Subjects That Experienced an Adverse Event) |
NCT01471353 (4) [back to overview] | Overall Survival |
NCT01498458 (6) [back to overview] | Hematological Toxicity of the Combination of Pazopanib and Capecitabine |
NCT01498458 (6) [back to overview] | Clinical Benefit Rate (CBR) |
NCT01498458 (6) [back to overview] | Dose-limiting Toxicity (DLT) |
NCT01498458 (6) [back to overview] | Other Toxicity of the Combination of Pazopanib and Capecitabine |
NCT01498458 (6) [back to overview] | Maximum Tolerable Dose (MTD) of Pazopanib |
NCT01498458 (6) [back to overview] | Objective Response Rate (ORR) |
NCT01525082 (6) [back to overview] | Treatment-related Toxicity |
NCT01525082 (6) [back to overview] | Overall Survival (OS) |
NCT01525082 (6) [back to overview] | O6-methylguanine DNA Methyltransferase (MGMT) Status by Immunohistochemistry (IHC) |
NCT01525082 (6) [back to overview] | Radiographic Response (RR) |
NCT01525082 (6) [back to overview] | Progression-free Survival (PFS) |
NCT01525082 (6) [back to overview] | O6-methylguanine DNA Methyltransferase (MGMT) by Promoter Methylation |
NCT01534637 (3) [back to overview] | Impact of Aprepitant/5HT-3 Antagonist Therapy on the Patient Quality of Life as Measured by the Number of Patients Using Anti Nausea Drugs |
NCT01534637 (3) [back to overview] | Number of Patients With Gastrointestinal Toxicities (Grade 3 and 4 Nausea and Vomiting) Associated With Delivering Fluorouracil/Gemcitabine Hydrochloride-based Chemotherapy With Upper Abdominal Radiation |
NCT01534637 (3) [back to overview] | Impact of Aprepitant/5HT-3 Antagonist Therapy on the Patient Quality of Life as Measured by the Number of Patients Taking Anti Nausea Drugs |
NCT01584544 (1) [back to overview] | Number of Participants Experienced Dose Limited Toxicity |
NCT01588990 (22) [back to overview] | Time to Failure of Strategy (TFS): Overall |
NCT01588990 (22) [back to overview] | AQoL-8D Global Utility Score: Phase B |
NCT01588990 (22) [back to overview] | European Quality of Life 5-Dimension (EuroQol-5D) Utility Score: Phase A |
NCT01588990 (22) [back to overview] | EuroQol-5D Utility Score: Phase B |
NCT01588990 (22) [back to overview] | FACT-C Score: Phase B |
NCT01588990 (22) [back to overview] | Functional Assessment of Cancer Therapy-Colorectal (FACT-C) Score: Phase A |
NCT01588990 (22) [back to overview] | Percentage of Participants With Confirmed Complete or Partial Response as Assessed by the Investigator Based on Routine Clinical Practice: Overall |
NCT01588990 (22) [back to overview] | Percentage of Participants With Confirmed Complete or Partial Response as Assessed by the Investigator Based on Routine Clinical Practice: Phase A |
NCT01588990 (22) [back to overview] | Percentage of Participants With Confirmed Complete or Partial Response as Assessed by the Investigator Based on Routine Clinical Practice: Phase B |
NCT01588990 (22) [back to overview] | Survival Beyond First Disease Progression: Overall |
NCT01588990 (22) [back to overview] | PFS Until Second Disease Progression as Assessed by the Investigator Based on Routine Clinical Practice: Phase B |
NCT01588990 (22) [back to overview] | PFS Until First Disease Progression as Assessed by the Investigator Based on Routine Clinical Practice: Phase A |
NCT01588990 (22) [back to overview] | Assessment of Quality of Life - Eight Dimensions (AQoL-8D) Global Utility Score: Phase A |
NCT01588990 (22) [back to overview] | Association Between Longitudinal NLR (Longitudinal NLR ≤5 Versus NLR >5) and OS as Assessed by Hazard Ratio |
NCT01588990 (22) [back to overview] | Association Between Longitudinal NLR (Longitudinal NLR ≤5 Versus NLR >5) and PFS as Assessed by Hazard Ratio |
NCT01588990 (22) [back to overview] | Association Between Neutrophil to Lymphocyte Ratio (NLR) [NLR ≤5 Versus NLR >5] and Progression-Free Survival (PFS) as Assessed by Hazard Ratio |
NCT01588990 (22) [back to overview] | Association Between NLR (NLR ≤5 Versus NLR >5) and OS as Assessed by Hazard Ratio |
NCT01588990 (22) [back to overview] | Association Between NLR Normalization (First NLR Post-Baseline ≤5 Versus NLR >5) and PFS as Assessed by Hazard Ratio |
NCT01588990 (22) [back to overview] | Duration of Disease Control (DDC) as Assessed by the Investigator Based on Routine Clinical Practice: Overall |
NCT01588990 (22) [back to overview] | OS: Phase B |
NCT01588990 (22) [back to overview] | Overall Survival (OS) From the Start of Treatment to Study Completion: Overall |
NCT01588990 (22) [back to overview] | Percentage of Participants Who Underwent Liver Resection: Overall |
NCT01591733 (7) [back to overview] | Preoperative Toxicity of Grade 3 or Worse Related to FOLFIRINOX and Chemoradiation |
NCT01591733 (7) [back to overview] | Median Progression-Free Survival |
NCT01591733 (7) [back to overview] | The Proportion of Participants With Surgery Related Adverse Events |
NCT01591733 (7) [back to overview] | Rate of R0 Resection |
NCT01591733 (7) [back to overview] | 30 Day Post-operative Mortality Rate |
NCT01591733 (7) [back to overview] | Median Overall Survival |
NCT01591733 (7) [back to overview] | Local Control Rates |
NCT01661972 (5) [back to overview] | Response Rate |
NCT01661972 (5) [back to overview] | Recommended Phase II Dose (RPTD) for the Capecitabine and Aflibercept Doublet Combination |
NCT01661972 (5) [back to overview] | Number of Dose-Limiting Toxicities (Phase 1) |
NCT01661972 (5) [back to overview] | Median Progression Free Survival (PFS) |
NCT01661972 (5) [back to overview] | Median Survival |
NCT01664494 (2) [back to overview] | Number of Participants With Routine Clinical Use of Capecitabine as Per the Line of Treatment |
NCT01664494 (2) [back to overview] | Median Dose of Capecitabine |
NCT01683422 (1) [back to overview] | One-year Survival Rate |
NCT01696695 (7) [back to overview] | Mean Duration of Capecitabine Therapy |
NCT01696695 (7) [back to overview] | Percentage of Participants With Dose Modification of Capecitabine |
NCT01696695 (7) [back to overview] | Percentage of Participants With Overall Response as Assessed by Investigator Using RECIST v1.1 |
NCT01696695 (7) [back to overview] | PFS by Therapeutic Regimens |
NCT01696695 (7) [back to overview] | Percentage of Participants Who Underwent Metastasectomy |
NCT01696695 (7) [back to overview] | Percentage of Participants With Clinical Benefit as Assessed Using RECIST v1.1 |
NCT01696695 (7) [back to overview] | Median Progression-free Survival (PFS) |
NCT01702558 (34) [back to overview] | Phase 1 (LA/mGC): AUC(0-inf) of 5-Fluorouracil (Metabolite of Capecitabine) |
NCT01702558 (34) [back to overview] | Phase 1 (LA/mGC): AUC(0-inf) of Capecitabine |
NCT01702558 (34) [back to overview] | Phase 1 (LA/mGC): Cmax of 5-Fluorouracil (Metabolite of Capecitabine) |
NCT01702558 (34) [back to overview] | Phase 1 (LA/mGC): Cmax of Capecitabine |
NCT01702558 (34) [back to overview] | Phase 1 (LA/mGC): MTD of Capecitabine When Combined With Trastuzumab Emtansine (2.4 mg/kg QW) |
NCT01702558 (34) [back to overview] | Phase 1 (LA/mGC): Percentage of Participants With BOR as Assessed by the Investigator According to RECIST v1.1 |
NCT01702558 (34) [back to overview] | Phase 1 (LA/mGC): t1/2 of 5-Fluorouracil (Metabolite of Capecitabine) |
NCT01702558 (34) [back to overview] | Phase 1 (LA/mGC): Percentage of Participants With DLTs |
NCT01702558 (34) [back to overview] | Phase 1 (LA/mGC): Serum Concentration of Trastuzumab |
NCT01702558 (34) [back to overview] | Phase 1 (mBC): Cmax of 5-Fluorouracil (Metabolite of Capecitabine) |
NCT01702558 (34) [back to overview] | Phase 1 (mBC): AUC(0-inf) of 5-Fluorouracil (Metabolite of Capecitabine) |
NCT01702558 (34) [back to overview] | Phase 1 (mBC): Percentage of Participants With BOR as Assessed by the Investigator According to RECIST v1.1 |
NCT01702558 (34) [back to overview] | Phase 1 (mBC): Area Under the Plasma Concentration-Time Curve From Time Zero to Infinity (AUC[0-inf]) of Capecitabine |
NCT01702558 (34) [back to overview] | Phase 1 (mBC): Maximum Tolerated Dose (MTD) of Capecitabine When Combined With Trastuzumab Emtansine (3.6 mg/kg Every 3 Weeks) |
NCT01702558 (34) [back to overview] | Phase 1 (mBC): Maximum Observed Plasma Concentration (Cmax) of Capecitabine |
NCT01702558 (34) [back to overview] | Phase 1 (LA/mGC): Serum Concentration of Trastuzumab Emtansine |
NCT01702558 (34) [back to overview] | Phase 1 (LA/mGC): t1/2 of Capecitabine |
NCT01702558 (34) [back to overview] | Phase 1 (mBC): Serum Concentration of Trastuzumab Emtansine |
NCT01702558 (34) [back to overview] | Phase 1 (mBC): Serum Concentration of Trastuzumab |
NCT01702558 (34) [back to overview] | Phase 2 (mBC): Time to Treatment Failure (TTF) as Assessed by the Investigator According to RECIST v1.1 |
NCT01702558 (34) [back to overview] | Phase 2 (mBC): Time to Response (TTR) as Assessed by the Investigator According to RECIST v1.1 |
NCT01702558 (34) [back to overview] | Phase 2 (mBC): Time to Progression (TTP) as Assessed by the Investigator According to RECIST v1.1 |
NCT01702558 (34) [back to overview] | Phase 2 (mBC): Progression-Free Survival (PFS) as Assessed by the Investigator According to RECIST v1.1 |
NCT01702558 (34) [back to overview] | Phase 2 (mBC): Percentage of Participants With Treatment Failure as Assessed by the Investigator According to RECIST v1.1 |
NCT01702558 (34) [back to overview] | Phase 2 (mBC): Percentage of Participants With PD as Assessed by the Investigator According to RECIST v1.1 or Death From Any Cause |
NCT01702558 (34) [back to overview] | Phase 2 (mBC): Percentage of Participants With PD as Assessed by the Investigator According to RECIST v1.1 |
NCT01702558 (34) [back to overview] | Phase 2 (mBC): Percentage of Participants With Clinical Benefit as Assessed by the Investigator According to RECIST v1.1 |
NCT01702558 (34) [back to overview] | Phase 2 (mBC): Percentage of Participants With Best Overall Response (BOR) as Assessed by the Investigator According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) |
NCT01702558 (34) [back to overview] | Phase 2 (mBC): Percentage of Participants Who Died of Any Cause |
NCT01702558 (34) [back to overview] | Phase 2 (mBC): Overall Survival (OS) |
NCT01702558 (34) [back to overview] | Phase 2 (mBC): Duration of Response (DoR) as Assessed by the Investigator According to RECIST v1.1 |
NCT01702558 (34) [back to overview] | Phase 1 (mBC): t1/2 of 5-Fluorouracil (Metabolite of Capecitabine) |
NCT01702558 (34) [back to overview] | Phase 1 (mBC): Plasma Terminal Half-Life (t1/2) of Capecitabine |
NCT01702558 (34) [back to overview] | Phase 1 (mBC): Percentage of Participants With Dose-Limiting Toxicities (DLTs) |
NCT01718873 (5) [back to overview] | Toxic Effects |
NCT01718873 (5) [back to overview] | Disease Control Rate |
NCT01718873 (5) [back to overview] | Objective Response Rate |
NCT01718873 (5) [back to overview] | Progression-free Survival (PFS) |
NCT01718873 (5) [back to overview] | Overall Survival |
NCT01722162 (3) [back to overview] | Incidence and Severity of Adverse Events as Measured by Number of Participants Who Experience Grade 3 and Higher Adverse Events |
NCT01722162 (3) [back to overview] | Progression Free Survival (Arm B) |
NCT01722162 (3) [back to overview] | Progression Free Survival (Arm A) |
NCT01725386 (6) [back to overview] | Mean Survival Time |
NCT01725386 (6) [back to overview] | Percentage of Participants Receiving Concomitant Medications During the Study |
NCT01725386 (6) [back to overview] | Percentage of Participants With Adverse Events |
NCT01725386 (6) [back to overview] | Percentage of Participants by Histopathology Grade Diagnosis Assessed at Baseline |
NCT01725386 (6) [back to overview] | Percentage of Participants With Relevant Medical History Assessed at Baseline |
NCT01725386 (6) [back to overview] | Percent of Participants With Capecitabine as a First Line, Second Line, or Third Line Therapy |
NCT01726582 (4) [back to overview] | Progression-free Survival |
NCT01726582 (4) [back to overview] | Use of Biomarkers to Determine Course of Treatment |
NCT01726582 (4) [back to overview] | Overall Survival in Months |
NCT01726582 (4) [back to overview] | Number of Subjects Completing Therapy Including Surgical Resection. |
NCT01729923 (5) [back to overview] | Rate of CR, Assessed According to CEA and CA 19-9 Measurements and Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 |
NCT01729923 (5) [back to overview] | Overall Survival |
NCT01729923 (5) [back to overview] | Best Overall Response Rate Among All Patients Who Had RECIST Measurements at Baseline and at Least One Subsequent Occasion and Did Not Have Surgery or Radiation Therapy |
NCT01729923 (5) [back to overview] | Best Overall Response Rate Among All Patients Who Had RECIST Measurements at Baseline and at Least One Subsequent Occasion |
NCT01729923 (5) [back to overview] | Relapse Free Survival in Patients Achieving CR |
NCT01754623 (2) [back to overview] | Margin-negative (R0) Resection Rate |
NCT01754623 (2) [back to overview] | Overall Survival (OS) Rate |
NCT01765582 (7) [back to overview] | Time to PFS2 |
NCT01765582 (7) [back to overview] | Proportion of Participants Considered by the Investigator to be Unresectable on Study Enrollment Who Subsequently Underwent Attempted Curative Resections of Metastases |
NCT01765582 (7) [back to overview] | Progression-Free Survival During First-Line Therapy (PFS1) |
NCT01765582 (7) [back to overview] | Percentage of Participants With Overall Response During First-Line Therapy (ORR1) |
NCT01765582 (7) [back to overview] | Percentage of Participants With Adverse Events |
NCT01765582 (7) [back to overview] | Overall Survival (OS) |
NCT01765582 (7) [back to overview] | Proportion of Participants Who Underwent Liver Metastases Resections |
NCT01774786 (14) [back to overview] | Change From Baseline in EORTC QLQ-Gastric Cancer Module (EORTC QLQ-STO22) Score |
NCT01774786 (14) [back to overview] | Percentage of Participants With Clinical Benefit, as Determined by the Investigator According to RECIST v1.1 Criteria |
NCT01774786 (14) [back to overview] | Minimum Serum Concentration (Cmin) of Pertuzumab |
NCT01774786 (14) [back to overview] | Maximum Serum Concentration (Cmax) of Pertuzumab |
NCT01774786 (14) [back to overview] | Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Score |
NCT01774786 (14) [back to overview] | Cmax of Trastuzumab |
NCT01774786 (14) [back to overview] | Cmin of Trastuzumab |
NCT01774786 (14) [back to overview] | Duration of Objective Response, as Determined by Investigator According to RECIST v1.1 Criteria |
NCT01774786 (14) [back to overview] | Final Analysis of the Percentage of Participants With Overall Objective Response, as Determined by the Investigator According to RECIST v1.1 Criteria |
NCT01774786 (14) [back to overview] | Progression-Free Survival, as Determined by the Investigator According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Criteria |
NCT01774786 (14) [back to overview] | Primary Analysis of the Percentage of Participants With Overall Objective Response, as Determined by the Investigator According to RECIST v1.1 Criteria |
NCT01774786 (14) [back to overview] | Overview of Safety: Number of Participants With at Least One Adverse Event, Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), Version 4.03 |
NCT01774786 (14) [back to overview] | Overall Survival |
NCT01774786 (14) [back to overview] | Number of Participants With Symptomatic or Asymptomatic Left Ventricular Systolic Dysfunction (LVSD) |
NCT01776307 (14) [back to overview] | Progression Free Survival |
NCT01776307 (14) [back to overview] | Determination of the Maximum Observed Concentration (Cmax) of Napabucasin When Administered 480mg, Twice Daily, on Day 21 of the First Study Cycle |
NCT01776307 (14) [back to overview] | Disease Control Rate |
NCT01776307 (14) [back to overview] | Determination of the Maximum Observed Concentration (Cmax) of Napabucasin When Administered 500mg, Twice Daily, on Day 5 of the First Study Cycle |
NCT01776307 (14) [back to overview] | Determination of the Maximum Observed Concentration (Cmax) of Napabucasin When Administered 500mg, Twice Daily, on Day 21 of the First Study Cycle |
NCT01776307 (14) [back to overview] | Determination of the Maximum Observed Concentration (Cmax) of Napabucasin When Administered 480mg, Twice Daily, on Day 5 of the First Study Cycle |
NCT01776307 (14) [back to overview] | Determination of the Maximum Observed Concentration (Cmax) of Napabucasin When Administered 240mg, Twice Daily, on Day 21 of the First Study Cycle |
NCT01776307 (14) [back to overview] | Number of Patients With Adverse Events and Serious Adverse Events |
NCT01776307 (14) [back to overview] | Overall Survival |
NCT01776307 (14) [back to overview] | Area Under the Plasma Concentration vs. Time Curve (AUClast) of Napabucasin When Administered 500mg, Twice Daily, on Day 5 of the First Study Cycle |
NCT01776307 (14) [back to overview] | Area Under the Plasma Concentration vs. Time Curve (AUClast) of Napabucasin When Administered 500mg, Twice Daily, on Day 21 of the First Study Cycle |
NCT01776307 (14) [back to overview] | Area Under the Plasma Concentration vs. Time Curve (AUClast) of Napabucasin When Administered 480mg, Twice Daily, on Day 5 of the First Study Cycle |
NCT01776307 (14) [back to overview] | Area Under the Plasma Concentration vs. Time Curve (AUClast) of Napabucasin When Administered 480mg, Twice Daily, on Day 21 of the First Study Cycle |
NCT01776307 (14) [back to overview] | Area Under the Plasma Concentration vs. Time Curve (AUClast) of Napabucasin When Administered 240mg, Twice Daily, on Day 21 of the First Study Cycle |
NCT01777945 (7) [back to overview] | Time to Treatment Failure |
NCT01777945 (7) [back to overview] | Progression-free Survival (PFS) |
NCT01777945 (7) [back to overview] | Number of Participants With Adverse Events |
NCT01777945 (7) [back to overview] | Overall Response Rate |
NCT01777945 (7) [back to overview] | Clinical Benefit Rate |
NCT01777945 (7) [back to overview] | Duration of Treatment With Xeloda |
NCT01777945 (7) [back to overview] | Percentage of Capecitabine Dose Modifications |
NCT01781403 (4) [back to overview] | Toxicity(Adeverse Event) |
NCT01781403 (4) [back to overview] | Maximum Tolerated Dose (MTD) |
NCT01781403 (4) [back to overview] | Pathological Complete Response |
NCT01781403 (4) [back to overview] | Recommended Dose (RD) |
NCT01783444 (9) [back to overview] | Mean Change in Treatment Satisfaction Questionnaire for Medication (TSQM) Between Week 3 and 12 |
NCT01783444 (9) [back to overview] | Progression Free Survival (PFS) - Everolimus Plus Exemestane Versus Capecitabine Alone |
NCT01783444 (9) [back to overview] | Progression Free Survival (PFS) - Everolimus Plus Exemestane Versus Everolimus Alone |
NCT01783444 (9) [back to overview] | All Collected Deaths |
NCT01783444 (9) [back to overview] | Time to 10% Definitive Deterioration in the Global Health Status / Quality of Life |
NCT01783444 (9) [back to overview] | Time to Eastern Cooperative Oncology Group (ECOG) Performance Deterioration |
NCT01783444 (9) [back to overview] | Overall Survival (OS) |
NCT01783444 (9) [back to overview] | Clinical Benefit Rate (CBR) |
NCT01783444 (9) [back to overview] | Overall Response Rate (ORR) |
NCT01808573 (7) [back to overview] | Duration of Response (DOR) - Central Assessment (Population That Had a Response With Measurable Disease at Screening) |
NCT01808573 (7) [back to overview] | Percentage of Participants With Treatment-Emergent Adverse Events (Adverse Events and Serious Adverse Events) |
NCT01808573 (7) [back to overview] | Overall Survival |
NCT01808573 (7) [back to overview] | Centrally Assessed Progression Free Survival |
NCT01808573 (7) [back to overview] | Objective Response Rate (ORR) - Central Assessment (ITT Population With Measurable Disease at Screening) |
NCT01808573 (7) [back to overview] | Clinical Benefit Rate (CBR) - Central Assessment (ITT Population With Measurable Disease at Screening) |
NCT01808573 (7) [back to overview] | Intervention for Symptomatic Metastatic Central Nervous System Disease |
NCT01823679 (5) [back to overview] | Progression-free Survival (PFS) at 2 Years |
NCT01823679 (5) [back to overview] | Progression-free Survival (PFS) at 1 Year |
NCT01823679 (5) [back to overview] | Overall Survival (OS) at 2 Years |
NCT01823679 (5) [back to overview] | Objective Response Rate (ORR) |
NCT01823679 (5) [back to overview] | Overall Survival (OS) at 1 Year |
NCT01824875 (3) [back to overview] | Proportion of Patients With Response |
NCT01824875 (3) [back to overview] | Overall Survival |
NCT01824875 (3) [back to overview] | Progression-free Survival |
NCT01828554 (4) [back to overview] | Response Rate |
NCT01828554 (4) [back to overview] | Progression Free Survival |
NCT01828554 (4) [back to overview] | Cmax During Cycle 1 |
NCT01828554 (4) [back to overview] | Area Under the Curve (AUC) on Cycle 1 Day 1 and Cycle 1 Day 9 |
NCT01844076 (3) [back to overview] | Phase II - Rate of Response |
NCT01844076 (3) [back to overview] | Phase I - Number of Participants Who Experienced Dose Limiting Toxicities and Adverse Reactions |
NCT01844076 (3) [back to overview] | Phase II - Time to Progression (TTP) |
NCT01869192 (2) [back to overview] | Overall Response Rate |
NCT01869192 (2) [back to overview] | Pathological Response |
NCT01873833 (5) [back to overview] | Number of Participants With Any Adverse Events as a Measure of Safety and Tolerability |
NCT01873833 (5) [back to overview] | Clinical Benefit Rate (CBR) |
NCT01873833 (5) [back to overview] | Overall Response Rate (ORR) |
NCT01873833 (5) [back to overview] | Overall Survival (OS) |
NCT01873833 (5) [back to overview] | Progression Free Survival (PFS) |
NCT01921751 (2) [back to overview] | Overall Survival |
NCT01921751 (2) [back to overview] | Patterns of Failure (Local and Metastatic Failure) |
NCT01928680 (1) [back to overview] | Overall Response Rate |
NCT01955629 (2) [back to overview] | Part 1: Number of Participants With Tumor Responses (Complete Response [CR], Partial Response [PR], Stable Disease [SD] or Progressive Disease [PD]) |
NCT01955629 (2) [back to overview] | Part 1: Number of Participants With Dose Limiting Toxicities (DLTs) |
NCT01997333 (6) [back to overview] | Overall Survival |
NCT01997333 (6) [back to overview] | Duration of Response |
NCT01997333 (6) [back to overview] | Objective Response Rate (ORR) |
NCT01997333 (6) [back to overview] | Progression Free Survival (PFS) |
NCT01997333 (6) [back to overview] | Adverse Events (AE) |
NCT01997333 (6) [back to overview] | Pharmacokinetics (PK) |
NCT02000882 (5) [back to overview] | Median Time to Progression |
NCT02000882 (5) [back to overview] | Objective Response Rate (ORR) |
NCT02000882 (5) [back to overview] | Median Overall Survival |
NCT02000882 (5) [back to overview] | Number of Treatment-related Serious AEs |
NCT02000882 (5) [back to overview] | Clinical Benefit Rate (CBR) |
NCT02005549 (3) [back to overview] | Percentage of Participants With pCR, Clinical Complete Response (CR), or Clinical Partial Response (PR) |
NCT02005549 (3) [back to overview] | Percentage of Participants With Pathological Complete Response (pCR) |
NCT02005549 (3) [back to overview] | Percentage of Participants Undergoing Breast-Conserving Surgery |
NCT02010567 (7) [back to overview] | Pathological Complete Response (pCR) Rate |
NCT02010567 (7) [back to overview] | Number of Participants With Grade 3 or Higher, Treatment-related Toxicities |
NCT02010567 (7) [back to overview] | Overall Survival (OS) Based on Pathological Complete Response (pCR). |
NCT02010567 (7) [back to overview] | Disease-free Survival (DFS) Rate Based on Pathological Complete Response (pCR). |
NCT02010567 (7) [back to overview] | Disease-free Survival (DFS) Rate |
NCT02010567 (7) [back to overview] | Maximum Tolerated Dose (MTD) of CRLX101 When Added to Standard Neoadjuvant Chemoradiotherapy Consisting of Capecitabine + Radiotherapy in Locally Advanced Rectal Cancer |
NCT02010567 (7) [back to overview] | Overall Survival (OS) Rate |
NCT02013830 (8) [back to overview] | Overall Survival - Percentage of Participants Event Free at 12 Months |
NCT02013830 (8) [back to overview] | Time to Disease Progression - Percentage of Participants With an Event |
NCT02013830 (8) [back to overview] | Time to Disease Progression - Percentage of Participants Progression-free at 12 Months |
NCT02013830 (8) [back to overview] | Time to Disease Progression |
NCT02013830 (8) [back to overview] | Percentage of Participants With Objective Response (OR) |
NCT02013830 (8) [back to overview] | Percentage of Participants With Disease Control |
NCT02013830 (8) [back to overview] | Overall Survival - Percentage of Participants With an Event |
NCT02013830 (8) [back to overview] | Overall Survival |
NCT02017704 (4) [back to overview] | Change in EORTC QLQ-C30 Global Health Status Score |
NCT02017704 (4) [back to overview] | Number of Participants With Grade 3 or Higher Adverse Events |
NCT02017704 (4) [back to overview] | Change in EORTC QLQ-C30 Global Health Status Score |
NCT02017704 (4) [back to overview] | Number of Patients With Pathologic Complete Response |
NCT02024607 (6) [back to overview] | Overall Survival of Patients With FOLFIRI/XELIRI-refractory Metastatic Colorectal Cancer |
NCT02024607 (6) [back to overview] | Number of Participants With Adverse Events and Serious Adverse Events |
NCT02024607 (6) [back to overview] | Disease Control Rate of Patients With FOLFIRI/XELIRI-refractory Metastatic Colorectal Cancer |
NCT02024607 (6) [back to overview] | Disease Control Rate |
NCT02024607 (6) [back to overview] | The Objective Response Rate of Napabucasin Administered in Combination in FOLFIRI in Patients With FOLFIRI/XELIRI-refractory Metastatic Colorectal Cancer |
NCT02024607 (6) [back to overview] | Progression Free Survival of Patients With FOLFIRI/XELIRI-refractory Metastatic Colorectal Cancer |
NCT02042443 (4) [back to overview] | Objective Response Rate |
NCT02042443 (4) [back to overview] | Progression-free Survival |
NCT02042443 (4) [back to overview] | Overall Survival |
NCT02042443 (4) [back to overview] | Number of Patients With Grade 3 Through Grade 5 Adverse Events That Are Related to Study Drug |
NCT02083653 (13) [back to overview] | Overall Survival (OS) Time for Patients in Europe + United States With Triple-Negative mCRC (EU+US TNmCRC) |
NCT02083653 (13) [back to overview] | Occurrence and Nature of Adverse Events (AEs), as Assessed by the Common Terminology Criteria for AEs (Version 4.03) (CTCAE v4.03). |
NCT02083653 (13) [back to overview] | Pharmacokinetic (PK) Parameters: Sym004 Concentrations |
NCT02083653 (13) [back to overview] | Pharmacokinetic (PK) Parameters: Time of Maximum Plasma Concentration (Tmax) |
NCT02083653 (13) [back to overview] | Quality of Life Assessed by FACT-EGFRI-18 for Skin Rash |
NCT02083653 (13) [back to overview] | Quality of Life Assessed by the EORTC QLQ-C30 (Version 3) |
NCT02083653 (13) [back to overview] | Quality of Life Assessed by EORTC QLQ-CR29 |
NCT02083653 (13) [back to overview] | Host Immune Response: Number of Subjects With Anti-drug Antibodies (ADAs) to Sym004 Over Time |
NCT02083653 (13) [back to overview] | Overall Survival (OS) Time |
NCT02083653 (13) [back to overview] | Overall Survival (OS) Time for Patients in Europe + United States With Double-Negative mCRC (EU+US DNmCRC) |
NCT02083653 (13) [back to overview] | Progression Free Survival (PFS) Time |
NCT02083653 (13) [back to overview] | Relative Dose Intensity of Sym004 |
NCT02083653 (13) [back to overview] | Time to Treatment Failure (TTF) |
NCT02117479 (6) [back to overview] | Progression-free Survival (PFS) |
NCT02117479 (6) [back to overview] | Objective Response Rate (ORR) |
NCT02117479 (6) [back to overview] | Overall Survival (OS) |
NCT02117479 (6) [back to overview] | Percentage of Participants Achieving Progression Free Survival (PFS) |
NCT02117479 (6) [back to overview] | Participants With Treatment-Emergent Adverse Events (TEAEs) |
NCT02117479 (6) [back to overview] | Duration of Response |
NCT02119026 (9) [back to overview] | Tumour Assessments (Based on RECIST Criteria) in 2nd-line |
NCT02119026 (9) [back to overview] | Tumour Assessments (Based on RECIST Criteria) in 1st-line |
NCT02119026 (9) [back to overview] | Time to Response |
NCT02119026 (9) [back to overview] | Second Line PFS |
NCT02119026 (9) [back to overview] | Overall Survival of XELIRI Plus Bevacizumab and XELOX Plus Bevacizumab |
NCT02119026 (9) [back to overview] | Overall Response Rate (Number of Participants With Response) |
NCT02119026 (9) [back to overview] | First Line Progression Free Survival (PFS) |
NCT02119026 (9) [back to overview] | Efficacy Duration of Disease Control by Tumor Assessment (CT/MRI/Clinical Examination) |
NCT02119026 (9) [back to overview] | Duration of Response |
NCT02119663 (6) [back to overview] | Objective Response Rate (ORR) |
NCT02119663 (6) [back to overview] | Progression Free Survival (PFS) |
NCT02119663 (6) [back to overview] | Duration of Response |
NCT02119663 (6) [back to overview] | Participants With Treatment-Emergent Adverse Events (TEAEs) |
NCT02119663 (6) [back to overview] | Percentage of Participants Achieving Progression Free Survival (PFS) |
NCT02119663 (6) [back to overview] | Overall Survival (OS) |
NCT02120417 (6) [back to overview] | Median Survival |
NCT02120417 (6) [back to overview] | Percentage of Participants Achieving Clinical Benefit Rate |
NCT02120417 (6) [back to overview] | Percentage of Participants Achieving Overall Survival |
NCT02120417 (6) [back to overview] | Percentage of Participants Achieving Objective Response Rate |
NCT02120417 (6) [back to overview] | Progression-free Survival (PFS) |
NCT02120417 (6) [back to overview] | Duration of Response (DOR) |
NCT02218164 (4) [back to overview] | Overall Survival (OS) |
NCT02218164 (4) [back to overview] | Occurence of Treatment Related Serious Adverse Events (SAEs) |
NCT02218164 (4) [back to overview] | Objective Response Rate (ORR) |
NCT02218164 (4) [back to overview] | Progression Free Survival (PFS) |
NCT02231086 (2) [back to overview] | Peritoneal Recurrence Free Survival at 18 Months |
NCT02231086 (2) [back to overview] | Treatment Related Toxicity of Adjuvant HIPEC |
NCT02243007 (8) [back to overview] | Survival Rate at 18 Month |
NCT02243007 (8) [back to overview] | Number of Participants With Serious and Non-Serious Adverse Events |
NCT02243007 (8) [back to overview] | Rate of Pathologic Downstaging |
NCT02243007 (8) [back to overview] | 30-day Post-operative Mortality Rate |
NCT02243007 (8) [back to overview] | Correlation of Biomarkers With PFS |
NCT02243007 (8) [back to overview] | Local Control Rate |
NCT02243007 (8) [back to overview] | Pathologic Complete Response Rate (pCR). |
NCT02243007 (8) [back to overview] | Surgical Morbidity Rate |
NCT02291289 (6) [back to overview] | Percentage of Participants With Improvement and/or Stayed the Same on the Eastern Cooperative Oncology Group Performance Status (ECOG PS) Score |
NCT02291289 (6) [back to overview] | Progression-Free Survival (PFS) |
NCT02291289 (6) [back to overview] | Overall Response |
NCT02291289 (6) [back to overview] | Duration of Response |
NCT02291289 (6) [back to overview] | Disease Control Rate (DCR) |
NCT02291289 (6) [back to overview] | Time to Treatment Response |
NCT02294786 (17) [back to overview] | Proportion of Subjects Experiencing Diarrhoea of Grade 2 and Above (up to 24 Weeks) |
NCT02294786 (17) [back to overview] | Number of Lapatinib and Capecitabine Tablets Dispensed and Returned |
NCT02294786 (17) [back to overview] | Time to the First Subject Reported Change in Frequency and/or Consistency of Bowel Movements From Baseline as Recorded in the DMD |
NCT02294786 (17) [back to overview] | Proportion of Subjects Taking Anti-diarrhoeal Medication as Recorded in the DMD |
NCT02294786 (17) [back to overview] | Proportion of Subjects Taking Anti-diarrhoeal Medication |
NCT02294786 (17) [back to overview] | Proportion of Subjects Reporting Stopping Completely or Missing Doses of Anti-cancer Tablets Due to Diarrhoea as Recorded in the DMD |
NCT02294786 (17) [back to overview] | Proportion of Subjects Reporting Changes in Bowel Movements From Baseline (Frequency and/or Consistency) as Recorded in the Diarrhoea Management Diary (DMD) |
NCT02294786 (17) [back to overview] | Proportion of Subjects Making Dietary Changes Due to Diarrhoea as Recorded in the DMD |
NCT02294786 (17) [back to overview] | Time to Onset of the First Episode of Diarrhoea of Any Grade of Severity |
NCT02294786 (17) [back to overview] | Proportion of Subjects Experiencing Diarrhoea of Grade 3 and Above (up to 24 Weeks) |
NCT02294786 (17) [back to overview] | Proportion of Subjects Experiencing Diarrhoea of Any Grade of Severity (up to 24 Weeks) |
NCT02294786 (17) [back to overview] | Proportion of Subjects Contacting Other Non-hospital Healthcare Professionals to Discuss Diarrhoea as Recorded in the DMD |
NCT02294786 (17) [back to overview] | Duration of Diarrhoea of Any Grade of Severity |
NCT02294786 (17) [back to overview] | Clinical Benefit Response (up to 24 Weeks) |
NCT02294786 (17) [back to overview] | Proportion of Subjects Requiring Treatment Withdrawal in Lapatinib and Capecitabine |
NCT02294786 (17) [back to overview] | Proportion of Subjects Requiring Dose Reduction in Lapatinib and Capecitabine |
NCT02294786 (17) [back to overview] | Proportion of Subjects Requiring Dose Delay in Lapatinib and Capecitabine |
NCT02301143 (11) [back to overview] | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Satisfaction With Health Care Scale |
NCT02301143 (11) [back to overview] | Disease Control Rate (DCR): Percentage of Participants With Complete (CR) or Partial Response (PR), or Stable Disease (SD) for ≥ 16 Weeks According to RECIST Version 1.1 |
NCT02301143 (11) [back to overview] | Kaplan-Meier Estimate of Progression-Free Survival (PFS) |
NCT02301143 (11) [back to overview] | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales |
NCT02301143 (11) [back to overview] | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores |
NCT02301143 (11) [back to overview] | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items |
NCT02301143 (11) [back to overview] | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales |
NCT02301143 (11) [back to overview] | Overall Response Rate (ORR): Percentage of Participants With Complete (CR) or Partial Response (PR) According to RECIST Version 1.1 |
NCT02301143 (11) [back to overview] | Kaplan-Meier Estimates for Time to Treatment Failure (TTF) |
NCT02301143 (11) [back to overview] | Kaplan-Meier Estimates for Overall Survival (OS) |
NCT02301143 (11) [back to overview] | Participants With Treatment Emergent Adverse Events (TEAEs) |
NCT02314117 (13) [back to overview] | Time to Progression (TTP) |
NCT02314117 (13) [back to overview] | Time to Deterioration in Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) |
NCT02314117 (13) [back to overview] | PK: Minimum Concentration (Cmin) of Ramucirumab |
NCT02314117 (13) [back to overview] | Pharmacokinetics (PK): Maximum Observed Drug Concentration (Cmax) of Ramucirumab |
NCT02314117 (13) [back to overview] | Number of Participants With Anti-Ramucirumab Antibodies |
NCT02314117 (13) [back to overview] | Time to Deterioration in Quality of Life (QoL) on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) - Global Health Status/ QoL Scale |
NCT02314117 (13) [back to overview] | Progression-free Survival (PFS) |
NCT02314117 (13) [back to overview] | Change in Health Status on the EuroQol 5-Dimensions 5-Level Instrument (EQ-5D- 5L) |
NCT02314117 (13) [back to overview] | Duration of Response (DoR) |
NCT02314117 (13) [back to overview] | Percentage of Participants With Complete Response (CR), Partial Response (PR) or Stable Disease (SD) (Disease Control Rate [DCR]) |
NCT02314117 (13) [back to overview] | Overall Survival (OS) |
NCT02314117 (13) [back to overview] | Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Objective Response Rate [ORR]) |
NCT02314117 (13) [back to overview] | Progression- Free Survival 2 (PFS2) |
NCT02324543 (10) [back to overview] | Progression-free Survival (PFS) Using RECIST 1.1 Criteria |
NCT02324543 (10) [back to overview] | Response Rate (RR) Using RECIST 1.1 Criteria |
NCT02324543 (10) [back to overview] | Maximum Tolerated Dose (MTD) of Gemcitabine |
NCT02324543 (10) [back to overview] | Disease Control Rate (DCR) Using RECIST 1.1 Criteria |
NCT02324543 (10) [back to overview] | Maximum Tolerated Dose (MTD) of Capecitabine |
NCT02324543 (10) [back to overview] | Overall Survival (OS) Rate at 9 Months |
NCT02324543 (10) [back to overview] | Maximum Tolerated Dose (MTD) of Docetaxel |
NCT02324543 (10) [back to overview] | Maximum Tolerated Dose (MTD) of Cisplatin |
NCT02324543 (10) [back to overview] | Maximum Tolerated Dose (MTD) of Irinotecan |
NCT02324543 (10) [back to overview] | Overall Survival (OS) |
NCT02335411 (14) [back to overview] | Overall Survival (OS) For All Participants |
NCT02335411 (14) [back to overview] | Progression-Free Survival For PD-L1 Positive Participants |
NCT02335411 (14) [back to overview] | Progression-Free Survival (PFS) For All Participants |
NCT02335411 (14) [back to overview] | Overall Survival For PD-L1 Positive Participants |
NCT02335411 (14) [back to overview] | Objective Response Rate For PD-L1 Positive Participants in Cohorts 1 and 3 |
NCT02335411 (14) [back to overview] | Number of Participants Discontinuing Study Drug Due to AEs |
NCT02335411 (14) [back to overview] | Disease Control Rate (DCR) For All Participants |
NCT02335411 (14) [back to overview] | Number of Participants Experiencing Adverse Events (AEs) |
NCT02335411 (14) [back to overview] | Disease Control Rate For PD-L1 Positive Participants |
NCT02335411 (14) [back to overview] | Duration of Response (DOR) For All Participants |
NCT02335411 (14) [back to overview] | Duration of Response For PD-L1 Positive Participants |
NCT02335411 (14) [back to overview] | Objective Response Rate (ORR) For All Participants in Cohort 2 |
NCT02335411 (14) [back to overview] | Objective Response Rate (ORR) For All Participants in Cohorts 1 and 3 |
NCT02335411 (14) [back to overview] | Objective Response Rate For PD-L1 Positive Participants in Cohort 2 |
NCT02352831 (7) [back to overview] | Overall Response Rate (ORR) |
NCT02352831 (7) [back to overview] | Number of Participants With a CA19-9 Response |
NCT02352831 (7) [back to overview] | Phase I Only: Recommended Phase II Dose of Tosedostat |
NCT02352831 (7) [back to overview] | Time-to-progression (TTP) |
NCT02352831 (7) [back to overview] | Overall Survival Rate (OS) |
NCT02352831 (7) [back to overview] | Phase I Only: Number of Participants Who Experience Dose-limiting Toxicities (DLTs) |
NCT02352831 (7) [back to overview] | Progression-free Survival (PFS) Rate |
NCT02358863 (1) [back to overview] | The Number of Patients With Tumor Size Reduction (Objective Response Rate) |
NCT02359058 (5) [back to overview] | Number of Participants With One or More Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug Administration |
NCT02359058 (5) [back to overview] | Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Objective Response Rate) |
NCT02359058 (5) [back to overview] | Pharmacokinetics (PK): Maximum Serum Concentration (Cmax) of Ramucirumab |
NCT02359058 (5) [back to overview] | Number of Participants With Treatment Emergent Anti-Ramucirumab Antibodies (TE-ADA) |
NCT02359058 (5) [back to overview] | Pharmacokinetics (PK): Minimum Serum Concentration (Cmin) of Ramucirumab |
NCT02393755 (5) [back to overview] | Median PFS (Phase II) |
NCT02393755 (5) [back to overview] | Median OS (Phase II) |
NCT02393755 (5) [back to overview] | To Examine the DLT |
NCT02393755 (5) [back to overview] | Progression Free Survival (PFS) Rate, Defined as the Proportion of Patients Who Survive Without Disease Progression Via the RECIST Version 1.1 (Phase II) |
NCT02393755 (5) [back to overview] | Objective Response Rate |
NCT02445391 (6) [back to overview] | 3-year Overall Survival (OS) Rate in Basal-Subtype Patients |
NCT02445391 (6) [back to overview] | Health-related Quality of Life (HRQL) at 6-month Assessment |
NCT02445391 (6) [back to overview] | Health-related Quality of Life (HRQL) at 15-month Assessment |
NCT02445391 (6) [back to overview] | Proportion of Basal Subtype |
NCT02445391 (6) [back to overview] | 3-year Recurrence-Free Survival (RFS) Rate in Basal-Subtype Patients |
NCT02445391 (6) [back to overview] | 3-year Invasive Disease-Free Survival (IDFS) Rate in Basal-Subtype Patients |
NCT02485834 (5) [back to overview] | Progression-free Survival |
NCT02485834 (5) [back to overview] | Overall Survival |
NCT02485834 (5) [back to overview] | Number of Patients Had Pathologic Complete Response |
NCT02485834 (5) [back to overview] | Number of Patients Achieved R0 Resection During Surgery |
NCT02485834 (5) [back to overview] | Number of Participants Who Reported Grade 3 or Higher Adverse Events |
NCT02494583 (16) [back to overview] | Pembro Mono vs SOC: PFS Per RECIST 1.1 by BICR in Participants With PD-L1 CPS ≥1 (All Participants) |
NCT02494583 (16) [back to overview] | Pembro Mono vs SOC: OS in Participants With PD-L1 CPS ≥10 |
NCT02494583 (16) [back to overview] | Pembro Combo vs SOC: Objective Response Rate (ORR) Per RECIST 1.1 by BICR in Participants With PD-L1 CPS ≥1 (All Participants) |
NCT02494583 (16) [back to overview] | Pembro Mono vs SOC: OS in Participants With PD-L1 CPS ≥1 (All Participants) |
NCT02494583 (16) [back to overview] | Pembro Mono vs SOC: ORR Per RECIST 1.1 by BICR in Participants With PD-L1 CPS ≥1 (All Participants) |
NCT02494583 (16) [back to overview] | Pembro Mono vs SOC: DOR Per RECIST 1.1 by BICR in Participants With PD-L1 CPS ≥1 (All Participants) |
NCT02494583 (16) [back to overview] | Pembro Mono vs SOC: Change From Baseline to Week 18 in the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life (Items 29 and 30) Combined Score |
NCT02494583 (16) [back to overview] | Pembro Combo vs. SOC: Change From Baseline to Week 18 in EORTC QLQ-STO22 Pain Symptom Subscale Score |
NCT02494583 (16) [back to overview] | Pembro Combo vs SOC: Progression Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) by Blinded Independent Central Review (BICR) in Participants With PD-L1 CPS ≥1 (All Participants) |
NCT02494583 (16) [back to overview] | Pembro Combo vs SOC: Overall Survival (OS) in Participants With PD-L1 CPS ≥1 (All Participants) |
NCT02494583 (16) [back to overview] | Number of Participants Discontinuing Study Treatment Due to an AE |
NCT02494583 (16) [back to overview] | Pembro Combo vs SOC: OS in Participants With PD-L1 CPS ≥10 |
NCT02494583 (16) [back to overview] | Number of Participants Experiencing an Adverse Event (AE) |
NCT02494583 (16) [back to overview] | Pembro Combo vs SOC: Change From Baseline to Week 18 in the EORTC QLQ-C30 Global Health Status/Quality of Life (Items 29 and 30) Combined Score |
NCT02494583 (16) [back to overview] | Pembro Combo vs SOC: Duration of Response (DOR) Per RECIST 1.1 by BICR in Participants With PD-L1 CPS ≥1 (All Participants) |
NCT02494583 (16) [back to overview] | Pembro Mono vs. SOC: Change From Baseline to Week 18 in EORTC QLQ-Module for Gastric Cancer (STO22) Pain Symptom Subscale Score |
NCT02494596 (12) [back to overview] | Maximum Plasma Concentration of Capecitabine and it's Metabolites When Given Alone and in Combination With Pertuzumab |
NCT02494596 (12) [back to overview] | Plasma Half-Life of Capecitabine and it's Metabolites When Given Alone and in Combination With Pertuzumab |
NCT02494596 (12) [back to overview] | Time to Maximum Plasma Concentration of Capecitabine and it's Metabolites When Given Alone and in Combination With Pertuzumab |
NCT02494596 (12) [back to overview] | AUC From Time Zero to Infinity (AUC 0-infinity) of Pertuzumab |
NCT02494596 (12) [back to overview] | Apparent Total Clearance of Pertuzumab |
NCT02494596 (12) [back to overview] | Apparent Volume of Distribution of Pertuzumab |
NCT02494596 (12) [back to overview] | Area Under the Concentration Curve From Time Zero to Last Measurement (AUC 0-last) of Pertuzumab |
NCT02494596 (12) [back to overview] | Maximum Plasma Concentration (Cmax) of Pertuzumab |
NCT02494596 (12) [back to overview] | Maximum Tolerated Dose (MTD) of the Combination of Pertuzumab and Capecitabine |
NCT02494596 (12) [back to overview] | Percentage of Participants With DLTs |
NCT02494596 (12) [back to overview] | Plasma Half-Life (t1/2) of Pertuzumab |
NCT02494596 (12) [back to overview] | Time to Maximum Plasma Concentration (Tmax) of Pertuzumab |
NCT02524275 (3) [back to overview] | Overall Response Rate of Complete or Partial Response |
NCT02524275 (3) [back to overview] | Progression-free Survival |
NCT02524275 (3) [back to overview] | Survival |
NCT02550743 (2) [back to overview] | Pathologic Complete Response for Patients With Rectal Cancer |
NCT02550743 (2) [back to overview] | Maximum Tolerated Dose of BYL719 |
NCT02555657 (17) [back to overview] | Overall Survival in Participants With Programmed Cell Death Ligand 1 (PD-L1) With Combined Positive Score (CPS) ≥10 |
NCT02555657 (17) [back to overview] | Overall Survival in Participants With PD-L1 CPS ≥1 |
NCT02555657 (17) [back to overview] | Number of Participants Who Experienced One or More Adverse Events |
NCT02555657 (17) [back to overview] | Progression-Free Survival Per RECIST 1.1 in Participants With PD-L1 CPS ≥10 |
NCT02555657 (17) [back to overview] | Progression-Free Survival Per RECIST 1.1 in Participants With PD-L1 CPS ≥1 |
NCT02555657 (17) [back to overview] | Progression-Free Survival Per RECIST 1.1 in All Participants |
NCT02555657 (17) [back to overview] | Disease Control Rate Per RECIST 1.1 in All Participants |
NCT02555657 (17) [back to overview] | Duration of Response Per RECIST 1.1 in All Participants Who Had a Confirmed Response |
NCT02555657 (17) [back to overview] | Disease Control Rate Per RECIST 1.1 in Participants With PD-L1 CPS ≥1 |
NCT02555657 (17) [back to overview] | Duration of Response Per RECIST 1.1 in Participants With PD-L1 CPS ≥1 Who Had a Confirmed Response |
NCT02555657 (17) [back to overview] | Disease Control Rate Per RECIST 1.1 in Participants With PD-L1 CPS ≥10 |
NCT02555657 (17) [back to overview] | Duration of Response Per RECIST 1.1 in Participants With PD-L1 CPS ≥10 Who Had a Confirmed Response |
NCT02555657 (17) [back to overview] | Number of Participants Who Discontinued Study Treatment Due to an Adverse Event |
NCT02555657 (17) [back to overview] | Overall Response Rate Per RECIST 1.1 in All Participants |
NCT02555657 (17) [back to overview] | Overall Response Rate Per RECIST 1.1 in Participants With PD-L1 CPS ≥1 |
NCT02555657 (17) [back to overview] | Overall Response Rate Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) in Participants With PD-L1 CPS ≥10 |
NCT02555657 (17) [back to overview] | Overall Survival in All Participants |
NCT02574455 (14) [back to overview] | Time to Objective Response by the Investigator Assessment in BM-ve Population |
NCT02574455 (14) [back to overview] | Overall Survival (OS) in ITT Population |
NCT02574455 (14) [back to overview] | Time to Progression (TTP) by IRC Assessment in BM-ve Population |
NCT02574455 (14) [back to overview] | Change From Baseline in European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire Core 30 (EORTC QLQ-C30) Score |
NCT02574455 (14) [back to overview] | Time to Progression (TTP) by Investigator Assessment in BM-ve Population |
NCT02574455 (14) [back to overview] | Duration of Response (DOR) by IRC and Investigator Assessment in BM-ve Population |
NCT02574455 (14) [back to overview] | Clinical Benefit Rate (CBR) by IRC and Investigator Assessment in BM-ve Population |
NCT02574455 (14) [back to overview] | Overall Survival (OS) in BM-ve Population |
NCT02574455 (14) [back to overview] | Time to Objective Response by the IRC Assessment in BM-ve Population |
NCT02574455 (14) [back to overview] | Progression-Free Survival (PFS) by Independent Review Committee (IRC) Assessment in Brain Metastasis Negative (BM-ve) Population |
NCT02574455 (14) [back to overview] | Progression-Free Survival (PFS) by IRC Assessment in the ITT Population |
NCT02574455 (14) [back to overview] | Percentage of Participants Experiencing the Worst Laboratory Abnormalities Grade 3 or 4 Post-Baseline |
NCT02574455 (14) [back to overview] | Percentage of Participants Experiencing Any Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and TEAEs Leading to Discontinuation of Study Drug |
NCT02574455 (14) [back to overview] | Objective Response Rate (ORR) by IRC and Investigator Assessment in BM-ve Population |
NCT02611960 (10) [back to overview] | Progression-free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) |
NCT02611960 (10) [back to overview] | Percentage of Participants With PFS (PFS Rate) at 6 Months |
NCT02611960 (10) [back to overview] | Percentage of Participants With PFS (PFS Rate) at 12 Months |
NCT02611960 (10) [back to overview] | Percentage of Participants Who Experience One or More Adverse Events (AEs) |
NCT02611960 (10) [back to overview] | Percentage of Participants Who Discontinue Study Treatment Due to an AE |
NCT02611960 (10) [back to overview] | Percentage of Participants Surviving (OS Rate) at 24 Months |
NCT02611960 (10) [back to overview] | Percentage of Participants Surviving (OS Rate) at 12 Months |
NCT02611960 (10) [back to overview] | Overall Survival (OS) |
NCT02611960 (10) [back to overview] | Duration of Response (DOR) Per RECIST 1.1 |
NCT02611960 (10) [back to overview] | Objective Response Rate (ORR) Per RECIST 1.1 |
NCT02614794 (19) [back to overview] | Progression-free Survival (PFS) Per RECIST 1.1 as Determined by Blinded Independent Central Review (BICR) |
NCT02614794 (19) [back to overview] | Frequency of Dose Modifications |
NCT02614794 (19) [back to overview] | Frequency of Dose Modifications at Time of Final Analysis |
NCT02614794 (19) [back to overview] | Incidence of Adverse Events (AEs) at Time of Final Analysis |
NCT02614794 (19) [back to overview] | Incidence of Adverse Events (AEs) at Time of Primary Analysis |
NCT02614794 (19) [back to overview] | Incidence of Health Resources Utilization |
NCT02614794 (19) [back to overview] | Pharmacokinetic Measure: ONT-993 |
NCT02614794 (19) [back to overview] | Pharmacokinetic Measure: Ctrough of Tucatinib |
NCT02614794 (19) [back to overview] | CBR Per RECIST 1.1 as Determined by Investigator Assessment |
NCT02614794 (19) [back to overview] | Clinical Benefit Rate (CBR) as Determined by BICR Per RECIST 1.1 |
NCT02614794 (19) [back to overview] | Confirmed Objective Response Rate (ORR) Per RECIST 1.1 as Determined by BICR |
NCT02614794 (19) [back to overview] | Duration of Response (DOR) Per RECIST 1.1 as Determined by BICR |
NCT02614794 (19) [back to overview] | ORR Per RECIST 1.1 as Determined by Investigator Assessment |
NCT02614794 (19) [back to overview] | Overall Survival (OS) at Time of Final Analysis |
NCT02614794 (19) [back to overview] | Overall Survival (OS) at Time of Primary Analysis |
NCT02614794 (19) [back to overview] | PFS in Patients With Brain Metastases at Baseline Using RECIST 1.1 as Determined by BICR |
NCT02614794 (19) [back to overview] | PFS Per RECIST 1.1 as Determined by Investigator Assessment at Time of Final Analysis |
NCT02614794 (19) [back to overview] | PFS Per RECIST 1.1 as Determined by Investigator Assessment at Time of Primary Analysis |
NCT02614794 (19) [back to overview] | DOR Per RECIST 1.1 as Determined by Investigator Assessment |
NCT02625610 (12) [back to overview] | Progression Free Survival (PFS) by Independent Review Committee (IRC) |
NCT02625610 (12) [back to overview] | Maintenance Phase: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs According to National Cancer Institute-Common Terminology Criteria for Adverse Events Version 4.03 (NCI-CTCAE v4.03) |
NCT02625610 (12) [back to overview] | Maintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Abnormalities |
NCT02625610 (12) [back to overview] | Maintenance Phase: Number of Participants With Potentially Clinically Significant Abnormalities in Vital Signs |
NCT02625610 (12) [back to overview] | Maintenance Phase: Number of Participants With Grade Change From Baseline to Worst On-Treatment Grade 4 Hematology Values |
NCT02625610 (12) [back to overview] | Change From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks) |
NCT02625610 (12) [back to overview] | Maintenance Phase: Number of Participants With Shift in Eastern Cooperative Oncology Group (ECOG) Performance Status Score to 1 or Higher Than 1 |
NCT02625610 (12) [back to overview] | Objective Response Rate (ORR) by Investigator Assessment |
NCT02625610 (12) [back to overview] | Overall Survival (OS) |
NCT02625610 (12) [back to overview] | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks) |
NCT02625610 (12) [back to overview] | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks) |
NCT02625610 (12) [back to overview] | Change From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks) |
NCT02694718 (7) [back to overview] | Percentage of Participants With Downstaging of Primary Tumor and/or Lymph Nodes |
NCT02694718 (7) [back to overview] | Number of Participants With Any Adverse Events and Serious Adverse Events |
NCT02694718 (7) [back to overview] | Percentage of Participants With Pathological Complete Tumor Response |
NCT02694718 (7) [back to overview] | Percentage of Participants With Pathological Incomplete Tumor Response |
NCT02694718 (7) [back to overview] | Percentage of Participants With Resection (R0) in Participants With T4 Rectal Cancer |
NCT02694718 (7) [back to overview] | Percentage of Participants With Sphincter-preservation |
NCT02694718 (7) [back to overview] | Number of Participants With Marked Laboratory Abnormalities |
NCT02743221 (5) [back to overview] | Disease Control Rate (DCR) |
NCT02743221 (5) [back to overview] | Overall Survival (OS) |
NCT02743221 (5) [back to overview] | Overall Response Rate (ORR) |
NCT02743221 (5) [back to overview] | Progression Free Survival (PFS) |
NCT02743221 (5) [back to overview] | Duration of Response (DR) |
NCT02748213 (6) [back to overview] | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) According to Response Evaluation Criteria in Solid Tumors (RECIST) |
NCT02748213 (6) [back to overview] | Percentage of Participants With Death or Disease Progression According to RECIST |
NCT02748213 (6) [back to overview] | Progression-Free Survival (PFS) According to RECIST |
NCT02748213 (6) [back to overview] | Duration of Response (DOR) According to RECIST |
NCT02748213 (6) [back to overview] | Overall Survival (OS) |
NCT02748213 (6) [back to overview] | Percentage of Participants Who Died |
NCT02780700 (5) [back to overview] | Disease Control (DC) |
NCT02780700 (5) [back to overview] | Objective Response Rate (ORR) |
NCT02780700 (5) [back to overview] | Overall Survival (OS) |
NCT02780700 (5) [back to overview] | Percentage of Patients With Grade 3 or Worse Adverse Events |
NCT02780700 (5) [back to overview] | Progression Free Survival (PFS) |
NCT02872116 (7) [back to overview] | PFS in Participants Treated With Nivolumab Plus Ipilimumab vs Chemotherapy |
NCT02872116 (7) [back to overview] | PFS in Participants Treated With Nivolumab Plus Chemotherapy vs Chemotherapy |
NCT02872116 (7) [back to overview] | OS in Participants Treated With Nivolumab Plus Ipilimumab vs Chemotherapy |
NCT02872116 (7) [back to overview] | OS in Participants Treated With Nivolumab Plus Chemotherapy vs Chemotherapy |
NCT02872116 (7) [back to overview] | Objective Response Rate |
NCT02872116 (7) [back to overview] | Progression Free Survival (PFS) in Participants Treated With Nivolumab Plus Chemotherapy vs Chemotherapy With PD-L1 CPS ≥ 5 |
NCT02872116 (7) [back to overview] | Overall Survival (OS) in Participants Treated With Nivolumab Plus Chemotherapy vs Chemotherapy With PD-L1 CPS ≥ 5 |
NCT02873195 (4) [back to overview] | Progression Free Survival (PFS) |
NCT02873195 (4) [back to overview] | The Number of Participants Who Experienced at Least One Grade 3 or Higher Adverse Event Deemed at Least Possibly Related to Treatment (Toxicity) |
NCT02873195 (4) [back to overview] | Objective Response Rate |
NCT02873195 (4) [back to overview] | Overall Survival (OS) |
NCT02921256 (3) [back to overview] | Rate of Sphincter Preservation |
NCT02921256 (3) [back to overview] | Neoadjuvant Rectal Cancer (NAR) Score |
NCT02921256 (3) [back to overview] | Rate of Pathologic Complete Response (Nodes and Tumor) ypT0 and ypN0 |
NCT02937116 (13) [back to overview] | TTR According to RECIST 1.1 as Assessed by Investigator |
NCT02937116 (13) [back to overview] | Volume of Distribution of IBI308 in Plasma After Single Dose Administration |
NCT02937116 (13) [back to overview] | Time to Maximum Concentration (Tmax) of Sintilimab in Solid Tumor Participants |
NCT02937116 (13) [back to overview] | OS for Participants |
NCT02937116 (13) [back to overview] | Area Under the Concentration-time Curve From Zero Time (Predose) to the Time of the Last Measurable Concentration (AUC0-t) |
NCT02937116 (13) [back to overview] | Clearance of IBI308 in Plasma After Single Dose Administration |
NCT02937116 (13) [back to overview] | DOR According to RECIST 1.1 as Assessed by Investigator |
NCT02937116 (13) [back to overview] | Maximum Concentration (Cmax) of Sintilimab in Solid Tumor Participants |
NCT02937116 (13) [back to overview] | Number of All Study Participants Who Demonstrate a Tumor Response |
NCT02937116 (13) [back to overview] | Number of Participants Experiencing Dose-limiting Toxicities (DLTs) |
NCT02937116 (13) [back to overview] | Objective Response Rate (ORR) According to RECIST 1.1 as Assessed by Independent Review Committee by Investigator |
NCT02937116 (13) [back to overview] | PFS According to RECIST 1.1 as Assessed by Investigator |
NCT02937116 (13) [back to overview] | The Half-life (t1/2) of IBI308 in Plasma After Single Dose Administration |
NCT02954536 (1) [back to overview] | Percentage of Participants With Progression Free Survival |
NCT02981342 (11) [back to overview] | Stage 1: Disease Control Rate (DCR): Percentage of Participants With a Best Overall Response of Complete Response (CR), Partial Response (PR) or Stable Disease (SD) |
NCT02981342 (11) [back to overview] | Stage 2: Clinical Benefit Rate (CBR): Percentage of Participants With Best Overall Response of CR, PR, or SD With Duration of SD for at Least 6 Months |
NCT02981342 (11) [back to overview] | Stage 2: Change From Baseline in Carbohydrate Antigen 19.9 (CA 19-9) Level |
NCT02981342 (11) [back to overview] | Stage 1: PK: Steady State Trough Pre Dose Concentration of LY3023414 |
NCT02981342 (11) [back to overview] | Stage 1: Pharmacokinetics (PK): Mean Steady State Exposure of Abemaciclib and Its Metabolites (LSN2839567 (M2), LSN3106726 (M20)) |
NCT02981342 (11) [back to overview] | Stage 2: Change From Baseline in Pain and Symptom Burden Assessment on the Modified Brief Pain Inventory-Short Form (mBPI-sf) |
NCT02981342 (11) [back to overview] | Stage 2: Progression Free Survival (PFS) |
NCT02981342 (11) [back to overview] | Stage 2: Change From Baseline in Symptom Burden on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30 (EORTC QLQ-C30) |
NCT02981342 (11) [back to overview] | Stage 1: Objective Response Rate (ORR): Percentage of Participants With a Best Overall Response (BOR) of CR or PR |
NCT02981342 (11) [back to overview] | Stage 1: PK: Mean Single Dose Concentration of LY3023414 at 2h Post-dose |
NCT02981342 (11) [back to overview] | Stage 2: Overall Survival (OS) |
NCT03026803 (1) [back to overview] | Response Rate |
NCT03044730 (6) [back to overview] | 1-year Progression Free Survival (PFS) Rate |
NCT03044730 (6) [back to overview] | Objective Response Rate (ORR) |
NCT03044730 (6) [back to overview] | Objective Response Rate (ORR) |
NCT03044730 (6) [back to overview] | Median PFS (Median Progression-Free Survival) |
NCT03044730 (6) [back to overview] | Median PFS (Median Progression-Free Survival) |
NCT03044730 (6) [back to overview] | Clinical Benefit Rate (CBR) |
NCT03050814 (3) [back to overview] | Number of Participants That Are Hospitalized Because of Adverse Events Attributed to Disease Progression |
NCT03050814 (3) [back to overview] | Number of Participants With Serious and Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0) |
NCT03050814 (3) [back to overview] | Progression Free Survival Between the Standard of Care (SOC) Arm A, and Standard of Care (SOC) Arm B + lead-in |
NCT03093870 (10) [back to overview] | Number of Participants With Clinically Significant Change in Vital Signs and Physical Examinations - Part 1 |
NCT03093870 (10) [back to overview] | Progression-free Survival (PFS) - Part 1 |
NCT03093870 (10) [back to overview] | Number of Participants With ECG Parameters of Interest - Safety Lead-In |
NCT03093870 (10) [back to overview] | Number of Participants With Clinically Significant Laboratory Tests - Part 1 |
NCT03093870 (10) [back to overview] | Overall Survival (OS) - Part 1 |
NCT03093870 (10) [back to overview] | Number of Participants With Clinically Significant Laboratory Tests- Safety Lead-in |
NCT03093870 (10) [back to overview] | Duration of Response (DoR) - Part 1 |
NCT03093870 (10) [back to overview] | Number of Participants With Clinically Significant Change in Vital Signs and Physical Examinations - Safety Lead-In |
NCT03093870 (10) [back to overview] | Number of Participants With ECG Parameters of Interest - Part 1 |
NCT03093870 (10) [back to overview] | Tumor Size - Part 1 |
NCT03111732 (7) [back to overview] | Number Participants With Grade 1-4 Adverse Events Unrelated, Unlikely, Possibly, Probably and Definitely Related to Oxaliplatin |
NCT03111732 (7) [back to overview] | Number of Participants With Grade 1-4 Adverse Events Unrelated, Unlikely, Possibly, and Probably Related to Capecitabine |
NCT03111732 (7) [back to overview] | Number of Participants Obtaining a Complete Response (CR) and Partial Response (PR) |
NCT03111732 (7) [back to overview] | Overall Survival |
NCT03111732 (7) [back to overview] | Number of Participants With Serious and Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0) |
NCT03111732 (7) [back to overview] | Progression Free Survival (PFS) |
NCT03111732 (7) [back to overview] | Number Participants With Grade 1-4 Adverse Events Unrelated, Unlikely, Possibly, Probably and Definitely Related to Pembrolizumab |
NCT03262935 (6) [back to overview] | Investigator Assessed Progression Free Survival |
NCT03262935 (6) [back to overview] | Objective Response Rate |
NCT03262935 (6) [back to overview] | Overall Survival |
NCT03262935 (6) [back to overview] | Patient Reported Outcomes for Health Related Quality of Life |
NCT03262935 (6) [back to overview] | Patient Reported Outcomes for Health Related Quality of Life |
NCT03262935 (6) [back to overview] | Progression Free Survival |
NCT03376659 (3) [back to overview] | Progression Free Survival (PFS) |
NCT03376659 (3) [back to overview] | Progression Free Survival Rate (PFS) Pancreatic Cancer |
NCT03376659 (3) [back to overview] | Progression Free Survival Rate (PFS) Colorectal Cancer |
NCT03501979 (1) [back to overview] | Length of Subject Survival After Starting Study Treatment |
NCT03515941 (2) [back to overview] | Median Time to Recurrence |
NCT03515941 (2) [back to overview] | Number of Participants Who Complete the Recommended Therapy From Each Arm |
NCT03523585 (5) [back to overview] | Percentage of Participants With Objective Response Rate (ORR) in Participants With HER2-positive, Unresectable and/or Metastatic Breast Cancer Participants Previously Treated With Trastuzumab Emtansine |
NCT03523585 (5) [back to overview] | Duration of Response (DoR) Based on BICR in Participants With HER2-positive, Unresectable and/or Metastatic Breast Cancer Participants Previously Treated With Trastuzumab Emtansine |
NCT03523585 (5) [back to overview] | Overall Survival (OS) in Participants With HER2-positive, Unresectable and/or Metastatic Breast Cancer Participants Previously Treated With Trastuzumab Emtansine |
NCT03523585 (5) [back to overview] | Progression-Free Survival (PFS) Based on Blinded Independent Central Review (BICR) in Participants With HER2-positive, Unresectable and/or Metastatic Breast Cancer Participants Previously Treated With Trastuzumab Emtansine |
NCT03523585 (5) [back to overview] | Progression-Free Survival (PFS) Based on Investigator Assessment in Participants With HER2-positive, Unresectable and/or Metastatic Breast Cancer Participants Previously Treated With Trastuzumab Emtansine |
NCT03675737 (14) [back to overview] | Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) Assessed by Blinded Independent Central Review (BICR) in Participants With Programmed Cell Death Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥1 |
NCT03675737 (14) [back to overview] | Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) Assessed by Blinded Independent Central Review (BICR) in Participants With Programmed Cell Death Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥10 |
NCT03675737 (14) [back to overview] | Overall Survival (OS) in All Participants |
NCT03675737 (14) [back to overview] | Overall Survival (OS) In Participants With Programmed Cell Death Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥10 |
NCT03675737 (14) [back to overview] | Progression Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) Assessed by Blinded Independent Central Review (BICR) in All Participants |
NCT03675737 (14) [back to overview] | Progression Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) Assessed by Blinded Independent Central Review (BICR) in Participants With Programmed Cell Death Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥1 |
NCT03675737 (14) [back to overview] | Progression Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) Assessed by Blinded Independent Central Review (BICR) in Participants With Programmed Cell Death Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥10 |
NCT03675737 (14) [back to overview] | Duration of Response (DOR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) Assessed by Blinded Independent Central Review (BICR) in All Participants |
NCT03675737 (14) [back to overview] | Duration of Response (DOR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) Assessed by Blinded Independent Central Review (BICR) in Participants With Programmed Cell Death Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥1 |
NCT03675737 (14) [back to overview] | Overall Survival (OS) In Participants With Programmed Cell Death Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥1 |
NCT03675737 (14) [back to overview] | Number of Participants Who Discontinued Study Treatment Due To an Adverse Event (AE) |
NCT03675737 (14) [back to overview] | Number of Participants Who Experienced an Adverse Event (AE) |
NCT03675737 (14) [back to overview] | Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) Assessed by Blinded Independent Central Review (BICR) in All Participants |
NCT03675737 (14) [back to overview] | Duration of Response (DOR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) Assessed by Blinded Independent Central Review (BICR) in Participants With Programmed Cell Death Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥10 |
NCT03734029 (12) [back to overview] | Best Overall Response and Confirmed Objective Response Rate (ORR) in the Hormone Receptor-Positive Cohort in Participants With HER2-low Breast Cancer |
NCT03734029 (12) [back to overview] | Duration of Response in the Hormone Receptor-Positive Cohort in Participants With HER2-low Breast Cancer |
NCT03734029 (12) [back to overview] | Duration of Response in Participants With HER2-low Breast Cancer (All Patients) |
NCT03734029 (12) [back to overview] | Best Overall Response and Confirmed Objective Response Rate (ORR) in Participants With HER2-low Breast Cancer (All Patients) |
NCT03734029 (12) [back to overview] | Progression-free Survival Based on Investigator Assessment in the Hormone Receptor-Positive Cohort in Participants With HER2-low Breast Cancer |
NCT03734029 (12) [back to overview] | Overall Survival (OS) in All Patients |
NCT03734029 (12) [back to overview] | Number of Overall Survival Events (Deaths) |
NCT03734029 (12) [back to overview] | All-Cause Mortality |
NCT03734029 (12) [back to overview] | Overall Survival (OS) in the Hormone Receptor-Positive Cohort in Participants With HER2-low Breast Cancer |
NCT03734029 (12) [back to overview] | Progression-free Survival (PFS) Based on Blinded Independent Central Review (BICR) in Participants With HER2-low Breast Cancer (All Patients) Regardless of Hormone Receptor Status |
NCT03734029 (12) [back to overview] | Progression-free Survival (PFS) Based on Blinded Independent Central Review (BICR) in the Hormone Receptor-Positive Cohort in Participants With HER2-low Breast Cancer |
NCT03734029 (12) [back to overview] | Progression-free Survival Based on Investigator Assessment in Participants With HER2-low Breast Cancer (All Patients) |
NCT03770689 (20) [back to overview] | Number of Participants With Abnormalities [Grade Greater Than or Equals to (>=) 3] in Laboratory Test Values |
NCT03770689 (20) [back to overview] | Number of Participants Who Experienced Dose Limiting Toxicity (DLT) Confirmed by Safety Monitoring Committee (SMC) |
NCT03770689 (20) [back to overview] | Apparent Volume of Distribution (Vz/f) of Peposertib |
NCT03770689 (20) [back to overview] | Neoadjuvant Rectal (NAR) Score |
NCT03770689 (20) [back to overview] | Apparent Volume of Distribution (Vz/f) of Peposertib |
NCT03770689 (20) [back to overview] | Disease-free Survival |
NCT03770689 (20) [back to overview] | Area Under the Plasma Concentration-time Curve From Time Zero to Last Sampling Time (Tlast) (AUC0-t) of Peposertib |
NCT03770689 (20) [back to overview] | Maximum Observed Plasma Concentration (Cmax) of Peposertib |
NCT03770689 (20) [back to overview] | Number of Participants Wtih Treatment Emergent Adverse Events (TEAEs) and Treatment-Related TEAEs According to National Cancer Institute Common Terminology Criteria of Adverse Events (NCI-CTCAE) Version 5.0 |
NCT03770689 (20) [back to overview] | Time to Reach Maximum Plasma Concentration (Tmax) of Peposertib |
NCT03770689 (20) [back to overview] | Time From Surgery to Distant Metastasis |
NCT03770689 (20) [back to overview] | Apparent Terminal Half-life (t1/2) of Peposertib |
NCT03770689 (20) [back to overview] | Apparent Terminal Half-life (t1/2) of Peposertib |
NCT03770689 (20) [back to overview] | Total Body Clearance Following Oral Administration (CL/f) of Peposertib |
NCT03770689 (20) [back to overview] | Time From Surgery to Local Recurrence |
NCT03770689 (20) [back to overview] | Percentage of Participants With Pathological Complete Response (pCR) |
NCT03770689 (20) [back to overview] | Percentage of Participants With Composite Pathological Complete Response (pCR)/ Clinical Complete Response (cCR) |
NCT03770689 (20) [back to overview] | Percentage of Participants With Clinical Complete Response (cCR) |
NCT03770689 (20) [back to overview] | Number of Participants With Markedly Abnormal Vital Sign Measurements |
NCT03770689 (20) [back to overview] | Number of Participants With Clinically Significant Abnormalities in Electrocardiogram (ECG) Findings |
NCT03783442 (1) [back to overview] | Overall Survival (OS) |
NCT03853707 (4) [back to overview] | Overall Survival (OS) |
NCT03853707 (4) [back to overview] | Overall Response |
NCT03853707 (4) [back to overview] | Progression-free Survival (PFS) |
NCT03853707 (4) [back to overview] | Clinical Benefit Rate |
NCT03930771 (4) [back to overview] | Safety, as Measured by the Number of Subjects With at Least One AE |
NCT03930771 (4) [back to overview] | Effect of the CAP and TMZ Combination on Pituitary Function, Measured by Changes in Pituitary Hormone Secretion in Patients |
NCT03930771 (4) [back to overview] | Tolerability of the TMZ and Capecitabine Combination, as Measured by Number of Participants With a Dose-limiting Toxicity |
NCT03930771 (4) [back to overview] | Number of Subjects With Radiographic Response, as Defined by the RECIST Criteria. |
NCT04031885 (1) [back to overview] | Objective Response Rate (ORR): Percentage of Participants Who Achieve Complete Response (CR) or Partial Response (PR) |
NCT04034251 (8) [back to overview] | Number of Grades 3-5 Serious and/or Non-serious Adverse Events Related to the Research Interventions |
NCT04034251 (8) [back to overview] | Progression Free Survival (PFS) in Participants With Peritoneal Metastases From Gastric Cancer After Repeated Intraperitoneal Chemotherapeutic Infusion (IPC) and Systemic Paclitaxel Administration With Concomitant Capecitabine Therapy |
NCT04034251 (8) [back to overview] | Overall Survival (OS) |
NCT04034251 (8) [back to overview] | Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0) |
NCT04034251 (8) [back to overview] | Number of Participants With Intra-peritoneal Progression Free Survival (iPFS) |
NCT04034251 (8) [back to overview] | Number of Participants With Distant Extra-peritoneal Disease-free Survival |
NCT04034251 (8) [back to overview] | Intra-peritoneal Progression Free Survival (iPFS) Reported With an 95% Confidence Interval |
NCT04034251 (8) [back to overview] | Intra-peritoneal Progression Free Survival (iPFS) Reported With an 80% Confidence Interval |
NCT04366713 (2) [back to overview] | Incidence and Severity of Diarrhea |
NCT04366713 (2) [back to overview] | Changes in Colon Pathology |
NCT05091528 (4) [back to overview] | Proportion of Participants With Dose Limiting Toxicities |
NCT05091528 (4) [back to overview] | Number of Participants With an Objective Response Rate |
NCT05091528 (4) [back to overview] | Number of Participants With Laboratory Abnormalities |
NCT05091528 (4) [back to overview] | Number of Participants With Treatment-emergent Adverse Events |
Overall Clinical Response Rate
Overall response rate is defined as the percentage of participants with a CR (complete disappearance of all target lesions), PR (a 30% decrease in the sum of the longest diameter of target lesions) determined by clinical measurements per the Response Evaluation Criteria in Solid Tumors (RECIST) and/or a complete pathologic response (disappearance of all invasive tumor pathologically or presence of ductal carcinoma in situ) per the Chevallier criteria. For details about the RECIST or Chevallier criteria see the protocol link module. (NCT00005908)
Timeframe: 6 years
Intervention | Percentage of participants (Number) |
---|
| Complete Response | Partial Response | Complete pathologic response |
---|
Dose A & B-Cohort 1 & 2-Arm 1& 2-Docetaxel & Capecitabine | 31 | 59 | 10 |
[back to top]
Complementary Deoxyribonucleic Acid (cDNA) Expression
Patients were classified as responders or non-responders based on change in tumor size by clinical exam and pathologic response.For instance, patients with a pathological complete response, micro-invasive disease at surgery, or clinical complete response after four cycles of treatment were considered responders. Changes in gene expression associated with treatment was assessed before/after chemotherapy. All gene expression summary intensities below 50 were thresholded to the value of 50 and genes showing variability significantly smaller than the median gene variability were screened out. (NCT00005908)
Timeframe: 6 years
,
Intervention | Participants (Number) |
---|
| Responders | Non-responders |
---|
Dose A-Cohort 1-Arm 1-Docetaxel & Capecitabine | 8 | 2 |
Dose B-Cohort 2-Arm 2 Reduced Dose-Docetaxel & Capecitabine | 7 | 13 |
[back to top]
Number of Participants With Adverse Events
Here is the number of participants with adverse events. For the detailed list of adverse events see the adverse event module. (NCT00005908)
Timeframe: 6 years
Intervention | Participants (Number) |
---|
Dose A-Cohort 1-Arm 1-Docetaxel & Capecitabine | 9 |
Dose B-Cohort 2-Arm 2 Reduced Dose-Docetaxel & Capecitabine | 20 |
[back to top]
Number of Participants, e.g. Responders and Non-responders With a Percent Change in Expression Patterns After Chemotherapy With Changes in Expression Patterns After Chemotherapy in Preclinical Models
Patients were classified as responders or non-responders based on change in tumor size by clinical exam and pathologic response.For instance, patients with a pathological complete response, micro-invasive disease at surgery, or clinical complete response after four cycles of treatment were considered responders. Changes in gene expression associated with treatment was assessed before/after chemotherapy. All gene expression summary intensities below 50 were thresholded to the value of 50 and genes showing variability significantly smaller than the median gene variability were screened out. (NCT00005908)
Timeframe: 6 years
Intervention | Participants (Number) |
---|
| Responders | Non-responders |
---|
Dose A & B-Cohort 1 & 2-Arm 1 & 2-Docetaxel & Capecitabine | 8 | 13 |
[back to top]
Disease-free Survival
Participants with disease-free survival were reported. Disease-free survival was assessed as the number of days between randomization and the first time at which relapse, a new occurrence of colon cancer, or death was recorded, or the last time at which a participant was known to be disease free (censoring time). (NCT00009737)
Timeframe: Approximately 3 years
Intervention | Participants (Number) |
---|
Capecitabine | 656 |
5-Fluorouracil + Leucovorin | 603 |
[back to top]
Number of Participants With Abnormalities for Blood Chemistry and Hematological Parameters
Laboratory abnormalities were categorized according to the National Cancer Institute of Canada Common Toxicity Criteria (NCIC - CTC) grading system (May 1991 revised) as Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (life- threatening). Participants with abnormalities in hemoglobin, granulocytes, lymphocytes, neutrophils, neutrophils/granulocytes, platelets, white blood cell, potassium, serum creatinine, sodium, total bilirubin, alanine transaminase, aspartate aminotransferase, alkaline phosphatase, calcium (hyper), and calcium (hypo) with Grades 1-4 were presented. (NCT00009737)
Timeframe: Up to Week 25
,
Intervention | Participants (Number) |
---|
| Alanine transaminase | Aspartate aminotransferase | Alkaline Phosphatase | Calcium (Hyper) | Calcium (Hypo) | Granulocytes | Hemoglobin | Lymphocytes | Neutrophils | Neutrophils/Granulocytes | Platelets | Potassium | Serum Creatinine | Sodium | Total Bilirubin | White blood cell |
---|
5-Fluorouracil + Leucovorin | 333 | 288 | 289 | 68 | 112 | 43 | 650 | 744 | 596 | 612 | 160 | 156 | 138 | 184 | 185 | 409 |
Capecitabine | 327 | 300 | 334 | 67 | 150 | 20 | 691 | 778 | 308 | 316 | 182 | 209 | 157 | 189 | 501 | 220 |
[back to top]
Mean Change From Baseline in Global Health Status at Week 25
Global health status was assessed as a sub scale of European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30. It was scored on a scale of 0-100; where higher score indicates better quality of life. Wherever the scores for the participants were not available, the last value carried forward (LVCF) were used. (NCT00009737)
Timeframe: Baseline (Days -7 to 1) and at Week 25
Intervention | Score on a scale (Mean) |
---|
Capecitabine | 2.1 |
5-Fluorouracil + Leucovorin | 2.6 |
[back to top]
Overall Survival
Participants with overall survival were reported. Overall survival was assessed as the number of days between randomization and death or the last time at which a participant was known to be alive (censoring time). (NCT00009737)
Timeframe: Approximately 3 years
Intervention | Participants (Number) |
---|
Capecitabine | 804 |
5-Fluorouracil + Leucovorin | 756 |
[back to top]
Relapse-Free Survival
Participants with relapse-free survival were reported. Relapse-free survival was assessed as the number of days between randomization and the first time at which relapse, a new occurrence of colon cancer, or death was recorded, or the last time at which a participants was known to be disease free (censoring time), excluding deaths that were not related to treatment or to disease progression. (NCT00009737)
Timeframe: Approximately 3 years
Intervention | Participants (Number) |
---|
Capecitabine | 677 |
5-Fluorouracil + Leucovorin | 621 |
[back to top]
Number of Participants With Any Adverse Events and Serious Adverse Events
An Adverse Event (AE) is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered to be related to the medicinal product. An Serious Adverse Events (SAEs) is any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or results in a congenital anomaly/birth defect. (NCT00009737)
Timeframe: Up to Week 29
,
Intervention | Participants (Number) |
---|
| All adverse events | Serious adverse events |
---|
5-Fluorouracil + Leucovorin | 885 | 182 |
Capecitabine | 910 | 181 |
[back to top]
Duration of Overall Complete Response
The duration of overall complete response was assessed from the time that measurement criteria were met for complete response until the first date that recurrent or progressive disease was objectively documented. Participants without observed progressive disease after an objective complete response were censored at the date of the last tumor assessment. (NCT00022698)
Timeframe: Approximately 43 Months
Intervention | months (Number) |
---|
Cohort 1, Initial Regimen: (Capecitabine + Irinotecan) | 12.45 |
Cohort 2, Amended Regimen: (Capecitabine + Irinotecan) | 12.68 |
[back to top]
Duration of Overall Response
Duration of overall response was assessed from the time that measurement criteria were first met for CR/PR (whichever is first recorded) until the first date that recurrent or progressive disease was documented. It was analyzed for responders only. Participants without observed progressive disease after an objective response were censored at the date of the last tumor assessment. (NCT00022698)
Timeframe: Approximately 43 Months
Intervention | months (Median) |
---|
Cohort 1, Initial Regimen: (Capecitabine + Irinotecan) | 7.0 |
Cohort 2, Amended Regimen: (Capecitabine + Irinotecan) | 7.7 |
[back to top]
Overall Survival
Overall Survival is defined as the time from start of treatment to the date of death. Participants who did not die were censored at the last date the participant was known to be alive. (NCT00022698)
Timeframe: Approximately 43 Months
Intervention | months (Median) |
---|
Cohort 1, Initial Regimen: (Capecitabine + Irinotecan) | 22.9 |
Cohort 2, Amended Regimen: (Capecitabine + Irinotecan) | 20.5 |
[back to top]
Percentage of Participants With One-year Survival
Survival was measured as the time from start of treatment to the date of death or till one year whichever occurred first. (NCT00022698)
Timeframe: Up to Month 12
Intervention | percentage of participants (Number) |
---|
Cohort 1, Initial Regimen: (Capecitabine + Irinotecan) | 67 |
Cohort 2, Amended Regimen: (Capecitabine + Irinotecan) | 71 |
[back to top]
Time to Disease Progression
Time to disease progression was assessed as the time from start of treatment to the time the participant was first recorded as having disease progression or died due to causes other than disease progression. If a participant never progressed while being followed, he/she was censored at the date of the last tumor assessment or the date of the last dose if no post-baseline tumor measurement was available. (NCT00022698)
Timeframe: Approximately 43 Months
Intervention | months (Median) |
---|
Cohort 1, Initial Regimen: (Capecitabine + Irinotecan) | 6.1 |
Cohort 2, Amended Regimen: (Capecitabine + Irinotecan) | 7.6 |
[back to top]
Time To Objective Response
The time to objective response is defined as the time from start of treatment to the date of first objective response. Participants who never responded during study were censored at the last tumor assessment or the date of last dose, whichever was later, or at the date of death if occurring prior to response. (NCT00022698)
Timeframe: Approximately 43 Months
Intervention | months (Median) |
---|
Cohort 1, Initial Regimen: (Capecitabine + Irinotecan) | 5.5 |
Cohort 2, Amended Regimen: (Capecitabine + Irinotecan) | 4.3 |
[back to top]
Time to Treatment Failure
Time to treatment failure was assessed as the time from start of treatment to the time the participant was withdrawn due to any of the reasons such as adverse events, progressive disease, insufficient therapeutic response, death, failure to return, or refused treatment, did not cooperate or withdrew consent. (NCT00022698)
Timeframe: Approximately 43 Months
Intervention | months (Median) |
---|
Cohort 1, Initial Regimen: (Capecitabine + Irinotecan) | 5.8 |
Cohort 2, Amended Regimen: (Capecitabine + Irinotecan) | 7.3 |
[back to top]
Number of Participants With Any Adverse Events, Serious Adverse Events and Deaths
An adverse event (AEs) is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events. A serious adverse event is defined as any event which was fatal (resulted in death), life-threatening (with immediate risk of death), resulted in a new or prolongation of a current hospitalization, resulted in persistent or significant disability or incapacity, was a congenital anomaly or birth defect, considered medically significant by the investigator, required intervention to prevent one or more of the outcomes listed above. (NCT00022698)
Timeframe: Approximately 43 Months
,,
Intervention | Number of participants (Number) |
---|
| Any AEs | SAEs | Deaths During Study | Deaths During Follow-up |
---|
Cohort 1, Initial Regimen: (Capecitabine + Irinotecan) | 15 | 10 | 0 | 13 |
Cohort 2, Amended Regimen: (Capecitabine + Irinotecan) | 52 | 25 | 3 | 23 |
Total Participants (Cohort 1 + Cohort 2) | 67 | 35 | 3 | 36 |
[back to top]
Tumor Response Rate Based on Tumor Measurement as Per Response Evaluation Criteria In Solid Tumors Version 1.0 (RECIST 1.0)
Objective Response Rate (ORR) is defined as the percentage of participants with complete response (CR) or partial response (PR) according to response evaluation criteria in solid tumors (RECIST 1.0). CR is defined as the disappearance of all target and non-target lesions and normalization of tumor marker level. PR is defined as a greater than or equal to (>/=) 30% decrease in the sum of the longest diameter (LD) of the target lesions, taking as reference the baseline sum of LD. Participants who did not have a post-baseline tumor measurement were considered non-responders in the assessment of ORR. (NCT00022698)
Timeframe: Approximately 43 Months
,
Intervention | percentage of participants (Number) |
---|
| CR | PR |
---|
Cohort 1, Initial Regimen:(Capecitabine + Irinotecan) | 7 | 40 |
Cohort 2, Amended Regimen: (Capecitabine + Irinotecan) | 2 | 42 |
[back to top]
Relapse-free Survival Rates at 2.4 Years
"Percentage of participants who were alive and relapse-free at time of analysis were counted as Alive without relapse at 2.4 years. Participants who had a first local recurrence, first distant metastasis or death from any cause were counted as relapse, first occurrence. These rates were estimated using the Kaplan Meier method" (NCT00024102)
Timeframe: randomization until date of first event, or date last known to be event free if no event was reported (up to 5 years)
,
Intervention | percentage of participants (Number) |
---|
| Relapse, first occurrence | Alive without relapse |
---|
Capecitabine | 20 | 80 |
Standard Chemotherapy | 11 | 89 |
[back to top]
[back to top]
Overall Survival Rate at 2.4 Years
Percentage of patients who were alive at 2.4 years. This rate was estimated using the Kaplan Meier method. (NCT00024102)
Timeframe: Time from registration to death (up to 15 years)
Intervention | percentage of participants (Number) |
---|
Standard Chemotherapy | 93 |
Capecitabine | 88 |
[back to top]
Overall Survival
Measured from time of registration to death, or last contact date (NCT00033540)
Timeframe: All patients will be followed until death or three years after registration, whichever is first.
Intervention | months (Median) |
---|
Capecitabine + Gemcitabine | 7 |
[back to top]
Accrual of Patients With This Disease Site
Only eligible patients who received treatment were evaluable for response and survival outcomes. (NCT00033540)
Timeframe: 1-20 months
Intervention | participants (Number) |
---|
| Eligible | Eligible and Analyzable |
---|
Capecitabine + Gemcitabine | 54 | 52 |
[back to top]
[back to top]
[back to top]
Response
Complete Response (CR) is complete disappearance of all measurable and non-measurable disease. No new lesions, no disease related symptoms. Normalization of markers and other abnormal lab values. Partial Response (PR) is greater than or equal to 30% decrease under baseline of the sum of longest diameters of all target measurable lesions. No unequivocal progression of non-measurable disease. No new lesions. Confirmation of CR or PR means a repeat scan at least 4 weeks apart documented before progression or symptomatic deterioration. Progression is 20% increase in sum of longest diameters of target measurable lesions over smallest sum observed and/or unequivocal progression of non-measurable disease and/or appearance of new lesion/site or death due to disease without prior documentation of progression and without symptomatic deterioration. Symptomatic deterioration is global deterioration of health status requiring discontinuation of treatment without objective evidence of progression. (NCT00033540)
Timeframe: Patients assessed at least every six weeks while on protocol treatment
Intervention | participants (Number) |
---|
| Confirmed Partial Response | Unconfirmed Partial Response | Stable Disease | Progression | Symptomatic Deterioration | Early Death | Inadequate Assessment |
---|
Capecitabine + Gemcitabine | 7 | 6 | 12 | 15 | 3 | 1 | 8 |
[back to top]
Percentage of Participants With Reoccurrence
Percentage of participants where number with local recurrence, distant metastasis, or death of any cause at 50 months is divided by total number of participants and used as primary efficacy end point to compare paclitaxel to combination docetaxel and capecitabine in breast cancer treatment for preventing recurrence (return of cancer). (NCT00050167)
Timeframe: Median of 50 months
Intervention | participants (Log Mean) |
---|
Weekly Paclitaxel (WP) | 90.7 |
Docetaxel and Capecitabine (DX) | 87.5 |
[back to top]
Maximum Tolerated Dose Determined by Dose-limiting Toxicities
1st 3 pts will be treated on arm 2. If 0/3 DLTs observed, the dose will be escalated to arm 3. If 1/3 DLTs onserved on arm 2, 3 more pts will be treated on arm 2. If no additional DLTs are observed on arm 2, the dose will be escalated to arm 3. If at most 1/6 DLTs observed on arm 3, arm 3 will be considered the MTD. If more than 1/6 DLTs observed on arm 3, the dose will be de-escalated to arm 2. If at most 1/6 DLTs observed on arm 2, arm 2 will be considered the MTD. If more than 1/6 pts on arm 2 experience a DLT, the dose will be de-escalated to arm 1. The remaining pts will be treated on arm 1 as the MTD, unless more than 1/6 DLTs, in which case the study will stop. DLT is defined as any grade III or IV non-hematologic toxicity (incl. diarrhea w adequate antidiarrheal treatment & hydration & nausea/vomiting w maximal antiemetic prophylaxis, as per protocol) or grade IV hematologic toxicity. DLT will be based on the 1st course of treatment according to the revised NCI CTC v 2.0 (NCT00068588)
Timeframe: 21 days
Intervention | Patients experiencing DLT (Number) |
---|
Arm 2 | 0 |
Arm 3 | 0 |
[back to top]
Response Rate of a Combination of GTI-2040 and Capecitabine
Following the dose escalation step, additional patients will be accrued at the MTD and evaluated for disease response using RECIST v1.0 criteria. Patients with confirmed complete or partial response are considered to have responded favorably to treatment.The sample size and early stopping for futility was governed by a two stage Optimum design suggested by Simon. It was assumed that a true response rate less than 25% would not warrant further study of this agent. It was also assumed that a response rate of 45% would be considered promising. In the first stage (following the dose escalation step), 15 evaluable patients were treated. Four or fewer observed responses, would stop accrual, while 5 or more observed would continue accrual for an additional 12 patients during the second stage of the study. Ten or more responses out of 27 patients will be considered evidence warranting further study of the regimen providing toxicity and survival also appear favorable. (NCT00068588)
Timeframe: Up to 6 years
Intervention | percentage of patients responding (Number) |
---|
Arm 3 | 20 |
[back to top]
PFS by General Approach, Participants With Curative Surgery Not Censored: Superiority of Chemotherapy Plus BV Over Chemotherapy Alone
PFS is defined as the time from randomization to disease progression (PD) or death due to any cause. Participants who underwent curative surgery after experiencing a sufficient shrinkage of their tumor were not censored at the date of surgery, but any relapse, new occurrence of colorectal cancer, or death was considered as an event. Superiority analysis that followed the general approach took into account all tumor assessments obtained during the primary study treatment phase, the post-study treatment phase and those obtained during the follow-up phase. Superiority of the BV-containing arms was compared with the chemotherapy alone arms. (NCT00069095)
Timeframe: Baseline until disease progression or death, approximately 2 years 6 months
Intervention | days (Median) |
---|
FOLFOX-4+P/XELOX+P | 245.0 |
FOLFOX-4+BV/XELOX+BV | 287.0 |
[back to top]
Progression-free Survival (PFS) as Assessed by the Investigator According to Response Evaluation Criteria in Solid Tumors (RECIST) by General Approach (Participants With Curative Surgery Censored): Non-inferiority of XELOX Versus FOLFOX-4
PFS was defined as the time from randomization to progressive disease or death. Participants with neither disease progression nor death were censored at the last date of the last tumor assessment that confirmed that their disease had not progressed. Participants with no tumor assessments after baseline who were alive at the time of clinical cutoff were censored at the date of randomization. Participants who underwent surgical resection with curative intent without prior progression were censored at the date of surgery. PFS was based on tumor assessments made by the investigators according to the RECIST criteria. Non-inferiority analysis that followed the general approach took into account all tumor assessments obtained during the primary study treatment phase, the post-study treatment phase and those obtained during the follow-up phase. Non-inferiority of the XELOX-containing arms compared with the FOLFOX-4- containing arms was investigated. (NCT00069095)
Timeframe: Baseline until disease progression or death, approximately 2 years 6 months
Intervention | days (Median) |
---|
FOLFOX-4/FOLFOX-4+P/FOLFOX-4+BV | 259 |
XELOX/XELOX+P/XELOX+BV | 241 |
[back to top]
Time to Response as Assessed by the Investigator According to RECIST: Non-inferiority of XELOX Versus FOLFOX-4
For participants whose BOR was CR or PR, time to response was measured as the time from randomization to the first time when the measurement criteria for CR or PR (whichever status was recorded first) was met. It was based on tumor assessments made by the investigators according to the RECIST criteria. Results were reported as the number of participants achieving a response in 8 time categories from Week 1 to Week 54. Non-inferiority of the XELOX-containing arms was compared with the FOLFOX-4-containing arms. (NCT00069095)
Timeframe: Week 1 to Week 54
,
Intervention | Participants (Number) |
---|
| Week 1-6 | Week 7-12 | Week 13-18 | Week 19-24 | Week 25-30 | Week 31-36 | Week 37-42 | Week 49-54 |
---|
FOLFOX-4/FOLFOX-4+P/FOLFOX-4+BV | 67 | 190 | 155 | 25 | 14 | 7 | 3 | 2 |
XELOX/XELOX+P/XELOX+BV | 93 | 191 | 110 | 38 | 13 | 3 | 1 | 0 |
[back to top]
Time to Response as Assessed by the Investigator According to RECIST: Superiority of Chemotherapy Plus BV Over Chemotherapy Alone
For participants whose BOR was CR or PR, time to response was measured as the time from randomization to the first time when the measurement criteria for CR or PR (whichever status was recorded first) was met. It was based on tumor assessments made by the investigators according to the RECIST criteria. Results were reported as the number of participants achieving a response in 8 time categories from Week 1 to Week 54. Superiority of the BV-containing arms was compared with the chemotherapy alone arms. (NCT00069095)
Timeframe: Week 1 to Week 54
,
Intervention | Participants (Number) |
---|
| Week 1-6 | Week 7-12 | Week 13-18 | Week 19-24 | Week 25-30 | Week 31-36 | Week 37-42 | Week 49-54 |
---|
FOLFOX-4+P/XELOX+P | 58 | 146 | 105 | 26 | 7 | 2 | 1 | 0 |
XELOX/XELOX+P/XELOX+BV | 48 | 138 | 87 | 29 | 12 | 8 | 2 | 1 |
[back to top]
Time to Treatment Failure (TTF) as Assessed by the Investigator According to RECIST: Non-inferiority of XELOX Versus FOLFOX-4
Time to treatment failure was defined as the time from the date of randomization to the date of discontinuation of the primary study treatment phase due to adverse event/intercurrent illness, insufficient therapeutic response, death, failure to return, refusing treatment/being unwilling to cooperate, or withdrawing consent; discontinuation of the post study treatment phase due to adverse event, progressive disease, death, participant refusal/administrative reasons, or withdrawing consent; documented disease progression; or death due to any cause, whichever occurred first. The general approach took into account all tumor assessments obtained during the primary study treatment phase, the post-study treatment phase and those obtained during the follow-up phase.The on-treatment approach included only tumor assessments and deaths that occurred no later than 28 days after the last confirmed intake of any study medication in the primary study treatment phase only. (NCT00069095)
Timeframe: From baseline until disease progression/recurrence, approximately 2 years 6 months
,
Intervention | days (Median) |
---|
| General Approach | On-treatment Approach |
---|
FOLFOX-4/FOLFOX-4+P/FOLFOX-4+BV | 191.0 | 190.0 |
XELOX/XELOX+P/XELOX+BV | 179.0 | 176.0 |
[back to top]
Time to Treatment Failure as Assessed by the Investigator According to RECIST: Superiority of Chemotherapy Plus BV Over Chemotherapy Alone
Time to treatment failure was defined as the time from the date of randomization to the date of discontinuation of the primary study treatment phase due to adverse event/intercurrent illness, insufficient therapeutic response, death, failure to return, refusing treatment/being unwilling to cooperate, or withdrawing consent; discontinuation of the post study treatment phase due to adverse event, progressive disease, death, participant refusal/administrative reasons, or withdrawing consent; documented disease progression; or death due to any cause, whichever occurred first. The general approach included all tumor assessments or deaths that occurred during the primary study treatment phase, the post-study treatment phase, or the follow-up phase. The on-treatment approach included only tumor assessments and deaths that occurred no later than 28 days after the last confirmed intake of any study medication in the primary study treatment phase only. (NCT00069095)
Timeframe: From baseline until disease progression/recurrence, approximately 2 years 6 months
,
Intervention | days (Median) |
---|
| General Approach | On-treatment Approach |
---|
FOLFOX-4+BV/XELOX+BV | 209.0 | 208.0 |
FOLFOX-4+P/XELOX+P | 183.0 | 182.0 |
[back to top]
Overall Survival: Non-inferiority of XELOX Versus FOLFOX-4
Overall survival was defined as the time from the date of randomization to the date of death. Participants who were not reported to have died at the time of the clinical cut-off date for the analysis were censored using the date they were last known to be alive. Non-inferiority of the XELOX-containing arms was compared with the FOLFOX-4-containing arms. (NCT00069095)
Timeframe: Baseline until disease progression or death, approximately 2 years 6 months
Intervention | days (Median) |
---|
FOLFOX-4/FOLFOX-4+P/FOLFOX-4+BV | 549.0 |
XELOX/XELOX+P/XELOX+BV | 577.0 |
[back to top]
Overall Survival: Superiority of Chemotherapy Plus BV Over Chemotherapy Alone
Overall survival was defined as the time from the date of randomization to the date of death. Participants who were not reported to have died at the time of the clinical cut-off date for the analysis were censored using the date they were last known to be alive. Superiority of the BV-containing arms was compared with the chemotherapy alone arms. (NCT00069095)
Timeframe: Baseline until disease progression or death, approximately 2 years 6 months
Intervention | days (Median) |
---|
FOLFOX-4+P/XELOX+P | 574.0 |
FOLFOX-4+BV/XELOX+BV | 551.0 |
[back to top]
PFS (On-treatment Approach): Non-inferiority of XELOX Versus FOLFOX-4
PFS is defined as the time from randomization to disease progression (PD) or death due to any cause. The on-treatment analysis included only tumor assessments and death events that occurred no later than 28 days after the last confirmed intake of any study medication in the primary study treatment phase. Participants who did not have an event during this interval were censored at the date of the last tumor assessment within this time window, or on day 1 if no tumor assessment was available after baseline. Participants who underwent surgical resection with curative intent without prior progression within 28 days after the last confirmed intake of any study medication in the primary study treatment phase were censored at the date of surgery. The on-treatment approach excluded the possible impact of other treatments that might have been started before disease progression. Non-inferiority of the XELOX-containing arms was compared with the FOLFOX-4-containing arms. (NCT00069095)
Timeframe: Baseline until disease progression or death, approximately 2 years 6 months
Intervention | days (Median) |
---|
FOLFOX-4/FOLFOX-4+P/FOLFOX-4+BV | 268.0 |
XELOX/XELOX+P/XELOX+BV | 234.0 |
[back to top]
PFS (On-treatment Approach): Superiority of Chemotherapy Plus BV Over Chemotherapy Alone
PFS is defined as the time from randomization to disease progression (PD) or death due to any cause. The on-treatment analysis included only tumor assessments and death events that occurred no later than 28 days after the last confirmed intake of any study medication in the primary study treatment phase. Participants who did not have an event during this interval were censored at the date of the last tumor assessment within this time window, or on day 1 if no tumor assessment was available after baseline. Participants who underwent surgical resection with curative intent without prior progression within 28 days after the last confirmed intake of any study medication in the primary study treatment phase were censored at the date of surgery. The on-treatment approach excluded the possible impact of other treatments that might have been started before disease progression. Non-inferiority of the XELOX-containing arms was compared with the FOLFOX-4-containing arms. (NCT00069095)
Timeframe: Baseline until disease progression or death, approximately 2 years 6 months
Intervention | days (Median) |
---|
FOLFOX-4+P/XELOX+P | 241.0 |
FOLFOX-4+BV/XELOX+BV | 316.0 |
[back to top]
PFS as Assessed by the Independent Review Committee (IRC) (General Approach, Participants With Curative Surgery Censored) - Non-inferiority of XELOX Versus FOLFOX-4
PFS is defined as the time from randomization to disease progression (PD) or death due to any cause. Participants with neither disease progression nor death were censored at the last date of the last tumor assessment that confirmed that their disease had not progressed. Participants who underwent surgical resection with curative intent without prior progression were censored at the date of surgery. PFS was analyzed on the basis of the tumor response assessments made by the IRC. Non-inferiority analysis that followed the general approach took into account all tumor assessments obtained during the primary study treatment phase, the post-study treatment phase and those obtained during the follow-up phase. Non-inferiority of the XELOX-containing arms was compared with the FOLFOX-4-containing arms. (NCT00069095)
Timeframe: Baseline until disease progression or death, approximately 2 years 6 months
Intervention | days (Median) |
---|
FOLFOX-4/FOLFOX-4+P/FOLFOX-4+BV | 304.0 |
XELOX/XELOX+P/XELOX+BV | 261.0 |
[back to top]
PFS as Assessed by the Investigator According to Response Evaluation Criteria in Solid Tumors (RECIST) by General Approach (Participants With Curative Surgery Censored) - Superiority of Chemotherapy Plus BV Over Chemotherapy Alone
PFS was defined as the time from randomization to progressive disease or death. Participants with neither disease progression nor death were censored at the last date of the last tumor assessment that confirmed that their disease had not progressed. Participants with no tumor assessments after baseline who were alive at the time of clinical cutoff were censored at the date of randomization. Participants who underwent surgical resection with curative intent without prior progression were censored at the date of surgery. PFS was based on tumor assessments made by the investigators according to the RECIST criteria. Superiority analysis that followed the general approach took into account all tumor assessments obtained during the primary study treatment phase, the post-study treatment phase and those obtained during the follow-up phase. Superiority of the BV-containing arms was compared with the chemotherapy alone arms. (NCT00069095)
Timeframe: Baseline until disease progression or death, approximately 2 years 6 months
Intervention | days (Median) |
---|
FOLFOX-4+P/XELOX+P | 244.0 |
FOLFOX-4+BV/XELOX+BV | 285.0 |
[back to top]
PFS as Assessed by the Independent Review Committee (IRC) (General Approach, Participants With Curative Surgery Censored) - Superiority of Chemotherapy Plus BV Over Chemotherapy Alone
PFS is defined as the time from randomization to disease progression (PD) or death due to any cause. Participants with neither disease progression nor death were censored at the last date of the last tumor assessment that confirmed that their disease had not progressed. Participants who underwent surgical resection with curative intent without prior progression were censored at the date of surgery. PFS was analyzed on the basis of the tumor response assessments made by the IRC. Superiority analysis that followed the general approach took into account all tumor assessments obtained during the primary study treatment phase, the post-study treatment phase and those obtained during the follow-up phase. Superiority of the bevacizumab-containing arms was compared with the placebo-containing arms. (NCT00069095)
Timeframe: Baseline until disease progression or death, approximately 2 years 6 months
Intervention | days (Median) |
---|
FOLFOX-4+P/XELOX+P | 259.0 |
FOLFOX-4+BV/XELOX+BV | 335.0 |
[back to top]
Duration of Overall Response as Assessed by the Investigator According to RECIST: Non-inferiority of XELOX Versus FOLFOX-4
Duration of overall response was measured from the time that measurement criteria were first met for CR or PR (whichever status was recorded first) until the first date when progressive disease or death was documented. It was based on tumor assessments made by the investigators according to the RECIST criteria. Participants who neither progressed nor died were censored at the date of the last tumor assessment. Participants undergoing surgical resection with curative intent were censored at the date of surgery. Non-inferiority of the XELOX-containing arms was compared with the FOLFOX-4-containing arms. (NCT00069095)
Timeframe: From baseline until disease progression/recurrence, approximately 2 years 6 months
Intervention | days (Median) |
---|
FOLFOX-4/FOLFOX-4+P/FOLFOX-4+BV | 239.0 |
XELOX/XELOX+P/XELOX+BV | 226.0 |
[back to top]
Best Overall Response (BOR) as Assessed by the Investigator According to RECIST: Superiority of Chemotherapy Plus BV Over Chemotherapy Alone
According to the RECIST criteria, BOR in an individual participant was defined as the best response recorded from the start of the treatment until disease progression or recurrence. Only tumor assessments as assessed by the investigator and made up to and including 28 days after last intake of study medication in the primary study treatment phase not later than date of first curative surgery were included in these analyses. Responders were defined as the percentage of participants with a confirmed best overall response of complete response (CR) or partial response (PR). Superiority of the BV-containing arms was compared with the chemotherapy alone arms. (NCT00069095)
Timeframe: From baseline until disease progression/recurrence, approximately 2 years 6 months
Intervention | Percentage of responders (Number) |
---|
FOLFOX-4+P/XELOX+P | 49.2 |
FOLFOX-4+BV/XELOX+BV | 46.5 |
[back to top]
Best Overall Response (BOR) as Assessed by the Investigator According to Response Evaluation Criteria in Solid Tumors (RECIST): Non-inferiority of XELOX Versus FOLFOX-4
According to the RECIST criteria, BOR in an individual participant was defined as the best response recorded from the start of the treatment until disease progression or recurrence. Only tumor assessments as assessed by the investigator and made up to and including 28 days after last intake of study medication in the primary study treatment phase not later than date of first curative surgery were included in these analyses. Responders were defined as the percentage of participants with a confirmed best overall response of complete response (CR) or partial response (PR). Non-inferiority of the XELOX-containing arms was compared with the FOLFOX-4-containing arms. (NCT00069095)
Timeframe: From baseline until disease progression/recurrence, approximately 2 years 6 months
Intervention | Percentage of responders (Number) |
---|
FOLFOX-4/FOLFOX-4+P/FOLFOX-4+BV | 49.4 |
XELOX/XELOX+P/XELOX+BV | 46.4 |
[back to top]
BOR as Assessed by the IRC According to RECIST: Non-inferiority of XELOX Versus FOLFOX-4
According to the RECIST criteria, the BOR in an individual participant was the best response recorded from the start of the treatment until disease progression/recurrence (taking the smallest measurements recorded since the baseline assessment as a reference for PD). The BOR as assessed by the IRC was determined based on tumor assessments that were made up to and including 28 days after last intake of study medication in the primary study treatment phase. Responders were defined as the percentage of participants with a complete response (CR) or partial response (PR). Non-inferiority of the XELOX-containing arms was compared with the FOLFOX-4-containing arms. (NCT00069095)
Timeframe: From baseline until disease progression/recurrence, approximately 2 years 6 months
Intervention | Percentage of responders (Number) |
---|
FOLFOX-4/FOLFOX-4+P/FOLFOX-4+BV | 38.6 |
XELOX/XELOX+P/XELOX+BV | 37.1 |
[back to top]
BOR as Assessed by the IRC According to RECIST: Superiority of Chemotherapy Plus BV Over Chemotherapy Alone
According to the RECIST criteria, the BOR in an individual participant was the best response recorded from the start of the treatment until disease progression/recurrence (taking the smallest measurements recorded since the baseline assessment as a reference for PD). The BOR as assessed by the IRC was determined based on tumor assessments that were made up to and including 28 days after last intake of study medication in the primary study treatment phase. Responders were defined as the percentage of participants with a complete response (CR) or partial response (PR). Superiority of the BV-containing arms was compared with the chemotherapy alone arms. (NCT00069095)
Timeframe: From baseline until disease progression/recurrence, approximately 2 years 6 months
Intervention | Percentage of responders (Number) |
---|
FOLFOX-4+P/XELOX+P | 37.5 |
FOLFOX-4+BV/XELOX+BV | 37.5 |
[back to top]
Duration of Complete Response as Assessed by the Investigator According to RECIST: Non-inferiority of XELOX Versus FOLFOX-4
For complete responders, the duration of complete response was measured from the time measurement criteria were first met for complete response until the date that progressive disease (or death) was documented. Non-inferiority of the XELOX-containing arms was compared with the FOLFOX-4-containing arms. (NCT00069095)
Timeframe: From baseline until disease progression/recurrence, approximately 2 years 6 months
Intervention | days (Median) |
---|
FOLFOX-4/FOLFOX-4+P/FOLFOX-4+BV | 347.0 |
XELOX/XELOX+P/XELOX+BV | 589.0 |
[back to top]
Duration of Complete Response as Assessed by the Investigator According to RECIST: Superiority of Chemotherapy Plus BV Over Chemotherapy Alone
For complete responders, the duration of complete response was measured from the time measurement criteria were first met for complete response until the date that progressive disease (or death) was documented. Superiority of the BV-containing arms was compared with the chemotherapy alone arms. (NCT00069095)
Timeframe: From baseline until disease progression/recurrence, approximately 2 years 6 months
Intervention | days (Median) |
---|
FOLFOX-4+P/XELOX+P | 403.0 |
FOLFOX-4+BV/XELOX+BV | 386.0 |
[back to top]
PFS by General Approach, Participants With Curative Surgery Not Censored: Non-inferiority of XELOX Versus FOLFOX-4
PFS is defined as the time from randomization to disease progression (PD) or death due to any cause. Participants who underwent curative surgery after experiencing a sufficient shrinkage of their tumor were not censored at the date of surgery, but any relapse, new occurrence of colorectal cancer, or death was considered as an event. Non-inferiority analysis that followed the general approach took into account all tumor assessments obtained during the primary study treatment phase, the post-study treatment phase and those obtained during the follow-up phase. Non-inferiority of the XELOX-containing arms was compared with the FOLFOX-4-containing arms. (NCT00069095)
Timeframe: Baseline until disease progression or death, approximately 2 years 6 months
Intervention | days (Median) |
---|
FOLFOX-4/FOLFOX-4+P/FOLFOX-4+BV | 260.0 |
XELOX/XELOX+P/XELOX+BV | 244.0 |
[back to top]
Duration of Overall Response as Assessed by the Investigator According to RECIST: Superiority Analysis of Chemotherapy Plus Bevacizumab Versus Chemotherapy Alone
Duration of overall response was measured from the time that measurement criteria were first met for CR or PR (whichever status was recorded first) until the first date when progressive disease or death was documented. It was based on tumor assessments made by the investigators according to the RECIST criteria. Participants who neither progressed nor died were censored at the date of the last tumor assessment. Participants undergoing surgical resection with curative intent were censored at the date of surgery. Superiority of the BV-containing arms was compared with the chemotherapy alone arms. (NCT00069095)
Timeframe: From baseline until disease progression/recurrence, approximately 2 years 6 months
Intervention | days (Median) |
---|
FOLFOX-4+P/XELOX+P | 225.0 |
FOLFOX-4+BV/XELOX+BV | 257.0 |
[back to top]
Best Overall Response, Investigators' Assessments
Best overall response is best response recorded from start of treatment until disease progression/recurrence where responses include complete response (CR), partial response (PR), or stable disease (SD). CR was defined as disappearance of all TLs, non-TLs along with normalization of tumor marker level. PR is at least 30% decrease in sum of the LD of TLs, taking as reference baseline sum LD. SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking reference of smallest sum LD since treatment started. It was dependent on achievement of measurement and confirmation criteria. BOR .i.e. CR or PR was confirmed by repeat assessments performed within 4 weeks. For SD, follow-up assessments had to meet the SD criteria at least once after study entry within 6 to 8 weeks. (NCT00069108)
Timeframe: Up to 3 years
,
Intervention | participants (Number) |
---|
| Investigator Assessed, Responders | Investigator assessed-CR | Investigator assessed-PR |
---|
FOLFOX-4 | 55 | 2 | 53 |
XELOX | 63 | 0 | 63 |
[back to top]
Best Overall Response, Independent Review Committee Assessment
Best overall response is best response recorded from start of treatment until disease progression/recurrence where responses include CR, PR, or SD. CR was defined as disappearance of all TLs, non-TLs along with normalization of tumor marker level. PR is at least 30% decrease in sum of the LD of TLs, taking as reference baseline sum LD. SD defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking reference of smallest sum LD since treatment started. It was dependent on achievement of measurement and confirmation criteria. BOR .i.e. CR or PR was confirmed by repeat assessments performed within 4 weeks, for SD, follow-up assessments had to meet the SD criteria at least once after study entry within 6 to 8 weeks. This PFS evaluation was based on Independent Review Committee Assessment. (NCT00069108)
Timeframe: Up to 3 years
,
Intervention | participants (Number) |
---|
| IRC Assessed, Responders | IRC assessed-CR | IRC assessed-PR |
---|
FOLFOX-4 | 39 | 0 | 39 |
XELOX | 48 | 0 | 48 |
[back to top]
Time To Treatment Failure
Time to treatment failure was defined as the time from the date of randomization to the first occurrence of adverse event (AE), insufficient therapeutic response, death, failure to return, or refusing treatment/being uncooperative/withdrawing consent. (NCT00069108)
Timeframe: Up to 3 years
Intervention | days (Median) |
---|
XELOX | 125 |
FOLFOX-4 | 121.5 |
[back to top]
Progression Free Survival Based on Treatment Analysis- Per Population
Progression free survival (PFS) is defined as the time from the date of randomization to the day of documented disease progression or death from any cause. It was based on tumor assessments made according to the RECIST version 1.0, wherein PD was defined as at least a 20% increase in the sum of the LD of the TLs, taking as reference the smallest sum LD recorded since the treatment started or appearance of one or more new lesions or unequivocal progression of existing non-TLs. Participants with neither disease progression nor death were censored at the last date of the last tumor assessment confirming that they had not progressed. Participants with no tumor assessments after baseline but who were still alive at the time of the clinical cut-off were censored at date of randomization (NCT00069108)
Timeframe: Up to 3 years
Intervention | days (Median) |
---|
XELOX | 153 |
FOLFOX-4 | 164 |
[back to top]
Progression Free Survival Based on Treatment Analysis- Intent To Treat Population
Progression free survival (PFS) is defined as the time from date of randomization to day of documented disease progression or death from any cause. It was based on tumor assessments made according to the RECIST version 1.0, wherein PD was defined as at least a 20% increase in the sum of LD of the TLs, taking as reference the smallest sum LD recorded since the treatment started or appearance of one or more new lesions or unequivocal progression of existing non-TLs. Participants with neither disease progression nor death were censored at the last date of the last tumor assessment confirming that they had not progressed. Participants with no tumor assessments after baseline but who were still alive at the time of the clinical cut-off were censored at date of randomization. PFS was analyzed using an on-treatment approach included only disease progression and death that occurred no later than 28 days after the last confirmed intake of study medication in the primary study treatment phase. (NCT00069108)
Timeframe: Up to 3 years
Intervention | days (Median) |
---|
XELOX | 145 |
FOLFOX-4 | 152 |
[back to top]
Overall Survival
Overall survival was measured as the time from the date of randomization to the date of death. Participant who were not reported to have died at the time of the analysis were censored using the date they were last known to be alive. (NCT00069108)
Timeframe: Up to 3 years
Intervention | days (Median) |
---|
XELOX | 363 |
FOLFOX-4 | 382 |
[back to top]
Duration Of Response
Duration of response (DOR) is defined as the time when CR or PR was first met up to first date that PD or death is documented. CR is defined as disappearance of all TLs and non TLs, PR is defined as at least 30% decrease in the sum of the LD of TLs, taking as reference the baseline sum LD. PD was defined as at least a 20% increase in the sum of the LD of the TLs, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions for the TLs or the appearance of one or more new lesions and/or unequivocal progression of existing non-TLs. (NCT00069108)
Timeframe: Up to 3 years
Intervention | days (Median) |
---|
XELOX | 169 |
FOLFOX-4 | 190 |
[back to top]
Progression Free Survival
Progression free survival (PFS) is defined as the time from the date of randomization to the day of documented disease progression or death from any cause. It was based on tumor assessments made according to the Response Evaluation Criteria In Solid Tumors (RECIST) version 1.0, wherein progressive disease (PD) was defined as at least a 20% increase in the sum of the longest diameter (LD) of the target lesions (TLs), taking as reference the smallest sum LD recorded since the treatment started or appearance of one or more new lesions or unequivocal progression of existing non-target lesions. Participants with neither disease progression nor death were censored at the last date of the last tumor assessment confirming that they had not progressed. Participants with no tumor assessments after baseline but who were still alive at the time of the clinical cut-off were censored at date of randomization (NCT00069108)
Timeframe: Up to 3 years
Intervention | days (Median) |
---|
XELOX | 154 |
FOLFOX-4 | 168 |
[back to top]
Time To Response
Time to response (TOR) (best response of CR or PR) was measured as the time from randomization to the first date on which the measurement criteria for CR or PR (whichever status was recorded first) were met. CR for TLs was defined as disappearance of all TLs and for non-TLs as disappearance of all non-TLs and normalization of tumor marker level. PR was defined as at least 30% decrease in the sum of the LD of TLs, taking as reference the baseline sum LD. (NCT00069108)
Timeframe: Up to 3 years
,
Intervention | participants (Number) |
---|
| Week 1-6 | Week 7-12 | Week 13-18 | Week 19-24 |
---|
FOLFOX-4 | 11 | 23 | 18 | 3 |
XELOX | 13 | 26 | 22 | 2 |
[back to top]
Number of Participants With Marked Post-baseline Laboratory Abnormalities by Trial Treatment
Laboratory abnormalities were defined as those values that were outside the Roche defined reference range and showed a clinically relevant change from baseline. All laboratory parameters were categorized according to the National Cancer Center Common Toxicity Criteria (NCI-CTCAE) grading system. Incidence of Grade 1 to 4 laboratory abnormalities are presented in the table below. (NCT00069108)
Timeframe: Up to 3 years
,
Intervention | participants (Number) |
---|
| Serum Glutamic-Pyruvic Transaminase (SGPT) | Serum Glutamic Oxaloacetic Transaminase (SGOT) | Alkaline Phosphatase | Calcium (hyper) | Calcium (hypo ) | Glucose (hyper) | Glucose (hypo) | Granulocytes | Haemoglobin | Neutrophils | Neutrophils/Granulocytes | Platelets | Potassium (hyper) | Potassium (hypo) | Serum Albumin | Serum Creatinine | Sodium (hyper) | Sodium (hypo) | Total Bilirubin | White blood cell (WBC) |
---|
FOLFOX-4 | 110 | 174 | 201 | 9 | 70 | 207 | 9 | 6 | 240 | 199 | 202 | 212 | 26 | 92 | 138 | 32 | 21 | 73 | 95 | 205 |
XELOX | 90 | 193 | 184 | 7 | 68 | 201 | 12 | 1 | 216 | 113 | 114 | 168 | 17 | 68 | 116 | 18 | 14 | 64 | 107 | 124 |
[back to top]
Progression Free Survival Based on Independent Review Committee Assessment
Progression free survival (PFS) is defined as the time from the date of randomization to the day of documented disease progression or death from any cause. It was based on tumor assessments made according to the RECIST version 1.0, wherein PD was defined as at least a 20% increase in the sum of the LD of the TLs, taking as reference the smallest sum LD recorded since the treatment started or appearance of one or more new lesions or unequivocal progression of existing non-TLs. Participants with neither disease progression nor death were censored at the last date of the last tumor assessment confirming that they had not progressed. Participants with no tumor assessments after baseline but who were still alive at the time of the clinical cut-off were censored at date of randomization. This PFS evaluation was based on Independent Review Committee Assessment. (NCT00069108)
Timeframe: Up to 3 years
Intervention | days (Median) |
---|
XELOX | 168 |
FOLFOX-4 | 162 |
[back to top]
Relapse-Free Survival (RFS) [Number of Events]
A relapse-free survival (RFS) event included recurrence of the original colon cancer, development of a new colon or rectal cancer, and deaths related to any of the following: treatment, recurrence of the original colon cancer, or development of a new colon or rectal cancer. Participants who had not had any such event at the time of data analysis were censored at the last date they were known to be event-free. Participants whose cause of death was unrelated to treatment or disease recurrence were censored at the time of the last tumor assessment. (NCT00069121)
Timeframe: Time from randomization date to date of first RFS event/date last known to be event-free. Median observation time for RFS was 74 months (range: 0-95 months).
,
Intervention | Participants (Count of Participants) |
---|
| Patients With Event | Patients Without Events |
---|
5-FU/LV | 356 | 586 |
XELOX | 290 | 654 |
[back to top]
Overall Survival [Number of Events]
Overall survival was measured as the time from randomization to the date of death, irrespective of the cause of death. Participants who were not reported as having died at the time of the analysis were censored using the date they were last known to be alive. (NCT00069121)
Timeframe: Time from randomization date to date of death/date last known to be alive. Median observation time was 83 months (range: 0-95 months).
,
Intervention | Participants (Count of Participants) |
---|
| Patients With Event | Patients Without Events |
---|
5-FU/LV | 286 | 656 |
XELOX | 242 | 702 |
[back to top]
Number of Participants With at Least One Adverse Event by Most Severe Intensity
"The intensity of all adverse events (AEs) was categorized according to the National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI CTCAE) (version 3.0) grading system. If an AE had occurred which was not contained in the NCI-CTC, a four-point scale (mild, moderate, severe, life-threatening) was used. The terms severe and serious are not synonymous and are independently assessed for each AE. Only the most severe intensity was counted for multiple occurrences of an AE in one individual. See the AEs results table for details." (NCT00069121)
Timeframe: From time of very first drug intake to 28 days after very last drug intake (median [full range] duration of study treatment per arm: 5-FU/LV MAYO CLINIC: 145 [4-208] days; 5-FU/LV ROSWELL PARK: 204 [1-239] days; XELOX: 163 [1-275] days).
,,
Intervention | Participants (Count of Participants) |
---|
| Mild AEs | Moderate AEs | Severe AEs | Life-Threatening |
---|
5-FU/LV MAYO CLINIC | 557 | 493 | 299 | 83 |
5-FU/LV ROSWELL PARK | 256 | 217 | 146 | 21 |
XELOX | 855 | 792 | 548 | 63 |
[back to top]
Disease-Free Survival (DFS) [Time to Event]
Determination of an event was based on tumor assessments and survival follow-up assessments. A disease-free survival (DFS) event was defined as any recurrence of the original colon cancer or appearance of a new colon or rectal cancer (proven by cytology or histology, when possible) or death due to any cause, whichever was earliest. Participants who had not had any such event at the time of data analysis were censored at the last date they were known to be event-free. Participants with no tumor assessments after baseline were censored at Day 1. An isolated event of increased CEA, or unexplained clinical deterioration were not considered to be evidence of relapse without support of other objective measurements. The date of relapse was defined as the date of the definitive assessment by objective measurements. The median was estimated by the Kaplan-Meier method. The full range values include censored observations. (NCT00069121)
Timeframe: Time from randomization date to date of first DFS event/date last known to be event-free. Median observation time for DFS was 74 months (range: 0-95 months).
Intervention | months (Median) |
---|
5-FU/LV | NA |
XELOX | 88.6 |
[back to top]
Disease-Free Survival (DFS) [Number of Events]
Determination of an event was based on tumor assessments and survival follow-up assessments. A disease-free survival (DFS) event was defined as any recurrence of the original colon cancer or appearance of a new colon or rectal cancer (proven by cytology or histology, when possible) or death due to any cause, whichever was earliest. Participants who had not had any such event at the time of data analysis were censored at the last date they were known to be event-free. Participants with no tumor assessments after baseline were censored at Day 1. An isolated event of increased CEA, or unexplained clinical deterioration were not considered to be evidence of relapse without support of other objective measurements. The date of relapse was defined as the date of the definitive assessment by objective measurements. (NCT00069121)
Timeframe: Time from randomization date to date of first DFS event/date last known to be event-free. Median observation time for DFS was 74 months (range: 0-95 months).
,
Intervention | Participants (Count of Participants) |
---|
| Patients with Event | Patients without Events |
---|
5-FU/LV | 379 | 563 |
XELOX | 320 | 624 |
[back to top]
Relapse-Free Survival (RFS) [Time to Event]
A relapse-free survival (RFS) event included recurrence of the original colon cancer, development of a new colon or rectal cancer, and deaths related to any of the following: treatment, recurrence of the original colon cancer, or development of a new colon or rectal cancer. Participants who had not had any such event at the time of data analysis were censored at the last date they were known to be event-free. Participants whose cause of death was unrelated to treatment or disease recurrence were censored at the time of the last tumor assessment. The median was estimated by the Kaplan-Meier method. The full range values include censored observations. (NCT00069121)
Timeframe: Time from randomization date to date of first RFS event/date last known to be event-free. Median observation time for RFS was 74 months (range: 0-95 months).
Intervention | months (Median) |
---|
5-FU/LV | NA |
XELOX | 88.6 |
[back to top]
Overall Survival [Time to Event]
Overall survival was measured as the time from randomization to the date of death, irrespective of the cause of death. Participants who were not reported as having died at the time of the analysis were censored using the date they were last known to be alive. The median was estimated by the Kaplan-Meier method. The full range values include censored observations. (NCT00069121)
Timeframe: Time from randomization date to date of death/date last known to be alive. Median observation time was 83 months (range: 0-95 months).
Intervention | months (Median) |
---|
5-FU/LV | NA |
XELOX | NA |
[back to top]
Duration of Overall Response
Duration of overall response was measured from the time that measurement criteria were first met for Complete Response or Partial Response until the first date that progressive disease or death was documented. (NCT00077857)
Timeframe: Until PD or death. Median duration of response was approximately 7 months.
Intervention | Months (Median) |
---|
1250 mg/m^2 Capecitabine + Docetaxel | 6.9 |
825 mg/m^2 Capecitabine + Docetaxel | 6.9 |
[back to top]
Overall Survival
Overall Survival was measured as the time from the date of randomization to the date of death. (NCT00077857)
Timeframe: Throughout the study. Median observation time was approximately 16 months.
Intervention | Months (Median) |
---|
1250 mg/m^2 Capecitabine + Docetaxel | 16.4 |
825 mg/m^2 Capecitabine + Docetaxel | 15.1 |
[back to top]
Percentage of Participants With Best Overall Response Being Complete Response (CR) or Partial Response (PR)
According to Response Evaluation Criteria in Solid Tumors (RECIST) criteria: CR is defined as the disappearance of all target lesions and PR is defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the nadir sum LD. (NCT00077857)
Timeframe: Until Progressive Disease (PD) or end of primary study treatment (up to 16 cycles) plus 28 days.
Intervention | Percentage of participants (Number) |
---|
1250 mg/m^2 Capecitabine + Docetaxel | 45.1 |
825 mg/m^2 Capecitabine + Docetaxel | 37.4 |
[back to top]
Time to Progression of Disease or Death
Progression Free Survival was defined as the time from the date of randomization to the day of documented disease progression or death due to any cause. (NCT00077857)
Timeframe: Event driven (after 350 events). Median observation time was approximately 16 months.
Intervention | Months (Median) |
---|
1250 mg/m^2 Capecitabine + Docetaxel | 7.9 |
825 mg/m^2 Capecitabine + Docetaxel | 5.8 |
[back to top]
Time to Treatment Failure
"The time to treatment failure was the time from the date of randomization to the first occurrence of any of the following events:~adverse events~insufficient therapeutic response (disease progression)~death~failure to return~refusing treatment/being unwilling to cooperate~withdrawing consent." (NCT00077857)
Timeframe: Until premature withdrawal or end of primary study treatment (up to 16 cycles).
Intervention | Months (Median) |
---|
1250 mg/m^2 Capecitabine + Docetaxel | 5.1 |
825 mg/m^2 Capecitabine + Docetaxel | 4.6 |
[back to top]
Number of Participants With Adverse Events and Serious Adverse Events
"An adverse event was considered any unfavorable and unintended sign, symptom, or disease associated with the use of the study drug, whether or not considered related to the study drug. Preexisting conditions that worsened during the study were reported as adverse events.~A serious adverse event is any experience that suggests a significant hazard, contraindication, side effect or precaution that: results in death, is Life-Threatening, required in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically significant.~Additional information about Adverse Events can be found in the Adverse Event Section." (NCT00077857)
Timeframe: First study drug intake until last study drug intake plus 28 days
,
Intervention | Participants (Number) |
---|
| Adverse Events | Serious Adverse Events |
---|
1250 mg/m^2 Capecitabine + Docetaxel | 206 | 41 |
825 mg/m^2 Capecitabine + Docetaxel | 234 | 53 |
[back to top]
Time to Overall Response
For patients with Best Overall Response being Complete Response (CR) or Partial Response (PR), time to response was measured as the time from randomization to the first time when the measurement criteria for CR or PR were met. The percentage of participants with overall response within the given time ranges in each of the categories: Weeks 1-6, 7-12, 13-18, 19-24, 25-30, 31-36, and 43-48 are reported. (NCT00077857)
Timeframe: Until PD or end of primary study treatment (up to 16 cycles) plus 28 days.
,
Intervention | Percentage of participants (Number) |
---|
| Week 1-6 | Week 7-12 | Week 13-18 | Week 19-24 | Week 25-30 | Week 31-36 | Week 43-48 |
---|
1250 mg/m^2 Capecitabine + Docetaxel | 25 | 48 | 20 | 7 | 3 | 3 | 0 |
825 mg/m^2 Capecitabine + Docetaxel | 30 | 30 | 17 | 7 | 1 | 2 | 1 |
[back to top]
Symptom Assessment Score Changes From Baseline for Functional Assessment of Cancer Therapy-Breast Symptom Index (FBSI)
Quality of life, as measured by the FBSI, an 8-item, participant-reported instrument to measure symptoms. Each item has 5 possible responses ranging from 0 (not at all) to 4 (very much). The scoring was conducted according to the Functional Assessment of Chronic Illness Therapy manual, Version 4; higher scores reflect fewer symptoms. (NCT00080301)
Timeframe: Baseline and prior to each 21-day cycle of treatment, and at first posttreatment follow-up assessment.
,
Intervention | units on a scale (Mean) |
---|
| Week 3 (n=282; n=273) | Week 6 (n=227; n=214) | Week 9 (n=194; n=184) | Week 12 (n=173; n=158) | Week 15 (n=148; n=145) | Week 18 (n=122; n=121) | Week 21 (n=116; n=101) | Week 24 (n=95; n=82) |
---|
Capecitabine | 0.3 | 1.1 | 1.8 | 1.4 | 1.7 | 1.7 | 1.1 | 2.3 |
Ixabepilone + Capecitabine | -0.4 | -0.2 | -0.6 | -1.3 | -0.7 | -1.0 | -0.7 | -0.8 |
[back to top]
Time to Response Per IRRC
Time to response was summarized using descriptive statistics and was defined as the time from first dose of study treatment until measurement criteria were first met for Partial Response or Complete Response. (NCT00080301)
Timeframe: based on assessments every 6 weeks while on treatment until documented disease progression/unacceptable toxicity
Intervention | weeks (Median) |
---|
Ixabepilone + Capecitabine | 11.7 |
Capecitabine | 12.0 |
[back to top]
Progression-free Survival (PFS) Per Independent Radiology Review Committee (IRRC)
PFS defined as the time in months from randomization to date of progression. Patients who died without a reported prior progression were considered to have progressed on date of death; those who didn't progress or die were censored on date of last tumor assessment. Median PFS time with 95% CI estimated using the Kaplan Meier product limit method. (NCT00080301)
Timeframe: based on assessments every 6 weeks while on treatment until documented disease progression/unacceptable toxicity
Intervention | Months (Median) |
---|
Ixabepilone + Capecitabine | 5.85 |
Capecitabine | 4.17 |
[back to top]
Overall Survival (OS)
OS was defined as the time from randomization to death. Participants who did not die at the time of the analysis were censored at the latest follow-up date. Median OS with 95% CI was estimated using the Kaplan Meier product limit method. (NCT00080301)
Timeframe: from date of randomization until death
Intervention | Months (Median) |
---|
Ixabepilone + Capecitabine | 12.9 |
Capecitabine | 11.1 |
[back to top]
Overall Response Rate (ORR) Per IRRC
"Participants with best response of Complete or Partial according to Response Evaluation Criteria in Solid Tumors (RECIST) a 4-item scale wherein complete response=disappearance of all target lesions and partial response=30% decrease in the sum of the longest diameter of target lesions" (NCT00080301)
Timeframe: based on assessments every 6 weeks while on treatment until documented disease progression/unacceptable toxicity
Intervention | percent (Mean) |
---|
Ixabepilone + Capecitabine | 34.7 |
Capecitabine | 14.3 |
[back to top]
Duration of Response Per IRRC
"Computed for all patients with a best response of Partial or Complete per RECIST (a 4-item scale as described in previous outcome measure), calculated from the time when these criteria were first met until the first date of documented progression or death." (NCT00080301)
Timeframe: based on assessments every 6 weeks while on treatment until documented disease progression/unacceptable toxicity
Intervention | months (Median) |
---|
Ixabepilone + Capecitabine | 6.4 |
Capecitabine | 5.6 |
[back to top]
[back to top]
Pathologic Complete Response Rate
"A pathologic complete response (pCR) was defined as no evidence of residual cancer histologically; disease progression or death before surgery was considered less than pCR (even without surgical specimen). All cases were reviewed by the study's surgical oncology co-chair for the determination of pCR.~Each arm was first analyzed alone. If the arm had 9 or more pCRs in 48 evaluable pts, then the null hypothesis (H0) of 10% pCR rate would be rejected in favor of the alternative hypothesis of 25%, providing 90% power with a two-sided 10% type I error rate. If both arms reject H0, then statistical selection theory would be used to choose the arm for further study in a phase III trial. If only one arm has acceptable pCR rate, then that arm would be pursued in a phase III trial." (NCT00081289)
Timeframe: After protocol surgery, approximately 10-16 weeks from randomization based on surgery occurring 4-8 weeks after chemoradiation
Intervention | percentage of participants (Number) |
---|
Neoadjuvant Chemoradiation With Irinotecan | 10.4 |
Neoadjuvant Chemoradiation With Oxaliplatin | 20.8 |
[back to top]
Second Primary Rate at 4 Years
Time to second primary is defined as time from randomization to date of the appearance of a second primary cancer, last known follow-up (censored), or death without second primary (competing risk). Second primary rates are estimated by the cumulative incidence method. (NCT00081289)
Timeframe: From randomization to four years
Intervention | percentage of participants (Number) |
---|
Neoadjuvant Chemoradiation With Irinotecan | 2 |
Neoadjuvant Chemoradiation With Oxaliplatin | 6 |
[back to top]
Survival Rate at 4 Years
Survival time is defined as time from registration/randomization to the date of death from any cause or last known follow-up (censored). Survival rates are estimated by the Kaplan-Meier method. (NCT00081289)
Timeframe: From randomization to four years
Intervention | percentage of participants (Number) |
---|
Neoadjuvant Chemoradiation With Irinotecan | 85 |
Neoadjuvant Chemoradiation With Oxaliplatin | 75 |
[back to top]
Change From Baseline in QLQ-C30 Global Health Status Score at Two Years
"Global Health Status is calculated from two questions on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire [EORTC QLQ]-C30. The question responses range from 1 very poor to 7 excellent such that a higher response indicates better quality of life (QOL). The mean of these responses is linearly transformed to a range of 0 (worst) to 100 (best). Change from baseline is calculated as the time point value - baseline value and a decrease from baseline indicates decline in quality of life. A negative number indicates improvement in symptoms." (NCT00081289)
Timeframe: Baseline and two years
Intervention | score on a scale (Mean) |
---|
Neoadjuvant Chemoradiation With Irinotecan | -6.8 |
Neoadjuvant Chemoradiation With Oxaliplatin | -1.3 |
[back to top]
Disease-free Survival Rate at 4 Years
Disease-free survival time is defined as time from randomization to date of local-regional failure, the appearance of distant metastases, the appearance of a second primary failure, or date of death from any cause/ Disease-free survival rates are estimated by the Kaplan-Meier method. Patients last known to be alive without failure are censored at the date of last contact. (NCT00081289)
Timeframe: From randomization to four years
Intervention | percentage of participants (Number) |
---|
Neoadjuvant Chemoradiation With Irinotecan | 68 |
Neoadjuvant Chemoradiation With Oxaliplatin | 62 |
[back to top]
Distant Failure Rate at 4 Years
Time to distant failure is defined as time from randomization to date of the appearance of distant metastases, last known follow-up (censored), or death without distant failure (competing risk). Distant failure rates are estimated by the cumulative incidence method. (NCT00081289)
Timeframe: From randomization to four years
Intervention | percentage of participants (Number) |
---|
Neoadjuvant Chemoradiation With Irinotecan | 24 |
Neoadjuvant Chemoradiation With Oxaliplatin | 30 |
[back to top]
Local-regional Failure Rate at 4 Years
Local-regional failure is defined as any of the following: no clinical complete response (cCR) in the primary site and/or nodes at any time after treatment completion (persistence), recurrence and/or progression in the primary site and/or nodes after cCR, and nonprotocol surgery to the primary site after cCR. Time to local-regional failure is defined as time from randomization to date of failure, last known follow-up (censored), or death without local-regional failure (competing risk). Local-regional failure rates are estimated by the cumulative incidence method. (NCT00081289)
Timeframe: From randomization to four years
Intervention | percentage of participants (Number) |
---|
Neoadjuvant Chemoradiation With Irinotecan | 16 |
Neoadjuvant Chemoradiation With Oxaliplatin | 18 |
[back to top]
[back to top]
Change From Baseline in EORTC QLQ-CR38 Gastro-intestinal Symptom Score at Two Years
The gastro-intestinal (GI) symptom score is calculated from five symptom questions on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire [EORTC QLQ]-CR38. The question responses range from 1 (not at all) to 4 (very much) such that a higher response indicates worse symptoms. The mean of these responses is linearly transformed to a range of 0 (best) to 100 (worst). Change from baseline is calculated as the time point value - baseline value and a decrease from baseline indicates improvement in symptoms. A negative number indicates improvement in symptoms. (NCT00081289)
Timeframe: Baseline and two years
Intervention | score on a scale (Mean) |
---|
Neoadjuvant Chemoradiation With Irinotecan | 0.4 |
Neoadjuvant Chemoradiation With Oxaliplatin | 6.7 |
[back to top]
Change From Baseline in EORTC QLQ-CR38 Gastro-intestinal Symptom Score at Completion of Chemoradiation
The gastro-intestinal (GI) symptom score is calculated from five symptom questions on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire [EORTC QLQ]-CR38. The question responses range from 1 (not at all) to 4 (very much) such that a higher response indicates worse symptoms. The mean of these responses is linearly transformed to a range of 0 (best) to 100 (worst). Change from baseline is calculated as the time point value - baseline value and a decrease from baseline indicates improvement in symptoms. A negative number indicates improvement in symptoms. (NCT00081289)
Timeframe: Baseline and completion of chemoradiation approximately 6-8 weeks from randomization
Intervention | score on a scale (Mean) |
---|
Neoadjuvant Chemoradiation With Irinotecan | 5.9 |
Neoadjuvant Chemoradiation With Oxaliplatin | 20.3 |
[back to top]
Change From Baseline in EORTC QLQ-CR38 Defecation Symptom Score at Two Years
"The defecation symptom score is calculated from seven symptom questions on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire [EORTC QLQ]-CR38. The question responses range from 1 not at all to 4 very much such that a higher response indicates worse symptoms. The mean of these responses is linearly transformed to a range of 0 (best) to 100 (worst). Change from baseline is calculated as the time point value - baseline value and a decrease from baseline indicates improvement in symptoms. A negative number indicates improvement in symptoms." (NCT00081289)
Timeframe: Baseline and two years
Intervention | score on a scale (Mean) |
---|
Neoadjuvant Chemoradiation With Irinotecan | 0.4 |
Neoadjuvant Chemoradiation With Oxaliplatin | -1.6 |
[back to top]
Change From Baseline in EORTC QLQ-CR38 Defecation Symptom Score at Post-operative Chemotherapy
"The defecation symptom score is calculated from seven symptom questions on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire [EORTC QLQ]-CR38. The question responses range from 1 not at all to 4 very much such that a higher response indicates worse symptoms. The mean of these responses is linearly transformed to a range of 0 (best) to 100 (worst). Change from baseline is calculated as the time point value - baseline value and a decrease from baseline indicates improvement in symptoms. A negative number indicates improvement in symptoms." (NCT00081289)
Timeframe: Baseline and completion of post-operative chemotherapy, approximately 32 to 40 weeks from randomization based on 18 weeks of post-operative chemotherapy
Intervention | score on a scale (Mean) |
---|
Neoadjuvant Chemoradiation With Irinotecan | -1.6 |
Neoadjuvant Chemoradiation With Oxaliplatin | 14.6 |
[back to top]
Change From Baseline in EORTC QLQ-CR38 Defecation Symptom Score at Completion of Chemoradiation
"The defecation symptom score is calculated from seven symptom questions on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire [EORTC QLQ]-CR38. The question responses range from 1 not at all to 4 very much such that a higher response indicates worse symptoms. The mean of these responses is linearly transformed to a range of 0 (best) to 100 (worst). Change from baseline is calculated as the time point value - baseline value and a decrease from baseline indicates improvement in symptoms. A negative number indicates improvement in symptoms." (NCT00081289)
Timeframe: Baseline and completion of chemoradiation, approximately 6-8 weeks from randomization
Intervention | score on a scale (Mean) |
---|
Neoadjuvant Chemoradiation With Irinotecan | 4.8 |
Neoadjuvant Chemoradiation With Oxaliplatin | 8.8 |
[back to top]
Number of Participants With Grade 3+ Treatment-related Adverse Events Postoperatively
Highest grade adverse event per subject were counted. Adverse events were graded using the Common Terminology Criteria for Adverse Events (CTCAE) v3.0. Grade refers to the severity of the AE. The CTCAE v3.0 assigns Grades 1 through 5 with unique clinical descriptions of severity for each AE based on this general guideline: Grade 1 Mild AE, Grade 2 Moderate AE, Grade 3 Severe AE, Grade 4 Life-threatening or disabling AE, Grade 5 Death related to AE. (NCT00081289)
Timeframe: From post-surgery to before chemotherapy (CT), or within 60 days of surgery if no postoperative CT. Approximately 10-16 weeks to 14-22 weeks from randomization based on CT starting 4-6 weeks after surgery.
,
Intervention | Participants (Count of Participants) |
---|
| Hematologic | Non-Hematologic | Overall |
---|
Neoadjuvant Chemoradiation With Irinotecan | 1 | 9 | 9 |
Neoadjuvant Chemoradiation With Oxaliplatin | 3 | 9 | 10 |
[back to top]
[back to top]
Change From Baseline in EORTC QLQ-CR38 Gastro-intestinal Symptom Score at Completion of Post-operative Chemotherapy
The gastro-intestinal (GI) symptom score is calculated from five symptom questions on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire [EORTC QLQ]-CR38. The question responses range from 1 (not at all) to 4 (very much) such that a higher response indicates worse symptoms. The mean of these responses is linearly transformed to a range of 0 (best) to 100 (worst). Change from baseline is calculated as the time point value - baseline value and a decrease from baseline indicates improvement in symptoms. A negative number indicates improvement in symptoms. (NCT00081289)
Timeframe: Baseline and completion of post-operative chemotherapy approximately 32 to 40 weeks from randomization based on 18 weeks of post-operative chemotherapy
Intervention | score on a scale (Mean) |
---|
Neoadjuvant Chemoradiation With Irinotecan | -1.5 |
Neoadjuvant Chemoradiation With Oxaliplatin | 3.9 |
[back to top]
Change From Baseline in QLQ-C30 Global Health Status Score at Completion of Chemoradiation
"Global Health Status is calculated from two questions on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire [EORTC QLQ]-C30. The question responses range from 1 very poor to 7 excellent such that a higher response indicates better quality of life (QOL). The mean of these responses is linearly transformed to a range of 0 (worst) to 100 (best). Change from baseline is calculated as the time point value - baseline value and a decrease from baseline indicates decline in quality of life. A positive number indicates improvement in QOL." (NCT00081289)
Timeframe: Baseline and completion of chemoradiation, approximately 6-8 weeks from randomization
Intervention | score on a scale (Mean) |
---|
Neoadjuvant Chemoradiation With Irinotecan | -10.3 |
Neoadjuvant Chemoradiation With Oxaliplatin | -12.2 |
[back to top]
Change From Baseline in QLQ-C30 Global Health Status Score at Completion of Post-operative Chemotherapy
"Global Health Status is calculated from two questions on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire [EORTC QLQ]-C30. The question responses range from 1 very poor to 7 excellent such that a higher response indicates better quality of life (QOL). The mean of these responses is linearly transformed to a range of 0 (worst) to 100 (best). Change from baseline is calculated as the time point value - baseline value and a decrease from baseline indicates decline in quality of life. A positive number indicates improvement in QOL." (NCT00081289)
Timeframe: Baseline and completion of post-operative chemotherapy approximately 32 to 40 weeks from randomization based on 18 weeks of post-operative chemotherapy
Intervention | score on a scale (Mean) |
---|
Neoadjuvant Chemoradiation With Irinotecan | -12.5 |
Neoadjuvant Chemoradiation With Oxaliplatin | -7.1 |
[back to top]
Symptom Assessment Score Changes From Baseline for Functional Assessment of Cancer Therapy-Breast Symptom Index (FBSI)
Quality of life, as measured by the FBSI, an 8-item, participant-reported instrument to measure symptoms. Each item has 5 possible responses ranging from 0 (not at all) to 4 (very much). The scoring was conducted according to the Functional Assessment of Chronic Illness Therapy manual, Version 4; higher scores reflect fewer symptoms. (NCT00082433)
Timeframe: Baseline and prior to each 21-day cycle of treatment, and at first posttreatment follow-up assessment
,
Intervention | units on a scale (Mean) |
---|
| Week 3 (n=440; n=429) | Week 6 (n=379; n=353) | Week 9 (n=330; n=283) | Week 12 (n=283; n=250) | Week 15 (n=255; n=240) | Week 18 (n=205; n=202) | Week 21 (n=166; n=185) | Week 24 (n=149; n=141) |
---|
Capecitabine | 0.0 | 0.5 | 0.7 | 1.1 | 1.5 | 1.2 | 1.7 | 1.1 |
Ixabepilone + Capecitabine | -0.5 | -0.9 | -1.5 | -1.4 | -1.9 | -1.3 | -1.4 | -1.4 |
[back to top]
[back to top]
Time to Response
"Time to response was defined as the time from the first dose of study therapy until measurement criteria were first met for partial or complete (whichever status was recorded first) per RECIST criteria (a 4-item scale described in the previous outcome measure)." (NCT00082433)
Timeframe: every 6 weeks (± 3 days) from randomization while on treatment until documented progression
Intervention | weeks (Median) |
---|
Ixabepilone + Capecitabine | 6.6 |
Capecitabine | 6.6 |
[back to top]
Response Rate (RR)
"RR=number of patients in that group whose best response is partial(30% decrease in the sum of the longest diameter of target lesions) or complete (disappearance of all target lesions), according to the 4-item Response Evaluation Criteria in Solid Tumors (RECIST), divided by the total number of response-evaluable participants" (NCT00082433)
Timeframe: every 6 weeks (± 3 days) from randomization while on treatment until documented progression
Intervention | percentage of participants (Mean) |
---|
Ixabepilone + Capecitabine | 43.3 |
Capecitabine | 28.8 |
[back to top]
Progression-Free Survival (PFS)
PFS was defined for each patient as the time in months from randomization to the date of progression. Patients who died without a reported prior progression were considered to have progressed on their date of death. Patients who did not progress or die were censored on the date of their last tumor assessment. (NCT00082433)
Timeframe: every 6 weeks (± 3 days) from randomization while on treatment until documented progression
Intervention | months (Median) |
---|
Ixabepilone + Capecitabine | 6.24 |
Capecitabine | 4.40 |
[back to top]
Overall Survival (OS)
Overall survival was defined as the time in months from randomization until the date of death. For those patients who had not died, survival duration was censored at the last date the patient was known to be alive. Median OS with 95% CI estimated using the Kaplan-Meier Product Limit Method. (NCT00082433)
Timeframe: from date of randomization until death
Intervention | months (Median) |
---|
Ixabepilone + Capecitabine | 16.39 |
Capecitabine | 15.64 |
[back to top]
Duration of Response
"Measured from the time RECIST criteria (described in previous outcome measure) were first met for complete or partial response until first date of documented disease progression or death. Patients who neither relapsed nor died were censored on the date of last tumor assessment. Median w/ 95% CI estimated using Kaplan Meier Product Limit Method." (NCT00082433)
Timeframe: every 6 weeks (± 3 days) from randomization while on treatment until documented progression
Intervention | Months (Median) |
---|
Ixabepilone + Capecitabine | 6.1 |
Capecitabine | 6.3 |
[back to top]
[back to top]
Overall Survival
Length of time patients survived after treatment (NCT00084617)
Timeframe: at 40 months from study activation
Intervention | months (Median) |
---|
Treatment (Oxaliplatin, Irinotecan, Capecitabine) | 8.98 |
[back to top]
Complete Response (CR) and Partial Response (PR) Duration
The duration of overall response is measured from the time measurement criteria are met for CR or PR (whichever is first recorded) until the first date that recurrent or progressive disease is objectively documented (taking as reference for progressive disease the smallest measurements recorded since the treatment started). (NCT00084617)
Timeframe: at 40 months from study activation
Intervention | months (Median) |
---|
Treatment (Oxaliplatin, Irinotecan, Capecitabine) | 5.95 |
[back to top]
Progression-free Survival at 6 Months
Percentage of participants progression-free at 6 months. Progression-free survival (PFS) measured from date of registration to first observation of progressive disease (per RECIST criteria (V1.0)), death due to any cause, or symptomatic deterioration. Kaplan-Meier was used to estimate progression-free survival (PFS) at six months. (NCT00087152)
Timeframe: Six months
Intervention | percentage of participants (Number) |
---|
Imatinib Mesylate & Capecitabine | 16 |
[back to top]
[back to top]
Confirmed Response Rate (Complete and Partial)
Number of participants with confirmed complete or partial response. Confirmed response (complete and partial) per Response Evaluation Criteria in Solid Tumors (RECIST) Criteria (V1.0). Complete Response (CR) is complete disappearance of all measurable and non-measurable disease; no new lesions; no disease related symptoms; and normalization of markers and other abnormal lab values. Partial response (PR) applies only to patients with at least one measurable lesion. PR is greater than or equal to 30% decrease under baseline of the sum of longest diameter of all target measurable lesions; no unequivocal progression of non-measurable disease and no new lesions. Confirmed response is two or more objective statuses a minimum of four weeks apart documented before progression or symptomatic deterioration. (NCT00087152)
Timeframe: 12 weeks
Intervention | participants (Number) |
---|
Imatinib Mesylate & Capecitabine | 2 |
[back to top]
Overall Survival [Number of Events]
Number of patients who died/were alive. (NCT00089479)
Timeframe: Time from the date of randomization to the date of death, or date last known to be alive. Patients were followed for an average of 5 years.
,
Intervention | participants (Number) |
---|
| Patients with event | Patients without events |
---|
AC Then T | 108 | 1196 |
AC Then XT | 75 | 1232 |
[back to top]
Disease Free Survival Including New Primary Breast Cancer as Event [Number of Events]
Number of patients with/without recurrence of breast cancer, new primary breast cancer, or death due to any cause. (NCT00089479)
Timeframe: Time from the date of randomization until the date of first event, or date last known to be event free if no event was reported. Patients were followed for an average of 5 years.
,
Intervention | participants (Number) |
---|
| Patients with event | Patients without events |
---|
AC Then T | 169 | 1135 |
AC Then XT | 154 | 1153 |
[back to top]
Disease Free Survival Including Any New Cancer as Event [Number of Events]
Number of patients with/without recurrence of breast cancer, any new cancer, or death due to any cause. (NCT00089479)
Timeframe: Time from the date of randomization until the date of first event, or date last known to be event free if no event was reported. Patients were followed for an average of 5 years.
,
Intervention | participants (Number) |
---|
| Patients with event | Patients without events |
---|
AC Then T | 200 | 1104 |
AC Then XT | 177 | 1130 |
[back to top]
Breast Cancer Free Survival [Time to Event]
Breast cancer-free survival was measured as time from the date of randomization to the date of recurrence of breast cancer, new primary breast cancer, or death related to the chemotherapy administered or due to breast cancer. Patients without event at the time of the analysis were censored using the date they were last known to be recurrent disease free. (NCT00089479)
Timeframe: Time from the date of randomization to death, or date last known to be event free if no event was reported. Patients were followed for an average of 5 years.
Intervention | months (Median) |
---|
AC Then T | NA |
AC Then XT | NA |
[back to top]
Breast Cancer Free Survival [Number of Events]
Number of patients with/without recurrence of breast cancer, new primary breast cancer, or death related to the chemotherapy administered or due to breast cancer. (NCT00089479)
Timeframe: Time from the date of randomization to event, or date last known to be event free if no event was reported. Patients were followed for an average of 5 years .
,
Intervention | participants (Number) |
---|
| Patients with event | Patients without events |
---|
AC Then T | 158 | 1146 |
AC Then XT | 144 | 1163 |
[back to top]
Disease Free Survival [Number of Events]
Number of patients with/without recurrence of breast cancer, or death due to any cause. (NCT00089479)
Timeframe: Time from the date of randomization until the date of first event, or date last known to be event free if no event was reported. Patients were followed for an average of 5 years.
,
Intervention | participants (Number) |
---|
| Patients with event | Patients without events |
---|
AC Then T | 164 | 1140 |
AC Then XT | 140 | 1167 |
[back to top]
Overall Survival [Time to Event]
Overall survival was measured as the time from the date of randomization to the date of death. Patients still alive at the time of the analysis were censored using the date they were last known to be alive. (NCT00089479)
Timeframe: Time from the date of randomization to the date of death, or date last known to be alive. Patients were followed for an average of 5 years.
Intervention | months (Median) |
---|
AC Then T | NA |
AC Then XT | NA |
[back to top]
Disease Free Survival Including New Primary Breast Cancer as Event [Time to Event
Time from the date of randomization until the date of first event (recurrence of breast cancer, new primary breast cancer, or death due to any cause). Patients without event at the time of the analysis were censored using the date they were last known to be recurrent disease free. (NCT00089479)
Timeframe: Time from the date of randomization until the date of first event, or date last known to be event free if no event was reported. Patients were followed for an average of 5 years.
Intervention | months (Median) |
---|
AC Then T | NA |
AC Then XT | NA |
[back to top]
Disease Free Survival [Time to Event]
Disease free survival was measured as the time from the date of randomization until the date of first event (recurrence of breast cancer, or death due to any cause). Patients without event at the time of the analysis were censored using the date they were last known to be recurrent disease free. (NCT00089479)
Timeframe: Time from the date of randomization until the date of first event, or date last known to be event free if no event was reported. Patients were followed for an average of 5 years.
Intervention | months (Median) |
---|
AC Then T | NA |
AC Then XT | NA |
[back to top]
Disease Free Survival Including Any New Cancer as Event [Time to Event]
Time from the date of randomization until the date of first event (recurrence of breast cancer, any new cancer, or death due to any cause). Patients without event at the time of the analysis were censored using the date they were last known to be recurrent disease free. (NCT00089479)
Timeframe: Time from the date of randomization until the date of first event, or date last known to be event free if no event was reported. Patients were followed for an average of 5 years.
Intervention | months (Median) |
---|
AC Then T | NA |
AC Then XT | NA |
[back to top]
Number of Participants With Complete Response at 2 Years
Response determined by computed tomography (CT)/magnetic resonance imaging (MRI), digital rectal examination, and proctoscopy, and a biopsy performed for clinical suspicion of residual or progressive disease. Response Evaluation Criteria in Solid Tumors (RECIST) where evaluation of target lesions Complete Response (CR): Disappearance of all target lesions; Partial Response (PR): At least a 30% decrease in sum of longest diameter (LD) of target lesions, taking as reference baseline sum LD; Progressive Disease (PD): 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; Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started. (NCT00093379)
Timeframe: 2 Years
Intervention | participants (Number) |
---|
Capecitabine + Oxaliplatin + XRT | 16 |
[back to top]
Number of Participants With 2-year Colostomy-Free Survival
Colostomy-free survival reported as number of participants who did not develop local recurrence or require salvage resection with colostomy. (NCT00093379)
Timeframe: 2 Years with median study follow up of 19 months
Intervention | participants (Number) |
---|
Capecitabine + Oxaliplatin + XRT | 20 |
[back to top]
2 Year Failure Free Survival
Treatment failure defined as: Biopsy proven residual disease identified 12 -14 weeks after the conclusion of chemoradiation therapy, Treatment-related mortality or Disease recurrence. (NCT00093379)
Timeframe: 2 years
Intervention | participants (Number) |
---|
Capecitabine + Oxaliplatin + XRT | 20 |
[back to top]
Overall Survival as Assessed by Time
Overall survival: The overall survival or survival time is defined as the time from registration to death due to any cause. The distribution of overall survival will be estimated using the method of Kaplan-Meier method. (NCT00093808)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Capecitabine + Vinorelbine + Trastuzumab | 28.5 |
[back to top]
Time to Progression (TTP)
Time to progression is defined as the time from registration to disease progression. Patients who died without documentation of progression will be considered to have progressed on the date of their death. If a patient starts treatment and fails to return for any evaluations, that patient will be censored for progression of disease at day one post-registration. Otherwise, for patients that do not progress, censoring will occur at the last follow up date. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as at least a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions or unequivocal progression of existing non-target lesions. (NCT00093808)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Capecitabine + Vinorelbine + Trastuzumab | 11.3 |
[back to top]
Duration of Response as Measured by RECIST Criteria
Duration of response is defined for all eligible patients who have achieved an objective response as the date at which the patient's objective status is first noted to be either a Complete Response (CR) or Partial Response (PR) to the date progression is documented. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions. (NCT00093808)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Capecitabine + Vinorelbine + Trastuzumab | 13.2 |
[back to top]
Confirmed Response Rate
A confirmed tumor response is defined to be either a Complete Response (CR) or Partial Response (PR) noted as the objective status on 2 consecutive evaluations at least 6 weeks apart. All patients meeting the eligibility criteria who have signed a consent form and initiated study medication will be evaluable for response. The proportion of confirmed tumor responses will be estimated by the number of tumor regressions that meet the RECIST criteria for a confirmed CR or PR divided by the total number of evaluable patients. A 95% confidence interval for the true confirmed response rate will be calculated using the properties of the binomial distribution. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT00093808)
Timeframe: Up to 5 years
Intervention | proportion of patients (Number) |
---|
Capecitabine + Vinorelbine + Trastuzumab | 0.67 |
[back to top]
Percentage of Participants With Improved Quality of Life
Quality of Life was assessed using EORTC QLQ-PAN26. All measures range in score from 1 to 4 as lower scores indicate better outcomes. The improved Quality of Life is defined as a greater than 5% decrease in 2 consecutive scores compared with the baseline score. (NCT00100815)
Timeframe: assessed at baseline then weekly for 3 weeks
Intervention | percentage of participants (Number) |
---|
GEMCITABINE, CAPECITABINE and AVASTIN | 56.0 |
[back to top]
Clinical Response
Response was evaluated using the international criteria proposed by the Response Evaluation Criteria in Solid Tumors (RECIST) Committee [JNCI 92(3):205-216, 2000]. Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), At least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum longest diameter; Overall Response (OR) = CR + PR. (NCT00100815)
Timeframe: Pre-treatment and every 6 weeks from treatment.
Intervention | percentage of participants (Number) |
---|
GEMCITABINE, CAPECITABINE and AVASTIN | 22.0 |
[back to top]
Overall Survival
(NCT00100815)
Timeframe: every 2-4 months for 1 year and then every 6 months for 5 years
Intervention | months (Median) |
---|
GEMCITABINE, CAPECITABINE and AVASTIN | 9.8 |
[back to top]
[back to top]
Progression-free Survival
Progressive Disease is defined using the international criteria proposed by the Response Evaluation Criteria in Solid Tumors (RECIST) Committee [JNCI 92(3):205-216, 2000], as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of one or more new lesions, or appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions. (NCT00100815)
Timeframe: every 2-4 months for 1 year and then every 6 months for 5 years
Intervention | months (Median) |
---|
GEMCITABINE, CAPECITABINE and AVASTIN | 5.7 |
[back to top]
Survival Time: Celecoxib and Placebo
Survival time defined as time from date of randomization to date of death. In the absence of confirmation of death, survival time was censored to last date the subject known to be alive. (NCT00101686)
Timeframe: assessed at least every week during treatment and at least every 3 months during follow-up
Intervention | months (Median) |
---|
Celecoxib | 21.06 |
Placebo | 18.83 |
[back to top]
1 Year Survival: FOLFIRI, mIFL and CapeIRI
Number of patients alive or dead at 1 year. In the absence of confirmation of death, survival time was censored to last date the subject known to be alive. (NCT00101686)
Timeframe: 1 year from date of randomization
,,
Intervention | participants (Number) |
---|
| Alive at 1 year | Dead at 1 year | Censored |
---|
CapeIRI | 89 | 46 | 10 |
FOLFIRI | 101 | 34 | 9 |
mIFL | 86 | 47 | 8 |
[back to top]
Time to Progression: Bevacizumab With FOLFIRI, mIFL
Time to disease progression is defined as the number of months from date of randomization to the date of first documentation of disease progression (PD). (NCT00101686)
Timeframe: every 6 weeks until disease progression
Intervention | months (Median) |
---|
Bevacizumab + FOLFIRI | 11.17 |
Bevacizumab + mIFL | 8.31 |
[back to top]
Survival Time at Last Follow-Up Visit: Bevacizumab With FOLFIRI, mIFL
Survival time defined as time from date of randomization to date of death. In the absence of confirmation of death, survival time was censored to last date the subject known to be alive. Zero subjects analyzed indicates median could not be analyzed based on number of subjects who died. (NCT00101686)
Timeframe: Last Follow-Up Visit
Intervention | months (Median) |
---|
Bevacizumab + FOLFIRI | 27.99 |
Bevacizumab + mIRI | 19.22 |
[back to top]
Overall Response: FOLFIRI, mIFL and CapeIRI
A subject will be considered achieving an overall response if the subject has a sustained Complete Response (CR) or Partial Response (PR) for at least 4 weeks, confirmed by tumor assessments. (CR: Disappearance of all target lesions. PR: greater than or equal to 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the Pre-treatment sum LD. ) (NCT00101686)
Timeframe: every 6 weeks during chemotherapy until disease progression
Intervention | participants (Number) |
---|
FOLFIRI | 68 |
mIFL | 61 |
CapeIRI | 56 |
[back to top]
Overall Response: Celecoxib and Placebo
A subject will be considered achieving an overall response if the subject has a sustained CR or PR for at least 4 weeks, confirmed by tumor assessments. (Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): ≥ 30% decrease in the sum of the LD of target lesions, taking as reference the Pre-treatment sum LD. ) (NCT00101686)
Timeframe: every 6 weeks during chemotherapy until disease progression
Intervention | participants (Number) |
---|
Celecoxib | 84 |
Placebo | 101 |
[back to top]
Overall Response: Bevacizumab With FOLFIRI, mIFL
A subject will be considered achieving an overall response if the subject has a sustained CR or PR for at least 4 weeks, confirmed by tumor assessments. (Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): ≥ 30% decrease in the sum of the LD of target lesions, taking as reference the Pre-treatment sum LD. ) (NCT00101686)
Timeframe: every 6 weeks during chemotherapy until disease progression
Intervention | participants (Number) |
---|
Bevacizumab + FOLFIRI | 33 |
Bevacizumab + mIFL | 32 |
[back to top]
Dose Reduction Due to Treatment Emergent Adverse Events
Number of subjects that had at least one Treatment-Emergent Adverse Event (TEAE) that led to a dose reduction. TEAE includes all reported Adverse Events that occurred within 30 days of last study medication. (NCT00101686)
Timeframe: Day 1; Day 8; and at end of every 3 treatment cycles for FOLFIRI; end of every 2 cycles for mIRI
Intervention | participants (Number) |
---|
FOLFIRI | 18 |
mIFL | 14 |
CapeIRI | 39 |
Bevacizumab + FOLFIRI | 6 |
Bevacizumab + mIRI | 8 |
[back to top]
Time to Progression: FOLFIRI, mIFL and CapeIRI
Time to disease progression is defined as the number of months from date of randomization to the date of first documentation of disease progression (PD). (NCT00101686)
Timeframe: every 6 weeks until disease progression
Intervention | months (Median) |
---|
FOLFIRI | 7.62 |
mIFL | 5.98 |
CapeIRI | 5.82 |
[back to top]
Overall Relative Dose Intensity of Irinotecan
Relative dose intensity for a cycle was calculated as the percentage of the actual dose intensity of the cycle divided by the planned dose intensity of the cycle. Overall relative dose intensity was calculated as the average relative dose intensities over all cycles. (Dose intensity for each cycle was calculated as the actual dose level of the study medication received in that cycle divided by the number of weeks in the cycle.) (NCT00101686)
Timeframe: End of treatment cycle
Intervention | percent dose intensity (Mean) |
---|
FOLFIRI | 93.9 |
mIFL | 94.5 |
CapeIRI | 93.8 |
Bevacizumab + FOLFIRI | 93.3 |
Bevacizumab + mIRI | 95.5 |
[back to top]
1 Year Survival: Bevacizumab With FOLFIRI, mIFL
Number of patients alive or dead at 1 year. In the absence of confirmation of death, survival time was censored to last date the subject known to be alive. (NCT00101686)
Timeframe: 1 year from date of randomization
,
Intervention | participants (Number) |
---|
| Alive at 1 year | Dead at 1 year | Censored |
---|
Bevacizumab + FOLFIRI | 45 | 7 | 5 |
Bevacizumab + mIRI | 33 | 22 | 5 |
[back to top]
Survival Time: FOLFIRI, mIFL and CapeIRI
Survival time defined as time from date of randomization to date of death. In the absence of confirmation of death, survival time was censored to last date the subject known to be alive. (NCT00101686)
Timeframe: assessed at least every week during treatment and at least every 3 months during follow-up
Intervention | months (Median) |
---|
FOLFIRI | 23.06 |
mIFL | 17.64 |
CapeIRI | 18.92 |
[back to top]
Time to Progression : Celecoxib and Placebo
Time to disease progression is defined as the number of months from date of randomization to the date of first documentation of disease progression (PD). (NCT00101686)
Timeframe: every 6 weeks until disease progression
Intervention | months (Median) |
---|
Celecoxib | 6.64 |
Placebo | 6.70 |
[back to top]
Time to Progression (TTP) at Primary Completion: FOLFIRI and mIFL
Time to disease progression is defined as the number of months from date of randomization to the date of first documentation of disease progression (PD). (NCT00101686)
Timeframe: every 6 weeks until disease progression
Intervention | months (Median) |
---|
FOLFIRI | 8.18 |
mIFL | 6.01 |
[back to top]
Progression-free Survival and Overall Survival
"Progression-Free Survival: From date of registration to time of first documentation of progression or symptomatic deterioration, or death due to any cause. Patients last known to be alive and progression-free are censored at last date of contact.~Overall Survival: From date of registration to date of death due to any cause. Patients last known to be alive are censored at last date of contact.~Progression is 20% increase in sum of longest diameters of target measurable lesions over smallest sum observed and/or unequivocal progression of non-measurable disease and/or appearance of new lesion/site or death due to disease without prior documentation of progression and without symptomatic deterioration. Symptomatic deterioration is global deterioration of health status requiring discontinuation of treatment without objective evidence of progression." (NCT00107276)
Timeframe: two years
Intervention | months (Median) |
---|
| PFS | OS |
---|
Cyclophosphamide and Capecitabine | 5.9 | 18.8 |
[back to top]
Response Rate (Complete and Partial, Confirmed and Unconfirmed)
Complete Response (CR) is complete disappearance of all measurable and non-measurable disease. No new lesions, no disease related symptoms. Normalization of markers and other abnormal lab values. Partial Response (PR) is greater than or equal to 30% decrease under baseline of the sum of longest diameters of all target measurable lesions. No unequivocal progression of non-measurable disease. No new lesions. Confirmation of CR or PR means a repeat scan at least 4 weeks apart documented before progression or symptomatic deterioration. Progression is 20% increase in sum of longest diameters of target measurable lesions over smallest sum observed and/or unequivocal progression of non-measurable disease and/or appearance of new lesion/site or death due to disease without prior documentation of progression and without symptomatic deterioration. Symptomatic deterioration is global deterioration of health status requiring discontinuation of treatment without objective evidence of progression. (NCT00107276)
Timeframe: Patients assessed at least every six weeks while on protocol treatment
Intervention | participants (Number) |
---|
Cyclophosphamide and Capecitabine | 29 |
[back to top]
Toxicity
Number of patients for whom Grade 3 or higher toxicity observed during treatment. Only adverse events that are possibly, probably or definitely related to study drug are reported. (NCT00107276)
Timeframe: Patients assessed after each 21-day cycle for 8 cycles (24 weeks of treatment)
Intervention | Participants (Number) |
---|
| ALT, SGPT (serum glutamic pyruvic transaminase) | Alkaline phosphatase | Dehydration | Diarrhea | Dyspnea (shortness of breath) | Fatigue (asthenia, lethargy, malaise) | Febrile neutropenia | Hemoglobin | Leukocytes (total WBC) | Lymphopenia | Mood alteration - depression | Nausea | Neuroendocrine: ADH secretion abnormality | Neutrophils/granulocytes (ANC/AGC) | Platelets | Potassium, serum-low (hypokalemia) | Pruritus/itching | Rash/desquamation | Rash: hand-foot skin reaction | Sodium, serum-low (hyponatremia) | Thrombosis/thrombus/embolism | Weight loss |
---|
Cyclophosphamide and Capecitabine | 1 | 1 | 2 | 2 | 1 | 2 | 1 | 1 | 15 | 13 | 1 | 1 | 1 | 7 | 1 | 1 | 1 | 1 | 7 | 1 | 2 | 1 |
[back to top]
Overall Survival in Stage III Cancer Patients - Time to Event
Overall survival was defined as the time between date of randomization and date of death due to any cause. Patients not reported as having died at the time of the analysis were censored at the date they were last known to be alive. (NCT00112918)
Timeframe: From first patient randomized until the clinical data cut-off date of 30 June 2010 (36 months after the last patient randomized).
Intervention | months (Median) |
---|
FOLFOX4 | NA |
FOLFOX4 + Bv | NA |
XELOX+Bv | NA |
[back to top]
Overall Survival in Stage III Cancer Patients - Number of Events: Final Analysis
An overall survival event was death due to any cause. (NCT00112918)
Timeframe: From first patient randomized until the final data cut-off date of 30 June 2012 (5 years after the last patient randomized).
,,
Intervention | participants (Number) |
---|
| Patients with events | Patients without events |
---|
FOLFOX4 | 161 | 794 |
FOLFOX4 + Bv | 202 | 758 |
XELOX+Bv | 182 | 770 |
[back to top]
Overall Survival in Stage III Cancer Patients - Number of Events
An overall survival event was death due to any cause. (NCT00112918)
Timeframe: From first patient randomized until the clinical data cut-off date of 30 June 2010 (36 months after the last patient randomized).
,,
Intervention | participants (Number) |
---|
| Patients with events | Patients without events |
---|
FOLFOX4 | 115 | 840 |
FOLFOX4 + Bv | 151 | 809 |
XELOX+Bv | 145 | 807 |
[back to top]
Disease-free Survival in Stage III Cancer Patients - Number of Events
A disease-free survival (DFS) event was composed of a recurrence, a new occurrence of colorectal cancer or death due to any cause. Recurrence and new occurrence of colorectal cancer were based on tumor assessments made by the investigator. Triggering events for DFS are reported; a patient can have both recurrence and a new occurrence of colon cancer. (NCT00112918)
Timeframe: From first patient randomized until the data cut-off date of 30 June 2010 (36 months after the last patient randomized).
,,
Intervention | participants (Number) |
---|
| Patients with a DFS event | Recurrence | New Occurrence | Death | Patients without events |
---|
FOLFOX4 | 237 | 219 | 3 | 17 | 718 |
FOLFOX4 + Bv | 280 | 253 | 8 | 21 | 680 |
XELOX+Bv | 253 | 223 | 6 | 25 | 699 |
[back to top]
Overall Survival in Stage III Cancer Patients - Time to Event: Final Analysis
Overall survival was defined as the time between date of randomization and date of death due to any cause. Patients not reported as having died at the time of the clinical cut-off date (30 June 2012) were censored at the date they were last known to be alive. (NCT00112918)
Timeframe: From first patient randomized until the final data cut-off date of 30 June 2012 (5 years after the last patient randomized).
Intervention | months (Median) |
---|
FOLFOX4 | NA |
FOLFOX4 + Bv | NA |
XELOX+Bv | NA |
[back to top]
Disease-free Survival in Stage III Cancer Patients - Time to Event
Disease-free survival (DFS) was defined as the time from the date of randomization to the time of a recurrence, a new occurrence of colorectal cancer or death due to any cause, whichever occurred first. Patients without an event were censored at the last date the patient was known to be disease-free. Recurrence and new occurrence of colorectal cancer were based on tumor assessments made by the investigator. Patients with no tumor assessments after baseline but still alive at the time of the clinical cut-off were censored at day 1. (NCT00112918)
Timeframe: From first patient randomized until the data cut-off date of 30 June 2010 (36 months after the last patient randomized).
Intervention | months (Median) |
---|
FOLFOX4 | NA |
FOLFOX4 + Bv | NA |
XELOX+Bv | NA |
[back to top]
Pathologic Local Tumor Response
At follow-up evaluation after completion of neoadjuvant and surgical therapy, resected primary tumor classified based on routine pathology staining in the following manner: Pathologic Complete Response (no evidence of residual cancer); Microscopic Residual (no grossly detected disease, but evidence of microscopic residual disease); and Gross Residual Disease. (NCT00113230)
Timeframe: Baseline to approximately 5 Months (Following 28 days of treatment, chemotherapy and surgical resection of tumor)
Intervention | Participants (Number) |
---|
| Pathological Complete Response | Microscopic Residual (<10% viable tumor cells) | Gross Residual Disease |
---|
Avastin | 8 | 6 | 11 |
[back to top]
Morbidity and Mortality Rate
Morbidity and mortality after neoadjuvant cheoradiotherapy and local excision. (NCT00114231)
Timeframe: Up to 30 days
Intervention | percentage of patients (Number) |
---|
| Mortality | Morbidity |
---|
Treatment (Capecitabine, Oxaliplatin, Radiotherapy, Surgery) | 6 | 10 |
[back to top]
Rate of Pathologic Complete Response of the Primary Tumor
The rate (percentage) of patients with pathologic complete response (pCR) is reported below. Pathologic response will be determined by comparing tumor width and stage in the surgical specimen with the same parameters as determined by pre-CRT ERUS: PATHOLOGIC COMPLETE RESPONSE (pCR): no residual tumor. (NCT00114231)
Timeframe: Up to 5 years
Intervention | percentage of patients (Number) |
---|
Treatment (Capecitabine, Oxaliplatin, Radiotherapy, Surgery) | 44 |
[back to top]
R0 Resection Rate (Negative Margin Rate)
The rate (percentage) of patients with negative resection margins after undergoing local excision is reported below. (NCT00114231)
Timeframe: At time of surgery
Intervention | percentage of patients (Number) |
---|
Treatment (Capecitabine, Oxaliplatin, Radiotherapy, Surgery) | 98.7 |
[back to top]
3-Year Disease-free Survival
The primary endpoint was 3-year disease-free survival (DFS). Evidence of local recurrence, distant metastasis, or death from any cause within 3 years counted as events in the time-to-event Kaplan-Meier analysis of disease-free survival. (NCT00114231)
Timeframe: Up to 3 years
Intervention | percentage of patients (Number) |
---|
Treatment (Capecitabine, Oxaliplatin, Radiotherapy, Surgery) | 88.2 |
[back to top]
Local Recurrence Rate
The local recurrence rate (percentage) is defined as the percentage of patients who had local recurrence as initial sites of failure at the end of follow-up. (NCT00114231)
Timeframe: Up to 5 years
Intervention | percentage of patients (Number) |
---|
Treatment (Capecitabine, Oxaliplatin, Radiotherapy, Surgery) | 4 |
[back to top]
Duration of Overall Clinical Response (CR or PR)
Among tumor responders (i.e., patients with overall best response of CR or PR), duration of overall response was measured from the time criteria were first met for CR or PR (whichever status was recorded first) to the date of either recurrent/progressive disease was objectively documented or death from any cause. (NCT00118755)
Timeframe: Time to Disease Progression or Death (through follow-up phase): Approximate Median of 302 days
Intervention | Days to event (Median) |
---|
XELOX Q3W + Bevacizumab | 281 |
XELOX Q2W + Bevacizumab | 316 |
[back to top]
Overall Survival
Overall survival was defined as the time from the date of randomization to the date of death, for any cause. (NCT00118755)
Timeframe: Time to death (through follow-up phase): Approximate Median of 718 days
Intervention | Days (Median) |
---|
XELOX Q3W + Bevacizumab | 852 |
XELOX Q2W + Bevacizumab | 662 |
[back to top]
Progression-free Survival (PFS)
Progression-free survival was defined as the time from the date of randomization to the first occurrence of having documented disease progression or death due to any cause, whichever comes first. Progression was based on tumor assessments made by the investigators according to Response Evaluation Criteria in Solid Tumors (RECIST). (NCT00118755)
Timeframe: Time to disease progression or death (through follow-up phase)
Intervention | Days (Median) |
---|
XELOX Q3W + Bevacizumab | 287 |
XELOX Q2W + Bevacizumab | 273 |
[back to top]
Best Overall Clinical Response
"Overall response rate was assessed according to RECIST (the best response recorded from the time of randomization to the first CR or PR. The patient's overall best response was complete response (CR), partial response (PR) (CR and PR considered responders), stable disease (SD), or progressive disease (PD). To be assigned a status of complete response (CR) or partial response (PR), changes in tumor measurements were confirmed by repeat assessments performed no less than 4 weeks after the criteria for response were first met." (NCT00118755)
Timeframe: Through follow-up phase: Approximate Median of 318 days
,
Intervention | Patients (Number) |
---|
| Nonresponders (without CR or PR) | Responders (with CR or PR) | Complete Response (CR) | Partial Response (PR) |
---|
XELOX Q2W + Bevacizumab | 167 | 51 | 3 | 48 |
XELOX Q3W + Bevacizumab | 145 | 72 | 2 | 70 |
[back to top]
The Completion Rate of 1 Year of Bevacizumab Therapy for All Four Cohorts
(NCT00121134)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
Group A- Bevacizumab Alone | 60 |
Group B-Bevacizumab+Cyclophosphamide+Methotrexate | 58 |
Group C-Bevacizumab + Capcitabine(18 Wks) | 49 |
Group D-bevacizumab + Capecitibine (24wks) | 76 |
[back to top]
Number of Participants Who Survived (Overall Survival)
Overall survival (OS) is defined as the time from start of treatment to death from any cause. (NCT00121251)
Timeframe: Up to 9 years
Intervention | Participants (Count of Participants) |
---|
Sorafenib + Gemcitabine + Capecitabine | 6 |
[back to top]
[back to top]
Objective Response for BAY 43-9006 in Combination With Gemcitabine and Capecitabine Evaluated by the Response Evaluation Criteria in Solid Tumors (RECIST)
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Objective Response (OR) = CR + PR (NCT00121251)
Timeframe: Up to 9 years
Intervention | Participants (Count of Participants) |
---|
Sorafenib + Gemcitabine + Capecitabine | 5 |
[back to top]
Number of Subjects With Adverse Events
"The secondary outcome measure was to evaluate the safety profile, including a summary of adverse events (AEs) assessed by the National Cancer Institute Common Terminology Criteria for Adverse Events version 3.0.~Intensity of AEs were graded according to NCI CTCAE version 3.0 on a 5-point scale: Grade 1=Mild Discomfort, Grade 2=Moderate, Grade 3=Severe, Grade 4=Life Threatening/Disabling and Grade 5=Death. An SAE was defined as any experience that suggested a significant hazard,contraindication, side effect, or precaution." (NCT00121836)
Timeframe: Throughout study
,
Intervention | Participants (Number) |
---|
| At least 1 adverse event (AE) | At least 1 treatment-related AE | At least 1 Grade 3 or 4 AE | At least 1 serious adverse event (SAE) | At least 1 AE causing withdrawal |
---|
Capecitabine+Bevacizumab (Bev); Paclitaxel or Vinorelbine +Bev | 108 | 104 | 82 | 39 | 37 |
First Study Treatment Phase Only | 54 | 51 | 41 | 22 | 25 |
[back to top]
Number of Participants With Marked Laboratory Abnormalities
The secondary outcome measure was to evaluate the safety profile, including a summary of marked laboratory abnormalities in >= 5% of patients. n=number of participants with the laboratory measure,Number=number of participants with the abnormality. Laboratory values were flagged as Low(L) or High(H) if they were below the lower limit or above the upper limit of Roche standard reference range, respectively. Marked laboratory abnormalities (flagged as HH and LL) were defined as those values that were outside the Roche marked reference range and showed a clinically relevant change from baseline. (NCT00121836)
Timeframe: until progressive disease or for up to 3 years
Intervention | Participants (Number) |
---|
| Hematocrit (fraction) (n=104); Abnormality: Low | Hemoglobin (g/L) (n=104); Abnormality: Low | Platelets (10^9/L) (n=104); Abnormality: Low | Red blood cells (10¹²/L) (n=104); Abnormality: Low | White blood cells (10^9/L)(n=104); Abnormality:Low | Neutrophils (10^9/L) (n=92); Abnormality: High | Neutrophils (10^9/L) (n=92); Abnormality: Low | Prothrombin time (ratio) (n=36); Abnormality: High | Aspartate transaminase(U/L)(n=104)Abnormality:High | Alanine transaminase(U/L)(n=104);Abnormality: High | Alkaline phosphatase(U/L)(n=104);Abnormality: High | Direct bilirubin (umol/L) (n=78);Abnormality: High | Albumin (g/L) (n=104); Abnormality: Low | Total protein (g/L) (n=104); Abnormality: Low | Chloride (mmol/L) (n=104); Abnormality: Low | Calcium (mmol/L) (n=104); Abnormality: Low | Uric acid (umol/L) (n=94); Abnormality: High |
---|
Capecitabine+Bevacizumab (Bev); Paclitaxel or Vinorelbine +Bev | 16 | 18 | 9 | 15 | 23 | 14 | 25 | 3 | 19 | 10 | 11 | 4 | 13 | 8 | 5 | 10 | 5 |
[back to top]
Overall Survival
Overall survival was defined as the time from date of first treatment dose (Day 1) to date of death, across the study phases regardless of the cause of death (NCT00121836)
Timeframe: approximately 505 days (Median Time to Death)
Intervention | Days (Median) |
---|
Capecitabine+Bevacizumab (Bev); Paclitaxel or Vinorelbine +Bev | 505 |
[back to top]
Premature Withdrawal From Study Due to Adverse Events
The secondary outcome measure was to evaluate the safety profile, including a summary of premature withdrawals due to adverse events occurring in more than 1 patient in either study group, by system organ class. (NCT00121836)
Timeframe: Throughout study
,
Intervention | Participants (Number) |
---|
| All system organ classes | General disorders, administration site conditions | Musculoskeletal and connective tissue disorders | Respiratory, thoracic and mediastinal disorders | Renal and urinary disorders |
---|
Capecitabine+Bevacizumab (Bev); Paclitaxel or Vinorelbine +Bev | 25 | 4 | 2 | 2 | 2 |
First Study Treatment Phase Only | 37 | 7 | 6 | 5 | 2 |
[back to top]
Number of Participants With Serious Adverse Events (SAEs)
Review of Serious Adverse Events (SAEs) To assess the toxicity associated with Arms A and B. Response rates and toxicity rates for each arm were to be estimated and exact (using Casella's method) 95% confidence intervals for those proportions computed. With the anticipated 75 patients in each arm, these estimated proportions would have standard errors not exceeding 7%. (NCT00127036)
Timeframe: 30 Days After End of Treatment - Average of 6 Months
Intervention | participants (Number) |
---|
XELOX + Bevacizumab | 9 |
XELIRI + Bevacizumab | 11 |
[back to top]
Participants With Disease-Free Survival
Disease-free survival was defined as the time from date of surgery to date of first evidence of cancer recurrence in the breast (ie, local or distant recurrence or contra lateral disease) or death from any cause, whichever came first. Patients who were alive or withdrawn from the study and had no evidence of disease recurrence and for whom there was CRF evidence that evaluations had been made were censored at the date of the last clinical follow-up assessment when the patient was known to be disease free. (NCT00127933)
Timeframe: 30 - 1102 days
Intervention | participants (Number) |
---|
HER2-Neu Negative | 92 |
HER2-Neu Positive | 25 |
[back to top]
Percentage of Participants Assessed for Pathological Complete Response (pCR) Plus Near Complete (npCR) in Primary Breast Tumor at Time of Definitive Surgery
Pathological complete response was defined as the absence of histological evidence of invasive breast cancer cells in the tissue specimen removed from the breast after 4 cycles of preoperative treatment. Near pCR (npCR) was defined as the presence of invasive tumor cells with a size of 5 mm or less in aggregate in the tissue specimen removed from the breast after 4 cycles of preoperative treatment. Only pathological assessments occurring prior to the first date of adjuvant treatment were included in the analysis of pCR rate. (NCT00127933)
Timeframe: at the time of definitive surgery; after four 3-week cycles (3-4 months)
Intervention | percentage of participants (Number) |
---|
HER2-Neu Negative | 15.8 |
HER2-Neu Positive | 50.0 |
[back to top]
Percentage of Participants With Complete Pathological Response in the Primary Breast Tumor at the Time of Definitive Surgery
Pathological complete response was defined as the absence of histological evidence of invasive breast cancer cells in the tissue specimen removed from the breast after 4 cycles of preoperative treatment. (NCT00127933)
Timeframe: at the time of definitive surgery; after four 3-week cycles (3-4 months)
Intervention | percentage of participants (Number) |
---|
HER2-Neu Negative | 9.9 |
HER2-Neu Positive | 35.7 |
[back to top]
Percentage of Participants With Overall Clinical Response (Complete Response (CR) Plus Partial Response (PR))
The best overall response in an individual patient, according to RECIST, during preoperative treatment was the best response recorded from the start of study treatment until disease progression/recurrence (taking as reference for PD the smallest measurements recorded since the baseline assessment) or completion of preoperative treatment. Patients with CR or PR were considered responders. Patients with no tumor assessment after the start of study treatment were considered nonresponders. (NCT00127933)
Timeframe: post 2 and 4, 3-week cycles of treatment
Intervention | percentage of participants (Number) |
---|
HER2-Neu Negative | 23.8 |
HER2-Neu Positive | 23.5 |
[back to top]
Percentage of Participants With Local Recurrence
Local recurrence was defined as evidence of recurrent carcinoma in the same breast where it was diagnosed initially before preoperative treatment. (NCT00127933)
Timeframe: 30 - 1102 days
Intervention | percentage of participants (Number) |
---|
HER2-Neu Negative | 3.1 |
HER2-Neu Positive | 3.7 |
[back to top]
Participants With Overall Survival
Overall survival was defined as the time from date of start of study treatment to the date of death, regardless of the cause of death. Patients who were alive at the time of the analysis were censored at the date of the last follow-up assessment. Patients without follow-up assessment were censored at the day of the last dose. Patients with no post-baseline information were censored at the start of study treatment. (NCT00127933)
Timeframe: 22 - 1191 days
Intervention | participants (Number) |
---|
HER2-Neu Negative | 118 |
HER2-Neu Positive | 32 |
[back to top]
Quality of Life Questionnaire: Time to Taking Off the Wig
"Time to taking off the wig was assessed by a specific Hair Toxicity Questionnaire were patients answered when they stop to use the wig.~The questionnaire was evaluated up to two years after the end of chemotherapy." (NCT00129935)
Timeframe: Up to 30 months
Intervention | Months (Median) |
---|
Arm A: EC-T | 8.35 |
Arm B: ET-X | 6.03 |
[back to top]
Number of Participants With Overall Survival (OS) Event
A participant was considered to have had a OS event if patient died from any cause. (NCT00129935)
Timeframe: Up to 5 years
Intervention | Participants (Count of Participants) |
---|
Arm A: EC-T | 70 |
Arm B: ET-X | 83 |
[back to top]
The Number of Participants Who Experienced Adverse Events (AE)
Safety was assessed by standard clinical and laboratory tests, and were evaluated using NCI-CTC criteria v2.0 (NCT00129935)
Timeframe: 5 years
Intervention | Participants (Count of Participants) |
---|
Arm A: EC-T | 665 |
Arm B: ET-X | 699 |
[back to top]
Number of Participants With Disease-free Survival (DFS) Event
A participant was considered to have had a DFS event if there was evidence of local, regional or metastatic recurrence, second primary cancer (with the exception of carcinoma of squamous cells or basal cells of the skin, cervical carcinoma in situ or lobular or ductal carcinoma in situ of the breast) or death for any reason. (NCT00129935)
Timeframe: 5 years
Intervention | Participants (Count of Participants) |
---|
Arm A: EC-T | 127 |
Arm B: ET-X | 170 |
[back to top]
Disease Free Survival (DFS) Events
DFS was measured from the date of randomization assignment in the intent to treat (ITT) population to loco-regional or distant recurrence, second primary malignancy or death date, whichever occurred first. (NCT00130533)
Timeframe: 5 years
Intervention | Participants (Count of Participants) |
---|
Xeloda (Capecitabine) | 105 |
Observation | 120 |
[back to top]
The Number of Participants Who Experienced Adverse Events (AE)
Safety will be assessed by standard clinical and laboratory tests (haematology, serum chemistry). AE grade were defined by the NCI CTCAE (National Cancer Institute Common Terminology Criteria for Adverse Events). (NCT00130533)
Timeframe: 5 years
Intervention | Participants (Count of Participants) |
---|
Xeloda (Capecitabine) | 416 |
Observation | 271 |
[back to top]
Overall Survival (OS) Event
OS event is defined as the death from any cause. (NCT00130533)
Timeframe: 5 years
Intervention | Participants (Count of Participants) |
---|
Xeloda (Capecitabine) | 71 |
Observation | 73 |
[back to top]
Frequency of Grade III/IV Toxicities Experienced by Participants
The frequency of grade 3 and grade 4 adverse events experienced by all treated participants. (NCT00148122)
Timeframe: 30 days post treatment
Intervention | participants (Number) |
---|
| Grade 3 and 4 Lymphopenia | Grade 3 and 4 Infection w/o Neutropenia | Grade 3 and 4 Fatigue | Grade 3 and 4 Leukocytes | Grade 3 and 4 Stomatitis | Grade 3 and 4 Neutrophils | Grade 3 and 4 Diarrhea | Grade 3 and 4 Hand-Foot Skin Reaction | Grade 3 and 4 Hemoglobin | Grade 3 and 4 Platelets | Grade 3 and 4 Allergic Reaction | Grade 3 and 4 Anorexia | Grade 3 and 4 Cardiac-Ischemia | Grade 3 and 4 Dysphagia | Grade 3 and 4 Dyspnea | Grade 3 and 4 Abnormal ENT Examination | Grade 3 and 4 Edema Limbs | Grade 3 and 4 Febrile Neutropenia | Grade 3 and 4 Hand-Foot Syndrome | Grade 3 and 4 Hyperglycemia | Grade 3 and 4 Hyponatremia | Grade 3 and 4 Infection with Unknown ANC | Grade 3 and 4 Infection, Lung | Grade 3 and 4 Melena | Grade 3 and 4 Mental Status Changes | Grade 3 and 4 Mucositis | Grade 3 and 4 Nausea | Grade 3 and 4 Oral Pain | Grade 3 and 4 Pain, Extremity | Grade 3 and 4 Pharyngolaryngeal Pain | Grade 3 and 4 AST Elevation | Grade 3 and 4 Vomiting |
---|
Arm 1 | 8 | 5 | 4 | 4 | 4 | 3 | 2 | 2 | 2 | 2 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
[back to top]
Probability of Progression Free Survival
The estimated 1 year progression free survival. Progression was defined, using RECIST (Response Evaluation Criteria In Solid Tumors Criteria), as a 20% increase in the sum of the longest diameter of target lesions, the development of any new lesion, or the significant clinical deterioration related to the progression of patient's disease. The probability of progression-free survival was presented in a Kaplan-Meier curve to illustrate the distribution of progression time. The median time to progression was determined with a 95% CI (Confidence Interval). (NCT00148122)
Timeframe: 1 year post treatment
Intervention | percentage of patients (Number) |
---|
Arm 1 | 25 |
[back to top]
Overall Response Rate at 4 Months
Disease was assessed by radiologic imaging and RECIST (Response Evaluation Criteria in Solid Tumors) was used to determine response: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT00148122)
Timeframe: 4 months
Intervention | percentage of participants (Number) |
---|
Arm 1 | 16 |
[back to top]
[back to top]
Number of Participants With Grade 3 or Higher Toxicity
Summary of grade 3 (per CTCAE v3.0) or higher toxicities which generally is described as a severe adverse reaction or symptom. (NCT00159432)
Timeframe: Baseline, every 2 weeks of each cycle, and at end of treatment, up to 18 months.
Intervention | Participants (Number) |
---|
Oxaliplatin Followed by Bevacizumab, With Capecitabine | 51 |
[back to top]
Overall Survival
The time interval between the date on which a patient first received protocol treatment and the documented date of death. (NCT00177255)
Timeframe: 2 years
Intervention | Months (Median) |
---|
Docetaxel + Capecitabine | 10.7 |
[back to top]
Overall Response Rate
The number of responders (complete responders + partial responders) divided by the number of evaluable patients. (NCT00177255)
Timeframe: Every 2 cycles (6 weeks)
Intervention | percentage of participants (Number) |
---|
Docetaxel + Capecitabine | 28.2 |
[back to top]
1-, 2-, and 3-year Overall Survival
Probability of being alive at 1-, 2-, and 3-years from start of protocol therapy (NCT00177307)
Timeframe: Up to 40 months
Intervention | percent chance (Number) |
---|
| 1 year-overall survival | 2 year-overall survival | 3 year-overall survival |
---|
Oxaliplatin, Capecitabine, and Bevacizumab | 62 | 36 | 24 |
[back to top]
Response Rate (RR)
Percentage of partial responses (PR) + complete responses (CR). (NCT00177307)
Timeframe: Up to 27 months
Intervention | percentage of participants (Number) |
---|
Oxaliplatin, Capecitabine, and Bevacizumab | 38 |
[back to top]
Progression Free Survival (PFS)
time from start of protocol therapy until objective tumor progression or death (NCT00177307)
Timeframe: Up to 27 Months
Intervention | Months (Median) |
---|
Oxaliplatin, Capecitabine, and Bevacizumab | 8.6 |
[back to top]
Overall Survival
time from start of protocol therapy until death from any cause (NCT00177307)
Timeframe: Up to 40 months
Intervention | Months (Median) |
---|
Oxaliplatin, Capecitabine, and Bevacizumab | 17.2 |
[back to top]
[back to top]
Best Overall Response (Crossover Treatment)
Best overall response was the best response recorded from the start of treatment until disease progression/recurrence (taking as reference for progressive disease the smallest measurements recorded since the treatment started). Response assessed using RECIST criteria. Complete Response=disappearance of all target lesions; Partial Response=30% decrease in sum of longest diameter of target lesions; Progressive Disease=20% increase in sum of longest diameter of target lesions; Stable Disease=small changes that did not meet above criteria. (NCT00191152)
Timeframe: Best response from start of treatment until disease progression/recurrence (up to 82 months)
,
Intervention | participants (Number) |
---|
| Complete Response (confirmed) | Partial Response (confirmed) | Stable Disease | Progressive Disease | Unknown |
---|
Capecitabine | 1 | 10 | 19 | 34 | 13 |
Gemcitabine | 1 | 6 | 20 | 36 | 18 |
[back to top]
Time to Disease Progression (Crossover Treatment)
For crossover treatment, time to disease progression (TTDP) was defined as the number of months between the first dose date of crossover treatment and the date of disease progression or the date of death due to disease under study, whichever came first. TTDP for crossover treatment only applied to those participants who crossed over from initial treatment to crossover treatment. TTDP censored at earliest of: 1)date of death not due to disease; or 2)date of last contact for participants alive without disease progression; or 3)start date of other anti-tumor therapy due to progression. (NCT00191152)
Timeframe: Date of first dose of crossover treatment to date of first-documented disease progression after receiving first crossover treatment or date of death due to study disease, whichever came first (up to 82 months)
Intervention | months (Median) |
---|
Capecitabine | 4.51 |
Gemcitabine | 2.34 |
[back to top]
Progression-Free Survival (Initial Treatment)
For initial treatment, progression-free survival (PFS) was defined as the number of months between the date of randomization and the date of first documented disease progression or the date of death due to any cause, whichever came first. Time to PFS was censored at the earliest of: 1) date of last contact for participants alive without disease progression; or 2) start date of other anti-tumor therapy for progression; or 3) first dose date of crossover treatment. (NCT00191152)
Timeframe: Date of randomization until the date of first documented progression or date of death from any cause, whichever came first (up to 82 months)
Intervention | months (Median) |
---|
Gemcitabine Plus Docetaxel | 9.01 |
Docetaxel Plus Capecitabine | 8.88 |
[back to top]
Time to Disease Progression (Initial Treatment)
Time to disease progression (TTDP) at initial treatment was defined as the number of months between date of randomization and the date of first documented disease progression or the date of death due to disease under study, whichever came first. TTDP censored at earliest of: 1) date of death not due to disease; or 2) date of last contact for participants alive without disease progression; or 3) start date of other anti-tumor therapy; or 4) first dose date of crossover treatment. (NCT00191152)
Timeframe: Randomization date to the earliest date of first documented disease progression date or the date of death if the participant died due to study disease (up to 82 months)
Intervention | months (Median) |
---|
Gemcitabine Plus Docetaxel | 9.28 |
Docetaxel Plus Capecitabine | 8.88 |
[back to top]
Progression-Free Survival (Crossover Treatment)
For crossover treatment, progression-free survival (PFS) was defined as the number of months between first dose date of crossover treatment and date of documented disease progression or date of death due to any cause, whichever came first. PFS for crossover treatment only applied to those participants who crossed over from initial treatment to crossover treatment. PFS was censored at the earliest of: 1) date of last contact for participants alive without disease progression; or 2) start date of other anti-tumor therapy for participants with documented disease progression. (NCT00191152)
Timeframe: First dose date of crossover treatment to date of first-documented progression after receiving crossover treatment or date of death due to any cause, whichever came first (up to 82 months)
Intervention | months (Median) |
---|
Capecitabine | 4.51 |
Gemcitabine | 2.34 |
[back to top]
[back to top]
Overall Survival
Overall survival time was defined as the number of months between the date of randomization and the date of death due to any cause. The overall survival time was censored at the date of last contact for participants who were still alive. (NCT00191152)
Timeframe: Date of randomization to date of death from any cause (up to 82 months)
Intervention | months (Median) |
---|
Gemcitabine Plus Docetaxel | 22.99 |
Docetaxel Plus Capecitabine | 23.29 |
[back to top]
Summary of Changes in Rotterdam Symptom Checklist by Treatment (Crossover Treatment)
RSCL includes 4 scales to assess quality of life (QOL) endpoints: 1) a 23-item physical distress level with scale score ranges from 23 to 92 [low score represents better QOL] 2)a 7-item psychological distress level with scale score ranges from 7 to 28[low score represents better QOL] 3)8-item activity level with scale score ranges from 8 to 32 [high score represents better QOL]; 1-item overall valuation of life with score range from 1 to 7 [low score represents better QOL]. (NCT00191152)
Timeframe: First day of crossover treatment until end of crossover treatment at trial discontinuation (up to 82 months)
,
Intervention | units on a scale (Mean) |
---|
| Baseline | Change from Baseline |
---|
Capecitabine | 75.00 | -2.78 |
Gemcitabine | 76.39 | -0.69 |
[back to top]
Duration of Response (Crossover Treatment)
At crossover treatment, duration of response was measured from the time criteria were met for complete response (CR) or partial response (PR), until first date that recurrent or progressive disease was objectively documented or date of death due to any cause, whichever came first. This definition only applied to those who crossed over & achieved CR or PR in crossover treatment. Duration of response censored at earliest of: 1) date of last contact for those alive without disease progression; or 2) start date of other anti-tumor therapy for documented disease progression. (NCT00191152)
Timeframe: Date of CR or PR until first date of recurrent or progressive disease after receiving crossover treatment was objectively documented or date of date due to any cause, whichever came first (up to 82 months)
Intervention | months (Median) |
---|
Capecitabine | 25.89 |
Gemcitabine | 42.50 |
[back to top]
Duration of Response (Initial Treatment)
Among tumor responders, duration of tumor response was measured from the date of response (complete response [CR] or partial response [PR] until the first date of documented progression or death from any cause. Duration of response was censored at the earliest of: 1) date of last contact for participants alive without disease progression (DP); or 2) start date of other anti-tumor therapy for DP; or 3) dose date of crossover treatment. (NCT00191152)
Timeframe: Date of response (CR or PR) until the first date of documented progression or death from any cause (up to 82 months)
Intervention | months (Median) |
---|
Gemcitabine Plus Docetaxel | 9.11 |
Docetaxel Plus Capecitabine | 10.39 |
[back to top]
Best Overall Response (Initial Treatment)
Best overall response was the best response recorded from the start of the treatment until disease progression/recurrence (taking as reference for progressive disease the smallest measurements recorded since the treatment started). Response was assessed using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. Complete Response=disappearance of all target lesions; Partial Response=30% decrease in sum of longest diameter of target lesions; Progressive Disease=20% increase in sum of longest diameter of target lesions; Stable Disease=small changes that did not meet above criteria. (NCT00191152)
Timeframe: Best response from start of treatment until disease progression/recurrence (up to 82 months)
,
Intervention | participants (Number) |
---|
| Complete Response (confirmed) | Partial Response (confirmed) | Stable Disease | Progressive Disease | Unknown |
---|
Docetaxel Plus Capecitabine | 6 | 79 | 90 | 27 | 34 |
Gemcitabine Plus Docetaxel | 6 | 71 | 96 | 32 | 34 |
[back to top]
Summary of Changes in Rotterdam Symptom Checklist (RSCL) by Treatment (Initial Treatment)
RSCL includes 4 scales to assess quality of life (QOL) endpoints: 1) a 23-item physical distress level with scale score ranges from 23 to 92 [low score represents better QOL] 2)a 7-item psychological distress level with scale score ranges from 7 to 28[low score represents better QOL] 3)8-item activity level with scale score ranges from 8 to 32 [high score represents better QOL]; 1-item overall valuation of life with score range from 1 to 7 [low score represents better QOL]. (NCT00191152)
Timeframe: Baseline until crossover treatment began (up to 82 months)
,
Intervention | units on a scale (Mean) |
---|
| Baseline | Change from Baseline |
---|
Docetaxel Plus Capecitabine | 72.32 | -2.68 |
Gemcitabine Plus Docetaxel | 68.09 | 2.42 |
[back to top]
Overall Survival (OS)
Length of time, in months, that patients were alive from their first date of protocol treatment until death. (NCT00193128)
Timeframe: 36 months
Intervention | months (Median) |
---|
Oxaliplatin/Docetaxel/Capecitabine/Radiation (Cohort 2) | 24.1 |
[back to top]
Disease-Free Survival (DFS)
Defined as the interval between the start date of treatment and the date of occurrence of progressive disease or death from any cause. (NCT00193128)
Timeframe: 18 months
Intervention | months (Median) |
---|
Oxaliplatin/Docetaxel/Capecitabine/Radiation (Cohort 2) | 16.3 |
[back to top]
Pathologic Complete Response Rate (PCRR), the Percentage of Patients Who Have No Evidence of Cancer in Their Surgical Specimen Following Surgery
The absence of any residual tumor cells in a histologic evaluation of a tumor specimen following surgery is defined as a complete pathologic response (NCT00193128)
Timeframe: 18 months
Intervention | Participants (Count of Participants) |
---|
Oxaliplatin/Docetaxel/Capecitabine/Radiation (Cohort 2) | 24 |
[back to top]
Overall Survival
Length of time, in months, that patients were alive from their first date of protocol treatment until death. (NCT00193609)
Timeframe: 18 months
Intervention | months (Median) |
---|
Intervention | 9.7 |
[back to top]
Progression Free Survival
Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions (NCT00193609)
Timeframe: 18 months
Intervention | months (Median) |
---|
Intervention | 3.7 |
[back to top]
Time to Progression
Median time to progression free survival. (NCT00194779)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Treatment (Neoadjuvant Therapy, Adjuvant Therapy) | NA |
[back to top]
Combined Rate of Microscopic pCR and Macroscopic Pathologic Complete Response (mCR)
"Microscopic pCR: No evidence of microscopic invasive tumor at the primary site or in the regional lymph nodes at the time of definitive surgical resection. mCR: The examining pathologist cannot identify gross residual tumor mass in the surgical specimen. This differs from a pCR where the specimen must also be negative for invasive tumor by microscopy. For this study, we are using a definition of mCR that will make the trial more translatable to other institutions. For this study, mCR will be defined as no focus of invasive cancer >= 1 cm.~Count of participants with either a pCR or mCR." (NCT00194779)
Timeframe: Up to 16 weeks
Intervention | Participants (Count of Participants) |
---|
Treatment (Neoadjuvant Therapy, Adjuvant Therapy) | 29 |
[back to top]
Relapse Rate in Patients With Operable Breast Cancer Treated With Neoadjuvant Chemotherapy for 12 Weeks Followed by Weekly Paclitaxel for 12 Weeks and Adjuvant Chemotherapy
Count of patients that relapsed. (NCT00194779)
Timeframe: Up to 8 years
Intervention | Participants (Count of Participants) |
---|
Treatment (Neoadjuvant Therapy, Adjuvant Therapy) | 7 |
[back to top]
Disease-free Survival
Kaplan-Meier estimate of disease-free survival, assessed at 1, 2, and 5 years. (NCT00194779)
Timeframe: 1, 2, and 5 years
Intervention | disease-free survival probability (Number) |
---|
| 1 year | 2 years | 5 years |
---|
Treatment (Neoadjuvant Therapy, Adjuvant Therapy) | .97 | .90 | .84 |
[back to top]
OS in Patients With Operable Breast Cancer Treated With Neoadjuvant Chemotherapy for 12 Weeks Followed Weekly Paclitaxel for 12 Weeks and Adjuvant Chemotherapy With XMN
Kaplan-Meier estimate of overall survival, assessed at 1, 2, and 5 years. (NCT00194779)
Timeframe: 1, 2, and 5 years
Intervention | survival probability (Number) |
---|
| 1 year | 2 years | 5 years |
---|
Treatment (Neoadjuvant Therapy, Adjuvant Therapy) | 1 | .94 | .90 |
[back to top]
Number and Percent of Patients Reporting Grade 2, 3, 4, or Fatal Toxicities of These Regimens, Need for Dose Reduction, or Treatment Interruption or Discontinuation
(NCT00194779)
Timeframe: From the initiation of study treatments to 30 days after the end of neoadjuvant treatment or adjuvant treatment if received
Intervention | Participants (Count of Participants) |
---|
Treatment (Neoadjuvant Therapy, Adjuvant Therapy) | 32 |
[back to top]
Overall Survival
From the start of protocol therapy until the date of death from any cause or the last date the patient was known to be alive. Kaplan-Meier estimate assessed at 5 years. (NCT00194792)
Timeframe: Up to 5 years
Intervention | survival probability (Number) |
---|
Treatment (Hormone Therapy and Chemotherapy) | 0.88 |
[back to top]
Quantification of All Grade 2, 3, 4 Adverse Events or Fatal Toxicities
Count of all incidences of grade 2, 3, 4 adverse events and fatal toxicities (NCT00194792)
Timeframe: Monthly during neoadjuvant treatment and then 6 months following treatment (including surgery)
Intervention | events (Number) |
---|
| Grade 2 | Grade 3 | Grade 4 | Fatal toxicity |
---|
Treatment (Hormone Therapy and Chemotherapy) | 80 | 12 | 0 | 0 |
[back to top]
Number of Participants With Microscopic Pathologic Complete Response and Macroscopic Pathologic Complete Response
Defined as no evidence of microscopic invasive tumor at the primary site or in the regional lymph nodes at the time of definitive surgical resection and the examining pathologist cannot identify gross residual tumor mass in the surgical specimen. (NCT00194792)
Timeframe: From date of treatment start to surgery
Intervention | Participants (Count of Participants) |
---|
Treatment (Hormone Therapy and Chemotherapy) | 0 |
[back to top]
Number of Participants With Clinical Response
Defined as a > 50% decrease in sum of the products of the perpendicular diameters of bidimensionally measurable disease. (NCT00194792)
Timeframe: 1 month
Intervention | Participants (Count of Participants) |
---|
Treatment (Hormone Therapy and Chemotherapy) | 19 |
[back to top]
Disease-free Survival
Kaplan-Meier estimate assessed at 5 years (NCT00194792)
Timeframe: Up to 5 years
Intervention | disease free survival probability (Number) |
---|
Treatment (Hormone Therapy and Chemotherapy) | 0.76 |
[back to top]
Number of Participants With Dose Reduction, Treatment Interruption, or Treatment Discontinuation
Count of patients with dose reduction, treatment interruption, or treatment discontinuation. (NCT00194792)
Timeframe: During adjuvant and neoadjuvant chemotherapy
Intervention | Participants (Count of Participants) |
---|
| Adjuvant therapy | Neoadjuvant therapy |
---|
Treatment (Hormone Therapy and Chemotherapy) | 1 | 11 |
[back to top]
Objective Response Rate (ORR) for the Phase II Portion of the Study. CR+PR Per RECIST v1.0 Criteria Using a Single Arm , Two Stage Minimax Design.
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR (NCT00201734)
Timeframe: Every 3 weeks, for up to 24 weeks
Intervention | percent of patients (Number) |
---|
Phase I | 21 |
Phase II | 32 |
[back to top]
One Year Survival for Patients
For patients enrolled on the Phase II portion of the trial the One-year survival was measured as the percentage of patients alive 1 year after their treatment in the trial. (NCT00201734)
Timeframe: Up to 1 year
Intervention | percent of patients (Number) |
---|
Phase II | 44 |
[back to top]
Progression-Free Survival at 6 Months for Patients
For patients enrolled on the Phase II portion of the trial Progression Free Survival (PFS) was measured from the percentage of patients that were still alive, without evidence of disease progression for 6 months following the initiation of treatment. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions (NCT00201734)
Timeframe: up to 6 years
Intervention | percent of patients (Number) |
---|
Phase II | 38 |
[back to top]
Phase I: To Determine Side Effects
The common clinically significant grade 3 and 4 toxicities graded using the National Cancer Institutes Common Toxicity Criteria version 3.0 (NCT00201734)
Timeframe: Every 3 weeks, for up to 24 weeks
,
Intervention | percent of patients (Number) |
---|
| Neutropenia | Thrombocytopenia | Fatigue |
---|
Phase I | 86 | 72 | 76 |
Phase II | 72 | 72 | 84 |
[back to top]
Maximum Tolerated Dose in Phase I Portion of Study
Determine the maximum tolerated dose of the triplet combination of capecitabine that can be administered in combination with weekly paclitaxel and every four weeks carboplatin. (NCT00201734)
Timeframe: Every 3 weeks, for up to 24 weeks
Intervention | mg/m2 (Number) |
---|
Phase I Patients | 750 |
[back to top]
Time to Tumor Progression for Patients
For patients enrolled on the Phase II portion of the trial the time to progression was measured as the time from when the patient started treatment to the time the patient is first recorded as having disease progression or the date of death if the patient dies due to causes other than disease progression. (NCT00201734)
Timeframe: Up to 6 years
Intervention | months (Median) |
---|
Phase II | 5.5 |
[back to top]
Time to Tumor Progression
(NCT00201825)
Timeframe: Every 35 days
Intervention | months (Median) |
---|
Docetaxel and Capecitabine | 3.3 |
[back to top]
Determine Objective Response Rate
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT00201825)
Timeframe: Every 35 days
Intervention | patients (Number) |
---|
| Complete response (CR) | Partial response (PR) | Stable Disease | Disease Progression | Overall response (CR + PR) |
---|
Docetaxel and Capecitabine | 0 | 5 | 14 | 9 | 5 |
[back to top]
One Year Survival
(NCT00201825)
Timeframe: one year
Intervention | months (Median) |
---|
Docetaxel and Capecitabine | 10.5 |
[back to top]
Quality of Life of Patients
"Functional Assessment of Cancer Therapy-Colorectal (FACT-C) Trial Outcome Index (TOI) - a questionnaire assessing quality of life concerns pertinent to colorectal cancer patients. Questions address Physical, Emotional and Functional Well-Being. Scale: Not at all (0), A little bit (1), Somewhat (2), Quite a bit (3), and very much (4). Higher numbers indicate a better state of well being. Scale 0 -136. Higher numbers indicating a better state of well-being.~The Overall scores for the FACT-C Composite scale range between 0-100 with higher scores indicating a better state of well being.~The EQ VAS= Euro Quality of Life 5 Dimension Self Reported Healthstate. It records the respondent's self-rated health on a vertical, visual analogue scale where the endpoints are labeled 0 'Best imaginable health state' and 100 'Worst imaginable health state'." (NCT00203411)
Timeframe: Baseline, Cycle 2, and End of Study
Intervention | score on a scale (Mean) |
---|
| Baseline FACT-C Trial outcome index (TOI) | Cycle 2 FACT-C TOI | End of Study FACT-C TOI | Baseline FACT-C Composite | Cycle 2 FACT-C Composite | End of Study FACT-Composite | Baseline EQ-5D VAS | Cycle 2 EQ-5D VAS | End of Study EQ-5D VAS |
---|
Bevacizumab Plus Capecitabine | 62.85 | 66.31 | 62.09 | 99.87 | 105.38 | 98.61 | 61.76 | 68.59 | 66.54 |
[back to top]
Response Rates
Evaluation of target lesions Complete Response (CR): Disappearance of all target lesions Partial Response (PR): At least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started Progressive Disease (PD): 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 (NCT00203411)
Timeframe: every 21 days up to 12 months
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progression | Not Evaluable |
---|
Bevacizumab Plus Capecitabine | 2 | 14 | 16 | 9 | 4 |
[back to top]
Time to Disease Progression
Progression Free Survival (PFS)- the interval from the date of enrollment to the first documented date of disease progression, death due to cancer, or the last date of a definitive assessment (not an unknown assessment) at which the patient is known to be progression-free. If there is an unknown assessment, then (a) if the next subsequent definitive assessment is complete response (CR), partial response (PR), or stable disease (SD), the patient is considered to be progression-free at the date of the subsequent definitive assessment and PFS is calculated as above; (b) if the next subsequent definitive assessment is progressive disease (PD), the patient is considered to be a failure at the time of the (earliest) assessment of unknown preceding the documented disease progression (i.e. PFS is back-dated to the date of the unknown assessment) and (c) if there is no subsequent definitive assessment, PFS for the patient is considered to be a censored observation at the date (NCT00203411)
Timeframe: 12 months
Intervention | months (Median) |
---|
Bevacizumab Plus Capecitabine | 6.87 |
[back to top]
Number of Subjects Requiring Dose Modifications
Number of Subjects that required Bevacizumab or Capecitabine dose modifications, delay, reduction or discontinuation due to adverse reactions. (NCT00203411)
Timeframe: 3 months
Intervention | participants (Number) |
---|
| Delay in Bevacizumab Dose | Discontinuation of Bevacizumab | Delay in Capec itabineDose | Reduction of Capecitabine Dose | Discontinuation of Capecitabine |
---|
Bevacizumab Plus Capecitabine | 15 | 14 | 8 | 13 | 16 |
[back to top]
Number of Participants With Complete Pathologic Response Rate to Pre-operative Treatment in Arm A (Docetaxel for 4 Cycles Followed by Capecitabine for 4 Cycles) or Arm B (Docetaxel + Capecitabine for 8 Cycles) in Patients With Early Stage Breast Cancer.
"Pathologic complete response (pCR): Absence of invasive breast cancer in the breast.~Overall Clinical Response=Complete response(CR-complete disappearance of all measurable malignant disease)+partial response(PR-reduction by at least 30%)~Stable disease (SD): No decrease or <25% increase in the sum of the products of the longest perpendicular diameters of all measurable lesions.~Progressive disease (PD): A 20% or greater increase in a single lesion, OR reappearance of any lesion which has disappeared, OR clear worsening of any evaluable disease OR appearance of any new lesion/site." (NCT00209092)
Timeframe: 1 year
,
Intervention | participants (Number) |
---|
| Pathologic Complete Response-Overall population | Overall Clinical Response | Stable disease | Progressive Disease |
---|
Arm A:Sequential Therapy | 2 | 15 | 3 | 7 |
Arm B:Concurrent Therapy | 3 | 23 | 1 | 2 |
[back to top]
Long Term Follow up Data on Recurrence and Survival
Number of Patients remained alive and relapse free (NCT00209092)
Timeframe: 2 years
Intervention | participants (Number) |
---|
Arm A:Sequential Therapy | 19 |
Arm B:Concurrent Therapy | 21 |
[back to top]
Overall Survival (OS)
OS was defined as the duration from randomization to death (due to any cause). OS was estimated using Kaplan-Meier analysis. (NCT00215644)
Timeframe: Baseline until death due to any cause (up to approximately 3 years)
Intervention | months (Median) |
---|
Epirubicin, Cisplatin, Capecitabine (ECX)+Matuzumab | 9.4 |
ECX Only | 12.2 |
[back to top]
Duration of Objective Response Assessed by Independent Review Committee
Objective response was defined as having a CR or a PR. Response assessment was performed using modified WHO criteria. CR: disappearance of all index and non-index lesions, without appearance of any new lesion. PR: >50% decrease from baseline in sum of product of diameters of index lesions, without appearance of any new lesion. Duration of objective response was defined as time from first appearance of CR or PR to time of PD (PD: >25% increase in one or more lesions, or appearance new lesions) or death. Duration of objective response was to be assessed using Kaplan-Meier analysis. (NCT00215644)
Timeframe: From first documented objective response to PD or death due to any cause (up to approximately 3 years)
Intervention | months (Median) |
---|
Epirubicin, Cisplatin, Capecitabine (ECX)+Matuzumab | NA |
ECX Only | NA |
[back to top]
Percentage of Participants With Objective Response Assessed by Independent Review Committee
Objective response was defined as having a complete response (CR) or a partial response (PR). Response assessment was performed using modified World Health Organization (WHO) criteria. CR: disappearance of all index and non-index lesions, without appearance of any new lesion. PR: greater than (>) 50 percent (%) decrease from baseline in sum of product of diameters of index lesions, without appearance of any new lesion. (NCT00215644)
Timeframe: Baseline up to PD or death due to any cause (up to approximately 3 years)
Intervention | percentage of participants (Number) |
---|
Epirubicin, Cisplatin, Capecitabine (ECX)+Matuzumab | 31 |
ECX Only | 58 |
[back to top]
Progression-Free Survival
PFS was defined as the time from randomization to the first documentation of PD or to death due to any cause, whichever occurred first. PD: >25% increase in one or more lesions, or appearance new lesions. PFS was estimated using Kaplan-Meier analysis. (NCT00215644)
Timeframe: Baseline up to PD or death due to any cause (up to approximately 3 years)
Intervention | months (Median) |
---|
Epirubicin, Cisplatin, Capecitabine (ECX)+Matuzumab | 4.8 |
ECX Only | 7.1 |
[back to top]
Best Overall Change From Baseline in European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire-Core 30 (EORTC QLQ-C30) Global Health Status (GHS)/Quality of Life (QoL) Score
EORTC QLQ-C30 included GHS/QoL, functional scales (physical, role, cognitive, emotional, social), symptom scales (fatigue, pain, nausea/vomiting), and single items (dyspnea, appetite loss, insomnia, constipation, diarrhea, financial difficulties). Most questions from EORTC QLQ-C30 were a 4-point scale (1/Not at All to 4/Very Much), except Items 29-30, which comprise GHS scale and were a 7-point scale (1/Very Poor to 7/Excellent). For this instrument, GHS/QOL was linearly transformed and ranged 0-100, where lower scores indicate poorer functioning (e.g., worsening) and higher scores indicate better functioning (e.g., improvement). EORTC QLQ-C30 GHS/QoL score at baseline and best overall change from baseline (throughout study) are reported. (NCT00215644)
Timeframe: Baseline (Day 1), Post Baseline (Up to 3 Years)
,
Intervention | units on a scale (Mean) |
---|
| Baseline | Post-Baseline |
---|
ECX Only | 67.9 | -10.0 |
Epirubicin, Cisplatin, Capecitabine (ECX)+Matuzumab | 53.3 | 0.0 |
[back to top]
Pathological Complete Response (pCR) Rate
"· To determine the pathological response rate of preoperative chemotherapy with capecitabine and irinotecan followed by combined modality chemoradiation with capecitabine in patients with locally advanced rectal cancer.~Pathological response was defined in the protocol as the proportion of complete (pCR) and non-complete pathological response (pNCR) among all evaluable patients." (NCT00216086)
Timeframe: 36 months
Intervention | percentage of patients (Number) |
---|
| pCR | pNCR |
---|
Single Group Assignment | 33 | 56 |
[back to top]
Local and Distant Disease Recurrence Rates
To determine the rates of local and distant disease recurrence after treatment. (NCT00216086)
Timeframe: 36 months
Intervention | percentage of particpants (Number) |
---|
| metastatic disease recurrence | locally recurrence |
---|
Single Group Assignment | 22 | 0 |
[back to top]
Disease-Free Survival
The three year rate of Disease-Free Survival (NCT00216086)
Timeframe: 36 months
Intervention | percentage (Number) |
---|
Single Group Assignment | 75.5 |
[back to top]
Survival at 5 Years
Survival at 5 years was assessed as the number of participants alive 5 years after starting treatment. (NCT00226941)
Timeframe: 5 years
Intervention | Participants (Count of Participants) |
---|
Group 1 - Cetuximab + Capecitabine-800 + XRT + Oxaliplatin-100 | 5 |
Group 2 - Cetuximab + Capecitabine-700 + XRT + Oxaliplatin-85 | 4 |
Group A - Cetuximab + Capecitabine-800 + XRT | 3 |
Group B - Cetuximab + Capecitabine-800 + XRT | 3 |
[back to top]
Overall Survival (OS)
Overall Survival (OS) was assessed as the mean survival from the date of entry on study though 72 months. (NCT00226941)
Timeframe: 72 months
Intervention | months (Mean) |
---|
Group 1 - Cetuximab + Capecitabine-800 + XRT + Oxaliplatin-100 | 59.7 |
Group 2 - Cetuximab + Capecitabine-700 + XRT + Oxaliplatin-85 | 57.0 |
Group A - Cetuximab + Capecitabine-800 + XRT | 54.4 |
Group B - Cetuximab + Capecitabine-1000 + XRT | 53.7 |
[back to top]
Dose-limiting Toxicity (DLT) - Number of Participants Affected
Dose-limiting Toxicity (DLT) is the measure used to establish overall Maximum-tolerated dose (MTD) of cetuximab + capecitabine + radiotherapy +/- oxaliplatin. MTD is defined as the highest dose level for which participants have a < 30% incidence of dose-limiting toxicity (DLT). The outcome is expressed as the number of participants experiencing a DLT. (NCT00226941)
Timeframe: 10 weeks
Intervention | Participants (Count of Participants) |
---|
Group 1 - Cetuximab + Capecitabine-800 + XRT + Oxaliplatin-100 | 4 |
Group 2 - Cetuximab + Capecitabine-700 + XRT + Oxaliplatin-85 | 2 |
Group A - Cetuximab + Capecitabine-800 + XRT | 0 |
Group B - Cetuximab + Capecitabine-1000 + XRT | 0 |
[back to top]
Dose-limiting Toxicity (DLT) - Number of DLTs by Treatment Group
Dose-limiting Toxicity (DLT) is the measure used to establish overall Maximum-tolerated dose (MTD) of cetuximab + capecitabine + radiotherapy +/- oxaliplatin. MTD is defined as the highest dose level for which participants have a < 30% incidence of dose-limiting toxicity (DLT). The outcome is expressed as the number of DLTs by treatment group. (NCT00226941)
Timeframe: 10 weeks
Intervention | DLTs (Number) |
---|
Group 1 - Cetuximab + Capecitabine-800 + XRT + Oxaliplatin-100 | 10 |
Group 2 - Cetuximab + Capecitabine-700 + XRT + Oxaliplatin-85 | 2 |
Group A - Cetuximab + Capecitabine-800 + XRT | 0 |
Group B - Cetuximab + Capecitabine-1000 + XRT | 0 |
[back to top]
Pathologic Response Rate
After treatment with capecitabine, cetuximab, radiotherapy, and oxaliplatin, the pathologic response rate was assessed based on the excised tumor taken at the time of surgical resection. Pathologic response rate was determined as the number and proportion of participants who experienced either downstaging of their disease, or complete response (CR, no detectable disease). A participant will be considered to have downstaging of the tumor as a result of the neoadjuvant therapy when the primary tumor (T) stage by pathology isless than the T stage by clinical (endoscopic) evaluation, or when the regional lymph node (N) tumor stage by pathology is less than the N stage by clinical (endoscopic) evaluation. (NCT00226941)
Timeframe: 12 to 14 weeks after radiotherapy
Intervention | Participants (Count of Participants) |
---|
Group 1 - Cetuximab + Capecitabine-800 + XRT + Oxaliplatin-100 | 4 |
Group 2 - Cetuximab + Capecitabine-700 + XRT + Oxaliplatin-85 | 5 |
Group A - Cetuximab + Capecitabine-800 + XRT | 3 |
Group B - Cetuximab + Capecitabine-1000 + XRT | 5 |
[back to top]
Tumor Downstaging at Surgical Resection
Downstaging means a reduction from the stage of disease observed at baseline to the stage of disease after treatment with cetuximab, radiotherapy, oxaliplatin, and capecitabine, as determined at the time of surgical removal of the tumor. Downstaging may be observed as improvements in tumor staging at the primary site of the tumor; in nearby (regional) lymph nodes; or in metastatic disease beyond the regional lymph nodes. This outcome specifically does not include participants that achieved a complete response, nor those that experienced no response or disease progression. (NCT00226941)
Timeframe: 12 to 14 weeks after radiotherapy
Intervention | Participants (Count of Participants) |
---|
Group 1 - Cetuximab + Capecitabine-800 + XRT + Oxaliplatin-100 | 4 |
Group 2 - Cetuximab + Capecitabine-700 + XRT + Oxaliplatin-85 | 5 |
Group A - Cetuximab + Capecitabine-800 + XRT | 3 |
Group B - Cetuximab + Capecitabine-1000 + XRT | 5 |
[back to top]
Time-to-Progression (TTP)
Time-to-progression was assessed as the time from the date of surgical resection to the appearance of either local disease recurrence or distant metastases by any modality (eg, clinical exam, endoscopy, radiographic imaging). All relapses were to be confirmed by biopsy and pathology review. (NCT00226941)
Timeframe: 5 years
Intervention | years (Median) |
---|
Group 1 - Cetuximab + Capecitabine-800 + XRT + Oxaliplatin-100 | 1.4 |
Group A - Cetuximab + Capecitabine-800 + XRT | 3.0 |
Group B - Cetuximab + Capecitabine-1000 + XRT | 3.9 |
[back to top]
Incidence of Sphincter-sparing Surgery
Incidence of sphincter-saving surgery is defined as the proportion of subjects who do not have permanent colostomy at the final follow-up out of all evaluable patients. (NCT00250835)
Timeframe: At surgery (up to 6 weeks after end of treatment)
Intervention | percentage of evaluable participants (Number) |
---|
Chemotherapy, Celecoxib, and Radiation | 56 |
[back to top]
Pelvic Local Control Rate
Pelvic local control rate is defined as the proportion of subjects who have no evidence of pelvic recurrence (by standard clinical assessment, including CT scan and clinical examination) at the final follow-up evaluation, out of all evaluable patients (NCT00250835)
Timeframe: Up to 3 years after surgery
Intervention | percentage of evaluable participants (Number) |
---|
Chemotherapy, Celecoxib, and Radiation | 6 |
[back to top]
Progression-free Survival (PFS)
"The Response Evaluation Criteria In Solid Tumors (RECIST) guidelines (Version 1.0) will be used to determine tumor response and progression. Progressive disease (PD) for target lesions: >= 20% increase in the sum of diameters of the target lesions taking as reference the smallest sum on study, and an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered . PD for non-target lesions is defined as unequivocal appearance of one or more new malignant lesions or unequivocal progression of existing non-target lesions. Time to progression will be measured from the time of surgery or clinically documented down staging if surgery for whatever reason is not carried in the subject until there is evidence of PD.~Progression-free survival is reported as the percentage of patients who have not experienced progression of disease at three years post-surgery" (NCT00250835)
Timeframe: 3 years after surgery
Intervention | percentage of evaluable participants (Number) |
---|
Chemotherapy, Celecoxib, and Radiation | 84 |
[back to top]
Toxicity
"All toxicities encountered during the study will be evaluated according to the grading system (0-5) NCI CTCAE (Common Terminology Criteria for Adverse Events) version 3.0.~Toxicity will be reported as the proportion of subjects experiencing Grades 3,4, and 5 adverse events (AEs) out of all evaluable patients" (NCT00250835)
Timeframe: Up to 3 years
Intervention | percentage of participants (Number) |
---|
| Grade 3 and 4 diarrhea | Grade 3 and 4 abnormal liver function tests | Grade 3 and 4 abdominal pain | Death (from severe infection) |
---|
Chemotherapy, Celecoxib, and Radiation | 9 | 9 | 6 | 6 |
[back to top]
Surgical Downstaging Rate
Downstaging rate after neoadjuvant treatment with combination oxaliplatin, capecitabine, celecoxib and concurrent radiation is defined as the proportion of patients whose pathological stage (stage at surgery) is different from their clinical stage (stage at baseline) (NCT00250835)
Timeframe: At surgery (up to 6 weeks after treatment)
Intervention | percentage of evaluable participants (Number) |
---|
Chemotherapy, Celecoxib, and Radiation | 75 |
[back to top]
Pathologic Complete Response (PCR)
The pathologic complete response (PCR) rate will be calculated as the proportion of patients who achieve complete response out of all evaluable patients. PCR is defined as the total absence of residual tumor cells by microscopic examination of the resected surgical specimen, including all of the sampled lymph nodes. (NCT00250835)
Timeframe: At surgery (up to 6 weeks after end of treatment)
Intervention | percentage of evaluable participants (Number) |
---|
Chemotherapy, Celecoxib, and Radiation | 31 |
[back to top]
Recurrence-free Survival
Time to recurrence or death (NCT00258310)
Timeframe: Within 3 years of end of study.
Intervention | months (Median) |
---|
Capecitabine | NA |
[back to top]
Overall Survival
Estimated time from study entry to death from any cause (NCT00258310)
Timeframe: Within 3 years of end of study
Intervention | months (Median) |
---|
Capecitabine | NA |
[back to top]
Compliance With Treatment .
Compliance is defined as taking at least 80% of the prescribed dose for one year. (NCT00258310)
Timeframe: within 365 days
Intervention | percentage of participants (Number) |
---|
Capecitabine | 74 |
[back to top]
Incidence of Second Primary Tumors
(NCT00258310)
Timeframe: Within 3 years of end of study
Intervention | Participants (Count of Participants) |
---|
Capecitabine | 3 |
[back to top]
Qualitative and Quantitative Toxicity
Number of patients that developed common side effect of diarrhea. (NCT00266279)
Timeframe: At study enrollment, Every two 28 day treatment cycles, and at end of treatment due to disease progression
Intervention | participants (Number) |
---|
Treatment With Study Drugs | 2 |
[back to top]
Overall Response Rate
"Among the 15 patients treated, 2 (13%) achieved partial response (PR), and 5 (33%) achieved stable disease (SD), for a Overall Response Rate (ORR) of 46% measured by RECIST criteria.~Partial Response (PR): At least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD.~Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started.~Overall Response Rate (ORR)=PR+CR." (NCT00266279)
Timeframe: Every two 28 day treatment cycles until subject no longer on treatment due to disease progression
Intervention | Participants (Number) |
---|
| Partial Response | Stable Disease |
---|
Treatment With Study Drugs | 2 | 5 |
[back to top]
Overall Survival Time in the PLD and Capecitabine Treatment Groups
Survival time was defined as duration time from onset of treatment with the study drug until death. (NCT00266799)
Timeframe: From Day 1 (Cycle 1) until Death
Intervention | Months (Median) |
---|
Pegylated Liposomal Doxorubicin (PLD) | 23.31 |
Capecitabine | 26.79 |
[back to top]
Number of Participants With an Overall Response (Complete Response [CR] + Partial Response [PR]) Between PLD and Capecitabine Treatment Groups
Overall responses by investigator assessment/RECIST criteria of participant responses; CR=disappearance of target/nontarget lesions + PR=30% decrease in longest diameter sum (noting baseline sum) of target lesions. RECIST used changes in the largest diameter of target/non-target lesions. Target lesions were up to a maximum of 5 per organ & >20 mm by clinical imaging (>=10 mm with spiral CT scan). Non-target lesions were all other lesions. Evaluation of progress was repeated every 3 months (+/-7 days) post first date of lesion measurements, in detection absence until the participant´s death. (NCT00266799)
Timeframe: From Day 1 (Cycle 1) until First Evidence/Diagnosis of Progressive Disease or Death
,
Intervention | Participants (Number) |
---|
| By Investigator Assessment - CR | By Investigator Assessment - PR | By Investigator Assessment Overall Response | By RECIST Criteria - CR | By RECIST Criteria - PR | By RECIST Criteria Overall Response |
---|
Capecitabine | 0 | 12 | 12 | 0 | 11 | 11 |
Pegylated Liposomal Doxorubicin (PLD) | 1 | 5 | 6 | 1 | 8 | 9 |
[back to top]
Quality of Life (QoL) Measured by QoL Questionnaire (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) + Subjective Significance Questionnaire (SSQ))
QoL questionnaire was an EORTC QLQ-C30 & SSQ integration. Scores on the SSQ scale ranged from 1 (very much worse) - 7 (very much better). SSQ consisted of 4 items which corresponded to core domains in the 30 Item EORTC QLQ-C30, such as improvement/deterioration in physical functioning, emotional functioning, social functioning, global QoL. Percentages were based on number of participants at each cycle & rounded to the nearest whole number. Early Withdrawal Questionnaires were obtained in 7-14 days of study drug final dose. (NCT00266799)
Timeframe: From Screening to Day 1 of every Treatment Cycle up to 12 Cycles
,
Intervention | Percentage of Participants (Number) |
---|
| Screening - Very Much Worse | Screening - Moderately Worse | Screening - A Little Worse | Screening - About the Same | Screening - A Little Better | Screening - Moderately Better | Screening - Very Much Better | Cycle 1 - Very Much Worse | Cycle 1 - Moderately Worse | Cycle 1 - A Little Worse | Cycle 1 - About the Same | Cycle 1 - A Little Better | Cycle 1 - Moderately Better | Cycle 1 - Very Much Better | Cycle 2 - Very Much Worse | Cycle 2 - Moderately Worse | Cycle 2 - A Little Worse | Cycle 2 - About the Same | Cycle 2 - A Little Better | Cycle 2 - Moderately Better | Cycle 2 - Very Much Better | Cycle 3 - Very Much Worse | Cycle 3 - Moderately Worse | Cycle 3 - A Little Worse | Cycle 3 - About the Same | Cycle 3 - A Little Better | Cycle 3 - Moderately Better | Cycle 3 - Very Much Better | Cycle 4 - Very Much Worse | Cycle 4 - Moderately Worse | Cycle 4 - A Little Worse | Cycle 4 - About the Same | Cycle 4 - A Little Better | Cycle 4 - Moderately Better | Cycle 4 - Very Much Better | Cycle 5 - Very Much Worse | Cycle 5 - Moderately Worse | Cycle 5 - A Little Worse | Cycle 5 - About the Same | Cycle 5 - A Little Better | Cycle 5 - Moderately Better | Cycle 5 - Very Much Better | Cycle 6 - Very Much Worse | Cycle 6 - Moderately Worse | Cycle 6 - A Little Worse | Cycle 6 - About the Same | Cycle 6 - A Little Better | Cycle 6 - Moderately Better | Cycle 6 - Very Much Better | Cycle 7 - Very Much Worse | Cycle 7 - Moderately Worse | Cycle 7 - A Little Worse | Cycle 7 - About the Same | Cycle 7 - A Little Better | Cycle 7 - Moderately Better | Cycle 7 - Very Much Better | Cycle 8 - Very Much Worse | Cycle 8 - Moderately Worse | Cycle 8 - A Little Worse | Cycle 8 - About the Same | Cycle 8 - A Little Better | Cycle 8 - Moderately Better | Cycle 8 - Very Much Better | Cycle 9 - Very Much Worse | Cycle 9 - Moderately Worse | Cycle 9 - A Little Worse | Cycle 9 - About the Same | Cycle 9 - A Little Better | Cycle 9 - Moderately Better | Cycle 9 - Very Much Better | Cycle 10 - Very Much Worse | Cycle 10 - Moderately Worse | Cycle 10 - A Little Worse | Cycle 10 - About the Same | Cycle 10 - A Little Better | Cycle 10 - Moderately Better | Cycle 10 - Very Much Better | Cycle 11 - Very Much Worse | Cycle 11 - Moderately Worse | Cycle 11 - A Little Worse | Cycle 11 - About the Same | Cycle 11 - A Little Better | Cycle 11 - Moderately Better | Cycle 11 - Very Much Better | Cycle 12 - Very Much Worse | Cycle 12 - Moderately Worse | Cycle 12 - A Little Worse | Cycle 12 - About the Same | Cycle 12 - A Little Better | Cycle 12 - Moderately Better | Cycle 12 - Very Much Better |
---|
Capecitabine | 14 | 14 | 24 | 41 | 0 | 0 | 7 | 9 | 9 | 9 | 65 | 2 | 5 | 0 | 11 | 8 | 15 | 50 | 9 | 5 | 3 | 3 | 13 | 23 | 48 | 10 | 2 | 0 | 6 | 12 | 22 | 55 | 2 | 4 | 0 | 0 | 2 | 19 | 62 | 14 | 2 | 0 | 3 | 6 | 11 | 60 | 14 | 3 | 3 | 3 | 3 | 23 | 42 | 6 | 16 | 6 | 3 | 6 | 16 | 61 | 6 | 6 | 0 | 0 | 3 | 21 | 55 | 10 | 3 | 7 | 4 | 8 | 13 | 50 | 13 | 4 | 8 | 0 | 9 | 13 | 39 | 13 | 9 | 17 | 4 | 8 | 13 | 50 | 13 | 8 | 4 |
Pegylated Liposomal Doxorubicin (PLD) | 4 | 8 | 12 | 67 | 4 | 2 | 2 | 0 | 10 | 22 | 63 | 5 | 0 | 0 | 3 | 9 | 25 | 51 | 9 | 1 | 1 | 4 | 13 | 13 | 58 | 8 | 4 | 0 | 4 | 11 | 26 | 47 | 9 | 2 | 0 | 5 | 0 | 21 | 40 | 19 | 10 | 5 | 5 | 7 | 9 | 58 | 14 | 5 | 2 | 0 | 4 | 17 | 52 | 13 | 13 | 0 | 0 | 13 | 17 | 57 | 9 | 0 | 4 | 6 | 0 | 25 | 50 | 6 | 6 | 6 | 0 | 8 | 17 | 67 | 8 | 0 | 0 | 0 | 11 | 0 | 67 | 11 | 11 | 0 | 0 | 0 | 11 | 78 | 11 | 0 | 0 |
[back to top]
Time to Disease Progression (TTP) Using Response Evaluation Criteria in Solid Tumors (RECIST)
TTP was defined as the time from onset of treatment with study drug until first evidence/diagnosis of progressive disease or - in the absence of any diagnosis of progressive disease - until the participant´s death. Diagnosis of progressive disease was done according to RECIST (Version 1.0) and/or investigator assessment based on RECIST. RECIST criteria used changes in the largest diameter of target/non-target lesions. Target (measurable) lesions were up to a maximum of 5 per organ & >20 mm by clinical imaging (>=10 mm with spiral CT scan). Non-target lesions were all other lesions. (NCT00266799)
Timeframe: From Day 1 (Cycle 1) until First Evidence/Diagnosis of Progressive Disease or Death
,
Intervention | Months (Median) |
---|
| By Investigator Assessment (ITT) | By RECIST Criteria (ITT) | By Investigator Assessment (TTP N = 63, N = 59) | By RECIST Criteria (TTP N = 63, N = 59) |
---|
Capecitabine | 6.05 | 7.10 | 5.88 | 6.05 |
Pegylated Liposomal Doxorubicin (PLD) | 6.02 | 6.58 | 5.85 | 6.02 |
[back to top]
Time to Treatment Failure in the PLD and the Capecitabine Treatment Groups
Time to treatment failure was defined as the duration of time from the date of the first administration of the study drug to the date of discontinuation of the study drug for any reason. (NCT00266799)
Timeframe: From Day 1 (Cycle 1) until End of Treatment
Intervention | Months (Median) |
---|
Pegylated Liposomal Doxorubicin (PLD) | 4.60 |
Capecitabine | 3.68 |
[back to top]
Adherence and Compliance to Oral Medication Using Electronic Monitoring
This was assessed by number of participants who did not miss any doses of Capecitabine during treatment using the Medication Event Monitoring System (MEMS). (NCT00274768)
Timeframe: 3-week cycles of treatment up to 16 cycles
Intervention | Participants (Count of Participants) |
---|
Capecitabine | 13 |
[back to top]
Clinical Benefit as Assessed by Lack of Progression for at Least 24 Weeks
The overall clinical benefit rate as assessed by number of participants with lack of progression for at least 24 weeks. (NCT00274768)
Timeframe: 3-week cycles of treatment up to 16 cycles
Intervention | Participants (Count of Participants) |
---|
Capecitabine | 4 |
[back to top]
Response Rate
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT/MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT00274768)
Timeframe: Participants were followed to progression, evaluated every 12 weeks
Intervention | participants (Number) |
---|
Capecitabine | 21 |
[back to top]
Time to Treatment Failure
Time to treatment failure in weeks (NCT00274768)
Timeframe: 3-week cycles of treatment up to 16 cycles
Intervention | weeks (Median) |
---|
Capecitabine | 12 |
[back to top]
[back to top]
[back to top]
6-month Overall Survival
Percentage of patients survived at 6 months for patients whose tumors were xenografted and treated in the mouse when treated with the most active agent identified in that model (NCT00276744)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Arm 1 | 53 |
[back to top]
Number of Patients With Adverse Events
Per National Cancer Institute Common Toxicity Criteria Version 2.0, up to 2 years (NCT00278863)
Timeframe: Up to 2 years
Intervention | participants (Number) |
---|
S-1 for 2 Week on/1 Week Off | 42 |
Capecitabine 2 Weeks on/1 Week Off | 44 |
[back to top]
Response Rate
"Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR; Progressive disease (PD), >20% increase in the sum of the longest diameter of target lesions; Stable Disease (SD), Insufficient change to qualify for PR or PD~Response rate is defined as the proportion of patients who showed OR." (NCT00278863)
Timeframe: Up to 2 years
Intervention | percentage of participants (Number) |
---|
S-1 for 2 Week on/1 Week Off | 28.9 |
Capecitabine 2 Weeks on/1 Week Off | 26.1 |
[back to top]
Response Rate (Percentage of Participants With Partial or Complete Response)
"Restaging scans occurred every 9 weeks from time of study drug initiation until disease progression.~Disease assessment was performed and recorded according to the Response Evaluation Criteria in Solid Tumors (RECIST v.1.0) Guidelines.~The definitions were:~Complete response (CR)- Disappearance of all target lesions Partial response (PD)- At least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD Stable disease (SD)- Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started Progressive disease (PD) - 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" (NCT00290615)
Timeframe: After all subjects were evaluated for restaging which occured every 9 weeks from drug initiation until disease progression, assesed up to 24 months.
Intervention | percentage of participants with response (Number) |
---|
Capecitabine, Oxaliplatin, Bevacizumab, Cetuximab | 43 |
[back to top]
Progression-free Survival
"Disease assessment was performed and recorded according to the Response Evaluation Criteria in Solid Tumors (RECIST v.1.0) Guidelines.~Progressive disease is defined as 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.~This is the average number of months participants survived without showing progressive disease." (NCT00290615)
Timeframe: From time of treatment until documented progression or death from any cause, whichever came first, assesed up to 60 months.
Intervention | months (Median) |
---|
Capecitabine, Oxaliplatin, Bevacizumab, Cetuximab | 10.3 |
[back to top]
Overall Survival
Average months of survival of participants after receiving study drug. (NCT00290615)
Timeframe: From time of treatment until death from any cause, assesed up to 60 months.
Intervention | months (Median) |
---|
Capecitabine, Oxaliplatin, Bevacizumab, Cetuximab | 18.8 |
[back to top]
Safety and Tolerability
Number of participants with adverse events (NCT00290615)
Timeframe: After all participants went off study drug regimine.
Intervention | participants with adverse event (Number) |
---|
Capecitabine, Oxaliplatin, Bevacizumab, Cetuximab | 30 |
[back to top]
Number of Study Participants Experiencing Toxicity After Receiving Protocol Therapy
Number of study participants experiencing toxicity (serious adverse events or adverse events). Study participants assessed for this outcome measure must have received at least one dose of protocol therapy. Toxicity assessed according to Common Terminology Criteria for Adverse Events v3.0 (CTCAE). (NCT00290693)
Timeframe: Up to 1 year
Intervention | participants (Number) |
---|
CapTere (Capecitabine + Docetaxel) | 38 |
[back to top]
Overall Surival (OS)
Overall survival is measured from the time from date of initial protocol therapy to date of death. In the absence of confirmation of death, survival time will be censored to last date of follow-up. (NCT00290693)
Timeframe: Up to 1 year
Intervention | months (Median) |
---|
CapTere (Capecitabine + Docetaxel) | 5.3 |
[back to top]
Progression-free Survival (PFS)
Progression-free survival (PFS) is measured the time from the start of protocol therapy to disease progression or death from any cause. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT00290693)
Timeframe: Up to 1 year
Intervention | months (Median) |
---|
CapTere (Capecitabine + Docetaxel) | 3.7 |
[back to top]
Rate of Participants Achieving a 50% or More Reduction in CA 19-9 Levels
Rate of participants achieving a 50% or more reduction in CA 19-9 levels after receiving protocol therapy. Baseline CA-19-9 will be compared to the lowest recorded value on patients receiving therapy on protocol. A 50% drop in CA 19-9 in patients with baseline levels above 100 U/ml will be recorded as a CA 19-9 response if the > 50% drop can be confirmed with at least one more CA 19-9 level thereafter with > 50% drop compared to baseline. (NCT00290693)
Timeframe: Up to 1 year
Intervention | percentage of participants (Number) |
---|
CapTere (Capecitabine + Docetaxel) | 35.48 |
[back to top]
Rate of Participants Achieving Complete Response or Partial Response to Therapy.
Rate of participants achieving complete response (CR) or partial response (PR) to Captere therapy according to RECIST criteria v 1.0. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions. (NCT00290693)
Timeframe: Up to 1 year
Intervention | participants (Number) |
---|
| Partial Response (PR) >= 2 cycles | Stable Disease (SD), >= 2 cycles | Complete Response (CR), >= 2 cycles |
---|
CapTere (Capecitabine + Docetaxel) | 6 | 25 | 0 |
[back to top]
Impact of Capecitabine on 131I-huA33 Clearance (CL) as Measured by Initial and Therapy Dose Clearance (CL)
"Blood samples for pharmacokinetics (PK) were drawn in week 0 immediately pre-initial 131I-huA33 infusion; then 5 minutes, 60 minutes and 2 hours post-initial 131I-huA33 infusion, Day 1, Day 2 or Day 3, Day 4 or Day 5. In week 1, PK samples were collected immediately pre-therapy 131I-huA33 infusion, 5 minutes, 24 ± 2 hours and approximately 7 days post-therapy 13II-huA33 infusion, then weekly until 4 weeks post therapy.~Pharmacokinetic calculations were performed on serum 131I-huA33 data using a curve fitting Program (WinNonLin version 5.2; Pharsight Co., Mountain View, CA)." (NCT00291486)
Timeframe: 5 weeks
,,
Intervention | ml/hr (Mean) |
---|
| Initial dose CL | Therapy dose CL |
---|
Cohort 5; 1250 mg/m2/Day Capecitabine | 34.65 | 35.53 |
Cohorts 1 and 2; 1500 mg/m2/Day Capecitabine | 34.88 | 26.88 |
Cohorts 3 and 4; 1000 mg/m2/Day Capecitabine | 40.54 | 39.41 |
[back to top]
Mean Specific Absorbed Dose of 131I-huA33 for Normal Organs Calculated From the Initial Infusion
"Gamma camera imaging with anterior and posterior whole body scans using conjugate view methodology were performed on four occasions (1-4 hours, Day 1, Day 2 or 3, and Day 4 or 5) following completion of the intravenous initial infusion.~Dosimetric analysis was performed on the series of gamma camera whole-body planar images acquired in all patients following the first infusion.~Organ radioactivity content was estimated from the geometric mean of anterior and posterior regions of interest counts. The counts for each organ were corrected for background using regions of interest drawn adjacent to each organ where whole body thickness was comparable." (NCT00291486)
Timeframe: 1 week
Intervention | cGy/MBq (Mean) |
---|
| Liver | Spleen | Kidney | Lung | Red Marrow |
---|
Cohorts 1-5 | 0.12 | 0.18 | 0.14 | 0.09 | 0.056 |
[back to top]
Pharmacokinetics (PK) of 131I-huA33 as Measured by Area Under the Serum Concentration Curve Extrapolated to Infinite Time (AUC)
"Blood samples for pharmacokinetics (PK) were drawn in week 0 immediately pre-initial 131I-huA33 infusion; then 5 minutes, 60 minutes and 2 hours post-initial 131I-huA33 infusion, Day 1, Day 2 or Day 3, Day 4 or Day 5. In week 1, PK samples were collected immediately pre-therapy 131I-huA33 infusion, 5 minutes, 24 ± 2 hours and approximately 7 days post-therapy 131I-huA33 infusion, then weekly until 4 weeks post therapy.~Pharmacokinetic calculations were performed on serum 131I-huA33 data using a curve fitting Program (WinNonLin version 5.2; Pharsight Co., Mountain View, CA)." (NCT00291486)
Timeframe: 5 weeks
Intervention | mcg.hr/mL (Mean) |
---|
| AUC after initial 131I-huA33 infusion | AUC after therapy 131I-huA33 infusion |
---|
Cohorts 1-5 | 130.43 | 592.46 |
[back to top]
Pharmacokinetics (PK) of 131I-huA33 as Measured by Clearance (CL)
"Blood samples for pharmacokinetics (PK) were drawn in week 0 immediately pre-initial 131I-huA33 infusion; then 5 minutes, 60 minutes and 2 hours post-initial 131I-huA33 infusion, Day 1, Day 2 or Day 3, Day 4 or Day 5. In week 1, PK samples were collected immediately pre-therapy 131I-huA33 infusion, 5 minutes, 24 ± 2 hours and approximately 7 days post-therapy 13II-huA33 infusion, then weekly until 4 weeks post therapy.~Pharmacokinetic calculations were performed on serum 131I-huA33 data using a curve fitting Program (WinNonLin version 5.2; Pharsight Co., Mountain View, CA)." (NCT00291486)
Timeframe: 5 weeks
Intervention | mL/hr (Mean) |
---|
| CL after initial 131I-huA33 infusion | CL after therapy 131I-huA33 infusion |
---|
Cohorts 1-5 | 36.72 | 32.60 |
[back to top]
Number of Patients With Dose-Limiting Toxicities (DLT)
"Adverse events were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE v3.0). DLT was defined as any of the following related events:~Any grade 2 or greater allergic reaction related to huA33. Any grade ≥ 3 non-haematological toxicity related to 131I-huA33 or capecitabine.~These toxicities included palmar plantar erythema, but skin rash thought to be related to huA33 protein was not a DLT as previous studies have shown no relation of this toxicity to dose of huA33 or radioiodine dose.~Capecitabine cardiotoxicity grade ≥ 3 - including vasospasm, acute coronary syndrome and arrhythmia, necessitated the cessation of study drug in the affected patient but were not considered DLT as these are recognized as idiosyncratic in nature and not known to be related to capecitabine dose.~Any grade ≥ 4 neutropenia ≥ 7 days in duration or any thrombocytopenia with a platelet count < 10 x 10^9/L." (NCT00291486)
Timeframe: 7 weeks
Intervention | Participants (Count of Participants) |
---|
Cohort 1 | 0 |
Cohort 2 | 2 |
Cohort 3 | 0 |
Cohort 4 | 0 |
Cohort 5 | 0 |
[back to top]
Pharmacokinetics (PK) of 131I-huA33 as Measured by Maximum Serum Concentration (Cmax)
"Blood samples for pharmacokinetics (PK) were drawn in week 0 immediately pre-initial 131I-huA33 infusion; then 5 minutes, 60 minutes and 2 hours post-initial 131I-huA33 infusion, Day 1, Day 2 or Day 3, Day 4 or Day 5. In week 1, PK samples were collected immediately pre-therapy 131I-huA33 infusion, 5 minutes, 24 ± 2 hours and approximately 7 days post-therapy 131I-huA33 infusion, then weekly until 4 weeks post therapy.~Pharmacokinetic calculations were performed on serum 131I-huA33 data using a curve fitting Program (WinNonLin version 5.2; Pharsight Co., Mountain View, CA)." (NCT00291486)
Timeframe: 5 weeks
Intervention | mcg/mL (Mean) |
---|
| Cmax after initial 131I-huA33 infusion | Cmax after therapy 131I-huA33 infusion |
---|
Cohorts 1-5 | 1.53 | 5.52 |
[back to top]
Pharmacokinetics (PK) of 131I-huA33 as Measured by T½α and T½β (Half Lives of the Initial and Terminal Phases of Disposition, Respectively)
"Blood samples for pharmacokinetics (PK) were drawn in week 0 immediately pre-initial 131I-huA33 infusion; then 5 minutes, 60 minutes and 2 hours post-initial 131I-huA33 infusion, Day 1, Day 2 or Day 3, Day 4 or Day 5. In week 1, PK samples were collected immediately pre-therapy 131I-huA33 infusion, 5 minutes, 24 ± 2 hours and approximately 7 days post-therapy 131I-huA33 infusion, then weekly until 4 weeks post therapy.~Pharmacokinetic calculations were performed on serum 131I-huA33 data using a curve fitting Program (WinNonLin version 5.2; Pharsight Co., Mountain View, CA)." (NCT00291486)
Timeframe: 5 weeks
Intervention | hours (Mean) |
---|
| T½α after initial 131I-huA33 infusion | T½α after therapy 131I-huA33 infusion | T½β after initial 131I-huA33 infusion | T½β after therapy 131I-huA33 infusion |
---|
Cohorts 1-5 | 15.78 | 28.63 | 100.24 | 152.60 |
[back to top]
Pharmacokinetics (PK) of 131I-huA33 as Measured by the Volume of the Central Compartment (V1)
"Blood samples for pharmacokinetics (PK) were drawn in week 0 immediately pre-initial 131I-huA33 infusion; then 5 minutes, 60 minutes and 2 hours post-initial 131I-huA33 infusion, Day 1, Day 2 or Day 3, Day 4 or Day 5. In week 1, PK samples were collected immediately pre-therapy 131I-huA33 infusion, 5 minutes, 24 ± 2 hours and approximately 7 days post-therapy 131I-huA33 infusion, then weekly until 4 weeks post therapy.~Pharmacokinetic calculations were performed on serum 131I-huA33 data using a curve fitting Program (WinNonLin version 5.2; Pharsight Co., Mountain View, CA)." (NCT00291486)
Timeframe: 5 weeks
Intervention | mL (Mean) |
---|
| V1 after initial 131I-huA33 infusion | V1 after therapy 131I-huA33 infusion |
---|
Cohorts 1-5 | 3204.26 | 3363.69 |
[back to top]
Number of Patients With Human Anti-human Antibodies (HAHA) to 131I-huA33
Serum samples for human anti-human antibody (HAHA) assessment were collected prior to each 131I-huA33 infusion, at weekly intervals during weeks 0-7, then alternate weeks until the end-of-study visit. Measurement of immune responses to huA33 in patients serum was performed using a BIAcore 2000 biosensor (Biacore AB, Uppsala, Sweden). (NCT00291486)
Timeframe: 13 weeks
Intervention | Participants (Count of Participants) |
---|
| Pre-treatment72460703 | Pre-treatment72460704 | Pre-treatment72460705 | Pre-treatment72460706 | Pre-treatment72460702 | Week 172460703 | Week 172460704 | Week 172460705 | Week 172460706 | Week 172460702 | Week 272460703 | Week 272460704 | Week 272460705 | Week 272460706 | Week 272460702 | Week 372460703 | Week 372460704 | Week 372460705 | Week 372460706 | Week 372460702 | Week 472460703 | Week 472460704 | Week 472460702 | Week 472460705 | Week 472460706 | Week 572460703 | Week 572460704 | Week 572460705 | Week 572460702 | Week 572460706 | Week 672460703 | Week 672460704 | Week 672460706 | Week 672460702 | Week 672460705 | Week 872460702 | Week 872460703 | Week 872460704 | Week 872460705 | Week 872460706 | Week 10-1172460703 | Week 10-1172460704 | Week 10-1172460705 | Week 10-1172460706 | Week 10-1172460702 | Week 12-1372460703 | Week 12-1372460704 | Week 12-1372460705 | Week 12-1372460706 | Week 12-1372460702 |
---|
| Negative HAHA | Positive HAHA |
---|
Cohort 2 | 0 |
Cohort 4 | 0 |
Cohort 5 | 0 |
Cohort 2 | 6 |
Cohort 3 | 3 |
Cohort 4 | 3 |
Cohort 5 | 4 |
Cohort 4 | 1 |
Cohort 3 | 2 |
Cohort 4 | 2 |
Cohort 3 | 0 |
Cohort 5 | 2 |
Cohort 5 | 1 |
Cohort 1 | 3 |
Cohort 1 | 0 |
Cohort 2 | 4 |
Cohort 2 | 3 |
Cohort 3 | 1 |
Cohort 5 | 3 |
Cohort 1 | 2 |
[back to top]
Biodistribution of 131I-huA33 Measured by Whole Body Clearance and Normal Organ Clearance Reported as Mean Biological Half-life (T1/2 Biological) After Initial 131I-huA33 Infusion
T1/2 biological is the clearance of the isotope from the whole body. Following the initial 131I-huA33 infusion, gamma camera scans were acquired over a 1 week period (1-4 hours, Day 1, Day 2 or 3, and Day 4 or 5). Whole body clearance, or biological half time, T1/2 biological, was calculated from the whole body anterior and posterior planar images. A region of interest (ROI) was calculated to encompass the whole body, and for each ROI at each time point, the mean counts per pixel per minute was normalised to imaging time point Day 1. (NCT00291486)
Timeframe: 1 week
Intervention | hours (Mean) |
---|
| Whole Body Clearance (T1/2 biologic) | Normal Organ Clearance in the Liver (T1/2 biological - liver) | Normal Organ Clearance in the kidney (T1/2 biological - kidney) |
---|
Cohorts 1-5 | 219.56 | 62.29 | 104.89 |
[back to top]
Mean Total Tumor Dose of 131I-huA33
"Gamma camera imaging were performed on four occasions (1-4 hours, Day 1, Day 2 or 3, and Day 4 or 5) following completion of the initial infusion and 7+2 days post-therapy infusion in week 2, and again in week 3 or 4 and week 5 following the therapy infusion.~Dosimetry analysis was performed on the series of gamma camera whole-body planar images.~Tumor radioactivity content after the initial infusion was estimated from the geometric mean of anterior and posterior regions of interest counts. The counts for each organ were corrected for background using regions of interest drawn adjacent to each tumor. Resultant counts were converted to activity using a camera sensitivity factor calculated from a gamma camera standard of known activity which was scanned at the same time." (NCT00291486)
Timeframe: 5 weeks
Intervention | Gy (Mean) |
---|
All Patients | 13.83 |
Cohorts 2 and 3; 30 mCi 131I-huA33 | 13.15 |
Cohorts 4 and 5: 40 mCi 131I-huA33 | 14.89 |
[back to top]
Two-year Overall Survival Rate
Overall survival (OS) is defined as the time from randomization to death from any cause, or censored at last known date of survival. (NCT00305877)
Timeframe: Assessed every 3 months for 2 years
Intervention | Proportion of patients (Number) |
---|
Arm A (Cetuximab, Gemcitabine, Capecitabine, Radiation) | 0.38 |
Arm B (Bevacizumab, Gemcitabine, Capecitabine, Radiation) | 0.37 |
[back to top]
Two-year Disease-free Survival (DFS)
Disease-free survival (DFS) is defined as the time from randomization to the first treatment failure (recurrence or death before recurrence). (NCT00305877)
Timeframe: Assessed every 3 months for 2 years, and every 6 months after completion of treatment for 2 years, then annually for 3 years
Intervention | Proportion of patients (Number) |
---|
Arm A (Cetuximab, Gemcitabine, Capecitabine, Radiation) | 0.17 |
Arm B (Bevacizumab, Gemcitabine, Capecitabine, Radiation) | 0.23 |
[back to top]
Proportion of Patients With Specific Protocol Defined Adverse Event at Conclusion of All Therapy
"Specific toxicities to be monitored pursuant to the primary endpoint include:~Any grade 5 toxicities~Grade 4 dyspnea, neutropenic fever, allergic reaction, rash, wound dehiscence, wound infection, hypertension~Grade 3 or higher arterial thromboembolic phenomena, bleeding, phlebitis/deep vein thrombosis (DVT)/pulmonary embolism (PE), hemorrhage, ileus, bowel perforation, diarrhea, and mucositis~ECOG performance status decline by 2 or greater for >24 hours~Weight loss >10%" (NCT00305877)
Timeframe: Every 2 weeks while on treatment and for 30 days after the end of treatment
Intervention | Proportion of patients (Number) |
---|
Arm A (Cetuximab, Gemcitabine, Capecitabine, Radiation) | 0.30 |
Arm B (Bevacizumab, Gemcitabine, Capecitabine, Radiation) | 0.25 |
[back to top]
Common Toxicities
The NCI Common Terminology Criteria for Adverse Events version 3.0 was used for adverse event reporting and toxicity grading. (NCT00320749)
Timeframe: Weekly up to 24 weeks
Intervention | percent of patients (Number) |
---|
| leukopenia | neutropenia | fatigue |
---|
Capecitabine, Docetaxel, Gemcitabine | 29 | 29 | 25 |
[back to top]
Maximum Tolerated Dose (MTD)
MTD will be the dose at which 1 or fewer patients (≤ 1/6) experiences a DLT during the first or second cycle with the next higher dose having at least 2/3 or 2/6 patients experiencing Dose Limiting Toxicities (DLT). (NCT00320749)
Timeframe: Weekly up to 24 weeks
Intervention | mg/m^2 (Number) |
---|
| docetaxel | gemcitabine | capecitabine |
---|
Capecitabine, Docetaxel, Gemcitabine | 36 | 750 | 625 |
[back to top]
Therapeutic Response
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT00320749)
Timeframe: every 8 weeks, up to 24 weeks
Intervention | percent of patients (Number) |
---|
| Partial Response | Complete Response | Stable Disease |
---|
Capecitabine, Docetaxel, Gemcitabine | 11 | 0 | 72 |
[back to top]
Overall Survival
Follow-up for survival to be done at 3 month intervals for 2 years, then 6 month intervals for up to 5 years from study registration (NCT00321100)
Timeframe: From dose of first study drug to last timepoint known to be alive (median follow-up for all patients was 25.9 months)
Intervention | months (Median) |
---|
Cetuximab, Oxaliplatin, Capecitabine, Bevacizumab | 18 |
Cetuximab, Oxaliplatin, Capecitabine | 42.5 |
[back to top]
Objective Response Rate (ORR)
"Objective response rate calculated by the proportion of overall response: CR+PR. Patients were categorized by one of the following (1-4 per RECISTv1.0 criteria on CT, MRI, x-ray; 4-9 considered failure to respond/disease progression):~complete response (CR): Disappearance of all lesions~partial response (PR): >=30% decrease in the sum of the longest diameter of target lesions (SoL); from baseline SoL~stable disease (SD): Neither PR, PD, or CR~progressive disease (PD): >=20% increase in the SoL; from smallest SoL. Or appearance of new lesion~early death from malignant disease~early death from toxicity~early death from other cause~9) unknown (not assessable, insufficient data)" (NCT00321100)
Timeframe: every 6-9 weeks; from date of first study drug dose until off treatment date (median of 8 cycles; range <1-19)
,
Intervention | Participants (Count of Participants) |
---|
| Overall response | Complete response | Partial response | Stable disease |
---|
Cetuximab, Oxaliplatin, Capecitabine | 8 | 1 | 7 | 3 |
Cetuximab, Oxaliplatin, Capecitabine, Bevacizumab | 4 | 1 | 3 | 7 |
[back to top]
Time to Progression (TTP)
"Per Response Evaluation Criteria In Solid Tumors (RECISTv1.0) assessed by CT, MRI, x-ray scan:~Complete response (CR): Disappearance of all lesions Partial response (PR): >=30% decrease in the sum of the longest diameter of target lesions (SoL); from baseline SoL Stable disease (SD): Neither PR, PD, or CR Progressive disease (PD): >=20% increase in the SoL; from smallest SoL. Or appearance of new lesion" (NCT00321100)
Timeframe: every 6-9 weeks; from dose of first study drug to event
Intervention | months (Median) |
---|
Cetuximab, Oxaliplatin, Capecitabine, Bevacizumab | 8.7 |
Cetuximab, Oxaliplatin, Capecitabine | 14.4 |
[back to top]
Resection Rate for T4 Rectal Cancers
Resection rate is defined as number of patients with T4 rectal cancer who underwent curative surgical resection among all eligible and treated patients with T4 rectal cancers (NCT00321685)
Timeframe: Assessed at surgery time
Intervention | percentage of participants (Number) |
---|
Arm I | 75 |
[back to top]
Resection Rate for T3 Rectal Cancers
Resection rate is defined as number of patients with T3 rectal cancer who underwent curative surgical resection among all eligible and treated patients with T3 rectal cancers (NCT00321685)
Timeframe: Assessed at surgery time
Intervention | percentage of participants (Number) |
---|
Arm I | 92 |
[back to top]
Pathologic Complete Response Rate
Pathologic complete response to preoperative therapy was determined at the time of surgical resection. Pathologic complete response (pCR) is defined as no evidence of invasive cells on pathologic examination of the primary rectal cancer (or tissue from the area where the tumor had been if there is a complete clinical response). Pathologic complete response rate is calculated as number of patients achieving pathologic complete response divided by all eligible and treated patients (NCT00321685)
Timeframe: Assessed at surgery time
Intervention | percentage of participants (Number) |
---|
Arm I | 17 |
[back to top]
5-year Overall Survival Rate
Overall survival is defined as time from registration to death from any cause. 5-year overall survival rate is estimated using Kaplan-Meier method. (NCT00321685)
Timeframe: survival follow-up began after post-operative chemotherapy, assessed every 3 months for patients 3-5 years from registration, every 6 months for patients 5-10 years from registration and every 12 months for patients 10 years from registration
Intervention | percentage of participants (Number) |
---|
Arm I | 80 |
[back to top]
5-year Recurrence-free Survival Rate
Recurrence free survival is defined as time from surgery to disease recurrence or death without recurrence (whichever occurred first) among resected patients. 5-year recurrence-free survival rate is estimated using Kaplan-Meier method, with 90% confidence interval calculated using Greenwood's formula. (NCT00321685)
Timeframe: recurrence follow-up began after post-operative chemotherapy, assessed every 3 months for patients 3-5 years from registration, every 6 months for patients 5-10 years from registration and every 12 months for patients 10 years from registration
Intervention | percentage of participants (Number) |
---|
Arm I | 81 |
[back to top]
[back to top]
Pathologic Complete Response
Pathologic complete response rates (pCR) of primary gastric adenocarcinoma when treated with oxaliplatin and capecitabine followed by capecitabine and radiation pre-operatively. On review of the resected gastric specimen and accompanying lymph nodes, pCR is no cancer recognized by the pathologist. Margins are free of tumor. (NCT00335959)
Timeframe: 17-19 weeks
Intervention | participants (Number) |
---|
| Unconfirmed Complete Response | Unconfirmed Partial Response | Stable/No Response | Increasing Disease | Assessment Inadequate |
---|
Chemotherapy, Chemoradiation, Surgery | 1 | 2 | 2 | 1 | 1 |
[back to top]
Progression Free Survival (PFS)
PFS was defined as the time (in days) from the date of randomization to the date of the first sign of disease progression based on Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1 (v 1.1) or date of death, regardless of cause. Disease progression was measured by computed tomography (CT) and magnetic resonance imaging (MRI) performed on lesions targeted at baseline for tumor assessment. Disease progression (as assessed by independent review of the imaging scans) per RECIST v 1.1 was defined as at least a 20% increase in the sum of the diameters of the target lesions (taking as reference the smallest sum on study, including the baseline sum if that is the smallest), and an absolute increase of at least 5 millimeter (mm). Note that the appearance of one or more new lesions was also considered as disease progression. (NCT00337103)
Timeframe: From date of randomization to the date of disease progression or death (whichever occurred first), assessed up to data cutoff date of 12 Mar 2012 or up to approximately 6 years
Intervention | Days (Median) |
---|
Eribulin Mesylate 1.4 mg/m^2 | 126 |
Capecitabine 2.5 g/m^2/Day | 129 |
[back to top]
Overall Survival (OS)
OS was measured from the date of randomization until the date of death from any cause, or the last date the participant was known to be alive. Participants who were lost to follow-up or who were alive at the date of data cutoff were censored. The censoring rules for OS were as follows: 1) if the participant was still alive at data cutoff, the date of data cutoff was considered the end date, and 2) if the participant was lost to follow-up before data cutoff, the date they were last known to be alive was considered the end date. Participants who survived past the end of the study were counted as in the full study period. If death occurred after data cutoff, the end date was to be censored at the time of data cutoff. (NCT00337103)
Timeframe: From date of randomization until date of death from any cause, assessed up to data cutoff date of 12 Mar 2012, or up to approximately 6 years
Intervention | days (Median) |
---|
Eribulin Mesylate 1.4 mg/m^2 | 484 |
Capecitabine 2.5 g/m^2/Day | 440 |
[back to top]
Objective Response Rate (ORR): Independent Review
ORR was defined as the percentage of participants with a best overall response of complete response (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 (v 1.1). CR is defined as disappearance of all target legions and non-target lesions. All pathological lymph nodes (whether target and non-target), must have reduction in their short axis to less than 10 mm. PR is defined as at least 30% decrease in the sum of the long diameter LD (hereafter referred to as sum of LD) of all target lesions, as compared with Baseline summed LD. (NCT00337103)
Timeframe: From date of randomization until date of first documentation of CR or PR, assessed up to data cutoff date of 12 Mar 2012 or up to approximately 6 years
Intervention | percentage of participants (Number) |
---|
Eribulin Mesylate 1.4 mg/m^2 | 11.0 |
Capecitabine 2.5 g/m^2/Day | 11.5 |
[back to top]
Number of Participants With Treatment-emergent Markedly Abnormal Laboratory Parameter Values
(NCT00337103)
Timeframe: First dose of study drug (Baseline) up to 30 days after last dose of study drug (up to approximately 6 years 3 months)
Intervention | Participants (Count of Participants) |
---|
Eribulin Mesylate 1.4 mg/m^2 | 362 |
Capecitabine 2.5 g/m^2/Day | 224 |
[back to top]
Number of Participants With Consumption of Analgesics During the Study
Participants took analgesics as concomitant pain medications which are defined as pain medications that (1) started before the first dose of study drug and were continuing at the time of the first dose of study drug, or (2) started on/after the day of the first dose of study drug up to 30 days after the last dose of study drug medication (NCT00337103)
Timeframe: First dose of study drug (Baseline) up to 30 days after last dose of study drug (up to approximately 6 years 3 months)
Intervention | Participants (Count of Participants) |
---|
Eribulin Mesylate 1.4 mg/m^2 | 222 |
Capecitabine 2.5 g/m^2/Day | 196 |
[back to top]
Number of Participants Who Took at Least One Concomitant Medication
Concomitant medications included medications that either (1) started before the first dose of study drug and were continuing at the time of the first dose of study drug, or (2) started on or after the first dose of study drug up to 30 days after the last dose of study drug. (NCT00337103)
Timeframe: First dose of study drug (Baseline) up to 30 days after last dose of study drug (up to approximately 6 years 3 months)
Intervention | Participants (Count of Participants) |
---|
Eribulin Mesylate 1.4 mg/m^2 | 496 |
Capecitabine 2.5 g/m^2/Day | 483 |
[back to top]
Duration of Response (DOR): Independent Review
DOR was defined as the time from first documented CR or PR until disease progression or death from any cause for those participants with a confirmed PR or CR measured by RECIST v1.1. CR defined as disappearance of all target and non-target lesions. All pathological lymph nodes(whether target and non-target), must have reduction in their short axis to less than 10 mm. PR defined as at least 30% decrease in the sum of the long diameter LD (hereafter referred to as sum of LD) of all target lesions, as compared with Baseline summed LD. (NCT00337103)
Timeframe: From first documented CR or PR until date of recurrent or progressive disease or death, assessed up to data cutoff of date of 12 Mar 2012 or up to approximately 6 years
Intervention | days (Median) |
---|
Eribulin Mesylate 1.4 mg/m^2 | 198 |
Capecitabine 2.5 g/m^2/Day | 330 |
[back to top]
Change From Baseline in Global Health Status/Quality of Life (QoL) Measured by European Organization for the Treatment of Cancer Quality of Life Core Questionnaire Scores Based on Core 30 Items (EORTC-QLQ-C30) at Week 6
EORTC-QLQ-C30:cancer-specific instrument with 30 questions to assess the participant QoL. First 28 questions used to evaluate 5 functional scales (physical, role, cognitive, emotional, social), 3 symptom scales (fatigue, nausea and vomiting, pain) and other single items(dyspnoea, appetite loss, insomnia, constipation, diarrhea, financial difficulties). Each of these 28 questions assessed on 4-point scale(1=not at all, 2=a little, 3=quite a bit, 4=very much); functional scales: higher score=better level of functioning; symptom scale: higher score=more severe symptoms; for single items: higher score= more severe problem. Last 2 questions used to evaluate global health status (GHS)/QoL. Each question was assessed on 7-point scale (1=very poor to 7=excellent). Scores averaged, transformed to 0-100 scale; higher score=better quality of life/better level of functioning. (NCT00337103)
Timeframe: Baseline and Week 6
Intervention | units on a scale (Mean) |
---|
Eribulin Mesylate 1.4 mg/m^2 | 0.1 |
Capecitabine 2.5 g/m^2/Day | 1.7 |
[back to top]
Change From Baseline in Pain Intensity by Visual Analog Scale (VAS) Until 30 Days After the Last Dose of Study Drug
"Pain intensity was measured by marking a single vertical line that crosses a 1-100 mm unmarked VAS scale. The left-end of the visual analog scale was labelled least possible pain and the right-end of the visual analog scale was labelled worst possible pain. The pain rating ranged from 0 to 100, with a higher score indicating more pain. A negative change score indicated improvement." (NCT00337103)
Timeframe: First dose of study drug (Baseline) up to 30 days after last dose of study drug (up to approximately 6 years 3 months)
Intervention | units on a scale (Mean) |
---|
Eribulin Mesylate 1.4 mg/m^2 | -3.7 |
Capecitabine 2.5 g/m^2/Day | 0.4 |
[back to top]
Change From Baseline in European Organization for the Treatment of Cancer Quality of Life Core Questionnaire Scores Based on Breast Cancer Specific 23 Items (EORTC-QLQ- BR 23) at Week 6
EORTC-QLQ-BR23:disease-specific module for breast cancer developed as a supplement for the EORTC-QLQ-C30 to assess quality of life of participants with breast cancer. The scores from 23 items of QLQ-BR23 included functional scales (body image, sexual functioning, sexual enjoyment, future perspective), symptom scales (systemic therapy side effects, breast symptoms, arm symptoms, upset by hair loss). Each item was rated on a scale of 1 to 4 to record level of intensity (1= not at all, 2= a little, 3= quite a bit, 4= very much) within each scales. Scores averaged and transformed to 0-100 scale. High score indicated high/better level of functioning/healthy functioning. Negative change from Baseline indicated deterioration in QOL and positive change from Baseline indicated an improvement in QOL. (NCT00337103)
Timeframe: Baseline and Week 6
,
Intervention | units on a scale (Mean) |
---|
| Body Image | Sexual functioning | Sexual enjoyment | Future perspective | Systemic therapy side effects | Breast Symptoms | Arm Symptoms | Upset by hair loss |
---|
Capecitabine 2.5 g/m^2/Day | 4.8 | -0.1 | 3.1 | 10.0 | -1.2 | -3.6 | -3.4 | -10.1 |
Eribulin Mesylate 1.4 mg/m^2 | 0.7 | 1.2 | 0.8 | 7.7 | 4.5 | -3.4 | -4.2 | -4.4 |
[back to top]
Plasma Concentrations of Eribulin Mesylate
(NCT00337103)
Timeframe: Cycle 1 Day 1: 5-10 minutes(min), 15-30 min, 30-60 min, 60-90 min, 2-4 hours(hrs), 4-8 hrs, 10-24 hrs, 48-72 hrs, 72-96 hrs, 96-120 hrs after the start of infusion of Eribulin mesylate (Duration of each cycle is 21 days)
Intervention | nanogram per milliliter (ng/mL) (Mean) |
---|
| 5-10 minutes | 15-30 minutes | 30-60 minutes | 60-90 minutes | 2-4 hours | 4-8 hours | 10-24 hours | 48-72 hours | 72-96 hours | 96-120 hours |
---|
Eribulin Mesylate 1.4 mg/m^2 | 415.8 | 152.6 | 95.5 | 52.7 | 20.7 | 10.0 | 5.8 | 3.7 | 2.4 | 7.6 |
[back to top]
Overall Survival Rate
One-, two-, and three- year's survival rates were defined as the percentage of participants who were alive at one, two, and three years respectively, and estimated using the Kaplan-Meier method and Greenwood Formula. (NCT00337103)
Timeframe: From the date of randomization to Year 1, 2 and 3
,
Intervention | percentage of participants (Number) |
---|
| At 1-year | At 2-years | At 3-years |
---|
Capecitabine 2.5 g/m^2/Day | 0.580 | 0.298 | 0.145 |
Eribulin Mesylate 1.4 mg/m^2 | 0.644 | 0.328 | 0.178 |
[back to top]
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
TEAEs included both SAEs as well as non-SAEs. (NCT00337103)
Timeframe: First dose of study drug (Baseline) up to 30 days after last dose of study drug (up to approximately 6 years 3 months)
,
Intervention | Participants (Count of Participants) |
---|
| TEAEs | SAEs |
---|
Capecitabine 2.5 g/m^2/Day | 494 | 115 |
Eribulin Mesylate 1.4 mg/m^2 | 512 | 95 |
[back to top]
Duration of Eribulin Mesylate Exposure
Data have been reported per primary analysis completion stage and final analysis completion stage. After primary analysis completion (at cutoff date of 12 March 2012), only 10 participants were still receiving study treatment. (NCT00337103)
Timeframe: Up to approximately 6 years for primary analysis completion stage, Up to approximately 6 years 2 months for final analysis completion stage
,
Intervention | days (Median) |
---|
| At primary analysis completion stage | At final analysis completion stage |
---|
Capecitabine 2.5 g/m^2/Day | 119.0 | 1506.0 |
Eribulin Mesylate 1.4 mg/m^2 | 125.0 | 1743.0 |
[back to top]
[back to top]
Overall Survival Rate
1-year, 2-year, and 4-year actuarial overall survival (OS) rates defined as number of participants out of total participants alive at 1, 2 or 4 years post baseline treatment. (NCT00338039)
Timeframe: 1 to 4 years
Intervention | percentage of participants (Number) |
---|
| 1-year OS Rate | 2-year OS Rate | 4-year OS Rate |
---|
Chemotherapy + Chemoradation | 66.0 | 25.02 | 11.3 |
[back to top]
Number of Participants With Objective Response
Objective Response = Complete Response + Partial Response. Response evaluated using modification of new international criteria proposed by RECIST [changes in only largest diameter (unidimensional measurement) of tumor lesions used in the RECIST criteria]. Complete Response (CR): Disappearance of all target lesions; Partial Response (PR): At least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD. (NCT00338988)
Timeframe: Baseline with restaging every 3 cycles (cycle=21 days)
Intervention | participants (Number) |
---|
Capecitabine + Oxaliplatin | 1 |
[back to top]
Complete Clinical Response Rate (CCR)
Complete Clinical Response (CCR) was defined as complete disappearance of all measurable malignant disease, and no new malignant lesion, disease-related symptoms, or evidence of evaluable disease. (NCT00347438)
Timeframe: After the first three cycles of therapy, an average of 9 weeks
Intervention | percentage of participants (Number) |
---|
Capecitabine | 0 |
[back to top]
Complete Pathologic Response Rate (cPR)
Complete Pathologic Response rate (cPR) was defined as the absence of invasive breast cancer in the breast (mastectomy or lumpectomy) specimen at the time of definitive surgery. (NCT00347438)
Timeframe: After the first three cycles of therapy, an average of 9 weeks
Intervention | percentage of participants (Number) |
---|
Capecitabine | 0 |
[back to top]
Partial Clinical Response Rate (PR)
Partial Clinical Response (PR) was defined as reduction by at least 50% of the sum of the products of the longest perpendicular diameters of all measurable lesions. (NCT00347438)
Timeframe: After the first three cycles of therapy, an average of 9 weeks
Intervention | participants (Number) |
---|
Capecitabine | 5 |
[back to top]
Overall Clinical Response Rate (OCR)
Overall clinical response rate (OCR) was defined as a proportion of patients with a best response of Complete Clinical Response (CCR) or Partial Clinical Response (PCR). CCR was defined as complete disappearance of all measurable malignant disease, and no new malignant lesion, disease-related symptoms, or evidence of evaluable disease. PCR was defined as reduction by at least 50% of the sum of the products of the longest perpendicular diameters of all measurable lesions. (NCT00347438)
Timeframe: After the first three cycles of therapy, an average of 9 weeks
Intervention | percentage of participants (Number) |
---|
Capecitabine | 31.3 |
[back to top]
[back to top]
Clearance of Total And Free Platinum
CL is a calculation of the rate at which a drug is removed from the body via renal, hepatic and other clearance pathways, expressed as volume (milliliters) per unit of time (hour). (NCT00353262)
Timeframe: Pre-dose, and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours from the beginning of the two hour oxaliplatin infusion on Days 2 to 5 of Cycle 1, and Days 1 to 4 for Cycle 2 and 3
Intervention | mL/Hr (Geometric Mean) |
---|
| Total Platinum: Cycle 1, Day 2 | Total Platinum: Cycle 2, Day 1 | Total Platinum: Cycle 3, Day 1 | Free Platinum: Cycle 1, Day 2 | Free Platinum: Cycle 2, Day 1 | Free Platinum: Cycle 3, Day 1 |
---|
Capecitabine+ Oxaliplatin+ Bevacizumab | 1603 | 1331 | 1198 | 22183 | 21176 | 21823 |
[back to top]
Marked Laboratory Abnormalities
Number of participants with marked laboratory abnormalities (hematology, coagulation, liver function, renal function, protein, electrolytes, miscellaneous). (NCT00353262)
Timeframe: Up to 28 days after last chemotherapy administration
Intervention | Participants (Number) |
---|
| Hematocrit - high | Hematocrit - low | Hemoglobin - low | Platelets - high | Platelets - low | RBC - low | WBC - high | WBC - low | Neutrophils - high | Neutrophils - low | PT (INR) - high | ASAT (SGOT) - high | LDH - high | ALAT (SGPT) - high | Alk. Phos. - high | Dir. Bilirubin - high | Total Bilirubin - high | Creatinine - high | Albumin - low | Potassium - low | Sodium - low | Calcium - low | Glucose Fasting - high |
---|
Capecitabine+ Oxaliplatin+ Bevacizumab | 2 | 5 | 6 | 1 | 9 | 12 | 1 | 7 | 1 | 3 | 2 | 6 | 2 | 7 | 6 | 3 | 2 | 0 | 4 | 2 | 2 | 1 | 4 |
[back to top]
[back to top]
Cmax of Total And Free Platinum
Cmax is defined as maximum observed analyte concentration of Total And Free Platinum. (NCT00353262)
Timeframe: Pre-dose, and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours from the beginning of the two hour oxaliplatin infusion on Days 2 to 5 of Cycle 1, and Days 1 to 4 for Cycle 2 and 3.
Intervention | ng/mL (Geometric Mean) |
---|
| Total Platinum: Cycle 1, Day 2 | Total Platinum: Cycle 2, Day 1 | Total Platinum: Cycle 3, Day 1 | Free Platinum: Cycle 1, Day 2 | Free Platinum: Cycle 2, Day 1 | Free Platinum: Cycle 3, Day 1 |
---|
Capecitabine+ Oxaliplatin+ Bevacizumab | 3652 | 3741 | 3706 | 1818 | 1840 | 1813 |
[back to top]
[back to top]
AUC0-inf for Free Platinum
AUC0-infinity represents the area under the concentration-time curve of the analyte (free platinum) in plasma over the time interval from 0 extrapolated to infinity. AUC0-inf for free platinum was calculated for each participant from the concentration-data obtained on Days 2 to 5 of Cycle 1, and Days 1 to 4 for Cycle 2 and 3. Free platinum is not bound to plasma proteins and is considered to be the most clinically significant measure of pharmacological and toxicological activity. (NCT00353262)
Timeframe: Predose , 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours from the beginning of the 2 hour oxaliplatin infusion on Days 2 to 5 of Cycle 1, and Days 1 to 4 for Cycle 2 and 3.
Intervention | ng/mL * hr (Geometric Mean) |
---|
| Cycle 1, Day 2 | Cycle 2 , Day 1 | Cycle 3, Day 1. |
---|
Capecitabine+ Oxaliplatin+ Bevacizumab | 10069 | 10537 | 10225 |
[back to top]
AUC0-infinity for Total Platinum
AUC0-infinity represents the area under the concentration-time curve of the analyte (total platinum) in plasma over the time interval from 0 extrapolated to infinity. (NCT00353262)
Timeframe: Pre-dose, and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours from the beginning of the two hour oxaliplatin infusion on Days 2 to 5 of Cycle 1, and Days 1 to 4 for Cycle 2 and 3
Intervention | ng/mL* hr (Geometric Mean) |
---|
| Cycle 1, Day 2 | Cycle 2, Day 1 | Cycle 3, Day 1 |
---|
Capecitabine+ Oxaliplatin+ Bevacizumab | 139329 | 167610 | 186268 |
[back to top]
[back to top]
AUC0-last of Total And Free Platinum
Area under the plasma concentration-time curve from time zero to the time of the last measurable plasma concentration time point of Total And Free Platinum. (NCT00353262)
Timeframe: pre-dose, and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours from the beginning of the two hour oxaliplatin infusion on Days 2 to 5 of Cycle 1, and Days 1 to 4 for Cycle 2 and 3.
Intervention | ng/mL* hr (Geometric Mean) |
---|
| Total Platinum: Cycle 1, Day 2 | Total Platinum: Cycle 2, Day 1 | Total Platinum: Cycle 3, Day 1 | Free Platinum: Cycle 1, Day 2 | Free Platinum: Cycle 2, Day 1 | Free Platinum: Cycle 3, Day 1 |
---|
Capecitabine+ Oxaliplatin+ Bevacizumab | 85406 | 97083 | 97011 | 9399 | 9818 | 9604 |
[back to top]
Volume of Distribution at Steady State (VSS) of Total And Free Platinum
VSS is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Steady state volume of distribution (Vss) is the apparent volume of distribution at steady-state. (NCT00353262)
Timeframe: Pre-dose, and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours
Intervention | mL (Geometric Mean) |
---|
| Total Platinum: Cycle 1, Day 2 | Total Platinum: Cycle 2, Day 1 | Total Platinum: Cycle 3, Day 1 | Free Platinum: Cycle 1, Day 2 | Free Platinum: Cycle 2, Day 1 | Free Platinum: Cycle 3, Day 1 |
---|
Capecitabine+ Oxaliplatin+ Bevacizumab | 109007 | 105097 | 112141 | 387158 | 389193 | 401040 |
[back to top]
Number Of Participants With Adverse Events (AEs)
An adverse event is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product. This includes any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Pre-existing conditions which worsened during the study were also to be reported as AEs. (NCT00353262)
Timeframe: Approximately 3 Years (up to 28 days after the last intake of study medication)
Intervention | Participants (Number) |
---|
| Any AE | Any SAE |
---|
Capecitabine+ Oxaliplatin+ Bevacizumab | 36 | 16 |
[back to top]
Area Under The Plasma Concentration-Time Curve From Zero To Infinity (AUC0-Inf) of 5'-Deoxy-5-fluorouridine 5'-(DFUR)
AUC0-infinity represents the area under the concentration-time curve of the analyte (5'-DFUR) in plasma over the time interval from 0 extrapolated to infinity. The analyte 5'-DFUR, the direct precursor of 5-fluorouracil (5-FU), is considered to be the most important metabolite of capecitabine in plasma. The unit of measure was nanograms per millilitre per hour (ng/mL * hr). (NCT00353262)
Timeframe: Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, and 12 hours post the dose.
Intervention | ng/mL*hr (Geometric Mean) |
---|
| Cycle 1, Day 1 | Cycle 2, Day 1 | Cycle 3, Day 1 |
---|
Capecitabine+ Oxaliplatin+ Bevacizumab | 13605 | 12177 | 11817 |
[back to top]
T1/2 Beta of Total And Free Platinum
T1/2 beta is the time measured for the plasma concentration to decrease by 1 half to its original concentration of total and free platinum. (NCT00353262)
Timeframe: Pre-dose, and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours from the beginning of the two hour oxaliplatin infusion on Days 2 to 5 of Cycle 1, and Days 1 to 4 for Cycle 2 and 3
Intervention | hour (Geometric Mean) |
---|
| Total Platinum: Cycle 1, Day 2 | Total Platinum: Cycle 2, Day 1 | Total Platinum: Cycle 3, Day 1 | Free Platinum: Cycle 1, Day 2 | Free Platinum: Cycle 2, Day 1 | Free Platinum: Cycle 3, Day 1 |
---|
Capecitabine+ Oxaliplatin+ Bevacizumab | 48.70 | 55.73 | 67.28 | 17.64 | 18.41 | 18.47 |
[back to top]
Number of Adverse Events
(NCT00354224)
Timeframe: From the start of study treatment through study completion for up to about 18 weeks
Intervention | Serious Adverse Events (Number) |
---|
Oxaliplatin + Capecitabine | 4 |
[back to top]
Number of Participants With Grade 3 or Higher Toxicity
summary of grade 3 (per Common Toxicity Criteria) or higher toxicities which generally is described as a severe adverse reaction or symptom. (NCT00354601)
Timeframe: Days 1, 8, 15, 21 of each course and treatment end (28 days after last dose or start of new therapy)
Intervention | participants (Number) |
---|
Docetaxel and Capecitabine | 1 |
[back to top]
Number of Participants With Overall Response
Overall response rate defined as Complete Response (CR), disappearance of all target lesions; or Partial Response (PR), at least a 30% decrease in sum of longest diameter (LD) of target lesions, taking as reference the baseline sum LD, assessed by Response Evaluation Criteria in Solid Tumors (RECIST) Committee [JNCI 92(3):205-216, 2000]. In addition to a baseline scan, confirmatory scans for those deemed to have achieved a PR or CR. (NCT00354887)
Timeframe: Every 9 weeks from treatment initiation and confirmatory images 6 weeks or more after initial responses
Intervention | participants (Number) |
---|
| Participants with CR | Participants with PR |
---|
Oxaliplatin + Capecitabine | 3 | 12 |
[back to top]
Number of Patients With at Least One Surgical Complications (Wound Dehiscence, Infection, Seroma, or Hematoma).
Number of patients with at least one surgical complications (wound dehiscence, infection, seroma, or hematoma) (NCT00365417)
Timeframe: Two (2) years
Intervention | participants (Number) |
---|
Chemo Plus Bevacizumab | 24 |
[back to top]
Clinical Response Rate (cRR) of the Sequential Regimen
Clinical tumor measurements were required before study entry & before cycle 5 of chemotherapy (between AC & TX). Final tumor measurements were obtained 4-5 weeks after the last dose of chemotherapy. Clinical tumor assessments by physical examination were recommended before each chemotherapy cycle. The criteria proposed by the Response Evaluation Criteria in Solid Tumors Committee(RECIST) were used to define clinical response status. CR was defined as the disappearance of all lesions with no evidence of PD. PR was defined as at least 30% decrease in the sum of the longest diameter of target lesions, using as reference the baseline sum longest diameter and/or the persistence of greater than or equal to 1 nontarget lesion without worsening of any other clinical manifestations of disease. PD was defined as at least a 20% increase in the sum of the longest diameter of target lesions, the appearance of new lesions, or unequivocal progression of existing lesions. (NCT00365417)
Timeframe: Approximately 6 months
Intervention | percentage of patients (Number) |
---|
Chemo Plus Bevacizumab | 77.27 |
[back to top]
Cardiac Events
Events: Congestive Heart Failure; Cardiac Death (NCT00365417)
Timeframe: Assessments throughout; up to 18 months following study entry
Intervention | cardiac events (Number) |
---|
Chemo Plus Bevacizumab | 0 |
[back to top]
pCR in the Breast and Nodes
Measured by no histologic evidence of invasive tumor cells in the surgical breast specimen, axillary nodes, or sentinel nodes (NCT00365417)
Timeframe: Approximately 7 months
Intervention | participants (Number) |
---|
| pCR in the breast and nodes | No pCR in the breast and nodes | No data available |
---|
Neoadjuvant Study Treatment | 4 | 38 | 3 |
[back to top]
Progression-free Survival
Percentage of patients free from disease progression. Progression is determined using international criteria proposed by the Response Evaluation Criteria in Solid Tumors (RECIST) Committee. At least a 20% increase in the sum of the longest diameter of the target lesions. Other manifestations of progressive disease would also be classified as disease progression, eg., appearance of one or more new lesions in the breast, regional lymph nodes or distant sites, unequivocal progression of existing non-target lesions, and appearance of inflammatory carcinoma on clinical exam. (NCT00365417)
Timeframe: 2 years
Intervention | percentage of patients (Number) |
---|
Chemo Plus Bevacizumab | 57.69 |
[back to top]
Overall Survival
Percentage of patients alive. (NCT00365417)
Timeframe: 2 years
Intervention | percentage of patients (Number) |
---|
Chemo Plus Bevacizumab | 74.52 |
[back to top]
Pathologic Complete Response (pCR) in the Breast
Measured by no histologic evidence of invasive tumor cells in the surgical breast specimen (NCT00365417)
Timeframe: Approximately 7 months
Intervention | participants (Number) |
---|
| pCR in the breast | No pCR in the breast | No data available |
---|
Neoadjuvant Study Treatment | 4 | 38 | 3 |
[back to top]
Reported Adverse Events
Number of Adverse Events (NCT00365417)
Timeframe: Approximately 14 months
Intervention | events (Number) |
---|
Neoadjuvant Study Treatment | 566 |
[back to top]
Time to Tumor Progression (TTP)
Time from randomization to first documentation of objective tumor progression. (NCT00373113)
Timeframe: From time of randomization to every 6 weeks thereafter through 22 months
Intervention | Months (Median) |
---|
Sunitinib | 2.8 |
Capecitabine | 4.2 |
[back to top]
Number of Participants With Overall Response (OR)
OR was defined as the number of participants with confirmed complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST, Version 1.0) for at least 4 weeks, confirmed by repeat tumor assessments. CR was defined as the disappearance of all target lesions. PR was defined as a greater than or equal to (>=) 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions. (NCT00373113)
Timeframe: From time of randomization to every 6 weeks thereafter through 22 months
Intervention | Participants (Number) |
---|
Sunitinib | 27 |
Capecitabine | 40 |
[back to top]
Overall Survival (OS)
Average time from randomization to first documentation of death due to any cause. (NCT00373113)
Timeframe: From time of randomization until death
Intervention | Months (Median) |
---|
Sunitinib | 15.3 |
Capecitabine | 16.9 |
[back to top]
Progression-Free Survival (PFS)
Time from the date of randomization to the date of the first documentation of objective tumor progression or death due to any cause, whichever occured first. (NCT00373113)
Timeframe: From time of randomization to every 6 weeks thereafter through 22 months or until death
Intervention | Months (Median) |
---|
Sunitinib | 2.8 |
Capecitabine | 4.2 |
[back to top]
Duration of Response (DR)
Time from the first documentation of OR (CR or PR) that was subsequently confirmed to the first documentation of tumor progression or death due to any cause. CR was defined as disappearance of all target lesions. PR was defined as a >= 30% decrease in sum of longest dimensions of target lesions taking as a reference baseline sum longest dimensions. (NCT00373113)
Timeframe: From time of randomization to every 6 weeks thereafter through 22 months or death
Intervention | Months (Median) |
---|
Sunitinib | 6.9 |
Capecitabine | 9.3 |
[back to top]
Overall Survival (OS)
The number of months measured from the date of randomization to the date of death due to any cause. (NCT00382720)
Timeframe: up to a maximum of 36 months
Intervention | months (Median) |
---|
(TE) Taxotere and Eloxatin | 8.97 |
(TEF) Taxotere, Eloxatin and 5-fluorouracil | 14.59 |
(TEX) Taxotere, Eloxatin and Xeloda | 11.30 |
[back to top]
Time to Progression
"The number of months measured from the day of randomization to the first tumor progression according to World Health Organization (WHO) criteria evaluation of cancer response, or death from any cause.~WHO Criteria for Progressive Disease: ≥ 25% increase in the size of at least one bidimensionally or unidimensionally measurable lesion." (NCT00382720)
Timeframe: every 8 weeks up to a maximum of 36 months
Intervention | Months (Median) |
---|
(TE) Taxotere and Eloxatin | 4.50 |
(TEF) Taxotere, Eloxatin and 5-fluorouracil | 7.66 |
(TEX) Taxotere, Eloxatin and Xeloda | 5.55 |
[back to top]
Best Overall Response Rate (ORR)
"Percentage of partial and complete responses, according to WHO criteria:~Complete Response: Disappearance of all known disease, determined by 2 observations not less than 4 weeks apart.~Partial Response: Decrease by at least 50% of the diameters of all measurable lesions, determined by 2 observations not less than 4 weeks apart." (NCT00382720)
Timeframe: every 8 weeks up to a maximum of 36 months
Intervention | percentage of participants (Number) |
---|
(TE) Taxotere and Eloxatin | 23.1 |
(TEF) Taxotere, Eloxatin and 5-fluorouracil | 46.6 |
(TEX) Taxotere, Eloxatin and Xeloda | 25.6 |
[back to top]
12-month Progression Free Survival (PFS)
Percentage of participants with 12-month progression-free survival (PFS) was assessed. PFS is defined as the time from enrollment until documented disease progression or death (whichever occurred first). RECIST criteria (version 1). Complete response (CR) defined as disappearance of all target lesions. Partial Response (PR) defined as ≥ 30% decrease of SLD. Progressive disease (PD) defined as ≥ 20% increase in Sum Longest Diameters (SLD). Stable Disease (SD) defined as being between 20% increase and < 30% decrease in SLD. (NCT00398320)
Timeframe: PFS assessed every 3 months through 12 months
Intervention | percentage of participants w/ 12 mo PFS (Number) |
---|
Capecitabine / Oxaliplatin / Bevacizumab | 64.7 |
[back to top]
Overall Survival (OS)
OS is defined as time from enrollment until death from any cause. (NCT00398320)
Timeframe: Continuous
Intervention | months (Median) |
---|
Capecitabine / Oxaliplatin / Bevacizumab | 42.2 |
[back to top]
[back to top]
Biochemical Markers
(NCT00398320)
Timeframe: Assessed every 3 weeks while on treatment
Intervention | participants (Number) |
---|
| 25 to 49% reduction in 1 or more hormones | ≥ 50% reduction in 1 or more hormones |
---|
Capecitabine / Oxaliplatin / Bevacizumab | 6 | 12 |
[back to top]
Response Rates
Response rate is defined as percent of patients with complete response (CR) and partial response (PR) as their best response as defined by RECIST criteria (version 1). Complete response (CR) is defined as disappearance of all target lesions. Partial Response (PR) is defined as ≥ 30 decrease in the sum of longest diameters of target lesions (SLD). Overall response (OR) = CR + PR. (NCT00398320)
Timeframe: Response rates by RECIST criteria assessed every 3 months while on treatment
Intervention | percentage of participants (Number) |
---|
Capecitabine / Oxaliplatin / Bevacizumab | 17.5 |
[back to top]
Progression-free Survival
(NCT00398398)
Timeframe: 1 year
Intervention | months (Median) |
---|
Xelox Plus Cetuximab | 6.5 |
[back to top]
Toxicity Profile
Number of patients who experienced toxicity from study treatment to evaluate the safety and tolerability of XELOX plus Cetuximab (NCT00398398)
Timeframe: 1 years
Intervention | participants (Number) |
---|
Xelox Plus Cetuximab | 44 |
[back to top]
Overall Survival
(NCT00398398)
Timeframe: 1 year
Intervention | months (Median) |
---|
Xelox Plus Cetuximab | 11.8 |
[back to top]
Overall Response Rate
Tumor response was evaluated every two cycles by CT scans and other indicated methods, and the patients with complete or partial response required a confirmatory response evaluation at least 4 weeks later. Patients without confirmatory evaluation were not regarded as responders. (NCT00398398)
Timeframe: 6 months
Intervention | participants (Number) |
---|
Xelox Plus Cetuximab | 23 |
[back to top]
[back to top]
Time to Wound Healing Complications
Number of days from post-randomisation surgery until wound healing complications (NCT00399035)
Timeframe: Post-randomisation until end of study
Intervention | Days (Median) |
---|
Cediranib 20 mg | 18 |
Placebo | 18 |
[back to top]
Overall Survival
Number of months from randomisation to the date of death from any cause (NCT00399035)
Timeframe: Baseline through to date of death upto and including data cut off date of 21/03/10
Intervention | Months (Median) |
---|
Cediranib 20 mg | 19.7 |
Placebo | 18.9 |
[back to top]
Overall Response Rate
Objective tumour response(defined as a confirmed response of CR or PR).The definition for a confirmed response was met when an initial RECIST response of PR/CR was confirmed at the next scheduled visit as a PR/CR according to an evaluable assessment.Intervening assessments of non-evaluable or stable disease were allowable as long as the initial RECIST response was confirmed.RECIST criteria defined as follows: Target lesions Complete Response(CR)Disappearance of all target lesions Partial Response (PR).At least a 30% decrease in the sum of LD of target lesions taking as reference the baseline sum LD. Progressive Disease (PD) At least a 20% increase in the sum of LD of target lesions taking as references the smallest sum LD recorded (either at baseline or at previous assessment since treatment began).Stable Disease (SD) Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD.Non-target lesions Complete Response (CR) Disappearance of all non-target lesi (NCT00399035)
Timeframe: Baseline through to date of death upto and including data cut off date of 21/03/10
Intervention | Participants (Number) |
---|
Cediranib 20 mg | 254 |
Placebo | 178 |
[back to top]
Progression-free Survival
RECIST criteria defined as follows: Target lesions Complete Response (CR) Disappearance of all target lesions Partial Response (PR) At least a 30% decrease in the sum of LD of target lesions taking as reference the baseline sum LD.Progressive Disease (PD) At least a 20% increase in the sum of LD of target lesions taking as references the smallest sum LD recorded (either at baseline or at previous assessment since treatment began).Stable Disease (SD) Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. Non-target lesions Complete Response (CR) Disappearance of all non-target lesions Non-Complete Response (non-CR/Non- Progression [non-PD]) Persistence of one or more non-target lesion or/and maintenance of tumour marker level above the normal limits. Progression (PD) Unequivocal progression of existing nontarget lesions. (NCT00399035)
Timeframe: RECIST assessed at baseline every 6 weeks through to week 24 and 12 week thereafter through to progression or data cut off date of 21/03/10 whichever was earliest.
Intervention | Months (Median) |
---|
Cediranib 20 mg | 8.6 |
Placebo | 8.2 |
[back to top]
Duration of Response
Based on RECIST measurements taken throughout the study and best objective tumour response at the defined analysis cut-off point. Measured from the time the criteria for CR/PR are first met (whichever is recorded first) until the patient progresses or dies. (NCT00399035)
Timeframe: Treatment period from initial response up until data cut-off date of 21/03/10
Intervention | Months (Median) |
---|
Cediranib 20 mg | 8.5 |
Placebo | 6.9 |
[back to top]
Best Percentage Change in Tumour Size
Maximum percentage reduction or minimum percentage increase in tumour size where size is the sum of the longest diameters of the target lesions (NCT00399035)
Timeframe: Baseline through to date of death upto and including data cut off date of 21/03/10
Intervention | Percentage [change in tumour size (mm) ] (Mean) |
---|
Cediranib 20 mg | -42.49 |
Placebo | -40.61 |
[back to top]
Toxicities Including Events Other Than Congestive Heart Failure, of Chemotherapy Alone, Bevacizumab With Chemotherapy, and Bevacizumab Alone
The number of patients who experienced Grade 1 or above Adverse Events. Referring to the Adverse Events tables for specifics. (NCT00408408)
Timeframe: 24 months after study entry
Intervention | participants (Number) |
---|
Arm 1A: Docetaxel Then AC | 180 |
Arm 1B Docetaxel + Bev Then AC + Bev | 157 |
Arm 2A: Docetaxel + Capecitabine Then AC | 172 |
Arm 2B: Docetaxel + Cape + Bev Then AC + Bev | 185 |
Arm 3A: Docetaxel + Gem Then AC | 158 |
Arm 3B: Docetaxel + Gem + Bev Then AC + Bev | 185 |
[back to top]
Clinical Complete Resonse: cCR as Assessed by Physical Exam at the Completion of the Sequential Chemotherapy Regimens
The percentage of patients assessed by physical exam as Clinical Complete Response according to RECIST. (NCT00408408)
Timeframe: Three to four weeks after the last chemotherapy dose, on average at 6 or 13 months
Intervention | percentage of patients (Number) |
---|
Arm 1A: Docetaxel Then AC | 52.3 |
Arm 1B Docetaxel + Bev Then AC + Bev | 64.6 |
Arm 2A: Docetaxel + Capecitabine Then AC | 51.3 |
Arm 2B: Docetaxel + Cape + Bev Then AC + Bev | 59.1 |
Arm 3A: Docetaxel + Gem Then AC | 52.6 |
Arm 3B: Docetaxel + Gem + Bev Then AC + Bev | 60 |
[back to top]
Clinical Complete Response (cCR) Following Docetaxel Alone, Docetaxel/Capecitabine, and Docetaxel/Gemcitabine Hydrochloride, With or Without Bevacizumab, as Assessed by Physical Exam at Completion of Therapy
Percentages of patients assessed as Clinical Complete Response or Clinical Partial Response according to RECIST. (NCT00408408)
Timeframe: Assessed at cycle 5 of chemotherapy, on average at 15 weeks
Intervention | percentage of patients (Number) |
---|
Arm 1A: Docetaxel Then AC | 30 |
Arm 1B Docetaxel + Bev Then AC + Bev | 43.3 |
Arm 2A: Docetaxel + Capecitabine Then AC | 29.8 |
Arm 2B: Docetaxel + Cape + Bev Then AC + Bev | 34.5 |
Arm 3A: Docetaxel + Gem Then AC | 37.9 |
Arm 3B: Docetaxel + Gem + Bev Then AC + Bev | 42 |
[back to top]
Clinical Overall Response: cOR as Assessed by Physical Exam at the Completion of the Sequential Chemotherapy Regimens
The percentage of patients assessed by physical exam as Clinical Complete Response or Clinical Partial Response according to RECIST. (NCT00408408)
Timeframe: Three to four weeks after the last chemotherapy dose on average 6 or 13 months
Intervention | percentage of patients (Number) |
---|
Arm 1A: Docetaxel Then AC | 79.9 |
Arm 1B Docetaxel + Bev Then AC + Bev | 87.7 |
Arm 2A: Docetaxel + Capecitabine Then AC | 75.4 |
Arm 2B: Docetaxel + Cape + Bev Then AC + Bev | 90.7 |
Arm 3A: Docetaxel + Gem Then AC | 83.3 |
Arm 3B: Docetaxel + Gem + Bev Then AC + Bev | 80.5 |
[back to top]
Pathologic Complete Response (pCR) of the Primary Tumor in the Breast
Percentage of patients absent of histologic evidence of invasive tumor cells in the surgical breast specimen. (NCT00408408)
Timeframe: Time of surgery, on average 6 or 13 months
Intervention | percentage of patients (Number) |
---|
Arm 1A: Docetaxel Then AC | 33.7 |
Arm 1B Docetaxel + Bev Then AC + Bev | 31.6 |
Arm 2A: Docetaxel + Capecitabine Then AC | 23.5 |
Arm 2B: Docetaxel + Cape + Bev Then AC + Bev | 36.1 |
Arm 3A: Docetaxel + Gem Then AC | 27.6 |
Arm 3B: Docetaxel + Gem + Bev Then AC + Bev | 35.8 |
[back to top]
pCR in the Breast and Nodes
Percentage of patients absent of histologic evidence of invasive tumor cells in the surgical breast specimen and axillary lymph nodes. (NCT00408408)
Timeframe: Time of surgery, on average 6 or 13 months
Intervention | percentage of patients (Number) |
---|
Arm 1A: Docetaxel Then AC | 27.3 |
Arm 1B Docetaxel + Bev Then AC + Bev | 24.4 |
Arm 2A: Docetaxel + Capecitabine Then AC | 18.7 |
Arm 2B: Docetaxel + Cape + Bev Then AC + Bev | 27.4 |
Arm 3A: Docetaxel + Gem Then AC | 22.9 |
Arm 3B: Docetaxel + Gem + Bev Then AC + Bev | 30.3 |
[back to top]
Clinical Overall Response (cOR) Following Docetaxel Alone, Docetaxel/Capecitabine, and Docetaxel/Gemcitabine Hydrochloride, With or Without Bevacizumab, as Assessed by Physical Exam at the Completion of the Docetaxel-based Portion of Chemotherapy
Percentages of patients assessed as Clinical Complete Response or Clinical Partial Response according to RECIST. (NCT00408408)
Timeframe: Assessed at cycle 5 of chemotherapy, on average at 15 weeks
Intervention | percentage of patients (Number) |
---|
Arm 1A: Docetaxel Then AC | 77 |
Arm 1B Docetaxel + Bev Then AC + Bev | 87.6 |
Arm 2A: Docetaxel + Capecitabine Then AC | 73.7 |
Arm 2B: Docetaxel + Cape + Bev Then AC + Bev | 84 |
Arm 3A: Docetaxel + Gem Then AC | 82.6 |
Arm 3B: Docetaxel + Gem + Bev Then AC + Bev | 88 |
[back to top]
Disease-free Survival (DFS)
Percentage of patients free from local recurrence following mastectomy, local recurrence in the ipsilateral breast following lumpectomy, regional recurrence, distant recurrence, contralateral breast cancer, second primary cancer after 5 years. (NCT00408408)
Timeframe: Measured through 5 years after study enrollment
Intervention | percentage of patients (Number) |
---|
Arm 1A: Docetaxel Then AC | 73.4 |
Arm 1B Docetaxel + Bev Then AC + Bev | 72.2 |
Arm 2A: Docetaxel + Capecitabine Then AC | 68.5 |
Arm 2B: Docetaxel + Cape + Bev Then AC + Bev | 77.1 |
Arm 3A: Docetaxel + Gem Then AC | 72.9 |
Arm 3B: Docetaxel + Gem + Bev Then AC + Bev | 74.8 |
[back to top]
Surgical Complication
Number of patients with Grade 4 or above surgery-related toxicities (NCT00408408)
Timeframe: 24 months after study entry
Intervention | participants (Number) |
---|
Arm 1A: Docetaxel Then AC | 1 |
Arm 1B Docetaxel + Bev Then AC + Bev | 1 |
Arm 2A: Docetaxel + Capecitabine Then AC | 0 |
Arm 2B: Docetaxel + Cape + Bev Then AC + Bev | 1 |
Arm 3A: Docetaxel + Gem Then AC | 0 |
Arm 3B: Docetaxel + Gem + Bev Then AC + Bev | 1 |
[back to top]
Number of Participants With Grade 3-4 Adverse Events Reported
(NCT00408564)
Timeframe: from start of study treatment until end of study visit, about 30 weeks
Intervention | participants (Number) |
---|
Gemcitabine,Oxaliplatin and Cetuximab | 9 |
[back to top]
Response Rate
defined as the total number of subjects whose best response is PR or CR. (NCT00408564)
Timeframe: up to 46 weeks after the start of study treatment
Intervention | Participants (Count of Participants) |
---|
Gemcitabine,Oxaliplatin and Cetuximab | 5 |
[back to top]
Progression-free Survival at 6 Months
(NCT00408564)
Timeframe: up to 46 weeks after the start of study treatment
Intervention | percentage of participants (Number) |
---|
Gemcitabine,Oxaliplatin and Cetuximab | 82 |
[back to top]
Overall Survival
(NCT00408564)
Timeframe: up to 46 weeks after the start of study treatment
Intervention | percentage of participants (Number) |
---|
Gemcitabine,Oxaliplatin and Cetuximab | 49 |
[back to top]
[back to top]
[back to top]
Feasibility and Safety of Pre-operative Chemotherapy in Locally Advanced Gastric Cancer as Assessed by Number of Participants Who Experienced Adverse Events Grade 3 or Higher as Defined by CTCAE.
Number of participants who experience Grade 3/4 neutropenia, Grade 3 nausea or Grade 3 diarrhea. (NCT00414271)
Timeframe: up to 5 years
Intervention | Participants (Count of Participants) |
---|
| Grade 3/4 neutropenia | Grade 3 nausea | Grade 3 diarrhea |
---|
Open Label, Single Arm | 10 | 1 | 2 |
[back to top]
Overall Survival
Median number of months participants alive at the time of observation. Calculated using Kaplan-Meier method. (NCT00414271)
Timeframe: up to 8 years
Intervention | months (Median) |
---|
Open Label, Single Arm | 17.1 |
[back to top]
Progression-free Survival as Measured by Number of Participants Without Disease Progression.
(NCT00414271)
Timeframe: up to 5 years
Intervention | Participants (Count of Participants) |
---|
Open Label, Single Arm | 3 |
[back to top]
Number of Participants With Pathological Response
Number of participants who completed neoadjuvant chemotherapy and underwent repeat CT and endoscopic ultrasound (EUS) with pathological complete response (pCR), partial response in the primary tumor, stable disease or progressive disease as defined by EUS criteria. (NCT00414271)
Timeframe: up to 5 years
Intervention | Participants (Count of Participants) |
---|
| pathological complete response (pCR) | partial response | stable disease | progressive disease |
---|
Open Label, Single Arm | 0 | 4 | 8 | 3 |
[back to top]
Time to Progression
"Disease assessment was performed and recorded according to the Response Evaluation Criteria in Solid Tumors (RECIST v.1.0) Guidelines.~Progressive disease is defined as 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." (NCT00416494)
Timeframe: From time of treatment until documented progression, assesed up to 60 months.
Intervention | months (Median) |
---|
Initial Cohort | 10.1 |
Second Cohort | 10.4 |
[back to top]
Safety and Tolerability
Number of participants with adverse events (NCT00416494)
Timeframe: After all participants went off study drug regimine.
Intervention | participants with adverse event (Number) |
---|
Initial Cohort | 19 |
Second Cohort | 29 |
[back to top]
Overall Survival
Average months of survival of participants after receiving study drug. (NCT00416494)
Timeframe: From time of treatment until death from any cause, assesed up to 60 months.
Intervention | months (Median) |
---|
Initial Cohort | 19.6 |
Second Cohort | 24.8 |
[back to top]
Disease Free Survival
"Disease assessment was performed and recorded according to the Response Evaluation Criteria in Solid Tumors (RECIST v.1.0) Guidelines.~Progressive disease is defined as 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." (NCT00416494)
Timeframe: From time of treatment until documented progression or death from any cause, whichever came first, assesed up to 60 months.
Intervention | months (Median) |
---|
Initial Cohort | 10.1 |
Second Cohort | 10.4 |
[back to top]
Response Rate (Percentage of Participants With Partial or Complete Response)
"Restaging scans occurred every 9 weeks from time of study drug initiation until disease progression.~Disease assessment was performed and recorded according to the Response Evaluation Criteria in Solid Tumors (RECIST v.1.0) Guidelines.~The definitions were:~Complete response (CR)- Disappearance of all target lesions Partial response (PD)- At least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD Stable disease (SD)- Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started Progressive disease (PD) - 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" (NCT00416494)
Timeframe: After all subjects were evaluated for restaging which occured every 9 weeks from drug initiation until disease progression, assesed up to 24 months.
Intervention | percentage of participants with response (Number) |
---|
Initial Cohort | 63 |
Second Cohort | 42 |
[back to top]
Response Rate
Response was evaluated using the Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), every 3 cycles of chemotherapy (each cycle lasts 3 weeks) and at the end of treatment (at 21 weeks from the start of treatment). (NCT00418028)
Timeframe: Through the study treatment, an average of 5 months.
Intervention | Participants (Count of Participants) |
---|
Arm A (Cint) | 30 |
Arm B (Ccont) | 31 |
[back to top]
Response Duration
"Response duration is computed for all patients with Partial Response or Complete Response, during the treatment period, as the time from the moment the Partial or Complete Response is reported to the date the patient Progresses or Dies, whichever happens first.~A patient is censored if she does not progress or die. In these cases Response duration is computed as the time from the moment the Partial or Complete Response is reported to the last contact date." (NCT00418028)
Timeframe: Time from the moment the Partial or Complete Response is reported to the date the patient Progresses or Dies, whichever happens first, assessed up to 72 weeks.
Intervention | Months (Median) |
---|
Arm A (Cint) | 10.07 |
Arm B (Ccont) | 7.20 |
[back to top]
Progression Free Survival
Progression Free Survival is defined as the time (in months) from the moment the patient starts the study treatment to the date of progressive disease. That is, a patient has an event is she progresses or dies for any reason. (NCT00418028)
Timeframe: Time (in months) from the moment the patient starts the study treatment to the date of progressive disease assessed up to 84 months.
Intervention | Months (Median) |
---|
Arm A (Cint) | 8.52 |
Arm B (Ccont) | 6.84 |
[back to top]
Overall Survival
An event is defined as death. A patient is censored if she does not die. The censoring date is last contact date. (NCT00418028)
Timeframe: Time to survival is the number of months from the study treatment start date to the date of death, assessed up to 100 months.
Intervention | Months (Median) |
---|
Arm A (Cint) | 27.34 |
Arm B (Ccont) | 24.11 |
[back to top]
Time to Progression
Time to Progression (TTP) is defined as the time (in months) from the moment the patient starts the study treatment to the date of progressive disease. That is, a patient has an event is she progresses or dies due to progressive disease. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0). (NCT00418028)
Timeframe: After 1 year from the treatment start day.
Intervention | months (Median) |
---|
Arm A (Cint) | 8.68 |
Arm B (Ccont) | 6.84 |
[back to top]
Time to Treatment Failure
"Time to treatment failure (TTF) is defined as the time (in months) from the moment the patient starts the study treatment to the end of treatment date (due to death, progressive disease, adverse events, patient's decision or investigator criteria.~If a patient did not end the treatment, it is censored. The censoring date is the date of the last dose received." (NCT00418028)
Timeframe: Time (in months) from the moment the patient starts the study treatment to the end of treatment date (due to death, progressive disease, adverse events, patient's decision or investigator criteria, assessed up to 72 months.
Intervention | Months (Median) |
---|
Arm A (Cint) | 5.41 |
Arm B (Ccont) | 5.87 |
[back to top]
Clinical Benefit
"A patient experiences a Clinical Benefit if the following is satisfied:~Criterion: The patient has Complete response, Partial Response or Stable Disease and it continues during more than 3 months." (NCT00418028)
Timeframe: "Months from CR,PR or SD (the first one) until Progression date, new treatment or last contact date."
Intervention | Participants (Count of Participants) |
---|
Arm A (Cint) | 56 |
Arm B (Ccont) | 56 |
[back to top]
Duration of Response
Duration of response is defined for all evaluable patients who have achieved an objective response as the date at which the patient's objective status is first noted to be either a CR or PR to the date progression is documented. Duration of response will be analyzed using Kaplan-Meier methods. (NCT00433550)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
All Patients (6/6, 6/7, 7/7 UGT1A1 Genotype) | 9.0 |
[back to top]
Confirmed Tumor Response Rate (Proportion of Participants With Complete Response)
Evaluated using RECIST version 1.0. Confirmed tumor response rate was defined as achieving partial response (PR) or complete response (CR) in two consecutive assessments at least 6 weeks apart. CR is complete disappearance of all target lesions and PR is at least a 30% decrease in the sum of longest diameter (LD) of target lesions, taking as reference baseline sum LD. The confirmed response rate is reported as the number of participants with confirmed responses divided by the number of evaluated participants. (NCT00433550)
Timeframe: 36 weeks
Intervention | proportion of patients (Number) |
---|
All Patients (6/6, 6/7, 7/7 UGT1A1 Genotype) | .38 |
[back to top]
Time to Treatment Failure
Time to treatment failure is defined to be the time from the date of registration to the date at which the patient is removed from treatment due to progression, toxicity, or refusal. If the patient is considered to have had a major treatment violation or is taken off study as a non-protocol failure, the patient will be censored on the date they are removed from treatment. Time to treatment failure will be analyzed using Kaplan-Meier methods. (NCT00433550)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
All Patients (6/6, 6/7, 7/7 UGT1A1 Genotype) | 6.7 |
[back to top]
Progression Free Survival
Time to disease progression is defined as the time from registration to the earlier of documentation of disease progression or death. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. The distribution of time to progression will be estimated using Kaplan-Meier methodology. (NCT00433550)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
All Patients (6/6, 6/7, 7/7 UGT1A1 Genotype) | 8.9 |
[back to top]
Overall Survival
Overall survival will be defined as the time from registration to death. Patients lost to follow-up for this endpoint will be censored at the date of last contact (i.e., last known alive). The distribution of overall survival will be estimated using Kaplan-Meier methodology. (NCT00433550)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
All Patients (6/6, 6/7, 7/7 UGT1A1 Genotype) | 13.4 |
[back to top]
Overall Survival (OS)
Time from the date of randomization to the date of death due to any cause. OS (in months) calculated as (date of death minus randomization date plus 1) divided by 30.4. For patients lacking survival data beyond the date of their last follow-up, the OS time was censored on the last date they were known to be alive. Patients lacking survival data beyond randomization had their OS times censored at randomization. (NCT00435409)
Timeframe: Baseline until death or up to 3 years from first dose
Intervention | months (Median) |
---|
Sunitinib + Capecitabine | 16.5 |
Capecitabine | 17.2 |
[back to top]
Duration of Response (DR)
Time from the first documentation of objective tumor response (CR or PR) that was subsequently confirmed to the first documentation of disease progression (PD) or to death due to any cause, whichever occurred first. If tumor progression data included more than 1 date, the first date was used. DR (in months) was calculated as [the date response ended (date of PD or death) minus first CR or PR date that was subsequently confirmed plus 1)] divided by 30.4. (NCT00435409)
Timeframe: Baseline until response or disease progression (up to 3 years from first dose)
,
Intervention | months (Median) |
---|
| Independent radiology assessment | Investigator's assessment |
---|
Capecitabine | 8.8 | 7.6 |
Sunitinib + Capecitabine | 9.0 | 5.7 |
[back to top]
Percent Chance of Participant Survival
Probability of survival 2 years and 3 years after the first dose of study treatment. (NCT00435409)
Timeframe: Year 1, Year 2, Year 3
,
Intervention | probability of survival (Number) |
---|
| Year 1 | Year 2 | Year 3 |
---|
Capecitabine | 0.654 | 0.373 | 0.174 |
Sunitinib + Capecitabine | 0.635 | 0.368 | 0.150 |
[back to top]
Percentage of Participants With Objective Response (OR)
Proportion of participants with confirmed complete response (CR) or partial response (PR) according to the Response Evaluation Criteria in Solid Tumors (RECIST); CR: disappearance of all target lesions, PR: greater than or equal to (>=) 30 percent (%) decrease in the sum of the longest dimensions (SLD) of the target lesions taking as a reference the baseline SLD. Confirmed responses = persist on repeat imaging study at least 4 weeks after initial documentation of response. Designation of best response of stable disease (SD) required the criteria to be met at least 5 weeks after randomization. (NCT00435409)
Timeframe: Baseline until response or disease progression (up to 3 years from first dose)
,
Intervention | percentage of participants (Number) |
---|
| Independent radiology assessment | Investigator's assessment |
---|
Capecitabine | 16.3 | 20.4 |
Sunitinib + Capecitabine | 18.6 | 25.3 |
[back to top]
Progression Free Survival (PFS)
Defined as the time from the date of randomization to the date of the first documentation of objective tumor progression or death due to any cause, whichever occurs first. If tumor progression data include more than 1 date, the first date will be used. PFS (in months) will be calculated as (first event date minus randomization date plus 1) divided by 30.4. (NCT00435409)
Timeframe: Baseline until disease progression (up to 3 years from first dose)
,
Intervention | months (Median) |
---|
| Independent radiology assessment | Investigator's assessment |
---|
Capecitabine | 5.9 | 5.5 |
Sunitinib + Capecitabine | 5.5 | 5.4 |
[back to top]
Number of Participants With the Indicated Central Nervous System (CNS) Objective Response (OR)
CNS OR is defined as the number of participants with either a complete response (CR) or partial response (PR) as assessed by volumetric analysis of brain magnetic resonance imaging (MRI) and Response Evaluation Criteria In Solid Tumors (RECIST). CR: complete resolution of all evaluable and non-evaluable brain metastases; PR: =>50% reduction in the volumetric sum of all evaluable brain metastases compared to baseline. (NCT00437073)
Timeframe: From the start of treatment until disease progression, death, or discontinuation from the study, up to a maximum of Week 88
Intervention | participants (Number) |
---|
Lapatinib Plus Capecitabine | 5 |
Lapatinib Plus Topotecan | 0 |
[back to top]
Number of Participants With the Indicated CNS Responses
"CNS responses were assessed by volumetric (V) analysis of brain MRI and RECIST. CR: complete resolution of all evaluable and non-evaluable brain metastases (BMs). PR: =>50% reduction in the V sum of all evaluable BMs compared to baseline. A response of Other was used for participants who discontinued the study prior to the first efficacy assessment. Stable Disease (SD): disease that does not meet CR, PR, or CNS progression criteria. Progressive disease (PD): a requirement for a new steroid or an increasing steroid dose for the treatment of worsening neurological signs/symptoms due to BMs." (NCT00437073)
Timeframe: From the start of treatment until disease progression, death, or discontinuation from the study, up to a maximum of Week 88
,
Intervention | participants (Number) |
---|
| Complete response | Partial response | Stable Disease | Progressive Disease | Unknown | Other |
---|
Lapatinib Plus Capecitabine | 0 | 5 | 6 | 2 | 0 | 0 |
Lapatinib Plus Topotecan | 0 | 0 | 3 | 1 | 3 | 2 |
[back to top]
Pharmacokinetics: Area Under the Concentration Versus Time Curve During One Dosing Interval at Steady State
Area Under the Concentration versus time curve during 1 dosing interval at steady state (AUCτ,ss) for Cycle 2 Day 1 for Enzastaurin, its metabolite LY326020 and total analytes (enzastaurin + LY326020). AUCτ,ss was calculated using concentration versus time data by post hoc estimation of enzastaurin, its metabolite LY326020, and total analytes (enzastaurin + LY326020). (NCT00437294)
Timeframe: From pre-dose to 24 hours post-dose on Day 1 of Cycle 2
Intervention | nanomoles*hour per liter (nmol*hr/L) (Geometric Mean) |
---|
| Enzastaurin | Enzastaurin Metabolite LY326020 | Total Analytes (enzastaurin + LY326020) |
---|
Capecitabine + Enzastaurin | 90000 | 40700 | 137000 |
[back to top]
Pharmacology Toxicity and Adverse Events (AEs)
Data presented are the number of participants who experienced serious AEs, AEs, death due to progressive disease (PD), death due to AEs while on treatment and death during the 30-day post-treatment. A summary of SAEs and other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module. (NCT00437294)
Timeframe: Baseline to study completion [Cycle 19 (21 days/cycle) and 30-day safety follow-up]
,
Intervention | Participants (Count of Participants) |
---|
| Serious AEs | Other non-serious AEs | Deaths Due to PD | Deaths Due to AEs | Deaths in 30-day follow-up |
---|
Capecitabine + Enzastaurin | 12 | 38 | 13 | 4 | 6 |
Capecitabine + Placebo | 12 | 40 | 12 | 2 | 1 |
[back to top]
Duration of Response (DOR)
The DOR was defined as the time from first objective status assessment of complete response (CR) or partial response (PR) to the first time of progression or death as a result of any cause. According to the Response Evaluation Criteria in Solid Tumors (RECIST V1.0) criteria, CR was the disappearance of all tumor lesions. PR was at least a 30% decrease in the sum of the longest diameter (LD) of target lesions or complete disappearance of target lesions, with persistence (but not worsening) of 1 or more non-target lesions, with occurrence of no new lesions. For participants not known to have died as of the data cut-off date and who did not have progressive disease, DOR was censored at the date of last visit with adequate assessment. For participants who received subsequent anticancer therapy (after discontinuation from the study treatment) prior to disease progression or death, DOR was censored at the date of last visit with adequate assessment. (NCT00437294)
Timeframe: Randomization to last visit (up to 9.66 months)
Intervention | months (Median) |
---|
Capecitabine + Enzastaurin | 4.27 |
Capecitabine + Placebo | 3.47 |
[back to top]
Pharmacokinetics: Maximum Observed Concentration (Cmax) of Capecitabine
Cmax for Capecitabine, 5'-deoxy-5-fluorouridine (5'-DFUR) and its metabolites 5-fluorouracil (5-FU) was calculated from the plasma concentration-time data for each analyte for Day 1 of Cycle 2. (NCT00437294)
Timeframe: From pre-dose to 6 hours post-dose on Day 1 of Cycle 2
,
Intervention | micrograms/milliliter(ug/mL) (Geometric Mean) |
---|
| Capecitabine | 5-DFUR | 5-FU |
---|
Capecitabine + Enzastaurin | 4.42 | 6.09 | 0.374 |
Capecitabine + Placebo | 2.75 | 6.05 | 0.206 |
[back to top]
Overall Survival (OS)
OS was defined as the time in months from the date of study enrollment to the date of death from any cause. For participants not known to have died as of the cut-off date, OS was censored at the last contact date. (NCT00437294)
Timeframe: Randomization to date of death from any cause up to 20.83 months
Intervention | months (Median) |
---|
Capecitabine + Enzastaurin | 9.86 |
Capecitabine + Placebo | 14.88 |
[back to top]
Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Objective Response Rate)
Response rate was defined as percent of participants with objective response [CR or PR] over randomized and treated participants using the Response Evaluation Criteria in Solid Tumors (RECIST v1.0) Guidelines. CR was defined as the disappearance of all tumor lesions. PR was defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions taking as reference the baseline sum of LDs or complete disappearance of target lesions, with persistence (but not worsening) of one or more non-target lesions. No new lesions may have appeared. (NCT00437294)
Timeframe: Randomization to last visit (up to 9.66 months)
Intervention | percentage of participants (Number) |
---|
Capecitabine + Enzastaurin | 11.9 |
Capecitabine + Placebo | 11.6 |
[back to top]
Progression Free Survival (PFS)
PFS was defined as the time from randomization to the first observation of disease progression or death due to any cause. For participants not known to have died as of the data cut-off date and who did not have progressive disease, PFS was censored at the date of last visit with adequate assessment. For participants who received subsequent anticancer therapy (after discontinuation from the study treatment) prior to disease progression or death, PFS was censored at the date of last visit with adequate assessment prior to the initiation of post-discontinuation anticancer therapy. (NCT00437294)
Timeframe: Randomization to measured progressive disease or death up to 14 months
Intervention | months (Median) |
---|
Capecitabine + Enzastaurin | 2.79 |
Capecitabine + Placebo | 4.27 |
[back to top]
Pharmacokinetics: Area Under the Concentration Curve Versus Time From Time 0 to Last Quantifiable Value (AUC0-tlast) of Capecitabine
AUC0-tlast for Capecitabine, 5'-deoxy-5-fluorouridine (5'-DFUR) and 5-fluorouracil (5-FU) was calculated from the plasma concentration-time data for each analyte for Cycle 2, Day 1. (NCT00437294)
Timeframe: Pre-dose to 6 hours post-dose on Day 1 of Cycle 2
,
Intervention | micrograms*hour/milliliter (ug*hr/mL) (Geometric Mean) |
---|
| Capecitabine | 5'-deoxy-5-fluorouridine (5'-DFUR) | 5-fluorouracil (5-FU) |
---|
Capecitabine + Enzastaurin | 6.09 | 11.6 | 0.683 |
Capecitabine + Placebo | 4.18 | 11.0 | 0.358 |
[back to top]
Progression Free Survival
(NCT00438100)
Timeframe: The follow up period will be two years after the last dose has been administered.
Intervention | years (Median) |
---|
Capecitabine Arm | 1.2 |
S-1 Arm | 1.3 |
[back to top]
[back to top]
30-Day Post Operative Mortality
The number of participants that died within 30 days of undergoing a pancreaticoduodenectomy. (NCT00438256)
Timeframe: 30 days after the time of surgery (Surgery is 28-42 days after start of treatment)
Intervention | Participants (Count of Participants) |
---|
Proton Beam Radiation/ Capecitabine | 0 |
[back to top]
Number of Participants With Dose Limiting Toxicities in the 5 Radiation Sessions in One Week Arm
"The number of participants that experienced a dose limiting toxicity in the arm where radiation was administered over 5 consecutive for a total dose of 25 Gray Equivalents (GyE) (Group 4). Participants were monitored for potential Dose Limiting Toxicities (DLT) for three weeks after the start of radiation. DLTs included:~Any grade 3 non-hematologic or hematologic toxicity requiring a greater than 7 day interruption in therapy (excluding alopecia and nausea/vomiting not controlled by optimal supportive care or~Any grade 4 non-hematologic toxicity or~Any grade 4 neutropenia or thrombocytopenia as defined by Common Terminology Criteria for Adverse Events (CTCAE v3.0)" (NCT00438256)
Timeframe: 3 Weeks
Intervention | Participants (Count of Participants) |
---|
Proton Beam Radiation/ Capecitabine | 0 |
[back to top]
Number of Participants With a Pathological Complete Response
All patients that received surgery underwent a full pathological review of their pancreaticoduodenectomy specimen according to the American Joint Committee on Cancer (AJCC) Staging Classification, 6th. Initial gross evaluation and identification of resection margins was performed jointly by the surgeon and the pathologist. Pathological complete response will be defined as the absence of any viable tumor cells within the pathologic specimen. (NCT00438256)
Timeframe: at the time of surgery (28-42 days after start of treatment)
Intervention | Participants (Count of Participants) |
---|
Proton Beam Radiation/ Capecitabine | 0 |
[back to top]
Number of Participants With Grade 3 or Greater Toxicity in Phase II
Adverse events were assessed using Common Terminology Criteria for Adverse Events (CTCAE 3). The regimen was considered to be tolerated if less than 20% of participants experienced a grade 3 or greater toxicity. (NCT00438256)
Timeframe: 30 days after the end of treatment, up to approximately 6 months total
Intervention | Participants (Count of Participants) |
---|
Phase II: Proton Beam Radiation/ Capecitabine | 2 |
[back to top]
Number of Participants With Surgical Morbidity
Number of participants with pancreatic or any other anastomotic leakage within 30 days of surgery (NCT00438256)
Timeframe: 30 days post surgery (surgery was 28-42 days after the start of treatment)
Intervention | Participants (Count of Participants) |
---|
Proton Beam Radiation/ Capecitabine | 0 |
[back to top]
[back to top]
Toxicity Rates
# of subjects who experienced >= grade 1 adverse event that is positively related to treatment. (NCT00444678)
Timeframe: 1 year since the first treatment and every year after for up to 10 years
Intervention | Participants (Count of Participants) |
---|
Cetuximab, Capecitabine and Oxaliplatin | 36 |
[back to top]
Time to Progression
Time to Treatment Failure (progression or death) will be defined as the time from the first day of treatment until the date Progressive Disease (PD) or death is first reported. Subjects who die without a reported prior progression will be considered to have progressed on the day of their death. Subjects who did not progress will be censored at the day of their last tumor assessment. (NCT00444678)
Timeframe: 6 months since the start of treatment and every 3 months after treatment for up to 10 years
Intervention | Days (Median) |
---|
Cetuximab, Capecitabine and Oxaliplatin | 275 |
[back to top]
Survival
Survival will be defined as the number of days from the first day of therapy to the date of death. If the subject is lost to follow-up, survival will be censored on the last date the subject was known to be alive. (NCT00444678)
Timeframe: 6 months since the start of treatment and every 3 months after treatment for up to 10 years
Intervention | Days (Median) |
---|
Cetuximab, Capecitabine and Oxaliplatin | 417 |
[back to top]
Response Rate for the Combination Treatment
The tumor response rate (RR) will be defined as the total number of subjects whose best response is partial response (PR) or complete response (CR) during the first six months of treatment, divided by the number of subjects. (NCT00444678)
Timeframe: 6 months since the start of treatment
Intervention | Participants (Count of Participants) |
---|
Cetuximab, Capecitabine and Oxaliplatin | 21 |
[back to top]
Number of Participants With DLTs
Dose limiting toxicity (DLTs) was determined during the Wrst two cycles of treat- ment. The definitions of DLTs were as follows: (1) grade 4 neutropenia lasting for more than 5 days, or grade 3/4 neu- tropenia with fever; (2) grade 4 thrombocytopenia; (3) any other grade 3 non-hematological toxicity (excluding alope- cia); or (4) treatment delay of more than 2 weeks following the time of planned treatment. Maximal tolerated dose was defined as that the DLTs were observed in two or more patients from a cohort of two to six patients (NCT00446290)
Timeframe: 2 years
Intervention | participants (Number) |
---|
DXO Arm | 3 |
[back to top]
[back to top]
Response Rate
The proportion of patients for whom the best overall response is complete response (CR) or partial response (PR). A CR occurs when all lesions disappear; whereas, a PR is indicated when there is at least a 30% decrease in the sum of the longest diameters (LD) of the target lesion. A PD (progressive disese) occurs when there is at least a 20% increase in the sum of the LD relative to the smallest sum LD recorded since treatment is initiated. Disease is considered stable if there is no response and no PD. All patients were assigned a best response for inclusion in this calculation in accordance with the protocol. (NCT00447330)
Timeframe: Every 9 weeks for up to 1 year
Intervention | percentage of participants (Number) |
---|
1 - Capecitabine (Xeloda), Oxaliplatin and Bevacizumab (Avasti | 41.7 |
[back to top]
[back to top]
[back to top]
Objective Response Rate (ORR) and Disease Control Rate - Efficacy Evaluable Population
Objective response rate was the percentage of participants, (n/N; number with objective response per Number evaluated) whose best response is either a Complete Response (CR) or a Partial Response (PR). Disease control rate was defined as percentage (n/N) of participants with stable disease greater than (>) 6 months, PR, or CR. Efficacy Evaluable Population: All participants with at least one measurable lesion at baseline, who received at least one dose of combination study drug and have at least one on-study tumor assessment or stopped study treatment prior to first assessment, were evaluated. Those who stop treatment prior to tumor assessment for reasons unrelated to disease or drug were excluded. (NCT00452673)
Timeframe: Day 1 up to 30 days post last dose
,,,
Intervention | percentage of participants (Number) |
---|
| Objective Response Rate | Disease control rate |
---|
100 mg Dasatinib + 1000 mg/m^2Capecitabine | 24.0 | 56.00 |
50 mg Dasatinib + 825 mg/m^2Capecitabine | 50.0 | 75.0 |
70 mg Dasatinib + 1000 mg/m^2Capecitabine | 0 | 40.0 |
70 mg Dasatinib + 825 mg/m^2Capecitabine | 16.67 | 33.33 |
[back to top]
Number of Participants With Dose Limiting Toxicities Per Dose Level - Safety Population
Safety was assessed from first dose of study drug through at least 30 days after the last dose, until resolution of drug-related toxicity or when toxicity was deemed irreversible, whichever was longer. An adverse event (AE) was considered a dose limiting toxicity (DLT) if it occurred in the first 21 days and was at least possibly related to study drugs and were: Clinically-evident toxicity of Grade >= 3, or of Grade 2 which required interruption of treatment for >= 7 days (consecutive or non-consecutive); non-hematologic abnormal laboratory value of Grade >= 3, or hematologic toxicity of Grade 4, which persisted 7 days; any grade toxicity which in the judgment of the investigator required a dose reduction or removal from further study therapy. (NCT00452673)
Timeframe: Day 1 to 30 days post last dose
Intervention | participants (Number) |
---|
50 mg Dasatinib + 825 mg/m^2Capecitabine | 1 |
70 mg Dasatinib + 825 mg/m^2Capecitabine | 1 |
70 mg Dasatinib + 1000 mg/m^2Capecitabine | 1 |
100 mg Dasatinib + 1000 mg/m^2Capecitabine | 2 |
[back to top]
Number of Participants On-study With Grade 3 - 4 Chemistry Laboratory Values in Those Participants With a Baseline Laboratory Value of Grade 0 - Safety Population
CTC, Version 3 used to assess parameters. (ULN)=upper limit of normal: (ALT)= alanine transaminase; (AST)=aspartate aminotransferase; (ALP)=alkaline phosphatase. ALT Grade (Gr)1:>ULN to 2.5*ULN; Gr 2: >2.5 to 5.0*ULN; Gr 3: >5.0 to 20.0*ULN; Gr 4: >20.0*ULN. AST Gr 1: >ULN to 2.5*ULN; Gr 2: >2.5 to 5.0*ULN; Gr 3: >5.0 to 20.0*ULN; Gr 4: >20.0*ULN. Total bilirubin Gr 1: >ULN to 1.5*ULN; Gr 2: >1.5 to 3.0*ULN; Gr 3: >3.0 to 10.0*ULN; Gr 4: >10.0*ULN. ALP (U/L) Gr1:>ULN to 2.5*ULN, Gr2:>2.5 to 5.0*ULN, Gr3:>5.0 to 20.0*ULN, Gr4:>20.0*ULN. Albumin (low) Gr 1:NCT00452673)
Timeframe: Day 1 to 30 days post last dose
,,,
Intervention | participants (Number) |
---|
| Alkaline Phosphatase (N=4, 6, 5, 21) | Alanine Aminotransferase (N=6, 9, 6, 25) | Aspartate Aminotransferase (N=4, 8, 6, 25) | Total Bilirubin (N=6, 9, 6, 29) |
---|
100 mg Dasatinib + 1000 mg/m^2Capecitabine | 0 | 2 | 1 | 0 |
50 mg Dasatinib + 825 mg/m^2Capecitabine | 0 | 0 | 0 | 0 |
70 mg Dasatinib + 1000 mg/m^2Capecitabine | 0 | 0 | 0 | 0 |
70 mg Dasatinib + 825 mg/m^2Capecitabine | 0 | 0 | 0 | 0 |
[back to top]
Number of Participants With Overall Response to Tumor - Efficacy Evaluable Population
Complete Response (CR): disappearance of all target and non-target lesions, with confirmation at >=4 weeks interval; Partial Response (PR): >= 30% decrease in sum of longest diameter (LDs) of target lesions, taking as reference the baseline sum LD, with confirmation at >= 4 weeks interval. Progressive Disease (PD): Appearance of new lesion(s), or >=20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since treatment start, or unequivocal progression of existing non-target lesions. Stable disease was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, without unequivocal progression of non-target lesions, after >=6 weeks on study. Radiological tumor assessment by computed tomography (CT) or magnetic resonance imaging (MRI) occurred every 6 weeks. For those patients who were on treatment > 24 weeks, the tumor assessment occurred every 9 weeks. (NCT00452673)
Timeframe: Day 1 to 30 days post last dose
,,,
Intervention | participants (Number) |
---|
| Complete Response | Unconfirmed partial response | Partial Response | Stable Disease | Progressive Disease | Clinical Progression | Discontinuation due to study drug toxicity |
---|
100 mg Dasatinib + 1000 mg/m^2Capecitabine | 0 | 3 | 6 | 11 | 3 | 1 | 1 |
50 mg Dasatinib + 825 mg/m^2Capecitabine | 0 | 1 | 2 | 0 | 1 | 0 | 0 |
70 mg Dasatinib + 1000 mg/m^2Capecitabine | 0 | 1 | 0 | 2 | 2 | 0 | 0 |
70 mg Dasatinib + 825 mg/m^2Capecitabine | 0 | 1 | 1 | 1 | 2 | 1 | 0 |
[back to top]
[back to top]
Number of Participants On-Study With Grade 3 - 4 Hematology Laboratory Test Values in Those Participants With a Baseline Laboratory Value of Grade 0 - Safety Population
National Cancer Institute Common terminology criteria (CTC), Version 3 used to assess parameters. Lower limit of normal (LLN). CTC criteria: Absolute neutrophil count (ANC). Leukocytes (White blood cells) Grade (Gr) 1:NCT00452673)
Timeframe: Day 1 up to 30 days post last dose
,,,
Intervention | participants (Number) |
---|
| Leukocytes ( N=7, 9, 5, 29) | ANC (N=6, 9, 6, 30) | Platelet Count (N=7, 9, 6, 30) | Hemoglobin (N=7, 6, 4, 18) |
---|
100 mg Dasatinib + 1000 mg/m^2Capecitabine | 1 | 3 | 1 | 3 |
50 mg Dasatinib + 825 mg/m^2Capecitabine | 0 | 0 | 0 | 0 |
70 mg Dasatinib + 1000 mg/m^2Capecitabine | 0 | 0 | 0 | 0 |
70 mg Dasatinib + 825 mg/m^2Capecitabine | 0 | 0 | 0 | 0 |
[back to top]
Time to Response
Time to Response was defined as the date of start of treatment until the first date of complete response (CR) or a partial response (PR), based on Response Evaluation Criteria in Solid Tumors (RECIST) v.1.0 criteria. CR was defined as the disappearance of all target lesions; for non-target lesions, disappearance of lesions and normal tumor marker levels. PR was defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, using the baseline sum LD as reference. (NCT00454636)
Timeframe: Approximately 3.25 years
Intervention | days (Mean) |
---|
Cisplatin / Capecitabine | 132.92 |
Epirubicin / Cisplatin / Capecitabine | 126.64 |
Epirubicin / Oxaliplatin / Capecitabine | 123.50 |
Docetaxel / Cisplatin / Capecitabine | 138.16 |
[back to top]
Progression-Free Survival (PFS)
PFS was defined as the time from the start of treatment to the first documentation of disease progression or death for any cause. Disease progression was based on Response Evaluation Criteria in Solid Tumors (RECIST) v.1.0 criteria and was defined as at least a 20% increase in the sum of 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. (NCT00454636)
Timeframe: Approximately 3.25 years
Intervention | months (Median) |
---|
Cisplatin / Capecitabine | 4.43 |
Epirubicin / Cisplatin / Capecitabine | 5.17 |
Epirubicin / Oxaliplatin / Capecitabine | 7.07 |
Docetaxel / Cisplatin / Capecitabine | 7.87 |
[back to top]
[back to top]
Overall Survival (OS)
OS was defined as the time elapsing from the date of the start of treatment until death, or last known follow-up. (NCT00454636)
Timeframe: Approximately 3.25 years
Intervention | months (Median) |
---|
Cisplatin / Capecitabine | 10.23 |
Epirubicin / Cisplatin / Capecitabine | 8.87 |
Epirubicin / Oxaliplatin / Capecitabine | 13.87 |
Docetaxel / Cisplatin / Capecitabine | 12.43 |
[back to top]
Duration of Response
Duration of Response was defined as the time of complete response (CR) or partial response (PR) until the first date of recurrent or progressive disease, based on Response Evaluation Criteria in Solid Tumors (RECIST) v.1.0 criteria. CR was defined as the disappearance of all target lesions; for non-target lesions, disappearance of lesions and normal tumor marker levels. PR was defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, using the baseline sum LD as reference. Progressive disease was defined as at least a 20% increase in the sum of 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. (NCT00454636)
Timeframe: Approximately 3.25 years
Intervention | days (Mean) |
---|
Cisplatin / Capecitabine | 308.92 |
Epirubicin / Cisplatin / Capecitabine | 154.09 |
Epirubicin / Oxaliplatin / Capecitabine | 203.06 |
Docetaxel / Cisplatin / Capecitabine | 205.52 |
[back to top]
Overall Response Rate (ORR)
ORR was defined as the percentage of participants achieving either a complete response (CR) or a partial response (PR), based on Response Evaluation Criteria in Solid Tumors (RECIST) v.1.0 criteria. CR was defined as the disappearance of all target lesions; for non-target lesions, disappearance of lesions and normal tumor marker levels. PR was defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, using the baseline sum LD as reference. (NCT00454636)
Timeframe: Approximately 3.25 years
Intervention | percentage of participants (Number) |
---|
Cisplatin / Capecitabine | 43.3 |
Epirubicin / Cisplatin / Capecitabine | 40.7 |
Epirubicin / Oxaliplatin / Capecitabine | 69.6 |
Docetaxel / Cisplatin / Capecitabine | 59.6 |
[back to top]
Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)] for Carboplatin
AUC (0-∞) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-∞). It is obtained from AUC (0-t) plus AUC (t-∞). (NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 5 hr after start of infusion on Day 1 of Cycle 2 for cohort 1-3
Intervention | ng*hr/mL (Mean) |
---|
Axitinib + Paclitaxel + Carboplatin (Combined Cohort 1, 2, 3) | 55580.26 |
[back to top]
Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)] for Docetaxel
AUC (0-∞) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-∞). It is obtained from AUC (0-t) plus AUC (t-∞). (NCT00454649)
Timeframe: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 5
Intervention | ng*hr/mL (Mean) |
---|
Axitinib + Docetaxel (Cohort 5) | 3478.49 |
[back to top]
Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)] for Gemcitabine
AUC (0-∞) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-∞). It is obtained from AUC (0-t) plus AUC (t-∞). (NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4 hr after start of infusion on Day 1 of Cycle 2 for cohort 8
Intervention | ng*hr/mL (Mean) |
---|
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 10991.16 |
[back to top]
Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)] for Paclitaxel
AUC (0-∞) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-∞). It is obtained from AUC (0-t) plus AUC (t-∞). (NCT00454649)
Timeframe: 0 (pre-dose), 1, 2, 3, 3.25, 3.5, 4, 5, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 1-3; 0 (pre-dose), 0.5, 1, 2, 3, 4, 5, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 4
Intervention | ng*hr/mL (Mean) |
---|
Axitinib + Paclitaxel (Cohort 4) | 5683.55 |
Axitinib + Paclitaxel + Carboplatin (Combined Cohort 1, 2, 3) | 19959.91 |
[back to top]
Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)] for Pemetrexed
AUC (0-∞) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-∞). It is obtained from AUC (0-t) plus AUC (t-∞). (NCT00454649)
Timeframe: 0 (pre-dose), 10 minutes (end of infusion), 0.5, 1, 1.5, 2, 4, 6, 8 hr after end of infusion on Day 1 of Cycle 2 for cohort 9
Intervention | ng*hr/mL (Mean) |
---|
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 133032.97 |
[back to top]
Area Under the Curve From Time Zero to Time 24 Hours [AUC (0-24)] for Axitinib (AG-013736)
AUC (0-24) = Area under the plasma concentration versus time curve from time zero (pre-dose) to time 24 hours (0-24). (NCT00454649)
Timeframe: 0 (pre-dose), 1, 2, 3, 4, 6, 8 hr post-dose on Day -1 for cohort 1, 2, 3, 5 and 8; on Day 22 of Cycle 1 for cohort 4; on Day 18 of Cycle 1 for cohorts 6 and 7; 0 (pre-dose), 1.2, 2.2, 3.2, 4.2, 6.2, 8.2 hr post-dose on Day -1 for cohort 9
Intervention | nanogram*hour/milliliter (ng*hr/mL) (Mean) |
---|
Axitinib + Paclitaxel + Carboplatin (Cohort 1) | 61.58 |
Axitinib + Paclitaxel + Carboplatin (Cohort 2) | 242.41 |
Axitinib + Paclitaxel + Carboplatin (Cohort 3) | 475.18 |
Axitinib + Paclitaxel (Cohort 4) | 154.43 |
Axitinib + Docetaxel (Cohort 5) | 780.99 |
Axitinib + Capecitabine (Cohort 6) | 365.95 |
Axitinib + Capecitabine (Cohort 7) | 449.99 |
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 416.30 |
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 420.64 |
[back to top]
Area Under the Curve From Time Zero to Time 24 Hours [AUC (0-24)] for Capecitabine
AUC (0-24) = Area under the plasma concentration versus time curve from time zero (pre-dose) to time 24 hours (0-24). (NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 4, 6, 8 hr post-dose on Day 1 of Cycle 2 for cohort 6 and 7
Intervention | ng*hr/mL (Mean) |
---|
Axitinib + Capecitabine (Cohort 6) | 20534.52 |
Axitinib + Capecitabine (Cohort 7) | 22163.88 |
[back to top]
Area Under the Curve From Time Zero to Time 8 Hours [AUC (0-8)] for Cisplatin
AUC (0-8) = Area under the plasma concentration versus time curve from time zero (pre-dose) to time 8 hours (0-8). (NCT00454649)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 5, 7 hr after start of infusion on Day 1 of Cycle 2 for cohort 8 and 9
Intervention | ng*hr/mL (Mean) |
---|
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 2932.43 |
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 2703.92 |
[back to top]
Maximum Observed Plasma Concentration (Cmax) for Axitinib (AG-013736)
(NCT00454649)
Timeframe: 0 (pre-dose), 1, 2, 3, 4, 6, 8 hr post-dose on Day -1 for cohort 1, 2, 3, 5 and 8; on Day 22 of Cycle 1 for cohort 4; on Day 18 of Cycle 1 for cohorts 6 and 7; 0 (pre-dose), 1.2, 2.2, 3.2, 4.2, 6.2, 8.2 hr post-dose on Day -1 for cohort 9
Intervention | ng/mL (Mean) |
---|
Axitinib + Paclitaxel + Carboplatin (Cohort 1) | 5.97 |
Axitinib + Paclitaxel + Carboplatin (Cohort 2) | 23.36 |
Axitinib + Paclitaxel + Carboplatin (Cohort 3) | 42.58 |
Axitinib + Paclitaxel (Cohort 4) | 44.58 |
Axitinib + Docetaxel (Cohort 5) | 67.96 |
Axitinib + Capecitabine (Cohort 6) | 37.51 |
Axitinib + Capecitabine (Cohort 7) | 43.97 |
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 40.97 |
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 31.53 |
[back to top]
Maximum Observed Plasma Concentration (Cmax) for Capecitabine
(NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 4, 6, 8 hr post-dose on Day 1 of Cycle 2 for cohort 6 and 7
Intervention | ng/mL (Mean) |
---|
Axitinib + Capecitabine (Cohort 6) | 10808.00 |
Axitinib + Capecitabine (Cohort 7) | 10588.38 |
[back to top]
Maximum Observed Plasma Concentration (Cmax) for Carboplatin
(NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 5 hr after start of infusion on Day 1 of Cycle 2 for cohort 1-3
Intervention | ng/mL (Mean) |
---|
Axitinib + Paclitaxel + Carboplatin (Combined Cohort 1, 2, 3) | 23383.33 |
[back to top]
Maximum Observed Plasma Concentration (Cmax) for Cisplatin
(NCT00454649)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 5, 7 hr after start of infusion on Day 1 of Cycle 2 for cohort 8 and 9
Intervention | ng/mL (Mean) |
---|
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 1680.54 |
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 1176.00 |
[back to top]
Maximum Observed Plasma Concentration (Cmax) for Docetaxel
(NCT00454649)
Timeframe: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 5
Intervention | ng/mL (Mean) |
---|
Axitinib + Docetaxel (Cohort 5) | 3130.00 |
[back to top]
Maximum Observed Plasma Concentration (Cmax) for Gemcitabine
(NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4 hr after start of infusion on Day 1 of Cycle 2 for cohort 8
Intervention | ng/mL (Mean) |
---|
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 20635.29 |
[back to top]
Maximum Observed Plasma Concentration (Cmax) for Paclitaxel
(NCT00454649)
Timeframe: 0 (pre-dose), 1, 2, 3, 3.25, 3.5, 4, 5, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 1-3; 0 (pre-dose), 0.5, 1, 2, 3, 4, 5, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 4
Intervention | ng/mL (Mean) |
---|
Axitinib + Paclitaxel (Cohort 4) | 3698.33 |
Axitinib + Paclitaxel + Carboplatin (Combined Cohort 1, 2, 3) | 6105.00 |
[back to top]
Maximum Observed Plasma Concentration (Cmax) for Pemetrexed
(NCT00454649)
Timeframe: 0 (pre-dose), 10 minutes (end of infusion), 0.5, 1, 1.5, 2, 4, 6, 8 hr after end of infusion on Day 1 of Cycle 2 for cohort 9
Intervention | ng/mL (Mean) |
---|
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 83925.00 |
[back to top]
Maximum Tolerated Dose (MTD) of Axitinib (AG-013736) in Combination With Chemotherapy
MTD defined as the dose level at which more than 1 out of 6 participants experienced a dose limiting toxicity (DLT). DLT included grade (Gr) 4 neutropenia or thrombocytopenia, greater than or equal to (>=) Gr 3 nonhematological toxicities or >=0.5 teaspoon/day hemoptysis or >=2 gram /24 hours proteinuria or inability to resume background chemotherapy or axitinib (AG-013736) dosing within 14 days of stopping due to treatment related toxicity. (NCT00454649)
Timeframe: Baseline to withdrawal from study or Day 21 of Cycle 1 [all cohorts except cohort 4 (Day 28 of Cycle 1)]
Intervention | mg BID (Number) |
---|
Axitinib + Paclitaxel + Carboplatin (Cohort 1) | 5 |
Axitinib + Paclitaxel + Carboplatin (Cohort 2) | 5 |
Axitinib + Paclitaxel + Carboplatin (Cohort 3) | 5 |
Axitinib + Paclitaxel (Cohort 4) | 5 |
Axitinib + Docetaxel (Cohort 5) | NA |
Axitinib + Capecitabine (Cohort 6) | 5 |
Axitinib + Capecitabine (Cohort 7) | 5 |
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 5 |
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 5 |
[back to top]
Percentage of Participants With Objective Response
Percentage of participants with objective response based assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.0. Confirmed response are those that persist on repeat imaging study at least 4 weeks after initial documentation of response. CR are defined as the disappearance of all lesions (target and/or non target). PR are those with at least 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions. (NCT00454649)
Timeframe: Baseline and thereafter every 2 cycles up to disease progression or discontinuation from study or up to 155 weeks
Intervention | Percentage of Participants (Number) |
---|
Axitinib + Paclitaxel + Carboplatin (Cohort 1) | 100.0 |
Axitinib + Paclitaxel + Carboplatin (Cohort 2) | 0 |
Axitinib + Paclitaxel + Carboplatin (Cohort 3) | 35.0 |
Axitinib + Paclitaxel (Cohort 4) | 66.7 |
Axitinib + Docetaxel (Cohort 5) | 50.0 |
Axitinib + Capecitabine (Cohort 6) | 11.1 |
Axitinib + Capecitabine (Cohort 7) | 11.8 |
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 23.8 |
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 0 |
[back to top]
Plasma Clearance (CL) for Carboplatin
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the plasma. (NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 5 hr after start of infusion on Day 1 of Cycle 2 for cohort 1-3
Intervention | L/hr (Mean) |
---|
Axitinib + Paclitaxel + Carboplatin (Combined Cohort 1, 2, 3) | 12.57 |
[back to top]
Plasma Clearance (CL) for Cisplatin
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the plasma. (NCT00454649)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 5, 7 hr after start of infusion on Day 1 of Cycle 2 for cohort 8 and 9
Intervention | L/hr (Mean) |
---|
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 46.31 |
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 46.80 |
[back to top]
Plasma Clearance (CL) for Docetaxel
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the plasma. (NCT00454649)
Timeframe: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 5
Intervention | L/hr (Mean) |
---|
Axitinib + Docetaxel (Cohort 5) | 42.96 |
[back to top]
Plasma Clearance (CL) for Gemcitabine
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the plasma. (NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4 hr after start of infusion on Day 1 of Cycle 2 for cohort 8
Intervention | L/hr (Mean) |
---|
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 224.36 |
[back to top]
Plasma Decay Half Life (t1/2) for Paclitaxel
t1/2 is the time measured for the plasma concentration to decrease by one half. (NCT00454649)
Timeframe: 0 (pre-dose), 1, 2, 3, 3.25, 3.5, 4, 5, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 1-3; 0 (pre-dose), 0.5, 1, 2, 3, 4, 5, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 4
Intervention | hr (Mean) |
---|
Axitinib + Paclitaxel (Cohort 4) | 12.51 |
Axitinib + Paclitaxel + Carboplatin (Combined Cohort 1, 2, 3) | 8.36 |
[back to top]
Plasma Decay Half Life (t1/2) for Pemetrexed
t1/2 is the time measured for the plasma concentration to decrease by one half. (NCT00454649)
Timeframe: 0 (pre-dose), 10 minutes (end of infusion), 0.5, 1, 1.5, 2, 4, 6, 8 hr after end of infusion on Day 1 of Cycle 2 for cohort 9
Intervention | hr (Mean) |
---|
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 2.77 |
[back to top]
Plasma Clearance (CL) for Pemetrexed
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the plasma. (NCT00454649)
Timeframe: 0 (pre-dose), 10 minutes (end of infusion), 0.5, 1, 1.5, 2, 4, 6, 8 hr after end of infusion on Day 1 of Cycle 2 for cohort 9
Intervention | L/hr (Mean) |
---|
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 7.26 |
[back to top]
Plasma Decay Half Life (t1/2) for Axitinib (AG-013736)
t1/2 is the time measured for the plasma concentration to decrease by one half. (NCT00454649)
Timeframe: 0 (pre-dose), 1, 2, 3, 4, 6, 8 hr post-dose on Day -1 for cohort 1, 2, 3, 5 and 8; on Day 22 of Cycle 1 for cohort 4; on Day 18 of Cycle 1 for cohorts 6 and 7; 0 (pre-dose), 1.2, 2.2, 3.2, 4.2, 6.2, 8.2 hr post-dose on Day -1 for cohort 9
Intervention | hr (Mean) |
---|
Axitinib + Paclitaxel + Carboplatin (Cohort 1) | 2.75 |
Axitinib + Paclitaxel + Carboplatin (Cohort 2) | 2.90 |
Axitinib + Paclitaxel + Carboplatin (Cohort 3) | 2.80 |
Axitinib + Paclitaxel (Cohort 4) | 1.45 |
Axitinib + Docetaxel (Cohort 5) | 4.07 |
Axitinib + Capecitabine (Cohort 6) | 3.85 |
Axitinib + Capecitabine (Cohort 7) | 3.64 |
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 2.68 |
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 5.02 |
[back to top]
Plasma Decay Half Life (t1/2) for Capecitabine
t1/2 is the time measured for the plasma concentration to decrease by one half. (NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 4, 6, 8 hr post-dose on Day 1 of Cycle 2 for cohort 6 and 7
Intervention | hr (Mean) |
---|
Axitinib + Capecitabine (Cohort 6) | 0.85 |
Axitinib + Capecitabine (Cohort 7) | 1.44 |
[back to top]
Plasma Decay Half Life (t1/2) for Carboplatin
t1/2 is the time measured for the plasma concentration to decrease by one half. (NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 5 hr after start of infusion on Day 1 of Cycle 2 for cohort 1-3
Intervention | hr (Mean) |
---|
Axitinib + Paclitaxel + Carboplatin (Combined Cohort 1, 2, 3) | 2.62 |
[back to top]
Plasma Decay Half Life (t1/2) for Cisplatin
t1/2 is the time measured for the plasma concentration to decrease by one half. (NCT00454649)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 5, 7 hr after start of infusion on Day 1 of Cycle 2 for cohort 8 and 9
Intervention | hr (Mean) |
---|
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 2.61 |
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 3.91 |
[back to top]
Plasma Decay Half Life (t1/2) for Docetaxel
t1/2 is the time measured for the plasma concentration to decrease by one half. (NCT00454649)
Timeframe: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 5
Intervention | hr (Mean) |
---|
Axitinib + Docetaxel (Cohort 5) | 11.49 |
[back to top]
Plasma Decay Half Life (t1/2) for Gemcitabine
t1/2 is the time measured for the plasma concentration to decrease by one half. (NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4 hr after start of infusion on Day 1 of Cycle 2 for cohort 8
Intervention | hr (Mean) |
---|
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 0.29 |
[back to top]
Apparent Oral Clearance (CL/F) for Axitinib (AG-013736)
Clearance (CL) of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes and F is the absolute oral bioavailability. Apparent oral clearance(CL/F) is obtained following oral administration. (NCT00454649)
Timeframe: 0 (pre-dose), 1, 2, 3, 4, 6, 8 hr post-dose on Day -1 for cohort 1, 2, 3, 5 and 8; on Day 22 of Cycle 1 for cohort 4; on Day 18 of Cycle 1 for cohorts 6 and 7; 0 (pre-dose), 1.2, 2.2, 3.2, 4.2, 6.2, 8.2 hr post-dose on Day -1 for cohort 9
Intervention | Liter/hour (L/hr) (Mean) |
---|
Axitinib + Paclitaxel + Carboplatin (Cohort 1) | 49.39 |
Axitinib + Paclitaxel + Carboplatin (Cohort 2) | 40.72 |
Axitinib + Paclitaxel + Carboplatin (Cohort 3) | 29.73 |
Axitinib + Paclitaxel (Cohort 4) | 65.69 |
Axitinib + Docetaxel (Cohort 5) | 14.35 |
Axitinib + Capecitabine (Cohort 6) | 26.64 |
Axitinib + Capecitabine (Cohort 7) | 83.46 |
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 50.05 |
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 25.10 |
[back to top]
Apparent Oral Clearance (CL/F) for Capecitabine
Clearance (CL) of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes and F is the absolute oral bioavailability. Apparent oral clearance(CL/F) is obtained following oral administration. (NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 4, 6, 8 hr post-dose on Day 1 of Cycle 2 for cohort 6 and 7
Intervention | Liter/hr (Mean) |
---|
Axitinib + Capecitabine (Cohort 6) | 209.05 |
Axitinib + Capecitabine (Cohort 7) | 314.12 |
[back to top]
Plasma Clearance (CL) for Paclitaxel
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the plasma. (NCT00454649)
Timeframe: 0 (pre-dose), 1, 2, 3, 3.25, 3.5, 4, 5, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 1-3; 0 (pre-dose), 0.5, 1, 2, 3, 4, 5, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 4
Intervention | L/hr (Mean) |
---|
Axitinib + Paclitaxel (Cohort 4) | 30.48 |
Axitinib + Paclitaxel + Carboplatin (Combined Cohort 1, 2, 3) | 21.61 |
[back to top]
Number of Participants With Recurrent Disease
(NCT00462865)
Timeframe: 6 months and again at the end of the study (1 year)
Intervention | Participants (Count of Participants) |
---|
Gemcitabine, Capectiabine, Avastin | 4 |
[back to top]
[back to top]
Overall Objective Response
This is defined as the percentage of patients who achieve either an objective complete or partial target lesion response that is confirmed based on the RECIST criteria. (NCT00468585)
Timeframe: 2 years
,,,
Intervention | participants (Number) |
---|
| Partial Response (PR) | Stable Disease (SD) | Progression of Disease (POD) |
---|
Group 0 | 0 | 2 | 1 |
Group 1 | 0 | 1 | 2 |
Group 2 | 8 | 22 | 15 |
Group 3 | 0 | 3 | 2 |
[back to top]
Overall Response Rate (Complete and Partial Response) as Measured by RECIST Criteria After Course 1
(NCT00470184)
Timeframe: 5.5 weeks
Intervention | percentage of patients (Number) |
---|
COR (Capecitabine in Combination w/Oxaliplatin & Radiotherapy | 58.33 |
[back to top]
Quality of Life Improved Rate
(NCT00470184)
Timeframe: 5.5 weeks
Intervention | percentage of patients (Number) |
---|
COR (Capecitabine in Combination w/Oxaliplatin & Radiotherapy | 66.67 |
[back to top]
Complete Response
(NCT00470184)
Timeframe: 5.5 weeks
Intervention | percentage of patients (Number) |
---|
COR(Capecitabine in Combination w/Oxaliplatin and Radiotherapy | 27.78 |
[back to top]
[back to top]
Trough Concentration of Lapatinib
PK samples were collected at pre-dose on Day 14 and Day 21 (minus 2 days). Trough concentration is defined as the minimum serum concentration at steady state after a repeated dose of lapatinib. (NCT00477464)
Timeframe: Week 2
Intervention | ng/ml (Mean) |
---|
| Week 2, n=42 | Week 3, n=41 |
---|
Lapatinib 1250 mg and Capecitabine 2000 mg/m^2 | 1065.558 | 1243.540 |
[back to top]
6-Month Progression-free Survival (Independent Reviewer-assessed)
6-Month progression-free survival is defined as the percentage of participants surviving without progressive disease at 6 months (24 weeks) after the start of treatment. Progressive disease is defined as at least a 20% increase in the sum of the longest diameter of target lesions. (NCT00477464)
Timeframe: Baseline and then every 6 weeks until Month 6 (Week 24)
Intervention | percentage of participants (Number) |
---|
Lapatinib 1250 mg and Capecitabine 2000 mg/m^2 | 68.2 |
[back to top]
Area Under the Plasma Concentration-time Curve From Zero to 24 Hours AUC0-24 of Lapatinib
PK samples were collected at pre-dose, and at 1, 2, 3, 4 (plus or minus 15 minutes), 6, 8, 10, 12, and 24 hr (plus or minus 30 minutes) after dosing. AUC is defined as the area under the concentration-time curve from 0 to 24 hour after dosing (AUC 0-24). AUC is a measure of exposure. (NCT00477464)
Timeframe: Week 2
Intervention | hr*ng/ml (Geometric Mean) |
---|
Lapatinib 1250 mg and Capecitabine 2000 mg/m^2 | 48063.990 |
[back to top]
Area Under the Plasma Concentration-time Curve Within the Dosing Interval AUC0-tau of Lapatinib
PK samples were collected at pre-dose, and at 1, 2, 3, 4 (plus or minus 15 minutes), 6, 8, 10, 12, and 24 hr (plus or minus 30 minutes) after dosing. AUC is defined as the area under the concentration-time curve from 0 to last quantifiable concentration (AUC 0-tau). AUC is a measure of exposure. (NCT00477464)
Timeframe: Week 2
Intervention | hr*ng/ml (Geometric Mean) |
---|
Lapatinib 1250 mg and Capecitabine 2000 mg/m^2 | 48153.776 |
[back to top]
Clinical Benefit Response (Independent Reviewer-assessed)
"CBR is defined as the percentage of participants receiving at least one dose of study medication who achieved a best overall response classified as a complete or partial (confirmed) tumor response or stable disease for at least 6 months (24 weeks). A complete response is defined as the disappearance of all target or non-target lesions, partial response and disease progression as at least a 30% decrease and at least a 20% increase, respectively, in the sum of the longest diameter of target lesions, and stable disease as neither partial response nor disease progression." (NCT00477464)
Timeframe: Baseline, every 6 weeks until Week 24 and then every 12 weeks until disease progression (up to Week 119)
Intervention | percentage of participants (Number) |
---|
Lapatinib 1250 mg and Capecitabine 2000 mg/m^2 | 59 |
[back to top]
Duration of Response (Independent Reviewer-assessed)
For the subset of participants who showed a complete or partial response, duration of response is defined as the time from the first documented evidence of partial or complete tumor response until the first documented sign of disease progression or death due to breast cancer, if sooner. (NCT00477464)
Timeframe: Baseline, every 6 weeks until Week 24 and then every 12 weeks until disease progression or death (up to Week 119)
Intervention | weeks (Median) |
---|
Lapatinib 1250 mg and Capecitabine 2000 mg/m^2 | 42.7 |
[back to top]
Maximum Plasma Concentration (Cmax) of Lapatinib
Pharmacokinetic (PK) samples were collected at pre-dose, and at 1, 2, 3, 4 (plus or minus 15 minutes), 6, 8, 10, 12, and 24 hours (hr) (plus or minus 30 minutes) after dosing. Cmax is defined as the maximum concentration of lapatinib. (NCT00477464)
Timeframe: Week 2
Intervention | nanograms/milliliter (ng/ml) (Geometric Mean) |
---|
Lapatinib 1250 mg and Capecitabine 2000 mg/m^2 | 3520.872 |
[back to top]
Objective Response (Independent Reviewer-assessed)
Objective response is defined as the percentage of participants achieving a best overall response classified as a complete or partial (confirmed) tumor response. Complete response is defined as the disappearance of all target or non-target lesions, and partial response is defined as at least a 30% decrease in the sum of the longest diameter of target lesions. (NCT00477464)
Timeframe: Baseline every 6 weeks until Week 24 and then every 12 weeks until disease progression or death (up to Week 119)
Intervention | percentage of participants (Number) |
---|
Lapatinib 1250 mg and Capecitabine 2000 mg/m^2 | 24 |
[back to top]
Overall Survival (Independent Reviewer-assessed)
Overall survival is defined as the time from the start of treatment until death regardless of cause. For participants who did not die, time to death was censored at the time of last confirmation of survival. (NCT00477464)
Timeframe: Baseline and then followed every 4 weeks until death (up to Week 157.9) while on treatment. After treatment termination, followed every 12 weeks until death (up to Week 157.9)
Intervention | weeks (Median) |
---|
Lapatinib 1250 mg and Capecitabine 2000 mg/m^2 | 78.6 |
[back to top]
Progression-free Survival (PFS) (Independent Reviewer-assessed)
PFS is defined as the interval between the start of treatment and the earliest date of disease progression or death of any cause, if sooner. (NCT00477464)
Timeframe: Baseline, every 6 weeks until Week 24 and then every 12 weeks until disease progression or death (up to Week 119)
Intervention | weeks (Median) |
---|
Lapatinib 1250 mg and Capecitabine 2000 mg/m^2 | 36.0 |
[back to top]
Terminal Elimination Half-life (t1/2) of Lapatinib
Terminal elimination half-life is defined as the duration until observation of half of the maximum concentration. PK samples were collected at pre-dose, and at 1, 2, 3, 4 (plus or minus 15 minutes), 6, 8, 10, 12, and 24 hr (plus or minus 30 minutes) after dosing. (NCT00477464)
Timeframe: Week 2
Intervention | hr (Geometric Mean) |
---|
Lapatinib 1250 mg and Capecitabine 2000 mg/m^2 | 11.948 |
[back to top]
Time to Maximum Plasma Concentration (Tmax) of Lapatinib
PK samples were collected at pre-dose, and at 1, 2, 3, 4 (plus or minus 15 minutes), 6, 8, 10, 12, and 24 hr (plus or minus 30 minutes) after dosing. Tmax is defined as the time to peak concentration from initiation of lapatinib dosing. (NCT00477464)
Timeframe: Week 2
Intervention | hr (Geometric Mean) |
---|
Lapatinib 1250 mg and Capecitabine 2000 mg/m^2 | 4.727 |
[back to top]
Time to Progression (Independent Reviewer-assessed)
Time to progression is defined as the interval between the start of treatment and the earliest date of disease progression or death due to breast cancer, if sooner. Time to progression was calculated by using the Kaplan Meier estimate. (NCT00477464)
Timeframe: Baseline, every 6 weeks until Week 24 and then every 12 weeks until disease progression or death due to breast cancer (up to Week 119)
Intervention | weeks (Median) |
---|
Lapatinib 1250 mg and Capecitabine 2000 mg/m^2 | 36.0 |
[back to top]
Time to Response (Independent Reviewer-assessed)
Time to response is defined as the time from the start of treatment until the first documented evidence of complete response or partial response. (NCT00477464)
Timeframe: Baseline, every 6 weeks until Week 24 and then every 12 weeks until disease progression or death (up to Week 119)
Intervention | weeks (Median) |
---|
Lapatinib 1250 mg and Capecitabine 2000 mg/m^2 | 6.9 |
[back to top]
Area Under the Plasma Concentration-time Curve From Zero to 12 Hours (AUC0-12) of Capecitabine, 5'-Fluorouracil (5-FU), and Alpha-fluoro-beta-alanine (FBAL)
PK samples were collected at pre-dose, and at 0.5 (plus or minus 5 minutes), 1, 2, 3, 4 (plus or minus 15 minutes), 6, 8, and 10 hr (plus or minus 30 minutes) after dosing. AUC is defined as the area under the concentration-time curve from 0 to 12 hours after dosing (AUC 0-12). 5-FU and FBAL were evaluated because of the following reasons: (1) capecitabine is an orally administered fluoropyrimidine carbamate selectively activated to fluorouracil (5-FU) in tumors; (2) FBAL is an inactive major metabolite of capecitabine, and metabolites of capecitabine are excreted mainly in urine. (NCT00477464)
Timeframe: Week 2
Intervention | hr*ng/ml (Geometric Mean) |
---|
| Capecitabine | 5-FU | FBAL |
---|
Lapatinib 1250 mg and Capecitabine 2000 mg/m^2 | 3999.383 | 544.318 | 30478.416 |
[back to top]
AUC0-tau of Capecitabine, 5'-Fluorouracil (5-FU), and Alpha-fluoro-beta-alanine (FBAL)
PK samples were collected at pre-dose, and at 0.5 (plus or minus 5 minutes), 1, 2, 3, 4 (plus or minus 15 minutes), 6, 8, and 10 hr (plus or minus 30 minutes) after dosing. AUC is defined as the area under the concentration-time curve from 0 to last quantifiable concentration (AUC 0-tau). 5-FU and FBAL were evaluated because of the following reasons: (1) capecitabine is an orally administered fluoropyrimidine carbamate selectively activated to fluorouracil (5-FU) in tumors; (2) FBAL is an inactive major metabolite of capecitabine, and metabolites of capecitabine are excreted mainly in urine. (NCT00477464)
Timeframe: Week 2
Intervention | hr*ng/ml (Geometric Mean) |
---|
| Capecitabine | 5-FU | FBAL |
---|
Lapatinib 1250 mg and Capecitabine 2000 mg/m^2 | 3997.313 | 514.670 | 29035.744 |
[back to top]
Cmax of Capecitabine, 5'-Fluorouracil (5-FU), and Alpha-fluoro-beta-alanine (FBAL)
PK samples were collected at pre-dose, and at 0.5 (plus or minus 5 minutes), 1, 2, 3, 4 (plus or minus 15 minutes), 6, 8, and 10 hr (plus or minus 30 minutes) after dosing. Cmax is defined as the maximum concentration of drug. 5-FU and FBAL were evaluated because of the following reasons: (1) capecitabine is an orally administered fluoropyrimidine carbamate selectively activated to fluorouracil (5-FU) in tumors; (2) FBAL is an inactive major metabolite of capecitabine, and metabolites of capecitabine are excreted mainly in urine. (NCT00477464)
Timeframe: Week 2
Intervention | ng/ml (Geometric Mean) |
---|
| Capecitabine | 5-FU | FBAL |
---|
Lapatinib 1250 mg and Capecitabine 2000 mg/m^2 | 2698.033 | 282.967 | 5771.578 |
[back to top]
t1/2 of Capecitabine, 5'-Fluorouracil (5-FU), and Alpha-fluoro-beta-alanine (FBAL)
Terminal elimination half-life is defined as the duration until observation of half of the maximum concentration. PK samples were collected at pre-dose, and at 0.5 (plus or minus 5 minutes), 1, 2, 3, 4 (plus or minus 15 minutes), 6, 8, and 10 hr (plus or minus 30 minutes) after dosing. 5-FU and FBAL were evaluated because of the following reasons: (1) capecitabine is an orally administered fluoropyrimidine carbamate selectively activated to fluorouracil (5-FU) in tumors; (2) FBAL is an inactive major metabolite of capecitabine, and metabolites of capecitabine are excreted mainly in urine. (NCT00477464)
Timeframe: Week 2
Intervention | hr (Geometric Mean) |
---|
| Capecitabine | 5-FU | FBAL |
---|
Lapatinib 1250 mg and Capecitabine 2000 mg/m^2 | 0.865 | 0.838 | 2.437 |
[back to top]
Tmax of Capecitabine, 5'-Fluorouracil (5-FU), and Alpha-fluoro-beta-alanine (FBAL)
PK samples were collected at pre-dose, and at 0.5 (plus or minus 5 minutes), 1, 2, 3, 4 (plus or minus 15 minutes), 6, 8, and 10 hr (plus or minus 30 minutes) after dosing. Tmax is defined as the time to peak concentration from initiation of dosing. 5-FU and FBAL were evaluated because of the following reasons: (1) capecitabine is an orally administered fluoropyrimidine carbamate selectively activated to fluorouracil (5-FU) in tumors; (2) FBAL is an inactive major metabolite of capecitabine, and metabolites of capecitabine are excreted mainly in urine. (NCT00477464)
Timeframe: Week 2
Intervention | hr (Geometric Mean) |
---|
| Capecitabine | 5-FU | FBAL |
---|
Lapatinib 1250 mg and Capecitabine 2000 mg/m^2 | 1.305 | 1.305 | 2.899 |
[back to top]
Trough Concentration of Capecitabine, 5-FU, and FBAL
PK samples were collected at pre-dose on Day 14 (minus 2 days). Trough concentration is defined as the minimum serum concentration at steady state after a repeated dose. 5-FU and FBAL were evaluated because of the following reasons: (1) capecitabine is an orally administered fluoropyrimidine carbamate selectively activated to fluorouracil (5-FU) in tumors; (2) FBAL is an inactive major metabolite of capecitabine, and metabolites of capecitabine are excreted mainly in urine. (NCT00477464)
Timeframe: Week 2
Intervention | ng/ml (Mean) |
---|
| Capecitabine | 5-FU | FBAL |
---|
Lapatinib 1250 mg and Capecitabine 2000 mg/m^2 | NA | NA | 668.73 |
[back to top]
Overall Tumor Response
Overall tumor response is defined as the percentage of participants with a confirmed complete or partial tumor response per Response Evaluation Criteria in Solid Tumors (RECIST). Complete response (CR) is defined as the disappearance of all target lesions. CR could only be declared if all target and non-target lesions had disappeared. Partial response (PR) is defined as a decrease of 30% or greater in the sum of the longest diameter of target lesions. (NCT00479856)
Timeframe: from start of treatment and every 6 weeks (wks) until Wk 12, then every 12 wks thereafter through the end of treatment (~95 wks; dependent on when participant discontinued study therapy due to disease progression, death, adverse event, of other reason)
Intervention | percentage of participants (Number) |
---|
Lapatinib + Chemotherapy | 33.3 |
[back to top]
Time to Progression
Time to progression will be calculated from the time of enrollment until confirmed disease progression. Defined by RECIST (Response Evaluation Criteria in Solid Tumors), Progressive Disease (PD) - at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of one or more new lesions. (NCT00483405)
Timeframe: Median 23 month follow-up
Intervention | months (Median) |
---|
Single Arm Trial | 4.5 |
[back to top]
Disease Response Rate
"Radiographic response will be measured every six weeks while subject is on treatment. Response will be measured using RECIST criteria.~Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions." (NCT00483405)
Timeframe: 42 days (2 cycles)
Intervention | percentage of participants with response (Number) |
---|
Single Arm Trial | 12.5 |
[back to top]
Number of Subjects Experiencing Adverse Events
Adverse events will be assessed using CTCAE criteria. (NCT00483405)
Timeframe: every 3 weeks of treatment with an average of 15 weeks on treatment
Intervention | Participants (Count of Participants) |
---|
Single Arm Trial | 29 |
[back to top]
Overall Survival
Overall survival will be calculated from time of enrollment to death or last contact date. (NCT00483405)
Timeframe: Median 23 month follow-up
Intervention | months (Median) |
---|
Single Arm Trial | 4.4 |
[back to top]
Duration of Follow-up
Duration of follow-up is defined as the time in days from randomization until disease progression or death, or time to censoring for overall survival. (NCT00484939)
Timeframe: Baseline to the end of the study (up to 5 years 8 months)
Intervention | Days (Mean) |
---|
Bevacizumab + Capecitabine | 540.5 |
Capecitabine | 479.2 |
[back to top]
Duration of Response
Duration of response was defined as the time in months from the first confirmed complete response (CR) or partial response (PR) until disease progression or death from any cause, whichever occurred first. CR was defined as the disappearance of all target (TL) and non-target lesions (non-TL). PR was defined as ≥ 30% decrease in the sum of the longest diameter (SLD) of TLs, taking as reference the baseline SLD, or the persistence of 1 or more non-TLs. (NCT00484939)
Timeframe: Baseline to the end of the study (up to 5 years 8 months)
Intervention | Months (Median) |
---|
Bevacizumab + Capecitabine | 9.7 |
Capecitabine | 9.4 |
[back to top]
Time to Response
Time to response was defined as the time in months from the date of first study treatment to the date of the first documentation of complete response (CR) or partial response (PR), whichever occurred first. CR was defined as the disappearance of all target (TL) and non-target lesions (non-TL). PR was defined as ≥ 30% decrease in the sum of the longest diameter (SLD) of TLs, taking as reference the baseline SLD, or the persistence of 1 or more non-TLs. Participants who did not have a confirmed response were censored at the date of the last evaluable tumor assessment, or if that was unavailable, at the date of the first dose of study medication. (NCT00484939)
Timeframe: Baseline to the end of the study (up to 5 years 8 months)
Intervention | Months (Median) |
---|
Bevacizumab + Capecitabine | NA |
Capecitabine | NA |
[back to top]
Progression-free Survival
Progression-free survival was defined as the time in months from the date of randomization to the date of disease progression or death from any cause, whichever occurred first. All measurable lesions (maximum of 5 per organ and 10 in total, those with the longest diameter and suitability for accurate repeated measurements) were identified as target lesions (TL). A sum of the longest diameter for all TLs was calculated and reported as the baseline sum longest diameter (SLD). All other lesions were identified as non-TLs and recorded at baseline. PD was defined as ≥ 20% increase in the sum of the longest diameter of TLs, taking as reference the smallest SLD recorded since treatment started, the unequivocal progression of existing non-TLs, or the appearance of 1 or more new lesions. (NCT00484939)
Timeframe: Baseline to the end of the study (up to 5 years 8 months)
Intervention | Months (Median) |
---|
Bevacizumab + Capecitabine | 9.1 |
Capecitabine | 5.1 |
[back to top]
Percentage of Participants Requiring Additional Treatment for Malignancy
Reported is the percentage of participants requiring additional treatment for malignancy in the survival follow-up period. (NCT00484939)
Timeframe: Baseline to the end of the study (up to 5 years 8 months)
Intervention | Percentage of participants (Number) |
---|
Bevacizumab + Capecitabine | 50.7 |
Capecitabine | 49.3 |
[back to top]
Overall Survival
Overall survival was defined as the time in months from randomization to death from any cause. (NCT00484939)
Timeframe: Baseline to the end of the study (up to 5 years 8 months)
Intervention | Months (Median) |
---|
Bevacizumab + Capecitabine | 20.7 |
Capecitabine | 17.0 |
[back to top]
Best Overall Response (BOR)
BOR was defined as the best response (complete response [CR], partial response [PR], stable disease [SD], progressive disease [PD], not evaluable [NE], or not assessed [NA]) recorded from the start of study treatment until disease progression (PD) or death. CR was defined as the disappearance of all target (TL) and non-target lesions (non-TL). PR was defined as ≥ 30% decrease in the sum of the longest diameter (SLD) of TLs, taking as reference the baseline SLD, or the persistence of 1 or more non-TLs. For TLs, SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest SLD since treatment started. For non-TLs, SD was defined as the persistence of 1 or more lesions. PD was defined as ≥ 20% increase in the sum of the longest diameter of TLs, taking as reference the smallest SLD recorded since treatment started, the unequivocal progression of existing non-TLs, or the appearance of 1 or more new lesions. (NCT00484939)
Timeframe: Baseline to the end of the study (up to 5 years 8 months)
,
Intervention | Percentage of participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Not assessed |
---|
Bevacizumab + Capecitabine | 2.9 | 17.1 | 54.3 | 10.0 | 15.7 |
Capecitabine | 1.4 | 8.6 | 48.6 | 21.4 | 20.0 |
[back to top]
[back to top]
Progression Free Survival
(NCT00493636)
Timeframe: From the date of randomization to date of first documented disease progression (i.e., the date on which a radiologic procedure or clinical evaluation was performed) or the date of death due to any cause, if before progression, assessed up to 39 months.
Intervention | Days (Median) |
---|
A (Sorafenib + Gemcitabine or Capecitabine) | 103 |
B (Placebo + Gemcitabine or Capecitabine) | 81 |
[back to top]
Overall Survival
(NCT00493636)
Timeframe: From the date of randomization to date of death due to any cause, assessed up to 56 months.
Intervention | Days (Median) |
---|
A (Sorafenib + Gemcitabine or Capecitabine) | 407 |
B (Placebo + Gemcitabine or Capecitabine) | 348 |
[back to top]
Overall Response Rate
Overall response rate was defined as the proportion of participants experiencing complete response (CR) and partial response (PR) as best overall response. Response was evaluated via changes from baseline in radiological tumor measurements using RECIST version 1.0 guidelines, where complete response (CR) is the disappearance of all target lesions; partial response (PR) is >=30% decrease in the sum of the longest diameter (LD) of target lesions; Stable Disease (SD) is neither sufficient shrinkage in sum of LD of target lesions to be PR nor increase of >=20%; Progressive Disease (PD) is the increase in existing lesions or new lesions. (NCT00493636)
Timeframe: The overall tumor burden at baseline will be compared with subsequent measurements up to the date of first documented disease progression or the date of death due to any cause, if before progression, assessed up to 39 months.
Intervention | percentage of participants (Number) |
---|
A (Sorafenib + Gemcitabine or Capecitabine) | 19.8 |
B (Placebo + Gemcitabine or Capecitabine) | 12.7 |
[back to top]
Duration of Overall Response
Duration of overall response was calculated as the time (days) from first documentation of CR or PR (whichever status is recorded first) until the first date that recurrent or progressive disease (PD) or death is objectively documented. Response was evaluated via changes from baseline in radiological tumor measurements using RECIST version 1.0 guidelines, where complete response (CR) is the disappearance of all target lesions; partial response (PR) is >=30% decrease in the sum of the longest diameter (LD) of target lesions; Stable Disease (SD) is neither sufficient shrinkage in sum of LD of target lesions to be PR nor increase of >=20%; Progressive Disease (PD) is the increase in existing lesions or new lesions. (NCT00493636)
Timeframe: Period measured from the first documentation of complete or partial response (whichever status is recorded first) until the first date that recurrent or progressive disease or death is objectively documented.
Intervention | Days (Median) |
---|
A (Sorafenib + Gemcitabine or Capecitabine) | 94 |
B (Placebo + Gemcitabine or Capecitabine) | 147 |
[back to top]
Time to Progression
(NCT00493636)
Timeframe: Calculated as the time (days) from date of randomization to date of first observed disease progression (radiological or clinical, whichever is earlier), assessed up to 39 months.
Intervention | Days (Median) |
---|
A (Sorafenib + Gemcitabine or Capecitabine) | 111 |
B (Placebo + Gemcitabine or Capecitabine) | 82 |
[back to top]
-Determine the Clinical Benefit Rate (Complete Response, Partial Response, or Stable Disease for at Least 6 Months) of Capecitabine and Lapatinib. -Determine Time to Disease Progression After Treatment With Capecitabine and Lapatinib. -Evaluate Overall
(NCT00496366)
Timeframe: 2 years
Intervention | () |
---|
Capecitabine (Xeloda) + Lapatinib (Tykerb) | 0 |
[back to top]
[back to top]
Time to Treatment Failure (TTF)
Time to treatment failure, TTF, with failure defined as death or disease progression where progression is defined per RECIST criteria as an increase in disease of 20% or more in the sum of longest tumor diameters compared to baseline. (NCT00496587)
Timeframe: 12 months or until progression of disease
Intervention | Months (Median) |
---|
Capecitabine + Gemcitabine + Bevacizumab | 4.2 |
[back to top]
Objective Response Rate (ORR)
Objective response defined as Complete Response + Partial Response, with response recorded from the start of treatment until disease progression/recurrence (taking as reference for progressive disease the smallest measurements recorded since the treatment started). Complete Response: The disappearance of all target lesions. Partial Response: >30% decrease in the sum of the longest diameter of target lesions, reference baseline sum longest diameter. Progressive Disease: At least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started, or the appearance of one or more new lesions. Stable Disease: Neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease, reference smallest sum longest diameter since the treatment started. (NCT00496587)
Timeframe: 12 months or until progression of disease
Intervention | percentage of participants (Number) |
---|
Capecitabine + Gemcitabine + Bevacizumab | 20 |
[back to top]
Progression Free Survival (PFS)
Event or disease-free survival given as progression free survival (PFS) which was defined as the length of time after primary treatment that the participant survives without disease progression. Evaluation of response will follow the Response Evaluation Criteria in Solid Tumors (RECIST) where progression is defined per RECIST criteria as an increase in disease of 20% or more in the sum of longest tumor diameters compared to baseline. (NCT00496587)
Timeframe: 12 months or until progression of disease
Intervention | Months (Median) |
---|
Capecitabine + Gemcitabine + Bevacizumab | 5.5 |
[back to top]
Percentage of Participants With an Adverse Event (AE), Serious AE, or Death Due to an AE
The postmarketing safety profile of capecitabine was evaluated by collection of AEs, clinical laboratory data, vital signs, and other findings from physical examination. Abnormalities in these findings were captured as AEs, defined as any untoward medical occurrence in a study participant regardless of the suspected cause. Serious AEs were those which, at any dose, met one or more of the following criteria: resulted in fatality, were life-threatening, necessitated new or prolonged existing hospitalization, produced persistent or significant disability, resulted in congenital anomaly or birth defect, were considered medically significant, or required intervention to prevent any of the aforementioned outcomes. Those specific serious AEs which resulted in fatality were also reported separately. The percentage of participants with an AE, serious AE, or AE resulting in death was calculated as [number of participants with event divided by number analyzed] multiplied by 100. (NCT00502671)
Timeframe: Up to 25 weeks (from Baseline to the end of safety follow-up)
Intervention | percentage of participants (Number) |
---|
| Any AE | Serious AE | Death due to an AE |
---|
Capecitabine | 56.1 | 6.1 | 0.4 |
[back to top]
Percentage of Participants With Early Withdrawal or Discontinuation Due to an AE
The postmarketing safety profile of capecitabine was evaluated by collection of AEs, clinical laboratory data, vital signs, and other findings from physical examination. Abnormalities in these findings were captured as AEs, defined as any untoward medical occurrence in a study participant regardless of the suspected cause. The percentage of participants with early withdrawal or treatment discontinuation due to an AE was calculated as [number of participants with event divided by number analyzed] multiplied by 100. (NCT00502671)
Timeframe: Up to 25 weeks (from Baseline to the end of safety follow-up)
Intervention | percentage of participants (Number) |
---|
| Early withdrawal due to an AE | Discontinuation due to an AE |
---|
Capecitabine | 8.3 | 10.1 |
[back to top]
6 Month Progression-free Survival for Participants With Glioblastoma
Progression-free Survival (PFS) at 6 months measured as percentage of participants that are alive and progression-free at 6 months (glioblastoma multiforme). A combination of neurological examination and MRI brain scan used to define overall response or progression. (NCT00504660)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Participants With Glioblastoma Multiforme | 14 |
[back to top]
12 Month-progression-free Survival for Participants With Anaplastic Tumors
Progression-free Survival (PFS) at 12 months measured as percentage of participants that are alive and progression-free at 12 months (anaplastic tumors). A combination of neurological examination and MRI brain scan used to define overall response or progression. (NCT00504660)
Timeframe: 12 months
Intervention | percentage of participants (Number) |
---|
Participants With Recurrent Anaplastic Glioma | 44 |
[back to top]
Number of Participants With Central Nervous System (CNS) as First Site of Relapse
Number of participants who had Central Nervous System metastasis as the first site of relapse. CT, Magnetic Resonance Imaging, etc. were used for the assessment. (NCT00508274)
Timeframe: Baseline; every 6 weeks for the first 36 weeks and then every 12 weeks until disease progression. The maximum time participants were followed was 90 months
Intervention | participants (Number) |
---|
| Participants with any site of relapse | Participants with CNS disease as first site of relapse |
---|
Lapatinib + Capecitabine | 17 | 2 |
[back to top]
All Collected Deaths
On treatment deaths were collected from the start of treatment up to 30 days after study drug discontinuation, for a maximum duration of 4276 days (treatment duration ranged from 13 - 4246 days) for Lapatinib and 3384 days (treatment duration ranged form 8 - 3354 days) for Capecitabine. Total deaths was collected from study start to study end (LPLV). (NCT00508274)
Timeframe: up to 4276 days for Lapatinib/up to 3384 days for Capecitabine (on-treatment), approx. 12 years (all collected deaths)
Intervention | Participants (Count of Participants) |
---|
| Total Deaths | On-treatment Deaths |
---|
Lapatinib + Capecitabine | 11 | 2 |
[back to top]
Time to Response (TTR)
Time to response is defined as the time from first dose date until first documentation of disease response. TTR only applied to participants for whom best overall response was complete response (CR), partial response (PR) or stable disease (SD). Participants who had not had a partial response, complete response or stable disease at the cut-off date for this endpoint analysis were censored for time to response. (NCT00508274)
Timeframe: Baseline; every 6 weeks for the first 36 weeks and then every 12 weeks until disease progression. The maximum time participants were followed was approx. 14.78 months
Intervention | Months (Median) |
---|
Lapatinib + Capecitabine | 4.07 |
[back to top]
Six Months Progression-Free Survival
Six Months Progression-Free Survival is defined as the percentage of surviving participants who are progression-free longer than six months (greather than 180 days) after the first start date of study treatment. (NCT00508274)
Timeframe: at Baseline and every 6 weeks for the first 36 weeks and then every 12 weeks until disease progression. The maximum time participants were followed up to 90.38 months, with 6 months PFS reported.
Intervention | Percentage of participants (Number) |
---|
Lapatinib + Capecitabine | 53.55 |
[back to top]
Progression-Free Survival (PFS)
PFS is defined as the time from first dose date until the date of disease progression or death due to any reason, whichever occurs first. (NCT00508274)
Timeframe: Baseline; every 6 weeks for the first 36 weeks and then every 12 weeks until disease progression. The maximum time participants were followed was 90.38 months.
Intervention | Months (Median) |
---|
Lapatinib + Capecitabine | 6.34 |
[back to top]
Duration of Response (DOR)
Duration of response (complete response, partial response or stable disease) is defined as the time of first documentation of disease response until the date of disease progression or death due to breast cancer, whichever occurs first. DOR only applied to participants for whom best overall response was complete response (CR), partial response (PR) or stable disease (SD). Participants who had not had a partial response, complete response or stable disease at the cut-off date for this endpoint analysis were censored for duration of response. (NCT00508274)
Timeframe: Baseline; every 6 weeks for the first 36 weeks and then every 12 weeks until disease progression. The maximum time participants were followed was 88.80 months.
Intervention | Months (Median) |
---|
Lapatinib + Capecitabine | 8.18 |
[back to top]
Clinical Benefit Rate (CBR)
"CBR is defined by the percentage of participants achieving either a confirmed tumor response of complete response (CR) or partial response (PR) or stable disease (SD) for at least 24 weeks. Response Criteria in Solid Tumors (RECIST) is a system for measuring tumor shrinkage or progression in terms of the longest dimensions of the tumor on imaging scans such as computerized tomography (CT). A partial response requires a decrease of 30% or more, complete response requires all target lesions disappear, Progression requires an increase of at least 20%, and Stable disease falls in between these two. All responses have a repeat assessment to confirm the response." (NCT00508274)
Timeframe: Baseline; every 6 weeks for the first 36 weeks and then every 12 weeks until disease progression. The maximum time participants were followed was approx. 90 months
Intervention | Percentage of participants (Number) |
---|
Lapatinib + Capecitabine | 57.7 |
[back to top]
Progression-free Survival
Progression is defined as a measurable increase in the sum of longest diameters of all target lesions, or unequivocable progression of non-target lesions, or the appearance of new lesions, since baseline (NCT00523640)
Timeframe: 60 months
Intervention | months (Median) |
---|
Combination of Gemcitabine, Capecitabine, and Bevacizumab | 5.3 |
[back to top]
Overall Survival
Time from enrollment until death from any cause. (NCT00523640)
Timeframe: 60 months
Intervention | months (Median) |
---|
Combination of Gemcitabine, Capecitabine, and Bevacizumab | 9.8 |
[back to top]
Objective Response Rate
Per RECIST Criteria (V1.0) using standard cross-sectional CT scanning: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Response (R)= CR + PR. (NCT00523640)
Timeframe: 12 weeks
Intervention | proportion (Number) |
---|
Combination of Gemcitabine, Capecitabine, and Bevacizumab | 0.24 |
[back to top]
PFS
PFS is defined as the time from the initial treatment until the first observation of disease progression or death due to any cause. The date of documented disease progression was defined as the earliest date of radiographic disease assessment progression or symptomatic progression, whichever came first. For participants who did not die/progress, survival was censored at the time of the last assessment (or contact). (NCT00526669)
Timeframe: From Baseline (Day 0) until disease progression or death due to any cause (up to approximately 85 weeks)
Intervention | weeks (Median) |
---|
Lapatinib + Capecitabine | 14.3 |
[back to top]
Response Rate (Measured as the Percentage of Participants With Response [Complete Response or Partial Response])
Response is defined as documented evidence of complete response (CR) or partial response (PR). The investigator evaluated response based on Response Evaluation Criteria in Solid Tumors (RECIST) criteria. Complete response is defined as the disappearance of all target lesions (TLs) and non-TLs and the appearance of no new lesions (NLs). Partial response for TLs is defined as >= a 30% decrease in the sum of the longest diameter (LD) of TLs, taking as a reference the Baseline sum LD. For non-TLs it is defined as the persistence of 1 or more non-TL and no new TLs or non-TLs. (NCT00526669)
Timeframe: From Baseline (Day 0) until disease progression or death due to any cause evaluated every 6 or 12 weeks (up to approximately 85 weeks)
Intervention | percentage of participants (Number) |
---|
Lapatinib + Capecitabine | 17.9 |
[back to top]
Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Creatinine at the Indicated Time Points
Blood samples were collected for the evaluation of creatinine. Toxicity was measured in grades (AE severity) per NCI CTCAE, v3.0, displaying Grades (G) 1-5 with unique clinical descriptions of the severity of each AE. For creatinine: G 1 (>ULN to 1.5x ULN), mild; G 2 (>1.5 to 3.0x ULN), moderate; G 3 (>3.0 to 6.0x ULN), severe; G 4 (>6.0x ULN), life threatening/disabling; G 5 (death), death related to AE. Worst-case on-therapy reflects the most severe change at any time point measured post treatment. (NCT00526669)
Timeframe: Baseline (Day 0); Weeks 1, 2, 3, 6, 9, 12, 15, 18, 21, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, and 84; withdrawal (WD)/study conclusion (up to approximately 87 weeks); and worst-case on-therapy
Intervention | participants (Number) |
---|
| Week 1, AGI; n=54 | Week 2, AGI; n=56 | Week 3, AGI; n=61 | Week 6, AGI; n=47 | Week 9, AGI; n=40 | Week 12, AGI; n=31 | Week 15, AGI; n=22 | Week 18, AGI; n=17 | Week 21, AGI; n=14 | Week 24, AGI; n=11 | Week 30, AGI; n=9 | Week 36, AGI; n=5 | Week 42, AGI; n=4 | Week 48, AGI; n=3 | Week 54, AGI; n=3 | Week 60, AGI; n=2 | Week 66, AGI; n=1 | Week 72, AGI; n=1 | Week 78, AGI; n=1 | Week 84 AGI; n=1 | WD/study conclusion, AGI; n=50 | Worst-case on-therapy, AGI; n=65 | Week 1, ItoG3; n=54 | Week 2, ItoG3; n=56 | Week 3, ItoG3; n=61 | Week 6, ItoG3; n=47 | Week 9, ItoG3; n=40 | Week 12, ItoG3; n=31 | Week 15, ItoG3; n=22 | Week 18, ItoG3; n=17 | Week 21, ItoG3; n=14 | Week 24, ItoG3; n=11 | Week 30, ItoG3; n=9 | Week 36, ItoG3; n=5 | Week 42, ItoG3; n=4 | Week 48, ItoG3; n=3 | Week 54, ItoG3; n=3 | Week 60, ItoG3; n=2 | Week 66, ItoG3; n=1 | Week 72, ItoG3; n=1 | Week 78, ItoG3; n=1 | Week 84, ItoG3; n=1 | WD/study conclusion, ItoG3; n=50 | Worst-case on-therapy, ItoG3; n=65 | Week 1, ItoG4; n=54 | Week 2, ItoG4; n=56 | Week 3, ItoG4; n=61 | Week 6, ItoG4; n=47 | Week 9, ItoG4; n=40 | Week 12, ItoG4; n=31 | Week 15, ItoG4; n=22 | Week 18, ItoG4; n=17 | Week 21, ItoG4; n=14 | Week 24, ItoG4; n=11 | Week 30, ItoG4; n=9 | Week 36, ItoG4; n=5 | Week 42, ItoG4; n=4 | Week 48, ItoG4; n=3 | Week 54, ItoG4; n=3 | Week 60, ItoG4; n=2 | Week 66, ItoG4; n=1 | Week 72, ItoG4; n=1 | Week 78, ItoG4; n=1 | Week 84, ItoG4; n=1 | WD/study conclusion, ItoG4; n=50 | Worst-case on-therapy, ItoG4; n=65 |
---|
Lapatinib + Capecitabine | 2 | 1 | 1 | 1 | 0 | 1 | 0 | 2 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3 | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
[back to top]
Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Potassium at the Indicated Time Points
Toxicity was measured in grades (AE severity) per NCI CTCAE, v3.0, displaying Grades (G) 1-5 with unique clinical descriptions of the severity of each AE. For potassium (high and low [per blood samples], respectively): G 1 (>ULN to 5.5 millimoles per liter [mmol/L]; 5.5 to 6.0 mmol/L; value not available), moderate; G 3 (>6.0 to 7.0 mmol/L; <3.0 to 2.5 mmol/L), severe; G 4 (>7.0 mmol/L; <2.5 mmol/L), life threatening/disabling; G 5 (death), death related to AE. Worst-case on-therapy reflects the most severe change at any time point measured post treatment. (NCT00526669)
Timeframe: Baseline (Day 0); Weeks 1, 2, 3, 6, 9, 12, 15, 18, 21, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, and 84; withdrawal (WD)/study conclusion (up to approximately 87 weeks); and worst-case on-therapy
Intervention | participants (Number) |
---|
| Week 1, AGI; n=54 | Week 2, AGI; n=54 | Week 3, AGI; n=59 | Week 6, AGI; n=46 | Week 9, AGI; n=41 | Week 12, AGI; n=31 | Week 15, AGI; n=22 | Week 18, AGI; n=17 | Week 21, AGI; n=13 | Week 24, AGI; n=11 | Week 30, AGI; n=9 | Week 36, AGI; n=5 | Week 42, AGI; n=4 | Week 48, AGI; n=3 | Week 54, AGI; n=3 | Week 60, AGI; n=2 | Week 66, AGI; n=1 | Week 72, AGI; n=1 | Week 78, AGI; n=1 | Week 84, AGI; n=1 | WD/study conclusion, AGI; n=48 | Worst-case on-therapy, AGI; n=65 | Week 1, ItoG3; n=54 | Week 2, ItoG3; n=54 | Week 3, ItoG3; n=59 | Week 6, ItoG3; n=46 | Week 9, ItoG3; n=41 | Week 12, ItoG3; n=31 | Week 15, ItoG3; n=22 | Week 18, ItoG3; n=17 | Week 21, ItoG3; n=13 | Week 24, ItoG3; n=11 | Week 30, ItoG3; n=9 | Week 36, ItoG3; n=5 | Week 42, ItoG3; n=4 | Week 48, ItoG3; n=3 | Week 54, ItoG3; n=3 | Week 60, ItoG3; n=2 | Week 66, ItoG3; n=1 | Week 72, ItoG3; n=1 | Week 78, ItoG3; n=1 | Week 84, ItoG3; n=1 | WD/study conclusion, ItoG3; n=48 | Worst-case on-therapy, ItoG3; n=65 | Week 1, ItoG4; n=54 | Week 2, ItoG4; n=54 | Week 3, ItoG4; n=59 | Week 6, ItoG4; n=46 | Week 9, ItoG4; n=41 | Week 12, ItoG4; n=31 | Week 15, ItoG4; n=22 | Week 18, ItoG4; n=17 | Week 21, ItoG4; n=13 | Week 24, ItoG4; n=11 | Week 30, ItoG4; n=9 | Week 36, ItoG4; n=5 | Week 42, ItoG4; n=4 | Week 48, ItoG4; n=3 | Week 54, ItoG4; n=3 | Week 60, ItoG4; n=2 | Week 66, ItoG4; n=1 | Week 72, ItoG4; n=1 | Week 78, ItoG4; n=1 | Week 84, ItoG4; n=1 | WD/study conclusion, ItoG4; n=48 | Worst-case on-therapy, ItoG4; n=65 |
---|
Lapatinib + Capecitabine | 9 | 3 | 5 | 3 | 4 | 4 | 1 | 2 | 1 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7 | 25 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 5 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
[back to top]
Number of Participants With Change From Baseline (Measured as Any Grade Increase [AGI], Increase to Grade 3 [ItoG3], and Increase to Grade 4 [ItoG4]) in Toxicity Grades for Albumin at the Indicated Time Points
Toxicity was measured in grades (AE severity) per National Cancer Institute Common Toxicity Criteria for Adverse Event (NCI CTCAE) version (v) 3.0, displaying Grades (G) 1-5 with unique clinical descriptions of the severity of each AE. For albumin (per blood samples): G 1 (NCT00526669)
Timeframe: Baseline (Day 0); Weeks 1, 2, 3, 6, 9, 12, 15, 18, 21, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, and 84; withdrawal (WD)/study conclusion (up to approximately 87 weeks); and worst-case on-therapy
Intervention | participants (Number) |
---|
| Week 1, AGI; n=54 | Week 2, AGI; n=57 | Week 3, AGI; n=61 | Week 6, AGI; n=47 | Week 9, AGI; n=41 | Week 12, AGI; n=31 | Week 15, AGI; n=22 | Week 18, AGI; n=17 | Week 21, AGI; n=14 | Week 24, AGI; n=11 | Week 30, AGI; n=9 | Week 36, AGI; n=5 | Week 42, AGI; n=4 | Week 48, AGI; n=3 | Week 54, AGI; n=3 | Week 60, AGI; n=2 | Week 66, AGI; n=1 | Week 72, AGI; n=1 | Week 78, AGI; n=1 | Week 84, AGI; n=1 | Withdrawal /study conclusion, AGI; n=50 | Worst-case on-therapy, AGI; n=65 | Week 1, ItoG3; n=54 | Week 2, ItoG3; n=57 | Week 3, ItoG3; n=61 | Week 6, ItoG3; n=47 | Week 9, ItoG3; n=41 | Week 12, ItoG3; n=31 | Week 15, ItoG3; n=22 | Week 18, ItoG3; n=17 | Week 21, ItoG3; n=14 | Week 24, ItoG3; n=11 | Week 30, ItoG3; n=9 | Week 36, ItoG3; n=5 | Week 42, ItoG3; n=4 | Week 48, ItoG3; n=3 | Week 54, ItoG3; n=3 | Week 60, ItoG3; n=2 | Week 66, ItoG3; n=1 | Week 72, ItoG3; n=1 | Week 78, ItoG3; n=1 | Week 84, ItoG3; n=1 | WD/study conclusion, ItoG3; n=50 | Worst-case on-therapy, ItoG3; n=65 | Week 1, ItoG4; n=54 | Week 2, ItoG4; n=57 | Week 3, ItoG4; n=61 | Week 6, ItoG4; n=47 | Week 9, ItoG4; n=41 | Week 12, ItoG4; n=31 | Week 15, ItoG4; n=22 | Week 18, ItoG4; n=17 | Week 21, ItoG4; n=14 | Week 24, ItoG4; n=11 | Week 30, ItoG4; n=9 | Week 36, ItoG4; n=5 | Week 42, ItoG4; n=4 | Week 48, ItoG4; n=3 | Week 54, ItoG4; n=3 | Week 60, ItoG4; n=2 | Week 66, ItoG4; n=1 | Week 72, ItoG4; n=1 | Week 78, ItoG4; n=1 | Week 84, ItoG4; n=1 | WD/study conclusion, ItoG4; n=50 | Worst-case on-therapy ItoG4; n=65 |
---|
Lapatinib + Capecitabine | 10 | 9 | 10 | 4 | 2 | 4 | 3 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 11 | 29 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
[back to top]
Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Lymphocytes at the Indicated Time Points
Blood samples were collected for the evaluation of lymphocytes. Toxicity was measured in grades (AE severity) per NCI CTCAE, v3.0, displaying Grades (G) 1-5 with unique clinical descriptions of the severity of each AE. For lymphocytes: G 1, mild; G 2, moderate; G 3, severe; G 4, life threatening/disabling; G 5, death related to AE; ranges were provided by local laboratories. Change from Baseline was measured as any grade increase (AGI), increase to G 3 (ItoG3), and increase to G 4 (ItoG4). Worst-case on-therapy reflects the most severe change at any time point measured post treatment. (NCT00526669)
Timeframe: Baseline (Day 0); Weeks 1, 2, 3, 6, 9, 12, 15, 18, 21, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, and 84; withdrawal (WD)/study conclusion (up to approximately 87 weeks); and worst-case on-therapy
Intervention | participants (Number) |
---|
| Week 1, AGI; n=14 | Week 2, AGI; n=16 | Week 3, AGI; n=16 | Week 6, AGI; n=12 | Week 9, AGI; n=11 | Week 12, AGI; n=7 | Week 15, AGI; n=6 | Week 18, AGI; n=5 | Week 21, AGI; n=4 | Week 24, AGI; n=3 | Week 30, AGI; n=2 | Week 36, AGI; n=1 | Week 42, AGI; n=0 | Week 48, AGI; n=0 | Week 54, AGI; n=0 | Week 60, AGI; n=0 | Week 66, AGI; n=0 | Week 72, AGI; n=0 | Week 78, AGI; n=0 | Week 84, AGI; n=0 | Withdrawal/study conclusion, AGI; n=10 | Worst-case on-therapy, AGI; n=16 | Week 1, ItoG3; n=14 | Week 2, ItoG3; n=16 | Week 3, ItoG3; n=16 | Week 6, ItoG3; n=12 | Week 9, ItoG3; n=11 | Week 12, ItoG3; n=7 | Week 15, ItoG3; n=6 | Week 18, ItoG3; n=5 | Week 21, ItoG3; n=4 | Week 24, ItoG3; n=3 | Week 30, ItoG3; n=2 | Week 36, ItoG3; n=1 | Week 42, ItoG3; n=0 | Week 48, ItoG3; n=0 | Week 54, ItoG3; n=0 | Week 60, ItoG3; n=0 | Week 66, ItoG3; n=0 | Week 72, ItoG3; n=0 | Week 78, ItoG3; n=0 | Week 84, ItoG3; n=0 | Withdrawal/study conclusion, ItoG3; n=10 | Worst-case on-therapy, ItoG3; n=16 | Week 1, ItoG4; n=14 | Week 2, ItoG4; n=16 | Week 3, ItoG4; n=16 | Week 6, ItoG4; n=12 | Week 9, ItoG4; n=11 | Week 12, ItoG4; n=7 | Week 15, ItoG4; n=6 | Week 18, ItoG4; n=5 | Week 21, ItoG4; n=4 | Week 24, ItoG4; n=3 | Week 30, ItoG4; n=2 | Week 36, ItoG4; n=1 | Week 42, ItoG4; n=0 | Week 48, ItoG4; n=0 | Week 54, ItoG4; n=0 | Week 60, ItoG4; n=0 | Week 66, ItoG4; n=0 | Week 72, ItoG4; n=0 | Week 78, ItoG4; n=0 | Week 84, ItoG4; n=0 | Withdrawal/study conclusion, ItoG4; n=10 | Worst-case on-therapy, ItoG4; n=16 |
---|
Overall Study Arm | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
[back to top]
Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Magnesium at the Indicated Time Points
Blood samples were collected for magnesium evaluation. Toxicity was measured in grades (AE severity) per NCI CTCAE, v3.0, displaying Grades (G) 1-5 with unique clinical descriptions of the severity of each AE. For magnesium (high and low, respectively): G 1 (>ULN to 3.0 mg/dL; 3.0 to 8.0 mg/dL; <0.9 to 0.7 mg/dL), severe; G 4 (>8.0 mg/dL; <0.7 mg/dL), life threatening/disabling; G 5 (death), death related to AE. Worst-case on-therapy reflects the most severe change at any time point measured post treatment. (NCT00526669)
Timeframe: Baseline (Day 0); Weeks 1, 2, 3, 6, 9, 12, 15, 18, 21, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, and 84; withdrawal (WD)/study conclusion (up to approximately 87 weeks); and worst-case on-therapy
Intervention | participants (Number) |
---|
| Week 1, AGI; n=33 | Week 2, AGI; n=33 | Week 3, AGI; n=44 | Week 6, AGI; n=37 | Week 9, AGI; n=36 | Week 12, AGI; n=27 | Week 15, AGI; n=18 | Week 18, AGI; n=16 | Week 21, AGI; n=11 | Week 24, AGI; n=9 | Week 30, AGI; n=9 | Week 36, AGI; n=5 | Week 42, AGI; n=4 | Week 48, AGI; n=3 | Week 54, AGI; n=2 | Week 60, AGI; n=2 | Week 66, AGI; n=1 | Week 72, AGI; n=1 | Week 78, AGI; n=1 | Week 84, AGI; n=1 | WD/study conclusion, AGI; n=35 | Worst-case on-therapy, AGI; n=59 | Week 1, ItoG3; n=33 | Week 2, ItoG3; n=33 | Week 3, ItoG3; n=44 | Week 6, ItoG3; n=37 | Week 9, ItoG3; n=36 | Week 12, ItoG3; n=27 | Week 15, ItoG3; n=18 | Week 18, ItoG3; n=16 | Week 21, ItoG3; n=11 | Week 24, ItoG3; n=9 | Week 30, ItoG3; n=9 | Week 36, ItoG3; n=5 | Week 42, ItoG3; n=4 | Week 48, ItoG3; n=3 | Week 54, ItoG3; n=2 | Week 60, ItoG3; n=2 | Week 66, ItoG3; n=1 | Week 72, ItoG3; n=1 | Week 78, ItoG3; n=1 | Week 84, ItoG3; n=1 | WD/study conclusion, ItoG3; n=35 | Worst-case on-therapy, ItoG3; n=59 | Week 1, ItoG4; n=33 | Week 2, ItoG4; n=33 | Week 3, ItoG4; n=44 | Week 6, ItoG4; n=37 | Week 9, ItoG4; n=36 | Week 12, ItoG4; n=27 | Week 15, ItoG4; n=18 | Week 18, ItoG4; n=16 | Week 21, ItoG4; n=11 | Week 24, ItoG4; n=9 | Week 30, ItoG4; n=9 | Week 36, ItoG4; n=5 | Week 42, ItoG4; n=4 | Week 48, ItoG4; n=3 | Week 54, ItoG4; n=2 | Week 60, ItoG4; n=2 | Week 66, ItoG4; n=1 | Week 72, ItoG4; n=1 | Week 78, ItoG4; n=1 | Week 84, ItoG4; n=1 | WD/study conclusion, ItoG4; n=35 | Worst-case on-therapy, ItoG4; n=59 |
---|
Lapatinib + Capecitabine | 1 | 6 | 3 | 4 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6 | 17 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
[back to top]
Duration of Response
Duration of response is defined as the time from the first documented evidence of tumor response (CR or PR) until the first documented sign of disease progression or death due to any cause, whichever came first. (NCT00526669)
Timeframe: From date of first documented evidence of response until the date of first documented sign of disease progression or death due to any cause (up to approximately 78 weeks)
Intervention | weeks (Median) |
---|
Lapatinib + Capecitabine | 18.4 |
[back to top]
Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Platelet Count at the Indicated Time Points
Blood samples were collected for the evaluation of platelet count. Toxicity was measured in grades (AE severity) per NCI CTCAE, v3.0, displaying Grades (G) 1-5 with unique clinical descriptions of the severity of each AE. For platelet count: G 1 (NCT00526669)
Timeframe: Baseline (Day 0); Weeks 1, 2, 3, 6, 9, 12, 15, 18, 21, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, and 84; withdrawal (WD)/study conclusion (up to approximately 87 weeks); and worst-case on-therapy
Intervention | participants (Number) |
---|
| Week 1, AGI; n=62 | Week 2, AGI; n=64 | Week 3, AGI; n=62 | Week 6, AGI; n=47 | Week 9, AGI; n=41 | Week 12, AGI; n=30 | Week 15, AGI; n=22 | Week 18, AGI; n=17 | Week 21, AGI; n=13 | Week 24, AGI; n=11 | Week 30, AGI; n=9 | Week 36, AGI; n=5 | Week 42, AGI; n=4 | Week 48, AGI; n=3 | Week 54, AGI; n=3 | Week 60, AGI; n=2 | Week 66, AGI; n=1 | Week 72, AGI; n=1 | Week 78, AGI; n=1 | Week 84, AGI; n=1 | Withdrawal/study conclusion, AGI; n=51 | Worst-case on-therapy, AGI; n=65 | Week 1, ItoG3; n=62 | Week 2, ItoG3; n=64 | Week 3, ItoG3; n=62 | Week 6, ItoG3; n=47 | Week 9, ItoG3; n=41 | Week 12, ItoG3; n=30 | Week 15, ItoG3; n=22 | Week 18, ItoG3; n=17 | Week 21, ItoG3; n=13 | Week 24, ItoG3; n=11 | Week 30, ItoG3; n=9 | Week 36, ItoG3; n=5 | Week 42, ItoG3; n=4 | Week 48, ItoG3; n=3 | Week 54, ItoG3; n=3 | Week 60, ItoG3; n=2 | Week 66, ItoG3; n=1 | Week 72, ItoG3; n=1 | Week 78, ItoG3; n=1 | Week 84, ItoG3; n=1 | Withdrawal/study conclusion, ItoG3; n=51 | Worst-case on-therapy, ItoG3; n=65 | Week 1, ItoG4; n=62 | Week 2, ItoG4; n=64 | Week 3, ItoG4; n=62 | Week 6, ItoG4; n=47 | Week 9, ItoG4; n=41 | Week 12, ItoG4; n=30 | Week 15, ItoG4; n=22 | Week 18, ItoG4; n=17 | Week 21, ItoG4; n=13 | Week 24, ItoG4; n=11 | Week 30, ItoG4; n=9 | Week 36, ItoG4; n=5 | Week 42, ItoG4; n=4 | Week 48, ItoG4; n=3 | Week 54, ItoG4; n=3 | Week 60, ItoG4; n=2 | Week 66, ItoG4; n=1 | Week 72, ItoG4; n=1 | Week 78, ItoG4; n=1 | Week 84, ItoG4; n=1 | Withdrawal/study conclusion, ItoG4; n=51 | Worst-case on-therapy, ItoG4; n=65 |
---|
Lapatinib + Capecitabine | 1 | 2 | 0 | 2 | 3 | 2 | 2 | 0 | 1 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 10 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
[back to top]
Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Sodium at the Indicated Time Points
Blood samples were collected for sodium evaluation. Toxicity was measured in grades (AE severity) per NCI CTCAE, v3.0, displaying Grades (G) 1-5 with unique clinical descriptions of each AE severity. For sodium (high and low, respectively): G 1 (>ULN to 150 mmol/L; 150 to 155 mmol/L; value not available), moderate; G 3 (>155 to 160 mmol/L; <130 to 120 mmol/L), severe; G 4 (>160 mmol/L; <120 mmol/L), life threatening/disabling; G 5 (death), death related to AE. Worst-case on-therapy reflects the most severe change at any time point measured post treatment. (NCT00526669)
Timeframe: Baseline (Day 0); Weeks 1, 2, 3, 6, 9, 12, 15, 18, 21, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, and 84; withdrawal (WD)/study conclusion (up to approximately 87 weeks); and worst-case on-therapy
Intervention | participants (Number) |
---|
| Week 1, AGI; n=54 | Week 2, AGI; n=53 | Week 3, AGI; n=59 | Week 6, AGI; n=47 | Week 9, AGI; n=41 | Week 12, AGI; n=31 | Week 15, AGI; n=22 | Week 18, AGI; n=17 | Week 21, AGI; n=13 | Week 24, AGI; n=11 | Week 30, AGI; n=9 | Week 36, AGI; n=5 | Week 42, AGI; n=4 | Week 48, AGI; n=3 | Week 54, AGI; n=3 | Week 60, AGI; n=2 | Week 66, AGI; n=1 | Week 72, AGI; n=1 | Week 78, AGI; n=1 | Week 84, AGI; n=1 | WD/study conclusion, AGI; n=48 | Worst-case on-therapy, AGI; n=65 | Week 1, ItoG3; n=54 | Week 2, ItoG3; n=53 | Week 3, ItoG3; n=59 | Week 6, ItoG3; n=47 | Week 9, ItoG3; n=41 | Week 12, ItoG3; n=31 | Week 15, ItoG3; n=22 | Week 18, ItoG3; n=17 | Week 21, ItoG3; n=13 | Week 24, ItoG3; n=11 | Week 30, ItoG3; n=9 | Week 36, ItoG3; n=5 | Week 42, ItoG3; n=4 | Week 48, ItoG3; n=3 | Week 54, ItoG3; n=3 | Week 60, ItoG3; n=2 | Week 66, ItoG3; n=1 | Week 72, ItoG3; n=1 | Week 78, ItoG3; n=1 | Week 84, ItoG3; n=1 | WD/study conclusion, ItoG3; n=48 | Worst-case on-therapy, ItoG3; n=65 | Week 1, ItoG4; n=54 | Week 2, ItoG4; n=53 | Week 3, ItoG4; n=59 | Week 6, ItoG4; n=47 | Week 9, ItoG4; n=41 | Week 12, ItoG4; n=31 | Week 15, ItoG4; n=22 | Week 18, ItoG4; n=17 | Week 21, ItoG4; n=13 | Week 24, ItoG4; n=11 | Week 30, ItoG4; n=9 | Week 36, ItoG4; n=5 | Week 42, ItoG4; n=4 | Week 48, ItoG4; n=3 | Week 54, ItoG4; n=3 | Week 60, ItoG4; n=2 | Week 66, ItoG4; n=1 | Week 72, ItoG4; n=1 | Week 78, ItoG4; n=1 | Week 84, ItoG4; n=1 | WD/study conclusion, ItoG4; n=48 | Worst-case on-therapy, ItoG4; n=65 |
---|
Lapatinib + Capecitabine | 9 | 7 | 5 | 7 | 4 | 1 | 3 | 1 | 0 | 1 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10 | 28 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 4 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
[back to top]
Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Total Bilirubin at the Indicated Time Points
Blood samples were collected for the evaluation of total bilirubin. Toxicity was measured in grades (AE severity) per NCI CTCAE, v3.0, displaying Grades (G) 1-5 with unique clinical descriptions of the severity of each AE. For total bilirubin: G 1 (>ULN to 1.5x ULN), mild; G 2 (>1.5 to 3.0x ULN), moderate; G 3 (>3.0 to 10.0x ULN), severe; G 4 (>10.0x ULN), life threatening/disabling; G 5 (value not available), death related to AE. Worst-case on-therapy reflects the most severe change at any time point measured post treatment. (NCT00526669)
Timeframe: Baseline (Day 0); Weeks 1, 2, 3, 6, 9, 12, 15, 18, 21, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, and 84; withdrawal (WD)/study conclusion (up to approximately 87 weeks); and worst-case on-therapy
Intervention | participants (Number) |
---|
| Week 1, AGI; n=54 | Week 2, AGI; n=57 | Week 3, AGI; n=61 | Week 6, AGI; n=47 | Week 9, AGI; n=41 | Week 12, AGI; n=31 | Week 15, AGI; n=22 | Week 18, AGI; n=17 | Week 21, AGI; n=14 | Week 24, AGI; n=11 | Week 30, AGI; n=9 | Week 36, AGI; n=5 | Week 42, AGI; n=4 | Week 48, AGI; n=3 | Week 54, AGI; n=3 | Week 60, AGI; n=2 | Week 66, AGI; n=1 | Week 72, AGI; n=1 | Week 78, AGI; n=1 | Week 84, AGI; n=1 | WD/study conclusion, AGI; n=50 | Worst-case on-therapy, AGI; n=65 | Week 1, ItoG3; n=54 | Week 2, ItoG3; n=57 | Week 3, ItoG3; n=61 | Week 6, ItoG3; n=47 | Week 9, ItoG3; n=41 | Week 12, ItoG3; n=31 | Week 15, ItoG3; n=22 | Week 18, ItoG3; n=17 | Week 21, ItoG3; n=14 | Week 24, ItoG3; n=11 | Week 30, ItoG3; n=9 | Week 36, ItoG3; n=5 | Week 42, ItoG3; n=4 | Week 48, ItoG3; n=3 | Week 54, ItoG3; n=3 | Week 60, ItoG3I; n=2 | Week 66, ItoG3; n=1 | Week 72, ItoG3; n=1 | Week 78, ItoG3; n=1 | Week 84, ItoG3; n=1 | WD/study conclusion, ItoG3; n=50 | Worst-case on-therapy, ItoG3; n=65 | Week 1, ItoG4; n=54 | Week 2, ItoG4; n=57 | Week 3, ItoG4; n=61 | Week 6, ItoG4; n=47 | Week 9, ItoG4; n=41 | Week 12, ItoG4; n=31 | Week 15, ItoG4; n=22 | Week 18, ItoG4; n=17 | Week 21, ItoG4; n=14 | Week 24, ItoG4; n=11 | Week 30, ItoG4; n=9 | Week 36, ItoG4; n=5 | Week 42, ItoG4; n=4 | Week 48, ItoG4; n=3 | Week 54, ItoG4; n=3 | Week 60, ItoG4; n=2 | Week 66, ItoG4; n=1 | Week 72, ItoG4; n=1 | Week 78, ItoG4; n=1 | Week 84, ItoG4; n=1 | WD/study conclusion, ItoG4; n=50 | Worst-case on-therapy, ItoG4; n=65 |
---|
Lapatinib + Capecitabine | 0 | 2 | 1 | 2 | 8 | 3 | 3 | 2 | 3 | 3 | 4 | 1 | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 4 | 13 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
[back to top]
Time to Progression (All Deaths Are Treated as Competing Risk)
Time to progression is defined as the time from the initial treatment (first dose) until the first documented radiological symptomatic sign of disease progression. Time to progression data are presented as cumulative incidence estimate, which is defined as the time from the initial treatment until crude hazard probability of the occurrence of a particular event is reached to a particular point. All factors that hinder the observation of the event are defined as competing risks. (NCT00526669)
Timeframe: From Baseline (Day 0) until disease progression or death due to any cause (up to approximately 85 weeks)
Intervention | weeks (Median) |
---|
Lapatinib + Capecitabine | 18.9 |
[back to top]
Time to Progression (All Deaths Due to Non-PD Are Treated as Competing Risk)
Time to progression is defined as the time from the initial treatment (first dose) until the first documented radiological symptomatic sign of disease progression. Time to progression data are presented as cumulative incidence estimate, which is defined as the time from the initial treatment until crude hazard probability of occurrence of a particular event is reached to a particular point. All factors that hinder the observation of the event are defined as competing risks. (NCT00526669)
Timeframe: From Baseline (Day 0) until disease progression or death due to any cause (up to approximately 85 weeks)
Intervention | weeks (Median) |
---|
Lapatinib + Capecitabine | 14.3 |
[back to top]
Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Total Neutrophils at the Indicated Time Points
Blood samples were collected for the evaluation of total neutrophils. Toxicity was measured in grades (AE severity) per NCI CTCAE, v3.0, displaying Grades (G) 1-5 with unique clinical descriptions of the severity of each AE. For neutrophils: G 1 (NCT00526669)
Timeframe: Baseline (Day 0); Weeks 1, 2, 3, 6, 9, 12, 15, 18, 21, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, and 84; withdrawal (WD)/study conclusion (up to approximately 87 weeks); and worst-case on-therapy
Intervention | participants (Number) |
---|
| Week 1, AGI; n=15 | Week 2, AGI; n=17 | Week 3, AGI; n=17 | Week 6, AGI; n=12 | Week 9, AGI; n=11 | Week 12, AGI; n=7 | Week 15, AGI; n=6 | Week 18, AGI; n=5 | Week 21, AGI; n=4 | Week 24, AGI; n=3 | Week 30, AGI; n=2 | Week 36, AGI; n=1 | Week 42, AGI; n=0 | Week 48, AGI; n=0 | Week 54, AGI; n=0 | Week 60, AGI; n=0 | Week 66, AGI; n=0 | Week 72, AGI; n=0 | Week 78, AGI; n=0 | Week 84, AGI; n=0 | Withdrawal/study conclusion,, AGI; n=12 | Worst-case on-therapy, AGI; n=17 | Week 1, ItoG3; n=15 | Week 2, ItoG3; n=17 | Week 3, ItoG3; n=17 | Week 6, ItoG3; n=12 | Week 9, ItoG3; n=11 | Week 12, ItoG3; n=7 | Week 15, ItoG3; n=6 | Week 18, ItoG3; n=5 | Week 21, ItoG3; n=4 | Week 24, ItoG3; n=3 | Week 30, ItoG3; n=2 | Week 36, ItoG3; n=1 | Week 42, ItoG3; n=0 | Week 48, ItoG3; n=0 | Week 54, ItoG3; n=0 | Week 60, ItoG3; n=0 | Week 66, ItoG3; n=0 | Week 72, ItoG3; n=0 | Week 78, ItoG3; n=0 | Week 84, ItoG3; n=0 | Withdrawal/study conclusion, ItoG3; n=12 | Worst-case on-therapy, ItoG3; n=17 | Week 1, ItoG4; n=15 | Week 2, ItoG4; n=17 | Week 3, ItoG4; n=17 | Week 6, ItoG4; n=12 | Week 9, ItoG4; n=11 | Week 12, ItoG4; n=7 | Week 15, ItoG4; n=6 | Week 18, ItoG4; n=5 | Week 21, ItoG4; n=4 | Week 24, ItoG4; n=3 | Week 30, ItoG4; n=2 | Week 36, ItoG4; n=1 | Week 42, ItoG4; n=0 | Week 48, ItoG4; n=0 | Week 54, ItoG4; n=0 | Week 60, ItoG4; n=0 | Week 66, ItoG4; n=0 | Week 72, ItoG4; n=0 | Week 78, ItoG4; n=0 | Week 84, ItoG4; n=0 | Withdrawal/study conclusion, ItoG4; n=12 | Worst-case on-therapy, ItoG4; n=17 |
---|
Lapatinib + Capecitabine | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
[back to top]
Overall Survival (OS)
Overall survival is defined as the time from the initial treatment until death due to any cause. A death occurring during the study is defined as a death occurring during treatment or within 30 days of the last administration of study medication. (NCT00526669)
Timeframe: From Baseline (Day 0) until death due to any cause evaluated at approximately 12 months (up to approximately 100 weeks)
Intervention | weeks (Median) |
---|
Lapatinib + Capecitabine | 27.6 |
[back to top]
Time to Response
Time to response is defined as the time from the initial treatment until the first documented evidence of CR (disappearance of all TLs and non-TLs and the appearance of no new lesions) or PR (>= a 30% decrease in the sum of the longest diameter of TLs, taking as reference the Baseline sum longest diameter) (whichever status was recorded first). Time to response data are presented as cumulative incidence estimate, which is defined as the time from the initial treatment until crude hazard probability of the occurrence of a particular event is reached to a particular point. (NCT00526669)
Timeframe: Baseline (Day 0) until first documented evidence of response (up to approximately 60 weeks)
Intervention | weeks (Median) |
---|
Lapatinib + Capecitabine | NA |
[back to top]
Change From Start of Run-in Period in Biomarker Expression Levels at Day 0
Participants were analyzed for intratumoral expression levels of genes involved in the 5-fluorouracil (FU) pathway and lapatinib-targeted genes. Change in biomarker expression levels was calculated as the levels measured after the lapatinib Run-in Period (Baseline) of the study minus the levels measured at the start of monotherapy (Day -7). EGFR, epidermal growth factor receptor; HER, human epidermal growth factor receptor. Data are presented as ratios of the normalized gene expression of the target gene to that of beta actin. (NCT00526669)
Timeframe: evaluated at baseline and after 7 days of study treatment
Intervention | ratio (Median) |
---|
| Thymidylate synthase (TS), n=34 | Deoxypyridinoline (DPD), n=26 | EGFR/HER1, n=32 | HER2, n=28 | HER3, n=33 |
---|
Lapatinib | 0.38 | 0.12 | 0.15 | 0.01 | 0.87 |
[back to top]
Number of Participants in the Indicated Categories for Best Overall Response (BOR)
Best overall response was evaluated by the investigator based on RECIST criteria: CR; PR; Stable Disease (SD), defined as no sufficient shrinkage to qualify for PR, no sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum LD since the treatment started; PD, defined as at least a 20% increase in the sum of the LD of target lesions, taking as a reference the smallest sum LD recorded since the treatment started or the appearance of >= 1 new lesions; Unknown, defined as participants who do not have CR, PR, SD, or PD. (NCT00526669)
Timeframe: From Baseline (Day 0) until disease progression or death due to any cause (up to approximately 85 weeks)
Intervention | participants (Number) |
---|
| CR | PR | SD | PD | Unknown |
---|
Lapatinib + Capecitabine | 0 | 12 | 31 | 16 | 8 |
[back to top]
Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4 ) in Toxicity Grades for Alanine Aminotransferase (ALT) at the Indicated Time Points
Blood samples were collected for the evaluation of ALT. Toxicity was measured in grades (AE severity) per NCI CTCAE, v3.0, displaying Grades (G) 1-5 with unique clinical descriptions of the severity of each AE. For ALT: G 1 (>ULN to 2.5x ULN), mild; G 2 (>2.5 to 5.0x ULN), moderate; G 3 (>5.0 to 20.0x ULN), severe; G 4 (>20.0x ULN), life threatening/disabling; G 5 (value not available), death related to AE. Worst-case on-therapy reflects the most severe change at any time point measured post treatment. (NCT00526669)
Timeframe: Baseline (Day 0); Weeks 1, 2, 3, 6, 9, 12, 15, 18, 21, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, and 84; withdrawal (WD)/study conclusion (up to approximately 87 weeks); and worst-case on-therapy
Intervention | participants (Number) |
---|
| Week 1, AGI; n=54 | Week 2, AGI; n=57 | Week 3, AGI; n=61 | Week 6, AGI; n=47 | Week 9, AGI; n=41 | Week 12, AGI; n=31 | Week 15, AGI; n=22 | Week 18, AGI; n=17 | Week 21, AGI; n=14 | Week 24, AGI; n=11 | Week 30, AGI; n=9 | Week 36, AGI; n=5 | Week 42, AGI; n=4 | Week 48, AGI; n=3 | Week 54, AGI; n=3 | Week 60, AGI; n=2 | Week 66, AGI; n=1 | Week 72, AGI; n=1 | Week 78, AGI; n=1 | Week 84, AGI; n=1 | WD/study conclusion, AGI; n=50 | Worst-case on-therapy, AGI; n=65 | Week 1, ItoG3; n=54 | Week 2, ItoG3; n=57 | Week 3, ItoG3; n=61 | Week 6, ItoG3; n=47 | Week 9, ItoG3; n=41 | Week 12, ItoG3; n=31 | Week 15, ItoG3; n=22 | Week 18, ItoG3; n=17 | Week 21, ItoG3; n=14 | Week 24, ItoG3; n=11 | Week 30, ItoG3; n=9 | Week 36, ItoG3; n=5 | Week 42, ItoG3; n=4 | Week 48, ItoG3; n=3 | Week 54, ItoG3; n=3 | Week 60, ItoG3I; n=2 | Week 66, ItoG3; n=1 | Week 72, ItoG3; n=1 | Week 78, ItoG3; n=1 | Week 84, ItoG3; n=1 | WD/study conclusion, ItoG3; n=50 | Worst-case on-therapy, ItoG3; n=65 | Week 1, ItoG4; n=54 | Week 2, ItoG4; n=57 | Week 3, ItoG4; n=61 | Week 6, ItoG4; n=47 | Week 9, ItoG4; n=41 | Week 12, ItoG4; n=31 | Week 15, ItoG4; n=22 | Week 18, ItoG4; n=17 | Week 21, ItoG4; n=14 | Week 24, ItoG4; n=11 | Week 30, ItoG4; n=9 | Week 36, ItoG4; n=5 | Week 42, ItoG4; n=4 | Week 48, ItoG4; n=3 | Week 54, ItoG4; n=3 | Week 60, ItoG4; n=2 | Week 66, ItoG4; n=1 | Week 72, ItoG4; n=1 | Week 78, ItoG4; n=1 | Week 84, ItoG4; n=1 | WD/study conclusion, ItoG4; n=50 | Worst-case on-therapy, ItoG4; n=65 |
---|
Lapatinib + Capecitabine | 1 | 0 | 2 | 3 | 2 | 2 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
[back to top]
Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Alkaline Phosphatase (ALP) at the Indicated Time Points
Toxicity was measured in grades (AE severity) per NCI CTCAE, v3.0, displaying Grades (G) 1-5 with unique clinical descriptions of the severity of each AE. For ALP: G 1 (upper limit of normal [ULN] to 2.5x ULN), mild; G 2 (>2.5 to 5.0x ULN), moderate; G 3 (>5.0 to 20.0x ULN), severe; G 4 (>20.0x ULN), life threatening/disabling; G 5 (value not available), death related to AE. Worst-case on-therapy reflects the most severe change at any time point measured post treatment. (NCT00526669)
Timeframe: Baseline (Day 0); Weeks 1, 2, 3, 6, 9, 12, 15, 18, 21, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, and 84; withdrawal (WD)/study conclusion (up to approximately 87 weeks); and worst-case on-therapy
Intervention | participants (Number) |
---|
| Week 1, AGI; n=54 | Week 2, AGI; n=57 | Week 3, AGI; n=61 | Week 6, AGI; n=47 | Week 9, AGI; n=41 | Week 12, AGI; n=31 | Week 15, AGI; n=22 | Week 18, AGI; n=17 | Week 21, AGI; n=14 | Week 24, AGI; n=11 | Week 30, AGI; n=9 | Week 36, AGI; n=5 | Week 42, AGI; n=4 | Week 48, AGI; n=3 | Week 54, AGI; n=2 | Week 60, AGI; n=2 | Week 66, AGI; n=1 | Week 72, AGI; n=1 | Week 78, AGI; n=1 | Week 84, AGI; n=1 | WD/study conclusion, AGI; n=49 | Worst-case on-therapy, AGI; n=65 | Week 1, ItoG3; n=54 | Week 2, ItoG3; n=57 | Week 3, ItoG3; n=61 | Week 6, ItoG3; n=47 | Week 9, ItoG3; n=41 | Week 12, ItoG3; n=31 | Week 15, ItoG3; n=22 | Week 18, ItoG3; n=17 | Week 21, ItoG3; n=14 | Week 24, ItoG3; n=11 | Week 30, ItoG3; n=9 | Week 36, ItoG3; n=5 | Week 42, ItoG3; n=4 | Week 48, ItoG3; n=3 | Week 54, ItoG3; n=2 | Week 60, ItoG3; n=2 | Week 66, ItoG3; n=1 | Week 72, ItoG3; n=1 | Week 78, ItoG3; n=1 | Week 84, ItoG3; n=1 | WD/study conclusion, ItoG3; n=49 | Worst-case on-therapy, ItoG3; n=65 | Week 1, ItoG4; n=54 | Week 2, ItoG4; n=57 | Week 3, ItoG4; n=61 | Week 6, ItoG4; n=47 | Week 9, ItoG4; n=41 | Week 12, ItoG4; n=31 | Week 15, ItoG4; n=22 | Week 18, ItoG4; n=17 | Week 21, ItoG4; n=14 | Week 24, ItoG4; n=11 | Week 30, ItoG4; n=9 | Week 36, ItoG4; n=5 | Week 42, ItoG4; n=4 | Week 48, ItoG4; n=3 | Week 54, ItoG4; n=2 | Week 60, ItoG4; n=2 | Week 66, ItoG4; n=1 | Week 72, ItoG4; n=1 | Week 78, ItoG4; n=1 | Week 84, ItoG4; n=1 | WD/study conclusion, ItoG4; n=49 | Worst-case on-therapy, ItoG4; n=65 |
---|
Lapatinib + Capecitabine | 6 | 5 | 8 | 5 | 2 | 5 | 2 | 3 | 4 | 4 | 3 | 1 | 1 | 1 | 2 | 1 | 1 | 1 | 1 | 1 | 8 | 21 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
[back to top]
Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Aspartate Aminotransferase (AST) at the Indicated Time Points
Blood samples were collected for the evaluation of AST. Toxicity was measured in grades (AE severity) per NCI CTCAE, v3.0, displaying Grades (G) 1-5 with unique clinical descriptions of the severity of each AE. For AST: G 1 (>ULN to 2.5x ULN), mild; G 2 (>2.5 to 5.0x ULN), moderate; G 3 (>5.0 to 20.0x ULN), severe; G 4 (>20.0x ULN), life threatening/disabling; G 5 (value not available), death related to AE. Worst-case on-therapy reflects the most severe change at any time point measured post treatment. (NCT00526669)
Timeframe: Baseline (Day 0); Weeks 1, 2, 3, 6, 9, 12, 15, 18, 21, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, and 84; withdrawal (WD)/study conclusion (up to approximately 87 weeks); and worst-case on-therapy
Intervention | participants (Number) |
---|
| Week 1, AGI; n=54 | Week 2, AGI; n=57 | Week 3, AGI; n=61 | Week 6, AGI; n=47 | Week 9, AGI; n=41 | Week 12, AGI; n=31 | Week 15, AGI; n=22 | Week 18, AGI; n=17 | Week 21, AGI; n=14 | Week 24, AGI; n=11 | Week 30, AGI; n=9 | Week 36, AGI; n=5 | Week 42, AGI; n=4 | Week 48, AGI; n=3 | Week 54, AGI; n=3 | Week 60, AGI; n=2 | Week 66, AGI; n=1 | Week 72, AGI; n=1 | Week 78, AGI; n=1 | Week 84, AGI; n=1 | WD/study conclusion, AGI; n=50 | Worst-case on-therapy, AGI; n=65 | Week 1, ItoG3; n=54 | Week 2, ItoG3; n=57 | Week 3, ItoG3; n=61 | Week 6, ItoG3; n=47 | Week 9, ItoG3; n=41 | Week 12, ItoG3; n=31 | Week 15, ItoG3; n=22 | Week 18, ItoG3; n=17 | Week 21, ItoG3; n=14 | Week 24, ItoG3; n=11 | Week 30, ItoG3; n=9 | Week 36, ItoG3; n=5 | Week 42, ItoG3; n=4 | Week 48, ItoG3; n=3 | Week 54, ItoG3; n=3 | Week 60, ItoG3I; n=2 | Week 66, ItoG3; n=1 | Week 72, ItoG3; n=1 | Week 78, ItoG3; n=1 | Week 84, ItoG3; n=1 | WD/study conclusion, ItoG3; n=50 | Worst-case on-therapy, ItoG3; n=65 | Week 1, ItoG4; n=54 | Week 2, ItoG4; n=57 | Week 3, ItoG4; n=61 | Week 6, ItoG4; n=47 | Week 9, ItoG4; n=41 | Week 12, ItoG4; n=31 | Week 15, ItoG4; n=22 | Week 18, ItoG4; n=17 | Week 21, ItoG4; n=14 | Week 24, ItoG4; n=11 | Week 30, ItoG4; n=9 | Week 36, ItoG4; n=5 | Week 42, ItoG4; n=4 | Week 48, ItoG4; n=3 | Week 54, ItoG4; n=3 | Week 60, ItoG4; n=2 | Week 66, ItoG4; n=1 | Week 72, ItoG4; n=1 | Week 78, ItoG4; n=1 | Week 84, ItoG4; n=1 | WD/study conclusion, ItoG4; n=50 | Worst-case on-therapy, ItoG4; n=65 |
---|
Lapatinib + Capecitabine | 1 | 3 | 3 | 6 | 3 | 2 | 4 | 1 | 1 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 7 | 16 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
[back to top]
Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Calcium at the Indicated Time Points
Blood samples were collected for calcium evaluation. Toxicity was measured in grades (AE severity) per NCI CTCAE, v3.0, displaying Grades (G) 1-5 with unique clinical descriptions of the severity of each AE. For calcium (low and high, respectively): G 1 (ULN to 11.5x ULN), mild; G 2 (<8.0 to 7.0 mg/dL; >11.5 to 12.5 ULN), moderate; G 3 (<7.0 to 6.0 mg/dL; >12.5 to 13.5 mg/dL), severe; G 4 (<6 mg/dL; >13.5 mg/dL), life threatening/disabling; G 5 (death), death related to AE. Worst-case on-therapy reflects the most severe change at any time point measured post treatment. (NCT00526669)
Timeframe: Baseline (Day 0); Weeks 1, 2, 3, 6, 9, 12, 15, 18, 21, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, and 84; withdrawal (WD)/study conclusion (up to approximately 87 weeks); and worst-case on-therapy
Intervention | participants (Number) |
---|
| Week 1, AGI; n=55 | Week 2, AGI; n=56 | Week 3, AGI; n=60 | Week 6, AGI; n=47 | Week 9, AGI; n=41 | Week 12, AGI; n=31 | Week 15, AGI; n=22 | Week 18, AGI; n=17 | Week 21, AGI; n=14 | Week 24, AGI; n=11 | Week 30, AGI; n=9 | Week 36, AGI; n=5 | Week 42, AGI; n=4 | Week 48, AGI; n=3 | Week 54, AGI; n=2 | Week 60, AGI; n=2 | Week 66, AGI; n=1 | Week 72, AGI; n=1 | Week 78, AGI; n=1 | Week 84, AGI; n=1 | WD/study conclusion, AGI; n=49 | Worst-case on-therapy, AGI; n=65 | Week 1, ItoG3; n=55 | Week 2, ItoG3; n=56 | Week 3, ItoG3; n=60 | Week 6, ItoG3; n=47 | Week 9, ItoG3; n=41 | Week 12, ItoG3; n=31 | Week 15, ItoG3; n=22 | Week 18, ItoG3; n=17 | Week 21, ItoG3; n=14 | Week 24, ItoG3; n=11 | Week 30, ItoG3; n=9 | Week 36, ItoG3; n=5 | Week 42, ItoG3; n=4 | Week 48, ItoG3; n=3 | Week 54, ItoG3; n=2 | Week 60, ItoG3; n=2 | Week 66, ItoG3; n=1 | Week 72, ItoG3; n=1 | Week 78, ItoG3; n=1 | Week 84, ItoG3; n=1 | WD/study conclusion, ItoG3; n=49 | Worst-case on-therapy, ItoG3; n=65 | Week 1, ItoG4; n=55 | Week 2, ItoG4; n=56 | Week 3, ItoG4; n=60 | Week 6, ItoG4; n=47 | Week 9, ItoG4; n=41 | Week 12, ItoG4; n=31 | Week 15, ItoG4; n=22 | Week 18, ItoG4; n=17 | Week 21, ItoG4; n=14 | Week 24, ItoG4; n=11 | Week 30, ItoG4; n=9 | Week 36, ItoG4; n=5 | Week 42, ItoG4; n=4 | Week 48, ItoG4; n=3 | Week 54, ItoG4; n=2 | Week 60, ItoG4; n=2 | Week 66, ItoG4; n=1 | Week 72, ItoG4; n=1 | Week 78, ItoG4; n=1 | Week 84, ItoG4; n=1 | WD/study conclusion, ItoG4; n=49 | Worst-case on-therapy, ItoG4; n=65 |
---|
Lapatinib + Capecitabine | 7 | 4 | 5 | 3 | 3 | 2 | 1 | 2 | 0 | 1 | 1 | 0 | 1 | 0 | 1 | 2 | 0 | 0 | 0 | 1 | 12 | 23 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
[back to top]
Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Glucose at the Indicated Time Points
Blood samples were collected for the evaluation of glucose. Toxicity was measured in grades (AE severity) per NCI CTCAE, v3.0, displaying Grades (G) 1-5 with unique clinical descriptions of the severity of each AE. For glucose (high and low, respectively): G 1 (>ULN to 160 mg/dL; 160 to 250 mg/dL; <55 to 40 mg/dL), moderate; G 3 (>250 to 500 mg/dL; <40 to 30 mg/dL), severe; G 4 (>500 mg/dL; <30 mg/dL), life threatening/disabling; G 5 (death), death related to AE. Worst-case on-therapy reflects the most severe change at any time point measured post treatment. (NCT00526669)
Timeframe: Baseline (Day 0); Weeks 1, 2, 3, 6, 9, 12, 15, 18, 21, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, and 84; withdrawal (WD)/study conclusion (up to approximately 87 weeks); and worst-case on-therapy
Intervention | participants (Number) |
---|
| Week 1, AGI; n=54 | Week 2, AGI; n=57 | Week 3, AGI; n=61 | Week 6, AGI; n=47 | Week 9, AGI; n=40 | Week 12, AGI; n=31 | Week 15, AGI; n=22 | Week 18, AGI; n=17 | Week 21, AGI; n=14 | Week 24, AGI; n=11 | Week 30, AGI; n=9 | Week 36, AGI; n=5 | Week 42, AGI; n=4 | Week 48, AGI; n=3 | Week 54, AGI; n=3 | Week 60, AGI; n=2 | Week 66, AGI; n=1 | Week 72, AGI; n=1 | Week 78, AGI; n=1 | Week 84, AGI; n=1 | WD/study conclusion, AGI; n=49 | Worst-case on-therapy, AGI; n=65 | Week 1, ItoG3; n=54 | Week 2, ItoG3; n=57 | Week 3, ItoG3; n=61 | Week 6, ItoG3; n=47 | Week 9, ItoG3; n=40 | Week 12, ItoG3; n=31 | Week 15, ItoG3; n=22 | Week 18, ItoG3; n=17 | Week 21, ItoG3; n=14 | Week 24, ItoG3; n=11 | Week 30, ItoG3; n=9 | Week 36, ItoG3; n=5 | Week 42, ItoG3; n=4 | Week 48, ItoG3; n=3 | Week 54, ItoG3; n=3 | Week 60, ItoG3; n=2 | Week 66, ItoG3; n=1 | Week 72, ItoG3; n=1 | Week 78, ItoG3; n=1 | Week 84, ItoG3; n=1 | WD/study conclusion, ItoG3; n=49 | Worst-case on-therapy, ItoG3; n=65 | Week 1, ItoG4; n=54 | Week 2, ItoG4; n=57 | Week 3, ItoG4; n=61 | Week 6, ItoG4; n=47 | Week 9, ItoG4; n=40 | Week 12, ItoG4; n=31 | Week 15, ItoG4; n=22 | Week 18, ItoG4; n=17 | Week 21, ItoG4; n=14 | Week 24, ItoG4; n=11 | Week 30, ItoG4; n=9 | Week 36, ItoG4; n=5 | Week 42, ItoG4; n=4 | Week 48, ItoG4; n=3 | Week 54, ItoG4; n=3 | Week 60, ItoG4; n=2 | Week 66, ItoG4; n=1 | Week 72, ItoG4; n=1 | Week 78, ItoG4; n=1 | Week 84, ItoG4; n=1 | WD/study conclusion, ItoG4; n=49 | Worst-case on-therapy, ItoG4; n=65 |
---|
Lapatinib + Capecitabine | 13 | 10 | 10 | 7 | 6 | 4 | 3 | 1 | 1 | 2 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 15 | 32 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
[back to top]
Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for Hemoglobin at the Indicated Time Points
Blood samples were collected for the evaluation of hemoglobin. Toxicity was measured in grades (AE severity) per NCI CTCAE, v3.0, displaying Grades (G) 1-5 with unique clinical descriptions of the severity of each AE. For hemoglobin: G 1 (NCT00526669)
Timeframe: Baseline (Day 0); Weeks 1, 2, 3, 6, 9, 12, 15, 18, 21, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, and 84; withdrawal (WD)/study conclusion (up to approximately 87 weeks); and worst-case on-therapy
Intervention | participants (Number) |
---|
| Week 1, AGI; n=62 | Week 2, AGI; n=64 | Week 3, AGI; n=62 | Week 6, AGI; n=47 | Week 9, AGI; n=41 | Week 12, AGI; n=30 | Week 15, AGI; n=22 | Week 18, AGI; n=17 | Week 21, AGI; n=13 | Week 24, AGI; n=11 | Week 30, AGI; n=9 | Week 36, AGI; n=5 | Week 42, AGI; n=4 | Week 48, AGI; n=3 | Week 54, AGI; n=3 | Week 60, AGI; n=2 | Week 66, AGI; n=1 | Week 72, AGI; n=1 | Week 78, AGI; n=1 | Week 84, AGI; n=1 | Withdrawal/study conclusion, AGI; n=51 | Worst-case on-therapy, AGI; n=65 | Week 1, ItoG3; n=62 | Week 2, ItoG3; n=64 | Week 3, ItoG3; n=62 | Week 6, ItoG3; n=47 | Week 9, ItoG3; n=41 | Week 12, ItoG3; n=30 | Week 15, ItoG3; n=22 | Week 18, ItoG3; n=17 | Week 21, ItoG3; n=13 | Week 24, ItoG3; n=11 | Week 30, ItoG3; n=9 | Week 36, ItoG3; n=5 | Week 42, ItoG3; n=4 | Week 48, ItoG3; n=3 | Week 54, ItoG3; n=3 | Week 60, ItoG3; n=2 | Week 66, ItoG3; n=1 | Week 72, ItoG3; n=1 | Week 78, ItoG3; n=1 | Week 84, ItoG3; n=1 | Withdrawal/study conclusion, ItoG3; n=51 | Worst-case on-therapy, ItoG3; n=65 | Week 1, ItoG4; n=62 | Week 2, ItoG4; n=64 | Week 3, ItoG4; n=62 | Week 6, ItoG4; n=47 | Week 9, ItoG4; n=41 | Week 12, ItoG4; n=30 | Week 15, ItoG4; n=22 | Week 18, ItoG4; n=17 | Week 21, ItoG4; n=13 | Week 24, ItoG4; n=11 | Week 30, ItoG4; n=9 | Week 36, ItoG4; n=5 | Week 42, ItoG4; n=4 | Week 48, ItoG4; n=3 | Week 54, ItoG4; n=3 | Week 60, ItoG4; n=2 | Week 66, ItoG4; n=1 | Week 72, ItoG4; n=1 | Week 78, ItoG4; n=1 | Week 84, ItoG4; n=1 | Withdrawal/study conclusion, ItoG4; n=51 | Worst-case on-therapy, ItoG4; n=65 |
---|
Lapatinib + Capecitabine | 10 | 16 | 12 | 10 | 7 | 6 | 5 | 2 | 4 | 3 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 16 | 33 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5 | 9 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
[back to top]
Number of Participants With Change From Baseline (Measured as AGI, ItoG3, and ItoG4) in Toxicity Grades for White Blood Cell (WBC) Count at the Indicated Time Points
Blood samples were collected for the evaluation of WBC count. Toxicity was measured in grades (AE severity) per NCI CTCAE, v3.0, displaying Grades (G) 1-5 with unique clinical descriptions of the severity of each AE. For WBCs: G 1 (NCT00526669)
Timeframe: Baseline (Day 0); Weeks 1, 2, 3, 6, 9, 12, 15, 18, 21, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, and 84; withdrawal (WD)/study conclusion (up to approximately 87 weeks); and worst-case on-therapy
Intervention | participants (Number) |
---|
| Week 1, AGI; n=62 | Week 2, AGI; n=64 | Week 3, AGI; n=62 | Week 6, AGI; n=47 | Week 9, AGI; n=41 | Week 12, AGI; n=30 | Week 15, AGI; n=22 | Week 18, AGI; n=17 | Week 21, AGI; n=13 | Week 24, AGI; n=11 | Week 30, AGI; n=9 | Week 36, AGI; n=5 | Week 42, AGI; n=4 | Week 48, AGI; n=3 | Week 54, AGI; n=3 | Week 60, AGI; n=2 | Week 66, AGI; n=1 | Week 72, AGI; n=1 | Week 78, AGI; n=1 | Week 84, AGI; n=1 | Withdrawal/study conclusion, AGI; n=51 | Worst-case on-therapy, AGI; n=65 | Week 1, ItoG3; n=62 | Week 2, ItoG3; n=64 | Week 3, ItoG3; n=62 | Week 6, ItoG3; n=47 | Week 9, ItoG3; n=41 | Week 12, ItoG3; n=30 | Week 15, ItoG3; n=22 | Week 18, ItoG3; n=17 | Week 21, ItoG3; n=13 | Week 24, ItoG3; n=11 | Week 30, ItoG3; n=9 | Week 36, ItoG3; n=5 | Week 42, ItoG3; n=4 | Week 48, ItoG3; n=3 | Week 54, ItoG3; n=3 | Week 60, ItoG3; n=2 | Week 66, ItoG3; n=1 | Week 72, ItoG3; n=1 | Week 78, ItoG3; n=1 | Week 84, ItoG3; n=1 | Withdrawal/study conclusion, ItoG3; n=51 | Worst-case on-therapy, ItoG3; n=65 | Week 1, ItoG4; n=62 | Week 2, ItoG4; n=64 | Week 3, ItoG4; n=62 | Week 6, ItoG4; n=47 | Week 9, ItoG4; n=41 | Week 12, ItoG4; n=30 | Week 15, ItoG4; n=22 | Week 18, ItoG4; n=17 | Week 21, ItoG4; n=13 | Week 24, ItoG4; n=11 | Week 30, ItoG4; n=9 | Week 36, ItoG4; n=5 | Week 42, ItoG4; n=4 | Week 48, ItoG4; n=3 | Week 54, ItoG4; n=3 | Week 60, ItoG4; n=2 | Week 66, ItoG4; n=1 | Week 72, ItoG4; n=1 | Week 78, ItoG4; n=1 | Week 84, ItoG4; n=1 | Withdrawal/study conclusion, ItoG4; n=51 | Worst-case on-therapy, ItoG4; n=65 |
---|
Lapatinib + Capecitabine | 5 | 9 | 6 | 5 | 3 | 7 | 4 | 3 | 3 | 1 | 3 | 2 | 2 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 2 | 17 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
[back to top]
Percentage of Participants (Par.) With 5-month Progression-free Survival (PFS)
5-month (mo.) PFS was defined as the percentage of par. who were alive/progression free for 5 months from the time of initial treatment. PFS is defined as the time from the initial treatment until the first observation of disease progression (DP)/death due to any cause; the percentage of par. whose follow-up ended or was ongoing was reported. DP is defined as symptomatic progression or the appearance of >=1 NL and/or unequivocal progression of existing non-TLs, and a >=20% increase in the sum of the LD of TLs, taking as a reference the smallest sum LD recorded since treatment started. (NCT00526669)
Timeframe: From initial treatment up to 24 weeks (next available assessment after the 5-month assessment for progressive disease)
Intervention | percentage of participants (Number) |
---|
Lapatinib + Capecitabine | 29 |
[back to top]
Number of Participants With Baseline Shift From Normal to Low or High in Blood Chemistry Parameters
For blood chemistry, the parameters assessed were: Sodium, potassium, calcium, magnesium, chloride, bicarbonate, total protein, albumin, alkaline phosphatase, alanine transaminase (ALT), aspartate aminotransferase (AST), blood urea nitrogen (BUN), Lactate dehydrogenase (LDH), total bilirubin, direct bilirubin, indirect bilirubin, creatinine (serum creatinine or creatinine clearance), glucose. (NCT00532948)
Timeframe: Up to 06 years
,,
Intervention | Participants (Number) |
---|
| Lactic dehydrogenase, normal to low, n=0,0,0 | Lactic dehydrogenase, normal to high, n=0,0,0 | Indirect bilirubin, normal to low, n=1,1,1 | Indirect bilirubin, normal to high, n=1,1,1 | BUN, normal to low, n=3,1,5 | BUN, normal to high, n=3,1,5 | Alkaline phosphatase, normal to low, n=1,1,4 | Alkaline phosphatase, normal to high, n=1,1,4 | Direct blirubin, normal to low, n=2,1,1 | Direct bilirubin, normal to high, n=2,1,1 | Total bilirubin, normal to low, n=4,2,6 | Total bilirubin, normal to high, n=4,2,6 | Fasting glucose, normal to low, n=1,0,4 | Fasting glucose, normal to high, n=1,0,4 | Protein, normal to low, n=1,0,2 | Protein, normal to high, n=1,0,2 | Serum albumin, normal to low, n=3,1,5 | Serum albumin, normal to high, n=3,1,5 | Serum creatinine, normal to low, n=4,2,6 | Serum creatinine, normal to high, n=4,2,6 | ASAT (SGOT), normal to low, n=1,0,4 | ASAT (SGOT), normal to high, n=1,0,4 | ALAT (SGPT), normal to low, n=4,2,6 | ALAT (SGPT), normal to high, n=4,2,6 | Calcium, normal to low, n=3, 1,5 | Calcium, normal to high, n=3,1,5 | Phosphate, normal to low, n=3,1,5 | Phosphate, normal to high, n=3,1,5 | Potassium, normal to low, n=3, 1,5 | Potassium, normal to high, n=3,1,5 | Sodium, normal to low, n=3,1,5 | Sodium, normal to high, n=3,1,5 | Magnesium, normal to low, n=3,1,5 | Magnesium, normal to high, n=3,1,5 | Chloride, normal to low, n=3,1,5 | Chloride, normal to high, n=3,1,5 | Bicarbonate, normal to low, n=3,0,5 | Bicarbonate, normal to high, n=3,0,5 |
---|
Capecitabine 500 mg/m^2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 1 | 0 | 1 | 0 | 2 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
Capecitabine 650 mg/m^2 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 1 | 0 | 0 |
Capecitabine 850 mg/m^2 | 0 | 0 | 0 | 0 | 2 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 2 | 0 | 2 | 0 | 4 | 0 | 1 | 1 | 1 | 0 | 0 | 3 | 0 | 0 | 0 | 1 | 1 | 0 | 3 |
[back to top]
Number of Participants With Baseline Shift From Normal to Low or High in Hematology Parameters
For hematology, the parameters assessed were: Hemoglobin, hematocrit, platelet count, RBC, WBC, lymphocytes, monocytes,granulocytes (blasts), neutrophils(segs, bands),eosinophils and basophils. (NCT00532948)
Timeframe: Up to 06 years
,,
Intervention | Participants (Number) |
---|
| Haematocrit, normal to low, n=3,1,5 | Haematocrit, normal to high, n=3,1,5 | Hemoglobin, normal to low, n=4,2,6 | Hemoglobin, normal to high, n=4,2,6 | White blood cell, normal to low, n=3,1,5 | White blood cell, normal to high, n=3,1,5 | Platelets, normal to low, n=4,2,6 | Platelets, normal to high, n=4,2,6 | Red blood cells, normal to low, n=3,1,3 | Red blood cells, normal to high, n=3,1,3 | Neutrophils (segmented), normal to low , n=3,0,5 | Neutrophils (segmented), normal to high, n=3,0,5 | Basophils (relative), normal to low, n=0,1,2 | Basophils (relative), normal to high, n=0,1,2 | Lymphocytes (relative), normal to low, n=3,1,5 | Lymphocytes (relative), normal to high, n=3,1,5 | Monocytes (relative), normal to low, n=3,1,4 | Monocytes (relative), normal to high, n=3,1,4 | Eosinophils (relative), normal to low, n=1,1,3 | Eosinophils (relative), normal to high, n=1,1,3 |
---|
Capecitabine 500 mg/m^2 | 2 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
Capecitabine 650 mg/m^2 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 |
Capecitabine 850 mg/m^2 | 4 | 0 | 2 | 0 | 0 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 3 | 0 | 0 |
[back to top]
[back to top]
[back to top]
Dose Limiting Toxicities (DLTs)
DLT was defined as any of the following events occurring during the 11 week dose-finding period: any event that leads to interruption of planned radiation for 5 consecutive days or 10 days total; Grade 4 neutropenia or thrombocytopenia; Grade 3 thrombocytopenia that required a platelet transfusion on 2 or more occasions; any Grade 3 or 4 non-hematologic toxicity (with the exception of grade 3 nausea or vomiting of less than 5 days duration, Grade 3 transaminases that returned to baseline value within 7 days of study drug interruption and that did not recur upon re-challenge with study drug, and/or Grade 3 fever or infection of <5 days duration); Grade 2 non-hematologic toxicities that persisted for >7 days and required treatment interruption, or any other capecitabine-related adverse events that required need for dose reduction or permanent cessation of therapy, interruption of study drug for >7 days or recurred on re-challenge with capecitabine rapidly disintegrating tablets (RDTs). (NCT00532948)
Timeframe: Upto 11 weeks
Intervention | Participants (Number) |
---|
Capecitabine 500 mg/m^2 | 0 |
Capecitabine 650 mg/m^2 | 3 |
Capecitabine 850 mg/m^2 | 3 |
[back to top]
Maximum Tolerated Dose (MTD) of Capecitabine.
The MTD was the dose level at which six evaluable patients had been treated and at most one patient experienced a dose limiting toxicity (DLT) and the next highest dose level was too toxic. Dose escalation occurred if 0 out of 3 or at most 1 out of 6 patients experienced DLT while being treated at a dose level; otherwise the dose was declared unsafe and thus above the MTD. (NCT00532948)
Timeframe: Upto 11 weeks.
Intervention | milligrams (Number) |
---|
Capecitabine (Overall) | 650 |
[back to top]
Number of Participants With Adverse Events (AE)
An AE is an unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Toxicity was monitored and graded according to the Cancer Therapy Evaluation Program Common Terminology Criteria for Adverse Events (CTCAE) version 3.0. Adverse events that were not included in the CTCAEv3.0 were reported and graded under the other AE within the appropriate category. (NCT00532948)
Timeframe: Up to 06 years
Intervention | Participants (Number) |
---|
Capecitabine 500 mg/m^2 | 3 |
Capecitabine 650 mg/m^2 | 12 |
Capecitabine 850 mg/m^2 | 6 |
[back to top]
[back to top]
Patients Experiencing Severe Symptom Burden (Physical Symptoms)
The subject rates each question about physical symptoms on a scale of 0 through 10, where 0 is not bad and 10 is as bad as possible. Severe symptoms are indicated by a response > or = to 7 on an item. (NCT00534417)
Timeframe: The questionnaire was administered on day 1 of every cycle (approximately every 4 weeks) during study treatment.
Intervention | percentage of participants (Number) |
---|
| Hives/Welts | Sinus problems | Swelling | Fatigue | Weight loss | Change in taste | Difficulty hearing | Reduced sexual enjoyment, interest, or performance | Dry eyes | Tearing | Trouble seeing | Constipation | Decrease in appetite | Diarrhea | Heartburn | Increase in appetite | Problem with urination | Vaginal dryness | Bruising | New lump/mass | Breast tenderness | Dry skin | Hair loss | Itching | Nails change | Joint pain | Muscle aches | Weakness of body parts | Burning sensation in hands or feet | Daytime sleepiness | Dizziness/lightheadedness | Memory loss | Numbness/tingling | Trouble thinking | Headache | Pain | Coughing | Shortness of breath | Wheezing |
---|
Capecitabine and Fulvestrant | 3.3 | 3.3 | 10.0 | 26.7 | 10.0 | 6.7 | 3.3 | 10.0 | 10.0 | 10.0 | 16.7 | 20.0 | 6.7 | 3.3 | 6.7 | 3.3 | 3.3 | 3.3 | 3.3 | 6.7 | 3.3 | 13.3 | 3.3 | 13.3 | 10.0 | 26.7 | 26.7 | 10.0 | 10.0 | 10.0 | 3.3 | 6.7 | 13.3 | 10.0 | 6.7 | 26.7 | 13.3 | 6.7 | 6.7 |
[back to top]
Patients Experiencing Severe Symptom Burden (Psychiatric Symptoms)
The subject rates each question about psychiatric symptoms on a scale of 0 through 10, where 0 is not bad and 10 is as bad as possible. Severe symptoms are indicated by a response > or = to 7 on an item. (NCT00534417)
Timeframe: The questionnaire was administered on day 1 of every cycle (approximately every 4 weeks) during study treatment.
Intervention | percentage of participants (Number) |
---|
| Crying/feeling like crying | Feeling helpless | Feeling hopeless | Feeling I would be better off dead | Lost interest in people | Lost interest in pleasurable activities | Nervous, tense, anxious | Sad/depressed | Worry |
---|
Capecitabine and Fulvestrant | 10.3 | 6.9 | 10.3 | 3.4 | 3.4 | 10.3 | 13.8 | 10.3 | 10.3 |
[back to top]
Patients Experiencing Severe Symptom Burden (Physical Functioning)
The subject rates each question about physical functioning on a scale of 0 through 10, where 0 is not bad and 10 is as bad as possible. Severe symptoms are indicated by a response > or = to 7 on an item. (NCT00534417)
Timeframe: The questionnaire was administered on day 1 of every cycle (approximately every 4 weeks) during study treatment.
Intervention | percentage of participants (Number) |
---|
| Attend paid job (N=27) | Attend social activity | Bathe or dress self | Cook for self | Driving (N=27) | Function normally | Hard work or activity (N=27) | Household work | Light work or activity | Run (N=27) | Run errands | Sit up | Stay out of bed | Walk |
---|
Capecitabine and Fulvestrant | 37.0 | 7.1 | 10.7 | 10.7 | 25.9 | 14.3 | 33.3 | 21.4 | 10.7 | 33.3 | 17.9 | 10.7 | 7.1 | 17.9 |
[back to top]
Best Overall Response
Best overall response is defined as the best response across all time points. Response was evaluated via changes from baseline in radiological tumor measurements performed after every two treatment cycles and at the end of treatment or time of progression. Response was evaluated using RECIST version 1.0 guidelines, where complete response (CR) is the disappearance of all target lesions; partial response (PR) is >=30% decrease in the sum of the longest diameter (LD) of target lesions; Stable Disease (SD) is neither sufficient shrinkage in sum of LD of target lesions to be PR nor increase of >=20%; Progressive Disease (PD) is the increase in existing lesions or new lesions. (NCT00534417)
Timeframe: Response to treatment was assessed after every 8 weeks of treatment
Intervention | participants (Number) |
---|
| Complete response (CR) | Partial response (PR) | Stable disease (SD) | Progressive disease (PD) |
---|
Capecitabine and Fulvestrant | 2 | 8 | 28 | 3 |
[back to top]
Time to Progression (TTP)
Time to progression is defined as the time from treatment start until objective tumor progression. Progression is defined per Response Evaluation Criteria in Solid Tumors (RECIST)v1.0 guidelines as a measurable increase in the smallest diameter of any target lesion, progression of existing non-target lesions, or the appearance of 1 or more new lesions. The median time to progression is the parameter used to describe TTP. (NCT00534417)
Timeframe: TTP was measured from day 1 of treatment until time of progression (assessed every 8 weeks), up to 29 months.
Intervention | Months (Median) |
---|
Capecitabine and Fulvestrant | 26.94 |
[back to top]
Clinical Benefit Rate
Clinical benefit rate was defined as the percentage of participants experiencing stable disease (SD) of at least 24 weeks plus complete response (CR) and partial response (PR). Response was evaluated via changes from baseline in radiological tumor measurements performed after every two treatment cycles and at the end of treatment or time of progression. Response was evaluated using RECIST version 1.0 guidelines, where CR is the disappearance of all target lesions; PR is >=30% decrease in the sum of the longest diameter(LD) of target lesions; SD is neither sufficient shrinkage in sum of longest diameter of target lesions to be PR nor increase of >=20%. (NCT00534417)
Timeframe: Response to treatment was assessed after every 8 weeks of treatment
Intervention | percentage of participants (Number) |
---|
Capecitabine and Fulvestrant | 58.5 |
[back to top]
Progression-free Survival (PFS)
Disease progression was determined through radiology imaging measurements and by clinical or symptomatic progression during or after treatment. Progression is defined per RECIST v1.0 guidelines as a measurable increase in the smallest diameter of any target lesion, progression of existing non-target lesions, or the appearance of 1 or more new lesions. (NCT00534417)
Timeframe: PFS was measured from day 1 of treatment until time of progression (assessed every 8 weeks) or death, whichever came first, up to 32.5 months.
Intervention | Months (Median) |
---|
Capecitabine and Fulvestrant | 14.98 |
[back to top]
Overall Survival (OS)
Overall survival is defined as the time from treatment start until death from any cause. The median overall survival time is used to measure OS. (NCT00534417)
Timeframe: OS was measured from day 1 of treatment until time of death from any cause, up to 32.5 months.
Intervention | Months (Median) |
---|
Capecitabine and Fulvestrant | 28.65 |
[back to top]
Overall Response Rate
Overall response rate was defined as the percentage of participants experiencing complete response (CR) and partial response (PR). Response was evaluated via changes from baseline in radiological tumor measurements performed after every two treatment cycles and at the end of treatment or time of progression. Response was evaluated using RECIST version 1.0 guidelines, where complete response (CR) is the disappearance of all target lesions; partial response (PR) is >=30% decrease in the sum of the longest diameter (LD) of target lesions; Stable Disease (SD) is neither sufficient shrinkage in sum of LD of target lesions to be PR nor increase of >=20%; Progressive Disease (PD) is the increase in existing lesions or new lesions. (NCT00534417)
Timeframe: Response to treatment was assessed after every 8 weeks of treatment
Intervention | percentage of participants (Number) |
---|
Capecitabine and Fulvestrant | 24.4 |
[back to top]
Overall Response in Phase II
The overall response is defined as the number of participants whose tumor response was classified as a complete response (CR; disappearance of all target lesions) or partial response (PR; 30% decrease in the sum of the longest diameter of target lesions) per Response Evaluation Criteria in Solid Tumors. Response was measured for participants in Phase II only. To determine response, radiographic images were taken at baseline, 8 weeks, and every 8 weeks thereafter until the participant withdrew from the study. (NCT00536809)
Timeframe: Baseline to response (up to 135 days)
Intervention | participants (Number) |
---|
Lap. 1000 mg/Oxaliplatin 130 mg/m^2/Capecitabine 1500 mg/m^2 | 2 |
[back to top]
Response Rate
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by spiral CT scan: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT00538291)
Timeframe: Assessment after every 2 cycles of treatment, up to 1 year.
Intervention | number of responding participants (Number) |
---|
Arm 1 | 1 |
[back to top]
[back to top]
Percentage of Nontriple-negative (NTN) Participants With Best Response to Treatment of Complete or Partial Per Cohort
The tumor response rate is defined as the total number of participants whose best response is CR or PR, divided by the number of randomized participants. Participants not evaluable for response are considered to be nonresponders. NTN participants are who are not TN participants (TN participants are those with tumors that do not express estrogen or progesterone receptors and that do not overexpress HER2) and who received ixabepilone plus capecitabine or docetaxel plus capecitabine. (NCT00546364)
Timeframe: Baseline to 6 weeks (end of Cycle 2)
Intervention | Percentage of NTN Participants (Number) |
---|
Ixabepilone, 40 mg/m^2 + Capecitabine, 1000 mg/m^2 | 33 |
Ixabepilone, 32 mg/m^2 + Capecitabine, 1000 mg/m^2 | 54 |
Docetaxel, 75 mg/m^2 + Capecitabine, 1000 mg/m^2 | 42 |
[back to top]
Percentage of Participants With Best Response to Treatment of Complete or Partial
The tumor response rate is defined as the number of participants with a best tumor response of CR or PR (as assessed by the investigator according to RECIST criteria), divided by the number of participants randomized in that arm. (NCT00546364)
Timeframe: Baseline to 6 weeks (end of Cycle 2)
Intervention | Percentage of patients (Number) |
---|
Ixabepilone, 40 mg/m^2 + Capecitabine, 1000 mg/m^2 | 35 |
Ixabepilone, 32 mg/m^2 + Capecitabine, 1000 mg/m^2 | 41 |
Docetaxel, 75 mg/m^2 + Capecitabine, 1000 mg/m^2 | 30 |
[back to top]
Percentage of Triple-negative (TN) Participants With Best Response to Treatment of Complete or Partial
The tumor response rate is defined as the total number of participants whose best response is CR or PR, divided by the number of randomized participants. Participants not evaluable for response are considered to be nonresponders. TN participants are those with tumors that do not express estrogen or progesterone receptors and that do not over express human epidermal growth factor receptor 2 (HER2). (NCT00546364)
Timeframe: Baseline to 6 weeks (end of Cycle 2)
Intervention | Percentage of TN Participants (Number) |
---|
Ixabepilone, 40 mg/m^2 + Capecitabine, 1000 mg/m^2 | 38 |
Ixabepilone, 32 mg/m^2 + Capecitabine, 1000 mg/m^2 | 22 |
Docetaxel, 75 mg/m^2 + Capecitabine, 1000 mg/m^2 | 13 |
[back to top]
Number of Participants With Abnormalities in Hematology Laboratory Results by Worst Common Terminology Criteria (CTC) Grade
CTC Grade 1=Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2=Moderate; minimal, local or noninvasive intervention indicated. Grade 3=Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling. Grade 4=Life-threatening consequences; urgent intervention indicated. (NCT00546364)
Timeframe: Baseline in Cycle 1 (21 days) and then prior to start of each 21-day cycle
,,
Intervention | Participants (Number) |
---|
| Neutropenia (Grades 1-4) | Neutropenia (Grade 3 or 4) | Leukopenia (Grades 1-4) | Leukopenia (Grade 3 or 4) | Thrombocytopenia (Grades 1-4) | Thrombocytopenia (Grade 3 or 4) | Anemia (Grades 1-4) | Anemia (Grade 3 or 4) |
---|
Docetaxel, 75 mg/m^2 + Capecitabine, 1000 mg/m^2 | 17 | 15 | 17 | 12 | 7 | 0 | 17 | 0 |
Ixabepilone, 32 mg/m^2 + Capecitabine, 1000 mg/m^2 | 15 | 10 | 19 | 9 | 11 | 1 | 21 | 1 |
Ixabepilone, 40 mg/m^2 + Capecitabine, 1000 mg/m^2 | 18 | 12 | 20 | 9 | 9 | 0 | 18 | 0 |
[back to top]
Number of Participants With Best Tumor Response as Assessed With Response Evaluation Criteria in Solid Tumors (RECIST)
RECIST definitions: Complete reponse (CR)=disappearance of all nontarget lesions; partial response (PR)=at least 30% reduction in the sum of the longest diameter (LD) of all target lesions in reference to the baseline sum LD; stable disease (SD)=neither PR nor progressive disease (PD) criteria were met; PD=at least 20% increase in the sum of the LD of all target lesions, taking as reference the smallest sum LD recorded at or following baseline. Tumor status assessed by investigator. (NCT00546364)
Timeframe: Baseline to 6 weeks (end of Cycle 2)
,,
Intervention | Participants (Number) |
---|
| Complete response (CR) | Partial response (PR) | Stable disease (SD) | Progressive disease (PD) | Discontinued before first tumor assessment | No tumor assessment due to other reasons | Unable to determine |
---|
Docetaxel, 75 mg/m^2 + Capecitabine, 1000 mg/m^2 | 0 | 6 | 3 | 9 | 1 | 1 | 0 |
Ixabepilone, 32 mg/m^2 + Capecitabine, 1000 mg/m^2 | 1 | 8 | 3 | 9 | 0 | 0 | 1 |
Ixabepilone, 40 mg/m^2 + Capecitabine, 1000 mg/m^2 | 1 | 6 | 6 | 4 | 3 | 0 | 0 |
[back to top]
[back to top]
Number of Participants With Abnormalities in Serum Chemistry Laboratory Results
ULN=Upper limit of normal among all laboratory ranges. Alanine aminotransferase (ALT) Grade 1:>ULN to 2.5*ULN; Grade 2: >2.5 to 5.0*ULN; Grade 3: >5.0 to 20.0*ULN; Grade 4: >20.0*ULN. Aspartate aminotransferase (AST) Grade 1: >ULN to 2.5*ULN; Grade 2: >2.5 to 5.0*ULN; Grade 3: >5.0 to 20.0*ULN; Grade 4: >20.0*ULN. Total bilirubin Grade 1: >ULN to 1.5*ULN; Grade 2: >1.5 to 3.0*ULN; Grade 3: >3.0 to 10.0*ULN; Grade 4: >10.0*ULN. Creatine Grade 1: >ULN to 1.5*ULN; Grade 2: 1.5 to 3.0*ULN; Grade 3: >3.0 to 6.0*ULN; Grade 4: >6.0*ULN. (NCT00546364)
Timeframe: Baseline in Cycle 1 (21 days) and then prior to start of each 21-day cycle
,,
Intervention | Participants (Number) |
---|
| ALT, high (Grades 1-4) | ALT, high (Grade 3 or 4) | AST, high (Grades 1-4) | AST, high (Grade 3 or 4) | Total bilirubin, high (Grades 1-4) | Total bilirubin, high (Grade 3 or 4) | Creatinine, high (Grades 1-4) | Creatinine, high (Grade 3 or 4) |
---|
Docetaxel, 75 mg/m^2 + Capecitabine, 1000 mg/m^2 | 5 | 0 | 5 | 0 | 0 | 0 | 2 | 0 |
Ixabepilone, 32 mg/m^2 + Capecitabine, 1000 mg/m^2 | 3 | 0 | 5 | 0 | 1 | 0 | 1 | 0 |
Ixabepilone, 40 mg/m^2 + Capecitabine, 1000 mg/m^2 | 4 | 0 | 7 | 0 | 0 | 0 | 1 | 0 |
[back to top]
Overall Survival
The primary efficacy endpoint for this study was overall survival (time to death), defined as the time between randomization and the date of death irrespective of the cause of death. Patients for whom no death was captured on the clinical database were censored at the most recent date they were known to be alive. Median survival was estimated by the Kaplan-Meier method. (NCT00548548)
Timeframe: From randomization until death, up to 26 months
Intervention | months (Median) |
---|
Bevacizumab | 12.1 |
Placebo | 10.1 |
[back to top]
Participants With Adverse Events
The intensity of Adverse Events (AEs) was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), Version 3.0 on a five-point scale from Grade 1 (Mild) to Grade 5 (Death). A serious AE (SAE) was defined as any event that is fatal, life-threatening, requires in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is medically significant or requires intervention to prevent one or other of the outcomes listed above. (NCT00548548)
Timeframe: From randomization until 3 months after last dose (up to 26 months)
,
Intervention | participants (Number) |
---|
| Any Adverse event | Serious AE | Grade 3/4/5 AE | Grade 5 AE | Deaths not due to Progression |
---|
Bevacizumab | 380 | 134 | 293 | 18 | 31 |
Placebo | 377 | 137 | 294 | 25 | 29 |
[back to top]
Progression-free Survival
Progression-free survival (PFS) is defined as the time between randomization and the date of first documented disease progression or death, whichever occurs first. Patients who neither progressed nor died at the time of study completion or who were lost to follow-up were censored at the date of the last tumor assessment or last follow up for progression of disease. Median PFS was estimated using the Kaplan-Meier method. (NCT00548548)
Timeframe: From randomization until disease progression or death, up to 26 months.
Intervention | months (Median) |
---|
Bevacizumab | 6.7 |
Placebo | 5.3 |
[back to top]
Progression-free Survival During First-line Therapy
Progression-free survival (PFS) during first-line therapy is defined as the time between randomization and the date of first documented disease progression or death, whichever occurs first and only if it occurs no later than 28 days after last confirmed intake of any study medication and only if it occurs before the start of non-study antineoplastic treatment. Participants who did not progress or die in this interval or were lost to follow-up were censored at the date of the last tumor assessment within this time window. Median PFS was estimated using the Kaplan-Meier method. (NCT00548548)
Timeframe: From randomization until 28-days after the last study treatment was administered, up to 26 months.
Intervention | months (Median) |
---|
Bevacizumab | 6.9 |
Placebo | 5.4 |
[back to top]
Participants With Disease Control
Disease control for participants with measurable disease was defined as a complete response (CR), partial response (PR) or stable disease (SD) for 6 weeks or longer, as determined by the RECIST criteria. For participants without measurable disease, disease control was defined as no disease progression for ≥ 6 weeks. (NCT00548548)
Timeframe: From randomization until the end of study, up to 26 months.
,
Intervention | participants (Number) |
---|
| Participants with Disease Control | Participants without Disease Control |
---|
Bevacizumab | 300 | 87 |
Placebo | 271 | 116 |
[back to top]
Duration of Response
Duration of response during first line therapy is defined as the time from when response (CR or PR) was first documented to first documented disease progression or death (whichever occurs first) during first line therapy. This was only be calculated for participants who achieved a best overall response of CR or PR. Participants who did not progress or die after they had a confirmed response were censored at the date of their last tumor measurement or last follow up for progression of disease during first line therapy. Median duration of response was estimated using the Kaplan-Meier method. (NCT00548548)
Timeframe: From randomization to the end of study, up to 26 months
Intervention | months (Median) |
---|
Bevacizumab | 7.1 |
Placebo | 5.8 |
[back to top]
Time to Disease Progression
Time to progression is defined as the time from randomization to the first occurrence of progressive disease (PD). PD was assessed according to the Response Evaluation Criteria in Solid Tumors (RECIST) criteria and defined as at least a 20% increase in the sum of the longest diameter of target lesions, or appearance of ≥1 new lesions and/or unequivocal progression of existing non-target lesions. Patients with no PD at study completion (including those who died before PD) were censored at the date of the last tumor assessment. Median time to PD was estimated using the Kaplan-Meier method. (NCT00548548)
Timeframe: From randomization until disease progression; assessed every 6 weeks for the first year and every 12 weeks thereafter, up to 26 months.
Intervention | months (Median) |
---|
Bevacizumab | 7.0 |
Placebo | 5.6 |
[back to top]
Participants With a Best Overall Response of Complete or Partial Response
Best overall response during first-line therapy is defined as the occurrence of either a confirmed complete (CR) or a partial (PR) best overall response, as determined by the RECIST criteria. CR is defined as the disappearance of all target and non-target lesions and PR is defined as at least a 30% decrease in the sum of the longest diameter of target lesions and no new or progression of non-target lesions, or the disappearance of all target lesions and persistence of one or more non-target lesion(s). (NCT00548548)
Timeframe: From randomization until the end of study, up to 26 months.
,
Intervention | participants (Number) |
---|
| Responders | Non-responders |
---|
Bevacizumab | 143 | 168 |
Placebo | 111 | 186 |
[back to top]
Number of Participants Who Experienced One or More Adverse Events (AEs)
An AE is any untoward medical occurrence in a participant administered study drug which does not necessarily have a causal relationship with the study drug. AEs may include the onset of new illness and the exacerbation of pre-existing conditions. (NCT00551213)
Timeframe: Up to 30 days after last dose of study drug (Up to approximately 22 weeks)
Intervention | Participants (Number) |
---|
Robatumumab→Robatumumab | 49 |
Chemotherapy→Robatumumab | 15 |
[back to top]
Number of Participants Who Discontinued Study Drug Due to an AE
An AE is any untoward medical occurrence in a participant administered study drug which does not necessarily have a causal relationship with the study drug. AEs may include the onset of new illness and the exacerbation of pre-existing conditions. (NCT00551213)
Timeframe: Up to last dose of study drug (Up to approximately 18 weeks)
Intervention | Participants (Number) |
---|
Robatumumab→Robatumumab | 6 |
Chemotherapy→Robatumumab | 3 |
[back to top]
Best Overall Tumor Response Per Central Review
Tumor response was assessed by CT or MRI scan using RECIST v1.0 criteria at Screening, at every 8 weeks of robatumumab treatment during Period 2 and at post study. A sum of the LD for all target lesions was calculated and reported as the baseline sum LD. Overall tumor responses were defined as: Complete Response (CR) - Disappearance of all target lesions; Partial Response (PR) - At least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD; Progressive Disease (PD) - 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; or Stable Disease (SD) - Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started. (NCT00551213)
Timeframe: Up to 30 days after last dose of study drug (Up to approximately 22 weeks)
,
Intervention | Participants (Number) |
---|
| Partial Response | Stable Disease | Progressive Disease | No post-Baseline assessment |
---|
Chemotherapy→Robatumumab | 0 | 5 | 9 | 1 |
Robatumumab→Robatumumab | 0 | 10 | 31 | 8 |
[back to top]
Change From Baseline in Tumor Growth Rate
Tumor growth rate was assessed by CT or MRI scans using RECIST criteria at Screening, at every 8 weeks of robatumumab treatment and at post study. For Pre Baseline 1, tumor growth rate=(sum of longest diameter of target lesions at Baseline - the most recent prior to Baseline)/duration between Baseline and Pre Baseline. For all other cycles, tumor growth rate=(sum of longest diameter of target lesions at a cycle - Baseline)/ duration between Baseline and the cycle. The cycles presented below are relative to the first dose of robatumumab in Period 1. (NCT00551213)
Timeframe: Baseline and up to approximately 22 weeks
Intervention | mm/day (Mean) |
---|
| Pre Baseline 1 (n=46) | Cycle 1 (n=24) | Cycle 2 (n=25) | Cycle 5 (n=25) | Cycle 9 (n=7) |
---|
Robatumumab→Robatumumab | 0.49 | 0.07 | 0.41 | 0.53 | 0.19 |
[back to top]
Best Overall Tumor Response Per Investigator Review
Tumor response was assessed by computed tomography (CT) or magnetic resonance imaging (MRI) scans using RECIST v 1.0 criteria at Screening, at every 8 weeks of robatumumab treatment during Period 2 and at post study. A sum of the longest diameter (LD) for all target lesions was calculated and reported as the baseline sum LD. Overall tumor responses were defined as: Complete Response (CR) - Disappearance of all target lesions; Partial Response (PR) - At least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD; Progressive Disease (PD) - 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; or Stable Disease (SD) - Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started. (NCT00551213)
Timeframe: Up to 30 days after last dose of study drug (Up to approximately 22 weeks)
,
Intervention | Participants (Number) |
---|
| Partial Response | Stable Disease | Progressive Disease | No post-Baseline assessment |
---|
Chemotherapy→Robatumumab | 0 | 7 | 6 | 2 |
Robatumumab→Robatumumab | 1 | 10 | 33 | 5 |
[back to top]
[back to top]
Progression-Free Survival (PFS)
PFS defined as time from the first dose of study treatment to the first documentation of objective tumor progression or to death due to any cause, whichever occurs first. (NCT00555620)
Timeframe: Baseline up to Month 15
Intervention | months (Median) |
---|
SU 37.5 mg, CIS 60 mg/m^2, CAP 1600 mg/m^2 | 3.2 |
SU 37.5 mg, CIS 60 mg/m^2, CAP 2000 mg/m^2 | 6.6 |
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 6.4 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 8.0 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 2.8 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 5.5 |
[back to top]
Percentage of Participants With Objective Response
Percentage of participants with an objective response-based assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). CR defined as the disappearance of all target lesions. PR defined as ≥30 percent (%) decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions. (NCT00555620)
Timeframe: Baseline, Day 21 of every even-numbered cycle up to 15 months
Intervention | percentage of participants (Number) |
---|
SU 37.5 mg, CIS 60 mg/m^2, CAP 1600 mg/m^2 | 16.7 |
SU 37.5 mg, CIS 60 mg/m^2, CAP 2000 mg/m^2 | 42.9 |
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 46.7 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 43.5 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 0 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 45.5 |
[back to top]
Number of Participants With First-cycle Dose Limiting Toxicities (DLTs)
Any DLT event in Cycle 1: Grade (GR) 3/4 nausea, vomiting, or diarrhea despite anti-emetics, anti-diarrheals; GR 3 nonhematological toxicity for greater than or equal to (≥)7 days (except alopecia, skin or hair discoloration, hyperamylasemia, or hyperlipasemia without other clinical evidence of pancreatitis and asymptomatic hyperuricemia); GR 4 nonhematological toxicity; GR 4 neutropenia ≥7 days or thrombocytopenia; GR ≥3 febrile neutropenia or neutropenic infection; GR 3 thrombocytopenia ≥7 days; any treatment-related toxicity having >3 consecutive CAP or SU missed doses per cycle; delayed toxicity recovery >14 days. (NCT00555620)
Timeframe: Baseline up to Day 21
Intervention | participants (Number) |
---|
SU 37.5 mg, CIS 60 mg/m^2, CAP 1600 mg/m^2 | 1 |
SU 37.5 mg, CIS 60 mg/m^2, CAP 2000 mg/m^2 | 0 |
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 3 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 2 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 2 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 0 |
[back to top]
Duration of Response (DR)
DR defined as time from start of first documented objective tumor response (CR or PR) to first documented objective tumor progression or death due to any cause, whichever occurs first. (NCT00555620)
Timeframe: Baseline up to Month 15
Intervention | months (Median) |
---|
SU 37.5 mg, CIS 60 mg/m^2, CAP 1600 mg/m^2 | 14.1 |
SU 37.5 mg, CIS 60 mg/m^2, CAP 2000 mg/m^2 | 6.3 |
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 10.5 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 5.9 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 6.3 |
[back to top]
Tmax for CAP
(NCT00555620)
Timeframe: Day 1 of Cycle 1 (0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose); Day 14 of Cycle 1 (predose and 0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose)
,,
Intervention | hr (Median) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 14 |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 4.3 | 0.3 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 0.5 | 0.4 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 2.0 | 2.0 |
[back to top]
Tmax for 5'DFUR
(NCT00555620)
Timeframe: Day 1 of Cycle 1 (0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose); Day 14 of Cycle 1 (predose and 0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose)
,,
Intervention | hr (Median) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 14 |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 4.5 | 0.4 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 0.8 | 0.5 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 2.0 | 3.0 |
[back to top]
Tmax for 5'DFCR
(NCT00555620)
Timeframe: Day 1 of Cycle 1 (0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose); Day 14 of Cycle 1 (predose and 0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose)
,,
Intervention | hr (Median) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 14 |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 4.3 | 0.4 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 0.6 | 0.5 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 2.0 | 3.0 |
[back to top]
Tmax for 5-FU
(NCT00555620)
Timeframe: Day 1 of Cycle 1 (0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose); Day 14 of Cycle 1 (predose and 0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose)
,,
Intervention | hr (Median) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 14 |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 4.5 | 0.4 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 0.6 | 0.5 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 2.0 | 3.0 |
[back to top]
Time to Reach Maximum Observed Plasma Concentration (Tmax) for SU, SU012662, and Total Drug (SU + SU012662)
(NCT00555620)
Timeframe: Day 14 of Cycle 1 (predose and 2, 4, 6, 8, 10, and 24 hours postdose)
,,
Intervention | hour (hr) (Median) |
---|
| Tmax SU011248 | Tmax SU012662 | Tmax total drug (SU011248+SU012662) |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 4.0 | 9.0 | 4.0 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 8.0 | 6.0 | 6.0 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 8.0 | 8.0 | 8.0 |
[back to top]
Minimum Observed Plasma Trough Concentration (Cmin) of SU, SU012662, and Total Drug (SU + SU012662)
(NCT00555620)
Timeframe: Day 14 of Cycle 1 (predose and 2, 4, 6, 8, 10, and 24 hours postdose)
,,
Intervention | ng/mL (Mean) |
---|
| Cmin SU011248 | Cmin SU012662 | Cmin total drug (SU011248+SU012662) |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 29.0 | 11.9 | 41.6 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 30.2 | 11.1 | 41.8 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 49.2 | 18.7 | 68.5 |
[back to top]
t1/2 for CAP
Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. (NCT00555620)
Timeframe: Day 1 of Cycle 1 (0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose); Day 14 of Cycle 1 (predose and 0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose)
,,
Intervention | hr (Mean) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 14 |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 0.3 | 0.4 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 0.4 | 0.4 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 0.3 | 0.5 |
[back to top]
t1/2 for 5'DFUR
Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. (NCT00555620)
Timeframe: Day 1 of Cycle 1 (0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose); Day 14 of Cycle 1 (predose and 0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose)
,,
Intervention | hr (Mean) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 14 |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 0.7 | 0.6 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 0.7 | 0.7 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 1.0 | 1.0 |
[back to top]
[back to top]
[back to top]
[back to top]
AUClast for 5'DFUR
Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast) (NCT00555620)
Timeframe: Day 1 of Cycle 1 (0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose) and Day 14 of Cycle 1 (predose and 0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours)
,,
Intervention | ng*hr/mL (Mean) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 14 |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 8855 | 8500 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 8951 | 10017 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 5658 | 4829 |
[back to top]
Cmin of 5-FU
(NCT00555620)
Timeframe: Day 1 of Cycle 1 (0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose); Day 14 of Cycle 1 (predose and 0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose)
,,
Intervention | ng/mL (Mean) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 14 |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 0.0 | 0.0 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 0.8 | 0.0 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 0.0 | 0.0 |
[back to top]
Cmin of 5'DFCR
(NCT00555620)
Timeframe: Day 1 of Cycle 1 (0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose); Day 14 of Cycle 1 (predose and 0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose)
,,
Intervention | ng/mL (Mean) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 14 |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 11.1 | 50.5 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 55.60 | 0.00 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 13.0 | 0.00 |
[back to top]
Cmin of 5'DFUR
(NCT00555620)
Timeframe: Day 1 of Cycle 1 (0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose); Day 14 of Cycle 1 (predose and 0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose)
,,
Intervention | ng/mL (Mean) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 14 |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 0.0 | 33.5 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 34.4 | 0.0 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 2.4 | 0.0 |
[back to top]
Cmin of CAP
(NCT00555620)
Timeframe: Day 1 of Cycle 1 (0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose); Day 14 of Cycle 1 (predose and 0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose)
,,
Intervention | ng/mL (Mean) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 14 |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 24.8 | 32.0 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 0.0 | 0.0 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 0.0 | 0.0 |
[back to top]
t1/2 for 5-FU
Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. (NCT00555620)
Timeframe: Day 1 of Cycle 1 (0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose); Day 14 of Cycle 1 (predose and 0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose)
,,
Intervention | hr (Mean) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 14 |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 0.8 | 0.6 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 0.6 | 0.6 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 1.2 | 1.1 |
[back to top]
t1/2 for 5'DFCR
Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. (NCT00555620)
Timeframe: Day 1 of Cycle 1 (0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose); Day 14 of Cycle 1 (predose and 0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose)
,,
Intervention | hr (Mean) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 14 |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 0.7 | 0.7 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 0.8 | 0.8 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 1.0 | 1.1 |
[back to top]
Cmax of CAP
(NCT00555620)
Timeframe: Day 1 of Cycle 1 (0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose); Day 14 of Cycle 1 (predose and 0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose)
,,
Intervention | ng/mL (Mean) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 14 |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 7000 | 20491 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 11681 | 16276 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 2051 | 1989 |
[back to top]
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for CAP
Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast) (NCT00555620)
Timeframe: Day 1 of Cycle 1 (0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose) and Day 14 of Cycle 1 (predose and 0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours)
,,
Intervention | ng*hr/mL (Mean) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 14 |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 7555 | 13532 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 7373 | 8213 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 2899 | 3157 |
[back to top]
[back to top]
AUClast for 5'DFCR
Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast) (NCT00555620)
Timeframe: Day 1 of Cycle 1 (0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose) and Day 14 of Cycle 1 (predose and 0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours)
,,
Intervention | ng*hr/mL (Mean) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 14 |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 12815 | 8614 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 11229 | 9776 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 8028 | 6464 |
[back to top]
AUClast for 5-FU
Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast) (NCT00555620)
Timeframe: Day 1 of Cycle 1 (0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose) and Day 14 of Cycle 1 (predose and 0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours)
,,
Intervention | ng*hr/mL (Mean) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 14 |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 355 | 688 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 506 | 854 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 291 | 350 |
[back to top]
Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)]: CAP, 5'DFCR, 5'DFUR, and 5-FU
AUC (0 - ∞) = Area under the plasma concentration versus time curve (AUC) from time zero (predose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). (NCT00555620)
Timeframe: Day 1 of Cycle 1 (0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose)
,,
Intervention | ng*hr/mL (Mean) |
---|
| CAP (n = 1, 4, 10) | 5'DFCR (n = 1, 7, 10) | 5'DFUR (n = 1, 6, 10) | 5-FU (n = 1, 5, 9) |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 7480 | 9200 | 7770 | 386 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 8069 | 11467 | 9099 | 489 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 2828 | 8853 | 5703 | 285 |
[back to top]
Area Under the Curve From Time Zero to 12 Hours [AUC (12)] for CAP, 5'DFCR, 5'DFUR, and 5-FU
AUC (12) = Area under the plasma concentration versus time curve from time zero (predose) to the extrapolated time 12 hours postdose. It is obtained from AUC (0 - last) plus AUC (last - 12) (NCT00555620)
Timeframe: Day 14 of Cycle 1 (predose and 0.25, 0.5, 1, 2, 3, 4, 8, and 10 hours postdose)
,,
Intervention | ng*hr/mL (Mean) |
---|
| CAP (n = 1, 4, 9) | 5'DFCR (n = 1, 7, 10) | 5'DFUR (n = 1, 6, 10) | 5-FU (n = 1, 5, 10) |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 25435 | 15522 | 15522 | 1299 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 8865 | 10091 | 10291 | 842 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 2663 | 7087 | 4822 | 353 |
[back to top]
Area Under the Curve From Time 0 to 24 Hours Postdose (AUC [0-24]) for SU, SU012662, and Total Drug (SU + SU012662)
Area under the plasma concentration-time curve from time 0 to 24 hours postdose (0-24), also considered the AUC between doses at steady state. (NCT00555620)
Timeframe: Day 14 of Cycle 1 (predose and 2, 4, 6, 8, 10, and 24 hours postdose)
,,
Intervention | nanogram hours per milliliter (ng*hr/mL) (Mean) |
---|
| AUC (0-24) SU011248 | AUC (0-24) SU012662 | AUC (0-24) total drug (SU011248+SU012662) |
---|
SU 25 mg, CIS 80 mg/m^2, CAP 2000 mg/m^2 | 844 | 321 | 1163 |
SU 25 mg, OXA 110 mg/m^2, CAP 2000 mg/m^2 | 902 | 327 | 1230 |
SU 37.5 mg, OXA 110 mg/m^2, CAP 1600 mg/m^2 | 1420 | 524 | 1944 |
[back to top]
Recurrence
This population has aggressive disease with a high rate of recurrence and death within 1 year of completing radiation therapy (NCT00562718)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
Surgery and Chemotherapy | 14 |
[back to top]
Cosmesis
(NCT00562718)
Timeframe: 1 year
Intervention | participants (Number) |
---|
Surgery and Chemotherapy | 22 |
[back to top]
Overall Safety
Primarily Grade 1 and 2 toxicities attributable to capecitabine (NCT00562718)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
Surgery and Chemotherapy | 12.6 |
[back to top]
Overall Survival
(NCT00565370)
Timeframe: 28 months
Intervention | Months (Median) |
---|
XP Plus Sorafenib | 14.7 |
[back to top]
Number of Participants Who Experienced Dose Limiting Toxicities (DLTs)
Number of Participants who Experienced Dose Limiting Toxicities (DLTs) (NCT00565370)
Timeframe: 28weeks
Intervention | participants (Number) |
---|
XP Plus Sorafenib | 3 |
[back to top]
Progression-free Survival
(NCT00565370)
Timeframe: 1 year
Intervention | Months (Median) |
---|
XP Plus Sorafenib | 10.0 |
[back to top]
Response Rate
"Tumor response was assessed every two cycles by RECIST(v1.0) using the same imaging techniques and methods used at baseline.~Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR., or similar definition that is accurate and appropriate" (NCT00565370)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
XP Plus Sorafenib | 62.8 |
[back to top]
Toxicity Profile (According to National Cancer Institute Common Terminology Criteria for Adverse Event Version 3.0)
Number of patients who experienced toxicity from study treatment to evaluate the safety and tolerability of Capecitabine and cisplatin plus sorafenib (NCT00565370)
Timeframe: 28weeks
Intervention | participants (Number) |
---|
XP Plus Sorafenib | 21 |
[back to top]
Mean Ixabepilone Terminal Elimination Half Life (T 1/2) in One Dosing Interval
T 1/2 = terminal elimination half life as determined from participant serum samples in one dosing interval. (NCT00568022)
Timeframe: During Cycle 1 at specified timepoints (Day 1 to Day 8).
Intervention | Hours (Mean) |
---|
Ixabepilone 32 mg/m^2 + Capecitabine 1650 mg/m^2/Day | 41.77 |
Ixabepilone 40 mg/m^2 + Capecitabine 1650 mg/m^2/Day | 44.17 |
Ixabepilone 40 mg/m^2 + Capecitabine 2000 mg/m^2/Day | 54.27 |
[back to top]
Mean Ixabepilone Volume of Distribution at Steady State (Vss) in One Dosing Interval
Vss = volume of distribution at steady state determined from participant serum samples from one dosing interval. (NCT00568022)
Timeframe: During Cycle 1 at specified timepoints (Day 1 to Day 8).
Intervention | Liters (Mean) |
---|
Ixabepilone 32 mg/m^2 + Capecitabine 1650 mg/m^2/Day | 1910.13 |
Ixabepilone 40 mg/m^2 + Capecitabine 1650 mg/m^2/Day | 1498.46 |
Ixabepilone 40 mg/m^2 + Capecitabine 2000 mg/m^2/Day | 2055.55 |
[back to top]
Mean Ixabepilone Area Under the Concentration Curve (AUC INF) in One Dosing Interval
AUC = the average area under the concentration curve (AUC [INF]) of ixabepilone as determined from participant serum samples in one dosing interval over 24 hours. (NCT00568022)
Timeframe: During Cycle 1 at specified timepoints (Day 1 to Day 8).
Intervention | ng·h/mL (Geometric Mean) |
---|
Ixabepilone 32 mg/m^2 + Capecitabine 1650 mg/m^2/Day | 1260.71 |
Ixabepilone 40 mg/m^2 + Capecitabine 1650 mg/m^2/Day | 1676.46 |
Ixabepilone 40 mg/m^2 + Capecitabine 2000 mg/m^2/Day | 1417.78 |
[back to top]
Mean Ixabepilone Maximum Plasma Concentration (Cmax) in One Dosing Interval
Cmax = maximum observed plasma concentration of ixabepilone as determined from participant serum samples in one dosing interval. (NCT00568022)
Timeframe: During Cycle 1 at specified timepoints (Day 1 to Day 8).
Intervention | ng/mL (Geometric Mean) |
---|
Ixabepilone 32 mg/m^2 + Capecitabine 1650 mg/m^2/Day | 164.01 |
Ixabepilone 40 mg/m^2 + Capecitabine 1650 mg/m^2/Day | 219.44 |
Ixabepilone 40 mg/m^2 + Capecitabine 2000 mg/m^2/Day | 192.13 |
[back to top]
Mean Ixabepilone Total Body Clearance (CLT) in One Dosing Interval
CLT = total body clearance as determined from participant serum samples in one dosing interval. (NCT00568022)
Timeframe: During Cycle 1 at specified timepoints (Day 1 to Day 8).
Intervention | L/h (Mean) |
---|
Ixabepilone 32 mg/m^2 + Capecitabine 1650 mg/m^2/Day | 41.52 |
Ixabepilone 40 mg/m^2 + Capecitabine 1650 mg/m^2/Day | 37.21 |
Ixabepilone 40 mg/m^2 + Capecitabine 2000 mg/m^2/Day | 42.79 |
[back to top]
Participants Experiencing Dose Limiting Toxicity (DLT)
DLT was defined as any ixabepilone and/or capecitabine related events requiring study discontinuation during the first two treatment cycles. (NCT00568022)
Timeframe: From initiation of drug through last day of Cycle 2 (Day 42)
Intervention | Participants (Number) |
---|
Ixabepilone 32 mg/m^2 + Capecitabine 1650 mg/m^2/Day | 0 |
Ixabepilone 40 mg/m^2 + Capecitabine 1650 mg/m^2/Day | 0 |
Ixabepilone 40 mg/m^2 + Capecitabine 2000 mg/m^2/Day | 0 |
[back to top]
Adverse Events (AEs) and Serious Adverse Events (SAEs)
AE = any new untoward medical occurrence/worsening of a pre-existing medical condition which does not necessarily have a causal relationship with this treatment. SAE = any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in development of drug dependency or drug abuse, is an important medical event. Treatment-related=Possible, Probable, or Certain relationship to drug (NCT00568022)
Timeframe: Baseline to Day 42, continuously
,,
Intervention | Participants (Number) |
---|
| AEs | Related AEs | Discontinued Due to AEs | SAEs | Related SAEs | Discontinued Due to SAEs | Deaths |
---|
Ixabepilone 32 mg/m^2 + Capecitabine 1650 mg/m^2/Day | 3 | 3 | 0 | 0 | 0 | 0 | 0 |
Ixabepilone 40 mg/m^2 + Capecitabine 1650 mg/m^2/Day | 3 | 3 | 0 | 1 | 1 | 0 | 0 |
Ixabepilone 40 mg/m^2 + Capecitabine 2000 mg/m^2/Day | 3 | 3 | 0 | 1 | 1 | 0 | 0 |
[back to top]
Participant Tumor Response at Study Endpoint
Tumor response was assessed using the Response Evaluation Criteria in Solid Tumors (RECIST) in which complete response (CR) = disappearance of all target lesions; partial response (PR) = 30% decrease in the sum of the longest diameter of target lesions; progressive disease (PD) = 20% increase in the sum of the longest diameter of target lesions; and stable disease (SD) = small changes that do not meet above criteria. (NCT00568022)
Timeframe: At baseline and after every 42 days (every 2 21-day cycles) after baseline
,,
Intervention | Participants (Number) |
---|
| CR | PR | PD | SD |
---|
Ixabepilone 32 mg/m^2 + Capecitabine 1650 mg/m^2/Day | 0 | 1 | 1 | 1 |
Ixabepilone 40 mg/m^2 + Capecitabine 1650 mg/m^2/Day | 0 | 1 | 1 | 1 |
Ixabepilone 40 mg/m^2 + Capecitabine 2000 mg/m^2/Day | 1 | 2 | 0 | 0 |
[back to top]
Participants Achieving the Maximum Tolerated Dose (MTD) and Recommended Phase 2 Dose (RP2D)
The MTD was defined as the highest dose evaluated for which less than 1/3 of the participants experienced DLT during the first two treatment cycles. If toxicities (e.g. hand-foot syndrome, existing peripheral neuropathy, etc.) occurred or became more severe in later cycles, the recommended Phase II dose was to be determined after due consideration of their severity. (NCT00568022)
Timeframe: At the end of Cycle 2 (Day 42)
Intervention | Participants (Number) |
---|
| Ixa 40 mg/m^2 + Cap 2000 mg/m^2 MTD | Ixa 40 mg/m^2 + Cap 2000 ng/m^2 RP2D |
---|
All Participants With Measurable Disease and Tumor Response | 3 | 3 |
[back to top]
Progression Free Survival
Progression free survival is defined as form initiation of WBRT with capecitabine to the time of first documented progression at any site (CNS or non-CNS site) or death due to any cause, where progression is defined stringently by progression in either CNS or extra-CNS metastases. (NCT00570908)
Timeframe: 2 years
Intervention | months (Median) |
---|
WBRT + Capecitabine + Sunitinib | 4.7 |
[back to top]
Response Rate of Lapatinib/Capecitabine.
(NCT00574171)
Timeframe: duration of study; on average 1 year
Intervention | participants (Number) |
---|
| PD | SD |
---|
Lapatinib/Capecitabine | 4 | 1 |
[back to top]
Number of Participants With Dose-limiting Toxicities (DLTs)
(NCT00578071)
Timeframe: Within 30 days of the last day of radiation
Intervention | participants (Number) |
---|
Chemoradiation | 2 |
[back to top]
Overall Survival Rates for the Patients Studied on This Protocol.
Number of patients alive one year after completing study protocol treatment. (NCT00578071)
Timeframe: One year
Intervention | participants (Number) |
---|
Arm 1 Chemoradiation | 18 |
[back to top]
Panitumumab Maximum Tolerated Dose in Milligrams (mg)
(NCT00578071)
Timeframe: 60 days
Intervention | mg (Number) |
---|
Chemoradiation | 3.6 |
[back to top]
Pathological Complete Response Rates Associated With This Regimen.
Absence of residual viable tumor cells at the time of surgical resection of the esophagus performed 7-9 weeks following completion of chemoradiotherapy. (NCT00578071)
Timeframe: 90 days
Intervention | percentage of participants (Number) |
---|
Arm 1 Chemoradiation | 40 |
[back to top]
Response Rate
Response rate (RR) is defined as the proportion of participants achieving partial response (PR) or complete response (CR) based on RECIST 1.0 criteria on treatment. Per RECIST 1.0 for target lesions, CR is complete disappearance of all target lesions and PR is at least a 30% decrease in the sum of longest diameter (LD) of target lesions, taking as reference baseline sum LD. To be assigned a status of CR or PR, changes in tumor measurements must be confirmed by repeat assessments performed no fewer than 4 weeks after the response criteria are first met. PR or better overall response assumes at a minimum incomplete response/stable disease (SD) for the evaluation of non-target lesions and absence of new lesions. (NCT00585078)
Timeframe: Response was assessed by computed tomography (CT) or magnetic resonance imaging (MRI) every two cycles (42 days ±2 days) on treatment. Participants received a median (range) of 2 cycles (1-12) of CAPOX.
Intervention | proportion of participants (Number) |
---|
CAPOX | .125 |
[back to top]
Overall Survival
Overall survival is defined as the time from study entry to death or date last known alive and estimated using Kaplan-Meier (KM) methods. (NCT00585078)
Timeframe: Participants were followed long-term for survival every 3 months from the end of treatment until death or lost to follow-up. Median survival follow-up was 10.8 months (95% CI: 7.1-37.7) in this study cohort.
Intervention | months (Median) |
---|
CAPOX | 7.4 |
[back to top]
Progression-Free Survival
Progression-free survival based on the Kaplan-Meier method is defined as the duration of time from study entry to documented disease progression (PD) requiring removal from treatment or death. Per RECIST 1.0 criteria: progressive disease (PD) is at least a 20% increase in the sum of longest diameter (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. PD for the evaluation of non-target lesions is the appearance of one or more new lesions and/or unequivocal progression of non-target lesions. (NCT00585078)
Timeframe: Disease evaluations occurred every two cycles (42 days ±2 days) on treatment. In this study cohort, participants were followed for progression up to 38 months.
Intervention | months (Median) |
---|
CAPOX | 3.8 |
[back to top]
Best Response
Best response on treatment was based on RECIST 1.0 criteria: Complete Response (CR) is complete disappearance of all target lesions; Partial Response (PR) is at least a 30% decrease in the sum of longest diameter (LD) of target lesions, taking as reference baseline sum LD. Both require confirmation no fewer than 4 weeks apart. CR/PR assumes at a minimum incomplete response/stable disease (SD) for the evaluation of non-target lesions and absence of new lesions. Progressive disease (PD) is at least a 20% increase in the sum of longest diameter of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. PD for the evaluation of non-target lesions is the appearance of one or more new lesions and/or unequivocal progression of non-target lesions. Stable disease is defined as any condition not meeting above criteria. (NCT00585078)
Timeframe: Response was assessed by computed tomography (CT) or magnetic resonance imaging (MRI) every two cycles (42 days ±2 days) on treatment. Participants received a median (range) of 2 cycles (1-12) of CAPOX.
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease |
---|
CAPOX | 0 | 3 | 13 | 8 |
[back to top]
Unconfirmed Objective Response Rate and Disease Control Rate (ITT Population)
Objective response rate (ORR) is defined as the proportion of patients with complete response or partial response. Disease control rate (DCR) is defined as the proportion of patients with complete response, partial response and stable disease. The best overall response according to the RECIST criteria is the best response recorded from the start of the treatment until disease progression/recurrence or within 28 days of last intake of study medication in the Study Treatment Phase. Complete and partial response in this summary did not require a confirmation by a second tumor assessment. (NCT00600340)
Timeframe: Up to disease progression or up to 28 days after last intake of study medication, assessed up to approximately 5 years.
,
Intervention | Participants (Count of Participants) |
---|
| Objective response | Disease control |
---|
Bevacizumab Plus Capecitabine | 105 | 214 |
Bevacizumab Plus Paclitaxel | 163 | 252 |
[back to top]
Observation Time (ITT Population)
Median observation time estimated with reverse Kaplan-Meier methods. Observation time (in months) is defined as time from randomization to the day the patient was last confirmed to be alive. In case of patient deaths the time was censored at the day of death. (NCT00600340)
Timeframe: Up to approximately 6 years
Intervention | months (Median) |
---|
Bevacizumab Plus Paclitaxel | 54.3 |
Bevacizumab Plus Capecitabine | 55.7 |
[back to top]
Duration of Response (PP Population)
Duration of response (DR) was defined as time from date of first occurrence of any response (complete response (CR) or partial response (PR)) until the occurrence of progression of disease or death. Patients with response who neither progressed nor died were censored at the date of their last tumor assessment. Median DR, associated stratified Hazard Ratio (HR). (NCT00600340)
Timeframe: Time from first occurrence of CR or PR until disease progression, death or study closure, whichever occurred first, assessed up to 3.4 years after occurrence of response.
Intervention | months (Median) |
---|
Bevacizumab Plus Paclitaxel | 11.2 |
Bevacizumab Plus Capecitabine | 10.3 |
[back to top]
Duration of Response (ITT Population)
Duration of response (DR) was defined as time from date of first occurrence of any response (complete response (CR) or partial response (PR)) until the occurrence of progression of disease or death. Patients with response who neither progressed nor died were censored at the date of their last tumor assessment. Median DR, associated stratified Hazard Ratio (HR). (NCT00600340)
Timeframe: Time from first occurrence of CR or PR until disease progression, death or study closure, whichever occurred first, assessed up to 3.4 years after occurrence of response.
Intervention | months (Median) |
---|
Bevacizumab Plus Paclitaxel | 11.2 |
Bevacizumab Plus Capecitabine | 10.3 |
[back to top]
Overall Survival (PP Population)
Overall survival (OS) defined as time from randomization to date of death from any cause. Patients without recorded death were censored at the date the patient was last known to be alive. OS was analyzed at two looks, one interim look and the final analysis. Due to group sequential testing, the overall significance level alpha = 0.025 was spent on both looks according to Lan-DeMets spending method with O'Brien-Fleming-type boundaries. Alpha spent at Interim after 47% of information was 0.0010. Alpha spent at final analysis after 99% of information was 0.0250. (NCT00600340)
Timeframe: Time from the date of randomization to the date of death or date last known to be alive, assessed up to approximately 6 years
Intervention | months (Median) |
---|
Bevacizumab Plus Paclitaxel | 30.2 |
Bevacizumab Plus Capecitabine | 26.1 |
[back to top]
Progression Free Survival (ITT Population)
Progression Free Survival (PFS) is defined as time from randomization to date of documented progression or date of death due to any cause, whichever occurred first. Patients without recorded progression or death were censored at the last date they were known to have not progressed. Patients who were randomized and had no post-baseline tumor assessment were censored on the day of randomization. Median PFS, associated stratified Hazard Ratio (HR). (NCT00600340)
Timeframe: Time from the date of randomization to disease progression, death or censoring (whichever occurred first), assessed up to approximately 5 years.
Intervention | months (Median) |
---|
Bevacizumab Plus Paclitaxel | 10.9 |
Bevacizumab Plus Capecitabine | 8.1 |
[back to top]
Progression Free Survival (PP Population)
Progression Free Survival (PFS) is defined as time from randomization to date of documented progression or date of death due to any cause, whichever occurred first. Patients without recorded progression or death were censored at the last date they were known to have not progressed. Patients who were randomized and had no post-baseline tumor assessment were censored on the day of randomization. Median PFS, associated stratified Hazard Ratio (HR). (NCT00600340)
Timeframe: Time from the date of randomization to disease progression, death or censoring (whichever occurred first), assessed up to approximately 5 years.
Intervention | months (Median) |
---|
Bevacizumab Plus Paclitaxel | 10.9 |
Bevacizumab Plus Capecitabine | 8.2 |
[back to top]
Time to Treatment Failure (ITT Population)
Time to treatment failure (TTF) was defined as time from first drug intake to progression, death or withdrawal from study treatment, whichever occurred first. Patients without an event were censored at the date of the last tumor assessment or last treatment administration, whichever occurred last. Median TTF, associated stratified Hazard Ratio (HR). (NCT00600340)
Timeframe: From first drug intake to progression, death or withdrawal from study treatment or study closure (whichever occurred first), assessed up to approximately 4.5 years
Intervention | months (Median) |
---|
Bevacizumab Plus Paclitaxel | 8.4 |
Bevacizumab Plus Capecitabine | 7.2 |
[back to top]
Overall Survival (ITT Population)
Overall survival (OS) defined as time from randomization to date of death from any cause. Patients without recorded death were censored at the date the patient was last known to be alive. OS was analyzed at two looks, one interim look and the final analysis. Due to group sequential testing, the overall significance level alpha = 0.025 was spent on both looks according to Lan-DeMets spending method with O'Brien-Fleming-type boundaries. Alpha spent at Interim after 50% of information was 0.0014. Alpha spent at final analysis after 99% of information was 0.0250. (NCT00600340)
Timeframe: Time from the date of randomization to the date of death or date last known to be alive, assessed up to approximately 6 years
Intervention | months (Median) |
---|
Bevacizumab Plus Paclitaxel | 29.5 |
Bevacizumab Plus Capecitabine | 26.0 |
[back to top]
Time to Treatment Failure (PP Population)
Time to treatment failure (TTF) was defined as time from first drug intake to progression, death or withdrawal from study treatment, whichever occurred first. Patients without an event were censored at the date of the last tumor assessment or last treatment administration, whichever occurred last. Median TTF, associated stratified Hazard Ratio (HR). (NCT00600340)
Timeframe: From first drug intake to progression, death or withdrawal from study treatment or study closure (whichever occurred first), assessed up to approximately 4.5 years
Intervention | months (Median) |
---|
Bevacizumab Plus Paclitaxel | 8.3 |
Bevacizumab Plus Capecitabine | 7.3 |
[back to top]
Objective Response Rate and Disease Control Rate (ITT Population)
Objective response rate (ORR) is defined as the proportion of patients with complete response or partial response. Disease control rate (DCR) is defined as the proportion of patients with complete response, partial response and stable disease. The best overall response according to the RECIST criteria is the best response recorded from the start of the treatment until disease progression/recurrence or within 28 days of last intake of study medication in the Study Treatment Phase (NCT00600340)
Timeframe: Up to disease progression or up to 28 days after last intake of study medication, assessed up to approximately 5 years.
,
Intervention | Participants (Count of Participants) |
---|
| Objective response | Disease control |
---|
Bevacizumab Plus Capecitabine | 76 | 214 |
Bevacizumab Plus Paclitaxel | 125 | 252 |
[back to top]
Time to Response (ITT Population)
Time to response (TR) was defined as time from randomization until occurrence of response (complete response (CR) or partial response (PR)) according to RECIST criteria. Patients without response were censored after the longest time to response observed in any patient. Median TR, associated stratified Hazard Ratio (HR). Since the median TR was not observed, the number of subjects with a response at given timepoints were reported. (NCT00600340)
Timeframe: Time from randomization until occurrence of response, assessed up 1.7 years
,
Intervention | Participants (Count of Participants) |
---|
| Month 3 | Month 6 | Month 9 | Month 12 | Month 15 |
---|
Bevacizumab Plus Capecitabine | 57 | 69 | 74 | 75 | 75 |
Bevacizumab Plus Paclitaxel | 83 | 111 | 121 | 123 | 123 |
[back to top]
Unconfirmed Objective Response Rate and Disease Control Rate (PP Population)
Objective response rate (ORR) is defined as the proportion of patients with complete response or partial response. Disease control rate (DCR) is defined as the proportion of patients with complete response, partial response and stable disease. The best overall response according to the RECIST criteria is the best response recorded from the start of the treatment until disease progression/recurrence or within 28 days of last intake of study medication in the Study Treatment Phase. Complete and partial response in this summary did not require a confirmation by a second tumor assessment (NCT00600340)
Timeframe: Up to disease progression or up to 28 days after last intake of study medication, assessed up to approximately 5 years.
,
Intervention | Participants (Count of Participants) |
---|
| Objective response | Disease control |
---|
Bevacizumab Plus Capecitabine | 100 | 204 |
Bevacizumab Plus Paclitaxel | 157 | 238 |
[back to top]
Time to Response (PP Population)
Time to response (TR) was defined as time from randomization until occurrence of response (complete response (CR) or partial response (PR)) according to RECIST criteria. Patients without response were censored after the longest time to response observed in any patient. Median TR, associated stratified Hazard Ratio (HR). Since the median TR was not observed, the number of subjects with a response at given timepoints were reported. (NCT00600340)
Timeframe: Time from randomization until occurrence of response, assessed up 1.7 years
,
Intervention | Participants (Count of Participants) |
---|
| Month 3 | Month 6 | Month 9 | Month 12 | Month 15 |
---|
Bevacizumab Plus Capecitabine | 56 | 68 | 72 | 73 | 73 |
Bevacizumab Plus Paclitaxel | 81 | 108 | 118 | 119 | 119 |
[back to top]
Objective Response Rate and Disease Control Rate (PP Population)
Objective response rate (ORR) is defined as the proportion of patients with complete response or partial response. Disease control rate (DCR) is defined as the proportion of patients with complete response, partial response and stable disease. The best overall response according to the RECIST criteria is the best response recorded from the start of the treatment until disease progression/recurrence or within 28 days of last intake of study medication in the Study Treatment Phase (NCT00600340)
Timeframe: Up to disease progression or up to 28 days after last intake of study medication, assessed up to approximately 5 years.
,
Intervention | Participants (Count of Participants) |
---|
| Objective response | Disease control |
---|
Bevacizumab Plus Capecitabine | 74 | 204 |
Bevacizumab Plus Paclitaxel | 121 | 238 |
[back to top]
One Year Survival Rate
The proportion of successes will be estimated by the number of successes divided by the total number of evaluable patients. Confidence intervals for the true success proportion will be calculated according to the exact binomial method. (NCT00601627)
Timeframe: Baseline to 12 months
Intervention | proportion of patients (Number) |
---|
Panitumumab | 0.502 |
[back to top]
Time to Treatment Failure
Time to treatment failure is defined to be the time from the date of registration to the date at which the patient is removed from treatment due to progression, adverse events, or refusal. The distribution of survival time will be estimated using the method of Kaplan-Meier. (NCT00601627)
Timeframe: baseline to 2 years
Intervention | months (Median) |
---|
Panitumumab | 2.71 |
[back to top]
Confirmed Response Rate
"A confirmed tumor response is defined to be a complete response (CR) or partial response (PR) noted as the objective status on 2 consecutive evaluations at least 4 weeks apart according to the Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1.~A complete response is defined as the disappearance of all target and non-target lesions.~A partial response is defined as at least a 30% decrease in the sum of the longest diameter (LD) of the target lesion from baseline.~Confirmed tumor response will be evaluated using the first 6 cycles of treatment." (NCT00601627)
Timeframe: baseline to 2 years
Intervention | rate of confirmed response (Number) |
---|
Panitumumab | 0.059 |
[back to top]
Overall Survival
Survival time is defined as the time from registration to death due to any cause. The distribution of survival time will be estimated using the method of Kaplan-Meier (NCT00601627)
Timeframe: baseline to 2 years
Intervention | months (Median) |
---|
Panitumumab | 12.1 |
[back to top]
Progression Free Survival (PFS)
Progression Free Survival is defined as the time from registration to the earliest documented evidence of disease progression. (NCT00601627)
Timeframe: baseline to 2 years
Intervention | months (Median) |
---|
Panitumumab | 7.4 |
[back to top]
Pathologic Response Rate (Complete, Near-complete, Partial) to Neoadjuvant Chemotherapy and Chemoradiotherapy
The resected pancreaticoduodenectomy specimen and accompanying lymph nodes will be staged according to American Joint Committee on Cancer 6th Edition incorporating the prefix y to indicate a specimen status-post neoadjuvant treatment (ypTNM). Cancer 2012;118:1382-90 (NCT00609336)
Timeframe: Up to 7 years
Intervention | Participants (Count of Participants) |
---|
Treatment (Chemotherapy, Radiation, Pancreaticoduodenectomy) | 20 |
[back to top]
Percent of Patients Surviving at 5 Years
Kaplan-Meier estimate of overall survival at 5 years (NCT00609336)
Timeframe: Up to 5 years
Intervention | percentage of eligible pts alive (Number) |
---|
Treatment (Chemotherapy, Radiation, Pancreaticoduodenectomy) | 31.6 |
[back to top]
Frequency and Severity of Toxicities Associated With This Treatment Regimen as Assessed by NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0
(NCT00609336)
Timeframe: Up to 26 weeks after surgery (the end of adjuvant chemotherapy)
Intervention | occurrence of toxicities (Number) |
---|
| Any Grade 2 CTCAE toxicity | Any Grade 3 CTCAE toxicity | Any Grade 4 CTCAE toxicity |
---|
Treatment (Chemotherapy, Radiation, Pancreaticoduodenectomy) | 21 | 121 | 14 |
[back to top]
Percent of Patients Surviving at Annual Intervals
(NCT00609336)
Timeframe: 5 years
Intervention | percentage of participants (Number) |
---|
| Year 1 | Year 2 | Year 3 | Year 4 | Year 5 |
---|
Treatment (Chemotherapy, Radiation, Pancreaticoduodenectomy) | 81 | 62 | 45 | 37 | 31 |
[back to top]
Surgical Completion Rate and Complication Rate
(NCT00609336)
Timeframe: Up to 6 weeks following the completion of chemoradiotherapy
Intervention | Participants (Count of Participants) |
---|
| Completion rate | Complication rate |
---|
Treatment (Chemotherapy, Radiation, Pancreaticoduodenectomy) | 22 | 2 |
[back to top]
[back to top]
[back to top]
Disease-free Survival: 4-year Rate
Disease is defined as local-regional failure or distant failure. Distant failure is defined as the appearance of peritoneal seeding or distant metastases. Local-regional failure is defined as: (1) any recurrence or surgery to the primary site after a complete response (CR) / any recurrence after a nodal CR - reported at surgery or reported after the end of protocol treatment; or (2) persistence [failure at one day post study entry], absence of primary/nodal CR after protocol treatment was completed and patient lived at least 90 days from the end of treatment. Disease-free survival time is defined as time from registration to the date of disease, death, or last known follow-up (censored). Disease-free survival rates are estimated using the Kaplan-Meier method. (NCT00613080)
Timeframe: From registration to four years
Intervention | percentage of participants (Number) |
---|
IMRT + Chemotherapy , Resection, Postoperative Chemotherapy | 60.6 |
[back to top]
[back to top]
Number of Patients in Protocol Adherence Categories for Intensity-modulated Radiotherapy (IMRT) Planning
Real-time quality assurance was performed remotely by the study chair or the radiation oncology co-chair prior to initiation of treatment for the first 40 cases. The final cases enrolled were reviewed within 3 months after accrual was completed. Review included evaluation of clinical target volume (CTV) and planning target volume (PTV), Organs at Risk (OARs), and treatment plan dosimetry. (NCT00613080)
Timeframe: Pretreatment
Intervention | Participants (Count of Participants) |
---|
| Tumor volume: Contouring score72417637 | Organs at risk: Contouring score72417637 | Tumor volume: Dose volume analysis score72417637 | Organs at risk: Dose volume analysis score72417637 |
---|
| Unacceptable variation | Per Protocol | Acceptable variation |
---|
IMRT + Chemotherapy , Resection, Postoperative Chemotherapy | 58 |
IMRT + Chemotherapy , Resection, Postoperative Chemotherapy | 5 |
IMRT + Chemotherapy , Resection, Postoperative Chemotherapy | 62 |
IMRT + Chemotherapy , Resection, Postoperative Chemotherapy | 6 |
IMRT + Chemotherapy , Resection, Postoperative Chemotherapy | 0 |
IMRT + Chemotherapy , Resection, Postoperative Chemotherapy | 59 |
IMRT + Chemotherapy , Resection, Postoperative Chemotherapy | 8 |
IMRT + Chemotherapy , Resection, Postoperative Chemotherapy | 1 |
IMRT + Chemotherapy , Resection, Postoperative Chemotherapy | 48 |
IMRT + Chemotherapy , Resection, Postoperative Chemotherapy | 17 |
IMRT + Chemotherapy , Resection, Postoperative Chemotherapy | 3 |
[back to top]
[back to top]
Overall Survival: 4-year Rate
Overall survival time is defined as time from registration to the date of death from any cause. Overall survival rates are estimated by the Kaplan-Meier method. Patients last known to be alive are censored at the date of last contact. (NCT00613080)
Timeframe: From registration to four years
Intervention | percentage of participants (Number) |
---|
IMRT + Chemotherapy , Resection, Postoperative Chemotherapy | 82.9 |
[back to top]
Number of Patients With Pathologic Complete Response
Pathologic complete response is defined as no evidence of residual cancer histologically in the resection specimen. (NCT00613080)
Timeframe: At the time of surgery, which is 4-8 weeks after radiation therapy, approximately 9-13 weeks from treatment start.
Intervention | Participants (Count of Participants) |
---|
IMRT + Chemotherapy , Resection, Postoperative Chemotherapy | 10 |
[back to top]
Number of Patients Who Underwent Abdominoperineal Resection
All patients were to undergo surgery 4 to 8 weeks following the completion of radiation therapy. The choice of procedure (abdominoperineal resection (APR), low anterior resection (LAR), or LAR/coloanal anastomosis) was at the discretion of the surgeon. If more than 28 patients received abdominoperineal resection, this would result in a conclusion of an excessive number of abdominoperineal resections. (NCT00613080)
Timeframe: Surgery occurred 4 to 8 weeks following the completion of radiation therapy, approximately 9-13 weeks from start of treatment.
Intervention | Participants (Count of Participants) |
---|
IMRT + Chemotherapy , Resection, Postoperative Chemotherapy | 14 |
[back to top]
Local-regional Failure: 4-year Rate
Local failure is defined as: (1) any recurrence or surgery to the primary site after a complete response (CR) reported at surgery or reported after the end of protocol treatment; or (2) persistence [failure at one day post study entry], absence of CR after protocol treatment was completed and patient lived at least 90 days from the end of treatment. Regional failure is defined as: (1) any recurrence after a nodal CR reported at surgery or reported after the end of protocol treatment; or (2) persistence, absence of nodal CR after protocol treatment was completed and patient lived at least 90 days from the end of treatment. Local-regional failure time is defined as time from registration to local or regional failure, last known follow-up (censored), or death (competing risk). Local-regional failure rates are estimated by the cumulative incidence method. (NCT00613080)
Timeframe: From registration to four years
Intervention | percentage of participants (Number) |
---|
IMRT + Chemotherapy , Resection, Postoperative Chemotherapy | 7.4 |
[back to top]
Distant Failure: 4-year Rate
Distant failure is defined as the appearance of peritoneal seeding or distant metastases. Time to distant failure is defined as time from registration to the date of distant failure, last known follow-up (censored), or death (competing risk). Distant failure rates are estimated by the cumulative incidence method. (NCT00613080)
Timeframe: From registration to four years
Intervention | percentage of participants (Number) |
---|
IMRT + Chemotherapy , Resection, Postoperative Chemotherapy | 29.7 |
[back to top]
[back to top]
Time Until a Complete Response or a Partial Response
Time until a complete response or a partial response was defined as the time from the first administration of study drug until the first complete response or partial response. (NCT00623805)
Timeframe: Baseline to Month 13
Intervention | Months (Mean) |
---|
Bevacizumab+Capecitabine+Oxaliplatin | 3.5 |
Bevacizumab(B)+Capecitabine(C)+Oxaliplatin Followed by B+C | 2.9 |
[back to top]
Progression-free Survival
Progression-free survival was defined as the time from the first administration of study drug to the first documented disease progression or death, whichever occurs first. Progressive disease was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since treatment started or the unequivocal progression of existing non-target lesions. All measurable lesions up to a maximum of 5 lesions per organ and 10 lesions in total, representative of all involved organs, should be identified as target lesions at Baseline. Target lesions should be selected on the basis of their size (lesions with the longest diameter) and their suitability for accurate repeated measurements (either by imaging techniques or clinically). A sum of the longest diameter for all target lesions will be calculated and reported as the Baseline sum longest diameter. (NCT00623805)
Timeframe: Baseline to the end of the study (up to 4 years, 2 months)
Intervention | Months (Mean) |
---|
Bevacizumab+Capecitabine+Oxaliplatin | 9.0 |
Bevacizumab(B)+Capecitabine(C)+Oxaliplatin Followed by B+C | 12.6 |
[back to top]
Percentage of Participants With a Complete Response or a Partial Response
A complete response was defined as the disappearance of all target lesions. A partial response was defined as at least a 30% decrease in the sum of the longest diameter of target lesions taking as reference the Baseline sum longest diameter. All measurable lesions up to a maximum of 5 lesions per organ and 10 lesions in total, representative of all involved organs, should be identified as target lesions at Baseline. All other lesions (or sites of disease) should be identified as non-target lesions. Target lesions should be selected on the basis of their size (lesions with the longest diameter) and their suitability for accurate repeated measurements (either by imaging techniques or clinically). A sum of the longest diameter for all target lesions will be calculated and reported as the Baseline sum longest diameter. (NCT00623805)
Timeframe: Baseline to the end of the study (up to 4 years, 2 months)
Intervention | Percentage of participants (Number) |
---|
Bevacizumab+Capecitabine+Oxaliplatin | 53.2 |
Bevacizumab(B)+Capecitabine(C)+Oxaliplatin Followed by B+C | 59.0 |
[back to top]
Overall Survival
Overall survival was defined as the time from the first administration of study drug to death. (NCT00623805)
Timeframe: Baseline to the end of the study (up to 4 years, 2 months)
Intervention | Months (Mean) |
---|
Bevacizumab+Capecitabine+Oxaliplatin | 21.0 |
Bevacizumab(B)+Capecitabine(C)+Oxaliplatin Followed by B+C | 25.4 |
[back to top]
Safety and Tolerability as Assessed by NCI CTCAE Version 3.0
Number of participants with any adverse event as assessed by NCI CTCAE version 3.0. (NCT00625183)
Timeframe: Adverse events were queried for and collected every cycle for the duration of treatment.
Intervention | Participants (Count of Participants) |
---|
Capecitabine, Oxaliplatin, Selenomethionine, Radiation Therapy | 5 |
[back to top]
To Determine the Maximum Tolerated Doses (MTD) and Dose-limiting Toxicities (DLT) of LBH589 in Combination With Capecitabine When Administered to Patients With Refractory and Advanced Tumor Types That Are Sensitive to 5-fluorouracil
MTD for Panobinostat, twice weekly (NCT00632489)
Timeframe: 18 months
Intervention | mg (Number) |
---|
LBH589 With Capecitabine | 30 |
[back to top]
To Determine the Maximum Tolerated Doses (MTD) and Dose-limiting Toxicities (DLT) of LBH589 in Combination With Capecitabine When Administered to Patients With Refractory and Advanced Tumor Types That Are Sensitive to 5-fluorouracil
MTD for Capecitabine, BID (NCT00632489)
Timeframe: 18 months
Intervention | mg/m2 (Number) |
---|
LBH589 With Capecitabine | 100 |
[back to top]
Number of Participants With Abnormalities in Hematology Laboratory Results by Worst CTC Grade
CTC, Version 3.0 used to assess parameters. ULN=upper level of normal among all laboratory ranges. WBC (c/L): Grade (Gr)1:NCT00634088)
Timeframe: Baseline and weekly from Days 1 to 21 (Cycle 1)
,,
Intervention | Participants (Number) |
---|
| White blood cell count (WBC) (Grade 1) | WBC (Grade 2) | WBC (Grade 3) | WBC (Grade 4) | Absolute neutrophil count (ANC) (Grade 1) | ANC (Grade 2) | ANC (Grade 3) | ANC (Grade 4) | Platelet count (Grade 1) | Platelet count (Grade 2) | Platelet count (Grade 3) | Platelet count (Grade 4) | Hemoglobin (Grade 1) | Hemoglobin (Grade 2) | Hemoglobin (Grade 3) | Hemoglobin (Grade 4) |
---|
Ixabepilone, 32 mg/m^2 + Lapatinib, 1000 mg/d | 1 | 1 | 2 | 1 | 0 | 1 | 2 | 2 | 1 | 0 | 0 | 0 | 3 | 3 | 0 | 0 |
Ixabepilone, 32 mg/m^2 + Lapatinib, 1250 mg/d | 0 | 0 | 3 | 0 | 0 | 0 | 1 | 2 | 1 | 0 | 0 | 0 | 3 | 0 | 0 | 0 |
Ixabepilone, 40 mg/m^2 + Lapatinib, 1250 mg/d | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 6 | 4 | 0 | 0 |
[back to top]
Area Under the Concentration-time Curve From 0 to Infinity (AUC[INF]) and AUC From 0 to Last Quantifiable Concentration (AUC[O-T] of Ixabepilone
(NCT00634088)
Timeframe: Day 1 of 21-day cycle
,,
Intervention | ng*h/mL (Geometric Mean) |
---|
| AUC(INF) | AUC(O-T) |
---|
Ixabepilone, 32 mg/m^2 + Lapatinib, 1000 mg/d | 2212.9 | 1851.8 |
Ixabepilone, 32 mg/m^2 + Lapatinib, 1250 mg/d | 2427.0 | 2082.0 |
Ixabepilone, 40 mg/m^2 + Lapatinib, 1250 mg/d | 1610.7 | 1284.2 |
[back to top]
Volume of Distribution at Steady State of Ixabepilone
(NCT00634088)
Timeframe: Day 1 of 21-day cycle
Intervention | Liters (Mean) |
---|
Ixabepilone, 32 mg/m^2 + Lapatinib, 1000 mg/d | 1484.3 |
Ixabepilone, 32 mg/m^2 + Lapatinib, 1250 mg/d | 1780.8 |
Ixabepilone, 40 mg/m^2 + Lapatinib, 1250 mg/d | 1915.8 |
[back to top]
Time to Peak Concentration of Ixabepilone
(NCT00634088)
Timeframe: Day 1 of 21-day cycle
Intervention | Hours (Median) |
---|
Ixabepilone, 32 mg/m^2 + Lapatinib, 1000 mg/d | 3.0 |
Ixabepilone, 32 mg/m^2 + Lapatinib, 1250 mg/d | 3.0 |
Ixabepilone, 40 mg/m^2 + Lapatinib, 1250 mg/d | 2.9 |
[back to top]
Number of Participants With DLT
DLT=Any of the following events, attributable to study drug and occurring within 21 days after ixabepilone administration: Grade 3 or 4 nausea, vomiting, or diarrhea despite the use of adequate medical intervention; other Grade 3 or greater nonhematologic toxicity requiring removal from study drug; recovery from study drug-related toxicity that delayed scheduled retreatment for longer than 3 weeks; Grade 4 neutropenia for 5 or more consecutive days or Grade 3 or 4 neutropenia of any duration with sepsis or fever; thrombocytopenia or bleeding requiring platelet transfusion. (NCT00634088)
Timeframe: Baseline to Day 21, continuously
Intervention | Participants (Number) |
---|
Ixabepilone, 32 mg/m^2 + Lapatinib, 1000 mg/d | 1 |
Ixabepilone, 32 mg/m^2 + Lapatinib, 1250 mg/d | 0 |
Ixabepilone, 40 mg/m^2 + Lapatinib, 1250 mg/d | 0 |
[back to top]
Terminal Half-life of Ixabepilone
(NCT00634088)
Timeframe: Day 1 of 21-day cycle
Intervention | Hours (Mean) |
---|
Ixabepilone, 32 mg/m^2 + Lapatinib, 1000 mg/d | 51.6 |
Ixabepilone, 32 mg/m^2 + Lapatinib, 1250 mg/d | 63.1 |
Ixabepilone, 40 mg/m^2 + Lapatinib, 1250 mg/d | 33.1 |
[back to top]
Maximum Concentration of Ixabepilone
(NCT00634088)
Timeframe: Day 1 of 21-day cycle
Intervention | ng/mL (Geometric Mean) |
---|
Ixabepilone, 32 mg/m^2 + Lapatinib, 1000 mg/d | 200.6 |
Ixabepilone, 32 mg/m^2 + Lapatinib, 1250 mg/d | 109.2 |
Ixabepilone, 40 mg/m^2 + Lapatinib, 1250 mg/d | 133.4 |
[back to top]
Overall Tumor Response By Number of Participants
Target lesion criteria: Complete Response(CR)=Disappearance of all clinical and radiologic evidence of target lesions; Partial Response (PR)=A 30% or greater decrease in the sum of longest diameter(LD) of all lesions in reference to the baseline sum LD. Stable Disease (SD)=Insufficient increase to qualify for Progressive Disease (PD) and insufficient shrinkage to qualify for PR; PD=A 20% or greater increase in the sum of LD of all target lesions, taking as reference the smallest sum LD recorded at or following baseline. (NCT00634088)
Timeframe: Baseline and Day 21 (21-day cycle)
,,
Intervention | Participants (Number) |
---|
| CR | PR | SD | PD |
---|
Ixabepilone, 32 mg/m^2 + Lapatinib, 1000 mg/d | 3 | 0 | 3 | 0 |
Ixabepilone, 32 mg/m^2 + Lapatinib, 1250 mg/d | 2 | 0 | 1 | 0 |
Ixabepilone, 40 mg/m^2 + Lapatinib, 1250 mg/d | 0 | 0 | 1 | 0 |
[back to top]
[back to top]
Number of Participants With Abnormalities in Serum Chemistry Laboratory Results by Worst CTC Grade
CTC, Version 3.0 used to assess parameters. ULN=upper level of normal among all laboratory ranges. ALT(U/L) Gr 1:>ULN-2.5*ULN,Gr 2:>2.5-5.0*ULN,Gr 3:>5.0-20.0*ULN,Gr 4:>20.0* ULN; AST(U/L) Gr 1:>ULN-2.5* ULN,Gr 2:>2.5-5.0*ULN,Gr 3:>5.0-20.0*ULN,Gr 4:>20.0* ULN; ALP(U/L)Gr 1:>ULN-2.5*ULN, Gr 2:>2.5-5.0*ULN, Gr 3:>5.0-20.0*ULN, Gr 4:>20.0*ULN; Creatinine (mg/dL): Gr 1:>ULN-1.5*ULN, Gr 2:>1.5-3.0*ULN, Gr 3:>3.0-6.0*ULN, Gr 4:>6.0*ULN; Total bilirubin (mg/dL): Gr 1:>ULN-1.5*ULN, Gr 2:>1.5-3.0*ULN, Gr 3:>3.0-10.0*ULN, Gr 4:>10.0*ULN (NCT00634088)
Timeframe: At baseline and within 72 hours of Day 1 of 21-day cycle
,,
Intervention | Participants (Number) |
---|
| Alanine aminotransferase (ALT) (Grade 1) | ALT (Grade 2) | ALT (Grade 3) | ALT (Grade 4) | Aspartate aminotransferase (AST) (Grade 1) | AST (Grade 2) | AST (Grade 3) | AST (Grade 4) | Alkaline phosphatase (ALP) (Grade 1) | ALP (Grade 2) | ALP (Grade 3) | ALP (Grade 4) | Creatinine (Grade 1) | Creatinine (Grade 2) | Creatinine (Grade 3) | Creatinine (Grade 4) | Total bilirubin (Grade 1) | Total bilirubin (Grade 2) | Total bilirubin (Grade 3) | Total bilirubin (Grade 4) |
---|
Ixabepilone, 32 mg/m^2 + Lapatinib, 1000 mg/d | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Ixabepilone, 32 mg/m^2 + Lapatinib, 1250 mg/d | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Ixabepilone, 40 mg/m^2 + Lapatinib, 1250 mg/d | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
[back to top]
Overall Survival
Overall survival, defined as number of days from the day of first study drug administration to the day the patient dies, summarized using point estimates of the median time to progression, and associated 95% confidence intervals (NCT00634751)
Timeframe: Up to 18 months
Intervention | Months (Median) |
---|
Phase II: Pancreatic Cancer | 8.1 |
[back to top]
Progression-free Survival (PFS)
Time to progression, defined as number of days from day of first study drug administration to the day the patient experiences an event of disease progression or death; summarized using point estimates of the median time to progression and associated 95% confidence intervals for each stratum separately. (NCT00634751)
Timeframe: Up to 18 months
Intervention | Months (Median) |
---|
Phase II: Pancreatic Cancer | 6.0 |
[back to top]
Overall Response Rate
Response rate of participant to treatment (NCT00634751)
Timeframe: Up to 18 months
,,,
Intervention | participants (Number) |
---|
| Partial Response | Stable Disease | Progressive Disease |
---|
Phase I: 200mg Sorafenib+2DOC | 1 | 5 | 1 |
Phase I: 400mg Sorafenib BID+2DOC | 1 | 2 | 0 |
Phase II: Biliary Tract Cancer | 1 | 5 | 1 |
Phase II: Pancreatic Cancer | 3 | 11 | 6 |
[back to top]
Time to Objective Tumor Response (TTR)
Based on Data Review Committee's Assessment. TTR is defined as the time from the start of study treatment to first documentation of objective tumor response (confirmed CR or PR). CR is defined as disappearance of all target and non-target lesions. PR is defined as ≥30% decrease in sum of the LDs of the target lesions taking as reference the baseline sum LD according to RECIST. Confirmed responses are those that persist on repeat evaluation ≥4 weeks after initial documentation of response. (NCT00662025)
Timeframe: Day 1 of Cycle 2, every 6 weeks after Cycle 2, and at the end of Cycle 8. Up to 28 days after the last administration of the study drug.
Intervention | months (Median) |
---|
SUNITINIB+CAPECITABINE | 1.4 |
[back to top]
AUC(0-24) for Sunitinib, SU012662, and Total Drug (Sunitinib+SU012662)
"SU012662 is a metabolite of sunitinib. AUC(0-24) means an area under the plasma concentration time curve from time zero to 24 hours post-dose.~The AUC(0-24) for total drug (sunitinib+SU012662) was calculated as the mean of the AUC(0-24) of total drug from individual participant." (NCT00662025)
Timeframe: Days 14 and 15 of Cycle 1
Intervention | nanogram∙hour/milliliter (Mean) |
---|
| Sunitinib | SU012662 | Total drug (Sunitinib+SU012662) |
---|
SUNITINIB+CAPECITABINE | 1886 | 704 | 2590 |
[back to top]
Time to Tumor Progression (TTP)
Based on Data Review Committee's Assessment. TTP is defined as the time from the start of study treatment to first documentation of objective tumor progression. (NCT00662025)
Timeframe: Day 1 of Cycle 2, every 6 weeks after Cycle 2, and at the end of Cycle 8. Up to 28 days after the last administration of the study drug.
Intervention | months (Median) |
---|
SUNITINIB+CAPECITABINE | 5.3 |
[back to top]
Tmax for Sunitinib, SU012662, and Total Drug (Sunitinib+SU012662)
"SU012662 is a metabolite of sunitinib. Tmax means a time to first occurrence of maximum observed plasma concentration (Cmax).~The Tmax for total drug (sunitinib+SU012662) was calculated as the median of the Tmax of total drug from individual participant." (NCT00662025)
Timeframe: Days 14 and 15 of Cycle 1
Intervention | hours (Median) |
---|
| Sunitinib | SU012662 | Total Drug (Sunitinib+SU012662) |
---|
SUNITINIB+CAPECITABINE | 10 | 3 | 6 |
[back to top]
Trough Plasma Concentration (Ctrough) for Sunitinib, SU012662, and Total Drug (Sunitinib+SU012662)
"SU012662 is a metabolite of sunitinib. Trough plasma concentration (Ctrough) means the concentration prior to study drug administration.~The Ctrough for total drug (sunitinib+SU012662) was calculated as the mean of the Ctrough of total drug from individual participant." (NCT00662025)
Timeframe: Days 14 and 15 of Cycle 1
Intervention | nanogram/milliliter (Mean) |
---|
| Sunitinib | SU012662 | Total Drug (Sunitinib+SU012662) |
---|
SUNITINIB+CAPECITABINE | 68.7 | 30.8 | 99.5 |
[back to top]
[back to top]
Overall Survival (OS)
OS is defined as the time from the start of study treatment to death due to any cause. OS data is censored on the last day they were known to be alive in the absence of confirmation of death. (NCT00662025)
Timeframe: A survival survey was conducted at least every 6 months after the completion of study treatment or withdrawal from the study.
Intervention | months (Median) |
---|
SUNITINIB+CAPECITABINE | 20.0 |
[back to top]
[back to top]
Progression-Free Survival (PFS)
Based on Data Review Committee's Assessment. PFS is defined as the time from the start of study treatment to first documentation of objective tumor progression, or to death on study due to any cause, whichever occurred first. (NCT00662025)
Timeframe: Day 1 of Cycle 2, every 6 weeks after Cycle 2, and at the end of Cycle 8. Up to 28 days after the last administration of the study drug.
Intervention | months (Median) |
---|
SUNITINIB+CAPECITABINE | 5.3 |
[back to top]
Duration of Objective Tumor Response (DR)
Based on Data Review Committee's Assessment. DR is defined as the time from the first documentation of objective tumor response (confirmed CR or PR) to the first documentation of disease progression or to death due to cancer, whichever occurred first. CR is defined as disappearance of all target and non-target lesions. PR is defined as ≥30% decrease in sum of the LDs of the target lesions taking as reference the baseline sum LD according to RECIST. Confirmed responses are those that persist on repeat evaluation ≥4 weeks after initial documentation of response. (NCT00662025)
Timeframe: Day 1 of Cycle 2, every 6 weeks after Cycle 2, and at the end of Cycle 8. Up to 28 days after the last administration of the study drug.
Intervention | months (Median) |
---|
SUNITINIB+CAPECITABINE | 4.1 |
[back to top]
[back to top]
Number of Subjects With CBR Based on Investigator's Assessment
Number of participants with confirmed CR, PR or SD for at least 24 weeks on study according to RECIST. CR is defined as disappearance of all target and non-target lesions. PR is defined as ≥30% decrease in sum of the LDs of the target lesions taking as a reference the baseline sum LD according to RECIST. SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease taking as reference smallest sum of LDs since treatment started. (NCT00662025)
Timeframe: Day 1 of Cycle 2, every 6 weeks after Cycle 2, and at the end of study.
Intervention | participants (Number) |
---|
| Total Number of Participatnts with CBR | Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) >= 168 days |
---|
SUNITINIB+CAPECITABINE | 33 | 0 | 17 | 16 |
[back to top]
[back to top]
Number of Participants With Objective Response Based on Investigator's Assessment
Number of participants with objective response based on assessment of confirmed CR or confirmed PR according to RECIST. CR is defined as disappearance of all target and non-target lesions. PR is defined as ≥30% decrease in sum of the LDs of the target lesions taking as reference the baseline sum LD according to RECIST. Confirmed responses are those that persist on repeat evaluation ≥4 weeks after initial documentation of response. (NCT00662025)
Timeframe: Day 1 of Cycle 2, every 6 weeks after Cycle 2, and at the end of study.
Intervention | participants (Number) |
---|
| Total Number of Participants with CR+PR | Complete Response (CR) | Partial Response (PR) |
---|
SUNITINIB+CAPECITABINE | 17 | 0 | 17 |
[back to top]
Number of Participants With Objective Response Based on Data Review Committee's Assessment
Number of participants with objective response based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors version 1.0 (RECIST). CR is defined as disappearance of all target and non-target lesions. PR is defined as ≥30% decrease in sum of the longest dimensions (LDs) of the target lesions taking as reference the baseline sum LD according to RECIST. Confirmed responses are those that persist on repeat evaluation ≥4 weeks after initial documentation of response. (NCT00662025)
Timeframe: Day 1 of Cycle 2, every 6 weeks after Cycle 2, and at the end of Cycle 8.
Intervention | participants (Number) |
---|
| Total Number of Participants with CR+PR | Complete Response (CR) | Partial Response (PR) |
---|
SUNITINIB+CAPECITABINE | 19 | 0 | 19 |
[back to top]
Number of Participants With Clinical Benefit Response (CBR) Based on Data Review Committee's Assessment
Number of participants with confirmed CR, PR or stable disease (SD) for at least 24 weeks on study according to RECIST. CR is defined as disappearance of all target and non-target lesions. PR is defined as ≥30% decrease in sum of the LDs of the target lesions taking as a reference the baseline sum LD according to RECIST. SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease taking as reference smallest sum of LDs since treatment started. (NCT00662025)
Timeframe: Day 1 of Cycle 2, every 6 weeks after Cycle 2, and at the end of Cycle 8.
Intervention | participants (Number) |
---|
| Total Number of Participants with CBR | Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) >= 168 days |
---|
SUNITINIB+CAPECITABINE | 32 | 0 | 19 | 13 |
[back to top]
Cmax for Sunitinib, SU012662, and Total Drug (Sunitinib+SU012662)
"SU012662 is a metabolite of sunitinib. Cmax means a maximum observed plasma concentration.~The Cmax for total drug (sunitinib+SU012662) was calculated as the mean of the Cmax of total drug from individual participant." (NCT00662025)
Timeframe: Days 14 and 15 of Cycle 1
Intervention | nanogram/milliliter (Mean) |
---|
| Sunitinib | SU012662 | Total Drug (Sunitinib+SU012662) |
---|
SUNITINIB+CAPECITABINE | 87.7 | 33.9 | 119 |
[back to top]
Number of Participants With Grade 4 Adverse Events
Grading of adverse events was determine by the principal investigator according to NCI common toxicity criteria (CTC version 3.0). Safety analysis is based on any participant experiencing a grade 4 AE. (NCT00665457)
Timeframe: every 3 weeks X 4, then every 2 weeks X4
Intervention | Participants (Count of Participants) |
---|
Celecoxib | 1 |
[back to top]
Quality of Life (QoL) Assessed by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30)
Mean global health status and social functioning scores (EORTC QLQ-C30) against time for each treatment group. Scores were derived from mutually exclusive sets of items, with scale scores ranging from 0 to 100 after a linear transformation. Higher scores indicate a better QoL. (NCT00678535)
Timeframe: Baseline, Week 6, 12, 18, 24, 30, 36, 42, 48, 54 and 60, reported between day of first participant randomized, that is, 30 Jun 2008 until cut-off date (31 Mar 2012)
,
Intervention | units on a scale (Mean) |
---|
| Global health status: Baseline | Global health status: Week 6 | Global health status: Week 12 | Global health status: Week 18 | Global health status: Week 24 | Global health status: Week 30 | Global health status: Week 36 | Global health status: Week 42 | Global health status: Week 48 | Global health status: Week 54 | Global health status: Week 60 | Social functioning status: Baseline | Social functioning status: Week 6 | Social functioning status: Week 12 | Social functioning status: Week 18 | Social functioning status: Week 24 | Social functioning status: Week 30 | Social functioning status: Week 36 | Social functioning status: Week 42 | Social functioning status at Week 48 | Social functioning status: Week 54 | Social functioning status: Week 60 |
---|
Capecitabine Plus Cisplatin | 57.19 | 61.80 | 63.35 | 61.83 | 63.61 | 64.11 | 57.72 | 62.64 | 66.67 | 66.67 | 61.81 | 76.52 | 75.70 | 75.65 | 75.51 | 78.26 | 76.67 | 73.58 | 78.16 | 78.00 | 80.56 | 68.06 |
Cetuximab Plus Capecitabine Plus Cisplatin | 57.49 | 59.00 | 60.17 | 60.45 | 62.46 | 63.65 | 65.06 | 59.29 | 63.39 | 60.63 | 62.50 | 74.36 | 68.94 | 71.48 | 71.22 | 74.20 | 78.51 | 76.28 | 68.57 | 80.36 | 74.71 | 78.33 |
[back to top]
Quality of Life (QoL) Assessed by EuroQol 5Dimensions (EQ-5D) Questionnaire
EQ-5D questionnaire is a measure of health status that provides a simple descriptive profile and a single index value. The EQ-5D defines health in terms of mobility, self-care, usual activities, pain/discomfort and anxiety/depression. The 5 single items are combined to obtain a single index score that is health utility index (HUI) score reflecting subject's preferences for different health states. The lowest possible score is -0.59 and the highest is 1.00, higher scores on the EQ-5D represent a better QoL. (NCT00678535)
Timeframe: Baseline, Week 6, 12, 18, 24, 30, 36, 42, 48, 54 and 60, reported between day of first participant randomized, that is, 30 Jun 2008 until cut-off date (31 Mar 2012)
,
Intervention | units on a scale (Mean) |
---|
| Baseline | Week 6 | Week 12 | Week 18 | Week 24 | Week 30 | Week 36 | Week 42 | Week 48 | Week 54 | Week 60 |
---|
Capecitabine Plus Cisplatin | 0.749 | 0.769 | 0.775 | 0.755 | 0.761 | 0.790 | 0.711 | 0.689 | 0.770 | 0.730 | 0.742 |
Cetuximab Plus Capecitabine Plus Cisplatin | 0.743 | 0.739 | 0.752 | 0.742 | 0.733 | 0.737 | 0.710 | 0.722 | 0.719 | 0.733 | 0.760 |
[back to top]
Safety - Number of Participants With Adverse Events (AEs)
An Adverse Event (AE) is defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to Baseline during a clinical study with an investigational medicinal product (IMP), regardless of causal relationship and even if no IMP has been administered. (NCT00678535)
Timeframe: Time from first dose up to Day 30 after last dose of study treatment, reported between day of first participant randomized, that is, 30 Jun 2008 until cut-off date (31 Mar 2012)
Intervention | participants (Number) |
---|
Cetuximab Plus Capecitabine Plus Cisplatin | 446 |
Capecitabine Plus Cisplatin | 432 |
[back to top]
Progression-free Survival (PFS) Time: Independent Review Committee (IRC) Assessments
The PFS time is defined as the duration from randomization to either first observation of progressive disease (PD) or occurrence of death due to any cause within 60 days of the last tumor assessment or randomization. Participants without event are censored on the date of last tumor assessment. (NCT00678535)
Timeframe: Time from randomization to disease progression, death or last tumor assessment, reported between day of first participant randomized, that is, 30 Jun 2008 until cut-off date (31 Mar 2012)
Intervention | months (Median) |
---|
Cetuximab Plus Capecitabine Plus Cisplatin | 4.4 |
Capecitabine Plus Cisplatin | 5.6 |
[back to top]
Overall Survival (OS)
The OS time is defined as the time from randomization to death or last day known to be alive. Participants without event are censored at the last date known to be alive or at the clinical cut-off date, whatever is earlier. (NCT00678535)
Timeframe: Time from randomization to death or last day known to be alive, reported between day of first participant randomized, that is, 30 Jun 2008 until cut-off date, (31 Mar 2012)
Intervention | months (Median) |
---|
Cetuximab Plus Capecitabine Plus Cisplatin | 9.4 |
Capecitabine Plus Cisplatin | 10.7 |
[back to top]
Best Overall Response (BOR) Rate: Independent Review Committee (IRC) Assessments
The BOR rate is defined as the percentage of participants having achieved complete response (CR) or partial response (PR) as the best overall response, based on radiological assessments (based on response evaluation criteria in solid tumors [RECIST] Version 1.0) from the IRC. (NCT00678535)
Timeframe: Every 6 weeks until progression, reported between day of first participant randomized, that is, 30 Jun 2008 until cut-off date, (31 Mar 2012)
Intervention | percentage of participants (Number) |
---|
Cetuximab Plus Capecitabine Plus Cisplatin | 29.9 |
Capecitabine Plus Cisplatin | 29.2 |
[back to top]
Number of Participants With Any Non-serious Adverse Event (AE: Occurring in >=5% Participants in Any Treatment Arm) or Any Serious Adverse Event (SAE)
An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, or is an event of possible drug-induced liver injury. Refer to the general Adverse AE/SAE module for a complete list of AEs and SAEs. (NCT00680901)
Timeframe: From the first dose of study medication until 30 days after the last dose (average of 229 days)
,
Intervention | Participants (Number) |
---|
| Non-serious AEs | SAEs |
---|
CapeOx + Lapatinib | 245 | 72 |
CapeOx + Placebo | 216 | 52 |
[back to top]
Number of Participants With Adverse Events of the Indicated Severity, Per the National Cancer Institute (NCI) Common Terminology Criteria in Adverse Events (CTCAE)
An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, or is an event of possible drug-induced liver injury. AE/SAE severity was graded according to NCI CTCAE, version 3.0: Grade (G) 1, mild; G2, moderate; G3, severe; G4, life threatening; G5, death related to toxicity. (NCT00680901)
Timeframe: From the first dose of study medication until 30 days after the last dose (average of 229 days)
,
Intervention | Participants (Number) |
---|
| Grade 1 | Grade 2 | Grade 3 | Grade 4 | Grade 5 |
---|
CapeOx + Lapatinib | 44 | 88 | 91 | 17 | 15 |
CapeOx + Placebo | 57 | 76 | 69 | 25 | 9 |
[back to top]
Number of Participants With a Worst-case on Therapy Grade 3 or Grade 4 for the Indicated Hematology Parameters
Data are summarized by NCI CTCAE, version 3.0 toxicity grades. Data are reported as the number of participants who had a Grade 3 (G3) or Grade 4 (G4) toxicity for indicated hematology parameters: G3 indicates a severe toxicity, and G4 indicates a life-threatening toxicity. Hematology parameter included: Hemoglobin (Hemo), Total Neutrophils (TN) Absolute, Platelet Count (PC), and White Blood Cell (WBC) Count. (NCT00680901)
Timeframe: From Baseline (Day 1) until 28 days after the last dose (average of 239 days)
,
Intervention | Participants (Number) |
---|
| Hemo, G3, n=261, 263 | Hemo, G4, n=261, 263 | TN Absolute, G3, n=240, 248 | TN Absolute, G4, n=240, 248 | PC, G3, n=261, 261 | PC, G4, n=261, 261 | WBC Count, G3, n=261, 262 | WBC Count, G4, n=261, 262 |
---|
CapeOx + Lapatinib | 26 | 9 | 22 | 6 | 21 | 5 | 12 | 1 |
CapeOx + Placebo | 19 | 8 | 27 | 2 | 29 | 2 | 4 | 1 |
[back to top]
Overall Survival
Overall Survival is defined as the time from randomization until death due to any cause. Participants who had not died were censored at the follow-up visit as either follow-up ended or follow-up ongoing. (NCT00680901)
Timeframe: From randomization until death due to any cause (average of 51 weeks)
Intervention | months (Median) |
---|
CapeOx + Lapatinib | 12.2 |
CapeOx + Placebo | 10.5 |
[back to top]
Number of Participants With a Worst-case on Therapy Grade 3 or Grade 4 for the Indicated Clinical Chemistry Parameters
Data are summarized by NCI CTCAE, version 3.0 toxicity grades. Data are reported as the number of participants who had a Grade 3 (G3) or Grade 4 (G4) toxicity for the indicated clinical chemistry parameters: G3 indicates a severe toxicity, and G4 indicates a life-threatening toxicity. Clinical chemistry parameters included: Albumin, Alkaline Phosphatase (AP), Alanine Amino Transferase (ALT), Aspartate Amino Transeferase (AST), Total Bilirubin (TB), Calcium (Hypercalcemia and Hypocalcemia), Creatine Kinase (CK), Creatinine, Glucose (Hyperglycemia [high] and Hypoglycemia [low]), Potassium (Hyperkalemia [high] and Hypokalemia [low]), Magnesium (Hypermagnesemia [high] and Hypomagnesemia [low]), and Sodium (Hypernatremia [high] and Hyponatremia [low]). (NCT00680901)
Timeframe: From Baseline (Day 1) until 28 days after the last dose (average of 239 days)
,
Intervention | Participants (Number) |
---|
| Albumin, G3, n=257, 258 | Albumin, G4, n=257, 258 | AP, G3, n=260, 260 | AP, G4, n=260, 260 | ALT, G3, n=260, 262 | ALT, G4, n=260, 262 | AST, G3, n=260, 262 | AST, G4, n=260, 262 | TB, G3, n=260, 261 | TB, G4, n=260, 261 | Calcium (Hypercalcemia), G3, n=256, 262 | Calcium (Hypercalcemia), G4, n=256, 262 | Calcium (Hypocalcemia), G3, n=256, 262 | Calcium (Hypocalcemia), G4, n=256, 262 | CK, G3, n=1, 3 | CK, G4, n=1, 3 | Creatinine, G3, n=260, 262 | Creatinine, G4, n=260, 262 | Glucose (Hyperglycemia), G3, n=259, 262 | Glucose (Hyperglycemia), G4, n=259, 262 | Glucose (Hypoglycemia), G3, n=259, 262 | Glucose (Hypoglycemia), G4, n=259, 262 | Potassium (Hyperkalemia), G3, n=259, 261 | Potassium (Hyperkalemia), G4, n=259, 261 | Potassium (Hypokalemia), G3, n=259, 261 | Potassium (Hypokalemia), G4, n=259, 261 | Magnesium (Hypermagnesemia), G3, n=254, 256 | Magnesium (Hypermagnesemia), G4, n=254, 256 | Magnesium (Hypomagnesemia), G3, n=254, 256 | Magnesium (Hypomagnesemia), G4, n=254, 256 | Sodium (Hypernatremia), G3, n=259, 261 | Sodium (Hypernatremia), G4, n=259, 261 | Sodium (Hyponatremia), G3, n=259, 261 | Sodium (Hyponatremia), G4, n=259, 261 |
---|
CapeOx + Lapatinib | 3 | 0 | 5 | 0 | 2 | 0 | 2 | 0 | 6 | 2 | 0 | 0 | 3 | 0 | 0 | 0 | 2 | 0 | 6 | 1 | 1 | 0 | 2 | 1 | 21 | 3 | 5 | 0 | 1 | 0 | 1 | 2 | 19 | 2 |
CapeOx + Placebo | 4 | 0 | 12 | 0 | 4 | 0 | 6 | 0 | 3 | 5 | 0 | 0 | 4 | 0 | 0 | 0 | 1 | 0 | 8 | 0 | 1 | 2 | 1 | 0 | 11 | 1 | 5 | 0 | 0 | 0 | 2 | 0 | 16 | 4 |
[back to top]
Mean Change in Scores on the Questionnaire EuroQoL-5 Dimensions (EQ-5D) From Baseline to Week 36
The EQ-5D is a generic preference-based HROOL self administered tool comprising of a 5-dimensional health status measure (5D utility measure) and a visual analog rating scale feeling thermometer (T.). 5D utility measures mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. T. assesses participant's current health state. Each 5D utility question was responded to on a 3-point scale, indicating the level of impairment (1=no problem; 2=some or moderate problem(s); 3=unable, or extreme problems). The index utility values corresponding to the 243 health states were defined by the EuroQol classification and calculated based on country-specific regression coefficients. In the UK-based value set, the possible EQ-5D index utility values range from -0.594 to 1. The T. value ranges from 0 to 100. EQ-5D utility index score 0=death, 1=perfect health, -0.594 = worse than death. The T. score: 100=best imaginable health state, 0=worse imaginable health state. (NCT00680901)
Timeframe: From Baseline (Day1) to Week 36
,
Intervention | Scores on a scale (Mean) |
---|
| Utility Index, n=50, 19 | Thermometer, n=50, 20 |
---|
CapeOx + Lapatinib | 0.1 | 5.5 |
CapeOx + Placebo | -0.1 | 2.6 |
[back to top]
Mean Change in Scores on the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life (QOL) Questionnaire Core 30 (QLQ-C30) From Baseline to Week 36
"The QLQ-C30, a self administered tool used to assess HROL, consists of 30 items that assesses 15 domains consisting of 5 functional scales (s.) (physical, role, emotional, cognitive, social) and nine symptom s. or single items (fatigue, nausea and vomiting, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea, financial difficulties) and a global health status or QOL s.. For the functional s. and symptom s. or single items, participants assessed using a 4-point s. (1=not at all; 2=a little; 3=quite a bit; 4=very much), whereas global health status or QOL was assessed using a 7-item Likert s., ranging from poor to excellent. All s. and single-item scores ranged from 0 to 100. For the functional scores, a higher score indicated a better HRQOL, i.e. 0=worst HRQOL, 100=best HRQOL; for the symptom s. or single items , a higher score indicated a high level of symptoms and problems, i.e. 0=no symptoms, 100=most severe symptoms." (NCT00680901)
Timeframe: From Baseline (Day1) to Week 36
,
Intervention | Scores on a scale (Mean) |
---|
| Global health status/quality of life, n= 49, 19 | Physical functioning, n=50, 19 | Role functioning, n=50, 19 | Emotional functioning, n=50, 19 | Cognitive functioning, n=50, 19 | Social functioning, n=50, 19 | Fatigue symptom scale, n=50, 19 | Nausea and vomiting symptom scale, n=50, 19 | Pain symptom scale, n=50, 19 | Dyspnea symptom scale, n=50, 18 | Insomnia symptom scale, n=50, 19 | Appetite loss symptom scale, n=50, 19 | Constipation symptom scale, n=49, 19 | Diarrhea symptom scale, n=50, 19 |
---|
CapeOx + Lapatinib | 6.6 | 0.6 | 4.7 | 4.1 | -0.2 | 6.7 | -6.0 | -4.7 | -6.7 | 0.7 | -4.0 | -8.0 | -6.8 | 6.0 |
CapeOx + Placebo | 1.8 | -4.4 | -1.8 | 0.4 | -5.3 | -4.4 | 2.3 | 6.1 | 0.0 | 5.6 | -1.8 | -5.3 | 0.0 | 1.8 |
[back to top]
Mean Change in Scores on the EORTC Quality of Life (QOL) Questionnaire of Stomach 22 (QLQ-STO22) From Baseline to Week 36
The EORTC QLQ-STO22, the Gastric module of QLQ-C30, is a self administered tool use to assess HROOL of patients with gastric cancer. It consists of 22 items consisting of nine symptom scales or single items (dysphagia, pain, reflux, eating restrictions, anxiety, dry mouth, taste, body image, hair loss) that were developed for participants with gastric cancer. For the symptom scales or single items, participants assessed using a 4-point scale (1=not at all; 2=a little; 3=quite a bit; 4=very much). All scales and single-item scores ranged from 0 to 100. For the symptom scales or single items, a higher score indicated a high level of symptoms and problems, i.e. 0=no symptoms, 100=most severe symptoms. (NCT00680901)
Timeframe: From Baseline (Day1) to Week 36
Intervention | Scores on a scale (Mean) |
---|
| Dysphagia symptom scale, n=48, 15 | Pain symptom scale, n=26, 15 | Reflux symptom scale, n=48, 16 | Eating restrictions symptom scale, n=48, 16 | Anxiety symptom scale, n=48, 16 | Dry mouth symptom scale, n=46, 16 | Taste symptom scale, n=48, 16 | Body image symptom scale, n=48, 16 | Hair loss symptom scale, n=2, 0 |
---|
CapeOx + Lapatinib | -6.7 | -12.6 | -8.3 | -7.8 | -16.7 | -8.0 | -3.5 | -10.4 | -16.7 |
[back to top]
Mean Change in Scores on the EORTC Quality of Life (QOL) Questionnaire of Stomach 22 (QLQ-STO22) From Baseline to Week 36
The EORTC QLQ-STO22, the Gastric module of QLQ-C30, is a self administered tool use to assess HROOL of patients with gastric cancer. It consists of 22 items consisting of nine symptom scales or single items (dysphagia, pain, reflux, eating restrictions, anxiety, dry mouth, taste, body image, hair loss) that were developed for participants with gastric cancer. For the symptom scales or single items, participants assessed using a 4-point scale (1=not at all; 2=a little; 3=quite a bit; 4=very much). All scales and single-item scores ranged from 0 to 100. For the symptom scales or single items, a higher score indicated a high level of symptoms and problems, i.e. 0=no symptoms, 100=most severe symptoms. (NCT00680901)
Timeframe: From Baseline (Day1) to Week 36
Intervention | Scores on a scale (Mean) |
---|
| Dysphagia symptom scale, n=48, 15 | Pain symptom scale, n=26, 15 | Reflux symptom scale, n=48, 16 | Eating restrictions symptom scale, n=48, 16 | Anxiety symptom scale, n=48, 16 | Dry mouth symptom scale, n=46, 16 | Taste symptom scale, n=48, 16 | Body image symptom scale, n=48, 16 |
---|
CapeOx + Placebo | 1.4 | -4.0 | 4.2 | 0.3 | -7.3 | 8.3 | 4.2 | -2.1 |
[back to top]
Time to Response (TTR)
TTR is defined as the time from randomization until the date of the first documented evidence of CR (the disappearance if all target and non-target lesions) or PR (at least a 30% decrease in the sum of the LD of target lesions, taking a reference the Baseline sum LD) as assessed by the investigator. (NCT00680901)
Timeframe: From Baseline (Day 1) until the first documented evidence of confirmed CR or PR (average of 9 weeks)
Intervention | Months (Median) |
---|
CapeOx + Lapatinib | 1.4 |
CapeOx + Placebo | 1.4 |
[back to top]
Progression Free Survival (PFS)
PFS is defined as the interval between the date of randomization and the earliest date of disease progression (PD) or death due to any cause. Per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.0, PD is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as a reference, the smallest sum of diameters recorded since the treatment started or the appearance of >= 1 new lesion. Participants who did not have a radiological assessed PD but had symptomatic PD were also counted. Participants who had neither progressed nor died were censored at the follow-up visit as either follow-up ended or follow-up ongoing. Participants who received non-study anti-cancer therapies before disease progression were treated as censored. (NCT00680901)
Timeframe: From randomization until the earliest date of disease progression or death due to any cause (average of 30 weeks)
Intervention | months (Median) |
---|
CapeOx + Lapatinib | 6.0 |
CapeOx + Placebo | 5.4 |
[back to top]
Overall Survival in All Randomized Participants
Overall Survival is defined as the time from randomization until death due to any cause. Participants who had not died were censored at the follow-up visit as either follow-up ended or follow-up ongoing. (NCT00680901)
Timeframe: From randomization until death due to any cause (average of 51 weeks)
Intervention | months (Median) |
---|
CapeOx + Lapatinib | 11.9 |
CapeOx + Placebo | 10.4 |
[back to top]
Duration of Response (DOR)
DOR is defined as the time from the first documented evidence of a CR (the disappearance of all target and non-target lesions) or PR (at least a 30% decrease in the sum of the LD of target lesions, taking as a reference the Baseline sum LD) until the first documented sign of PD or death due to any cause. Per RECIST, PD is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as a reference, the smallest sum of diameters recorded since the treatment started or the appearance of >=1 new lesion. Participants who had neither progressed nor died were censored at the follow-up visit as either follow-up ended or follow-up ongoing. Participants who received non-study anti-cancer therapies before disease progression were treated as censored. (NCT00680901)
Timeframe: From the time of the first documented evidence of a confirmed CR or PR until the earliest date of disease progression or death due to any cause (average of 36 weeks)
Intervention | Months (Median) |
---|
CapeOx + Lapatinib | 7.3 |
CapeOx + Placebo | 5.6 |
[back to top]
Number of Participants With a Response of Confirmed Complete Response (CR) or Confirmed Partial Response (PR)
A participant was defined as a responder if he/she achieved either a CR (the disappearance of all target and non-target lesions) or a PR (at least a 30% decrease in the sum of the longest diameters [LD] of target lesions, taking as a reference the Baseline sum LD) as assessed by the investigator (confirmed by radiographic imaging within 4 weeks from initial observations). (NCT00680901)
Timeframe: From randomization until the date of the first documented response of CR or PR (average of 9 weeks)
Intervention | Participants (Number) |
---|
CapeOx + Lapatinib | 131 |
CapeOx + Placebo | 93 |
[back to top]
Number of Participants With Clinical Benefit (CB)
CB is defined as evidence of a CR (disappearance of all target and non-target lesions) or PR (at least a 30% decrease in the sum of the LD of target lesions, taking as a reference the Baseline sum LD) at any time or stable disease (SD, neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started) as assessed by the investigator. (NCT00680901)
Timeframe: From randomization until disease progression (PD) or death due to any cause (average of 30 weeks)
Intervention | Participants (Number) |
---|
CapeOx + Lapatinib | 199 |
CapeOx + Placebo | 188 |
[back to top]
Overall Survival
Median Survival time (months) (NCT00684983)
Timeframe: From randomization to death due to any cause, up to 5 years
Intervention | Months (Median) |
---|
Arm A | 16.8 |
Arm B | 14.7 |
[back to top]
Adverse Event Profile of Capecitabine and Lapatinib With and Without IMC-A12 (Using NCI CTCAE v3.0)
"All eligible patients that have initiated treatment will be considered evaluable for assessing adverse event rate(s) according to CTCAE v3.0 within each treatment arm. The maximum grade for each type of adverse event will be recorded for each patient, and frequency tables will be reviewed to determine patterns. Additionally, the relationship of the adverse event(s) to the study treatment will be taken into consideration.~4/19 (21.05%) 14/45 (31.11%)" (NCT00684983)
Timeframe: Baseline to 30 days past end of treatment
Intervention | percentage of patients with AEs (Number) |
---|
Arm I (Lapatinib Ditosylate, Capecitabine) | 21 |
Arm II (Cixutumumab, Lapatinib Ditosylate, Capecitabine) | 31 |
[back to top]
Confirmed Tumor Response, Defined as Either a Complete Response (CR) or Partial Response (PR) Noted as the Objective Status on 2 Consecutive Evaluations at Least 6 Weeks Apart, Assessed by Response Evaluation Criteria for Solid Tumors (RECIST)
(NCT00684983)
Timeframe: Up to 5 years
Intervention | % of evaluable participants (Number) |
---|
Arm A | 43.8 |
Arm B | 29 |
[back to top]
Duration of Response
Distribution estimated by the Kaplan-Meier (1958) method for each treatment arm. (NCT00684983)
Timeframe: Up to 5 years
Intervention | Months (Median) |
---|
Arm A | 4.8 |
Arm B | 6.9 |
[back to top]
Progression-free Survival (PFS)
Analysis of the primary endpoint, PFS, will be performed using Cox regression with treatment group as a single covariate. (NCT00684983)
Timeframe: From randomization to the earliest date of documentation of disease progression, up to 5 years
Intervention | Median survival and CI in months (Median) |
---|
Arm A | 6.0 |
Arm B | 4.9 |
[back to top]
Time to Treatment Failure
Distribution estimated by the Kaplan-Meier (1958) method for each treatment arm. (NCT00684983)
Timeframe: From the date of randomization to the date at which the patient is removed from treatment due to progression, adverse events, or refusal, up to 5 years
Intervention | Months (Median) |
---|
Arm A | 4.6 |
Arm B | 4.4 |
[back to top]
Cumulative Incidence of grade3+ Bowel Perforation, Grade 3+ Bleeding (Ocurring Withing 1 Years) and grade4+ Nonhematologic Acute Adverse Events (Limited to Within 90 Days of Treatment Start)
(NCT00685763)
Timeframe: 1 year following the completion of radiation therapy
Intervention | participants (Number) |
---|
Proton Radiation and Chemotherapy | 0 |
[back to top]
3-year Disease-free Survival
From date of registration to date of first documentation of progression or symptomatic deterioration, or death due to any cause. Patients last known to be alive and progression free are censored at date of last contact. (NCT00686166)
Timeframe: 3 years
Intervention | percentage of participants (Number) |
---|
Chemo + Chemo and Radiation + Surgery | 68 |
[back to top]
Pathologic Complete Response Rate
Pathologic response is evaluated after the patient has had surgery, and is based on local pathology review of the resected surgical specimen, according to the following: a) Pathologic complete response (pCR): on review of the resected rectal specimen and accompanying lymph nodes, no cancer is recognized by the pathologist; b) Microscopic cancer: gross tumor is not seen by the pathologist but tumor remains in the microscopic analysis of any part of the entire specimen; c) no response: gross cancer is found on pathologic examination of the resected rectal cancer and draining lymph nodes. (NCT00686166)
Timeframe: 15-20 weeks from registration
Intervention | percentage of participants (Number) |
---|
Chemo + Chemo and Radiation + Surgery | 25 |
[back to top]
[back to top]
Percentage of Participants With Disease Progression
Objective tumor response was assessed using RECIST version 1.1. Disease progression was defined as a ≥20 percent (%) increase in the sum of longest diameters of target lesions, taking as reference the smallest sum obtained at previous tumor assessment, or the appearance of any new lesions. The percentage of participants with disease progression was calculated as [number of participants meeting the above criteria divided by the number analyzed] multiplied by 100. (NCT00700570)
Timeframe: Up to approximately 3 years (at Baseline, end of Cycle 5, time of surgery, and within 4 weeks of end of treatment [EOT])
Intervention | percentage of participants (Number) |
---|
Resected | 52.6 |
Unresected | 46.2 |
[back to top]
Time to Disease Progression
Objective tumor response was assessed using RECIST version 1.1. Disease progression was defined as a ≥20% increase in the sum of longest diameters of target lesions, taking as reference the smallest sum obtained at previous tumor assessment, or the appearance of any new lesions. Time to disease progression was defined as the time from first dose to time of disease progression. Participants without progression were censored at the time of last tumor assessment. Time to disease progression was estimated using Kaplan-Meier analysis and expressed in months. (NCT00700570)
Timeframe: Up to approximately 3 years (at Baseline, end of Cycle 5, time of surgery, and within 4 weeks of EOT)
Intervention | months (Median) |
---|
Resected | 10.1 |
Unresected | 8.7 |
[back to top]
Percentage of Participants by Best Overall Tumor Response According to RECIST Version 1.1
Objective tumor response was assessed using RECIST version 1.1. CR was defined as the disappearance of all target lesions, and PR was defined as a ≥30% decrease in the sum of longest diameters compared to Baseline. Response was to be confirmed at a minimum of 4 weeks after the first documented response. Stable disease (SD) was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, as well as no new target lesions. Disease progression or PD was defined as a ≥20% increase in the sum of longest diameters of target lesions, taking as reference the smallest sum obtained at previous tumor assessment, or the appearance of any new lesions. Non-evaluability for tumor assessment was also documented when applicable. The percentage of participants with each level of response was calculated as [number of participants meeting the respective criteria divided by the number analyzed] multiplied by 100. (NCT00700570)
Timeframe: Up to approximately 3 years (at Baseline, end of Cycle 5, time of surgery, within 4 weeks of EOT, and at least 4 weeks after initial response)
,
Intervention | percentage of participants (Number) |
---|
| CR | PR | SD | PD | Non-evaluable |
---|
Resected | 36.8 | 10.5 | 0 | 52.6 | 0 |
Unresected | 0 | 34.6 | 15.4 | 46.2 | 3.8 |
[back to top]
Percentage of Participants With a Best Overall Tumor Response of Complete Response (CR) or PR According to RECIST Version 1.1
Objective tumor response was assessed using RECIST version 1.1. CR was defined as the disappearance of all target lesions, and PR was defined as a ≥30% decrease in the sum of longest diameters compared to Baseline. Response was confirmed at a minimum of 4 weeks after the first documented response. The percentage of participants with confirmed CR or PR was calculated as [number of participants meeting the respective criteria divided by the number analyzed] multiplied by 100. (NCT00700570)
Timeframe: Up to approximately 3 years (at Baseline, end of Cycle 5, time of surgery, within 4 weeks of EOT, and at least 4 weeks after initial response)
Intervention | percentage of participants (Number) |
---|
Resected | 47.4 |
Unresected | 34.6 |
[back to top]
[back to top]
Toxicity Profile
"Toxicity will be assessed at the beginning of every cycle during chemotherapy for a total of 4 cycles (1 cycle =21 days) and then 30 days post last dose of chemotherapy. All toxicities will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events version 3.0 (CTCAE 3.0)~In general adverse events (AEs) will be graded according to the following:~Grade 1 Mild AE Grade 2 Moderate AE Grade 3 Severe AE Grade 4 Life-threatening or disabling AE Grade 5 Death related to AE~Only incidents of AEs determined to be related to chemotherapy are recorded here." (NCT00711412)
Timeframe: During chemotherapy treatment and up to 30 days post-last dose of chemotherapy.
Intervention | participants (Number) |
---|
| Thrombocytopenia | Anemia | lymphopenia | Leukopenia | Neutropenia | Thrombosis | Nausea | Diarrhea | Dysphagia | Vomiting | Constipatation | Abdominal pain | Stomatitis | Esophgitis |
---|
Induction and Combination Treatment | 20 | 17 | 16 | 15 | 8 | 5 | 18 | 15 | 15 | 8 | 7 | 6 | 6 | 4 |
[back to top]
Time to Progression
Time to Progression will be measured as time from the first day of therapy until death, disease progression or last contact. (NCT00711412)
Timeframe: From start of first treatment until time of first documentation of progression of disease or death, whichever comes first, until the study closes, up to a maximum of 6 years and 7 months.
Intervention | Participants (Count of Participants) |
---|
Induction, Combination and Surgery | 28 |
[back to top]
Recurrence Rate
Recurrence rate will be defined as disease recurrence, progressive disease or death. Patients will be followed for disease recurrence or death until the end of the study. (NCT00711412)
Timeframe: From the time of start of treatment until first documentation of disease recurrence, progression or death, whichever comes first until the end of the study, a maximum of 6 years and 7 months.
Intervention | Participants (Count of Participants) |
---|
Induction and Combination Treatment | 23 |
[back to top]
Determine Pathologic Complete Response
"Pathologic response will be assessed semiquantitatively irrespective of lymph node status based on the estimated percentage of residual carcinoma in relation total carcinoma area, including amount of radiotherapy-induced tissue injury, in mural histologic sections.~Pathologic response will be defined as:~P0: 0% residual cancer P1: 1% to 50% residual cancer P2: more than 50% residual cancer" (NCT00711412)
Timeframe: At time of surgery
Intervention | Participants (Count of Participants) |
---|
Induction, Combination and Surgery | 9 |
[back to top]
Clinical Response Rate
"Clinical response Rate will be expressed as the proportion of patients demonstrating a complete and/or partial response based on all evaluable patients treated.Clinical response will be evaluated according to Response Evaluation Criteria In Solid Tumors 1.0 (RECIST) .~Complete Response (CR) is defined as the disappearance of all target lesions Partial Response (PR) is defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions,taking as reference the baseline sum LD" (NCT00711412)
Timeframe: four to six weeks following completion of 4 cycles (1 cycle = 21days) of chemotherapy treatment and prior to surgery
Intervention | Participants (Count of Participants) |
---|
Induction and Combination Treatment | 28 |
[back to top]
Overall Survival
(NCT00711412)
Timeframe: From the start of treatment and then every 3 months until death or a maximum of 24 months.
Intervention | percentage of patients alive (Number) |
---|
| 3 months | 6 months | 12 months | 24 months |
---|
Induction and Combination Treatment | 93.02 | 83.72 | 66.81 | 58.51 |
[back to top]
Determine Progressive Free Survival
(NCT00711412)
Timeframe: After cycles 2, and 4 (pre-surgery) 30 days after surgery and then every 3 months until first documentation of progressive disease, death and up to a maximum of 24 months.
Intervention | percentage of patents progression free (Number) |
---|
| 3 months | 6 months | 12 months | 24 months |
---|
Induction and Combination Treatment | 86.05 | 67.44 | 62.62 | 51.83 |
[back to top]
Percentage of Participants With Progression-free Survival.
Gadolinium-contrasted MRIs were used to assess radiographic response every 2 cycles (~6 weeks). Tumor progression was defined by increasing tumor size, new areas of tumor, or unequivocal neurologic deterioration. (NCT00717197)
Timeframe: From date of first dose of study drug until month 6.
Intervention | percentage of participants with PFS6 (Number) |
---|
Capecitabine | 21.7 |
[back to top]
Number of Participants With Toxicities Associated With Capecitabine and Lapatinib
Toxicities evaluated according to NCI CTC v.3 (NCT00721630)
Timeframe: 6 months
Intervention | Participants (Count of Participants) |
---|
Capecitabine + Lapatinib | 23 |
[back to top]
Overall Response Will be Characterized by the Patient's FDG-PET Scan
A good early FDG Response is a reduction in FDG uptake on the week 3 PET scan of > or = to 35% from baseline. An FDG PET non-responder will be defined as having a decrease of < 35% on the week 3 PET scan compared with baseline. (NCT00737438)
Timeframe: 2 years
Intervention | participants (Number) |
---|
| Metabolic Responder | Non-Metabolic Responder |
---|
All Patients | 11 | 9 |
[back to top]
Maximum Tolerated Dose (MTD) of Neratinib
MTD reflects the highest dose of neratinib plus capeciteabine that did not cause a selected Grade 3 toxicity in >= 2 participants, which is any of 1) Grade 3 or 4 non-hematologic toxicity (Grade 3 asthenia was not considered a DLT unless lasting >3 days, 2) Grade 3 diarrhea lasting >2 days on optimal medical therapy or associated with fever or dehydration. 3) Grade 4 neutropenia lasting ≥ 3 days or Grade 4 febrile neutropenia, 4) Grade 4 thrombocytopenia lasting ≥3 days or associated with bleeding or requiring platelet transfusion, 5) Delayed recovery [to ≥ National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) Grade 1 or baseline] from one of the above listed toxicities that were related to neratinib and/or capecitabine that delayed the initiation of the next dose by more than 3 weeks. (NCT00741260)
Timeframe: From first dose date to day 21.
Intervention | mg (Number) |
---|
Neratinib in Combination With Capecitabine | 240 |
[back to top]
Maximum Tolerated Dose (MTD) of Capecitabine
MTD reflects the highest dose of capecitabine in combination with neratinib that did not cause a selected Grade 3 toxicity in >= 2 participants, which is any of 1) Grade 3 or 4 non-hematologic toxicity (Grade 3 asthenia was not considered a DLT unless lasting >3 days, 2) Grade 3 diarrhea lasting >2 days on optimal medical therapy or associated with fever or dehydration. 3) Grade 4 neutropenia lasting ≥ 3 days or Grade 4 febrile neutropenia, 4) Grade 4 thrombocytopenia lasting ≥3 days or associated with bleeding or requiring platelet transfusion, 5) Delayed recovery [to ≥ National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) Grade 1 or baseline] from one of the above listed toxicities that were related to neratinib and/or capecitabine that delayed the initiation of the next dose by more than 3 weeks. (NCT00741260)
Timeframe: From first dose date to day 21.
Intervention | mg/m^2 (Number) |
---|
Capecitabine in Combination With Neratinib | 1500 |
[back to top]
Duration of Response
Duration of response was measured from the time at which response criteria were met for complete response (CR) or partial response (PR) (whichever status was recorded first) until the first date of recurrence or progressive disease (PD) or death per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) v1.0: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions. (NCT00741260)
Timeframe: From start date of response to first PD/death, up to three years.
Intervention | weeks (Median) |
---|
Prior Lapatinib Subjects | 48.3 |
Lapatinib Naive Subjects P1 | 46.3 |
Lapatinib Naive Subjects Part 2 + Part 1 | 46.3 |
[back to top]
Overall Response Rate
Number of Subjects with Complete or Partial Response per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) v.1.0: Complete Response (CR), disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; and Non-PD for non-target lesions, and no new lesions. (NCT00741260)
Timeframe: From first dose date to progression or last tumor assessment, up to three years.
Intervention | percentage of participants (Number) |
---|
Prior Lapatinib Subjects | 57.1 |
Lapatinib Naive Subjects P1 | 63.9 |
Lapatinib Naive Subjects Part 2 + Part 1 | 63.5 |
[back to top]
Clinical Benefit Rate
The percentage of subjects with Complete Response, Partial Response, or Stable Disease at least 24 weeks per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) v1.0: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. (NCT00741260)
Timeframe: From first dose date to progression or last tumor assessment, up to three years.
Intervention | percentage of participants (Number) |
---|
Prior Lapatinib Subjects | 71.4 |
Lapatinib Naive Subjects P1 | 72.1 |
Lapatinib Naive Subjects Part 2 + Part 1 | 73.0 |
[back to top]
Number of Participants With Dose Limiting Toxicities
Number of participants reporting Adverse Events Causing Dose Limiting Toxicities (DLT). (NCT00741260)
Timeframe: From first dose date to day 21
Intervention | Participants (Count of Participants) |
---|
N160 + C1500 | 0 |
N160 + C2000 | 2 |
N200 + C2000 | 2 |
N240 + C1500 | 0 |
N240 + C2000 | 2 |
N + C MTD - No Prior Lap | 0 |
N + C MTD - Prior Lap | 0 |
[back to top]
Tumor Regression Grade
tumor regression grade (1= pCR, 2= near pCR, 3= partial response, 4= no response, 5=progression). (NCT00745134)
Timeframe: Baseline to 11.5 weeks
,
Intervention | Participants (Count of Participants) |
---|
| Grade 1 | Grade 2 | Grade 3 | Grade 4 | Grade 5 |
---|
Arm I (Curcumin) | 1 | 2 | 4 | 8 | 0 |
Arm II (Placebo) | 2 | 1 | 1 | 2 | 0 |
[back to top]
Progression Free Survival (PFS)
PFS was calculated from start of CRT to date of disease progression or death, censored at last endoscopy/imaging evaluation. (NCT00745134)
Timeframe: 5 years
Intervention | percentage of participants (Number) |
---|
Arm I (Curcumin) | 66.7 |
Arm II (Placebo) | 71.4 |
[back to top]
Overall Survival (OS)
OS was calculated from start of CRT to date of death, censored at last follow-up. Estimated with the Kaplan-Meier method. (NCT00745134)
Timeframe: 5 years
Intervention | percentage of participants (Number) |
---|
Arm I (Curcumin) | 85.7 |
Arm II (Placebo) | 85.7 |
[back to top]
Number of Participants With Tumor Downstaging
Tumor downstaging (DS) is defined as a decrease in the T stage of the primary tumor by at least 1. (NCT00745134)
Timeframe: Baseline to 11.5 weeks
Intervention | Participants (Count of Participants) |
---|
Arm I (Curcumin) | 7 |
Arm II (Placebo) | 4 |
[back to top]
Number of Participants With Pathologic Complete Response (pCR) Rate
Compared the rate of pCR between treatment arms with Fisher's exact test. (NCT00745134)
Timeframe: At time of surgery
Intervention | Participants (Count of Participants) |
---|
Arm I (Curcumin) | 1 |
Arm II (Placebo) | 2 |
[back to top]
Change in Curcumin Level in Tumor Tissue
A logistic regression model with pCR as the dependent variable will be used to assess the association between pCR and NF-kB activity and treatment. (NCT00745134)
Timeframe: Baseline to 11.5 weeks
Intervention | ng/mg tissue (Median) |
---|
Arm I (Curcumin) | 33.7 |
Arm II (Placebo) | 0.0 |
[back to top]
Change in Curcumin Level in Serum
"Plasma levels were assessed pre and post curcumin/placebo administration. During week 2 (after at least 5 fractions of radiation therapy) of chemoradiation therapy:~Optional endoscopic biopsy~Optional blood collection for pharmacology (1 hour before and 1 hour after intake of curcumin or placebo)" (NCT00745134)
Timeframe: assessed 1 hr pre/post curcumin administration on one of the days during week 2 of radiation therapy (fractions 6-10)
Intervention | ng/mL (Median) |
---|
| Serum curcumin concentrations before curcumin/placebo administration. | Serum curcumin concentrations after curcumin/placebo administration. |
---|
Arm I (Curcumin) | 3.04 | 3.32 |
[back to top]
[back to top]
[back to top]
Clinical Benefit Rate
"Clinical benefit rate (CR, PR, or SD = 24 weeks) for women For ErbB2 Positive Advanced Breast Cancer. Clinical benefit rate was the percentage of subjects who achieved overall tumor response per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) v1.0: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.~Clinical Benefit (CB) = CR + PR + SD >= 24 weeks." (NCT00777101)
Timeframe: From randomization date to progression or last tumor assessment, assessed up to 69 months
Intervention | percentage of participants (Median) |
---|
Neratinib | 44.4 |
Lapatinib+Capecitabine | 63.8 |
[back to top]
Duration of Response
Duration of response was measured from the time at which response criteria were met for complete response (CR) or partial response (PR) (whichever status was recorded first) until the first date of recurrence or progressive disease (PD) or death. For subjects without death or progression, censorship was at the last valid tumor assessment per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) v1.0: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions. (NCT00777101)
Timeframe: From start date of response to first PD, assessed up to 69 months after the first subject was randomized.
Intervention | months (Median) |
---|
Neratinib | 12.48 |
Lapatinib+Capecitabine | 7.98 |
[back to top]
Progression Free Survival
Progression Free Survival, Measured in Months, for Subjects Randomized. Investigator assessment. The time interval from the date of randomization until the earliest date of progression per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) or death due to any cause. For subjects without death or progression, censorship was at the last valid tumor assessment. (NCT00777101)
Timeframe: From randomization date to progression or death, assessed up to 69 months
Intervention | months (Median) |
---|
Neratinib | 4.53 |
Lapatinib+Capecitabine | 6.83 |
[back to top]
Overall Survival (OS)
Overall Survival (OS) was defined as the time from randomization to death due to any cause. Subjects last known to be alive were censored at the last date of last contact or the data cutoff employed for the analysis, whichever was earlier. (NCT00777101)
Timeframe: From randomization date to death, assessed up to 69 months
Intervention | months (Median) |
---|
Neratinib | 19.74 |
Lapatinib+Capecitabine | 23.62 |
[back to top]
Objective Response Rate (ORR).
Objective Response Rate, investigator assessment. The ORR was defined as the percentage of participants demonstrating a confirmed objective response, either Complete Response (CR) or Partial Response (PR) during the study per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) v.1.0: Complete Response (CR), disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; and Non-PD for non-target lesions, and no new lesions. (NCT00777101)
Timeframe: From randomization date to progression or last tumor assessment, assessed up to 69 months
Intervention | percentage of participants (Number) |
---|
Neratinib | 29.1 |
Lapatinib+Capecitabine | 40.5 |
[back to top]
[back to top]
Progression-Free Survival (PFS)
"Tumor progression was assessed according to the Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.1), presented below.~Complete Response (CR) = Disappearance of all target lesions~Partial Response (PR) = ≥ 30% decrease in the sum of the longest diameter of target lesions~Objective Response (OR) = CR + PR~Progressive disease (PD) = 20% increase in the sum of the longest diameter of target lesions, and/or the appearance of one or more new lesion(s)~Stable disease (SD) = Small changes that do not meet any of the above criteria.~Progression-Free Survival is assessed as the number of evaluable participants who were alive without disease progression at 1 year. Participants without out assessment at 12 months will not be included." (NCT00780494)
Timeframe: 12 months
Intervention | Participants (Count of Participants) |
---|
Bevacizumab+ Carboplatin +Capecitabine | 9 |
[back to top]
Objective (Overall) Therapeutic Response
"Tumor response was assessed per the Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.1) for target lesions, and assessed by physical measurement; magnetic resonance imaging (MRI); computed tomography (CT), positron emission tomography (PET)-CT; and/or X-rays/radiologic scan. Response was determined based on the criteria below.~Complete Response (CR) = Disappearance of all target lesions~Partial Response (PR) = ≥ 30% decrease in the sum of the longest diameter of target lesions~Objective Response (OR) = CR + PR~Progressive disease (PD) = 20% increase in the sum of the longest diameter of target lesions, and/or the appearance of one or more new lesion(s)~Stable disease (SD) = Small changes that do not meet any of the above criteria The outcome is provided as the number of participants who achieved each of the defined responses, with objective (overall) response defined as the sum of CR and PR. The outcome is reported as values without dispersion." (NCT00780494)
Timeframe: 12 months
Intervention | Participants (Count of Participants) |
---|
| Partial Response | Complete Response (CR) | Objective Response (OR) = CR + PR | Stable Disease | Progressive Disease |
---|
Bevacizumab+ Carboplatin +Capecitabine | 18 | 0 | 18 | 6 | 5 |
[back to top]
Overall Survival (OS)
Overall survival (OS) will be assessed from time from the date of enrollment to the date of death due to any cause or the last date the patient was known to be alive (censored observation) at the date of data cutoff for the final analysis. The outcome is presented as the median survival in days with standard deviation. (NCT00780494)
Timeframe: 7.5 years
Intervention | Days (Median) |
---|
Bevacizumab+ Carboplatin +Capecitabine | 458 |
[back to top]
[back to top]
[back to top]
2-year Stratum-specific Disease-free Survival
Disease-free survival is calculated from date of registration to date of first documentation of relapse or death due to any cause. Patients last known to be alive are censored at date of last contact. (NCT00789958)
Timeframe: Up to 2 years from registration
Intervention | percentage of participants (Number) |
---|
Patients With Negative Margins of Resection (R0) | 54 |
Patients w/Microscopically Positive Margin of Resection (R1) | 48 |
[back to top]
2-year Stratum-specific Local Relapse Rate
Local relapse is any evidence of new disease within the primary tumor bed or the regional (retroperitoneal, celiac, and portal vein nodes) lymphatics (these areas are to be encompassed within the radiation fields). (NCT00789958)
Timeframe: Up to 2 years from registration
Intervention | percentage of participants (Number) |
---|
Patients With Negative Margins of Resection (R0) | 9 |
Patients w/Microscopically Positive Margin of Resection (R1) | 16 |
[back to top]
Stratum-specific (R0 and R1) 2-year Overall Survival
Time to death is calculated from date of registration to date of death due to any cause. Patients last known to be alive are censored at date of last contact. (NCT00789958)
Timeframe: Up to 2 years from registration
Intervention | percentage of participants (Number) |
---|
Patients With Negative Margins of Resection (R0) | 67 |
Patients w/Microscopically Positive Margin of Resection (R1) | 60 |
[back to top]
[back to top]
2-year Disease-free Survival in All Patients
Disease-free survival is calculated from date of registration to date of first documentation of relapse or death due to any cause. Patients last known to be alive are censored at date of last contact. (NCT00789958)
Timeframe: Up to 2 years from registration
Intervention | percentage of participants (Number) |
---|
Adjuvant Chemotherapy + Chemoradiotherapy | 52 |
[back to top]
2-year Overall Local Relapse Rate
Local relapse is any evidence of new disease within the primary tumor bed or the regional (retroperitoneal, celiac, and portal vein nodes) lymphatics (these areas are to be encompassed within the radiation fields). (NCT00789958)
Timeframe: Up to 2 years from registration
Intervention | percentage of participants (Number) |
---|
Adjuvant Chemotherapy + Chemoradiotherapy | 11 |
[back to top]
2-year Overall Survival for All Patients
Time to death is calculated from date of registration to date of death due to any cause. Patients last known to be alive are censored at date of last contact. (NCT00789958)
Timeframe: Up to 2 years from registration
Intervention | percentage of participants (Number) |
---|
Adjuvant Chemotherapy + Chemoradiotherapy | 65 |
[back to top]
Percentage of Participants With Response to Treatment Assessed 4-6 Weeks After the Completion of Radiochemotherapy (Complete Response, Partial Remission or No Response to the Treatment)
Complete response was defined as the disappearance of all target and non-target lesions. Partial remission was defined as ≥ 30% decrease in the sum of the longest diameter (SLD) of target lesions, taking as reference the baseline SLD, or the persistence of 1 or more non-target lesions. No response to treatment was defined as neither sufficient shrinkage to qualify for partial remission nor sufficient increase to qualify for progressive disease, compared to the baseline SLD. (NCT00796718)
Timeframe: Up to 11 weeks (assessed 4-6 weeks after the completion of radiochemotherapy)
Intervention | percentage of participants (Number) |
---|
| Complete Response | Partial Remission | No Response |
---|
Capecitabine | 2 | 12.2 | 77.6 |
[back to top]
Percentage of Participants With Adverse Events
An adverse event was defined as any untoward medical occurrence in a participant administered the investigational product which does not necessarily have a causal relationship with this treatment. (NCT00796718)
Timeframe: Up to 15 weeks
Intervention | percentage of participants (Number) |
---|
Capecitabine | 91.9 |
[back to top]
Percentage of Participants With Response to the Treatment Assessed 1 Month After Surgery (Complete Response, Partial Remission or No Response to the Treatment)
Complete response was defined as the disappearance of all target and non-target lesions. Partial remission was defined as ≥ 30% decrease in the sum of the longest diameter (SLD) of target lesions, taking as reference the baseline SLD, or the persistence of 1 or more non-target lesions. No response to treatment was defined as neither sufficient shrinkage to qualify for partial remission nor sufficient increase to qualify for progressive disease, compared to the baseline SLD. (NCT00796718)
Timeframe: Up to 15 weeks (assessed 1 month after surgery)
Intervention | percentage of participants (Number) |
---|
| Complete Response | Partial Remission | No Response |
---|
Capecitabine | 56 | 10 | 14 |
[back to top]
Percentage of Participants With Pathological Complete Response
Pathological complete response was defined as the absence of viable tumor cells in the tumor specimen, including regional lymph nodes determined with standard histological procedures. (NCT00796718)
Timeframe: Up to 11 weeks (assessed at the time of post-treatment surgery)
Intervention | percentage of participants (Number) |
---|
Capecitabine | 16 |
[back to top]
Progression Free Survival (PFS)
PFS was defined as the time from enrollment to time of first documented disease progression or death due to any cause, whichever occurred first. Progression: at least a 20% increase in the sum of 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 and/or unequivocal progression of existing non-target lesions. PFS was estimated using Kaplan-Meier methods. (NCT00811135)
Timeframe: Screening until disease progression (assessed at screening, every 6 weeks up to Week 36, thereafter every 9 weeks during treatment period, and then every 3 months during follow-up, up to approximately 4 years)
Intervention | months (Median) |
---|
Trastuzumab + Bevacizumab + Capecitabine | 14.2 |
[back to top]
Number of Participants With Response
Participants who had CR or PR were considered as responders. CR: disappearance of all target and non-target lesions and normalization of tumor marker level; PR: at least a 30% decrease in the sum of the LD of target lesions taking as reference the baseline sum LD. (NCT00811135)
Timeframe: Screening until disease progression (assessed at screening, every 6 weeks up to Week 36, thereafter every 9 weeks during treatment period, and then every 3 months during follow-up, up to approximately 4 years)
Intervention | participants (Number) |
---|
Trastuzumab + Bevacizumab + Capecitabine | 66 |
[back to top]
Number of Participants With Time to Progression (TTP)
TTP was defined as the time from enrollment to first documented disease progression (at least a 20% increase in the sum of 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 and/or unequivocal progression of existing non-target lesions). TTP was estimated using Kaplan-Meier methods. (NCT00811135)
Timeframe: Screening until disease progression (assessed at screening, every 6 weeks up to Week 36, thereafter every 9 weeks during treatment period, and then every 3 months during follow-up, up to approximately 4 years)
Intervention | participants (Number) |
---|
Trastuzumab + Bevacizumab + Capecitabine | 62 |
[back to top]
Overall Survival (OS)
OS was defined as the time from enrollment to death from any cause where enrollment was defined as successfully passed screening visit, enrolled in the study and received first dose of study treatment. OS was estimated using Kaplan-Meier methods. (NCT00811135)
Timeframe: Screening until death (assessed at screening, every 6 weeks up to Week 36, thereafter every 9 weeks during treatment period, and then every 3 months during follow-up, up to approximately 4 years)
Intervention | months (Median) |
---|
Trastuzumab + Bevacizumab + Capecitabine | 31.8 |
[back to top]
Percentage of Participants With a Best Overall Response (BOR) of Confirmed Complete Response (CR) or Partial Response (PR)
Tumor response was assessed using the Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.0. BOR was defined as the best response recorded for a participant from the start of treatment until disease progression/recurrence. Percentage of participants with a BOR of confirmed CR or PR (responders) was reported. CR: disappearance of all target and non-target lesions and normalization of tumor marker level; PR: at least a 30 percent (%) decrease in the sum of the longest diameter (LD) of target lesions taking as reference the baseline sum LD. Confirmed responses were those which were confirmed by a repeat assessment, performed 4 weeks after the criteria for response first met. (NCT00811135)
Timeframe: Screening until disease progression (assessed at screening, every 6 weeks up to Week 36, thereafter every 9 weeks during treatment period, and then every 3 months during follow-up, up to approximately 4 years)
Intervention | percentage of participants (Number) |
---|
Trastuzumab + Bevacizumab + Capecitabine | 75.0 |
[back to top]
Duration of Response (DR)
DR was defined as the time from the first recorded response (CR/PR) to the date of first documented progression or death. CR: disappearance of all target lesions and non-target lesions and normalization of tumor marker level. PR: at least a 30% decrease in the sum of the LD of target lesions taking as reference the baseline sum LD. Progression: at least a 20% increase in the sum of 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 and/or unequivocal progression of existing non-target lesions. DR was estimated using Kaplan-Meier methods. (NCT00811135)
Timeframe: Screening until disease progression (assessed at screening, every 6 weeks up to Week 36, thereafter every 9 weeks during treatment period, and then every 3 months during follow-up, up to approximately 4 years)
Intervention | months (Median) |
---|
Trastuzumab + Bevacizumab + Capecitabine | 12.7 |
[back to top]
Time to Progression (TTP)
TTP was defined as the time from enrollment to first documented disease progression (at least a 20% increase in the sum of 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 and/or unequivocal progression of existing non-target lesions). (NCT00811135)
Timeframe: Screening until disease progression (assessed at screening, every 6 weeks up to Week 36, thereafter every 9 weeks during treatment period, and then every 3 months during follow-up, up to approximately 4 years)
Intervention | months (Median) |
---|
Trastuzumab + Bevacizumab + Capecitabine | 14.5 |
[back to top]
Number of Participants With Disease Progression or Death
Disease progression was defined as at least a 20% increase in the sum of 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 and/or unequivocal progression of existing non-target lesions. (NCT00811135)
Timeframe: Screening until disease progression (assessed at screening, every 6 weeks up to Week 36, thereafter every 9 weeks during treatment period, and then every 3 months during follow-up, up to approximately 4 years)
Intervention | participants (Number) |
---|
Trastuzumab + Bevacizumab + Capecitabine | 70 |
[back to top]
Number of Participants With Overall Survival (OS)
OS was defined as the time from enrollment to death from any cause where enrollment was defined as successfully passed screening visit, enrolled in the study and received first dose of study treatment. (NCT00811135)
Timeframe: Screening until death (assessed at screening, every 6 weeks up to Week 36, thereafter every 9 weeks during treatment period, and then every 3 months during follow-up, up to approximately 4 years)
Intervention | participants (Number) |
---|
Trastuzumab + Bevacizumab + Capecitabine | 40 |
[back to top]
Number of Participants With CNS Progression at Any Time
CNS progression was documented by a brain scan and was indicated by the investigator on the follow-up electronic Case Report Form. CNS relapse is defined as the appearance of >=1 enhancing lesion measuring >=6 mm on T1W MRI without CNS symptoms that were considered to be unequivocal based on all relevant radiological features (e.g., associated T2W signal abnormality); the appearance of any enhancing lesion on T1W MRI with CNS symptoms; unequivocal finding of leptomeningeal disease, with or without symptoms; and unequivocal finding of multifocal intraparenchymal lesions with or without symptoms. In the event of the appearance of a <6 mm lesions(s) without CNS lesions, or equivocal findings potentially suggesting leptomeningeal disease, these findings were followed with a subsequent scan within 6 weeks. If unequivocal progression was determined with the subsequent scan and/or CNS symptoms occurred, then CNS relapse crieria were met. (NCT00820222)
Timeframe: From the time of randomization until death due to any cause (average of 10 months). Cut-off 11-Jun-2012
Intervention | participants (Number) |
---|
Lapatinib Plus Capecitabine | 17 |
Trastuzumab Plus Capecitabine | 15 |
[back to top]
Number of Participants With the Indicated Grade 3 or Grade 4 Adverse Events (AEs) Occurring in >=2% of Participants in Either Treatment Arm
An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. The Investigator assessed whether the AE was related to study drug. AEs were graded using the Common Toxicity Criteria from the Cancer Therapy Evaluation Program, Division of Cancer Therapy, National Cancer Institute. Grades: 0=No AE or within normal limits; 1=Mild AE; 2=Moderate AE; 3=Severe and undesirable AE; 4=Life-threatening or disabling AE; 5=Death related to AE. (NCT00820222)
Timeframe: From the first dose of study medication until 30 days after the last dose of study treatment (average of 10 months).
,
Intervention | Participants (Count of Participants) |
---|
| Palmar-plantar erythrodysaesthesia syndrome | Diarrhoea | Aspartate aminotransferase increased | Neutropenia | Asthenia | Fatigue | Alanine aminotransferase increased | Hypokalaemia |
---|
Lapatinib Plus Capecitabine | 29 | 19 | 11 | 9 | 9 | 7 | 4 | 3 |
Trastuzumab Plus Capecitabine | 45 | 22 | 4 | 18 | 6 | 4 | 6 | 11 |
[back to top]
Overall Survival
Overall survival is defined as the time from randomization until death due to any cause or to the date of censor. In the absence of confirmation of death, survival time was to be censored at the time of the last investigator contact. (NCT00820222)
Timeframe: From randomization until death due to any cause (average of 10 months). Cut-off 11-Jun-2012
Intervention | months (Median) |
---|
Lapatinib Plus Capecitabine | 22.7 |
Trastuzumab Plus Capecitabine | 27.3 |
[back to top]
Progression Free Survival (PFS), as Assessed by the Investigator
PFS is defined as the interval between the date of randomization and the earliest date of progressive disease (PD), or death due to any cause. PD is defined as at least a 20% increase in the sum of the longest diameter (LD) of target lesions, compared with the smallest sum LD recorded since the treatment started, or the appearance of 1 or more new lesions based on investigator assessment of both CNS and non-CNS for response. (NCT00820222)
Timeframe: From randomization until disease progression, death, or discontinuation from the study (average of 10 months). Cut-off 11-Jun-2012
Intervention | months (Median) |
---|
Lapatinib Plus Capecitabine | 6.60 |
Trastuzumab Plus Capecitabine | 8.05 |
[back to top]
Number of Participants With Overall Response (OR), as Assessed by the Investigator
OR is defined as the number of participants with either a confirmed complete response (CR; disappearance of all target lesions) or partial response (PR: at least a 30% decrease in the sum of the LD of the target lesions, compared with the baseline sum LD). CR and PR were assessed per Response Evaluation Criteria in Solid Tumors (RECIST). To be assigned a status of PR or CR, a confirmatory disease assessment was to be performed 28 days (4 weeks) or greater after the criteria for response were first met. In addition, a bone scan must have been obtained to rule out the presence of new bone lesions or progression of existing bone lesions, even if the participant had no bone lesions present at Baseline. If a bone scan was performed at the time of initial response or near the time of response, the bone scan did not need to be repeated. (NCT00820222)
Timeframe: From randomization until disease progression, death, or discontinuation from the study (average of 10 months). Cut-off 11-Jun-2012
,
Intervention | Participants (Count of Participants) |
---|
| CR | PR | Overall Response (CR+PR) |
---|
Lapatinib Plus Capecitabine | 8 | 65 | 73 |
Trastuzumab Plus Capecitabine | 12 | 73 | 85 |
[back to top]
Duration of Response
Duration of response is defined as the time from the first documented evidence of CR (disappearance of all target lesions) or PR (at least a 30% decrease in the sum of the LD of the target lesions, compared with the baseline sum LD) until the first documented sign of PD (at least a 20% increase in the sum of the LD of target lesions, compared with the smallest sum LD recorded since the treatment started, or the appearance of 1 or more new lesions) or death due to breast cancer. In the absence of confirmation of death, survival time was to be censored at the time of the last investigator contact. (NCT00820222)
Timeframe: From the time of the first documented confirmed complete or partial response until disease progression or death, if sooner (average of 10 months). Cut-off 11-Jun-2012
Intervention | months (Median) |
---|
Lapatinib Plus Capecitabine | 6.2 |
Trastuzumab Plus Capecitabine | 8.4 |
[back to top]
[back to top]
Time to First CNS Progression, Defined as the Time From Randomization Until the Date of Documented CNS Progression as the First Site of Relapse
CNS relapse is defined as the appearance of >=1 enhancing lesion measuring >=6 mm on T1W MRI without CNS symptoms that were considered to be unequivocal based on all relevant radiological features (e.g., associated T2W signal abnormality); the appearance of any enhancing lesion on T1W MRI with CNS symptoms; unequivocal finding of leptomeningeal disease (defined as the dissemination of cancer throughout the spinal fluid), with or without symptoms; and unequivocal finding of multifocal intraparenchymal lesions with or without symptoms. In the event of the appearance of a <6 mm lesions(s) without CNS lesions, or equivocal findings potentially suggesting leptomeningeal disease, these findings were followed with a subsequent scan within 6 weeks. If unequivocal progression was determined with the subsequent scan and/or CNS symptoms occurred, then CNS relapse crieria were met. (NCT00820222)
Timeframe: From randomization until the date of documented CNS progression (average of 10 months). Cut-off 11-Jun-2012
Intervention | months (Mean) |
---|
Lapatinib Plus Capecitabine | 8.2 |
Trastuzumab Plus Capecitabine | 6.7 |
[back to top]
Number of Participants With Clinical Benefit (CB)
CB is defined as the number of participants with evidence of confirmed CR (disappearance of all target lesions) or PR (at least a 30% decrease in the sum of the LD of the target lesions, compared with the baseline sum LD) at any time or stable disease (SD, neither sufficient shrinkage to qualify for a PR nor sufficient increase to qualify for PD [defined as at least a 20% increase in the sum of the LD of target lesions, compared with the smallest sum LD recorded since the treatment started, or the appearance of 1 or more new lesions] based on investigator assessment), for at least 24 weeks. (NCT00820222)
Timeframe: From randomization until disease progression, death, or discontinuation from the study (average of 10 months). Cut-off 11-Jun-2012
,
Intervention | Participants (Count of Participants) |
---|
| CR | PR | SD >= 24 weeks | Clinical Benefit (CR + PR + SD >= 24 weeks) |
---|
Lapatinib Plus Capecitabine | 8 | 65 | 39 | 112 |
Trastuzumab Plus Capecitabine | 12 | 73 | 33 | 118 |
[back to top]
Death Rates and Overall Survival
Counts and proportions of patients deceased (post-study). (NCT00828672)
Timeframe: up to 5 years
,
Intervention | Participants (Count of Participants) |
---|
| Deceased (Dec 2017) | Alive (Dec 2017) | Lost to FU |
---|
AX (ARM 2) | 7 | 34 | 0 |
AXE (ARM 1) | 6 | 36 | 1 |
[back to top]
Number of Participants With Histopathologic R0 and Negative CRM Resection
Histopathologic R0 resection rate was defined as margins histologically negative for tumour involvement after resection. The circumferential resection margin (CRM) is considered to be involved if microscopic tumour is present <1mm from or at the inked circumferential or radial resection margin. Data on quality of mesorectal excision were expected but not collected consistently. (NCT00828672)
Timeframe: 4 months
,
Intervention | Participants (Count of Participants) |
---|
| Negative resection margins | Positive resection margins |
---|
AX (ARM 2) | 37 | 2 |
AXE (ARM 1) | 40 | 1 |
[back to top]
Number of Participants With Pathologic Complete Response at Surgery. Number of Participants With Good or Little Pathological Tumour Regression at Surgery.
Dworak tumour regression grades (TRG) were used to assess pathologic response: TRG0=no regression. TRG1=dominant tumor mass with obvious fibrosis and/or vasculopathy; TRG2=dominant fibrotic changes with few tumour cells or groups; TRG3=very few (difficult to find microscopically) tumour cells in fibrotic tissue with or without mucus substance. TRG4=no intact viable tumour cells, only fibrotic mass or presence of mucin lakes without associated malignant cells (total tumour regression). Pathologic assessments of tumour response post chemoradiotherapy as provided by investigators (read by local pathologists on operative specimens) were reviewed centrally for all pts for whom surgical materials were available (centrally reviewed set). The diagnosis of independent central reviewers primed. Pathologic complete response rates (TRG4) are reported (%). Good (TRG3 and TRG4 together) and little (TRG 0,1 and 2) tumour regression rates are summarized. For these 2 last rows, % add to 100. (NCT00828672)
Timeframe: 4 months
,
Intervention | Participants (Count of Participants) |
---|
| Complete response, no tumour left Dworak TRG=4 | Good tumour regression TRG=3-4 | No or little tumour regression Dworak TRG=0-1-2 |
---|
AX (ARM 2) | 4 | 9 | 29 |
AXE (ARM 1) | 14 | 17 | 24 |
[back to top]
Pathologic Response at Surgery. Overview of Complete Pathologic Responses, Good and Little Tumour Regression Rates at Surgery.
Dworak tumour regression grades (TRG) were used to assess pathologic response: TRG0=no regression. TRG1=dominant tumor mass with obvious fibrosis and/or vasculopathy; TRG2=dominant fibrotic changes with few tumour cells or groups; TRG3=very few (difficult to find microscopically) tumour cells in fibrotic tissue with or without mucus substance. TRG4=no intact viable tumour cells, only fibrotic mass or presence of mucin lakes without associated malignant cells (total tumour regression). Pathologic assessments of tumour response post chemoradiotherapy as provided by investigators (read by local pathologists on operative specimens) were reviewed centrally for all pts for whom surgical materials were available (centrally reviewed set). The diagnosis of independent central reviewers primed. Pathologic complete response rates (TRG4) are reported (%). Good (TRG3 and TRG4 together) and little (TRG 0,1 and 2) tumour regression rates are summarized. For these 2 last rows, % add to 100. (NCT00828672)
Timeframe: 4 months
,
Intervention | percentage of cases (Number) |
---|
| Pathological complete response (Dworak TRG=4) % | Good tumour regression (Dworak TRG=3-4) % | Little tumour regression (Dworak TRG=0-1-2) % |
---|
AX (ARM 2) | 11 | 24 | 76 |
AXE (ARM 1) | 34 | 41 | 59 |
[back to top]
Recurrence Rates and Disease Free Survival
Counts and proportions of patients experiencing recurrence of disease (local and distant). (NCT00828672)
Timeframe: up to 5 years
,
Intervention | Participants (Count of Participants) |
---|
| Recurred Dec 2017 | Not recurred Dec 2017 | Lost to FU |
---|
AX (ARM 2) | 9 | 32 | 0 |
AXE (ARM 1) | 9 | 33 | 1 |
[back to top]
Types and Numbers of Adverse Events - General Overview
Adverse events graded as per NCI CTCAE (US National Cancer Institute Common Terminology Criteria for Adverse Events) version 3.0. All Serious Adverse Events occurrences are reported and counts are summarized here; all Adverse Events (all grades) related and not related to study treatment are reported and summarized here; all severe laboratory events (hematology and biochemistry Gr 3 and higher) are reported and summarized here; all severe postoperative complications (Gr 3 and higher) occurred within the first month post surgery are reported and summarized here. See section Adverse events for details. (NCT00828672)
Timeframe: continuous up to 1 year
,
Intervention | counts of events (Number) |
---|
| Serious adverse events | All adverse events | Severe lab events | Post operative complications at 1 month |
---|
AX (ARM 2) | 12 | 426 | 16 | 9 |
AXE (ARM 1) | 22 | 564 | 27 | 14 |
[back to top]
Clinical Response Rate
"Baseline tumour measurements were performed within 4 weeks prior to treatment start (RECIST). The same methods of assessment (CT and/or MRI) were used for each measurable lesion at baseline and during follow-up.~Complete Response (CR) is disappearance of all clinical and radiological evidence of tumour (both target and non-target lesions).~Partial Response (PR) is at least a 30% decrease in the sum of LD of target lesions, taking as reference the baseline sum of tumour longest diameters (LD).~Stable Disease (SD) is steady state of disease. Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD.~Progressive Disease (PD) is at least a 20% increase in the sum of LD of measured lesions taking as references the smallest sum LD recorded since the treatment started. Appearance of new lesions constitutes PD. In exceptional circumstances, unequivocal progression of non-target lesions was considered evidence of PD." (NCT00828672)
Timeframe: 3 months
,
Intervention | Participants (Count of Participants) |
---|
| CR | PR | SD | PD | NA |
---|
AX (ARM 2) | 5 | 17 | 13 | 1 | 5 |
AXE (ARM 1) | 3 | 24 | 9 | 0 | 7 |
[back to top]
PFS as Assessed by the Investigator
Tumor response was assessed by the investigator according to modified RECIST. All measurable lesions up to a maximum of 5 per organ and 10 in total were identified as TLs and recorded at baseline. A sum of the longest diameter for all TLs was calculated as baseline SLD. PD for TLs was defined as >/=20% increase in the SLD, taking as reference the smallest SLD recorded since treatment started or the appearance of 1 or more new lesions. PD for non-TLs was defined as appearance of 1 or more new lesions and/or unequivocal progression of existing non-TLs. PFS was defined as the time from randomization to first documented PD by Investigator or death from any cause (whichever occurred earlier). The median duration of PFS was estimated using Kaplan-Meier method. The 95% CI was computed using the method of Brookmeyer and Crowley. (NCT00829166)
Timeframe: From the date of randomization through the data cut-off date of 14 Jan 2012 (up to 2 years, 11 months)
Intervention | Months (Median) |
---|
Trastuzumab Emtansine | 9.4 |
Lapatinib + Capecitabine | 5.8 |
[back to top]
Time to Treatment Failure
"Time to treatment failure was defined as the time from randomization to discontinuation of treatment for any reason, including PD (per investigator review), treatment toxicity, or death from any cause. For Lapatinib + Capecitabine arm, a participant was considered as treatment failure only if both drugs were discontinued with treatment failure date as the later of the 2 discontinuation dates. For TLs, PD was defined as >/=20% increase in the SLD, taking as reference the smallest SLD recorded since treatment started or the appearance of 1 or more new lesions. For non-TLs, PD was defined as appearance of 1 or more new lesions and/or unequivocal progression of existing non-TLs. The median time to treatment failure was estimated using Kaplan-Meier method. The 95% CI was computed using the method of Brookmeyer and Crowley." (NCT00829166)
Timeframe: From the date of randomization through the data cut-off date of 14 Jan 2012 (up to 2 years, 11 months)
Intervention | Months (Median) |
---|
Trastuzumab Emtansine | 7.9 |
Lapatinib + Capecitabine | 5.8 |
[back to top]
Duration of Objective Response (DOR) as Assessed by an IRC
Tumor response was assessed by an IRC according to modified RECIST. DOR was defined as the time from first documented OR to first documented PD or death from any cause, whichever occurred earlier. OR was defined as a CR or PR determined on 2 consecutive tumor assessments at least 4 weeks apart. For TLs, CR was defined as the disappearance of all TLs; PR was defined as >/=30% decrease in the SLD of TLs, taking as reference the baseline SLD; and PD was defined as >/=20% increase in the SLD, taking as reference the smallest SLD recorded since treatment started or the appearance of 1 or more new lesions. For non-TLs, CR was defined as the disappearance of all non-TLs; PR was defined as the persistence of 1 or more non-TLs; and PD was defined as appearance of 1 or more new lesions and/or unequivocal progression of existing non-TLs. The 95% CI was computed using the method of Brookmeyer and Crowley. (NCT00829166)
Timeframe: From the date of randomization through the data cut-off date of 14 Jan 2012 (up to 2 years, 11 months)
Intervention | Months (Median) |
---|
Trastuzumab Emtansine | 12.6 |
Lapatinib + Capecitabine | 6.5 |
[back to top]
Overall Survival: Final Analysis
OS was defined as the time from the date of randomization to the date of death from any cause. The median duration of OS was estimated using Kaplan-Meier method. The 95% CI was computed using the method of Brookmeyer and Crowley. The results reported are from the final analysis. The final analysis is descriptive. (NCT00829166)
Timeframe: From the date of randomization through the data cut-off date of 31 Dec 2014 (up to 5 years, 11 months)
Intervention | Months (Median) |
---|
Trastuzumab Emtansine | 29.9 |
Lapatinib + Capecitabine | 25.9 |
[back to top]
Overall Survival: Second Interim Analysis (Co-primary Endpoint)
OS was defined as the time from the date of randomization to the date of death from any cause. The median duration of OS was estimated using Kaplan-Meier method. The 95% CI was computed using the method of Brookmeyer and Crowley. The results are reported from second interim analysis, which deemed to be the confirmatory. (NCT00829166)
Timeframe: From the date of randomization through the data cut-off date of 31 Jul 2012 (up to 3 years, 5 months)
Intervention | Months (Median) |
---|
Trastuzumab Emtansine | 30.9 |
Lapatinib + Capecitabine | 25.1 |
[back to top]
Percentage of Participants Who Died: Final Analysis
The percentage of participants who died from any cause was reported. The results reported are from the final analysis. The final analysis is descriptive. (NCT00829166)
Timeframe: From the date of randomization through the data cut-off date of 31 Dec 2014 (up to 5 years, 11 months)
Intervention | percentage of participants (Number) |
---|
Trastuzumab Emtansine | 61.2 |
Lapatinib + Capecitabine | 67.1 |
[back to top]
Percentage of Participants Who Died: Second Interim Analysis
The percentage of participants who died from any cause was reported. The results are reported from second interim analysis, which deemed to be the confirmatory. (NCT00829166)
Timeframe: From the date of randomization through the data cut-off date of 31 Jul 2012 (up to 3 years, 5 months)
Intervention | percentage of participants (Number) |
---|
Trastuzumab Emtansine | 30.1 |
Lapatinib + Capecitabine | 36.7 |
[back to top]
Percentage of Participants Who Were Alive at Year 1
1 year survival was defined as the percentage of participants alive 1 year after starting treatment. The results reported are from the final analysis. (NCT00829166)
Timeframe: Year 1
Intervention | percentage of participants (Number) |
---|
Trastuzumab Emtansine | 85.3 |
Lapatinib + Capecitabine | 78.9 |
[back to top]
Percentage of Participants Who Were Alive at Year 2
2 year survival was defined as the percentage of participants alive 2 years after starting treatment. The results reported are from the final analysis. (NCT00829166)
Timeframe: Year 2
Intervention | percentage of participants (Number) |
---|
Trastuzumab Emtansine | 59.6 |
Lapatinib + Capecitabine | 52.4 |
[back to top]
Percentage of Participants With Clinical Benefit as Assessed by an IRC
Tumor response was assessed by an IRC according to modified RECIST. Participants were considered as experienced clinical benefit if they had an OR or maintained stable disease (SD) for at least 6 months from randomization. OR: CR or PR determined on 2 consecutive tumor assessments >/=4 weeks apart. For TLs, CR: disappearance of all TLs; PR: >/=30% decrease in the SLD of TLs, taking as reference the baseline SLD; PD: >/=20% increase in the SLD, taking as reference the smallest SLD recorded since treatment started or appearance of 1 or more new lesions; and SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. For non-TLs, CR: disappearance of all non-TLs; PR/SD: persistence of 1 or more non-TLs; and PD: appearance of 1 or more new lesions and/or unequivocal progression of existing non-TLs. Participants without a post-baseline tumor assessment were considered non-responders. The 95% CI was computed using Blyth-Still Casella exact CI method. (NCT00829166)
Timeframe: From the date of randomization through the data cut-off date of 14 Jan 2012 (up to 2 years, 11 months)
Intervention | percentage of participants (Number) |
---|
Trastuzumab Emtansine | 58.2 |
Lapatinib + Capecitabine | 44.2 |
[back to top]
Progression-free Survival (PFS) as Assessed by an IRC (Co-primary Endpoint)
Tumor response was assessed by an IRC according to modified RECIST. All measurable lesions up to a maximum of 5 per organ and 10 in total were identified as TLs (on the basis of their size and their suitability for accurate repeated measurements either by imaging or clinically) and recorded at baseline. A sum of the longest diameter for all TLs was calculated as baseline SLD. All other lesions were identified as non-TLs and recorded at baseline. PD for TLs: >/= 20% increase in the SLD, taking as reference the smallest SLD recorded since treatment started or appearance of 1 or more new lesions. PD for non-TLs: appearance of 1 or more new lesions and/or unequivocal progression of existing non-TLs. PFS: time from randomization to first documented PD by IRC or death from any cause (whichever occurred earlier). The median duration of PFS was estimated using Kaplan-Meier method. The 95% confidence interval (CI) was computed using the method of Brookmeyer and Crowley. (NCT00829166)
Timeframe: From the date of randomization through the data cut-off date of 14 Jan 2012 (up to 2 years, 11 months)
Intervention | Months (Median) |
---|
Trastuzumab Emtansine | 9.6 |
Lapatinib + Capecitabine | 6.4 |
[back to top]
Percentage of Participants With Objective Response (OR) as Assessed by an IRC
Tumor response was assessed by an IRC according to modified RECIST. OR was defined as the percentage of participants with a complete response (CR) or partial response (PR). All measurable lesions up to a maximum of 5 per organ and 10 in total were identified as TLs and recorded at baseline. A sum of the longest diameter for all TLs was calculated as baseline SLD. For TLs, a CR was defined as the disappearance of all TLs and a PR was defined as >/= 30% decrease in the SLD of TLs, taking as reference the baseline SLD. For non-TLs, a CR was defined as the disappearance of all non-TLs and a PR was defined as the persistence of 1 or more non-TLs. Confirmation of response at a consecutive tumor assessment at least 4 weeks apart was required. Participants without a post-baseline tumor assessment were considered non-responders. The percentage of participants with CR or PR by IRC was reported. The 95% CI was computed using Blyth-Still Casella exact CI method. (NCT00829166)
Timeframe: From the date of randomization through the data cut-off date of 14 Jan 2012 (up to 2 years, 11 months)
Intervention | percentage of participants (Number) |
---|
Trastuzumab Emtansine | 43.6 |
Lapatinib + Capecitabine | 30.8 |
[back to top]
Percentage of Participants With PD or Death as Assessed by an Independent Review Committee (IRC)
PD was assessed by an IRC using modified Response Evaluation Criteria in Solid Tumors (RECIST). All measurable lesions up to a maximum of 5 per organ and 10 in total were identified as target lesions (TLs) and recorded at baseline. TLs should be selected on the basis of their size (those with the longest diameter) and their suitability for accurate repeated measurements either by imaging or clinically. A sum of the longest diameter for all TLs was calculated as baseline sum longest diameter (SLD). All other lesions (or sites of disease) should be identified as non-TLs and recorded at baseline. PD for TLs was defined as greater than or equal to (>/=) 20 percent (%) increase in SLD, taking as reference smallest SLD recorded since treatment started or appearance of 1 or more new lesions. PD for non-TLs was defined as appearance of 1 or more new lesions and/or unequivocal progression of existing non-TLs. Percentage of Participants with PD by IRC or death from any cause was reported. (NCT00829166)
Timeframe: From the date of randomization through the data cut-off date of 14 Jan 2012 (up to 2 years, 11 months)
Intervention | percentage of participants (Number) |
---|
Trastuzumab Emtansine | 53.5 |
Lapatinib + Capecitabine | 61.3 |
[back to top]
Time to Symptom Progression
"Time to symptom progression was defined as the time from randomization to the first documentation of a >/= 5-point decrease from baseline in the scoring of responses as measured by the FACT-B questionnaire with the TOI-PFB subscale. The FACT-B TOI-PFB subscale contained 24 items from 3 subsections of the FACT-B questionnaire: Physical well-being, functional well-being, and additional concerns for breast cancer participants (BCS). All items in the questionnaire were rated by the participant on a 5-point scale ranging from 0 (not at all) to 4 (very much). The total score ranged from 0 to 96 with higher score indicating better perceived quality of life. The median time to symptom progression was estimated using Kaplan-Meier method. The 95% CI was computed using the method of Brookmeyer and Crowley." (NCT00829166)
Timeframe: From the date of randomization through the data cut-off date of 14 Jan 2012 (up to 2 years, 11 months)
Intervention | Months (Median) |
---|
Trastuzumab Emtansine | 7.1 |
Lapatinib + Capecitabine | 4.6 |
[back to top]
Percentage of Participants With PD or Death as Assessed by the Investigator
PD was assessed by the investigator using modified RECIST. All measurable lesions up to a maximum of 5 per organ and 10 in total were identified as TLs and recorded at baseline. A sum of the longest diameter for all TLs was calculated as baseline SLD. PD for TLs was defined as >/=20% increase in the SLD, taking as reference the smallest SLD recorded since treatment started or the appearance of 1 or more new lesions. PD for non-TLs was defined as appearance of 1 or more new lesions and/or unequivocal progression of existing non-TLs. The percentage of participants who died or experienced PD by Investigator was reported. (NCT00829166)
Timeframe: From the date of randomization through the data cut-off date of 14 Jan 2012 (up to 2 years, 11 months)
Intervention | percentage of participants (Number) |
---|
Trastuzumab Emtansine | 58.0 |
Lapatinib + Capecitabine | 67.5 |
[back to top]
Percentage of Participants With Symptom Progression
"Symptom progression was defined as the documentation of a >/= 5-point decrease from baseline in the scoring of responses as measured by the Functional Assessment of Cancer Therapy-for participants with Breast Cancer (FACT-B) questionnaire with the Trial Outcomes Index-Physical/Functional/Breast (TOI-PFB) subscale. The FACT-B TOI-PFB subscale contained 24 items from 3 subsections of the FACT-B questionnaire: Physical well-being, functional well-being, and additional concerns for breast cancer participants (breast cancer subscale [BCS]). All items in the questionnaire were rated by the participant on a 5-point scale ranging from 0 (not at all) to 4 (very much). The total score ranged from 0 to 96 with higher score indicating better perceived quality of life. The percentage of participants with symptom progression was reported." (NCT00829166)
Timeframe: From the date of randomization through the data cut-off date of 14 Jan 2012 (up to 2 years, 11 months)
Intervention | percentage of participants (Number) |
---|
Trastuzumab Emtansine | 54.7 |
Lapatinib + Capecitabine | 57.8 |
[back to top]
Percentage of Participants With Treatment Failure
"Treatment failure was defined as discontinuation of treatment for any reason, including PD (per investigator review), treatment toxicity, or death from any cause. For Lapatinib + Capecitabine arm, a participant was considered as treatment failure only if both drugs were discontinued. For TLs, PD was defined as >/=20% increase in the SLD, taking as reference the smallest SLD recorded since treatment started or the appearance of 1 or more new lesions. For non-TLs, PD was defined as appearance of 1 or more new lesions and/or unequivocal progression of existing non-TLs. Percentage of participants with treatment failure was reported." (NCT00829166)
Timeframe: From the date of randomization through the data cut-off date of 14 Jan 2012 (up to 2 years, 11 months)
Intervention | percentage of participants (Number) |
---|
Trastuzumab Emtansine | 63.2 |
Lapatinib + Capecitabine | 74.8 |
[back to top]
Volume of Distribution (Vz) for Cisplatin
Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Clearance for cisplatin (assessed by estimating total platinum in plasma ultrafiltrate) in presence of steady-state axitinib was evaluated on Cycle 1 Day 1 and in absence of axitinib (cisplatin alone) on Cycle 2 Day 1. (NCT00842244)
Timeframe: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8 hrs post-cisplatin infusion start on C1D1, C2D1
Intervention | Liter (Geometric Mean) |
---|
| Cisplatin alone | Cisplatin in presence of axitinib |
---|
Axitinib + Capecitabine + Cisplatin (PK Expansion Cohort) | 55.35 | 70.32 |
[back to top]
Duration of Response (DR)
Time in months from the first documentation of objective tumor response to objective tumor progression or death due to any cause. Duration of tumor response was calculated as (the date of the first documentation of objective tumor progression or death minus the date of the first CR or PR that was subsequently confirmed plus 1) divided by 30.4. DR was calculated for the subgroup of participants with a confirmed objective tumor response. CR = disappearance of all target lesions. PR = at least 30% decrease in sum of the longest dimensions of target lesions taking the baseline sum of the longest dimensions as a reference. (NCT00842244)
Timeframe: Baseline up to disease progression or withdrawal, assessed on Day 21 of every other cycle starting from Cycle 2 up to Day 784
Intervention | months (Median) |
---|
Axitinib + Capecitabine + Cisplatin | 9.07 |
[back to top]
[back to top]
[back to top]
[back to top]
Clearance (CL) for Cisplatin
Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood. It is defined as the volume of blood from which drug can be completely removed per unit of time. Clearance for cisplatin (assessed by estimating total platinum in plasma ultrafiltrate) in presence of steady-state axitinib was evaluated on Cycle 1 Day 1 and in absence of axitinib (cisplatin alone) on Cycle 2 Day 1. (NCT00842244)
Timeframe: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8 hrs post-cisplatin infusion start on C1D1, C2D1
Intervention | Liter/hr (Geometric Mean) |
---|
| Cisplatin alone | Cisplatin in presence of axitinib |
---|
Axitinib + Capecitabine + Cisplatin (PK Expansion Cohort) | 30.94 | 32.50 |
[back to top]
[back to top]
Area Under the Curve From Time Zero to 24 Hours [AUC (0-24)] for Axitinib
AUC (0-24) = Area under the plasma concentration versus time curve from time zero (pre-dose) to 24 hours. AUC (0-24) for axitinib in absence of chemotherapy (axitinib alone) was evaluated on Cycle 1 Day -1 and in combination with chemotherapy on Cycle 1 Day 1. Results for axitinib were normalized to axitinib 5 mg dose. (NCT00842244)
Timeframe: 0 (pre-dose), 1, 2, 3, 4, 6, 8 hrs post-axitinib dose on C1D-1, C1D1
Intervention | ng*hr/mL (Geometric Mean) |
---|
| Axitinib alone | Axitinib in combination with chemotherapy |
---|
Axitinib + Capecitabine + Cisplatin (PK Expansion Cohort) | 206.20 | 265.89 |
[back to top]
[back to top]
[back to top]
[back to top]
Progression-Free Survival (PFS)
"Time in months from start of study treatment to first documentation of objective tumor progression or death due to any cause. PFS was calculated as (first event date minus the date of first dose of study medication plus 1) divided by 30.4. Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease [PD]), or from adverse event (AE) data (where the outcome was Death). PD was a>=20% increase in sum of the longest dimensions of target lesions taking as a reference the smallest sum of the longest dimensions recorded since the treatment started, or the appearance of 1 or more new lesions." (NCT00842244)
Timeframe: Baseline up to disease progression or withdrawal, assessed on Day 21 of every other cycle starting from Cycle 2 up to Day 784
Intervention | months (Median) |
---|
Axitinib + Capecitabine + Cisplatin | 3.75 |
[back to top]
Percentage of Participants With Objective Response (OR)
Number of participants with objective response based assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). Confirmed response are those that persist on repeat imaging study at least 4 weeks after initial documentation of response. CR are those with disappearance of all target lesions. PR are those with at least 30 percent (%) decrease in sum of the longest dimensions of target lesions taking the baseline sum of the longest dimensions as a reference. (NCT00842244)
Timeframe: Baseline up to disease progression or withdrawal, assessed on Day 21 of every other cycle starting from Cycle 2 up to Day 784
Intervention | percentage of participants (Number) |
---|
Axitinib + Capecitabine + Cisplatin | 36.36 |
[back to top]
Maximum Tolerated Dose (MTD) of Axitinib (AG-013736) in Combination With Cisplatin and Capecitabine
MTD = highest dose at which no more than 30 percent (%) of 12 participants experience DLT during Cycle 1. DLT = GR2 proteinuria; GR3 NHT (excluding alopecia and those that can be controlled with appropriate treatment)for >=7 days, GR3 thrombocytopenia with active bleeding; GR >=3 febrile NP/NP infection; GR 3 or 4 nausea, vomiting or diarrhea despite anti-emetics, anti-diarrheals; GR4 NHT, thrombocytopenia, NP for >=7 days; >= 1/2 teaspoon per day hemoptysis; any treatment-related toxicity with >3 consecutive days of capecitabine or 5 consecutive days of axitinib missed doses per cycle; delayed toxicity recovery >14 days. (NCT00842244)
Timeframe: Baseline up to Day 21 of Cycle 1
Intervention | mg (Number) |
---|
Axitinib + Capecitabine + Cisplatin (MTD Determination) | 5 |
[back to top]
Number of Participants With Cycle 1 Dose-limiting Toxicities (DLTs)
DLT = Grade (GR) 2 proteinuria; GR3 nonhematological toxicity (NHT) (excluding alopecia and those that can be controlled with appropriate treatment) for greater than or equal to (>=)7 days, GR3 thrombocytopenia with active bleeding; GR >=3 febrile neutropenia (NP) or NP infection; GR 3 or 4 nausea, vomiting or diarrhea despite anti-emetics, anti-diarrheals; GR4 NHT, thrombocytopenia, NP for >=7 days; >= 1/2 teaspoon per day hemoptysis; any treatment related toxicity with >3 consecutive days of capecitabine or 5 consecutive days of axitinib missed doses per cycle; delayed toxicity recovery >14 days. (NCT00842244)
Timeframe: Baseline up to Day 21 of Cycle 1
Intervention | participants (Number) |
---|
Axitinib + Capecitabine + Cisplatin (MTD Determination) | 3 |
[back to top]
Number of Patients With One-year Recurrence-free Survival
This is defined as the patients who did not have recurrence of cancer at 1 year since the start of induction chemotherapy. (NCT00848783)
Timeframe: 1 year
Intervention | participants (Number) |
---|
A-with IP Floxuridine | 3 |
B-Without IP Floxuridine | 2 |
[back to top]
Number of Participants With Partial Response (PR)
PR according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria, which is defined as a reduction of ≥ 30% in the sum of the longest diameter for all target lesions lasting > 4 weeks, during which no new lesions may appear, when compared with with pretreatment measurements. (NCT00869050)
Timeframe: 12 months
Intervention | participants (Number) |
---|
Capecitabine and Temozolomide | 9 |
[back to top]
Number of Participants With Complete Response (CR)
CR according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria, which is defined as disappearance of all target lesions (primary and metastases), signs, symptoms, and biochemical changes related to the tumor for >4 weeks, during which no new lesions may appear and no existing lesion may enlarge. (NCT00869050)
Timeframe: 12 months
Intervention | participants (Number) |
---|
Capecitabine and Temozolomide | 3 |
[back to top]
Overall Survival
Time of study entry to time of death (NCT00881621)
Timeframe: 24 months
Intervention | months (Median) |
---|
Lapatinib and Capecitabine | 5.2 |
[back to top]
Clinical Benefit Response
"number of participants who had stable disease or partial response or complete response per Response Evaluation Criteria In Solid Tumors.~Complete Response: Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm.~Partial Response: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.~Progressive Disease: At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.~Stable Disease: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study." (NCT00881621)
Timeframe: 3 months
Intervention | participants (Number) |
---|
Lapatinib and Capecitabine | 6 |
[back to top]
Adverse Events
Grade 3 or 4 toxicities (NCT00881621)
Timeframe: 2 years
Intervention | participants (Number) |
---|
Lapatinib and Capecitabine | 3 |
[back to top]
Progression Free Survival
Time of study entry to cancer progression. (NCT00881621)
Timeframe: 24 months
Intervention | months (Median) |
---|
Lapatinib and Capecitabine | 2.6 |
[back to top]
Overall Survival in ITT Population
Overall survival was calculated in months from the day of screening until death. (NCT00885755)
Timeframe: End of first 2 Cycles (Weeks 3 and 6), every 3 cycles for 18 weeks, then every 4 cycles until death (up to 46 months)
Intervention | months (Median) |
---|
Group A: Trastuzumab+Taxane /Capecitabine (6 Weeks) | NA |
[back to top]
Overall Survival in Per Protocol Population
Overall survival was calculated in months from the day of screening until death. (NCT00885755)
Timeframe: End of first 2 Cycles (Weeks 3 and 6), every 3 cycles for 18 weeks, then every 4 cycles until death (up to 46 months)
Intervention | months (Median) |
---|
Group A: Trastuzumab+Taxane /Capecitabine (6 Weeks) | 36.40 |
[back to top]
Part I: TTP in Intent to Treat (ITT) Population
TTP was determined as the time in months from the date of screening until first progression. In participants with measurable disease, progression was defined according to RECIST (SLD increased by at least 20% from the smallest value on study [including baseline, if that is the smallest]). In participants with non-measurable disease, progression was defined as the presence of new lesions or unequivocal progression during treatment. (NCT00885755)
Timeframe: End of first 2 Cycles (Weeks 3 and 6), every 3 cycles for 18 weeks, then every 4 cycles until progression, unacceptable toxicity or participant decision to cease treatment up to 46 months
Intervention | months (Median) |
---|
Group A: Trastuzumab+Taxane /Capecitabine (6 Weeks) | 22.21 |
Group B: Trastuzumab+Taxane/ Capecitabine <6 Weeks | 1.22 |
[back to top]
Part II: PFS in ITT Population
PFS was calculated from first study medication in Part II to date of progression or death. In participants with measurable disease progression was defined according to RECIST (SLD increased by at least 20% from the smallest value on study [including baseline, if that is the smallest]). In participants with non-measurable disease, progression was defined as the presence of new lesions or unequivocal progression during treatment. (NCT00885755)
Timeframe: End of first 2 Cycles (Weeks 3 and 6), every 3 cycles for 18 weeks, then every 4 cycles until progression, unacceptable toxicity or participant decision to cease treatment up to 46 months
Intervention | months (Median) |
---|
Group A: Trastuzumab+Taxane /Capecitabine (6 Weeks) | 5.65 |
Group B: Trastuzumab+Taxane/ Capecitabine <6 Weeks | 13.83 |
[back to top]
Part II: TTP in Intent to Treat (ITT) Population
TTP was calculated from first study medication in Part II to date of progression. In participants with measurable disease progression was defined according to RECIST(SLD increased by at least 20% from the smallest value on study [including baseline, if that is the smallest]). In participants with non-measurable disease, progression was defined as the presence of new lesions or unequivocal progression during treatment. (NCT00885755)
Timeframe: End of first 2 Cycles (Weeks 3 and 6), every 3 Cycles for 18 weeks, then every 4 cycles until progression, unacceptable toxicity or participant decision to cease treatment up to 46 months
Intervention | months (Median) |
---|
Group A: Trastuzumab+Taxane /Capecitabine (6 Weeks) | 5.65 |
Group B: Trastuzumab+Taxane/ Capecitabine <6 Weeks | 13.83 |
[back to top]
Part I and II: Percentage of Participants With a Best Overall Response of CR or PR in ITT Population
Best Overall response was defined according to RECIST. CR: disappearance of all target lesions and all pathological lymph nodes below 10 mm. PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. PD: At least a 20% increase in the sum of diameters of target lesions, and the sum must also demonstrate an absolute increase of at least 5 mm or persistence of non-target lesions. (NCT00885755)
Timeframe: End of first 2 Cycles (Weeks 3 and 6), every 3 Cycles for 18 weeks, then every 4 cycles until progression, unacceptable toxicity or participant decision to cease treatment up to 46 months
Intervention | percentage of participants (Number) |
---|
| Part I: Responders (n=20) | Part I: Non-Responders (n=20) | Part I: Missing (n=20) | Part II: Responders (n=9) | Part II: Non-Responders (n=9) | Part II: Missing (n=9) |
---|
Group A: Trastuzumab+Taxane /Capcetabine (6 Weeks) | 75.0 | 20.0 | 5.0 | 11.1 | 88.9 | 0.0 |
[back to top]
Part I: Percentage of Participants With a Best Overall Response (BOR) of Complete Response (CR), Partial Response (PR), Stable Disease (SD) or Progrerssive Disease (PD) by Biomarker
BOR was defined according to the Response Evaluation Criteria In Solid Tumors (RECIST). CR: disappearance of all target lesions and all pathological lymph nodes below 10 mm. PR: At least a 30% decrease in the sum of diameters of target lesions. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. PD: At least a 20% increase in the sum of diameters of target lesions, and the sum must also demonstrate an absolute increase of at least 5 mm or persistence of non-target lesions. The relationship between best response and the following biomarkers was investigated: p95 HER2 (+ve/-ve), IGF1R, c-MET, PTEN, HER2 (median/≥median), PI3K catalytic subunit (WT/M), and FC gamma receptors IIIa, IIa and IIb (phenotypes FF, VF, VV, HH, HR, RR and II, IT and TT respectively). The correlation between the biomarker variables and percentage of participants with best response were investigated using a univariate regression analysis. (NCT00885755)
Timeframe: End of first 2 Cycles (Weeks 3 and 6), every 3 cycles for 18 weeks, then every 4 cycles until progression, unacceptable toxicity or participant decision to cease treatment up to 46 weeks
Intervention | percentage of participants (Number) |
---|
| p95 HER2 +ve CR (n=5) | p95 HER2 +ve PR (n=5) | p95 HER2 +ve SD (n=5) | p95 HER2 +ve PD (n=5) | p95 HER2 -ve CR (n=12) | p95 HER2 -ve PR (n=12) | p95 HER2 -ve SD (n=12) | p95 HER2 -ve PD (n=12) | IGF1R < median CR (n=9) | IGF1R < median PR (n=9) | IGF1R < median SD (n=9) | IGF1R < median PD (n=9) | IGF1R ≥median CR (n=9) | IGF1R ≥median PR (n=9,0) | IGF1R ≥median SD (n=9) | IGF1R ≥median PD (n=9) | c-MET | c-METt | c-MET | c-MET | c-MET ≥median CR (n=11) | c-MET ≥median PR (n=11) | c-MET ≥median SD (n=11) | c-MET ≥median PD (n=11) | PTEN | PTEN | PTEN | PTEN | PTEN ≥median CR (n=12) | PTEN ≥median PR (n=12) | PTEN ≥median SD (n=12) | PTEN ≥median PD (n=12) | HER2 | HER2 | HER2 | HER2 | HER2 ≥median CR (n=10) | HER2 ≥median PR (n=10) | HER2 ≥median SD (n=10) | HER2 ≥median PD (n=10) | PI3K Amino Acids WT CR (n=11) | PI3K Amino Acids WT PR (n=11,0) | PI3K Amino Acids WT SD (n=11) | PI3K Amino Acids WT PD (n=11) | PI3K Amino Acids M CR (n=7) | PI3K Amino Acids M PR (n=7,0) | PI3K Amino Acids M SD (n=7) | PI3K Amino Acids M PD (n=7) | FC Gamma Receptor IIIa F176V FF CR (n=6) | FC Gamma Receptor IIIa F176V FF PR (n=6) | FC Gamma Receptor IIIa F176V FF SD (n=6) | FC Gamma Receptor IIIa F176V FF PD (n=6) | FC Gamma Receptor IIIa F176V VF CR (n=4) | FC Gamma Receptor IIIa F176V VF PR (n=4) | FC Gamma Receptor IIIa F176V VF SD (n=4) | FC Gamma Receptor IIIa F176V VF PD (n=4) | FC Gamma Receptor IIIa F176V VV CR (n=2) | FC Gamma Receptor IIIa F176V VV PR (n=2) | FC Gamma Receptor IIIa F176V VV SD (n=2) | FC Gamma Receptor IIIa F176V VV PD (n=2) | FC Gamma Receptor IIa R166H HH CR (n=3) | FC Gamma Receptor IIa R166H HH PR (n=3) | FC Gamma Receptor IIa R166H HH SD (n=3) | FC Gamma Receptor IIa R166H HH PD (n=3) | FC Gamma Receptor IIa R166H HR CR (n=5) | FC Gamma Receptor IIa R166H HR PR (n=5) | FC Gamma Receptor IIa R166H HR SD (n=5) | FC Gamma Receptor IIa R166H HR PD (n=5) | FC Gamma Receptor IIa R166H RR CR (n=5) | FC Gamma Receptor IIa R166H RR PR (n=5) | FC Gamma Receptor IIa R166H SD RR (n=5) | FC Gamma Receptor IIa R166H RR PD (n=5) | FC Gamma Receptor IIb I232T II CR (n=8) | FC Gamma Receptor IIb I232T II PR (n=8) | FC Gamma Receptor IIb I232T II SD (n=8) | FC Gamma Receptor IIb I232T II PD (n=8) | FC Gamma Receptor IIb I232T IT CR (n=1) | FC Gamma Receptor IIb I232T IT PR (n=1) | FC Gamma Receptor IIb I232T IT SD (n=1) | FC Gamma Receptor IIb I232T IT PD (n=1) |
---|
Group A: Trastuzumab+Taxane /Capecitabine (6 Weeks) | 0.0 | 25.0 | 50.0 | 25.0 | 0.0 | 91.7 | 8.3 | 0.0 | 0.0 | 62.5 | 37.5 | 0.0 | 0.0 | 88.9 | 0.0 | 11.1 | 0.0 | 83.3 | 0.0 | 16.7 | 0.0 | 70.0 | 30.0 | 0.0 | 0.0 | 83.3 | 16.7 | 0.0 | 0.0 | 72.7 | 18.2 | 9.1 | 0.0 | 75.0 | 12.5 | 12.5 | 0.0 | 77.8 | 22.2 | 0.0 | 0.0 | 90.0 | 0.0 | 10.0 | 0.0 | 57.1 | 42.9 | 0.0 | 16.7 | 50.0 | 16.7 | 16.7 | 0.0 | 66.7 | 33.3 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | 33.3 | 66.7 | 0.0 | 0.0 | 0.0 | 25.0 | 50.0 | 25.0 | 0.0 | 80.0 | 20.0 | 0.0 | 12.5 | 50.0 | 37.5 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 |
[back to top]
Part I and II: Percentage of Participants With a Response by Best Overall Response by CR, PR, SD or PD in ITT Population
Best Overall response was defined according to RECIST. CR: disappearance of all target lesions and all pathological lymph nodes below 10 mm. PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. PD: At least a 20% increase in the sum of diameters of target lesions, and the sum must also demonstrate an absolute increase of at least 5 mm or persistence of non-target lesions. (NCT00885755)
Timeframe: End of first 2 Cycles (Weeks 3 and 6), every 3 cycles for 18 weeks, then every 4 cycles until progression, unacceptable toxicity or participant decision to cease treatment up to 46 months
Intervention | percentage of participants (Number) |
---|
| Part I: CR (n=20) | Part I: PR (n=20) | Part I: SD (n=20) | Part I: PD (n=20) | Part I: Missing (n=20) | Part II: CR (n=9) | Part II: PR (n=9) | Part II: SD (n=9) | Part II: PD (n=9) | Part II: Missing (n=9) |
---|
Group A: Trastuzumab+Taxane /Capecitabine (6 Weeks) | 5.0 | 70.0 | 15.0 | 5.0 | 5.0 | 0.0 | 11.1 | 66.7 | 22.2 | 0.0 |
[back to top]
Part I: Time to Progression (TTP) by Biomarker
Progression was defined as an increase by at least 20% from the smallest value in the SLD of lesions.TTP was determined as the time in months from the date of screening until first progression.The relationship between PFS and the following biomarker variables was investigated in each of study Part 1 and 2: p95 HER2 +ve and -ve population, IGF1R NCT00885755)
Timeframe: End of first 2 Cycles (Weeks 3 and 6), every 3 Cycles for 18 weeks, then every 4 cycles until progression, unacceptable toxicity or participant decision to cease treatment up to 46 weeks
,
Intervention | months (Median) |
---|
| p95 +ve (n=9,0) | p95 -ve (n=15,1) | IGF1R | IGF1R ≥median (n=14,1) | c-MET | c-MET ≥median (n=15,0) | PTEN | PTEN ≥median (n=14,1) | HER2 | HER2 ≥median (n=14,0) | PI3K Amino Acids WT (n=17,1) | PI3K Amino Acids M (n=9,00) | FC Gamma Receptor IIIa F176V FF (n=9,0) | FC Gamma Receptor IIIa F176V VF (n=5,1) | FC Gamma Receptor IIIa F176V VV (n=4,0) | FC Gamma Receptor IIa R166H HH (n=3,0) | FC Gamma Receptor IIa R166H HR (n=8,1) | FC Gamma Receptor IIa R166H RR (n=8,0) | FC Gamma Receptor IIb I232T II (n=12,1) | FC Gamma Receptor IIb I232T IT (n=1,0) | FC Gamma Receptor IIb I232T TT (n=1,0) |
---|
Group A: Trastuzumab+Taxane /Capecitabine (6 Weeks) | NA | 13.963 | 11.335 | 22.407 | 31.179 | 22.209 | 22.209 | 13.963 | NA | 22.209 | 13.963 | 22.407 | 13.963 | 11.335 | 22.407 | NA | 22.209 | 13.963 | 13.963 | NA | NA |
Group B: Trastuzumab+Taxane/ Capecitabine <6 Weeks | NA | 1.216 | NA | 1.216 | 1.216 | NA | NA | 1.216 | 1.216 | NA | 1.216 | NA | NA | 1.216 | NA | NA | 1.216 | NA | 1.216 | NA | NA |
[back to top]
Part II: Percentage of Participants With a Best Overall Response of CR, PR, SD or PD by Biomarker
Best Overall response was defined according to RECIST. CR: disappearance of all target lesions and all pathological lymph nodes below 10 mm.PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. PD: At least a 20% increase in the sum of diameters of target lesions, and the sum must also demonstrate an absolute increase of at least 5 mm or persistence of non-target lesions. The relationship between best response and the following biomarkers was investigated: p95 HER2 (+ve/-ve), IGF1R, c-MET, PTEN, HER2 (NCT00885755)
Timeframe: End of first 2 Cycles (Weeks 3 and 6), every 3 cycles for 18 weeks, then every 4 cycles until progression, unacceptable toxicity or participant decision to cease treatment up to 46 months
Intervention | percentage of participants (Number) |
---|
| p95 HER2 +ve CR (n=2) | p95 HER2 +ve PR (n=2) | p95 HER2 +ve SD (n=2) | p95 HER2 +ve PD (n=2) | p95 HER2 -ve CR (n=4) | p95 HER2 -ve PR (n=4) | p95 HER2 -ve SD (n=4) | p95 HER2 -ve PD (n=4) | IGF1R | IGF1R | IGF1R | IGF1R | IGF1R ≥median CR (n=3) | IGF1R ≥median PR (n=3) | IGF1R ≥median SD (n=3) | IGF1R ≥median PD (n=3) | c-MET | c-MET | c-MET | c-MET | c-MET ≥median CR (n=4) | c-MET ≥median PR (n=4) | c-MET ≥median SD (n=4) | c-MET ≥median PD (n=4) | PTEN | PTEN | PTEN | PTEN | PTEN ≥median CR (n=2) | PTEN ≥median PR (n=2) | PTEN ≥median SD (n=2) | PTEN ≥median PD (n=2) | HER2 | HER2 | HER2 | HER2 | HER2 ≥median CR (n=4) | HER2 ≥median PR (n=4) | HER2 ≥median SD (n=4) | HER2 ≥median PD (n=4) | PI3K Amino Acids WT CR (n=7) | PI3K Amino Acids WT PR (n=7) | PI3K Amino Acids WT SD (n=7) | PI3K Amino Acids WT PD (n=7) | PI3K Amino Acids M CR (n=2) | PI3K Amino Acids M PR (n=2) | PI3K Amino Acids M SD (n=2) | PI3K Amino Acids M PD (n=2) | FC Gamma Receptor IIIa F176V FF CR (n=3) | FC Gamma Receptor IIIa F176V FF PR (n=3) | FC Gamma Receptor IIIa F176V FF SD (n=3) | FC Gamma Receptor IIIa F176V FF PD (n=3) | FC Gamma Receptor IIIa F176V VF CR (n=1) | FC Gamma Receptor IIIa F176V VF PR (n=1) | FC Gamma Receptor IIIa F176V VF SD (n=1) | FC Gamma Receptor IIIa F176V VF PD (n=1) | FC Gamma Receptor IIIa F176V VV CR (n=1) | FC Gamma Receptor IIIa F176V VV PR (n=1) | FC Gamma Receptor IIIa F176V VV SD (n=1) | FC Gamma Receptor IIIa F176V VV PD (n=1) | FC Gamma Receptor IIa R166H HH CR (n=0) | FC Gamma Receptor IIa R166H HH PR (n=0) | FC Gamma Receptor IIa R166H HH SD (n=0) | FC Gamma Receptor IIa R166H HH PD (n=0) | FC Gamma Receptor IIa R166H HR CR (n=5) | FC Gamma Receptor IIa R166H HR PR (n=4) | FC Gamma Receptor IIa R166H HR SD (n=4) | FC Gamma Receptor IIa R166H HR PD (n=4) | FC Gamma Receptor IIa R166H RR CR (n=4) | FC Gamma Receptor IIa R166H RR PR (n=2) | FC Gamma Receptor IIa R166H RR SD (n=2) | FC Gamma Receptor IIa R166H RR PD (n=2) | FC Gamma Receptor IIb I232T II CR (n=4) | FC Gamma Receptor IIb I232T II PR (n=4) | FC Gamma Receptor IIb I232T II SD (n=4) | FC Gamma Receptor IIb I232T II PD (n=4) | FC Gamma Receptor IIb I232T IT CR (N=0) | FC Gamma Receptor IIb I232T IT PR (n=0) | FC Gamma Receptor IIb I232T IT SD (n=0) | FC Gamma Receptor IIb I232T IT PD (n=0) | FC Gamma Receptor IIb I232T TT CR (n=4) | FC Gamma Receptor IIb I232T TT PR (n=4) | FC Gamma Receptor IIb I232T TT SD (n=4) | FC Gamma Receptor IIb I232T TT PD (n=4) |
---|
Group A: Trastuzumab+Taxane /Capecitabine (6 Weeks) | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | 0.0 | 50.0 | 50.0 | 0.0 | 0.0 | 66.7 | 33.3 | 0.0 | 0.0 | 66.7 | 33.3 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | 0.0 | 50.0 | 50.0 | 0.0 | 0.0 | 75.0 | 25.0 | 0.0 | 0.0 | 50.0 | 50.0 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | 0.0 | 50.0 | 50.0 | 0.0 | 14.3 | 71.4 | 14.3 | 0.0 | 0.0 | 50.0 | 50.0 | 0.0 | 0.0 | 66.7 | 33.3 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | NA | NA | NA | NA | 0.0 | 25.0 | 50.0 | 25.0 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | 0.0 | 75.0 | 25.0 | NA | NA | NA | NA | 0.0 | 0.0 | 75.0 | 25.0 |
[back to top]
Part II: Progression Free Survival (PFS) by Biomarker
PFS was calculated from first study medication in Part II to date of progression or death.The relationship between PFS and the following biomarker variables was investigated in each of study Part 1 and 2: p95HER2 +ve and -ve population, IGF1R NCT00885755)
Timeframe: End of first 2 Cycles (Weeks 3 and 6), every 3 cycles for 18 weeks, then every 4 cycles until progression, unacceptable toxicity or participant decision to cease treatment up to 46 months
,
Intervention | months (Median) |
---|
| p95 +ve (n=2,0) | p95 -ve (n=5,1) | IGF1R | IGF1R ≥median (n=4,1) | c-MET | c-MET≥median (n=4,0) | PTEN | PTEN ≥median (n=3,1) | HER2 | HER2 ≥median (n=5,0) | PI3K Amino Acids WT (n=10,1) | PI3K Amino Acids M (n=2,0) | FC Gamma Receptor IIIa F176V FF (n=4,0) | FC Gamma Receptor IIIa F176V VF (n=2,1) | FC Gamma Receptor IIIa F176V VV (n=2,0) | FC Gamma Receptor IIa R166H HH (n=1,0) | FC Gamma Receptor IIa R166H HR (n=5,1) | FC Gamma Receptor IIa R166H RR (n=3,0) | FC Gamma Receptor IIb I232T II (n=7,1) |
---|
Group A: Trastuzumab+Taxane /Capecitabine (6 Weeks) | 8.148 | 3.450 | 8.115 | 4.074 | 4.698 | 5.043 | 4.698 | 3.450 | 8.148 | 3.450 | 5.651 | 4.485 | 4.320 | 13.832 | NA | 3.450 | 8.115 | 5.651 | 5.651 |
Group B: Trastuzumab+Taxane/ Capecitabine <6 Weeks | NA | 13.832 | NA | 13.832 | 13.832 | NA | NA | 13.832 | 13.832 | NA | 13.832 | NA | NA | 13.832 | NA | NA | 13.832 | NA | 13.832 |
[back to top]
Part II: TTP by Biomarker
TTP was calculated from first study medication in Part II to date of progression. The relationship between TTP and the following biomarker variables was investigated in each of study Part 1 and 2: p95 HER2 +ve and -ve population, IGF1R NCT00885755)
Timeframe: End of first 2 Cycles (Weeks 3 and 6), every 3 cycles for 18 weeks, then every 4 cycles until progression, unacceptable toxicity or participant decision to cease treatment up to 46 months
,
Intervention | months (Median) |
---|
| p95 HER2 +ve (n=2,0) | p95 HER2 -ve (n=5,1) | IGF1R | IGF1R ≥median (n=4,1) | c-MET | c-MET ≥median (n=4,0) | PTEN | PTEN ≥median (n=3,1) | HER2 | HER2 ≥median (n=5,0) | PI3K Amino Acids WT (n=10,1) | PI3K Amino Acids M (n=2,0) | FC Gamma Receptor IIIa F176V FF (n=4,0) | FC Gamma Receptor IIIa F176V VF (n=2,1) | FC Gamma Receptor IIIa F176V VV (n=2,0) | FC Gamma Receptor IIa R166H HH (n=1,0) | FC Gamma Receptor IIa R166H HR (n=5,1) | FC Gamma Receptor IIa R166H RR (n=3,0) | FC Gamma Receptor IIb I232T II (n=7,1) |
---|
Group A: Trastuzumab+Taxane /Capecitabine (6 Weeks) | 8.148 | 3.450 | 8.115 | 4.074 | 4.698 | 5.043 | 4.698 | 3.450 | 8.148 | 3.450 | 5.651 | 4.485 | 4.320 | NA | NA | 3.450 | 8.115 | 5.651 | 5.651 |
Group B: Trastuzumab+Taxane/ Capecitabine <6 Weeks | NA | 13.832 | NA | 13.832 | 13.832 | NA | NA | 13.832 | 13.832 | NA | 13.832 | NA | NA | 13.832 | NA | NA | 13.832 | NA | 13.832 |
[back to top]
Part I: Progression Free Survival (PFS) by Biomarker
Progression was defined as an increase by at least 20 percent (%) from the smallest value in the Sum of Longest Diameter (SLD) of lesions. Biomarkers investigated: p95 human epidermal growth factor receptor 2 (p95HER2) positive (+ve) and negative (-ve) , insulin growth factor-1 receptor (IGF1R) less than (<) median and greater than or equal to (≥) median membrane H score, c-MET NCT00885755)
Timeframe: End of first 2 Cycles (Weeks 3 and 6), every 3 Cycles for 18 weeks, then every 4 cycles until progression, unacceptable toxicity or participant decision to cease treatment up to 46 months
,
Intervention | months (Median) |
---|
| p95 HER2 +ve (n=9,0) | p95 HER2 -ve (n=15,1) | IGF1R | IGF1R ≥median (n=14,1) | c-MET | c-MET ≥median (n=15,0) | PTEN | PTEN ≥median (n=14,1) | HER2 | HER2 ≥median (n=14,0) | PI3K Amino Acids WT (n=17,1) | PI3K Amino Acids M (n=9,0) | FC Gamma Receptor IIIa F176V FF (n=9,0) | FC Gamma Receptor IIIa F176V VF (n=5,1) | FC Gamma Receptor IIIa F176V VV (n=4,0) | FC Gamma Receptor IIa R166H HH (n=3,0) | FC Gamma Receptor IIa R166H HR (n=8,1) | FC Gamma Receptor IIa R166H RR (n=8,0) | FC Gamma Receptor IIb I232T II (n=12,1) | FC Gamma Receptor IIb I232T IT (n=1,0) | FC Gamma Receptor IIb I232T TT (n=1,0) |
---|
Group A: Trastuzumab+Taxane /Capecitabine (6 Weeks) | NA | 13.963 | 12.649 | 22.209 | 18.595 | 13.733 | 22.209 | 13.963 | 13.733 | 22.209 | 13.848 | 22.407 | 10.612 | 11.335 | 22.407 | NA | 22.209 | 13.963 | 11.335 | NA | NA |
Group B: Trastuzumab+Taxane/ Capecitabine <6 Weeks | NA | 1.216 | NA | 1.216 | 1.216 | NA | NA | 1.216 | 1.216 | NA | 1.216 | NA | NA | 1.216 | NA | NA | 1.216 | NA | 1.216 | NA | NA |
[back to top]
Part I: PFS in ITT Population
PFS was determined as the time in months from the date of screening until first progression. In participants with measurable disease, progression was defined according to RECIST (SLD increased by at least 20% from the smallest value on study [including baseline, if that is the smallest]).. In participants with non-measurable disease, progression was defined as the presence of new lesions or unequivocal progression during treatment. (NCT00885755)
Timeframe: End of first 2 Cycles (Weeks 3 and 6), every 3 cycles for 18 weeks, then every 4 cycles until progression, unacceptable toxicity or participant decision to cease treatment up to 46 months
Intervention | months (Median) |
---|
Group A: Trastuzumab+Taxane /Capecitabine (6 Weeks) | 18.60 |
Group B: Trastuzumab+Taxane/ Capecitabine <6 Weeks | 1.22 |
[back to top]
Time to Progression
Time to progression was defined as the time between randomization and the first occurrence of disease progression. Progression of disease was defined as at least 20% increase in the sum of longest diameters of target lesions compared to the smallest sum of longest diameters on-study and absolute increase of at least 5 mm, progression of existing non-target lesions, or presence of new lesions. Time to progression was estimated using Kaplan Meier method. Reported data included censored observations. Participants who had not progressed at the time of study completion (including participants who had died before disease progression) or who were lost to follow-up were censored at the date of the last tumor assessment or last follow-up for progression of disease. Participants for whom no post-baseline tumor assessments were available were censored at day of randomization. (NCT00887822)
Timeframe: From randomization until disease progression or death (up to 26 months)
Intervention | months (Median) |
---|
Bevacizumab, Capecitabine and Cisplatin | 6.5 |
Placebo, Capecitabine and Cisplatin | 7.0 |
[back to top]
Change From Cycle 1 in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 36 (QLQ-C30) Scale Over Time
EORTC QLQ-C30 included global health status (GHS)/quality of life (QOL), functional scales (physical, role, cognitive, emotional, and social), symptom scales (fatigue, pain, nausea/vomiting), and single items (dyspnea, appetite loss, insomnia, constipation, diarrhea, and financial difficulties). Most questions used a 4-point scale (1 'Not at All' to 4 'Very Much'); 2 questions used a 7-point scale (1 'Very Poor' to 7 'Excellent'). Scores were averaged and transformed to 0-100 scale; a higher score for Global Qol/functional scales=better level of QoL/functioning, or a higher score for symptom scale=greater degree of symptoms. (NCT00887822)
Timeframe: From Cycle 1 until disease progression (up to 26 months)
,
Intervention | scores on scale (Mean) |
---|
| GHS/QOL | Physical Funtioning | Role Functioning | Emotional Functioning | Cognitive Functioning | Social Functioning | Fatigue | Nausea and Vomiting | Pain | Dyspnoea | Insomnia | Appetite Loss | Constipation | Diarrhoea | Financial Difficulties |
---|
Bevacizumab, Capecitabine and Cisplatin | 1.24 | -0.89 | -0.65 | -0.22 | -0.51 | -0.27 | -0.36 | -0.82 | -0.55 | -0.10 | -0.57 | -0.65 | -0.14 | -0.29 | 0.31 |
Placebo, Capecitabine and Cisplatin | 0.73 | -0.99 | -0.37 | 0.19 | -0.41 | 0.08 | -0.27 | -0.55 | -0.22 | -0.07 | 0.26 | -1.17 | -0.02 | 0.00 | 0.04 |
[back to top]
Change From Cycle 1 in EORTC QLQ-STO22 Scale Over Time
The EORTC QLQ-STO22 is a gastric cancer quality of life questionnaire. There are 22 questions which comprise 5 scales (dysphagia, pain, reflux symptom, dietary restrictions, and anxiety) and 4 single items (dry mouth, hair loss, taste, body image). Most questions used 4-point scale (1 'Not at all' to 4 'Very much'; 1 question was a yes or no answer). A linear transformation was used to standardize all scores and single-items to a scale of 0 to 100; higher score=better level of functioning or greater degree of symptoms. (NCT00887822)
Timeframe: From Cycle 1 until disease progression (up to 26 months)
,
Intervention | scores on scale (Mean) |
---|
| Dysphagia | Pain | Reflux Symptoms | Eating Restrictions | Anxiety | Dry Mouth | Taste | Body Image | Hair Loss |
---|
Bevacizumab, Capecitabine and Cisplatin | -0.31 | -0.97 | -0.27 | -0.30 | -0.17 | -0.19 | -0.44 | 0.27 | -0.35 |
Placebo, Capecitabine and Cisplatin | -0.05 | -0.52 | -0.43 | -0.36 | -0.73 | 0.68 | -0.66 | 0.13 | -0.61 |
[back to top]
Progression-Free Survival (PFS)
PFS was defined as the time between randomization and the date of first documented disease progression or death, whichever occurred first, according to RECIST. Progression of disease was defined as at least 20% increase in the sum of longest diameters of target lesions compared to the smallest sum of longest diameters on-study and absolute increase of at least 5 mm, progression of existing non-target lesions, or presence of new lesions. PFS was estimated using Kaplan Meier method. Reported data included censored observations. Participants who had neither progressed nor died at the time of study completion or who were lost to follow-up were censored at the date of the last tumor assessment or last follow-up for progression of disease. Participants for whom no post-baseline tumor assessments were available were censored at day of randomization. (NCT00887822)
Timeframe: From randomization until disease progression or death (up to 26 months)
Intervention | months (Median) |
---|
Bevacizumab, Capecitabine and Cisplatin | 6.3 |
Placebo, Capecitabine and Cisplatin | 6.0 |
[back to top]
PFS During First-line Therapy
PFS during first-line therapy was defined as time between randomization and date of first documented disease progression or death, whichever occurred first and only if it occurred no later than 28 days after last intake of any study medication and only if it occurred before start of non-study antineoplastic treatment, according to RECIST. Progression of disease was defined as at least 20% increase in sum of longest diameters of target lesions compared to smallest sum of longest diameters on-study & absolute increase of at least 5 mm, progression of existing non-target lesions, or presence of new lesions. PFS was estimated using Kaplan Meier method. Reported data included censored observations. Participants who neither progressed nor died in this interval, or who were lost to follow-up were censored at date of last tumor assessment/last follow-up within this time window. Participants for whom no post-baseline tumor assessments were available were censored at day of randomization. (NCT00887822)
Timeframe: From randomization until disease progression or death (up to 26 months)
Intervention | months (Median) |
---|
Bevacizumab, Capecitabine and Cisplatin | 6.3 |
Placebo, Capecitabine and Cisplatin | 6.1 |
[back to top]
Percentage of Participants With Progression-Free Survival (PFS) Events (Disease Progression/Death)
Progression of disease was defined as at least 20 percent (%) increase in the sum of longest diameters of target lesions compared to the smallest sum of longest diameters on-study and absolute increase of at least 5 millimeters (mm), progression of existing non-target lesions, or presence of new lesions. PFS was defined as the time between randomization and the date of first documented disease progression or death, whichever occurred first, according to Response Evaluation Criteria In Solid Tumors (RECIST). (NCT00887822)
Timeframe: From randomization until disease progression or death (up to 26 months)
Intervention | percentage of participants (Number) |
---|
Bevacizumab, Capecitabine and Cisplatin | 81.0 |
Placebo, Capecitabine and Cisplatin | 81.4 |
[back to top]
Percentage of Participants With PFS Events (Disease Progression/Death) During First-line Therapy
Progression of disease was defined as at least 20% increase in the sum of longest diameters of target lesions compared to the smallest sum of longest diameters on-study and absolute increase of at least 5 mm, progression of existing non-target lesions, or presence of new lesions. PFS during first-line therapy was defined as the time between randomization and the date of first documented disease progression or death, whichever occurred first and only if it occurred no later than 28 days after last confirmed intake of any study medication and before the start of non-study antineoplastic treatment, according to RECIST. (NCT00887822)
Timeframe: From randomization until disease progression or death (up to 26 months)
Intervention | percentage of participants (Number) |
---|
Bevacizumab, Capecitabine and Cisplatin | 51.0 |
Placebo, Capecitabine and Cisplatin | 59.8 |
[back to top]
Percentage of Participants With Event (Death)
Percentage of participants who died due to any cause was reported. As planned, ad hoc analysis was done for overall survival up to clinical cut-off date of 12 January 2012 (34 months), subsequent to the protocol-defined clinical cut-off date of 13 May 2011 (26 months). Overall survival was defined as the time between randomization and the date of death due to any cause. (NCT00887822)
Timeframe: From randomization until death (up to 34 months)
Intervention | percentage of participants (Number) |
---|
Bevacizumab, Capecitabine and Cisplatin | 77.0 |
Placebo, Capecitabine and Cisplatin | 75.5 |
[back to top]
Percentage of Participants With Disease Progression
Progression of disease was defined as at least 20% increase in the sum of longest diameters of target lesions compared to the smallest sum of longest diameters on-study and absolute increase of at least 5 mm, progression of existing non-target lesions, or presence of new lesions. (NCT00887822)
Timeframe: From randomization until disease progression or death (up to 26 months)
Intervention | percentage of participants (Number) |
---|
Bevacizumab, Capecitabine and Cisplatin | 56.0 |
Placebo, Capecitabine and Cisplatin | 53.9 |
[back to top]
Percentage of Participants With Disease Control During First-Line Therapy
Disease control was defined as stable disease(SD) for 6 weeks or longer, CR plus PR as assessed by RECIST criteria for participants with measurable disease.CR:disappearance of all TLs & normalization of tumor markers. Pathological lymph nodes must have short axis measures<10 mm. PR:at least 30% decrease in sum of measures(longest diameter for tumor lesions and short axis measure for nodes)of TLs, taking as reference baseline sum of longest diameters.SD:neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for disease progression taking as reference smallest sum of longest diameters on study. For participants without measurable disease, clinical benefit rate was defined as no clinical disease progression for >/=6 weeks. Disease progression was defined as at least 20% increase in sum of diameters of TLs compared to smallest sum of diameters on-study and absolute increase of at least 5 mm, progression of existing non-target lesions, or presence of new lesions. (NCT00887822)
Timeframe: From randomization until disease progression or death (up to 26 months)
Intervention | percentage of participants (Number) |
---|
Bevacizumab, Capecitabine and Cisplatin | 73.0 |
Placebo, Capecitabine and Cisplatin | 72.5 |
[back to top]
Percentage of Participants With Best Overall Response as Assessed by RECIST During First-Line Therapy
Best overall response during first-line therapy was defined as the occurrence of either a confirmed complete (CR) or a partial response (PR), as assessed by the RECIST criteria. CR: disappearance of all target and non-target lesions (TLs) and normalization of tumor markers. Pathological lymph nodes must have short axis measures less than (<) 10 mm. PR: at least a 30 % decrease in the sum of measures (longest diameter for tumor lesions and short axis measure for nodes) of TLs, taking as reference the baseline sum of longest diameters. (NCT00887822)
Timeframe: From randomization until disease progression or death (up to 26 months)
Intervention | percentage of participants (Number) |
---|
Bevacizumab, Capecitabine and Cisplatin | 40.7 |
Placebo, Capecitabine and Cisplatin | 33.7 |
[back to top]
Overall Survival
Overall survival was defined as the time between randomization and the date of death due to any cause. Overall survival was estimated using Kaplan Meier method. Reported data included censored observations. Participants for whom no death was captured on the clinical database were censored at the most recent date they were known to be alive. As planned, ad hoc analysis was done for overall survival up to clinical clinical cut-off date of 12 January 2012 (34 months), subsequent to the protocol-defined clinical cut-off date of 13 May 2011 (26 months). (NCT00887822)
Timeframe: From randomization until death (up to 34 months)
Intervention | months (Median) |
---|
Bevacizumab, Capecitabine and Cisplatin | 10.5 |
Placebo, Capecitabine and Cisplatin | 11.4 |
[back to top]
Duration of Response During First-Line Therapy
Duration of response during first-line therapy was defined as the time from when response (CR or PR) was first documented to first documented disease progression or death (whichever occurs first) during first-line therapy. CR: disappearance of all target and non-TLs and normalization of tumor markers. Pathological lymph nodes must have short axis measures <10 mm. PR: at least a 30 % decrease in the sum of measures (longest diameter for tumor lesions and short axis measure for nodes) of TLs, taking as reference the baseline sum of longest diameters. Duration of response was estimated using Kaplan Meier method. Reported data included censored observations. Participants who did not progress or die after they had had a confirmed response were censored at the date of their last tumor measurement or last follow-up for progression of disease during first line therapy. (NCT00887822)
Timeframe: From randomization until disease progression or death (up to 26 months)
Intervention | months (Median) |
---|
Bevacizumab, Capecitabine and Cisplatin | 7.2 |
Placebo, Capecitabine and Cisplatin | 5.8 |
[back to top]
Dose Limiting Toxicity (DLT) [Phase I]
DLT occurring within 3 weeks of the start of chemoradiation therapy was defined as: Grade 3 non-hematologic or hematologic toxicity requiring interruption of >7 days (d) of chemo or >3d chemoradiation; Grade 4 non-hematologic; Grade 4 neutropenia or thrombocytopenia; Treatment-related death; Delays in surgery >3 weeks due to treatment-related toxicity. A 30% increase in any surgical complication rate beyond those previously established rates (readmission rate: 16%; pancreatic fistula/intra-abdominal abscess/infection rate: 27%, major intra-abdominal bleeding requiring return to OR: 1.6%, delayed gastric emptying: 4.4%, and superficial wound infection rate: 8%) was also considered a DLT. (NCT00889187)
Timeframe: within 3 weeks of the start of chemoradiation therapy
Intervention | patients with DLT (Number) |
---|
Phase 1 Cohort 1: Photon Rad (30 Gy/12 Days)+Capecitabine | 0 |
Phase I Cohort 2: Photon Rad (25 Gy/11 Days)+Capecitabine | 0 |
Phase I Cohort 3: Photon Rad (25 Gy/5 Days)+Capecitabine | 0 |
[back to top]
Neoadjuvant Short-Course Photon Radiation Therapy Maximum Tolerated Dose (MTD) [Phase I]
Neoadjuvant short-course photon radiation therapy MTD in combination with capecitabine 825 mg/m2 orally BID for ten consecutive weekdays, beginning on the morning of the first day of radiation therapy is determined by the number of patients who experience a dose limiting toxicity (DLT). See subsequent primary outcome measure for the DLT definition. The MTD is defined as the highest dose at which fewer than one-third of patients experience a DLT. If none of 3 initial patients or only 1 of 6 patients have a DLT on dose level 3 then 6 additional patients are treated at this dose. If during this expansion, the rate of DLT exceeds 30% then the next lower dose level is declared the MTD. If no DLTs are observed, the MTD is not reached. (NCT00889187)
Timeframe: within 3 weeks of the start of chemoradiation therapy
Intervention | Gy per fraction (Number) |
---|
All Phase I: Photon Rad+Capecitabine | NA |
[back to top]
Response Rate (Complete Response or Partial Response)
A confirmed tumor response is defined to be a CR or PR noted as the objective status on 2 consecutive evaluations ≥4 weeks apart. Confirmed tumor response will be evaluated using the first 6 cycles of treatment. All patients meeting the eligibility criteria who have signed a consent form and have begun treatment will be evaluable for response. The confirmed response rates between the 2 arms will be compared using a Chi-Square or Fisher's Exact test. Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of the LD of target lesions taking as reference the baseline sum LD. (NCT00891878)
Timeframe: Up to 3 years
Intervention | percentage of patients (Number) |
---|
Arm A (Capecitabine) | 0 |
Arm B (Capecitabine+Sunitinib Malate) | 33 |
[back to top]
Time to Treatment Failure
Time to treatment failure is defined to be the time from the date of randomization to the date at which the patient is removed from treatment due to progression, adverse events, or refusal. (NCT00891878)
Timeframe: Up to 3 years
Intervention | months (Median) |
---|
Arm A (Capecitabine) | 1.63 |
Arm B (Capecitabine+Sunitinib Malate) | 2.53 |
[back to top]
Comparison of Progression-free Survival
The primary analysis will be a comparison of Arm A to Arm B using a one-sided log-rank test between the 2 Kaplan-Meier curves. All patients meeting the eligibility criteria, who started treatment will be considered evaluable for the primary endpoint. If a patient is still alive 3 years after registration, no further follow-up is required. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions (NCT00891878)
Timeframe: Up to 3 years
Intervention | Months (Median) |
---|
Arm A (Capecitabine) | 6.1 |
Arm B (Capecitabine+Sunitinib Malate) | 2.4 |
[back to top]
Duration of Response
Duration of response is defined for all evaluable patients who have achieved an objective response as the date at which the patient's earliest best objective status is first noted to be either a CR or PR to the earliest date progression is documented. (NCT00891878)
Timeframe: Up to 3 years
Intervention | months (Median) |
---|
Arm B (Capecitabine+Sunitinib Malate) | 4.75 |
[back to top]
Overall Survival
Overall survival is defined as the time from randomization to death due to any cause. The distribution of overall survival will be estimated using the method of Kaplan-Meier. (NCT00891878)
Timeframe: Up to 3 years
Intervention | Months (Median) |
---|
Arm A (Capecitabine) | 6.2 |
Arm B (Capecitabine+Sunitinib Malate) | 5.9 |
[back to top]
Time to Disease Progression
Time to disease progression is defined as the time from randomization to the earliest date documentation of disease progression occurs. If a patient dies without a documentation of disease progression, the patient will be considered to have had tumor progression at the time of their death unless there is sufficient documented evidence to conclude no progression occurred prior to death. The distribution of time-to-progression will be estimated using the method of Kaplan-Meier. (NCT00891878)
Timeframe: Up to 3 years
Intervention | months (Median) |
---|
Arm A (Capecitabine) | 7.56 |
Arm B (Capecitabine+Sunitinib Malate) | 2.46 |
[back to top]
Response Rate of Patients Who Receive Pre-operative or Palliative Concurrent Radiation w/ Capecitabine to the Breast & at Risk or Involved Regional Lymph Nodes Basins.
The response by RECIST was assessed after 45 Gy of radiation for patients with breast cancer treated with concurrent capecitabine and radiation therapy. (NCT00916578)
Timeframe: Participants were monitored from 2009 to 2012.
Intervention | participants (Number) |
---|
Single Arm Institution, Open Label, Phase II | 26 |
[back to top]
[back to top]
[back to top]
[back to top]
Part 1: MTD of Erlotinib
MTD for each of the medications was defined as the lowest dose studied which resulted in DLT in at least 33% of participants of the same quality category. DLT was defined as >= G3 or G4 toxicity; >= G3 non-hematological toxicities directly related to study treatment (other than untreated nausea/vomiting, alopecia, G3/G4 bilirubinemia for less than 7 days due to edema of the ductus choledochus and anemia); G4 thrombocytopenia, neutropenia lasting >= 7 days or G3 thrombocytopenia with complications, requiring transfusions, febrile neutropenia; stopping of oral CAP and/or ERL intake for >= 7 days, and/or cancellation of one or more BEV infusion(s) due to AEs. (NCT00925769)
Timeframe: Up to Week 6 (Cycle 1-3)
Intervention | mg/day (Number) |
---|
Triple Combination (Bevacizumab/Erlotinib/Capecitabine) | NA |
[back to top]
Part 1: Maximum Tolerated Dose (MTD) of Capecitabine
MTD for each of the medications was defined as the lowest dose studied which resulted in dose limiting toxicity (DLT) in at least 33 percent (%) of participants of the same quality category. DLT was defined as any greater than or equal to (>=) Grade (G) 3 or G4 toxicity; >= G3 non-hematological toxicities directly related to study treatment (other than untreated nausea/vomiting, alopecia, G3/G4 bilirubinemia for less than 7 days due to edema of the ductus choledochus and anemia); G4 thrombocytopenia, neutropenia lasting >= 7 days or G3 thrombocytopenia with complications, requiring transfusions, febrile neutropenia; stopping of oral CAP and/or ERL intake for >= 7 days, and/or cancellation of one or more BEV infusion(s) due to adverse events (AEs). (NCT00925769)
Timeframe: Up to Week 6 (Cycle 1-3)
Intervention | mg/m^2 BID (Number) |
---|
Triple Combination (Bevacizumab/Erlotinib/Capecitabine) | 900 |
[back to top]
Part 1: MTD of Bevacizumab
MTD for each of the medications was defined as the lowest dose studied which resulted in DLT in at least 33% of participants of the same quality category. DLT was defined as >= G3 or G4 toxicity; >= G3 non-hematological toxicities directly related to study treatment (other than untreated nausea/vomiting, alopecia, G3/G4 bilirubinemia for less than 7 days due to edema of the ductus choledochus and anemia); G4 thrombocytopenia, neutropenia lasting >= 7 days or G3 thrombocytopenia with complications, requiring transfusions, febrile neutropenia; stopping of oral CAP and/or ERL intake for >= 7 days, and/or cancellation of one or more BEV infusion(s) due to AEs. (NCT00925769)
Timeframe: Up to Week 6 (Cycle 1-3)
Intervention | mg/kg once every 2 weeks (Q2W) (Number) |
---|
Triple Combination (Bevacizumab/Erlotinib/Capecitabine) | NA |
[back to top]
Part 1: PRD of Bevacizumab for Part 2
Once the MTD was reached then the preceding lower dose level was used as PRD. MTD for each of the medications was defined as the lowest dose studied which resulted in DLT in at least 33% of participants of the same quality category. DLT was defined as >= G3 or G4 toxicity; >= G3 non-hematological toxicities directly related to study treatment (other than untreated nausea/vomiting, alopecia, G3/G4 bilirubinemia for less than 7 days due to edema of the ductus choledochus and anemia); G4 thrombocytopenia, neutropenia lasting >= 7 days or G3 thrombocytopenia with complications, requiring transfusions, febrile neutropenia; stopping of oral CAP and/or ERL intake for >= 7 days, and/or cancellation of one or more BEV infusion(s) due to AEs. If MTD was not defined for a drug treatment then the maximum planned dose of that particular drug was considered as PRD for Part 2. (NCT00925769)
Timeframe: Up to Week 6 (Cycle 1-3)
Intervention | mg/kg Q2W (Number) |
---|
Triple Combination (Bevacizumab/Erlotinib/Capecitabine) | 10 |
[back to top]
Part 1: PRD of Erlotinib for Part 2
Once the MTD was reached then the preceding lower dose level was used as PRD. MTD for each of the medications was defined as the lowest dose studied which resulted in DLT in at least 33% of participants of the same quality category. DLT was defined as >= G3 or G4 toxicity; >= G3 non-hematological toxicities directly related to study treatment (other than untreated nausea/vomiting, alopecia, G3/G4 bilirubinemia for less than 7 days due to edema of the ductus choledochus and anemia); G4 thrombocytopenia, neutropenia lasting >= 7 days or G3 thrombocytopenia with complications, requiring transfusions, febrile neutropenia; stopping of oral CAP and/or ERL intake for >= 7 days, and/or cancellation of one or more BEV infusion(s) due to AEs. If MTD was not defined for a drug treatment then the maximum planned dose of that particular drug was considered as PRD for Part 2. (NCT00925769)
Timeframe: Up to Week 6 (Cycle 1-3)
Intervention | mg/day (Number) |
---|
Triple Combination (Bevacizumab/Erlotinib/Capecitabine) | 150 |
[back to top]
Part 1: Preliminary Recommended Dose (PRD) of Capecitabine for Part 2
Once the MTD was reached then the preceding lower dose level was used as PRD. MTD for each of the medications was defined as the lowest dose studied which resulted in dose limiting toxicity (DLT) in at least 33% of participants of the same quality category. DLT was defined as >= G3 or G4 toxicity; >= G3 non-hematological toxicities directly related to study treatment (other than untreated nausea/vomiting, alopecia, G3/G4 bilirubinemia for less than 7 days due to edema of the ductus choledochus and anemia); G4 thrombocytopenia, neutropenia lasting >= 7 days or G3 thrombocytopenia with complications, requiring transfusions, febrile neutropenia; stopping of oral CAP and/or ERL intake for >= 7 days, and/or cancellation of one or more BEV infusion(s) due to AEs. If MTD was not defined for a drug treatment then the maximum planned dose of that particular drug was considered as PRD for Part 2. (NCT00925769)
Timeframe: Up to Week 6 (Cycle 1-3)
Intervention | mg/m^2 BID (Number) |
---|
Triple Combination (Bevacizumab/Erlotinib/Capecitabine) | 800 |
[back to top]
[back to top]
Percentage Of Participants With PD or Death Due to PD (Maintenance Phase Data Cutoff October 4, 2013)
PD was defined per RECIST 1.0 as 20% increase in the sum of the longest diameter of target lesions. (NCT00929240)
Timeframe: Randomization, at the end of every third cycle (every 9 weeks) until the end of maintenance phase and every 3 months until disease progression or death until data cutoff on October 4, 2013
Intervention | percentage of participants (Number) |
---|
Maintenance Phase: Bevacizumab | 88.3 |
Maintenance Phase: Bevacizumab + Capecitabine | 74.7 |
[back to top]
Time To Progression (Maintenance Phase Data Cutoff October 4, 2013)
Time to Progression was defined as the time from randomization to the first documented disease progression (using investigator assessments of disease progression by RECIST 1.0). PD was defined as 20% increase in the sum of the longest diameter of target lesions. (NCT00929240)
Timeframe: Randomization, at the end of every third cycle (every 9 weeks) until the end of maintenance phase and every 3 months until disease progression or death until data cutoff on October 4, 2013
Intervention | months (Median) |
---|
Maintenance Phase: Bevacizumab | 4.3 |
Maintenance Phase: Bevacizumab + Capecitabine | 11.9 |
[back to top]
Quality of Life Assessed As Change From Baseline in Global Health Status Using The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - 30 (EORTC QLQ - C30) (Maintenance Phase Data Cutoff October 4, 2013)
The EORTC QLQ-C30 incorporates 9 multi-item scales: 5 functional scales (physical, role, cognitive, emotional, and social); 9 symptom scales (fatigue, pain, nausea and vomiting, dyspnoea, insomnia, appetite loss, constipation, diarrhea and financial difficulties); and a global health and quality-of-life scale. Most questions used 4 point scale (1 'Not at all' to 4 'Very much'; 2 questions used 7-point scale (1 'very poor' to 7 'Excellent'). Scores were averaged and transformed to 0-100 scale; higher score=better level of functioning or greater degree of symptoms. The change in global health status was determined to be the difference in values at baseline and each specific visit. The term ''baseline'' refers to the time of randomization to the maintenance phase. (NCT00929240)
Timeframe: Baseline, Randomization and Cycles 3, 6, 9 and 12
,
Intervention | units on a scale (Mean) |
---|
| Randomization (n= 83, 86) | Cycle 3 (n= 44, 52) | Cycle 6 (n= 26, 54) | Cycle 9 (n= 18, 37) | Cycle 12 (n= 12, 31) |
---|
Maintenance Phase: Bevacizumab | -3.51 | 0.76 | 4.17 | 8.80 | 0.69 |
Maintenance Phase: Bevacizumab + Capecitabine | -4.46 | -3.21 | -5.40 | -1.80 | 0.00 |
[back to top]
Percentage of Participants Expected to Be Alive After 1 and 2 Years on Treatment (Maintenance Phase Data Cutoff October 4, 2013)
Probability of being alive after 1 and 2 years on treatment with 95% CIs was calculated using Kaplan Meier approach with LOGLOG transformation. (NCT00929240)
Timeframe: Years 1 and 2
,
Intervention | percentage of participants (Number) |
---|
| 1 Year | 2 Years |
---|
Maintenance Phase: Bevacizumab | 71.6 | 49.4 |
Maintenance Phase: Bevacizumab + Capecitabine | 90.4 | 69.0 |
[back to top]
Overall Survival (Maintenance Phase Data Cutoff October 4, 2013)
Duration of Overall Survival (OS) was defined as the time from randomization to death of any cause. The OS data for participants for whom no death was captured in the clinical database were censored at the last time they were known to be alive. Kaplan Meier estimation was used to determine OS. (NCT00929240)
Timeframe: Randomization, at the end of every third cycle (every 9 weeks) until the end of maintenance phase and every 3 months until disease progression or death until data cutoff on October 4, 2013, up to 4 years
Intervention | months (Median) |
---|
Maintenance Phase: Bevacizumab | 23.7 |
Maintenance Phase: Bevacizumab + Capecitabine | 39.0 |
[back to top]
Percentage of Participants Who Died (Maintenance Phase Data Cutoff October 4, 2013)
(NCT00929240)
Timeframe: Randomization, at the end of every third cycle (every 9 weeks) until the end of maintenance phase and every 3 months until disease progression or death until data cutoff on October 4, 2013, up to 4 years
Intervention | percentage of participants (Number) |
---|
Maintenance Phase: Bevacizumab | 56.4 |
Maintenance Phase: Bevacizumab + Capecitabine | 36.3 |
[back to top]
Percentage of Participants With Best Overall Confirmed Objective Response of CR or PR Per RECIST 1.0 (Maintenance Phase Data Cutoff October 4, 2013)
Objective Response was determined by the investigator using modified RECIST criteria, Version 1.0. An objective response was a complete or partial overall confirmed response as determined by investigators. CR was defined as complete disappearance of all target and non-target lesions and no new lesions. PR was defined as greater than or equal to (≥) 30 % decrease in the sum of appropriate diameters of all target measurable lesions, no progress in the non-measurable disease, and no new lesions. Progressive disease (PD) was defined as 20% increase in the sum of the longest diameter of target lesions and SD was defined as small changes that do not meet above criteria. Pearson-Clopper one-sample method was used for Confidence intervals (CIs). (NCT00929240)
Timeframe: Randomization, at the end of every third cycle (every 9 weeks) until the end of maintenance phase and every 3 months until disease progression or death until data cutoff on October 4, 2013, up to 4 years
Intervention | percentage of participants (Number) |
---|
Maintenance Phase: Bevacizumab | 76.6 |
Maintenance Phase: Bevacizumab + Capecitabine | 85.7 |
[back to top]
Percentage of Participants With Clinical Benefit (CR, PR and SD) Per RECIST 1.0 (Data Cutoff October 4, 2013)
CR was defined as complete disappearance of all target and non-target lesions and no new lesions. PR was defined as ≥ 30 % decrease in the sum of appropriate diameters of all target measurable lesions, no progress in the non-measurable disease, and no new lesions. SD was defined as small changes that do not meet above criteria. (NCT00929240)
Timeframe: Randomization, at the end of every third cycle (every 9 weeks) until the end of maintenance phase and every 3 months until disease progression or death until data cutoff on October 4, 2013, up to 4 years
Intervention | percentage of participants (Number) |
---|
Maintenance Phase: Bevacizumab | 97.9 |
Maintenance Phase: Bevacizumab + Capecitabine | 98.9 |
[back to top]
Percentage of Participants With Clinical Benefit (CR, PR and SD) Per RECIST 1.0 (Initial Treatment Phase)
CR was defined as complete disappearance of all target and non-target lesions and no new lesions. PR was defined as ≥30% decrease in the sum of appropriate diameters of all target measurable lesions, no progress in the non-measurable disease, and no new lesions. SD was defined as small changes that do not meet above criteria. (NCT00929240)
Timeframe: Screening and at the end of every third cycle until randomization for an average of 18 weeks
Intervention | percentage of participants (Number) |
---|
Initial Treatment Phase: Bevacizumab + Docetaxel | 56.9 |
[back to top]
Percentage of Participants With Disease Progression or Death (Maintenance Phase Data Cutoff October 4, 2013)
Progression Free Survival (PFS) was defined as the time from first study drug dosing (during the maintenance treatment phase) to the first documented disease progression or death, whichever occurred first. Progression was based on tumor assessment made by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST). Progressive Disease (PD) was defined as a 20 percent (%) or greater increase in the sum of the Longest Diameter (LD) of the target lesions taking as reference the smallest sum LD recorded or appearance of new lesions. (NCT00929240)
Timeframe: Randomization, at the end of every third cycle (every 9 weeks) until the end of maintenance phase and every 3 months until disease progression or death until data cutoff on October 4, 2013, up to 4 years
Intervention | percentage of participants (Number) |
---|
Maintenance Phase: Bevacizumab | 88.3 |
Maintenance Phase: Bevacizumab + Capecitabine | 75.8 |
[back to top]
Progression Free Survival (Maintenance Phase Data Cutoff October 4, 2013)
PFS was defined as the time from first study drug dosing to the first documented disease progression or death, whichever occurred first.Time to progression was defined as the time from randomization to the first documented disease progression defined per RECIST 1.0 criteria. Participants without an event at data cut-off or who were withdrawn from the study without documented progression were censored at the date of the last tumor assessment when the participant was known to be progression free. Participants who took other non-protocol anti-cancer drugs while being on study medication, and who were still event free were censored on the date of first dose of the anti-cancer drug. Participants without post-randomization tumor assessments but alive were censored at the time of randomization. Participants without post-randomization assessments, who died after randomization were considered to have the PFS event at date of death. Kaplan-Meier estimation was used for median time to PFS (NCT00929240)
Timeframe: Randomization, at the end of every third cycle (every 9 weeks) until the end of maintenance phase and every 3 months until disease progression or death until data cutoff on October 4, 2013, up to 4 years
Intervention | months (Median) |
---|
Maintenance Phase: Bevacizumab | 4.3 |
Maintenance Phase: Bevacizumab + Capecitabine | 11.9 |
[back to top]
Percentage of Participants With Best Overall Confirmed Objective Response of CR or PR Per RECIST 1.0 (Initial Treatment Phase)
Objective Response was determined by the investigator using RECIST criteria, Version 1.0. An objective response was a complete or partial overall confirmed response as determined by investigators. CR was defined as complete disappearance of all target and non-target lesions and no new lesions. PR was defined as ≥ 30% decrease in the sum of appropriate diameters of all target measurable lesions, no progress in the non-measurable disease, and no new lesions. Pearson-Clopper one-sample method was used for CI. (NCT00929240)
Timeframe: Screening and at the end of every third cycle until randomization for an average of 18 weeks
Intervention | percentage of participants (Number) |
---|
Initial Treatment Phase: Bevacizumab + Docetaxel | 8.8 |
[back to top]
Overall Survival
Overall survival was defined as the time from randomization to the time of death from any cause. Overall survival was censored at the date of last follow-up visit for patients who are still alive or loss of follow-up. (NCT00938470)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Arm I (DOC, 5FU/O/RT, Surgery) | NA |
Arm II (5FU/O/RT, Surgery) | 18.8 |
[back to top]
Percentage of Participants With Overall Clinical Tumor Response (CR or PR)
Overall clinical tumor response rate was defined as the percentage of evaluable participants who achieved either complete response (CR) or partial response (PR) noted on the objective status from pre-surgical staging (for arm II) or either from pre-RT or pre-surgical staging (for arm I).> CR was defined as disappearance of all non-target lesion (TL) and normalization of tumor biomarker level, all lymph nodes (LN) must be non-pathological in size (<1 cm short axis); or disappearance of all TL and normalization of tumor biomarkers, any pathological LN (whether target or non-target) must have reduction in short axis to <1 cm; or >=30% decrease in the sum of the diameters of TL taking as reference the baseline sum of the diameters. (NCT00938470)
Timeframe: Up to 2 years
Intervention | percentage of participants (Number) |
---|
Arm I (DOC, 5FU/O/RT, Surgery) | 32.1 |
Arm II (5FU/O/RT, Surgery) | 33.3 |
[back to top]
Number of Participants Who Experienced a Maximum Grade of 3 or Above Adverse Event
Adverse events were assessed using National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. (NCT00938470)
Timeframe: Up to 2 years
,
Intervention | Participants (Count of Participants) |
---|
| Grade 3=Severe | Grade 4=Life threatening | Grade 5=Death |
---|
Arm I (DOC, 5FU/O/RT, Surgery) | 10 | 10 | 4 |
Arm II (5FU/O/RT, Surgery) | 12 | 7 | 4 |
[back to top]
Percentage of Participants With Pathologic Complete Response (PCR)
Pathologic complete response was defined as no gross or microscopic tumor identified with the surgical specimen. All lymph nodes should be free of tumor to document a PCR. If no gross tumor is visible, section around the area of inflammation (nodularity) should be made every 2-3 cm and specimens examined. (NCT00938470)
Timeframe: Up to 2 years
Intervention | percentage of participants (Number) |
---|
Arm I (DOC, 5FU/O/RT, Surgery) | 28.6 |
Arm II (5FU/O/RT, Surgery) | 40.7 |
[back to top]
Disease-free Survival
Disease-free survival was defined as the time from randomization to the date of recurrent or death, whichever comes first. (NCT00938470)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Arm I (DOC, 5FU/O/RT, Surgery) | 31.2 |
Arm II (5FU/O/RT, Surgery) | 17.0 |
[back to top]
Percentage of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs) - Part 1
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state. (NCT00959946)
Timeframe: Part 1 Baseline up to 28 days after last dose of study treatment
,,,,,,,
Intervention | Percentage of Participants (Number) |
---|
| AEs | SAEs |
---|
Bosutinib 200 mg + Capecitabine 1000 mg/m^2 (Part 1) | 100.0 | 50.0 |
Bosutinib 200 mg + Capecitabine 625 mg/m^2 (Part 1) | 100.0 | 0.0 |
Bosutinib 200 mg + Capecitabine 750 mg/m^2 (Part 1) | 100.0 | 50.0 |
Bosutinib 300 mg + Capecitabine 1000 mg/m^2 (Part 1) | 100.0 | 33.3 |
Bosutinib 300 mg + Capecitabine 625 mg/m^2 (Part 1) | 100.0 | 40.0 |
Bosutinib 300 mg + Capecitabine 750 mg/m^2 (Part 1) | 100.0 | 0.0 |
Bosutinib 400 mg + Capecitabine 1000 mg/m^2 (Part 1) | 100.0 | 50.0 |
Bosutinib 400 mg + Capecitabine 750 mg/m^2 (Part 1) | 100.0 | 0.0 |
[back to top]
Best Overall Response - Part 1
Best overall response based on investigator's disease status assessment. CR: disappearance of all lesions. PR: at least 30% decrease in sum of LDs of target lesions taking as reference baseline sum LDs. Progressive disease (PD): at least 20% increase in sum of LD of target lesions taking as a reference smallest sum of the recorded LDs since treatment start, or the appearance of 1 or more new lesions. Stable disease (SD): neither sufficient shrinkage for PR nor sufficient increase for PD taking as reference smallest sum of LD since treatment started. (NCT00959946)
Timeframe: Part 1 Baseline, every 6 weeks up to 6 months
,,,,,,,
Intervention | Participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Indeterminate |
---|
Bosutinib 200 mg + Capecitabine 1000 mg/m^2 (Part 1) | 0 | 0 | 2 | 2 | 0 |
Bosutinib 200 mg + Capecitabine 625 mg/m^2 (Part 1) | 0 | 0 | 0 | 1 | 0 |
Bosutinib 200 mg + Capecitabine 750 mg/m^2 (Part 1) | 0 | 0 | 1 | 3 | 0 |
Bosutinib 300 mg + Capecitabine 1000 mg/m^2 (Part 1) | 0 | 0 | 6 | 2 | 1 |
Bosutinib 300 mg + Capecitabine 625 mg/m^2 (Part 1) | 0 | 0 | 0 | 5 | 0 |
Bosutinib 300 mg + Capecitabine 750 mg/m^2 (Part 1) | 0 | 2 | 1 | 1 | 0 |
Bosutinib 400 mg + Capecitabine 1000 mg/m^2 (Part 1) | 0 | 0 | 1 | 0 | 0 |
Bosutinib 400 mg + Capecitabine 750 mg/m^2 (Part 1) | 0 | 0 | 1 | 1 | 0 |
[back to top]
Maximum Tolerated Dose (MTD) - Part 1
The MTD contour is defined as the dose combinations that achieve a toxicity rate (dose-limiting toxicity [DLT] rate) of less than (<) 1/3. The observed toxicity rates for all the reporting groups (to which at least 1 cohort of participants was allocated) was estimated by calculating the proportion of DLTs observed in the first 21 days of treatment at those reporting groups. DLT includes grade (Gr) 3/4 nausea, vomiting, diarrhea, or asthenia more than 3 days, Gr 4 hematologic toxicities, delayed study treatment administration due to dose toxicities by more than 3 weeks. Pre-defined criterion for MTD: if a higher dose level of capecitabine existed such that the same dose level of bosutinib had a DLT rate of <1/3, no MTD was recommended for that capecitabine dose and if even the lowest dose of bosutinib achieved a toxicity rate of greater than (>) 1/3, no MTD was recommended for that capecitabine dose level. (NCT00959946)
Timeframe: Part 1 Baseline up to Day 21
Intervention | mg (Number) |
---|
Bosutinib + Capecitabine 625 mg/m^2 | NA |
Bosutinib + Capecitabine 750 mg/m^2 | NA |
Bosutinib + Capecitabine 1000 mg/m^2 | 300 |
[back to top]
Progression-free Survival
Progression-free survival (PFS) will be measured as the number of months between each patient's enrollment and his/her date of progression or date of death. (NCT00961571)
Timeframe: 36 months
Intervention | months (Median) |
---|
Sunitinib and Cepecitabine | 18.35 |
[back to top]
Percentage of Participants With Objective CNS Response at 4 Weeks After Completion of WBRT, Assessed by Investigator According to MRI
Objective CNS response was defined as having CR or PR for CNS metastasis, assessed by contrast-enhanced MRI using RECIST. CR: disappearance of all CNS lesions. PR: >/=30 % decrease in sum of LD of CNS lesions taking as reference the baseline sum LD. (NCT00977379)
Timeframe: "Baseline until PD, unacceptable toxicity, withdrawal of consent, change of therapeutic strategy (for arm WBRT Followed by Standard of Care only), or death, whichever occurred first up to 4 weeks after completion of WBRT (up to approximately 7 weeks)"
Intervention | percentage of participants (Number) |
---|
WBRT Followed by Standard of Care | 41.7 |
WBRT+Capecitabine Followed by Capecitabine Maintenance | 27.3 |
[back to top]
Time to CNS Progression, Assessed by Investigator According to MRI
Time to CNS progression was defined as the time from start of study treatment to first documentation of PD or death due to CNS metastasis. PD was assessed by contrast-enhanced MRI according to RECIST. PD: a 20% or greater increase in the sum of the LD of CNS lesions taking as reference the smallest sum LD recorded since the treatment started or appearance of one or more CNS lesions and/or unequivocal progression of existing CNS lesions. (NCT00977379)
Timeframe: "Baseline until PD, unacceptable toxicity, withdrawal of consent, change of therapeutic strategy (for arm WBRT Followed by Standard of Care only), or death, whichever occurred first (up to approximately 1 year 5.5 months overall)"
Intervention | months (Median) |
---|
WBRT Followed by Standard of Care | 3.8 |
WBRT+Capecitabine Followed by Capecitabine Maintenance | 3.4 |
[back to top]
Percentage of Participants With Objective Extra-cranial Disease Response at 4 Weeks After Completion of WBRT, Assessed by Investigator According to CT
Objective extra-cranial response was defined as having CR or PR for extra-cranial lesions, assessed by CT using RECIST. CR: disappearance of all extra-cranial lesions. PR: >/=30 % decrease in sum of LD of extra-cranial lesions taking as reference the baseline sum LD. (NCT00977379)
Timeframe: "Baseline until PD, unacceptable toxicity, withdrawal of consent, change of therapeutic strategy (for arm WBRT Followed by Standard of Care only), or death, whichever occurred first up to 4 weeks after completion of WBRT (up to approximately 7 weeks)"
Intervention | percentage of participants (Number) |
---|
WBRT Followed by Standard of Care | 0.0 |
WBRT+Capecitabine Followed by Capecitabine Maintenance | 9.1 |
[back to top]
Time to Extra-cranial Disease Progression, Assessed by Investigator According to CT
Time to extra-cranial progression was defined as the time from start of study treatment to first documentation of PD or death due to extra-cranial lesions. PD was assessed by CT according to RECIST. PD: a 20% or greater increase in the sum of the LD of extra-cranial lesions taking as reference the smallest sum LD recorded since the treatment started or appearance of one or more extra-cranial lesions and/or unequivocal progression of existing extra-cranial lesions. (NCT00977379)
Timeframe: "Baseline until PD, unacceptable toxicity, withdrawal of consent, change of therapeutic strategy (for arm WBRT Followed by Standard of Care only), or death, whichever occurred first (up to approximately 1 year 5.5 months overall)"
Intervention | months (Median) |
---|
WBRT Followed by Standard of Care | 3.5 |
WBRT+Capecitabine Followed by Capecitabine Maintenance | 2.7 |
[back to top]
Time to Progression, Assessed by Investigator According to MRI and CT
Time to progression was defined as the time from start of study treatment to first documentation of PD or death due to tumor (CNS or extra-cranial). PD was assessed by MRI or CT according to RECIST. PD: a 20% or greater increase in the sum of the LD of CNS or extra-cranial lesions taking as reference the smallest sum LD recorded since the treatment started or appearance of one or more CNS or extra-cranial lesions and/or unequivocal progression of existing CNS or extra-cranial lesions. (NCT00977379)
Timeframe: "Baseline until PD, unacceptable toxicity, withdrawal of consent, change of therapeutic strategy (for arm WBRT Followed by Standard of Care only), or death, whichever occurred first (up to approximately 1 year 5.5 months overall)"
Intervention | months (Median) |
---|
WBRT Followed by Standard of Care | 3.3 |
WBRT+Capecitabine Followed by Capecitabine Maintenance | 2.7 |
[back to top]
Absolute Change From Baseline in Mini Mental State (MMS) Total Score
MMS was an 11-question measure that tested five areas of cognitive function: orientation, registration, attention and calculation, recall, and language. Four items were scored on a scale of 0 to 1; 1 item was scored on a scale of 0 to 2; 3 items were scored on a scale of 0 to 3; and 3 items were scored on a scale of 0 to 5. MMS total score was obtained by adding the scores of all individual items and ranged from 0 to 30, where higher scores indicate better cognitive state. (NCT00977379)
Timeframe: Baseline, Up to end of Treatment (up to 10.6 months overall)
Intervention | units on a scale (Mean) |
---|
WBRT Followed by Standard of Care | -1.5 |
WBRT+Capecitabine Followed by Capecitabine Maintenance | 0.9 |
[back to top]
Duration of CNS Response, Assessed by Investigator According to MRI
Duration of CNS response was defined as the time from first documented cranial CR or PR (whichever was recorded first) until the first date CNS recurrence or progression was documented as assessed by contrast-enhanced MRI according to RECIST criteria but without exam for response confirmation. CR: disappearance of all CNS lesions. PR: >/=30 % decrease in sum of LD of CNS lesions taking as reference the baseline sum LD. PD: a 20% or greater increase in the sum of the LD of CNS lesions taking as reference the smallest sum LD recorded since the treatment started or appearance of one or more CNS lesions and/or unequivocal progression of existing CNS lesions. (NCT00977379)
Timeframe: "Baseline until PD, unacceptable toxicity, withdrawal of consent, change of therapeutic strategy (for arm WBRT Followed by Standard of Care only), or death, whichever occurred first (up to approximately 1 year 5.5 months overall)"
Intervention | months (Median) |
---|
WBRT Followed by Standard of Care | 6.2 |
WBRT+Capecitabine Followed by Capecitabine Maintenance | 2.6 |
[back to top]
Overall Survival (OS)
OS was defined as the time from the start of study treatment to date of death due to any cause. OS was assessed using Kaplan-Meier analysis. (NCT00977379)
Timeframe: Baseline until death (up to approximately 1 year 5.5 months overall)
Intervention | months (Median) |
---|
WBRT Followed by Standard of Care | 9.8 |
WBRT+Capecitabine Followed by Capecitabine Maintenance | 4.6 |
[back to top]
Percentage of Participants With Best Objective Central Nervous System (CNS) Response, Assessed by Centralized Independent Expert According to Magnetic Resonance Imaging (MRI) - Intent-to-Treat (ITT) Population
Best objective CNS response was defined as having complete response (CR) or partial response (PR) for CNS metastasis, assessed by contrast-enhanced MRI using response evaluation criteria in solid tumors (RECIST). CR: disappearance of all CNS lesions. PR: greater than or equal to (>/=) 30 percent (%) decrease in sum of longest diameters (LD) of CNS lesions taking as reference the baseline sum LD. (NCT00977379)
Timeframe: "Baseline until disease progression (PD), unacceptable toxicity, withdrawal of consent, change of therapeutic strategy (for arm WBRT Followed by Standard of Care only), or death, whichever occurred first (up to approximately 1 year 5.5 months overall)"
Intervention | percentage of participants (Number) |
---|
WBRT Followed by Standard of Care | 25.0 |
WBRT+Capecitabine Followed by Capecitabine Maintenance | 36.4 |
[back to top]
Percentage of Participants With Best Objective CNS Response, Assessed by Centralized Independent Expert According to MRI - Per-Protocol (PP) Population
Best objective CNS response was defined as having CR or PR for CNS metastasis, assessed by contrast-enhanced MRI using RECIST. CR: disappearance of all CNS lesions. PR: >/=30% decrease in sum of LD of CNS lesions taking as reference the baseline sum LD. (NCT00977379)
Timeframe: "Baseline until PD, unacceptable toxicity, withdrawal of consent, change of therapeutic strategy (for arm WBRT Followed by Standard of Care only), or death, whichever occurred first (up to approximately 1 year 5.5 months overall)"
Intervention | percentage of participants (Number) |
---|
WBRT Followed by Standard of Care | 20.0 |
WBRT+Capecitabine Followed by Capecitabine Maintenance | 33.3 |
[back to top]
Percentage of Participants With Best Objective CNS Response, Assessed by Investigator According to MRI
Best objective CNS response was defined as having CR or PR for CNS metastasis, assessed by contrast-enhanced MRI using RECIST. CR: disappearance of all CNS lesions. PR: >/=30% decrease in sum of LD of CNS lesions taking as reference the baseline sum LD. (NCT00977379)
Timeframe: "Baseline until PD, unacceptable toxicity, withdrawal of consent, change of therapeutic strategy (for arm WBRT Followed by Standard of Care only), or death, whichever occurred first (up to approximately 1 year 5.5 months overall)"
Intervention | percentage of participants (Number) |
---|
WBRT Followed by Standard of Care | 50.0 |
WBRT+Capecitabine Followed by Capecitabine Maintenance | 54.5 |
[back to top]
Percentage of Participants With Best Objective Extra-cranial Disease Response, Assessed by Investigator According to Computed Tomography (CT)
Best objective extra-cranial response was defined as having CR or PR for extra-cranial lesions, assessed by CT using RECIST. CR: disappearance of all extra-cranial lesions. PR: >/=30 % decrease in sum of LD of extra-cranial lesions taking as reference the baseline sum LD. (NCT00977379)
Timeframe: "Baseline until PD, unacceptable toxicity, withdrawal of consent, change of therapeutic strategy (for arm WBRT Followed by Standard of Care only), or death, whichever occurred first (up to approximately 1 year 5.5 months overall)"
Intervention | percentage of participants (Number) |
---|
WBRT Followed by Standard of Care | 0.0 |
WBRT+Capecitabine Followed by Capecitabine Maintenance | 9.1 |
[back to top]
Percentage of Participants With Clinical Benefit, Assessed by Investigator According to MRI
Clinical benefit was defined as having CR, PR, or stable disease (SD), assessed by contrast-enhanced MRI using RECIST. CR: disappearance of all CNS lesions. PR: >/=30 % decrease in sum of LD of CNS lesions taking as reference the baseline sum LD. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD) taking as reference smallest sum LD since treatment started. PD: a 20% or greater increase in the sum of the LD of CNS lesions taking as reference the smallest sum LD recorded since the treatment started or appearance of one or more CNS lesions and/or unequivocal progression of existing CNS lesions. (NCT00977379)
Timeframe: "Baseline until PD, unacceptable toxicity, withdrawal of consent, change of therapeutic strategy (for arm WBRT Followed by Standard of Care only), or death, whichever occurred first (up to approximately 1 year 5.5 months overall)"
Intervention | percentage of participants (Number) |
---|
WBRT Followed by Standard of Care | 83.3 |
WBRT+Capecitabine Followed by Capecitabine Maintenance | 72.7 |
[back to top]
Percentage of Participants With Objective CNS Response at 4 Weeks After Completion of WBRT, Assessed by Centralized Independent Expert According to MRI
Objective CNS response was defined as having CR or PR for CNS metastasis, assessed by contrast-enhanced MRI using RECIST. CR: disappearance of all CNS lesions. PR: >/=30% decrease in sum of LD of CNS lesions taking as reference the baseline sum LD. (NCT00977379)
Timeframe: "Baseline until PD, unacceptable toxicity, withdrawal of consent, change of therapeutic strategy (for arm WBRT Followed by Standard of Care only), or death, whichever occurred first up to 4 weeks after completion of WBRT (up to approximately 7 weeks)"
Intervention | percentage of participants (Number) |
---|
WBRT Followed by Standard of Care | 25.0 |
WBRT+Capecitabine Followed by Capecitabine Maintenance | 36.4 |
[back to top]
Assess Overall Survival (OS)
(NCT01007552)
Timeframe: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 5 years
Intervention | months (Mean) |
---|
Gemcitabine, Capecitabine and Bevacizumab | 10.2 |
[back to top]
Circulating Tumor Cells (CTC) Will be Assessed at Baseline, Day 22 and Day 43
Mean number of CTCs in 7.5 ml of whole blood (NCT01007552)
Timeframe: baseline, day 22 and day 43
Intervention | cells (Mean) |
---|
| Baseline | Day 22 | Day 43 |
---|
Gemcitabine, Capecitabine and Bevacizumab | 2.3 | 1.0 | 0.8 |
[back to top]
Assess the Change in the Quality of Life Among Patients Using the FACT-Hep (Version 4) for Hepatobiliary Cancers.
"We utilized the FACT-HEP TOTAL SCORE (version 4) quality-of-life scale, which is a 45 item scale ranging from 96-178. Higher scores of the reflect better quality of life.~For a Detailed description see:~Nancy Heffernan, David Cella, Kimberly Webster, Linda Odom, Mary Martone, Steven Passik, Marilyn Bookbinder, Yuman Fong, William Jarnagin, and Leslie Blumgart: Measuring Health-Related Quality of Life in Patients With Hepatobiliary Cancers: The Functional Assessment of Cancer Therapy-Hepatobiliary Questionnaire. Journal of Clinical Oncology, Vol 20, No 9 (May 1), 2002: pp 2229-2239.~No subscales were analyzed.~." (NCT01007552)
Timeframe: Baseline, Day 22 and Day 43
Intervention | units on a scale (Mean) |
---|
| Baseline | Cycle 2 | Cycle 3 |
---|
Gemcitabine, Capecitabine and Bevacizumab | 136.7 | 135.6 | 139.9 |
[back to top]
[back to top]
Estimate the Proportion of Patients With Clinical Response
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT01007552)
Timeframe: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 5 years
Intervention | percentage of participants (Number) |
---|
Gemcitabine, Capecitabine and Bevacizumab | 24 |
[back to top]
Assess the Toxicity of the Regimen.
Number of patients with Serious Adverse Events. Please refer to the adverse event reporting for more detail. (NCT01007552)
Timeframe: up to 5 years
Intervention | participants (Number) |
---|
Gemcitabine, Capecitabine and Bevacizumab | 30 |
[back to top]
Duration of Response (DOR) in the Randomized Phase
DOR is defined as the time from the first documented evidence of response (CR or PR) until the first documented sign of disease progression (a >=20% increase in the sum of the LD of TLs, taking as reference the smallest sum LD recorded since the treatment started or the appearance of >=1 new lesion) or death, if sooner. CR=the disappearance of all TLs. PR=a >=30% decrease in the sum of the LD of target lesions, taking as a reference the Baseline sum LD. (NCT01013740)
Timeframe: From the time of the first documented confirmed complete or partial response until disease progression or death, if sooner (average of 27 study weeks)
Intervention | months (Median) |
---|
Lapatinib Plus Capecitabine | 10.8 |
Lapatinib Plus Vinorelbine | 6.7 |
[back to top]
Number of Participants With Clinical Benefit (CB) in the Randomized Phase
CB is defined as the the number of participants achieving either a confirmed CR or PR or having stable disease (SD) for at least 24 weeks (i.e., approximately 6 months). CR=the disappearance of all TLs. PR=a >=30% decrease in the sum of the LD of TLs, taking as a reference the Baseline sum LD. SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD=at least a 20% increase in the sum of the LD of target lesions, taking as a reference the smallest sum LD recorded since the treatment started or the appearance of >=1 new lesion). Participants with unknown or missing responses were treated as non-responders. (NCT01013740)
Timeframe: From randomization until disease progression, death, or discontinuation from the study (average of 27 study weeks)
Intervention | participants (Number) |
---|
Lapatinib Plus Capecitabine | 18 |
Lapatinib Plus Vinorelbine | 29 |
[back to top]
Number of Participants With Overall Response (OR), as Assessed by the Investigator in the Randomized Phase
OR is defined as the number of participants achieving either a confirmed complete response (CR: the disappearance of all target lesions [TLs]) or partial response (PR: a >=30% decrease in the sum of the longest diameter [LD] of the TLs, taking as reference the baseline sum LD) as assessed by the investigator as the best OR. (NCT01013740)
Timeframe: From randomization until disease progression, death, or discontinuation from the study (average of 27 study weeks)
Intervention | participants (Number) |
---|
Lapatinib Plus Capecitabine | 13 |
Lapatinib Plus Vinorelbine | 15 |
[back to top]
Overall Survival (OS)
OS is defined as the time from randomization to the date of death due to any cause. Participants who had not died were censored at the date of the last adequate tumor assessment at the time of the cut-off. (NCT01013740)
Timeframe: From the date of randomization until death (average of 55 study weeks)
Intervention | months (Median) |
---|
Lapatinib Plus Capecitabine | 19.4 |
Lapatinib Plus Vinorelbine | 24.3 |
[back to top]
Progression Free Survival (PFS) in the Randomized Phase
PFS is defined as the time from randomization until the earliest date of disease progression (PD) or death due to any cause, if sooner. PD is defined as at least a 20 % increase in the sum of the longest diameter (LD) of target lesions, taking as a reference the smallest sum LD recorded since the treatment started or the appearance of >=1 new lesion. (NCT01013740)
Timeframe: From randomization until disease progression, death, or discontinuation from the study (average of 27 study weeks)
Intervention | months (Median) |
---|
Lapatinib Plus Capecitabine | 6.2 |
Lapatinib Plus Vinorelbine | 6.2 |
[back to top]
Time to Response in the Randomized Phase
Time to response is defined as the time from randomization until the first documented evidence of CR (the disappearance of all TLs) or PR (a >=30% decrease in the sum of the LD of the TLs, taking as a reference the basline sum LD) (whichever status is recorded first). When tumor response was confirmed at a repeat assessment, the time to response was taken to be the first time that the response was observed. (NCT01013740)
Timeframe: From randomization until the time of the first documented confirmed CR or PR (average of 27 study weeks)
Intervention | weeks (Median) |
---|
Lapatinib Plus Capecitabine | 9.3 |
Lapatinib Plus Vinorelbine | 9.4 |
[back to top]
Number of Participants With Grade 4 and Grade 5 Adverse Events (AE)
An AE is defined as any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. AEs were graded using the Common Terminology Criteria for Adverse Events (CTCAE) version 3.0. Grades: 0 = no AE or within normal limits; 1 = mild AE; 2 = moderate AE; 3 = severe and undesirable AE; 4 = life-threatening or disabling AE; 5 = death related to AE. (NCT01013740)
Timeframe: From randomization until disease progression, death, or discontinuation from the study (average of 55 study weeks)
,
Intervention | participants (Number) |
---|
| Helicobacter gastritis, Grade 4 | Neutropenia, Grade 4 | Leukopenia, Grade 4 | Febrile neutropenia, Grade 4 | Mucosal inflammation, Grade 4 | Pulmonary embolism, Grade 4 | Intestinal obstruction, Grade 5 |
---|
Lapatinib Plus Capecitabine | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
Lapatinib Plus Vinorelbine | 0 | 9 | 1 | 1 | 1 | 1 | 1 |
[back to top]
Time to Progression (TTP) Based Upon Independent Review Facility (IRF) Assessment
Time to Progression (TTP) was defined as time between randomization and the first occurrence of progressive disease (PD), based on IRF assessment. (NCT01026142)
Timeframe: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).
Intervention | Weeks (Median) |
---|
A: Capecitabine + Trastuzumab | 39.0 |
B: Capecitabine + Trastuzumab + Pertuzumab | 50.6 |
[back to top]
Progression Free Survival (Independent Assessment)
Progression Free Survival (PFS) was defined as the time from randomization to first documented disease progression (PD), as determined by an Independent Review Facility (IRF) using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.0, or death from any cause, whichever occurred first. PD was defined as at least a 20% increase in the sum of the longest diameter (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; or the appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions. IRF review of tumor assessment ceased after the primary PFS analysis. The primary endpoint was analyzed after approximately 337 IRF-assessed PFS events were observed. (NCT01026142)
Timeframe: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).
Intervention | months (Median) |
---|
A: Capecitabine + Trastuzumab | 9.0 |
B: Capecitabine + Trastuzumab + Pertuzumab | 11.1 |
[back to top]
Overall Survival (OS) Rate Based on a 2-year Truncated Analysis
The Overall Survival (OS) 2-year truncated analysis is the Kaplan-Meier estimate of the percentage of participants who were surviving at 2 years. OS is defined as the time from the date of randomization to the date of death from any cause, with censoring of all events and follow-up beyond the end of the second year. (NCT01026142)
Timeframe: From randomization until death from any cause (up to 2 years)
Intervention | Percentage of participants (Number) |
---|
A: Capecitabine + Trastuzumab | 55.0 |
B: Capecitabine + Trastuzumab + Pertuzumab | 74.9 |
[back to top]
Overall Objective Response Rate (ORR)
Overall Objective Response Rate is based upon investigator and IRF assessments. Objective Response Rate (ORR) was defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) among those who had measurable disease at baseline. CR was defined as the disappearance of all target lesions. PR was defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD. (NCT01026142)
Timeframe: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).
,
Intervention | Percentage of participants (Number) |
---|
| Complete Response (CR) - IRF Assessment | Partial Response (PR) - IRF assessment | Complete Response (CR) - Investigator Assessed | Partial Response (PR) - Investigator Assessed |
---|
A: Capecitabine + Trastuzumab | 0 | 32.9 | 1.2 | 36.0 |
B: Capecitabine + Trastuzumab + Pertuzumab | 1.8 | 38.7 | 6.7 | 38.0 |
[back to top]
Clinical Benefit Rate (CBR)
Clinical Benefit Rate is based upon Independent Review Facility (IRF) assessments; defined as the percentage of participants a complete response (CR), partial response (PR), or stable disease for at least 8 cycles or 6 months. (NCT01026142)
Timeframe: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).
Intervention | Percentage of participants (Number) |
---|
A: Capecitabine + Trastuzumab | 54.0 |
B: Capecitabine + Trastuzumab + Pertuzumab | 63.6 |
[back to top]
Duration of Objective Response
Duration of Objective Response was defined for the subpopulation of responders as time from first Independent Review Facility (IRF)-assessed complete response (CR) or partial response (PR) to subsequent first documented, IRF-confirmed evidence of disease progression. Only participants with an objective response were included in the analysis of duration of objective response. (NCT01026142)
Timeframe: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).
Intervention | Weeks (Median) |
---|
A: Capecitabine + Trastuzumab | 30.0 |
B: Capecitabine + Trastuzumab + Pertuzumab | 51.6 |
[back to top]
Investigator Assessment Progression-Free Survival (PFS)
Investigator Assessment Progression-Free Survival (PFS) was defined as the time from randomization to the first documented progressive disease, as determined by the investigator using Response Evaluation Criteria in Solid Tumors (RECIST) v1.0, or death from any cause, whichever occurred first. PD is defined as at least a 20% increase in the sum of the longest diameter (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; or the appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions. (NCT01026142)
Timeframe: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 7.5 years).
Intervention | Months (Median) |
---|
A: Capecitabine + Trastuzumab | 9.0 |
B: Capecitabine + Trastuzumab + Pertuzumab | 11.8 |
[back to top]
Time to Treatment Failure (TTF) Based Upon Independent Review Facility (IRF) Assessment
Time to Treatment Failure (TTF) was defined as time between randomization and date of disease progression based on independent review, death, or withdrawal of treatment due to adverse events, withdrawn informed consent, refusal of treatment/failure to cooperate, or failure to return, whichever occurred first. (NCT01026142)
Timeframe: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).
Intervention | Weeks (Median) |
---|
A: Capecitabine + Trastuzumab | 39.0 |
B: Capecitabine + Trastuzumab + Pertuzumab | 50.9 |
[back to top]
Overall Survival (OS)
Overall Survival (OS) was defined as the time from the date of randomization to the date of death from any cause. The results of the final OS analysis are presented here. Participants who were alive or lost to follow-up at the time of the analysis were censored at the last known alive date. Participants with no postbaseline information were censored at the time of randomization plus 1 day. Prior to the final data analysis cut-off, it was ensured that all participants who were in survival follow-up had been contacted as recently as possible within the last 3 months to confirm current survival status. (NCT01026142)
Timeframe: From randomization until death from any cause (up to 7.5 years).
Intervention | Months (Median) |
---|
A: Capecitabine + Trastuzumab | 28.1 |
B: Capecitabine + Trastuzumab + Pertuzumab | 37.2 |
[back to top]
Number of Participants Experiencing Adverse Events
The primary objective of the study is to evaluate safety and tolerability of the study treatment regimen. The analyses will be descriptive and no formal hypotheses testing will be performed. Toxicities (i.e. Adverse Events) are evaluated prior to each treatment and during any clinical visit. (NCT01032850)
Timeframe: 6 months
Intervention | participants (Number) |
---|
| Thrombocytopenia | Neutropenia | Low phosphate levels | Low magnesium levels | Low calcium levels | Low sodium levels | High bilirubin levels | Elevated aspartate aminotransferase | Hand and foot syndrome | Mucositis | Alopecia (Hair loss) | Skin rash | Deep vein thrombosis | Treatment related deaths |
---|
Arm 1: Sorafenib & Capecitabine | 9 | 1 | 3 | 2 | 2 | 1 | 3 | 2 | 3 | 1 | 1 | 1 | 3 | 0 |
[back to top]
Disease Control Rate of Response (DCR)
Tumor response is evaluated according to Response Evaluation Criteria in Solid Tumors (RECIST) (version 1.0). Target lesions are assessed by computerized tomography (CT) or magnetic resonance imaging (MRI:) Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient decrease in the sum of the longest diameter of target lesions to qualify for PR nor sufficient increase in the sum of the longest diameter of target lesions to qualify for Progressive Disease; Progressive Disease (PD), 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. Disease control rate (DCR) is the sum of the percentages of patients achieving complete and partial responses and stable disease (NCT01032850)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Disease Control Rate of Response (DCR) |
---|
Arm 1: Sorafenib & Capecitabine | 8 | 8 | 61 | 77 |
[back to top]
Progression Free Survival (PFS)
The time from treatment initiation to disease progression or death by any cause. Progression is evaluated according to Response Evaluation Criteria in Solid Tumors (RECIST) (version 1.0). Target lesions are assessed by computerized tomography (CT) or magnetic resonance imaging (MRI:) Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient decrease in the sum of the longest diameter of target lesions to qualify for PR nor sufficient increase in the sum of the longest diameter of target lesions to qualify for Progressive Disease; Progressive Disease (PD), 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT01032850)
Timeframe: 5 years
Intervention | months (Median) |
---|
Arm 1: Sorafenib & Capecitabine | 4.15 |
[back to top]
Overall Survival (OS)
The time from treatment initiation to death by any cause (NCT01032850)
Timeframe: 5 years
Intervention | Months (Median) |
---|
Arm 1: Sorafenib & Capecitabine | 12.7 |
[back to top]
Pain Intensity Scores as Assessed By Visual Analog Scale (VAS)
"The participant assessed their pain on a 0 to 100 millimeter (mm) horizontal VAS. The left-hand extreme of the line equals 0 mm, and is described as no pain and the right-hand extreme equals 100 mm as unbearable pain. A negative change indicated improvement." (NCT01041404)
Timeframe: BL, Days 1, 22, 43, 64, 85, 106, 127, and every 21 days until disease progression of the end of study, 1 year after the cut-off date for the 2nd interim efficacy analysis
,
Intervention | mm (Mean) |
---|
| BL (n=275,284) | Week 4 (n=234,249) | Week 7 (n=181,219) | Week 10 (n=174, 202) | Week 13 (n=152,181) | Week 16 (n=121,165) | Week 19 (n=114,142) | Week 22 (n=79,141) | Week 25 (n=64,124) | Week 28 (n=47,111) | Week 31 (n=45,95) | Week 34 (n=37,86) | Week 37 (n=29,64) | Week 40 (n=24,54) | Week 43 (n=12,43) | Week 46 (n=14,41) | Week 49 (n=10,36) | Week 52 (n=8,30) | Week 55 (n=6,24) | Week 58 (n=6,20) | Week 61 (n=4,17) | Week 64 (n=3,20) | Week 67 (n=4,17) | Week 70 (n=3,13) | Week 73 (n=3,10) | Week 76 (n=3,8) | Week 79 (n=3,9) | Week 82 (n=2,6) | Week 85 (n=2,6) | Week 88 (n=2,6) | Week 91 (n=2,4) | Week 94 (n=2,6) | Week 97 (n=1,5) | Week 100 (n=1,4) | Week 103 (n=1,4) | Week 106 (n=1,4) | Week 109 (n=1,4) | Week 112 (n=1,5) | Week 115 (n=1,4) | Week 118 (n=1,5) | Week 121 (n=1,5) | Week 124 (n=1,4) | Week 127 (n=1,3) | Week 130 (n=0,3) | Week 133 (n=1,3) | Week 136 (n=0,2) | Week 139 (n=0,2) | Week 142 (n=0,2) | Week 145 (n=0,1) | Final visit/withdrawal (n=157,161) |
---|
Fluoropyrimidine/Cisplatin (FP) | 21.1 | 14.6 | 11.1 | 14.5 | 11.3 | 14.0 | 15.4 | 13.3 | 12.7 | 8.6 | 8.7 | 9.4 | 15.5 | 16.4 | 12.6 | 16.1 | 7.2 | 5.8 | 2.3 | 4.7 | 5.3 | 2.0 | 1.5 | 1.3 | 1.0 | 1.7 | 1.0 | 0.0 | 1.0 | 0.5 | 0.5 | 0.5 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | NA | 0.0 | NA | NA | NA | NA | 23.8 |
Trastuzumab + Fluoropyrimidine/Cisplatin (FP + H) | 17.9 | 13.3 | 13.8 | 12.9 | 12.2 | 12.8 | 12.0 | 15.1 | 11.0 | 12.3 | 12.5 | 10.7 | 10.9 | 8.8 | 7.2 | 7.4 | 6.5 | 6.9 | 3.3 | 3.8 | 7.2 | 6.8 | 8.9 | 1.3 | 16.5 | 12.9 | 5.9 | 4.8 | 6.3 | 5.7 | 7.5 | 5.8 | 0.2 | 0.3 | 6.5 | 7.8 | 7.3 | 4.2 | 5.8 | 3.8 | 3.2 | 4.5 | 6.3 | 5.7 | 5.0 | 6.0 | 8.0 | 7.5 | 15.0 | 21.9 |
[back to top]
Trastuzumab Minimum Serum Concentration (Cmin)
Median Cmin (measured as milligrams per liter [mg/L]) calculated for all treated participants using the nominal dosage schedule administered as an IV infusion. (NCT01041404)
Timeframe: Predose and end of infusion on Days 1, 8, 15, and 64, and predose on Days 22 and 106
Intervention | mg/L (Median) |
---|
Trastuzumab + Fluoropyrimidine/Cisplatin (FP + H) | 23.0 |
[back to top]
Percentage of Participants With Change From Baseline in Body Weight by Percentage Change in Weight
Change in body weight was categorized as an increase of greater than (>)5 percent (%), no change (plus or minus [±]5%), decrease of >5-10%, or a decrease of >10% from BL to the end of study. Time windows were applied in order to assign visits to weight measurements, and the lowest post-screening value recorded was used for the analysis. The percentage change in weight from screening was summarized over time. (NCT01041404)
Timeframe: BL, Days 1, 22, 43, 64, 85, 106, 127, and every 21 days until disease progression of the end of study, 1 year after the cut-off date for the 2nd interim efficacy analysis
,
Intervention | percentage of participants (Number) |
---|
| Increase >5% | No change (±5%) | Decrease >5-10% | Decrease >10% |
---|
Fluoropyrimidine/Cisplatin (FP) | 1.5 | 51.6 | 28.2 | 18.7 |
Trastuzumab + Fluoropyrimidine/Cisplatin (FP + H) | 1.1 | 50.5 | 27.2 | 21.2 |
[back to top]
Duration of Response - Percentage of Participants With an Event
Duration of response was defined for responders as the time from the date on which the CR or PR was first recorded to the date on which PD is first noted. Participants were censored on the date of death, the date of last tumor measurement, the last date in study drug log, or the date of last follow-up. (NCT01041404)
Timeframe: BL, Days 43, 85, and 127, and every 21 days thereafter until disease progression or the end of study, 1 year after the cut-off date for the 2nd interim efficacy analysis
Intervention | percentage of participants (Number) |
---|
Fluoropyrimidine/Cisplatin (FP) | 80.0 |
Trastuzumab + Fluoropyrimidine/Cisplatin (FP + H) | 71.9 |
[back to top]
Overall Survival - Time to Event
The median time, in months, from the date of randomization to the date of an OS event. Participants were censored at the last date tumor measurement, the last date in the study drug log, or the date of last follow-up. (NCT01041404)
Timeframe: BL, Days 1, 8, 15, 22, 43, 64, 85, 106, 127, and every 21 days until the end of study, 1 year after the cut-off date for the 2nd interim efficacy analysis
Intervention | months (Median) |
---|
Fluoropyrimidine/Cisplatin (FP) | 11.1 |
Trastuzumab + Fluoropyrimidine/Cisplatin (FP + H) | 13.8 |
[back to top]
Body Weight (Kilograms [kg]) at BL
(NCT01041404)
Timeframe: BL
Intervention | kg (Median) |
---|
Fluoropyrimidine/Cisplatin (FP) | 60 |
Trastuzumab + Fluoropyrimidine/Cisplatin (FP + H) | 61 |
[back to top]
Steady State Trastuzumab Area Under the Concentration (AUC)
Individual steady state predicted exposure, as assessed by median AUC (measured as mg multiplied by [*] day per liter [L]) calculated for all treated participants using the nominal dosage schedule administered as an IV infusion. Individual steady state AUC was calculated using all available PK samples from all timepoints. (NCT01041404)
Timeframe: Predose and end of infusion on Days 1, 8, 15, and 64, and predose on Days 22 and 106
Intervention | mg*day/L (Median) |
---|
Trastuzumab + Fluoropyrimidine/Cisplatin (FP + H) | 1030 |
[back to top]
Percentage of Participants With a Change in Analgesic Medication During the Study
Analgesic medications were recorded throughout the study until disease progression. (NCT01041404)
Timeframe: BL, Days 1, 22, 43, 64, 85, 106, 127, and every 21 days until disease progression of the end of study, 1 year after the cut-off date for the 2nd interim efficacy analysis
,
Intervention | percentage of participants (Number) |
---|
| Taking any analgesic medication | Discontinued at least 1 medication | Decreased dose of at least 1 medication | No change in any medication | Increased dose or added at least 1 medication |
---|
Fluoropyrimidine/Cisplatin (FP) | 29.0 | 5.9 | 0.3 | 5.5 | 17.2 |
Trastuzumab + Fluoropyrimidine/Cisplatin (FP + H) | 29.3 | 1.7 | 0.3 | 7.1 | 20.1 |
[back to top]
Time to Progression - Time to Event
The median time, in months, from the date of randomized to the date of a TTP event. Participants were censored at the last date of tumor assessment, the last date in the study drug log, or the last date of follow-up. (NCT01041404)
Timeframe: BL, Days 43, 85, and 127, and every 21 days thereafter until disease progression or the end of study, 1 year after the cut-off date for the 2nd interim efficacy analysis
Intervention | months (Median) |
---|
Fluoropyrimidine/Cisplatin (FP) | 5.6 |
Trastuzumab + Fluoropyrimidine/Cisplatin (FP + H) | 7.1 |
[back to top]
European Organisation For the Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ C-30) Questionnaire Scores
EORTC QLQ-C30: included functional scales (physical, role, cognitive, emotional, and social), global health status, symptom scales (fatigue, pain, nausea/vomiting) and single items (dyspnoea, appetite loss, insomnia, constipation/diarrhea and financial difficulties). Most questions used 4 point scale (1 'Not at all' to 4 'Very much'; 2 questions used 7-point scale (1 'very poor' to 7 'Excellent'). Scores averaged, transformed to 0-100 scale; higher score equals (=) better level of functioning or greater degree of symptoms. (NCT01041404)
Timeframe: BL, Days 1, 22, 43, 64, 85, 106, 127, and every 21 days until disease progression of the end of study, 1 year after the cut-off date for the 2nd interim efficacy analysis
,
Intervention | scores on a scale (Mean) |
---|
| Global Health Status: BL (n=274,287) | Global Health Status: Week 4 (n=235,249) | Global Health Status: Week 7 (n=180,220) | Global Health Status: Week 10 (n=176,202) | Global Health Status: Week 13 (n=152,182) | Global Health Status: Week 16 (n=121,165) | Global Health Status: Week 19 (n=114,143) | Global Health Status: Week 22 (n=78,143) | Global Health Status: Week 25 (n=64,124) | Global Health Status: Week 28 (n=47,111) | Global Health Status: Week 31 (n=45,95) | Global Health Status: Week 34 (n=36,87) | Global Health Status: Week 37 (n=29,64) | Global Health Status: Week 40 (n=23,55) | Global Health Status: Week 43 (n=12,43) | Global Health Status: Week 46 (n=13,42) | Global Health Status: Week 49 (n=9,36) | Global Health Status: Week 52 (n=7,29) | Global Health Status: Week 55 (n=5,24) | Global Health Status: Week 58 (n=5,21) | Global Health Status: Week 61 (n=4,17) | Global Health Status: Week 64 (n=3,20) | Global Health Status: Week 67 (n=4,17) | Global Health Status: Week 70 (n=3,14) | Global Health Status: Week 73 (n=3,12) | Global Health Status: Week 76 (n=3,8) | Global Health Status: Week 79 (n=3,9) | Global Health Status: Week 82 (n=2,5) | Global Health Status: Week 85 (n=2,6) | Global Health Status: Week 88 (n=2,6) | Global Health Status: Week 91 (n=2,4) | Global Health Status: Week 94 (n=2,6) | Global Health Status: Week 97 (n=1,5) | Global Health Status: Week 100 (n=1,4) | Global Health Status: Week 103 (n=1,3) | Global Health Status: Week 106 (n=1,4) | Global Health Status: Week 109 (n=1,4) | Global Health Status: Week 112 (n=1,5) | Global Health Status: Week 115 (n=1,4) | Global Health Status: Week 118 (n=1,5) | Global Health Status: Week 121 (n=1,5) | Global Health Status: Week 124 (n=1,5) | Global Health Status: Week 127 (n=1,3) | Global Health Status: Week 130 (n=0,3) | Global Health Status: Week 133 (n=1,3) | Global Health Status: Week 136 (n=0,2) | Global Health Status: Week 139 (n=0,2) | Global Health Status: Week 142 (n=0,2) | Global Health Status: Week 145 (n=0,1) | Global Health Status: Final Visit (n=158,160) | Physical Functioning: BL (n=276,287) | Physical Functioning: Week 4 (n=235,250) | Physical Functioning: Week 7 (n=181,220) | Physical Functioning: Week 10 (n=174,201) | Physical Functioning: Week 13 (n=151,183) | Physical Functioning: Week 16 (n=121,165) | Physical Functioning: Week 19 (n=114,143) | Physical Functioning: Week 22 (n=79,143) | Physical Functioning: Week 25 (n=64,124) | Physical Functioning: Week 28 (n=47,110) | Physical Functioning: Week 31 (n=45,95) | Physical Functioning: Week 34 (n=37,87) | Physical Functioning: Week 37 (n=29,64) | Physical Functioning: Week 40 (n=24,55) | Physical Functioning: Week 43 (n=12,43) | Physical Functioning: Week 46 (n=14,42) | Physical Functioning: Week 49 (n=10,36) | Physical Functioning: Week 52 (n=8,30) | Physical Functioning: Week 55 (n=6,24) | Physical Functioning: Week 58 (n=6,21) | Physical Functioning: Week 61 (n=4,17) | Physical Functioning: Week 64 (n=3,20) | Physical Functioning: Week 67 (n=4,17) | Physical Functioning: Week 70 (n=3,14) | Physical Functioning: Week 73 (n=3,12) | Physical Functioning: Week 76 (n=3,8) | Physical Functioning: Week 79 (n=3,9) | Physical Functioning: Week 82 (n=2,6) | Physical Functioning: Week 85 (n=2,6) | Physical Functioning: Week 88 (n=2,6) | Physical Functioning: Week 91 (n=2,4) | Physical Functioning: Week 94 (n=2,6) | Physical Functioning: Week 97 (n=1,5) | Physical Functioning: Week 100 (n=1,4) | Physical Functioning: Week 103 (n=1,4) | Physical Functioning: Week 106 (n=1,4) | Physical Functioning: Week 109 (n=1,4) | Physical Functioning: Week 112 (n=1,5) | Physical Functioning: Week 115 (n=1,4) | Physical Functioning: Week 118 (n=1,5) | Physical Functioning: Week 121 (n=1,5) | Physical Functioning: Week 124 (n=1,5) | Physical Functioning: Week 127 (n=1,3) | Physical Functioning: Week 130 (n=0,3) | Physical Functioning: Week 133 (n=1,3) | Physical Functioning: Week 136 (n=0,2) | Physical Functioning: Week 139 (n=0,2) | Physical Functioning: Week 142 (n=0,2) | Physical Functioning: Week 145 (n=0,1) | Physical Functioning: Final Visit (n=158,161) | Role Functioning: BL (n=276,287) | Role Functioning: Week 4 (n=234,250) | Role Functioning: Week 7 (n=181,220) | Role Functioning: Week 10 (n=176,202) | Role Functioning: Week 13 (n=152,182) | Role Functioning: Week 16 (n=121,165) | Role Functioning: Week 19 (n=114,143) | Role Functioning: Week 22 (n=79,142) | Role Functioning: Week 25 (n=64,124) | Role Functioning: Week 28 (n=47,110) | Role Functioning: Week 31 (n=45,95) | Role Functioning: Week 34 (n=37,87) | Role Functioning: Week 37 (n=29,64) | Role Functioning: Week 40 (n=24,55) | Role Functioning: Week 43 (n=12,43) | Role Functioning: Week 46 (n=14,42) | Role Functioning: Week 49 (n=10,36) | Role Functioning: Week 52 (n=8,30) | Role Functioning: Week 55 (n=6,24) | Role Functioning: Week 58 (n=6,21) | Role Functioning: Week 61 (n=4,17) | Role Functioning: Week 64 (n=3,20) | Role Functioning: Week 67 (n=4,17) | Role Functioning: Week 70 (n=3,14) | Role Functioning: Week 73 (n=3,12) | Role Functioning: Week 76 (n=3,8) | Role Functioning: Week 79 (n=3,9) | Role Functioning: Week 82 (n=2,6) | Role Functioning: Week 85 (n=2,6) | Role Functioning: Week 88 (n=2,6) | Role Functioning: Week 91 (n=2,4) | Role Functioning: Week 94 (n=2,6) | Role Functioning: Week 97 (n=1,5) | Role Functioning: Week 100 (n=1,4) | Role Functioning: Week 103 (n=1,4) | Role Functioning: Week 106 (n=1,4) | Role Functioning: Week 109 (n=1,4) | Role Functioning: Week 112 (n=1,5) | Role Functioning: Week 115 (n=1,4) | Role Functioning: Week 118 (n=1,5) | Role Functioning: Week 121 (n=1,5) | Role Functioning: Week 124 (n=1,5) | Role Functioning: Week 127 (n=1,3) | Role Functioning: Week 130 (n=0,3) | Role Functioning: Week 133 (n=1,3) | Role Functioning: Week 136 (n=0,2) | Role Functioning: Week 139 (n=0,2) | Role Functioning: Week 142 (n=0,2) | Role Functioning: Week 145 (n=0,1) | Role Functioning: Final Visit (n=158,161) | Emotional Functioning: BL (n=276,287) | Emotional Functioning: Week 4 (n=235,250) | Emotional Functioning: Week 7 (n=180,220) | Emotional Functioning: Week 10 (n=176,202) | Emotional Functioning: Week 13 (n=152,183) | Emotional Functioning: Week 16 (n=121,165) | Emotional Functioning: Week 19 (n=114,143) | Emotional Functioning: Week 22 (n=79,143) | Emotional Functioning: Week 25 (n=64,124) | Emotional Functioning: Week 28 (n=47,111) | Emotional Functioning: Week 31 (n=45,95) | Emotional Functioning: Week 34 (n=37,87) | Emotional Functioning: Week 37 (n=29,64) | Emotional Functioning: Week 40 (n=24,55) | Emotional Functioning: Week 43 (n=12,43) | Emotional Functioning: Week 46 (n=14,42) | Emotional Functioning: Week 49 (n=10,36) | Emotional Functioning: Week 52 (n=8,29) | Emotional Functioning: Week 55 (n=6,24) | Emotional Functioning: Week 58 (n=6,21) | Emotional Functioning: Week 61 (n=4,17) | Emotional Functioning: Week 64 (n=3,20) | Emotional Functioning: Week 67 (n=4,17) | Emotional Functioning: Week 70 (n=3,14) | Emotional Functioning: Week 73 (n=3,12) | Emotional Functioning: Week 76 (n=3,8) | Emotional Functioning: Week 79 (n=3,9) | Emotional Functioning: Week 82 (n=2,6) | Emotional Functioning: Week 85 (n=2,6) | Emotional Functioning: Week 88 (n=2,6) | Emotional Functioning: Week 91 (n=2,4) | Emotional Functioning: Week 94 (n=2,6) | Emotional Functioning: Week 97 (n=1,5) | Emotional Functioning: Week 100 (n=1,4) | Emotional Functioning: Week 103 (n=1,4) | Emotional Functioning: Week 106 (n=1,4) | Emotional Functioning: Week 109 (n=1,4) | Emotional Functioning: Week 112 (n=1,5) | Emotional Functioning: Week 115 (n=1,4) | Emotional Functioning: Week 118 (n=1,5) | Emotional Functioning: Week 121 (n=1,5) | Emotional Functioning: Week 124 (n=1,5) | Emotional Functioning: Week 127 (n=1,3) | Emotional Functioning: Week 130 (n=0,3) | Emotional Functioning: Week 133 (n=1,3) | Emotional Functioning: Week 136 (n=0,2) | Emotional Functioning: Week 139 (n=0,2) | Emotional Functioning: Week 142 (n=0,2) | Emotional Functioning: Week 145 (n=0,1) | Emotional Functioning: Final Visit (n=158,161) | Cognitive Functioning: BL (n=276,287) | Cognitive Functioning: Week 4 (n=235,250) | Cognitive Functioning: Week 7 (n=180,220) | Cognitive Functioning: Week 10 (n=176,202) | Cognitive Functioning: Week 13 (n=152,183) | Cognitive Functioning: Week 16 (n=121,165) | Cognitive Functioning: Week 19 (n=114,143) | Cognitive Functioning: Week 22 (n=79,143) | Cognitive Functioning: Week 25 (n=64,124) | Cognitive Functioning: Week 28 (n=47,111) | Cognitive Functioning: Week 31 (n=45,95) | Cognitive Functioning: Week 34 (n=37,87) | Cognitive Functioning: Week 37 (n=29,64) | Cognitive Functioning: Week 40 (n=24,55) | Cognitive Functioning: Week 43 (n=12,43) | Cognitive Functioning: Week 46 (n=14,42) | Cognitive Functioning: Week 49 (n=10,36) | Cognitive Functioning: Week 52 (n=8,29) | Cognitive Functioning: Week 55 (n=6,24) | Cognitive Functioning: Week 58 (n=6,21) | Cognitive Functioning: Week 61 (n=4,17) | Cognitive Functioning: Week 64 (n=3,20) | Cognitive Functioning: Week 67 (n=4,17) | Cognitive Functioning: Week 70 (n=3,14) | Cognitive Functioning: Week 73 (n=3,12) | Cognitive Functioning: Week 76 (n=3,8) | Cognitive Functioning: Week 79 (n=3,9) | Cognitive Functioning: Week 82 (n=2,6) | Cognitive Functioning: Week 85 (n=2,6) | Cognitive Functioning: Week 88 (n=2,6) | Cognitive Functioning: Week 91 (n=2,4) | Cognitive Functioning: Week 94 (n=2,6) | Cognitive Functioning: Week 97 (n=1,5) | Cognitive Functioning: Week 100 (n=1,4) | Cognitive Functioning: Week 103 (n=1,4) | Cognitive Functioning: Week 106 (n=1,4) | Cognitive Functioning: Week 109 (n=1,4) | Cognitive Functioning: Week 112 (n=1,5) | Cognitive Functioning: Week 115 (n=1,4) | Cognitive Functioning: Week 118 (n=1,5) | Cognitive Functioning: Week 121 (n=1,5) | Cognitive Functioning: Week 124 (n=1,5) | Cognitive Functioning: Week 127 (n=1,3) | Cognitive Functioning: Week 130 (n=0,3) | Cognitive Functioning: Week 133 (n=1,3) | Cognitive Functioning: Week 136 (n=0,2) | Cognitive Functioning: Week 139 (n=0,2) | Cognitive Functioning: Week 142 (n=0,2) | Cognitive Functioning: Week 145 (n=0,1) | Cognitive Functioning: Final Visit (n=158,161) | Social Functioning: BL (n=276,286) | Social Functioning: Week 4 (n=235,250) | Social Functioning: Week 7 (n=179,220) | Social Functioning: Week 10 (n=176,202) | Social Functioning: Week 13 (n=152,183) | Social Functioning: Week 16 (n=180,165) | Social Functioning: Week 19 (n=114,143) | Social Functioning: Week 22 (n=79,143) | Social Functioning: Week 25 (n=64,124) | Social Functioning: Week 28 (n=47,111) | Social Functioning: Week 31 (n=45,95) | Social Functioning: Week 34 (n=37,87) | Social Functioning: Week 37 (n=29,64) | Social Functioning: Week 40 (n=24,55) | Social Functioning: Week 43 (n=12,43) | Social Functioning: Week 46 (n=14,42) | Social Functioning: Week 49 (n=10,36) | Social Functioning: Week 52 (n=8,29) | Social Functioning: Week 55 (n=6,24) | Social Functioning: Week 58 (n=6,21) | Social Functioning: Week 61 (n=4,17) | Social Functioning: Week 64 (n=3,20) | Social Functioning: Week 67 (n=4,17) | Social Functioning: Week 70 (n=3,14) | Social Functioning: Week 73 (n=3,12) | Social Functioning: Week 76 (n=3,8) | Social Functioning: Week 79 (n=3,9) | Social Functioning: Wek 82 (n=2,6) | Social Functioning: Week 85 (n=2,6) | Social Functioning: Week 88 (n=2,6) | Social Functioning: Week 91 (n=2,4) | Social Functioning: Week 94 (n=2,6) | Social Functioning: Week 97 (n=1,5) | Social Functioning: Week 100 (n=1,4) | Social Functioning: Week 103 (n=1,4) | Social Functioning: Week 106 (n=1,4) | Social Functioning: Week 109 (n=1,4) | Social Functioning: Week 112 (n=1,5) | Social Functioning: Week 115 (n=1,4) | Social Functioning: Week 118 (n=1,5) | Social Functioning: Week 121 (n=1,5) | Social Functioning: Week 124 (n=1,5) | Social Functioning: Week 127 (n=1,3) | Social Functioning: Week 130 (n=0,3) | Social Functioning: Week 133 (n=1,3) | Social Functioning: Week 136 (n=0,2) | Social Functioning: Week 139 (n=0,2) | Social Functioning: Week 142 (n=0,2) | Social Functioning: Week 145 (n=0,1) | Social Functioning: Final Visit (n=158,161) | Fatigue: BL (n=276,287) | Fatigue: Week 4 (n=235,250) | Fatigue: Week 7 (n=181,220) | Fatigue: Week 10 (n=176,201) | Fatigue: Week 13 (n=152,183) | Fatigue: Week 16 (n=121,165) | Fatigue: Week 19 (n=114,143) | Fatigue: Week 22 (n=79,143) | Fatigue: Week 25 (n=64,124) | Fatigue: Week 28 (n=47,110) | Fatigue: Week 31 (n=45,95) | Fatigue: Week 34 (n=37,87) | Fatigue: Week 37 (n=29,64) | Fatigue: Week 40 (n=24,55) | Fatigue: Week 43 (n=12,43) | Fatigue: Week 46 (n=14,42) | Fatigue: Week 49 (n=10,36) | Fatigue: Week 52 (n=8,30) | Fatigue: Week 55 (n=6,24) | Fatigue: Week 58 (n=6,21) | Fatigue: Week 61 (n=4,17) | Fatigue: Week 64 (n=3,20) | Fatigue: Week 67 (n=4,17) | Fatigue: Week 70 (n=3,14) | Fatigue: Week 73 (n=3,12) | Fatigue: Week 76 (n=3,8) | Fatigue: Week 79 (n=3,9) | Fatigue: Week 82 (n=2,6) | Fatigue: Week 85 (n=2,6) | Fatigue: Week 88 (n=2,6) | Fatigue: Week 91 (n=2,4) | Fatigue: Week 94 (n=2,6) | Fatigue: Week 97 (n=1,5) | Fatigue: Week 100 (n=1,4) | Fatigue: Week 103 (n=1,4) | Fatigue: Week 106 (n=1,4) | Fatigue: Week 109 (n=1,4) | Fatigue: Week 112 (n=1,5) | Fatigue: Week 115 (n=1,4) | Fatigue: Week 118 (n=1,5) | Fatigue: Week 121 (n=1,5) | Fatigue: Week 124 (n=1,5) | Fatigue: Week 127 (n=1,3) | Fatigue: Week 130 (n=0,3) | Fatigue: Week 133 (n=1,3) | Fatigue: Week 136 (n=0,2) | Fatigue: Week 139 (n=0,2) | Fatigue: Week 142 (n=0,2) | Fatigue: Week 145 (n=0,1) | Fatigue: Final Visit (n=158,160) | Nausea & Vomiting: BL (n=276,287) | Nausea & Vomiting: Week 4 (n=235,250) | Nausea & Vomiting: Week 7 (n=181,220) | Nausea & Vomiting: Week 10 (n=176,201) | Nausea & Vomiting: Week 13 (n=121,183) | Nausea & Vomiting: Week 16 (n=121,165) | Nausea & Vomiting: Week 19 (n=114,143) | Nausea & Vomiting: Week 22 (n=79,143) | Nausea & Vomiting: Week 25 (n=64,124) | Nausea & Vomiting: Week 28 (n=47,110) | Nausea & Vomiting: Week 31 (n=45,95) | Nausea & Vomiting: Week 34 (n=37,87) | Nausea & Vomiting: Week 37 (n=29,64) | Nausea & Vomiting: Week 40 (n=24,55) | Nausea & Vomiting: Week 43 (n=12,43) | Nausea & Vomiting: Week 46 (n=14,42) | Nausea & Vomiting: Week 49 (n=10,36) | Nausea & Vomiting: Week 52 (n=8,30) | Nausea & Vomiting: Week 55 (n=6,24) | Nausea & Vomiting: Week 58 (n=6,21) | Nausea & Vomiting: Week 61 (n=4,17) | Nausea & Vomiting: Week 64 (n=3,20) | Nausea & Vomiting: Week 67 (n=4,17) | Nausea & Vomiting: Week 70 (n=3,14) | Nausea & Vomiting: Week 73 (n=3,12) | Nausea & Vomiting: Week 76 (n=3,8) | Nausea & Vomiting: Week 79 (n=3,9) | Nausea & Vomiting: Week 82 (n=2,6) | Nausea & Vomiting: Week 85 (n=2,6) | Nausea & Vomiting: Week 88 (n=2,6) | Nausea & Vomiting: Week 91 (n=2,4) | Nausea & Vomiting: Week 94 (n=2,6) | Nausea & Vomiting: Week 97 (n=1,5) | Nausea & Vomiting: Week 100 (n=1,4) | Nausea & Vomiting: Week 103 (n=1,4) | Nausea & Vomiting: Week 106 (n=1,4) | Nausea & Vomiting: Week 109 (n=1,4) | Nausea & Vomiting: Week 112 (n=1,5) | Nausea & Vomiting: Week 115 (n=1,4) | Nausea & Vomiting: Week 118 (n=1,5) | Nausea & Vomiting: Week 121 (n=1,5) | Nausea & Vomiting: Week 124 (n=1,5) | Nausea & Vomiting: Week 127 (n=1,3) | Nausea & Vomiting: Week 130 (n=0,3) | Nausea & Vomiting: Week 133 (n=1,3) | Nausea & Vomiting: Week 136 (n=0,2) | Nausea & Vomiting: Week 139 (n=0,2) | Nausea & Vomiting: Week 142 (n=0,2) | Nausea & Vomiting: Week 145 (n=0,1) | Nausea & Vomiting: Final Visit (n=158,161) | Pain: BL (n=276,287) | Pain: Week 4 (n=235,250) | Pain: Week 7 (n=181,220) | Pain: Week 10 (n=176,202) | Pain: Week 13 (n=152,183) | Pain: Week 16 (n=121,165) | Pain: Week 19 (n=114,143) | Pain: Week 22 (n=79,143) | Pain: Week 25 (n=64,124) | Pain: Week 28 (n=47,111) | Pain: Week 31 (n=45,95) | Pain: Week 34 (n=37,87) | Pain: Week 37 (n=29,64) | Pain: Week 40 (n=24,55) | Pain: Week 43 (n=12,43) | Pain: Week 46 (n=14,42) | Pain: Week 49 (n=10,36) | Pain: Week 52 (n=8,30) | Pain: Week 55 (n=6,24) | Pain: Week 58 (n=6,21) | Pain: Week 61 (n=4,17) | Pain: Week 64 (n=3,20) | Pain: Week 67 (n=4,17) | Pain: Week 70 (n=3,14) | Pain: Week 73 (n=3,12) | Pain: Week 76 (n=3,8) | Pain: Week 79 (n=3,9) | Pain: Week 82 (n=2,6) | Pain: Week 85 (n=2,6) | Pain: Week 88 (n=2,6) | Pain: Week 91 (n=2,4) | Pain: Week 94 (n=2,6) | Pain: Week 97 (n=1,5) | Pain: Week 100 (n=1,4) | Pain: Week 103 (n=1,4) | Pain: Week 106 (n=1,4) | Pain: Week 109 (n=1,4) | Pain: Week 112 (n=1,5) | Pain: Week 115 (n=1,4) | Pain: Week 118 (n=1,5) | Pain: Week 121 (n=1,5) | Pain: Week 124 (n=1,5) | Pain: Week 127 (n=1,3) | Pain: Week 130 (n=0,3) | Pain: Week 133 (n=1,3) | Pain: Week 136 (n=0,2) | Pain: Week 139 (n=0,2) | Pain: Week 142 (n=0,2) | Pain: Week 145 (n=0,1) | Pain: Final Visit (n=158,161) | Dyspnoea: BL (n=274,281) | Dyspnoea: Week 4 (n=232,249) | Dyspnoea: Week 7 (n=181,217) | Dyspnoea: Week 10 (n=176,198) | Dyspnoea: Week 13 (n=151,182) | Dyspnoea: Week 16 (n=121,165) | Dyspnoea: Week 19 (n=113,143) | Dyspnoea: Week 22 (n=79,143) | Dyspnoea: Week 25 (n=63,124) | Dyspnoea: Week 28 (n=47,110) | Dyspnoea: Week 31 (n=45,95) | Dyspnoea: Week 34 (n=36,87) | Dyspnoea: Week 37 (n=29,64) | Dyspnoea: Week 40 (n=24,55) | Dyspnoea: Week 43 (n=12,43) | Dyspnoea: Week 46 (n=14,42) | Dyspnoea: Week 49 (n=10,36) | Dyspnoea: Week 52 (n=8,30) | Dyspnoea: Week 55 (n=6,24) | Dyspnoea: Week 58 (n=6,21) | Dyspnoea: Week 61 (n=4,17) | Dyspnoea: Week 64 (n=3,20) | Dyspnoea: Week 67 (n=4,17) | Dyspnoea: Week 70 (n=3,14) | Dyspnoea: Week 73 (n=3,12) | Dyspnoea: Week 76 (n=3,8) | Dyspnoea: Week 79 (n=3,9) | Dyspnoea: Week 82 (n=2,6) | Dyspnoea: Week 85 (n=180,6) | Dyspnoea: Week 88 (n=2,6) | Dyspnoea: Week 91 (n=2,4) | Dyspnoea: Week 94 (n=2,6) | Dyspnoea: Week 97 (n=1,5) | Dyspnoea: Week 100 (n=1,4) | Dyspnoea: Week 103 (n=1,4) | Dyspnoea: Week 106 (n=1,4) | Dyspnoea: Week 109 (n=1,4) | Dyspnoea: Week 112 (n=1,5) | Dyspnoea: Week 115 (n=1,4) | Dyspnoea: Week 118 (n=1,5) | Dyspnoea: Week 121 (n=1,5) | Dyspnoea: Week 124 (n=1,5) | Dyspnoea: Week 127 (n=1,3) | Dyspnoea: Week 130 (n=0,3) | Dyspnoea: Week 133 (n=1,3) | Dyspnoea: Week 136 (n=0,2) | Dyspnoea: Week 139 (n=0,2) | Dyspnoea: Week 142 (n=0,2) | Dyspnoea: Week 145 (n=0,1) | Dyspnoea: Final Visit (n=157,160) | Insomnia: BL (n=276,285) | Insomnia: Week 4 (n=234,248) | Insomnia: Week 7 (n=181,219) | Insomnia: Week 10 (n=175,200) | Insomnia: Week 13 (n=152,183) | Insomnia: Week 16 (n=120,164) | Insomnia: Week 19 (n=113,143) | Insomnia: Week 22 (n=79,143) | Insomnia: Week 25 (n=64,124) | Insomnia: Week 28 (n=47,110) | Insomnia: Week 31 (n=45,94) | Insomnia: Week 34 (n=37,87) | Insomnia: Week 37 (n=29,63) | Insomnia: Week 40 (n=24,55) | Insomnia: Week 43 (n=12,43) | Insomnia: Week 46 (n=13,42) | Insomnia: Week 49 (n=10,36) | Insomnia: Week 52 (n=8,30) | Insomnia: Week 55 (n=6,24) | Insomnia: Week 58 (n=6,21) | Insomnia: Week 61 (n=4,17) | Insomnia: Week 64 (n=3,20) | Insomnia: Week 67 (n=4,17) | Insomnia: Week 70 (n=3,14) | Insomnia: Week 73 (n=3,12) | Insomnia: Week 76 (n=3,8) | Insomnia: Week 79 (n=3,9) | Insomnia: Week 82 (n=2,6) | Insomnia: Week 85 (n=2,6) | Insomnia: Week 88 (n=2,6) | Insomnia: Week 91 (n=2,4) | Insomnia: Week 94 (n=2,6) | Insomnia: Week 97 (n=1,5) | Insomnia: Week 100 (n=1,4) | Insomnia: Week 103 (n=1,4) | Insomnia: Week 106 (n=1,4) | Insomnia: Week 109 (n=1,4) | Insomnia: Week 112 (n=1,5) | Insomnia: Week 115 (n=1,4) | Insomnia: Week 118 (n=1,5) | Insomnia: Week 121 (n=1,5) | Insomnia: Week 124 (n=1,5) | Insomnia: Week 127 (n=1,3) | Insomnia: Week 130 (n=0,3) | Insomnia: Week 133 (n=1,3) | Insomnia: Week 136 (n=0,2) | Insomnia: Week 139 (n=0,2) | Insomnia: Week 142 (n=0,2) | Insomnia: Week 145 (n=0,1) | Insomnia: Final Visit (n=157,160) | Appetite Loss: BL (n=275,286) | Appetite Loss: Week 4 (n=235,250) | Appetite Loss: Week 7 (n=180,216) | Appetite Loss: Week 10 (n=176,201) | Appetite Loss: Week 13 (n=151,183) | Appetite Loss: Week 16 (n=121,165) | Appetite Loss: Week 19 (n=114,141) | Appetite Loss: Week 22 (n=79,143) | Appetite Loss: Week 25 (n=64,124) | Appetite Loss: Week 28 (n=47,109) | Appetite Loss: Week 31 (n=45,95) | Appetite Loss: Week 34 (n=37,87) | Appetite Loss: Week 37 (n=29,64) | Appetite Loss: Week 40 (n=24,55) | Appetite Loss: Week 43 (n=12,43) | Appetite Loss: Week 46 (n=14,42) | Appetite Loss: Week 49 (n=9,36) | Appetite Loss: Week 52 (n=8,30) | Appetite Loss: Week 55 (n=6,24) | Appetite Loss: Week 58 (n=6,21) | Appetite Loss: Week 61 (n=4,17) | Appetite Loss: Week 64 (n=3,20) | Appetite Loss: Week 67 (n=4,17) | Appetite Loss: Week 70 (n=3,14) | Appetite Loss: Week 73 (n=3,12) | Appetite Loss: Week 76 (n=3,8) | Appetite Loss: Week 79 (n=3,9) | Appetite Loss: Week 82 (n=2,6) | Appetite Loss: Week 85 (n=2,6) | Appetite Loss: Week 88 (n=2,6) | Appetite Loss: Week 91 (n=2,4) | Appetite Loss: Week 94 (n=2,6) | Appetite Loss: Week 97 (n=1,5) | Appetite Loss: Week 100 (n=1,4) | Appetite Loss: Week 103 (n=1,4) | Appetite Loss: Week 106 (n=1,4) | Appetite Loss: Week 109 (n=1,4) | Appetite Loss: Week 112 (n=1,5) | Appetite Loss: Week 115 (n=1,4) | Appetite Loss: Week 118 (n=1,5) | Appetite Loss: Week 121 (n=1,5) | Appetite Loss: Week 124 (n=1,5) | Appetite Loss: Week 127 (n=1,3) | Appetite Loss: Week 130 (n=0,3) | Appetite Loss: Week 133 (n=1,3) | Appetite Loss: Week 136 (n=0,2) | Appetite Loss: Week 139 (n=0,2) | Appetite Loss: Week 142 (n=0,2) | Appetite Loss: Week 145 (n=0,1) | Appetite Loss: Week Final Visit (n=156,161) | Constipation: BL (n=276,285) | Constipation: Week 4 (n=235,247) | Constipation: Week 7 (n=179,220) | Constipation: Week 10 (n=175,203) | Constipation: Week 13 (n=152,183) | Constipation: Week 16 (n=121,165) | Constipation: Week 19 (n=114,143) | Constipation: Week 22 (n=78,143) | Constipation: Week 25 (n=64,124) | Constipation: Week 28 (n=47,111) | Constipation: Week 31 (n=45,95) | Constipation: Week 34 (n=37,86) | Constipation: Week 37 (n=29,64) | Constipation: Week 40 (n=24,55) | Constipation: Week 43 (n=12,43) | Constipation: Week 46 (n=14,42) | Constipation: Week 49 (n=10,36) | Constipation: Week 52 (n=8,29) | Constipation: Week 55 (n=6,24) | Constipation: Week 58 (n=6,21) | Constipation: Week 61 (n=4,17) | Constipation: Week 64 (n=3,20) | Constipation: Week 67 (n=4,17) | Constipation: Week 70 (n=3,14) | Constipation: Week 73 (n=3,12) | Constipation: Week 76 (n=3,8) | Constipation: Week 79 (n=3,9) | Constipation: Week 82 (n=2,6) | Constipation: Week 85 (n=2,6) | Constipation: Week 88 (n=2,6) | Constipation: Week 91 (n=2,4) | Constipation: Week 94 (n=2,6) | Constipation: Week 97 (n=1,5) | Constipation: Week 100 (n=1,4) | Constipation: Week 103 (n=1,4) | Constipation: Week 106 (n=1,4) | Constipation: Week 109 (n=1,4) | Constipation: Week 112 (n=1,5) | Constipation: Week 115 (n=1,4) | Constipation: Week 118 (n=1,5) | Constipation: Week 121 (n=1,5) | Constipation: Week 124 (n=1,5) | Constipation: Week 127 (n=1,3) | Constipation: Week 130 (n=0,3) | Constipation: Week 133 (n=1,3) | Constipation: Week 136 (n=0,2) | Constipation: Week 139 (n=0,2) | Constipation: Week 142 (n=0,2) | Constipation: Week 145 (n=0,1) | Constipation: Final Visit (n=158,160) | Diarrhoea: BL (n=276,283) | Diarrhoea: Week 4 (n=234,246) | Diarrhoea: Week 7 (n=180,220) | Diarrhoea: Week 10 (n=174,202) | Diarrhoea: Week 13 (n=152,183) | Diarrhoea: Week 16 (n=120,165) | Diarrhoea: Week 19 (n=114,143) | Diarrhoea: Week 22 (n=78,143) | Diarrhoea: Week 25 (n=64,124) | Diarrhoea: Week 28 (n=47,111) | Diarrhoea: Week 31 (n=45,95) | Diarrhoea: Week 34 (n=37,87) | Diarrhoea: Week 37 (n=29,64) | Diarrhoea: Week 40 (n=24,55) | Diarrhoea: Week 43 (n=12,42) | Diarrhoea: Week 46 (n=14,42) | Diarrhoea: Week 49 (n=10,36) | Diarrhoea: Week 52 (n=8,29) | Diarrhoea: Week 55 (n=6,24) | Diarrhoea: Week 58 (n=6,21) | Diarrhoea: Week 61 (n=4,17) | Diarrhoea: Week 64 (n=3,20) | Diarrhoea: Week 67 (n=4,17) | Diarrhoea: Week 70 (n=3,14) | Diarrhoea: Week 73 (n=3,12) | Diarrhoea: Week 76 (n=3,8) | Diarrhoea: Week 79 (n=3,9) | Diarrhoea: Week 82 (n=2,6) | Diarrhoea: Week 85 (n=2,6) | Diarrhoea: Week 88 (n=2,6) | Diarrhoea: Week 91 (n=2,4) | Diarrhoea: Week 94 (n=2,6) | Diarrhoea: Week 97 (n=1,5) | Diarrhoea: Week 100 (n=1,4) | Diarrhoea: Week 103 (n=1,4) | Diarrhoea: Week 106 (n=1,4) | Diarrhoea: Week 109 (n=1,4) | Diarrhoea: Week 112 (n=1,5) | Diarrhoea: Week 115 (n=1,4) | Diarrhoea: Week 118 (n=1,5) | Diarrhoea: Week 121 (n=1,5) | Diarrhoea: Week 124 (n=1,5) | Diarrhoea: Week 127 (n=1,3) | Diarrhoea: Week 130 (n=0,3) | Diarrhoea: Week 133 (n=1,3) | Diarrhoea: Week 136 (n=0,2) | Diarrhoea: Week 139 (n=0,2) | Diarrhoea: Week 142 (n=0,2) | Diarrhoea: Week 145 (n=0,1) | Diarrhoea: Final Visit (n=157,160) | Financial Difficulties: BL (n=274,286) | Financial Difficulties: Week 4 (n=234,249) | Financial Difficulties: Week 7 (n=178,220) | Financial Difficulties: Week 10 (n=175,202) | Financial Difficulties: Week 13 (n=151,181) | Financial Difficulties: Week 16 (n=120,165) | Financial Difficulties: Week 19 (n=113,143) | Financial Difficulties: Week 22 (n=78,142) | Financial Difficulties: Week 25 (n=63,124) | Financial Difficulties: Week 28 (n=45,111) | Financial Difficulties: Week 31 (n=45,94) | Financial Difficulties: Week 34 (n=36,87) | Financial Difficulties: Week 37 (n=29,64) | Financial Difficulties: Week 40 (n=24,55) | Financial Difficulties: Week 43 (n=12,43) | Financial Difficulties: Week 46 (n=14,42) | Financial Difficulties: Week 49 (n=10,35) | Financial Difficulties: Week 52 (n=8,29) | Financial Difficulties: Week 55 (n=6,24) | Financial Difficulties: Week 58 (n=6,21) | Financial Difficulties: Week 61 (n=4,17) | Financial Difficulties: Week 64 (n=3,20) | Financial Difficulties: Week 67 (n=4,17) | Financial Difficulties: Week 70 (n=3,14) | Financial Difficulties: Week 73 (n=3,12) | Financial Difficulties: Week 76 (n=3,8) | Financial Difficulties: Week 79 (n=3,9) | Financial Difficulties: Week 82 (n=2,6) | Financial Difficulties: Week 85 (n=2,6) | Financial Difficulties: Week 88 (n=2,6) | Financial Difficulties: Week 91 (n=2,4) | Financial Difficulties: Week 94 (n=2,6) | Financial Difficulties: Week 97 (n=1,5) | Financial Difficulties: Week 100 (n=1,4) | Financial Difficulties: Week 103 (n=1,4) | Financial Difficulties: Week 106 (n=1,4) | Financial Difficulties: Week 109 (n=1,4) | Financial Difficulties: Week 112 (n=1,5) | Financial Difficulties: Week 115 (n=1,4) | Financial Difficulties: Week 118 (n=1,5) | Financial Difficulties: Week 121 (n=1,5) | Financial Difficulties: Week 124 (n=1,5) | Financial Difficulties: Week 127 (n=1,3) | Financial Difficulties: Week 130 (n=0,3) | Financial Difficulties: Week 133 (n=1,3) | Financial Difficulties: Week 136 (n=0,2) | Financial Difficulties: Week 139 (n=0,2) | Financial Difficulties: Week 142 (n=0,2) | Financial Difficulties: Week 145 (n=0,1) | Financial Difficulties: Final Visit (n=158,160) |
---|
Fluoropyrimidine/Cisplatin (FP) | 55.3 | 61.0 | 60.9 | 62.3 | 63.8 | 60.8 | 61.0 | 65.1 | 68.0 | 72.0 | 69.6 | 70.8 | 66.1 | 62.0 | 72.9 | 75.0 | 68.5 | 72.6 | 76.7 | 76.7 | 79.2 | 77.8 | 75.0 | 77.8 | 80.6 | 77.8 | 77.8 | 83.3 | 83.3 | 83.3 | 83.3 | 83.3 | 83.3 | 83.3 | 83.3 | 83.3 | 83.3 | 83.3 | 83.3 | 83.3 | 83.3 | 83.3 | 83.3 | NA | 83.3 | NA | NA | NA | NA | 53.2 | 78.9 | 76.0 | 79.3 | 78.2 | 80.2 | 79.8 | 78.8 | 80.7 | 85.8 | 86.2 | 85.6 | 86.3 | 85.7 | 84.4 | 85.6 | 87.6 | 88.7 | 88.3 | 85.6 | 86.7 | 91.7 | 95.6 | 93.3 | 97.8 | 97.8 | 95.6 | 95.6 | 93.3 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 93.3 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | NA | 100.0 | NA | NA | NA | NA | 72.1 | 73.2 | 67.4 | 70.9 | 70.2 | 73.4 | 72.0 | 71.1 | 74.7 | 81.3 | 80.5 | 82.2 | 83.3 | 81.6 | 79.9 | 80.6 | 82.1 | 81.7 | 85.4 | 80.6 | 77.8 | 83.3 | 83.3 | 83.3 | 88.9 | 88.9 | 83.3 | 83.3 | 91.7 | 100.0 | 91.7 | 91.7 | 100.0 | 83.3 | 83.3 | 100.0 | 100.0 | 100.0 | 83.3 | 100.0 | 100.0 | 83.3 | 83.3 | 100.0 | NA | 100.0 | NA | NA | NA | NA | 63.5 | 75.4 | 80.5 | 81.3 | 82.9 | 82.6 | 83.1 | 82.2 | 85.9 | 88.2 | 86.0 | 85.7 | 88.5 | 83.9 | 83.6 | 81.9 | 82.1 | 88.3 | 86.5 | 76.4 | 85.6 | 95.8 | 100 | 95.8 | 97.2 | 94.4 | 100.0 | 97.2 | 95.8 | 95.8 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | NA | 100.0 | NA | NA | NA | NA | 75.1 | 86.9 | 86.0 | 85.7 | 85.6 | 88.2 | 82.8 | 84.2 | 85.9 | 85.9 | 86.5 | 87.0 | 88.3 | 88.5 | 83.3 | 88.9 | 89.3 | 85.0 | 91.7 | 94.4 | 91.7 | 91.7 | 100.0 | 91.7 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | NA | 100.0 | NA | NA | NA | NA | 79.5 | 72.4 | 72.1 | 73.1 | 74.5 | 72.7 | 72.7 | 74.4 | 79.3 | 83.3 | 83.0 | 81.5 | 84.7 | 85.1 | 85.4 | 87.5 | 86.9 | 85.0 | 87.5 | 86.1 | 88.9 | 91.7 | 94.4 | 95.8 | 94.4 | 100.0 | 94.4 | 94.4 | 100.0 | 91.7 | 91.7 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | NA | 100.0 | NA | NA | NA | NA | 68.1 | 36.3 | 37.1 | 34.4 | 35.3 | 32.9 | 33.0 | 33.1 | 30.0 | 22.2 | 24.1 | 22.0 | 22.8 | 21.8 | 23.6 | 19.4 | 20.6 | 19.4 | 16.7 | 18.5 | 16.7 | 8.3 | 7.4 | 13.9 | 11.1 | 7.4 | 7.4 | 7.4 | 0.0 | 5.6 | 0.0 | 0.0 | 0.0 | 11.1 | 0.0 | 0.0 | 11.1 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | NA | 0.0 | NA | NA | NA | NA | 40.4 | 15.0 | 16.6 | 16.9 | 16.4 | 12.8 | 14.2 | 14.2 | 10.3 | 8.6 | 3.5 | 3.7 | 4.5 | 2.9 | 4.2 | 2.8 | 1.2 | 3.3 | 2.1 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 5.6 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | NA | 0.0 | NA | NA | NA | NA | 14.9 | 24.9 | 17.8 | 14.5 | 13.4 | 12.0 | 13.6 | 14.2 | 15.0 | 10.7 | 8.2 | 12.2 | 12.2 | 11.5 | 18.8 | 16.7 | 13.1 | 13.3 | 6.3 | 2.8 | 8.3 | 0.0 | 5.6 | 0.0 | 0.0 | 5.6 | 5.6 | 5.6 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | NA | 0.0 | NA | NA | NA | NA | 27.4 | 12.4 | 12.1 | 12.7 | 14.6 | 11.3 | 15.4 | 15.3 | 13.9 | 12.7 | 9.2 | 10.4 | 10.2 | 10.3 | 9.7 | 19.4 | 11.9 | 6.7 | 12.5 | 5.6 | 5.6 | 16.7 | 0.0 | 8.3 | 0.0 | 0.0 | 11.1 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | NA | 0.0 | NA | NA | NA | NA | 20.0 | 27.2 | 22.1 | 21.9 | 19.8 | 14.7 | 15.3 | 17.1 | 14.8 | 15.1 | 9.9 | 10.4 | 9.0 | 8.0 | 13.9 | 13.9 | 7.7 | 10.0 | 12.5 | 16.7 | 11.1 | 8.3 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | NA | 0.0 | NA | NA | NA | NA | 21.9 | 35.2 | 31.5 | 27.2 | 26.7 | 24.7 | 24.5 | 26.9 | 19.0 | 12.0 | 14.2 | 11.1 | 11.7 | 12.6 | 13.9 | 5.6 | 4.8 | 3.7 | 0.0 | 0.0 | 5.6 | 8.3 | 0.0 | 8.3 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | NA | 0.0 | NA | NA | NA | NA | 35.3 | 22.9 | 20.6 | 19.0 | 19.2 | 16.7 | 14.6 | 13.5 | 12.0 | 7.3 | 7.8 | 10.4 | 5.4 | 11.5 | 8.3 | 8.3 | 4.8 | 3.3 | 4.2 | 5.6 | 11.1 | 8.3 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 16.7 | 16.7 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | NA | 0.0 | NA | NA | NA | NA | 19.0 | 10.9 | 9.1 | 8.7 | 10.5 | 6.6 | 8.1 | 7.3 | 6.0 | 7.3 | 5.7 | 5.9 | 5.4 | 5.7 | 6.9 | 8.3 | 4.8 | 10.0 | 8.3 | 11.1 | 11.1 | 16.7 | 11.1 | 16.7 | 11.1 | 11.1 | 22.2 | 11.1 | 0.0 | 0.0 | 0.0 | 16.7 | 16.7 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | NA | 0.0 | NA | NA | NA | NA | 10.0 | 27.3 | 23.6 | 23.6 | 21.5 | 22.5 | 23.1 | 20.6 | 19.7 | 16.4 | 17.0 | 15.6 | 10.2 | 13.8 | 22.2 | 16.7 | 16.7 | 16.7 | 8.3 | 16.7 | 11.1 | 16.7 | 11.1 | 16.7 | 11.1 | 11.1 | 11.1 | 11.1 | 16.7 | 16.7 | 16.7 | 16.7 | 16.7 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | NA | 0.0 | NA | NA | NA | NA | 26.6 |
Trastuzumab + Fluoropyrimidine/Cisplatin (FP + H) | 54.9 | 60.9 | 60.5 | 61.9 | 63.6 | 61.9 | 63.8 | 64.9 | 67.8 | 68.5 | 70.0 | 72.0 | 70.6 | 70.6 | 73.6 | 73.8 | 76.6 | 71.3 | 73.8 | 73.8 | 72.5 | 70.0 | 72.5 | 68.5 | 68.1 | 67.7 | 69.4 | 60.0 | 79.2 | 73.6 | 79.2 | 79.2 | 78.3 | 85.4 | 75.0 | 77.1 | 77.1 | 75.0 | 72.9 | 75.0 | 75.0 | 81.7 | 72.2 | 72.2 | 72.2 | 66.7 | 66.7 | 66.7 | 66.7 | 53.1 | 79.6 | 79.5 | 79.3 | 80.2 | 80.5 | 80.7 | 81.5 | 83.6 | 84.8 | 83.7 | 85.4 | 85.1 | 85.8 | 88.2 | 89.9 | 91.9 | 92.0 | 89.2 | 93.1 | 91.4 | 91.0 | 91.0 | 93.3 | 92.9 | 91.1 | 90.0 | 92.6 | 90.0 | 95.6 | 95.6 | 98.3 | 97.8 | 97.3 | 96.7 | 96.7 | 98.3 | 95.0 | 97.3 | 93.3 | 96.0 | 94.7 | 96.0 | 93.3 | 93.3 | 95.6 | 93.3 | 93.3 | 93.3 | 100.0 | 73.8 | 73.9 | 76.1 | 73.3 | 74.3 | 75.1 | 74.6 | 75.8 | 79.7 | 82.4 | 79.7 | 81.1 | 82.2 | 81.5 | 82.1 | 86.8 | 86.5 | 88.0 | 84.4 | 88.2 | 89.7 | 87.3 | 87.5 | 90.2 | 86.9 | 80.6 | 81.3 | 81.5 | 80.6 | 91.7 | 94.4 | 91.7 | 100.0 | 90.0 | 100.0 | 100.0 | 100.0 | 95.8 | 93.3 | 83.3 | 86.7 | 90.0 | 90.0 | 88.9 | 88.9 | 88.9 | 83.3 | 83.3 | 83.3 | 100.0 | 68.7 | 73.1 | 77.9 | 80.2 | 81.2 | 80.5 | 81.9 | 82.4 | 84.0 | 84.8 | 85.5 | 85.7 | 85.4 | 86.3 | 86.7 | 87.8 | 87.5 | 91.4 | 88.2 | 88.5 | 88.9 | 90.7 | 86.3 | 89.2 | 89.3 | 82.9 | 87.5 | 84.3 | 83.3 | 91.7 | 90.3 | 95.8 | 88.9 | 91.7 | 87.5 | 87.5 | 89.6 | 91.7 | 95.0 | 93.8 | 90.0 | 95.0 | 90.0 | 100.0 | 88.9 | 91.7 | 95.8 | 95.8 | 95.8 | 100.0 | 74.3 | 85.7 | 86.3 | 86.5 | 86.8 | 85.7 | 86.8 | 87.6 | 87.4 | 87.4 | 88.0 | 90.0 | 88.7 | 91.4 | 91.5 | 91.5 | 91.7 | 92.6 | 89.7 | 91.0 | 90.5 | 91.2 | 93.3 | 91.2 | 91.7 | 83.3 | 83.3 | 81.5 | 88.9 | 91.7 | 94.4 | 95.8 | 94.4 | 90.0 | 95.8 | 91.7 | 95.8 | 95.8 | 93.3 | 95.8 | 96.7 | 96.7 | 96.7 | 100.0 | 88.9 | 94.4 | 100.0 | 100.0 | 100.0 | 100.0 | 80.0 | 72.0 | 74.1 | 75.1 | 76.7 | 76.3 | 77.5 | 79.5 | 80.1 | 80.2 | 80.2 | 78.9 | 80.7 | 81.8 | 82.7 | 84.1 | 86.9 | 84.7 | 82.2 | 85.4 | 87.3 | 90.2 | 85.8 | 85.3 | 86.9 | 80.6 | 81.3 | 85.2 | 80.6 | 88.9 | 88.9 | 91.7 | 91.7 | 90.0 | 95.8 | 100.0 | 91.7 | 95.8 | 96.7 | 95.8 | 96.7 | 100.0 | 96.7 | 83.3 | 94.4 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 71.4 | 34.2 | 34.5 | 34.1 | 33.2 | 33.7 | 32.8 | 29.4 | 26.7 | 25.1 | 23.2 | 22.2 | 19.7 | 19.8 | 18.6 | 17.1 | 13.8 | 14.5 | 17.2 | 14.4 | 16.4 | 14.4 | 17.2 | 15.0 | 16.7 | 16.7 | 18.1 | 18.5 | 29.6 | 11.1 | 9.3 | 11.1 | 7.4 | 11.1 | 11.1 | 19.4 | 13.9 | 16.7 | 17.8 | 25.0 | 17.8 | 17.8 | 13.3 | 14.8 | 18.5 | 14.8 | 22.2 | 22.2 | 22.2 | 11.1 | 37.6 | 15.7 | 19.7 | 18.9 | 16.4 | 14.7 | 14.5 | 13.9 | 12.2 | 8.2 | 6.5 | 8.8 | 7.5 | 6.8 | 4.8 | 1.2 | 2.8 | 0.9 | 5.0 | 2.1 | 3.2 | 0.0 | 4.2 | 2.9 | 2.4 | 1.4 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 19.8 | 25.1 | 17.9 | 16.1 | 14.4 | 13.3 | 12.4 | 12.8 | 13.2 | 12.2 | 12.0 | 11.8 | 11.3 | 12.2 | 10.3 | 8.9 | 6.7 | 6.5 | 10.0 | 8.3 | 7.1 | 4.9 | 6.7 | 4.9 | 4.8 | 9.7 | 8.3 | 9.3 | 2.8 | 0.0 | 2.8 | 4.2 | 0.0 | 3.3 | 8.3 | 0.0 | 0.0 | 0.0 | 3.3 | 0.0 | 3.3 | 3.3 | 0.0 | 0.0 | 5.6 | 5.6 | 0.0 | 0.0 | 0.0 | 0.0 | 25.4 | 13.4 | 11.8 | 10.8 | 11.3 | 13.7 | 13.5 | 11.9 | 12.1 | 9.4 | 10.3 | 9.1 | 9.6 | 10.4 | 4.8 | 6.2 | 5.6 | 4.6 | 5.6 | 8.3 | 6.3 | 3.9 | 8.3 | 5.9 | 7.1 | 8.3 | 8.3 | 7.4 | 16.7 | 5.6 | 5.6 | 8.3 | 5.6 | 0.0 | 0.0 | 8.3 | 8.3 | 8.3 | 6.7 | 8.3 | 6.7 | 6.7 | 6.7 | 11.1 | 11.1 | 11.1 | 16.7 | 16.7 | 16.7 | 33.3 | 18.3 | 23.6 | 23.3 | 20.4 | 18.0 | 18.9 | 17.7 | 20.0 | 17.0 | 15.9 | 13.3 | 14.9 | 13.4 | 11.1 | 10.3 | 9.3 | 9.5 | 7.4 | 7.8 | 8.3 | 9.5 | 7.8 | 10.0 | 9.8 | 9.5 | 11.1 | 8.3 | 11.1 | 11.1 | 11.1 | 5.6 | 0.0 | 5.6 | 6.7 | 8.3 | 0.0 | 0.0 | 0.0 | 6.7 | 0.0 | 6.7 | 6.7 | 0.0 | 0.0 | 11.1 | 11.1 | 0.0 | 0.0 | 0.0 | 0.0 | 24.6 | 33.8 | 33.6 | 31.3 | 29.4 | 28.4 | 27.9 | 25.1 | 20.7 | 16.7 | 11.6 | 13.0 | 9.6 | 10.9 | 9.7 | 7.0 | 5.6 | 6.5 | 10.0 | 10.0 | 4.8 | 0.0 | 8.3 | 5.9 | 7.1 | 5.6 | 4.2 | 0.0 | 5.6 | 5.6 | 11.1 | 0.0 | 5.6 | 0.0 | 0.0 | 8.3 | 8.3 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 11.1 | 11.1 | 0.0 | 0.0 | 0.0 | 0.0 | 33.5 | 21.5 | 20.2 | 17.6 | 15.1 | 15.8 | 15.4 | 14.5 | 10.0 | 10.2 | 9.6 | 6.3 | 4.7 | 10.4 | 7.9 | 7.0 | 7.1 | 5.6 | 10.3 | 6.9 | 6.3 | 5.9 | 5.0 | 5.9 | 4.8 | 11.1 | 4.2 | 3.7 | 16.7 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 20.0 | 10.7 | 12.2 | 14.2 | 11.9 | 12.0 | 12.9 | 10.3 | 9.6 | 6.2 | 4.8 | 4.9 | 5.7 | 4.2 | 3.0 | 2.4 | 1.6 | 3.7 | 2.3 | 4.2 | 4.8 | 0.0 | 3.3 | 2.0 | 3.3 | 2.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 6.7 | 0.0 | 0.0 | 0.0 | 6.7 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 10.0 | 29.3 | 27.7 | 23.9 | 23.3 | 22.7 | 24.4 | 22.4 | 24.9 | 22.3 | 21.6 | 23.4 | 24.5 | 23.4 | 23.6 | 19.4 | 18.3 | 20.0 | 20.7 | 18.1 | 22.2 | 23.5 | 16.7 | 17.6 | 19.0 | 19.4 | 25.0 | 25.9 | 22.2 | 16.7 | 16.7 | 25.0 | 16.7 | 20.0 | 16.7 | 8.3 | 16.7 | 16.7 | 13.3 | 16.7 | 13.3 | 13.3 | 13.3 | 11.1 | 11.1 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 27.9 |
[back to top]
EORTC Quality of Life Questionnaire-Stomach Cancer Specific (QLQ STO22) Questionnaire Scores
The QLQ-STO22 is a gastric cancer quality of life questionnaire. There are 22 questions concerning disease, treatment related symptoms, side effects, dysphagia, nutritional aspects, and questions about the emotional problems of gastric cancer (dysphagia, pain, reflux, eating restrictions, anxiety, dry mouth, body image, and hair loss). The questions are grouped into five scales and 4 single items which are related to the symptoms of the disease. Most questions used 4-point scale (1 'Not at all' to 4 'Very much'; 1 question was a yes or no answer). A linear transformation was used to standardize all scores and single-items to a scale of 0 to 100; higher score=better level of functioning or greater degree of symptoms. (NCT01041404)
Timeframe: BL, Days 1, 22, 43, 64, 85, 106, 127, and every 21 days until disease progression of the end of study, 1 year after the cut-off date for the 2nd interim efficacy analysis
,
Intervention | scores on a scale (Mean) |
---|
| Dysphagia Scale: BL (n=276,287) | Dysphagia Scale: Week 4 (n=234,250) | Dysphagia Scale: Week 7 (n=181,220) | Dysphagia Scale: Week 10 (n=176,203) | Dysphagia Scale: Week 13 (n=152,183) | Dysphagia Scale: Week 16 (n=120,165) | Dysphagia Scale: Week 19 (n=114,143) | Dysphagia Scale: Week 22 (n=79,143) | Dysphagia Scale: Week 25 (n=64,124) | Dysphagia Scale: Week 28 (n=47,111) | Dysphagia Scale: Week 31 (n=45,95) | Dysphagia Scale: Week 34 (n=37,87) | Dysphagia Scale: Week 37 (n=29,64) | Dysphagia Scale: Week 40 (n=24,55) | Dysphagia Scale: Week 43 (n=12,43) | Dysphagia Scale: Week 46 (n=14,42) | Dysphagia Scale: Week 49 (n=10,36) | Dysphagia Scale: Week 52 (n=8,30) | Dysphagia Scale: Week 55 (n=6,24) | Dysphagia Scale: Week 58 (n=6,21) | Dysphagia Scale: Week 61 (n=4,17) | Dysphagia Scale: Week 64 (n=3,20) | Dysphagia Scale: Week 67 (n=4,16) | Dysphagia Scale: Week 70 (n=3,14) | Dysphagia Scale: Week 73 (n=3,12) | Dysphagia Scale: Week 76 (n=3,8) | Dysphagia Scale: Week 79 (n=3,9) | Dysphagia Scale: Week 82 (n=2,6) | Dysphagia Scale: Week 85 (n=2,6) | Dysphagia Scale: Week 88 (n=2,6) | Dysphagia Scale: Week 91 (n=2,4) | Dysphagia Scale: Week 94 (n=2,6) | Dysphagia Scale: Week 97 (n=1,5) | Dysphagia Scale: Week 100 (n=1,4) | Dysphagia Scale: Week 103 (n=1,4) | Dysphagia Scale: Week 106 (n=1,4) | Dysphagia Scale: Week 109 (n=1,4) | Dysphagia Scale: Week 112 (n=1,5) | Dysphagia Scale: Week 115 (n=1,4) | Dysphagia Scale: Week 118 (n=1,5) | Dysphagia Scale: Week 121 (n=1,5) | Dysphagia Scale: Week 124 (n=1,5) | Dysphagia Scale: Week 127 (n=1,3) | Dysphagia Scale: Week 130 (n=0,3) | Dysphagia Scale: Week 133 (n=1,3) | Dysphagia Scale: Week 136 (n=0,2) | Dysphagia Scale: Week 139 (n=0,2) | Dysphagia Scale: Week 142 (n=0,2) | Dysphagia Scale: Week 145 (n=0,1) | Dysphagia Scale: Final Visit (n=157,159 | Pain Scale: BL (n=276,287) | Pain Scale: Week 4 (n=234,250) | Pain Scale: Week 7 (n=181,219) | Pain Scale: Week 10 (n=176,203) | Pain Scale: Week 13 (n=152,183) | Pain Scale: Week 16 (n=120,165) | Pain Scale: Week 19 (n=114,143) | Pain Scale: Week 22 (n=79,143) | Pain Scale: Week 25 (n=64,124) | Pain Scale: Week 28 (n=47,111) | Pain Scale: Week 31 (n=45,95) | Pain Scale: Week 34 (n=37,87) | Pain Scale: Week 37 (n=29,64) | Pain Scale: Week 40 (n=24,55) | Pain Scale: Week 43 (n=12,43) | Pain Scale: Week 46 (n=14,42) | Pain Scale: Week 49 (n=10,36) | Pain Scale: Week 52 (n=8,30) | Pain Scale: Week 55 (n=6,24) | Pain Scale: Week 58 (n=6,21) | Pain Scale: Week 61 (n=4,17) | Pain Scale: Week 64 (n=3,20) | Pain Scale: Week 67 (n=4,16) | Pain Scale: Week 70 (n=3,14) | Pain Scale: Week 73 (n=3,12) | Pain Scale: Week 76 (n=3,8) | Pain Scale: Week 79 (n=3,9) | Pain Scale: Week 82 (n=2,6) | Pain Scale: Week 85 (n=2,6) | Pain Scale: Week 88 (n=2,6) | Pain Scale: Week 91 (n=2,6) | Pain Scale: Week 94 (n=2,6) | Pain Scale: Week 97 (n=1,5) | Pain Scale: Week 100 (n=1,4) | Pain Scale: Week 103 (n=1,4) | Pain Scale: Week 106 (n=1,4) | Pain Scale: Week 109 (n=1,4) | Pain Scale: Week 112 (n=1,5) | Pain Scale: Week 115 (n=1,4) | Pain Scale: Week 118 (n=1,5) | Pain Scale: Week 121 (n=1,5) | Pain Scale: Week 124 (n=1,5) | Pain Scale: Week 127 (n=1,3) | Pain Scale: Week 130 (n=0,3) | Pain Scale: Week 133 (n=1,3) | Pain Scale: Week 136 (n=0,2) | Pain Scale: Week 139 (n=0,2) | Pain Scale: Week 142 (n=0,2) | Pain Scale: Week 145 (n=0,1) | Pain Scale: Final Visit (n=157,160) | Reflux Symptoms Scale: BL (n=275,287) | Reflux Symptoms Scale: Week 4 (n=234,250) | Reflux Symptoms Scale: Week 7 (n=180,220) | Reflux Symptoms Scale: Week 10 (n=176,203) | Reflux Symptoms Scale: Week 13 (n=152,182) | Reflux Symptoms Scale: Week 16 (n=120,165) | Reflux Symptoms Scale: Week 19 (n=114,165) | Reflux Symptoms Scale: Week 22 (n=79,143) | Reflux Symptoms Scale: Week 25 (n=64,124) | Reflux Symptoms Scale: Week 28 (n=47,111) | Reflux Symptoms Scale: Week 31 (n=45,95) | Reflux Symptoms Scale: Week 34 (n=45,95) | Reflux Symptoms Scale: Week 37 (n=29,64) | Reflux Symptoms Scale: Week 40 (n=24,55) | Reflux Symptoms Scale: Week 43 (n=12,42) | Reflux Symptoms Scale: Week 46 (n=14,42) | Reflux Symptoms Scale: Week 49 (n=10,36) | Reflux Symptoms Scale: Week 52 (n=8,30) | Reflux Symptoms Scale: Week 55 (n=6,24) | Reflux Symptoms Scale: Week 58 (n=6,21) | Reflux Symptoms Scale: Week 61 (n=4,17) | Reflux Symptoms Scale: Week 64 (n=3,20) | Reflux Symptoms Scale: Week 67 (n=4,16) | Reflux Symptoms Scale: Week 70 (n=3,13) | Reflux Symptoms Scale: Week 73 (n=3,12) | Reflux Symptoms Scale: Week 76 (n=3,8) | Reflux Symptoms Scale: Week 79 (n=3,9) | Reflux Symptoms Scale: Week 82 (n=2,6) | Reflux Symptoms Scale: Week 85 (n=2,6) | Reflux Symptoms Scale: Week 88 (n=2,6) | Reflux Symptoms Scale: Week 91 (n=2,4) | Reflux Symptoms Scale: Week 94 (n=2,6) | Reflux Symptoms Scale: Week 97 (n=1,5) | Reflux Symptoms Scale: Week 100 (n=1,4) | Reflux Symptoms Scale: Week 103 (n=1,4) | Reflux Symptoms Scale: Week 106 (n=1,4) | Reflux Symptoms Scale: Week 109 (n=1,4) | Reflux Symptoms Scale: Week 112 (n=1,5) | Reflux Symptoms Scale: Week 115 (n=1,4) | Reflux Symptoms Scale: Week 118 (n=1,5) | Reflux Symptoms Scale: Week 121 (n=1,5) | Reflux Symptoms Scale: Week 124 (n=1,5) | Reflux Symptoms Scale: Week 127 (n=1,3) | Reflux Symptoms Scale: Week 130 (n=0,3) | Reflux Symptoms Scale: Week 133 (n=1,3) | Reflux Symptoms Scale: Week 136 (n=0,2) | Reflux Symptoms Scale: Week 139 (n=0,2) | Reflux Symptoms Scale: Week 142 (n=0,2) | Reflux Symptoms Scale: Week 145 (n=0,1) | Reflux Symptoms Scale: Final Visit (n=1,5) | Eating Restrictions (ER) Scale: BL (n=276,287) | ER Scale: Week 4 (n=234,250) | ER Scale: Week 7 (n=181,220) | ER Scale: Week 10 (n=176,203) | ER Scale: Week 13 (n=152,183) | ER Scale: Week 16 (n=120,165) | ER Scale: Week 19 (n=114,143) | ER Scale: Week 22 (n=79,143) | ER Scale: Week 25 (n=64,124) | ER Scale: Week 28 (n=47,111) | ER Scale: Week 31 (n=45,95) | ER Scale: Week 34 (n=37,87) | ER Scale: Week 37 (n=29,64) | ER Scale: Week 40 (n=24,55) | ER Scale: Week 43 (n=12,43) | ER Scale: Week 46 (n=14,42) | ER Scale: Week 49 (n=10,36) | ER Scale: Week 52 (n=8,30) | ER Scale: Week 55 (n=6,24) | ER Scale: Week 58 (n=6,21) | ER Scale: Week 61 (n=4,17) | ER Scale: Week 64 (n=3,20) | ER Scale: Week 67 (n=4,16) | ER Scale: Week 70 (n=3,14) | ER Scale: Week 73 (n=3,12) | ER Scale: Week 76 (n=3,8) | ER Scale: Week 79 (n=3,9) | ER Scale: Week 82 (n=2,6) | ER Scale: Week 85 (n=2,6) | ER Scale: Week 88 (n=2,6) | ER Scale: Week 91 (n=2,4) | ER Scale: Week 94 (n=2,6) | ER Scale: Week 97 (n=1,5) | ER Scale: Week 100 (n=1,4) | ER Scale: Week 103 (n=1,4) | ER Scale: Week 106 (n=1,4) | ER Scale: Week 109 (n=1,4) | ER Scale: Week 112 (n=1,5) | ER Scale: Week 115 (n=1,4) | ER Scale: Week 118 (n=1,5) | ER Scale: Week 121 (n=1,5) | ER Scale: Week 124 (n=1,5) | ER Scale: Week 127 (n=1,3) | ER Scale: Week 130 (n=0,3) | ER Scale: Week 133 (n=1,3) | ER Scale: Week 136 (n=0,2) | ER Scale: Week 139 (n=0,2) | ER Scale: Week 142 (n=0,2) | ER Scale: Week 145 (n=0,1) | ER Scale: Final Visit (n=157,160) | Anxiety Scale: BL (n=276,287) | Anxiety Scale: Week 4 (n=234,250) | Anxiety Scale: Week 7 (n=181,220) | Anxiety Scale: Week 10 (n=176,203) | Anxiety Scale: Week 13 (n=152,183) | Anxiety Scale: Week 16 (n=120,165) | Anxiety Scale: Week 19 (n=114,143) | Anxiety Scale: Week 22 (n=79,143) | Anxiety Scale: Week 25 (n=64,124) | Anxiety Scale: Week 28 (n=47,111) | Anxiety Scale: Week 31 (n=45,95) | Anxiety Scale: Week 34 (n=37,87) | Anxiety Scale: Week 37 (n=29,64) | Anxiety Scale: Week 40 (n=24,55) | Anxiety Scale: Week 43 (n=12,43) | Anxiety Scale: Week 46 (n=14,42) | Anxiety Scale: Week 49 (n=14,42) | Anxiety Scale: Week 52 (n=8,30) | Anxiety Scale: Week 55 (n=6,24) | Anxiety Scale: Week 58 (n=6,21) | Anxiety Scale: Week 61 (n=4,17) | Anxiety Scale: Week 64 (n=3,20) | Anxiety Scale: Week 67 (n=4,16) | Anxiety Scale: Week 70 (n=3,14) | Anxiety Scale: Week 73 (n=3,12) | Anxiety Scale: Week 76 (n=3,8) | Anxiety Scale: Week 79 (n=3,9) | Anxiety Scale: Week 82 (n=2,6) | Anxiety Scale: Week 85 (n=2,6) | Anxiety Scale: Week 88 (n=2,6) | Anxiety Scale: Week 91 (n=2,4) | Anxiety Scale: Week 94 (n=2,6) | Anxiety Scale: Week 97 (n=1,5) | Anxiety Scale: Week 100 (n=1,4) | Anxiety Scale: Week 103 (n=1,4) | Anxiety Scale: Week 106 (n=1,4) | Anxiety Scale: Week 109 (n=1,4) | Anxiety Scale: Week 112 (n=1,5) | Anxiety Scale: Week 115 (n=1,4) | Anxiety Scale: Week 118 (n=1,5) | Anxiety Scale: Week 121 (n=1,5) | Anxiety Scale: Week 124 (n=1,5) | Anxiety Scale: Week 127 (n=1,3) | Anxiety Scale: Week 130 (n=0,3) | Anxiety Scale: Week 133 (n=1,3) | Anxiety Scale: Week 136 (n=0,2) | Anxiety Scale: Week 139 (n=0,2) | Anxiety Scale: Week 142 (n=0,2) | Anxiety Scale: Week 145 (n=0,2) | Anxiety Scale: Final Visit (n=157,160) | Dry Mouth: BL (n=274,287) | Dry Mouth: Week 4 (n=232,249) | Dry Mouth: Week 7 (n=180,219) | Dry Mouth: Week 10 (n=176,203) | Dry Mouth: Week 13 (n=152,183) | Dry Mouth: Week 16 (n=120,165) | Dry Mouth: Week 19 (n=113,143) | Dry Mouth: Week 22 (n=79,143) | Dry Mouth: Week 25 (n=64,124) | Dry Mouth: Week 28 (n=47,111) | Dry Mouth: Week 31 (n=45,95) | Dry Mouth: Week 34 (n=37,87) | Dry Mouth: Week 37 (n=29,64) | Dry Mouth: Week 40 (n=23,55) | Dry Mouth: Week 43 (n=12,43) | Dry Mouth: Week 46 (n=14,42) | Dry Mouth: Week 49 (n=10,36) | Dry Mouth: Week 52 (n=8,30) | Dry Mouth: Week 55 (n=6,24) | Dry Mouth: Week 58 (n=6,21) | Dry Mouth: Week 61 (n=4,17) | Dry Mouth: Week 64 (n=3,20) | Dry Mouth: Week 67 (n=4,16) | Dry Mouth: Week 70 (n=3,14) | Dry Mouth: Week 73 (n=3,12) | Dry Mouth: Week 76 (n=3,8) | Dry Mouth: Week 79 (n=3,9) | Dry Mouth: Week 82 (n=2,6) | Dry Mouth: Week 85 (n=2,6) | Dry Mouth: Week 88 (n=2,6) | Dry Mouth: Week 91 (n=2,4) | Dry Mouth: Week 94 (n=2,6) | Dry Mouth: Week 97 (n=1,5) | Dry Mouth: Week 100 (n=1,4) | Dry Mouth: Week 103 (n=1,4) | Dry Mouth: Week 106 (n=1,4) | Dry Mouth: Week 109 (n=1,4) | Dry Mouth: Week 112 (n=1,5) | Dry Mouth: Week 115 (n=1,4) | Dry Mouth: Week 118 (n=1,5) | Dry Mouth: Week 121 (n=1,5) | Dry Mouth: Week 124 (n=1,5) | Dry Mouth: Week 127 (n=1,3) | Dry Mouth: Week 130 (n=0,3) | Dry Mouth: Week 133 (n=1,3) | Dry Mouth: Week 136 (n=0,2) | Dry Mouth: Week 139 (n=0,2) | Dry Mouth: Week 142 (n=0,2) | Dry Mouth: Week 145 (n=0,1) | Dry Mouth: Final Visit (n=157,157) | Taste: BL (n=275,286) | Taste: Week 4 (n=234,249) | Taste: Week 7 (n=179,217) | Taste: Week 10 (n=176,200) | Taste: Week 13 (n=151,181) | Taste: Week 16 (n=119,165) | Taste: Week 19 (n=113,143) | Taste: Week 22 (n=79,143) | Taste: Week 25 (n=64,124) | Taste: Week 28 (n=47,111) | Taste: Week 31 (n=45,95) | Taste: Week 34 (n=37,87) | Taste: Week 37 (n=28,64) | Taste: Week 40 (n=24,55) | Taste: Week 43 (n=12,43) | Taste: Week 46 (n=14,42) | Taste: Week 49 (n=9,36) | Taste: Week 52 (n=8,30) | Taste: Week 55 (n=6,24) | Taste: Week 58 (n=6,21) | Taste: Week 61 (n=4,17) | Taste: Week 64 (n=3,20) | Taste: Week 67 (n=4,16) | Taste: Week 70 (n=3,14) | Taste: Week 73 (n=3,12) | Taste: Week 76 (n=3,8) | Taste: Week 79 (n=3,9) | Taste: Week 82 (n=2,6) | Taste: Week 85 (n=2, 6) | Taste: Week 88 (n=2,6) | Taste: Week 91 (n=2,4) | Taste: Week 94 (n=2,6) | Taste: Week 97 (n=1,5) | Taste: Week 100 (n=1,4) | Taste: Week 103 (n=1,4) | Taste: Week 106 (n=1,4) | Taste: Week 109 (n=1,4) | Taste: Week 112 (n=1,5) | Taste: Week 115 (n=1,4) | Taste: Week 118 (n=1,5) | Taste: Week 121 (n=1,5) | Taste: Week 124 (n=1,5) | Taste: Week 127 (n=1,3) | Taste: Week 130 (n=0,3) | Taste: Week 133 (n=1,3) | Taste: Week 136 (n=0,2) | Taste: Week 139 (n=0,2) | Taste: Week 142 (n=0,2) | Taste: Week 145 (n=0,1) | Taste: Final Visit (n=157,158) | Body Image: BL (n=272,286) | Body Image: Week 4 (n=233,249) | Body Image: Week 7 (n=180,219) | Body Image: Week 10 (n=175,203) | Body Image: Week 13 (n=152,182) | Body Image: Week 16 (n=119,165) | Body Image: Week 19 (n=114,140) | Body Image: Week 22 (n=79,143) | Body Image: Week 25 (n=64,124) | Body Image: Week 28 (n=47,111) | Body Image: Week 31 (n=45,95) | Body Image: Week 34 (n=37,87) | Body Image: Week 37 (n=29,64) | Body Image: Week 40 (n=24,55) | Body Image: Week 43 (n=12,43) | Body Image: Week 46 (n=14,42) | Body Image: Week 49 (n=10,36) | Body Image: Week 52 (n=8,30) | Body Image: Week 55 (n=6,24) | Body Image: Week 58 (n=6,21) | Body Image: Week 61 (n=4,17) | Body Image: Week 64 (n=3,20) | Body Image: Week 67 (n=4,16) | Body Image: Week 70 (n=4,14) | Body Image: Week 73 (n=3,12) | Body Image: Week 76 (n=3,8) | Body Image: Week 79 (n=3,9) | Body Image: Week 82 (n=2,6) | Body Image: Week 85 (n=2,6) | Body Image: Week 88 (n=2,5) | Body Image: Week 91 (n=2,4) | Body Image: Week 94 (n=2,6) | Body Image: Week 97 (n=1,5) | Body Image: Week 100 (n=1,4) | Body Image: Week 103 (n=1,4) | Body Image: Week 106 (n=1,4) | Body Image: Week 109 (n=1,4) | Body Image: Week 112 (n=1,5) | Body Image: Week 115 (n=1,4) | Body Image: Week 118 (n=1,5) | Body Image: Week 121 (n=1,5) | Body Image: Week 124 (n=1,5) | Body Image: Week 127 (n=1,3) | Body Image: Week 130 (n=0,3) | Body Image: Week 133 (n=1,3) | Body Image: Week 136 (n=0,2) | Body Image: Week 139 (n=0,2) | Body Image: Week 142 (n=0,2) | Body Image: Week 145 (n=0,1) | Body Image: Final Visit (n=157,159) | Hair Loss: BL (n=64,76) | Hair Loss: Week 4 (n=68,71) | Hair Loss: Week 7 (n=65,82) | Hair Loss: Week 10 (n=75,78) | Hair Loss: Week 13 (n=66,80) | Hair Loss: Week 16 (n=53,72) | Hair Loss: Week 19 (n=50,56) | Hair Loss: Week 22 (n=38,54) | Hair Loss: Week 25 (n=24,49) | Hair Loss: Week 28 (n=20,39) | Hair Loss: Week 31 (n=17,26) | Hair Loss: Week 34 (n=13,24) | Hair Loss: Week 37 (n=12,16) | Hair Loss: Week 40 (n=11,13) | Hair Loss: Week 43 (n=5,9) | Hair Loss: Week 46 (n=5,13) | Hair Loss: Week 49 (n=4,7) | Hair Loss: Week 52 (n=3,4) | Hair Loss: Week 55 (n=2,6) | Hair Loss: Week 58 (n=2,3) | Hair Loss: Week 61 (n=1,2) | Hair Loss: Week 64 (n=1,4) | Hair Loss: Week 67 (n=1,4) | Hair Loss: Week 70 (n=1,2) | Hair Loss: Week 73 (n=1,5) | Hair Loss: Week 76 (n=1,3) | Hair Loss: Week 79 (n=1,4) | Hair Loss: Week 82 (n=1,1) | Hair Loss: Week 85 (n=1,1) | Hair Loss: Week 88 (n=1,2) | Hair Loss: Week 91 (n=1,1) | Hair Loss: Week 94 (n=1,2) | Hair Loss: Week 97 (n=1,2) | Hair Loss: Week 100 (n=1,2) | Hair Loss: Week 103 (n=1,1) | Hair Loss: Week 106 (n=1,1) | Hair Loss: Week 109 (n=0,2) | Hair Loss: Week 112 (n=1,3) | Hair Loss: Week 115 (n=1,2) | Hair Loss: Week 118 (n=1,3) | Hair Loss: Week 121 (n=1,2) | Hair Loss: Week 124 (n=1,2) | Hair Loss: Week 127 (n=1,1) | Hair Loss: Week 130 (n=0,1) | Hair Loss: Week 133 (n=1,1) | Hair Loss: Final Visit (n=61,60) |
---|
Fluoropyrimidine/Cisplatin (FP) | 18.7 | 11.8 | 10.9 | 8.5 | 8.8 | 10.2 | 9.5 | 10.0 | 6.9 | 6.6 | 6.4 | 3.9 | 5.4 | 3.7 | 4.6 | 2.4 | 4.4 | 1.4 | 0.0 | 3.7 | 2.8 | 0.0 | 2.8 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | NA | 0.0 | NA | NA | NA | NA | 15.4 | 29.7 | 21.6 | 19.4 | 17.0 | 16.0 | 17.0 | 19.2 | 15.8 | 11.3 | 11.2 | 12.6 | 12.2 | 13.8 | 14.9 | 13.0 | 15.5 | 11.7 | 9.4 | 9.7 | 5.6 | 4.2 | 2.8 | 4.2 | 2.8 | 0.0 | 5.6 | 2.8 | 0.0 | 4.2 | 8.3 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | NA | 0.0 | NA | NA | NA | NA | 24.7 | 18.3 | 14.8 | 12.8 | 12.6 | 12.8 | 12.0 | 11.3 | 9.0 | 5.6 | 6.6 | 7.4 | 7.2 | 6.1 | 7.9 | 7.4 | 4.8 | 2.2 | 2.8 | 5.6 | 0.0 | 2.8 | 3.7 | 2.8 | 3.7 | 0.0 | 3.7 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | NA | 0.0 | NA | NA | NA | NA | 15.3 | 27.4 | 20.6 | 18.8 | 17.5 | 16.0 | 17.8 | 20.8 | 15.5 | 11.6 | 13.9 | 13.4 | 10.6 | 12.5 | 13.5 | 9.7 | 10.9 | 11.7 | 5.2 | 8.3 | 9.7 | 4.2 | 0.0 | 8.3 | 2.8 | 5.6 | 2.8 | 5.6 | 4.2 | 4.2 | 4.2 | 8.3 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | NA | 0.0 | NA | NA | NA | NA | 23.8 | 47.5 | 42.0 | 40.6 | 38.2 | 35.7 | 32.9 | 35.8 | 31.7 | 25.2 | 27.4 | 29.1 | 23.1 | 27.2 | 29.6 | 30.6 | 26.2 | 20.0 | 23.6 | 31.5 | 20.4 | 8.3 | 5.6 | 11.1 | 3.7 | 7.4 | 0.0 | 11.1 | 11.1 | 11.1 | 11.1 | 11.1 | 5.6 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | NA | 0.0 | NA | NA | NA | NA | 41.5 | 24.5 | 24.0 | 24.6 | 23.5 | 23.2 | 23.9 | 22.4 | 19.0 | 16.1 | 10.6 | 12.6 | 9.9 | 12.6 | 8.7 | 11.1 | 9.5 | 16.7 | 12.5 | 5.6 | 11.1 | 8.3 | 0.0 | 8.3 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 16.7 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | NA | 0.0 | NA | NA | NA | NA | 24.0 | 17.2 | 20.7 | 20.1 | 21.8 | 19.9 | 20.4 | 24.5 | 19.0 | 10.9 | 12.1 | 8.1 | 6.3 | 8.3 | 8.3 | 5.6 | 4.8 | 7.4 | 4.2 | 11.1 | 11.1 | 8.3 | 11.1 | 8.3 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | NA | 0.0 | NA | NA | NA | NA | 25.3 | 30.9 | 32.6 | 30.7 | 30.1 | 28.9 | 29.1 | 30.7 | 28.7 | 22.4 | 23.4 | 25.2 | 18.9 | 23.0 | 20.8 | 27.8 | 21.4 | 16.7 | 16.7 | 16.7 | 11.1 | 8.3 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | NA | 0.0 | NA | NA | NA | NA | 31.0 | 15.1 | 20.1 | 25.1 | 21.8 | 22.2 | 28.3 | 23.3 | 20.2 | 13.9 | 26.7 | 15.7 | 7.7 | 8.3 | 12.1 | 6.7 | 26.7 | 0.0 | 11.1 | 16.7 | 16.7 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | NA | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | NA | 0.0 | 23.0 |
Trastuzumab + Fluoropyrimidine/Cisplatin (FP + H) | 16.6 | 12.5 | 12.8 | 10.6 | 9.0 | 9.1 | 8.8 | 7.8 | 6.8 | 5.3 | 6.8 | 7.5 | 7.3 | 6.5 | 5.2 | 2.9 | 2.2 | 4.4 | 3.7 | 3.2 | 0.7 | 3.3 | 2.8 | 3.2 | 4.6 | 2.8 | 2.5 | 3.7 | 1.9 | 1.9 | 0.0 | 1.9 | 2.2 | 2.8 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 2.2 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 5.6 | 5.6 | 0.0 | 17.0 | 27.0 | 21.8 | 20.1 | 17.5 | 16.2 | 15.9 | 16.3 | 15.1 | 14.4 | 14.0 | 14.6 | 12.5 | 13.8 | 11.8 | 9.7 | 10.1 | 9.5 | 8.6 | 4.5 | 6.3 | 5.4 | 9.6 | 8.3 | 6.5 | 9.7 | 5.2 | 7.4 | 6.9 | 5.6 | 5.6 | 2.1 | 5.6 | 8.3 | 6.3 | 8.3 | 6.3 | 4.2 | 10.0 | 4.2 | 8.3 | 10.0 | 8.3 | 8.3 | 11.1 | 13.9 | 12.5 | 8.3 | 8.3 | 0.0 | 26.8 | 16.9 | 16.0 | 15.4 | 13.5 | 12.9 | 14.4 | 10.6 | 10.6 | 9.7 | 9.6 | 10.1 | 9.3 | 10.9 | 9.3 | 9.0 | 6.6 | 6.5 | 8.1 | 6.5 | 5.3 | 2.6 | 3.9 | 6.3 | 4.3 | 7.9 | 1.4 | 3.7 | 5.6 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 2.8 | 0.0 | 0.0 | 0.0 | 4.4 | 0.0 | 6.7 | 7.4 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 18.3 | 23.9 | 21.1 | 19.0 | 17.4 | 17.0 | 15.1 | 15.5 | 13.6 | 12.9 | 11.3 | 12.5 | 10.9 | 9.5 | 9.5 | 7.0 | 6.0 | 8.1 | 9.3 | 5.2 | 6.0 | 5.4 | 8.3 | 10.4 | 6.5 | 9.0 | 5.2 | 5.6 | 2.8 | 4.2 | 4.2 | 4.2 | 4.2 | 6.7 | 6.3 | 6.3 | 4.2 | 4.2 | 3.3 | 4.2 | 6.7 | 5.0 | 1.7 | 0.0 | 8.3 | 5.6 | 0.0 | 4.2 | 0.0 | 0.0 | 22.8 | 48.2 | 43.8 | 39.3 | 38.2 | 37.5 | 37.1 | 34.9 | 32.8 | 29.2 | 26.9 | 28.4 | 27.8 | 28.2 | 26.3 | 25.1 | 23.3 | 25.9 | 27.4 | 28.2 | 21.7 | 25.5 | 23.9 | 18.8 | 27.0 | 28.7 | 27.8 | 33.3 | 25.9 | 24.1 | 14.8 | 22.2 | 22.2 | 31.1 | 16.7 | 22.2 | 19.4 | 16.7 | 22.2 | 19.4 | 20.0 | 15.6 | 17.8 | 22.2 | 18.5 | 18.5 | 16.7 | 11.1 | 16.7 | 0.0 | 40.9 | 23.9 | 23.3 | 26.9 | 25.0 | 21.1 | 23.4 | 20.5 | 16.3 | 12.1 | 10.8 | 11.2 | 9.6 | 9.4 | 7.3 | 6.2 | 4.8 | 6.5 | 10.0 | 8.3 | 14.3 | 11.8 | 6.7 | 8.3 | 11.9 | 13.9 | 20.8 | 11.1 | 5.6 | 0.0 | 5.6 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 23.6 | 17.9 | 24.8 | 24.0 | 25.3 | 25.2 | 23.8 | 22.6 | 19.6 | 15.9 | 14.7 | 13.0 | 9.6 | 7.8 | 7.9 | 7.0 | 7.9 | 4.6 | 7.8 | 4.2 | 4.8 | 0.0 | 1.7 | 4.2 | 0.0 | 2.8 | 0.0 | 0.0 | 5.6 | 0.0 | 5.6 | 0.0 | 5.6 | 6.7 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 20.3 | 31.9 | 31.7 | 27.9 | 28.4 | 28.2 | 28.1 | 25.0 | 22.4 | 22.6 | 20.1 | 19.3 | 18.0 | 18.2 | 19.4 | 15.5 | 15.9 | 13.9 | 16.7 | 16.7 | 15.9 | 13.7 | 18.3 | 14.6 | 16.7 | 27.8 | 37.5 | 25.9 | 16.7 | 11.1 | 6.7 | 16.7 | 16.7 | 13.3 | 8.3 | 8.3 | 16.7 | 8.3 | 6.7 | 16.7 | 6.7 | 6.7 | 6.67 | 11.1 | 0.0 | 11.1 | 16.7 | 0.0 | 16.7 | 0.0 | 30.4 | 25.0 | 16.4 | 19.1 | 20.1 | 20.4 | 23.6 | 21.4 | 22.2 | 18.4 | 14.5 | 10.3 | 16.7 | 12.5 | 12.8 | 3.7 | 5.1 | 9.5 | 8.3 | 0.0 | 0.0 | 16.7 | 0.0 | 0.0 | 0.0 | 6.7 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 19.4 |
[back to top]
Progression-Free Survival - Time to Event
The median time, in months, from the date of randomization to the date of a PFS event. Participants were censored at the last date of tumor measurement, the last date in the study drug log, or the date of last follow-up. (NCT01041404)
Timeframe: BL, Days 43, 85, and 127, and every 21 days thereafter until disease progression or the end of study, 1 year after the cut-off date for the 2nd interim efficacy analysis
Intervention | months (Median) |
---|
Fluoropyrimidine, Cisplatin | 5.5 |
Trastuzumab, Fluoropyrimidine, Cisplatin | 6.7 |
[back to top]
Trastuzumab Maximum Serum Concentration (Cmax)
Median Cmax (measured as mg/L) calculated for all treated participants using the nominal dosage schedule administered as an IV infusion. (NCT01041404)
Timeframe: Predose and end of infusion on Days 1, 8, 15, and 64, and predose on Days 22 and 106
Intervention | mg/L (Median) |
---|
Trastuzumab + Fluoropyrimidine/Cisplatin (FP + H) | 128 |
[back to top]
Time to Progression (TTP) - Percentage of Participants With an Event
TTP was defined as the time from the date of randomization and the date of the first occurrence of PD. Participants were censored at the last date of tumor assessment, the last date in the study drug log, or the last date of follow-up. (NCT01041404)
Timeframe: BL, Days 43, 85, and 127, and every 21 days thereafter until disease progression or the end of study, 1 year after the cut-off date for the 2nd interim efficacy analysis
Intervention | percentage of participants (Number) |
---|
Fluoropyrimidine/Cisplatin (FP) | 74.1 |
Trastuzumab + Fluoropyrimidine/Cisplatin (FP + H) | 70.7 |
[back to top]
Progression-Free Survival (PFS) - Percentage of Participants With an Event
PFS was defined as the time from the date of randomization to the date of the first documentation of progressive disease (PD) or date of death, whichever occurs first. For target lesions (TL), PD was defined as at least a 20 percent (%) increase in the sum of the longest diameter (SLD) of TLs, taking as a reference the smallest SLD recorded since the treatment started, or the appearance of one or more lesions. For non-target lesions (NTL), PD was defined as an unequivocal progression of existing NTLs. Participants were censored at the last date of tumor measurement, the last date in the study drug log, or the date of last follow-up. (NCT01041404)
Timeframe: BL, Days 43, 85, and 127, and every 21 days thereafter until disease progression or the end of study, 1 year after the cut-off date for the 2nd interim efficacy analysis
Intervention | percentage of participants (Number) |
---|
Fluoropyrimidine/Cisplatin (FP) | 81.0 |
Trastuzumab + Fluoropyrimidine/Cisplatin (FP + H) | 76.9 |
[back to top]
Duration of Response
The median time, in months, of the duration of response. Participants were censored at the date of death, the date of last tumor measurement, the last date in study drug log, or the date of last follow-up. (NCT01041404)
Timeframe: BL, Days 43, 85, and 127, and every 21 days thereafter until disease progression or the end of study, 1 year after the cut-off date for the 2nd interim efficacy analysis
Intervention | months (Median) |
---|
Fluoropyrimidine/Cisplatin (FP) | 4.8 |
Trastuzumab + Fluoropyrimidine/Cisplatin (FP + H) | 6.9 |
[back to top]
Percentage of Participants With Confirmed Complete Response (CR) or Partial Response (PR) Determined by Response Evaluation Criteria in Solid Tumors (RECIST)
For TLs, a CR was defined as the disappearance of all TLs and a PR was defined as at least a 30% decrease in the SLD of the TLs, taking as a reference the baseline SLD. For NTLs, a CR was defined as the disappearance of all NTLs and normalization of tumor marker levels. (NCT01041404)
Timeframe: BL, Days 43, 85, and 127, and every 21 days thereafter until disease progression or the end of study, 1 year after the cut-off date for the 2nd interim efficacy analysis
Intervention | percentage of participants (Number) |
---|
Fluoropyrimidine/Cisplatin (FP) | 34.5 |
Trastuzumab + Fluoropyrimidine/Cisplatin (FP + H) | 47.3 |
[back to top]
Percentage of Participants With Clinical Benefit
Clinical benefit was defined as stable disease (SD), CR, or PR for 6 weeks or longer as determined by RECIST. For TLs, SD was defined as neither sufficient shrinkage to qualify for PR, nor sufficient increase to qualify for PD, taking as a reference the smallest SLD recorded since treatment had started. For NTLs, SD was defined as a persistence of one or more NTLs and/or maintenance of tumor marker levels above the normal limits. (NCT01041404)
Timeframe: BL, Days 43, 85, and 127, and every 21 days thereafter until disease progression or the end of study, 1 year after the cut-off date for the 2nd interim efficacy analysis
Intervention | percentage of participants (Number) |
---|
Fluoropyrimidine/Cisplatin (FP) | 69.3 |
Trastuzumab + Fluoropyrimidine/Cisplatin (FP + H) | 78.9 |
[back to top]
Overall Survival (OS) - Percentage of Participants With an Event
OS was defined as the time from the date of randomization to the date of death due to any cause. Participants were censored at the last date of tumor measurement, the last date in the study drug log, or the date of last follow-up. (NCT01041404)
Timeframe: Baseline (BL), Days 1, 8, 15, 22, 43, 64, 85, 106, 127, and every 21 days until the end of study, 1 year after the cut-off date for the 2nd interim efficacy analysis
Intervention | percentage of participants (Number) |
---|
Fluoropyrimidine/Cisplatin (FP) | 62.8 |
Trastuzumab + Fluoropyrimidine/Cisplatin (FP + H) | 56.8 |
[back to top]
Number of Participants With Adverse Events and Serious Adverse Events
ADVERSE EVENTS (AE) AND SERIOUS ADVERSE EVENTS (SAE) Adverse Events (AEs) will use the descriptions and grading scales found in the NCI CTCAE v3.0 (NCT01044433)
Timeframe: 5 years
Intervention | Participants (Count of Participants) |
---|
| Diarrhea | Rash | Pain | Fatigue | Infection | Nausea | Mucositis | Vomiting | Constipation | Hand-foot syndrome | Cough | Acute kidney injury | Dry skin | Anorexia | Dehydration | Edema of limb | Heartburn | Hyponatremia | Neuropathy | Neutropenia | Febrile |
---|
Arm I | 31 | 31 | 26 | 23 | 19 | 19 | 14 | 13 | 10 | 8 | 7 | 6 | 6 | 6 | 5 | 5 | 5 | 5 | 5 | 2 | 1 |
[back to top]
Disease Control Rate
(NCT01044433)
Timeframe: 5 years
Intervention | percentage (Number) |
---|
Arm I | 68 |
[back to top]
Overall Survival
(NCT01044433)
Timeframe: 5 years
Intervention | Months (Mean) |
---|
Lapatinib Ditosylate and Capecitabine | 10.7 |
[back to top]
Response Rate
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT01044433)
Timeframe: 5 years
Intervention | percentage (Number) |
---|
Arm I | 25 |
[back to top]
Progression-free Survival
(NCT01044433)
Timeframe: 5 years
Intervention | months (Number) |
---|
Arm I | 4.2 |
[back to top]
Rate of Locoregional Control
(NCT01060007)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
Neoadjuvant Radiation Followed by FOLFOX | 96 |
[back to top]
Preoperative Gastrointestinal Morbidity
As measured by participants who experience grade 3 or higher gastrointestinal morbidity (NCT01060007)
Timeframe: Mean number of weeks before surgery 17.3 (SD +/- 2.9 weeks)
Intervention | participants (Number) |
---|
Neoadjuvant Radiation Followed by FOLFOX | 7 |
[back to top]
Rate of Overall Control
(NCT01060007)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
Neoadjuvant Radiation Followed by FOLFOX | 89 |
[back to top]
Determine Quality of Anorectal Function
"Anorectal function was measured by the participant's response to the FACT-C questionnaire question I have control of my bowels. The answers ranged from 0=not at all to 4=very much." (NCT01060007)
Timeframe: Up to 1 year
,,
Intervention | Participants (Count of Participants) |
---|
| 0 = not at all | 1 = a little bit | 2 = somewhat | 3 = quite a bit | 4 = very much |
---|
1 Year Post-treatment | 2 | 4 | 13 | 7 | 5 |
Pre-surgery | 4 | 4 | 8 | 21 | 22 |
Pre-treatment | 7 | 3 | 22 | 14 | 26 |
[back to top]
Incidence of Any Late Grade 3 or Higher Morbidity
(NCT01060007)
Timeframe: Preoperative (mean time from start of radiation to surgery 17.3 weeks (SD +/- 2.9 weeks)
Intervention | participants (Number) |
---|
| Non-hematologic toxicities | Hematologic toxicities |
---|
Neoadjuvant Radiation Followed by FOLFOX | 16 | 21 |
[back to top]
Local Control
"Kaplan-Meier projections~Local control = control of primary tumor" (NCT01060007)
Timeframe: 30 months
Intervention | percentage of participants (Number) |
---|
Neoadjuvant Radiation Followed by FOLFOX | 95 |
[back to top]
Rate of T Stage Downstaging
T stage downstaging is defined as clinical pretreatment American Joint Committee on Cancer T stage (cT) being greater than pathologic T stage at surgery (ypT). (NCT01060007)
Timeframe: Mean number of weeks before surgery 17.3 (SD +/- 2.9 weeks)
Intervention | percentage of participants (Number) |
---|
Neoadjuvant Radiation Followed by FOLFOX | 71 |
[back to top]
Incidence of Post Chemoradiotherapy Grade 3 or Higher Morbidity
(NCT01060007)
Timeframe: 1 year (completion of all treatment)
Intervention | participants (Number) |
---|
Neoadjuvant Radiation Followed by FOLFOX | 21 |
[back to top]
Freedom From Disease Relapse
Kaplan-Meier projections. (NCT01060007)
Timeframe: 30 months
Intervention | percentage of participants (Number) |
---|
Neoadjuvant Radiation Followed by FOLFOX | 87 |
[back to top]
Percentage of Participants With an Overall Response of Complete Response (CR) or Partial Response (PR)
"Percentage of participants with an overall response of CR or PR according to RECIST criteria.~CR was defined as complete disappearance of all target lesions and non-target disease, with the exception of nodal disease. All nodes, both target and non-target, must have decreased to normal (short axis less than [<]10 millimeters [mm]). No new lesions. PR was defined as greater than or equal to (≥)30 percent (%) decrease under baseline of the sum of diameters of all target lesions. The short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. No unequivocal progression of non-target disease. No new lesions." (NCT01077739)
Timeframe: Baseline, every 9 weeks until disease progression, at end of treatment or withdrawal, for up to 24 months
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Oxaliplatin + Capecitabine | 27.3 |
Bevacizumab + FOLFOX | 6.4 |
[back to top]
PFS From the Start of First-Line Therapy
PFS from the start of first-line therapy was defined as the interval between the start of first-line therapy and the date at which second disease progression (after the start of beyond progression therapy) was documented. Progression of disease was evaluated using RECIST version 1.1 and abdominal/pelvic CT or MRI scanning. The same method of assessment and the same technique were to be used to evaluate each lesion throughout the entire study. If more than one method was used, data from the most accurate method according to RECIST were recorded. Median PFS was estimated using the Kaplan-Meier method. (NCT01077739)
Timeframe: Baseline, every 9 weeks until disease progression, at end of treatment or withdrawal, for up to 24 months
Intervention | months (Median) |
---|
Bevacizumab + Oxaliplatin + Capecitabine | 17.8 |
Bevacizumab + FOLFOX | 18.0 |
[back to top]
Progression-Free Survival (PFS) From the Start of Treatment Beyond Progression
PFS from the start of treatment beyond progression was defined as the interval between the start of beyond-progression therapy and the date at which disease progression was documented. Progression of disease was evaluated using Response Evaluation Criteria in Solid Tumors (RECIST) criteria version 1.1 and abdominal/pelvic computerized tomography (CT) or magnetic resonance imaging (MRI) scanning as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. The same method of assessment and the same technique were to be used to evaluate each lesion throughout the entire study. If more than one method was used, data from the most accurate method according to RECIST were recorded. Median PFS was estimated using the Kaplan-Meier method. (NCT01077739)
Timeframe: Baseline, every 9 weeks until disease progression, at end of treatment or withdrawal, for up to 24 months
Intervention | months (Median) |
---|
Bevacizumab + Oxaliplatin + Capecitabine | 6.3 |
Bevacizumab + FOLFOX | 5.1 |
[back to top]
Geometric Mean Values of Pro-Angiogenic Cytokine Concentrations at Baseline and Prior to Progression
Pro-angiogenic cytokine concentrations of placental growth factor (PlGF), basic fibroblast growth factor (bFGF), and hepatocyte growth factor (HGF) in participant sera were measured and reported in units of picograms/milliliter (pg/mL). The geometric mean was calculated as exp10 (mean of log10 transformed concentration) and the standard deviation (SD) is SD of log10 transformed concentration. (NCT01077739)
Timeframe: Baseline, every 9 weeks until disease progression, at final visit or at withdrawal, for up to 24 months
,
Intervention | pg/mL (Geometric Mean) |
---|
| Baseline bFGF (n=13,23) | bFGF, Prior to progression levels (n=12,18) | Baseline HGF (n=13,23) | HGF, Prior to progression levels (n=12,18) | Baseline PIGF (n=13,23) | PIGF, Prior to progression levels (n=12,18) |
---|
Bevacizumab + FOLFOX | 6.1 | 4.2 | 186.0 | 230.3 | 26.3 | 37.1 |
Bevacizumab + Oxaliplatin + Capecitabine | 6.8 | 3.6 | 133.0 | 187.3 | 29.8 | 34.7 |
[back to top]
Patient Reported Quality of Life
Patient reported quality of life was measured with the Treatment Outcome Index of the Functional Assessment of Cancer Therapy for endometrial cancer (FACT-O TOI). The FACT-O TOI is a scale for assessing general QOL of ovarian cancer patients. It consists of three subscales: Physical Well Being (7 items), Functional Well Being (7 items), and Ovarian Cancer subscale (11 items). Each item in the FACT-O TOI was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). For the negative statements (or questions), reversal was performed prior to score calculation. According to the FACIT measurement system, a subscale score was the summation of the individual item scores if more than 50% of subscale items were answered. The FACT-O TOI score ranges 0-100 with a large score suggests better QOL (NCT01081262)
Timeframe: baseline (pre-treatment), pre cycle 4, post cycle 6, six months post-chemo, end of bevacizumab [BEV] (or 39 weeks after completion of chemotherapy in the non-BEV arms or in those who discontinue BEV), six months after BEV, and years 2, 3, 4, and 5
Intervention | units on a scale (Mean) |
---|
| Baseline (pre-treatment) | Pre-Cycle 4 | Post-Cycle 6 | End of Bevacizumab (BEV) | Six Months after BEV | 2 Years after BEV |
---|
Arm II (Oxaliplatin and Capecitabine) | 62.3 | 72.9 | 73.5 | 53.3 | 53.0 | 56.0 |
[back to top]
Patient Reported Quality of Life
Patient reported quality of life was measured with the Treatment Outcome Index of the Functional Assessment of Cancer Therapy for endometrial cancer (FACT-O TOI). The FACT-O TOI is a scale for assessing general QOL of ovarian cancer patients. It consists of three subscales: Physical Well Being (7 items), Functional Well Being (7 items), and Ovarian Cancer subscale (11 items). Each item in the FACT-O TOI was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). For the negative statements (or questions), reversal was performed prior to score calculation. According to the FACIT measurement system, a subscale score was the summation of the individual item scores if more than 50% of subscale items were answered. The FACT-O TOI score ranges 0-100 with a large score suggests better QOL (NCT01081262)
Timeframe: baseline (pre-treatment), pre cycle 4, post cycle 6, six months post-chemo, end of bevacizumab [BEV] (or 39 weeks after completion of chemotherapy in the non-BEV arms or in those who discontinue BEV), six months after BEV, and years 2, 3, 4, and 5
,
Intervention | units on a scale (Mean) |
---|
| Baseline (pre-treatment) | Pre-Cycle 4 | Post-Cycle 6 | Six Months Post-Chemo | End of Bevacizumab (BEV) | Six Months after BEV | 2 Years after BEV | 3 Years after BEV |
---|
Arm I (Carboplatin and Paclitaxel) | 62.6 | 57.5 | 65.2 | 74.1 | 68.9 | 54.0 | 71.7 | 76.4 |
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab) | 75.4 | 76.0 | 71.8 | 68.7 | 49.9 | 70.5 | 77.0 | 76.0 |
[back to top]
Patient Reported Quality of Life
Patient reported quality of life was measured with the Treatment Outcome Index of the Functional Assessment of Cancer Therapy for endometrial cancer (FACT-O TOI). The FACT-O TOI is a scale for assessing general QOL of ovarian cancer patients. It consists of three subscales: Physical Well Being (7 items), Functional Well Being (7 items), and Ovarian Cancer subscale (11 items). Each item in the FACT-O TOI was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). For the negative statements (or questions), reversal was performed prior to score calculation. According to the FACIT measurement system, a subscale score was the summation of the individual item scores if more than 50% of subscale items were answered. The FACT-O TOI score ranges 0-100 with a large score suggests better QOL (NCT01081262)
Timeframe: baseline (pre-treatment), pre cycle 4, post cycle 6, six months post-chemo, end of bevacizumab [BEV] (or 39 weeks after completion of chemotherapy in the non-BEV arms or in those who discontinue BEV), six months after BEV, and years 2, 3, 4, and 5
Intervention | units on a scale (Mean) |
---|
| Baseline (pre-treatment) | Pre-Cycle 4 | Post-Cycle 6 | Six Months Post-Chemo | End of Bevacizumab (BEV) | Six Months after BEV | 2 Years after BEV | 3 Years after BEV | 4 Years after BEV | 5 Years after BEV |
---|
Arm III (Carboplatin, Paclitaxel, Bevacizumab) | 68.7 | 68.7 | 68.3 | 80.3 | 73.0 | 87.5 | 76.3 | 80.5 | 71.5 | 78.0 |
[back to top]
Patient Reported Neurotoxicity
Patient reported neurotoxicity symptoms as measured with the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group - neurotoxicity subscale (short version) (FACT/GOG-Ntx subscale). The FACT/GOG-Ntx subscale contains 4 items. Each item was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). For the negative items, reversal was performed prior to score calculation. According to the FACIT measurement system, the Ntx score was the summation of the individual item scores if more than 50% of subscale items were answered. When unanswered items existed, a subscale score was prorated by multiplying the mean of the answered item scores by the number of items in the scale. The Ntx score ranges 0-16 with a large score suggests less neurotoxicity. (NCT01081262)
Timeframe: baseline (pre-treatment), pre cycle 4, post cycle 6, six months post-chemo, end of bevacizumab [BEV] (or 39 weeks after completion of chemotherapy in the non-BEV arms or in those who discontinue BEV), six months after BEV, and years 2, 3, 4, and 5
,
Intervention | units on a scale. (Mean) |
---|
| Baseline (pre-treatment) | Pre-cycle 4 | Post cycle 6 | Six months post chemo | End of bevacizumab (BEV) | Six months after BEV | 2 years after BEV | 3 years after BEV |
---|
Arm I (Carboplatin and Paclitaxel) | 16.0 | 7.3 | 6.5 | 5.0 | 16.0 | 10.0 | 8.0 | 14.0 |
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab) | 16.0 | 5.7 | 8.0 | 10.7 | 11.7 | 7.0 | 16.0 | 16.0 |
[back to top]
Patient Reported Neurotoxicity
Patient reported neurotoxicity symptoms as measured with the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group - neurotoxicity subscale (short version) (FACT/GOG-Ntx subscale). The FACT/GOG-Ntx subscale contains 4 items. Each item was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). For the negative items, reversal was performed prior to score calculation. According to the FACIT measurement system, the Ntx score was the summation of the individual item scores if more than 50% of subscale items were answered. When unanswered items existed, a subscale score was prorated by multiplying the mean of the answered item scores by the number of items in the scale. The Ntx score ranges 0-16 with a large score suggests less neurotoxicity. (NCT01081262)
Timeframe: baseline (pre-treatment), pre cycle 4, post cycle 6, six months post-chemo, end of bevacizumab [BEV] (or 39 weeks after completion of chemotherapy in the non-BEV arms or in those who discontinue BEV), six months after BEV, and years 2, 3, 4, and 5
Intervention | units on a scale. (Mean) |
---|
| Baseline (pre-treatment) | Pre-cycle 4 | Post cycle 6 | End of bevacizumab (BEV) | Six months after BEV | 2 years after BEV |
---|
Arm II (Oxaliplatin and Capecitabine) | 15.3 | 11.8 | 11.7 | 10.0 | 10.0 | 14.0 |
[back to top]
Participants With Grade 1 or Higher Non-serious Adverse Effects Assessed by CTCAE Version 4.0
Grade 1 or higher non-serious adverse events were graded by CTC AE v 4. (NCT01081262)
Timeframe: Every cycle while on treatment, up to 5 years
,,,
Intervention | Participants (Count of Participants) |
---|
| Abnormal lab values | Allergic reaction | Allergic rhinitis | Alopecia | Anemia | Bleeding | Cold-like symptoms | Constipation | Diarrhea | dyspnea | Edema Limbs | Fatigue | Fever | Hand/Foot Syndrome | Headache | Hypertension | Hypomagnesemia | Infection | Laryngeal Spasm | Low Lymphocytes | Low Mood | Low Neutrophils | Low platelets | Low white Blood Cells | Mucositis | Nausea/Vomiting | Oral Problems | Other | Other GI Problems | Pain | Peripheral/Sensory Neuropathy | Pneumothorax | Raised CA19-9 | Raised Blood Counts | Rash | Stomatitis | Taste Alteration | Urinary Problems | Vaginal Bleeding | Weight Gain | Weight Loss |
---|
Arm I (Carboplatin and Paclitaxel) | 8 | 3 | 0 | 11 | 12 | 1 | 2 | 3 | 5 | 2 | 0 | 10 | 3 | 1 | 3 | 3 | 1 | 4 | 0 | 1 | 1 | 7 | 8 | 5 | 1 | 8 | 3 | 4 | 8 | 9 | 11 | 0 | 0 | 1 | 4 | 0 | 3 | 1 | 0 | 0 | 2 |
Arm II (Oxaliplatin and Capecitabine) | 10 | 1 | 1 | 1 | 7 | 1 | 3 | 4 | 6 | 1 | 1 | 10 | 0 | 0 | 4 | 8 | 0 | 0 | 4 | 1 | 2 | 5 | 3 | 5 | 1 | 8 | 2 | 4 | 6 | 6 | 11 | 1 | 0 | 1 | 2 | 2 | 2 | 0 | 1 | 1 | 3 |
Arm III (Carboplatin, Paclitaxel, Bevacizumab) | 10 | 0 | 1 | 9 | 4 | 3 | 7 | 7 | 5 | 3 | 0 | 8 | 2 | 0 | 5 | 9 | 2 | 3 | 0 | 2 | 1 | 4 | 5 | 4 | 1 | 9 | 4 | 7 | 7 | 7 | 8 | 0 | 2 | 0 | 3 | 1 | 1 | 1 | 1 | 1 | 4 |
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab) | 10 | 4 | 1 | 5 | 6 | 5 | 6 | 9 | 8 | 0 | 0 | 11 | 1 | 7 | 4 | 10 | 0 | 3 | 0 | 0 | 1 | 7 | 7 | 6 | 3 | 9 | 9 | 7 | 6 | 7 | 10 | 0 | 0 | 1 | 4 | 0 | 2 | 2 | 2 | 2 | 5 |
[back to top]
Progression-free Survival
Progression is defined using Response Evaluation Criteria in Solid Tumors criteria (RECIST v1.0) as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT01081262)
Timeframe: Is measured from date of randomization until first indication of progression based on RECIST criteria or death from any cause, or if progression-free at last contact, the date of last disease assessment up to 10 years.
Intervention | Months (Median) |
---|
Arm I (Carboplatin and Paclitaxel) | 36.1 |
Arm II (Oxaliplatin and Capecitabine) | 7.4 |
Arm III (Carboplatin, Paclitaxel, Bevacizumab) | 15.4 |
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab) | 23.3 |
[back to top]
Objective Tumor Response
Complete and Partial Tumor Response by RECIST 1.1. Per Response Evaluation Criteria in Solid Tumors Criteria (RECIST v.1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR),.>=30% decrease in the sum of the longest diameter of target lesions; Overall response (OR) = CR + PR (NCT01081262)
Timeframe: CT scan or MRI if used to follow lesion for measurable disease every other cycle for the first 6 months; then every 3 months x 2; then every 6 months thereafter until disease progression, and any other time clinically indicated, up to 5 years
Intervention | Percentage of Participants (Number) |
---|
Arm I (Carboplatin and Paclitaxel) | 22 |
Arm II (Oxaliplatin and Capecitabine) | 27 |
Arm III (Carboplatin, Paclitaxel, Bevacizumab) | 43 |
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab) | 40 |
[back to top]
Patient Reported Neurotoxicity
Patient reported neurotoxicity symptoms as measured with the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group - neurotoxicity subscale (short version) (FACT/GOG-Ntx subscale). The FACT/GOG-Ntx subscale contains 4 items. Each item was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). For the negative items, reversal was performed prior to score calculation. According to the FACIT measurement system, the Ntx score was the summation of the individual item scores if more than 50% of subscale items were answered. When unanswered items existed, a subscale score was prorated by multiplying the mean of the answered item scores by the number of items in the scale. The Ntx score ranges 0-16 with a large score suggests less neurotoxicity. (NCT01081262)
Timeframe: baseline (pre-treatment), pre cycle 4, post cycle 6, six months post-chemo, end of bevacizumab [BEV] (or 39 weeks after completion of chemotherapy in the non-BEV arms or in those who discontinue BEV), six months after BEV, and years 2, 3, 4, and 5
Intervention | units on a scale. (Mean) |
---|
| Baseline (pre-treatment) | Pre-cycle 4 | Post cycle 6 | Six months post chemo | End of bevacizumab (BEV) | Six months after BEV | 2 years after BEV | 3 years after BEV | 4 years after BEV | 5 years after BEV |
---|
Arm III (Carboplatin, Paclitaxel, Bevacizumab) | 14.3 | 12.7 | 11.0 | 11.3 | 9.5 | 9.0 | 5.5 | 9.5 | 6.5 | 7.5 |
[back to top]
Overall Survival
Overall survival is defined as the duration of time from study entry to time of death, or the date of last contact. (NCT01081262)
Timeframe: Up to five years
Intervention | months (Median) |
---|
Arm I (Carboplatin and Paclitaxel) | 37.6 |
Arm II (Oxaliplatin and Capecitabine) | 27.8 |
Arm III (Carboplatin, Paclitaxel, Bevacizumab) | 27.7 |
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab) | 55.7 |
[back to top]
Duration of Response
Measured from the first time that measurement criteria were first met for objective response (documented CR or PR) until recurrence/progression or death whatever the cause. (NCT01095003)
Timeframe: Baseline up to 2 years 7 months
Intervention | Months (Median) |
---|
Vinflunine Plus Capecitabine | 57.3 |
Capecitabine Single-agent | 47.9 |
[back to top]
Overall Survival
The overall survival (OS) was defined as the duration between the date of randomisation and the date of death from any cause. The OS analysis was performed in the ITT population and the eligible and per protocol populations once the required number of events (631 deaths) was observed Patients lost to follow-up, or without a known record of death at time of analysis had the OS censored at the date of last contact. (NCT01095003)
Timeframe: Baseline upto 3 years 10 months
Intervention | Months (Median) |
---|
Vinflunine Plus Capecitabine | 13.9 |
Capecitabine Single-agent | 11.7 |
[back to top]
Progression Free Survival
"PFS is defined as time from date of randomization to date of the first documentation of objective tumor progression (according to the Independent Response Review Committee (IRC) and based on RECIST version 1.1) or death due to any cause.~The PFS was primarily analysed in the Intent-to-treat (ITT) population. Patients lost to follow-up, or without a known record of progression or death at time of analysis had the progression-free survival censored at the date of last tumour assessment or the date of last contact of a follow-up showing no progression, whichever occurs last." (NCT01095003)
Timeframe: Baseline up to 2 years 7 months
Intervention | Months (Median) |
---|
Vinflunine Plus Capecitabine | 5.6 |
Capecitabine Single-agent | 4.3 |
[back to top]
Overall Response Rate (ORR)
ORR defined as documentation of complete or partial response that was subsequently confirmed to first documentation of disease progression or to death due to any cause, whichever occurred first. (NCT01095003)
Timeframe: Baseline upto 2 years 7 months
Intervention | Percent (Number) |
---|
Vinflunine Plus Capecitabine | 22.9 |
Capecitabine Single-agent | 17.9 |
[back to top]
Disease Control Rate
Disease control rate defined (DCR) as the sum of confirmed complete response, confirmed partial response and stabilisation rate. (NCT01095003)
Timeframe: Baseline up to 2 years 7 months
Intervention | Percent (Number) |
---|
Vinflunine Plus Capecitabine | 57.3 |
Capecitabine Single-agent | 47.9 |
[back to top]
Progression-free Survival
Progression-free survival was defined as the time from the initiation of treatment to the earliest date of failure (disease progression, death from any cause, or a second malignancy) or to the last assessment date for patients who did not fail. Disease progression was defined as progressive neurologic abnormalities or worsening neurologic status not explained by causes unrelated to tumor progression (eg, anticonvulsant or corticosteroid toxicity, electrolyte disturbances, sepsis, hyperglycemia, weaning of steroids, radiation necrosis, etc); or a greater than 25% increase in the bi-dimensional measurement of the tumor, as compared with the previous scan; or the appearance of a new lesion; or an increase in the doses of dexamethasone required to maintain stable neurologic status or imaging. (NCT01118377)
Timeframe: Baseline to the end of the study (up to 20 weeks)
Intervention | Months (Median) |
---|
Capecitabine + Radiation Therapy | 4.9 |
[back to top]
Percentage of Participants With a Tumor Response
Tumor response was defined as either a complete response or a partial response prior to failure (disease progression, death from any cause, or a second malignancy). A complete response was defined as the complete disappearance on magnetic response imaging of all enhancing tumor and mass effect on a stable or decreasing dose of dexamethasone (or only receiving adrenal replacement doses) accompanied by a stable or improving neurologic examination that was maintained for at least 12 weeks. A partial response was defined as a greater than or equal to 50% reduction in tumor size by bi-dimensional measurement on a stable or decreasing dose of dexamethasone accompanied by a stable or improving neurologic examination that was maintained for at least 12 weeks. (NCT01118377)
Timeframe: Baseline to the end of the study (up to 20 weeks)
Intervention | Percentage of participants (Number) |
---|
Capecitabine + Radiation Therapy | 2.3 |
[back to top]
Overall Survival
Overall survival was defined as the time from the initiation of therapy to the date of death from any cause or to the date the patient was last known to be alive for surviving patients. (NCT01118377)
Timeframe: Baseline to the end of the study (up to 20 weeks)
Intervention | Months (Median) |
---|
Capecitabine + Radiation Therapy | 10.3 |
[back to top]
Tolerated Dose
"Six subjects will be initially enrolled (neratinib 240 mg/day; capecitabine 1500 mg/m²/day on days 1 through 14). AEs and DLTs will be assessed from the first dose of investigational product through day 21. Based on the DLT rate in these first 6 subjects, dose tolerability will be confirmed as follows:~If ≤1 of the first 6 evaluable subjects experience a DLT by day 21, then this dose is considered tolerable, and enrollment will stop.~If ≥3 of the first 6 evaluable subjects experience a DLT by day 21, this dose is considered intolerable.~If 2 of the first 6 evaluable subjects experience a DLT by day 21, then an additional 4 subjects will be enrolled at the same dose level.~If a total of 10 subjects are enrolled, then the tolerability will be confirmed as follows:~If ≤3 of the total 10 subjects experience a DLT by day 21, then this dose will be considered tolerable.~If ≥4 of the total 10 subjects experience a DLT by day 21, then the dose will be considered intolerable." (NCT01128842)
Timeframe: From first dose date to day 21.
Intervention | mg (Number) |
---|
Neratinib + Capecitabine | 240 |
[back to top]
Progression Free Survival
Number of weeks between the date of the first dose of test article and the first date of disease recurrence or disease progression (PD), or death due to any cause, was documented, censored at the last evaluation, investigator assessment. Progression is defined using Response Evaluation Criteria in Solid Tumors Criteria (v1.0), as at least a 20% increase in the sum of the longest diameters (LD) of target lesions, taking as reference the nadir LD, meaning the smallest sum of the LDs recorded since the treatment started; or unequivocal progression of existing nontarget lesions; or the appearance of any new lesions. (NCT01128842)
Timeframe: From first dose date to PD or death, up to 41 weeks.
Intervention | weeks (Median) |
---|
Neratinib + Capecitabine | 15.6 |
[back to top]
Objective Response Rate
Percentage of participants with partial response (PR) or complete response (CR) per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) v.1.0: CR, disappearance of all target lesions; PR, >=30% decrease in the sum of the longest diameter of target lesions; and Non Progressive Disease (PD) for non-target lesions, and no new lesions. (NCT01128842)
Timeframe: From first dose date to progression or last tumor assessment, up to 41 weeks.
Intervention | percentage of participants (Number) |
---|
Neratinib + Capecitabine | 14.3 |
[back to top]
Maximum Plasma Concentration of Neratinib in Combination With Capecitabine
Maximum plasma concentration (nanograms/milliliter) of Neratinib at day 14 following Administration of Neratinib 240 mg in combination with Capecitabine 1500 mg/m^2 per day to Japanese Subjects with Cancer. (NCT01128842)
Timeframe: Measured at 1, 2, 4, 6, 8 and 21-24 hours after dose on day 14.
Intervention | ng/mL (Mean) |
---|
Neratinib + Capecitabine | 61.9 |
[back to top]
Dose Limiting Toxicity (DLT) - Percentage of Participants With DLT Events
DLT was defined as 1. Grade 3 or 4 non-hematologic toxicity (exceptions listed below as a.-c.), a. Grade 3 asthenia was NOT considered to be a DLT UNLESS it lasted >3 days. b. Grade 3 nausea or vomiting was NOT considered to be a DLT UNLESS the subject was already receiving optimal medical therapy. c. Grade 3 or 4 infection was NOT considered to be a DLT UNLESS it is associated with grade 3 or 4 neutropenia. 2. Grade 3 diarrhea that lasted >2 days while the subject was on optimal medical therapy or that was associated with fever (greater than or equal 38.0 ºC) or grade 3 dehydration. 3. Grade 4 neutropenia lasting ≥3 days or grade 4 febrile neutropenia. 4. Grade 4 thrombocytopenia lasting ≥3 days or complicated with bleeding or requiring platelet transfusion. 5. Delayed recovery (to National Cancer Institute [NCI] grade 1 or less, or baseline) from any of the toxicities listed above (items 1-4), that was related to study drug, and that delayed the next dose by more than 3 weeks. (NCT01128842)
Timeframe: From first dose date to day 21.
Intervention | Participants (Count of Participants) |
---|
Neratinib + Capecitabine | 1 |
[back to top]
Area Under the Curve (AUC) of Neratinib in Combination With Capecitabine
AUC of Neratinib at day 14 following Administration of Neratinib 240 mg in combination with Capecitabine 1500 mg/m^2 per day to Japanese Subjects with Cancer. (NCT01128842)
Timeframe: At 1, 2, 4, 6, 8 and 21-24 hours after dose on day 14.
Intervention | ng*hr/mL (Mean) |
---|
Neratinib + Capecitabine | 1070 |
[back to top]
Percentage of Participants With Pathological Complete Response (pCR)
pCR was defined as an absence of any invasive cancer cell of the primary tumor after the time of major neoadjuvant chemotherapy, with or without surgery. (NCT01130337)
Timeframe: Between Days 7 and 21 of the 3rd cycle of neoadjuvant treatment, thereafter, every 9 weeks during adjuvant treatment and then after adjuvant treatment every 3 months until Month 25
Intervention | percentage of participants (Number) |
---|
Capecitabine+Oxaliplatin+Trastuzumab | 8.33 |
[back to top]
Percentage of Participants With Objective Response
An objective response was defined as either a complete response (CR) or a partial response (PR). Using the Response Evaluation Criteria in Solid Tumors (RECIST), CR was defined as the disappearance of all target lesions and all non-target lesions, normalization of tumor marker level, and no new lesions. PR was defined as the disappearance of all target lesions and persistence of greater than or equal to (≥) 1 non-target lesions and/or the maintenance of tumor marker level above the normal limits, or, at least a 30% decrease in the sum of the longest diameter of target lesions, and no new lesions or unequivocal progression of existing non-target lesions. (NCT01130337)
Timeframe: Between Days 7 and 21 of the 3rd cycle of neoadjuvant treatment, thereafter, every 9 weeks during adjuvant treatment and then after adjuvant treatment every 3 months until Month 25
Intervention | percentage of participants (Number) |
---|
Capecitabine+Oxaliplatin+Trastuzumab | 38.89 |
[back to top]
Percentage of Participants With Disease-free Survival (DFS) at Month 18
DFS was the time elapsed from the time of surgery (for complete resection [R0] participants) until the date on which progression or death from any cause was documented (whichever occured first). Progression was defined as target lesions greater than (>) 20 percent (%) increase in the sum of the longest diameter (SLD) taking as reference the smallest SLD recorded since the treatment started (nadir) and minimum 5 millimeter (mm) increase over the nadir. When the sum becomes very small, increases within the measurement error (2-3 mm) can lead to a 20% increase. Participants who did not present progression and who had not died were censored on the last date on which it was known that there was no progression (last response assessment). (NCT01130337)
Timeframe: Month 18
Intervention | percentage of participants (Number) |
---|
Capecitabine+Oxaliplatin+Trastuzumab | 76.12 |
[back to top]
Percentage of Participants With Complete Tumor Resection (R0)
R0 resection was defined as having performed a complete resection of the tumor with adequate tumor-free margins and regional lymph node extirpation. (NCT01130337)
Timeframe: Between Days 7 and 21 of the 3rd cycle of neoadjuvant treatment, thereafter, every 9 weeks during adjuvant treatment and then after adjuvant treatment every 3 months until Month 25
Intervention | percentage of participants (Number) |
---|
Capecitabine+Oxaliplatin+Trastuzumab | 90.32 |
[back to top]
Time to Progression (TTP)
TTP is defined as the time from date of randomization until objective tumor progression or death due to any cause. It includes deaths and thus can be correlated to overall survival. (NCT01131078)
Timeframe: Randomization, Weeks 3, 6 and 9, and every 3 months up to 5 years or Death
Intervention | months (Median) |
---|
Bevacizumab + Irinotecan + Capecitabine (1000 mg/m^2) | 8.35 |
Bevacizumab + Capecitabine (1250 mg/m^2) | 8.15 |
Bevacizumab + Capecitabine (650 mg/m^2) | 7.27 |
[back to top]
Time to Treatment Failure
Time to treatment failure is defined as a composite endpoint measuring time from date of randomization to discontinuation of treatment for any reason, including disease progression, death, treatment toxicity, insufficient therapeutic response, failure to return, refusing treatment, being unwilling to cooperate and withdrawing consent. Analysis was performed using Kaplan-Meier estimates. (NCT01131078)
Timeframe: Randomization, Weeks 3, 6 and 9, and every 3 months up to 5 years or Death
Intervention | months (Median) |
---|
Bevacizumab + Irinotecan + Capecitabine (1000 mg/m^2) | 6.67 |
Bevacizumab + Capecitabine (1250 mg/m^2) | 6.87 |
Bevacizumab + Capecitabine (650 mg/m^2) | 5.75 |
[back to top]
Duration of Overall Complete Response
Duration of complete response was calculated as the time in months from the date of randomization to the date of first documentation of CR. Kaplan-Meier estimates were used for analysis. (NCT01131078)
Timeframe: Randomization, Weeks 3, 6 and 9, and every 3 months up to 5 years
Intervention | months (Median) |
---|
Bevacizumab + Irinotecan + Capecitabine (1000 mg/m^2) | 8.35 |
Bevacizumab + Capecitabine (1250 mg/m^2) | 6.05 |
Bevacizumab + Capecitabine (650 mg/m^2) | 12.89 |
[back to top]
Duration of Overall Response
Duration of overall response included participants who achieved a CR or PR. (NCT01131078)
Timeframe: Randomization, Weeks 3, 6 and 9, and every 3 months up to 5 years or Death
Intervention | months (Median) |
---|
Bevacizumab + Irinotecan + Capecitabine (1000 mg/m^2) | 6.51 |
Bevacizumab + Capecitabine (1250 mg/m^2) | 6.61 |
Bevacizumab + Capecitabine (650 mg/m^2) | 9.12 |
[back to top]
Duration of Stable Disease (SD)
Duration of SD was calculated as the number of months the participants remained in CR, PR or SD. Kaplan-Meier estimates were used for analysis. (NCT01131078)
Timeframe: Randomization, Weeks 3, 6 and 9, and every 3 months up to 5 years or Death
Intervention | months (Median) |
---|
Bevacizumab + Irinotecan + Capecitabine (1000 mg/m^2) | 8.81 |
Bevacizumab + Capecitabine (1250 mg/m^2) | 8.65 |
Bevacizumab + Capecitabine (650 mg/m^2) | 8.98 |
[back to top]
Overall Survival
Overall survival is defined as the time from date of randomization until death from any cause; Kaplan-Meier estimates were used for analysis. (NCT01131078)
Timeframe: Randomization, Weeks 3, 6 and 9, and every 3 months up to 5 years or Death
Intervention | months (Median) |
---|
Bevacizumab + Irinotecan + Capecitabine (1000 mg/m^2) | 22.75 |
Bevacizumab + Capecitabine (1250 mg/m^2) | 19.76 |
Bevacizumab + Capecitabine (650 mg/m^2) | 18.02 |
[back to top]
Percentage of Participants Who Died
Overall survival is defined as the time from date of randomization until death from any cause (NCT01131078)
Timeframe: Randomization, Weeks 3, 6 and 9, and every 3 months up to 5 years or Death
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Irinotecan + Capecitabine (1000 mg/m^2) | 67.33 |
Bevacizumab + Capecitabine (1250 mg/m^2) | 71.57 |
Bevacizumab + Capecitabine (650 mg/m^2) | 73.79 |
[back to top]
Percentage of Participants With a Best Overall Response of CR or PR
CR: Complete disappearance of all target lesions; PR: At least 30% decrease in the sum of the longest diameter of all target lesions taking as reference the baseline sum of all target lesions; (NCT01131078)
Timeframe: Randomization, Weeks 3, 6 and 9, and every 3 months up to 5 years or Death
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Irinotecan + Capecitabine (1000 mg/m^2) | 52.0 |
Bevacizumab + Capecitabine (1250 mg/m^2) | 34.0 |
Bevacizumab + Capecitabine (650 mg/m^2) | 34.0 |
[back to top]
Percentage of Participants With Disease Progression or Death
Disease progression was defined according to National Cancer Institute (NCI) guidelines and best clinical practices. (NCT01131078)
Timeframe: Randomization, Weeks 3, 6 and 9, and every 3 months up to 5 years or Death
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Irinotecan + Capecitabine (1000 mg/m^2) | 86.14 |
Bevacizumab + Capecitabine (1250 mg/m^2) | 90.20 |
Bevacizumab + Capecitabine (650 mg/m^2) | 88.35 |
[back to top]
[back to top]
Percentage of Participants With Progression Excluding Deaths
The failure event was defined as tumor progression excluding deaths due to any reason. (NCT01131078)
Timeframe: Randomization, Weeks 3, 6 and 9, and every 3 months up to 5 years or Death
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Irinotecan + Capecitabine (1000 mg/m^2) | 71.29 |
Bevacizumab + Capecitabine (1250 mg/m^2) | 81.37 |
Bevacizumab + Capecitabine (650 mg/m^2) | 75.73 |
[back to top]
[back to top]
Percentage of Participants With Progressive Disease Within 12 Weeks From Start of Treatment
Early progression was the proportion of participants with progressive disease within 12 weeks from the start of treatment. (NCT01131078)
Timeframe: Randomization, Weeks 3, 6 and 9, and 12
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Irinotecan + Capecitabine (1000 mg/m^2) | 9.0 |
Bevacizumab + Capecitabine (1250 mg/m^2) | 13.0 |
Bevacizumab + Capecitabine (650 mg/m^2) | 18.0 |
[back to top]
Percentage of Participants With Stable Disease
Stable disease rate was the proportion of participants who achieved CR, PR, or SD. (NCT01131078)
Timeframe: Randomization, Weeks 3, 6 and 9, and every 3 months up to 5 years or Death
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Irinotecan + Capecitabine (1000 mg/m^2) | 91.0 |
Bevacizumab + Capecitabine (1250 mg/m^2) | 86.0 |
Bevacizumab + Capecitabine (650 mg/m^2) | 80.0 |
[back to top]
Time to Progression Excluding Deaths
The failure event was defined as tumor progression excluding deaths due to any reason. Kaplan-Meier estimates were used for analysis. (NCT01131078)
Timeframe: Randomization, Weeks 3, 6 and 9, and every 3 months up to 5 years or Death
Intervention | months (Median) |
---|
Bevacizumab + Irinotecan + Capecitabine (1000 mg/m^2) | 8.81 |
Bevacizumab + Capecitabine (1250 mg/m^2) | 8.48 |
Bevacizumab + Capecitabine (650 mg/m^2) | 7.40 |
[back to top]
Percentage of Participants by Best Overall Response
Best overall response is defined as the best response recorded from the date of randomization until disease progression or recurrence. Complete response (CR): at least 2 determinations of CR at least 4 weeks apart before progression; Partial response (PR): at least 2 determinations of PR at least 4 weeks apart before progression; Stable disease (SD): at least one SD assessment; Progressive Disease (PD): Disease progression or death due to underlying cancer. CR: Complete disappearance of all target lesions; PR: At least 30% decrease in the sum of the longest diameter of all target lesions taking as reference the baseline sum of all target lesions; PD: At least 20% decrease in the sum of the longest diameter of all target lesions taking as reference the baseline sum of longest diameter of all target lesions or the appearance of one or more new lesions; SD: Neither sufficient shrinkage to qualify for CR or PR or increase in lesions; (NCT01131078)
Timeframe: Randomization, Weeks 3, 6 and 9, and every 3 months up to 5 years or Death
,,
Intervention | percentage of participants (Number) |
---|
| CR | PR | SD | PD |
---|
Bevacizumab + Capecitabine (1250 mg/m^2) | 1.09 | 32.61 | 52.17 | 14.13 |
Bevacizumab + Capecitabine (650 mg/m^2) | 5.32 | 28.72 | 45.74 | 20.21 |
Bevacizumab + Irinotecan + Capecitabine (1000 mg/m^2) | 5.49 | 46.15 | 39.56 | 8.79 |
[back to top]
Percentage of Participants With Treatment Failure
Treatment failure is defined as discontinuation of treatment for any reason, including disease progression, death, treatment toxicity, insufficient therapeutic response, failure to return, refusing treatment, being unwilling to cooperate and withdrawing consent. (NCT01131078)
Timeframe: Randomization, Weeks 3, 6 and 9, and every 3 months up to 5 years or Death
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Irinotecan + Capecitabine (1000 mg/m^2) | 100.0 |
Bevacizumab + Capecitabine (1250 mg/m^2) | 99.02 |
Bevacizumab + Capecitabine (650 mg/m^2) | 99.03 |
[back to top]
Progression Free Survival (PFS) - Based on Investigator Review Using Kaplan Meier - Phase l & ll
(NCT01132664)
Timeframe: 18 months
,,
Intervention | Months (Median) |
---|
| Phase l | Phase ll: PIK3CA wildtype (n =18) | Phase ll: PIK3CA mutated (n =8) |
---|
Phase Ib - 100mg | 3.3 | NA | NA |
Phase Ib - 50 mg | 1.7 | NA | NA |
Phase II - 100mg | NA | 1.7 | 1.8 |
[back to top]
Overall Response Rate (ORR) - Phase ll
"Objective response rate (ORR) was defined as the rate of patients with best overall response (BOR) equal to complete response (CR) or partial response (PR) according to RECIST 1.0 from the Investigators review.~Per Response Evaluation Criteria In Solid Tumors (RECIST) version 1.0 assessed of the disease status by imaging (i.e. CT/MRI): Complete Response (CR) = Disappearance of all tumor lesions; Partial Response (PR)= >=30% shrinkage of lesions; Overall Response (OR) = patients with CR and PR." (NCT01132664)
Timeframe: 18 months
Intervention | Participants (Number) |
---|
Phase II - 100mg | 5 |
[back to top]
Clinical Benefit Rate (CBR) - Phase l & ll
"CBR = patients with CR, PR or SD ≥ 24 weeks according to RECIST by the investigator.~Response Evaluation Criteria In Solid Tumors (RECIST) version 1.0 assessed the disease status by imaging (i.e. CT/MRI): CR = Disappearance of all tumor lesions; PR= >=30% shrinkage of lesions; SD = Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for PD; PD = At least a 20% increase in the sum of the longest diameter of all measured target lesions, taking as reference the smallest sum of longest diameter of all target lesions recorded at or after baseline." (NCT01132664)
Timeframe: 18 months
,,
Intervention | Participants (Number) |
---|
| Phase l | Phase ll |
---|
Phase Ib - 100mg | 3 | 0 |
Phase Ib - 50 mg | 0 | 0 |
Phase II - 100mg | 0 | 7 |
[back to top]
Disease Control Rate (DCR) Based on Investigator Assessment- Phase l & ll
"Disease control rate (DCR) = patients with complete response (CR), partial response (PR) or stable disease (SD) as per RECIST criteria.~Response Evaluation Criteria In Solid Tumors (RECIST) version 1.0 assessed the disease status by imaging (i.e. CT/MRI): CR = disappearance of all tumor lesions; PR = >=30% shrinkage of lesions; SD = Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progressive disease (PD); PD = At least a 20% increase in the sum of the longest diameter of all measured target lesions, taking as reference the smallest sum of longest diameter of all target lesions recorded at or after baseline." (NCT01132664)
Timeframe: 18 months
,,
Intervention | Participants (Number) |
---|
| Phase l | Phase ll |
---|
Phase Ib - 100mg | 7 | 0 |
Phase Ib - 50 mg | 1 | 0 |
Phase II - 100mg | 0 | 25 |
[back to top]
Dose Limiting Toxicity (DLT) - Phase l Only
Determination of the maximum tolerated dose (MTD) in the dose escalation part of the study was based upon the estimation of the probability of DLT in Cycle 1 in patients of the dose-determining set. (NCT01132664)
Timeframe: cycle 1 - 28 days
,,,
Intervention | Participants (Number) |
---|
| Primary system orgran class (SOC) PT - grade 1 | Primary SOC PT - grade 2 | Primary SOC PT (asthenia) - grade 3 | Primary SOC PT - grade 4 | Primary SOC PT - missing | Primary SOC PT (somatits/diarrhea) - grade 3 |
---|
BM Cohort - 100mg | 0 | 0 | 0 | 0 | 0 | 1 |
BM Cohort - 80mg | 0 | 0 | 0 | 0 | 0 | 0 |
Phase Ib - 100mg | 0 | 0 | 1 | 0 | 0 | 0 |
Phase Ib - 50 mg | 0 | 0 | 0 | 0 | 0 | 0 |
[back to top]
Here is the Number of Participants With Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0).
Here is the number of participants with non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. (NCT01134601)
Timeframe: Date treatment consent signed to date off study, and up to 30 days following the last dose of study drug, approximately 14 months and 26 days.
Intervention | Participants (Count of Participants) |
---|
Selumetinib (AZD6244): 50 mg & Capecitabine: 825 mg/m^2 | 1 |
[back to top]
Percentage of Participants Achieving Disease Control (CR, PR, or No Change [NC])
Percent of participants with confirmed CR, PR, or NC. Per RECIST version (v)1.0: CR was defined as disappearance of all target and non-target lesions. PR was defined as ≥30% decrease in sum of longest diameters of target lesions taking as reference baseline sum longest diameters associated to non-progressive disease response for non-target lesions. NC was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease taking as reference smallest sum of longest dimensions since treatment started associated to non-progressive disease response for non-target lesions. (NCT01135498)
Timeframe: From study start up to approximately 4 years
Intervention | percentage of participants (Number) |
---|
Bevacizumab+Oxaliplatin+Capecitabine/Bevacizumab+Erlotinib | 92.86 |
[back to top]
Percentage of Participants Achieving Objective Response (Complete Response [CR] or Partial Response [PR])
Percentage of participants with objective response based assessment of CR or PR according to Response Evaluation Criteria in Solid Tumors (RECIST). CR was defined as complete disappearance of all target lesions and non-target disease, with the exception of nodal disease. All nodes, both target and non-target, must have decreased to normal (short axis less than [<]10 millimeters [mm]) and no new lesions. PR was defined as greater than or equal to (≥)30 percent (%) decrease under baseline of the sum of diameters of all target lesions. The short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. No unequivocal progression of non-target disease. No new lesions. (NCT01135498)
Timeframe: From study start up to approximately 4 years
Intervention | percentage of participants (Number) |
---|
Bevacizumab+Oxaliplatin+Capecitabine/Bevacizumab+Erlotinib | 55.95 |
[back to top]
Percentage of Participants Who Died
(NCT01135498)
Timeframe: From study start up to approximately 4 years
Intervention | percentage of participants (Number) |
---|
Bevacizumab+Oxaliplatin+Capecitabine/Bevacizumab+Erlotinib | 58.89 |
[back to top]
Percentage of Participants With Disease Progression or Death
Disease progression was defined according to Response Evaluation Criteria in Solid Tumors (RECIST) as a 20 percent (%) increase in the sum of the longest diameter of target lesions, or a measureable increase in a non-target lesion, or the appearance of new lesions. (NCT01135498)
Timeframe: Start of study to approximately 4 years
Intervention | percentage of participants (Number) |
---|
Bevacizumab+Oxaliplatin+Capecitabine/Bevacizumab+Erlotinib | 61.1 |
[back to top]
Progression-Free Survival
Progression-free survival was defined as the time from the date of informed consent until the date when the participant had progression of disease or died from disease progression. Participants who received surgical treatment after treatment ended were censored at the time of surgery. Participants who left the study for reasons other than progression of the disease were censored on the date on which they received a later antitumor therapy (with the same or different drugs, radiotherapy, or surgery). (NCT01135498)
Timeframe: From study start up to approximately 4 years
Intervention | months (Median) |
---|
Bevacizumab+Oxaliplatin+Capecitabine/Bevacizumab+Erlotinib | 9.18 |
[back to top]
Overall Survival (OS)
Overall survival was defined as the time from the date of informed consent to the date of death (regardless of the cause of death). There was no restriction; survival was calculated until the date of death, even if another line of treatment was received, or until the date censored (last contact with the participant even if drugs different from the study treatment schedule were received). For all participants, survival information was collected until the date of death, the last contact, or the last follow-up. (NCT01135498)
Timeframe: From study start up to approximately 4 years
Intervention | months (Median) |
---|
Bevacizumab+Oxaliplatin+Capecitabine/Bevacizumab+Erlotinib | 25.79 |
[back to top]
Freedom From Local Progression at 12 Months
the proportion of patients who experienced a local recurrence at 12 months with death as a competing risk (NCT01151761)
Timeframe: 12 months
Intervention | percentage of patients (Number) |
---|
SBRT and Chemo | 0 |
[back to top]
Liver Transplant Conversion Rate
The ability to successfully perform liver transplant among patients who initially have tumor >3 cm (NCT01151761)
Timeframe: 12 months
Intervention | participants (Number) |
---|
SBRT and Chemo | 0 |
[back to top]
[back to top]
Liver Transplant Rate
The number of patients receiving liver transplant among patients who initially have tumors ≤3 cm (NCT01151761)
Timeframe: 12 months
Intervention | participants (Number) |
---|
SBRT and Chemo | 0 |
[back to top]
Overall Survival at 12 Months
the estimated probability for the percentage of participants with overall survival at 12 months. (NCT01151761)
Timeframe: 12 months
Intervention | probability (Number) |
---|
SBRT and Chemo | 0 |
[back to top]
Pathologic Complete Response Rate
Pathologic complete response will be defined as no residual tumor cells seen on the explanted liver specimen. (NCT01151761)
Timeframe: 12 months
Intervention | participants (Number) |
---|
SBRT and Chemo | 0 |
[back to top]
Progression-free Survival at 12 Months
Progression free survival is defined to be the time to progression of disease or death. (NCT01151761)
Timeframe: 12 months
Intervention | participants (Number) |
---|
SBRT and Chemo | 0 |
[back to top]
Serum CA 19-9 Levels
Initial level of Cancer antigen 19-9 (NCT01151761)
Timeframe: 12 months
Intervention | U/ml (Mean) |
---|
SBRT and Chemo | 3329.1 |
[back to top]
Duration of Response
Duration of overall response (CR or PR) was calculated for participants of the ITT population whose best overall response was CR or PR based on RECIST criteria. Duration of overall response was defined as the time from the date of the first assessment of CR or PR status until the date of progression or death. Data for participants who were alive without any objectively documented disease progression at the end of the study were censored as of the date of last contact. Mean time to event was estimated using the Kaplan-Meier method. (NCT01159171)
Timeframe: Baseline, every 3 months to progression of disease or end of study (up to 24 months)
Intervention | months (Mean) |
---|
Bevacizumab + Oxaliplatin + Capecitabine | 8.31 |
[back to top]
Duration of Response - Percentage of Participants With an Event by 24 Months
Duration of overall response (CR or PR) was calculated only for participants of the ITT population whose best overall response was CR or PR based on RECIST criteria. Duration of overall response was defined as the time from the date of the first assessment of CR or PR status until the date of progression or death. Data for participants who were alive without any objectively documented disease progression at the end of the study were censored as of the date of last contact. (NCT01159171)
Timeframe: Baseline, every 3 months to progression of disease or end of study (up to 24 months)
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Oxaliplatin + Capecitabine | 57.14 |
[back to top]
Duration of Stable Disease
Duration of stable response (CR, PR, or SD) was calculated only for participants of the ITT population whose best overall response was CR, PR, or SD based on RECIST criteria. Duration of overall response was defined as the time from the date of the first assessment of CR, PR, or SD status until the date of progression or death. Data for participants who were alive without any objectively documented disease progression at the end of the study were censored as of the date of last contact. Mean time to event was estimated using the Kaplan-Meier method. (NCT01159171)
Timeframe: Baseline, every 3 months to progression of disease or end of study (up to 24 months)
Intervention | months (Mean) |
---|
Bevacizumab + Oxaliplatin + Capecitabine | 10.09 |
[back to top]
Duration of Stable Disease - Percentage of Participants With an Event by 24 Months
Duration of stable response (CR, PR, or stable disease [SD]) was calculated only for participants of the ITT population whose best overall response was CR, PR, or SD based on RECIST criteria. Duration of overall response was defined as the time from the date of the first assessment of CR, PR, or SD status until the date of progression or death. Data for participants who were alive without any objectively documented disease progression at the end of the study were censored as of the date of last contact. (NCT01159171)
Timeframe: Baseline, every 3 months to progression of disease or end of study (up to 24 months)
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Oxaliplatin + Capecitabine | 52.50 |
[back to top]
Overall Survival
OS was defined as the time in months from Day 1 until the date of death due to any cause. Data for participants who were alive at the end of the study were censored at the date of the last available follow-up visit. Mean OS was estimated using the Kaplan-Meier method. (NCT01159171)
Timeframe: Baseline, monthly to end of study (up to 24 months)
Intervention | months (Mean) |
---|
Bevacizumab + Oxaliplatin + Capecitabine | 20.23 |
[back to top]
Overall Survival (OS) - Percentage of Participants With an Event by 24 Months
OS was defined as the time in months from Day 1 until the date of death due to any cause. Data for participants who were alive at the end of the study were censored at the date of the last available follow-up visit. (NCT01159171)
Timeframe: Baseline, monthly to end of study (up to 24 months)
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Oxaliplatin + Capecitabine | 89.90 |
[back to top]
Percentage of Participants With Objective Response (OR)
Percentage of participants with OR was defined as the percentage of participants who achieved complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). CR was defined as disappearance of all target lesions, non-target lesions, and normalization of tumor marker level. PR was defined as greater than or equal to (≥)30 percent (%) decrease under baseline of the sum of the longest diameter (LD) diameters of all target lesions. No unequivocal progression of non-target disease. No new lesions. Complete and partial responses must have been confirmed no less than 4 weeks after the criteria for response were first met. (NCT01159171)
Timeframe: Baseline, every 3 months to progression of disease or end of study (up to 24 months)
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Oxaliplatin + Capecitabine | 42.86 |
[back to top]
Time to Progression
TTP was defined as the time in months from Day 1 until the date of first documented progressive disease, or death due to any cause. Data for participants who were alive without disease progression at the end of study, or who were non-responder participants (without tumor assessment after baseline) were censored at Day 1. Mean TTP was estimated using the Kaplan-Meier method. (NCT01159171)
Timeframe: Baseline, monthly to end of study (up to 24 months)
Intervention | months (Mean) |
---|
Bevacizumab + Oxaliplatin + Capecitabine | 9.61 |
[back to top]
Time to Progression (TTP) - Percentage of Participants With an Event by 24 Months
TTP was defined as the time time in months from Day 1 until the date of first documented progressive disease, or death due to any cause. Data for participants who were alive without disease progression at the end of study, or who were non-responder participants (without tumor assessment after baseline) were censored at Day 1. (NCT01159171)
Timeframe: Baseline, monthly to end of study (up to 24 months)
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Oxaliplatin + Capecitabine | 91.84 |
[back to top]
Time to Treatment Failure
TTF was defined as the time in months from Day 1 until discontinuation of treatment for any reasons. These reasons included: death due to any cause, treatment toxicity (adverse event), insufficient therapeutic response (progression of disease), failure to return (lost to follow-up), refusing treatment (participant non-compliance), being unwilling to cooperate and withdrawing consent (participant withdrew consent). Mean TTF was estimated using the Kaplan-Meier method. (NCT01159171)
Timeframe: Baseline, monthly to end of study (up to 24 months)
Intervention | months (Mean) |
---|
Bevacizumab + Oxaliplatin + Capecitabine | 7.44 |
[back to top]
Time to Treatment Failure (TTF) - Percentage of Participants With an Event by 24 Months
TTF was defined as the time in months from Day 1 until discontinuation of treatment for any reasons. These reasons included: death due to any cause, treatment toxicity (adverse event), insufficient therapeutic response (progression of disease), failure to return (lost to follow-up), refusing treatment (participant non-compliance), being unwilling to cooperate and withdrawing consent (participant withdrew consent). (NCT01159171)
Timeframe: Baseline, every month to end of treatment (up to 24 months)
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Oxaliplatin + Capecitabine | 81.63 |
[back to top]
Percentage of Participants by Best Overall Response
Best response recorded from the start of treatment until disease progression. Based on assessment of CR, PR, stable disease (SD), or progressive disease (PD), according to RECIST. CR: disappearance of all target lesions, non-target lesions, and normalization of tumor marker level. PR: ≥30% decrease under baseline of the sum of the LD diameters of all target lesions. CR and PR persist on repeat imaging study at least 4 weeks after initial documentation. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. Reference is the smallest sum LD. PD: at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum longest diameter recorded or the appearance of one or more new lesions. (NCT01159171)
Timeframe: Baseline, every 3 months to progression of disease or end of study (up to 24 months)
Intervention | percentage of participants (Number) |
---|
| CR | PR | SD | PD |
---|
Bevacizumab + Oxaliplatin + Capecitabine | 4.08 | 38.78 | 38.78 | 8.16 |
[back to top]
[back to top]
[back to top]
[back to top]
Objective Response Rate (ORR)
ORR was defined as the percentage of participants achieving complete response (CR) or partial response (PR) on treatment based on RECIST 1.1 criteria. Per RECIST 1.1 for target lesions: CR is complete disappearance of all target lesions and PR is at least a 30% decrease in the sum of longest diameter (LD) of target lesions, taking as reference baseline sum LD. PR or better overall response assumes at a minimum incomplete response/stable disease (SD) for the evaluation of non-target lesions and absence of new lesions. (NCT01191697)
Timeframe: Patients received a median of 19 cycles of therapy (Interquartile range (IQR): 8 - 34.5 cycles). Median duration of follow-up of 23.2 months (IQR: 11.0 - 46.9 months ).
Intervention | percentage of patients (Number) |
---|
Trastuzumab, Bevacizumab, Oxaliplatin and Capecitabine | 81 |
[back to top]
Maximum Tolerated Dose (MTD) of Azacitidine, and Capecitabine and Oxaliplatin (CAPOX)
Dose just below the one at which ≥ 1/3 of subjects experience a dose limiting toxicity (DLT) considered the MTD. (NCT01193517)
Timeframe: Up to 3 weeks from the first dose
Intervention | mg/m^2 (Number) |
---|
| Azacitidine | Oxaliplatin | Capecitabine |
---|
Azacitidine+CAPOX (Capecitabine, Oxaliplatin) | 75 | 110 | 1500 |
[back to top]
Response Rate of Azacitidine, and Capecitabine and Oxaliplatin (CAPOX)
Per Response Evaluation Criteria in solid Tumors Criteria (RECISTv1.0) for target lesions and assessed by CT or MRI: Partial Response (PR), >= 30%decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither PD nor PR, the sum of the longest diameters no change or increase by <20% from baseline or from nadir (smallest sum on treatment); Progressive Disease (PD), the sum of the longest diameters increases by>= 20% from nadir (smallest sum on treatment). For non-target lesions assessed by CT or MRI: Stable Disease (SD), Persistence of >=1 non-target lesion; Progressive Disease (PD), Enlargement of non-target lesions and/or appearance of new lesions. (NCT01193517)
Timeframe: After 9 weeks (three, 21 day cycles)
,,
Intervention | Participants (Count of Participants) |
---|
| NA (Early Progression) | PD (Progression Disease) | SD (Stable Disease) |
---|
Phase I: Highest Dose Level | 0 | 6 | 6 |
Phase I: Starting Dose | 1 | 1 | 1 |
Phase II | 0 | 1 | 10 |
[back to top]
Number of Participants With Adverse Events
Toxicity was graded according to the NCI Common terminology Criteria for Adverse Events (CTCAE) 4.0 except for neurosensory and skin toxicity. Neurosensory toxicity was graded according to the Neurologic Toxicity Scale for Oxaliplatin Dose Adjustments. (NCT01208103)
Timeframe: 39 months
Intervention | participants (Number) |
---|
Bevacizumab + Capecitabine + Oxaliplatin | 30 |
[back to top]
Number of Participants With Progression-free Survival (PFS) at Six Months
A Bayesian sequential monitoring design will be used. PFS will be estimated using the Kaplan-Meier method.The length of time interval in months from date of first treatment, during and after the treatment a participant lives without progression. (NCT01208103)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Capecitabine + Oxaliplatin | 68 |
[back to top]
To Determine the Overall Survival (OS) for CAPOX and Bevacizumab
The length of time interval in months from date of first treatment until the date of death or lost follow-up (NCT01208103)
Timeframe: 39 months
Intervention | months (Median) |
---|
Bevacizumab + Capecitabine + Oxaliplatin | 12.9 |
[back to top]
To Determine the Response Rate (RR) for CAPOX and Bevacizumab
Complete response + Partial response using RECIST 1.1 (Response Evaluation Criteria in Solid Tumor) (NCT01208103)
Timeframe: 39 months
Intervention | Participants (Count of Participants) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Unevaluable |
---|
Bevacizumab + Capecitabine + Oxaliplatin | 1 | 13 | 10 | 5 | 1 |
[back to top]
To Determine the Overall PFS for CAPOX and Bevacizumab
Time interval in months from date of first treatment until the date of first documented progression (NCT01208103)
Timeframe: 39 months
Intervention | months (Median) |
---|
Bevacizumab + Capecitabine + Oxaliplatin | 8.7 |
[back to top]
Preliminary Efficacy Assessment: Response Rate (RR)
Response Rate (RR) is defined as the total number of patients with Complete Response (CR) or Partial Response (PR) as defined in RECIST v2. CR is defined as the dissappearance of all target lesions, disappearance of all non-target lesions and normalization of tumor markers. PR is defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD. (NCT01226732)
Timeframe: 18 months
Intervention | participants (Number) |
---|
Dose Level 1 | 1 |
Dose Level 2 | 0 |
Dose Level 3 | 0 |
Dose Level 4 | 2 |
Dose Level 5 | 1 |
Dose Level 6 | 0 |
[back to top]
[back to top]
Dose Determination
To determine the maximum tolerated dose (MTD) of AUY922 plus capecitabine in patients with advanced solid tumors. (NCT01226732)
Timeframe: 18 months
Intervention | mg/m^2 (Number) |
---|
| AUY922 dose | Capecitabine dose |
---|
All Patients | 70 | 1250 |
[back to top]
Overall Survival (OS) - Percentage of Participants With an Event
OS was defined as the time from the date of first day of treatment until death due to any cause or the last date the participant was known to be alive. (NCT01227707)
Timeframe: BL, within 6 weeks after the completion of neoadjuvant treatment, every 2 weeks for 1 year following surgery, every 3 months thereafter until death, up to 45 months
Intervention | percentage of participants (Number) |
---|
Bv+Capecitabine/Bv+Leucovorin+5-FU | 25.58 |
[back to top]
Percentage of Participants With an Overall Response of CR at the End of Neoadjuvant Treatment
Percentage of participants with an overall response of CR was evaluated as the proportion of participants with CR for the target and non-target lesions plus absence of new lesions at the end of NAT according to RECIST. CR was defined as disappearance of all target lesions, all non-target lesions, and normalization of tumor marker levels. (NCT01227707)
Timeframe: BL and within 6 weeks after the completion of study treatment
Intervention | percentage of participants (Number) |
---|
Bv+Capecitabine/Bv+Leucovorin+5-FU | 9.30 |
[back to top]
Percentage of Participants Undergoing Sphincter-Saving Surgery by Type of Procedure
(NCT01227707)
Timeframe: 6 to 8 weeks after completion of study treatment
Intervention | percentage of participants (Number) |
---|
| Anterior resection | Abdomen-peritoneal amputation (Miles) | Other | Colostomy, temporary (n=32) | Colostomy, definitive (n=32) | No colostomy |
---|
Bv+Capecitabine/Bv+Leucovorin+5-FU | 70.0 | 22.5 | 3.0 | 47.50 | 32.50 | 20.0 |
[back to top]
Percentage of Participants With Pathological Complete Response (pCR)
pCR was defined as the absence of viable tumor cells, as determined by standard histologic procedure, in the tumor specimen (including regional lymph nodes) obtained at surgery. In order to minimize evaluation bias, tumor specimens were analyzed by both a central and local pathologist. The number of participants with pathological tumor stage 0 (pT0) and regional lymph nodes stage 0 (pN0) at surgery was determined. pCR was defined as the number of participants with pT0 and pN0 at surgery divided by the total number of participants with pathological tumor stage data collected. (NCT01227707)
Timeframe: 6 to 8 weeks following completion of neoadjuvant treatment
Intervention | percentage of participants (Number) |
---|
Bv+Capecitabine/Bv+Leucovorin+5-FU | 10.00 |
[back to top]
[back to top]
DFS - Time to Event
The time in months from date of start-of-treatment to the date of event defined as the first documented disease progression or death due to any cause. If a participant did not have an event, the time was censored at the date of last adequate tumor assessment. DFS was estimated using the Kaplan-Meier method. (NCT01227707)
Timeframe: BL, within 6 weeks after the completion of neoadjuvant treatment, every 2 weeks for 1 year following surgery, every 3 months thereafter until progression, up to 45 months
Intervention | months (Mean) |
---|
Bv+Capecitabine/Bv+Leucovorin+5-FU | 27.43 |
[back to top]
Disease-Free Survival (DFS) - Percentage of Participants With an Event
DFS was defined as the time from treatment start date to the date of first progression of disease or date of death due to any cause. (NCT01227707)
Timeframe: BL, within 6 weeks after the completion of neoadjuvant treatment, every 2 weeks for 1 year following surgery, every 3 months thereafter until progression, up to 45 months
Intervention | percentage of participants (Number) |
---|
Bv+Capecitabine/Bv+Leucovorin+5-FU | 30.23 |
[back to top]
TTP - Time to Event
TTP was defined as the time from date of treatment start until first documented progression of disease or death due to underlying cancer. TTP was estimated using the Kaplan-Meier method. (NCT01227707)
Timeframe: BL, within 6 weeks after the completion of neoadjuvant treatment, every 2 weeks for 1 year following surgery, every 3 months thereafter until death, up to 45 months
Intervention | months (Mean) |
---|
Bv+Capecitabine/Bv+Leucovorin+5-FU | 27.68 |
[back to top]
Percentage of Participants With New Lesions at the Primary Tumor Site at the End of Neoadjuvant Treatment
The percentage of participants with new lesions located at the primary tumor site were evaluated at the end of NAT. (NCT01227707)
Timeframe: BL and within 6 weeks after the completion of study treatment
Intervention | percentage of participants (Number) |
---|
Bv+Capecitabine/Bv+Leucovorin+5-FU | 4.65 |
[back to top]
Time to Disease Progression (TTP) - Percentage of Participants With an Event
TTP was defined as the time from date of treatment start until first documented progression of disease or death due to underlying cancer. (NCT01227707)
Timeframe: BL, within 6 weeks after the completion of neoadjuvant treatment, every 2 weeks for 1 year following surgery, every 3 months thereafter until death, up to 45 months
Intervention | percentage of participants (Number) |
---|
Bv+Capecitabine/Bv+Leucovorin+5-FU | 27.91 |
[back to top]
Percentage of Participants With Relapse During Follow-Up
The percentage of participants with local and/or regional relapse during follow-up. New lesions located at rectum or at colon or at lymph node detected at the end of NAT were evaluated as local and/or regional relapse. (NCT01227707)
Timeframe: BL, within 6 weeks after the completion of neoadjuvant treatment, every 2 weeks for 1 year following surgery, every 3 months thereafter until progression, up to 45 months
Intervention | percentage of participants (Number) |
---|
| No Relapse | 1 Relapse | 2 Relapses |
---|
Bv+Capecitabine/Bv+Leucovorin+5-FU | 84.21 | 7.89 | 7.89 |
[back to top]
Percentage of Participants With Complete Response (CR) at the End of Neoadjuvant Treatment
Percentage of participants with CR was evaluated as the proportion of participants with complete response for the target and non-target lesions, separately, at the end of NAT according to the Response Evaluation Criteria in Solid Tumors (RECIST). CR was defined as disappearance of all target lesions or all non-target lesions and normalization of tumor marker levels. (NCT01227707)
Timeframe: BL and within 6 weeks after the completion of study treatment
Intervention | percentage of participants (Number) |
---|
| CR of target lesion(s) | CR of non-target lesion(s) |
---|
Bv+Capecitabine/Bv+Leucovorin+5-FU | 11.63 | 18.60 |
[back to top]
OS - Time to Event
OS was defined as the time from the date of first day of treatment until death due to any cause or the last date the participant was known to be alive. OS was estimated using the Kaplan-Meier method. (NCT01227707)
Timeframe: BL, within 6 weeks after the completion of neoadjuvant treatment, every 2 weeks for 1 year following surgery, every 3 months thereafter until death, up to 45 months
Intervention | months (Mean) |
---|
Bv+Capecitabine/Bv+Leucovorin+5-FU | 32.14 |
[back to top]
Maximum Observed Drug Concentration (Cmax) of Capecitabine and 5-fluorouracil
Maximum observed drug concentration, directly taken from analytical data. Geometric mean and percentage geometric coefficient of variation (%CV) were reported. In the listed categories below, 'N' signifies the number of evaluable participants for the drug administered. (NCT01234337)
Timeframe: Pre-dose and 0.5, 1, 2, and 4 hours after capecitabine dosing at Cycle 2, Day 14
,
Intervention | milligram per liter (Geometric Mean) |
---|
| Capecitabine | 5-fluorouracil |
---|
Placebo + Capecitabine | 4.68 | 0.382 |
Sorafenib (Nexavar, BAY43-9006) + Capecitabine | 6.05 | 0.434 |
[back to top]
Number of Participants With Treatment-emergent Grade 3 and 4 Laboratory Abnormalities
Hematological (anemia, hemoglobin, international normalized ratio [INR], lymphocyte, neutrophil, platelet, white blood cell [WBC]), biochemical (ALT [alanine aminotransferase], AST [aspartate aminotransferase], GGT [gamma-glutamyl-transferase], lipase, hypoalbuminemia, hypocalcemia, hyperglycemia, hyperuricemia) evaluations were done. Common terminology criteria for adverse events (CTCAE) version 4-Grade 3: Severe or medically significant; hospitalization or prolongation of hospitalization and CTCAE version 4-Grade 4: life-threatening consequences; urgent intervention were indicated. (NCT01234337)
Timeframe: From the start of study treatment up to 30 days after the last dose
,
Intervention | Participants (Number) |
---|
| Anemia (grade 3) | Hemoglobin increased (grade 3) | INR increased (grade 3) | Lymphocyte count decreased (grade 3) | Neutrophil count decreased (grade 3) | Platelet count decreased (grade 3) | WBC decreased (grade 3) | ALT increased (grade 3) | AST increased (grade 3) | Alkaline phosphatase increased (grade 3) | Bilirubin increased (grade 3) | GGT increased (grade 3) | Lipase increased (grade 3) | Serum amylase increased (grade 3) | Hypoalbuminemia (grade 3) | Hypocalcemia (grade 3) | Hypokalemia (grade 3) | Hyponatremia (grade 3) | Hypophosphatemia (grade 3) | Hyperglycemia (grade 3) | Lymphocyte count decreased (grade 4) | Neutrophil count decreased (grade 4) | Platelet count decreased (grade 4) | WBC decreased (grade 4) | ALT increased (grade 4) | GGT increased (grade 4) | Lipase increased (grade 4) | Hypokalemia (grade 4) | Hyponatremia (grade 4) | Hypophosphatemia (grade 4) | Hyperuricemia (grade 4) |
---|
Placebo + Capecitabine | 7 | 3 | 9 | 17 | 19 | 2 | 13 | 5 | 5 | 13 | 1 | 21 | 12 | 4 | 2 | 6 | 11 | 7 | 15 | 10 | 2 | 7 | 7 | 3 | 0 | 2 | 1 | 4 | 0 | 0 | 0 |
Sorafenib (Nexavar, BAY43-9006) + Capecitabine | 12 | 0 | 9 | 20 | 11 | 6 | 15 | 4 | 10 | 12 | 9 | 22 | 19 | 8 | 4 | 9 | 20 | 9 | 47 | 9 | 3 | 7 | 1 | 2 | 3 | 6 | 5 | 2 | 4 | 5 | 5 |
[back to top]
Patient Reported Outcomes: Euroqol-5 Dimensions (EQ-5D) - Visual Analogue Scale (VAS) Score
The EQ-5D was a generic QoL preference based instrument and has been validated in the cancer populations. VAS was generated from 0 (worst imaginable health state) to 100 (best imaginable health state). This VAS score was referred to as the EQ-5D self-reported health status score. The results on ANCOVA of time-adjusted AUC were reported. The time-adjusted AUC was calculated by dividing the AUC by duration (in days) over the period of interest, and reported as 'scores on a scale'. (NCT01234337)
Timeframe: Day 1 of Cycles 1, 3, 5, 7, 9, 11, 13, 16, 19, 22, 25, 28, and EOT (21 days after last dose of study drug)
Intervention | Scores on a scale (Least Squares Mean) |
---|
Sorafenib (Nexavar, BAY43-9006) + Capecitabine | 67.532 |
Placebo + Capecitabine | 69.228 |
[back to top]
Patient Reported Outcomes: Euroqol-5 Dimensions (EQ-5D) - Index Score
The EQ-5D was a generic Quality of life (QoL) based instrument validated in cancer populations. EQ-5D questionnaire contained a 5-item descriptive system of health states (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) and visual analogue scale (VAS). A single HRQoL score ranging from -0.59 to 1 was generated from standard scoring algorithm developed by the EuroQoL was the EQ-5D index score, higher scores represent better health status. A change of at least 0.10 to 0.12 points was considered clinically meaningful. The results on the ANCOVA of time-adjusted AUC for the EQ-5D - Index Score were reported. The time-adjusted AUC was calculated by dividing the AUC by duration (in days) over the period of interest, and reported as 'scores on a scale'. (NCT01234337)
Timeframe: Day 1 of Cycles 1, 3, 5, 7, 9, 11, 13, 16, 19, 22, 25, 28, and EOT (21 days after last dose of study drug)
Intervention | Scores on a scale (Least Squares Mean) |
---|
Sorafenib (Nexavar, BAY43-9006) + Capecitabine | 0.665 |
Placebo + Capecitabine | 0.69 |
[back to top]
Objective Response Rate (ORR) by Central Review
ORR was defined as the best tumor response (Complete Response [CR] or Partial Response [PR]) observed during treatment or within 30 days after termination of study treatment, assessed according to the RECIST version 1.1. CR=all target lesions disappeared, and any pathological lymph node, whether target or non-target, had a reduction in short axis to <10 mm. If any residual lesion was present, cyto-histology was made available to unequivocally document benignity. PR=at least 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. ORR=CR+PR. CR and PR were confirmed by another scan at least 4 weeks later. (NCT01234337)
Timeframe: From randomization of the first participant until approximately 3 years later or until disease radiological progression
Intervention | Percentage (%) of participants (Number) |
---|
Sorafenib (Nexavar, BAY43-9006) + Capecitabine | 13.5 |
Placebo + Capecitabine | 15.5 |
[back to top]
Area Under Curve From Time Zero to Last Quantifiable Concentration (AUC[0-tlast]) of Capecitabine and 5-fluorouracil
AUC(0-tlast) is defined as AUC from time 0 to the last data point, calculated up by linear trapezoidal rule, down by logarithmic trapezoidal rule. Geometric mean and percentage geometric coefficient of variation (%CV) were reported. In the listed categories below, 'N' signifies the number of evaluable participants for the drug administered. (NCT01234337)
Timeframe: Pre-dose and 0.5, 1, 2, and 4 hours after capecitabine dosing at Cycle 2, Day 14
,
Intervention | milligram*hour per liter (Geometric Mean) |
---|
| Capecitabine | 5-fluorouracil |
---|
Placebo + Capecitabine | 5.13 | 0.557 |
Sorafenib (Nexavar, BAY43-9006) + Capecitabine | 7.12 | 0.621 |
[back to top]
Time to Progression (TTP) by Central Review
TTP was defined as the time from date of randomization to disease radiological progression by central review. Per RECIST version 1.1, progressive disease was determined when there was at least 20% increase in the sum of diameters of the target lesions, taking as a reference the smallest sum on study (this included the baseline sum if that was the smallest sum on trial). In addition to a relative increase of 20%, the sum had demonstrated an absolute increase of at least 5 mm. Appearance of new lesions and unequivocal progression of existing non-target lesions was also interpreted as progressive disease. Participants without progression or death at the time of analysis were censored at their last date of evaluable tumor evaluation. Median and other 95% confidence intervals (CIs) computed using Kaplan-Meier estimates. (NCT01234337)
Timeframe: From randomization of the first participant until approximately 3 years later or until disease radiological progression
Intervention | days (Median) |
---|
Sorafenib (Nexavar, BAY43-9006) + Capecitabine | 168 |
Placebo + Capecitabine | 165 |
[back to top]
Duration of Response (DOR) by Central Reader
DOR was defined as the time from date of first response (CR or PR) to the date when PD is first documented, or to the date of death, whichever occurred first according to RECIST version 1.1. CR=all target lesions disappeared, and any pathological lymph node, whether target or non-target, had a reduction in short axis to <10 mm. If any residual lesion was present, cyto-histology was made available to unequivocally document benignity. PR=at least 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Participants still having CR or PR and have not died at the time of analysis were censored at their last date of tumor evaluation. DOR defined for confirmed responders only (that is, CR or PR). 'NA' indicates that value could not be estimated due to censored data. Median and 95% CIs were computed using Kaplan-Meier estimates. (NCT01234337)
Timeframe: From randomization of the first participant until approximately 3 years later or until disease radiological progression
Intervention | days (Median) |
---|
Sorafenib (Nexavar, BAY43-9006) + Capecitabine | 313 |
Placebo + Capecitabine | 290 |
[back to top]
Overall Survival (OS)
OS was defined as the time from date of randomization to death due to any cause. Participants still alive at the time of analysis were censored at their last known alive date. Median and other 95% CIs computed using Kaplan-Meier estimates. (NCT01234337)
Timeframe: From randomization of the first participant until approximately 3 years later
Intervention | days (Median) |
---|
Sorafenib (Nexavar, BAY43-9006) + Capecitabine | 575 |
Placebo + Capecitabine | 616 |
[back to top]
Progression-free Survival (PFS) Assessed by the Independent Review Panel According to Response Evaluation Criteria for Solid Tumors (RECIST) 1.1
PFS was defined as the time from date of randomization to disease progression, radiological or death due to any cause, whichever occurs first. Per RECIST version 1.1, progressive disease was determined when there was at least 20% increase in the sum of diameters of the target lesions, taking as a reference the smallest sum on study (this included the baseline sum if that was the smallest sum on trial). In addition to a relative increase of 20%, the sum had demonstrated an absolute increase of at least 5 mm. Appearance of new lesions and unequivocal progression of existing non-target lesions was also interpreted as progressive disease. Participants without progression or death at the time of analysis were censored at their last date of evaluable tumor evaluation. Median and other 95% confidence intervals (CIs) computed using Kaplan-Meier estimates. (NCT01234337)
Timeframe: From randomization of the first participant until approximately 3 years or until disease radiological progression
Intervention | days (Median) |
---|
Sorafenib (Nexavar, BAY43-9006) + Capecitabine | 166 |
Placebo + Capecitabine | 165 |
[back to top]
Disease Control Rate (DCR) by Central Review
DCR was defined as the proportion of participants whose best response was CR, PR, stable disease (SD) or Non-CR/Non-PD. Per RECIST version 1.1, CR=all target lesions disappeared, any pathological lymph node, target/non-target, a reduction in short axis to <10 mm. PR=at least 30% decrease in the sum of diameters of target lesions taking as reference baseline sum diameters. PD=at least 20% increase in the sum of diameters of the target lesions, taking as a reference smallest sum on study. Appearance of new lesions and unequivocal progression of existing non-target lesions. SD=neither sufficient shrinkage qualified for PR nor sufficient increase qualified for PD, taking smallest sum of diameters as a reference. Non-CR/Non-PD=persistence of 1/more non-target lesion(s) and/or maintenance of tumor marker level above normal limits. DCR=CR+PR+SD or Non-CR/Non-PD. CR and PR confirmed by another scan at least 4 weeks later. SD and Non-CR/Non-PD documented at least 6 weeks after randomization. (NCT01234337)
Timeframe: From randomization of the first participant until approximately 3 years later or until disease radiological progression
Intervention | percentage (%) of participants (Number) |
---|
Sorafenib (Nexavar, BAY43-9006) + Capecitabine | 60.5 |
Placebo + Capecitabine | 58.3 |
[back to top]
Patient Reported Outcomes: Functional Assessment of Cancer Therapy-Breast Symptom Index (8 Item) (FBSI-8)
The FBSI-8 was an 8-item questionnaire. Participants responded to each item using a 5-point Likert-type scale ranging from 0 (not at all) to 4 (very much). A total scale score was calculated (range from 0 to 32), with higher scores indicating low symptomatology and reflecting a better Health-Related Quality of Life (HRQoL). The results on the analysis of covariance (ANCOVA) of time-adjusted area under curve (AUC) for the FBSI-8 score were reported. The time-adjusted AUC was calculated by dividing the AUC by duration (in days) over the period of interest, and reported as 'scores on a scale'. (NCT01234337)
Timeframe: Day 1 of Cycles 1, 3, 5, 7, 9, 11, 13, 16, 19, 22, 25, 28, 31, 34, 37, and end of treatment (EOT, 21 days after last dose of study drug)
Intervention | Scores on a scale (Least Squares Mean) |
---|
Sorafenib (Nexavar, BAY43-9006) + Capecitabine | 20.915 |
Placebo + Capecitabine | 21.356 |
[back to top]
Overall Survival (OS)
Overall survival is defined as the time from the date of randomization to the date of death from any cause. If the participant is alive at the end of the follow-up period or is lost to follow-up, OS will be censored on the last date the participant is known to be alive. (NCT01234402)
Timeframe: From Date of Randomization until Death Due to Any Cause (Up To 160 weeks)
Intervention | Weeks (Median) |
---|
Ramucirumab + Capecitabine | 67.4 |
Icrucumab + Capecitabine | 62.1 |
Capecitabine | 71.6 |
[back to top]
Number of Participants With Serious Adverse Events (SAEs)
"SAE was defined as any untoward medical occurrence that at any dose:~Resulted in death; Was life-threatening; Required inpatient hospitalization or caused prolongation of existing hospitalization; Resulted in persistent or significant disability/incapacity; Was a congenital anomaly/birth defect; Required intervention to prevent permanent impairment/damage; Was an important medical event (defined as a medical event that may not have been immediately life-threatening or resulted in death or hospitalization but, based upon appropriate medical and scientific judgment, may jeopardize the participant or may require intervention to prevent one of the other serious outcomes listed in the definition above).~A summary of other nonserious AEs, and all SAE's, regardless of causality, is located in the Reported Adverse Events section." (NCT01234402)
Timeframe: Up To 160 Weeks
Intervention | Participants (Count of Participants) |
---|
Ramucirumab + Capecitabine | 20 |
Icrucumab + Capecitabine | 25 |
Capecitabine | 6 |
[back to top]
Area Under the Concentration Versus Time Curve From Time Zero to Infinity of Ramucirumab or Icrucumab
Area Under the Concentration (AUC) Versus Time Curve From Time Zero to Infinity of Ramucirumab and Icrucumab. (NCT01234402)
Timeframe: Cycle 1: Pre-infusion, 1h, 48h, 72h, 168, 336h post infusion
Intervention | microgram*hour/mL (Geometric Mean) |
---|
Ramucirumab + Capecitabine | 54400 |
[back to top]
Number of Participants With Anti-Ramucirumab and Anti-Icrucumab Antibodies
(NCT01234402)
Timeframe: Cycle 1: Pre-infusion, 1h, 48h, 72h, 168, 336h post infusion
Intervention | Participants (Count of Participants) |
---|
| Treatment emergent antibody | Neutralizing antibody |
---|
Ramucirumab + Capecitabine | 0 | 0 |
[back to top]
Minimum Concentration (Cmin) Ramucirumab Drug Product (DP) or Icrucumab
Minimum Concentration (Cmin) Ramucirumab Drug Product (DP) or Icrucumab. (NCT01234402)
Timeframe: Cycle 2,4,6,8,0,12,14,16,18,22: Pre-infusion, 1h, 48h, 72h, 168, 336h post infusion
Intervention | Micro gram per milliliter (Geometric Mean) |
---|
| Cycle 2 | Cycle 4 | Cycle 6 | Cycle 8 | Cycle 10 | Cycle 12 | Cycle 14 | Cycle 16 | Cycle 18 | Cycle 22 |
---|
Ramucirumab + Capecitabine | 23.7 | 80.6 | 44.7 | 65.8 | 66.8 | 74.3 | 62.5 | 50.5 | 50.5 | 55.0 |
[back to top]
Volume of Distribution at Steady State (Vss) of Ramucirumab or Icrucumab
Volume of Distribution at Steady State (Vss) of Ramucirumab and Icrucumab. (NCT01234402)
Timeframe: Cycle 1: Pre-infusion, 1h, 48h, 72h, 168, 336h post infusion
Intervention | Liters (Geometric Mean) |
---|
Ramucirumab + Capecitabine | 3.17 |
[back to top]
Number of Participants With Adverse Events (AEs)
"Adverse event (AE) will be regarded as treatment-emergent if onset date occurs any time on or after the administration of the first dose of study treatment up to 30 days after the last dose of study treatment (or up to any time if related to study treatment); or it occurs prior to first dose date and worsens while on therapy or up to 30 days after the last dose of study treatment (or up to any time if related to study treatment).~A summary of other nonserious AEs, and all SAE's, regardless of causality, is located in the Reported Adverse Events section." (NCT01234402)
Timeframe: Up To 160 Weeks
Intervention | Participants (Count of Participants) |
---|
Ramucirumab + Capecitabine | 52 |
Icrucumab + Capecitabine | 49 |
Capecitabine | 48 |
[back to top]
Duration of Response
Duration of response is measured from the time measurement criteria are first met for CR/PR (whichever is first recorded) until the first date that the criteria for progressive disease (PD) is met (taking as a reference for PD that smallest measurement recorded since the treatment started), or death, is objectively documented.CR was defined as the disappearance of all non-nodal target lesions, with the short axes of any target lymph nodes reduced to <10 mm. PR was defined as ≥30% decrease in the sum of the diameters of target lesions (including the short axes of any target lymph nodes), taking as reference the baseline sum diameter.PD defined as ≥20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). Sum must also have demonstrated an absolute increase of ≥5 mm, or the appearance of 1 or more new lesions was considered progression. (NCT01234402)
Timeframe: From Date of CR, PR until Disease Progression or Death Due to Any Cause (Up To 97 weeks)
Intervention | weeks (Median) |
---|
Ramucirumab + Capecitabine | 43.1 |
Icrucumab + Capecitabine | 20.1 |
Capecitabine | 17.1 |
[back to top]
Clearance (Cl) of Ramucirumab or Icrucumab
Clearance (Cl) of Ramucirumab and Icrucumab. (NCT01234402)
Timeframe: Cycle 1: Pre-infusion, 1h, 48h, 72h, 168, 336h post infusion
Intervention | Liters per hour (Geometric Mean) |
---|
Ramucirumab + Capecitabine | 0.0141 |
[back to top]
Maximum Concentration (Cmax) Ramucirumab Drug Product (DP) or Icrucumab
(NCT01234402)
Timeframe: Cycle 1: Pre-infusion, 1h, 48h, 72h, 168, 336h post infusion
Intervention | Microgram per milliliter (Geometric Mean) |
---|
Ramucirumab + Capecitabine | 308 |
[back to top]
Progression-Free Survival (PFS)
PFS is defined as the time from the date of randomization until the date of objectively determined progression as defined by Response Evaluation Criteria in Solid Tumors (RECIST v1.1) or death from any cause, whichever is first. Disease progression is defined as ≥20% increase in the sum of diameters of target lesions, taking as reference smallest sum on study (included baseline sum if that was the smallest on study); sum must have demonstrated an absolute increase of ≥5 millimeter (mm) and the appearance of ≥1 new lesions was progression. Participants who did not progress, were lost to follow-up, or had missed 2 or more scheduled tumor assessments were censored at the day of their last adequate tumor assessment. (NCT01234402)
Timeframe: From Date of Randomization until Disease Progression or Death Due to Any Cause (Up To 97 weeks)
Intervention | Weeks (Median) |
---|
Ramucirumab + Capecitabine | 22.1 |
Icrucumab + Capecitabine | 7.3 |
Capecitabine | 19.0 |
[back to top]
Terminal Half-life (t½) of Ramucirumab or Icrucumab
Terminal half-life (t½) of Ramucirumab and Icrucumab. (NCT01234402)
Timeframe: Cycle 1: Pre-infusion, 1h, 48h, 72h, 168, 336h post infusion
Intervention | Days (Geometric Mean) |
---|
Ramucirumab + Capecitabine | 6.80 |
[back to top]
Percentage of Participants With Objective Response Rate (ORR)
The ORR is the number of all participants with Partial Response (PR) or Complete Response (CR) according to RECIST v1.1 from the start of the treatment until disease progression/recurrence. CR was defined as the disappearance of all non-nodal target lesions, with the short axes of any target lymph nodes reduced to <10 mm. PR was defined as ≥30% decrease in the sum of the diameters of target lesions (including the short axes of any target lymph nodes), taking as reference the baseline sum diameter. Disease progression is defined as ≥20% increase in the sum of diameters of target lesions, taking as reference smallest sum on study (included baseline sum if that was the smallest on study); sum must have demonstrated an absolute increase of ≥5 mm and the appearance of ≥1 new lesions was progression. (NCT01234402)
Timeframe: From Date of Randomization until Disease Progression/Recurrence (Up to 97 weeks)
Intervention | Percentage of Participants (Number) |
---|
Ramucirumab + Capecitabine | 28.8 |
Icrucumab + Capecitabine | 20.4 |
Capecitabine | 34.7 |
[back to top]
Survival
Overall survival is defined as the length of time from start of treatment to death from any cause. Estimated using the Kaplan-Meier method. (NCT01267240)
Timeframe: Up to 1 year
Intervention | months (Median) |
---|
Arm I (Capecitabine, Vorinostat) | 10.8 |
[back to top]
Progression-free Survival
"PFS is defined as the duration of time from start of treatment to time of progression, death, or completion of the 1-year follow-up, whichever occurs first.~Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as at least a 20% increase in the sum of the longest diameter of target lesions." (NCT01267240)
Timeframe: From time of treatment initiation to disease progression, death, or completion of the 1 year follow-up, whichever occurs first.
Intervention | months (Median) |
---|
Arm I (Capecitabine, Vorinostat) | 2.3 |
[back to top]
Response Rate According to Response Evaluation Criteria in Solid Tumors
Per Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT and MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters; Overall Response (OR) = CR + PR. (NCT01267240)
Timeframe: Up to 1 year
Intervention | participants (Number) |
---|
Arm I (Capecitabine, Vorinostat) | 2 |
[back to top]
[back to top]
[back to top]
Overall Survival
Overall survival was defined as the time (in months) from randomization to death. (NCT01279681)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Arm A [Fluoropyrimidine + Bevacizumab (BEV)] | 18.8 |
Arm B [Fluoropyrimidine/Oxaliplatin (OXAL) + BEV] | 15.4 |
[back to top]
Progression-Free Survival
Progression was defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. Progression free survival was defined as the time (in months) from the date of randomization to the date of documented disease progression or death, whichever occurs first. Patients were followed until progression (and progression was declared) regardless of whether the patient was on the first line treatment or not. Patients who progress following a missed scan will have their date of progression back-dated to the date of missing scan. Patients without a progression who are still alive at the time of analysis will be censored at the date of last follow-up. (NCT01279681)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Arm A [Fluoropyrimidine + Bevacizumab (BEV)] | 6.7 |
Arm B [Fluoropyrimidine/Oxaliplatin (OXAL) + BEV] | 6.7 |
[back to top]
Response Rate, Defined as the Percentage of Patients in Each Arm Who Have an Objective Status of Complete Response or Partial Response, Confirmed by a Second Assessment Measured at Least 6 Weeks From the Initial Assessment
"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.~Response rate is reported as the percentage of participants who achieved Complete Response or Partial Response." (NCT01279681)
Timeframe: Up to 5 years
Intervention | percentage of participants (Number) |
---|
Arm A [Fluoropyrimidine + Bevacizumab (BEV)] | 47 |
Arm B [Fluoropyrimidine/Oxaliplatin (OXAL) + BEV] | 38 |
[back to top]
Phase 2: Clinical Benefit Rate (CBR)
CBR was defined as the percentage of participants with a confirmed CR, PR, or SD of at least 6 months duration (durable SD) divided by the number of participants in the analysis set. CBR was determined by an investigator based on RECIST v1.1. CR: disappearance of all target lesions. All pathological lymph nodes (whether target or non-target) must have a reduction in their short axis to <10 mm. PR: at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of the longest diameter. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (this includes baseline sum if that is the smallest on study). CBR was summarized using the Clopper-Pearson method. (NCT01323530)
Timeframe: From the first dose of study drug until PD or 30 days after the last dose of study treatment (up to approximately 3.75 years)
Intervention | percentage of participants (Number) |
---|
Phase 2: Eribulin Mesilate 1.4 mg/m^2 | 57.1 |
[back to top]
Phase 2: Stable Disease (SD) Rate
SD rate was defined as the percentage of participants with a SD that lasted for a minimum of 5 weeks. SD rate was assessed based on RECIST version 1.1. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. PR: at least a 30% decrease in sum of longest diameter of target lesions, taking as reference the baseline sum of longest diameter. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (this includes baseline sum if that is the smallest on study). (NCT01323530)
Timeframe: From the first dose of study drug until PD or up to 30 days after the last dose of study treatment (up to approximately 3.75 years)
Intervention | percentage of participants (Number) |
---|
Phase 2: Eribulin Mesilate 1.4 mg/m^2 | 38.1 |
[back to top]
Phase 2: Duration of Response (DOR)
DOR: time from first documented evidence of CR or PR until first documented sign of PD or death. DOR was assessed based on RECIST v 1.1. CR: disappearance of all target lesions. All pathological lymph nodes (whether target/non-target) must have a reduction in their short axis to >10 mm. PR: at least a 30% decrease in sum of longest diameter of target lesions, taking as reference the baseline sum of longest diameter. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (this includes baseline sum if that is the smallest on study). DOR was summarized using the Kaplan-Meier method. (NCT01323530)
Timeframe: From date of the first CR or PR until the date of first documentation of PD or death or up to 30 days after the last dose of study treatment (up to approximately 3.75 years)
Intervention | days (Median) |
---|
Phase 2: Eribulin Mesilate 1.4 mg/m^2 | 261.0 |
[back to top]
Phase 2: Disease Control Rate (DCR)
DCR was defined as the percentage of participants with a confirmed CR, PR, or SD divided by the number of participants in the analysis set. DCR was assessed by an investigator based on RECIST v1.1. CR: disappearance of all target lesions. All pathological lymph nodes (whether target or non-target) must have a reduction in their short axis to <10 mm. PR: at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of the longest diameter. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (this includes baseline sum if that is the smallest on study). DCR was summarized using the Clopper-Pearson method. (NCT01323530)
Timeframe: From the first dose of study drug until PD or 30 days after the last dose of study treatment (up to approximately 3.75 years)
Intervention | percentage of participants (Number) |
---|
Phase 2: Eribulin Mesilate 1.4 mg/m^2 | 81.0 |
[back to top]
Phase 2: Objective Response Rate (ORR)
ORR was defined as the percentage of participants who had either a confirmed complete response (CR) or partial response (PR). ORR was assessed based on Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v 1.1). CR was defined as disappearance of all target lesions. All pathological lymph nodes (whether target or non-target) must have a reduction in their short axis to less than (<) 10 millimeter (mm). PR was defined as at least a 30 percent (%) decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of the longest diameter. ORR was summarized using the Clopper-Pearson method. (NCT01323530)
Timeframe: From the first dose of study drug until PD or up to 30 days after the last dose of study treatment (up to approximately 3.75 years)
Intervention | percentage of participants (Number) |
---|
Phase 2: Eribulin Mesilate 1.4 mg/m^2 | 42.9 |
[back to top]
Phase 2: Progression-free Survival (PFS)
PFS was defined as the time from the first dose date until PD or death due to any cause. PFS was determined by an investigator based on RECIST v1.1. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (this includes baseline sum if that is the smallest on study). PFS was summarized using the Kaplan-Meier method. (NCT01323530)
Timeframe: From the first dose of study drug until PD or death due to any cause or 30 days after the last dose of study treatment (up to approximately 3.75 years)
Intervention | days (Median) |
---|
Phase 2: Eribulin Mesilate 1.4 mg/m^2 | 219.0 |
[back to top]
Phase 2: Time to Response
Time to response (CR or PR) was defined as the time from the first dose until first documented evidence of CR or PR (whichever status was recorded first). Time to response was assessed based on RECIST v 1.1. CR was defined as disappearance of all target lesions. All pathological lymph nodes (whether target or non-target) must have a reduction in their short axis to less than 10 mm. PR was defined as at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of the longest diameter. Time to response was summarized using the Kaplan-Meier method. (NCT01323530)
Timeframe: From the first dose of study drug treatment start date until date of first documented evidence of CR or PR or up to 30 days after the last dose of study treatment (up to approximately 3.75 years)
Intervention | days (Median) |
---|
Phase 2: Eribulin Mesilate 1.4 mg/m^2 | 44.0 |
[back to top]
Phase 2: Duration of Stable Disease (SD)
Duration of SD was measured from date of the first dose until progression. Duration of SD was assessed based on RECIST v1.1. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. PR: at least a 30% decrease in sum of longest diameter of target lesions, taking as reference the baseline sum of longest diameter. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (this includes baseline sum if that is the smallest on study). Duration of SD was summarized using the Kaplan-Meier method. (NCT01323530)
Timeframe: From the first dose of study drug until PD or 30 days after the last dose of study treatment (up to approximately 3.75 years)
Intervention | days (Median) |
---|
Phase 2: Eribulin Mesilate 1.4 mg/m^2 | 162.0 |
[back to top]
Phase 1b and Phase 2: Percentage of Participants With Non-CR/Non-PD
Non-CR/Non-PD was for participants who had non-target disease only (minimum duration from randomization to Non-CR/Non-PD >=7 weeks) and assessed by investigator based on RECIST v1.1. Non-CR/Non-PD: persistence of one or more non-target lesions, maintenance of tumor marker level above the normal limits. (NCT01323530)
Timeframe: From the first dose of study drug until PD or up to 30 days after the last dose of study treatment (up to approximately 3.75 years)
Intervention | percentage of participants (Number) |
---|
Phase 1b (Schedule 1): Eribulin Mesilate (1.2 mg/m^2) | 0 |
Phase 1b (Schedule 1): Eribulin Mesilate (1.6 mg/m^2) | 0 |
Phase 1b (Schedule 1): Eribulin Mesilate (2.0 mg/m^2) | 0 |
Phase 1b (Schedule 2): Eribulin Mesilate (0.7 mg/m^2) | 0 |
Phase 1b (Schedule 2): Eribulin Mesilate (1.1 mg/m^2) | 16.7 |
Phase 1b (Schedule 2): Eribulin Mesilate (1.4 mg/m^2) | 0 |
Phase 2: Eribulin Mesilate 1.4 mg/m^2 | 0 |
[back to top]
Phase 1b: Number of Participants With Dose-limiting Toxicities (DLTs) as Per National Cancer Institute Common Terminology Criteria for Adverse Events Version 3.0 (NCI CTCAE v3.0)
DLTs as per NCI CTCAE v3.0 were defined as:1) Neutropenia Grade 4 that lasted at least 7 days, 2) Neutropenia Grade 3 or 4 complicated by fever and/or infection (absolute neutrophil count [ANC] less than 1.0*10^9/liter [L], fever of at least 38.5 degree celsius [°C]), 3)Thrombocytopenia Grade 4, 4) Thrombocytopenia Grade 3 complicated by bleeding and/or requiring platelet or blood transfusion, 5) Non-hematological toxicity Grade 3 or higher (excluding Grade 3 nausea, and Grade 3 or 4 vomiting or diarrhea in participants who had not received optimal treatment with antiemetic and/or antidiarrheal medication; excluding laboratory abnormalities without clinical symptoms), 6) Delayed recovery from treatment-related toxicity resulting in dose delay greater than 14 days, 7) Failure to administer at least 75 percent (%) of planned study drugs during Cycle 1 as result of Grade 2 or higher treatment-related toxicity that constituted increase of at least 2 grades from baseline. (NCT01323530)
Timeframe: Cycle 1 (21 days)
Intervention | Participants (Count of Participants) |
---|
Phase 1b (Schedule 1): Eribulin Mesilate (1.2 mg/m^2) | 1 |
Phase 1b (Schedule 1): Eribulin Mesilate (1.6 mg/m^2) | 1 |
Phase 1b (Schedule 1): Eribulin Mesilate (2.0 mg/m^2) | 2 |
Phase 1b (Schedule 2): Eribulin Mesilate (0.7 mg/m^2) | 0 |
Phase 1b (Schedule 2): Eribulin Mesilate (1.1 mg/m^2) | 1 |
Phase 1b (Schedule 2): Eribulin Mesilate (1.4 mg/m^2) | 1 |
[back to top]
TRC105 Steady State Pharmacokinetic Trough Concentration at the RP2D
Mean trough concentration for patients dosed at 10 mg/kg at cycle 2 day 1 (NCT01326481)
Timeframe: Cycle 2 day 1 (3 weeks)
Intervention | ng/mL (Mean) |
---|
Single | 66668.75 |
[back to top]
Number of Participants With a Treatment-Emergent Adverse Event (TEAE)
Safety assessments consisted of monitoring and recording all adverse events (AEs) and serious AEs; regular monitoring of hematology, blood chemistry, and urine values; periodic measurement of vital signs and electrocardiograms (ECGs); and performance of physical examinations. A TEAE was defined as an adverse event (AE) that had an onset date, or a worsening in severity from Baseline (pretreatment), on or after the first dose of study drug up to 30 days after the date of last study treatment. (NCT01355302)
Timeframe: From date of first dose up to 30 days after the last dose of study treatment, up to approximately 1 year 1 month.
Intervention | Participants (Number) |
---|
Phase 1b: Golvatinib+Capecitabine+Cisplatin | 7 |
[back to top]
Area Under The Concentration-Time Curve (AUC) From 0 to 24 Hours of Golvatinib
On days when pharmacokinetic (PK) samples were to be drawn, a predose blood sample was obtained prior to administration of golvatinib and capecitabine. After administration of study drugs, a second postdose blood sample was taken. The amount of golvatinib in the participant's blood was analyzed and the AUC was calculated. The AUC reflects the actual body exposure to drug after administration of a dose of the drug and is dependent on the rate of elimination of the drug from the body and the dose administered. Predose samples that were below the limit of quantitation (BLQ) or missing were assigned a numerical value of zero for the calculation of AUC. Any other BLQ concentrations were assigned a value of zero. Results were expressed in nanograms·hour/milliter (ng·h/mL). (NCT01355302)
Timeframe: Cycle 1 (Day -2); predose, 30 minutes, 1, 2, 3, 4, 8, 12 (if feasible), 24, and 48 hours after study treatment. Cycle 2 (Day 1); predose, 30 minutes, 1, 2, 3, 4, 8, 12 (if feasible), and 24 hours after study treatment.
Intervention | ng·h/mL (Median) |
---|
| Cycle 1, Day -2 | Cycle 2, Day 1 |
---|
Phase 1b: Golvatinib+Capecitabine+Cisplatin | 23400 | 26300 |
[back to top]
Maximum Concentration (Cmax) of Golvatinib
Blood samples were drawn to analyze the amount of golvatinib in the participant's serum. Maximum concentration refers to the maximum (or peak) serum concentration of study drug in the participant's system after administration of the study drug and prior to the administration of a second dose of the study drug. Results were expressed in nanograms/milliliter (ng/mL). (NCT01355302)
Timeframe: Cycle 1 (Day -2); predose, 30 minutes, 1, 2, 3, 4, 8, 12 (if feasible), 24, and 48 hours after study treatment. Cycle 2 (Day 1); predose, 30 minutes, 1, 2, 3, 4, 8, 12 (if feasible), and 24 hours after study treatment.
Intervention | ng/mL (Median) |
---|
| Cycle 1, Day -2 | Cycle 2, Day 1 |
---|
Phase 1b: Golvatinib+Capecitabine+Cisplatin | 1680 | 1620 |
[back to top]
Time to Maximum Concentration (Tmax) of Golvatinib
Tmax was defined as the time at which Cmax was observed for golvatinib in combination with cisplatin and capecitabine. (NCT01355302)
Timeframe: Cycle 1 (Day -2); predose, 30 minutes, 1, 2, 3, 4, 8, 12 (if feasible), 24, and 48 hours after study treatment. Cycle 2 (Day 1); predose, 30 minutes, 1, 2, 3, 4, 8, 12 (if feasible), and 24 hours after study treatment.
Intervention | Hours (Median) |
---|
| Cycle 1, Day -2 | Cycle 2, Day 1 |
---|
Phase 1b: Golvatinib+Capecitabine+Cisplatin | 3.00 | 6.07 |
[back to top]
Objective Response Rate (ORR) (Surgery After Chemotherapy and SBRT)
Percentage of participants with response per RECIST v1.0. Per RECIST v1.0: Complete Response (CR): the disappearance of a lesion; Near Complete Response (NCR): at least an 80% decrease in the longest diameter of a lesion, taking as reference the longest diameter recorded since the treatment started. Partial Response (PR): at least a 30% decrease in the longest diameter of a lesion, taking as reference the longest diameter recorded since the treatment started. (NCT01360593)
Timeframe: Up to 24 months
Intervention | percentage of participants (Number) |
---|
Gem + Xeloda + SBRT | 20.0 |
[back to top]
Acute Toxicities Associated With SBRT
Percentage of patients that experience treatment-related toxicities as graded according to Common Terminology Criteria for Adverse Events (CTCAE v4), within 3 months after treatment, by grade. Patients were monitored for potential toxicity throughout treatment. (NCT01360593)
Timeframe: Up to 3 months following SBRT treatment
Intervention | percentage of participants (Number) |
---|
| Grade 1 | Grade 2 | Grade 3 | Grade 4 |
---|
Gem + Xeloda + SBRT | 88.24 | 29.41 | 14.71 | 2.94 |
[back to top]
Objective Response Rate (ORR) (Neoadjuvant Chemotherapy)
Percentage of participants with response per RECIST v1.0. Per RECIST v1.0: Complete Response (CR): the disappearance of a lesion; Near Complete Response (NCR): at least an 80% decrease in the longest diameter of a lesion, taking as reference the longest diameter recorded since the treatment started. Partial Response (PR): at least a 30% decrease in the longest diameter of a lesion, taking as reference the longest diameter recorded since the treatment started. (NCT01360593)
Timeframe: Up to 24 months
Intervention | percentage of participants (Number) |
---|
Gem + Xeloda + SBRT | 28.13 |
[back to top]
Overall Survival (OS)
The (median) length of time from enrollment to confirmed death from any cause. (NCT01360593)
Timeframe: Up to 32 months
Intervention | months (Median) |
---|
Gem + Xeloda + SBRT | 18.82546 |
[back to top]
The Functional Assessment of Cancer Therapy - General (FACT-G)
The Functional Assessment of Cancer Therapy - General (FACT-G) is a self-administered, 27-item questionnaire designed to measure four domains of HRQOL in cancer patients: Physical, social, emotional, and functional well-being. Quality of Life (QOL) evaluation will be administered prior to SBRT, after completion of SBRT, and at each follow-up. Scaling of items: Five-point scale for each questions from 0 (not at all) to 4 (very much); overall scoring 0-108. Higher scores indicated better quality of life. (NCT01360593)
Timeframe: Baseline; 2 - 4 weeks post chemotherapy; 4-6 weeks post SBRT; after surgery (up to 24 months)
Intervention | score on a scale (Median) |
---|
| Baseline | 2-4 weeks after Chemo | 4-6 weeks after SBRT | after Surgery, up to 24 months |
---|
Gem + Xeloda + SBRT | 54.0 | 54.0 | 51.5 | 49.5 |
[back to top]
Number of Participants Able to Undergo a Margin-negative Resection After Neoadjuvant Therapy
Number of patients that are able to undergo a margin-negative resection after neoadjuvant therapy. Surgical evaluation: pathology records reviewed by operating surgeon to determine margin status as negative (not close (1-2.5mm), microscopically positive, and/or grossly positive). (NCT01360593)
Timeframe: Up to 24 months
Intervention | Participants (Count of Participants) |
---|
Gem + Xeloda + SBRT | 11 |
[back to top]
Local Progression-free Survival (LPFS)
LPFS is defined as the time from enrollment to first documentation of progressive disease (PD) in the target lesion. For patients that undergo surgical resection, local progression will be defined as disease recurrence detected on follow-up imaging (CT or FDG-PET/CT) that is located within the SBRT target volume. Death or development of distant disease is not regarded as an event. Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.0, progressive disease is defined as at least a 25% increase in the longest diameter of a lesion, taking as reference the longest diameter recorded since the treatment started. (NCT01360593)
Timeframe: Up to 32 months
Intervention | months (Median) |
---|
Gem + Xeloda + SBRT | 22.30801 |
[back to top]
Late Toxicities Associated With SBRT
Percentage of patients that experience treatment-related toxicities as graded according to Common Terminology Criteria for Adverse Events (CTCAE v4), greater than 3 months after treatment, by grade. Patients were monitored for potential toxicity throughout treatment. (NCT01360593)
Timeframe: From 3 months following SBRT treatment up to 24 months
Intervention | percentage of participants (Number) |
---|
Gem + Xeloda + SBRT | 0 |
[back to top]
Time to Progression (TTP)
The (median) length of time from enrollment to disease progression per Response Evaluation Criteria in Solid Tumors (v1.0). Per RECIST, Progressive Disease (PD) is defined at least a 25% increase in the longest diameter of a lesion, taking as reference the longest diameter recorded since the treatment started. For lesions without size response the maintenance of CA 19-9 level above the normal limits indicates disease progression. (NCT01360593)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Gem + Xeloda + SBRT | 16 |
[back to top]
Number of Subjects With Adverse Events (AEs) and Serious AEs
Safety and tolerability will be assessed in accordance to the protocol of the parent study in which the subjects had participated, before enrolling in the AV-951-09-901 rollover study. (NCT01369433)
Timeframe: 24 Months
,
Intervention | Participants (Count of Participants) |
---|
| AEs | Treatment-related AEs | AEs ≥Grade 3 toxicity | AEs-study drug interruption | AEs-study drug dose reduction | AEs-discontinuation of study drug | AEs-death | Serious Adverse events (SAEs) | SAEs ≥Grade 3 toxicity | Serious treatment-related AEs |
---|
Combination Therapy | 16 | 15 | 12 | 6 | 0 | 1 | 1 | 5 | 5 | 0 |
Monotherapy | 178 | 159 | 111 | 54 | 13 | 31 | 13 | 44 | 38 | 16 |
[back to top]
PFS According to RECIST Version 1.1 in Participants With High ERCC-1 and Low VEGF-A Levels
Tumor assessments were performed according to RECIST Version 1.1. Disease progression was defined as ≥20% increase in sum of LD of target lesions in reference to the smallest sum of LD on study, in addition to an absolute increase ≥5 mm. Disease progression was further defined as the last documented progression determined by the Investigator no later than 1 day before initiation of second-line therapy. Death on study included death from any cause occurring no later than 3 months after the last component of study treatment. PFS was defined as the time from randomization to death or disease progression, whichever occurred first. The median duration of PFS was estimated by Kaplan-Meier analysis and expressed in months. The 95% CI was computed using the method of Brookmeyer and Crowley. (NCT01374425)
Timeframe: From Baseline until death or disease progression; assessed every 6 weeks (maximum up to 45 months overall)
Intervention | months (Median) |
---|
Bevacizumab + mFOLFOX6 (ERCC-1 High, VEGF-A Low) | 12.52 |
Bevacizumab + FOLFIRI (ERCC-1 High, VEGF-A Low) | 12.68 |
[back to top]
PFS According to RECIST Version 1.1 in Participants With High ERCC-1 Levels Versus Participants With Low ERCC-1 Levels
Tumor assessments were performed according to RECIST Version 1.1. Disease progression was defined as ≥20% increase in sum of LD of target lesions in reference to the smallest sum of LD on study, in addition to an absolute increase ≥5 mm. Disease progression was further defined as the last documented progression determined by the Investigator no later than 1 day before initiation of second-line therapy. Death on study included death from any cause occurring no later than 3 months after the last component of study treatment. PFS was defined as the time from randomization to death or disease progression, whichever occurred first. The median duration of PFS was estimated by Kaplan-Meier analysis and expressed in months. The 95% CI was computed using the method of Brookmeyer and Crowley. (NCT01374425)
Timeframe: From Baseline until death or disease progression; assessed every 6 weeks (maximum up to 45 months overall)
Intervention | months (Median) |
---|
Bevacizumab + mFOLFOX/FOLFIRI (ERCC-1 High) | 10.87 |
Bevacizumab + mFOLFOX/FOLFIRI (ERCC-1 Low) | 11.56 |
[back to top]
PFS According to RECIST Version 1.1 in Participants With High Vascular Endothelial Growth Factor (VEGF)-A Levels Versus Participants With Low VEGF-A Levels
Tumor assessments were performed according to RECIST Version 1.1. Disease progression was defined as ≥20% increase in sum of LD of target lesions in reference to the smallest sum of LD on study, in addition to an absolute increase ≥5 mm. Disease progression was further defined as the last documented progression determined by the Investigator no later than 1 day before initiation of second-line therapy. Death on study included death from any cause occurring no later than 3 months after the last component of study treatment. PFS was defined as the time from randomization to death or disease progression, whichever occurred first. The median duration of PFS was estimated by Kaplan-Meier analysis and expressed in months. The 95% CI was computed using the method of Brookmeyer and Crowley. (NCT01374425)
Timeframe: From Baseline until death or disease progression; assessed every 6 weeks (maximum up to 45 months overall)
Intervention | months (Median) |
---|
Bevacizumab + mFOLFOX/FOLFIRI (VEGF-A High) | 10.02 |
Bevacizumab + mFOLFOX/FOLFIRI (VEGF-A Low) | 12.68 |
[back to top]
PFS According to RECIST Version 1.1 in Participants With Low ERCC-1 and High VEGF-A Levels
Tumor assessments were performed according to RECIST Version 1.1. Disease progression was defined as ≥20% increase in sum of LD of target lesions in reference to the smallest sum of LD on study, in addition to an absolute increase ≥5 mm. Disease progression was further defined as the last documented progression determined by the Investigator no later than 1 day before initiation of second-line therapy. Death on study included death from any cause occurring no later than 3 months after the last component of study treatment. PFS was defined as the time from randomization to death or disease progression, whichever occurred first. The median duration of PFS was estimated by Kaplan-Meier analysis and expressed in months. The 95% CI was computed using the method of Brookmeyer and Crowley. (NCT01374425)
Timeframe: From Baseline until death or disease progression; assessed every 6 weeks (maximum up to 45 months overall)
Intervention | months (Median) |
---|
Bevacizumab + mFOLFOX6 (ERCC-1 Low, VEGF-A High) | 9.76 |
Bevacizumab + FOLFIRI (ERCC-1 Low, VEGF-A High) | 11.07 |
[back to top]
PFS According to RECIST Version 1.1 in Participants With Low ERCC-1 and Low VEGF-A Levels
Tumor assessments were performed according to RECIST Version 1.1. Disease progression was defined as ≥20% increase in sum of LD of target lesions in reference to the smallest sum of LD on study, in addition to an absolute increase ≥5 mm. Disease progression was further defined as the last documented progression determined by the Investigator no later than 1 day before initiation of second-line therapy. Death on study included death from any cause occurring no later than 3 months after the last component of study treatment. PFS was defined as the time from randomization to death or disease progression, whichever occurred first. The median duration of PFS was estimated by Kaplan-Meier analysis and expressed in months. The 95% CI was computed using the method of Brookmeyer and Crowley. (NCT01374425)
Timeframe: From Baseline until death or disease progression; assessed every 6 weeks (maximum up to 45 months overall)
Intervention | months (Median) |
---|
Bevacizumab + mFOLFOX6 (ERCC-1 Low, VEGF-A Low) | 11.10 |
Bevacizumab + FOLFIRI (ERCC-1 Low, VEGF-A Low) | 14.32 |
[back to top]
Percentage of Participants With Objective Response According to RECIST Version 1.1
Objective response was defined as complete response (CR) or partial response (PR) according to RECIST Version 1.1. CR was defined as disappearance of all target lesions and short-axis reduction to less than (<) 10 mm of any pathological lymph nodes. PR was defined as ≥30% decrease in sum of LD of target lesions in reference to sum of LD at Baseline. Confirmation of response at a consecutive assessment was not required. The percentage of participants with CR or PR was reported. The 95% CI was computed using normal approximation to the binomial distribution. (NCT01374425)
Timeframe: From Baseline until disease progression; assessed every 6 weeks (maximum up to 45 months overall)
Intervention | percentage of participants (Number) |
---|
Bevacizumab + mFOLFOX6 | 61.2 |
Bevacizumab + FOLFIRI | 65.4 |
[back to top]
PFS According to RECIST Version 1.1 in Participants With Low ERCC-1 Levels
Tumor assessments were performed according to RECIST Version 1.1. Disease progression was defined as ≥20% increase in sum of LD of target lesions in reference to the smallest sum of LD on study, in addition to an absolute increase ≥5 mm. Disease progression was further defined as the last documented progression determined by the Investigator no later than 1 day before initiation of second-line therapy. Death on study included death from any cause occurring no later than 3 months after the last component of study treatment. PFS was defined as the time from randomization to death or disease progression, whichever occurred first. The median duration of PFS was estimated by Kaplan-Meier analysis and expressed in months. The 95% CI was computed using the method of Brookmeyer and Crowley. (NCT01374425)
Timeframe: From Baseline until death or disease progression; assessed every 6 weeks (maximum up to 45 months overall)
Intervention | months (Median) |
---|
Bevacizumab + mFOLFOX6 (ERCC-1 Low) | 10.97 |
Bevacizumab + FOLFIRI (ERCC-1 Low) | 12.68 |
[back to top]
Percentage of Participants With Disease Control According to RECIST Version 1.1 in Participants With High VEGF-A Levels Versus Participants With Low VEGF-A Levels
Disease control was defined as CR, PR, or SD according to RECIST Version 1.1. CR was defined as disappearance of all target lesions and short-axis reduction to <10 mm of any pathological lymph nodes. PR was defined as ≥30% decrease in sum of LD of target lesions in reference to sum of LD at Baseline. Confirmation of response at a consecutive assessment was not required. SD was defined as neither sufficient shrinkage to quality for PR nor sufficient increase to qualify for disease progression (≥20% increase in sum of LD of target lesions plus absolute increase ≥5 mm) in reference to the smallest sum of LD on study. The percentage of participants with CR, PR, or SD was reported. The 95% CI was computed using normal approximation to the binomial distribution. (NCT01374425)
Timeframe: From Baseline until disease progression; assessed every 6 weeks (maximum up to 45 months overall)
Intervention | percentage of participants (Number) |
---|
Bevacizumab + mFOLFOX/FOLFIRI (VEGF-A High) | 91.9 |
Bevacizumab + mFOLFOX/FOLFIRI (VEGF-A Low) | 93.0 |
[back to top]
OS in Participants With High ERCC-1 Levels
Death on study included death from any cause occurring no later than 3 months after the last component of study treatment. OS was defined as the time from randomization to death. The median duration of OS was estimated by Kaplan-Meier analysis and expressed in months. The 95% CI was computed using the method of Brookmeyer and Crowley. (NCT01374425)
Timeframe: From Baseline until death (maximum up to 45 months overall)
Intervention | months (Median) |
---|
Bevacizumab + mFOLFOX6 (ERCC-1 High) | 22.54 |
Bevacizumab + FOLFIRI (ERCC-1 High) | 26.51 |
[back to top]
[back to top]
[back to top]
[back to top]
[back to top]
[back to top]
OS in Participants With High ERCC-1 Levels Versus Participants With Low ERCC-1 Levels
Death on study included death from any cause occurring no later than 3 months after the last component of study treatment. OS was defined as the time from randomization to death. The median duration of OS was estimated by Kaplan-Meier analysis and expressed in months. The 95% CI was computed using the method of Brookmeyer and Crowley. (NCT01374425)
Timeframe: From Baseline until death (maximum up to 45 months overall)
Intervention | months (Median) |
---|
Bevacizumab + mFOLFOX/FOLFIRI (ERCC-1 High) | 23.23 |
Bevacizumab + mFOLFOX/FOLFIRI (ERCC-1 Low) | 27.27 |
[back to top]
Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1
Tumor assessments were performed according to RECIST Version 1.1. Disease progression was defined as greater than or equal to (≥) 20 percent (%) increase in sum of largest diameters (LD) of target lesions in reference to the smallest sum of LD on study, in addition to an absolute increase ≥5 millimeters (mm). Disease progression was further defined as the last documented progression determined by the Investigator no later than 1 day before initiation of second-line therapy. Death on study included death from any cause occurring no later than 3 months after the last component of study treatment. PFS was defined as the time from randomization to death or disease progression, whichever occurred first. The median duration of PFS was estimated by Kaplan-Meier analysis and expressed in months. The 95% confidence interval (CI) was computed using the method of Brookmeyer and Crowley. (NCT01374425)
Timeframe: From Baseline until death or disease progression; assessed every 6 weeks (maximum up to 45 months overall)
Intervention | months (Median) |
---|
Bevacizumab + mFOLFOX6 | 10.09 |
Bevacizumab + FOLFIRI | 12.55 |
[back to top]
PFS According to RECIST Version 1.1 in Participants With Wild-Type V-Ki-ras2 Kirsten Rat Sarcoma Viral Oncogene Homolog (KRAS) Versus Participants With Mutant KRAS
Tumor assessments were performed according to RECIST Version 1.1. Disease progression was defined as ≥20% increase in sum of LD of target lesions in reference to the smallest sum of LD on study, in addition to an absolute increase ≥5 mm. Disease progression was further defined as the last documented progression determined by the Investigator no later than 1 day before initiation of second-line therapy. Death on study included death from any cause occurring no later than 3 months after the last component of study treatment. PFS was defined as the time from randomization to death or disease progression, whichever occurred first. The median duration of PFS was estimated by Kaplan-Meier analysis and expressed in months. The 95% CI was computed using the method of Brookmeyer and Crowley. (NCT01374425)
Timeframe: From Baseline until death or disease progression; assessed every 6 weeks (maximum up to 45 months overall)
Intervention | months (Median) |
---|
Bevacizumab + mFOLFOX/FOLFIRI (KRAS Wild-Type) | 12.45 |
Bevacizumab + mFOLFOX/FOLFIRI (KRAS Mutant) | 10.94 |
[back to top]
PFS According to RECIST Version 1.1 in Participants With High ERCC-1 Levels
Tumor assessments were performed according to RECIST Version 1.1. Disease progression was defined as ≥20% increase in sum of LD of target lesions in reference to the smallest sum of LD on study, in addition to an absolute increase ≥5 mm. Disease progression was further defined as the last documented progression determined by the Investigator no later than 1 day before initiation of second-line therapy. Death on study included death from any cause occurring no later than 3 months after the last component of study treatment. PFS was defined as the time from randomization to death or disease progression, whichever occurred first. The median duration of PFS was estimated by Kaplan-Meier analysis and expressed in months. The 95% CI was computed using the method of Brookmeyer and Crowley. (NCT01374425)
Timeframe: From Baseline until death or disease progression; assessed every 6 weeks (maximum up to 45 months overall)
Intervention | months (Median) |
---|
Bevacizumab + mFOLFOX6 (ERCC-1 High) | 9.92 |
Bevacizumab + FOLFIRI (ERCC-1 High) | 11.17 |
[back to top]
[back to top]
Percentage of Participants With Objective Response According to RECIST Version 1.1 in Participants With High ERCC-1 Levels
Objective response was defined as CR or PR according to RECIST Version 1.1. CR was defined as disappearance of all target lesions and short-axis reduction to <10 mm of any pathological lymph nodes. PR was defined as ≥30% decrease in sum of LD of target lesions in reference to sum of LD at Baseline. Confirmation of response at a consecutive assessment was not required. The percentage of participants with CR or PR was reported. The 95% CI was computed using normal approximation to the binomial distribution. (NCT01374425)
Timeframe: From Baseline until disease progression; assessed every 6 weeks (maximum up to 45 months overall)
Intervention | percentage of participants (Number) |
---|
Bevacizumab + mFOLFOX6 (ERCC-1 High) | 56.3 |
Bevacizumab + FOLFIRI (ERCC-1 High) | 65.7 |
[back to top]
[back to top]
[back to top]
Overall Survival (OS)
Death on study included death from any cause occurring no later than 3 months after the last component of study treatment. OS was defined as the time from randomization to death. The median duration of OS was estimated by Kaplan-Meier analysis and expressed in months. The 95% CI was computed using the method of Brookmeyer and Crowley. (NCT01374425)
Timeframe: From Baseline until death (maximum up to 45 months overall)
Intervention | months (Median) |
---|
Bevacizumab + mFOLFOX6 | 23.85 |
Bevacizumab + FOLFIRI | 27.47 |
[back to top]
[back to top]
[back to top]
Percentage of Participants With Disease Control According to RECIST Version 1.1
Disease control was defined as CR, PR, or stable disease (SD) according to RECIST Version 1.1. CR was defined as disappearance of all target lesions and short-axis reduction to <10 mm of any pathological lymph nodes. PR was defined as ≥30% decrease in sum of LD of target lesions in reference to sum of LD at Baseline. Confirmation of response at a consecutive assessment was not required. SD was defined as neither sufficient shrinkage to quality for PR nor sufficient increase to qualify for disease progression (≥20% increase in sum of LD of target lesions plus absolute increase ≥5 mm) in reference to the smallest sum of LD on study. The percentage of participants with CR, PR, or SD was reported. The 95% CI was computed using normal approximation to the binomial distribution. (NCT01374425)
Timeframe: From Baseline until disease progression; assessed every 6 weeks (maximum up to 45 months overall)
Intervention | percentage of participants (Number) |
---|
Bevacizumab + mFOLFOX6 | 93.1 |
Bevacizumab + FOLFIRI | 91.0 |
[back to top]
Percentage of Participants With Disease Control According to RECIST Version 1.1 in Participants With High ERCC-1 Levels
Disease control was defined as CR, PR, or SD according to RECIST Version 1.1. CR was defined as disappearance of all target lesions and short-axis reduction to <10 mm of any pathological lymph nodes. PR was defined as ≥30% decrease in sum of LD of target lesions in reference to sum of LD at Baseline. Confirmation of response at a consecutive assessment was not required. SD was defined as neither sufficient shrinkage to quality for PR nor sufficient increase to qualify for disease progression (≥20% increase in sum of LD of target lesions plus absolute increase ≥5 mm) in reference to the smallest sum of LD on study. The percentage of participants with CR, PR, or SD was reported. The 95% CI was computed using normal approximation to the binomial distribution. (NCT01374425)
Timeframe: From Baseline until disease progression; assessed every 6 weeks (maximum up to 45 months overall)
Intervention | percentage of participants (Number) |
---|
Bevacizumab + mFOLFOX6 (ERCC-1 High) | 93.8 |
Bevacizumab + FOLFIRI (ERCC-1 High) | 85.1 |
[back to top]
Percentage of Participants With Disease Control According to RECIST Version 1.1 in Participants With High ERCC-1 Levels Versus Participants With Low ERCC-1 Levels
Disease control was defined as CR, PR, or SD according to RECIST Version 1.1. CR was defined as disappearance of all target lesions and short-axis reduction to <10 mm of any pathological lymph nodes. PR was defined as ≥30% decrease in sum of LD of target lesions in reference to sum of LD at Baseline. Confirmation of response at a consecutive assessment was not required. SD was defined as neither sufficient shrinkage to quality for PR nor sufficient increase to qualify for disease progression (≥20% increase in sum of LD of target lesions plus absolute increase ≥5 mm) in reference to the smallest sum of LD on study. The percentage of participants with CR, PR, or SD was reported. The 95% CI was computed using normal approximation to the binomial distribution. (NCT01374425)
Timeframe: From Baseline until disease progression; assessed every 6 weeks (maximum up to 45 months overall)
Intervention | percentage of participants (Number) |
---|
Bevacizumab + mFOLFOX/FOLFIRI (ERCC-1 High) | 89.3 |
Bevacizumab + mFOLFOX/FOLFIRI (ERCC-1 Low) | 93.9 |
[back to top]
Percentage of Participants With Objective Response According to RECIST Version 1.1 in Participants With High ERCC-1 Levels Versus Participants With Low ERCC-1 Levels
Objective response was defined as CR or PR according to RECIST Version 1.1. CR was defined as disappearance of all target lesions and short-axis reduction to <10 mm of any pathological lymph nodes. PR was defined as ≥30% decrease in sum of LD of target lesions in reference to sum of LD at Baseline. Confirmation of response at a consecutive assessment was not required. The percentage of participants with CR or PR was reported. The 95% CI was computed using normal approximation to the binomial distribution. (NCT01374425)
Timeframe: From Baseline until disease progression; assessed every 6 weeks (maximum up to 45 months overall)
Intervention | percentage of participants (Number) |
---|
Bevacizumab + mFOLFOX/FOLFIRI (ERCC-1 High) | 61.1 |
Bevacizumab + mFOLFOX/FOLFIRI (ERCC-1 Low) | 64.8 |
[back to top]
OS in Participants With High VEGF-A Levels Versus Participants With Low VEGF-A Levels
Death on study included death from any cause occurring no later than 3 months after the last component of study treatment. OS was defined as the time from randomization to death. The median duration of OS was estimated by Kaplan-Meier analysis and expressed in months. The 95% CI was computed using the method of Brookmeyer and Crowley. (NCT01374425)
Timeframe: From Baseline until death (maximum up to 45 months overall)
Intervention | months (Median) |
---|
Bevacizumab + mFOLFOX/FOLFIRI (VEGF-A High) | 22.83 |
Bevacizumab + mFOLFOX/FOLFIRI (VEGF-A Low) | 27.93 |
[back to top]
Percentage of Participants With Objective Response According to RECIST Version 1.1 in Participants With Wild-Type KRAS Versus Participants With Mutant KRAS
Objective response was defined as CR or PR according to RECIST Version 1.1. CR was defined as disappearance of all target lesions and short-axis reduction to <10 mm of any pathological lymph nodes. PR was defined as ≥30% decrease in sum of LD of target lesions in reference to sum of LD at Baseline. Confirmation of response at a consecutive assessment was not required. The percentage of participants with CR or PR was reported. The 95% CI was computed using normal approximation to the binomial distribution. (NCT01374425)
Timeframe: From Baseline until disease progression; assessed every 6 weeks (maximum up to 45 months overall)
Intervention | percentage of participants (Number) |
---|
Bevacizumab + mFOLFOX/FOLFIRI (KRAS Wild-Type) | 66.3 |
Bevacizumab + mFOLFOX/FOLFIRI (KRAS Mutant) | 60.9 |
[back to top]
PFS According to RECIST Version 1.1 in Participants With High ERCC-1 and High VEGF-A Levels
Tumor assessments were performed according to RECIST Version 1.1. Disease progression was defined as ≥20% increase in sum of LD of target lesions in reference to the smallest sum of LD on study, in addition to an absolute increase ≥5 mm. Disease progression was further defined as the last documented progression determined by the Investigator no later than 1 day before initiation of second-line therapy. Death on study included death from any cause occurring no later than 3 months after the last component of study treatment. PFS was defined as the time from randomization to death or disease progression, whichever occurred first. The median duration of PFS was estimated by Kaplan-Meier analysis and expressed in months. The 95% CI was computed using the method of Brookmeyer and Crowley. (NCT01374425)
Timeframe: From Baseline until death or disease progression; assessed every 6 weeks (maximum up to 45 months overall)
Intervention | months (Median) |
---|
Bevacizumab + mFOLFOX6 (ERCC-1 High, VEGF-A High) | 8.80 |
Bevacizumab + FOLFIRI (ERCC-1 High, VEGF-A High) | 11.17 |
[back to top]
OS in Participants With Low ERCC-1 Levels
Death on study included death from any cause occurring no later than 3 months after the last component of study treatment. OS was defined as the time from randomization to death. The median duration of OS was estimated by Kaplan-Meier analysis and expressed in months. The 95% CI was computed using the method of Brookmeyer and Crowley. (NCT01374425)
Timeframe: From Baseline until death (maximum up to 45 months overall)
Intervention | months (Median) |
---|
Bevacizumab + mFOLFOX6 (ERCC-1 Low) | 25.53 |
Bevacizumab + FOLFIRI (ERCC-1 Low) | 27.93 |
[back to top]
Percentage of Participants With Objective Response According to RECIST Version 1.1 in Participants With High VEGF-A Levels Versus Participants With Low VEGF-A Levels
Objective response was defined as CR or PR according to RECIST Version 1.1. CR was defined as disappearance of all target lesions and short-axis reduction to <10 mm of any pathological lymph nodes. PR was defined as ≥30% decrease in sum of LD of target lesions in reference to sum of LD at Baseline. Confirmation of response at a consecutive assessment was not required. The percentage of participants with CR or PR was reported. The 95% CI was computed using normal approximation to the binomial distribution. (NCT01374425)
Timeframe: From Baseline until disease progression; assessed every 6 weeks (maximum up to 45 months overall)
Intervention | percentage of participants (Number) |
---|
Bevacizumab + mFOLFOX/FOLFIRI (VEGF-A High) | 60.5 |
Bevacizumab + mFOLFOX/FOLFIRI (VEGF-A Low) | 66.5 |
[back to top]
Percentage of Participants With Objective Response According to RECIST Version 1.1 in Participants With Low ERCC-1 Levels
Objective response was defined as CR or PR according to RECIST Version 1.1. CR was defined as disappearance of all target lesions and short-axis reduction to <10 mm of any pathological lymph nodes. PR was defined as ≥30% decrease in sum of LD of target lesions in reference to sum of LD at Baseline. Confirmation of response at a consecutive assessment was not required. The percentage of participants with CR or PR was reported. The 95% CI was computed using normal approximation to the binomial distribution. (NCT01374425)
Timeframe: From Baseline until disease progression; assessed every 6 weeks (maximum up to 45 months overall)
Intervention | percentage of participants (Number) |
---|
Bevacizumab + mFOLFOX6 (ERCC-1 Low) | 63.7 |
Bevacizumab + FOLFIRI (ERCC-1 Low) | 65.8 |
[back to top]
OS in Participants With Wild-Type KRAS Versus Participants With Mutant KRAS
Death on study included death from any cause occurring no later than 3 months after the last component of study treatment. OS was defined as the time from randomization to death. The median duration of OS was estimated by Kaplan-Meier analysis and expressed in months. The 95% CI was computed using the method of Brookmeyer and Crowley. (NCT01374425)
Timeframe: From Baseline until death (maximum up to 45 months overall)
Intervention | months (Median) |
---|
Bevacizumab + mFOLFOX/FOLFIRI (KRAS Wild-Type) | 28.75 |
Bevacizumab + mFOLFOX/FOLFIRI (KRAS Mutant) | 24.64 |
[back to top]
Percentage of Participants With Disease Control According to RECIST Version 1.1 in Participants With Low ERCC-1 Levels
Disease control was defined as CR, PR, or SD according to RECIST Version 1.1. CR was defined as disappearance of all target lesions and short-axis reduction to <10 mm of any pathological lymph nodes. PR was defined as ≥30% decrease in sum of LD of target lesions in reference to sum of LD at Baseline. Confirmation of response at a consecutive assessment was not required. SD was defined as neither sufficient shrinkage to quality for PR nor sufficient increase to qualify for disease progression (≥20% increase in sum of LD of target lesions plus absolute increase ≥5 mm) in reference to the smallest sum of LD on study. The percentage of participants with CR, PR, or SD was reported. The 95% CI was computed using normal approximation to the binomial distribution. (NCT01374425)
Timeframe: From Baseline until disease progression; assessed every 6 weeks (maximum up to 45 months overall)
Intervention | percentage of participants (Number) |
---|
Bevacizumab + mFOLFOX6 (ERCC-1 Low) | 92.7 |
Bevacizumab + FOLFIRI (ERCC-1 Low) | 95.0 |
[back to top]
Adverse Events
Number of participants with at least 1 AE related to study treatment - The details on which AEs occured are listed in the Adverse Event section below (NCT01387295)
Timeframe: from start of treatment to 28 days after last treatment, an average of 7 months
Intervention | Participants (Count of Participants) |
---|
Chemotherapy | 38 |
[back to top]
Number of Patients Suitable for Local Therapy (Radiofrequency)
Total number of patients receiving RF treatment or surgical treatment (NCT01387295)
Timeframe: upon completion of treatment, an average of 7 months
Intervention | Participants (Count of Participants) |
---|
Chemotherapy | 2 |
[back to top]
PFS
From start of therapy to progression or death of any cause. (NCT01387295)
Timeframe: up to 6 years
Intervention | months (Median) |
---|
Chemotherapy | 12.8 |
[back to top]
Survival
All patients in intent-to-treat population , calculated from start of treatment to death of any course (NCT01387295)
Timeframe: up to 7 years
Intervention | months (Median) |
---|
Chemotherapy | 24.0 |
[back to top]
Percentage of Participants With Adverse Events
An adverse event was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. (NCT01399190)
Timeframe: Up to approximately 30 months
Intervention | percentage of participants (Number) |
---|
Bevacizumab | 74.6 |
[back to top]
Response Rate (Tumor Assessments According to RECIST)
Response to treatment (Response Rate) was defined as the percentage of participants with a complete remission (CR) or partial remission (PR), and was assessed by the investigators according to modified RECIST criteria. CR was defined as disappearance of all lesions. PR was defined as a decrease in sum of lesions size by more than 30%. Response Rate = CR +PR (NCT01399190)
Timeframe: Up to approximately 30 months
Intervention | percentage of participants (Number) |
---|
| Response Rate | Complete remission | Partial remission |
---|
Bevacizumab | 48.4 | 6.7 | 41.7 |
[back to top]
Progression-free Survival
Progression-free survival was defined as the interval between the day of first treatment and the first documentation of disease progression or death and was assessed by the investigators according to modified Response Evaluation Criteria in Solid Tumors (RECIST). Disease progression was defined as an increase in sum of lesions size by more than 20% or new lesions. (NCT01399190)
Timeframe: From randomization to progression or death during the study (up to approximately 30 months)
Intervention | months (Median) |
---|
Bevacizumab | 7.000 |
[back to top]
Summary of Clinical Benefit
"A subject was considered a clinical benefit responder if he/she met at least 1 of the following criteria:~Subject showed improvement in at least one of the following parameters on successive scheduled observations without worsening in the others: pain intensity, analgesic use, or performance status~Subject was stable or improved on the pain intensity, analgesic use, and performance status and had a ≥ 7% increase in body weight maintained for 2 consecutive reporting periods that was not because of fluid accumulation." (NCT01423604)
Timeframe: Measured every 4 weeks until death or PD, whichever was earlier (up to 8 months)
,
Intervention | percentage of participants (Number) |
---|
| Subjects with clinical benefit | Pain intensity - Improved | Analgesic use - Improved | Karnofsky performance status - Improved | Body weight - Improved |
---|
Placebo | 1.6 | 1.6 | 0.0 | 0.0 | 0.0 |
Ruxolitinib | 12.5 | 10.9 | 4.7 | 3.1 | 3.1 |
[back to top]
Durable Response Rate
Durable response was defined as subjects with a response of Partial response (PR) or better at 2 subsequent measurements that were at least 4 weeks apart. (NCT01423604)
Timeframe: Measured every 4 weeks until death or PD, whichever was earlier (up to 8 months)
Intervention | percentage of participants (Number) |
---|
Ruxolitinib | 7.8 |
Placebo | 0.0 |
[back to top]
Overall Survival
Overall survival was measured as the length of time (in days) between the randomization date and the date of death. (NCT01423604)
Timeframe: Primary analysis includes study data from the start of the study (first dose for that subject) until the death of the subject (up to 8 months).
Intervention | days (Median) |
---|
Ruxolitinib | 136.5 |
Placebo | 129.5 |
[back to top]
Progression-Free Survival (PFS)
Progression-free survival was defined as the length of time between the date of randomization and the earlier of death or progressive disease (PD), whichever was earlier, as assessed by RECIST. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions (NCT01423604)
Timeframe: Analysis includes study data from the start of the study (first dose for that subject) until death or PD, whichever was earlier up to 8 months.
Intervention | days (Median) |
---|
Ruxolitinib | 51.0 |
Placebo | 46.0 |
[back to top]
Objective Response Rate
Objective response rate (ORR) was defined as the percentage of participants with either a confirmed complete response (CR) or partial response (PR) measured by the investigator per modified Response Evaluation Criteria in Solid Tumors (RECIST) version 1.0 criteria during the treatment period. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT01423604)
Timeframe: Measured every 4 weeks for duration of study treatment (up to 8 months)
,
Intervention | percentage of participants (Number) |
---|
| Overall response | Complete response | Partial response |
---|
Placebo | 1.6 | 0.0 | 1.6 |
Ruxolitinib | 7.8 | 1.6 | 6.3 |
[back to top]
Use of Cold Cap for Alopecia
Alopecia (hair loss) is a potential side effect of some chemotherapy agents. Chemotherapeutic drugs are toxic and could potentially harm the hair follicles (wear hair grows from) resulting in the hair falling out. It can occur in small patches on various parts of the body or all over the body and is usually temporary when related to cancer treatment. Cold cap therapy is one form of therapy for alopecia involving hair loss from the scalp. Wearing a cap or head covering with cold packs before, during, or after chemotherapy may help prevent hair loss as the cold narrows the blood vessels in the skin on your head which may lead to less of the drug reaching the hair follicles. Alopecia was one of the most common adverse events (AEs) related to eribulin only. (NCT01439282)
Timeframe: On the day of study drug infusion treatments during Cycles 1 through 4
,
Intervention | Participants (Number) |
---|
| Participants with alopecia | Participants who used a cold cap | Participants who did not use a cold cap |
---|
Cohort 1: Eribulin Mesylate Plus 900 mg/m^2 Capecitabine | 52 | 3 | 49 |
Cohort 2: Eribulin Mesylate Plus 1500 mg Capecitabine | 9 | 0 | 9 |
[back to top]
Percentage of Participants Who Achieved the Target Relative Dose Intensity (RDI) of 85%
Relative Dose Intensity (RDI) is defined as the amount of drug administered over a specific time and is expressed as the fraction of that recommended for standard of care. The RDI for each participant was calculated as follows: (1) based on each participant's body surface area (BSA), a total planned dose for both eribulin (Dep) and capecitabine (Dcp) calculated for a full 4-cycle regimen; (2) actual total dose of eribulin (Dea) and capecitabine (Dca) for the full 4-cycle regimen as collected on the case report form; (3) overall RDI = (Dea/Dep + Dca/Dcp)/2. For each individual participant, the regimen was considered feasible if that participant was able to achieve an RDI of at least 85% of the 4 cycles of eribulin plus capecitabine treatment. Missing doses due to any reason was counted as zero in the RDI calculation. (NCT01439282)
Timeframe: 21-Day Cycle 1 through 21-Day Cycle 4
Intervention | Percentage of participants (Number) |
---|
Cohort 1: Eribulin Mesylate Plus 900 mg/m^2 Capecitabine | 77.6 |
Cohort 2: Eribulin Mesylate Plus 1500 mg Capecitabine | 90.0 |
[back to top]
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
(NCT01439282)
Timeframe: Day 1 through 30 days after last dose of study drugs (approximately up to 3 years)
,
Intervention | participants (Number) |
---|
| TEAE | SAE |
---|
Cohort 1: Eribulin Mesylate Plus 900 mg/m^2 Capecitabine | 67 | 14 |
Cohort 2: Eribulin Mesylate Plus 1500 mg Capecitabine | 10 | 1 |
[back to top]
Disease-Free Survival (Time to Event)
Disease free survival was measured as the time from the date of randomization until the date of first event (recurrence of colon cancer, or death due to any cause). (NCT01442155)
Timeframe: Up to 3 years
Intervention | months (Median) |
---|
Capecitabine + Oxaliplatin | 25 |
[back to top]
Safety: Percentage of Participants With Adverse Events
An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events. (NCT01442155)
Timeframe: Up to 3 years
Intervention | percentage of participants (Number) |
---|
Capecitabine + Oxaliplatin | 39.19 |
[back to top]
Percentage of Participants Who Died - Per Protocol Set (PPS)
The percentage of participants who died as of the analysis data cutoff date of 13 February 2015 was reported among participants from the PPS. (NCT01450696)
Timeframe: From date of randomization until death or premature withdrawal (up to approximately 31 months or data cutoff date of 13 February 2015)
Intervention | percentage of participants (Number) |
---|
Capecitabine + Cisplatin + Herceptin (6 mg/kg) | 51.5 |
Capecitabine + Cisplatin + Herceptin (10 mg/kg) | 59.4 |
[back to top]
Percentage of Participants With Disease Progression or Death - PPS
Disease progression was defined by Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 as a ≥20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study including Baseline (nadir). In addition to the relative increase of 20%, the sum was also required to demonstrate an absolute increase of ≥5 millimeters (mm). The percentage of participants who died or experienced disease progression as of the analysis data cutoff date of 13 February 2015 was reported among participants from the PPS. (NCT01450696)
Timeframe: From date of randomization until first occurrence of disease progression or death; assessed every 6 weeks (up to approximately 31 months or data cutoff date of 13 February 2015)
Intervention | percentage of participants (Number) |
---|
Capecitabine + Cisplatin + Herceptin (6 mg/kg) | 75.8 |
Capecitabine + Cisplatin + Herceptin (10 mg/kg) | 81.3 |
[back to top]
Percentage of Participants Who Died - FAS
The percentage of participants who died as of the analysis data cutoff date of 13 February 2015 was reported among participants from the FAS with available data. (NCT01450696)
Timeframe: From date of randomization until death or premature withdrawal (up to approximately 31 months or data cutoff date of 13 February 2015)
Intervention | percentage of participants (Number) |
---|
Capecitabine + Cisplatin + Herceptin (6 mg/kg) | 46.8 |
Capecitabine + Cisplatin + Herceptin (10 mg/kg) | 54.0 |
[back to top]
Trastuzumab Cmin on Day 21 of Cycles 1 to 11 - FAS
Cmin samples were obtained in all participants randomized to receive Herceptin (FAS). The observed Cmin was recorded, averaged among all participants, and expressed in μg/mL. (NCT01450696)
Timeframe: Day 21 of Cycle 1, 2, 3, 4, 5, 7, 9, 11 (cycle length = 21 days)
,
Intervention | μg/mL (Mean) |
---|
| Cycle 1 (n=100,99) | Cycle 2 (n=93,76) | Cycle 3 (n=77,71) | Cycle 4 (n=73,61) | Cycle 5 (n=70,60) | Cycle 7 (n=51,44) | Cycle 9 (n=31,24) | Cycle 11 (n=24,16) |
---|
Capecitabine + Cisplatin + Herceptin (10 mg/kg) | 18.1 | 35.3 | 40.7 | 47.6 | 49.3 | 58.1 | 61.0 | 68.4 |
Capecitabine + Cisplatin + Herceptin (6 mg/kg) | 17.1 | 19.2 | 23.2 | 25.9 | 26.7 | 31.4 | 33.7 | 32.5 |
[back to top]
Trastuzumab Serum Concentration on Day 1 of Cycle 1 - FAS
Trastuzumab serum concentration samples were obtained in all participants randomized to receive Herceptin (FAS). The observed concentration values were recorded, averaged among all participants, and expressed in μg/mL. (NCT01450696)
Timeframe: Pre-dose (0 minutes) and within 15 minutes after end of 2-hour Herceptin infusion on Day 1 of Cycle 1 (cycle length = 21 days)
,
Intervention | μg/mL (Mean) |
---|
| Pre-dose (n=109,110) | End of infusion (n=110,111) |
---|
Capecitabine + Cisplatin + Herceptin (10 mg/kg) | 0.0204 | 137 |
Capecitabine + Cisplatin + Herceptin (6 mg/kg) | 0.168 | 126 |
[back to top]
Overall Survival - PPS
Overall survival was defined as the time from the date of randomization to the date of death from any cause. Overall survival was estimated among participants from the PPS using the Kaplan-Meier approach. The 95% CI for median was computed using the method of Brookmeyer and Crowley. (NCT01450696)
Timeframe: From date of randomization until death or premature withdrawal (up to approximately 31 months or data cutoff date of 13 February 2015)
Intervention | months (Median) |
---|
Capecitabine + Cisplatin + Herceptin (6 mg/kg) | 10.809 |
Capecitabine + Cisplatin + Herceptin (10 mg/kg) | 9.363 |
[back to top]
Overall Survival - FAS
Overall survival was defined as the time from the date of randomization to the date of death from any cause. Overall survival was estimated among participants from the FAS using the Kaplan-Meier approach. The 95 percent (%) confidence interval (CI) for median was computed using the method of Brookmeyer and Crowley. (NCT01450696)
Timeframe: From date of randomization until death or premature withdrawal (up to approximately 31 months or data cutoff date of 13 February 2015)
Intervention | months (Median) |
---|
Capecitabine + Cisplatin + Herceptin (6 mg/kg) | 12.485 |
Capecitabine + Cisplatin + Herceptin (10 mg/kg) | 10.612 |
[back to top]
Progression-Free Survival - PPS
Progression-free survival was defined as the time between the day of randomization and the date of first documentation of disease progression or date of death, whichever occurred first, measured following RECIST Version 1.1 criteria. Disease progression was defined as a ≥20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study including Baseline (nadir). In addition to the relative increase of 20%, the sum was also required to demonstrate an absolute increase of ≥5 mm. The 95% CI for median was computed using the method of Brookmeyer and Crowley. (NCT01450696)
Timeframe: From date of randomization until first occurrence of disease progression or death; assessed every 6 weeks (up to approximately 31 months or data cutoff date of 13 February 2015)
Intervention | months (Median) |
---|
Capecitabine + Cisplatin + Herceptin (6 mg/kg) | 5.388 |
Capecitabine + Cisplatin + Herceptin (10 mg/kg) | 4.370 |
[back to top]
Percentage of Participants With Objective Response - PPS
Objective response was defined as the occurrence of either a complete response (CR) or partial response (PR) as determined by RECIST Version 1.1 based on investigator assessment. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) were required to have reduction in short axis to <10 mm. PR was defined as a ≥30% decrease in the sum of diameters of target lesions, taking as reference the Baseline sum diameters. The 95% CI was constructed using Blyth-Still-Casella method. (NCT01450696)
Timeframe: From date of randomization until first occurrence of disease progression or death; assessed every 6 weeks (up to approximately 31 months or data cutoff date of 13 February 2015)
Intervention | percentage of participants (Number) |
---|
Capecitabine + Cisplatin + Herceptin (6 mg/kg) | 57.6 |
Capecitabine + Cisplatin + Herceptin (10 mg/kg) | 50.0 |
[back to top]
[back to top]
Disease Control Rate (DCR)
DCR is defined as the percentage of patients achieving a complete response (CR), partial response (PR), or stable disease (SD) based on the Response Evaluation Criteria in Solid Tumors (RECIST 1.1). CR = disappearance of all target lesions, PR is =>30% decrease in sum of diameters of target lesions, progressive disease (PD) is >20% increase in sum of diameters of target lesions, stable disease (SD) is <30% decrease or <20% increase in sum of diameters of target lesions. (NCT01459614)
Timeframe: Up to 22 months
Intervention | Percentage of Participants (Number) |
---|
Primary Cohort (21 Day Cycle) | 89 |
[back to top]
Percentage of Participants Without Disease Progression (Progression-Free Survival) at 6 Months
PFS is defined as the percentage of patients with disease progression (progressive disease [PD] or relapse from complete response [CR] as assessed using RECIST 1.1 criteria) or death due to any cause at 6 months. Per RECIST 1.1 criteria, CR = disappearance of all target lesions, Partial Response (PR) is =>30% decrease in sum of diameters of target lesions, Progressive Disease (PD) is >20% increase in sum of diameters of target lesions, Stable Disease (SD) is <30% decrease or <20% increase in sum of diameters of target lesions. Estimation based on the Kaplan-Meier curve. (NCT01459614)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Primary Cohort (21 Day Cycle) | 78.6 |
Expansion Cohort (28 Day Cycle) | 30 |
[back to top]
Progression-free Survival (PFS)
PFS is defined as the the number of months from the date of first dose to disease progression (progressive disease [PD] or relapse from complete response [CR] as assessed using RECIST 1.1 criteria) or death due to any cause . Per RECIST 1.1 criteria, CR = disappearance of all target lesions, Partial Response (PR) is =>30% decrease in sum of diameters of target lesions, Progressive Disease (PD) is >20% increase in sum of diameters of target lesions, Stable Disease (SD) is <30% decrease or <20% increase in sum of diameters of target lesions. Estimation based on the Kaplan-Meier curve. (NCT01459614)
Timeframe: Up to 21 months
Intervention | Months (Median) |
---|
Primary Cohort (21 Day Cycle) | 8.4 |
Expansion Cohort (28 Day Cycle) | 4.1 |
[back to top]
Overall Survival (OS)
OS (in months) will be measured from date of first dose until death (OS will be censored on the date the subject was last known to be alive for subjects without documentation of death at the time of analysis). Estimation based on the Kaplan-Meier curve. (NCT01459614)
Timeframe: Up to 28 months
Intervention | Months (Median) |
---|
Primary Cohort (21 Day Cycle) | 13.42 |
[back to top]
Percentage of Participants With Day 43 Serum Pertuzumab Trough Concentrations (Cmin) Greater Than or Equal to (>=) 20 Microgram Per Milliliter (mcg/mL)
(NCT01461057)
Timeframe: Day 43
Intervention | percentage of participants (Number) |
---|
Pertuzumab 840/420 mg | 91.6 |
Pertuzumab 840/840 mg | 98.3 |
[back to top]
Number of Participants With Adverse Events (AEs)
An adverse event (AE) was defined as any untoward medical occurrence in a participant administered the investigational product which does not necessarily have a causal relationship with this treatment. (NCT01461057)
Timeframe: From randomization of first participant to end of study (approximately 6 years)
Intervention | participants (Number) |
---|
Pertuzumab 840/420 mg | 15 |
Pertuzumab 840/840 mg | 15 |
[back to top]
Objective Response Rate (ORR), Response Rate (RR) and Disease Control Rate (DCR)
"by RECIST guideline Objective response rate = (Number of subjects with best overall response as confirmed CR or PR / Total number of subjects)*100.~Response rate = (Number of subjects with best overall response as CR or PR / Total number of subjects)*100.~Disease control rate = (Number of subjects with best overall response as confirmed CR or PR or SD / Total number of subjects)*100." (NCT01463982)
Timeframe: tumor response evaluation can continue to receive the study drug until PD confirmation
,,,
Intervention | percentage of participants (Number) |
---|
| Objective Response rate | Response Rate | Disease Control Rate |
---|
Capecitabine 1000mg/㎡ + Oratecan 15mg/㎡ | 33.3 | 33.3 | 50.0 |
Capecitabine 800mg/㎡ + Oratecan 10mg/㎡ | 0.0 | 0.0 | 66.7 |
Capecitabine 800mg/㎡ + Oratecan 15mg/㎡ | 0.0 | 0.0 | 42.9 |
Capecitabine 800mg/㎡ + Oratecan 20mg/㎡ | 0.0 | 0.0 | 100 |
[back to top]
Dose Limiting Toxicity Assessment and Maximum Tolerated Dose Determination
If Dose Limiting Toxicity(DLT) was not observed in the third subject at a dose level from the first study drug dosing date (Day 1) to the end of Cycle 1(21 days), increase the dose to the next level and enroll subjects; enrollment up to Level 4 was allowed. (NCI-CTCAE version 3.0) (NCT01463982)
Timeframe: Cycle 1 (21 days)
Intervention | percentage of participants (Number) |
---|
Capecitabine 800mg/㎡ + Oratecan 10mg/㎡ | 0.0 |
Capecitabine 800mg/㎡ + Oratecan 15mg/㎡ | 0.0 |
Capecitabine 800mg/㎡ + Oratecan 20mg/㎡ | 50.0 |
Capecitabine 1000mg/㎡ + Oratecan 15mg/㎡ | 0.0 |
[back to top]
Response Rate
This is the percentage of subjects that achieved either a complete response or a partial response per RECIST 1.1 criteria (NCT01471353)
Timeframe: 3 months
Intervention | percentage of participants (Number) |
---|
Sorafenib Plus Capecitabine (SorCape) | 2.38 |
[back to top]
Sorafenib Activity
Determine activity of sorafenib plus capecitabine on progression free survival (PFS) in patients with advanced colorectal cancer. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions (NCT01471353)
Timeframe: 2 years
Intervention | days (Median) |
---|
Sorafenib Plus Capecitabine (SorCape) | 123 |
[back to top]
Toxicity (Percentage of Subjects That Experienced an Adverse Event)
Evaluate acute toxicity of treatment. The toxicity assessments were graded by the NCI CTCAE (Clinical Trial Common Adverse Event) grading system - a global standard for assessments of clinical and laboratory toxicities. All toxicities are scored 1(mild) through 5 (death related to the event) based upon well-defined and reproducible definitions. (NCT01471353)
Timeframe: 12 months
Intervention | percentage of participants (Number) |
---|
| Adverse Events - Any Grade | Adverse Events - Grade 3 | Adverse Events - Grade 4 |
---|
Sorafenib Plus Capecitabine (SorCape) | 100 | 74 | 2 |
[back to top]
Overall Survival
Evaluate overall survival after treatment. (NCT01471353)
Timeframe: 5 years
Intervention | days (Median) |
---|
Sorafenib Plus Capecitabine (SorCape) | 261 |
[back to top]
Hematological Toxicity of the Combination of Pazopanib and Capecitabine
(NCT01498458)
Timeframe: 3 years
Intervention | Number of cycles (Number) |
---|
| Anemia Grade 1 to 4 | Leucopenia Grade 1 to 4 | Number of Cycles |
---|
Pazopanib + Capecitabine | 88 | 55 | 132 |
[back to top]
Clinical Benefit Rate (CBR)
To determine the clinical benefit rate (CBR) in patients with measurable disease. CBR consists of complete response , partial response, and stable disease lasting greater than 24 weeks. All patients are included when determining this rate. 2 patients were on study treatment for a long time.Hence the outcome rate of 25 percent ( 2 from 8 patients) (NCT01498458)
Timeframe: 3 years
Intervention | percentage of participants (Number) |
---|
Pazopanib Plus Capecitabine | 25 |
[back to top]
Dose-limiting Toxicity (DLT)
(NCT01498458)
Timeframe: 3 years
Intervention | participants (Number) |
---|
Pazopanib Plus Capecitabine | 5 |
[back to top]
Other Toxicity of the Combination of Pazopanib and Capecitabine
(NCT01498458)
Timeframe: 3 years
Intervention | participants (Number) |
---|
| Hepatotoxicity | Hypertension | Pancreatectomy | Thrombocytopenia |
---|
Pazopanib Plus Capecitabine | 3 | 1 | 1 | 1 |
[back to top]
Maximum Tolerable Dose (MTD) of Pazopanib
The maximum tolerated dose (MTD) is defined as the highest dose level with DLT in no more than 1 out of 6 patients. A maximal tolerated dose (MTD) could not be established. (NCT01498458)
Timeframe: 3 years
Intervention | mg (Number) |
---|
Pazopanib Plus Capecitabine | NA |
[back to top]
Objective Response Rate (ORR)
To determine the objective response rate (ORR) in patients with measurable disease. ORR consists of complete response and partial response according to the RECIST criteria. Complete Response refers to the disappearance of all target lesions. Any pathological lymph nodes must have a reduction in short axis to less than 10 mm. Partial Response refers to an at least 30 percent decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. (NCT01498458)
Timeframe: 3 years
Intervention | percentage of participants (Number) |
---|
Pazopanib Plus Capecitabine | 0 |
[back to top]
[back to top]
Overall Survival (OS)
"Time from the date of enrollment to the date of death due to any cause or the last date the patient was known to be alive (censored observation) at the date of data cutoff for the final analysis. The results will be reported as median in months~The length of overall survival (OS) of participants was assessed by Kaplan-Meier analysis. The outcome is given as the median in months with full range." (NCT01525082)
Timeframe: 82 mo
Intervention | months (Median) |
---|
Bevacizumab + Capecitabine + Temozolomide | 49.8 |
[back to top]
O6-methylguanine DNA Methyltransferase (MGMT) Status by Immunohistochemistry (IHC)
"O6-alkylguanine DNA alkyltransferase is a protein that in humans is encoded by the gene O6-methylguanine DNA methyltransferase (MGMT). Deficiency of the gene product, ie, the protein, is refereed to as MGMT deficiency, and is thought to be predictive of response to temozolomide and is more often associated with pancreatic NETs.~MGMT status in pre-treatment biopsy specimens was to be assessed by immuno-histochemistry (IHC), and associated to best clinical response. The outcome is reported by the the number of patients that were IHC-positive (MGMT detected) or IHC-negative (MGMT not detected), and by best clinical response [ie, complete response (CR), partial response (PR), stable disease (SD), or progressive disease (PD)]. The outcome is reported as a number without dispersion." (NCT01525082)
Timeframe: 18 months
Intervention | participants (Number) |
---|
| IHC-positive and CR | IHC-positive and PR | IHC-positive and SD | IHC-positive and PD | IHC-negative and CR | IHC-negative and PR | IHC-negative and SD | IHC-negative and PD |
---|
Bevacizumab + Capecitabine + Temozolomide | 0 | 2 | 2 | 1 | 0 | 4 | 2 | 0 |
[back to top]
Radiographic Response (RR)
"Tumor response to treatment with the combination of capecitabine & temozolomide plus bevacizumab in patients with metastatic or unresectable pancreatic neuroendocrine tumors was assessed per Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.1) for target lesions. Response is defined as:~Complete Response (CR) = Disappearance of all target lesions~Partial Response (PR) = ≥ 30% decrease in the sum of the longest diameter of target lesions~Overall Response (OR) = CR + PR~Progressive disease (PD) = 20% increase in the sum of the longest diameter of target lesions, and/or the appearance of one or more new lesion(s)~Stable disease (SD) = Small changes that do not meet any of the above criteria~The outcome is reported as the number of participants who between 3 and 18 months after treatment initiation achieve CR, PR, or clinical response (PR + CR), each a number without dispersion." (NCT01525082)
Timeframe: 18 months
Intervention | Participants (Count of Participants) |
---|
| Overall response (OR) | Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Progressive disease (PD) |
---|
Bevacizumab + Capecitabine + Temozolomide | 9 | 0 | 9 | 9 | 1 |
[back to top]
Progression-free Survival (PFS)
Progression-free survival (PFS) means the length of time that participants survive without disease (tumor) progression, and was assessed using Kaplan-Meier analysis. The outcome is given as the mean in months with standard error of the mean. (NCT01525082)
Timeframe: 82 months
Intervention | months (Mean) |
---|
Bevacizumab + Capecitabine + Temozolomide | 25.2 |
[back to top]
[back to top]
Impact of Aprepitant/5HT-3 Antagonist Therapy on the Patient Quality of Life as Measured by the Number of Patients Using Anti Nausea Drugs
(NCT01534637)
Timeframe: Week 1
Intervention | participants (Number) |
---|
Treatment (Antiemetic, Chemotherapy, and Radiation Therapy) | 6 |
[back to top]
Number of Patients With Gastrointestinal Toxicities (Grade 3 and 4 Nausea and Vomiting) Associated With Delivering Fluorouracil/Gemcitabine Hydrochloride-based Chemotherapy With Upper Abdominal Radiation
Toxicity will be determined using the revised National Cancer Institute (NCI) Common Toxicity Criteria (CTC) version 3.0 for Toxicity and Adverse Event Reporting. Descriptive statistics (means, standard deviations, frequencies, etc.) will be presented for pretreatment patient characteristics. The rate of grade 3 and 4 nausea will be compared to the cut points during interim and final analyses. (NCT01534637)
Timeframe: Over 10 weeks
Intervention | participants (Number) |
---|
Treatment (Antiemetic, Chemotherapy, and Radiation Therapy) | 3 |
[back to top]
Impact of Aprepitant/5HT-3 Antagonist Therapy on the Patient Quality of Life as Measured by the Number of Patients Taking Anti Nausea Drugs
(NCT01534637)
Timeframe: Week 5
Intervention | participants (Number) |
---|
Treatment (Antiemetic, Chemotherapy, and Radiation Therapy) | 5 |
[back to top]
Number of Participants Experienced Dose Limited Toxicity
Dose related toxicity is defined as follows:1. luecopenia > grade 2; granular cell decrease > grade 2; anemia > grade 1; platelet > grade 1;SGPT/SGOT elevation > grade 1; ALP > grade 1; GGT > grade 1; Tbil > grade 1;renal function damag > grade 2;Non-gradular cell decreased fever > grade 1;nausea/vomiting > grade 1; fatigue > grade 2; weight loss > grade 2;gastritis > grade 2; dairrea > grade 2; abdominal pain > grade 2; upper gastrointestinal bleeding > grade 1;other toxic reaction > grade 2;KPS < 50 during the treatment (NCT01584544)
Timeframe: up to 7 weeks from start of the treatment
Intervention | participants (Number) |
---|
1000mg | 0 |
1200mg | 1 |
1350mg | 1 |
1500mg | 0 |
1650mg | 1 |
[back to top]
Time to Failure of Strategy (TFS): Overall
TFS was defined as time from the start of initial treatment to documentation of first disease progression without entering Phase B, or second disease progression having entered Phase B. Disease progression was determined according to standard practice based on radiological, biochemical (CEA) or clinical factors. Determination of disease progression was to be unequivocal and was defined as any of the following: an unequivocal and clinically meaningful increase in the size of known tumors, the appearance of one or more new lesions, death due to disease without prior objective documentation of progression, elevated CEA accompanied by other radiological or clinical evidence of progression, or symptomatic deterioration. Kaplan-Meier methodology was used to estimate TFS. (NCT01588990)
Timeframe: Baseline up to disease progression, death or end of study (up to 4 years)
Intervention | months (Median) |
---|
Bevacizumab: Phase A and Phase B | 14.8 |
[back to top]
AQoL-8D Global Utility Score: Phase B
AQoL-8D provides a global utility score and consists of 8 separately scored dimensions including Independent Living, Life Satisfaction, Mental Health, Coping, Relationships, Self Worth, Pain, and Senses. Each of the 8 scales is calculated based on the answers to 3 questions. Each question is given an answer dependent utility score (0 [worst] to 1 [best]) and then these scores are combined using a multiplicative model to get the normalized scale score value, each scale ranging between 0.0 (representing death) and 1.0 (representing full health). (NCT01588990)
Timeframe: Baseline, every 8-9 weeks thereafter, EOT (30 days after disease progression [up to 4 years]), survival follow-up 12-weekly visits (up to 4 years) [Detailed time points are presented in the category titles]
Intervention | units on a scale (Mean) |
---|
| Phase B Baseline | Phase B Visit 2 (up to 4 years) | Phase B Visit 3 (up to 4 years) | Phase B Visit 4 (up to 4 years) | Phase B Visit 5 (up to 4 years) | Phase B Visit 6 (up to 4 years) | Phase B Visit 7 (up to 4 years) | Phase B Visit 8 (up to 4 years) | Phase B Visit 9 (up to 4 years) | Phase B Visit 10 (up to 4 years) | Phase B Visit 11 (up to 4 years) | Phase B Visit 12 (up to 4 years) | Phase B Visit 13 (up to 4 years) | Phase B Visit 14 (up to 4 years) | Phase B Visit 15 (up to 4 years) | Phase B Visit 16 (up to 4 years) | Phase B Visit 17 (up to 4 years) | Phase B Visit 18 (up to 4 years) | Phase B Visit 19 (up to 4 years) | Phase B Visit 20 (up to 4 years) | Phase B Visit 21 (up to 4 years) | Phase B Visit 22 (up to 4 years) | Phase B Visit 23 (up to 4 years) | Phase B Visit 24 (up to 4 years) | Phase B EOT Visit (up to 4 years) | Survival Follow-Up 1 (up to 4 years) | Survival Follow-Up 2 (up to 4 years) | Survival Follow-Up 3 (up to 4 years) | Survival Follow-Up 4 (up to 4 years) | Survival Follow-Up 6 (up to 4 years) |
---|
Bevacizumab: Phase B | 0.736 | 0.773 | 0.813 | 0.878 | 0.808 | 0.809 | 0.825 | 0.910 | 0.819 | 0.856 | 0.730 | 0.960 | 0.965 | 0.958 | 0.967 | 0.942 | 0.927 | 0.931 | 0.866 | 0.887 | 0.940 | 0.919 | 0.937 | 0.950 | 0.708 | 0.788 | 0.791 | 0.989 | 0.981 | 0.875 |
[back to top]
European Quality of Life 5-Dimension (EuroQol-5D) Utility Score: Phase A
"EQ-5D is a standardized generic preference based health related quality of life instrument. It records how one's health is today and consists of a descriptive system. The descriptive system is comprised of 5 dimensions: mobility, self-care, usual activities, pain/discomfort, anxiety/depression. Each dimension on the EQ-5D involves a 3-point response scale which indicates the level of impairment (level 1 = no problem; level 2 = some or moderate problem[s] and level 3 = unable, or extreme problems). Level of problem reported in each EQ-5D dimension determines a unique health state which is converted into a weighted health state index by applying scores from EQ-5D preference weights elicited from general population samples. This generates a unique description of the subjects' health status, which is valued between 0 (representing death) and 1 (representing perfect health). Higher the score, the better the quality of life." (NCT01588990)
Timeframe: Baseline, every 8-9 weeks thereafter, end of treatment (EOT) (30 days after disease progression [up to 4 years]), survival follow-up 12-weekly visits (up to 4 years) [Detailed time points are presented in the category titles]
Intervention | units on a scale (Mean) |
---|
| Phase A Baseline | Phase A Visit 2 (Weeks 8-9) | Phase A Visit 3 (Weeks 16-17) | Phase A Visit 4 (Weeks 24-25) | Phase A Visit 5 (Weeks 32-33) | Phase A Visit 6 (Weeks 40-41) | Phase A Visit 7 (Weeks 48-49) | Phase A Visit 8 (Weeks 56-57) | Phase A Visit 9 (Weeks 64-65) | Phase A Visit 10 (Weeks 72-73) | Phase A Visit 11 (Weeks 80-81) | Phase A Visit 12 (Weeks 88-89) | Phase A Visit 13 (Weeks 96-97) | Phase A Visit 14 (Weeks 104-105) | Phase A Visit 15 (Weeks 112-113) | Phase A Visit 16 (Weeks 120-121) | Phase A Visit 17 (Weeks 128-129) | Phase A Visit 18 (Weeks 136-137) | Phase A Visit 19 (Weeks 144-145) | Phase A Visit 20 (Weeks 152-153) | Phase A Visit 21 (Weeks 160-161) | Phase A Visit 22 (Weeks 168-169) | Phase A Visit 23 (Weeks 176-177) | Phase A EOT Visit (up to 4 years) | Survival Follow-Up 1 (up to 4 years) | Survival Follow-Up 2 (up to 4 years) | Survival Follow-Up 3 (up to 4 years) | Survival Follow-Up 4 (up to 4 years) | Survival Follow-Up 5 (up to 4 years) | Survival Follow-Up 6 (up to 4 years) | Survival Follow-Up 7 (up to 4 years) |
---|
Bevacizumab: Phase A | 0.830 | 0.857 | 0.865 | 0.853 | 0.869 | 0.892 | 0.872 | 0.881 | 0.894 | 0.843 | 0.898 | 0.915 | 0.844 | 0.899 | 0.878 | 0.899 | 0.873 | 0.909 | 0.947 | 0.852 | 0.933 | 0.813 | 0.900 | 0.817 | 0.768 | 0.901 | 0.819 | 0.843 | 1.000 | 0.835 | 0.816 |
[back to top]
EuroQol-5D Utility Score: Phase B
"EQ-5D is a standardized generic preference based health related quality of life instrument. It records how one's health is today and consists of a descriptive system. The descriptive system is comprised of 5 dimensions: mobility, self-care, usual activities, pain/discomfort, anxiety/depression. Each dimension on the EQ-5D involves a 3-point response scale which indicates the level of impairment (level 1 = no problem; level 2 = some or moderate problem[s] and level 3 = unable, or extreme problems). Level of problem reported in each EQ-5D dimension determines a unique health state which is converted into a weighted health state index by applying scores from EQ-5D preference weights elicited from general population samples. This generates a unique description of the subjects' health status, which is valued between 0 (representing death) and 1 (representing perfect health). Higher the score, the better the quality of life." (NCT01588990)
Timeframe: Baseline, every 8-9 weeks thereafter, EOT (30 days after disease progression [up to 4 years]), survival follow-up 12-weekly visits (up to 4 years) [Detailed time points are presented in the category titles]
Intervention | units on a scale (Mean) |
---|
| Phase B Baseline | Phase B Visit 2 (up to 4 years) | Phase B Visit 3 (up to 4 years) | Phase B Visit 4 (up to 4 years) | Phase B Visit 5 (up to 4 years) | Phase B Visit 6 (up to 4 years) | Phase B Visit 7 (up to 4 years) | Phase B Visit 8 (up to 4 years) | Phase B Visit 9 (up to 4 years) | Phase B Visit 10 (up to 4 years) | Phase B Visit 11 (up to 4 years) | Phase B Visit 12 (up to 4 years) | Phase B Visit 13 (up to 4 years) | Phase B Visit 14 (up to 4 years) | Phase B Visit 15 (up to 4 years) | Phase B Visit 16 (up to 4 years) | Phase B Visit 17 (up to 4 years) | Phase B Visit 18 (up to 4 years) | Phase B Visit 19 (up to 4 years) | Phase B Visit 20 (up to 4 years) | Phase B Visit 21 (up to 4 years) | Phase B Visit 22 (up to 4 years) | Phase B Visit 23 (up to 4 years) | Phase B Visit 24 (up to 4 years) | Phase B EOT Visit (up to 4 years) | Survival Follow-Up 1 (up to 4 years) | Survival Follow-Up 2 (up to 4 years) | Survival Follow-Up 3 (up to 4 years) | Survival Follow-Up 4 (up to 4 years) | Survival Follow-Up 6 (up to 4 years) |
---|
Bevacizumab: Phase B | 0.814 | 0.859 | 0.894 | 0.897 | 0.866 | 0.837 | 0.876 | 0.874 | 0.908 | 0.811 | 0.806 | 0.844 | 1.000 | 1.000 | 0.844 | 0.833 | 0.844 | 0.833 | 0.827 | 0.816 | 0.844 | 0.844 | 0.827 | 0.844 | 0.809 | 0.740 | 0.772 | 0.827 | 0.827 | 1.000 |
[back to top]
FACT-C Score: Phase B
FACT-C is one part of the FACIT Measurement System, which comprehensively assesses the health-related QoL of cancer participants and participants with other chronic illnesses. It is composed of 27 items of the general version of the FACT-C as a general core QoL measure and has a disease-specific subscale containing 9 colorectal cancer-specific items. It consists of total 36 items, summarized to 5 subscales: physical well-being (7 items), functional well-being (7 items), social/family well-being (7 items); all 3 subscales range from 0 to 28, emotional well-being (6 items) range from 0 to 24, colorectal cancer subscale (9 items) range from 0 to 36; higher subscale score=better QoL. All single-item measures range from 0='Not at all' to 4='Very much'. Total possible score range: 0 to 144. High scale score represents a better QoL. (NCT01588990)
Timeframe: Baseline, every 8-9 weeks thereafter, EOT (30 days after disease progression [up to 4 years]), survival follow-up 12-weekly visits (up to 4 years) [Detailed time points are presented in the category titles]
Intervention | units on a scale (Mean) |
---|
| Phase B Baseline | Phase B Visit 2 (up to 4 years) | Phase B Visit 3 (up to 4 years) | Phase B Visit 4 (up to 4 years) | Phase B Visit 5 (up to 4 years) | Phase B Visit 6 (up to 4 years) | Phase B Visit 7 (up to 4 years) | Phase B Visit 8 (up to 4 years) | Phase B Visit 9 (up to 4 years) | Phase B Visit 10 (up to 4 years) | Phase B Visit 11 (up to 4 years) | Phase B Visit 12 (up to 4 years) | Phase B Visit 13 (up to 4 years) | Phase B Visit 14 (up to 4 years) | Phase B Visit 15 (up to 4 years) | Phase B Visit 16 (up to 4 years) | Phase B Visit 17 (up to 4 years) | Phase B Visit 18 (up to 4 years) | Phase B Visit 19 (up to 4 years) | Phase B Visit 20 (up to 4 years) | Phase B Visit 21 (up to 4 years) | Phase B Visit 22 (up to 4 years) | Phase B Visit 23 (up to 4 years) | Phase B Visit 24 (up to 4 years) | Phase B EOT Visit (up to 4 years) | Survival Follow-Up 1 (up to 4 years) | Survival Follow-Up 2 (up to 4 years) | Survival Follow-Up 3 (up to 4 years) | Survival Follow-Up 4 (up to 4 years) | Survival Follow-Up 6 (up to 4 years) |
---|
Bevacizumab: Phase B | 103.47 | 108.71 | 108.19 | 114.89 | 110.60 | 111.28 | 114.78 | 120.39 | 108.08 | 110.50 | 109.33 | 125.00 | 119.00 | 117.00 | 126.00 | 123.00 | 127.00 | 126.00 | 127.00 | 126.00 | 123.00 | 124.00 | 126.00 | 130.00 | 101.67 | 98.72 | 102.50 | 126.33 | 125.00 | 124.67 |
[back to top]
Functional Assessment of Cancer Therapy-Colorectal (FACT-C) Score: Phase A
FACT-C is one part of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, which comprehensively assesses the health-related QoL of cancer participants and participants with other chronic illnesses. It is composed of 27 items of the general version of the FACT-C as a general core QoL measure and has a disease-specific subscale containing 9 colorectal cancer-specific items. It consists of total 36 items, summarized to 5 subscales: physical well-being (7 items), functional well-being (7 items), social/family well-being (7 items); all 3 subscales range from 0 to 28, emotional well-being (6 items) range from 0 to 24, colorectal cancer subscale (9 items) range from 0 to 36; higher subscale score=better QoL. All single-item measures range from 0='Not at all' to 4='Very much'. Total possible score range: 0 to 144. High scale score represents a better QoL. (NCT01588990)
Timeframe: Baseline, every 8-9 weeks thereafter, EOT (30 days after disease progression [up to 4 years]), survival follow-up 12-weekly visits (up to 4 years) [Detailed time points are presented in the category titles]
Intervention | units on a scale (Mean) |
---|
| Phase A Baseline | Phase A Visit 2 (Weeks 8-9) | Phase A Visit 3 (Weeks 16-17) | Phase A Visit 4 (Weeks 24-25) | Phase A Visit 5 (Weeks 32-33) | Phase A Visit 6 (Weeks 40-41) | Phase A Visit 7 (Weeks 48-49) | Phase A Visit 8 (Weeks 56-57) | Phase A Visit 9 (Weeks 64-65) | Phase A Visit 10 (Weeks 72-73) | Phase A Visit 11 (Weeks 80-81) | Phase A Visit 12 (Weeks 88-89) | Phase A Visit 13 (Weeks 96-97) | Phase A Visit 14 (Weeks 104-105) | Phase A Visit 15 (Weeks 112-113) | Phase A Visit 16 (Weeks 120-121) | Phase A Visit 17 (Weeks 128-129) | Phase A Visit 18 (Weeks 136-137) | Phase A Visit 19 (Weeks 144-145) | Phase A Visit 20 (Weeks 152-153) | Phase A Visit 21 (Weeks 160-161) | Phase A Visit 22 (Weeks 168-169) | Phase A Visit 23 (Weeks 176-177) | Phase A EOT Visit (up to 4 years) | Survival Follow-Up 1 (up to 4 years) | Survival Follow-Up 2 (up to 4 years) | Survival Follow-Up 3 (up to 4 years) | Survival Follow-Up 4 (up to 4 years) | Survival Follow-Up 5 (up to 4 years) | Survival Follow-Up 6 (up to 4 years) | Survival Follow-Up 7 (up to 4 years) |
---|
Bevacizumab: Phase A | 103.84 | 103.33 | 106.34 | 109.66 | 109.39 | 111.30 | 111.40 | 113.51 | 113.92 | 115.11 | 114.00 | 115.99 | 113.54 | 112.36 | 119.48 | 116.38 | 113.69 | 112.94 | 117.55 | 115.86 | 106.00 | 112.00 | 105.00 | 103.94 | 102.89 | 104.00 | 105.50 | 109.00 | 119.00 | 103.61 | 115.00 |
[back to top]
Percentage of Participants With Confirmed Complete or Partial Response as Assessed by the Investigator Based on Routine Clinical Practice: Overall
Percentage of participants with best overall response of confirmed complete response or partial response based on the investigator assessment of the response as per routine clinical practice was reported. The confirmation of response must be no less than 4 weeks after initial assessment. (NCT01588990)
Timeframe: Baseline up to disease progression, death or end of study (up to 4 years)
Intervention | percentage of participants (Number) |
---|
| Complete response | Partial response |
---|
Bevacizumab: Phase A and Phase B | 3.1 | 8.6 |
[back to top]
Percentage of Participants With Confirmed Complete or Partial Response as Assessed by the Investigator Based on Routine Clinical Practice: Phase A
Percentage of participants with best overall response of confirmed complete response or partial response based on the investigator assessment of the response as per routine clinical practice was reported. The confirmation of response must be no less than 4 weeks after initial assessment. (NCT01588990)
Timeframe: Baseline up to disease progression, death or end of study (up to 4 years)
Intervention | percentage of participants (Number) |
---|
| Complete response | Partial response |
---|
Bevacizumab: Phase A | 3.1 | 8.6 |
[back to top]
Percentage of Participants With Confirmed Complete or Partial Response as Assessed by the Investigator Based on Routine Clinical Practice: Phase B
Percentage of participants with best overall response of confirmed complete response or partial response based on the investigator assessment of the response as per routine clinical practice was reported. The confirmation of response must be no less than 4 weeks after initial assessment. (NCT01588990)
Timeframe: From the start of Phase B treatment to disease progression, death or end of study (up to 4 years)
Intervention | percentage of participants (Number) |
---|
| Complete response | Partial response |
---|
Bevacizumab: Phase B | 0 | 0 |
[back to top]
Survival Beyond First Disease Progression: Overall
Survival beyond first progression was defined as the time from the date of first disease progression to death due to any cause. Disease progression was determined according to standard practice based on radiological, biochemical (CEA) or clinical factors. Determination of disease progression was to be unequivocal and was defined as any of the following: an unequivocal and clinically meaningful increase in the size of known tumors, the appearance of one or more new lesions, death due to disease without prior objective documentation of progression, elevated CEA accompanied by other radiological or clinical evidence of progression, or symptomatic deterioration. Kaplan-Meier methodology was used to estimate survival beyond first disease progression. (NCT01588990)
Timeframe: Baseline until death or end of study (up to 4 years)
Intervention | months (Median) |
---|
Bevacizumab: Phase A and Phase B | 12.6 |
[back to top]
PFS Until Second Disease Progression as Assessed by the Investigator Based on Routine Clinical Practice: Phase B
PFS in Phase B (PFS-B) was defined as the time from the start of Phase B treatment to documentation of second disease progression or death from any cause, whichever occurred first. Disease progression was determined according to standard practice based on radiological, biochemical (CEA) or clinical factors. Determination of disease progression was to be unequivocal and was defined as any of the following: an unequivocal and clinically meaningful increase in the size of known tumors, the appearance of one or more new lesions, death due to disease without prior objective documentation of progression, elevated CEA accompanied by other radiological or clinical evidence of progression, or symptomatic deterioration. Kaplan-Meier methodology was used to estimate PFS. (NCT01588990)
Timeframe: From the start of Phase B treatment to disease progression, death or end of study (up to 4 years)
Intervention | months (Median) |
---|
Bevacizumab: Phase B | 6.7 |
[back to top]
PFS Until First Disease Progression as Assessed by the Investigator Based on Routine Clinical Practice: Phase A
PFS until first progression was defined as the time from the start of initial treatment to documentation of first disease progression or death from any cause, whichever occurred first. Disease progression was determined according to standard practice based on radiological, biochemical (CEA) or clinical factors. Determination of disease progression was to be unequivocal and was defined as any of the following: an unequivocal and clinically meaningful increase in the size of known tumors, the appearance of one or more new lesions, death due to disease without prior objective documentation of progression, elevated CEA accompanied by other radiological or clinical evidence of progression, or symptomatic deterioration. Kaplan-Meier methodology was used to estimate PFS. (NCT01588990)
Timeframe: Baseline up to first disease progression, death or end of study (up to 4 years)
Intervention | months (Median) |
---|
Bevacizumab: Phase A | 9.2 |
[back to top]
Assessment of Quality of Life - Eight Dimensions (AQoL-8D) Global Utility Score: Phase A
AQoL-8D provides a global utility score and comprised of 35 questions from which 8 dimensions (Independent Living, Life Satisfaction, Mental Health, Coping, Relationships, Self Worth, Pain, and Senses) are derived. Each of the 8 scales is calculated based on the answers to 3 questions. Each question is given an answer dependent utility score (0 [worst] to 1 [best]) and then these scores are combined using a multiplicative model to get the normalized scale score value, each scale ranging between 0.0 (representing death) and 1.0 (representing full health). (NCT01588990)
Timeframe: Baseline, every 8-9 weeks thereafter, EOT (30 days after disease progression [up to 4 years]), survival follow-up 12-weekly visits (up to 4 years) [Detailed time points are presented in the category titles]
Intervention | units on a scale (Mean) |
---|
| Phase A Baseline | Phase A Visit 2 (Weeks 8-9) | Phase A Visit 3 (Weeks 16-17) | Phase A Visit 4 (Weeks 24-25) | Phase A Visit 5 (Weeks 32-33) | Phase A Visit 6 (Weeks 40-41) | Phase A Visit 7 (Weeks 48-49) | Phase A Visit 8 (Weeks 56-57) | Phase A Visit 9 (Weeks 64-65) | Phase A Visit 10 (Weeks 72-73) | Phase A Visit 11 (Weeks 80-81) | Phase A Visit 12 (Weeks 88-89) | Phase A Visit 13 (Weeks 96-97) | Phase A Visit 14 (Weeks 104-105) | Phase A Visit 15 (Weeks 112-113) | Phase A Visit 16 (Weeks 120-121) | Phase A Visit 17 (Weeks 128-129) | Phase A Visit 18 (Weeks 136-137) | Phase A Visit 19 (Weeks 144-145) | Phase A Visit 20 (Weeks 152-153) | Phase A Visit 21 (Weeks 160-161) | Phase A Visit 22 (Weeks 168-169) | Phase A Visit 23 (Weeks 176-177) | Phase A EOT Visit (up to 4 years) | Survival Follow-Up 1 (up to 4 years) | Survival Follow-Up 2 (up to 4 years) | Survival Follow-Up 3 (up to 4 years) | Survival Follow-Up 4 (up to 4 years) | Survival Follow-Up 5 (up to 4 years) | Survival Follow-Up 6 (up to 4 years) | Survival Follow-Up 7 (up to 4 years) |
---|
Bevacizumab: Phase A | 0.747 | 0.760 | 0.767 | 0.796 | 0.800 | 0.831 | 0.818 | 0.851 | 0.822 | 0.827 | 0.839 | 0.856 | 0.831 | 0.815 | 0.871 | 0.869 | 0.859 | 0.880 | 0.915 | 0.864 | 0.806 | 0.811 | 0.709 | 0.739 | 0.718 | 0.792 | 0.696 | 0.620 | 0.800 | 0.810 | 0.874 |
[back to top]
Association Between Longitudinal NLR (Longitudinal NLR ≤5 Versus NLR >5) and OS as Assessed by Hazard Ratio
NLR was calculated from the laboratory values as the ratio of Neutrophils to Lymphocytes. Longitudinal NLR was assessed by treating the NLR measurements taken over the time-course of treatment as a time-dependent covariate. OS was defined as the time from the start of initial treatment to the date of death, regardless of the cause of death. The association between longitudinal NLR (longitudinal NLR ≤5 vs NLR >5) and OS was reported as hazard ratio. (NCT01588990)
Timeframe: Baseline up to death or end of study (up to 4 years)
Intervention | hazard ratio (Number) |
---|
Bevacizumab: Phase A and Phase B | 2.2 |
[back to top]
Association Between Longitudinal NLR (Longitudinal NLR ≤5 Versus NLR >5) and PFS as Assessed by Hazard Ratio
NLR was calculated from the laboratory values as the ratio of Neutrophils to Lymphocytes. Longitudinal NLR was assessed by treating the NLR measurements taken over the time-course of treatment as a time-dependent covariate. PFS was defined as time from the start of initial treatment to documentation of first disease progression or death from any cause, whichever occurred first. Disease progression was determined according to standard practice based on radiological, biochemical (CEA) or clinical factors. Determination of disease progression was to be unequivocal and was defined as: an unequivocal and clinically meaningful increase in size of known tumors, appearance of one or more new lesions, death due to disease without prior objective documentation of progression, elevated CEA accompanied by other radiological or clinical evidence of progression, or symptomatic deterioration. The association between longitudinal NLR (longitudinal NLR ≤5 vs N>5) and PFS was reported as hazard ratio. (NCT01588990)
Timeframe: Baseline up to disease progression, death or end of study (up to 4 years)
Intervention | hazard ratio (Number) |
---|
Bevacizumab: Phase A and Phase B | 1.3 |
[back to top]
Association Between Neutrophil to Lymphocyte Ratio (NLR) [NLR ≤5 Versus NLR >5] and Progression-Free Survival (PFS) as Assessed by Hazard Ratio
NLR was calculated from the laboratory values as the ratio of Neutrophils to Lymphocytes. PFS was defined as the time from the start of initial treatment to documentation of first disease progression or death from any cause, whichever occurred first. Disease progression was determined according to standard practice based on radiological, biochemical (carcinoembryonic antigen [CEA]) or clinical factors. Determination of disease progression was to be unequivocal and was defined as any of the following: an unequivocal and clinically meaningful increase in the size of known tumors, the appearance of one or more new lesions, death due to disease without prior objective documentation of progression, elevated CEA accompanied by other radiological or clinical evidence of progression, or symptomatic deterioration. The association between NLR (NLR less than or equal to [≤] 5 vs greater than [>] 5) and PFS was reported as hazard ratio. (NCT01588990)
Timeframe: Baseline up to disease progression, death or end of study (up to 4 years)
Intervention | hazard ratio (Number) |
---|
Bevacizumab: Phase A and Phase B | 1.4 |
[back to top]
Association Between NLR (NLR ≤5 Versus NLR >5) and OS as Assessed by Hazard Ratio
NLR was calculated from the laboratory values as the ratio of Neutrophils to Lymphocytes. OS was defined as the time from the start of initial treatment to the date of death, regardless of the cause of death. The association between NLR (NLR ≤ 5 vs > 5) and OS was reported as hazard ratio. (NCT01588990)
Timeframe: Baseline up to disease progression, death or end of study (up to 4 years)
Intervention | hazard ratio (Number) |
---|
Bevacizumab: Phase A and Phase B | 1.6 |
[back to top]
Association Between NLR Normalization (First NLR Post-Baseline ≤5 Versus NLR >5) and PFS as Assessed by Hazard Ratio
NLR was calculated from laboratory values as ratio of Neutrophils to Lymphocytes. NLR normalization was assessed by adding first post-baseline measurement of NLR to the primary model. This is equivalent to testing whether first change in NLR is significantly associated with outcome. PFS was defined as time from start of initial treatment to documentation of first disease progression or death from any cause. Disease progression was determined according to standard practice based on radiological, biochemical (CEA) or clinical factors. Determination of disease progression was defined as: an unequivocal and clinically meaningful increase in size of known tumors, appearance of ≥1 new lesions, death due to disease without prior objective documentation of progression, elevated CEA accompanied by other radiological or clinical evidence of progression, or symptomatic deterioration.The association between NLR normalization (first NLR post-baseline ≤5 vs >5) and PFS was reported as hazard ratio. (NCT01588990)
Timeframe: Baseline up to disease progression, death or end of study (up to 4 years)
Intervention | hazard ratio (Number) |
---|
Bevacizumab: Phase A and Phase B | 0.9 |
[back to top]
Duration of Disease Control (DDC) as Assessed by the Investigator Based on Routine Clinical Practice: Overall
DDC was defined as PFS + PFS-B. In cases where a participant did not enter Phase B, then DDC was defined as PFS. PFS was defined as time from start of initial treatment to documentation of first disease progression or death from any cause, whichever occurred first. PFS-B was time from start of Phase B treatment to documentation of second disease progression or death from any cause, whichever occurred first. Disease progression was determined according to standard practice based on radiological, biochemical (CEA) or clinical factors. Determination of disease progression was to be unequivocal and was defined as any of the following: an unequivocal and clinically meaningful increase in the size of known tumors, appearance of one or more new lesions, death due to disease without prior objective documentation of progression, elevated CEA accompanied by other radiological or clinical evidence of progression, or symptomatic deterioration. Kaplan-Meier methodology was used to estimate DDC. (NCT01588990)
Timeframe: Baseline up to disease progression, death or end of study (up to 4 years)
Intervention | months (Median) |
---|
Bevacizumab: Phase A and Phase B | 14.0 |
[back to top]
OS: Phase B
Overall Survival in Phase B was defined as the time from the start of treatment in Phase B to death due to any cause. Kaplan-Meier methodology was used to estimate OS. (NCT01588990)
Timeframe: From the start of Phase B treatment death or end of study (up to 4 years)
Intervention | months (Median) |
---|
Bevacizumab: Phase B | 14.9 |
[back to top]
Overall Survival (OS) From the Start of Treatment to Study Completion: Overall
OS was defined as the time from the start of initial treatment to the date of death, regardless of the cause of death. Kaplan-Meier methodology was used to estimate OS. (NCT01588990)
Timeframe: Baseline until death or end of study (up to 4 years)
Intervention | months (Median) |
---|
Bevacizumab: Phase A and Phase B | 25.0 |
[back to top]
Percentage of Participants Who Underwent Liver Resection: Overall
The results include percentage of participants who underwent potentially curative liver resection. (NCT01588990)
Timeframe: Baseline up to disease progression, death or end of study (up to 4 years)
Intervention | percentage of participants (Number) |
---|
Bevacizumab: Phase A and Phase B | 1.6 |
[back to top]
[back to top]
[back to top]
[back to top]
Rate of R0 Resection
The rate of R0 resection of patients with borderline-resectable adenocarcinoma of the head of the pancreas, along with borderline-resectable and resectable adenocarcinoma of the body and tail of the pancreas. R0 resection means that following surgery, no cancer cells are seen microscopically at the resection margin. (NCT01591733)
Timeframe: Post-surgery (about 4 months post baseline)
Intervention | Participants (Count of Participants) |
---|
All Eligible - FOLFIRINOX + Radiation | 31 |
Resected Participants - FOLFIRINOX + Radiation | 31 |
[back to top]
30 Day Post-operative Mortality Rate
The number of participants that died within 30 days after undergoing pancreaticoduodenectomy or distal pancreatectomy. (NCT01591733)
Timeframe: 30 days post surgery (about 6 months from baseline)
Intervention | Participants (Count of Participants) |
---|
FOLFIRINOX + Radiation | 0 |
[back to top]
[back to top]
Local Control Rates
The number of participants that achieved local control. Local control was evaluated using RECIST (Response Evaluation Criteria in Solid Tumors). Local Failure is defined as progression of the primary tumor, or to the reappearance of tumor at the primary site. (NCT01591733)
Timeframe: From the start of treatment until the end of treatment with FOLFIRINOX, or until disease progression (median duration of follow-up of approximately 14 months)
Intervention | Participants (Count of Participants) |
---|
FOLFIRINOX + Radiation | 32 |
[back to top]
Response Rate
The percentage of patients for whom the best overall response is complete response (CR) or partial response (PR). A CR occurs when all lesions disappear; whereas, a PR is indicated when there is at least a 30% decrease in the sum of the longest diameters (LD) of the target lesion. A PD (progressive disease) occurs when there is at least a 20% increase in the sum of the LD relative to the smallest sum LD recorded since treatment is initiated. Disease is considered stable if there is no response and no PD. All patients were assigned a best response for inclusion in this calculation in accordance with the protocol. (NCT01661972)
Timeframe: approximately every 9 weeks and/or restaging, through study completion
Intervention | percentage of participants (Number) |
---|
Phase 2 | 2.22 |
[back to top]
Recommended Phase II Dose (RPTD) for the Capecitabine and Aflibercept Doublet Combination
Phase 1 of this study will be the dose escalation component to determine safety and the Recommended Phase II dose (RPTD) for the capecitabine plus aflibercept combination. Cohort 1 will receive 850mg/m2 capecitabine and 6mg/kg aflibercept. If less than 2 of 6 patients experience a dose limiting toxicity in Cohort 1, then the next patients will be enrolled in Cohort 2 at 1000mg/m2 capecitabine and 6mg/kg aflibercept. RPTD is determined by the number of dose limiting toxicities (Primary obj 2 for Phase I). (NCT01661972)
Timeframe: RPTD for the study will be determined at the completion of Phase I; up to 1 year.
Intervention | mg/m2 (Number) |
---|
Phase 1 | 850 |
[back to top]
Number of Dose-Limiting Toxicities (Phase 1)
"Number of patients experiencing a dose-limiting toxicity in each cohort.~A dose-limiting toxicity is defined as Grade 4 neutropenia, thrombocytopenia or anemia or grade 3 neutropenia or thrombocytopenia lasting over 7 days Grade 3 thrombocytopenia associated with bleeding Febrile Neutropenia Nausea/Vomiting or Diarrhea ≥ grade 3 and lasting ≥ 4 days despite adequate supportive measures Grade ≥ 3 Bilirubin, ALT or AST > 7 days Other non-hematologic toxicity ≥ grade 3 excluding alopecia, anorexia, fatigue, hypertension, isolated lab abnormalities (not clinically significant) and/ rare, idiosyncratic reactions to any of the study drugs. Anorexia, fatigue and hypertension will be considered as DLT only if they reach grade 4 or are considered unmanageable Treatment delay of ≥ 14 days for cycle 2 due to unresolved toxicity Treatment-related death or clinically significant,treatment-related hospitalization" (NCT01661972)
Timeframe: 28 days
Intervention | Participants (Count of Participants) |
---|
Phase 1 Cohort 1 | 1 |
Phase 1 Cohort 2 | 2 |
[back to top]
[back to top]
[back to top]
Number of Participants With Routine Clinical Use of Capecitabine as Per the Line of Treatment
Choice of line of treatment in adjuvant and advanced or metastatic cancer for capecitabine was observed. (NCT01664494)
Timeframe: Approximately 3 years; or up to disease progression, death or stop of capecitabine treatment, whichever occurred first
Intervention | Participants (Number) |
---|
| Adjuvant therapy | First line therapy | Second line therapy | Third line therapy |
---|
Capecitabine | 220 | 176 | 89 | 78 |
[back to top]
[back to top]
One-year Survival Rate
Subjects will be followed after treatment completed to determine length of survival rate. The primary study objective was 1-year overall survival (OS, failure: death due to any cause). The Kaplan-Meier method was used to estimate the one-year OS. Secondary Objectives were the frequency of serious adverse events, disease control rate and progression-free survival. (NCT01683422)
Timeframe: One year after treatment completed.
Intervention | percentage of participants (Number) |
---|
Proton Radiation | 55.6 |
[back to top]
Mean Duration of Capecitabine Therapy
(NCT01696695)
Timeframe: Baseline up to 1254 days
Intervention | Days (Mean) |
---|
mCRC Participants | 188.8 |
[back to top]
Percentage of Participants With Dose Modification of Capecitabine
(NCT01696695)
Timeframe: Baseline up to 1254 days
Intervention | Percentage of participants (Number) |
---|
mCRC Participants | 85.6 |
[back to top]
Percentage of Participants With Overall Response as Assessed by Investigator Using RECIST v1.1
Overall response is defined as a complete response (CR) or a partial response (PR) as determined by the Investigator using RECIST v1.1 on 2 consecutive occasions at least 6 weeks apart. Participants were evaluated for tumor response per RECIST v1.1 and assessed by computed tomography (CT) or magnetic resonance imaging (MRI):CR was defined as complete disappearance of all target lesions and non-target disease, with the exception of nodal disease. All nodes, both target and non-target, must decrease to normal (short axis less than (<) 10 mm). No new lesions.PR was defined as greater than or equal to (>=) 30% decrease under baseline of the sum of diameters of all target lesions. The short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. No unequivocal progression of non-target disease. No new lesions. (NCT01696695)
Timeframe: Baseline until disease progression, death, unacceptable toxicity, or withdrawal of consent, whichever occurred first, evaluated up to Day 1254
Intervention | Percentage of participants (Number) |
---|
mCRC Participants | 24.3 |
[back to top]
PFS by Therapeutic Regimens
PFS was assessed using RECIST v1.1 and is defined as the time from the first dose of indicated treatment to PD or death, whichever occurred first. Participants who did not progress or died while being followed were censored on the date of the last visit. PD: at least 20% increase in the sum of diameters of target lesions compared to the smallest sum of diameters on-study and absolute increase of at least 5 mm; progression of existing non-target lesions; or presence of new lesions. Median PFS was estimated using Kaplan-Meier method. (NCT01696695)
Timeframe: Baseline until disease progression, death, unacceptable toxicity, or withdrawal of consent, whichever occurred first, evaluated up to Day 1254
Intervention | Days (Median) |
---|
| Capecitabine monotherapy (n=246) | Capecitabine + bevacizumab (n=25) | Capecitabine + irinotecan (n=106) | Capecitabine + irinotecan + bevacizumab (n= 91) | Capecitabine + oxaliplatin (n=173) | Capecitabine + oxaliplatin + bevacizumab (n= 49) |
---|
mCRC Participants | 194 | 391 | 242 | 392 | 240 | 392 |
[back to top]
[back to top]
Percentage of Participants With Clinical Benefit as Assessed Using RECIST v1.1
Clinical benefit was defined as having a confirmed CR, PR or stable disease (SD) for at least 24 weeks on study according to RECIST v1.1.CR: complete disappearance of all target lesions and non-target disease,with the exception of nodal disease.All nodes,both target and non-target, must decrease to normal (short axis <10 mm).No new lesions.PR: >=30% decrease under baseline of the sum of diameters of all target lesions.The short axis was used in the sum for target nodes,while the longest diameter was used in the sum for all other target lesions.No unequivocal progression of non-target disease.No new lesions.SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD,taking as reference the smallest sum diameters while on study.PD:at least 20% increase in the sum of diameters of target lesions compared to the smallest sum of diameters on-study and absolute increase of at least 5 mm, progression of existing non-target lesions,or presence of new lesions. (NCT01696695)
Timeframe: Baseline until disease progression, death, unacceptable toxicity, or withdrawal of consent, whichever occurred first, evaluated up to Day 1254
Intervention | Percentage of participants (Number) |
---|
mCRC Participants | 82.9 |
[back to top]
[back to top]
[back to top]
Phase 1 (LA/mGC): AUC(0-inf) of Capecitabine
AUC(0-inf) is the measure of total drug exposure and is dependent on the total amount of drug absorbed. AUC(0-inf) for capecitabine was estimated from plasma concentration versus time data using non-compartmental methods of analysis. Reported dispersion values are for CV% and not for standard deviation. (NCT01702558)
Timeframe: Pre-capecitabine dose (0 h) and 0.5, 1, 1.5, 2, 2.5, 4, and 6 h post-capecitabine dose on Day 1 Cycle 1
Intervention | h*ng/mL (Mean) |
---|
Phase 1 (LA/mGC) Cohort 2 (DL -1): T-DM1 + Cape | 5131 |
[back to top]
[back to top]
Phase 1 (LA/mGC): Cmax of Capecitabine
Cmax for capecitabine was estimated from plasma concentration versus time data using non-compartmental methods of analysis. Reported dispersion values are for CV% and not for standard deviation. (NCT01702558)
Timeframe: Pre-capecitabine dose (0 h) and 0.5, 1, 1.5, 2, 2.5, 4, and 6 h post-capecitabine dose on Day 1 Cycle 1
Intervention | ng/mL (Mean) |
---|
Phase 1 (LA/mGC) Cohort 2 (DL -1): T-DM1 + Cape | 4925 |
[back to top]
Phase 1 (LA/mGC): MTD of Capecitabine When Combined With Trastuzumab Emtansine (2.4 mg/kg QW)
MTD was defined as the dose level for which the probability of DLT is equal to a protocol-specified target probability. A DLT was defined as any one of the following study treatment related toxicities: Uncomplicated Grade 4 thrombocytopenia that does not recover before Day 21; thrombocytopenia complicated with clinically significant bleeding requiring medical intervention; Grade 4 neutropenia lasting >7 consecutive days; febrile neutropenia with ANC <1000 cells/mm^3; Grade >/=3 diarrhea or Grade 3 hand-foot syndrome; any other Grade >/=3 toxicity prohibiting start of Cycle 2; Grade 2 toxicity requiring treatment interruption for >14 days; <14 full doses of capecitabine; Cycle 2 dose level <100%. (NCT01702558)
Timeframe: Continuously during 3 weeks
Intervention | mg/m^2 (Number) |
---|
Phase 1 (LA/mGC) Cohort 2 (DL -1): T-DM1 + Cape | 700 |
[back to top]
Phase 1 (LA/mGC): Percentage of Participants With BOR as Assessed by the Investigator According to RECIST v1.1
Tumor response was assessed by the investigator according to RECIST v1.1. BOR in Phase 1 was defined as percentage of participants with a CR or PR. CR was defined as the disappearance of all TLs and non-TLs; SA reduction to <10 mm for nodal TLs/non-TLs; and no new lesions. PR was defined as >/=30% decrease in SoD of TLs, taking as reference the baseline SoD; no progression in non-TLs; and no new lesions. (NCT01702558)
Timeframe: Baseline until CR/PR, consent withdrawal, or study end whichever occurred first (up to approximately 1.5 years overall)
Intervention | percentage of participants (Number) |
---|
Phase 1 (LA/mGC) Cohort 2 (DL -1): T-DM1 + Cape | 83.3 |
[back to top]
[back to top]
Phase 1 (LA/mGC): Percentage of Participants With DLTs
A DLT was defined as any one of the following study treatment related toxicities: Uncomplicated Grade 4 thrombocytopenia that does not recover before Day 21; thrombocytopenia complicated with clinically significant bleeding requiring medical intervention; Grade 4 neutropenia lasting >7 consecutive days; febrile neutropenia with ANC <1000 cells/mm^3; Grade >/=3 diarrhea or Grade 3 hand-foot syndrome; any other Grade >/=3 toxicity prohibiting start of Cycle 2; Grade 2 toxicity requiring treatment interruption for >14 days; <14 full doses of capecitabine; Cycle 2 dose level <100%. (NCT01702558)
Timeframe: Continuously during 3 weeks
Intervention | percentage of participants (Number) |
---|
Phase 1 (LA/mGC) Cohort 2 (DL -1): T-DM1 + Cape | 0.0 |
[back to top]
Phase 1 (LA/mGC): Serum Concentration of Trastuzumab
Trastuzumab was derived from trastuzumab emtansine. (NCT01702558)
Timeframe: Pre-trastuzumab emtansine dose (0 h) on Day 1 Cycle 2; 15-30 min after end of trastuzumab emtansine infusion (maximum infusion duration = 90 min) on Day 2 Cycle 1 and Day 1 Cycle 2 (cycle length=21 days)
Intervention | mcg/mL (Mean) |
---|
| Cycle 1, Post-dose | Cycle 2, Pre-dose | Cycle 2, Post-dose |
---|
Phase 1 (LA/mGC) Cohort 2 (DL -1): T-DM1 + Cape | 33.1 | 18.5 | 57.6 |
[back to top]
[back to top]
[back to top]
Phase 1 (mBC): Percentage of Participants With BOR as Assessed by the Investigator According to RECIST v1.1
Tumor response was assessed by the investigator according to RECIST v1.1. BOR in Phase 1 was defined as percentage of participants with a CR or PR. CR was defined as the disappearance of all TLs and non-TLs; SA reduction to <10 mm for nodal TLs/non-TLs; and no new lesions. PR was defined as >/=30% decrease in SoD of TLs, taking as reference the baseline SoD; no progression in non-TLs; and no new lesions. (NCT01702558)
Timeframe: Baseline until CR/PR, consent withdrawal, or study end whichever occurred first (up to approximately 3.5 years overall)
Intervention | percentage of participants (Number) |
---|
Phase 1 (mBC) Cohort 1 (DL 1): T-DM1 + Cape | 83.3 |
Phase 1 (mBC) Cohort 1 (DL -1): T-DM1 + Cape | 100.0 |
[back to top]
Phase 1 (mBC): Area Under the Plasma Concentration-Time Curve From Time Zero to Infinity (AUC[0-inf]) of Capecitabine
AUC(0-inf) is the measure of total drug exposure and is dependent on the total amount of drug absorbed. AUC(0-inf) for capecitabine was estimated from plasma concentration versus time data using non-compartmental methods of analysis. Reported dispersion values are for CV% and not for standard deviation. (NCT01702558)
Timeframe: Pre-capecitabine dose (0 h) and 0.5, 1, 1.5, 2, 2.5, 4, and 6 h post-capecitabine dose on Day 1 Cycle 1
Intervention | hours*nanograms per milliliter (h*ng/mL) (Mean) |
---|
Phase 1 (mBC) Cohort 1 (DL 1): T-DM1 + Cape | 3973 |
Phase 1 (mBC) Cohort 1 (DL -1): T-DM1 + Cape | 5440 |
[back to top]
Phase 1 (mBC): Maximum Tolerated Dose (MTD) of Capecitabine When Combined With Trastuzumab Emtansine (3.6 mg/kg Every 3 Weeks)
MTD was defined as the dose level for which the probability of DLT is equal to a protocol-specified target probability. A DLT was defined as any one of the following study treatment related toxicities: Uncomplicated Grade 4 thrombocytopenia that does not recover before Day 21; thrombocytopenia complicated with clinically significant bleeding requiring medical intervention; Grade 4 neutropenia lasting >7 consecutive days; febrile neutropenia with ANC <1000 cells/mm^3; Grade >/=3 diarrhea or Grade 3 hand-foot syndrome (in absence of DPD deficiency only for DL 1); any other Grade >/=3 toxicity prohibiting start of Cycle 2; Grade 2 toxicity requiring treatment interruption for >14 days (>7 days for DL 1); for DL -1 only: <14 full doses of capecitabine; Cycle 2 dose level <100%. (NCT01702558)
Timeframe: Continuously during Cycle 1 (up to 3 weeks)
Intervention | mg/m^2 (Number) |
---|
Phase 1 (mBC) Cohort 1: T-DM1 + Cape | 700 |
[back to top]
Phase 1 (mBC): Maximum Observed Plasma Concentration (Cmax) of Capecitabine
Cmax for Capecitabine was estimated from plasma concentration versus time data using non-compartmental methods of analysis. Reported dispersion values are for percent coefficient of variation (CV%) and not for standard deviation. (NCT01702558)
Timeframe: Pre-capecitabine dose (0 h) and 0.5, 1, 1.5, 2, 2.5, 4, and 6 h post-capecitabine dose on Day 1 Cycle 1
Intervention | nanograms per milliliter (ng/mL) (Mean) |
---|
Phase 1 (mBC) Cohort 1 (DL 1): T-DM1 + Cape | 2990 |
Phase 1 (mBC) Cohort 1 (DL -1): T-DM1 + Cape | 5652 |
[back to top]
Phase 1 (LA/mGC): Serum Concentration of Trastuzumab Emtansine
(NCT01702558)
Timeframe: Pre-trastuzumab emtansine dose (0 h) on Day 1 Cycle 2; 15-30 min after end of trastuzumab emtansine infusion (maximum infusion duration = 90 min) on Day 2 Cycle 1 and Day 1 Cycle 2 (cycle length=21 days)
Intervention | mcg/mL (Mean) |
---|
| Cycle 1, Post-dose | Cycle 2, Pre-dose | Cycle 2, Post-dose |
---|
Phase 1 (LA/mGC) Cohort 2 (DL -1): T-DM1 + Cape | 30.1 | 10.1 | 46.4 |
[back to top]
Phase 1 (LA/mGC): t1/2 of Capecitabine
Plasma terminal half-life is the time measured for the plasma drug concentration to decrease by one half during the elimination phase of the drug. t1/2 for capecitabine was estimated from plasma concentration versus time data using non-compartmental methods of analysis. Reported dispersion values are for CV% and not for standard deviation. (NCT01702558)
Timeframe: Pre-capecitabine dose (0 h) and 0.5, 1, 1.5, 2, 2.5, 4, and 6 h post-capecitabine dose on Day 1 Cycle 1
Intervention | hours (Mean) |
---|
Phase 1 (LA/mGC) Cohort 2 (DL -1): T-DM1 + Cape | 0.65 |
[back to top]
Phase 1 (mBC): Serum Concentration of Trastuzumab Emtansine
(NCT01702558)
Timeframe: Pre-trastuzumab emtansine dose (0 hour [h]) on Day 1 Cycle 2; 15-30 minutes (min) after end of trastuzumab emtansine infusion (maximum infusion duration = 90 min) on Day 2 Cycle 1 and Day 1 Cycle 2 (cycle length=21 days)
,
Intervention | micrograms per milliliter (mcg/mL) (Mean) |
---|
| Cycle 1, Post-dose | Cycle 2, Pre-dose | Cycle 2, Post-dose |
---|
Phase 1 (mBC) Cohort 1 (DL -1): T-DM1 + Cape | 78.6 | 2.1 | 78.5 |
Phase 1 (mBC) Cohort 1 (DL 1): T-DM1 + Cape | 81.3 | 1.17 | 70.5 |
[back to top]
Phase 1 (mBC): Serum Concentration of Trastuzumab
Trastuzumab was derived from trastuzumab emtansine. (NCT01702558)
Timeframe: Pre-trastuzumab emtansine dose (0 h) on Day 1 Cycle 2; 15-30 min after end of trastuzumab emtansine infusion (maximum infusion duration = 90 min) on Day 2 Cycle 1 and Day 1 Cycle 2 (cycle length=21 days)
,
Intervention | mcg/mL (Mean) |
---|
| Cycle 1, Post-dose | Cycle 2, Pre-dose | Cycle 2, Post-dose |
---|
Phase 1 (mBC) Cohort 1 (DL -1): T-DM1 + Cape | 92.9 | 14.0 | 94.7 |
Phase 1 (mBC) Cohort 1 (DL 1): T-DM1 + Cape | 89.1 | 11.8 | 74.8 |
[back to top]
Phase 2 (mBC): Time to Treatment Failure (TTF) as Assessed by the Investigator According to RECIST v1.1
TTF was defined as the time (in months) from randomization until treatment failure (PD, death, withdrawal due to AE or laboratory abnormality, or refusal of treatment). PD as assessed by the investigator according to RECIST v1.1 was defined as >/=20% relative increase with >/=5 mm of absolute increase in the SoD, taking as reference the smallest SoD recorded since treatment started; 1 or more new lesion(s); and/or unequivocal progression of non-TLs. Participants who did not experience any of the above events while on study were censored on the date of their last tumor assessment. The median TTF and 90% CI was estimated using Kaplan-Meier method. (NCT01702558)
Timeframe: Baseline until treatment failure, consent withdrawal, or study end whichever occurred first (up to approximately 2.5 years overall)
Intervention | months (Median) |
---|
Phase 2 (mBC): T-DM1 + Cape | 9.86 |
Phase 2 (mBC): T-DM1 | 7.66 |
[back to top]
Phase 2 (mBC): Time to Response (TTR) as Assessed by the Investigator According to RECIST v1.1
Tumor response was assessed by the investigator according to RECIST v1.1. TTR was defined as the time (in months) from randomization to first documentation of confirmed PR or CR (whichever occurred first). CR was defined as the disappearance of all TLs and non-TLs; SA reduction to <10 mm for nodal TLs/non-TLs; and no new lesions. PR was defined as >/=30% decrease in SoD of TLs, taking as reference the baseline SoD; no progression in non-TLs; and no new lesions. (NCT01702558)
Timeframe: Baseline until first documentation of confirmed PR or CR, whichever occurred first (up to approximately 2.5 years overall)
Intervention | months (Median) |
---|
Phase 2 (mBC): T-DM1 + Cape | 2.10 |
Phase 2 (mBC): T-DM1 | 2.10 |
[back to top]
Phase 2 (mBC): Time to Progression (TTP) as Assessed by the Investigator According to RECIST v1.1
Tumor response was assessed by the investigator according to RECIST v1.1. TTP was defined as the time (in months) from randomization to the first occurrence of PD. PD was defined as >/=20% relative increase with >/=5 mm of absolute increase in the SoD, taking as reference the smallest SoD recorded since treatment started; 1 or more new lesion(s); and/or unequivocal progression of non-TLs. Participants with no documented PD at the time of study end (including participants who died before PD) or who were lost to follow-up were censored on the date of the last tumor assessment. The median TTP and 90% CI was estimated using Kaplan-Meier method. (NCT01702558)
Timeframe: Baseline until PD, consent withdrawal, or study end whichever occurred first (up to approximately 2.5 years overall)
Intervention | months (Median) |
---|
Phase 2 (mBC): T-DM1 + Cape | 10.38 |
Phase 2 (mBC): T-DM1 | 10.32 |
[back to top]
Phase 2 (mBC): Progression-Free Survival (PFS) as Assessed by the Investigator According to RECIST v1.1
Tumor response was assessed by the investigator according to RECIST v1.1. PFS was defined as the time (in months) from randomization until the first documented PD or death from any cause, whichever occurred first. PD was defined as >/=20% relative increase with >/=5 mm of absolute increase in the SoD, taking as reference the smallest SoD recorded since treatment started; 1 or more new lesion(s); and/or unequivocal progression of non-TLs. Participants with no PFS events were censored on the date of the last tumor assessment. Participants without post-baseline tumor assessment were censored at randomization plus 1 day. The median PFS and 90% CI was estimated using Kaplan-Meier method. (NCT01702558)
Timeframe: Baseline until PD, death from any cause, consent withdrawal, or study end whichever occurred first (up to approximately 2.5 years overall)
Intervention | months (Median) |
---|
Phase 2 (mBC): T-DM1 + Cape | 10.15 |
Phase 2 (mBC): T-DM1 | 9.82 |
[back to top]
Phase 2 (mBC): Percentage of Participants With Treatment Failure as Assessed by the Investigator According to RECIST v1.1
Treatment failure was defined as occurrence of any of the following event while on treatment: PD, death, withdrawal due to adverse event (AE) or laboratory abnormality, or refusal of treatment. PD as assessed by the investigator according to RECIST v1.1 was defined as >/=20% relative increase with >/=5 mm of absolute increase in the SoD, taking as reference the smallest SoD recorded since treatment started; 1 or more new lesion(s); and/or unequivocal progression of non-TLs. (NCT01702558)
Timeframe: Baseline until treatment failure, consent withdrawal, or study end whichever occurred first (up to approximately 2.5 years overall)
Intervention | percentage of participants (Number) |
---|
Phase 2 (mBC): T-DM1 + Cape | 77.8 |
Phase 2 (mBC): T-DM1 | 83.8 |
[back to top]
Phase 2 (mBC): Percentage of Participants With PD as Assessed by the Investigator According to RECIST v1.1 or Death From Any Cause
Tumor response was assessed by the investigator according to RECIST v1.1. PD was defined as >/=20% relative increase with >/=5 mm of absolute increase in the SoD, taking as reference the smallest SoD recorded since treatment started; 1 or more new lesion(s); and/or unequivocal progression of non-TLs. (NCT01702558)
Timeframe: Baseline until PD, death from any cause, consent withdrawal, or study end whichever occurred first (up to approximately 2.5 years overall)
Intervention | percentage of participants (Number) |
---|
Phase 2 (mBC): T-DM1 + Cape | 67.9 |
Phase 2 (mBC): T-DM1 | 73.8 |
[back to top]
Phase 2 (mBC): Percentage of Participants With PD as Assessed by the Investigator According to RECIST v1.1
Tumor response was assessed by the investigator according to RECIST v1.1. PD was defined as >/=20% relative increase with >/=5 mm of absolute increase in the SoD, taking as reference the smallest SoD recorded since treatment started; 1 or more new lesion(s); and/or unequivocal progression of non-TLs. (NCT01702558)
Timeframe: Baseline until PD, consent withdrawal, or study end whichever occurred first (up to approximately 2.5 years overall)
Intervention | percentage of participants (Number) |
---|
Phase 2 (mBC): T-DM1 + Cape | 64.2 |
Phase 2 (mBC): T-DM1 | 70.0 |
[back to top]
Phase 2 (mBC): Percentage of Participants With Clinical Benefit as Assessed by the Investigator According to RECIST v1.1
The clinical benefit was defined as a confirmed response of CR, PR, or stable disease (SD) that lasted for at least 6 months. Tumor response was assessed by the investigator according to RECIST v1.1. CR: the disappearance of all TLs and non-TLs; SA reduction to <10 mm for nodal TLs/non-TLs; and no new lesions. PR: >/=30% decrease in SoD of TLs, taking as reference the baseline SoD; no progression in non-TLs; and no new lesions. PD: >/=20% relative increase with >/=5 mm of absolute increase in the SoD, taking as reference the smallest SoD recorded since treatment started; 1 or more new lesion(s); and/or unequivocal progression of non-TLs. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest SoD on study. The 90% CI was computed using Clopper-Pearson approach. (NCT01702558)
Timeframe: Baseline until clinical benefit response, consent withdrawal, or study end whichever occurred first (up to approximately 2.5 years overall)
Intervention | percentage of participants (Number) |
---|
Phase 2 (mBC): T-DM1 + Cape | 66.7 |
Phase 2 (mBC): T-DM1 | 62.5 |
[back to top]
Phase 2 (mBC): Percentage of Participants With Best Overall Response (BOR) as Assessed by the Investigator According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
Tumor response was assessed by the investigator according to RECIST v1.1. BOR was defined as percentage of participants with a complete response (CR) or partial response (PR) that was confirmed by repeat assessments >/=4 weeks after initial documentation. CR was defined as the disappearance of all target lesions (TLs) and non-TLs; short axis (SA) reduction to <10 millimeters (mm) for nodal TLs/non-TLs; and no new lesions. PR was defined as >/=30% decrease in sum of diameters (SoD) of TLs, taking as reference the baseline SoD; no progression in non-TLs; and no new lesions. The 90% confidence Interval (CI) was computed using Clopper-Pearson approach. (NCT01702558)
Timeframe: Baseline until CR/PR, consent withdrawal, or study end whichever occurred first (up to approximately 2.5 years overall)
Intervention | percentage of participants (Number) |
---|
Phase 2 (mBC): T-DM1 + Cape | 44.4 |
Phase 2 (mBC): T-DM1 | 36.3 |
[back to top]
Phase 2 (mBC): Percentage of Participants Who Died of Any Cause
(NCT01702558)
Timeframe: Baseline until death or study end whichever occurred first (up to approximately 2.5 years overall)
Intervention | percentage of participants (Number) |
---|
Phase 2 (mBC): T-DM1 + Cape | 22.2 |
Phase 2 (mBC): T-DM1 | 26.3 |
[back to top]
Phase 2 (mBC): Overall Survival (OS)
OS was defined as the time (in months) from randomization until death from any cause. Participants who were alive at the time of data cut-off were censored on the date of the last follow-up assessment. Participants who were lost to follow-up were censored as having no event (alive) on the date of last contact. The median OS and 90% CI was estimated using Kaplan-Meier method, which use the patients at risk as denominator rather than the whole number of patients. (NCT01702558)
Timeframe: Baseline until death or study end whichever occurred first (up to approximately 2.5 years overall)
Intervention | months (Median) |
---|
Phase 2 (mBC): T-DM1 + Cape | NA |
Phase 2 (mBC): T-DM1 | 24.71 |
[back to top]
Phase 2 (mBC): Duration of Response (DoR) as Assessed by the Investigator According to RECIST v1.1
Tumor response was assessed by the investigator according to RECIST v1.1. DoR was defined as the time (in months) from the date of first recorded PR/CR until the date of PD or death from any cause. CR: the disappearance of all TLs and non-TLs; SA reduction to <10 mm for nodal TLs/non-TLs; and no new lesions. PR: >/=30% decrease in SoD of TLs, taking as reference the baseline SoD; no progression in non-TLs; and no new lesions. PD: >/=20% relative increase with >/=5 mm of absolute increase in the SoD, taking as reference the smallest SoD recorded since treatment started; 1 or more new lesion(s); and/or unequivocal progression of non-TLs. Participants with no documented PD after CR/PR were censored at the time of last tumor assessment. Participants without post-baseline tumor assessment were censored at randomization plus 1 day. The median DOR and 90% CI were estimated using Kaplan-Meier method. (NCT01702558)
Timeframe: From the documentation of response until PD, death, consent withdrawal, or study end whichever occurred first (up to approximately 2.5 years overall)
Intervention | months (Median) |
---|
Phase 2 (mBC): T-DM1 + Cape | 11.30 |
Phase 2 (mBC): T-DM1 | 12.22 |
[back to top]
[back to top]
Phase 1 (mBC): Plasma Terminal Half-Life (t1/2) of Capecitabine
Plasma terminal half-life is the time measured for the plasma drug concentration to decrease by one half during the elimination phase of the drug. t1/2 for capecitabine was estimated from plasma concentration versus time data using non-compartmental methods of analysis. Reported dispersion values are for CV% and not for standard deviation. (NCT01702558)
Timeframe: Pre-capecitabine dose (0 h) and 0.5, 1, 1.5, 2, 2.5, 4, and 6 h post-capecitabine dose on Day 1 Cycle 1
Intervention | hours (Mean) |
---|
Phase 1 (mBC) Cohort 1 (DL 1): T-DM1 + Cape | 0.70 |
Phase 1 (mBC) Cohort 1 (DL -1): T-DM1 + Cape | 0.39 |
[back to top]
Phase 1 (mBC): Percentage of Participants With Dose-Limiting Toxicities (DLTs)
A DLT was defined as any one of the following study treatment related toxicities: Uncomplicated Grade 4 thrombocytopenia that does not recover before Day 21; thrombocytopenia complicated with clinically significant bleeding requiring medical intervention; Grade 4 neutropenia lasting more than (>) 7 consecutive days; febrile neutropenia with absolute neutrophil count (ANC) less than (<) 1000 cells/millimeter cube (mm^3); Grade greater than or equal to (>/=) 3 diarrhea or Grade 3 hand-foot syndrome (in absence of dihydropyrimidine dehydrogenase [DPD] deficiency only for DL 1); any other Grade >/=3 toxicity prohibiting start of Cycle 2; Grade 2 toxicity requiring treatment interruption for >14 days (>7 days for DL 1); for DL -1 only: <14 full doses of capecitabine; Cycle 2 dose level <100 percent (%). (NCT01702558)
Timeframe: Continuously during Cycle 1 (up to 3 weeks)
Intervention | percentage of participants (Number) |
---|
Phase 1 (mBC) Cohort 1 (DL 1): T-DM1 + Cape | 33.3 |
Phase 1 (mBC) Cohort 1 (DL -1): T-DM1 + Cape | 0.0 |
[back to top]
Toxic Effects
Toxic effects were scored according to the National Cancer Institute Common Toxicity Criteria for Adverse Events (CTCAE), version 4.0. For the National Cancer Institute Common Toxicity Criteria for Adverse Events (CTCAE), version 4.0 scale score range from 1 to 4. A high score, that is 3 and 4, represents a high level of toxicity, whereas the minimum values, that is 1 and 2, represents a mild/modest level of toxicity. (NCT01718873)
Timeframe: up to 4 weeks after the end of the treatment
Intervention | Participants (Count of Participants) |
---|
Bevacizumab Before Chemotherapy | 108 |
Bevacizumab With Chemotherapy | 113 |
[back to top]
Disease Control Rate
Disease control rate was calculated by adding complete and partial responses and stable disease. (NCT01718873)
Timeframe: At weeks 12 and 24 from randomization and every 3 months thereafter, assessed up to 90 months
Intervention | Participants (Count of Participants) |
---|
Bevacizumab Before Chemotherapy | 107 |
Bevacizumab With Chemotherapy | 103 |
[back to top]
Objective Response Rate
"Objective response rate (ORR), according to Response Evaluation Criteria in Solid Tumors (RECIST),version 1.1, was the primary end point and was defined as the number of complete plus partial responses divided by the number of enrolled patients.~Per RECIST v 1.1 for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR." (NCT01718873)
Timeframe: Objective response was assessed by computed tomographic scan or other appropriate imaging at weeks 12 and 24 from randomization, and every 3 months thereafter, assessed up to 90 months.
Intervention | participants (Number) |
---|
Bevacizumab Before Chemotherapy | 65 |
Bevacizumab With Chemotherapy | 66 |
[back to top]
Progression-free Survival (PFS)
"Progression-free survival was defined as the time from randomization to the date of progression or death, whichever occurred first. Patients without progression were censored on the date of the last follow-up visit.~Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions." (NCT01718873)
Timeframe: assessed up to 90 months
Intervention | months (Median) |
---|
Bevacizumab Before Chemotherapy | 11.7 |
Bevacizumab With Chemotherapy | 10.5 |
[back to top]
Overall Survival
Overall survival was defined as the time from randomization to the date of death. Patients alive at the time of the final analysis were censored on the date of the last follow-up information available. (NCT01718873)
Timeframe: assessed up to 90 months
Intervention | months (Median) |
---|
Bevacizumab Before Chemotherapy | 29.8 |
Bevacizumab With Chemotherapy | 24.1 |
[back to top]
Incidence and Severity of Adverse Events as Measured by Number of Participants Who Experience Grade 3 and Higher Adverse Events
NCI Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 (NCT01722162)
Timeframe: Up to 6 months
,
Intervention | participants (Number) |
---|
| Small intestinal obstruction | Fatigue | Urinary tract infection | Blood bilirubin increased | Peripheral motor neuropathy | Peripheral sensory neuropathy | Dyspnea | Hypertension | Thromboembolic event | Anemia | Heart failure | Colonic fistula | Colonic perforation | Gram-negative bacilli infection | Clostridium bloodstream infection | Alanine aminotransferase increased | Anorexia | Bone pain | Generalized muscle weakness | Muscle weakness lower limbs | Urinary retention | Respiratory failure |
---|
Arm A: (Start Levocetirizine After Bevacizumab/Capecitabine) | 1 | 1 | 1 | 2 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Arm B: (Start Levocetirizine Before Bevacizumab/Capecitabine) | 0 | 1 | 0 | 0 | 0 | 0 | 2 | 2 | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
[back to top]
Progression Free Survival (Arm B)
"Time from start of treatment to the time of progression or death, whichever occurs first~Progressive disease (target lesions): at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.~Progressive disease (non-target lesions): appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions. Unequivocal progression should not normally trump target lesion status. It must be representative of overall disease status change, not a single lesion increase." (NCT01722162)
Timeframe: Until progressive disease (PD) (up to 60 days)
Intervention | proportion of patients with PFS (Number) |
---|
| PFS Days = 29 | PFS Days = 33 | PFS Days = 44 | PFS Days = 50 | PFS Days = 54 | PFS Days = 60 |
---|
Arm A: (Start Levocetirizine After Bevacizumab/Capecitabine) | 0.946 | 0.892 | 0.838 | 0.686 | 0.631 | 0.576 |
[back to top]
Progression Free Survival (Arm A)
"Time from start of treatment to the time of progression or death, whichever occurs first~Progressive disease (target lesions): at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.~Progressive disease (non-target lesions): appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions. Unequivocal progression should not normally trump target lesion status. It must be representative of overall disease status change, not a single lesion increase." (NCT01722162)
Timeframe: Until progressive disease (PD) (estimated to be 92 days)
Intervention | proportion of patients with PFS (Number) |
---|
| PFS Days = 29 | PFS Days = 36 | PFS Days = 43 | PFS Days = 46 | PFS Days = 50 | PFS Days = 92 |
---|
Arm A: (Start Levocetirizine After Bevacizumab/Capecitabine) | 0.946 | 0.892 | 0.739 | 0.685 | 0.630 | 0.575 |
[back to top]
Mean Survival Time
(NCT01725386)
Timeframe: Up to approximately 4 years
Intervention | Months (Mean) |
---|
Monotherapy | 15.493 |
Combination Therapy | 15.417 |
[back to top]
Percentage of Participants Receiving Concomitant Medications During the Study
Percentage of participants receiving concomitant medications during the study along with their prescribed monotherapy or combination therapy were reported. (NCT01725386)
Timeframe: Up to approximately 4 years
Intervention | percentage of participants (Number) |
---|
Monotherapy | 17.5 |
Combination Therapy | 23.8 |
[back to top]
Percentage of Participants With Adverse Events
(NCT01725386)
Timeframe: Up to approximately 4 years
Intervention | percentage of participants (Number) |
---|
Monotherapy | 45.2 |
Combination Therapy | 66.7 |
[back to top]
Percentage of Participants by Histopathology Grade Diagnosis Assessed at Baseline
To document the metastatic breast cancer participant profile, the percentage of participants with histopathology grade diagnosis of moderately differentiated, well differentiated, poorly differentiated/undifferentiated as assessed at baseline was summarized. (NCT01725386)
Timeframe: Day 1
,
Intervention | percentage of participants (Number) |
---|
| Moderately Differentiated | Well Differentiated | Poorly Differentiated/Undifferentiated |
---|
Combination Therapy | 42.9 | 11.1 | 46.0 |
Monotherapy | 42.6 | 9.0 | 48.4 |
[back to top]
Percentage of Participants With Relevant Medical History Assessed at Baseline
To document the metastatic breast cancer participant profile, the percentage of participants with relevant medical history as assessed at baseline was summarized. (NCT01725386)
Timeframe: Day 1
,
Intervention | percentage of participants (Number) |
---|
| History of Other Types of Cancer | Family History of Breast Cancer | History of Co-morbidities | Premenopausal Status | Postmenopausal Status |
---|
Combination Therapy | 1.6 | 12.7 | 28.6 | 41.3 | 58.7 |
Monotherapy | 0.5 | 9.6 | 18.1 | 54.8 | 45.2 |
[back to top]
Percent of Participants With Capecitabine as a First Line, Second Line, or Third Line Therapy
To document use of Capecitabine regimen in the management of participants with metastatic breast cancer, the choice of Capecitabine monotherapy versus combination therapy was summarized according to whether the selection was for the participant's first, second, or third line of treatment. (NCT01725386)
Timeframe: Up to approximately 4 years
,
Intervention | percentage of participants (Number) |
---|
| First Line | Second Line | Third Line |
---|
Combination Therapy | 55.6 | 41.3 | 3.1 |
Monotherapy | 10.6 | 71.8 | 17.6 |
[back to top]
Progression-free Survival
This measure is the number of subjects not experiencing tumor progression at five years from initiating therapy. (NCT01726582)
Timeframe: 5 years
Intervention | Participants (Count of Participants) |
---|
Milestones Related to Usual Therapy | 36 |
[back to top]
Use of Biomarkers to Determine Course of Treatment
The number of subjects for whom a biomarker (i.e., molecular profile) was used to determine the course of treatment. (NCT01726582)
Timeframe: Initiation of therapy (approximately 4 to 12 weeks after screening) until surgery (approximately 10 to 20 weeks after screening)
Intervention | Participants (Count of Participants) |
---|
Milestones Related to Usual Therapy | 92 |
[back to top]
Overall Survival in Months
This measure is the median time of survival (in months) at five years from the initiation of therapy. Results will be presented for two cohorts: subjects completing neoadjuvant therapy and surgical resection; and subjects completing neoadjuvant therapy but without surgical resection. (NCT01726582)
Timeframe: 5 years
Intervention | Months (Median) |
---|
Milestones Related to Therapy (Resected) | 45 |
Milestones Related to Therapy (Non-Resected) | 11 |
[back to top]
Number of Subjects Completing Therapy Including Surgical Resection.
This outcome measure is the number of subjects completing therapy up to and including surgical resection. In this context, surgical excision of residual tumor is an option in the progression of usual care. Surgery was contraindicated for some participants. This measure is the number of subject who were eligible for and completed the surgical procedure. (NCT01726582)
Timeframe: At time of surgery (approximately 10 to 20 weeks after screening)
Intervention | Participants (Count of Participants) |
---|
Milestones Related to Usual Therapy | 107 |
[back to top]
Rate of CR, Assessed According to CEA and CA 19-9 Measurements and Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
Complete Response (CR): Disappearance of all non-target lesions and normalization of tumor marker level in response to ADAPT therapy. (NCT01729923)
Timeframe: 3 years
Intervention | Participants (Count of Participants) |
---|
Capecitabine and Celecoxib | 1 |
[back to top]
Overall Survival
Estimated using the Kaplan-Meier method based on the ITT population starting from the time of induction chemotherapy initiation until death or last reported survival. (NCT01729923)
Timeframe: Until death or last reported survival, up to 5 years
Intervention | months (Median) |
---|
Capecitabine and Celecoxib | 15 |
[back to top]
Best Overall Response Rate Among All Patients Who Had RECIST Measurements at Baseline and at Least One Subsequent Occasion and Did Not Have Surgery or Radiation Therapy
RECIST 1.1 criteria will be used to measure changes in the size of a selected sentinel lesion for each patient. Computed tomographic images will be measured at baseline and at subsequent 9 week intervals. Changes will be measured as percentage of the baseline measure. Results will be reported as the largest negative change. For patients with no negative changes, results will be reported as the smallest positive change. (NCT01729923)
Timeframe: Serial measures at 9 week intervals up to 5 years
Intervention | percentage of baseline lesion size (Mean) |
---|
Capecitabine and Celecoxib | 11 |
[back to top]
Best Overall Response Rate Among All Patients Who Had RECIST Measurements at Baseline and at Least One Subsequent Occasion
RECIST 1.1 criteria will be used to measure changes in the size of a selected sentinel lesion for each patient. Computed tomographic images will be measured at baseline and at subsequent 9 week intervals. Changes will be measured as percentage of the baseline measure. Results will be reported as the largest negative change. For patients with no negative changes, results will be reported as the smallest positive change. (NCT01729923)
Timeframe: Serial measures at 9 week intervals up to 5 years
Intervention | percentage of baseline lesion size (Mean) |
---|
Capecitabine and Celecoxib | -17 |
[back to top]
Relapse Free Survival in Patients Achieving CR
Relapse-free survival estimated using the Kaplan-Meier method based on the ITT population starting from the time of induction chemotherapy initiation. (NCT01729923)
Timeframe: Up to 5 years
Intervention | months (Number) |
---|
Capecitabine and Celecoxib | 7 |
[back to top]
Margin-negative (R0) Resection Rate
R0 rate for all participants with resection. Margin negative surgery (R0 resection) is an absolute part of the curative treatment of pancreatic cancer.The primary endpoint is correlation of a radio sensitivity index score derived from the microarray analysis and pathologic response on surgical specimens. Tumor regression Rating: R0 (Complete Response). R0 resections are scored as those resections in which the common bile duct margin, pancreatic resection margin, retroperitoneal margin are negative for tumor involvement. (NCT01754623)
Timeframe: Up to 3 years
Intervention | percentage of participants (Number) |
---|
Chemotherapy Followed by Radiation Treatment | 67 |
[back to top]
Overall Survival (OS) Rate
OS at time of analysis, calculated from date of enrollment to date of death from any cause. (NCT01754623)
Timeframe: 12 months
Intervention | percentage of participants (Number) |
---|
All Participants -Chemotherapy Followed by Radiation Treatment | 33 |
Resection Group -Chemotherapy Followed by Radiation Treatment | 100 |
[back to top]
Time to PFS2
Time to PFS2 was defined as time from randomization to the first occurrence of disease progression after reinduction of second-line therapy, as assessed by the Investigator using RECIST v1.1, or death from any cause, whichever occurs first. Disease progression was defined as sum of longest diameters increased by at least 20% from the smallest value on study. The sum of longest diameters must also demonstrate an absolute increase of at least 5mm. (NCT01765582)
Timeframe: Randomization up to disease progression during second-line therapy or death, whichever occurs first (up to approximately 3 years)
Intervention | months (Median) |
---|
Arm A: Concurrent FOLFOXIRI + Bevacizumab | 18.76 |
Arm B: Sequential FOLFOXIRI + Bevacizumab | 13.17 |
Arm C: FOLFOX + Bevacizumab | 14.75 |
Arms A + B: Pooled FOLFOXIRI + Bevacizumab | 15.08 |
[back to top]
[back to top]
Progression-Free Survival During First-Line Therapy (PFS1)
PFS1 was defined as time from randomization to the first occurrence of disease progression during first-line therapy, as assessed by the Investigator using RECIST v1.1, or death from any cause, whichever occurs first. Disease progression was defined as sum of longest diameters increased by at least 20% from the smallest value on study. The sum of longest diameters must also demonstrate an absolute increase of at least 5 mm. (NCT01765582)
Timeframe: Randomization up to disease progression during first-line therapy or death, whichever occurs first (up to approximately 3 years)
Intervention | months (Median) |
---|
Arm A: Concurrent FOLFOXIRI + Bevacizumab | 11.86 |
Arm B: Sequential FOLFOXIRI + Bevacizumab | 11.37 |
Arm C: FOLFOX + Bevacizumab | 9.46 |
Arms A + B: Pooled FOLFOXIRI + Bevacizumab | 11.70 |
[back to top]
Percentage of Participants With Overall Response During First-Line Therapy (ORR1)
ORR1 was the percentage of participants with complete response (CR) or partial response (PR) during first-line therapy as assessed by investigator according to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v.1.1). CR was defined as disappearance of all extranodal target lesions and all pathological lymph nodes had to have decreased to <10 millimeter (mm) in short axis. PR was defined as at least a 30% decrease in the sum of longest diameters of target lesions, taking as reference the baseline sum diameters. ORR1 = CR + PR (NCT01765582)
Timeframe: Randomization up to disease progression during first-line therapy or death, whichever occurs first (up to approximately 3 years)
Intervention | Percentage of participants (Number) |
---|
Arm A: Concurrent FOLFOXIRI + Bevacizumab | 72.0 |
Arm B: Sequential FOLFOXIRI + Bevacizumab | 72.8 |
Arm C: FOLFOX + Bevacizumab | 62.1 |
Arms A + B: Pooled FOLFOXIRI + Bevacizumab | 72.4 |
[back to top]
Percentage of Participants With Adverse Events
An adverse event is any untoward medical occurrence in a subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events. (NCT01765582)
Timeframe: Randomization up to approximately 3 years
Intervention | Percentage of participants (Number) |
---|
Arm A: Concurrent FOLFOXIRI + Bevacizumab | 100 |
Arm B: Sequential FOLFOXIRI + Bevacizumab | 98.9 |
Arm C: FOLFOX + Bevacizumab | 100 |
Arms A + B: Pooled FOLFOXIRI + Bevacizumab | 99.4 |
[back to top]
Overall Survival (OS)
OS was defined as the time from the date of randomization to the date of death from any cause. (NCT01765582)
Timeframe: Randomization until death due to any cause (up to approximately 3 years)
Intervention | months (Median) |
---|
Arm A: Concurrent FOLFOXIRI + Bevacizumab | 33.97 |
Arm B: Sequential FOLFOXIRI + Bevacizumab | 28.32 |
Arm C: FOLFOX + Bevacizumab | 30.65 |
Arms A + B: Pooled FOLFOXIRI + Bevacizumab | 28.32 |
[back to top]
[back to top]
Change From Baseline in EORTC QLQ-Gastric Cancer Module (EORTC QLQ-STO22) Score
The EORTC QLQ-STO22 is a gastric cancer quality of life questionnaire. There are 22 questions concerning disease, treatment related symptoms, side effects, dysphagia, nutritional aspects, and questions about the emotional problems of gastric cancer (dysphagia, pain, reflux, eating restrictions, anxiety, dry mouth, body image, and hair loss). The questions are grouped into five scales and 4 single items which are related to the symptoms of the disease. Most questions used 4-point scale (1 'Not at all' to 4 'Very much'; 1 question was a yes or no answer). A linear transformation was used to standardize all scores and single-items to a scale of 0 to 100; higher score=better level of functioning or greater degree of symptoms. A positive value means an increase, while a negative values means a decrease, in score at the indicated time-point relative to the score at baseline (Cycle 1, Day 1). (NCT01774786)
Timeframe: Day 1 of each 21-day treatment cycle up to 28 and 60-90 days (post-treatment [PT] monitoring visits 1 and 2, respectively) after Day 1 of last treatment cycle (up to approximately 3.5 years)
,
Intervention | score on a scale (Mean) |
---|
| Anxiety: Cycle 1 (Baseline) | Anxiety: Change at Cycle 2 | Anxiety: Change at Cycle 3 | Anxiety: Change at Cycle 4 | Anxiety: Change at Cycle 5 | Anxiety: Change at Cycle 6 | Anxiety: Change at Cycle 7 | Anxiety: Change at Cycle 8 | Anxiety: Change at Cycle 9 | Anxiety: Change at Cycle 10 | Anxiety: Change at Cycle 11 | Anxiety: Change at Cycle 12 | Anxiety: Change at Cycle 13 | Anxiety: Change at Cycle 14 | Anxiety: Change at Cycle 15 | Anxiety: Change at Cycle 16 | Anxiety: Change at Cycle 17 | Anxiety: Change at Cycle 18 | Anxiety: Change at Cycle 19 | Anxiety: Change at Cycle 20 | Anxiety: Change at Cycle 21 | Anxiety: Change at Cycle 22 | Anxiety: Change at Cycle 23 | Anxiety: Change at Cycle 24 | Anxiety: Change at Cycle 25 | Anxiety: Change at Cycle 26 | Anxiety: Change at Cycle 27 | Anxiety: Change at Cycle 28 | Anxiety: Change at PT Visit 1 | Anxiety: Change at PT Visit 2 | Body Image: Cycle 1 (Baseline) | Body Image: Change at Cycle 2 | Body Image: Change at Cycle 3 | Body Image: Change at Cycle 4 | Body Image: Change at Cycle 5 | Body Image: Change at Cycle 6 | Body Image: Change at Cycle 7 | Body Image: Change at Cycle 8 | Body Image: Change at Cycle 9 | Body Image: Change at Cycle 10 | Body Image: Change at Cycle 11 | Body Image: Change at Cycle 12 | Body Image: Change at Cycle 13 | Body Image: Change at Cycle 14 | Body Image: Change at Cycle 15 | Body Image: Change at Cycle 16 | Body Image: Change at Cycle 17 | Body Image: Change at Cycle 18 | Body Image: Change at Cycle 19 | Body Image: Change at Cycle 20 | Body Image: Change at Cycle 21 | Body Image: Change at Cycle 22 | Body Image: Change at Cycle 23 | Body Image: Change at Cycle 24 | Body Image: Change at Cycle 25 | Body Image: Change at Cycle 26 | Body Image: Change at Cycle 27 | Body Image: Change at Cycle 28 | Body Image: Change at PT Visit 1 | Body Image: Change at PT Visit 2 | Dry Mouth: Cycle 1 (Baseline) | Dry Mouth: Change at Cycle 2 | Dry Mouth: Change at Cycle 3 | Dry Mouth: Change at Cycle 4 | Dry Mouth: Change at Cycle 5 | Dry Mouth: Change at Cycle 6 | Dry Mouth: Change at Cycle 7 | Dry Mouth: Change at Cycle 8 | Dry Mouth: Change at Cycle 9 | Dry Mouth: Change at Cycle 10 | Dry Mouth: Change at Cycle 11 | Dry Mouth: Change at Cycle 12 | Dry Mouth: Change at Cycle 13 | Dry Mouth: Change at Cycle 14 | Dry Mouth: Change at Cycle 15 | Dry Mouth: Change at Cycle 16 | Dry Mouth: Change at Cycle 17 | Dry Mouth: Change at Cycle 18 | Dry Mouth: Change at Cycle 19 | Dry Mouth: Change at Cycle 20 | Dry Mouth: Change at Cycle 21 | Dry Mouth: Change at Cycle 22 | Dry Mouth: Change at Cycle 23 | Dry Mouth: Change at Cycle 24 | Dry Mouth: Change at Cycle 25 | Dry Mouth: Change at Cycle 26 | Dry Mouth: Change at Cycle 27 | Dry Mouth: Change at Cycle 28 | Dry Mouth: Change at PT Visit 1 | Dry Mouth: Change at PT Visit 2 | Dysphagia: Cycle 1 (Baseline) | Dysphagia: Change at Cycle 2 | Dysphagia: Change at Cycle 3 | Dysphagia: Change at Cycle 4 | Dysphagia: Change at Cycle 5 | Dysphagia: Change at Cycle 6 | Dysphagia: Change at Cycle 7 | Dysphagia: Change at Cycle 8 | Dysphagia: Change at Cycle 9 | Dysphagia: Change at Cycle 10 | Dysphagia: Change at Cycle 11 | Dysphagia: Change at Cycle 12 | Dysphagia: Change at Cycle 13 | Dysphagia: Change at Cycle 14 | Dysphagia: Change at Cycle 15 | Dysphagia: Change at Cycle 16 | Dysphagia: Change at Cycle 17 | Dysphagia: Change at Cycle 18 | Dysphagia: Change at Cycle 19 | Dysphagia: Change at Cycle 20 | Dysphagia: Change at Cycle 21 | Dysphagia: Change at Cycle 22 | Dysphagia: Change at Cycle 23 | Dysphagia: Change at Cycle 24 | Dysphagia: Change at Cycle 25 | Dysphagia: Change at Cycle 26 | Dysphagia: Change at Cycle 27 | Dysphagia: Change at Cycle 28 | Dysphagia: Change at PT Visit 1 | Dysphagia: Change at PT Visit 2 | Eating Restrictions: Cycle 1 (Baseline) | Eating Restrictions: Change at Cycle 2 | Eating Restrictions: Change at Cycle 3 | Eating Restrictions: Change at Cycle 4 | Eating Restrictions: Change at Cycle 5 | Eating Restrictions: Change at Cycle 6 | Eating Restrictions: Change at Cycle 7 | Eating Restrictions: Change at Cycle 8 | Eating Restrictions: Change at Cycle 9 | Eating Restrictions: Change at Cycle 10 | Eating Restrictions: Change at Cycle 11 | Eating Restrictions: Change at Cycle 12 | Eating Restrictions: Change at Cycle 13 | Eating Restrictions: Change at Cycle 14 | Eating Restrictions: Change at Cycle 15 | Eating Restrictions: Change at Cycle 16 | Eating Restrictions: Change at Cycle 17 | Eating Restrictions: Change at Cycle 18 | Eating Restrictions: Change at Cycle 19 | Eating Restrictions: Change at Cycle 20 | Eating Restrictions: Change at Cycle 21 | Eating Restrictions: Change at Cycle 22 | Eating Restrictions: Change at Cycle 23 | Eating Restrictions: Change at Cycle 24 | Eating Restrictions: Change at Cycle 25 | Eating Restrictions: Change at Cycle 26 | Eating Restrictions: Change at Cycle 27 | Eating Restrictions: Change at Cycle 28 | Eating Restrictions: Change at PT Visit 1 | Eating Restrictions: Change at PT Visit 2 | Hair Loss: Cycle 1 (Baseline) | Hair Loss: Change at Cycle 2 | Hair Loss: Change at Cycle 3 | Hair Loss: Change at Cycle 4 | Hair Loss: Change at Cycle 5 | Hair Loss: Change at Cycle 6 | Hair Loss: Change at Cycle 7 | Hair Loss: Change at Cycle 8 | Hair Loss: Change at Cycle 9 | Hair Loss: Change at Cycle 10 | Hair Loss: Change at Cycle 11 | Hair Loss: Change at Cycle 12 | Hair Loss: Change at Cycle 13 | Hair Loss: Change at Cycle 14 | Hair Loss: Change at Cycle 15 | Hair Loss: Change at Cycle 16 | Hair Loss: Change at Cycle 17 | Hair Loss: Change at Cycle 18 | Hair Loss: Change at Cycle 19 | Hair Loss: Change at Cycle 20 | Hair Loss: Change at Cycle 21 | Hair Loss: Change at Cycle 22 | Hair Loss: Change at Cycle 23 | Hair Loss: Change at Cycle 24 | Hair Loss: Change at Cycle 25 | Hair Loss: Change at Cycle 26 | Hair Loss: Change at Cycle 27 | Hair Loss: Change at Cycle 28 | Hair Loss: Change at PT Visit 1 | Hair Loss: Change at PT Visit 2 | Pain: Cycle 1 (Baseline) | Pain: Change at Cycle 2 | Pain: Change at Cycle 3 | Pain: Change at Cycle 4 | Pain: Change at Cycle 5 | Pain: Change at Cycle 6 | Pain: Change at Cycle 7 | Pain: Change at Cycle 8 | Pain: Change at Cycle 9 | Pain: Change at Cycle 10 | Pain: Change at Cycle 11 | Pain: Change at Cycle 12 | Pain: Change at Cycle 13 | Pain: Change at Cycle 14 | Pain: Change at Cycle 15 | Pain: Change at Cycle 16 | Pain: Change at Cycle 17 | Pain: Change at Cycle 18 | Pain: Change at Cycle 19 | Pain: Change at Cycle 20 | Pain: Change at Cycle 21 | Pain: Change at Cycle 22 | Pain: Change at Cycle 23 | Pain: Change at Cycle 24 | Pain: Change at Cycle 25 | Pain: Change at Cycle 26 | Pain: Change at Cycle 27 | Pain: Change at Cycle 28 | Pain: Change at PT Visit 1 | Pain: Change at PT Visit 2 | Reflux Symptoms: Cycle 1 (Baseline) | Reflux Symptoms: Change at Cycle 2 | Reflux Symptoms: Change at Cycle 3 | Reflux Symptoms: Change at Cycle 4 | Reflux Symptoms: Change at Cycle 5 | Reflux Symptoms: Change at Cycle 6 | Reflux Symptoms: Change at Cycle 7 | Reflux Symptoms: Change at Cycle 8 | Reflux Symptoms: Change at Cycle 9 | Reflux Symptoms: Change at Cycle 10 | Reflux Symptoms: Change at Cycle 11 | Reflux Symptoms: Change at Cycle 12 | Reflux Symptoms: Change at Cycle 13 | Reflux Symptoms: Change at Cycle 14 | Reflux Symptoms: Change at Cycle 15 | Reflux Symptoms: Change at Cycle 16 | Reflux Symptoms: Change at Cycle 17 | Reflux Symptoms: Change at Cycle 18 | Reflux Symptoms: Change at Cycle 19 | Reflux Symptoms: Change at Cycle 20 | Reflux Symptoms: Change at Cycle 21 | Reflux Symptoms: Change at Cycle 22 | Reflux Symptoms: Change at Cycle 23 | Reflux Symptoms: Change at Cycle 24 | Reflux Symptoms: Change at Cycle 25 | Reflux Symptoms: Change at Cycle 26 | Reflux Symptoms: Change at Cycle 27 | Reflux Symptoms: Change at Cycle 28 | Reflux Symptoms: Change at PT Visit 1 | Reflux Symptoms: Change at PT Visit 2 | Taste: Cycle 1 (Baseline) | Taste: Change at Cycle 2 | Taste: Change at Cycle 3 | Taste: Change at Cycle 4 | Taste: Change at Cycle 5 | Taste: Change at Cycle 6 | Taste: Change at Cycle 7 | Taste: Change at Cycle 8 | Taste: Change at Cycle 9 | Taste: Change at Cycle 10 | Taste: Change at Cycle 11 | Taste: Change at Cycle 12 | Taste: Change at Cycle 13 | Taste: Change at Cycle 14 | Taste: Change at Cycle 15 | Taste: Change at Cycle 16 | Taste: Change at Cycle 17 | Taste: Change at Cycle 18 | Taste: Change at Cycle 19 | Taste: Change at Cycle 20 | Taste: Change at Cycle 21 | Taste: Change at Cycle 22 | Taste: Change at Cycle 23 | Taste: Change at Cycle 24 | Taste: Change at Cycle 25 | Taste: Change at Cycle 26 | Taste: Change at Cycle 27 | Taste: Change at Cycle 28 | Taste: Change at PT Visit 1 | Taste: Change at PT Visit 2 |
---|
Pertuzumab + Trastuzumab + Chemotherapy | 40.10 | -2.58 | -4.14 | -4.52 | -4.10 | -4.54 | -6.40 | -9.00 | -10.09 | -11.17 | -10.78 | -12.62 | -13.32 | -14.32 | -13.42 | -12.75 | -13.41 | -13.53 | -14.50 | -15.34 | -16.03 | -13.30 | -17.28 | -16.11 | -16.03 | -19.73 | -21.71 | -22.51 | -0.73 | -4.04 | 23.53 | 1.33 | 1.48 | 4.20 | 2.86 | 0.75 | -0.56 | -1.74 | -3.58 | -5.07 | -4.62 | -5.31 | -4.73 | -5.43 | -3.08 | -1.74 | -2.70 | -2.64 | -2.81 | -3.97 | 1.69 | -1.49 | -5.82 | -0.56 | -3.21 | -4.76 | 0.78 | -4.27 | 2.48 | 2.36 | 21.80 | 7.72 | 6.10 | 4.76 | 2.47 | 2.96 | -1.96 | -2.43 | -3.70 | -6.27 | -7.69 | -8.18 | -9.69 | -8.33 | -7.89 | -6.32 | -7.44 | -5.56 | -5.90 | -6.35 | -7.17 | -3.98 | -7.94 | -6.67 | -8.33 | -2.72 | -6.98 | -8.55 | 0.19 | -1.35 | 16.29 | -2.27 | -3.39 | -2.94 | -3.22 | -4.20 | -4.83 | -5.96 | -6.17 | -6.03 | -6.25 | -7.06 | -6.93 | -8.01 | -6.45 | -4.41 | -5.36 | -4.90 | -4.40 | -2.51 | -3.80 | -3.65 | -4.23 | -5.00 | -5.98 | -5.67 | -5.68 | -8.26 | 0.44 | -2.81 | 23.26 | -1.41 | -1.04 | -2.24 | -1.39 | -1.35 | -2.45 | -4.29 | -6.99 | -7.06 | -8.22 | -7.74 | -8.55 | -8.62 | -6.85 | -5.77 | -5.56 | -7.27 | -7.03 | -4.56 | -5.80 | -3.65 | -3.70 | -5.00 | -5.77 | -6.80 | -5.62 | -7.91 | 1.52 | -2.10 | 4.73 | 0.20 | 4.34 | 5.40 | 6.12 | 6.93 | 5.72 | 5.00 | 2.38 | 0.64 | -0.10 | 0.21 | 0.36 | -1.37 | -0.39 | -1.47 | -1.07 | -1.68 | -0.90 | -0.20 | -1.07 | -0.50 | -0.54 | -1.39 | -1.96 | -1.02 | -3.10 | -4.70 | 4.98 | 15.82 | 26.48 | -4.63 | -6.96 | -6.45 | -7.28 | -7.24 | -9.52 | -10.53 | -10.08 | -10.63 | -11.65 | -11.76 | -11.92 | -11.66 | -11.15 | -8.72 | -8.88 | -8.31 | -6.63 | -5.72 | -8.19 | -9.08 | -9.66 | -9.86 | -10.58 | -9.01 | -12.02 | -11.54 | -1.70 | -7.49 | 16.68 | -0.13 | -0.52 | -0.98 | -1.92 | -2.90 | -4.18 | -4.96 | -5.02 | -6.12 | -6.44 | -4.82 | -6.42 | -5.39 | -5.00 | -3.07 | -3.35 | -2.94 | -2.43 | -1.85 | -1.83 | -3.81 | -5.11 | -4.07 | -5.56 | -4.99 | -7.75 | -7.12 | 0.88 | 0.56 | 13.79 | 12.09 | 16.72 | 18.43 | 17.61 | 17.97 | 16.25 | 11.64 | 9.22 | 7.93 | 4.96 | 5.27 | 4.08 | 0.49 | 3.08 | 5.51 | 4.80 | 3.59 | 3.13 | 5.56 | 6.33 | 9.45 | 8.99 | 7.78 | 3.21 | 4.08 | 4.65 | 3.42 | 12.76 | 8.42 |
Placebo + Trastuzumab + Chemotherapy | 40.48 | -4.11 | -3.87 | -7.25 | -7.39 | -8.42 | -10.40 | -11.92 | -11.43 | -12.64 | -12.09 | -13.16 | -13.33 | -12.43 | -10.65 | -12.57 | -12.79 | -12.38 | -12.48 | -12.37 | -14.47 | -15.46 | -14.47 | -17.09 | -17.78 | -13.26 | -12.70 | -12.89 | -4.73 | -3.98 | 23.68 | 1.20 | 3.88 | 1.15 | 1.06 | 2.78 | 0.29 | 0.00 | -0.69 | -3.25 | -1.53 | -2.66 | -2.73 | -4.62 | -2.43 | -1.19 | -2.28 | -5.71 | -5.21 | -5.38 | -8.18 | -10.87 | -8.53 | -11.11 | -11.43 | -6.45 | -7.14 | -4.00 | 3.42 | 6.35 | 23.32 | 3.00 | 4.87 | 2.66 | 2.57 | 1.19 | 0.44 | -2.66 | -4.32 | -3.46 | -1.96 | -4.35 | -8.48 | -3.63 | -7.29 | -8.33 | -3.20 | -8.10 | -7.69 | -9.68 | -9.43 | -8.70 | -3.88 | -9.40 | -9.52 | -7.53 | -7.14 | -8.00 | 2.38 | 1.89 | 14.15 | -0.53 | -2.15 | -1.08 | -1.83 | -2.25 | -1.97 | -3.29 | -3.86 | -4.61 | -2.83 | -4.19 | -3.54 | -4.95 | -2.14 | -3.70 | -3.20 | -3.33 | -3.59 | -3.76 | -2.10 | -4.83 | -3.88 | -3.70 | -2.22 | -2.87 | -4.37 | -3.56 | 2.83 | 3.25 | 22.33 | -1.54 | -2.20 | -1.39 | -0.09 | -3.32 | -2.67 | -5.56 | -6.48 | -5.89 | -5.05 | -6.34 | -8.41 | -8.58 | -5.56 | -6.94 | -7.42 | -6.90 | -5.38 | -4.44 | -5.03 | -6.16 | -5.23 | -7.91 | -5.95 | -2.42 | -3.87 | -5.00 | 0.94 | 0.94 | 4.04 | 1.27 | 4.52 | 6.53 | 7.18 | 10.07 | 9.26 | 7.38 | 6.46 | 4.22 | 2.54 | 1.96 | 2.29 | 1.83 | 1.58 | 1.42 | 0.23 | -0.71 | 0.51 | -1.61 | -1.57 | -3.26 | -1.19 | 1.71 | -0.95 | -0.54 | -0.60 | -1.33 | 4.51 | 22.22 | 26.47 | -5.86 | -5.86 | -7.48 | -6.89 | -7.22 | -6.62 | -8.16 | -8.98 | -8.59 | -8.01 | -7.19 | -9.24 | -9.82 | -8.51 | -10.52 | -9.93 | -11.19 | -10.38 | -10.35 | -7.55 | -9.42 | -8.53 | -8.76 | -8.10 | -9.41 | -9.23 | -7.33 | -2.99 | -0.03 | 17.34 | -1.99 | -2.28 | -1.90 | -1.72 | -3.59 | -3.20 | -5.74 | -5.18 | -6.48 | -6.03 | -7.49 | -6.77 | -7.37 | -4.98 | -4.89 | -4.57 | -6.51 | -6.15 | -5.38 | -4.19 | -7.00 | -6.98 | -7.98 | -5.71 | -4.30 | -6.75 | -4.44 | -0.45 | -1.47 | 16.22 | 6.61 | 9.99 | 11.07 | 11.85 | 11.82 | 9.19 | 3.29 | 1.73 | 1.63 | 2.61 | 0.24 | -0.91 | -5.28 | -1.04 | -3.57 | -3.65 | -4.29 | -4.62 | -3.76 | -5.03 | -4.35 | 0.00 | -5.13 | -4.76 | -3.23 | -3.57 | -6.67 | 9.06 | 6.67 |
[back to top]
Percentage of Participants With Clinical Benefit, as Determined by the Investigator According to RECIST v1.1 Criteria
The clinical benefit rate was defined as best response of complete response (CR) or partial response (PR) or stable disease (SD) for 6 weeks or longer, as determined by the investigator using RECIST v1.1. CR: disappearance of all target lesions. PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for disease progression, taking as reference the smallest sum diameters while on study. Measurable disease is defined as tumor lesions measured in at least one dimension (longest diameter in plane of measurement) with a minimum size of: 10 mm by CT or MRI scan; 10 mm caliper measurement by clinical examination; 20 mm by chest X-ray. For a malignant lymph node to be considered pathologically enlarged and measurable, it must be >/=15 mm in short axis when assessed by CT scan. The clinical benefit rate was not updated at the final analysis. (NCT01774786)
Timeframe: Baseline up to death or progressive disease, whichever occurred first (Median [full range] duration of follow-up in Pertuzumab vs. Placebo arms for Primary Analysis: 24.9 [0-41] months vs. 21.3 [0-39] months)
Intervention | percentage of participants (Number) |
---|
Pertuzumab + Trastuzumab + Chemotherapy | 84.6 |
Placebo + Trastuzumab + Chemotherapy | 81.3 |
[back to top]
Minimum Serum Concentration (Cmin) of Pertuzumab
(NCT01774786)
Timeframe: Pre-dose (0-6 hours before infusion) on Day 1 of Cycles 1, 2, 3, 4, 6, and 8 (1 cycle = 21 days)
Intervention | μg/mL (Mean) |
---|
| Cycle 1 | Cycle 2 | Cycle 3 | Cycle 4 | Cycle 6 | Cycle 8 |
---|
Pertuzumab + Trastuzumab + Chemotherapy | NA | 42.4 | 74.0 | 90.4 | 114 | 142 |
[back to top]
Maximum Serum Concentration (Cmax) of Pertuzumab
(NCT01774786)
Timeframe: Post-dose (0.5 hour after end of 30-60 minutes infusion) on Day 1 of Cycles 1, 2, 4, and 8 (1 cycle = 21 days)
Intervention | micrograms per milliliter (μg/mL) (Mean) |
---|
| Cycle 1 | Cycle 2 | Cycle 4 | Cycle 8 |
---|
Pertuzumab + Trastuzumab + Chemotherapy | 258 | 288 | 341 | 371 |
[back to top]
Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Score
The EORTC QLQ-C30 included global health status, functional scales (physical, role, emotional, cognitive, and social), symptom scales (fatigue, nausea/vomiting, and pain) and single items (dyspnoea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). Most questions used a 4-point scale (1 'Not at all' to 4 'Very much'; 2 questions used 7-point scale [1 'very poor' to 7 'Excellent']). Scores were averaged and transformed to 0 - 100 scale, whereby higher scores indicate greater functioning, greater quality of life, or a greater degree of symptoms, with changes of 5 - 10 points considered to be a minimally important difference to participants. A positive value means an increase, while a negative value means a decrease, in score at the indicated time-point relative to the score at baseline (Cycle 1, Day 1). (NCT01774786)
Timeframe: Day 1 of each 21-day treatment cycle up to 28 and 60-90 days (post-treatment [PT] monitoring visits 1 and 2, respectively) after Day 1 of last treatment cycle (up to approximately 3.5 years)
,
Intervention | score on a scale (Mean) |
---|
| Appetite Loss: Cycle 1 (Baseline) | Appetite Loss: Change at Cycle 2 | Appetite Loss: Change at Cycle 3 | Appetite Loss: Change at Cycle 4 | Appetite Loss: Change at Cycle 5 | Appetite Loss: Change at Cycle 6 | Appetite Loss: Change at Cycle 7 | Appetite Loss: Change at Cycle 8 | Appetite Loss: Change at Cycle 9 | Appetite Loss: Change at Cycle 10 | Appetite Loss: Change at Cycle 11 | Appetite Loss: Change at Cycle 12 | Appetite Loss: Change at Cycle 13 | Appetite Loss: Change at Cycle 14 | Appetite Loss: Change at Cycle 15 | Appetite Loss: Change at Cycle 16 | Appetite Loss: Change at Cycle 17 | Appetite Loss: Change at Cycle 18 | Appetite Loss: Change at Cycle 19 | Appetite Loss: Change at Cycle 20 | Appetite Loss: Change at Cycle 21 | Appetite Loss: Change at Cycle 22 | Appetite Loss: Change at Cycle 23 | Appetite Loss: Change at Cycle 24 | Appetite Loss: Change at Cycle 25 | Appetite Loss: Change at Cycle 26 | Appetite Loss: Change at Cycle 27 | Appetite Loss: Change at Cycle 28 | Appetite Loss: Change at PT Visit 1 | Appetite Loss: Change at PT Visit 2 | Cognitive Functional Scale: Cycle 1 (Baseline) | Cognitive Functional Scale: Change at Cycle 2 | Cognitive Functional Scale: Change at Cycle 3 | Cognitive Functional Scale: Change at Cycle 4 | Cognitive Functional Scale: Change at Cycle 5 | Cognitive Functional Scale: Change at Cycle 6 | Cognitive Functional Scale: Change at Cycle 7 | Cognitive Functional Scale: Change at Cycle 8 | Cognitive Functional Scale: Change at Cycle 9 | Cognitive Functional Scale: Change at Cycle 10 | Cognitive Functional Scale: Change at Cycle 11 | Cognitive Functional Scale: Change at Cycle 12 | Cognitive Functional Scale: Change at Cycle 13 | Cognitive Functional Scale: Change at Cycle 14 | Cognitive Functional Scale: Change at Cycle 15 | Cognitive Functional Scale: Change at Cycle 16 | Cognitive Functional Scale: Change at Cycle 17 | Cognitive Functional Scale: Change at Cycle 18 | Cognitive Functional Scale: Change at Cycle 19 | Cognitive Functional Scale: Change at Cycle 20 | Cognitive Functional Scale: Change at Cycle 21 | Cognitive Functional Scale: Change at Cycle 22 | Cognitive Functional Scale: Change at Cycle 23 | Cognitive Functional Scale: Change at Cycle 24 | Cognitive Functional Scale: Change at Cycle 25 | Cognitive Functional Scale: Change at Cycle 26 | Cognitive Functional Scale: Change at Cycle 27 | Cognitive Functional Scale: Change at Cycle 28 | Cognitive Functional Scale: Change at PT Visit 1 | Cognitive Functional Scale: Change at PT Visit 2 | Constipation Symptom Scale: Cycle 1 (Baseline) | Constipation Symptom Scale: Change at Cycle 2 | Constipation Symptom Scale: Change at Cycle 3 | Constipation Symptom Scale: Change at Cycle 4 | Constipation Symptom Scale: Change at Cycle 5 | Constipation Symptom Scale: Change at Cycle 6 | Constipation Symptom Scale: Change at Cycle 7 | Constipation Symptom Scale: Change at Cycle 8 | Constipation Symptom Scale: Change at Cycle 9 | Constipation Symptom Scale: Change at Cycle 10 | Constipation Symptom Scale: Change at Cycle 11 | Constipation Symptom Scale: Change at Cycle 12 | Constipation Symptom Scale: Change at Cycle 13 | Constipation Symptom Scale: Change at Cycle 14 | Constipation Symptom Scale: Change at Cycle 15 | Constipation Symptom Scale: Change at Cycle 16 | Constipation Symptom Scale: Change at Cycle 17 | Constipation Symptom Scale: Change at Cycle 18 | Constipation Symptom Scale: Change at Cycle 19 | Constipation Symptom Scale: Change at Cycle 20 | Constipation Symptom Scale: Change at Cycle 21 | Constipation Symptom Scale: Change at Cycle 22 | Constipation Symptom Scale: Change at Cycle 23 | Constipation Symptom Scale: Change at Cycle 24 | Constipation Symptom Scale: Change at Cycle 25 | Constipation Symptom Scale: Change at Cycle 26 | Constipation Symptom Scale: Change at Cycle 27 | Constipation Symptom Scale: Change at Cycle 28 | Constipation Symptom Scale: Change at PT Visit 1 | Constipation Symptom Scale: Change at PT Visit 2 | Diarrhea Symptom Scale: Cycle 1 (Baseline) | Diarrhea Symptom Scale: Change at Cycle 2 | Diarrhea Symptom Scale: Change at Cycle 3 | Diarrhea Symptom Scale: Change at Cycle 4 | Diarrhea Symptom Scale: Change at Cycle 5 | Diarrhea Symptom Scale: Change at Cycle 6 | Diarrhea Symptom Scale: Change at Cycle 7 | Diarrhea Symptom Scale: Change at Cycle 8 | Diarrhea Symptom Scale: Change at Cycle 9 | Diarrhea Symptom Scale: Change at Cycle 10 | Diarrhea Symptom Scale: Change at Cycle 11 | Diarrhea Symptom Scale: Change at Cycle 12 | Diarrhea Symptom Scale: Change at Cycle 13 | Diarrhea Symptom Scale: Change at Cycle 14 | Diarrhea Symptom Scale: Change at Cycle 15 | Diarrhea Symptom Scale: Change at Cycle 16 | Diarrhea Symptom Scale: Change at Cycle 17 | Diarrhea Symptom Scale: Change at Cycle 18 | Diarrhea Symptom Scale: Change at Cycle 19 | Diarrhea Symptom Scale: Change at Cycle 20 | Diarrhea Symptom Scale: Change at Cycle 21 | Diarrhea Symptom Scale: Change at Cycle 22 | Diarrhea Symptom Scale: Change at Cycle 23 | Diarrhea Symptom Scale: Change at Cycle 24 | Diarrhea Symptom Scale: Change at Cycle 25 | Diarrhea Symptom Scale: Change at Cycle 26 | Diarrhea Symptom Scale: Change at Cycle 27 | Diarrhea Symptom Scale: Change at Cycle 28 | Diarrhea Symptom Scale: Change at PT Visit 1 | Diarrhea Symptom Scale: Change at PT Visit 2 | Dyspnoea Symptom Scale: Cycle 1 (Baseline) | Dyspnoea Symptom Scale: Change at Cycle 2 | Dyspnoea Symptom Scale: Change at Cycle 3 | Dyspnoea Symptom Scale: Change at Cycle 4 | Dyspnoea Symptom Scale: Change at Cycle 5 | Dyspnoea Symptom Scale: Change at Cycle 6 | Dyspnoea Symptom Scale: Change at Cycle 7 | Dyspnoea Symptom Scale: Change at Cycle 8 | Dyspnoea Symptom Scale: Change at Cycle 9 | Dyspnoea Symptom Scale: Change at Cycle 10 | Dyspnoea Symptom Scale: Change at Cycle 11 | Dyspnoea Symptom Scale: Change at Cycle 12 | Dyspnoea Symptom Scale: Change at Cycle 13 | Dyspnoea Symptom Scale: Change at Cycle 14 | Dyspnoea Symptom Scale: Change at Cycle 15 | Dyspnoea Symptom Scale: Change at Cycle 16 | Dyspnoea Symptom Scale: Change at Cycle 17 | Dyspnoea Symptom Scale: Change at Cycle 18 | Dyspnoea Symptom Scale: Change at Cycle 19 | Dyspnoea Symptom Scale: Change at Cycle 20 | Dyspnoea Symptom Scale: Change at Cycle 21 | Dyspnoea Symptom Scale: Change at Cycle 22 | Dyspnoea Symptom Scale: Change at Cycle 23 | Dyspnoea Symptom Scale: Change at Cycle 24 | Dyspnoea Symptom Scale: Change at Cycle 25 | Dyspnoea Symptom Scale: Change at Cycle 26 | Dyspnoea Symptom Scale: Change at Cycle 27 | Dyspnoea Symptom Scale: Change at Cycle 28 | Dyspnoea Symptom Scale: Change at PT Visit 1 | Dyspnoea Symptom Scale: Change at PT Visit 2 | Emotional Functional Scale: Cycle 1 (Baseline) | Emotional Functional Scale: Change at Cycle 2 | Emotional Functional Scale: Change at Cycle 3 | Emotional Functional Scale: Change at Cycle 4 | Emotional Functional Scale: Change at Cycle 5 | Emotional Functional Scale: Change at Cycle 6 | Emotional Functional Scale: Change at Cycle 7 | Emotional Functional Scale: Change at Cycle 8 | Emotional Functional Scale: Change at Cycle 9 | Emotional Functional Scale: Change at Cycle 10 | Emotional Functional Scale: Change at Cycle 11 | Emotional Functional Scale: Change at Cycle 12 | Emotional Functional Scale: Change at Cycle 13 | Emotional Functional Scale: Change at Cycle 14 | Emotional Functional Scale: Change at Cycle 15 | Emotional Functional Scale: Change at Cycle 16 | Emotional Functional Scale: Change at Cycle 17 | Emotional Functional Scale: Change at Cycle 18 | Emotional Functional Scale: Change at Cycle 19 | Emotional Functional Scale: Change at Cycle 20 | Emotional Functional Scale: Change at Cycle 21 | Emotional Functional Scale: Change at Cycle 22 | Emotional Functional Scale: Change at Cycle 23 | Emotional Functional Scale: Change at Cycle 24 | Emotional Functional Scale: Change at Cycle 25 | Emotional Functional Scale: Change at Cycle 26 | Emotional Functional Scale: Change at Cycle 27 | Emotional Functional Scale: Change at Cycle 28 | Emotional Functional Scale: Change at PT Visit 1 | Emotional Functional Scale: Change at PT Visit 2 | Fatigue Symptom Scale: Cycle 1 (Baseline) | Fatigue Symptom Scale: Change at Cycle 2 | Fatigue Symptom Scale: Change at Cycle 3 | Fatigue Symptom Scale: Change at Cycle 4 | Fatigue Symptom Scale: Change at Cycle 5 | Fatigue Symptom Scale: Change at Cycle 6 | Fatigue Symptom Scale: Change at Cycle 7 | Fatigue Symptom Scale: Change at Cycle 8 | Fatigue Symptom Scale: Change at Cycle 9 | Fatigue Symptom Scale: Change at Cycle 10 | Fatigue Symptom Scale: Change at Cycle 11 | Fatigue Symptom Scale: Change at Cycle 12 | Fatigue Symptom Scale: Change at Cycle 13 | Fatigue Symptom Scale: Change at Cycle 14 | Fatigue Symptom Scale: Change at Cycle 15 | Fatigue Symptom Scale: Change at Cycle 16 | Fatigue Symptom Scale: Change at Cycle 17 | Fatigue Symptom Scale: Change at Cycle 18 | Fatigue Symptom Scale: Change at Cycle 19 | Fatigue Symptom Scale: Change at Cycle 20 | Fatigue Symptom Scale: Change at Cycle 21 | Fatigue Symptom Scale: Change at Cycle 22 | Fatigue Symptom Scale: Change at Cycle 23 | Fatigue Symptom Scale: Change at Cycle 24 | Fatigue Symptom Scale: Change at Cycle 25 | Fatigue Symptom Scale: Change at Cycle 26 | Fatigue Symptom Scale: Change at Cycle 27 | Fatigue Symptom Scale: Change at Cycle 28 | Fatigue Symptom Scale: Change at PT Visit 1 | Fatigue Symptom Scale: Change at PT Visit 2 | Financial Difficulties Scale: Cycle 1 (Baseline) | Financial Difficulties Scale: Change at Cycle 2 | Financial Difficulties Scale: Change at Cycle 3 | Financial Difficulties Scale: Change at Cycle 4 | Financial Difficulties Scale: Change at Cycle 5 | Financial Difficulties Scale: Change at Cycle 6 | Financial Difficulties Scale: Change at Cycle 7 | Financial Difficulties Scale: Change at Cycle 8 | Financial Difficulties Scale: Change at Cycle 9 | Financial Difficulties Scale: Change at Cycle 10 | Financial Difficulties Scale: Change at Cycle 11 | Financial Difficulties Scale: Change at Cycle 12 | Financial Difficulties Scale: Change at Cycle 13 | Financial Difficulties Scale: Change at Cycle 14 | Financial Difficulties Scale: Change at Cycle 15 | Financial Difficulties Scale: Change at Cycle 16 | Financial Difficulties Scale: Change at Cycle 17 | Financial Difficulties Scale: Change at Cycle 18 | Financial Difficulties Scale: Change at Cycle 19 | Financial Difficulties Scale: Change at Cycle 20 | Financial Difficulties Scale: Change at Cycle 21 | Financial Difficulties Scale: Change at Cycle 22 | Financial Difficulties Scale: Change at Cycle 23 | Financial Difficulties Scale: Change at Cycle 24 | Financial Difficulties Scale: Change at Cycle 25 | Financial Difficulties Scale: Change at Cycle 26 | Financial Difficulties Scale: Change at Cycle 27 | Financial Difficulties Scale: Change at Cycle 28 | Financial Difficulties Scale: Change at PT Visit 1 | Financial Difficulties Scale: Change at PT Visit 2 | Nausea and Vomiting Scale: Cycle 1 (Baseline) | Nausea And Vomiting Scale: Change at Cycle 2 | Nausea And Vomiting Scale: Change at Cycle 3 | Nausea And Vomiting Scale: Change at Cycle 4 | Nausea And Vomiting Scale: Change at Cycle 5 | Nausea And Vomiting Scale: Change at Cycle 6 | Nausea And Vomiting Scale: Change at Cycle 7 | Nausea And Vomiting Scale: Change at Cycle 8 | Nausea And Vomiting Scale: Change at Cycle 9 | Nausea And Vomiting Scale: Change at Cycle 10 | Nausea And Vomiting Scale: Change at Cycle 11 | Nausea And Vomiting Scale: Change at Cycle 12 | Nausea And Vomiting Scale: Change at Cycle 13 | Nausea And Vomiting Scale: Change at Cycle 14 | Nausea And Vomiting Scale: Change at Cycle 15 | Nausea And Vomiting Scale: Change at Cycle 16 | Nausea And Vomiting Scale: Change at Cycle 17 | Nausea And Vomiting Scale: Change at Cycle 18 | Nausea And Vomiting Scale: Change at Cycle 19 | Nausea And Vomiting Scale: Change at Cycle 20 | Nausea And Vomiting Scale: Change at Cycle 21 | Nausea And Vomiting Scale: Change at Cycle 22 | Nausea And Vomiting Scale: Change at Cycle 23 | Nausea And Vomiting Scale: Change at Cycle 24 | Nausea And Vomiting Scale: Change at Cycle 25 | Nausea And Vomiting Scale: Change at Cycle 26 | Nausea And Vomiting Scale: Change at Cycle 27 | Nausea And Vomiting Scale: Change at Cycle 28 | Nausea and Vomiting Scale: Change at PT Visit 1 | Nausea and Vomiting Scale: Change at PT Visit 2 | Pain Symptom Scale: Cycle 1 (Baseline) | Pain Symptom Scale: Change at Cycle 2 | Pain Symptom Scale: Change at Cycle 3 | Pain Symptom Scale: Change at Cycle 4 | Pain Symptom Scale: Change at Cycle 5 | Pain Symptom Scale: Change at Cycle 6 | Pain Symptom Scale: Change at Cycle 7 | Pain Symptom Scale: Change at Cycle 8 | Pain Symptom Scale: Change at Cycle 9 | Pain Symptom Scale: Change at Cycle 10 | Pain Symptom Scale: Change at Cycle 11 | Pain Symptom Scale: Change at Cycle 12 | Pain Symptom Scale: Change at Cycle 13 | Pain Symptom Scale: Change at Cycle 14 | Pain Symptom Scale: Change at Cycle 15 | Pain Symptom Scale: Change at Cycle 16 | Pain Symptom Scale: Change at Cycle 17 | Pain Symptom Scale: Change at Cycle 18 | Pain Symptom Scale: Change at Cycle 19 | Pain Symptom Scale: Change at Cycle 20 | Pain Symptom Scale: Change at Cycle 21 | Pain Symptom Scale: Change at Cycle 22 | Pain Symptom Scale: Change at Cycle 23 | Pain Symptom Scale: Change at Cycle 24 | Pain Symptom Scale: Change at Cycle 25 | Pain Symptom Scale: Change at Cycle 26 | Pain Symptom Scale: Change at Cycle 27 | Pain Symptom Scale: Change at Cycle 28 | Pain Symptom Scale: Change at PT Visit 1 | Pain Symptom Scale: Change at PT Visit 2 | Physical Functional Scale: Cycle 1 (Baseline) | Physical Functional Scale: Change at Cycle 2 | Physical Functional Scale: Change at Cycle 3 | Physical Functional Scale: Change at Cycle 4 | Physical Functional Scale: Change at Cycle 5 | Physical Functional Scale: Change at Cycle 6 | Physical Functional Scale: Change at Cycle 7 | Physical Functional Scale: Change at Cycle 8 | Physical Functional Scale: Change at Cycle 9 | Physical Functional Scale: Change at Cycle 10 | Physical Functional Scale: Change at Cycle 11 | Physical Functional Scale: Change at Cycle 12 | Physical Functional Scale: Change at Cycle 13 | Physical Functional Scale: Change at Cycle 14 | Physical Functional Scale: Change at Cycle 15 | Physical Functional Scale: Change at Cycle 16 | Physical Functional Scale: Change at Cycle 17 | Physical Functional Scale: Change at Cycle 18 | Physical Functional Scale: Change at Cycle 19 | Physical Functional Scale: Change at Cycle 20 | Physical Functional Scale: Change at Cycle 21 | Physical Functional Scale: Change at Cycle 22 | Physical Functional Scale: Change at Cycle 23 | Physical Functional Scale: Change at Cycle 24 | Physical Functional Scale: Change at Cycle 25 | Physical Functional Scale: Change at Cycle 26 | Physical Functional Scale: Change at Cycle 27 | Physical Functional Scale: Change at Cycle 28 | Physical Functional Scale: Change at PT Visit 1 | Physical Functional Scale: Change at PT Visit 2 | Global Health Status Scale: Cycle 1 (Baseline) | Global Health Status Scale: Change at Cycle 2 | Global Health Status Scale: Change at Cycle 3 | Global Health Status Scale: Change at Cycle 4 | Global Health Status Scale: Change at Cycle 5 | Global Health Status Scale: Change at Cycle 6 | Global Health Status Scale: Change at Cycle 7 | Global Health Status Scale: Change at Cycle 8 | Global Health Status Scale: Change at Cycle 9 | Global Health Status Scale: Change at Cycle 10 | Global Health Status Scale: Change at Cycle 11 | Global Health Status Scale: Change at Cycle 12 | Global Health Status Scale: Change at Cycle 13 | Global Health Status Scale: Change at Cycle 14 | Global Health Status Scale: Change at Cycle 15 | Global Health Status Scale: Change at Cycle 16 | Global Health Status Scale: Change at Cycle 17 | Global Health Status Scale: Change at Cycle 18 | Global Health Status Scale: Change at Cycle 19 | Global Health Status Scale: Change at Cycle 20 | Global Health Status Scale: Change at Cycle 21 | Global Health Status Scale: Change at Cycle 22 | Global Health Status Scale: Change at Cycle 23 | Global Health Status Scale: Change at Cycle 24 | Global Health Status Scale: Change at Cycle 25 | Global Health Status Scale: Change at Cycle 26 | Global Health Status Scale: Change at Cycle 27 | Global Health Status Scale: Change at Cycle 28 | Global Health Status Scale: Change at PT Visit 1 | Global Health Status Scale: Change at PT Visit 2 | Role Functional Scale: Cycle 1 (Baseline) | Role Functional Scale: Change at Cycle 2 | Role Functional Scale: Change at Cycle 3 | Role Functional Scale: Change at Cycle 4 | Role Functional Scale: Change at Cycle 5 | Role Functional Scale: Change at Cycle 6 | Role Functional Scale: Change at Cycle 7 | Role Functional Scale: Change at Cycle 8 | Role Functional Scale: Change at Cycle 9 | Role Functional Scale: Change at Cycle 10 | Role Functional Scale: Change at Cycle 11 | Role Functional Scale: Change at Cycle 12 | Role Functional Scale: Change at Cycle 13 | Role Functional Scale: Change at Cycle 14 | Role Functional Scale: Change at Cycle 15 | Role Functional Scale: Change at Cycle 16 | Role Functional Scale: Change at Cycle 17 | Role Functional Scale: Change at Cycle 18 | Role Functional Scale: Change at Cycle 19 | Role Functional Scale: Change at Cycle 20 | Role Functional Scale: Change at Cycle 21 | Role Functional Scale: Change at Cycle 22 | Role Functional Scale: Change at Cycle 23 | Role Functional Scale: Change at Cycle 24 | Role Functional Scale: Change at Cycle 25 | Role Functional Scale: Change at Cycle 26 | Role Functional Scale: Change at Cycle 27 | Role Functional Scale: Change at Cycle 28 | Role Functional Scale: Change at PT Visit 1 | Role Functional Scale: Change at PT Visit 2 | Social Functional Scale: Cycle 1 (Baseline) | Social Functional Scale: Change at Cycle 2 | Social Functional Scale: Change at Cycle 3 | Social Functional Scale: Change at Cycle 4 | Social Functional Scale: Change at Cycle 5 | Social Functional Scale: Change at Cycle 6 | Social Functional Scale: Change at Cycle 7 | Social Functional Scale: Change at Cycle 8 | Social Functional Scale: Change at Cycle 9 | Social Functional Scale: Change at Cycle 10 | Social Functional Scale: Change at Cycle 11 | Social Functional Scale: Change at Cycle 12 | Social Functional Scale: Change at Cycle 13 | Social Functional Scale: Change at Cycle 14 | Social Functional Scale: Change at Cycle 15 | Social Functional Scale: Change at Cycle 16 | Social Functional Scale: Change at Cycle 17 | Social Functional Scale: Change at Cycle 18 | Social Functional Scale: Change at Cycle 19 | Social Functional Scale: Change at Cycle 20 | Social Functional Scale: Change at Cycle 21 | Social Functional Scale: Change at Cycle 22 | Social Functional Scale: Change at Cycle 23 | Social Functional Scale: Change at Cycle 24 | Social Functional Scale: Change at Cycle 25 | Social Functional Scale: Change at Cycle 26 | Social Functional Scale: Change at Cycle 27 | Social Functional Scale: Change at Cycle 28 | Social Functional Scale: Change at PT Visit 1 | Social Functional Scale: Change at PT Visit 2 | Insomnia Symptom Scale: Cycle 1 (Baseline) | Insomnia Symptom Scale: Change at Cycle 2 | Insomnia Symptom Scale: Change at Cycle 3 | Insomnia Symptom Scale: Change at Cycle 4 | Insomnia Symptom Scale: Change at Cycle 5 | Insomnia Symptom Scale: Change at Cycle 6 | Insomnia Symptom Scale: Change at Cycle 7 | Insomnia Symptom Scale: Change at Cycle 8 | Insomnia Symptom Scale: Change at Cycle 9 | Insomnia Symptom Scale: Change at Cycle 10 | Insomnia Symptom Scale: Change at Cycle 11 | Insomnia Symptom Scale: Change at Cycle 12 | Insomnia Symptom Scale: Change at Cycle 13 | Insomnia Symptom Scale: Change at Cycle 14 | Insomnia Symptom Scale: Change at Cycle 15 | Insomnia Symptom Scale: Change at Cycle 16 | Insomnia Symptom Scale: Change at Cycle 17 | Insomnia Symptom Scale: Change at Cycle 18 | Insomnia Symptom Scale: Change at Cycle 19 | Insomnia Symptom Scale: Change at Cycle 20 | Insomnia Symptom Scale: Change at Cycle 21 | Insomnia Symptom Scale: Change at Cycle 22 | Insomnia Symptom Scale: Change at Cycle 23 | Insomnia Symptom Scale: Change at Cycle 24 | Insomnia Symptom Scale: Change at Cycle 25 | Insomnia Symptom Scale: Change at Cycle 26 | Insomnia Symptom Scale: Change at Cycle 27 | Insomnia Symptom Scale: Change at Cycle 28 | Insomnia Symptom Scale: Change at PT Visit 1 | Insomnia Symptom Scale: Change at PT Visit 2 |
---|
Pertuzumab + Trastuzumab + Chemotherapy | 26.68 | 6.57 | 3.63 | 5.24 | 4.55 | 3.94 | 2.07 | -2.42 | -6.67 | -8.06 | -9.36 | -9.22 | -10.17 | -12.10 | -8.21 | -6.03 | -6.55 | -4.90 | -8.33 | -3.97 | -5.91 | -4.98 | -6.35 | -7.78 | -7.05 | -7.48 | -10.08 | -10.00 | 7.30 | -0.33 | 87.95 | -1.90 | -0.83 | -2.04 | -3.04 | -5.10 | -4.34 | -3.15 | -2.22 | -3.32 | -2.83 | -3.35 | -1.79 | -1.98 | -1.15 | -2.73 | -2.53 | -2.78 | -1.04 | -2.18 | -2.11 | -4.73 | -2.38 | -2.78 | -5.45 | -2.38 | -3.88 | -3.75 | -9.13 | -8.42 | 20.43 | -5.39 | -7.48 | -5.32 | -5.94 | -7.13 | -8.13 | -8.05 | -10.00 | -9.32 | -9.16 | -10.27 | -11.19 | -11.60 | -10.51 | -8.62 | -8.33 | -7.52 | -3.47 | -3.97 | -3.80 | -4.98 | -6.35 | -7.78 | -7.05 | -6.12 | -7.75 | -6.67 | -6.78 | -6.93 | 8.87 | 15.12 | 14.64 | 14.13 | 13.17 | 14.81 | 12.26 | 8.91 | 6.83 | 6.63 | 5.26 | 3.98 | 4.29 | 3.95 | 3.33 | 5.46 | 2.68 | 3.59 | 3.82 | 5.95 | 3.80 | 6.97 | 6.88 | 7.22 | 8.97 | 5.44 | 3.88 | 7.50 | 8.14 | 7.26 | 12.07 | -0.50 | -0.31 | 1.23 | 2.58 | 3.20 | 0.00 | -0.14 | -1.12 | -0.54 | -2.16 | -2.53 | -1.43 | -1.98 | -2.84 | -1.45 | -1.82 | -0.98 | -1.74 | -1.19 | 1.27 | -1.99 | -1.59 | 1.11 | 0.64 | 0.00 | 0.78 | 1.67 | 6.97 | 3.30 | 76.90 | 3.53 | 2.65 | 3.10 | 2.62 | 1.01 | 1.72 | 3.43 | 4.72 | 3.72 | 5.85 | 4.93 | 5.00 | 5.93 | 6.03 | 5.17 | 6.01 | 3.68 | 4.69 | 3.47 | 4.54 | 5.35 | 5.82 | 5.28 | 5.93 | 5.44 | 7.56 | 7.08 | -5.48 | -2.64 | 31.96 | 3.13 | 1.41 | 2.77 | 3.87 | 4.37 | 2.36 | -0.19 | -2.38 | -3.41 | -4.35 | -3.14 | -4.57 | -6.75 | -5.47 | -3.54 | -4.27 | -4.14 | -5.32 | -5.56 | -3.94 | -1.49 | -5.82 | -1.67 | -4.70 | -4.99 | -6.98 | -6.39 | 10.02 | 7.70 | 26.67 | -0.90 | 0.31 | 0.89 | 1.75 | 1.11 | 1.11 | 1.15 | 1.11 | 0.90 | 0.39 | -1.05 | -0.95 | -1.73 | -1.81 | -3.16 | -3.87 | -2.29 | -0.35 | 1.19 | 1.27 | 2.49 | -0.53 | 1.11 | 3.21 | 2.72 | -3.10 | -1.67 | 1.70 | 1.98 | 11.14 | 5.85 | 5.12 | 4.10 | 5.13 | 4.11 | 2.07 | -0.86 | -2.54 | -4.30 | -3.51 | -3.04 | -4.02 | -3.46 | -3.59 | -0.43 | -0.60 | -0.65 | -0.87 | -1.79 | -1.05 | -3.48 | -4.23 | -4.72 | -4.17 | -3.40 | -5.04 | -1.25 | 4.68 | 4.29 | 23.92 | -6.80 | -9.89 | -10.26 | -8.86 | -8.95 | -10.95 | -9.97 | -9.29 | -9.41 | -10.33 | -10.27 | -10.28 | -10.49 | -11.15 | -9.91 | -7.59 | -8.82 | -8.16 | -6.94 | -9.92 | -7.71 | -10.85 | -10.00 | -9.94 | -10.54 | -11.24 | -10.42 | 1.13 | -1.49 | 80.86 | -3.58 | -2.99 | -3.28 | -3.10 | -5.00 | -3.66 | -2.24 | -1.59 | 0.11 | 0.35 | -1.05 | -0.80 | -0.02 | 0.41 | -1.08 | -0.46 | 0.13 | 1.39 | 0.71 | 0.42 | -2.79 | -1.48 | -2.67 | -2.18 | -1.90 | 0.16 | -1.17 | -11.37 | -11.49 | 59.77 | 1.81 | 1.56 | 1.39 | 1.17 | 0.68 | 1.83 | 3.06 | 4.39 | 4.80 | 5.78 | 3.11 | 3.51 | 5.97 | 4.26 | 3.12 | 2.93 | 3.02 | 3.25 | 5.12 | 5.38 | 3.79 | 4.03 | 4.24 | 3.59 | 7.27 | 7.54 | 4.49 | -7.24 | -2.72 | 77.06 | -3.78 | -3.62 | -4.64 | -4.72 | -6.13 | -4.82 | -1.85 | -1.19 | -1.79 | -0.78 | -1.05 | -2.01 | -0.86 | -1.03 | -3.16 | -1.04 | -0.16 | 1.04 | -1.19 | -0.84 | -2.24 | -3.44 | -4.44 | -3.53 | -1.36 | -1.55 | -0.42 | -14.61 | -10.73 | 77.96 | -3.45 | -4.62 | -2.59 | -5.54 | -5.72 | -2.69 | -1.72 | 0.56 | -0.81 | 0.58 | 0.52 | 0.83 | 1.98 | 1.79 | -0.72 | -0.45 | -0.98 | 2.26 | 1.59 | 1.27 | 1.24 | 6.08 | 5.83 | 1.60 | 3.74 | 5.81 | 6.25 | -9.13 | -5.45 | 22.94 | -0.69 | -3.53 | -2.88 | -2.21 | -2.94 | -4.56 | -6.13 | -8.97 | -8.24 | -8.97 | -8.81 | -10.17 | -9.14 | -9.74 | -8.91 | -11.01 | -8.82 | -11.46 | -10.32 | -11.81 | -10.95 | -10.58 | -9.44 | -10.26 | -9.52 | -13.18 | -11.67 | 2.81 | 5.67 |
Placebo + Trastuzumab + Chemotherapy | 27.59 | 0.97 | 3.81 | 0.79 | 2.90 | -0.39 | 1.61 | -3.69 | -4.76 | -6.63 | -9.68 | -9.05 | -10.81 | -12.09 | -9.18 | -10.59 | -9.91 | -14.08 | -13.13 | -13.23 | -14.20 | -16.31 | -11.36 | -13.33 | -12.04 | -12.50 | -9.20 | -11.54 | 2.64 | 4.55 | 88.22 | -1.81 | -3.17 | -2.99 | -4.59 | -3.84 | -4.31 | -3.30 | -4.59 | -3.11 | -3.44 | -2.52 | -3.60 | -2.29 | -2.38 | -2.55 | -1.13 | 0.47 | 0.00 | 0.79 | 0.62 | -0.71 | 1.14 | 1.25 | -0.93 | -1.56 | -1.15 | 0.00 | -9.16 | -11.21 | 18.41 | 0.29 | -2.11 | -3.73 | -1.28 | -2.33 | -4.09 | -4.45 | -5.61 | -7.43 | -6.88 | -7.25 | -5.76 | -6.21 | -7.14 | -7.45 | -5.86 | -6.57 | -3.03 | -4.76 | -9.26 | -8.51 | -8.33 | -10.00 | -9.26 | -6.25 | -10.34 | -6.41 | -4.62 | -0.91 | 9.16 | 5.20 | 4.99 | 4.63 | 4.99 | 2.47 | 2.92 | 2.61 | 2.04 | 0.60 | 2.60 | 1.92 | 1.50 | 0.98 | 1.02 | 3.14 | 2.25 | 3.29 | 2.02 | 3.70 | 1.85 | 4.26 | 8.33 | 3.33 | 2.78 | 5.21 | 3.45 | 2.56 | 1.98 | 4.24 | 12.65 | 0.29 | -0.32 | 1.81 | 1.39 | 0.39 | 0.59 | 0.93 | 0.17 | 1.00 | -1.29 | -0.71 | -1.20 | -2.61 | 2.72 | 1.18 | 0.90 | -2.35 | 0.51 | -1.06 | -0.62 | 0.71 | 1.52 | -1.67 | -3.70 | 1.04 | 3.45 | 3.85 | 6.77 | 9.39 | 76.56 | 3.05 | 3.96 | 3.67 | 2.74 | 4.93 | 4.41 | 5.66 | 4.78 | 6.74 | 4.96 | 5.24 | 5.18 | 6.29 | 5.19 | 5.29 | 6.31 | 5.87 | 5.56 | 5.42 | 6.48 | 6.91 | 6.63 | 8.54 | 8.80 | 5.99 | 5.75 | 7.05 | -3.92 | -4.47 | 32.27 | 2.32 | 3.19 | 1.58 | 3.05 | 2.62 | 0.97 | -1.18 | -2.01 | -3.08 | -3.44 | -4.60 | -4.50 | -6.54 | -4.99 | -6.93 | -3.45 | -8.92 | -9.01 | -6.53 | -7.41 | -10.64 | -9.60 | -12.50 | -12.35 | -11.46 | -5.36 | -4.70 | 5.25 | 9.70 | 26.21 | -2.46 | 0.00 | 0.11 | 2.58 | 0.92 | 0.30 | 0.47 | -0.51 | -2.42 | -0.22 | -0.97 | 0.30 | -0.98 | 1.36 | 0.39 | 1.35 | 2.35 | -0.51 | 1.59 | -4.94 | -4.26 | -2.27 | -5.83 | -4.63 | -2.22 | 1.15 | -1.28 | 1.33 | 4.24 | 11.92 | 4.08 | 5.06 | 3.56 | 5.15 | 2.59 | 2.49 | -0.77 | -2.98 | -2.81 | -3.66 | -3.45 | -3.60 | -5.72 | -3.91 | -2.55 | -3.15 | -3.52 | -4.04 | -3.97 | -6.48 | -8.16 | -6.44 | -7.92 | -7.41 | -9.38 | -7.47 | -6.41 | 4.13 | 2.73 | 23.72 | -6.38 | -7.23 | -7.46 | -6.25 | -7.33 | -7.46 | -8.53 | -7.82 | -8.13 | -6.34 | -5.24 | -4.80 | -5.56 | -3.74 | -4.71 | -5.63 | -8.22 | -5.05 | -6.08 | -6.48 | -8.51 | -7.95 | -10.00 | -12.96 | -8.33 | -5.75 | -9.62 | 2.06 | 5.45 | 82.05 | -3.01 | -3.92 | -3.50 | -4.62 | -3.84 | -3.79 | -1.56 | -0.75 | -0.27 | 0.27 | 0.89 | 0.27 | 1.70 | -0.95 | -0.08 | -0.81 | 0.75 | 1.31 | 0.85 | 0.25 | 1.42 | 0.61 | 3.00 | 4.81 | -1.88 | -3.68 | -2.82 | -7.51 | -11.82 | 59.90 | 4.29 | 2.86 | 4.15 | 3.92 | 3.61 | 3.33 | 5.18 | 4.68 | 5.07 | 3.82 | 5.34 | 3.83 | 4.82 | 1.70 | 3.04 | 3.83 | 2.58 | 3.97 | 4.89 | 5.40 | 3.19 | 4.07 | 2.92 | 8.10 | 5.47 | 1.72 | 4.81 | -6.14 | -5.68 | 79.33 | -2.82 | -4.55 | -5.99 | -7.41 | -6.03 | -5.34 | -2.38 | -2.47 | 0.90 | -2.69 | 0.24 | -2.40 | -1.31 | -3.23 | -2.35 | -3.38 | 0.23 | -0.25 | 0.79 | 0.00 | 1.06 | 1.14 | 2.08 | 4.63 | 0.52 | -4.02 | -3.85 | -9.49 | -15.45 | 75.90 | -0.44 | -2.07 | -1.70 | -3.26 | -1.04 | -0.15 | 1.08 | 0.77 | 2.31 | 1.94 | 2.40 | 2.10 | 2.12 | 0.00 | 0.39 | 1.58 | 2.11 | 3.28 | 0.79 | 5.86 | 2.84 | 1.89 | 4.17 | 2.78 | 1.56 | -1.72 | -0.64 | -3.80 | -8.48 | 25.41 | -0.39 | -3.48 | -3.62 | -2.66 | -5.58 | -4.82 | -6.45 | -6.12 | -4.42 | -5.81 | -6.43 | -5.11 | -7.84 | -5.10 | -4.31 | -5.41 | -8.45 | -7.58 | -5.29 | -4.94 | -7.80 | -6.06 | -7.50 | -8.33 | -4.17 | -4.60 | -1.28 | -1.32 | 3.03 |
[back to top]
Cmax of Trastuzumab
(NCT01774786)
Timeframe: Post-dose (0.5 hour after end of 30-60 minutes infusion) on Day 1 of Cycles 1, 2, 4, and 8 (1 cycle = 21 days)
,
Intervention | μg/mL (Mean) |
---|
| Cycle 1 | Cycle 2 | Cycle 4 | Cycle 8 |
---|
Pertuzumab + Trastuzumab + Chemotherapy | 142 | 120 | 127 | 130 |
Placebo + Trastuzumab + Chemotherapy | 139 | 120 | 129 | 147 |
[back to top]
Cmin of Trastuzumab
(NCT01774786)
Timeframe: Pre-dose (0-6 hours before infusion) on Day 1 of Cycles 1, 2, 3, 4, 6, and 8 (1 cycle = 21 days)
,
Intervention | μg/mL (Mean) |
---|
| Cycle 1 | Cycle 2 | Cycle 3 | Cycle 4 | Cycle 6 | Cycle 8 |
---|
Pertuzumab + Trastuzumab + Chemotherapy | NA | 15.4 | 19.9 | 22.9 | 26.3 | 32.7 |
Placebo + Trastuzumab + Chemotherapy | NA | 17.2 | 20.7 | 24.1 | 29.8 | 37.4 |
[back to top]
Duration of Objective Response, as Determined by Investigator According to RECIST v1.1 Criteria
Duration of objective response is defined as the time from first occurrence of documented objective response to documented disease progression, as determined by the investigator using RECIST v1.1, or death from any cause. Objective response: PR or CR occurring on 2 consecutive occasions ≥4 weeks apart. PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. CR: disappearance of all target lesions. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study, including baseline; an absolute increase of at least 5 mm in the sum of diameters of target lesions; the appearance of one or more new lesions. Measurable disease defined as tumor lesions with a minimum size of: 10 mm by CT or MRI scan; 10 mm caliper measurement by clinical examination; 20 mm by chest X-ray. For a malignant lymph node, it must be ≥15 mm in short axis when assessed by CT scan. (NCT01774786)
Timeframe: Baseline to death or progressive disease (PD), whichever occurred first (Median [full range] duration of follow-up in Pertuzumab vs. Placebo arms for Primary Analysis: 24.9 [0-41] vs. 21.3 [0-39] months; Final Analysis: 50.4 [0-70] vs. 47.4 [0-66] months)
,
Intervention | months (Median) |
---|
| Primary Analysis | Final Analysis |
---|
Pertuzumab + Trastuzumab + Chemotherapy | 10.2 | 10.2 |
Placebo + Trastuzumab + Chemotherapy | 8.4 | 8.4 |
[back to top]
Final Analysis of the Percentage of Participants With Overall Objective Response, as Determined by the Investigator According to RECIST v1.1 Criteria
The overall objective response rate was defined as the percentage of participants with partial response (PR) or complete response (CR) occurring on two consecutive occasions ≥4 weeks apart, as determined by the investigator using RECIST v1.1. Tumor assessments with computed tomography (CT) or magnetic resonance imaging (MRI) scans of the chest, abdomen, and pelvis were performed every 9 weeks. PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. CR: disappearance of all target lesions. Measurable disease is defined as tumor lesions measured in at least one dimension (longest diameter in plane of measurement) with a minimum size of: 10 mm by CT or MRI scan; 10 mm caliper measurement by clinical examination; 20 mm by chest X-ray. For a malignant lymph node to be considered pathologically enlarged and measurable, it must be greater than or equal to (≥) 15 mm in short axis when assessed by CT scan. (NCT01774786)
Timeframe: Baseline up to death or progressive disease, whichever occurred first (Median [full range] duration of follow-up in Pertuzumab vs. Placebo arms for Final Analysis: 50.4 [0-70] months vs. 47.4 [0-66] months)
,
Intervention | Percentage of participants (Number) |
---|
| Objective Response (CR + PR) | Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Progressive Disease (PD) | Not Evaluable/Missing |
---|
Pertuzumab + Trastuzumab + Chemotherapy | 57.0 | 5.7 | 51.3 | 27.6 | 4.8 | 10.5 |
Placebo + Trastuzumab + Chemotherapy | 48.6 | 2.0 | 46.6 | 32.7 | 8.2 | 10.5 |
[back to top]
Progression-Free Survival, as Determined by the Investigator According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Criteria
Progression-free survival (PFS) is defined as the time from randomization to the first occurrence of progressive disease (PD), as determined by the investigator using RECIST v1.1, or death from any cause, whichever occurred first. Tumor assessments with CT or MRI scans of the chest, abdomen, and pelvis were performed every 9 weeks. Participants without documented PD or death were censored at the tumor assessment date for which the participant was last known to be progression-free. Participants who did not have any post-baseline tumor assessment data were censored at the date of randomization plus 1 day. PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study, including baseline; an absolute increase of at least 5 millimeters (mm) in the sum of diameters of target lesions; the appearance of one or more new lesions. (NCT01774786)
Timeframe: Baseline to death or progressive disease (PD), whichever occurred first (Median [full range] duration of follow-up in Pertuzumab vs. Placebo arms for Primary Analysis: 24.9 [0-41] vs. 21.3 [0-39] months; Final Analysis: 50.4 [0-70] vs. 47.4 [0-66] months)
,
Intervention | months (Median) |
---|
| Primary Analysis | Final Analysis |
---|
Pertuzumab + Trastuzumab + Chemotherapy | 8.5 | 8.5 |
Placebo + Trastuzumab + Chemotherapy | 7.0 | 7.2 |
[back to top]
Primary Analysis of the Percentage of Participants With Overall Objective Response, as Determined by the Investigator According to RECIST v1.1 Criteria
The overall objective response rate was defined as the percentage of participants with partial response (PR) or complete response (CR) occurring on two consecutive occasions ≥4 weeks apart, as determined by the investigator using RECIST v1.1. Tumor assessments with computed tomography (CT) or magnetic resonance imaging (MRI) scans of the chest, abdomen, and pelvis were performed every 9 weeks. PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. CR: disappearance of all target lesions. Measurable disease is defined as tumor lesions measured in at least one dimension (longest diameter in plane of measurement) with a minimum size of: 10 mm by CT or MRI scan; 10 mm caliper measurement by clinical examination; 20 mm by chest X-ray. For a malignant lymph node to be considered pathologically enlarged and measurable, it must be greater than or equal to (≥) 15 mm in short axis when assessed by CT scan. (NCT01774786)
Timeframe: Baseline up to death or progressive disease, whichever occurred first (Median [full range] duration of follow-up in Pertuzumab vs. Placebo arms for Primary Analysis: 24.9 [0-41] months vs. 21.3 [0-39] months)
,
Intervention | Percentage of participants (Number) |
---|
| Objective Response (CR + PR) | Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Progressive Disease (PD) | Not Evaluable/Missing |
---|
Pertuzumab + Trastuzumab + Chemotherapy | 56.7 | 5.1 | 51.6 | 27.9 | 4.8 | 10.5 |
Placebo + Trastuzumab + Chemotherapy | 48.3 | 0.9 | 47.4 | 33.0 | 8.0 | 10.8 |
[back to top]
Overview of Safety: Number of Participants With at Least One Adverse Event, Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), Version 4.03
An adverse event (AE) is any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product, regardless of causal attribution. The investigator graded all AEs for severity per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE), Version 4.03; if not listed, the AE was assessed as follows: Grade 1 = mild; Grade 2 = moderate; Grade 3 = severe; Grade 4 = life-threatening/disabling; Grade 5 = death. The investigator determined whether an AE was related to study drug and independently assessed severity and seriousness of each AE. (NCT01774786)
Timeframe: From Baseline until end of post-treatment follow-up (up to 70 months)
,
Intervention | Participants (Count of Participants) |
---|
| Any Adverse Event (AE) | AE with Fatal Outcome | Serious AE | Grade 3-5 AE | AE Leading to Pertuz/Pbo & Trastuz Discontinuation | AE Leading to Dose Interruption &/or Dose Delay |
---|
Pertuzumab + Trastuzumab + Chemotherapy | 381 | 27 | 178 | 310 | 48 | 110 |
Placebo + Trastuzumab + Chemotherapy | 385 | 31 | 156 | 288 | 46 | 94 |
[back to top]
Overall Survival
Overall survival (OS) was defined as the time from randomization to death from any cause. For participants who were still alive on the date of clinical data cut-off for the OS analysis, the last date when the participant was known to be alive on, or prior to the clinical cut-off date, was used to determine the censoring date. Participants who did not have any post-baseline data (e.g., dosing records, imaging dates, visit dates) were censored at the date of randomization plus 1 day. (NCT01774786)
Timeframe: From Baseline until death from any cause (Median [full range] duration of follow-up in Pertuzumab vs. Placebo arms for Primary Analysis: 24.4 [0-42] months vs. 25.0 [0-41] months; Final Analysis: 46.1 [0-70] months vs. 44.4 [0-68] months)
,
Intervention | Months (Median) |
---|
| Primary Analysis | Final Analysis |
---|
Pertuzumab + Trastuzumab + Chemotherapy | 17.5 | 18.1 |
Placebo + Trastuzumab + Chemotherapy | 14.2 | 14.2 |
[back to top]
Number of Participants With Symptomatic or Asymptomatic Left Ventricular Systolic Dysfunction (LVSD)
The number and percentage of participants with symptomatic left ventricular systolic dysfunction (LVSD) and asymptomatic LVSD events (defined as a left ventricular ejection fraction [LVEF] ≥10% decrease from baseline to an absolute value <50%) at any time during the study was summarized by treatment arm. (NCT01774786)
Timeframe: From Baseline until end of post-treatment follow-up (up to 70 months)
,
Intervention | Participants (Count of Participants) |
---|
| Symptomatic LVSD | Asymptomatic LVSD |
---|
Pertuzumab + Trastuzumab + Chemotherapy | 3 | 20 |
Placebo + Trastuzumab + Chemotherapy | 1 | 18 |
[back to top]
Progression Free Survival
The effect of napabucasin given in combination with cetuximab, panitumumab or capecitabine on Progression Free Survival (PFS) of patients with advanced colorectal cancer. (NCT01776307)
Timeframe: The time from the date of first treatment to the date of first documentation of disease progression or death due to any cause, up to 24 months
Intervention | months (Median) |
---|
Napabucasin Plus Cetuximab | 1.87 |
Napabucasin Plus Panitumumab | 2.27 |
Napabucasin Plus Capecitabine | 1.94 |
[back to top]
Determination of the Maximum Observed Concentration (Cmax) of Napabucasin When Administered 480mg, Twice Daily, on Day 21 of the First Study Cycle
To determine the maximum concentration of napabucasin when given at 480mg, twice daily, in combination with cetuximab, panitumumab, or capecitabine in patients with advanced colorectal cancer. (NCT01776307)
Timeframe: Blood samples drawn on day 21 during the first study cycle
Intervention | ng/mL (Geometric Mean) |
---|
Napabucasin Plus Cetuximab | 627 |
Napabucasin Plus Panitumumab | 398 |
[back to top]
Disease Control Rate
Assessment of Disease Control Rate, defined as the proportion of patients with a documented complete response, partial response and stable disease based on RECIST 1.1, in patients with advanced colorectal cancer given napabucasin in combination with cetuximab, panitumumab or capecitabine (NCT01776307)
Timeframe: From the date of first treatment, every 8 weeks, until the date of first documented objective disease progression, up to 24 months
Intervention | Percentage of participants (Number) |
---|
Napabucasin Plus Cetuximab | 34.5 |
Napabucasin Plus Panitumumab | 36.6 |
Napabucasin Plus Capecitabine | 25.6 |
[back to top]
Determination of the Maximum Observed Concentration (Cmax) of Napabucasin When Administered 500mg, Twice Daily, on Day 5 of the First Study Cycle
To determine the maximum concentration of napabucasin when given at 500mg, twice daily, in combination with cetuximab, panitumumab, or capecitabine in patients with advanced colorectal cancer. (NCT01776307)
Timeframe: Blood samples drawn on day 5 during the first study cycle
Intervention | ng/mL (Geometric Mean) |
---|
Napabucasin Plus Panitumumab | 1020 |
Napabucasin Plus Capecitabine | 858 |
[back to top]
Determination of the Maximum Observed Concentration (Cmax) of Napabucasin When Administered 500mg, Twice Daily, on Day 21 of the First Study Cycle
To determine the maximum concentration of napabucasin when given at 500mg, twice daily, in combination with cetuximab, panitumumab, or capecitabine in patients with advanced colorectal cancer. (NCT01776307)
Timeframe: Blood samples drawn on day 21 during the first study cycle
Intervention | ng/mL (Geometric Mean) |
---|
Napabucasin Plus Panitumumab | 1060 |
Napabucasin Plus Capecitabine | 789 |
[back to top]
Determination of the Maximum Observed Concentration (Cmax) of Napabucasin When Administered 480mg, Twice Daily, on Day 5 of the First Study Cycle
To determine the maximum concentration of napabucasin when given at 480mg, twice daily, in combination with cetuximab, panitumumab, or capecitabine in patients with advanced colorectal cancer. (NCT01776307)
Timeframe: Blood samples drawn on day 5 during the first study cycle
Intervention | ng/mL (Geometric Mean) |
---|
Napabucasin Plus Cetuximab | 661 |
Napabucasin Plus Panitumumab | 468 |
[back to top]
Determination of the Maximum Observed Concentration (Cmax) of Napabucasin When Administered 240mg, Twice Daily, on Day 21 of the First Study Cycle
To determine the maximum concentration of napabucasin when given at 240mg, twice daily, in combination with cetuximab, panitumumab, or capecitabine in patients with advanced colorectal cancer. (NCT01776307)
Timeframe: Blood samples drawn on day 21 during the first study cycle
Intervention | ng/mL (Geometric Mean) |
---|
Napabucasin Plus Cetuximab | 494 |
[back to top]
Number of Patients With Adverse Events and Serious Adverse Events
Assessment of safety of napabucasin given in combination with cetuximab, panitumumab or capecitabine to patients with advanced colorectal cancer by reporting of adverse events and serious adverse events (NCT01776307)
Timeframe: The time from the date of first treatment, while the patient is taking napabucasin, and for 30 days after stopping therapy, an average of 4 months.
Intervention | Participants (Count of Participants) |
---|
Napabucasin Plus Cetuximab | 49 |
Napabucasin Plus Panitumumab | 75 |
Napabucasin Plus Capecitabine | 75 |
[back to top]
Overall Survival
The effect of napabucasin given in combination with cetuximab, panitumumab or capecitabine on the Overall Survival of patients with advanced colorectal cancer (NCT01776307)
Timeframe: 4 weeks after the patient has been off study treatment, every 3 months thereafter until death, up to 60 months.
Intervention | Months (Median) |
---|
Napabucasin Plus Cetuximab | 7.79 |
Napabucasin Plus Panitumumab | 9.10 |
Napabucasin Plus Capecitabine | 6.34 |
[back to top]
Area Under the Plasma Concentration vs. Time Curve (AUClast) of Napabucasin When Administered 500mg, Twice Daily, on Day 5 of the First Study Cycle
To determine the area under the plasma concentration vs. time curve of napabucasin when given at 500mg, twice daily, in combination with cetuximab, panitumumab, or capecitabine in patients with advanced colorectal cancer. (NCT01776307)
Timeframe: Blood samples drawn on day 5 during the first study cycle
Intervention | h*ng/mL (Geometric Mean) |
---|
Napabucasin Plus Panitumumab | 5420 |
Napabucasin Plus Capecitabine | 5350 |
[back to top]
Area Under the Plasma Concentration vs. Time Curve (AUClast) of Napabucasin When Administered 500mg, Twice Daily, on Day 21 of the First Study Cycle
To determine the area under the plasma concentration vs. time curve of napabucasin when given at 500mg, twice daily, in combination with cetuximab, panitumumab, or capecitabine in patients with advanced colorectal cancer. (NCT01776307)
Timeframe: Blood samples drawn on day 21 during the first study cycle
Intervention | h*ng/mL (Geometric Mean) |
---|
Napabucasin Plus Panitumumab | 6290 |
Napabucasin Plus Capecitabine | 4720 |
[back to top]
Area Under the Plasma Concentration vs. Time Curve (AUClast) of Napabucasin When Administered 480mg, Twice Daily, on Day 5 of the First Study Cycle
To determine the area under the plasma concentration vs. time curve of napabucasin when given at 480mg, twice daily, in combination with cetuximab, panitumumab, or capecitabine in patients with advanced colorectal cancer. (NCT01776307)
Timeframe: Blood samples drawn on day 5 during the first study cycle
Intervention | h*ng/mL (Geometric Mean) |
---|
Napabucasin Plus Cetuximab | 3380 |
Napabucasin Plus Panitumumab | 2730 |
[back to top]
Area Under the Plasma Concentration vs. Time Curve (AUClast) of Napabucasin When Administered 480mg, Twice Daily, on Day 21 of the First Study Cycle
To determine the area under the plasma concentration vs. time curve of napabucasin when given at 480mg, twice daily, in combination with cetuximab, panitumumab, or capecitabine in patients with advanced colorectal cancer. (NCT01776307)
Timeframe: Blood samples drawn on day 21 during the first study cycle
Intervention | h*ng/mL (Geometric Mean) |
---|
Napabucasin Plus Cetuximab | 2930 |
Napabucasin Plus Panitumumab | 2630 |
[back to top]
Area Under the Plasma Concentration vs. Time Curve (AUClast) of Napabucasin When Administered 240mg, Twice Daily, on Day 21 of the First Study Cycle
To determine the area under the plasma concentration vs. time curve of napabucasin when given at 240mg, twice daily, in combination with cetuximab, panitumumab, or capecitabine in patients with advanced colorectal cancer. (NCT01776307)
Timeframe: Blood samples drawn on day 21 during the first study cycle
Intervention | h*ng/mL (Geometric Mean) |
---|
Napabucasin Plus Cetuximab | 2870 |
[back to top]
Time to Treatment Failure
The time from enrollment to discontinuation of any drug of the treatment combination. (NCT01777945)
Timeframe: approximately 2 years
Intervention | months (Mean) |
---|
Participants Receiving Capecitabine/Docetaxel | 4.64 |
[back to top]
Progression-free Survival (PFS)
The time from enrollment until disease progression, assessed as the time to tumor progression, as evaluated by regular examinations per routine clinical practice, or death from any cause. (NCT01777945)
Timeframe: approximately 2 years
Intervention | months (Median) |
---|
Participants Receiving Capecitabine/Docetaxel | 9.89 |
[back to top]
Number of Participants With Adverse Events
(NCT01777945)
Timeframe: approximately 2 years
Intervention | participants (Number) |
---|
Participants Receiving Capecitabine/Docetaxel | 33 |
[back to top]
Overall Response Rate
The percentage of participants with complete or partial remission, based on evaluation of tumor responses assessed at regular examinations per routine clinical practice. (NCT01777945)
Timeframe: approximately 2 years
Intervention | percentage of participants (Number) |
---|
Participants Receiving Capecitabine/Docetaxel | 28.9 |
[back to top]
Clinical Benefit Rate
The percentage of participants with an overall response (complete or partial remission) or with stable disease. (NCT01777945)
Timeframe: approximately 2 years
Intervention | percentage of participants (Number) |
---|
Participants Receiving Capecitabine/Docetaxel | 73.3 |
[back to top]
Duration of Treatment With Xeloda
(NCT01777945)
Timeframe: approximately 2 years
Intervention | treatment cycle (Mean) |
---|
Participants Receiving Capecitabine/Docetaxel | 6.24 |
[back to top]
Percentage of Capecitabine Dose Modifications
(NCT01777945)
Timeframe: approximately 2 years
Intervention | percentage of doses (Number) |
---|
Participants Receiving Capecitabine/Docetaxel | 44.4 |
[back to top]
Toxicity(Adeverse Event)
"Toxicity will be monitored and recorded every week during study treatment (5 or 6 weeks) as following according to the NCI-CTCAE version 4.0~An interval history and physical examination with particular attention to drug-induced side effects along with documentation of the patient's weight and performance status will be performed on each visit.~CBC with differential count, blood chemistry including calcium, phosphorus, glucose, BUN, creatinine, total protein, albumin, AST, ALT, alkaline phosphatase, total bilirubin, and electrolyte will be performed before next planned treatment.~All relevant information regarding drug dosage, laboratory examinations, and treatment-related toxicities must be recorded before each treatment is given.~Summaries of the frequency and severity of adverse effects are based on the worst episodes recorded." (NCT01781403)
Timeframe: 5-6 weeks during study treatment
,,
Intervention | events (Number) |
---|
| Any grade 1 adverse event | Any grade 2 adverse event | Any grade 3 adverse event | Any grade 4 adverse event |
---|
Dose Level 1 | 6 | 2 | 1 | 0 |
Dose Level 2 | 8 | 2 | 0 | 0 |
Dose Level 3/Recommended Dose | 60 | 17 | 3 | 0 |
[back to top]
Maximum Tolerated Dose (MTD)
The MTD is defined as the maximum dose level in the doses of temozolomide tested with capecitabine and radiation in which the incidence proportion of DLT exceeds 30%. (NCT01781403)
Timeframe: 5-6 weeks during study treatment
Intervention | mg/m^2 (Number) |
---|
Dose Level 1 | 0 |
Dose Level 2 | 0 |
Dose Level 3/Recommended Dose | 0 |
[back to top]
Pathological Complete Response
"Pathologic responses and stages were classified according to Dworak's classification and the 7th edition of the American Joint Committee on Cancer staging system, respectively.~The pathologic complete response (pCR) was defined as the total regression of the primary tumor regardless of regional lymph nodal status (ypT0), with residual fibrotic mass or acellular mucin pools only, thus without detectable tumor cells." (NCT01781403)
Timeframe: at the time of surgery (6-8 weeks after study treatment)
Intervention | participants (Number) |
---|
Unmethylated MGMT | 1 |
Hypermethylated MGMT | 6 |
[back to top]
Recommended Dose (RD)
RD will be defined as one level below the MTD. (NCT01781403)
Timeframe: 5-6 weeks after CRT
Intervention | mg/m^2 (Number) |
---|
Dose Level 1 | 0 |
Dose Level 2 | 0 |
Dose Level 3/Recommended Dose | 75 |
[back to top]
Mean Change in Treatment Satisfaction Questionnaire for Medication (TSQM) Between Week 3 and 12
TSQM was used to measure the Patients' self-reported satisfaction or dissatisfaction with the study treatment. The differences in mean scale scores between weeks 3 and 12 comparing treatment satisfaction in the different treatment arms: everolimus + exemestane combination therapy versus everolimus monotherapy, and everolimus + exemestane combination therapy versus capecitabine monotherapy. The TSQM version 1.4 domain scores range from 0 to 100 with higher scores representing a higher satisfaction on that domain. (NCT01783444)
Timeframe: Week 3, Week 12
,,
Intervention | Unit on a scale (Mean) |
---|
| Side-effects | Effectiveness | Convenience | Global satisfaction |
---|
Capecitabine 1250 mg/m2 | -2.6 | 1.2 | 0.5 | 2.3 |
Everolimus 10 mg | -9.1 | 1.2 | 1.0 | 1.8 |
Everolimus 10 mg + Exemestane 25 mg | -4.8 | -2.2 | -0.6 | -1.0 |
[back to top]
Progression Free Survival (PFS) - Everolimus Plus Exemestane Versus Capecitabine Alone
Progression Free Survival (PFS) is defined as the time from date of randomization to the date of first radiologically documented progression or death due to any cause. If a patient did not have an event, PFS was censored at the date of the last adequate tumor assessment. PFS was compared between the everolimus + exemestane combination therapy with the everolimus monotherapy. (NCT01783444)
Timeframe: Date of randomization to the date of first documented tumor progression or death from any cause, whichever occurs first, reported between day of first patient randomized up to 39 months
Intervention | Months (Median) |
---|
Everolimus 10 mg + Exemestane 25 mg | 8.41 |
Capecitabine 1250 mg/m2 | 9.59 |
[back to top]
Progression Free Survival (PFS) - Everolimus Plus Exemestane Versus Everolimus Alone
Progression Free Survival (PFS) is defined as the time from date of randomization to the date of first radiologically documented progression or death due to any cause. If a patient did not have an event, PFS was censored at the date of the last adequate tumor assessment. PFS was compared between the everolimus + exemestane combination therapy with the everolimus monotherapy. (NCT01783444)
Timeframe: Date of randomization to the date of first documented tumor progression or death from any cause, whichever occurs first, reported between day of first patient randomized up to 39 months
Intervention | Months (Median) |
---|
Everolimus 10 mg + Exemestane 25 mg | 8.41 |
Everolimus 10 mg | 6.77 |
[back to top]
All Collected Deaths
"On treatment deaths were collected from FPFT up to 30 days after study drug discontinuation, for a maximum duration of 224 weeks (treatment duration ranged from 1.3 to 220.0 weeks).~Deaths post treatment survival follow up were collected after the on- treatment period, up to approximately 5 years. Patients who didn't die during the on-treatment period and had not stopped study participation at the time of data cut-off (end of study) were censored." (NCT01783444)
Timeframe: up to 224 weeks (on-treatment), up to approximately 5 years (study duration)
,,
Intervention | Participants (Count of Participants) |
---|
| On-treatment deaths | Post-treatment deaths | All deaths |
---|
Capecitabine 1250 mg/m2 | 2 | 57 | 59 |
Everolimus 10 mg | 5 | 55 | 60 |
Everolimus 10 mg + Exemestane 25 mg | 9 | 62 | 71 |
[back to top]
Time to 10% Definitive Deterioration in the Global Health Status / Quality of Life
The global health status/QoL scale score of the QLQ-C30 is identified as the primary PRO variable of interest. Physical Functioning (PF), Emotional Functioning (EF) and Social Functioning (SF) scale scores of the QLQ-C30. The time to definitive 10% deterioration is the number of days between the date of randomization and the date of the assessment at which definitive deterioration is seen. Definitive 10% (5-point) deterioration is defined as a decrease in score by at least 10% (5-points) compared to baseline, with no later increase above this threshold observed during the course of the study. (NCT01783444)
Timeframe: Baseline, every 6 weeks up to about 43 months
Intervention | Weeks (Median) |
---|
Everolimus 10 mg + Exemestane 25 mg | 30.86 |
Everolimus 10 mg | 23.86 |
Capecitabine 1250 mg/m2 | 61.29 |
[back to top]
[back to top]
Overall Survival (OS)
Overall Survival (OS) is defined as the time from date of randomization to date of death due to any cause. If a patient was not known to have died by the date of analysis cut-off, OS was censored at the date of last known date patient alive. (NCT01783444)
Timeframe: Every 3 months following end of treatment visit, assessed for approximately 54 months
Intervention | Months (Median) |
---|
Everolimus 10 mg + Exemestane 25 mg | 23.06 |
Everolimus 10 mg | 29.27 |
Capecitabine 1250 mg/m2 | 25.56 |
[back to top]
Clinical Benefit Rate (CBR)
Clinical Benefit Rate (CBR) is defined as the proportion of participants with a best overall response of complete response (CR) or partial response (PR) or stable disease (SD) or Non-CR/non-PD lasting more than 24 weeks based on local investigator's assessment according to RECIST 1.1. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR, Stable disease (SD), neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for PD; CBR = CR+PR+SD. Only descriptive statistics. (NCT01783444)
Timeframe: From the date of randomization until the date of the first documented disease progression or date of death from any cause whichever came first, assessed for approximately 43 months
Intervention | Percentage of Participants (Number) |
---|
Everolimus 10 mg + Exemestane 25 mg | 59 |
Everolimus 10 mg | 43 |
Capecitabine 1250 mg/m2 | 53 |
[back to top]
Overall Response Rate (ORR)
Overall Response Rate (ORR) as the proportion of patients whose best overall response is either complete response (CR) or partial response (PR) according to RECIST 1.1 This was assessed in the full patient population. Complete response is achieved when all lesions evaluated at baseline are absent at subsequent visit. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. Only descriptive statistics. (NCT01783444)
Timeframe: From the date of randomization until the date of the first documented disease progression or date of death from any cause whichever came first, assessed for approximately 43 months
Intervention | Percentage of Participants (Number) |
---|
Everolimus 10 mg + Exemestane 25 mg | 21 |
Everolimus 10 mg | 12 |
Capecitabine 1250 mg/m2 | 23 |
[back to top]
Duration of Response (DOR) - Central Assessment (Population That Had a Response With Measurable Disease at Screening)
"The Duration of Response (DOR) is for Central Assessment for the Population that Had a Response with Measurable Disease at Screening.~Duration of response is measured from the time at which measurement criteria are first met for CR or PR (whichever status is recorded first) until the first date of recurrence or progressive disease (PD) or death is objectively documented, taking as a reference for PD the smallest measurements recorded since enrollment, per RECIST v1.1. This value is censored at the last valid tumor assessment if PD or death has not been documented." (NCT01808573)
Timeframe: From start date of response after randomization to first PD, up to 33 months.The result is based on primary analysis data cut.
Intervention | months (Median) |
---|
Neratinib Plus Capecitabine | 8.54 |
Lapatinib Plus Capecitabine | 5.55 |
[back to top]
Percentage of Participants With Treatment-Emergent Adverse Events (Adverse Events and Serious Adverse Events)
Adverse Events to be measured are Treatment-Emergent and Serious AEs that occurred on or after first dose of investigational product and up to 28 days after the last dose (NCT01808573)
Timeframe: From first dose through last dose + 28 days, up to 41 months. The result is based on final data cut.
,
Intervention | percentage of participants (Number) |
---|
| All Treatment-Emergent Adverse Events | Serious Treatment-Emergent Adverse Events |
---|
Lapatinib Plus Capecitabine | 99.4 | 29.9 |
Neratinib Plus Capecitabine | 99.7 | 34.0 |
[back to top]
Overall Survival
Overall survival (OS) is defined as the time from randomization to death due to any cause, censored at the last date known alive on or prior to the data cutoff employed for the analysis, whichever was earlier. Here, the time to event was reported as the restricted mean survival time. The restricted mean survival time was defined as the area under the curve of the survival function up to 48 months. (NCT01808573)
Timeframe: From randomization date to death, assessed up to 59 months.The result is based on primary analysis data cut.
Intervention | months (Mean) |
---|
Neratinib Plus Capecitabine | 24.0 |
Lapatinib Plus Capecitabine | 22.2 |
[back to top]
Centrally Assessed Progression Free Survival
Progression Free Survival (PFS), Measured in Months, for Randomized Subjects of the Central Assessment. The time interval from the date of randomization until the first date on which recurrence, progression (per Response Evaluation Criteria in Solid Tumors Criteria (RECIST) v1.1), or death due to any cause, is documented. For subjects without recurrence, progression or death, it is censored at the last valid tumor assessment. Progression is defined using Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. Here, the time to event was reported as the restricted mean survival time. The restricted mean survival time was defined as the area under the curve of the survival function up to 24 months. (NCT01808573)
Timeframe: From randomization date to recurrence, progression or death, assessed up to 38 months. The result is based on primary analysis data cut.
Intervention | months (Mean) |
---|
Neratinib Plus Capecitabine | 8.8 |
Lapatinib Plus Capecitabine | 6.6 |
[back to top]
Objective Response Rate (ORR) - Central Assessment (ITT Population With Measurable Disease at Screening)
Objective response rate is defined as the percentage of participants demonstrating an objective response during the study. Objective response includes confirmed complete responses (CR) and partial responses (PR) as defined in the RECIST criteria included in the study protocol. The ORR is for Central Assessment for subjects that had measurable disease at screening. Per Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT01808573)
Timeframe: From randomization date to first confirmed Complete or Partial Response, whichever came earlier, up to 42 months.The result is based on primary analysis data cut.
Intervention | percentage of participants (Number) |
---|
Neratinib Plus Capecitabine | 32.8 |
Lapatinib Plus Capecitabine | 26.7 |
[back to top]
Clinical Benefit Rate (CBR) - Central Assessment (ITT Population With Measurable Disease at Screening)
Clinical benefit rate is the percentage of participants who achieve overall tumor response (confirmed CR or PR) or stable disease (SD) lasting for at least 24 weeks from randomization. The CBR was for Central Assessment for subjects who had Measurable Disease at Screening. (NCT01808573)
Timeframe: From randomization date to either first confirmed CR or PR or Stable Disease, whichever came earlier, up to 42 months.The result is based on primary analysis data cut.
Intervention | percentage of participants (Number) |
---|
Neratinib Plus Capecitabine | 44.5 |
Lapatinib Plus Capecitabine | 35.6 |
[back to top]
[back to top]
Progression-free Survival (PFS) at 2 Years
Proportion of participants with progression-free survival (PFS) at 2 years, as calculated based on Kaplan-Meier estimates. (NCT01823679)
Timeframe: 2 years
Intervention | percentage of participants (Number) |
---|
Capecitabine 1000 mg/m2 | 0 |
[back to top]
Progression-free Survival (PFS) at 1 Year
Proportion of participants with progression-free survival (PFS) at 1 year, as calculated based on Kaplan-Meier estimates. (NCT01823679)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
Capecitabine 1000 mg/m2 | 50 |
[back to top]
Overall Survival (OS) at 2 Years
Proportion of participants with overall survival (OS) at 2 years, as calculated based on Kaplan-Meier estimates. (NCT01823679)
Timeframe: 2 years
Intervention | percentage of participants (Number) |
---|
Capecitabine 1000 mg/m2 | 0 |
[back to top]
Objective Response Rate (ORR)
Response assessed by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) (NCT01823679)
Timeframe: 9 weeks (3 cycles)
Intervention | percentage of participants (Number) |
---|
Capecitabine 1000 mg/m² | 0 |
[back to top]
Overall Survival (OS) at 1 Year
Proportion of participants with overall survival (OS) at 1 year, as calculated based on Kaplan-Meier estimates. (NCT01823679)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
Capecitabine 1000 mg/m2 | 50 |
[back to top]
Proportion of Patients With Response
"Response was evaluated using the revised Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1) and defined as either complete response (CR) or partial response (PR).~CR is defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.~PR is defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters." (NCT01824875)
Timeframe: Assessed every 3 months for 3 years and then every 6 months for years 3-5
Intervention | proportion of participants (Number) |
---|
Arm A (Temozolomide) | 0.338 |
Arm B (Temozolomide and Capecitabine) | 0.397 |
[back to top]
Overall Survival
Overall survival is defined as time from randomization to death or date last known alive. (NCT01824875)
Timeframe: Assessed every 3 months for 3 years and then every 6 months for years 3-5
Intervention | months (Median) |
---|
Arm A (Temozolomide) | 53.8 |
Arm B (Temozolomide and Capecitabine) | 58.7 |
[back to top]
Progression-free Survival
Progression-free survival (PFS) is defined as the time from randomization to progression or death without evidence of progression. Progression was evaluated using the revised Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1) and defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Kaplan-Meier method was used to estimate PFS. (NCT01824875)
Timeframe: Assessed every 3 months for 3 years and then every 6 months for years 3-5
Intervention | months (Median) |
---|
Arm A (Temozolomide) | 15.1 |
Arm B (Temozolomide and Capecitabine) | 23.2 |
[back to top]
Response Rate
Responses will be determined using RECIST v. 1.1 criteria and summarized in tabular format. The complete and partial response rates will be calculated and reported along with the corresponding 95% confidence intervals. (NCT01828554)
Timeframe: Up to 6 months
Intervention | percentage (Number) |
---|
Xeloda (Capecitabine) | 0 |
[back to top]
Progression Free Survival
Progression-free survival will be analyzed using the Kaplan-Meier method. (NCT01828554)
Timeframe: Up to 6 months
Intervention | months (Median) |
---|
Xeloda (Capecitabine) | NA |
[back to top]
Cmax During Cycle 1
Cmax will be reported for Capecitabine dosed for Ideal Body Weight during the first cycle (days 1-7) and for Capecitabine dosed for Actual Body Weight for first cycle (days 9-15). [nonlinear mixed effects modeling approach] (NCT01828554)
Timeframe: Up to 15 days
Intervention | Cmax (ug/ml) (Mean) |
---|
| Cycle 1 Day 1 | Cycle 1 Day 9 |
---|
Xeloda (Capecitabine) | 2.44 | 2.71 |
[back to top]
Area Under the Curve (AUC) on Cycle 1 Day 1 and Cycle 1 Day 9
AUC will be calculated for Capecitabine dosed for Ideal Body Weight during the first cycle (days 1-7) and for Capecitabine dosed for Actual Body Weight for first cycle (days 9-15). [nonlinear mixed effects modeling approach] (NCT01828554)
Timeframe: Up to 15 days
Intervention | AUC (ug/ml)*h (Mean) |
---|
| Cycle 1 Day 1 | Cycle 1 Day 9 |
---|
Xeloda (Capecitabine) | 6.84 | 8.28 |
[back to top]
Phase II - Rate of Response
Determine rate of response in patients receiving quinacrine in combination with capecitabine. Using Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1) complete response (CR) is a disappearance of all target lesions, partial response (PR) is at least 30% decrease in the sum of diameters of target lesions, and overall response is the number of patients who experience a complete response or partial response. (NCT01844076)
Timeframe: 2-3 years
Intervention | Participants (Count of Participants) |
---|
Phase I Level -2 | 0 |
Phase I Level -1 | 0 |
Phase I Level 0 | 0 |
Phase II | 1 |
[back to top]
Phase I - Number of Participants Who Experienced Dose Limiting Toxicities and Adverse Reactions
Establish the tolerability of both agents in combination when used at established clinical doses. The objective is to determine toxicities and adverse reactions of patients in each group with different dose levels to find the maximum tolerated dose (MTD). (NCT01844076)
Timeframe: One year
Intervention | Participants (Count of Participants) |
---|
Phase I Level -2 | 0 |
Phase I Level -1 | 0 |
Phase I Level 0 | 3 |
[back to top]
Phase II - Time to Progression (TTP)
Determine time to progression from start of treatment in patients receiving quinacrine in combination with capecitabine. Using Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1), progression is defined as a 20% increase in sum of target lesions, with at least a 5 mm absolute increase. (NCT01844076)
Timeframe: 2-3 years
Intervention | months (Median) |
---|
Phase II | 2.12 |
[back to top]
Overall Response Rate
To describe the overall response rate as measured by physical exam and MRI if indicated using the following definition: Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT01869192)
Timeframe: Up to 8 months
Intervention | Participants (Count of Participants) |
---|
Arm A | 25 |
Arm B | 21 |
[back to top]
Pathological Response
Pathological response (pCR or microscopic only primary) in both primary and nodes using the Miller-Payne criteria for pathologic response. (NCT01869192)
Timeframe: Up to 8 months
Intervention | Participants (Count of Participants) |
---|
Arm A | 2 |
Arm B | 8 |
[back to top]
Number of Participants With Any Adverse Events as a Measure of Safety and Tolerability
Assessment based on CTCAE version 4.0 toxicity criteria. For the detailed list of adverse events see the adverse event module. (NCT01873833)
Timeframe: ****Time Frame: Adverse events were collected from first dose of study treatment up to 30 days after last dose of treatment, up to 63 months (number or treatment given ranged from 2 cycles to 85 cycles).
Intervention | Participants (Count of Participants) |
---|
Treatment (Chemotherapy, Lapatinib Ditosylate, Trastuzumab) | 10 |
[back to top]
Clinical Benefit Rate (CBR)
Participants with a best response of CR, PR, or stable disease (SD) sustained for ≥24 weeks, as assessed using RECIST v1.1. CR: Disappearance of all non-nodal target and non-target lesions, including target and non-target lymph nodes reduction to <10 mm in short axis. PR: >=30% decrease in sum of diameters of target lesions, compared to the sum at baseline. SD: Neither PR nor progression of disease (PD) criteria met. SD follow PR only when sum increases by less than 20% from the nadir, but previously seen 30% decrease from baseline no longer hold. PD: >=20% increase (>=5 mm absolute increase) in the sum of target lesion measurements, compared to the smallest sum on study (including baseline), or unequivocal progression of non-target lesions, evaluated as a whole, such that it is clear that treatment has failed and disease is progressing, regardless of the status of the target lesions. (NCT01873833)
Timeframe: From study entry until the date of the first documented disease progression of date of death whichever came first, assessed for approximately 351 weeks
Intervention | Participants (Count of Participants) |
---|
Treatment (Chemotherapy, Lapatinib Ditosylate, Trastuzumab) | 7 |
[back to top]
Overall Response Rate (ORR)
Overall response rate (ORR) is complete response (CR) + partial response (PR) recorded from study entry until disease progression based on RECIST v1.1 criteria. Per RECIST 1.1 for target lesions: CR is complete disappearance of all target lesions and PR is at least a 30% decrease in the sum of longest diameter (LD) of target lesions, taking as reference baseline sum LD. PR or better overall response assumes at a minimum incomplete response/stable disease (SD) for the evaluation of non-target lesions and absence of new lesions. (NCT01873833)
Timeframe: From study entry until disease progression/recurrence (maximum duration: 351 weeks)
Intervention | Participants (Count of Participants) |
---|
Treatment (Chemotherapy, Lapatinib Ditosylate, Trastuzumab) | 4 |
[back to top]
Overall Survival (OS)
OS is the duration from study entry to death. Participants last known to be alive are censored at date of last contact. (NCT01873833)
Timeframe: From study entry until death from any cause or date of last contact (up to 70 months)
Intervention | Months (Median) |
---|
Treatment (Chemotherapy, Lapatinib Ditosylate, Trastuzumab) | 29.6 |
[back to top]
Progression Free Survival (PFS)
PFS was defined as duration of time from the first dose of study drug to the first documentation of Progressive Disease (PD) by investigator assessment using RECIST 1.1 or death on study due to any cause on or before the data cutoff date, whichever occurred first. PD: >=20% increase (>=5 mm absolute increase) in the sum of target lesion measurements, compared to the smallest sum on study (including baseline), or unequivocal progression of non-target lesions, evaluated as a whole, such that it is clear that treatment has failed and disease is progressing, regardless of the status of the target lesions. (NCT01873833)
Timeframe: From study entry to the date of first documented disease progression (assessed every 6 weeks) or death due to any cause, whichever came first, approximately 63 months.
Intervention | months (Median) |
---|
Treatment (Chemotherapy, Lapatinib Ditosylate, Trastuzumab) | 13.7 |
[back to top]
Overall Survival
Survival time is defined as time from randomization to date of death from any cause and was to be estimated by the Kaplan-Meier method. Given the limited follow-up due to early closure and termination of data collection, only the number of patients last reported to be alive at time of study termination is reported. (NCT01921751)
Timeframe: From randomization until last follow-up. Analysis was to occur after a total of 140 deaths were reported within the pairing of each radiation arm with the chemotherapy alone arm. Maximum follow-up at time of study termination was 8.3 months.
Intervention | Participants (Count of Participants) |
---|
Chemotherapy + High Intensity Radiation | 4 |
Chemotherapy + Low Intensity Radiation | 4 |
Chemotherapy | 5 |
[back to top]
[back to top]
Overall Response Rate
(NCT01928680)
Timeframe: 6 months
Intervention | percentage of response (Number) |
---|
Cisplatin/Capecitabine | 63.6 |
[back to top]
Part 1: Number of Participants With Tumor Responses (Complete Response [CR], Partial Response [PR], Stable Disease [SD] or Progressive Disease [PD])
Tumor assessment was performed by abdomino-pelvic computed tomography scan or magnetic resonance imaging (MRI) and chest X-ray or chest CT-scan to assess the disease status at baseline and then every 9 weeks during study treatment up to DP. Target lesions were evaluated using response evaluation criteria in solid tumors (RECIST) version 1.1, wherein CR = disappearance of all target lesions; PR = 30% decrease in the sum of the longest diameter (LD) of target lesions taking as reference the baseline sum LD; PD =20% increase in the sum of the LD of target lesions taking as reference the smallest sum in the study and SD = small changes that did not meet above criteria. (NCT01955629)
Timeframe: Baseline and every 9 weeks up to DP (up to 15 months).
Intervention | Participants (Number) |
---|
| CR | PR | PD | SD |
---|
Aflibercept + XELOX (Oxaliplatin and Capecitabine) | 0 | 1 | 0 | 3 |
[back to top]
Part 1: Number of Participants With Dose Limiting Toxicities (DLTs)
DLTs were assessed using the national cancer institute (NCI) common terminology criteria for adverse events (CTCAE) version 4.03. DLTs were defined as any of following AEs: grade 4 neutropenia lasting >7 consecutive days; febrile neutropenia or neutropenic infection; grade 4 thrombocytopenia; grade 3 thrombocytopenia associated with bleeding requiring transfusion; grade 4 non-hematological treatment related event; grade 3 nausea/vomiting or diarrhea lasting >/= 4 days despite corrective measures; grade 3 other non-hematological toxicities: anorexia, fatigue, hypertension only if G4 or not medically controlled and G3 peripheral sensory neuropathy that did not improve to G<2 at time of retreatment; urinary protein excretion of >3.5 gram per 24 hours that did not recover to <2.0 gram per 24 hours within 2 weeks; symptomatic arterial thromboembolic events including cerebrovascular accidents, myocardial infarction, transient ischemic attacks, new onset or worsening of pre-existing angina. (NCT01955629)
Timeframe: Cycle 1 (Up to 3 weeks)
Intervention | Participants (Number) |
---|
Aflibercept + XELOX (Oxaliplatin and Capecitabine) | 1 |
[back to top]
Overall Survival
Overall Survival (OS) is defined as the number of months from randomization to the date of death due to any cause. (NCT01997333)
Timeframe: During treatment and 3 months from end of treatment through end of study or approximately up to 5 years.
Intervention | months (Median) |
---|
Capecitabine | 8.7 |
CDX-011 | 8.9 |
[back to top]
Duration of Response
Duration of response (DOR) is the number of months from the time criteria are first met for either CR or PR, until the first date that PD is objectively documented. The analysis of DOR was determined retrospectively by the central independent review committee,blinded to treatment assignment and investigator assessments according to RECIST 1.1 criteria. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), Complete Response (CR) = Disappearance of all target lesions and non-target lesions, Partial Response (PR), >= 30% decrease in the sum of the longest diameter of target lesions with no progression in non-target lesions and no new lesions. (NCT01997333)
Timeframe: Evaluated every 6 - 9 weeks following treatment initiation
Intervention | months (Median) |
---|
Capecitabine | 4.2 |
CDX-011 | 2.8 |
[back to top]
Objective Response Rate (ORR)
ORR is defined as the percentage of patients who achieve best overall response of complete or partial response. The analysis of ORR was based on ORR events determined retrospectively by the central independent review committee, blinded to treatment assignment and investigator assessments according to RECIST 1.1 criteria. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), Complete Response (CR) = Disappearance of all target lesions and non-target lesions, Partial Response (PR), >= 30% decrease in the sum of the longest diameter of target lesions with no progression in non-target lesions and no new lesions. (NCT01997333)
Timeframe: Evaluated every 6 - 9 weeks following treatment initiation
Intervention | percentage of participants (Median) |
---|
Capecitabine | 21 |
CDX-011 | 26 |
[back to top]
Progression Free Survival (PFS)
PFS is defined as the time from randomization to the earlier of disease progression or death due to any cause. Disease progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or progression in a non-target lesion, or the appearance of new lesions. The primary analysis of PFS was based on PFS events determined retrospectively by the central independent review committee, blinded to treatment assignment and investigator assessments according to RECIST 1.1 criteria. (NCT01997333)
Timeframe: Evaluated every 6 - 9 weeks following treatment initiation
Intervention | months (Median) |
---|
Capecitabine | 2.8 |
CDX-011 | 2.9 |
[back to top]
Adverse Events (AE)
The percentage of patients experiencing one or more adverse events will be summarized by treatment arm, relationship to study drug, and severity. (NCT01997333)
Timeframe: Usually following at least 1 cycle of study treatment (1 dose of CDX-011 or capecitabine and until discontinuation of follow-up)
,
Intervention | Participants (Count of Participants) |
---|
| Patients with at least 1 AE | Patients with at least 1 treatment related AE | Patients with Grade 1 treatment related AE | Patients with Grade 2 treatment related AE | Patients with Grade 3 treatment related AE | Patients with Grade 4 treatment related AE | Patients with Grade 5 treatment related AE |
---|
Capecitabine | 92 | 84 | 7 | 33 | 44 | 8 | 0 |
CDX-011 | 211 | 204 | 7 | 54 | 114 | 32 | 4 |
[back to top]
Pharmacokinetics (PK)
Concentration of the antibody drug conjugate (ADC), total antibody (TA) and free MMAE will be determined. (NCT01997333)
Timeframe: Following 1 dose of CDX-011.
Intervention | ug/ml (Mean) |
---|
| Cycle 1 post infusion ADC levels | Cycle 1 post infusion TA levels | Cycle 1 post infusion MMAE levels |
---|
CDX-011 | 58.6 | 49.4 | 0.0015 |
[back to top]
[back to top]
Objective Response Rate (ORR)
"To assess ORR (CR + PR) associated with BKM120 plus capecitabine in the central nervous system based on local investigator assessment. Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm.~Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters." (NCT02000882)
Timeframe: until disease progression (assessed by RECIST 1.1), unacceptable toxicity, death, or discontinuation from study for any other reason, up to 2 years from date of patient registration
Intervention | proportion of patients with ORR (Number) |
---|
BKM120 Plus Capecitabine | 0.0 |
[back to top]
[back to top]
[back to top]
Clinical Benefit Rate (CBR)
"CBR in the patients following WBRT or SRS or both will be the primary endpoint and is calculated as the total number of responders (CR or PR, assessed by RECIST 1.1) plus stable disease greater than or equal to 24 weeks (CR + PR + SD ≥ 24 weeks) divided by the total number of evaluable patients.~Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm.~Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters." (NCT02000882)
Timeframe: until disease progression (assessed by RECIST 1.1), unacceptable toxicity, death, or discontinuation from study for any other reason, up to 2 years from date of patient registration
Intervention | proportion of patients with CBR (Number) |
---|
BKM120 Plus Capecitabine | 0.1 |
[back to top]
Percentage of Participants With pCR, Clinical Complete Response (CR), or Clinical Partial Response (PR)
Percentage of participants with pCR plus the percentage of participants without pCR who achieved CR or PR as measured by the Response Evaluation Criteria in Solid Tumors (RECIST) criteria. CR was defined as complete disappearance of all target lesions and non-target disease, with the exception of nodal disease. All nodes, both target and non-target, must have decreased to normal (short axis less than [<] 10 millimeters [mm]). No new lesions. PR was defined as greater than or equal to (≥) 30 percent (%) decrease under baseline of the sum of diameters of all target lesions. The short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. No unequivocal progression of non-target disease. No new lesions. (NCT02005549)
Timeframe: Baseline, 20-24 weeks (final surgery, performed 2 to 4 weeks after the last chemotherapy cycle [Week 18])
Intervention | percentage of participants (Number) |
---|
Bevacizumab+Docetaxel+Capecitabine | 72.22 |
[back to top]
Percentage of Participants With Pathological Complete Response (pCR)
pCR was defined as the absence of signs for invasive tumor in the final surgical sample as judged by the local pathologist. Surgery was performed 2 to 4 weeks after the last chemotherapy cycle. (NCT02005549)
Timeframe: Baseline, 20-24 weeks (final surgery, performed 2 to 4 weeks after the last chemotherapy cycle [Week 18])
Intervention | percentage of participants (Number) |
---|
Bevacizumab+Docetaxel+Capecitabine | 22.22 |
[back to top]
Percentage of Participants Undergoing Breast-Conserving Surgery
Percentage of participants undergoing a breast-conserving procedure versus a modified radical mastectomy at final surgery, performed 2 to 4 weeks after the last chemotherapy cycle (Week 18) (NCT02005549)
Timeframe: 20-24 weeks (final surgery, performed 2 to 4 weeks after the last chemotherapy cycle [Week 18])
Intervention | percentage of participants (Number) |
---|
Bevacizumab+Docetaxel+Capecitabine | 83 |
[back to top]
Pathological Complete Response (pCR) Rate
Primary Objective Phase II: Pathological response will be made based on microscopic assessment of the surgical specimen at the primary treatment site. A pCR must include no gross or microscopic tumor identified anywhere within the surgical specimen. This must include:No evidence of malignant cells in the primary tumor specimen and No lymph nodes that contain tumor. (NCT02010567)
Timeframe: 12 weeks
Intervention | percentage of participants with pCR (Number) |
---|
All Participants | 19 |
[back to top]
[back to top]
Overall Survival (OS) Based on Pathological Complete Response (pCR).
Phase II only - a comparison of OS for patients who achieve pCR and those who do not. OS is defined as the time from surgical resection until death reported as the count of participants still alive at the end of study follow-up. (NCT02010567)
Timeframe: an average of 2.6 years (full range 2.1 to 3.1 years)
Intervention | Participants (Count of Participants) |
---|
| pathological complete response (pCR) | Did not achieve pCR |
---|
Cohort A, Phase II, Dose Level 2 | 2 | 11 |
[back to top]
Disease-free Survival (DFS) Rate Based on Pathological Complete Response (pCR).
Phase II only - a comparison of DFS for patients who achieve pCR and those who do not. DFS will be defined as the time from surgical resection until disease recurrence or death as a result of any cause, reported as the count of participants still alive without recurrence at the end of study follow-up. (NCT02010567)
Timeframe: an average of 2.6 years (full range 2.1 to 3.1 years)
Intervention | Participants (Count of Participants) |
---|
| pathological complete response (pCR) | Did not achieve pCR |
---|
Cohort A, Phase II, Dose Level 2 | 2 | 8 |
[back to top]
Disease-free Survival (DFS) Rate
Phase II only - DFS will be defined as the time from surgical resection until disease recurrence or death as a result of any cause, reported as the count of participants still alive without recurrence at the end of study follow-up. (NCT02010567)
Timeframe: An average of 2.6 years (full range 2.1 to 3.1 years)
Intervention | Participants (Count of Participants) |
---|
Cohort A, Phase II, Dose Level 2 | 10 |
[back to top]
Maximum Tolerated Dose (MTD) of CRLX101 When Added to Standard Neoadjuvant Chemoradiotherapy Consisting of Capecitabine + Radiotherapy in Locally Advanced Rectal Cancer
The MTD is the highest dose of CRLX101 at which ≤1 out of 6 patients had a dose limiting toxicity (DLT) using CTCAE v4.0 toxicity criteria. DLTs include Grade (G) >3 neutropenia for ≥7 days; G 3 or 4 neutropenia with fever; G 4 anemia not related to cancer-associated bleeding; G 4 thrombocytopenia or G 3 with clinically significant bleeding; G ≥3 nausea or vomiting >48 hours despite anti-emetics; G 2 cystitis not resolved within 14 days; second G 2 cystitis; G 3 or 4 cystitis; diarrhea requiring dose reduction; Any other non-hematologic toxicity G ≥3 requiring a dose reduction (G ≥3 infusion-related reactions were not a DLT unless they recur despite slowing down the infusion); Other CRLX101 related treatment emergent adverse effect (TEAE) that requires patient withdrawal prior to completing all doses; Radiotherapy interruption due to TEAEs ≥5 days; or Dose interruption or reduction of capecitabine due to TEAE that results in <50% of the scheduled capecitabine dose for entire course (NCT02010567)
Timeframe: 12 weeks
Intervention | mg/m^2 every other week (Number) |
---|
Dose Escalation Phase Ib | 15 |
[back to top]
Overall Survival (OS) Rate
Phase II only - OS is defined as the time from surgical resection until death reported as the count of participants still alive at the end of study follow-up. (NCT02010567)
Timeframe: an average of 2.6 years (full range 2.1 to 3.1 years)
Intervention | Participants (Count of Participants) |
---|
Cohort A, Phase II, Dose Level 2 | 13 |
[back to top]
Overall Survival - Percentage of Participants Event Free at 12 Months
Overall Survival was defined as the time in months from randomization to date of death due to any cause. Participants without an event were censored the last time they were known to be alive. (NCT02013830)
Timeframe: Day 1, Weeks 1-18, Weeks 24 and 30, then every 3 months until death.
Intervention | percentage of participants (Number) |
---|
Bevacizumab/Capecitabine | 27 |
[back to top]
Time to Disease Progression - Percentage of Participants With an Event
Time to progression was measured from time of treatment commencement to time of disease progression, or the date of death. Participants who were not progressed at the time of study completion (including participants who died before progressive disease) or who were lost to follow-up were censored at the date of last tumor assessment. (NCT02013830)
Timeframe: Screening; Weeks 6, 12, 18, 24, and 30; Every 3 months through follow-up
Intervention | percentage of participants (Number) |
---|
Bevacizumab/Capecitabine | 77.8 |
[back to top]
Time to Disease Progression - Percentage of Participants Progression-free at 12 Months
Time to progression was measured from time of treatment commencement to time of disease progression, or the date of death. Participants who were not progressed at the time of study completion (including participants who died before progressive disease) or who were lost to follow-up were censored at the date of last tumor assessment. (NCT02013830)
Timeframe: Day 1, Weeks 1-18, Weeks 24 and 30, then every 3 months until death.
Intervention | percentage of participants (Number) |
---|
Bevacizumab/Capecitabine | 24.0 |
[back to top]
Time to Disease Progression
Time to progression was measured from time of treatment commencement to time of disease progression, or the date of death. Participants who were not progressed at the time of study completion (including participants who died before progressive disease) or who were lost to follow-up were censored at the date of their tumor assessment. (NCT02013830)
Timeframe: Screening; Weeks 6, 12, 18, 24, and 30; Every 3 months through follow-up
Intervention | months (Median) |
---|
Bevacizumab/Capecitabine | 2.8 |
[back to top]
Percentage of Participants With Objective Response (OR)
Percentage of participants with OR based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). Confirmed responses were those that persisted on repeat imaging study at least 4 weeks after initial documentation of response. The best overall response achieved within the time from first drug administration to progressive disease or end of study was reported. CR was defined as complete disappearance of all target lesions and non-target disease, with the normalization of tumor marker levels. No new lesions. PR was defined as greater than or equal to (≥) 30 percent (%) decrease under baseline of the sum of diameters of all target lesions. The short axis was used in the sum for target lesions. Persistence of one or more non-target lesion(s) or/and maintenance of tumor marker levels above the normal limits. No new lesions. (NCT02013830)
Timeframe: Screening; Weeks 6, 12, 18, 24, and 30; Every 3 months through follow-up
Intervention | percentage of participants (Number) |
---|
Bevacizumab/Capecitabine | 9.1 |
[back to top]
Percentage of Participants With Disease Control
The percentage of participants with disease control was based on assessment of confirmed CR, PR, or stable disease (SD) according to RECIST criteria. Confirmed responses were those that persisted on repeat imaging study at least 4 weeks after initial documentation of response. The best overall response achieved within the time from first drug administration to progressive disease or end of study was reported. CR was defined as complete disappearance of all target lesions and non-target disease, with the normalization of tumor marker levels. No new lesions. PR was defined as ≥ 30 % decrease under baseline of the sum of diameters of all target lesions. The short axis was used in the sum for target lesions. Persistence of one or more non-target lesion(s) or/and maintenance of tumor marker levels above the normal limits. No new lesions. SD was defined as not qualifying for PR or progressive disease. (NCT02013830)
Timeframe: Screening; Weeks 6, 12, 18, 24, and 30; Every 3 months through follow-up
Intervention | percentage of participants (Number) |
---|
Bevacizumab/Capecitabine | 52.3 |
[back to top]
Overall Survival - Percentage of Participants With an Event
Overall Survival was defined as the time in months from randomization to date of death due to any cause. Participants without an event were censored the last time they were known to be alive. (NCT02013830)
Timeframe: Day 1, Weeks 1-18, Weeks 24 and 30, then every 3 months until death.
Intervention | percentage of participants (Number) |
---|
Bevacizumab/Capecitabine | 77.8 |
[back to top]
Overall Survival
Overall Survival was defined as the time in months from randomization to date of death due to any cause. Participants without an event were censored the last time they were known to be alive. Median Overall Survival was estimated using the Kaplan-Meier method. (NCT02013830)
Timeframe: Day 1, Weeks 1-18, Weeks 24 and 30, then every 3 months until death.
Intervention | months (Median) |
---|
Bevacizumab/Capecitabine | 5.9 |
[back to top]
Change in EORTC QLQ-C30 Global Health Status Score
"Patients were given the EORTC QLQ-C30 at baseline, preop, postop, and at follow ups Y1-5. The forms were scored as per the manual available at EORTC. Raw scores are transformed to fall in a range of 0-100. Generally, higher scores on QoL scales represent higher levels of QoL.~The scores are reported as the mean of the Global Health Status/QoL scale score when more than 1 patient completed the form for a time point. If only 1 form was available for a time point, then the score for that form is reported." (NCT02017704)
Timeframe: baseline, preop, postop, and at follow ups Y1-5
Intervention | score on a scale (Mean) |
---|
| baseline | pre-op | post-op | year 1 | year 2 | year 3 | year 4 | year 5 |
---|
Endo-HDR | 71.2 | 49.6 | 72.5 | 73 | 66.3 | 77.3 | 91 | 91.5 |
[back to top]
Number of Participants With Grade 3 or Higher Adverse Events
"Number of participants with grade 3 or higher adverse events will be listed by relationship.~Grading is by CTCAE 4 guidelines.~Relationship, as determined by PI, is unrelated/unlikely/possible/probable/definite." (NCT02017704)
Timeframe: Up to 60 months
,
Intervention | Participants (Count of Participants) |
---|
| Grade: 3; Relationship: probable | Grade: 3; Relationship: possible | Grade 3; Relationship: Unlikely |
---|
Endo-HDR | 1 | 1 | 0 |
IMRT and Capecitabine | 1 | 1 | 1 |
[back to top]
Change in EORTC QLQ-C30 Global Health Status Score
"Patients were given the EORTC QLQ-C30 at baseline, preop, postop, and at follow ups Y1-5. The forms were scored as per the manual available at EORTC. Raw scores are transformed to fall in a range of 0-100. Generally, higher scores on QoL scales represent higher levels of QoL.~The scores are reported as the mean of the Global Health Status/QoL scale score when more than 1 patient completed the form for a time point. If only 1 form was available for a time point, then the score for that form is reported." (NCT02017704)
Timeframe: baseline, preop, postop, and at follow ups Y1-5
Intervention | score on a scale (Mean) |
---|
| baseline | pre-op | post-op | year 2 | year 3 | year 4 |
---|
IMRT and Capecitabine | 83 | 33 | 54 | 50 | 66.5 | 83 |
[back to top]
Number of Patients With Pathologic Complete Response
"Pathologic complete response rate is reported as the number of patients who achieve pathologic complete response after the treatment for each arm.~As per the NCCN guidelines, pathologic response is graded by the system recommended by the AJCC Cancer Staging Manual and CAP guidelines:~Complete response - no remaining viable cancer cells~Moderate response - only small clusters/single cancer cells remain~Minimal response - residual cancer remaining, but with predominant fibrosis~Poor response - minimal/no tumor kills, extensive residual cancer" (NCT02017704)
Timeframe: Up to 60 months
Intervention | Participants (Count of Participants) |
---|
IMRT and Capecitabine | 0 |
Endo-HDR | 2 |
[back to top]
[back to top]
Number of Participants With Adverse Events and Serious Adverse Events
Assessment of safety of napabucasin administered in combination with either FOLFOX6 with and without bevacizumab, or CAPOX, or FOLFIRI with and without bevacizumab, or regorafenib, or irinotecan in participants with advanced gastrointestinal malignancies by reporting of adverse events and serious adverse events (NCT02024607)
Timeframe: The time from the date of first treatment, while the patient is taking napabucasin, and for 30 days after stopping therapy, an average of 4 months.
Intervention | Participants (Count of Participants) |
---|
Napabucasin Plus FOLFOX6 | 115 |
Napabucasin Plus FOLFOX6 Plus Bevacizumab | 41 |
Napabucasin Plus CAPOX | 87 |
Napabucasin Plus FOLFIRI | 156 |
Napabucasin Plus FOLFIRI Plus Bevacizumab | 40 |
Napabucasin Plus Regorafenib | 54 |
Napabucasin Plus Irinotecan | 2 |
[back to top]
[back to top]
Disease Control Rate
To determine the anti-tumor activity (specifically the disease control rate) of napabucasin administered in combination with either FOLFOX6 with and without bevacizumab, or CAPOX, or FOLFIRI with and without bevacizumab, or regorafenib, or irinotecan. Percentage of participants with a documented complete response, partial response and stable disease based on RECIST 1.1. (NCT02024607)
Timeframe: From the date of first treatment, every 8 weeks, until the date of first documented objective disease progression, up to 24 months.
Intervention | percentage of participants (Number) |
---|
Napabucasin Plus FOLFOX6 | 54.7 |
Napabucasin Plus FOLFOX6 Plus Bevacizumab | 76.2 |
Napabucasin Plus CAPOX | 55.3 |
Napabucasin Plus FOLFIRI | 65.7 |
Napabucasin Plus FOLFIRI Plus Bevacizumab | 87.0 |
Napabucasin Plus Regorafenib | 34.4 |
Napabucasin Plus Irinotecan | 100 |
[back to top]
[back to top]
[back to top]
Objective Response Rate
Confirmed response (CR) is two or more objective statuses of CR a minimum of four weeks apart documented before progression or symptomatic deterioration. Partial response (PR) is two or more objective statuses of PR or better a minimum of four weeks apart documented before progression or symptomatic deterioration. Unconfirmed CR is one objective status of CR documented before progression or symptomatic deterioration but not qualifying as CR or PR. Unconfirmed PR is one objective status of PR documented before progression or symptomatic deterioration but not qualifying as CR, PR or unconfirmed CR. (NCT02042443)
Timeframe: Up to 2 years from registration
,
Intervention | Participants (Count of Participants) |
---|
| Partial Response | Unconfirmed Partial Response | Stable/No Response | Increasing Disease | Symptomatic Deterioration |
---|
Chemotherapy | 2 | 0 | 9 | 8 | 1 |
Trametinib | 0 | 2 | 2 | 19 | 1 |
[back to top]
Progression-free Survival
From date of registration to date of first documentation of progression or symptomatic deterioration, or death due to any cause. Patients last known to be alive and progression free are censored at date of last contact. (NCT02042443)
Timeframe: Up to 2 years from registration
Intervention | months (Median) |
---|
Trametinib | 1.3 |
Chemotherapy | 2.8 |
[back to top]
Overall Survival
From date of registration to date of death due to any cause. Patients last known to be alive are censored at date of last contact. (NCT02042443)
Timeframe: Up to 2 years from registration
Intervention | months (Median) |
---|
Trametinib | 4.3 |
Chemotherapy | 7.9 |
[back to top]
[back to top]
Overall Survival (OS) Time for Patients in Europe + United States With Triple-Negative mCRC (EU+US TNmCRC)
"OS based on product-limit (Kaplan-Meier) estimates. Confidence intervals for the median are calculated according to Brookmeyer and Crowley.~This outcome measure is considered exploratory. Because of the unanticipated long OS in the control group, initial exploratory subgroup analyses identified that findings in patients enrolled in Russia differed when compared with patients enrolled in the ITT subpopulation and the EU+US subpopulation. For this reason, subjects in Russia were excluded from further exploratory subset analyses that evaluated the effects of genomic parameters known to impact patient responses to anti-EGFR monoclonal antibodies. Removal of the outlier Russian subpopulation of patients provided a patient population that was more homogeneous with respect to their prior treatment regimens, thereby facilitating further exploratory analyses. If a subject had not died, survival time was censored at the last date the subject was known to be alive." (NCT02083653)
Timeframe: From randomization until the date of death (assessed up to 32 months).
Intervention | months (Median) |
---|
Arm A: Sym004 (12 mg/kg) | 10.6 |
Arm B: Sym004 (9/6 mg/kg) | 12.8 |
Arm C: Investigator's Choice | 7.3 |
[back to top]
Occurrence and Nature of Adverse Events (AEs), as Assessed by the Common Terminology Criteria for AEs (Version 4.03) (CTCAE v4.03).
AEs were coded according to the Medical Dictionary for Regulatory Activities (MedDRA) classification. The incidence and type of AEs (i.e., serious AE [SAE], treatment-emergent AE [TEAE]) were summarized by dose cohort according to MedDRA system organ classes and preferred terms. An AE was considered as treatment-emergent if it occurred during or after the first IMP administration. An AE that occurred before the first IMP administration and worsened thereafter was also considered an AE. Worsening was reported as a new AE. (NCT02083653)
Timeframe: From Baseline up to 28 days after the last IMP administration.
,,
Intervention | Participants (Count of Participants) |
---|
| At least one TEAE | At least one Serious TEAE | TEAE leading to dose reduction | TEAE leading to interruption of trial treatment | TEAE leading to trial treatment withdrawal | TEAE related to trial treatment | TEAE, Grade >=3 | Dermatologic toxicity | Infusion-related reaction | TEAE resulting in death | Related Serious TEAE | Related TEAE leading to dose reduction | Related TEAE leading to interruption of treatment | Related TEAE leading to treatment withdrawal | Related TEAE, Grade >=3 | Related TEAE resulting in death |
---|
Arm A: Sym004 (12 mg/kg) | 83 | 27 | 29 | 58 | 12 | 81 | 67 | 78 | 27 | 4 | 9 | 29 | 53 | 9 | 58 | 0 |
Arm B: Sym004 (9/6 mg/kg) | 84 | 23 | 17 | 47 | 5 | 80 | 53 | 78 | 26 | 4 | 6 | 17 | 42 | 2 | 41 | 0 |
Arm C: Investigator's Choice | 67 | 12 | 8 | 10 | 6 | 46 | 25 | 8 | 0 | 3 | 2 | 6 | 7 | 3 | 9 | 0 |
[back to top]
Pharmacokinetic (PK) Parameters: Sym004 Concentrations
"The Sym004 serum concentration used for the PK evaluation was calculated as the sum of the serum concentrations of the 2 component monoclonal antibodies of Sym004 (futuximab and modotuximab).~Trough Concentration (Ctrough) is equivalent to the concentration collected at the pre-dose timepoint.~Maximum Concentration (Cmax) is equivalent to the concentration collected at the end of infusion (EOI) timepoint." (NCT02083653)
Timeframe: Weeks 3, 5, and 7 and at the End of Treatment visit, including a Week 1 and Week 2 subset.
,
Intervention | ug/mL (Mean) |
---|
| Screening (Pre-dose) | Week 1 Day 1 (Pre-dose) | Week 1 Day 1 (EOI) | Week 1 Day 1 (0.5 hours after EOI) | Week 1 Day 1 (1 hour after EOI) | Week 1 Day 1 (2 hours after EOI) | Week 1 Day 1 (4 hours after EOI) | Week 2 Day 1 (Pre-dose) | Week 2 Day 1 (EOI) | Week 3 Day 1 (Pre-dose) | Week 3 Day 1 (EOI) | Week 5 Day 1 (Pre-dose) | Week 5 Day 1 (EOI) | Week 7 Day 1 (Pre-dose) | Week 7 Day 1 (EOI) | End of Treatment |
---|
Arm A: Sym004 (12 mg/kg) | 0.50 | 0.50 | 182.95 | 214.98 | 209.80 | 197.31 | 188.75 | 45.37 | 275.42 | 92.66 | 323.35 | 125.73 | 354.91 | 128.30 | 346.83 | 64.55 |
Arm B: Sym004 (9/6 mg/kg) | 0.50 | 0.75 | 174.44 | 184.84 | 189.24 | 181.68 | 171.63 | 38.76 | 145.91 | 44.26 | 170.18 | 49.26 | 168.94 | 58.38 | 163.11 | 17.61 |
[back to top]
Pharmacokinetic (PK) Parameters: Time of Maximum Plasma Concentration (Tmax)
Tmax was defined as the time the PK sample was taken at end of infusion (EOI) relative to the start time of infusion (i.e., time between the start of infusion and the time of the EOI sample). For presentation of individual PK parameters and calculation of mean parameters, half of the lower limit of quantitation (LLOQ) value was used for concentration values below the LLOQ. The Sym004 serum concentration used for the PK evaluation was calculated as the sum of the serum concentrations of the 2 component monoclonal antibodies of Sym004, futuximab and modotuximab. (NCT02083653)
Timeframe: Day 1 on Weeks 1-3 followed by Week 5 Day 1 and Week 7 Day 1.
,
Intervention | hours (Mean) |
---|
| Week 1 Day 1 | Week 2 Day 1 | Week 3 Day 1 | Week 5 Day 1 | Week 7 Day 1 |
---|
Arm A: Sym004 (12 mg/kg) | 3.14 | 2.82 | 3.01 | 2.74 | 2.83 |
Arm B: Sym004 (9/6 mg/kg) | 2.79 | 2.33 | 2.34 | 2.06 | 2.06 |
[back to top]
Quality of Life Assessed by FACT-EGFRI-18 for Skin Rash
"Scale: Functional Assessment of Cancer Therapy-Epidermal Growth Factor Receptor Inhibitor 18 (FACT-EGFRI-18).~The FACT-EGFRI-18 is an 18-question scale used to assess EGFR-inhibitor-treated cancer patients' quality of life relative to their experience of skin rash based on three (3) multi-item subscales. The subscales combined (i.e., Symptom Index) range in score from 0 to 72. A higher score represents a high level of symptomatology (problems).~High scores for all subscales represent a worse outcome:~The Physical subscale ranges in score from 0 to 28.~The Social/Emotional subscale ranges in score from 0 to 24.~The Functional subscale ranges in score from 0 to 20." (NCT02083653)
Timeframe: Assessed every 3 weeks (week 1 and week 4 reported)
,,
Intervention | score on a scale (Mean) |
---|
| Physical (Week 1 Day 1) | Physical (Week 4 Day 1) | Social/Emotional (Week 1 Day 1) | Social/Emotional (Week 4 Day 1) | Functional (Week 1 Day 1) | Functional (Week 4 Day 1) | Symptom Index (Week 1 Day 1) | Symptom Index (Week 4 Day 1) |
---|
Arm A: Sym004 (12 mg/kg) | 22.9 | 18.0 | 21.5 | 19.9 | 17.9 | 16.3 | 62.3 | 54.2 |
Arm B: Sym004 (9/6 mg/kg) | 23.1 | 19.7 | 21.5 | 20.3 | 18.3 | 17.0 | 62.9 | 57.0 |
Arm C: Investigator's Choice | 24.3 | 25.1 | 22.6 | 23.2 | 18.7 | 19.3 | 65.6 | 67.6 |
[back to top]
Quality of Life Assessed by the EORTC QLQ-C30 (Version 3)
"Scale: European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (Version 3) [QLQ-C30, Version 3].~The QLQ-C30 is a 30-question scale used to assess cancer patients' quality of life based on 15 factors (e.g., global health status, physical functioning, role functioning, etc.). The scale is composed of both multi-item scales and single-item measures. All of the scales and single-item measures range in score from 0 to 100:~A high score for a functional scale represents a healthy level of functioning.~A high score for the global health status represents a high quality of life.~A high score for a symptom scale/item represents a high level of symptomatology (problems)." (NCT02083653)
Timeframe: Assessed every 6 weeks (week 1 and week 7 reported)
,,
Intervention | score on a scale (Mean) |
---|
| Global Health Status (Week 1 Day 1) | Global Health Status (Week 7 Day 1) | Physical Functioning (Week 1 Day 1) | Physical Functioning (Week 7 Day 1) | Role Functioning (Week 1 Day 1) | Role Functioning (Week 7 Day 1) | Emotional Functioning (Week 1 Day 1) | Emotional Functioning (Week 7 Day 1) | Cognitive Functioning (Week 1 Day 1) | Cognitive Functioning (Week 7 Day 1) | Social Functioning (Week 1 Day 1) | Social Functioning (Week 7 Day 1) | Fatigue Symptoms (Week 1 Day 1) | Fatigue Symptoms (Week 7 Day 1) | Nausea & Vomiting Symptoms (Week 1 Day 1) | Nausea & Vomiting Symptoms (Week 7 Day 1) | Pain Symptoms (Week 1 Day 1) | Pain Symptoms (Week 7 Day 1) | Dyspnoea Symptoms (Week 1 Day 1) | Dyspnoea Symptoms (Week 7 Day 1) | Insomnia Symptoms (Week 1 Day 1) | Insomnia Symptoms (Week 7 Day 1) | Appetite Loss Symptoms (Week 1 Day 1) | Appetite Loss Symptoms (Week 7 Day 1) | Constipation Symptoms (Week 1 Day 1) | Constipation Symptoms (Week 7 Day 1) | Diarrhoea Symptoms (Week 1 Day 1) | Diarrhoea Symptoms (Week 7 Day 1) | Financial Difficulties (Week 1 Day 1) | Financial Difficulties (Week 7 Day 1) |
---|
Arm A: Sym004 (12 mg/kg) | 55.5 | 57.4 | 76.4 | 82.1 | 75.0 | 81.1 | 76.6 | 74.8 | 87.4 | 88.1 | 78.2 | 77.9 | 35.3 | 26.3 | 7.9 | 5.6 | 27.2 | 12.7 | 15.9 | 10.4 | 29.3 | 27.4 | 22.3 | 16.9 | 15.0 | 11.5 | 12.5 | 8.8 | 19.7 | 19.4 |
Arm B: Sym004 (9/6 mg/kg) | 59.7 | 59.4 | 78.7 | 83.0 | 76.4 | 82.4 | 77.8 | 82.7 | 86.2 | 88.5 | 80.2 | 83.4 | 32.2 | 25.3 | 6.4 | 5.1 | 23.6 | 14.6 | 17.2 | 8.8 | 19.1 | 16.9 | 17.6 | 17.5 | 16.0 | 8.3 | 8.5 | 11.1 | 16.6 | 15.2 |
Arm C: Investigator's Choice | 55.8 | 59.7 | 77.7 | 76.7 | 72.5 | 72.8 | 73.2 | 75.3 | 87.5 | 87.0 | 75.4 | 72.7 | 34.7 | 33.2 | 7.8 | 8.4 | 27.8 | 24.1 | 16.4 | 15.7 | 21.7 | 16.6 | 22.2 | 23.0 | 11.4 | 11.1 | 15.9 | 11.0 | 23.3 | 19.3 |
[back to top]
Quality of Life Assessed by EORTC QLQ-CR29
"Scale: European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire - Colorectal Cancer Module (QLQ-CR29).~The QLQ-CR29 is a 29-question scale used to assess colorectal cancer patients' quality of life based on 22 factors (e.g., body image, anxiety, weight, etc.). The scale is composed of both multi-item scales and single-item measures. All of the scales and single-item measures range in score from 0 to 100:~A high score for a functional scale/item represents an unhealthy level of functioning, with the exception of one (1) scale pertaining to sexual interest (separated by sex).~A high score for a symptom scale/item represents a high level of symptomatology (problems)." (NCT02083653)
Timeframe: Assessed every 6 weeks (week 1 and week 7 reported)
,,
Intervention | score on a scale (Mean) |
---|
| Body Image (Week 1 Day 1) | Body Image (Week 7 Day 1) | Anxiety (Week 1 Day 1) | Anxiety (Week 7 Day 1) | Weight (Week 1 Day 1) | Weight (Week 7 Day 1) | Sexual Function (Men) (Week 1 Day 1) | Sexual Function (Men) (Week 7 Day 1) | Sexual Function (Women) (Week 1 Day 1) | Sexual Function (Women) (Week 7 Day 1) | Urinary Frequency (Week 1 Day 1) | Urinary Frequency (Week 7 Day 1) | Blood and Mucus (Week 1 Day 1) | Blood and Mucus (Week 7 Day 1) | Stool Frequency (Week 1 Day 1) | Stool Frequency (Week 7 Day 1) | Urinary Incontinence (Week 1 Day 1) | Urinary Incontinence (Week 7 Day 1) | Dysuria (Week 1 Day 1) | Dysuria (Week 7 Day 1) | Abdominal Pain (Week 1 Day 1) | Abdominal Pain (Week 7 Day 1) | Buttock Pain (Week 1 Day 1) | Buttock Pain (Week 7 Day 1) | Bloated Feeling (Week 1 Day 1) | Bloated Feeling (Week 7 Day 1) | Dry Mouth (Weel 1 Day 1) | Dry Mouth (Weel 7 Day 1) | Hair Loss (Week 1 Day 1) | Hair Loss (Week 7 Day 1) | Trouble with Taste (Week 1 Day 1) | Trouble with Taste (Week 7 Day 1) | Flatulence (Week 1 Day 1) | Flatulence (Week 7 Day 1) | Faecal Incontinence (Week 1 Day 1) | Faecal Incontinence (Week 7 Day 1) | Sore Skin (Week 1 Day 1) | Sore Skin (Week 7 Day 1) | Embarrassed by Bowel Movement (Week 1 Day 1) | Embarrassed by Bowel Movement (Week 7 Day 1) | Stoma Care Problem (Week 1 Day 1) | Stoma Care Problem (Week 7 Day 1) | Impotence (Week 1 Day 1) | Impotence (Week 7 Day 1) | Dyspareunia (Week 1 Day 1) | Dyspareunia (Week 7 Day 1) |
---|
Arm A: Sym004 (12 mg/kg) | 76.2 | 76.4 | 50.0 | 57.1 | 79.5 | 86.6 | 31.7 | 33.2 | 16.5 | 16.6 | 34.4 | 28.2 | 4.1 | 2.6 | 15.5 | 13.4 | 8.2 | 7.0 | 4.0 | 3.2 | 18.8 | 10.4 | 11.6 | 4.4 | 20.4 | 13.3 | 25.1 | 26.8 | 17.1 | 7.0 | 20.0 | 18.5 | 18.3 | 12.4 | 8.9 | 2.5 | 9.6 | 11.6 | 8.5 | 7.5 | 16.6 | 9.9 | 46.9 | 40.4 | 12.1 | 14.3 |
Arm B: Sym004 (9/6 mg/kg) | 80.1 | 77.6 | 48.2 | 61.1 | 85.6 | 89.6 | 21.2 | 26.6 | 12.3 | 13.6 | 30.3 | 28.8 | 1.5 | 3.1 | 11.3 | 11.8 | 7.5 | 4.8 | 2.9 | 2.1 | 12.8 | 10.8 | 10.8 | 8.8 | 14.8 | 12.1 | 17.0 | 29.2 | 11.1 | 7.6 | 13.9 | 15.2 | 19.5 | 16.1 | 8.8 | 7.3 | 8.8 | 9.7 | 7.8 | 8.1 | 3.3 | 2.4 | 38.7 | 42.7 | 7.2 | 10.3 |
Arm C: Investigator's Choice | 75.8 | 78.2 | 43.0 | 50.9 | 78.3 | 88.0 | 23.5 | 34.9 | 10.1 | 11.0 | 32.6 | 18.5 | 2.0 | 2.3 | 14.1 | 13.1 | 7.4 | 1.9 | 3.0 | 0.9 | 23.0 | 16.6 | 9.9 | 7.4 | 21.7 | 12.9 | 22.1 | 13.8 | 14.6 | 4.6 | 15.1 | 12.9 | 23.1 | 12.4 | 7.1 | 3.1 | 6.0 | 4.2 | 13.9 | 10.4 | 6.6 | 8.3 | 49.5 | 50.7 | 11.0 | 13.3 |
[back to top]
Host Immune Response: Number of Subjects With Anti-drug Antibodies (ADAs) to Sym004 Over Time
A validated double antigen bridging ELISA was used for screening, confirmation, and titration of patient samples for anti-Sym004 ADA. Using rabbit anti-Sym004 as an ADA control antibody, the lower limit of detection was 54 ng/mL in the absence of Sym004 and 500 ng/mL in the presence of Sym004 at 5 µg/mL The timepoints for ADA sampling were chosen by the original sponsor for this trial. After the trial was transferred to Symphogen A/S, it was determined that not all samples were necessary for analysis. This is why the collection time points specified in the Outcome Measure Time Frame do not match with the Outcome Measure Data Table. (NCT02083653)
Timeframe: Every two weeks (Days 15, 29, and 43) followed by every six weeks thereafter (Days 78, 120, 162, etc.) until the End of Treatment Visit
Intervention | Participants (Count of Participants) |
---|
| Screening71950433 | Screening71950434 | Week 5 Day 171950434 | Week 5 Day 171950433 | Week 1271950433 | Week 1271950434 | Week 1371950433 | Week 1371950434 | Week 2471950433 | Week 2471950434 | End of Treatment Visit71950434 | End of Treatment Visit71950433 |
---|
| Missing | Negative | Positive | Not Reportable |
---|
Arm A: Sym004 (12 mg/kg) | 78 |
Arm B: Sym004 (9/6 mg/kg) | 81 |
Arm A: Sym004 (12 mg/kg) | 2 |
Arm B: Sym004 (9/6 mg/kg) | 3 |
Arm B: Sym004 (9/6 mg/kg) | 62 |
Arm A: Sym004 (12 mg/kg) | 24 |
Arm B: Sym004 (9/6 mg/kg) | 22 |
Arm B: Sym004 (9/6 mg/kg) | 35 |
Arm A: Sym004 (12 mg/kg) | 59 |
Arm B: Sym004 (9/6 mg/kg) | 49 |
Arm A: Sym004 (12 mg/kg) | 1 |
Arm B: Sym004 (9/6 mg/kg) | 1 |
Arm A: Sym004 (12 mg/kg) | 0 |
Arm A: Sym004 (12 mg/kg) | 82 |
Arm B: Sym004 (9/6 mg/kg) | 83 |
Arm A: Sym004 (12 mg/kg) | 83 |
Arm A: Sym004 (12 mg/kg) | 60 |
Arm B: Sym004 (9/6 mg/kg) | 55 |
Arm B: Sym004 (9/6 mg/kg) | 0 |
Arm A: Sym004 (12 mg/kg) | 23 |
Arm B: Sym004 (9/6 mg/kg) | 29 |
[back to top]
Overall Survival (OS) Time
"OS based on product-limit (Kaplan-Meier) estimates. Confidence intervals for the median are calculated according to Brookmeyer and Crowley.~If a subject had not died, survival time was censored at the last date the subject was known to be alive." (NCT02083653)
Timeframe: From randomization until the date of death (assessed up to 32 months).
Intervention | months (Median) |
---|
Arm A: Sym004 (12 mg/kg) | 7.9 |
Arm B: Sym004 (9/6 mg/kg) | 10.3 |
Arm C: Investigator's Choice | 9.6 |
[back to top]
Overall Survival (OS) Time for Patients in Europe + United States With Double-Negative mCRC (EU+US DNmCRC)
"OS based on product-limit (Kaplan-Meier) estimates. Confidence intervals for the median are calculated according to Brookmeyer and Crowley.~This outcome measure is considered exploratory. Because of the unanticipated long OS in the control group, initial exploratory subgroup analyses identified that findings in patients enrolled in Russia differed when compared with patients enrolled in the ITT subpopulation and the EU+US subpopulation. For this reason, subjects in Russia were excluded from further exploratory subset analyses that evaluated the effects of genomic parameters known to impact patient responses to anti-EGFR monoclonal antibodies. Removal of the outlier Russian subpopulation of patients provided a patient population that was more homogeneous with respect to their prior treatment regimens, thereby facilitating further exploratory analyses. If a subject had not died, survival time was censored at the last date the subject was known to be alive." (NCT02083653)
Timeframe: From randomization until the date of death (assessed up to 32 months).
Intervention | months (Median) |
---|
Arm A: Sym004 (12 mg/kg) | 8.9 |
Arm B: Sym004 (9/6 mg/kg) | 11.9 |
Arm C: Investigator's Choice | 8.4 |
[back to top]
Progression Free Survival (PFS) Time
PFS based on product-limit (Kaplan-Meier) estimates. Confidence intervals for the median are calculated according to Brookmeyer and Crowley. Death will only be considered as an event if it occurs within 12 weeks after last tumor response assessment without progression. (NCT02083653)
Timeframe: From randomization until first event, where an event can be a progression (radiological confirmed or clinical progression) or death due to any cause (assessed up to 32 months).
Intervention | months (Median) |
---|
Arm A: Sym004 (12 mg/kg) | 2.8 |
Arm B: Sym004 (9/6 mg/kg) | 2.7 |
Arm C: Investigator's Choice | 2.6 |
[back to top]
Relative Dose Intensity of Sym004
"Treatment duration (weeks) is calculated as [(last dose date of Sym004 - first dose date of Sym004)+7] / 7 days.~Sym004 dose received (mg/kg) is calculated as (total dose administered (mg)/weight (kg)).~Dose Intensity is calculated as (cumulative Sym004 dose (mg/kg) / treatment duration (weeks)).~Relative Dose Intensity is calculated as (dose intensity / planned dose intensity at randomization)*100.~Percentages are based on the number of subjects in the safety analysis set." (NCT02083653)
Timeframe: From first dose of study drug until disease progression (assessed up to 32 months).
Intervention | percentage of relative dose intensity (Mean) |
---|
Arm A: Sym004 (12 mg/kg) | 80.49 |
Arm B: Sym004 (9/6 mg/kg) | 88.91 |
[back to top]
Time to Treatment Failure (TTF)
TTF based on product-limit (Kaplan-Meier) estimates. Confidence intervals for the median are calculated according to Brookmeyer and Crowley. (NCT02083653)
Timeframe: From randomization until treatment discontinuation for any reason, including disease progression or death (assessed up to 32 months).
Intervention | months (Median) |
---|
Arm A: Sym004 (12 mg/kg) | 2.1 |
Arm B: Sym004 (9/6 mg/kg) | 2.6 |
Arm C: Investigator's Choice | 1.6 |
[back to top]
Progression-free Survival (PFS)
Progressive Disease (PD) is defined using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 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, unequivocal progression of non-target lesions, or the appearance of new lesions. (NCT02117479)
Timeframe: Randomization to disease progression, or death due to any cause if sooner; up to 6-months or to the data cutoff 11FEB2016.
Intervention | days (Median) |
---|
Ruxolitinib Plus Capecitabine | 43.0 |
Placebo Plus Capecitabine | 44.0 |
[back to top]
Objective Response Rate (ORR)
Objective response rate determined by radiographic disease assessments per RECIST (v1.1), by investigator assessment and was defined as the percentage of participants with Complete Response (CR) or Partial Response (PR) by Response Evaluation Criteria in Solid Tumours (RECIST) at any post baseline visit. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) for target lesions and assessed by computed tomography (CT) and/or magnetic resonance imaging (MRI) : Complete Response (CR), Disappearance of all target and non-target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions with no worsening of non-target lesions and no new lesions; Overall Response (OR) = CR + PR. (NCT02117479)
Timeframe: Baseline through end of study; up to 6-months or to the data cutoff 11FEB2016.
,
Intervention | percentage of participants (Number) |
---|
| Objective response | Complete response | Partial response |
---|
Placebo Plus Capecitabine | 1.9 | 0 | 1.9 |
Ruxolitinib Plus Capecitabine | 3.7 | 0 | 3.7 |
[back to top]
Overall Survival (OS)
Overall survival is reported here based on the number of deaths from randomization up to 6-months or to the data cutoff 11FEB2016. (NCT02117479)
Timeframe: Randomization until death due to any cause; up to the data cutoff 11FEB2016.
,
Intervention | Participants (Count of Participants) |
---|
| Observed | Censored |
---|
Placebo Plus Capecitabine | 124 | 36 |
Ruxolitinib Plus Capecitabine | 113 | 48 |
[back to top]
Percentage of Participants Achieving Progression Free Survival (PFS)
PFS is defined as the time from randomization until the earliest date of disease progression determined by investigator assessment of objective radiographic disease assessments per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, or death due to any cause if sooner. Progressive Disease (PD) is defined using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 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, unequivocal progression of non-target lesions, or the appearance of new lesions. (NCT02117479)
Timeframe: Randomization to disease progression, or death due to any cause if sooner; up to 6-months or to the data cutoff 11FEB2016.
,
Intervention | percentage of participants (Median) |
---|
| Survival rate at 3 months | Survival rate at 6 months | Survival rate at 9 months | Survival rate at 12 months |
---|
Placebo Plus Capecitabine | 19.8 | 5.7 | 3.4 | NA |
Ruxolitinib Plus Capecitabine | 18.9 | 6.1 | 2.5 | 2.5 |
[back to top]
Participants With Treatment-Emergent Adverse Events (TEAEs)
A treatment-emergent AE was defined as an event occurring after exposure to at least 1 dose of study drug (ruxolitinib or placebo). A treatment-related AE was defined as an event with a definite, probable, or possible causality to study medication. A serious AE is an event resulting in death, hospitalization, persistent or significant disability/incapacity, or is life threatening, a congenital anomaly/birth defect or requires medical or surgical intervention to prevent 1 of the outcomes above. The intensity of an AE was graded according to the National Cancer Institute common terminology criteria for adverse events (NCI-CTCAE) version 4.03: Grade 1 (Mild); Grade 2 (Moderate); Grade 3 (Severe); Grade 4 (life-threatening). (NCT02117479)
Timeframe: Baseline through approximately 30 days post treatment discontinuation; up to 6-months or to the data cutoff 11FEB2016.
,
Intervention | Participants (Count of Participants) |
---|
| Participants who had any TEAEs | Participants who had treatment-related TEAEs | Participants who had SAEs | Participants who had Grade 3 or higher TEAEs | Participants hospitalized because of a TEAE | Participants discontinued treatment due to TEAE | Participants with a dose modification due to TEAE | Participants on concomitant medication due to TEAE | Participants with procedure performed due to TEAE | Participants who had a fatal TEAE |
---|
Placebo Plus Capecitabine | 152 | 59 | 83 | 113 | 75 | 22 | 48 | 122 | 46 | 15 |
Ruxolitinib Plus Capecitabine | 152 | 73 | 94 | 112 | 89 | 12 | 68 | 131 | 60 | 20 |
[back to top]
Duration of Response
Duration of overall response was defined as the time in months from Complete Response (CR) or Partial Response (PR) by Response Evaluation Criteria in Solid Tumours (RECIST v1.1) until the first date Progressive Disease (PD) was objectively documented or until the date of death. (NCT02117479)
Timeframe: Baseline through end of study; up to 6-months or to the data cutoff 11FEB2016.
Intervention | days (Median) |
---|
Ruxolitinib Plus Capecitabine | NA |
Placebo Plus Capecitabine | NA |
[back to top]
Tumour Assessments (Based on RECIST Criteria) in 2nd-line
Best response in second line was based on the tumor assessments (based on RECIST criteria) for target lesions and assessed by CT scans, MRI scans, X-ray, bone scan and clinical examination: Complete Response (CR), disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter (sum LD) of target lesions; Progressive Disease (PD), >= 20% increase in the sum of the LD of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started. (NCT02119026)
Timeframe: Baseline, every 8-9 weeks, 28d Safety follow-up
,
Intervention | participants (Number) |
---|
| Progressive Disease (PD) | Stable Disease (SD) | Partial Response (PR) | Complete Response (CR) | Not available (NA) |
---|
A: XELIRI + BEV Followed by XELOX + BEV | 7 | 11 | 6 | 0 | 8 |
B: XELOX + BEV Followed by XELIRI + BEV | 8 | 13 | 2 | 0 | 1 |
[back to top]
Tumour Assessments (Based on RECIST Criteria) in 1st-line
Best response in first line was based on the tumor assessments (based on RECIST criteria) for target lesions and assessed by CT scans, MRI scans, X-ray, bone scan and clinical examination: Complete Response (CR), disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter (sum LD) of target lesions; Progressive Disease (PD), >= 20% increase in the sum of the LD of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started. (NCT02119026)
Timeframe: Baseline, every 8-9 weeks, 28d Safety follow-up
,
Intervention | participants (Number) |
---|
| Progressive Disease (PD) | Stable Disease (SD) | Partial Response (PR) | Complete Response (CR) |
---|
A: XELIRI + BEV Followed by XELOX + BEV | 4 | 21 | 26 | 2 |
B: XELOX + BEV Followed by XELIRI + BEV | 1 | 23 | 30 | 0 |
[back to top]
Time to Response
Time to overall response was measured from the time of randomization until the day of documented complete response (CR) or partial response (PR) (whichever status is recorded first). Patients without response were censored at the date of the last tumor assessment, the date of death or the date of refusal. (NCT02119026)
Timeframe: at the day of documented complete or partial response or at 28 days safety follow-up in cases without PD
Intervention | days (Median) |
---|
A: XELIRI + BEV Followed by XELOX + BEV | 185.0 |
B: XELOX + BEV Followed by XELIRI + BEV | 178.0 |
[back to top]
Second Line PFS
"The second line PFS was defined as the progression free survival interval during second line treatment. Patients without progression at the last tumor assessment date during their study participation were censored at this last tumor assessment date (exception: availability of validated information about a later onset of progression or a longer progression free interval - in such a case the date of the follow-up assessment was either defined as the onset of progression or replaced the last tumor assessment date). Missing onset of progression data because of refusal or because of death was replaced.~If several response evaluations for a patient showed progressive disease (PD), the time to PD was assessed by using the first of these measurements." (NCT02119026)
Timeframe: at progression of disease (PD) in second line therapy or at 28 days safety follow-up in cases without PD
Intervention | days (Median) |
---|
A: XELIRI + BEV Followed by XELOX + BEV | 129 |
B: XELOX + BEV Followed by XELIRI + BEV | 155 |
[back to top]
Overall Survival of XELIRI Plus Bevacizumab and XELOX Plus Bevacizumab
Overall survival was measured as the time from the randomization date to the date of death. Patients without death date were censored at the date of the last tumor assessment (exception: availability of validated information about a later exitus date or a prolonged survival - in such a case the date of the follow-up assessment was either defined as the exitus date or replaced the last tumor assessment date) or the date of refusal. (NCT02119026)
Timeframe: date of death or date of last tumor assessment (28d safety f-u) in patients without death
Intervention | days (Median) |
---|
A: XELIRI + BEV Followed by XELOX + BEV | 593.0 |
B: XELOX + BEV Followed by XELIRI + BEV | 643 |
[back to top]
Overall Response Rate (Number of Participants With Response)
The rate of overall response was measured as the response rate from randomization until the day of documented complete response (CR) or partial response (PR) (whichever status is recorded first). (NCT02119026)
Timeframe: at the day of documented complete or partial response or at 28 days safety follow-up in cases without PD
Intervention | Participants (Count of Participants) |
---|
A: XELIRI + BEV Followed by XELOX + BEV | 32 |
B: XELOX + BEV Followed by XELIRI + BEV | 36 |
[back to top]
First Line Progression Free Survival (PFS)
The first line PFS was defined as the progression free survival interval during first line treatment. Patients without progression at the last tumor assessment date during their study participation were censored at this last tumor assessment date (exception: availability of validated information about a later onset of progression or a longer progression free interval - in such a case the date of the follow-up assessment was either defined as the onset of progression or replaced the last tumor assessment date). Missing onset of progression data because of refusal or because of death was replaced. If several response evaluations for a patient showed progressive disease (PD), the time to PD was assessed by using the first of these measurements. (NCT02119026)
Timeframe: at progression of disease (PD) in first line therapy or at 28 days safety follow-up in cases without PD
Intervention | days (Median) |
---|
A: XELIRI + BEV Followed by XELOX + BEV | 241 |
B: XELOX + BEV Followed by XELIRI + BEV | 280 |
[back to top]
Efficacy Duration of Disease Control by Tumor Assessment (CT/MRI/Clinical Examination)
The primary variable was duration of disease control (DDC) and was defined as the sum of progression free survival intervals during first line and second line treatment (= time from the beginning of first line treatment until onset of progression during second line treatment). Patients without progression at the last tumor assessment date during their study participation were censored at this last tumor assessment date (exception: availability of validated information about a later onset of progression or a longer progression free interval - in such a case the date of the follow-up assessment was either defined as the onset of progression or replaced the last tumor assessment date). (NCT02119026)
Timeframe: screening, every 8 to 9 weeks until progression, at end of treatment (other than progression), every 3 months until progression, death or up to 24 months (whatever comes first)
Intervention | days (Median) |
---|
A: XELIRI + BEV Followed by XELOX + BEV | 373.00 |
B: XELOX + BEV Followed by XELIRI + BEV | 370.00 |
[back to top]
Duration of Response
"Duration of overall response was measured from the time that measurement criteria are met for complete response (CR) or partial response (PR) (whichever status was recorded first) until the onset of progression. Patients without progression at the last tumor assessment date during their study participation were censored at this last tumor assessment date (exception: availability of validated information about a later onset of progression or a longer progression free interval - in such a case the date of the follow-up assessment was either defined as the onset of progression or replaced the last tumor assessment date).~Missing onset of progression data because of refusal or because of death was replaced.~If several response evaluations for a patient showed progressive disease (PD), the time to PD was assessed by using the first of these measurements." (NCT02119026)
Timeframe: at the day of documented complete or partial response or at 28 days safety follow-up in cases without PD
Intervention | days (Median) |
---|
A: XELIRI + BEV Followed by XELOX + BEV | 244.0 |
B: XELOX + BEV Followed by XELIRI + BEV | 315 |
[back to top]
Objective Response Rate (ORR)
Objective response rate determined by radiographic disease assessments per Response Evaluation Criteria in Solid Tumours RECIST (v1.1), by investigator assessment and was defined as the percentage of participants with Complete Response (CR) or Partial Response (PR) by RECIST at any post baseline visit. Per RECIST for target lesions and assessed by computed tomography (CT) and/or magnetic resonance imaging (MRI): Complete Response (CR), Disappearance of all target and non-target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions with no worsening of non-target lesions and no new lesions; Overall Response (OR) = CR + PR. (NCT02119663)
Timeframe: Baseline through end of study; up to 6-months or to the data cutoff 11FEB2016.
,
Intervention | percentage of participants (Number) |
---|
| Objective response | Complete response | Partial response |
---|
Placebo Plus Capecitabine | 2.3 | 0.0 | 2.3 |
Ruxolitinib Plus Capecitabine | 4.7 | 2.3 | 2.3 |
[back to top]
Progression Free Survival (PFS)
PFS is defined as the time from randomization until the earliest date of disease progression determined by investigator assessment of objective radiographic disease assessments per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, or death due to any cause if sooner. Progressive Disease (PD) is defined using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 as 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, unequivocal progression of non-target lesions, or the appearance of new lesions. (NCT02119663)
Timeframe: Randomization to disease progression, or death due to any cause if sooner; up to 6-months or to the data cutoff 11FEB2016.
Intervention | days (Median) |
---|
Ruxolitinib Plus Capecitabine | 48.0 |
Placebo Plus Capecitabine | 61.0 |
[back to top]
Duration of Response
Duration of overall response was defined as the time in months from Complete Response (CR) or Partial Response (PR) by Response Evaluation Criteria in Solid Tumours (RECIST v1.1) until the first date Progressive Disease (PD) was objectively documented or until the date of death. Per RECIST for target lesions and assessed by computed tomography (CT) and/or magnetic resonance imaging (MRI): Complete Response (CR), Disappearance of all target and non-target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions with no worsening of non-target lesions and no new lesions; Overall Response (OR) = CR + PR. (NCT02119663)
Timeframe: Baseline through end of study; up to 6-months or to the data cutoff 11FEB2016.
Intervention | days (Median) |
---|
Ruxolitinib Plus Capecitabine | NA |
Placebo Plus Capecitabine | NA |
[back to top]
Participants With Treatment-Emergent Adverse Events (TEAEs)
A treatment-emergent AE was defined as an event occurring after exposure to at least 1 dose of study drug (ruxolitinib or placebo). A treatment-related AE was defined as an event with a definite, probable, or possible causality to study medication. A serious AE is an event resulting in death, hospitalization, persistent or significant disability/incapacity, or is life threatening, a congenital anomaly/birth defect or requires medical or surgical intervention to prevent 1 of the outcomes above. The intensity of an AE was graded according to the National Cancer Institute common terminology criteria for adverse events (NCI-CTCAE) version 4.03: Grade 1 (Mild); Grade 2 (Moderate); Grade 3 (Severe); Grade 4 (life-threatening). (NCT02119663)
Timeframe: Baseline through approximately 30 days post treatment discontinuation; up to 6-months or to the data cutoff 11FEB2016.
,
Intervention | Participants (Count of Participants) |
---|
| Participants who had any TEAEs | Participants who had treatment-related TEAEs | Participants who had SAEs | Participants who had Grade 3 or higher TEAEs | Participants hospitalized because of a TEAE | Participants discontinued treatment due to TEAE | Participants with a dose modification due to TEAE | Participants on concomitant medication due to TEAE | Participants with procedure performed due to TEAE | Participants who had a fatal TEAE |
---|
Placebo Plus Capecitabine | 40 | 25 | 20 | 31 | 18 | 5 | 14 | 35 | 14 | 2 |
Ruxolitinib Plus Capecitabine | 41 | 21 | 28 | 31 | 26 | 7 | 17 | 36 | 22 | 8 |
[back to top]
Percentage of Participants Achieving Progression Free Survival (PFS)
PFS is defined as the time from randomization until the earliest date of disease progression determined by investigator assessment of objective radiographic disease assessments per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, or death due to any cause if sooner. Progressive Disease (PD) is defined using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 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, unequivocal progression of non-target lesions, or the appearance of new lesions. (NCT02119663)
Timeframe: Randomization to disease progression, or death due to any cause if sooner; up to 6-months or to the data cutoff 11FEB2016.
,
Intervention | percentage of participants (Median) |
---|
| Survival rate at 3 months | Survival rate at 6 months |
---|
Placebo Plus Capecitabine | 0.297 | 0.204 |
Ruxolitinib Plus Capecitabine | 0.337 | 0.131 |
[back to top]
Overall Survival (OS)
Overall survival is reported here based on the number of deaths from randomization until the data cut-off. (NCT02119663)
Timeframe: Randomization until death due to any cause up to 6-months or to the data cutoff 11FEB2016.
,
Intervention | Participants (Count of Participants) |
---|
| Observed deaths | Censored deaths |
---|
Placebo Plus Capecitabine | 23 | 20 |
Ruxolitinib Plus Capecitabine | 29 | 14 |
[back to top]
[back to top]
Percentage of Participants Achieving Clinical Benefit Rate
Clinical benefit rate was defined as a complete response, partial response, or stable disease, determined by investigator assessment of objective radiographic disease assessments per RECIST (v1.1) that lasted for ≥ 6 months. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) for target lesions and assessed by computed tomography (CT) and/or magnetic resonance imaging (MRI) : Complete Response (CR), Disappearance of all target and non-target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions with no worsening of non-target lesions and no new lesions; Overall Response (OR) = CR + PR. (NCT02120417)
Timeframe: Randomization through end of study up to 19 months or the data cutoff 08FEB2016.
Intervention | percentage of participants (Number) |
---|
Treatment A - Capecitabine and Ruxolitinib | 13.2 |
Treatment B - Capecitabine and Placebo | 6.8 |
[back to top]
Percentage of Participants Achieving Overall Survival
Overall survival was assessed by the time to death or censoring up until 08Feb2016. Participants with no observed death were treated as right-censored at their last date known to be alive. The survival time was analyzed using the Kaplan-Meier method. (NCT02120417)
Timeframe: Randomization until death due to any cause at month 3, 6, 9, 12 and 15 or the data cutoff 08FEB2016.
,
Intervention | percentage of participants (Number) |
---|
| Month 3 Survival Rate | Month 6 Survival Rate | Month 9 Survival Rate | Month 12 Survival Rate | Month 15 Survival Rate |
---|
Treatment A - Capecitabine and Ruxolitinib | 0.855 | 0.674 | 0.537 | 0.435 | 0.319 |
Treatment B - Capecitabine and Placebo | 0.750 | 0.635 | 0.546 | 0.427 | 0.294 |
[back to top]
Percentage of Participants Achieving Objective Response Rate
Objective response rate determined by radiographic disease assessments per RECIST (v1.1), by investigator assessment and was defined as the percentage of participants with Complete Response (CR) or Partial Response (PR) by Response Evaluation Criteria in Solid Tumours (RECIST) at any post baseline visit. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) for target lesions and assessed by computed tomography (CT) and/or magnetic resonance imaging (MRI) : Complete Response (CR), Disappearance of all target and non-target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions with no worsening of non-target lesions and no new lesions; Overall Response (OR) = CR + PR. (NCT02120417)
Timeframe: Randomization through end of study up to 19 months or the data cutoff 08FEB2016.
,
Intervention | percentage of participants (Number) |
---|
| Complete Response rate | Partial Response rate |
---|
Treatment A - Capecitabine and Ruxolitinib | 0.0 | 28.9 |
Treatment B - Capecitabine and Placebo | 0.0 | 13.7 |
[back to top]
Progression-free Survival (PFS)
Progression-free survival was defined as the time from the randomization date to the earliest date of disease progression, as measured by investigator assessment of objective radiographic disease assessments per RECIST (v1.1), or death from any cause if earlier. Progression-free survival time distribution and median survival for each treatment group were analyzed using the Kaplan-Meier method. (NCT02120417)
Timeframe: Randomization to disease progression, or death due to any cause if sooner up to 19 months or the data cutoff 08FEB2016.
Intervention | months (Median) |
---|
Treatment A - Capecitabine and Ruxolitinib | 4.5 |
Treatment B - Capecitabine and Placebo | 2.5 |
[back to top]
Duration of Response (DOR)
The DOR was defined as the difference (in number of months) between the end of response and the start of response for participants who had at least 1 response measurement. The start of a response was the first visit where the participant achieved a partial response or better based on RECIST (v1.1) criteria. The end of response was the earlier of death or progressive disease based on RECIST (v1.1) criteria. The date of progressive disease was the date on which progression was first recorded. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) for target lesions and assessed by computed tomography (CT) and/or magnetic resonance imaging (MRI) : Complete Response (CR), Disappearance of all target and non-target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions with no worsening of non-target lesions and no new lesions; Overall Response (OR) = CR + PR. (NCT02120417)
Timeframe: Randomization through end of study up to 19 months or the data cutoff 08FEB2016.
Intervention | months (Median) |
---|
Treatment A - Capecitabine and Ruxolitinib | 4.2 |
Treatment B - Capecitabine and Placebo | 4.4 |
[back to top]
Overall Survival (OS)
OS: The time from registration to death or date of last contact. Participants with overall survival at 1 year. Kaplan-Meier estimator will be utilized. (NCT02218164)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|
| Expired in less than a year | Alive at the end of the year | Had not completed survival follow-up at closeout |
---|
Capecitabine or 5-FU With Pegylated Interferon Alpha-2b | 4 | 2 | 2 |
[back to top]
[back to top]
Objective Response Rate (ORR)
ORR: Stable Disease (SD); Partial Response (PR); Complete Response (CR). Response according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. CR: disappearance of all target lesions; PR: At least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD; Progressive Disease (PD): 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; SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started. (NCT02218164)
Timeframe: 9 weeks per participant
Intervention | Participants (Count of Participants) |
---|
| Stable Disease | Complete Response | Partial Response |
---|
Capecitabine or 5-FU With Pegylated Interferon Alpha-2b | 4 | 1 | 1 |
[back to top]
Progression Free Survival (PFS)
PFS: Alive without RECIST progression. Progressive Disease (PD): 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. (NCT02218164)
Timeframe: 1 year
Intervention | months (Median) |
---|
Capecitabine or 5-FU With Pegylated Interferon Alpha-2b | 11.3 |
[back to top]
Peritoneal Recurrence Free Survival at 18 Months
Peritoneal recurrence-free survival at 18 months determined by CT and CEA. If CEA was normal and CT did not show any signs of peritoneal metastase at 18 months, a diagnostic laparoscopy was performed in those patients who consented to this intervention. Complete peritoneal staging was performed during laparoscopy, and biopsies were taken from suspicious lesions. If no peritoneal lesions were seen or biopsies were negative, this indicated that the patient was free from peritoneal recurrence. (NCT02231086)
Timeframe: 18 months
Intervention | participants (Number) |
---|
Standard Adjuvant Systemic Chemotherapy | 79 |
Adjuvant HIPEC (Open/Laparoscopic) | 80 |
[back to top]
[back to top]
Survival Rate at 18 Month
Number of participants surviving after 18 months of study follow-up (NCT02243007)
Timeframe: 18 Month
Intervention | Participants (Count of Participants) |
---|
Folfirinox-ARM A | 2 |
Gemcitabine/Nab-Paclitaxel- Arm B | 3 |
[back to top]
Number of Participants With Serious and Non-Serious Adverse Events
Number of Participants with Serious and Non-Serious Adverse Events from baseline to 28 days (NCT02243007)
Timeframe: Baseline, 28 Days
,
Intervention | participants (Number) |
---|
| Serious Adverse Events | Other Adverse Events |
---|
Folfirinox-ARM A | 0 | 4 |
Gemcitabine/Nab-Paclitaxel- Arm B | 2 | 3 |
[back to top]
Rate of Pathologic Downstaging
The number of participants achieving a reduction in the pathological staging of the primary cancer. (NCT02243007)
Timeframe: 2 Years
Intervention | () |
---|
Folfirinox-ARM A | 0 |
Gemcitabine/Nab-Paclitaxel- Arm B | 0 |
[back to top]
30-day Post-operative Mortality Rate
Number of patients who died following surgery. (NCT02243007)
Timeframe: 30 Days
Intervention | () |
---|
Folfirinox-ARM A | 0 |
Gemcitabine/Nab-Paclitaxel- Arm B | 0 |
[back to top]
Correlation of Biomarkers With PFS
Analysis of the correlation between selected bio-markers and progression free survival. (NCT02243007)
Timeframe: 2 Years
Intervention | () |
---|
Folfirinox-ARM A | 0 |
Gemcitabine/Nab-Paclitaxel- Arm B | 0 |
[back to top]
Local Control Rate
The number of participants achieving local control. The local control rate is defined as the number of participants achieving stable disease, partial response, or a complete response. (NCT02243007)
Timeframe: 2 Years
Intervention | () |
---|
Folfirinox-ARM A | 0 |
Gemcitabine/Nab-Paclitaxel- Arm B | 0 |
[back to top]
Pathologic Complete Response Rate (pCR).
Number of patients achieving pathologic complete response at 18 months. Pathologic complete response is defined as the absence of residual invasive disease in the panaceas and in the regional lymph nodes. (NCT02243007)
Timeframe: 18 Months
Intervention | () |
---|
Folfirinox-ARM A | 0 |
Gemcitabine/Nab-Paclitaxel- Arm B | 0 |
[back to top]
Surgical Morbidity Rate
Number of patients experiencing a specific surgery related morbidity (NCT02243007)
Timeframe: within 30 days of surgery
Intervention | () |
---|
Folfirinox-ARM A | 0 |
Gemcitabine/Nab-Paclitaxel- Arm B | 0 |
[back to top]
[back to top]
Progression-Free Survival (PFS)
PFS is defined as the time from randomization to the first occurrence of disease progression according to RECIST v1.1, or death from any cause, whichever occurs first. Progressive disease (PD) for target lesion: At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of >/=5 mm. PD for non-target lesion: Unequivocal progression of existing non-target lesions. (NCT02291289)
Timeframe: From randomization until disease progression or death from any cause, up to 5 years
Intervention | months (Median) |
---|
Cohort 1 (Maintenance Phase[MP]):5-FU/LV,Cetuximab,Vemurafenib | 9.99 |
Cohort 1 Control (MP): 5-FU/LV or Capecitabin, Bevacizumab | 11.60 |
Cohort 2 (MP):5-FU/LV or Capecitabine,Bevacizumab,Atezolizumab | 7.13 |
Cohort 2 Control (MP): 5-FU/LV or Capecitabin, Bevacizumab | 7.36 |
Cohort 3 (MP): Capecitabine,Trastuzumab,Pertuzumab | 4.44 |
Cohort 3 Control (MP): 5-FU/LV or Capecitabin, Bevacizumab | 4.04 |
Cohort 4 (MP): Cobimetinib,Atezolizumab | 3.75 |
Cohort 4 Control (MP): 5-FU/LV or Capecitabin, Bevacizumab | 7.79 |
[back to top]
Overall Response
Calculated as the number of participants with a best overall response of CR or PR according to RECIST 1.1. CR: disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. OR= CR + PR. (NCT02291289)
Timeframe: From randomization until disease progression, up to 5 years
Intervention | Participants (Count of Participants) |
---|
Cohort 1 (Maintenance Phase[MP]):5-FU/LV,Cetuximab,Vemurafenib | 20 |
Cohort 1 Control(MP): 5-FU/LV or Capecitabin, Bevacizumab | 5 |
Cohort 2 (MP):5-FU/LV or Capecitabine,Bevacizumab,Atezolizumab | 49 |
Cohort 2 Control (MP): 5-FU/LV or Capecitabin, Bevacizumab | 22 |
Cohort 3 (MP): Capecitabine,Trastuzumab,Pertuzumab | 1 |
Cohort 3 Control (MP): 5-FU/LV or Capecitabin, Bevacizumab | 0 |
Cohort 4 (MP): Cobimetinib,Atezolizumab | 7 |
Cohort 4 Control (MP): 5-FU/LV or Capecitabin, Bevacizumab | 8 |
[back to top]
Duration of Response
Defined as the time from the first assessment of CR or PR until disease progression or death from any cause, whichever occurs first. CR is defined as disappearance of all target lesions. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. (NCT02291289)
Timeframe: From first objective response until disease progression or death from any cause, up to 5 years
Intervention | months (Median) |
---|
Cohort 1 (Maintenance Phase[MP]):5-FU/LV,Cetuximab,Vemurafenib | 11.50 |
Cohort 1 Control(MP):5-FU/LV or Capecitabin, Bevacizumab | 8.74 |
Cohort 2(MP):5-FU/LV or Capecitabine,Bevacizumab,Atezolizumab | 9.30 |
Cohort 2 Control (MP): 5-FU/LV or Capecitabin, Bevacizumab | 7.59 |
Cohort 3 (MP): Capecitabine,Trastuzumab,Pertuzumab | 9.205 |
Cohort 3 Control (MP): 5-FU/LV or Capecitabin, Bevacizumab | 0 |
Cohort 4 (MP): Cobimetinib,Atezolizumab | 7.11 |
Cohort 4 Control (MP): 5-FU/LV or Capecitabin, Bevacizumab | 6.06 |
[back to top]
Disease Control Rate (DCR)
DCR is defined as the percentage of participants with CR, PR, or stable disease (SD) at 16 weeks. Per RECIST v1.1, CR is defined as disappearance of all target lesions. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for disease progression, taking as reference the smallest sum on study. Disease progression is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study including baseline, or the appearance of one or more new lesions. (NCT02291289)
Timeframe: From randomization until disease progression, up to 5 years
Intervention | Participants (Count of Participants) |
---|
Cohort 1 (Maintenance Phase[MP]):5-FU/LV,Cetuximab,Vemurafenib | 36 |
Cohort 1 Control(MP): 5-FU/LV or Capecitabin, Bevacizumab | 15 |
Cohort 2(MP):5-FU/LV or Capecitabine,Bevacizumab,Atezolizumab | 227 |
Cohort 2 Control (MP): 5-FU/LV or Capecitabin, Bevacizumab | 111 |
Cohort 3 (MP): Capecitabine,Trastuzumab,Pertuzumab | 1 |
Cohort 3 Control (MP): 5-FU/LV or Capecitabin, Bevacizumab | 0 |
Cohort 4 (MP): Cobimetinib,Atezolizumab | 44 |
Cohort 4 Control (MP): 5-FU/LV or Capecitabin, Bevacizumab | 26 |
[back to top]
Time to Treatment Response
Calculated as the time from randomization to the first Occurrence of a documented Objective Response (CR or PR) determined according to RECIST 1.1. CR is defined as disappearance of all target lesions. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. (NCT02291289)
Timeframe: From randomization until disease progression or death from any cause, up to 5 years
Intervention | months (Median) |
---|
Cohort 1 (Maintenance Phase[MP]):5-FU/LV,Cetuximab,Vemurafenib | 3.943 |
Cohort 1 Control(MP):5-FU/LV or Capecitabin, Bevacizumab | 5.552 |
Cohort 2(MP):5-FU/LV or Capecitabine,Bevacizumab,Atezolizumab | 5.224 |
Cohort 2 Control (MP): 5-FU/LV or Capecitabin, Bevacizumab | 4.616 |
Cohort 3 (MP): Capecitabine,Trastuzumab,Pertuzumab | 5.490 |
Cohort 3 Control (MP): 5-FU/LV or Capecitabin, Bevacizumab | 0 |
Cohort 4 (MP): Cobimetinib,Atezolizumab | 3.745 |
Cohort 4 Control (MP): 5-FU/LV or Capecitabin, Bevacizumab | 2.530 |
[back to top]
Proportion of Subjects Experiencing Diarrhoea of Grade 2 and Above (up to 24 Weeks)
Proportion of subjects experiencing at least one episode of diarrhoea with a severity of Grade 2 and above, as defined by the National Cancer Institute common terminology criteria for adverse events (NCI CTCAE) version 4.03, recorded as AEs in the Electronic case report form (eCRF) (NCT02294786)
Timeframe: Up to 24 weeks
,
Intervention | Participants (Count of Participants) |
---|
| Cyclce 1-3 (up to 9 weeks)with impuation | Cyclce 1-8 (up to 24 weeks)without imputation |
---|
No Octreotide Treatment | 9 | 5 |
Octreotide Treatment | 7 | 6 |
[back to top]
Number of Lapatinib and Capecitabine Tablets Dispensed and Returned
Number of Lapatinib and Capecitabine tablets dispensed and returned as recorded in the eCRF (NCT02294786)
Timeframe: Up to 24 weeks
,
Intervention | tablets (Mean) |
---|
| Number of Lapatinib tablets dispensed | Number of Lapatinib tablets returned | Number of Capecitabine tablets dispensed | Number of Capecitabine tablets returned |
---|
No Octreotide Treatment | 1115.6 | 403.3 | 1011.2 | 210 |
Octreotide Treatment | 1197.5 | 477.1 | 1022.6 | 186.1 |
[back to top]
Time to the First Subject Reported Change in Frequency and/or Consistency of Bowel Movements From Baseline as Recorded in the DMD
Event is defined as Subjects reporting change in frequency and/or consistency of bowel movements from baseline at least once in DMD. Subject are censored if there is no change in bowel movement frequency/consistency as compared to baseline. Median time and 95% confidence intervals were calculated using Kaplan-Meier estimates. (NCT02294786)
Timeframe: Up to 24 weeks
Intervention | Days (Median) |
---|
Octreotide Treatment | 22.0 |
No Octreotide Treatment | 8.0 |
[back to top]
Proportion of Subjects Taking Anti-diarrhoeal Medication as Recorded in the DMD
The proportion of subjects taking medication at least once as a result of diarrhoea are summarised (NCT02294786)
Timeframe: Up to 24 weeks
Intervention | Participants (Count of Participants) |
---|
Octreotide Treatment | 2 |
No Octreotide Treatment | 2 |
[back to top]
Proportion of Subjects Taking Anti-diarrhoeal Medication
Proportion of subjects taking anti-diarrhoeal medication as recorded in the eCRF (NCT02294786)
Timeframe: Up to 24 weeks
Intervention | Participants (Count of Participants) |
---|
Octreotide Treatment | 7 |
No Octreotide Treatment | 11 |
[back to top]
Proportion of Subjects Reporting Stopping Completely or Missing Doses of Anti-cancer Tablets Due to Diarrhoea as Recorded in the DMD
The proportion of subjects reducing or completely stopping the number of anti-cancer tablets to help with diarrhoea are summarised (NCT02294786)
Timeframe: Up to 24 weeks
Intervention | Participants (Count of Participants) |
---|
Octreotide Treatment | 2 |
No Octreotide Treatment | 3 |
[back to top]
Proportion of Subjects Reporting Changes in Bowel Movements From Baseline (Frequency and/or Consistency) as Recorded in the Diarrhoea Management Diary (DMD)
All subjects completed the baseline DMD during the 3 days prior to randomisation, before any study-related treatment is administered. Subjects randomised to receive Octreotide completed a second baseline DMD before starting the first cycle of treatment with Lapatinib and Capecitabine. The baseline DMD comprised of 3 questions to record stool form and consistency. The DMD to be completed throughout the rest of the study comprised of 3 questions in the baseline DMD and a further 5 questions and 6 sub-questions to evaluate the consequences and management of diarrhoea. (NCT02294786)
Timeframe: Up to 24 weeks
Intervention | Participants (Count of Participants) |
---|
Octreotide Treatment | 23 |
No Octreotide Treatment | 29 |
[back to top]
Proportion of Subjects Making Dietary Changes Due to Diarrhoea as Recorded in the DMD
The proportion of subjects making dietary changes to help with the diarrhoea are summarised (NCT02294786)
Timeframe: Up to 24 weeks
Intervention | Participants (Count of Participants) |
---|
Octreotide Treatment | 9 |
No Octreotide Treatment | 11 |
[back to top]
Time to Onset of the First Episode of Diarrhoea of Any Grade of Severity
Time to onset of the first episode of diarrhoea of any grade of severity, recorded as an AE in the eCRF. Subject are censored if there was no event. Median time and 95% confidence intervals were calculated using Kaplan-Meier estimates. (NCT02294786)
Timeframe: Up to 24 weeks
Intervention | Days (Median) |
---|
Octreotide Treatment | NA |
No Octreotide Treatment | 170 |
[back to top]
Proportion of Subjects Experiencing Diarrhoea of Grade 3 and Above (up to 24 Weeks)
Proportion of subjects experiencing diarrhoea with a severity of Grade 3 and above, as defined by the NCI CTCAE, version 4.03 and recorded as AEs in the eCRF (NCT02294786)
Timeframe: Up to 24 weeks
Intervention | Participants (Count of Participants) |
---|
Octreotide Treatment | 2 |
No Octreotide Treatment | 0 |
[back to top]
Proportion of Subjects Experiencing Diarrhoea of Any Grade of Severity (up to 24 Weeks)
Proportion of subjects experiencing diarrhoea of any grade of severity as defined by the NCI CTCAE, version 4.03 and recorded as AEs in the eCRF (NCT02294786)
Timeframe: Up to 24 weeks
Intervention | Participants (Count of Participants) |
---|
Octreotide Treatment | 18 |
No Octreotide Treatment | 14 |
[back to top]
[back to top]
Duration of Diarrhoea of Any Grade of Severity
Duration of diarrhoea of any grade of severity, recorded as AEs in the eCRF (NCT02294786)
Timeframe: Up to 24 weeks
Intervention | days (Mean) |
---|
Octreotide Treatment | 8.7 |
No Octreotide Treatment | 36.8 |
[back to top]
Clinical Benefit Response (up to 24 Weeks)
"Clinical benefit response as measured in accordance with the Response Evaluation Criteria In Solid Tumours (RECIST) version 1.1. Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD.~Clinical Benefit Response rate (CBR) is defined as the percentage of subjects with a CR, PR or SD at week 24." (NCT02294786)
Timeframe: Up to 24 weeks
Intervention | Participants (Count of Participants) |
---|
Octreotide Treatment | 7 |
No Octreotide Treatment | 9 |
[back to top]
Proportion of Subjects Requiring Treatment Withdrawal in Lapatinib and Capecitabine
Proportion of subjects requiring diarrhoea related Lapatinib and Capecitabine treatment withdrawal as recorded in the eCRF (NCT02294786)
Timeframe: Up to 24 weeks
,
Intervention | Participants (Count of Participants) |
---|
| Requiring treatment withdrawal in Lapatinib | Requiring treatment withdrawal in Capecitabine |
---|
No Octreotide Treatment | 0 | 0 |
Octreotide Treatment | 0 | 0 |
[back to top]
Proportion of Subjects Requiring Dose Reduction in Lapatinib and Capecitabine
Proportion of subjects requiring diarrhoea related Lapatinib and Capecitabine dose reduction as recorded in the eCRF (NCT02294786)
Timeframe: Up to 24 weeks
,
Intervention | Participants (Count of Participants) |
---|
| Subjects requiring dose reduction in Lapatinib | Subjects requiring dose reduction in Capecitabine |
---|
No Octreotide Treatment | 0 | 2 |
Octreotide Treatment | 1 | 1 |
[back to top]
Proportion of Subjects Requiring Dose Delay in Lapatinib and Capecitabine
Proportion of subjects requiring diarrhoea related Lapatinib and Capecitabine dose delay as recorded in the eCRF (NCT02294786)
Timeframe: Up to 24 weeks
,
Intervention | Participants (Count of Participants) |
---|
| Subjects requiring dose delay in Lapatinib | Subjects requiring dose delay in Capecitabine |
---|
No Octreotide Treatment | 2 | 2 |
Octreotide Treatment | 2 | 2 |
[back to top]
Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Satisfaction With Health Care Scale
The EORTC pancreatic cancer module is a validated tool intended for patients at all disease stages undergoing surgical resection, palliative surgical intervention, endoscopic palliation or palliative chemotherapy. The module includes 26 questions, organized into 7 scales and 10 individual item scores. The summary scale for Satisfaction with Health Care is reported. All reported measures are transformed to a 0 to 100 scale. Scores of 0 = not satisfied, worst possible health state and 100 = extremely satisfied, best possible health state. The best score on treatment is the best score from all post-baseline visits and is compared to the baseline to get the following responder categories. Responder categories: - Improved: >=MID increase from baseline - Stable: no increase or decrease >MID - Worsened: >=MID decrease from baseline MID = half the baseline standard deviation (NCT02301143)
Timeframe: Baseline (Day -1), Day 1 of each cycle, for up to 19 cycles each cycle consisting of 28 days and the 28-day follow-up visit
Intervention | Participants (Count of Participants) |
---|
| Satisfaction with Health Care Scale: Improved | Satisfaction with Health Care Scale: Stable | Satisfaction with Health Care Scale: Worsened |
---|
Nab-Paclitaxel Plus Gemcitabine | 42 | 40 | 13 |
[back to top]
Disease Control Rate (DCR): Percentage of Participants With Complete (CR) or Partial Response (PR), or Stable Disease (SD) for ≥ 16 Weeks According to RECIST Version 1.1
"DCR was defined as the percentage of participants with a CR or PR or SD from of date of first treatment to 16 weeks. Tumor assessments after start of non-protocol-defined anticancer therapy were excluded.~RECIST 1.1 Definition:~CR: disappearance of all target and non-target lesions; any pathological lymph nodes (target or non-target) must have reduction in short axis to < 10 mm and no new lesions diagnosed.~PR: a >= 30% decrease in the sum of diameters of target lesions from baseline; no evidence of progression in any of the non-target lesions diagnosed at baseline; and no new lesions diagnosed.~SD: neither sufficient shrinkage to qualify for PR nor sufficient increase of lesions to qualify for PD.~The two-sided 90% binomial confidence intervals (CIs) were estimated by Wilson score method." (NCT02301143)
Timeframe: Day 1 of study treatment up to the end of investigator choice period plus 28 days; up to 76.9 weeks
Intervention | percentage of participants (Number) |
---|
Nab-Paclitaxel Plus Gemcitabine | 77.6 |
[back to top]
Kaplan-Meier Estimate of Progression-Free Survival (PFS)
"Progression-free Survival (PFS) was defined as the time from the date of the first dose to the date of disease progression or death (by any cause), whichever is earlier. The analysis day was calculated from enrollment date for one participant who was not treated. Participants who have no disease progression or have not died were censored to last tumor assessment date with progression-free.~The definition for progressive disease (PD) was at least a 20% increase in the sum of diameters of target lesions from nadir; the sum must also demonstrate an absolute increase of >= 5 mm; the progression of a non-target lesion or the appearance of any new lesions is also considered progression.~Median and its 90% confidence interval of PFS were estimated using the method of Brookmeyer and Crowley." (NCT02301143)
Timeframe: Day 1 of study treatment up to 28.75 months (maximum time for the last tumor assessment)
Intervention | months (Median) |
---|
Nab-Paclitaxel Plus Gemcitabine | 10.9 |
[back to top]
Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales
The EORTC pancreatic cancer module is a validated tool intended for patients at all disease stages undergoing surgical resection, palliative surgical intervention, endoscopic palliation or palliative chemotherapy. The module includes 26 questions, organized into 7 scales and 10 individual item scores. All reported measures are transformed to a 0 to 100 scale. Six summary scales reported are: - Pancreatic Pain - Digestive Symptoms - Altered Bowel Habits - Hepatic Scale - Body Image - Sexuality Scores of 0 = optimal health state and 100 = worst possible health state. The best score on treatment is the best score from all post-baseline visits and is compared to the baseline. Responder categories: - Improved: >=MID decrease from baseline - Stable: no increase or decrease >MID - Worsened: >=MID increase from baseline MID = half the baseline standard deviation (NCT02301143)
Timeframe: Baseline (Day -1), Day 1 of each cycle, for up to 19 cycles each cycle consisting of 28 days and the 28-day follow-up visit
Intervention | Participants (Count of Participants) |
---|
| Pancreatic Pain Scale: Improved | Pancreatic Pain Scale: Stable | Pancreatic Pain Scale: Worsened | Digestive Symptom Scale: Improved | Digestive Symptom Scale: Stable | Digestive Symptom Scale: Worsened | Altered Bowel Habits Scale: Improved | Altered Bowel Habits Scale: Stable | Altered Bowel Habits Scale: Worsened | Hepatic Scale: Improved | Hepatic Scale: Stable | Hepatic Scale: Worsened | Body Image Scale: Improved | Body Image Scale: Stable | Body Image Scale: Worsened | Sexuality Scale: Improved | Sexuality Scale: Stable | Sexuality Scale: Worsened |
---|
Nab-Paclitaxel Plus Gemcitabine | 62 | 33 | 0 | 49 | 36 | 10 | 28 | 53 | 14 | 25 | 66 | 4 | 22 | 50 | 23 | 31 | 51 | 13 |
[back to top]
Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores
The EORTC pancreatic cancer module is a validated tool intended for patients at all disease stages undergoing surgical resection, palliative surgical intervention, endoscopic palliation or palliative chemotherapy. The module includes 26 questions, organized into 7 scales and 10 individual item scores. The 10 individual item scores are reported. All reported measures are transformed to a 0 to 100 scale. Scores of 0 = best possible health state and 100 = worst possible health state. The best score on treatment is the best score from all post-baseline visits and is compared to the baseline to get the following responder categories. Responder categories: - Improved: >=MID decrease from baseline - Stable: no increase or decrease >MID - Worsened: >=MID increase from baseline MID = half the baseline standard deviation (NCT02301143)
Timeframe: Baseline (Day -1), Day 1 of each cycle, for up to 19 cycles each cycle consisting of 28 days and the 28-day follow-up visit
Intervention | Participants (Count of Participants) |
---|
| Abdominal Bloating: Improved | Abdominal Bloating: Stable | Abdominal Bloating: Worsened | Taste Changes: Improved | Taste Changes: Stable | Taste Changes: Worsened | Indigestion: Improved | Indigestion: Stable | Indigestion: Worsened | Flatulence: Improved | Flatulence: Stable | Flatulence: Worsened | Weight Loss: Improved | Weight Loss: Stable | Weight Loss: Worsened | Limb Weakness: Improved | Limb Weakness: Stable | Limb Weakness: Worsened | Dry Mouth: Improved | Dry Mouth: Stable | Dry Mouth: Worsened | Treatment Side-Effects: Improved | Treatment Side-Effects: Stable | Treatment Side-Effects: Worsened | Worry About Future Health: Improved | Worry About Future Health: Stable | Worry About Future Health: Worsened | Limits on Activity Planning: Improved | Limits on Activity Planning: Stable | Limits on Activity Planning: Worsened |
---|
Nab-Paclitaxel Plus Gemcitabine | 50 | 42 | 3 | 20 | 54 | 21 | 41 | 47 | 7 | 47 | 37 | 11 | 36 | 56 | 3 | 22 | 55 | 18 | 37 | 45 | 13 | 8 | 48 | 39 | 42 | 45 | 8 | 42 | 42 | 11 |
[back to top]
Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items
The European Organization for Research and Treatment of Cancer Quality-of-Life questionnaire (EORTC QLQ-C30) is a validated health-related quality of life (HRQoL) measure. The EORTC QLQ-C30 is composed of both multi-item scales and single-item measures, including 5 functional scales, 3 symptom scales, 6 single symptom items, and 1 global health status / quality of life scale. No item occurs in more than one scale. All reported measures are transformed to a 0 to 100 scale. In the symptom scales and single symptom items, 0 = optimal health state and 100 = worst possible health state. The best score on treatment is the best score from all post-baseline visits and is compared to the baseline to get the following responder categories. Responder categories: - Improved: >=10 decrease from baseline - Stable: neither increase nor decrease >10 - Worsened: >=10 increase from baseline (NCT02301143)
Timeframe: Baseline (Day -1), Day 1 of each cycle, for up to 19 cycles each cycle consisting of 28 days and the 28-day follow-up visit
Intervention | Participants (Count of Participants) |
---|
| Symptom Scale-Fatigue: Improved | Symptom Scale-Fatigue: Stable | Symptom Scale-Fatigue: Worsened | Scale-Nausea+Vomiting: Improved | Scale-Nausea+Vomiting: Stable | Scale-Nausea+Vomiting: Worsened | Symptom Scale-Pain: Improved | Symptom Scale-Pain: Stable | Symptom Scale-Pain: Worsened | Symptom - Dyspnoea: Improved | Symptom - Dyspnoea: Stable | Symptom - Dyspnoea: Worsened | Symptom - Insomnia: Improved | Symptom - Insomnia: Stable | Symptom - Insomnia: Worsened | Symptom - Appetite loss: Improved | Symptom - Appetite loss: Stable | Symptom - Appetite loss: Worsened | Symptom - Constipation: Improved | Symptom - Constipation: Stable | Symptom - Constipation: Worsened | Symptom - Diarrhoea: Improved | Symptom - Diarrhoea: Stable | Symptom - Diarrhoea: Worsened | Symptom - Financial difficulties: Improved | Symptom - Financial difficulties: stable: | Symptom - Financial difficulties: Worsened |
---|
Nab-Paclitaxel Plus Gemcitabine | 46 | 24 | 25 | 29 | 64 | 2 | 62 | 29 | 4 | 12 | 74 | 9 | 53 | 35 | 7 | 48 | 39 | 8 | 46 | 45 | 4 | 18 | 69 | 8 | 17 | 74 | 4 |
[back to top]
Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales
The European Organization for Research and Treatment of Cancer Quality-of-Life questionnaire (EORTC QLQ-C30) is a validated health-related quality of life (HRQoL) measure. The EORTC QLQ-C30 is composed of both multi-item scales and single-item measures, including 5 functional scales, 3 symptom scales, 6 single symptom items, and 1 global health status / quality of life scale. No item occurs in more than one scale. All reported measures are transformed to a 0 - 100 scale. In the Global Health Status and 5 functional scales, 0 = worst possible quality of life/health status and 100 = best possible quality of life/health status. The best score on treatment is the best score from all post-baseline visits and is compared to the baseline to get the following responder categories. Responder categories: - Improved: >=10 increase from baseline - Stable: neither increase nor decrease >10 - Worsened: >=10 decrease from baseline (NCT02301143)
Timeframe: Baseline (Day -1), Day 1 of each cycle, for up to 19 cycles each cycle consisting of 28 days and the 28-day follow-up visit
Intervention | Participants (Count of Participants) |
---|
| Global Health Status: Improved | Global Health Status: Stable | Global Health Status: Worsened | Physical Functioning Scale: Improved | Physical Functioning Scale: Stable | Physical Functioning Scale: Worsened | Role Functioning Scale: Improved | Role Functioning Scale: Stable | Role Functioning Scale: Worsened | Emotional Functioning Scale: Improved | Emotional Functioning Scale: Stable | Emotional Functioning Scale: Worsened | Cognitive Functioning Scale: Improved | Cognitive Functioning Scale: Stable | Cognitive Functioning Scale: Worsened | Social Functioning Scale: Improved | Social Functioning Scale: Stable | Social Functioning Scale: Worsened |
---|
Nab-Paclitaxel Plus Gemcitabine | 43 | 34 | 18 | 20 | 66 | 9 | 36 | 46 | 13 | 50 | 40 | 5 | 33 | 51 | 11 | 38 | 43 | 14 |
[back to top]
Overall Response Rate (ORR): Percentage of Participants With Complete (CR) or Partial Response (PR) According to RECIST Version 1.1
"ORR was defined as the percentage of participants that achieved a combined incidence of complete (CR) and partial response (PR) using RECIST 1.1 guidelines as assessed by the investigator. Assessments after new non-protocol-defined anticancer therapy are excluded. For participants who had resectable surgery in Investigator Choice period, assessments after surgical intervention are excluded.~RECIST 1.1 Definition:~CR: disappearance of all target and non-target lesions; any pathological lymph nodes (target or non-target) must have reduction in short axis to < 10 mm and no new lesions diagnosed.~PR: a >= 30% decrease in the sum of diameters of target lesions from baseline; no evidence of progression in any of the non-target lesions diagnosed at baseline; and no new lesions diagnosed.~The two-sided 90% binomial confidence intervals (CIs) were estimated by Wilson score method" (NCT02301143)
Timeframe: Day 1 of study treatment up to the end of investigator choice period plus 28 days; up to 76.9 weeks
Intervention | percentage of participants (Number) |
---|
Nab-Paclitaxel Plus Gemcitabine | 39.3 |
[back to top]
Kaplan-Meier Estimates for Time to Treatment Failure (TTF)
"TTF was defined as the time after the first dose of study therapy to discontinuation of study therapy due to disease progression, death by any cause, or the start of a new non-protocol-defined anticancer therapy/surgery. If a participant does not progress, die or start a new non-protocol-defined anticancer therapy, the participant was censored on the last tumor assessment date.~Tumor evaluations of CT or MRI scans were assessed by the investigative sites and response determined according to Response Evaluation Criteria in Solid Tumors (RECIST) guidelines, version 1.1.~The definition for progressive disease (PD) was >= 20% increase in the sum of diameters of target lesions from nadir, and the sum showed an absolute increase of >= 5 mm; the progression of a non-target lesion or the appearance of any new lesions is also considered progression.~Median and its 90% confidence interval (CI) of TTF were estimated using the method of Brookmeyer and Crowley." (NCT02301143)
Timeframe: Day 1 of study treatment up to 28.75 months; (maximum time for the last tumor assessment)
Intervention | months (Median) |
---|
Nab-Paclitaxel Plus Gemcitabine | 9.0 |
[back to top]
Kaplan-Meier Estimates for Overall Survival (OS)
Overall survival was defined as the time from the date of first dose of study therapy to the date of death (by any cause). Participants who were alive at the end of study or clinical data cut were censored on the last known time that the participant was alive or the clinical cutoff date, whichever was earlier. Median and its 90% confidence interval of OS were estimated using the method of Brookmeyer and Crowley (NCT02301143)
Timeframe: Day 1 of study treatment up to 31.34 months (maximum time for survival follow-up)
Intervention | months (Median) |
---|
Nab-Paclitaxel Plus Gemcitabine | 18.8 |
[back to top]
Participants With Treatment Emergent Adverse Events (TEAEs)
"TEAEs are defined as any adverse event (AE) that begin or worsen on or after the start of study drug or procedure of the study period through the maximum duration of the period plus 28 days. The severity of AEs was graded based on National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE), Version 4.0 and the scale: Grade 1 = Mild Grade 2 = Moderate Grade 3 = Severe Grade 4 = Life threatening Grade 5 = Death. Relation to study drug was determined by the investigator. A treatment-related TEAE is defined as TEAE which was considered to be related to one or both of the study drugs and reported as 'Suspected' on the case report form. AEs with a missing relationship were treated as 'treatment-related' in data summaries. IP (investigational product) refers to nab-Paclitaxel and/or Gemcitabine. Related TEAE refers to relation to study drug (IP)." (NCT02301143)
Timeframe: Day 1 of study drug up to end of the study; up to 31.3 months
,
Intervention | Participants (Count of Participants) |
---|
| >= 1 TEAE | >=1 related TEAE | >=1 TEAE of severity grade 3 or higher | >=1 related TEAE of severity grade 3 or higher | >=1 serious TEAE | >= 1 related serious TEAE | >=1 TEAE leading to discontinuation of IP | >=1 related TEAE leading to discontinuation of IP | >=1 TEAE leading to dose reduction of IP | >=1 related TEAE leading to dose reduction of IP | >=1 TEAE leading to interruption of IP | >=1 related TEAE leading to interruption of IP | >= TEAE leading to death | >=1 related TEAE leading to death |
---|
Nab-Paclitaxel Plus Gemcitabine (Induction Period) | 105 | 102 | 85 | 72 | 38 | 14 | 25 | 15 | 69 | 68 | 66 | 48 | 2 | 0 |
Nab-Paclitaxel Plus Gemcitabine (Overall) | 105 | 103 | 90 | 75 | 39 | 14 | 28 | 18 | 72 | 71 | 68 | 50 | 2 | 0 |
[back to top]
Time to Progression (TTP)
TTP was time from the date of randomization to the date of radiographic progression (according to RECIST v.1.1). If a participant died due to any reason without radiographic progression, TTP is censored at the last adequate tumor assessment. Target lesions: Progressive Disease (PD): At least a 20% increase in the sum of diameters of lesions vs the smallest sum on study (the sum must also demonstrate an absolute increase of at least 5 mm); or the appearance of new lesion(s). Non target lesions: PD: Unequivocal progression of existing lesions or the appearance of new lesion(s). (NCT02314117)
Timeframe: Randomization to Disease Progression (Up To 24 Months)
Intervention | months (Median) |
---|
Ramucirumab + Cisplatin + Capecitabine | 6.77 |
Placebo + Cisplatin + Capecitabine | 5.78 |
[back to top]
[back to top]
PK: Minimum Concentration (Cmin) of Ramucirumab
Pharmacokinetics (PK): Minimum Concentration (Cmin) of Ramucirumab (NCT02314117)
Timeframe: Cycle 1 Day 1: 1 hour (hr) end of infusion (EOI), Cycle 3 Day 1: 1hr EOI, Cycle 9 Day 1: 1 hr EOI
Intervention | µg/mL (Geometric Mean) |
---|
| Cycle 1, Day 8 | Cycle 2, Day 1 | Cycle 3, Day 1 | Cycle 5, Day 1 | Cycle 9, Day 1 |
---|
Ramucirumab + Cisplatin + Capecitabine | 40.7 | 35.7 | 51.2 | 69.7 | 77.6 |
[back to top]
Pharmacokinetics (PK): Maximum Observed Drug Concentration (Cmax) of Ramucirumab
Pharmacokinetics (PK): Pharmacokinetics (PK): Maximum Observed Drug Concentration (Cmax) of Ramucirumab (NCT02314117)
Timeframe: Cycle 1 Day 1: 1 hour (hr) end of infusion (EOI), Cycle 3 Day 1: 1hr EOI, Cycle 9 Day 1: 1 hr EOI
Intervention | Microgram/milliliter (µg/mL) (Geometric Mean) |
---|
| Cycle 1, Day 1 | Cycle 3, Day 1 | Cycle 9, Day 1 |
---|
Ramucirumab + Cisplatin + Capecitabine | 133 | 173 | 169 |
[back to top]
Number of Participants With Anti-Ramucirumab Antibodies
Participants who developed treatment-emergent antibody responses to Ramucirumab postbaseline. (NCT02314117)
Timeframe: Predose Cycle 1 through 30 Days After Treatment Discontinuation (Up To 24 Months)
Intervention | Participants (Count of Participants) |
---|
Ramucirumab + Cisplatin + Capecitabine | 4 |
Placebo + Cisplatin + Capecitabine | 5 |
[back to top]
Time to Deterioration in Quality of Life (QoL) on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) - Global Health Status/ QoL Scale
Time to sustained deterioration was defined as time from randomization to first worsening in QoL with no subsequent non-worsened assessment. Worsening in global health status/QoL was defined as a decrease of ≥10 points on a 100-point scale. If a participant did not report worsening, time to sustained deterioration was censored at date of last non-worsened assessment. (NCT02314117)
Timeframe: Randomization, First worsening in QoL (Up To 26 Months)
Intervention | months (Median) |
---|
Ramucirumab + Cisplatin + Capecitabine | 9.00 |
Placebo + Cisplatin + Capecitabine | 9.46 |
[back to top]
Progression-free Survival (PFS)
PFS time was measured from the date of randomization to the date of radiographic(rgr) documentation of progression(by RECIST v.1.1) or the date of death due to any cause, whichever was earlier.If a participant did not have a complete baseline tumor assessment,then the PFS time was censored at the randomization date.If a participant was not known to have died or have rgr documented progression as of the data cutoff date for the analysis, the PFS time was censored at the last adequate tumor assessment date. If death or progressive disease(PD) occurred after 2 or more consecutive missing rgr visits,censoring occurred at the date of the last rgr visit prior to the missed visits.If death or PD occurred after postdiscontinuation(pdis) systemic anticancer therapy,censoring occurred at the date of last rgr visit prior to the start of pdis systemic anticancer therapy. PD was defined according to RECIST v.1.1. (NCT02314117)
Timeframe: Randomization to Radiological Disease Progression or Death from Any Cause (Up to 26 Months)
Intervention | months (Median) |
---|
Ramucirumab + Cisplatin + Capecitabine | 5.72 |
Placebo + Cisplatin + Capecitabine | 5.39 |
[back to top]
Change in Health Status on the EuroQol 5-Dimensions 5-Level Instrument (EQ-5D- 5L)
The EQ-5D-5L is a standardized instrument for use as a measure of self-reported health status. Five dimensions of health status are each assessed with 5 response options and scored as a composite index which were anchored on a scale of 0 to 1 with a higher score representing better health status. Additionally, current health status was assessed on a visual analogue scale (VAS) ranging from 0 to 100 with a higher score representing better health status. (NCT02314117)
Timeframe: Randomization, 30 Days After Treatment Discontinuation (Up To 5 Months)
,
Intervention | units on a scale (Mean) |
---|
| EQ-5D index | EQ-5D VAS |
---|
Placebo + Cisplatin + Capecitabine | -0.010 | 1.5 |
Ramucirumab + Cisplatin + Capecitabine | -0.008 | 0.8 |
[back to top]
Duration of Response (DoR)
Participants achieved an objective response if they had a best overall response of CR or PR.Target lesions- CR:Disappearance of all lesions;any pathological lymph nodes must have reduction in short axis to <10 mm.PR: At least a 30% decrease in the sum of diameters of lesions vs the baseline sum.PD: At least a 20% increase in the sum of diameters of lesions vs the smallest sum on study(the sum must also demonstrate an absolute increase of at least 5 mm); or the appearance of new lesion(s).Non target lesions - CR: Disappearance of all lesions and normalization of tumour marker levels;all lymph nodes must be non-pathological in size. Non-CR/Non-PD:Persistence of lesion(s) and/or maintenance of abnormal tumor marker levels.PD:Unequivocal progression of existing lesions or the appearance of new lesion(s).If a participant was not known to have died or have radiographically documented PD as of the data inclusion cutoff date,DOR was censored at the date of the last adequate tumor assessment. (NCT02314117)
Timeframe: Date of Complete Response (CR) or Partial Response (PR) to Date of Objective Disease Progression or Death Due to Any Cause (Up To 26 Months)
Intervention | months (Median) |
---|
Ramucirumab + Cisplatin + Capecitabine | 5.72 |
Placebo + Cisplatin + Capecitabine | 4.27 |
[back to top]
Percentage of Participants With Complete Response (CR), Partial Response (PR) or Stable Disease (SD) (Disease Control Rate [DCR])
DCR was the percentage of participants with a best overall response of CR, PR, or SD as per Response using RECIST v1.1 criteria. Target lesions - CR: Disappearance of all lesions; any pathological lymph nodes must have reduction in short axis to <10 mm. PR: At least a 30% decrease in the sum of diameters of lesions vs the baseline sum. Progressive Disease (PD): At least a 20% increase in the sum of diameters of lesions vs the smallest sum on study (the sum must also demonstrate an absolute increase of at least 5 mm); or the appearance of new lesion(s). Stable Disease: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. Non target lesions - CR: Disappearance of all lesions and normalization of tumor marker levels; all lymph nodes must be non-pathological in size. Non-CR/Non-PD: Persistence of lesion(s) and/or maintenance of abnormal tumor marker levels. PD: Unequivocal progression of existing lesions or the appearance of new lesion(s). (NCT02314117)
Timeframe: Randomization to Disease Progression (Up To 26 Months)
Intervention | percentage of participants (Number) |
---|
Ramucirumab + Cisplatin + Capecitabine | 81.9 |
Placebo + Cisplatin + Capecitabine | 76.5 |
[back to top]
Overall Survival (OS)
OS was time from the date of randomization to the date of death from any cause. If the participant was alive at the cutoff for analysis (or was lost to follow-up), OS data were censored for analysis on the last date the participant was known to be alive. (NCT02314117)
Timeframe: Randomization to Death from Any Cause (Up To 30 Months)
Intervention | months (Median) |
---|
Ramucirumab + Cisplatin + Capecitabine | 11.17 |
Placebo + Cisplatin + Capecitabine | 10.74 |
[back to top]
Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Objective Response Rate [ORR])
Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST v1.1).Target lesions - CR: Disappearance of all lesions; any pathological lymph nodes must have reduction in short axis to <10 mm. PR: At least a 30% decrease in the sum of diameters of lesions vs the baseline sum. PD: At least a 20% increase in the sum of diameters of lesions vs the smallest sum on study (the sum must also demonstrate an absolute increase of at least 5 mm); or the appearance of new lesion(s). Non target lesions - CR: Disappearance of all lesions and normalization of tumor marker levels; all lymph nodes must be non-pathological in size. Non-CR/Non-PD: Persistence of lesion(s) and/or maintenance of abnormal tumor marker levels. PD: Unequivocal progression of existing lesions or the appearance of new lesion(s).ORR calculated as:(sum of the number of participants with PRs and CRs) divided by (number of evaluable participants) multiplied by 100. (NCT02314117)
Timeframe: Randomization to Disease Progression (Up To 26 Months)
Intervention | percentage of participants (Number) |
---|
Ramucirumab + Cisplatin + Capecitabine | 41.1 |
Placebo + Cisplatin + Capecitabine | 36.4 |
[back to top]
Progression- Free Survival 2 (PFS2)
PFS2 was defined as the time from the date of randomization to second disease progression (defined as objective radiological or symptomatic progression), or death of any cause, whichever occurs first. Participants alive and for whom a second disease progression has not been observed (including participants who did not receive any additional systemic anticancer treatments) were censored at the last time known to be alive and without second disease progression. The second progression refers to disease progression on or after additional systemic anticancer therapy, regardless if any earlier progression is observed or not(e.g. at the end of study treatment). It is assessed by investigator based on overall clinical evaluation, not limited to RECIST. (NCT02314117)
Timeframe: Randomization to Second Radiological or Symptomatic Disease Progression After the Start of Additional Systemic Anticancer Treatment or Death from Any Cause (Up To 26 Months)
Intervention | months (Median) |
---|
Ramucirumab + Cisplatin + Capecitabine | 10.18 |
Placebo + Cisplatin + Capecitabine | 9.20 |
[back to top]
Progression-free Survival (PFS) Using RECIST 1.1 Criteria
PFS is defined as the number of months from the date of first dose to disease progression (progressive disease [PD] or relapse from complete response [CR] as assessed using RECIST 1.1 criteria) or death due to any cause. Per RECIST 1.1 criteria, CR = disappearance of all target lesions, Partial Response (PR) is =>30% decrease in sum of diameters of target lesions, Progressive Disease (PD) is >20% increase in sum of diameters of target lesions, Stable Disease (SD) is <30% decrease or <20% increase in sum of diameters of target lesions. Estimation based on the Kaplan-Meier curve. (NCT02324543)
Timeframe: 5 years
Intervention | Months (Median) |
---|
Phase 2 | 8.34 |
[back to top]
Response Rate (RR) Using RECIST 1.1 Criteria
RR is defined as the percentage of participants achieving a complete response (CR) or partial response (PR) based on the Response Evaluation Criteria in Solid Tumors (RECIST 1.1) at any time during the study. CR = disappearance of all target lesions, PR is =>30% decrease in sum of diameters of target lesions, progressive disease (PD) is >20% increase in sum of diameters of target lesions, stable disease (SD) is <30% decrease or <20% increase in sum of diameters of target lesions. (NCT02324543)
Timeframe: 43 months
Intervention | percentage of participants (Number) |
---|
Phase 2 | 57 |
[back to top]
Maximum Tolerated Dose (MTD) of Gemcitabine
Dose escalation (phase I portion of the trial only) to determine the MTD in mg/m^2. (NCT02324543)
Timeframe: 28 days
Intervention | mg/m^2 (Number) |
---|
Phase 1 | 500 |
[back to top]
Disease Control Rate (DCR) Using RECIST 1.1 Criteria
DCR is defined as the percentage of participants achieving a complete response (CR) or partial response (PR) and stable disease (SD) based on the Response Evaluation Criteria in Solid Tumors (RECIST 1.1) at any time during the study. CR = disappearance of all target lesions, PR is =>30% decrease in sum of diameters of target lesions, progressive disease (PD) is >20% increase in sum of diameters of target lesions, stable disease (SD) is <30% decrease or <20% increase in sum of diameters of target lesions. (NCT02324543)
Timeframe: 43 months
Intervention | percentage of participants (Number) |
---|
Phase 2 | 87 |
[back to top]
Maximum Tolerated Dose (MTD) of Capecitabine
Dose escalation (phase I portion of the trial only) to determine the MTD in mg for twice daily (BID) use. (NCT02324543)
Timeframe: 28 days
Intervention | mg (Number) |
---|
Phase 1 | 500 |
[back to top]
Overall Survival (OS) Rate at 9 Months
OS will be measured as the percentage of subjects alive at 9 months. (OS will be censored on the date the subject was last known to be alive for subjects without documentation of death at the time of analysis). Estimation based on the Kaplan-Meier curve. (Phase 2 data only) (NCT02324543)
Timeframe: 9 months
Intervention | percentage of participants (Number) |
---|
Phase 2 | 57 |
[back to top]
Maximum Tolerated Dose (MTD) of Docetaxel
Dose escalation (phase I portion of the trial only) to determine the MTD in mg/m^2. (NCT02324543)
Timeframe: 28 days
Intervention | mg/m^2 (Number) |
---|
Phase 1 | 20 |
[back to top]
Maximum Tolerated Dose (MTD) of Cisplatin
Dose escalation (phase I portion of the trial only) to determine the MTD in mg/m^2. (NCT02324543)
Timeframe: 28 days
Intervention | mg/m^2 (Number) |
---|
Phase 1 | 20 |
[back to top]
Maximum Tolerated Dose (MTD) of Irinotecan
Dose escalation (phase I portion of the trial only) to determine the MTD in mg/m^2. (NCT02324543)
Timeframe: 28 days
Intervention | mg/m^2 (Number) |
---|
Phase 1 | 20 |
[back to top]
Overall Survival (OS)
OS will be measured (in months) from date of first dose until death or end of follow-up (OS will be censored on the date the subject was last known to be alive for subjects without documentation of death at the time of analysis). Estimation based on the Kaplan-Meier curve. (NCT02324543)
Timeframe: 5 years
Intervention | Months (Median) |
---|
Phase 2 | 11.02 |
[back to top]
Overall Survival (OS) For All Participants
Overall Survival (OS) was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the final analysis were censored at the date of the last follow-up. The OS for all participants (regardless of PD-L1 tumor status) during first course pembrolizumab treatment per protocol, is presented. (NCT02335411)
Timeframe: Up to approximately 75 months
Intervention | Months (Median) |
---|
Cohort 1: Pembrolizumab Monotherapy, Previously Treated | 5.5 |
Cohort 2: Pembrolizumab Combination Therapy, Treatment Naive | 13.8 |
Cohort 3: Pembrolizumab Monotherapy, Treatment Naive, PD-L1 Positive | 20.7 |
[back to top]
Progression-Free Survival For PD-L1 Positive Participants
PFS was defined as the time from randomization to the first documented disease progression, or death due to any cause, whichever occurred first. Per RECIST 1.1, progressive disease was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered progression. The PFS for only PD-L1 positive participants during first course pembrolizumab treatment per protocol, is presented. Note: All participants in Cohort 3 had a PD-L1-positive tumor status. (NCT02335411)
Timeframe: Up to approximately 75 months
Intervention | Months (Median) |
---|
Cohort 1: Pembrolizumab Monotherapy, Previously Treated | 2.1 |
Cohort 2: Pembrolizumab Combination Therapy, Treatment Naive | 6.5 |
Cohort 3: Pembrolizumab Monotherapy, Treatment Naive, PD-L1 Positive | 2.9 |
[back to top]
Progression-Free Survival (PFS) For All Participants
Progression-Free Survival (PFS) was defined as the time from randomization to the first documented disease progression, or death due to any cause, whichever occurred first. Per RECIST 1.1, progressive disease was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered progression. The PFS for all participants (regardless of PD-L1 tumor status) during first course pembrolizumab treatment per protocol, is presented. (NCT02335411)
Timeframe: Up to approximately 75 months
Intervention | Months (Median) |
---|
Cohort 1: Pembrolizumab Monotherapy, Previously Treated | 2.0 |
Cohort 2: Pembrolizumab Combination Therapy, Treatment Naive | 6.6 |
Cohort 3: Pembrolizumab Monotherapy, Treatment Naive, PD-L1 Positive | 2.9 |
[back to top]
Overall Survival For PD-L1 Positive Participants
OS was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the final analysis were censored at the date of the last follow-up. The OS for only PD-L1 positive participants during first course pembrolizumab treatment per protocol, is presented. Note: All participants in Cohort 3 had a PD-L1-positive tumor status. (NCT02335411)
Timeframe: Up to approximately 75 months
Intervention | Months (Median) |
---|
Cohort 1: Pembrolizumab Monotherapy, Previously Treated | 5.8 |
Cohort 2: Pembrolizumab Combination Therapy, Treatment Naive | 11.1 |
Cohort 3: Pembrolizumab Monotherapy, Treatment Naive, PD-L1 Positive | 20.7 |
[back to top]
Objective Response Rate For PD-L1 Positive Participants in Cohorts 1 and 3
The ORR was defined as the percentage of participants in the analysis population who had a CR or PR (CR: Disappearance of all target lesions; PR: At least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, as assessed by central radiology review. The percentage of all participants in Cohorts 1 and 3 with PD-L1+ tumor status who experienced a CR or PR during first course pembrolizumab treatment per protocol, is presented. Note: All participants in Cohort 3 had a PD-L1-positive tumor status. (NCT02335411)
Timeframe: Up to approximately 75 months
Intervention | Percentage of Participants (Number) |
---|
Cohort 1: Pembrolizumab Monotherapy, Previously Treated | 15.5 |
Cohort 3: Pembrolizumab Monotherapy, Treatment Naive, PD-L1 Positive | 22.6 |
[back to top]
Number of Participants Discontinuing Study Drug Due to AEs
An AE was defined as any untoward medical occurrence in a participant administered study drug and which does not necessarily have to have a causal relationship with the study drug. The number of participants who discontinued study drug due to an AE is presented. Per protocol, the number of participants who discontinued drug during first course pembrolizumab treatment is presented. (NCT02335411)
Timeframe: Up to approximately 52 months
Intervention | Participants (Count of Participants) |
---|
Cohort 1: Pembrolizumab Monotherapy, Previously Treated | 18 |
Cohort 2: Pembrolizumab Combination Therapy, Treatment Naive | 4 |
Cohort 3: Pembrolizumab Monotherapy, Treatment Naive, PD-L1 Positive | 0 |
[back to top]
Disease Control Rate (DCR) For All Participants
Disease Control Rate (DCR) was defined as the percentage of participants in the analysis population who had a CR or a PR (CR: Disappearance of all target lesions; PR: At least a 30% decrease in the sum of diameters of target lesions) or stable disease (SD); (SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease) for ≥6 months, (for Cohort 1 ≥2 months) as assessed by central radiology review. The percentage of all participants (regardless of PD-L1 tumor status) who had a CR or PR or SD during first course pembrolizumab treatment per protocol, is presented. (NCT02335411)
Timeframe: Up to approximately 75 months
Intervention | Percentage of Participants (Number) |
---|
Cohort 1: Pembrolizumab Monotherapy, Previously Treated | 27.0 |
Cohort 2: Pembrolizumab Combination Therapy, Treatment Naive | 80.0 |
Cohort 3: Pembrolizumab Monotherapy, Treatment Naive, PD-L1 Positive | 32.3 |
[back to top]
Number of Participants Experiencing Adverse Events (AEs)
An AE is defined as any untoward medical occurrence in a participant administered study drug and which does not necessarily have to have a causal relationship with the study drug. The number of participants who experienced at least one AE is presented. Per protocol, the number of participants who experienced at least one AE during first course pembrolizumab treatment is presented. (NCT02335411)
Timeframe: Up to approximately 65 months
Intervention | Participants (Count of Participants) |
---|
Cohort 1: Pembrolizumab Monotherapy, Previously Treated | 248 |
Cohort 2: Pembrolizumab Combination Therapy, Treatment Naive | 25 |
Cohort 3: Pembrolizumab Monotherapy, Treatment Naive, PD-L1 Positive | 31 |
[back to top]
Disease Control Rate For PD-L1 Positive Participants
DCR was defined as the percentage of participants in the analysis population who had a CR or a PR (CR: Disappearance of all target lesions; PR: At least a 30% decrease in the sum of diameters of target lesions) or stable disease (SD); (SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease) for ≥6 months, (for Cohort 1 ≥2 months) as assessed by central radiology review. The percentage of participants with PD-L1+ tumor status who experienced a CR or PR or SD during first course pembrolizumab treatment per protocol, is presented. Note: All participants in Cohort 3 had a PD-L1-positive tumor status. (NCT02335411)
Timeframe: Up to approximately 75 months
Intervention | Percentage of Participants (Number) |
---|
Cohort 1: Pembrolizumab Monotherapy, Previously Treated | 33.1 |
Cohort 2: Pembrolizumab Combination Therapy, Treatment Naive | 80.0 |
Cohort 3: Pembrolizumab Monotherapy, Treatment Naive, PD-L1 Positive | 32.3 |
[back to top]
Duration of Response (DOR) For All Participants
Duration of Response (DOR) was defined as the time from first documented evidence of CR or PR (CR: Disappearance of all target lesions; PR: At least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, based on central imaging vendor assessment, until disease progression (PD) or death, whichever occurred first. PD is defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions is also considered PD. Participants who had not progressed or died at the time of analysis were censored at the date of their last tumor assessment. The DOR for all participants (regardless of PD-L1 tumor status) during first course pembrolizumab treatment per protocol, is presented. (NCT02335411)
Timeframe: Up to approximately 75 months
Intervention | Months (Median) |
---|
Cohort 1: Pembrolizumab Monotherapy, Previously Treated | 16.1 |
Cohort 2: Pembrolizumab Combination Therapy, Treatment Naive | 4.6 |
Cohort 3: Pembrolizumab Monotherapy, Treatment Naive, PD-L1 Positive | 38.0 |
[back to top]
Duration of Response For PD-L1 Positive Participants
DOR was defined as the time from first documented evidence of CR or PR (CR: Disappearance of all target lesions; PR: At least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, based on central imaging vendor assessment, until disease progression (PD) or death, whichever occurred first. PD is defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions is also considered PD. Participants who had not progressed or died at the time of analysis were censored at the date of their last tumor assessment. The DOR for only PD-L1 positive participants during first course pembrolizumab treatment per protocol, is presented. Note: All participants in Cohort 3 had a PD-L1-positive tumor status. (NCT02335411)
Timeframe: Up to approximately 75 months
Intervention | Months (Median) |
---|
Cohort 1: Pembrolizumab Monotherapy, Previously Treated | NA |
Cohort 2: Pembrolizumab Combination Therapy, Treatment Naive | 4.6 |
Cohort 3: Pembrolizumab Monotherapy, Treatment Naive, PD-L1 Positive | 38.0 |
[back to top]
Objective Response Rate (ORR) For All Participants in Cohort 2
The Objective Response Rate (ORR) was defined as the percentage of participants in the analysis population who had a Complete Response (CR: Disappearance of all target lesions) or Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) as assessed by central radiology review. The percentage of all participants (regardless of PD-L1 tumor status) in Cohort 2 who had a CR or PR during first course pembrolizumab treatment per protocol, is presented. (NCT02335411)
Timeframe: Up to approximately 75 months
Intervention | Percentage of Participants (Number) |
---|
Cohort 2: Pembrolizumab Combination Therapy, Treatment Naive | 60.0 |
[back to top]
Objective Response Rate (ORR) For All Participants in Cohorts 1 and 3
The Objective Response Rate (ORR) was defined as the percentage of participants in the analysis population who had a Complete Response (CR: Disappearance of all target lesions) or Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) as assessed by central radiology review. The percentage of all participants (regardless of programmed death-ligand 1 [PD-L1] tumor status) in Cohorts 1 and 3 who had a CR or PR during first course pembrolizumab treatment per protocol, is presented. (NCT02335411)
Timeframe: Up to approximately 75 months
Intervention | Percentage of Participants (Number) |
---|
Cohort 1: Pembrolizumab Monotherapy, Previously Treated | 11.6 |
Cohort 3: Pembrolizumab Monotherapy, Treatment Naive, PD-L1 Positive | 22.6 |
[back to top]
Objective Response Rate For PD-L1 Positive Participants in Cohort 2
The ORR was defined as the percentage of participants in the analysis population who had a CR or PR (CR: Disappearance of all target lesions; PR: At least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, as assessed by central radiology review. The percentage of participants in Cohort 2 with PD-L1+ tumor status who experienced a CR or PR during first course pembrolizumab treatment per protocol, is presented. (NCT02335411)
Timeframe: Up to approximately 75 months
Intervention | Percentage of Participants (Number) |
---|
Cohort 2: Pembrolizumab Combination Therapy, Treatment Naive | 73.3 |
[back to top]
Overall Response Rate (ORR)
"ORR = Complete response + partial response~Target lesions~Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm.~Partial Response (PR): At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.~Non target lesions *Complete Response (CR): Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (<10 mm short axis)." (NCT02352831)
Timeframe: Up to 18 months
Intervention | Participants (Count of Participants) |
---|
Phase I (Tosedostat + Capecitabine) | 0 |
Phase II (Tosedostat + Capecitabine) | 0 |
[back to top]
Number of Participants With a CA19-9 Response
"CA19-9 is a tumor marker that is used in the management of pancreatic cancer. Rising CA19-9 levels may mean the tumor is growing and decreasing CA19-9 levels may mean the tumor is shrinking or the amount of cancer in the body is decreasing~A CA19-9 response means that the tumor marker has decreased over baseline (before treatment started) levels" (NCT02352831)
Timeframe: Completion of treatment (median treatment length 81.50 days (28.00-346.00)
Intervention | Participants (Count of Participants) |
---|
Phase I (Tosedostat + Capecitabine) | 6 |
Phase II (Tosedostat + Capecitabine) | 10 |
[back to top]
Phase I Only: Recommended Phase II Dose of Tosedostat
"The recommended phase 2 dose (RP2D) is defined as the dose level immediately below the dose level at which 2 patients of a cohort (of 2 to 6 patients) experience dose-limiting toxicity during the first cycle. If 0 or 1 of 6 patients in Dose Level 1 experience DLT during the first cycle, Dose Level 1 will be presumed to be the RP2D.~DLTs are followed through completion of the first cycle." (NCT02352831)
Timeframe: Completion of cycle 1 of all participants in Phase I portion of study (approximately 14 months)
Intervention | mg daily (Number) |
---|
Phase I (Tosedostat + Capecitabine) | 120 |
[back to top]
Time-to-progression (TTP)
"-Progressive disease (PD)~Target lesions: At least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progressions).~Non target lesions: Appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions. Unequivocal progression should not normally trump target lesion status. It must be representative of overall disease status change, not a single lesion increase" (NCT02352831)
Timeframe: Up to 24 months
Intervention | days (Median) |
---|
Phase I (Tosedostat + Capecitabine) | 210.50 |
Phase II (Tosedostat + Capecitabine) | 94.50 |
[back to top]
Overall Survival Rate (OS)
(NCT02352831)
Timeframe: Up to 1 year from completion of treatment (median treatment length 81.50 days (28.00-346.00)
Intervention | Participants (Count of Participants) |
---|
Phase I (Tosedostat + Capecitabine) | 3 |
Phase II (Tosedostat + Capecitabine) | 2 |
Phase I and Phase II (Tosedostat + Capecitabine) | 5 |
[back to top]
Phase I Only: Number of Participants Who Experience Dose-limiting Toxicities (DLTs)
"Possibly/probably/definitely related to study treatment in 1st cycle (cyc)~*Grade (Gr) 4 neutropenia >7 day, Febrile neutropenia of any duration with temperature ≥ 38.5 °C, Gr 4 anemia requires transfusion therapy on more than 2 occasions in 7 days, Gr 4 thrombocytopenia~Possibly/probably/definitely related gr. 3/4 non-hematologic toxicity that occurs 1st cyc with the following EXCEPTIONS:~Gr 3 nausea/vomiting/diarrhea/anorexia <72 hours that returns to Gr 1 prior to the start of cyc 2, Gr 3 hand-foot syndrome will only be considered a DLT for patients who have received 1 week of supportive care treatment with no improvement, Gr 3 fatigue that returns to Gr 1 prior to the start of cyc 2, Gr 3 flu-like symptoms <72 hours that returns to Gr 1 prior to start of cyc 2, Gr 3 arthralgia or myalgias <72 hours that return to Gr 1 prior to the start of cyc 2, Gr 3 potassium/phosphorus/magnesium that is asymptomatic or of non-clinical significance <72 hours, Gr 3 hypoalbuminemia" (NCT02352831)
Timeframe: Completion of cycle 1 of all participants in Phase I portion of study (approximately 14 months)
Intervention | Participants (Count of Participants) |
---|
Phase I (Tosedostat + Capecitabine) | 1 |
[back to top]
Progression-free Survival (PFS) Rate
"PFS is defined as the duration of time from start of treatment to time of progression or death, whichever occurs first.~Progressive disease (PD)~Target lesions: At least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progressions).~Non target lesions: Appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions. Unequivocal progression should not normally trump target lesion status. It must be representative of overall disease status change, not a single lesion increase." (NCT02352831)
Timeframe: 3 months
Intervention | Participants (Count of Participants) |
---|
Phase I (Tosedostat + Capecitabine) | 3 |
Phase II (Tosedostat + Capecitabine) | 8 |
Phase I and Phase II Combined | 11 |
[back to top]
The Number of Patients With Tumor Size Reduction (Objective Response Rate)
Objective response rate is the sum of partial responses plus complete responses and will be assessed per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions. (NCT02358863)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|
Chemotherapy | 0 |
[back to top]
[back to top]
Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Objective Response Rate)
Objective response rate (ORR) was defined as the percentage of randomized participants achieving a best confirmed overall response of CR or PR using Response Evaluation Criteria in Solid Tumors (RECIST v1). CR was defined as the disappearance of all target and non-target lesions. PR was defined as at least a 30% decrease in the sum of the longest diameters (LD) of target lesions, taking as reference the baseline sum LD and no progression in non-target lesions. (NCT02359058)
Timeframe: First Dose to Date of Objective Progressive Disease or Death Due to Any Cause (Up To 22 Months)
Intervention | Percentage of participants (Number) |
---|
Ramucirumab + Capecitabine + Cisplatin | 20 |
Ramucirumab + S-1 + Cisplatin | 100 |
Ramucirumab + S-1 + Oxaliplatin | 60 |
Total | 45.5 |
[back to top]
Pharmacokinetics (PK): Maximum Serum Concentration (Cmax) of Ramucirumab
Maximum Serum Concentration (Cmax) of Ramucirumab. (NCT02359058)
Timeframe: Day 1, Day 8, Day 43, Day 50, Day 85 and Day 92: End of Infusion
,,
Intervention | microgram per milliliter (μg/mL) (Geometric Mean) |
---|
| Day 1 | Day 8 | Day 43 | Day 50 | Day 85 | Day 92 |
---|
Ramucirumab + Capecitabine + Cisplatin | 149 | 229 | 205 | 273 | NA | NA |
Ramucirumab + S-1 + Cisplatin | 139 | 200 | 253 | 249 | 272 | 289 |
Ramucirumab + S-1 + Oxaliplatin | 137 | 211 | 180 | 207 | NA | NA |
[back to top]
Number of Participants With Treatment Emergent Anti-Ramucirumab Antibodies (TE-ADA)
Number of participants with positive treatment emergent anti-ramucirumab antibodies was summarized by treatment group. (NCT02359058)
Timeframe: First dose to study completion plus 30-day safety follow-up (Up To 22 Months)
Intervention | Participants (Count of Participants) |
---|
Ramucirumab + Capecitabine + Cisplatin | 0 |
Ramucirumab + S-1 + Cisplatin | 0 |
Ramucirumab + S-1 + Oxaliplatin | 0 |
[back to top]
Pharmacokinetics (PK): Minimum Serum Concentration (Cmin) of Ramucirumab
Minimum Serum Concentration (Cmin) of Ramucirumab. (NCT02359058)
Timeframe: Day 8, Day 22, Day 29, Day 43, Day 50, Day 64, Day 71, Day 85, Day 92 and Day 106: Pre-Dose
,,
Intervention | μg/mL (Geometric Mean) |
---|
| Day 8 | Day 22 | Day 29 | Day 43 | Day 50 | Day 64 | Day 71 | Day 85 | Day 92 | Day 106 |
---|
Ramucirumab + Capecitabine + Cisplatin | 43.8 | 40.9 | 84.6 | 60.8 | 91.7 | 47.7 | 71.1 | 55.5 | 97.6 | 68.6 |
Ramucirumab + S-1 + Cisplatin | 51.6 | 63.9 | 105 | 87.6 | 91.3 | 85.4 | 109 | 102 | 119 | 118 |
Ramucirumab + S-1 + Oxaliplatin | 43.2 | 41.8 | 81.6 | 68.5 | 86.2 | 81.5 | 124 | NA | NA | NA |
[back to top]
[back to top]
[back to top]
To Examine the DLT
"The recommended Phase II dose is of the Nintedanib and Capecitabine combination is defined as the dose level that causes dose limiting toxicities (DLTs) in ≤ 1 out of 6 patients at highest dose level below the maximally administered dose.~Capecitabine is fixed dose at 2000 mg/m2; while Nintedanib is evaluated at 150mg (dose level 1) and 200 mg (dose level 2)." (NCT02393755)
Timeframe: At least 21 days.
Intervention | mg (Number) |
---|
Treatment (Capecitabine, Nintedanib) | 200 |
[back to top]
Progression Free Survival (PFS) Rate, Defined as the Proportion of Patients Who Survive Without Disease Progression Via the RECIST Version 1.1 (Phase II)
"Progressive disease is defined as at least a 20% increase in the sum of diameters of target lesions (the sum must also demonstrate an absolute increase of at least 5 mm) or the appearance of new lesions.~Will be summarized using standard Kaplan-Meier methods." (NCT02393755)
Timeframe: At 18 weeks
Intervention | percentage of participants (Number) |
---|
Treatment (Capecitabine, Nintedanib) | 41.7 |
[back to top]
Objective Response Rate
Overall Response is defined as Complete Response: Disappearance of all target lesions and any lymph nodes must have a reduction in short axis to < 10 mm; or Partial Response: At least a 30% decrease in the sum of diameters of target lesions; or Stable Disease: Neither sufficient shrinkage to qualify for partial response, nor sufficient increase to qualify for progressive disease. (NCT02393755)
Timeframe: After every 3 cycles (9 weeks) of therapy.
Intervention | percentage of participants (Number) |
---|
Treatment (Capecitabine, Nintedanib) | 58.3 |
[back to top]
3-year Overall Survival (OS) Rate in Basal-Subtype Patients
OS was defined as time from randomization to death from any cause. Patient alive were censored at date of known alive. The 3-year OS rate was estimated using Kaplan-Meier method. (NCT02445391)
Timeframe: Assessed every 3 months within 2 years from randomization, every 6 months if 2-3 years
Intervention | percentage of participants (Number) |
---|
Arm B (Cisplatin or Carboplatin) (Enrolled While Arm C Was Open) | 57.8 |
Arm C (Capecitabine) (Open to Accrual 6/22/2016) | 66.2 |
[back to top]
[back to top]
[back to top]
Proportion of Basal Subtype
Proportion of basal subtype was calculated as number of patients who had basal subtype disease divided by all triple-negative breast cancers who were randomized to arms B and C after 6/22/2016 and had intrinsic subtype results. (NCT02445391)
Timeframe: Assessed at registration to step 0 (baseline)
Intervention | percentage of participants (Number) |
---|
All Patients Concurrently Randomized to Arms B and C | 78 |
[back to top]
3-year Recurrence-Free Survival (RFS) Rate in Basal-Subtype Patients
RFS was defined as time from randomization to local/regional recurrence, distant recurrence or death, whichever occurred first. Cases with incomplete follow up or without adequate disease evaluations were censored at the date last documented to be free of RFS events. 3-year RFS rate was estimated using Kaplan-Meier method. (NCT02445391)
Timeframe: No mandatory timeline, assessed at any time as a standard of care procedure or at the investigator's discretion; data reported every 3 months within 2 years from randomization, every 6 months if 2-3 years.
Intervention | percentage of participants (Number) |
---|
Arm B (Cisplatin or Carboplatin) (Enrolled While Arm C Was Open) | 46.2 |
Arm C (Capecitabine) (Open to Accrual 6/22/2016) | 49.3 |
[back to top]
3-year Invasive Disease-Free Survival (IDFS) Rate in Basal-Subtype Patients
IDFS was defined to be time from randomization to the earliest of documented disease recurrence (local, regional and/or distant), invasive contralateral breast cancer, invasive any other second cancer, or death. Cases with incomplete follow up or without adequate disease evaluations were censored at the date last documented to be free of IDFS events. 3-year IDFS rate was estimated using Kaplan-Meier method. (NCT02445391)
Timeframe: No mandatory timeline, assessed at any time as a standard of care procedure or at the investigator's discretion; data reported every 3 months within 2 years from randomization, every 6 months if 2-3 years.
Intervention | percentage of participants (Number) |
---|
Arm B (Cisplatin or Carboplatin) (Enrolled While Arm C Was Open) | 42.0 |
Arm C (Capecitabine) (Open to Accrual 6/22/2016) | 49.4 |
[back to top]
Progression-free Survival
Progression free survival (PFS) is defined as the time from the date of randomization to the date of disease progression or death resulting from any cause, whichever comes first. Progression is defined according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. The median and 95% confidence intervals are estimated using the Kaplan-Meier estimator. (NCT02485834)
Timeframe: Up to 3 years
Intervention | months (Median) |
---|
Randomized Patients | NA |
[back to top]
Overall Survival
Overall survival is defined as the time from date of randomization to death due to any cause. (NCT02485834)
Timeframe: Up to 3 years
Intervention | months (Median) |
---|
Randomized Patients | NA |
[back to top]
Number of Patients Had Pathologic Complete Response
The number of patients had pathologic complete response (pCR). (pCR is defined as no gross or microscopic tumor identified with the surgical specimen. All lymph nodes should be free of tumor to document a PCR. If no gross tumor is visible, section around the area of inflammation (nodularity) should be made every 2-3 cm and specimens examined.) (NCT02485834)
Timeframe: Up to 3 years
Intervention | Participants (Count of Participants) |
---|
Randomized Patients | 4 |
[back to top]
Number of Patients Achieved R0 Resection During Surgery
The number of patients achieved R0 resection during surgery (NCT02485834)
Timeframe: At time of surgery
Intervention | Participants (Count of Participants) |
---|
Randomized Patients | 3 |
[back to top]
Number of Participants Who Reported Grade 3 or Higher Adverse Events
The number of patients who reported grade 3 or higher Adverse Events according to Common Terminology Criteria for Adverse Events version 4.0. (NCT02485834)
Timeframe: Up to 30 days after completion of protocol treatment
Intervention | Participants (Count of Participants) |
---|
Randomized Patients | 3 |
[back to top]
Pembro Mono vs SOC: PFS Per RECIST 1.1 by BICR in Participants With PD-L1 CPS ≥1 (All Participants)
"PFS was defined as the time from randomization to the first documented PD per RECIST 1.1 based on BICR, or death due to any cause, whichever occurred first. Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum had to demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD.~Per protocol, PFS in the pembro mono arm was compared to the SOC arm as a pre-specified secondary analysis of the ITT population. PFS is reported here for all participants in the pembro mono arm and SOC arm who were PD-L1 CPS ≥1 (all participants). Per protocol, PFS was compared separately between CPS ≥1 participants of the pembro combo arm and SOC arm and is presented earlier in the record." (NCT02494583)
Timeframe: Up to approximately 42 months
Intervention | Months (Median) |
---|
Pembrolizumab Monotherapy (Pembro Mono) | 2.0 |
Placebo + SOC Chemotherapy (SOC) | 6.4 |
[back to top]
Pembro Mono vs SOC: OS in Participants With PD-L1 CPS ≥10
OS was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the final analysis were censored at the date of the last follow-up. Per protocol, OS in the pembro mono arm was compared to the SOC arm as a pre-specified primary analysis of the ITT population. OS is reported here for all participants in the pembro mono arm and SOC arm who were PD-L1 CPS ≥10. Per protocol, OS was compared separately between CPS ≥10 participants of the pembro combo arm and SOC arm and is presented earlier in the record. (NCT02494583)
Timeframe: Up to approximately 42 months
Intervention | Months (Median) |
---|
Pembrolizumab Monotherapy (Pembro Mono) | 17.4 |
Placebo + SOC Chemotherapy (SOC) | 10.8 |
[back to top]
Pembro Combo vs SOC: Objective Response Rate (ORR) Per RECIST 1.1 by BICR in Participants With PD-L1 CPS ≥1 (All Participants)
ORR was defined as the percentage of participants in the analysis population who have a Complete Response (CR: disappearance of all target lesions) or a Partial Response (PR: ≥30% decrease in the sum of diameters of target lesions) per RECIST 1.1. based upon BICR. Per protocol, ORR in the pembro combo arm was compared to the SOC arm as a pre-specified secondary analysis of the ITT population. The percentage of participants who experienced CR or PR is reported here as the ORR for all participants in the pembro combo arm and SOC arm who were PD-L1 CPS ≥1 (all participants). Per protocol, ORR was compared separately between CPS ≥1 participants of the pembro mono arm and SOC arm and is presented later in the record. (NCT02494583)
Timeframe: Up to approximately 42 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab + SOC Chemotherapy (Pembro Combo) | 48.6 |
Placebo + SOC Chemotherapy (SOC) | 37.2 |
[back to top]
Pembro Mono vs SOC: OS in Participants With PD-L1 CPS ≥1 (All Participants)
OS was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the final analysis were censored at the date of the last follow-up. Per protocol, OS in the pembro mono arm was compared to the SOC arm as a pre-specified primary analysis of the ITT population. OS is reported here for all participants in the pembro mono arm and SOC arm who were PD-L1 CPS ≥1 (all participants). Per protocol, OS was compared separately between CPS ≥1 participants of the pembro combo arm and SOC arm and is presented earlier in the record. (NCT02494583)
Timeframe: Up to approximately 42 months
Intervention | Months (Median) |
---|
Pembrolizumab Monotherapy (Pembro Mono) | 10.6 |
Placebo + SOC Chemotherapy (SOC) | 11.1 |
[back to top]
Pembro Mono vs SOC: ORR Per RECIST 1.1 by BICR in Participants With PD-L1 CPS ≥1 (All Participants)
ORR was defined as the percentage of participants in the analysis population who have a CR (disappearance of all target lesions) or PR (≥30% decrease in the sum of diameters of target lesions) per RECIST 1.1. based upon BICR. Per protocol, ORR in the pembro mono arm was compared to the SOC arm as a pre-specified secondary analysis of the ITT population. The percentage of participants who experienced CR or PR is reported here as the ORR for all participants in the pembro mono arm and SOC arm who were PD-L1 CPS ≥1 (all participants). Per protocol, ORR was compared separately between CPS ≥1 participants of the pembro combo arm and SOC arm and is presented earlier in the record. (NCT02494583)
Timeframe: Up to approximately 42 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab Monotherapy (Pembro Mono) | 14.8 |
Placebo + SOC Chemotherapy (SOC) | 37.2 |
[back to top]
Pembro Mono vs SOC: DOR Per RECIST 1.1 by BICR in Participants With PD-L1 CPS ≥1 (All Participants)
For participants who demonstrated a confirmed CR (disappearance of all target lesions) or PR (≥30% decrease in the sum of diameters of target lesions) per RECIST 1.1 based upon BICR, DOR was defined as the time from first documented evidence of confirmed CR or PR until PD or death, whichever occurred first. DOR for participants who had not progressed or died at the time of analysis was censored at the date of their last tumor assessment. Per RECIST 1.1, PD was defined as at least a 20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum had to demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD. DOR is reported here for all participants in the pembro mono arm and SOC arm who were PD-L1 CPS ≥1 (all participants) and had CR or PR. Per protocol, DOR was compared separately between CPS ≥1 responders of the pembro combo arm and SOC arm and is presented earlier in the record. (NCT02494583)
Timeframe: Up to approximately 42 months
Intervention | Months (Median) |
---|
Pembrolizumab Monotherapy (Pembro Mono) | NA |
Placebo + SOC Chemotherapy (SOC) | NA |
[back to top]
Pembro Mono vs SOC: Change From Baseline to Week 18 in the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life (Items 29 and 30) Combined Score
"The EORTC-QLQ-C30 is a 30-item questionnaire developed to assess the quality of life of cancer patients. Participant responses to the Global Health Status (GHS) question How would you rate your overall health during the past week? (Item 29) and the Quality of Life (QoL) question How would you rate your overall quality of life during the past week? (Item 30) were scored on a 7-point scale (1=Very Poor to 7=Excellent). Using linear transformation, raw scores were standardized so that scores ranged from 0 to 100, with a higher score indicating a better overall outcome. Per protocol, change from baseline to Week 18 in the GHS/QoL combined score was compared between all participants of the pembro mono arm and the SOC arm as a pre-specified secondary analysis. As specified by the protocol, change from baseline to Week 18 in the GHS/QoL combined score was compared separately between all participants of the pembro combo arm and SOC arm and is presented later in the record." (NCT02494583)
Timeframe: Baseline, Week 18
Intervention | Score on a Scale (Least Squares Mean) |
---|
Pembrolizumab Monotherapy (Pembro Mono) | -1.91 |
Placebo + SOC Chemotherapy (SOC) | -1.75 |
[back to top]
Pembro Combo vs. SOC: Change From Baseline to Week 18 in EORTC QLQ-STO22 Pain Symptom Subscale Score
EORTC-QLQ-STO22 is a 22-item questionnaire developed to assess QoL of gastric cancer participants. It consists of 5 multi-item subscales that assess dysphagia (3 items), dietary restriction (4 items), pain (4 items), upper gastro-esophageal symptoms (3 items), and emotional problems (3 items), and questions on dry mouth, taste, body image, and hair loss. Participant responses to the Pain symptom subscale (Items 34-37) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100, with a higher score indicating more problems. Per protocol, change from baseline to Week 18 in the EORTC-QLQ-STO22 Pain score was compared between the pembro combo arm and the SOC arm as a pre-specified secondary analysis. As specified by the protocol, change from baseline to Week 18 in the EORTC-QLQ-STO22 Pain score was compared separately between the pembro mono arm and SOC arm and is presented earlier in the record. (NCT02494583)
Timeframe: Baseline, Week 18
Intervention | Score on a Scale (Least Squares Mean) |
---|
Pembrolizumab + SOC Chemotherapy (Pembro Combo) | -10.12 |
Placebo + SOC Chemotherapy (SOC) | -3.56 |
[back to top]
Pembro Combo vs SOC: Progression Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) by Blinded Independent Central Review (BICR) in Participants With PD-L1 CPS ≥1 (All Participants)
"PFS was defined as the time from randomization to the first documented progressive disease (PD) per RECIST 1.1 based on BICR, or death due to any cause, whichever occurred first. Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum had to demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD.~Per protocol, PFS in the pembro combo arm was compared to the SOC arm as a pre-specified primary analysis of the Intent-To-Treat (ITT) population. PFS is reported here for all participants in the pembro combo arm and SOC arm who were PD-L1 CPS ≥1 (all participants). Per protocol, PFS was compared separately between CPS ≥1 participants of the pembro mono arm and SOC arm and is presented later in the record." (NCT02494583)
Timeframe: Up to approximately 36 months
Intervention | Months (Median) |
---|
Pembrolizumab + SOC Chemotherapy (Pembro Combo) | 6.9 |
Placebo + SOC Chemotherapy (SOC) | 6.4 |
[back to top]
Pembro Combo vs SOC: Overall Survival (OS) in Participants With PD-L1 CPS ≥1 (All Participants)
OS was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the final analysis were censored at the date of the last follow-up. Per protocol, OS in the pembro combo arm was compared to the SOC arm as a pre-specified primary analysis of the ITT population. OS is reported here for all participants in the pembro combo arm and SOC arm who were PD-L1 CPS ≥1 (all participants). Per protocol, OS was compared separately between CPS ≥1 participants of the pembro mono arm and SOC arm and is presented later in the record. (NCT02494583)
Timeframe: Up to approximately 42 months
Intervention | Months (Median) |
---|
Pembrolizumab + SOC Chemotherapy (Pembro Combo) | 12.5 |
Placebo + SOC Chemotherapy (SOC) | 11.1 |
[back to top]
Number of Participants Discontinuing Study Treatment Due to an AE
An AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a pre-existing condition that was temporally associated with the use of the Sponsor's product was also an adverse event. The number of participants who discontinued study treatment due to an AE was reported for each arm according to the treatment received. (NCT02494583)
Timeframe: Up to approximately 30 months
Intervention | Participants (Count of Participants) |
---|
Pembrolizumab Monotherapy (Pembro Mono) | 29 |
Pembrolizumab + SOC Chemotherapy (Pembro Combo) | 85 |
Placebo + SOC Chemotherapy (SOC) | 58 |
[back to top]
Pembro Combo vs SOC: OS in Participants With PD-L1 CPS ≥10
OS was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the final analysis were censored at the date of the last follow-up. Per protocol, OS in the pembro combo arm was compared to the SOC arm as a pre-specified primary analysis of the ITT population. OS is reported here for all participants in the pembro combo arm and SOC arm who were PD-L1 CPS ≥10. Per protocol, OS was compared separately between CPS ≥10 participants of the pembro mono arm and SOC arm and is presented later in the record. (NCT02494583)
Timeframe: Up to approximately 42 months
Intervention | Months (Median) |
---|
Pembrolizumab + SOC Chemotherapy (Pembro Combo) | 12.3 |
Placebo + SOC Chemotherapy (SOC) | 10.8 |
[back to top]
Number of Participants Experiencing an Adverse Event (AE)
An AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a pre-existing condition that was temporally associated with the use of the Sponsor's product was also an adverse event. The number of participants who experienced an AE was reported for each arm according to the treatment received. (NCT02494583)
Timeframe: Up to approximately 33 months
Intervention | Participants (Count of Participants) |
---|
Pembrolizumab Monotherapy (Pembro Mono) | 242 |
Pembrolizumab + SOC Chemotherapy (Pembro Combo) | 244 |
Placebo + SOC Chemotherapy (SOC) | 240 |
[back to top]
Pembro Combo vs SOC: Change From Baseline to Week 18 in the EORTC QLQ-C30 Global Health Status/Quality of Life (Items 29 and 30) Combined Score
"The EORTC-QLQ-C30 is a 30-item questionnaire developed to assess the quality of life of cancer patients. Participant responses to the GHS question How would you rate your overall health during the past week? (Item 29) and the QoL question How would you rate your overall quality of life during the past week? (Item 30) were scored on a 7-point scale (1=Very Poor to 7=Excellent). Using linear transformation, raw scores were standardized so that scores ranged from 0 to 100, with a higher score indicating a better overall outcome. Per protocol, change from baseline to Week 18 in the GHS/QoL combined score was compared between all participants of the pembro combo arm and the SOC arm as a pre-specified secondary analysis. As specified by the protocol, change from baseline to Week 18 in the GHS/QoL combined score was compared separately between all participants of the pembro mono arm and SOC arm and is presented earlier in the record." (NCT02494583)
Timeframe: Baseline, Week 18
Intervention | Score on a Scale (Least Squares Mean) |
---|
Pembrolizumab + SOC Chemotherapy (Pembro Combo) | -0.09 |
Placebo + SOC Chemotherapy (SOC) | -2.07 |
[back to top]
Pembro Combo vs SOC: Duration of Response (DOR) Per RECIST 1.1 by BICR in Participants With PD-L1 CPS ≥1 (All Participants)
For participants who demonstrated a confirmed CR (disappearance of all target lesions) or PR (at least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1 based upon BICR, DOR was defined as the time from first documented evidence of confirmed CR or PR until PD or death, whichever occurred first. DOR for participants who had not progressed or died at the time of analysis was censored at the date of their last tumor assessment. Per RECIST 1.1, PD was defined as at least a 20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum had to demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD. DOR is reported here for all participants in the pembro combo arm and SOC arm who were PD-L1 CPS ≥1 (all participants) and had CR or PR. Per protocol, DOR was compared separately between CPS ≥1 responders of the pembro mono arm and SOC arm and is presented later in the record. (NCT02494583)
Timeframe: Up to approximately 42 months
Intervention | Months (Median) |
---|
Pembrolizumab + SOC Chemotherapy (Pembro Combo) | NA |
Placebo + SOC Chemotherapy (SOC) | NA |
[back to top]
Pembro Mono vs. SOC: Change From Baseline to Week 18 in EORTC QLQ-Module for Gastric Cancer (STO22) Pain Symptom Subscale Score
EORTC-QLQ-STO22 is a 22-item questionnaire developed to assess QoL of gastric cancer participants. It consists of 5 multi-item subscales that assess dysphagia (3 items), dietary restriction (4 items), pain (4 items), upper gastro-esophageal symptoms (3 items), and emotional problems (3 items), and questions on dry mouth, taste, body image, and hair loss. Participant responses to the Pain symptom subscale (Items 34-37) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100, with a higher score indicating more problems. Per protocol, change from baseline to Week 18 in the EORTC-QLQ-STO22 Pain score was compared between the pembro mono arm and the SOC arm as a pre-specified secondary analysis. As specified by the protocol, change from baseline to Week 18 in the EORTC-QLQ-STO22 Pain score was compared separately between the pembro combo arm and SOC arm and is presented later in the record. (NCT02494583)
Timeframe: Baseline, Week 18
Intervention | Score on a Scale (Least Squares Mean) |
---|
Pembrolizumab Monotherapy (Pembro Mono) | -1.14 |
Placebo + SOC Chemotherapy (SOC) | -3.49 |
[back to top]
[back to top]
[back to top]
[back to top]
AUC From Time Zero to Infinity (AUC 0-infinity) of Pertuzumab
The AUC0-infinity is calculated from time 0 (prior to administration of medication) to infinity (the time of complete elimination of the drug). The AUC is of particular use in estimating the bioavailability of drugs, by measuring the extent of absorption. AUC is measured as nanograms times days per milliliter (ng*day/mL). (NCT02494596)
Timeframe: Cycle 1: Days 2, 5, 8 and 15 Postdose; Cycle 2: Day 1 at drug administration, predose and 15 minutes postdose, and predose on Days 8, 15 and 22
Intervention | ng*day/mL (Mean) |
---|
Capecitabine + Pertuzumab | 4096501 |
[back to top]
Apparent Total Clearance of Pertuzumab
Clearance (expressed as volume/time) describes the removal of drug from a volume of plasma in a given unit of time (drug loss from the body). It is measured as milliliters per day (mL/day). (NCT02494596)
Timeframe: Cycle 1: Days 2, 5, 8 and 15 Postdose; Cycle 2: Day 1 at drug administration, predose and 15 minutes postdose, and predose on Days 8, 15 and 22
Intervention | mL/day (Mean) |
---|
Capecitabine + Pertuzumab | 283.0 |
[back to top]
Apparent Volume of Distribution of Pertuzumab
The volume of distribution at steady state (Vss), also known as apparent volume of distribution, is a pharmacological, theoretical volume that the total amount of administered drug would have to occupy (if it were uniformly distributed), to provide the same concentration as it currently is in blood plasma. Vss was measured in mL (NCT02494596)
Timeframe: Cycle 1: Days 2, 5, 8 and 15 Postdose; Cycle 2: Day 1 at drug administration, predose and 15 minutes postdose, and predose on Days 8, 15 and 22
Intervention | mL (Mean) |
---|
Capecitabine + Pertuzumab | 5202 |
[back to top]
Area Under the Concentration Curve From Time Zero to Last Measurement (AUC 0-last) of Pertuzumab
The area under the plot of plasma concentration of drug against time after drug administration is defined as the area under the curve (AUC). The AUC0-last is calculated from time 0 (prior to administration of medication) to last measured data point. The AUC is of particular use in estimating the bioavailability of drugs, by measuring the extent of absorption. AUC was measured as ng*day/mL. (NCT02494596)
Timeframe: Cycle 1: Days 2, 5, 8 and 15 Postdose; Cycle 2: Day 1 at drug administration, predose and 15 minutes postdose, and predose on Days 8, 15 and 22
Intervention | ng*day/mL (Mean) |
---|
Capecitabine + Pertuzumab | 2742561 |
[back to top]
Maximum Plasma Concentration (Cmax) of Pertuzumab
Cmax refers to the maximum (or peak) serum concentration that a drug achieves in a specified compartment or test area of the body after the drug has been administrated and prior to the administration of a second dose and was measured as nanograms per milliliter (ng/mL). (NCT02494596)
Timeframe: Cycle 1: Days 2, 5, 8 and 15 Postdose; Cycle 2: Day 1 at drug administration, predose and 15 minutes postdose, and predose on Days 8, 15 and 22
Intervention | ng/mL (Mean) |
---|
Capecitabine + Pertuzumab | 355111 |
[back to top]
Maximum Tolerated Dose (MTD) of the Combination of Pertuzumab and Capecitabine
MTD was defined as the highest tolerated dose combination of capecitabine (825 mg, 1000 mg or 1250 mg) and pertuzumab, without causing Dose Limiting Toxicities (DLTs). DLTs were defined as follows: 1) Any non-hematological toxicity greater than or equal to (≥) Grade 3 according to Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 except for fever, chills and flu-like symptoms, in spite of adequate toxicity management; 2) Grade 4 neutropenia lasting > 7 days; 3) Febrile neutropenia; 4) Thrombocytopenia Grade 4 or any thrombocytopenia requiring platelet transfusion; 5) Any subjectively intolerable toxicity felt by the investigator to be related to either one of the compounds. Participants who withdrew from the study without completing the first treatment cycle for reasons other than DLT were not considered evaluable for DLT. MTD was measured in mg/m^2. (NCT02494596)
Timeframe: Cycle 1 (3 Weeks)
Intervention | mg/m^2 (Number) |
---|
Capecitabine + Pertuzumab | 1250 |
[back to top]
Percentage of Participants With DLTs
DLTs were defined as follows: 1)Any non-hematological toxicity greater than or equal to (≥) Grade 3 according to Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 except for fever, chills and flu-like symptoms, in spite of adequate toxicity management; 2) Grade 4 neutropenia lasting > 7 days; 3) Febrile neutropenia; 4) Thrombocytopenia Grade 4 or any thrombocytopenia requiring platelet transfusion; 5) Any subjectively intolerable toxicity felt by the investigator to be related to either one of the compounds. Participants who withdrew from the study without completing the first treatment cycle for reasons other than DLT were not considered evaluable for DLT. (NCT02494596)
Timeframe: Cycle 1 (3 Weeks)
Intervention | percentage of participants (Number) |
---|
Capecitabine 825 Plus (+) Pertuzumab 1050 | 0.0 |
Capecitabine 1000 + Pertuzumab 1050 | 0.0 |
Capecitabine 1250 + Pertuzumab 1050 | 0.0 |
[back to top]
Plasma Half-Life (t1/2) of Pertuzumab
The biological half-life or terminal half-life of pertuzumab is the time in days it takes for it to lose half of its pharmacologic activity. t1/2 was measured in days. (NCT02494596)
Timeframe: Cycle 1: Days 2, 5, 8 and 15 Postdose; Cycle 2: Day 1 at drug administration, predose and 15 minutes postdose, and Predose on Days 8, 15 and 22
Intervention | days (Mean) |
---|
Capecitabine + Pertuzumab | 14.6 |
[back to top]
Time to Maximum Plasma Concentration (Tmax) of Pertuzumab
Tmax is defined as the time after administration of a drug when the maximum plasma concentration is reached; when the rate of absorption equals the rate of elimination. Tmax was measured in days. (NCT02494596)
Timeframe: Cycle 1: Days 2, 5, 8 and 15 Postdose; Cycle 2: Day 1 at drug administration, predose and 15 minutes postdose, and predose on Days 8, 15 and 22
Intervention | days (Mean) |
---|
Capecitabine + Pertuzumab | 0.137 |
[back to top]
Overall Response Rate of Complete or Partial Response
The response rates of complete or partial response rate as defined by the Response Evaluation Criteria for Solid Tumors at 15 weeks of a chemotherapy regimen involving docetaxel and capecitabine as front line therapy at 95% confidence interval. Complete Response (CR): the disappearance of all target lesions Partial Response (PR): at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum longest diameter (NCT02524275)
Timeframe: At 15 weeks
Intervention | Participants (Count of Participants) |
---|
Treatment (Docetaxel, Capecitabine) | 1 |
[back to top]
Progression-free Survival
The Kaplan-Meier method will be used to estimate time to event distributions for progression-free survival. Progression-free survival will be defined as from the first date of therapy until the first notation of clinical progression, relapse or death from any cause. (NCT02524275)
Timeframe: First date of therapy until the first notation of clinical progression, relapse or death from any cause, assessed up to 5 years
Intervention | days (Median) |
---|
Treatment (Docetaxel, Capecitabine) | 211 |
[back to top]
Survival
The Kaplan-Meier method will be used to estimate time to event distributions for survival. Survival will be defined as from the first date of therapy until the date of death from any cause. (NCT02524275)
Timeframe: First date of therapy until the date of death from any cause, assessed up to 5 years
Intervention | days (Median) |
---|
Treatment (Docetaxel, Capecitabine) | 264.5 |
[back to top]
Pathologic Complete Response for Patients With Rectal Cancer
Pathologic complete response is defined as the lack of all signs of cancer in tissue samples removed during surgery or biopsy after treatment with radiation or chemotherapy. (NCT02550743)
Timeframe: Approximately 6-10 weeks post treatment
Intervention | Participants (Count of Participants) |
---|
Dose 1 | 0 |
Dose 2 | 0 |
Dose 3 | 0 |
Dose -1 | 0 |
[back to top]
Maximum Tolerated Dose of BYL719
(NCT02550743)
Timeframe: approximately 6 weeks
Intervention | mg (Number) |
---|
Maximum Tolerated Dose of BYL719 | NA |
[back to top]
Overall Survival in Participants With Programmed Cell Death Ligand 1 (PD-L1) With Combined Positive Score (CPS) ≥10
Overall survival (OS) was defined as the time from randomization to death due to any cause. (NCT02555657)
Timeframe: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019)
Intervention | Months (Median) |
---|
Pembrolizumab | 12.7 |
Chemotherapy | 11.6 |
[back to top]
Overall Survival in Participants With PD-L1 CPS ≥1
Overall survival (OS) was defined as the time from randomization to death due to any cause. (NCT02555657)
Timeframe: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019)
Intervention | Months (Median) |
---|
Pembrolizumab | 10.7 |
Chemotherapy | 10.2 |
[back to top]
Number of Participants Who Experienced One or More Adverse Events
An adverse event (AE) is any untoward medical occurrence in a study participant administered a pharmaceutical product that does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. (NCT02555657)
Timeframe: Up to approximately 60 months
Intervention | Participants (Count of Participants) |
---|
Pembrolizumab | 285 |
Chemotherapy | 281 |
[back to top]
Progression-Free Survival Per RECIST 1.1 in Participants With PD-L1 CPS ≥10
Progression-Free Survival (PFS), based on BICR assessment per RECIST 1.1, was defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurred first. Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD. (NCT02555657)
Timeframe: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019)
Intervention | Months (Median) |
---|
Pembrolizumab | 2.1 |
Chemotherapy | 3.4 |
[back to top]
Progression-Free Survival Per RECIST 1.1 in Participants With PD-L1 CPS ≥1
Progression-Free Survival (PFS), based on BICR assessment per RECIST 1.1, was defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurred first. Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD. (NCT02555657)
Timeframe: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019)
Intervention | Months (Median) |
---|
Pembrolizumab | 2.1 |
Chemotherapy | 3.1 |
[back to top]
Progression-Free Survival Per RECIST 1.1 in All Participants
Progression-Free Survival (PFS), based on BICR assessment per RECIST 1.1, was defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurred first. Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD. (NCT02555657)
Timeframe: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019)
Intervention | Months (Median) |
---|
Pembrolizumab | 2.1 |
Chemotherapy | 3.3 |
[back to top]
Disease Control Rate Per RECIST 1.1 in All Participants
Disease Control Rate (DCR), based on BICR assessment per RECIST 1.1, was defined as the percentage of participants who had a Complete Response (CR: Disappearance of all target lesions) or Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) or Stable Disease for at least 24 weeks (SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for Progressive Disease [PD: At least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered PD.]) (NCT02555657)
Timeframe: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019)
Intervention | Percentage of participants (Number) |
---|
Pembrolizumab | 12.2 |
Chemotherapy | 18.7 |
[back to top]
Duration of Response Per RECIST 1.1 in All Participants Who Had a Confirmed Response
For participants who demonstrated a confirmed Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, Duration of Response (DOR) was defined as the time from first documented evidence of a CR or PR until progressive disease (PD) or death. DOR for participants who had not progressed or died at the time of analysis was to be censored at the date of their last tumor assessment. Per RECIST 1.1, PD was defined as at least a 20% increase in the sum of diameters of target lesions as well as an absolute increase of at least a 5 mm in the sum of diameters. The appearance of one or more new lesions was also considered PD. DOR assessments were based on BICR. (NCT02555657)
Timeframe: Up to approximately 36 months (from time of first documented evidence of CR or PR through Final Analysis database cutoff date of 11-April-2019)
Intervention | Months (Median) |
---|
Pembrolizumab | 12.2 |
Chemotherapy | NA |
[back to top]
Disease Control Rate Per RECIST 1.1 in Participants With PD-L1 CPS ≥1
Disease Control Rate (DCR), based on BICR assessment per RECIST 1.1, was defined as the percentage of participants who had a Complete Response (CR: Disappearance of all target lesions) or Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) or Stable Disease for at least 24 weeks (SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for Progressive Disease [PD: At least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered PD.]) (NCT02555657)
Timeframe: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019)
Intervention | Percentage of participants (Number) |
---|
Pembrolizumab | 14.3 |
Chemotherapy | 15.8 |
[back to top]
Duration of Response Per RECIST 1.1 in Participants With PD-L1 CPS ≥1 Who Had a Confirmed Response
For participants with PD-L1 CPS ≥1 who demonstrated a confirmed Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, Duration of Response (DOR) was defined as the time from first documented evidence of a CR or PR until progressive disease (PD) or death. DOR for participants who had not progressed or died at the time of analysis was to be censored at the date of their last tumor assessment. Per RECIST 1.1, PD was defined as at least a 20% increase in the sum of diameters of target lesions as well as an absolute increase of at least a 5 mm in the sum of diameters. The appearance of one or more new lesions was also considered PD. DOR assessments were based on BICR. (NCT02555657)
Timeframe: Up to approximately 36 months (from time of first documented evidence of CR or PR through Final Analysis database cutoff date of 11-April-2019)
Intervention | Months (Median) |
---|
Pembrolizumab | 12.2 |
Chemotherapy | NA |
[back to top]
Disease Control Rate Per RECIST 1.1 in Participants With PD-L1 CPS ≥10
Disease Control Rate (DCR), based on BICR assessment per RECIST 1.1, was defined as the percentage of participants who had a Complete Response (CR: Disappearance of all target lesions) or Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) or Stable Disease for at least 24 weeks (SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for Progressive Disease [PD: At least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered PD.]) (NCT02555657)
Timeframe: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019)
Intervention | Percentage of participants (Number) |
---|
Pembrolizumab | 19.8 |
Chemotherapy | 17.3 |
[back to top]
Duration of Response Per RECIST 1.1 in Participants With PD-L1 CPS ≥10 Who Had a Confirmed Response
For participants with PD-L1 CPS ≥10 who demonstrated a confirmed Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, Duration of Response (DOR) was defined as the time from first documented evidence of a CR or PR until progressive disease (PD) or death. DOR for participants who had not progressed or died at the time of analysis was to be censored at the date of their last tumor assessment. Per RECIST 1.1, PD was defined as at least a 20% increase in the sum of diameters of target lesions as well as an absolute increase of at least a 5 mm in the sum of diameters. The appearance of one or more new lesions was also considered PD. DOR assessments were based on BICR. (NCT02555657)
Timeframe: Up to approximately 36 months (from time of first documented evidence of CR or PR through Final Analysis database cutoff date of 11-April-2019)
Intervention | Months (Median) |
---|
Pembrolizumab | NA |
Chemotherapy | 7.1 |
[back to top]
Number of Participants Who Discontinued Study Treatment Due to an Adverse Event
An adverse event (AE) is any untoward medical occurrence in a study participant administered a pharmaceutical product that does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. (NCT02555657)
Timeframe: Up to approximately 60 months
Intervention | Participants (Count of Participants) |
---|
Pembrolizumab | 14 |
Chemotherapy | 16 |
[back to top]
Overall Response Rate Per RECIST 1.1 in All Participants
Overall Response Rate (ORR), based on BICR assessment per RECIST 1.1, was defined as the percentage of participants who had a confirmed Complete Response (CR: Disappearance of all target lesions) or a Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions). (NCT02555657)
Timeframe: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019)
Intervention | Percentage of participants (Number) |
---|
Pembrolizumab | 9.6 |
Chemotherapy | 10.6 |
[back to top]
Overall Response Rate Per RECIST 1.1 in Participants With PD-L1 CPS ≥1
Overall Response Rate (ORR), based on BICR assessment per RECIST 1.1, was defined as the percentage of participants who had a confirmed Complete Response (CR: Disappearance of all target lesions) or a Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions). (NCT02555657)
Timeframe: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019)
Intervention | Percentage of participants (Number) |
---|
Pembrolizumab | 12.3 |
Chemotherapy | 9.4 |
[back to top]
Overall Response Rate Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) in Participants With PD-L1 CPS ≥10
Overall Response Rate (ORR), based on a Blinded Independent Central Review (BICR) assessment per RECIST 1.1, was defined as the percentage of participants who had a confirmed Complete Response (CR: Disappearance of all target lesions) or a Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions). (NCT02555657)
Timeframe: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019)
Intervention | Percentage of participants (Number) |
---|
Pembrolizumab | 17.7 |
Chemotherapy | 9.2 |
[back to top]
Overall Survival in All Participants
Overall survival (OS) was defined as the time from randomization to death due to any cause. (NCT02555657)
Timeframe: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019)
Intervention | Months (Median) |
---|
Pembrolizumab | 9.9 |
Chemotherapy | 10.8 |
[back to top]
Time to Objective Response by the Investigator Assessment in BM-ve Population
Time to response was defined as the time from randomization to the first recorded objective response (ie, CR or PR). CR: Disappearance of all target and non-target lesions; and normalization of tumor marker levels initially above upper limits of normal; and no new lesions. PR: ≥30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD; and no new lesions. (NCT02574455)
Timeframe: From randomization to the first recorded objective response (assessed every 6 weeks for 9 months and then every 9 weeks thereafter until the occurrence of progression of disease; maximum exposure: 29.6 months)
Intervention | months (Mean) |
---|
Sacituzumab Govitecan | 2.14 |
Treatment of Physician's Choice (TPC) | 2.72 |
[back to top]
Overall Survival (OS) in ITT Population
Overall survival (OS) was defined as the time from the randomization to death from any cause. OS was estimated using Kaplan-Meier estimate. (NCT02574455)
Timeframe: From the randomization to death from any cause (maximum follow-up duration: 30.8 months)
Intervention | months (Median) |
---|
Sacituzumab Govitecan | 11.8 |
Treatment of Physician's Choice (TPC) | 6.9 |
[back to top]
Time to Progression (TTP) by IRC Assessment in BM-ve Population
Time to Progression (TTP) was defined as the time from the date of randomization to the date of the first evidence of disease progression as assessed using RECIST 1.1 criteria. The date of progression was date of the last observation or radiological assessment of target lesions that either showed a predefined increase (≥20%) in the sum of the target lesions or the appearance of new non-target lesions. Participants without progression were censored. (NCT02574455)
Timeframe: From randomization until disease progression (assessed every 6 weeks for 9 months and then every 9 weeks thereafter until the occurrence of progression of disease; maximum exposure: 29.6 months)
Intervention | months (Median) |
---|
Sacituzumab Govitecan | 5.8 |
Treatment of Physician's Choice (TPC) | 2.1 |
[back to top]
Change From Baseline in European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire Core 30 (EORTC QLQ-C30) Score
The EORTC QLQ-C30 is a questionnaire to assess quality of life (QoL), it is composed of 30 questions (items) resulting in 5 functional scales (physical functioning, role functioning, emotional functioning, cognitive functioning, social functioning), 1 global health status scale, 3 symptom scales (fatigue, nausea and vomiting, pain), and 6 single items (dyspnea, insomnia, loss of appetite, constipation, diarrhea, financial difficulties). All of the scales and single-item measures range in score from 0 to 100. Higher score for the functioning scales and global health status indicate a better quality of life; a positive change from baseline indicates improvement. Lower scores on the symptom and single-item scales indicate a better quality of life; a negative change from baseline indicates improvement. (NCT02574455)
Timeframe: Baseline; End of Treatment (EOT) (up to 29.6 months)
,
Intervention | score on a scale (Mean) |
---|
| Global Health Status/QoL: Baseline | Global Health Status/QoL: Change From Baseline at EOT | Physical Functioning: Baseline | Physical Functioning: Change From Baseline at EOT | Role Functioning: Baseline | Role Functioning: Change From Baseline at EOT | Emotional Functioning: Baseline | Emotional Functioning: Change From Baseline at EOT | Cognitive Functioning: Baseline | Cognitive Functioning: Change From Baseline at EOT | Social Functioning: Baseline | Social Functioning: Change From Baseline at EOT | Fatigue: Baseline | Fatigue: Change From Baseline at EOT | Nausea and Vomiting: Baseline | Nausea and Vomiting: Change From Baseline at EOT | Pain: Baseline | Pain: Change From Baseline at EOT | Dyspnoea: Baseline | Dyspnoea: Change From Baseline at EOT | Insomnia: Baseline | Insomnia: Change From Baseline at EOT | Appetite Loss: Baseline | Appetite Loss: Change From Baseline at EOT | Constipation: Baseline | Constipation: Change From Baseline at EOT | Diarrhoea: Baseline | Diarrhoea: Change From Baseline at EOT | Financial Difficulties: Baseline | Financial Difficulties: Change From Baseline at EOT |
---|
Sacituzumab Govitecan | 61.9 | -5.8 | 73.2 | -4.6 | 68.1 | -8.4 | 71.9 | -3.8 | 81.7 | -7.5 | 69.1 | -5.9 | 39.4 | 5.1 | 8.3 | 5.2 | 37.9 | 2.8 | 25.4 | 0.7 | 33.2 | 4.4 | 20.8 | 3.1 | 17.7 | 3.3 | 7.2 | 11.4 | 27.6 | 0.4 |
Treatment of Physician's Choice (TPC) | 56.4 | -9.4 | 71.2 | -13.5 | 65.1 | -18.8 | 68.9 | -3.5 | 79.5 | -6.1 | 69.6 | -10.3 | 42.1 | 14.0 | 10.3 | 7.3 | 42.5 | 6.8 | 25.0 | 5.9 | 35.6 | -4.3 | 25.8 | 10.0 | 19.0 | 7.0 | 6.5 | 3.6 | 22.4 | 1.1 |
[back to top]
Time to Progression (TTP) by Investigator Assessment in BM-ve Population
Time to Progression (TTP) was defined as the time from the date of randomization to the date of the first evidence of disease progression as assessed using RECIST 1.1 criteria. The date of progression was date of the last observation or radiological assessment of target lesions that either showed a predefined increase (≥20%) in the sum of the target lesions or the appearance of new non-target lesions. Participants without progression were censored. (NCT02574455)
Timeframe: From randomization until disease progression (assessed every 6 weeks for 9 months and then every 9 weeks thereafter until the occurrence of progression of disease; maximum exposure: 29.6 months)
Intervention | months (Median) |
---|
Sacituzumab Govitecan | 5.7 |
Treatment of Physician's Choice (TPC) | 1.8 |
[back to top]
Duration of Response (DOR) by IRC and Investigator Assessment in BM-ve Population
DOR was defined as the number of days between the first date showing a documented response of CR or PR and the date of progression or death. CR: Disappearance of all target and non-target lesions; and normalization of tumor marker levels initially above upper limits of normal; and no new lesions. PR: ≥30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD; and no new lesions. The date of progression was date of the last observation or radiological assessment of target lesions that either showed a predefined increase (≥20%) in the sum of the target lesions or the appearance of new non-target lesions. (NCT02574455)
Timeframe: From the first date of documented response of CR or PR to the date of progression or death (assessed every 6 weeks for 9 months and then every 9 weeks thereafter until the occurrence of progression of disease; maximum exposure: 29.6 months)
,
Intervention | months (Median) |
---|
| IRC Assessment | Investigator Assessment |
---|
Sacituzumab Govitecan | 6.3 | 6.9 |
Treatment of Physician's Choice (TPC) | 3.6 | 3.0 |
[back to top]
Clinical Benefit Rate (CBR) by IRC and Investigator Assessment in BM-ve Population
CBR was defined as the percentage of participants with best response as either CR, PR, or stable disease (SD) with a duration of ≥6 months. CR: Disappearance of all target and non-target lesions; and normalization of tumor marker levels initially above upper limits of normal; and no new lesions. PR: ≥30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD; and no new lesions. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum LD since the treatment started; and Persistence of one or more non-target lesion(s) or/and maintenance of tumor marker level above the normal limits. PD: ≥20% increase in the sum of LD of target lesions, taking as reference the smallest sum LD recorded since treatment started or appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions. (NCT02574455)
Timeframe: From randomization to the date of progression or death (assessed every 6 weeks for 9 months and then every 9 weeks thereafter until the occurrence of progression of disease; maximum exposure: 29.6 months)
,
Intervention | percentage of participants (Number) |
---|
| IRC Assessment | Investigator Assessment |
---|
Sacituzumab Govitecan | 44.7 | 45.5 |
Treatment of Physician's Choice (TPC) | 8.6 | 10.3 |
[back to top]
Overall Survival (OS) in BM-ve Population
Overall survival (OS) was defined as the time from the randomization to death from any cause. OS was estimated using Kaplan-Meier estimate. (NCT02574455)
Timeframe: From the randomization to death from any cause (maximum follow-up duration: 30.8 months)
Intervention | months (Median) |
---|
Sacituzumab Govitecan | 12.1 |
Treatment of Physician's Choice (TPC) | 6.7 |
[back to top]
Time to Objective Response by the IRC Assessment in BM-ve Population
Time to response was defined as the time from randomization to the first recorded objective response (ie, CR or PR). CR: Disappearance of all target and non-target lesions; and normalization of tumor marker levels initially above upper limits of normal; and no new lesions. PR: ≥30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD; and no new lesions. (NCT02574455)
Timeframe: From randomization to the first recorded objective response (assessed every 6 weeks for 9 months and then every 9 weeks thereafter until the occurrence of progression of disease; maximum exposure: 29.6 months)
Intervention | months (Mean) |
---|
Sacituzumab Govitecan | 2.67 |
Treatment of Physician's Choice (TPC) | 1.86 |
[back to top]
[back to top]
Progression-Free Survival (PFS) by IRC Assessment in the ITT Population
PFS was defined as the time from randomization until objective tumor progression by RECIST v1.1 or death, whichever came first. The date of progression was date of the last observation or radiological assessment of target lesions that either showed a predefined increase (≥20%) in the sum of the target lesions or the appearance of new non-target lesions. PFS was estimated using Kaplan-Meier estimate. (NCT02574455)
Timeframe: From randomization until objective tumor progression or death (assessed every 6 weeks for 9 months and then every 9 weeks thereafter until the occurrence of progression of disease; maximum exposure: 29.6 months)
Intervention | months (Median) |
---|
Sacituzumab Govitecan | 4.8 |
Treatment of Physician's Choice (TPC) | 1.7 |
[back to top]
Percentage of Participants Experiencing the Worst Laboratory Abnormalities Grade 3 or 4 Post-Baseline
Blood samples were collected for hematology, serum chemistry and the laboratory abnormalities were assessed. The most severe graded abnormality observed post-baseline for each graded test was counted for each participant. Safety as assessed by grading of laboratory values and AEs according to the National Cancer Institutes' Common Terminology Criteria for Adverse Events (NCI CTCAE) covering grades 0-5 (0=Normal, 1=Mild, 2=Moderate, 3=Severe, 4=Life-threatening, 5=Death). The percentage of participants with worst postbaseline grades 3 or 4 are reported. (NCT02574455)
Timeframe: First dose date up to last follow-up (maximum up to 30.8 months)
,
Intervention | percentage of participants (Number) |
---|
| Anemia | Lymphocyte Count Decreased | Neutrophil Count Decreased | Platelet Count Decreased | White Blood Cell Decreased | Alanine Aminotransferase Increased | Alkaline Phosphatase Increased | Aspartate Aminotransferase Increased | Blood Bilirubin Increased | Creatinine Increased | Hypercalcemia | Hyperglycemia | Hyperkalemia | Hypermagnesemia | Hypernatremia | Hypoalbumenemia | Hypocalcemia | Hypoglycemia | Hypokalemia | Hypomagnesemia | Hyponatremia | Hypophosphatemia |
---|
Sacituzumab Govitecan | 8.9 | 33.3 | 48.8 | 1.2 | 41.1 | 1.2 | 3.1 | 3.5 | 1.9 | 0.4 | 0 | 3.1 | 0.8 | 0.4 | 0 | 0.8 | 1.6 | 0.4 | 4.3 | 0.8 | 3.9 | 8.1 |
Treatment of Physician's Choice (TPC) | 5.4 | 25.0 | 35.3 | 2.7 | 25.4 | 2.2 | 3.6 | 2.2 | 2.7 | 0 | 0.4 | 3.1 | 0 | 0.4 | 0 | 1.3 | 1.3 | 0 | 0.9 | 0 | 3.6 | 3.6 |
[back to top]
Percentage of Participants Experiencing Any Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and TEAEs Leading to Discontinuation of Study Drug
"Treatment-emergent adverse events (TEAEs) were defined as any adverse events (AEs) that begin or worsen on or after the start of study drug through 30 days after the last dose of study drug. The severity was graded based on the National Cancer Institute's Common Terminology Criteria for Adverse Events Version 4.03. An AE that met one or more of the following outcomes was classified as serious:~Fatal~Life-threatening~Disabling/incapacitating~Results in hospitalization or prolongs a hospital stay~A congenital abnormality~Other important medical events may also be considered serious AEs if they may require medical or surgical intervention to prevent one of the outcomes listed above" (NCT02574455)
Timeframe: First dose date up to last follow-up (maximum up to 30.8 months)
,
Intervention | percentage of participants (Number) |
---|
| Any TEAEs | SAEs | TEAEs Leading to Discontinuation of Study Drug |
---|
Sacituzumab Govitecan | 99.6 | 26.7 | 4.7 |
Treatment of Physician's Choice (TPC) | 97.8 | 28.6 | 5.4 |
[back to top]
Objective Response Rate (ORR) by IRC and Investigator Assessment in BM-ve Population
ORR was defined as the percentage of participants who had the overall best response as either a confirmed complete response (CR) or partial response (PR) relative to the size of population under evaluation. CR: Disappearance of all target and non-target lesions; and normalization of tumor marker levels initially above upper limits of normal; and no new lesions. PR: ≥30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD; and no new lesions. (NCT02574455)
Timeframe: From randomization to the date of progression or death (assessed every 6 weeks for 9 months and then every 9 weeks thereafter until the occurrence of progression of disease; maximum exposure: 29.6 months)
,
Intervention | percentage of participants (Number) |
---|
| ORR by IRC Assessment | ORR by Investigator Assessment |
---|
Sacituzumab Govitecan | 34.9 | 33.2 |
Treatment of Physician's Choice (TPC) | 4.7 | 6.4 |
[back to top]
Progression-free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)
PFS was defined as the time from randomization to the first documented progressive disease (PD) per RECIST 1.1 based on blinded independent central review (BICR), or death due to any cause, whichever occurs earlier. Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum had to demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD. The sponsor allowed a maximum of 10 target lesions in total and 5 per organ on this study. PFS was reported for each treatment arm. Per protocol, analysis for this outcome measure was performed for the first pembrolizumab course and for the standard treatment arm, with a protocol-specified analysis data cut-off date of 30-Nov-2020. (NCT02611960)
Timeframe: Up to approximately 53 months (through analysis cut-off date of 30-Nov-2020)
Intervention | Months (Median) |
---|
Pembrolizumab | 4.1 |
Standard Treatment | 5.5 |
[back to top]
Percentage of Participants With PFS (PFS Rate) at 6 Months
PFS was defined as the time from randomization to the first documented PD per RECIST 1.1 based on BICR, or death due to any cause, whichever occurs earlier. Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum had to demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD. The sponsor allowed a maximum of 10 target lesions in total and 5 per organ on this study. The percentage of participants with PFS (PFS rate) at 6 months is reported for each treatment arm based on the product-limit (Kaplan-Meier) method for censored data. Per protocol, analysis for this outcome measure was performed for the first pembrolizumab course and for the standard treatment arm, with a protocol-specified analysis data cut-off date of 30-Nov-2020. (NCT02611960)
Timeframe: 6 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab | 36.3 |
Standard Treatment | 43.9 |
[back to top]
Percentage of Participants With PFS (PFS Rate) at 12 Months
PFS was defined as the time from randomization to the first documented PD per RECIST 1.1 based on BICR, or death due to any cause, whichever occurs earlier. Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum had to demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD. The sponsor allowed a maximum of 10 target lesions in total and 5 per organ on this study. The percentage of participants with PFS (PFS rate) at 12 months is reported for each treatment arm based on the product-limit (Kaplan-Meier) method for censored data. Per protocol, analysis for this outcome measure was performed for the first pembrolizumab course and for the standard treatment arm, with a protocol-specified analysis data cut-off date of 30-Nov-2020. (NCT02611960)
Timeframe: 12 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab | 18.7 |
Standard Treatment | 30.8 |
[back to top]
Percentage of Participants Who Experience One or More Adverse Events (AEs)
An AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have to have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a pre-existing condition that was temporally associated with the use of the Sponsor's product was also an AE. The percentage of participants that experienced at least one AE was reported for each treatment arm. Per protocol, analysis for this outcome measure was performed for the first pembrolizumab course and for the standard treatment arm. (NCT02611960)
Timeframe: Up to approximately 73 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab | 97.4 |
Standard Treatment | 97.3 |
[back to top]
Percentage of Participants Who Discontinue Study Treatment Due to an AE
An AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have to have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a pre-existing condition that was temporally associated with the use of the Sponsor's product was also an AE. The percentage of participants that discontinued study treatment due to an AE was reported for each treatment arm. Per protocol, analysis for this outcome measure was performed for the first pembrolizumab course and for the standard treatment arm. (NCT02611960)
Timeframe: Up to approximately 72 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab | 8.6 |
Standard Treatment | 15.2 |
[back to top]
Percentage of Participants Surviving (OS Rate) at 24 Months
OS was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the final analysis were censored at the date of the last known contact. The percentage of participants surviving (OS rate) at 24 months is reported for each treatment arm based on the product-limit (Kaplan-Meier) method for censored data. Per protocol, analysis for this outcome measure was performed for the first pembrolizumab course and for the standard treatment arm, with a protocol-specified analysis data cut-off date of 30-Nov-2020. (NCT02611960)
Timeframe: 24 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab | 40.2 |
Standard Treatment | 32.2 |
[back to top]
Percentage of Participants Surviving (OS Rate) at 12 Months
OS was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the final analysis were censored at the date of the last known contact. The percentage of participants surviving (OS rate) at 12 months is reported for each treatment arm based on the product-limit (Kaplan-Meier) method for censored data. Per protocol, analysis for this outcome measure was performed for the first pembrolizumab course and for the standard treatment arm, with a protocol-specified analysis data cut-off date of 30-Nov-2020. (NCT02611960)
Timeframe: 12 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab | 58.1 |
Standard Treatment | 57.4 |
[back to top]
Overall Survival (OS)
Overall Survival was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the final analysis were censored at the date of the last known contact. OS was reported for each treatment arm. Per protocol, analysis for this outcome measure was performed for the first pembrolizumab course and for the standard treatment arm, with a protocol-specified analysis data cut-off date of 30-Nov-2020. (NCT02611960)
Timeframe: Up to approximately 53 months (through analysis cut-off date of 30-Nov-2020)
Intervention | Months (Median) |
---|
Pembrolizumab | 17.2 |
Standard Treatment | 15.3 |
[back to top]
Duration of Response (DOR) Per RECIST 1.1
For participants who demonstrated a confirmed CR (disappearance of all target lesions) or PR (at least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1 as assessed by BICR, DOR was defined as the time from first documented evidence of confirmed CR or PR until PD or death due to any cause, whichever occurred first. DOR for participants who had not progressed or died at the time of analysis was censored at the date of their last tumor assessment. Per RECIST 1.1, PD was defined as at least a 20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum had to demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD. DOR was reported for each treatment arm. Per protocol, analysis for this outcome measure was performed for the first pembrolizumab course and for the standard treatment arm, with a protocol-specified analysis data cut-off date of 30-Nov-2020. (NCT02611960)
Timeframe: Up to approximately 53 months (through analysis cut-off date of 30-Nov-2020)
Intervention | Months (Median) |
---|
Pembrolizumab | 12.0 |
Standard Treatment | 13.1 |
[back to top]
Objective Response Rate (ORR) Per RECIST 1.1
ORR was defined as the percentage of participants in the analysis population who had a confirmed Complete Response (CR: disappearance of all target lesions) or a Partial Response (PR: ≥30% decrease in the sum of diameters of target lesions) per RECIST 1.1. based upon BICR. The sponsor allowed a maximum of 10 target lesions in total and 5 per organ on this study. ORR was reported for each treatment arm. Per protocol, analysis for this outcome measure was performed for the first pembrolizumab course and for the standard treatment arm, with a protocol-specified analysis data cut-off date of 30-Nov-2020. (NCT02611960)
Timeframe: Up to approximately 53 months (through analysis cut-off date of 30-Nov-2020)
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab | 21.4 |
Standard Treatment | 23.3 |
[back to top]
Progression-free Survival (PFS) Per RECIST 1.1 as Determined by Blinded Independent Central Review (BICR)
Defined as the time from the date of randomization to the date of documented disease progression. (NCT02614794)
Timeframe: 34.6 months
Intervention | months (Median) |
---|
Tuc+Cap+Tra | 7.8 |
Pbo+Cap+Tra | 5.6 |
[back to top]
Frequency of Dose Modifications
(NCT02614794)
Timeframe: 35.1 months
,
Intervention | Participants (Count of Participants) |
---|
| TEAEs resulting in tuc/pbo dose modification | TEAEs resulting in tucatinib/placebo dose hold | TEAEs resulting in tuc/pbo dose reduction | TEAEs resulting capecitabine dose modification | TEAEs resulting in capecitabine dose hold | TEAEs resulting in capecitabine dose reduction | TEAEs resulting trastuzumab dose modification | TEAEs resulting in trastuzumab dose hold |
---|
Pbo+Cap+Tra | 81 | 80 | 21 | 122 | 113 | 77 | 38 | 38 |
Tuc+Cap+Tra | 220 | 216 | 84 | 313 | 276 | 243 | 104 | 104 |
[back to top]
Frequency of Dose Modifications at Time of Final Analysis
(NCT02614794)
Timeframe: Up to 60.1 months
,
Intervention | Participants (Count of Participants) |
---|
| TEAEs resulting in tuc/pbo dose modification | TEAEs resulting in tucatinib/placebo dose hold | TEAEs resulting in tuc/pbo dose reduction | TEAEs resulting capecitabine dose modification | TEAEs resulting in capecitabine dose hold | TEAEs resulting in capecitabine dose reduction | TEAEs resulting trastuzumab dose modification | TEAEs resulting in trastuzumab dose hold |
---|
Pbo+Cap+Tra | 85 | 84 | 21 | 125 | 117 | 79 | 41 | 41 |
Tuc+Cap+Tra | 237 | 232 | 92 | 322 | 288 | 251 | 117 | 117 |
[back to top]
Incidence of Adverse Events (AEs) at Time of Final Analysis
As determined by assessment of AEs, clinical laboratory tests, and vital signs measurements. AEs were classified by system organ class (SOC) and preferred term using the Medical Dictionary for Regulatory Activities (MedDRA) Version 22.0 or higher; AE severities were classified using Version 4.03 of the (Common Terminology Criteria for Adverse Events) CTCAE criteria. (NCT02614794)
Timeframe: Up to 60.1 months
,
Intervention | Participants (Count of Participants) |
---|
| Any treatment-emergent AE (TEAE) | Any Grade 3 or higher TEAE | Any treatment-emergent serious AE | TEAE leading to death |
---|
Pbo+Cap+Tra | 191 | 101 | 58 | 6 |
Tuc+Cap+Tra | 401 | 248 | 123 | 8 |
[back to top]
Incidence of Adverse Events (AEs) at Time of Primary Analysis
As determined by assessment of AEs, clinical laboratory tests, and vital signs measurements. AEs were classified by system organ class (SOC) and preferred term using the Medical Dictionary for Regulatory Activities (MedDRA) Version 22.0 or higher; AE severities were classified using Version 4.03 of the (Common Terminology Criteria for Adverse Events) CTCAE criteria. (NCT02614794)
Timeframe: 36.1 months
,
Intervention | Participants (Count of Participants) |
---|
| Any treatment-emergent AE (TEAE) | Any Grade 3 or higher TEAE | Any treatment-emergent serious AE | TEAE leading to death |
---|
Pbo+Cap+Tra | 191 | 96 | 53 | 6 |
Tuc+Cap+Tra | 401 | 223 | 104 | 8 |
[back to top]
Incidence of Health Resources Utilization
Cumulative incidence of health resource utilization, including length of stay, hospitalizations, and ER visits using the EQ-5D-5L questionnaire. (NCT02614794)
Timeframe: 36.1 months
,
Intervention | hospitalizations (Number) |
---|
| Total number of hospitalizations | Hospitalization for AE | Planned hospitalization (other than AE) | Ambulatory Surgery | Other |
---|
Pbo+Cap+Tra | 75 | 64 | 6 | 0 | 5 |
Tuc+Cap+Tra | 143 | 124 | 10 | 3 | 6 |
[back to top]
Pharmacokinetic Measure: ONT-993
Individual plasma primary metabolite concentrations at each sampling time (NCT02614794)
Timeframe: 3.5 months
Intervention | ng/mL (Mean) |
---|
| Cycle 2, Day 1 (Pre-dose) | Cycle 3, Day 1 (Pre-dose) | Cycle 3, Day 1 (Post-dose) | Cycle 4, Day 1 (Pre-dose) | Cycle 5, Day 1 (Pre-dose) | Cycle 6, Day 1 (Pre-dose) |
---|
Tuc+Cap+Tra | 25.5 | 22.6 | 47.7 | 25.2 | 24.5 | 20.9 |
[back to top]
Pharmacokinetic Measure: Ctrough of Tucatinib
Individual plasma tucatinib concentrations at each sampling time (NCT02614794)
Timeframe: 3.5 months
Intervention | ng/mL (Mean) |
---|
| Cycle 2, Day 1 (Pre-dose) | Cycle 3, Day 1 (Pre-dose) | Cycle 3, Day 1 (Post-dose) | Cycle 4, Day 1 (Pre-dose) | Cycle 5, Day 1 (Pre-dose) | Cycle 6, Day 1 (Pre-dose) |
---|
Tuc+Cap+Tra | 246.1 | 227.6 | 507.1 | 253.2 | 257.6 | 247.8 |
[back to top]
CBR Per RECIST 1.1 as Determined by Investigator Assessment
Clinical benefit was defined as achieving stable disease (SD) or non-CR/non-PD for at least 6 months or a best overall response of confirmed CR or confirmed PR. (NCT02614794)
Timeframe: 34.6 months
Intervention | percentage of participants (Number) |
---|
Tuc+Cap+Tra | 58.0 |
Pbo+Cap+Tra | 37.6 |
[back to top]
Clinical Benefit Rate (CBR) as Determined by BICR Per RECIST 1.1
Clinical benefit was defined as achieving stable disease (SD) or non-complete response (CR)/non-progressive disease (PD) for at least 6 months or a best overall response of confirmed CR or confirmed partial response (PR). (NCT02614794)
Timeframe: 34.6 months
Intervention | percentage of participants (Number) |
---|
Tuc+Cap+Tra | 59.8 |
Pbo+Cap+Tra | 38.1 |
[back to top]
Confirmed Objective Response Rate (ORR) Per RECIST 1.1 as Determined by BICR
Defined as achieving a best overall response of confirmed complete response (CR) or confirmed partial response (PR). (NCT02614794)
Timeframe: 34.6 months
Intervention | percentage of participants (Number) |
---|
Tuc+Cap+Tra | 40.7 |
Pbo+Cap+Tra | 23.4 |
[back to top]
Duration of Response (DOR) Per RECIST 1.1 as Determined by BICR
Defined as the time from the first objective response to documented disease progression or death from any cause, whichever occurred first. (NCT02614794)
Timeframe: 24.6 months
Intervention | months (Median) |
---|
Tuc+Cap+Tra | 8.3 |
Pbo+Cap+Tra | 6.3 |
[back to top]
ORR Per RECIST 1.1 as Determined by Investigator Assessment
Defined as achieving a best overall response of confirmed CR or confirmed PR. (NCT02614794)
Timeframe: 34.6 months
Intervention | percentage of participants (Number) |
---|
Tuc+Cap+Tra | 41.4 |
Pbo+Cap+Tra | 23.0 |
[back to top]
Overall Survival (OS) at Time of Final Analysis
Defined as time from randomization to death from any cause (NCT02614794)
Timeframe: Up to 60.1 months
Intervention | months (Median) |
---|
Tuc+Cap+Tra | 24.7 |
Pbo+Cap+Tra | 19.2 |
[back to top]
Overall Survival (OS) at Time of Primary Analysis
Defined as time from randomization to death from any cause (NCT02614794)
Timeframe: 35.9 months
Intervention | months (Median) |
---|
Tuc+Cap+Tra | 21.9 |
Pbo+Cap+Tra | 17.4 |
[back to top]
[back to top]
PFS Per RECIST 1.1 as Determined by Investigator Assessment at Time of Final Analysis
Defined as the time from the date of randomization to the date of documented disease progression (NCT02614794)
Timeframe: Up to 58.0 months
Intervention | months (Median) |
---|
Tuc+Cap+Tra | 7.6 |
Pbo+Cap+Tra | 4.9 |
[back to top]
PFS Per RECIST 1.1 as Determined by Investigator Assessment at Time of Primary Analysis
Defined as the time from the date of randomization to the date of documented disease progression (NCT02614794)
Timeframe: 34.6 months
Intervention | months (Median) |
---|
Tuc+Cap+Tra | 7.5 |
Pbo+Cap+Tra | 4.3 |
[back to top]
DOR Per RECIST 1.1 as Determined by Investigator Assessment
Defined as the time from the first objective response to documented disease progression or death from any cause, whichever occurred first. (NCT02614794)
Timeframe: 33.2 months
Intervention | months (Median) |
---|
Tuc+Cap+Tra | 7.0 |
Pbo+Cap+Tra | 6.9 |
[back to top]
Progression Free Survival (PFS) by Independent Review Committee (IRC)
The PFS time was defined as the time from date of randomization until date of the first documentation of progressive disease (PD) or death due to any cause (whichever occurs first). PFS was assessed as per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) as per IRC. PD was defined as at least a 20 percent (%) increase in the sum of longest diameter (SLD), taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. PFS was measured using Kaplan-Meier (KM) estimates. (NCT02625610)
Timeframe: From randomization into maintenance phase up to 1276 days
Intervention | months (Median) |
---|
Chemotherapy + Best Supportive Care (BSC) | 4.4 |
Avelumab | 3.2 |
[back to top]
Maintenance Phase: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs According to National Cancer Institute-Common Terminology Criteria for Adverse Events Version 4.03 (NCI-CTCAE v4.03)
Adverse event (AE) was defined as any untoward medical occurrence in a participant, which does not necessarily have causal relationship with treatment. A serious AE was defined as an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged in participant hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. The term TEAE is defined as AEs starting or worsening after the first intake of the study drug. TEAEs included both serious TEAEs and non-serious TEAEs. Number of participants with TEAEs and serious TEAEs were reported. (NCT02625610)
Timeframe: From randomization into maintenance phase up to 1276 days
,
Intervention | Participants (Count of Participants) |
---|
| Any TEAEs | Any Serious TEAE |
---|
Avelumab | 223 | 89 |
Chemotherapy + Best Supportive Care (BSC) | 214 | 75 |
[back to top]
Maintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Abnormalities
ECG parameters included heart rate, pulse rate intervals, QRS interval, QT interval corrected based on Fridericia's formula (QTcF) intervals and QTcB intervals. Clinical significance was determined by the investigator. Number of participants with potentially clinically significant ECG abnormalities were reported. (NCT02625610)
Timeframe: From randomization into maintenance phase up to 1276 days
,
Intervention | Participants (Count of Participants) |
---|
| Decreased heart rate | Increased heart rate | Increased Pulse Rate interval | Increased QRS interval | QTcF interval greater than (>)450milisecond (ms)less than or equal to(<=)480ms | QTcF interval: > 480 ms <= 500 ms | QTcF interval: > 500 ms | QTcB Interval: > 450 msec <= 480 msec | QTcB Interval: > 480 msec <= 500 msec | QTcB Interval: > 500 msec |
---|
Avelumab | 1 | 2 | 3 | 8 | 9 | 3 | 1 | 18 | 2 | 3 |
Chemotherapy + Best Supportive Care (BSC) | 0 | 2 | 1 | 5 | 9 | 2 | 3 | 19 | 2 | 5 |
[back to top]
Maintenance Phase: Number of Participants With Potentially Clinically Significant Abnormalities in Vital Signs
Vital signs assessment included Systolic blood pressure (SBP), Diastolic blood pressure (DBP) and Pulse Rate (PR). Number of Participants with any potentially clinically significant abnormalities in vital signs were reported. Clinical significance was determined by the investigator. (NCT02625610)
Timeframe: From randomization into maintenance phase up to 1276 days
,
Intervention | Participants (Count of Participants) |
---|
| Increased in Systolic blood pressure | Decreased in Systolic blood pressure | Increased in Diastolic blood pressure | Decreased in Diastolic blood pressure | Increased in pulse rate | Decreased in pulse rate |
---|
Avelumab | 62 | 69 | 24 | 26 | 48 | 30 |
Chemotherapy + Best Supportive Care (BSC) | 57 | 43 | 14 | 21 | 46 | 32 |
[back to top]
Maintenance Phase: Number of Participants With Grade Change From Baseline to Worst On-Treatment Grade 4 Hematology Values
Blood samples were collected for the analysis of following hematology parameters: lymphocyte count, neutrophil count, white blood cells, platelet count, lipase, serum amylase, creatinine phosphokinase and creatinine. The hematology parameters were graded according to National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 4.03. Grade 1: mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences. An increase is defined as an increase in CTCAE grade relative to Baseline grade. Data for worst-case (Grade 4) post Baseline is presented. Only those participants with increase to grade 4 have been presented. (NCT02625610)
Timeframe: From baseline up to 1276 days
,
Intervention | Participants (Count of Participants) |
---|
| lymphocyte count decreased | neutrophil count decreased | white blood cells decreased | platelet count decreased | lipase increased | serum amylase increased | creatinine phosphokinase increased | creatinine increased |
---|
Avelumab | 1 | 1 | 0 | 0 | 8 | 2 | 2 | 1 |
Chemotherapy + Best Supportive Care (BSC) | 0 | 6 | 2 | 1 | 6 | 3 | 0 | 0 |
[back to top]
Change From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)
EQ-5D-5L is comprised of the following 5 participant-reported dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The responses are used to derive overall score using a visual analog scale (VAS) that ranged from 0 to 100 millimeter (mm), where 0 is the worst health you can imagine and 100 is the best health you can imagine. (NCT02625610)
Timeframe: Baseline, Week 3/4, Week 7, Week 13, Week 19, Week 25, Week 31, Week 37, Week 43, Week 49, Week 55, Week 61, Week 67, End of Treatment ( EOT up to 148 weeks) and Safety Follow-up (Up to 152.3 Weeks)
,
Intervention | Millimeter (Mean) |
---|
| Week 3/4 | Week 7 | Week 13 | Week 19 | Week 25 | Week 31 | Week 37 | Week 43 | Week 49 | Week 55 | Week 61 | Week 67 | End Of Treatment | Safety Follow-Up |
---|
Avelumab | 0.6 | -2.1 | -0.7 | -0.1 | -1.4 | 1.4 | 0.9 | 3.2 | 2.1 | 3.4 | 3.5 | 4.9 | -10.3 | -9.6 |
Chemotherapy + Best Supportive Care (BSC) | 0.9 | -0.5 | -3.2 | -3.5 | -4.5 | -2.3 | -1.7 | -4.4 | -2.9 | -9.4 | -6.4 | -7.3 | -12.2 | -8.0 |
[back to top]
Maintenance Phase: Number of Participants With Shift in Eastern Cooperative Oncology Group (ECOG) Performance Status Score to 1 or Higher Than 1
ECOG PS score is widely used by doctors and researchers to assess how a participants' disease is progressing, and is used to assess how the disease affects the daily living abilities of the participant, and determine appropriate treatment and prognosis. The score ranges from Grade 0 to Grade 5, where Grade 0 = Fully active, able to carry on all pre-disease performance without restriction, Grade 1 = Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature (like light house work, office work), Grade 2 = Ambulatory and capable of all self-care but unable to carry out any work activities, Grade 3 = Capable of only limited self-care, confined to bed or chair more than 50% of waking hours and Grade 4 = Completely disabled. Cannot carry on any self-care. Totally confined to bed or chair, Grade 5 = Death. Number of participants with shift in ECOG PS Score to 1 or Higher Than 1 were reported. (NCT02625610)
Timeframe: From randomization into maintenance phase up to 1276 days
Intervention | Participants (Count of Participants) |
---|
Chemotherapy + Best Supportive Care (BSC) | 140 |
Avelumab | 144 |
[back to top]
Objective Response Rate (ORR) by Investigator Assessment
The ORR defined as the percentage of all randomized participants with a confirmed best overall response (BOR) of partial response (PR),or complete response (CR) according to RECIST v1.1 and as per Investigator assessment. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30 percent (%) reduction from baseline in sum of longest diameter (SLD) of all lesions. (NCT02625610)
Timeframe: From randomization into maintenance phase up to 1276 days
Intervention | percentage of participants (Number) |
---|
Chemotherapy + Best Supportive Care (BSC) | 14.4 |
Avelumab | 13.3 |
[back to top]
Overall Survival (OS)
Overall Survival was defined as the time from randomization to the date of death due to any cause. For participants who were still alive at the time of data analysis or who were lost to follow-up, OS time was censored at the date of last contact. OS was measured using Kaplan-Meier (KM) estimates. (NCT02625610)
Timeframe: From randomization into maintenance phase up to 1276 days
Intervention | months (Median) |
---|
Chemotherapy + Best Supportive Care (BSC) | 10.9 |
Avelumab | 10.4 |
[back to top]
Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)
European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) is a 30-question tool used to assess the overall quality of life (QoL) in cancer participants. It consisted of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, role, cognitive, emotional, social), and 9 symptom scales/items (Fatigue, nausea and vomiting, pain, dyspnoea, sleep disturbance, appetite loss, constipation, diarrhea, financial impact. The EORTC QLQ-C30 GHS/QoL score ranges from 0 to 100; High score indicates better GHS/QoL. Score 0 represents: very poor physical condition and QoL. Score 100 represents: excellent overall physical condition and QoL. (NCT02625610)
Timeframe: Baseline, Week 3/4, Week 7, Week 13, Week 19, Week 25, Week 31, Week 37, Week 43, Week 49, Week 55, Week 61, Week 67, End of Treatment ( EOT up to 148 weeks) and Safety Follow-up (Up to 152.3 Weeks)
,
Intervention | units on a scale (Mean) |
---|
| Week 3/4 | Week 7 | Week 13 | Week 19 | Week 25 | Week 31 | Week 37 | Week 43 | Week 49 | Week 55 | Week 61 | Week 67 | End Of Treatment | Safety Follow-Up |
---|
Avelumab | 0.85 | -1.01 | 0.24 | 1.37 | 0.41 | 1.85 | 1.77 | 3.33 | 4.01 | 4.00 | 2.38 | 4.90 | -11.67 | -9.29 |
Chemotherapy + Best Supportive Care (BSC) | 1.30 | -1.44 | -2.50 | -5.85 | -4.43 | -3.09 | -1.39 | -1.19 | 1.52 | 0.00 | -5.00 | 0.00 | -11.54 | -7.51 |
[back to top]
Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)
European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) supplements the EORTC QLQ-C30 to assess symptoms and treatment-related side effects commonly reported in participants. There are 22 questions which comprise 5 scales (dysphagia, pain, reflux symptom, dietary restrictions, and anxiety) and 4 single items (dry mouth, hair loss, taste, body image). Most questions use 4-point scale (1 'Not at all' to 4 'Very much'; 1 question was a yes or no answer). A linear transformation was used to standardize all scores and single-items to a scale of 0 to 100; higher score=better level of functioning or greater degree of symptoms. (NCT02625610)
Timeframe: Baseline, Week 3/4, Week 7, Week 13, Week 19, Week 25, Week 31, Week 37, Week 43, Week 49, Week 55, Week 61, Week 67, End of Treatment ( EOT up to 148 weeks) and Safety Follow-up (Up to 152.3 Weeks)
,
Intervention | units on a scale (Mean) |
---|
| Dysphagia: Week 3/4 | Dysphagia Week 7 | Dysphagia Week 13 | Dysphagia Week 19 | Dysphagia Week 25 | Dysphagia Week 31 | Dysphagia Week 37 | Dysphagia Week 43 | Dysphagia Week 49 | Dysphagia Week 55 | Dysphagia Week 61 | Dysphagia Week 67 | Dysphagia End Of Treatment | Dysphagia Safety Follow-Up | Pain Week 3/4 | Pain Week 7 | Pain Week 13 | Pain Week 19 | Pain Week 25 | Pain Week 31 | Pain Week 37 | Pain Week 43 | Pain Week 49 | Pain Week 55 | Pain Week 61 | Pain Week 67 | Pain End Of Treatment | Pain Safety Follow-Up | Reflux Week 3/4 | Reflux Week 7 | Reflux Week 13 | Reflux Week 19 | Reflux Week 25 | Reflux Week 31 | Reflux Week 37 | Reflux Week 43 | Reflux Week 49 | Reflux Week 55 | Reflux Week 61 | Reflux Week 67 | Reflux End of Treatment | Reflux Safety Follow-up | Eating Restrictions Week 3/4 | Eating Restrictions Week 7 | Eating Restrictions Week 13 | Eating Restrictions Week 19 | Eating Restrictions Week 25 | Eating Restrictions Week 31 | Eating Restrictions Week 37 | Eating Restrictions Week 43 | Eating Restrictions Week 49 | Eating Restrictions Week 55 | Eating Restrictions Week 61 | Eating Restrictions Week 67 | Eating Restrictions EOT | Eating Restrictions Safety Follow-up | Anxiety Week 3/4 | Anxiety Week 7 | Anxiety Week 13 | Anxiety Week 19 | Anxiety Week 25 | Anxiety Week 31 | Anxiety Week 37 | Anxiety Week 43 | Anxiety Week 49 | Anxiety Week 55 | Anxiety Week 61 | Anxiety Week 67 | Anxiety End of Treatment | Anxiety Safety Follow-Up |
---|
Avelumab | 0.60 | 1.34 | 0.65 | 1.52 | 1.69 | 4.39 | -0.67 | -2.59 | 1.23 | 0.89 | 1.06 | 1.31 | 8.21 | 7.25 | -0.04 | 2.60 | 0.16 | -0.51 | -1.55 | 0.97 | -1.26 | -1.94 | -0.62 | -1.00 | -1.59 | -0.49 | 9.45 | 10.99 | 0.12 | 0.50 | -1.09 | -1.68 | 1.69 | -1.29 | -4.38 | -5.56 | -2.06 | -3.56 | -6.35 | 0.00 | 4.73 | 2.90 | 0.13 | -0.27 | 0.00 | -0.63 | -1.55 | 0.39 | -3.28 | -3.89 | -5.25 | -6.00 | -5.56 | -2.45 | 10.01 | 11.59 | -4.06 | -1.20 | -2.83 | -1.68 | -1.69 | -0.52 | -1.01 | -1.11 | -6.17 | -4.00 | -4.76 | -1.96 | 5.89 | 4.99 |
Chemotherapy + Best Supportive Care (BSC) | 0.76 | 2.84 | 1.60 | -0.58 | -1.39 | 0.82 | -7.19 | -4.76 | -3.03 | 0.00 | 0.00 | -1.85 | 7.27 | 9.39 | 1.51 | 2.53 | 2.96 | 3.22 | -1.56 | 4.01 | -4.90 | 1.79 | 1.52 | 0.00 | 3.33 | 0.00 | 9.25 | 8.22 | 1.04 | 0.31 | 0.99 | 1.75 | 0.69 | -2.06 | -6.54 | -3.17 | 1.01 | 2.22 | 6.67 | 7.41 | 3.43 | 1.56 | 0.73 | 0.98 | 1.02 | -2.34 | -2.08 | -2.47 | -8.82 | -4.76 | 0.76 | 3.33 | 0.00 | 1.39 | 8.27 | 7.04 | -0.28 | -1.30 | -0.86 | -1.56 | -2.78 | 4.12 | -3.92 | -3.97 | 0.00 | 2.22 | -4.44 | 9.26 | 4.58 | 5.48 |
[back to top]
Change From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)
EQ-5D-5L is comprised of the following 5 participant-reported dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The responses are used to derive overall composite health state index score, with scores ranging from -0.594 to 1. A higher score indicates better health state. (NCT02625610)
Timeframe: Baseline, Week 3/4, Week 7, Week 13, Week 19, Week 25, Week 31, Week 37, Week 43, Week 49, Week 55, Week 61, Week 67, End of Treatment ( EOT up to 148 weeks) and Safety Follow-up (Up to 152.3 Weeks)
,
Intervention | Units on Scale (Mean) |
---|
| Week 3/4 | Week 7 | Week 13 | Week 19 | Week 25 | Week 31 | Week 37 | Week 43 | Week 49 | Week 55 | Week 61 | Week 67 | End Of Treatment | Safety Follow-Up |
---|
Avelumab | 0.004 | -0.009 | -0.017 | -0.011 | 0.014 | 0.013 | 0.013 | 0.058 | 0.026 | 0.028 | 0.031 | 0.039 | -0.138 | -0.099 |
Chemotherapy + Best Supportive Care (BSC) | -0.002 | -0.032 | -0.053 | -0.039 | -0.049 | -0.023 | -0.035 | -0.046 | -0.100 | -0.164 | -0.091 | -0.076 | -0.125 | -0.062 |
[back to top]
Percentage of Participants With Downstaging of Primary Tumor and/or Lymph Nodes
Downstaging of primary tumor (T) and/or lymph nodes (N) was defined as decrease by 1 point in T-value and/or N-value (comparing at screening and after treatment). It was assessed by colonoscopy, pathology, endosonography of rectum, chest X-ray, abdominopelvic Computed Tomography and Magnetic Resonance Imaging. Staging for tumor are: TX (primary tumor cannot be assessed), T0 (no evidence of primary tumor), Tis (carcinoma in situ), T1 (tumor invades submucosa), T2 (tumor invades muscularis propria), T3 (tumor invades through muscularis propria into subserosa/into non-peritonealized pericolic/perirectal tissues, T4 (tumor directly invades other organs or structures). Staging for lymph nodes are: NX (regional lymph nodes cannot be assessed), N0 (no regional lymph node metastasis), N1 (metastasis in 1 to 3 regional lymph nodes), N2 (metastasis in 4 or more regional lymph nodes). (NCT02694718)
Timeframe: From screening to Week 16
Intervention | Percentage of participants (Number) |
---|
| T stage | N stage | Overall |
---|
Capecitabine + Oxaliplatin | 47 | 48 | 65 |
[back to top]
Number of Participants With Any Adverse Events and Serious Adverse Events
An adverse event (AE) is defined as any untoward medical occurrence in participants or clinical investigation participants administered a pharmaceutical product and which did not necessarily have to have a causal relationship with this treatment. A serious adverse event (SAE) is any untoward medical occurrence that at any dose results in death, are life threatening, requires hospitalization or prolongation of hospitalization or results in disability/incapacity, and congenital anomaly/birth defect. (NCT02694718)
Timeframe: Up to Week 16
Intervention | Participants (Number) |
---|
| Any AEs | Any SAEs |
---|
Capecitabine + Oxaliplatin | 59 | 8 |
[back to top]
Percentage of Participants With Pathological Complete Tumor Response
Pathological complete tumor response was defined as grade 3 or 4 in the histological grading of regression according to Dworak classification. Grade 0 is no regression; Grade 1 is dominant tumor mass with obvious fibrosis and/or vasculopathy; Grade 2 is dominantly fibrotic changes with few tumor cells or groups; Grade 3 is defined as very few (difficult to find microscopically) tumor cells in fibrotic tissue with or without mucous substance; Grade 4 is defined as no tumor cells, only fibrotic mass (total regression or response). (NCT02694718)
Timeframe: Up to Week 16
Intervention | Percentage of participants (Number) |
---|
Capecitabine + Oxaliplatin | 23 |
[back to top]
Percentage of Participants With Pathological Incomplete Tumor Response
Pathological incomplete tumor response was defined as grade 1 or 2 in the histological grading of regression according to Dworak grading of regression. Pathological incomplete tumor response rate, Grade 1: dominant tumor mass with obvious fibrosis and/or vasculopathy; Grade 2: dominantly fibrotic changes with few tumor cells or groups (easy to find) were assessed. (NCT02694718)
Timeframe: Up to Week 16
Intervention | Percentage of participants (Number) |
---|
Capecitabine + Oxaliplatin | 72 |
[back to top]
Percentage of Participants With Resection (R0) in Participants With T4 Rectal Cancer
R0 resection was defined as complete resection of the tumor with adequate tumor-free margins and regional lymph node extirpation as confirmed by pathology after pre-operative chemotherapy plus capecitabine + oxaliplatin therapy. (NCT02694718)
Timeframe: Up to Week 16
Intervention | Percentage of participants (Number) |
---|
Capecitabine + Oxaliplatin | 100 |
[back to top]
Percentage of Participants With Sphincter-preservation
Percentage of participants with sphincter-preservation is reported. (NCT02694718)
Timeframe: Up to Week 16
Intervention | Percentage of participants (Number) |
---|
Capecitabine + Oxaliplatin | 84.48 |
[back to top]
Number of Participants With Marked Laboratory Abnormalities
Number of participants with marked laboratory abnormalities is reported. (NCT02694718)
Timeframe: Up to Week 16
Intervention | Participants (Number) |
---|
| Hemoglobin | Hematocrit | Erythrocytes | Leucocytes total | Neutrophils | Basophils | Eosinophils | Monocytes | Lymphocytes | Platelets | ASAT/SGOT | ALAT/SGPT | Serum albumin | Total protein | Serum creatinine | Glucose | Sodium | Potassium | Calcium |
---|
Capecitabine + Oxaliplatin | 7 | 7 | 16 | 8 | 9 | 1 | 2 | 2 | 42 | 13 | 2 | 10 | 3 | 2 | 2 | 13 | 2 | 2 | 2 |
[back to top]
Disease Control Rate (DCR)
DCR was the proportion of patients with confirmed CR, PR or stable disease (SD) as best overall response. SD defined as neither sufficient decrease to qualify for PR nor sufficient increase to qualify for PD. (NCT02743221)
Timeframe: Baseline and every 8 weeks (maximum follow-up duration: 17.9 months)
Intervention | Participants (Count of Participants) |
---|
Trifluridine/Tipiracil + Bevacizumab | 66 |
Capecitabine + Bevacizumab | 59 |
[back to top]
Overall Survival (OS)
The OS was defined as the time from the date of randomisation to the date of death. If death was not confirmed, or patient was alive at study cut-off date, survival time was censored at the date of last follow-up or at the study cut-off date, whichever was earlier. (NCT02743221)
Timeframe: Baseline up to death or study cut-off (maximum follow-up duration: 19.9 months)
Intervention | months (Median) |
---|
Trifluridine/Tipiracil + Bevacizumab | 18.0 |
Capecitabine + Bevacizumab | 16.2 |
[back to top]
Overall Response Rate (ORR)
As per RECIST v1.1, Complete Response (CR) was disappearance of all target lesions; Partial Response (PR) was at least 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. The ORR was the proportion of patients who presented CR or PR with confirmation at subsequent time point or at least 4 weeks later. (NCT02743221)
Timeframe: Baseline and every 8 weeks (maximum follow-up duration: 17.9 months)
Intervention | Participants (Count of Participants) |
---|
Trifluridine/Tipiracil + Bevacizumab | 26 |
Capecitabine + Bevacizumab | 23 |
[back to top]
Progression Free Survival (PFS)
The progression free survival (PFS), defined as the time from the date of randomisation until the date of the investigator-assessed radiological disease progression or death due to any cause according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Progressive disease (PD) was defined at least a 20% increase in the sum of diameters of target lesions (taking as reference the smallest sum on study) and an absolute increase of at least 5 mm in the sum of lesions or the appearance of new lesions. (NCT02743221)
Timeframe: Baseline and every 8 weeks (maximum follow-up duration: 17.9 months)
Intervention | months (Median) |
---|
Trifluridine/Tipiracil + Bevacizumab | 9.2 |
Capecitabine + Bevacizumab | 7.8 |
[back to top]
Duration of Response (DR)
The DR was calculated among patients with CR or PR as the time (months) from the first documentation of response to the first documentation of objective tumor progression or death due to any cause, whichever occurred first. (NCT02743221)
Timeframe: Baseline and every 8 weeks (maximum follow-up duration: 16.6 months)
Intervention | months (Median) |
---|
Trifluridine/Tipiracil + Bevacizumab | 7.9 |
Capecitabine + Bevacizumab | 9.9 |
[back to top]
Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) According to Response Evaluation Criteria in Solid Tumors (RECIST)
Tumor response was assessed by RECIST during the study. CR was defined as disappearance of all target and non-target lesions and normalization of tumor marker levels. PR was defined as greater than or equal to (≥) 30 percent (%) decrease in sum of longest diameter (LD) of target lesions in reference to Baseline sum LD. Response was to be confirmed ≥4 weeks after the initial assessment of CR or PR. The percentage of participants with a best overall response for CR or PR was reported. The exact 95% confidence interval (CI) for one-sample binomial was determined using the Pearson-Clopper method. (NCT02748213)
Timeframe: Tumor assessments at Baseline, then every 6 weeks until Cycle 8 (cycle length of 21 days), then every 12 weeks until progressive disease and/or one year after enrollment; thereafter according to routine clinical practice (up to 66 months overall)
Intervention | percentage of participants (Number) |
---|
Herceptin + Taxotere + Xeloda | 70.5 |
Herceptin + Taxotere | 72.7 |
[back to top]
Percentage of Participants With Death or Disease Progression According to RECIST
Tumor response was assessed by RECIST during the study. Disease progression or progressive disease (PD) was defined as ≥20% increase in sum LD in reference to the smallest on-treatment sum LD, or the appearance of new lesions. The percentage of participants who died or experienced PD was reported. (NCT02748213)
Timeframe: Tumor assessments at Baseline, then every 6 weeks until Cycle 8 (cycle length of 21 days), then every 12 weeks until progressive disease and/or one year after enrollment; thereafter according to routine clinical practice (up to 66 months overall)
Intervention | percentage of participants (Number) |
---|
Herceptin + Taxotere + Xeloda | 67.9 |
Herceptin + Taxotere | 77.3 |
[back to top]
Progression-Free Survival (PFS) According to RECIST
Tumor response was assessed by RECIST during the study. Disease progression or PD was defined as ≥20% increase in sum LD in reference to the smallest on-treatment sum LD, or the appearance of new lesions. PFS was defined as the time from start of treatment to the first event of death or PD. Participants without event at the time of analysis were censored at the latest date of last tumor assessment or last date in drug log. The median duration of PFS and corresponding 95% CI were estimated by Kaplan-Meier analysis and expressed in months. (NCT02748213)
Timeframe: Tumor assessments at Baseline, then every 6 weeks until Cycle 8 (cycle length of 21 days), then every 12 weeks until progressive disease and/or one year after enrollment; thereafter according to routine clinical practice (up to 66 months overall)
Intervention | months (Median) |
---|
Herceptin + Taxotere + Xeloda | 17.9 |
Herceptin + Taxotere | 12.8 |
[back to top]
Duration of Response (DOR) According to RECIST
Tumor response was assessed by RECIST during the study. CR was defined as disappearance of all target and non-target lesions and normalization of tumor marker levels. PR was defined as ≥30% decrease in sum LD of target lesions in reference to Baseline sum LD. Response was to be confirmed ≥4 weeks after the initial assessment of CR or PR. DOR was defined as the time from first assessment of CR or PR until the first occurrence of documented PD, death, or withdrawal. The median DOR was reported and expressed in months. (NCT02748213)
Timeframe: Tumor assessments at Baseline, then every 6 weeks until Cycle 8 (cycle length of 21 days), then every 12 weeks until progressive disease and/or one year after enrollment; thereafter according to routine clinical practice (up to 66 months overall)
Intervention | months (Median) |
---|
Herceptin + Taxotere + Xeloda | 15.9 |
Herceptin + Taxotere | 13.4 |
[back to top]
Overall Survival (OS)
OS was defined as the time from start of treatment to date of death for any reason. Participants who were alive at the time of analysis were censored at the latest date of last tumor assessment, last drug intake, or last follow-up information. The median duration of OS and corresponding 95% CI were estimated by Kaplan-Meier analysis and expressed in months. (NCT02748213)
Timeframe: Continuously during treatment (up to 66 months) and at any time after treatment discontinuation until 18 months after last participant enrolled (up to 66 months overall)
Intervention | months (Median) |
---|
Herceptin + Taxotere + Xeloda | 43.5 |
Herceptin + Taxotere | 47.3 |
[back to top]
Percentage of Participants Who Died
The percentage of participants who died from any cause was reported. (NCT02748213)
Timeframe: Continuously during treatment (up to 66 months) and at any time after treatment discontinuation until 18 months after last participant enrolled (up to 66 months overall)
Intervention | percentage of participants (Number) |
---|
Herceptin + Taxotere + Xeloda | 35.7 |
Herceptin + Taxotere | 41.8 |
[back to top]
Disease Control (DC)
"Disease control is defined as CR or PR or Stable disease (SD) per RECIST version 1.1.~Since only one patient was enrolled prior to termination of the trial, no data summarization or analysis was carried out." (NCT02780700)
Timeframe: Data collected up to cut-off date 09 Sep 2016, Up to 02 months
Intervention | Percentage of participants (Number) |
---|
Nintedanib Plus Capecitabine | NA |
[back to top]
Objective Response Rate (ORR)
"ORR is defined as complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.~Since only one patient was enrolled prior to termination of the trial, no data summarization or analysis was carried out." (NCT02780700)
Timeframe: tumor response was to be assessed by imaging according to RECIST (version 1.1) every 6 weeks.
Intervention | Percentage of participants (Number) |
---|
Nintedanib Plus Capecitabine | NA |
[back to top]
Overall Survival (OS)
"Overall survival is defined as the time from randomization until death from any cause.~Since only one patient was enrolled prior to termination of the trial, no data summarization or analysis was carried out." (NCT02780700)
Timeframe: Data collected up to cut-off date 09 Sep 2016, Up to 02 months
Intervention | months (Median) |
---|
Nintedanib Plus Capecitabine | NA |
[back to top]
Percentage of Patients With Grade 3 or Worse Adverse Events
Percentage of patients with grade 3 or worse adverse events. (NCT02780700)
Timeframe: Data collected up to cut-off date 09 Sep 2016, Up to 02 months
Intervention | Percentage of participants (Number) |
---|
Nintedanib Plus Capecitabine | 0 |
[back to top]
Progression Free Survival (PFS)
"PFS is defined as the time from randomization until objective tumor progression or death.~Since only one patient was enrolled prior to termination of the trial, no data summarization or analysis was carried out." (NCT02780700)
Timeframe: Data collected up to cut-off date 09 Sep 2016, Up to 02 months
Intervention | months (Median) |
---|
Nintedanib Plus Capecitabine | NA |
[back to top]
PFS in Participants Treated With Nivolumab Plus Ipilimumab vs Chemotherapy
Progression Free Survival (PFS) is defined as the time from randomization to the date of the first documented PD or death due to any cause. PD is determined by blinded independent committee review (BICR) per RECIST1.1 criteria in participants treated with Nivolumab plus Ipilumab vs Chemotherapy with PD-L1 CPS ≥ 10, 5, 1 or all randomized participants. Progressive disease (PD) is defined as at least a 20% increase in the sum of diameters of target lesions, taking in reference the smallest sum on study that also demonstrated an absolute increase of at least 5 mm. CPS is defined as the number of PD-L1 staining cells (tumor cells, lymphocytes, macrophages) divided by the total number of viable tumor cells, multiplied by 100. (NCT02872116)
Timeframe: From randomization to the date of the first documented progressive disease (PD) per BICR or death due to any cause (up to approximately 9 months)
,
Intervention | Months (Median) |
---|
| All randomized participants | PD-L1 CPS ≥ 1 | PD-L1 CPS ≥ 5 | PD-L1 CPS ≥ 10 |
---|
Arm 2b: Chemotherapy (XELOX or FOLFOX) | 7.06 | 6.93 | 6.28 | 6.28 |
Arm 3: Nivolumab + Ipilimumab | 2.83 | 2.79 | 2.83 | 2.89 |
[back to top]
PFS in Participants Treated With Nivolumab Plus Chemotherapy vs Chemotherapy
Progression free survival (PFS), defined as the time from randomization to the date of the first documented progressive disease (PD) or death due to any cause, in participants treated with Nivolumab plus Chemotherapy vs Chemotherapy by BICR per RECIST1.1 in participants with PD-L1 CPS ≥ 10, 1, or all randomized subjects. Progreessive disease (PD) is defined as at least a 20% increase in the sum of diameters of target lesions, taking in reference the smallest sum on study that also demonstrated an absolute increase of at least 5 mm. CPS is defined as the number of PD-L1 staining cells (tumor cells, lymphocytes, macrophages) divided by the total number of viable tumor cells, multiplied by 100. (NCT02872116)
Timeframe: From randomization to the date of the first documented progressive disease (PD) per BICR or death due to any cause (up to approximately 10 months)
,
Intervention | Months (Median) |
---|
| All randomized participants | Participants with CPS ≥ 1 | Participants with CPS ≥ 10 |
---|
Arm 1: Nivolumab + Chemotherapy (XELOX or FOLFOX) | 7.66 | 7.49 | 8.31 |
Arm 2a: Chemotherapy (XELOX or FOLFOX) | 6.93 | 6.90 | 5.78 |
[back to top]
OS in Participants Treated With Nivolumab Plus Ipilimumab vs Chemotherapy
Overall survival (OS), defined as the time from randomization to the time of death, in participants treated with Nivolumab plus Ipilimumab vs Chemotherapy with PD-L1 CPS (combined positive score) ≥ 1, 5, 10, and all randomized participants. CPS is defined as the number of PD-L1 staining cells (tumor cells, lymphocytes, macrophages) divided by the total number of viable tumor cells, multiplied by 100. (NCT02872116)
Timeframe: From the date of randomization up to the date of death, up to approximately 14 months
,
Intervention | Months (Median) |
---|
| All randomized participants | Participants with CPS ≥ 1 | Participants with CPS ≥ 5 | Participants with CPS ≥ 10 |
---|
Arm 2b: Chemotherapy (XELOX or FOLFOX) | 11.83 | 11.47 | 11.63 | 11.33 |
Arm 3: Nivolumab + Ipilimumab | 11.73 | 11.73 | 11.24 | 11.63 |
[back to top]
OS in Participants Treated With Nivolumab Plus Chemotherapy vs Chemotherapy
Overall survival (OS), defined as the time from randomization to the time of death, in participants treated with Nivolumab plus Chemotherapy vs Chemotherapy with PD-L1 CPS ≥ 1, 10, and all randomized participants. CPS is defined as the number of PD-L1 staining cells (tumor cells, lymphocytes, macrophages) divided by the total number of viable tumor cells, multiplied by 100. (NCT02872116)
Timeframe: From the date of randomization up to the date of death, up to approximately 17 months
,
Intervention | Months (Median) |
---|
| All randomized participants | Participants with CPS ≥ 1 | Participants with PD-L1 CPS ≥ 10 |
---|
Arm 1: Nivolumab + Chemotherapy (XELOX or FOLFOX) | 13.83 | 13.96 | 15.01 |
Arm 2a: Chemotherapy (XELOX or FOLFOX) | 11.56 | 11.33 | 10.87 |
[back to top]
Objective Response Rate
Objective response rate (ORR) as assessed by BICR in participants with PD-L1 CPS ≥ 10, 5, 1, or all randomized participants. ORR is a percentage of participants determined by the number of participants with a best overall response (BOR) of complete response (CR) or partial response (PR) divided by the number of measurable participants with target lesion at baseline. BOR is defined as the best response designation as determined by the BICR, recorded between the date of randomization and the date of objectively documented progression (per RECIST 1.1 as determined by the BICR) or the date of subsequent anti-cancer therapy, whichever occurs first. CR is defined as the disappearance of all target lesions. PR is define as at 30% decrease in the sum of diameters of target lesions. The 806 chemotherapy treated participants are split into two separate arms (Arm 2a and Arm 2b) to act as comparison groups to the other treatment arms. (NCT02872116)
Timeframe: From randomization to the date of objectively documented progression or the date of subsequent anti-cancer therapy, whichever occurs first (up to approximately 43 months)
,,,
Intervention | Percentage of Participants (Number) |
---|
| Participants with CPS ≥ 1 | Participants with CPS ≥ 5 | Participants with CPS ≥ 10 | All randomized participants |
---|
Arm 1: Nivolumab + Chemotherapy (XELOX or FOLFOX) | 59.5 | 59.8 | 58.3 | 46.9 |
Arm 2a: Chemotherapy (XELOX or FOLFOX) | 46.4 | 45.3 | 44.2 | 37.0 |
Arm 2b: Chemotherapy (XELOX or FOLFOX) | 37.3 | 37.7 | 35.9 | 34.9 |
Arm 3: Nivolumab + Ipilimumab | 21.7 | 23.1 | 24.3 | 20.8 |
[back to top]
Progression Free Survival (PFS) in Participants Treated With Nivolumab Plus Chemotherapy vs Chemotherapy With PD-L1 CPS ≥ 5
Progression Free Survival (PFS) is defined as the time from randomization to the date of the first documented PD or death due to any cause. PD is determined by blinded independent committee review (BICR) per RECIST1.1 criteria in participants treated with Nivolumab plus Chemotherapy vs Chemotherapy with PD-L1 CPS ≥ 5. Progressive disease (PD) is defined as at least a 20% increase in the sum of diameters of target lesions, taking in reference the smallest sum on study that also demonstrated an absolute increase of at least 5 mm. CPS is defined as the number of PD-L1 staining cells (tumor cells, lymphocytes, macrophages) divided by the total number of viable tumor cells, multiplied by 100. (NCT02872116)
Timeframe: From randomization to the date of the first documented progressive disease (PD) per BICR or death due to any cause (up to approximately 10 months)
Intervention | Months (Median) |
---|
Arm 1: Nivolumab + Chemotherapy (XELOX or FOLFOX) | 7.69 |
Arm 2a: Chemotherapy (XELOX or FOLFOX) | 6.05 |
[back to top]
Overall Survival (OS) in Participants Treated With Nivolumab Plus Chemotherapy vs Chemotherapy With PD-L1 CPS ≥ 5
Overall survival (OS), defined as the time from randomization to the time of death, in participants treated with Nivolumab plus Chemotherapy vs Chemotherapy with PD-L1 CPS (combined positive score) ≥ 5. CPS is defined as the number of PD-L1 staining cells (tumor cells, lymphocytes, macrophages) divided by the total number of viable tumor cells, multiplied by 100. (NCT02872116)
Timeframe: From the date of randomization up to the date of death, up to approximately 17 months
Intervention | Months (Median) |
---|
Arm 1: Nivolumab + Chemotherapy (XELOX or FOLFOX) | 14.39 |
Arm 2a: Chemotherapy (XELOX or FOLFOX) | 11.10 |
[back to top]
Progression Free Survival (PFS)
Assessed by Response Evaluation Criteria in Solid Tumors (RECIST) version (v) 1.1. The primary comparisons will be superiority of the active treatment for PFS of atezolizumab versus placebo. PFS will be compared between treatment arms using the un-stratified log-rank test at one-sided level of 0.10 and the p-value will be used for decision making. The hazard ratio (HR) for PFS will be estimated using a Cox proportional hazards model and the 95% confidence interval (CI) for the HR will be provided. Kaplan-Meier methodology will be used to estimate the median PFS for each treatment arm, and Kaplan-Meier curves will be produced. Progression is defined as any new lesion or increase by ≥20% of previously involved sites from nadir based on RECIST criteria. (NCT02873195)
Timeframe: From randomization to first documentation of disease progression by RECIST v1.1, or death from any cause, assessed up to 20 months
Intervention | months (Median) |
---|
Atezolizumab, Bevacizumab, Capecitabine | 4.37 |
Placebo, Bevacizumab, Capecitabine | 3.32 |
[back to top]
[back to top]
Objective Response Rate
The objective response rate is defined as the percentage of participants who achieve a partial response or compete response as assessed (partial response [PR] or complete response [CR] per RECIST v1.1) during treatment with study therapy. Rates of response will be compared across arms using a fisher's exact test for proportion. Point estimates will be generated for objective response rates within each arm along with 95% binomial confidence intervals. Complete response (CR): Disappearance of all evidence of disease, Partial response (PR): Regression of measurable disease and no new sites (NCT02873195)
Timeframe: Up to 20 months
Intervention | percentage of participants (Number) |
---|
Atezolizumab, Bevacizumab, Capecitabine | 8.54 |
Placebo, Bevacizumab, Capecitabine | 4.35 |
[back to top]
Overall Survival (OS)
The distribution of survival time will be estimated using the method of Kaplan-Meier. OS will be compared between treatment arms using the unstratified log-rank test. OS medians, survival rates and HR will be estimated along with 95% confidence intervals. (NCT02873195)
Timeframe: From randomization to death due to any cause, assessed up to 20 months
Intervention | months (Median) |
---|
Atezolizumab, Bevacizumab, Capecitabine | 10.55 |
Placebo, Bevacizumab, Capecitabine | 10.61 |
[back to top]
Rate of Sphincter Preservation
Sphincter preservation means that the surgical procedure used to remove the tumor did not disturb the sphincter muscle. Analyzed by a logistic regression model that controls for the stratification factors (cT-stage and cN-stage). Observed proportions along with confidence intervals will be presented by treatment. (NCT02921256)
Timeframe: Up to 3 years
Intervention | percentage of participants (Mean) |
---|
Arm Ia (mFOLFOX6, RT, Capecitabine) | 52.5 |
Arm II (mFOLFOX6, RT, Capecitabine, Veliparib) | 59.3 |
Arm Ib (mFOLFOX6, RT, Capecitabine, Pembrolizumab) | 71.0 |
Arm III (mFOLFOX6, RT, Capecitabine, Pembrolizumab) | 59.4 |
[back to top]
Neoadjuvant Rectal Cancer (NAR) Score
A linear regression model that controls for the stratification factors (cT-stage and cN-stage) will be used. Mean NAR scores along with standard errors and confidence intervals will be reported by treatment. The NAR score ranges from zero to 100 with lower values corresponding to better prognosis. (NCT02921256)
Timeframe: Baseline to up to 3 years
Intervention | score on a scale (Mean) |
---|
Arm Ia (mFOLFOX6, RT, Capecitabine) | 12.6 |
Arm II (mFOLFOX6, RT, Capecitabine, Veliparib) | 13.7 |
Arm Ib (mFOLFOX6, RT, Capecitabine) | 14.1 |
Arm III (mFOLFOX6, RT, Capecitabine, Pembrolizumab) | 11.5 |
[back to top]
Rate of Pathologic Complete Response (Nodes and Tumor) ypT0 and ypN0
Pathologic Complete Response means no remaining cancer detectable in the pathology sample. Analyzed by a logistic regression model that controls for the stratification factors (cT-stage and cN-stage). Observed proportions along with confidence intervals will be presented by treatment. (NCT02921256)
Timeframe: Up to 3 years
Intervention | percentage of participants (Mean) |
---|
Arm Ia (mFOLFOX6, RT, Capecitabine) | 21.6 |
Arm II (mFOLFOX6, RT, Capecitabine, Veliparib) | 33.8 |
Arm Ib (mFOLFOX6, RT, Capecitabine) | 29.4 |
Arm III (mFOLFOX6, RT, Capecitabine, Pembrolizumab) | 31.9 |
[back to top]
TTR According to RECIST 1.1 as Assessed by Investigator
(NCT02937116)
Timeframe: Through out the study (up to 2 years)
Intervention | Days (Median) |
---|
MEL: Sintilimab 200mg Q3W (Cohort A) | 63.0 |
Malignant Tumor or Neuroendocrine Tumor: Sintilimab 200mg Q3W (Cohort B) | 64.0 |
NSCLC: Sintilimab 200mg Q3W (Cohort C) | 63.0 |
nsNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort D) | 63.0 |
scNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort E) | 62.0 |
Gastric or Gastroesophageal Junction Adenocarcinoma: Sintilimab 200mg Q3W + Chemotherapy (Cohort F) | 63.0 |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort G) | 62.0 |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort H) | 62.0 |
[back to top]
Volume of Distribution of IBI308 in Plasma After Single Dose Administration
(NCT02937116)
Timeframe: Cycle 1: pre-dose, post-dose at 0, 1, 6 hours, and Days 2, 3, 8, 15, and 22, and 29
Intervention | L (Geometric Mean) |
---|
Solid Tumors: Sintilimab 1mg/kg Q2W (Part A1) | 5.02 |
Solid Tumors: Sintilimab 3mg/kg Q2W (Part A2) | 5.14 |
Solid Tumors: Sintilimab 10mg/kg Q2W (Part A3) | 5.95 |
Solid Tumors: Sintilimab 200mg/kg Q3W (Part A4) | 7.2 |
[back to top]
Time to Maximum Concentration (Tmax) of Sintilimab in Solid Tumor Participants
(NCT02937116)
Timeframe: Cycle 1: pre-dose, post-dose at 0, 1, 6 hours, and Days 2, 3, 8, 15, and 22, and 29
Intervention | hours (Median) |
---|
Solid Tumors: Sintilimab 1mg/kg Q2W (Part A1) | 1.05 |
Solid Tumors: Sintilimab 3mg/kg Q2W (Part A2) | 2.07 |
Solid Tumors: Sintilimab 10mg/kg Q2W (Part A3) | 2.27 |
Solid Tumors: Sintilimab 200mg/kg Q3W (Part A4) | 1.93 |
[back to top]
OS for Participants
(NCT02937116)
Timeframe: Through out the study
Intervention | Days (Median) |
---|
MEL: Sintilimab 200mg Q3W (Cohort A) | 518.0 |
Malignant Tumor or Neuroendocrine Tumor: Sintilimab 200mg Q3W (Cohort B) | 342.0 |
NSCLC: Sintilimab 200mg Q3W (Cohort C) | 431.0 |
nsNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort D) | 566.0 |
scNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort E) | 461.0 |
Gastric or Gastroesophageal Junction Adenocarcinoma: Sintilimab 200mg Q3W + Chemotherapy (Cohort F) | NA |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort G) | NA |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort H) | NA |
[back to top]
Area Under the Concentration-time Curve From Zero Time (Predose) to the Time of the Last Measurable Concentration (AUC0-t)
(NCT02937116)
Timeframe: Cycle 1: pre-dose, post-dose at 0, 1, and 6 hours, and Days 2, 3, 8, 15, and 22, and 29
Intervention | h*ug/ml (Geometric Mean) |
---|
Solid Tumors: Sintilimab 1mg/kg Q2W (Part A1) | 4800 |
Solid Tumors: Sintilimab 3mg/kg Q2W (Part A2) | 12300 |
Solid Tumors: Sintilimab 10mg/kg Q2W (Part A3) | 39800 |
Solid Tumors: Sintilimab 200mg/kg Q3W (Part A4) | 10800 |
[back to top]
Clearance of IBI308 in Plasma After Single Dose Administration
(NCT02937116)
Timeframe: Cycle 1: pre-dose, post-dose at 0, 1, 6 hours, and Days 2, 3, 8, 15, and 22, and 29
Intervention | ml/h (Geometric Mean) |
---|
Solid Tumors: Sintilimab 1mg/kg Q2W (Part A1) | 8.53 |
Solid Tumors: Sintilimab 3mg/kg Q2W (Part A2) | 11.7 |
Solid Tumors: Sintilimab 10mg/kg Q2W (Part A3) | 13.7 |
Solid Tumors: Sintilimab 200mg/kg Q3W (Part A4) | 12.9 |
[back to top]
DOR According to RECIST 1.1 as Assessed by Investigator
(NCT02937116)
Timeframe: Through out the study (up to 2 years)
Intervention | Days (Median) |
---|
MEL: Sintilimab 200mg Q3W (Cohort A) | NA |
Malignant Tumor or Neuroendocrine Tumor: Sintilimab 200mg Q3W (Cohort B) | NA |
NSCLC: Sintilimab 200mg Q3W (Cohort C) | 368.0 |
nsNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort D) | NA |
scNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort E) | 170.5 |
Gastric or Gastroesophageal Junction Adenocarcinoma: Sintilimab 200mg Q3W + Chemotherapy (Cohort F) | 181.0 |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort G) | NA |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort H) | NA |
[back to top]
Maximum Concentration (Cmax) of Sintilimab in Solid Tumor Participants
(NCT02937116)
Timeframe: Cycle 1: pre-dose, post-dose at 0, 1, 6 hours, and Days 2, 3, 8, 15, and 22, and 29
Intervention | ug/ml (Geometric Mean) |
---|
Solid Tumors: Sintilimab 1mg/kg Q2W (Part A1) | 21.9 |
Solid Tumors: Sintilimab 3mg/kg Q2W (Part A2) | 69.7 |
Solid Tumors: Sintilimab 10mg/kg Q2W (Part A3) | 220 |
Solid Tumors: Sintilimab 200mg/kg Q3W (Part A4) | 54.6 |
[back to top]
Number of All Study Participants Who Demonstrate a Tumor Response
(NCT02937116)
Timeframe: Through out the study (up to 2 years)
Intervention | Participants (Number) |
---|
Solid Tumors: Sintilimab 1mg/kg Q2W (Part A1) | 0 |
Solid Tumors: Sintilimab 3mg/kg Q2W (Part A2) | 1 |
Solid Tumors: Sintilimab 10mg/kg Q2W (Part A3) | 0 |
Solid Tumors: Sintilimab 200mg/kg Q3W (Part A4) | 1 |
MEL: Sintilimab 200mg Q3W (Cohort A) | 1 |
Malignant Tumor or Neuroendocrine Tumor: Sintilimab 200mg Q3W (Cohort B) | 13 |
NSCLC: Sintilimab 200mg Q3W (Cohort C) | 5 |
nsNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort D) | 13 |
scNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort E) | 11 |
Gastric or Gastroesophageal Junction Adenocarcinoma: Sintilimab 200mg Q3W + Chemotherapy (Cohort F) | 17 |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort G) | 3 |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort H) | 1 |
[back to top]
Number of Participants Experiencing Dose-limiting Toxicities (DLTs)
(NCT02937116)
Timeframe: Up to 28 days in Cycle 1
Intervention | Participants (Number) |
---|
Solid Tumors: Sintilimab 1mg/kg Q2W (Part A1) | 0 |
Solid Tumors: Sintilimab 3mg/kg Q2W (Part A2) | 0 |
Solid Tumors: Sintilimab 10mg/kg Q2W (Part A3) | 0 |
Solid Tumors: Sintilimab 200mg/kg Q3W (Part A4) | 0 |
[back to top]
Objective Response Rate (ORR) According to RECIST 1.1 as Assessed by Independent Review Committee by Investigator
ORR was defined as the percentage of participants in the analysis population who had achieved BOR of CR or PR according to RECIST 1.1. (NCT02937116)
Timeframe: Through out the study (up to 2 years)
Intervention | percentage of participants (Number) |
---|
MEL: Sintilimab 200mg Q3W (Cohort A) | 4.5 |
Malignant Tumor or Neuroendocrine Tumor: Sintilimab 200mg Q3W (Cohort B) | 14.9 |
NSCLC: Sintilimab 200mg Q3W (Cohort C) | 13.5 |
nsNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort D) | 61.9 |
scNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort E) | 55.0 |
Gastric or Gastroesophageal Junction Adenocarcinoma: Sintilimab 200mg Q3W + Chemotherapy (Cohort F) | 85.0 |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort G) | 42.9 |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort H) | 14.3 |
[back to top]
PFS According to RECIST 1.1 as Assessed by Investigator
(NCT02937116)
Timeframe: Through out the study (up to 2 years)
Intervention | Days (Median) |
---|
MEL: Sintilimab 200mg Q3W (Cohort A) | 62.0 |
Malignant Tumor or Neuroendocrine Tumor: Sintilimab 200mg Q3W (Cohort B) | 66.0 |
NSCLC: Sintilimab 200mg Q3W (Cohort C) | 84.0 |
nsNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort D) | 377.0 |
scNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort E) | 194.0 |
Gastric or Gastroesophageal Junction Adenocarcinoma: Sintilimab 200mg Q3W + Chemotherapy (Cohort F) | 230.0 |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort G) | NA |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort H) | NA |
[back to top]
The Half-life (t1/2) of IBI308 in Plasma After Single Dose Administration
(NCT02937116)
Timeframe: Cycle 1: pre-dose, post-dose at 0, 1, 6 hours, and Days 2, 3, 8, 15, and 22, and 29
Intervention | Days (Geometric Mean) |
---|
Solid Tumors: Sintilimab 1mg/kg Q2W (Part A1) | 17 |
Solid Tumors: Sintilimab 3mg/kg Q2W (Part A2) | 12.7 |
Solid Tumors: Sintilimab 10mg/kg Q2W (Part A3) | 12.5 |
Solid Tumors: Sintilimab 200mg/kg Q3W (Part A4) | 16.1 |
[back to top]
Percentage of Participants With Progression Free Survival
We will define progression of disease per RECIST 1.1 criteria (NCT02954536)
Timeframe: 6 months
Intervention | percentage of participants with PRS (Number) |
---|
Pembrolizumab, Trastuzumab,Capecitabine/Cisplatin | 70 |
[back to top]
Stage 1: Disease Control Rate (DCR): Percentage of Participants With a Best Overall Response of Complete Response (CR), Partial Response (PR) or Stable Disease (SD)
Disease control rate (DCR) is the percentage of participants with a best overall response of CR, PR or SD as defined by RECIST v1.1. CR is defined as the disappearance of all target and non-target lesions and no appearance of new lesions. PR is defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions (taking as reference the baseline sum LD), no progression of non-target lesions, and no appearance of new lesions. SD is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD) for target lesions, no progression of non-target lesions, and no appearance of new lesions. PD is defined as at least a 20% increase in the sum of the diameters of target lesions, with reference being the smallest sum on study and an absolute increase of at least 5 mm, or unequivocal progression of non-target lesions, or 1 or more new lesions. (NCT02981342)
Timeframe: Baseline to Measured Progressive Disease or Start of New Anticancer Therapy (Up to 6 Months)
Intervention | percentage of Participants (Number) |
---|
200mg Abemaciclib | 15.2 |
150mg Abemaciclib + 150mg LY3023414 | 12.1 |
Gemcitabine or Capecitabine | 36.4 |
[back to top]
Stage 2: Clinical Benefit Rate (CBR): Percentage of Participants With Best Overall Response of CR, PR, or SD With Duration of SD for at Least 6 Months
"Clinical benefit rate (CBR) is the percentage of participants with a BOR of CR or PR, or SD ≥6 months. CR is defined as the disappearance of all target and non-target lesions & no appearance of new lesions. PR is defined as at least a 30% decrease in the sum of the LD of target lesions (taking as reference the baseline sum LD), no progression of non-target lesions, and no appearance of new lesions. SD is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD for target lesions, no progression of non-target lesions, and no appearance of new lesions. PD is defined as at least a 20% increase in the sum of the diameters of target lesions, with reference being the smallest sum on study and an absolute increase of at least 5 mm, or unequivocal progression of non-target lesions, or 1 or more new lesions.~No participants were enrolled to stage 2; however, results for stage 2 outcomes are reported from the data collected for participants enrolled to stage 1." (NCT02981342)
Timeframe: Baseline to Disease Progression or Start of New Anticancer Therapy (Up to 6 Months)
Intervention | percentage of participants (Number) |
---|
200mg Abemaciclib | 3 |
150mg Abemaciclib + 150mg LY3023414 | 0 |
Gemcitabine or Capecitabine | 3 |
[back to top]
Stage 2: Change From Baseline in Carbohydrate Antigen 19.9 (CA 19-9) Level
No participants were enrolled to stage 2; however, results for stage 2 outcomes are reported from the data collected for participants enrolled to stage 1. (NCT02981342)
Timeframe: Baseline, 6 Months
Intervention | U/mL (Mean) |
---|
200mg Abemaciclib | 4281.53 |
150mg Abemaciclib + 150mg LY3023414 | 3225.29 |
Gemcitabine or Capecitabine | -501.17 |
[back to top]
Stage 1: PK: Steady State Trough Pre Dose Concentration of LY3023414
Mean steady state exposure was reported by trough pre-dose plasma concentrations. (NCT02981342)
Timeframe: C2D1: 0h, C3D1: 0h, C4D1: 0h
Intervention | ng/mL (Geometric Mean) |
---|
150mg Abemaciclib + 150mg LY3023414 | 27.3 |
[back to top]
[back to top]
[back to top]
Stage 2: Progression Free Survival (PFS)
PFS was defined as the time from the date of randomization until first observation of objective progressive disease as defined by RECIST v1.1 or death from any cause, whichever comes first. PD is defined as at least a 20% increase in the sum of the diameters of target lesions, with reference being the smallest sum on study and an absolute increase of at least 5 mm, or unequivocal progression of non-target lesions, or 1 or more new lesions. If a patient does not have a complete baseline disease assessment, then the PFS time will be censored at the randomization date, regardless of whether or not objectively determined disease progression or death has been observed for the patient; otherwise, if a patient is not known to have died or have objective progression as of the data inclusion cutoff date for the analysis, the PFS time will be censored at the last complete objective progression-free disease assessment date. (NCT02981342)
Timeframe: Baseline to Measured Progressive Disease or Death Due to Any Cause (Up to 6 Months)
Intervention | Months (Median) |
---|
200mg Abemaciclib | 1.68 |
150mg Abemaciclib + 150mg LY3023414 | 1.81 |
Gemcitabine or Capecitabine | 3.25 |
[back to top]
Stage 2: Change From Baseline in Symptom Burden on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30 (EORTC QLQ-C30)
"The EORTC QLQ-C30 self-reported general cancer instrument consists of 30 items covered by 1 of 3 dimensions:~Global health status/quality of life (2 items) with scores ranging from 1 (Very Poor) to 7 (Excellent).~Functional scales (15 total items addressing either physical, role, emotional, cognitive, or social functioning), each item scores ranging from 1 (not at all) to 4 (very much)~Symptom scales (13 total items addressing either fatigue, nausea/vomiting, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea, or financial impact), each item scores ranging from 1 (not at all) to 4 (very much).~Raw scores are linearly converted to a 0-100 scale with higher scores reflecting higher levels of function/QOL or higher levels of symptom burden.~No participants were enrolled to stage 2; however, results for stage 2 outcomes are reported from the data collected for participants enrolled to stage 1." (NCT02981342)
Timeframe: Baseline, 6 Months
,,
Intervention | units on a scale (Least Squares Mean) |
---|
| Global Health Status | Functional Scales: Physical Functioning | Functional Scales: Role Functioning | Functional Scales: Emotional Functioning | Functional Scales: Cognitive Functioning | Functional Scale: Social Functioning | Symptom Scales: Fatigue | Symptom Scales: Nausea and Vomiting | Symptom Scales: Pain | Symptom Scale: Dysopnea | Symptom Scale: Insomnia | Symptom Scale: Appetite Loss | Symptom Scale: Constipation | Symptom Scale: Diarrhoea | Symptom Scale: Financial difficulties |
---|
150mg Abemaciclib + 150mg LY3023414 | -4.82 | -11.65 | -18.05 | -0.63 | -8.39 | -17.09 | 14.90 | 9.42 | 2.68 | 11.19 | 1.83 | 15.32 | -6.51 | 26.28 | 2.45 |
200mg Abemaciclib | -6.21 | -14.44 | -17.09 | -4.89 | -10.43 | -21.12 | 14.13 | 7.98 | 9.79 | 0.35 | -5.19 | 12.54 | 2.96 | 15.71 | 3.96 |
Gemcitabine or Capecitabine | -2.40 | -5.42 | -17.10 | 2.06 | -5.18 | -2.00 | 5.64 | 11.88 | 5.43 | -4.51 | -6.71 | 9.51 | 12.93 | 20.51 | -3.30 |
[back to top]
Stage 1: Objective Response Rate (ORR): Percentage of Participants With a Best Overall Response (BOR) of CR or PR
Objective response rate (ORR) is the percentage of participants with a BOR of CR or PR as defined by RECIST v1.1. CR is defined as the disappearance of all target and non-target lesions and no appearance of new lesions. PR is defined as at least a 30% decrease in the sum of the LD of target lesions (taking as reference the baseline sum LD), no progression of non-target lesions, and no appearance of new lesions. (NCT02981342)
Timeframe: Baseline to Measured Progressive Disease or Start of New Anti-Cancer Therapy (Up to 6 Months)
Intervention | percentage of Participants (Number) |
---|
200mg Abemaciclib | 3 |
150mg Abemaciclib + 150mg LY3023414 | 0 |
Gemcitabine or Capecitabine | 3 |
[back to top]
Stage 1: PK: Mean Single Dose Concentration of LY3023414 at 2h Post-dose
Mean single dose exposure was reported by plasma concentrations collected approximately 2 hours post-dose. (NCT02981342)
Timeframe: C1D1: 2h Post dose
Intervention | ng/mL (Geometric Mean) |
---|
150mg Abemaciclib + 150mg LY3023414 | 518 |
[back to top]
Stage 2: Overall Survival (OS)
"OS duration is measured from the date of randomization to the date of death from any cause. for participants who is not known to have died as of the data-inclusion cutoff date, OS was censored at the last known alive date.~No participants were enrolled to stage 2; however, results for stage 2 outcomes are reported from the data collected for participants enrolled to stage 1." (NCT02981342)
Timeframe: Baseline to Death from Any Cause (Up to 10 Months)
Intervention | Months (Median) |
---|
200mg Abemaciclib | 2.71 |
150mg Abemaciclib + 150mg LY3023414 | 3.29 |
Gemcitabine or Capecitabine | NA |
[back to top]
Response Rate
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR (NCT03026803)
Timeframe: Up to 2 years
Intervention | percentage of participants (Number) |
---|
Oxaliplatin and Capecitabine | 0 |
[back to top]
1-year Progression Free Survival (PFS) Rate
"To evaluate the 1-year progression free survival (PFS) rate per RECIST v. 1.1.~PFS is defined as the length of time during and after the treatment that a patient does not experience progression.~Progressive Disease (PD) as defined per RECIST 1.1 is at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression).~PFS was analyzed using a Kaplan-Meier curve." (NCT03044730)
Timeframe: Up to 1 year after starting treatment
Intervention | percentage of participants (Number) |
---|
Treatment: Pembrolizumab + Capecitabine | 20.7 |
[back to top]
Objective Response Rate (ORR)
"The ORR is the percentage of patients whose cancer shrinks or disappears after treatment. Objective response rate was calculated based on the number of patients who had a Complete Response (CR) or a Partial Response (PR). CR and PR were measured according to RECIST v. 1.1 guidelines:~Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm.~Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters." (NCT03044730)
Timeframe: Up to 9 Cycles (1 cycle = 21 days)
Intervention | participants (Number) |
---|
| Complete Response | Partial Response |
---|
Treatment: Pembrolizumab + Capecitabine | 0 | 4 |
[back to top]
Objective Response Rate (ORR)
"The ORR is the percentage of patients whose cancer shrinks or disappears after treatment. Objective response rate was calculated based on percentage of patients who had a Complete Response (CR) or a Partial Response (PR). CR and PR were measured according to RECIST v. 1.1 guidelines:~Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm.~Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters." (NCT03044730)
Timeframe: Up to 9 Cycles (1 cycle = 21 days)
Intervention | percentage of participants (Number) |
---|
Treatment: Pembrolizumab + Capecitabine | 14 |
[back to top]
[back to top]
[back to top]
Clinical Benefit Rate (CBR)
To evaluate the clinical benefit rate (CBR) per RECIST v. 1.1. CBR is the rate of participants with complete response (CR), partial response (PR) or stable disease (SD) > 6 months. PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum diameters while on study. PD: At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression. CR: Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. (NCT03044730)
Timeframe: Up to 14 cycles (1 cycle= 21 days)
Intervention | percentage of participants (Number) |
---|
Treatment: Pembrolizumab + Capecitabine | 28 |
[back to top]
Number of Participants That Are Hospitalized Because of Adverse Events Attributed to Disease Progression
Participants hospitalized because of adverse events measured by the Common Terminology Criteria for Adverse Events (CTCAE) v5.0 attributed to disease progression. Progression was measured by the Response Evaluation Criteria in Solid Tumors (RECIST) and is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study. The appearance of one or more new lesions is also considered progressions. (NCT03050814)
Timeframe: Up to 51.5 months
Intervention | Participants (Count of Participants) |
---|
Standard of Care (SOC) - Arm A | 4 |
Standard of Care (SOC) - Arm B + Lead in | 4 |
[back to top]
Number of Participants With Serious and Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0)
Here is the number of participants with serious and non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. (NCT03050814)
Timeframe: Date treatment consent signed to date off study, approximately 33 months and 20 days for Arm A and 51 months and 7 days for Arm B.
Intervention | Participants (Count of Participants) |
---|
Standard of Care (SOC) - Arm A | 10 |
Standard of Care (SOC) - Arm B + Lead in | 16 |
[back to top]
Progression Free Survival Between the Standard of Care (SOC) Arm A, and Standard of Care (SOC) Arm B + lead-in
Progression free survival is defined as the duration of time from start of treatment to time of progression or death, whichever occurs first. Progression was measured by the Response Evaluation Criteria in Solid Tumors (RECIST) and is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study. The appearance of one or more new lesions is also considered progressions. (NCT03050814)
Timeframe: Up to 1.5 years
Intervention | Months (Median) |
---|
Standard of Care (SOC) - Arm A | 8.8 |
Standard of Care (SOC) - Arm B + Lead in | 10.1 |
[back to top]
Number of Participants With Clinically Significant Change in Vital Signs and Physical Examinations - Part 1
Number of participants with clinically significant change in vital signs (blood pressure [diastolic and systolic], heart rate, respiratory rate, body temperature) and physical examination. (NCT03093870)
Timeframe: Subject screening visit to 28 days post last study drug administration
Intervention | Participants (Count of Participants) |
---|
Varlitinib and Capecitabine | 0 |
Placebo and Capecitabine | 0 |
[back to top]
Progression-free Survival (PFS) - Part 1
Part 1: Progression-free survival (PFS) was defined as the time from randomization (or starting treatment for the Safety Lead-in) until the date of objective disease progression or death (by any cause in the absence of disease progression) regardless of whether the subject withdrew from randomized therapy or received another antitumor therapy prior to disease progression. Subjects who did not experience disease progression or died at the time of analysis were censored at the time of the latest date of assessment from their last evaluable RECIST assessment. However, if the patient progressed or died after ≥ 2 missed visits (12 weeks ± 5 days maximum), the subject was censored at the time of the latest evaluable RECIST assessment. The PFS time was based on the scan/assessment dates rather than visit dates. (NCT03093870)
Timeframe: Time from randomization until date of objective disease progression or death (by any cause in absence of disease progression) regardless of whether subject withdrew from randomized therapy or received another antitumor therapy prior to PD, up to 2 years.
Intervention | Months (Median) |
---|
Varlitinib and Capecitabine | 2.83 |
Placebo and Capecitabine | 2.79 |
[back to top]
Number of Participants With ECG Parameters of Interest - Safety Lead-In
Number of participants with ECG parameters of interest: Max. on-treatment QTcF Value: >450 to 480 msec, max. on-treatment QTcF Value: >480 to 500 msec, max. on-treatment QTcF Value: >500 msec, max. on-treatment QTcB Value: >450 to 480 msec, max. on-treatment QTcB Value: >480 to 500 msec, max. on-treatment QTcB Value: >500 msec, max. QTcF CFB Value: >30 to 60 msec, max. QTcF CFB Value: >60 msec, max. QTcB CFB Value: >30 to 60 msec, max. QTcB CFB Value: >60 msec. (NCT03093870)
Timeframe: Subject screening visit to 28 days post last study drug administration
Intervention | participants (Number) |
---|
| Maximum on-treatment QTcF Value: >450 to 480 msec | Maximum on-treatment QTcF Value: >480 to 500 msec | Maximum on-treatment QTcF Value: >500 msec | Maximum on-treatment QTcB Value: >450 to 480 msec | Maximum on-treatment QTcB Value: >480 to 500 msec | Maximum on-treatment QTcB Value: >500 msec | Maximum QTcF CFB Value: >30 to 60 msec | Maximum QTcF CFB Value: >60 msec | Maximum QTcB CFB Value: >30 to 60 msec | Maximum QTcB CFB Value: >60 msec |
---|
Varlitinib + Capecitabine | 8 | 0 | 0 | 10 | 2 | 0 | 8 | 1 | 6 | 1 |
[back to top]
Number of Participants With Clinically Significant Laboratory Tests - Part 1
Clinical laboratory tests (hematology, clinical chemistry, urinalysis) - Number of Participants with Clinically Significant Laboratory Tests. (NCT03093870)
Timeframe: Subject screening visit to 28 days post last study drug administration
Intervention | Participants (Count of Participants) |
---|
Varlitinib and Capecitabine | 0 |
Placebo and Capecitabine | 0 |
[back to top]
Overall Survival (OS) - Part 1
Part 1: Overall survival (OS) was defined as the time from the date of randomization until death due to any cause. Any subject not known to have died at the time of the data cut-off was censored based on the last recorded date on which the subject was known to be alive. (NCT03093870)
Timeframe: Time from the date of randomization until death due to any cause, up to 2 years
Intervention | Months (Median) |
---|
Varlitinib and Capecitabine | 7.8 |
Placebo and Capecitabine | 7.5 |
[back to top]
Number of Participants With Clinically Significant Laboratory Tests- Safety Lead-in
Clinical laboratory tests (hematology, clinical chemistry, urinalysis) - Number of Participants with Clinically Significant Laboratory Tests. (NCT03093870)
Timeframe: Subject screening visit to 28 days post last study drug administration
Intervention | Participants (Count of Participants) |
---|
Varlitinib + Capecitabine | 0 |
[back to top]
Duration of Response (DoR) - Part 1
"Part 1: Duration of response (DoR) was defined as the time from the date of first documented response until the date of documented PD or death in the absence of disease progression. The end of the response should have coincided with the date of disease progression or death from any cause used for the PFS endpoint.~For Part 1, DoR was calculated based on data from the ICR of radiological data." (NCT03093870)
Timeframe: Time from the date of first documented response until the date of documented PD or death in the absence of disease progression, up to 2 years
Intervention | Days (Median) |
---|
Varlitinib and Capecitabine | 158 |
Placebo and Capecitabine | 90 |
[back to top]
Number of Participants With Clinically Significant Change in Vital Signs and Physical Examinations - Safety Lead-In
Number of participants with clinically significant change in vital signs (blood pressure [diastolic and systolic], heart rate, respiratory rate, body temperature) and physical examination. (NCT03093870)
Timeframe: Subject screening visit to 28 days post last study drug administration
Intervention | Participants (Count of Participants) |
---|
Varlitinib + Capecitabine | 0 |
[back to top]
Number of Participants With ECG Parameters of Interest - Part 1
Number of participants with ECG parameters of interest: Max. on-treatment QTcF Value: <=450 msec, max. on-treatment QTcF Value: >450 to 480 msec, max. on-treatment QTcF Value: >480 to 500 msec, max. on-treatment QTcF Value: >500 msec, max. on-treatment QTcB Value: <=450 msec, max. on-treatment QTcB Value: >450 to 480 msec, max. on-treatment QTcB Value: >480 to 500 msec, max. on-treatment QTcB Value: >500 msec, max. QTcF CFB Value: <=30 msec, max. QTcF CFB Value: >30 to 60 msec, max. QTcF CFB Value: >60 msec, max. QTcB CFB Value: <=30 msec, max. QTcB CFB Value: >30 to 60 msec, max. QTcB CFB Value: >60 msec. (NCT03093870)
Timeframe: Subject screening visit to 28 days post last study drug administration
,
Intervention | Participants (Number) |
---|
| Maximum on-treatment QTcF Value: <=450 msec | Maximum on-treatment QTcF Value: >450 to 480 msec | Maximum on-treatment QTcF Value: >480 to 500 msec | Maximum on-treatment QTcF Value: >500 msec | Maximum on-treatment QTcB Value: <=450 msec | Maximum on-treatment QTcB Value: >450 to 480 msec | Maximum on-treatment QTcB Value: >480 to 500 msec | Maximum on-treatment QTcB Value: >500 msec | Maximum QTcF CFB Value: <=30 msec | Maximum QTcF CFB Value: >30 to 60 msec | Maximum QTcF CFB Value: >60 msec | Maximum QTcB CFB Value: <=30 msec | Maximum QTcB CFB Value: >30 to 60 msec | Maximum QTcB CFB Value: >60 msec |
---|
Placebo and Capecitabine | 57 | 6 | 0 | 0 | 40 | 22 | 1 | 0 | 57 | 4 | 1 | 54 | 7 | 1 |
Varlitinib and Capecitabine | 53 | 10 | 0 | 1 | 42 | 21 | 0 | 1 | 56 | 7 | 0 | 55 | 8 | 0 |
[back to top]
Tumor Size - Part 1
Part 1: The percentage change from baseline in tumor size at Week 12 (%ΔTSWk12) was a secondary endpoint for Part 1 and was used to present waterfall plots of the target lesion data in the Evaluable for Response (EFR) Population (NCT03093870)
Timeframe: Week 12
Intervention | Percentage change from Baseline (Mean) |
---|
Varlitinib and Capecitabine | 18.1 |
Placebo and Capecitabine | 22.6 |
[back to top]
[back to top]
[back to top]
Number of Participants Obtaining a Complete Response (CR) and Partial Response (PR)
Number of participants obtaining CR and PR per the Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria of all evaluable patients. CR is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR is at least a 30% decrease in the sum of the diameters of target lesions,taking as reference the baseline sum of diameters. (NCT03111732)
Timeframe: Every 9 Weeks, until disease progression or patient is taken off the trial, whichever comes first, approximately 36 weeks.
Intervention | Participants (Count of Participants) |
---|
| Complete Response | Partial Response |
---|
1/Arm 1 - Pembrolizumab Plus Oxaliplatin Plus Capecitabine | 0 | 3 |
[back to top]
Overall Survival
Median amount of time subject survives after therapy. (NCT03111732)
Timeframe: Death, approximately 48 weeks after stopping therapy.
Intervention | Weeks (Median) |
---|
1/Arm 1 - Pembrolizumab Plus Oxaliplatin Plus Capecitabine | 43 |
[back to top]
Number of Participants With Serious and Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)
Here is the number of participants with serious and non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. (NCT03111732)
Timeframe: Date treatment consent signed to date off study, approximately 38 months and 25 days.
Intervention | Participants (Count of Participants) |
---|
1/Arm 1 - Pembrolizumab Plus Oxaliplatin Plus Capecitabine | 11 |
[back to top]
Progression Free Survival (PFS)
Median amount of time subject survives without disease progression for 5 months after treatment. Disease progression was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 and is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). The appearance of one or more new lesions is also considered progressions. (NCT03111732)
Timeframe: 5 Months
Intervention | Months (Median) |
---|
1/Arm 1 - Pembrolizumab Plus Oxaliplatin Plus Capecitabine | 4.54 |
[back to top]
[back to top]
Investigator Assessed Progression Free Survival
Progression-free survival is defined as the time from the date of randomization to the date of first documented disease progression by investigator assessment according to RECIST v1.1 or death due to any cause, whichever occurred earlier. (NCT03262935)
Timeframe: baseline until primary analysis data cut-off date of 31March2021
Intervention | months (Median) |
---|
(Vic-)Trastuzumab Duocarmazine | 6.9 |
Physician's Choice | 4.6 |
[back to top]
Objective Response Rate
Objective Response Rate is defined as the proportion of patients with a centrally assessed best overall response of complete response or partial response according to RECIST v1.1. (NCT03262935)
Timeframe: baseline until primary analysis data cut-off date of 31March2021
Intervention | percentage of patients (Number) |
---|
(Vic-)Trastuzumab Duocarmazine | 27.8 |
Physician's Choice | 29.5 |
[back to top]
Overall Survival
Overall survival is defined as the time from date of randomization to death due to any cause. (NCT03262935)
Timeframe: baseline until final Overall Survival analysis data cut-off date of 30June2022
Intervention | months (Median) |
---|
(Vic-)Trastuzumab Duocarmazine | 21.0 |
Physician's Choice | 19.5 |
[back to top]
[back to top]
[back to top]
Progression Free Survival
Progression-free survival is defined as the time from the date of randomization to the date of first documented disease progression by central assessment according to Response Evaluation Criteria In Solid Tumors (RECIST) v1.1 or death due to any cause, whichever occurred earlier. (NCT03262935)
Timeframe: baseline until primary analysis data cut-off date of 31March2021
Intervention | months (Median) |
---|
(Vic-)Trastuzumab Duocarmazine | 7.0 |
Physician's Choice | 4.9 |
[back to top]
Progression Free Survival (PFS)
To determine the progression free survival (NCT03376659)
Timeframe: 24 months
Intervention | months (Median) |
---|
Phase I - Safety- Overall | 4.7 |
[back to top]
Progression Free Survival Rate (PFS) Pancreatic Cancer
To determine the 4 month progression free survival rate (PFS4mos) of durvalumab plus CV301 in combination with maintenance capecitabine in patients with metastatic pancreatic cancer, whose disease is stable on, or responding to 1st line therapy for metastatic disease (NCT03376659)
Timeframe: 24 months
Intervention | months (Median) |
---|
Phase I - Safety- Pancreatic Cancer | 4.5 |
[back to top]
Progression Free Survival Rate (PFS) Colorectal Cancer
To determine the progression free survival rate (PFS) of durvalumab plus CV301 in combination with maintenance capecitabine and bevacizumab in patients with metastatic colorectal cancer, whose disease is stable on, or responding to 1st line therapy for metastatic disease (NCT03376659)
Timeframe: 24 months
Intervention | months (Median) |
---|
Phase I - Safety- Colorectal Cancer | 7.4 |
[back to top]
Length of Subject Survival After Starting Study Treatment
Number of participants alive. A Gehan-like trial design with an interim futility analysis will be used. (NCT03501979)
Timeframe: Through study completions, an average of 2 years
Intervention | Participants (Count of Participants) |
---|
Tucatinib + Trastuzumab + Capecitabine | 6 |
[back to top]
[back to top]
Number of Participants Who Complete the Recommended Therapy From Each Arm
The number of patients who complete the recommended therapy will be counted for each arm. (NCT03515941)
Timeframe: From date of assigned therapy up to 17 weeks
Intervention | Participants (Count of Participants) |
---|
Arm 1: Adjuvant Chemotherapy | 3 |
Arm 2: Adjuvant Chemoradiation | 2 |
[back to top]
[back to top]
[back to top]
[back to top]
[back to top]
[back to top]
Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) Assessed by Blinded Independent Central Review (BICR) in Participants With Programmed Cell Death Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥1
ORR was defined as the percentage of the participants who had a confirmed Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: ≥30% decrease in the sum of diameters (SOD) of target lesions, taking as reference the baseline SOD) according to RECIST 1.1 as assessed by BICR. (NCT03675737)
Timeframe: Up to 49.5 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab + Chemotherapy (FP or CAPOX Regimen) | 52.1 |
Placebo + Chemotherapy (FP or CAPOX Regimen) | 42.6 |
[back to top]
Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) Assessed by Blinded Independent Central Review (BICR) in Participants With Programmed Cell Death Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥10
ORR was defined as the percentage of the participants who had a confirmed Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: ≥30% decrease in the sum of diameters (SOD) of target lesions, taking as reference the baseline SOD) according to RECIST 1.1 as assessed by BICR. (NCT03675737)
Timeframe: Up to 49.5 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab + Chemotherapy (FP or CAPOX Regimen) | 60.6 |
Placebo + Chemotherapy (FP or CAPOX Regimen) | 43.0 |
[back to top]
Overall Survival (OS) in All Participants
OS was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the analysis were censored at the date of the last follow-up. OS was estimated using the product-limit (Kaplan-Meier) method for censored data. (NCT03675737)
Timeframe: Up to 45.9 months
Intervention | Months (Median) |
---|
Pembrolizumab + Chemotherapy (FP or CAPOX Regimen) | 12.9 |
Placebo + Chemotherapy (FP or CAPOX Regimen) | 11.5 |
[back to top]
Overall Survival (OS) In Participants With Programmed Cell Death Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥10
OS was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the analysis were censored at the date of the last follow-up. OS was estimated using the product-limit (Kaplan-Meier) method for censored data. (NCT03675737)
Timeframe: Up to 45.9 months
Intervention | Months (Median) |
---|
Pembrolizumab + Chemotherapy (FP or CAPOX Regimen) | 15.7 |
Placebo + Chemotherapy (FP or CAPOX Regimen) | 11.8 |
[back to top]
Progression Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) Assessed by Blinded Independent Central Review (BICR) in All Participants
PFS was defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurred first. Per RECIST 1.1 as assessed by BICR, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of ≥5 mm. The appearance of ≥1 new lesions was also considered PD. PFS was estimated using the product-limit (Kaplan-Meier) method for censored data. (NCT03675737)
Timeframe: Up to 49.5 months
Intervention | Months (Median) |
---|
Pembrolizumab + Chemotherapy (FP or CAPOX Regimen) | 6.9 |
Placebo + Chemotherapy (FP or CAPOX Regimen) | 5.6 |
[back to top]
Progression Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) Assessed by Blinded Independent Central Review (BICR) in Participants With Programmed Cell Death Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥1
PFS was defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurred first. Per RECIST 1.1 as assessed by BICR, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of ≥5 mm. The appearance of ≥1 new lesions was also considered PD. PFS was estimated using the product-limit (Kaplan-Meier) method for censored data. (NCT03675737)
Timeframe: Up to 49.5 months
Intervention | Months (Median) |
---|
Pembrolizumab + Chemotherapy (FP or CAPOX Regimen) | 6.9 |
Placebo + Chemotherapy (FP or CAPOX Regimen) | 5.6 |
[back to top]
Progression Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) Assessed by Blinded Independent Central Review (BICR) in Participants With Programmed Cell Death Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥10
PFS was defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurred first. Per RECIST 1.1 as assessed by BICR, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of ≥5 mm. The appearance of ≥1 new lesions was also considered PD. PFS was estimated using the product-limit (Kaplan-Meier) method for censored data. (NCT03675737)
Timeframe: Up to 49.5 months
Intervention | Months (Median) |
---|
Pembrolizumab + Chemotherapy (FP or CAPOX Regimen) | 8.1 |
Placebo + Chemotherapy (FP or CAPOX Regimen) | 5.6 |
[back to top]
Duration of Response (DOR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) Assessed by Blinded Independent Central Review (BICR) in All Participants
DOR was defined as the time from first documented evidence of a confirmed Complete Response (CR) or Partial Response (PR) until progressive disease (PD) or death, whichever occurred first. Per RECIST 1.1 as assessed by BICR, CR was the disappearance of all target lesions and PR was ≥30% decrease in the sum of diameters (SOD) of target lesions, taking as reference the baseline SOD. PD was defined as ≥20% increase in the SOD of target lesions according to RECIST 1.1. In addition to the relative increase of 20%, the SOD must also have demonstrated an absolute increase of ≥5 mm. The appearance of ≥1 new lesions was also considered PD. DOR for participants who had not progressed or died at the time of analysis was censored at the date of the last tumor assessment. DOR was estimated using the product-limit (Kaplan-Meier) method for censored data. (NCT03675737)
Timeframe: Up to 49.5 months
Intervention | Months (Median) |
---|
Pembrolizumab + Chemotherapy (FP or CAPOX Regimen) | 8.0 |
Placebo + Chemotherapy (FP or CAPOX Regimen) | 5.7 |
[back to top]
Duration of Response (DOR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) Assessed by Blinded Independent Central Review (BICR) in Participants With Programmed Cell Death Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥1
DOR was defined as the time from first documented evidence of a confirmed Complete Response (CR) or Partial Response (PR) until progressive disease (PD) or death, whichever occurred first. Per RECIST 1.1 as assessed by BICR, CR was the disappearance of all target lesions and PR was ≥30% decrease in the sum of diameters (SOD) of target lesions, taking as reference the baseline SOD. PD was defined as ≥20% increase in the SOD of target lesions according to RECIST 1.1. In addition to the relative increase of 20%, the SOD must also have demonstrated an absolute increase of ≥5 mm. The appearance of ≥1 new lesions was also considered PD. DOR for participants who had not progressed or died at the time of analysis was censored at the date of the last tumor assessment. DOR was estimated using the product-limit (Kaplan-Meier) method for censored data. (NCT03675737)
Timeframe: Up to 49.5 months
Intervention | Months (Median) |
---|
Pembrolizumab + Chemotherapy (FP or CAPOX Regimen) | 8.3 |
Placebo + Chemotherapy (FP or CAPOX Regimen) | 5.6 |
[back to top]
Overall Survival (OS) In Participants With Programmed Cell Death Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥1
OS was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the analysis were censored at the date of the last follow-up. OS was estimated using the product-limit (Kaplan-Meier) method for censored data. (NCT03675737)
Timeframe: Up to 45.9 months
Intervention | Months (Median) |
---|
Pembrolizumab + Chemotherapy (FP or CAPOX Regimen) | 13.0 |
Placebo + Chemotherapy (FP or CAPOX Regimen) | 11.4 |
[back to top]
Number of Participants Who Discontinued Study Treatment Due To an Adverse Event (AE)
An AE was defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE could therefore have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The number of participants who discontinued study treatment due to an AE is presented. (NCT03675737)
Timeframe: Up to 33.7 months
Intervention | Participants (Count of Participants) |
---|
Pembrolizumab + Chemotherapy (FP or CAPOX Regimen) | 257 |
Placebo + Chemotherapy (FP or CAPOX Regimen) | 204 |
[back to top]
Number of Participants Who Experienced an Adverse Event (AE)
An AE was defined as any untoward medical occurrence, in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE could therefore have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The number of participants with at least one AE is presented. (NCT03675737)
Timeframe: Up to 36.7 months
Intervention | Participants (Count of Participants) |
---|
Pembrolizumab + Chemotherapy (FP or CAPOX Regimen) | 776 |
Placebo + Chemotherapy (FP or CAPOX Regimen) | 771 |
[back to top]
Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) Assessed by Blinded Independent Central Review (BICR) in All Participants
ORR was defined as the percentage of the participants who had a confirmed Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: ≥30% decrease in the sum of diameters (SOD) of target lesions, taking as reference the baseline SOD) according to RECIST 1.1 as assessed by BICR. (NCT03675737)
Timeframe: Up to 49.5 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab + Chemotherapy (FP or CAPOX Regimen) | 51.3 |
Placebo + Chemotherapy (FP or CAPOX Regimen) | 42.0 |
[back to top]
Duration of Response (DOR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) Assessed by Blinded Independent Central Review (BICR) in Participants With Programmed Cell Death Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥10
DOR was defined as the time from first documented evidence of a confirmed Complete Response (CR) or Partial Response (PR) until progressive disease (PD) or death, whichever occurred first. Per RECIST 1.1 as assessed by BICR, CR was the disappearance of all target lesions and PR was ≥30% decrease in the sum of diameters (SOD) of target lesions, taking as reference the baseline SOD. PD was defined as ≥20% increase in the SOD of target lesions according to RECIST 1.1. In addition to the relative increase of 20%, the SOD must also have demonstrated an absolute increase of ≥5 mm. The appearance of ≥1 new lesions was also considered PD. DOR for participants who had not progressed or died at the time of analysis was censored at the date of the last tumor assessment. DOR was estimated using the product-limit (Kaplan-Meier) method for censored data. (NCT03675737)
Timeframe: Up to 49.5 months
Intervention | Months (Median) |
---|
Pembrolizumab + Chemotherapy (FP or CAPOX Regimen) | 10.9 |
Placebo + Chemotherapy (FP or CAPOX Regimen) | 5.8 |
[back to top]
Best Overall Response and Confirmed Objective Response Rate (ORR) in the Hormone Receptor-Positive Cohort in Participants With HER2-low Breast Cancer
Best overall response rate and confirmed objective response rate (ORR) were assessed by blinded independent central review (BICR) and investigator assessment. Complete response (CR) was defined as a disappearance of all target lesions, partial response (PR) was defined as at least a 30% decrease in the sum of diameters of target lesions, and stable disease (SD) was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD; at least a 20% increase in the sum of diameters of target lesions. Confirmed ORR was defined as the number of participants with complete and partial responses and confirmed by a second assessment. (NCT03734029)
Timeframe: From screening and every 6 weeks up to withdrawal of subject consent, progressive disease (PD), or unacceptable toxicity, up to approximately 3 years
,
Intervention | Participants (Count of Participants) |
---|
| BICR: Complete response | BICR: Partial response | BICR: Stable disease | BICR: Progressive disease | BICR: Not evaluable | Investigator: Complete response | Investigator: Partial response | Investigator: Stable disease | Investigator: Progressive disease | Investigator: Not evaluable | BICR: Confirmed Objective response rate | Investigator: Confirmed Objective response rate |
---|
Physician's Choice | 1 | 26 | 81 | 34 | 21 | 0 | 30 | 80 | 34 | 19 | 27 | 30 |
Trastuzumab Deruxtecan (T-DXd) | 12 | 164 | 115 | 26 | 14 | 5 | 163 | 124 | 28 | 11 | 175 | 168 |
[back to top]
Duration of Response in the Hormone Receptor-Positive Cohort in Participants With HER2-low Breast Cancer
Duration of Response (DoR) is defined as the date of the first documented objective response (complete response [CR] or partial response [PR]) to the first documented disease progression or death, whichever occurs first. DoR was based on blinded independent central review (BICR) and investigator assessment. Median was from Kaplan-Meier estimate. Confidence interval for median was computed using the Brookmeyer-Crowley method. (NCT03734029)
Timeframe: From the date of the first documented objective response (CR or PR) to the first documented disease progression or death, whichever occurs first, up to approximately 3 years
,
Intervention | months (Median) |
---|
| BICR: DoR | Investigator: DoR |
---|
Physician's Choice | 6.8 | 5.6 |
Trastuzumab Deruxtecan (T-DXd) | 10.7 | 8.3 |
[back to top]
Duration of Response in Participants With HER2-low Breast Cancer (All Patients)
Duration of Response (DoR) is defined as the date of the first documented objective response (complete response [CR] or partial response [PR]) to the first documented disease progression or death, whichever occurs first. DoR was based on blinded independent central review (BICR) and investigator assessment. Median was from Kaplan-Meier estimate. Confidence interval for median was computed using the Brookmeyer-Crowley method. (NCT03734029)
Timeframe: From the date of the first documented objective response (CR or PR) to the first documented disease progression or death, whichever occurs first, up to approximately 3 years
,
Intervention | months (Median) |
---|
| BICR: DoR | Investigator: DoR |
---|
Physician's Choice | 6.8 | 5.6 |
Trastuzumab Deruxtecan (T-DXd) | 10.7 | 8.3 |
[back to top]
Best Overall Response and Confirmed Objective Response Rate (ORR) in Participants With HER2-low Breast Cancer (All Patients)
Best overall response rate and confirmed objective response rate (ORR) were assessed by blinded independent central review (BICR) and investigator assessment. Complete response (CR) was defined as a disappearance of all target lesions, partial response (PR) was defined as at least a 30% decrease in the sum of diameters of target lesions, and stable disease (SD) was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD; at least a 20% increase in the sum of diameters of target lesions. Confirmed ORR was defined as the number of participants with complete and partial responses and confirmed by a second assessment. (NCT03734029)
Timeframe: From screening and every 6 weeks up to withdrawal of subject consent, progressive disease (PD), or unacceptable toxicity, up to approximately 3 years
,
Intervention | Participants (Count of Participants) |
---|
| BICR: Complete response | BICR: Partial response | BICR: Stable disease | BICR: Progressive disease | BICR: Not evaluable | Investigator: Complete response | Investigator: Partial response | Investigator: Stable disease | Investigator: Progressive disease | Investigator: Not evaluable | BICR: Confirmed Objective response rate | Investigator: Confirmed Objective response rate |
---|
Physician's Choice | 2 | 28 | 91 | 41 | 22 | 0 | 31 | 93 | 40 | 20 | 30 | 31 |
Trastuzumab Deruxtecan (T-DXd) | 13 | 183 | 129 | 31 | 17 | 6 | 187 | 135 | 32 | 13 | 195 | 193 |
[back to top]
Progression-free Survival Based on Investigator Assessment in the Hormone Receptor-Positive Cohort in Participants With HER2-low Breast Cancer
Progression-free survival (PFS), defined as at least a 20% increase in the sum of diameters of target lesions, was assessed from the date of randomization to the date of the first radiographic disease progression or death due to any cause, whichever came first. PFS was based on investigator assessment in the hormone receptor-positive cohort according to modified Response Evaluation Criteria in Solid Tumors (mRECIST) version 1.1. Median PFS was from Kaplan-Meier analysis. Confidence interval for median was computed using the Brookmeyer-Crowley method. (NCT03734029)
Timeframe: From the date of randomization to the earliest date of the first objective documentation of radiographic disease progression or death due to any cause, up to approximately 3 years
Intervention | months (Median) |
---|
Trastuzumab Deruxtecan (T-DXd) | 9.6 |
Physician's Choice | 4.2 |
[back to top]
Overall Survival (OS) in All Patients
Overall survival (OS) was defined as the time from the date of randomization to the date of death due to any cause. If there was no death reported for a participant before the data cutoff for OS analysis, OS was censored at the last contact date at which the participant was known to be alive. (NCT03734029)
Timeframe: From the date of randomization up to the date of death due to any cause, up to approximately 3 years
Intervention | months (Median) |
---|
Trastuzumab Deruxtecan (T-DXd) | 23.4 |
Physician's Choice | 16.8 |
[back to top]
Number of Overall Survival Events (Deaths)
(NCT03734029)
Timeframe: From the date of randomization up to the date of death due to any cause, up to approximately 3 years
Intervention | events (deaths) (Number) |
---|
Trastuzumab Deruxtecan (T-DXd) | 149 |
Physician's Choice | 90 |
[back to top]
All-Cause Mortality
All-cause mortality is defined as all anticipated and unanticipated deaths due to any cause, with the number and frequency of such events by arm or comparison group of the clinical study. (NCT03734029)
Timeframe: From the date of randomization up to the date of death due to any cause, up to approximately 3 years
Intervention | Participants (Count of Participants) |
---|
Trastuzumab Deruxtecan (T-DXd) | 148 |
Physician's Choice | 88 |
[back to top]
Overall Survival (OS) in the Hormone Receptor-Positive Cohort in Participants With HER2-low Breast Cancer
Overall survival (OS) was defined as the time from the date of randomization to the date of death due to any cause. If there was no death reported for a participant before the data cutoff for OS analysis, OS was censored at the last contact date at which the participant was known to be alive. (NCT03734029)
Timeframe: From the date of randomization up to the date of death due to any cause, up to approximately 3 years
Intervention | months (Median) |
---|
Trastuzumab Deruxtecan (T-DXd) | 23.9 |
Physician's Choice | 17.5 |
[back to top]
Progression-free Survival (PFS) Based on Blinded Independent Central Review (BICR) in Participants With HER2-low Breast Cancer (All Patients) Regardless of Hormone Receptor Status
Progression-free survival (PFS), defined as at least a 20% increase in the sum of diameters of target lesions, was assessed from the date of randomization to the date of the first radiographic disease progression or death due to any cause, whichever came first. PFS was based on blinded independent central review (BICR) according to modified Response Evaluation Criteria in Solid Tumors (mRECIST) version 1.1. Median PFS was from Kaplan-Meier analysis. Confidence interval for median was computed using the Brookmeyer-Crowley method. (NCT03734029)
Timeframe: From the date of randomization to the earliest date of the first objective documentation of radiographic disease progression or death due to any cause, up to approximately 3 years
Intervention | months (Median) |
---|
Trastuzumab Deruxtecan (T-DXd) | 9.9 |
Physician's Choice | 5.1 |
[back to top]
Progression-free Survival (PFS) Based on Blinded Independent Central Review (BICR) in the Hormone Receptor-Positive Cohort in Participants With HER2-low Breast Cancer
Progression-free survival (PFS), defined as at least a 20% increase in the sum of diameters of target lesions, was assessed from the date of randomization to the date of the first radiographic disease progression or death due to any cause, whichever came first. PFS was based on blinded independent central review (BICR) in the hormone receptor-positive cohort according to modified Response Evaluation Criteria in Solid Tumors (mRECIST) version 1.1. Median PFS was from Kaplan-Meier analysis. Confidence interval for median was computed using the Brookmeyer-Crowley method. (NCT03734029)
Timeframe: From the date of randomization to the earliest date of the first objective documentation of radiographic disease progression or death due to any cause, up to approximately 3 years
Intervention | months (Median) |
---|
Trastuzumab Deruxtecan (T-DXd) | 10.1 |
Physician's Choice | 5.4 |
[back to top]
Progression-free Survival Based on Investigator Assessment in Participants With HER2-low Breast Cancer (All Patients)
Progression-free survival (PFS), defined as at least a 20% increase in the sum of diameters of target lesions, was assessed from the date of randomization to the date of the first radiographic disease progression or death due to any cause, whichever came first. PFS was based on investigator assessment according to modified Response Evaluation Criteria in Solid Tumors (mRECIST) version 1.1. Median PFS was from Kaplan-Meier analysis. Confidence interval for median was computed using the Brookmeyer-Crowley method. (NCT03734029)
Timeframe: From the date of randomization to the earliest date of the first objective documentation of radiographic disease progression or death due to any cause, up to approximately 3 years
Intervention | months (Median) |
---|
Trastuzumab Deruxtecan (T-DXd) | 8.8 |
Physician's Choice | 4.2 |
[back to top]
Number of Participants With Abnormalities [Grade Greater Than or Equals to (>=) 3] in Laboratory Test Values
The laboratory measurements included hematology and biochemistry values were graded with National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0 toxicity grades (where Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = life threatening and Grade 5 = death). Number of participants with abnormalities Grade >= 3 in laboratory test values were reported. (NCT03770689)
Timeframe: Time from first study intervention up to long term safety follow-up period (Up to Month 35)
Intervention | Participants (Count of Participants) |
---|
Peposertib 50 mg + RT + Capecitabine: | 1 |
Peposertib 100 mg + RT + Capecitabine: | 6 |
Peposertib 150 mg + RT + Capecitabine: | 6 |
Peposertib 250 mg + RT + Capecitabine: | 6 |
[back to top]
Number of Participants Who Experienced Dose Limiting Toxicity (DLT) Confirmed by Safety Monitoring Committee (SMC)
DLT is defined as any of following treatment emergent adverse events (TEAEs) considered possibly related to study treatment by Investigator and/or Sponsor up to completion of assigned chemoradiotherapy treatment. DLT were based on SMC: Adverse drug reaction that, in the opinion of SMC, is of potential clinical significance such that further dose escalation would expose participants to unacceptable risk; Any occurrence of drug-induced liver injury meeting the Hy's law criteria; Any Grade 3 toxicity excluding diarrhea, neutropenia lasting for ≤ 5 days, nausea & vomiting, Grade 3 thrombocytopenia without bleeding; Grade ≥ 4 AEs at least possibly related to study drug, irrespective of duration, excluding: Isolated Grade 4 lymphocytopenia without clinical symptoms; Neutropenia lasting for ≤ 5 days and not associated with fever; Any toxicity related to study drug that causes participant to receive > 80% of planned peposertib, capecitabine or RT dose. (NCT03770689)
Timeframe: Time from first study intervention up to 19 weeks (including 5.5 weeks of treatment and 13.5 weeks of short term safety follow-up period)
Intervention | Participants (Count of Participants) |
---|
Peposertib 50 mg + RT + Capecitabine: | 0 |
Peposertib 100 mg + RT + Capecitabine: | 1 |
Peposertib 150 mg + RT + Capecitabine: | 1 |
Peposertib 250 mg + RT + Capecitabine: | 3 |
[back to top]
Apparent Volume of Distribution (Vz/f) of Peposertib
The apparent volume of distribution during the terminal phase following extravascular administration, based on the fraction of dose absorbed. Vz/f = Dose/(AUC0-inf multiplied by Lambda z) following single dose. Vz/f= Dose/(AUCtau*Lambda z) following multiple dose. One participant was assigned to receive peposertib 100 mg; however, this participant took peposertib 50 mg for FD 1 through FD 10 and then took peposertib 100 mg for remainder of study participation. PK results for this participant was summarized by actual dose received (50 mg) whereas non-PK results are summarized by planned dose (100 mg). (NCT03770689)
Timeframe: Pre-dose, 1, 2, 3, 4 and 6 hour post-dose on Fraction Day 1 and Fraction Day 9
,,
Intervention | Liter (Geometric Mean) |
---|
| Fraction Day 1 | Fraction Day 9 |
---|
Peposertib 100 mg + RT + Capecitabine: | 256 | 261 |
Peposertib 150 mg + RT + Capecitabine: | 274 | 217 |
Peposertib 250 mg + RT + Capecitabine: | 245 | 234 |
[back to top]
Neoadjuvant Rectal (NAR) Score
"The NAR formula includes the clinical tumor (cT) stage, pathologic tumor (pT), and node (pN) stage according to the tumor, node, metastasis classification system for colorectal cancers. The NAR formula is as follows:~[5pN- 3 (cT- pT) + 12]2 / 9.61~NAR score ranges from 0 to 100, whereas a score close to 100 is indicative of a poorer prognosis." (NCT03770689)
Timeframe: At Week 15
Intervention | score on a scale (Mean) |
---|
Peposertib 100 mg + RT + Capecitabine: | 9.4 |
Peposertib 150 mg + RT + Capecitabine: | 13.8 |
Peposertib 250 mg + RT + Capecitabine: | 21.2 |
[back to top]
Apparent Volume of Distribution (Vz/f) of Peposertib
The apparent volume of distribution during the terminal phase following extravascular administration, based on the fraction of dose absorbed. Vz/f = Dose/(AUC0-inf multiplied by Lambda z) following single dose. Vz/f= Dose/(AUCtau*Lambda z) following multiple dose. One participant was assigned to receive peposertib 100 mg; however, this participant took peposertib 50 mg for FD 1 through FD 10 and then took peposertib 100 mg for remainder of study participation. PK results for this participant was summarized by actual dose received (50 mg) whereas non-PK results are summarized by planned dose (100 mg). (NCT03770689)
Timeframe: Pre-dose, 1, 2, 3, 4 and 6 hour post-dose on Fraction Day 1 and Fraction Day 9
Intervention | Liter (Geometric Mean) |
---|
| Fraction Day 9 |
---|
Peposertib 50 mg + RT + Capecitabine: | NA |
[back to top]
Disease-free Survival
Disease-free Survival time, defined as the time from first treatment day to the date of the first documentation of objective progressive disease or death due to any cause, whichever occurs first. Median disease-free survival time was estimated according to Kaplan-Meier method. (NCT03770689)
Timeframe: Time from first study intervention up to approximately 35 months
Intervention | Months (Median) |
---|
Overall Participants | 21.2 |
[back to top]
Area Under the Plasma Concentration-time Curve From Time Zero to Last Sampling Time (Tlast) (AUC0-t) of Peposertib
Area under the plasma concentration vs time curve from time zero to the last sampling time t at which the concentration was at or above the lower limit of quantification (LLQ). AUC0-t was to be calculated according to the mixed log-linear trapezoidal rule. (NCT03770689)
Timeframe: Pre-dose, 1, 2, 3, 4 and 6 hour post-dose on Fraction Day 1 and Fraction Day 9
,,,
Intervention | hour*nanogram per milliliter (h*ng/mL) (Geometric Mean) |
---|
| Fraction Day 1 | Fraction Day 9 |
---|
Peposertib 100 mg + RT + Capecitabine: | 2950 | 3450 |
Peposertib 150 mg + RT + Capecitabine: | 4000 | 5540 |
Peposertib 250 mg + RT + Capecitabine: | 7300 | 9450 |
Peposertib 50 mg + RT + Capecitabine: | NA | NA |
[back to top]
Maximum Observed Plasma Concentration (Cmax) of Peposertib
Cmax was obtained directly from the concentration versus time curve. One participant was assigned to receive peposertib 100 mg; however, this participant took peposertib 50 mg for FD 1 through FD 10 and then took peposertib 100 mg for remainder of study participation. PK results for this participant was summarized by actual dose received (50 mg) whereas non-PK results are summarized by planned dose (100 mg). (NCT03770689)
Timeframe: Pre-dose, 1, 2, 3, 4 and 6 hours post-dose on Fraction Day 1 and Fraction Day 9
,,,
Intervention | nanogram per milliliter (ng/mL) (Geometric Mean) |
---|
| Fraction Day 1 | Fraction Day 9 |
---|
Peposertib 100 mg + RT + Capecitabine: | 593 | 653 |
Peposertib 150 mg + RT + Capecitabine: | 728 | 792 |
Peposertib 250 mg + RT + Capecitabine: | 1350 | 1760 |
Peposertib 50 mg + RT + Capecitabine: | NA | NA |
[back to top]
[back to top]
Time to Reach Maximum Plasma Concentration (Tmax) of Peposertib
Time to reach the maximum plasma concentration (Tmax) was obtained directly from the concentration versus time curve. (NCT03770689)
Timeframe: Pre-dose, 1, 2, 3, 4 and 6 hour post-dose on Fraction Day 1 and Fraction Day 9
,,,
Intervention | hours (Median) |
---|
| Fraction Day 1 | Fraction Day 9 |
---|
Peposertib 100 mg + RT + Capecitabine: | 1.00 | 2.05 |
Peposertib 150 mg + RT + Capecitabine: | 2.33 | 2.09 |
Peposertib 250 mg + RT + Capecitabine: | 2.43 | 2.01 |
Peposertib 50 mg + RT + Capecitabine: | NA | NA |
[back to top]
[back to top]
Apparent Terminal Half-life (t1/2) of Peposertib
Terminal half-life is the time measured for the concentration to decrease by one half. Terminal half-life calculated by natural log 2 divided by lambda z. One participant was assigned to receive peposertib 100 mg; however, this participant took peposertib 50 mg for FD 1 through FD 10 and then took peposertib 100 mg for remainder of study participation. PK results for this participant was summarized by actual dose received (50 mg) whereas non-PK results are summarized by planned dose (100 mg). (NCT03770689)
Timeframe: Pre-dose, 1, 2, 3, 4 and 6 hour post-dose on Fraction Day 1 and Fraction Day 9
,,
Intervention | hours (Geometric Mean) |
---|
| Fraction Day 1 | Fraction Day 9 |
---|
Peposertib 100 mg + RT + Capecitabine: | 5.60 | 6.28 |
Peposertib 150 mg + RT + Capecitabine: | 5.51 | 5.04 |
Peposertib 250 mg + RT + Capecitabine: | 5.14 | 6.12 |
[back to top]
Apparent Terminal Half-life (t1/2) of Peposertib
Terminal half-life is the time measured for the concentration to decrease by one half. Terminal half-life calculated by natural log 2 divided by lambda z. One participant was assigned to receive peposertib 100 mg; however, this participant took peposertib 50 mg for FD 1 through FD 10 and then took peposertib 100 mg for remainder of study participation. PK results for this participant was summarized by actual dose received (50 mg) whereas non-PK results are summarized by planned dose (100 mg). (NCT03770689)
Timeframe: Pre-dose, 1, 2, 3, 4 and 6 hour post-dose on Fraction Day 1 and Fraction Day 9
Intervention | hours (Geometric Mean) |
---|
| Fraction Day 9 |
---|
Peposertib 50 mg + RT + Capecitabine: | NA |
[back to top]
Total Body Clearance Following Oral Administration (CL/f) of Peposertib
The apparent total body clearance of study intervention following extravascular administration on FD1, taking into account the fraction of dose absorbed. CL/f = Dose oral (p.o.)/AUC0-inf. The predicted AUC0-inf should be used. (NCT03770689)
Timeframe: Pre-dose, 1, 2, 3, 4 and 6 hour post-dose on Fraction Day 1
Intervention | Liter per hour (Geometric Mean) |
---|
Peposertib 100 mg + RT + Capecitabine: | 31.7 |
Peposertib 150 mg + RT + Capecitabine: | 34.5 |
Peposertib 250 mg + RT + Capecitabine: | 33.0 |
[back to top]
Time From Surgery to Local Recurrence
Time from surgery to local recurrence defined as time from day of surgery to the date of the first documentation of progression of disease, flagged as local recurrence. Median time from surgery to local recurrence was estimated according to Kaplan-Meier method. (NCT03770689)
Timeframe: Time from surgery up to 15 months
Intervention | months (Median) |
---|
All Participants | NA |
[back to top]
Percentage of Participants With Pathological Complete Response (pCR)
pCR is defined as the absence of viable tumor cells in the primary tumor and lymph nodes. Participants are considered to have a pCR if they undergo surgery and no residual cancer is found on histological examination of the removed specimen. (NCT03770689)
Timeframe: At Week 15
Intervention | percentage of participants (Number) |
---|
Peposertib 50 mg + RT + Capecitabine: | 0.0 |
Peposertib 100 mg + RT + Capecitabine: | 0.0 |
Peposertib 150 mg + RT + Capecitabine: | 0.0 |
Peposertib 250 mg + RT + Capecitabine: | 0.0 |
[back to top]
Percentage of Participants With Composite Pathological Complete Response (pCR)/ Clinical Complete Response (cCR)
pCR: It is defined as absence of viable tumor cells in the primary tumor and lymph nodes. Participants considered to have a pCR if they undergo surgery and no residual cancer is found on histological examination of removed specimen. cCR: Participants are considered to have a cCR if: 1) Absence of any residual tumor in primary site and draining lymph nodes on imaging with magnetic resonance imaging; 2) No visible lesion at endoscopy except a flat scar, telangiectasia, and/or whitening of mucosa; 3) Absence of any palpable tumor or irregularity on digital rectal examination (DRE) and endoscopic ultrasonography (EUS); 4) If a biopsy is taken, it must be negative. Participants are considered as responders to composite endpoint pCR/cCR if participant had surgery and had pCR; participant did not undergo surgery but had cCR. Number of participants with composite pathological complete response (pCR)/ clinical complete response (cCR) were reported. (NCT03770689)
Timeframe: At Week 15
Intervention | percentage of participants (Number) |
---|
Peposertib 50 mg + RT + Capecitabine: | 0.0 |
Peposertib 100 mg + RT + Capecitabine: | 16.7 |
Peposertib 150 mg + RT + Capecitabine: | 0.0 |
Peposertib 250 mg + RT + Capecitabine: | 0.0 |
[back to top]
Percentage of Participants With Clinical Complete Response (cCR)
cCR: It is defined as participants considered to have a cCR if: 1) Absence of any residual tumor in the primary site and draining lymph nodes on imaging with magnetic resonance; 2) No visible lesion at endoscopy except a flat scar, telangiectasia, and/or whitening of the mucosa; 3) Absence of any palpable tumor or irregularity on digital rectal examination (DRE) and endoscopic ultrasonography (EUS); 4) If a biopsy is taken, it must be negative. (NCT03770689)
Timeframe: At Week 15
Intervention | percentage of participants (Number) |
---|
Peposertib 50 mg + RT + Capecitabine: | 0.0 |
Peposertib 100 mg + RT + Capecitabine: | 16.7 |
Peposertib 150 mg + RT + Capecitabine: | 16.7 |
Peposertib 250 mg + RT + Capecitabine: | 16.7 |
[back to top]
Number of Participants With Markedly Abnormal Vital Sign Measurements
Vital sign assessments included assessments of heart rate, diastolic blood pressure, systolic blood pressure, respiratory rate and temperature. Number of participants with markedly abnormal vital sign measurements were reported. (NCT03770689)
Timeframe: Time from first study intervention up to long term safety follow-up period (Up to Month 35)
Intervention | Participants (Count of Participants) |
---|
Peposertib 50 mg + RT + Capecitabine: | 0 |
Peposertib 100 mg + RT + Capecitabine: | 0 |
Peposertib 150 mg + RT + Capecitabine: | 0 |
Peposertib 250 mg + RT + Capecitabine: | 0 |
[back to top]
Number of Participants With Clinically Significant Abnormalities in Electrocardiogram (ECG) Findings
Electrocardiograms (ECG) was obtained after the participant has been in a semi-supine position for at least 5 min. ECG parameters included heart rate, PQ/PR duration, QRS and QT duration, QT Interval. Clinical significance was determined by the investigator. Number of participants with clinically significant abnormalities in 12-lead ECG were reported. (NCT03770689)
Timeframe: Time from first study intervention up to long term safety follow-up period (Up to Month 35)
Intervention | Participants (Count of Participants) |
---|
Peposertib 50 mg + RT + Capecitabine: | 0 |
Peposertib 100 mg + RT + Capecitabine: | 0 |
Peposertib 150 mg + RT + Capecitabine: | 0 |
Peposertib 250 mg + RT + Capecitabine: | 0 |
[back to top]
Overall Survival (OS)
OS is defined as the time from the date of randomization until the date of death due to any cause (NCT03783442)
Timeframe: Up to approximately 3 years and 2 months (as of primary analysis data cut-off date of 28FEB2022)
Intervention | Months (Median) |
---|
Tislelizumab + Chemotherapy | 17.2 |
Placebo + Chemotherapy | 10.6 |
[back to top]
Overall Survival (OS)
Estimated using the product-limit method of Kaplan and Meier. Failure defined as death from any cause. (NCT03853707)
Timeframe: Up to 36 months
Intervention | Months (Median) |
---|
Arm A (Ipatasertib, Carboplatin, Paclitaxel) | 11.2 |
Arm B (Ipatasertib and Carboplatin) | 17.0 |
Arm C (Ipatasertib, Capecitabine, Atezolizumab) | NA |
[back to top]
Overall Response
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT03853707)
Timeframe: Up to 36 months
Intervention | Participants (Count of Participants) |
---|
Arm A (Ipatasertib, Carboplatin, Paclitaxel) | 7 |
Arm B (Ipatasertib and Carboplatin) | 2 |
Arm C (Ipatasertib, Capecitabine, Atezolizumab) | 3 |
[back to top]
Progression-free Survival (PFS)
Estimated using the product-limit method of Kaplan and Meier. Failure defined as disease progression or death from any cause. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT03853707)
Timeframe: Up to 36 months
Intervention | Months (Median) |
---|
Arm A (Ipatasertib, Carboplatin, Paclitaxel) | 4.8 |
Arm B (Ipatasertib and Carboplatin) | 3.9 |
Arm C (Ipatasertib, Capecitabine, Atezolizumab) | 8.2 |
[back to top]
Clinical Benefit Rate
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial response (PR): At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR; Stable disease (SD): Neither sufficient shrinkage to qualify for CR or PR nor sufficient increase to qualify for PD; Progressive disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). Clinical Benefit Rate (CBR) = CR + PR + SD at 6 months. (NCT03853707)
Timeframe: Up to 6 months
Intervention | percentage of participants (Number) |
---|
Arm A (Ipatasertib, Carboplatin, Paclitaxel) | 20.0 |
Arm B (Ipatasertib and Carboplatin) | 41.7 |
Arm C (Ipatasertib, Capecitabine, Atezolizumab) | 50.0 |
[back to top]
Safety, as Measured by the Number of Subjects With at Least One AE
(NCT03930771)
Timeframe: 6 months
Intervention | Participants (Count of Participants) |
---|
All Patients | 1 |
[back to top]
Effect of the CAP and TMZ Combination on Pituitary Function, Measured by Changes in Pituitary Hormone Secretion in Patients
Serum prolactin, IGF-1, ACTH, FSH, LH and TSH levels are used to assess changes in pituitary hormone function. These tests will only be repeated if found to be abnormal at baseline. (NCT03930771)
Timeframe: At baseline and every 8 weeks, up to 6 months
Intervention | ng/mL (Number) |
---|
| Baseline | Cycle 3 Day 1 | Cycle 5 Day 1 | Cycle 6 Day 1 | End of Treatment | Follow-Up Week 6 |
---|
All Patients | 134.7 | 86.9 | 69.4 | 69.8 | 80.1 | 77.0 |
[back to top]
Tolerability of the TMZ and Capecitabine Combination, as Measured by Number of Participants With a Dose-limiting Toxicity
(NCT03930771)
Timeframe: 6 months
Intervention | Participants (Count of Participants) |
---|
All Patients | 1 |
[back to top]
Number of Subjects With Radiographic Response, as Defined by the RECIST Criteria.
"Evaluation of Target lesions:~Complete Response (CR):~Disappearance of all target lesions.~Partial Response (PR):~At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.~Progressive Disease (PD):~At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum onstudy (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression).~Stable Disease (SD):~Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study." (NCT03930771)
Timeframe: 6 months
Intervention | Participants (Count of Participants) |
---|
All Patients | 0 |
[back to top]
Objective Response Rate (ORR): Percentage of Participants Who Achieve Complete Response (CR) or Partial Response (PR)
ORR is defined as the number of participants who achieve a best overall response (BOR) of complete response (CR) or partial response (PR) divided by the total number of participants randomized to the corresponding treatment arm [intent-to-treat (ITT) population], based on investigator-assessed tumor responses.CR is defined as the disappearance of all target and non-target lesions and no appearance of new lesions. PR is defined as at least a 30% decrease in the sum of the longest diameters (LD) of target lesions (taking in reference the baseline sum LD), no progression of non-target lesions, and no appearance of new lesions. Confirmations of CR and PR are not required. (NCT04031885)
Timeframe: Randomization to Measured Progressive Disease (Up to 12 Months)
Intervention | percentage of participants (Number) |
---|
Abemaciclib + Fulvestrant | 0 |
Standard Chemotherapy | 0 |
[back to top]
[back to top]
[back to top]
Overall Survival (OS)
OS is the median amount of time a participant survives after treatment. (NCT04034251)
Timeframe: From first treatment until death, an average of 1.5 years
Intervention | Months (Median) |
---|
Paclitaxel Intraperitoneal 20mg & Intravenous 80mg Every 3Weeks & Capecitabine 825mg/m^2 Twice Daily | 10.6 |
Paclitaxel Intraperitoneal 60mg & Intravenous 80mg Every 3Weeks &Capecitabine 825mg/m^2 Twice Daily | 14.7 |
[back to top]
Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)
Here is the number of participants with serious and/or non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. (NCT04034251)
Timeframe: Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
Intervention | Participants (Count of Participants) |
---|
Paclitaxel Intraperitoneal 20mg & Intravenous 80mg Every 3Weeks & Capecitabine 825mg/m^2 Twice Daily | 4 |
Paclitaxel Intraperitoneal 60mg & Intravenous 80mg Every 3Weeks &Capecitabine 825mg/m^2 Twice Daily | 7 |
[back to top]
Number of Participants With Intra-peritoneal Progression Free Survival (iPFS)
iPFS was determined based on identification of only intraperitoneal sites such as new, malignant ascites, peritoneal nodules, or ovarian metastases. Progression was measured by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1). Progression is defined as an increase in peritoneal cancer index (PCI) score of greater than 4 points from baseline PCI. New ascites requiring repeat (more than 1) therapeutic paracentesis, malignant bowel obstruction, new intraperitoneal nodules or masses concerning for peritoneal metastasis, and decline in performance status not attributable to other medical causes. (NCT04034251)
Timeframe: At extra-peritoneal progression, an average of 1 year
Intervention | Participants (Count of Participants) |
---|
Paclitaxel Intraperitoneal 20mg & Intravenous 80mg Every 3Weeks & Capecitabine 825mg/m^2 Twice Daily | 1 |
Paclitaxel Intraperitoneal 60mg & Intravenous 80mg Every 3Weeks &Capecitabine 825mg/m^2 Twice Daily | 0 |
[back to top]
Number of Participants With Distant Extra-peritoneal Disease-free Survival
dDFS was determined based on identification of only distant sites of disease progression, such as lungs or intra-parenchymal liver. Progression was measured by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1). Progression is defined as an increase in peritoneal cancer index (PCI) score of greater than 4 points from baseline PCI. New ascites requiring repeat (more than 1) therapeutic paracentesis, malignant bowel obstruction, new intraperitoneal nodules or masses concerning for peritoneal metastasis, and decline in performance status not attributable to other medical causes. (NCT04034251)
Timeframe: From start of treatment to until time of extra-peritoneal progression, an average of 1 year
Intervention | Participants (Count of Participants) |
---|
Paclitaxel Intraperitoneal 20mg & Intravenous 80mg Every 3Weeks & Capecitabine 825mg/m^2 Twice Daily | 1 |
Paclitaxel Intraperitoneal 60mg & Intravenous 80mg Every 3Weeks &Capecitabine 825mg/m^2 Twice Daily | 0 |
[back to top]
Intra-peritoneal Progression Free Survival (iPFS) Reported With an 95% Confidence Interval
Progression was measured by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1). Progression is defined as an increase in peritoneal cancer index (PCI) score of greater than 4 points from baseline PCI. New ascites requiring repeat (more than 1) therapeutic paracentesis, malignant bowel obstruction, new intraperitoneal nodules or masses concerning for peritoneal metastasis, and decline in performance status not attributable to other medical causes. (NCT04034251)
Timeframe: From the first treatment to progression of disease, up to 2 years and 1 month
Intervention | Months (Median) |
---|
Paclitaxel Intraperitoneal 20mg & Intravenous 80mg Every 3Weeks & Capecitabine 825mg/m^2 Twice Daily | 4.2 |
Paclitaxel Intraperitoneal 60mg & Intravenous 80mg Every 3Weeks &Capecitabine 825mg/m^2 Twice Daily | 13.3 |
[back to top]
Intra-peritoneal Progression Free Survival (iPFS) Reported With an 80% Confidence Interval
iPFS is the median amount of time a participant survives without intra-peritoneal disease progression reported with an 80% confidence interval. Progression was measured by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1). Progression is defined as an increase in peritoneal cancer index (PCI) score of greater than 4 points from baseline PCI. New ascites requiring repeat (more than 1) therapeutic paracentesis, malignant bowel obstruction, new intraperitoneal nodules or masses concerning for peritoneal metastasis, and decline in performance status not attributable to other medical causes. (NCT04034251)
Timeframe: From the first treatment to progression of disease, up to 2 years and 1 month
Intervention | Months (Median) |
---|
Paclitaxel Intraperitoneal 20mg & Intravenous 80mg Every 3Weeks & Capecitabine 825mg/m^2 Twice Daily | 4.2 |
Paclitaxel Intraperitoneal 60mg & Intravenous 80mg Every 3Weeks &Capecitabine 825mg/m^2 Twice Daily | 13.3 |
[back to top]
Incidence and Severity of Diarrhea
Incidence and severity of treatment emergent (TEAE) diarrhea will be summarized according to the NCI-CTCAE version 4.0 in the first cycle of neratinib treatment, which is from the time of the first colonoscopy to the second colonoscopy, or 28 days for subjects with only one colonoscopy. Incidence is defined as the number of patients experiencing diarrhea divided by the number of patients at risk. (NCT04366713)
Timeframe: From baseline to second colonoscopy, which is 88 days after start of neratinib treatment.
Intervention | percentage of participants (Number) |
---|
| TEAE Diarrhea | Serious Diarrhea |
---|
Safety | 80 | 0 |
[back to top]
Changes in Colon Pathology
The primary endpoint is to describe the changes in colon pathology between the baseline colonoscopy and the second colonoscopy. (NCT04366713)
Timeframe: From baseline to second colonoscopy, which is 88 days after start of neratinib treatment.
Intervention | participants (Number) |
---|
| No Significant Findings | Mild Changes |
---|
Neratinib Patients With 2 Colonoscopies | 2 | 2 |
[back to top]
Proportion of Participants With Dose Limiting Toxicities
Severity of treatment-emergent adverse events as assessed by the NCI CTCAE Version 5.0. This outcome measure applies only to participants in the dose escalation cohorts. (NCT05091528)
Timeframe: 21 days
Intervention | Participants (Count of Participants) |
---|
SBT6050 + T-DXd (6.4 mg/kg) | 0 |
SBT6050 + Tucatinib + Trastuzumab | 0 |
[back to top]
Number of Participants With an Objective Response Rate
Complete response and partial response as assessed by RECIST Version 1.1 Criteria. This outcome measure applies only to participants in the dose escalation cohorts. (NCT05091528)
Timeframe: 18 weeks
Intervention | Participants (Count of Participants) |
---|
SBT6050 + T-DXd (6.4 mg/kg) | 1 |
SBT6050 + Tucatinib + Trastuzumab | 0 |
[back to top]
Number of Participants With Laboratory Abnormalities
Clinically significant treatment-emergent laboratory abnormalities as assessed by the NCI CTCAE Version 5.0. This outcome measure applies only to participants in the dose escalation cohorts. (NCT05091528)
Timeframe: 18 weeks
Intervention | Participants (Count of Participants) |
---|
SBT6050 + T-DXd (6.4 mg/kg) | 0 |
SBT6050 + Tucatinib + Trastuzumab | 0 |
[back to top]
Number of Participants With Treatment-emergent Adverse Events
Severity of treatment-emergent adverse events as assessed by the NCI CTCAE Version 5.0. This outcome measure applies only to participants in the dose escalation cohorts. (NCT05091528)
Timeframe: 18 weeks
Intervention | Participants (Count of Participants) |
---|
SBT6050 + T-DXd (6.4 mg/kg) | 1 |
SBT6050 + Tucatinib + Trastuzumab | 1 |
[back to top]