Trial | Phase | Enrollment | Study Type | Start Date | Status |
A Phase 1b/2 Study With Gemcitabine and LY2157299 for Patients With Metastatic Cancer (Phase 1b) and Advanced or Metastatic Unresectable Pancreatic Cancer (Phase 2) [NCT01373164] | Phase 1/Phase 2 | 170 participants (Actual) | Interventional | 2011-06-30 | Completed |
Gemcitabine, Pegaspargase, Etoposide, and Dexamethasone (GPED) for Patients With Relapsed/Refractory or Advanced NK/T-cell Lymphoma : a Single Arm,Open-lable,Phase II Study [NCT04917250] | Phase 2 | 15 participants (Anticipated) | Interventional | 2020-03-20 | Recruiting |
Penpulimab-based Combination Neoadjuvant/Adjuvant Therapy for Patients With Resectable Locally Advanced Non-small Cell Lung Cancer: a Phase II Clinical Study (ALTER-L043) [NCT04846634] | Phase 2 | 90 participants (Anticipated) | Interventional | 2021-08-31 | Not yet recruiting |
A Phase II/III Study of N-803 (ALT-803) Plus Pembrolizumab Versus Standard of Care in Participants With Stage IV or Recurrent Non-Small Cell Lung Cancer Previously Treated With Anti-PD-1 or Anti-PD-L1 Therapy (Lung-MAP Non-Match Sub-Study) [NCT05096663] | Phase 2/Phase 3 | 82 participants (Actual) | Interventional | 2022-03-15 | Active, not recruiting |
Hepatic Arterial Infusion of Gemcitabine-oxaliplatin for Second-line Therapy in Non-metastatic Unresectable Intra-hepatic Cholangiocarcinoma: a Multicentric Single-arm Phase II Study [NCT03364530] | Phase 2 | 40 participants (Anticipated) | Interventional | 2018-06-11 | Recruiting |
A Phase 3, Randomized, Global Trial of Nivolumab and Epacadostat With Platinum Doublet Chemotherapy Versus Platinum Doublet Chemotherapy in First-line Treatment of Stage IV or Recurrent Non-Small Cell Lung Cancer (NSCLC) [NCT03348904] | Phase 3 | 2 participants (Actual) | Interventional | 2017-12-27 | Terminated(stopped due to Study halted prematurely and will not resume; participants are no longer being examined or receiving intervention.) |
Pixantrone (BBR 2778) Versus Other Chemotherapeutic Agents for Third-line Single Agent Treatment of Patients With Relapsed Aggressive Non-Hodgkin's Lymphoma: A Randomized, Controlled, Phase III Comparative Trial [NCT00088530] | Phase 3 | 140 participants (Actual) | Interventional | 2004-07-31 | Completed |
Phase II, Randomized, Open-Label Trial of Biweekly Pemetrexed Plus Gemcitabine vs. Pemetrexed or Pemetrexed Plus Carboplatin in Relapsed Non Small Cell Lung Cancer After Neoadjuvant or Adjuvant Chemotherapy [NCT00356525] | Phase 2 | 41 participants (Actual) | Interventional | 2006-09-30 | Terminated(stopped due to Stopped early due to low enrollment) |
[NCT01125020] | | 150 participants (Anticipated) | Interventional | 2008-12-31 | Recruiting |
A Phase II Study of Neoadjuvant Cisplatin and Gemcitabine Plus Sorafenib for Patients With Transitional-Cell Carcinoma of the Bladder [NCT01222676] | Phase 2 | 45 participants (Anticipated) | Interventional | 2010-10-31 | Recruiting |
Randomized Phase II Trial of Gemcitabine and Imatinib Mesylate Versus Gemcitabine Alone in Patients With Previously Treated Locally Advanced or Metastatic Breast Cancer [NCT00323063] | Phase 2 | 49 participants (Actual) | Interventional | 2006-05-01 | Terminated(stopped due to Slow accrual) |
Phase I/II Trial of Gemcitabine/Pemetrexed Combination in Patients With Advanced Cutaneous T-Cell Lymphoma [NCT00369629] | Phase 1 | 14 participants (Actual) | Interventional | 2006-08-28 | Terminated(stopped due to This was planned as a phase I/II study originally, but due to a lack of funding, the phase II portion was never conducted.) |
Phase Ib Study of Preoperative Chemotherapy With Paclitaxel, Gemcitabine, and Lapatinib (Tykerb®) (PGT) in Patients With HER2 Positive Operable Breast Cancer [NCT01133912] | Phase 1 | 13 participants (Actual) | Interventional | 2009-03-31 | Completed |
A Phase I Study of R04929097 in Combination With Gemcitabine in Patients With Advanced Solid Tumors [NCT01145456] | Phase 1 | 18 participants (Actual) | Interventional | 2010-06-30 | Completed |
A Randomized Phase II Clinical Trial of Nab-Paclitaxel and Carboplatin Compared With Gemcitabine and Carboplatin as First-line Therapy in Advanced Squamous Cell Carcinoma of Lung [NCT01236716] | Phase 2 | 126 participants (Actual) | Interventional | 2010-11-30 | Completed |
A Multicenter, Randomized, Open-Label Phase 3 Study to Investigate the Efficacy and Safety of Aldoxorubicin Compared to Investigator's Choice in Subjects With Metastatic, Locally Advanced, or Unresectable Soft Tissue Sarcomas Who Either Relapsed or Were R [NCT02049905] | Phase 3 | 433 participants (Actual) | Interventional | 2014-01-31 | Completed |
Phase II Study of Gemcitabine-Paclitaxel 3-Weekly Schedule as First-Line Treatment in Metastatic Breast Cancer After Anthracycline Failure [NCT00316199] | Phase 2 | 60 participants (Actual) | Interventional | 2006-04-30 | Completed |
A Phase II Study of Triapine in Combination With Gemcitabine in Adenocarcinoma of the Biliary Ducts and Gall Bladder [NCT00075504] | Phase 2 | 33 participants (Actual) | Interventional | 2003-11-30 | Completed |
Liposomal Doxorubicin(LD) Plus Gemcitabine Versus Oxaliplatin Plus Fluorouracil/Leucovorin(FOLFOX4) As Palliative Chemotherapy in Patients With Advanced Hepatocellular Carcinoma(HCC) [NCT02527772] | Phase 2/Phase 3 | 0 participants (Actual) | Interventional | 2015-09-30 | Withdrawn(stopped due to It doesn't meet the requirements of randomized trials) |
Phase III Study of Gemcitabine/Oxaliplatin (GEMOX) With or Without Erlotinib in Unresectable, Metastatic Biliary Tract Carcinoma [NCT01149122] | Phase 3 | 266 participants (Actual) | Interventional | 2009-01-31 | Completed |
Overcoming Resistance to Immunotherapy Combining Gemcitabine With Atezolizumab in Advanced NSCLC and Mesothelioma Progressing Under Immune-checkpoint Inhibitors or Gemcitabine. A Multicenter, Single-arm, Open Label Phase II Trial With Two Cohorts [NCT04480372] | Phase 2 | 68 participants (Actual) | Interventional | 2021-03-17 | Active, not recruiting |
Phase I Study of ABT-888 in Combination With Gemcitabine in Patients With Advanced Malignancies [NCT01154426] | Phase 1 | 31 participants (Actual) | Interventional | 2010-05-31 | Completed |
Phase II Study of Fixed Dose Rate Gemcitabine Plus Capecitabine in Locally Advanced Pancreatic Cancer [NCT01268384] | Phase 2 | 43 participants (Actual) | Interventional | 2006-04-30 | Completed |
Cisplatin With Either Alimta or Gemcitabine in Long Infusion for Mesothelioma: A Randomised Phase II Trial (AGILI Trial) [NCT01281800] | Phase 2 | 72 participants (Anticipated) | Interventional | 2008-08-31 | Recruiting |
A Phase I Clinical Trial of Oral Calcitriol With Fixed Dose of Cisplatin and Gemcitabine in Patients With Advanced Solid Tumors [NCT01093092] | Phase 1 | 14 participants (Actual) | Interventional | 2011-09-30 | Terminated(stopped due to Study transferring to INOVA Health) |
Pilot Study of Antiviral Treatment in Combination With Low-dose Gemcitabine in EBV-associated Gastric Cancer (EBVaGC) [NCT05431244] | | 0 participants (Actual) | Interventional | 2022-07-01 | Withdrawn(stopped due to Research withdrawal before patient registration due to difficulty in continuing research) |
A Phase II Trial of Gemcitabine (NSC-613327) and Capecitabine (NSC-712807) in Patients With Unresectable or Metastatic Gallbladder or Cholangiocarcinoma [NCT00033540] | Phase 2 | 57 participants (Actual) | Interventional | 2003-09-30 | Completed |
Phase I/II Radiotherapy Dose Escalation Study in Locally Advanced Pancreatic Cancer, Using a Simultaneous Intensity Modulated Boost With Concurrent Gemcitabine [NCT00878657] | Phase 1 | 8 participants (Actual) | Interventional | 2009-04-30 | Terminated(stopped due to Slow accrual) |
Panitumumab in Combination With Cisplatin/Gemcitabine Chemotherapy in Patients With Cholangiocarcinomas - a Randomized Clinical Phase II Study [NCT01320254] | Phase 2 | 93 participants (Actual) | Interventional | 2011-06-30 | Completed |
Maintenance Gemcitabine or Best Supportive Care for the Chinese Advanced NSCLC Patients Without Progression Disease After Given Four Cycles of the Induction Chemotherapy With Gemcitabine Plus Cisplatin [NCT01336192] | Phase 4 | 240 participants (Anticipated) | Interventional | 2011-04-30 | Recruiting |
A Multi-center Phase II Trial to Evaluate the Efficacy and Safety of Neoadjuvant Chemotherapy With DoceTaxel(Doxotel) and Gemcitabine(Gemcibine)in Locally Advanced Breast Cancer [NCT01352494] | Phase 2 | 99 participants (Anticipated) | Interventional | 2011-05-31 | Not yet recruiting |
A Sequential Approach to the Treatment of Muscle Invasive, Non-Metastatic Urothelial Carcinoma of the Bladder: A Phase II Trial of Neoadjuvant Gemcitabine, Paclitaxel and Carboplatin With Molecular Correlates [NCT00045630] | Phase 2 | 77 participants (Actual) | Interventional | 2003-01-31 | Completed |
A Phase I Study of the PI3-Kinase Inhibitor BKM120 in Combination With Gemcitabine and Cisplatin in Patients With Advanced Solid Tumors [NCT01971489] | Phase 1 | 0 participants (Actual) | Interventional | 2015-09-30 | Withdrawn |
A Phase 2 Study Using Chemoimmunotherapy With Gemcitabine, Cisplatin and Nivolumab in Newly Diagnosed Nasopharyngeal Carcinoma (NPC) [NCT06064097] | Phase 2 | 50 participants (Anticipated) | Interventional | 2023-12-20 | Not yet recruiting |
Vitamin C to Chemotherapy Related Anemia in Pancreatic Cancer [NCT06018883] | Phase 3 | 100 participants (Anticipated) | Interventional | 2023-08-20 | Recruiting |
A Phase 2a Study With Safety Run-in to Evaluate the Safety, Tolerability, and Preliminary Efficacy of FF-10832 Monotherapy or in Combination With Pembrolizumab in Patients With Advanced Solid Tumors [NCT05318573] | Phase 2 | 10 participants (Anticipated) | Interventional | 2022-06-01 | Recruiting |
A Randomized, Open-Label, Multicenter Phase III Study Evaluating Efficacy and Safety of Mosunetuzumab in Combination With Polatuzumab Vedotin in Comparison With Rituximab in Combination With Gemcitabine Plus Oxaliplatin in Participants With Relapsed or Re [NCT05171647] | Phase 3 | 222 participants (Anticipated) | Interventional | 2022-04-25 | Recruiting |
A Phase 3, Multi-center, Randomized Study Evaluating Efficacy of TAR-200 in Combination With Cetrelimab Versus Concurrent Chemoradiotherapy in Participants With Muscle-Invasive Urothelial Carcinoma (MIBC) of the Bladder Who Are Not Receiving Radical Cyste [NCT04658862] | Phase 3 | 550 participants (Anticipated) | Interventional | 2020-12-07 | Recruiting |
Phase 2b Clinical Study Evaluating Efficacy and Safety of TAR-200 in Combination With Cetrelimab, TAR-200 Alone, or Cetrelimab Alone in Participants With High-Risk Non-Muscle Invasive Bladder Cancer (NMIBC) Unresponsive to Intravesical Bacillus Calmette-G [NCT04640623] | Phase 2 | 200 participants (Anticipated) | Interventional | 2020-12-18 | Recruiting |
A Phase III Randomized Trial of Eribulin (NSC #707389) With or Without Gemcitabine Versus Standard of Care (Physician's Choice) for Treatment of Metastatic Urothelial Carcinoma Refractory to, or Ineligible for, Anti PD1/PDL1 Therapy [NCT04579224] | Phase 3 | 465 participants (Anticipated) | Interventional | 2021-06-28 | Suspended(stopped due to Other - New treatment available, eliminating Arm 2) |
A Randomized Phase II Trial of Cabozantinib and Cabozantinib Plus Nivolumab Versus Standard Chemotherapy in Patients With Previously Treated Non-Squamous NSCLC [NCT04310007] | Phase 2 | 117 participants (Anticipated) | Interventional | 2020-07-13 | Active, not recruiting |
An Open-label, Randomized, Controlled Phase 3 Study of Enfortumab Vedotin in Combination With Pembrolizumab Versus Chemotherapy Alone in Previously Untreated Locally Advanced or Metastatic Urothelial Cancer [NCT04223856] | Phase 3 | 990 participants (Anticipated) | Interventional | 2020-03-30 | Recruiting |
A Phase IB and Randomized Open-Label Phase II Study of Berzosertib (M6620, VX-970) in Combination With Carboplatin/Gemcitabine/Pembrolizumab in Patients With Chemotherapy-Naïve Advanced Non-Small Cell Lung Cancer of Squamous Cell Histology [NCT04216316] | Phase 1/Phase 2 | 106 participants (Anticipated) | Interventional | 2021-04-14 | Active, not recruiting |
Phase II Study of Bladder-SparIng ChemoradiatioN With Durvalumab in Clinical Stage III, Node PosItive BladdeR CancEr (INSPIRE) [NCT04216290] | Phase 2 | 95 participants (Anticipated) | Interventional | 2021-03-17 | Active, not recruiting |
A Randomized Phase 2 Study of Erdafitinib Versus Investigator Choice of Intravesical Chemotherapy in Subjects Who Received Bacillus Calmette-Guérin (BCG) and Recurred With High Risk Non-Muscle-Invasive Bladder Cancer (NMIBC) and FGFR Mutations or Fusions [NCT04172675] | Phase 2 | 107 participants (Actual) | Interventional | 2020-02-28 | Active, not recruiting |
A Pilot Phase I Study of Atezolizumab (MPDL3280A) in Combination With Immunogenic Chemotherapy (Gemcitabine-Oxaliplatin) and Rituximab for Transformed Diffuse Large B-Cell Lymphoma [NCT03321643] | Phase 1 | 24 participants (Anticipated) | Interventional | 2018-09-18 | Active, not recruiting |
Phase I Study of Combination With TBI-1401(HF10), a Replication-competent HSV-1 Oncolytic Virus, and Chemotherapy in Patients With Stage III or IV Unresectable Pancreatic Cancer. [NCT03252808] | Phase 1 | 36 participants (Anticipated) | Interventional | 2017-09-25 | Active, not recruiting |
A Randomized Phase II Trial Evaluating an Organ-conserving Strategy With Radiotherapy + CDDP + Gemcitabine vs Radiotherapy + CDDP in Muscle-infiltrative Bladder Cancer [NCT01495676] | | 69 participants (Actual) | Interventional | 2011-07-06 | Active, not recruiting |
A Phase II-R and a Phase III Trial Evaluating Both Erlotinib (Ph II-R) and Chemoradiation (Ph III) as Adjuvant Treatment for Patients With Resected Head of Pancreas Adenocarcinoma [NCT01013649] | Phase 2/Phase 3 | 545 participants (Anticipated) | Interventional | 2009-11-17 | Active, not recruiting |
A Phase II Study of Weekly Oxaliplatin and Gemcitabine Combination Chemotherapy for Recurrent or Metastatic Head and Neck Cancer [NCT00256295] | Phase 2 | 8 participants (Actual) | Interventional | 2005-04-30 | Terminated(stopped due to Low accrual) |
The Efficacy of Bendamustine, Gemcytabine, Dexamethasone (BGD) Salvage Chemotherapy With Autologous Stem Cell Transplantation (ASCT) Consolidation in Advanced Classical Hodgkin Lymphoma Patients Not Responding to ABVD Therapy- Multicentre Phase II Clinica [NCT03615664] | Phase 2 | 115 participants (Actual) | Interventional | 2017-11-06 | Active, not recruiting |
PD-1 Inhibitor or PD-1 Inhibitor Plus GVD(Gemcitabine, Vinorelbine and Doxorubicin Liposome) Regimen for Relapsed/Refractory Classical Hodgkin Lymphoma (R/R CHL): a Single Arm, Open Label, Phase II Study [NCT04624984] | Phase 2 | 42 participants (Anticipated) | Interventional | 2021-04-01 | Recruiting |
Randomized Phase II Trial of SP vs. GP in Advanced Biliary Cancer [NCT01375972] | Phase 2 | 92 participants (Actual) | Interventional | 2008-03-31 | Completed |
A Phase II, Single-arm Study to Evaluate the Efficacy and Safety of the Combination of Nab-paclitaxel and Gemcitabine in Treating Patients With Metastatic Pancreatic Cancer [NCT03929094] | Phase 2 | 120 participants (Anticipated) | Interventional | 2019-03-01 | Recruiting |
Standard Chemotherapy Plus Moxifloxacin as First-line Treatment for Metastatic Triple-negative Breast Cancer : a Multicenter, Double-blind, Placebo-controlled, Phase 3 Trial [NCT04722978] | Phase 3 | 228 participants (Anticipated) | Interventional | 2021-04-20 | Recruiting |
A Multicenter, One-arm Phase II Clinical Study of Utidelone Injection Combined With Gemcitabine in First-line Chemotherapy for Unresectable Advanced Pancreatic Cancer [NCT05795920] | Phase 2 | 92 participants (Anticipated) | Interventional | 2023-03-08 | Recruiting |
A Single-Arm Feasibility Study of Gemcitabine, Cisplatin, and Nab-Paclitaxel as Neoadjuvant Therapy for Resectable Oncologically High-Risk Intrahepatic Cholangiocarcinoma [NCT03579771] | Phase 2 | 31 participants (Actual) | Interventional | 2018-09-26 | Active, not recruiting |
Avatar-Directed Chemotherapy in Platinum-Resistant Ovarian, Primary Peritoneal and Fallopian Tube Cancers [NCT02312245] | Phase 2 | 13 participants (Actual) | Interventional | 2015-07-21 | Completed |
A Phase 3 Multicenter, Open-Label, Randomized, Controlled Study of Oral Infigratinib Versus Gemcitabine With Cisplatin in Subjects With Advanced/Metastatic or Inoperable Cholangiocarcinoma With FGFR2 Gene Fusions/Translocations: The PROOF Trial [NCT03773302] | Phase 3 | 48 participants (Actual) | Interventional | 2019-12-27 | Terminated(stopped due to The sponsor has decided to close the study due to the discontinuation of infigratinib development in oncology within the sponsor's territory. The discontinuation of the study was not due to safety issues.) |
Nivolumab Plus Cisplatin/Pemetrexed or Cisplatin/Gemcitabine as Induction in Resectable Non-Small Cell Lung Cancer [NCT03366766] | Phase 2 | 14 participants (Actual) | Interventional | 2017-12-20 | Completed |
"A Multicenter Phase II Trial to Evaluate the Efficacy and Safety of Pembrolizumab and Gemcitabine in Patients With HER2-negative Advanced Breast Cancer (ABC) PANGEA-Breast" [NCT03025880] | Phase 2 | 36 participants (Actual) | Interventional | 2017-06-28 | Completed |
A RANDOMIZED PHASE 2 STUDY OF THE ANTI-ANGIOGENESIS AGENT AG-013736 IN COMBINATION WITH GEMCITABINE IN PATIENTS WITH CHEMOTHERAPY-NAIVE ADVANCED PANCREATIC CANCER PRECEDED BY A PHASE 1 PORTION [NCT00219557] | Phase 2 | 111 participants (Actual) | Interventional | 2005-07-05 | Completed |
Tratamiento Individualizado en función de Las Mutaciones en EGFR y Del Nivel de expresión de BRCA1 en Pacientes Con Adenocarcinoma de pulmón Avanzado [NCT00883480] | | 153 participants (Actual) | Interventional | 2005-06-30 | Completed |
Induction Chemotherapy Combined With Low-dose Radiation Plus Cadonilimab in Loco-regionally Advanced Nasopharyngeal Carcinoma: a Multi-center, Open-label, Randomized Controlled Phase III Clinical Trial [NCT05941741] | Phase 3 | 380 participants (Anticipated) | Interventional | 2023-12-31 | Not yet recruiting |
A Multicenter and Prospective Clinical Trial of Gemcitabine-based Induction Chemotherapy Combined With Concurrent Chemoradiotherapy in Locally Advanced Nasopharyngeal Carcinoma [NCT04522050] | Phase 1 | 65 participants (Anticipated) | Interventional | 2018-10-01 | Recruiting |
Randomised Phase II Study of the Combination of Oral Vinorelbine With Capecitabine Versus Gemcitabine in Combination With Paclitaxel Versus Gemcitabine in Combination With Docetaxel as First Line Chemotherapy in Patients With Metastatic Breast Cancer [NCT03887130] | Phase 2 | 152 participants (Actual) | Interventional | 2006-03-31 | Completed |
Phase 1 Study of HLA-A*0201 Restricted Antiangiogenic Peptide Vaccine Therapy Using Epitope Peptide Derived From VEGFR1 and VEGFR2 With Gemcitabine in Treating Patients With Unresectable, Recurrent, or Metastatic Pancreatic Cancer [NCT01266720] | Phase 1 | 6 participants (Actual) | Interventional | 2008-04-30 | Active, not recruiting |
A Phase I Study of Nab-paclitaxel (Abraxane), Gemcitabine, and Capecitabine (Xeloda) (AGX) in Patients With Previously Untreated, Metastatic Pancreatic Adenocarcinoma [NCT01161186] | Phase 1 | 15 participants (Actual) | Interventional | 2010-07-31 | Completed |
A Randomized Phase II Study of Gemcitabine Plus Oxaliplatin (GEMOX) With or Without Cetuximab in Locally Advanced and Metastatic Biliary Tract Cancer (BTC) [NCT01267344] | Phase 2 | 122 participants (Actual) | Interventional | 2010-12-31 | Completed |
Switch-Maintenance Gemcitabine After First-Line Chemotherapy (Pemetrexed-Platinum) In Patients With Malignant Pleural Mesothelioma In Ain Shams University Hospitals [NCT05660616] | Phase 2 | 40 participants (Anticipated) | Interventional | 2023-04-01 | Recruiting |
Open Label Randomized Phase II Trial of Nivolumab + Cabiralizumab (BMS-986227, FPA008) + Gemcitabine in Patients With Stage IV Pancreatic Cancer Achieving Disease Control in Response to First-line Chemotherapy (GemCaN Trial). [NCT03697564] | Phase 2 | 40 participants (Anticipated) | Interventional | 2019-10-31 | Suspended(stopped due to Working on getting accurate information for patients interested in the study.) |
A Randomized Phase II Study of Chemotherapy ± Metformin in Metastatic Pancreatic Cancer [NCT01167738] | Phase 2 | 60 participants (Actual) | Interventional | 2010-07-31 | Terminated(stopped due to concern of detrimental effect) |
A Phase III, Multicenter, Open-Label, Randomized Study of Gemcitabine Plus Cisplatin (GP) Versus Gemcitabine Plus Paclitaxel (GT) as First-Line Treatment in Patients With Advanced Triple-Negative Breast Cancer [NCT01287624] | Phase 3 | 240 participants (Actual) | Interventional | 2011-01-31 | Completed |
A Multi-Center Randomized Phase II Study of Nivolumab in Combination With Gemcitabine/Cisplatin or Ipilimumab as First Line Therapy for Patients With Advanced Unresectable Biliary Tract Cancer [CA209-9FC] [NCT03101566] | Phase 2 | 75 participants (Actual) | Interventional | 2017-09-08 | Completed |
Phase I Trial of Gemcitabine and Split-Dose Cisplatin Plus Everolimus (RAD001) in Patients With Advanced Solid Tumor Malignancies [NCT01182168] | Phase 1 | 12 participants (Actual) | Interventional | 2010-08-31 | Completed |
A Phase IIB/III Randomized, Double-blind, Placebo Controlled Study Comparing First Line Therapy With or Without TG4010 Immunotherapy Product in Patients With Stage IV Non-Small Cell Lung Cancer (NSCLC) [NCT01383148] | Phase 2/Phase 3 | 222 participants (Actual) | Interventional | 2012-04-30 | Terminated |
A Randomized, Two Arm Study to Investigate Bronchial Arterrial Infusing (BAI) Plus Three-dimensional Conformal Radiotherapy (3DCRT) in Local Advanced Non-small Cell Lung Cancer (NSCLC) [NCT01201044] | | 80 participants (Anticipated) | Interventional | 2010-01-31 | Recruiting |
A Single-arm Study of Gemcitabine, Cisplatin, and Nab-Paclitaxel as Neoadjuvant Therapy for Resectable Oncologically High-Risk Intrahepatic Cholangiocarcinoma in Korea [NCT04546828] | Phase 2 | 0 participants (Actual) | Interventional | 2021-02-01 | Withdrawn(stopped due to problem of sponsor) |
A Phase I Study of Adjuvant Chemotherapy With Gemcitabine Plus Cisplatin in Patients With Biliary Tract Cancer Undergoing Curative Resection Without Major Hepatectomy [NCT01297998] | Phase 1 | 24 participants (Actual) | Interventional | 2011-01-31 | Completed |
Open-label, Phase II Trial of Eribulin in Combination With Gemcitabine in Previously Treated Patients With Advanced Liposarcoma or Leiomyosarcoma [NCT03810976] | Phase 2 | 37 participants (Actual) | Interventional | 2018-03-27 | Completed |
Pilot Study of GC. (Gemcitabine-Rituximab-Oxaliplatin Combination) Given Every 14 Days With Maintenance Lenalidomide for the Treatment of Patients With Relapsed or Refractory Aggressive Non-Hodgkin's Lymphoma [NCT01307592] | Phase 2 | 70 participants (Anticipated) | Interventional | 2011-02-28 | Recruiting |
IntenSify: An Open-label Phase I Trial of the CYP3A Inhibitor Cobicistat and the Cytostatics Gemcitabine and Nab-Paclitaxel in Patients With Advanced Stage or Metastatic Pancreatic Ductal Adenocarcinoma to Evaluate the Combination's Pharmacokinetics, Safe [NCT05494866] | Phase 1 | 18 participants (Anticipated) | Interventional | 2022-12-07 | Recruiting |
Hepatic Arterial Infusion Chemotherapy of Irinotecan, Oxaliplatin, 5-Fluorouracil and Leucovorin Versus Systemic Chemotherapy of Gemcitabine and Oxaliplatin for Unresectable Intrahepatic Cholangiocarcinoma [NCT03771846] | Phase 3 | 188 participants (Anticipated) | Interventional | 2018-08-01 | Recruiting |
A Phase 2, Open-Label, Randomized, Multicenter Study to Evaluate the Efficacy and Safety of Pemigatinib Plus Pembrolizumab Versus Pemigatinib Alone Versus Standard of Care as First-Line Treatment for Metastatic or Unresectable Urothelial Carcinoma in Cisp [NCT04003610] | Phase 2 | 7 participants (Actual) | Interventional | 2020-05-14 | Terminated(stopped due to The reason this study was terminated was due to a business decision. There were no safety concerns that contributed to this decision.) |
Effects and Safety of GEMOX Combined With Donafenib and Tislelizumab in Advanced Biliary Tract Carcinoma:a Prospective, Single-arm, Single-center Phase II Study [NCT05668884] | Phase 2 | 35 participants (Anticipated) | Interventional | 2022-10-18 | Recruiting |
Adjuvant Gemcitabine and Capecitabine Chemotherapy in Resected Pancreatic Cancer Following Neoadjuvant Chemotherapy [NCT05415917] | Phase 2 | 75 participants (Anticipated) | Interventional | 2022-07-29 | Recruiting |
A Phase II, Randomized, Placebo-Controlled, Double-Blind Study to Evaluate the Efficacy of Pertuzumab (rhuMAb 2C4) in Combination With Gemcitabine and the Effect of Tumor-Based HER2 Activation in Subjects With Platinum-Resistant Ovarian, Primary Peritonea [NCT00096993] | Phase 2 | 131 participants (Actual) | Interventional | 2005-01-31 | Completed |
A Phase 1b, Dose Escalation Study to Determine the Recommended Phase 2 Dose of TAK-659 in Combination With Bendamustine (±Rituximab), Gemcitabine, Lenalidomide, or Ibrutinib for the Treatment of Patients With Advanced Non-Hodgkin Lymphoma After At Least 1 [NCT02954406] | Phase 1 | 43 participants (Actual) | Interventional | 2017-03-05 | Terminated(stopped due to Business decision, insufficient enrollment, no safety or efficacy concerns.) |
A Randomized Phase III Trial Of Paclitaxel Plus Cisplatin Versus Vinorelbine Plus Cisplatin Versus Gemcitabine Plus Cisplatin Versus Topotecan Plus Cisplatin In Stage IVB, Recurrent Or Persistent Carcinoma of the Cervix [NCT00064077] | Phase 3 | 513 participants (Actual) | Interventional | 2003-05-31 | Completed |
a Single-arm Study of Combined Therapy Using Oxaliplatin and Gemcitabine Chemotherapy, Lenvatinib and Programmed Cell Death Protein 1 Antibody (JS001) for Patients With Advanced and Unresectable Intrahepatic Cholangiocarcinoma [NCT03951597] | Phase 2 | 30 participants (Anticipated) | Interventional | 2019-05-10 | Active, not recruiting |
Phase 2 Study of M6620 (VX-970) in Combination With Gemcitabine Versus Gemcitabine Alone in Subjects With Platinum-Resistant Recurrent Ovarian or Primary Peritoneal Fallopian Tube Cancer [NCT02595892] | Phase 2 | 70 participants (Actual) | Interventional | 2016-08-25 | Active, not recruiting |
International Randomized Study of Transarterial Chemoembolization Versus CyberKnife for Recurrent Hepatocellular Carcinoma [NCT01327521] | Phase 3 | 0 participants (Actual) | Interventional | 2011-02-28 | Withdrawn(stopped due to Accrual below target levels) |
[NCT02529579] | Phase 1/Phase 2 | 187 participants (Anticipated) | Interventional | 2015-06-30 | Recruiting |
A Phase II, Randomized, Placebo Controlled Study to Evaluate the Efficacy of the Combination of Gemcitabine, Erlotinib and Metformin in Patients With Locally Advanced and Metastatic Pancreatic Cancer [NCT01210911] | Phase 2 | 120 participants (Actual) | Interventional | 2010-08-31 | Completed |
A Phase II Study of Gemcitabine and Bexarotene (Gembex) in the Treatment of Cutaneous T-cell Lymphoma [NCT00660231] | Phase 2 | 36 participants (Actual) | Interventional | 2008-03-31 | Completed |
Phase I Dose Escalation Study of Gemcitabine and ON 01910.Na in Patients With Advanced or Metastatic Solid Tumors [NCT01125891] | Phase 1 | 39 participants (Actual) | Interventional | 2009-01-31 | Completed |
Sensitivity Detection and Drug Resistance Mechanism of Breast Cancer Therapeutic Drugs Based on Organ-like Culture [NCT03925233] | | 300 participants (Anticipated) | Observational | 2019-01-02 | Enrolling by invitation |
A Phase II Trial of Gemcitabine Plus Bevacizumab in Patients With Platinum-Resistant Ovarian, Primary Peritoneal or Fallopian Tube Cancer [NCT01131039] | Phase 2 | 0 participants (Actual) | Interventional | 2011-01-31 | Withdrawn(stopped due to PI left Emory) |
A Multicenter, Open-Label, Randomized, Phase II Trial of Adjuvant Dasatinib Plus Gemcitabine Versus Single-Agent Gemcitabine in Patients With Resected Pancreatic Adenocarcinoma [NCT01234935] | Phase 2 | 8 participants (Actual) | Interventional | 2011-01-13 | Completed |
A Phase 1 Study of an ERK1/2 Inhibitor (LY3214996) Administered Alone or in Combination With Other Agents in Advanced Cancer [NCT02857270] | Phase 1 | 210 participants (Actual) | Interventional | 2016-09-29 | Completed |
Phase II Study of Hypofractionated Radio-chemotherapy With Gemcitabine Plus Oxaliplatin for Unresectable Nonmetastatic Locally Advanced Pancreatic Cancer. [NCT02035072] | Phase 2 | 40 participants (Actual) | Interventional | 2010-11-30 | Completed |
PHASE 1B/PHASE 3 MULTICENTER STUDY OF AVELUMAB (MSB0010718C) IN COMBINATION REGIMENS THAT INCLUDE AN IMMUNE AGONIST, EPIGENETIC MODULATOR, CD20 ANTAGONIST AND/OR CONVENTIONAL CHEMOTHERAPY IN PATIENTS WITH RELAPSED OR REFRACTORY DIFFUSE LARGE B-CELL LYMPHO [NCT02951156] | Phase 3 | 29 participants (Actual) | Interventional | 2016-12-16 | Terminated(stopped due to Study was terminated due to closure of study arms following futility analysis and difficulty in enrolling participants due to evolving treatment landscape) |
Phase I Dose Escalation Study of Gemcitabine and 24 Hour Infusion of ON 01910.Na in Patients With Advanced or Metastatic Solid Tumors [NCT01165905] | Phase 1 | 10 participants (Actual) | Interventional | 2010-01-31 | Completed |
A Phase II Study of Gemcitabine and TS-1 in Patients With Previously Untreated Metastatic or Recurrent Biliary Tract Cancer [NCT01171755] | Phase 2 | 19 participants (Actual) | Interventional | 2008-02-29 | Terminated(stopped due to The objective response rate by more than two people are confirmed.) |
Selective Transvenous Chemoembolization of Primary Pancreatic Tumors [NCT03865563] | Phase 1 | 0 participants (Actual) | Interventional | 2019-07-31 | Withdrawn(stopped due to We need to make significant adjustments to proposed drug and its delivery method) |
A Phase 2/3, Multicenter Randomized Study of Rituximab-Gemcitabine-Dexamethasone-Platinum (R-GDP) With or Without Selinexor in Patients With Relapsed/Refractory Diffuse Large B-cell Lymphoma (RR DLBCL) [NCT04442022] | Phase 2/Phase 3 | 501 participants (Anticipated) | Interventional | 2020-09-03 | Recruiting |
Phase III Study Of Gemcitabine, Dexamethasone, And Cisplatin Compared To Dexamethasone, Cytarabine, And Cisplatin Plus/Minus Rituximab [(R)-GDP vs (R)-DHAP] As Salvage Chemotherapy For Patients With Relapsed Or Refractory Aggressive Histology Non-Hodgkin' [NCT00078949] | Phase 3 | 849 participants (Actual) | Interventional | 2003-08-27 | Completed |
A Phase II Study of Vinorelbine and Gemcitabine Combination In Platinum Resistant Recurrent Epithelial Ovarian/Fallopian Tube/ Primary Peritoneal Carcinoma. [NCT01196559] | Phase 2 | 44 participants (Actual) | Interventional | 2011-01-31 | Completed |
A Phase 1b Study of Gemcitabine and Demcizumab (OMP-21M18) With or Without Abraxane® as 1st-line Treatment in Subjects With Locally Advanced or Metastatic Pancreatic Cancer [NCT01189929] | Phase 1 | 57 participants (Actual) | Interventional | 2010-08-31 | Completed |
A Phase I Study of Oral Sodium Bicarbonate in Patients With Unresectable Pancreatic Carcinoma Treated With Gemcitabine [NCT01198821] | Phase 1 | 8 participants (Actual) | Interventional | 2010-08-31 | Completed |
An Open Label, Multiple Centers Phase Ib/II Study of APG-1387 Plus Chemotherapy in Advanced Pancreatic Adenocarcinoma [NCT04643405] | Phase 1/Phase 2 | 44 participants (Anticipated) | Interventional | 2021-03-17 | Recruiting |
A Phase II Trial of ADI-PEG 20 in Combination With Gemcitabine and Docetaxel for the Treatment of Soft Tissue Sarcoma Osteosarcoma, Ewing's Sarcoma, and Small Cell Lung Cancer [NCT03449901] | Phase 2 | 98 participants (Actual) | Interventional | 2018-05-09 | Completed |
A Phase III Randomized, Controlled Clinical Trial of Pembrolizumab With or Without Platinum-Based Combination Chemotherapy Versus Chemotherapy in Subjects With Advanced or Metastatic Urothelial Carcinoma [NCT02853305] | Phase 3 | 1,010 participants (Actual) | Interventional | 2016-09-15 | Completed |
An Open-Label Randomized Phase II Trial Comparing Gemcitabine and Carboplatin With and Without P276-00 in Subjects With Metastatic Triple Negative Breast Cancer, With a Phase I Run-in of Escalating Dose of P276-00 Added to Gemcitabine and Carboplatin [NCT01333137] | Phase 1 | 11 participants (Actual) | Interventional | 2011-08-31 | Terminated |
A Phase II Study of SHR6390 Plus Nab-paclitaxel and Gemcitabine in Unresectable Advanced/Metastatic Pancreatic Ductal Adenocarcinoma [NCT05185869] | Phase 2 | 58 participants (Anticipated) | Interventional | 2022-01-31 | Not yet recruiting |
An Open-Label, Phase I, Dose Escalation Study Evaluating the Safety, Tolerability, and Pharmacokinetics of GDC-0425 Administered With and Without Gemcitabine in Patients With Refractory Solid Tumors or Lymphoma [NCT01359696] | Phase 1 | 40 participants (Actual) | Interventional | 2011-07-11 | Completed |
A Phase 1b (Open-Label)/Phase 2 (Randomized, Double-Blinded) Study Evaluating Gemcitabine and Docetaxel With or Without Olaratumab in the Treatment of Advanced Soft Tissue Sarcoma [NCT02659020] | Phase 1/Phase 2 | 310 participants (Actual) | Interventional | 2016-03-01 | Completed |
A Phase II Randomised, Open-label Study of Gemcitabine/Carboplatin First-line Chemotherapy in Combination With or Without the Antisense Oligonucleotide Apatorsen (OGX-427) in Advanced Squamous Cell Lung Cancers [NCT02423590] | Phase 2 | 140 participants (Anticipated) | Interventional | 2014-06-30 | Active, not recruiting |
A Randomized, Phase 3 Study of Eryaspase in Combination With Chemotherapy Versus Chemotherapy Alone as 2nd-Line Treatment of Patients With Pancreatic Adenocarcinoma [NCT03665441] | Phase 3 | 512 participants (Actual) | Interventional | 2018-09-15 | Completed |
A Randomized Open-Label Phase III Trial of Pembrolizumab Versus Platinum Based Chemotherapy in 1L Subjects With PD-L1 Strong Metastatic Non-Small Cell Lung Cancer [NCT02142738] | Phase 3 | 305 participants (Actual) | Interventional | 2014-08-25 | Completed |
A Phase III, Randomized, Double-Blind, Multi-center Study to Investigate the Efficacy and Safety of Camrelizumab+Gemcitabine+Cisplatin Versus Placebo+Gemcitabine+Cisplatin in Subjects With Recurrent/Metastatic Nasopharyngeal Carcinoma [NCT03707509] | Phase 3 | 263 participants (Actual) | Interventional | 2018-11-13 | Active, not recruiting |
Phase Ib / II Study of Anlotinib Combined With Gemcitabine/Cisplatin in Previous Untreated Patients With Recurrent/Metastatic Nasopharyngeal Carcinoma [NCT03639467] | Phase 1/Phase 2 | 40 participants (Anticipated) | Interventional | 2018-09-18 | Recruiting |
A Phase III, Randomised, Open-label,, Multi-Center Clinical Study Comparing JS004 Plus Toripalimab With Investigator-Selected Chemotherapy in Patients With PD-(L)1 Monoclonal Antibody Refractory Classic Hodgkin Lymphoma (cHL) [NCT06170489] | Phase 3 | 185 participants (Anticipated) | Interventional | 2023-12-22 | Not yet recruiting |
A Phase 2/3, Multicenter, Randomized Study of Raludotatug Deruxtecan (R-DXd), a CDH6-directed Antibody-drug Conjugate, in Subjects With Platinum-resistant, High Grade Ovarian, Primary Peritoneal, or Fallopian Tube Cancer [NCT06161025] | Phase 2/Phase 3 | 650 participants (Anticipated) | Interventional | 2024-02-29 | Not yet recruiting |
A Phase III Randomized Controlled Trial to Compare BL-B01D1 With Physician's Choice of Chemotherapy (Last Line) in Patients With Recurrent or Metastatic Nasopharyngeal Carcinoma (NPC) Previously Treated With PD-1/PD-L1 Monoclonal Antibody and at Least Two [NCT06118333] | Phase 3 | 368 participants (Anticipated) | Interventional | 2023-12-04 | Recruiting |
A Phase 1b, Open-Label, Dose-Escalation and Dose-Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of Mipasetamab Uzoptirine (ADCT-601) Monotherapy and in Combination With Other Anti-Cancer Therapies in Patient [NCT05389462] | Phase 1 | 196 participants (Anticipated) | Interventional | 2022-07-13 | Recruiting |
A Phase I/II b (Randomized Controlled) Study of Atezolizumab Combined to BEGEV Regimen as First Salvage Treatment in Patients With Relapsed or Refractory Hodgkin's Lymphoma Candidate to Autologous Stem-Cell Transplantation [NCT05300282] | Phase 1/Phase 2 | 140 participants (Anticipated) | Interventional | 2022-08-03 | Recruiting |
A Phase III, Open-Label, Multicenter, Randomized, Study Evaluating the Safety and Efficacy of Polatuzumab Vedotin in Combination With Rituximab Plus Gemcitabine Plus Oxaliplatin (R-GEMOX) Versus R-GEMOX Alone in Patients With Relapsed/Refractory Diffuse L [NCT04182204] | Phase 3 | 267 participants (Actual) | Interventional | 2020-02-07 | Active, not recruiting |
A Phase Ib/II, Open-Label, Multicentre Study to Assess Safety, Tolerability, Pharmacokinetics and Preliminary Anti-tumour Activity of AZD9150 Plus Durvalumab Alone or in Combination With Chemotherapy in Patients With Advanced, Solid Tumours and Subsequent [NCT03421353] | Phase 1 | 76 participants (Actual) | Interventional | 2018-02-07 | Active, not recruiting |
Vorinostat With Gemcitabine/Clofarabine/Busulfan for Allogeneic Transplantation for Aggressive Lymphomas [NCT04220008] | Phase 2 | 30 participants (Anticipated) | Interventional | 2023-06-01 | Not yet recruiting |
A Multicentre Randomised Phase III Trial Comparing Pembrolizumab Versus Standard Chemotherapy for Advanced Pre-treated Malignant Pleural Mesothelioma [NCT02991482] | Phase 3 | 144 participants (Actual) | Interventional | 2017-09-12 | Completed |
Phase III Multicenter Randomized Study Comparing the Effect of Adjuvant Chemotherapy for Six Months With Gemcitabine-Oxaliplatin 85 mg/m2 (GEMOX 85) to Observation in Patients Who Underwent Surgery for Cancer of the Bile Ducts [NCT01313377] | Phase 3 | 190 participants (Actual) | Interventional | 2009-07-31 | Completed |
Translation of in Vitro and in Vivo Ascorbate Research Into a New Treatment Option for Pancreatic Cancer: Phase I/IIa Clinical Trial [NCT01364805] | Phase 1 | 14 participants (Actual) | Interventional | 2011-04-30 | Completed |
Comparison of Gemcitabine, Oxaliplatin and Pegaspargase and Etoposide, Vincristine, Doxorubicin, Cyclophosphamide and Prednisone as First-line Chemotherapy in Patients With NK/T-cell Lymphoma:a Prospective Randomized Phase III Study [NCT02359162] | Phase 3 | 50 participants (Actual) | Interventional | 2015-05-31 | Terminated(stopped due to The study is out of date) |
A Phase 1/2, Open-Label, Safety, Tolerability, and Efficacy Study of Epacadostat in Combination With Pembrolizumab and Chemotherapy in Subjects With Advanced or Metastatic Solid Tumors (ECHO-207/KEYNOTE-723) [NCT03085914] | Phase 1/Phase 2 | 70 participants (Actual) | Interventional | 2017-05-02 | Completed |
An Adaptive, Open-Label, Randomized Phase 2 Study of Abemaciclib as a Monotherapy and in Combination With Other Agents Versus Choice of Standard of Care (Gemcitabine or Capecitabine) in Patients With Previously Treated Metastatic Pancreatic Ductal Adenoca [NCT02981342] | Phase 2 | 106 participants (Actual) | Interventional | 2017-01-12 | Completed |
A Study Using Photon/Proton Beam Radiation Therapy and Chemotherapy for Unresectable Carcinoma of the Pancreas [NCT00685763] | | 13 participants (Actual) | Interventional | 2008-03-31 | Completed |
Randomized Controlled Trial of Gemcitabine Maintenance Treatment in Patients With Extensive SCLC Patients Receiving Etoposide Combined With Platinum Based First-line Chemotherapy [NCT02039518] | Phase 2 | 160 participants (Anticipated) | Interventional | 2013-12-31 | Recruiting |
A Randomized Pilot/Pharmacodynamic/Genomic Study of Neoadjuvant Paricalcitol to Target the Microenvironment in Resectable Pancreatic Cancer [NCT02030860] | | 15 participants (Actual) | Interventional | 2014-01-31 | Completed |
Phase II Open-Label Multi-Cohort Study Evaluating CPI-613 (Devimistat) in Combination With Hydroxychloroquine and 5-fluorouracil or Gemcitabine in Patients With Advanced Chemorefractory Colorectal, Pancreatic, or Other Solid Cancers [NCT05733000] | Phase 2 | 94 participants (Anticipated) | Interventional | 2023-03-08 | Recruiting |
Neoadjuvant Sintilimab (PD-1 Antibody)-Chemotherapy and Concurrent Sintilimab-chemoradiation in Locoregionally-advanced Nasopharyngeal Carcinoma: a Single-arm, Phase 2 Clinical Trial [NCT03619824] | Phase 2 | 40 participants (Anticipated) | Interventional | 2019-01-31 | Not yet recruiting |
Phase III Randomized Prospective Clinical Study of Neoadjuvant Chemotherapy With Gemcitabine and Cisplatin(GP) Versus Definite Cisplatin Combined Weekly Chemoradiotherapy for Locally Advanced Bulk Cervical Cancer [NCT05189028] | Phase 3 | 290 participants (Anticipated) | Interventional | 2021-07-01 | Recruiting |
A Phase I Open Label Study of GSK3359609 Administered Alone and in Combination With Anticancer Agents in Subjects With Selected Advanced Solid Tumors [NCT02723955] | Phase 1 | 829 participants (Actual) | Interventional | 2016-06-23 | Completed |
Multicentric Randomized Phase III Trial Comparing Adjuvant Chemotherapy With Gemcitabine Versus 5-fluorouracil, Leucovorin, Irinotecan and Oxaliplatin (mFolfirinox) in Patients With Resected Pancreatic Adenocarcinoma [NCT01526135] | Phase 3 | 493 participants (Actual) | Interventional | 2012-04-16 | Completed |
Xenotransplantation of Primary Cancer Samples in Zebrafish Embryos [NCT03668418] | | 120 participants (Anticipated) | Observational | 2018-06-01 | Recruiting |
A Phase 3, Randomized, Double-Blind Study of Pamrevlumab or Placebo in Combination With Either Gemcitabine Plus Nab-paclitaxel or FOLFIRINOX as Neoadjuvant Treatment in Patients With Locally Advanced, Unresectable Pancreatic Cancer [NCT03941093] | Phase 3 | 284 participants (Actual) | Interventional | 2019-05-10 | Active, not recruiting |
Epidemiological, Observational, Retrospective and Multicenter Study to Evaluate the Characteristics of Treatment With Gemcitabine and Nab-paclitaxel in Patients With Metastatic Pancreatic Adenocarcinoma Treated in the First Line in Routine Clinical Practi [NCT03620461] | | 210 participants (Actual) | Observational | 2013-12-01 | Completed |
A Phase III, Open Label, Multicentre Randomised Clinical Study Comparing Acelarin (NUC-1031) With Gemcitabine in Patients With Metastatic Pancreatic Carcinoma [NCT03610100] | Phase 2/Phase 3 | 328 participants (Anticipated) | Interventional | 2015-12-31 | Suspended(stopped due to Suspended to recruitment following TSC review on efficacy and toxicities) |
An Open-label, Single-group, Multi-center, Phase II Clinical Trial Evaluating the Effect of Maintenance DCVAC/OvCa After Standard-of-care Therapy in Women With First Relapse of Platinum-sensitive Epithelial Ovarian Cancer [NCT03657966] | Phase 2 | 33 participants (Actual) | Interventional | 2017-11-23 | Completed |
A Multi-Center, Double Blind, Placebo-Controlled, Randomized Phase II Trial of Gemcitabine Plus GDC-0449 (NSC 747691), a Hh Pathway Inhibitor, in Patients With Metastatic Pancreatic Cancer (10052747) [NCT01064622] | Phase 1/Phase 2 | 118 participants (Actual) | Interventional | 2009-09-30 | Completed |
A Phase II Pilot Trial Of Paclitaxel Protein Bound and Gemcitabine Based Chemotherapy and the Addition Of Paricalcitol Upon Attainment of Stable or Progressive Disease in Patients With Previously Untreated Metastatic Pancreatic Ductal Adenocarcinoma [NCT04054362] | Phase 2 | 14 participants (Anticipated) | Interventional | 2018-11-29 | Recruiting |
A Single Center, Open-label, Non-comparative, Phase I/II Clinical Trial to Assess the MTD, Safety and Efficacy of BEY1107 in Monotherapy and in Combination With Gemcitabine in Patient With Locally Advanced or Metastatic Pancreatic Cancer [NCT03579836] | Phase 1/Phase 2 | 75 participants (Anticipated) | Interventional | 2018-05-01 | Recruiting |
Perioperative Chemotherapy Prior To and After Reoperation for Incidental Gallbladder Cancer - An International, Randomized Phase III Trial [NCT03579758] | Phase 3 | 0 participants (Actual) | Interventional | 2019-04-03 | Withdrawn(stopped due to This trial will open as an NCTN trial.) |
A Phase IIb Randomized Study to Evaluate the Efficacy of Gemcitabine-erlotinib Versus Gemcitabine-erlotinib-capecitabine in Patients With Metastatic Pancreatic Cancer [NCT01303029] | Phase 2 | 120 participants (Actual) | Interventional | 2011-02-28 | Completed |
A Randomised Phase II Study Comparing LEnalidomide Plus Rituximab, GEmcitabine and Methylprednisolone (LR-GEM) to Rituximab, Gemcitabine, Methylprednisolone and cisplatiN (R-GEM-P) in Second-line Treatment of Diffuse Large B-cell Lymphoma (DLBCL). [NCT02060656] | Phase 2 | 92 participants (Anticipated) | Interventional | 2013-09-30 | Active, not recruiting |
Combination of Gemcitabine, Oxaliplatin, and Asparaginase (GELOX) With Concurrent Involved-Field Radiation Therapy for Patients With Stage IE/IIE Extranodal Natural Killer/T-Cell Lymphoma:a Phase II Study [NCT02080234] | Phase 2 | 40 participants (Anticipated) | Interventional | 2014-03-31 | Recruiting |
Sequential Use of Nab-paclitaxel Plus Gemcitabine and mFOLFIRINOX as Neoadjuvant Chemotherapy for Resectable Pancreatic Cancer: A Randomized Control Study [NCT03750669] | Phase 2 | 416 participants (Anticipated) | Interventional | 2018-10-20 | Recruiting |
A Randomized, Double-Blind, Placebo-Controlled Phase 3 Multicenter Study of Immediate Postoperative Instillation of Gemcitabine in Patients With Superficial Transitional Cell Carcinoma of the Bladder [NCT00191477] | Phase 3 | 355 participants (Actual) | Interventional | 2004-01-31 | Terminated(stopped due to The study was stopped early for futility reasons.) |
A Phase I Trial of MEK Inhibitor MEK 162 Combined Sequentially With Gemcitabine-Oxaliplatin (GEMOX) in Patients With Advanced Biliary Cancer [NCT02105350] | Phase 1 | 0 participants (Actual) | Interventional | 2015-06-30 | Withdrawn(stopped due to Study was never initiated) |
A Phase I/II Study of CX-4945 in Combination With Gemcitabine and Cisplatin in the Frontline Treatment of Patients With Cholangiocarcinoma [NCT02128282] | Phase 1/Phase 2 | 127 participants (Actual) | Interventional | 2014-06-30 | Completed |
Cadonilimab (PD-1/CTLA-4 Bi-specific Antibody) Combined With Chemoradiotherapy in High-risk Locoregionally-advanced Nasopharyngeal Carcinoma: a Randomized, Controlled, Multicenter, Phase 3 Clinical Trial [NCT05587374] | Phase 3 | 418 participants (Anticipated) | Interventional | 2023-08-01 | Recruiting |
A Pilot Study: Phase II Study of Histology-based Consolidation Chemotherapy Following Concurrent Chemo-radiotherapy for Inoperable Stage III Non-small Cell Lung Cancer [NCT01336543] | Phase 2 | 0 participants (Actual) | Interventional | 2011-03-31 | Withdrawn(stopped due to Low accrual, small patient population at center.) |
A Dose-Escalation Open-Label Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamics of CEP-9722 (a PARP 1 and PARP 2 Inhibitor) in Combination With Gemcitabine and Cisplatin in Patients With Advanced Solid Tumors or Mantle Cell Lymphoma [NCT01345357] | Phase 1 | 24 participants (Actual) | Interventional | 2011-05-31 | Completed |
QUILT-3.088 NANT Pancreatic Cancer Vaccine: Phase II Randomized Trial of the NANT Pancreatic Cancer Vaccine vs. Standard-of-Care as First- Line Treatment for Patients With Metastatic Pancreatic Cancer [NCT03563144] | Phase 2 | 0 participants (Actual) | Interventional | 2018-08-31 | Withdrawn(stopped due to Trial not initiated) |
A Phase 1b Dose Escalation Study of OMP-54F28 in Combination With Nab-Paclitaxel and Gemcitabine in Patients With Previously Untreated Stage IV Pancreatic Cancer [NCT02050178] | Phase 1 | 26 participants (Actual) | Interventional | 2013-11-30 | Completed |
A Phase I, Open-Label Study to Assess the Pharmacokinetics, Efficacy, and Safety of Atezolizumab Administered Intravenously as a Single Agent or in Combination With Chemotherapy in Chinese Patients With Locally Advanced or Metastatic Solid Tumors [NCT02825940] | Phase 1 | 120 participants (Actual) | Interventional | 2016-08-04 | Completed |
Anlotinib-based Combination as First-line Treatment in Advanced Non-small Cell Lung Cancer: a Single Center, Three Arms and Exploratory Study [NCT03628521] | Phase 1 | 80 participants (Anticipated) | Interventional | 2018-07-20 | Recruiting |
[NCT02099396] | Phase 2/Phase 3 | 100 participants (Anticipated) | Interventional | 2014-04-30 | Not yet recruiting |
An Open Single-center Phase II Clinical Study of Fruquintinib Combined With Chemotherapy in Patients With Liver Metastases From Pancreatic Cancer [NCT05168527] | Phase 2 | 30 participants (Anticipated) | Interventional | 2021-09-03 | Recruiting |
Phase II Study of Gemcitabine and Cisplatin as Neoadjuvant Chemotherapy in Patients With High-Grade Upper Tract Urothelial Carcinoma [NCT01261728] | Phase 2 | 57 participants (Anticipated) | Interventional | 2010-12-14 | Active, not recruiting |
An Open-label, Randomized, Multi-center, Phase III Clinical Study of MRG002 Versus Investigator's Choice of Chemotherapy in the Treatment of Patients With HER2-positive Unresectable Locally Advanced or Metastatic Urothelial Cancer Previously Treated With [NCT05754853] | Phase 3 | 290 participants (Anticipated) | Interventional | 2023-04-06 | Recruiting |
CHARM II: Chemotherapy for Ablation and Resolution of Mucinous Pancreatic Cysts: a Prospective, Randomized, Double-blind, Multi-center Clinical Trial [NCT03085004] | Phase 3 | 100 participants (Anticipated) | Interventional | 2019-04-12 | Recruiting |
Phase II Trial of Nab-paclitaxel Plus Gemcitabine in First-line Treatment of Chinese Patients With Advanced Pancreatic Cancer [NCT02135822] | Phase 2 | 30 participants (Anticipated) | Interventional | 2014-05-31 | Recruiting |
Phase 1A/1B Dose Escalation and Expansion Study of SBP-101 in Combination With Nab-Paclitaxel and Gemcitabine in Subjects With Previously Untreated Metastatic Pancreatic Ductal Adenocarcinoma [NCT03412799] | Phase 1 | 50 participants (Actual) | Interventional | 2018-06-04 | Completed |
Neoadjuvant CCRT With Gemcitabine/Durvalumab (MEDI4736) Followed by Adjuvant Gemcitabine/Durvalumab(MEDI4736) in Resectable or Borderline Resectable Pancreatic Cancer [NCT03572400] | Phase 2 | 71 participants (Anticipated) | Interventional | 2018-11-29 | Recruiting |
Phase II Trial of Cisplatin Plus Etoposide Plus Gemcitabine Plus Solumedrol (PEGS) in Peripheral T-Cell Non-Hodgkin's Lymphoma [NCT00109928] | Phase 2 | 34 participants (Actual) | Interventional | 2005-09-30 | Completed |
A Phase I/IIa Clinical Trial to Evaluate the Safety, Tolerability and Pharmacokinetics of TST001 Administered as Monotherapy or in Combination With Nivolumab or Standard of Care in Patients With Locally Advanced or Metastatic Solid Tumors [NCT04396821] | Phase 1/Phase 2 | 150 participants (Anticipated) | Interventional | 2020-05-28 | Recruiting |
Randomized Phase II Trial of Single Agent Chemotherapy Plus Nivolumab or Single Agent Chemotherapy Alone in Patients With Advanced Squamous or Non-squamous NSCLC With Primary Resistance to Prior PD-1 or PDL-1 Inhibitor [NCT03041181] | Phase 2 | 3 participants (Actual) | Interventional | 2017-01-27 | Terminated(stopped due to Funder decision - lack of accrual) |
A Novel Therapy for Locally Advanced and Metastatic Pancreatic Cancer Based on Nanoparticle Albumin-bound Paclitaxel and Gemcitabine: Circulating Tumor Cells as a Potential Biomarker for Treatment Monitoring, -Response and Survival [NCT02707159] | Phase 2 | 70 participants (Actual) | Interventional | 2014-11-30 | Completed |
Phase 2 Single Arm Trial Testing Adavosertib and Gemcitabine in Platinum-Resistant Advanced Pancreatic Adenocarcinoma [NCT05212025] | Phase 2 | 0 participants (Actual) | Interventional | 2022-06-30 | Withdrawn(stopped due to manufacturer choice) |
Phase III, Multicenter, Open-label, Randomized Trial of Tarceva® vs Chemotherapy in Patients With Advanced NSCLC With Mutations in the TK Domain of the EGFR [NCT00446225] | Phase 3 | 174 participants (Actual) | Interventional | 2007-02-28 | Completed |
Open-label, Randomized, Comparative Phase 2 Study of Combination Immunotherapy Plus Standard-of-care Chemotherapy Versus Standard-of-care Chemotherapy for the Treatment of Locally Advanced or Metastatic Pancreatic Cancer [NCT04390399] | Phase 2 | 328 participants (Anticipated) | Interventional | 2020-07-21 | Recruiting |
A Randomized, Multi-center Phase III Trial of Adjuvant Chemotherapy With Gemcitabine and Capecitabine Compared to Capecitabine Alone in Curatively Resected Biliary Tract Cancer [NCT04401709] | Phase 3 | 490 participants (Anticipated) | Interventional | 2021-04-01 | Recruiting |
A Phase I Trial With Cohort Expansion of BYL719 in Combination With Gemcitabine and (Nab)-Paclitaxel in Locally Advanced and Metastatic Pancreatic Cancer [NCT02155088] | Phase 1 | 15 participants (Actual) | Interventional | 2014-10-30 | Completed |
An Early Phase 1 Trial of Gemcitabine in Newly-Diagnosed Diffuse Midline Glioma [NCT04051047] | Early Phase 1 | 0 participants (Actual) | Interventional | 2019-11-30 | Withdrawn(stopped due to Withdrawn by Principal Investigator) |
Gemcitabine and Nab-Paclitaxel in Pancreatic Adenocarcinoma With Positive Peritoneal Cytology as a Sole Metastatic Site, a Pilot Study [NCT03703089] | Phase 1 | 21 participants (Anticipated) | Interventional | 2018-05-01 | Recruiting |
A Phase 1b (Open-Label) / Phase 2 (Randomized, Double-Blinded) Study Evaluating Nab-Paclitaxel and Gemcitabine With or Without Olaratumab in the Treatment of First-Line Metastatic Pancreatic Cancer [NCT03086369] | Phase 1/Phase 2 | 184 participants (Actual) | Interventional | 2017-06-22 | Completed |
Phase IB/II Trial of High Dose Ascorbic Acid (AA) + Nanoparticle Paclitaxel Protein Bound + Cisplatin + Gemcitabine (AA NABPLAGEM) in Patients Who Have No Prior Therapy for Their Metastatic Pancreatic Cancer [NCT03697239] | Phase 1/Phase 2 | 0 participants (Actual) | Interventional | 2019-06-30 | Withdrawn(stopped due to FDA indicated the same study could not be conducted under multiple INDs) |
Randomized Phase III Trial Comparing Gemcitabine/Cisplatin/S-1 With Gemcitabine/Cisplatin for Unresectable Biliary Tract Cancer [NCT02182778] | Phase 3 | 246 participants (Actual) | Interventional | 2014-07-09 | Completed |
A Multicenter Phase I Dose-finding and Preliminary Efficacy Study of the Histone Deacetylase Inhibitor Romidepsin (Istodax) in Combination With Gemcitabine (Gemzar), Oxaliplatin (Eloxatin), and Dexamethasone for the Treatment of Adults With Relapsed/Refra [NCT02181218] | Phase 1 | 24 participants (Actual) | Interventional | 2015-02-04 | Completed |
Phase II Trial of Avelumab in Combination With Gemcitabine in Advanced Leiomyosarcoma as a Second-line Treatment [NCT03536780] | Phase 2 | 38 participants (Anticipated) | Interventional | 2018-10-01 | Recruiting |
A Multi-center, Phase I/II Study of BAY86-9766 in Combination With Gemcitabine in Patients With Locally Advanced Inoperable or Metastatic Pancreatic Cancer [NCT01251640] | Phase 1/Phase 2 | 90 participants (Actual) | Interventional | 2011-01-01 | Completed |
Phase 3 Randomized Comparison of Concurrent Gemcitabine, Cisplatin, and Radiation Followed by Adjuvant Gemcitabine and Cisplatin Versus Concurrent Cisplatin and Radiation in Cancer of the Cervix Stages IIB to IVA [NCT00191100] | Phase 3 | 515 participants (Actual) | Interventional | 2002-05-31 | Completed |
Randomized Phase II-III Trial of Peri- or Post-Operative Chemotherapy in Resectable Pancreatic Adenocarcinoma [NCT01150630] | Phase 2 | 98 participants (Actual) | Interventional | 2010-05-31 | Completed |
Hepatic Artery Infusion Gemcitabine and Floxuridine in Patients With Nasopharyngeal Carcinoma Liver Metastases [NCT03876574] | Phase 1 | 16 participants (Actual) | Interventional | 2011-01-01 | Completed |
A Phase III Randomized, Open-Label, Multi-Center, Global Study of MEDI4736 in Combination With Tremelimumab Therapy Versus Standard of Care Platinum-Based Chemotherapy in First-Line Treatment of Patients With Advanced or Metastatic Non Small-Cell Lung Can [NCT02542293] | Phase 3 | 953 participants (Actual) | Interventional | 2015-11-03 | Active, not recruiting |
A Randomized Phase II Trial of Carboplatin and Gemcitabine +/- Vandetanib in First Line Treatment of Advanced Urothelial Cell Cancer in Patients Who Are Not Suitable to Receive Cisplatin [NCT01191892] | Phase 2 | 82 participants (Actual) | Interventional | 2010-06-30 | Completed |
Analysis of T Cells to Tetanus Toxoid Antigens in Patients With Pancreatic Cancer Treated With Gemcitabine [NCT03848182] | Phase 2 | 9 participants (Actual) | Interventional | 2017-07-21 | Terminated(stopped due to Slow accrual) |
Phase II Trial Evaluating the Combination of Gemcitabine, Trastuzumab and Erlotinib as First-line Chemotherapy in Patients With Metastatic Pancreatic Adenocarcinoma [NCT01204372] | Phase 2 | 63 participants (Actual) | Interventional | 2010-06-30 | Completed |
An Open-label, Multicenter, Phase 1b Study of CNTO 888 (an Anti-CCL 2 Monoclonal Antibody) in Combination With Chemotherapies for the Treatment of Subjects With Solid Tumors [NCT01204996] | Phase 1 | 53 participants (Actual) | Interventional | 2010-05-31 | Completed |
Phase II Study of Gemcitabine Plus Nab-paclitaxel Versus S1 Plus Nab-paclitaxel in Metastatic Adenocarcinoma of the Pancreas [NCT03779464] | Phase 2 | 132 participants (Anticipated) | Interventional | 2019-08-01 | Recruiting |
Guidance of Adjuvant Instillation in Intermediate Risk Non-muscle Invasive Bladder Cancer by Drug Screens in Patient Derived Organoids. A Single Center, Open-label, Phase II Trial With a Feasibility Endpoint. (GAIN-INST-TRIAL) [NCT05024734] | Phase 2 | 33 participants (Anticipated) | Interventional | 2022-11-17 | Recruiting |
A Phase II Trial of Pemetrexed in Combination With Gemcitabine as First Line Treatment in Extensive-Stage Small Cell Lung Carcinoma [NCT00129974] | Phase 2 | 1 participants (Actual) | Interventional | 2005-08-31 | Terminated(stopped due to failure to accrue) |
A Phase II Evaluation of Gemcitabine (NSC #613327) and Docetaxel (NSC # 628503) in the Treatment of Recurrent or Persistent Carcinosarcoma of the Uterus [NCT00114218] | Phase 2 | 28 participants (Actual) | Interventional | 2005-03-31 | Completed |
Phase II Trial of Weekly Nab (Nanoparticle Albumin Bound)-Paclitaxel (Nab-paclitaxel) (Abraxane®) in Combination With Gemcitabine in Patients With Metastatic Breast Cancer [NCT00110084] | Phase 2 | 50 participants (Actual) | Interventional | 2005-08-31 | Completed |
Randomized Phase 2 Study of Gemcitabine/Cisplatin With or Without SAR240550 (BSI-201), a PARP1 Inhibitor, in Patients With Stage IV Non-small Cell Lung Cancer [NCT01086254] | Phase 2 | 119 participants (Actual) | Interventional | 2010-05-31 | Completed |
A Phase I/II Trial of the HIV Protease Inhibitor Nelfinavir and Concurrent Radiation and Chemotherapy in Patients With Locally Advanced Pancreatic Cancer [NCT01086332] | Phase 1 | 7 participants (Actual) | Interventional | 2009-05-31 | Terminated(stopped due to Toxicities, lack of funding) |
Gemcitabine and High-dose Chemotherapy Followed by Peripheral Blood Stem Cell Rescue for Relapsed or Resistant Hodgkin's Disease [NCT00388349] | Phase 2 | 146 participants (Actual) | Interventional | 2001-09-30 | Completed |
A Randomized Phase II Study of Bevacizumab (NSC# 704865) and Gemcitabine in Combination With Either Cetuximab (NSC# 714692) or OSI-774 (NSC# 718781) in Patients With Advanced Pancreatic Cancer [NCT00091026] | Phase 2 | 143 participants (Actual) | Interventional | 2004-07-31 | Completed |
A Phase I/II Single-Arm Trial to Evaluate the Combination of Cisplatin and Gemcitabine With the mTOR Inhibitor Temsirolimus for First-Line Treatment of Patients With Advanced Transitional Cell Carcinoma of the Urothelium [NCT01090466] | Phase 1/Phase 2 | 15 participants (Actual) | Interventional | 2008-02-29 | Completed |
GALLANT: A Phase 2 Study Using Metronomic Gemcitabine, Doxorubicin, Docetaxel and Nivolumab as Second/Third Line Therapy for Advanced Sarcoma [NCT04535713] | Phase 2 | 260 participants (Anticipated) | Interventional | 2020-09-30 | Recruiting |
Camrelizumab Combined With Induction Chemotherapy and Intensity Modulated Radiotherapy for the Treatment of Locally Advanced Nasopharyngeal Carcinoma:a Randomized, Multicenter, Phase II Trial [NCT05097209] | Phase 2 | 200 participants (Anticipated) | Interventional | 2022-04-06 | Recruiting |
A Phase 1, Single Arm Investigator-initiated Study to Investigate the Safety of Combining the Antibody Magrolimab With Standard First Line Platinum-based Chemotherapy (With Cisplatin / Gemcitabine) in Advanced Urothelial Carcinoma [NCT05738161] | Phase 1 | 26 participants (Anticipated) | Interventional | 2023-06-21 | Recruiting |
A Phase I, Multi-Center, Open Label, Dose De-Escalation and Expansion Study of Gemcitabine and Cisplatin With AG120 or Pemigatinib for Advanced Cholangiocarcinoma [NCT04088188] | Phase 1 | 8 participants (Actual) | Interventional | 2021-01-25 | Active, not recruiting |
Pilot Study Of Gemcitabine, Nab-paclitaxel, PEGPH20 and Rivaroxaban for Advanced Pancreatic Adenocarcinoma [NCT02921022] | | 110 participants (Anticipated) | Interventional | 2016-10-31 | Active, not recruiting |
A Phase I Trial of Dendritic Cell Vaccination for Children and Adults With Sarcoma [NCT01803152] | Phase 1 | 19 participants (Actual) | Interventional | 2014-01-06 | Active, not recruiting |
A Randomized Phase III Study Of Gemcitabine In Combination With Radiation Therapy Versus Gemcitabine Alone In Patients With Localized, Unresectable Pancreatic Cancer [NCT00057876] | Phase 3 | 74 participants (Actual) | Interventional | 2003-08-29 | Completed |
Phase II-III, Factorial Multicenter Randomized Trial Evaluating the Addition of Rofecoxib to Polycht With Cispatin and Gemcitabine and Fixed Dose Rate Infusion of Gem in Association With Cisplatin in 1st-line for Advanced NSCLC [NCT00385606] | Phase 2/Phase 3 | 400 participants (Actual) | Interventional | 2003-01-31 | Completed |
A Phase III Randomized, Open-Label Clinical Study of Napabucasin (GB201) in Combination With Weekly Paclitaxel and Low-dose Gemcitabine in Patients With Metastatic PANCreatic Cancer Following Front-Line Chemotherapy Failure [NCT03721744] | Phase 3 | 230 participants (Anticipated) | Interventional | 2018-10-25 | Recruiting |
A Phase III, Adjuvant Trial Comparing Three Chemotherapy Regimens in Women With Node-Positive Breast Cancer: Docetaxel/Doxorubicin/Cyclophosphamide (TAC); Dose-Dense (DD) Doxorubicin/Cyclophosphamide Followed By DD Paclitaxel (DD AC→P); DD AC Followed By [NCT00093795] | Phase 3 | 4,894 participants (Actual) | Interventional | 2004-10-31 | Completed |
Randomized Phase II AGO-Study Comparing Combined Liposomal Doxorubicin (Myocet) and Gemcitabine (Gemzar) With Liposomal Doxorubicin (Myocet) Monotherapy in Platinum-Refractory and Platinum-Resistant Epithelial Cancer of the Ovary, Fallopian Tube and the P [NCT01100372] | Phase 2 | 154 participants (Anticipated) | Interventional | 2009-07-31 | Recruiting |
Phase II Study Of Sequential Gemcitabine Followed By Docetaxel For Recurrent Ewing's Sarcoma, Osteosarcoma, Or Unresectable Or Locally Recurrent Chondrosarcoma [SARC Study] [NCT00073983] | Phase 2 | 54 participants (Actual) | Interventional | 2006-10-31 | Completed |
Feasibility Trial of MK3475 + Docetaxel or Gemcitabine in Platinum Pre-treated Urothelial Cancer [NCT02437370] | Phase 1 | 32 participants (Actual) | Interventional | 2015-09-01 | Completed |
An Open-Label, Dose-Finding Study to Evaluate the Safety of AMG 706 Plus Panitumumab Plus Gemcitabine-Cisplatin in the Treatment of Subjects With Advanced Cancer [NCT00101907] | Phase 1 | 41 participants (Actual) | Interventional | 2004-12-31 | Terminated(stopped due to Study terminated per recommendation of Data Review Team) |
Multicenter, Open Label, Phase II Clinical Study of Gemcitabine, Capecitabine and Avastin in Pancreatic Cancer [NCT00100815] | Phase 2 | 50 participants (Actual) | Interventional | 2004-08-31 | Completed |
A Phase I/II Trial of the Carboplatin/Gemcitabine Combination as First Line Treatment for Elderly Patients With Stage IV NSCLC. [NCT02175381] | Phase 1/Phase 2 | 69 participants (Actual) | Interventional | 2011-02-28 | Completed |
A Multi-center, Open-label Phase II Study to Evaluate the Safety and Efficacy of YH003 in Combination With Toripalimab (Anti-PD-1 mAb) in Patients With Unresectable/Metastatic Melanoma and Pancreatic Ductal Adenocarcinoma (PDAC) [NCT05031494] | Phase 2 | 129 participants (Anticipated) | Interventional | 2021-12-08 | Active, not recruiting |
A Phase II Trial for the Use of Intravesical Gemcitabine and Docetaxel (GEMDOCE) in the Treatment of BCG naïve Non-muscle Invasive Urothelial Carcinoma of the Bladder [NCT04386746] | Phase 2 | 27 participants (Actual) | Interventional | 2020-07-29 | Active, not recruiting |
A Randomized Phase II Trial Comparing the Activity of trabectedIn vs Gemcitabine in Patients With Metastatic or Locally Advanced Leiomyosarcoma Pretreated With Conventional Chemotherapy [NCT04383119] | Phase 2 | 100 participants (Anticipated) | Interventional | 2021-10-29 | Recruiting |
A Randomized, Open-Label Phase 1/2 Study Evaluating Ramucirumab in Pediatric Patients and Young Adults With Relapsed, Recurrent, or Refractory Synovial Sarcoma [NCT04145700] | Phase 1/Phase 2 | 23 participants (Actual) | Interventional | 2020-03-04 | Terminated(stopped due to Study terminated for meeting protocol specified futility criteria.) |
A Phase II Trial of Atezolizumab Plus Chemotherapy After Progression on PD-1 or PD-L1 Inhibitor in Cisplatin-ineligible Patients With Advanced Urothelial Carcinoma: HCRN GU17-295 [NCT03737123] | Phase 2 | 6 participants (Actual) | Interventional | 2018-12-19 | Terminated(stopped due to Lack of accrual) |
Pilot Safety and Feasibility Study of an In Vivo Sensitivity Screen Using a Direct Tumor Microinjection Technique and FDG-PET [NCT03432741] | Phase 1 | 39 participants (Anticipated) | Interventional | 2018-03-27 | Suspended(stopped due to funding - sponsor filing of Chapter 11 bankruptcy) |
Localized High-Risk Soft Tissue Sarcomas Of The Extremities And Trunk Wall In Adults: An Integrating Approach Comprising Standard Vs Histotype-Tailored Neoadjuvant Chemotherapy [NCT01710176] | Phase 3 | 550 participants (Actual) | Interventional | 2011-06-01 | Active, not recruiting |
A Phase 1 Study of Gemcitabine, Dasatinib and Erlotinib in Patients With Advanced Pancreatic Carcinoma [NCT01660971] | Phase 1 | 19 participants (Actual) | Interventional | 2012-07-30 | Active, not recruiting |
Open Labeled Phase II Study Evaluating Efficacy and Safety of Chemotherapy With Gemcitabine - Oxaliplatin Combination for Advanced Refractory Thyroid Cancer Patients [NCT02472080] | Phase 2 | 21 participants (Actual) | Interventional | 2016-04-07 | Terminated(stopped due to inefficiency) |
A Phase 2 Study of 9-ING-41, a Glycogen Synthase Kinase-3 Beta (GSK-3β) Inhibitor, Combined With Chemotherapy in Advanced Soft Tissue and Bone Sarcomas [NCT05116800] | Phase 2 | 0 participants (Actual) | Interventional | 2022-03-01 | Withdrawn(stopped due to IND withdrawn) |
A Phase Ib Study of Oral Selinexor in Adult Patients With Relapsed/Refractory B-cell Lymphoma Receiving R-DHAOx or R-GDP [NCT02741388] | Phase 1 | 39 participants (Actual) | Interventional | 2016-10-31 | Completed |
Toripalimab Combined With Gemcitabine in Recurrent or Metastatic Nasopharyngeal Carcinoma [NCT04405622] | Phase 2 | 21 participants (Actual) | Interventional | 2020-05-30 | Active, not recruiting |
A Randomized, Controlled Phase Ⅲ Study of Paclitaxel Polymeric Micelles for Injection Versus Physician's Choice(TPC) in Human Epidermal Growth Factor Receptor 2-negative (HER2-) Metastatic Breast Cancer (MBC) Subjects Who Have Failed at Least Two Previous [NCT06143553] | Phase 3 | 168 participants (Anticipated) | Interventional | 2023-10-30 | Recruiting |
A Phase Ib/II, Open-label, Dose-escalation and Dose-expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Antineoplastic Activity of CT-707 in Combination With Toripalimab and Gemcitabine in Advanced Pancreatic Cancer [NCT05580445] | Phase 1/Phase 2 | 114 participants (Anticipated) | Interventional | 2022-08-11 | Recruiting |
Intravesical Recombinant BCG (Bacillus Calmette Guérin) Followed by Perioperative Chemo-immunotherapy for Patients With Muscle-invasive Bladder Cancer (MIBC). A Multicenter, Single-arm Phase II Trial [NCT04630730] | Phase 2 | 5 participants (Anticipated) | Interventional | 2022-06-24 | Recruiting |
A Phase III, Double-blind, Placebo-controlled, Multi-center International Study of Neoadjuvant/Adjuvant Durvalumab for the Treatment of Patients With Resectable Stages II and III Non-small Cell Lung Cancer (AEGEAN) [NCT03800134] | Phase 3 | 826 participants (Actual) | Interventional | 2018-12-06 | Active, not recruiting |
Phase 1 Safety and Tolerability Study of Human Monoclonal Antibody 5B1 (MVT-5873) With Expansion in Subjects With Pancreatic Cancer or Other CA19-9 Positive Malignancies [NCT02672917] | Phase 1 | 264 participants (Anticipated) | Interventional | 2016-01-31 | Recruiting |
Adjuvant Dynamic Marker-Adjusted Personalized Therapy Trial Optimizing Risk Assessment and Therapy Response Prediction in Early Breast Cancer - Triple Negative Breast Cancer [NCT01815242] | Phase 2 | 336 participants (Anticipated) | Interventional | 2013-06-30 | Active, not recruiting |
Multicenter Phase III Randomized Study With Second Line Chemotherapy Plus or Minus Bevacizumab in Patients With Platinum Sensitive Epithelial Ovarian Cancer Recurrence After a Bevacizumab/Chemotherapy First Line [NCT01802749] | Phase 3 | 406 participants (Actual) | Interventional | 2013-11-30 | Active, not recruiting |
A Factorial Study Comparing Pemetrexed With Gemcitabine and Testing the Efficacy of the Addition of Cisplatin in Elderly Patients With Non Squamous Advanced, Metastatic or Recurrent NSCLC. [NCT01656551] | Phase 3 | 232 participants (Actual) | Interventional | 2012-08-31 | Active, not recruiting |
Randomized Phase III Study of the Addition of Cisplatin in Combination With Gemcitabine as First-line Therapy for Elderly Patients With Advanced Non Small Cell Lung Cancer. [NCT01405586] | Phase 3 | 299 participants (Actual) | Interventional | 2011-03-31 | Active, not recruiting |
A Phase 1B Study Repurposing ATRA as Stromal Targeting Agent Along With Gemcitabine and Nab-Paclitaxel for Pancreatic Cancer (STAR_PAC) [NCT03307148] | Phase 1 | 29 participants (Actual) | Interventional | 2016-01-15 | Completed |
A Phase 3, Multicenter, Randomized, Double-Blind, Placebo Controlled, Trial of AMG 479 or Placebo in Combination With Gemcitabine as First Line Therapy for Metastatic Adenocarcinoma of the Pancreas [NCT01231347] | Phase 3 | 800 participants (Actual) | Interventional | 2011-04-30 | Terminated(stopped due to Planned independent DMC Interim review: ended for futility w/no safety concerns) |
An Open Label Study to Evaluate the Effect of First Line Treatment With Tarceva in Combination With Gemcitabine on Disease Progression in Patients With Unresectable Advanced and/or Metastatic Non-small Cell Lung Cancer [NCT00701558] | Phase 2 | 20 participants (Actual) | Interventional | 2008-08-31 | Completed |
A Multicenter, Phase 1/2 Study of Selinexor in Combination With Backbone Treatments or Novel Therapies in Patients With Relapsed or Refractory (RR) Diffuse Large B-Cell Lymphoma (DLBCL) [NCT04607772] | Phase 1/Phase 2 | 350 participants (Anticipated) | Interventional | 2020-11-18 | Suspended(stopped due to Sponsor decision) |
A Prospective, Multicenter, Randomized, Double-blind, Placebo-controlled, 2-parallel Group, Phase III Study to Compare Efficacy and Safety of Masitinib 9 mg/kg/Day in Combination With Gemcitabine Compared to Placebo in Combination With Gemcitabine in Trea [NCT00789633] | Phase 3 | 353 participants (Actual) | Interventional | 2008-11-25 | Completed |
Induction Treatment With Nab-paclitaxel/Gemcitabine for First-line Treatment of Metastatic Pancreatic Cancer Followed by Either Alternating Application of Gemcitabine Monotherapy and Nab-paclitaxel/Gemcitabine or Continuing Application of Nab-paclitaxel/G [NCT02564146] | Phase 2 | 325 participants (Actual) | Interventional | 2016-12-31 | Completed |
A Study in Cancer Patients to Evaluate the Ability of LY2603618 to Act as an Inhibitor of CYP2D6 Using Desipramine as a Probe Substrate [NCT01358968] | Phase 1 | 20 participants (Actual) | Interventional | 2011-06-30 | Completed |
A Prospective Phase III Randomized Clinical Trial Comparing the Effectiveness of Immediate Postoperative Intravesical Instillation With Either Gemcitabine Hydrochloride or Epirubicin Hydrochloride in Patients With Urinary Bladder Cancer (Gemcitabine Epiru [NCT04947059] | Phase 3 | 180 participants (Anticipated) | Interventional | 2021-12-14 | Recruiting |
A Phase 2, Single-Arm, Open-label, Study of RRx-001 in Second Line Treatment of Advanced Cholangiocarcinoma Prior to Readministration of First-Line Therapy [NCT02452970] | Phase 2 | 4 participants (Actual) | Interventional | 2015-07-16 | Terminated(stopped due to Resensitization or clinical benefit was not observed) |
A Phase Ⅲ, Randomized Controlled Study to Evaluate the Efficacy and Safety of the Combination of Nab-paclitaxel and Gemcitabine Versus mFOLFIRINOX in Treating Patients With Borderline Reseactable and Locally Advanced Pancreatic Cancer [NCT04617821] | Phase 3 | 300 participants (Anticipated) | Interventional | 2021-09-01 | Recruiting |
Evaluation of an Open, Single Arm, Multicenter Phase II Clinical Study on the Neoadjuvant Treatment of HER2 Expressing Myometrial Invasive Bladder Cancer With Disitamab Vedotin for Injection and Gemcitabine [NCT05723991] | Phase 4 | 36 participants (Anticipated) | Interventional | 2022-09-28 | Recruiting |
A Phase 1 Study to Assess the Safety, Tolerability, Pharmacokinetics and Preliminary Antitumor Activity of Ascending Doses of Combined Therapy With ATR Inhibitor AZD6738 and Gemcitabine, Using a Model Based Design. [NCT03669601] | Phase 1 | 55 participants (Anticipated) | Interventional | 2019-10-15 | Recruiting |
A Prospective, Randomized, Controlled, Double-blind, Multi-center Clinical Study of Nimotuzumab Combinated With Gemcitabine Contrast to Placebo Combinated With Gemcitabine in K-RAS Wild-type,Locally Advanced and Metastatic Pancreatic Cancer [NCT02395016] | Phase 3 | 276 participants (Anticipated) | Interventional | 2015-03-31 | Recruiting |
PAXG Out in the Country [NCT04480268] | Phase 4 | 175 participants (Anticipated) | Interventional | 2020-07-08 | Recruiting |
A Phase IIIb Study of Tarceva (Erlotinib) in Patients With Locally Advanced, Unresectable or Metastatic Pancreatic Cancer [NCT02694536] | Phase 3 | 80 participants (Actual) | Interventional | 2006-08-01 | Completed |
Phase IV/II Open-label Study to Evaluate Prompt Response to Treatment With Cisplatin, Gemcitabine and Bevacizumab in Patients With Non-small Lung Cancer. [NCT02316327] | Phase 4 | 19 participants (Actual) | Interventional | 2013-07-31 | Completed |
PHASE IA/IB, OPEN-LABEL, MULTICENTER, MULTIPLE ASCENDING DOSE STUDY FOLLOWED BY AN EXTENSION PHASE TO EVALUATE THE SAFETY, TOLERABILITY, PHARMACOKINETICS AND ACTIVITY OF RO6927005, AN ANTI-MESOTHELIN (MSLN) RECOMBINANT CYTOLYTIC FUSION PROTEIN (cFP), ADMI [NCT02317419] | Phase 1 | 15 participants (Actual) | Interventional | 2014-12-31 | Terminated(stopped due to The study was prematurely terminated because the emerging benefit:risk ratio did not justify continuing dosing patients.) |
Pancreatic Locally Advanced Irresectable Cancer Ablation; a Randomized Controlled Superiority Phase III Multicenter Trial [NCT03690323] | | 228 participants (Anticipated) | Interventional | 2015-04-07 | Recruiting |
A Phase III, Randomized, Three-arm, Double-blind, Placebo-controlled, International Multi-center Study to Evaluate the Efficacy and Safety of Toripalimab in Combination With Lenvatinib and Gemcitabine-based Chemotherapy Compared With Gemcitabine-based Che [NCT05342194] | Phase 3 | 480 participants (Anticipated) | Interventional | 2022-10-01 | Not yet recruiting |
An Open-Label, Multicenter, Randomized Phase Ib/II Study of Eribulin Mesylate Administered in Combination With Gemcitabine Plus Cisplatin Versus Gemcitabine Plus Cisplatin Alone as First-Line Therapy for Locally Advanced or Metastatic Bladder Cancer [NCT01126749] | Phase 1/Phase 2 | 92 participants (Actual) | Interventional | 2010-04-16 | Terminated(stopped due to Study was terminated as per sponsor's decision) |
A Phase II Study of Nab-paclitaxel and Gemcitabine, in Elderly Patients With Previously Untreated, Metastatic Pancreatic Adenocarcinoma [NCT02391662] | Phase 2 | 80 participants (Actual) | Interventional | 2015-06-23 | Completed |
Phase II Trial Comparing Nab-paclitaxel Plus S-1 Versus Nab-paclitaxel Plus Gemcitabine in First-line Treatment of Patients With Advanced Pancreatic Cancer [NCT03636308] | Phase 2 | 40 participants (Anticipated) | Interventional | 2018-07-17 | Recruiting |
Combination Chemotherapy Using Cisplatin, Gemcitabine, Ifosfamide, Etoposide, L-asparaginase and Dexamethasone (SIMPLE) for Newly Diagnosed and Relapsed/Refractory NK/T Cell Malignancies [NCT03623087] | Phase 3 | 68 participants (Anticipated) | Interventional | 2017-07-01 | Recruiting |
Peri-operative S-1/Leucovorin, Oxaliplatin and Gemcitabine (SLOG) for Localized Pancreatic Cancer [NCT05048524] | Phase 2 | 40 participants (Anticipated) | Interventional | 2021-09-03 | Recruiting |
Prospective Randomized Controlled Study of the Maintenance Regimen and Revised Regimen for Advanced Breast Cancer Survivors After First-line Salvage Therapy [NCT03423849] | Phase 2/Phase 3 | 200 participants (Anticipated) | Interventional | 2018-02-08 | Not yet recruiting |
Phase II Multi-Center Study of Nab-paclitaxel, Gemcitabine and Cisplatin (NGC-Triple Regimen as Preoperative Therapy in Patients With Potentially Resectable and Borderline Resectable Pancreatic Cancer [NCT03392571] | Phase 2 | 0 participants (Actual) | Interventional | 2018-08-15 | Withdrawn(stopped due to Study was stopped due to lack of funding) |
Randomized Double-Blind, Placebo-Controlled Parallel Multi-Center Study to Assess the Efficacy of Cannabidiol (BRCX014) Combined With Standard-Of-Care Treatment in Subjects With Multiple Myeloma, Glioblastoma Multiforme, and GI Malignancies [NCT03607643] | Phase 1/Phase 2 | 160 participants (Anticipated) | Interventional | 2019-01-15 | Not yet recruiting |
Chidamide Combined With Cladribine/Gemcitabine/Busulfan (ChiCGB) With Autologous Stem-Cell Transplantation in High-risk Hodgkin and Non-Hodgkin Lymphoma [NCT03602131] | Phase 2 | 30 participants (Anticipated) | Interventional | 2019-01-01 | Not yet recruiting |
A Phase IB/II Clinical Study to Assess the Efficacy and Safety of QLS31905 in Combination With Chemotherapy as First-line Treatment in Patients With Claudin 18.2 (CLDN18.2) Positive Advanced Malignant Solid Tumors [NCT06041035] | Phase 1/Phase 2 | 115 participants (Anticipated) | Interventional | 2023-10-31 | Not yet recruiting |
Phase I Study of Proglumide With Gemcitabine and Nab-Paclitaxel in Patients With Metastatic Pancreatic DuctalAdenocarcinoma [NCT06017323] | Phase 1 | 0 participants (Actual) | Interventional | 2023-10-31 | Withdrawn(stopped due to STUDY00006987) |
Local Consolidative Therapy (LCT) and Durvalumab (MEDI4736) for Oligoprogressive and Polyprogressive Stage III NSCLC After Chemoradiation and Anti-PD-L1 Therapy (ENDURE) [NCT04892953] | Phase 2 | 51 participants (Anticipated) | Interventional | 2021-07-07 | Recruiting |
A Phase III, Randomized, Open-Label, Multi-Center, Global Study to Determine the Efficacy and Safety of Durvalumab in Combination With Gemcitabine+Cisplatin for Neoadjuvant Treatment Followed by Durvalumab Alone for Adjuvant Treatment in Patients With Mus [NCT03732677] | Phase 3 | 1,063 participants (Actual) | Interventional | 2018-11-16 | Active, not recruiting |
A Phase 1b, Multicenter, Open Label Study Evaluating Safety, Tolerability and Preliminary Efficacy of GemRIS 225 mg in Subjects With Muscle-Invasive Transitional Cell Carcinoma of the Bladder [NCT02722538] | Phase 1 | 23 participants (Actual) | Interventional | 2016-05-31 | Completed |
The Safety and Tolerance of Sitagliptin Combined With Gemcitabine and Albumin-bound Paclitaxel in Subjects With Locally Advanced and Metastatic Pancreatic Adenocarcinoma: an Open, One-Armed, Single-Center, Phase Ⅱ Study. [NCT05947825] | Phase 2 | 30 participants (Anticipated) | Interventional | 2023-07-30 | Not yet recruiting |
Sequential Neoadjuvant Chemotherapy for Borderline Resectable and Locally Advanced Pancreatic Adenocarcinoma [NCT05825066] | Phase 2 | 64 participants (Anticipated) | Interventional | 2023-08-01 | Recruiting |
A Multi-Center, Open Label Phase 1/2 Study of CYT-0851 in Patients With Relapsed/Refractory B-Cell Malignancies and Advanced Solid Tumors [NCT03997968] | Phase 1/Phase 2 | 170 participants (Anticipated) | Interventional | 2019-10-09 | Active, not recruiting |
Sequential and Maintenance Icotinib Plus Chemotherapy Versus Icotinib Maintenance After Chemotherapy in Untreated Advanced Non-small-cell Lung Cancer: a Randomized, Open-label Study [NCT02194556] | Phase 4 | 100 participants (Anticipated) | Interventional | 2014-07-31 | Active, not recruiting |
Phase II, Randomized, Controlled, Clinical Trial Exploring Efficacy and Safety of ERY001 (L-asparaginase Encapsulated in Red Blood Cells) in Association With Gemcitabine or FOLFOX4 in Second-line Therapy for Patients With Progressive Metastatic Pancreatic [NCT02195180] | Phase 2 | 141 participants (Actual) | Interventional | 2014-07-31 | Completed |
An International, Multi-Center, Open-Label, Randomized, Phase III Trial of Sacituzumab Govitecan Versus Treatment of Physician Choice in Patients With Metastatic Triple-Negative Breast Cancer Who Received at Least Two Prior Treatments [NCT02574455] | Phase 3 | 529 participants (Actual) | Interventional | 2017-11-07 | Completed |
Significance of Chemoradiation Following Induction Chemotherapy in Locally Advanced,Unresectable Pancreatic Cancer -a Randomised Phase 3 Trial: Chemoradiation Following Induction Chemotherapy Compared With Chemotherapy Alone [NCT01827553] | Phase 3 | 830 participants (Anticipated) | Interventional | 2013-04-04 | Active, not recruiting |
A Phase II Randomized Study For Patients With Muscle-Invasive Bladder Cancer Evaluating Transurethral Surgery And Concomitant Chemoradiation By Either BID Irradiation Plus 5-Fluorouracil And Cisplatin Or QD Irradiation Plus Gemcitabine Followed By Selecti [NCT00777491] | Phase 2 | 70 participants (Actual) | Interventional | 2008-12-31 | Completed |
Pazopanib vs. Pazopanib Plus Gemcitabine in Patients With Relapsed or Metastatic Uterine Leiomyosarcomas or Uterine Carcinosarcomas: a Multi-center, Randomized Phase-II Clinical Trial of the NOGGO and AGO - PazoDoble - [NCT02203760] | Phase 2 | 107 participants (Anticipated) | Interventional | 2019-10-16 | Recruiting |
Phase II/III of Randomized Controlled Clinical Research on Irreversible Electroporation Synchronous Chemotherapy for Locally Advanced Pancreatic Adenocarcinoma [NCT03673137] | Phase 2/Phase 3 | 120 participants (Actual) | Interventional | 2019-09-01 | Completed |
A Randomized, Multicenter, Open Label Study of MM-302 Plus Trastuzumab vs. Chemotherapy of Physician's Choice Plus Trastuzumab in Anthracycline Naive Patients With Locally Advanced/Metastatic HER2-Positive Breast Cancer [NCT02213744] | Phase 2/Phase 3 | 113 participants (Actual) | Interventional | 2014-07-31 | Terminated(stopped due to Felt not to show benefit over control per DMC and confirmed via futility analysis) |
Phase 2/3 Study of Masitinib in Combination With Gemcitabine Versus Gemcitabine Alone in Advanced/Metastatic Epithelial Ovarian Cancer Patients in Second Line Being Refractory to First Line Platinum Treatment or in Third Line [NCT02490488] | Phase 2/Phase 3 | 248 participants (Actual) | Interventional | 2014-04-30 | Completed |
A Cancer Research UK Phase I Trial of an Oral Notch Inhibitor (MK-0752) in Combination With Gemcitabine in Patients With Stage III and IV Pancreatic Cancer [NCT01098344] | Phase 1 | 44 participants (Actual) | Interventional | 2010-04-30 | Completed |
A Phase 1 Study of Gemcitabine, Nab-Paclitaxel, and Bosentan in Patients With Unresectable Pancreatic Cancer [NCT04158635] | Phase 1 | 21 participants (Anticipated) | Interventional | 2021-09-01 | Recruiting |
A Phase 2 Randomized, Double-Blinded, Placebo-Controlled Study to Evaluate the Efficacy and Safety of GS-6624 Combined With Gemcitabine as First Line Treatment for Metastatic Pancreatic Adenocarcinoma [NCT01472198] | Phase 2 | 250 participants (Actual) | Interventional | 2011-11-30 | Completed |
[NCT00813956] | Phase 2 | 80 participants (Actual) | Interventional | 2008-12-31 | Completed |
Phase Ib Clinical Study to Evaluate the Safety and Efficacy of TQB2858 Injection to the Subjects With Recurrent/Metastatic Nasopharyngeal Cancer [NCT05198531] | Phase 1/Phase 2 | 90 participants (Anticipated) | Interventional | 2022-01-31 | Recruiting |
The Comparative Study on Rh-Endostatin (Endostar®) Continuous Intravenous Infusion and Routine i.v in Combination With GP Regimens for Phase III B/IV Squamous Cell Lung Cancer and Biological Markers Exploration. [NCT02283476] | Phase 3 | 200 participants (Anticipated) | Interventional | 2014-11-30 | Not yet recruiting |
Randomized Study of LAROTAXEL + Cisplatin (LC) vs. Gemcitabine + Cisplatin (GC) in the First Line Treatment of Locally Advanced/Metastatic Urothelial Tract or Bladder Cancer [NCT00625664] | Phase 3 | 337 participants (Actual) | Interventional | 2008-02-29 | Completed |
A Multi-Regional, Randomized, Double-blind, Phase 3 Study of the Efficacy and Safety of Sintilimab Plus Chemotherapy vs Placebo Plus Chemotherapy Before Surgery and Sintilimab vs Placebo After Surgery for Resectable Non-small Cell Lung Cancer [NCT05116462] | Phase 3 | 800 participants (Anticipated) | Interventional | 2021-11-11 | Not yet recruiting |
Phase 2 Open-Label Study of Volociximab (M200) in Combination With Gemcitabine in Patients With Metastatic Pancreatic Cancer Not Previously Treated With Chemotherapy [NCT00401570] | Phase 2 | 40 participants (Actual) | Interventional | 2005-03-31 | Completed |
A Phase III Randomized, Double-blinded Trial of Platinum-based Chemotherapy With or Without Atezolizumab Followed by Niraparib Maintenance With or Without Atezolizumab in Patients With Recurrent Ovarian, Tubal or Peritoneal Cancer and Platinum Treatment-f [NCT03598270] | Phase 3 | 414 participants (Anticipated) | Interventional | 2018-11-21 | Active, not recruiting |
A Randomized, Open-label, Parallel Group, Multi-center Phase II Clinical Trial DCVAC/OvCa Added to Standard Chemotherapy in Women With Relapsed Platinum Sensitive Epithelial Ovarian Carcinoma [NCT02107950] | Phase 2 | 71 participants (Actual) | Interventional | 2013-11-30 | Completed |
Carfilzomib/SAHA Combined With High-Dose Gemcitabine/Busulfan/Melphalan With Autologous Stem Cell Transplant for Patients With Refractory/Relapsed Myeloma [NCT02114502] | Phase 2 | 0 participants (Actual) | Interventional | 2014-09-30 | Withdrawn |
A Phase Ib, Open-Label, Multicenter Study Evaluating the Safety and Efficacy of Glofitamab or Mosunetuzumab in Combination With Gemcitabine Plus Oxaliplatin in Patients With Relapsed or Refractory Diffuse Large B-Cell Lymphoma and High-Grade Large B-Cell [NCT04313608] | Phase 1 | 23 participants (Actual) | Interventional | 2020-06-04 | Completed |
A Phase IB, Open-Label, Multi-Center Study to Determine the Efficacy and Safety of Durvalumab and/or Novel Oncology Therapies, With or Without Chemotherapy, for First-Line Stage IV Non-Small Cell Lung Cancer (NSCLC) (MAGELLAN) [NCT03819465] | Phase 1 | 175 participants (Actual) | Interventional | 2018-12-27 | Active, not recruiting |
A Phase 2 Multi-Cohort, Open-Label Study of Intratumoral Tavokinogene Telseplasmid Plus Electroporation in Combination With Pembrolizumab +/- Chemotherapy in Patients With Inoperable Locally Advanced/Metastatic Triple-Negative Breast Cancer [NCT03567720] | Phase 2 | 65 participants (Anticipated) | Interventional | 2018-10-11 | Active, not recruiting |
Gemcitabine and Celecoxib Combination Therapy in Treating Patients With R0 Resection Pancreatic Cancer [NCT03498326] | Phase 2 | 480 participants (Anticipated) | Interventional | 2018-04-02 | Recruiting |
A Phase 1/2 Dose Escalation and Dose Expansion Study of ZN-c3 in Combination With Gemcitabine in Adult and Pediatric Subjects With Relapsed or Refractory Osteosarcoma [NCT04833582] | Phase 1/Phase 2 | 84 participants (Anticipated) | Interventional | 2021-08-01 | Active, not recruiting |
An Open-Label, First-in-Human Study of the Safety, Tolerability, and Pharmacokinetics of VX-970/M6620 in Combination With Cytotoxic Chemotherapy in Participants With Advanced Solid Tumors [NCT02157792] | Phase 1 | 200 participants (Actual) | Interventional | 2012-12-10 | Completed |
Adjuvant Treatment of Resectable Cholangiocellular Carcinoma (CCC) With Cisplatin Plus Gemcitabine. A Prospective Single Center Phase Ib-II Study. [NCT01073839] | Phase 1/Phase 2 | 33 participants (Actual) | Interventional | 2008-08-31 | Completed |
A Randomized Trial Comparing Intravesical Gemcitabine to Continuous Bladder Irrigation With Sterile Water to Prevent Bladder Cancer Implantation in Patients Undergoing Excision of Upper Tract Urothelial Carcinoma [NCT04865939] | Phase 3 | 132 participants (Anticipated) | Interventional | 2021-11-29 | Recruiting |
A Phase 3, Randomized, Open-label Study to Evaluate Perioperative Enfortumab Vedotin Plus Pembrolizumab (MK-3475) Versus Neoadjuvant Gemcitabine and Cisplatin in Cisplatin-eligible Participants With Muscle-invasive Bladder Cancer (KEYNOTE-B15 / EV-304) [NCT04700124] | Phase 3 | 784 participants (Anticipated) | Interventional | 2021-04-21 | Active, not recruiting |
A Phase 1/2 Study to Evaluate the Safety, Tolerability, and Efficacy of INCB001158 in Combination With Chemotherapy, in Subjects With Advanced or Metastatic Solid Tumors [NCT03314935] | Phase 1/Phase 2 | 149 participants (Actual) | Interventional | 2017-11-21 | Completed |
An Open-Label, Randomized Phase 3 Trial of Nivolumab, or Nivolumab Plus Ipilimumab, or Nivolumab Plus Platinum Doublet Chemotherapy Versus Platinum Doublet Chemotherapy in Subjects With Chemotherapy-Naïve Stage IV or Recurrent Non-Small Cell Lung Cancer ( [NCT02477826] | Phase 3 | 2,748 participants (Actual) | Interventional | 2015-08-05 | Active, not recruiting |
MITO27: Randomized Phase II Study on MK-3475 Plus Chemotherapy Versus Chemotherapy Alone in Recurrent, Platinum-resistant Ovarian Cancer [NCT03539328] | Phase 2 | 138 participants (Anticipated) | Interventional | 2018-06-30 | Not yet recruiting |
Alternating Neoadjuvant Gemcitabine-Nab-Paclitaxel and Nanoliposomal Irinotecan (Nal-IRI) With 5-Fluorouracil and Folinic Acid (Leucovorin) Regimens in Resectable and Borderline Resectable Pancreatic Cancer [NCT03703063] | Phase 1 | 30 participants (Anticipated) | Interventional | 2018-09-17 | Recruiting |
Trabectedin/PLD Versus Continuation of Platinum-based Chemo-therapy in Patients With Disease Stabilization and no Symptom Benefit Under Platinum-based Chemotherapy for Recurrent Ovarian Cancer [NCT03690739] | Phase 3 | 9 participants (Actual) | Interventional | 2019-08-09 | Terminated(stopped due to Insufficient Recruitment) |
Phase II Study of Nab-Paclitaxel With Gemcitabine for Relapsed Small Cell Cancer or Those With Progression on First Line Therapy [NCT02769832] | Phase 2 | 32 participants (Actual) | Interventional | 2016-08-29 | Active, not recruiting |
Phase 1/2 Study of Gemcitabine/Taxotere/Xeloda (GTX) in Combination With Cisplatin and Irinotecan in Subjects With Metastatic Pancreatic Cancer [NCT02324543] | Phase 1/Phase 2 | 47 participants (Actual) | Interventional | 2015-02-28 | Completed |
Weight Loss in Patients With Advanced Stage Pancreatic Cancer: Role of Serotonin and Effects of Telotristat Ethyl [NCT03910387] | Phase 2 | 22 participants (Anticipated) | Interventional | 2019-04-17 | Active, not recruiting |
AflacST1603: A Phase 1 Study Using Nab-paclitaxel (Abraxane®) in Combination With Gemcitabine for Pediatric Relapsed and Refractory Solid Tumors [NCT03507491] | Phase 1 | 24 participants (Actual) | Interventional | 2018-08-27 | Active, not recruiting |
A MULTICENTER, OPEN-LABEL, PHASE 1B/2 STUDY TO EVALUATE SAFETY AND EFFICACY OF AVELUMAB (MSB0010718C) IN COMBINATION WITH CHEMOTHERAPY WITH OR WITHOUT OTHER ANTI-CANCER IMMUNOTHERAPIES AS FIRST-LINE TREATMENT IN PATIENTS WITH ADVANCED MALIGNANCIES [NCT03317496] | Phase 1/Phase 2 | 67 participants (Actual) | Interventional | 2017-12-21 | Terminated(stopped due to The study was terminated since there was no need for further safety or efficacy data to be collected. The participants having benefit from the investigational treatments have been moved to a continuation study (NCT05059522).) |
Phase Ib/II Study of Neoadjuvant Pembrolizumab With Gemcitabine-Cisplatin (Cisplatin-Eligible) or Gemcitabine (Cisplatin-Ineligible) in Subjects With T2-4aN0M0 Urothelial Cancer: HCRN GU14-188 [NCT02365766] | Phase 1/Phase 2 | 83 participants (Actual) | Interventional | 2015-05-27 | Active, not recruiting |
Efficacy and Safety of Lenalidomide in Combination With R-GemOx in First-line Treatment of Elderly Diffuse Large B Cell Lymphoma [NCT04432402] | | 124 participants (Anticipated) | Interventional | 2020-06-14 | Recruiting |
A Phase 2 Study of 9-ING-41, a Glycogen Synthase Kinase-3 Beta (GSK-3β) Inhibitor, Combined With Chemotherapy in Adolescents and Adults With Advanced Sarcomas [NCT04906876] | Phase 2 | 0 participants (Actual) | Interventional | 2021-09-30 | Withdrawn(stopped due to IND withdrawn) |
A Phase 1/2 Open-label, Multi-center Study of the Safety, Pharmacokinetics, and Anti-tumor Activity of LYT-200 as a Single Agent and in Combination With Chemotherapy or Tislelizumab in Patients With Locally Advanced or Metastatic Solid Tumors [NCT04666688] | Phase 1/Phase 2 | 80 participants (Anticipated) | Interventional | 2020-12-15 | Recruiting |
A Phase Ib Study of Dovitinib in Combination With Gemcitabine and Nab-Paclitaxel in Patients With Advanced Solid Tumors and Pancreatic Cancer [NCT02048943] | Phase 1 | 0 participants (Actual) | Interventional | 2015-03-31 | Withdrawn(stopped due to Lack of funding) |
A Double-blind, Placebo Controlled, Randomized Multicenter Phase II Study Evaluating Gemcitabine With or Without Ramucirumab as II Line Treatment for Advanced Malignant Pleural Mesothelioma [NCT03560973] | Phase 2 | 164 participants (Actual) | Interventional | 2016-12-22 | Active, not recruiting |
A Phase 1b Study to Evaluate the Safety, Pharmacokinetics, and Anti-Tumour Activity of the Myc Inhibitor OMO-103 Administered Intravenously in Patients With Advanced Solid Tumours [NCT06059001] | Phase 1 | 18 participants (Anticipated) | Interventional | 2023-08-31 | Recruiting |
Targeting ATR in Soft-tissue Sarcomas: a Randomized Phase II Study. TARSARC Study [NCT04807816] | Phase 2 | 72 participants (Anticipated) | Interventional | 2022-02-09 | Recruiting |
A Phase 1 Trial to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of GP-2250 in Combination With Gemcitabine in Subjects With Advanced Unresectable or Metastatic Pancreatic Adenocarcinoma Who Have Progressed on Prior Treatme [NCT03854110] | Phase 1 | 64 participants (Anticipated) | Interventional | 2019-01-14 | Recruiting |
A Phase III Randomized, Open-Label, Multi-Center, Global Study of MEDI4736 in Combination With Tremelimumab Therapy or MEDI4736 Monotherapy Versus Standard of Care Platinum-Based Chemotherapy in First Line Treatment of Patients With Advanced or Metastatic [NCT02453282] | Phase 3 | 1,118 participants (Actual) | Interventional | 2015-07-21 | Active, not recruiting |
Phase I Two-Dimensional Dose-Finding Study of Bortezomib in Combination With Gemcitabine/Doxorubicin in Metastatic Surgically Unresectable Urothelial Cancer or Other Solid Tumors [NCT00479128] | Phase 1 | 80 participants (Actual) | Interventional | 2006-09-28 | Active, not recruiting |
A Phase Ib, Open-label Trial to Investigate the Safety and Tolerability of SHR-1701 in Patients With Recurrent/Metastatic Nasopharyngeal Carcinoma [NCT04282070] | Phase 1 | 91 participants (Actual) | Interventional | 2020-03-27 | Active, not recruiting |
A Phase IIIb, Single Arm, Open-label, Multicentre Study of Durvalumab in Combination With Chemotherapy for the First Line Treatment for Patients With Advanced Biliary Tract Cancers (TOURMALINE) [NCT05771480] | Phase 3 | 140 participants (Anticipated) | Interventional | 2023-08-16 | Recruiting |
Combined Therapy Using D-TACE, Gemcitabine and Cisplatin Chemotherapy, and PD1 Antibody for Patients With Advanced and Unresectable Intrahepatic Cholangiocarcinoma: a Single-center, Single-arm Trial [NCT05738057] | Phase 2 | 22 participants (Anticipated) | Interventional | 2023-06-30 | Recruiting |
Systemic Therapy With a Loco-regional Treatment in Patients With Locally Advanced Pancreatic Cancer: The SMART Study [NCT04276857] | | 27 participants (Anticipated) | Interventional | 2024-01-01 | Not yet recruiting |
Phase I Trial Study of Gemcitabine and Docetaxel With Radiation in Adult Patients With High Grade and Greater Than 5 cm Soft Tissue Sarcoma of the Extremities [NCT04037527] | Phase 1 | 27 participants (Anticipated) | Interventional | 2020-08-18 | Recruiting |
A Randomized Placebo-Controlled Phase II Trial Comparing Gemcitabine Monotherapy to Gemcitabine in Combination With AZD 1775 (MK 1775) in Women With Recurrent, Platinum Resistant Epithelial Ovarian, Primary Peritoneal, or Fallopian Tube Cancers [NCT02101775] | Phase 2 | 124 participants (Actual) | Interventional | 2014-07-21 | Active, not recruiting |
MR Guided Phase II Radiotherapy Dose Escalation in Unresectable Non-metastatic Pancreatic Cancer [NCT01972919] | Phase 2 | 23 participants (Actual) | Interventional | 2015-12-10 | Active, not recruiting |
Phase II Trial of Pemetrexed-Based Induction Chemotherapy Followed by Concomitant Chemoradiotherapy in Previously Irradiated Head and Neck Cancer Patients [NCT01172470] | Phase 2 | 34 participants (Actual) | Interventional | 2005-06-30 | Completed |
International, Multi-Center, Open-label, Treatment Extension Study of Iniparib as Monotherapy or in Combination Chemotherapeutic Regimens in Cancer Patients Who Have Derived Clinical Benefit From Iniparib Following Completion of a Phase 1, 2 or 3 Parental [NCT01593228] | Phase 3 | 37 participants (Actual) | Interventional | 2012-05-31 | Completed |
A Phase 1b/2 Study Evaluating IPI-926 in Combination With Gemcitabine in Patients With Metastatic Pancreatic Cancer [NCT01130142] | Phase 1/Phase 2 | 122 participants (Actual) | Interventional | 2010-04-30 | Completed |
Evaluation of Polychemotherapy With XELOXIRI-3 in Elderly or Frail Patients With Advanced Pancreatic Adenocarcinoma (ALIX) [NCT03974854] | Phase 2 | 90 participants (Anticipated) | Interventional | 2019-07-08 | Recruiting |
[NCT00862524] | Phase 1/Phase 2 | 20 participants (Actual) | Interventional | 2009-03-31 | Completed |
A Phase 3, Multi-Center, Open-Label, Randomized Study of Gemcitabine/Carboplatin, With or Without BSI-201, in Patients With ER-, PR-, and Her2-Negative Metastatic Breast Cancer [NCT00938652] | Phase 3 | 519 participants (Actual) | Interventional | 2009-07-31 | Completed |
A Randomized Phase 2/3 Multi-Center Study of SM-88 in Subjects With Pancreatic Cancer Whose Disease Has Progressed or Recurred [NCT03512756] | Phase 2/Phase 3 | 132 participants (Actual) | Interventional | 2018-03-27 | Completed |
Phase 1b Multi-indication Study of Anetumab Ravtansine (BAY94-9343) in Patients With Mesothelin Expressing Advanced or Recurrent Malignancies [NCT03102320] | Phase 1 | 173 participants (Actual) | Interventional | 2017-05-26 | Completed |
A Phase II Randomized Study of SLOG vs mFOLFIRINOX as the First-line Treatment in Locally Advanced Uncresectable or Metastatic Pancreatic Cancer [NCT03443492] | Phase 2 | 130 participants (Anticipated) | Interventional | 2018-03-26 | Enrolling by invitation |
A Randomized, Open-label, Parallel Controlled, Multi-center Phase III Study of TQB2450 Injection Combined With Anlotinib Hydrochloride Capsule Versus Chemotherapy as Second-line Treatment in Subjects With Advanced Biliary Cancer [NCT04809142] | Phase 3 | 392 participants (Anticipated) | Interventional | 2021-02-04 | Recruiting |
Prospective Phase I Study of Nab-Paclitaxel Plus Gemcitabine With Concurrent MR-Guided IMRT in Patients With Locally Advanced Pancreatic Cancer [NCT02283372] | Phase 1 | 30 participants (Actual) | Interventional | 2015-01-21 | Completed |
A Phase Ib, Multicenter, Open-label, Dose-escalation and Dose-expansion Study of the Safety, Tolerability and Pharmacokinetics of HB002.1T in Combination With Chemotherapy in Patients With Advanced Solid Tumors. [NCT04802980] | Phase 1 | 72 participants (Anticipated) | Interventional | 2020-04-28 | Recruiting |
A Multi-Center Randomised Open-Label Phase 2 Study to Assess the Safety, Tolerability and Efficacy of Fimaporfin-Induced Photochemical Internalisation of Gemcitabine Complemented by Gemcitabine/Cisplatin Chemotherapy Versus Gemcitabine/Cisplatin Alone in [NCT04099888] | Phase 2 | 41 participants (Actual) | Interventional | 2019-05-23 | Terminated(stopped due to Recent results from a Phase 3 study are expected to change the standard of care for patients with inoperable CCA, rendering the RELEASE study challenging to complete and potentially inadequate for NDA approval.) |
Phase I-II Study of Palliative Treatment With Nimotuzumab as a Second, Third Line or More of Treatment for Advanced or Metastatic Cervical Cancer [NCT02095119] | Phase 1/Phase 2 | 15 participants (Anticipated) | Interventional | 2008-07-31 | Completed |
Pancreatic Resectability in Cancers With Known Limited Extension (PRICKLE) - A Single-centre Phase 2a Study of Gemcitabine Plus Nab-paclitaxel for Borderline Unresectable Locally Advanced Pancreatic Cancer [NCT02124369] | Phase 2 | 9 participants (Actual) | Interventional | 2014-07-31 | Terminated(stopped due to Poor accrual) |
International, Randomized, Open-Label, Phase 3 Trial of Gemcitabine/Cisplatin Plus PF-3512676 Versus Gemcitabine/Cisplatin Alone as First-Line Treatment of Patients With Advanced Non-Small Cell Lung Cancer [NCT00254904] | Phase 3 | 839 participants (Actual) | Interventional | 2005-11-30 | Terminated(stopped due to See Termination Reason in Detailed Description) |
PM-01: Phase 1b Study of PGG Beta Glucan (Imprime PGG®) in Combination With Anti-MUC1 Antibody (BTH1704) and Gemcitabine (Gemzar®) for the Treatment of Advanced Pancreatic Cancer [NCT02132403] | Phase 1 | 3 participants (Actual) | Interventional | 2014-08-31 | Terminated(stopped due to Drug Recall) |
A Randomized, Open, Multicenter Phase II/III Trial to Compare the Efficacy and Safety of QL1706 and Carrilizumab Combined With Gemcitabine and Cisplatin in First-line Treatment of Recurrent or Metastatic Nasopharyngeal Carcinoma [NCT05576272] | Phase 2/Phase 3 | 460 participants (Anticipated) | Interventional | 2022-05-19 | Active, not recruiting |
A Randomized,Open-label, Multi-Center, Phase II Clinical Trial to Assess the Efficacy and Safety of SHR-1210± SHR-1020 Versus Physician's Choice Chemotherapy in the Treatment of Recurrent or Metastatic Cervical Cancer Patients [NCT04680988] | Phase 2 | 194 participants (Actual) | Interventional | 2021-04-05 | Active, not recruiting |
A Phase Ib Study of hPV19, a Novel Humanized Monoclonal Antibody Against Vascular Endothelial Growth Factor (VEGF),in Combination With Chemotherapy in Patients With Advanced Solid Tumors Refractory to Standard Therapy. [NCT03503604] | Phase 1 | 18 participants (Anticipated) | Interventional | 2018-05-01 | Not yet recruiting |
Safety and Efficacy of Gemcitabine Based Neoadjuvant Chemotherapy Followed by Chemoradiation in Locally Advanced Cervical Cancer Patients and Association With Human Equilibrative Nucleoside Transporter 1 (hENT1) Expression [NCT02309658] | Phase 2 | 50 participants (Actual) | Interventional | 2013-09-30 | Completed |
A Pilot Study Targeting Angiogenesis Using Bevacizumab Combined With Chemotherapy and Histone Deacetylase Inhibitor (Valproic Acid) in Advanced Sarcomas [NCT01106872] | Phase 1 | 47 participants (Actual) | Interventional | 2010-09-30 | Completed |
A Phase I Clinical Trial of Vorinostat in Combination With Gemcitabine Plus Platinum in Patients With Advanced Non-Small Cell Lung Cancer [NCT00423449] | Phase 1 | 61 participants (Actual) | Interventional | 2007-03-31 | Completed |
Randomized Multicenter Phase II/III Study With Adjuvant Gemcitabine Versus Neoadjuvant/Adjuvant FOLFIRINOX in Resectable Pancreatic Cancer [NCT02172976] | Phase 2/Phase 3 | 40 participants (Actual) | Interventional | 2014-11-30 | Completed |
Open Label Randomized Clinical Study of Plasmid Encoding p62/SQSTM1 (ELenagen) in in Combination With Gemcitabine in Patients With Platinum-resistant Ovarian Cancer [NCT05979298] | Phase 2 | 40 participants (Actual) | Interventional | 2019-11-15 | Active, not recruiting |
A Phase II Clinical Trial to Evaluate the Efficacy and Safety of TQB2618 Injection Combined With Penpulimab in Patients With Recurrent/Metastatic Nasopharyngeal Carcinoma [NCT05563480] | Phase 2 | 90 participants (Anticipated) | Interventional | 2022-10-27 | Recruiting |
A Phase II Randomized Trial for Patients With Muscle-Invading Bladder Cancer Evaluating Transurethral Surgery and BID Irradiation Plus Either Paclitaxel and Cisplatin or 5-Fluorouracil and Cisplatin Followed by Selective Bladder Preservation and Gemcitabi [NCT00055601] | Phase 2 | 97 participants (Actual) | Interventional | 2002-12-31 | Completed |
A Phase 2, Multicenter, Randomized, Double-blind, Placebo-controlled Trial of AMG 479 or Placebo in Combination With Gemcitabine as First-line Therapy for Locally Advanced Unresectable Adenocarcinoma of the Pancreas [NCT01318642] | Phase 2 | 10 participants (Actual) | Interventional | 2012-05-31 | Terminated(stopped due to NCT01318642: Planned independent DMC Interim review: ended for futility w/no safety concerns) |
Randomized Phase II Trial of Gemcitabine/Cisplatin Versus S-1/Cisplatin in Advanced Biliary Cancer Patients [NCT01096745] | Phase 2 | 78 participants (Anticipated) | Interventional | 2010-07-31 | Terminated(stopped due to Planning for randomized phase III trial for this issue.) |
A Phase 2 Study of BPM31510 (Ubidecarenone, USP) Nanosuspension Injection Administered Intravenously With Gemcitabine as 2nd/3rdline Therapy in Advanced Pancreatic Cancer Patients [NCT02650804] | Phase 2 | 49 participants (Actual) | Interventional | 2016-07-06 | Completed |
Multi-center, Phase I Clinical Study to Evaluate the Safety and Tolerability of Multi-antigen Autologous Immune Cell Injection (MASCT-I) in Patients With Advanced Solid Tumor, and to Preliminarily Evaluate the Anti-tumor Efficacy of MASCT-I Alone, in Comb [NCT03034304] | Phase 1 | 193 participants (Anticipated) | Interventional | 2017-01-31 | Recruiting |
Phase II Study of Second-line Pembrolizumab Plus GVD for Relapsed or Refractory Hodgkin Lymphoma [NCT03618550] | Phase 2 | 69 participants (Anticipated) | Interventional | 2018-08-01 | Recruiting |
A Phase 2 Study of Preoperative Chemoradiotherapy With Gemcitabine for Resectable Pancreatic Carcinoma [NCT01333124] | Phase 2 | 23 participants (Actual) | Interventional | 2011-09-28 | Terminated(stopped due to Recruitment delay) |
A Phase II Study of Gemcitabine, Oxaliplatin and Bevacizumab Followed by 5-Fluorouracil, Oxaliplatin, Bevacizumab and Radiotherapy in Patients With Locally Advanced Pancreatic Cancer [NCT00602602] | Phase 2 | 19 participants (Actual) | Interventional | 2007-03-31 | Completed |
A Phase 2, Multi-center, Open-Label, Randomized Trial of Gemcitabine/ Carboplatin, With or Without BSI-201, in Patients With ER, PR and HER2-negative Metastatic Breast Cancer [NCT00540358] | Phase 2 | 123 participants (Actual) | Interventional | 2007-10-31 | Completed |
Neoadjuvant Afatinib Combination With Chemotherapy for Stage Ⅱa-Ⅲb Non-small Cell Lung Cancer With Epidermal Growth Factor Receptor Activating Mutation [NCT04470076] | Phase 2 | 30 participants (Anticipated) | Interventional | 2020-07-10 | Not yet recruiting |
An Open-Label Phase I/II Study of Autologous Tumor-Draining Lymph Node-Derived Lymphocytes for Advanced HER2-Negative Breast Cancer [NCT05981001] | Phase 1/Phase 2 | 170 participants (Anticipated) | Interventional | 2023-08-01 | Recruiting |
A Randomized, Controlled, Open-label, Multi-center Phase III Clinical Trial of SKB264 for Injection Versus Investigator Selected Regimens in Patients With Unresectable Locally Advanced, Recurrent or Metastatic Triple-negative Breast Cancer Who Have Failed [NCT05347134] | Phase 3 | 254 participants (Anticipated) | Interventional | 2022-06-10 | Active, not recruiting |
KL-A167 Injection Combined With Cisplatin and Gemcitabine vs Placebo Combined With Cisplatin and Gemcitabine in the Treatment of Recurrent or Metastatic Nasopharyngeal Carcinoma: A Randomized, Double-blind, Placebo-controlled, Multicenter Phase III Clinic [NCT05294172] | Phase 3 | 295 participants (Actual) | Interventional | 2022-06-16 | Active, not recruiting |
A Phase II Trial of Pharmacological Ascorbate, Gemcitabine, and Nab-Paclitaxel for Metastatic Pancreatic Cancer (PACMAN 2.1) [NCT02905578] | Phase 2 | 65 participants (Anticipated) | Interventional | 2018-11-28 | Active, not recruiting |
A Phase II Study of Second-Line Therapy With Regorafenib Plus Gemcitabine in Metastatic Pancreatic Cancer [NCT02383433] | Phase 2 | 2 participants (Actual) | Interventional | 2016-06-14 | Terminated(stopped due to PI discretion based on low accrual) |
Gemcitabine, Ascorbate, Radiation Therapy for Pancreatic Cancer, Phase I [NCT01852890] | Phase 1 | 16 participants (Actual) | Interventional | 2014-01-31 | Active, not recruiting |
A Phase 1b/2, Open-Label Trial to Assess the Safety and Preliminary Efficacy of Epcoritamab (GEN3013; DuoBody®-CD3xCD20) in Combination With Other Agents in Subjects With B-cell Non-Hodgkin Lymphoma (B-NHL) [NCT04663347] | Phase 1/Phase 2 | 662 participants (Anticipated) | Interventional | 2020-11-03 | Recruiting |
GEMINI: An Open-Label, Single-Arm, Phase II Study of Intraoperative Gemcitabine Intravesical Instillation in Patients Undergoing Radical Nephroureterectomy for Upper Tract Urothelial Carcinoma [NCT04398368] | Phase 2 | 25 participants (Actual) | Interventional | 2020-06-05 | Terminated(stopped due to Focus research efforts on other projects.) |
A Phase 1b, Open-Label, Dose Escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of MK-0482 as Monotherapy and in Combination With Pembrolizumab in Participants With Advanced/Metastatic Solid Tumors. [NCT03918278] | Phase 1 | 230 participants (Anticipated) | Interventional | 2019-06-19 | Active, not recruiting |
Single Arm, Non Randomized Phase II Trial of Gemcitabine and Oxaliplatin (GEM-OX) for Hepatocellular Carcinoma (HCC) Patients With Platelet Counts Greater Than 100,000 Per Microliter. [NCT00250822] | Phase 2 | 11 participants (Actual) | Interventional | 2005-10-31 | Completed |
A Phase I Study Evaluating the Safety and Pharmacokinetics of SAR240550 Administered Twice Weekly in Patients With Advanced Solid Tumors. [NCT01213381] | Phase 1 | 18 participants (Actual) | Interventional | 2010-09-30 | Completed |
Cetuximab Plus Gemcitabine-Oxaliplatin (GEMOX) in Patients With Unresectable Advanced or Metastatic Biliary Tract Cancer: a Phase II Study [NCT01216345] | Phase 2 | 30 participants (Actual) | Interventional | 2006-10-31 | Completed |
St. Jude ELIOT: Phase 1 Evaluation of LY2606368, a Molecularly-Targeted CHK1/2 Inhibitor Therapy, in Combination With Cyclophosphamide or Gemcitabine for Children and Adolescents With Refractory or Recurrent Group 3/Group 4 or SHH Medulloblastoma Brain Tu [NCT04023669] | Phase 1 | 21 participants (Actual) | Interventional | 2019-08-08 | Active, not recruiting |
Randomized Phase 3 Study Evaluating the Efficacy and the Safety of Oral Azacitidine (CC-486) Compared to Investigator's Choice Therapy in Patient With Relapsed or Refractory Angioimmunoblastic T Cell Lymphoma [NCT03593018] | Phase 3 | 86 participants (Actual) | Interventional | 2018-11-09 | Active, not recruiting |
A Phase 1b Study to Evaluate HMBD-001 With or Without Chemotherapy in Participants With Advanced Solid Tumors Harboring NRG1 Gene Fusions or Selected HER3 Mutations [NCT05919537] | Phase 1 | 68 participants (Anticipated) | Interventional | 2023-09-06 | Recruiting |
Phase II, Multicenter, Non-randomized, Single-arm, Open-label Trial of Atezolizumab in Combination of Split-doses of Gemcitabine Plus Cisplatin in Patients With Locally Advanced or Metastatic Urothelial Carcinoma [NCT04602078] | Phase 2 | 66 participants (Actual) | Interventional | 2020-12-23 | Active, not recruiting |
A Phase III Randomized Trial of Gemcitabine, Cisplatin, and Nab-Paclitaxel Versus Gemcitabine and Cisplatin in Newly Diagnosed, Advanced Biliary Tract Cancers [NCT03768414] | Phase 3 | 452 participants (Actual) | Interventional | 2019-02-07 | Active, not recruiting |
Pediatric Hepatic Malignancy International Therapeutic Trial (PHITT) [NCT03533582] | Phase 2/Phase 3 | 537 participants (Anticipated) | Interventional | 2018-05-24 | Recruiting |
A Phase III Randomized Trial of Adjuvant Chemotherapy With or Without Bevacizumab for Patients With Completely Resected Stage IB (≥ 4 cm) - IIIA Non-small Cell Lung Cancer (NSCLC) [NCT00324805] | Phase 3 | 1,501 participants (Actual) | Interventional | 2007-06-01 | Active, not recruiting |
A Phase I Dose-Escalation Safety and Tolerability Study of MirvetuximabSoravtansine (IMGN853) and Gemcitabine in Patients With FRa-positive Recurrent Ovarian, Primary Peritoneal, Fallopian Tube, Endometrial Cancer, or Triple Negative Breast Cancer (TNBC) [NCT02996825] | Phase 1 | 44 participants (Actual) | Interventional | 2017-03-22 | Active, not recruiting |
A Multicenter Study of TAR-200 in Combination With Nivolumab (OPDIVO) in Subjects With Muscle-Invasive Urothelial Carcinoma of the Bladder Who Are Scheduled for Radical Cystectomy and Are Ineligible for or Refusing Platinum-Based Neoadjuvant Chemotherapy [NCT03518320] | Phase 1 | 13 participants (Actual) | Interventional | 2019-01-02 | Terminated(stopped due to Business objectives have changed) |
A Phase 1b Combination Study of INCMGA00012 Plus Chemotherapy in Participants With Advanced Solid Tumors (POD1UM-105) [NCT03920839] | Phase 1 | 0 participants (Actual) | Interventional | 2019-07-15 | Withdrawn(stopped due to As of November 4, 2019 the study was halted prematurely and will not resume.) |
A Phase II Clinical Trial to Evaluate the Potential of Concomitant Chemoradiotherapy With Gemcitabine in Patients With Locally Advanced Carcinoma of Cervix and Renal Disease [NCT03101995] | Phase 2 | 18 participants (Anticipated) | Interventional | 2018-01-16 | Recruiting |
A Randomized, Open-label, Dose-escalation to Rash Study to Assess the Effect of Tarceva in Combination With Gemcitabine on Overall Survival in Patients With Metastatic Pancreatic Cancer. [NCT00652366] | Phase 2 | 467 participants (Actual) | Interventional | 2008-05-31 | Completed |
A Multicenter, Randomized Phase II Study Evaluating the Feasibility and Activity of Two Different Combinations of Docetaxel and Gemcitabine and of Cisplatin/Gemcitabine Followed by Docetaxel as First Line Therapy for Locally Advanced Unresectable or Metas [NCT00425191] | Phase 2 | 165 participants (Actual) | Interventional | 2002-07-31 | Completed |
A Multicentre, Randomized, Open Label, Phase III Study of Gemcitabine Versus FOLFOX in the First Line Setting for Metastatic Pancreatic Cancer Patients Using Human Equilibrative Nucleoside Transporter 1 (hENT1) Biomarker Testing. [NCT01586611] | Phase 3 | 175 participants (Anticipated) | Interventional | 2012-06-30 | Recruiting |
Phase I Study of Veliparib (ABT-888) in Combination With Cisplatin Plus Gemcitabine in Advanced Biliary, Pancreatic, Urothelial, and Non-small Cell Lung Cancer [NCT01282333] | Phase 1 | 44 participants (Actual) | Interventional | 2011-01-31 | Terminated |
A Randomized, Multicenter, Open-label Phase Ib/II Study of RO5083945 in Combination With Cisplatin and Gemcitabine/Pemetrexed Versus Cisplatin and Gemcitabine/Pemetrexed in Patients With Advanced or Recurrent Non Small Cell Lung Cancer Who Have Not Receiv [NCT01185847] | Phase 2 | 90 participants (Actual) | Interventional | 2010-11-30 | Completed |
Randomized Phase II Trial of Pre-Operative Gemcitabine, Nab-Paclitaxel, and Hydroxychloroquine With or Without Avelumab (PGHA vs. PGH) [NCT03344172] | Phase 2 | 32 participants (Actual) | Interventional | 2017-12-13 | Terminated(stopped due to Suspected Serious Adverse Events related to treatment) |
Phase I Study of Gemcitabine or S-1 Adjuvant Therapy After Hemihepatectomy for Biliary Tract Cancer [NCT01291615] | Phase 1 | 6 participants (Actual) | Interventional | 2010-12-31 | Completed |
Phase II Study of Pemetrexed and Gemcitabine for Treatment Resistant Patients With Metastatic Colorectal Cancer and KRAS Mutations [NCT01109615] | Phase 2 | 40 participants (Actual) | Interventional | 2010-04-30 | Terminated(stopped due to Lacking effect of treatment) |
A Phase IB/II Single-arm Study of M7824 (MSB0011359C) in Combination With Gemcitabine in Adults With Previously Treated Advanced Adenocarcinoma of the Pancreas [NCT03451773] | Phase 1/Phase 2 | 7 participants (Actual) | Interventional | 2018-05-17 | Terminated(stopped due to Study was closed after one treatment related death.) |
A Multicenter, Phase I-II Trial of Gemcitabine Plus Oxaliplatin and Nab-paclitaxel in Subjects With Advanced (Unresectable or Metastatic) Biliary Tract Cancer [NCT03943043] | Phase 1/Phase 2 | 85 participants (Anticipated) | Interventional | 2017-07-21 | Recruiting |
Prospective, Single-center, Phase II Clinical Study of Anlotinib in Combination With Rituximab,Gemcitabine and Oxaliplatin (A-RGEMOX) in the Treatment of Early Relapsed/Refractory Diffuse Large B-cell Lymphoma [NCT06086197] | Phase 2 | 41 participants (Anticipated) | Interventional | 2023-01-01 | Recruiting |
A Phase 1b/2 Randomized Study of AVB-S6-500 Plus Nab-paclitaxel and Gemcitabine in Patients With Locally Advanced or Metastatic Pancreatic Adenocarcinoma [NCT04983407] | Phase 1/Phase 2 | 34 participants (Actual) | Interventional | 2021-07-28 | Terminated(stopped due to Due to business reasons) |
A Phase 3 Asian Study of Sacituzumab Govitecan (IMMU-132) Versus Treatment of Physician's Choice (TPC) in Subjects With Hormonal Receptor-positive (HR+)/Human Epidermal Growth Factor Receptor 2 Negative (HER2-) Metastatic Breast Cancer (MBC) Who Have Fail [NCT04639986] | Phase 3 | 331 participants (Actual) | Interventional | 2020-11-23 | Active, not recruiting |
A Phase I Master Protocol of Novel Combination Therapy for Patients With Relapsed or Refractory Aggressive B-Cell Lymphoma [NCT04161248] | Early Phase 1 | 18 participants (Anticipated) | Interventional | 2020-09-02 | Recruiting |
BLASST-1 (Bladder Cancer Signal Seeking Trial): Phase II Trial of Neoadjuvant Nivolumab With Cisplatin and Gemcitabine in Muscle-Invasive Bladder Cancer (MIBC) Patients Undergoing Radical Cystectomy [NCT03294304] | Phase 2 | 43 participants (Actual) | Interventional | 2018-01-29 | Completed |
Randomized Phase II Trial of Combination Chemotherapy With Panitumumab or Bevacizumab for Patients With Inoperable Cholangiocarcinoma Without KRAS Mutations [NCT01206049] | Phase 2 | 88 participants (Actual) | Interventional | 2010-09-30 | Completed |
A Phase I Study of Induction AMG 479 and Gemcitabine, Followed by AMG 479, Capecitabine, and 3D-Conformal Radiation Therapy (3D-CRT) With Subsequent Maintenance Therapy for Locally Advanced Pancreatic Cancer [NCT01298401] | Phase 1 | 8 participants (Actual) | Interventional | 2012-02-29 | Completed |
A Pilot Phase II Multi Center Study of Gemcitabine and Nab-paclitaxel (Abraxane) as Preoperative Therapy for Potentially Operable Pancreatic Cancer [NCT01298011] | Phase 2 | 25 participants (Actual) | Interventional | 2011-05-31 | Completed |
Lenalidomide, Rituximab, Gemcitabine, Oxaliplatin and Dexamethasone (R2-GOD) in Treatment of Relapse/Refractory DLBCL:A Phase I Study [NCT03795571] | Phase 1 | 12 participants (Anticipated) | Interventional | 2019-01-01 | Recruiting |
Phase IB/II Trial of High Dose Ascorbic Acid (AA) + Nanoparticle Paclitaxel Protein Bound + Cisplatin + Gemcitabine (AA NABPLAGEM) in Patients Who Have Had No Prior Therapy for Their Metastatic Pancreatic Cancer [NCT03797443] | Phase 1/Phase 2 | 0 participants (Actual) | Interventional | 2019-01-01 | Withdrawn(stopped due to Regulatory Review needed) |
Phase II Open-label Study Evaluating Two Loading Regimens of Sunitinib or Bevacizumab Alternating With Cisplatin and Gemcitabine as Systemic Therapy for Locally Advanced or Metastatic Nasopharyngeal Carcinoma (NPC) [NCT01309633] | Phase 2 | 80 participants (Actual) | Interventional | 2011-09-02 | Completed |
A Phase II, Open-Label, Multi-Cohort Study to Investigate the Preliminary Antitumor Activity, Safety, and Pharmacokinetics of the Anti-PD-1 Monoclonal Antibody BGB-A317 in Combination With Chemotherapy as First-Line Treatment in Chinese Subjects With Loca [NCT03432598] | Phase 2 | 54 participants (Actual) | Interventional | 2017-08-24 | Completed |
Adjuvant Chemotherapy With Gemcitabine and Capecitabine Compared to Capecitabine for Biliary Tract Cancer After Curative Resection [NCT03779035] | Phase 3 | 460 participants (Anticipated) | Interventional | 2018-12-15 | Recruiting |
PHASE 1B/2 STUDY OF PF-04136309 IN COMBINATION WITH GEMCITABINE AND NAB-PACLITAXEL IN PATIENTS WITH PREVIOUSLY UNTREATED METASTATIC PANCREATIC DUCTAL ADENOCARCINOMA [NCT02732938] | Phase 2 | 22 participants (Actual) | Interventional | 2016-05-04 | Terminated(stopped due to Pfizer made a business-related decision on 04May2017 to terminate study based on change in portfolio prioritization, and is not due to safety or efficacy.) |
A Prospective, Single-center, One-arm Clinical Study of Apatinib Combined With Chemotherapy for Patients Who Progressed After First Line EGFR-TKI Treatment Without T790M Mutation [NCT03758677] | Phase 2 | 30 participants (Anticipated) | Interventional | 2020-08-01 | Not yet recruiting |
ABC-04 a Phase 1B Study of Cisplatin, Gemcitabine and Selumetinib in Patients With Advanced Biliary Tract Cancer [NCT01242605] | Phase 1 | 13 participants (Actual) | Interventional | 2012-02-29 | Completed |
A Multi-centre Phase II Randomized-controlled Study on Addition of Durvalumab (MEDI4736) to Induction Chemotherapy and Concurrent Chemoradiation and Followed by Maintenance Durvalumab for Locoregionally Advanced Nasopharyngeal Carcinoma [NCT04447612] | Phase 2 | 118 participants (Anticipated) | Interventional | 2020-06-01 | Recruiting |
Depletion of Myeloid Derived Suppressor Cells to Enhance Anti PD-1 Therapy [NCT03302247] | Phase 2 | 3 participants (Actual) | Interventional | 2018-01-15 | Terminated(stopped due to Unable to accrue subjects) |
Adjuvant Gemcitabine Versus NEOadjuvant Gemcitabine/Oxaliplatin Plus Adjuvant Gemcitabine in Resectable PAncreatic Cancer: a Randomized Multicenter Phase III Study (NEOPAC Study) [NCT01314027] | Phase 3 | 38 participants (Actual) | Interventional | 2009-09-30 | Terminated(stopped due to low recruitment) |
Phase IB/II Trial of High Dose Ascorbic Acid (AA) + Nanoparticle Paclitaxel Protein Bound + Cisplatin + Gemcitabine (AA NABPLAGEM) in Patients Who Have No Prior Therapy for Their Metastatic Pancreatic Cancer [NCT03908333] | Phase 1/Phase 2 | 0 participants (Actual) | Interventional | 2019-05-01 | Withdrawn(stopped due to Request to close per funding sponsor. Site not moving forward with trial.) |
A Randomized Phase II Study of Co-Expression Extrapolation (COXEN) With Neoadjuvant Chemotherapy for Localized, Muscle-Invasive Bladder Cancer [NCT02177695] | Phase 2 | 237 participants (Actual) | Interventional | 2014-08-28 | Completed |
An Open-label Phase Ib Prospective Clinical Trial to Investigate Safety, Tolerability and Maximum Tolerated Dose for SCO-101 in Combination With Gemcitabine and Nab-paclitaxel in Inoperable Pancreatic Cancer Patients. [NCT04652206] | Phase 1/Phase 2 | 18 participants (Anticipated) | Interventional | 2020-10-27 | Recruiting |
Phase I/II Study of Gemcitabine/Cisplatin/S-1(GCS) Combination Therapy for Patients With Advanced Biliary Tract Cancer [NCT01284413] | Phase 1/Phase 2 | 68 participants (Actual) | Interventional | 2010-12-31 | Completed |
A Phase 1 Study of LY2801653 in Patients With Advanced Cancer [NCT01285037] | Phase 1 | 190 participants (Actual) | Interventional | 2009-09-09 | Completed |
Multicenter Randomized Controlled Trial of Surgery Plus Target-reduction Chemoradiotherapy vs Regular Chemoradiotherapy for Newly Diagnosed Resectable Nasopharyngeal Carcinoma [NCT05352321] | | 264 participants (Anticipated) | Interventional | 2022-06-01 | Recruiting |
Intraperitoneal (IP) Cisplatin Combined With Intravenous Gemcitabine + Nab-paclitaxel in Patients With Pancreatic Cancer With Peritoneal Metastasis [NCT05222204] | Phase 2 | 44 participants (Anticipated) | Interventional | 2021-07-02 | Recruiting |
Addition of Gemcitabine to the Standard Reduced Busulfan and Cyclophosphamide (BUCY2) Pre Allogeneic Hematopoietic Stem Cell Transplantation Conditioning for Acute Lymphoblastic Leukemia [NCT03339700] | Phase 2 | 15 participants (Anticipated) | Interventional | 2018-09-15 | Recruiting |
Phase III Trial for Primary Radiotherapy With Single-Agent Cisplatin or Combination Chemotherapy in PET/CT Defined Poor-Prognostic Cervical Cancer Patients [NCT00842660] | Phase 3 | 172 participants (Anticipated) | Interventional | 2009-02-28 | Enrolling by invitation |
Pharmacokinetics, Pharmacodynamics, Safety and Tolerability of Multiple Dose Regimens of MT-3724 With Gemcitabine and Oxaliplatin for the Treatment of Subjects With Relapsed or Refractory B Cell Non-Hodgkin's Lymphoma [NCT03488251] | Phase 2 | 8 participants (Actual) | Interventional | 2018-08-20 | Terminated(stopped due to Sponsor decision) |
Exploratory Trial of Immunochemoradiotherapy for Locally Advanced Pancreatic Adenocarcinoma [NCT01342224] | Phase 1 | 11 participants (Actual) | Interventional | 2011-01-31 | Completed |
Optimizing Ultrasound Enhanced Delivery of Therapeutics [NCT04821284] | Phase 1/Phase 2 | 120 participants (Anticipated) | Interventional | 2021-12-06 | Recruiting |
PIONEER-Panc: Phase II Investigations of New and Emerging Therapies for Pancreatic Cancer [NCT04481204] | Phase 2 | 105 participants (Actual) | Interventional | 2023-04-18 | Active, not recruiting |
A Phase 1b/2 Study to Evaluate the Safety, Pharmacokinetics, and Clinical Activity of Oleclumab (MEDI9447) With or Without Durvalumab in Combination With Chemotherapy in Subjects With Metastatic Pancreatic Ductal Adenocarcinoma [NCT03611556] | Phase 1/Phase 2 | 213 participants (Actual) | Interventional | 2018-06-21 | Completed |
A Phase I/II Study of Nab-paclitaxel (Abraxane) and Gemcitabine Followed by Modified FOLFOX (AG-mFOLFOX) in Patients With Previously Untreated, Metastatic Pancreatic Adenocarcinoma [NCT02504333] | Phase 1/Phase 2 | 168 participants (Actual) | Interventional | 2015-07-31 | Completed |
A Multicentre Phase II Study of Adavosertib Plus Chemotherapy in Patients With Platinum-Resistant Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer [NCT02272790] | Phase 2 | 95 participants (Actual) | Interventional | 2015-01-30 | Completed |
Randomised, Multicenter Phase II Study in Patients With Metastatic Breast Cancer With Vinorelbine Plus Gemcitabine Versus Vinorelbine Plus Cisplatin [NCT02544243] | Phase 2 | 200 participants (Anticipated) | Interventional | 2015-09-30 | Not yet recruiting |
PEXG (Cisplatin, Epirubicin, Capecitabine, Gemcitabine) Versus PDXG (Cisplatin, Docetaxel, Capecitabine, Gemcitabine) in Locally Advanced or Metastatic Pancreatic Adenocarcinoma: A Randomized Phase II Trial [NCT00966706] | Phase 2 | 105 participants (Actual) | Interventional | 2005-06-30 | Completed |
A Phase I Study of the Combination of Gemcitabine Plus Dasatinib in Patients With Refractory Solid Tumors With an Expanded Cohort in Advanced Pancreatic Cancer [NCT00598091] | Phase 1 | 30 participants (Actual) | Interventional | 2007-04-30 | Terminated(stopped due to Low accrual, unable to meet endpoint in timely manner) |
Phase Ⅱ Study of Induction Erlotinib Therapy in Stage III A(N2) Non-small Cell Lung Cancer Proceeding to Mediastinoscopy/PET and Thoracotomy/Radiotherapy [NCT00600587] | Phase 2 | 24 participants (Actual) | Interventional | 2007-09-30 | Completed |
A Phase I Study, With Expanded Cohort, of Biweekly Fixed-dose Rate Gemcitabine Plus Capecitabine in Patients With Advanced Pancreatic and Biliary Carcinomas [NCT00626158] | Phase 1 | 45 participants (Actual) | Interventional | 2008-02-29 | Completed |
A Phase Ib/II Clinical Study on the Safety, Pharmacokinetic Characteristics, and Preliminary Efficacy of SC0191 Combination Chemotherapy in Patients With Advanced Ovarian Cancer. [NCT06055348] | Phase 1/Phase 2 | 112 participants (Anticipated) | Interventional | 2023-10-30 | Not yet recruiting |
Phase I/II Study of Gemcitabine and Docetaxel Combined With Immune Checkpoint Blockade (Retifanlimab) in Patients With Advanced Soft Tissue Sarcoma [NCT04577014] | Phase 1/Phase 2 | 74 participants (Anticipated) | Interventional | 2020-09-29 | Recruiting |
A Randomized, Double-Blind Placebo-Controlled Phase II Study of the MEK Inhibitor GSK1120212 Plus Gemcitabine vs Placebo Plus Gemcitabine in Subjects With Metastatic Pancreatic Cancer [NCT01231581] | Phase 2 | 160 participants (Actual) | Interventional | 2010-08-31 | Completed |
A Dose-Escalation, Single Arm, Combination Study of Cabazitaxel With Gemcitabine to Determine The Safety, And Pharmacokinetics In Subjects With Advanced Solid Malignancies [NCT01001221] | Phase 1/Phase 2 | 19 participants (Actual) | Interventional | 2009-11-30 | Terminated(stopped due to Maximum tolerated dose not able to be determined) |
Regional Chemotherapy in Locally Advanced Pancreatic Cancer: RECLAP Trial [NCT01294358] | Phase 1 | 7 participants (Actual) | Interventional | 2011-01-26 | Completed |
Open-label Pilot Phase I / II Study on Hyperthermic Intraperitoneal Chemotherapy (HIPEC) After Macroscopically Complete Resection (R0/R1) of Adenocarcinomas of the Pancreas (PanHIPEC) [NCT02863471] | Phase 1/Phase 2 | 16 participants (Anticipated) | Interventional | 2016-01-31 | Recruiting |
Phase I Study of Bortezomib and Gemcitabine in Elderly Patients With Solid Tumors (X05227) [NCT00620295] | Phase 1 | 17 participants (Actual) | Interventional | 2007-03-31 | Completed |
A Multicenter Phase II Study of Gemcitabine, Capecitabine and Bevacizumab for Locally Advanced or Metastatic Adenocarcinoma of the Gall Bladder or Biliary Ducts. [NCT01007552] | Phase 2 | 50 participants (Actual) | Interventional | 2009-12-31 | Completed |
A Phase 1 Dose-Escalation Study of SCH 900776 as Monotherapy and in Combination With Gemcitabine in Subjects With Advanced Solid Tumors or Lymphoma [NCT00779584] | Phase 1 | 45 participants (Actual) | Interventional | 2008-10-17 | Completed |
Phase I/IIa, First-in-human, Open-label, Dose Escalation Trial With Expansion Cohorts to Evaluate Safety, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of BNT141 as a Monotherapy and in Combination With Other Anti-cancer Agents in Patients [NCT04683939] | Phase 1/Phase 2 | 13 participants (Actual) | Interventional | 2022-01-18 | Terminated(stopped due to Sponsor decision) |
Phase II Pilot Study of Subsequent Line Gemcitabine and Nivolumab for Advanced SCLC [NCT03662074] | Phase 2 | 14 participants (Actual) | Interventional | 2018-11-07 | Terminated(stopped due to After interim analysis decided not to move forward with continuing the trial.) |
A Dose-Escalation Study to Evaluate the Safety and Tolerability of SCH 717454 in Combination With Different Treatment Regimens in Subjects With Advanced Solid Tumors (Phase 1B/2; Protocol No. P04722) [NCT00954512] | Phase 1/Phase 2 | 15 participants (Actual) | Interventional | 2009-09-25 | Terminated(stopped due to This study was terminated for business reasons.) |
Phase 2 Trial Of AG-013736 As First-Line Treatment For Patients With Squamous Non-Small Cell Lung Cancer Receiving Treatment With Cisplatin And Gemcitabine [NCT00735904] | Phase 2 | 38 participants (Actual) | Interventional | 2008-12-31 | Completed |
Gemcitabine and Cetuximab in Patients With Advanced or Metastatic Biliary Tract Cancer: A Multicenter Phase II Study [NCT00747097] | Phase 2 | 43 participants (Anticipated) | Interventional | 2008-09-30 | Completed |
Docetaxel, Gemcitabine and Bevacizumab as Salvage Therapy for Metastatic Breast Cancer [NCT00754351] | Phase 2 | 48 participants (Actual) | Interventional | 2008-09-30 | Completed |
A Multi Center Phase II Study of 5-Fluorouracil/ Folinic Acid Plus Gemcitabine in Patients With Advanced Pancreatic Cancer. [NCT00919282] | Phase 2 | 78 participants (Actual) | Interventional | 1997-09-30 | Completed |
A Randomized, Open-Label, Multiple-center, Phase II Study to Evaluate the Efficacy and Safety of Margetuximab Plus Chemotherapy vs Trastuzumab Plus Chemotherapy in the Treatment of Chinese Patients With HER2+ Metastatic Breast Cancer Who Have Received Pri [NCT04262804] | Phase 2 | 123 participants (Actual) | Interventional | 2020-01-13 | Active, not recruiting |
A Phase III, Multicenter, Randomized, Blinded, Placebo-controlled Trial of Carboplatin and Gemcitabine Plus Bevacizumab in Patients With Platinum-sensitive Recurrent Ovary, Primary Peritoneal, or Fallopian Tube Carcinoma [NCT00434642] | Phase 3 | 484 participants (Actual) | Interventional | 2007-04-30 | Completed |
Atezolizumab in Combination With Gemcitabine and Cisplatin As First-Line Treatment in Metastatic Urothelial Cancer: A Multicenter Randomized Phase II Study of Two Alternative Dosing Schedules [NCT03093922] | Phase 2 | 32 participants (Actual) | Interventional | 2017-03-22 | Active, not recruiting |
An Open-label Window of Opportunity Trial to Evaluate the Activity of Durvalumab (MEDI4736) and Tremelimumab With Platinum-based Chemotherapy (Gemcitabine and Cisplatin) in Intrahepatic Cholangiocarcinoma (ICC) [NCT04989218] | Phase 1/Phase 2 | 20 participants (Anticipated) | Interventional | 2023-01-30 | Recruiting |
Open-label, Multicentric Phase I-II Trial to Evaluate the Efficacy and Safety of the Combination of Sorafenib (BAY 43-9006), Gemcitabine and Concurrent Radiotherapy, in Locally Advanced Pancreatic Carcinoma [NCT00789763] | Phase 1 | 12 participants (Actual) | Interventional | 2007-12-31 | Completed |
BCG vs. Gemcitabine For Intravesical Therapy In High Risk Superficial Bladder Cancer: A Randomized Prospective Study [NCT00696579] | Phase 1/Phase 2 | 64 participants (Actual) | Interventional | 2004-01-31 | Completed |
A Randomized, Double-blind Study of the Effect of Avastin Plus Cisplatin and Gemcitabine or Placebo Plus Cisplatin and Gemcitabine on Progression-free Survival in Treatment-naïve Patients With Advanced or Recurrent Non-squamous NSCLC [NCT00806923] | Phase 3 | 1,044 participants (Actual) | Interventional | 2005-02-28 | Completed |
An Open Label Study to Assess the Effect of First Line Treatment With Avastin in Combination With Paclitaxel and Gemcitabine in Progression-free Survival in Patients With HER-2 Negative Breast Cancer [NCT00846027] | Phase 2 | 90 participants (Actual) | Interventional | 2009-01-31 | Completed |
Phase Ib Study To Evaluate The Safety Of Combining IGF-1R Antagonist R1507 With Multiple Standard Chemotherapy Drug Treatments In Patients With Advanced Malignancies [NCT00811993] | Phase 1 | 104 participants (Actual) | Interventional | 2009-02-28 | Terminated |
A One-Arm Exploratory Clinical Trial of Apatinib Plus Gemcitabine in Patients With Advanced Metastatic Pancreatic Cancer [NCT02863367] | Phase 2 | 30 participants (Anticipated) | Interventional | 2016-08-31 | Not yet recruiting |
A Multicenter, Open Label, Single Arm, Phase II Study to Investigate the Efficacy and Safety of Sorafenib (Nexavar) in Combination With Gemcitabine in Patients With Advanced Hepatocellular Carcinoma (HCC) [NCT00703365] | Phase 2 | 45 participants (Actual) | Interventional | 2008-02-29 | Completed |
Perioperative Therapy for Resectable Pancreatic Adenocarcinoma and Borderline Resectable Pancreatic Adenocarcinoma With Molecular Correlates [NCT02723331] | Phase 2 | 50 participants (Actual) | Interventional | 2016-12-30 | Active, not recruiting |
A Phase 2 Study of Gemcitabine and Bevacizumab as First-Line Treatment in HER2 Negative, Locally Recurrent or Metastatic Breast Cancer Previously Treated With Taxanes [NCT00623233] | Phase 2 | 52 participants (Actual) | Interventional | 2008-03-31 | Completed |
Role of Neoadjuvant Chemotherapy in the Conservative Management of Non-muscle Invasive Bladder Cancer (NMIBC) T1b [NCT04245618] | | 50 participants (Anticipated) | Observational | 2020-07-31 | Not yet recruiting |
Oxaliplatin Plus Gemcitabine Versus Capecitabine Alone as Adjuvant Treatment in the Prevention of Recurrence of Intrahepatic Cholangiocarcinoma [NCT02548195] | Phase 3 | 286 participants (Anticipated) | Interventional | 2015-07-31 | Recruiting |
Feasibility and Efficacy of Molecular Analysis-Directed Individualized Therapy Based of Tumoral mRNA Levels of ERCC1, RRM1 and BRCA1 in Advanced Non-Small-Cell Lung Cancer [NCT00705549] | Phase 2 | 88 participants (Actual) | Interventional | 2008-02-29 | Terminated(stopped due to Due to poor accrual) |
A Multicenter Phase 4 Geriatric Assessment Directed Trial to Evaluate Gemcitabine +/- Nab-paclitaxel in Elderly Pancreatic Cancer Patients [NCT02812992] | Phase 4 | 32 participants (Actual) | Interventional | 2016-06-30 | Completed |
Concurrent Chemoradiotherapy Alone Versus Induction Chemotherapy Plus Concurrent Chemoradiotherapy in Low-risk Locoregionally Advanced Nasopharyngeal Carcinoma: a Phase 3, Multicentre, Randomised Controlled Trial [NCT05979961] | Phase 3 | 424 participants (Anticipated) | Interventional | 2023-08-31 | Not yet recruiting |
Efficacy and Safety of Cadonilimab Combined With Gemcitabine and Cisplatin in the First-line Treatment of Unresectable Locally Advanced or Metastatic Biliary Malignancies [NCT05978609] | Phase 2 | 65 participants (Anticipated) | Interventional | 2023-07-01 | Recruiting |
Pembrolizumab in Combination With Gemcitabine for Previously Treated Mycosis Fungoides and Sézary Syndrome: Efficacy and Characterization of Immune Response [NCT04960618] | Phase 2 | 28 participants (Anticipated) | Interventional | 2021-10-01 | Recruiting |
A Phase I/II Study of Combination of Gemcitabine, Oxaliplatin and Sorafenib (GEMOX-Sorafenib) in Patients With Advanced Biliary Tract Cancer [NCT00955721] | Phase 1/Phase 2 | 9 participants (Actual) | Interventional | 2009-08-31 | Terminated(stopped due to Lack of Funding) |
Single-arm, Multi-center Clinical Study of PD-1 Antibody, Chidamide, Lenalidomide and Gemcitabine for Peripheral T-cell Lymphoma [NCT04040491] | Phase 4 | 100 participants (Anticipated) | Interventional | 2019-09-01 | Recruiting |
An Open-label, Randomized, Controlled Phase 3 Study of Disitamab Vedotin in Combination With Pembrolizumab Versus Chemotherapy in Subjects With Previously Untreated Locally Advanced or Metastatic Urothelial Carcinoma That Expresses HER2 (IHC 1+ and Greate [NCT05911295] | Phase 3 | 700 participants (Anticipated) | Interventional | 2023-09-22 | Recruiting |
A Phase II Study of RP-6306 in Patients With Advanced Cancer [NCT05605509] | Phase 2 | 78 participants (Anticipated) | Interventional | 2023-04-17 | Recruiting |
A Randomized Phase II Study of Pembrolizumab and Brentuximab Vedotin Versus GDP, Followed by High Dose Chemotherapy and Autologous Stem Cell Transplantation for Relapsed/Refractory Classical Hodgkin Lymphoma [NCT05180097] | Phase 2 | 84 participants (Anticipated) | Interventional | 2022-11-01 | Recruiting |
A Randomized, Double-blind, Multi-center Phase III Study of Penpulimab (AK105) Combined With Chemotherapy Versus Placebo Combined With Chemotherapy in the First-line Treatment of Recurrent or Metastatic Nasopharyngeal Carcinoma [NCT04974398] | Phase 3 | 298 participants (Anticipated) | Interventional | 2021-08-16 | Recruiting |
An Open-label, Multicenter, Phase 1a/1b Study of IGM-8444 as a Single Agent and in Combination in Subjects With Relapsed, Refractory, or Newly Diagnosed Cancers [NCT04553692] | Phase 1 | 430 participants (Anticipated) | Interventional | 2020-09-23 | Recruiting |
Phase 1/2a Study of the Safety, Pharmacokinetics, Pharmacodynamics and Preliminary Clinical Activity of RP-3500 Alone or in Combination With Talazoparib or Gemcitabine in Advanced Solid Tumors With ATR Inhibitor Sensitizing Mutations (TRESR Study) [NCT04497116] | Phase 1/Phase 2 | 273 participants (Actual) | Interventional | 2020-07-22 | Active, not recruiting |
GP vs PF as Induction Chemotherapy Combined With CCRT for Locoregionally Advanced Nasopharyngeal Carcinoma:a Prospective,Parallel, Randomized, Open Labeled, Multicenter Phase III Clinical Trial [NCT03840421] | Phase 3 | 468 participants (Anticipated) | Interventional | 2019-04-03 | Active, not recruiting |
A Phase I/II Study to Evaluate the Tolerability and Efficacy of BMS-813160 (CCR2/5 Inhibitor) With Nivolumab and Gemcitabine and Nab-paclitaxel in Borderline Resectable and Locally Advanced Pancreatic Ductal Adenocarcinoma (PDAC) [NCT03496662] | Phase 1/Phase 2 | 40 participants (Actual) | Interventional | 2018-08-31 | Active, not recruiting |
A Multi-Stage Randomized Phase II Study of Novel Combination Therapy in the Treatment of Relapsed and Refractory Aggressive B-Cell Lymphoma [NCT02436707] | Phase 2 | 320 participants (Anticipated) | Interventional | 2015-10-27 | Recruiting |
A Pilot Study of Nivolumab in Combination With GDP (Gemcitabine, Dexamethasone, Cisplatin)/ L-asparaginase in Patients With Advanced Stage or Relapsed/ Refractory Natural-killer/ T-cell Lymphoma [NCT04230330] | Phase 1 | 0 participants (Actual) | Interventional | 2019-12-12 | Withdrawn(stopped due to PI has left the institution.) |
An Exploratory Study on the Safety, Tolerability, Pharmacokinetics and Efficacy of HLX07 (Recombinant Anti-EGFR Humanized Monoclonal Antibody) Combined With Chemotherapy in Patients With Advanced Solid Tumors. [NCT03577704] | Phase 1/Phase 2 | 56 participants (Actual) | Interventional | 2018-08-08 | Completed |
A Phase I Study of Romidepsin, Gemcitabine, Dexamethasone and Cisplatin Combination Therapy in the Treatment of Peripheral T-Cell and Diffuse Large B-Cell Lymphoma [NCT01846390] | Phase 1 | 21 participants (Actual) | Interventional | 2013-10-01 | Completed |
A Phase III Study of Gemcitabine Plus Capecitabine (GEMCAP) Versus Gemcitabine Alone in Advanced Biliary Cancer [NCT00658593] | Phase 3 | 19 participants (Actual) | Interventional | 2008-10-10 | Terminated(stopped due to due to poor accrual) |
An Open-Label, Multicenter Study of IBI308 in Subjects With Selected Advanced Solid Tumors [NCT02937116] | Phase 1 | 233 participants (Actual) | Interventional | 2016-10-19 | Completed |
A Phase II Study of Bortezomib and Gemcitabine in Patients With Relapsed Mantle Cell Lymphoma [NCT00377052] | Phase 2 | 29 participants (Actual) | Interventional | 2007-01-16 | Completed |
A Phase I, Open-Label, Dose-Seeking Study of AZD2171 Given Daily Orally in Combination With Selected Standard Chemotherapy Regimens (CT) in Patients With Advanced Incurable Non-Small Cell Lung Cancer (NSCLC) or Colorectal Cancer [NCT00343408] | Phase 1 | 31 participants (Actual) | Interventional | 2005-11-29 | Completed |
A Phase I/II Study of AZD0530 in Combination With Gemcitabine in Patients With Advanced Pancreatic Cancer [NCT00265876] | Phase 1/Phase 2 | 34 participants (Actual) | Interventional | 2006-04-26 | Completed |
A Phase II Study of Cisplatin and Gemcitabine in Patients With Locally Advanced/Recurrent or Metastatic Malignant Salivary Gland Tumors [NCT00079079] | Phase 2 | 34 participants (Actual) | Interventional | 2003-10-27 | Completed |
Phase II Trial of Gemcitabine and S-1 for Patients With Advanced Biliary Tract Cancer [NCT02146703] | Phase 2 | 38 participants (Actual) | Interventional | 2005-08-31 | Completed |
A Phase I/II, Two-Part, Multicenter Study to Evaluate the Safety and Efficacy of M402 in Combination With Nab-Paclitaxel and Gemcitabine in Patients With Metastatic Pancreatic Cancer [NCT01621243] | Phase 1/Phase 2 | 128 participants (Actual) | Interventional | 2012-05-31 | Terminated(stopped due to The study was terminated after a pre-planned futility analyses showed an insufficient level of efficacy in the study population to warrant continuation.) |
Phase I Study of Lonsurf in Combination With Gemcitabine and Nab-Paclitaxel in Patients With Advanced Pancreatic Ductal Adenocarcinoma (PDAC) [NCT04046887] | Phase 1 | 14 participants (Actual) | Interventional | 2019-09-11 | Active, not recruiting |
A Phase II, Multicenter, Randomized Trial of Eribulin Plus Gemcitabine (EG) vs.Paclitaxel Plus Gemcitabine (PG) in Patients With HER2-Negative Metastatic Breast Cancer as First -Line Chemotherapy [NCT02263495] | Phase 2 | 118 participants (Actual) | Interventional | 2014-12-19 | Completed |
A Phase III Study of Chemotherapy and Chemoradiotherapy With or Without Algenpantucel-L (HyperAcute®-Pancreas) Immunotherapy in Subjects With Surgically Resected Pancreatic Cancer [NCT01072981] | Phase 3 | 722 participants (Actual) | Interventional | 2010-04-30 | Completed |
EGFR-TKI With Chemotherapy as First Line Treatment in Stage IIIB/IV NSCLC Patients With Both EGFR Mutation and BIM Deletion Polymorphism [NCT02859077] | Phase 3 | 100 participants (Anticipated) | Interventional | 2016-08-31 | Not yet recruiting |
A Phase 1, Multicenter, Open-label, Dose-escalation Study to Investigate the Safety and Pharmacokinetics of Nab®-Paclitaxel (ABI-007) Plus Gemcitabine in Subjects With Advanced Pancreatic Cancer Who Have Cholestatic Hyperbilirubinemia Secondary to Bile Du [NCT02267707] | Phase 1 | 1 participants (Actual) | Interventional | 2015-05-27 | Terminated(stopped due to Study population more infrequent than estimated. No study-related safety issues and no safety concerns were identified for the study.) |
A Phase I, Open-label, Dose Escalation Study of Gemcitabine and Pulse Dose Erlotinib in Second Line Treatment of Advanced Pancreatic Cancer [NCT02154737] | Phase 1 | 24 participants (Anticipated) | Interventional | 2013-07-31 | Completed |
A Multicenter, Randomized Double-Blind Phase II/III Study in the First-Line Treatment of Advanced Transitional Cell Carcinoma (TCC) of the Urothelium Comparing Vinflunine/Gemcitabine to Placebo/Gemcitabine in Patients Who Are Ineligible to Receive Cisplat [NCT00389155] | Phase 2/Phase 3 | 34 participants (Actual) | Interventional | 2007-01-31 | Completed |
A Phase I-II Study of Induction Chemotherapy With Carboplatin and Gemcitabine, Followed by Chemoradiotherapy With Paclitaxel and Vinorelbine for Patients With Locally Advanced Non-Small Cell Lung Cancer [NCT00004093] | Phase 1/Phase 2 | 36 participants (Actual) | Interventional | 1999-08-31 | Terminated(stopped due to Original Principal Investigator left the institution.) |
A Phase I/II Study of Gemcitabine, Bendamustine, and Nivolumab in Patients With Relapsed or Refractory Classical Hodgkin Lymphoma [NCT03739619] | Phase 1/Phase 2 | 54 participants (Anticipated) | Interventional | 2018-11-26 | Active, not recruiting |
Phase III Randomized Trial of Anlotinib Plus Gemcitabine/Cisplatin Vesus Placebo Plus Gemcitabine/Cisplatin in Previous Untreated Patients With Recurrent/Metastatic Nasopharyngeal Carcinoma [NCT03601975] | Phase 3 | 336 participants (Anticipated) | Interventional | 2018-08-27 | Recruiting |
A Phase II Trial Evaluating Cisplatin (NSC #119875) and Gemcitabine (NSC #613327) Concurrent With Intensity-Modulated Radiation Therapy (IMRT) in the Treatment of Locally Advanced Squamous Cell Carcinoma of the Vulva (NCT #01595061) [NCT01595061] | Phase 2 | 57 participants (Actual) | Interventional | 2012-07-02 | Active, not recruiting |
Neoadjuvant Folfirinox or Gemcitabine-Nab Paclitaxel Followed by Stereotactic Body Radiotherapy (SBRT) for Patients With Locally Advanced Pancreatic Cancer [NCT03600623] | Early Phase 1 | 25 participants (Actual) | Interventional | 2017-09-25 | Terminated(stopped due to PI left the institution; no further accruals) |
YY-20394 Combined With GEMOX in the Treatment of Patients With Relapsed and/or Refractory Diffuse Large B-cell Lymphoma With a Single Arm, Open, Multicentrized Phase 1b/2 Clinical Trial [NCT04500561] | Phase 1/Phase 2 | 28 participants (Anticipated) | Interventional | 2020-08-20 | Not yet recruiting |
A Randomized, Open-label Phase III Trial to Evaluate the Efficacy and Safety of Pertuzumab Retreatment in Previously Pertuzumab, Trastuzuamb and Chemotherapy Treated Her2-Positive Metastatic Advanced Breast Cancer [NCT02514681] | Phase 3 | 370 participants (Anticipated) | Interventional | 2015-08-01 | Active, not recruiting |
A Phase 3, Open-Label, Randomized, Parallel Group Study to Evaluate the Efficacy and Safety of Intrapleural Administration of Adenovirus-Delivered Interferon Alpha-2b (rAd-IFN) in Combination With Celecoxib and Gemcitabine in Patients With Malignant Pleur [NCT03710876] | Phase 3 | 53 participants (Actual) | Interventional | 2019-01-21 | Active, not recruiting |
Phase I Study of Neoadjuvant Chemotherapy of Gemcitabine Plus Nab-paclitaxel for Patients With Borderline Resectable Pancreatic Cancer. [NCT02506803] | Phase 1 | 10 participants (Anticipated) | Interventional | 2015-07-31 | Recruiting |
A Phase II, Single-arm Study to Evaluate the Efficacy and Safety of PD-1 Antibody Camrelizumab in Combination With Nab-paclitaxel Plus Gemcitabine in Treating Patients With Metastatic Pancreatic Cancer [NCT04498689] | Phase 2 | 117 participants (Anticipated) | Interventional | 2019-08-01 | Recruiting |
EndostarTM Injection Combined With Gemcitabine+Platinum (GP)/Navelbine+Platinum (NP)/Gemcitabine+Xeloda (GX)/Navelbine+Xeloda (NX) in Treatment of Recurrent Metastatic Breast Cancer: A Randomized, Opened and Controlled Clinical Study [NCT02489409] | Phase 2 | 120 participants (Anticipated) | Interventional | 2015-10-31 | Recruiting |
A Phase 1 Dose-Escalation Study of LY2603618 in Combination With Gemcitabine in Japanese Patients With Solid Tumors [NCT01341457] | Phase 1 | 17 participants (Actual) | Interventional | 2011-05-31 | Completed |
Phase 1b Study of Gemcitabine, Nab-paclitaxel, and Ficlatuzumab (AV-299) in Patients With Advanced Pancreatic Cancer [NCT03316599] | Phase 1 | 26 participants (Actual) | Interventional | 2018-01-17 | Completed |
Preoperative Treatment With mFOLFIRINOX (or Gem-Nab-P) +/- Isotoxic High-dose Stereotactic Body Radiation Therapy (iHD-SBRT) for Borderline Resectable Pancreatic Adenocarcinoma: a Randomised Phase II Study (STEREOPAC) [NCT05083247] | Phase 2 | 256 participants (Anticipated) | Interventional | 2023-03-24 | Recruiting |
A Phase I Trial of Intensity Modulated Radiation Therapy With Concurrent Cisplatin and Escalating Gemcitabine for Locally Advanced Cervical Carcinoma [NCT01554410] | Phase 1 | 35 participants (Actual) | Interventional | 2010-08-31 | Completed |
A Phase 1 Study of Chloroquine in Combination With Carboplatin/Gemcitabine in Advanced Solid Tumors [NCT02071537] | Phase 1 | 24 participants (Actual) | Interventional | 2014-05-13 | Completed |
Adjuvant Chemotherapy Following Radical Cystectomy to Treat Locally Advanced Bladder Cancer [NCT02074189] | Phase 3 | 200 participants (Anticipated) | Interventional | 2014-03-31 | Enrolling by invitation |
A Randomized, Double-Blind, Placebo-Controlled Study of Nab-Paclitaxel and Gemcitabine With or Without SBP-101 in Subjects Previously Untreated for Metastatic Pancreatic Ductal Adenocarcinoma [NCT05254171] | Phase 2/Phase 3 | 150 participants (Anticipated) | Interventional | 2022-08-08 | Recruiting |
A First in Human, Phase 1/2a, Multicentre, Open-label Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Efficacy of PBP1510 in Patients With Advanced/Metastatic Pancreatic Cancer [NCT05141149] | Phase 1/Phase 2 | 80 participants (Anticipated) | Interventional | 2023-06-05 | Recruiting |
A Phase II/III, Multicenter, Randomized, Placebo-controlled Study of Gemcitabine Plus Cisplatin With or Without Bintrafusp Alfa (M7824) as First-line Treatment of Biliary Tract Cancer [NCT04066491] | Phase 2/Phase 3 | 309 participants (Actual) | Interventional | 2019-09-20 | Terminated(stopped due to Based on a review of data conducted by the Independent Data Monitoring Committee (IDMC), Sponsor decided to discontinue this study as the study was unlikely to achieve the primary objective of overall survival.) |
A Phase Ib/II, Open-Label, Multicenter, Randomized Umbrella Study Evaluating the Efficacy and Safety of Multiple Immunotherapy-Based Treatments and Combinations in Patients With Urothelial Carcinoma (MORPHEUS-UC) [NCT03869190] | Phase 1/Phase 2 | 645 participants (Anticipated) | Interventional | 2019-06-01 | Recruiting |
Molecularly-Driven Doublet Therapy for All Children With Refractory or Recurrent CNS Malignant Neoplasms and Young Adults With Refractory or Recurrent SHH Medulloblastoma [NCT03434262] | Phase 1 | 68 participants (Actual) | Interventional | 2018-03-05 | Active, not recruiting |
A Phase III, Randomized, Double-blind Trial of Platinum Doublet Chemotherapy +/-Pembrolizumab (MK-3475) as Neoadjuvant/Adjuvant Therapy for Participants With Resectable Stage II, IIIA, and Resectable IIIB (T3-4N2) Non-small Cell Lung Cancer (NSCLC) (KEYNO [NCT03425643] | Phase 3 | 797 participants (Actual) | Interventional | 2018-04-24 | Active, not recruiting |
A Phase Ib/II, Open-Label, Multicenter, Randomized Umbrella Study Evaluating The Efficacy And Safety Of Multiple Immunotherapy-Based Treatment Combinations In Patients With Metastatic Non-Small Cell Lung Cancer (Morpheus-Lung) [NCT03337698] | Phase 1/Phase 2 | 470 participants (Anticipated) | Interventional | 2018-01-02 | Recruiting |
A Phase II Trial of MK3475 in Combination With Gemcitabine and Concurrent Hypofractionated Radiation Therapy as Bladder Sparing Treatment for Muscle-Invasive Urothelial Cancer of the Bladder [NCT02621151] | Phase 2 | 60 participants (Actual) | Interventional | 2016-08-11 | Active, not recruiting |
Liposomal Doxorubicin Versus Carboplatin/Paclitaxel in Patients With Ovarian Cancer Recurrence Between 6 and 12 Months After Previous Platinum Based Therapy: Phase III Randomized Multicenter Study Amendment Title Protocol Version 2.0: Phase III Internatio [NCT00657878] | Phase 3 | 215 participants (Actual) | Interventional | 2008-11-30 | Active, not recruiting |
PA-Gemox Regimen Followed by Thalidomide Versus AspaMetDex Regimen in NKTCL Patients:a Randomized, Open-label, Phase 3 Study [NCT02085655] | Phase 3 | 264 participants (Anticipated) | Interventional | 2013-04-25 | Recruiting |
Combination Chemotherapy Including Cisplatin, Ifosfamide, Gemcitabine, L-asparaginase, Etoposide and Dexamethasone (PIGLETS Regimen) as Treatment of Newly Diagnosed and Relapsed/Refractory Peripheral T Cell Lymphomas (PTCLs) [NCT03071822] | Phase 4 | 50 participants (Anticipated) | Interventional | 2017-02-24 | Recruiting |
A Randomized Phase II Study of MCS110 Combined With Carboplatin and Gemcitabine in Advanced Triple Negative Breast Cancer (TNBC) [NCT02435680] | Phase 2 | 50 participants (Actual) | Interventional | 2015-08-10 | Completed |
A Phase I Trial With Cohort Expansion of Enzalutamide in Combination With Gemcitabine and Nab-Paclitaxel for the Treatment of Advanced Pancreatic Cancer [NCT02138383] | Phase 1 | 25 participants (Actual) | Interventional | 2014-05-22 | Completed |
A Phase 2 Study of Cabiralizumab (BMS-986227, FPA008) Administered in Combination With Nivolumab (BMS-936558) With and Without Chemotherapy in Patients With Advanced Pancreatic Cancer [NCT03336216] | Phase 2 | 206 participants (Actual) | Interventional | 2017-12-19 | Completed |
Phase II Trial of Doxorubicin and Gemcitabine in Metastatic Renal Cell Carcinoma With Sarcomatoid Features [NCT00068393] | Phase 2 | 39 participants (Actual) | Interventional | 2004-02-24 | Completed |
Phase 2 Evaluation of a Community-Based Multi-modality Management Algorithm for Clinically Non-metastatic Ductal Adenocarcinoma of the Exocrine Pancreas or Ampulla [NCT02626520] | Phase 2 | 11 participants (Actual) | Interventional | 2016-05-11 | Terminated(stopped due to Study team felt toxicity of study regimen outweighed potential benefit.) |
A Phase I Two-Dimensional Dose-Finding Study of Ixazomib in Combination With Gemcitabine and Doxorubicin, Followed by a Phase II Extension to Assess the Efficacy of This Combination in Metastatic, Surgically Unresectable Urothelial Cancer [NCT02420847] | Phase 1/Phase 2 | 57 participants (Anticipated) | Interventional | 2015-07-03 | Active, not recruiting |
Phase I Study of Nonmyeloablative Allogeneic Hematopoietic Stem Cell Transplantation in the Treatment of Pancreatic Cancer [NCT03236883] | Phase 1 | 30 participants (Anticipated) | Interventional | 2016-04-30 | Recruiting |
Induction Versus Adjuvant Gemcitabine/Cisplatin in Locally Advanced Non-metastatic Nasopharyngeal Carcinoma: A Randomized Phase III Trial [NCT04898374] | Phase 3 | 120 participants (Anticipated) | Interventional | 2021-05-01 | Recruiting |
Randomized, Double-Blind, Phase 2 Study of Ramucirumab or Merestinib or Placebo Plus Cisplatin and Gemcitabine as First-Line Treatment in Patients With Advanced or Metastatic Biliary Tract Cancer [NCT02711553] | Phase 2 | 309 participants (Actual) | Interventional | 2016-05-19 | Active, not recruiting |
Multicenter and Prospective Phase II Trial With Gemcitabine and Rapamycin in Second Line of Metastatic Osteosarcoma [NCT02429973] | Phase 2 | 33 participants (Actual) | Interventional | 2012-07-31 | Completed |
A Study of S-1 in Combination With Gemcitabine as First-Line Treatment in Patients With Advanced Biliary Tract Cancer [NCT02425137] | Phase 2 | 51 participants (Actual) | Interventional | 2015-04-30 | Completed |
Phase I/II Study of Stereotactic Radiosurgery With Concurrent Administration of DNA Damage Response (DDR) Inhibitor (OLAparib) Followed by Adjuvant Combination of DuRvalumab (MEDI4736) and Physician's Choice Systemic Therapy in Subjects With BreAst Cancer [NCT04711824] | Phase 1/Phase 2 | 41 participants (Anticipated) | Interventional | 2022-03-09 | Recruiting |
A Phase II Pilot Trial Of Paclitaxel Protein Bound Plus Cisplatin Plus Gemcitabine and the Addition Of Paricalcitol Upon Disease Progression in Patients With Previously Untreated Metastatic Pancreatic Ductal Adenocarcinoma (NABPLAGEMD) [NCT03415854] | Phase 2 | 11 participants (Actual) | Interventional | 2018-01-31 | Completed |
A Phase I Study of Ceritinib (LDK378), a Novel ALK Inhibitor, in Combination With Gemcitabine-Based Chemotherapy in Patients With Advanced Solid Tumors [NCT02227940] | Phase 1 | 38 participants (Anticipated) | Interventional | 2015-01-08 | Completed |
Phase 1b/2 Study of Naxitamab (Danyelza), Gemcitabine and Ex Vivo Expanded Allogenic Universal Donor, TGFβi Natural Killer (NK) Cells in Advanced GD2-expressing Breast Cancers (DiG NKs) [NCT06026657] | Phase 1/Phase 2 | 42 participants (Anticipated) | Interventional | 2023-12-31 | Recruiting |
Randomized Phase II and Phase III Studies of Individualized Treatment for Nasopharyngeal Carcinoma Based on Biomarker Epstein Barr Virus (EBV) Deoxyribonucleic Acid (DNA) [NCT02135042] | Phase 2/Phase 3 | 685 participants (Actual) | Interventional | 2014-04-21 | Active, not recruiting |
Phase II Trial of 5-FU, Leucovorin, Gemcitabine, and Cisplatin for Adenocarcinomas of the Urothelial Tract and Urachal Remnant [NCT00082706] | Phase 2 | 46 participants (Actual) | Interventional | 2003-04-23 | Active, not recruiting |
Phase II Study of Neoadjuvant Intraperitoneal Gemcitabine and Intravenous Gemcitabine With Radiotherapy Followed by Surgery and Adjuvant Intraperitoneal Gemcitabine, Intravenous Gemcitabine, and Fluorouracil in Patients With Advanced Adenocarcinoma of the [NCT00020345] | Phase 2 | 0 participants | Interventional | 2000-09-30 | Completed |
A Phase II Study of Biweekly Gemcitabine and Paclitaxel (GEMTAX) Combination in Patients With Recurrent or Metastatic Squamous Cell Carcinoma of the Head and Neck (SCCHN) [NCT00100789] | Phase 2 | 67 participants (Actual) | Interventional | 2005-01-31 | Completed |
A Unicentric, Open Label, Mechanism of Action Trial, on the Biological Effect of Nab-paclitaxel Combined to Gemcitabine, in Patients With Metastatic Pancreatic Adenocarcinoma [NCT02174887] | Phase 1 | 19 participants (Actual) | Interventional | 2014-09-30 | Completed |
Reducing INfection at the Surgical SitE With Antibiotic Irrigation During Ventral Hernia Repair (RINSE Trial) [NCT03945357] | Phase 3 | 250 participants (Actual) | Interventional | 2019-05-15 | Completed |
A Randomized Phase II Study of Perioperative mFOLFIRINOX Versus Gemcitabine/Nab-Paclitaxel as Therapy for Resectable Pancreatic Adenocarcinoma [NCT02562716] | Phase 2 | 147 participants (Actual) | Interventional | 2016-01-06 | Completed |
A Multicenter Randomized Phase Ⅲ Clinical Trial of Gemcitabine in Combination With Capecitabine Versus Gemcitabine Plus Carboplatin as First-line Treatment in Triple-negative Recurrent or Metastatic Breast Cancer [NCT02207335] | Phase 3 | 120 participants (Anticipated) | Interventional | 2013-12-31 | Recruiting |
CAMPFIRE: Children's and Young Adult Master Protocol for Innovative Pediatric Research [NCT05999994] | Phase 2 | 105 participants (Anticipated) | Interventional | 2020-01-22 | Recruiting |
Phase II Study Evaluating the Efficacy of M9241 in Combination With Hepatic Artery Infusion Pump (HAIP) and Systemic Therapy for Subjects With Metastatic Colorectal Cancer or Intrahepatic Cholangiocarcinoma [NCT05286814] | Phase 2 | 48 participants (Anticipated) | Interventional | 2022-10-24 | Recruiting |
A Phase II Pilot Study of Disulfiram and Copper Gluconate in Patients With Metastatic Pancreatic Cancer and Rising CA-19-9 Levels While Receiving Abraxane-Gemcitabine or FOLFIRINOX or Single-Agent Gemcitabine [NCT03714555] | Phase 2 | 1 participants (Actual) | Interventional | 2019-10-17 | Terminated(stopped due to Study was closed due to low subject enrollment at site.) |
Phase II Multicentre, Randomized, Open-label Study to Evaluate the Safety and Efficacy of Avelumab With Gemcitabine/Carboplatin Versus Gemcitabine/Carboplatin Alone in Patients With Unresectable or Metastatic Urothelial Carcinoma (UC) Who Have Not Receive [NCT03390595] | Phase 2 | 85 participants (Actual) | Interventional | 2018-05-17 | Completed |
A Study of Enfortumab Vedotin (ASG-22CE) as Monotherapy or in Combination With Other Anticancer Therapies for the Treatment of Urothelial Cancer [NCT03288545] | Phase 1/Phase 2 | 348 participants (Actual) | Interventional | 2017-10-11 | Active, not recruiting |
An Open Label, Dose Escalation Followed by Dose Expansion, Safety and Tolerability Trial of CAN04, a Fully Humanized Monoclonal Antibody Against IL1RAP, in Subjects With Solid Malignant Tumors [NCT03267316] | Phase 1/Phase 2 | 167 participants (Actual) | Interventional | 2017-09-19 | Active, not recruiting |
A Double-Blind, Randomized Phase 2b Study of Sorafenib Compared to Placebo When Administered in Combination With Chemotherapy for Patients With Locally Advanced or MBC That Has Progressed During or After Bevacizumab Therapy [NCT00493636] | Phase 2 | 160 participants (Actual) | Interventional | 2007-06-30 | Completed |
Gemcitabine Combined With Nimotuzumab and Toripalimab as Induction Treatment Followed by Chemoradiotherapy for Locally Advanced Nasopharyngeal carcinoma-a Multicenter, Randomized Controlled Study [NCT06026878] | Phase 3 | 228 participants (Anticipated) | Interventional | 2023-09-01 | Recruiting |
Phase I/II Study of Gemcitabine and Concurrent Radiation Followed by Adjuvant Hysterectomy in Bulky Stage Ib and IIa Cervical Carcinoma: Analysis of Prognostic Factors and Determinants of Response: A Pilot Study [NCT00184093] | Phase 1/Phase 2 | 35 participants (Actual) | Interventional | 1999-06-30 | Completed |
A Randomized Phase II Study of Gemcitabine and Carboplatin With or Without MK-0646 as First-Line Therapy in Advanced Squamous Non-Small Cell Lung Carcinoma [NCT00951444] | Phase 2 | 0 participants (Actual) | Interventional | | Withdrawn(stopped due to The study was not activated.) |
Sequential Combination of Chemotherapy With Gemcitabine/Oxaliplatin and Photodynamic Therapy in Advanced Cholangiocarcinoma [NCT00713687] | Phase 2 | 0 participants (Actual) | Interventional | 2008-08-31 | Withdrawn(stopped due to recruiting failed) |
A Phase I/II Open-Label Dose-Escalation Clinical Trial of CPI-613 in Combination With Gemcitabine in Cancer Patients [NCT00907166] | Phase 1/Phase 2 | 6 participants (Actual) | Interventional | 2009-05-31 | Terminated(stopped due to Suspended trial was not restarted.) |
A Phase II Trial of 17-N-Allylamino-17-Demethoxygeldanamycin (17-AAG) in Combination With Gemcitabine in Patients With Metastatic Pancreatic Adenocarcinoma [NCT00577889] | Phase 2 | 21 participants (Actual) | Interventional | 2008-03-31 | Completed |
A Phase I, Open-Label, Dose-Escalation Study to Assess the Safety, Tolerability and Pharmacokinetics of AZD6918 Administered Daily as a Single Agent and in Combination Treatment in Adult Patients With Refractory Solid Malignancies [NCT00733031] | Phase 1 | 75 participants (Anticipated) | Interventional | 2008-08-31 | Terminated(stopped due to PK results demonstrate low and variable plasma concentrations so that achieving therapeutic concentrations is unlikely.) |
A Randomized, Double-blind, Multicenter Study of Lenvatinib, Temalizumab Combined With Gemcitabine and Cisplatin (GPLET) in the Treatment of Advanced Cholangiocarcinoma [NCT05823311] | Phase 3 | 80 participants (Anticipated) | Interventional | 2023-10-31 | Recruiting |
A Single Arm Phase 2 Study of Y-90 SIRT in Combination With Durvalumab (MEDI 4736) and Gemcitabine/Cisplatin in Locally Advanced, Unresectable or Metastatic Intrahepatic Cholangiocarcinoma [NCT05655949] | Phase 2 | 30 participants (Anticipated) | Interventional | 2023-12-31 | Recruiting |
Molecular Targeted Maintenance Therapy Versus Standard of Care in Advanced Biliary Cancer: an International, Randomised, Controlled, Open-label, Platform Phase 3 Trial [NCT05615818] | Phase 3 | 800 participants (Anticipated) | Interventional | 2024-01-31 | Not yet recruiting |
A Phase Ⅱ, Open Label, Single-center Study of Lenvatinib and Tirelizumab Combined With Gemcitabine and Cisplatin (GPLET) in the Treatment of Advanced Cholangiocarcinoma [NCT05532059] | Phase 2 | 100 participants (Anticipated) | Interventional | 2022-01-31 | Recruiting |
A Phase II Trial Evaluating the Efficacy of Polatuzumab Vedotin With Rituximab, Gemcitabine, Dexamethasone, and Cisplatin (PV-RGDP) Chemotherapy for Relapsed or Refractory Diffuse Large B-cell Lymphoma [NCT05498220] | Phase 2 | 44 participants (Anticipated) | Interventional | 2023-02-17 | Recruiting |
A Phase 1b Study of Gemcitabine and Nab-paclitaxel in Combination With IM156 in Patients With Advanced Pancreatic Cancer. [NCT05497778] | Phase 1 | 25 participants (Anticipated) | Interventional | 2022-10-21 | Recruiting |
Modified FOLFIRINOX Alternated With Biweekly Gemcitabine Plus Nab-Paclitaxel in Untreated Metastatic Adenocarcinoma of the Pancreas [NCT04672005] | Phase 2 | 30 participants (Anticipated) | Interventional | 2021-01-06 | Recruiting |
A Phase II, Randomized, Active-Controlled, Multi-Center Study Comparing the Efficacy and Safety of Targeted Therapy or Cancer Immunotherapy Guided by Genomic Profiling Versus Platinum-Based Chemotherapy in Patients With Cancer of Unknown Primary Site Who [NCT03498521] | Phase 2 | 790 participants (Anticipated) | Interventional | 2018-07-10 | Active, not recruiting |
Phase II Single Arm Study of Gemcitabine and Cisplatin Plus Pembrolizumab as Neoadjuvant Therapy Prior to Radical Cystectomy in Patients With Muscle-Invasive Bladder Cancer [NCT02690558] | Phase 2 | 39 participants (Actual) | Interventional | 2016-05-31 | Active, not recruiting |
A Phase Ib Clinical Study of BBI608 in Combination With Standard Chemotherapies in Adult Patients With Metastatic Pancreatic Adenocarcinoma [NCT02231723] | Phase 1 | 139 participants (Actual) | Interventional | 2014-08-31 | Completed |
A Phase I, Open-Label, Dose-Escalation Study to Assess Safety, Tolerability & Pharmacokinetics of AZD7762 Administered as a Single Intravenous Agent and in Combination w/ Wkly Standard Dose Gemcitabine in Japanese Patients w/ Advanced Solid Malignancies [NCT00937664] | Phase 1 | 24 participants (Actual) | Interventional | 2009-07-31 | Terminated(stopped due to Termination of the study was made after a full review of program data and assessment of the current risk-benefit profile.) |
A Multi-center, Phase IB/II, Open Label, Single Arm Study of Inotuzumab Ozogamicin Plus Rituximab (R-CMC544) Alternating With Gemcitabine-oxaliplatin Plus Rituximab(R-GEMOX)in Patients Aged From 18 to 80 Years With CD20 and CD22 Positive Diffuse Large B-c [NCT01562990] | Phase 1/Phase 2 | 11 participants (Actual) | Interventional | 2012-12-31 | Completed |
Vinorelbine Plus Gemcitabine (VG) Versus Vinorelbine Plus Carboplatin (VC) in Advanced Non-small Cell Lung Cancer. An Open Randomized Multicenter Phase III Trial From Norwegian Lung Cancer Study Group (NLCG) [NCT00737867] | Phase 3 | 444 participants (Anticipated) | Interventional | 2007-09-30 | Completed |
Randomised Phase II Trial of Cediranib (AZD2171) Versus Placebo in Addition to Cisplatin/Gemcitabine Chemotherapy for Patients With Advanced Biliary Tract Cancers [NCT00939848] | Phase 2/Phase 3 | 124 participants (Actual) | Interventional | 2011-04-30 | Completed |
An Open-label, Phase II Study of Capecitabine Plus Gemcitabine in Patients With Locally Advanced or Metastatic Pancreatic Cancer [NCT02565641] | Phase 2 | 63 participants (Actual) | Interventional | 2003-03-31 | Completed |
A Phase 2 Study of Transarterial Chemoperfusion Treatment With Cisplatin, Methotrexate and Gemcitabine in Patients With Unresectable Pleural Mesothelioma [NCT02611037] | Phase 2 | 34 participants (Actual) | Interventional | 2016-03-04 | Active, not recruiting |
Randomized Phase II-III Trial of Post-operative Treatment of Pancreatic Adenocarcinoma: Gemcitabine Versus PEFG Followed by Radiochemotherapy With Concomitant Continuous Infusion of 5-fluorouracil [NCT00960284] | Phase 2/Phase 3 | 102 participants (Actual) | Interventional | 2003-06-30 | Completed |
A Phase Ib/II Trial of ALT-801 in Combination With Cisplatin and Gemcitabine in Muscle Invasive or Metastatic Urothelial Cancer [NCT01326871] | Phase 1/Phase 2 | 90 participants (Anticipated) | Interventional | 2011-06-30 | Active, not recruiting |
A Phase II Randomized Study of the Combination of Ribociclib Plus Goserelin Acetate With Hormonal Therapy Versus Physician Choice Chemotherapy in Premenopausal or Perimenopausal Patients With Hormone Receptor-positive/ HER2-negative Inoperable Locally Adv [NCT03839823] | Phase 2 | 223 participants (Actual) | Interventional | 2019-02-25 | Completed |
Phase II Safety and Efficacy Study of Capecitabine, Gemcitabine, and Bevacizumab in Combination for Patients With Metastatic or Unresectable Sarcomatoid Renal Cell Carcinoma [NCT00496587] | Phase 2 | 34 participants (Actual) | Interventional | 2007-07-31 | Completed |
An Open-label Phase I/II Clinical Trial of PT-112 Combine With Gemcitabine Injection for Advanced Solid Tumors [NCT05357196] | Phase 1/Phase 2 | 68 participants (Anticipated) | Interventional | 2020-04-13 | Recruiting |
A Phase II Study of Gemcitabine and Nab-Paclitaxel in Combination With GDC-0449 (Hedgehog Inhibitor) in Patients With Previously Untreated Metastatic Adenocarcinoma of the Pancreas [NCT01088815] | Phase 2 | 98 participants (Actual) | Interventional | 2010-09-17 | Completed |
A Phase I/II, Open-label, Single-center Study to Evaluate the Safety and Efficacy of the Pan-immunotherapy in Subjects With Local Advanced/Metastatic Biliary Tract Cancer [NCT04004234] | Phase 1/Phase 2 | 20 participants (Anticipated) | Interventional | 2019-03-01 | Recruiting |
A Phase II Study of the Combination of Fixed Dose Rate Gemcitabine, Infusional 5 Fluorouracil and Bevacizumab in Patients With Advanced Pancreas Cancer [NCT00417976] | Phase 2 | 42 participants (Actual) | Interventional | 2006-12-31 | Completed |
A Phase I Trial of GSK1120212 and GSK1120212 in Combination With Gemcitabine in Japanese Subjects With Solid Tumors [NCT01324258] | Phase 1 | 19 participants (Actual) | Interventional | 2011-01-24 | Completed |
A Phase I Trial of Gemcitabine (Gemzar) Plus ABI-007 (ABRAXANE) In Patients With Advanced Metastatic Pancreatic Cancer [NCT00398086] | Phase 1/Phase 2 | 67 participants (Actual) | Interventional | 2006-11-01 | Completed |
A Phase 2 Randomized, Placebo-controlled, Double-blind Study of the Efficacy of MORAb-009 in Combination With Gemcitabine in Patients With Advanced Pancreatic Cancer. [NCT00570713] | Phase 2 | 155 participants (Actual) | Interventional | 2007-12-31 | Completed |
Phase II Trial of Albumin-Bound Paclitaxel in Combination With Gemcitabine and Bevacizumab in Patients With Metastatic Breast Cancer [NCT00662129] | Phase 2 | 50 participants (Actual) | Interventional | 2008-11-30 | Completed |
Multicenter Non-interventional Study to Investigate Safety, Tolerability and Efficacy of Nab-paclitaxel in Clinical Routine Treatment of First-line Pancreatic Cancer Patients [NCT02555813] | | 317 participants (Actual) | Observational | 2015-05-08 | Completed |
Phase I Multicenter, Open-label, Clinical and Pharmacokinetic Study of Plitidepsin in Combination With Sorafenib or Gemcitabine in Patients With Advanced Solid Tumors or Lymphomas [NCT00788099] | Phase 1 | 45 participants (Actual) | Interventional | 2008-12-31 | Completed |
A Phase II Study of Sorafenib With Gemcitabine/Cisplatin in Advanced Hepatocellular Carcinoma [NCT00808145] | Phase 2 | 0 participants (Actual) | Interventional | 2009-02-28 | Withdrawn(stopped due to Lack of enrollment, many screen failures and non eligible study participants) |
Phase II Randomized Trial of Gemcitabine and Cisplatin With or Without Cetuximab in Patients With Urothelial Carcinoma [NCT00645593] | Phase 2 | 89 participants (Actual) | Interventional | 2008-03-31 | Completed |
Protocol for Assessment of Gemcitabine and Paclitaxel for Metastatic Urothelial Cancer in Patients Aged 70 Years or Older (and in a Cohort of Patients Younger Than 60 Years) [NCT00022633] | Phase 2 | 65 participants (Actual) | Interventional | 2001-07-31 | Terminated(stopped due to Permanently Closed Due to Poor Accrual) |
A Phase II Study of Neoadjuvant Gemcitabine and Oxaliplatin in Patients With Potentially Resectable Previously Untreated Pancreatic Adenocarcinoma [NCT00536874] | Phase 2 | 39 participants (Actual) | Interventional | 2007-10-31 | Completed |
A Phase II Trial of Cetuximab, Gemcitabine, 5-Fluorouracil and Radiation Therapy in Locally Advanced Non-metastatic Pancreatic Adenocarcinoma [NCT00424827] | Phase 2 | 11 participants (Actual) | Interventional | 2006-06-30 | Completed |
A Randomized Open-Label, Phase II Study of Lapatinib-capecitabine or Lapatinib-vinorelbine or Lapatinib/Gemcitabine in Subjects With Her2/Neu Amplified Metastatic Breast Cancer Patients Progression After Taxanes Treatment [NCT01050322] | Phase 2 | 142 participants (Actual) | Interventional | 2009-11-30 | Completed |
A Phase 2 Study of REOLYSIN in Combination With Gemcitabine for Patients With Advanced Pancreatic Adenocarcinoma [NCT00998322] | Phase 2 | 34 participants (Actual) | Interventional | 2009-10-31 | Completed |
A Multi-Center Randomized Phase II Study of Induction Chemotherapy Followed by Gemcitabine or Capecitabine Based Chemoradiotherapy for Locally Advanced Non-Metastatic Pancreatic Cancer [NCT01032057] | Phase 2 | 114 participants (Actual) | Interventional | 2009-07-31 | Completed |
Intermediate-size Patient Population IND for Treatment of KRAS G12V-mutant Tumors With Gene-engineered KRAS G12V-reactive T Cells [NCT05389514] | | 0 participants | Expanded Access | | Available |
LAPTOP: Phase 1/2 Study in Borderline Resectable, Locally Advanced or Metastatic Pancreatic Cancer to Assess Safety and Potential Efficacy of Dual Checkpoint Inhibition in Combination With Gemcitabine and Nab-paclitaxel Followed by Immune-chemoradiation. [NCT04247165] | Phase 1/Phase 2 | 40 participants (Anticipated) | Interventional | 2020-06-02 | Recruiting |
A Randomized, Open-Label Phase 2 Study of 2 Regimens, Gemcitabine Plus Enzastaurin and Single-Agent Gemcitabine, in Patients With Locally Advanced or Metastatic Pancreatic Cancer [NCT00267020] | Phase 2 | 130 participants (Actual) | Interventional | 2005-12-31 | Completed |
A Phase II Trial of Cisplatin, Gemcitabine and Bevacizumab in Combination for Metastatic Transitional Cell Cancer: Hoosier Oncology Group GU04-75 [NCT00234494] | Phase 2 | 45 participants (Actual) | Interventional | 2005-11-30 | Completed |
A Phase I, Dose-escalation Study of a Combination AS703569 and Gemcitabine Given to Subjects With Advanced Malignancies [NCT01097512] | Phase 1 | 66 participants (Actual) | Interventional | 2007-06-30 | Completed |
A Phase 1 Dose-Finding Study Of The Anti-Angiogenesis Agent, AG-013736, In Combinations Of Paclitaxel/Carboplatin, Weekly Paclitaxel, Docetaxel, Capecitabine, Gemcitabine/Cisplatin and Pemetrexed/Cisplatin In Patients With Advanced Solid Tumors [NCT00454649] | Phase 1 | 102 participants (Actual) | Interventional | 2005-12-31 | Completed |
A Dose Tolerability and Efficacy Study of RX-0201 Plus Gemcitabine in Metastatic Pancreatic Cancer [NCT01028495] | Phase 2 | 31 participants (Actual) | Interventional | 2009-05-31 | Completed |
A Study of Endostar in Combination With Chemotherapy Followed by Endostar Maintenance Therapy in Patients With Stage IIIB/IV Non-small Cell Lung Cancer (NSCLC) [NCT01028729] | Phase 4 | 120 participants (Anticipated) | Interventional | 2009-09-30 | Recruiting |
A Phase 1-2 Study of the VEGF Receptor Tyrosine Kinase Inhibitor PTK787/ZK 222584 and Gemcitabine in Patients With Advanced Pancreatic Cancer [NCT00185588] | Phase 1/Phase 2 | 33 participants (Actual) | Interventional | 2004-10-31 | Completed |
A Phase II Single-Arm Trial to Evaluate Cisplatin and Gemcitabine Chemotherapy in Combination With Sunitinib for First-Line Treatment of Patients With Advanced Transitional Carcinoma of the Urothelium [NCT01089088] | Phase 2 | 63 participants (Actual) | Interventional | 2009-04-30 | Completed |
Focused Ultrasound With Low-Dose Gemcitabine to Augment Immune Control of Early Stage Breast Cancer [NCT04796220] | Phase 1 | 48 participants (Anticipated) | Interventional | 2022-01-27 | Recruiting |
A Phase I/IIa Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of TST001 - Claudin18.2 Monoclonal Antibody in the Treatment of Locally Advanced or Metastatic Solid Tumors [NCT04495296] | Phase 1/Phase 2 | 320 participants (Anticipated) | Interventional | 2020-08-13 | Recruiting |
Phase 2 Gene Therapy Trial of Locally Advanced Pancreatic Adenocarcinoma Using Intratumoral Injection of CYL-02 in Combination With Gemcitabine [NCT02806687] | Phase 2 | 68 participants (Actual) | Interventional | 2017-01-30 | Completed |
Cytoreductive Surgery With Hyperthermic Intraperitoneal Chemotherapy (HIPEC) and Optional Postoperative Normothermic Intraperitoneal (IP) Chemotherapy to Treat Primary or Recurrent Carcinoma of Ovarian, Fallopian Tube, Uterine, or Peritoneal Origin [NCT01970722] | Phase 1 | 40 participants (Anticipated) | Interventional | 2014-05-19 | Active, not recruiting |
A Single Center, Randomized, Double-Blind, Placebo-Controlled Phase 2 Study of Gemcitabine (GEM) and Capecitabine (CAP) With or Without T-ChOS as Adjuvant Therapy in Patients With Surgically Resected Pancreatic Cancer. [NCT02767752] | Phase 2 | 21 participants (Actual) | Interventional | 2016-11-30 | Terminated(stopped due to Poor accrual and change of SOC (FOLFIRINOX in adjuvant setting)) |
Phase III,Randomized Controlled Trial of R-GemOx Versus R-miniCHOP Regimen in First-line Treatment of Elderly Diffuse Large B Cell Lymphoma [NCT02767674] | Phase 3 | 258 participants (Anticipated) | Interventional | 2016-05-31 | Recruiting |
Randomized, Controlled Study of the Safety and Efficacy of DC-CTL Immune Cell for Non-Small Cell Lung Cancer [NCT02766348] | Phase 2 | 60 participants (Anticipated) | Interventional | 2016-05-31 | Not yet recruiting |
A Phase II Study of the Efficacy and Safety of Bortezomib Plus GDP in the Treatment of Refractory and Relapsed Non-GCB Diffuse Large B-cell Lymphoma [NCT02542111] | Phase 2 | 30 participants (Anticipated) | Interventional | 2015-05-31 | Recruiting |
Feasibility of Radiotherapy and Concomitant Gemcitabine and Oxaliplatin in Locally Advanced Pancreatic Cancer and Distal Cholangiocarcinoma [NCT00286013] | Phase 2 | 24 participants (Actual) | Interventional | 2004-05-01 | Completed |
Phase II Study of Biweekly Gemcitabine and Docetaxel as First Line Treatment for Advanced Disease in Elderly Non Small Cell Lung Cancer (NSCLC) Patients. [NCT00905983] | Phase 2 | 48 participants (Actual) | Interventional | 2007-10-31 | Active, not recruiting |
Phase II Study of Biweekly Gemcitabine and Docetaxel as First Line Therapy for Advanced Non-Small Cell Lung Cancer Patients With ECOG PS 2 [NCT00906061] | Phase 2 | 76 participants (Anticipated) | Interventional | 2007-10-31 | Recruiting |
Adjuvant Gemcitabine Versus Gemcitabine With Chemoradiation in Pancreatic Adenocarcinoma With R1 Resection and/or Positive Lymph Nodes [NCT02754180] | Phase 2 | 110 participants (Anticipated) | Interventional | 2016-03-31 | Recruiting |
Pilot Study of Obinutuzumab in Combination With GDP Chemotherapy for the Treatment of Relapsed or Refractory CD20+ Aggressive Non-Hodgkin Lymphoma [NCT02750670] | Phase 2 | 30 participants (Actual) | Interventional | 2017-03-15 | Completed |
Phase IIb Randomised Clinical Trial Repurposing ATRA as a Stromal Targeting Agent in a Novel Drug Combination for Pancreatic Cancer [NCT04241276] | Phase 2 | 170 participants (Anticipated) | Interventional | 2020-04-30 | Not yet recruiting |
An Exploratory Clinical Trial of Nab-Paclitaxel and Gemcitabine Compared With Gemcitabine and Tegafur in Adjuvant Chemotherapy After Radical Resection of Pancreatic Cancer [NCT04216758] | Phase 2 | 300 participants (Anticipated) | Interventional | 2020-01-01 | Recruiting |
An Open-lable, Single Arm, Phase 2 Study of Camrelizumab(SHR-1210) Combined With GEMOX in Patients With Relapsed or Refractory Hodgkin Lymphoma Who Will Receive ASCT [NCT04239170] | Phase 2 | 84 participants (Anticipated) | Interventional | 2020-01-31 | Recruiting |
Feasibility of Total Neoadjuvant Therapy in Resectable Biliary Adenocarcinoma [NCT04480190] | Phase 1 | 0 participants (Actual) | Interventional | 2021-02-04 | Withdrawn(stopped due to Difficulty accruing) |
Prospective, Open-label, Multicentric, ph. II Study of R-GemOx and Dexametasone in Patients With Agressive Lymphomas Refractory or Relapsed to Previous Treatment and Non Eligible for High-dose Chemotherapy Followed by Autologous Stem Cell Transplanted [NCT01562977] | Phase 2 | 82 participants (Actual) | Interventional | 2011-04-30 | Completed |
Adjuvant Chemotherapy in Cell-free Human Papillomavirus Deoxyribonucleic Acid (cfHPV-DNA) Plasma Positive Patients: A Biomarker In Locally Advanced Cervical Cancer (CC) [NCT05764044] | Phase 3 | 50 participants (Anticipated) | Interventional | 2023-04-01 | Not yet recruiting |
A Phase II Randomized Trial Comparing a Combination of Abraxane and Gemcitabine Versus Gemcitabine Alone as First Line Treatment in Locally Advanced Unresectable Pancreatic Cancer. GAP (Gemcitabine Abraxane Pancreas) Trial [NCT02043730] | Phase 2 | 124 participants (Actual) | Interventional | 2014-01-31 | Completed |
Sintilimab (PD-1 Antibody) and Chemoradiotherapy in Locoregionally-advanced Nasopharyngeal Carcinoma: a Randomized, Multicenter, Phase 3 Trial [NCT03700476] | Phase 3 | 425 participants (Actual) | Interventional | 2018-12-21 | Active, not recruiting |
Randomised, Multicenter Phase II Study in Patients With Metastatic Breast Cancer With Gemcitabine Plus Vinorelbine Versus Gemcitabine Plus Cisplatin Versus Gemcitabine Plus Capecitabine [NCT00480597] | Phase 2 | 141 participants (Actual) | Interventional | 2002-10-31 | Completed |
SBRT Combined With Programmed Death 1 (PD-1) Antibody and Chemotherapy in Nasopharyngeal Carcinoma With Oligometastasis: A Prospective, Multicenter, Single-arm, Phase II Clinical Trial [NCT05524168] | Phase 2 | 41 participants (Anticipated) | Interventional | 2022-11-25 | Recruiting |
A Randomized Phase II Trial of Sunitinib/Gemcitabine or Sunitinib in Advanced Renal Cell Carcinoma With Sarcomatoid Features [NCT01164228] | Phase 2 | 87 participants (Actual) | Interventional | 2010-09-17 | Completed |
A Phase II Trial Of Carboplatin And Gemcitabine With Exisulind In Patients With Advanced Non-Small Cell Lung Cancer [NCT00041314] | Phase 2 | 0 participants | Interventional | 2002-10-04 | Completed |
A Randomized Phase II Trial of Paclitaxel-Carboplatin or Gemicitabine-Cisplatin in ECOG Performance Status 2 Non-Small Cell Lung Cancer Patients [NCT00006004] | Phase 2 | 0 participants | Interventional | 2000-08-22 | Completed |
A Phase II Study of Gemcitabine and Docetaxel in Pancreatic Adenocarcinoma [NCT00003810] | Phase 2 | 0 participants | Interventional | 1999-08-11 | Completed |
FDG-PET Based Chemotherapy Selection for Metastatic Non-Small Cell Lung Cancer [NCT00564733] | Phase 2 | 55 participants (Actual) | Interventional | 2007-10-31 | Completed |
A Phase 1b Study of Intratumoral REOLYSIN® in Combination With Gemcitabine and Cisplatin as Neoadjuvant Therapy in Muscle-invasive Transitional Cell Carcinoma of the Bladder [NCT02723838] | Phase 1 | 0 participants (Actual) | Interventional | 2017-02-28 | Withdrawn(stopped due to Company has reprioritized clinical plans to focus on later-stage studies.) |
[NCT02798510] | Phase 3 | 140 participants (Anticipated) | Interventional | 2016-04-30 | Recruiting |
Association of Survival With Maintenance Therapy in Patients With Metastatic Breast Cancer After First-line Chemotherapy [NCT04258163] | | 760 participants (Actual) | Observational | 2019-01-01 | Completed |
GAIN-1 Study: Gemcitabine With Abraxane and Other Investigational Therapies in Neoadjuvant Treatment of Pancreatic Adenocarcinoma [NCT01470417] | Phase 2 | 10 participants (Actual) | Interventional | 2011-10-31 | Completed |
A Randomized, Multicentre, Phase II, Parallel-Group Trial of Vandetanib Monotherapy or Vandetanib in Combination With Gemcitabine Versus Gemcitabine Plus Vandetanib Matching Placebo in Subjects With Advanced Biliary Tract Cancer (Gallbladder Cancer, Cance [NCT00753675] | Phase 2 | 174 participants (Actual) | Interventional | 2008-10-31 | Completed |
A Phase III, Multicenter, Randomized Study of ABX Plus Cisplatin (AP) Versus Gemcitabine Plus Cisplatin (GP) as First-Line Treatment in Patients With Advanced Triple-Negative Breast Cancer [NCT02546934] | Phase 3 | 254 participants (Anticipated) | Interventional | 2016-03-31 | Completed |
A Phase II Study of Gemcitabine and Cisplatin Plus Sorafenib in Patients With Advanced Biliary Tract Carcinomas Naïve to Systemic Therapy [NCT00919061] | Phase 2 | 39 participants (Actual) | Interventional | 2009-08-31 | Completed |
"A Randomized Non-comparative Open-label Phase 1b/2 Study of Nadunolimab in Combination With Gemcitabine Plus Carboplatin in Patients With Advanced Triple Negative Breast Cancer. TRIFOUR Study" [NCT05181462] | Phase 1/Phase 2 | 116 participants (Anticipated) | Interventional | 2022-01-11 | Recruiting |
Randomized Controlled Trial Comparing Adjuvant Chemotherapy Vs. no Chemotherapy for Patients With Carcinoma of Gallbladder Undergoing Curative Resection. [NCT02778308] | | 100 participants (Actual) | Interventional | 2012-01-31 | Completed |
Multicentric Phase II Trial to Evaluate the Efficacy and Safety of Ibrutinib in Combination With Rituximab, Gemcitabine, Oxaliplatin and Dexamethasone Followed by Ibrutinib Maintenance in Patients With Refractory/Relapsed Non-GCB Diffuse Large B-cell Lymp [NCT02692248] | Phase 2 | 62 participants (Actual) | Interventional | 2016-04-07 | Active, not recruiting |
A Dose Escalation Trial of Stereotactic Body Radiotherapy (SBRT) After Induction Chemotherapy for Locally Advanced Pancreatic Cancer [NCT02873598] | Phase 1 | 14 participants (Actual) | Interventional | 2016-11-17 | Completed |
Sequential High Dose MVAC (Methotrexate, Vinblastine, Doxorubicin and Cisplatin), Followed by Gemcitabine Plus Cisplatin in Treating Patients With Locally Advanced or Metastatic Bladder Cancer [NCT00635726] | Phase 2 | 41 participants (Actual) | Interventional | 2008-02-29 | Terminated(stopped due to Due to poor accrual) |
Phase 2 Study of Neoadjuvant Modified FOLFIRINOX in Patients With Borderline Resectable Pancreas Adenocarcinoma [NCT02749136] | Phase 2 | 44 participants (Actual) | Interventional | 2016-05-31 | Completed |
Chemotherapy, Host Response and Molecular Dynamics in Periampullary Cancer [NCT03724994] | | 180 participants (Anticipated) | Observational [Patient Registry] | 2018-10-30 | Recruiting |
The Efficacy and Safety of Gemcitabine, Etoposide, Dexamethasone and Pegaspargase Chemotherapy (GELAD) With Sandwiched Radiotherapy in the Treatment of Stage IE/II Natural Killer/T-Cell Lymphoma: A Multicenter, Prospective Study [NCT02733458] | | 52 participants (Actual) | Interventional | 2016-03-31 | Completed |
Multicentric, Randomized Phase II Trial for the Treatment of Patients With Relapsed Osteosarcoma [NCT02718482] | Phase 2 | 7 participants (Actual) | Interventional | 2016-04-06 | Terminated(stopped due to Not adequate enrollment (sample size not possible to reach)) |
A Phase 1 Study of VS-4718, a Focal Adhesion Kinase Inhibitor, in Combination With Nab-paclitaxel and Gemcitabine in Subjects With Advanced Cancer [NCT02651727] | Phase 1 | 13 participants (Actual) | Interventional | 2015-09-30 | Terminated(stopped due to the company's decision to de-prioritize 4718 development) |
Phase I/Ⅱ Sturdy on Antiangiogenic Vaccine Therapy Using Epitope Peptide Derived From VEGFR1 and VEGFR2 With Gemcitabine in Treating Patients With Unresectable, Recurrent, or Metastatic Pancreatic Cancer [NCT00655785] | Phase 1/Phase 2 | 17 participants (Actual) | Interventional | 2007-09-30 | Completed |
Phase I Study To Establish Maximum Tolerated Dose (MTD) of Cyberknife in Patients With Un-Resectable Pancreas Cancer (TL002) [NCT02707328] | Phase 1 | 30 participants (Anticipated) | Interventional | 2015-01-31 | Terminated(stopped due to Closed after being on administrative hold) |
A Randomized, Placebo-controlled, Double-blind Phase III Study of the Effect of First-line Treatment With Intercalated Tarceva Versus Placebo in Combination With Gemcitabine/Platinum on Progression-free Survival in Patients With Stage IIIB/IV Non-small Ce [NCT00883779] | Phase 3 | 451 participants (Actual) | Interventional | 2009-04-30 | Completed |
A Randomized Controlled Phase II Study on Intra-arterial Versus Intravenous Chemotherapy Infusion With Gemcitabine and Oxaliplatin for Locally Advanced Pancreatic Cancer [NCT02635971] | Phase 2 | 168 participants (Anticipated) | Interventional | 2015-12-31 | Recruiting |
A Multicentre, Open-label Phase II Study of Nab-paclitaxel in Combination With Gemcitabine + Cisplatin as First Line Treatment in Patients With Unresectable Biliary Tract Cancer [NCT02632305] | Phase 2 | 45 participants (Anticipated) | Interventional | 2016-07-13 | Recruiting |
A Phase 1 Study Of SU011248 And Gemcitabine In Patients With Advanced Solid Tumors [NCT00615446] | Phase 1 | 44 participants (Actual) | Interventional | 2005-03-31 | Completed |
Adjuvant vs. Progression-Triggered Treatment With Gemcitabine After Radical Cystectomy for Locally Advanced Transitional Cell Carcinoma of the Bladder in Patients Not Suitable for Cisplatin-Based Chemotherapy - A Phase 3 Study [NCT00146276] | Phase 3 | 178 participants | Interventional | 2000-07-31 | Recruiting |
Clinical Study of Low Dose of Decitabine Combined With Gemcitabine in First-line Treatment of Locally Advanced, Unresectable or Metastatic Pancreatic Cancer [NCT02685228] | | 20 participants (Anticipated) | Interventional | 2016-03-31 | Not yet recruiting |
A 2-part Trial Comparing Overall Survival of Patients With Metastatic Ewing's Sarcoma Treated With Vigil Versus Gemcitabine and Docetaxel and to Determine Safety Profile of Vigil in Combination With Irinotecan and Temozolomide. [NCT02511132] | Phase 2 | 22 participants (Actual) | Interventional | 2016-02-10 | Completed |
A Phase I Dose Escalation Study of Weekly SGN-35 Monotherapy and in Combination With Gemcitabine in Patients With Relapsed/Refractory CD30-positive Hematologic Malignancies [NCT00649584] | Phase 1 | 44 participants (Actual) | Interventional | 2008-03-31 | Terminated(stopped due to Sponsor decision not to enroll cohorts of combined SGN-35 and gemcitabine therapy.) |
A Phase 2 Study of 9-ING-41, a Glycogen Synthase Kinase 3-beta (GSK-3β) Inhibitor, Combined With Retifanlimab, a PD-1 Inhibitor, Plus Gemcitabine/Nab-Paclitaxel as Frontline Therapy for Patients With Advanced Pancreatic Adenocarcinoma (RiLEY) [NCT05239182] | Phase 2 | 32 participants (Anticipated) | Interventional | 2022-01-26 | Active, not recruiting |
A Phase 1 Study to Evaluate the Safety and Tolerability of AB680 Combination Therapy in Participants With Gastrointestinal Malignancies [NCT04104672] | Phase 1 | 165 participants (Actual) | Interventional | 2019-11-06 | Active, not recruiting |
A Global, Randomised, Phase 3, Open-label Study of REGN2810 (ANTI-PD 1 Antibody) Versus Platinum Based Chemotherapy in First Line Treatment of Patients With Advanced or Metastatic PD L1+Non-small Cell Lung Cancer [NCT03088540] | Phase 3 | 712 participants (Actual) | Interventional | 2017-05-29 | Active, not recruiting |
A Phase 1 Study of LY3200882 in Patients With Solid Tumors [NCT02937272] | Phase 1 | 223 participants (Anticipated) | Interventional | 2016-11-21 | Active, not recruiting |
Phase I Study of Gemcitabine With Antiangiogenic Vaccine Therapy Using Epitope Peptide Restricted to HLA-A*2402 Derived From VEGFR2 in Patients With Unresectable, Locally Advanced, Recurrent or Metastatic Pancreatic Cancer [NCT00622622] | Phase 1 | 21 participants (Actual) | Interventional | 2006-11-30 | Completed |
GUided Treatment Based on Mini-PDX in metastaTIc refractOry Triple Negative Breast Cancer(GUMPTION):a Prospective Randomized Controlled Single Center Clinical Trial [NCT04745975] | Phase 2 | 100 participants (Anticipated) | Interventional | 2021-02-01 | Recruiting |
Randomized phase2 Study of IP vs. GP as the First-line Therapy Followed by Two Different Sequences as the 2nd or 3rd-line Therapy for Patients With Advanced NSCLC; [NCT01003964] | Phase 2 | 289 participants (Actual) | Interventional | 2009-02-28 | Completed |
Phase III Randomized Study of RFS 2000 (9-Nitro-Camptothecin, 9-NC) Versus Gemcitabine HCl in Chemonaive Pancreatic Cancer Patients [NCT00005869] | Phase 3 | 0 participants | Interventional | 1998-11-30 | Active, not recruiting |
Randomized Controlled Trial of Gemcitabine Combined With 125I Brachytherapy Versus Gemcitabine Alone in Patients With Locally Advanced Pancreatic Cancer [NCT00644618] | Phase 3 | 120 participants (Actual) | Interventional | 2003-01-31 | Completed |
[NCT02789189] | Phase 2 | 60 participants (Anticipated) | Interventional | 2016-06-30 | Terminated |
A Randomized Evaluation of Vinorelbine Versus Gemcitabine for Mobilization of Peripheral Stem Cells in Myeloma Patients Undergoing Autologous Stem Cell Transplantation. [NCT02791373] | Phase 2 | 136 participants (Actual) | Interventional | 2014-03-31 | Completed |
A Phase II Trial Of Adjuvant Chemoradiation Following Pancreatic Resection For Adenocarcinomas Of The Pancreas Using 3-D Conformal Radiation With Cisplatin, 5FU, And Alpha-Interferon As Radiosensitizing Agents Followed By Gemcitabine [NCT00660270] | Phase 2 | 53 participants (Actual) | Interventional | 2002-05-31 | Completed |
P-Gemoxd Regimen Followed by Radiotherapy Versus P-CHOP Regimen Followed by Radiotherapy in ENKTL With Early Stage: a Randomized, Multicenter, Open-label, Phase 2 Study [NCT02918747] | Phase 2 | 100 participants (Actual) | Interventional | 2016-09-30 | Active, not recruiting |
Phase I Study Of Oxaliplatin, Gemcitabine And Capecitabine In Advanced Gastrointestinal Malignancies And Other Solid Tumors [NCT00660426] | Phase 1 | 30 participants (Actual) | Interventional | 2005-03-31 | Completed |
PD-1 Inhibitor and Bevacizumab Replace Cisplatin in Induction, Concurrent, and/or Adjuvant Therapy for High-risk Locoregionally Advanced Nasopharyngeal Carcinoma. [NCT05341193] | Phase 1/Phase 2 | 32 participants (Anticipated) | Interventional | 2022-04-30 | Not yet recruiting |
A Phase 1/2, Open-Label, Dose-Escalation, Safety and Tolerability Study of INCB054828 in Subjects With Advanced Malignancies (FIGHT-101) [NCT02393248] | Phase 1/Phase 2 | 201 participants (Actual) | Interventional | 2015-02-27 | Terminated |
A Multicentre, Open-label, Randomised, Controlled Study of Target Therapy Based on Tumor Molecular Profiling With GEMOX in Recectable Gallbladder Carcinoma Patients Monitored by ctDNA. [NCT04183712] | Phase 2 | 102 participants (Anticipated) | Interventional | 2020-06-01 | Recruiting |
Dynamic Changes of the Serum Level of Immunoglobulin G4(IgG4) and Interleukin-10(IL-10) in the Patients of Pancreatic Cancer After Gemcitabine-based Chemotherapy [NCT02654288] | | 300 participants (Anticipated) | Observational | 2016-01-31 | Recruiting |
Prospectively Randomized Phase III Trial, Studying the Benefits of Adjuvant Sequential vs. Combined Taxane Based Chemotherapy, Followed by Different Biological Treatment Strategies in Early, HER2-positive Breast Cancer [NCT00670878] | Phase 3 | 799 participants (Anticipated) | Interventional | 2008-06-30 | Completed |
Liposomal Mitoxantrone Hydrochloride, Gemcitabine, Vinorelbine With or Without Rituximab (GVM±R) in Patients With Relapsed or Refractory Aggressive Non-Hodgkin's Lymphoma [NCT05299164] | Phase 1 | 24 participants (Anticipated) | Interventional | 2022-05-15 | Not yet recruiting |
A Phase I Combination Study of AZD2281 and Cisplatin Plus Gemcitabine in Adults With Solid Tumors [NCT00678132] | Phase 1 | 23 participants (Actual) | Interventional | 2008-04-24 | Completed |
IGEV +/- Bortezomib (Velcade) as Induction Before High Dose Consolidation in Relapsed/Refractory Hodgkin's Lymphoma After First Line Treatment: a Randomized Phase II Trial. On Behalf of Intergruppo Italiano Linfomi [NCT00636311] | Phase 2 | 13 participants (Actual) | Interventional | 2008-02-29 | Completed |
A Multicenter Study of Penpulimab and Anlotinib in Combination With Nab-paclitaxel Plus Gemcitabine as First-line Therapy in Patients (Pts) With Metastatic Pancreatic Cancer: PAAG. [NCT05493995] | Phase 2 | 66 participants (Anticipated) | Interventional | 2022-06-01 | Recruiting |
A Randomized, Placebo-controlled, Blinded Phase II Study of Huachansu & Gemcitabine in Pancreatic Cancer [NCT00837239] | Phase 2 | 80 participants (Actual) | Interventional | 2007-06-30 | Completed |
Phase I Study of Defactinib Combined With Pembrolizumab and Gemcitabine in Patients With Advanced Cancer [NCT02546531] | Phase 1 | 43 participants (Actual) | Interventional | 2016-02-03 | Completed |
Phase II Trial of Intravesical Gemcitabine in Patients With Nonmuscle Invasive Bladder Cancer With or Without Prior Bacillus Calmette-Guérin Therapy [NCT05644041] | Phase 2 | 25 participants (Anticipated) | Interventional | 2023-03-01 | Recruiting |
A Phase 1 Study of SRF617 in Patients With Advanced Solid Tumors [NCT04336098] | Phase 1 | 85 participants (Actual) | Interventional | 2020-03-16 | Completed |
A Randomized Phase II Trial of Gemcitabine and Nab-Paclitaxel vs Gemcitabine, Nab-Paclitaxel, Durvalumab and Tremelimumab as 1st Line Therapy in Metastatic Pancreatic Adenocarcinoma [NCT02879318] | Phase 2 | 180 participants (Actual) | Interventional | 2016-11-07 | Active, not recruiting |
Safety and Preliminary Efficacy of Epcoritamab (GEN3013; DuoBody®-CD3×CD20) in Japanese Subjects With Relapsed or Refractory B-Cell Non-Hodgkin Lymphoma - A Phase 1/2, Open-Label, Dose-Escalation Trial With Expansion Cohorts [NCT04542824] | Phase 1/Phase 2 | 102 participants (Anticipated) | Interventional | 2020-08-20 | Active, not recruiting |
Phase I Dose-Escalation Study of Image-Guided Radiation Therapy for Bladder-Cancer Patients Undergoing Radiotherapy and Concurrent Gemcitabine Chemotherapy [NCT01104350] | Phase 1 | 19 participants (Actual) | Interventional | 2010-04-30 | Active, not recruiting |
Randomized Phase III Trial Comparing Vinorelbine vs. Gemcitabine Plus Vinorelbine in Patients With Advanced Breast Cancer, Previously Treated With Anthracyclines and Taxanes [NCT00128310] | Phase 3 | 252 participants (Actual) | Interventional | 2001-01-18 | Completed |
A Pilot Study of Rituximab-Gemcitabine-Navelbine for Relapsed/Refractory Hodgkin's Lymphoma [NCT00881387] | Phase 2 | 0 participants (Actual) | Interventional | 2009-02-28 | Withdrawn |
Phase II Study of Neoadjuvant Durvalumab (MEDI4736) and Tremelimumab in Combination With Gemcitabine and Cisplatin in Patients With Intrahepatic Cholangiocarcinoma That is Borderline Resectable/Resectable But With High Risk for Recurrence. [NCT06017297] | Phase 2 | 28 participants (Anticipated) | Interventional | 2024-01-31 | Recruiting |
A Randomized, Open-label, Phase 3 Study of Sacituzumab Govitecan Versus Treatment of Physician's Choice in Patients With Previously Untreated, Locally Advanced, Inoperable or Metastatic Triple-Negative Breast Cancer Whose Tumors Do Not Express PD-L1 or in [NCT05382299] | Phase 3 | 540 participants (Anticipated) | Interventional | 2022-07-20 | Recruiting |
A Randomized, Open-label, Phase 3 Study of Sacituzumab Govitecan and Pembrolizumab Versus Treatment of Physician's Choice and Pembrolizumab in Patients With Previously Untreated, Locally Advanced Inoperable or Metastatic Triple-Negative Breast Cancer, Who [NCT05382286] | Phase 3 | 440 participants (Anticipated) | Interventional | 2022-07-25 | Recruiting |
A Phase 2/3 Multicenter, Open-label, Randomized, Active-Control Study of Zilovertamab Vedotin (MK-2140) in Combination With Standard of Care in Participants With Relapsed or Refractory Diffuse Large B-Cell Lymphoma (waveLINE-003) [NCT05139017] | Phase 2/Phase 3 | 420 participants (Anticipated) | Interventional | 2022-01-14 | Recruiting |
A Multicenter, Open-label, Phase 2 Basket Study of MK-7684A, a Co-formation of Vibostolimab (MK-7684) With Pembrolizumab (MK-3475), With or Without Other Anticancer Therapies in Participants With Selected Solid Tumors [NCT05007106] | Phase 2 | 610 participants (Anticipated) | Interventional | 2021-09-16 | Recruiting |
Discovery of Molecular Biomarkers for Predicting Response Through RNA Sequencing in Patients With Advanced Biliary Tract Cancer Who Received Nab-paclitaxel Plus Gemcitabine-cisplatin [NCT04871321] | | 120 participants (Anticipated) | Observational [Patient Registry] | 2021-04-14 | Recruiting |
A Phase II, Open-Label, Multicenter Study Evaluating the Safety and Efficacy of Neoadjuvant and Adjuvant Tiragolumab Plus Atezolizumab, With or Without Platinum-Based Chemotherapy, in Patients With Previously Untreated Locally Advanced Resectable Stage II [NCT04832854] | Phase 2 | 50 participants (Actual) | Interventional | 2021-04-23 | Active, not recruiting |
A Phase 3 Randomized, Double Blind Study of Pembrolizumab Plus Gemcitabine/Cisplatin Versus Placebo Plus Gemcitabine/Cisplatin as First-Line Therapy in Participants With Advanced and/or Unresectable Biliary Tract Carcinoma [NCT04003636] | Phase 3 | 1,069 participants (Actual) | Interventional | 2019-09-24 | Active, not recruiting |
A Phase Ib/II, Open-Label, Multicenter, Randomized Umbrella Study Evaluating The Efficacy And Safety Of Multiple Treatment Combinations In Patients With Metastatic Breast Cancer (Morpheus-panBC) [NCT03424005] | Phase 1/Phase 2 | 242 participants (Anticipated) | Interventional | 2018-04-02 | Recruiting |
A Phase III, Randomized, Open-Label, Controlled, Multi-Center, Global Study of First-Line MEDI4736 (Durvalumab) Monotherapy and MEDI4736 (Durvalumab) in Combination With Tremelimumab Versus Standard of Care Chemotherapy in Patients With Unresectable Stage [NCT02516241] | Phase 3 | 1,126 participants (Actual) | Interventional | 2015-11-02 | Active, not recruiting |
mFOLFIRINOX or Gemcitabine / Nab-paclitaxel Followed by Pancreatectomy for Patients With Borderline Resectable Pancreatic Adenocarcinoma. A Pilot Feasibility Study. [NCT04452461] | Phase 2 | 30 participants (Anticipated) | Interventional | 2021-03-01 | Recruiting |
A Randomized, Open-label, Multicenter Phase 3 Study of SKB264 Versus Treatment of Physician's Choice (TPC) in Patients With Unresectable Locally Advanced, Recurrent or Metastatic HR+/HER2- Breast Cancer Who Had Failed at Least One Line of Chemotherapy [NCT06081959] | Phase 3 | 376 participants (Anticipated) | Interventional | 2023-11-30 | Not yet recruiting |
A Phase 1 Dose-escalation Study of FF-10832 for the Treatment of Advanced Solid Tumors [NCT03440450] | Phase 1 | 90 participants (Anticipated) | Interventional | 2018-03-22 | Recruiting |
Phase II Study of Nab-Paclitaxel in Combination With Gemcitabine for Treatment of Recurrent/Refractory Sarcoma in Teenagers and Young Adults [NCT02945800] | Phase 2 | 72 participants (Anticipated) | Interventional | 2016-10-25 | Recruiting |
A Multinational, Randomized, Phase II Study of the Combination of Nab-Paclitaxel and Gemcitabine With or Without Tocilizumab, an IL-6R Inhibitor, as First-line Treatment in Patients With Locally Advanced or Metastatic Pancreatic Cancer. [NCT02767557] | Phase 2 | 147 participants (Actual) | Interventional | 2017-01-26 | Completed |
A Phase I Study of Hepatic Arterial Infusion (HAI) of Abraxane in Combination With Gemcitabine and Bevacizumab for Patients With Advanced Cancers Metastatic to the Liver [NCT01057264] | Phase 1 | 78 participants (Actual) | Interventional | 2010-01-31 | Completed |
A Phase II Trial of Gemcitabine, Capecitabine, and Bevacizumab in Metastatic Renal Cell Carcinoma [NCT00523640] | Phase 2 | 30 participants (Actual) | Interventional | 2005-03-31 | Terminated(stopped due to Too slow accrual) |
Phase II Trial of the Effect of Gemcitabine With Intravenous Omega-3 Fish Oil Infusion in Patients With Unresectable Pancreatic Adenocarcinoma [NCT01019382] | Phase 2 | 50 participants (Actual) | Interventional | 2009-10-31 | Completed |
A Phase 1 Study of Veliparib in Combination With Carboplatin and Gemcitabine in Subjects With Advanced Solid Tumors [NCT01063816] | Phase 1 | 79 participants (Actual) | Interventional | 2010-01-31 | Completed |
A Phase II Study of Abraxane, Avastin and Gemcitabine for First Line Metastatic Breast Cancer [NCT00503906] | Phase 2 | 30 participants (Actual) | Interventional | 2007-06-30 | Completed |
A Phase I/II Study of Induction Conatumumab and Gemcitabine, Followed by Conatumumab, Capecitabine and 3-D Conformal Radiation Therapy (3D-CRT) With Subsequent Maintenance Therapy for Locally Advanced Pancreatic Cancer [NCT01017822] | Phase 1/Phase 2 | 0 participants (Actual) | Interventional | | Withdrawn(stopped due to This study was withdrawn due to study agent availability.) |
Phase II Prospective Study Evaluating the Role of Personalized Chemotherapy Regimens for Chemo-Naive Select Stage IIIB and IV Non-Small Cell Lung Cancer (NSCLC) in Patients Using a Genomic Predictor of Platinum Resistance to Guide Therapy [NCT00509366] | Phase 2 | 101 participants (Actual) | Interventional | 2007-05-31 | Terminated(stopped due to Study terminated due to reproducibility issues with genomics prediction model.) |
A Phase 1b, Parallel Arm, Multicenter, Open-Label Study of the Safety and Pharmacokinetics of AGS-8M4 Given in Combination With Two Different Chemotherapy Regimens in Women With Platinum Resistant or Platinum Sensitive Ovarian Cancer [NCT01016054] | Phase 1 | 4 participants (Actual) | Interventional | 2009-10-31 | Terminated(stopped due to Trial was terminated to allow sponsors to evaluate the future development of the drug program) |
Phase 2, Randomized, Double Blind, Placebo-Controlled Dose and Schedule Finding Trial to Evaluate the Safety and Efficacy of AMG 531 For Treatment of Chemotherapy-Induced Thrombocytopenia in Subjects With Advanced Non-Small Cell Lung Cancer Already Receiv [NCT00413283] | Phase 2 | 63 participants (Actual) | Interventional | 2006-12-31 | Completed |
Phase I Trial of Everolimus, Gemcitabine, and Cisplatin for Patients With Solid Tumors Refractory to Standard Therapy [NCT00949949] | Phase 1 | 38 participants (Actual) | Interventional | 2009-09-30 | Completed |
A Randomized Phase II Trial of Pemetrexed/Gemcitabine/Bevacizumab or Pemetrexed/Carboplatin/Bevacizumab in the First-Line Treatment of Elderly Patients With Advanced Non-Small Cell Lung Cancer [NCT00456261] | Phase 2 | 110 participants (Actual) | Interventional | 2007-03-31 | Completed |
Phase 1, Dose Escalation Study Of CP-751,871 In Combination With Cisplatin And Gemcitabine In Previously Untreated Patients With Advanced Non-Small Cell Lung Cancer [NCT00560573] | Phase 1 | 46 participants (Actual) | Interventional | 2007-11-30 | Completed |
Multicentric Phase I/II Study for the Efficacy of a Combination of Rituximab, Gemcitabine and Oxaliplatin in Relapsed/Refractory Indolent Lymphoma [NCT00954005] | Phase 1/Phase 2 | 56 participants (Actual) | Interventional | 2003-01-31 | Terminated(stopped due to Predefined termination criterion of > 10 patients without CR or PR was matched.) |
Phase II Study of Adjuvant Gemcitabine Started One Week After Laparoscopic [NCT01045941] | Phase 2 | 0 participants (Actual) | Interventional | | Withdrawn(stopped due to The study was never initiated) |
A Phase II Randomized Study of Induction Chemotherapy Followed by Concurrent Chemo-radiotherapy in Locally Advanced Pancreatic Cancer [NCT01063192] | Phase 2 | 73 participants (Anticipated) | Interventional | 2009-11-30 | Enrolling by invitation |
A Phase II Study of ALIMTA® (Pemetrexed) and GEMZAR® (Gemcitabine) Every 14 Days Versus Pemetrexed and Gemcitabine Every 21 Days in Advanced Non-Small Cell Lung Cancer [NCT00383331] | Phase 2 | 19 participants (Actual) | Interventional | 2007-02-28 | Terminated(stopped due to Trial was stopped early due to low enrollment) |
A Randomized Phase II Study of Two Chemotherapy Regimens, Pemetrexed-Carboplatin, and Gemcitabine-Vinorelbine, in Anthracycline and Taxanes Pretreated Advanced Breast Cancer Patients [NCT00325234] | Phase 2 | 135 participants (Actual) | Interventional | 2006-06-30 | Completed |
A Phase II, Multicenter Evaluation of Docetaxel, Gemcitabine, and Bevacizumab Combination Followed by Bevacizumab Alone in Subjects With Locally Advanced or Metastatic Non-Small Cell Lung Cancer [NCT00378573] | Phase 2 | 17 participants (Actual) | Interventional | 2007-01-31 | Terminated(stopped due to Incidence of GI Perforation) |
Gemcitabine Plus Oxaliplatin (GEMOX) Versus Oxaliplatin Plus Fluorouracil/Leucovorin(FOLFOX4) As Palliative Chemotherapy in Patients With Advanced Hepatocellular Carcinoma(HCC) [NCT02534337] | Phase 2/Phase 3 | 0 participants (Actual) | Interventional | 2015-09-30 | Withdrawn(stopped due to It doesn't meet the requirements of randomized trials) |
Phase 2 Trial of Pegaspargase-Gemox Chemotherapy in Newly Diagnosed, Nasal Type, Extranodal Natural Killer/T-cell Lymphoma [NCT02533323] | Phase 2 | 50 participants (Actual) | Interventional | 2012-01-31 | Terminated |
Phase II Multi-Institutional Study to Evaluate the Efficacy of Gemcitabine and Fractionated Stereotactic Radiotherapy for Unresectable Pancreatic Adenocarcinoma [NCT01146054] | Phase 2 | 59 participants (Actual) | Interventional | 2009-10-31 | Completed |
A Phase 1b Study of LY2157299 in Combination With Gemcitabine in Patients With Advanced or Metastatic Unresectable Pancreatic Cancer [NCT02154646] | Phase 1 | 6 participants (Actual) | Interventional | 2014-05-31 | Completed |
09.017 - A Phase I Study of Tolfenamic Acid With Gemcitabine and Radiation in Patients With Locally Advanced or Metastatic Pancreatic Cancer Requiring Definitive or Palliative Radiation Therapy [NCT02159248] | Phase 1 | 0 participants (Actual) | Interventional | 2014-03-31 | Withdrawn(stopped due to The study closed prior to enrolling any participants.) |
Phase I/II Trial of Bacillus Calmette-Guérin (BCG) and Intravesical Gemcitabine for Patients With BCG-Relapsing High-Grade Non-Muscle Invasive Bladder Cancer [NCT04179162] | Phase 1/Phase 2 | 68 participants (Anticipated) | Interventional | 2019-11-22 | Recruiting |
A First-in-Human, Open-label, Dose-escalation Trial With Expansion Cohorts to Evaluate Safety and Anti-tumor Activity of GEN1042 in Subjects With Malignant Solid Tumors [NCT04083599] | Phase 1/Phase 2 | 1,287 participants (Anticipated) | Interventional | 2019-09-17 | Recruiting |
A Phase 3, Multi-center, Randomized, Double-Blind, Placebo-Controlled Study of Either Cisplatin or Carboplatin +Gemcitabine + Tislelizumab Compared With Either Cisplatin or Carboplatin + Gemcitabine + Placebo as First-line Treatment for Patients With Loca [NCT03967977] | Phase 3 | 420 participants (Anticipated) | Interventional | 2019-05-29 | Recruiting |
A Phase III, Randomized, Multi-Center, Open-Label, Comparative Global Study to Determine the Efficacy of Durvalumab or Durvalumab and Tremelimumab in Combination With Platinum-Based Chemotherapy for First-Line Treatment in Patients With Metastatic Non Sma [NCT03164616] | Phase 3 | 1,186 participants (Actual) | Interventional | 2017-06-01 | Active, not recruiting |
Phase II Study of Nanoparticle Albumin-bound Paclitaxel Plus Gemcitabine as First-line Therapy for the Treatment of Cisplatin-ineligible or Cisplatin-incurable Advanced Urothelial Carcinoma [NCT02887248] | Phase 2 | 3 participants (Actual) | Interventional | 2017-01-12 | Terminated(stopped due to Enrollment issues) |
Phase 1 Dose Escalation and Expansion Cohort of Carboplatin and Gemcitabine With or Without M6620 (VX-970) in First or Second Recurrence Platinum-Sensitive Epithelial Ovarian, Peritoneal, and Fallopian Tube Cancer [NCT02627443] | Phase 1 | 31 participants (Anticipated) | Interventional | 2017-05-16 | Active, not recruiting |
Adjuvant Chemotherapy With Gemcitabine and Cisplatin Compared to Standard of Care After Curative Intent Resection of Cholangiocarcinoma and Muscle Invasive Gall Bladder Carcinoma (ACTICCA-1 Trial) [NCT02170090] | Phase 3 | 789 participants (Actual) | Interventional | 2014-04-30 | Active, not recruiting |
A Phase II Trial of Preoperative FOLFIRINOX Followed by Gemcitabine Based Chemoradiotherapy in Patients With Borderline Resectable Pancreatic Adenocarcinoma [NCT01897454] | Phase 2 | 23 participants (Actual) | Interventional | 2012-01-27 | Terminated(stopped due to Study was terminated due to slower than anticipated accrual) |
Phase II Trial Evaluating Efficacy of a Strategy Employing Combination Gemcitabine and Carboplatin Chemotherapy Followed by EBV-Specific Cytotoxic T-Lymphocytes in Patients With Metastatic or Locally Recurrent EBV-Positive Nasopharyngeal Carcinoma [NCT00690872] | Phase 2 | 35 participants (Anticipated) | Interventional | 2008-07-31 | Recruiting |
A Phase III Randomised Study Comparing Three Combination Chemotherapy Regimens in Patients With Non Pre-treated Advanced Non-small Cell Lung Cancer [NCT00622349] | Phase 3 | 707 participants (Actual) | Interventional | 2004-02-29 | Completed |
Phase II Study for Inoperable Non-Metastatic Pancreatic Cancer (Stage IVA) With Neoadjuvant Gemzar, Taxotere and Xeloda (GTX), and Radiation With Gemzar [NCT00869258] | Phase 2 | 32 participants (Actual) | Interventional | 2005-06-30 | Completed |
A Single-arm, Single-center, Exploratory Study of Adbelizumab Combined With Chemotherapy for Neoadjuvant Therapy in Resectable Pancreatic Cancer [NCT06177522] | Phase 2 | 30 participants (Anticipated) | Interventional | 2023-12-31 | Recruiting |
A Randomized Phase III Study of Weekly ABI-007 Plus Gemcitabine Versus Gemcitabine Alone in Patients With Metastatic Adenocarcinoma of the Pancreas [NCT00844649] | Phase 3 | 861 participants (Actual) | Interventional | 2009-03-01 | Completed |
SHR- 1210 Combined With Paclitaxel (Albumin Bound) and Gemcitabine as First-line Therapy in Patients With Metastatic Pancreatic Cancer [NCT04181645] | | 20 participants (Anticipated) | Interventional | 2019-06-29 | Recruiting |
A Phase I Adaptive Design Trial of Talazoparib in Combination With Gemcitabine and Cisplatin in Patients With Advanced Solid Tumors [NCT02537561] | Phase 1 | 0 participants (Actual) | Interventional | 2015-12-31 | Withdrawn(stopped due to The pharmaceutical company did not want to follow through with support for the study.) |
A Phase Ib, Open-label, Multicenter, Dose-escalation, Safety and Tolerability Study of LDE225 in Combination With Gemcitabine in Patients With Locally Advanced or Metastatic Pancreatic Adenocarcinoma [NCT01487785] | Phase 1 | 18 participants (Actual) | Interventional | 2012-03-31 | Completed |
Oxaliplatin (Eloxatin®) Plus Gemcitabine as First or Second-line Chemotherapy for Patients With Malignant Pleural or Peritoneal Mesothelioma: A Phase II Clinical Trial [NCT00859469] | Phase 2 | 29 participants (Actual) | Interventional | 2004-04-30 | Completed |
A Phase II Study of Adjuvant Gemcitabine/Capecitabine and Bevacizumab for Patients Treated Neoadjuvantly Chemotherapy for Early Stage Breast Cancer With High Risk for Relapse [NCT00462865] | Phase 2 | 18 participants (Actual) | Interventional | 2007-11-30 | Terminated(stopped due to DSMB determined toxicity of regimen more than originally thought. Slow accrual.) |
An Open Label, Randomized Study of Neoadjuvant Nivolumab and Chemotherapy, With or Without Sub-ablative Stereotactic Body Radiation Therapy, for Resectable Stage IIA to IIIB Non-small Cell Lung Cancer [NCT05500092] | Phase 2 | 52 participants (Anticipated) | Interventional | 2023-01-25 | Recruiting |
A Multi-center, Single-arm, Open Label Study to Assess the Efficacy and Safety of Anti-PD-1 Antibody (Penpulimab) Plus Lenalidomide, Rituximab, Gemcitabine and Oxaliplatin (R2-GemOx) in Patients With Relapsed/ Refractory Diffuse Large B Cell Lymphoma (DLB [NCT05186558] | Phase 2 | 54 participants (Anticipated) | Interventional | 2022-05-15 | Not yet recruiting |
A Single-arm Phase II Study of Envafolimab Combined With Endostar and Nab-paclitaxel Plus Gemcitabine for First-line Treatment of Advanced Pancreatic Cancer [NCT05298020] | Phase 2 | 20 participants (Anticipated) | Interventional | 2022-04-01 | Not yet recruiting |
Randomized, Controlled Study of the Safety and Efficacy of D-CIK Immune Cell Combined With Chemotherapy for Non-Small Cell Lung Cancer [NCT02651441] | Phase 1/Phase 2 | 60 participants (Anticipated) | Interventional | 2016-02-29 | Recruiting |
Efficacy and Safety Study of TA(E)C-GP Versus A(E)C-T for the High Risk Triple-negative Breast Cancer Patients Predicted by the Messenger RNA (mRNA)-Long Non-coding RNA (lncRNA) Signature and Validation of the Signature's Efficacy [NCT02641847] | Phase 2/Phase 3 | 503 participants (Anticipated) | Interventional | 2015-07-31 | Recruiting |
Gemcitabine, Oxaliplatin and Capecitabine (GEMOXEL) for Patients With Advanced Pancreatic Adenocarcinoma (APC): A Phase I/II Study [NCT00744640] | Phase 1/Phase 2 | 46 participants (Actual) | Interventional | 2005-10-31 | Completed |
Phase II, Randomised, Double-blind, Two-arm, Parallel Study of Vandetanib (ZACTIMA™ , ZD6474) Plus Gemcitabine (Gemzar® ) or Gemcitabine Plus Placebo as First Line Treatment of Advanced (Stage IIIB or IV) Non Small Cell Lung Cancer (NSCLC) Elderly Patient [NCT00753714] | Phase 2 | 124 participants (Actual) | Interventional | 2008-10-31 | Completed |
A Clinical Study of Adoptive Cellular Immunotherapy Using Precision T Cells Specific to Personalized Neo-antigen in Treating Patients With Advanced Malignant Tumor of Biliary Tract [NCT02632019] | Phase 1/Phase 2 | 40 participants (Anticipated) | Interventional | 2015-09-30 | Recruiting |
The Efficacy of Sequential Intravesical Gemcitabine and Docetaxel Therapy (GEM/DOCE) in High-risk BCG-naive Patients With Non-muscle Invasive Bladder Cancer (NMIBC) [NCT05671900] | | 70 participants (Anticipated) | Interventional | 2020-04-01 | Active, not recruiting |
An Open Label Phase I Study of Gemcitabine/Oxaliplatin (GEMOX) and Vandetanib (ZACTIMA; ZD6474) Combination in Patients With Advanced Solid Malignancy (IRUSZACT0070) (UPCI 07-025) [NCT00660725] | Phase 1 | 22 participants (Actual) | Interventional | 2009-02-28 | Completed |
Phase II Trial of Gemcitabine, Cisplatin, and Sunitinib in Patients With Advanced/Metastatic Urothelial Carcinoma [NCT00821327] | Phase 2 | 36 participants (Actual) | Interventional | 2008-08-31 | Completed |
Single Agent Chemotherapy With Weekly Docetaxel vs Combination Chemotherapy in Second-line Treatment of Advanced Non Small Cell Lung Cancer [NCT00345059] | Phase 3 | 84 participants (Actual) | Interventional | 2005-05-31 | Terminated(stopped due to slow accrual) |
Prospective Non-inferiority Randomized Trial Comparing Clinical Target Volume Based on Disease Extension Risk Atlas and Computer-aided Delineation and Traditional Clinical Target Volume in Radiotherapy for Nasopharyngeal Carcinoma [NCT02627807] | | 386 participants (Actual) | Interventional | 2015-12-31 | Active, not recruiting |
A Phase I, Open-label, Study of the Safety, Tolerability and Pharmacokinetics of Pazopanib in Combination With Gemcitabine and Gemcitabine Plus Cisplatin for Advanced Solid Tumors [NCT00678977] | Phase 1 | 22 participants (Actual) | Interventional | 2008-04-03 | Completed |
Open-label, Randomized, Controlled, Multicenter Phase II Trial Investigating 2 Cilengitide Regimens in Combination With Cetuximab and Platinum-based Chemotherapy (Cisplatin/Vinorelbine or Cisplatin/Gemcitabine) Compared to Cetuximab and Platinum-based Che [NCT00842712] | Phase 2 | 232 participants (Actual) | Interventional | 2009-02-28 | Completed |
AdvanTIG-211: A Randomized, Double-blind, Placebo-controlled, Phase II Study Evaluating the Efficacy and Safety of Ociperlimab (WCD118) Combined With Tislelizumab (VDT482) Plus Chemotherapy Versus Placebo Combined With Pembrolizumab Plus Chemotherapy as F [NCT05809895] | Phase 2 | 0 participants (Actual) | Interventional | 2023-09-15 | Withdrawn(stopped due to Business decision, not driven by safety concerns; no new safety signals have been observed in the ociperlimab program.) |
Evaluating the Efficacy and Safety of TQB2450 Injection Combined With Chemotherapy ± Anlotinib Hydrochloride Capsules for First-line Treatment of Patient With Advanced Endometrial Cancer or Sarcoma of Uterus: a Multi-center, Open-label, Randomized Control [NCT05481645] | Phase 2 | 79 participants (Anticipated) | Interventional | 2022-08-22 | Recruiting |
Adding Neoadjuvant and Adjuvant PD-1 Inhibitor to Neoadjuvant Chemotherapy Plus Concurrent Chemoradiotherapy in the Treatment of High-risk Nasopharyngeal Carcinoma [NCT04557020] | Phase 3 | 200 participants (Anticipated) | Interventional | 2020-12-30 | Recruiting |
A Phase II Trial of Erlotinib in Combination With Gemcitabine and Cisplatin in Metastatic Pancreatic Cancer [NCT00922896] | Phase 2 | 22 participants (Actual) | Interventional | 2009-06-30 | Completed |
An Open Labeled Phase 2 Study of Gemcitabine in Combination With Cisplatin, 5-FU (24h CI) and Folinic Acid in Patients With Inoperable Esophageal Cancer [NCT00759226] | Phase 2 | 92 participants (Actual) | Interventional | 2002-07-31 | Completed |
A Phase II Study of Preoperative Gemcitabine and Erlotinib Plus Pancreatectomy and Postoperative Gemcitabine and Erlotinib for Patients With Operable Pancreatic Adenocarcinoma [NCT00733746] | Phase 2 | 123 participants (Actual) | Interventional | 2009-04-30 | Completed |
A Phase II Study of Pemetrexed Plus Gemcitabine for Metastatic/Recurrent Head and Neck Cancer (HNSCC) [NCT00589667] | Phase 2 | 26 participants (Actual) | Interventional | 2006-09-30 | Completed |
OGF & Gemcitabine: Novel Treatment for Pancreatic Cancer Phase I, A Safety and Toxicity Study [NCT00783172] | Phase 1 | 4 participants (Actual) | Interventional | 2009-01-31 | Terminated(stopped due to Problems with IRB) |
Phase II ERCC1 and RRM1-Based Adjuvant Therapy Trial in Patients With Stage I Non-Small Cell Lung Cancer (NSCLC) [NCT00792701] | Phase 2 | 85 participants (Actual) | Interventional | 2008-11-30 | Completed |
Phase I Study of PF-00477736 With Gemcitabine In Patients With Advanced Solid Malignancies [NCT00437203] | Phase 1 | 43 participants (Actual) | Interventional | 2006-12-31 | Terminated(stopped due to See termination reason in detailed description.) |
Explore the Efficacy and Safety of Sintilimab Plus Bevacizumab Combined With Gemcitabine and Albumin-paclitaxel (AG Regimen) in First-line Treatment of Initial Unresectable Gallbladder Cancer: a Phase II Clinical Study [NCT05757336] | Phase 2 | 50 participants (Anticipated) | Interventional | 2022-12-22 | Recruiting |
A Phase II Evaluation of Gemcitabine (Gemzar®, LY188011) in the Treatment of Recurrent or Persistent Endometrial Carcinoma [NCT00820898] | Phase 2 | 24 participants (Actual) | Interventional | 2009-02-28 | Completed |
Phase II Study of Gemcitabine and Split-dose Cisplatin (GC) Plus Sorafenib in Chemotherapy-naïve Patients With Locally Advanced or Metastatic Urothelial Carcinoma [NCT00714948] | Phase 2 | 2 participants (Actual) | Interventional | 2008-07-31 | Terminated(stopped due to Lack of accrual) |
A Phase I Study Evaluating the Safety and Efficacy of TGR 1202 Alone and in Combination With Either Nab-paclitaxel + Gemcitabine or With FOLFOX in Patients With Select Relapsed or Refractory Solid Tumors [NCT02574663] | Phase 1 | 66 participants (Actual) | Interventional | 2015-09-11 | Completed |
Phase II Trial of Paricalcitol and Hydroxychloroquine (PH) Combination With Gemcitabine and Nab-Paclitaxel in Advanced or Metastatic Pancreatic Cancer [NCT04524702] | Phase 2 | 21 participants (Anticipated) | Interventional | 2020-09-14 | Recruiting |
Phase II Trial of Gemcitabine, Carboplatin, and Bevacizumab in Chemotherapy Naive Patients With Advanced/Metastatic Urothelial Carcinoma [NCT00588666] | Phase 2 | 51 participants (Actual) | Interventional | 2006-05-31 | Completed |
Anlotinib Hydrochloride in Combination With PD1 With Gemcitabine Plus(+)Cisplatin Compared With Gemcitabine +Cisplatin as First-line Chemotherapy for Unresectable or Metastatic Biliary Tract Cancer: A Randomized, Controlled, Multicenter Phase II Clinical [NCT04300959] | Phase 2 | 80 participants (Anticipated) | Interventional | 2020-01-01 | Recruiting |
[NCT02707315] | Early Phase 1 | 15 participants (Anticipated) | Interventional | 2013-01-31 | Recruiting |
A Phase II Protocol in Borderline Resectable Pancreatic Cancer Using Gemcitabine/Docetaxel Chemotherapy and An Oxaliplatin-Based Chemoradiation. [NCT00761241] | Phase 2 | 40 participants (Anticipated) | Interventional | 2008-09-30 | Completed |
Outpatient Chemotherapy in Pediatric Osteosarcoma: Doxorubicin With Cisplatin, High-Dose Methotrexate, and Additional Risk-Adapted Outpatient Chemotherapy [NCT00673179] | | 7 participants (Actual) | Interventional | 2008-05-31 | Terminated(stopped due to Low accrual.) |
Phase II Study of a Biochemically Synergistic Regimen for Metastatic Pancreatic Cancer (Stage IVB) With Gemzar, Taxotere and Xeloda (GTX) [NCT00996333] | Phase 2 | 46 participants (Actual) | Interventional | 2003-06-30 | Completed |
Phase I Sturdy on Antiangiogenic Vaccine Therapy Using Epitope Peptide Derived From VEGFR1 and VEGFR2 With Gemcitabine in Treating Patients With Unresectable, Recurrent, or Metastatic Pancreatic Cancer [NCT00639925] | Phase 1 | 5 participants (Actual) | Interventional | 2007-03-31 | Active, not recruiting |
High-Dose Gemcitabine, Busulfan and Melphalan With Hematopoietic Cell Support for Patients With Relapsed/Refractory Hodgkin's Disease [NCT01200329] | Phase 2 | 81 participants (Actual) | Interventional | 2011-06-30 | Completed |
Phase II Trial Of Induction Gemcitabine/CPT-11 Followed By Twice-Weekly Infusion Gemcitabine And Concurrent External Beam Radiation For The Treatment Of Locally Advanced Pancreatic Cancer [NCT00025168] | Phase 2 | 20 participants (Actual) | Interventional | 2001-11-01 | Completed |
Cancer Stem Cells and Inhibition of Hedgehog Pathway Signaling in Advanced Pancreas Cancer: A Pilot Study of GDC-0449 in Combination With Gemcitabine [NCT01195415] | Phase 2 | 25 participants (Actual) | Interventional | 2010-06-30 | Completed |
Systemic Chemotherapy Combined With Thoracic Cavity Perfusion of Recombinant Human Adenovirus Type 5 and Endostatin Injections Versus Cisplatin for Treatment Malignant Hydrothorax in Non Small Cell Lung Cancer (NSCLC) Patients: A Multi-center, Randomized, [NCT02579564] | Phase 3 | 134 participants (Anticipated) | Interventional | 2016-10-31 | Not yet recruiting |
A Prospective, Randomized Trial Of Simultaneous Pancreatic Cancer Treatment With Enoxaparin and ChemoTherapy (PROSPECT) [NCT00785421] | Phase 2/Phase 3 | 312 participants (Actual) | Interventional | 2004-04-30 | Completed |
Phase II Trial Of Gemcitabine (NSC-613327) And Irinotecan (NSC-616348) In Patients With Untreated Extensive Stage Small Cell Lung Cancer (SCLC) [NCT00030433] | Phase 2 | 85 participants (Actual) | Interventional | 2002-01-31 | Completed |
Phase II Trial Of Adjuvant 2'2'-Difluoro-2'-Deoxycytidine (Gemcitabine) And External Beam Radiation For The Treatment Of Resectable Pancreatic Cancer [NCT00010166] | Phase 2 | 26 participants (Actual) | Interventional | 2000-12-01 | Completed |
An Open-Label, Multicenter Phase 1/2 Study of Surufatinib in Combination With Gemcitabine in Pediatric, Adolescent, and Young Adult Patients With Recurrent or Refractory Solid Tumors [NCT05093322] | Phase 1/Phase 2 | 13 participants (Actual) | Interventional | 2021-11-30 | Active, not recruiting |
A Phase II Trial of Pre-operative Chemotherapy (With Gemcitabine and Nab- Paclitaxel) and Stereotactic Body Radiotherapy Followed by Surgery and Chemotherapy in Patients With Resectable Pancreatic Adenocarcinoma [NCT03492671] | Phase 2 | 30 participants (Anticipated) | Interventional | 2019-07-17 | Recruiting |
Phase 2 Trial of PEG-ASP Combined With Etoposide and Gemcitabine (PEG) as First-line Chemotherapy to Treat NK/T-cell Lymphoma [NCT02705508] | Phase 2 | 35 participants (Anticipated) | Interventional | 2016-02-29 | Recruiting |
A Feasibility Phase II Study of Gemcitabine With Docetaxel With Concurrent 3-D Conformal Radiation Plus Continuous Infusion 5-Fluorouracil in the Treatment of Resected Cholangiocarcinoma, Gallbladder, Pancreatic and Ampullary Cancers [NCT00660699] | Phase 2 | 50 participants (Actual) | Interventional | 2002-09-30 | Completed |
A Multicenter, Randomized Phase II Trial of Vinflunine/Gemcitabine vs Carboplatin/Gemcitabine as First Line Treatment in Patients With Metastatic Urothelial Carcinoma Unfit for Cisplatin Based Chemotherapy Due to Impaired Renal Function. [NCT02665039] | Phase 2 | 62 participants (Actual) | Interventional | 2014-04-30 | Completed |
Phase I/II Study of the Combination Therapy With NC-6004 and Gemcitabine in Patients With Locally Advanced or Metastatic Pancreatic Cancer in Asian Countries [NCT00910741] | Phase 1/Phase 2 | 40 participants (Actual) | Interventional | 2009-05-31 | Completed |
Phase II Randomized Trial of the Polo-like Kinase 1 Inhibitor BI 6727 Monotherapy Versus Investigator´s Choice Chemotherapy in Ovarian Cancer Patients Resistant or Refractory to Platinum-based Cytotoxic Therapy [NCT01121406] | Phase 2 | 110 participants (Actual) | Interventional | 2010-04-30 | Completed |
Randomized Phase 3 Trial Comparing FOLFOX to Gemcitabine in Metastatic First-line in Patients With Pancreatic Adenocarcinoma and Non-fit for FOLFIRINOX [NCT04167007] | Phase 3 | 400 participants (Anticipated) | Interventional | 2020-07-20 | Recruiting |
Phase II Pharmacogenomic and Clinical Trial for the Administration of Gemcitabine-doxorubicin-paclitaxel (GAT) as Neoadjuvant Treatment of Patients With Stage III Breast Cancer [NCT00128856] | Phase 2 | 46 participants (Actual) | Interventional | 2003-03-31 | Completed |
Biomarker-oriented Study of Pembrolizumab in Combination With Chemotherapy in Chemotherapy -naïve Advanced Pancreatic Cancer [NCT04447092] | Phase 2 | 77 participants (Anticipated) | Interventional | 2020-07-01 | Active, not recruiting |
Phase 1/1b Study to Evaluate the Safety and Activity of TTX-030 (Anti-CD39) in Combination With Pembrolizumab or Budigalimab and/or Chemotherapy in Subjects With Advanced Solid Tumors [NCT04306900] | Phase 1 | 185 participants (Anticipated) | Interventional | 2020-03-30 | Active, not recruiting |
Prospective, Multicenter, Randomized, Controlled Study Evaluating SIR-Spheres Y-90 Resin Microspheres Preceding Cisplatin-gemcitabine (CIS-GEM) Chemotherapy Versus CIS-GEM Chemotherapy Alone as First-line Treatment of Patients With Unresectable Intrahepat [NCT02807181] | Phase 2/Phase 3 | 89 participants (Actual) | Interventional | 2017-01-31 | Completed |
A Phase II Trial of Biweekly Gemcitabine, Paclitaxel, and Avastin as Frontline Therapy for Metastatic Breast Cancer [NCT00618826] | Phase 2 | 14 participants (Actual) | Interventional | 2006-11-30 | Completed |
PhaseⅡ Study of Weekly Docetaxel and Fixed-Dose Rate Gemcitabine in Patient With Previously Treated Advanced Soft Tissue and Bone Sarcoma Prospective, Open Label, Multi-Institutional [NCT00807261] | Phase 2 | 30 participants (Anticipated) | Interventional | 2008-09-30 | Enrolling by invitation |
A Randomized, Open-Label, Safety and Exploratory Efficacy Study of Kanglaite Injection Plus Gemcitabine (G+K) Versus Gemcitabine in Patients With Advanced Pancreatic Cancer [NCT00733850] | Phase 2 | 85 participants (Actual) | Interventional | 2008-08-31 | Completed |
Phase II Study Of Neoadjuvant Chemotherapy With Gemcitabine, Oxaliplatin And Erlotinib (Gemoxt) In Borderline Resectable Pancreatic Adenocarcinoma [NCT00728000] | Phase 2 | 0 participants (Actual) | Interventional | 2008-08-31 | Withdrawn(stopped due to study withdrawn due to lack of enrollment) |
Thalidomide to Chemotherapy Related Nausea and Vomiting in Pancreatic Cancer [NCT06017284] | Phase 3 | 100 participants (Anticipated) | Interventional | 2023-11-01 | Recruiting |
Improvement of Outcome in Elderly Patients or Patients Not Eligible for High-dose Chemotherapy With Aggressive NHL in First Relapse/Progression by Adding Nivolumab to Gemcitabine, Oxaliplatin Plus Rituximab in Case of B-cell Lymphoma [NCT03366272] | Phase 2/Phase 3 | 348 participants (Actual) | Interventional | 2017-12-05 | Active, not recruiting |
A Phase Ib/II, Open-Label, Multicenter, Randomized Umbrella Study Evaluating the Efficacy and Safety of Multiple Immunotherapy-Based Treatment Combinations in Patients With Metastatic Pancreatic Ductal Adenocarcinoma (Morpheus-Pancreatic Cancer) [NCT03193190] | Phase 1/Phase 2 | 340 participants (Anticipated) | Interventional | 2017-07-05 | Active, not recruiting |
Biomarker-oriented Study of Durvalumab(MEDI4736)/Tremelimumab in Combination With Gemcitabine/Cisplatin in Chemotherapy-naïve Biliary Tract Cancer [NCT03046862] | Phase 2 | 31 participants (Actual) | Interventional | 2017-02-25 | Active, not recruiting |
A Phase III Study Comparing Single-Agent Olaparib or the Combination of Cediranib and Olaparib to Standard Platinum-Based Chemotherapy in Women With Recurrent Platinum-Sensitive Ovarian, Fallopian Tube, or Primary Peritoneal Cancer [NCT02446600] | Phase 3 | 579 participants (Actual) | Interventional | 2016-03-28 | Active, not recruiting |
Genotype-driven Treatment of Advanced Non-small Cell Lung Cancer Based on mRNA Expression of ERCC1 & RRM1 as First-line Chemotherapy [NCT00736814] | Phase 2 | 117 participants (Anticipated) | Interventional | 2008-06-30 | Recruiting |
A Phase Ib Study of SGN-40 in Combination With Rituximab and Gemcitabine for the Treatment of Patients With Relapsed or Refractory Diffuse Large B-Cell Lymphoma (DLBCL) [NCT00655837] | Phase 1 | 33 participants (Actual) | Interventional | 2008-04-30 | Completed |
A Phase 1 Dose Escalation Study of ARQ 197 Administered in Combination With Gemcitabine in Adult Patients With Advanced Solid Tumors [NCT00874042] | Phase 1 | 74 participants (Actual) | Interventional | 2009-03-31 | Completed |
Randomized Phase II Study of Biweekly Chemotherapy With Gemcitabine and Carboplatin in Elder Patients With Previously Untreated Advanced Non-Small Cell Lung Cancer [NCT00881296] | Phase 2 | 60 participants (Actual) | Interventional | 2008-03-31 | Completed |
A Phase II Study of Gemcitabine and Erlotinib Plus Sorafenib (GES) in Metastatic Pancreatic Cancer [NCT00696696] | Phase 2 | 45 participants (Actual) | Interventional | 2007-09-30 | Completed |
A Pilot Study of Gemcitabine, Nab-Paclitaxel, Cisplatin and Anakinra Treatment on Patients With Resectable or Potentially Resectable Pancreatic Adenocarcinoma (PDAC) [NCT02550327] | Early Phase 1 | 20 participants (Actual) | Interventional | 2016-01-31 | Completed |
A Phase 1b Study of Pembrolizumab (KEYTRUDA®) in Combination With REOLYSIN® (Pelareorep) and Chemotherapy in Patients With Advanced Pancreatic Adenocarcinoma [NCT02620423] | Phase 1 | 11 participants (Actual) | Interventional | 2015-12-31 | Completed |
Neoadjuvant Chemotherapy Plus Nephroureterectomy for Locally Advanced Upper Tract Transitional Cell Cancer [NCT00696007] | Phase 2 | 0 participants (Actual) | Interventional | 2008-04-30 | Withdrawn(stopped due to Study was unable to recruit subjects meeting the study requirements.) |
Multicenter Retrospective Analysis for Efficacy and Safety of Second-Line Nab-Paclitaxel Plus Gemcitabine After Progression on 1st-line FOLFIRINOX in Advanced Pancreatic Ductal Adenocarcinoma [NCT04133155] | | 103 participants (Actual) | Observational | 2019-09-16 | Completed |
Randomized Phase II Study of Gemcitabine (GEM) Versus GEM+TS-1 for Advanced Pancreatic Cancer [NCT00514163] | Phase 2 | 110 participants (Anticipated) | Interventional | 2007-06-30 | Completed |
Advanced Non-small Cell Lung Cancer With Chinese Medicine Comprehensive Treatment Plan [NCT02777788] | Phase 2/Phase 3 | 120 participants (Anticipated) | Interventional | 2014-09-30 | Active, not recruiting |
A Randomized, Open-label Study of the Effect of First Line Treatment With Tarceva in Sequential Combination With Gemcitabine, Compared to Gemcitabine Monotherapy, on Progression-free Survival in Elderly or ECOG PS of 2 Patients With Advanced Non-small Cel [NCT00940875] | Phase 2 | 54 participants (Actual) | Interventional | 2009-06-30 | Terminated(stopped due to Study was stopped due to slower than expected recruitment.) |
Randomized, Open Label, Phase 3 Clinical Study To Evaluate The Effect Of The Addition Of CP-751,871 To Gemcitabine And Cisplatin In Patients With Advanced Non-Small Cell Lung Cancer [NCT00907504] | Phase 3 | 0 participants (Actual) | Interventional | 2010-07-31 | Withdrawn |
Phase II Study of Gemcitabine, Bevacizumab and Erlotinib in Locally Advanced and Metastatic Pancreatic Cancer [NCT00366457] | Phase 2 | 32 participants (Actual) | Interventional | 2006-08-31 | Completed |
A Phase I/II Study of Combination Therapy of CG200745 PPA With Gemcitabine and Erlotinib to Determine the Maximum Tolerated Dose (MTD) and Evaluate the Safety and Efficacy for Locally Advanced Unresectable, or Metastatic Pancreatic Cancer [NCT02737228] | Phase 1/Phase 2 | 24 participants (Anticipated) | Interventional | 2016-03-31 | Active, not recruiting |
[NCT00832689] | Phase 2 | 39 participants (Actual) | Interventional | 2008-06-30 | Completed |
Phase II Study of Gemcitabine, Cisplatin, and Sunitinib (GC-S) as Neoadjuvant Chemotherapy in Patients With Muscle-Invasive Bladder Cancer [NCT00847015] | Phase 2 | 18 participants (Actual) | Interventional | 2009-02-28 | Completed |
Open-label Multicenter Multiple Ascending Dose Study to Evaluate Safety, Tolerability and Pharmacokinetics of Quisinostat, a Histone Deacetylase Inhibitor, in Combination With Gemcitabine + Cisplatin Chemotherapy (Second Line for Patients With Non-small C [NCT02728492] | Phase 1 | 51 participants (Actual) | Interventional | 2013-08-31 | Completed |
A Multinational, Randomized, Double-blind Study, Comparing the Efficacy of Aflibercept Once Every 2 Weeks Versus Placebo in Patients Treated With Gemcitabine for Metastatic Pancreatic Cancer [NCT00574275] | Phase 3 | 546 participants (Actual) | Interventional | 2007-12-31 | Terminated(stopped due to Data Monitoring Committee concluded after a planned interim analysis that aflibercept added to gemcitabine would be unable to demonstrate improved survival) |
A Phase Ⅱ Single-arm, Open-labelled, Multi-center, Clinical Trial of Gemcitabine Combined With Eribulin for the Treatment of Second-line and Above in Patients With Recurrent HER2 Negative Breast Cancer [NCT05263882] | Phase 2 | 58 participants (Anticipated) | Interventional | 2022-03-31 | Not yet recruiting |
AN OPEN-LABEL, PHASE 1 STUDY OF R-CVP OR R-GDP IN COMBINATION WITH INOTUZUMAB OZOGAMICIN IN SUBJECTS WITH CD22-POSTIVE NON-HODGKIN'S LYMPHOMA [NCT01055496] | Phase 1 | 103 participants (Actual) | Interventional | 2010-03-31 | Completed |
Phase II Study of First-Line Therapy With Pemetrexed and Gemcitabine in Patients With Advanced Non-Small Cell Lung Cancer [NCT00193414] | Phase 2 | 72 participants (Actual) | Interventional | 2005-05-31 | Completed |
Trials of Primary Excision Combined With Preoperative Neoadjuvant Therapy and Adjuvant Therapy Was Used as a First-line Comprehensive Therapy for Oligometastasis of Urothelial Carcinoma(UC). [NCT04570410] | Phase 2 | 15 participants (Anticipated) | Interventional | 2020-10-01 | Recruiting |
An Open-label, Multicenter, Randomized, Phase 2 Study of a Recombinant Human Anti-VEGFR-2 Monoclonal Antibody, IMC-1121B in Combination With Platinum-based Chemotherapy Versus Platinum-based Chemotherapy Alone as First-line Treatment of Patients With Recu [NCT01160744] | Phase 2 | 280 participants (Actual) | Interventional | 2010-09-30 | Completed |
A Phase II Study of Gemzar, Taxotere, and Xeloda (GTX) for Adjuvant Pancreatic Cancer [NCT00882310] | Phase 2 | 37 participants (Actual) | Interventional | 2006-09-30 | Completed |
Randomized, Double Blind, Placebo Controlled, Phase 2 Study Evaluating the Efficacy & Safety of RP101 or Placebo in Combination With Gemcitabine Administered as First-Line Treatment to Subjects With Unresectable, Locally Advanced, or Metastatic Pancreatic [NCT00550004] | Phase 2 | 153 participants (Anticipated) | Interventional | 2007-09-30 | Terminated |
A Phase I Study of Gemcitabine, Capecitabine and ZD6474 (ZACTIMA) in Patients With Advanced Solid Tumors With an Expanded Cohort of Patients With Biliary or Pancreatic Malignancies. [NCT00551096] | Phase 1 | 23 participants (Actual) | Interventional | 2007-10-31 | Completed |
A Phase II Study of the Association of Glivec® (Imatinib Mesylate, Formerly Known as STI 571) Plus Gemzar® (Gemcitabine) in Patients With Unresectable, Refractory, Malignant Mesothelioma Expressing Either PDGFR-Beta or C-Kit [NCT00551252] | Phase 2 | 56 participants (Anticipated) | Interventional | 2008-01-31 | Not yet recruiting |
Phase II Study of the Response Rate of Induction Chemotherapy With Gemcitabine and Carboplatin for Operable Non-small Cell Lung Cancer Before Surgery [NCT00563160] | Phase 2 | 50 participants (Anticipated) | Interventional | 2005-05-31 | Recruiting |
Phase III Study Comparing Maintenance With Pemetrexed or Gemcitabine to a Surveillance in Elderly Patients (70 Years Old and More) With a Advanced Non Small Cell Lung Cancer Controlled by Induction Chemotherapy. [NCT01850303] | Phase 3 | 632 participants (Actual) | Interventional | 2013-05-16 | Completed |
Phase I Study of Combination of SOM 230 Long Acting Release (LAR) + Gemcitabine in Locally Advanced or Metastatic Pancreatic Cancer [NCT01385956] | Phase 1 | 20 participants (Actual) | Interventional | 2011-06-30 | Completed |
Phase II Study of Gemcitabine, Oxaliplatin in Combination With Bevacizumab (Avastin) in Unresectable or Metastatic Biliary Tract and Gallbladder Cancer [NCT00361231] | Phase 2 | 35 participants (Actual) | Interventional | 2006-05-31 | Completed |
PROVE A Randomized Phase II Trial of Standard Carboplatin-based Chemotherapy With or Without Panitumumab in Platinum-sensitive Recurrent Ovarian Cancer [NCT01388621] | Phase 2 | 140 participants (Anticipated) | Interventional | 2011-10-31 | Recruiting |
Phase II, Open-label, Randomized Clinical Trial of Panitumumab Plus Gemcitabine and Oxaliplatin (GEMOX) Versus GEMOX Alone as First Line Treatment in Advanced Biliary Tract Adenocarcinoma [NCT01389414] | Phase 2 | 89 participants (Actual) | Interventional | 2010-05-31 | Completed |
Phase II Study Open, Not Randomized to Evaluate the Efficacy and Safety of Neoadjuvant Treatment With Gemcitabine and Erlotinib Followed by Gemcitabine, Erlotinib and Radiotherapy in Patients With Resectable Pancreatic Adenocarcinoma [NCT01389440] | Phase 2 | 24 participants (Actual) | Interventional | 2011-05-31 | Completed |
A Randomized, Open-label, Multi-center Phase III Study of Erlotinib Versus Gemcitabine/Carboplatin in Chemo-naive Stage IIIB/IV Non-Small Cell Lung Cancer Patients With EGFR Exon 19 or 21 Mutation (Optimal) [NCT00874419] | Phase 3 | 165 participants (Actual) | Interventional | 2008-08-31 | Completed |
Phase Ⅱ Trial of Fixed Dose Rate Gemcitabine and Cisplatin Chemotherapy Followed by Chemoradiation With Capecitabine in Patients With Locally Advanced Pancreatic Cancer [NCT01396668] | Phase 2 | 35 participants (Anticipated) | Interventional | 2004-12-31 | Completed |
Phase Ⅱ Trial of Postoperative Adjuvant Gemcitabine and Cisplatin Chemotherapy Followed by Chemoradiation With Gemcitabine in Patients With Resected Pancreatic Cancer [NCT01396681] | Phase 2 | 70 participants (Anticipated) | Interventional | 2004-12-31 | Completed |
A Phase II Study Combining PEGPH20 With Concurrent Gemcitabine and Radiotherapy in Patients With Localized, Unresectable Pancreatic Adenocarcinoma [NCT02910882] | Phase 2 | 4 participants (Actual) | Interventional | 2017-01-03 | Terminated(stopped due to Safety) |
A Multicenter, Open-label, ExploRatory Platform Trial to EValuate ImmunOtherapy Combinations With Chemotherapy for the Treatment of Patients With PreviousLy UnTreated MetastatIc Pancreatic AdenOcarciNoma (REVOLUTION) [NCT04787991] | Phase 1 | 45 participants (Anticipated) | Interventional | 2021-08-09 | Active, not recruiting |
Neoadjuvant Chemotherapy in Upper Tract Urothelial Cancer: A Multicentre, Feasibility Pilot Trial [NCT04574960] | Phase 3 | 14 participants (Anticipated) | Interventional | 2021-02-08 | Recruiting |
A Phase III, Double-Blinded, Multicenter, Randomized Study Evaluating the Efficacy and Safety of Neoadjuvant Treatment With Atezolizumab or Placebo in Combination With Platinum-Based Chemotherapy in Patients With Resectable Stage II, IIIA, or Select IIIB [NCT03456063] | Phase 3 | 453 participants (Actual) | Interventional | 2018-04-24 | Active, not recruiting |
A Phase Ib/II Study to Evaluate the Safety, Tolerability, and Preliminary Efficacy of HMPL-453 (FGFR Inhibitor) Combined With Chemotherapy or Anti-PD-1 Antibody in Patients With Advanced Solid Tumors [NCT05173142] | Phase 1/Phase 2 | 141 participants (Anticipated) | Interventional | 2022-01-22 | Recruiting |
A Randomized, Open, Parallel-controlled, Multicenter Phase III Trial of SHR-A1811 Versus Investigator Chemotherapy in HER2-low Expressing Recurrent/Metastatic Breast Cancer [NCT05814354] | Phase 3 | 530 participants (Anticipated) | Interventional | 2023-06-30 | Recruiting |
SAMSUNG MEDICAL CENTER [NCT03061630] | Phase 2 | 49 participants (Actual) | Interventional | 2017-02-15 | Active, not recruiting |
BrUOG-PA-209: Lapatinib and Gemcitabine for Metastatic Pancreaticobiliary Cancer: A Phase I Study #108181 [NCT00447122] | Phase 1 | 25 participants (Actual) | Interventional | 2007-03-31 | Terminated(stopped due to slow enrollment and lack of funding) |
A Randomized Phase II Study of Systemic Chemotherapy With or Without HAI FUDR/Dexamethasone in Patients With Unresectable Intrahepatic Cholangiocarcinoma [NCT04891289] | Phase 2 | 164 participants (Anticipated) | Interventional | 2021-05-07 | Recruiting |
A Randomized Phase II Study Comparing Pemetrexed Plus Cisplatin With Gemcitabine Plus Cisplatin According to Thymidylate Synthase Expression in Non-squamous Non-small Cell Lung Cancer [NCT01401192] | Phase 2 | 304 participants (Anticipated) | Interventional | 2011-07-31 | Recruiting |
A Phase 1 Safety and Pharmacokinetic Study of ABT-263 in Combination With Gemzar® (Gemcitabine) in the Treatment of Subjects With Solid Tumors [NCT00887757] | Phase 1 | 46 participants (Actual) | Interventional | 2009-09-30 | Completed |
A Phase I/II Study of Romidepsin (Depsipeptide) in Combination With Gemcitabine in Patients With Pancreatic and Other Advanced Solid Tumors. [NCT00379639] | Phase 1 | 36 participants (Actual) | Interventional | 2006-07-01 | Completed |
Phase I Dose Escalating Trial Evaluating the Combination of Gemcitabine and Trabectedin in Patients With Advanced and/or Metastatic Leiomyosarcoma or Liposarcoma [NCT01426633] | Phase 1 | 5 participants (Actual) | Interventional | 2011-11-30 | Completed |
Phase 2 Study of Gemcitabine and Docetaxel Combination Chemotherapy in Patients With Carcinoma of Unknown Primary [NCT02590055] | Phase 2 | 29 participants (Anticipated) | Interventional | 2015-10-31 | Recruiting |
Study Characterizing the Impact of Different Therapeutic Strategies on Event Occurrence at 2 Years, 5 Years, 10 Years, and 15 Years, According to Prognostic Groups in Patients With Hodgkin Lymphoma [NCT00920153] | Phase 3 | 442 participants (Actual) | Interventional | 2008-05-31 | Terminated(stopped due to Other new drugs) |
a Single-arm Study of Nab-Paclitaxel Combined With Gemcitabine Adjuvant Chemotherapy After Radical Resection of Intrahepatic Cholangiocarcinoma [NCT04077983] | Phase 2 | 40 participants (Anticipated) | Interventional | 2019-09-01 | Not yet recruiting |
The Impact of Thromboprophylaxis on Progression Free Survival of Patients With Advanced Pancreatic Cancer: The Pancreatic Cancer & Tinzaparin Prospective (imPaCT-PRO) Study [NCT05178628] | Phase 3 | 450 participants (Anticipated) | Interventional | 2022-02-10 | Recruiting |
A Phase I/II Study of Gemcitabine, Nab-paclitaxel, Capecitabine, Cisplatin, and Irinotecan (GAX-CI) in Combination in Metastatic Pancreatic Cancer [NCT03535727] | Phase 1/Phase 2 | 86 participants (Anticipated) | Interventional | 2018-06-21 | Recruiting |
A Phase I/II Study to Evaluate Safety and Efficacy of P276-00 in Combination With Gemcitabine in Patients With Cancer of Pancreas [NCT00898287] | Phase 1/Phase 2 | 23 participants (Actual) | Interventional | 2009-05-31 | Completed |
A Randomized Two-armed Open Study on the Adjuvant Therapy in Patients With R0/R1 Resected Pancreatic Carcinoma With Gemcitabine Plus Capecitabine (Arm GC) vs. Gemcitabine Plus Cisplatin With Regional Hyperthermia (Arm GPH) [NCT01077427] | Phase 3 | 336 participants (Anticipated) | Interventional | 2012-03-31 | Recruiting |
Phase II, Multi-center, Open-label, Single-Arm Study Using Gemcitabine and Panitumumab in the First-line Treatment of Subjects With Locally Advanced Unresectable or Metastatic Adenocarcinoma of the Pancreas [NCT00613730] | Phase 2 | 3 participants (Actual) | Interventional | 2007-01-31 | Terminated(stopped due to APPRISE closure prompted by SWOG S0205 not meeting primary endpoint-improving OS. APPRISE enrollment closure due to similar design;no unexpected safety data) |
A Phase II Trial of Neoadjuvant AGEN1884 Plus AGEN2034 in Combination With Cisplatin-Gemcitabine for Muscle-Invasive Bladder Cancer Prior to Radical Cystectomy [NCT04430036] | Phase 2 | 4 participants (Actual) | Interventional | 2020-10-14 | Active, not recruiting |
Phase Ib Trial of Gemcitabine and Oxaliplatin (GEMOX) With Erlotinib in Patients With Advanced Biliary Tract Cancer. [NCT00987766] | Phase 1 | 28 participants (Actual) | Interventional | 2009-11-30 | Completed |
Weekly Administration of Topotecan in Combination With Gemcitabine in Patients With Platinum-resistant Ovarian Cancer [NCT00429559] | Phase 1/Phase 2 | 31 participants (Actual) | Interventional | 2006-06-30 | Completed |
Prospective Randomized Phase II Trial With Gemcitabine Plus Sunitinib Versus Gemcitabine Alone in First-line Therapy of Metastatic or Locally Advanced Pancreatic Cancer [NCT00673504] | Phase 2 | 105 participants (Actual) | Interventional | 2008-04-30 | Completed |
A Phase 1/2, Open-label, Multi-center Study to Evaluate theSafety and Efficacy of Selinexor Combined With Chemotherapy orTislelizumab in Relapsed or Refractory Mature T and NK Cell Lymphoma [NCT04425070] | Phase 1/Phase 2 | 97 participants (Anticipated) | Interventional | 2020-08-18 | Recruiting |
A Randomized Phase III Trial of Adjuvant Chemotherapy in Patients With Early Stage Non-Small Cell Lung Cancer Associated With Banking of Frozen Tumor Specimens and Collection of Gene Expression Profile Data [NCT00863512] | Phase 3 | 34 participants (Actual) | Interventional | 2009-03-31 | Terminated |
Combined Biological Treatment and Chemotherapy for Patients With Inoperable Cholangiocarcinoma [NCT00779454] | Phase 2 | 72 participants (Actual) | Interventional | 2008-09-30 | Completed |
Phase II Trial of Gemcitabine and Cisplatin/Carboplatin (GC) Plus Erlotinib in Patients With Recurrent and/or Metastatic Nasopharyngeal Cancer [NCT00603915] | Phase 2 | 20 participants (Actual) | Interventional | 2006-06-30 | Completed |
A Phase I Clinical Study of Oral CP-4126 in Patients With Advanced Solid Tumour [NCT00778128] | Phase 1 | 26 participants (Actual) | Interventional | 2008-10-31 | Completed |
A Randomized, Double-blind, Multicenter Phase II Trial With Gemcitabine Plus Sorafenib Versus Gemcitabine Plus Placebo in Patients With Chemo-naive Advanced or Metastatic Adenocarcinoma of the Biliary Tract [NCT00661830] | Phase 2 | 103 participants (Actual) | Interventional | 2008-05-31 | Completed |
Clinical Study to Assess Entry of Chemotherapeutic Agents Into Brain Metastases in Women With Breast Cancer [NCT00795678] | | 10 participants (Actual) | Observational | 2008-09-30 | Completed |
Circulating Tumor DNA Guiding (Olaparib) Lynparza® Treatment in Ovarian [NCT02822157] | Phase 2 | 160 participants (Actual) | Interventional | 2016-08-31 | Active, not recruiting |
A Phase II, Randomized, Open-Label Study of Cetuximab and Bevacizumab Alone or in Combination With Fixed-Dose Rate Gemcitabine as First-Line Therapy of Patients With Metastatic Adenocarcinoma of the Pancreas [NCT00326911] | Phase 2 | 61 participants (Actual) | Interventional | 2006-05-31 | Terminated(stopped due to The planned enrollment was 130 patients and the study was halted prematurely due to lack of efficacy in both arms. Enrolled patients continued treatment.) |
A Randomized Phase II Study of Gemcitabine and Carboplatin With or Without AZD2171 as First-Line Therapy in Advanced Non-Small Cell Lung Cancer [NCT00326599] | Phase 2 | 101 participants (Actual) | Interventional | 2007-06-30 | Completed |
ADI-PEG 20 in Combination With Gemcitabine and Docetaxel After Progression on Frontline Therapy in Non-small Cell and Small Cell Lung Cancers [NCT05616624] | Phase 1/Phase 2 | 108 participants (Anticipated) | Interventional | 2023-04-05 | Recruiting |
A Phase I/ Randomized Phase II Study of Gemcitabine Plus Erlotinib Plus MK-0646; Gemcitabine Plus MK-0646 and Gemcitabine Plus Erlotinib for Patients With Advanced Pancreatic Cancer (IISP#33337) [NCT00769483] | Phase 1/Phase 2 | 81 participants (Actual) | Interventional | 2008-11-13 | Completed |
Escalating Irinotecan (CPT-11) Administered 24 Hours Prior To Gemcitabine In Patients With Refractory Solid Tumors [NCT00054288] | Phase 1 | 0 participants | Interventional | 2001-08-31 | Completed |
A Phase II, Single-center, Open-Label, Randomized Study of Gemcitabine Plus Cisplatin (GP) Versus Gemcitabine Plus Carboplatin (GC) as First-Line Treatment in Patients With Advanced Triple-Negative Breast Cancer [NCT02341911] | Phase 2 | 150 participants (Anticipated) | Interventional | 2015-01-31 | Recruiting |
A Phase 1b Study of LY3039478 in Combination With Other Anticancer Agents in Patients With Advanced or Metastatic Solid Tumors [NCT02784795] | Phase 1 | 94 participants (Actual) | Interventional | 2016-11-04 | Completed |
Phase II Study of Irinotecan and Gemcitabine (IrinoGem) Combined With 3-D Conformal Radiation Therapy for Locally Advanced Pancreatic Cancer [NCT00192712] | Phase 2/Phase 3 | 20 participants | Interventional | 2002-11-30 | Completed |
A Phase 1/Randomized Phase 2 Study to Evaluate LY2603618 in Combination With Gemcitabine in Patients With Pancreatic Cancer [NCT00839332] | Phase 1/Phase 2 | 157 participants (Actual) | Interventional | 2009-02-28 | Completed |
Randomized Multicenter Phase III Study in Patients With Locally Advanced Adenocarcinoma of the Pancreas: Gemcitabine With or Without Chemoradiotherapy and With or Without Erlotinib. Intergroup Study [NCT00634725] | Phase 3 | 820 participants (Anticipated) | Interventional | 2008-02-29 | Completed |
Phase II Trial of Bevacizumab in Combination With Gemcitabine and Carboplatin in Patients With Newly Diagnosed Non-Small Cell Lung Cancer (Excluding Squamous Cell Carcinoma) [NCT00323869] | Phase 2 | 48 participants (Actual) | Interventional | 2006-06-30 | Completed |
Phase II Study of Weekly Genexol®-PM Plus Gemcitabine in Subjects With Recurrent and Metastatic Adenocarcinoma of the Pancreas [NCT02739633] | Phase 2 | 47 participants (Anticipated) | Interventional | 2016-04-30 | Recruiting |
Phase Ib/II Study of ALT-803 in Combination With Gemcitabine and Nab-paclitaxel in Patients With Advanced Pancreatic Cancer [NCT02559674] | Phase 1 | 8 participants (Actual) | Interventional | 2016-07-31 | Completed |
Role of Cholecystokinin Receptor Blockade on the Tumor Microenvironment in Pancreatic Cancer [NCT05827055] | Phase 2 | 30 participants (Anticipated) | Interventional | 2024-01-31 | Recruiting |
A Randomised, Double-blinded Phase II Study of Gemcitabine and Nab-Paclitaxel With CEND-1 or Placebo in Patients With Untreated Metastatic Pancreatic Ductal Adenocarcinoma [NCT05042128] | Phase 2 | 158 participants (Actual) | Interventional | 2022-04-13 | Active, not recruiting |
Gemcitabine vs Gemcitabine + Cisplatin in the Treatment of Advanced Pancreatic Cancer (Stage II III IV) [NCT00813696] | Phase 3 | 400 participants (Actual) | Interventional | 2002-04-30 | Active, not recruiting |
A Phase 3, Open-Label, Randomized, Active-Controlled, Multicenter Study to Evaluate the Efficacy and Safety of Pemigatinib Versus Gemcitabine Plus Cisplatin Chemotherapy in First-Line Treatment of Participants With Unresectable or Metastatic Cholangiocarc [NCT03656536] | Phase 3 | 434 participants (Anticipated) | Interventional | 2019-06-03 | Recruiting |
An Open-Label, Multicenter Phase Ib Study of The Safety and Efficacy of Atezolizumab (Anti-PD-L1 Antibody) Administered in Combination With Bevacizumab and/or Other Treatments in Patients With Solid Tumors [NCT02715531] | Phase 1 | 243 participants (Actual) | Interventional | 2016-04-06 | Completed |
A Phase 3 Randomized, Double Blind Study of Pembrolizumab Plus Gemcitabine/Cisplatin Versus Placebo Plus Gemcitabine/Cisplatin as First-Line Therapy in Participants With Advanced and/or Unresectable Biliary Tract Carcinoma [NCT04924062] | Phase 3 | 158 participants (Actual) | Interventional | 2020-07-10 | Active, not recruiting |
Phase II Study of Neoadjuvant FOLFIRINOX or Nab-paclitaxel With Gemcitabine for Borderline Resectable Pancreatic Cancer [NCT02717091] | Phase 2 | 50 participants (Anticipated) | Interventional | 2015-07-31 | Active, not recruiting |
A Phase III Randomized, Open-Label, Multi-Center Study of Durvalumab (MEDI4736) Versus Standard of Care (SoC) Platinum-Based Chemotherapy as First Line Treatment in Patients With PD-L1-High Expression Advanced Non Small-Cell Lung Cancer [NCT03003962] | Phase 3 | 669 participants (Actual) | Interventional | 2017-01-02 | Active, not recruiting |
A Phase II, Randomized, Multicenter Study to Assess the Efficacy of Nab-paclitaxel-based Doublet as First Line Therapy in Patients With Cancer of Unknown Primary (CUP): The AGNOSTOS Trial [NCT02607202] | Phase 2 | 120 participants (Anticipated) | Interventional | 2015-03-31 | Recruiting |
A Pilot Study of Adjuvant Docetaxel Plus Gemcitabine in Patients With Completely Resected Leiomyosarcoma (LMS) of the Uterus [NCT00614835] | | 25 participants (Actual) | Interventional | 2001-08-31 | Completed |
PD-1 Immune Checkpoint Inhibitors and Immune-Related Adverse Events: a Cohort Study [NCT04115410] | | 4,724 participants (Anticipated) | Observational | 2020-07-01 | Not yet recruiting |
A Phase II Trial of Adjuvant Capecitabine/Gemcitabine Chemotherapy Followed By Concurrent Capecitabine and Radiotherapy in Extrahepatic Cholangiocarcinoma (EHCC) [NCT00789958] | Phase 2 | 105 participants (Actual) | Interventional | 2008-12-31 | Completed |
Prospective Phase II Study to Investigate the Efficacy and Safety of Trastuzumab Biosimilar (Samfenet®) Plus Treatment of Physician's Choice (TPC) in Patients With HER2-positive Unresectable Locally Advanced or Metastatic Solid Tumor [NCT04215159] | Phase 2 | 42 participants (Anticipated) | Interventional | 2019-12-30 | Not yet recruiting |
A Randomized Phase II Study of Gemcitabine and Nab-Paclitaxel Compared With 5-Fluorouracil, Leucovorin, and Liposomal Irinotecan in Older Patients With Treatment Naïve Metastatic Pancreatic Cancer (GIANT) [NCT04233866] | Phase 2 | 176 participants (Actual) | Interventional | 2020-08-26 | Active, not recruiting |
Phase II Study of Gemcitabine, Trastuzumab, and Pertuzumab in the Treatment of Metastatic HER2-Positive Breast Cancer After Prior Trastuzumab/Pertuzumab- or Pertuzumab-Based Therapy [NCT02252887] | Phase 2 | 45 participants (Actual) | Interventional | 2015-01-12 | Active, not recruiting |
Combination of Cisplatin Plus Gemcitabine Induction Chemotherapy and Intensity-modulated Radiotherapy With or Without Concurrent Cisplatin for Locoregionally Advanced Nasopharyngeal Carcinoma [NCT01854203] | Phase 2/Phase 3 | 300 participants (Anticipated) | Interventional | 2013-07-31 | Recruiting |
Phase II Single-arm Study of First Line Treatment With Gemcitabine and Pazopanib in Patients With Inoperable Locally Advanced or Metastatic Biliary Tree Cancer (Cholangiocarcinoma or Gallbladder Carcinoma) [NCT01855724] | Phase 2 | 29 participants (Actual) | Interventional | 2013-06-28 | Terminated |
A Multicenter, Phase 3 Clinical Trial of Gemcitabine and Camrelizumab Plus Apatinib Versus Cisplatin in First-line Treatment of Recurrent/Metastatic Nasopharyngeal Carcinoma [NCT05854849] | Phase 3 | 244 participants (Anticipated) | Interventional | 2023-05-01 | Recruiting |
Phase II Study With Bendamustine, Gemcitabine and Vinorelbine (BeGEV) as Induction Therapy in Relapsed/Refractory Hodgkin's Lymphoma Patients Before High Dose Chemotherapy With Autologous Hematopoietic Stem Cells Transplant [NCT01884441] | Phase 2 | 59 participants (Anticipated) | Interventional | 2011-07-31 | Recruiting |
A Pilot Study of Molecularly Tailored Therapy for Patients With Metastatic Pancreatic Cancer [NCT01888978] | Phase 2 | 19 participants (Actual) | Interventional | 2012-12-31 | Completed |
Phase 2 Multicenter, Open-Label Study of CS-1008, A Humanized Monoclonal Antibody Targeting Death Receptor 5 (DR5), In Combination With Gemcitabine in Chemotherapy Naive Subjects With Unresectable or Metastatic Pancreatic Cancer [NCT00521404] | Phase 2 | 65 participants (Actual) | Interventional | 2007-08-15 | Completed |
Sequential Neoadjuvant Chemoradiotherapy (CRT) Followed by Curative Surgery vs. Primary Surgery Alone for Resectable, Non-metastasized Pancreatic Adenocarcinoma [NCT01900327] | Phase 3 | 32 participants (Actual) | Interventional | 2014-02-28 | Terminated(stopped due to Recruitment failure) |
Randomized Double-blinded, Placebo-controlled Phase II Trial of Simvastatin and Gemcitabine in Advanced Pancreatic Cancer Patients [NCT00944463] | Phase 2 | 106 participants (Actual) | Interventional | 2008-10-31 | Completed |
A Prospective,Randomized,Controlled,Multicenter,Phase III Study of Stage Ⅲ Study of Gemcitabine Plus Cisplatin With or Without Endostatin to the Metastatic Nasopharyngeal Carcinoma [NCT01915134] | Phase 3 | 362 participants (Anticipated) | Interventional | 2013-08-31 | Recruiting |
Phase I, Open Label, Dose Escalating Study of Intravenous Ascorbic Acid in Combination With Gemcitabine and Erlotinib in the Treatment of Metastatic Pancreatic Cancer [NCT00954525] | Phase 1 | 14 participants (Actual) | Interventional | 2009-07-31 | Completed |
Phase I Trial of the Proapoptotic Agonist, LCL161, and Gemcitabine Plus Nab-Paclitaxel in Patients With Metastatic Pancreatic Cancer [NCT01934634] | Phase 1 | 24 participants (Anticipated) | Interventional | 2014-03-31 | Active, not recruiting |
A Randomised Feasibility Study of Extended Chemotherapy With Neoadjuvant Carboplatin, Then Surgery Followed by Adjuvant Paclitaxel and Gemcitabine Verses Neoadjuvant Gemcitabine and Carboplatin, Then Surgery, Followed by Adjuvant Paclitaxel [NCT00838656] | Phase 2 | 88 participants (Anticipated) | Interventional | 2007-10-31 | Active, not recruiting |
Role of Early 18F-FDG-PET/CT Scan in Predicting Mediastinal Downstaging With Neoadjuvant Chemotherapy in Resectable Stage III A NSCLC [NCT02607423] | Phase 2 | 0 participants (Actual) | Interventional | 2015-11-19 | Withdrawn(stopped due to The study failed to meet its accrual targets.) |
Phase 1 Study of the PKMYT1 Inhibitor RP-6306 in Combination With Gemcitabine for the Treatment of Advanced Solid Tumors (MAGNETIC Study) [NCT05147272] | Phase 1 | 104 participants (Anticipated) | Interventional | 2021-12-16 | Recruiting |
Phase I, Open-label, Dose-escalation Study to Evaluate the Safety and Tolerability of Icotinib Combined With Gemcitabine as First-line Treatment in Locally Advanced, Unresectable or Metastatic Pancreatic Cancer [NCT02024633] | Phase 1 | 24 participants (Anticipated) | Interventional | 2013-12-31 | Recruiting |
A Phase III, Open-label, Randomized Study of the Combination Therapy With NC-6004 and Gemcitabine Versus Gemcitabine Alone in Patients With Locally Advanced or Metastatic Pancreatic Cancer [NCT02043288] | Phase 3 | 310 participants (Actual) | Interventional | 2014-01-31 | Completed |
A Phase I, Multicenter, Open-label, Dose Escalation Study of Intratumoral Injections of VCN-01 Oncolytic Adenovirus With Intravenous Gemcitabine and Abraxane® in Advanced Pancreatic Cancer [NCT02045589] | Phase 1 | 8 participants (Actual) | Interventional | 2014-01-31 | Completed |
A Phase I, Multicenter, Open-label, Dose Escalation Study of Intravenous Administration of VCN-01 Oncolytic Adenovirus With or Without Gemcitabine and Abraxane® in Patients With Advanced Solid Tumors [NCT02045602] | Phase 1 | 42 participants (Actual) | Interventional | 2014-01-31 | Completed |
Carboplatin, Gemcitabine, and Mifepristone for Advanced Breast Cancer and Recurrent or Persistent Epithelial Ovarian Cancer [NCT02046421] | Phase 1 | 31 participants (Actual) | Interventional | 2013-11-30 | Completed |
Phase II Study of Gemcitabine for Relapsed B-Cell Chronic Lymphocytic Leukemia [NCT00005829] | Phase 2 | 22 participants (Actual) | Interventional | 2000-02-29 | Completed |
Fluoxetine in Stage IIIB/IV Non-Small Cell Lung Cancer (NSCLC): A Phase II Pilot Study to Improve Quality of Life During Chemotherapy [NCT00005850] | Phase 2 | 21 participants (Actual) | Interventional | 2001-08-31 | Completed |
Treatment of Patients With Transitional-Cell Carcinoma of the Urothelial Tract With Gemcitabine, Docetaxel and Filgrastim [NCT00005958] | Phase 2 | 0 participants | Interventional | 1999-10-31 | Active, not recruiting |
Phase I/II Study of Gemcitabine and Doxil Combination Chemotherapy in Patients With Advanced Solid Tumors (Phase I)/Breast Cancer (Phase II) [NCT00005991] | Phase 2 | 76 participants (Actual) | Interventional | 1997-08-25 | Completed |
A Phase I/IB Study of Avelumab in Combination With Gemcitabine for Advanced Renal Cell Carcinoma With Sarcomatoid Differentiation [NCT03483883] | Phase 1 | 6 participants (Actual) | Interventional | 2018-03-19 | Terminated(stopped due to The study was terminated due to protracted accrual and limited patient engagement in the setting of rapidly changing treatment paradigms for advanced RCC with sarcomatoid features and/or intermediate/poor risk clinical features.) |
A Randomized, Double Blind, Phase III Comparative Trial of 2 Doses of ZD1839 (IRESSA) in Combination With Gemcitabine and Cisplatin Versus Placebo in Combination With Gemcitabine and Cisplatin in Chemotherapy Naive Patients With Advanced (Stage III or IV) [NCT00006048] | Phase 3 | 0 participants | Interventional | 2000-05-31 | Active, not recruiting |
Phase II Trial of Adjuvant Gemcitabine Plus Cisplatin With Amifostine Cytoprotection in Patients With Locally Advanced Bladder Cancer [NCT00006105] | Phase 2 | 37 participants (Actual) | Interventional | 2000-06-30 | Completed |
Phase II Study of Gemcitabine Plus Oxaliplatin in Patients With Locally Advanced or Metastatic Pancreatic Cancer [NCT00006117] | Phase 2 | 0 participants | Interventional | 1999-09-30 | Active, not recruiting |
A Phase II Trial of Gemcitabine, Herceptin, and Radiation for Regionally Confined Adenocarcinoma of the Pancreas [NCT00005926] | Phase 2 | 50 participants | Interventional | 2000-06-30 | Completed |
A Phase II Study of a Combination of MTA (LY231514) and Gemcitabine in Patients With Metastatic Breast Cancer [NCT00006007] | Phase 2 | 59 participants (Actual) | Interventional | 2000-12-31 | Completed |
Phase I Trial of Combination Pegylated Liposomal Doxorubicin (Doxil), Vinorelbine, and Gemcitabine [NCT00006372] | Phase 1 | 10 participants (Actual) | Interventional | 2000-02-29 | Completed |
A Phase II Multicentre Trial of Gemcitabine, CVP, and Rituximab (R-GCVP) for the Treatment of Patients With Newly Diagnosed Diffuse Large B-Cell Lymphoma, Considered Unsuitable for R-CHOP Chemotherapy [NCT00971763] | Phase 2 | 62 participants (Actual) | Interventional | 2006-03-31 | Completed |
A Phase II Study of Gemcitabine (NSC #613327) in Children With Relapsed Acute Lymphoblastic Leukemia or Acute Myelogenous Leukemia [NCT00006462] | Phase 2 | 32 participants (Actual) | Interventional | 2001-04-30 | Completed |
A Phase I Study of Weekly Gemcitabine in Combination With Infusional Fluorodeoxyuridine and Oral Calcium Leucovorin in Adult Cancer Patients [NCT00001449] | Phase 1 | 60 participants | Interventional | 1995-09-30 | Completed |
A Phase I Trial Of Gemcitabine Followed By Flavopiridol In Patients With Solid Tumors [NCT00007917] | Phase 1 | 58 participants (Actual) | Interventional | 2001-01-31 | Completed |
Phase I Study Of Gemcitabine, Docetaxel And Carboplatin, With And Without Filrastim Support, Combination Chemotherapy In Patients With Advanced Non-Hematological Malignancies [NCT00008125] | Phase 1 | 25 participants (Actual) | Interventional | 1998-03-31 | Completed |
An Open-label, Multi-center, Phase II Umbrella Study to Assess Efficacy of Targeted Therapy or Immunotherapy Directed by Next Generation Sequencing (NGS) in Chinese Patients With Advanced NSCLC (TRUMP) [NCT03574402] | Phase 2 | 400 participants (Anticipated) | Interventional | 2018-07-09 | Recruiting |
Phase II Evaluation of Trastuzumab (Herceptin), Paclitaxel, Carboplatin, and Gemcitabine in the Treatment of Advanced Urothelial Cancer [NCT00005831] | Phase 2 | 40 participants (Anticipated) | Interventional | 2000-03-31 | Completed |
A Randomized Phase II Study Of Gemcitabine/Cisplatin, Gemcitabine/Docetaxel, Gemcitabine/Irinotecan, Or Fixed Dose Rate Infusion Gemcitabine In Patients With Metastic Pancreatic Cancer [NCT00012220] | Phase 2 | 259 participants (Actual) | Interventional | 2001-01-31 | Completed |
Phase II Trial of Gemcitabine/Irinotecan as Second Line Therapy for Small Cell Lung Cancer [NCT00005972] | Phase 2 | 73 participants (Actual) | Interventional | 2000-05-31 | Completed |
A Phase II Study Of Gemcitabine, Dexamethasone, And Cisplatin (GDP) In Patients With Either Hodgkin's Disease Or Aggressive Histology Non-Hodgkin's Lymphoma Which Is Relapsed Or Refractory [NCT00014209] | Phase 2 | 77 participants (Actual) | Interventional | 2000-12-12 | Completed |
Intravesical Gemcitabine Therapy for BCG-Refractory Superficial Bladder Cancer: A Phase I and Pharmacokinetic Study [NCT00014287] | Phase 1 | 0 participants (Actual) | Interventional | 2000-09-30 | Withdrawn |
A Phase I Study of Gemcitabine, Carboplatin or Gemcitabine, Paclitaxel and Radiation Therapy Followed by Adjuvant Chemotherapy for Patients With Favorable Prognosis Inoperable Stage IIIA/B Non-Small Cell Lung Cancer (NSCLC) [NCT00016315] | Phase 1 | 35 participants (Actual) | Interventional | 2001-05-31 | Completed |
An Open-Label, Phase I Dose Escalation Trial of TH-302 in Combination With Gemcitabine and Nab-Paclitaxel in Previously Untreated Subjects With Metastatic or Locally Advanced Unresectable Pancreatic Adenocarcinoma [NCT02047500] | Phase 1 | 19 participants (Actual) | Interventional | 2014-01-31 | Terminated(stopped due to The trial has been terminated earlier following the company decision to discontinue the clinical development of Evofosfamide) |
A Phase I/II Study of Gemcitabine (GEMZAR)/Vinorelbine (NAVELBINE)/Liposomal Doxorubicin (DOXIL) in Relapsed/Refractory Hodgkin's Disease [NCT00006029] | Phase 1/Phase 2 | 91 participants (Actual) | Interventional | 2000-07-31 | Completed |
A Single Arm Phase 2 Study of Gemcitabine Plus Nab-Paclitaxel in Combination With Pegvorhyaluronidase Alfa (PVHA; PEGPH20) and Pembrolizumab as Front-line Treatment for Metastatic Pancreatic Adenocarcinoma. [NCT04045730] | Phase 2 | 0 participants (Actual) | Interventional | 2019-11-15 | Withdrawn(stopped due to Halozyme isn't allowing this trial to move forward until their current clinical trial results are released.) |
Phase 2 Single-Arm Studies of Gemcitabine in Combination With Oxaliplatin Refractory and Relapsed Pediatric Solid Tumors [NCT00407433] | Phase 2 | 156 participants (Anticipated) | Interventional | | Completed |
A Phase II Study of Gemzar, Novantrone and Rituxan in Relapsed or Refractory Mantle Cell Lymphoma (MCL) (B9E-US-X436) [NCT00656084] | Phase 2 | 16 participants (Actual) | Interventional | 2004-12-31 | Completed |
A Phase II Study of Gemcitabine and Ifosfamide As a Second-Line Systemic Chemotherapy for Cisplatin -Failed Advanced Transitional Cell Carcinoma [NCT00173862] | Phase 2 | 18 participants (Actual) | Interventional | 2000-05-31 | Completed |
Pilot Phase II Study of Metronomic Chemotherapy in Combination With Avastin in Patients With Advanced Non-Squamous Non-Small Cell Lung Cancer [NCT00655850] | Phase 2 | 39 participants (Actual) | Interventional | 2008-03-31 | Completed |
Pilot Study of Gemcitabine and Cisplatin Plus AGS-003-BLD in Patients With Muscle-Invasive Bladder Cancer Undergoing Neoadjuvant Cisplatin-Based Chemotherapy [NCT02944357] | | 0 participants (Actual) | Interventional | 2016-11-30 | Withdrawn |
Randomized Phase II Study to Compare a Combination Therapy With Gemcitabine and Treosulfan Versus a Monotherapy as First-Line Chemotherapy for Patients With Metastatic Ocular Melanoma [NCT00168870] | Phase 2 | 48 participants (Anticipated) | Interventional | 2003-02-28 | Recruiting |
PVAG - Phase I/II Dose Finding Trial in Elderly Patients (> 60 Years) With Advanced Stages Hodgkin's Lymphoma [NCT00147875] | Phase 1/Phase 2 | 60 participants (Actual) | Interventional | 2004-03-31 | Completed |
Phase II Study of Neoadjuvant Chemotherapy of Gemcitabine+Nab-paclitaxel Therapy for Patients With Borderline Resectable Pancreatic Cancer [NCT02926183] | Phase 2 | 60 participants (Anticipated) | Interventional | 2016-10-31 | Recruiting |
A Randomized Phase III Trial of Gemcitabine and Docetaxel Versus Gemcitabine and Paclitaxel in Patients With Metastatic Breast Cancer: A Comparison of Different Schedules [NCT00236899] | Phase 3 | 241 participants (Actual) | Interventional | 2005-09-30 | Completed |
Infusional Gemcitabine and High-dose Melphalan (HDM) Conditioning Prior to (ASCT) Autologous Stem Cell Transplantation for Patients With Relapsed/Refractory Lymphoma [NCT02295722] | Phase 1/Phase 2 | 100 participants (Actual) | Interventional | 2015-04-30 | Terminated(stopped due to It did not show a significant benefit to justify completing the full target accrual.) |
Phase II Study of Primary Paclitaxel Plus Gemcitabine in Patients With Stage II and III Breast Cancer [NCT00532285] | Phase 2 | 44 participants (Actual) | Interventional | 2005-09-30 | Terminated(stopped due to terminated) |
Phase II Evaluation of Trastuzumab (Herceptin), Paclitaxel, Carboplatin, and Gemcitabine in the Treatment of Advanced Urothelial Cancer [NCT00151034] | Phase 2 | 33 participants (Actual) | Interventional | 2000-09-30 | Completed |
A Phase Two Trial of Neoadjuvant ABI-007, Carboplatin and Gemcitabine in Patients With Locally Advanced Carcinoma of the Bladder [NCT00585689] | Phase 2 | 29 participants (Actual) | Interventional | 2007-12-31 | Completed |
A Phase II Study Induction Chemotherapy, Neoadjuvant Chemoradiotherapy, Surgical Resection and Adjuvant Chemotherapy for Patients With Locally Advanced, Resectable Pancreatic Adenocarcinoma [NCT00609336] | Phase 2 | 35 participants (Actual) | Interventional | 2008-01-31 | Completed |
A Randomized Phase 2 Study of Gemcitabine ± Erlotinib and DN-101 Versus Gemcitabine ± Erlotinib and Placebo in Subjects With Advanced Pancreatic Adenocarcinoma [NCT00536770] | Phase 2 | 132 participants (Anticipated) | Interventional | 2007-09-30 | Suspended(stopped due to DSMB) |
[NCT00540280] | Phase 3 | 10 participants (Anticipated) | Interventional | 2003-10-31 | Suspended(stopped due to Follow up only) |
Phase II Clinical Trial of Gemcitabine and Oxaliplatin in Recurrent or Metastatic Breast Cancer [NCT00159458] | Phase 2 | 7 participants (Actual) | Interventional | 2003-07-31 | Terminated(stopped due to Insufficient Accrual) |
Phase III Randomized, Double-blind Study Comparing Gemcitabine and Sorafenib or a Placebo in Patients With Locally Advanced or Metastatic Cancer of the Pancreas. [NCT00541021] | Phase 3 | 104 participants (Anticipated) | Interventional | 2006-12-31 | Recruiting |
15xxGCC: PHASE II TRIAL OF THE EP4 RECEPTOR ANTAGONIST, AAT-007 (RQ-07; CJ-023,423) IN ADVANCED SOLID TUMORS [NCT02538432] | Phase 2 | 0 participants (Actual) | Interventional | 2017-06-30 | Withdrawn(stopped due to PI No Longer at University of Maryland. Now at Fox Chase) |
Randomized Phase II Trial to Outline the Efficacy of Gemcitabine Containing Regimens (Gemcitabine/Carboplatin and Gemcitabine/Paclitaxel) When Used as Preoperative Chemotherapy In Patients With Stage I and II NSCLC [NCT00191256] | Phase 2 | 77 participants | Interventional | 2001-06-30 | Completed |
Phase II Study of Gemcitabine and Trastuzumab Therapy in Patients With HER2 Overexpressing Metastatic Breast Cancer [NCT00191373] | Phase 2 | 66 participants | Interventional | 2002-03-31 | Completed |
Gemcitabine and Nab-Paclitaxel Combined With the Oral Irreversible ErbB Family Blocker Afatinib in Patients With Metastatic Pancreatic Cancer: A Phase Ib Trial [NCT02975141] | Phase 1 | 12 participants (Actual) | Interventional | 2016-09-30 | Active, not recruiting |
Pancreatic Adenocarcinoma Signature Stratification for Treatment [NCT04469556] | Phase 2 | 150 participants (Anticipated) | Interventional | 2020-10-14 | Recruiting |
A Phase II Trial of Adjuvant Treatment With Gemcitabine and Oxaliplatin Followed by Concomitant Gemcitabine and Radiation Therapy in Patients With Resected Pancreatic Adenocarcinoma [NCT00191568] | Phase 2 | 45 participants | Interventional | 2002-10-31 | Completed |
NGR014: Randomized Phase II Study of NGR-hTNF in Combination With Standard Chemotherapy Versus Standard Chemotherapy Alone in Previously Untreated Patients With Advanced Non-small Cell Lung Cancer (NSCLC) [NCT00994097] | Phase 2 | 121 participants (Actual) | Interventional | 2009-07-31 | Completed |
A Randomized, Double-Blind Phase 3 Study Of Gemcitabine Plus AG-013736 Versus Gemcitabine Plus Placebo For The First-Line Treatment Of Patients With Locally Advanced, Unresectable Or Metastatic Pancreatic Cancer. [NCT00471146] | Phase 3 | 630 participants (Actual) | Interventional | 2007-07-31 | Completed |
An Open Label Study of Tarceva in Combination With Gemcitabine in Unresectable and/or Metastatic Cancer of the Pancreas : Relationship Between Skin Rash and Survival [NCT00461708] | Phase 2 | 153 participants (Actual) | Interventional | 2007-05-31 | Completed |
A Study Evaluating Safety and Efficacy of Gemcitabine Plus Bosutinib for Patients With Resected Pancreatic Adenocarcinoma [NCT01025570] | Phase 1 | 3 participants (Actual) | Interventional | 2010-05-31 | Terminated(stopped due to Terminated due to slow accrual) |
A Randomized Phase II Trial of Paclitaxel and Bevacizumab Versus Gemcitabine, Paclitaxel, and Bevacizumab as First Line Treatment for Locally Advanced or Metastatic Breast Cancer [NCT00320541] | Phase 2 | 187 participants (Actual) | Interventional | 2006-05-31 | Completed |
Phase I Study of Margin-Intense Combination Therapy for Patients With Potentially Resectable Pancreatic Adenocarcinoma [NCT01025882] | Phase 1 | 5 participants (Actual) | Interventional | 2009-10-31 | Terminated(stopped due to DSMC closed due to patient deaths) |
Individualized Management of Pancreatic Cancer With Targeted Therapeutics (IMPACTT): A Phase II Clinical Trial [NCT00429858] | Phase 2 | 21 participants (Actual) | Interventional | 2007-01-22 | Terminated(stopped due to Study accrual rate is very slow, it was mandated by NCI to be terminated.) |
An Open-label, Single Arm, Phase 2 Study of Rituximab, Gemcitabine and Oxaliplatin Plus Enzastaurin as Treatment for Patients With Relapsed Diffuse Large B-Cell Lymphoma [NCT00436280] | Phase 2 | 68 participants (Actual) | Interventional | 2007-02-28 | Completed |
A Randomized Phase III Trial of Neoadjuvant Therapy in Patients With Palpable and Operable Breast Cancer Evaluating the Effect on Pathologic Complete Response (pCR) of Adding Capecitabine or Gemcitabine to Docetaxel When Administered Before AC With or Wit [NCT00408408] | Phase 3 | 1,206 participants (Actual) | Interventional | 2006-11-30 | Active, not recruiting |
A Randomized Phase II Study of ALIMTA® (Pemetrexed) and GEMZAR® (Gemcitabine) Every 14 Days Versus Pemetrexed and Gemcitabine Every 21 Days in Advanced Non-Small Cell Lung Cancer [NCT00407550] | Phase 2 | 19 participants (Actual) | Interventional | 2006-11-30 | Completed |
An Intergroup Randomized Phase II Study of Bevacizumab (NSC 704865) or Cetuximab (NSC 714692) in Combination With Gemcitabine and in Combination With Chemoradiation (Capecitabine and Radiation) in Patients With Completely-Resected Pancreatic Carcinoma [NCT00305877] | Phase 2 | 137 participants (Actual) | Interventional | 2006-02-28 | Completed |
Adjuvant Treatment of High Risk Uterine Leiomyosarcoma With Gemcitabine/Docetaxel Followed by Doxorubicin: A Phase II Trial [NCT00282087] | Phase 2 | 47 participants (Actual) | Interventional | 2006-01-31 | Completed |
A Phase II Study of Gemcitabine as an Adjuvant Treatment for Cholangiocarcinoma After Surgical Resection [NCT01043172] | Phase 2 | 72 participants (Actual) | Interventional | 2009-07-20 | Completed |
Phase II Open Label Study of Gemcitabine, Paclitaxel and Bevacizumab Combination as First Line Treatment for Metastatic Breast Cancer [NCT00403130] | Phase 2 | 31 participants (Actual) | Interventional | 2006-02-28 | Completed |
A Phase I Trial of Ascorbic Acid and Gemcitabine for the Treatment of Metastatic Pancreatic Cancer [NCT01049880] | Phase 1 | 15 participants (Actual) | Interventional | 2009-12-31 | Completed |
A Phase I Study of Gemcitabine Plus Oxaliplatin in Combination With Imatinib Mesylate (Glivec) in Patients With Gemcitabine-refractory Advanced Adenocarcinoma of the Pancreas [NCT01048320] | Phase 1 | 36 participants (Anticipated) | Interventional | 2006-07-31 | Completed |
A Phase I/II, Open-label, One-arm, Single-center Study to Evaluate the Safety and Efficacy of the Pan-immunotherapy in Subjects With Local Advanced/Metastatic Pancreatic Cancer [NCT03989310] | Phase 1/Phase 2 | 50 participants (Anticipated) | Interventional | 2019-03-01 | Recruiting |
A Pilot Study of Full Dose Gemcitabine and Hypofractionated Stereotactic Radiosurgery in the Treatment of Unresectable Pancreatic Cancer [NCT01051284] | Phase 1 | 14 participants (Actual) | Interventional | 2009-11-30 | Completed |
INST 0601C: A Non-Randomized Phase II Protocol of Erlotinib for Patients With Newly Diagnosed, Advanced Non-Small Cell Carcinoma of the Lung [NCT00391586] | Phase 2 | 45 participants (Actual) | Interventional | 2006-07-31 | Terminated(stopped due to PI left institution.) |
A Phase II Study of Gemcitabine and Cisplatin for Advanced or Recurrent Endometrial Cancer [NCT00388154] | Phase 2 | 21 participants (Actual) | Interventional | 2004-08-31 | Completed |
A Randomized Phase II Study of BAY 43-9006 in Combination With Gemcitabine in Metastatic Pancreatic Carcinoma [NCT00114244] | Phase 2 | 52 participants (Actual) | Interventional | 2004-12-31 | Completed |
A Randomized Double-Blinded Placebo Controlled Phase II Study of the Anti-CD30 Antibody, SGN-30 (NSC #731636), in Combination With Gemcitabine, Vinorelbine, and Pegylated Liposomal Doxorubicin (GVD) for Patients With Relapsed/Refractory Hodgkin Lymphoma [NCT00337194] | Phase 2 | 30 participants (Actual) | Interventional | 2006-04-30 | Completed |
Phase II Study of Intravesical Gemcitabine in Patients With Superficial Bladder Cancer Who Have Progressed Despite Intravesical BCG [NCT00234039] | Phase 2 | 58 participants (Actual) | Interventional | 2006-11-30 | Completed |
A Randomized Phase 3 Study Assessing the Efficacy and Safety of Olvi-Vec Followed by Platinum-doublet Chemotherapy and Bevacizumab Compared With Platinum-doublet Chemotherapy and Bevacizumab in Women With Platinum-Resistant/Refractory Ovarian Cancer (OnPr [NCT05281471] | Phase 3 | 186 participants (Anticipated) | Interventional | 2022-08-31 | Recruiting |
A Phase III, Open-Label, Randomized Study to Evaluate the Efficacy and Safety of Adjuvant Alectinib Versus Adjuvant Platinum-Based Chemotherapy in Patients With Completely Resected Stage IB (Tumors Equal to or Larger Than 4cm) to Stage IIIA Anaplastic Lym [NCT03456076] | Phase 3 | 257 participants (Actual) | Interventional | 2018-08-16 | Active, not recruiting |
A Phase III, Multicenter, Randomized, Placebo-Controlled Study of Atezolizumab (Anti-PD-L1 Antibody) as Monotherapy and in Combination With Platinum-Based Chemotherapy in Patients With Untreated Locally Advanced or Metastatic Urothelial Carcinoma [NCT02807636] | Phase 3 | 1,213 participants (Actual) | Interventional | 2016-06-30 | Active, not recruiting |
Panobinostat Combined With High-Dose Gemcitabine/Busulfan/Melphalan With Autologous Stem Cell Transplant for Patients With Refractory/Relapsed Myeloma [NCT02506959] | Phase 2 | 83 participants (Actual) | Interventional | 2015-09-14 | Active, not recruiting |
Multicenter, Randomized, Open Label Study Evaluating a Poly(ADP-ribose) Polymerase-1(PARP-1) Inhibitor, SAR240550 (BSI-201), Administered Twice Weekly or Weekly, in Combination With Gemcitabine/Carboplatin, in Patients With Metastatic Triple Negative Brea [NCT01045304] | Phase 2 | 163 participants (Actual) | Interventional | 2010-02-28 | Completed |
Phase II Trial of Weekly Gemcitabine and Docetaxel Combination Therapy for Relapsed Ovarian or Peritoneal Cancer [NCT00227721] | Phase 2 | 30 participants (Actual) | Interventional | 2004-02-29 | Completed |
A Randomized Study of Gemcitabine/Cisplatin Versus Single-Agent Gemcitabine in Patients With Biliary Tract Cancer [NCT00380588] | Phase 2 | 84 participants (Actual) | Interventional | 2006-09-30 | Completed |
A Phase Ib Study of Erlotinib in Combination With Gemcitabine and Nab-Paclitaxel in Patients With Previously Untreated Advanced Pancreatic Cancer [NCT01010945] | Phase 1 | 19 participants (Actual) | Interventional | 2010-02-03 | Completed |
Phase II Trial of Pemetrexed Plus Gemcitabine in Patients With Advanced Non-Clear Cell Renal Cell Cancer [NCT00491075] | Phase 2 | 16 participants (Actual) | Interventional | 2005-12-31 | Terminated(stopped due to Closed early for poor accrual.) |
Clinical Study of Toripalimab Monoclonal Antibody Combined With Gemcitabine/5--fluoropyrimidine in the Treatment of Advanced Cholangiocarcinoma [NCT03982680] | Phase 2 | 30 participants (Anticipated) | Interventional | 2019-07-13 | Recruiting |
Combination Study of LY188011 and Paclitaxel in Patients With Metastatic/Recurrent Breast Cancer After Neo-adjuvant/Adjuvant Chemotherapy With Anthracycline [NCT00334802] | Phase 2 | 62 participants (Actual) | Interventional | 2006-06-30 | Completed |
A Phase 1/2a Open-label Study of Pralatrexate and Gemcitabine With Vitamin B12 and Folic Acid Supplementation in Patients With Relapsed or Refractory Lymphoproliferative Malignancies [NCT00481871] | Phase 1/Phase 2 | 119 participants (Actual) | Interventional | 2007-05-31 | Completed |
A Phase I/II Trial of Combination Bortezomib (VELCADE) and Gemcitabine Therapy for Patients With Relapsed or Refractory Aggressive B- and T-cell Non-Hodgkin's Lymphoma [NCT00290706] | Phase 1/Phase 2 | 32 participants (Actual) | Interventional | 2006-04-07 | Terminated(stopped due to Closed per Data Monitoring Committee due to lack of efficacy) |
Phase II Study: Neoadjuvant Gemcitabine, Docetaxel and Capecitabine Followed by Neoadjuvant Radiation Therapy With Gemcitabine and Capecitabine in the Treatment of Stage II and III Pancreatic Adenocarcinoma [NCT01065870] | Phase 2/Phase 3 | 64 participants (Anticipated) | Interventional | 2009-12-31 | Recruiting |
Phase II Trial of Gemcitabine and Curcumin in Patients With Advanced Pancreatic Cancer [NCT00192842] | Phase 2 | 17 participants (Actual) | Interventional | 2004-07-31 | Completed |
Phase Ib/II Study of Primary Chemotherapy With Paclitaxel, Gemcitabine, and Sunitinib in Patients With HER2-negative Stage II/III Breast Cancer [NCT01070706] | Phase 1/Phase 2 | 15 participants (Actual) | Interventional | 2009-03-31 | Completed |
A Phase II Study of Gemcitabine/ Mitoxantrone in Patients With Acute Myeloid Leukemia in First Relapse [NCT00268242] | Phase 2 | 24 participants (Actual) | Interventional | 2006-01-31 | Terminated(stopped due to If = 5 of the initial 18 patients had a CR, the study would be stopped. Only 5 patients (21%) of 24 enrolled patients had a CR so the study was terminated.) |
A Feasibility Study for Individualized Treatment of Patients With Advanced Pancreatic Cancer [NCT00276744] | Phase 2 | 249 participants (Actual) | Interventional | 2005-10-31 | Terminated(stopped due to Because there was no longer an active laboratory component to this study.) |
A Phase I, Open-Label, Multi-center, Competitive Enrollment and Dose-escalation Study of ALT-836 in Combination With Gemcitabine for Locally Advanced or Metastatic Solid Tumors [NCT01325558] | Phase 1 | 30 participants (Anticipated) | Interventional | 2011-05-31 | Completed |
A Phase II Trial Of Gemcitabine in Combination With 17-Allylaminogeldamycin (17-AAG) In Advanced Epithelial Ovarian And Primary Peritoneal Carcinoma [NCT00093496] | Phase 2 | 29 participants (Actual) | Interventional | 2007-10-31 | Completed |
A Randomized, Open-Label Phase II Study Of ZD1839 (IRESSA™) Versus Gemcitabine And Carboplatin In Chemotherapy-Naive Patients With Advanced (Stage IIIB OR IV) Non-Small Cell Lung Cancer And ECOG Performance Status 2 [NCT00264498] | Phase 2 | 38 participants (Actual) | Interventional | 2004-10-31 | Completed |
Phase II Pilot Study of Bortezomib (VELCADE®) and Gemcitabine for Patients With Relapsed or Refractory Hodgkin's Lymphoma [NCT00262860] | Phase 2 | 18 participants (Actual) | Interventional | 2005-04-30 | Completed |
A Phase III Randomized, Double-blind, Placebo Controlled Trial Comparing the Efficacy of Gemcitabine, Cisplatin and Sorafenib to Gemcitabine, Cisplatin and Placebo in First-Line Treatment of Patients With Stage IIIb With Effusion and Stage IV Non-Small Ce [NCT00449033] | Phase 3 | 904 participants (Actual) | Interventional | 2007-02-28 | Completed |
A Multi-Institutional Phase II Study of Neoadjuvant Gemcitabine and Oxaliplatin With Radiation Therapy in Patients With Pancreatic Cancer [NCT00456599] | Phase 2 | 71 participants (Actual) | Interventional | 2007-04-30 | Completed |
A Phase III Blinded Study of Immediate Post TURBT Instillation of Gemcitabine Versus Saline in Patients With Newly Diagnosed or Occasionally Recurring Grade I/II Superficial Bladder Cancer [NCT00445601] | Phase 3 | 406 participants (Actual) | Interventional | 2007-09-30 | Completed |
Randomized Phase II Study of First-Line Treatment With Gemcitabine vs. Erlotinib vs. Gemcitabine and Erlotinib in Elderly Patients With Stage IIIB/IV Non-Small Cell Lung Cancer [NCT00283244] | Phase 2 | 147 participants (Actual) | Interventional | 2006-03-31 | Completed |
A Phase II Trial of Combination Gemcitabine, Carboplatin With or Without Trastuzumab in Patients With Metastatic Breast Cancer [NCT00193076] | Phase 2 | 96 participants (Anticipated) | Interventional | 2003-11-30 | Completed |
Phase I, Prospective, Open-label, Multi-centric, Dose Finding Trial of Combination of IGEV and Panobinostat Before Autologous Stem Cell Transplant in Patients With Hodgkin's Lymphoma [NCT01884428] | Phase 1 | 24 participants (Anticipated) | Interventional | 2011-07-31 | Recruiting |
Pilot Trial of Sirolimus, Gemcitabine and Cisplatin for Patients With High Risk for Cholangiocarcinoma Recurrence [NCT01888302] | Phase 1 | 1 participants (Actual) | Interventional | 2013-09-30 | Completed |
A Phase I/II Dose Escalation Study to Assess the Safety, Tolerability and Efficacy of Amphinex®-Induced Photochemical Internalisation (PCI) of Gemcitabine in Patients With Advanced Inoperable Cholangiocarcinomas [NCT01900158] | Phase 1 | 24 participants (Actual) | Interventional | 2013-05-31 | Completed |
Phase I Trial of Chemoimmunotherapy and Hypofractionated Radiation Therapy for Borderline Resectable and Locally Advanced Pancreatic Adenocarcinoma. [NCT01903083] | Phase 1 | 10 participants (Actual) | Interventional | 2013-07-31 | Completed |
Ph 2 Trial of G-FLIP (Low Doses Gemcitabine, 5FU, Leucovorin, Irinotecan & Oxaliplatin), Followed by G-FLIP-DM (G-FLIP + Low Doses Docetaxel & MitomycinC), When Used in Combination With Vitamin C, in Patients With Advanced Pancreatic Cancer [NCT01905150] | Phase 2 | 34 participants (Actual) | Interventional | 2014-07-31 | Completed |
A Phase I Study of Veliparib (ABT-888) in Combination With Gemcitabine and Intensity Modulated Radiation Therapy in Patients With Locally Advanced, Unresectable Pancreatic Cancer [NCT01908478] | Phase 1 | 34 participants (Actual) | Interventional | 2013-10-02 | Completed |
An Open-label, Multicenter, Non-Comparative Phase II Study of the Combination of Intravenous Topotecan and Gemcitabine Administered Once Weekly for Three Weeks Every 28 Days as Second-line Treatment in Patients With Recurrent Platinum Sensitive Ovarian Ca [NCT00061308] | Phase 2 | 75 participants | Interventional | 2002-12-31 | Completed |
An Open-label, Multicenter, Phase II Trial, to Evaluate the Efficacy of Intra-hepatic Administration of Yttrium 90-labelled Microspheres (Therasphere®, Nordion) in Association With Intravenous Chemotherapy With Gemcitabine and Cisplatin for the Treatment [NCT01912053] | Phase 2 | 41 participants (Actual) | Interventional | 2013-09-30 | Completed |
The Feasibility Study of Oral Rehydration Therapy for Short Hydration in Chemotherapy With Cisplatin Plus Gemcitabine for Biliary Tract Cancer [NCT01917617] | Phase 2 | 50 participants (Actual) | Interventional | 2013-05-22 | Completed |
Targeting Androgen Signaling in Urothelial Cell Carcinoma - Neoadjuvant (TASUC-Neo): A Pilot Study of Degarelix in Combination With Neoadjuvant Gemcitabine and Cisplatin in Muscle-Invasive Urothelial Cell Carcinoma of the Bladder [NCT05839119] | Phase 1 | 32 participants (Anticipated) | Interventional | 2023-10-02 | Recruiting |
A Randomized Phase III Trial Comparing Cisplatin With or Without Gemcitabine in Patients With Carcinoma of Unknown Primary and a Predicted Favorable Prognosis [NCT00126269] | Phase 3 | 192 participants | Interventional | 2003-05-31 | Recruiting |
A Multicenter Phase II Trial of Weekly Gemcitabine, Paclitaxel, and Hyperfractionated External Irradiation (63.80 GY) for Locally Advanced Pancreatic Cancer [NCT00226746] | Phase 2 | 0 participants (Actual) | Interventional | 2003-03-31 | Withdrawn |
Phase I Study of Hepatic Arterial Infusion With Floxuridine and Dexamethasone in Combination With Gemcitabine as Adjuvant Treatment After Resection of Intrahepatic Cholangiocarcinoma [NCT01938729] | Phase 1 | 8 participants (Actual) | Interventional | 2013-09-05 | Completed |
A Phase Ib Trial of Gemcitabine and Cisplatin With RAD001 in Patients With Metastatic Triple Negative Breast Cancer Proceeding to an Open Label Randomized Phase II Trial Comparing Gemcitabine/Cisplatin With or Without RAD001. [NCT01939418] | Phase 1/Phase 2 | 23 participants (Actual) | Interventional | 2013-08-31 | Terminated(stopped due to slow recruitment) |
Phase 2 Study for Treatment of Penis Epidermoid Carcinoma Loco-regionally Advanced or Metastatic by Association Gemcitabine-Cisplatin [NCT00210041] | Phase 2 | 50 participants (Anticipated) | Interventional | 2004-02-29 | Completed |
Phase I Trial of Gemcitabine and Capecitabine (Xeloda) in Patients With Advanced Pancreatic Carcinoma [NCT00316420] | Phase 1 | 20 participants (Actual) | Interventional | 2003-12-31 | Completed |
Serum Protein Profiling as a Predictor of Gemcitabine Sensitivity in Breast Cancer With Prior Exposure to Anthracyclines and Taxanes [NCT00212069] | Phase 2 | 30 participants (Anticipated) | Interventional | 2004-03-31 | Completed |
Prospective, Multicenter, Open-labeled, Phase I/II Study of the Efficacy and Safety of Copanlisib (BAY 80-6946) and Gemcitabine Combination in Patients With Relapsed/Refractory Peripheral T-cell or NK/T-cell Lymphoma [NCT03052933] | Phase 1/Phase 2 | 28 participants (Actual) | Interventional | 2018-02-01 | Completed |
Phase 1-2 Study of the Association of Gemzar ® - Cisplatin-concurrent Radiotherapy in Patients With Non-metastatic Tumors of the Bladder [NCT00556621] | Phase 1/Phase 2 | 14 participants (Actual) | Interventional | 2005-06-30 | Completed |
Panobinostat Combined With High-Dose Gemcitabine/Busulfan/Melphalan With Autologous Stem Cell Transplant for Patients With Refractory/Relapsed Lymphoma [NCT02961816] | Phase 2 | 0 participants (Actual) | Interventional | 2017-06-30 | Withdrawn(stopped due to Lack of funding) |
A Multicentre, Randomized Study of Trastuzumab Combined With Chemotherapy or Endocrine Therapy as the First Line Treatment for Patients With Metastatic Luminal B2 Breast Cancer Subtype [NCT01950182] | Phase 3 | 392 participants (Actual) | Interventional | 2013-09-16 | Completed |
Phase II Study of Rituximab and Gemcitabine in Patients With Relapsed or Refractory Diffuse Large B-Cell Lymphoma: Hoosier Oncology Group LYM03-64 [NCT00216164] | Phase 2 | 8 participants (Actual) | Interventional | 2005-04-30 | Terminated(stopped due to Study terminated due to lack of response at the first efficacy analysis) |
Gemcitabine, Oxaliplatin and Radiation Therapy in Pancreatic Cancer [NCT00242190] | Phase 1/Phase 2 | 40 participants | Interventional | 2004-06-30 | Completed |
Phase Ib, IIa Study of Anti-Epidermal Growth Factor Receptor (EGFr) Antibody, Cetuximab, in Combination With Gemcitabine/Carboplatin in Patients With Chemotherapy-Naive Stage IV Non-Small Cell Lung Cancer [NCT01004731] | Phase 1/Phase 2 | 7 participants (Actual) | Interventional | 2001-06-30 | Completed |
[NCT00436423] | Phase 2 | 38 participants (Actual) | Interventional | 2006-03-31 | Completed |
Phase I Study to Determine the Safety, Maximum Tolerated Dose, and Efficacy of Biweekly Oxaliplatin (Eloxatin) in Combination With Gemcitabine, Irinotecan, and 5-FU/Leucovorin (G-Flie) in Patients With Metastatic Solid Tumors or Adenocarcinoma of the Exoc [NCT00220649] | Phase 1 | 25 participants (Actual) | Interventional | 2004-03-31 | Completed |
A Pilot Safety and Toxicity Trial of Adjuvant Chemotherapy With Gemcitabine and Docetaxel and Radiation Therapy for Completely Resected Uterine Leiomyosarcoma [NCT01958580] | | 3 participants (Actual) | Interventional | 2013-09-17 | Terminated(stopped due to Study terminated due to low accrual. PI left the institution) |
A Phase III, Randomized, Double-Blind, Placebo-Controlled, Multicenter, Global Study of Rilvegostomig in Combination With Chemotherapy as Adjuvant Treatment After Resection of Biliary Tract Cancer With Curative Intent (ARTEMIDE-Biliary01) [NCT06109779] | Phase 3 | 750 participants (Anticipated) | Interventional | 2023-12-04 | Recruiting |
Phase 2 Single Arm Trial Testing the ZN-c3 WEE1 Inhibitor in Combination With Gemcitabine in Second-Line Advanced Pancreatic Adenocarcinoma [NCT06015659] | Phase 2 | 34 participants (Anticipated) | Interventional | 2023-11-16 | Recruiting |
Phase I-II Trial of Gemcitabine Plus Nab-paclitaxel (GemBrax) Followed by Folfirinox as First Line Treatment of Patients With Metastatic Pancreatic Adenocarcinoma. [NCT01964287] | Phase 1/Phase 2 | 78 participants (Actual) | Interventional | 2013-09-24 | Completed |
A Phase I Clinical Trial of CA-4948 in Combination With Gemcitabine and Nab-Paclitaxel in Metastatic or Unresectable Pancreatic Ductal Carcinoma [NCT05685602] | Phase 1 | 36 participants (Anticipated) | Interventional | 2023-06-12 | Recruiting |
A Phase 1b/2a Study of Gemcitabine and Nab-paclitaxel in Combination With Avutometinib (VS-6766) and Defactinib in Patients With Previously Untreated Metastatic Adenocarcinoma of the Pancreas [NCT05669482] | Phase 1/Phase 2 | 40 participants (Anticipated) | Interventional | 2023-03-22 | Recruiting |
Randomized Phase II Study of Weekly ABI-007 Plus Gemcitabine or Simplified LV5FU2 as First-line Therapy in Patients With Metastatic Pancreatic Cancer [NCT01964534] | Phase 2 | 114 participants (Actual) | Interventional | 2013-12-12 | Active, not recruiting |
A Phase I Protocol for Relapsed Pediatric AML to Determine the Safety and Efficacy of the PARP Inhibitor Talazoparib in Combination With Chemotherapy [NCT05101551] | Phase 1 | 34 participants (Anticipated) | Interventional | 2023-02-23 | Recruiting |
Phase I Multicenter, Open-label, Clinical and Pharmacokinetic Study of PM01183 in Combination With Gemcitabine in Non-heavily Pretreated Patients With Selected Advanced Solid Tumors [NCT01970553] | Phase 1 | 47 participants (Actual) | Interventional | 2011-05-31 | Completed |
A Phase II Study of TTFields (150 kHz) Concomitant With Gemcitabine and TTFields Concomitant With Gemcitabine Plus Nab-paclitaxel for Front-line Therapy of Advanced Pancreatic Adenocarcinoma [NCT01971281] | Phase 1/Phase 2 | 40 participants (Actual) | Interventional | 2013-11-30 | Active, not recruiting |
Phase II, Prospective, Randomized, Non-comparative Study of Treatment With Induction Chemotherapy With Cisplatin and Gemcitabine Followed by Chemoradiation or Definitive Chemoradiation in Invasive Locally Advanced Carcinomas of Uterine Cervix. [NCT01973101] | Phase 2 | 120 participants (Anticipated) | Interventional | 2012-06-30 | Recruiting |
The Role of the Tumor Microenvironment of Pancreatic Cancer to Predict Treatment Outcome [NCT01989000] | | 47 participants (Actual) | Interventional | 2013-11-30 | Completed |
A Phase I Study of Gemcitabine, 5-Fluorouracil, and Radiation Therapy in the Treatment of Locally Unresectable Non-Metastatic Pancreatic Cancer [NCT00251355] | Phase 1 | 40 participants (Anticipated) | Interventional | 1998-01-31 | Completed |
An Open, Single-center, Phase II Clinical Trial for Treatment of Untreated Extranodal NK/T Cell Lymphoma With High Dose of Methotrexate in Combination With Gemcitabine, Pegaspargase and Dexamethasone (GAD-M Regimen) [NCT01991158] | Phase 2 | 30 participants (Anticipated) | Interventional | 2013-11-30 | Active, not recruiting |
A Phase III Randomised Trial of Peri-Operative Chemotherapy Versus sUrveillance in Upper Tract Urothelial Cancer [NCT01993979] | Phase 3 | 261 participants (Actual) | Interventional | 2012-05-31 | Active, not recruiting |
A Randomized, Open-label Phase III Study of First-line Treatment With Erlotinib Intercalated With Gemcitabine/ Cisplatin or Carboplatin Therapy Versus Erlotinib in Stage IIIB/IV NSCLC Patients With EGFR Mutation [NCT02001896] | Phase 3 | 60 participants (Anticipated) | Interventional | 2013-12-31 | Not yet recruiting |
A Phase 1b Dose Escalation Study of Vantictumab (OMP-18R5) in Combination With Nab-Paclitaxel and Gemcitabine in Patients With Previously Untreated Stage IV Pancreatic Cancer [NCT02005315] | Phase 1 | 30 participants (Actual) | Interventional | 2013-09-30 | Completed |
A Phase II, Randomized, Double-blind, Placebo Controlled Study to Evaluate the Efficacy and Safety of the Combination of Gemcitabine and Metformin in Treating Patients With Pancreatic Cancer After Curative Resection [NCT02005419] | Phase 2 | 300 participants (Actual) | Interventional | 2013-12-31 | Completed |
A Phase II Trial of Stanford VI ± Radiation Therapy in Locally Extensive and Advanced Stage Hodgkin's Disease With 3+ Risk Factors: the G6 Study [NCT00225173] | Phase 2 | 45 participants (Anticipated) | Interventional | 2001-10-31 | Terminated |
A Single-center, Randomized Controlled Phase II Study of Sufantinib Combined With Gemcitabine and Abraxane (AG)Versus AG in the First-line Treatment of Locally Advanced or Metastatic Pancreatic Cancer [NCT05969171] | Phase 2 | 65 participants (Anticipated) | Interventional | 2023-08-31 | Not yet recruiting |
A Single-Arm Study of Pembrolizumab With Gemcitabine and Cisplatin as Perioperative Therapy for Potentially Resectable Intrahepatic Cholangiocarcinoma [NCT05967182] | Phase 2 | 24 participants (Anticipated) | Interventional | 2024-01-31 | Not yet recruiting |
A Pilot Safety Study and Single Arm Phase II Study of Gemcitabine and Cisplatin With Atezolizumab (MPDL3280A) in Patients With Metastatic and Muscle Invasive Bladder Cancer, Respectively [NCT02989584] | Phase 1/Phase 2 | 54 participants (Actual) | Interventional | 2016-12-20 | Active, not recruiting |
A Phase II Study of Hepatic Arterial Infusion (HAI) With Floxuridine (FUDR) and Dexamethasone (Dex) Combined With Systemic Gemcitabine and Oxaliplatin in Patients With Unresectable Intrahepatic Cholangiocarcinoma (ICC) [NCT01862315] | Phase 2 | 55 participants (Actual) | Interventional | 2013-05-31 | Active, not recruiting |
Phase II Study of Neoadjuvant Gemcitabine/Oxaliplatin and Cetuximab Followed by Surgery or Concurrent External Beam Radiation With Capecitabine for Patients With Locally Advanced Unresectable Nonmetastatic Pancreatic Cancer [NCT00408564] | Phase 2 | 39 participants (Actual) | Interventional | 2006-01-31 | Completed |
Whole-course Concurrent and Adjuvant Nivolumab Combined With Induction Chemotherapy Followed by Radiotherapy Alone in Locoregionally Advanced Nasopharyngeal Carcinoma: A Phase 2, Multi-center, Single-arm Clinical Trial [NCT03984357] | Phase 2 | 152 participants (Anticipated) | Interventional | 2020-03-16 | Active, not recruiting |
A Pilot Study of Gemcitabine, Abraxane, Metformin and a Standardized Dietary Supplement (DS) in Patients With Unresectable Pancreatic Cancer [NCT02336087] | Phase 1 | 21 participants (Actual) | Interventional | 2016-01-14 | Active, not recruiting |
A Phase I/II Study of VELCADE in Combination With Gemcitabine in Relapsed B-Cell Non-Hodgkin's Lymphoma [NCT00863369] | Phase 1/Phase 2 | 33 participants (Actual) | Interventional | 2005-06-29 | Active, not recruiting |
AN OPEN-LABEL, RANDOMIZED, PHASE 3 STUDY OF INOTUZUMAB OZOGAMICIN ADMINISTERED IN COMBINATION WITH RITUXIMAB COMPARED TO DEFINED INVESTIGATOR'S CHOICE THERAPY IN SUBJECTS WITH RELAPSED OR REFRACTORY CD22-POSITIVE AGGRESSIVE NON-HODGKIN LYMPHOMA WHO ARE NO [NCT01232556] | Phase 3 | 338 participants (Actual) | Interventional | 2011-04-04 | Terminated(stopped due to The study was terminated prematurely on May 16, 2013, for futility. No new or unexpected safety issues were identified.) |
Phase II Study Comparing Gemcitabine Plus Cisplatin to Docetaxel, Cisplatin, and Fluorouracil Induction Chemotherapy Followed by Chemoradiotherapy in Locally Advanced Nasopharyngeal Carcinoma [NCT02016417] | Phase 2 | 120 participants (Anticipated) | Interventional | 2014-05-31 | Not yet recruiting |
A Phase Ib, Open-label, Dose Escalation Study of the Safety, Tolerability and Efficacy of LY2780301 (a p70/AKT Inhibitor) in Combination With Gemcitabine in Patients With Advanced or Metastatic Cancer [NCT02018874] | Phase 1 | 52 participants (Actual) | Interventional | 2013-09-30 | Completed |
A Multicenter, Phase 3, Randomized Trial of Sequencial Chemoradiotherapy With or Without Toripalimab (PD-1 Antibody) in Newly Diagnosed Early-Stage Extranodal Natural Killer/T Cell Lymphoma, Nasal Type (ENKTL) [NCT04365036] | Phase 3 | 207 participants (Anticipated) | Interventional | 2020-05-31 | Recruiting |
A Phase II, Single-arm Study to Evaluate the Efficacy and Safety of the Combination of Nab-paclitaxel and Gemcitabine in Treating Patients With Pancreatic Cancer After Curative Resection [NCT02023021] | Phase 2 | 80 participants (Anticipated) | Interventional | 2014-01-31 | Completed |
A Multi-centre Randomised Study of Induction Chemotherapy Followed by Capecitabine (+/-Nelfinavir) With High or Standard Dose Radiotherapy for Locally Advanced Non-metastatic Pancreatic Cancer [NCT02024009] | Phase 1/Phase 2 | 289 participants (Anticipated) | Interventional | 2016-03-31 | Recruiting |
A Prospective Phase II Trial of Neoadjuvant Systemic Chemotherapy Followed by Extirpative Surgery for Patients With High Grade Upper Tract Urothelial Carcinoma [NCT02412670] | Phase 2 | 36 participants (Actual) | Interventional | 2015-08-27 | Completed |
Efficacy and Safety of Surufatinib Combined With Gemcitabine and Albumin-bound Paclitaxel in the Peri-operative Treatment of Locally Advanced or Borderline Resectable Pancreatic Cancer: An Exploratory Study [NCT05908747] | Phase 2 | 29 participants (Anticipated) | Interventional | 2023-05-31 | Recruiting |
A Phase I Study of Whole Pelvic Radiation Therapy With Concomitant Cisplatin and Gemcitabine Chemotherapy in Patients With Cervical Carcinoma (Stages I-IV) Limited to the Pelvis [NCT00068549] | Phase 1 | 13 participants (Actual) | Interventional | 2003-10-31 | Completed |
Phase II Study on SCH 66336 (Farnesyl Protein Transferase Inhibitor) and Gemcitabine as Second Line Treatment in Advanced Metastatic Urothelial Cancer - EORTC Study 16997 [NCT00006351] | Phase 2 | 34 participants (Actual) | Interventional | 2000-06-30 | Completed |
Phase II Trial of Gemcitabine and Docetaxel in Patients With Unresectable or Metastatic Hepatocellular Carcinoma [NCT00006010] | Phase 2 | 25 participants (Actual) | Interventional | 2001-09-30 | Completed |
Evaluation of Gemcitabine and Cisplatin in Recurrent, Platinum Resistant and Refractory Ovarian Cancer [NCT00006028] | Phase 2 | 0 participants | Interventional | 2001-01-31 | Completed |
A Randomized Phase III Study Comparing Gemcitabine Plus Carboplatin Versus Carboplatin Monotherapy in Patients With Advanced Epithelial Ovarian Carcinoma Who Failed First-Line Platinum-Based Therapy [NCT00006453] | Phase 3 | 0 participants | Interventional | 1999-09-30 | Completed |
Phase III Study of Gemcitabine Plus Paclitaxel Versus Paclitaxel in Patients With Unresectable, Locally Recurrent or Metastatic Breast Cancer [NCT00006459] | Phase 3 | 0 participants | Interventional | 2000-07-31 | Completed |
First Line Treatment of Locally Advanced or Metastatic Urothelial Carcinoma of the Bladder With a Combination of Cisplatin-Paclitaxel-Gemcitabine [NCT00006118] | Phase 2 | 0 participants | Interventional | 1999-07-31 | Active, not recruiting |
Organoid-Guided Functional Precision Therapy Versus Treatment of Physician's Choice in Previously Treated HER2-negative Advanced Breast Cancer: A Phase II, Multicenter, Open-label, Randomized Controlled Trial [NCT06102824] | Phase 2 | 252 participants (Anticipated) | Interventional | 2024-01-20 | Recruiting |
A Phase 3 Randomized Clinical Study of MK-4280A (Coformulated Favezelimab [MK-4280] Plus Pembrolizumab [MK-3475]) Versus Physician's Choice Chemotherapy in PD-(L)1-refractory, Relapsed or Refractory Classical Hodgkin Lymphoma (KEYFORM-008) [NCT05508867] | Phase 3 | 360 participants (Anticipated) | Interventional | 2022-10-18 | Recruiting |
Phase 1 Trial of Gemcitabine Combined With the Elimusertib (BAY 1895344) ATR Inhibitor With Expansion Cohorts in Advanced Pancreatic and Ovarian Cancer [NCT04616534] | Phase 1 | 64 participants (Anticipated) | Interventional | 2021-06-01 | Active, not recruiting |
Integration of Immunotherapy Into Adjuvant Therapy for Resected NSCLC: ALCHEMIST Chemo-IO (ACCIO) [NCT04267848] | Phase 3 | 1,210 participants (Anticipated) | Interventional | 2020-06-16 | Recruiting |
Phase II Trial of Intravesical Gemcitabine and MK-3475 (Pembrolizumab) in the Treatment of Patients With BCG-Unresponsive Non-Muscle Invasive Bladder Cancer [NCT04164082] | Phase 2 | 161 participants (Anticipated) | Interventional | 2020-03-18 | Recruiting |
A Phase II Open-Label Study of Sacituzumab Govitecan in Unresectable Locally Advanced/Metastatic Urothelial Cancer [NCT03547973] | Phase 2 | 643 participants (Anticipated) | Interventional | 2018-08-13 | Recruiting |
Adjuvant Lung Cancer Enrichment Marker Identification and Sequencing Trial (ALCHEMIST) [NCT02194738] | | 8,300 participants (Anticipated) | Interventional | 2014-09-26 | Recruiting |
Multimodality Management of Head and Neck Cancer: A Phase II Trial of Induction Chemotherapy, Organ Preservation Surgery, and Concurrent Chemoradiotherapy [NCT00544414] | Phase 2 | 31 participants (Actual) | Interventional | 2000-06-07 | Active, not recruiting |
A Prospective, Randomized, Double-blinded, Multi-center Clinical Trial to Evaluate the Efficiency and Safety of Anti-PD1 Antibody (Camrelizumab) Combined With Paclitaxel(Albumin Bound) and Gemcitabine Versus Paclitaxel(Albumin Bound) and Gemcitabine as Fi [NCT04674956] | Phase 3 | 401 participants (Anticipated) | Interventional | 2021-01-01 | Not yet recruiting |
Phase II Study of Gemcitabine Plus Erlotinib Versus Erlotinib Plus Gemcitabine Plus Oxaliplatin, in Patients With Locally Advanced or Metastatic Pancreatic Cancer [NCT00564720] | Phase 2 | 140 participants (Actual) | Interventional | 2006-12-31 | Terminated(stopped due to Due to poor accrual of the study) |
Phase III, Multicenter, Randomized Trial of Maintenance Versus Observation After Achieving Clinical Response in Pts With Metastatic or Recurrent Breast Cancer Who Received 6 Cycles of Gemcitabine Plus Paclitaxel(GP) as 1st-line Chemotherapy [NCT00561119] | Phase 3 | 326 participants (Actual) | Interventional | 2007-05-31 | Completed |
A Phase Ib/II Trial of SHR-1701 Combined With Gemcitabine and Albumin Paclitaxel in First-line Treatment of Subjects With Advanced/Metastatic Pancreatic Cancer [NCT04624217] | Phase 1/Phase 2 | 56 participants (Actual) | Interventional | 2020-11-24 | Active, not recruiting |
A Phase II, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Efficacy and Safety of Adjuvant Platinum-Doublet Chemotherapy, With or Without Atezolizumab, in Patients Who Are ctDNA Positive After Complete Surgical Resection of Stage IB to [NCT04611776] | Phase 2 | 0 participants (Actual) | Interventional | 2021-07-01 | Withdrawn(stopped due to The positive results from IMpower010 demonstrated benefit by adding atezolizumab as adjuvant therapy in early stage NSCLC. These results raised ethical concerns of enrolling pts to best supportive care over checkpoint inhibition in this setting.) |
A Phase 2 Study of Saltikva (Attenuated Salmonella Typhimurium Containing the Human Gene for Interleukin-2) in Patients With Metastatic Pancreatic Cancer [NCT04589234] | Phase 2 | 60 participants (Anticipated) | Interventional | 2020-10-20 | Recruiting |
Dynamic Positron Emission Tomography/Computed Tomography Evaluated the Response of Neoadjuvant Anti-programmed Cell Death Protein 1 Combination With Chemotherapy for Stage Ⅱa-Ⅲb Non-small Cell Lung Cancer [NCT04586465] | Phase 2 | 23 participants (Anticipated) | Interventional | 2020-10-10 | Recruiting |
A Phase I Trial of Extrapleural Pneumonectomy/Pleurectomy Decortication, Intrathoracic/Intraperitoneal Hyperthermic (IOHC) Cisplatin and Gemcitabine With Intravenous Amifostine and Sodium Thiosulfate Cytoprotection for Patients With Resectable Malignant P [NCT00571298] | Phase 1 | 141 participants (Actual) | Interventional | 2007-11-30 | Completed |
Phase II Trial of Dose Dense Neo-adjuvant Gemcitabine, Epirubicin, ABI-007 (GEA) in Locally Advanced or Inflammatory Breast Cancer [NCT00193206] | Phase 2 | 123 participants (Actual) | Interventional | 2005-09-30 | Completed |
Phase II Trial of Induction Chemotherapy With Weekly Gemcitabine, Epirubicin, Docetaxel as Primary Treatment of Locally Advanced or Inflammatory Breast Cancer Patients [NCT00193050] | Phase 2 | 110 participants (Actual) | Interventional | 2001-11-30 | Completed |
A Multicenter, Randomized Phase II Trial of Avastin Plus Gemcitabine Plus 5FU/Folinic Acid (A + FFG) vs. Avastin Plus Oxaliplatin Plus 5FU/Folinic Acid (A + FOLFOX 4) as Therapy for Patients With Metastatic Colorectal Cancer [NCT00192075] | Phase 2 | 84 participants (Actual) | Interventional | 2003-06-30 | Completed |
Multicenter Phase II Trial Evaluating Cisplatin-Gemcitabine With Concomitant Thoracic Radiotherapy for Treatment of Inoperable Stage III Non Small Cell Lung Cancer [NCT00192036] | Phase 2 | 49 participants (Actual) | Interventional | 2004-08-31 | Completed |
Phase III Randomized Trial of Induction Chemotherapy With Gemcitabine and Carboplatin Followed by Elective Paclitaxel Consolidation Versus Paclitaxel and Carboplatin Followed by Elective Paclitaxel Consolidation in Patients With Primary Epithelial Ovarian [NCT00191646] | Phase 3 | 919 participants (Actual) | Interventional | 2002-10-31 | Completed |
Phase II Trial of Gemzar Plus Paraplatin (Plus Herceptin in HER2+ Patients) in Metastatic Breast Cancer [NCT00191451] | Phase 2 | 150 participants (Actual) | Interventional | 2004-04-30 | Completed |
Phase II Study of Gemcitabine Plus Cisplatin as First-Line Therapy in Patients With Epithelial Ovarian Cancer [NCT00191334] | Phase 2 | 50 participants (Actual) | Interventional | 2004-12-31 | Completed |
A Randomized Study of Gemcitabine Plus Docetaxel After Cisplatin, Etoposide and Radiation Therapy in Stage III Unresectable NSCLC [NCT00191139] | Phase 2 | 64 participants (Actual) | Interventional | 2003-03-31 | Completed |
Exploratory Clinical Trial of Sintilimab Combined With Gemcitabine/Carboplatin Regimen in the Treatment of Advanced Primary Pulmonary Lymphoepithelioma-like Carcinoma(LELC) [NCT04312204] | Phase 2 | 30 participants (Anticipated) | Interventional | 2020-03-31 | Recruiting |
A Phase III, Randomized, Double-blind, Placebo-controlled, Multi-center Clinical Study to Evaluate the Efficacy and Safety of Toripalimab Injection (JS001) in Combination With Standard Chemotherapy Versus Placebo in Combination With Standard Chemotherapy [NCT04568304] | Phase 3 | 364 participants (Anticipated) | Interventional | 2020-11-30 | Not yet recruiting |
Neoadjuvant Administration of Gemcitabine Plus Doxorubicin Followed by Gemcitabine Plus Cisplatin in Large or Locally Advanced Operable Breast Cancer: A Phase II Study [NCT00191789] | Phase 2 | 65 participants (Actual) | Interventional | 2003-02-28 | Completed |
Gimatecan (ST1481) as Second-line Treatment for Locally Advanced or Metastatic Pancreatic Cancer: an Open-label, Randomized, Controlled Phase II Study [NCT04571489] | Phase 2 | 60 participants (Anticipated) | Interventional | 2020-12-01 | Not yet recruiting |
Randomized Phase 3 Trial of Gemcitabine/Carboplatin With or Without Iniparib (SAR240550) (a PARP1 Inhibitor) in Subjects With Previously Untreated Stage IV Squamous Non-Small-Cell Lung Cancer (NSCLC) [NCT01082549] | Phase 3 | 780 participants (Actual) | Interventional | 2010-03-31 | Completed |
Phase I, Open-label, Dose-escalation Study to Evaluate the Safety and Tolerability of Icotinib Combined With Gemcitabine as First-line Treatment in Locally Advanced, Unresectable or Metastatic Pancreatic Cancer [NCT02278458] | Phase 1 | 24 participants (Anticipated) | Interventional | 2014-10-31 | Active, not recruiting |
A Phase I Open-label Dose-finding Study of Intravenous BI 2536 Administered in Repeated 4-week Cycles as Repeated Doses on Day 1 and Day 15 in Combination With Gemcitabine Administered on Day 1, Day 8 and Day 15 in Patients With Locally Advanced or Metast [NCT02215044] | Phase 1 | 12 participants (Actual) | Interventional | 2007-06-30 | Terminated |
A Phase II Study to Evaluate Activity and Toxicity of Gemcitabine in Combination With Pemetrexed Long Term Infusion in the Treatment of Pretreated Metastatic Colorectal Cancer Patients [NCT01909830] | Phase 2 | 18 participants (Actual) | Interventional | 2012-07-31 | Completed |
Detecting Chemosensitivity and Predicting Treatmemt Efficacy With Circulating Tumour Cells From Peripheral Blood in Metastatic Nasopharyngeal Carcinoma Patients [NCT04544969] | | 50 participants (Anticipated) | Observational [Patient Registry] | 2020-04-01 | Recruiting |
Phase 1/2, Randomized, Multicenter, Prospective Study of Gemcitabine and Rapamycin (Sirolimus) Combination Versus Gemcitabine Only to Treat Advanced Soft Tissue Sarcoma [NCT01684449] | Phase 1/Phase 2 | 28 participants (Actual) | Interventional | 2010-01-31 | Completed |
A Phase I Open-Label, Ascending Dose Cohort Study of Gemcitabine Elaidate and Cisplatin in Patients With Advanced Solid Tumors Followed by an Expanded Cohort of Patients With Stage IIIb/IV NSCLC. [NCT01641575] | Phase 1 | 8 participants (Actual) | Interventional | 2012-07-31 | Terminated(stopped due to Registrational study did not meet endpoint so entire program (including CO-101-011) was terminated.) |
A Phase 1/2, Open-label, Multicenter, Dose Escalation and Expansion Study of SLC-3010 Monotherapy and in Combination With Various Anticancer Therapies in Patients With Advanced Solid Tumors [NCT05525247] | Phase 1/Phase 2 | 420 participants (Anticipated) | Interventional | 2022-12-21 | Recruiting |
A Multicenter Phase Ib/II Clinical Study to Evaluate the Safety, Tolerability, and Efficacy of LBL-007 in Combination With Tislelizumab in the Treatment of Malignancies [NCT05516914] | Phase 1/Phase 2 | 490 participants (Anticipated) | Interventional | 2022-09-01 | Recruiting |
A Phase 1b Study of ZN-c3 in Combination With Chemotherapy in Patients With Platinum-Resistant Ovarian, Peritoneal or Fallopian Tube Cancer [NCT04516447] | Phase 1 | 140 participants (Anticipated) | Interventional | 2020-10-26 | Recruiting |
A Phase 3 Randomized Study of Loncastuximab Tesirine Combined With Rituximab Versus Immunochemotherapy in Patients With Relapsed or Refractory Diffuse Large B-Cell Lymphoma (DLBCL) (LOTIS-5) [NCT04384484] | Phase 3 | 350 participants (Anticipated) | Interventional | 2020-09-16 | Recruiting |
Efficacy and Safety of AG Combined With Immunotherapy and SBRT in Patients With Potentially Resectable Pancreatic Cancer [NCT06080854] | Phase 2 | 108 participants (Anticipated) | Interventional | 2023-11-10 | Not yet recruiting |
A Phase 3, Multicenter, Randomized, Open-Label, Active-Controlled Trial Of JSKN003 Versus Treatment Of Physician'S Choice For HER2-low, Unresectable and/or Metastatic Breast Cancer Subjects [NCT06079983] | Phase 3 | 400 participants (Anticipated) | Interventional | 2023-12-01 | Not yet recruiting |
A Randomized Phase II Study of Preoperative Chemotherapy (Gemcitabine and Erlotinib) With or Without Radiation Therapy for Patients With Resectable Adenocarcinoma of the Pancreas [NCT00766636] | Phase 2 | 5 participants (Actual) | Interventional | 2008-09-30 | Terminated(stopped due to Slow Accrual) |
A Phase I Dose Escalation Study Evaluating MK-1775 in Both Monotherapy and in Combination With Either Gemcitabine, Cisplatin, or Carboplatin in Adult Subjects With Advanced Solid Tumors [NCT00648648] | Phase 1 | 206 participants (Actual) | Interventional | 2008-02-25 | Completed |
Chidamide Combined With R-GemOx(Rituximab、Gemcitabine Plus Oxaliplatin) Regimen as Salvage Treatment for Transplant-ineligible Patients With Relapsed/Refractory Diffuse Large B-cell Lymphoma: a Multi-center, Single Arm, Phase II Study [NCT04022005] | Phase 2 | 54 participants (Actual) | Interventional | 2019-06-19 | Completed |
Phase 2 Open Label Study of Durvalumab With Neoadjuvant Chemotherapy in Variant Histology Bladder Cancer [NCT03912818] | Phase 2 | 7 participants (Actual) | Interventional | 2019-04-10 | Terminated(stopped due to Difficulty with enrollment) |
An Open-Label Phase 2 Study of AGS-1C4D4 in Pancreatic Cancer Subjects Previously Treated in Protocol 2008002 [NCT01608711] | Phase 2 | 2 participants (Actual) | Interventional | 2012-08-07 | Completed |
[NCT01648517] | Phase 2 | 60 participants (Actual) | Interventional | 2012-07-27 | Completed |
Phase I Study of Cisplatin, Gemcitabine and Lapatinib as First Line Treatment in Advanced/Metastatic Urothelial Cancer [NCT00623064] | Phase 1 | 18 participants (Actual) | Interventional | 2007-11-30 | Completed |
Clinical Transformation of Organoid Model to Predict the Efficacy of GC in the Treatment of Intrahepatic Cholangiocarcinoma [NCT05644743] | | 40 participants (Anticipated) | Observational | 2023-01-31 | Not yet recruiting |
A Randomised, Open-Label, Proof-of-Concept, Phase II Trial Comparing Gemcitabine With and Without IMM-101 in Advanced Pancreatic Cancer [NCT01303172] | Phase 2 | 110 participants (Actual) | Interventional | 2011-06-30 | Completed |
A Phase II Trial of Gemcitabine Plus UFTE Combination Chemotherapy as Salvage Treatment in Oxaliplatin, Irinotecan and Fluoropyrimidine-Refractory Metastatic Colorectal Cancer [NCT01409005] | Phase 2 | 41 participants (Actual) | Interventional | 2011-06-30 | Completed |
Safety of Pressurized Intraperitoneal Aerosolized Chemotherapy (PIPAC) in Biliary Tract Cancer Patients With Peritoneal Metastases [NCT05285358] | Phase 1 | 12 participants (Anticipated) | Interventional | 2022-09-19 | Recruiting |
Randomized Pilot Study of Supplemental Iscar in Combination With Gemcitabine vs. Gemcitabine Alone as Second Line Treatment for Advanced Non-Small Cell Lung Cancer. [NCT00283478] | | 20 participants (Anticipated) | Interventional | 2004-05-31 | Completed |
Randomized Phase II Trial Assessing the Combination of Nexavar® (Sorafenib), and Gemcitabine/Oxaliplatin in Patients Treated for Advanced (Unresectable/Metastatic) Hepatocellular Carcinoma. [NCT00941967] | Phase 2 | 78 participants (Actual) | Interventional | 2008-12-31 | Completed |
A Single-arm, Multi-center Phase II Clinical Study on Pegaspargase Combined With Gemcitabine, Etoposide, Liposomal Mitoxantrone Hydrochloride and Dexamethasone (P-GEMD) in the Treatment of Untreated Early Non-upper Respiratory Tract or Advanced Extranodal [NCT05774028] | Phase 2 | 50 participants (Anticipated) | Interventional | 2023-04-30 | Not yet recruiting |
Second Line Erlitinib Combination With Gemcitabine Cisplatinum in Non-small Cell Lung Cancer Patients Who Harbored EGFR Sensitive Mutation Developed Resistance After First Line TKI Treatment [NCT02098954] | Phase 2 | 40 participants (Anticipated) | Interventional | 2014-07-01 | Recruiting |
Phase I Study of Gemcitabine, Capecitabine, and Erlotinib Together in Advanced Pancreatic Cancers [NCT00885066] | Phase 1 | 30 participants (Actual) | Interventional | 2008-05-31 | Completed |
Open-label, Multicenter, Phase 1b/2 Clinical Study to Evaluate the Safety and Efficacy of CD40 Agonistic Monoclonal Antibody (APX005M) Administered Together With Gemcitabine and Nab-Paclitaxel With or Without PD-1 Blocking Antibody (Nivolumab) in Patients [NCT03214250] | Phase 1/Phase 2 | 129 participants (Actual) | Interventional | 2017-07-21 | Completed |
An Open Labeled, Multicentre, Randomized Phase II Trial of Combination Gemcitabine and Carboplatin Chemotherapy in Patients With Metastatic or Recurrent Nasopharyngeal Carcinoma [NCT00697905] | Phase 2 | 18 participants (Actual) | Interventional | 2008-01-31 | Completed |
Prospective Cohort Study of Transurethral Resection of Bladder Tumor (TURBT) Combined With Adjuvant Intravenous GC Chemotherapy to Prevent Moderate-high Recurrence and Progression Risks of Muscle-invasive Bladder Cancer [NCT02716961] | | 208 participants (Anticipated) | Interventional | 2016-01-31 | Recruiting |
Stereotactic Body Radiation Therapy Plus Pembrolizumab and Trametinib vs. Stereotactic Body Radiation Therapy Plus Gemcitabine for Locally Recurrent Pancreatic Cancer After Surgical Resection: an Open-label, Randomized, Controlled, Phase 2 Trial [NCT02704156] | Phase 2 | 170 participants (Actual) | Interventional | 2016-10-31 | Completed |
Phase II Study of the Gemzar, Taxotere and Xeloda Regimen (GTX) for Inoperable or Metastatic Adenocarcinoma of the Biliary System [NCT00868998] | Phase 2 | 4 participants (Actual) | Interventional | 2005-08-31 | Terminated(stopped due to Poor patient accrual) |
Randomized, Open Label, Stratified Phase 2 Trial of Gemcitabine, Carboplatin, and Cetuximab With Vs. Without IMC-A12 in Chemotherapy-Naive Patients With Advanced/Metastatic Non-Small Cell Lung Cancer [NCT00870870] | Phase 2 | 64 participants (Actual) | Interventional | 2009-03-31 | Completed |
Phase I Study of Soluble LAG-3 (IMP321) and Gemcitabine in Patients With Advanced Pancreas Cancer [NCT00732082] | Phase 1 | 18 participants (Actual) | Interventional | 2009-02-28 | Terminated(stopped due to Company manufacturing study drug was unable to continue production.) |
UPCC 10219: Phase II Study Of Stromal Changes Detected By DCE- and DW-MRI In Response To PEGPH20 Combined With Chemotherapy In Subjects With Locally-Advanced Pancreatic Cancer [NCT04134468] | Phase 2 | 0 participants (Actual) | Interventional | 2020-01-31 | Withdrawn(stopped due to Halozyme halted development of PEGPH20 following Phase 3 failure.) |
The Effect of Pharmacogenetics on Treatment Toxicities and Outcomes in East Asian and Caucasian Patients Undergoing Docetaxel or Gemcitabine-based Chemotherapy [NCT00695994] | Phase 2 | 300 participants (Actual) | Interventional | 2006-10-31 | Completed |
A Randomized, Open Label Study Comparing the Effect of First-line Therapy With Tarceva + Gemcitabine Versus Gemcitabine Monotherapy on Treatment Response in Treatment-naïve Patients With Advanced Non-small Cell Lung Cancer [NCT00518011] | Phase 2 | 17 participants (Actual) | Interventional | 2007-08-31 | Completed |
A Phase II Study of Gemcitabine and Carboplatin in the Treatment of Metastatic or Recurrent Cholangiocarcinoma/Gallbladder Cancer [NCT00660140] | Phase 2 | 49 participants (Actual) | Interventional | 2002-03-31 | Completed |
A Open-label, Randomized Study of S-1 and and Gemcitabine vs Gemcitabine Alone as Adjuvant Therapy for Patients With Resected Pancreatic Cancer [NCT02131493] | Phase 2 | 80 participants (Anticipated) | Interventional | 2015-01-31 | Completed |
Phase II Trial of Preoperative (Neo-adjuvant) Therapy in Patients With Stages IB, II, IIIA, and Selected IIIB Patients With Non-Small Cell Lung Cancer [NCT00193427] | Phase 2 | 75 participants (Actual) | Interventional | 2004-04-30 | Completed |
Belinostat Combined With Azacitidine/Gemcitabine/Busulfan/Melphalan With Autologous Stem-Cell Transplantation in Refractory or Relapsed Lymphoma [NCT02701673] | Phase 1/Phase 2 | 0 participants (Actual) | Interventional | 2016-06-30 | Withdrawn |
A Clinical Trial Trial of Gemcitabine in Children With Newly-Diagnosed Diffuse Intrinsic Pontine Glioma (DIPG) [NCT02992015] | Early Phase 1 | 10 participants (Anticipated) | Interventional | 2016-09-23 | Recruiting |
A Phase II Study of Every 2 Week Doxil and Gemcitabine in Recurrent Ovarian Cancer [NCT00312650] | Phase 2 | 24 participants | Interventional | 2006-04-30 | Terminated |
A Phase Ib, Open-Label, Multicenter Dose-Expansion Study Evaluating the Safety, Pharmacokinetics, and Activity of RO7496353 in Combination With a Checkpoint Inhibitor With or Without Standard-of-Care Chemotherapy in Patients With Locally Advanced or Metas [NCT05867121] | Phase 1 | 120 participants (Anticipated) | Interventional | 2023-10-02 | Recruiting |
A Randomized Non Comparative Phase II Study of Lacutamab With GemOx Versus GemOx Alone in Relapsed/Refractory Patients With Peripheral T-cell Lymphoma [NCT04984837] | Phase 2 | 56 participants (Anticipated) | Interventional | 2021-10-05 | Recruiting |
Phase I Study of Cytolytic Viral Activation Therapy (CVAT) for Recurrent/Metastatic Nasopharyngeal Carcinoma [NCT02761291] | Phase 1 | 18 participants (Anticipated) | Interventional | 2016-05-31 | Recruiting |
A Phase II, Multicentre, Randomised Trial Comparing Combination Gemcitabine/Carboplatin and Hydroxychloroquine Versus Carboplatin/Etoposide Therapy Alone in Small Cell Lung Cancer (SCLC) [NCT02722369] | Phase 2 | 72 participants (Actual) | Interventional | 2017-03-14 | Terminated(stopped due to Low recruitment, lack of efficacy and increased adverse events in investigational arm.) |
Oxaliplatin, Gemcitabine, and Erlotinib Study in Patients With Advanced Chemo-naïve Pancreatic Cancer [NCT00636883] | Phase 2 | 9 participants (Actual) | Interventional | 2008-01-31 | Terminated(stopped due to slow accrual rate) |
A Phase I Study Evaluating Bronchial Artery Infusion (BAI) of Gemcitabine in Recurrent or Progressive Non-Small Cell Lung Cancer [NCT00619021] | Phase 1 | 4 participants (Actual) | Interventional | 2003-01-31 | Terminated(stopped due to Funding and study drugs unavailable) |
Sequential Cisplatin/Vinorelbine/Bevacizumab Followed by Docetaxel/Gemcitabine/Bevacizumab Versus Cisplatin/Docetaxel/Bevacizumab in Patients With Locally Advanced or Metastatic Non Small Cell Lung Cancer [NCT00620971] | Phase 2 | 77 participants (Actual) | Interventional | 2008-01-31 | Completed |
A Multi Centre, Pilot Phase II Trial Assessing the Efficacy and Safety of Bevacizumab + Gemcitabine + Carboplatin as First Line Treatment for Patients Diagnosed With Triple Negative Metastatic Breast Cancer [NCT01201265] | Phase 2 | 40 participants (Actual) | Interventional | 2011-02-28 | Completed |
Phase II Trial of Gemcitabine and Docetaxel in Advanced Carcinoma of the Urothelium [NCT00004223] | Phase 2 | 0 participants | Interventional | 2000-02-24 | Completed |
An Open Label Study to Evaluate the Effect of First Line Treatment With Tarceva in Combination With Gemcitabine on Overall Survival and Disease Progression in Patients With Locally Advanced, Unresectable or Metastatic Pancreatic Cancer [NCT00642733] | Phase 4 | 6 participants (Actual) | Interventional | 2007-08-31 | Terminated(stopped due to poor recruitment) |
A Multicenter, Prospective, Randomized Clinical Trial of the Clinical Effectiveness of Oncothermia Combined With Standard Chemotherapy in Metastatic Pancreatic Cancer Patients [NCT02862015] | Phase 2 | 100 participants (Anticipated) | Interventional | 2016-08-31 | Recruiting |
A Multicenter Phase Ib Trial to Measure [18F]-Fluorodeoxyglucose Uptake by Positron Emission Tomography in Stage IIIB and IV Non-Small Cell Lung Cancer Before and After Chemotherapy With Gemcitabine and Cisplatin or Carboplatin [NCT00599755] | Phase 1 | 68 participants (Actual) | Interventional | 2009-01-01 | Completed |
Phase Ib/II Study of Combination of Vorinostat, Carboplatin and Gemcitabine + Vorinostat Maintenance in Women With Recurrent, Platinum-Sensitive Epithelial Ovarian, Fallopian Tube, or Peritoneal Cancer [NCT00910000] | Phase 1/Phase 2 | 15 participants (Actual) | Interventional | 2009-06-30 | Terminated(stopped due to Terminated due to unacceptable toxicity) |
Phase I Study of the Tumor-targeting Human L19IL2 Monoclonal Antibody-cytokine Fusion Protein in Combination With Gemcitabine in Patients With Advanced Pancreatic Cancer [NCT01198522] | Phase 1 | 28 participants (Actual) | Interventional | 2007-06-30 | Terminated(stopped due to lack of recruitment) |
A Phase 2/3, Multicenter, Randomized, Open-label Study to Compare the Efficacy and Safety of Lenalidomide (Revlimid ®) Versus Investigator's Choice in Patients With Relapsed or Refractory Diffuse Large B-cell Lymphoma [NCT01197560] | Phase 2/Phase 3 | 111 participants (Actual) | Interventional | 2010-09-02 | Completed |
Phase 2 Randomized Study Evaluating the Efficacy of Gemcitabine With or Without Oxaliplatin in Patients With Advanced Urothelial Cancer That Cannot be Treated With Cisplatin-based Chemotherapy [NCT00627432] | Phase 2 | 100 participants (Anticipated) | Interventional | 2004-07-31 | Suspended |
LUX-Lung 6: A Randomized, Open-label, Phase III Study of BIBW 2992 Versus Chemotherapy as First-line Treatment for Patients With Stage IIIB or IV Adenocarcinoma of the Lung Harbouring an EGFR Activating Mutation [NCT01121393] | Phase 3 | 364 participants (Actual) | Interventional | 2010-04-19 | Completed |
Multicenter Phase III, Randomized Study to Evaluate Treatment Customized According to RAP80 and BRCA1 Assessment in Patients With Advanced Non-small-cell Lung Cancer [NCT00617656] | Phase 3 | 400 participants (Actual) | Interventional | 2008-02-29 | Terminated(stopped due to No safety reasons. Interim analysis shows that the hypothesis superiority of the experimental arm over the control arm- would not be confirmed.) |
Phase 1 Study of Gemcitabine With Vaccine Therapy Targeting Tumor Antigen, URLC10, For The Patients With Unresectable or Recurrent Bile Duct Cancer [NCT00624182] | Phase 1 | 9 participants (Anticipated) | Interventional | 2008-02-29 | Suspended |
A Multi-Center Randomized Phase IB/II Study of Gemcitabine and Cisplatin With or Without CPI-613 as First Line Therapy for Patients With Advanced Unresectable Biliary Tract Cancer (BilT-04) [NCT04203160] | Phase 1/Phase 2 | 78 participants (Anticipated) | Interventional | 2020-06-23 | Recruiting |
A Phase Ib Study to Evaluate the Safety and Tolerability of Durvalumab and Tremelimumab in Combination With First-Line Chemotherapy in Patients With Advanced Solid Tumors. [NCT02658214] | Phase 1 | 32 participants (Actual) | Interventional | 2016-04-28 | Completed |
A Phase I Dose Escalation Trial of Once Daily Oral Treatment Using Afatinib (BIBW2992) Plus Gemcitabine or Docetaxel in Patients With Relapsed or Refractory Solid Tumors. [NCT01251653] | | 94 participants (Actual) | Observational | 2010-11-30 | Completed |
Randomised Phase II Trial of Bevacizumab (AVASTIN®) in Combination With Gemcitabine or Attenuated Doses of Cisplatin and Gemcitabine as First-line Treatment of Elderly Patients With Advanced Non-squamous Non-small Cell Lung Cancer - EAGLES [NCT01077713] | Phase 2 | 86 participants (Actual) | Interventional | 2010-02-28 | Completed |
A Two-arm, Open-label, Randomized Phase III Study of Pembrolizumab (MK-3475) Monotherapy Versus Standard Chemotherapy in Platinum Pre-treated, Recurrent or Metastatic Nasopharyngeal Cancer (NPC) (Keynote-122) [NCT02611960] | Phase 3 | 233 participants (Actual) | Interventional | 2016-04-18 | Completed |
Toripalimab Combined With Induction Chemotherapy Followed by Radiotherapy Alone or Concurrent Chemoradiotherapy in Locoregionally Advanced Nasopharyngeal Carcinoma: A Phase 3, Multi-center, Randomized Controlled Trial [NCT04907370] | Phase 3 | 540 participants (Actual) | Interventional | 2021-08-01 | Active, not recruiting |
Phase I/II Study of Preoperative Gemcitabine in Combination With Oral Hydroxychloroquine (GcHc) in Subjects With High Risk Stage IIb or III Adenocarcinoma of the Pancreas [NCT01128296] | Phase 1/Phase 2 | 35 participants (Actual) | Interventional | 2010-10-31 | Completed |
Prospective Phase II Trial of a Combination of Gemcitabine and UFT as First-Line Treatment in Elderly Patients With Advanced Non-Small Cell Carcinoma [NCT00625352] | Phase 2 | 48 participants (Anticipated) | Interventional | 2008-02-29 | Recruiting |
A Randomised Phase II Trial of Inotuzumab Ozogamicin Plus Rituximab & CVP (IO-R-CVP) vs Gemcitabine Plus Rituximab & CVP (Gem-R-CVP) for the First Line Treatment of Patients With DLBCL Who Are Not Suitable for Anthracycline Containing Chemotherapy [NCT01679119] | Phase 2 | 129 participants (Actual) | Interventional | 2013-10-31 | Completed |
A Phase 1 Study of TRX518 Monotherapy and TRX518 in Combination With Gemcitabine, Pembrolizumab, or Nivolumab in Adults With Advanced Solid Tumors [NCT02628574] | Phase 1 | 109 participants (Actual) | Interventional | 2016-01-31 | Completed |
A Phase II Study of Bevacizumab Plus Docetaxel and Gemcitabine in Subjects With Advanced, Previously Untreated, Non-Squamous Non-Small Cell Lung Cancer [NCT00970684] | Phase 2 | 13 participants (Actual) | Interventional | 2009-09-30 | Completed |
Phase II Trial Of Gemcitabine and Docetaxel With Bevacizumab in Selected Sarcoma Subtypes [NCT00887809] | Phase 2 | 47 participants (Actual) | Interventional | 2009-04-30 | Completed |
Randomized Phase III Trial on NIraparib-TSR-042 (Dostarlimab) vs Physician's Choice CHEmotherapy in Recurrent, Ovarian, Fallopian Tube or Primary Peritoneal Cancer Patients Not Candidate for Platinum Retreatment: NItCHE Trial (MITO 33) [NCT04679064] | Phase 3 | 427 participants (Anticipated) | Interventional | 2020-12-01 | Recruiting |
A Prospective, Randomized, Open-label, Multicenter, Parallel Design, Phase III Study to Assess the Efficacy and Safety of GV1001 Concurrent With Gemcitabine/Capecitabine Versus Gemcitabine/Capecitabine Alone in Treating Locally Advanced and Metastatic Pan [NCT02854072] | Phase 3 | 148 participants (Anticipated) | Interventional | 2015-11-30 | Recruiting |
A Phase Ib, Open-Label, Dose- Escalation Trial of ACY-1215 in Combination With Gemcitabine and Cisplatin in Patients With Unresectable or Metastatic Cholangiocarcinoma [NCT02856568] | Phase 1 | 0 participants (Actual) | Interventional | 2017-05-01 | Withdrawn(stopped due to Site dropped study) |
Pilot Study of Gemcitabine and IORT/EBRT in Locally Advanced Upper Gastrointestinal Malignancies [NCT00544193] | Phase 1 | 16 participants (Actual) | Interventional | 1997-12-31 | Completed |
A Prospective, Open-label Randomized Clinical Trial of a Single Bladder Instillation of Mitomycin C vs. Gemcitabine vs. No Additional Treatment Immediately After Transurethral Resection of Bladder Tumor (TURBT) [NCT02695771] | Phase 3 | 101 participants (Actual) | Interventional | 2016-04-19 | Completed |
A Phase I Study of LBH589 in Combination With Gemcitabine in the Treatment of Solid Tumors [NCT00550199] | Phase 1 | 17 participants (Actual) | Interventional | 2007-11-30 | Terminated(stopped due to Study terminated due to LBH589 toxicity.) |
An International, Multi-Center, Double-Blind, Randomized, Phase III Trial of 90Y-Clivatuzumab Tetraxetan Plus Low-Dose Gemcitabine Versus Placebo Plus Low-Dose Gemcitabine in Patients With Metastatic (Stage IV) Pancreatic Adenocarcinoma Who Received at Le [NCT01956812] | Phase 3 | 334 participants (Actual) | Interventional | 2013-12-31 | Terminated(stopped due to The DSMB conducted an interim analysis on overall survival, which showed that the treatment arm did not demonstrate a sufficient improvement in OS vs. placebo.) |
Official Title: A Phase 1B/2 Study of the Safety and Tolerability of Itacitinib (INCB039110) in Combination With Gemcitabine and Nab-Paclitaxel in Subjects With Advanced Solid Tumors [NCT01858883] | Phase 1/Phase 2 | 55 participants (Actual) | Interventional | 2013-06-30 | Completed |
A Randomized Phase I/II Study With Gemcitabine and RTA 402 or Gemcitabine and Placebo for Patients With Unresectable Pancreatic Cancer [NCT00529113] | Phase 1 | 33 participants (Actual) | Interventional | 2007-09-30 | Terminated(stopped due to To pursue other indications) |
Induction Gemcitabine/Capecitabine Followed by SBRT in Pancreatic Adenocarcinoma A Prospective Evaluation in Patients With Locally Advanced Pancreas Cancer [NCT01360593] | Phase 2 | 35 participants (Actual) | Interventional | 2011-07-25 | Completed |
A National, Multi Center, Randomized, Open-label, Phase II Trial of Erlotinib Versus Combination of GC as (Neo)Adjuvant Treatment in Stage IIIA-N2 NSCLC With Sensitizing EGFR Mutation in Exon 19 or 21(EMERGING) [NCT01407822] | Phase 2/Phase 3 | 72 participants (Actual) | Interventional | 2011-12-05 | Active, not recruiting |
Biomarker Directed Adjuvant Chemotherapy for Resected Pancreas Cancer [NCT01411072] | | 20 participants (Anticipated) | Interventional | 2011-09-30 | Recruiting |
Phase I/II Trial of Biweekly S-1, Leucovorin, Oxaliplatin and Gemcitabine (SLOG) in Metastatic Pancreatic Adenocarcinoma [NCT01415713] | Phase 1/Phase 2 | 73 participants (Actual) | Interventional | 2012-03-31 | Completed |
Pharmacogenetics of Gemcitabine: Study of the Impact of Genetic Polymorphism of Cytidine Deaminase (CDA) on Toxicity in Resected Pancreatic Adenocarcinomas [NCT01416662] | Phase 2 | 120 participants (Actual) | Interventional | 2011-06-30 | Completed |
Randomized Phase Ⅱ Trial of Induction Chemotherapy Using Gemcitabine and Cisplatin in Concurrence With Intensity-modulated Radiotherapy for Locoregionally Advanced Nasopharyngeal Carcinoma [NCT01417390] | Phase 2 | 80 participants (Anticipated) | Interventional | 2011-11-30 | Recruiting |
Sequential Administration of Docetaxel/Gemcitabine Followed by Concurrent Chemo-radiotherapy, With or Without Consolidation Chemotherapy, as First Line Treatment in Patients With Unresectable Stage IIIA/IIIB NSCLC. A Randomized Phase II Study [NCT00431613] | Phase 2 | 38 participants (Actual) | Interventional | 2006-03-31 | Terminated(stopped due to Due to Poor Accrual) |
Vorinostat (SAHA) Combined With High-Dose Gemcitabine, Busulfan, and Melphalan With Autologous Hematopoietic Cell Support for Patients With Relapsed or Refractory Lymphoid Malignancies [NCT01421173] | Phase 1 | 78 participants (Actual) | Interventional | 2011-08-31 | Completed |
Phase I/II Multicentre Trial of Salvage Chemotherapy With Gem-TIP for Relapsed Germ Cell Cancer [NCT00551122] | Phase 1/Phase 2 | 23 participants (Anticipated) | Interventional | 2006-11-30 | Recruiting |
Phase II Study of Gemcitabine and Epirubicin for the Treatment of Mesothelioma [NCT00017186] | Phase 2 | 69 participants (Actual) | Interventional | 2001-07-31 | Completed |
Individualized 1st Line Chemotherapy Based on BRCA1 and RRM1 mRNA Expression Levels for Advanced Non-small Cell Lung Cancer [NCT01424709] | Phase 2 | 120 participants (Anticipated) | Interventional | 2010-12-31 | Active, not recruiting |
A Phase IB Combination Study of MEK Inhibitor GSK1120212 With Gemcitabine in Subjects With Solid Tumors [NCT01428427] | Phase 1 | 31 participants (Actual) | Interventional | 2009-08-12 | Completed |
Randomized Phase II Study Comparing Gemcitabine/S-1 Combination Chemoradiotherapy With Gemcitabine/S-1 Combination Chemotherapy for Unresectable Locally Advanced Pancreatic Cancer. [NCT01430052] | Phase 2 | 110 participants (Actual) | Interventional | 2009-04-30 | Completed |
Gemcitabine and Oxaliplatin With or Without KN035 for Biliary Tract Cancer: a Randomised, Open-label, Parallel-group, Multicenter Phase III Study [NCT03478488] | Phase 3 | 480 participants (Anticipated) | Interventional | 2018-04-16 | Recruiting |
Phase II Randomized Trial of S-1, Leucovorin, Oxaliplatin and Gemcitabine (SLOG) vs Gemcitabine and Cisplatin (GC) in Locally Advanced or Metastatic Biliary Tract Cancer [NCT03406299] | Phase 2 | 92 participants (Actual) | Interventional | 2018-04-19 | Active, not recruiting |
Phase IB Study of Gemcitabine, Docetaxel and Bevacizumab in Patients With Soft Tissue Sarcoma [NCT00276055] | Phase 1 | 38 participants (Actual) | Interventional | 2005-11-30 | Completed |
A Pilot Study of Outpatient Vinorelbine and Gemcitabine With Filgrastim Support for Patients With Relapsed or Refractory Lymphoma. [NCT00163748] | Phase 2 | 40 participants | Interventional | 2001-02-28 | Completed |
A Randomized Phase III Comparison of Weekly Docetaxel Versus Weekly Docetaxel/Gemcitabine in the Treatment of Elderly or Poor Performance Status Patients With Advanced Non-Small Cell Lung Cancer [NCT00193323] | Phase 2 | 346 participants | Interventional | 2001-08-31 | Completed |
Phase III Randomized Study of Paclitaxel, Carboplatin, and Gemcitabine Versus Gemcitabine and Vinorelbine as First-Line Chemotherapy for Stage IIIB and IV Non-Small Cell Lung Cancer [NCT00193362] | Phase 3 | 200 participants | Interventional | 2004-06-30 | Completed |
A Phase I Trial of Biweekly Gemcitabine & Paclitaxel & Low-Dose Fractionated Radiation in the Treatment of Metastatic or Recurrent Head & Neck Cancer [NCT00176241] | Phase 1 | 7 participants (Actual) | Interventional | 2005-12-31 | Terminated(stopped due to Slow accrual) |
A Prospective, Single Arm, Multicenter, Phase II Trial of Gemcitabine Plus Cisplatin in the Treatment of Patients With Non-pCR Triple Negative Breast Cancer Following Neoadjuvant Chemotherapy [NCT04297267] | Phase 2 | 100 participants (Anticipated) | Interventional | 2017-02-07 | Active, not recruiting |
First Line Treatment of Stage IIIb/IV Non Small Cell (NSC) Lung Cancer With a Bimonthly Administration of a Combination of Cisplatin-Gemcitabine [NCT00006116] | Phase 2 | 0 participants | Interventional | 1999-04-30 | Active, not recruiting |
A Phase III Randomized Trial of Gemcitabine/Oxaliplatin (GEMOX) Versus Carboplatin/Paclitaxel (CP) as First-Line Therapy in Patients With Advanced Non-Small Cell Lung Cancer (NSCLC) [NCT00087802] | Phase 3 | 383 participants (Actual) | Interventional | 2004-03-31 | Completed |
A Randomized Phase III Trial Of Gemcitabine Plus Bevacizumab (NSC#704865 IND#7621) Versus Gemcitabine Plus Placebo In Patients With Advanced Pancreatic Cancer [NCT00088894] | Phase 3 | 590 participants (Actual) | Interventional | 2004-06-30 | Completed |
Evaluation of Gemcitabine in Persistent or Recurrent Non-Squamous Cell Carcinoma of the Cervix [NCT00006224] | Phase 2 | 0 participants | Interventional | 2000-09-30 | Terminated |
A Phase II Clinical Trial of Cisplatin + Gemcitabine HCl (GEM) + Low-Dose Metronomic Interferon-a (IFN-a) Combined With Fever-Range Whole-Body Thermal Therapy (FR-WB-TT) in Patients With Metastatic/or Locally Advanced Malignancies (Small-Cell Lung Cancer, [NCT00178698] | Phase 2 | 36 participants (Anticipated) | Interventional | 2002-07-31 | Recruiting |
A Phase I/II Study Of Lenalidomide (Revlimid ) In Combination With Gemcitabine In Patients With Untreated Advanced Carcinoma Of The Pancreas [NCT00179751] | Phase 1/Phase 2 | 50 participants | Interventional | 2005-04-30 | Terminated |
Phase II Study of Oxaliplatin, Continuous 5-Fluorouracil and External Beam Radiation Followed by Gemcitabine in Patients With Locally Advanced Pancreatic Cancer [NCT00096070] | Phase 2 | 50 participants (Actual) | Interventional | 2004-12-31 | Completed |
Phase III Trial Comparing 2 Chemotherapy Schedules (Preoperative vs Pre and Postoperative) in Stage I and II NSCLC [NCT00198354] | Phase 3 | 530 participants (Actual) | Interventional | 2001-05-31 | Completed |
Randomized Phase 2 Study of 3 Therapeutic Modalities in PS 2/3 Patients With NSCLC Stage IIIB/IV [NCT00198393] | Phase 2 | 126 participants (Actual) | Interventional | 2004-11-30 | Completed |
A Phase I Study of Halichondrin B Analog E7389 in Combination With Gemcitabine in Patients With Refractory or Advanced Solid Tumors [NCT00410553] | Phase 1 | 45 participants (Actual) | Interventional | 2006-11-14 | Completed |
XACT-Pancreas 2: Pharmacological Ascorbate, Gemcitabine, and Radiation Therapy for Pancreatic Cancer, Phase 2 [NCT03541486] | Phase 2 | 60 participants (Anticipated) | Interventional | 2025-12-31 | Not yet recruiting |
An Open-label, Phase I, Dose Escalation Study Evaluating the Safety, Tolerability, and Pharmacokinetics of GDC-0575 Administered Alone and in Combination With Gemcitabine in Patients With Refractory Solid Tumors or Lymphoma [NCT01564251] | Phase 1 | 104 participants (Actual) | Interventional | 2012-03-23 | Completed |
A Phase II Feasibility Study of Sorafenib and Gemcitabine Combination Treatment in Patients With Advanced Hepatocellular Carcinoma [NCT00844688] | Phase 2 | 30 participants (Anticipated) | Interventional | 2008-09-30 | Recruiting |
Phase III Randomized Trial of High Dose Chemoradiation and Systemic Chemotherapy vs Systemic Chemotherapy Alone in Patients With Unresectable Nonmetastatic Cholangiocarcinoma [NCT02773485] | Phase 3 | 155 participants (Anticipated) | Interventional | 2015-05-31 | Recruiting |
A Randomized Phase II Study of Weekly Docetaxel Plus Cisplatin Followed by Gemcitabine Versus Gemcitabine Plus Cisplatin Followed by Weekly Docetaxel in the Treatment of Advanced Non-small Cell Lung Cancer [NCT00173888] | Phase 2 | 15 participants (Actual) | Interventional | 2003-07-31 | Completed |
A Phase I and Randomized Phase II Trial of Gemcitabine + Erlotinib (NSC-718781) + IMC-A12 (NSC-742460) vs. Gemcitabine + Erlotinib as First-Line Treatment in Patients With Metastatic Pancreatic Cancer [NCT00617708] | Phase 1/Phase 2 | 134 participants (Actual) | Interventional | 2008-03-31 | Completed |
Combined Nabpaclitaxel Pressurized IntraPeritoneal Aerosol Chemotherapy With Systemic Nabpaclitaxel-Gemcitabine Chemotherapy for Pancreatic Cancer Peritoneal Metastases - A Single-arm, Open-label, Phase II Trial: Nab-PIPAC Trial [NCT05371223] | Phase 2 | 38 participants (Anticipated) | Interventional | 2022-03-01 | Recruiting |
Open-Label, Cooperative, Randomized, Multicenter Phase III Study on the Use of Cisplatin Resistant Genotype (ERCC1 Over-Expression) in Tumor RNA to Customize Chemotherapy in Stage IV-IIIB (Malignant Pleural Effusion) Non-Small-Cell Lung Cancer Patients [NCT00174629] | Phase 3 | 449 participants (Actual) | Interventional | 2001-06-30 | Completed |
Clinical Study of Ganoderma Lucidum Spore Combined With Chemotherapy [NCT02844114] | Phase 2 | 60 participants (Anticipated) | Interventional | 2016-01-31 | Recruiting |
A Phase II/III Trial of Durvalumab and Chemotherapy for Patients With High Grade Upper Tract Urothelial Cancer Prior to Nephroureterectomy [NCT04628767] | Phase 2/Phase 3 | 249 participants (Anticipated) | Interventional | 2021-11-12 | Recruiting |
A Phase 1b, Multicenter, Open Label Study Evaluating Safety, Tolerability and Preliminary Efficacy of GemRIS 225 mg in Subjects With Non-Muscle-Invasive Urothelial Carcinoma of the Bladder [NCT02720367] | Phase 1 | 12 participants (Actual) | Interventional | 2016-01-31 | Completed |
A Phase 1, First in Human, Dose-Escalation Study of UCT-01-097 in Participants With Advanced Solid Tumors [NCT04761601] | Phase 1 | 106 participants (Anticipated) | Interventional | 2021-03-03 | Recruiting |
Prospective Phase I Study of Gax (Gemcitabine, ABRAXANE, and Xeloda) for Metastatic Pancreatic Cancer Protocol # TSH - APG - 2015-01 [NCT02581501] | Phase 1 | 0 participants (Actual) | Interventional | 2016-02-29 | Withdrawn(stopped due to Due to no enrollment, Celgene (sponsor) withdrew funding) |
A Randomized Phase II Trial of Early Change of a Chemotherapeutic Doublet Versus Four Cycles of Chemotherapy in Advanced Non Small Cell Lung Cancer. [NCT00199758] | Phase 2 | 227 participants | Interventional | 2003-09-30 | Completed |
Randomized Phase II Study Assessing the Combination of Vinflunine With Gemcitabine and Vinflunine With Carboplatin in Patients Ineligible to Cisplatin With Advanced or Metastatic Transitional Cell Carcinoma of the Urothelium [NCT01599013] | Phase 2 | 69 participants (Actual) | Interventional | 2011-02-28 | Completed |
Gemcitabine Combined With Busulfan and Melphalan, With Hematopoietic Cell Transplantation, for Patients With Poor-prognosis Advanced Lymphoid Malignancies [NCT00410982] | Phase 1 | 145 participants (Actual) | Interventional | 2006-12-31 | Completed |
A Randomized Phase 3 Study Comparing Pemetrexed Plus Cisplatin With Gemcitabine Plus Cisplatin as First-Line Treatment in Patients With Advanced Non-squamous Non-Small Cell Lung Cancer. [NCT01005680] | Phase 3 | 256 participants (Actual) | Interventional | 2009-11-30 | Completed |
Phase II Study of Gemcitabine, Cisplatin, and Celecoxib in the Treatment of Metastatic Pancreatic Cancer [NCT00176813] | Phase 2 | 5 participants (Actual) | Interventional | 2003-03-31 | Completed |
Phase II Clinical Trial of Cisplatin + Gemcitabine in Combination With Mild, Fever-Range Whole-Body Hyperthermia to Treat Patients With Advanced, Inoperable Pancreatic Cancer [NCT00178763] | Phase 2 | 36 participants (Anticipated) | Interventional | 2003-09-30 | Recruiting |
A Randomized, Double-blind, Phase III Study, Comparing NIS793 in Combination With Gemcitabine and Nab-paclitaxel Versus (vs.) Placebo Combined With Gemcitabine and Nab-paclitaxel for First Line Treatment of Metastatic Pancreatic Ductal Adenocarcinoma (mPD [NCT04935359] | Phase 3 | 511 participants (Actual) | Interventional | 2021-09-30 | Active, not recruiting |
Phase Ib/IIa Study to Evaluate Safety and Efficacy of Treatment With the Hedgehog Inhibitor NLM-001 and Chemotherapy (Gemcitabine and Nab-Paclitaxel) Plus Zalifrelimab as First Line Treatment in Patients With Advanced Pancreatic Cancer [NCT04827953] | Phase 1/Phase 2 | 28 participants (Anticipated) | Interventional | 2021-09-01 | Active, not recruiting |
Phase III Randomized Trial of Concurrent Chemoradiotherapy With or Without Atezolizumab in Localized Muscle Invasive Bladder Cancer [NCT03775265] | Phase 3 | 475 participants (Anticipated) | Interventional | 2019-06-03 | Recruiting |
A Phase I Study of ADH-1 and Gemcitabine Plus Cisplatin in Patients With Unresectable or Metastatic Pancreatic and Biliary Tract Cancers [NCT01825603] | Phase 1 | 17 participants (Actual) | Interventional | 2013-04-09 | Completed |
Phase II Trial of Carboplatin/Gemcitabine Plus Bevacizumab in Advanced Non-Small Cell Lung Cancer [NCT00150657] | Phase 2 | 45 participants | Interventional | 2004-11-30 | Recruiting |
A Randomized Phase II Study of Prednisone, Vinblastine, Doxorubicin, and Gemcitabine in Patients With Intermediate Stage Hodgkin's Lymphoma [NCT00512980] | Phase 2 | 0 participants | Interventional | 2008-08-31 | Terminated(stopped due to lower recruitment rates as expected) |
Multicenter Phase II Trial of Gefitinib (Iressa™) First Line Therapy Followed by Chemotherapy in Advanced Non-Small Cell Lung Cancer (NSCLC) [NCT00217698] | Phase 2 | 63 participants (Actual) | Interventional | 2003-11-30 | Completed |
A Phase I, Open Label, Study of the Safety and Tolerability of KU-0059436 in Combination With Gemcitabine in the Treatment of Patients With Advanced Solid Tumours [NCT00515866] | Phase 1 | 68 participants (Actual) | Interventional | 2007-08-31 | Completed |
Phase I/II Trial of Infusional Gemcitabine in Combination With Carboplatin in Chemonaive Non-small Cell Carcinoma [NCT00212043] | Phase 2 | 74 participants | Interventional | 2000-07-31 | Completed |
Phase II Study of Gemcitabine Plus Nab-Paclitaxel in Combination With Losartan Followed by Stereotactic Radiotherapy for Locally Advanced Pancreatic Cancer: OVERPASS Trial [NCT05861336] | Phase 2 | 34 participants (Anticipated) | Interventional | 2023-05-31 | Not yet recruiting |
A Phase II Trial of Fixed Dose Rate Gemcitabine in Patients With Advanced or Metastatic Colorectal Cancer. [NCT00220155] | Phase 2 | 16 participants (Actual) | Interventional | 2004-05-31 | Completed |
A Multicenter, Open-label, Phase II Study of AK104, a PD-1/CTLA-4 Bispecific Antibody, in Combination With Chemotherapy as First-line Treatment in Patients With Locally Advanced Unresectable or Metastatic Pancreatic Cancer [NCT05859750] | Phase 2 | 60 participants (Anticipated) | Interventional | 2023-05-31 | Not yet recruiting |
Randomized Phase III Trial of Surgery Alone or Surgery Plus Preoperative Gemcitabine-Cisplatin in Clinical Early Stages(T2N0, T1 - 2N1, T3N0 AND T3N1) Non-Small Cell Lung Cancer (NSCLC) [NCT00191126] | Phase 3 | 263 participants (Actual) | Interventional | 2000-09-30 | Completed |
A Randomized Phase II Study Comparing Single-Agent Docetaxel to Alternating Docetaxel-Gemcitabine as Primary Chemotherapy in Patients With Metastatic Breast Cancer [NCT00191243] | Phase 2 | 237 participants (Actual) | Interventional | 2002-03-31 | Completed |
Phase I Study of Precision CRT for Liver-Dominant Metastatic Pancreatic Cancer With Homologous Recombination Deficiency (PreCISeRT) [NCT05182112] | Phase 1 | 1 participants (Actual) | Interventional | 2021-12-20 | Active, not recruiting |
1911GCCC:Two Parallel, Single-arm, Open Label, Phase 2 Trials of Galeterone Alone or Galeterone Combined With Gemcitabine for Patients With Metastatic Pancreatic Adenocarcinoma Refractory to Standard Chemotherapy [NCT04098081] | Phase 2 | 58 participants (Anticipated) | Interventional | 2019-12-12 | Recruiting |
A Randomized Phase II Study Comparing Single Agent Gemcitabine Intravesical Therapy Versus Mitomycin C in Patients With Intermediate Risk Superficial Bladder Cancer [NCT00192049] | Phase 2 | 90 participants | Interventional | 2003-12-31 | Completed |
A Phase 2 Evaluation of the Monoclonal Antibody, RAV12, in Combination With Standard Gemcitabine in the Treatment of Patients With Metastatic Pancreatic Cancer Who Have Not Been Previously Treated for Metastatic Disease [NCT00625586] | Phase 2 | 2 participants (Actual) | Interventional | 2008-04-15 | Terminated(stopped due to Corporate decision) |
GAMBIT Trial: A Randomized,Non-comparative, Open-label Clinical Trial Evaluating Cisplatin Plus Irinotecan in the Treatment of Gallbladder or Biliary Tract Cancer [NCT01859728] | Phase 2 | 48 participants (Anticipated) | Interventional | 2013-01-31 | Recruiting |
Phase III Study of Docetaxel in Combination With Gemcitabine Versus Docetaxel in Combination With Capecitabine in Patients With Locally Advanced or Metastatic Breast Cancer [NCT00191438] | Phase 3 | 300 participants | Interventional | 2002-10-31 | Completed |
Phase II Study of 6 Weeks Intravesical Gemcitabine Instillation Followed By Transurethral Resection in Patients Affected By Superficial Bladder Cancer at Low Risk [NCT00191711] | Phase 2 | 43 participants | Interventional | 2004-02-29 | Completed |
A Phase II Trial of Gemcitabine (Gemzar) Combined With Vinorelbine as First Line Chemotherapy for Metastatic Breast Cancer [NCT00192062] | Phase 2 | 80 participants | Interventional | 2004-07-31 | Completed |
Randomized Phase II Study of the Combination of Gemcitabine (Gemzar) Plus Cisplatin Single Dose Versus Split Dose in the Treatment of Patients With Locally Advanced or Metastatic Breast Cancer After Failure of Anthracyclines an/or Taxanes [NCT00192101] | Phase 2 | 100 participants | Interventional | 2004-10-31 | Completed |
A Phase II Randomized Study of Induction Chemotherapy Followed by Concurrent Chemo-radiotherapy in Locally Advanced Pancreatic Cancer [NCT01867892] | Phase 2 | 86 participants (Anticipated) | Interventional | 2013-06-30 | Enrolling by invitation |
Phase II Study of Six Hours, Low Dose Gemcitabine Plus Cisplatin in the Treatment for Advanced Pleural Mesothelioma. [NCT01869023] | Phase 2 | 26 participants (Anticipated) | Interventional | 2010-11-30 | Active, not recruiting |
Prospective Randomized Trial Comparing Concurrent Chemoradiotherapy With or Without Induction Gemcitabine and Cisplatin in Patients With Locoregionally Advanced Nasopharyngeal Carcinoma [NCT01872962] | Phase 3 | 480 participants (Actual) | Interventional | 2013-11-30 | Active, not recruiting |
PhAse 1/2 StuDy of Modern ImmunotherApy in BCG-Unresponsive, BCG-RelaPsing, and High-Risk BCG-Naive Non-muscle Invasive UroThelial Carcinoma of the BLADDER [NCT03317158] | Phase 1/Phase 2 | 55 participants (Anticipated) | Interventional | 2017-11-21 | Recruiting |
Multi-agent Low Dose Chemotherapy (Gemcitabine, Nab-paclitaxel, Capecitabine, Cisplatin, Irinotecan) Followed by Maintenance Olaparib and Pembrolizumab in Untreated Metastatic Pancreatic Ductal Adenocarcinoma. [NCT04753879] | Phase 2 | 38 participants (Anticipated) | Interventional | 2021-09-29 | Recruiting |
Phase 2 Study of Preoperative Chemotherapy With Abraxane and Gemcitabine Followed by Chemoradiation for Borderline Resectable or Node-Positive Pancreatic Cancer [NCT02427841] | Phase 2 | 20 participants (Actual) | Interventional | 2016-01-21 | Completed |
Prospective Exploratory Study of Tislelizumab Combined With Nab-paclitaxel and Gemcitabine for Postoperative Recurrence of Pancreatic Cancer [NCT04902261] | Phase 2 | 140 participants (Anticipated) | Interventional | 2020-11-20 | Recruiting |
A Muti-center, Open-label, Randomized, Phase III Study of Camrelizumab Plus Treatment of Physician Choice Versus Treatment of Physician Choice for Metastatic Triple-Negative Breast Cancer Who Received at Least Two Prior Systemic Chemotherapy Regimens for [NCT05134194] | Phase 3 | 104 participants (Anticipated) | Interventional | 2021-11-30 | Not yet recruiting |
Definitive Chemoradiation With Gemcitabine and Continuous 5- FU (Fluorouracil)Followed by High Dose Rate Brachytherapy or Stereotactic Body Radiation Therapy Boost in Locally Advanced Intra or Extrahepatic Cholangiocarcinoma [NCT00983541] | Phase 2 | 1 participants (Actual) | Interventional | 2009-09-30 | Terminated(stopped due to Low enrollment) |
A Prospective, Multicenter, Randomized Controlled Clinical Study of Blue Laser-5ALA-photodynamic Therapy (PDT) in the Prevention of Postoperative Tumor Recurrence in High-risk Non-muscle-invasive Bladder Cancer [NCT05547516] | | 140 participants (Anticipated) | Interventional | 2022-09-13 | Not yet recruiting |
A Prospective Phase II Study of Risk-stratification Based Bladder-sparing Modalities for Muscle-invasive Bladder Cancer After Chemotherapy Combined With PD-1 Antibody(Rebirth) [NCT05531123] | Phase 2 | 30 participants (Anticipated) | Interventional | 2022-09-10 | Recruiting |
Randomized, OpenLabel, Phase 3 Trial of Nivolumab Plus Ipilimumab or Nivolumab Plus Platinum Doublet Chemotherapy Versus Platinum Doublet Chemotherapy in Early Stage NSCLC [NCT02998528] | Phase 3 | 505 participants (Actual) | Interventional | 2017-03-04 | Active, not recruiting |
A Randomized Double-Blinded Phase III Study Comparing Gemcitabine, Cisplatin, and Bevacizumab to Gemcitabine, Cisplatin, and Placebo in Patients With Advanced Transitional Cell Carcinoma [NCT00942331] | Phase 3 | 506 participants (Actual) | Interventional | 2009-07-15 | Completed |
A Phase II Study Evaluating Bi-weekly Dosing of Gemcitabine Plus Nab-Paclitaxel in the First Line Treatment of Surgically Unresectable/Metastatic Pancreatic Cancer [NCT01851174] | Phase 2 | 15 participants (Actual) | Interventional | 2013-02-28 | Terminated(stopped due to PI Leaving Site) |
A Phase II Study of Induction Consolidation and Maintenance Approach for Patients With Advanced Pancreatic Cancer [NCT01488552] | Phase 1/Phase 2 | 60 participants (Actual) | Interventional | 2011-11-30 | Completed |
Phase I Trial of Dose-Dense Gemcitabine, Doxorubicin, Then Paclitaxel Plus Carboplatin In Patients With Transitional Cell Carcinoma of the Urothelium and Impaired Renal Function [NCT00003342] | Phase 1 | 30 participants (Anticipated) | Interventional | 1997-12-31 | Completed |
A Phase I Feasibility Trial of Carboplatin, Paclitaxel, and Gemcitabine in Patients With Previously Untreated Epithelial Ovarian Carcinoma and Primary Peritoneal Carcinoma [NCT00003378] | Phase 1 | 45 participants (Anticipated) | Interventional | 1998-08-31 | Terminated |
Phase II Study of Gemcitabine in the Treatment of Patients With Metastatic Breast Cancer Previously Treated With Adriamycin and Taxol [NCT00003540] | Phase 2 | 30 participants (Anticipated) | Interventional | 1998-06-30 | Completed |
Phase II Chemoradiation Trial Using Gemcitabine in Patients With Locoregional Adenocarcinoma of the Pancreas [NCT00003546] | Phase 2 | 43 participants (Actual) | Interventional | 1998-09-30 | Completed |
An Open Label Randomized Trial Comparing the Safety and Efficacy of Systemic Chemotherapy (Gemcitabine) to Immunotherapy (CYTOIMPLANT - Intra Tumor Implants of Allogeneic Peripheral Blood Mononuclear Cells Sensitized Against Patient Alloantigens by Mixed [NCT00003780] | Phase 2 | 150 participants (Anticipated) | Interventional | 1998-12-31 | Active, not recruiting |
Phase I Study of Oxaliplatin in Combination With 5-Fluorouracil and Gemcitabine in Patients With Solid Tumors [NCT00004242] | Phase 1 | 30 participants (Actual) | Interventional | 1999-10-31 | Completed |
Randomized Phase II Trail of Carboplatin and Gemcitabine Untreated Stage IIIB-pleural Effusion and Stage IV Lung Cancer [NCT00247416] | Phase 2 | 60 participants (Actual) | Interventional | 2005-08-31 | Completed |
Randomized Phase III Multicenter Trial of Customized Chemotherapy Versus Standard of Care for1st Line Treatment of Elderly Patients With Advanced Non-Small-Cell Lung Cancer [NCT03402048] | Phase 3 | 567 participants (Anticipated) | Interventional | 2012-07-31 | Recruiting |
A Phase 1b/2 Dose Escalation and Expansion Trial of NC-6004 (Nanoparticle Cisplatin) Plus Gemcitabine in Patients With Advanced Solid Tumors or Non-Small Cell Lung, Biliary Tract, and Bladder Cancer [NCT02240238] | Phase 1/Phase 2 | 209 participants (Anticipated) | Interventional | 2014-05-31 | Completed |
A Neoadjuvant Phase II Study of Chemo-Radiotherapy in Patients With Resectable and Borderline Resectable Pancreatic Cancer [NCT02243358] | Phase 2 | 24 participants (Actual) | Interventional | 2014-02-28 | Completed |
A Phase III, Open Label, Randomised, Multi-centre, International Study of MEDI4736, Given as Monotherapy or in Combination With Tremelimumab Determined by PD-L1 Expression Versus Standard of Care in Patients With Locally Advanced or Metastatic Non-Small C [NCT02352948] | Phase 3 | 597 participants (Actual) | Interventional | 2015-01-13 | Completed |
A Phase II Study of Gemcitabine and Capecitabine for Treatment Resistant, Metastatic Colorectal Cancer [NCT01472770] | Phase 2 | 49 participants (Actual) | Interventional | 2011-10-31 | Completed |
Phase II Study of Gemcitabine in Patients With Advanced Stage Marginal Zone B-cell Lymphoma [NCT00337259] | Phase 2 | 43 participants (Actual) | Interventional | 2006-06-30 | Terminated(stopped due to poor accrual and response less than expected on interim analysis) |
Gemcitabine Plus Carboplatin in Patients With Pretreated Metastatic Breast Cancer [NCT00450762] | Phase 2 | 0 participants | Interventional | 2004-03-31 | Completed |
A Randomized Discontinuation Trial to Determine the Clinical Benefit of Continuation of Sorafenib Following Disease Progression in Patients With Advanced Renal Cell Carcinoma [NCT00352859] | Phase 4 | 2 participants (Actual) | Interventional | 2006-08-31 | Terminated |
A Phase II Study of Abraxane Combined With Gemcitabine in the Patients With Metastatic Breast Cancer [NCT01550848] | Phase 2 | 84 participants (Anticipated) | Interventional | 2012-01-31 | Completed |
A Phase II Randomized Study of Chemo-Anticoagulation (Gemcitabine-Dalteparin) Versus Chemotherapy Alone (Gemcitabine) for Locally Advanced and Metastatic Pancreatic Adenocarcinoma [FRAGEM] [NCT00462852] | Phase 2 | 120 participants (Anticipated) | Interventional | 2003-04-30 | Completed |
A Multicenter Phase II Study of Carboplatin Plus Gemcitabine Followed by Concomitant Chemoradiation in Patients With Non-resectable Stage III Non-Small-Cell-Lung Cancer [NCT00463515] | Phase 2 | 77 participants | Interventional | 2003-01-31 | Completed |
Efficacy and Safety of Concurrent Chemoradiotherapy Combined With Immunotherapy in Patients With Potentially Resectable Pancreatic Cancer [NCT05634564] | Phase 2 | 62 participants (Anticipated) | Interventional | 2020-06-01 | Recruiting |
Chidamide Combined With Cladribine/Gemcitabine/Busulfan (ChiCGB) With Autologous Stem-Cell Transplantation in Relapsed and Refractory Diffuse Large B Cell Lymphoma [NCT03151876] | Phase 2 | 93 participants (Anticipated) | Interventional | 2017-06-12 | Recruiting |
A Phase II Randomized Trial Assessing the Combination of Gemcitabine and Pemetrexed in the First Line Treatment of Locally Advanced or Metastatic Non-Small Cell Lung Cancer [NCT00434135] | Phase 2 | 180 participants (Anticipated) | Interventional | 2006-05-31 | Completed |
Phase I Evaluation Of Carboplatin And Gemcitabine [NCT00021346] | Phase 1 | 8 participants (Actual) | Interventional | 1997-11-30 | Completed |
A Phase 1 Dose-Escalation Study of the Safety, Pharmacokinetics, and Pharmacodynamics of XL844 Administered as a Single Agent and in Combination With Gemcitabine in Subjects With Advanced Malignancies [NCT00475917] | Phase 1 | 28 participants (Actual) | Interventional | 2007-05-31 | Terminated |
Vinorelbine and Gemcitabine Versus Docetaxel and Gemcitabine as First Line Treatment in Patients With Advanced or Metastatic Non Small Cell Lung Cancer (NSCLC). A Prospective , Multicenter, Randomized, Phase III Trial [NCT00441740] | Phase 3 | 419 participants (Actual) | Interventional | 2004-04-30 | Completed |
A Multicenter Randomized Phase III Study of Gemcitabine Plus Herceptin Combination Versus the Capecitabine Plus Herceptin Combination in Pretreated Patients With HER-2 Positive Metastatic Breast Cancer [NCT00440622] | Phase 3 | 90 participants (Actual) | Interventional | 2003-04-30 | Terminated(stopped due to Due to poor accrual) |
Phase 2 Trial of Gemcitabine vs S-1 vs Gemcitabine Plus Nab-paclitaxel as Adjuvant Chemotherapy of Post-operative Pancreatic Cancer Patients [NCT03278015] | Phase 2 | 90 participants (Anticipated) | Interventional | 2017-10-01 | Not yet recruiting |
A Multicenter Randomized Phase III Study of the Docetaxel and Gemcitabine Combination Versus Monotherapy With Gemcitabine as First-line Treatment in Elderly Patients With Advanced Non-Small-Cell Lung Cancer (NSCLC) [NCT00442026] | Phase 3 | 106 participants (Actual) | Interventional | 2006-12-31 | Terminated(stopped due to Due to poor accrual) |
Randomized Fase II Trial: Comparing Cisplatin, Paclitaxel and Gemcitabine Versus Cisplatin, Paclitaxel, Gemcitabine and Avastin in Patients With Unknown Primary Tumors [NCT00458315] | Phase 2 | 0 participants (Actual) | Interventional | 2007-05-31 | Withdrawn(stopped due to never been started) |
A Phase Ib, Multi-Center, Open-Label, Dose Escalation Trial of Intravenous PR-104 Given in Combination With Docetaxel or Gemcitabine in Subjects With Solid Tumors [NCT00459836] | Phase 1 | 42 participants (Actual) | Interventional | 2007-02-28 | Completed |
A Phase II Randomized Controlled Clinical Trial of Carboplatin and Paclitaxel or Carboplatin and Gemcitabine in Platinum-sensitive, Recurrent Ovarian, Fallopian Tube, and Primary Peritoneal Cancer [NCT01570582] | Phase 2 | 314 participants (Anticipated) | Interventional | 2010-03-31 | Active, not recruiting |
A Multicenter, Randomized Trial Comparing a Combined Gemcitabine and Cisplatin 3-Week Regimen With a 4-Week Regimen in Non-Small Cell Lung Cancer Patients [NCT00489996] | Phase 2 | 100 participants (Actual) | Interventional | 2003-01-31 | Completed |
A Phase II Trial of Perioperative Chemotherapy (Gemcitabine and Cisplatin) and Adjuvant Chemoradiotherapy (-With Weekly Low-Dose Gemcitabine) in the Treatment of Nodes Positive NSCLC Patients [NCT00490659] | Phase 2 | 13 participants (Actual) | Interventional | 2003-09-30 | Completed |
Phase II Study of Cisplatin With Gemcitabine in Fixed Dose Rate Infusion and Dexamethasone in Second-Line in Patients With Aggressive Non-Hodgkin's Lymphoma [NCT00491127] | Phase 2 | 10 participants (Actual) | Interventional | 2003-04-30 | Completed |
Randomized Phase III Study of Gemcitabine Versus TS-1 Versus Gemcitabine Plus TS-1 in Unresectable Advanced Pancreatic Cancer (With Local Progression or Metastasis) [NCT00498225] | Phase 3 | 834 participants (Actual) | Interventional | 2007-07-31 | Completed |
A Phase II Trial of Low-dose Gemcitabine in Prolonged Infusion and Cisplatin in Treatment of Malignant Pleural Mesothelioma [NCT01243632] | Phase 2 | 78 participants (Actual) | Interventional | 2002-12-31 | Completed |
Clinical Study of Tumor Treating Fields Combined With Gemcitabine and Albumin-bound Paclitaxel in the First-line Treatment of Locally Advanced Pancreatic Cancer [NCT05653453] | Phase 3 | 512 participants (Anticipated) | Interventional | 2022-12-20 | Not yet recruiting |
ALIMTA Plus Gemcitabine as Front-Line Chemotherapy for Patients With Malignant Pleural or Peritoneal Mesothelioma: A Phase II Clinical Trial [NCT00061477] | Phase 2 | 48 participants | Interventional | 2002-12-31 | Completed |
Phase II Trial of Enzastaurin Plus Carboplatin and Gemcitabine (ECoG) in Bevacizumab-Ineligible Patients and Enzastaurin Plus Carboplatin, Gemcitabine and Bevacizumab (B-ECoG) in Bevacizumab-Eligible Patients With Advanced Non-Small Cell Lung Cancer (NSCL [NCT00469976] | Phase 2 | 0 participants (Actual) | Interventional | 2007-06-30 | Withdrawn(stopped due to ECOG will not proceed with activation) |
A Phase II Study of Carboplatin in Combination With Gemcitabine as a Dose Dense Schedule in Patients With Locally Advanced or Metastatic Breast Cancer That Are Resistant to Anthracyclines & Taxanes [NCT00470249] | Phase 2 | 5 participants (Actual) | Interventional | 2006-07-15 | Terminated(stopped due to Due to difficulty in recruitment) |
Phase Ⅱ Study of Gemcitabine and Cisplatin as First Line Combination Therapy in Patients With Triple-negative MBC [NCT00601159] | Phase 2 | 70 participants (Actual) | Interventional | 2007-09-30 | Completed |
Intra-hepatic Chemotherapy With Oxaliplatin Every Second Week in Combination With Systemic Gemcitabine and Capecitabine in Combination With Cetuximab in Patient With Non-resectable Liver Metastases From Cholangiocarcinoma. A Phase II Trial. [NCT01247337] | Phase 2 | 56 participants (Actual) | Interventional | 2011-02-02 | Completed |
A Phase I Trial of GemCap-T, Capecitabine in Combination With Gemcitabine and Erlotinib (Tarceva®) in Patients With Advanced Pancreatic Adenocarcinoma [NCT00480584] | Phase 1 | 20 participants (Actual) | Interventional | 2007-04-30 | Completed |
A Phase II, Single-center, Randomized Study of Eribulin Plus Cisplatin (EP) Versus Gemcitabine Plus Cisplatin (GP) as First-Line Treatment in Patients With Advanced Triple-Negative Breast Cancer [NCT04517292] | Phase 2 | 160 participants (Anticipated) | Interventional | 2020-10-08 | Not yet recruiting |
A Multicenter Phase 2 Randomized Trial of Single-Agent ALIMTA or ALIMTA With Sequentially Administered GEMZAR as First-Line Chemotherapy in Elderly Patients or Patients Who Are Not Eligible for Platinum-Based Chemotherapy With Advanced NSCLC [NCT00489983] | Phase 2 | 91 participants (Actual) | Interventional | 2003-07-31 | Completed |
A Dose-Escalation Trial Of The Combination Of Docetaxel, Gemcitabine And Filgrastim (NEUPOGEN) For The Treatment Of Patients With Advanced Solid Tumors [NCT00014456] | Phase 1 | 35 participants (Actual) | Interventional | 2000-03-31 | Completed |
The Evaluation of Efficacy and Toxicity of Combined Treatment: Neoadjuvant Chemotherapy (Gemcitabine and Cisplatin) With Radical Cystectomy or Radiotherapy in Patients With Bladder Cancer Stage T2b-T3 NO/Nx M0 [NCT00490880] | Phase 2 | 2 participants (Actual) | Interventional | 2003-11-30 | Completed |
Phase II Clinical Trial, Non-Randomized, Multicentre, on the Combination of Gemcitabine, Capecitabine and Sorafenib (Bay 43-9006) in Treatment of Patients With Unresectable and/or Metastatic Renal Cell Carcinoma (RCC) [NCT00496301] | Phase 2 | 40 participants (Anticipated) | Interventional | 2006-11-30 | Completed |
Disposition of [14C]LY2603618 Following Intravenous Administration in Patients With Advanced and/or Metastatic Solid Tumors [NCT01296568] | Phase 1 | 3 participants (Actual) | Interventional | 2011-02-28 | Completed |
A Randomized, Open Label, Phase II Proof of Concept Study of WX-671 in Combination With Gemcitabine vs.Gemcitabine Alone in Patients With Locally Advanced, Non Resectable Pancreatic Cancer in Order to Evaluate the Anti-Tumor Activity of the Combination Th [NCT00499265] | Phase 2 | 95 participants (Actual) | Interventional | 2007-04-30 | Completed |
IIT2020-02-Gong-GlutaPanc: Phase I Trial of First-line L-glutamine With Gemcitabine and Nab-paclitaxel in Advanced Pancreatic Cancer (GlutaPanc) [NCT04634539] | Phase 1 | 18 participants (Actual) | Interventional | 2021-05-13 | Active, not recruiting |
An Open-label, Randomised, Multicentre, Phase III Study of Irinotecan Liposome Injection, Oxaliplatin, 5-fluorouracil/Leucovorin Versus Nab-paclitaxel Plus Gemcitabine in Subjects Who Have Not Previously Received Chemotherapy for Metastatic Adenocarcinoma [NCT04083235] | Phase 3 | 770 participants (Actual) | Interventional | 2020-02-11 | Active, not recruiting |
A Phase 2, Open-Label, Randomized Study to Assess the Efficacy and Safety of Zolbetuximab (IMAB362) in Combination With Nab-Paclitaxel and Gemcitabine (Nab-P + GEM) as First Line Treatment in Subjects With Claudin 18.2 (CLDN18.2) Positive, Metastatic Panc [NCT03816163] | Phase 2 | 369 participants (Anticipated) | Interventional | 2019-03-15 | Recruiting |
Phase I Trial of Intra-tumoral Gemcitabine Therapy for Locally Advanced Pancreatic Carcinoma [NCT01893294] | Phase 1 | 1 participants (Actual) | Interventional | 2013-04-30 | Completed |
A Phase II Study of Gemcitabine in Combination With Oxaliplatin as First Line Chemotherapy in Patients With Inoperable Biliary Tract Adenocarcinoma [NCT00504192] | Phase 2 | 40 participants (Actual) | Interventional | 2006-09-30 | Completed |
Phase I Study of the Combination of MLN8237 and Gemcitabine in Advanced Solid Tumors With Emphasis on Pancreatic Cancer [NCT01924260] | Phase 1 | 26 participants (Actual) | Interventional | 2013-08-09 | Completed |
Phase II Trial of Alimta (Pemetrexed) and Gemzar (Gemcitabine) in Metastatic Breast Cancer Patients Who Have Received Prior Taxane Therapy [NCT00063570] | Phase 2 | 73 participants (Actual) | Interventional | 2003-07-31 | Completed |
[NCT02940990] | Phase 2 | 50 participants (Anticipated) | Interventional | 2016-11-30 | Not yet recruiting |
Phase II Study of Capecitabine and Gemcitabine in Patients With Metastatic Colorectal Cancer [NCT00159445] | Phase 2 | 53 participants (Anticipated) | Interventional | 2004-03-31 | Completed |
A Pilot Study of Bevacizumab Based Peri-Operative Therapy for Operable Pancreatic Adenocarcinoma [NCT00524069] | | 0 participants (Actual) | Interventional | 2007-01-31 | Withdrawn(stopped due to Withdrawn due to no accrual) |
A Randomized, Double Blinding, Placebo-Controlled Clinical Trials of CD8+NKG2D+ AKT Cell Immunotherapy to the Pancreatic Cancer Patients Treated With Adjuvant Chemotherapy [NCT02929797] | Early Phase 1 | 72 participants (Anticipated) | Interventional | 2016-08-31 | Recruiting |
Gemcitabine Versus Cisplatin and Gemcitabine in First-line Treatment of Patients With Advanced Non-small Cell Lung Cancer in Poor Physical Condition (Performance Status 2) [NCT00526643] | Phase 3 | 57 participants (Actual) | Interventional | 2007-11-30 | Terminated(stopped due to scarce enrolment and presentation of positive results of similar study in June 2012.) |
A Multicenter, Phase 2 Study of Gemcitabine-Carboplatin Plus Necitumumab in Chemotherapy-Naïve Patients With Locally Advanced or Metastatic Squamous Non-Small Cell Lung Cancer (NSCLC) [NCT02941601] | Phase 2 | 0 participants (Actual) | Interventional | 2016-11-30 | Withdrawn(stopped due to This was a strategic decision for business planning purposes and not out of concern for patient safety.) |
Randomized Phase II Study on Decitabine Plus Carboplatin Versus Physician's Choice Chemotherapy in Recurrent, Platinum-resistant Ovarian Cancer. [NCT03467178] | Phase 2 | 119 participants (Anticipated) | Interventional | 2018-07-30 | Recruiting |
Phase II Study of Neo-adjuvant Chemoradiotherapy Using Infusional Gemcitabine Followed by Surgery for Locally Advanced (T3 and T4 or Node Positive) Rectal Adenocarcinoma [NCT02919878] | Phase 2 | 25 participants (Anticipated) | Interventional | 2014-12-31 | Recruiting |
A Phase II Study of Gemcitabine in Combination With Vinorelbine vs. Sequential Gemcitabine Followed by Vinorelbine in Metastatic Breast Cancer [NCT00532623] | Phase 2 | 82 participants (Actual) | Interventional | 2004-05-31 | Completed |
Phase II Study of Primary Chemotherapy With Paclitaxel, Gemcitabine, and Trastuzumab in Patients With HER2 Positive Operable Breast Cancer [NCT00532857] | Phase 2 | 53 participants (Actual) | Interventional | 2007-03-31 | Completed |
Inoperable Non-Squamous NSCLC Stage III/IV: A Randomised Phase II Study With Bevacizumab Plus Erlotinib Or Gemcitabin/Cisplatin Plus Bevacizumab [NCT00536640] | Phase 2 | 224 participants (Actual) | Interventional | 2007-11-30 | Completed |
Phase I Study of Dovitinib (TKI258) in Combination With Gemcitabine and Capecitabine in Advanced Solid Tumors, Pancreatic Cancer and Biliary Cancers [NCT01497392] | Phase 1 | 26 participants (Actual) | Interventional | 2012-03-29 | Completed |
PurIST Classification-Guided Adaptive Neoadjuvant Chemotherapy by RNA Expression Profiling of EUS Aspiration Samples [NCT04683315] | Phase 2 | 87 participants (Anticipated) | Interventional | 2021-04-01 | Recruiting |
A Phase II Randomized, Multi-Center, Double-Blind, Global Study to Determine the Efficacy and Safety of Durvalumab Plus Olaparib Combination Therapy Compared With Durvalumab Monotherapy as Maintenance Therapy in Patients Whose Disease Has Not Progressed F [NCT03775486] | Phase 2 | 401 participants (Actual) | Interventional | 2018-12-21 | Active, not recruiting |
A Phase 3, Multicenter, Open-Label, Randomized Study of Nemvaleukin Alfa in Combination With Pembrolizumab Versus Investigator's Choice Chemotherapy in Patients With Platinum-Resistant Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer (ARTI [NCT05092360] | Phase 3 | 376 participants (Anticipated) | Interventional | 2022-01-10 | Recruiting |
A Phase 1 Study of LY3410738 Administered to Patients With Advanced Solid Tumors With IDH1 or IDH2 Mutations [NCT04521686] | Phase 1 | 200 participants (Anticipated) | Interventional | 2020-10-16 | Active, not recruiting |
Multicenter, Open-label Clinical Study of PD-L1/CTLA4 BsAb Combined With Chemotherapy in Locally Advanced and Metastatic Pancreatic Cancer [NCT04324307] | Phase 1/Phase 2 | 60 participants (Anticipated) | Interventional | 2019-11-26 | Recruiting |
Comparisons of Different Neoadjuvant Chemotherapy Regimens With or Without Stereotactic Body Radiation Therapy for Borderline Resectable Pancreatic Cancer: Study Protocol of a Prospective, Randomized Phase II Trial [NCT03777462] | Phase 2 | 150 participants (Anticipated) | Interventional | 2019-04-01 | Recruiting |
A Phase-3, Open-Label, Randomized Study of Dato-DXd Versus Investigator's Choice of Chemotherapy (ICC) in Participants With Inoperable or Metastatic HR-Positive, HER2-Negative Breast Cancer Who Have Been Treated With One or Two Prior Lines of Systemic Che [NCT05104866] | Phase 3 | 733 participants (Actual) | Interventional | 2021-10-18 | Active, not recruiting |
High-dose Gemcitabine, Busulfan and Melphalan With Autologous Hematopoietic-Cell Support for Patients With Poor-Risk Myeloma [NCT01237951] | Phase 2 | 75 participants (Actual) | Interventional | 2010-11-08 | Completed |
A Phase II Single-arm Clinical Trial of Inetetamab Combined With Pyrotinib and Chemotherapy in the Treatment of HER2 Positive Metastatic Breast Cancer [NCT04681911] | Phase 2 | 71 participants (Anticipated) | Interventional | 2020-09-09 | Recruiting |
Randomized Phase III Trial on Trabectedin (ET-743) vs Clinician's Choice Chemotherapy in Recurrent Ovarian, Primary Peritoneal or Fallopian Tube Cancers of BRCA Mutated or BRCAness Phenotype Patients [NCT02903004] | Phase 3 | 242 participants (Actual) | Interventional | 2016-04-11 | Completed |
Pilot Study of Gemcitabine, Oxaliplatin, and Cetuximab for Locally Advanced or Metastatic Pancreatic Cancer [NCT00448838] | | 42 participants (Actual) | Interventional | 2006-05-31 | Completed |
Phase II Trial of Pulsed Paclitaxel With Concurrent Radiotherapy,and Adjuvant Chemotherapy in Stage III Non-Small Cell Lung Cancer [NCT00449657] | Phase 2 | 24 participants (Actual) | Interventional | 2007-02-28 | Terminated(stopped due to Poor accrual, change in standard of care.) |
Study of Chinese Medicine Plus Chemotherapy Maintenance Versus Chemotherapy Maintenance in Advanced Non Small Cell Lung Cancer: A Randomized Double-blind Controlled Clinical Trial [NCT02900742] | Phase 3 | 71 participants (Actual) | Interventional | 2013-03-31 | Completed |
Combination of Gefitinib With Chemotherapy or Anti-angiogenesis as 1st Line Treatment in Advanced NSCLC Patients Detected With Bim Deletion or Low EGFR Activating Mutation Abundance [NCT02930954] | Phase 2 | 180 participants (Anticipated) | Interventional | 2016-11-30 | Not yet recruiting |
A Phase I/II Study of Indoximod in Combination With Gemcitabine and Nab-Paclitaxel in Patients With Metastatic Adenocarcinoma of the Pancreas [NCT02077881] | Phase 1/Phase 2 | 157 participants (Actual) | Interventional | 2014-08-31 | Completed |
A Phase 1 Dose Escalation Trial Of CP-675,206 In Combination With Gemcitabine In Patients With Chemotherapy Naive Metastatic Pancreatic Cancer [NCT00556023] | Phase 1 | 37 participants (Actual) | Interventional | 2008-06-30 | Completed |
An Open-label, Randomized Phase IIB/III Active Control Study of Second-line Tergenpumatucel-L (Hyper-Acute(R)-Lung ) Immunotherapy Versus Docetaxel in Progressive or Relapsed Non-Small Cell Lung Cancer [NCT01774578] | Phase 2/Phase 3 | 135 participants (Actual) | Interventional | 2013-02-28 | Terminated |
A Phase 3, Open-Label, Randomized Study of Futibatinib Versus Gemcitabine-Cisplatin Chemotherapy as First-Line Treatment of Patients With Advanced Cholangiocarcinoma Harboring FGFR2 Gene Rearrangements FOENIX-CCA3 [NCT04093362] | Phase 3 | 216 participants (Anticipated) | Interventional | 2020-03-01 | Active, not recruiting |
A Phase 1 Study of AG-270 in the Treatment of Subjects With Advanced Solid Tumors or Lymphoma With Homozygous Deletion of MTAP [NCT03435250] | Phase 1 | 123 participants (Actual) | Interventional | 2018-03-04 | Terminated(stopped due to Strategic reasons) |
Nab-Paclitaxel Plus Gemcitabine Versus Gemcitabine For The First Line Treatment of Metastatic or Locally Advanced Unresectable Adenocarcinoma of The Pancreas: A Phase II Randomized Study [NCT03807999] | Phase 2 | 125 participants (Actual) | Interventional | 2015-02-19 | Completed |
A Phase 2 Study of the Safety and Efficacy of BIO-11006 in the Treatment of Recurrent Osteosarcoma and Ewing's Sarcoma in Patients With Lung Metastases [NCT04183062] | Phase 2 | 10 participants (Anticipated) | Interventional | 2019-10-04 | Active, not recruiting |
A Traditional Feasibility Study of Gemcitabine, Cisplatin, and 90Y TARE for Unresectable Intrahepatic Cholangiocarcinoma [NCT02512692] | | 6 participants (Actual) | Interventional | 2015-07-21 | Active, not recruiting |
Randomized Phase 3 Study Evaluation the Efficacy and Safety of Oral Azacitidine(CC-486) Compared to Investigator's Choice Therapy in Patients With Relapsed or Refractory Angioimmunoblastic T Cell Lymphoma [NCT03703375] | Phase 3 | 22 participants (Actual) | Interventional | 2018-11-06 | Active, not recruiting |
A PHASE Ib/IIa STUDY OF COMBINATION THERAPY WITH GEMCITABINE AND ATU027 IN SUBJECTS WITH LOCALLY ADVANCED OR METASTATIC PANCREATIC ADENOCARCINOMA [NCT01808638] | Phase 1/Phase 2 | 29 participants (Actual) | Interventional | 2013-03-31 | Completed |
Whole-target Consolidation Therapy After Standard Chemotherapy for Initial Diagnosed Distant Metastatic Nasopharyngeal Carcinoma Under Full-course Immunotherapy: An Open-Label, Single Center, Nonrandomized, Phase 2 Study [NCT05431764] | Phase 2 | 38 participants (Anticipated) | Interventional | 2022-06-20 | Recruiting |
A Multi-center Prospective Randomized Phase III Trial to Determine the Benefit of Adjuvant Chemotherapy Using Gemcitabine and Cisplatin in Nasopharyngeal Carcinoma Patients With Residual EBV DNA Following Primary Radiotherapy With or Without Concurrent Ci [NCT00370890] | Phase 3 | 104 participants (Actual) | Interventional | 2006-09-04 | Completed |
[NCT01929421] | Phase 2 | 36 participants (Actual) | Interventional | 2009-12-31 | Completed |
Treatment of Peripheral T-cell Lymphoma With Aggressive Induction Chemotherapy Followed by Autologous Stem Cell Transplant Using Denileukin Diftitox (Ontak) for In-vivo Purging and Post-Transplant Therapy: A Multicenter Phase II Clinical Trial [NCT00632827] | Phase 2 | 21 participants (Actual) | Interventional | 2008-07-01 | Terminated(stopped due to Manufacturing shortage of both Diftitox and Doxil) |
A Prospective Clinical Study of Ruxolitinib Phosphate Tablets and Etoposide Combined With DDGP Regimen (RUE-DDGP) in Induction Therapy of T/NK Cell Lymphoma-associated Hemophagocytic Syndrome. [NCT04999878] | Phase 4 | 30 participants (Anticipated) | Interventional | 2021-05-30 | Recruiting |
A Phase I Pilot Study of B Cell Depletion With Rituximab Following by Chemotherapy With Cisplatin Plus Gemcitabine for Recurrent Unresectable or Metastatic Head and Neck Cancer Squamous Cell Carcinoma Patients. [NCT04361409] | Phase 1 | 10 participants (Actual) | Interventional | 2013-05-31 | Completed |
A Phase Ib, Open-label, Dose Escalation Trial Investigating Different Doses and Schedules of Sym004 in Combination With Platinum-doublets in Subjects With Stage IV Non-small Cell Lung Cancer [NCT02083679] | Phase 1 | 15 participants (Actual) | Interventional | 2014-07-31 | Terminated(stopped due to Sponsor the return rights of the compound to the collaboration partner for further clinical development) |
A Randomized Phase III Trial Comparing Chemotherapy With Folfirinox to Gemcitabine in Locally Advanced Pancreatic Carcinoma [NCT02539537] | Phase 3 | 171 participants (Actual) | Interventional | 2015-10-23 | Active, not recruiting |
A Phase Ib, Multi-center, Open-label Study of Z650 and Gemcitabine in Advanced Pancreatic Cancer [NCT04131192] | Phase 1 | 13 participants (Actual) | Interventional | 2019-11-11 | Terminated(stopped due to Combined with the analysis of the existing data of the trial, there was no obvious advantage compared with the clinical standard treatments, and the clinical trial was decided to be terminated based on the benefit of the subjects.) |
A Randomized Phase III Trial of Vinorelbine Versus Gemcitabine and Carboplatin for Elderly Patients With Advanced Non-Small Cell Lung Cancer [NCT00265694] | Phase 3 | 0 participants | Interventional | | Recruiting |
A Feasibility and Biomarker Study to Evaluate Necitumumab in the Neoadjuvant Setting With Gemcitabine and Cisplatin in Surgically Resectable Squamous Lung Cancer [NCT03574818] | Phase 2 | 1 participants (Actual) | Interventional | 2018-05-29 | Terminated(stopped due to Poor accrual) |
Phase I Study of Concurrent Nab-Paclitaxel + Gemcitabine With Hypofractionated, Ablative Proton Therapy for Locally Advanced Pancreatic Cancer [NCT03652428] | Phase 1/Phase 2 | 24 participants (Anticipated) | Interventional | 2019-04-02 | Recruiting |
Phase I Study of Amifostine (Ethyol) as a Cytoprotector of Gemcitabine/Cisplatin Combination [NCT00003144] | Phase 1 | 44 participants (Anticipated) | Interventional | 1997-08-31 | Completed |
A Phase III Study of Pre and Post Chemoradiation 5-FU vs. Pre and Post Chemoradiation Gemcitabine for Postoperative Adjuvant Treatment of Resected Pancreatic Adenocarcinoma [NCT00003216] | Phase 3 | 518 participants (Anticipated) | Interventional | 1998-07-31 | Completed |
Phase II Evaluation of Weekly Cisplatin and Gemcitabine in the Treatment of Advanced (Recurrent or Metastatic) Carcinoma of the Head and Neck [NCT00003264] | Phase 2 | 22 participants (Actual) | Interventional | 1997-10-31 | Completed |
A Phase I Trial of Combined Modality Gemcitabine Plus Radiation Therapy for Patients With Locally Advanced Unresectable Pancreatic Adenocarcinoma [NCT00003426] | Phase 1 | 0 participants | Interventional | 1998-04-30 | Completed |
Gemcitabine for Advanced Salivary Cancer: A Phase II Study [NCT00003744] | Phase 2 | 16 participants (Actual) | Interventional | 1998-11-30 | Completed |
Randomized Phase II Study of Docetaxel and Gemcitabine for Stage IIIB/IV Non-Small Cell Lung Cancer [NCT00003762] | Phase 2 | 106 participants (Actual) | Interventional | 1999-02-28 | Completed |
A Phase I/II Trial in Patients With Muscle-Invading Bladder Cancer of Transurethral Surgery Plus Taxol, Cisplatin and Bid Irradiation Followed by Either Selective Bladder Preservation or Radical Cystectomy and Adjuvant Chemotherapy [NCT00003930] | Phase 1/Phase 2 | 84 participants (Actual) | Interventional | 1999-09-30 | Completed |
Phase I Study of Bryostatin 1 and Gemcitabine (Gemzar) [NCT00004144] | Phase 1 | 36 participants (Actual) | Interventional | 2000-05-31 | Completed |
Randomized Phase II Study of Docetaxel/Gemcitabine vs. Docetaxel/Cisplatin in Metastatic or Locoregionally Advanced Pancreatic Carcinoma [NCT00004884] | Phase 2 | 96 participants (Actual) | Interventional | 1999-07-31 | Completed |
Phase II Protocol: Gemcitabine for Metastatic Cancer With Unknown Primary Site - Analysis of Symptom Benefit [NCT00357630] | Phase 2 | 52 participants (Anticipated) | Interventional | 2006-06-30 | Completed |
"Primovax - A Phase III Trial Comparing GV1001 and Gemcitabine in Sequential Combination to Gemcitabine Monotherapy in Advanced Un-Resectable Pancreatic Cancer." [NCT00358566] | Phase 3 | 360 participants (Actual) | Interventional | 2006-06-30 | Terminated(stopped due to Preliminary data showed no survival benefit in the GV1001 group compared to the gemcitabine group.) |
A Phase II Trial of Intravenous Gemcitabine (NSC #613327) and Intraperitoneal Carboplatin (NSC # 241240) in the Treatment of Patients With Platinum-Sensitive Epithelial Ovarian, Primary Peritoneal, or Fallopian Tube Carcinoma With Non-Measurable Disease [NCT00369954] | Phase 2 | 0 participants (Actual) | Interventional | 2006-04-30 | Withdrawn(stopped due to Trial was never activated) |
A Phase 1B, Open-Label, Dose Escalation Study Evaluating the Safety of BSI-201 in Combination With Chemotherapeutic Regimens in Subjects With Advanced Solid Tumors [NCT00422682] | Phase 1 | 136 participants (Actual) | Interventional | 2007-01-31 | Completed |
A Multicenter, Randomized, Open-label, Parallel-group Study of Paclitaxel Liposome and Cisplatin Compared With Gemcitabine and Cisplatin as First-line Therapy in Advanced Squamous Non-Small-Cell Lung Cancer [NCT02996214] | Phase 4 | 536 participants (Anticipated) | Interventional | 2016-11-30 | Active, not recruiting |
EUS-guided Intratumoral Gemcitabine Therapy in Locally Advanced Unresectable Pancreatic Cancer: A Phase 1 Study [NCT01834170] | Phase 1 | 12 participants (Actual) | Interventional | 2013-04-30 | Completed |
A Phase III Study of Chemotherapy With or Without Algenpantucel-L (HyperAcute®-Pancreas) Immunotherapy in Subjects With Borderline Resectable or Locally Advanced Unresectable Pancreatic Cancer [NCT01836432] | Phase 3 | 302 participants (Actual) | Interventional | 2013-05-31 | Terminated(stopped due to Company decision) |
Randomized Phase II Trial of Panitumumab, Erlotinib and Gemcitabine vs. Erlotinib and Gemcitabine in Patients With Untreated, Metastatic Pancreatic Adenocarcinoma [NCT00550836] | Phase 2 | 104 participants (Actual) | Interventional | 2009-03-31 | Completed |
A Phase 1 Study of Hypofractionated Stereotactic Radiotherapy and Concurrent HIV Protease Inhibitor Nelfinavir as Part of a Neoadjuvant Regimen in Patients With Locally Advanced Pancreatic Cancer [NCT01068327] | Phase 1 | 46 participants (Actual) | Interventional | 2007-11-05 | Completed |
Phase II Study of Docetaxel and Gemcitabine in Previously Treated Metastatic Esophageal Squamous Cell Cancer [NCT01469598] | Phase 2 | 24 participants (Actual) | Interventional | 2011-08-31 | Completed |
A Phase 1b/2 Study of BMS-813160 in Combination With Chemotherapy or Nivolumab in Patients With Advanced Solid Tumors [NCT03184870] | Phase 1/Phase 2 | 332 participants (Actual) | Interventional | 2017-08-08 | Completed |
A Phase I Study of OSI-774 in Combination With Gemcitabine and Radiation in Locally Advanced, Non-Operable Pancreatic Cancer [NCT00063947] | Phase 1 | 28 participants (Actual) | Interventional | 2003-05-31 | Completed |
A Phase II Study of Triapine in Combination With Gemcitabine in Patients With Metastatic Non-Small Cell Lung Cancer [NCT00064064] | Phase 2 | 0 participants | Interventional | 2003-01-31 | Completed |
A Phase I Open Label Multi Center Dose Escalation Study to Assess Safety, Tolerability, and Pharmacokinetics of AZD7762 Administered as a Single Intravenous Agent and in Combination With Weekly Standard Dose Gemcitabine in Patients With Advanced Solid Mal [NCT00413686] | Phase 1 | 42 participants (Actual) | Interventional | 2006-12-31 | Completed |
A Phase 1 Study of Suberoylanilide Hydroxamic Acid (SAHA) in Combination With Gemcitabine in Patients With Epithelial Tumors [NCT00243100] | Phase 1 | 21 participants (Actual) | Interventional | 2005-11-30 | Completed |
A Phase II Trial of Gemcitabine and Celecoxib as First-Line Treatment for Patients With Advanced Metastatic Pancreatic Cancer [NCT00068432] | Phase 2 | 28 participants (Actual) | Interventional | 2003-12-31 | Completed |
Randomized, Placebo-Controlled, Double-Blind, Phase 2 Study of Gemcitabine-Cisplatin Combined With Two Different Doses of LY293111 or Placebo in Patients With Stage IIIB or IV Non-Small Cell Lung Cancer [NCT00069875] | Phase 2 | 195 participants | Interventional | 2003-09-30 | Completed |
A Phase II Study Of Weekly Gemcitabine And Vinorelbine In Children With Recurrent Or Refractory Hodgkin's Disease [NCT00070304] | Phase 2 | 33 participants (Actual) | Interventional | 2004-07-31 | Completed |
A Phase II, Randomized Study With Docetaxel-gemcitabine Followed by Radiotherapy vs Concomitant Treatment (Radiotherapy and Carboplatine-docetaxel) Followed by Docetaxel-gemcitabine Versus Docetaxel-gemcitabine Followed by Concomitant Treatment (Radiother [NCT00258739] | Phase 2 | 140 participants (Actual) | Interventional | 2001-10-31 | Completed |
A Phase II Evaluation of Docetaxel (NSC #628503) and Gemcitabine (NSC #613327) Plus G-CSF in the Treatment of Recurrent or Advanced Leiomyosarcoma of the Uterus [NCT00101127] | Phase 2 | 0 participants | Interventional | 2003-12-31 | Completed |
Treatment of Stages IIIB and IV, Non Small Cell Lung Cancer With Alternating Cycles of Carboplatin/Taxol and Carboplatin/Gemcitabine. [NCT00259675] | Phase 2 | 100 participants (Anticipated) | Interventional | 2004-05-31 | Completed |
A Randomized Phase III Study Comparing Gemcitabine Plus Carboplatin Versus Carboplatin Monotherapy in Patients With Advanced Epithelial Ovarian Carcinoma Who Failed First-Line Platinum-Based Therapy [NCT00102414] | Phase 3 | 356 participants | Interventional | 1999-09-30 | Completed |
Phase II Randomisee Dans Les Adenocarcinomes Metastatiques Du Pancreas: Gemox Et Gemox Simplifie. [GEMOX] [NCT00268411] | Phase 3 | 80 participants (Anticipated) | Interventional | 2004-09-30 | Active, not recruiting |
National Trial Phase II to Study the Combination of Gemcitabine and Docetaxel in Patients With Locally Advanced or Metastatic Pancreatic or Biliary Adenocarcinoma That Cannot be Removed by Surgery [NCT00268840] | Phase 2 | 45 participants (Actual) | Interventional | 2001-08-31 | Completed |
A Phase III Study of Delayed vs. Immediate Second-Line Therapy With Docetaxel After Gemcitabine + Carboplatin in Advanced Non-Small Cell Lung Cancer [NCT00074204] | Phase 3 | 17 participants (Actual) | Interventional | 2003-10-31 | Completed |
A Phase I Study of CT-2103 in Combination With Gemcitabine in Metastatic Breast Cancer [NCT00270907] | Phase 1 | 13 participants (Actual) | Interventional | 2005-12-31 | Completed |
Phase III Randomized Study Of Gemcitabine Versus Gemcitabine-Oxaliplatine In Patients With Locally Advanced Or Metastatic Pancreatic Carcinoma [NCT00075452] | Phase 3 | 0 participants | Interventional | 2003-11-30 | Active, not recruiting |
A Phase III Randomized Open-Label Study Comparing Gemcitabine Plus Cetuximab (IMC-C225) Versus Gemcitabine As First-Line Therapy Of Patients With Advanced Pancreas Cancer [NCT00075686] | Phase 3 | 766 participants (Actual) | Interventional | 2004-01-31 | Completed |
A British Thoracic Oncology Group Phase III Trial of Gemcitabine Plus Cisplatin at 80mg/m Versus Gemcitabine Plus Carboplatin At 50 mg/m Versus Gemcitabine Plus Carboplatin AUC 6 in Stage IIIB/IV Non-Small Cell Lung Cancer (NSCLC) [NCT00112710] | Phase 3 | 1,350 participants (Anticipated) | Interventional | 2005-03-31 | Recruiting |
Protocole de Phase II: Etude de Faisabilite de L'Oxaliplatine en Association Chimio-Radiotherapie Concomitante Dans le Traitement Des Cancers du Pancreas Localement Avances Non Resecables [NCT00275119] | Phase 2 | 0 participants | Interventional | 2003-11-30 | Active, not recruiting |
A Phase I Pharmacokinetics and Pharmacodynamic Study of GTI2040 in Combination With Gemcitabine in Patients With Solid Tumors [NCT00078962] | Phase 1 | 40 participants (Actual) | Interventional | 2004-01-31 | Completed |
A Phase I Study of Flavopiridol in Combination With Gemcitabine and Irinotecan in Patients With Metastatic Cancer [NCT00079352] | Phase 1 | 24 participants (Actual) | Interventional | 2004-04-30 | Completed |
A Randomized Phase III Trial Assessing in Patients With Advanced Non-small Cell Lung Cancer Not Progressing on First Line Cisplatin-gemcitabine Chemotherapy Maintenance Chemotherapy With Gemcitabine or Sequential Treatment With Erlotinib [NCT00300586] | Phase 3 | 842 participants (Actual) | Interventional | 2006-06-30 | Completed |
Phase II Trial of Neoadjuvant, Multi-Agent Chemotherapy For Locally Advanced Urothelial Cancer [NCT00080795] | Phase 2 | 65 participants (Actual) | Interventional | 2001-07-31 | Completed |
Randomized Phase II-III Study of Chemoradiation With Fluorouracil and Cisplatin Versus Chemotherapy (Gemcitabine/Oxaliplatin) in Non Resectable But Non Metastatic Cancer of the Biliary Tract [NCT00304135] | Phase 2/Phase 3 | 34 participants (Actual) | Interventional | 2005-10-31 | Completed |
A Randomized Phase 3 Trial of ALIMTA and Cisplatin Versus GEMZAR and Cisplatin in Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer [NCT00087711] | Phase 3 | 1,713 participants (Actual) | Interventional | 2004-07-31 | Completed |
Phase II Trial of PS-341 (Bortezomib, NSC-681239) Followed by the Addition of Gemcitabine at Progression in Recurrent or Metastatic Nasopharyngeal Carcinoma [NCT00305734] | Phase 2 | 50 participants (Actual) | Interventional | 2006-08-31 | Completed |
A Phase II Clinical Trial of a Timing/Schedule Optimized Combined-Modality Regimen: Cisplatin + Metronomic Low-Dose Interferon-α (IFN-α) Followed by Gemcitabine HCl (GEMZAR) in Combination With Mild, Fever-Range Whole-Body Hyperthermia (FR-WBH) in Patient [NCT00082862] | Phase 2 | 48 participants (Anticipated) | Interventional | 2002-07-31 | Recruiting |
Phase I Trial of Abraxane in Combination With Gemcitabine in Patients With Solid Tumors [NCT00307255] | Phase 1 | 18 participants (Actual) | Interventional | 2006-08-31 | Completed |
A Tolerability and Efficacy Study of the Angiogenesis Inhibitor Bevacizumab in Combination With 5-Fluorouracil, Oxaliplatin, and External Beam Radiation Therapy Followed by Gemcitabine and Bevacizumab for Locally Advanced Pancreatic Cancer [NCT00307723] | Phase 1/Phase 2 | 52 participants (Actual) | Interventional | 2006-05-31 | Terminated(stopped due to poor accrual) |
A Randomized Phase III Study Comparing Concomitant Docetaxel Plus Gemcitabine to Sequential Therapy of Docetaxel Followed by Gemcitabine in Anthracycline-Pretreated Metastatic or Locally Recurrent Breast Cancer Patients [NCT00294385] | Phase 3 | 430 participants (Actual) | Interventional | 2002-06-30 | Completed |
Topotecan-Monotherapy Vs. Topotecan + Etoposide Vs. Topotecan + Gemcitabine in Therapy in Patients With Recurrent Ovarian Cancer [NCT00312988] | Phase 3 | 450 participants | Interventional | 2000-01-31 | Completed |
Tumor Microenvironment Features of Response to Perioperative Gemcitabine, Cisplatin, and Pembrolizumab in Potentially Resectable Biliary Tract Cancers [NCT06001658] | Phase 2 | 27 participants (Anticipated) | Interventional | 2023-12-31 | Not yet recruiting |
Phase I Trial of Gemcitabine With TheraSphere® (Yttrium-90) in Patients With Hepatic Tumors of Pancreatobiliary Origin [NCT01434459] | Phase 1 | 9 participants (Actual) | Interventional | 2011-09-30 | Terminated(stopped due to PI moved to different institution) |
A Phase 1, Open-label, Dose-escalation Study to Investigate the Safety, Tolerability, and Pharmacokinetics of UGN-301 (Zalifrelimab) Administered Intravesically as Monotherapy and in Combination With Other Agents in Patients With Recurrent NMIBC [NCT05375903] | Phase 1 | 60 participants (Anticipated) | Interventional | 2022-06-01 | Recruiting |
A Pilot Study of Biologically Optimized Infusion Schedule of Gemcitabine and Nab-Paclitaxel in Metastatic Pancreatic Adenocarcinoma [NCT04115163] | Phase 2 | 53 participants (Anticipated) | Interventional | 2020-06-24 | Suspended(stopped due to Drug shortage) |
Evaluation of Oxaliplatin and Gemcitabine in Patients With Metastatic Bladder Cancer [NCT04039867] | Phase 2 | 17 participants (Actual) | Interventional | 2005-01-20 | Terminated(stopped due to Trial was terminated due to halt in funding.) |
A Phase Ib/II, Open-Label Study of M7824 in Combination With Chemotherapy in Participants With Stage IV Non-small Cell Lung Cancer [NCT03840915] | Phase 1/Phase 2 | 70 participants (Actual) | Interventional | 2019-04-02 | Completed |
Randomized Phase II Study Comparing 5FU/LV+Nal-IRI, Gemcitabine+Nab-paclitaxel or a Sequential Regimen of 2 Months 5FU/LV+Nal-IRI Followed by Two Months of Gemcitabine+Nab-paclitaxel, in Metastatic Pancreatic Cancer [NCT03693677] | Phase 2 | 288 participants (Anticipated) | Interventional | 2018-11-16 | Recruiting |
Phase II Trial of Ixazomib Combined With Gemcitabine and Doxorubicin in Patients With Renal Medullary Carcinoma [NCT03587662] | Phase 2 | 30 participants (Anticipated) | Interventional | 2018-08-17 | Recruiting |
A Phase II Study Of Gemcitabine, Cisplatin, and Dexamethasone In Patients With Relapsed Or Refractory Hodgkin Lymphoma [NCT00090909] | Phase 2 | 1 participants (Actual) | Interventional | 2003-06-30 | Completed |
A Phase 3 Trial of Balstilimab Versus Investigator Choice Chemotherapy in Patients With Recurrent Cervical Cancer After Platinum-Based Chemotherapy (BRAVA) [NCT04943627] | Phase 3 | 0 participants (Actual) | Interventional | 2021-08-02 | Withdrawn(stopped due to Strategic Business Decision) |
Phase II Multicenter Study to Determine the Efficacy of Gemcitabine With Pazopanib as Second Line Treatment in Patients With Metastatic or Relapsed Uterine or Soft Tissue Leiomyosarcomas [NCT01442662] | Phase 2 | 106 participants (Actual) | Interventional | 2011-09-30 | Completed |
A Phase II Trial of Gemcitabine and Cisplatin In Unresectable Or Metastatic Biliary Tract and Gallbladder Cancer [NCT00123825] | Phase 2 | 30 participants | Interventional | 2002-07-31 | Completed |
A Phase II Trial of Gemzar (Gemcitabine) and Gleevec (Imatinib Mesylate) in Patients With Metastatic Renal Cell Carcinoma [NCT00323791] | Phase 2 | 100 participants (Anticipated) | Interventional | 2006-04-30 | Terminated(stopped due to slow accrual) |
Phase II Trial of Doxorubicin, Vinblastine, and Gemcitabine (AVG) Chemotherapy for Non-Bulky Stage I and II Hodgkin's Lymphoma [NCT00086801] | Phase 2 | 104 participants (Actual) | Interventional | 2004-05-31 | Completed |
A Study of Fixed-Dose Rate Gemcitabine, Cisplatin, and Bevacizumab in Previously Untreated Patients With Metastatic Pancreatic Cancer [NCT00126633] | Phase 2 | 53 participants (Actual) | Interventional | 2004-04-30 | Completed |
An Open-label, Randomized, Controlled Phase III Trial Evaluating the Efficacy and Safety of EndoTAG®-1 in Combination With Paclitaxel and Gemcitabine Compared With Paclitaxel and Gemcitabine as First-line Therapy in Patients With Visceral Metastatic Tripl [NCT03002103] | Phase 3 | 420 participants (Anticipated) | Interventional | 2016-11-23 | Suspended(stopped due to study design reconsideration) |
Stage IB2 to IVA Uterine Cervical Cancer: Phase 2 Study to Assess a New Therapeutic Sequence Associating a Radiochemotherapy Followed by Adjuvant Chemotherapy Based on Gemcitabine [NCT00421096] | Phase 2 | 19 participants (Actual) | Interventional | 2005-05-31 | Terminated(stopped due to Problems of recruitment) |
A Phase II Trial Of Gemcitabine And Triapine In Refractory Metastatic Breast Cancer [NCT00095888] | Phase 2 | 68 participants (Actual) | Interventional | 2004-10-31 | Terminated(stopped due to Administratively complete.) |
A Phase II Study of BAY 43-9006/Gemcitabine for Advanced Pancreatic Cancer [NCT00095966] | Phase 2 | 35 participants (Actual) | Interventional | 2004-09-30 | Completed |
A Phase 2 Study of BAY 43-9006 in Combination With Gemcitabine in Recurrent Epithelial Ovarian Cancer [NCT00096395] | Phase 2 | 33 participants (Actual) | Interventional | 2004-09-30 | Completed |
A Phase 1/2 Dose-Escalation Study of the Safety, Efficacy and Pharmacokinetics of Glufosfamide in Combination With Gemcitabine in Advanced Solid Tumors and Pancreatic Adenocarcinoma [NCT00102752] | Phase 1/Phase 2 | 47 participants | Interventional | 2004-12-31 | Completed |
Phase II Study of Gemcitabine, Oxaliplatin in Combination With Bevacizumab (Avastin) in Patients With Hepatocellular Carcinoma [NCT00142467] | Phase 2 | 33 participants (Actual) | Interventional | 2004-04-30 | Completed |
Randomized Phase III Trial With Capecitabine/Erlotinib Followed of Gemcitabine Versus Gemcitabine/Erlotinib Followed of Capecitabine in Patients With Advanced Pancreatic Cancer [NCT00440167] | Phase 3 | 280 participants (Anticipated) | Interventional | 2006-06-30 | Active, not recruiting |
Improvement of Locally Advanced Cervical Cancer Radiotherapy Efficacy by Use of Volumetric Arc Therapy, Individualized Polyradiosensitization and Interstitial Brachytherapy [NCT02957266] | Phase 3 | 400 participants (Anticipated) | Interventional | 2015-03-31 | Recruiting |
A Randomized Phase II Study Adjuvant Gemcitabine And Oxaliplatin Versus Gemcitabine and Cisplatin for Completely Resected Stage IB, II or IIIA Non-Small Cell Lung Cancer [NCT00452881] | Phase 2 | 151 participants (Actual) | Interventional | 2006-05-31 | Active, not recruiting |
A Phase II Study of Gemcitabine Plus Oxaliplatin for Patients With Advanced Stage IIIB or IV Non-Small Cell Lung Cancer [NCT00453115] | Phase 2 | 43 participants (Actual) | Interventional | 2006-01-31 | Active, not recruiting |
Phase II Study of Chemotherapy With Gemcitabine in Prolonged Infusion or With Schedules With Cisplatin in Non-small Cell Lung Cancer Elderly Patients [NCT00401492] | Phase 2 | 159 participants (Actual) | Interventional | 2002-06-30 | Completed |
An International Randomized Phase III Study of First-line Erlotinib Followed by Second-line Cisplatin + Gemcitabine Versus First-line Cisplatin + Gemcitabine Followed by Second-line Erlotinib in Advanced Non Small Cell Lung Cancer [NCT00349219] | Phase 3 | 760 participants (Actual) | Interventional | 2006-12-31 | Completed |
Evaluation of Activity and Toxicity of Polychemotherapy With 2-drug Combinations Containing Gemcitabine as First Line Treatment of Elderly Patients With Small Cell Lung Cancer [NCT00401609] | Phase 1/Phase 2 | 85 participants | Interventional | 2000-11-30 | Completed |
A Randomized Multicenter Phase II Study of Gemcitabine/Platinum/Cetuximab Versus Gemcitabine/Platinum as First-Line Treatment for Patients With Advanced/Metastatic Non-Small Cell Lung Cancer [NCT00112346] | Phase 2 | 120 participants | Interventional | 2005-01-31 | Completed |
Randomized Phase II/III Trial Comparing Folririnox Association [Oxaliplatin / Irinotecan / LV5FU2] Versus Gemcitabine in First Line of Chemotherapy in Metastatics Pancreas Cancers Patients [NCT00112658] | Phase 2/Phase 3 | 342 participants (Actual) | Interventional | 2004-11-30 | Completed |
A Phase II Study of Bevacizumab With Concurrent Capecitabine and Radiation Followed by Maintenance Gemcitabine and Bevacizumab For Locally Advanced Pancreatic Cancer [NCT00114179] | Phase 2 | 82 participants (Actual) | Interventional | 2005-01-31 | Completed |
A Phase I/II Study With Docetaxel and Gemcitabine in Hormonal Refractory Metastatic Prostate Cancer [NCT00115635] | Phase 1/Phase 2 | 60 participants (Actual) | Interventional | 2005-03-31 | Completed |
A Phase II Trial of Weekly Gemcitabine Hydrochloride and Bevacizumab in Combination With Abdominal Radiation Therapy in Patients With Localized Pancreatic Cancer [NCT00460174] | Phase 2 | 31 participants (Actual) | Interventional | 2005-10-10 | Completed |
A Phase I Study of Sunitinib Malate and Standard Infusion Gemcitabine in Solid Tumors [NCT00462553] | Phase 1 | 37 participants (Actual) | Interventional | 2007-03-31 | Completed |
Phase III, Open, Multicenter and Randomized Study of Customized Adjuvant Chemotherapy Based on BRCA1 mRNA Levels in Completely Resected Stages II-IIIA Non-Small-Cell Lung Cancer Patients [NCT00478699] | Phase 3 | 500 participants (Actual) | Interventional | 2007-06-30 | Completed |
[NCT00486460] | Phase 3 | 0 participants | Interventional | 2005-06-30 | Recruiting |
Neoadjuvant Chemotherapy for Resectable Cancer of the Pancreatic Head [NCT00490360] | Phase 2 | 2,007 participants (Actual) | Interventional | 2001-10-31 | Completed |
A Phase II Trial of GEMZAR Combined With Cisplatin in Patients With Inoperable Biliary Tract Carcinomas [NCT00490399] | Phase 2 | 39 participants (Actual) | Interventional | 2003-03-31 | Completed |
Phase II Study of Sequential Therapy With Paclitaxel Plus Carboplatin Followed by Gemzar Plus Carboplatin in the Treatment of Patients With Epithelial Ovarian Cancer FIGO Stages III-IV [NCT00490711] | Phase 2 | 7 participants (Actual) | Interventional | 2003-07-31 | Completed |
A Prospective Multicenter Phase II Trial of Gemcitabine, Cisplatin, and Ifosfamide (GIP) in Patients With Relapsed Non-Seminomatous Germ-Cell Tumors (NSGCT) and a Predicted Favorable Prognosis [NCT00127049] | Phase 2 | 37 participants | Interventional | 2004-12-31 | Recruiting |
A Randomized Phase III Trial of Intravesical BCG veRsus Intravesical Docetaxel and GEmcitabine Treatment in BCG Naïve High Grade Non-Muscle Invasive Bladder Cancer (BRIDGE) [NCT05538663] | Phase 3 | 870 participants (Anticipated) | Interventional | 2023-02-07 | Recruiting |
A Phase II Monocentric Study of Oxaliplatin in Combination With Gemcitabine in Patients With Advanced/Metastatic Transitional Cell Carcinoma of the Urothelial Tract [NCT00127595] | Phase 2 | 28 participants | Interventional | 2002-01-31 | Terminated |
Phase I Study of a Combination of Doxil, Velcade, and Gemcitabine in Advanced Cancer [NCT00500422] | Phase 1 | 134 participants (Actual) | Interventional | 2005-01-31 | Completed |
A Phase I Study of a p53MVA Vaccine in Combination With Gemcitabine in Ovarian Cancer [NCT02275039] | Phase 1 | 12 participants (Actual) | Interventional | 2015-01-31 | Completed |
A Phase III, Open-Label, Multicenter, Randomized Study Evaluating the Efficacy and Safety of Glofitamab in Combination With Gemcitabine Plus Oxaliplatin Versus Rituximab in Combination With Gemcitabine and Oxaliplatin in Patients With Relapsed/Refractory [NCT04408638] | Phase 3 | 270 participants (Anticipated) | Interventional | 2021-02-23 | Recruiting |
[NCT00139971] | Phase 3 | 600 participants | Interventional | 2001-12-31 | Recruiting |
Phase II Trial of Paclitaxel, Carboplatin and Gemcitabine in Patients With Locally Advanced Transitional Cell Carcinoma of the Bladder [NCT00136175] | Phase 2 | 68 participants (Actual) | Interventional | 1999-11-30 | Completed |
A Pilot Trial of Germline Polymorphisms as Predictors of Response to Gemcitabine, Docetaxel, and Capecitabine (GTX) in Metastatic or Unresectable Pancreatic Cancer. [NCT00159471] | | 1 participants (Actual) | Interventional | 2005-02-28 | Terminated(stopped due to Insufficient Accrual) |
Phase I/II Trial of Biweekly Gemcitabine, Oxaliplatin, and 48-Hour Infusion of High-Dose 5-FU/Leucovorin (GOFL) in Advanced Pancreatic Adenocarcinoma [NCT00154791] | Phase 1/Phase 2 | 45 participants | Interventional | 2003-03-31 | Completed |
Ph III Random Trial of 120-Min Infusion Gemcitabine v. 90-Min Infusion Gemcitabine + Docetaxel in Unresectable Soft Tissue Sarcoma: A Multi-Disciplinary Trial of the North Amer. Sarcoma Study Group of the Connective Tissue Oncology Society [NCT00142571] | Phase 3 | 120 participants | Interventional | 2003-01-31 | Completed |
Randomized Phase III-Study in Stage IIIb and IV Non-Small-Cell Lung Cancer. Sequential Single-Agent vs. Double-Agent vs. Triple-Agent Therapy. [NCT00148395] | Phase 3 | 280 participants | Interventional | 2002-06-30 | Completed |
A Phase I Study of Erbitux and Gemcitabine With Radiation Therapy for Locally Advanced Pancreas Cancer [NCT00467116] | Phase 1 | 9 participants (Actual) | Interventional | 2005-10-31 | Completed |
A Phase I/Ib Trial of ProAgio, an Anti- αvβ3 Integrin Cytotoxin, in Combination With Gemcitabine and Nab-paclitaxel for Advanced Pancreatic Cancer [NCT06182072] | Phase 1 | 28 participants (Anticipated) | Interventional | 2023-12-29 | Not yet recruiting |
A Single-arm Prospective Clinical Study of Adebrelimab in Combination With Apatinib Gemcitabine and Cisplatin for the Neoadjuvant Treatment of Biliary Tract Malignancies [NCT06181032] | Phase 1 | 35 participants (Anticipated) | Interventional | 2023-12-23 | Not yet recruiting |
Phase II Study of Gemcitabine and CPT-11 (Irinotecan) in Unresectable or Metastatic Renal Cell Carcinoma [NCT00089102] | Phase 2 | 9 participants (Actual) | Interventional | 2003-09-30 | Terminated(stopped due to Low accrual) |
A Phase 2a, Double-blind, Placebo-controlled, Multi-center, Randomized Study Evaluating LSTA1 When Added to Standard of Care (SoC) Versus Standard of Care Alone in Subjects With Advanced Solid Tumors [NCT05712356] | Phase 2 | 80 participants (Anticipated) | Interventional | 2023-08-24 | Recruiting |
A Phase IIb, Open-label, Randomized Study of Nab-Paclitaxel and Gemcitabine and Plus/Minus VCN-01 in Patients With Metastatic Pancreatic Cancer [NCT05673811] | Phase 2 | 96 participants (Anticipated) | Interventional | 2023-01-10 | Recruiting |
A Phase 1/2a, Open-Label, Multicenter, Nonrandomized, Safety and Anti-tumor Activity Study of IMM-1-104, a Novel Oral Dual MEK1/2 Inhibitor in Participants With Previously Treated RAS-Mutated Advanced or Metastatic Solid Tumors [NCT05585320] | Phase 1/Phase 2 | 210 participants (Anticipated) | Interventional | 2022-10-31 | Recruiting |
A Phase 1b/2 Basket Study of ACR-368 as Monotherapy and in Combination With Gemcitabine in Adult Subjects With Platinum-Resistant Ovarian Carcinoma, Endometrial Adenocarcinoma, and Urothelial Carcinoma Based on Acrivon OncoSignature® Status [NCT05548296] | Phase 1/Phase 2 | 390 participants (Anticipated) | Interventional | 2022-08-29 | Recruiting |
Optimal Preoperative Therapy for Intrahepatic Cholangiocarcinoma (OPTIC) [NCT05514912] | Phase 2 | 0 participants (Actual) | Interventional | 2024-03-01 | Withdrawn(stopped due to PI has decided to terminate this study due to study supporter pulling support on this study.) |
Randomized Phase 2 Clinical Trial of Nab-Paclitaxel + Durvalumab (MEDI4736) + Tremelimumab + Neoantigen Vaccine Vs. Nab-Paclitaxel + Durvalumab (MEDI4736) + Tremelimumab in Patients With Metastatic Triple Negative Breast Cancer [NCT03606967] | Phase 2 | 70 participants (Anticipated) | Interventional | 2021-04-13 | Recruiting |
A Phase II/III Multicenter Study Evaluating the Efficacy and Safety of Multiple Targeted Therapies as Treatments for Patients With Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC) Harboring Actionable Somatic Mutations Detected in Blood (B-FAST: [NCT03178552] | Phase 2/Phase 3 | 1,000 participants (Anticipated) | Interventional | 2017-09-22 | Recruiting |
A Phase I Study of Gemcitabine, Carboplatin and Lenalidomide (GCL) for Treatment of Patients With Advanced/Metastatic Urothelial Carcinoma (UC) and Other Solid Tumors [NCT01352962] | Phase 1 | 18 participants (Actual) | Interventional | 2011-09-26 | Completed |
Allogeneic Stem Cell Transplantation Followed By Adoptive Immunotherapy for Patients With Relapsed and Refractory Hodgkin's Disease [NCT00385788] | Phase 2 | 52 participants (Actual) | Interventional | 2005-07-31 | Completed |
Multimodality Therapy for Stages II and III Non-Small Cell Lung Cancer: Surgical Resection Followed by Sequential Administration of Gemcitabine Plus Cisplatin Chemotherapy and Radiation Therapy [NCT00530634] | Phase 2 | 3 participants (Actual) | Interventional | 1999-08-31 | Terminated(stopped due to Poor accrual) |
A Phase II Trial of Pemetrexed, Gemcitabine, and Bevacizumab Every Two Weeks in Chemotherapy-Naive Patients With Stages IIIB/IV Non- Squamous, Non-Small Cell Lung Cancer (NSCLC) [NCT00438204] | Phase 2 | 39 participants (Actual) | Interventional | 2006-05-31 | Terminated(stopped due to All data collection has completed.) |
A Randomized, Phase IIB, Multicenter, Trial of Oral Azacytidine Plus Romidepsin Versus Investigator's Choice in Patients With Relapse or Refractory Peripheral T-cell Lymphoma (PTCL) [NCT04747236] | Phase 2 | 50 participants (Anticipated) | Interventional | 2021-02-19 | Recruiting |
A Multi-Center and Randomized Control Trial of Cisplatin, Carboplatin, Oxaliplatin, Docetaxel and Gemcitabine Plus Surgery as Treatment for Relapsed and Refractory Non-Small Cell Lung Cancer [NCT02889666] | Phase 1 | 500 participants (Anticipated) | Interventional | 2008-01-31 | Recruiting |
WCC# 44: A Pilot Study of CerviPrep, a Novel Drug Delivery Device for the Cervix, in the Local Administration of Gemcitabine, a Radiation Sensitizer [NCT00610740] | Phase 2 | 18 participants (Actual) | Interventional | 2006-07-31 | Completed |
A Phase 1 Study of SY 5609, an Oral, Selective CDK7 Inhibitor, in Adult Patients With Select Advanced Solid Tumors [NCT04247126] | Phase 1 | 105 participants (Actual) | Interventional | 2020-01-23 | Completed |
Nivolumab as add-on to Gemcitabine/S-1 in Metastatic Pancreatic Cancer: a Phase II Trial [NCT04377048] | Phase 2 | 38 participants (Anticipated) | Interventional | 2020-07-01 | Not yet recruiting |
EGFR-TKI With/Without Chemotherapy in NSCLC Patients With Both EGFR Mutation and BIM Deletion Polymorphism [NCT03002844] | Phase 2 | 50 participants (Anticipated) | Interventional | 2016-12-31 | Not yet recruiting |
A Multi-center Phase II Randomized Study of Customized Neoadjuvant Therapy Versus Standard Chemotherapy in Non-small Cell Lung Cancer (NSLC) Patients With Resectable Stage IIIA (N2) Disease (CONTEST-TRIAL) [NCT01784549] | Phase 2 | 168 participants (Anticipated) | Interventional | 2012-07-31 | Recruiting |
A Phase II Trial of Panitumumab, Gemcitabine, and Carboplatin in Triple-Negative Metastatic Breast Cancer [NCT00894504] | Phase 2 | 71 participants (Actual) | Interventional | 2010-02-28 | Completed |
Phase II Study of Coagulation Factor VIIa Inhibitor PCI-27483 in Pancreatic Cancer Patients Receiving Treatment With Gemcitabine [NCT01020006] | Phase 2 | 42 participants (Actual) | Interventional | 2009-11-30 | Completed |
Gemcitabine Plus S1 and Tislelizumab in the First Line Therapy of Advanced Biliary Tract Carcinoma (BTC): a Single Arm, Prospective, Interventional Clinical Study [NCT05822453] | Phase 2 | 20 participants (Anticipated) | Interventional | 2023-04-30 | Not yet recruiting |
A Prospective Clinical Study of Chemotherapy Plus Programmed Death-1 Monoclonal Antibody in the Treatment of Refractory or Relapsed Peripheral T Cell Lymphoma Not Otherwise Specified and Angioimmunoblastic T-cell Lymphoma. [NCT05821192] | | 34 participants (Anticipated) | Interventional | 2023-03-23 | Recruiting |
A Three-arm Randomized Phase II Study of Dostarlimab Alone or With Bevacizumab Versus Nonplatinum Chemotherapy in Recurrent Gynecological Clear Cell Carcinoma: DOVE (APGOT-OV07/ ENGOT-OV80 Study) [NCT06023862] | Phase 2 | 198 participants (Anticipated) | Interventional | 2023-09-25 | Not yet recruiting |
Phase II Study of Gemcitabine, Oxaliplatin in Combination With Panitumumab in Kras/B-raf Wild-Type Unresectable or Metastatic Biliary Track and Gallbladder Cancer [NCT01308840] | Phase 2 | 31 participants (Actual) | Interventional | 2010-12-31 | Completed |
A Prospective Phase II Clinical Trial on Pre-operative Immunotherapy and Stereotactic Body Radiotherapy Followed by Metastasectomy in Patients With Pulmonary Resectable Recurrence of Osteosarcoma [NCT06114225] | Phase 2 | 43 participants (Anticipated) | Interventional | 2023-06-01 | Recruiting |
Phase I/II Randomized Clinical Trial of Selinexor Plus Gemcitabine in Selected Advanced Soft-tissue Sarcomas [NCT06114004] | Phase 2 | 88 participants (Anticipated) | Interventional | 2023-09-28 | Recruiting |
Tislelizumab Combined With GEMOX (GOT) Applied as Neoadjuvant Regimen for Patients of Resectable Intrahepatic Cholangiocarcinoma With High-risk Factors of Recurrence: a Single Arm, Single Center, Prospective, Explorative Clinical Trail. [NCT05557578] | Phase 2 | 20 participants (Anticipated) | Interventional | 2023-05-05 | Recruiting |
A Phase 3, Randomized, Double-blind Study to Evaluate Perioperative Pembrolizumab (MK-3475) + Neoadjuvant Chemotherapy Versus Perioperative Placebo + Neoadjuvant Chemotherapy in Cisplatin-eligible Participants With Muscle-invasive Bladder Cancer (KEYNOTE- [NCT03924856] | Phase 3 | 907 participants (Actual) | Interventional | 2019-06-13 | Active, not recruiting |
A Phase III, Open-Label, Randomized Study to Investigate the Efficacy and Safety of Atezolizumab (Anti-PD-L1 Antibody) Compared With Best Supportive Care Following Adjuvant Cisplatin-Based Chemotherapy in Patients With Completely Resected Stage IB-IIIA No [NCT02486718] | Phase 3 | 1,280 participants (Actual) | Interventional | 2015-10-31 | Active, not recruiting |
Phase III Randomized Study of RFS 2000 (9-Nitro-Camptothecin, 9-NC) Versus Most Appropriate Therapy in Refractory Pancreatic Cancer Patients [NCT00005870] | Phase 3 | 0 participants | Interventional | 1999-03-31 | Active, not recruiting |
A Phase I Study of SU5416 in Combination With Gemcitabine/Cisplatin in Patients With Advanced Solid Tumors [NCT00005996] | Phase 1 | 0 participants | Interventional | | Active, not recruiting |
A Multicentre Phase II Study of Risk-adjusted Outpatient-based Salvage Therapy for Patients With Relapsed and Refractory Lymphoma [NCT00163761] | Phase 2 | 90 participants (Actual) | Interventional | 2002-12-31 | Completed |
Phase I/II Randomized Clinical Trial of Selinexor Plus Gemcitabine in Selected Advanced Soft-tissue Sarcoma and Osteosarcoma [NCT04595994] | Phase 1 | 14 participants (Anticipated) | Interventional | 2020-09-02 | Active, not recruiting |
A Phase II Randomized Trial of Gemcitabine/Cisplatin Versus Gemcitabine/Epirubicin in Stage IIIB/IV Non-Small Cell Lung Cancer [NCT00154739] | Phase 2 | 86 participants (Anticipated) | Interventional | 1998-10-31 | Completed |
A Randomized Phase III Trial of Paraplatin (Carboplatin) + Gemzar Versus Gemzar Alone in Patients With Advanced Non-Small Cell Lung Cancer [NCT00190710] | Phase 3 | 242 participants | Interventional | 2004-03-31 | Completed |
A Phase I/II Trial of Intratumoral Dendritic Cell Immunotherapy in Combination With Gemcitabine and Stereotactic Radiosurgery in Unresectable Pancreatic Cancer [NCT00547144] | Phase 1 | 2 participants (Actual) | Interventional | 2005-10-31 | Completed |
A Multicenter Randomized Phase II Study Evaluating the Feasibility and Activity of Two Different Combinations of Docetaxel (RP56976, TAXOTERE *) and Gemcitabine and of Cisplatin/Gemcitabine Followed by Docetaxel as First Line Therapy for Locally Advanced [NCT00191490] | Phase 2 | 162 participants | Interventional | 2002-07-31 | Completed |
A Randomized Phase III Trial of Gemzar Versus Doxil With Crossover Treatment Option for Patients With Platinum-Resistant Ovarian, Fallopian Tube or Primary Peritoneal Cancer Undergoing Second or Third-Line Chemotherapy [NCT00191607] | Phase 3 | 162 participants | Interventional | 2002-07-31 | Completed |
Phase II Trial of Gemcitabine and Cisplatin as Neo-Adjuvant Chemotherapy for Operable Non-Small Cell Lung Cancer [NCT00191763] | Phase 2 | 52 participants | Interventional | 2002-11-30 | Completed |
Gemcitabine Plus Cisplatin as Neoadjuvant Chemotherapy in Operable Non Small Cell Lung Cancer [NCT00191841] | Phase 2 | 50 participants | Interventional | 2002-12-31 | Completed |
A Phase II Study of Oxaliplatin and Gemcitabine Followed by Radiation Therapy in the Management of Mixed Mullerian Tumors of the Uterus [NCT00476086] | Phase 2 | 20 participants (Actual) | Interventional | 2006-08-31 | Completed |
Phase II/III Second-Line NABPLAGEM vs. Nab-Paclitaxel/Gemcitabine in BRCA1/2 or PALB2 Mutant Metastatic Pancreatic Ductal Adenocarcinoma (PLATINUM) [NCT06115499] | Phase 2/Phase 3 | 100 participants (Anticipated) | Interventional | 2024-04-09 | Not yet recruiting |
Open-label First Line, Single-arm Phase II Study of CisGem Combined With Pembrolizumab in Patients With Advanced or Metastatic Biliary Tract Cancer [NCT03260712] | Phase 2 | 50 participants (Actual) | Interventional | 2020-01-07 | Completed |
A Phase II Randomized Trial Of Gemcitabine Plus Paclitaxel And Gemcitabine Plus Docetaxel In Patients With Metastatic Breast Cancer [NCT00191672] | Phase 2 | 120 participants | Interventional | 2003-12-31 | Completed |
A Phase I/II Study of Fixed-Dose Rate Gemcitabine and Bevacizumab for Postoperative Adjuvant Treatment of Patients With Resected Pancreatic Cancer [NCT00410774] | Phase 1/Phase 2 | 20 participants (Anticipated) | Interventional | 2006-07-31 | Terminated(stopped due to low accrual-no data available) |
A Pilot Protocol Evaluating Safety of the Medtronic Pump and Codman Catheter for the Delivery of Hepatic Arterial Infusion (HAI) Chemotherapy in Patients With Advanced Colorectal Carcinoma or Cholangiocarcinoma [NCT04668976] | Phase 2 | 100 participants (Anticipated) | Interventional | 2020-11-25 | Recruiting |
Single Bladder Instillation With Chemotherapy Following Endoscopic Treatment for Upper Tract Urothelial Carcinoma to Reduce Bladder Recurrence [NCT06167057] | | 264 participants (Anticipated) | Interventional | 2023-04-17 | Recruiting |
A Phase 3, Open-label, Randomized Study of Nivolumab Combined With Ipilimumab, or With Standard of Care Chemotherapy, Versus Standard of Care Chemotherapy in Participants With Previously Untreated Unresectable or Metastatic Urothelial Cancer [NCT03036098] | Phase 3 | 1,290 participants (Anticipated) | Interventional | 2017-03-24 | Active, not recruiting |
Pemetrexed Plus Gemcitabine Or Carboplatin In Patients With Advanced Malignant Mesothelioma: A Randomized Phase II Trial [NCT00101283] | Phase 2 | 32 participants (Actual) | Interventional | 2006-02-23 | Completed |
A Phase I Study of Preoperative Concomitant Gemcitabine and External-Beam Radiation Therapy and Surgical Resection for Patients With Extremity and Trunk Soft Tissue Sarcomas [NCT02046304] | Phase 1 | 41 participants (Actual) | Interventional | 2001-12-31 | Completed |
Phase II Study of Gemcitabine, Carboplatin and VELIPARIB (ABT-888) in Refractory Testicular Germ Cell Cancer [NCT02860819] | Phase 2 | 15 participants (Actual) | Interventional | 2016-08-01 | Completed |
A Prospective Randomized Controlled Trial for Postoperative Adjuvant Chemotherapy for pTanyN0M0 Upper Urinary Urothelial Carcinoma With Lymphovascular Invasion [NCT04255771] | Phase 3 | 200 participants (Anticipated) | Interventional | 2020-03-01 | Not yet recruiting |
Phase I Open-Labeled Trial of Gemcitabine and Dasatinib in Advanced Solid Tumors [NCT00429234] | Phase 1 | 54 participants (Actual) | Interventional | 2007-01-31 | Completed |
Randomized Phase II Study of Cetuximab in Combination With Gemcitabine or Gemcitabine Followed by Cetuximab in Advanced Non Small-cell Lung Cancer Patients Who Are Not Candidates for Platinum Based Therapy. [NCT00330746] | Phase 2 | 100 participants (Actual) | Interventional | 2005-11-30 | Completed |
A Multicenter Randomized Phase III Study of Combination Treatment With Vinorelbine and Gemcitabine Versus Capecitabine Monotherapy in Metastatic Breast Cancer Patients Following Treatment Failure With the Combination of a Taxane and an Anthracycline [NCT00431106] | Phase 3 | 144 participants (Anticipated) | Interventional | 2002-04-30 | Completed |
Gemcitabine and Oxaliplatin in First Line Metastatic or Recurrent Nasopharyngeal Carcinoma (NPC) [NCT00436800] | Phase 2 | 41 participants (Actual) | Interventional | 2005-03-31 | Completed |
Preoperative Chemoradiation in Locally Resectable Adenocarcinoma of Pancreatic Head Without Metastasis [NCT00335543] | Phase 2 | 254 participants (Anticipated) | Interventional | 2003-06-30 | Completed |
Arterial LIPIODOLISED Chemotherapy Versus Systemic Chemotherapy With Gemcitabine Plus Oxaliplatin (GEMOX) Versus no Treatment Following Surgical Resection or Local Ablation of Hepatocellular Carcinoma in Cirrhotic Patients [NCT00470340] | Phase 3 | 263 participants (Actual) | Interventional | 2007-06-30 | Terminated(stopped due to during the study) |
A Phase I, Open Label Study to Assess the Safety and Tolerability of ZD6474 (ZACTIMA) in Combination With Vinorelbine (Navelbine) or Gemcitabine (Gemzar) Plus Cisplatin as First Line Therapy in Patients With Locally Advanced or Metastatic (Stage IIIB-IV) [NCT00496275] | Phase 1 | 17 participants (Actual) | Interventional | 2006-08-31 | Completed |
A Phase I/II Study to Determine the Safety and Efficacy of Second-Line Treatment With XELOX Plus Gemcitabine in Irinotecan Pre-Treated Advanced Colorectal Cancer Patients [NCT00496704] | Phase 1/Phase 2 | 56 participants (Anticipated) | Interventional | 2007-01-31 | Recruiting |
A Phase 1 Study of Temsirolimus in Combination With Gemcitabine in Previously Untreated Metastatic Pancreatic Cancer [NCT00593008] | Phase 1 | 5 participants (Actual) | Interventional | 2007-10-31 | Terminated |
A Phase I Study of Post-transplant Autologous Cytokine-induced Killer (CIK) Cells for the Treatment of High-risk Hematologic Malignancies [NCT00477035] | Phase 1 | 22 participants (Actual) | Interventional | 2006-05-31 | Completed |
Phase II Study of Comparing Toripalimab Combined With GP Regimen Chemotherapy Versus GP Regimen Chemotherapy for Primary Metastatic Nasopharyngeal Carcinoma [NCT04517214] | Phase 2 | 126 participants (Anticipated) | Interventional | 2020-11-01 | Recruiting |
Intravesical Gemcitabine Therapy in Intermediate Risk Superficial Bladder Cancer: A Phase II Study With the Marker Lesion [NCT00491114] | Phase 2 | 8 participants (Actual) | Interventional | 2003-07-31 | Completed |
An Integrated Phase II/III, Open Label, Randomized and Controlled Study of the Safety and Efficacy of CG0070 Adenovirus Vector Expressing GM-CSF in Patients With NMIBC With Carcinoma In Situ Disease Who Have Failed BCG [NCT01438112] | Phase 2/Phase 3 | 22 participants (Actual) | Interventional | 2014-03-31 | Terminated(stopped due to Change in study design) |
A Phase II Study for Nab-paclitaxel Plus Cisplatin vs Gemcitabine Plus Cispatin as First Line Chemotherapy in Advanced Biliary Tract Cancer [NCT04692051] | Phase 2 | 100 participants (Anticipated) | Interventional | 2019-09-01 | Recruiting |
Phase II Trial of Paclitaxel, Gemcitabine and Cisplatin in Patients With Relapsing Germ Cell Cancer [NCT00531687] | Phase 2 | 8 participants (Actual) | Interventional | 2007-09-30 | Terminated(stopped due to slow accrual) |
A Phase I/ II Study of SHR1459 in Combination With YY-20394 in Recurrent and Refractory B-cell Non-Hodgkin's Lymphoma in Adults [NCT04948788] | Phase 2 | 102 participants (Anticipated) | Interventional | 2021-10-31 | Recruiting |
Preoperative, Proton- Radiotherapy Combined With Chemotherapy for Borderline Resectable Pancreatic Cancer [NCT04894643] | | 10 participants (Anticipated) | Interventional | 2020-09-14 | Recruiting |
Phase II Study of Gemcitabine and Oxaliplatin in the Management of Metastatic Pancreatic Cancers With Low Expression of ERCC1 (Excision Repair Cross-complementation Group 1) [NCT01524575] | Phase 2 | 0 participants (Actual) | Interventional | 2012-01-31 | Withdrawn(stopped due to the trial was never opened and then withdrawn permanently) |
Penpulimab Combined With Anlotinib and Nab-paclitaxel Plus Gemcitabine (PAAG) as First-line Treatment for Advanced Metastatic Pancreatic Cancer: a Prospective, Multicenter, Single-arm, Phase 2 Study [NCT06051851] | Phase 2 | 177 participants (Anticipated) | Interventional | 2023-07-01 | Recruiting |
A Randomized, Multicenter Phase III Clinical Trial Comparing Gemcitabine and Cisplatin With 5-Fluorouracil and Cisplatin in the Treatment of Recurrent or Metastatic Nasopharyngeal Carcinoma (NPC) [NCT01528618] | Phase 3 | 362 participants (Actual) | Interventional | 2012-02-21 | Completed |
Phase II Study of Neoadjuvant Treatment With Gemcitabine, Tarceva and Oxaliplatin Followed by Chemotherapy With Tarceva and Gemcitabine in Patients With Pancreas Adenocarcinoma With Borderline Resectability. [NCT01531712] | Phase 2 | 6 participants (Actual) | Interventional | 2011-02-10 | Terminated(stopped due to Due to a low recruitment rate since start of recruitment period.) |
A Phase 2 Study of Neoadjuvant Chemotherapy With Gemcitabine, Epirubicin and Paclitaxel (Taxol)[GET] in Locally Advanced Breast Cancer [NCT00378313] | Phase 2 | 76 participants | Interventional | 2001-11-30 | Completed |
Phase II Evaluation Of GROC (Gemcitabine- Rituximab-Oxaliplatin Combination) Given Every 14 Days For The Treatment Of Patients With Relapsed Or Refractory Aggressive Non-Hodgkin's Lymphoma [NCT01538641] | Phase 2 | 43 participants (Actual) | Interventional | 2003-10-31 | Completed |
A Randomized, Open Label, Controlled Study About Endostar Continued Pumping or Injecting Into Vein Combining With Gemcitabine-Carboplatin Versus Gemcitabine-Carboplatin Alone to Treat Non-Small Cell Lung Cancer (NSCLC) [NCT01549093] | Phase 2 | 90 participants (Anticipated) | Interventional | 2011-08-31 | Recruiting |
A Phase II Trial of Postoperative Proton Radiotherapy With Concomitant Chemotherapy for Patients With Resected Pancreatic Adenocarcinoma [NCT01553019] | Phase 2 | 2 participants (Actual) | Interventional | 2011-10-31 | Completed |
Gemcitabine and R115777 Combination Therapy for Metastatic Breast Cancer [NCT00100750] | Phase 1/Phase 2 | 31 participants (Actual) | Interventional | 2005-09-30 | Completed |
Phase I/II Study of Gemzar and Platinol Followed by Alimta and Gemzar in Patients With Advanced or Metastatic Bladder Cancer [NCT00101842] | Phase 1/Phase 2 | 61 participants | Interventional | 2004-12-31 | Completed |
A Phase II Study of ARQ 501 in Combination With Gemcitabine in Adult Patients With Metastatic Pancreatic Adenocarcinoma [NCT00102700] | Phase 2 | 66 participants | Interventional | 2005-01-31 | Completed |
Phase II Study With Gefitinib (Sequentially) Following Gemcitabine/Cisplatin as Induction Regimen for Patients With Stage IIIA N2 NSCLC [NCT00103051] | Phase 2 | 0 participants | Interventional | 2004-12-31 | Completed |
Phase II Study of Gemcitabine Plus Irinotecan in Patients With Metastatic Renal Cell Carcinoma [NCT00401128] | Phase 2 | 9 participants (Actual) | Interventional | 2004-05-31 | Completed |
Phase II Trial of Gemcitabine and ISIS 2503 in Patients With Locally Advanced or Metastatic Pancreatic Adenocarcinoma [NCT00006467] | Phase 2 | 48 participants (Actual) | Interventional | 2001-02-28 | Completed |
A Phase II Evaluation Of Gemcitabine And Cisplatin In Persistent Or Recurrent Squamous Cell Carcinoma Of The Cervix [NCT00006482] | Phase 2 | 0 participants | Interventional | 2000-10-31 | Terminated |
Sequential Gemcitabine, Doxorubicin, Then Paclitaxel Plus Cisplatin Adjuvant Chemotherapy After Complete Resection of Locally Advanced Transitional Cell Carcinoma of the Urothelium [NCT00003133] | Phase 1 | 30 participants (Anticipated) | Interventional | 1997-09-30 | Completed |
A Phase I-II Clinical Trial of Cisplatin (Platinol) Followed by Gemcitabine HCl (Gemzar) in Combination With Mild, Fever-Range Whole Body Hyperthermia (LL-WBH) at 40C in Patients With Advanced Malignancies [NCT00004063] | Phase 1/Phase 2 | 30 participants (Anticipated) | Interventional | 1999-08-31 | Recruiting |
A Randomized, Double-Blind, Placebo-Controlled, Multicenter Study of CI-994 Capsules Plus Gemcitabine Infusion Versus Placebo Capsules Plus Gemcitabine Infusion in the Treatment of Patients With Advanced Pancreatic Cancer [NCT00004861] | Phase 2 | 0 participants | Interventional | 1999-10-31 | Completed |
Phase II Trial of Bevacizumab, Gemcitabine, Oxaliplatin in Patients With Metastatic Pancreatic Adenocarcinoma [NCT00112528] | Phase 2 | 53 participants (Actual) | Interventional | 2005-06-30 | Completed |
A Phase II Study Of Twenty-Four Hour Infusion Gemcitabine For Advanced Colorectal Cancer [NCT00007943] | Phase 2 | 15 participants (Anticipated) | Interventional | 2000-09-01 | Completed |
An Open-Label Phase 2 Trial of Talabostat and Gemcitabine in Patients With Stage IV Adenocarcinoma of the Pancreas [NCT00116389] | Phase 2 | 60 participants | Interventional | | Terminated(stopped due to FDA Hold May 2007) |
Carcinoma Unknown Primary: Treatment With Gemcitabine, Docetaxel and Capecitabine (GTX) an Evaluation and Treatment Study of The Cancer Institute of New Jersey Oncology Group [NCT00119314] | Phase 2 | 0 participants (Actual) | Interventional | 2004-07-31 | Withdrawn(stopped due to slow accrual) |
A Phase I Study of Weekly Gemcitabine in Combination With Infusional 5-Fluorouracil and Oral Calcium Leucovorin in Adult Cancer Patients [NCT00019513] | Phase 1 | 108 participants (Anticipated) | Interventional | 1998-08-31 | Completed |
Phase I Study of Continuous Infusion Gemcitabine [NCT00020644] | Phase 1 | 0 participants | Interventional | 2000-03-31 | Active, not recruiting |
Phase I/II Randomized Trial Comparing Two Treatment Schedules Of Gemcitabine In Poor Prognosis Status Patients With Advanced Non-Small Cell Lung Cancer [NCT00022009] | Phase 2/Phase 3 | 0 participants | Interventional | 2001-07-31 | Active, not recruiting |
Phase II Trial Of Combined Resection, Intraperitoneal Chemotherapy, And Whole Abdominal Radiation For Treatment Of Peritoneal Mesothelioma [NCT00024271] | Phase 2 | 0 participants | Interventional | 2001-05-31 | Active, not recruiting |
An Open Label, Randomized, Controlled, Phase III, Multi-center, Clinical Trial Of PN401 With High Dose 5-Fluorouracil (5FU) Versus Gemcitabine For Treatment Of Patients With Advanced Pancreatic Cancer [NCT00024427] | Phase 3 | 250 participants (Actual) | Interventional | 2001-02-28 | Completed |
A Randomized Phase II Trial of Weekly Gemcitabine, Paclitaxel and External Irradiation (50.4 GY) Followed by the Farnesyl Transferase Inhibitor R115777 (NSC #702818) for Locally Advanced Pancreatic Cancer [NCT00026104] | Phase 2 | 154 participants (Actual) | Interventional | 2001-11-30 | Completed |
A Randomized Placebo Controlled Study Of OSI-774 (TARCEVA) Plus Gemcitabine In Patients With Locally Advanced, Unresectable Or Metastatic Pancreatic Cancer [NCT00026338] | Phase 3 | 569 participants (Actual) | Interventional | 2001-10-29 | Completed |
A Double Blind, Placebo Controlled Randomized Phase II Trial Of Gemcitabine And Cisplatin With Or Without The VEGF Inhibitor Bevacizumab (NSC #704865) In Patients With Malignant Mesotheloma [NCT00027703] | Phase 2 | 106 participants (Actual) | Interventional | 2001-10-31 | Completed |
Randomized Phase III Trial Comparing Immediate Versus Deferred Chemotherapy After Radical Cystectomy in Patients With pT3-pT4, and/or N+M0 Transitional Cell Carcinoma (TCC) of the Bladder [NCT00028756] | Phase 3 | 285 participants (Actual) | Interventional | 2001-10-31 | Completed |
Gemcitabine Plus Irinotecan in Patients With Esophageal Cancer, Phase II [NCT00012363] | Phase 2 | 61 participants (Actual) | Interventional | 2001-04-30 | Completed |
A Phase II Trial Of Bevacizumab (NSC#704865) Plus Gemcitabine In Patients With Advanced Pancreatic Cancer [NCT00028834] | Phase 2 | 50 participants (Actual) | Interventional | 2002-02-28 | Completed |
Phase II Trial of Neoadjuvant Therapy With Carboplatin and Gemcitabine With Thalidomide in Patients With Stage II and IIIA Non-Small Cell Lung Cancer [NCT00281827] | Phase 2 | 22 participants (Actual) | Interventional | 2002-05-31 | Terminated(stopped due to Due to drug unavailability) |
Preoperative Chemotherapy Of Potentially Resectable Mesothelioma Of The Pleura [NCT00030745] | Phase 2 | 61 participants (Actual) | Interventional | 2000-06-30 | Completed |
A Prospective Randomized Controlled Multicenter Study of the Effect of Dalteparin on Quality of Life in Unresectable Pancreatic Cancer [NCT00031837] | Phase 3 | 400 participants (Anticipated) | Interventional | 2002-10-31 | Terminated |
A Phase II Study Of Paclitaxel, Carboplatin And Gemcitabine In Previously Untreated Patients With Epithelial Ovarian Carcinoma FIGO Stage IIB-IV [NCT00031954] | Phase 2 | 105 participants (Actual) | Interventional | 2001-08-31 | Completed |
A Phase Ib Multicenter Trial To Determine The Safety, Tolerance And Preliminary Antineoplastic Activity Of Gemcitabine Administered In Combination With Escalating Oral Doses Of OSI-774 To Patient Cohorts With Recently Diagnosed, Gemcitabine-Naive, Advance [NCT00033241] | Phase 1 | 0 participants | Interventional | 2001-07-23 | Completed |
Induction/Concurrent Chemotherapy and Dose-Escalated Three Dimensional Thoracic Radiation for Patients With Stage III Non Small Cell Lung Cancer: A Randomized Phase II Study [NCT00033553] | Phase 2 | 69 participants (Actual) | Interventional | 2002-03-31 | Completed |
A Phase II Study of a Combination of MTA (LY231514) and Gemcitabine in Patients With Metastatic Breast Cancer. [NCT00034489] | Phase 2 | 0 participants | Interventional | | Completed |
[NCT00034606] | Phase 2 | 0 participants | Interventional | | Completed |
Randomized Phase II/III Study Assessing Gemcitabine/Carboplatin And Methotrexate/Carboplatin/Vinblastine In Previously Untreated Patients With Advanced Urothelial Cancer Ineligible For Cisplatin Based Chemotherapy [NCT00014274] | Phase 2/Phase 3 | 238 participants (Actual) | Interventional | 2001-01-31 | Completed |
A Phase 3 Trial of ALIMTA (LY231514, Pemetrexed) Plus GEMZAR Versus GEMZAR in Patients With Unresectable or Metastatic Cancer of the Pancreas. [NCT00035035] | Phase 3 | 0 participants | Interventional | | Completed |
A Phase I Study Of UCN-01 In Combination With Gemcitabine In Unresectable Or Metastatic Pancreatic Carcinoma [NCT00039403] | Phase 1 | 30 participants (Actual) | Interventional | 2002-04-30 | Completed |
A Phase 2 Trial of Antisense Nucleotide to PKC-Alpha (LY900003, ISIS 3521) Plus Gemcitabine and Carboplatin in Patients With Advanced, Previously Untreated Non-Small Cell Lung Cancer. [NCT00042679] | Phase 2 | 0 participants | Interventional | 2002-06-30 | Completed |
A Phase I Trial Of Gemcitabine, 17-Allylaminogeldanamycin (17-AAG) And Cisplatin In Advanced Solid Tumor Patients [NCT00047047] | Phase 1 | 78 participants (Anticipated) | Interventional | 2002-08-31 | Completed |
Phase II, Single-arm, Exploratory Study to Evaluate the Safety and Effectiveness of Durvalumab Combined With Chemotherapy Neoadjuvant Therapy of Biliary Tract Cancer [NCT05640791] | Phase 2 | 40 participants (Anticipated) | Interventional | 2022-12-01 | Recruiting |
A Multi-National Randomized Phase-III GCIG Intergroup-Study Comparing 1st-line Chemotherapy With Gemcitabine/Paclitaxel/Carboplatin vs Paclitaxel/Carboplatin In Previously Untreated Patients With Epithelial Ovarian Cancer FIGO Stages I-IV [NCT00052468] | Phase 3 | 1,742 participants (Actual) | Interventional | 2002-08-31 | Completed |
[NCT00055432] | Phase 2 | 0 participants | Interventional | | Terminated |
Envofolimab and Lenvatinib in Combination With Gemcitabine Plus Cisplatin for Patients With Advanced Biliary Tract Cancer as First-Line Treatment: A Single-arm, Open-label, Phase II Study [NCT05410197] | Phase 2 | 43 participants (Anticipated) | Interventional | 2022-10-10 | Recruiting |
Phase III Randomized Trial of Cisplatin/Paclitaxel Versus Cisplatin/Gemcitabine in Recurrent, Persistent or Metastatic Carcinoma of the Cervix [NCT00057928] | Phase 3 | 0 participants (Actual) | Interventional | 2003-04-30 | Withdrawn(stopped due to lack of accrual) |
European Study Group For Pancreatic Cancer - Trial 3 [NCT00058201] | Phase 3 | 1,030 participants (Anticipated) | Interventional | 2001-07-31 | Completed |
A Phase II Study of IV Gemcitabine and Oral Capecitabine in Patients With Advanced Renal Cell Cancer [NCT00058318] | Phase 2 | 43 participants (Actual) | Interventional | 2004-12-31 | Completed |
A Phase I Study of Oblimersen (Genasense™, G3139) in Combination With Gemcitabine in Advanced Malignancies [NCT00060112] | Phase 1 | 15 participants (Actual) | Interventional | 2003-03-31 | Terminated(stopped due to Administratively complete.) |
A Phase II, Multicenter, Randomized, Double-Blind, Placebo Controlled Study Evaluating the Efficacy and Safety of Anti-TNF a Monoclonal Antibody (Infliximab) to Treat Cancer-Related Cachexia in Subjects With Pancreatic Cancer. [NCT00060502] | Phase 2 | 73 participants (Actual) | Interventional | 2003-04-30 | Completed |
Hyperthermic Intraperitoneal Chemotherapy as Neoadjuvant Treatment for Resectable Pancreatic Adenocarcinoma: A Prospective, Phase II, Proof-of-concept Study [NCT02850874] | Phase 2 | 0 participants (Actual) | Interventional | 2016-02-29 | Withdrawn(stopped due to no accrual rate) |
A Phase II Study of Triapine in Combination With Gemcitabine in Patients With Pancreatic Cancer [NCT00064051] | Phase 2 | 0 participants | Interventional | 2003-01-31 | Completed |
Randomized Phase II/III Study Comparing Gemcitabine Followed by Gemcitabine Plus Concomitant Radiation (50.4 Gy) Versus Control After Curative Pancreaticoduodenectomy for Pancreatic Head Cancer [NCT00064207] | Phase 2/Phase 3 | 97 participants (Actual) | Interventional | 2003-05-31 | Completed |
Randomized Phase II Study of Eicosanoid Pathway Modulators and Cytotoxic Chemotherapy in Advanced Non-Small Cell Lung Cancer [NCT00070486] | Phase 2 | 140 participants (Actual) | Interventional | 2003-12-31 | Completed |
A Phase I Trial of Gemcitabine Followed by a Short Infusion of Flavopiridol in Patients With Solid Tumors [NCT00072436] | Phase 1 | 58 participants (Actual) | Interventional | 2003-09-30 | Completed |
Phase II Study Of Gemcitabine And Docetaxel In Patients With Inoperable Stage IIIB Or IIIB or IV Non-Small Cell Lung Cancer [NCT00075517] | Phase 2 | 0 participants | Interventional | 2003-09-30 | Active, not recruiting |
A Phase II Trial of Gemcitabine, Carboplatin and PS-341 (NSC-681239) in the First-Line Treatment of Advanced Non-Small Cell Lung Cancer (NSCLC) [NCT00075751] | Phase 2 | 99 participants (Actual) | Interventional | 2004-01-31 | Completed |
A Phase II Trial of Triapine® (NSC #663249) in Combination With Gemcitabine as Second Line Treatment of Non-Small Cell Lung Cancer [NCT00077350] | Phase 2 | 48 participants (Actual) | Interventional | 2004-07-31 | Completed |
Gem-CHOP: A Randomized Phase II Study of Gemcitabine Combined With CHOP in Untreated Aggressive Non-Hodgkin's Lymphoma [NCT00079261] | Phase 2 | 25 participants (Actual) | Interventional | 2004-01-31 | Completed |
Randomized Phase 2 Study of Capecitabine vs Gemcistabine Plus Cisplatin in Patients With Resected Extrahepatic Cholangiocarcinoma With Regional Lymph Node Metastasis [NCT03079427] | Phase 2 | 101 participants (Actual) | Interventional | 2017-05-15 | Completed |
High-dose Alkylating Chemotherapy in Oligo-metastatic Breast Cancer Harboring Homologous Recombination Deficiency [NCT01646034] | Phase 3 | 74 participants (Actual) | Interventional | 2014-09-30 | Active, not recruiting |
Phase II Trial Of Gemcitabine, 5-Fluorouracil, And Leucovorin In Patients With Measurable Unresectable Or Metastatic Biliary Tract Carcinoma (Intrahepatic, Extrahepatic, Ampulla Of Vater) And Gallbladder Carcinoma [NCT00009893] | Phase 2 | 42 participants (Actual) | Interventional | 2001-05-31 | Completed |
Study Of Gemcitabine, Leukovorin, And Fluorouracil Used To Treat Locally Advanced And Metastatic Pancreatic And Biliary Adenocarcinomas [NCT00010088] | Phase 2 | 0 participants | Interventional | 1999-01-31 | Active, not recruiting |
Phase II Study of Oxaliplatin And Fixed Rate Infusion Gemcitabine as Second Line Therapy for Patients With Metastatic Colon Cancer [NCT00276861] | Phase 2 | 10 participants (Actual) | Interventional | 2005-09-30 | Terminated(stopped due to Low Accrual) |
Phase II Trial of Gemcitabine/Paraplatin® (Carboplatin) Followed by Taxol® (Paclitaxel) in Patients With Performance Status = 2,3 or Other Significant Co-Morbidity (HIV Infection or s/p Organ Transplantation) in Advanced Non-Small Cell Lung Cancer [NCT00276588] | Phase 2 | 46 participants (Anticipated) | Interventional | 2005-07-31 | Completed |
Phase II Trial of Gemcitabine And Docetaxel In Androgen-Independent Metastatic Prostate Cancer [NCT00276549] | Phase 2 | 35 participants (Actual) | Interventional | 2005-10-31 | Completed |
Phase III Study Comparing Sequential Chemotherapy (AG-ITP) To Cisplatin And Gemcitabine As Adjuvant Treatment After Cystectomy For Transitional Cell Carcinoma Of The Bladder [NCT00014534] | Phase 3 | 42 participants (Actual) | Interventional | 2004-03-31 | Completed |
INST Phase II Trial of Gemcitabine and Irinotecan in Patients With Relapsed or Refractory Lymphoma. [NCT00276003] | Phase 2 | 22 participants (Actual) | Interventional | 2002-08-31 | Completed |
Phase II Multidose, Single Arm, Multicenter Clinical Trial of Cisplatin and Gemcitabine in Combination With Recombinant Humanized Anti-p185HER2 Monoclonal Antibody (Herceptin) in Patients Who Have Untreated p185HER2 Overexpressing Advanced Local Stage (St [NCT00016367] | Phase 2 | 22 participants (Actual) | Interventional | 1999-05-13 | Completed |
Phase II Study On Gemcitabine In Recurrent Or Metastatic Adenoid Cystic Carcinoma Of The Head And Neck [NCT00017498] | Phase 2 | 21 participants (Actual) | Interventional | 2001-02-28 | Completed |
Randomized Phase III Study Comparing Paclitaxel/Cisplatin/Gemcitabine and Cisplatin/Gemcitabine in Patients With Metastatic or Locally Advanced Urothelial Cancer Without Prior Systemic Therapy [NCT00022191] | Phase 3 | 608 participants (Actual) | Interventional | 2001-05-31 | Completed |
A Phase II Trial of Gemcitabine, 5-Fluorouracil and Radiation Therapy in Locally Advanced Non-Metastatic Pancreatic Adenocarcinoma [NCT00026130] | Phase 2 | 81 participants (Actual) | Interventional | 2001-09-30 | Completed |
A Phase II Study of Gemcitabine, Cisplatin and Radiation Therapy in Patients With Locally Advanced Pancreatic Cancer [NCT00026403] | Phase 2 | 48 participants (Actual) | Interventional | 2001-09-30 | Completed |
A Phase II Trial Of Adjuvant Chemotherapy For High Risk Transitional Cell Carcinoma Of The Urothelium [NCT00028860] | Phase 2 | 0 participants | Interventional | 2001-10-31 | Completed |
Gemcitabine Plus Capecitabine Versus Gemcitabine Alone In Advanced Pancreatic Cancer. A Randomized Phase III Trial [NCT00030732] | Phase 3 | 319 participants (Actual) | Interventional | 2001-06-30 | Completed |
A Phase II Evaluation of Docetaxel and Gemcitabine Plus G-CSF in the Treatment of Recurrent or Persistent Leiomyosarcoma of the Uterus [NCT00031629] | Phase 2 | 51 participants (Actual) | Interventional | 2005-01-31 | Completed |
A Phase I and Randomized Phase II Study of Nab-Paclitaxel/Gemcitabine With or Without AZD1775 for Treatment of Metastatic Adenocarcinoma of the Pancreas [NCT02194829] | Phase 1/Phase 2 | 8 participants (Actual) | Interventional | 2014-08-19 | Completed |
A Phase III Multicenter Randomized Clinical Trial Comparing Gemcitabine Alone Or In Combination With Capecitabine For The Treatment Of Patients With Advanced Pancreatic Cancer [NCT00032175] | Phase 3 | 508 participants (Anticipated) | Interventional | 2002-04-30 | Completed |
[NCT00034593] | Phase 2 | 0 participants | Interventional | | Completed |
A Phase 2 Study of Adjuvant Intraperitoneal Gemcitabine for Resectable Pancreatic Adenocarcinoma [NCT01206296] | Phase 2 | 9 participants (Actual) | Interventional | 2010-08-31 | Terminated(stopped due to Study suspended) |
ARIEL4 (Assessment of Rucaparib In Ovarian CancEr TriaL): A Phase 3 Multicenter, Randomized Study of Rucaparib Versus Chemotherapy in Patients With Relapsed, BRCA Mutant, High Grade Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer [NCT02855944] | Phase 3 | 349 participants (Actual) | Interventional | 2017-03-01 | Completed |
A Phase III, Open Label, Randomized Study of Atezolizumab (Anti-PD-L1 Antibody) Compared With a Platinum Agent (Cisplatin or Carboplatin) in Combination With Either Pemetrexed or Gemcitabine for PD-L1-Selected, Chemotherapy-Naive Patients With Stage IV No [NCT02409342] | Phase 3 | 572 participants (Actual) | Interventional | 2015-07-20 | Completed |
'tAnGo', A Phase III Randomised Trial Of Gemcitabine In Paclitaxel-Containing, Epirubicin-Based, Adjuvant Chemotherapy For ER/PgR-Poor, Early Stage, Breast Cancer [NCT00039546] | Phase 3 | 0 participants | Interventional | 2001-08-31 | Active, not recruiting |
A Phase IB Clinical Study Of The Farnesyltransferase Inhibitor SCH 66336 And Gemcitabine In Patients With Resectable Primary Liver Neoplasms [NCT00020774] | Phase 2 | 0 participants (Actual) | Interventional | 1998-10-31 | Withdrawn |
Phase II Study Of Cisplatin, Gemcitabine, And ZD 1839 (IRESSA) (IND #61187; NSC 715055) For The Treatment Of Advanced Urothelial Tract Carcinoma [NCT00041106] | Phase 2 | 50 participants (Actual) | Interventional | 2002-05-31 | Completed |
A Phase I Study Of The Effect Of Mistletoe Extract, A Complementary Medicine Botanical, On Pharmacokinetics, Pharmacodynamics And Safety Of Gemcitabine In Patients With Advanced Solid Tumors [NCT00049608] | Phase 1 | 51 participants (Anticipated) | Interventional | 2002-07-31 | Terminated(stopped due to Principal investigator [PI] has left institution.) |
A Phase II Clinical Trial Evaluating Three Schedules Of ALIMTA Plus Gemcitabine As Frontline Chemotherapy For Patients With Locally Advanced Or Metastatic Non-Small Cell Lung Cancer [NCT00022646] | Phase 2 | 157 participants (Actual) | Interventional | 2001-08-31 | Completed |
A Randomized, Open-Label, Multicenter Phase III Study Comparing the Efficacy and Safety of a Combination of Intravenous DX-8951f (Exatecan Mesylate) Plus Gemcitabine to Gemcitabine Alone in Patients With Locally Advanced or Metastatic Cancer of the Exocri [NCT00023972] | Phase 3 | 0 participants | Interventional | 2001-07-31 | Completed |
A Phase I Study Of PS-341 In Combination With Gemcitabine And Carbloplatin In Selected Stage IIIB Or IV Non-Small Cell Lung Cancer [NCT00052338] | Phase 1 | 34 participants (Actual) | Interventional | 2002-09-30 | Completed |
Multicenter Phase II-trial to Investigate Safety and Efficacy of an Adjuvant Therapy With Gemcitabine and Erbitux® in Patients With R0 or R1 Resected Pancreatic Cancer [NCT00395252] | Phase 2 | 76 participants (Actual) | Interventional | 2006-10-31 | Completed |
A Randomized Phase II Trial of PS-341 and Gemcitabine in Patients With Metastatic Pancreatic Adenocarcinoma [NCT00052689] | Phase 2 | 88 participants (Anticipated) | Interventional | 2002-12-31 | Completed |
A Randomized Phase II Study of Preoperative Versus Postoperative Gemcitabine and Cisplatin for Patients With Stage IB-II Non-Small Cell Lung Cancer [NCT00398385] | Phase 2 | 170 participants (Anticipated) | Interventional | 2005-05-31 | Recruiting |
A Phase III Randomized, Open-Label Comparative Study of Induction Chemotherapy Followed by Thoracic Radiation Therapy With Supplemental Oxygen, With or Without Concurrent RSR13 (Efaproxiral), in Patients With Locally Advanced Unresectable (Stage IIIA/IIIB [NCT00055887] | Phase 3 | 0 participants (Actual) | Interventional | 2002-11-30 | Withdrawn(stopped due to Study never started. No patients were enrolled.) |
A Pragmatic, Randomised Study To Compare The Hospitalisation Rates Of Two Platinum-Based Outpatient Regimens (Gemcitabine/Cisplatin vs. Gemcitabine/Carboplatin) In Non-Small Cell Lung Cancer (NSCLC) [NCT00055965] | Phase 3 | 400 participants (Anticipated) | Interventional | 2002-11-30 | Active, not recruiting |
An Open-Label, Single-Arm, Phase II Study of Liposomal Doxorubicin (Doxil) and Gemcitabine in the Treatment of Women With Metastatic Breast Cancer [NCT00027989] | Phase 2 | 0 participants | Interventional | 2001-12-31 | Active, not recruiting |
Molecular And Genetic Changes In Patients With Resectable Non-Small Cell Lung Cancer (NSCLC) Following Neoadjuvant Chemotherapy With Vinorelbine And Gemcitabine - Phase II Study [NCT00057798] | Phase 2 | 21 participants (Actual) | Interventional | 2000-03-31 | Completed |
A Phase III, Randomized Study of Gemcitabine (Fixed-Dose Rate Infusion) and Oxaliplatin (NSC 266046) Versus Gemcitabine (Fixed-Dose Rate Infusion) Versus Gemcitabine (30-Minute Infusion) in Pancreatic Carcinoma [NCT00058149] | Phase 3 | 0 participants | Interventional | 2003-03-31 | Completed |
Phase I/II Trial Of Gemcitabine And ALIMTA In Patients With Measurable Or Evaluable, Unresectable Or Metastatic Biliary Tract Carcinoma (Intrahepatic, Extrahepatic, Ampulla Or Vater) And Gallbladder Carcinoma [NCT00059865] | Phase 1/Phase 2 | 68 participants (Actual) | Interventional | 2004-01-31 | Completed |
ALIMTA Plus Gemcitabine as Front-Line Chemotherapy for Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer: A Phase II Clinical Trial [NCT00061464] | Phase 2 | 48 participants | Interventional | 2003-02-28 | Completed |
Phase 1 Trial of the Combination of Perifosine and Gemcitabine [NCT00398697] | Phase 1 | 19 participants | Interventional | 2004-08-31 | Completed |
A Phase III Randomized Neoadjuvant Study of Sequential Epirubicin/Cyclophosphamide and Paclitaxel + - Gemcitabine in Poor Risk Early Breast Cancer [NCT00070278] | Phase 3 | 800 participants (Anticipated) | Interventional | 2005-01-31 | Active, not recruiting |
A Pilot Study of Low Dose Suramin as Modulator of Docetaxel and Gemcitabine in Patients With Previously Treated Non-Small Cell Lung Cancer (NSCLC) [NCT00066768] | Phase 1 | 24 participants (Actual) | Interventional | 2003-07-31 | Completed |
Phase 1/2 Dose-Escalating Study of Biweekly Alimta and Gemcitabine in Patients With Advanced Cancer [NCT00071136] | Phase 1/Phase 2 | 48 participants | Interventional | 2003-12-31 | Completed |
Phase I Study of Soblidotin and Gemcitabine in Patients With Locally Advanced or Metastatic Solid Tumors [NCT00072228] | Phase 1 | 0 participants | Interventional | | Withdrawn |
Phase I/II Study of Oral S-1 Plus Gemcitabine in Patients With Metastatic Pancreatic Cancer [NCT00209677] | Phase 1/Phase 2 | 40 participants (Anticipated) | Interventional | 2004-12-31 | Suspended(stopped due to "Unfortunately, other Phase III clinical Study (GEM+S-1 vs GEM vs S-1) have been started in Japan.~h") |
Phase II Trial OF Oxaliplatin and Gemcitabine With Bevacizumab in Advanced Non-Small Cell Lung Cancer [NCT00217282] | Phase 2 | 45 participants (Actual) | Interventional | 2004-06-30 | Completed |
An Open Label, Dose Escalation Study of Paricalcitol (Zemplar™) [19-NOR-1 ALPHA, 25-(OH) D] in Combination With Gemcitabine [2', 2' -Difluorodeoxycytidine] in Patients With Advanced Malignancies [NCT00217477] | Phase 1 | 34 participants (Actual) | Interventional | 2004-08-31 | Completed |
Phase II Trial for the Treatment of Recurrent or Persistent Platinum-Refractory Ovarian, Fallopian Tube, or Primary Peritoneal Cancer With Gemcitabine and Topotecan [NCT00217555] | Phase 2 | 0 participants | Interventional | 2002-07-31 | Completed |
A Randomized Phase II Study Of Triapine® Alone Versus Triapine and Gemcitabine As Second-Line Treatment Of Advanced Non-Small-Cell-Lung Cancer In Patients Who Had Prior Gemcitabine With Evaluation Of The Effect Of Triapine® On Gemcitabine Pharmacokinetics [NCT00077415] | Phase 2 | 31 participants (Anticipated) | Interventional | 2004-04-30 | Completed |
A Phase II Study Of Capecitabine Plus Gemcitabine For Metastatic Renal Cell Carcinoma [NCT00042965] | Phase 2 | 60 participants (Actual) | Interventional | 2002-10-31 | Completed |
Capecitabine And Gemcitabine In Patients With Advanced Or Metastatic Biliary Tract Cancer, A Multicenter Phase II Trial [NCT00073905] | Phase 2 | 44 participants (Actual) | Interventional | 2003-04-30 | Completed |
Intrathecal Gemcitabine Therapy for Neoplastic Meningitis: A Phase I and Pharmacokinetic Study [NCT00074607] | Phase 1 | 10 participants (Actual) | Interventional | 2001-12-31 | Terminated |
A Phase II Study of Triapine in Combination With Gemcitabine in Recurrent/Unresectable/Metastatic Pancreatic Carcinoma [NCT00078975] | Phase 2 | 26 participants (Actual) | Interventional | 2004-04-30 | Completed |
Phase III Randomized Comparison Study of Vinorelbine, Gemcitabine, and Docetaxel Versus Paclitaxel and Carboplatin in Patients With Advanced Non-Small Cell Lung Cancer [NCT00079287] | Phase 3 | 0 participants | Interventional | 2001-03-31 | Completed |
A Randomized Trial Comparing 5-Fluorouracil, External Beam Radiation, and Gemcitabine With or Without P Radiopharmaceutical Therapy As A First Line Therapy in Patients With Locally/Regionally Advanced Non-Resectable Adenocarcinoma of the Pancreas [NCT00079365] | | 0 participants | Interventional | 2001-05-31 | Active, not recruiting |
A Phase II Study Evaluating Efficacy of the Combination of Gemcitabine and Vinorelbine in Advanced Soft Tissue Sarcoma [NCT00134641] | Phase 2 | 40 participants | Interventional | 2003-02-28 | Completed |
A Phase I/II Clinical Trial to Evaluate the Safety and Efficacy of Bendamustine, Gemcitabine, Rituximab, Nivolumab Combination (BeGeRN) in Patients With Relapsed or Refractory Diffuse Large B-cell Lymphoma [NCT03259529] | Phase 1/Phase 2 | 30 participants (Actual) | Interventional | 2017-03-27 | Completed |
A Phase I Trial of BMS 247550 (NSC# 710428) and Gemcitabine in Patients With Advanced Solid Tumor Malignancies [NCT00043095] | Phase 1 | 0 participants | Interventional | 2002-06-30 | Completed |
A Phase II Trial Evaluating the Combination of Carboplatin, Gemcitabine, and Capecitabine in Patients With Carcinoma of Unknown Primary Site [NCT00148135] | Phase 2 | 0 participants | Interventional | 2001-05-31 | Terminated(stopped due to recruitment goals met) |
A Phase II Study of Induction Chemotherapy Followed by Concurrent Chemotherapy With Radiotherapy in Locally Advanced Pancreatic Cancer [NCT00149578] | Phase 2 | 45 participants (Anticipated) | Interventional | 2004-10-31 | Recruiting |
A Phase II Study of SGN-15 (cBR96 - Doxorubicin Immunoconjugate) Combined With Gemzar® Versus Single-Agent Gemzar® in Patients With Advanced Ovarian Cancer [NCT00051584] | Phase 2 | 60 participants | Interventional | | Terminated |
A Phase I Study of CDK4/6 Inhibitor LEE011 Combined With Gemcitabine in Patients With Advanced Solid Tumors or Lymphoma [NCT02414724] | Phase 1 | 10 participants (Actual) | Interventional | 2015-05-31 | Terminated(stopped due to PI left institute) |
CT-2103 vs Gemcitabine or Vinorelbine for the Treatment of PS = 2 Patients With Chemotherapy Naive Advanced Non-Small Cell Lung Cancer (NSCLC): A Phase III Study [NCT00054197] | Phase 3 | 0 participants | Interventional | 2003-01-31 | Terminated |
A Randomized, Phase III Multicenter Trial Of Gemcitabine In Combination With Carboplatin Or Paclitaxel Plus Carboplatin In Patients With Metastatic (Stage IIIB, IV) Non-Small Cell Lung Cancer [NCT00054392] | Phase 3 | 0 participants (Actual) | Interventional | 2001-09-30 | Withdrawn(stopped due to Not opened at Fox Chase Cancer Center) |
Phase III Study Of Adjuvant Cisplatin-Gemcitabine Vs. Observation After Radical Cystectomy In High-Risk Bladder Cancer [NCT00054626] | Phase 3 | 700 participants (Anticipated) | Interventional | 2001-09-30 | Active, not recruiting |
Gemcitabine-oxaliplatin Plus Rituximab (R-GEMOX) in Refractory/Relapsed Patients With CD 20 Positive Diffuse Large B-cell Lymphoma, Non Eligible for High-dose Chemotherapy Followed by Autotransplantation [NCT00169195] | Phase 2 | 49 participants (Actual) | Interventional | 2003-04-30 | Completed |
A Randomized, Placebo-Controlled, Double-Blind Phase 2 Study of Gemcitabine Plus LY293111 Compared to Gemcitabine Plus Placebo in Patients With Locally Advanced or Metastatic Pancreatic Cancer [NCT00055250] | Phase 2 | 130 participants | Interventional | 2003-01-31 | Completed |
A Phase II Trial of R115777, a Farnesyl Transferase Inhibitor, in Combination With Gemcitabine and Cisplatin in Advanced Non-Small Cell Lung Cancer (NSCLC) [NCT00055757] | Phase 2 | 48 participants (Actual) | Interventional | 2003-10-31 | Completed |
Phase II Evaluation of Carboplatin, Paclitaxel and Gemcitabine Followed by Concurrent Cisplatin and Radiation Therapy in Patients With Locally Advanced or Recurrent Urothelial Malignancy [NCT00055835] | Phase 2 | 7 participants (Actual) | Interventional | 2002-11-30 | Completed |
Phase II Study of Irinotecan Followed by Gemcitabine in NSCLC Following Failure of Platinum Based Therapy [NCT00182806] | Phase 2 | 38 participants (Actual) | Interventional | 2004-09-30 | Completed |
A Phase II Study of Gemcitabine, Oxaliplatin, and Paclitaxel in Patients With Refractory Germ Cell Carcinoma [NCT00183820] | Phase 2 | 30 participants (Actual) | Interventional | 2004-11-30 | Completed |
A Phase 1 Study of Alvocidib (Flavopiridol) in Combination With Radiation in Locally Advanced, Non-Operable Pancreatic and Extrahepatic Bile Duct Cancers [NCT00047307] | Phase 1 | 46 participants (Actual) | Interventional | 2002-08-31 | Completed |
A Randomized Phase II Trial of Gemcitabine Containing Regimens (Gemcitabine/Carboplatin and Gemcitabine/ Cisplatin)When Used as Preoperative Chemotherapy for Patients With Stage I and II NSCLC [NCT00191230] | Phase 2 | 70 participants | Interventional | 2001-09-30 | Completed |
A Phase II Study of Biweekly Pemetrexed and Gemcitabine in Patients With Metastatic Breast Cancer [NCT00191347] | Phase 2 | 30 participants | Interventional | 2004-10-31 | Completed |
Phase II Study of Gemcitabine and Pemetrexed in Primary Unknown Adenocarcinoma [NCT00191503] | Phase 2 | 30 participants | Interventional | 2005-01-31 | Completed |
Randomized Phase II Study of Cisplatin + Gemcitabine Administered Either as Short Infusion or at a Fixed Dose Rate in Non-Small Cell Lung Cancer [NCT00191620] | Phase 2 | 64 participants | Interventional | 2004-03-31 | Completed |
A Phase II Study of Gemcitabine in Transitional Cell Carcinoma of the Urothelium [NCT00191971] | Phase 2 | 40 participants | Interventional | 2004-01-31 | Completed |
A Phase II Study of OSI-774 (Tarceva) and Gemcitabine for Patients With Metastatic Breast Cancer [NCT00059852] | Phase 2 | 61 participants (Actual) | Interventional | 2003-06-30 | Completed |
A Randomised Phase II Study of Two Regimens of Palliative Chemoradiation Therapy in the Management of Locally Advanced Non Small Cell Lung Cancer [NCT00193921] | Phase 2 | 82 participants (Actual) | Interventional | 2003-02-28 | Completed |
Activity of Regorafenib in Combination With Modified Gemcitabine - Oxaliplatin Chemotherapy (mGEMOX) in Patients With Advanced Biliary Tract Cancer (BTC): A Phase Ib-II Trial (BREGO) [NCT02386397] | Phase 1/Phase 2 | 66 participants (Actual) | Interventional | 2014-09-30 | Completed |
A Phase II Study of Gemcitabine in Combination With Capecitabine in Advanced Cholangiocarcinoma [NCT00084942] | Phase 2 | 0 participants | Interventional | 2002-10-31 | Completed |
Phase I/II Study of LDE225 in Combination With Gemcitabine and Nab-paclitaxel in Patients With Locally Advanced or Metastasized Pancreatic Cancer [NCT02358161] | Phase 1/Phase 2 | 78 participants (Actual) | Interventional | 2015-09-30 | Completed |
ALIMTA Plus Gemcitabine as Front-line Chemotherapy for Patients With Locally Advanced or Metastatic Non-Small-Cell Lung Cancer: A Phase II Clinical Trial [NCT00061451] | Phase 2 | 48 participants | Interventional | 2002-12-31 | Completed |
A Phase II Trial of Bevacizumab Plus Gemcitabine™ and Oxaliplatin™ as First Line Therapy in Metastatic or Locally Advanced (Unresectable) Pancreatic Cancer [NCT00222469] | Phase 2 | 50 participants (Actual) | Interventional | 2005-08-31 | Completed |
Neoadjuvant Chemoradiotherapy (Gemcitabine/Cisplatin and Taxotere) With or Without Co-Administration of ZD 1839 (Iressa) for Stage IIIA (N2) and Selective Stage IIIB Non-Small Cell Lung Cancer: Phase I-II Study [NCT00062270] | Phase 1/Phase 2 | 0 participants | Interventional | 2003-05-31 | Completed |
A Dose Escalating (Phase I) Study Looking at the Biomodulation of Capecitabine by Docetaxel and Gemcitabine in Patients With Advanced Pancreas Cancer [NCT00320749] | Phase 1 | 21 participants (Actual) | Interventional | 2005-12-31 | Completed |
A Phase 1, Open-Label Dose Escalation First-in-Human Study to Evaluate the Tolerability, Safety, Maximum Tolerated Dose, Preliminary Clinical Activity and Pharmacokinetics of AM0010 in Patients With Advanced Solid Tumors [NCT02009449] | Phase 1 | 350 participants (Actual) | Interventional | 2013-11-15 | Active, not recruiting |
Induction Cetuximab (IM-C225), Gemcitabine and Oxaliplatin, Followed by Radiotherapy With Concurrent Capecitabine, and Cetuximab, Followed by Maintenance Cetuximab and Gemcitabine for Patients With Locally Advanced Pancreatic Cancer [NCT00338039] | Phase 2 | 69 participants (Actual) | Interventional | 2005-09-30 | Completed |
A Randomized Phase 2 Study of ARQ 197 Versus Gemcitabine in Treatment-Naïve Patients With Unresectable Locally Advanced or Metastatic Pancreatic Adenocarcinoma [NCT00558207] | Phase 2 | 43 participants (Actual) | Interventional | 2007-11-30 | Completed |
A Phase II Evaluation of Oxaliplatin, Gemcitabine and Bevacizumab in Women With Recurrent Mullerian Carcinoma [NCT00418093] | Phase 2 | 19 participants (Actual) | Interventional | 2006-09-30 | Terminated(stopped due to THe study was terminated early due to a lack of accural) |
A Phase II, Multicenter Trial of Gemcitabine, Carboplatin, and Sorafenib in Chemotherapy-naive Patients With Advanced/Metastatic Bladder Carcinoma [NCT00461851] | Phase 2 | 17 participants (Actual) | Interventional | 2007-03-31 | Completed |
A Phase 1b Study: Treatment of Refractory Pancreatic Adenocarcinoma and Advanced Soft Tissue or Bone Sarcomas Using Decitabine Combined With Gemcitabine [NCT02959164] | Phase 1 | 36 participants (Actual) | Interventional | 2016-12-05 | Completed |
A Phase 2 Randomized Open-label Study of Erlotinib Plus Tivantinib (ARQ 197) Versus Single Agent Chemotherapy in Previously Treated KRAS Mutation Positive Subjects With Locally Advanced or Metastatic Non-Small Cell Lung Cancer [NCT01395758] | Phase 2 | 96 participants (Actual) | Interventional | 2011-07-31 | Completed |
A Phase 2 Study of AGEN1423, an Anti-CD73-TGFβ-Trap Bifunctional Antibody, in Combination With Balstilimab, With or Without Chemotherapy in Subjects With Advanced Pancreatic Cancer. [NCT05632328] | Phase 2 | 24 participants (Anticipated) | Interventional | 2023-04-30 | Not yet recruiting |
The Study of Gemcitabine in the Maintenance Treatment of Advanced Non-small Cell Lung Cancer [NCT01797913] | Phase 2 | 70 participants (Actual) | Interventional | 2008-08-31 | Completed |
A Phase II Study of Gemcitabine in Combination With Doxorubicin for Patients With Head and Neck Cancer [NCT00509665] | Phase 2 | 18 participants (Actual) | Interventional | 2005-06-30 | Completed |
Phase I/IIa Trial Evaluating Safety of LOAd703, an Armed Oncolytic Adenovirus for Pancreatic Cancer [NCT02705196] | Phase 1/Phase 2 | 55 participants (Anticipated) | Interventional | 2016-11-30 | Recruiting |
MC1365, A Randomized Phase II Trial of a Genetically Engineered NIS-Expressing Strain of Measles Virus Versus Investigator's Choice Chemotherapy for Patients With Platinum-Resistant Ovarian, Fallopian, or Peritoneal Cancer [NCT02364713] | Phase 2 | 66 participants (Anticipated) | Interventional | 2015-03-13 | Active, not recruiting |
A Single-arm, Multicenter, Phase II Study Evaluating the Efficacy and Safety of Cadonilimab Plus Chemotherapy for Recurrent or Metastatic Nasopharyngeal Carcinoma [NCT05898256] | Phase 1/Phase 2 | 20 participants (Anticipated) | Interventional | 2023-08-01 | Not yet recruiting |
High-dose Chemotherapy for Poor-Prognosis Relapsed Germ-Cell Tumors [NCT00936936] | Phase 2 | 64 participants (Actual) | Interventional | 2009-06-02 | Active, not recruiting |
A Phase II Study of Gemcitabine, Paclitaxel, and Doxorubicin, With Pegfilgrastim for the Treatment of Patients With Metastatic Transitional Cell Carcinoma and Renal Insufficiency [NCT00478361] | Phase 2 | 40 participants (Actual) | Interventional | 2007-04-30 | Completed |
A phase1b/2 Clinical Trial of Chemotherapy and the AXL-inhibitor Bemcentinib for Patients With Metastatic Pancreatic Cancer [NCT03649321] | Phase 1/Phase 2 | 9 participants (Actual) | Interventional | 2019-01-03 | Terminated(stopped due to Funding was terminated early because research interests were going in a different direction.) |
Randomized Phase III Multicenter Trial of RRM1 & ERCC1 Directed Customized Chemotherapy Versus Standard of Care for 1st Line Treatment of Patients With Advanced Non-Small-Cell Lung Cancer [NCT00499109] | Phase 3 | 275 participants (Actual) | Interventional | 2007-05-31 | Completed |
Phase II, Single Arm Trial of Combination Sunitinib and Gemcitabine in Sarcomatoid and/or Poor-risk Patients With Metastatic Renal Cell Carcinoma [NCT00556049] | Phase 2 | 72 participants (Actual) | Interventional | 2007-12-31 | Completed |
Phase II Clinical Trial of Gemcitabine and Doxil® for Metastatic Renal Cell Carcinoma [NCT00630409] | Phase 2 | 5 participants (Actual) | Interventional | 2004-09-30 | Completed |
A Phase II Study of Pemetrexed and Gemcitabine Plus Bevacizumab as First Line Chemotherapy for Elderly Patients With Stage IIIB/IV Non-Small Cell Lung Cancer [NCT00517595] | Phase 2 | 48 participants (Actual) | Interventional | 2007-08-31 | Completed |
Optimal Perioperative Therapy for Incidental Gallbladder Cancer (OPT-IN): A Randomized Phase II/III Trial [NCT04559139] | Phase 2/Phase 3 | 186 participants (Anticipated) | Interventional | 2021-02-24 | Recruiting |
A Multicenter Randomized Phase II Study to Determine the Optimal First-line Chemotherapy Regimen in Patients With Metastatic Pancreatic Cancer [NCT03487016] | Phase 2 | 270 participants (Actual) | Interventional | 2019-02-15 | Active, not recruiting |
Phase II Study of Panitumumab, Chemotherapy, and External Beam Radiation in Patients With Locally Advanced Pancreatic Cancer [NCT00601627] | Phase 2 | 52 participants (Actual) | Interventional | 2009-06-30 | Completed |
A Phase 1/2 Trial of Oral SRA737 (a Chk1 Inhibitor) Given in Combination With Gemcitabine Plus Cisplatin or Gemcitabine Alone in Subjects With Advanced Cancer [NCT02797977] | Phase 1/Phase 2 | 153 participants (Actual) | Interventional | 2016-07-31 | Completed |
A Phase 1b/2 Pilot Trial of Nab-Paclitaxel Plus Cisplatin Plus Gemcitabine (Nabplagem) in Patients With Previously Untreated Metastatic Pancreatic Ductal Adenocarcinoma (PDA) [NCT01893801] | Phase 1/Phase 2 | 25 participants (Actual) | Interventional | 2013-05-31 | Completed |
Phase II Trial of Paclitaxel Plus Gemcitabine in Patients With Advanced Urothelial Carcinoma With Renal Insufficiency [NCT00005644] | Phase 2 | 0 participants | Interventional | 2001-01-02 | Completed |
A Prospective, Single-arm, Exploratory Clinical Study of Sintilimab Injection in Combination With Paclitaxel (Albumin-bound) and Gemcitabine in Translational Therapy in Patients With Unresectable Locally Advanced Pancreatic Cancer. [NCT05346146] | Phase 2 | 20 participants (Anticipated) | Interventional | 2021-07-01 | Recruiting |
Phase 1 Study of Anti-HB-EGF Monoclonal Antibody KHK2866 as Monotherapy in Subjects With Advanced Solid Tumors and in Combination With Chemotherapy in Ovarian Cancer [NCT01279291] | Phase 1 | 22 participants (Actual) | Interventional | 2011-01-31 | Terminated(stopped due to The study was stopped due to the inability to determine an acceptable dose with the potential for further study) |
A Phase 2 Randomized, Double-Blind, Multicenter Trial of Amplimexon® Plus Gemcitabine Versus Gemcitabine Plus Placebo in Patients With Metastatic Chemotherapy Naïve Pancreatic Adenocarcinoma (Stage IV) [NCT00637247] | Phase 2 | 142 participants (Actual) | Interventional | 2008-04-30 | Completed |
Tissue Pharmacokinetics of Intraoperative Gemcitabine in Resectable Adenocarcinoma of the Pancreas [NCT01276613] | Early Phase 1 | 18 participants (Actual) | Interventional | 2011-01-31 | Terminated(stopped due to Per memo from study team) |
GCC 0319: Low Dose Upper Abdominal Radiation Therapy (LD-UART) + Gemcitabine in Patients With Advanced, Unresectable Pancreatic Cancer (PC) [NCT00390182] | Phase 1/Phase 2 | 38 participants (Actual) | Interventional | 2003-10-31 | Completed |
A Randomized, Open-Label, Phase 2 Trial of Gemcitabine With or Without Bavituximab in Patients With Previously Untreated Stage IV Pancreatic Cancer [NCT01272791] | Phase 2 | 70 participants (Actual) | Interventional | 2011-01-31 | Completed |
Phase I Study of Low-Dose Fractionated Radiotherapy as a Chemosensitizer for Gemcitabine and Erlotinib in Patients With Locally Advanced or Limited Metastatic Pancreatic Cancer [NCT00761345] | Phase 1 | 27 participants (Actual) | Interventional | 2008-09-30 | Completed |
A Randomized Phase I/II Open Label Study to Assess the Efficacy and Safety of ABTL0812 in Combination With Gemcitabine and Nab-paclitaxel in Patients With Advanced Metastatic Pancreatic Cancer at First Line Therapy [NCT03417921] | Phase 1/Phase 2 | 60 participants (Anticipated) | Interventional | 2021-04-26 | Suspended(stopped due to We opened another study.) |
Phase II Study of Gemcitabine and Intermittent Erlotinib in Advanced Pancreatic Cancer [NCT00810719] | Phase 2 | 30 participants (Actual) | Interventional | 2009-04-30 | Completed |
A Multi-Center Randomized Phase 2b Study of Cetuximab (Erbitux) in Combination With Platinum-Based Chemotherapy as First Line Treatment of Patients With Recurrent or Advanced Non-Small Cell Lung Cancer (NSCLC) [NCT00828841] | Phase 2 | 601 participants (Actual) | Interventional | 2008-12-31 | Completed |
Alimta Plus Gemcitabine as Chemotherapy for Patients With Advanced Sarcoma: A Phase II Clinical [NCT00860015] | Phase 2 | 12 participants (Actual) | Interventional | 2005-08-31 | Completed |
A Phase II Trial of Neoadjuvant Cisplatin, Gemcitabine and Sunitinib Malate Followed by Radical Cystectomy for Transitional Cell Carcinoma (TCC) of the Bladder: Hoosier Oncology Group GU07-123 [NCT00859339] | Phase 2 | 9 participants (Actual) | Interventional | 2009-03-31 | Terminated(stopped due to Patient Toxicities) |
A Phase II Study of Lenalidomide in Combination With Gemcitabine in Subjects With Untreated Advanced Carcinoma of the Pancreas [NCT00837031] | Phase 2 | 72 participants (Actual) | Interventional | 2009-02-28 | Completed |
A Pilot Protocol Evaluating Safety of Using the Medtronic Pump and Codman Catheter for the Delivery of Hepatic Arterial Infusion (HAI) Chemotherapy in Patients With Colorectal Carcinoma or Cholangiocarcinoma [NCT03693807] | Phase 2 | 35 participants (Actual) | Interventional | 2018-10-18 | Active, not recruiting |
A Phase II and Biomarker Study of Tivozanib With Gemcitabine Addition Upon Progression in Patients With Metastatic Refractory Renal Cell Carcinoma [NCT01834183] | Phase 2 | 0 participants (Actual) | Interventional | 2013-06-30 | Withdrawn(stopped due to Sponsor Aveo has withdrawn support for this trial.) |
Gemcitabine and Cisplatin With Erlotinib in Hepatocellular Carcinoma (HCC) and Biliary Tree Cancer (BTC) (Intra- and Extra-hepatic Cholangiocarcinoma, Bile Duct Cancer, Adenocarcinoma of the Ampulla of Vater and Gallbladder Carcinoma) [NCT00832637] | Phase 2 | 33 participants (Actual) | Interventional | 2007-08-31 | Terminated(stopped due to Low accrual) |
Efficacy and Safety of the Combination of Gemcitabine, Oxaliplatin, Sintilimab and Bevacizumab in Initially Unresectable Biliary Tract Cancer [NCT04984980] | Phase 2 | 37 participants (Actual) | Interventional | 2020-08-01 | Active, not recruiting |
ABX Combined With Cisplatin Compared With Gemcitabine Combined With Cisplatin in First Line Treatment of Locally Advanced or Metastatic Non-small Cell Lung Cancer Stage II Randomized Controlled Trials [NCT01810367] | Phase 2 | 84 participants (Actual) | Interventional | 2011-12-31 | Completed |
A Trial of Cabozantinib (XL184) and Gemcitabine in Advanced Pancreatic Cancer [NCT01663272] | Phase 1 | 12 participants (Actual) | Interventional | 2012-07-31 | Completed |
Nivolumab in Combination With Cisplatin and 5-Fluorouracil as Induction Therapy in Children and Adults With EBV-positive Nasopharyngeal Carcinoma [NCT06019130] | Phase 2 | 57 participants (Anticipated) | Interventional | 2023-01-10 | Recruiting |
Randomized Phase III Trial of Chemotherapy vs. Pembrolizumab Plus Chemotherapy for Relapsed/Refractory Classical Hodgkin Lymphoma [NCT05711628] | Phase 3 | 0 participants (Actual) | Interventional | 2023-08-10 | Withdrawn(stopped due to Other - Protocol moved to Withdrawn) |
Olaparib Combined With High-Dose Chemotherapy for Refractory Lymphomas [NCT03259503] | Phase 1 | 50 participants (Actual) | Interventional | 2019-09-13 | Active, not recruiting |
A Japanese Single Center, Open-label, Phase I Trial of TH-302 Given Intravenously to Subjects With Solid Tumors as Monotherapy or to Subjects With Advanced Pancreatic Cancer in Combination With Gemcitabine [NCT01833546] | Phase 1 | 20 participants (Actual) | Interventional | 2013-04-18 | Completed |
Study to Investigate Outcome of Individualized Treatment Based on Pharmacogenomic Profiling & Ex Vivo Drug Sensitivity Testing of Patient-derived Organoids in Patients With Metastatic Colorectal Cancer [NCT05725200] | Phase 2 | 40 participants (Anticipated) | Interventional | 2022-09-27 | Recruiting |
BrUOG 300: Neoadjuvant Gemcitabine and Fractionated, Weekly Cisplatin For Muscle Invasive Bladder Cancer and Patients Not Candidates For High Dose Cisplatin [NCT02030574] | Phase 2 | 2 participants (Actual) | Interventional | 2014-07-31 | Terminated(stopped due to The study is being closed to accrual secondary to low accrual and an interest in opening up a different trial.) |
Nimotuzumab Combined With Induction Chemotherapy Plus Chemoradiation and Adjuvant Therapy in Locoregionally Advanced Nasopharyngeal Carcinoma [NCT05717790] | | 288 participants (Anticipated) | Interventional | 2022-12-01 | Recruiting |
A Phase 1 / 2 Study of CAN04, a Fully Humanized Monoclonal Antibody Against IL1RAP, in Combination With Different Chemotherapy Regimens in Subjects With Advanced Solid Tumours [NCT05116891] | Phase 1/Phase 2 | 40 participants (Actual) | Interventional | 2021-09-22 | Completed |
Antiangiogenic Therapy or Chemotherapy Combined With PD-1 Inhibitor Versus Standard Chemotherapy for PD-1 Inhibitor Refractory R/M NPC [NCT05549466] | Phase 2 | 84 participants (Anticipated) | Interventional | 2022-10-08 | Recruiting |
A Phase Ib/II Study of Sotorasib Combined With Chemotherapy for Second Line Treatment of KRAS p. G12C Mutated Advanced Pancreatic Cancer [NCT05251038] | Phase 1/Phase 2 | 0 participants (Actual) | Interventional | 2022-09-13 | Withdrawn(stopped due to Funder Decision) |
Phase II Trial of Paclitaxel Plus Gemcitabine and Cisplatin in Urothelial Cancer [NCT02560038] | Phase 2 | 3 participants (Actual) | Interventional | 2015-10-31 | Terminated(stopped due to slow enrollment; resource re-allocation) |
An Open-Label, Single Center, Nonrandomized, Phase 1 Study to Evaluate Safety and Efficacy of Using the Combination Treatment of SHR-1210, Gemcitabine and Cis-platinum by Recurrent and Metastatic NPC [NCT03121716] | Phase 1 | 23 participants (Actual) | Interventional | 2017-04-26 | Completed |
Randomized Phase II Study Evaluating the Efficacy of Gemcitabine Versus the Gemcitabine/Docetaxel Combination as Second Line Treatment in Metastatic or Relapsed and Inoperable Uterine or Soft Tissue Leiomyosarcomas [NCT00227669] | Phase 2 | 90 participants (Actual) | Interventional | 2005-10-31 | Completed |
Phase II Trial of Weekly Gemcitabine and Herceptin in the Treatment of Patients With HER-2 Overexpressing Metastatic Breast Cancer [NCT00193063] | Phase 2 | 41 participants (Actual) | Interventional | 2001-07-31 | Completed |
Randomized Phase II Study of Biweekly Gemcitabine-Paclitaxel, Biweekly Gemcitabine-Carboplatin and Biweekly Gemcitabine-Cisplatin as First-Line Treatment in Metastatic Breast Cancer After Anthracycline Failure [NCT00191854] | Phase 2 | 147 participants (Actual) | Interventional | 2005-03-31 | Completed |
Phase II Study of Gemcitabine Plus Cisplatin as First-line Treatment of Metastatic Breast Cancer [NCT00191815] | Phase 2 | 70 participants (Actual) | Interventional | 2002-10-31 | Completed |
A Multicenter Study of LY188011 in Anthracyclines and Taxanes Pre-treated Metastatic/Recurrent Breast Cancer [NCT00191269] | Phase 2 | 68 participants (Actual) | Interventional | 2005-06-30 | Completed |
Randomized Trial of Gemcitabine Plus Docetaxel vs. Docetaxel Plus Capecitabine in Metastatic Breast Cancer in 1st and 2nd [NCT00191152] | Phase 3 | 475 participants (Actual) | Interventional | 2002-02-28 | Completed |
Prospective Phase II Randomized Trial-Weekly Gemcitabine Plus High-Dose 5-Fluorouracil/ Leucovorin in the Treatment of Advanced or Metastatic Carcinoma of the Biliary Tract [NCT00201305] | Phase 2 | 50 participants | Interventional | 2002-07-31 | Completed |
A Two-Part Phase I Study of the Addition of Oxaliplatin to Gemcitabine, and Then Erlotinib Plus Oxaliplatin to Gemcitabine as Radiosensitizers for Pancreatic and Biliary Adenocarcinoma [NCT00266097] | Phase 1 | 23 participants (Actual) | Interventional | 2004-08-31 | Completed |
A Phase I-II Dose Finding and Early Efficacy Study of Combination Therapy With Erlotinib (Tarceva), Gemcitabine, Bevacizumab (Avastin), and Capecitabine in Advanced Pancreatic Cancer [NCT00260364] | Phase 1/Phase 2 | 44 participants (Actual) | Interventional | 2005-11-30 | Completed |
Master Protocol for Mantle Cell Lymphoma A Multicenter Phase II Trial Testing Gemcitabine for the Treatment of Patients With Newly Diagnosed, Relapsed or Chemotherapy Resistant Mantle Cell Lymphoma [NCT00234026] | Phase 2 | 0 participants | Interventional | 2005-06-30 | Completed |
A Trial to Evaluate ZD1839 (IRESSA) in Combination With Radiotherapy & Gemcitabine as First-Line Treatment in Patients With Locally Advanced Pancreatic Cancer [NCT00234416] | Phase 1/Phase 2 | 45 participants | Interventional | 2002-08-31 | Completed |
Predicting Response and Toxicity in Patients Receiving Chemotherapy for Breast Cancer: A Multicenter Genomic, Proteomic and Pharmacogenomic Correlative Study: Hoosier Oncology Group COE-01 [NCT00235235] | | 80 participants (Actual) | Observational | 2005-09-30 | Terminated(stopped due to Funding terminated) |
A Randomized Phase 2 Trial of Cisplatin/Gemcitabine With or Without M6620 (VX-970) in Metastatic Urothelial Carcinoma [NCT02567409] | Phase 2 | 87 participants (Actual) | Interventional | 2016-08-19 | Active, not recruiting |
A Randomized Phase III Trial of Leukine® vs Neupogen® in Patients Receiving Cisplatin and Gemcitabine for Regionally Advanced or Metastatic Urothelial Cancer [NCT00237575] | Phase 3 | 100 participants | Interventional | 2005-11-30 | Terminated |
A Phase II Trial of Cetuximab, Radiotherapy and Twice Weekly Gemcitabine in Patients With Adenocarcinoma of the Pancreas [NCT00225784] | Phase 2 | 37 participants (Actual) | Interventional | 2005-02-28 | Completed |
An Open Randomised Phase II Study Of Gemcitabine Plus Cisplatin +/- Concomitant or Sequential ZD1839 in Patients With Advanced or Metastatic Transitional Cell Carcinoma of the Urothelium [NCT00246974] | Phase 2 | 125 participants (Anticipated) | Interventional | 2003-05-31 | Completed |
A Phase II Study of Taxotere and Gemcitabine for Stages III-B and IV Non-Small Cell Lung Cancer [NCT00278460] | Phase 2 | 49 participants (Actual) | Interventional | 2000-11-30 | Completed |
A Pilot Study of Rituximab in Combination With Out-patient Based VGF/F-GIV Salvage Therapies for Relapsed/Refractory CD20+ Lymphomas [NCT00280878] | Phase 2 | 12 participants (Anticipated) | Interventional | 2006-01-31 | Completed |
Phase II Randomized Study of Surgical Resection and Adjuvant Gemcitabine Hydrochloride With Versus Without Bevacizumab in Patients With Adenocarcinoma of the Pancreas [NCT00253526] | Phase 2 | 0 participants (Actual) | Interventional | | Withdrawn |
Phase II Trial of Novasoy®, Gemcitabine, and Erlotinib in Locally Advanced or Metastatic Pancreatic Cancer [NCT00376948] | Phase 2 | 20 participants (Actual) | Interventional | 2005-05-31 | Completed |
Phase I/II Trial of OSI-906 in Combination With Gemcitabine and Erlotinib in Patients With Metastatic Ductal Adenocarcinoma of the Pancreas [NCT01600807] | Phase 1/Phase 2 | 0 participants (Actual) | Interventional | | Withdrawn(stopped due to Study was pending major changes and was on hold, pending activation; administratively withdrawn; will be submitted as a new protocol if study is revised.) |
A Randomized Phase II Study of Weekly Docetaxel Plus Cisplatin Followed by Gemcitabine vs. Gemcitabine Plus Cisplatin Followed by Weekly Docetaxel in the Treatment of Advanced Non-Small Cell Lung Cancer [NCT00270582] | Phase 2 | 58 participants (Anticipated) | Interventional | 2005-11-30 | Recruiting |
A Phase I Study of Chemoradiotherapy Using Gemcitabine Plus Nab-paclitaxel for Unresectable Locally Advanced Pancreatic Adenocarcinoma [NCT02272738] | Phase 1 | 54 participants (Actual) | Interventional | 2013-08-31 | Completed |
Randomized Phase II Trial of Two Sequential Schedules of Docetaxel and Cisplatin Followed by Gemcitabine in Patients With Advanced Non-small-cell Lung Cancer. [NCT00424853] | Phase 2 | 88 participants (Actual) | Interventional | 2005-05-31 | Completed |
Gemcitabine, Alone or in Combination With Cisplatin, in Patients With Advanced or Metastatic Cholangiocarcinomas and Other Biliary Tract Tumors: A Multicentre, Randomized Phase III Study [NCT00262769] | Phase 3 | 324 participants (Actual) | Interventional | 2005-05-31 | Completed |
An Intention-to-Treat Study of Salvage Chemotherapy Followed by Allogeneic Hematopoietic Stem Cell Transplant for the Treatment of High-Risk or Relapsed Hodgkin Lymphoma [NCT00574496] | Phase 2 | 25 participants (Actual) | Interventional | 2007-11-13 | Completed |
Phase II Clinical Trial With the Combination Gemcitabine, Oxaliplatin and Vinorelbine as First Line Treatment in Patients With Non-small Cell Bronchopulmonary Cancer [NCT00271271] | Phase 2 | 40 participants | Interventional | 2003-06-30 | Completed |
Non Resectable But Non Metastatic Adenocarcinoma of the Exocrine Pancreas Non Resecables. Randomised Phase III: Initial Radiochimiotherapy (5-FU, Cisplatine, 60 GY Radiotherapy) Followed by Gemcitabine Versus Gemcitabine Alone [NCT00416507] | Phase 3 | 190 participants (Anticipated) | Interventional | 2000-03-31 | Completed |
Multicenter Phase II Study Evaluating Gemcitabine and Oxaliplatin in the Treatment of Patients Suffering From Metastatic Breast Cancer Who Are Not Candidates For Treatment With Antracyclines and Taxanes [NCT00274859] | Phase 2 | 45 participants (Anticipated) | Interventional | 2005-08-31 | Active, not recruiting |
A Phase II Trial of Gemzar (Gemcitabine), Taxol (Paclitaxel), and Platinol (Cisplatin) (GTP) in Treatment of Advanced Transitional Cell Carcinoma of the Urothelium [NCT00310011] | Phase 2 | 71 participants (Anticipated) | Interventional | 1998-06-30 | Completed |
Phase I/II Study of Gleevec (Imatinib Mesylate, Formerly Known as STI571) and Gemcitabine for Advanced Pancreas Cancer [NCT00281996] | Phase 1 | 19 participants (Actual) | Interventional | 2005-03-31 | Terminated(stopped due to Closed to accrual to allow enrollment on another more promising trial.) |
A Phase Ib/II Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of JS015 Combination Therapy in Patients With Advanced Solid Tumors [NCT06139211] | Phase 1/Phase 2 | 186 participants (Anticipated) | Interventional | 2023-11-30 | Not yet recruiting |
A Phase I Study to Evaluate the Safety and Efficacy of RP72 Monotherapy and in Combination With Gemcitabine in Patients With Pancreatic Cancer [NCT04338763] | Phase 1 | 48 participants (Anticipated) | Interventional | 2021-04-19 | Recruiting |
Phase 3 Study of Sacituzumab Govitecan (IMMU-132) Versus Treatment of Physician's Choice (TPC) in Subjects With Hormonal Receptor-Positive (HR+) Human Epidermal Growth Factor Receptor 2 (HER2) Negative Metastatic Breast Cancer (MBC) Who Have Failed at Lea [NCT03901339] | Phase 3 | 543 participants (Actual) | Interventional | 2019-05-08 | Completed |
A Phase 1b, Multicenter Study to Determine the Dose, Safety, Efficacy and Pharmacokinetics of TRK-950 When Used in Combinations With Selected Anti-Cancer Treatment Regimens in Patients With Selected Advanced Solid Tumors [NCT03872947] | Phase 1 | 169 participants (Anticipated) | Interventional | 2019-04-26 | Recruiting |
A Phase 1b/2 Study of FT-2102 in Patients With Advanced Solid Tumors and Gliomas With an IDH1 Mutation [NCT03684811] | Phase 1/Phase 2 | 93 participants (Actual) | Interventional | 2018-11-01 | Completed |
A Phase 1/2 Study of Gemcitabine and Docetaxel in Combination With Hydroxychloroquine (Autophagy Inhibitor) in Patients With Recurrent Osteosarcoma [NCT03598595] | Phase 1/Phase 2 | 31 participants (Actual) | Interventional | 2019-01-28 | Active, not recruiting |
Chemotherapy and Irreversible Electroporation (IRE) in the Treatment of Advanced Pancreatic Adenocarcinoma [NCT03484299] | Phase 1 | 20 participants (Anticipated) | Interventional | 2018-05-30 | Recruiting |
A Phase 3, Randomized, Study of Neoadjuvant Chemotherapy Alone Versus Neoadjuvant Chemotherapy Plus Nivolumab or Nivolumab and BMS-986205, Followed by Continued Post- Surgery Therapy With Nivolumab or Nivolumab and BMS-986205 in Participants With Muscle- [NCT03661320] | Phase 3 | 861 participants (Anticipated) | Interventional | 2018-11-06 | Active, not recruiting |
A Phase Ib, Open-Label, Sequential, Dose-Finding, Study of AMG 706 in Combination With Gemcitabine to Treat Subjects With Solid Tumors [NCT00324597] | Phase 1 | 18 participants (Anticipated) | Interventional | 2005-10-31 | Active, not recruiting |
A Phase I Study of a Prolonged Infusion of Triapine in Combination With a Fixed Dose Rate of Gemcitabine in Patients With Advanced Solid Tumors and Lymphomas [NCT00293345] | Phase 1 | 30 participants (Actual) | Interventional | 2006-06-30 | Completed |
A Phase 1 Trial of Amplimexon® (Imexon, Inj.) Plus Gemcitabine in Advanced, Previously Untreated Pancreatic Adenocarcinoma [NCT00327327] | Phase 1 | 105 participants (Actual) | Interventional | 2004-02-29 | Completed |
Phase III Study of Monotherapy by Gemcitabine or Vinorelbine Comparing to Doublet by Carboplatin and Paclitaxel Among Elderly Patients With Stage IIIB/IV NSCLC (Obligatory Second-line by Erlotinib) [NCT00298415] | Phase 3 | 451 participants (Actual) | Interventional | 2006-03-31 | Completed |
A Phase 2 Double-Blind, Placebo Controlled, Multi-center Adjuvant Trial of the Efficacy, Immunogenicity, and Safety of GI-4000; an Inactivated Recombinant Saccharomyces Cerevisiae Expressing Mutant Ras Protein Combined With a Gemcitabine Regimen Versus a [NCT00300950] | Phase 2 | 176 participants (Actual) | Interventional | 2006-01-31 | Completed |
[NCT00301301] | | 39 participants | Observational | | Completed |
Essai Randomise Comparant Deux Stategies De Chimiotherapie Dans Les Cancers Pancreatiques Avances: LV5FU2 Simplifie + Cisplatine Suivi de Gemcitabine, Versus Gemcitabine Suivi de LV5FU2 Simplifie + Cisplatine en Can de Progression [NCT00303758] | Phase 3 | 202 participants (Actual) | Interventional | 2005-10-31 | Completed |
Randomized Phase III Trial of Neoadjuvant Chemotherapy Followed by Surgery Plus Adjuvant Chemotherapy Versus Surgery Plus Adjuvant Chemotherapy in Stage IB, IIA, IIB and T3N1 Non-small Cell Lung Cancer (ICON) [NCT00329472] | Phase 3 | 0 participants (Actual) | Interventional | 2006-04-30 | Withdrawn(stopped due to poor enrollment) |
Phase II Study of Oxaliplatin in Combination With Gemcitabine for 2 Line Treatment of NSCLC Patients With Advanced and Metastatic Disease [NCT00305786] | Phase 2 | 30 participants (Actual) | Interventional | 2005-08-31 | Completed |
A Phase II Study of Weekly Paclitaxel and Gemcitabine as Second-line Therapy in Patients With Metastatic or Recurrence Small Cell Lung Cancer [NCT00453167] | Phase 2 | 35 participants (Actual) | Interventional | 2005-12-31 | Completed |
A Phase II Pilot Study of Preoperative Gemcitabine and Bevacizumab-Based Chemoradiation for Patients With Resectable Adenocarcinoma of the Pancreas [NCT00336648] | Phase 2 | 11 participants (Actual) | Interventional | 2006-06-30 | Completed |
A Multicenter Randomized Phase II Trial in NSCLC Stage IV et IIIB in Elderly Dependent Patients With Evaluation of the Sequence Gemcitabine First Line Followed by Erlotinib When Progression Versus Erlotinib First Line Followed by Gemcitabine When Progress [NCT00419042] | | 100 participants (Actual) | Observational | 2006-07-31 | Completed |
A Phase I/II Study Of Gemcitabine And Bendamustine In Patients With Relapsed Or Refractory Hodgkin's Lymphoma [NCT01535924] | Phase 1/Phase 2 | 26 participants (Actual) | Interventional | 2012-02-09 | Completed |
A Multicenter, Open Phase Ib Study of the Safety and Efficacy of BEBT-908 Combined With Drugs in the Treatment of Relapsed/Refractory Diffuse Large B-Cell Lymphoma [NCT06164327] | Phase 1 | 75 participants (Anticipated) | Interventional | 2023-12-01 | Recruiting |
Evaluation of Concomitant Chemo-radiotherapy With Cisplatin vs Gemcitabine as the First Line of Treatment in Patients With Locally Advanced Cervical Cancer, With Comorbidities and Preserved Renal Function, is a Phase III Clinical Trial. [NCT06156514] | Phase 3 | 140 participants (Anticipated) | Interventional | 2019-11-06 | Recruiting |
A Phase II Trial of Durvalumab With Gemcitabine and Cisplatin as Neoadjuvant Therapy for High-Risk Resectable Intrahepatic Cholangiocarcinoma [NCT06050252] | Phase 2 | 27 participants (Anticipated) | Interventional | 2024-02-16 | Not yet recruiting |
A Randomized Phase II Study of Nivolumab Versus Nivolumab and BMS-986016 (Relatlimab) as Maintenance Treatment After First-Line Treatment With Platinum-Gemcitabine-Nivolumab for Patients With Epstein-Barr Virus-Associated Recurrent/Metastatic Nasopharynge [NCT06029270] | Phase 2 | 156 participants (Anticipated) | Interventional | 2024-02-16 | Not yet recruiting |
A Randomized Controlled Multi-center Clinical Trial on Treatment of Stage I/II NK/T Cell Lymphoma With DDGP Regiment (Gemcitabine,Pegaspargase,Cisplatin,Dexamethasone) [NCT01501136] | Phase 4 | 200 participants (Anticipated) | Interventional | 2011-01-31 | Recruiting |
A Randomized Controlled Multi-center Clinical Trial on Treatment of Stage Ⅲ/Ⅳ NK/T Cell Lymphoma With DDGP Regiment (Gemcitabine,Pegaspargase,Cisplatin,Dexamethasone) [NCT01501149] | Phase 4 | 80 participants (Anticipated) | Interventional | 2011-01-31 | Recruiting |
Phase 2 Study of GEMOX-T in Previously Untreated Patients With Advanced Pancreatic Cancer [NCT01505413] | Phase 2 | 33 participants (Actual) | Interventional | 2011-01-31 | Completed |
[NCT01509911] | Phase 2 | 99 participants (Actual) | Interventional | 2012-01-31 | Active, not recruiting |
A Ph Ib Study of Fractionated 90Y-hPAM4 Plus Gemcitabine in Pancreatic Cancer Patients Receiving at Least 2 Prior Therapies. [NCT01510561] | Phase 1 | 0 participants (Actual) | Interventional | 2012-03-31 | Withdrawn(stopped due to no subjects enrolled) |
Intrahepatic and Systemic Chemotherapy Together With Antibody to Patients With Non-resectable Liver Metastases From Solid Tumors [NCT01511146] | Phase 2 | 100 participants (Anticipated) | Interventional | 2011-07-31 | Recruiting |
An Open-label Randomized Phase II Trial of Gemcitabine and Cisplatin With or Without Bevacizumab in EGFR Wild-type Non-squamous Non-small-cell Lung Cancer Patients [NCT01623102] | Phase 2 | 40 participants (Anticipated) | Interventional | 2013-02-28 | Recruiting |
Phase I/II BNC105P Combination Study in Partially Platinum Sensitive Ovarian Cancer Patients in First or Second Relapse [NCT01624493] | Phase 1/Phase 2 | 0 participants (Actual) | Interventional | 2012-10-31 | Withdrawn(stopped due to Phase I was conducted Australia. Phase II not conducted and no US pts enrolled.) |
A Phase Ib/II Study of ALT-801 in Patients With Bacillus Calmette-Guerin (BCG) Failure Non-muscle Invasive Bladder Cancer [NCT01625260] | Phase 1/Phase 2 | 52 participants (Anticipated) | Interventional | 2012-04-30 | Active, not recruiting |
Clofarabine, Gemcitabine, and Busulfan Followed by Allogeneic Stem Cell Transplantation for Chronic Lymphocytic Leukemia (CLL) [NCT01629511] | Phase 1/Phase 2 | 15 participants (Actual) | Interventional | 2012-11-21 | Terminated |
Phase III Study Evaluating Two Strategies of Maintenance, One With Pemetrexed in Continuous Strategy and One According to the Response of Induction Chemotherapy, in Non Squamous Non Small Cell Lung Cancer of Advanced Stage [NCT01631136] | Phase 3 | 932 participants (Actual) | Interventional | 2012-07-31 | Completed |
Phase II/III Study of Chemotherapy Combination With Autologous Cytokine-Induced Killer Cell Immunotherapy in Stage IIIb-IV Squamous Non-Small-Cell Lung Cancer [NCT01631357] | Phase 2/Phase 3 | 96 participants (Actual) | Interventional | 2014-12-31 | Completed |
A Phase II, Open-Label Trial of Bortezomib (VELCADE®) in Combination With Gemcitabine and Cisplatin in Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer [NCT01633645] | Phase 2 | 53 participants (Actual) | Interventional | 2009-06-30 | Completed |
Randomized Phase II Trial Of Adjuvant Chemotherapy For Urothelial Carcinoma Comparing GC To Dose-Dense MVAC [NCT01639521] | Phase 2 | 0 participants (Actual) | Interventional | 2013-05-31 | Withdrawn(stopped due to Lack of funding) |
A Phase 1 Study of Carboplatin and Gemcitabine Chemotherapy and Stereotactic Body Radiosurgery for the Palliative Treatment of Persistent or Recurrent Gynecologic Cancer [NCT01652794] | Phase 1 | 12 participants (Actual) | Interventional | 2012-05-31 | Completed |
Randomized Phase II Trial Using Concomitant Chemoradiation Plus Induction or Consolidation Chemotherapy for Unresectable Stage III Non-small Cell Lung Cancer Patients [NCT01652820] | Phase 2 | 140 participants (Actual) | Interventional | 2001-10-31 | Completed |
Autologous Cytokine-Induced Killer Cell Transfusion in Combination With Gemcitabine Plus Cisplatin Regimen Chemotherapy for Metastatic Nasopharyngeal Carcinoma [NCT01655628] | Phase 2 | 40 participants (Anticipated) | Interventional | 2012-07-31 | Recruiting |
A Phase I/II Study of MK-3475 With Gemcitabine in Patients With Previously-Treated Advanced Non-small Cell Lung Cancer (NSCLC) [NCT02422381] | Phase 1/Phase 2 | 16 participants (Actual) | Interventional | 2015-07-20 | Active, not recruiting |
A Single-armed Multicenter Phase Ib / II Study of HX008 (a Recombinant Humanized Anti-PD-1 Monoclonal Antibody) Combined With GP Regimen as the First-line Treatment in Patients With Metastatic Triple Negative Breast Cancer [NCT04750382] | Phase 1/Phase 2 | 31 participants (Actual) | Interventional | 2019-07-15 | Active, not recruiting |
A Prospective, Single-arm, Open-label, Phase 2 Study to Evaluate Efficacy and Safety of R-GemOx Regimen as First-line Treatment in Elderly Patients With Diffuse Large B-cell Lymphoma (DLBCL). [NCT01670370] | Phase 2 | 60 participants (Anticipated) | Interventional | 2012-08-31 | Active, not recruiting |
Treatment of Pancreatic Adenocarcinoma by Combining Contrast Agent and Gemitabine Under Sonification [NCT01674556] | Phase 1 | 25 participants (Actual) | Interventional | 2012-02-29 | Completed |
A Phase 1 Clinical Trial of CEND-1 in Combination With Nabpaclitaxel and Gemcitabine in Metastatic Exocrine Pancreatic Cancer [NCT03517176] | Phase 1 | 30 participants (Actual) | Interventional | 2018-07-31 | Completed |
A Multicenter, Phase I/II Study of Sequential Epigenetic and Immune Targeting in Combination With Nab-Paclitaxel/Gemcitabine in Patients With Advanced Pancreatic Ductal Adenocarcinoma. [NCT04257448] | Phase 1/Phase 2 | 75 participants (Anticipated) | Interventional | 2020-05-25 | Active, not recruiting |
A Phase 1, Open-label, Dose-escalation Study of SEA-CD40 in Adult Patients With Advanced Malignancies [NCT02376699] | Phase 1 | 159 participants (Actual) | Interventional | 2015-02-28 | Terminated(stopped due to Study closed due to portfolio prioritization) |
Phase I Study of Gemcitabine (Gemzar) and UFT/Leucovorin [NCT00003925] | Phase 1 | 36 participants (Anticipated) | Interventional | 1998-05-31 | Completed |
Downstaging of Unresectable Intrahepatic or Hilar Cholangiocellular Carcinoma by Selective Intra-arterial Floxuridine and Systemic Cisplatin and Gemcitabine. A Dose Finding Single Center Phase IIa Study [NCT01692704] | Phase 1/Phase 2 | 12 participants (Actual) | Interventional | 2012-04-30 | Completed |
Gemcitabine/Abraxane Chemotherapy and Dose Escalated Radiotherapy for Locally Advanced, Unresectable Pancreatic Cancer [NCT01693276] | Phase 1/Phase 2 | 3 participants (Actual) | Interventional | 2012-09-30 | Terminated(stopped due to Slow accrual) |
A Phase II Study of S-1 in Combination With Gemcitabine and Erlotinib in Patients With Advanced or Metastatic Pancreatic Cancer [NCT01693419] | Phase 2 | 37 participants (Actual) | Interventional | 2011-08-31 | Completed |
A Multi-institutional Open Label, Trial Evaluating the Efficacy of Gemcitabine and Docetaxel in Patients With Relapsed or Refractory Metastatic Colorectal Adenocarcinoma With Methylated CHFR and/or Microsatellite Instability Phenotype [NCT01639131] | Phase 2 | 6 participants (Actual) | Interventional | 2012-09-10 | Terminated |
A Phase 2 Multi-Center Randomized Trial to Assess Early Intervention With Adjuvant Nivolumab in Non-Small Cell Lung Cancer Participants With ctDNA-detected Minimal Residual Disease After Surgical Resection [NCT03770299] | Phase 2 | 0 participants (Actual) | Interventional | 2021-01-15 | Withdrawn(stopped due to Business objectives have changed) |
Phase 2 Study of the Safety, Efficacy, and Pharmacokinetics of G1T28 in Patients With Metastatic Triple Negative Breast Cancer Receiving Gemcitabine and Carboplatin Chemotherapy [NCT02978716] | Phase 2 | 102 participants (Actual) | Interventional | 2017-02-02 | Terminated(stopped due to Primary Analysis and survival follow up completed per protocol. Not stopped due to safety concerns) |
A Phase II Study of Pembrolizumab With Cisplatin and Gemcitabine Treatment in Patients With Recurrent Platinum-resistant Ovarian Cancer [NCT02608684] | Phase 2 | 21 participants (Actual) | Interventional | 2016-02-08 | Completed |
A Phase 3 Study to Evaluate the Efficacy and Safety of 250 µg G17DT or 1000 µg/m^2 Gemcitabine in Subjects With Advanced Pancreatic Cancer [NCT03200821] | Phase 3 | 103 participants (Actual) | Interventional | 2000-08-14 | Completed |
The Impact of Intravesical Gemcitabine and 1/3 Dose Bacillus-Calmette Guerin (BCG) Instillation Therapy on the Quality of Life in Non-muscle-invasive Bladder Cancer (NMIBC) Patients: Results of a Prospective, Randomised Phase II Trial. [NCT01697306] | Phase 2 | 120 participants (Actual) | Interventional | 2006-09-30 | Completed |
A MULTICENTER, OPEN-LABEL PHASE IB STUDY OF RO5083945 IN COMBINATION WITH CISPLATIN AND GEMCITABINE OR CARBOPLATIN AND PACLITAXEL IN PATIENTS WITH ADVANCED OR RECURRENT NON SMALL CELL LUNG CANCER OF SQUAMOUS HISTOLOGY WHO HAVE NOT RECEIVED PRIOR CHEMOTHER [NCT01702714] | Phase 1 | 0 participants (Actual) | Interventional | 2014-07-31 | Withdrawn(stopped due to Project Team decision) |
Phase II Individualized Therapies Selection Study for Patients With Metastatic Colorectal Carcinoma According to the Genomic Expression Profile in Tumor Samples. [NCT01703910] | Phase 2 | 29 participants (Actual) | Interventional | 2012-11-30 | Completed |
Effect of Intravesical B.C.G and Gemcitabine on Semen Quality and Testicular Volume in Patients With Non-muscle Invasive Bladder Cancer Patients [NCT05701332] | Phase 4 | 25 participants (Anticipated) | Interventional | 2023-04-01 | Not yet recruiting |
Randomized Phase 2 Trial of Gemcitabine + Carboplatin + Nivolumab Versus Gemcitabine + Oxaliplatin + Nivolumab in Cisplatin-ineligible Patients With Metastatic Urothelial Cancer [NCT03451331] | Phase 2 | 48 participants (Actual) | Interventional | 2018-05-10 | Active, not recruiting |
Evaluation of Tumoral Perfusion Modification by Dynamic Imaging After Neoadjuvant Chemotherapy Combining Gemcitabine and a Hedgehog Inhibitor (Vismodegib) in Patients With Resectable Pancreatic Adenocarcinoma [NCT01713218] | Early Phase 1 | 21 participants (Anticipated) | Interventional | 2012-12-31 | Not yet recruiting |
A Phase I Study of Adjuvant Chemotherapy With Gemcitabine Plus S-1 in Patients With Biliary Tract Cancer Undergoing Curative Resection Without Major Hepatectomy [NCT01713387] | Phase 1 | 38 participants (Actual) | Interventional | 2012-04-30 | Completed |
A Phase I-II Evaluation of the Safety and Efficacy of the Oral HSP90 Inhibitor Debio 0932 in Combination With Standard of Care in first-and Second-line Therapy of Patients With Stage IIIb or IV Non-small Cell Lung Cancer-the HALO Study (HSP90 Inhibition A [NCT01714037] | Phase 1 | 82 participants (Actual) | Interventional | 2012-08-31 | Terminated |
Evaluation of Tumoral Perfusion Modification by Dynamic Imaging After Chemotherapy Combining Gemcitabine and Nab-paclitaxel (Abraxane) in Patients With Potentially Operable, Locally Advanced or Metastatic Pancreatic Adenocarcinoma [NCT01715142] | Early Phase 1 | 23 participants (Actual) | Interventional | 2013-03-21 | Completed |
Phase I/II Study of the Combination of Docetaxel, Gemcitabine and Pazopanib for Neoadjuvant Treatment of Patients With Operable Soft Tissue Sarcoma [NCT01719302] | Phase 1/Phase 2 | 6 participants (Actual) | Interventional | 2012-10-31 | Completed |
CHEMO-T: Cyclophosphamide, Doxorubicin, Vincristine and Prednisolone (CHOP) Versus Gemcitabine, Cisplatin and Methyl Prednisolone (GEM-P) in the First Line Treatment Of T-cell Lymphoma,a Multicentre Randomised Phase II Study [NCT01719835] | Phase 2 | 87 participants (Actual) | Interventional | 2012-03-31 | Active, not recruiting |
A Phase I-II Study of PAXG in Stage III-IV Pancreatic Adenocarcinoma [NCT01730222] | Phase 1/Phase 2 | 137 participants (Actual) | Interventional | 2012-11-30 | Completed |
Adjuvant Post-radical Cystectomy Treatment for Bladder Cancer [NCT01734798] | Phase 3 | 198 participants (Actual) | Interventional | 2002-12-31 | Completed |
RT-054: A Phase I Study of Neoadjuvant Hypofractionated Chemoradiation Plus Radiosurgical Boost for Patients With Borderline Resectable and Locally Advanced Unresectable Pancreatic Cancer [NCT01739439] | Phase 1 | 6 participants (Actual) | Interventional | 2013-05-31 | Terminated(stopped due to Slow accrual) |
A 3-Arm Phase 2 Double-Blind Randomized Study of Gemcitabine, Abraxane® Plus Placebo Versus Gemcitabine, Abraxane® Plus 1 or 2 Truncated Courses of Demcizumab in Subjects With 1st-Line Metastatic Pancreatic Ductal Adenocarcinoma [NCT02289898] | Phase 2 | 207 participants (Actual) | Interventional | 2015-04-20 | Completed |
Study of Gemcitabine, Cisplatin, Quemliclustat (AB680) and Zimberelimab (AB122) During First Line Treatment of Advanced Biliary Tract Cancers (BTC). [NCT06048133] | Phase 2 | 39 participants (Anticipated) | Interventional | 2023-12-31 | Recruiting |
A Single-arm, Phase II Clinical Trial to Treat Muscle-invasive Bladder Cancer With Induction Chemotherapy Plus Anti-PD-1 Therapy Followed by Radiotherapy Plus Concurrent Anti-PD-1 Therapy [NCT05975307] | Phase 2 | 64 participants (Anticipated) | Interventional | 2023-12-01 | Recruiting |
A Multi-Institution Study of TGFβ Imprinted, Ex Vivo Expanded Universal Donor NK Cell Infusions as Adoptive Immunotherapy in Combination With Gemcitabine and Docetaxel in Patients With Relapsed or Refractory Pediatric Bone and Soft Tissue [NCT05634369] | Phase 1/Phase 2 | 50 participants (Anticipated) | Interventional | 2022-11-14 | Recruiting |
A Randomized Phase II Trial Evaluating Chemotherapy Plus Atezolizumab vs Chemotherapy Plus Bevacizumab and Atezolizumab in Advanced Combined Hepatocellular Carcinoma-Cholangiocarcinoma [NCT05211323] | Phase 2 | 88 participants (Anticipated) | Interventional | 2022-12-07 | Recruiting |
Phase 1/2 Study of 9-ING-41, a Glycogen Synthase Kinase-3 Beta (GSK-3β) Inhibitor, as a Single Agent and Combined With Chemotherapy, in Patients With Refractory Hematologic Malignancies or Solid Tumors [NCT03678883] | Phase 2 | 350 participants (Anticipated) | Interventional | 2019-01-04 | Recruiting |
Vitamin D Receptor Agonist Paricalcitol Plus Gemcitabine and Nab-paclitaxel in Patients With Metastatic Pancreatic Cancer [NCT03520790] | Phase 1/Phase 2 | 36 participants (Actual) | Interventional | 2018-12-05 | Active, not recruiting |
A Phase 1b/2 Trial of Hu5F9-G4 in Combination With Rituximab or Rituximab + Chemotherapy in Patients With Relapsed/Refractory B-cell Non-Hodgkin's Lymphoma [NCT02953509] | Phase 1/Phase 2 | 178 participants (Actual) | Interventional | 2016-11-21 | Active, not recruiting |
Sorafenib Combined With Cisplatin and Gemcitabine for the Treatment of Patients With Advanced Renal Collecting Duct Carcinoma:A Pilot, Open Study [NCT01762150] | Phase 2 | 26 participants (Actual) | Interventional | 2011-06-30 | Completed |
An Open-Label, Multicenter, Phase 1b/2 Study to Evaluate Necitumumab in Combination With Gemcitabine and Cisplatin in the First-Line Treatment of Patients With Advanced (Stage IV) Squamous Non-Small Cell Lung Cancer (NSCLC) [NCT01763788] | Phase 1/Phase 2 | 192 participants (Actual) | Interventional | 2013-05-07 | Completed |
A Multi-center, Phase Ib Study of MEK (Mitogen Activated Protein Kinase/ERK Kinase) Inhibitor BAY86-9766 Plus Gemcitabine in Asian Patients With Advanced or Refractory Solid Tumors [NCT01764828] | Phase 1 | 23 participants (Actual) | Interventional | 2013-02-05 | Completed |
Open-label, Single-center, Non-randomized, Phase I, Dose-ranging Study of Endoscopic Ultrasound (EUS) Guided Photodynamic Therapy (PDT) With Photofrin® in Locally Advanced Pancreatic Cancer [NCT01770132] | Phase 1 | 12 participants (Anticipated) | Interventional | 2013-04-19 | Completed |
A Phase II Trial of Genexol-PM and Gemcitabine in Patients With Advanced Non-small-cell Lung Cancer [NCT01770795] | Phase 2 | 45 participants (Actual) | Interventional | 2011-01-31 | Completed |
Gemcitabine Combined With Chloroquine in Patients With Metastatic or Unresectable Pancreatic Cancer. A Dose Finding Single Center Phase I Study [NCT01777477] | Phase 1 | 9 participants (Actual) | Interventional | 2012-07-31 | Completed |
Randomized Double-blind Controlled Clinical Study of Chemotherapy Combined With or Without Traditional Chinese Medicine on Survival Affect of Elderly Patients With Advanced Non-small-cell Lung Cancer [NCT01780181] | | 82 participants (Actual) | Observational | 2012-12-31 | Completed |
The Clinical Study of Personalized Therapy for Non-small Cell Lung Cancer Based on ERCC1/RRM1/TS Expression [NCT01781988] | Phase 2 | 128 participants (Actual) | Interventional | 2009-06-30 | Completed |
An Open Label, Phase 1, Dose Escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Clinical Activity of Gemcitabine Hydrochloride Oral Formulation(D07001-F4) in Patients With Advanced Solid Malignancies and Malignant Lym [NCT01800630] | Phase 1 | 37 participants (Actual) | Interventional | 2013-04-30 | Completed |
Neoadjuvant Gemcitabine and Cisplatin in Locally Advanced Bladder Cancer [NCT01801644] | | 60 participants (Actual) | Interventional | 2007-04-30 | Completed |
An Open-label, Single Arm, Single Center Phase 2 Study of RC48-ADC (IV) in Combination With Gemcitabine(Intravesical) in High Risk NMIBC Subjects (BCG Naïve or BCG Unresponsive) That Expresses HER2 (IHC 1+ and Greater) [NCT05943379] | Phase 2 | 85 participants (Anticipated) | Interventional | 2023-06-08 | Recruiting |
A Randomized, Open-Label, Multicenter Phase 2 Study of Envafolimab in Combination With Gemcitabine Plus Cisplatin Versus Gemcitabine Plus Cisplatin as the First-line Treatment in Patients With Locally Advanced or Metastatic Biliary Tract Cancers [NCT04910386] | Phase 2 | 126 participants (Anticipated) | Interventional | 2024-06-01 | Not yet recruiting |
An Open-label, Single-arm, Phase II Study to Assess the Efficacy and Safety of Endostar® (Recombinant Human Endostatin Injection) Plus Gemcitabine and Docetaxel in Treatment of Soft Tissue Sarcoma Patients With Pulmonary Metastases [NCT01812018] | Phase 2 | 30 participants (Anticipated) | Interventional | 2012-11-30 | Recruiting |
Randomized Phase III Study of Gemcitabine/Cisplatine (GC) Versus High-dose Intensity Methotrexate, Vinblastine, Doxorubicine and Cisplatin (HD-MVAC) in the Perioperative Setting for Patients With Locally Advanced Transitional Cell Cancer of the Bladder [NCT01812369] | Phase 3 | 500 participants (Actual) | Interventional | 2013-02-28 | Active, not recruiting |
A Pilot Study of Neoadjuvant Therapy With Gemcitabine and Cisplatin in Patients With Resectable or Unresectable Intrahepatic Cholangiocarcinoma [NCT02256982] | | 3 participants (Actual) | Interventional | 2014-10-31 | Terminated(stopped due to Slow accrual.) |
Randomized Phase II Study of Gemcitabine Versus S-1 Adjuvant Therapy After Hemihepatectomy for Biliary Tract Cancer [NCT01815307] | Phase 2 | 70 participants (Actual) | Interventional | 2013-01-31 | Completed |
A Multicenter Phase II Trial of Preoperative Chemotherapy With Gemcitabine/ Cisplatin /S-1 (GCS) for Biliary Tract Cancers With Lymph Node Metastasis Diagnosed by Fluorodeoxyglucose Positron Emission Tomography (FDG-PET) [NCT01821248] | Phase 2 | 25 participants (Anticipated) | Interventional | 2013-07-23 | Active, not recruiting |
Neoadjuvant FOLFIRINOX and Chemoradiation Followed by Definitive Surgery and Postoperative Gemcitabine for Patients With Borderline Resectable Pancreatic Adenocarcinoma: An Intergroup Single-Arm Pilot Study [NCT01821612] | Early Phase 1 | 23 participants (Actual) | Interventional | 2013-05-31 | Completed |
Multicenter Randomized Phase 2 Trial of Gemcitabine - Platinum With or Without Trastuzumab in Advanced or Metastatic Urothelial Carcinoma With HER2 Overexpression [NCT01828736] | Phase 2 | 61 participants (Actual) | Interventional | 2004-02-09 | Completed |
A Phase II Randomized Study of Nab-paclitaxel With Gemcitabine at Two Different Dose Combinations to Determine Efficacy in Patients With Advanced Non- Squamous Non-small Cell Lung Cancer (NSCLC). [NCT02405910] | Phase 2 | 0 participants (Actual) | Interventional | 2015-03-15 | Withdrawn(stopped due to PI Left Institution) |
Pharmacological Ascorbate for the Control of Metastatic and Node-Positive Pancreatic Cancer (PACMAN): A Phase II Trial [NCT01515046] | Phase 2 | 1 participants (Actual) | Interventional | 2012-09-30 | Terminated(stopped due to Standard of care changed to FOLFIRINOX; poor accrual.) |
A Phase IIa Exploratory Study of OCZ103-OS in Combination With Platinum-Gemcitabine Based Doublet First Line Therapy in Stage IV Non-Small Cell Lung Cancer (NSCLC) Patients [NCT01844791] | Phase 2 | 25 participants (Actual) | Interventional | 2012-09-30 | Completed |
A Phase II Randomized, Open-Label, Multicenter Study Comparing CO-1.01 With Gemcitabine as First-Line Therapy in Patients With Metastatic Pancreatic Adenocarcinoma [NCT01124786] | Phase 2 | 367 participants (Actual) | Interventional | 2010-05-31 | Completed |
A Phase 1b Study of Talimogene Laherparepvec (T-VEC) in Combination With Chemotherapy or Endocrine Therapy in Patients With Metastatic, Unresectable, or Locoregionally Recurrent HER2-negative Breast Cancer [NCT03554044] | Phase 1 | 20 participants (Actual) | Interventional | 2020-02-05 | Active, not recruiting |
Phase Ib/II Treatment of Advanced Pancreatic Cancer With Anti-CD3 x Anti-EGFR-Bispecific Antibody Armed Activated T-Cells (BATs) in Combination With Low Dose IL-2 and GM-CSF [NCT02620865] | Phase 1/Phase 2 | 2 participants (Actual) | Interventional | 2015-12-31 | Completed |
A Phase I/II Study of CC-4047 in Combination With Gemcitabine in Subjects With Untreated Advanced Carcinoma of the Pancreas [NCT00540579] | Phase 1/Phase 2 | 23 participants (Actual) | Interventional | 2007-11-30 | Completed |
A Phase II Study of Gemcitabine and Nanoparticle-Bound Paclitaxel as Second Line Therapy in Patients With Metastatic Pancreatic Cancer [NCT02242409] | Phase 2 | 4 participants (Actual) | Interventional | 2014-09-30 | Terminated(stopped due to Testing of combination no longer relevant) |
Intercalating and Maintenance Use of Iressa vs. Chemotherapy in Selected Advanced NSCLC: a Randomised Study [NCT01404260] | Phase 3 | 219 participants (Actual) | Interventional | 2011-06-30 | Completed |
A Multicentre, Randomized, Open-Label, Phase III Clinical Trial Of Gemcitabine And Carboplatin Followed By Epstein-Barr Virus-Specific Autologous Cytotoxic T Lymphocytes Versus Gemcitabine And Carboplatin As First Line Treatment For Advanced Nasopharyngea [NCT02578641] | Phase 3 | 330 participants (Actual) | Interventional | 2014-07-31 | Completed |
Perioperative Therapy Preoperative Chemotherapy Versus Chemoradiotherapy in Locally Advanced Gall Bladder Cancers [NCT02867865] | Phase 2/Phase 3 | 314 participants (Anticipated) | Interventional | 2016-09-06 | Recruiting |
Neoadjuvant Chemotherapy Plus Tislelizumab Followed by Concurrent Chemoradiotherapy and Maintenance Therapy With Tislelizumab in Patients With Stage IVA Nasopharyngeal Carcinoma: A Single-arm, Phase II Trial [NCT05448885] | Phase 2 | 50 participants (Anticipated) | Interventional | 2021-09-01 | Recruiting |
A Single-arm, Open-label, Multi-center Phase II Clinical Study to Evaluate the Safety and Efficacy of Toripalimab Injection Combined With TACE in the Treatment of Extrahepatic Cholangiocarcinoma [NCT05448183] | Phase 2 | 45 participants (Anticipated) | Interventional | 2022-06-15 | Recruiting |
Phase 1/2 Safety and Feasibility of Gemcitabine and Nab-Paclitaxel in Combination With LDE-225 as Neoadjuvant Therapy in Patients With Borderline Resectable Pancreatic Adenocarcinoma. [NCT01431794] | Phase 1/Phase 2 | 23 participants (Actual) | Interventional | 2011-12-27 | Terminated(stopped due to Study was terminated due to cease in manufacturing of study drug.) |
Using PERS(PErsonalized Regimen Selection) Genetic Model Assistant Decision-making System of Neoadjuvant Chemotherapy for Breast Cancer Multicentric, Prospective, Randomized Controlled Phase III Clinical Study [NCT03006614] | Phase 3 | 320 participants (Anticipated) | Interventional | 2016-04-30 | Recruiting |
A Phase II Randomized Trial Evaluating the Addition of High or Standard Intensity Radiation to Gemcitabine and Nab-paclitaxel for Locally Advanced Pancreatic Cancer [NCT01921751] | Phase 2 | 20 participants (Actual) | Interventional | 2013-08-31 | Terminated(stopped due to Trial would not be completed in a reasonable timeframe per CTEP guidelines) |
Phase II Trial of Neoadjuvant Dose Dense Gemcitabine and Cisplatin In Muscle Invasive Bladder Cancer [NCT01611662] | Phase 2 | 32 participants (Actual) | Interventional | 2012-05-29 | Terminated(stopped due to Extreme Toxicity) |
A Phase II Randomized - Non Comparative - Study on the Activity of Trabectedin or Gemcitabine + Docetaxel in Metastatic or Locally Relapsed Uterine Leiomyosarcoma Pretreated With Conventional Chemotherapy [NCT02249702] | Phase 2 | 168 participants (Actual) | Interventional | 2010-04-30 | Completed |
A Trial of Gemcitabine, Infusional 5-Fluorouracil and Cisplatin for Advanced Pancreatic and Biliary Cancers [NCT01661114] | Phase 2 | 39 participants (Actual) | Interventional | 2011-07-31 | Completed |
A Randomized Phase II Open Label Study to Assess the Efficacy & Safety of Gemcitabine + Abraxane® With or Without ODSH (2-0, 3-0 Desulfated Heparin) as First Line Treatment of Metastatic Pancreatic Cancer [NCT01461915] | Phase 2 | 60 participants (Actual) | Interventional | 2011-11-30 | Terminated |
A Phase II Trial of Gemcitabine and Erlotinib (GE) Plus Proton-chemotherapy (PCT) and Capox for Locally Advanced Pancreatic Cancer (LAPC) [NCT01683422] | | 9 participants (Actual) | Interventional | 2013-01-02 | Terminated(stopped due to Updated chemotherapy regimens currently evaluated in clinical trials due to lack of progress in treating this condition; analysis continues in the realm of patterns of failure and increasing quality of life) |
Induction Chemotherapy Plus Radiotherapy Alone Versus Induction Chemotherapy Plus Concurrent Chemoradiotherapy in Locoregionally Advanced Nasopharyngeal Carcinoma: a Phase 3, Multicentre, Randomised Controlled Trial [NCT04414566] | Phase 3 | 562 participants (Anticipated) | Interventional | 2020-06-01 | Not yet recruiting |
A Phase II Trial of Gemcitabine Plus High-Dose Ascorbate in Locally Advanced Unresectable or Metastatic Soft Tissue and Bone Sarcomas in Adults [NCT03468075] | Phase 2 | 10 participants (Actual) | Interventional | 2018-07-11 | Terminated(stopped due to Stopping rules met) |
A Phase I, Open Label, Multicentre Study to Assess the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of Selumetinib (AZD6244; ARRY-142886) in Combination With First Line Chemotherapy Regimens in Patients With Non-Small Cell Lung Cancer ( [NCT01809210] | Phase 1 | 55 participants (Actual) | Interventional | 2013-04-04 | Completed |
Phase IIa Study on the Role of Gemcitabine Plus Romidepsin (GEMRO Regimen) in the Treatment of Relapsed/Refractory Peripheral T-cell Lymphoma Patients. [NCT01822886] | Phase 2 | 20 participants (Actual) | Interventional | 2013-01-31 | Completed |
A Phase II Study of Mocetinostat Administered With Gemcitabine for Patients With Metastatic Leiomyosarcoma With Progression or Relapse Following Prior Treatment With Gemcitabine-Containing Therapy [NCT02303262] | Phase 2 | 20 participants (Actual) | Interventional | 2015-11-12 | Completed |
Phase II Study of the Anti-Vascular Endothelial Growth Factor (α-VEGF) Monoclonal Antibody Bevacizumab in Combination With Fixed Dose Rate (FDR) Gemcitabine and Rapid-Fractionation Radiotherapy in the Pre-operative Treatment of Potentially- Resectable Pan [NCT00557492] | Phase 2 | 59 participants (Actual) | Interventional | 2006-12-31 | Completed |
A Two-Part, Randomized Phase III, Double-Blind, Multicenter Trial Assessing The Efficacy And Safety of Pertuzumab In Combination With Standard Chemotherapy Vs. Placebo Plus Standard Chemotherapy In Women With Recurrent Platinum-Resistant Epithelial Ovaria [NCT01684878] | Phase 3 | 208 participants (Actual) | Interventional | 2012-10-22 | Completed |
A Phase I/1b Study of Enzalutamide in Combination With Gemcitabine and Cisplatin in Bladder Cancer [NCT02300610] | Phase 1 | 10 participants (Actual) | Interventional | 2015-02-11 | Completed |
DOSE ESCALATION TRIAL OF THE Wee1 INHIBITOR AZD1775, IN COMBINATION WITH GEMCITABINE (+RADIATION) FOR PATIENTS WITH UNRESECTABLE ADENOCARCINOMA OF THE PANCREAS [NCT02037230] | Phase 1/Phase 2 | 34 participants (Actual) | Interventional | 2014-01-31 | Completed |
Phase II Study of Gemcitabine/Taxotere/Xeloda (GTX) in Combination With Cisplatin in Subjects With Metastatic Pancreatic Cancer [NCT01459614] | Phase 2 | 44 participants (Actual) | Interventional | 2011-11-30 | Completed |
A Phase 2 Study of GTX-SRS: Neoadjuvant Gemcitabine, Docetaxel, and Capecitabine in Combination With Stereotactic Radiosurgery for Borderline Resectable Pancreatic Cancer [NCT00833859] | Phase 2 | 2 participants (Actual) | Interventional | 2009-03-31 | Terminated(stopped due to Abandoned - Lack of funding after only 2 patients enrolled) |
A Pivotal Phase II Randomised, Multi-centre, Open-label Study to Evaluate the Efficacy and Safety of MB-CART2019.1 Compared to SoC Therapy in Participants With r/r DLBCL, Who Are Not Eligible for HDC and ASCT [NCT04844866] | Phase 2 | 168 participants (Anticipated) | Interventional | 2021-08-18 | Recruiting |
Multiple Centers, Prospective, Phase II Trial of Gemcitabine and Docetaxel Combination Chemotherapy in Patients With Locally Advanced/Metastatic Soft Tissue Sarcoma or Imatinib Mesylate Refractory Advanced/Metastatic Malignant Gastrointestinal Stromal Tum [NCT00359333] | Phase 2 | 58 participants (Actual) | Interventional | 2006-12-31 | Completed |
A Randomized Phase II Study of Gemcitabine, Cisplatin +/- Veliparib in Patients With Pancreas Adenocarcinoma and a Known BRCA/ PALB2 Mutation (Part I) and a Phase II Single Arm Study of Single-Agent Veliparib in Previously Treated Pancreas Adenocarcinoma [NCT01585805] | Phase 2 | 107 participants (Anticipated) | Interventional | 2012-05-15 | Active, not recruiting |
A Phase I Trial of Gemcitabine and Radiation in Locally Advanced Unresectable Cancer of the Pancreas [NCT00001431] | Phase 1 | 20 participants | Interventional | 1995-02-28 | Completed |
Phase II Trial of Neoadjuvant Platinum-based Chemotherapy for Patients With Resectable , Non-small Cell Lung Cancer With Switch to Chemotherapy Alternative in Nonresponders (NEOSCAN) [NCT01443078] | Phase 2 | 42 participants (Actual) | Interventional | 2011-10-31 | Completed |
Evaluation of the Safety and Efficacy of Standard Dose Gemcitabine Combined With High Dose Intravenous Vitamin C (HDIVC) Treatment for Patients With Metastatic Adenocarcinoma of the Pancreas. [NCT01654861] | Phase 1 | 3 participants (Actual) | Interventional | 2012-06-30 | Terminated(stopped due to recruiting or enrolling participants has halted prematurely and will not resume) |
GVD±R (Gemcitabine, Oral Vinorelbine and Doxorubicin Liposome, With or Without Rituximab) Regimen for Autologous Hematopoietic Stem Cell Transplantation(ASCT)-Eligible Patients With Refractory/Relapsed Diffuse Large B-cell Lymphoma:a Multi-center, Single [NCT04021992] | Phase 2 | 48 participants (Anticipated) | Interventional | 2019-07-15 | Recruiting |
Randomised, Multicenter Phase II Study in Patients With Metastatic Breast Cancer With Vinorelbine Plus Carboplatin Versus Gemcitabine Plus Carboplatin [NCT04143906] | Phase 2 | 200 participants (Anticipated) | Interventional | 2019-10-25 | Not yet recruiting |
Assessment Of Stromal Response To Nab-Paclitaxel In Combination With Gemcitabine In Pancreatic Cancer [NCT01442974] | | 15 participants (Actual) | Interventional | 2011-01-31 | Completed |
A Randomized Phase II Study of Gemcitabine Versus Reduced-dose Combination Chemotherapy in Fragile Patients With Non-resectable Pancreatic Cancer [NCT05841420] | Phase 2 | 98 participants (Anticipated) | Interventional | 2023-06-12 | Recruiting |
A Phase I/IIa Study of IAH0968 in Patients With HER2-positive Advanced Solid Tumors [NCT04934514] | Phase 1/Phase 2 | 97 participants (Anticipated) | Interventional | 2021-07-06 | Recruiting |
An Adaptive Approach to Neoadjuvant Therapy to Maximize Resection Rates for Pancreatic Adenocarcinoma: A Phase II Trial [NCT04594772] | Phase 2 | 32 participants (Anticipated) | Interventional | 2021-03-17 | Recruiting |
A Multicentre, Open-label, Three-arm Randomised Phase II Trial Assessing the Safety and Efficacy of the HSP90 Inhibitor Ganetespib in Combination With Carboplatin Followed by Maintenance Treatment With Niraparib Versus Ganetespib Plus Carboplatin Followed [NCT03783949] | Phase 2 | 122 participants (Actual) | Interventional | 2018-11-30 | Completed |
Phase 1 Study of Preoperative Gemcitabine Plus CP-870,893 Followed by Addition of CP-870,893 to Standard -Of-care Adjuvant Chemoradiation for Patient With Newly Diagnosed Resectable Pancreatic Carcinoma [NCT01456585] | Phase 1 | 10 participants (Anticipated) | Interventional | 2012-04-30 | Completed |
A Phase 1 Study of Copanlisib(Phosphatidylinositol-3 Kinase Inhibitor) in Combination With Gemcitabine (Treatment A) or Cisplatin Plus Gemcitabine (Treatment B) in Subjects With Advanced Solid Malignancy [NCT01460537] | Phase 1 | 50 participants (Actual) | Interventional | 2011-11-18 | Completed |
A Phase II, Open-Label, Multi-Drug, Multi-Center, Master Protocol to Evaluate the Efficacy and Safety of Novel Immunomodulators as Monotherapy and in Combination With Anticancer Agents in Participants With Advanced Hepatobiliary Cancer (GEMINI-Hepatobilia [NCT05775159] | Phase 2 | 180 participants (Anticipated) | Interventional | 2023-04-24 | Recruiting |
A Phase II Study of Oral CHK1 Inhibitor LY2880070 in Combination With Low-Dose Gemcitabine in Patients With Relapsed or Refractory Ewing Sarcoma, Ewing-like Sarcoma, and Desmoplastic Small Round Cell Tumor [NCT05275426] | Phase 2 | 24 participants (Anticipated) | Interventional | 2022-03-02 | Recruiting |
Phase II Study of Neoadjuvant Gemcitabine, Cisplatin and Bevacizumab in Stage IIIA (N2), Non-Squamous Cell Non-Small Cell Lung Cancer [NCT00924209] | Phase 2 | 7 participants (Actual) | Interventional | 2009-03-31 | Terminated(stopped due to Study was terminated due to poor accrual.) |
A Randomized Phase III Evaluation of Docetaxel (NSC #628503) and Gemcitabine (NSC #613327) Plus G-CSF With Bevacizumab (NSC #704865) Versus Docetaxel (NSC #628503) and Gemcitabine (NSC #613327) Plus G-CSF With Placebo in the Treatment of Recurrent or Adva [NCT01012297] | Phase 3 | 107 participants (Actual) | Interventional | 2009-11-30 | Terminated(stopped due to The study was targeted to accrue 130 patients, but closed early for futility.) |
A Phase II Randomized Study of Gemcitabine and Nab-paclitaxel in Combination With S- 1/LV (GASL) or Oxaliplatin (GAP) as First-line Treatment for Metastatic Pancreatic Cancer [NCT05026905] | Phase 2 | 86 participants (Anticipated) | Interventional | 2021-12-28 | Recruiting |
Simultaneous Gemcitabine and Irreversible Electroporation for Locally Advanced Pancreatic Cancer [NCT02981719] | | 61 participants (Actual) | Interventional | 2016-10-01 | Completed |
Phase I Study of Gemcitabine With Novel RAF Kinase-Vascular Endothelial Growth Factor Receptor Inhibitor Sorafenib (BAY 43-9006) and Radiotherapy in Patients With Locally Advanced Unresectable Pancreatic Adenocarcinoma [NCT00375310] | Phase 1 | 27 participants (Actual) | Interventional | 2006-09-30 | Completed |
Duvalumab Combined With GemCis Neoadjuvant Therapy of Resectable Intrahepatic Cholangiocarcinoma With High Recurrence Risk, Phase II, Single Center, Randomized Controlled Study [NCT05672537] | Phase 2 | 70 participants (Anticipated) | Interventional | 2023-01-20 | Recruiting |
An Open-Label, Uncontrolled, Single Centered Phase Ⅱ Study of Avastin Combined With Gemcitabine, Oxaliplatin, Pegaspargase and Dexamethasone (Avastin+ GemAOD) As First-Line Treatment in Patients With Untreated NK/T Cell Lymphoma [NCT01921790] | Phase 2 | 30 participants (Anticipated) | Interventional | 2013-08-31 | Recruiting |
Phase II Trial of Gemcitabine-Eribulin (GE) in Cisplatin Ineligible Patients With Advanced or Unresectable Urothelial Carcinoma of the Bladder [NCT02178241] | Phase 2 | 26 participants (Actual) | Interventional | 2014-12-11 | Completed |
Phase II Combination of Gemcitabine (Fixed Dose-rate Infusion, FDR), Irinotecan and Panitumumab in Patients With Advanced and Metastatic Biliary Tract Adenocarcinoma [NCT00948935] | Phase 2 | 35 participants (Actual) | Interventional | 2009-04-30 | Completed |
A Master Protocol of Phase 1/2 Studies of Nivolumab in Advanced NSCLC Using Nivolumab as Maintenance After Induction Chemotherapy or as First-line Treatment Alone or in Combination With Standard of Care Therapies (CheckMate 370: CHECKpoint Pathway and niv [NCT02574078] | Phase 1/Phase 2 | 341 participants (Actual) | Interventional | 2015-11-23 | Completed |
A Randomized Phase III Double Blind Trial Evaluating Selective COX-2 Inhibition in COX-2 Expressing Advanced Non-Small Cell Lung Cancer [NCT01041781] | Phase 3 | 313 participants (Actual) | Interventional | 2010-02-28 | Terminated(stopped due to DSMB recommendation) |
Anti-PD-1 Antibody and P-GEMOX Chemotherapy Combined With Radiotherapy in High-risk Early-Stage Extranodal NK/T Cell Lymphoma, Nasal Type: A Multi-center Phase II Study [NCT05254899] | Phase 2 | 54 participants (Anticipated) | Interventional | 2021-10-01 | Recruiting |
Phase II Study of Combined Targeted p53 Gene Therapy (SGT-53) Plus Gemcitabine/Nab-Paclitaxel for Treatment of Metastatic Pancreatic Cancer [NCT02340117] | Phase 2 | 28 participants (Anticipated) | Interventional | 2015-01-31 | Recruiting |
A Phase II Study of the Combination of Gemcitabine and Imatinib Mesylate in Pemetrexed-pretreated Patients With Malignant Pleural Mesothelioma [NCT02303899] | Phase 2 | 22 participants (Actual) | Interventional | 2014-11-30 | Completed |
Phase II Randomized Trial of MEK Inhibitor MSC1936369B or Placebo Combined With Gemcitabine in Metastatic Pancreas Cancer Subjects [NCT01016483] | Phase 1/Phase 2 | 141 participants (Actual) | Interventional | 2009-11-30 | Completed |
A Pilot Study of Perioperative Nivolumab and Paricalcitol to Target the Micoenvironment in Resectable Pancreatic Cancer [NCT03519308] | Early Phase 1 | 9 participants (Actual) | Interventional | 2020-07-29 | Terminated(stopped due to The accrual goal could not be met and the drug manufacturer pulled support) |
Ensayo Fase II de selección Individualizada Del Tratamiento de Quimioterapia en Pacientes Con Carcinoma de páncreas Avanzado en función de la determinación de Dianas terapéuticas en el Tejido Tumoral [NCT01454180] | Phase 2 | 31 participants (Actual) | Interventional | 2011-10-31 | Completed |
Gemcitabine/Cisplatin for Resected Pancreas Cancer: Establishing the Role of Excision Repair Cross Complementation Gene 1 (ERCC1) in Treatment Decision [NCT01188109] | Phase 2 | 25 participants (Actual) | Interventional | 2010-07-31 | Terminated(stopped due to Slow accrual) |
A Pilot Study to Test the Feasibility of the Combination of Gemcitabine and Anti-PD1 Monoclonal Antibody (CT-011) in the Treatment of Resected Pancreatic Cancer [NCT01313416] | Phase 2 | 2 participants (Actual) | Interventional | 2012-09-30 | Terminated(stopped due to Drug supply issues) |
A Phase IB Study to Determine the Safety and Tolerability of Canakinumab and Tislelizumab in Combination With Nab-Paclitaxel and Gemcitabine in the Neo-adjuvant Treatment of Patients With Pancreatic Cancer [NCT05984602] | Phase 1 | 10 participants (Anticipated) | Interventional | 2023-07-14 | Recruiting |
A Phase II Study of Neo-Adjuvant Cisplatin, Gemcitabine & Bevacizumab, Followed by Radical Cystectomy for Patients With Muscle Invasive, Resectable, Non-Metastatic Transitional Cell Carcinoma (TCC) of the Bladder [NCT00268450] | Phase 2 | 21 participants (Actual) | Interventional | 2005-09-21 | Terminated |
Phase II Study Of Gemcitabine And CPT-11 (Irinotecan) In Locally Advanced Or Metastatic Bladder Cancer [NCT00089128] | Phase 2 | 16 participants (Actual) | Interventional | 2001-11-30 | Terminated(stopped due to Low accrual) |
Phase II Study of Stereotactic Body Radiotherapy (SBRT) and Chemotherapy for Unresectable Cholangiocarcinoma Followed by Liver Transplantation [NCT01151761] | Phase 2 | 2 participants (Actual) | Interventional | 2011-01-31 | Terminated(stopped due to Poor accrual) |
HR070803 in Combination With Oxaliplatin, 5-fluorouracil, Calcium Folinate Versus Nab-paclitaxel in Combination With Gemcitabine for First-line Treatment of Advanced Pancreatic Cancer: an Open, Randomized, Multicenter Phase III Trial. [NCT05751850] | Phase 3 | 522 participants (Anticipated) | Interventional | 2023-06-13 | Recruiting |
First-line Trastuzumab Plus Chemoimmunotherapy for Biliary Tract Cancer (HERBOT Trial) [NCT05749900] | Phase 1/Phase 2 | 44 participants (Anticipated) | Interventional | 2023-03-31 | Not yet recruiting |
Phase I Multicenter, Open-label, Clinical and Pharmacokinetic Study of PM060184 in Combination With Gemcitabine in Selected Patients With Advanced Solid Tumors [NCT02533674] | Phase 1 | 57 participants (Actual) | Interventional | 2014-12-12 | Completed |
A Phase I Study Evaluating Copanlisib in Combination With R-GCD (Gemcitabine, Carboplatin, Dexamethasone, and Rituximab) With Relapsed/Refractory Diffuse Large B-Cell Lymphoma and High-Risk Follicular Lymphoma [NCT04156828] | Phase 1 | 12 participants (Actual) | Interventional | 2020-03-31 | Terminated(stopped due to Terminated due to low accrual) |
A Randomized Phase II Study of Progression Free Survival Comparing Gemcitabine (1000 mg/m2 Infusion) Versus Carboplatin (AUC5 Infusion) Plus Alimta (500 mg/m2 Infusion) as First-line Chemotherapy in Elderly Patients With Locally Advanced (Stage IIIb) or M [NCT00754364] | Phase 2 | 108 participants (Actual) | Interventional | 2008-10-31 | Terminated(stopped due to low enrollment rate) |
Phase II Study of Gemcitabine (GEMZAR) and Cisplatin (CDDP) in Advanced Breast Cancer [NCT00002998] | Phase 2 | 59 participants (Actual) | Interventional | 1997-08-31 | Completed |
Combination Chemobiotherapy With Gemcitabine, 5-Fluorouracil, Interleukin-2 and Alpha Interferon in Patients With Metastatic or Unresectable Renal Cell Cancer. A Phase II Study [NCT00003664] | Phase 2 | 30 participants (Anticipated) | Interventional | 1998-10-31 | Active, not recruiting |
Alternating Phase I/II Trials of Twice-Weekly Infusion Gemcitabine (2'2'-Difluoro-2'-Deoxycytidine) and Concurrent Thoracic Radiation Alone - Or Following 2 Cycles of Cisplatin/Gemcitabine Induction Chemotherapy for the Treatment of Stage IIIA/IIIB Non Sm [NCT00003202] | Phase 1/Phase 2 | 40 participants (Actual) | Interventional | 1998-01-31 | Completed |
Evaluation of Gemcitabine in the Treatment of Recurrent or Persistent Leiomyosarcoma of the Uterus [NCT00003316] | Phase 2 | 0 participants | Interventional | 1998-08-31 | Terminated |
Phase I Trial Intraperitoneal Cisplatin With Intraperitoneal Gemcitabine in Patients With Epithelial Ovarian Carcinoma [NCT00003358] | Phase 1 | 24 participants (Anticipated) | Interventional | 1998-01-31 | Completed |
A Phase II Trial of Gemcitabine and Docetaxel in Patients With Unresectable Leiomyosarcoma [NCT00004066] | Phase 2 | 82 participants (Anticipated) | Interventional | 1999-06-30 | Completed |
A Phase I Study of Gemcitabine/Topotecan in Combination in Refractory Ovarian Cancer or Cancer of the Fallopian Tube [NCT00003382] | Phase 1 | 0 participants | Interventional | 1998-05-31 | Terminated |
An Open-Label, Phase III Study of Platinum-Gemcitabine With or Without Nivolumab in the First-Line Treatment of Recurrent or Metastatic Nasopharyngeal Carcinoma [NCT04458909] | Phase 3 | 15 participants (Actual) | Interventional | 2020-12-09 | Terminated(stopped due to External information) |
Gemcitabine (10 mg/m2/Min) and Cisplatin: A Phase I Study [NCT00004090] | Phase 1 | 0 participants | Interventional | 1999-08-31 | Completed |
Pivotal, Randomized, Open-label Study of Tumor Treating Fields (TTFields, 150kHz) Concomitant With Gemcitabine and Nab-paclitaxel for Front-line Treatment of Locally-advanced Pancreatic Adenocarcinoma [NCT03377491] | Phase 3 | 556 participants (Anticipated) | Interventional | 2018-02-10 | Active, not recruiting |
A Phase 1 Study to Investigate the Safety and Pharmacokinetics of Cemiplimab (Anti-PD-1) and Other Agents in Japanese Patients With Advanced Malignancies [NCT03233139] | Phase 1 | 145 participants (Anticipated) | Interventional | 2017-06-21 | Recruiting |
A Phase II Study Utilizing Gemcitabine and Cisplatinum in Patients With Renal Cell Carcinoma [NCT00003928] | Phase 2 | 32 participants (Actual) | Interventional | 1999-01-31 | Completed |
"A Phase II Trial of Sequential Doublets Chemotherapy in Patients With Locally Advanced or Metastatic Bladder Cancer" [NCT00005086] | Phase 2 | 6 participants (Actual) | Interventional | 1999-08-31 | Completed |
Management of Metastatic Breast Cancer in Frail Patients [NCT00005614] | Phase 2 | 0 participants (Actual) | Interventional | 1999-08-31 | Withdrawn(stopped due to no accrual) |
A Dose Escalation and Cohort Expansion Study of DKN-01 in Combination With Gemcitabine and Cisplatin in Patients With Advanced Carcinoma Primary to the Intra- or Extra-hepatic Biliary System or Gallbladder [NCT02375880] | Phase 1 | 51 participants (Actual) | Interventional | 2015-06-30 | Completed |
An Open Labelled Phase III Adjuvant Trial of Disease-free Survival in Patients With Resected Pancreatic Ductal Adenocarcinoma Randomized to Allocation of Oxaliplatin- or Gemcitabine-based Chemotherapy by Standard Clinical Criteria or by a Transcriptomic T [NCT05314998] | Phase 3 | 394 participants (Anticipated) | Interventional | 2023-07-01 | Not yet recruiting |
A Phase 2,Open-label Study of First Line Pemetrexed Plus Cisplatin Versus Gemcitabine Plus Cisplatin for Advanced and Metastatic Non Small Cell Lung Cancer and Biomarker Study [NCT01194453] | Phase 2 | 288 participants (Actual) | Interventional | 2009-11-30 | Completed |
An Exploratory Phase 2 Study of Neoadjuvant Chemotherapy Followed by Stereotactic Body Radiation Therapy (SBRT) With Algenpantucel-L (HyperAcute®-Pancreas) Immunotherapy in Subjects With Borderline Resectable Pancreatic Cancer [NCT02405585] | Phase 2 | 10 participants (Actual) | Interventional | 2015-04-30 | Terminated |
A Randomized Cross-over Phase 2 Study of the Safety and Efficacy of Two Dose Levels of TH-302 in Combination With Gemcitabine Compared With Gemcitabine Alone in Previously Untreated Patients With Locally Advanced Unresectable or Metastatic Pancreatic Aden [NCT01144455] | Phase 2 | 214 participants (Actual) | Interventional | 2010-06-30 | Completed |
A Phase II Study of Gemcitabine, Cisplatin, and Abraxane in Advanced Biliary Cancers [NCT02392637] | Phase 2 | 62 participants (Actual) | Interventional | 2015-04-02 | Completed |
A Phase 1, Open-Label, Dose-Escalation, Safety and Tolerability Study of INCB047986 in Subjects With Advanced Malignancies [NCT01929941] | Phase 1 | 5 participants (Actual) | Interventional | 2013-09-30 | Terminated(stopped due to Business decision.) |
A Phase 1b/2 Study of OMP-59R5 in Combination With Nab-Paclitaxel and Gemcitabine in Subjects With Previously Untreated Stage IV Pancreatic Cancer [NCT01647828] | Phase 1/Phase 2 | 217 participants (Actual) | Interventional | 2012-10-31 | Completed |
Hepatic Arterial Infusion Chemotherapy of Oxaliplatin, 5-Fluorouracil and Leucovorin Versus Systemic Chemotherapy of Gemcitabine and Cisplatin for Unresectable Intrahepatic Cholangiocarcinoma [NCT04961970] | Phase 3 | 188 participants (Anticipated) | Interventional | 2021-07-09 | Recruiting |
A Randomized, Double-blind Phase 2 Study Comparing Gemcitabine and Cisplatin in Combination With OGX-427 or Placebo in Patients With Advanced Transitional Cell Carcinoma [NCT01454089] | Phase 2 | 183 participants (Actual) | Interventional | 2011-10-31 | Completed |
Phase I Study of Neo-adjuvant RO7009789 Alone or Neo-adjuvant RO7009789 Plus Nab-Paclitaxel and Gemcitabine Followed by Adjuvant RO7009789 Plus Nab-Paclitaxel and Gemcitabine for Patients With Newly Diagnosed Resectable Pancreatic Carcinoma [NCT02588443] | Phase 1 | 19 participants (Actual) | Interventional | 2015-10-31 | Completed |
A Randomized Open-Label Phase 2b Study of Hepatic Infusions of Anti-CEA CAR-T Cells Alternating With Systemic Chemotherapy Versus Chemotherapy Alone In Patients With Liver Metastases Due To CEA-Expressing Pancreatic Adenocarcinoma [NCT04037241] | Phase 2/Phase 3 | 0 participants (Actual) | Interventional | 2021-11-01 | Withdrawn(stopped due to Sponsor terminated) |
Randomised Phase II Study in Metastatic Pancreatic Cancer Evaluating FOLFIRINOX +/- LV5FU2 in Maintenance Versus Firgem in First-line [NCT02352337] | Phase 2 | 276 participants (Actual) | Interventional | 2014-12-23 | Completed |
Phase II Randomised Multicenter Trial Evaluating a Sequential Treatment With Nab-paclitaxel+Gemcitabine /FOLFIRI.3 vs Nab-paclitaxel + Gemcitabine in First Line Metastatic Pancreatic Cancer [NCT02827201] | Phase 2 | 127 participants (Actual) | Interventional | 2015-11-30 | Completed |
A Phase III Open-Label, Multi-Centre, Randomized Study Comparing NUC-1031 Plus Cisplatin to Gemcitabine Plus Cisplatin in Patients With Previously Untreated Locally Advanced or Metastatic Biliary Tract Cancer [NCT04163900] | Phase 3 | 773 participants (Actual) | Interventional | 2019-12-24 | Terminated(stopped due to A pre-planned futility analysis concluded that NUC-1031 plus cisplatin was unlikely to achieve its primary objective of improving overall survival. Based on the IDMC's recommendation, NuCana has closed the study.) |
Clinical Study of Capeline Combined With Gemcitabine in the Treatment of Pancreatic Cancer [NCT05903703] | | 20 participants (Anticipated) | Interventional | 2023-10-01 | Not yet recruiting |
Randomized Phase 2 Study of Valproic Acid combinEd With Simvastatin and Gemcitabine/Nab-paclitaxel-based Regimens in Untreated Metastatic Pancreatic Adenocarcinoma Patients (The VESPA Trial). [NCT05821556] | Phase 2 | 240 participants (Anticipated) | Interventional | 2023-06-12 | Recruiting |
A Phase 3, Multicenter, Randomized, Open-label, Active Controlled Trial of DS-8201a, an Anti-HER2-antibody Drug Conjugate (ADC), Versus Treatment of Physician's Choice for HER2-low, Unresectable and/or Metastatic Breast Cancer Subjects [NCT03734029] | Phase 3 | 557 participants (Actual) | Interventional | 2018-12-27 | Active, not recruiting |
A Randomized Phase II Trial of Durvalumab and Tremelimumab With Gemcitabine or Gemcitabine and Cisplatin Compared to Gemcitabine and Cisplatin in Treatment-naïve Patients With Cholangio- and Gallbladder Carcinoma (IMMUCHEC) [NCT03473574] | Phase 2 | 128 participants (Actual) | Interventional | 2018-05-02 | Completed |
Durvalumab (MEDI4736) in Frail and Elder Patients With Metastatic NSCLC (DURATION) [NCT03345810] | Phase 2 | 200 participants (Actual) | Interventional | 2017-12-14 | Completed |
Nal-IRI With 5-fluorouracil (5-FU) and Leucovorin or Gemcitabine Plus Cisplatin in Advanced Biliary-tract Cancer - An Open Label, Non-comparative, Randomized, Multicenter Phase II Trial [NCT03044587] | Phase 2 | 93 participants (Actual) | Interventional | 2018-01-24 | Active, not recruiting |
Expansion Cohort Study of Disulfiram and Chemotherapy in Pancreas Cancer Patients [NCT02671890] | Phase 1 | 16 participants (Actual) | Interventional | 2016-02-25 | Active, not recruiting |
A Randomized Phase II Trial of MEK Inhibitor Selumetinib (AZD6244) Combined Continuously or Sequentially With Cisplatin/Gemcitabine (CIS/GEM) Versus CIS/GEM Alone in Patients With Advanced Biliary Cancer [NCT02151084] | Phase 2 | 57 participants (Actual) | Interventional | 2014-11-30 | Active, not recruiting |
Neoadjuvant Plus Adjuvant or Only Adjuvant Nab-Paclitaxel Plus Gemcitabine for Resectable Pancreatic Cancer: A Prospective, Randomized, Controlled, Phase II Study of the AIO (Working Group for Medical Oncology From the German Cancer Society) Pancreatic Ca [NCT02047513] | Phase 2 | 127 participants (Actual) | Interventional | 2015-07-31 | Completed |
A Clinical and Molecular Risk-Directed Therapy for Newly Diagnosed Medulloblastoma [NCT01878617] | Phase 2 | 660 participants (Actual) | Interventional | 2013-06-23 | Active, not recruiting |
A Randomized Phase II Study Of Gemcitabine Plus Radiotherapy Vs. Gemcitabine, 5-Fluorouracil And Cisplatin Followed By Radiotherapy And 5-Fluoraracil For Patients With Locally Advanced, Potentially Resectable Pancreatic Adenocarcinoma [NCT00049348] | Phase 2 | 0 participants | Interventional | 2003-10-13 | Completed |
A Randomized, Open-label, Multicentre, Phase II/III Study of Low-dose Long-term Continuous Intravenous Infused 5-fluorouracil Versus Gemcitabine Combined With Cisplatin and JS001 as First-line Therapy for Metastatic Nasopharyngeal Carcinoma [NCT04890522] | Phase 2/Phase 3 | 622 participants (Anticipated) | Interventional | 2021-07-01 | Not yet recruiting |
Pilot Study of Hepatic Arterial Infusion Therapy in Patients With Unresectable or Borderline Resectable Intrahepatic Cholangiocarcinoma [NCT01525069] | Phase 1 | 27 participants (Actual) | Interventional | 2012-04-03 | Terminated(stopped due to Equipment that was used in the study was discontinued) |
A Phase IB/II Study of Gemcitabine and Docetaxel in Combination With Pazopanib (Gem/Doce/Pzb) for the Neoadjuvant Treatment of Soft Tissue Sarcoma (STS) [NCT01418001] | Phase 1/Phase 2 | 5 participants (Actual) | Interventional | 2011-08-31 | Terminated(stopped due to Lack of accrual) |
Phase II Trial of Pemetrexed and Gemcitabine in Patients With Advanced Head and Neck Cancer (SCCHN) [NCT00394147] | Phase 2 | 17 participants (Actual) | Interventional | 2006-10-31 | Terminated(stopped due to stopped for lack of efficacy) |
Adjuvant Toripalimab Versus Placebo Combined With Chemotherapy for EGFR/ALK Mutation Negative Stage II-IIIB(N2) Non-small-cell Lung Cancer (LungMate-008): a Randomised, Double-blind, Controlled, Phase 3 Trial [NCT04772287] | Phase 3 | 341 participants (Anticipated) | Interventional | 2021-03-31 | Not yet recruiting |
A Phase II Study Of Gemcitabine (GEMZAR) And Irinotecan (CPT-11) In Previously Untreated Patients With Measurable Disease With Unknown Primary Carcinoma [NCT00066781] | Phase 2 | 31 participants (Actual) | Interventional | 2004-02-29 | Completed |
A Phase III, Multicenter, Prospective, Randomized, Patients With Resectable Pancreatic Cancer With Elevated Serum CA125 Were Compared With Those Who Did Not Receive Neoadjuvant Chemotherapy. [NCT04835064] | Phase 3 | 600 participants (Anticipated) | Interventional | 2021-04-01 | Not yet recruiting |
Safety and Efficacy of Scheduled Intravesical Gemcitabine Versus Intravesical BCG for Intermediate and High Risk Non Muscle Invasive Bladder Cancer: A Prospective, Randomized Study [NCT05626101] | | 280 participants (Anticipated) | Interventional | 2021-01-01 | Recruiting |
A Multi-arm Phase I Safety Study of Nivolumab in Combination With Gemcitabine/Cisplatin, Pemetrexed/Cisplatin, Carboplatin/Paclitaxel, Bevacizumab Maintenance, Erlotinib, Ipilimumab or as Monotherapy in Subjects With Stage IIIB/IV Non-small Cell Lung Canc [NCT01454102] | Phase 1 | 472 participants (Actual) | Interventional | 2011-12-16 | Completed |
A Phase III Randomized Trial of Gemcitabine (NSC# 613327) Plus Docetaxel (NSC# 628503) Followed by Doxorubicin (NSC# 123127) Versus Observation for Uterus-Limited, High Grade Uterine Leiomyosarcoma [NCT01533207] | Phase 3 | 38 participants (Actual) | Interventional | 2012-06-04 | Terminated |
A Phase II Study to Evaluate the Safety and Efficacy of Sintilimab Combined With Nab-paclitaxel and Gemcitabine for Neoadjuvant and Adjuvant Therapy of Patients With Resectable and Borderline Resectable Pancreatic Cancer [NCT05562297] | Phase 2 | 50 participants (Anticipated) | Interventional | 2023-07-01 | Not yet recruiting |
ChiCGB Versus BEAM With Autologous Stem-Cell Transplantation in High-risk Hodgkin and Non-Hodgkin Lymphoma - A Prospective, Multi-centered, Randomized Clinical Trial [NCT05466318] | Phase 3 | 306 participants (Anticipated) | Interventional | 2022-07-01 | Recruiting |
A Phase II Trial of First-Line Therapy With Gemcitabine, Docetaxel, and Cetuximab in Patients With Unresectable Stage III or IV Non-Small Cell Lung Cancer [NCT00193453] | Phase 2 | 69 participants (Actual) | Interventional | 2005-07-31 | Completed |
Randomized, Controlled Study to Compare the Efficacy, Safety and Pharmacokinetics of Melphalan/HDS Treatment Given Sequentially Following Cisplatin/Gemcitabine Versus Cisplatin/Gemcitabine in Patients With IntraHepatic Cholangiocarcinoma [NCT03086993] | Phase 2/Phase 3 | 295 participants (Anticipated) | Interventional | 2018-04-10 | Active, not recruiting |
A Single Arm Phase II Trial Evaluating the Efficacy and Safety of Bevacizumab, Carboplatin, Gemcitabine and Atezolizumab in Early Relapsing Metastatic Triple Negative Breast Cancer [NCT04739670] | Phase 2 | 31 participants (Anticipated) | Interventional | 2021-03-01 | Recruiting |
A Study of Pembrolizumab (MK-3475) Plus Platinum and Gemcitabine as First Line Treatment of Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma (PIPER) [NCT05286619] | Phase 2 | 63 participants (Anticipated) | Interventional | 2022-09-22 | Recruiting |
Phase 1b/2 Study of Vorinostat in Combination With Gemcitabine and Docetaxel in Advanced Sarcoma [NCT01879085] | Phase 1/Phase 2 | 37 participants (Actual) | Interventional | 2013-09-24 | Completed |
A Multicenter Phase II Trial of Induction Nimotuzumab Plus Gemcitabine and Carboplatin Followed by Surgery in Patients With Unresectable Stage III Squamous Cell Lung Carcinoma [NCT02428764] | Phase 2 | 37 participants (Anticipated) | Interventional | 2015-04-30 | Recruiting |
Phase II Study of Preoperative FOLFIRINOX Versus Gemcitabine/Nab-Paclitaxel in Patients With Resectable Pancreatic Cancer [NCT02243007] | Phase 2 | 7 participants (Actual) | Interventional | 2014-09-30 | Terminated(stopped due to Slow Accrual) |
Phase I Clinical Trial to Evaluate the Tolerability and Safety of TQB2858 Injection in Subjects With Metastatic Pancreatic Cancer [NCT05193604] | Phase 1 | 29 participants (Actual) | Interventional | 2022-03-24 | Terminated(stopped due to Terminated due to the adjustment of sponsor's development strategies and pipeline.) |
Phase II Evaluation of Ifosfamide Plus Doxorubicin & Filgrastim Versus Gemcitabine Plus Docetaxel & Filgrastim in the Treatment of Localized Poor Prognosis Soft Tissue Sarcoma [NCT00189137] | Phase 2 | 84 participants (Actual) | Interventional | 2004-08-31 | Completed |
A Randomized, Open-label, Phase II, Multi-center Trial of Gemcitabine (G) With Pazopanib (P) or Gemcitabine (G) With Docetaxel (T) in Previously Treated Subjects With Advanced Soft Tissue Sarcoma [NCT01593748] | Phase 2 | 90 participants (Actual) | Interventional | 2012-09-27 | Completed |
Phase II Study of Neoadjuvant Chemotherapy With Gemcitabine and Pemetrexed in Resectable Non-Small-Cell Lung Cancer (NSCLC) With Pharmacogenomic Correlates. [NCT00226577] | Phase 2 | 52 participants (Actual) | Interventional | 2004-02-29 | Completed |
A Study of the Safety, Immunopharmacodynamics and Anti-tumor Activity of Ibrutinib Combined With Gemcitabine and Nab-Paclitaxel in Patients With Metastatic Pancreatic Adenocarcinoma [NCT02562898] | Phase 1/Phase 2 | 18 participants (Actual) | Interventional | 2015-10-12 | Completed |
Non-inferiority Prospective Randomized Trial Comparing Sequential Chemoradiotherapy With Concurrent Chemoradiotherapy in Patients With Locoregionally Advanced Nasopharyngeal Carcinoma [NCT03366415] | Phase 3 | 420 participants (Anticipated) | Interventional | 2018-01-01 | Recruiting |
Tislelizumab Plus Gemcitabine and Cisplatin for Relapsed or Refractory Hodgkin Lymphoma Followed by Tislelizumab Consolidation in Patients in Metabolic Complete Remission (TIGERR-HL). An Open Label Phase II Trial [NCT05502250] | Phase 2 | 75 participants (Anticipated) | Interventional | 2023-07-14 | Recruiting |
A Phase 2 Study to Evaluate the Safety and Efficacy of Nab-pacliatxel Plus Gemcitabine in Korean Patients With Metastatic Pancreatic Ductal Adenocarcinoma [NCT02426281] | Phase 2 | 111 participants (Actual) | Interventional | 2015-06-04 | Completed |
A Phase II Multi-Strata Study of PM01183 as a Single Agent or in Combination With Conventional Chemotherapy in Metastatic and/or Unresectable Sarcomas [NCT02448537] | Phase 2 | 42 participants (Actual) | Interventional | 2015-08-31 | Completed |
Phase Ib Clinical Study of Toripalimab Combined With Gemcitabine and Cisplatin Neoadjuvant Chemotherapy in Patients With Resectable Locally Advanced Head and Neck Squamous Cell Carcinoma [NCT04947241] | Phase 1 | 20 participants (Anticipated) | Interventional | 2020-12-15 | Recruiting |
Feasibility of Assessing Drug Response to Precise Local Injection of Anti-cancer Drugs Using Presage's CIVO Device in Soft Tissue Sarcoma Patients Undergoing Surgery. [NCT03056599] | Phase 1 | 23 participants (Actual) | Interventional | 2016-12-15 | Completed |
Phase 2 Trial of Nab-paclitaxel Plus S-1 vs Gemcitabine Plus Cisplatin as 1-line Chemotherapy of Patients With Local Advanced and/or Metastatic Transitional Cell Carcinoma of Urothelial Tract [NCT03051373] | Phase 2 | 108 participants (Actual) | Interventional | 2017-04-01 | Completed |
An Open-label, Dose-finding, Phase Ib Study to Assess the Safety, Tolerability of JPI-547, a Dual Inhibitor of PARP/Tankyrase, in Combination With Modified FOLFIRINOX (mFOLFIRINOX) or Gemcitabine-nab-paclitaxel (GemAbraxne) in Patients With Locally Advanc [NCT05257993] | Phase 1 | 24 participants (Anticipated) | Interventional | 2022-03-31 | Not yet recruiting |
Phase II Study of Gemcitabine With Oxaliplatin in Patients With Advanced Hepatocellular Carcinoma After Failure of Sorafenib Treatment [NCT05517239] | Phase 2 | 32 participants (Actual) | Interventional | 2015-05-01 | Completed |
A Phase 2, Randomized, Proof-of-Concept Study of Nab-Paclitaxel/Gemcitabine Alone and in Combination With ACP-196 in Subjects With Previously Untreated Metastatic Pancreatic Cancer [NCT02570711] | Phase 2 | 3 participants (Actual) | Interventional | 2015-10-13 | Terminated(stopped due to Sponsor Decision) |
A Phase II Study of RRx-001 in Platinum Refractory/Resistant Small Cell Carcinoma, EGFR TKI Resistant EGFR+ T790M Negative Non-Small Cell Lung Cancer, High Grade Neuroendocrine Tumors and Resistant/Refractory Ovarian Cancer Prior to Re-administration of P [NCT02489903] | Phase 2 | 139 participants (Actual) | Interventional | 2015-06-30 | Completed |
A Multicenter Study Evaluating Safety and Efficacy of TAR-200 in Subjects With Muscle-Invasive Urothelial Carcinoma of the Bladder Who Are Ineligible for or Refuse Cisplatin-based Chemotherapy and Who Are Unfit for Radical Cystectomy [NCT03404791] | Phase 1 | 35 participants (Actual) | Interventional | 2017-11-20 | Completed |
Randomized, Multicenter, Phase II/III Study, Evaluating Fractionated Cisplatin Chemotherapy/Gemcitabine Versus Carboplatin/Gemcitabine in the Treatment of Advanced or Metastatic Urothelial Cancer With Impaired Renal Function. [NCT02240017] | Phase 2/Phase 3 | 46 participants (Actual) | Interventional | 2015-01-21 | Completed |
A Multicenter Phase I/II Randomized Phase II Study of Gemcitabine and Nab-Paclitaxel With or Without NPC-1C in Patients With Metastatic or Locally Advanced Pancreatic Cancer Previously Treated With FOLFIRINOX [NCT01834235] | Phase 1/Phase 2 | 81 participants (Actual) | Interventional | 2013-04-30 | Terminated(stopped due to DSMB terminated the trial for futility.) |
A Dose Escalation Safety Study of Locally-Delivered (Intra-Arterial) Gemcitabine in Unresectable Adenocarcinoma of the Pancreas [NCT02237157] | Phase 1 | 20 participants (Actual) | Interventional | 2015-03-31 | Completed |
The Effect of Gemcitabine Plus Nab-paclitaxel as Secondary Chemotherapy in Advanced Pancreatic Cancer [NCT03401827] | Phase 4 | 40 participants (Anticipated) | Interventional | 2018-03-01 | Recruiting |
Phase II Study to Evaluatate the Efficacy of Gemcitabine Plus Erlotinib for RASH-positive Patients With Metastatic Pancreatic Cancer and Friendly Risk Circumstances [NCT01729481] | Phase 2 | 150 participants (Actual) | Interventional | 2012-07-31 | Active, not recruiting |
A Phase III Randomized Trial of Maintenance Chemotherapy in High-metastatic Risk Nasopharyngeal Carcinoma Patients of N3 Stage [NCT03403829] | Phase 3 | 360 participants (Anticipated) | Interventional | 2018-01-01 | Recruiting |
A Prospective Phase I Clinical Trial of Carbon Ion Radiation Therapy for Locally Advanced, Unresectable Pancreatic Cancer [NCT03403049] | Phase 1 | 14 participants (Actual) | Interventional | 2016-04-01 | Completed |
A Randomized Phase III Prospective Study of Induction Chemotherapy Combined With Concurrent Chemoradiotherapy Versus Induction Chemotherapy Combined With Radiotherapy Alone in Locoregionally Advanced Nasopharyngeal Carcinoma [NCT05527470] | Phase 3 | 440 participants (Anticipated) | Interventional | 2022-11-11 | Recruiting |
A Phase 3, Randomized, Double-Blind Study of Trilaciclib or Placebo in Patients Receiving First- or Second-Line Gemcitabine and Carboplatin Chemotherapy for Locally Advanced Unresectable or Metastatic Triple-Negative Breast Cancer (PRESERVE 2) [NCT04799249] | Phase 3 | 194 participants (Actual) | Interventional | 2021-04-15 | Active, not recruiting |
A Randomized Controlled, Open Label, Adaptive Phase-3 Trial to Evaluate Safety and Efficacy of EndoTAG-1+GEM vs GEM Alone in Patients With Measurable Locally Advanced/Metastatic Adenocarcinoma of the Pancreas Failed on FOLFIRINOX Treatment [NCT03126435] | Phase 3 | 218 participants (Actual) | Interventional | 2018-10-16 | Completed |
An Exploratory Clinical Study of Low-dose Gemcitabine Combined With Nivolumab for Second-line and Higher-line Treatment of Driving Gene-negative Non-small Cell Lung Cancer [NCT04331626] | Phase 4 | 50 participants (Anticipated) | Interventional | 2020-04-30 | Not yet recruiting |
Phase I Study of Combination of Nab-paclitaxel, Gemcitabine, and Bevacizumab in Advanced Malignancies [NCT01113476] | Phase 1 | 176 participants (Actual) | Interventional | 2010-04-27 | Completed |
Phase II Study to Evaluate the Efficacy and Safety of HAIC Combined With Toripalimab and Donafenib in Patients With Advanced Biliary Tract Cancer [NCT05350943] | Phase 2 | 70 participants (Anticipated) | Interventional | 2022-03-01 | Enrolling by invitation |
A Randomized, Phase II Trial Comparing Induction Chemotherapy Gemcitabine Plus Cisplatin With Docetaxel Plus Cisplatin Followed by Concurrent Chemoradiotherapy in Locally Advanced Nasopharyngeal Carcinoma in Northwest China [NCT01596868] | Phase 2 | 60 participants (Anticipated) | Interventional | 2012-05-31 | Completed |
A Phase II/III Prospective Randomized Placebo-control Trail Compare Mirtazapine Plus Gemcitabine With Gemcitabine in Metastasis Pancreatic Cancer [NCT01598584] | Phase 2/Phase 3 | 0 participants (Actual) | Interventional | 2012-06-30 | Withdrawn(stopped due to Gemcitabine is not the first choice for most pancreatic cancer patients nowdays) |
A Phase II Study of CHOEP Induction Followed by Gemcitabine/Busulfan/Melphalan Autologous Stem Cell Transplantation for Patients With Newly Diagnosed T-Cell Lymphoma [NCT01746173] | Phase 2 | 5 participants (Actual) | Interventional | 2013-07-31 | Terminated(stopped due to Slow accrual and futility) |
Phase I Study of CDK4/6 Inhibitor Ribociclib (LEE011) Combined With Gemcitabine in Patients With Advanced Solid Tumors [NCT03237390] | Phase 1 | 43 participants (Actual) | Interventional | 2018-01-04 | Completed |
Phase Ib, Multicenter, Open Label Study of PDR001 in Combination With Platinum Doublet Chemotherapy and Other Immunooncology Agents in PD-L1 Unselected, Metastatic NSCLS Patients (ElevatION:NSCLC-101 Trial) [NCT03064854] | Phase 1 | 111 participants (Actual) | Interventional | 2017-05-24 | Terminated(stopped due to Recruitment halted prematurely due to competitive landscape for lung cancer therapies) |
An Open-Label, Single Center, Nonrandomized, Phase 1 Study to Evaluate Safety and Efficacy of Gemcitabine Combined With Apatinib and Toripalimab in Recurrent or Metastatic Nasopharyngeal Carcinoma [NCT04073784] | Phase 1 | 41 participants (Actual) | Interventional | 2019-06-08 | Active, not recruiting |
A Phase I, Open-Label, Multi-Center Study to Assess the Safety and Tolerability of Selumetinib (AZD6244, ARRY-142886) in Combination With Cisplatin/Gemcitabine in Japanese Patients With Inoperable Locally Advanced or Metastatic Biliary Tract Cancer (BTC) [NCT01949870] | Phase 1 | 6 participants (Actual) | Interventional | 2013-10-31 | Terminated(stopped due to change in the development strategy) |
A Randomized, Phase III Comparison of Gemcitabine/Irinotecan Followed by IRESSA Versus Paclitaxel/Carboplatin/Etoposide Followed by IRESSA in the First-Line Treatment of Patients With Carcinoma of Unknown Primary Site [NCT00193596] | Phase 3 | 198 participants (Actual) | Interventional | 2003-09-30 | Completed |
A Phase II Study of Gemcitabine/Carboplatin/Bevacizumab in Platinum Sensitive Recurrent Ovarian, Fallopian Tube, or Primary Peritoneal Cancer Patients. [NCT00267696] | Phase 2 | 45 participants (Actual) | Interventional | 2005-11-30 | Completed |
Phase II Trial of Induction Gemcitabine and Carboplatin Followed by Paclitaxel and Carboplatin With Concurrent Thoracic Radiation for Patients With Unresectable Stage IIIA/IIIB Non-Small Cell Lung Cancer [NCT00226590] | Phase 2 | 39 participants (Actual) | Interventional | 2003-04-30 | Completed |
Phase II Study to Evaluate the Efficacy of Trilogy Stereotactic Radiosurgery for Pancreatic Cancer [NCT00350142] | Phase 2 | 20 participants (Actual) | Interventional | 2006-04-30 | Completed |
A Phase II, Randomized Study of Cytoreductive Surgery Combined With Niraparib Maintenance in Platinum-sensitive, Secondary Recurrent Ovarian Cancer [NCT03983226] | Phase 2 | 167 participants (Anticipated) | Interventional | 2019-10-18 | Recruiting |
Pamiparib and Low Dose Temozolomide In Patients With Platinum Sensitive Biliary Tract Cancer [NCT04796454] | Phase 2 | 0 participants (Actual) | Interventional | 2022-05-31 | Withdrawn(stopped due to Company decision) |
Open-label, Multi-cohort, Phase 2 Trial, Evaluating the Efficacy and Safety of Tusamitamab Ravtansine (SAR408701) Monotherapy and in Combination in Patients With CEACAM5-positive Advanced Solid Tumors [NCT04659603] | Phase 2 | 94 participants (Anticipated) | Interventional | 2021-03-29 | Recruiting |
A Phase III, Randomized, Open-Label Study of Pralsetinib Versus Standard of Care for First-Line Treatment of RET Fusion-Positive, Metastatic Non-Small Cell Lung Cancer [NCT04222972] | Phase 3 | 226 participants (Anticipated) | Interventional | 2020-07-24 | Recruiting |
Adjuvant Doxorubicin, Cyclophosphamide Followed by Avastin Given With Paclitaxel and Gemcitabine for Stage II and III Breast Cancer That Does Not Over-express Human Epidermal Growth Factor Receptor 2 (HER-2)/Neu [NCT00679029] | Phase 2 | 15 participants (Actual) | Interventional | 2008-05-02 | Terminated(stopped due to drug toxicity) |
Phase I-II Study of bi-Weekly Fixed Dose Rate Gemcitabine, Oxaliplatin and Capecitabine in Patients With Advanced Cholangiocarcinoma [NCT00350961] | Phase 1/Phase 2 | 39 participants (Anticipated) | Interventional | 2004-06-30 | Completed |
A Phase II Study to Evaluate the Efficacy and Toxicity of Oxaliplatin in Combination With Gemcitabine as First and Second Line Therapy in Unknown Primary Cancer [NCT00353145] | Phase 2 | 29 participants (Actual) | Interventional | 2004-02-29 | Completed |
Bevacizumab and Erlotinib First-Line Therapy in Advanced Non-Squamous Non-Small-Cell Lung Cancer (Stage IIIB/IV) Followed by Platinum-Based Chemotherapy at Disease Progression. A Multicenter Phase II Trial [NCT00354549] | Phase 2 | 104 participants (Actual) | Interventional | 2006-01-31 | Completed |
Lokal Fortgeschrittenes Pankreas-Karzinom: Stereotaktische Radiotherapie Gefolfgt Von Gemox-Chemotherapie [NCT00425841] | Phase 2 | 29 participants (Anticipated) | Interventional | 2006-05-31 | Completed |
Phase II Trial of Gemcitabine, Cisplatin, Plus Ipilimumab as First-line Treatment for Patients With Metastatic Urothelial Carcinoma: Hoosier Cancer Research Network GU10-148 [NCT01524991] | Phase 2 | 36 participants (Actual) | Interventional | 2012-01-31 | Completed |
Phase I Study of Aerosol Gemcitabine in Patients With Solid Tumors and Pulmonary Metastases [NCT03093909] | Phase 1 | 44 participants (Anticipated) | Interventional | 2017-11-22 | Recruiting |
A Preoperative Phase 1B Study to Assess the Safety and the Immunological Effect of Pembrolizumab (Keytruda®) in Combination With Paricalcitol With or Without Chemotherapy in Patients With Resectable Pancreatic Cancer [NCT02930902] | Phase 1 | 9 participants (Actual) | Interventional | 2017-02-20 | Completed |
An Open, Single-arm Prospective Clinical Study Evaluating the Efficacy of Systemic Venous Gemcitabine-based Chemotherapy Combined With Immunocheckpoint Inhibitors in First-line Treatment of Advanced Biliary Malignancies [NCT05487443] | Phase 2/Phase 3 | 50 participants (Anticipated) | Interventional | 2022-08-01 | Not yet recruiting |
A Novel Phase I/IIa Open Label Study of IMM 101 in Combination With Selected Standard of Care (SOC) Regimens in Patients With Metastatic Cancer or Unresectable Cancer at Study Entry [NCT03009058] | Phase 1/Phase 2 | 2 participants (Actual) | Interventional | 2017-05-24 | Terminated(stopped due to Commercial reasons) |
Bladder Sparing Treatment of Tislelizumab Combined With Gemcitabine and Cisplatin for Patients With PD-L1 Positive Muscle Invasive Bladder Cancer (T2-3N0M0): a Phase II Prospective Study [NCT05401279] | Phase 2 | 20 participants (Anticipated) | Interventional | 2022-06-01 | Recruiting |
A Phase I/II Study Evaluating the Feasibility and Safety of Neoadjuvant Gemcitabine/Nab-paclitaxel (GA) and Concurrent Gemcitabine and Radiation Therapy Followed By Pancreatic Resection and Major Arterial Resection for Adenocarcinoma of the Pancreas (ARCA [NCT02481635] | Phase 1/Phase 2 | 30 participants (Anticipated) | Interventional | 2016-07-31 | Active, not recruiting |
Lenalidomide Combined With Vorinostat/Gemcitabine/Busulfan/Melphalan With Autologous Stem-Cell Transplantation in Diffuse Large B-Cell Lymphoma of the ABC Subtype [NCT02589145] | Phase 1/Phase 2 | 8 participants (Actual) | Interventional | 2016-06-22 | Terminated(stopped due to Closed due to very slow accrual) |
Perioperative Stromal Depletion Strategies in Pancreatic Ductal Adenocarcinoma [NCT02487277] | Phase 2 | 3 participants (Actual) | Interventional | 2015-07-14 | Terminated(stopped due to Low accrual) |
Phase II Clinical Trial Of Neoadjuvant Chemotherapy (NAC)In Upper Tract Urothelial Carcinoma (UTUC) [NCT01663285] | Phase 2 | 1 participants (Actual) | Interventional | 2012-09-30 | Terminated(stopped due to Low study participant enrollment.) |
A Phase II Safety and Tolerability Study of Avastin When Added to Single-agent Chemotherapy to Treat Patient With Breast Cancer Metastatic to Brain [NCT00476827] | Phase 2 | 16 participants (Actual) | Interventional | 2007-05-31 | Terminated(stopped due to Slow accrual) |
A Phase I Study of Docetaxel (Taxotere), Carboplatin, and Gemcitabine (DoCaGem) as First-Line Therapy for Patients With High-Risk Epithelial Tumors of Mullerian Origin [NCT00004082] | Phase 1 | 0 participants | Interventional | 1999-07-31 | Completed |
Gemcitabine and Vinorelbine vs Standard Chemotherapy Containing Cisplatin for Stage IIIB/IV Non-Small Cell Lung Cancer [NCT00004100] | Phase 3 | 0 participants | Interventional | 1998-11-30 | Active, not recruiting |
Sequential and Concomitant Chemoradiotherapy With Gemcitabine-Based Chemotherapy for Inoperable Stage IIIa and IIIb Non-Small Cell Lung Cancer: A Phase I/IIa Study [NCT00004160] | Phase 1/Phase 2 | 72 participants (Actual) | Interventional | 2000-02-29 | Completed |
A Phase I(Limited)/Phase II Study of Oxaliplatin (OXAL) and Gemcitabine (GEMZAR) in Patients With Metastatic Pancreatic Carcinoma [NCT00004190] | Phase 2 | 59 participants (Actual) | Interventional | 1999-10-31 | Completed |
A Phase I Study of Oxaliplatin in Combination With Gemcitabine [NCT00004220] | Phase 1 | 0 participants | Interventional | 1999-10-31 | Completed |
A Phase III, Double-Blind, Placebo Controlled Trial of Gemcitabine Plus Placebo Versus Gemcitabine Plus R115777 in Patients With Advanced Pancreatic Cancer [NCT00005648] | Phase 3 | 688 participants (Actual) | Interventional | 1999-11-30 | Completed |
Autologous Stem Cell Transplantation for Poor Prognosis, Relapsed, or Refractory Intermediate-High Grade B-Cell Lymphoma Using Gemcitabine Plus High Dose BCNU and Melphalan Followed by Anti-CD20 Moab (IDEC C2B8, Rituximab, Rituxan) and Consolidative Chemo [NCT00003397] | Phase 2 | 25 participants (Anticipated) | Interventional | 1998-09-30 | Completed |
Phase I/II Study of 5-Fluorouracil/Folinic Acid/Gemcitabine in Patients With Advanced Colorectal Carcinoma [NCT00003001] | Phase 1/Phase 2 | 63 participants (Anticipated) | Interventional | 1997-04-30 | Active, not recruiting |
Randomized Study With New Combination Chemotherapies in Advanced Non-Small Cell Lung Cancer [NCT00003589] | Phase 3 | 450 participants (Anticipated) | Interventional | 1998-08-31 | Completed |
A Study of Gemcitabine, Cisplatin, and 5-Fluorouracil in the Treatment of Advanced Pancreatic Cancer [NCT00004003] | Phase 2 | 30 participants (Anticipated) | Interventional | 1999-04-30 | Completed |
Autotransplantation for Chronic Myelogenous Leukemia (CML) Followed by Immunotherapy With Ex-Vivo Expanded Autologous T Cells [NCT00003727] | Phase 2 | 22 participants (Anticipated) | Interventional | 1999-03-31 | Completed |
A Phase I Study of Gemcitabine, Cisplatin, and Radiation Therapy in Patients With Locally Advanced Pancreatic and Gastric Cancer [NCT00003157] | Phase 1 | 26 participants (Actual) | Interventional | 1998-02-28 | Completed |
Biweekly Gemcitabine and Paclitaxel in Patients With Advanced Non-Small Cell Lung Cancer and Solid Tumors: A Phase I/IIa Study [NCT00004159] | Phase 1/Phase 2 | 54 participants (Actual) | Interventional | 2000-02-29 | Terminated |
A Randomized Phase II Trial of Cisplatin or Carboplatin With Gemcitabine in Patients With Advanced Non-Small Cell Lung Cancer [NCT00004201] | Phase 2 | 0 participants | Interventional | | Completed |
A Pilot Trial of Platinum, Gemcitabine, or Pemetrexed Single- or Multi-Agent Therapy With Serial Tumor Specimen Collection in Patients With Advanced Non-Small-Cell Lung Cancer [NCT02145078] | | 4 participants (Actual) | Interventional | 2014-06-30 | Terminated(stopped due to Slow accrual.) |
Multicenter, Open-label, Randomized, Controlled Phase III Clinical Study of the Efficacy and Safety of Photodynamic Therapy Using Porfimer Sodium for Injection as Treatment for Unresectable Advanced Perihilar Cholangiocarcinoma [NCT02082522] | Phase 3 | 28 participants (Actual) | Interventional | 2014-11-12 | Terminated(stopped due to Accrual rate remaining too low) |
A Phase 1b Study of LY2835219 in Combination With Multiple Single Agent Options for Patients With Stage IV NSCLC [NCT02079636] | Phase 1 | 142 participants (Actual) | Interventional | 2014-03-28 | Completed |
A Pilot Study of Gemcitabine Plus High-Dose Ascorbate in Locally Advanced Unresectable or Metastatic Soft Tissue and Bone Sarcomas Including Adolescents [NCT04877587] | Early Phase 1 | 0 participants (Actual) | Interventional | 2023-01-31 | Withdrawn(stopped due to Unable to enroll) |
Platinum-Gemcitabine-Avastin (PGA) for Platinum-resistant/Refractory, Paclitaxel-Pretreated Recurrent Ovarian and Peritoneal Carcinoma [NCT01936974] | Phase 2 | 7 participants (Actual) | Interventional | 2013-09-30 | Terminated(stopped due to PI Decision) |
A Phase II Trial of Systemic Chemotherapy (Gemcitabine and Cisplatin) in Combination With Conventional Transarterial Chemoembolization (cTACE) in Patients With Advanced Intra-Hepatic Cholangiocarcinoma (ICC) [NCT02994251] | Phase 2 | 1 participants (Actual) | Interventional | 2017-06-21 | Terminated(stopped due to Study terminated due to low enrollment making it unlikely to meet recruitment goals.) |
A Phase 1b Study of the Safety and Tolerability of Ruxolitinib in Combination With Gemcitabine With or Without Nab-Paclitaxel in Subjects With Advanced Solid Tumors [NCT01822756] | Phase 1 | 42 participants (Actual) | Interventional | 2013-04-30 | Terminated(stopped due to Dose escalation ended after Cohort B1, RUX 10 mg BID - GCSF in October 2014.) |
A Randomized Open Label Phase II Study of Weekly Gemcitabine Plus Pazopanib Versus Weekly Gemcitabine Alone in the Treatment of Patients With Persistent or Relapsed Epithelial Ovarian, Fallopian Tube or Primary Peritoneal Carcinoma [NCT01610206] | Phase 2 | 148 participants (Actual) | Interventional | 2012-09-30 | Completed |
An Open-label Pilot Study Evaluating the Effect of a Combination Regimen of Herceptin, Cisplatin, and Gemcitabine on Time to Disease Progression in Patients With Metastatic Urothelial Cancer [NCT02006667] | Phase 2 | 13 participants (Actual) | Interventional | 2001-01-31 | Completed |
Phase II, Neoadjuvant Study of Parasympathetic Stimulation With Bethanechol in Combination With Gemcitabine and Nab-paclitaxel in Borderline Resectable Pancreatic Adenocarcinoma [NCT05241249] | Phase 2 | 37 participants (Anticipated) | Interventional | 2022-02-01 | Recruiting |
A Randomized, Open-label Study of the Effect of Omnitarg in Combination With Carboplatin-based Chemotherapy Versus Carboplatin-based Therapy Alone on Treatment Response in Patients With Platinum-sensitive Recurrent Ovarian Cancer [NCT02004093] | Phase 2 | 149 participants (Actual) | Interventional | 2005-12-31 | Completed |
ToPCourT: A Phase II Trial of Trilaciclib, Pembrolizumab, Gemcitabine and Carboplatin in Locally Advanced Unresectable or Metastatic Triple-Negative Breast Cancer (TNBC) [NCT06027268] | Phase 2 | 36 participants (Anticipated) | Interventional | 2023-12-31 | Not yet recruiting |
A Randomized, Open-Label, Phase II Trial of Nab-paclitaxel + Gemcitabine With or Without Botensilimab (AGEN1181) in Patients With Metastatic Pancreatic Cancer Who Have Progressed on Prior 5FU + Leucovorin + Irinotecan + Oxaliplatin (FOLFIRINOX) [NCT05630183] | Phase 2 | 78 participants (Anticipated) | Interventional | 2023-03-27 | Recruiting |
A Phase II Study of Peri-Operative NovoTTF-200T(P) in Combination With Gemcitabine and Nab-Paclitaxel for Resectable Pancreatic Adenocarcinoma [NCT05624918] | Phase 2 | 38 participants (Anticipated) | Interventional | 2023-12-31 | Recruiting |
A Phase 3 Open-Label, Randomized, Multicenter Study of NKTR-102 Versus Treatment of Physician's Choice (TPC) in Patients With Metastatic Breast Cancer Who Have Stable Brain Metastases and Have Been Previously Treated With an Anthracycline, a Taxane, and C [NCT02915744] | Phase 3 | 178 participants (Actual) | Interventional | 2016-11-30 | Completed |
A Phase III Randomized Controlled Clinical Trial of Carboplatin and Paclitaxel (or Gemcitabine) Alone or in Combination With Bevacizumab (NSC #704865) Followed by Bevacizumab and Secondary Cytoreductive Surgery in Platinum-Sensitive, Recurrent Ovarian, Pe [NCT00565851] | Phase 3 | 1,052 participants (Actual) | Interventional | 2007-12-06 | Active, not recruiting |
Phase I/II Trial of Sequential Doxorubicin/Gemcitabine (AG) and Ifosfamide, Paclitaxel, and Cisplatin (ITP) Chemotherapy (AG-ITP) in Patients With Metastatic or Locally Advanced Transitional Cell Carcinoma of the Urothelium [NCT00003105] | Phase 1/Phase 2 | 30 participants (Anticipated) | Interventional | 1997-09-30 | Completed |
A Randomized, Open Label, Phase 1/2 Trial of Gemcitabine Plus Nab-paclitaxel With or Without FG-3019 as Neoadjuvant Chemotherapy in Locally Advanced, Unresectable Pancreatic Cancer [NCT02210559] | Phase 1/Phase 2 | 37 participants (Actual) | Interventional | 2014-07-31 | Completed |
A Phase 1B Study to Determine the Safety and Tolerability and Confirm the Dose of Canakinumab and Spartalizumab in Combination With Nab-paclitaxel and Gemcitabine for Patients With Metastatic Pancreatic Cancer [NCT04581343] | Phase 1 | 10 participants (Actual) | Interventional | 2020-11-02 | Active, not recruiting |
A Randomized, Double-Blind, Phase III Study of the Efficacy and Safety of Gemcitabine in Combination With TH-302 Compared With Gemcitabine in Combination With Placebo in Previously Untreated Subjects With Metastatic or Locally Advanced Unresectable Pancre [NCT01746979] | Phase 3 | 693 participants (Actual) | Interventional | 2012-12-31 | Completed |
Validation of a Radiation Response Signature in Borderline Resectable Pancreatic Cancer Patients Treated With Induction Chemotherapy Followed by Stereotactic Body Radiation Therapy (SBRT) [NCT01754623] | Phase 2 | 9 participants (Actual) | Interventional | 2013-02-28 | Terminated(stopped due to Lack of pre-treatment tissue to make the study plan feasible.) |
A Phase 1-2 Study of Rapamycin and Cisplatin/Gemcitabine for Treatment of Patients With Bladder Cancer [NCT01938573] | Phase 1/Phase 2 | 21 participants (Actual) | Interventional | 2013-10-31 | Completed |
A Study to Evaluate the Efficacy of Propranolol in Boosting Immunotherapy in Hepatocellular Carcinoma, Cholangiocarcinoma and Pancreatic Adenocarcinoma [NCT05451043] | Phase 2 | 62 participants (Anticipated) | Interventional | 2023-03-01 | Not yet recruiting |
Phase II Study of Gemcitabine, Carboplatin, and Panitumumab (GCaP) as Neoadjuvant Chemotherapy in Patients With Muscle-Invasive Bladder Cancer [NCT01916109] | Phase 2 | 4 participants (Actual) | Interventional | 2013-08-31 | Terminated(stopped due to Lack of accrual) |
An Open-Label, Randomized, Phase 3 Trial of Nivolumab Versus Investigator's Choice Chemotherapy as First-Line Therapy for Stage IV or Recurrent PD-L1+ Non-Small Cell Lung Cancer [NCT02041533] | Phase 3 | 541 participants (Actual) | Interventional | 2014-03-27 | Completed |
A Randomized Phase II/Genomic Trial of Two Chemotherapy Regimens in Patients With Resected Pancreatic Adenocarcinoma [NCT01839799] | Phase 2 | 32 participants (Actual) | Interventional | 2013-04-30 | Completed |
The Effectiveness and Safety of Intravesical Gemcitabine Instillation During Operation to Prevent Intravesical Recurrence After Radical Nephroureterectomy in Upper Urinary Tract Urothelial Carcinoma: Prospective, Phase II Study [NCT03062059] | Phase 2 | 134 participants (Anticipated) | Interventional | 2018-03-01 | Recruiting |
Phase Ib Study of BVD-523 Plus Nab-paclitaxel and Gemcitabine in Patients With Metastatic Pancreatic Cancer [NCT02608229] | Phase 1 | 18 participants (Actual) | Interventional | 2016-06-06 | Terminated(stopped due to Adverse events) |
A Phase II Trial of Flouro-Gem as a First Line Treatment of Metastatic Adenocarcinoma of the Pancreas (GEFLUPAN) [NCT04769414] | Phase 2 | 48 participants (Actual) | Interventional | 2021-02-20 | Completed |
A Study of the Safety and Efficacy of the Combination of Gemcitabine and Docetaxel With MORAb-004 in Metastatic Soft Tissue Sarcoma [NCT01574716] | Phase 2 | 209 participants (Actual) | Interventional | 2012-08-07 | Completed |
Nab-Paclitaxel and Gemcitabine Plus Camrelizumab and Radiotherapy Versus Nab-Paclitaxel and Gemcitabine Alone for Locally Advanced Pancreatic Adenocarcinoma [NCT04365049] | | 100 participants (Anticipated) | Observational [Patient Registry] | 2020-04-01 | Recruiting |
Phase II Study of Abraxane and Gemicitabine in Patients With Advanced Adenocarcinoma Non-Small Cell Lung Cancer Progressing After First-Line Platinum-Based Chemotherapy [NCT02303977] | Phase 2 | 37 participants (Actual) | Interventional | 2015-06-26 | Completed |
A Phase IIa, Single-arm, Multicenter Study to Investigate the Clinical Activity and Safety of Avelumab in Combination With Cetuximab Plus Gemcitabine and Cisplatin in Participants With Advanced Squamous NSCLC [NCT03717155] | Phase 2 | 43 participants (Actual) | Interventional | 2018-10-30 | Completed |
A Randomized, Three-Arm, Open-Label Phase 3b Clinical Trial of Aumolertinib, Versus Aumolertinib With Chemotherapy, Versus Osimertinib for Patients With Metastatic NSCLC and an EGFR Mutation (TREBLE) [NCT05493501] | Phase 3 | 8 participants (Actual) | Interventional | 2022-12-14 | Terminated(stopped due to The study is being closed based on corporate changes at EQRx and is not related to any efficacy or safety issues with aumolertinib.) |
Randomized Phase II Trial of Gemcitabine, Avelumab and Carboplatin vs. No Neoadjuvant Therapy Preceding Surgery for Cisplatin-Ineligible Muscle-Invasive Urothelial Carcinoma: SWOG GAP TRIAL [NCT04871529] | Phase 2 | 196 participants (Anticipated) | Interventional | 2022-08-10 | Suspended(stopped due to undergoing nrevision) |
Phase 2 Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC) With Gemcitabine Followed by Systemic Adjuvant Chemotherapy With Dacarbazine for Locally Recurrent Uterine Leiomyosarcoma (LMS) [NCT04727242] | Phase 2 | 25 participants (Anticipated) | Interventional | 2021-01-28 | Recruiting |
A Phase II Study of Paclitaxel Protein Bound + Gemcitabine + Cisplatin+ Hydroxychlororoquine as Preoperative Treatment in Patients With Untreated Resectable, Borderline Resectable and Locally Advanced Adenocarcinoma of the Pancreas [NCT04669197] | Phase 2 | 19 participants (Actual) | Interventional | 2020-12-01 | Active, not recruiting |
Phase 2 Study of ZW25 Plus First-line Combination Chemotherapy in HER2-Expressing Gastrointestinal (GI) Cancers, Including Gastroesophageal Adenocarcinoma (GEA), Biliary Tract Cancer (BTC), and Colorectal Cancer (CRC) [NCT03929666] | Phase 2 | 362 participants (Anticipated) | Interventional | 2019-08-29 | Recruiting |
A Phase II Pilot Trial of Nivolumab + Albumin-Bound Paclitaxel + Paricalcitol + Cisplatin + Gemcitabine (NAPPCG) In Patients With Previously Untreated Metastatic Pancreatic Ductal Adenocarcinoma [NCT02754726] | Phase 2 | 10 participants (Actual) | Interventional | 2016-04-30 | Active, not recruiting |
A Prospective Phase II Trial of Molecular Profiling to Guide Neoadjuvant Therapy for Resectable and Borderline Resectable Adenocarcinoma of the Pancreas [NCT01726582] | Phase 2 | 229 participants (Actual) | Interventional | 2011-11-30 | Completed |
Gemcitabine/Clofarabine/Busulfan and Allogeneic Transplantation for Aggressive Lymphomas [NCT01701986] | Phase 1/Phase 2 | 80 participants (Anticipated) | Interventional | 2012-10-25 | Active, not recruiting |
Phase II Study of Imatinib Mesylate and Gemcitabine for First-line Treatment of Metastatic Pancreatic Cancer [NCT00161213] | Phase 2 | 44 participants (Actual) | Interventional | 2005-09-30 | Completed |
Randomized Trial of Surgical Resection With or Without Pre-Operative Chemotherapy in Patients With Operable Non-Small Cell Lung Cancer (NSCLC) of Any Stage [NCT00003159] | Phase 3 | 600 participants (Anticipated) | Interventional | 1997-08-31 | Completed |
A Phase 1/2, Open-Label, Dose-Escalation, Safety and Tolerability Study of INCB052793 in Subjects With Advanced Malignancies [NCT02265510] | Phase 1/Phase 2 | 83 participants (Actual) | Interventional | 2014-09-10 | Terminated |
A Phase Ib/II Clinical Trial to Evaluate the Efficacy and Safety of Surufatinib in Combination With KN046 and AG Regimen Chemotherapy for the First-Line Treatment of Unresectable Advanced Pancreatic Cancer [NCT05832892] | Phase 1/Phase 2 | 41 participants (Anticipated) | Interventional | 2023-10-31 | Recruiting |
A Phase 3, Randomized, Double-blind, Placebo-controlled Study of Gemcitabine and Nab-paclitaxel Combined With Momelotinib in Subjects With Previously Untreated Metastatic Pancreatic Ductal Adenocarcinoma Preceded by a Dose-finding, Lead-in Phase [NCT02101021] | Phase 3 | 25 participants (Actual) | Interventional | 2014-06-02 | Terminated |
A Phase 3, Multicenter, Open-label, Randomized Study of Nab-Paclitaxel Plus Gemcitabine Versus Gemcitabine Alone as Adjuvant Therapy in Subjects With Surgically Resected Pancreatic Adenocarcinoma [NCT01964430] | Phase 3 | 866 participants (Actual) | Interventional | 2014-03-28 | Completed |
A Study of Nivolumab Combination Gemcitabine and S1 as the First-Line Treatment in Patients With Advanced Biliary Tract Cancer [NCT04172402] | Phase 2 | 48 participants (Anticipated) | Interventional | 2019-12-27 | Active, not recruiting |
Vinorelbine Versus Gemcitabine Versus Gemcitabine and Vinorelbine in Elderly Patients With Stage IIIB-IV Non-Small Cell Lung Cancer [NCT00003447] | Phase 3 | 630 participants (Anticipated) | Interventional | 1998-07-31 | Active, not recruiting |
Phase I Trial of Irinotecan (CPT-11) and Gemcitabine in Patients With Solid Tumors [NCT00004095] | Phase 1 | 38 participants (Actual) | Interventional | 1999-08-31 | Completed |
Phase II Study of Gemcitabine and Cisplatin in Unresectable Malignant Mesothelioma [NCT00003723] | Phase 2 | 57 participants (Actual) | Interventional | 1999-02-28 | Completed |
A PEDIATRIC PHASE I STUDY OF GEMCITABINE (NSC# 613327) IN SOLID TUMORS [NCT00005577] | Phase 1 | 30 participants (Actual) | Interventional | 1996-08-31 | Completed |
A Phase II Trial of Albumin-Bound Paclitaxel and Gemcitabine in Patients With Untreated Stage IV or Recurrent Squamous Cell Lung Cancers [NCT02525653] | Phase 2 | 40 participants (Actual) | Interventional | 2015-08-31 | Completed |
A Randomized, Multicenter, Double-blind, Placebo-controlled, Phase 3 Study of the Bruton's Tyrosine Kinase Inhibitor Ibrutinib in Combination With Nab-paclitaxel and Gemcitabine Versus Placebo in Combination With Nab-paclitaxel and Gemcitabine, in the Fir [NCT02436668] | Phase 3 | 430 participants (Actual) | Interventional | 2015-05-31 | Completed |
Chemotherapy-based Split Stereotactic Body Radiation Therapy for Borderline Resectable and Locally Advanced Pancreatic Cancer: Study Protocol of a Prospective, Single-arm Phase II Trial [NCT04289792] | Phase 2 | 27 participants (Anticipated) | Interventional | 2020-05-09 | Recruiting |
Phase II Study of Copanlisib (BAY 80-6946) in Combination With Gemcitabine and Cisplatin in Advanced Cholangiocarcinoma [NCT02631590] | Phase 2 | 24 participants (Actual) | Interventional | 2016-07-05 | Completed |
Phase I/II Study of LY2090314 and Chemotherapy in Metastatic Pancreatic Cancer Patients With Metastases Amenable to Biopsy [NCT01632306] | Phase 1/Phase 2 | 13 participants (Actual) | Interventional | 2013-03-31 | Terminated(stopped due to Study has been terminated due to slow enrollment.) |
Phase I/II Clinical Study of Mitoxantrone Hydrochloride Liposomes in Combination With Gemcitabine, Dexamethasone, and Cisplatin in Relapsed/Refractory Peripheral T-cell Lymphoma [NCT05441761] | Phase 1/Phase 2 | 60 participants (Anticipated) | Interventional | 2022-05-01 | Recruiting |
Camrelizumab Plus Apatinib Combined With GEMOX (Gemcitabine and Oxaliplatin ) in the Perioperative Treatment of Locally Advanced Biliary Tract Malignancies: A Prospective, Multicenter, Phase Ⅱ Study [NCT05451290] | Phase 2 | 30 participants (Anticipated) | Interventional | 2022-09-01 | Not yet recruiting |
A Prospective, Phase III, Controlled, Multicentre, Randomised Clinical Trial Comparing Combination Gemcitabine and Capecitabine Therapy With Concurrent and Sequential Chemoimmunotherapy Using a Telomerase Vaccine in Locally Advanced and Metastatic Pancrea [NCT00425360] | Phase 3 | 1,110 participants (Anticipated) | Interventional | 2006-09-30 | Completed |
A Phase Ib/II, Open-label Clinical Study to Evaluate the Safety, Tolerability and Antitumor Activities of IN10018+Standard Chemotherapy and IN10018+Standard Chemotherapy+KN046 in Subjects With Advanced Pancreatic Cancer [NCT05827796] | Phase 1/Phase 2 | 70 participants (Anticipated) | Interventional | 2022-12-08 | Recruiting |
Carboplatin-gemcitabine Versus Cisplatin-gemcitabine as Neoadjuvant Chemotherapy for Treatment of Muscle Invasive Urinary Bladder Cancer: a Prospective Randomized Trial [NCT05822934] | Phase 3 | 20 participants (Anticipated) | Interventional | 2022-11-01 | Recruiting |
From Liquid Biopsy to Cure: Using ctDNA Detection of Minimal Residual Disease to Identify Patients for Curative Therapy After Lung Cancer Resection [NCT04966663] | Phase 2 | 66 participants (Anticipated) | Interventional | 2022-03-28 | Recruiting |
A Phase II Study of Penpulimab Combined With Chemotherapy ± Anlotinib Hydrochloride in Patients With Advanced Nasopharyngeal Carcinoma [NCT04736810] | Phase 2 | 90 participants (Anticipated) | Interventional | 2021-02-28 | Recruiting |
A Controlled, Randomized, Open Label Phase II Trial to Evaluate Safety and Efficacy of a 1st Line Combination Treatment With Weekly Infusions of Gemcitabine and Twice Weekly Administration of Lipid Complexed Paclitaxel (EndoTAG-1) in Three Dose Levels Com [NCT00377936] | Phase 2 | 212 participants (Actual) | Interventional | 2005-09-30 | Completed |
A Phase II Study to Assess the Efficacy and Safety of Preoperative Chemotherapy With Radiation Therapy for Patients With Borderline Unresectable Adenocarcinoma of the Pancreas [NCT01240304] | Phase 2 | 10 participants (Actual) | Interventional | 2010-11-30 | Terminated(stopped due to no subjects enrolled) |
Efficacy and Safety of Conventional and Low-dose Platinum Gemcitabine Combined With Cindilimab With Delayed Administration in First-line Treatment of Advanced Squamous Non-small Cell Lung Cancer [NCT05312840] | Phase 4 | 60 participants (Anticipated) | Interventional | 2022-01-01 | Recruiting |
A Feasibility Study to Discern the Tolerability of 5-FU/Gemcitabine Based Chemotherapy Concurrent With Upper Abdominal Radiation and the Utility of Aprepitant/5HT-3 Antagonist (EMEND) for the Prevention of ChemoRadiation-Induced Nausea and Vomiting (CRINV [NCT01534637] | Phase 2 | 22 participants (Actual) | Interventional | 2006-08-31 | Completed |
A Randomized, Double-Blind Phase II, Study of Gemcitabine Alone or in Combination With Pazopanib for Refractory Soft Tissue Sarcoma [NCT01532687] | Phase 2 | 54 participants (Actual) | Interventional | 2012-03-13 | Completed |
A Phase II Study of Preoperative Systemic Chemotherapy (Modified FOLFIRINOX) Followed by Radiation Therapy for Patients With High Risk Resectable and Borderline Resectable Adenocarcinoma of the Pancreas [NCT01560949] | Phase 2 | 34 participants (Actual) | Interventional | 2012-06-14 | Completed |
Phase II Study of Neoadjuvant Toripalimab With Gemcitabine-Cisplatin in Subjects With T2-4aN0M0 Bladder Cancer: GZZJU-2021NB [NCT04861584] | Phase 2 | 41 participants (Anticipated) | Interventional | 2021-06-03 | Recruiting |
Phase II Study of Dose Attenuated Chemotherapy in Patients With Lung Cancer and Age > 70 and/or Comorbidities [NCT05800587] | Phase 2 | 280 participants (Anticipated) | Interventional | 2023-02-22 | Recruiting |
Phase II Study of Biweekly Carboplatin and Gemcitabine With Bevacizumab as 1st Line Treatment in Patients With Advanced, Inoperable Stage IIIb/IV NSCLC [NCT00400803] | Phase 2 | 38 participants (Actual) | Interventional | 2007-03-31 | Completed |
A Phase I Study of Anetumab Ravtansine in Combination With Either Anti-PD-1 Antibody, or Anti-CTLA4 and Anti-PD-1 Antibodies or Anti-PD-1 Antibody and Gemcitabine in Mesothelin-Positive Advanced Pancreatic Adenocarcinoma [NCT03816358] | Phase 1 | 74 participants (Anticipated) | Interventional | 2019-12-09 | Active, not recruiting |
A Phase 1b/2 Multicenter, International, Randomized, Double Blind, Placebo-Controlled, Study of Gemcitabine Combined With PEGPH20 Compared to Gemcitabine Combined With Placebo in Patients With Stage IV Previously Untreated Pancreatic Cancer [NCT01453153] | Phase 1/Phase 2 | 28 participants (Actual) | Interventional | 2011-09-30 | Completed |
A Pilot Study of PD-1 Inhibitor in Combination With Gemcitabine/Cisplatin for Patients With Advanced Unresectable or Metastatic Biliary Tract Cancers [NCT03311789] | Phase 1/Phase 2 | 30 participants (Anticipated) | Interventional | 2017-05-01 | Recruiting |
A Phase 1/2, Open-Label, Dose-Escalation/Dose-Expansion, Safety and Tolerability Study of INCB057643 in Subjects With Advanced Malignancies [NCT02711137] | Phase 1/Phase 2 | 137 participants (Actual) | Interventional | 2016-05-18 | Terminated(stopped due to Study terminated due to safety issues.) |
Neoadjuvant Chemotherapy in Borderline Resectable and Locally Advanced Pancreatic Cancer - A Norwegian Population Based Observational Study [NCT04423731] | | 251 participants (Actual) | Observational | 2018-01-01 | Active, not recruiting |
A Multi-Institutional, Single Arm, Two-Stage Phase II Trial of Nab-Paclitaxel and Gemcitabine for First-Line Treatment of Patients With Advanced or Metastatic Cholangiocarcinoma [NCT02181634] | Phase 2 | 74 participants (Actual) | Interventional | 2014-12-09 | Completed |
A Phase Ib and II Open-Label, Multi-Center Study of MEDI4736 Evaluated in Different Combinations in Patients With Metastatic Pancreatic Ductal Adenocarcinoma [NCT02583477] | Phase 1/Phase 2 | 23 participants (Actual) | Interventional | 2016-03-25 | Completed |
A Phase II Study of Brentuximab Vedotin in Patients With Relapsed or Refractory Peripheral T-cell Lymphoma Treated With Gemcitabine Followed by Brentuximab Vedotin Maintenance [NCT03496779] | Phase 2 | 71 participants (Actual) | Interventional | 2018-04-10 | Completed |
A Phase I/II Study Using Cisplatin and Gemcitabine (Gemzar) for Advanced Head and Neck Cancer (Squamous Cell Carcinoma) [NCT00003182] | Phase 1/Phase 2 | 40 participants (Anticipated) | Interventional | 1997-03-31 | Active, not recruiting |
Phase I/II Study of Induction Chemotherapy With Gemcitabine and Cisplatin Followed by Combined Chemo-radiation and/or Surgical Resection for Locally Advanced Pancreatic Cancer [NCT00003332] | Phase 1/Phase 2 | 36 participants (Anticipated) | Interventional | 1997-07-31 | Completed |
A Randomized, Double-Blind, Placebo-Controlled Phase 1b/2 Study of LY2228820, a p38 MAPK Inhibitor, Plus Gemcitabine and Carboplatin Versus Gemcitabine and Carboplatin for Women With Platinum-Sensitive Ovarian Cancer [NCT01663857] | Phase 1/Phase 2 | 118 participants (Actual) | Interventional | 2012-07-31 | Completed |
A Randomized, Double-Blind, Phase III Study to Compare the Efficacy and Safety of Sintilimab (IBI308) in Combination With Gemcitabine and Platinum-Based Chemotherapy vs. Placebo in Combination With Gemcitabine and Platinum-Based Chemotherapy as First-Line [NCT03629925] | Phase 3 | 357 participants (Actual) | Interventional | 2018-09-28 | Completed |
A Phase 2 Study With Combination Chemotherapy (Gemcitabine and Nab-Paclitaxel), Chemokine (C-X-C) Motif Receptor 4 Inhibitor (BL-8040), and Immune Checkpoint Blockade (Cemiplimab) in METastatic Treatment naïve PANCreas Adenocarcinoma [NCT04543071] | Phase 2 | 10 participants (Anticipated) | Interventional | 2020-11-09 | Recruiting |
Phase I/II Study to Assess the Efficacy and Safety of Nab-paclitaxel in Combination With Gemcitabine for the Treatment of Fragile Patients With Advanced or Metastatic Pancreatic Cancer [NCT02382263] | Phase 1/Phase 2 | 224 participants (Actual) | Interventional | 2013-04-30 | Completed |
Phase III Italian Multicenter Study Comparing the Combination of 5-fluorouracil/Folinic Acid, Oxaliplatin and Irinotecan (Folfoxiri) Versus Gemcitabine as Adjuvant Treatment for Resected Pancreatic Cancer [NCT02355119] | Phase 3 | 310 participants (Anticipated) | Interventional | 2015-01-31 | Recruiting |
A Phase Ib/II Study of Pembrolizumab Plus Chemotherapy in Patients With Advanced Cancer (PembroPlus) [NCT02331251] | Phase 1/Phase 2 | 81 participants (Actual) | Interventional | 2014-12-31 | Terminated(stopped due to PI not longer at site.) |
Phase I/II Trial of the Combination of Docetaxel, Gemcitabine and Cisplatin (DGP) as Induction Chemotherapy in Patients With Stage III Non-Small Cell Lung Cancer [NCT00003037] | Phase 1/Phase 2 | 0 participants | Interventional | 1997-04-30 | Completed |
A Randomized Phase II Trial Comparing Stem Cell Mobilization With Chemotherapy and Cytokine (G-CSF) Versus Cytokine (G-CSF) Alone in Myeloma Patients (MOCCCA-trial). [NCT03442673] | Phase 2 | 137 participants (Actual) | Interventional | 2018-09-17 | Active, not recruiting |
A Phase 1b Study to Assess the Safety and Anti-tumour Activity of Dexanabinol Monotherapy and Dexanabinol in Combination With Chemotherapy in Patients With Advanced Tumours [NCT02423239] | Phase 1 | 112 participants (Anticipated) | Interventional | 2015-04-30 | Active, not recruiting |
Open-label, Uncontrolled, Multicenter Phase I/Ib Trial to Investigate Safety and Efficacy of BIBW 2992 and Standard Gemcitabine/Cisplatin in Chemo-naïve Patients With Advanced Biliary Tract Adenocarcinoma [NCT01679405] | Phase 1 | 9 participants (Actual) | Interventional | 2012-08-31 | Terminated(stopped due to No sufficient clinical or molecular signals for efficacy were observed.) |
A Randomized, Double-blind, Placebo-controlled Phase 2 Study of MM-141 Plus Nab-paclitaxel and Gemcitabine Versus Nab-paclitaxel and Gemcitabine in Front-line Metastatic Pancreatic Cancer [NCT02399137] | Phase 2 | 88 participants (Actual) | Interventional | 2015-05-31 | Completed |
A Combined Phase 1 and Phase 2 Study of Albumin-bound Rapamycin Nanoparticles (Nab-rapamycin, ABI-009) in the Treatment of BCG Refractory or Recurrent Nonmuscle Invasive Transitional Cell Bladder Cancer [NCT02009332] | Phase 1/Phase 2 | 21 participants (Actual) | Interventional | 2014-04-09 | Completed |
A Randomized Phase II Clinical Trial Assessing the Efficacy and Safety of MK-3475 (Pembrolizumab) in Combination With Carboplatin and Gemcitabine in Patients With Metastatic Triple Negative Breast Cancer [NCT02755272] | Phase 2 | 87 participants (Anticipated) | Interventional | 2016-05-31 | Active, not recruiting |
A Phase III, Open-label, Multicenter Trial of Avelumab (MSB0010718C) Versus Platinum-based Doublet as a First-line Treatment of Recurrent or Stage IV PD-L1+NSCLC [NCT02576574] | Phase 3 | 1,214 participants (Actual) | Interventional | 2015-10-29 | Active, not recruiting |
Phase Ib Study of the Selective Inhibitor of Nuclear Export (SINE) Selinexor (KPT-330), Gemcitabine and Nab-Paclitaxel and Phase II Study of Gemcitabine and Selinexor in Patients With Metastatic Pancreatic Cancer [NCT02178436] | Phase 1/Phase 2 | 15 participants (Actual) | Interventional | 2014-10-31 | Completed |
Phase II Study of Neoadjuvant Toripalimab in Combination With Gemcitabine Therapy in Cisplatin Ineligible Stage II-IIIB Bladder Cancer [NCT04553939] | Phase 2 | 50 participants (Anticipated) | Interventional | 2021-01-04 | Recruiting |
A Phase I Dose-Escalation Study of CPI-613 (Devimistat) in Combination With Chemoradiation in Patients With Pancreatic Adenocarcinoma [NCT05325281] | Phase 1 | 24 participants (Anticipated) | Interventional | 2022-10-31 | Recruiting |
A Multicenter, Randomized, Open-lable, Parallel-controlled, Phase II Study to Evaluate the Differences of Safety and Efficacy of Irinotecan Liposome Injection-containing Regimens Versus Nab-paclitaxel Plus Gemcitabine in Patients With Previously Untreated [NCT05047991] | Phase 2 | 153 participants (Anticipated) | Interventional | 2021-10-31 | Not yet recruiting |
Phase Ib/II Clinical Study of IAH0968 in Combination With Gemcitabine and Cisplatin for the Treatment of HER2-Positive Unresectable Advanced/Metastatic Malignant Tumors and Cholangiocarcinoma [NCT05991518] | Phase 1/Phase 2 | 136 participants (Anticipated) | Interventional | 2023-04-25 | Recruiting |
A Pilot Multi-arm Study of sEphB4-HSA in Combination With Different Chemotherapy Regimens in Patients With Specific Advanced or Metastatic Solid Tumors [NCT02495896] | Phase 1 | 61 participants (Actual) | Interventional | 2015-09-03 | Terminated(stopped due to Lack of funding) |
A Phase 2 Study of Amplitude-Modulated Radiofrequency Electromagnetic Fields in Metastatic Pancreatic Cancer [NCT05776524] | Phase 2 | 46 participants (Anticipated) | Interventional | 2023-06-13 | Recruiting |
An Open-label, Randomized, Phase 2/3 Study of Olaparib Plus Pembrolizumab Versus Chemotherapy Plus Pembrolizumab After Induction of Clinical Benefit With First-line Chemotherapy Plus Pembrolizumab in Participants With Locally Recurrent Inoperable or Metas [NCT04191135] | Phase 2 | 462 participants (Actual) | Interventional | 2019-12-19 | Active, not recruiting |
Neoadjuvant Gemcitabine, Cisplatin, Plus Nivolumab in Patients With Muscle-invasive Bladder Cancer With Selective Bladder Sparing [NCT03558087] | Phase 2 | 76 participants (Anticipated) | Interventional | 2018-07-13 | Active, not recruiting |
[NCT01454934] | Phase 3 | 540 participants (Actual) | Interventional | 2011-12-09 | Completed |
An Open-Label, Multicenter, Randomized, Phase Ib/II Study of E7080 in Combination With Carboplatin + Gemcitabine Versus Carboplatin + Gemcitabine Alone as Second Line Therapy in Patients With Platinum-Sensitive Recurrent Ovarian Cancer by CA125. [NCT01133756] | Phase 1/Phase 2 | 7 participants (Actual) | Interventional | 2010-03-31 | Terminated(stopped due to poor accrual) |
Phase II Trial of Gemcitabine and Genistein in Metastatic Breast Cancer Patients With Biomarker Assays [NCT00244933] | Phase 2 | 19 participants (Actual) | Interventional | 2004-02-29 | Completed |
Phase II Trial Of Pemetrexed Disodium And Gemcitabine In Advanced Urothelial Cancer [NCT00053209] | Phase 2 | 46 participants (Actual) | Interventional | 2004-08-10 | Completed |
Phase II Study of Paclitaxel Plus Gemcitabine in Refractory Germ Cell Tumors [NCT00003518] | Phase 2 | 44 participants (Anticipated) | Interventional | 1999-01-25 | Completed |
A Phase 1 Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of GS-5745 as Monotherapy and in Combination With Chemotherapy in Subjects With Advanced Solid Tumors [NCT01803282] | Phase 1 | 236 participants (Actual) | Interventional | 2013-03-29 | Completed |
MASTERPLAN: A Randomised Phase II Study of MFOLFIRINOX And Stereotactic Radiotherapy (SBRT) for Pancreatic Cancer With High Risk and Locally Advanced Disease [NCT04089150] | Phase 2 | 120 participants (Anticipated) | Interventional | 2019-10-01 | Recruiting |
Phase II Clinical Trial of Docetaxel in Combination With Gemcitabine in Platinum-Resistant Ovarian Cancer and Primary Peritoneal Carcinoma [NCT00183794] | Phase 2 | 20 participants (Actual) | Interventional | 2002-11-30 | Completed |
A Phase 1, Pharmacologic and Pharmacodynamic Study of MM-121 in Combination With Multiple Anticancer Therapies in Patients With Advanced Solid Tumors [NCT01447225] | Phase 1 | 43 participants (Actual) | Interventional | 2011-10-31 | Completed |
Phase II Study on the Use of Molecular Analyses-Based Customized Chemotherapy in Patients With Stage IV/IIIB (Malignant Pleural Effusion) Non-Small-Cell Lung Cancer (NSCLC) [NCT00215930] | Phase 2 | 53 participants (Actual) | Interventional | 2004-02-29 | Completed |
Gemcitabine in Combination With the Oral Irreversible ErbB Inhibitor Afatinib Versus Gemcitabine Alone in Patients With Metastatic Pancreatic Cancer: an Explorative Randomized Phase II Trial [NCT01728818] | Phase 2 | 119 participants (Actual) | Interventional | 2013-04-30 | Active, not recruiting |
A Phase II Study of Gemcitabine and Pazopanib in Metastatic Pancreatic Cancer [NCT01080248] | Phase 2 | 2 participants (Actual) | Interventional | 2010-08-31 | Terminated(stopped due to Closed due to delay by GSK) |
A Phase 2/3, Multi-Center, Open-Label, Randomized Study of Weekly Nab®-Paclitaxel in Combination With Gemcitabine or Carboplatin, Compared to Gemcitabine/Carboplatin, as First Line Treatment in Subjects With ER, PgR, and HER2 Negative (Triple Negative) Me [NCT01881230] | Phase 2/Phase 3 | 191 participants (Actual) | Interventional | 2013-09-26 | Completed |
A Phase I/II Study of First Line Gemcitabine, Cisplatin and MEK162 in Advanced Biliary Tract Carcinoma [NCT01828034] | Phase 1/Phase 2 | 42 participants (Actual) | Interventional | 2013-04-30 | Completed |
A Study of Gemcitabine, L- Asparaginase, Ifosfamide, Dexamethasone and Etoposide Chemotherapy Followed by ASCT for Newly Diagnosed Stage IV, Relapsed or Refractory Extranodal Natural Killer/T-cell Lymphoma, Nasal Type [NCT03154918] | Phase 2 | 60 participants (Anticipated) | Interventional | 2017-06-01 | Recruiting |
An Open-Label Phase 1b Study to Investigate the Preliminary Safety and Activity of Aldoxorubicin Plus Gemcitabine in Subjects With Metastatic Solid Tumors [NCT02235688] | Phase 1 | 30 participants (Anticipated) | Interventional | 2014-08-31 | Completed |
A Randomized Phase 2/3 Study of Eryaspase in Combination With Gemcitabine and Carboplatin Chemotherapy Versus Chemotherapy Alone for the Treatment of Patients With Metastatic or Locally Recurrent Triple-Negative Breast Cancer [NCT03674242] | Phase 2/Phase 3 | 27 participants (Actual) | Interventional | 2019-06-13 | Terminated(stopped due to sponsor decision) |
Neoadjuvant Chemotherapy With Gemcitabine Plus Cisplatin Followed by Radical Liver Resection Versus Immediate Radical Liver Resection Alone With or Without Adjuvant Chemotherapy in Incidentally Detected Gallbladder Carcinoma After Simple Cholecystectomy o [NCT03673072] | Phase 3 | 300 participants (Anticipated) | Interventional | 2019-07-01 | Recruiting |
Phase II Trial of Biweekly S-1, Leucovorin and Gemcitabine in Elderly Patients With Locally Advanced or Metastatic Pancreatic Adenocarcinoma [NCT03559348] | Phase 2 | 49 participants (Actual) | Interventional | 2018-04-03 | Completed |
An Open-Label, Exploratory, Limited Dose Escalation Study to Evaluate the Pharmacokinetics, Safety and Tolerability of Gemcitabine Hydrochloride Oral Formulation (D07001-F4) in Subjects With Malignant Tumors [NCT01678690] | Early Phase 1 | 11 participants (Actual) | Interventional | 2012-08-31 | Completed |
Combination of Anti-PD-1 Antibody and Chemotherapy for Unresectable Intrahepatic Cholangiocarcinoma: A Exploratory Clinical Trial [NCT04413734] | Phase 2 | 120 participants (Anticipated) | Interventional | 2020-04-22 | Recruiting |
CNCT19 Following Autologous Stem Cell Transplantation in Patients With Relapsed or Refractory Aggressive B-cell Lymphoma [NCT04690192] | Phase 1/Phase 2 | 20 participants (Anticipated) | Interventional | 2021-01-01 | Recruiting |
Phase 3, Double-Blind, Randomized Study to Compare the Efficacy and Safety of Tislelizumab Combined With Chemotherapy Versus Chemotherapy as First-Line Treatment for Recurrent or Metastatic Nasopharyngeal Cancer [NCT03924986] | Phase 3 | 256 participants (Anticipated) | Interventional | 2019-04-18 | Active, not recruiting |
A Phase II , Open-label , Investigator-initiated Trail of Sequential GEMOX/NS Chemotherapy in Patients With Untreated Pancreatic Cancer [NCT03825328] | Phase 2 | 30 participants (Anticipated) | Interventional | 2019-01-30 | Not yet recruiting |
A Phase 1/1b Dose Escalation Study Evaluating Iniparib (BSI201/SAR240550) as a Single Agent and in Combination With Chemotherapeutic Regimens in Patients With Solid Tumors [NCT01455532] | Phase 1 | 59 participants (Actual) | Interventional | 2011-11-30 | Completed |
Paediatric Hepatic International Tumour Trial [NCT03017326] | Phase 3 | 450 participants (Anticipated) | Interventional | 2017-08-24 | Recruiting |
A Phase I Study of TL32711 In Combination With Gemcitabine in Patients With Advanced Solid Tumors [NCT01573780] | Phase 1 | 21 participants (Actual) | Interventional | 2012-04-30 | Terminated(stopped due to Sponsor did not have funds to continue study) |
Phase I/II Study of Lenalidomide and Gemcitabine as First-line Treatment in Patients With Locally Advanced or Metastatic Pancreatic Cancer [NCT01547260] | Phase 1/Phase 2 | 34 participants (Actual) | Interventional | 2009-10-31 | Completed |
A Phase II Study Evaluating the Efficacy of Gemcitabine, Carboplatin, and Dexamethasone and Rituximab for Previously Treated Lymphoid Malignancies [NCT00072514] | Phase 2 | 55 participants (Actual) | Interventional | 2003-08-31 | Completed |
A Phase III Randomized Trial Of Paclitaxel And Carboplatin Versus Triplet Or Sequential Doublet Combinations In Patients With Epithelial Ovarian Or Primary Peritoneal Carcinoma [NCT00011986] | Phase 3 | 4,312 participants (Actual) | Interventional | 2001-01-31 | Completed |
A Randomized Phase II Study of Gemcitabine/ Trastuzumab and Gemcitabine/ Cisplatin/ Trastuzumab in Patients With Metastatic Breast Cancer [NCT00201760] | Phase 2 | 10 participants (Actual) | Interventional | 2005-02-25 | Completed |
A Phase I/II Study of Etanercept and Gemcitabine in Patients With Advanced Stage and Chemotherapy Naive Pancreatic Adenocarcinoma [NCT00201838] | Phase 1/Phase 2 | 38 participants (Actual) | Interventional | 2001-07-31 | Completed |
A Phase II Trial of Nab-Paclitaxel Plus Cisplatin Plus Gemcitabine in Patients With Previously Untreated Metastatic Pancreatic Ductal Adenocarcinoma [NCT03915444] | Phase 2 | 42 participants (Actual) | Interventional | 2019-07-15 | Active, not recruiting |
A Phase 2, Multicenter, Open-label, Safety and Efficacy Study of XERMELO® (Telotristat Ethyl) Plus First-line Chemotherapy in Patients With Locally Advanced, Unresectable, Recurrent or Metastatic Biliary Tract Cancer (BTC) [NCT03790111] | Phase 2 | 53 participants (Actual) | Interventional | 2019-03-13 | Terminated(stopped due to Did not meet pre-specified Progression-Free Survival at Month 6 for Stage 2 Analysis) |
Phase IB/II Trial of High Dose Ascorbic Acid (AA) + Nanoparticle Paclitaxel Protein Bound + Cisplatin + Gemcitabine (AA NABPLAGEM) in Patients Who Have No Prior Therapy for Their Metastatic Pancreatic Cancer [NCT03410030] | Phase 1/Phase 2 | 27 participants (Actual) | Interventional | 2017-12-15 | Completed |
A Phase II Study of Paclitaxel Protein Bound + Gemcitabine + Cisplatin + Paricalcitol as Pre-operative Treatment in Patients With Untreated Resectable, Borderline Resectable and Locally Advanced Adenocarcinoma of the Pancreas [NCT03138720] | Phase 2 | 24 participants (Actual) | Interventional | 2017-05-23 | Active, not recruiting |
A Phase II/III Randomized Clinical Trial of CisPlatin plUs Gemcitabine and Nabpaclitaxel (GAP) as pReoperative Chemotherapy Versus Immediate Resection in patIents With resecTable BiliarY Tract Cancers (BTC) at High Risk for Recurrence: PURITY Study [NCT06037980] | Phase 2/Phase 3 | 300 participants (Anticipated) | Interventional | 2023-11-07 | Recruiting |
A Phase 1/2 Study to Assess the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Efficacy of CM24 in Combination With Nivolumab in Adults With Advanced Solid Tumors [NCT04731467] | Phase 1/Phase 2 | 79 participants (Anticipated) | Interventional | 2021-03-19 | Recruiting |
A Multicenter, Open-Label, Non-Comparative, Three-Arm, Phase IIa Trial of Ipatasertib (GDC-0068) in Combination With Non-Taxane Chemotherapy Agents for Taxane-Pretreated Unresectable Locally Advanced or Metastatic TNBC Patients [NCT04464174] | Phase 2 | 54 participants (Actual) | Interventional | 2020-10-08 | Completed |
A Phase III Study of BBI-608 Plus Nab-Paclitaxel With Gemcitabine in Adult Patients With Metastatic Pancreatic Adenocarcinoma [NCT02993731] | Phase 3 | 1,134 participants (Actual) | Interventional | 2016-12-31 | Completed |
An Open-Label, Non-controlled, Non-randomized Sequential Design, Drug-Interaction Study of Necitumumab (IMC-11F8) in Combination With Gemcitabine-Cisplatin in Patients With Advanced Solid Cancers [NCT01606748] | Phase 2 | 35 participants (Actual) | Interventional | 2012-08-31 | Completed |
A Single-Arm, Multicenter, Open-Label, Phase 2 Study of Gemcitabine-Cisplatin Chemotherapy Plus Necitumumab (IMC-11F8) in the First-Line Treatment of Patients With Stage IV Squamous Non-Small Cell Lung Cancer (NSCLC) [NCT01788566] | Phase 2 | 61 participants (Actual) | Interventional | 2013-03-31 | Completed |
Phase II Study of Gemcitabine and Docetaxel (GEMDOC) Combination in Patients With Previously Treated Recurrent or Metatstatic Squamous Cell Carcinoma of the Head and Neck (SCCHN) [NCT00248560] | Phase 2 | 36 participants (Actual) | Interventional | 2005-01-31 | Completed |
A Phase II Study of Gemcitabine and Erlotinib As Adjuvant Therapy In Patients With Resected Pancreatic Cancer [NCT00336700] | Phase 2 | 25 participants (Actual) | Interventional | 2006-06-30 | Terminated(stopped due to Study published November 2010 and no further work will be done) |
Phase II Study of Imatinib Mesylate and Gemcitabine for Recurrent/Metastatic Non-small Cell Lung Cancer (NSCLC) [NCT00323362] | Phase 2 | 17 participants (Actual) | Interventional | 2006-04-30 | Terminated(stopped due to Toxicity) |
A Phase 2 Study of Low-Dose Fractionated Radiation Therapy to the Whole Liver in Combination With Gemcitabine and Cisplatin in Locally Advanced Mass-Forming Intrahepatic Cholangiocarcinoma [NCT02254681] | Phase 2 | 6 participants (Actual) | Interventional | 2014-09-30 | Terminated(stopped due to lack of funding) |
Sintilimab With P-GemOx (Pegaspargase, Gemcitabine and Oxaliplatin) Regimen for Newly Diagnosed Advanced Extranodal Natural Killer/T-cell Lymphoma, Nasal Type (ENKTL): a Single Arm, Open, Multicenter, Phase II Study [NCT04127227] | Phase 2 | 34 participants (Anticipated) | Interventional | 2019-10-09 | Recruiting |
LS1781: Phase 2 Trial of High Dose Intravenous Ascorbic Acid as an Adjunct to Salvage Chemotherapy in Relapsed / Refractory Lymphoma and Patients With Clonal Cytopenia of Undetermined Significance [NCT03418038] | Phase 2 | 55 participants (Anticipated) | Interventional | 2018-03-23 | Recruiting |
A Phase II Study Of Neo-Adjuvant Chemotherapy And Radiation In Patients With Locally Advanced Pancreatic Cancer [NCT00089024] | Phase 2 | 29 participants (Actual) | Interventional | 2004-02-25 | Completed |
A Randomised Phase II/III Study of Concurrent Cisplatin-Radiotherapy With or Without Induction Chemotherapy Using Gemcitabine, Carboplatin and Paclitaxel in Locally Advanced Nasopharyngeal Cancer [NCT00997906] | Phase 2/Phase 3 | 172 participants (Actual) | Interventional | 2009-09-15 | Active, not recruiting |
A Phase I Trial for the Use of Intravesical Cabazitaxel, Gemcitabine, and Cisplatin (CGC) in the Treatment of BCG-Refractory Non-muscle Invasive Urothelial Carcinoma of the Bladder Cancer [NCT02202772] | Phase 1/Phase 2 | 51 participants (Anticipated) | Interventional | 2014-12-01 | Recruiting |
Phase I/IIa Trial of Gemcitabine Plus Trastuzumab and Pertuzumab in Previously Treated Metastatic HER2+ Breast Cancer [NCT02139358] | Phase 1/Phase 2 | 15 participants (Actual) | Interventional | 2014-09-05 | Completed |
A Phase I/II Radiation Dose-Escalation Study of Intensity-Modulated Radiotherapy (IMRT) With Concurrent Gemcitabine in Patients With Unresectable Pancreatic Cancer [NCT00593866] | Phase 1/Phase 2 | 50 participants (Actual) | Interventional | 2006-06-30 | Completed |
A Phase II Trial of Gemcitabine and Oxaliplatin for ER-, PR-, HER2NEU- (Triple Negative) Metastatic Breast Cancer [NCT00674206] | Phase 2 | 6 participants (Actual) | Interventional | 2008-10-31 | Terminated(stopped due to Sponsor funding stopped) |
A Phase I Open Label, Multicenter, Dose-Escalation Study to Determine the Maximum Tolerated Dose, Dose Limiting Toxicity, Safety and Pharmacokinetics of CGC-11047 When Used in Individual Combinations With 1) Gemcitabine or 2) Docetaxel or 3) Bevacizumab o [NCT00705874] | Phase 1 | 172 participants (Actual) | Interventional | 2006-05-31 | Completed |
A Phase 2, Randomized, Multicenter Study of PEGPH20 (PEGylated Recombinant Human Hyaluronidase) Combined With Nab-Paclitaxel Plus Gemcitabine Compared With Nab-Paclitaxel Plus Gemcitabine in Subjects With Stage IV Previously Untreated Pancreatic Cancer [NCT01839487] | Phase 2 | 279 participants (Actual) | Interventional | 2013-05-14 | Completed |
Ensure Extension Study to Assess the PFS of First-Line Erlotinib (Tarceva®) and Erlotinib After the Time of Disease Progression in Chinese Population Enrolled in the Ensure Trial [NCT02000531] | Phase 4 | 45 participants (Actual) | Interventional | 2014-01-31 | Completed |
A Prospective, Multinational, Multi-Center, Phase 2, Single-Arm, Open-Label Study Evaluating the Efficacy, Safety and Tolerability of siG12D-LODER in Combination With Standard of Care Chemotherapy in the Treatment of Patients With Locally Advanced Pancrea [NCT01676259] | Phase 2 | 80 participants (Anticipated) | Interventional | 2018-03-07 | Recruiting |
A Randomized Phase II Trial of Cytotoxic Chemotherapy With or Without Epigenetic Priming in Patients With Advanced Non-Small Cell Lung Cancer [NCT01935947] | Phase 2 | 17 participants (Actual) | Interventional | 2013-05-31 | Terminated |
A Randomized-Controlled Three-arm Phase II Study of Lurbinectedin (PM01183) Alone or In Combination With Gemcitabine and a Control Arm With Docetaxel as Second-Line Treatment in Unresectable Non-Small Cell Lung Cancer (NSCLC) Patients [NCT01951157] | Phase 2 | 69 participants (Actual) | Interventional | 2013-09-11 | Completed |
A Phase II Open-Label Clinical Trial of CPI-613 Given Alone, or in Combination With Gemcitabine, in Patients With Metastatic Pancreatic Cancer [NCT01830322] | Phase 2 | 0 participants (Actual) | Interventional | 2014-01-31 | Withdrawn |
A Phase II Trial of Gleevec and Gemzar in Patients With Epithelial Ovarian Cancer Who Have Failed at Least Two Prior Therapies [NCT00928642] | Phase 2 | 8 participants (Actual) | Interventional | 2009-06-30 | Completed |
A Phase II Study of Atezolizumab With Rituximab, Gemcitabine and Oxaliplatin in Patients With Relapsed or Refractory Diffuse Large B-Cell Lymphoma Who Are Not Candidates for High-dose Therapy [NCT03422523] | Phase 2 | 53 participants (Actual) | Interventional | 2018-05-09 | Terminated(stopped due to Failure to reach pre-specified futility boundary) |
A Phase III, Multicenter, Open-Label, Randomized Study of Cisplatin or Carboplatin With Gemcitabine Versus Gemcitabine Alone as Adjuvant Therapy in Patients With Resected or Ablated Intra-Hepatic Cholangiocarcinoma [NCT03081039] | Phase 3 | 0 participants (Actual) | Interventional | 2017-08-21 | Withdrawn(stopped due to Competing study) |
A Phase III, Randomized, Double-Blind, Multicenter Study of Sugemalimab (CS1001) Plus PGemOx Regimen Versus Placebo Plus PGemOx for Subjects With Relapsed or Refractory Extranodal NK/T-Cell Lymphoma (R/R ENKTL) [NCT05700448] | Phase 3 | 150 participants (Anticipated) | Interventional | 2024-07-31 | Not yet recruiting |
TAGGED: A Phase 2 Study Using Low Dose/Metronomic Trabectedin, Gemcitabine, and Dacarbazine as 2nd/3rd/4th Line Therapy for Advanced Leiomyosarcoma [NCT04535271] | Phase 2 | 80 participants (Anticipated) | Interventional | 2021-09-09 | Recruiting |
A Randomized, Double-Blind, Phase III Study of Pembrolizumab (MK-3475) Plus Chemotherapy vs Placebo Plus Chemotherapy for Previously Untreated Locally Recurrent Inoperable or Metastatic Triple Negative Breast Cancer - (KEYNOTE-355) [NCT02819518] | Phase 3 | 882 participants (Actual) | Interventional | 2016-07-27 | Completed |
NAPAGE: NAb-PAclitaxel and GEmcitabine in Advanced Soft Tissue Sarcoma. A Multicenter Open-label Single Arm Phase Ib/IIa Trial [NCT03524898] | Phase 1/Phase 2 | 39 participants (Actual) | Interventional | 2018-10-02 | Terminated(stopped due to As Last patient last visit (LPLV) took place on 15/02/2022, the trial was ended prematurely on this date in accordance with SAKK/CI.) |
Safety and Efficacy of GEMOX Combined With Donafenib and Tislelizumab as First-line Treatment in Biliary Tract Cancer [NCT04979663] | Phase 1/Phase 2 | 10 participants (Anticipated) | Interventional | 2020-12-01 | Recruiting |
A Multicenter Randomized Double Blind Study Examining the Efficacy and Safety of Denosumab in Combination With First Line Platinum-based Chemotherapy for Patients With Bone Metastasis Secondary to Metastatic Urothelial Cancer [NCT03520231] | Phase 2 | 6 participants (Actual) | Interventional | 2018-09-04 | Completed |
A Prospective, Single Center Clinical Study to Examine Cisplatin-based Chemotherapy Combined With Tislelizumab as Bladder Sparing Treatment for Patients With Muscle Invasive Bladder Cancer [NCT04909775] | Phase 2 | 40 participants (Anticipated) | Interventional | 2021-07-31 | Not yet recruiting |
A Phase 1B/2 Randomized, Multicenter, Open-Label Study Of Iberdomide (CC-220) In Combination With Polatuzumab Vedotin Plus Rituximab Or Tafasitamab Or Rituximab Plus Chemotherapy For Subjects With Relapsed Or Refractory Aggressive B-Cell Lymphoma [NCT04882163] | Phase 1/Phase 2 | 0 participants (Actual) | Interventional | 2021-10-10 | Withdrawn(stopped due to Business objectives have changed) |
Targeted Intra-arterial Gemcitabine vs. Continuation of IV Gemcitabine Plus Nab-Paclitaxel Following Induction With Sequential IV Gemcitabine Plus Nab-Paclitaxel and Radiotherapy for Locally Advanced Pancreatic Cancer [NCT03257033] | Phase 3 | 320 participants (Anticipated) | Interventional | 2018-03-12 | Recruiting |
Phase II, Open Label Clinical Trial of Paricalcitol in Combination With Gemcitabine/ Nab-Paclitaxel Therapy in Advanced Pancreatic Cancer [NCT04617067] | Phase 2 | 15 participants (Actual) | Interventional | 2020-10-16 | Active, not recruiting |
A Phase I/II/Pharmacodynamic Study of Hydroxychloroquine in Combination With Gemcitabine/Abraxane to Inhibit Autophagy in Pancreatic Cancer [NCT01506973] | Phase 1/Phase 2 | 119 participants (Actual) | Interventional | 2011-12-31 | Completed |
A Phase I/Ib, Single-Arm, Open-Label, Multi-Center Trial Using ARQ-761 (Beta-Lapachone) Treatment With Gemcitabine/Nab-Paclitaxel Chemotherapy In Metastatic, Unresectable, Or Recurrent Pancreatic Cancer [NCT02514031] | Phase 1 | 17 participants (Actual) | Interventional | 2016-03-24 | Terminated(stopped due to The study placed on temporarily hold to enrollment due to quality testing necessary for the study drug.) |
Non-inferiority Study of Albumin-bound Paclitaxel Combined With Gemcitabine for Three Weeks Versus Four Weeks for First-line Inoperable Locally Advanced or Metastatic Pancreatic Cancer [NCT05035147] | Phase 4 | 934 participants (Anticipated) | Interventional | 2021-03-25 | Recruiting |
A Single-arm, Phase II Study of Anlotinib Combined With Platinum/Gemcitabine for First Line Treatment of Advanced Urothelial Carcinoma [NCT05030077] | Phase 2 | 53 participants (Anticipated) | Interventional | 2021-10-01 | Not yet recruiting |
Single-arm Intervention Trial of the Feasibility of Endoscopic Ultrasound-guided Pancreatic Cyst Chemoablation (EUS-PCA) Using Gemcitabine and Paclitaxel for Intraductal Papillary Mucinous Neoplasms (IPMN) in Two New Zealand Tertiary Interventional Endosc [NCT06162468] | | 20 participants (Anticipated) | Interventional | 2024-03-31 | Not yet recruiting |
A Phase 3, Randomized, Double-blind, Placebo-controlled Clinical Trial to Study the Efficacy and Safety of Pembrolizumab (MK-3475) in Combination With Chemoradiotherapy (CRT) Versus CRT Alone in Participants With Muscle-invasive Bladder Cancer (MIBC) (KEY [NCT04241185] | Phase 3 | 636 participants (Anticipated) | Interventional | 2020-05-19 | Recruiting |
A Phase II Randomized Study of Ramucirumab Plus MK3475 (Pembrolizumab) Versus Standard of Care for Patients Previously Treated With Immunotherapy for Stage IV or Recurrent Non-Small Cell Lung Cancer (Lung-MAP Non-Matched Sub-Study) [NCT03971474] | Phase 2 | 166 participants (Actual) | Interventional | 2019-05-28 | Active, not recruiting |
Maintenance Systemic Therapy Versus Local Consolidative Therapy (LCT) Plus Maintenance Systemic Therapy for Limited Metastatic Non-Small Cell Lung Cancer (NSCLC): A Randomized Phase II/III Trial [NCT03137771] | Phase 2 | 218 participants (Actual) | Interventional | 2017-04-07 | Active, not recruiting |
Autologous Transplantation With Gemcitabine and High Dose BCNU Plus Melphalan Followed by Consolidation With DCEP Plus Gemcitabine and Taxol/Cisplatin in Patients With Multiple Myeloma and >12 Months of Standard Therapy [NCT00003401] | Phase 2 | 0 participants | Interventional | 1999-01-31 | Completed |
Phase II Study of Weekly Paclitaxel and Gemcitabine in Platinum-Resistant Ovarian Cancer [NCT00003449] | Phase 2 | 35 participants (Actual) | Interventional | 1998-05-31 | Completed |
Randomized Phase II Trial of Carboplatin/Gemcitabine Followed By Paclitaxel or Cisplatin/Vinorelbine Followed by Docetaxel in Advanced Non-Small Cell Lung Cancer [NCT00003587] | Phase 2 | 204 participants (Actual) | Interventional | 1998-10-31 | Completed |
A Phase I Study of Concomitant Chemoradiotherapy With Gemcitabine, Paclitaxel, and 5-FU for Patients With Advanced and/or Recurrent Cancer of the Head and Neck [NCT00004097] | Phase 1 | 0 participants | Interventional | 1999-08-31 | Active, not recruiting |
Phase II Randomized Trial of Gemcitabine/Docetaxel and Gemcitabine/Irinotecan in Stage IIIB/IV Non-Small Cell Lung Cancer [NCT00004139] | Phase 2 | 80 participants (Actual) | Interventional | 1999-09-30 | Completed |
A Randomized, Double-Blind, Placebo-Controlled, Phase III Study of the Matrix Metalloprotease Inhibitor Prinomastat (AG3340) in Combination With Gemcitabine and Cisplatin in Patients Having Advanced Non-Small Cell Lung Cancer [NCT00004199] | Phase 3 | 0 participants | Interventional | 1999-03-31 | Completed |
A Randomized Double-Blind, Placebo-Controlled, Multicenter Study of CI-994 Capsules Plus Gemcitabine Infusion Versus Placebo Capsules Plus Gemcitabine Infusion as Second-Line Treatment of Patients With Advanced Nonsmall Cell Lung Cancer [NCT00005093] | Phase 3 | 0 participants | Interventional | 1999-12-31 | Completed |
Phase II Study of Anti-Epidermal Growth Factor Receptor (EGFr) Antibody C225 in Combination With Gemcitabine in Patients With Advanced Pancreatic Cancer [NCT00005591] | Phase 2 | 0 participants (Actual) | Interventional | 1999-10-31 | Withdrawn |
A Phase I, Maximum Tolerated Dose (MTD) Trial to Determine the Safety and Pharmacokinetics of Chronic Oral Administration of Farnesyl Transferase Inhibitor R115777 in Combination With Gemcitabine in Subjects With Advanced Incurable Cancer [NCT00003707] | Phase 1 | 22 participants (Actual) | Interventional | 1998-10-31 | Completed |
Herceptin (NSC #688097) and Gemcitabine for Metastatic Pancreatic Cancers That Overexpress HER-2/NEU [NCT00003797] | Phase 2 | 41 participants (Anticipated) | Interventional | 1999-03-31 | Active, not recruiting |
A Randomized Phase III Study Comparing Induction Chemotherapy to Daily Low Dose Cisplatin Both Combined With High Dose Radiotherapy Using Concomitant Boost Technique in Patients With Inoperable Non-Small Cell Lung Cancer Stage I, II, and Low Volume Stage [NCT00003803] | Phase 3 | 158 participants (Actual) | Interventional | 1999-02-28 | Terminated(stopped due to low accrual) |
Evaluation of Intensive Pancreatic Proteolytic Enzyme Therapy With Ancillary Nutritional Support Versus Gemcitabine Chemotherapy in the Treatment of Inoperable Pancreatic Adenocarcinoma [NCT00003851] | | 90 participants (Anticipated) | Interventional | 1999-03-31 | Terminated(stopped due to Approval lapse) |
A Phase 1b, Open-Label, Dose Escalation, Multi-arm Study of MLN4924 Plus Docetaxel, Gemcitabine, or Combination of Carboplatin and Paclitaxel in Patients With Solid Tumors [NCT01862328] | Phase 1 | 64 participants (Actual) | Interventional | 2013-06-10 | Completed |
A Phase 1 Trial of the ATR Inhibitor BAY 1895344 in Combination With Cisplatin and With Cisplatin Plus Gemcitabine in Advanced Solid Tumors With an Emphasis on Urothelial Carcinoma [NCT04491942] | Phase 1 | 74 participants (Anticipated) | Interventional | 2021-08-25 | Active, not recruiting |
Phase 2 Trial of Neoadjuvant Nivolumab + Platinum-based Chemotherapy + Certolizumab in Patients With Resectable Stages II-III Lung Cancers [NCT04991025] | Phase 2 | 60 participants (Anticipated) | Interventional | 2022-10-19 | Recruiting |
A Open-Label, Multicenter, Randomised, Controlled Phase 3 Study of RC48-ADC Plus Toripalimab Versus Chemotherapy Alone in Previously Untreated Unresectable Locally Advanced or Metastatic Urothelial Carcinoma With HER2-Expressing [NCT05302284] | Phase 3 | 452 participants (Anticipated) | Interventional | 2022-06-14 | Recruiting |
Bevacizumab Combined With High-Dose Gemcitabine, Docetaxel, Melphalan, and Carboplatin in Patients With Advanced Epithelial Ovarian Cancer [NCT00583622] | Phase 2 | 13 participants (Actual) | Interventional | 2007-12-31 | Terminated(stopped due to Slow Accrual) |
A Phase I/II Trial of Radioimmunotherapy (Y-90 cT84.66), Gemcitabine and Hepatic Arterial Infusion of Fudr for Metastatic Colorectal Carcinoma to the Liver [NCT00645710] | Phase 1/Phase 2 | 16 participants (Actual) | Interventional | 2005-02-11 | Completed |
A Phase 1 Multicenter, Dose-escalation Study of LY573636-sodium in Combination With 1) Gemcitabine HCl or 2) Docetaxel or 3) Temozolomide or 4) Cisplatin, or 5) Erlotinib in Patients With Advanced Solid Tumors [NCT01284335] | Phase 1 | 234 participants (Actual) | Interventional | 2008-07-31 | Terminated(stopped due to Study was terminated due to the termination of tasisulam development.) |
A Phase II Clinical Trial of Induction Chemotherapy Regimen Gemcitabine, Paclitaxel and Oxaliplatin (GemPOx) Followed by a Single Cycle of High Dose Chemotherapy (HDC) and Autologous Hematopoietic Stem Cell Rescue (AuHSCR) for Patients With Recurrent or P [NCT01270724] | Phase 2 | 10 participants (Actual) | Interventional | 2010-08-31 | Completed |
APRiCOT-P (Apricoxib in Combination Oncology Treatment - Pancreas): Phase 2 Study of the Efficacy and Safety of Apricoxib in Combination With Gemcitabine and Erlotinib in the Treatment of Patients With Advanced Pancreatic Cancer [NCT00709826] | Phase 2 | 109 participants (Actual) | Interventional | 2008-08-31 | Completed |
A Multicentre, Phase 1B/2 Study of Varlitinib in Combination With Gemcitabine and Cisplatin for Treatment naïve Advanced or Metastatic Biliary Tract Cancer. [NCT02992340] | Phase 1/Phase 2 | 204 participants (Anticipated) | Interventional | 2016-12-13 | Terminated(stopped due to Sponsor decided to terminate the study and not proceed to Phase 2.) |
Neoadjuvant Soft Tissue Ablation Utilizing Aliya™ Pulsed Electric Fields With Systemic Therapy in Early-Stage Resectable Non-Small Cell Lung Cancer (NSCLC) [NCT05583188] | Phase 4 | 15 participants (Anticipated) | Interventional | 2023-02-01 | Recruiting |
Phase I/II Study of RAD001 and Intravesical Gemcitabine in BCG-Refractory Primary or Secondary Carcinoma In Situ of the Bladder [NCT01259063] | Phase 1/Phase 2 | 33 participants (Actual) | Interventional | 2010-12-31 | Completed |
A Randomized Multicenter Study Comparing Pixantrone + Rituximab With Gemcitabine + Rituximab in Patients With Aggressive B-cell Non-Hodgkin Lymphoma Who Have Relapsed After Therapy With CHOP-R or an Equivalent Regimen and Are Ineligible for Stem Cell Tran [NCT01321541] | Phase 3 | 312 participants (Actual) | Interventional | 2011-04-20 | Completed |
Pilot Trial of Type I-Polarized Autologous Dendritic Cell Vaccine Incorporating Tumor Blood Vessel Antigen-Derived Peptides in Patients With Metastatic Breast Cancer [NCT02479230] | Phase 1 | 18 participants (Actual) | Interventional | 2015-07-17 | Completed |
A Randomised, Placebo-controlled, Double-blind Phase II of Sequential Administration of Tarceva (Erlotinib) or Placebo in Combination With Gemcitabine/Platinum as First-line Treatment in Patients With Stage IIIB/IV Non-small Cell Lung Cancer (NSCLC). [NCT01998919] | Phase 2 | 154 participants (Actual) | Interventional | 2006-08-31 | Completed |
Tissue Pharmacokinetics of Intraoperative Gemcitabine in Adenocarcinoma of the Pancreas After Preoperative Chemoradiation Therapy [NCT01938716] | | 12 participants (Actual) | Interventional | 2012-03-31 | Terminated(stopped due to Early termination due to low accrual) |
A Phase 1/2, First-in-Human, Open-label, Dose Escalation Study of GB1275 Monotherapy and in Combination With an Anti-PD-1 Antibody in Patients With Specified Advanced Solid Tumors or in Combination With Standard of Care in Patients With Metastatic Pancrea [NCT04060342] | Phase 1 | 61 participants (Actual) | Interventional | 2019-08-13 | Terminated(stopped due to No clear benefit of GB1275 was observed either as monotherapy or in combination with pembrolizumab.) |
A Phase I Study to Assess the Safety and Tolerability of Pembrolizumab in Combination With Fixed Rate Gemcitabine Chemotherapy in Patients With Leiomyosarcoma and Undifferentiated Pleomorphic Sarcoma [NCT03123276] | Phase 1/Phase 2 | 24 participants (Anticipated) | Interventional | 2017-11-29 | Active, not recruiting |
Multi-Center, Open-Label, Randomized Study of Anti-CCR4 Monoclonal Antibody KW-0761 or Investigator's Choice in Subjects With Previously Treated Adult T-cell Leukemia-Lymphoma (ATL) [NCT01626664] | Phase 2 | 71 participants (Actual) | Interventional | 2012-06-30 | Completed |
MEK114375: A Rollover Study to Provide Continued Treatment With GSK1120212 to Subjects With Solid Tumors or Leukemia [NCT01376310] | Phase 2 | 159 participants (Actual) | Interventional | 2010-11-02 | Terminated(stopped due to Company Decision) |
A Prospective, Multi-centric, Phase Ⅲ, Randomized, Controlled Study to Evaluate the Efficacy and Safety of Second-Line Adjuvant Therapy With Nab-Paclitaxel Plus Gemcitabine (AG) Versus Oxaliplatin Plus Folinic Acid and Fluorouracil (OFF) for Gemcitabine-R [NCT02506842] | Phase 3 | 300 participants (Anticipated) | Interventional | 2015-06-30 | Recruiting |
Gemox Combined With Anlotinib and Sintilimab in Advanced Combined Hepatocellular-cholangiocarcinoma: an Exploratory Study [NCT06033118] | Phase 1/Phase 2 | 25 participants (Anticipated) | Interventional | 2023-10-01 | Not yet recruiting |
A Liquid-biopsy Informed Platform Trial to Evaluate Treatment in CDK4/6-inhibitor Resistant ER+/HER2- Metastatic Breast Cancer [NCT05601440] | Phase 2 | 484 participants (Anticipated) | Interventional | 2023-06-13 | Recruiting |
A Phase 2, Randomized, Open-Label Study of Trilaciclib Administered With First-Line Platinum-Based Chemotherapy and Avelumab Maintenance Therapy in Patients With Untreated, Locally Advanced or Metastatic Urothelial Carcinoma (PRESERVE 3) [NCT04887831] | Phase 2 | 92 participants (Actual) | Interventional | 2021-06-04 | Active, not recruiting |
A Randomized Phase II Trial of Mirvetuximab Soravtansine (IMGN853), in Folate Receptor Alpha (FRα) High Recurrent Ovarian Cancer Eligible for Platinum-based Chemotherapy. Supported by: DIAGNOSTIC PROTOCOL for the VENTANA FOLR1 (FOLR1-2.1) CDx Assay Ventan [NCT04274426] | Phase 2 | 136 participants (Anticipated) | Interventional | 2021-10-13 | Recruiting |
A Phase III, Randomized, Open-Label, Controlled, Multi-Center, Global Study of First-Line Durvalumab in Combination With Standard of Care Chemotherapy and Durvalumab in Combination With Tremelimumab and Standard of Care Chemotherapy Versus Standard of Car [NCT03682068] | Phase 3 | 1,292 participants (Anticipated) | Interventional | 2018-09-27 | Recruiting |
A Phase 1b/2a Three-Part Open-Label Multicenter Study to Evaluate the Safety and Efficacy of LY2880070 as Monotherapy and in Combination With Gemcitabine in Patients With Advanced or Metastatic Cancer [NCT02632448] | Phase 1/Phase 2 | 229 participants (Anticipated) | Interventional | 2016-05-16 | Recruiting |
Phase I Study of Imatinib, Gemcitabine and Capecitabine in Patients With Solid Tumors [NCT00483366] | Phase 1 | 13 participants (Actual) | Interventional | 2006-08-15 | Completed |
Pilot Study of Neoadjuvant Gemcitabine and Abraxane Chemotherapy Followed by Surgery for Patients With Localized, Resectable Adenocarcinoma of the Pancreas [NCT01783054] | Early Phase 1 | 2 participants (Actual) | Interventional | 2012-07-31 | Terminated(stopped due to Study terminated due to low accrual) |
A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study of PEGylated Recombinant Human Hyaluronidase (PEGPH20) in Combination With Nab-Paclitaxel Plus Gemcitabine Compared With Placebo Plus Nab-Paclitaxel and Gemcitabine in Subjects Wit [NCT02715804] | Phase 3 | 492 participants (Actual) | Interventional | 2016-03-14 | Terminated(stopped due to Sponsor decision) |
A Phase 1 Study of Neoadjuvant Chemotherapy, Followed by Concurrent Chemoradiation With Gemcitabine, Sorafenib, and Vorinostat in Pancreatic Cancer [NCT02349867] | Phase 1 | 23 participants (Actual) | Interventional | 2015-01-29 | Completed |
A Randomized Phase II Study of SUBATM-itraconazole With Cisplatin/Gemcitabine in Patients With Previously Untreated Metastatic Squamous Non-Small Cell Lung Cancer. [NCT01752023] | Phase 2 | 3 participants (Actual) | Interventional | 2013-03-31 | Terminated(stopped due to Low Accrual) |
A Multicenter, Open-Label Phase II Study To Evaluate The Efficacy And Safety Of ABSK021 In Combination With Chemotherapy With Or Without Toripalimab In Patients With Advanced Pancreatic Cancer [NCT06111274] | Phase 2 | 82 participants (Anticipated) | Interventional | 2023-10-17 | Recruiting |
Surufatinib and Serplulimab Combined With AG Regimen Compare With AG Regimen as Conversion Therapy for Patients With Locally Advanced Pancreatic Cancer : a Phase II Randomized Controlled PILOT Study (SAGE) [NCT05988372] | Phase 2 | 50 participants (Anticipated) | Interventional | 2023-10-23 | Not yet recruiting |
Phase II Study of Neoadjuvant Gemcitabine, Nab-paclitaxel, Durvalumab (MEDI4736) (Anti-PD-L1), and Oleclumab (Anti-CD73) in the Treatment of Resectable/Borderline Resectable Primary Pancreatic Adenocarcinoma [NCT04940286] | Phase 2 | 30 participants (Anticipated) | Interventional | 2021-09-28 | Recruiting |
Precision Promise Platform Trial for Metastatic Pancreatic Cancer [NCT04229004] | Phase 3 | 825 participants (Anticipated) | Interventional | 2020-01-31 | Active, not recruiting |
A Phase II Study of Gemcitabine Plus Cisplatin Chemotherapy in Patients With Muscle-invasive Bladder Cancer With Bladder Preservation for Those Patients Whose Tumors Harbor Deleterious DNA Damage Response (DDR) Gene Alterations [NCT03609216] | Phase 2 | 271 participants (Anticipated) | Interventional | 2018-08-01 | Recruiting |
Impact on Survival of Cutaneous Reactions in Erlotinib Plus Gemcitabine Treated Patients With Metastatic Pancreatic Cancer Under Conditions of Daily Routine Practice [NCT01782690] | | 338 participants (Actual) | Observational | 2012-03-31 | Completed |
A Phase 1/2 Study of Brentuximab Vedotin (SGN35) in Combination With Gemcitabine for Pediatric and Young Adult Patients With Relapsed or Refractory Hodgkin Lymphoma [NCT01780662] | Phase 1/Phase 2 | 46 participants (Actual) | Interventional | 2013-01-31 | Completed |
A Randomized, Controlled, Open-Label, Phase 2 Trial of SGI-110 and Carboplatin in Subjects With Platinum-Resistant Recurrent Ovarian Cancer [NCT01696032] | Phase 2 | 120 participants (Actual) | Interventional | 2012-09-30 | Completed |
Phase II Study of Neoadjuvant Dose Dense Gemcitabine and Cisplatin (DD GC) In Patients With Muscle-Invasive Bladder Cancer [NCT01589094] | Phase 2 | 51 participants (Actual) | Interventional | 2012-04-30 | Completed |
An Open-Labeled, Randomized Phase II Trial of Adjuvant Chemotherapy in Combination With Stereotactic Body Radiation Therapy (SBRT) Versus Adjuvant Chemotherapy Alone for Patients After Radical Resection of Pancreatic Cancer With Advanced Stages (T3 or N1) [NCT02461836] | Phase 2 | 513 participants (Anticipated) | Interventional | 2015-08-31 | Recruiting |
A Randomized, Open-Label, Phase 3 Trial of Tisotumab Vedotin vs Investigator's Choice Chemotherapy in Second- or Third-Line Recurrent or Metastatic Cervical Cancer [NCT04697628] | Phase 3 | 556 participants (Anticipated) | Interventional | 2021-02-22 | Recruiting |
Gemcitabine, Pegaspargase, Etoposide, and Dexamethasone (GPED) for Patients With Relapsed/Refractory or Advanced NK/T-cell Lymphoma : a Single Arm,Open-lable,Phase II Study [NCT04405375] | Phase 2 | 29 participants (Anticipated) | Interventional | 2020-03-21 | Recruiting |
"Neo-adjuvant Versus Adjuvant Chemotherapy in Upper Tract Urothelial Carcinoma: A Feasibility Phase II Randomized Clinical Trial (URANUS)" [NCT02969083] | Phase 2 | 200 participants (Anticipated) | Interventional | 2018-05-28 | Recruiting |
Safety Study of Combining Ultrasound Microbubbles and Chemotherapy to Treat Malignant Neoplasms of Liver Metastases From Gastrointestinal Tumors and Pancreatic Carcinoma [NCT02233205] | Phase 1/Phase 2 | 18 participants (Anticipated) | Interventional | 2014-10-31 | Recruiting |
A Prospective, Multicenter, Double-randomized, Double-blind, 2-parallel Groups, Phase 3 Study to Compare as First Line Therapy Efficacy and Safety of Masitinib in Combination With Gemcitabine, to Gemcitabine in Combination With Placebo, in the Treatment o [NCT03766295] | Phase 3 | 377 participants (Actual) | Interventional | 2014-07-31 | Completed |
A Randomized, Open-label, Multiple-centre Study of Intercalating and Maintenance Gefitinib in Combination With Chemotherapy for Advanced NSCLC With EGFR Mutation Positive [NCT02299765] | Phase 4 | 61 participants (Actual) | Interventional | 2014-12-31 | Terminated(stopped due to the research data is not statistically significant) |
A Phase III, Multi-center, Randomized, Controlled Study to Compare the Efficacy and Safety of Gemcitabine Alone vs. ON 01910.Na Combined With Gemcitabine in Patients With Previously Untreated Metastatic Pancreatic Cancer [NCT01360853] | Phase 3 | 160 participants (Actual) | Interventional | 2011-05-31 | Completed |
A Global, Multi-center, Open-label, Phase 2 Study of AGS-1C4D4 Given in Combination With Gemcitabine in Subjects With Metastatic Pancreatic Cancer [NCT00902291] | Phase 2 | 205 participants (Actual) | Interventional | 2009-04-30 | Completed |
Phase II Multicenter Trial of Neoadjuvant Cisplatin and Nab-paclitaxel for (N2) Defined Stage IIIA Non-Small Cell Lung Cancer (NSCLC) [NCT02276560] | Phase 2 | 1 participants (Actual) | Interventional | 2015-01-31 | Terminated(stopped due to This study was terminated due to lack of funding.) |
A Phase I/IIa, Open-label, Multi-center Study to Assess the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of the ATR Kinase Inhibitor ART0380 Administered Orally as Monotherapy and in Combination to Patients With Advanced or Metastatic S [NCT04657068] | Phase 1/Phase 2 | 242 participants (Anticipated) | Interventional | 2020-12-13 | Recruiting |
Phase II Clinical Study of Hydroxychloroquine Combined With Gemcitabine in the Treatment of Advanced Non-small Cell Lung Cancer [NCT05647330] | Phase 2 | 55 participants (Anticipated) | Interventional | 2022-12-15 | Not yet recruiting |
Pilot Study of Celecoxib Combined With Gemcitabine and Cisplatin for Neoadjuvant Treatment of Localized, Muscle-Invasive Bladder Cancer [NCT02885974] | Phase 1 | 15 participants (Anticipated) | Interventional | 2016-12-31 | Recruiting |
A Phase I/II Study of MGCD0103 (MG-0103) in Combination With Gemcitabine [NCT00372437] | Phase 1/Phase 2 | 47 participants (Actual) | Interventional | 2006-09-30 | Completed |
Randomised Phase II Trial to Investigate Two Different Schedules of Nab-paclitaxel (Abraxane) Combined With Gemcitabine as First Line Treatment for Metastatic Pancreatic Ductal Adenocarcinoma [NCT03529175] | Phase 2 | 146 participants (Actual) | Interventional | 2014-01-31 | Completed |
An Open-Label, Multicenter, Phase II Study to Evaluate the Therapeutic Activity of Simlukafusp Alfa (RO6874281), an Immunocytokine, Consisting of Interleukin-2 Variant (IL-2v) Targeting Fibroblast Activation Protein-Α (FAP), in Combination With Atezolizum [NCT03386721] | Phase 2 | 256 participants (Actual) | Interventional | 2018-02-19 | Terminated(stopped due to The Sponsor discontinued the development of Simlukafusp alfa due to portfolio prioritization, not due to any safety, efficacy, or quality issues.) |
A Phase 1, Open-label, Multicenter, Safety Study of Nivolumab (Bms-936558) in Combination With Nab-pacitaxel Plus or Minus Gemcitabine in Pancreatic Cancer, Nab-paclitaxel/Carboplatin in Stage Iiib/iv Non-small Cell Lung Cancer or Nab-paclitaxel in Metast [NCT02309177] | Phase 1 | 114 participants (Actual) | Interventional | 2015-01-12 | Completed |
Efficacy and Safety of Modified Nab-Paclitaxel Plus Gemcitabine Chemotherapy for Metastatic Pancreatic Cancer: A Single-arm Phase II Clinical Trial [NCT03502343] | Phase 2 | 52 participants (Anticipated) | Interventional | 2018-04-01 | Recruiting |
A Randomized Open-Label Phase III Study of Single Agent Pembrolizumab Versus Single Agent Chemotherapy Per Physician's Choice for Metastatic Triple Negative Breast Cancer (mTNBC) - (KEYNOTE-119) [NCT02555657] | Phase 3 | 622 participants (Actual) | Interventional | 2015-10-13 | Completed |
A Phase I Study of CPI-613 in Combination With Gemcitabine and Nab-paclitaxel (Abraxane) for Patients With Locally Advanced or Metastatic Pancreatic Cancer [NCT03435289] | Phase 1 | 24 participants (Anticipated) | Interventional | 2017-10-19 | Recruiting |
The Efficacy and Safety of Continuous Administration of Endostar Combined With Chemotherapy for Patients With Advanced no Small Cell Lung Cancer: An Open-label, no Randomized Controlled Multicenter Phase II Study [NCT03123445] | Phase 2 | 150 participants (Anticipated) | Interventional | 2017-04-30 | Not yet recruiting |
An Open-label, Randomized, Multi-center, Parallel, Phase III Clinical Trial to Evaluate the Efficacy and Safety of Adjuvant Immuncell-LC Therapy Combined With Gemcitabine Versus Adjuvant Gemcitabine Single Therapy After Resection in Patients With Pancreat [NCT04969731] | Phase 3 | 408 participants (Anticipated) | Interventional | 2021-09-07 | Recruiting |
Phase II Randomised Trial of Induction Gemcitabine and Cisplatin Versus Gemcitabine, Cisplatin, Pembrolizumab and Bevacizumab (GPPB) in Nasopharyngeal Cancer [NCT05305131] | Phase 2 | 50 participants (Anticipated) | Interventional | 2022-03-28 | Not yet recruiting |
An Open-Label Multicenter 3-Arm Randomized Phase 2 Study to Assess the Efficacy and Safety of TTX-030 and Chemotherapy With or Without Budigalimab, Compared to Chemotherapy Alone, for the Treatment of Patients Not Previously Treated for Metastatic Pancrea [NCT06119217] | Phase 2 | 180 participants (Anticipated) | Interventional | 2023-12-31 | Not yet recruiting |
A Phase II Study to Evaluate the Safety, Pharmacokinetics, and Clinical Activity of AZD0171 in Combination With Durvalumab and Chemotherapy in Participants With Locally Advanced or Metastatic Solid Tumours [NCT04999969] | Phase 2 | 126 participants (Actual) | Interventional | 2021-12-10 | Active, not recruiting |
A Rollover Study to Provide Continued Access to Napabucasin for Patients Enrolled in Boston Biomedical-sponsored Napabucasin Protocols [NCT04299880] | Phase 1 | 7 participants (Actual) | Interventional | 2020-02-24 | Completed |
A Phase III Randomized Study Evaluating Gemcitabine and Paclitaxel Versus Gemcitabine Alone After FOLFIRINOX Failure or Intolerance in Metastatic Pancreatic Ductal Adenocarcinoma [NCT03943667] | Phase 3 | 211 participants (Actual) | Interventional | 2019-05-23 | Completed |
DURVA+ : Evaluation of the Safety and Pharmacodynamics of Anti-PD-L1 Antibody Durvalumab in Combination With Chemotherapy in Patients With Advanced Solid Tumors [NCT03907475] | Phase 2 | 115 participants (Anticipated) | Interventional | 2019-07-16 | Recruiting |
An Open-label, Multi-center, Phase 1b Study to Investigate the Safety and Tolerability of SLC-0111 (WBI-5111) in Combination With Gemcitabine in Metastatic Pancreatic Ductal Adenocarcinoma Subjects Positive for Carbonic Anhydrase IX [NCT03450018] | Phase 1/Phase 2 | 30 participants (Anticipated) | Interventional | 2019-01-10 | Recruiting |
A Phase III, Open-Label, Multicenter, Randomized Study to Investigate the Efficacy and Safety of Atezolizumab Compared With Chemotherapy in Patients With Treatment Naïve Advanced or Recurrent (Stage IIIb Not Amenable for Multimodality Treatment) or Metast [NCT03191786] | Phase 3 | 453 participants (Actual) | Interventional | 2017-09-11 | Completed |
Phase I Trial of the Combination of Vismodegib GDC-0449 and Erlotinib +/- Gemcitabine [NCT00878163] | Phase 1 | 55 participants (Actual) | Interventional | 2009-03-31 | Active, not recruiting |
A Phase I Study of Merestinib Monotherapy or in Combination With Other Anti-Cancer Agents in Japanese Patients With Advanced and/or Metastatic Cancer [NCT03027284] | Phase 1 | 19 participants (Actual) | Interventional | 2017-02-03 | Completed |
Progression-free Survival After Minimally Invasive Surgical Microwave Ablation Plus Durvalumab (MEDI4736) and Tremelimumab for Unresectable Non-metastatic Locally Advanced Pancreatic Cancer: MIMIPAC Trial [NCT04156087] | Phase 2 | 12 participants (Actual) | Interventional | 2020-05-09 | Active, not recruiting |
A Phase I/II Trial of BAY 43-9006 Plus Gemcitabine and Capecitabine in the Treatment of Patients With Advanced Renal Cell Carcinoma [NCT00121251] | Phase 1/Phase 2 | 17 participants (Actual) | Interventional | 2005-06-03 | Completed |
A Single Arm,Phase Ib/II Study of the Combination of Lenalidomide and Gemcitabine in Relapsed or Refractory Peripheral T-cell Lymphomas (PTCL) [NCT05105412] | Phase 1/Phase 2 | 33 participants (Anticipated) | Interventional | 2021-10-31 | Not yet recruiting |
A Phase 3, Randomized, Two-Arm, Open-Label, Multicenter, International Trial of Alisertib (MLN8237) or Investigator's Choice (Selected Single Agent) in Patients With Relapsed or Refractory Peripheral T-Cell Lymphoma [NCT01482962] | Phase 3 | 271 participants (Actual) | Interventional | 2012-06-11 | Completed |
Phase II Study of Neoadjuvant Chemotheraphy (Gemcitabine and Nab-Paclitaxel vs. mFOLFIRINOX) and Sterotatic Body Radiation Therapy for Borderline Resectable Pancreatic Cancer [NCT02241551] | Phase 2 | 2 participants (Actual) | Interventional | 2014-12-31 | Terminated(stopped due to Study was terminated with the IRB ended early as logistical concerns of the SBRT) |
Ipilimumab and Gemcitabine for Advanced Pancreas Cancer: A Phase Ib Study [NCT01473940] | Phase 1 | 21 participants (Actual) | Interventional | 2012-06-11 | Completed |
PHASE 1/2 STUDY OF PF-03084014 IN COMBINATION WITH GEMCITABINE AND NAB-PACLITAXEL IN PATIENTS WITH PREVIOUSLY UNTREATED METASTATIC PANCREATIC DUCTAL ADENOCARCINOMA [NCT02109445] | Phase 2 | 3 participants (Actual) | Interventional | 2014-09-03 | Terminated(stopped due to The study was terminated on 24JUN15 due to change in strategy of PF-03084014 development.No safety/efficacy concerns were behind the reason of trial termination) |
A Phase 2, Multicenter, Randomized Study to Evaluate the Safety and Efficacy of Viagenpumatucel-L (HS-110) in Combination With Low Dose (Metronomic) Cyclophosphamide Versus Chemotherapy Alone in Patients With Non-Small Cell Lung Adenocarcinoma After Failu [NCT02117024] | Phase 2 | 66 participants (Actual) | Interventional | 2014-07-31 | Terminated(stopped due to Sponsor Decision; strategic - based on changing treatment landscape) |
Randomized Crossover Trial to Assess the Effects and Quality of Life in Patients With Locally Advanced or Metastatic Pancreatic Cancer Treated With Gemcitabine in Combination With Nab-paclitaxel: QOLINPAC [NCT02106884] | Phase 2 | 146 participants (Actual) | Interventional | 2014-04-30 | Completed |
Phase II Trial to Evaluate Gemcitabine and Etoposide for Locally Advanced or Metastatic Pancreatic Cancer [NCT00202800] | Phase 2 | 40 participants (Anticipated) | Interventional | 2002-03-31 | Completed |
Phase II Study of Gemcitabine and Pazopanib in Chemotherapy Naïve Patients With Advanced/Metastatic Urothelial Carcinoma Ineligible for Cisplatin-based Chemotherapy [NCT01622660] | Phase 2 | 2 participants (Actual) | Interventional | 2012-06-30 | Terminated(stopped due to Safety reasons) |
A PHASE 2, MULTI-CENTER STUDY TO EVALUATE THE SAFETY AND EFFICACY OF ABI-007 PLUS GEMCITABINE IN CHINESE PATEINTS WITH METASTATIC PANCREATIC ADENOCARCINOMA [NCT02017015] | Phase 2 | 83 participants (Actual) | Interventional | 2013-12-24 | Completed |
Randomized Phase II Trial of Pre-Operative Gemcitabine and Nab Paclitacel With or With Out Hydroxychloroquine [NCT01978184] | Phase 2 | 104 participants (Actual) | Interventional | 2013-11-30 | Completed |
A Phase III, Open-label, Randomised Study of Datopotamab Deruxtecan (Dato-DXd) With or Without Durvalumab Compared With Investigator's Choice of Chemotherapy (Paclitaxel, Nab-paclitaxel or Gemcitabine + Carboplatin) in Combination With Pembrolizumab in Pa [NCT06103864] | Phase 3 | 625 participants (Anticipated) | Interventional | 2023-11-23 | Recruiting |
A Phase III, Randomised, Double-Blind, Placebo-Controlled, Multicentre Study Of The Efficacy And Safety Of Atezolizumab Plus Chemotherapy For Patients With Early Relapsing Recurrent (Inoperable Locally Advanced Or Metastatic) Triple-Negative Breast Cancer [NCT03371017] | Phase 3 | 572 participants (Anticipated) | Interventional | 2018-01-11 | Active, not recruiting |
A Randomized Trial Comparing Induction Gemcitabine and Cisplatin Plus Intensity-modulated Radiotherapy With Concurrent Cisplatin Plus Intensity-modulated Radiotherapy in Patients With Locoregionally Advanced Nasopharyngeal Carcinoma [NCT02460887] | Phase 3 | 236 participants (Anticipated) | Interventional | 2015-06-30 | Active, not recruiting |
Evaluation of Safety and Efficacy of Electrochemotherapy in the Treatment of Pancreatic Adenocarcinoma [NCT02514421] | Phase 1 | 6 participants (Actual) | Interventional | 2015-07-31 | Completed |
PERSONALIZED MEDICINE GROUP / UCBG UC-0105/1304: SAFIR02_Breast - Evaluation of the Efficacy of High Throughput Genome Analysis as a Therapeutic Decision Tool for Patients With Metastatic Breast Cancer [NCT02299999] | Phase 2 | 1,460 participants (Actual) | Interventional | 2014-04-07 | Active, not recruiting |
Neoadjuvant Chemotherapy for Non-metastatic Non-small Cell Lung Cancer [NCT01860040] | Phase 2 | 1 participants (Actual) | Interventional | 2013-04-30 | Terminated(stopped due to Poor accrual, no data to analyze) |
Intrabdominal Hyperthermic Chemotherapy Using Gemcitabine to Treat Pancreatic Carcinomatosis [NCT03251365] | Phase 2/Phase 3 | 42 participants (Anticipated) | Interventional | 2017-07-27 | Recruiting |
A Phase 1b, Open Label, Dose Escalation Study of IOA-289, an Orally Bioavailable, Selective Autotaxin (ENPP2) Inhibitor Alone and in Combination With Gemcitabine/Nab-paclitaxel in Patients With Metastatic Pancreatic Cancer [NCT05586516] | Phase 1/Phase 2 | 24 participants (Anticipated) | Interventional | 2022-10-10 | Recruiting |
Phase 1/1b Study of the Safety of TTX-030 as a Single Agent and in Combination With Pembrolizumab or Chemotherapy in Patients With Lymphoma or Solid Tumor Malignancies [NCT03884556] | Phase 1 | 56 participants (Actual) | Interventional | 2019-04-10 | Completed |
Phase III Study of Vinflunine Plus Gemcitabine Versus Paclitaxel Plus Gemcitabine in Patients With Unresectable, Locally Recurrent or Metastatic Breast Cancer After Prior Anthracycline-based Adjuvant Chemotherapy [NCT02054338] | Phase 3 | 1,004 participants (Actual) | Interventional | 2006-06-30 | Terminated(stopped due to Study was stopped before progressive disease or death of alive subjects.) |
A Phase II, Randomized, Double-Blind Placebo-Controlled Study of Atezolizumab With or Without Bevacizumab in Combination With Cisplatin Plus Gemcitabine in Patients With Untreated, Advanced Biliary Tract Cancer [NCT04677504] | Phase 2 | 162 participants (Actual) | Interventional | 2021-02-23 | Completed |
A Phase II, Open Label, Randomized, Parallel Arm Study of NIS793 (With and Without Spartalizumab) in Combination With SOC Chemotherapy Gemcitabine/Nab-paclitaxel, and Gemcitabine/Nab-paclitaxel Alone in First-line Metastatic Pancreatic Ductal Adenocarcino [NCT04390763] | Phase 2 | 151 participants (Actual) | Interventional | 2020-10-16 | Active, not recruiting |
A Phase II Study of Neoadjuvant Chemotherapy With and Without Immunotherapy to CA125 (Oregovomab) Followed by Hypofractionated Stereotactic Radiotherapy & Concurrent HIV Protease Inhibitor Nelfinavir in Locally Advanced Pancreatic Cancer [NCT01959672] | Phase 2 | 11 participants (Actual) | Interventional | 2013-09-06 | Completed |
A Phase III, Open-Label, Randomized Study of Atezolizumab (Anti-PD-L1 Antibody) Compared With Gemcitabine+Cisplatin or Carboplatin for PD-L1-Selected, Chemotherapy Naive Patients With Stage IV Squamous Non-Small Cell Lung Cancer [NCT02409355] | Phase 3 | 8 participants (Actual) | Interventional | 2015-05-07 | Terminated(stopped due to The study was closed due to low patient enrollment and the Sponsor's decision to include patients with squamous NSCLC into the GO29431 study, NCT02409342.) |
Surufatinib Plus Camrelizumab and AS in First Line Treatment of Advanced Metastatic Pancreatic Cancer: a Prospective, Randomized Controlled Clinical Trial [NCT05218889] | Phase 1/Phase 2 | 83 participants (Anticipated) | Interventional | 2021-08-04 | Recruiting |
Feasibility Study of Neoadjuvant Gemcitabine/Nab-Paclitaxel and Hypofractionated Image-Guided Intensity Modulated Radiotherapy in Resectable and Borderline Resectable Pancreatic Cancer [NCT02318095] | | 40 participants (Actual) | Interventional | 2015-02-17 | Completed |
Azacitidine/Vorinostat/GemBuMel With Autologous Stem-Cell Transplant (SCT) in Patients With Refractory Lymphomas [NCT01983969] | Phase 1/Phase 2 | 61 participants (Actual) | Interventional | 2013-11-07 | Completed |
A Randomized, Multicenter, Open-Label Phase 3 Study of Gemcitabine-Cisplatin Chemotherapy Plus Necitumumab (IMC-11F8) Versus Gemcitabine-Cisplatin Chemotherapy Alone in the First-Line Treatment of Patients With Stage IV Squamous Non-Small Cell Lung Cancer [NCT00981058] | Phase 3 | 1,093 participants (Actual) | Interventional | 2010-01-07 | Active, not recruiting |
Milciclib in Combination With Gemcitabine in Advanced Non-Small Cell Lung Cancer [NCT05651269] | Phase 2 | 28 participants (Anticipated) | Interventional | 2023-03-15 | Not yet recruiting |
TIGER-3: A Phase 3, Open-label, Multicenter, Randomized Study of Oral Rociletinib (CO-1686) Monotherapy Versus Single-agent Cytotoxic Chemotherapy in Patients With Mutant EGFR Non-small Cell Lung Cancer (NSCLC) After Failure of at Least 1 Previous EGFR-di [NCT02322281] | Phase 3 | 149 participants (Actual) | Interventional | 2015-02-28 | Terminated(stopped due to Sponsor discontinued development of CO-1686 for NSCLC) |
Nab-paclitaxel (Abraxane) Plus Gemcitabine in Subjects With Locally Advanced Pancreatic Cancer (LAPC): An International, Open-label, Multi-center, Phase 2 Study (LAPACT). [NCT02301143] | Phase 2 | 107 participants (Actual) | Interventional | 2015-04-21 | Completed |
A Multicenter, Open-Label, Phase I/II Dose Escalation and Expansion Study to Evaluate the Safety, Tolerability, Efficacy and Pharmacokinetics of YH003 in Combination With Toripalimab (Anti-PD-1 mAb) in Subjects With Advanced Solid Tumors [NCT04481009] | Phase 1/Phase 2 | 26 participants (Actual) | Interventional | 2020-08-04 | Completed |
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
Trial | Outcome |
NCT00011986 (3) [back to overview] | Overall Survival |
NCT00011986 (3) [back to overview] | Progression-free Survival |
NCT00011986 (3) [back to overview] | Number of Participants With Observed Adverse Effects (Grade 3 and Above) Assessed by Common Toxicity Criteria Version 2.0 |
NCT00022633 (8) [back to overview] | Number of Patients With Grade 3 Through Grade 5 Adverse Events That Are Related to Study Drug |
NCT00022633 (8) [back to overview] | Progression-free Survival in Patients Aged 70 Years and Older |
NCT00022633 (8) [back to overview] | Overall Survival (OS) in Patients Aged 70 Years and Older |
NCT00022633 (8) [back to overview] | Determine the Feasibility of Accruing Patients With Metastatic Bladder Cancer Who Are 70 and Older to Chemotherapy Protocols |
NCT00022633 (8) [back to overview] | Overall Confirmed Response Rate in the Patients Age 70 and Older (Complete and Partial Response) |
NCT00022633 (8) [back to overview] | Assess the Feasibility of Patient-reported Outcome Measures for Patients Aged 70 Years and Older: at Least One Type of Assistance Required |
NCT00022633 (8) [back to overview] | Feasibility of Patient-reported Outcome Measures for Patients Aged 70 Years and Older: Form Submission Rate |
NCT00022633 (8) [back to overview] | Feasibility of Patient-reported Outcome Measures for Patients Aged 70 Years and Older: Median Time of Complete Forms |
NCT00033540 (5) [back to overview] | Accrual of Patients With This Disease Site |
NCT00033540 (5) [back to overview] | Overall Survival |
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 |
NCT00045630 (3) [back to overview] | Overall Survival (OS) |
NCT00045630 (3) [back to overview] | Pathologic Complete Response Rate by Transurethral Resection of Bladder Tumor (TURBT) and Imaging Studies After Chemotherapy |
NCT00045630 (3) [back to overview] | Number of Patients With Grade 3 Through Grade 5 Adverse Events That Are Related to Study Drug |
NCT00055601 (3) [back to overview] | Treatment Completion Rate |
NCT00055601 (3) [back to overview] | Complete Response After Induction |
NCT00055601 (3) [back to overview] | Bladder-intact Survival Rate (5 Years) |
NCT00057876 (3) [back to overview] | Overall Response |
NCT00057876 (3) [back to overview] | Progression-free Survival Time |
NCT00057876 (3) [back to overview] | Overall Survival Time |
NCT00063570 (5) [back to overview] | Overall Tumor Response |
NCT00063570 (5) [back to overview] | Time to Treatment Failure |
NCT00063570 (5) [back to overview] | Time to Progressive Disease |
NCT00063570 (5) [back to overview] | Overall Survival |
NCT00063570 (5) [back to overview] | Duration of (Confirmed) Complete Response or Partial Response |
NCT00064077 (5) [back to overview] | Pain, Assessed by Brief Pain Inventory |
NCT00064077 (5) [back to overview] | Duration of Progression-free Survival (PFS) |
NCT00064077 (5) [back to overview] | Duration of Overall Survival (OS) |
NCT00064077 (5) [back to overview] | Patient-reported Quality of Life as Measured by the Functional Assessment of Cancer Therapy (FACT)-Cervical Trial Outcome of Index (FACT-Cx TOI) |
NCT00064077 (5) [back to overview] | Patient Reported Neurotoxicity Symptoms as Measured With the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group - Neurotoxicity Subscale (Short Version) (FACT/GOG-Ntx Subscale). |
NCT00066781 (3) [back to overview] | Time to Disease Progression |
NCT00066781 (3) [back to overview] | Confirmed Response Rate (Partial or Complete Response for 2 Consecutive Evaluations at Least 4 Weeks Apart) as Measured by RECIST Criteria |
NCT00066781 (3) [back to overview] | Overall Survival |
NCT00068393 (3) [back to overview] | Overall Survival |
NCT00068393 (3) [back to overview] | Progression-free Survival |
NCT00068393 (3) [back to overview] | Response Rate by Solid Tumor Response Criteria (RECIST) |
NCT00072514 (4) [back to overview] | Overall and Complete Response Rates |
NCT00072514 (4) [back to overview] | Ability to Successfully Deliver the Investigational Therapy Without Incurring the Protocol Suspension Rules |
NCT00072514 (4) [back to overview] | Hematologic and Non-hematologic Adverse Events. |
NCT00072514 (4) [back to overview] | Peripheral Blood Stem Cell Collection |
NCT00073983 (2) [back to overview] | Objective Response Rate |
NCT00073983 (2) [back to overview] | Toxicity as Assessed by NCI CTCAE v3.0 |
NCT00075504 (3) [back to overview] | Overall Survival |
NCT00075504 (3) [back to overview] | Progression Free Survival |
NCT00075504 (3) [back to overview] | Response Rate According to RECIST Criteria |
NCT00078949 (4) [back to overview] | Toxic Effect |
NCT00078949 (4) [back to overview] | Transplantation Rate of Patients After 2 Courses of Chemotherapy |
NCT00078949 (4) [back to overview] | Response Rate of Patients After 2 Courses of Chemotherapy |
NCT00078949 (4) [back to overview] | Event-free Survival of Patients on Maintenance Randomization (Period 2) |
NCT00088530 (4) [back to overview] | Overall Survival |
NCT00088530 (4) [back to overview] | Overall Response Rate (ORR) Lasting at Least 4 Months |
NCT00088530 (4) [back to overview] | Complete Response (CR) and Complete Response Unconfirmed (CRu) |
NCT00088530 (4) [back to overview] | Progression-Free Survival (PFS) |
NCT00089024 (2) [back to overview] | Number of Participants Experiencing Grade 3-4 Toxicity While Receiving the Study Treatment |
NCT00089024 (2) [back to overview] | Surgical Exploration |
NCT00091026 (3) [back to overview] | Progression-free Survival |
NCT00091026 (3) [back to overview] | Overall Survival |
NCT00091026 (3) [back to overview] | Objective Response Rate (Complete or Partial Response) Evaluated Using the Response Evaluation Criteria in Solid Tumors (RECIST) |
NCT00093496 (4) [back to overview] | Toxicity |
NCT00093496 (4) [back to overview] | Proportion of Patients Who Experience a Confirmed Response According to Modified RECIST Criteria. |
NCT00093496 (4) [back to overview] | Times to Progression |
NCT00093496 (4) [back to overview] | Overall Survival |
NCT00093795 (5) [back to overview] | Toxicity |
NCT00093795 (5) [back to overview] | Disease-free Survival: Any Recurrence, Contralateral Breast Cancer, Second Primary Cancer, Death From Any Cause Prior to Recurrence or Second Primary Cancer |
NCT00093795 (5) [back to overview] | Overall Survival |
NCT00093795 (5) [back to overview] | Recurrence-free Interval: Time to First Local, Regional, or Distant Recurrence |
NCT00093795 (5) [back to overview] | Distant Recurrence-free Interval: the Time to Distant Disease Recurrence Only |
NCT00096993 (5) [back to overview] | Progression-free Survival |
NCT00096993 (5) [back to overview] | Percentage of Participants With an Objective Response |
NCT00096993 (5) [back to overview] | Duration of the Objective Response |
NCT00096993 (5) [back to overview] | Duration of Survival |
NCT00096993 (5) [back to overview] | Percentage of Participants Free From Disease Progression at 4 Months |
NCT00100789 (4) [back to overview] | Number of Patients With Grade 3 Through 5 Adverse Events That Are Related to Study Drug |
NCT00100789 (4) [back to overview] | Progression-free Survival |
NCT00100789 (4) [back to overview] | Overall Survival |
NCT00100789 (4) [back to overview] | Response |
NCT00100815 (5) [back to overview] | Overall Survival |
NCT00100815 (5) [back to overview] | Percentage of Participants With Improved Quality of Life |
NCT00100815 (5) [back to overview] | Progression-free Survival |
NCT00100815 (5) [back to overview] | Clinical Response |
NCT00100815 (5) [back to overview] | Percentage of Participants With Grades 3-5 Treatment Related Toxicities |
NCT00101283 (3) [back to overview] | Overall Survival |
NCT00101283 (3) [back to overview] | Best Overall Response by RECIST Criteria (Version 1.0) |
NCT00101283 (3) [back to overview] | Progression-Free Survival |
NCT00101907 (6) [back to overview] | Cmax |
NCT00101907 (6) [back to overview] | Number of Participants With an Objective Tumor Response |
NCT00101907 (6) [back to overview] | Participant Incidence of Adverse Events |
NCT00101907 (6) [back to overview] | Tmax |
NCT00101907 (6) [back to overview] | AUC0-inf |
NCT00101907 (6) [back to overview] | AUC0-24 |
NCT00109928 (4) [back to overview] | 2-year Overall Survival Rate |
NCT00109928 (4) [back to overview] | 2-year Progression-free Survival Rate |
NCT00109928 (4) [back to overview] | Response Rate |
NCT00109928 (4) [back to overview] | Number of Patients With Grade 3 Through Grade 5 Adverse Events That Are Related to Study Drug |
NCT00110084 (3) [back to overview] | Progression-free Survival |
NCT00110084 (3) [back to overview] | Adverse Event |
NCT00110084 (3) [back to overview] | Proportion of Patients With Confirmed Responses |
NCT00114218 (2) [back to overview] | Percentage of Patients With Objective Tumor Response Rate (Either Complete Response (CR) or Partial Response (PR) Using RECIST Version 1.0 |
NCT00114218 (2) [back to overview] | Incidence of Adverse Effects That Are Grade 3 or Greater as Assessed by Common Terminology Criteria for Adverse Events Version 3.0 |
NCT00114244 (3) [back to overview] | Progression-free Survival |
NCT00114244 (3) [back to overview] | Overall Survival |
NCT00114244 (3) [back to overview] | Objective Response (OR = CR or PR) as Determined by the RECIST Criteria |
NCT00121251 (3) [back to overview] | Median Number of Months of Progression Free Survival (PFS) |
NCT00121251 (3) [back to overview] | Number of Participants Who Survived (Overall Survival) |
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) |
NCT00161213 (4) [back to overview] | Response Rate |
NCT00161213 (4) [back to overview] | 1-year Survival Rate |
NCT00161213 (4) [back to overview] | Overall Survival |
NCT00161213 (4) [back to overview] | Progression-free Survival |
NCT00183794 (2) [back to overview] | Tumor Response Type: CR, PR, SD or PD |
NCT00183794 (2) [back to overview] | Median Time to Progression (Months) |
NCT00184093 (2) [back to overview] | Toxicity (Number of Participants With Serious Adverse Events) |
NCT00184093 (2) [back to overview] | Best Overall Response of Either a Complete Response (CR) or Partial Response (PR) |
NCT00185588 (2) [back to overview] | Time-to-Progression, Evaluable Patients |
NCT00185588 (2) [back to overview] | Time-to-Treatment Failure (Intent-To-Treat Analysis) |
NCT00189137 (2) [back to overview] | The Percentage of Patients Alive Without Disease at 2 Years |
NCT00189137 (2) [back to overview] | Percentage of Patients Hospitalized in Each Arm. |
NCT00191100 (6) [back to overview] | Local Failure Rate |
NCT00191100 (6) [back to overview] | Number of Participants With Progressive Disease or Death Due to Any Cause at 3 Years |
NCT00191100 (6) [back to overview] | Number of Participants Who Died From Any Cause at Various Time Points |
NCT00191100 (6) [back to overview] | Number of Participants With Progressive Disease or Death Due to Disease Under Study at Various Time Points |
NCT00191100 (6) [back to overview] | Tumor Response |
NCT00191100 (6) [back to overview] | Number of Participants With Progressive Disease or Death Due to Any Cause at Various Time Points |
NCT00191139 (5) [back to overview] | Progression-Free Survival |
NCT00191139 (5) [back to overview] | Lung Cancer Symptom Scale (LCSS) Assessment Post-randomization |
NCT00191139 (5) [back to overview] | Number of Patients With Overall Tumor Response |
NCT00191139 (5) [back to overview] | 2-Year Survival |
NCT00191139 (5) [back to overview] | Overall Survival |
NCT00191152 (13) [back to overview] | Summary of Changes in Rotterdam Symptom Checklist (RSCL) by Treatment (Initial Treatment) |
NCT00191152 (13) [back to overview] | Summary of Changes in Rotterdam Symptom Checklist by Treatment (Crossover Treatment) |
NCT00191152 (13) [back to overview] | Progression-Free Survival (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] | Best Overall Response (Crossover Treatment) |
NCT00191152 (13) [back to overview] | Best Overall Response (Initial Treatment) |
NCT00191152 (13) [back to overview] | Duration of Response (Crossover Treatment) |
NCT00191152 (13) [back to overview] | Summary of Changes in Karnofsky Performance Status (KPS) by Treatment (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] | Duration of Response (Initial Treatment) |
NCT00191269 (6) [back to overview] | Tumor Response |
NCT00191269 (6) [back to overview] | Pharmacokinetics - Normalized Cmax |
NCT00191269 (6) [back to overview] | Pharmacokinetics - Normalized Area Under the Curve |
NCT00191269 (6) [back to overview] | Time to Progressive Disease |
NCT00191269 (6) [back to overview] | Survival at 1 Year |
NCT00191269 (6) [back to overview] | Duration of Response |
NCT00191334 (5) [back to overview] | Duration of Response |
NCT00191334 (5) [back to overview] | Time to Progressive Disease |
NCT00191334 (5) [back to overview] | Time to Treatment Failure |
NCT00191334 (5) [back to overview] | Best Overall Tumor Response |
NCT00191334 (5) [back to overview] | Number of Patients With Maximum Common Toxicity Criteria - National Cancer Institute (CTC-NCI): Possibly Related to Study Drug by Grade |
NCT00191451 (5) [back to overview] | Duration of Response |
NCT00191451 (5) [back to overview] | Overall Tumor Response |
NCT00191451 (5) [back to overview] | Percentage of Patients With Overall Survival at 1 Year and 2 Years |
NCT00191451 (5) [back to overview] | Time to Disease Progression (TTP) |
NCT00191451 (5) [back to overview] | Number of Patients Who Experienced Alopecia |
NCT00191477 (4) [back to overview] | Recurrence-Free Survival (RFS) |
NCT00191477 (4) [back to overview] | Percentage of Participants in Subgroups With Recurrence-Free Survival (RFS) at 12 and 24 Months |
NCT00191477 (4) [back to overview] | Percentage of Participants Without Tumor Recurrence |
NCT00191477 (4) [back to overview] | Tumor Recurrence Type |
NCT00191646 (4) [back to overview] | Time to Treatment Failure |
NCT00191646 (4) [back to overview] | Overall Survival |
NCT00191646 (4) [back to overview] | Progression Free Survival (PFS) |
NCT00191646 (4) [back to overview] | Proportion of Participants With Response (Response Rate) |
NCT00191789 (6) [back to overview] | Number of Participants With Progressive Disease or Death at Various Time Points Throughout the Study |
NCT00191789 (6) [back to overview] | Number of Participants With Time to Treatment Failure at Various Time Points |
NCT00191789 (6) [back to overview] | Number of Patients Eligible for Breast Conservation Surgery at Baseline and Number of Patients Undergoing Breast Conservation Surgery |
NCT00191789 (6) [back to overview] | Summary of Deaths During Study |
NCT00191789 (6) [back to overview] | Number of Participants Who Died From Any Cause at Various Time Points |
NCT00191789 (6) [back to overview] | Number of Patients With Pathological Complete Response (Pathological Complete Response Rate) |
NCT00191815 (9) [back to overview] | Duration of Response |
NCT00191815 (9) [back to overview] | Survival Time |
NCT00191815 (9) [back to overview] | Time to Progressive Disease |
NCT00191815 (9) [back to overview] | Time to Treatment Failure |
NCT00191815 (9) [back to overview] | Number of Participants With Adverse Events Leading to Discontinuation |
NCT00191815 (9) [back to overview] | Number of Deaths |
NCT00191815 (9) [back to overview] | Number of Participants With Maximum Common Toxicity Criteria-National Cancer Institute Toxicity (CTC-NCI) of Gemcitabine-Cisplatin Combination |
NCT00191815 (9) [back to overview] | Number of Participants With Hematology Maximum Common Toxicity Criteria - National Cancer Institute Grades |
NCT00191815 (9) [back to overview] | Objective Tumor Response |
NCT00191854 (5) [back to overview] | Best Overall Response |
NCT00191854 (5) [back to overview] | Progression Free Survival (PFS) |
NCT00191854 (5) [back to overview] | Overall Survival |
NCT00191854 (5) [back to overview] | Duration of Response |
NCT00191854 (5) [back to overview] | Number of Participants With a Time to Treatment Failure (TTTF) Event |
NCT00192036 (5) [back to overview] | Tumor Response at End of Treatment |
NCT00192036 (5) [back to overview] | Time to Progressive Disease |
NCT00192036 (5) [back to overview] | Safety of Induction Chemotherapy |
NCT00192036 (5) [back to overview] | Safety of Chemo-radiotherapy |
NCT00192036 (5) [back to overview] | Overall Survival |
NCT00192075 (11) [back to overview] | Tumor Response - Avastin Subgroup |
NCT00192075 (11) [back to overview] | Progression-Free Survival |
NCT00192075 (11) [back to overview] | Duration of Response |
NCT00192075 (11) [back to overview] | Progression-Free Survival - Avastin Subgroup |
NCT00192075 (11) [back to overview] | Time to Progressive Disease - Avastin Subgroup |
NCT00192075 (11) [back to overview] | Survival at 12 Months and 24 Months - Avastin Subgroup |
NCT00192075 (11) [back to overview] | Toxicity - Avastin Subgroup |
NCT00192075 (11) [back to overview] | Time to Progressive Disease |
NCT00192075 (11) [back to overview] | Tumor Response by Response Evaluation Criteria In Solid Tumors (RECIST) |
NCT00192075 (11) [back to overview] | Overall Survival |
NCT00192075 (11) [back to overview] | Duration of Response - A+FOLFOX4 - Avastin Subgroup |
NCT00193050 (3) [back to overview] | Overall Survival (OS) |
NCT00193050 (3) [back to overview] | Pathologic Complete Response (pCR) |
NCT00193050 (3) [back to overview] | Time to Treatment Failure (TTF) |
NCT00193063 (3) [back to overview] | Overall Survival (OS) |
NCT00193063 (3) [back to overview] | Progression Free Survival (PFS) |
NCT00193063 (3) [back to overview] | Overall Response Rate (ORR) |
NCT00193206 (4) [back to overview] | Pathologic Complete Response |
NCT00193206 (4) [back to overview] | Rates of Breast Preservation |
NCT00193206 (4) [back to overview] | Time to Disease Progression |
NCT00193206 (4) [back to overview] | Clinical Response Rates |
NCT00193414 (3) [back to overview] | Progression-free Survival (PFS) |
NCT00193414 (3) [back to overview] | Overall Survival (OS) |
NCT00193414 (3) [back to overview] | Overall Response Rate |
NCT00193427 (4) [back to overview] | Progression Free Survival (PFS) |
NCT00193427 (4) [back to overview] | Pathologic Complete Response Rate |
NCT00193427 (4) [back to overview] | Overall Survival (OS) |
NCT00193427 (4) [back to overview] | Overall Response Rate (ORR) |
NCT00193453 (3) [back to overview] | Overall Clinical Response Rate |
NCT00193453 (3) [back to overview] | Progression Free Survival (PFS) |
NCT00193453 (3) [back to overview] | Response Duration |
NCT00193596 (2) [back to overview] | Progression Free Survival (PFS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease |
NCT00193596 (2) [back to overview] | Overall Survival (OS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death |
NCT00201760 (3) [back to overview] | Disease Progression |
NCT00201760 (3) [back to overview] | Measure Response Rate of Each Drug Combination |
NCT00201760 (3) [back to overview] | Number of Participants With Grades 3 and Grade 4 Toxicity Profiles of the Drug Combinations |
NCT00201838 (5) [back to overview] | Percentage of Patients With Clinical Benefit Response |
NCT00201838 (5) [back to overview] | Number of Patients With Response |
NCT00201838 (5) [back to overview] | Anti-tumor Effect as Measured by the Proportion of Patients Free of Disease-progression at Six Months After Treatment Initiation |
NCT00201838 (5) [back to overview] | Median Overall Survival Rates for Patients |
NCT00201838 (5) [back to overview] | Serial Levels of TNF (Tumor Necrosis Factor) and Other Inflammatory Cytokines |
NCT00215930 (3) [back to overview] | Best Disease Response After a Maximum of Six Cycles. |
NCT00215930 (3) [back to overview] | Progression Free Survival (PFS) |
NCT00215930 (3) [back to overview] | Overall Survival (OS) |
NCT00219557 (18) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Axitinib (AG-013736) |
NCT00219557 (18) [back to overview] | Dose Confirmation of Gemcitabine on Basis of Number of Participants With Dose Limiting Toxicity (DLT) |
NCT00219557 (18) [back to overview] | Overall Survival (OS) |
NCT00219557 (18) [back to overview] | Dose Confirmation of Axitinib (AG-013736) on Basis of Number of Participants With Dose Limiting Toxicity (DLT) |
NCT00219557 (18) [back to overview] | Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Gemcitabine |
NCT00219557 (18) [back to overview] | Area Under the Curve From Time Zero to 24 Hours [AUC (0-24)] of Axitinib (AG-013736) |
NCT00219557 (18) [back to overview] | Duration of Response (DR) |
NCT00219557 (18) [back to overview] | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Score at Day 1 of Every Cycle and End of Study |
NCT00219557 (18) [back to overview] | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Score at Day 1 of Every Cycle and End of Study |
NCT00219557 (18) [back to overview] | Change From Baseline in 26-item Pancreatic Cancer-specific Quality of Life Questionnaire (QLQ-PAN26) Score at Day 1 of Every Cycle and End of Study |
NCT00219557 (18) [back to overview] | Change From Baseline in 26-item Pancreatic Cancer-specific Quality of Life Questionnaire (QLQ-PAN26) Score at Day 1 of Every Cycle and End of Study |
NCT00219557 (18) [back to overview] | Time to Reach Maximum Observed Plasma Concentration (Tmax) of Axitinib (AG-013736) |
NCT00219557 (18) [back to overview] | Progression-free Survival (PFS) |
NCT00219557 (18) [back to overview] | Plasma Decay Half-life (t1/2) of Gemcitabine |
NCT00219557 (18) [back to overview] | Plasma Decay Half-life (t1/2) of Axitinib (AG-013736) |
NCT00219557 (18) [back to overview] | Percentage of Participants With Overall Response (OR) |
NCT00219557 (18) [back to overview] | One Year Survival Probability |
NCT00219557 (18) [back to overview] | Maximum Observed Plasma Concentration (Cmax) of Gemcitabine |
NCT00225784 (7) [back to overview] | Number of Participants Determined to be Resectable (Eligible for Surgery)After Completion of Therapy |
NCT00225784 (7) [back to overview] | Role of Epidermal Growth Factor Receptor (EGFR) Status in Response to Treatment. |
NCT00225784 (7) [back to overview] | Objective Response of Tumor by RECIST 1.0 Criteria |
NCT00225784 (7) [back to overview] | Pattern of Failure After Therapy |
NCT00225784 (7) [back to overview] | Disease-Free Survival After Therapy |
NCT00225784 (7) [back to overview] | Number of Participants Assessed for Adverse Events |
NCT00225784 (7) [back to overview] | Overall Length of Survival After Therapy |
NCT00226577 (5) [back to overview] | Disease Response - Pathologic |
NCT00226577 (5) [back to overview] | Survival - Disease Free |
NCT00226577 (5) [back to overview] | Survival - Overall |
NCT00226577 (5) [back to overview] | Disease Response - Radiographic |
NCT00226577 (5) [back to overview] | Toxicity |
NCT00226590 (4) [back to overview] | Treatment Completion |
NCT00226590 (4) [back to overview] | Progression Free Survival |
NCT00226590 (4) [back to overview] | Overall Survival |
NCT00226590 (4) [back to overview] | Number of Participants Whose Response Allowed Them to Proceed to Chemoradiation |
NCT00227721 (2) [back to overview] | Response Rate to the Combination of Gemcitabine and Docetaxel in Patients With Platinum Sensitive and Resistant Epithelial Ovarian or Peritoneal Cancer. |
NCT00227721 (2) [back to overview] | Progression-free Survival |
NCT00234039 (4) [back to overview] | Number of Patients With Grade 3 Through Grade 5 Adverse Events That Are Related to Study Drug |
NCT00234039 (4) [back to overview] | Recurrence-free Survival (RFS) |
NCT00234039 (4) [back to overview] | Overall Survival (OS) |
NCT00234039 (4) [back to overview] | Complete Response Rate at the End of Induction |
NCT00234494 (3) [back to overview] | Estimate Response Rates |
NCT00234494 (3) [back to overview] | Progression Free Survival |
NCT00234494 (3) [back to overview] | Overall Survival Time |
NCT00236899 (9) [back to overview] | Overall Response Rate (ORR) by Treatment Schedule |
NCT00236899 (9) [back to overview] | Time to Progressive Disease (TTPD) by Treatment Schedule |
NCT00236899 (9) [back to overview] | Time to Progressive Disease (TTPD) by Treatment Drug |
NCT00236899 (9) [back to overview] | Overall Survival (OS) by Treatment Schedule |
NCT00236899 (9) [back to overview] | Number of Participants With Serious and Nonserious Adverse Events (AEs) |
NCT00236899 (9) [back to overview] | Overall Survival (OS) by Treatment Drug |
NCT00236899 (9) [back to overview] | Quality of Life (QOL) Using the Rotterdam Symptom Scale Checklist (RSSC) at Beginning of 3-Week or 4-Week Cycle |
NCT00236899 (9) [back to overview] | Quality of Life (QOL) Using the Rotterdam Symptom Scale Checklist (RSSC) at 30-Day Post-therapy Visit |
NCT00236899 (9) [back to overview] | Overall Response Rate(ORR) by Treatment Drug |
NCT00244933 (1) [back to overview] | Objective Response Rate by RECIST Criteria Following |
NCT00247416 (4) [back to overview] | Percentage of Participants With Reduction in Grade 3/4 Neutropenia |
NCT00247416 (4) [back to overview] | Progression-free Survival |
NCT00247416 (4) [back to overview] | Effect of Dexamethasone Pre-treatment on Overall Survival. |
NCT00247416 (4) [back to overview] | Effect of Dexamethasone Pre-treatment on Response Rate. |
NCT00248560 (4) [back to overview] | Response Duration |
NCT00248560 (4) [back to overview] | Survival |
NCT00248560 (4) [back to overview] | Toxicity as Measured by Number and Grade of Adverse Events |
NCT00248560 (4) [back to overview] | Response (Complete Response [CR] + Partial Response [PR]) |
NCT00262860 (3) [back to overview] | Response Rate After 2 Courses of Therapy |
NCT00262860 (3) [back to overview] | Change in Proteasome Activity Compared to Baseline (Cycle 2) |
NCT00262860 (3) [back to overview] | Change in Proteasome Activity Compared to Baseline (Cycle 1) |
NCT00264498 (1) [back to overview] | Progression Free Survival (PFS) |
NCT00267020 (9) [back to overview] | Overall Survival (OS) |
NCT00267020 (9) [back to overview] | Relationship of Steady-state Drug Levels to Best Overall Response of Complete Response (CR), Partial Response (PR), or Stable Disease (SD) (Disease Control) |
NCT00267020 (9) [back to overview] | Duration of Response |
NCT00267020 (9) [back to overview] | Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Response Rate) |
NCT00267020 (9) [back to overview] | Number of Participants Experiencing Serious Adverse Events (SAEs) and Adverse Events (AEs) (Toxicity) |
NCT00267020 (9) [back to overview] | Change in Scores From Baseline (Improved, Stable or Worsened) to End of Study in Functional Assessment of Cancer Therapy Hepatobiliary Version 4 ( FACT-Hep v.4) (Quality of Life (QOL)) |
NCT00267020 (9) [back to overview] | Carbohydrate Antigen 19-9 (CA 19-9) Concentration in the Blood |
NCT00267020 (9) [back to overview] | Progression Free Survival (PFS) |
NCT00267020 (9) [back to overview] | Relationship of Steady-State Drug Levels to Clinical Outcomes of Overall Survival (OS) |
NCT00267696 (2) [back to overview] | Determine the Antitumor Activity of Gemcitabine/Carboplatin/Bevacizumab Regimen as Measured by the Probability of Surviving Progression-free for at Least 6 Months or Responding. |
NCT00267696 (2) [back to overview] | Overall Survival for Patients Treated With the Regimen. |
NCT00268242 (6) [back to overview] | Complete Response Rate |
NCT00268242 (6) [back to overview] | Percentage of Patients Making it to Bone Marrow Transplant. |
NCT00268242 (6) [back to overview] | White Blood Cell Count at Time of Relapse |
NCT00268242 (6) [back to overview] | Disease-free and Overall Survival |
NCT00268242 (6) [back to overview] | Laboratory Correlates: Immunohistochemistry |
NCT00268242 (6) [back to overview] | Duration of the First Complete Response |
NCT00276549 (2) [back to overview] | Objective PSA Response Rate (Number of Patients With a PSA Response) |
NCT00276549 (2) [back to overview] | Number of Patients With Measurable Soft Tissue Disease Will be Assessed Per Solid Tumor Response Criteria (RECIST). |
NCT00276744 (1) [back to overview] | 6-month Overall Survival |
NCT00276861 (2) [back to overview] | Response Rate as Measured by RECIST Criteria |
NCT00276861 (2) [back to overview] | Time to Progression as Measured by the Kaplan Meyer Curve at Completion of Study Treatment |
NCT00281827 (6) [back to overview] | Number of Patients Alive at 56 Months (End of Study) |
NCT00281827 (6) [back to overview] | Number of Patients Disease-free at 1 Year |
NCT00281827 (6) [back to overview] | Number of Patients Disease-free at 2 Years |
NCT00281827 (6) [back to overview] | Number of Patients Alive at 2 Years (Survival) |
NCT00281827 (6) [back to overview] | Number of Patients Alive at 1 Year (Survival) |
NCT00281827 (6) [back to overview] | Number of Patients Reporting Clinical Response |
NCT00282087 (10) [back to overview] | Correlation Between 1988 FIGO Stage and Tumor Response to Treatment (PFS) |
NCT00282087 (10) [back to overview] | Two-year Progression-free Survival Among Women Treated With This Adjuvant Regimen for High Risk Uterine LMS |
NCT00282087 (10) [back to overview] | Correlation Between Mitotic Rate and Tumor Response to Treatment (PFS) |
NCT00282087 (10) [back to overview] | Correlation Between Age and Tumor Response to Treatment (PFS) |
NCT00282087 (10) [back to overview] | Correlation Between Uterine Serosal Involvement and Tumor Response to Treatment (PFS) |
NCT00282087 (10) [back to overview] | Correlation Between Progesterone Receptor (PR) Status and Tumor Response to Treatment (PFS) |
NCT00282087 (10) [back to overview] | Tolerability/Toxicity of This Regimen |
NCT00282087 (10) [back to overview] | Correlation Between Menopausal Status at Diagnosis and Tumor Response to Treatment (PFS) |
NCT00282087 (10) [back to overview] | Correlation Between Estrogen Receptor (ER) Status and Tumor Response to Treatment (PFS) |
NCT00282087 (10) [back to overview] | Correlation Between Estrogen Receptor (ER) or Progesterone Receptor (PR) Positive and Tumor Response to Treatment (PFS) |
NCT00283244 (5) [back to overview] | Quality of Life (QOL)- Functional Assessment of Cancer Therapy for Lung Cancer (FACT-L) Trial Outcome Index-L (TOI-L) |
NCT00283244 (5) [back to overview] | Response Rate |
NCT00283244 (5) [back to overview] | Progression-free Survival |
NCT00283244 (5) [back to overview] | Toxicity |
NCT00283244 (5) [back to overview] | Overall Survival |
NCT00290706 (1) [back to overview] | Response Rate in Patients With Relapsed or Refractory B- and T-cell NHL With Gemcitabine and Bortezomib Combination Treatment. |
NCT00305877 (3) [back to overview] | Proportion of Patients With Specific Protocol Defined Adverse Event at Conclusion of All Therapy |
NCT00305877 (3) [back to overview] | Two-year Disease-free Survival (DFS) |
NCT00305877 (3) [back to overview] | Two-year Overall Survival Rate |
NCT00316199 (5) [back to overview] | Overall Survival Probability |
NCT00316199 (5) [back to overview] | Best Overall Tumor Response |
NCT00316199 (5) [back to overview] | Time to Treatment Failure |
NCT00316199 (5) [back to overview] | Progression-Free Survival |
NCT00316199 (5) [back to overview] | Duration of Response |
NCT00320541 (10) [back to overview] | Total Functional Assessment of Cancer Therapy -Breast (FACT-B): Change From Baseline to End of Therapy |
NCT00320541 (10) [back to overview] | Trial Outcome Index-Breast (TOI-B): Change From Baseline to End of Therapy |
NCT00320541 (10) [back to overview] | Breast Cancer Subscale (BCS): Change From Baseline to End of Therapy |
NCT00320541 (10) [back to overview] | Emotional Well Being (EWB) Subscale: Change From Baseline to End of Therapy |
NCT00320541 (10) [back to overview] | Functional Well Being (FWB) Subscale: Change From Baseline to End of Therapy |
NCT00320541 (10) [back to overview] | Overall Response Rate (ORR) |
NCT00320541 (10) [back to overview] | Overall Survival |
NCT00320541 (10) [back to overview] | Physical Well Being (PWB) Subscale: Change From Baseline to End of Therapy |
NCT00320541 (10) [back to overview] | Progression-free Survival (PFS) |
NCT00320541 (10) [back to overview] | Social/Family Well Being (SFWB) Subscale: Change From Baseline to End of Therapy |
NCT00320749 (3) [back to overview] | Common Toxicities |
NCT00320749 (3) [back to overview] | Therapeutic Response |
NCT00320749 (3) [back to overview] | Maximum Tolerated Dose (MTD) |
NCT00323063 (2) [back to overview] | Response Rate (Complete and Partial Response) |
NCT00323063 (2) [back to overview] | Time to Progression |
NCT00323362 (3) [back to overview] | 1-year Survival |
NCT00323362 (3) [back to overview] | Percentage of Patients Who Meet Critieria for Response |
NCT00323362 (3) [back to overview] | Time to Progression |
NCT00323869 (9) [back to overview] | Time-to-First Event |
NCT00323869 (9) [back to overview] | Progression-free Survival (PFS) |
NCT00323869 (9) [back to overview] | Partial Response (PR) |
NCT00323869 (9) [back to overview] | Overall Survival (OS) at 12 Months |
NCT00323869 (9) [back to overview] | Overall Survival (OS) |
NCT00323869 (9) [back to overview] | Response Rate (CR + PR + SD) |
NCT00323869 (9) [back to overview] | Stable Disease (SD) |
NCT00323869 (9) [back to overview] | Overall Survival (OS) at 24 Months |
NCT00323869 (9) [back to overview] | Complete Response (CR) |
NCT00324805 (2) [back to overview] | Overall Survival |
NCT00324805 (2) [back to overview] | Disease-free Survival |
NCT00325234 (6) [back to overview] | Tumor Response Rate |
NCT00325234 (6) [back to overview] | Duration of Response (DOR) |
NCT00325234 (6) [back to overview] | Time to Progressive Disease (PD) |
NCT00325234 (6) [back to overview] | Time to Response |
NCT00325234 (6) [back to overview] | Time To Treatment Failure (TTTF) |
NCT00325234 (6) [back to overview] | Number of Participants With Adverse Events (AE) |
NCT00326599 (7) [back to overview] | Progression-free Survival Rate at 6 Months After Randomization (Phase II Patients Only) |
NCT00326599 (7) [back to overview] | Time to Treatment Failure (Phase II Patients Only) |
NCT00326599 (7) [back to overview] | Overall Survival (Phase II Patients Only) |
NCT00326599 (7) [back to overview] | Overall Survival at 1 Year After Randomization (Phase II Patients Only) |
NCT00326599 (7) [back to overview] | Dose Limiting Toxicity (DLT) (Lead-in Phase Arm I Patients Only) |
NCT00326599 (7) [back to overview] | Progression-free Survival (Phase II Patients Only) |
NCT00326599 (7) [back to overview] | Confirmed Response Rate (Complete Response and Partial Response) as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST) (Phase II Patients Only) |
NCT00326911 (23) [back to overview] | Change From Baseline in QoL Assessment Using LASA, Legal Concerns, at Cycle 2 Week 4 |
NCT00326911 (23) [back to overview] | Change From Baseline in QoL Assessment Using LASA, Frequency of Pain, at Cycle 2 Week 4 |
NCT00326911 (23) [back to overview] | Change From Baseline in QoL Assessment Using LASA, Financial Concerns, at Cycle 2 Week 4 |
NCT00326911 (23) [back to overview] | Change From Baseline in Assessment of Pain Using the Brief Pain Inventory (BPI) Short Form, Worst Pain, at Cycle 2 Week 4 |
NCT00326911 (23) [back to overview] | Change From Baseline in Assessment of Pain Using BPI Short Form, Pain Right Now, at Cycle 2 Week 4 |
NCT00326911 (23) [back to overview] | Progression-free Survival (PFS) |
NCT00326911 (23) [back to overview] | Change From Baseline in Assessment of Pain Using BPI Short Form, Least Pain, at Cycle 2 Week 4 |
NCT00326911 (23) [back to overview] | Overall Survival (OS) |
NCT00326911 (23) [back to overview] | Change From Baseline in Assessment of Pain Using BPI Short Form, Interference, at Cycle 2 Week 4 |
NCT00326911 (23) [back to overview] | Change From Baseline in Assessment of Pain Using BPI Short Form, Average Pain, at Cycle 2 Week 4 |
NCT00326911 (23) [back to overview] | Change From Baseline in QoL Assessment Using LASA, Overall Physical Well Being, at Cycle 2 Week 4 |
NCT00326911 (23) [back to overview] | Change From Baseline in Quality of Life (QoL) Assessment Using the Linear Analog Scale Assessment (LASA), Overall QoL at Cycle 2 Week 4 |
NCT00326911 (23) [back to overview] | Change From Baseline in QoL Assessment Using LASA, Severity of Pain, Average, at Cycle 2 Week 4 |
NCT00326911 (23) [back to overview] | Change From Baseline in QoL Assessment Using LASA, Overall Spiritual Well Being, at Cycle 2 Week 4 |
NCT00326911 (23) [back to overview] | Percentage of Patients With Carbohydrate Antigen 19-9 (CA19-9) Response at End of Cycle 2 in Patients With Elevated Baseline Values (Equal or Greater Than 2 x Upper Limit of Normal). |
NCT00326911 (23) [back to overview] | Change From Baseline in QoL Assessment Using LASA, Level of Social Activity, at Cycle 2 Week 4 |
NCT00326911 (23) [back to overview] | Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) |
NCT00326911 (23) [back to overview] | The Number of Patients With a Best Overall Response of Either a Complete Response (CR) or Partial Response (PR) |
NCT00326911 (23) [back to overview] | Time to Progression (TTP) |
NCT00326911 (23) [back to overview] | Change From Baseline in QoL Assessment Using LASA, Overall Mental Well Being, at Cycle 2 Week 4 |
NCT00326911 (23) [back to overview] | Change From Baseline in QoL Assessment Using LASA, Overall Emotional Well Being, at Cycle 2 Week 4 |
NCT00326911 (23) [back to overview] | Change From Baseline in QoL Assessment Using LASA, Level of Support, Friends and Family, at Cycle 2 Week 4 |
NCT00326911 (23) [back to overview] | Change From Baseline in QoL Assessment Using LASA, Level of Fatigue, Average, at Cycle 2 Week 4 |
NCT00334802 (7) [back to overview] | Pharmacokinetics - Maximum Plasma Concentration (Cmax) |
NCT00334802 (7) [back to overview] | Duration of Response |
NCT00334802 (7) [back to overview] | Number of Participants Alive at One Year (1-Year Survival) |
NCT00334802 (7) [back to overview] | Pharmacokinetics - Area Under the Concentration Curve (AUC) |
NCT00334802 (7) [back to overview] | Pharmacokinetics - Half Life (t½) |
NCT00334802 (7) [back to overview] | Time to Progressive Disease |
NCT00334802 (7) [back to overview] | Tumor Response |
NCT00336700 (6) [back to overview] | Recurrence Free Survival (RFS) |
NCT00336700 (6) [back to overview] | KRAS Mutational Status |
NCT00336700 (6) [back to overview] | 2-year Recurrence Free Survival (RFS) |
NCT00336700 (6) [back to overview] | Percentage of Participants With Expression of Epidermal Growth Factor Receptor (EGFR) |
NCT00336700 (6) [back to overview] | Estimated 1&2 Year Overall Survival (OS) |
NCT00336700 (6) [back to overview] | 1-year Recurrence Free Survival (RFS) |
NCT00337194 (6) [back to overview] | sCD30 Levels |
NCT00337194 (6) [back to overview] | Event Free Survival (EFS) |
NCT00337194 (6) [back to overview] | Number of Participants With Overall Response (OR) |
NCT00337194 (6) [back to overview] | Overall Survival (OS) At 1 Year |
NCT00337194 (6) [back to overview] | Peak Serum Level of Monoclonal Antibody SGN-30 |
NCT00337194 (6) [back to overview] | Fc Gamma Receptor Polymorphisms |
NCT00338039 (2) [back to overview] | Overall Survival Rate |
NCT00338039 (2) [back to overview] | Median Overall Survival |
NCT00350142 (2) [back to overview] | Rate of Local Control |
NCT00350142 (2) [back to overview] | Median Overall Survival Time |
NCT00356525 (2) [back to overview] | Overall Survival |
NCT00356525 (2) [back to overview] | Objective Tumor Response |
NCT00361231 (2) [back to overview] | Overall Response Rate |
NCT00361231 (2) [back to overview] | Median Progression Free Survival |
NCT00366457 (3) [back to overview] | Time to Tumor Progression |
NCT00366457 (3) [back to overview] | Toxicity Profile |
NCT00366457 (3) [back to overview] | Overall Survival |
NCT00369629 (1) [back to overview] | Maximum Tolerated Dose as Measured by the Number of Dose Limiting Toxicities Seen in Cohort. |
NCT00376948 (7) [back to overview] | Time to Treatment Failure |
NCT00376948 (7) [back to overview] | Time to Progression |
NCT00376948 (7) [back to overview] | Response Duration |
NCT00376948 (7) [back to overview] | Patients Alive |
NCT00376948 (7) [back to overview] | Overall Objective Response Rate (Complete and Partial Response) |
NCT00376948 (7) [back to overview] | Median Overall Survival Estimate |
NCT00376948 (7) [back to overview] | Grade 3 or Higher Toxicity Evaluation |
NCT00378573 (1) [back to overview] | Objective Response Rate (Complete Response [CR] Plus Partial Response [PR]) Using Response Evaluation Criteria in Solid Tumors (RECIST) |
NCT00379639 (3) [back to overview] | Number of Participants With a Dose-limiting Toxicity (DLT) |
NCT00379639 (3) [back to overview] | Best Overall Response |
NCT00379639 (3) [back to overview] | Number of Participants With Adverse Events (AEs) |
NCT00380588 (4) [back to overview] | Tumor Response |
NCT00380588 (4) [back to overview] | Progression Free Survival |
NCT00380588 (4) [back to overview] | Percentage of Patients Alive at 1 Year (1-Year Survival Rate) |
NCT00380588 (4) [back to overview] | Survival Time |
NCT00383331 (3) [back to overview] | Overall Survival |
NCT00383331 (3) [back to overview] | Best Overall Tumor Response |
NCT00383331 (3) [back to overview] | Progression Free Survival |
NCT00385788 (1) [back to overview] | Transplant Related Mortality Rate |
NCT00388154 (2) [back to overview] | Overall Objective Response Rate (CR + PR) |
NCT00388154 (2) [back to overview] | Participant Responses |
NCT00388349 (5) [back to overview] | Dose-limiting Toxicity of Gemcitabine Due to Non-hematologic Toxicity |
NCT00388349 (5) [back to overview] | Relapse Post-transplant |
NCT00388349 (5) [back to overview] | Pulmonary Toxicity (BCNU Pneumonitis) |
NCT00388349 (5) [back to overview] | Overall Survival (OS) |
NCT00388349 (5) [back to overview] | Survival Measures |
NCT00390182 (3) [back to overview] | Percentage of Participants With Distant Mestastases - Liver |
NCT00390182 (3) [back to overview] | Overall Response |
NCT00390182 (3) [back to overview] | Time of Advanced/Recurrent Disease Without Distant Metastases. |
NCT00391586 (1) [back to overview] | Toxicity Profile |
NCT00394147 (3) [back to overview] | Time to Progression |
NCT00394147 (3) [back to overview] | Objective Response Rate |
NCT00394147 (3) [back to overview] | Overall Survival |
NCT00398086 (9) [back to overview] | Maximal Degree of Anemia |
NCT00398086 (9) [back to overview] | Number of Participants With Adverse Events (AE) |
NCT00398086 (9) [back to overview] | Maximal Degree of Myelosuppression |
NCT00398086 (9) [back to overview] | Progression-free Survival |
NCT00398086 (9) [back to overview] | Percentage of Participants With Disease Control |
NCT00398086 (9) [back to overview] | Percentage of Participants Who Achieved an Objective Confirmed Overall Response |
NCT00398086 (9) [back to overview] | Overall Survival |
NCT00398086 (9) [back to overview] | Number of Participants With Dose-limiting Toxicities |
NCT00398086 (9) [back to overview] | Duration of Response |
NCT00400803 (5) [back to overview] | Best Overall Response by Cycle |
NCT00400803 (5) [back to overview] | Overall Survival Time |
NCT00400803 (5) [back to overview] | Time to Best Response |
NCT00400803 (5) [back to overview] | Time to Progression |
NCT00400803 (5) [back to overview] | Duration of Response |
NCT00403130 (4) [back to overview] | Overall Survival (OS), Confirmed |
NCT00403130 (4) [back to overview] | Response Rates |
NCT00403130 (4) [back to overview] | Overall Survival (OS), All Participants |
NCT00403130 (4) [back to overview] | Time-to-Progression (TTP) |
NCT00407550 (4) [back to overview] | Progression-free Survival |
NCT00407550 (4) [back to overview] | Overall Survival |
NCT00407550 (4) [back to overview] | Number of Patients With Confirmed Responses |
NCT00407550 (4) [back to overview] | Adverse Event |
NCT00408408 (9) [back to overview] | Disease-free Survival (DFS) |
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) 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] | 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] | Surgical Complication |
NCT00408408 (9) [back to overview] | Toxicities Including Events Other Than Congestive Heart Failure, of Chemotherapy Alone, Bevacizumab With Chemotherapy, and Bevacizumab Alone |
NCT00408564 (4) [back to overview] | Overall Survival |
NCT00408564 (4) [back to overview] | Progression-free Survival at 6 Months |
NCT00408564 (4) [back to overview] | Response Rate |
NCT00408564 (4) [back to overview] | Number of Participants With Grade 3-4 Adverse Events Reported |
NCT00413283 (6) [back to overview] | Number of Participants With Platelet Transfusions |
NCT00413283 (6) [back to overview] | Number of Participants With Adverse Events |
NCT00413283 (6) [back to overview] | Number of Participants Experiencing Grade 3 or 4 Thrombocytopenia During the First Treatment Cycle. |
NCT00413283 (6) [back to overview] | Gemcitabine Dose Reduction on Day 8 of the First Chemotherapy Cycle |
NCT00413283 (6) [back to overview] | Platelet Count on Day 22 |
NCT00413283 (6) [back to overview] | Duration of Grade 3 or 4 Thrombocytopenia |
NCT00417976 (2) [back to overview] | Rate of Progression Free Survival at 6 Months (24 Weeks) From Initiation of Therapy |
NCT00417976 (2) [back to overview] | Response Rates Defined by RECIST 1.0 |
NCT00418093 (4) [back to overview] | Determine the Nature and Degree of Toxicities Following Treatment With Oxaliplatin, Gemcitabine, and Bevacizumab in This Patient Population. |
NCT00418093 (4) [back to overview] | Overall Survival |
NCT00418093 (4) [back to overview] | Progression Free Survival |
NCT00418093 (4) [back to overview] | Partial Response Rate |
NCT00423449 (4) [back to overview] | Number of Participants With Dose-limiting Toxicities (DLT) Due to Vorinostat Administered in Combination With Standard Dose of Gemcitabine Plus Either Cisplatin or Carboplatin |
NCT00423449 (4) [back to overview] | Number of Participants With Clinical Adverse Experiences (Safety and Tolerability) |
NCT00423449 (4) [back to overview] | Maximum Tolerated Dose of Vorinostat Administered in Combination With Standard Doses of Gemcitabine Plus Either Cisplatin or Carboplatin in Patients With Advanced Stage Non-Small Cell Lung Cancer Who Have Not Received Chemotherapy for Advanced Disease |
NCT00423449 (4) [back to overview] | Number of Participants With Laboratory Adverse Experiences (Safety and Tolerability) |
NCT00424827 (5) [back to overview] | Toxicity Associated With This Regimen. |
NCT00424827 (5) [back to overview] | Biomarker Response to Chemoradiation Therapy |
NCT00424827 (5) [back to overview] | Overall Survival |
NCT00424827 (5) [back to overview] | Progression-free Survival of Patients With Locally Advanced Pancreatic Cancer Treated With Concurrent Gemcitabine, 5-FU, Cetuximab and External Beam Radiation Therapy. |
NCT00424827 (5) [back to overview] | Resection Rate |
NCT00434642 (6) [back to overview] | Overall Survival |
NCT00434642 (6) [back to overview] | Duration of Objective Response (OR) as Determined by the Investigator, Per Response Evaluation Criteria for Solid Tumors (RECIST) |
NCT00434642 (6) [back to overview] | Percentage of Patients Who Had a Gastrointestinal Perforation (GIP) |
NCT00434642 (6) [back to overview] | Percentage of Patients Who Had at Least 1 Adverse Event |
NCT00434642 (6) [back to overview] | Percentage of Patients With an Objective Response as Determined by the Investigator, Per Response Evaluation Criteria for Solid Tumors (RECIST) |
NCT00434642 (6) [back to overview] | Progression Free Survival (PFS) as Determined by the Investigator, Per Response Evaluation Criteria for Solid Tumors (RECIST) |
NCT00436280 (11) [back to overview] | Pharmacokinetics (PK): Maximum Observed Drug Concentration During a Dosing Interval at Steady State(Cmax,ss) for Total Analyte [Characterization of Pharmacokinetics of Enzastaurin and Its Metabolites] |
NCT00436280 (11) [back to overview] | Percent of Participants With Progression Free Survival (PFS) After 1 Year Treatment |
NCT00436280 (11) [back to overview] | Duration of Tumor Response (DOR) |
NCT00436280 (11) [back to overview] | Progression-Free Survival (PFS ) of Participants With Diffuse Large B-cell Lymphoma (DLBCL) Germinal-Center B-cells (GCB) Versus Non-GCB Molecular Subtypes (Assessment of Biomarkers Relevant for Enzastaurin) |
NCT00436280 (11) [back to overview] | PFS of Participants With Diffuse Large B-cell Lymphoma (DLBCL) Protein Kinase C Beta 2 (PKCB2) Expression (Assessment of Biomarkers Relevant for Enzastaurin) |
NCT00436280 (11) [back to overview] | Percent of Participants With Progression-Free Survival (PFS) After 2 Years and 4 Years of Treatment |
NCT00436280 (11) [back to overview] | Percent of Participants With Overall Survival (OS) After 1 Year, 2 Years and 4 Years |
NCT00436280 (11) [back to overview] | Percent of Participants With Event Free Survival (EFS) After 1 Year, 2 Years and 4 Years |
NCT00436280 (11) [back to overview] | Percent of Participants With Disease-Free Survival (DFS) at 1 Year, 2 Years and 4 Years |
NCT00436280 (11) [back to overview] | Overall Response Rate (ORR) - Percentage of Participants Achieving Complete Response (CR) or Complete Response Unconfirmed (CRu) or Partial Response (PR) (Response) |
NCT00436280 (11) [back to overview] | PK: Area Under the Concentration vs. Time Curve During 1 Dosing Interval at Steady State (AUCτ,ss) for Total Analyte |
NCT00437203 (2) [back to overview] | Number of Participants With Objective Response (OR) |
NCT00437203 (2) [back to overview] | Maximum Tolerated Dose (MTD) of PF-00477736 When Administered in Combination With Gemcitabine |
NCT00438204 (5) [back to overview] | Overall Survival |
NCT00438204 (5) [back to overview] | Number of Participants With Response |
NCT00438204 (5) [back to overview] | Number of Participants With Grade 3 or Grade 4 Toxicity |
NCT00438204 (5) [back to overview] | Time to Treatment Failure |
NCT00438204 (5) [back to overview] | Progression-free Survival (PFS) |
NCT00445601 (3) [back to overview] | Disease Recurrence Rate |
NCT00445601 (3) [back to overview] | Compare Qualitative and Quantitative Toxicities Between the Treatment Arms |
NCT00445601 (3) [back to overview] | Rate of Progression to Muscle Invasive Disease at 4 Years |
NCT00447122 (1) [back to overview] | Overall Survival for Patients With Metastatic Pancreatic Cancer. |
NCT00449033 (15) [back to overview] | Time to Response (TTR) in the ITT (Non-squamous) Population |
NCT00449033 (15) [back to overview] | Functional Assessment of Cancer Treatment-Lung (FACT-L) Scores in the ITT (Non-squamous) Population |
NCT00449033 (15) [back to overview] | Lung Cancer Subscale (LCS) Scores in the ITT (Non-squamous) Population |
NCT00449033 (15) [back to overview] | Disease Control (DC) in the ITT (Non-squamous) Population |
NCT00449033 (15) [back to overview] | Duration of Response in the ITT (Non-squamous) Population |
NCT00449033 (15) [back to overview] | Duration of Stable Disease (SD) in the ITT (Non-squamous) Population |
NCT00449033 (15) [back to overview] | OS in the ITT (Both Squamous and Non-squamous) Population |
NCT00449033 (15) [back to overview] | OS in the ITT (Squamous) Population |
NCT00449033 (15) [back to overview] | Overall Survival (OS) in the ITT (Non-squamous) Population |
NCT00449033 (15) [back to overview] | Progression-free Survival (PFS) in the ITT (Non-squamous) Population |
NCT00449033 (15) [back to overview] | Time to Progression (TTP) in the ITT (Non-squamous) Population |
NCT00449033 (15) [back to overview] | Time to Symptomatic Deterioration (TSD) in the ITT (Non-squamous) Population |
NCT00449033 (15) [back to overview] | EQ-5D Visual Analog Scale (VAS) Scores in the ITT (Non-squamous) Population |
NCT00449033 (15) [back to overview] | Euro Quality of Life - 5D (EQ-5D) Index Scores in the ITT (Non-squamous) Population |
NCT00449033 (15) [back to overview] | Percentage of Participants With Different Tumor Response in the ITT (Non-squamous) Population |
NCT00454649 (34) [back to overview] | Plasma Clearance (CL) for Cisplatin |
NCT00454649 (34) [back to overview] | Plasma Clearance (CL) for Carboplatin |
NCT00454649 (34) [back to overview] | Percentage of Participants With Objective Response |
NCT00454649 (34) [back to overview] | Maximum Tolerated Dose (MTD) of Axitinib (AG-013736) in Combination With Chemotherapy |
NCT00454649 (34) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Pemetrexed |
NCT00454649 (34) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Paclitaxel |
NCT00454649 (34) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Gemcitabine |
NCT00454649 (34) [back to overview] | Plasma Clearance (CL) for Paclitaxel |
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] | 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 Gemcitabine |
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 Carboplatin |
NCT00454649 (34) [back to overview] | Apparent Oral Clearance (CL/F) for Capecitabine |
NCT00454649 (34) [back to overview] | Apparent Oral Clearance (CL/F) for Axitinib (AG-013736) |
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] | Plasma Clearance (CL) for Gemcitabine |
NCT00454649 (34) [back to overview] | Plasma Clearance (CL) for Docetaxel |
NCT00454649 (34) [back to overview] | Plasma Clearance (CL) for Pemetrexed |
NCT00454649 (34) [back to overview] | Plasma Decay Half Life (t1/2) for Pemetrexed |
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 Gemcitabine |
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 Cisplatin |
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 Capecitabine |
NCT00454649 (34) [back to overview] | Plasma Decay Half Life (t1/2) for Axitinib (AG-013736) |
NCT00456261 (3) [back to overview] | Overall Survival (OS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death |
NCT00456261 (3) [back to overview] | Time to Progression (TTP), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease |
NCT00456261 (3) [back to overview] | Overall Response Rate (ORR), the Percentage of Patients Who Experience an Objective Benefit From Treatment |
NCT00456599 (3) [back to overview] | Overall Survival |
NCT00456599 (3) [back to overview] | Two-year Disease Free Survival. |
NCT00456599 (3) [back to overview] | Time to Treatment Failure |
NCT00461708 (10) [back to overview] | Percentage of Participants With Disease Control According to RECIST |
NCT00461708 (10) [back to overview] | PFS |
NCT00461708 (10) [back to overview] | OS At 6 Months |
NCT00461708 (10) [back to overview] | Number of Participants Who Died at 6 Months |
NCT00461708 (10) [back to overview] | Number of Participants Who Died During the Study |
NCT00461708 (10) [back to overview] | Number of Participants Who Died During the Study By Rash Grade |
NCT00461708 (10) [back to overview] | Number of Participants With Disease Progression or Death |
NCT00461708 (10) [back to overview] | OS By Rash Grade |
NCT00461708 (10) [back to overview] | Overall Survival (OS) During the Study |
NCT00461708 (10) [back to overview] | Percentage of Participants With Best Overall Response (BOR) of Complete Response (CR) or Partial Response (PR) According to RECIST |
NCT00461851 (2) [back to overview] | Dose Ruction (Toxicity) |
NCT00461851 (2) [back to overview] | Progression Free Survival (PFS) |
NCT00462865 (2) [back to overview] | Number of Participants With Recurrent Disease |
NCT00462865 (2) [back to overview] | Toxicity Related to Treatment |
NCT00471146 (9) [back to overview] | Progression Free Survival (PFS) |
NCT00471146 (9) [back to overview] | Percentage of Participants With Objective Response (OR) |
NCT00471146 (9) [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 |
NCT00471146 (9) [back to overview] | Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Pancreatic 26 (EORTC QLQ- PAN26) Score |
NCT00471146 (9) [back to overview] | Change From Baseline in Euro QoL Questionnaire- 5 Dimension (EQ-5D) VAS Score |
NCT00471146 (9) [back to overview] | Overall Survival (OS) |
NCT00471146 (9) [back to overview] | Duration of Response (DR) |
NCT00471146 (9) [back to overview] | Change From Baseline in Euro QoL Questionnaire- 5 Dimension (EQ-5D) Health State Profile |
NCT00471146 (9) [back to overview] | Change From Baseline Brief Pain Inventory-short Form (BPI-sf) Score |
NCT00476086 (2) [back to overview] | Chemotherapy Completion Rate |
NCT00476086 (2) [back to overview] | Radiation Therapy Completion Rate |
NCT00478361 (3) [back to overview] | Safety and Efficacy of Same-day Pegfilgrastim |
NCT00478361 (3) [back to overview] | Overall Survival (OS) of Participants With a Continuous Complete Response, Partial Response and Stable Disease |
NCT00478361 (3) [back to overview] | Objective Response Rate |
NCT00481871 (3) [back to overview] | Duration of Response |
NCT00481871 (3) [back to overview] | Objective Responses Assessed by International Workshop Criteria (IWC) |
NCT00481871 (3) [back to overview] | Progression-free Survival (PFS) Time |
NCT00491075 (1) [back to overview] | Overall Response |
NCT00493636 (5) [back to overview] | Duration of Overall Response |
NCT00493636 (5) [back to overview] | Overall Survival |
NCT00493636 (5) [back to overview] | Time to Progression |
NCT00493636 (5) [back to overview] | Progression Free Survival |
NCT00493636 (5) [back to overview] | Overall Response Rate |
NCT00496587 (3) [back to overview] | Objective Response Rate (ORR) |
NCT00496587 (3) [back to overview] | Progression Free Survival (PFS) |
NCT00496587 (3) [back to overview] | Time to Treatment Failure (TTF) |
NCT00499109 (3) [back to overview] | Response Rate (RR) |
NCT00499109 (3) [back to overview] | Progression Free Survival (PFS) |
NCT00499109 (3) [back to overview] | Overall Survival (OS) |
NCT00503906 (4) [back to overview] | Median Progression-Free Survival |
NCT00503906 (4) [back to overview] | Rates of Partial Response (PR), Complete Response (CR) and Overall Response (ORR) in Study Participants |
NCT00503906 (4) [back to overview] | Rate of Toxicity in Study Participants |
NCT00503906 (4) [back to overview] | Rate of Overall Survival in Study Participants |
NCT00509366 (3) [back to overview] | Mean Change From Baseline to Follow-up Cycle in Quality of Life - Functional Assessment of Cancer Therapy-Lung (FACT-L) |
NCT00509366 (3) [back to overview] | Median Time to Progressive Disease |
NCT00509366 (3) [back to overview] | 1-year Progression Free Survival Rate in Chemo-naive Select Stage IIIB or Stage IV NSCLC Patients |
NCT00509665 (4) [back to overview] | Number of Patients Who Had Greater Than Grade 2 Toxicity |
NCT00509665 (4) [back to overview] | Overall Survival |
NCT00509665 (4) [back to overview] | Response Rate |
NCT00509665 (4) [back to overview] | Progression-free Survival |
NCT00517595 (6) [back to overview] | Time to Progression (TTP) |
NCT00517595 (6) [back to overview] | Progression Free Survival (PFS) |
NCT00517595 (6) [back to overview] | Overall Survival (OS) |
NCT00517595 (6) [back to overview] | Progression Free Survival (PFS) by Baseline Eastern Cooperative Oncology Group (ECOG) Performance Status |
NCT00517595 (6) [back to overview] | Overall Survival (OS) by Baseline Eastern Cooperative Oncology Group (ECOG) Performance Status |
NCT00517595 (6) [back to overview] | Overall Response |
NCT00518011 (8) [back to overview] | Disease Control Rate |
NCT00518011 (8) [back to overview] | Mean Change in Pulse Rate From Baseline |
NCT00518011 (8) [back to overview] | Duration of Response |
NCT00518011 (8) [back to overview] | Mean Change in Body Temperature From Baseline |
NCT00518011 (8) [back to overview] | Progression Free Survival |
NCT00518011 (8) [back to overview] | Mean Change in Blood Pressure From Baseline |
NCT00518011 (8) [back to overview] | Objective Response Rate |
NCT00518011 (8) [back to overview] | Overall Survival |
NCT00521404 (6) [back to overview] | Best Overall Tumor Response Following Treatment With CS-1008 in Combination With Gemcitabine in Chemotherapy-Naïve Participants With Unresectable or Metastatic Pancreatic Cancer |
NCT00521404 (6) [back to overview] | Progression-Free Survival Rate at 16 Weeks Following Treatment With CS-1008 in Combination With Gemcitabine in Chemotherapy-Naïve Participants With Unresectable or Metastatic Pancreatic Cancer |
NCT00521404 (6) [back to overview] | Kaplan-Meier (Non-Parametric) Analysis of Progression-Free Survival Following Treatment With CS-1008 in Combination With Gemcitabine in Chemotherapy-Naïve Participants With Unresectable or Metastatic Pancreatic Cancer |
NCT00521404 (6) [back to overview] | Number of Participants With Treatment-Emergent Adverse Events Considered by the Investigator at Least Possibly Related to CS-1008 Experienced by ≥5% of Participants by System Organ Class and Preferred Term |
NCT00521404 (6) [back to overview] | Number of Participants With Treatment-Emergent Adverse Events Considered by the Investigator at Least Possibly Related to Gemcitabine Experienced by ≥5% of Participants by System Organ Class and Preferred Term |
NCT00521404 (6) [back to overview] | Overall Survival Following Treatment With CS-1008 in Combination With Gemcitabine in Chemotherapy-Naïve Participants With Unresectable or Metastatic Pancreatic Cancer |
NCT00523640 (3) [back to overview] | Objective Response Rate |
NCT00523640 (3) [back to overview] | Overall Survival |
NCT00523640 (3) [back to overview] | Progression-free Survival |
NCT00530634 (1) [back to overview] | Two-year Progression-free Survival From the Date of Surgery |
NCT00536874 (7) [back to overview] | Specific Tumor Marker Response (CEA) to Neoadjuvant Therapy |
NCT00536874 (7) [back to overview] | Specific Tumor Marker Response (Ca 19-9) to Neoadjuvant Therapy |
NCT00536874 (7) [back to overview] | RECIST Radiologic Response to Neoadjuvant Therapy |
NCT00536874 (7) [back to overview] | Specific Tumor Marker Response (CEA) to Neoadjuvant Therapy |
NCT00536874 (7) [back to overview] | Specific Tumor Marker Response (Ca 19-9) to Neoadjuvant Therapy |
NCT00536874 (7) [back to overview] | Overall Survival at 18 Months |
NCT00536874 (7) [back to overview] | Overall Survival (Follow-Up Time) |
NCT00540579 (2) [back to overview] | Determination of Maximum Tolerated Dose (MTD), The Dose of Study Drug(s) Which Causes <33% of Patients Treated to Experience Unacceptable Side Effects |
NCT00540579 (2) [back to overview] | The Safety and Tolerability of Protocol Treatment, Defined as the Percentage of Patients Experiencing Severe or Life-threatening Side Effects Per CTCAE Version 3.0 |
NCT00544414 (2) [back to overview] | Overall Response |
NCT00544414 (2) [back to overview] | Progression-free Survival |
NCT00550836 (5) [back to overview] | Time to Treatment Failure |
NCT00550836 (5) [back to overview] | Confirmed Response Rate |
NCT00550836 (5) [back to overview] | Frequency and Severity of Observed Adverse Effects |
NCT00550836 (5) [back to overview] | Overall Survival |
NCT00550836 (5) [back to overview] | Progression-free Survival |
NCT00556049 (1) [back to overview] | To Determine the Overall Response Rate of Combination Therapy With Gemcitabine and Sunitinib in Sarcomatoid and/or Poor-risk mRCC Patients as First Line Therapy. |
NCT00557492 (7) [back to overview] | Radiographic Tumor Response |
NCT00557492 (7) [back to overview] | Rate of Surgical Resection |
NCT00557492 (7) [back to overview] | Rate of Pathologic Complete Response (pCR) |
NCT00557492 (7) [back to overview] | Rate of Margin Negative Surgical Resection (R0 Resection Rate) |
NCT00557492 (7) [back to overview] | Progression-free Survival (PFS) |
NCT00557492 (7) [back to overview] | Ca 19-9 Level (in Serum) - Biomarker Response |
NCT00557492 (7) [back to overview] | Overall Survival (OS) |
NCT00560573 (16) [back to overview] | Maximum Tolerated Dose (MTD) |
NCT00560573 (16) [back to overview] | Serum Total Circulating Insulin-like Growth Factor (IGF-1) Levels |
NCT00560573 (16) [back to overview] | Percentage of Participants With Blood Anti-drug Antibody (ADA) Specific for Figitumumab |
NCT00560573 (16) [back to overview] | Recommended Phase 2 Dose (RP2D) |
NCT00560573 (16) [back to overview] | Progression-Free Survival (PFS) |
NCT00560573 (16) [back to overview] | Percentage of Participants With Objective Response or Prolonged Stabilization |
NCT00560573 (16) [back to overview] | Number of Participants With Dose-limiting Toxicities (DLT) |
NCT00560573 (16) [back to overview] | Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Figitumumab |
NCT00560573 (16) [back to overview] | Minimum Observed Plasma Trough Concentration (Cmin) for Figitumumab |
NCT00560573 (16) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Gemcitabine |
NCT00560573 (16) [back to overview] | Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Gemcitabine |
NCT00560573 (16) [back to overview] | Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Pemetrexed |
NCT00560573 (16) [back to overview] | Concentration at the End of Infusion (Cinf) for Figitumumab |
NCT00560573 (16) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Cisplatin |
NCT00560573 (16) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Pemetrexed |
NCT00560573 (16) [back to overview] | Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Cisplatin |
NCT00564733 (1) [back to overview] | Overall Response Rate (Patients That Achieve a CR or PR) |
NCT00565851 (9) [back to overview] | To Determine if Surgical Secondary Cytoreduction in Addition to Adjuvant Chemotherapy Increases the Duration of Overall Survival in Patients With Recurrent Platinum Sensitive Epithelial Ovarian Cancer, Peritoneal Primary or Fallopian Tube Cancer |
NCT00565851 (9) [back to overview] | To Determine if the Addition of Bevacizumab Increases the Duration of Overall Survival Relative to Second-line Paclitaxel and Carboplatin Alone in Patients With Recurrent Platinum Sensitive Epithelial Ovarian, Peritoneal Primary or Fallopian Tube Cancer |
NCT00565851 (9) [back to overview] | Patient Reported Quality of Life (Chemotherapy Analysis) |
NCT00565851 (9) [back to overview] | Summary of Adverse Events (CTCAE Version 4.0) |
NCT00565851 (9) [back to overview] | Patient Reported Physical Functioning (Surgery Analysis) |
NCT00565851 (9) [back to overview] | Patient Reported Physical Function (Chemotherapy Analysis) |
NCT00565851 (9) [back to overview] | Patient Reported Quality of Life (Surgery Analysis) |
NCT00565851 (9) [back to overview] | Progression Free Survival (Surgery Analysis) |
NCT00565851 (9) [back to overview] | Progression-free Survival (Chemotherapy Analysis) |
NCT00570713 (3) [back to overview] | Best Overall Response Rate |
NCT00570713 (3) [back to overview] | Progression-free Survival |
NCT00570713 (3) [back to overview] | Overall Survival (OS) |
NCT00574275 (4) [back to overview] | Progression Free Survival (PFS) Based on Response Evaluation Criteria in Solid Tumors [RECIST] Criteria |
NCT00574275 (4) [back to overview] | Number of Participants With Anti-drug Antibodies |
NCT00574275 (4) [back to overview] | Overall Survival (OS) |
NCT00574275 (4) [back to overview] | Safety-Number of Participants With Adverse Events (AE) |
NCT00574496 (3) [back to overview] | Disease Relapse or Progression as Measured by CT Scan or PET |
NCT00574496 (3) [back to overview] | Overall Survival |
NCT00574496 (3) [back to overview] | Progression-free Survival at 1 Year |
NCT00577889 (4) [back to overview] | Overall Survival Time |
NCT00577889 (4) [back to overview] | Six Month Survival Rate |
NCT00577889 (4) [back to overview] | Time to Disease Progression |
NCT00577889 (4) [back to overview] | Confirmed Response Rate |
NCT00583622 (1) [back to overview] | Participant Response |
NCT00585689 (1) [back to overview] | Percentage of Patients With Complete Pathologic Response After 3 Cycles of Treatment |
NCT00588666 (2) [back to overview] | Evaluate the Time to Disease Progression |
NCT00588666 (2) [back to overview] | The Response Rate of Combination Therapy With Bevacizumab, Gemcitabine, and Carboplatin in Patients With Advanced/Metastatic TCC. |
NCT00589667 (2) [back to overview] | Overall Objective Response |
NCT00589667 (2) [back to overview] | Median Overall Survival |
NCT00593866 (2) [back to overview] | The Maximum Tolerated Radiation Dose |
NCT00593866 (2) [back to overview] | The Percentage of Participants Free From Local Progression at 2 Years |
NCT00599755 (6) [back to overview] | Change in FGD-PET Uptake From Baseline to Week 6 |
NCT00599755 (6) [back to overview] | Repeatability of FDG SUVmean at Baseline |
NCT00599755 (6) [back to overview] | Metabolic Response Conversion Rate Between 3 and 6 Weeks After Starting Chemotherapy At a Threshold of a 30% Decrease in SUVmean |
NCT00599755 (6) [back to overview] | Metabolic Response Conversion Rate Between 3 and 6 Weeks After Starting Chemotherapy at a Threshold of a 20% Decrease in SUVmean |
NCT00599755 (6) [back to overview] | Change in FDG-PET Uptake From Week 3 to Week 6 |
NCT00599755 (6) [back to overview] | Change in FDG-PET Uptake From Baseline to Week 3 |
NCT00601627 (5) [back to overview] | One Year Survival Rate |
NCT00601627 (5) [back to overview] | Overall Survival |
NCT00601627 (5) [back to overview] | Progression Free Survival (PFS) |
NCT00601627 (5) [back to overview] | Time to Treatment Failure |
NCT00601627 (5) [back to overview] | Confirmed Response Rate |
NCT00603915 (2) [back to overview] | Number of Participants With the Responses Outlined |
NCT00603915 (2) [back to overview] | Progression Free Survival. |
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 |
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 |
NCT00610740 (3) [back to overview] | Number of Patients With Measurable Concentration of Gemcitabine Metabolites in Uterine Vein (dFdU) |
NCT00610740 (3) [back to overview] | Number of Patients With Measurable Concentration of Gemcitabine in Uterine Vein (dFdC) |
NCT00610740 (3) [back to overview] | Number of Patients With Measurable Peripheral Vein Concentration of dFdC |
NCT00617708 (5) [back to overview] | Progression-Free Survival |
NCT00617708 (5) [back to overview] | Maximum Tolerated Dose Determination |
NCT00617708 (5) [back to overview] | Overall Survival |
NCT00617708 (5) [back to overview] | Toxicity |
NCT00617708 (5) [back to overview] | Response |
NCT00618826 (2) [back to overview] | Overall Response Rate |
NCT00618826 (2) [back to overview] | Progression-free Survival |
NCT00623233 (4) [back to overview] | Number of Participants With Adverse Events (AEs); Pharmacology Toxicities |
NCT00623233 (4) [back to overview] | Progression Free Survival (PFS) Time |
NCT00623233 (4) [back to overview] | Overall Tumor Response Rate (ORR) |
NCT00623233 (4) [back to overview] | 1-Year Overall Survival (OS) Rate |
NCT00625586 (6) [back to overview] | Number of Patients Alive at 8 Months |
NCT00625586 (6) [back to overview] | Partial Response and Complete Response Rates |
NCT00625586 (6) [back to overview] | Participants With Adverse Events |
NCT00625586 (6) [back to overview] | Cmax |
NCT00625586 (6) [back to overview] | Median Overall Survival |
NCT00625586 (6) [back to overview] | Median Progression-free Survival |
NCT00630409 (2) [back to overview] | Time to Progression |
NCT00630409 (2) [back to overview] | Response Rate |
NCT00632827 (4) [back to overview] | Complete Response Rate |
NCT00632827 (4) [back to overview] | Median Time to Response |
NCT00632827 (4) [back to overview] | Progression Free Survival |
NCT00632827 (4) [back to overview] | Overall Survival Rate |
NCT00637247 (4) [back to overview] | Objective Response Rates of the Two Treatment Arms |
NCT00637247 (4) [back to overview] | Overall Survival for the Intent to Treat Population |
NCT00637247 (4) [back to overview] | Progression Free Survival |
NCT00637247 (4) [back to overview] | To Evaluate and Compare the Tolerability and Toxicity of the Two Treatment Arms by Comparing Adverse Events |
NCT00645593 (4) [back to overview] | The Number of Grade 3 to 5 Adverse Events Experienced by Arm 1 and Arm 2 |
NCT00645593 (4) [back to overview] | Median Progression-free Survival Time in Months |
NCT00645593 (4) [back to overview] | Percentage of Participants That Respond to Treatment in Arm 1 and Arm 2 |
NCT00645593 (4) [back to overview] | Median Overall Survival in Months |
NCT00645710 (4) [back to overview] | Overall Survival |
NCT00645710 (4) [back to overview] | Number of Participants With at Least One Dose Limiting Toxicity |
NCT00645710 (4) [back to overview] | Progression-free Survival |
NCT00645710 (4) [back to overview] | Recommended Phase II Dose |
NCT00648648 (7) [back to overview] | Percentage of Total pCDC2 in Skin Cells at Baseline and 24 Hours After MK-1775 Dosing |
NCT00648648 (7) [back to overview] | Mean Urine Excretion of MK-1775 24 Hours After the Day 1 Monotherapy Dose |
NCT00648648 (7) [back to overview] | Number of Participants Experiencing Dose-Limiting Toxicities (DLTs) |
NCT00648648 (7) [back to overview] | Plasma Concentration of MK-1775 at 8 Hours After Administration (C8hr) of Single or Multiple Oral Doses |
NCT00648648 (7) [back to overview] | Best Overall Response as Per Response Evaluation Criteria in Solid Tumors (RECIST) Criteria |
NCT00648648 (7) [back to overview] | Percentage of Total Cyclin-dependent Kinase (CDC2)-Positive Cells That Were Phosphorylated (pCDC2) in Skin Cells at Baseline and 8 Hours After MK-1775 Dosing |
NCT00648648 (7) [back to overview] | Percentage of Total pCDC2 in Skin Cells at Baseline and 48 Hours After MK-1775 Dosing |
NCT00652366 (11) [back to overview] | Percentage of Participants With a CR, PR, Stable Disease (SD), or PD According to RECIST |
NCT00652366 (11) [back to overview] | Percentage of Participants With Disease Progression or Death as Assessed From the Start of 4-Week Run-In |
NCT00652366 (11) [back to overview] | Percentage of Participants Who Died as Assessed From Start of 4-Week Run-In |
NCT00652366 (11) [back to overview] | Percentage of Participants Who Died Assessed From Point of Randomization |
NCT00652366 (11) [back to overview] | OS Assessed From Start of 4-Week Run-In |
NCT00652366 (11) [back to overview] | Percentage of Participants With a Best Overall Response (BOR) of Confirmed Complete Response (CR) or Partial Response (PR) According to RECIST |
NCT00652366 (11) [back to overview] | Percentage of Participants With Disease Progression or Death as Assessed From Point of Randomization |
NCT00652366 (11) [back to overview] | PFS Assessed From Point of Randomization |
NCT00652366 (11) [back to overview] | Percentage of Participants With SD (Maintained for at Least 8 Weeks) or CR or PR (Maintained for at Least 4 Weeks) According to RECIST |
NCT00652366 (11) [back to overview] | PFS Assessed From the Start of 4-Week Run-In |
NCT00652366 (11) [back to overview] | OS Assessed From Point of Randomization |
NCT00655850 (4) [back to overview] | Number of Participants With Adverse Events |
NCT00655850 (4) [back to overview] | Objective Response Rate |
NCT00655850 (4) [back to overview] | Overall Survival (OS) |
NCT00655850 (4) [back to overview] | Progression-Free Survival (PFS) |
NCT00656084 (4) [back to overview] | Progression-free Survival Rate at 1 Year. |
NCT00656084 (4) [back to overview] | Overall Survival (OS) Rate at 1 Year |
NCT00656084 (4) [back to overview] | Objective Response Rate (CR + PR) |
NCT00656084 (4) [back to overview] | Duration of Response |
NCT00660699 (8) [back to overview] | Toxicities Associated With Treatment (Grade 1-2) |
NCT00660699 (8) [back to overview] | Overall Survival (OS) - Median |
NCT00660699 (8) [back to overview] | Overall Survival (OS) |
NCT00660699 (8) [back to overview] | Overall Survival (OS) |
NCT00660699 (8) [back to overview] | Disease Free Survival (DFS) - Median |
NCT00660699 (8) [back to overview] | Incidence of Disease Recurrence |
NCT00660699 (8) [back to overview] | Incidence of Severe Toxicities |
NCT00660699 (8) [back to overview] | Toxicities Associated With Treatment (Grade 3-4) |
NCT00661830 (4) [back to overview] | Overall Survival |
NCT00661830 (4) [back to overview] | Progression-free Survival (PFS) |
NCT00661830 (4) [back to overview] | Time to Objective Response |
NCT00661830 (4) [back to overview] | Best Overall Response |
NCT00662129 (7) [back to overview] | Time to Treatment Failure |
NCT00662129 (7) [back to overview] | Quality of Life, as Measure by the Mean Change in FACT-B TOI Score at Cycle 8 |
NCT00662129 (7) [back to overview] | PFS Time |
NCT00662129 (7) [back to overview] | Overall Survival Time |
NCT00662129 (7) [back to overview] | Confirmed Response (Complete or Partial Response) Rate |
NCT00662129 (7) [back to overview] | 6-month Progression-free Survival (PFS) Rate |
NCT00662129 (7) [back to overview] | Duration of Response |
NCT00674206 (2) [back to overview] | Overall Survival From Time of Study Entry |
NCT00674206 (2) [back to overview] | Number of Participants With Complete Response, Partial Response, Progressive Disease and Stable Disease. |
NCT00679029 (4) [back to overview] | Overall Survival as Assessed by the Kaplan and Meier Method |
NCT00679029 (4) [back to overview] | Percentage of Participants With Study Drug-associated Adverse Events Leading to Dose Holds or Reductions |
NCT00679029 (4) [back to overview] | Disease-free Survival |
NCT00679029 (4) [back to overview] | Count of Participants With Related Serious Adverse Events (SAEs) by NCI Common Toxicity Criteria v3.0 |
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) |
NCT00696696 (3) [back to overview] | Median Overall Survival (mOS) |
NCT00696696 (3) [back to overview] | Objective Response Rate |
NCT00696696 (3) [back to overview] | 4-month Progression Free Survival (PFS) Rate |
NCT00701558 (3) [back to overview] | Overall Response Rate (ORR) |
NCT00701558 (3) [back to overview] | Overall Survival |
NCT00701558 (3) [back to overview] | Time to Disease Progression |
NCT00705874 (1) [back to overview] | Maximum Tolerated Dose (MTD) |
NCT00709826 (2) [back to overview] | Overall Survival |
NCT00709826 (2) [back to overview] | Progression Free Survival |
NCT00733746 (5) [back to overview] | Overall Survival at 2 Years |
NCT00733746 (5) [back to overview] | Response Rate |
NCT00733746 (5) [back to overview] | Number of Participants Experiencing Grade 3 or Higher Adverse Events as Graded by the NCI's Common Toxicity Criteria for Adverse Events |
NCT00733746 (5) [back to overview] | Relapse/Progression-free Survival |
NCT00733746 (5) [back to overview] | Resection Rate |
NCT00735904 (4) [back to overview] | Overall Survival (OS) |
NCT00735904 (4) [back to overview] | Percentage of Participants With Objective Response (OR) |
NCT00735904 (4) [back to overview] | Progression Free Survival (PFS) |
NCT00735904 (4) [back to overview] | Duration of Response (DR) |
NCT00753675 (5) [back to overview] | Duration of Response (DOR) |
NCT00753675 (5) [back to overview] | Overall Survival |
NCT00753675 (5) [back to overview] | Disease Control Rate (CR+PR+SD) |
NCT00753675 (5) [back to overview] | Progression Free Survival |
NCT00753675 (5) [back to overview] | Objective Tumor Response Rate (CR+PR), |
NCT00753714 (5) [back to overview] | Progression Free Survival |
NCT00753714 (5) [back to overview] | Overall Survival |
NCT00753714 (5) [back to overview] | Overall Objective Response |
NCT00753714 (5) [back to overview] | Duration of Response |
NCT00753714 (5) [back to overview] | The Safety and Tolerability Profile of ZD6474 (Vandetanib) in Combination With Gemcitabine |
NCT00761345 (1) [back to overview] | To Determine the Dose Limiting Toxicities |
NCT00769483 (5) [back to overview] | Progression Free Survival |
NCT00769483 (5) [back to overview] | Treatment Toxicity |
NCT00769483 (5) [back to overview] | MK-0646 Maximum Tolerable Dose |
NCT00769483 (5) [back to overview] | Overall Response Rate |
NCT00769483 (5) [back to overview] | Overall Survival |
NCT00777491 (6) [back to overview] | Percentage of Patients With Grade 3 or Higher Genitourinary, Gastrointestinal, or Hematologic Adverse Events |
NCT00777491 (6) [back to overview] | Percentage of Patients Who Completed Treatment Per Protocol |
NCT00777491 (6) [back to overview] | Change in American Urological Association Symptom Index (AUASI) Score at 3 Years |
NCT00777491 (6) [back to overview] | Number of Participants With Progression or Removal of Bladder Five Years After Therapy |
NCT00777491 (6) [back to overview] | Number of Patients Experiencing Complete Response of the Primary Tumor After Induction Therapy |
NCT00777491 (6) [back to overview] | Percentage of Patients Without Distant Metastases by Three Years |
NCT00779584 (7) [back to overview] | Number of Participants Who Discontinued Study Treatment Due to an AE |
NCT00779584 (7) [back to overview] | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) During Cycle 0 and Cycle 1 Based on National Cancer Institute Common Terminology Criteria for Adverse Events Version 3.0 (CTCAE v 3.0) |
NCT00779584 (7) [back to overview] | Number of Participants Who Experienced an Adverse Event (AE) |
NCT00779584 (7) [back to overview] | MK-8776 Area Under the Curve of the Plasma Concentration Versus Time From Time Zero to the Time of the Last Analytically Quantifiable Concentration (AUC0-last) |
NCT00779584 (7) [back to overview] | Time of MK-8776 Cmax (Tmax) |
NCT00779584 (7) [back to overview] | MK-8776 Terminal Phase Half-Life (t1/2) |
NCT00779584 (7) [back to overview] | MK-8776 Maximum Plasma Concentration (Cmax) |
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 |
NCT00789958 (7) [back to overview] | 2-year Stratum-specific Disease-free Survival |
NCT00792701 (5) [back to overview] | Two-year Disease-free Survival |
NCT00792701 (5) [back to overview] | Frequency and Severity of Toxicities as Assessed by NCI CTCAE v3.0 |
NCT00792701 (5) [back to overview] | Relationship Between RNA and Protein Expression of RRM1 and ERCC1 |
NCT00792701 (5) [back to overview] | Relationship Between RRM1 and ERCC1 Expression in the Formalin-fixed and Paraffin-embedded Tumor Specimens. |
NCT00792701 (5) [back to overview] | Feasibility of Pharmacogenomics-based Treatment Assignment in the Cooperative Group Setting |
NCT00810719 (3) [back to overview] | Progression Free Survival |
NCT00810719 (3) [back to overview] | Overall Survival |
NCT00810719 (3) [back to overview] | Response Rate |
NCT00820898 (2) [back to overview] | Proportion of Patients With Objective Tumor Response Rate (Complete Response [CR] or Partial Response [PR]) Using RECIST Version 1.0 |
NCT00820898 (2) [back to overview] | Incidence of Adverse Effects as Assessed by Common Terminology Criteria for Adverse Events Version 3.0 |
NCT00821327 (3) [back to overview] | Progression-free Survival |
NCT00821327 (3) [back to overview] | Ovarall Survival (OS) |
NCT00821327 (3) [back to overview] | Objective Response Rate (ORR, CR+PR) in Patients With Advanced/Metastatic UC Treated With the Combination of Gemcitabine, Cisplatin, and Sunitinib. |
NCT00828841 (3) [back to overview] | Overall Survival by Treatment Arm |
NCT00828841 (3) [back to overview] | Overall Survival by Histology |
NCT00828841 (3) [back to overview] | 1-year Survival by Treatment Arm |
NCT00832637 (5) [back to overview] | Toxicity |
NCT00832637 (5) [back to overview] | Overall Response Rate |
NCT00832637 (5) [back to overview] | Tumor Control Rate |
NCT00832637 (5) [back to overview] | Time to Tumor Progression (TTP) |
NCT00832637 (5) [back to overview] | Median Survival Time (MST) |
NCT00837031 (3) [back to overview] | Overall Survival (OS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death |
NCT00837031 (3) [back to overview] | Progression Free Survival (PFS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease |
NCT00837031 (3) [back to overview] | Six-Month Overall Survival (OS) Probability, the Percentage of Patients Estimated to be Alive Six Months After Beginning Protocol Treatment |
NCT00839332 (13) [back to overview] | Number of Deaths During the Phase 1 Post-study Period |
NCT00839332 (13) [back to overview] | Phase 1: Maximum Plasma Concentration (Cmax) of Gemcitabine, 2',2'-Difluorodeoxyuridine (dFdU), and LY2603618 |
NCT00839332 (13) [back to overview] | Phase 1: Electrocardiogram QTc Prolongation |
NCT00839332 (13) [back to overview] | Phase 2: Area Under the Plasma Concentration Versus Time Curve (AUC) of Gemcitabine, dFdU, and LY2603618 |
NCT00839332 (13) [back to overview] | Phase 2: Maximum Plasma Concentration (Cmax) of Gemcitabine, dFdU, and LY2603618 |
NCT00839332 (13) [back to overview] | Phase 1: Area Under the Plasma Concentration Versus Time Curve (AUC) of Gemcitabine, dFdU, and LY2603618 |
NCT00839332 (13) [back to overview] | Phase 1: Determine the Recommended Phase 2 Dose for LY2603618 When Administered After Gemcitabine |
NCT00839332 (13) [back to overview] | Phase 2: Clinical Benefit Rate |
NCT00839332 (13) [back to overview] | Phase 2: Duration of Response |
NCT00839332 (13) [back to overview] | Phase 2: Overall Response Rate |
NCT00839332 (13) [back to overview] | Phase 2: Overall Survival (OS) |
NCT00839332 (13) [back to overview] | Phase 2: Progression-free Survival (PFS) |
NCT00839332 (13) [back to overview] | Phase 2: Electrocardiogram QTc Prolongation |
NCT00842712 (6) [back to overview] | Randomized Part: Progression Free Survival (PFS) Time - Independent Read |
NCT00842712 (6) [back to overview] | Randomized Part: Progression Free Survival (PFS) Time - Investigator Read |
NCT00842712 (6) [back to overview] | Safety run-in Part: Number of Participants With Dose Limiting Toxicities (DLTs) |
NCT00842712 (6) [back to overview] | Randomized Part: Time to Treatment Failure |
NCT00842712 (6) [back to overview] | Randomized Part: Overall Survival (OS) Time |
NCT00842712 (6) [back to overview] | Randomized Part: Best Overall Response (BOR) Rate |
NCT00844649 (7) [back to overview] | Number of Participants With Dose Reductions |
NCT00844649 (7) [back to overview] | Number of Participants With Dose Interruptions |
NCT00844649 (7) [back to overview] | Progression-free Survival (PFS) by Independent Radiological Review (IRR) |
NCT00844649 (7) [back to overview] | Percentage of Participants Who Achieved an Objective Confirmed Overall Response by Independent Radiological Review (IRR) |
NCT00844649 (7) [back to overview] | Overall Survival (OS) |
NCT00844649 (7) [back to overview] | Number of Participants With Dose Delays/Doses Not Given |
NCT00844649 (7) [back to overview] | Participants With Treatment Emergent Adverse Events (AE) |
NCT00846027 (4) [back to overview] | Overall Survival |
NCT00846027 (4) [back to overview] | Progression-free Survival |
NCT00846027 (4) [back to overview] | Percentage of Participants With an Objective Response |
NCT00846027 (4) [back to overview] | Duration of the Objective Response |
NCT00847015 (3) [back to overview] | The Pathologic Response Rate ( |
NCT00847015 (3) [back to overview] | The Time to Disease Progression in Patients With Muscle Invasive Urothelial Carcinoma of the Bladder Treated With Neoadjuvant GCS Followed by Radical Cystectomy. |
NCT00847015 (3) [back to overview] | The Pathologic Complete Response Rate ( |
NCT00859339 (2) [back to overview] | Safety Profile |
NCT00859339 (2) [back to overview] | Pathological Complete Response (pCR) Rate. |
NCT00859469 (3) [back to overview] | Best Response |
NCT00859469 (3) [back to overview] | Progression-free Survival |
NCT00859469 (3) [back to overview] | Overall Survival |
NCT00860015 (1) [back to overview] | Tumor Best Response Rate |
NCT00863369 (3) [back to overview] | Number of Subject With Complete Response |
NCT00863369 (3) [back to overview] | Number of Participants With at Least One Dose Limiting Toxicity (DLT) |
NCT00863369 (3) [back to overview] | Recommended Phase II Dose |
NCT00870870 (6) [back to overview] | Overall Survival (OS) |
NCT00870870 (6) [back to overview] | Percentage of Participants With Complete Response (CR) or Partial Response (PR) [Objective Response Rate (ORR)] |
NCT00870870 (6) [back to overview] | Progression-Free Survival (PFS) |
NCT00870870 (6) [back to overview] | Time To Progression (TTP) |
NCT00870870 (6) [back to overview] | Duration of Response |
NCT00870870 (6) [back to overview] | Number of Participants With Adverse Events (AEs) or Deaths |
NCT00883779 (16) [back to overview] | Percentage of Participants Alive at the End of Study-Overall and Among Different Subgroups |
NCT00883779 (16) [back to overview] | Time to Deterioration in TOI Using FACT-L Version 4.0 |
NCT00883779 (16) [back to overview] | Median Overall Survival (OS) Time-Overall and Among Different Subgroups |
NCT00883779 (16) [back to overview] | Duration of Response |
NCT00883779 (16) [back to overview] | Median Follow-up Time During the Study |
NCT00883779 (16) [back to overview] | Median Progression Free Survival (PFS) Time |
NCT00883779 (16) [back to overview] | Time to Progression |
NCT00883779 (16) [back to overview] | Time to Deterioration in QOL Using FACT-L Version 4.0 |
NCT00883779 (16) [back to overview] | Non-Progression Rate: Percentage of Participants With a Confirmed Best Overall Response of Either Complete Response (CR) or Partial Response (PR) or Stable Disease (SD) for At Least 16 Weeks |
NCT00883779 (16) [back to overview] | Objective Response Rate: Percentage of Participants With a Confirmed Best Overall Response of CR or PR |
NCT00883779 (16) [back to overview] | Percentage of Participants Alive and Free From Disease Progression |
NCT00883779 (16) [back to overview] | Percentage of Participants With Deterioration in Quality of Life (QOL) Using FACT-L Version 4.0 |
NCT00883779 (16) [back to overview] | Percentage of Participants With Deterioration in Trial Outcome Index (TOI) Using FACT-L Version 4.0 |
NCT00883779 (16) [back to overview] | Percentage of Participants With Symptomatic Progression Assessed Using the Lung Cancer Subscale (LCS) |
NCT00883779 (16) [back to overview] | Time to Symptomatic Progression |
NCT00883779 (16) [back to overview] | Median PFS Time Based on Different Subgroups |
NCT00887809 (1) [back to overview] | Overall Objective Response |
NCT00894504 (4) [back to overview] | Progression-free Survival (PFS) |
NCT00894504 (4) [back to overview] | Number of Treatment-related Toxicities Occurring in ≥10% of Patients as a Measure of Tolerability and Toxicity |
NCT00894504 (4) [back to overview] | Objective Response Rate and Clinical Benefit Rate |
NCT00894504 (4) [back to overview] | Correlation of Biomarker Expressions of EGFR, K-ras, p53, PTEN Expression, and PI3K in Triple-negative Breast Cancer With Response to Treatment With the Combination of Gemcitabine, Carboplatin, and Panitumumab |
NCT00910000 (3) [back to overview] | Vorinostat Maximum Tolerated Dose (MTD) [Phase Ib] |
NCT00910000 (3) [back to overview] | Response |
NCT00910000 (3) [back to overview] | Dose Limiting Toxicity (DLT) [Phase Ib] |
NCT00919061 (2) [back to overview] | Median PFS |
NCT00919061 (2) [back to overview] | Progression-Free Survival |
NCT00924209 (1) [back to overview] | Number of Participants With Serious and Non-Serious Adverse Events |
NCT00928642 (5) [back to overview] | Tumor Response Rates Using Modified SWOG Criteria to the Combination of Gleevec and Gemzar in Patients With Relapsed Ovarian Cancer Who Have Failed at Least One Prior Chemotherapy Treatment. |
NCT00928642 (5) [back to overview] | To Estimate the Clinical Response Rate(Partial and Complete Response as Defined Under the SWOG Criterial) |
NCT00928642 (5) [back to overview] | To Determine the Safety and Tolerability Via Frequency and Severity of Adverse Effect of Combination Gleevec and Gemzar in This Cohort of Patients as Assessed Byt Common Toxicity Criteria |
NCT00928642 (5) [back to overview] | To Determine the Distribution of the Overall Survival |
NCT00928642 (5) [back to overview] | The Cystostatic, Anti-tumor Activity of the Combination of Gleevec and Gemzar Via Progression-free Survival for at Least Six Months in Patients With Recurrent or Persistent Epithelial Ovarian or Primary Peritoneal Carcinoma. |
NCT00940875 (6) [back to overview] | Percentage of Participants With Non-Progression at Weeks 8 and 16 |
NCT00940875 (6) [back to overview] | PFS |
NCT00940875 (6) [back to overview] | Percentage of Participants With Disease Progression or Death |
NCT00940875 (6) [back to overview] | Percentage of Participants Who Died |
NCT00940875 (6) [back to overview] | Percentage of Participants Who Achieved Confirmed Complete Response (CR) or Partial Response (PR) According to RECIST V 1.0 |
NCT00940875 (6) [back to overview] | Overall Survival (OS) |
NCT00942331 (4) [back to overview] | Overall Survival (OS) |
NCT00942331 (4) [back to overview] | Number of Patients Experiencing Grade 3+ Toxicity |
NCT00942331 (4) [back to overview] | Objective Response |
NCT00942331 (4) [back to overview] | Progression-free Survival (PFS) |
NCT00948935 (2) [back to overview] | Progression Free Survival Rate at Five Months |
NCT00948935 (2) [back to overview] | Response Rate From Combination Chemotherapy |
NCT00954512 (2) [back to overview] | Part 2: Number of Participants With Each Type of Response Evaluation Criteria in Solid Tumors (RECIST)-Determined Overall Best Response |
NCT00954512 (2) [back to overview] | Part 1: Number of Participants Who Experienced One or More Adverse Events (AEs) |
NCT00955721 (1) [back to overview] | Phase I: Recommended Phase II Dose (RPTD) of the Combination of Sorafenib and GEMOX in Patients With Advanced Biliary Tract Cancer (BTC). |
NCT00970684 (3) [back to overview] | Median Time to Progression |
NCT00970684 (3) [back to overview] | Progression Free Survival(PFS) |
NCT00970684 (3) [back to overview] | Best Response |
NCT00981058 (9) [back to overview] | Progression-Free Survival (PFS) |
NCT00981058 (9) [back to overview] | Percentage of Participants Achieving Complete Response (CR) and Partial Response (PR) (Objective Response Rate [ORR]) |
NCT00981058 (9) [back to overview] | Time to Treatment Failure (TTF) |
NCT00981058 (9) [back to overview] | Overall Survival Time (OS) |
NCT00981058 (9) [back to overview] | Mean Change From Baseline in Patient Reported Outcomes (PRO) Using the European Quality of Life-5 Dimension (EQ-5D) |
NCT00981058 (9) [back to overview] | Mean Change From Baseline in PRO Using the Outcomes Lung Cancer Symptom Scale (LCSS) |
NCT00981058 (9) [back to overview] | Number of Participants With an Epidermal Growth Factor Hormone (EGFR) Protein Expression Measured by Immunohistochemistry (IHC) |
NCT00981058 (9) [back to overview] | Pharmacokinetics (PK): Minimum Concentration (Cmin) of Necitumumab |
NCT00981058 (9) [back to overview] | Number of Participants With a Serum Anti-Necitumumab Antibody Assessment |
NCT00983541 (1) [back to overview] | Number of Participants Experiencing Toxicity Treated With Gemcitabine Every Two Weeks & 5-FU Given Concurrently With External Beam Radiation Therapy , Followed by Brachytherapy or SBRT Boost. |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Gemcitabine on Cycle 1 Day 8: Total Plasma Clearance Normalized to Body Surface Area (CL/BSA) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Gemcitabine on Cycle 1 Day 8: Total Plasma Clearance (CL) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Gemcitabine on Cycle 1 Day 8: Time to Maximum Concentration (Tmax) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Gemcitabine on Cycle 1 Day 8: Terminal Half-life (t1/2z) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Gemcitabine on Cycle 1 Day 8: Maximum Plasma Concentration Observed (Cmax) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Gemcitabine on Cycle 1 Day 8: Area Under the Time Concentration Curve From Time 0 To the Real Time Tlast (AUClast) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Gemcitabine on Cycle 1 Day 8: Area Under the Time Concentration Curve (AUC) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Gemcitabine on Cycle 1 Day 1: Volume of Distribution at Steady State Normalized to Body Surface Area (Vss/BSA) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Gemcitabine on Cycle 1 Day 1: Volume of Distribution at Steady State (Vss) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Gemcitabine on Cycle 1 Day 1: Total Plasma Clearance Normalized to Body Surface Area (CL/BSA) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Gemcitabine on Cycle 1 Day 1: Total Plasma Clearance (CL) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Gemcitabine on Cycle 1 Day 1: Time to Maximum Concentration (Tmax) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Gemcitabine on Cycle 1 Day 1: Terminal Half-life (t1/2z) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Gemcitabine on Cycle 1 Day 1: Maximum Plasma Concentration Observed (Cmax) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Gemcitabine on Cycle 1 Day 1: Area Under the Time Concentration Curve From Time 0 To the Real Time Tlast (AUClast) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Gemcitabine on Cycle 1 Day 1: Area Under the Time Concentration Curve (AUC) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Cabazitaxel on Cycle 1: Volume of Distribution at Steady State Normalized to Body Surface Area (Vss/BSA) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Cabazitaxel on Cycle 1: Volume of Distribution at Steady State (Vss) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Cabazitaxel on Cycle 1: Total Plasma Clearance Normalized to Body Surface Area (CL/BSA) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Cabazitaxel on Cycle 1: Total Plasma Clearance (CL) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Cabazitaxel on Cycle 1: Time to Maximum Concentration (Tmax) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Cabazitaxel on Cycle 1: Terminal Half-life (t1/2z) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Cabazitaxel on Cycle 1: Maximum Plasma Concentration Observed (Cmax) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Cabazitaxel on Cycle 1: Area Under the Time Concentration Curve From Time 0 To the Real Time Tlast (AUClast) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Cabazitaxel on Cycle 1: Area Under the Time Concentration Curve (AUC) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of 2',2' Difluorodeoxyuridine on Cycle 1 Day 8: Time to Maximum Concentration (Tmax) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of 2',2' Difluorodeoxyuridine on Cycle 1 Day 8: Terminal Half-life (t1/2z) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of 2',2' Difluorodeoxyuridine on Cycle 1 Day 8: Maximum Plasma Concentration Observed (Cmax) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of 2',2' Difluorodeoxyuridine on Cycle 1 Day 8: Area Under the Time Concentration Curve From Time 0 To the Real Time Tlast (AUClast) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of 2',2' Difluorodeoxyuridine on Cycle 1 Day 8: Area Under the Time Concentration Curve (AUC) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of 2',2' Difluorodeoxyuridine on Cycle 1 Day 1: Time to Maximum Concentration (Tmax) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of 2',2' Difluorodeoxyuridine on Cycle 1 Day 1: Terminal Half-life (t1/2z) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of 2',2' Difluorodeoxyuridine on Cycle 1 Day 1: Maximum Plasma Concentration Observed (Cmax) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of 2',2' Difluorodeoxyuridine on Cycle 1 Day 1: Area Under the Time Concentration Curve From Time 0 To the Real Time Tlast (AUClast) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of 2',2' Difluorodeoxyuridine on Cycle 1 Day 1: Area Under the Time Concentration Curve (AUC) |
NCT01001221 (41) [back to overview] | Participants With Dose Limiting Toxicities During Dose Escalation |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Gemcitabine on Cycle 1: Ratio Day 1/Day 8 for AUClast and AUC |
NCT01001221 (41) [back to overview] | Participants With Adverse Events |
NCT01001221 (41) [back to overview] | Participant Best Response as Per the Response Evaluation Criteria In Solid Tumors (RECIST) Version 1.1 |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Gemcitabine on Cycle 1 Day 8: Volume of Distribution at Steady State Normalized to Body Surface Area (Vss/BSA) |
NCT01001221 (41) [back to overview] | Pharmacokinetic of Gemcitabine on Cycle 1 Day 8: Volume of Distribution at Steady State (Vss) |
NCT01005680 (9) [back to overview] | Risk/Benefit Ratio |
NCT01005680 (9) [back to overview] | Survival Without Toxicity (SWT) |
NCT01005680 (9) [back to overview] | Overall Survival (OS) |
NCT01005680 (9) [back to overview] | Tumor Response Rate |
NCT01005680 (9) [back to overview] | Time to Treatment Failure (TtTF) |
NCT01005680 (9) [back to overview] | Time to Progressive Disease (TtPD) |
NCT01005680 (9) [back to overview] | Progression Free Survival (PFS) |
NCT01005680 (9) [back to overview] | Duration of Response (DoR) |
NCT01005680 (9) [back to overview] | Disease Control Rate (DCR) |
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] | Assess the Toxicity of the Regimen. |
NCT01007552 (6) [back to overview] | Estimate the Proportion of Patients With Clinical Response |
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 Overall Survival (OS) |
NCT01012297 (4) [back to overview] | Progression-free Survival |
NCT01012297 (4) [back to overview] | Frequency and Severity of Adverse Effects as Assessed by the CTCAE Version 4.0 |
NCT01012297 (4) [back to overview] | Overall Survival |
NCT01012297 (4) [back to overview] | Objective Response Rate as Measured by RECIST 1.1 Criteria |
NCT01016483 (26) [back to overview] | Phase II: Number of Subjects With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, and TEAEs Leading to Permanent Treatment Discontinuation |
NCT01016483 (26) [back to overview] | Safety Run-In Part: Total Clearance (CL) of Gemcitabine: Regimen 2 |
NCT01016483 (26) [back to overview] | Safety Run-In Part: Total Clearance (CL) of Gemcitabine: Regimen 1 |
NCT01016483 (26) [back to overview] | Safety Run-In Part: Time to Reach Maximum Concentration (Tmax) of Pimasertib (MSC1936369B), Gemcitabine (dFdC), and Gemcitabine Inactive Metabolite 2',2'-Difluorodeoxyuridine (dFdU): Regimen 2 |
NCT01016483 (26) [back to overview] | Safety Run-In Part: Time to Reach Maximum Concentration (Tmax) of Pimasertib (MSC1936369B), Gemcitabine (dFdC), and Gemcitabine Inactive Metabolite 2',2'-Difluorodeoxyuridine (dFdU): Regimen 1 |
NCT01016483 (26) [back to overview] | Safety Run-In Part: Time to Reach Apparent Terminal Half-Life (t1/2) of Pimasertib (MSC1936369B), Gemcitabine (dFdC), and Gemcitabine Inactive Metabolite 2',2'-Difluorodeoxyuridine (dFdU): Regimen 2 |
NCT01016483 (26) [back to overview] | Safety Run-In Part: Area Under Curve (AUC:0 to Infinity) of Pimasertib (MSC1936369B), Gemcitabine (dFdC), and Gemcitabine Inactive Metabolite 2',2'-Difluorodeoxyuridine (dFdU) Regimen 2 |
NCT01016483 (26) [back to overview] | Safety Run-In Part: Levels of Pharmacodynamic (Pd) Markers (Phosphorylated- Extracellular Signal-Regulated Kinase (ERK) in Peripheral Blood Mononuclear Cells [PBMCs]): Regimen 1 |
NCT01016483 (26) [back to overview] | Safety Run-In Part: Levels of Pharmacodynamic (Pd) Markers (Phosphorylated- Extracellular Signal-Regulated Kinase (ERK) in Peripheral Blood Mononuclear Cells [PBMCs]): Regimen 2 |
NCT01016483 (26) [back to overview] | Safety Run-In Part: Maximum Concentration (Cmax) of Pimasertib (MSC1936369B), Gemcitabine (dFdC), and Gemcitabine Inactive Metabolite 2',2'-Difluorodeoxyuridine (dFdU) for Regimen 1 |
NCT01016483 (26) [back to overview] | Safety Run-In Part: Maximum Concentration (Cmax) of Pimasertib (MSC1936369B), Gemcitabine (dFdC), Gemcitabine Inactive Metabolite 2',2'-Difluorodeoxyuridine (dFdU): Regimen 2 |
NCT01016483 (26) [back to overview] | Safety Run-In Part: Number of Subjects With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, and TEAEs Leading to Permanent Treatment Discontinuation |
NCT01016483 (26) [back to overview] | Safety Run-In Part: Oral Volume of Distribution (V/f) of Pimasertib (MSC1936369B): Regimen 1 |
NCT01016483 (26) [back to overview] | Safety Run-In Part: Oral Volume of Distribution (V/f) of Pimasertib (MSC1936369B): Regimen 2 |
NCT01016483 (26) [back to overview] | Safety Run-In Part: Time to Reach Apparent Terminal Half-Life (t1/2) of Pimasertib (MSC1936369B), Gemcitabine (dFdC), and Gemcitabine Inactive Metabolite 2',2'-Difluorodeoxyuridine (dFdU): Regimen 1 |
NCT01016483 (26) [back to overview] | Safety Run-In Part: Apparent Volume of Distribution (V) of Gemcitabine: Regimen 2 |
NCT01016483 (26) [back to overview] | Phase II: Time to Progression (TTP) |
NCT01016483 (26) [back to overview] | Phase II: Overall Survival (OS) Time |
NCT01016483 (26) [back to overview] | Phase II: Percentage of Subjects With Clinical Benefit |
NCT01016483 (26) [back to overview] | Phase II: Progression-Free Survival (PFS) Time |
NCT01016483 (26) [back to overview] | Safety Run-In Part: Apparent Volume of Distribution (V) of Gemcitabine: Regimen 1 |
NCT01016483 (26) [back to overview] | Safety Run-In Part: Number of Subjects With Dose Limiting Toxicities (DLTs) |
NCT01016483 (26) [back to overview] | Safety Run-In Part: Area Under Curve (AUC: 0 to Infinity) of Pimasertib (MSC1936369B), Gemcitabine (dFdC), and Gemcitabine Inactive Metabolite 2',2'-Difluorodeoxyuridine (dFdU): Regimen 1 |
NCT01016483 (26) [back to overview] | Phase II: Percentage of Subjects With Best Overall Response (BOR) |
NCT01016483 (26) [back to overview] | Safety Run-In Part: Apparent Oral Clearance (CL/f) of Pimasertib (MSC1936369B): Regimen 1 |
NCT01016483 (26) [back to overview] | Safety Run-In Part: Apparent Oral Clearance (CL/f) of Pimasertib (MSC1936369B): Regimen 2 |
NCT01020006 (1) [back to overview] | Number of Participants With Treatment Emergent Adverse Events (AEs) |
NCT01041781 (7) [back to overview] | Prognostic Value of Urinary Prostaglandin Metabolites (PGE-M) Levels for Worse PFS for Patients Who Had Baseline Urinary PGE-M Above/Below the First Quartile (Q1) |
NCT01041781 (7) [back to overview] | Prognostic Value of Urinary Prostaglandin Metabolites (PGE-M) Levels for Worse PFS for Patients Who Had Baseline Urinary PGE-M Above/Below the Median Quartile (Q2) |
NCT01041781 (7) [back to overview] | Progression-free Survival |
NCT01041781 (7) [back to overview] | Response Rate |
NCT01041781 (7) [back to overview] | Incidence of Toxicities as Assessed by NCI CTCAE v. 4.0 |
NCT01041781 (7) [back to overview] | Overall Survival |
NCT01041781 (7) [back to overview] | Prognostic Value of Urinary Prostaglandin Metabolites (PGE-M) Levels for Worse PFS for Patients Who Had Baseline Urinary PGE-M Above/Below the Third Quartile (Q3) |
NCT01055496 (17) [back to overview] | Kaplan-Meier Estimate of the Overall Survival (OS) in the DE Cohorts |
NCT01055496 (17) [back to overview] | Kaplan-Meier Estimate of the PFS in the MTD Confirmation/EE Cohorts |
NCT01055496 (17) [back to overview] | Kaplan-Meier Estimate of the Progression-Free Survival (PFS) in the DE Cohorts |
NCT01055496 (17) [back to overview] | Participants Reporting DLT AEs for Participants in the DE Cohort and the MTD Confirmation Cohort for Arm 2 |
NCT01055496 (17) [back to overview] | Participants Reporting Dose Limiting Toxicity (DLT) Adverse Events (AEs) for Participants in the DE Cohort and the MTD Confirmation Cohort for Arm 1 |
NCT01055496 (17) [back to overview] | Percentage of Participants With a Best OR of CR or PR According to International Response Criteria for NHLs in the DE Cohorts |
NCT01055496 (17) [back to overview] | Percentage of Participants With Any Grade 3/4 Chemistry Abnormality During Therapy |
NCT01055496 (17) [back to overview] | Percentage of Participants With Any Grade 3/4 Hematology Abnormality During Therapy |
NCT01055496 (17) [back to overview] | Percentage of Participants With Best Overall Response (OR) of Complete Response (CR) or Partial Response (PR) According to International Response Criteria for NHLs in the MTD and EE Cohorts |
NCT01055496 (17) [back to overview] | Kaplan-Meier Estimates of the Probability of Being Alive and Free From PD or New Anticancer Therapy at 6, 12, and 24 Months in the DE Cohorts |
NCT01055496 (17) [back to overview] | Kaplan-Meier Estimates of the Probability of Being Alive at 6, 12, and 24 Months in the DE Cohorts |
NCT01055496 (17) [back to overview] | Mean Inotuzumab Ozogamicin Serum Concentrations |
NCT01055496 (17) [back to overview] | Kaplan-Meier Estimates of the Probability of Being Alive at 6, 12, and 24 Months in the MTD Confirmation/EE Cohorts |
NCT01055496 (17) [back to overview] | Mean Inotuzumab Ozogamicin Serum Concentrations |
NCT01055496 (17) [back to overview] | Kaplan-Meier Estimates of the Probability of Being Alive and Free From PD or New Anticancer Therapy at 6, 12, and 24 Months in the MTD Confirmation/EE Cohorts. |
NCT01055496 (17) [back to overview] | Percentage of Participants With a Treatment Emergent AE |
NCT01055496 (17) [back to overview] | Kaplan-Meier Estimate of the OS in the MTD Confirmation/EE Cohorts |
NCT01064622 (5) [back to overview] | Objective Response Rate |
NCT01064622 (5) [back to overview] | Overall Survival |
NCT01064622 (5) [back to overview] | Incidence of Adverse Events |
NCT01064622 (5) [back to overview] | Progression-free Survival |
NCT01064622 (5) [back to overview] | Activity (Overall Response Rate) in Crossover Patients |
NCT01077713 (10) [back to overview] | Percentage of Participants With Disease Control |
NCT01077713 (10) [back to overview] | Percentage of Participants With Disease Progression or Death |
NCT01077713 (10) [back to overview] | Duration of Response (DoR) |
NCT01077713 (10) [back to overview] | Overall Survival (OS) |
NCT01077713 (10) [back to overview] | Percentage of Participants Alive and Without Progressive Disease at Month 6 |
NCT01077713 (10) [back to overview] | Percentage of Participants Alive at 12 Months After Randomization |
NCT01077713 (10) [back to overview] | Percentage of Participants Who Died |
NCT01077713 (10) [back to overview] | Progression Free Survival (PFS) |
NCT01077713 (10) [back to overview] | Percentage of Participants by Best Overall Response |
NCT01077713 (10) [back to overview] | Percentage of Participants With an Objective Response |
NCT01080248 (4) [back to overview] | Response Rate by RECIST Criteria. |
NCT01080248 (4) [back to overview] | Progression-free Survival (PFS) |
NCT01080248 (4) [back to overview] | Median Survival |
NCT01080248 (4) [back to overview] | Overall Survival |
NCT01088815 (5) [back to overview] | Progression Free Survival With the Combination of GDC-0449 With Gemcitabine and Nab-paclitaxel. |
NCT01088815 (5) [back to overview] | Efficacy of Combination of GDC-0449 With Gemcitabine and Nab-Paclitaxel as Assessed by Tumor Response |
NCT01088815 (5) [back to overview] | Safety of Combination Therapy in Patients With Metastatic Adenocarcinoma of the Pancreas as Assessed by Number of Grade 3 or 4 Adverse Events |
NCT01088815 (5) [back to overview] | Efficacy of Combination of GDC-0449 With Gemcitabine and Nab-Paclitaxel as Assessed by Changes in Pancreatic Cancer Stem Cell |
NCT01088815 (5) [back to overview] | Efficacy of Combination of GDC-0449 With Gemcitabine and Nab-Paclitaxel as Assessed by Overall Survival |
NCT01121393 (18) [back to overview] | Tumour Shrinkage |
NCT01121393 (18) [back to overview] | Change From Baseline in Body Weight |
NCT01121393 (18) [back to overview] | Time to Objective Response (OR) |
NCT01121393 (18) [back to overview] | Health Related Quality of Life (HRQOL): Time of Deterioration in Dyspnoea |
NCT01121393 (18) [back to overview] | Health Related Quality of Life (HRQOL): Time of Deterioration in Coughing |
NCT01121393 (18) [back to overview] | Duration of Objective Response |
NCT01121393 (18) [back to overview] | Duration of Disease Control |
NCT01121393 (18) [back to overview] | Disease Control (DC) |
NCT01121393 (18) [back to overview] | Health Related Quality of Life (HRQOL): Time of Deterioration in Pain |
NCT01121393 (18) [back to overview] | Pharmacokinetics of Afatinib at Day 22 |
NCT01121393 (18) [back to overview] | Overall Survival (OS) |
NCT01121393 (18) [back to overview] | Objective Response (OR) |
NCT01121393 (18) [back to overview] | Pharmacokinetics of Afatinib at Day 29 |
NCT01121393 (18) [back to overview] | Safety of Afatinib as Indicated by Intensity and Incidence of Adverse Events |
NCT01121393 (18) [back to overview] | Change From Baseline in Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) |
NCT01121393 (18) [back to overview] | Pharmacokinetics of Afatinib at Day 43 |
NCT01121393 (18) [back to overview] | Progression-free Survival |
NCT01121393 (18) [back to overview] | Changes in Safety Laboratory Parameters |
NCT01121406 (26) [back to overview] | Biological Progression-free Survival Based on Serum Cancer Antigen 125 (CA-125) According to the Gynaecologic Cancer Intergroup (GCIG) Criteria |
NCT01121406 (26) [back to overview] | CL; Total Clearance of BI 6727 BS in Plasma After Intravenous Administration |
NCT01121406 (26) [back to overview] | Cmax; Maximum Measured Concentration of BI 6727 BS in Plasma |
NCT01121406 (26) [back to overview] | Cmax; Maximum Measured Concentration of CD 10899 BS in Plasma |
NCT01121406 (26) [back to overview] | Disease Control Rate (DCR) at Week 24 According to Response Evaluation Criteria In Solid Tumours (RECIST) Version 1.1 |
NCT01121406 (26) [back to overview] | MRT; Mean Residence Time of BI 6727 BS in the Body |
NCT01121406 (26) [back to overview] | Overall Survival (OS) |
NCT01121406 (26) [back to overview] | Progression Free Survival (PFS) |
NCT01121406 (26) [back to overview] | t1/2; Terminal Half-life of BI 6727 BS in Plasma |
NCT01121406 (26) [back to overview] | t1/2; Terminal Half-life of CD 10899 BS in Plasma |
NCT01121406 (26) [back to overview] | Time to Deterioration in Abdominal Bloating/ Quality of Life (QOL) |
NCT01121406 (26) [back to overview] | Time to Deterioration in Global Health Status/Quality of Life (QOL) |
NCT01121406 (26) [back to overview] | Time to Deterioration in Pain/ Quality of Life (QOL) |
NCT01121406 (26) [back to overview] | Time to Deterioration in the Three Most Troublesome Disease Specific Symptoms/ Quality of Life (QOL) |
NCT01121406 (26) [back to overview] | Tmax; Time From Dosing to Maximum Measured Concentration of BI 6727 BS in Plasma |
NCT01121406 (26) [back to overview] | Tmax; Time From Dosing to Maximum Measured Concentration of CD 10899 BS in Plasma |
NCT01121406 (26) [back to overview] | Vss;Apparent Volume of Distribution at Steady State Following Intravenous Administration for BI 6727 BS |
NCT01121406 (26) [back to overview] | Best Overall Response |
NCT01121406 (26) [back to overview] | Biological Tumour Response Based on Serum Cancer Antigen 125 (CA-125) According to the Gynaecologic Cancer Intergroup (GCIG) Criteria |
NCT01121406 (26) [back to overview] | Clinically Relevant Changes in Laboratory and ECG Data |
NCT01121406 (26) [back to overview] | Incidence and Intensity of Adverse Events According to the United States National Cancer Institute (US NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 |
NCT01121406 (26) [back to overview] | Time to Deterioration in Fatigue/Quality of Life (QOL) |
NCT01121406 (26) [back to overview] | AUC (0-24); Area Under the Concentration-time Curve in Plasma Over the Time Interval From 0 to 24 Hours for BI 6727 BS |
NCT01121406 (26) [back to overview] | AUC (0-24); Area Under the Concentration-time Curve in Plasma Over the Time Interval From 0 to 24 Hours for CD 10899 BS |
NCT01121406 (26) [back to overview] | AUC (0-inf); Area Under the Concentration-time Curve in Plasma Over the Time Interval From 0 Extrapolated to Infinity for BI 6727 BS |
NCT01121406 (26) [back to overview] | AUC (0-inf); Area Under the Concentration-time Curve in Plasma Over the Time Interval From 0 Extrapolated to Infinity for CD 10899 BS |
NCT01124786 (1) [back to overview] | Overall Survival in Patients With Low High Human Equilibrative Nucleoside Transporter 1 (hENT1) Expression |
NCT01126749 (4) [back to overview] | Phase 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) |
NCT01126749 (4) [back to overview] | Phase 2: Percentage of Participants With Overall Response |
NCT01126749 (4) [back to overview] | Phase 2: Overall Survival (OS) |
NCT01126749 (4) [back to overview] | Phase 1b: Number of Participants With Dose-limiting Toxicity (DLT) as Per National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.0 |
NCT01128296 (10) [back to overview] | Disease-free Survival (DFS) by Response to HCQ Treatment |
NCT01128296 (10) [back to overview] | Overall Survival (OS) |
NCT01128296 (10) [back to overview] | R0 Resection Rate |
NCT01128296 (10) [back to overview] | Disease-free Survival (DFS) by CA 19-9 Response |
NCT01128296 (10) [back to overview] | Disease-free Survival by p53 Genetic Status |
NCT01128296 (10) [back to overview] | Overall Survival (OS) by CA 19-9 Response |
NCT01128296 (10) [back to overview] | Overall Survival (OS) by Response to HCQ Treatment |
NCT01128296 (10) [back to overview] | Overall Survival (OS) by p53 Mutant Status |
NCT01128296 (10) [back to overview] | Disease-free Survival (DFS) |
NCT01128296 (10) [back to overview] | Number of Participants That Experienced a Dose Limiting Toxicity (DLT) |
NCT01133756 (1) [back to overview] | Number of Participants With Dose Limiting Toxicity (DLT) |
NCT01144455 (1) [back to overview] | Progression-free Survival (PFS) |
NCT01146054 (5) [back to overview] | To Determine the Overall Survival in Pancreatic Cancer Patients Treated With Gemcitabine and SBRT for up to 5 Years of Follow up. |
NCT01146054 (5) [back to overview] | Proportion of Participants Achieving Freedom From Local Progression (FFLP) in Patients Treated With Gemcitabine Followed by Fractionated Stereotactic Body Radiotherapy (SBRT) for up to 5 Years of Follow up. |
NCT01146054 (5) [back to overview] | Evaluate Acute Gastrointestinal Toxicity up to 3 Months of Treatment. |
NCT01146054 (5) [back to overview] | To Determine the Rate of (Grade 2 or Greater) Gastrointestinal Toxicity Attributable to Gemcitabine and Fractionated SBRT at One Year. |
NCT01146054 (5) [back to overview] | To Evaluate Progression Free Survival Following Gemcitabine and SBRT for up to 5 Years of Follow up . |
NCT01151761 (8) [back to overview] | Serum CA 19-9 Levels |
NCT01151761 (8) [back to overview] | Overall Survival at 12 Months |
NCT01151761 (8) [back to overview] | Liver Transplant Conversion Rate |
NCT01151761 (8) [back to overview] | Progression-free Survival at 12 Months |
NCT01151761 (8) [back to overview] | Liver Transplant Rate |
NCT01151761 (8) [back to overview] | Freedom From Local Progression at 12 Months |
NCT01151761 (8) [back to overview] | Median Time to Overall Survival |
NCT01151761 (8) [back to overview] | Pathologic Complete Response Rate |
NCT01160744 (7) [back to overview] | Progression-Free Survival (PFS) |
NCT01160744 (7) [back to overview] | Change in Tumor Size (CTS) |
NCT01160744 (7) [back to overview] | Duration of Response (DOR) |
NCT01160744 (7) [back to overview] | Percentage of Participants With Best Overall Response of Complete Response (CR) or Partial Response (PR) [Objective Response Rate (ORR)] |
NCT01160744 (7) [back to overview] | Percentage of Participants With CR, PR, or Stable Disease (SD) [Disease Control Rate (DCR)] |
NCT01160744 (7) [back to overview] | Number of Participants Reporting Treatment-Emergent Adverse Events (TEAEs) and Who Died |
NCT01160744 (7) [back to overview] | Overall Survival (OS) |
NCT01164228 (3) [back to overview] | Overall Survival |
NCT01164228 (3) [back to overview] | Proportion of Patients With Response |
NCT01164228 (3) [back to overview] | Progression-free Survival |
NCT01188109 (2) [back to overview] | Recurrence-free Survival as Measured by CT Scan |
NCT01188109 (2) [back to overview] | Immunohistochemistry to Determine Status of Excision Repair Cross Complementation Gene-1 (ERCC1) Expression |
NCT01194453 (2) [back to overview] | Progression Free Survival (PFS) |
NCT01194453 (2) [back to overview] | Response Rate |
NCT01195415 (4) [back to overview] | Percentage of Treated Patients Experiencing Grade 3+ Toxicity Per National Cancer Institute Common Toxicity Criteria (CTC) Version 3.0 |
NCT01195415 (4) [back to overview] | Median Progression Free Survival |
NCT01195415 (4) [back to overview] | The Number of Participants With an Objective Best Response (CR + PR) |
NCT01195415 (4) [back to overview] | Median Percent at Baseline and 3 Weeks in CD44+/ CD24+/ ESA+ Cells From Needle Biopsy Calculated Using FACS |
NCT01197560 (9) [back to overview] | Stage 1: Percentage of Participants With a Complete Response According to the IWG Response Criteria as Assessed by the Investigators at the Final Data Cut During the Core Treatment Phase |
NCT01197560 (9) [back to overview] | Number of Participants With Treatment Emergent Events (TEAEs) in the Overall Treatment Phase by Initial Treatment Assignment |
NCT01197560 (9) [back to overview] | Stage 1: Kaplan Meier Estimates of Overall Survival As Assessed by the Investigators at the Final Data Cut During The Core Treatment Phase |
NCT01197560 (9) [back to overview] | Stage 1: Kaplan Meier Estimates of Duration of Overall Response (DoR) as Assessed by the Investigators at the Final Data Cut During the Core Treatment Phase |
NCT01197560 (9) [back to overview] | Stage 1: Percentage of Participants With a Durable Overall Response (dORR) According to the IWG Response Criteria as Assessed by the Investigators at the Final Data Cut During the Core Treatment Phase |
NCT01197560 (9) [back to overview] | Stage 1: Kaplan Meier Estimates of Progression-Free Survival As Assessed By The Investigators At The Final Data Cut During The Core Treatment Phase |
NCT01197560 (9) [back to overview] | Stage 1: Kaplan Meier Estimates of Duration of Complete Response (DoCR) as Assessed by the Investigators at the Final Data Cut During the Core Treatment Phase |
NCT01197560 (9) [back to overview] | Stage 1: Percentage of Participants With an Overall Response According to the International Working Group (IWG) Response Criteria for Non Hodgkin's Lymphoma (NHL), Cheson 1999 and Evaluated by the Independent Response Adjudication Committee (IRAC) |
NCT01197560 (9) [back to overview] | Stage 1: Percentage of Participants With an Overall Response According to the IWG Response Criteria Based on the Investigators Assessment at the Final Data Cut During the Core Treatment Phase |
NCT01200329 (2) [back to overview] | Event-free Survival (EFS) of Patients |
NCT01200329 (2) [back to overview] | Overall Survival (OS) of These Patients. |
NCT01201265 (9) [back to overview] | Change From Baseline to Cycle 6 in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-30) |
NCT01201265 (9) [back to overview] | Change From Baseline in Systolic Blood Pressure (SBP) |
NCT01201265 (9) [back to overview] | Change From Baseline in Diastolic Blood Pressure (DBP) |
NCT01201265 (9) [back to overview] | Time to Progression (TTP) |
NCT01201265 (9) [back to overview] | Progression-free Survival (PFS) |
NCT01201265 (9) [back to overview] | Percentage of Participants Achieving an Overall Response |
NCT01201265 (9) [back to overview] | Percentage of Participants Achieving a Clinical Benefit Response (CBR) |
NCT01201265 (9) [back to overview] | Overall Survival (OS) |
NCT01201265 (9) [back to overview] | Number of Participants With an Adverse Event (AE) |
NCT01231581 (7) [back to overview] | Number of Participants With Any Adverse Event (AE) and Any Serious Adverse Event (SAE) |
NCT01231581 (7) [back to overview] | Number of Participants With an Investigator-assessed Best Response, With or Without Confirmation, of Complete Response (CR) or Partial Response (PR) |
NCT01231581 (7) [back to overview] | Number of Participants With Change From Baseline Increase to Grade 3/Grade 4 in Lab Hematology Test Measurements |
NCT01231581 (7) [back to overview] | Overall Survival |
NCT01231581 (7) [back to overview] | Progression-free Survival (PFS) as Assessed by the Investigator |
NCT01231581 (7) [back to overview] | Investigator-Assessed Duration of Response |
NCT01231581 (7) [back to overview] | Number of Participants (Par.) With a Worst-case Change to Grade 3 or Grade 4 From Baseline Grade in Chemistry Parameters |
NCT01232556 (8) [back to overview] | Duration of Response |
NCT01232556 (8) [back to overview] | Health Related Quality of Life as Assessed by the Functional Assessment of Cancer Therapy for Lymphoma (FACT-Lym) Questionnaire |
NCT01232556 (8) [back to overview] | Health Status as Assessed by the European Quality of Life 5 Dimension (EQ-5D) Questionnaire |
NCT01232556 (8) [back to overview] | Overall Survival |
NCT01232556 (8) [back to overview] | Percentage of Participants With A Best Overall Response of CR or Partial Response (PR) Per NCI International Response Criteria for NHL |
NCT01232556 (8) [back to overview] | Percentage of Participants With A Best Overall Response of CR, Unconfirmed CR (unCR), PR, or Unconfirmed PR (unPR) Per NCI International Response Criteria for NHL |
NCT01232556 (8) [back to overview] | Progression-Free Survival (PFS) |
NCT01232556 (8) [back to overview] | Percentage of Participants With a Treatment Emergent Adverse Event (TEAE) (Safety Population) |
NCT01237951 (4) [back to overview] | Overall Survival |
NCT01237951 (4) [back to overview] | Participants Who Had Measurable Disease at Time of Transplant and Achieved a Stringent Complete Remission |
NCT01237951 (4) [back to overview] | Percent of Participants Dying From Treatment-Related Complications |
NCT01237951 (4) [back to overview] | Progression-free Survival (PFS) |
NCT01251653 (20) [back to overview] | Objective Response According to RECIST v1.1 |
NCT01251653 (20) [back to overview] | The Incidence and Intensity of AEs With Grading According to CTCAE. |
NCT01251653 (20) [back to overview] | Time to Objective Response According to RECIST v1.1 |
NCT01251653 (20) [back to overview] | Cmax of Docetaxel |
NCT01251653 (20) [back to overview] | AUC 0-tz of Gemcitabine |
NCT01251653 (20) [back to overview] | AUC 0-24 of Docetaxel |
NCT01251653 (20) [back to overview] | Area Under the Concentration-time Curve (AUC) Tau,ss of Afatinib |
NCT01251653 (20) [back to overview] | Cmax of Gemcitabine |
NCT01251653 (20) [back to overview] | Total Clearance (CL) of Gemcitabine |
NCT01251653 (20) [back to overview] | Total Clearance (CL) of Docetaxel |
NCT01251653 (20) [back to overview] | Progression Free Survival (PFS) |
NCT01251653 (20) [back to overview] | Overall Survival (OS) |
NCT01251653 (20) [back to overview] | Number of Participants With Dose Limiting Toxicities (DLTs) in Process for the Determination of the Maximum Tolerated Dose (MTD). |
NCT01251653 (20) [back to overview] | Duration of Objective Response According to RECIST v1.1 |
NCT01251653 (20) [back to overview] | Duration of Disease Control According to RECIST v1.1 |
NCT01251653 (20) [back to overview] | Cmax,ss of Afatinib |
NCT01251653 (20) [back to overview] | Volume of Distribution at Steady State (Vss) of Docetaxel |
NCT01251653 (20) [back to overview] | Volume of Distribution at Steady State (Vss) of Gemcitabine |
NCT01251653 (20) [back to overview] | Best Overall Response According to RECIST v1.1 Criteria |
NCT01251653 (20) [back to overview] | Disease Control According to RECIST v1.1 |
NCT01259063 (5) [back to overview] | Phase I - Dose-limiting Toxicity (DLT) |
NCT01259063 (5) [back to overview] | Complete Response (CR) Rate |
NCT01259063 (5) [back to overview] | Survival of Patients Treated |
NCT01259063 (5) [back to overview] | Phase II - Patients Who Are Free of Disease at 1 Year |
NCT01259063 (5) [back to overview] | Phase I - Maximum Tolerated Dose (MTD) |
NCT01284335 (8) [back to overview] | Percentage of Participants With a Complete (CR) or Partial Response (PR) (Best Overall Tumor Response) |
NCT01284335 (8) [back to overview] | Number of Participants With a Clinically Significant Effects |
NCT01284335 (8) [back to overview] | Pharmacokinetic (PK): Concentration Maximum (Cmax) |
NCT01284335 (8) [back to overview] | Percentage of Participants With a Complete (CR) or Partial Response (PR) (Best Overall Tumor Response) |
NCT01284335 (8) [back to overview] | Percentage of Participants With a Complete (CR) or Partial Response (PR) (Best Overall Tumor Response) |
NCT01284335 (8) [back to overview] | Percentage of Participants With a Complete (CR) or Partial Response (PR) (Best Overall Tumor Response) |
NCT01284335 (8) [back to overview] | PK: Area Under the Curve Albumin (AUCalb) |
NCT01284335 (8) [back to overview] | Number of Participants With Dose-Limiting Toxicities Cycle 1 |
NCT01294358 (8) [back to overview] | Median Overall Survival (OS) |
NCT01294358 (8) [back to overview] | Number of Participants With Dose Limiting Toxicity (DLT ) |
NCT01294358 (8) [back to overview] | Response Using the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. |
NCT01294358 (8) [back to overview] | Response Using Computed Tomography (CT) Perfusion Criteria European Association for the Study of the Liver (EASL1) |
NCT01294358 (8) [back to overview] | Number of Participants With Serious and Non-Serious Adverse Events |
NCT01294358 (8) [back to overview] | Number of Participants Who Converted From Unresectable or Borderline Resectable To Potentially Resectable Pancreatic Cancer |
NCT01294358 (8) [back to overview] | Median Time to Progression |
NCT01294358 (8) [back to overview] | MTD (Maximum Tolerated Dose) |
NCT01296568 (10) [back to overview] | Relative Abundance of LY2603618 and the Metabolites of LY2603618 in Urine |
NCT01296568 (10) [back to overview] | Urinary and Fecal Excretion of LY2603618 Radioactivity Over Time Expressed as a Percentage of the Total Radioactive Dose Administered |
NCT01296568 (10) [back to overview] | The Number of Participants With a Tumor Response |
NCT01296568 (10) [back to overview] | Plasma Pharmacokinetics of Radioactivity: Area Under the Concentration Time Curve From Time Zero to Time t [AUC(0-tlast)] |
NCT01296568 (10) [back to overview] | Relative Abundance of LY2603618 and the Metabolites of LY2603618 in Feces |
NCT01296568 (10) [back to overview] | Plasma Pharmacokinetics of Radioactivity: Maximum Observed Drug Concentration (Cmax) |
NCT01296568 (10) [back to overview] | Plasma Pharmacokinetics of Radioactivity: Area Under the Concentration Time Curve From Time Zero to Infinity [AUC(0-infinity)] |
NCT01296568 (10) [back to overview] | Plasma Pharmacokinetics of LY2603618: Maximum Observed Drug Concentration (Cmax) |
NCT01296568 (10) [back to overview] | Plasma Pharmacokinetics of LY2603618: Area Under the Concentration Time Curve From Time Zero to Time t [AUC(0-tlast)] |
NCT01296568 (10) [back to overview] | Plasma Pharmacokinetics of LY2603618: Area Under the Concentration Time Curve From Time Zero to Infinity [AUC(0-infinity)] |
NCT01303172 (4) [back to overview] | Safety and Tolerability. |
NCT01303172 (4) [back to overview] | Overall Response Rate (ORR). |
NCT01303172 (4) [back to overview] | Survival |
NCT01303172 (4) [back to overview] | Overall Survival in Metastatic Patients Only |
NCT01308840 (4) [back to overview] | The Number of Participants With Response to GEMOX-Panitumumab (GEMOX-P) in Chemotherapy naïve KRAS/ BRAF Wild Type Stage IV Biliary Tract Cancer Using the Response Evaluation Criteria In Solid Tumors (RECIST) Criteria. |
NCT01308840 (4) [back to overview] | The Number of Participants Who Experience an Adverse Event |
NCT01308840 (4) [back to overview] | Median Progression Free Survival |
NCT01308840 (4) [back to overview] | Median Overall Survival |
NCT01321541 (5) [back to overview] | Overall Response Rate |
NCT01321541 (5) [back to overview] | Progression Free Survival (PFS) |
NCT01321541 (5) [back to overview] | Complete Response Rate |
NCT01321541 (5) [back to overview] | Number of Treatment Emergent Adverse Events (TEAE) Related to Study Drug |
NCT01321541 (5) [back to overview] | Overall Survival |
NCT01341457 (8) [back to overview] | PK: Cmax of Gemcitabine Metabolite Deoxydifluorouridine (dFdU) |
NCT01341457 (8) [back to overview] | Number of Participants With Best Overall Response of Complete Response (CR), Partial Response (PR), or Stable Disease (SD) (Best Overall Response) |
NCT01341457 (8) [back to overview] | Number of Participants With Dose Limiting Toxicity (DLT) |
NCT01341457 (8) [back to overview] | Pharmacokinetics (PK): Maximum Plasma Concentration (Cmax) of LY2603618 |
NCT01341457 (8) [back to overview] | PK: Area Under the Plasma Concentration vs. Time Curve From Time Zero to Infinity [AUC(0-∞)] of LY2603618 |
NCT01341457 (8) [back to overview] | PK: AUC(0-∞) of Gemcitabine |
NCT01341457 (8) [back to overview] | PK: AUC(0-∞) of Gemcitabine Metabolite dFdU |
NCT01341457 (8) [back to overview] | PK: Cmax of Gemcitabine |
NCT01358968 (7) [back to overview] | Plasma Pharmacokinetics of Desipramine: the Area Under the Plasma Concentration Versus Time Curve From Time Zero to Infinity [AUC(0-∞)] |
NCT01358968 (7) [back to overview] | Plasma Pharmacokinetics of Desipramine: the Area Under the Plasma Concentration Versus Time Curve From Time Zero to the Last Observed Plasma Concentration of Desipramine [AUC(0-tlast)] |
NCT01358968 (7) [back to overview] | Plasma Pharmacokinetics of LY2603618: the Area Under the Plasma Concentration Versus Time Curve From Time Zero to the Last Observed Plasma Concentration of LY2603618 [AUC(0-tlast)] |
NCT01358968 (7) [back to overview] | Number of Participants With a Tumor Response |
NCT01358968 (7) [back to overview] | Plasma Pharmacokinetics of Desipramine: the Maximum Concentration of Desipramine in the Plasma (Cmax) |
NCT01358968 (7) [back to overview] | Plasma Pharmacokinetics of LY2603618: the Area Under the Plasma Concentration Versus Time Curve From Time Zero to Infinity [AUC(0-∞)] |
NCT01358968 (7) [back to overview] | Plasma Pharmacokinetics of LY2603618: the Maximum Concentration of LY2603618 in the Plasma (Cmax) |
NCT01360593 (9) [back to overview] | Time to Progression (TTP) |
NCT01360593 (9) [back to overview] | Overall Survival (OS) |
NCT01360593 (9) [back to overview] | Objective Response Rate (ORR) (Surgery After Chemotherapy and SBRT) |
NCT01360593 (9) [back to overview] | Objective Response Rate (ORR) (Neoadjuvant Chemotherapy) |
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] | Acute Toxicities Associated With SBRT |
NCT01360593 (9) [back to overview] | The Functional Assessment of Cancer Therapy - General (FACT-G) |
NCT01373164 (12) [back to overview] | Phase 1b: Recommended Phase 2 Dose |
NCT01373164 (12) [back to overview] | Phase 2: Change From Baseline in Brief Pain Inventory-short Form (BPI-sf) at Study Completion |
NCT01373164 (12) [back to overview] | Phase 2: Change From Baseline in Carbohydrate Antigen 19.9 (CA19-9) Level at First Study Completion Follow-up |
NCT01373164 (12) [back to overview] | Phase 2: Overall Survival (OS) |
NCT01373164 (12) [back to overview] | Phase 2: Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR) (Overall Response Rate[ORR]) |
NCT01373164 (12) [back to overview] | Phase 2: Population Pharmacokinetics (PK): Area Under the Concentration-Time Curve From Time Zero to 24 Hours (AUC[0-24]) |
NCT01373164 (12) [back to overview] | Phase 2: Population PK: Maximum Concentration (Cmax) of Galunisertib |
NCT01373164 (12) [back to overview] | Phase 2: Progression Free Survival (PFS) |
NCT01373164 (12) [back to overview] | Phase 1b: Number of Participants With Tumor Response |
NCT01373164 (12) [back to overview] | Phase 1b: Pharmacokinetics: Area Under the Concentration-Time Curve at Steady State From Time Zero to 24 Hours (AUC[0-24], ss) and Time Zero to Infinity (AUC[0-∞], ss) |
NCT01373164 (12) [back to overview] | Phase 2: Percentage Change From Baseline in Tumor Size (CTS) |
NCT01373164 (12) [back to overview] | Phase 1b: Pharmacokinetics: Maximum Plasma Drug Concentration at Steady State (Cmax,ss) |
NCT01376310 (1) [back to overview] | Number of Participants With Adverse Events |
NCT01395758 (4) [back to overview] | Progression-free Survival (PFS) Among Subjects With KRAS Mutation Positive NSCLC (ITT Population) Treated With Erlotinib Plus Tivantinib Compared to Single Agent Chemotherapy. |
NCT01395758 (4) [back to overview] | Overall Survival (OS) Among All Eligible Subjects (ITT Population) Treated With Erlotinib Plus Tivantinib Compared to Chemotherapy. |
NCT01395758 (4) [back to overview] | ORR Among Subjects in the Crossover Period Treated With Erlotinib Plus Tivantinib |
NCT01395758 (4) [back to overview] | Objective Response Rate (ORR) Among All Eligible Subjects (ITT Population) Treated With Erlotinib Plus Tivantinib Compared to Chemotherapy. |
NCT01404260 (1) [back to overview] | Progression Free Survival |
NCT01418001 (1) [back to overview] | Overall Objective Response |
NCT01431794 (3) [back to overview] | Overall Survival |
NCT01431794 (3) [back to overview] | Overall Tumor Response as Determined by Number of Participants With Complete or Partial Response |
NCT01431794 (3) [back to overview] | Phase I - Safety and Feasibility of Gemcitabine and Nab-Paclitaxel in Combination With LDE-225 as Neoadjuvant Therapy as Measured by Number of Participants Who Tolerated the Maximal Dose of LDE-225 |
NCT01443078 (2) [back to overview] | PERCIST Partial Metabolic Response |
NCT01443078 (2) [back to overview] | Pathologic Response Rate |
NCT01447225 (11) [back to overview] | Pharmacokinetics |
NCT01447225 (11) [back to overview] | Objective Response Rate |
NCT01447225 (11) [back to overview] | Immunogenicity |
NCT01447225 (11) [back to overview] | To Evaluate the Safety and Tolerability of Escalating Doses of the MM-121 Anticancer Therapies |
NCT01447225 (11) [back to overview] | To Determine the Maximum Tolerated Dose (MTD) of MM-121 in Combination With Anticancer Therapies: Pemetrexed |
NCT01447225 (11) [back to overview] | To Determine the Maximum Tolerated Dose (MTD) of MM-121 in Combination With Anticancer Therapies: Gemcitabine |
NCT01447225 (11) [back to overview] | To Determine the Maximum Tolerated Dose (MTD) of MM-121 in Combination With Anticancer Therapies: Carboplatin |
NCT01447225 (11) [back to overview] | To Determine the Maximum Tolerated Dose (MTD) of MM-121 in Combination With Anticancer Therapies: Cabazitaxel |
NCT01447225 (11) [back to overview] | To Characterize Dose-limiting Toxicities (DLTs) Associated With the Combination of MM-121 With Anticancer Therapies |
NCT01447225 (11) [back to overview] | Pharmacokinetics (AUClast) |
NCT01447225 (11) [back to overview] | To Determine the Maximum Tolerated Dose (MTD) of MM-121 in Combination With Anticancer Therapies: MM-121 Doses |
NCT01453153 (29) [back to overview] | Number of Participants With a Dose-limiting Toxicity (DLT) |
NCT01453153 (29) [back to overview] | Objective Response Rate |
NCT01453153 (29) [back to overview] | Observed Maximum Plasma Concentration (Cmax) Following Single PEGPH20 Doses |
NCT01453153 (29) [back to overview] | Overall Survival |
NCT01453153 (29) [back to overview] | Progression-free Survival (PFS) |
NCT01453153 (29) [back to overview] | Recommended Phase 2 Dose (RP2D) |
NCT01453153 (29) [back to overview] | Time to Reach Cmax (Tmax) Following Single PEGPH20 Doses |
NCT01453153 (29) [back to overview] | Tmax Following Twice-weekly PEGPH20 Doses for 3 Consecutive Weeks |
NCT01453153 (29) [back to overview] | Change From Baseline in CA19-9 in Participants Classified as Responders and Non-responders |
NCT01453153 (29) [back to overview] | Change From Baseline in CA19-9 in Participants Classified as Responders and Non-responders |
NCT01453153 (29) [back to overview] | Change From Baseline in CA19-9 in Participants With a Baseline Value >=59 U/ml |
NCT01453153 (29) [back to overview] | Change From Baseline in Carbohydrate Antigen 19-9 or Sialylated Lewis(a) Antigen (CA19-9) |
NCT01453153 (29) [back to overview] | Change From Baseline in Carbohydrate Antigen 19-9 or Sialylated Lewis(a) Antigen (CA19-9) |
NCT01453153 (29) [back to overview] | Change From Baseline in Carbohydrate Antigen 19-9 or Sialylated Lewis(a) Antigen (CA19-9) |
NCT01453153 (29) [back to overview] | H-scores, as an Assessment of HA Staining Changes in Tumor Biopsies |
NCT01453153 (29) [back to overview] | Mean Extravascular-Extracellular Volume Fraction (Ve) for Scans Across Tissue Sites |
NCT01453153 (29) [back to overview] | Mean Volume Transfer Constant (Ktrans) for Scans Across Tissue Sites |
NCT01453153 (29) [back to overview] | Number of Participants With the Indicated Best Response, Per Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1 |
NCT01453153 (29) [back to overview] | Plasma Hyaluronan (HA) Concentration at Baseline and After PEGPH20 Administration |
NCT01453153 (29) [back to overview] | Percent Change in in the Maximum Standardized Uptake Value (SUVmax), as an Assessment of Total Lesion Metabolic Activity |
NCT01453153 (29) [back to overview] | t1/2 Following Twice-weekly PEGPH20 Doses for 3 Consecutive Weeks |
NCT01453153 (29) [back to overview] | Apparent Half-life (t1/2) Following Single PEGPH20 Doses |
NCT01453153 (29) [back to overview] | Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Measurable Plasma Concentration (AUC0-T) Following Single PEGPH20 Doses |
NCT01453153 (29) [back to overview] | AUC0-T Following Twice-weekly PEGPH20 Doses for 3 Consecutive Weeks |
NCT01453153 (29) [back to overview] | Cmax Following Twice-weekly PEGPH20 Doses for 3 Consecutive Weeks |
NCT01453153 (29) [back to overview] | Cmin Following Twice-weekly PEGPH20 Doses for 3 Consecutive Weeks |
NCT01453153 (29) [back to overview] | Disease Control Rate |
NCT01453153 (29) [back to overview] | Last Measurable Observed Plasma Concentration (Cmin) Following Single PEGPH20 Doses |
NCT01453153 (29) [back to overview] | Change From Baseline in CA19-9 in Participants With a Baseline Value >=59 U/ml |
NCT01454102 (6) [back to overview] | Progression-Free Survival Rate (PFSR) at Week 24 |
NCT01454102 (6) [back to overview] | Number of Participants Who Experienced Selected Adverse Events |
NCT01454102 (6) [back to overview] | Number of Participants Who Experienced Serious Adverse Events (SAE), Adverse Events (AE) Leading to Discontinuation, or Death |
NCT01454102 (6) [back to overview] | Number of Participants With Abnormalities in Selected Hepatic Clinical Laboratory Tests |
NCT01454102 (6) [back to overview] | Objective Response Rate (ORR) |
NCT01454102 (6) [back to overview] | Number of Participants With Abnormalities in Selected Thyroid Clinical Laboratory Tests |
NCT01454934 (3) [back to overview] | Objective Response Rate (ORR) |
NCT01454934 (3) [back to overview] | Progression Free Survival (PFS) by Response Evaluation Criteria in Solid Tumors (RECIST) |
NCT01454934 (3) [back to overview] | Overall Survival (OS) |
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) |
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) |
NCT01470417 (4) [back to overview] | Pathologic Downstaging and Margin Status |
NCT01470417 (4) [back to overview] | Radiographic Response Rate |
NCT01470417 (4) [back to overview] | 90 Day Post-operative Mortality |
NCT01470417 (4) [back to overview] | Biochemical Response Rate |
NCT01473940 (4) [back to overview] | Progression Free Survival (PFS) in Patients With Pancreas Adenocarcinoma Treated With Ipilimumab and Gemcitabine Combination |
NCT01473940 (4) [back to overview] | Number of Dose Limiting Toxicities (DLTs) Seen in Patients With Pancreas Adenocarcinoma Treated With Ipilimumab and Gemcitabine Combination in Order to Define the Maximum Tolerated Dose (MTD) |
NCT01473940 (4) [back to overview] | Duration of Response in Patients Pancreas Adenocarcinoma Treated With Ipilimumab and Gemcitabine Combination |
NCT01473940 (4) [back to overview] | Overall Survival (OS) in Patients With Pancreas Adenocarcinoma Treated With Ipilimumab and Gemcitabine Combination |
NCT01482962 (12) [back to overview] | Overall Survival (OS) |
NCT01482962 (12) [back to overview] | Progression-Free Survival (PFS) Based on IRC Assessment |
NCT01482962 (12) [back to overview] | Time to Disease Progression (TTP) |
NCT01482962 (12) [back to overview] | Time to Response |
NCT01482962 (12) [back to overview] | Change Form Baseline in Reported Symptoms and Quality of Life (QoL) Assessment Per Functional Assessment of Cancer Therapy-Lymphoma (FACT-LYM) for Functioning and Symptoms |
NCT01482962 (12) [back to overview] | Number of Participants With Clinically Important Abnormal Laboratory Values Reported as AEs |
NCT01482962 (12) [back to overview] | Number of Participants With Clinically Important Vital Sign Measurements Reported as AEs |
NCT01482962 (12) [back to overview] | Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) |
NCT01482962 (12) [back to overview] | Time to Subsequent Antineoplastic Therapy |
NCT01482962 (12) [back to overview] | Complete Response (CR) Rate |
NCT01482962 (12) [back to overview] | Duration of Response (DOR) |
NCT01482962 (12) [back to overview] | Overall Response Rate (ORR) Based on Independent Review Committee (IRC) Assessment |
NCT01515046 (3) [back to overview] | Overall Survival |
NCT01515046 (3) [back to overview] | Progression Free Survival |
NCT01515046 (3) [back to overview] | Number of Drug-related Adverse Events Per Cycle |
NCT01524991 (2) [back to overview] | Median Overall Survival |
NCT01524991 (2) [back to overview] | Progression-Free Survival |
NCT01532687 (4) [back to overview] | Overall Survival |
NCT01532687 (4) [back to overview] | Progression-free Survival (PFS) |
NCT01532687 (4) [back to overview] | Percentage of Participants Achieving Best Overall Objective Response (CR+PR) |
NCT01532687 (4) [back to overview] | Progression-free Survival (PFS) for a Sub-group of Patients Treated With Open-label Pazopanib Hydrochloride Following Administration of Gemcitabine Hydrochloride in the Cross-over Portion of This Study |
NCT01533207 (3) [back to overview] | Incidence of Grade 3 or Higher Adverse Events as Assessed by National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0 |
NCT01533207 (3) [back to overview] | Number of Participants Who Experienced Death |
NCT01533207 (3) [back to overview] | Number of Participants With Recurrence |
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 Using Anti Nausea Drugs |
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 |
NCT01535924 (2) [back to overview] | Overall Response Rate (ORR) of Bendamustine Hydrochloride and Gemcitabine Hydrochloride in Patients With Relapsed or Refractory Hodgkin Lymphoma (Phase II) |
NCT01535924 (2) [back to overview] | Adverse Events in Terms of Dose-limiting Toxicity (DLT) and MTD of Bendamustine Hydrochloride (Phase I) |
NCT01560949 (8) [back to overview] | Number of Participants Correlative Studies Including DPC4 (SMAD4) Staining and Circulating Tumor Cells (CTC) Post-Surgery |
NCT01560949 (8) [back to overview] | Number of Participants Correlative Studies Including DPC4 (SMAD4) Staining and Circulating Tumor Cells (CTC) Pre-Surgery |
NCT01560949 (8) [back to overview] | Overall Survival |
NCT01560949 (8) [back to overview] | Number of Participants With Resectability Rate |
NCT01560949 (8) [back to overview] | Number of Participants With R0 Margin Resection |
NCT01560949 (8) [back to overview] | Disease Free Survival (DFS) |
NCT01560949 (8) [back to overview] | Number of Participants With Local and Distant Failure |
NCT01560949 (8) [back to overview] | Number of Participants That Were SMAD4 Positive Before and After Surgery |
NCT01574716 (6) [back to overview] | Part 2: Overall Response Rate (ORR) |
NCT01574716 (6) [back to overview] | Part 2: Overall Survival (OS) |
NCT01574716 (6) [back to overview] | Part 2: Radiologic Progression-free Survival (PFS) |
NCT01574716 (6) [back to overview] | Part 2: Radiologic Progression-free Survival Rate (PFR) |
NCT01574716 (6) [back to overview] | Part 2: Symptomatic Progression-free Survival |
NCT01574716 (6) [back to overview] | Part 2: Number of Participants Who Had Relationship Between MORAb-004 Exposures and Biomarker Levels |
NCT01589094 (4) [back to overview] | Pathologic Response Rate |
NCT01589094 (4) [back to overview] | Number of Participants With Toxicity |
NCT01589094 (4) [back to overview] | 2 Year Recurrence Free Survival (RFS) Rate for Nonresponders |
NCT01589094 (4) [back to overview] | 2 Year Recurrence Free Survival (RFS) Rate for Responders |
NCT01593748 (4) [back to overview] | Rate of Participants With Grade 3 or Higher Toxicity |
NCT01593748 (4) [back to overview] | Hazard Ratio |
NCT01593748 (4) [back to overview] | Average Number of Months of Progression-free Survival |
NCT01593748 (4) [back to overview] | Average Score of Quality of Life |
NCT01595061 (4) [back to overview] | Progression-free Survival (PFS) |
NCT01595061 (4) [back to overview] | Complete Clinical Response |
NCT01595061 (4) [back to overview] | Complete Pathologic Response |
NCT01595061 (4) [back to overview] | Adverse Events (Grade 3 or Higher) During Treatment Period |
NCT01606748 (12) [back to overview] | PK: Dose-Normalized Cmax of Gemcitabine |
NCT01606748 (12) [back to overview] | Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR) (Overall Response Rate [ORR]) (Antitumor Activity of Necitumumab in Combination With Gemcitabine-cisplatin Chemotherapy) |
NCT01606748 (12) [back to overview] | Pharmacokinetics (PK): Maximum Observed Drug Concentration (Cmax) of Necitumumab |
NCT01606748 (12) [back to overview] | PK: Area Under Concentration-Time Curve From Zero to Time 168 (AUC[-168]) of Necitumumab |
NCT01606748 (12) [back to overview] | PK: AUC(0-∞) of Necitumumab After Administration of Process C and Process D Drug Product |
NCT01606748 (12) [back to overview] | PK: Area Under the Plasma Concentration-Time Curve From Time Zero to Infinity, (AUC[0-∞]) of Necitumumab |
NCT01606748 (12) [back to overview] | PK: Cmax of Necitumumab After Administration of Process C and Process D Drug Product |
NCT01606748 (12) [back to overview] | PK: Dose-Normalized AUC(0-24) of Gemcitabine |
NCT01606748 (12) [back to overview] | PK: Dose-Normalized AUC(0-5) of Cisplatin |
NCT01606748 (12) [back to overview] | PK: Dose-Normalized Cmax of Cisplatin |
NCT01606748 (12) [back to overview] | Number of Participants With Anti-Necitumumab Antibodies |
NCT01606748 (12) [back to overview] | PK: Dose Normalized AUC(0-∞) of Gemcitabine |
NCT01610206 (2) [back to overview] | Progression-free Survival |
NCT01610206 (2) [back to overview] | Number of Participants With Adverse Events |
NCT01611662 (1) [back to overview] | Pathological Complete Response Rate Following Chemotherapy Before Surgery |
NCT01622660 (1) [back to overview] | Progression Free Survival (PFS) |
NCT01626664 (4) [back to overview] | Progression Free Survival |
NCT01626664 (4) [back to overview] | Change in Functional Assessment of Cancer Therapy-Lymphoma (FACT-Lym) Total Score |
NCT01626664 (4) [back to overview] | Overall Response Rate |
NCT01626664 (4) [back to overview] | Overall Survival |
NCT01629511 (3) [back to overview] | Time-to-engraftment |
NCT01629511 (3) [back to overview] | 100 Day Treatment Related Mortality (TRM) |
NCT01629511 (3) [back to overview] | Overall Survival |
NCT01632306 (4) [back to overview] | Progression Free Survival (PFS) |
NCT01632306 (4) [back to overview] | Percentage of Participants Who Survived at 6 Months |
NCT01632306 (4) [back to overview] | Percentage of Participants With Complete Response (CR) or Partial Response (PR) [Overall Response Rate (ORR)] |
NCT01632306 (4) [back to overview] | Overall Survival (OS) |
NCT01639131 (3) [back to overview] | Progression-free Survival (PFS) |
NCT01639131 (3) [back to overview] | Response Rate |
NCT01639131 (3) [back to overview] | Overall Survival With Gemcitabine and Docetaxel Combination Therapy |
NCT01647828 (3) [back to overview] | Phase Ib: Number of Participants With Dose-limiting Toxicities (DLT) |
NCT01647828 (3) [back to overview] | Phase 2: Median OS by Notch 3 Percentile (ITT Population) |
NCT01647828 (3) [back to overview] | Phase 2: Overall Survival (ITT Population) |
NCT01654861 (1) [back to overview] | Adverse Events as a Measure of Safety and Tolerability |
NCT01661114 (2) [back to overview] | The Percentage of Untreated and Previously Treated Patients That Had a Partial Response to Treatment |
NCT01661114 (2) [back to overview] | Median Overall Survival of Previously Treated and Previously Untreated Patients |
NCT01663272 (2) [back to overview] | Maximum Tolerated Dose |
NCT01663272 (2) [back to overview] | Median Progression-free Survival (PFS) |
NCT01663857 (7) [back to overview] | Phase 2: Overall Survival |
NCT01663857 (7) [back to overview] | Phase 2: Percentage of Participants Who Achieve Complete Response or Partial Response (Overall Response Rate) |
NCT01663857 (7) [back to overview] | Phase 2: Progression-free Survival (PFS) in Participants Treated With LY2228820 Plus Gemcitabine and Carboplatin Versus Placebo Plus Gemcitabine and Carboplatin |
NCT01663857 (7) [back to overview] | Phase 1b and 2: Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to 8 Hours (AUC 0-8) of LY2228820 |
NCT01663857 (7) [back to overview] | Phase 1b and 2: Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to 8 Hours (AUC 0-8) of LY2228820 |
NCT01663857 (7) [back to overview] | Phase 2: Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Cancer (FACT-O) Total Score |
NCT01663857 (7) [back to overview] | Phase 1b: Recommended Phase 2 Dose of LY2228820 in Combination With Gemcitabine and Carboplatin (Maximum Tolerated Dose [MTD]) |
NCT01679405 (5) [back to overview] | Tumor Control Rate |
NCT01679405 (5) [back to overview] | Number of Adverse Events |
NCT01679405 (5) [back to overview] | Objective Response Rate |
NCT01679405 (5) [back to overview] | Overall Survival (OS) |
NCT01679405 (5) [back to overview] | Time to Progress (TTP) |
NCT01683422 (1) [back to overview] | One-year Survival Rate |
NCT01684878 (9) [back to overview] | Part 1: PFS Assessed by the Investigator |
NCT01684878 (9) [back to overview] | Part 2- Objective Response Rate (ORR) |
NCT01684878 (9) [back to overview] | Part 2: Overall Survival |
NCT01684878 (9) [back to overview] | Part 2: Percentage of Participants With Adverse Events (AEs) |
NCT01684878 (9) [back to overview] | Part 2: Progression Free Survival (PFS) as Assessed by a Blinded Independent Review Committee (IRC) Including Malignant Bowel Obstruction (MBO) |
NCT01684878 (9) [back to overview] | Part 2: Progression-free Survival (PFS) Assessed by the Investigator |
NCT01684878 (9) [back to overview] | Part 2: European Organization for Research and Treatment of Cancer (EORTC) Quality of Life (QoL) Questionnaire (QLQ) of Core 30 (C30) Score |
NCT01684878 (9) [back to overview] | Part 1- Objective Response Rate (ORR) |
NCT01684878 (9) [back to overview] | Part 1: Percentage of Participants With Adverse Events (AEs) |
NCT01696032 (11) [back to overview] | Duration of Response |
NCT01696032 (11) [back to overview] | Stage 1: Pharmacokinetic Parameter AUC0-8 |
NCT01696032 (11) [back to overview] | Clinical Benefit Rate |
NCT01696032 (11) [back to overview] | Stage 1: Dose Limiting Toxicities |
NCT01696032 (11) [back to overview] | Stage 1: Pharmacokinetic Parameter Tmax |
NCT01696032 (11) [back to overview] | Stage 1: Pharmacokinetic Parameter Cmax |
NCT01696032 (11) [back to overview] | Stage 2: Progression Free Survival |
NCT01696032 (11) [back to overview] | CA-125 Levels |
NCT01696032 (11) [back to overview] | Progression Free Survival at 6 Months |
NCT01696032 (11) [back to overview] | Overall Survival |
NCT01696032 (11) [back to overview] | Objective Response Rate |
NCT01726582 (4) [back to overview] | Use of Biomarkers to Determine Course of Treatment |
NCT01726582 (4) [back to overview] | Number of Subjects Completing Therapy Including Surgical Resection. |
NCT01726582 (4) [back to overview] | Overall Survival in Months |
NCT01726582 (4) [back to overview] | Progression-free Survival |
NCT01746173 (2) [back to overview] | Induction Response |
NCT01746173 (2) [back to overview] | 24-month Progression-Free Survival Rate |
NCT01746979 (2) [back to overview] | Overall Survival |
NCT01746979 (2) [back to overview] | Progression Free Survival |
NCT01754623 (2) [back to overview] | Margin-negative (R0) Resection Rate |
NCT01754623 (2) [back to overview] | Overall Survival (OS) Rate |
NCT01763788 (17) [back to overview] | Phase 1b: Percentage of Participants Who Achieve Best Overall Tumor Response of Complete Response or Partial Response (Objective Tumor Response Rate [ORR]) |
NCT01763788 (17) [back to overview] | Phase 1b: Number of Participants With Dose Limiting Toxicities (DLTs) |
NCT01763788 (17) [back to overview] | Phase 1b: PK: Area Under the Serum Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity]) of Necitumumab |
NCT01763788 (17) [back to overview] | Phase 1b: PK: Area Under the Plasma Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity]) of Gemcitabine and Cisplatin |
NCT01763788 (17) [back to overview] | Phase 2: Change From Baseline in EuroQol 5-Dimensional 3 Level (EuroQol-5D-3L) Visual Analog Scale (VAS) |
NCT01763788 (17) [back to overview] | Phase 2: Change From Baseline in EuroQol 5-Dimensional 3 Level (EuroQol-5D-3L) Index Score |
NCT01763788 (17) [back to overview] | Phase 1b: PK: Area Under the Plasma Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity]) of Gemcitabine and Cisplatin |
NCT01763788 (17) [back to overview] | Phase 1b: Pharmacokinetics (PK): Maximum Concentration (Cmax) of Necitumumab |
NCT01763788 (17) [back to overview] | Phase 2: Percentage of Participants Who Achieve Best Overall Tumor Response of Complete Response or Partial Response (Objective Tumor Response Rate [ORR]) |
NCT01763788 (17) [back to overview] | Phase 2: Time to Treatment Failure (TTF) |
NCT01763788 (17) [back to overview] | Phase 2: Progression Free Survival (PFS) |
NCT01763788 (17) [back to overview] | Phase 2: Overall Survival (OS) |
NCT01763788 (17) [back to overview] | Phase 2: Number of Participants With Serum Anti-Necitumumab Antibody Assessment (Immunogenicity) |
NCT01763788 (17) [back to overview] | Phase 2: Change From Baseline in Lung Cancer Symptom Scale (LCSS) |
NCT01763788 (17) [back to overview] | Phase 2: PK: Minimum Concentration (Ctrough) of Necitumumab |
NCT01763788 (17) [back to overview] | Phase 1b: Pharmacokinetics (PK): Maximum Concentration (Cmax) of Necitumumab |
NCT01763788 (17) [back to overview] | Phase 1b: PK: Cmax of Gemcitabine and Cisplatin |
NCT01780662 (8) [back to overview] | Adverse Events Graded According to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0 |
NCT01780662 (8) [back to overview] | The Number of Patients Who Had Successful Peripheral Blood Stem Cell (PBSC) Collection |
NCT01780662 (8) [back to overview] | The Number of Patients Who Had Disease Response Assessed by Deauville Scales Among Those in Phase I With Dose Level 2. |
NCT01780662 (8) [back to overview] | Percentage of Patients Who Achieved Overall Response (OR) as Measured by Complete Response (CR) and Partial Response (PR) |
NCT01780662 (8) [back to overview] | Maximum Tolerated Dose (MTD) for Brentuximab Vedotin |
NCT01780662 (8) [back to overview] | The Number of Patients With Relapsed or Refractory HL Who Achieved Complete Response (CR) |
NCT01780662 (8) [back to overview] | Number of Patients With FcyRIIIa-158 V/F (Valine/Phenylalanine) Polymorphism |
NCT01780662 (8) [back to overview] | Plasma Level of Thymus and Activation-Regulated Chemokine (TARC) |
NCT01782690 (13) [back to overview] | Number of Participants With Rash by Severity |
NCT01782690 (13) [back to overview] | Score in Participant Questionnaire: Quality of Life |
NCT01782690 (13) [back to overview] | Score in Patient Questionnaire: Possible Side Effects |
NCT01782690 (13) [back to overview] | Score in Participant Questionnaire: What to Do in Case of Side Effect |
NCT01782690 (13) [back to overview] | Number of Dose Modifications and Dose Withdrawals of Erlotinib |
NCT01782690 (13) [back to overview] | Number of Dose Modifications and Dose Withdrawals of Gemcitabine |
NCT01782690 (13) [back to overview] | Number of Participants With Adverse Events (AEs) |
NCT01782690 (13) [back to overview] | Percentage of Participants With Best Overall Response |
NCT01782690 (13) [back to overview] | Time to Disease Progression |
NCT01782690 (13) [back to overview] | Time of Onset of Rash After Start Erlotinib Treatment |
NCT01782690 (13) [back to overview] | Overall Survival Stratified by Rash |
NCT01782690 (13) [back to overview] | Overall Survival Time Stratified by Eastern Cooperative Oncology Group Performance Status (ECOG-PS) |
NCT01782690 (13) [back to overview] | Score in Participant Questionnaire: Actual Side Effects of Therapy Compared to Expectation |
NCT01783054 (4) [back to overview] | Number of Participants With R0 Resection Status. |
NCT01783054 (4) [back to overview] | Estimate Median Time to Recurrence. |
NCT01783054 (4) [back to overview] | Estimate Median Overall Survival |
NCT01783054 (4) [back to overview] | Number of Adverse Events Reported in Subjects Enrolled. |
NCT01788566 (7) [back to overview] | Overall Survival (OS) |
NCT01788566 (7) [back to overview] | Percentage of Participants Who Achieve Best Overall Tumor Response of Complete Response (CR) or Partial Response (PR) Objective Tumor Response Rate (ORR) |
NCT01788566 (7) [back to overview] | Progression Free Survival (PFS) |
NCT01788566 (7) [back to overview] | Number of Participants With Anti-Necitumumab Antibodies |
NCT01788566 (7) [back to overview] | Pharmacokinetics (PK): Minimum (Cmin) Maximum Concentration (Cmax) of Necitumumab |
NCT01788566 (7) [back to overview] | Number of Participants Who Achieve Best Overall Disease Response of Complete Response (CR), Partial Response (PR) or Stable Disease (SD) [Disease Control Rate (DCR)] |
NCT01788566 (7) [back to overview] | Percent Change in Tumor Size (CTS) |
NCT01803282 (2) [back to overview] | Percentage of Participants Experiencing Laboratory Abnormalities |
NCT01803282 (2) [back to overview] | Percentage of Participants Experiencing Treatment-Emergent Adverse Events |
NCT01809210 (9) [back to overview] | CL/F |
NCT01809210 (9) [back to overview] | Cmax,ss |
NCT01809210 (9) [back to overview] | Percentage Change From Baseline at 6 Weeks in Target Lesion Size |
NCT01809210 (9) [back to overview] | Tmax,ss |
NCT01809210 (9) [back to overview] | Best Objective Response |
NCT01809210 (9) [back to overview] | Dose Limiting Toxicity (DLT) Events in Chemotherapy in Combination With Selumetinib |
NCT01809210 (9) [back to overview] | Objective Response Rate (ORR) |
NCT01809210 (9) [back to overview] | AUC (0-tau) |
NCT01809210 (9) [back to overview] | Best Percentage Change From Baseline in Target Lesion Size |
NCT01822756 (4) [back to overview] | Duration of Response |
NCT01822756 (4) [back to overview] | Percentage of Participants With a Best Response by RECIST Criteria |
NCT01822756 (4) [back to overview] | Percentage of Participants With Adverse Events That Are Defined as Dose Limiting Toxicities (DLTs) |
NCT01822756 (4) [back to overview] | Percentage of Responders |
NCT01822886 (5) [back to overview] | Safety - Frequency of Toxicities Grade 3 and 4 |
NCT01822886 (5) [back to overview] | Percentage of Participants With Progression-Free Survival |
NCT01822886 (5) [back to overview] | Overall Survival is Measured From the Date of Study Entry to the Date of Patient's Death |
NCT01822886 (5) [back to overview] | Complete Remission (CR) Rate |
NCT01822886 (5) [back to overview] | Overall Response Rate (ORR) |
NCT01828034 (4) [back to overview] | MTD of MEK162 - Phase I |
NCT01828034 (4) [back to overview] | Median PFS |
NCT01828034 (4) [back to overview] | Median Overall Survival |
NCT01828034 (4) [back to overview] | Objective Response Rate (ORR) |
NCT01833546 (31) [back to overview] | Number of Participants With Treatment-Emergent Adverse Events (TEAE), Serious TEAEs, TEAEs Leading to Death |
NCT01833546 (31) [back to overview] | Number of Participants With Clinical Significant Laboratory Abnormalities and Vital Signs Abnormalities Reported as Treatment Emergent Adverse Events |
NCT01833546 (31) [back to overview] | Maximum Observed Plasma Concentration (Cmax) of Gemcitabine and Its Metabolite (2',2'-Difluorodeoxyuridine [dFdU]) |
NCT01833546 (31) [back to overview] | Maximum Observed Plasma Concentration (Cmax) of Evofosfamide and Its Metabolite (Bromo-isophosphoramide Mustard [Br-IPM]) |
NCT01833546 (31) [back to overview] | Cumulative Amount of Evofosfamide Excreted From Time Zero to Time After Dosing (Ae0-t) |
NCT01833546 (31) [back to overview] | Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity (AUC [0-infinity]) of Gemcitabine and Its Metabolite (2',2'-Difluorodeoxyuridine [dFdU]) |
NCT01833546 (31) [back to overview] | Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity (AUC [0-infinity]) of Evofosfamide and Its Metabolite (Bromo-isophosphoramide Mustard [Br-IPM]) |
NCT01833546 (31) [back to overview] | Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity (AUC [0-infinity]) of Evofosfamide and Its Metabolite (Bromo-isophosphoramide Mustard [Br-IPM]) |
NCT01833546 (31) [back to overview] | Area Under the Plasma Concentration-Time Curve (AUC) From Time Zero to Sampling Time With Concentration at or Above the Lower Limit of Quantitation (AUC[0-t]) of Gemcitabine and Its Metabolite (2',2'-Difluorodeoxyuridine [dFdU]) |
NCT01833546 (31) [back to overview] | Apparent Terminal Half-life (t1/2) of of Gemcitabine and Its Metabolite (2',2'-Difluorodeoxyuridine [dFdU]) |
NCT01833546 (31) [back to overview] | Apparent Volume of Distribution During Terminal Phase (Vz) of Gemcitabine |
NCT01833546 (31) [back to overview] | Apparent Volume of Distribution During Terminal Phase (Vz) of Evofosfamide |
NCT01833546 (31) [back to overview] | Area Under the Plasma Concentration-Time Curve (AUC) From Time Zero to Sampling Time With Concentration at or Above the Lower Limit of Quantitation (AUC[0-t]) of Evofosfamide and Its Metabolite (Bromo-isophosphoramide Mustard [Br-IPM]) |
NCT01833546 (31) [back to overview] | Time to Reach Maximum Plasma Concentration (Tmax) of Gemcitabine and Its Metabolite (2',2'-Difluorodeoxyuridine [dFdU]) |
NCT01833546 (31) [back to overview] | Number of Participants With Abnormal Electrocardiogram (ECG) Findings Reported as Treatment Emergent Adverse Events (TEAEs) |
NCT01833546 (31) [back to overview] | Time to Reach Maximum Plasma Concentration (Tmax) of Evofosfamide and Its Metabolite (Bromo-isophosphoramide Mustard [Br-IPM]) |
NCT01833546 (31) [back to overview] | Terminal Rate Constant Associated With the Terminal Elimination Phase (λz) of Gemcitabine and Its Metabolite (2',2'-Difluorodeoxyuridine [dFdU]) |
NCT01833546 (31) [back to overview] | Terminal Rate Constant Associated With the Terminal Elimination Phase (λz) of Evofosfamide and Its Metabolite (Bromo-isophosphoramide Mustard [Br-IPM]) |
NCT01833546 (31) [back to overview] | Number of Participants With Disease Control |
NCT01833546 (31) [back to overview] | Terminal Rate Constant Associated With the Terminal Elimination Phase (λz) of Evofosfamide and Its Metabolite (Bromo-isophosphoramide Mustard [Br-IPM]) |
NCT01833546 (31) [back to overview] | Renal Clearance (CL) for Evofosfamide |
NCT01833546 (31) [back to overview] | Apparent Volume of Distribution at Steady State (Vss) of Gemcitabine |
NCT01833546 (31) [back to overview] | Apparent Volume of Distribution at Steady State (Vss) of Evofosfamide |
NCT01833546 (31) [back to overview] | Apparent Total Body Clearance of (CL) of Gemcitabine |
NCT01833546 (31) [back to overview] | Apparent Total Body Clearance of (CL) of Evofosfamide |
NCT01833546 (31) [back to overview] | Best Overall Response (BOR) |
NCT01833546 (31) [back to overview] | Apparent Terminal Half-life (t1/2) of Evofosfamide and Its Metabolite (Bromo-isophosphoramide Mustard [Br-IPM]) |
NCT01833546 (31) [back to overview] | Number of Participants With Objective Response |
NCT01833546 (31) [back to overview] | Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status Score of 2 or Higher Than 2 |
NCT01833546 (31) [back to overview] | Number of Participants Who Experienced Any Dose-Limiting Toxicity (DLT) During First Cycle - Day 1 to 28 |
NCT01833546 (31) [back to overview] | Apparent Terminal Half-life (t1/2) of Evofosfamide and Its Metabolite (Bromo-isophosphoramide Mustard [Br-IPM]) |
NCT01839487 (9) [back to overview] | Overall Survival |
NCT01839487 (9) [back to overview] | Percentage of Participants in the PAG Arm Who Experienced Any Thromboembolic (TE) Event in Stage 2 of the Study |
NCT01839487 (9) [back to overview] | Percentage of Participants With AEs |
NCT01839487 (9) [back to overview] | Progression-Free Survival (PFS) |
NCT01839487 (9) [back to overview] | Area Under the Concentration-Time Curve From Time 0 to Last Quantifiable Concentration (AUC0-last) of PEGPH20 |
NCT01839487 (9) [back to overview] | Maximum Observed Plasma Concentration (Cmax) of PEGPH20 |
NCT01839487 (9) [back to overview] | PFS in Relation to Tumor Hyaluronan (HA) Levels |
NCT01839487 (9) [back to overview] | Time to Reach Cmax (Tmax) of PEGPH20 |
NCT01839487 (9) [back to overview] | Objective Response Rate (ORR): Percentage of Participants With Objective Response |
NCT01839799 (1) [back to overview] | Number of Participants With Relapse-free Survival |
NCT01862328 (8) [back to overview] | Duration of Response |
NCT01862328 (8) [back to overview] | Dose-escalation Phase: Plasma Concentrations-time Data of MLN4924 |
NCT01862328 (8) [back to overview] | MTD Expansion Phase: Plasma Concentrations-time Data of MLN4924 |
NCT01862328 (8) [back to overview] | MTD Expansion Phase: Plasma Concentrations-time Data of MLN4924 |
NCT01862328 (8) [back to overview] | Number of Participants Who Experience at Least 1 Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) |
NCT01862328 (8) [back to overview] | Number of Participants With TEAEs Related to Clinically Significant Laboratory Evaluation Findings |
NCT01862328 (8) [back to overview] | Number of Participants With TEAEs Related to Clinically Significant Vital Sign Findings |
NCT01862328 (8) [back to overview] | Percentage of Participants With Objective Response |
NCT01879085 (8) [back to overview] | Progression-free Survival (PFS) |
NCT01879085 (8) [back to overview] | Six-month Overall Survival (OS) |
NCT01879085 (8) [back to overview] | Six-month Progression-free Survival (PFS) |
NCT01879085 (8) [back to overview] | Objective Response Rate (ORR) |
NCT01879085 (8) [back to overview] | One-year Overall Survival (OS) |
NCT01879085 (8) [back to overview] | One-year Progression-free Survival (PFS) |
NCT01879085 (8) [back to overview] | Overall Survival (OS) |
NCT01879085 (8) [back to overview] | Phase I: Recommended Phase II Dose of Vorinostat |
NCT01881230 (7) [back to overview] | Kaplan-Meier Estimates of Overall Survival |
NCT01881230 (7) [back to overview] | Kaplan-Meier Estimates of Progression-Free Survival (PFS) Based on Investigator Assessment. |
NCT01881230 (7) [back to overview] | Percentage of Participants Who Discontinued From All Study Treatment Due to TEAEs |
NCT01881230 (7) [back to overview] | Percentage of Participants Experiencing Dose Modifications (Reductions and Interruptions) |
NCT01881230 (7) [back to overview] | Percentage of Participants Who Initiated Cycle 6 Receiving Doublet Combination Therapy |
NCT01881230 (7) [back to overview] | Percentage of Participants With an Objective Complete or Partial Overall Response by Investigator Assessment. |
NCT01881230 (7) [back to overview] | Number of Participants With Treatment Emergent Adverse Events (TEAEs) |
NCT01893801 (3) [back to overview] | Progression-Free Survival |
NCT01893801 (3) [back to overview] | Percentage Change in CA 19-9 |
NCT01893801 (3) [back to overview] | Overall Survival |
NCT01897454 (7) [back to overview] | Toxicities Associated With Chemotherapy and Radiotherapy |
NCT01897454 (7) [back to overview] | Progression Free Survival (PFS) |
NCT01897454 (7) [back to overview] | Percentage of Patients Able to Undergo Resection |
NCT01897454 (7) [back to overview] | Percentage of Participants Achieving R0 Resection (R0 Resection Rate) |
NCT01897454 (7) [back to overview] | Overall Survival (OS) |
NCT01897454 (7) [back to overview] | Overall Response Rate |
NCT01897454 (7) [back to overview] | Vascular Reconstruction |
NCT01916109 (1) [back to overview] | Pathologic Complete Response Rate ( |
NCT01921751 (2) [back to overview] | Overall Survival |
NCT01921751 (2) [back to overview] | Patterns of Failure (Local and Metastatic Failure) |
NCT01938573 (3) [back to overview] | Patients With Dose Limiting Toxicity |
NCT01938573 (3) [back to overview] | Percent of Patients With Pathologic Complete Response (Phase II) |
NCT01938573 (3) [back to overview] | Incidence of Adverse Events Including Any Unfavorable and Unintended Sign, Symptom, Diagnosis, or Disease Temporally Associated With the Use of a Medicinal Product, Whether or Not Related to the Medicinal Product (Phase I and II) |
NCT01949870 (1) [back to overview] | The Number of Dose-limiting Toxicities |
NCT01951157 (8) [back to overview] | Overall Response Rate |
NCT01951157 (8) [back to overview] | Duration of Response |
NCT01951157 (8) [back to overview] | Overall Survival (OS) |
NCT01951157 (8) [back to overview] | Information on Quality of Life (QoL) |
NCT01951157 (8) [back to overview] | Information on Quality of Life (QoL) |
NCT01951157 (8) [back to overview] | Progression-free Survival Rate at Six Months (PFS6) |
NCT01951157 (8) [back to overview] | Progression-free Survival Rate at Four Months (PFS4) |
NCT01951157 (8) [back to overview] | Progression-free Survival |
NCT01959672 (5) [back to overview] | Distant Failure-free Survival |
NCT01959672 (5) [back to overview] | Surgical Complete Resection (Negative Margin) Rate |
NCT01959672 (5) [back to overview] | Overall Survival |
NCT01959672 (5) [back to overview] | Number of Participants With Progressive Disease, |
NCT01959672 (5) [back to overview] | Number of Participants With CA-125-Specific T-cell Signal. |
NCT01964430 (4) [back to overview] | The Number of Participants With Clinical Chemistry Laboratory-Detected Abnormalities (Grade 3-4) |
NCT01964430 (4) [back to overview] | Kaplan Meier Estimate for Disease Free Survival (DFS) According to the Independent Radiological Review Committee |
NCT01964430 (4) [back to overview] | Kaplan Meier Estimate of Overall Survival (OS) |
NCT01964430 (4) [back to overview] | Number of Participants With Treatment Emergent Adverse Events (TEAE's) |
NCT01978184 (11) [back to overview] | Evans Grade Histopathologic Response |
NCT01978184 (11) [back to overview] | Type of Surgical Procedure (Operation) |
NCT01978184 (11) [back to overview] | Carbohydrate Antigen 19-9 (CA19-9) Response |
NCT01978184 (11) [back to overview] | Age at Diagnosis |
NCT01978184 (11) [back to overview] | Robotic Resection Surgery |
NCT01978184 (11) [back to overview] | Rate of R0 Resection |
NCT01978184 (11) [back to overview] | Cancer Diagnosis Stage |
NCT01978184 (11) [back to overview] | Age-Adjusted Charlson Comorbidity Index |
NCT01978184 (11) [back to overview] | Positive Lymph Node Involvement |
NCT01978184 (11) [back to overview] | CT Tumor Size |
NCT01978184 (11) [back to overview] | Carbohydrate Antigen 19-9 (CA19-9) Response |
NCT01983969 (2) [back to overview] | Frequency of DLT |
NCT01983969 (2) [back to overview] | Participants With Event-free Survival (EFS) |
NCT01998919 (7) [back to overview] | Duration of Response |
NCT01998919 (7) [back to overview] | Percentage of Participants With Non-Progression at Week 16 as Assessed by RECIST |
NCT01998919 (7) [back to overview] | Time to Progression |
NCT01998919 (7) [back to overview] | Progression-Free Survival (PFS) |
NCT01998919 (7) [back to overview] | Percentage of Participants With Confirmed CR or PR as Assessed by RECIST |
NCT01998919 (7) [back to overview] | Overall Survival |
NCT01998919 (7) [back to overview] | Percentage of Participants With Non-Progression at Week 8 as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST) |
NCT02000531 (2) [back to overview] | Participants With Adverse Events |
NCT02000531 (2) [back to overview] | Progression Free Survival (PFS) Based on Well-documented and Verifiable Progression Events |
NCT02004093 (13) [back to overview] | Kaplan-Meier Probability of Being Progression Free at 1 Year |
NCT02004093 (13) [back to overview] | Kaplan-Meier Probability of Maintaining a Response to at Least 1 Year |
NCT02004093 (13) [back to overview] | Overall Survival |
NCT02004093 (13) [back to overview] | Duration of Response |
NCT02004093 (13) [back to overview] | Time to Progressive Disease |
NCT02004093 (13) [back to overview] | Kaplan-Meier Probability of No Disease or Progression at 1 Year |
NCT02004093 (13) [back to overview] | Kaplan-Meier Probability of Being Alive at 1 Year |
NCT02004093 (13) [back to overview] | Percentage of Participants Who Died |
NCT02004093 (13) [back to overview] | Percentage of Participants With a Best Overall Confirmed Response Based on Combined CA 125 and RECIST Measurements |
NCT02004093 (13) [back to overview] | Percentage of Participants With Disease Progression |
NCT02004093 (13) [back to overview] | Percentage of Participants With Disease Progression or Death |
NCT02004093 (13) [back to overview] | Progression-Free Survival |
NCT02004093 (13) [back to overview] | Time To Response |
NCT02006667 (7) [back to overview] | Overall Survival - Time to Event |
NCT02006667 (7) [back to overview] | Percentage of Participants Achieving Complete Response (CR), Partial Response (PR), or Stable Disease (SD) |
NCT02006667 (7) [back to overview] | Overall Survival (OS) - Percentage of Participants With an Event |
NCT02006667 (7) [back to overview] | Progression-Free Survival - Time to Event |
NCT02006667 (7) [back to overview] | Progression-Free Survival (PFS) - Percentage of Participants With an Event |
NCT02006667 (7) [back to overview] | Percentage of Participants Surviving at 12 and 24 Months |
NCT02006667 (7) [back to overview] | Percentage of Participants Who Were Progression Free at 12 and 24 Months |
NCT02009332 (3) [back to overview] | Phase 1: Dose Limiting Toxicities (DLT) Following Intravesical Administration of ABI-009 |
NCT02009332 (3) [back to overview] | Phase 1: Number of Participants Achieving a Complete Response Following Intravesical Administration of ABI-009 |
NCT02009332 (3) [back to overview] | Phase 2: Number of Participants Achieving a Complete Response Following Intravesical Administration of ABI-009 and Gemcitabine |
NCT02017015 (4) [back to overview] | Number of Participants Experiencing Treatment Emergent Adverse Events (TEAE) |
NCT02017015 (4) [back to overview] | Kaplan-Meier Estimate of Overall Survival (OS) |
NCT02017015 (4) [back to overview] | Overall Response Rate (ORR) Based on Independent Radiological Review (IRR) |
NCT02017015 (4) [back to overview] | Duration of Response (DoR) Based on IRR According to RECIST Guidelines |
NCT02030574 (2) [back to overview] | Number of Participants Experiencing Toxicities With Neoadjuvant Gemcitabine and Fractionated Cisplatin for Patients With Bladder Cancer |
NCT02030574 (2) [back to overview] | Pathologic Complete Response Rate of Neoadjuvant Gemcitabine and Fractionated Cisplatin for Patients With Muscle Invasive Bladder Cancer Whom Are Not Candidates for High Dose Cisplatin. |
NCT02037230 (4) [back to overview] | Overall Survival |
NCT02037230 (4) [back to overview] | Time From Date of Registration to Date of Documented Disease Progression |
NCT02037230 (4) [back to overview] | Number of Patients With Phosphorylation Inhibition of Greater Than 0 |
NCT02037230 (4) [back to overview] | Maximum Tolerated Dose (MTD) of AZD1775 (MK-1775) When Used Concurrently With Gemcitabine and Radiation Therapy. |
NCT02041533 (6) [back to overview] | Progression-Free Survival in All Randomized Participants |
NCT02041533 (6) [back to overview] | Disease-related Symptom Improvement Rate by Week 12 |
NCT02041533 (6) [back to overview] | Objective Response Rate (ORR) in Participants With PD-L1 Expression >= 5% |
NCT02041533 (6) [back to overview] | Overall Survival in All Randomized Participants |
NCT02041533 (6) [back to overview] | Overall Survival in Participants With PD-L1 Expression >= 5% |
NCT02041533 (6) [back to overview] | Progression-Free Survival in Participants With PD-L1 Expression >= 5% |
NCT02047500 (1) [back to overview] | Number of Subjects Experiencing Dose Limiting Toxicity (DLT) |
NCT02054338 (3) [back to overview] | Overall Survival |
NCT02054338 (3) [back to overview] | Overall Response Rate & Disease Control Rate |
NCT02054338 (3) [back to overview] | Progression Free Survival |
NCT02079636 (15) [back to overview] | PK: Area Under the Concentration Curve (AUC) of Abemaciclib in Part A, B, C, D and E |
NCT02079636 (15) [back to overview] | PK: Area Under the Concentration Curve (AUC) of Abemaciclib in Part A, B, C, D and E |
NCT02079636 (15) [back to overview] | PK: Area Under the Concentration Curve (AUC) of Active Gemcitabine Metabolite: 2',2'-Difluorodeoxyuridine (dFdU) on Day 1 and at Steady State (Cycle 2 Day 1) in Part B |
NCT02079636 (15) [back to overview] | PK: Area Under the Concentration Curve (AUC) of LY3023414 in Part D |
NCT02079636 (15) [back to overview] | PK: Dose-normalized Maximum Concentration (Cmax) of Active Gemcitabine Metabolite: 2',2'-Difluorodeoxyuridine (dFdU) on Day 1 and at Steady State (Cycle 2 Day 1) in Part B |
NCT02079636 (15) [back to overview] | PK: Maximum Concentration (Cmax) of LY3023414 in Part D |
NCT02079636 (15) [back to overview] | PK: Maximum Concentration (Cmax) of Ramucirumab at 1 Hour Post-End-of-Infusion in Part C |
NCT02079636 (15) [back to overview] | Pharmacokinetics: Maximum Concentration (Cmax) of Pemetrexed at Steady State in Part A |
NCT02079636 (15) [back to overview] | Number of Participants Achieving Complete Response (CR) or Partial Response (PR) (Overall Response Rate [ORR]) in Part A, B, C, D and E |
NCT02079636 (15) [back to overview] | Number of Participants With Dose-Limiting Toxicities (DLT) or DLT-equivalent in Part A, B, C, D and E |
NCT02079636 (15) [back to overview] | PK: Area Under the Concentration Curve (AUC) of Pemetrexed at Steady State in Part A |
NCT02079636 (15) [back to overview] | Progression Free Survival Time in Part A, B, C, D and E |
NCT02079636 (15) [back to overview] | Change From Baseline in MD Anderson Symptom Inventory Scale-Lung Cancer (MDASI-LC) in Part A, B, C, D and E |
NCT02079636 (15) [back to overview] | Pharmacokinetics (PK): Maximum Concentration (Cmax) of Abemaciclib on Day 1 and at Steady State (Cycle 2 Day 1) in Part A , B, C, D and E |
NCT02079636 (15) [back to overview] | Pharmacokinetics (PK): Maximum Concentration (Cmax) of Abemaciclib on Day 1 and at Steady State (Cycle 2 Day 1) in Part A , B, C, D and E |
NCT02082522 (15) [back to overview] | Change From Baseline in Health-related Quality of Life on the 4- and 7-point European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ-C30) |
NCT02082522 (15) [back to overview] | Change From Baseline in Performance Status on the Karnofsky Performance Scale (KPS) |
NCT02082522 (15) [back to overview] | Change From Baseline in Performance Status on the Karnofsky Performance Scale (KPS) |
NCT02082522 (15) [back to overview] | Change From Baseline in Performance Status on the Karnofsky Performance Scale (KPS) |
NCT02082522 (15) [back to overview] | Change From Baseline in Performance Status on the Karnofsky Performance Scale (KPS) |
NCT02082522 (15) [back to overview] | Change From Baseline in Performance Status on the Karnofsky Performance Scale (KPS) |
NCT02082522 (15) [back to overview] | Change From Baseline in Performance Status on the Karnofsky Performance Scale (KPS) |
NCT02082522 (15) [back to overview] | Change From Baseline on Karnofsky Performance Scale (KPS) |
NCT02082522 (15) [back to overview] | Overall Survival Time |
NCT02082522 (15) [back to overview] | Change From Baseline in Health-related Quality of Life on the 4- and 7-point EORTC QLQ-C30 |
NCT02082522 (15) [back to overview] | Change From Baseline in Health-related Quality of Life on the 4- and 7-point EORTC QLQ-C30 |
NCT02082522 (15) [back to overview] | Change From Baseline in Health-related Quality of Life on the 4- and 7-point EORTC QLQ-C30 |
NCT02082522 (15) [back to overview] | Change From Baseline in Health-related Quality of Life on the 4- and 7-point EORTC QLQ-C30 |
NCT02082522 (15) [back to overview] | Change From Baseline in Health-related Quality of Life on the 4- and 7-point EORTC QLQ-C30 |
NCT02082522 (15) [back to overview] | Best Overall Tumor Response as Measured by the RECIST 1.1 Criteria (Response Evaluation Criteria in Solid Tumors) |
NCT02083679 (2) [back to overview] | Number of Subjects With Dose Limiting Toxicities (DLTs) |
NCT02083679 (2) [back to overview] | Number of Subjects With Treatment-emergent Adverse (TEAEs), Serious TEAEs, TEAEs Leading to Discontinuation and TEAEs Leading to Death |
NCT02101021 (4) [back to overview] | Lead-In Phase: Percentage of Participants Experiencing Treatment-Emergent Dose Limiting Toxicity (DLT) Adverse Events |
NCT02101021 (4) [back to overview] | Lead-In Phase: Overall Survival (OS) |
NCT02101021 (4) [back to overview] | Lead-In Phase: Overall Response Rate (ORR) |
NCT02101021 (4) [back to overview] | Lead-In Phase: Progression-Free Survival (PFS) |
NCT02101775 (8) [back to overview] | TP53 Mutations |
NCT02101775 (8) [back to overview] | Progression Free Survival |
NCT02101775 (8) [back to overview] | p53 Protein Expression |
NCT02101775 (8) [back to overview] | Overall Survival |
NCT02101775 (8) [back to overview] | Patient Reported Outcomes |
NCT02101775 (8) [back to overview] | Objective Response |
NCT02101775 (8) [back to overview] | Response According to CA125 Criteria |
NCT02101775 (8) [back to overview] | Number of Participants With Grade 3 or 4 Adverse Events Related to Study Treatment |
NCT02106884 (6) [back to overview] | Duration of Response (in Responders) |
NCT02106884 (6) [back to overview] | Overall Survival |
NCT02106884 (6) [back to overview] | Progression Free Survival |
NCT02106884 (6) [back to overview] | QOL Global Health Status Deterioration-free Median Survival |
NCT02106884 (6) [back to overview] | Deterioration-free Survival Rate of the QOL Global Health Status at 3, 6 and 12 Months (Mos) |
NCT02106884 (6) [back to overview] | Laboratory Safety Assessment |
NCT02109445 (12) [back to overview] | Time to Reach Maximum Observed Plasma Concentration (Tmax) for PF-03084014, Nab-P and GEM in Phase 1 |
NCT02109445 (12) [back to overview] | Systemic Clearance (CL) of Nab-paclitaxel in Phase 1 |
NCT02109445 (12) [back to overview] | Systemic Clearance (CL) of Gemcitabine in Phase 1 |
NCT02109445 (12) [back to overview] | Plasma Decay Half-life (t1/2) for Nab-P and GEM in Phase 1 |
NCT02109445 (12) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for PF-03084014, Nab-P and GEM in Phase 1 |
NCT02109445 (12) [back to overview] | Area Under the Concentration-time Curve (AUC) for PF-03084014, Nab-P and Gemcitabine in Phase 1 |
NCT02109445 (12) [back to overview] | Number of Participants With Worsening QTc Results in Phase 1 |
NCT02109445 (12) [back to overview] | Number of Participants With Objective Response (OR) in Phase 1 |
NCT02109445 (12) [back to overview] | Number of Participants With Dose-limiting Toxicities (DLTs) in Cycle 1 |
NCT02109445 (12) [back to overview] | Number of Participants With Adverse Events (AEs) by Seriousness and Relationship to Treatment in Phase 1 |
NCT02109445 (12) [back to overview] | Volume of Distribution at Steady State (Vss) for Nab-P and GEM in Phase 1 |
NCT02109445 (12) [back to overview] | Number of Participants With Laboratory Abnormalities in Phase 1 |
NCT02117024 (6) [back to overview] | Survival at 6 Months |
NCT02117024 (6) [back to overview] | Survival at 12 Months |
NCT02117024 (6) [back to overview] | Frequency of Adverse Events: Number of Participants With Treatment-Emergent Adverse Events (TEAE) |
NCT02117024 (6) [back to overview] | Overall Survival (OS) |
NCT02117024 (6) [back to overview] | Time to Progression (TTP) |
NCT02117024 (6) [back to overview] | Progression-Free Survival (PFS) |
NCT02139358 (4) [back to overview] | Phase II: Objective Response Rate (ORR) |
NCT02139358 (4) [back to overview] | Phase II: Progression Free Survival (PFS) |
NCT02139358 (4) [back to overview] | Phase I: Recommended Phase II Dose (RP2D) |
NCT02139358 (4) [back to overview] | Overall Survival (OS) |
NCT02142738 (3) [back to overview] | Progression Free Survival (PFS) Rate at Month 6 |
NCT02142738 (3) [back to overview] | Overall Survival (OS) Rate |
NCT02142738 (3) [back to overview] | Objective Response Rate (ORR) |
NCT02145078 (2) [back to overview] | Progression-free Survival (PFS) |
NCT02145078 (2) [back to overview] | Overall Survival (OS) |
NCT02177695 (7) [back to overview] | Pathologic T0 Rate Evaluation: Gemcitabine+Cisplatin (GC) Versus Dose-dense Methotrexate, Vinblastin, Doxorubicin, and Cisplatin (DDMVAC) |
NCT02177695 (7) [back to overview] | Assessment of Whether the Treatment-specific COXEN Score is Prognostic of ≤ pT1 Rate |
NCT02177695 (7) [back to overview] | Assessment of COXEN Score as a Predictive Factor Distinguishing Between GC and ddMVAC |
NCT02177695 (7) [back to overview] | Assessment of Whether the Treatment-specific COXEN Score is Prognostic of pT0 Rate |
NCT02177695 (7) [back to overview] | Correlation Between GC-and ddMVAC-COXEN Score |
NCT02177695 (7) [back to overview] | Number of Participants With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs |
NCT02177695 (7) [back to overview] | Predictability of the CO-eXpression ExtrapolatioN (COXEN) Score to Direct Which of the Two Regimens the Patient Should Receive: Gemcitabine+Cisplatin (GC) Versus Dose-dense Methotrexate, Vinblastin, Doxorubicin, and Cisplatin (DDMVAC) |
NCT02178241 (4) [back to overview] | Observed Overall Response Rate |
NCT02178241 (4) [back to overview] | Overall Survival |
NCT02178241 (4) [back to overview] | Progression-free Survival |
NCT02178241 (4) [back to overview] | Incidence of Adverse Events. |
NCT02178436 (5) [back to overview] | Proportion of Patients With a Response |
NCT02178436 (5) [back to overview] | Progression Free Survival (Phase II) |
NCT02178436 (5) [back to overview] | Maximum Tolerated Dose (MTD) of Selinexor, Gemcitabine Hydrochloride, and Paclitaxel Albumin-stabilized Nanoparticle Formulation Combination (Phase Ib) |
NCT02178436 (5) [back to overview] | Overall Survival (Phase II) |
NCT02178436 (5) [back to overview] | Proportion of Patients With a Toxic Event, Graded According to NCI CTCAE Version 4.03 |
NCT02181634 (8) [back to overview] | Time To Progression (TTP) |
NCT02181634 (8) [back to overview] | Association Between OS and Maximum Change in Carbohydrate Antigen (CA) 19-9 From Baseline |
NCT02181634 (8) [back to overview] | Association Between PFS and Maximum Change in Carbohydrate Antigen (CA) 19-9 From Baseline |
NCT02181634 (8) [back to overview] | Progression-Free Survival (PFS) Rate at 6 Months (Proportion of Participants Alive and Progression-Free at 6 Months) |
NCT02181634 (8) [back to overview] | Overall Response Rate (ORR) |
NCT02181634 (8) [back to overview] | Disease Control Rate (DCR) |
NCT02181634 (8) [back to overview] | Overall Survival (OS) |
NCT02181634 (8) [back to overview] | Progression-free Survival (PFS) |
NCT02194829 (1) [back to overview] | Number of Participants With Dose Limiting Toxicities (DLT) |
NCT02210559 (8) [back to overview] | Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) |
NCT02210559 (8) [back to overview] | Median Progression-Free Survival |
NCT02210559 (8) [back to overview] | Number of Participants in Whom R0 or R1 Resection Was Achieved |
NCT02210559 (8) [back to overview] | Median Overall Survival |
NCT02210559 (8) [back to overview] | Number of Participants in Whom R0 Resection Was Achieved |
NCT02210559 (8) [back to overview] | Number of Participants Who Became Eligible for Surgery |
NCT02210559 (8) [back to overview] | Number of Participants Who Had Surgical Complications Post-Resection |
NCT02210559 (8) [back to overview] | Number of Participants With Complete Response (CR) or Partial Response (PR) Per Response Evaluation Criteria in Solid Tumors (RECIST 1.1) |
NCT02237157 (1) [back to overview] | Determine the Maximum Tolerated Dose of Gemcitabine to be Delivered Locally to the Pancreas |
NCT02243007 (8) [back to overview] | Local Control Rate |
NCT02243007 (8) [back to overview] | Pathologic Complete Response Rate (pCR). |
NCT02243007 (8) [back to overview] | Correlation of Biomarkers With PFS |
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] | Survival Rate at 18 Month |
NCT02243007 (8) [back to overview] | Surgical Morbidity Rate |
NCT02243007 (8) [back to overview] | Number of Participants With Serious and Non-Serious Adverse Events |
NCT02254681 (3) [back to overview] | Number of Participants With Post-operative Complications After Partial Hepatectomy After Antecedent Combination Low-dose Radiotherapy and Gemcitabine-cisplatin. |
NCT02254681 (3) [back to overview] | Number of Participants With Intrahepatic Recurrence After Partial Hepatectomy With Antecedent Combination Low-dose Radiotherapy and Gemcitabine-cisplatin. |
NCT02254681 (3) [back to overview] | Number of Participants With Intrahepatic Disease Progression After Treatment With Combination Low-dose Radiotherapy and Gemcitabine-cisplatin. |
NCT02256982 (1) [back to overview] | Number of Participants Post Operative/Radiation Therapy Complications |
NCT02265510 (10) [back to overview] | Phase 1a, 1b, and Phase 2: AUC0-τ: Area Under the Plasma Concentration-time Curve Over Dosing Interval for INCB052793 |
NCT02265510 (10) [back to overview] | Phase 1a, 1b, and Phase 2: Cmax: Maximum Observed Plasma Concentration of Itacitinib |
NCT02265510 (10) [back to overview] | Phase 1A and 1B: Percentage of Participants With Response as Determined by Investigator's Assessment |
NCT02265510 (10) [back to overview] | Phase 1a, 1b, and Phase 2: Tmax: Time to Maximum Plasma Concentration for INCB052793 |
NCT02265510 (10) [back to overview] | Phase 1a, 1b, and Phase 2: Tmax: Time to Maximum Plasma Concentration for Itacitinib |
NCT02265510 (10) [back to overview] | Phase 1a, 1b, and Phase 2: Cmax: Maximum Observed Plasma Concentration for INCB052793 |
NCT02265510 (10) [back to overview] | Phase 2: Objective Response Rate (ORR) in Hematological Malignancies |
NCT02265510 (10) [back to overview] | Phase 1a and 1b: Number of Participants With at Least One Treatment-Emergent Adverse Event (TEAE) and Serious Adverse Event (SAE) |
NCT02265510 (10) [back to overview] | Phase 2: Number of Participants With at Least One TEAE and SAE |
NCT02265510 (10) [back to overview] | Phase 1a, 1b, and Phase 2: AUC0-τ: Area Under the Plasma Concentration-time Curve Over Dosing Interval for Itacitinib |
NCT02272790 (23) [back to overview] | Single Dose Adavosertib Cmax |
NCT02272790 (23) [back to overview] | Progression Free Survival (Median, 80% CI) |
NCT02272790 (23) [back to overview] | Overall Survival (Median, 95% CI) |
NCT02272790 (23) [back to overview] | Overall Survival (Median, 80% CI) |
NCT02272790 (23) [back to overview] | Objective Response Rate (ORR) |
NCT02272790 (23) [back to overview] | Multiple Dose Adavosertib Tmax |
NCT02272790 (23) [back to overview] | Multiple Dose Adavosertib Cmax |
NCT02272790 (23) [back to overview] | Gynecologic Cancer Intergroup (GCIG) CA-125 Response |
NCT02272790 (23) [back to overview] | Duration of Response (DoR) |
NCT02272790 (23) [back to overview] | Disease Control Rate (DCR) |
NCT02272790 (23) [back to overview] | The Number of Patients Experiencing Treatment-emergent Adverse Events (TEAEs) by Maximum CTCAE Grade. |
NCT02272790 (23) [back to overview] | The Number of Patients Experiencing Treatment-emergent Adverse Events (TEAEs) Related to Adavosertib by Maximum CTCAE Grade |
NCT02272790 (23) [back to overview] | Progression Free Survival (Median, 95% CI) |
NCT02272790 (23) [back to overview] | Serious Adverse Events |
NCT02272790 (23) [back to overview] | Treatment-Related Adverse Events Related to Chemotherapy Leading to Treatment Interruption |
NCT02272790 (23) [back to overview] | Serious Adverse Events Leading to Death |
NCT02272790 (23) [back to overview] | Treatment-Related Adverse Events Related to Chemotherapy Leading to Treatment Discontinuation |
NCT02272790 (23) [back to overview] | Treatment-Related Adverse Events Related to Chemotherapy Leading to Dose Reduction |
NCT02272790 (23) [back to overview] | Treatment-Related Adverse Events Related to Adavosertib Leading to Treatment Interruption |
NCT02272790 (23) [back to overview] | Treatment-Related Adverse Events Related to Adavosertib Leading to Treatment Discontinuation |
NCT02272790 (23) [back to overview] | Treatment-Related Adverse Events Related to Adavosertib Leading to Dose Reduction |
NCT02272790 (23) [back to overview] | Single Dose Adavosertib Tmax |
NCT02272790 (23) [back to overview] | The Number of Patients Experiencing Treatment-emergent Adverse Events (TEAEs) Related to Chemotherapy by Maximum CTCAE Grade |
NCT02300610 (4) [back to overview] | Progression Free Survival (PFS) |
NCT02300610 (4) [back to overview] | Overall Response Rate (ORR): Complete Response (CR) + Partial Response (PR) |
NCT02300610 (4) [back to overview] | Recommended Dose of Enzalutamide |
NCT02300610 (4) [back to overview] | Overall Survival (OS) |
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] | Kaplan-Meier Estimates for Overall Survival (OS) |
NCT02301143 (11) [back to overview] | Kaplan-Meier Estimates for Time to Treatment Failure (TTF) |
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] | 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] | 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 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 For Pancreatic Cancer (EORTC-QLQ PAN26): Satisfaction With Health Care Scale |
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] | Participants With Treatment Emergent Adverse Events (TEAEs) |
NCT02303262 (3) [back to overview] | Progression Free Survival (PFS) |
NCT02303262 (3) [back to overview] | Duration of Response |
NCT02303262 (3) [back to overview] | Response Rate (Per RECIST 1.1) |
NCT02303977 (4) [back to overview] | Progression-free Survival |
NCT02303977 (4) [back to overview] | Disease Control Rate |
NCT02303977 (4) [back to overview] | Overall Response Rate |
NCT02303977 (4) [back to overview] | Overall Survival |
NCT02318095 (4) [back to overview] | Feasibility as Measured by Number of Participants Who Complete the Neoadjuvant Gemcitabine/Nab-paclitaxel and HIGRT Regimen |
NCT02318095 (4) [back to overview] | Number of Participants Who Underwent Surgical Resection |
NCT02318095 (4) [back to overview] | Number of Participants Who Received an R0 Resection |
NCT02318095 (4) [back to overview] | Number of Participants Experiencing Grade >/=2 Acute Toxicity |
NCT02322281 (5) [back to overview] | Plasma PK for Patients Treated With Rociletinib Based on Sparse Sampling |
NCT02322281 (5) [back to overview] | Progression Free Survival (PFS) According to RECIST Version 1.1 as Determined by Investigator Review (invPFS) |
NCT02322281 (5) [back to overview] | Percentage of Participants With Confirmed Response |
NCT02322281 (5) [back to overview] | Overall Survival (OS) |
NCT02322281 (5) [back to overview] | Duration of Response (DOR) According to RECIST Version 1.1 as Determined by Investigator Assessment |
NCT02324543 (10) [back to overview] | Maximum Tolerated Dose (MTD) of Capecitabine |
NCT02324543 (10) [back to overview] | Maximum Tolerated Dose (MTD) of Cisplatin |
NCT02324543 (10) [back to overview] | Overall Survival (OS) |
NCT02324543 (10) [back to overview] | Maximum Tolerated Dose (MTD) of Gemcitabine |
NCT02324543 (10) [back to overview] | Maximum Tolerated Dose (MTD) of Docetaxel |
NCT02324543 (10) [back to overview] | Maximum Tolerated Dose (MTD) of Irinotecan |
NCT02324543 (10) [back to overview] | Response Rate (RR) Using RECIST 1.1 Criteria |
NCT02324543 (10) [back to overview] | Progression-free Survival (PFS) Using RECIST 1.1 Criteria |
NCT02324543 (10) [back to overview] | Overall Survival (OS) Rate at 9 Months |
NCT02324543 (10) [back to overview] | Disease Control Rate (DCR) Using RECIST 1.1 Criteria |
NCT02352948 (10) [back to overview] | OS, Contribution of the Components Analysis of Sub-study B |
NCT02352948 (10) [back to overview] | Objective Response Rate (ORR) |
NCT02352948 (10) [back to overview] | Duration of Response (DoR) |
NCT02352948 (10) [back to overview] | Overall Survival (OS) |
NCT02352948 (10) [back to overview] | Percentage of Participants Alive and Progression Free at 12 Months (APF12) |
NCT02352948 (10) [back to overview] | Percentage of Participants Alive and Progression Free at 6 Months (APF6) |
NCT02352948 (10) [back to overview] | Percentage of Participants Alive at 12 Months (OS12) |
NCT02352948 (10) [back to overview] | PFS, Contribution of the Components Analysis of Sub-study B |
NCT02352948 (10) [back to overview] | Progression-Free Survival (PFS) |
NCT02352948 (10) [back to overview] | Time From Randomisation to Second Progression (PFS2) of Sub-study B |
NCT02392637 (3) [back to overview] | Median Progression Free Survival (PFS) |
NCT02392637 (3) [back to overview] | Median Overall Survival (OS) |
NCT02392637 (3) [back to overview] | Number of Participants With Treatment Response Rate |
NCT02393248 (39) [back to overview] | Part 3: AUC0-24 of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 1 |
NCT02393248 (39) [back to overview] | Part 3: Accumulation Ratio of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State) |
NCT02393248 (39) [back to overview] | Parts 1 and 2: Cmax After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State) |
NCT02393248 (39) [back to overview] | Part 3: t1/2 of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State) |
NCT02393248 (39) [back to overview] | Part 3: ORR |
NCT02393248 (39) [back to overview] | Parts 1 and 2: Tmax Steady State Following Administration of Pemigatinib in the Fasted (Cycle 1 Day 14) and Fed (Cycle 2 Day 14) States |
NCT02393248 (39) [back to overview] | Part 3: Number of Participants With Any TEAE |
NCT02393248 (39) [back to overview] | Part 2: Overall Response Rate (ORR) |
NCT02393248 (39) [back to overview] | EC50 Following Once Daily Dosing of Pemigatinib as Monotherapy in Parts 1 and 2 |
NCT02393248 (39) [back to overview] | Emax Following Once Daily Dosing of Pemigatinib as Monotherapy in Parts 1 and 2 |
NCT02393248 (39) [back to overview] | Parts 1 and 2: Cmax Steady State Following Administration of Pemigatinib in the Fasted (Cycle 1 Day 14) and Fed (Cycle 2 Day 14) States |
NCT02393248 (39) [back to overview] | Parts 1 and 2: Cmin After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State) |
NCT02393248 (39) [back to overview] | Parts 1 and 2: Cmin Steady State Following Administration of Pemigatinib in the Fasted (Cycle 1 Day 14) and Fed (Cycle 2 Day 14) States |
NCT02393248 (39) [back to overview] | Parts 1 and 2: t1/2 After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State) |
NCT02393248 (39) [back to overview] | Parts 1 and 2: t1/2 Steady State Following Administration of Pemigatinib in the Fasted (Cycle 1 Day 14) and Fed (Cycle 2 Day 14) States |
NCT02393248 (39) [back to overview] | Part 3: Cmin of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State) |
NCT02393248 (39) [back to overview] | Parts 1 and 2: Tmax After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Day 1 |
NCT02393248 (39) [back to overview] | Parts 1 and 2: Tmax After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State) |
NCT02393248 (39) [back to overview] | Part 3: Cmax of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State) |
NCT02393248 (39) [back to overview] | Parts 1 and 2: Cmax After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Day 1 |
NCT02393248 (39) [back to overview] | Part 3: Cmax of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 1 |
NCT02393248 (39) [back to overview] | Parts 1 and 2: CL/F After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State) |
NCT02393248 (39) [back to overview] | Parts 1 and 2: AUClast After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Day 1 |
NCT02393248 (39) [back to overview] | Parts 1 and 2: AUC0-24 Steady State Following Administration of Pemigatinib in the Fasted (Cycle 1 Day 14) and Fed (Cycle 2 Day 14) States |
NCT02393248 (39) [back to overview] | Parts 1 and 2: AUC0-24 After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State) |
NCT02393248 (39) [back to overview] | Parts 1 and 2: AUC0-24 After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Day 1 |
NCT02393248 (39) [back to overview] | Parts 1 and 2: Accumulation Ratio After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State) |
NCT02393248 (39) [back to overview] | Parts 1 and 2 Combined: Number of Participants With Any Treatment-emergent Adverse Event (TEAE) |
NCT02393248 (39) [back to overview] | Parts 1 and 2: Vz/F After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State) |
NCT02393248 (39) [back to overview] | Parts 1 and 2: CL/F Steady State Following Administration of Pemigatinib in the Fasted (Cycle 1 Day 14) and Fed (Cycle 2 Day 14) States |
NCT02393248 (39) [back to overview] | Parts 1 and 2: Vz/F Steady State Following Administration of Pemigatinib in the Fasted (Cycle 1 Day 14) and Fed (Cycle 2 Day 14) States |
NCT02393248 (39) [back to overview] | Part 3: Tmax of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 1 |
NCT02393248 (39) [back to overview] | Highest Serum Phosphate Concentration Following Pemigatinib as Monotherapy in Parts 1 and 2 |
NCT02393248 (39) [back to overview] | E0 Following Once Daily Dosing of Pemigatinib as Monotherapy in Parts 1 and 2 |
NCT02393248 (39) [back to overview] | Part 3: CL/F of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State) |
NCT02393248 (39) [back to overview] | Part 3: AUClast of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 1 |
NCT02393248 (39) [back to overview] | Part 3: AUC0-24 of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State) |
NCT02393248 (39) [back to overview] | Part 3: Vz/F of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State) |
NCT02393248 (39) [back to overview] | Part 3: Tmax of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State) |
NCT02409342 (24) [back to overview] | Maximum Observed Serum Concentration (Cmax) of Atezolizumab |
NCT02409342 (24) [back to overview] | Duration of Response (DOR) in the TC3 or IC3-WT Populations |
NCT02409342 (24) [back to overview] | Percentage of Participants With Anti-therapeutic Antibodies (ATAs) |
NCT02409342 (24) [back to overview] | OS in Participants With PD-L1 Expression |
NCT02409342 (24) [back to overview] | Overall Survival (OS) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations |
NCT02409342 (24) [back to overview] | Percentage of Participants Who Are Alive at 1 Year in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations |
NCT02409342 (24) [back to overview] | Percentage of Participants Who Are Alive at 2 Years in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations |
NCT02409342 (24) [back to overview] | OS in Participants With Blood Tumor Mutational Burden (bTMB) |
NCT02409342 (24) [back to overview] | Percentage of Participants With Objective Response (ORR) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations |
NCT02409342 (24) [back to overview] | Progression-free Survival (PFS) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations |
NCT02409342 (24) [back to overview] | Time to Deterioration (TTD) in Patient-reported Lung Cancer Symptoms Score as Assessed by the Symptoms in Lung Cancer (SILC) Scale Symptom Score in the TC3 or IC3-WT Populations |
NCT02409342 (24) [back to overview] | TTD as Assessed Using EORTC QLQ Supplementary Lung Cancer Module (EORTC QLQ-LC13) in the TC3 or IC3-WT Populations |
NCT02409342 (24) [back to overview] | Percentage of Participants With Objective Response (ORR) in the TC3 or IC3-WT Populations |
NCT02409342 (24) [back to overview] | Percentage of Participants With at Least One Adverse Event |
NCT02409342 (24) [back to overview] | Percentage of Participants Who Are Alive at 2 Years in the TC3 or IC3-WT Populations |
NCT02409342 (24) [back to overview] | Percentage of Participants Who Are Alive at 1 Year in the TC3 or IC3-WT Populations |
NCT02409342 (24) [back to overview] | Overall Survival (OS) in the TC3 or IC3-WT Populations |
NCT02409342 (24) [back to overview] | Progression-free Survival (PFS) in the TC3 or IC3-WT Populations |
NCT02409342 (24) [back to overview] | Change From Baseline in Patient-reported Lung Cancer Symptoms Score as Assessed by the SILC Scale Symptom Score in the TC3 or IC3-WT Populations |
NCT02409342 (24) [back to overview] | Change From Baseline in Patient-reported Lung Cancer Symptoms Score as Assessed by the SILC Scale Symptom Score in the TC3 or IC3-WT Populations |
NCT02409342 (24) [back to overview] | Duration of Response (DOR) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations |
NCT02409342 (24) [back to overview] | Investigator-Assessed PFS in Participants With bTMB According to RECIST v1.1 |
NCT02409342 (24) [back to overview] | Investigator-Assessed PFS in Participants With PD-L1 Expression According to RECIST v1.1 |
NCT02409342 (24) [back to overview] | Minimum Observed Serum Concentration (Cmin) of Atezolizumab |
NCT02412670 (7) [back to overview] | Cumulative Incidence of Cancer-specific Death at 24 Months |
NCT02412670 (7) [back to overview] | Complete Pathologic Response Rate |
NCT02412670 (7) [back to overview] | Event-free Survival |
NCT02412670 (7) [back to overview] | Proportion of Patients With Renal Insufficiency at Completion of Chemotherapy |
NCT02412670 (7) [back to overview] | Recurrence-free Survival |
NCT02412670 (7) [back to overview] | Bladder Cancer-free Survival |
NCT02412670 (7) [back to overview] | Proportion of Patients With Renal Insufficiency at Completion of Surgery |
NCT02427841 (6) [back to overview] | Incidence of Toxicity According to National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) Version (v) 4.0 |
NCT02427841 (6) [back to overview] | Overall Survival Rate Defined as the Percentage of Subjects Alive at the 2 Year Time Point |
NCT02427841 (6) [back to overview] | Overall Survival Rate Defined as the Percentage of Subjects Alive at the One Year Time Point |
NCT02427841 (6) [back to overview] | R0 Resection Rate Defined as Macroscopically Complete Tumor Removal With Negative Microscopic Surgical Margins by Pathologic Assessment |
NCT02427841 (6) [back to overview] | Relapse-free Survival Rate Defined as the Percentage of Subjects Who Are Without Recurrence or Death at One Year From Surgical Resection of the Primary Tumor |
NCT02427841 (6) [back to overview] | Response Rate by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 Defined as the Percent of Subjects With Complete or Partial Disease Response as Confirmed Through Tumor Imaging With Computed Tomography (CT) |
NCT02435680 (13) [back to overview] | Tumor Response Per RECIST v1.1 (by Local Investigator Assessment) Duration of Response |
NCT02435680 (13) [back to overview] | Progression Free Survival (PFS) as Per RECIST v1.1 (by Local Investigator Assessment) |
NCT02435680 (13) [back to overview] | Tumor Response Per RECIST v1.1 (by Local Investigator Assessment) |
NCT02435680 (13) [back to overview] | MCS110 Dose Intensity |
NCT02435680 (13) [back to overview] | Free MCS110 : Derived Pharmacokinetics (PK) Parameters: Cmax |
NCT02435680 (13) [back to overview] | Free MCS110 : Derived Pharmacokinetics (PK) Parameters: AUCtau |
NCT02435680 (13) [back to overview] | Cmax Derived From Plasma Concentration of Carboplatin, Gemcitabine and 2',2'-Difluoro-deoxyuridine (dFdU) |
NCT02435680 (13) [back to overview] | Circulating Monocytes Cells in Blood |
NCT02435680 (13) [back to overview] | Total Colony Stimulation Factor -1 (CSF-I) Circulating Levels |
NCT02435680 (13) [back to overview] | AUClast Derived From Plasma Concentration of Carboplatin, Gemcitabine and 2',2'-Difluoro-deoxyuridine (dFdU) |
NCT02435680 (13) [back to overview] | Serum C-terminal Telopeptide of Type I Collagen (CTX-I) |
NCT02435680 (13) [back to overview] | Tumor Associated Macrophage (TAM) and Tumor Infiltrating Lymphocyte (TIL) Content in Pre- and Post-dose Tumor Biopsies. |
NCT02435680 (13) [back to overview] | Number of Patients With at Least One MCS110 Dose Reduction, and Number of Patients With at Least One MCS110 Dose Interruption |
NCT02436668 (8) [back to overview] | Number of Participants With Adverse Events as a Measure of Safety and Tolerability of Ibrutinib and Nab-paclitaxel and Gemcitabine Versus Placebo in Combination With Nab-paclitaxel and Gemcitabine. |
NCT02436668 (8) [back to overview] | Clinical Benefit Response |
NCT02436668 (8) [back to overview] | Rate of Venous Thromboembolic Events (VTE) |
NCT02436668 (8) [back to overview] | Progression Free Survival (PFS) |
NCT02436668 (8) [back to overview] | Patient-reported Outcome (PRO) by European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30 (QLQ-C30). |
NCT02436668 (8) [back to overview] | Overall Survival (OS) |
NCT02436668 (8) [back to overview] | Overall Response Rate |
NCT02436668 (8) [back to overview] | Carbohydrate Antigen 19-9 (CA19-9) Response |
NCT02446600 (4) [back to overview] | Patient Reported Scores of Disease-related Symptoms as Measured by the National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy Ovarian Symptom Index-18 Disease-Related Symptom-Physical |
NCT02446600 (4) [back to overview] | Frequency and Severity of Adverse Effects |
NCT02446600 (4) [back to overview] | Progression Free Survival Determined Using Response Evaluation Criteria in Solid Tumors Version 1.1 Criteria |
NCT02446600 (4) [back to overview] | Overall Survival |
NCT02448537 (3) [back to overview] | Treatment Related Serious Adverse Events |
NCT02448537 (3) [back to overview] | Disease Control Rate |
NCT02448537 (3) [back to overview] | Overall Response Rate |
NCT02453282 (29) [back to overview] | Number of Participants With ADA Response to Tremelimumab |
NCT02453282 (29) [back to overview] | Change From Baseline in Disease-Related Symptoms as Assessed by European Organisation for Research and Treatment of Cancer Quality of Life Questionnaires (EORTC QLQ) at 12 Months |
NCT02453282 (29) [back to overview] | Cmax_ss of Tremelimumab |
NCT02453282 (29) [back to overview] | Trough Serum Concentration at Steady State (Ctrough_ss) of Durvalumab |
NCT02453282 (29) [back to overview] | Time From Randomization to Second Progression (PFS2); PD-L1 (TC >=25%) Analysis Set Population |
NCT02453282 (29) [back to overview] | Progression-Free Survival (PFS); PD-L1 (TC >=25%) Analysis Set Population, Durvalumab + Tremelimumab Vs SoC Chemotherapy |
NCT02453282 (29) [back to overview] | PFS2; FAS Population |
NCT02453282 (29) [back to overview] | PFS; PD-L1 (TC >=1%) Analysis Set Population |
NCT02453282 (29) [back to overview] | Ctrough_ss of Tremelimumab |
NCT02453282 (29) [back to overview] | Objective Response Rate (ORR); PD-L1 (TC >=25%) Analysis Set Population |
NCT02453282 (29) [back to overview] | DoR; FAS Population |
NCT02453282 (29) [back to overview] | PFS; PD-L1 (TC >=25%) Analysis Set Population, Durvalumab Monotherapy Vs SoC Chemotherapy and Durvalumab + Tremelimumab Vs Durvalumab Monotherapy |
NCT02453282 (29) [back to overview] | PFS2; PD-L1 (TC >=1%) Analysis Set Population |
NCT02453282 (29) [back to overview] | Serum Concentrations of Tremelimumab |
NCT02453282 (29) [back to overview] | Serum Concentrations of Durvalumab |
NCT02453282 (29) [back to overview] | Number of Participants With Anti-Drug Antibody (ADA) Response to Durvalumab |
NCT02453282 (29) [back to overview] | PFS; FAS Population |
NCT02453282 (29) [back to overview] | Percentage of Participants APF12; PD-L1 (TC >=1%) Analysis Set Population |
NCT02453282 (29) [back to overview] | Percentage of Participants APF12; FAS Population |
NCT02453282 (29) [back to overview] | Percentage of Participants Alive and Progression Free at 12 Months (APF12); PD-L1 (TC >=25%) Analysis Set Population |
NCT02453282 (29) [back to overview] | Overall Survival (OS); PD-L1 (TC >=25%) Analysis Set Population, Durvalumab Monotherapy Vs SoC Chemotherapy and Durvalumab + Tremelimumab Vs SoC Chemotherapy |
NCT02453282 (29) [back to overview] | OS; PD-L1 (TC >=25%) Analysis Set Population, Durvalumab + Tremelimumab Vs Durvalumab Monotherapy |
NCT02453282 (29) [back to overview] | OS; PD-L1 (TC >=1%) Analysis Set Population |
NCT02453282 (29) [back to overview] | OS; FAS Population |
NCT02453282 (29) [back to overview] | ORR; PD-L1 (TC >=1%) Analysis Set Population |
NCT02453282 (29) [back to overview] | ORR; FAS Population |
NCT02453282 (29) [back to overview] | Maximum Serum Concentration at Steady State (Cmax_ss) of Durvalumab |
NCT02453282 (29) [back to overview] | Duration of Response (DoR); PD-L1 (TC >=25%) Analysis Set Population |
NCT02453282 (29) [back to overview] | DoR; PD-L1 (TC >=1%) Analysis Set Population |
NCT02511132 (3) [back to overview] | Progression Free Survival |
NCT02511132 (3) [back to overview] | Overall Survival |
NCT02511132 (3) [back to overview] | Number of Participants With Adverse Events Determined by Laboratory Assessments and Physical Examinations |
NCT02516241 (40) [back to overview] | Alive at 24 Months (OS24), PD-L1-Low/Negative Analysis Set |
NCT02516241 (40) [back to overview] | PFS2, PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy Versus SoC and Durvalumab + Tremelimumab Combination Therapy Versus Durvalumab Monotherapy |
NCT02516241 (40) [back to overview] | To Assess the Efficacy of Durvalumab + Tremelimumab Combination Therapy Versus SoC in Terms of OS in Full Analysis Set |
NCT02516241 (40) [back to overview] | Improvement in Fatigue and Deterioration in Pain Per FACT-BL, PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC |
NCT02516241 (40) [back to overview] | PFS, PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy Versus SoC and Durvalumab + Tremelimumab Combination Therapy Versus Durvalumab Monotherapy |
NCT02516241 (40) [back to overview] | Alive and Progression-free at 12 Months (APF12), Full Analysis Set |
NCT02516241 (40) [back to overview] | Alive and Progression-free at 12 Months (APF12), PD-L1-High Analysis Set |
NCT02516241 (40) [back to overview] | Alive and Progression-free at 12 Months (APF12), PD-L1-Low/Negative Analysis Set |
NCT02516241 (40) [back to overview] | Alive at 24 Months (OS24), Full Analysis Set |
NCT02516241 (40) [back to overview] | Alive at 24 Months (OS24), PD-L1-High Analysis Set |
NCT02516241 (40) [back to overview] | Duration of Response (DoR), PD-L1-Low/Negative Analysis Set |
NCT02516241 (40) [back to overview] | Improvement in Fatigue and Deterioration in Pain Per FACT-BL, Full Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC |
NCT02516241 (40) [back to overview] | Change From Baseline in FACT-BL (Derived NFBlSI-18 Score, FACT-BL TOI, and FACT-BL Total Score) by MMRM Analysis, PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC |
NCT02516241 (40) [back to overview] | Disease Control Rate (DCR) at 12 Months, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Monotherapy vs SoC |
NCT02516241 (40) [back to overview] | Disease Control Rate (DCR) at 12 Months, PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy Versus SoC and Durvalumab + Tremelimumab Combination Therapy Versus Durvalumab Monotherapy |
NCT02516241 (40) [back to overview] | Disease Control Rate (DCR) at 6 Months, Full Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC |
NCT02516241 (40) [back to overview] | Disease Control Rate (DCR) at 6 Months, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Monotherapy vs SoC |
NCT02516241 (40) [back to overview] | Disease Control Rate (DCR) at 6 Months, PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy Versus SoC and Durvalumab + Tremelimumab Combination Therapy Versus Durvalumab Monotherapy |
NCT02516241 (40) [back to overview] | Disease Control Rate (DCR) at 12 Months, Full Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC |
NCT02516241 (40) [back to overview] | Duration of Response (DoR), Full Analysis Set |
NCT02516241 (40) [back to overview] | Duration of Response (DoR), PD-L1-High Analysis Set |
NCT02516241 (40) [back to overview] | Change From Baseline in FACT-BL (Derived NFBlSI-18 Score, FACT-BL TOI, and FACT-BL Total Score) by MMRM Analysis, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC |
NCT02516241 (40) [back to overview] | Objective Response Rate (ORR) Based on BICR Assessment According to RECIST 1.1 - Responses Are Confirmed - Durvalumab Cisplatin Ineligible Population |
NCT02516241 (40) [back to overview] | Objective Response Rate (ORR), Full Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC |
NCT02516241 (40) [back to overview] | Objective Response Rate (ORR), PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Monotherapy vs SoC |
NCT02516241 (40) [back to overview] | Objective Response Rate (ORR), PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy Versus SoC and Durvalumab + Tremelimumab Combination Therapy Versus Durvalumab Monotherapy |
NCT02516241 (40) [back to overview] | OS, Full Analysis Set - Durvalumab Monotherapy vs SoC |
NCT02516241 (40) [back to overview] | Serum Concentrations of Tremelimumab, Pharmacokinetic Analysis Set |
NCT02516241 (40) [back to overview] | Serum Concentrations of Durvalumab, Pharmacokinetic Analysis Set |
NCT02516241 (40) [back to overview] | Number of Participants With Anti-Drug Antibody (ADA) Response to Tremelimumab, Safety Analysis Set - ADA Evaluable Patients |
NCT02516241 (40) [back to overview] | Number of Participants With Anti-Drug Antibody (ADA) Response to Durvalumab, Safety Analysis Set - ADA Evaluable Patients |
NCT02516241 (40) [back to overview] | OS, PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy Versus SoC and Durvalumab + Tremelimumab Combination Therapy Versus Durvalumab Monotherapy |
NCT02516241 (40) [back to overview] | PFS, Full Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC |
NCT02516241 (40) [back to overview] | PFS, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Monotherapy vs SoC |
NCT02516241 (40) [back to overview] | To Assess the Efficacy of Durvalumab Monotherapy Versus SoC in Terms of OS in PD-L1-High Analysis Set |
NCT02516241 (40) [back to overview] | OS, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy Versus SoC |
NCT02516241 (40) [back to overview] | PFS2, Full Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC |
NCT02516241 (40) [back to overview] | PFS2, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Monotherapy vs SoC |
NCT02516241 (40) [back to overview] | Improvement in Fatigue and Deterioration in Pain Per FACT-BL, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC |
NCT02516241 (40) [back to overview] | Change From Baseline in FACT-BL (Derived NFBlSI-18 Score, FACT-BL TOI, and FACT-BL Total Score) by MMRM Analysis, Full Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC |
NCT02525653 (1) [back to overview] | Overall Response Rate |
NCT02533674 (2) [back to overview] | Number of Participants With Clinical Benefit |
NCT02533674 (2) [back to overview] | Number of Participants With Dose Limiting Toxicities |
NCT02542293 (20) [back to overview] | Progression-Free Survival (PFS); Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, bTMB ≥12 Mut/Mb, tTMB ≥14 Mut/Mb, tTMB ≥12 Mut/Mb, tTMB ≥10 Mut/Mb, and tTMB ≥8 Mut/Mb Analysis Sets |
NCT02542293 (20) [back to overview] | Serum Concentrations of Durvalumab |
NCT02542293 (20) [back to overview] | Serum Concentrations of Tremelimumab |
NCT02542293 (20) [back to overview] | DoR; Global and China Cohorts: PD-L1-Negative NSCLC and FAS Analysis Sets |
NCT02542293 (20) [back to overview] | APF12; Global and China Cohorts: PD-L1-Negative NSCLC and FAS Analysis Sets |
NCT02542293 (20) [back to overview] | OS; China Cohort: China Programmed Cell Death Ligand 1 (PD-L1) Negative NSCLC Analysis Set |
NCT02542293 (20) [back to overview] | Time From Randomization to Second Progression or Death (PFS2); Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, and bTMB ≥12 Mut/Mb Analysis Sets |
NCT02542293 (20) [back to overview] | Overall Survival (OS); Global Cohort: Blood Tumor Mutational Burden (bTMB) ≥20 Mutations Per Megabase (Mut/Mb) Analysis Set |
NCT02542293 (20) [back to overview] | Alive and Progression-Free at 12 Months (APF12); Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, and bTMB ≥12 Mut/Mb Analysis Sets |
NCT02542293 (20) [back to overview] | Duration of Response (DoR); Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, and bTMB ≥12 Mut/Mb Analysis Sets |
NCT02542293 (20) [back to overview] | Number of Participants With ADA Response to Tremelimumab |
NCT02542293 (20) [back to overview] | Number of Participants With Anti-Drug Antibody (ADA) Response to Durvalumab |
NCT02542293 (20) [back to overview] | Objective Response Rate (ORR); Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, bTMB ≥12 Mut/Mb, tTMB ≥14 Mut/Mb, tTMB ≥12 Mut/Mb, tTMB ≥10 Mut/Mb, and tTMB ≥8 Mut/Mb Analysis Sets |
NCT02542293 (20) [back to overview] | ORR; Global and China Cohorts: PD-L1-Negative NSCLC, FAS, PD-L1 TC ≥25%, and PD-L1 TC ≥50% Analysis Sets |
NCT02542293 (20) [back to overview] | OS at Months 12, 18 and 24; Global and China Cohorts: PD-L1-Negative NSCLC and FAS Analysis Sets |
NCT02542293 (20) [back to overview] | OS at Months 12, 18 and 24; Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, and bTMB ≥12 Mut/Mb Analysis Sets |
NCT02542293 (20) [back to overview] | OS; Global and China Cohorts: FAS, PD-L1 Tumor Cell (TC) ≥25%, and PD-L1 TC ≥50% Analysis Sets |
NCT02542293 (20) [back to overview] | OS; Global Cohort: bTMB ≥16 Mut/Mb, bTMB ≥12 Mut/Mb, PD-L1-Negative NSCLC, bTMB <20 Mut/Mb, bTMB Non-Evaluable Population, tTMB ≥14 Mut/Mb, tTMB ≥12 Mut/Mb, tTMB ≥10 Mut/Mb, and tTMB ≥8 Mut/Mb Analysis Sets |
NCT02542293 (20) [back to overview] | PFS; Global and China Cohorts: PD-L1-Negative NSCLC, FAS, PD-L1 TC ≥25%, and PD-L1 TC ≥50% Analysis Sets |
NCT02542293 (20) [back to overview] | PFS2; Global and China Cohorts: PD-L1-Negative NSCLC and FAS Analysis Sets |
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 |
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] | Overall Survival in Participants With PD-L1 CPS ≥1 |
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 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] | 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] | Disease Control Rate Per RECIST 1.1 in All Participants |
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] | Number of Participants Who Experienced One or More Adverse Events |
NCT02555657 (17) [back to overview] | Disease Control Rate Per RECIST 1.1 in Participants With PD-L1 CPS ≥10 |
NCT02555657 (17) [back to overview] | Number of Participants Who Discontinued Study Treatment Due to an Adverse Event |
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] | Progression-Free Survival Per RECIST 1.1 in All Participants |
NCT02560038 (3) [back to overview] | Safety of Drug Regimen as Measured by Number of Adverse Events |
NCT02560038 (3) [back to overview] | Efficacy as Measured by Number Who Progressed |
NCT02560038 (3) [back to overview] | Efficacy as Measured by the Objective Response Rate (ORR). |
NCT02562716 (6) [back to overview] | Number of Participants With a Response Following Preoperative Chemotherapy, Including Confirmed and Unconfirmed, Complete and Partial Response, Per RECIST 1.1. |
NCT02562716 (6) [back to overview] | Number of Patients Going to Surgery for Resection After Preoperative Chemotherapy. |
NCT02562716 (6) [back to overview] | Number of Patients Achieving R0 Resection After Preoperative Chemotherapy. |
NCT02562716 (6) [back to overview] | Number of Patients With Grade 3 Through Grade 5 Adverse Events That Are Related to Study Drug |
NCT02562716 (6) [back to overview] | Disease-free Survival From the Time of R0 or R1 Resection. |
NCT02562716 (6) [back to overview] | Overall Survival (OS) |
NCT02562898 (6) [back to overview] | CA19-9 Clinical Response Rate |
NCT02562898 (6) [back to overview] | Maximum Tolerated Dose (MTD) |
NCT02562898 (6) [back to overview] | Median Overall Survival (OS) |
NCT02562898 (6) [back to overview] | Median Progression-free Survival (PFS) |
NCT02562898 (6) [back to overview] | Median Time-to-progression (TTP) |
NCT02562898 (6) [back to overview] | Number of Patients Who Experienced a Dose-Limiting Toxicity (DLT) |
NCT02567409 (4) [back to overview] | Treatment Limiting Adverse Events |
NCT02567409 (4) [back to overview] | Confirmed Objective Response Rate |
NCT02567409 (4) [back to overview] | Progression-free Survival (PFS) |
NCT02567409 (4) [back to overview] | Overall Survival (OS) |
NCT02570711 (1) [back to overview] | Overall Response Rate (ORR) |
NCT02574078 (7) [back to overview] | Progression-Free Survival (PFS), Group E Only |
NCT02574078 (7) [back to overview] | Duration of Response (DOR), Groups A-D Only |
NCT02574078 (7) [back to overview] | Progression-Free Survival (PFS), Groups A-D Only |
NCT02574078 (7) [back to overview] | Percentage of Participants With Treatment-related Adverse Events (AEs) Leading to Both Study Drugs Discontinuation, Group E Only |
NCT02574078 (7) [back to overview] | Overall Survival (OS), Groups A-C Only |
NCT02574078 (7) [back to overview] | Overall Survival (OS), Group D Only |
NCT02574078 (7) [back to overview] | Objective Response Rate (ORR), Groups A-E |
NCT02574455 (14) [back to overview] | Clinical Benefit Rate (CBR) by IRC and 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] | 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 |
NCT02574455 (14) [back to overview] | Overall Survival (OS) in BM-ve Population |
NCT02574455 (14) [back to overview] | Progression-Free Survival (PFS) by IRC Assessment in the ITT Population |
NCT02574455 (14) [back to overview] | Time to Objective Response by the IRC Assessment in BM-ve Population |
NCT02574455 (14) [back to overview] | Time to Progression (TTP) by Investigator Assessment in BM-ve Population |
NCT02574455 (14) [back to overview] | Time to Progression (TTP) by IRC Assessment in BM-ve Population |
NCT02574455 (14) [back to overview] | Overall Survival (OS) in ITT Population |
NCT02574455 (14) [back to overview] | Time to Objective Response by the Investigator 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] | Percentage of Participants Experiencing the Worst Laboratory Abnormalities Grade 3 or 4 Post-Baseline |
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 |
NCT02576574 (32) [back to overview] | Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Independent Review Committee (IRC) in Moderate and High Programmed Death Ligand 1 (PD-L1)+ Modified Full Analysis Set (mFAS) |
NCT02576574 (32) [back to overview] | Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in High PD-L1+ Modified Full Analysis Set |
NCT02576574 (32) [back to overview] | Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in Moderate and High PD-L1+ Full Analysis Set |
NCT02576574 (32) [back to overview] | Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in Moderate and High PD-L1+ Modified Full Analysis Set |
NCT02576574 (32) [back to overview] | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer 13 (EORTC QLQ-LC13) at End of Treatment (EOT) in High Programmed Death Ligand 1 (PD-L1)+ HRQoL Analysis Set |
NCT02576574 (32) [back to overview] | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer 13 (EORTC QLQ-LC13) at End of Treatment (EOT) in High Programmed Death Ligand 1 (PD-L1)+ Modified HRQoL Analysis Set |
NCT02576574 (32) [back to overview] | Number of Participants With At Least One Positive Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) for Avelumab |
NCT02576574 (32) [back to overview] | Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance: Baseline Score Versus (Vs) Worst Post-baseline Score |
NCT02576574 (32) [back to overview] | Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Body Temperature Increase |
NCT02576574 (32) [back to overview] | Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Heart Rate Increase/Decrease |
NCT02576574 (32) [back to overview] | Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Independent Review Committee (IRC) in High Programmed Death Ligand 1 (PD-L1) + Full Analysis Set (FAS) |
NCT02576574 (32) [back to overview] | Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Independent Review Committee (IRC) in High Programmed Death Ligand 1 (PD-L1) + Modified Full Analysis Set (mFAS) |
NCT02576574 (32) [back to overview] | Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Independent Review Committee (IRC) in Moderate and High Programmed Death Ligand 1 (PD-L1)+ Full Analysis Set (FAS) |
NCT02576574 (32) [back to overview] | Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in High PD-L1+ Full Analysis Set |
NCT02576574 (32) [back to overview] | Number of Participants With Potentially Clinically Significant Abnormalities (PCSA) in Electrocardiogram (ECG) Parameters |
NCT02576574 (32) [back to overview] | Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Weight Increase/Decrease |
NCT02576574 (32) [back to overview] | Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Systolic Blood Pressure Increase/Decrease and Maximal Diastolic Blood Pressure Increase/Decrease |
NCT02576574 (32) [back to overview] | Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Respiration Rate Increase/Decrease |
NCT02576574 (32) [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 at End of Treatment (EOT) in High Programmed Death Ligand 1 (PD-L1)+ HRQoL Analysis Set |
NCT02576574 (32) [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 at End of Treatment (EOT) in High Programmed Death Ligand 1 (PD-L1)+ Modified HRQoL Analysis Set |
NCT02576574 (32) [back to overview] | Number of Participants With Shift From Baseline to Greater Than or Equal to (>=) Grade 3 in Laboratory Parameter Values Based on National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE), Version 4.03 |
NCT02576574 (32) [back to overview] | Change From Baseline in European Quality Of Life 5-dimensions (EQ-5D-5L) Visual Analog Scale (VAS) in High PD-L1+ Health-related Quality of Life (HRQoL) Analysis Set at End of Treatment |
NCT02576574 (32) [back to overview] | Duration of Response (DOR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in High Programmed Death Ligand 1 (PD-L1)+ Full Analysis Set (FAS) |
NCT02576574 (32) [back to overview] | Change From Baseline in European Quality Of Life 5-dimensions (EQ-5D-5L) Visual Analog Scale (VAS) in High Programmed Death Ligand 1 (PD-L1)+ Modified HRQoL Analysis Set |
NCT02576574 (32) [back to overview] | Duration of Response (DOR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in High Programmed Death Ligand 1 (PD-L1)+ Modified Full Analysis Set (mFAS) |
NCT02576574 (32) [back to overview] | Overall Survival (OS) in Full Analysis Set (FAS) |
NCT02576574 (32) [back to overview] | Overall Survival (OS) in High Programmed Death Ligand 1 (PD-L1) + Full Analysis Set (FAS) |
NCT02576574 (32) [back to overview] | Overall Survival (OS) in High Programmed Death Ligand 1 (PD-L1)+ Modified Full Analysis Set (mFAS) |
NCT02576574 (32) [back to overview] | Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and AEs of Special Interest (AESIs) |
NCT02576574 (32) [back to overview] | Overall Survival (OS) in Moderate and High Programmed Death Ligand 1 (PD-L1)+ Full Analysis Set (FAS) |
NCT02576574 (32) [back to overview] | Overall Survival (OS) in Moderate and High Programmed Death Ligand 1 (PD-L1)+ Modified Full Analysis Set (mFAS) |
NCT02576574 (32) [back to overview] | Overall Survival (OS) in Modified Full Analysis Set (mFAS) |
NCT02578641 (2) [back to overview] | Progression-free Survival (PFS) of Subjects With Advanced Nasopharyngeal Carcinoma. |
NCT02578641 (2) [back to overview] | Overall Survival (OS) of Subjects With Advanced Nasopharyngeal Carcinoma. |
NCT02583477 (14) [back to overview] | Objective Response Rate (ORR) in Cohort 2 |
NCT02583477 (14) [back to overview] | Mean Plasma Concentrations of MEDI4736 in Cohort 2 |
NCT02583477 (14) [back to overview] | Number of Participants With Dose-Limiting Toxicities (DLT) |
NCT02583477 (14) [back to overview] | Median Progression-Free Survival (PFS) in Cohort 2 |
NCT02583477 (14) [back to overview] | Median Overall Survival (OS) in Cohort 2 |
NCT02583477 (14) [back to overview] | Number of Participants With AEs |
NCT02583477 (14) [back to overview] | Number of Participants With Anti-Drug Antibody (ADAs) for MEDI4736 in Cohort 2 |
NCT02583477 (14) [back to overview] | Duration of Response (DoR) in Cohort 2 |
NCT02583477 (14) [back to overview] | Progression-Free Survival Rate at 3 Months (PFS3) in Cohort 2 |
NCT02583477 (14) [back to overview] | Overall Survival at 6 Months (OS6) in Cohort 2 |
NCT02583477 (14) [back to overview] | Overall Survival at 12 Months (OS12) in Cohort 2 |
NCT02583477 (14) [back to overview] | Disease Control Rate (DCR) in Cohort 2 |
NCT02583477 (14) [back to overview] | Mean Plasma Concentrations of AZD5069 in Cohort 2 |
NCT02583477 (14) [back to overview] | Progression-Free Survival Rate at 6 Months (PFS6) in Cohort 2 |
NCT02595892 (10) [back to overview] | Duration of Response |
NCT02595892 (10) [back to overview] | Progression Free Survival at 6 Months (PFS-6) |
NCT02595892 (10) [back to overview] | Progression Free Survival (PFS) |
NCT02595892 (10) [back to overview] | Percentage of Patients With a Reduction in CA-125 |
NCT02595892 (10) [back to overview] | Overall Survival (OS) |
NCT02595892 (10) [back to overview] | Objective Response Rate (ORR) |
NCT02595892 (10) [back to overview] | Number of Participants With Serious Adverse Events (SAEs) |
NCT02595892 (10) [back to overview] | Clinical Benefit Rate (CBR) |
NCT02595892 (10) [back to overview] | Duration of Response |
NCT02595892 (10) [back to overview] | Objective Response Rate by Platinum Free Status |
NCT02608229 (7) [back to overview] | Overall Survival (OS) |
NCT02608229 (7) [back to overview] | Progression-free Survival (PFS) |
NCT02608229 (7) [back to overview] | Time to Tumor Progression (TTP) |
NCT02608229 (7) [back to overview] | Safety and Toxicity Profile of Treatment Regimen as Measured by Grade and Frequency of Adverse Events |
NCT02608229 (7) [back to overview] | Response Rate |
NCT02608229 (7) [back to overview] | Biochemical Response of Treatment Regimen |
NCT02608229 (7) [back to overview] | Maximum Tolerated Dose (MTD) of BVD-523 |
NCT02608684 (7) [back to overview] | Time to Progression |
NCT02608684 (7) [back to overview] | Overall Survival (OS) |
NCT02608684 (7) [back to overview] | Duration of Response |
NCT02608684 (7) [back to overview] | Progression-free Survival (PFS) at 6 Months and at 12 Months |
NCT02608684 (7) [back to overview] | Overall Response Rate by iRECIST |
NCT02608684 (7) [back to overview] | Overall Response Rate (ORR) |
NCT02608684 (7) [back to overview] | Frequency and Intensity of Adverse Events (CTCAE v.4), Deemed at Least Possibly Related to Study Participation |
NCT02611037 (4) [back to overview] | Disease Control Rate (DCR) |
NCT02611037 (4) [back to overview] | Progression Free Survival (PFS) |
NCT02611037 (4) [back to overview] | Overall Survival (OS) |
NCT02611037 (4) [back to overview] | Occurrence of Treatment Related Toxicity |
NCT02611960 (10) [back to overview] | Overall Survival (OS) |
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] | Progression-free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) |
NCT02611960 (10) [back to overview] | Objective Response Rate (ORR) Per RECIST 1.1 |
NCT02611960 (10) [back to overview] | Duration of Response (DOR) Per RECIST 1.1 |
NCT02611960 (10) [back to overview] | Percentage of Participants With PFS (PFS Rate) at 12 Months |
NCT02611960 (10) [back to overview] | Percentage of Participants With PFS (PFS Rate) at 6 Months |
NCT02620865 (3) [back to overview] | Incidence of Toxicity (CTCAE Version 4.0) |
NCT02620865 (3) [back to overview] | Progression Free Survival (PFS) |
NCT02620865 (3) [back to overview] | Median Overall Survival (OS) |
NCT02631590 (3) [back to overview] | Overall Survival (OS) |
NCT02631590 (3) [back to overview] | Response Rate |
NCT02631590 (3) [back to overview] | Progression Free Survival (PFS) |
NCT02659020 (18) [back to overview] | Phase 1b: PK: Elimination Half-Life (T1/2) of Olaratumab |
NCT02659020 (18) [back to overview] | Phase 1b/2: PK: Area Under the Concentration Versus Time Curve From Time Zero to Infinity (AUC [0-∞]) of Docetaxel |
NCT02659020 (18) [back to overview] | Phase 1b: PK: Minimum Serum Concentration (Cmin) of Olaratumab |
NCT02659020 (18) [back to overview] | Phase 1b: Pharmacokinetics (PK): Maximum Serum Concentration (Cmax) of Olaratumab |
NCT02659020 (18) [back to overview] | Phase 2: Progression Free Survival (PFS) |
NCT02659020 (18) [back to overview] | Phase 2: Percentage of Participants With a Complete or Partial Response (Objective Response Rate [ORR]) |
NCT02659020 (18) [back to overview] | Phase 2: Overall Survival (OS) (Olaratumab-Naive) |
NCT02659020 (18) [back to overview] | Phase 2: Overall Survival (Olaratumab Pre-Treated) |
NCT02659020 (18) [back to overview] | Phase 2: Health Status on the EuroQol 5-Dimension 5 Level (EQ-5D-5L) |
NCT02659020 (18) [back to overview] | Phase 2: Number of Participants With Treatment Emergent Anti-Olaratumab Antibodies |
NCT02659020 (18) [back to overview] | Phase 2: Disease Control Rate (DCR): Percentage of Participants With a Best Overall Response of Complete Response (CR), Partial Response (PR), and Stable Disease (SD) |
NCT02659020 (18) [back to overview] | Phase 1b/2: Population PK: Volume of Distribution at Steady State (Vss) of Olaratumab |
NCT02659020 (18) [back to overview] | Phase 1b/2: PK: Cmax of Gemcitabine |
NCT02659020 (18) [back to overview] | Phase 1b/2: PK: Cmax of Docetaxel |
NCT02659020 (18) [back to overview] | Phase 1b: Number of Participants With Dose Limiting Toxicity (DLT) |
NCT02659020 (18) [back to overview] | "Phase 2: Time to First Worsening of the Brief Pain Inventory Short Form Modified (mBPI-sf) Worst Pain Score" |
NCT02659020 (18) [back to overview] | Phase 1b/2: Population PK: Clearance of Olaratumab |
NCT02659020 (18) [back to overview] | Phase 2: Time to First Worsening of Symptom Burden on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) - Symptom Scales. |
NCT02690558 (3) [back to overview] | Number of Participants With Treatment Related Adverse Events. |
NCT02690558 (3) [back to overview] | Percentage of Subjects That Reach Complete Pathologic Response (pT0) at the Time of Cystectomy |
NCT02690558 (3) [back to overview] | Percentage of Subjects That Reach Pathological Downstaging (Response) at the Time of Cystectomy |
NCT02694536 (6) [back to overview] | Overall Survival (OS) |
NCT02694536 (6) [back to overview] | Percentage of Participants Who Died |
NCT02694536 (6) [back to overview] | Percentage of Participants With Adverse Events (AEs) |
NCT02694536 (6) [back to overview] | Percentage of Participants With Death or Disease Progression According to Response Evaluation Criteria in Solid Tumors (RECIST) |
NCT02694536 (6) [back to overview] | European Organisation for Research and Treatment of Cancer (EORTC) 30-Item Quality of Life Questionnaire (QLQ-C30) Item Scores |
NCT02694536 (6) [back to overview] | Progression-Free Survival (PFS) According to RECIST |
NCT02695771 (2) [back to overview] | Freedom From Bladder Stones/Dystrophic Calcification |
NCT02695771 (2) [back to overview] | Number of Participants Without Grade ≥ 3 Adverse Event, Graded According to NCI CTCAE Version 4.03 |
NCT02704156 (6) [back to overview] | One- and Two-year Progression Survival Rate Will be Determined. Will be Determined. |
NCT02704156 (6) [back to overview] | The Quality of Life Will be Analyzed. |
NCT02704156 (6) [back to overview] | Treatment-related Adverse Effects Will be Determined. |
NCT02704156 (6) [back to overview] | The Median Progression Free Survival Time Will be Determined. |
NCT02704156 (6) [back to overview] | The Median Survival Time Will be Determined. |
NCT02704156 (6) [back to overview] | One- and Two-year Overall Survival Rate Will be Determined. |
NCT02711137 (17) [back to overview] | AUC0-24: Area Under the Steady-state Plasma Concentration-time Curve of INCB057643 Administered as Monotherapy |
NCT02711137 (17) [back to overview] | AUC0-24: Area Under the Steady-state Plasma Concentration-time Curve of INCB057643 Administered as Monotherapy |
NCT02711137 (17) [back to overview] | Objective Response Rate (ORR) With INCB057643 in Solid Tumors |
NCT02711137 (17) [back to overview] | Number of Participants With Treatment Emergent Adverse Events (TEAE's). |
NCT02711137 (17) [back to overview] | Percent Inhibition of Total Cellular Myc Protein Concentrations Before and After Administration of INCB057643 When Administered as Monotherapy in an Ex-vivo Assay |
NCT02711137 (17) [back to overview] | Part 2 - Cmax: Maximum Observed Plasma Concentration of INCB057643. |
NCT02711137 (17) [back to overview] | Tmax: Time to Maximum Plasma Concentration of INCB057643 |
NCT02711137 (17) [back to overview] | Part 2-Tmax: Time to Maximum Plasma Concentration of INCB057643 |
NCT02711137 (17) [back to overview] | Objective Response Rate (ORR) With INCB057643 in Solid Tumors |
NCT02711137 (17) [back to overview] | Cmax: Maximum Observed Plasma Concentration of INCB057643. |
NCT02711137 (17) [back to overview] | Objective Response Rate (ORR) With INCB057643 in Solid Tumors |
NCT02711137 (17) [back to overview] | AUC0-t: Area Under the Single-dose Plasma Concentration-time Curve of INCB057643 |
NCT02711137 (17) [back to overview] | Objective Response Rate (ORR) With INCB057643 in Solid Tumors |
NCT02711137 (17) [back to overview] | Objective Response Rate (ORR) With INCB057643 in Solid Tumors |
NCT02711137 (17) [back to overview] | Objective Response Rate (ORR) With INCB057643 in Solid Tumors |
NCT02711137 (17) [back to overview] | Objective Response Rate (ORR) With INCB057643 in Solid Tumors |
NCT02711137 (17) [back to overview] | Objective Response Rate (ORR) With INCB057643 in Solid Tumors |
NCT02711553 (9) [back to overview] | Progression Free Survival (PFS) |
NCT02711553 (9) [back to overview] | Pharmacokinetics (PK): Minimum Concentration (Cmin) of Ramucirumab |
NCT02711553 (9) [back to overview] | Change From Baseline in Functional Assessment of Cancer Therapy Hepatobiliary Questionnaire (FACT-Hep) |
NCT02711553 (9) [back to overview] | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR): Objective Response Rate (ORR) |
NCT02711553 (9) [back to overview] | Overall Survival (OS) |
NCT02711553 (9) [back to overview] | Percentage of Participants With a Best Overall Response of CR, PR, or Stable Disease (SD): Disease Control Rate (DCR) |
NCT02711553 (9) [back to overview] | Number of Participants With Treatment-Emergent Anti-Ramucirumab Antibodies |
NCT02711553 (9) [back to overview] | Change From Baseline on the EuroQol 5-Dimension, 5-Level Questionnaire (EQ-5D-5L) Index Score |
NCT02711553 (9) [back to overview] | Change From Baseline in Participant-Reported EQ-5D-5L Visual Analog Scale (VAS) Score |
NCT02715804 (8) [back to overview] | Number of Participants With Clinically Significant Abnormalities in Electrocardiogram (ECG) |
NCT02715804 (8) [back to overview] | Number of Participants With Treatment-Emergent Adverse Events (AEs) |
NCT02715804 (8) [back to overview] | Duration of Response (DOR) |
NCT02715804 (8) [back to overview] | Number of Participants With Worst Post-Baseline Hematology and Chemistry (Clinical Laboratory Parameters) Severity Grade During the Study |
NCT02715804 (8) [back to overview] | Number of Participants With Clinically Significant Abnormalities in Vital Signs |
NCT02715804 (8) [back to overview] | Progression-Free Survival (PFS) |
NCT02715804 (8) [back to overview] | Overall Survival |
NCT02715804 (8) [back to overview] | Objective Response Rate (ORR): Percentage of Participants With Objective Response |
NCT02732938 (20) [back to overview] | PF-04136309 Minimum Observed Plasma Concentration (Cmin) for Cycle 1 Day 15 in the 500 mg BID Group [Phase 1b] |
NCT02732938 (20) [back to overview] | PF-04136309 Maximum Observed Plasma Concentration (Cmax) for Cycle 1 Day 15 in the 500 mg BID Group [Phase 1b] |
NCT02732938 (20) [back to overview] | PF-04136309 Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) for Cycle 1 Day 15 in the 750 mg BID Group [Phase 1b] |
NCT02732938 (20) [back to overview] | PF-04136309 Maximum Observed Plasma Concentration (Cmax) for Cycle 1 Day 15 in the 750 mg BID Group [Phase 1b] |
NCT02732938 (20) [back to overview] | Number of Participants With Chemistries Laboratory Abnormalities by Maximum NCI CTCAE Grade [Phase 1b] |
NCT02732938 (20) [back to overview] | PF-04136309 Time to Reach Maximum Observed Plasma Concentration (Tmax) for Cycle 1 Day 15 in the 750 mg BID Group [Phase 1b] |
NCT02732938 (20) [back to overview] | PF-04136309 Minimum Observed Plasma Concentration (Cmin) for Cycle 1 Day 15 in the 750 mg BID Group [Phase 1b] |
NCT02732938 (20) [back to overview] | Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs) [Phase 1b] |
NCT02732938 (20) [back to overview] | PF-04136309 Apparent Oral Clearance (CL/F) for Cycle 1 Day 15 in the 750 mg BID Group [Phase 1b] |
NCT02732938 (20) [back to overview] | Number of Participants With Treatment-Emergent Adverse Events (AEs) by Severity [Phase 1b] |
NCT02732938 (20) [back to overview] | Number of Participants With Urinalysis Laboratory Abnormalities by Maximum NCI CTCAE Grade [Phase 1b] |
NCT02732938 (20) [back to overview] | Objective Response Rate (ORR) [Phase 1b] |
NCT02732938 (20) [back to overview] | PF-04136309 Apparent Oral Clearance (CL/F) for Cycle 1 Day 15 in the 500 mg BID Group [Phase 1b] |
NCT02732938 (20) [back to overview] | PF-04136309 Apparent Volume of Distribution (Vz/F) for Cycle 1 Day 15 [Phase 1b] |
NCT02732938 (20) [back to overview] | PF-04136309 Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) for Cycle 1 Day 15 in the 500 mg BID Group [Phase 1b] |
NCT02732938 (20) [back to overview] | Number of Participants With Dose-Limiting Toxicities (DLTs) [Phase 1b] |
NCT02732938 (20) [back to overview] | Number of Participants With Hematology Laboratory Abnormalities by Maximum National Cancer Institute Common Terminology Criteria for Adverse Event (NCI CTCAE) Grade [Phase 1b] |
NCT02732938 (20) [back to overview] | PF-04136309 Time to Reach Maximum Observed Plasma Concentration (Tmax) for Cycle 1 Day 15 in the 500 mg BID Group [Phase 1b] |
NCT02732938 (20) [back to overview] | PF-04136309 Plasma Decay Half-Life (t1/2) for Cycle 1 Day 15 [Phase 1b] |
NCT02732938 (20) [back to overview] | Number of Participants With Chemistries Laboratory Abnormalities by Maximum NCI CTCAE Grade [Phase 1b] |
NCT02769832 (3) [back to overview] | Time to Progression |
NCT02769832 (3) [back to overview] | Progression-Free Survival |
NCT02769832 (3) [back to overview] | Overall Survival |
NCT02807636 (19) [back to overview] | Objective Response Rate (ORR) in Atezolizumab Monotherapy Arm Versus Placebo+Gemcitabine+Carboplatin/Cisplatin Arm |
NCT02807636 (19) [back to overview] | Objective Response Rate (ORR) in Atezolizumab+Gemcitabine+Carboplatin/Cisplatin Arm Versus Placebo+Gemcitabine+Carboplatin/Cisplatin Arm |
NCT02807636 (19) [back to overview] | Time to Deterioration in Physical Function as Measured by the EORTC QLQ-C30 Score in the Placebo+Gemcitabine+Carboplatin/Cisplatin Arm Versus Atezolizumab +Gemcitabine+Carboplatin/Cisplatin Arm |
NCT02807636 (19) [back to overview] | Time to Deterioration in Physical Function as Measured by the EORTC QLQ-C30 Score in the Placebo+Gemcitabine+Carboplatin/Cisplatin Arm Versus Atezolizumab Monotherapy Arm |
NCT02807636 (19) [back to overview] | Investigator-Assessed Progression-Free Survival (INV-PFS) in Participants Treated With Atezolizumab Monotherapy Arm Compared With Placebo+Gemcitabine+Carboplatin/Cisplatin Arm |
NCT02807636 (19) [back to overview] | OS Event Free Rate in Atezolizumab Monotherapy Arm Versus Placebo+Gemcitabine+Carboplatin/Cisplatin Arm |
NCT02807636 (19) [back to overview] | Investigator Assessed Progression-Free Survival (PFS) in the Placebo+Gemcitabine+Carboplatin/Cisplatin Arm Versus Atezolizumab +Gemcitabine+Carboplatin/Cisplatin Arm |
NCT02807636 (19) [back to overview] | Duration of Response (DOR) in Atezolizumab+Gemcitabine+Carboplatin/Cisplatin Arm Versus Placebo+Gemcitabine+Carboplatin/Cisplatin Arm |
NCT02807636 (19) [back to overview] | Duration of Response (DOR) in Atezolizumab Monotherapy Arm Versus Placebo+Gemcitabine+Carboplatin/Cisplatin Arm |
NCT02807636 (19) [back to overview] | Overall Survival (OS) in Atezolizumab+Gemcitabine+Carboplatin/Cisplatin Arm Versus Placebo+Gemcitabine+Carboplatin/Cisplatin Arm |
NCT02807636 (19) [back to overview] | Overall Survival (OS) in Atezolizumab Monotherapy Arm Versus Placebo+Gemcitabine+Carboplatin/Cisplatin Arm |
NCT02807636 (19) [back to overview] | Percentage of Participants With Anti-Therapeutic (Anti-Atezolizumab) Antibodies (ATAs) |
NCT02807636 (19) [back to overview] | Minimum Atezolizumab Serum Concentration |
NCT02807636 (19) [back to overview] | PFS Event Free Rate |
NCT02807636 (19) [back to overview] | Time to Deterioration in Global Health Status as Measured by the EORTC QLQ-C30 Score in the Placebo+Gemcitabine+Carboplatin/Cisplatin Arm Versus Atezolizumab +Gemcitabine+Carboplatin/Cisplatin Arm |
NCT02807636 (19) [back to overview] | Time to Deterioration in Global Health Status as Measured by the EORTC QLQ-C30 Score in the Placebo+Gemcitabine+Carboplatin/Cisplatin Arm Versus Atezolizumab Monotherapy Arm |
NCT02807636 (19) [back to overview] | IRF-PFS |
NCT02807636 (19) [back to overview] | Maximum Atezolizumab Serum Concentration |
NCT02807636 (19) [back to overview] | OS Event Free Rate Atezolizumab+Gemcitabine+Carboplatin/Cisplatin Arm Versus Placebo+Gemcitabine+Carboplatin/Cisplatin Arm |
NCT02819518 (25) [back to overview] | Part 2: DOR - Participants With PD-L1 CPS ≥10 Tumors |
NCT02819518 (25) [back to overview] | Part 2: Duration of Response (DOR) - All Participants |
NCT02819518 (25) [back to overview] | Part 2: Objective Response Rate (ORR) - All Participants |
NCT02819518 (25) [back to overview] | Part 2: ORR - Participants With PD-L1 CPS ≥1 Tumors |
NCT02819518 (25) [back to overview] | Part 2: ORR - Participants With PD-L1 CPS ≥10 Tumors |
NCT02819518 (25) [back to overview] | Part 2: OS - Participants With PD-L1 CPS ≥1 Tumors |
NCT02819518 (25) [back to overview] | Part 2: OS - Participants With PD-L1 CPS ≥10 Tumors |
NCT02819518 (25) [back to overview] | Part 2: Overall Survival (OS) - All Participants |
NCT02819518 (25) [back to overview] | Part 2: Percentage of Participants Who Discontinued Study Drug Due to an AE- All Participants |
NCT02819518 (25) [back to overview] | Part 2: Percentage of Participants Who Experienced an AE- All Participants |
NCT02819518 (25) [back to overview] | Part 2: PFS - Participants With PD-L1 CPS ≥10 Tumors |
NCT02819518 (25) [back to overview] | Part 2: PFS - Participants With Programmed Cell Death-Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥1 Tumors |
NCT02819518 (25) [back to overview] | Part 2: Progression-Free Survival (PFS) - All Participants |
NCT02819518 (25) [back to overview] | Part 1: Percentage of Participants Who Discontinued Study Drug Due to an AE - All Participants |
NCT02819518 (25) [back to overview] | Part 1: Percentage of Participants Who Experienced an Adverse Event (AE) - All Participants |
NCT02819518 (25) [back to overview] | Part 2: Change From Baseline to Week 15 in EORTC QLQ-C30 Global Health Status (Item 29) and Quality of Life (Item 30) Combined Score - Participants With PD-L1 CPS ≥1 Tumors |
NCT02819518 (25) [back to overview] | Part 2: Change From Baseline to Week 15 in EORTC QLQ-C30 Global Health Status (Item 29) and Quality of Life (Item 30) Combined Score-Participants With PD-L1 CPS ≥10 Tumors |
NCT02819518 (25) [back to overview] | Part 2: Change From Baseline to Week 15 in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status (Item 29) and Quality of Life (Item 30) Combined Score- All Participants |
NCT02819518 (25) [back to overview] | Part 2: Change From Baseline to Week 15 in Systemic Therapy Side Effects Using the EORTC Breast Cancer-Specific Quality of Life Questionnaire (QLQ-BR23)-All Participants |
NCT02819518 (25) [back to overview] | Part 2: Change From Baseline to Week 15 in Systemic Therapy Side Effects Using the EORTC QLQ-BR23 - Participants With PD-L1 CPS ≥1 Tumors |
NCT02819518 (25) [back to overview] | Part 2: Change From Baseline to Week 15 in Systemic Therapy Side Effects Using the EORTC QLQ-BR23- Participants With PD-L1 CPS ≥10 Tumors |
NCT02819518 (25) [back to overview] | Part 2: DCR - Participants With PD-L1 CPS ≥1 Tumors |
NCT02819518 (25) [back to overview] | Part 2: Disease Control Rate (DCR) - All Participants |
NCT02819518 (25) [back to overview] | Part 2: DCR - Participants With PD-L1 CPS ≥10 Tumors |
NCT02819518 (25) [back to overview] | Part 2: DOR - Participants With PD-L1 CPS ≥1 Tumors |
NCT02853305 (20) [back to overview] | Pembro Combo vs Chemo: Duration of Response (DOR) Using RECIST 1.1 as Assessed by BICR |
NCT02853305 (20) [back to overview] | Pembro vs Chemo: PFS Using RECIST 1.1 as Assessed by BICR |
NCT02853305 (20) [back to overview] | Pembro vs Chemo: TTD in the EORTC-QLQ-C30 GHS/QoL (Items 29 and 30) Combined Score |
NCT02853305 (20) [back to overview] | PFS Using RECIST 1.1 as Assessed by BICR at 12 Months |
NCT02853305 (20) [back to overview] | Pembro vs Chemo: OS in Participants With Programmed Cell Death Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥10% |
NCT02853305 (20) [back to overview] | Pembro Combo vs Chemo: Objective Response Rate (ORR) Using RECIST 1.1 as Assessed by BICR |
NCT02853305 (20) [back to overview] | Number of Participants Who Discontinue Study Drug Due to an AE |
NCT02853305 (20) [back to overview] | Number of Participants Who Experience an Adverse Event (AE) |
NCT02853305 (20) [back to overview] | PFS Using RECIST 1.1 as Assessed by BICR at 18 Months |
NCT02853305 (20) [back to overview] | Pembro Combo vs Chemo: 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 |
NCT02853305 (20) [back to overview] | Pembro Combo vs Chemo: Disease Control Rate (DCR) Using RECIST 1.1 as Assessed by BICR |
NCT02853305 (20) [back to overview] | Pembro Combo vs Chemo: Overall Survival (OS) |
NCT02853305 (20) [back to overview] | Pembro Combo vs Chemo: Progression-free Survival (PFS) Using Response Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) |
NCT02853305 (20) [back to overview] | Pembro Combo vs Chemo: Time to Deterioration (TTD) in the EORTC-QLQ-C30 GHS/QoL (Items 29 and 30) Combined Score |
NCT02853305 (20) [back to overview] | Pembro vs Chemo: Change From Baseline To Week 18 in the EORTC QLQ-C30 GHS/QoL Combined Score |
NCT02853305 (20) [back to overview] | Pembro vs Chemo: DCR Using RECIST 1.1 as Assessed by BICR |
NCT02853305 (20) [back to overview] | Pembro vs Chemo: DOR Using RECIST 1.1 as Assessed by BICR |
NCT02853305 (20) [back to overview] | Pembro vs Chemo: ORR Using RECIST 1.1 as Assessed by BICR |
NCT02853305 (20) [back to overview] | Pembro vs Chemo: OS |
NCT02853305 (20) [back to overview] | PFS Using RECIST 1.1 as Assessed by BICR at 6 Months |
NCT02855944 (12) [back to overview] | Investigator Assessed Progression-Free Survival (invPFS) by RECIST Version 1.1 for Rucaparib Versus Chemotherapy (Efficacy Population) |
NCT02855944 (12) [back to overview] | Least Squares Mean Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Global Health Status Score for the First 6 Cycles (Efficacy Population) |
NCT02855944 (12) [back to overview] | Least Squares Mean Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Global Health Status Score for the First 6 Cycles (ITT Population) |
NCT02855944 (12) [back to overview] | Overall Survival (Efficacy Population) |
NCT02855944 (12) [back to overview] | Overall Survival (ITT Population) |
NCT02855944 (12) [back to overview] | Investigator Assessed Overall Response Rate (ORR) by RECIST v1.1 and/or CA-125 Response (Efficacy Population) |
NCT02855944 (12) [back to overview] | Investigator Assessed Overall Response Rate (ORR) by RECIST v1.1 (ITT Population) |
NCT02855944 (12) [back to overview] | Investigator Assessed Overall Response Rate (ORR) by RECIST v1.1 (Efficacy Population) |
NCT02855944 (12) [back to overview] | Investigator Assessed Duration of Response (DOR) by RECIST v1.1 (ITT Population) |
NCT02855944 (12) [back to overview] | Investigator Assessed Progression-Free Survival (invPFS) by RECIST Version 1.1 for Rucaparib Versus Chemotherapy (ITT Population) |
NCT02855944 (12) [back to overview] | Investigator Assessed Duration of Response (DOR) by RECIST v1.1 (Efficacy Population) |
NCT02855944 (12) [back to overview] | Investigator Assessed Overall Response Rate (ORR) by RECIST v1.1 and/or CA-125 Response (ITT Population) |
NCT02873598 (1) [back to overview] | The Maximum Tolerated Dose (MTD) of Stereotactic Body Radiotherapy (SBRT) in Locally Advanced Pancreatic Cancer (LAPC) Patients Who Have Not Developed Distant Progression After Induction Chemotherapies. |
NCT02879318 (2) [back to overview] | Progression Free Survival |
NCT02879318 (2) [back to overview] | Overall Survival |
NCT02887248 (1) [back to overview] | The Number of Participants With Grade 3/4/5 Adverse Events (AEs) as a Measure of Safety. |
NCT02915744 (11) [back to overview] | Compare Health-Related Quality of Life (HRQoL) Using the European Organisation for Treatment of Cancer (EORTC) Quality of Life Core 30 (QLQ-C30) Module With the Brain Neoplasms 20-question (BN-20) Subscale. |
NCT02915744 (11) [back to overview] | Compare Health-Related Quality of Life (HRQoL) Using the the EuroQoL 5D (EQ-5D-5L™) |
NCT02915744 (11) [back to overview] | Overall Survival (OS) of Patients |
NCT02915744 (11) [back to overview] | Duration of Response (DoR) |
NCT02915744 (11) [back to overview] | Magnitude of Clinical Benefit Assessed by ESMO-MCBS Derived From Overall Survival |
NCT02915744 (11) [back to overview] | Number of Participants With Adverse Events as Assessed by Common Terminology Criteria for Adverse Events (CTCAE) v4.3 |
NCT02915744 (11) [back to overview] | Progression-Free Survival (Outside the Central Nervous System) |
NCT02915744 (11) [back to overview] | Progression-Free Survival (Overall) |
NCT02915744 (11) [back to overview] | Progression-Free Survival in Brain Metastasis (PFS-BM) |
NCT02915744 (11) [back to overview] | Clinical Benefit Rate (CBR) |
NCT02915744 (11) [back to overview] | Compare Health-Related Quality of Life (HRQoL) Using the Brief Fatigue Inventory (BFI) |
NCT02937116 (13) [back to overview] | Volume of Distribution of IBI308 in Plasma After Single Dose Administration |
NCT02937116 (13) [back to overview] | Clearance of IBI308 in Plasma After Single Dose Administration |
NCT02937116 (13) [back to overview] | Number of All Study Participants Who Demonstrate a Tumor Response |
NCT02937116 (13) [back to overview] | DOR According to RECIST 1.1 as Assessed by Investigator |
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] | Number of Participants Experiencing Dose-limiting Toxicities (DLTs) |
NCT02937116 (13) [back to overview] | PFS 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] | TTR According to RECIST 1.1 as Assessed by Investigator |
NCT02937116 (13) [back to overview] | Time to Maximum Concentration (Tmax) of Sintilimab in Solid Tumor Participants |
NCT02937116 (13) [back to overview] | The Half-life (t1/2) of IBI308 in Plasma After Single Dose Administration |
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] | OS for Participants |
NCT02951156 (18) [back to overview] | Progression-Free Survival (PFS) as Assessed by the Investigator Per Lugano Response Classification Criteria |
NCT02951156 (18) [back to overview] | Overall Survival |
NCT02951156 (18) [back to overview] | Objective Response Rate (ORR) as Assessed by Investigator Per Lugano Response Classification Criteria |
NCT02951156 (18) [back to overview] | Number of Participants With Dose Limiting Toxicities (DLT) |
NCT02951156 (18) [back to overview] | Duration of Response (DOR) as Assessed by Investigator Per Lugano Response Classification Criteria |
NCT02951156 (18) [back to overview] | Disease Control Rate as Assessed by the Investigator Per Lugano Response Classification Criteria |
NCT02951156 (18) [back to overview] | Number of Participants With Laboratory Abnormalities As Per National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI-CTCAE), Version 4.03 |
NCT02951156 (18) [back to overview] | Number of Participants With Treatment-Emergent Adverse Events (TEAEs) Greater Than or Equal to (>=) Grade 3, As Per National Cancer Institute Common Terminology Criteria For Adverse Events (NCI-CTCAE), Version 4.03 |
NCT02951156 (18) [back to overview] | Programmed Death Receptor-1 Ligand-1 (PD-L1) Biomarker Expression in Tumor and Immune Cells as Assessed by Immunohistochemistry (IHC) at Baseline |
NCT02951156 (18) [back to overview] | Number of Participants With Neutralizing Antibodies (nAb) Against Utomilumab by Never and Ever Positive Status |
NCT02951156 (18) [back to overview] | Number of Participants With Minimal Residual Disease Burden (MRD) Positive, Negative and Not Evaluable (NE) Status |
NCT02951156 (18) [back to overview] | Number of Participants With Electrocardiogram (ECG) Abnormalities |
NCT02951156 (18) [back to overview] | Number of Participants With Anti-Drug Antibodies (ADA) Against Utomilumab by Never and Ever Positive Status |
NCT02951156 (18) [back to overview] | Number of Participants With Anti-Drug Antibodies (ADA) Against Rituximab by Never and Ever Positive Status |
NCT02951156 (18) [back to overview] | Number of Participants With Anti-Drug Antibodies (ADA) Against Avelumab by Never and Ever Positive Status |
NCT02951156 (18) [back to overview] | Concentration Verses Time Summary of Avelumab |
NCT02951156 (18) [back to overview] | Concentration Verses Time Summary of Avelumab |
NCT02951156 (18) [back to overview] | Time to Tumor Response (TTR) as Assessed by Investigator Per Lugano Response Classification Criteria |
NCT02954406 (8) [back to overview] | Dose Escalation Phase: Maximum Tolerated Dose (MTD) of TAK-659 |
NCT02954406 (8) [back to overview] | AUCtau: Area Under the Plasma Concentration-time Curve During Dosing Interval |
NCT02954406 (8) [back to overview] | Duration of Response (DOR) |
NCT02954406 (8) [back to overview] | Tmax: Time to Reach the Maximum Plasma Concentration for TAK-659 |
NCT02954406 (8) [back to overview] | Cmax: Maximum Observed Plasma Concentration for TAK-659 |
NCT02954406 (8) [back to overview] | Time to Progression (TTP) |
NCT02954406 (8) [back to overview] | Dose Escalation Phase: Recommended Phase 2 Dose (RP2D) of TAK-659 |
NCT02954406 (8) [back to overview] | Overall Response Rate (ORR) |
NCT02978716 (28) [back to overview] | Terminal Elimination Half-Life (t1/2) of Trilaciclib |
NCT02978716 (28) [back to overview] | Duration of Severe (Grade 4) Neutropenia (DSN) During Cycle 1 |
NCT02978716 (28) [back to overview] | Number of Participants With Best Overall Response (BOR) as Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) |
NCT02978716 (28) [back to overview] | Relative Dose Intensity of Gemcitabine and Carboplatin |
NCT02978716 (28) [back to overview] | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs |
NCT02978716 (28) [back to overview] | Number of Participants With Grade 3 and 4 Hematologic Toxicities |
NCT02978716 (28) [back to overview] | Dose Modifications: Number of Participants With Any Dose Interruptions |
NCT02978716 (28) [back to overview] | Dose Modifications - Number of Participants With Dose Reductions |
NCT02978716 (28) [back to overview] | Volume of Distribution at Steady State (Vss) of Free Carboplatin |
NCT02978716 (28) [back to overview] | Area Under the Plasma Concentration-Time Curve From Time 0 to t Hours (AUC0-t) of Gemcitabine |
NCT02978716 (28) [back to overview] | Terminal Elimination Half-Life (t1/2) of Free Carboplatin |
NCT02978716 (28) [back to overview] | Progression Free Survival (PFS) as Per RECIST v1.1 as Determined by Investigator |
NCT02978716 (28) [back to overview] | Overall Survival (OS) |
NCT02978716 (28) [back to overview] | Number of Participants With Febrile Neutropenia (FN) |
NCT02978716 (28) [back to overview] | Number of Cycles Participants Received Treatment in Each Treatment Arm |
NCT02978716 (28) [back to overview] | Maximum Observed Plasma Concentration (Cmax) of Trilaciclib |
NCT02978716 (28) [back to overview] | Major Adverse Hematologic Event (MAHE) Rate |
NCT02978716 (28) [back to overview] | Duration of Objective Response (DOR) as Per RECIST v1.1 as Determined by Investigator |
NCT02978716 (28) [back to overview] | Number of Participants With Grade 3 or 4 Thrombocytopenia |
NCT02978716 (28) [back to overview] | Dose Modifications: Number of Participants With Cycle Delays |
NCT02978716 (28) [back to overview] | Dose Modifications - Number of Participants With Skipped Doses |
NCT02978716 (28) [back to overview] | Duration of Exposure |
NCT02978716 (28) [back to overview] | Maximum Observed Plasma Concentration (Cmax) of Gemcitabine |
NCT02978716 (28) [back to overview] | Cumulative Dose of Gemcitabine |
NCT02978716 (28) [back to overview] | Cumulative Dose of Carboplatin |
NCT02978716 (28) [back to overview] | Clearance (CL) of of Free Carboplatin |
NCT02978716 (28) [back to overview] | Area Under the Plasma Concentration-Time Curve From Time 0 to t Hours (AUC0-t) of Trilaciclib |
NCT02978716 (28) [back to overview] | All-cause Dose Reductions, Event Rate (Per Cycle) |
NCT02981342 (11) [back to overview] | Stage 2: Overall Survival (OS) |
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 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 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: 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: 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 1: PK: Mean Single Dose Concentration of LY3023414 at 2h Post-dose |
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: Pharmacokinetics (PK): Mean Steady State Exposure of Abemaciclib and Its Metabolites (LSN2839567 (M2), LSN3106726 (M20)) |
NCT02981342 (11) [back to overview] | Stage 2: Progression Free Survival (PFS) |
NCT02991482 (6) [back to overview] | Percentage of Patients Experienced AEs/SAEs |
NCT02991482 (6) [back to overview] | Progression Free Survival (PFS) Assessed by Investigator |
NCT02991482 (6) [back to overview] | Progression Free Survival (PFS) as Assessed by Independent Radiological Review |
NCT02991482 (6) [back to overview] | Overall Survival. |
NCT02991482 (6) [back to overview] | Time to Treatment Failure. |
NCT02991482 (6) [back to overview] | Objective Response Rate by Independent Radiological Review |
NCT02993731 (10) [back to overview] | Overall Response Rate in Biomarker Positive Patients |
NCT02993731 (10) [back to overview] | Overall Survival |
NCT02993731 (10) [back to overview] | Overall Response Rate |
NCT02993731 (10) [back to overview] | Number of Patients With Adverse Events |
NCT02993731 (10) [back to overview] | Mean Change From Baseline for Global Quality of Life (QoL) at 8 Weeks. |
NCT02993731 (10) [back to overview] | Disease Control Rate in Biomarker Positive Patients |
NCT02993731 (10) [back to overview] | Disease Control Rate |
NCT02993731 (10) [back to overview] | Progression Free Survival in Biomarker Positive Patients |
NCT02993731 (10) [back to overview] | Progression Free Survival |
NCT02993731 (10) [back to overview] | Overall Survival in Biomarker Positive Patients |
NCT02998528 (4) [back to overview] | Event-Free Survival (EFS) |
NCT02998528 (4) [back to overview] | Time to Death or Distant Metastases (TTDM) |
NCT02998528 (4) [back to overview] | Pathologic Complete Response (pCR) Rate |
NCT02998528 (4) [back to overview] | Major Pathologic Response (MPR) Rate |
NCT03003962 (44) [back to overview] | OS at 24 Months |
NCT03003962 (44) [back to overview] | OS in PD-L1 TC >= 50% Analysis Set |
NCT03003962 (44) [back to overview] | Time to Deterioration of EORTC QLQ-C30 in PD-L1 TC >= 25% LREM Analysis Set |
NCT03003962 (44) [back to overview] | Time to Deterioration of EORTC QLQ-LC13 |
NCT03003962 (44) [back to overview] | Time to Deterioration of EORTC QLQ-LC13 in PD-L1 TC >= 25% LREM Analysis Set |
NCT03003962 (44) [back to overview] | Percentage of Participants With Antidrug Antibody (ADA) Response to Durvalumab |
NCT03003962 (44) [back to overview] | OS at 18 Months in PD-L1 TC > = 25% LREM Analysis Set |
NCT03003962 (44) [back to overview] | PFS2 in PD-L1 TC >= 25% LREM Analysis Set |
NCT03003962 (44) [back to overview] | Overall Survival (OS) |
NCT03003962 (44) [back to overview] | PFS Based on Investigator Assessment According to RECIST 1.1 in LREM Analysis Set |
NCT03003962 (44) [back to overview] | Percentage of Participants With ADA Response to Durvalumab in LREM Analysis Set |
NCT03003962 (44) [back to overview] | Time to Deterioration of EORTC QLQ-C30 |
NCT03003962 (44) [back to overview] | OS in PD-L1 TC >= 50% LREM Analysis Set |
NCT03003962 (44) [back to overview] | OS at 18 Months in PD-L1 TC >= 50% LREM Analysis Set |
NCT03003962 (44) [back to overview] | OS at 18 Months in PD-L1 TC >= 50% Analysis Set |
NCT03003962 (44) [back to overview] | PFS Based on Investigator Assessment According to RECIST 1.1 in PD-L1 TC >= 50% LREM Analysis Set |
NCT03003962 (44) [back to overview] | OS at 18 Months |
NCT03003962 (44) [back to overview] | ORR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >= 50% LREM Analysis Set |
NCT03003962 (44) [back to overview] | ORR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >= 50% Analysis Set |
NCT03003962 (44) [back to overview] | ORR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >= 25% LREM Analysis Set |
NCT03003962 (44) [back to overview] | Objective Response Rate (ORR) as Per RECIST 1.1 Using Investigator Assessment |
NCT03003962 (44) [back to overview] | Duration of Response (DoR) as Per RECIST 1.1 Using Investigator Assessment |
NCT03003962 (44) [back to overview] | DoR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >=50% LREM Analysis Set |
NCT03003962 (44) [back to overview] | DoR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >=50% Analysis Set |
NCT03003962 (44) [back to overview] | OS at 24 Months in PD-L1 TC > = 25% LREM Analysis Set |
NCT03003962 (44) [back to overview] | OS at 24 Months in PD-L1 TC >= 50% Analysis Set |
NCT03003962 (44) [back to overview] | OS at 24 Months in PD-L1 TC >= 50% LREM Analysis Set |
NCT03003962 (44) [back to overview] | OS in Participants With LREM |
NCT03003962 (44) [back to overview] | PFS Based on Investigator Assessment According to RECIST 1.1 in PD-L1 TC >= 50% Analysis Set |
NCT03003962 (44) [back to overview] | Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC) 30-Item Core Quality of Life Questionnaire Version 3 (QLQ-C30) |
NCT03003962 (44) [back to overview] | PFS2 in PD-L1 TC >= 50% Analysis Set |
NCT03003962 (44) [back to overview] | PFS2 in PD-L1 TC >= 50% LREM Analysis Set |
NCT03003962 (44) [back to overview] | Progression Free Survival (PFS) Based on Investigator Assessment According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) |
NCT03003962 (44) [back to overview] | Time From Randomization to Second Progression (PFS2) |
NCT03003962 (44) [back to overview] | DoR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >=25% LREM Analysis Set |
NCT03003962 (44) [back to overview] | APF12 in PD-L1 TC >= 50% LREM Analysis Set |
NCT03003962 (44) [back to overview] | Change From Baseline in EORTC 13-Item Lung Cancer Quality of Life Questionnaire (QLQ-LC13) |
NCT03003962 (44) [back to overview] | APF12 in PD-L1 TC >= 50% Analysis Set |
NCT03003962 (44) [back to overview] | APF12 in PD-L1 TC >= 25% LREM Analysis Set |
NCT03003962 (44) [back to overview] | Alive and Progression-Free at 12 Months (APF12) |
NCT03003962 (44) [back to overview] | Change From Baseline in EORTC QLQ-C30 in PD-L1 TC >= 25% LREM Analysis Set |
NCT03003962 (44) [back to overview] | Change From Baseline in EORTC QLQ-LC13 in PD-L1 TC >= 25% LREM Analysis Set |
NCT03003962 (44) [back to overview] | Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status |
NCT03003962 (44) [back to overview] | Number of Participants With ECOG Performance Status in PD-L1 TC >=25% LREM Analysis Set |
NCT03025880 (14) [back to overview] | Immune Related Response Duration (irRD) |
NCT03025880 (14) [back to overview] | Immune-related Objective Response Rate (irORR) |
NCT03025880 (14) [back to overview] | Immune-related Progression-Free Survival (irPFS) |
NCT03025880 (14) [back to overview] | Number of Participants With Dose Limiting Toxicity (DLT) Within the First Cycle |
NCT03025880 (14) [back to overview] | Objective Response Rate (ORR) |
NCT03025880 (14) [back to overview] | Overall Survival (OS) |
NCT03025880 (14) [back to overview] | Clinical Benefit Rate (CBR) |
NCT03025880 (14) [back to overview] | Clinical Benefit Rate (CBR) at Least 24 Weeks |
NCT03025880 (14) [back to overview] | Progression-Free Survival (PFS) |
NCT03025880 (14) [back to overview] | Immune Related Clinical Benefit Rate (irCBR) |
NCT03025880 (14) [back to overview] | The Number of Participants Who Experienced Adverse Events (AE) Related to Study Treatment |
NCT03025880 (14) [back to overview] | Response Duration (RD) |
NCT03025880 (14) [back to overview] | Recommended Phase II Dose (RP2D) of Gemcitabine in Combination With Pembrolizumab |
NCT03025880 (14) [back to overview] | Immune Related Clinical Benefit Rate (irCBR) at Least 24 Weeks |
NCT03041181 (1) [back to overview] | Number of Participants With Grade 3 or Grade 4 Adverse Events |
NCT03085914 (3) [back to overview] | Phases 1 and 2: Objective Response Rate (ORR) |
NCT03085914 (3) [back to overview] | Phases 1 & 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs |
NCT03085914 (3) [back to overview] | Phases 1 and 2: Number of Participants With Dose Limiting Toxicities (DLTs) |
NCT03086369 (10) [back to overview] | "Phase 2: Time to First Worsening of the Brief Pain Inventory Short Form Modified (mBPI-sf) Worst Pain Score" |
NCT03086369 (10) [back to overview] | Phase 1b: Number of Participants With Dose Limiting Toxicities (DLTs) |
NCT03086369 (10) [back to overview] | Phase 1b/2: Duration of Response (DoR) |
NCT03086369 (10) [back to overview] | Phase 2: Time to First Worsening of Symptom Burden on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) - Symptom Scales. |
NCT03086369 (10) [back to overview] | Phase 2: Health Status on the EuroQol 5-Dimension 5 Level (EQ-5D-5L) |
NCT03086369 (10) [back to overview] | Phase 1b/2: Pharmacokinetics (PK): Minimum Concentration (Cmin) of Olaratumab |
NCT03086369 (10) [back to overview] | Phase 2: Progression-Free Survival (PFS) |
NCT03086369 (10) [back to overview] | Phase 2: Overall Survival (OS) |
NCT03086369 (10) [back to overview] | Phase 2: Number of Participants With Treatment Emergent Anti-Olaratumab Antibodies |
NCT03086369 (10) [back to overview] | Phase 1b/2: Objective Response Rate (ORR): Percentage of Participants Who Achieve Complete Response (CR) or Partial Response (PR) |
NCT03101566 (4) [back to overview] | The Percentage of Patients Alive and Without Progression at 6 Months Following the Initiation of Treatment |
NCT03101566 (4) [back to overview] | Overall Response Rate (ORR) |
NCT03101566 (4) [back to overview] | Median Progression Free Survival Time |
NCT03101566 (4) [back to overview] | Median Overall Survival Time |
NCT03126435 (8) [back to overview] | Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Pancreatic 26 (EORTC QLQ- PAN26) Score |
NCT03126435 (8) [back to overview] | Percentage of Subjects With Objective Response |
NCT03126435 (8) [back to overview] | Percentage of Subjects With Disease Control According to RECIST v.1.1 |
NCT03126435 (8) [back to overview] | Serum Carcinoma Antigen 19-9 (CA 19-9) Response Rate |
NCT03126435 (8) [back to overview] | Overall Survival |
NCT03126435 (8) [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 |
NCT03126435 (8) [back to overview] | Duration of Response |
NCT03126435 (8) [back to overview] | Progression Free Survival (PFS) |
NCT03164616 (13) [back to overview] | Time to Deterioration of Global Health Status / Health-Related Quality of Life (HRQoL) and Patient Reported Outcome (PRO) Symptoms, Assessed Using European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ) |
NCT03164616 (13) [back to overview] | Duration of Response (DoR) |
NCT03164616 (13) [back to overview] | Objective Response Rate (ORR) |
NCT03164616 (13) [back to overview] | PK of Tremelimumab; Peak and Trough Serum Concentrations |
NCT03164616 (13) [back to overview] | OS; T + D + SoC Compared With SoC Alone and T + D + SoC Compared With D + SoC |
NCT03164616 (13) [back to overview] | Overall Survival (OS); D + SoC Compared With SoC Alone |
NCT03164616 (13) [back to overview] | PFS; T + D + SoC Compared With SoC Alone and T + D + SoC Compared With D + SoC |
NCT03164616 (13) [back to overview] | Progression-Free Survival (PFS); D + SoC Compared With SoC Alone |
NCT03164616 (13) [back to overview] | Time From Randomization to Second Progression (PFS2) |
NCT03164616 (13) [back to overview] | Number of Patients With ADA Response to Tremelimumab |
NCT03164616 (13) [back to overview] | Number of Patients With Anti-Drug Antibody (ADA) Response to Durvalumab |
NCT03164616 (13) [back to overview] | Pharmacokinetics (PK) of Durvalumab; Peak and Trough Serum Concentrations |
NCT03164616 (13) [back to overview] | Time to Deterioration of PRO Symptoms, Assessed Using EORTC QLQ-Lung Cancer Module 13 (QLQ-LC13) |
NCT03191786 (14) [back to overview] | Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 (EORTC-QLQ-C30) Score |
NCT03191786 (14) [back to overview] | Duration of Response (DOR), as Determined by the Investigator Using RECIST v1.1 |
NCT03191786 (14) [back to overview] | Progression-Free Survival (PFS), as Determined by the Investigator Using RECIST v1.1 in Participants With PD-L1 Positive Status |
NCT03191786 (14) [back to overview] | Overall Survival (OS) |
NCT03191786 (14) [back to overview] | Overall Survival in Participants With PD-L1 Positive Status |
NCT03191786 (14) [back to overview] | Percentage of Participants With At Lease One Adverse Event |
NCT03191786 (14) [back to overview] | Percentage of Participants With Objective Response Rate, as Determined by the Investigator Using Response Evaluation Criteria In Solid Tumors (RECIST) Version 1.1 (v1.1) |
NCT03191786 (14) [back to overview] | Change From Baseline in EORTC QLQ Supplementary Lung Cancer Module 13 (EORTC QLQ-LC13) Score |
NCT03191786 (14) [back to overview] | Change From Baseline in EORTC QLQ Supplementary Lung Cancer Module 13 (EORTC QLQ-LC13) Score |
NCT03191786 (14) [back to overview] | Time to Deterioration in Patient-Reported Lung Cancer Symptoms As Assessed by EORTC QLQ-LC13 Score |
NCT03191786 (14) [back to overview] | Time to Deterioration (TTD) in Patient-Reported Lung Cancer Symptoms as Assessed by EORTC QLQ-C30 Score |
NCT03191786 (14) [back to overview] | Progression-Free Survival (PFS), as Determined by the Investigator Using RECIST v1.1 |
NCT03191786 (14) [back to overview] | OS Rates at the 6, 12, 18, 24-Months Timepoints |
NCT03191786 (14) [back to overview] | Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 (EORTC-QLQ-C30) Score |
NCT03214250 (8) [back to overview] | Disease Control Rate (DCR) |
NCT03214250 (8) [back to overview] | Phase 1b Primary Safety Outcome |
NCT03214250 (8) [back to overview] | Progression-free Survival (PFS) |
NCT03214250 (8) [back to overview] | Objective Response Rate (ORR): Efficacy Population |
NCT03214250 (8) [back to overview] | Objective Response Rate (ORR): DLT-Evaluable Population |
NCT03214250 (8) [back to overview] | Duration of Response (DOR): Efficacy Population |
NCT03214250 (8) [back to overview] | Duration of Response (DOR): DLT-Evaluable Population |
NCT03214250 (8) [back to overview] | 1-year Overall Survival Rate |
NCT03294304 (12) [back to overview] | Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 4) |
NCT03294304 (12) [back to overview] | Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 4) |
NCT03294304 (12) [back to overview] | Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 1) |
NCT03294304 (12) [back to overview] | Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 2) |
NCT03294304 (12) [back to overview] | Safety of Nivolumab With Gemcitabine/Cisplatin |
NCT03294304 (12) [back to overview] | Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 2) |
NCT03294304 (12) [back to overview] | Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 3) |
NCT03294304 (12) [back to overview] | Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 1) |
NCT03294304 (12) [back to overview] | Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 3) |
NCT03294304 (12) [back to overview] | Safety of Nivolumab With Gemcitabine/Cisplatin |
NCT03294304 (12) [back to overview] | Pathologic Response Rate (PaR) at Time of Radical Cystectomy. PaR is Defined as Absence of Residual MIBC at Cystectomy in the Surgical Specimen (Pathologic Down-staging to ≤pT1pN0 Which Includes pT0, pT1, pTa and pTis) |
NCT03294304 (12) [back to overview] | Count of Participants Experiencing Progression Free Survival (PFS) |
NCT03314935 (13) [back to overview] | Phases 1 and 2: Duration of Response |
NCT03314935 (13) [back to overview] | Phases 1 and 2: Number of Participants With Any Treatment-emergent Adverse Event (TEAE) |
NCT03314935 (13) [back to overview] | AUC0-t of INCB001158 in Participants Treated With INCB001158 in Combination With Chemotherapy Following the First Dose on Cycle 1 Day 1 and on Cycle 2 Day 1 Following Repeated Dose Administration |
NCT03314935 (13) [back to overview] | Phase 2: Objective Response Rate (ORR) |
NCT03314935 (13) [back to overview] | Cmin of INCB001158 in Participants Treated With INCB001158 in Combination With Chemotherapy on Cycle 2 Day 1 Following Repeated Dose Administration |
NCT03314935 (13) [back to overview] | Phase 1: Number of Participants With Any Dose-limiting Toxicity (DLT) |
NCT03314935 (13) [back to overview] | Tmax of INCB001158 in Participants Treated With INCB001158 in Combination With Chemotherapy Following the First Dose on Cycle 1 Day 1 and on Cycle 2 Day 1 Following Repeated Dose Administration |
NCT03314935 (13) [back to overview] | Tlast of INCB001158 in Participants Treated With INCB001158 in Combination With Chemotherapy Following the First Dose on Cycle 1 Day 1 and on Cycle 2 Day 1 Following Repeated Dose Administration |
NCT03314935 (13) [back to overview] | Cmax of INCB001158 in Participants Treated With INCB001158 in Combination With Chemotherapy Following the First Dose on Cycle 1 Day 1 and on Cycle 2 Day 1 Following Repeated Dose Administration |
NCT03314935 (13) [back to overview] | Recommended Phase 2 Dose (RP2D) of INCB001158 When Given in Combination With Each Chemotherapy Regimen |
NCT03314935 (13) [back to overview] | Phase 1: ORR |
NCT03314935 (13) [back to overview] | Phases 1 and 2: Progression-free Survival |
NCT03314935 (13) [back to overview] | Phases 1 and 2: Disease Control Rate |
NCT03317496 (13) [back to overview] | Percentage of Participants With Confirmed Objective Response (OR) as Per Response Evaluation Criteria in Solid Tumors (RECIST) Version (v) 1.1 by Investigator Assessment |
NCT03317496 (13) [back to overview] | Overall Survival (OS) |
NCT03317496 (13) [back to overview] | Number of Participants With Treatment Related TEAEs |
NCT03317496 (13) [back to overview] | Number of Participants With Grade 3 or Higher TEAEs Based on National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI CTCAE) v 4.03 |
NCT03317496 (13) [back to overview] | Serum Concentration of Avelumab |
NCT03317496 (13) [back to overview] | Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs |
NCT03317496 (13) [back to overview] | Absolute Value of Tumor Mutational Burden (TMB) in Tumor Tissue |
NCT03317496 (13) [back to overview] | Duration of Response (DOR) as Per RECIST v 1.1 by Investigator Assessment |
NCT03317496 (13) [back to overview] | Number of Participants With Programmed Death-Ligand 1 (PD-L1) Expression |
NCT03317496 (13) [back to overview] | Number of Participants With Grade 3 or Higher Laboratory Abnormalities by CTCAE Grade |
NCT03317496 (13) [back to overview] | Time-to-Tumor Response (TTR) as Per RECIST v 1.1 by Investigator Assessment |
NCT03317496 (13) [back to overview] | Progression Free Survival (PFS) as Per RECIST v 1.1 by Investigator Assessment |
NCT03317496 (13) [back to overview] | Phase 1b Lead-in: Number of Participants With Dose-Limiting Toxicities (DLT) |
NCT03344172 (4) [back to overview] | Change in CA19-9 Levels |
NCT03344172 (4) [back to overview] | Proportion of Grade IIb or Higher Histolopathologic Responses |
NCT03344172 (4) [back to overview] | Worst Grade of Adverse Event Experienced At Least Possibly Related to Treatment |
NCT03344172 (4) [back to overview] | Worst Grade of Adverse Event Experienced At Least Probably Related to Treatment |
NCT03386721 (5) [back to overview] | Percentage of Participants With Disease Control Rate (DCR) Determined According to RECIST Version 1.1 |
NCT03386721 (5) [back to overview] | Progression-Free Survival (PFS) According to RECIST Version 1.1 |
NCT03386721 (5) [back to overview] | Overall Survival (OS) |
NCT03386721 (5) [back to overview] | Percentage of Participants With Adverse Events (AEs) |
NCT03386721 (5) [back to overview] | Percentage of Participants With Objective Response Rate (ORR) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 |
NCT03449901 (5) [back to overview] | Safety and Tolerability of Regimen as Measured by Number and Grade of Adverse Events |
NCT03449901 (5) [back to overview] | Progression-free Survival (PFS) (Cohort 1 Only) |
NCT03449901 (5) [back to overview] | Number of Participants With Cancer-related Mortality (Cohort 1 Only) |
NCT03449901 (5) [back to overview] | Clinical Benefit Rate (CBR) (Cohort 1 Only) |
NCT03449901 (5) [back to overview] | Overall Survival (OS) (Cohort 1 Only) |
NCT03451773 (10) [back to overview] | Overall Progression Free Survival |
NCT03451773 (10) [back to overview] | Percentage of Participants Who Have Not Progressed at 3 Months |
NCT03451773 (10) [back to overview] | Duration of Treatment-related Adverse Events (AEs) |
NCT03451773 (10) [back to overview] | Duration of Treatment-related Adverse Events (AEs) |
NCT03451773 (10) [back to overview] | Percentage of Evaluable Participants Alive at 6 Months and 9 Months |
NCT03451773 (10) [back to overview] | Phase IB: Number and Severity of Grade 1-2 Adverse Events Possibly, Probably, or Definitely Related to Treatment |
NCT03451773 (10) [back to overview] | Phase II: Number of Participants With a Best Overall Response (BOR) |
NCT03451773 (10) [back to overview] | Phase IB: Number and Severity of Grade 3-5 Adverse Events Possibly, Probably, or Definitely Related to Treatment |
NCT03451773 (10) [back to overview] | Overall Median Survival |
NCT03451773 (10) [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) |
NCT03468075 (4) [back to overview] | Overall Survival |
NCT03468075 (4) [back to overview] | Progression Free Survival |
NCT03468075 (4) [back to overview] | Tumor Response |
NCT03468075 (4) [back to overview] | Incidence of Adverse Events (AE) Per CTCAE 4.03 |
NCT03488251 (12) [back to overview] | Part 1 and 2: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) |
NCT03488251 (12) [back to overview] | Part 1 and 2: Number of Participants With Anti-drug Antibody Titer |
NCT03488251 (12) [back to overview] | Part 1 and 2: Number of Participants With Dose Limiting Toxicities (DLTs) |
NCT03488251 (12) [back to overview] | Part 1 and 2: Number of Participants With Immunophenotyping Data Outside the Reference Range |
NCT03488251 (12) [back to overview] | Part 1 and 2: Area Under the Plasma Concentration Time Curve (AUC) Following Administration of MT-3724 |
NCT03488251 (12) [back to overview] | Part 1 and 2: Maximum Concentration (Cmax) Following Administration of MT-3724 |
NCT03488251 (12) [back to overview] | Part 1 and 2: Number of Participants With Positive Neutralizing Antibodies |
NCT03488251 (12) [back to overview] | Part 1 and 2: Objective Response Rate |
NCT03488251 (12) [back to overview] | Part 1 and 2: Disease Control Rate |
NCT03488251 (12) [back to overview] | Part 1 and 2: Duration of Response |
NCT03488251 (12) [back to overview] | Part 1 and 2: Progression-free Survival |
NCT03488251 (12) [back to overview] | Part 1 and 2: Time to Maximum Plasma Concentration (Tmax) Following Administration of MT-3724 |
NCT03496662 (3) [back to overview] | (Part B and Part A Experimental Dose Level 0 Only): Objective Response Rate |
NCT03496662 (3) [back to overview] | (Part B and Part A Experimental Dose Level 0 Only): Percentage of Patients Whose Disease Becomes Resectable After Treatment |
NCT03496662 (3) [back to overview] | (Part A Experimental Dose Level 0 Only) Safety of the Combination of BMS-813160 Plus Nivolumab Plus Gemcitabine Plus Nab-paclitaxel as Measured by Frequency, Type, and Severity of Adverse Events |
NCT03574818 (1) [back to overview] | Surgically Resectable |
NCT03611556 (31) [back to overview] | Serum Concentrations of Durvalumab |
NCT03611556 (31) [back to overview] | Serum Concentrations of Durvalumab |
NCT03611556 (31) [back to overview] | Plasma Concentrations of Nab-paclitaxel |
NCT03611556 (31) [back to overview] | Plasma Concentrations of Gemcitabine and Metabolite 2',2'-Difluorodeoxyuridine (dFdU) |
NCT03611556 (31) [back to overview] | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs) in Dose Escalation Phase |
NCT03611556 (31) [back to overview] | Number of Participants With Positive ADA to Durvalumab |
NCT03611556 (31) [back to overview] | Number of Participants With TEAEs and TESAEs in Dose Expansion Phase |
NCT03611556 (31) [back to overview] | Number of Participants With Positive Anti-drug Antibodies (ADA) to Oleclumab |
NCT03611556 (31) [back to overview] | Number of Participants With Abnormal Vital Signs Reported as TEAEs in Dose Expansion Phase |
NCT03611556 (31) [back to overview] | Number of Participants With Abnormal Vital Signs Reported as TEAEs in Dose Escalation Phase |
NCT03611556 (31) [back to overview] | Number of Participants With Abnormal Electrocardiogram (ECG) Parameters Reported as TEAEs in Dose Escalation Phase |
NCT03611556 (31) [back to overview] | Number of Participants With Abnormal ECG Parameters Reported as TEAEs in Dose Expansion Phase |
NCT03611556 (31) [back to overview] | Number of Participants With Abnormal Clinical Laboratory Parameters Reported as TEAEs in Dose Expansion Phase |
NCT03611556 (31) [back to overview] | Number of Participants With Abnormal Clinical Laboratory Parameters Reported as TEAEs in Dose Escalation Phase |
NCT03611556 (31) [back to overview] | Progression-free Survival According to RECIST v1.1 in Dose Expansion Phase |
NCT03611556 (31) [back to overview] | Progression-free Survival According to RECIST v1.1 by CD73 Expression at Baseline in Dose Expansion Phase |
NCT03611556 (31) [back to overview] | Percentage of Participants With OR According to RECIST v1.1 in Dose Escalation Phase |
NCT03611556 (31) [back to overview] | Percentage of Participants With OR According to RECIST v1.1 by CD73 Expression at Baseline in Dose Expansion Phase |
NCT03611556 (31) [back to overview] | Percentage of Participants With Objective Response (OR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) in Dose Expansion Phase |
NCT03611556 (31) [back to overview] | Percentage of Participants With Disease Control (DC) According to RECIST v1.1 in Dose Escalation Phase |
NCT03611556 (31) [back to overview] | Percentage of Participants With DC According to RECIST v1.1 in Dose Expansion Phase |
NCT03611556 (31) [back to overview] | Overall Survival in Dose Expansion Phase |
NCT03611556 (31) [back to overview] | Overall Survival by CD73 Expression at Baseline in Dose Expansion Phase |
NCT03611556 (31) [back to overview] | Number of Participants With Progression-free Survival Events According to RECIST v1.1 in Dose Expansion Phase |
NCT03611556 (31) [back to overview] | Number of Participants With Progression-free Survival Events According to RECIST v1.1 by CD73 Expression at Baseline in Dose Expansion Phase |
NCT03611556 (31) [back to overview] | Number of Participants With Overall Survival Events in Dose Expansion Phase |
NCT03611556 (31) [back to overview] | Serum Concentrations of Oleclumab |
NCT03611556 (31) [back to overview] | Serum Concentrations of Oleclumab |
NCT03611556 (31) [back to overview] | Number of Participants With Overall Survival Events by CD73 Expression at Baseline in Dose Expansion Phase |
NCT03611556 (31) [back to overview] | Number of Participants With Dose-limiting Toxicities (DLTs) in Dose Escalation Phase |
NCT03611556 (31) [back to overview] | Duration of Response (DoR) According to RECIST v1.1 in Dose Expansion Phase |
NCT03629925 (6) [back to overview] | DOR (Duration of Response) |
NCT03629925 (6) [back to overview] | DCR (Disease Control Rate) |
NCT03629925 (6) [back to overview] | PFS(Progression Free Survival) |
NCT03629925 (6) [back to overview] | TTR (Time to Response) |
NCT03629925 (6) [back to overview] | OS (Overall Survival) |
NCT03629925 (6) [back to overview] | ORR(Objective Response Rate) |
NCT03649321 (4) [back to overview] | Number of Participants With an Adverse Event of Grade 3 or Higher |
NCT03649321 (4) [back to overview] | Overall Response Rate (ORR) |
NCT03649321 (4) [back to overview] | Clinical Benefit Rate |
NCT03649321 (4) [back to overview] | Complete Response Rate (CR) |
NCT03662074 (6) [back to overview] | Number of Participants With Positive Responses to Therapy Per Response Evaluation Criteria in Solid Tumors (RECIST) |
NCT03662074 (6) [back to overview] | Progression-free Survival (PFS) - Months |
NCT03662074 (6) [back to overview] | Overall Survival (OS) - Months |
NCT03662074 (6) [back to overview] | Number of Adverse Events |
NCT03662074 (6) [back to overview] | Progression-free Survival (PFS) - Number of Participants |
NCT03662074 (6) [back to overview] | Overall Survival (OS) - Number of Participants |
NCT03665441 (7) [back to overview] | Disease Control Rate (DCR) |
NCT03665441 (7) [back to overview] | Time to Quality of Life Questionnaire EORTC QLQ-C30 First Worsening in Global Health Status Analysis |
NCT03665441 (7) [back to overview] | Duration of Response (DoR) |
NCT03665441 (7) [back to overview] | Incidence of Treatment Emergent Adverse Events as Assessed by CTCAE v5.0 |
NCT03665441 (7) [back to overview] | Objective Response Rate (ORR) |
NCT03665441 (7) [back to overview] | Overall Survival (OS) |
NCT03665441 (7) [back to overview] | Progression Free Survival (PFS) |
NCT03684811 (14) [back to overview] | Overall Response Rate (ORR) |
NCT03684811 (14) [back to overview] | Overall Survival (OS) |
NCT03684811 (14) [back to overview] | Progression-Free Survival (PFS) |
NCT03684811 (14) [back to overview] | Rate of Drug Distribution Within the Blood Stream (Vd/F) |
NCT03684811 (14) [back to overview] | Time for Half of the Drug to be Absent in Blood Stream Following Dose (T 1/2) |
NCT03684811 (14) [back to overview] | Time to Progression (TTP) |
NCT03684811 (14) [back to overview] | Time to Response (TTR) |
NCT03684811 (14) [back to overview] | Area Under the Plasma Concentration Versus Time Curve (AUC) |
NCT03684811 (14) [back to overview] | Peak Plasma Concentration (Cmax) |
NCT03684811 (14) [back to overview] | Time of Peak Plasma Concentration (Tmax) |
NCT03684811 (14) [back to overview] | Number of Participants With a Dose Limiting Toxicity (DLT) |
NCT03684811 (14) [back to overview] | Apparent Clearance (CL/F) |
NCT03684811 (14) [back to overview] | Duration of Response (DOR) |
NCT03684811 (14) [back to overview] | Olutasidenib Concentration Within Cerebro-spinal Fluid (CSF) |
NCT03717155 (11) [back to overview] | Number of Participants With Positive Anti-Drug Antibody (ADA) of Cetuximab |
NCT03717155 (11) [back to overview] | Progression-Free Survival (PFS) Time Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 |
NCT03717155 (11) [back to overview] | Percentage of Participants With Confirmed Best Objective Response (BOR) According to Response Evaluation Criteria In Solid Tumors (RECIST) Version 1.1 Assessed by Investigator |
NCT03717155 (11) [back to overview] | Overall Survival (OS) |
NCT03717155 (11) [back to overview] | Duration of Response (DOR) |
NCT03717155 (11) [back to overview] | Number of Participants With Positive Anti-Drug Antibody (ADA) of Avelumab |
NCT03717155 (11) [back to overview] | Serum Trough Concentration Levels (Ctrough) of Cetuximab |
NCT03717155 (11) [back to overview] | Serum Trough Concentration Levels (Ctrough) of Avelumab |
NCT03717155 (11) [back to overview] | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Related Adverse Events (AEs), Treatment-Related Grade >=3 TEAEs and Immune-related Treatment Emergent AEs (irTEAEs) |
NCT03717155 (11) [back to overview] | Immediate Observed Serum Concentration at End of Infusion (Ceoi) of Cetuximab |
NCT03717155 (11) [back to overview] | Immediate Observed Serum Concentration at End of Infusion (Ceoi) of Avelumab |
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] | Overall Survival (OS) 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] | Duration of Response 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] | Progression-free Survival Based on Investigator Assessment in Participants With HER2-low Breast Cancer (All Patients) |
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] | All-Cause Mortality |
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] | Best Overall Response and Confirmed Objective Response Rate (ORR) in Participants With HER2-low Breast Cancer (All Patients) |
NCT03737123 (10) [back to overview] | Clinical Benefit Rate (CBR) With irRECIST |
NCT03737123 (10) [back to overview] | Number of Participants With Adverse Events as a Measure of Safety and Tolerability of Carboplatin + Gemcitabine or Docetaxel |
NCT03737123 (10) [back to overview] | Clinical Benefit Rate (CBR) With RECIST 1.1 |
NCT03737123 (10) [back to overview] | Progression Free Survival (PFS) for Atezolizumab + Carboplatin and Gemcitabine |
NCT03737123 (10) [back to overview] | Progression Free Survival (PFS) Compared to Historical Controls |
NCT03737123 (10) [back to overview] | Overall Survival (OS) |
NCT03737123 (10) [back to overview] | PFS by irRECIST |
NCT03737123 (10) [back to overview] | Progression Free Survival (PFS) |
NCT03737123 (10) [back to overview] | Objective Response Rate (ORR) With RECIST 1.1 |
NCT03737123 (10) [back to overview] | Objective Response Rate (ORR) With irRECIST |
NCT03775486 (11) [back to overview] | Presence of Anti-drug Antibodies (ADAs) for Durvalumab |
NCT03775486 (11) [back to overview] | Progression-free Survival |
NCT03775486 (11) [back to overview] | Progression-free Survival in Homologous Recombination Repair Related Gene Mutation (HRRm) Population |
NCT03775486 (11) [back to overview] | Time to Deterioration in EORTC Quality of Life Questionnaire (QLQ) QLQ-C30 |
NCT03775486 (11) [back to overview] | Time to Deterioration in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ)-Lung Cancer (LC)13 |
NCT03775486 (11) [back to overview] | Number of Participants With Treatment-Related Adverse Events |
NCT03775486 (11) [back to overview] | Change From Baseline in EORTC Quality of Life Questionnaire (QLQ) QLQ-C30 |
NCT03775486 (11) [back to overview] | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ)-Lung Cancer (LC)13 |
NCT03775486 (11) [back to overview] | Concentration of Durvalumab |
NCT03775486 (11) [back to overview] | Overall Survival |
NCT03775486 (11) [back to overview] | Duration of Response |
NCT03790111 (32) [back to overview] | Change From Baseline in Serum Albumin |
NCT03790111 (32) [back to overview] | Mean Change From Baseline in Plasma 5-hydroxyindoleacetic Acid (5-HIAA) |
NCT03790111 (32) [back to overview] | Mean Change From Baseline in Plasma 5-hydroxyindoleacetic Acid (5-HIAA) |
NCT03790111 (32) [back to overview] | Mean Change From Baseline in Plasma 5-hydroxyindoleacetic Acid (5-HIAA) |
NCT03790111 (32) [back to overview] | Median Progression Free Survival |
NCT03790111 (32) [back to overview] | Weight Change From Baseline |
NCT03790111 (32) [back to overview] | Overall (Objective) Response Rate (ORR), Central Radiologist's Assessment |
NCT03790111 (32) [back to overview] | Overall (Objective) Response Rate (ORR), Central Radiologist's Assessment |
NCT03790111 (32) [back to overview] | Overall (Objective) Response Rate (ORR), Local Reader's Assessment |
NCT03790111 (32) [back to overview] | Number of Participants With Progression-free Survival (PFS) as Evaluated by Central Radiologist's Assessment |
NCT03790111 (32) [back to overview] | Overall (Objective) Response Rate, Central Radiologist's Assessment |
NCT03790111 (32) [back to overview] | Weight Change From Baseline |
NCT03790111 (32) [back to overview] | Weight Change From Baseline |
NCT03790111 (32) [back to overview] | Summary of Duration of Progression Free Survival, Local Radiologist's Assessment |
NCT03790111 (32) [back to overview] | Project Overall Survival Rate at Month 6 |
NCT03790111 (32) [back to overview] | Overall (Objective) Response Rate, Local Read |
NCT03790111 (32) [back to overview] | Project Overall Survival Rate at Month 12 |
NCT03790111 (32) [back to overview] | Progression Free Survival, Local Radiologist's Assessment |
NCT03790111 (32) [back to overview] | Change From Baseline in Serum Albumin |
NCT03790111 (32) [back to overview] | Progression Free Survival, Local Radiologist's Assessment |
NCT03790111 (32) [back to overview] | Overall Survival (OS) |
NCT03790111 (32) [back to overview] | Overall (Objective) Response Rate, Local Reader's Assessment |
NCT03790111 (32) [back to overview] | Change From Baseline in Carbohydrate Antigen 19-9 (CA 19-9) |
NCT03790111 (32) [back to overview] | Change From Baseline in Carbohydrate Antigen 19-9 (CA 19-9) |
NCT03790111 (32) [back to overview] | Change From Baseline in Plasma Carbohydrate Antigen 19-9 (CA 19-9) |
NCT03790111 (32) [back to overview] | Change From Baseline in Serum Albumin |
NCT03790111 (32) [back to overview] | Disease Control Rate (DCR), Central Radiologist's Assessment |
NCT03790111 (32) [back to overview] | Disease Control Rate (DCR), Central Radiologist's Assessment |
NCT03790111 (32) [back to overview] | Disease Control Rate (DCR), Central Radiologist's Assessment |
NCT03790111 (32) [back to overview] | Disease Control Rate (DCR), Local Reviewer |
NCT03790111 (32) [back to overview] | Disease Control Rate (DCR), Local Reviewer |
NCT03790111 (32) [back to overview] | Disease Control Rate End of Study, Local Reviewer |
NCT03840915 (7) [back to overview] | Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) Assessed by Investigator |
NCT03840915 (7) [back to overview] | Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator (IRC) |
NCT03840915 (7) [back to overview] | Overall Survival (OS) |
NCT03840915 (7) [back to overview] | Number of Participants With Positive Antidrug Antibodies (ADA) |
NCT03840915 (7) [back to overview] | Number of Participants With Dose-Limiting Toxicities (DLTs) |
NCT03840915 (7) [back to overview] | Duration of Response (DOR) |
NCT03840915 (7) [back to overview] | Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs |
NCT03912818 (2) [back to overview] | Incidence of Grade 3-5 Adverse Events |
NCT03912818 (2) [back to overview] | Proportion of Subjects Who Initiate Study Treatment and Achieve Tumor Stage of pT2 N0 M0 or Better (e.g., pT0, pT1 N0) at Cystectomy |
NCT03945357 (2) [back to overview] | Incidence of SSI Requiring Intervention |
NCT03945357 (2) [back to overview] | Surgical Site Infection |
NCT03971474 (8) [back to overview] | Overall Survival (OS), Subgroup Analysis by Stratification Factors |
NCT03971474 (8) [back to overview] | Disease Control Rate (DCR) |
NCT03971474 (8) [back to overview] | Number of Participants With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs |
NCT03971474 (8) [back to overview] | Investigator-Assessed Progression-Free Survival (IA-PFS), Subgroup Analysis by Stratification Factors |
NCT03971474 (8) [back to overview] | Response Rate (RR) |
NCT03971474 (8) [back to overview] | Investigator Assessed-progression-free Survival (IA-PFS) |
NCT03971474 (8) [back to overview] | Duration of Response (DOR) |
NCT03971474 (8) [back to overview] | Overall Survival (OS) |
NCT04003610 (10) [back to overview] | Number of Participants With the Indicated EQ-5D-5L Dimension Scores |
NCT04003610 (10) [back to overview] | EORTC QLQ-C30 Score |
NCT04003610 (10) [back to overview] | Change From Baseline in the EQ-5D-5L EQ Visual Analog Scale Score |
NCT04003610 (10) [back to overview] | Change From Baseline in the EQ-5D-5L EQ Visual Analog Scale Score |
NCT04003610 (10) [back to overview] | Change From Baseline in the EORTC QLQ-C30 Score |
NCT04003610 (10) [back to overview] | Progression-free Survival (PFS) |
NCT04003610 (10) [back to overview] | Overall Survival (OS) |
NCT04003610 (10) [back to overview] | Objective Response Rate (ORR) |
NCT04003610 (10) [back to overview] | Number of Participants With Treatment-emergent Adverse Events |
NCT04003610 (10) [back to overview] | EORTC QLQ-C30 Score |
NCT04003636 (6) [back to overview] | Number of Participants Who Discontinued Study Intervention Due to an Adverse Event (AE) |
NCT04003636 (6) [back to overview] | Progression-free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Response Evaluation Criteria in Solid Tumors Version 1.1 (BICR) |
NCT04003636 (6) [back to overview] | Overall Survival (OS) |
NCT04003636 (6) [back to overview] | Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) |
NCT04003636 (6) [back to overview] | Duration of Response (DOR) Per RECIST 1.1 as Assessed by BICR |
NCT04003636 (6) [back to overview] | Number of Participants Who Experience One or More Adverse Events (AE) |
NCT04039867 (3) [back to overview] | Number of Participants With Treatment-emergent Adverse Events to Evaluate Tolerability of Oxaliplatin With Gemcitabine |
NCT04039867 (3) [back to overview] | Overall Survival of Patients Who Received Gemcitabine and Oxaliplatin |
NCT04039867 (3) [back to overview] | Overall Response Rate as Assessed by RECIST Criteria of Patients Who Received Gemcitabine and Oxaliplatin |
NCT04066491 (8) [back to overview] | Safety Run-in Part: Number of Participants Who Experienced Dose Limiting Toxicities (DLTs) |
NCT04066491 (8) [back to overview] | Double-blind Part: Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs (SAEs), Treatment Related TEAEs and Adverse Events of Special Interest (AESIs) According to NCI-CTCAE Version 5.0 |
NCT04066491 (8) [back to overview] | Safety Run-in Part: Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs (SAEs) and Treatment Related TEAEs According to National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0 |
NCT04066491 (8) [back to overview] | Safety Run-in Part: Number of Participants With Grade Greater Than or Equal (>=) 3 Laboratory Abnormalities |
NCT04066491 (8) [back to overview] | Double-blind Part: Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) |
NCT04066491 (8) [back to overview] | Double-blind Part: Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) Assessed by Independent Review Committee (IRC) |
NCT04066491 (8) [back to overview] | Double-blind Part: Overall Survival |
NCT04066491 (8) [back to overview] | Double-blind Part: Duration of Response (DOR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) |
NCT04099888 (11) [back to overview] | Maximum Observed Concentration (Cmax) Was Performed for Patients in Arm A. |
NCT04099888 (11) [back to overview] | Overall Disease Control Rate (DCR) |
NCT04099888 (11) [back to overview] | Time to Cmax (Tmax) Was Performed for Patients in Arm A. |
NCT04099888 (11) [back to overview] | Duration of Response (DoR) |
NCT04099888 (11) [back to overview] | Area Under the Plasma Concentration Curve (AUC) Was Performed for Patients in Arm A. |
NCT04099888 (11) [back to overview] | Progression-free Survival (PFS) |
NCT04099888 (11) [back to overview] | Adverse Events (AEs)/Serious Adverse Events (SAEs) |
NCT04099888 (11) [back to overview] | Change in Tumor Size |
NCT04099888 (11) [back to overview] | Loco-regional Tumour-related Events and Biliary Complications |
NCT04099888 (11) [back to overview] | Objective Response Rate (ORR) |
NCT04099888 (11) [back to overview] | Overall Survival (OS) |
NCT04145700 (7) [back to overview] | Complete Response (CR): Percentage of Participants Who Achieve CR |
NCT04145700 (7) [back to overview] | Duration of Response (DoR) |
NCT04145700 (7) [back to overview] | PK: Minimum Serum Concentration of Ramucirumab (Cmin) |
NCT04145700 (7) [back to overview] | Progression Free Survival (PFS) |
NCT04145700 (7) [back to overview] | Pharmacokinetics (PK): Maximum Serum Concentration of Ramucirumab (Cmax) |
NCT04145700 (7) [back to overview] | Overall Response Rate (ORR): Percentage of Participants Who Achieve Complete Response (CR) or Partial Response (PR) |
NCT04145700 (7) [back to overview] | Number of Participants With Treatment-Emergent Anti-Drug Antibodies (TE-ADA) |
NCT04163900 (2) [back to overview] | Objective Response Rate (ORR) |
NCT04163900 (2) [back to overview] | Overall Survival (OS) |
NCT04386746 (1) [back to overview] | 3-Month Complete Response Rate |
NCT04398368 (6) [back to overview] | Time to Death |
NCT04398368 (6) [back to overview] | Time to Development of Muscle-invasive Bladder Cancer |
NCT04398368 (6) [back to overview] | Incidence of Adverse Events |
NCT04398368 (6) [back to overview] | Incidence of Muscle-invasive Bladder Cancer |
NCT04398368 (6) [back to overview] | Urothelial Carcinoma Relapse-free Survival |
NCT04398368 (6) [back to overview] | Time to Recurrence |
NCT04677504 (6) [back to overview] | Time to Confirmed Deterioration (TTCD) |
NCT04677504 (6) [back to overview] | Confirmed Objective Response Rate (ORR) |
NCT04677504 (6) [back to overview] | Duration of Response (DOR) |
NCT04677504 (6) [back to overview] | Progression Free Survival (PFS) |
NCT04677504 (6) [back to overview] | Serum Concentration of Atezolizumab |
NCT04677504 (6) [back to overview] | Disease Control Rate (DCR) |
NCT04924062 (6) [back to overview] | Number of Participants Who Discontinued Study Intervention Due to an Adverse Event (AE) |
NCT04924062 (6) [back to overview] | Overall Survival (OS) |
NCT04924062 (6) [back to overview] | Number of Participants Who Experience One or More Adverse Events (AE) |
NCT04924062 (6) [back to overview] | Progression-free Survival (PFS) Per RECIST 1.1 as Assessed by BICR |
NCT04924062 (6) [back to overview] | Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) |
NCT04924062 (6) [back to overview] | Duration of Response (DOR) Per RECIST 1.1 as Assessed by BICR |
Overall Survival
Proportion of participants whose overall survival exceeded 5 years. (NCT00011986)
Timeframe: Up to 9 years
Intervention | Proportion of participants (Number) |
---|
Carbo/Taxol | 0.35 |
Carbo/Taxol/Gemcitabine | 0.34 |
Carbo/Taxol/Doxil | 0.39 |
Carbo/Topotecan - Carbo/Taxol | 0.34 |
Carbo/Gemcitabine - Carbo/Taxol | 0.30 |
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Progression-free Survival
Median duration in months of progression free survival. (NCT00011986)
Timeframe: From the date of enrollment to first progression or death or last contact, if alive and progression free.
Intervention | months (Median) |
---|
Carbo/Taxol | 16.0 |
Carbo/Taxol/Gemcitabine | 16.3 |
Carbo/Taxol/Doxil | 16.4 |
Carbo/Topotecan - Carbo/Taxol | 15.4 |
Carbo/Gemcitabine - Carbo/Taxol | 15.4 |
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Number of Participants With Observed Adverse Effects (Grade 3 and Above) Assessed by Common Toxicity Criteria Version 2.0
(NCT00011986)
Timeframe: Up to 9 years
Intervention | Participants (Count of Participants) |
---|
| Leukopenia | Neutropenia | Thrombocytopenia | Anemia | Other Hematologic | Allergy | Auditory | Cardiovascular | Coagulation | Constitutional | Dermatologic | Endocrine | Gastrointestinal | Genitourinary/Renal | Hemorrhage | Hepatic | Infection/Fever | Metabolic | Musculoskeletal | Neurologic | Peripheral Neurologic | Ocular/Visual | Pain | Pulmonary | Sexual | Second Primary |
---|
Grade 3 and Above on Carbo/Gemcitabine - Carbo/Taxol | 513 | 761 | 486 | 203 | 315 | 26 | 1 | 23 | 7 | 57 | 8 | 1 | 92 | 9 | 30 | 25 | 82 | 45 | 10 | 35 | 24 | 3 | 52 | 37 | 0 | 57 |
,Grade 3 and Above on Carbo/Taxol/Doxil | 595 | 782 | 320 | 160 | 244 | 28 | 3 | 34 | 4 | 84 | 11 | 2 | 124 | 13 | 20 | 11 | 134 | 55 | 13 | 43 | 45 | 1 | 75 | 39 | 1 | 51 |
,Grade 3 and Above on Carbo/Taxol/Gemcitabine | 686 | 798 | 520 | 196 | 338 | 20 | 2 | 36 | 10 | 96 | 6 | 4 | 145 | 8 | 29 | 32 | 138 | 55 | 18 | 47 | 59 | 3 | 75 | 37 | 0 | 66 |
,Grade 3 and Above on Carbo/Topotecan - Carbo/Taxol | 476 | 779 | 303 | 167 | 246 | 21 | 2 | 17 | 9 | 73 | 6 | 1 | 105 | 6 | 8 | 13 | 84 | 37 | 8 | 28 | 35 | 3 | 66 | 21 | 1 | 41 |
,Grade 3 and Above on ToxicityCarbo/Taxol | 438 | 749 | 193 | 102 | 156 | 38 | 5 | 20 | 5 | 54 | 13 | 0 | 90 | 9 | 8 | 13 | 76 | 61 | 7 | 34 | 45 | 1 | 53 | 19 | 0 | 34 |
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Progression-free Survival in Patients Aged 70 Years and Older
Measured form date of registration to date of first observation of progression disease, death due to any cause, symptomatic deterioration, or early discontinuation of treatment. (NCT00022633)
Timeframe: 0-5 years
Intervention | months (Median) |
---|
Paclitaxel + Gemcitabine (Elderly Cohort: Age >= 70) | 6 |
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Overall Survival (OS) in Patients Aged 70 Years and Older
Measured from date of registration to date of death due to any cause. (NCT00022633)
Timeframe: 0-5 years
Intervention | months (Median) |
---|
Paclitaxel + Gemcitabine (Elderly Cohort: Age >= 70) | 11 |
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Overall Confirmed Response Rate in the Patients Age 70 and Older (Complete and Partial Response)
Complete response (CR) is defined as complete disappearance of all measurable and non-measurable disease. No new lesions. No disease related symptoms. Partial response (PR) applies only to patients with least one measurable lesion. Greater than or equal to 30% decrease under baseline of the sum of longest diameters of all target measurable lesions. (NCT00022633)
Timeframe: every week for the first 4 weeks and then every 3 weeks for up to 19 weeks
Intervention | percentage of participants (Number) |
---|
Paclitaxel + Gemcitabine (Elderly Cohort: Age >= 70) | 22 |
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Assess the Feasibility of Patient-reported Outcome Measures for Patients Aged 70 Years and Older: at Least One Type of Assistance Required
Patients were required to complete three self-administered questionnaires at entry, prior to the administration of any cytotoxic therapy: the Medical Conditions Questionnaire, Instrumental Activities of Daily Living Form that evaluates functional status, and the Feelings Questionnaire that evaluates depression status. Feasibility is defined in four ways: 1) submission rates for the three patient self-administered questionnaires (> 60%); 2) the number of items missing within each scale (< 5%); 3) a description of the level of assistance required for self-administration of the questionnaires; and 4) the average amount of time it takes patients to complete each of the three questionnaires. Level of assistance is defined as the need to 1) read the questionnaire to the patient, 2) explain the meaning of items, 3) explain the response format, and 4) complete the questionnaire for the patient; an other category of assistance will be included. (NCT00022633)
Timeframe: at study entry (prior to administration of any treatment)
Intervention | percentage of participants (Number) |
---|
| Medical Conditions Questionnaire | Instrumental Activities of Daily Living Form | Feelings Questionnaire |
---|
Paclitaxel + Gemcitabine (Elderly Cohort: Age >= 70) | 28 | 42 | 34 |
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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 |
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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 |
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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 |
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Overall Survival (OS)
Overall survival is defined from the date of registration to date of death from any cause (NCT00045630)
Timeframe: 0-2 years
Intervention | percentage of participants (Number) |
---|
Gemcitabine, Paclitaxel, Carboplatin Followed by Surgery | 59 |
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Pathologic Complete Response Rate by Transurethral Resection of Bladder Tumor (TURBT) and Imaging Studies After Chemotherapy
Pathologic complete response (CR) is defined as absence of viable tumor in the TURBT specimen. Stable/No Response is defined as at least some disease evaluation tests were done (same tests as baseline) and status does not qualify for CR or Progression. Progression is defined as one or more of the following must occur: unequivocal progression of disease in the opinion of the treating physician. Appearance of any new lesion/site. Death due to disease without documented progression or symptomatic deterioration. (NCT00045630)
Timeframe: up to 12 weeks after registration (assessed within 8 weeks after completion of 3 cycles of chemotherapy )
Intervention | percentage of participants (Number) |
---|
Gemcitabine, Paclitaxel, Carboplatin Followed by Surgery | 46 |
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Treatment Completion Rate
Radiation therapy and chemotherapy per protocol or within acceptable variation guidelines based on central review. The study was designed for a two-sided binomial test with 87% power and a significance level of 0.05 with a null hypothesis of a 70% completion rate against the alternative 90% completion rate. For each arm, more than 34 out of 43 evaluable patients completing the treatment, would indicate to reject the null hypothesis for a better treatment completion rate. Fewer than 24 out 43 evaluable patients completing the treatment would indicate to reject the null hypothesis for a worse treatment completion rate. Otherwise, the conclusion would be that there is not enough evidence to reject the null hypothesis of a 70% completion rate in either direction. (NCT00055601)
Timeframe: From randomization to 11 weeks
Intervention | percentage of participants (Number) |
---|
Pelvic RT + Paclitaxel + Cisplatin | 67 |
Pelvic RT + Fluorouracil + Cisplatin | 53 |
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Complete Response After Induction
Complete response requires the absence of any tumor in the tumor-site biopsy specimen or elsewhere and a bimanual exam that does not indicate the presence of a tumor mass. (NCT00055601)
Timeframe: From randomization to eight weeks
Intervention | percentage of participants (Number) |
---|
Pelvic RT + Paclitaxel + Cisplatin | 72 |
Pelvic RT + Fluorouracil + Cisplatin | 62 |
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Bladder-intact Survival Rate (5 Years)
Bladder-intact survival was measured from the date of randomization to occurrence of cystectomy or death. Five-year rates were estimated using the Kaplan-Meier method. (NCT00055601)
Timeframe: From the date of randomization to five years.
Intervention | percentage of participants (Number) |
---|
Pelvic RT + Paclitaxel + Cisplatin | 67 |
Pelvic RT + Fluorouracil + Cisplatin | 71 |
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Overall Response
Response was assessed per Response Evaluation Criteria In Solid Tumors (RECIST) by CT. Overall response included complete response (CR) and partial response (PR). CR was defined as the disappearance of all target and non-target lesions. PR was defined as CR of target lesions and persistence of one or more non-target lesions or at least a 30% decrease in the sum of the longest diameters of target lesions and non-progressive disease in the non-target lesions. The 71 eligible, treated participants were included in the analysis. (NCT00057876)
Timeframe: assessed at week 8, and every 3 months for 2 years, then every 6 months for year 3
Intervention | participants (Number) |
---|
Gemcitabine | 2 |
Gemcitabine + Radiation | 2 |
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Progression-free Survival Time
Time from randomization (registration) to the earlier of disease progression or death. Patients alive and progression-free at last follow-up were censored. Progressive disease was defined as at least a 20% increase in the sum of the longest diameters of target lesions (taking as reference the baseline sum longest diameter), or the appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions. Patients were followed every 3 months for 2 years and then every 6 months for year 3. Patients who received treatment beyond 3 years were also followed for survival. (NCT00057876)
Timeframe: assessed every 3 months for 2 years, then every 6 months for year 3
Intervention | Months (Median) |
---|
Gemcitabine | 6.7 |
Gemcitabine + Radiation | 6.0 |
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Overall Survival Time
Overall survival was defined as the time from randomization (registration) to death from any cause. Patients alive at last follow-up were censored. Patients were followed every 3 months for 2 years and then every 6 months for year 3. Patients received treatment beyond 3 years were also followed for survival. (NCT00057876)
Timeframe: assessed every 3 months for 2 years, then every 6 months for year 3
Intervention | Months (Median) |
---|
Gemcitabine | 9.2 |
Gemcitabine + Radiation | 11.0 |
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Overall Tumor Response
Best overall (confirmed) response recorded from start of treatment until disease progression/recurrence, start of other anti-tumor therapy/intervention, or end of trial, whichever comes first. Response must be confirmed at least 6 weeks from previous scans. Best overall response assignment depends on both measurement and confirmation criteria. (NCT00063570)
Timeframe: Every 6 weeks from start of treatment until documented disease progression or for 6 months from last dose of study drug, whichever occurs first. After 6 months, clinical assessment every 12 weeks and radiologic test performed as clinically indicated
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Unknown |
---|
21-Day Schedule | 0 | 5 | 10 | 6 | 0 |
,Bi-Weekly Schedule | 2 | 8 | 26 | 14 | 2 |
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Time to Treatment Failure
Time to treatment failure is calculated as (Date of First Disease Progression, Death as a Result of any Cause, or Early Discontinuation of Treatment Due to Adverse Event or Physician Perception of Lack of Efficacy or Patient and Physician Perception of Lack of Efficacy, whichever Comes First - First Dose Date + 1)/ (365.25/12) (NCT00063570)
Timeframe: Every 6 weeks from start of treatment until documented disease progression or for 6 months from last dose of study drug, whichever occurs first. After 6 months, clinical assessment every 12 weeks and radiologic test performed as clinically indicated
Intervention | months (Median) |
---|
Bi-Weekly Schedule | 2.79 |
21-Day Schedule | 2.56 |
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Time to Progressive Disease
Time to progressive disease is calculated as (Date of First Disease Progression or Death Due to Disease under Study whichever Comes First - First Dose Date + 1)/(365.25/12). (NCT00063570)
Timeframe: Every 6 weeks from start of treatment until documented disease progression or for 6 months from last dose of study drug, whichever occurs first. After 6 months, clinical assessment every 12 weeks and radiologic test performed as clinically indicated
Intervention | months (Median) |
---|
Bi-Weekly Schedule | 3.19 |
21-Day Schedule | 4.01 |
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Overall Survival
Overall survival time is calculated as (Date of Death as a Result of any Cause - First Dose Date + 1)/ (365.25/12). (NCT00063570)
Timeframe: Every 6 weeks from start of treatment until documented disease progression or for 6 months from last dose of study drug, whichever occurs first. After 6 months, clinical assessment every 12 weeks and radiologic test performed as clinically indicated
Intervention | months (Median) |
---|
Bi-Weekly Schedule | 13.44 |
21-Day Schedule | 16.20 |
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Duration of (Confirmed) Complete Response or Partial Response
Duration of response is calculated as (Date of First Disease Progression or Death as a Result of any Cause whichever Comes First - Date of First Objective Status Assessment of Confirmed CR or PR + 1)/(365.25/12). (NCT00063570)
Timeframe: Every 6 weeks from start of treatment until documented disease progression or for 6 months from last dose of study drug, whichever occurs first. After 6 months, clinical assessment every 12 weeks and radiologic test performed as clinically indicated
Intervention | months (Median) |
---|
Bi-Weekly Schedule | 5.85 |
21-Day Schedule | 4.17 |
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Pain, Assessed by Brief Pain Inventory
"Single item from the Brief Pain Inventory (BPI) assessing worst pain in the past 24 hours, on a 0-10 scale with a higher score indicating more pain than a low score." (NCT00064077)
Timeframe: Baseline (pre-cycle 1), Pre-cycle 2, Pre-cycle 5, 9 months post cycle 1
Intervention | units on a scale (Mean) |
---|
| Baseline | Pre-cycle 2 | Pre-cycle 5 | 9 months post cycle 1 |
---|
Arm I (Paclitaxel, Cisplatin) | 4.0 | 3.5 | 3.6 | 2.3 |
,Arm II (Vinorelbine, Cisplatin) | 3.9 | 3.5 | 4.0 | 3.2 |
,Arm III (Gemcitabine, Cisplatin) | 3.3 | 3.4 | 3.5 | 3.7 |
,Arm IV (Topotecan, Cisplatin) | 3.6 | 3.6 | 2.5 | 2.9 |
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Duration of Progression-free Survival (PFS)
Progression-free survival (PFS) was defined as the period from study entry until disease progression, death, or the last date of contact. Progression is defined according to RECIST v1.0 as at least a 20% increase in the sum of LD target lesions taking as reference the smallest sum LD recorded since study entry, the appearance of one or more new lesions, death due to disease without prior objective documentation of progression, global deterioration in health status attributable to the disease requiring a change in therapy without objective evidence of progression, or unequivocal progression of existing non-target lesions. (NCT00064077)
Timeframe: Baseline, every other cycle during treatment, then every 3 months for 2 years, the every 6 months for 3 years (up to 5 years)
Intervention | months (Median) |
---|
Arm I (Paclitaxel, Cisplatin) | 5.82 |
Arm II (Vinorelbine, Cisplatin) | 3.98 |
Arm III (Gemcitabine, Cisplatin) | 4.70 |
Arm IV (Topotecan, Cisplatin) | 4.57 |
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Duration of Overall Survival (OS)
Overall survival is defined as the duration of time from study entry to time of death or the date of last contact. (NCT00064077)
Timeframe: Baseline, every other cycle during treatment, then every 3 months for 2 years, the every 6 months for 3 years (up to 5 years)
Intervention | months (Median) |
---|
Arm I (Paclitaxel, Cisplatin) | 12.87 |
Arm II (Vinorelbine, Cisplatin) | 9.99 |
Arm III (Gemcitabine, Cisplatin) | 10.28 |
Arm IV (Topotecan, Cisplatin) | 10.25 |
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Patient-reported Quality of Life as Measured by the Functional Assessment of Cancer Therapy (FACT)-Cervical Trial Outcome of Index (FACT-Cx TOI)
The FACT-Cx TOI is a scale for assessing general QOL of cervical cancer patients.consisting of three subscales: Physical Well Being (7 items), Functional Well Being (7 items), and Cervical Cancer subscale (15 items). Each item in the FACT-Cx 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. 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 subscale. The score is calculated as the sum of the subscale scores if more than 80% of the FACT-Cx TOI items provide valid answers and all of the component subscales have valid scores. The score ranges 0-116 with a large score suggesting better QOL. (NCT00064077)
Timeframe: Baseline (pre-cycle 1), Pre-cycle 2, Pre-cycle 5, 9 months post cycle 1
Intervention | units on a scale (Mean) |
---|
| Baseline | Pre-cycle 2 | Pre-cycle 5 | 9 months post cycle 1 |
---|
Arm I (Paclitaxel, Cisplatin) | 66.6 | 65.2 | 70.5 | 71.9 |
,Arm II (Vinorelbine, Cisplatin) | 69.1 | 65.5 | 66.6 | 69.9 |
,Arm III (Gemcitabine, Cisplatin) | 67.9 | 65.3 | 64.5 | 68.6 |
,Arm IV (Topotecan, Cisplatin) | 68.1 | 66.2 | 68.4 | 70.9 |
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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. (NCT00064077)
Timeframe: Baseline (pre-cycle 1), Pre-cycle 2, Pre-cycle 5, 9 months post cycle 1
Intervention | units on a scale (Mean) |
---|
| Baseline | Pre-cycle 2 | Pre-cycle 5 | 9 months post cycle 1 |
---|
Arm I (Paclitaxel, Cisplatin) | 14.4 | 14.1 | 13.1 | 11.1 |
,Arm II (Vinorelbine, Cisplatin) | 13.5 | 13.3 | 13.1 | 11.4 |
,Arm III (Gemcitabine, Cisplatin) | 14.2 | 13.7 | 14.1 | 12.3 |
,Arm IV (Topotecan, Cisplatin) | 14.1 | 14.2 | 14.4 | 13.1 |
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Time to Disease Progression
Time to disease progression is defined as the time from registration to documentation of disease progression. 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. If the patient is declared to be a major treatment violation, the patient will be censored on the date the treatment violation was declared to have occurred. In the case of a patient starting treatment and then never returning for any evaluations, the patient will be censored for progression on day 1 post-registration. The distribution of time to progression will be estimated using the method of Kaplan-Meier. Time to disease progression will be calculated for all evaluable patients combined and by group (ie. for patients with or without the UGT1A1*28 polymorphism). (NCT00066781)
Timeframe: Up to 2 years
Intervention | Months (Median) |
---|
Cohort I | 3.7 |
Cohort II | 3.4 |
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Confirmed Response Rate (Partial or Complete Response for 2 Consecutive Evaluations at Least 4 Weeks Apart) as Measured by RECIST Criteria
The primary endpoint is confirmed response rate. If measurable disease is present, a confirmed tumor response is defined to be either a CR or PR noted as the objective status on 2 consecutive evaluations at least 4 weeks apart. All registered patients meeting the eligibility criteria that have signed a consent form and have begun treatment will be evaluable for response. (NCT00066781)
Timeframe: Up to 2 years
Intervention | percentage of patients with response (Number) |
---|
Cohort I | 9 |
Cohort II | 13 |
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Overall Survival
Overall 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 . Overall survival will be calculated for> all evaluable patients combined and by group (ie. for patients with or> without the UGT1A1*28 polymorphism). (NCT00066781)
Timeframe: Up to 2 years
Intervention | Months (Median) |
---|
Cohort I | 4 |
Cohort II | 9.3 |
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Overall Survival
Overall survival is defined as the time from study entry until death from any cause. (NCT00068393)
Timeframe: Every 2 weeks during treatment; then every 3 months if <2 years from study entry; then every 6 months if 2-3 years from study entry
Intervention | Months (Median) |
---|
Doxorubicin/Gemcitabine | 8.8 |
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Progression-free Survival
Progression-free survival is defined as time from study entry until disease progression or death from any cause, whichever occurs first. Progression is defined as at least a 20% increase in the sum of the longest diameters of target lesions, taking as reference the smallest sum longest diameter recorded since the baseline measurements, or the appearance of one or more new lesion(s) or unequivocal progression of existing nontarget lesions. (NCT00068393)
Timeframe: Every 8 weeks during treatment; then every 3 months if <2 years from study entry; then every 6 months if 2-3 years from study entry
Intervention | Months (Median) |
---|
Doxorubicin/Gemcitabine | 3.5 |
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Response Rate by Solid Tumor Response Criteria (RECIST)
Per RECIST criteria, Complete response (CR)= disappearance of all target and nontarget lesions Partial response (PR)= >=30% decrease in the sum of the longest diameters of target lesions from baseline, and persistence of one or more non-target lesion(s) and/or the maintenance of tumor marker level above the normal limits. Objective response = CR + PR (NCT00068393)
Timeframe: Every 8 weeks during treatment; then every 3 months if <2 years from study entry; then every 6 months if 2-3 years from study entry
Intervention | Percentage of Participants (Number) |
---|
Doxorubicin/Gemcitabine | 16 |
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Overall and Complete Response Rates
Response was assessed per standard criteria (Cheson BD, Horning SJ, Coiffier B, et al. Report of an international workshop to standardize response criteria fornon-Hodgkin's lymphomas. J Clin Oncol 1999;17:1244-1253.) (NCT00072514)
Timeframe: 3-4 weeks after completion of study treatment
Intervention | percentage of participants (Number) |
---|
| Overall | Complete |
---|
Treatment | 67 | 31 |
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Ability to Successfully Deliver the Investigational Therapy Without Incurring the Protocol Suspension Rules
Count of participants that received the investigational therapy without incurring the protocol suspension rules. A stopping rule for safety was employed such that the study would be suspended if sufficient evidence indicated that the true grade 4-5 non-hematologic toxicity rate exceeded 10%. (NCT00072514)
Timeframe: At 3-4 weeks after completion of study treatment
Intervention | Participants (Count of Participants) |
---|
Treatment | 51 |
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Hematologic and Non-hematologic Adverse Events.
Count of participants with grade 3/4 hematologic and non-hematologic adverse events. (NCT00072514)
Timeframe: 3-4 weeks after completion of study treatment
Intervention | Participants (Count of Participants) |
---|
| Hematologic Grade 3 | Hematologic Grade 4 | Non-Hematologic Grade 3 | Non-Hematologic Grade 4 |
---|
Treatment | 10 | 39 | 23 | 2 |
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Peripheral Blood Stem Cell Collection
Count of patients that attempted and had successful autologous peripheral blood stem cell (PBSC) collection. (NCT00072514)
Timeframe: Up to 12 weeks
Intervention | Participants (Count of Participants) |
---|
| Attempted PBSC Collection | Successful PBSC Collection |
---|
Treatment | 17 | 17 |
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Objective Response Rate
Patients will be evaluated up to 4 time points(after 2,4,8 and 12 cycles of therapy), each cycle is 21 days. Per RECIST 1.0 and assessed by CT/MRI disease status will be categorized as R=CR/PR(response), F=progressive disease or death(failure), or S(stable disease=neither R nor F) based on the change from baseline. A patient with outcome R or F at any stage is scored as having that overall outcome, a patient with outcome S is re-evaluated after subsequent cycles of therapy. Patients who receive more than 14 cycles of therapy will be scored as the outcome at completion of cycle 14. (NCT00073983)
Timeframe: After 2, 4, 8 and 12 cycles of therapy, each cycle is 21 days
Intervention | participants (Number) |
---|
Ewing's Sarcoma | 6 |
Osteosarcoma | 5 |
Chondrosarcoma | 14 |
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Toxicity as Assessed by NCI CTCAE v3.0
Toxicity was graded according to Common Terminology Criteria for Adverse Events v.3.0 (CTCAE v.3.0). For gemcitabine or docetaxel related grade 3 or 4 non-hematological toxicities or hematological toxicities (grade 3 or 4 neutropenia for ≥ 7 days, grade 4 thrombocytopenia, or any platelet transfusion), both agents were withheld until the toxicity was ≤ grade 1. If the toxicity recovered to ≤ grade 1 by cycle day 35, the dose of both agents was reduced for all subsequent cycles. If the toxicity did not resolve by day 35, protocol therapy was discontinued. (NCT00073983)
Timeframe: Throughout the study
Intervention | participants (Number) |
---|
| Toxicity | No Toxicity |
---|
Chondrosarcoma | 5 | 20 |
,Ewing's Sarcoma | 4 | 10 |
,Osteosarcoma | 3 | 11 |
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Overall Survival
(NCT00075504)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Stratum A Normal Liver Function Triapine, Gemcitabine | 10.3 |
Stratum B Abnormal Liver Function Triapine, Gemcitabine | 3.6 |
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Progression Free Survival
PFS will be measured from the time of the patient's initial best response (PR or CR) until documented progression. (NCT00075504)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Stratum A Normal Liver Function Triapine, Gemcitabine | 3.7 |
Stratum B Abnormal Liver Function Triapine, Gemcitabine | 3.6 |
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Response Rate According to RECIST Criteria
Tumor response was assessed every eight weeks by CT scan using RECIST (Response Evaluation Criteria in Solid Tumors) criteria. Per Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.0) for target lesions: Complete Response (CR), Disapperance of all target lesions; Partial Response (PR), >= 30% decrease in the sum of the longest diameter of target lesions; Overall response (OR) = CR+PR. (NCT00075504)
Timeframe: Up to 2 years
Intervention | participants (Number) |
---|
Stratum A Normal Liver Function Triapine, Gemcitabine | 3 |
Stratum B Abnormal Liver Function Triapine, Gemcitabine | 0 |
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Toxic Effect
Number of patients affected by adverse events graded according to CTC Version 2.0. See adverse event (others) for details. (NCT00078949)
Timeframe: 48 months
Intervention | Participants (Count of Participants) |
---|
Salvage GDP | 36 |
Salvage DHAP | 26 |
Maintenance | 16 |
Observation | 8 |
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Transplantation Rate of Patients After 2 Courses of Chemotherapy
Transplantation rate is defined as the number of patients who respond sufficiently to protocol salvage chemotherapy to be planned for transplantation minus those who do not meet the endpoint of successful transplantation, divided by the number of all randomized patients (NCT00078949)
Timeframe: During period 1 (salvage chemotherapy)
Intervention | percentage of transplantation (Number) |
---|
Salvage GDP | 51.0 |
Salvage DHAP | 48.9 |
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Response Rate of Patients After 2 Courses of Chemotherapy
The overall response rate by arm is calculated as total number of responders (CR + CRu + PR) / (all patients in the ITT analysis population). (NCT00078949)
Timeframe: After 2 cycle of treatment
Intervention | percentage of response (Number) |
---|
Salvage GDP | 45.2 |
Salvage DHAP | 44.0 |
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Event-free Survival of Patients on Maintenance Randomization (Period 2)
Number of patients who develop EFS event during maintenance randomization (period 2) (NCT00078949)
Timeframe: during the period 2 (up to10 years)
Intervention | participants (Number) |
---|
Maintenance | 53 |
Observation | 65 |
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Overall Survival
The time between the date of randomization and the date of death due to any cause. (NCT00088530)
Timeframe: 18 months after 6 cycles of treatment; approximately 24 months
Intervention | Months (Median) |
---|
Experimental Group | 10.2 |
Comparator Group | 7.6 |
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Overall Response Rate (ORR) Lasting at Least 4 Months
The proportion of patients with Complete response or Partial Response with a difference from the first documented objective response to disease progression or death of at least 4 months. (NCT00088530)
Timeframe: approximately 24 months
Intervention | participants (Number) |
---|
Experimental Group | 12 |
Comparator Group | 6 |
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Complete Response (CR) and Complete Response Unconfirmed (CRu)
Proportion of patients with a best response of complete response (CR) or Complete Response unconfirmed (CRu) in the End Of Treatment (EOT) or End Of Study (EOS) analyses by independent assessment in the Intent-to-treat (ITT) population through the End of Treatment (EOT) (NCT00088530)
Timeframe: EOT; approximately 6 months
Intervention | percentage of randomized patients (Number) |
---|
| END OF TREATMENT: CR/CRu, n (%) | END OF STUDY: CR/CRu, n (%) |
---|
Comparator Group | 5.7 | 7.1 |
,Experimental Group | 20.0 | 24.3 |
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Progression-Free Survival (PFS)
The time between the date of randomization and the date of the initial documentation of progressive/relapsed disease or death due to any cause. (NCT00088530)
Timeframe: 18 months after 6 cycles of treatment; approximately 24 months
Intervention | months (Median) |
---|
Experimental Group | 5.3 |
Comparator Group | 2.6 |
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Number of Participants Experiencing Grade 3-4 Toxicity While Receiving the Study Treatment
Toxicity event collected during Induction chemotherapy (CT) - two 3-week cycles, Concurrent CT and Radiation Therapy (CRT) (approximately 5.5 weeks), post CRT (4 weeks after the end of CRT), 2-3 months post CRT (8-12 weeks after the end of CRT) (NCT00089024)
Timeframe: From time of first dose until 30 days following final treatment, approximately 24 weeks
Intervention | Participants (Count of Participants) |
---|
| Induction CT, grade 3 | Induction CT, grade 4 | CRT, grade 3 | CRT, grade 4 | Within 1 mo. post CRT, grade 3 | Within 1 mo. post CRT, grade 4 | 2-3 mos. post CRT, grade 3 | 2-3 mos. post CRT, grade 4 |
---|
Treatment | 4 | 5 | 11 | 0 | 12 | 1 | 9 | 0 |
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Surgical Exploration
Patients who completed chemotherapy & chemo-radiation had restaging imaging studies 4 weeks after completion of chemo-radiation. If there were no contraindications for surgical resection, surgical exploration was performed 6-8 weeks after completing chemo-radiation (NCT00089024)
Timeframe: After 6 weeks of chemotherapy and then after 4 weeks of chemo-radiation.
Intervention | Participants (Count of Participants) |
---|
| unresectable disease | intra-abdominal metastasis | resection of the primary tumor |
---|
Treatment | 4 | 6 | 9 |
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Progression-free Survival
Median progression-free survival time (time from randomization to disease progression or death from any cause). Analyzed using the Kaplan-Meier (1958) estimator and their associated 95% confidence intervals determined using the method described in Brookmeyer and Crowley. (NCT00091026)
Timeframe: 36 months
Intervention | months (Median) |
---|
Arm I (Cetuximab, Gemcitabine Hydrochloride, Bevacizumab) | 5.0 |
Arm II (Gemcitabine Hydrochloride, Bevacizumab, Erlotinib) | 5.1 |
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Overall Survival
Time from randomization until death from any cause. Analyzed using the Kaplan-Meier (1958) estimator and their associated 5% confidence intervals determined using the method described in Brookmeyer and Crowley. (NCT00091026)
Timeframe: 36 months
Intervention | Months (Median) |
---|
Arm I (Cetuximab, Gemcitabine Hydrochloride, Bevacizumab) | 7.9 |
Arm II (Gemcitabine Hydrochloride, Bevacizumab, Erlotinib) | 7.1 |
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Objective Response Rate (Complete or Partial Response) Evaluated Using the Response Evaluation Criteria in Solid Tumors (RECIST)
(NCT00091026)
Timeframe: Up to 6 months
Intervention | percentage of participants (Number) |
---|
Arm I (Cetuximab, Gemcitabine Hydrochloride, Bevacizumab) | 21 |
Arm II (Gemcitabine Hydrochloride, Bevacizumab, Erlotinib) | 21 |
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Toxicity
Defined by National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 as an adverse event classified as either possibly, probably, or definitely related to study treatment. The maximum grade for each type of toxicity will be recorded for each patient, and frequency tables will be reviewed to determine toxicity patterns. (NCT00093496)
Timeframe: Participants were evaluated every 6 weeks on treatment (maximum 42 weeks)
Intervention | events (Number) |
---|
| Grade 3 | Grade 4 or Higher |
---|
Cohort 1 (No Prior Gemcitabine Exposure) | 9 | 0 |
,Cohort 2 (Prior Gemcitabine Exposure) | 7 | 0 |
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Proportion of Patients Who Experience a Confirmed Response According to Modified RECIST Criteria.
"Objective response will be measured using the modified RECIST criteria. A confirmed response requires an objective status of complete or partial response on 2 consecutive evaluations occurring 4 or more weeks apart.~Complete Response (CR): Disappearance of all target lesions and normalization of tumor biomarkers.~Partial Response (PR): At least a 30% decrease in the sum of the target lesions from the baseline." (NCT00093496)
Timeframe: Participants were evaluated every 6 weeks on treatment, with median treatment length of 12 weeks (3 week minimum and 42 week maximum).
Intervention | proportion of participants (Number) |
---|
| Confirmed Partial Response (PR) | Confirmed Complete Response (CR) |
---|
Cohort 1 (No Prior Gemcitabine Exposure) | 0.071 | 0 |
,Cohort 2 (Prior Gemcitabine Exposure) | 0 | 0 |
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Times to Progression
Defined as the time from registration to the date of progression or last follow-up, whichever comes first. Estimated using the method of Kaplan-Meier (NCT00093496)
Timeframe: Participants were evaluated every 6 weeks on treatment (maximum 42 weeks), and followed up to 5 years from registration.
Intervention | months (Median) |
---|
Cohort 1 (No Prior Gemcitabine Exposure) | 1.6 |
Cohort 2 (Prior Gemcitabine Exposure) | 2.7 |
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Overall Survival
Defined as the time from registration to date of last follow-up or death due to any cause. Estimated using the method of Kaplan-Meier. (NCT00093496)
Timeframe: Every 3 months until disease progression and then every 6 months for up to 5 years.
Intervention | months (Median) |
---|
Cohort 1 (No Prior Gemcitabine Exposure) | 18.3 |
Cohort 2 (Prior Gemcitabine Exposure) | 11.5 |
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Toxicity
Percentage of patients who ever experienced grade 2 or higher toxicities. (NCT00093795)
Timeframe: 30 days after the last dose of study therapy (about 7 months after study entry)
Intervention | percentage of patients (Number) |
---|
Group 1: TAC X 6 | 82.7 |
Group 2: AC X 4 Then P X 4 | 87.5 |
Group 3: AC X 4 Then PG X 4 | 88.4 |
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Disease-free Survival: Any Recurrence, Contralateral Breast Cancer, Second Primary Cancer, Death From Any Cause Prior to Recurrence or Second Primary Cancer
The percentage of patients alive and cancer-free. (NCT00093795)
Timeframe: 5 years
Intervention | percentage of patients (Number) |
---|
Group 1: TAC X 6 | 80.1 |
Group 2: AC X 4 Then P X 4 | 82.2 |
Group 3: AC X 4 Then PG X 4 | 80.6 |
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Overall Survival
Percentage of participants alive at 5 years (NCT00093795)
Timeframe: 5 years
Intervention | percentage of patients alive (Number) |
---|
Group 1: TAC X 6 | 89.6 |
Group 2: AC X 4 Then P X 4 | 89.1 |
Group 3: AC X 4 Then PG X 4 | 90.8 |
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Recurrence-free Interval: Time to First Local, Regional, or Distant Recurrence
Percentage of patients recurrence-free (no first local, regional, or distant recurrence) (NCT00093795)
Timeframe: 5 years
Intervention | percentage of patients (Number) |
---|
Group 1: TAC X 6 | 85.1 |
Group 2: AC X 4 Then P X 4 | 86.2 |
Group 3: AC X 4 Then PG X 4 | 84.8 |
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Distant Recurrence-free Interval: the Time to Distant Disease Recurrence Only
Percentage of patients distant recurrence-free (no distant disease recurrence only) (NCT00093795)
Timeframe: 5 years
Intervention | percentage of patients (Number) |
---|
Group 1: TAC X 6 | 86.6 |
Group 2: AC X 4 Then P X 4 | 87.4 |
Group 3: AC X 4 Then PG X 4 | 86.6 |
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Progression-free Survival
Progression-free survival was defined as the time from the first day of treatment (Cycle 1, Day 1) to the time of documented disease progression or death, whichever occurred first. Disease progression was assessed by the investigator according to Response Evaluation Criteria in Solid Tumors (RECIST). Complete Response (CR) was defined as disappearance of all target lesions; Partial Response (PR) was defined as >=30% decrease in the sum of the longest diameter of target lesions and Overall Response (OR) = CR + PR. (NCT00096993)
Timeframe: Baseline to the end of the study (up to 1 year)
Intervention | months (Median) |
---|
Placebo + Gemcitabine | 2.6 |
Pertuzumab + Gemcitabine | 2.9 |
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Percentage of Participants With an Objective Response
An objective response was defined as a complete or partial response determined on two consecutive occasions ≥ 4 weeks apart. Responses were determined by Response Evaluation Criteria in Solid Tumors (RECIST). A complete response was defined as the disappearance of all target lesions or the disappearance of all non-target lesions and normalization of tumor marker level. 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 of the longest diameter of target lesions. (NCT00096993)
Timeframe: Baseline to the end of the study (up to 1 year)
Intervention | percentage of participants (Number) |
---|
Placebo + Gemcitabine | 4.6 |
Pertuzumab + Gemcitabine | 13.8 |
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Duration of the Objective Response
Duration of the objective response was defined as the time from the initial response to disease progression or death from any cause. (NCT00096993)
Timeframe: Baseline to the end of the study (up to 1 year)
Intervention | months (Median) |
---|
Placebo + Gemcitabine | NA |
Pertuzumab + Gemcitabine | 6.9 |
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Duration of Survival
Duration of survival was defined as the time from randomization until death from any cause. (NCT00096993)
Timeframe: Baseline to the end of the study (up to 1 year)
Intervention | months (Median) |
---|
Placebo + Gemcitabine | 13.1 |
Pertuzumab + Gemcitabine | 13.0 |
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Percentage of Participants Free From Disease Progression at 4 Months
Disease progression was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter recorded since treatment started or the appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions. (NCT00096993)
Timeframe: Baseline to Month 4
Intervention | percentage of participants (Number) |
---|
Placebo + Gemcitabine | 37.3 |
Pertuzumab + Gemcitabine | 47.6 |
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Progression-free Survival
Measured 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. (NCT00100789)
Timeframe: 0 - 3 years
Intervention | months (Median) |
---|
Gemcitabine and Paclitaxel | 4 |
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Overall Survival
Measured from time of registration to date of death due to any cause. Patients last known to be alive are censored at date of last contact. (NCT00100789)
Timeframe: 0 - 3 years
Intervention | months (Median) |
---|
Gemcitabine and Paclitaxel | 8 |
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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 normal 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. (NCT00100789)
Timeframe: 9 weeks - 3 years
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Unconfirmed Complete Response | Unconfirmed Partial Response | Stable/No Response | Increasing Disease | Assessment Inadequate |
---|
Gemcitabine and Paclitaxel | 1 | 6 | 1 | 8 | 11 | 21 | 9 |
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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 |
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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 |
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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 |
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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 |
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Overall Survival
Time from randomization to death. Patients alive at last follow-up were censored. (NCT00101283)
Timeframe: Assessed every 3 months for 2 years, then every 6 months for 1 year
Intervention | Months (Median) |
---|
Pemetrexed/Carboplatin | 13.0 |
Pemetrexed/Gemcitabine | 6.0 |
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Best Overall Response by RECIST Criteria (Version 1.0)
Number of eligible, treated participants in each response category by RECIST criteria. Response categories represent best response for each patient prior to progression. (NCT00101283)
Timeframe: Assessed every 2 cycles (6 weeks) while on treatment, then every 3 months for 2 years, then every 6 months for 1 year until disease progression
Intervention | eligible, treated participants (Number) |
---|
| Partial Response | Stable Disease | Progression | Unevaluable |
---|
Pemetrexed/Carboplatin | 3 | 7 | 5 | 1 |
,Pemetrexed/Gemcitabine | 0 | 6 | 5 | 2 |
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Progression-Free Survival
Time from randomization to the earlier of disease progression or death. Patients alive and progression-free at last follow-up were censored. (NCT00101283)
Timeframe: Assessed every 3 months for 2 years, then every 6 months for 1 year
Intervention | Months (Median) |
---|
Pemetrexed/Carboplatin | 4.1 |
Pemetrexed/Gemcitabine | 3.3 |
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Cmax
The maximum observed plasma concentration after AMG 706 dosing (NCT00101907)
Timeframe: Day 1, pre-dose and at 1, 3, 6,12 (BID cohort only) and 24 hours post-dose.
Intervention | ng/mL (Mean) |
---|
50 mg QD AMG 706 + Panitumumab + Gem/Cis | 152 |
75 mg QD AMG 706 + Panitumumab + Gem/Cis | 186 |
100 mg QD AMG 706 + Panitumumab + Gem/Cis | 278 |
125 mg QD AMG 706 + Panitumumab + Gem/Cis | 458 |
75 mg BID AMG 706 + Panitumumab + Gem/Cis | 268 |
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Number of Participants With an Objective Tumor Response
The number of participants with a confirmed objective tumor response, defined as a complete response (CR) or partial response (PR) throughout based on modified Response Evaluation Criteria in Solid Tumors (RECIST) criteria. Any CR or PR was to be confirmed 4 to 6 weeks after the initial CR or PR. (NCT00101907)
Timeframe: From enrollment until date of last follow-up visit. The median follow-up time was 24 weeks, with a range of 3 to 73 weeks.
Intervention | participants (Number) |
---|
Panitumumab + Gem/Cis | 2 |
50 mg QD AMG 706 + Panitumumab + Gem/Cis | 0 |
75 mg QD AMG 706 + Panitumumab + Gem/Cis | 1 |
100 mg QD AMG 706 + Panitumumab + Gem/Cis | 4 |
125 mg QD AMG 706 + Panitumumab + Gem/Cis | 2 |
75 mg BID AMG 706 + Panitumumab + Gem/Cis | 1 |
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Participant Incidence of Adverse Events
The number of participants who experienced at least one treatment-emergent adverse event. Additional details regarding specfic adverse events are provided in the Adverse Event section of this posting. (NCT00101907)
Timeframe: From the first dose of any study treatment until 30 days after the last dose of study treatment, up to a maximum of 509 days.
Intervention | Participants (Number) |
---|
Panitumumab + Gem/Cis | 8 |
50 mg QD AMG 706 + Panitumumab + Gem/Cis | 8 |
75 mg QD AMG 706 + Panitumumab + Gem/Cis | 6 |
100 mg QD AMG 706 + Panitumumab + Gem/Cis | 6 |
125 mg QD AMG 706 + Panitumumab + Gem/Cis | 11 |
75 mg BID AMG 706 + Panitumumab + Gem/Cis | 2 |
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Tmax
Time after dosing when maximum plasma concentration was observed for AMG 706 (NCT00101907)
Timeframe: Day 1, pre-dose and at 1, 3, 6,12 (BID cohort only) and 24 hours post-dose.
Intervention | hours (Median) |
---|
50 mg QD AMG 706 + Panitumumab + Gem/Cis | 1.00 |
75 mg QD AMG 706 + Panitumumab + Gem/Cis | 1.00 |
100 mg QD AMG 706 + Panitumumab + Gem/Cis | 1.38 |
125 mg QD AMG 706 + Panitumumab + Gem/Cis | 1.00 |
75 mg BID AMG 706 + Panitumumab + Gem/Cis | 1.00 |
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AUC0-inf
Area under the concentration-time curve from time 0 to infinite time (AUC0-inf) postdose with AMG 706. AUC0-inf was estimated using the linear/log trapezoidal method. AUC0-inf was not calculated for the BID cohort. (NCT00101907)
Timeframe: Day 1, pre-dose and at 1, 3, 6,12 (BID cohort only) and 24 hours post-dose.
Intervention | μg*hr/mL (Mean) |
---|
50 mg QD AMG 706 + Panitumumab + Gem/Cis | 1.12 |
75 mg QD AMG 706 + Panitumumab + Gem/Cis | 1.64 |
100 mg QD AMG 706 + Panitumumab + Gem/Cis | 2.59 |
125 mg QD AMG 706 + Panitumumab + Gem/Cis | 3.05 |
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AUC0-24
Area under the plasma concentration-time curve from time 0 to 24 hours postdose (AUC0-24) with AMG 706. AUC0-24 was estimated using the linear/log trapezoidal method. For the BID cohort, AUC0 24 was estimated as 2 times the AUC from time 0 to 12 hours post the first daily dose (AUC0-12) using the linear/log trapezoidal method. (NCT00101907)
Timeframe: Day 1, pre-dose and at 1, 3, 6,12 (BID cohort only) and 24 hours post-dose.
Intervention | μg*hr/mL (Mean) |
---|
50 mg QD AMG 706 + Panitumumab + Gem/Cis | 1.03 |
75 mg QD AMG 706 + Panitumumab + Gem/Cis | 1.31 |
100 mg QD AMG 706 + Panitumumab + Gem/Cis | 2.38 |
125 mg QD AMG 706 + Panitumumab + Gem/Cis | 2.82 |
75 mg BID AMG 706 + Panitumumab + Gem/Cis | 2.54 |
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2-year Overall Survival Rate
The overall survival rate is the percentage of patients who are alive 2 years after registration to the study. Overall survival is defined as the time between study registration and death due to any cause. (NCT00109928)
Timeframe: 0-2 years
Intervention | percentage of participants (Number) |
---|
PEGS | 31 |
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2-year Progression-free Survival Rate
Progression-free survival rate is the percentage of patients who do not show signs of progression at 2 years after registration to the study, including those whose disease has either completely or partially responded to treatment, or those whose disease is stable. Progression-free survival is defined as the time between study registration and documented progression, or death if no progression was observed. (NCT00109928)
Timeframe: 0-2 years
Intervention | percentage of participants (Number) |
---|
PEGS | 12 |
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Response Rate
Complete Response(CR) is a complete disappearance of all disease with the exception of nodes. No new lesions. previously enlarged organs must have regressed and not be palpable. Bone marrow(BM) must be negative if positive at baseline. Normalization of markers. CR Unconfirmed (CRU) does not qualify for CR above, due to a residual nodal mass or an indeterminate BM. Partial Response(PR) is a 50% decrease in the sum of products of greatest diameters (SPD) for up to 6 identified dominant lesions, including spleenic and hepatic nodules from baseline. No new lesions and no increase in the size of liver, spleen or other nodes. (NCT00109928)
Timeframe: up to 3 years or time of disease progression
Intervention | participants (Number) |
---|
| Complete Response | Unconfirmed Complete Response | Partial Response | No Response |
---|
PEGS | 6 | 2 | 5 | 20 |
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Progression-free Survival
Progression-free survival was defined as the number of months from registration to the date of disease progression or death, with patients who are alive and progression free being censored on the date of their last evaluation. (NCT00110084)
Timeframe: Time from registration to progression or death (up to 5 years)
Intervention | months (Median) |
---|
Nab-paclitaxel/Gemcitabine | 7.9 |
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Adverse Event
Number of patients that experienced adverse events (grade 3 or more occurring in >5% of patients) as measured by NCI CTCAE (Common Terminology Criteria for Adverse Events) v3.0 (NCT00110084)
Timeframe: Every 6 weeks
Intervention | participants (Number) |
---|
| Neutropenia | Fatigue | Anemia | Dyspnea | Thrombocytopenia | Arthralgia | Vomiting | Neuropathy | Myalgia | Nausea | Pain-abdominal | Aspartate aminotransferase (AST) |
---|
Nab-paclitaxel/Gemcitabine | 27 | 14 | 7 | 7 | 6 | 4 | 4 | 3 | 3 | 3 | 3 | 3 |
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Proportion of Patients With Confirmed Responses
"Confirmed tumor response (complete and partial) as measured by RECIST(Response Evaluation Criteria In Solid Tumors) criteria on 2 consecutive evaluations at least 6 weeks apart.~Confirmed tumor response is at least a 30% decrease in the sum of the longest diameter of target lesions and no new lesions." (NCT00110084)
Timeframe: Two consecutive evaluations at least 6 weeks apart
Intervention | participants (Number) |
---|
| Confirmed response | Assessable |
---|
Nab-paclitaxel/Gemcitabine | 25 | 50 |
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Percentage of Patients With Objective Tumor Response Rate (Either Complete Response (CR) or Partial Response (PR) Using RECIST Version 1.0
RECIST 1.0 defines complete response as the disappearance of all target lesions and non-target lesions and no evidence of new lesions documented by two disease assessments at least 4 weeks apart. Partial response is defined as at least a 30% decrease in the sum of longest dimensions (LD) of all target measurable lesions taking as reference the baseline sum of LD. There can be no unequivocal progression of non-target lesions and no new lesions. Documentation by two disease assessments at least 4 weeks apart is required. In the case where the ONLY target lesion is a solitary pelvic mass measured by physical exam, which is not radiographically measurable, a 50% decrease in the LD is required. These patients will have their response classified according to the definitions stated above. Complete and partial responses are included in the objective tumor response rate. (NCT00114218)
Timeframe: CT scan or MRI if used to follow lesions for measurable disease every other cycle for the first 6 months; every 6 months thereafter until disease progression for up to 5 years.
Intervention | Percentage of participants (Number) |
---|
Treatment (Gemcitabine Hydrochloride, Docetaxel) | 8 |
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Incidence of Adverse Effects That Are Grade 3 or Greater as Assessed by Common Terminology Criteria for Adverse Events Version 3.0
Count of participants with Toxicities maximum grade greater than or equal to grade 3 (NCT00114218)
Timeframe: Assessed every 28 days (28 days=1 cycle) while on study treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Intervention | Participants (Count of Participants) |
---|
Treatment (Gemcitabine Hydrochloride, Docetaxel) | 18 |
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Progression-free Survival
Estimated using the product-limit method of Kaplan and Meier by arm. The probability of progression-free survival at 3 months and overall survival at 6 months, and their Greenwood's standard errors will be summarized by arm. (NCT00114244)
Timeframe: From first day of treatment to the first observation of disease progression or death due to any cause, assessed up to 3 months
Intervention | Months (Median) |
---|
Arm I (Sorafenib Tosylate) | 2.3 |
Arm II (Sorafenib Tosylate, Gemcitabine Hydrochloride) | 2.9 |
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Overall Survival
Estimated using the product-limit method of Kaplan and Meier by arm. (NCT00114244)
Timeframe: From first day of treatment to time of death due to any cause, assessed up to 6 months
Intervention | Months (Median) |
---|
Arm I (Sorafenib Tosylate) | 4.3 |
Arm II (Sorafenib Tosylate, Gemcitabine Hydrochloride) | 6.5 |
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Objective Response (OR = CR or PR) as Determined by the RECIST Criteria
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT scan, MRI, X-ray: 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 (NCT00114244)
Timeframe: Every 6 weeks.
Intervention | participants (Number) |
---|
Arm I (Sorafenib Tosylate) | 0 |
Arm II (Sorafenib Tosylate, Gemcitabine Hydrochloride) | 1 |
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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 |
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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 |
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Response Rate
"Response rate as defined by a best response of Stable Disease or better." (NCT00161213)
Timeframe: 5 years
Intervention | percentage of total evaluable subjects (Number) |
---|
Gemcitabine and Imatinib | 48.6 |
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1-year Survival Rate
Percentage of subjects who survive up to 1 year (NCT00161213)
Timeframe: 5 years
Intervention | percentage of total evaluable subjects (Number) |
---|
Gemcitabine and Imatinib | 25.6 |
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Overall Survival
(NCT00161213)
Timeframe: 5 years
Intervention | months (Median) |
---|
Gemcitabine and Imatinib | 6.23 |
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Progression-free Survival
Progression-free survival in months. 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 (NCT00161213)
Timeframe: 4 years
Intervention | months (Median) |
---|
Gemcitabine and Imatinib | 3.9 |
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Tumor Response Type: CR, PR, SD or PD
Tumor response will be based on the RECIST v1.0 criteria. CR (complete response)= disappearance of all target lesions, PR (partial response)= greater or equal to 30% decrease in sum of longest diameter of target lesions, SD (stable disease)= <30% decrease or <20% increase, PD (progressive disease)= greater or equal to 20% increase in longest diameter of target lesions. For patients with an elevated CA-125 as the only evidence of disease, a PR was defined as a decrease of 50% or more lasting at least 8 weeks (Rustin et al. JCO 14:1545-51, 1996). Disease assessment performed every 2 cycles (1 cycle = 21 days). Responders included CR and PR. (NCT00183794)
Timeframe: 6 months after enrollment of last participant
Intervention | Participants (Number) |
---|
| CR | PR | SD | PD |
---|
Gemcitabine and Docetaxel | 1 | 4 | 9 | 6 |
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Toxicity (Number of Participants With Serious Adverse Events)
Summary of grade 3 or higher toxicities as per Common Toxicity Criteria version 2.0. Phase 1 and 2 Combined (N=35) (NCT00184093)
Timeframe: Every 3 weeks from start of study until 30 days after the last dose of treatment
Intervention | Participants (Count of Participants) |
---|
Gemcitabine Weekly x 6 Wks With Concurrent External Radiation | 10 |
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Best Overall Response of Either a Complete Response (CR) or Partial Response (PR)
"Participants who complete the 6 weeks of chemotherapy and radiation or who experience dose limiting toxicity or who progress at any time prior to completion of the 6 weeks of chemotherapy and radiation will be evaluable for response.~Complete response (CR): Complete disappearance of all measurable and evaluable disease. No new lesions. No disease related symptoms. No evidence of nonevaluable disease, including normalization of markers and other abnormal lab values. All measurable, evaluable, and nonevaluable lesions and sites must be assessed using the same technique as baseline.~Partial response (PR): Applies only to patients with at least one measurable lesion. Greater than or equal to 50% decrease under baseline in the sum of products of perpendicular diameters of all measurable lesions. No progression of evaluable disease. No new lesions. All measurable and evaluable lesions and sites must be assessed using the same techniques as baseline." (NCT00184093)
Timeframe: Baseline to response (up to 24 months)
Intervention | Participants (Count of Participants) |
---|
Gemcitabine Weekly x 6 Wks With Concurrent External Radiation | 32 |
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Time-to-Progression, Evaluable Patients
Represents the evaluable subset of subjects that terminated from the study due to disease progression (endpoint). Does not include any other form of treatment failure, nor lost-to-follow-up. (NCT00185588)
Timeframe: 12 months
Intervention | months (Median) |
---|
Stage 1 Dose Exploration 0 - Gemcitabine 700 + Vatalanib 1250 | 4.4 |
Stage 1 Dose Exploration 1 - Gemcitabine 850 + Vatalanib 1250 | 6.0 |
Stage 2 Dose Expansion - Gemcitabine850+Vatalanib 2x250/2x500 | 3.2 |
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Time-to-Treatment Failure (Intent-To-Treat Analysis)
"For the purposes of an Intent-to-Treat (ITT) analysis, Time-to-Treatment Failure (TTF) was defined as the time from treatment initiation to treatment discontinuation for any reason, including disease progression, treatment toxicity, patient preference, lost-to-follow-up, or death.~Progression was defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0)." (NCT00185588)
Timeframe: 12 months
Intervention | months (Median) |
---|
Stage 1 Dose Exploration 0 - Gemcitabine 700 + Vatalanib 1250 | 4.9 |
Stage 1 Dose Exploration 1 - Gemcitabine 850 + Vatalanib 1250 | 2.7 |
Stage 1 Dose Explrtion2 - Gemcitabine850+Vatalanib 2x250/2x500 | 2.2 |
Stage 2 Dose Expansion - Gemcitabine850+Vatalanib 2x250/2x500 | 3.7 |
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The Percentage of Patients Alive Without Disease at 2 Years
Disease-free survival (NCT00189137)
Timeframe: 2 years
Intervention | percentage of patients (Number) |
---|
Doxorubicin and Ifosfamide | 57 |
Gemcitabine and Docetaxel | 74 |
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Percentage of Patients Hospitalized in Each Arm.
To contrast the proportion of treated patients hospitalized subsequent to treatment with gemcitabine and docetaxel as compared to doxorubicin and ifosfamide as neoadjuvant or adjuvant therapy of poor prognosis soft tissue sarcoma. (NCT00189137)
Timeframe: 12 weeks
Intervention | percentage of patients hospitalized (Number) |
---|
Doxorubicin and Ifosfamide | 35 |
Gemcitabine and Docetaxel | 26 |
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Local Failure Rate
Local failure rate (LFR) was defined as the the proportion of per-protocol participants who had progressive disease (PD) in the cervix or pelvis. LFR = The number of (a) participants who progressed in the cervix or pelvis divided by (b) the number of participants in each arm. (LFR=a/b). (NCT00191100)
Timeframe: Tumor assessments at baseline, weekly during chemoradiation & brachytherapy, on Day 1 of adjuvant Cycles 1&2 for Arm A, at the 30-day post-study visit, every 4/6 months for 12/48 months of the short/long post-study follow-up periods respectively
Intervention | proportion of participants with PD (Number) |
---|
Gemcitabine/Cisplatin/Radiation | 0.113 |
Cisplatin/Radiation | 0.166 |
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Number of Participants With Progressive Disease or Death Due to Any Cause at 3 Years
"Original outcome was Progression-Free Survival (PFS) probability at 3 years. PFS=time from baseline to progressive disease (PD) or death from any cause. Probability is not an accepted Measure Type, so number of progression-free patients still at risk and cumulative number of patients that had an event (PD or death of any cause) are presented." (NCT00191100)
Timeframe: Tumor assessments at baseline, weekly during chemoradiation & brachytherapy, on Day 1 of adjuvant Cycles 1&2 for Arm A, at the 30-day post-study visit, every 4/6 months for 12/48 months of the short/long post-study follow-up periods respectively
Intervention | participants (Number) |
---|
| 3 Years: Number of Patients with Event | 3 Years: Number of Patients at Risk |
---|
Cisplatin/Radiation | 83 | 141 |
,Gemcitabine/Cisplatin/Radiation | 55 | 149 |
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Number of Participants Who Died From Any Cause at Various Time Points
Original outcome was Overall Survival, which was defined as time from baseline to death from any cause. (NCT00191100)
Timeframe: baseline to date of death from any cause (includes 60 month follow-up period)
Intervention | participants (Number) |
---|
| 3 Months: Number of Patients with Event | 3 Months: Number of Patients at Risk | 6 Months: Number of Patients with Event | 6 Months: Number of Patients at Risk | 12 Months: Number of Patients with Event | 12 Months: Number of Patients at Risk | 18 Months: Number of Patients with Event | 18 Months: Number of Patients at Risk | 24 Months: Number of Patients with Event | 24 Months: Number of Patients at Risk | 36 Months: Number of Patients with Event | 36 Months: Number of Patients at Risk |
---|
Cisplatin/Radiation | 0 | 254 | 4 | 248 | 25 | 222 | 46 | 195 | 58 | 182 | 75 | 158 |
,Gemcitabine/Cisplatin/Radiation | 3 | 253 | 9 | 241 | 22 | 226 | 33 | 207 | 39 | 200 | 53 | 175 |
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Number of Participants With Progressive Disease or Death Due to Disease Under Study at Various Time Points
Original outcome was Time to Progressive Disease (TTPD), which is the time from baseline to event (progressive disease or death due to study disease). The median TTPD was not achieved and therefore the cumulative number of participants with event (and those still at risk) at various time points are presented. (NCT00191100)
Timeframe: Tumor assessments at baseline, weekly during chemoradiation & brachytherapy, on Day 1 of adjuvant Cycles 1&2 for Arm A, at the 30-day post-study visit, every 4/6 months for 12/48 months of the short/long post-study follow-up periods respectively
Intervention | participants (Number) |
---|
| 3 Months: Number of Patients with Event | 3 Months: Number of Patients at Risk | 6 Months: Number of Patients with Event | 6 Months: Number of Patients at Risk | 12 Months: Number of Patients with Event | 12 Months: Number of Patients at Risk | 18 Months: Number of Patients with Event | 18 Months: Number of Patients at Risk | 24 Months: Number of Patients with Event | 24 Months: Number of Patients at Risk | 36 Months: Number of Patients with Event | 36 Months: Number of Patients at Risk |
---|
Cisplatin/Radiation | 8 | 238 | 25 | 218 | 44 | 195 | 62 | 170 | 69 | 158 | 78 | 141 |
,Gemcitabine/Cisplatin/Radiation | 5 | 221 | 10 | 204 | 21 | 186 | 24 | 176 | 31 | 167 | 40 | 149 |
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Tumor Response
Tumor response rate (TRR) defined as number of qualified responder patients with confirmed complete or partial response. (NCT00191100)
Timeframe: Tumor assessments at baseline, weekly during chemoradiation & brachytherapy, on Day 1 of adjuvant Cycles 1&2 for Arm A, at the 30-day post-study visit, every 4/6 months for 12/48 months of the short/long post-study follow-up periods respectively
Intervention | participants (Number) |
---|
| Complete Response | Partial Response |
---|
Cisplatin/Radiation | 217 | 20 |
,Gemcitabine/Cisplatin/Radiation | 223 | 22 |
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Number of Participants With Progressive Disease or Death Due to Any Cause at Various Time Points
Original outome was Progression-Free Survival, which was defined as time from baseline to progressive disease or death due to any cause. (NCT00191100)
Timeframe: Tumor assessments at baseline, weekly during chemoradiation & brachytherapy, on Day 1 of adjuvant Cycles 1&2 for Arm A, at the 30-day post-study visit, every 4/6 months for 12/48 months of the short/long post-study follow-up periods respectively
Intervention | participants (Number) |
---|
| 3 Months: Number of Patients with Event | 3 Months: Number of Patients at Risk | 6 Months: Number of Patients with Event | 6 Months: Number of Patients at Risk | 12 Months: Number of Patients with Event | 12 Months: Number of Patients at Risk | 18 Months: Number of Patients with Event | 18 Months: Number of Patients at Risk | 24 Months: Number of Patients with Event | 24 Months: Number of Patients at Risk | 36 Months: Number of Patients with Event | 36 Months: Number of Patients at Risk |
---|
Cisplatin/Radiation | 8 | 238 | 25 | 218 | 45 | 195 | 63 | 170 | 72 | 158 | 83 | 141 |
,Gemcitabine/Cisplatin/Radiation | 8 | 221 | 14 | 204 | 29 | 186 | 34 | 176 | 42 | 167 | 55 | 149 |
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Progression-Free Survival
Defined as the time from randomization into consolidation treatment to the first date of documented disease progression or death. Progression-free survival time was censored at the date of the last follow-up visit at which disease was assessed for patients who were still alive and who had not progressed. (NCT00191139)
Timeframe: baseline to measured progressive disease up to 2057 days
Intervention | days (Median) |
---|
Gemcitabine | 162.5 |
Gemcitabine Plus Docetaxel | 408.0 |
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Lung Cancer Symptom Scale (LCSS) Assessment Post-randomization
LCSS measures physical & functional dimensions. The patient scale contains 9 items, 3 summation & 6 symptom items. Each item is marked on a visual analog scale (0=low; 100=high). The mean of the 6 symptoms is used to calculate the average symptom burden index (ASBI). Improved=mean ASBI assessments from any 2 consecutive improved post-randomization assessments was at least 0.5 standard deviation (SD) below pre-randomization ASBI; worse=mean ASBI from any 2 consecutive post-randomization assessments was at least 0.5 SD above pre-randomization ASBI; stable=criteria for improved/worse not met. (NCT00191139)
Timeframe: baseline to 3 months after last dose of study treatment (three 21-day cycles)
Intervention | participants (Number) |
---|
| Improvement | Stable | Worse |
---|
Gemcitabine | 8 | 10 | 2 |
,Gemcitabine Plus Docetaxel | 5 | 9 | 8 |
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Number of Patients With Overall Tumor Response
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. The total number of CRs plus PRs equals overall response rate (ORR). (NCT00191139)
Timeframe: randomization and every 3 months up to 2 years of post-study followup
Intervention | participants (Number) |
---|
Gemcitabine | 24 |
Gemcitabine Plus Docetaxel | 27 |
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2-Year Survival
Percentage of participants alive at 2 years. (NCT00191139)
Timeframe: 2 years
Intervention | percentage of participants (Number) |
---|
Gemcitabine | 40.6 |
Gemcitabine Plus Docetaxel | 55.7 |
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Overall Survival
Overall survival is the duration from enrollment to death from any cause. For patients who are alive, overall survival is censored at the last contact. (NCT00191139)
Timeframe: baseline to date of death from any cause up to 2057 days
Intervention | days (Median) |
---|
Gemcitabine | 492.5 |
Gemcitabine Plus Docetaxel | 899.0 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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Tumor Response
"Best response recorded from the start of treatment until disease progression/recurrence using Response Evaluation Criteria In Solid Tumors (RECIST) criteria that defines when participants improve (respond), stay the same (stable), or worsen (progression) during treatment." (NCT00191269)
Timeframe: baseline to measured progressive disease
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Long Stable Disease | Stable Disease | Progressive Disease | Not Evaluable |
---|
Dose Level 1 | 0 | 0 | 1 | 1 | 2 | 2 |
,Dose Level 2 | 1 | 4 | 4 | 16 | 32 | 5 |
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Pharmacokinetics - Normalized Cmax
maximum gemcitabine plasma concentration normalized to 1250 milligrams per square meter of gemcitabine. (NCT00191269)
Timeframe: cycle 1
Intervention | nanograms per milliliter (ng/mL) (Geometric Mean) |
---|
Dose Normalized to 1250 Milligrams Per Square Meter | 29,036 |
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Pharmacokinetics - Normalized Area Under the Curve
Area under the gemcitabine plasma concentration-time curve from time zero to infinity. Gemcitabine dose was normalized to 1250 milligrams per square meter. (NCT00191269)
Timeframe: cycle 1
Intervention | nanograms times hour per milliliter (Geometric Mean) |
---|
Dose Normalized to 1250 Milligrams Per Square Meter | 15,999 |
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Time to Progressive Disease
Time from study enrollment to first date of disease progression. Time to disease progression was censored at date of death if death was due to other cause. The minimum and maximum of this parameter were summarized, and the median time to progression and its 95% confidence interval were calculated using the Kaplan-Meier estimation. (NCT00191269)
Timeframe: baseline to measured progressive disease
Intervention | days (Median) |
---|
Dose Level 1 | 137 |
Dose Level 2 | 92 |
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Survival at 1 Year
Results are reported as number of participants alive at one year. (NCT00191269)
Timeframe: baseline to date of death from any cause, evaluate at 1 year
Intervention | participants (Number) |
---|
Dose Level 1 | 4 |
Dose Level 2 | 42 |
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Duration of Response
For responders, the minimum and maximum of the duration of complete response, duration of partial response, and duration of overall response were summarized, and the median of response duration and its 95% confidence interval were calculated using the Kaplan-Meier estimation. (NCT00191269)
Timeframe: time of response to progressive disease
Intervention | months (Median) |
---|
Dose Level 2 | 10.07 |
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Duration of Response
The duration of a complete response (CR) or partial response (PR) was defined as the time from first objective status assessment of CR or PR to the first time of progression or death as a result of any cause. (NCT00191334)
Timeframe: every other 21 day cycle (6-8 cycles) and every 3 months during long-term follow-up
Intervention | weeks (Median) |
---|
Gemcitabine + Cisplatin | 37.0 |
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Time to Progressive Disease
Defined as the time from study enrollment to the first date of disease progression. Time to disease progression was censored at the date of death if death was due to other cause. (NCT00191334)
Timeframe: every other 21 day cycle (6-8 cycles) and every 3 months during long-term follow-up
Intervention | weeks (Median) |
---|
Gemcitabine + Cisplatin | 45.1 |
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Time to Treatment Failure
Defined as the time from study enrollment to the first observation of disease progression, death as a result of any cause, or early discontinuation of treatment. Time to treatment failure was censored at the date of the last follow-up visit for patients who did not discontinue early, who were still alive, and who have not progressed. (NCT00191334)
Timeframe: every other 21 day cycle (6-8 cycles) and every 3 months during long-term follow-up
Intervention | weeks (Median) |
---|
Gemcitabine + Cisplatin | 38.4 |
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Best Overall Tumor Response
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). (NCT00191334)
Timeframe: every other 21 day cycle (6-8 cycles), every 3 months during long-term follow-up
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Not Assessed |
---|
Gemcitabine + Cisplatin | 6 | 25 | 10 | 5 | 4 |
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Duration of Response
Among tumor responders, the duration of tumor response is 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 tumor response will be censored at the date of the last follow-up visit for tumor responders who are still alive and who have not progressed. (NCT00191451)
Timeframe: date of response (CR or PR) until the first date of documented progression or death from any cause (up to 3.5 years)
Intervention | months (Median) |
---|
HER2+ | 6.9 |
HER2- (Taxane-) | 6.4 |
HER2- (Taxane+) | 5.6 |
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Overall Tumor Response
Response 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 do not meet above criteria. (NCT00191451)
Timeframe: baseline to disease progression/recurrence (up to 3.5 years)
Intervention | participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Progressive Disease (PD) | Not Evaluable (NE) |
---|
HER2- (Taxane-) | 0 | 13 | 20 | 12 | 2 |
,HER2- (Taxane+) | 1 | 15 | 13 | 17 | 1 |
,HER2+ | 6 | 26 | 12 | 4 | 2 |
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Percentage of Patients With Overall Survival at 1 Year and 2 Years
Kaplan-Meier estimates of overall survival (percentage of patients surviving) at 1 year and 2 years. (NCT00191451)
Timeframe: 1 Year, 2 Years
Intervention | percentage of participants (Number) |
---|
| 1 Year Overall Survival | 2 Year Overall Survival |
---|
HER2- (Taxane-) | 67.5 | 41.4 |
,HER2- (Taxane+) | 47.8 | 20.5 |
,HER2+ | 90.0 | 73.3 |
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Time to Disease Progression (TTP)
If a patient is lost to follow-up, the patient will be censored as of the last date of contact. Patients who start a new treatment before they progress will be censored as of the date of start of the new treatment. If a patient died due to reason other than study disease, and patient has not progressed or received any new treatment, TTP is censored at the date of death. (NCT00191451)
Timeframe: randomization date to the earliest date of the first documented disease progression date or the date of death if the patient dies due to study disease (up to 3.5 years)
Intervention | months (Median) |
---|
HER2+ | 7.2 |
HER2- (Taxane-) | 5.6 |
HER2- (Taxane+) | 4.6 |
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Number of Patients Who Experienced Alopecia
(NCT00191451)
Timeframe: Baseline to 3.5 years
Intervention | participants (Number) |
---|
HER2+ | 21 |
HER2- (Taxane-) | 17 |
HER2- (Taxane+) | 16 |
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Recurrence-Free Survival (RFS)
Defined as the time from study enrollment to the date of the first procedure confirming histopathological recurrence or disease progression or death from any cause. Recurrence-free survival (RFS) was censored at the date of the last follow-up visit for participants who were still alive and who had no recurrence/progression. (NCT00191477)
Timeframe: Surgery to recurrence or death (Follow-up assessments were performed at 3 and 6 months after the first TUR-BT, and every 6 months thereafter, until recurrence/progression of disease, or until the end of study, up to 24 months)
Intervention | Months (Median) |
---|
Gemcitabine | 37.2 |
Placebo | 40.2 |
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Percentage of Participants in Subgroups With Recurrence-Free Survival (RFS) at 12 and 24 Months
RFS rate was estimated using Kaplan-Meier method. RFS was analyzed in different subgroups based on risk, disease status, and concomitant Bacillus Calmette-Guerin (BCG) instillations. Risk: Grading (G1,G2,G3) was performed according to American Joint Committee on Cancer Staging Criteria for Bladder Cancer. Newly diagnosed disease: Initial diagnosis at study entry. Recurrent disease: history of at least one superficial bladder tumor that was surgically treated and relapsed prior to study entry. With BCG: received at least one instillation of BCG during study. Without BCG: didn't receive BCG. (NCT00191477)
Timeframe: Surgery to recurrence or death (Follow-up assessments were performed at 3 and 6 months after the first TUR-BT, and every 6 months thereafter, until recurrence/progression of disease, or until the end of study, up to 24 months)
Intervention | percentage of participants (Number) |
---|
| Low Risk (G1/G2) - 12 Months (N=106, N=109) | Low Risk (G1/G2) - 24 Months (N=106, N=109) | High Risk (G3) - 12 Months (N=13, N=14) | High Risk (G3) - 24 Months (N=13, N=14) | Newly Diagnosed Disease - 12 Months (N=94, N=98) | Newly Diagnosed Disease - 24 Months (N=94, N=98) | Recurrent Disease - 12 Months (N=30, N=26) | Recurrent Disease - 24 Months (N=30, N=26) | With BCG - 12 Months (N=13, N=21) | With BCG - 24 Months (N=13, N=21) | Without BCG - 12 Months (N=111, N=103) | Without BCG - 24 Months (N=111, N=103) |
---|
Gemcitabine | 78.5 | 63.9 | 66.7 | 57.1 | 79.3 | 65.4 | 72.2 | 59.5 | 61.5 | 49.2 | 79.9 | 65.8 |
,Placebo | 78.4 | 64.3 | 42.4 | 31.8 | 79.8 | 63.6 | 58.9 | 50.5 | 79.4 | 63.5 | 74.5 | 60.1 |
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Percentage of Participants Without Tumor Recurrence
Because median time to recurrence was not reached, percentage of participants without event was estimated using Kaplan-Meier method. Time to recurrence was censored on date of death for patients who died, and on date of last visit for patients who were alive, without recurrence. (NCT00191477)
Timeframe: Surgery to recurrence (Follow-up assessments were performed at 3 and 6 months after the first TUR-BT, and every 6 months thereafter, until recurrence/progression of disease, or until the end of study, up to 24 months)
Intervention | percentage of participants (Number) |
---|
| Recurrence-Free at 12 Months | Recurrence-Free at 24 Months |
---|
Gemcitabine | 78.4 | 66.3 |
,Placebo | 76.9 | 63.7 |
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Tumor Recurrence Type
Tumor recurrence type (superficial, stage pTA or pT1; or muscle-invasive, stage≥pT2) was classified according to American Joint Committee on Cancer Staging Criteria for Bladder Cancer (AJCC Cancer Staging Manual, 6th edition). (NCT00191477)
Timeframe: Surgery to recurrence (Follow-up assessments were performed at 3 and 6 months after the first TUR-BT, and every 6 months thereafter, until recurrence/progression of disease, or until the end of study, up to 24 months)
Intervention | participants (Number) |
---|
| No Tumor Recurrence | Superficial Tumor - Stage pTa or pT1 | Muscle-Invasive Tumor - Any Stage ≥pT2 | pTx - Tumor Cannot be Assessed |
---|
Gemcitabine | 76 | 44 | 3 | 1 |
,Placebo | 78 | 45 | 1 | 0 |
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Time to Treatment Failure
Time to treatment failure was defined as the duration from date of randomization to the date of the first of the following events: early discontinuation of study therapy; progression of disease, or death due to any cause. Time to treatment failure will be censored at the date of the last follow-up visit for participants who did not discontinue early, who are still alive, and who have not progressed. Results are presented as a comparison between the two study treatment sequences (induction therapy followed by elective consolidation or crossover therapy) rather than the two induction therapies. (NCT00191646)
Timeframe: Baseline to stopping treatment up to 82 months
Intervention | months (Median) |
---|
Gemcitabine/Carboplatin | 13.0 |
Paclitaxel/Carboplatin | 13.1 |
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Overall Survival
Overall survival is defined as the duration from baseline to death. For participants who are still alive at the data cut-off date, survival will be censored at the last contact date. Results are presented as a comparison between the two study treatment sequences (induction therapy followed by elective consolidation or crossover therapy) rather than the two induction therapies. (NCT00191646)
Timeframe: Baseline to death from any cause up to 82 months
Intervention | months (Median) |
---|
Gemcitabine/Carboplatin | 43.8 |
Paclitaxel/Carboplatin | 57.3 |
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Progression Free Survival (PFS)
Progression free survival was defined as the duration from the date of randomization to the first date of documented disease progression or death from any cause. Tumor assessments were performed every three 21-day cycles during induction and crossover. Progression free survival was censored at the date of the last follow-up visit for participants who were still alive and who had not progressed. Results are presented as a comparison between the two study treatment sequences (induction therapy followed by elective consolidation or crossover therapy) rather than the two induction therapies. (NCT00191646)
Timeframe: Baseline to measured progressive disease or death up to 82 months
Intervention | Months (Median) |
---|
Gemcitabine/Carboplatin | 20.0 |
Paclitaxel/Carboplatin | 22.2 |
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Proportion of Participants With Response (Response Rate)
Response rate (RR) = proportion of participants with best overall Complete Response (CR: disappearance of all target lesions [TL]) or Partial Response (PR: 30% decrease in sum of longest diameter of TL). Induction therapy RR = number of participants with CR or PR during induction divided by number of participants with measurable disease at baseline (TL measurement during screening). Crossover therapy RR = number of participants with CR or PR during crossover divided by number of participants with measurable disease at baseline (latest TL measurement by first dose date of crossover therapy). (NCT00191646)
Timeframe: Baseline to measured progressive disease up to 82 months
Intervention | proportion of responders (Mean) |
---|
Gemcitabine/Carboplatin (Induction) | 0.676 |
Paclitaxel/Carboplatin (Induction) | 0.711 |
Gemcitabine (Crossover) | 0.357 |
Paclitaxel (Crossover) | 0.303 |
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Number of Participants With Progressive Disease or Death at Various Time Points Throughout the Study
The cumulative number of participants with an event (either progressive disease or death) are presented at various time points, as well as the number of participants at risk for the event. Participants at risk are the number of participants without progressive disease or still alive at the beginning of each time point. (NCT00191789)
Timeframe: baseline up to 68 months
Intervention | participants (Number) |
---|
| 3 Months: Number of Patients with Event | 3 Months: Number of Patients at Risk | 6 Months: Number of Patients with Event | 6 Months: Number of Patients at Risk | 12 Months: Number of Patients with Event | 12 Months: Number of Patients at Risk | 24 Months: Number of Patients with Event | 24 Months: Number of Patients at Risk | 48 Months: Number of Patients with Event | 48 Months: Number of Patients at Risk | 68 Months: Number of Patients with Event | 68 Months: Number of Patients at Risk |
---|
Gemcitabine+Doxorubicin+Cisplatin+Surgery | 5 | 59 | 8 | 50 | 11 | 41 | 15 | 36 | 21 | 23 | 21 | 1 |
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Number of Participants With Time to Treatment Failure at Various Time Points
This outcome is in place of the time to treatment failure outcome. The cumulative number of participants with an event (disease progression, death as a result of any cause, or early discontinuation of treatment) are presented at various time points, as well as the number of participants at risk for the event. Participants at risk are the number of participants without disease progression, are alive, or did not discontinue treatment early at the beginning of each time point. (NCT00191789)
Timeframe: baseline to stopping treatment (up to 68 months)
Intervention | participants (Number) |
---|
| 3 Months: Number of Patients with Event | 3 Months: Number of Patients at Risk | 6 Months: Number of Patients with Event | 6 Months: Number of Patients at Risk | 12 Months: Number of Patients with Event | 12 Months: Number of Patients at Risk | 24 Months: Number of Patients with Event | 24 Months: Number of Patients at Risk | 48 Months: Number of Patients with Event | 48 Months: Number of Patients at Risk | 68 Months: Number of Patients with Event | 68 Months: Number of Patients at Risk |
---|
Gemcitabine+Doxorubicin+Cisplatin+Surgery | 11 | 59 | 19 | 50 | 25 | 41 | 29 | 36 | 35 | 23 | 35 | 1 |
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Number of Patients Eligible for Breast Conservation Surgery at Baseline and Number of Patients Undergoing Breast Conservation Surgery
The extent and type of surgery was guided by the tumor size, physician and/or patient decision. It was either conservation surgery or mastectomy with axillary lymph node dissection. Results are reported on the number of patients who underwent breast conservation surgery. (NCT00191789)
Timeframe: baseline, after eight 21-day cycles of study drug
Intervention | participiants (Number) |
---|
| Eligible for Surgery at Baseline | Underwent Surgery |
---|
Gemcitabine+Doxorubicin+Cisplatin+Surgery | 0 | 18 |
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Summary of Deaths During Study
(NCT00191789)
Timeframe: baseline through last cycle on study drug (eight 21-day cycles)
Intervention | participants (Number) |
---|
| Study Disease | Study Drug Toxicity: Cardiac arrest | Study Drug Toxicity: Infection with neutropenia | Study Drug Toxicity: Neutropenic sepsis | Myocardial infarction |
---|
Gemcitabine+Doxorubicin+Cisplatin+Surgery | 0 | 1 | 1 | 2 | 1 |
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Number of Participants Who Died From Any Cause at Various Time Points
The cumulative number of participants with an event (death from any cause) are presented at various time points, as well as the number of participants at risk for the event. Participants at risk are the number of participants still alive at the beginning of each time point. (NCT00191789)
Timeframe: baseline up to 68 months
Intervention | participants (Number) |
---|
| 3 Months: Number of Patients With Event | 3 Months: Number of Patients at Risk | 6 Months: Number of Patients With Event | 6 Months: Number of Patients at Risk | 12 Months: Number of Patients With Event | 12 Months: Number of Patients at Risk | 26 Months: Number of Patients With Event | 26 Months: Number of Patients at Risk | 48 Months: Number of Patients With Event | 48 Months: Number of Patients at Risk | 68 Months: Number of Patients With Event | 68 Months: Number of Patients at Risk |
---|
Gemcitabine+Doxorubicin+Cisplatin+Surgery | 3 | 60 | 5 | 51 | 7 | 43 | 11 | 37 | 14 | 24 | 15 | 1 |
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Number of Patients With Pathological Complete Response (Pathological Complete Response Rate)
Complete pathological response: No invasive tumor cells identified from sections from site of previous cancer. Require evidence corroborating prior presence of invasive cancer, which requires detection of abnormal fibroelastic breast stroma devoid of normal lobular units and contains foamy macrophages with moderate numbers of fibroblasts and mononuclear inflammatory cells. Presence of nondescript collagenised lobules or breast fibrous tissue is not evidence that tumor site has been adequately sampled and macroscopic assessment and sampling is needed until original neoplastic stroma identified. (NCT00191789)
Timeframe: tumor assessment at baseline and during surgery after eight 21-day treatment cycles
Intervention | participants (Number) |
---|
Gemcitabine+Doxorubicin+Cisplatin+Surgery | 13 |
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Duration of Response
The duration of a complete response (CR) or partial response (PR) was defined as the time from first objective status assessment of CR or PR to the first time of progression or death as a result of any cause. (NCT00191815)
Timeframe: first documented complete or partial response to measured progressive disease (eight 21-day cycles of therapy and follow-up period was 24 months starting from the date of the last drug administration.)
Intervention | weeks (Median) |
---|
Gemcitabine + Cisplatin | 32.7 |
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Survival Time
Overall survival is the duration from enrollment to death due to any cause. (NCT00191815)
Timeframe: first active treatment dose to date of death due to any cause (eight 21-day cycles of therapy and follow-up period was 24 months starting from the date of the last drug administration.)
Intervention | weeks (Median) |
---|
Gemcitabine + Cisplatin | 84.0 |
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Time to Progressive Disease
Defined as the time from study enrollment to the first date of disease progression. (NCT00191815)
Timeframe: first active treatment dose to measured progressive disease (eight 21-day cycles of therapy and follow-up period was 24 months starting from the date of the last drug administration.)
Intervention | weeks (Median) |
---|
Gemcitabine + Cisplatin | 33.9 |
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Time to Treatment Failure
Defined as the time from study enrollment to the first observation of disease progression, death as a result of any cause, or early discontinuation of treatment. (NCT00191815)
Timeframe: first active treatment dose to last contact for patients, death as a result of any cause, or early discontinuation of treatment (eight 21-day cycles of therapy and follow-up period was 24 months starting from the date of the last drug administration.)
Intervention | weeks (Median) |
---|
Gemcitabine + Cisplatin | 26.2 |
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Number of Participants With Adverse Events Leading to Discontinuation
(NCT00191815)
Timeframe: Baseline through eight 21-day cycles
Intervention | participants (Number) |
---|
| Patients with >=1 AE leading to discontinuation | Pneumonia | Toxic skin eruption |
---|
Gemcitabine + Cisplatin | 2 | 1 | 1 |
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Number of Deaths
(NCT00191815)
Timeframe: Baseline through follow-up (eight 21-day cycles of therapy and follow-up period was 24 months starting from the date of the last drug administration.)
Intervention | participants (Number) |
---|
| Disease Progression | Ventricular Fibrillation | Circulatory Arrest |
---|
Gemcitabine + Cisplatin | 35 | 1 | 1 |
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Number of Participants With Maximum Common Toxicity Criteria-National Cancer Institute Toxicity (CTC-NCI) of Gemcitabine-Cisplatin Combination
The CTC provides descriptive terminology for adverse event reporting. A grading (severity) scale is provided for each adverse event term. Grades range from 0 (none) to 5 (death). (NCT00191815)
Timeframe: Baseline up to 30 days after last dose of study drug (eight 21-day cycles of therapy)
Intervention | participants (Number) |
---|
| Allergic reaction/hypersensivity - Grade 1 | Allergic reaction/hypersensivity - Grade 2 | Allergic reaction/hypersensivity - Grade 3 | Allergic reaction/hypersensivity - Grade 4 | Allergic rhinitis - Grade 1 | Allergic rhinitis - Grade 2 | Allergic rhinitis - Grade 3 | Allergic rhinitis - Grade 4 | Other auditory/hearing - Grade 1 | Other auditory/hearing - Grade 2 | Other auditory/hearing - Grade 3 | Other auditory/hearing - Grade 4 | Blood/Bone marrow - other - Grade 1 | Blood/Bone marrow - other - Grade 2 | Blood/Bone marrow - other - Grade 3 | Blood/Bone marrow - other - Grade 4 | Cardiac- ischemia/infarction - Grade 1 | Cardiac- ischemia/infarction - Grade 2 | Cardiac- ischemia/infarction - Grade 3 | Cardiac- ischemia/infarction - Grade 4 | Hypertension - Grade 1 | Hypertension - Grade 2 | Hypertension - Grade 3 | Hypertension - Grade 4 | Hypotension - Grade 1 | Hypotension - Grade 2 | Hypotension - Grade 3 | Hypotension - Grade 4 | Fatigue - Grade 1 | Fatigue - Grade 2 | Fatigue - Grade 3 | Fatigue - Grade 4 | Fever - Grade 1 | Fever - Grade 2 | Fever - Grade 3 | Fever - Grade 4 | Rigors, chills - Grade 1 | Rigors, chills - Grade 2 | Rigors, chills - Grade 3 | Rigors, chills - Grade 4 | Weight loss - Grade 1 | Weight loss - Grade 2 | Weight loss - Grade 3 | Weight loss - Grade 4 | Alopecia - Grade 1 | Alopecia - Grade 2 | Alopecia - Grade 3 | Alopecia - Grade 4 | Rash/desquamation - Grade 1 | Rash/desquamation - Grade 2 | Rash/desquamation - Grade 3 | Rash/desquamation - Grade 4 | Anorexia - Grade 1 | Anorexia - Grade 2 | Anorexia - Grade 3 | Anorexia - Grade 4 | Constipation - Grade 1 | Constipation - Grade 2 | Constipation - Grade 3 | Constipation - Grade 4 | Mucositis due to radiation - Grade 1 | Mucositis due to radiation - Grade 2 | Mucositis due to radiation - Grade 3 | Mucositis due to radiation - Grade 4 | Nausea - Grade 1 | Nausea - Grade 2 | Nausea - Grade 3 | Nausea - Grade 4 | Vomiting - Grade 1 | Vomiting - Grade 2 | Vomiting - Grade 3 | Vomiting - Grade 4 | SGPT (ALT) - Grade 1 | SGPT (ALT) - Grade 2 | SGPT (ALT) - Grade 3 | SGPT (ALT) - Grade 4 | Infection without neutropenia - Grade 1 | Infection without neutropenia - Grade 2 | Infection without neutropenia - Grade 3 | Infection without neutropenia - Grade 4 | Insomnia - Grade 1 | Insomnia - Grade 2 | Insomnia - Grade 3 | Insomnia - Grade 4 | Abdominal pain or cramping - Grade 1 | Abdominal pain or cramping - Grade 2 | Abdominal pain or cramping - Grade 3 | Abdominal pain or cramping - Grade 4 | Headache - Grade 1 | Headache - Grade 2 | Headache - Grade 3 | Headache - Grade 4 | Pain - Other - Grade 1 | Pain - Other - Grade 2 | Pain - Other - Grade 3 | Pain - Other - Grade 4 | Renal/Genitourinary - Other - Grade 1 | Renal/Genitourinary - Other - Grade 2 | Renal/Genitourinary - Other - Grade 3 | Renal/Genitourinary - Other - Grade 4 |
---|
Gemcitabine + Cisplatin | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 6 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 3 | 0 | 0 | 0 | 0 | 1 | 0 | 4 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 10 | 8 | 2 | 0 | 4 | 7 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 1 | 0 |
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Number of Participants With Hematology Maximum Common Toxicity Criteria - National Cancer Institute Grades
Maximum CTC-NCI toxicity grade for hematology. Grades range from 0 (none) to 5 (death). (NCT00191815)
Timeframe: Baseline up to 30 days after last dose of study drug (eight 21-day cycles of therapy)
Intervention | participants (Number) |
---|
| Hemoglobin (g/L) - Grade 1 | Hemoglobin (g/L) - Grade 2 | Hemoglobin (g/L) - Grade 3 | Hemoglobin (g/L) - Grade 4 | Neutrophils (x10E9/L) - Grade 1 | Neutrophils (x10E9/L) - Grade 2 | Neutrophils (x10E9/L) - Grade 3 | Neutrophils (x10E9/L) - Grade 4 | Platelets (x10E9/L) - Grade 1 | Platelets (x10E9/L) - Grade 2 | Platelets (x10E9/L) - Grade 3 | Platelets (x10E9/L) - Grade 4 | White Blood Cells (x10E9/L) - Grade 1 | White Blood Cells (x10E9/L) - Grade 2 | White Blood Cells (x10E9/L) - Grade 3 | White Blood Cells (x10E9/L) - Grade 4 |
---|
Gemcitabine + Cisplatin | 35 | 20 | 5 | 1 | 6 | 25 | 13 | 10 | 43 | 2 | 1 | 0 | 16 | 27 | 18 | 3 |
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Objective Tumor Response
"Best response recorded from the start of treatment until disease progression/recurrence using World Health Organization (WHO) criteria that defines when participants improve (respond), stay the same (stable), or worsen (progression) during treatment." (NCT00191815)
Timeframe: baseline to measured progressive disease (eight 21-day cycles of therapy and follow-up period was 24 months starting from the date of the last drug administration. Data collected every 4 months.)
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Not Assessable |
---|
Gemcitabine + Cisplatin | 7 | 19 | 19 | 5 | 4 |
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Best Overall Response
Response 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 do not meet above criteria. (NCT00191854)
Timeframe: baseline to measured progressive disease (tumor assessments were performed every 4 cycles during study therapy, or 3 months during post-therapy until disease progression, death or up to 24 months after randomization)
Intervention | participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Progressive Disease (PD) | Early Death from Other Causes | Unknown |
---|
Gemcitabine + Carboplatin | 0 | 8 | 25 | 11 | 2 | 1 |
,Gemcitabine + Cisplatin | 1 | 7 | 29 | 11 | 0 | 3 |
,Gemcitabine + Paclitaxel | 1 | 12 | 17 | 14 | 1 | 4 |
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Progression Free Survival (PFS)
PFS was defined as the time from randomizaton to the date of documented disease progression or death on study, whichever occurred first. PFS for participants who discontinued from the study or who had not progressed at the time of analysis were treated as censored at the date of the last tumor assessment. (NCT00191854)
Timeframe: baseline to measured progressive disease or death (tumor assessments were performed every 4 cycles during study therapy, or 3 months during post-therapy until disease progression, death, or up to 24 months after randomization)
Intervention | months (Median) |
---|
Gemcitabine + Paclitaxel | 4.8 |
Gemcitabine + Carboplatin | 4.3 |
Gemcitabine + Cisplatin | 4.8 |
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Overall Survival
Overall survival time is defined as the time from the date of randomization to date of death due to any cause. Survival time is censored at the date of last contact for patients who are still alive or lost to follow-up. (NCT00191854)
Timeframe: baseline to date of death from any cause (up to 34 months)
Intervention | months (Median) |
---|
Gemcitabine + Paclitaxel | 15.5 |
Gemcitabine + Carboplatin | 22.8 |
Gemcitabine + Cisplatin | 20.1 |
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Duration of Response
Duration of response was measured from time of first documentation of complete response (disappearance of all target lesions) or partial response (30% decrease in sum of longest diameter of target lesions), until date of PFS. Duration of response was censored on day of last tumor assessment for patients who had not progressed or who had discontinued study at time of analysis, and for cases where investigator determined patient had progressive disease and discontinued study therapy and/or started a new, non-protocol-specified anti-cancer therapy before documented disease progression. (NCT00191854)
Timeframe: time of response to progressive disease or death (tumor assessments were performed every 4 cycles during study therapy, or 3 months during post-therapy until disease progression, death, or up to 24 months after randomization)
Intervention | months (Median) |
---|
Gemcitabine + Paclitaxel | 5.8 |
Gemcitabine + Carboplatin | 3.2 |
Gemcitabine + Cisplatin | 5.1 |
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Number of Participants With a Time to Treatment Failure (TTTF) Event
TTTF event was defined as documented disease progression, death on study, start of non-protocol-specified anticancer therapy, or therapy discontinuation due to toxicity. TTTF for patients who were still participating in study without treatment failure at time of analysis were treated as censored at date of last tumor assessment. TTTF for patients who had discontinued from therapy for reasons other than toxicity and who did not experience treatment failure prior to therapy discontinuation were treated as censored on day of study discontinuation. (NCT00191854)
Timeframe: randomization to date of documented disease progression, death on study, start of non-protocol-specified anticancer therapy, or therapy discontinuation due to toxicity, whichever occurred first (up to 6 months)
Intervention | participants (Number) |
---|
Gemcitabine + Paclitaxel | 15 |
Gemcitabine + Carboplatin | 21 |
Gemcitabine + Cisplatin | 21 |
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Tumor Response at End of Treatment
Response recorded at the first follow-up visit 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 do not meet above criteria. (NCT00192036)
Timeframe: baseline to first follow-up visit (up to 8 weeks after end of chemo-radiation)
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Unknown | Missing |
---|
Gemcitabine + Cisplatin | 1 | 18 | 3 | 1 | 22 | 4 |
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Time to Progressive Disease
Time to progressive disease is the time from the date of enrollment to the first date of documented disease progression. Patients who have not had disease progression will be censored at the date of the last follow-up visit. Patients dying because of reasons other than tumor progression are not included. (NCT00192036)
Timeframe: Preliminary: baseline to measured progressive disease (up to 3.5 years); Final: baseline to measured progressive disease (up to 5 years);
Intervention | months (Median) |
---|
| Preliminary | Final |
---|
Gemcitabine + Cisplatin | 10.9 | 11.4 |
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Safety of Induction Chemotherapy
A grading (severity) scale is provided for each adverse event term. Toxicities were graded according to the National Cancer Institute Common Toxicity Criteria (NCI-CTC) Version 2.0 grading scales. Grades range from 0 (none) to 5 (death). Number of participants with clinically significant Grade 3 and Grade 4 toxicities occurring during induction chemotherapy are reported. Grade 3 events are severe and Grade 4 events are life-threatening. (NCT00192036)
Timeframe: every cycle (21 days) for 3 cycles (up to 10 weeks)
Intervention | participants (Number) |
---|
| Neutropenia - Grade 3 | Neutropenia - Grade 4 | Thrombocytopenia - Grade 3 | Thrombocytopenia - Grade 4 |
---|
Gemcitabine + Cisplatin | 9 | 8 | 4 | 1 |
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Safety of Chemo-radiotherapy
A grading (severity) scale is provided for each adverse event term. Toxicities were graded according to NCI-CTC Version 2.0 grading scales. For specific radiation events, Radiation Therapy Oncology Group/European Organization for Research and Treatment of Cancer late radiation toxicity scale was used. Grades range from 0 (none) to 5 (death). Number of participants with clinically significant acute Grade 3 and Grade 4 toxicities (worst severity) occurring during chemo-radiation and up to 49 days (8 weeks) after are reported. Grade 3 events are severe and Grade 4 events are life-threatening. (NCT00192036)
Timeframe: Cycles 4 and 5 up to 8 weeks after the end of chemo-radiotherapy
Intervention | participants (Number) |
---|
| Neutropenia - Grade 3 | Neutropenia - Grade 4 | Thrombocytopenia - Grade 3 | Thrombocytopenia - Grade 4 | Radiation Esophagitis - Grade 3 | Radiation Esophagitis - Grade 4 | Radiation Pneumonitis - Grade 3 | Radiation Pneumonitis - Grade 4 |
---|
Gemcitabine + Cisplatin | 6 | 2 | 7 | 1 | 4 | 0 | 1 | 0 |
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Overall Survival
Overall survival is the duration from enrollment to death. For patients who are alive, overall survival is censored at the last contact. (NCT00192036)
Timeframe: Preliminary: baseline to date of death from any cause (up to 3.5 years); Final: baseline to date of death from any cause (up to 5 years)
Intervention | months (Median) |
---|
| Preliminary | Final |
---|
Gemcitabine + Cisplatin | 27.9 | 21.8 |
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Tumor Response - Avastin Subgroup
Response 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 do not meet above criteria. (NCT00192075)
Timeframe: baseline to measured progressive disease (every 7-8 weeks for 2 cycles, monthly for 3 months, every other month for 6 months, then every 3 months up to 4.4 years)
Intervention | participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) | Overall Response Rate (CR+PR) | Stable Disease (SD) | Disease Control Rate (CR+PR+SD) | Progressive Disease | Unknown |
---|
A + FOLFOX 4 - Avastin Subgroup | 1 | 8 | 9 | 8 | 17 | 1 | 0 |
,A+FFG - Avastin Subgroup | 0 | 0 | 0 | 11 | 11 | 6 | 1 |
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Progression-Free Survival
Defined as the time from randomization to the first observation of disease progression, or death due to any cause. (NCT00192075)
Timeframe: randomization to the first date of progression or death from any cause (every 7-8 weeks for 2 cycles, monthly for 3 months, every other month for 6 months, then every 3 months up to 4.4 years)
Intervention | months (Median) |
---|
A+FFG | 8.6 |
A + FOLFOX 4 | 9.5 |
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Duration of Response
The duration of a complete response (CR) or partial response (PR) was defined as the time from first objective status assessment of CR or PR to the first time of progression or death as a result of any cause. (NCT00192075)
Timeframe: date of first response until the first date of documented progression or death from any cause (every 7-8 weeks for 2 cycles, monthly for 3 months, every other month for 6 months, then every 3 months up to 4.4 years)
Intervention | months (Median) |
---|
A+FFG | 12.7 |
A + FOLFOX 4 | 7.9 |
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Progression-Free Survival - Avastin Subgroup
Defined as the time from date of first dose to the first observation of disease progression, or death due to any cause. (NCT00192075)
Timeframe: randomization to the first date of progression or death from any cause (every 7-8 weeks for 2 cycles, monthly for 3 months, every other month for 6 months, then every 3 months up to 4.4 years)
Intervention | months (Median) |
---|
A+FFG - Avastin Subgroup | 13.7 |
A + FOLFOX 4 - Avastin Subgroup | 11.5 |
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Time to Progressive Disease - Avastin Subgroup
Defined as the time from study enrollment to the first date of disease progression. Time to disease progression was censored at the date of death if death was due to other cause. (NCT00192075)
Timeframe: randomization to the date of first documented disease progression or death due to disease under study, whichever comes first (every 7-8 weeks for 2 cycles, monthly for 3 months, every other month for 6 months, then every 3 months up to 4.4 years)
Intervention | months (Median) |
---|
A+FFG - Avastin Subgroup | 13.7 |
A + FOLFOX 4 - Avastin Subgroup | 13.8 |
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Survival at 12 Months and 24 Months - Avastin Subgroup
Percentage of participants who were alive at 12 months and 24 months. (NCT00192075)
Timeframe: randomization to the date of death from any cause (up to 24 months)
Intervention | percentage of participants alive (Number) |
---|
| 12-Month Survival | 24-Month Survival |
---|
A + FOLFOX 4 - Avastin Subgroup | 83.3 | 66.7 |
,A+FFG - Avastin Subgroup | 75.6 | 50.4 |
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Toxicity - Avastin Subgroup
Includes all Grade 3-4 hematologic toxicities and all non-hematologic toxicities with either >=1 Grade 4 or >=2 Grade 3 adverse events (NCT00192075)
Timeframe: every cycle (every 7-8 weeks for 2 cycles, monthly for 3 months, every other month for 6 months, then every 3 months up to 4.4 years)
Intervention | participants (Number) |
---|
| Neutropenia (Grade 3) | Neutropenia (Grade 4) | Thrombocytopenia (Grade 3) | Thrombocytopenia (Grade 4) | Leukopenia (Grade 3) | Leukopenia (Grade 4) | Anemia (Grade 3) | Anemia (Grade 4) | Febrile neutropenia (Grade 3) | Febrile neutropenia (Grade 4) | Diarrhea (Grade 3) | Diarrhea (Grade 4) | Small intestinal obstruction (Grade 3) | Small intestinal obstruction (Grade 4) | Fatigue (Grade 3) | Fatigue (Grade 4) | Cerebral infarction (Grade 3) | Cerebral infarction (Grade 4) | Hyperglycemia (Grade 3) | Hyperglycemia (Grade 4) | Dehydration (Grade 3) | Dehydration (Grade 4) | Deep vein thrombosis (Grade 3) | Deep vein thrombosis (Grade 4) | Myocardial infarction (Grade 3) | Myocardial infarction (Grade 4) | Subdural hematoma (Grade 3) | Subdural hematoma (Grade 4) | Perirectal abscess (Grade 3) | Perirectal abscess (Grade 4) | Hypoxia (Grade 3) | Hypoxia (Grade 4) |
---|
A + FOLFOX 4 - Avastin Subgroup | 5 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 1 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 2 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 |
,A+FFG - Avastin Subgrouup | 3 | 5 | 1 | 0 | 3 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
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Time to Progressive Disease
Defined as the time from study enrollment to the first date of disease progression. Time to disease progression was censored at the date of death if death was due to other cause. (NCT00192075)
Timeframe: randomization to the date of first documented disease progression or death due to disease under study, whichever comes first (every 7-8 weeks for 2 cycles, monthly for 3 months, every other month for 6 months, then every 3 months up to 4.4 years)
Intervention | months (Median) |
---|
A+FFG | 8.6 |
A + FOLFOX 4 | 9.7 |
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Tumor Response by Response Evaluation Criteria In Solid Tumors (RECIST)
Response 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 do not meet above criteria. (NCT00192075)
Timeframe: baseline to measured progressive disease (every 7-8 weeks for 2 cycles, monthly for 3 months, every other month for 6 months, then every 3 months up to 4.4 years)
Intervention | participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) | Overall Response Rate (CR+PR) | Stable Disease (SD) | Disease Control Rate (CR+PR+SD) | Progressive Disease | Unknown |
---|
A + FOLFOX 4 | 2 | 15 | 17 | 16 | 33 | 7 | 2 |
,A+FFG | 1 | 3 | 4 | 21 | 25 | 14 | 3 |
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Overall Survival
Overall survival is the duration from enrollment to death. For patients who are alive, overall survival is censored at the last contact. (NCT00192075)
Timeframe: randomization to the date of death from any cause (every 7-8 weeks for 2 cycles, monthly for 3 months, every other month for 6 months, then every 3 months up to 4.4 years)
Intervention | months (Median) |
---|
A+FFG | 20.6 |
A + FOLFOX 4 | 19.7 |
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Duration of Response - A+FOLFOX4 - Avastin Subgroup
The duration of a complete response (CR) or partial response (PR) was defined as the time from first objective status assessment of CR or PR to the first time of progression or death as a result of any cause. (NCT00192075)
Timeframe: date of first response until the first date of documented progression or death from any cause (every 7-8 weeks for 2 cycles, monthly for 3 months, every other month for 6 months, then every 3 months up to 4.4 years)
Intervention | months (Median) |
---|
A + FOLFOX 4 - Avastin Subgroup | 5.2 |
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Overall Survival (OS)
Number of participants that are alive at 48th months (NCT00193050)
Timeframe: 48 months
Intervention | Participants (Count of Participants) |
---|
Intervention | 72 |
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Pathologic Complete Response (pCR)
For the purpose of this study, a Pathologic complete response (pCR) was defined as no evidence of residual invasive tumor in the breast (pT0). Residual ductal or lobular carcinoma in situ was not considered in pCR assessments. Percentage of participants who experienced pCR is reported. (NCT00193050)
Timeframe: 18 Months
Intervention | percentage of participants (Number) |
---|
Intervention | 18 |
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Time to Treatment Failure (TTF)
"Time to Treatment Failure (TTF) is defined as the minimum of the time from first date of treatment to the either of the following dates:~disease progression date (RECIST or clinical)~death date~treatment discontinuation" (NCT00193050)
Timeframe: 69 months
Intervention | months (Median) |
---|
Intervention | 13 |
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Overall Survival (OS)
The Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death (NCT00193063)
Timeframe: 24 months
Intervention | months (Median) |
---|
Gemcitabine/Trastuzumab | 21 |
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Progression Free Survival (PFS)
The Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease. 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. (NCT00193063)
Timeframe: 21 Months
Intervention | months (Median) |
---|
Gemcitabine/Trastuzumab | 4 |
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Overall Response Rate (ORR)
The Percentage of Patients Who Experience an Objective Benefit From Treatment. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI or CT: 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. (NCT00193063)
Timeframe: 18 Months
Intervention | percentage of participants (Number) |
---|
Gemcitabine/Trastuzumab | 30 |
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Pathologic Complete Response
For the purpose of this study, a pathologic complete response (pCR) was defined as no evidence of residual invasive tumor in the breast (pT0) and axillary lymph nodes (pN0), gross or microscopic, in the sample removed at the time of surgical resection. Residual ductal or lobular carcinoma in situ was not considered in pCR assessments. Percentage of participants who experienced pCR is reported. (NCT00193206)
Timeframe: 18 months
Intervention | Participants (Count of Participants) |
---|
Intervention | 23 |
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Rates of Breast Preservation
Number of patients who underwent breast conservation after neo adjuvant chemotherapy (NCT00193206)
Timeframe: 18 months
Intervention | Participants (Count of Participants) |
---|
Intervention | 26 |
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Time to Disease Progression
Time to progression is the length of time from the start of treatment until the disease progressed. Progressive disease is defined as an increase of >25% in the total calculated product of the tumor's measurements or development of a new lesion. Evaluations are based on Response Evaluation Criteria in Solid Tumors (RECIST) (NCT00193206)
Timeframe: 36 months
Intervention | months (Median) |
---|
Intervention | 13.7 |
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Clinical Response Rates
Clinical response rate is defined as percentage of patients whose disease decreased (Partial response - PR) and/or disappeared (Complete response - CR) after treatment). Clinical tumor response was defined as complete if there was no clinical evidence of palpable tumor in either the breast or axilla at the time of surgery. Reduction of total tumor size >50 % at the time surgery was considered a clinical partial response. Evaluations are based on Response Evaluation Criteria in Solid Tumors (RECIST) (NCT00193206)
Timeframe: 18 months
Intervention | Participants (Count of Participants) |
---|
Intervention | 109 |
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Progression-free Survival (PFS)
PFS was defined as the interval between the start date of treatment and the date of occurrence of progressive disease or death from any cause. (NCT00193414)
Timeframe: 18 months
Intervention | Months (Median) |
---|
Intervention | 6.2 |
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Overall Survival (OS)
OS was measured from the date of study entry until the date of death. (NCT00193414)
Timeframe: 18 months
Intervention | Months (Median) |
---|
Intervention | 8.5 |
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Overall Response Rate
Overall response rate is the percentage of patients with complete response or partial response per RECIST v.1 Criteria. Complete response (CR) = Disappearance of all target lesions, disappearance of all nontarget lesions for at least 4 weeks. Partial Response (PR) = At least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameters. (NCT00193414)
Timeframe: 18 months
Intervention | Percentage of participants (Number) |
---|
Intervention | 26 |
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Progression Free Survival (PFS)
Progression-free survival was calculated as the elapsed time between the date of study registration and the date of recurrence or death from any cause. (NCT00193427)
Timeframe: 19 months
Intervention | Months (Median) |
---|
Intervention | 9.9 |
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Pathologic Complete Response Rate
A pathological complete response (pCR) was defined as having no residual cancer at the primary site or in regional lymph nodes on pathologic review. (NCT00193427)
Timeframe: 18 months
Intervention | Percentage of participants (Number) |
---|
Intervention | 0 |
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Overall Survival (OS)
Overall survival was calculated as the elapsed time bewteen date of study registration and the date of death. (NCT00193427)
Timeframe: 18 months
Intervention | Months (Median) |
---|
Intervention | 18 |
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Overall Response Rate (ORR)
Overall response rate is the percentage of patients with complete response or partial response per RECIST v.1 Criteria. Complete response (CR) = Disappearance of all target lesions, disappearance of all nontarget lesions for at least 4 weeks. Partial Response (PR) = At least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameters. (NCT00193427)
Timeframe: 18 months
Intervention | percentage of participants (Number) |
---|
Intervention | 30 |
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Overall Clinical Response Rate
Overall response rate was defined as the proportion of treated patients whose best response was a complete or partial response after completing at least two courses of treatment. (NCT00193453)
Timeframe: 18 months
Intervention | Percentage of participants (Number) |
---|
Intervention | 17 |
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Progression Free Survival (PFS)
Progression free survival was defined as the interval between the start date of treatment and the date of occurrence of progressive disase or death from any cause. (NCT00193453)
Timeframe: 18 months
Intervention | Months (Median) |
---|
Intervention | 4.0 |
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Response Duration
The Response Duration was calculated from time of initial measured response to date of first observation of progressive disease. (NCT00193453)
Timeframe: 18 months
Intervention | Months (Median) |
---|
Intervention | 7.0 |
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Progression Free Survival (PFS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease
Length of time, in months, that patients were alive from their first date of protocol treatment until worsening of their disease (NCT00193596)
Timeframe: 12 months
Intervention | months (Median) |
---|
Paclitaxel/Carboplatin/Etoposide/Gefitinib | 3.3 |
Irinotecan/Gemcitabine/Gefitinib | 5.3 |
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Overall Survival (OS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death
Length of time, in months, that patients were alive from their first date of protocol treatment until death. (NCT00193596)
Timeframe: 24 months
Intervention | months (Median) |
---|
Paclitaxel/Carboplatin/Etoposide/Gefitinib | 7.4 |
Irinotecan/Gemcitabine/Gefitinib | 8.5 |
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Disease Progression
Proportion of patients with metastatic breast cancer free of disease progression at 6 months following treatment (NCT00201760)
Timeframe: 6 months
Intervention | Participants (Count of Participants) |
---|
Arm 1 Gemcitabine/Cisplatin/Trastuzumab | 1 |
Arm 2 Gemcitabine / Trastuzumab | 0 |
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Measure Response Rate of Each Drug Combination
Response rate of the of the triple drug combination therapy and the double drug combination therapy regimens. (NCT00201760)
Timeframe: Up to 24 months
Intervention | patients (Number) |
---|
Arm 1 Gemcitabine/Cisplatin/Trastuzumab | 1 |
Arm 2 Gemcitabine / Trastuzumab | 0 |
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Number of Participants With Grades 3 and Grade 4 Toxicity Profiles of the Drug Combinations
Adverse Events will be graded in accordance with the CTCAE Version 3.0 Toxicity grading criteria (NCT00201760)
Timeframe: Up to 24 months
Intervention | patients (Number) |
---|
| Leukocytes (total WBC) | Neutrophils/granulocytes | Platelets (Thrombocytopenia) | Fatigue |
---|
Arm 1 Gemcitabine/Cisplatin/Trastuzumab | 2 | 2 | 1 | 1 |
,Arm 2 Gemcitabine / Trastuzumab | 1 | 2 | 0 | 1 |
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Percentage of Patients With Clinical Benefit Response
A clinical benefit was defined by the improvement of at least one parameter over at least 4 weeks, without worsening of any other parameter (change in weight, ECOG performance status, Quality of life). (NCT00201838)
Timeframe: Up to 12 months
Intervention | percentage of patients (Number) |
---|
Experimental Group | 33 |
Control Group | 0 |
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Number of Patients With 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. (NCT00201838)
Timeframe: up to 12 months
Intervention | percentage of patients (Number) |
---|
| Partial Response | Stable Disease |
---|
Control Group | 17 | 50 |
,Experimental Group | 12 | 32 |
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Anti-tumor Effect as Measured by the Proportion of Patients Free of Disease-progression at Six Months After Treatment Initiation
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. Percentages were calculated by a Kaplan Meier analysis. (NCT00201838)
Timeframe: up to 6 months
Intervention | percent of patients with PFS (Number) |
---|
Experimental Group | 28 |
Control Group | 14 |
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Serial Levels of TNF (Tumor Necrosis Factor) and Other Inflammatory Cytokines
(NCT00201838)
Timeframe: up to 6 months
Intervention | delta Ct values (Mean) |
---|
| IL-10 | IL-1b | NFkB | IL-12 | TNF | IFN | IL-6 |
---|
Non Responders | 26.85 | 13.07 | 4.38 | 36.11 | 27.26 | 28.63 | 29.29 |
,Responders | 28.04 | 16.2 | 6.03 | 35.66 | 26.66 | 28.7 | 29.25 |
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Best Disease Response After a Maximum of Six Cycles.
Determine the number of participants for each category of response rates (RR) in newly diagnosed patients with advanced non-small cell lung cancer (NSCLC) who are treated with a chemotherapeutic regimen assigned to them on the basis of expression of the genes ribonucleotide reductase subunit 1 (ERCC1) and excision repair cross-complementing group 1 gene (RRM1) expression. Prior to treatment we measured the level of ERCC1 and RRM1 expression in the patients tumor, on the basis of which the patient would be assigned a specific doublet chemotherapy. (NCT00215930)
Timeframe: 24 Months
Intervention | Participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Progressive Disease (PD) | Not Assessible |
---|
Double Agent Chemotherapy | 0 | 23 | 23 | 6 | 1 |
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Progression Free Survival (PFS)
PFS was recorded as the time elapsed from the date of first treatment to the date of first evidence for disease progression or death. OS and PFS probabilities were estimated using the Kaplan-Meier method. For statistical purposes, it is important to note that this trial was not designed to compare outcomes among patients assigned to the different chemotherapies, but rather that molecular analysis directed individualized chemotherapy assignment is feasible and yields promising results in outcomes. (NCT00215930)
Timeframe: 24 Months
Intervention | Months (Median) |
---|
Double Agent Chemotherapy | 6.6 |
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Overall Survival (OS)
Median Overall Survival of Participants. OS and Progression Free Survival (PFS) probabilities were estimated using the Kaplan-Meier method. For statistical purposes, it is important to note that this trial was not designed to compare outcomes among patients assigned to the different chemotherapies, but rather that molecular analysis directed individualized chemotherapy assignment is feasible and yields promising results in outcomes. (NCT00215930)
Timeframe: 24 Months
Intervention | Months (Median) |
---|
Double Agent Chemotherapy | 13.3 |
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Maximum Observed Plasma Concentration (Cmax) for Axitinib (AG-013736)
(NCT00219557)
Timeframe: 0 (pre-dose), 0.5, 1, 1.5, 2, 3.5, 4.5, 9.5, and 12.5 hours (hr) post-dose on Day 15 of Phase 1 Cycle 1
Intervention | nanogram/milliliter (ng/mL) (Mean) |
---|
Axitinib + Gemcitabine (Phase 1 Lead-In) | 45.08 |
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Dose Confirmation of Gemcitabine on Basis of Number of Participants With Dose Limiting Toxicity (DLT)
Dose of gemcitabine was confirmed if not more than 1 out of 6 participants experienced a DLT during first cycle. DLT included grade (Gr) 4 neutropenia or thrombocytopenia, greater than or equal to (>=) Gr 3 anemia or non hematological toxicities for >= 7 days (except alopecia) or >= Gr 1 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. (NCT00219557)
Timeframe: Phase 1 Baseline up to Week 4
Intervention | participants (Number) |
---|
Axitinib + Gemcitabine (Phase 1 Lead-In) | 0 |
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Overall Survival (OS)
Time in days from randomization to date of death due to any cause. OS was calculated as the death date minus the date of randomization plus 1. Death was determined from adverse event data (where outcome was death) or from follow-up contact data (where the participant current status was death). (NCT00219557)
Timeframe: Baseline of Phase 2 to death or until at least 1 year after the randomization of the last participant
Intervention | Days (Median) |
---|
Axitinib + Gemcitabine | 210 |
Gemcitabine | 171 |
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Dose Confirmation of Axitinib (AG-013736) on Basis of Number of Participants With Dose Limiting Toxicity (DLT)
Dose of axitinib (AG-013736) was confirmed if not more than 1 out of 6 participants experienced a DLT during first cycle. DLT included grade (Gr) 4 neutropenia or thrombocytopenia, greater than or equal to (>=) Gr 3 anemia or non hematological toxicities for >= 7 days (except alopecia) or >= Gr 1 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. (NCT00219557)
Timeframe: Phase 1 baseline up to Week 4
Intervention | participants (Number) |
---|
Axitinib + Gemcitabine (Phase 1 Lead-In) | 0 |
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Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of 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 - ∞). (NCT00219557)
Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 9 and 12 hr after start of infusion on Day 15 of Phase 1 Cycle 1
Intervention | ng*hr/mL (Mean) |
---|
Axitinib + Gemcitabine (Phase 1 Lead-In) | 13656.00 |
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Area Under the Curve From Time Zero to 24 Hours [AUC (0-24)] of Axitinib (AG-013736)
AUC (0-24) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to 24 hours (0-24). (NCT00219557)
Timeframe: 0 (pre-dose), 0.5, 1, 1.5, 2, 3.5, 4.5, 9.5, and 12.5 hr post-dose on Day 15 of Phase 1 Cycle 1
Intervention | ng*hr/mL (Mean) |
---|
Axitinib + Gemcitabine (Phase 1 Lead-In) | 282.34 |
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Duration of Response (DR)
Time in days from the first documentation of objective tumor response to objective tumor progression or death due to any cancer. Duration of tumor response was calculated as the date of the first documentation of objective tumor progression or death due to cancer minus the date of the first CR or PR that was subsequently confirmed plus 1. DR was calculated for the subgroup of participants with a confirmed objective tumor response. (NCT00219557)
Timeframe: Phase 2 baseline to disease progression or discontinuation from study due to any cause, assessed every 8 weeks up to 80 weeks
Intervention | Days (Median) |
---|
Axitinib + Gemcitabine | 379 |
Gemcitabine | 155 |
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Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Score at Day 1 of Every Cycle and End of Study
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=better level of functioning or greater degree of symptoms. Change from baseline=Cycle/Day score minus baseline score. (NCT00219557)
Timeframe: Phase 2 baseline [Day (D)1 of Cycle (C)1], Day 1 of all subsequent cycles up to Cycle 14 and end of study (EoS).
Intervention | units on a scale (Mean) |
---|
| Global QoL: Baseline | Physical Functioning: Baseline | Role Functioning: Baseline | Emotional Functioning: Baseline | Cognitive Functioning: Baseline | Social Functioning: Baseline | Fatigue: Baseline | Nausea and Vomiting: Baseline | Pain: Baseline | Dyspnea: Baseline | Insomnia: Baseline | Appetite loss: Baseline | Constipation: Baseline | Diarrhea: Baseline | Financial Difficulties: Baseline | Global QoL: Change at C2 D1 | Physical Functioning: Change at C2 D1 | Role Functioning: Change at C2 D1 | Emotional Functioning: Change at C2 D1 | Cognitive Functioning: Change at C2 D1 | Social Functioning: Change at C2 D1 | Fatigue: Change at C2 D1 | Nausea and Vomiting: Change at C2 D1 | Pain: Change at C2 D1 | Dyspnea: Change at C2 D1 | Insomnia: Change at C2 D1 | Appetite loss: Change at C2 D1 | Constipation: Change at C2 D1 | Diarrhea: Change at C2 D1 | Financial Difficulties: Change at C2 D1 | Global QoL: Change at C3 D1 | Physical Functioning: Change at C3 D1 | Role Functioning: Change at C3 D1 | Emotional Functioning: Change at C3 D1 | Cognitive Functioning: Change at C3 D1 | Social Functioning: Change at C3 D1 | Fatigue: Change at C3 D1 | Nausea and Vomiting: Change at C3 D1 | Pain: Change at C3 D1 | Dyspnea: Change at C3 D1 | Insomnia: Change at C3 D1 | Appetite loss: Change at C3 D1 | Constipation: Change at C3 D1 | Diarrhea: Change at C3 D1 | Financial Difficulties: Change at C3 D1 | Global QoL: Change at C4 D1 | Physical Functioning: Change at C4 D1 | Role Functioning: Change at C4 D1 | Emotional Functioning: Change at C4 D1 | Cognitive Functioning: Change at C4 D1 | Social Functioning: Change at C4 D1 | Fatigue: Change at C4 D1 | Nausea and Vomiting: Change at C4 D1 | Pain: Change at C4 D1 | Dyspnea: Change at C4 D1 | Insomnia: Change at C4 D1 | Appetite loss: Change at C4 D1 | Constipation: Change at C4 D1 | Diarrhea: Change at C4 D1 | Financial Difficulties: Change at C4 D1 | Global QoL: Change at C5 D1 | Physical Functioning: Change at C5 D1 | Role Functioning: Change at C5 D1 | Emotional Functioning: Change at C5 D1 | Cognitive Functioning: Change at C5 D1 | Social Functioning: Change at C5 D1 | Fatigue: Change at C5 D1 | Nausea and Vomiting: Change at C5 D1 | Pain: Change at C5 D1 | Dyspnea: Change at C5 D1 | Insomnia: Change at C5 D1 | Appetite loss: Change at C5 D1 | Constipation: Change at C5 D1 | Diarrhea: Change at C5 D1 | Financial Difficulties: Change at C5 D1 | Global QoL: Change at C6 D1 | Physical Functioning: Change at C6 D1 | Role Functioning: Change at C6 D1 | Emotional Functioning: Change at C6 D1 | Cognitive Functioning: Change at C6 D1 | Social Functioning: Change at C6 D1 | Fatigue: Change at C6 D1 | Nausea and Vomiting: Change at C6 D1 | Pain: Change at C6 D1 | Dyspnea: Change at C6 D1(n=18,2) | Insomnia: Change at C6 D1 | Appetite loss: Change at C6 D1(n=19,2) | Constipation: Change at C6 D1 | Diarrhea: Change at C6 D1 | Financial Difficulties: Change at C6 D1 | Global QoL: Change at C7 D1 | Physical Functioning: Change at C7 D1 | Role Functioning: Change at C7 D1 | Emotional Functioning: Change at C7 D1 | Cognitive Functioning: Change at C7 D1 | Social Functioning: Change at C7 D1 | Fatigue: Change at C7 D1 | Nausea and Vomiting: Change at C7D1 | Pain: Change at C7 D1 | Dyspnea: Change at C7 D1 | Insomnia: Change at C7 D1 | Appetite loss: Change at C7 D1 | Constipation: Change at C7 D1 | Diarrhea: Change at C7 D1 | Financial Difficulties: Change at C7 D1 | Global QoL: Change at C8 D1 | Physical Functioning Change at C8 D1 | Role Functioning: Change at C8 D1 | Emotional Functioning: Change at C8 D1 | Cognitive Functioning: Change at C8 D1 | Social Functioning: Change at C8 D1 | Fatigue: Change at C8 D1 | Nausea and Vomiting: Change at C8 D1 | Pain: Change at C8 D1 | Dyspnea: Change at C8 D1 | Insomnia: Change at C8 D1 | Appetite loss: Change at C8 D1 | Constipation: Change at C8 D1 | Diarrhea: Change at C8 D1 | Financial Difficulties: Change at C8 D1 | Global QoL: Change at C9 D1 | Physical Functioning: Change at C9 D1 | Role Functioning: Change at C9 D1 | Emotional Functioning: Change at C9 D1 | Cognitive Functioning: Change at C9 D1 | Social Functioning: Change at C9 D1 | Fatigue: Change at C9 D1 | Nausea and Vomiting: Change at C9 D1 | Pain: Change at C9 D1 | Dyspnea: Change at C9 D1 | Insomnia: Change at C9 D1 | Appetite loss: Change at C9 D1 | Constipation: Change at C9 D1 | Diarrhea: Change at C9 D1 | Financial Difficulties: Change at C9 D1 | Global QoL: Change at C10 D1 | Physical Functioning: Change at C10 D1 | Role Functioning: Change at C10 D1 | Emotional Functioning: Change at C10 D1 | Cognitive Functioning: Change at C10 D1 | Social Functioning: Change at C10 D1 | Fatigue: Change at C10 D1 | Nausea and Vomiting: Change at C10 D1 | Pain: Change at C10 D1 | Dyspnea: Change at C10 D1 | Insomnia: Change at C10 D1 | Appetite loss: Change at C10 D1 | Constipation: Change at C10 D1 | Diarrhea: Change at C10 D1 | Financial Difficulties: Change at C10 D1 | Global QoL: Change at C11 D1 | Physical Functioning: Change at C11 D1 | Role Functioning: Change at C11 D1 | Emotional Functioning: Change at C11 D1 | Cognitive Functioning: Change at C11 D1 | Social Functioning: Change at C11 D1 | Fatigue: Change at C11 D1 | Nausea and Vomiting: Change at C11 D1 | Pain: Change at C11 D1 | Dyspnea: Change at C11 D1 | Insomnia: Change at C11 D1 | Appetite loss: Change at C11 D1 | Constipation: Change at C11 D1 | Diarrhea: Change at C11 D1 | Financial Difficulties: Change at C11 D1 | Global QoL: Change at C12 D1 | Physical Functioning: Change at C12 D1 | Role Functioning: Change at C12 D1 | Emotional Functioning: Change at C12 D1 | Cognitive Functioning: Change at C12 D1 | Social Functioning: Change at C12 D1 | Fatigue: Change at C12 D1 | Nausea and Vomiting: Change at C12 D1 | Pain: Change at C12 D1 | Dyspnea: Change at C12 D1 | Insomnia: Change at C12 D1 | Appetite loss: Change at C12 D1 | Constipation: Change at C12 D1 | Diarrhea: Change at C12 D1 | Financial Difficulties: Change at C12 D1 | Global QoL: Change at C13 D1 | Physical Functioning: Change at C13 D1 | Role Functioning: Change at C13 D1 | Emotional Functioning: Change at C13 D1 | Cognitive Functioning: Change at C13 D1 | Social Functioning: Change at C13 D1 | Fatigue: Change at C13 D1 | Nausea and Vomiting: Change at C13 D1 | Pain: Change at C13 D1 | Dyspnea: Change at C13 D1 | Insomnia: Change at C13 D1 | Appetite loss: Change at C13 D1 | Constipation: Change at C13 D1 | Diarrhea: Change at C13 D1 | Financial Difficulties: Change at C13 D1 | Global QoL: Change at C14 D1 | Physical Functioning: Change at C14 D1 | Role Functioning: Change at C14 D1 | Emotional Functioning: Change at C14 D1 | Cognitive Functioning: Change at C14 D1 | Social Functioning: Change at C14 D1 | Fatigue: Change at C14 D1 | Nausea and Vomiting: Change at C14 D1 | Pain: Change at C14 D1 | Dyspnea: Change at C14 D1 | Insomnia: Change at C14 D1 | Appetite loss: Change at C14 D1 | Constipation: Change at C14 D1 | Diarrhea: Change at C14 D1 | Financial Difficulties: Change at C14 D1 | Global QoL: Change at EoS | Physical Functioning: Change at EoS | Role Functioning: Change at EoS | Emotional Functioning: Change at EoS | Cognitive Functioning: Change at EoS | Social Functioning: Change at EoS | Fatigue: Change at EoS | Nausea and Vomiting: Change at EoS | Pain: Change at EoS | Dyspnea: Change at EoS | Insomnia: Change at EoS | Appetite loss: Change at EoS | Constipation: Change at EoS | Diarrhea: Change at EoS | Financial Difficulties: Change at EoS |
---|
Axitinib + Gemcitabine | 55.60 | 76.90 | 62.56 | 67.22 | 82.82 | 67.44 | 43.50 | 19.74 | 40.00 | 12.50 | 31.28 | 41.03 | 34.87 | 20.00 | 10.42 | -5.10 | -5.07 | 0.33 | 3.21 | -3.53 | -4.17 | 1.42 | -5.88 | -9.29 | 9.33 | -9.15 | -0.65 | -9.62 | -1.28 | 0.67 | -9.17 | -8.13 | -5.56 | -1.69 | -4.88 | -4.07 | 7.41 | -4.37 | -6.75 | 3.25 | -10.32 | 11.11 | -10.57 | 7.32 | 3.33 | -6.67 | -6.67 | -7.81 | -3.23 | -6.99 | -8.60 | 7.47 | -4.69 | -16.67 | 0.00 | -11.46 | 6.25 | -24.44 | 7.53 | 1.15 | -9.29 | -8.57 | -8.93 | -3.87 | -2.38 | -15.48 | 9.72 | 0.00 | -5.36 | 9.52 | -19.05 | 0.00 | -21.43 | 7.14 | 0.00 | -14.22 | -6.32 | -9.65 | 2.19 | -0.88 | -2.63 | 6.73 | -4.39 | -8.77 | -1.85 | -7.02 | -3.51 | -10.53 | -1.75 | 1.75 | -4.63 | -3.33 | -15.00 | -8.33 | 1.67 | -15.00 | -2.22 | 1.67 | -3.33 | 16.67 | -10.00 | -10.00 | -13.33 | 3.33 | -6.67 | -12.50 | -10.67 | -13.33 | -7.50 | 0.00 | -11.67 | 4.44 | 0.00 | -8.33 | 14.81 | -20.00 | -3.33 | -3.33 | 6.67 | -3.33 | -17.71 | -6.67 | -29.17 | -3.13 | -2.08 | -6.25 | 18.06 | -8.33 | 0.00 | 19.05 | -4.17 | 8.33 | -8.33 | 12.50 | -4.17 | -16.67 | -19.05 | -23.81 | -20.24 | -9.52 | -21.43 | 25.40 | 0.00 | 11.90 | 22.22 | 4.76 | 23.81 | -19.05 | 9.52 | -4.76 | -38.89 | -24.44 | -38.89 | -25.00 | -27.78 | -38.89 | 37.04 | 27.78 | 22.22 | 22.22 | 22.22 | 44.44 | 0.00 | 11.11 | -11.11 | -11.11 | -6.67 | -11.11 | -2.78 | 0.00 | -5.56 | 7.41 | 16.67 | -5.56 | 0.00 | -11.11 | 22.22 | -22.22 | 22.22 | -11.11 | -50.00 | -23.33 | -41.67 | -8.33 | 0.00 | -8.33 | 33.33 | -8.33 | 41.67 | 0.00 | 0.00 | 33.33 | -16.67 | 16.67 | -16.67 | -16.67 | -6.67 | -33.33 | -8.33 | 16.67 | 0.00 | 22.22 | 0.00 | 16.67 | 33.33 | -33.33 | 0.00 | 0.00 | 33.33 | -33.33 | -54.17 | -70.00 | -33.33 | -66.67 | -66.67 | -83.33 | 55.56 | 33.33 | 41.67 | 83.33 | 66.67 | 50.00 | -16.67 | 33.33 | -16.67 |
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Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Score at Day 1 of Every Cycle and End of Study
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=better level of functioning or greater degree of symptoms. Change from baseline=Cycle/Day score minus baseline score. (NCT00219557)
Timeframe: Phase 2 baseline [Day (D)1 of Cycle (C)1], Day 1 of all subsequent cycles up to Cycle 14 and end of study (EoS).
Intervention | units on a scale (Mean) |
---|
| Global QoL: Baseline | Physical Functioning: Baseline | Role Functioning: Baseline | Emotional Functioning: Baseline | Cognitive Functioning: Baseline | Social Functioning: Baseline | Fatigue: Baseline | Nausea and Vomiting: Baseline | Pain: Baseline | Dyspnea: Baseline | Insomnia: Baseline | Appetite loss: Baseline | Constipation: Baseline | Diarrhea: Baseline | Financial Difficulties: Baseline | Global QoL: Change at C2 D1 | Physical Functioning: Change at C2 D1 | Role Functioning: Change at C2 D1 | Emotional Functioning: Change at C2 D1 | Cognitive Functioning: Change at C2 D1 | Social Functioning: Change at C2 D1 | Fatigue: Change at C2 D1 | Nausea and Vomiting: Change at C2 D1 | Pain: Change at C2 D1 | Dyspnea: Change at C2 D1 | Insomnia: Change at C2 D1 | Appetite loss: Change at C2 D1 | Constipation: Change at C2 D1 | Diarrhea: Change at C2 D1 | Financial Difficulties: Change at C2 D1 | Global QoL: Change at C3 D1 | Physical Functioning: Change at C3 D1 | Role Functioning: Change at C3 D1 | Emotional Functioning: Change at C3 D1 | Cognitive Functioning: Change at C3 D1 | Social Functioning: Change at C3 D1 | Fatigue: Change at C3 D1 | Nausea and Vomiting: Change at C3 D1 | Pain: Change at C3 D1 | Dyspnea: Change at C3 D1 | Insomnia: Change at C3 D1 | Appetite loss: Change at C3 D1 | Constipation: Change at C3 D1 | Diarrhea: Change at C3 D1 | Financial Difficulties: Change at C3 D1 | Global QoL: Change at C4 D1 | Physical Functioning: Change at C4 D1 | Role Functioning: Change at C4 D1 | Emotional Functioning: Change at C4 D1 | Cognitive Functioning: Change at C4 D1 | Social Functioning: Change at C4 D1 | Fatigue: Change at C4 D1 | Nausea and Vomiting: Change at C4 D1 | Pain: Change at C4 D1 | Dyspnea: Change at C4 D1 | Insomnia: Change at C4 D1 | Appetite loss: Change at C4 D1 | Constipation: Change at C4 D1 | Diarrhea: Change at C4 D1 | Financial Difficulties: Change at C4 D1 | Global QoL: Change at C5 D1 | Physical Functioning: Change at C5 D1 | Role Functioning: Change at C5 D1 | Emotional Functioning: Change at C5 D1 | Cognitive Functioning: Change at C5 D1 | Social Functioning: Change at C5 D1 | Fatigue: Change at C5 D1 | Nausea and Vomiting: Change at C5 D1 | Pain: Change at C5 D1 | Dyspnea: Change at C5 D1 | Insomnia: Change at C5 D1 | Appetite loss: Change at C5 D1 | Constipation: Change at C5 D1 | Diarrhea: Change at C5 D1 | Financial Difficulties: Change at C5 D1 | Global QoL: Change at C6 D1 | Physical Functioning: Change at C6 D1 | Role Functioning: Change at C6 D1 | Emotional Functioning: Change at C6 D1 | Cognitive Functioning: Change at C6 D1 | Social Functioning: Change at C6 D1 | Fatigue: Change at C6 D1 | Nausea and Vomiting: Change at C6 D1 | Pain: Change at C6 D1 | Dyspnea: Change at C6 D1(n=18,2) | Insomnia: Change at C6 D1 | Appetite loss: Change at C6 D1(n=19,2) | Constipation: Change at C6 D1 | Diarrhea: Change at C6 D1 | Financial Difficulties: Change at C6 D1 | Global QoL: Change at C7 D1 | Physical Functioning: Change at C7 D1 | Role Functioning: Change at C7 D1 | Emotional Functioning: Change at C7 D1 | Cognitive Functioning: Change at C7 D1 | Social Functioning: Change at C7 D1 | Fatigue: Change at C7 D1 | Nausea and Vomiting: Change at C7D1 | Pain: Change at C7 D1 | Dyspnea: Change at C7 D1 | Insomnia: Change at C7 D1 | Appetite loss: Change at C7 D1 | Constipation: Change at C7 D1 | Diarrhea: Change at C7 D1 | Financial Difficulties: Change at C7 D1 | Global QoL: Change at C8 D1 | Physical Functioning Change at C8 D1 | Role Functioning: Change at C8 D1 | Emotional Functioning: Change at C8 D1 | Cognitive Functioning: Change at C8 D1 | Social Functioning: Change at C8 D1 | Fatigue: Change at C8 D1 | Nausea and Vomiting: Change at C8 D1 | Pain: Change at C8 D1 | Dyspnea: Change at C8 D1 | Insomnia: Change at C8 D1 | Appetite loss: Change at C8 D1 | Constipation: Change at C8 D1 | Diarrhea: Change at C8 D1 | Financial Difficulties: Change at C8 D1 | Global QoL: Change at C9 D1 | Physical Functioning: Change at C9 D1 | Role Functioning: Change at C9 D1 | Emotional Functioning: Change at C9 D1 | Cognitive Functioning: Change at C9 D1 | Social Functioning: Change at C9 D1 | Fatigue: Change at C9 D1 | Nausea and Vomiting: Change at C9 D1 | Pain: Change at C9 D1 | Dyspnea: Change at C9 D1 | Insomnia: Change at C9 D1 | Appetite loss: Change at C9 D1 | Constipation: Change at C9 D1 | Diarrhea: Change at C9 D1 | Financial Difficulties: Change at C9 D1 | Global QoL: Change at C10 D1 | Physical Functioning: Change at C10 D1 | Role Functioning: Change at C10 D1 | Emotional Functioning: Change at C10 D1 | Cognitive Functioning: Change at C10 D1 | Social Functioning: Change at C10 D1 | Fatigue: Change at C10 D1 | Nausea and Vomiting: Change at C10 D1 | Pain: Change at C10 D1 | Dyspnea: Change at C10 D1 | Insomnia: Change at C10 D1 | Appetite loss: Change at C10 D1 | Constipation: Change at C10 D1 | Diarrhea: Change at C10 D1 | Financial Difficulties: Change at C10 D1 | Global QoL: Change at C11 D1 | Physical Functioning: Change at C11 D1 | Role Functioning: Change at C11 D1 | Emotional Functioning: Change at C11 D1 | Cognitive Functioning: Change at C11 D1 | Social Functioning: Change at C11 D1 | Fatigue: Change at C11 D1 | Nausea and Vomiting: Change at C11 D1 | Pain: Change at C11 D1 | Dyspnea: Change at C11 D1 | Insomnia: Change at C11 D1 | Appetite loss: Change at C11 D1 | Constipation: Change at C11 D1 | Diarrhea: Change at C11 D1 | Financial Difficulties: Change at C11 D1 | Global QoL: Change at EoS | Physical Functioning: Change at EoS | Role Functioning: Change at EoS | Emotional Functioning: Change at EoS | Cognitive Functioning: Change at EoS | Social Functioning: Change at EoS | Fatigue: Change at EoS | Nausea and Vomiting: Change at EoS | Pain: Change at EoS | Dyspnea: Change at EoS | Insomnia: Change at EoS | Appetite loss: Change at EoS | Constipation: Change at EoS | Diarrhea: Change at EoS | Financial Difficulties: Change at EoS |
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Gemcitabine | 54.32 | 82.22 | 60.26 | 66.98 | 82.10 | 70.51 | 42.80 | 13.58 | 37.04 | 16.05 | 39.51 | 33.33 | 38.27 | 16.05 | 28.40 | 3.33 | 0.95 | 9.65 | 7.94 | 1.59 | -0.83 | -8.99 | -1.59 | -16.67 | -3.17 | -19.05 | -14.29 | -14.29 | 0.00 | -4.76 | 6.67 | 3.44 | 13.10 | 12.22 | 2.22 | 5.56 | -8.73 | -2.56 | -23.33 | -7.14 | -11.90 | -5.13 | -13.33 | 4.44 | -2.22 | -1.03 | -1.03 | 9.72 | 9.03 | 0.00 | -1.52 | -3.42 | 6.41 | -11.54 | -5.13 | -5.13 | -2.78 | -25.00 | 5.56 | -8.33 | 10.71 | 0.00 | 7.14 | 20.24 | 7.14 | 4.76 | -15.28 | -6.25 | -25.00 | -12.50 | -29.17 | -20.83 | -33.33 | -4.76 | 0.00 | -5.56 | 6.67 | 16.67 | 8.33 | 11.11 | -16.67 | -16.67 | -8.33 | -33.33 | 0.00 | -16.67 | -16.67 | -33.33 | 0.00 | -22.22 | -16.67 | -22.22 | 33.33 | -7.41 | -5.56 | -25.00 | 14.81 | 16.67 | -11.11 | 33.33 | 11.11 | 22.22 | -66.67 | 0.00 | 0.00 | -33.33 | -20.00 | -33.33 | 0.00 | -16.67 | -16.67 | 2.22 | 16.67 | -16.67 | 33.33 | 0.00 | 33.33 | 0.00 | -66.67 | 0.00 | -33.33 | -40.00 | -33.33 | -8.33 | -33.33 | -33.33 | 33.33 | 16.67 | 0.00 | 33.33 | 0.00 | 33.33 | 0.00 | -66.67 | 0.00 | -33.33 | -46.67 | -50.00 | -16.67 | -33.33 | -50.00 | 55.56 | 16.67 | 16.67 | 33.33 | 0.00 | 33.33 | 0.00 | -66.67 | 0.00 | -33.33 | -40.00 | -66.67 | -8.33 | -33.33 | -66.67 | 22.22 | 16.67 | -16.67 | 33.33 | 0.00 | 0.00 | 0.00 | -66.67 | 0.00 | 0.00 | 0.00 | 0.00 | -25.00 | 0.00 | 0.00 | -11.11 | 0.00 | 16.67 | 0.00 | 33.33 | 0.00 | 0.00 | 0.00 | 0.00 |
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Change From Baseline in 26-item Pancreatic Cancer-specific Quality of Life Questionnaire (QLQ-PAN26) Score at Day 1 of Every Cycle and End of Study
QLQ-PAN26 consists of 26 questions (Qs) relating to disease symptoms, treatment (Tx) side effects and emotional issues specific to pancreatic cancer (PC). Questions include on altered bowel habits, pain, dietary changes, disease and Tx-related symptoms and issues related to the emotional and social well-being of participants with PC. All 26 Qs are answered on 4-point Likert scale ranging from '1=not at all' to 4='very much' and subsequently transformed into scales that range from 0-100. Higher scores on functioning scales=better functioning; higher scores on the symptom scales=more symptoms. (NCT00219557)
Timeframe: Phase 2 baseline [Day (D) 1 of Cycle (C)1], Day 1 of all subsequent cycles up to Cycle 14 and end of study (EoS).
Intervention | units on a scale (Mean) |
---|
| Pancreatic Pain: Baseline | Eating Related Items: Baseline | Altered Bowel Habits: Baseline | Jaundice: Baseline | Body Image: Baseline | Health Care Satisfaction: Baseline | Sexual Functioning: Baseline | Ascites: Baseline | Indigestion: Baseline | Flatulence: Baseline | Cachexia: Baseline | Side Effects: Baseline | Fear of Future Health: Baseline | Ability to Plan Future: Baseline | Pancreatic Pain: Change at C2 D1 | Eating Related Items: Change at C2 D1 | Altered Bowel Habits: Change at C2 D1 | Jaundice: Change at C2 D1 | Body Image: Change at C2 D1 | Health Care Satisfaction: Change at C2 D1 | Sexual Functioning: Change at C2 D1 | Ascites: Change at C2 D1 | Indigestion: Change at C2 D1 | Flatulence: Change at C2 D1 | Cachexia: Change at C2 D1 | Side Effects: Change at C2 D1 | Fear of Future Health: Change at C2 D1 | Ability to Plan Future: Change at C2 D1 | Pancreatic Pain: Change at C3 D1 | Eating Related Items: Change at C3 D1 | Altered Bowel Habits: Change at C3 D1 | Jaundice: Change at C3 D1 | Body Image: Change at C3 D1 | Health Care Satisfaction: Change at C3 D1 | Sexual Functioning: Change at C3 D1 | Ascites: Change at C3 D1 | Indigestion: Change at C3 D1 | Flatulence: Change at C3 D1 | Cachexia: Change at C3 D1 | Side Effects: Change at C3 D1 | Fear of Future Health: Change at C3 D1 | Ability to Plan Future: Change at C3 D1 | Pancreatic Pain: Change at C4 D1 | Eating Related Items: Change at C4 D1 | Altered Bowel Habits: Change at C4 D1 | Jaundice: Change at C4 D1 | Body Image: Change at C4 D1 | Health Care Satisfaction: Change at C4 D1 | Sexual Functioning: Change at C4 D1 | Ascites: Change at C4 D1 | Indigestion: Change at C4 D1 | Flatulence: Change at C4 D1 | Cachexia: Change at C4 D1 | Side Effects: Change at C4 D1 | Fear of Future Health: Change at C4 D1 | Ability to Plan Future: Change at C4 D1 | Pancreatic Pain: Change at C5 D1 | Eating Related Items: Change at C5 D1 | Altered Bowel Habits: Change at C5 D1 | Jaundice: Change at C5 D1 | Body Image: Change at C5 D1 | Health Care Satisfaction: Change at C5 D1 | Sexual Functioning: Change at C5 D1 | Ascites: Change at C5 D1 | Indigestion: Change at C5 D1 | Flatulence: Change at C5 D1 | Cachexia: Change at C5 D1 | Side Effects: Change at C5 D1 | Fear of Future Health: Change at C5 D1 | Ability to Plan Future: Change at C5 D1 | Pancreatic Pain: Change at C6 D1 | Eating Related Items: Change at C6 D1 | Altered Bowel Habits: Change at C6 D1 | Jaundice: Change at C6 D1 | Body Image: Change at C6 D1 | Health Care Satisfaction: Change at C6 D1 | Sexual Functioning: Change at C6 D1 | Ascites: Change at C6 D1 | Indigestion: Change at C6 D1 | Flatulence: Change at C6 D1 | Cachexia: Change at C6 D1 | Side Effects: Change at C6 D1 | Fear of Future Health: Change at C6 D1 | Ability to Plan Future: Change at C6 D1 | Pancreatic Pain: Change at C7 D1 | Eating Related Items: Change at C7 D1 | Altered Bowel Habits: Change at C7 D1 | Jaundice: Change at C7 D1 | Body Image: Change at C7 D1 | Health Care Satisfaction: Change at C7 D1 | Sexual Functioning: Change at C7 D1 | Ascites: Change at C7 D1 | Indigestion: Change at C7 D1 | Flatulence: Change at C7 D1 | Cachexia: Change at C7 D1 | Side Effects: Change at C7 D1 | Fear of Future Health: Change at C7 D1 | Ability to Plan Future: Change at C7 D1 | Pancreatic Pain: Change at C8 D1 | Eating Related Items: Change at C8 D1 | Altered Bowel Habits: Change at C8 D1 | Jaundice: Change at C8 D1 | Body Image: Change at C8 D1 | Health Care Satisfaction: Change at C8 D1 | Sexual Functioning: Change at C8 D1 | Ascites: Change at C8 D1 | Indigestion: Change at C8 D1 | Flatulence: Change at C8 D1 | Cachexia: Change at C8 D1 | Side Effects: Change at C8 D1 | Fear of Future Health: Change at C8 D1 | Ability to Plan Future: Change at C8 D1 | Pancreatic Pain: Change at C9 D1 | Eating Related Items: Change at C9 D1 | Altered Bowel Habits: Change at C9 D1 | Jaundice: Change at C9 D1 | Body Image: Change at C9 D1 | Health Care Satisfaction: Change at C9 D1 | Sexual Functioning: Change at C9 D1 | Ascites: Change at C9 D1 | Indigestion: Change at C9 D1 | Flatulence: Change at C9 D1 | Cachexia: Change at C9 D1 | Side Effects: Change at C9 D1 | Fear of Future Health: Change at C9 D1 | Ability to Plan Future: Change at C9 D1 | Pancreatic Pain: Change at C10 D1 | Eating Related Items: Change at C10 D1 | Altered Bowel Habits: Change at C10 D1 | Jaundice: Change at C10 D1 | Body Image: Change at C10 D1 | Health Care Satisfaction: Change at C10 D1 | Sexual Functioning: Change at C10 D1 | Ascites: Change at C10 D1 | Indigestion: Change at C10 D1 | Flatulence: Change at C10 D1 | Cachexia: Change at C10 D1 | Side Effects: Change at C10 D1 | Fear of Future Health: Change at C10 D1 | Ability to Plan Future: Change at C10 D1 | Pancreatic Pain: Change at C11 D1 | Eating Related Items: Change at C11 D1 | Altered Bowel Habits: Change at C11 D1 | Jaundice: Change at C11 D1 | Body Image: Change at C11 D1 | Health Care Satisfaction: Change at C11 D1 | Sexual Functioning: Change at C11 D1 | Ascites: Change at C11 D1 | Indigestion: Change at C11 D1 | Flatulence: Change at C11 D1 | Cachexia: Change at C11 D1 | Side Effects: Change at C11 D1 | Fear of Future Health: Change at C11 D1 | Ability to Plan Future: Change at C11 D1 | Pancreatic Pain: Change at C12 D1 | Eating Related Items: Change at C12 D1 | Altered Bowel Habits: Change at C12 D1 | Jaundice: Change at C12 D1 | Body Image: Change at C12 D1 | Health Care Satisfaction: Change at C12 D1 | Sexual Functioning: Change at C12 D1 | Ascites: Change at C12 D1 | Indigestion: Change at C12 D1 | Flatulence: Change at C12 D1 | Cachexia: Change at C12 D1 | Side Effects: Change at C12 D1(n=3,0) | Fear of Future Health: Change at C12 D1 | Ability to Plan Future: Change at C12 D1 | Pancreatic Pain: Change at C13 D1 | Eating Related Items: Change at C13 D1 | Altered Bowel Habits: Change at C13 D1 | Jaundice: Change at C13 D1 | Body Image: Change at C13 D1 | Health Care Satisfaction: Change at C13 D1 | Sexual Functioning: Change at C13 D1 | Ascites: Change at C13 D1 | Indigestion: Change at C13 D1 | Flatulence: Change at C13 D1 | Cachexia: Change at C13 D1 | Side Effects: Change at C13 D1 | Fear of Future Health: Change at C13 D1 | Ability to Plan Future: Change at C13 D1 | Pancreatic Pain: Change at C14 D1 | Eating Related Items: Change at C14 D1 | Altered Bowel Habits: Change at C14 D1 | Jaundice: Change at C14 D1 | Body Image: Change at C14 D1 | Health Care Satisfaction: Change at C14 D1 | Sexual Functioning: Change at C14 D1 | Ascites: Change at C14 D1 | Indigestion: Change at C14 D1 | Flatulence: Change at C14 D1 | Cachexia: Change at C14 D1 | Side Effects: Change at C14 D1 | Fear of Future Health: Change at C14 D1 | Ability to Plan Future: Change at C14 D1 | Pancreatic Pain: Change at EoS | Eating Related Items: Change at EoS | Altered Bowel Habits: Change at EoS | Jaundice: Change at EoS | Body Image: Change at EoS | Health Care Satisfaction: Change at EoS | Sexual Functioning: Change at EoS | Ascites: Change at EoS | Indigestion: Change at EoS | Flatulence: Change at EoS | Cachexia: Change at EoS | Side Effects: Change at EoS | Fear of Future Health: Change at EoS | Ability to Plan Future: Change at EoS |
---|
Axitinib + Gemcitabine | 37.52 | 40.40 | 22.32 | 9.89 | 31.64 | 79.38 | 44.35 | 37.29 | 24.86 | 35.59 | 33.62 | 27.78 | 63.22 | 39.55 | -11.05 | -0.38 | 8.33 | 0.00 | 7.95 | 0.39 | -2.56 | -10.85 | -4.65 | 5.30 | 9.47 | 7.70 | -2.33 | 4.55 | -8.92 | 3.07 | 10.53 | 2.19 | 13.51 | -5.41 | -3.13 | -2.63 | -4.50 | 9.65 | 14.47 | 11.55 | -2.86 | 9.01 | -18.30 | -7.47 | 16.09 | 1.72 | 12.82 | -1.92 | -5.30 | -6.90 | -9.52 | 1.15 | 9.20 | 11.88 | -2.78 | 10.26 | -7.26 | 0.00 | 13.46 | 3.85 | 14.00 | -2.67 | -1.75 | -5.13 | -3.85 | -1.33 | 10.26 | 10.04 | 0.00 | 20.00 | -3.76 | -4.90 | 13.73 | 1.96 | 23.96 | -11.46 | -7.69 | -1.96 | 3.92 | 1.96 | 4.90 | 16.34 | -4.44 | 12.50 | -3.70 | -14.81 | 5.56 | 5.56 | 16.67 | 5.56 | -9.52 | 0.00 | -7.41 | -3.70 | 5.56 | 8.64 | 4.17 | 14.81 | -1.54 | 3.70 | 14.81 | 9.26 | 22.22 | 3.70 | -7.14 | -3.70 | -7.41 | -11.11 | 11.11 | 11.11 | 4.17 | 11.11 | 0.00 | 14.29 | 23.81 | 9.52 | 28.57 | 2.38 | -13.33 | -11.11 | 4.76 | 14.29 | 23.81 | 31.75 | -16.67 | 19.05 | 8.33 | 25.00 | 27.78 | 2.78 | 25.00 | 13.89 | -13.33 | 0.00 | 27.78 | 16.67 | 25.00 | 37.04 | 0.00 | 33.33 | 5.56 | 38.89 | 50.00 | 16.67 | 50.00 | 27.78 | -33.33 | 22.22 | 11.11 | 11.11 | 55.56 | 55.56 | 0.00 | 44.44 | -5.56 | 16.67 | 27.78 | 0.00 | 16.67 | -5.56 | 0.00 | -22.22 | 0.00 | 0.00 | 33.33 | 33.33 | 0.00 | 0.00 | 20.83 | 58.33 | 8.33 | 25.00 | 41.67 | -16.67 | -50.00 | 16.67 | 0.00 | 16.67 | 33.33 | 16.67 | 0.00 | 16.67 | -8.33 | 16.67 | 33.33 | 33.33 | 33.33 | 0.00 | -33.33 | 0.00 | 0.00 | 33.33 | 50.00 | 0.00 | 0.00 | 0.00 | 58.33 | 25.00 | 83.33 | 8.33 | 66.67 | 0.00 | 0.00 | 33.33 | 33.33 | 83.33 | 66.67 | 19.44 | 33.33 | 66.67 |
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Change From Baseline in 26-item Pancreatic Cancer-specific Quality of Life Questionnaire (QLQ-PAN26) Score at Day 1 of Every Cycle and End of Study
QLQ-PAN26 consists of 26 questions (Qs) relating to disease symptoms, treatment (Tx) side effects and emotional issues specific to pancreatic cancer (PC). Questions include on altered bowel habits, pain, dietary changes, disease and Tx-related symptoms and issues related to the emotional and social well-being of participants with PC. All 26 Qs are answered on 4-point Likert scale ranging from '1=not at all' to 4='very much' and subsequently transformed into scales that range from 0-100. Higher scores on functioning scales=better functioning; higher scores on the symptom scales=more symptoms. (NCT00219557)
Timeframe: Phase 2 baseline [Day (D) 1 of Cycle (C)1], Day 1 of all subsequent cycles up to Cycle 14 and end of study (EoS).
Intervention | units on a scale (Mean) |
---|
| Pancreatic Pain: Baseline | Eating Related Items: Baseline | Altered Bowel Habits: Baseline | Jaundice: Baseline | Body Image: Baseline | Health Care Satisfaction: Baseline | Sexual Functioning: Baseline | Ascites: Baseline | Indigestion: Baseline | Flatulence: Baseline | Cachexia: Baseline | Side Effects: Baseline | Fear of Future Health: Baseline | Ability to Plan Future: Baseline | Pancreatic Pain: Change at C2 D1 | Eating Related Items: Change at C2 D1 | Altered Bowel Habits: Change at C2 D1 | Jaundice: Change at C2 D1 | Body Image: Change at C2 D1 | Health Care Satisfaction: Change at C2 D1 | Sexual Functioning: Change at C2 D1 | Ascites: Change at C2 D1 | Indigestion: Change at C2 D1 | Flatulence: Change at C2 D1 | Cachexia: Change at C2 D1 | Side Effects: Change at C2 D1 | Fear of Future Health: Change at C2 D1 | Ability to Plan Future: Change at C2 D1 | Pancreatic Pain: Change at C3 D1 | Eating Related Items: Change at C3 D1 | Altered Bowel Habits: Change at C3 D1 | Jaundice: Change at C3 D1 | Body Image: Change at C3 D1 | Health Care Satisfaction: Change at C3 D1 | Sexual Functioning: Change at C3 D1 | Ascites: Change at C3 D1 | Indigestion: Change at C3 D1 | Flatulence: Change at C3 D1 | Cachexia: Change at C3 D1 | Side Effects: Change at C3 D1 | Fear of Future Health: Change at C3 D1 | Ability to Plan Future: Change at C3 D1 | Pancreatic Pain: Change at C4 D1 | Eating Related Items: Change at C4 D1 | Altered Bowel Habits: Change at C4 D1 | Jaundice: Change at C4 D1 | Body Image: Change at C4 D1 | Health Care Satisfaction: Change at C4 D1 | Sexual Functioning: Change at C4 D1 | Ascites: Change at C4 D1 | Indigestion: Change at C4 D1 | Flatulence: Change at C4 D1 | Cachexia: Change at C4 D1 | Side Effects: Change at C4 D1 | Fear of Future Health: Change at C4 D1 | Ability to Plan Future: Change at C4 D1 | Pancreatic Pain: Change at C5 D1 | Eating Related Items: Change at C5 D1 | Altered Bowel Habits: Change at C5 D1 | Jaundice: Change at C5 D1 | Body Image: Change at C5 D1 | Health Care Satisfaction: Change at C5 D1 | Sexual Functioning: Change at C5 D1 | Ascites: Change at C5 D1 | Indigestion: Change at C5 D1 | Flatulence: Change at C5 D1 | Cachexia: Change at C5 D1 | Side Effects: Change at C5 D1 | Fear of Future Health: Change at C5 D1 | Ability to Plan Future: Change at C5 D1 | Pancreatic Pain: Change at C6 D1 | Eating Related Items: Change at C6 D1 | Altered Bowel Habits: Change at C6 D1 | Jaundice: Change at C6 D1 | Body Image: Change at C6 D1 | Health Care Satisfaction: Change at C6 D1 | Sexual Functioning: Change at C6 D1 | Ascites: Change at C6 D1 | Indigestion: Change at C6 D1 | Flatulence: Change at C6 D1 | Cachexia: Change at C6 D1 | Side Effects: Change at C6 D1 | Fear of Future Health: Change at C6 D1 | Ability to Plan Future: Change at C6 D1 | Pancreatic Pain: Change at C7 D1 | Eating Related Items: Change at C7 D1 | Altered Bowel Habits: Change at C7 D1 | Jaundice: Change at C7 D1 | Body Image: Change at C7 D1 | Health Care Satisfaction: Change at C7 D1 | Sexual Functioning: Change at C7 D1 | Ascites: Change at C7 D1 | Indigestion: Change at C7 D1 | Flatulence: Change at C7 D1 | Cachexia: Change at C7 D1 | Side Effects: Change at C7 D1 | Fear of Future Health: Change at C7 D1 | Ability to Plan Future: Change at C7 D1 | Pancreatic Pain: Change at C8 D1 | Eating Related Items: Change at C8 D1 | Altered Bowel Habits: Change at C8 D1 | Jaundice: Change at C8 D1 | Body Image: Change at C8 D1 | Health Care Satisfaction: Change at C8 D1 | Sexual Functioning: Change at C8 D1 | Ascites: Change at C8 D1 | Indigestion: Change at C8 D1 | Flatulence: Change at C8 D1 | Cachexia: Change at C8 D1 | Side Effects: Change at C8 D1 | Fear of Future Health: Change at C8 D1 | Ability to Plan Future: Change at C8 D1 | Pancreatic Pain: Change at C9 D1 | Eating Related Items: Change at C9 D1 | Altered Bowel Habits: Change at C9 D1 | Jaundice: Change at C9 D1 | Body Image: Change at C9 D1 | Health Care Satisfaction: Change at C9 D1 | Sexual Functioning: Change at C9 D1 | Ascites: Change at C9 D1 | Indigestion: Change at C9 D1 | Flatulence: Change at C9 D1 | Cachexia: Change at C9 D1 | Side Effects: Change at C9 D1 | Fear of Future Health: Change at C9 D1 | Ability to Plan Future: Change at C9 D1 | Pancreatic Pain: Change at C10 D1 | Eating Related Items: Change at C10 D1 | Altered Bowel Habits: Change at C10 D1 | Jaundice: Change at C10 D1 | Body Image: Change at C10 D1 | Health Care Satisfaction: Change at C10 D1 | Sexual Functioning: Change at C10 D1 | Ascites: Change at C10 D1 | Indigestion: Change at C10 D1 | Flatulence: Change at C10 D1 | Cachexia: Change at C10 D1 | Side Effects: Change at C10 D1 | Fear of Future Health: Change at C10 D1 | Ability to Plan Future: Change at C10 D1 | Pancreatic Pain: Change at C11 D1 | Eating Related Items: Change at C11 D1 | Altered Bowel Habits: Change at C11 D1 | Jaundice: Change at C11 D1 | Body Image: Change at C11 D1 | Health Care Satisfaction: Change at C11 D1 | Sexual Functioning: Change at C11 D1 | Ascites: Change at C11 D1 | Indigestion: Change at C11 D1 | Flatulence: Change at C11 D1 | Cachexia: Change at C11 D1 | Side Effects: Change at C11 D1 | Fear of Future Health: Change at C11 D1 | Ability to Plan Future: Change at C11 D1 | Pancreatic Pain: Change at EoS | Eating Related Items: Change at EoS | Altered Bowel Habits: Change at EoS | Jaundice: Change at EoS | Body Image: Change at EoS | Health Care Satisfaction: Change at EoS | Sexual Functioning: Change at EoS | Ascites: Change at EoS | Indigestion: Change at EoS | Flatulence: Change at EoS | Cachexia: Change at EoS | Side Effects: Change at EoS | Fear of Future Health: Change at EoS | Ability to Plan Future: Change at EoS |
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Gemcitabine | 38.89 | 33.95 | 25.31 | 15.38 | 26.54 | 69.75 | 57.97 | 25.93 | 30.86 | 39.51 | 31.48 | 27.35 | 59.26 | 41.98 | -13.64 | -3.79 | -11.36 | -12.70 | -7.14 | -3.97 | 18.63 | -3.03 | -10.61 | -9.09 | -3.03 | -3.17 | 0.00 | -1.67 | -23.78 | -10.42 | -8.33 | -9.38 | -5.21 | 5.21 | -4.44 | -4.17 | -15.56 | 6.25 | 5.21 | -7.64 | -2.22 | -12.50 | -14.10 | 5.13 | 3.85 | -11.11 | 8.97 | -8.97 | -2.78 | 2.56 | -2.56 | -2.56 | -3.85 | -3.24 | 5.13 | -5.13 | -18.52 | -7.41 | -14.81 | -20.37 | -11.11 | 7.41 | 1.85 | -11.11 | -25.93 | -11.11 | -5.56 | -11.73 | 14.81 | -11.11 | -12.50 | 8.33 | -8.33 | -16.67 | 0.00 | -25.00 | -20.83 | -8.33 | -16.67 | -8.33 | -20.83 | -22.22 | 0.00 | 16.67 | -16.67 | 8.33 | 25.00 | -41.67 | -25.00 | -33.33 | -41.67 | 0.00 | 0.00 | -16.67 | -8.33 | -22.22 | -16.67 | 33.33 | -25.00 | 16.67 | -33.33 | -83.33 | 16.67 | -33.33 | 0.00 | 0.00 | 0.00 | -33.33 | -16.67 | 0.00 | 33.33 | 66.67 | -16.67 | 0.00 | -50.00 | -66.67 | 0.00 | -33.33 | 0.00 | 33.33 | 0.00 | 0.00 | 0.00 | 0.00 | 33.33 | 33.33 | -16.67 | 0.00 | -50.00 | -83.33 | 0.00 | -33.33 | -33.33 | 33.33 | 0.00 | 0.00 | 16.67 | 11.11 | 33.33 | 33.33 | -8.33 | 33.33 | -16.67 | -83.33 | 16.67 | -16.67 | -33.33 | 33.33 | 0.00 | 0.00 | 16.67 | 11.11 | 33.33 | 66.67 | 0.00 | 0.00 | 0.00 | 0.00 | -16.67 | 33.33 | 33.33 | 33.33 | 33.33 | 0.00 | 0.00 | -11.11 | -33.33 | 33.33 |
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Time to Reach Maximum Observed Plasma Concentration (Tmax) of Axitinib (AG-013736)
Tmax was based on the actual time points when the samples were collected. (NCT00219557)
Timeframe: 0 (pre-dose), 0.5, 1, 1.5, 2, 3.5, 4.5, 9.5, and 12.5 hr post-dose on Day 15 of Phase 1 Cycle 1
Intervention | hr (Median) |
---|
Axitinib + Gemcitabine (Phase 1 Lead-In) | 1.52 |
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Progression-free Survival (PFS)
"Time in days from randomization to first documentation of objective tumor progression or death due to any cause. PFS was calculated as first event date minus the date of randomization plus 1. 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)." (NCT00219557)
Timeframe: Phase 2 baseline until the date of first documented progression or death due to any cause, assessed every 8 weeks up to 80 weeks
Intervention | Days (Number) |
---|
Axitinib + Gemcitabine | 116 |
Gemcitabine | 113 |
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Plasma Decay Half-life (t1/2) of Gemcitabine
Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. (NCT00219557)
Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 9 and 12 hr after start of infusion on Day 15 of Phase 1 Cycle 1
Intervention | hr (Mean) |
---|
Axitinib + Gemcitabine (Phase 1 Lead-In) | 0.310 |
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Plasma Decay Half-life (t1/2) of Axitinib (AG-013736)
Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. (NCT00219557)
Timeframe: 0 (pre-dose), 0.5, 1, 1.5, 2, 3.5, 4.5, 9.5, and 12.5 hr post-dose on Day 15 of Phase 1 Cycle 1
Intervention | hr (Mean) |
---|
Axitinib + Gemcitabine (Phase 1 Lead-In) | 2.97 |
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Percentage of Participants With Overall Response (OR)
Percentage of participants with OR based assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). Confirmed responses 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 of longest dimensions. (NCT00219557)
Timeframe: Phase 2 baseline to disease progression or discontinuation from study, assessed every 8 weeks up to 80 weeks
Intervention | Percentage of Participants (Number) |
---|
Axitinib + Gemcitabine | 7.2 |
Gemcitabine | 2.9 |
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One Year Survival Probability
One year survival probability was defined as the probability of survival at one year after the date of randomization based on the Kaplan Meier estimate. (NCT00219557)
Timeframe: Phase 2 baseline to disease progression or death due to any cause or at least 1 year after the first dose for the last participant
Intervention | Percent chance of survival (Number) |
---|
Axitinib + Gemcitabine | 36.81 |
Gemcitabine | 23.53 |
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Maximum Observed Plasma Concentration (Cmax) of Gemcitabine
(NCT00219557)
Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 9 and 12 hr after start of infusion on Day 15 of Phase 1 Cycle 1
Intervention | ng/mL (Mean) |
---|
Axitinib + Gemcitabine (Phase 1 Lead-In) | 27280.0 |
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Number of Participants Determined to be Resectable (Eligible for Surgery)After Completion of Therapy
Tumor resectability is based on CT scan and as defined by the American Hepato-Pancreato-Biliary Association Convened Consensus Conference on Resectable and Borderline Resectable Pancreatic Cancer (Callery MP, et al. Ann Surg Oncol 2009; 16:1727-1733): no evidence of superior mesenteric vein (SMV) or portal vein (PV)abutment, distortion, tumor thrombus, or venous encasement, and clear fat planes around celiac axis (CA), hepatic artery (HA), and superior mesenteric artery (SMA). (NCT00225784)
Timeframe: 1 month after completion of treatment
Intervention | participants (Number) |
---|
Cetuximab, Gemcitabine, Radiotherapy | 26 |
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Role of Epidermal Growth Factor Receptor (EGFR) Status in Response to Treatment.
Tumor was assessed for EGFR status by immunohistochemistry. EGFR positive and EGRF negative tumor types were evaluated and compared for response to treatment. (NCT00225784)
Timeframe: One month post-therapy
Intervention | percent (Number) |
---|
Cetuximab, Gemcitabine, Radiotherapy in EGFR (-) Tumors | 33 |
Cetuximab, Gemcitabine, Radiotherapy in EGFR (+) Tumors | 29 |
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Objective Response of Tumor by RECIST 1.0 Criteria
Per RECIST Criteria (v. 1.0) and assessed by CT scan: Complete Response (CR), disappearance of all target lesions; Partial Response (PR), >=30% decrease in sum of the longest diameter (SLD)of target lesions at baseline; Progressive Disease (PD), >=20% increase in the SLD of target lesions at baseline; Stable Disease (SD), Neither sufficient decrease in SLD to qualify for PR nor sufficient increase in SLD to qualify for PD. (NCT00225784)
Timeframe: one month post-therapy
Intervention | participants (Number) |
---|
| partial response | stable disease | progressive disease |
---|
Cetuximab, Gemcitabine, Radiotherapy | 10 | 20 | 3 |
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Pattern of Failure After Therapy
Local recurrence, distant recurrence, or both. (NCT00225784)
Timeframe: Five years post treatment
Intervention | participants (Number) |
---|
| number of participants with local recurrence only | number of ppts. with local and distant recurrence | number of ppts. with distant disease recurrence | number of ppts. without recurrence or unknown |
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Cetuximab, Gemcitabine, Radiotherapy | 2 | 1 | 17 | 5 |
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Disease-Free Survival After Therapy
Time to disease progression after therapy. (NCT00225784)
Timeframe: Five years post treatment
Intervention | months (Median) |
---|
Cetuximab, Gemcitabine, Radiotherapy | 9.1 |
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Number of Participants Assessed for Adverse Events
Adverse events assessed using Common Terminology Criteria for Adverse Events version 3.0 (NCT00225784)
Timeframe: Participants were followed during treatment and for 30 days after completion of treatment
Intervention | participants (Number) |
---|
Cetuximab, Gemcitabine, Radiotherapy | 37 |
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Overall Length of Survival After Therapy
Length of survival after therapy in all participants enrolled. (NCT00225784)
Timeframe: Five years post treatment
Intervention | months (Median) |
---|
Cetuximab, Gemcitabine, Radiotherapy | 17.3 |
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Disease Response - Pathologic
Number of participants with Pathologic Complete Response. Pathologic complete response (pCR) is defined by a surgical pathology specimen, which consists of equal to or more than 95% fibrosis and necrosis. (NCT00226577)
Timeframe: 06/20/2008 Index date for patients enrolled between 04/2004 and 04/2006
Intervention | participants (Number) |
---|
Pre-Surgery Chemotherapy | 13 |
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Survival - Disease Free
Disease-free survival (DFS) is defined as the period of time from surgery to the time when disease recurrence is clearly documented. A histologic confirmation is required in equivalent cases. (NCT00226577)
Timeframe: 06/20/2008 Index date for patients enrolled between 04/2004 and 04/2006
Intervention | months (Median) |
---|
Pre-Surgery Chemotherapy | 33.7 |
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Survival - Overall
Median range of number of participants with Overall Survival. Overall survival (OS) will be defined as the period of time from the first day of drug treatment to the date of death of the patient. Patients taken off study will be followed quarterly until death for survival data. (NCT00226577)
Timeframe: 06/20/2008 Index date for patients enrolled between 04/2004 and 04/2006
Intervention | months (Median) |
---|
Pre-Surgery Chemotherapy | 27.8 |
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Disease Response - Radiographic
"Number of participants with partial or Complete Response. Complete response (CR) is defined as the total disappearance of all malignant and evaluable clinical evidence of cancer without the development of any new malignant lesions documented on the post chemotherapy chest CT and PET scan.~Partial response (PR) (measurable disease only): When compared with pre-treatment measurements, a reduction of >30% in the sum of the largest diameters of all measurable lesions and absence of new lesions." (NCT00226577)
Timeframe: 06/20/2008 Index date for patients enrolled between 04/2004 and 04/2006
Intervention | participants (Number) |
---|
| Complete Remission | Partial Remission |
---|
Pre-Surgery Chemotherapy | 1 | 16 |
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Toxicity
Number of participants with toxicity ≥ Grade 3 after gemcitabine plus pemetrexed induction chemotherapy. (NCT00226577)
Timeframe: 06/20/2008 Index date for patients enrolled between 04/2004 and 04/2006
Intervention | participants (Number) |
---|
Pre-Surgery Chemotherapy | 18 |
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Treatment Completion
The number of participants who completed all treatment on schedule without dose reductions or delays. (NCT00226590)
Timeframe: Ranging from 2 weeks up to 4 years, 9 months
Intervention | participants (Number) |
---|
Combination Therapy | 19 |
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Progression Free Survival
To determine median Progression Free Survival rate. Progression-free survival (PFS) is defined as the interval between the date of the first chemotherapy administration and the date of objective progression or death. Progression was evaluated using the new international criteria proposed by the Response Evaluation Criteria in Solid Tumors (RECIST) Committee. (NCT00226590)
Timeframe: Ranging from 2 weeks up to 4 years, 9 months
Intervention | months (Median) |
---|
Combination Therapy | 22.7 |
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Overall Survival
To determine median Overall Survival rate (NCT00226590)
Timeframe: Ranging from 2 weeks up to 4 years, 9 months
Intervention | months (Median) |
---|
Combination Therapy | 14.3 |
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Number of Participants Whose Response Allowed Them to Proceed to Chemoradiation
Response Rates - Complete Response (CR) + Partial Response (PR): We determined the number of participants whose response (both CT and PET assessment) to two cycles of induction chemotherapy with gemcitabine and carboplatin allowed them to proceed to chemoradiation. Response was evaluated using the new international criteria proposed by the Response Evaluation Criteria in Solid Tumors (RECIST) Committee. (NCT00226590)
Timeframe: Ranging from 2 weeks up to 4 years, 9 months
Intervention | participants (Number) |
---|
Induction Therapy | 38 |
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Response Rate to the Combination of Gemcitabine and Docetaxel in Patients With Platinum Sensitive and Resistant Epithelial Ovarian or Peritoneal Cancer.
(NCT00227721)
Timeframe: Disease status by Response Evaluation Criteria In Solid Tumors Criteria (RECIST) or Gynecological Cancer Intergroup (GCIG) CA-125 criteria was assessed every two cycles from enrollment up to progression, death, or five years (whichever occurred first).
Intervention | percentage of participants with CR or PR (Number) |
---|
Docetaxel & Gemcitabine Hydrochloride | 62 |
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Progression-free Survival
Progression-free survival estimated using Kaplan-Meier's product-limit method. (NCT00227721)
Timeframe: Every two cycles until disease progression or death, assessed up to 5 years
Intervention | months (Median) |
---|
Docetaxel & Gemcitabine Hydrochloride | 7.2 |
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Recurrence-free Survival (RFS)
Recurrence-free Survival is defined as time from registration to first instance of disease recurrence, or death due to any cause. (NCT00234039)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
Intravesical Gemcitabine | 28 |
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Overall Survival (OS)
Measured from the day of registration to death due to any cause. Survival is censored at date of last contact. (NCT00234039)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
Intravesical Gemcitabine | 98 |
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Complete Response Rate at the End of Induction
Complete Response is defined as negative cystoscopy with negative biopsy and no evidence of cancer on urine cytology at the Week 8 - 12 cystoscopy (NCT00234039)
Timeframe: Week 8-12, then every 3 months for the first 2 years, and then every 6 months for the years 3-5
Intervention | percentage of participants (Number) |
---|
Intravesical Gemcitabine | 46 |
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Estimate Response Rates
To estimate rate of partial response (PR), complete response (CR) and overall response (PR plus CR). (NCT00234494)
Timeframe: 36 months
Intervention | percentage of participants (Number) |
---|
| complete reponse | partial reponse | overall response |
---|
Single Group Assignment | 19 | 53 | 72 |
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Progression Free Survival
- To determine the progression free survival of patients with metastatic transitional cell cancer treated with cisplatin, gemcitabine and bevacizumab. (NCT00234494)
Timeframe: 36 months
Intervention | months (Median) |
---|
Single Group Assignment | 8.2 |
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Overall Survival Time
To estimate overall survival time in months. (NCT00234494)
Timeframe: 36 months
Intervention | months (Median) |
---|
Single Group Assignment | 19.1 |
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Overall Response Rate (ORR) by Treatment Schedule
Response 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 do not meet above criteria. Not Available=participants assessed whose data were not available. Not Assessed=participants who did not participate in assessments. The ORR=sum of complete and partial tumor responses observed, divided by the total number of evaluable participants. (NCT00236899)
Timeframe: Baseline up to 49.84 months
Intervention | percentage of responses (Number) |
---|
| ORR (Complete Response or Partial Response) | Complete Response | Partial Response | Stable Disease | Progressive Disease | Not Available | Not Assessed |
---|
Treatment Schedule (3 Weekly) | 33.06 | 5.65 | 27.42 | 40.32 | 12.90 | 1.61 | 12.10 |
,Treatment Schedule (Weekly) | 50.43 | 6.84 | 43.59 | 23.93 | 21.37 | 0.85 | 3.42 |
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Time to Progressive Disease (TTPD) by Treatment Schedule
"TTPD is defined as the time from the day of treatment to first observation of documented disease progression or death due to any cause, whichever comes first. TTPD was censored at the time of last follow-up for patients who were still alive without progression. Tumor response was assessed in cancer patients by using Response Evaluation Criteria in Solid Tumors (RECIST), which define when cancer patients improve (respond), stay the same (stabilize), or worsen (progression) during treatments. Progressive Disease is a ≥20% increase in sum of longest diameter of target lesions." (NCT00236899)
Timeframe: Baseline up to 49.84 months
Intervention | months (Median) |
---|
Treatment Schedule (Weekly) | 8.33 |
Treatment Schedule (3 Weekly) | 7.51 |
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Time to Progressive Disease (TTPD) by Treatment Drug
"TTPD is defined as the time from the day of treatment to first observation of documented disease progression or death due to any cause, whichever comes first. TTPD was censored at the time of last follow-up for patients who were still alive without progression. Tumor response was assessed in cancer patients by using Response Evaluation Criteria in Solid Tumors (RECIST), which define when cancer patients improve (respond), stay the same (stabilize), or worsen (progression) during treatments. Progressive Disease is a ≥20% increase in sum of longest diameter of target lesions." (NCT00236899)
Timeframe: Baseline up to 49.84 months
Intervention | months (Median) |
---|
Treatment Drug (Docetaxel) | 7.74 |
Treatment Drug (Paclitaxel) | 7.80 |
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Overall Survival (OS) by Treatment Schedule
OS is the duration from enrollment to time of death as a result of any cause. For participants who are alive, OS is censored at the last contact (date of the last follow-up visit). (NCT00236899)
Timeframe: Baseline up to 51.64 months
Intervention | months (Mean) |
---|
Treatment Schedule (Weekly) | 21.11 |
Treatment Schedule (3 Weekly) | 20.95 |
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Number of Participants With Serious and Nonserious Adverse Events (AEs)
Summary tables of serious adverse events (SAEs) and all other nonserious AEs are located in the Reported Adverse Event Module. (NCT00236899)
Timeframe: Baseline up to 51.64 months
Intervention | participants (Number) |
---|
| SAEs | Nonserious AEs |
---|
Arm A: Docetaxel and Gemcitabine (Tri-weekly) | 9 | 57 |
,Arm B: Paclitaxel and Gemcitabine (Tri-weekly) | 10 | 58 |
,Arm C: Docetaxel and Gemcitabine (Weekly) | 7 | 53 |
,Arm D: Paclitaxel and Gemcitabine (Weekly) | 11 | 56 |
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Overall Survival (OS) by Treatment Drug
OS is the duration from enrollment to time of death as a result of any cause. For participants who are alive, OS is censored at the last contact (date of the last follow-up visit). (NCT00236899)
Timeframe: Baseline up to 51.64 months
Intervention | months (Median) |
---|
Treatment Drug (Docetaxel) | 19.11 |
Treatment Drug (Paclitaxel) | 23.80 |
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Quality of Life (QOL) Using the Rotterdam Symptom Scale Checklist (RSSC) at Beginning of 3-Week or 4-Week Cycle
RSSC is a valid and reliable measure of psychological and physical distress of cancer patients. Overall QOL is assessed on a 7-point scale (1=Excellent to 7=Extremely Poor). Categories include Excellent, Good, Moderately Good, Neither Good nor Bad, Rather Poor, Poor, and Extremely Poor. Number of responses to the overall QOL by treatment arm are provided. Arms A (Docetaxel and Gemcitabine 3 Weekly) and B (Paclitaxel and Gemcitabine 3 Weekly) were assessed every 3 weeks. Arms C (Docetaxel and Gemcitabine Weekly) and D (Paclitaxel and Gemcitabine Weekly) were assessed every 4 weeks. (NCT00236899)
Timeframe: Baseline up to 51.64 months
Intervention | participants (Number) |
---|
| 1=Excellent | 2=Good | 3=Moderately Good | 4=Neither Good Nor Bad | 5=Rather Poor | 6=Poor | 7=Extremely Poor | No Response |
---|
Arm A: Docetaxel and Gemcitabine (Tri-weekly) | 3 | 13 | 6 | 6 | 2 | 0 | 0 | 30 |
,Arm B: Paclitaxel and Gemcitabine (Tri-weekly) | 1 | 13 | 8 | 7 | 3 | 3 | 3 | 26 |
,Arm C: Docetaxel and Gemcitabine (Weekly) | 2 | 9 | 9 | 6 | 3 | 7 | 0 | 22 |
,Arm D: Paclitaxel and Gemcitabine (Weekly) | 4 | 5 | 9 | 7 | 6 | 2 | 1 | 25 |
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Quality of Life (QOL) Using the Rotterdam Symptom Scale Checklist (RSSC) at 30-Day Post-therapy Visit
RSSC is a valid and reliable measure of psychological and physical distress of cancer patients. Overall QOL is assessed on a 7-point scale (1=Excellent to 7=Extremely Poor). Categories include Excellent, Good, Moderately Good, Neither Good nor Bad, Rather Poor, Poor, and Extremely Poor. Number of responses to the overall QOL (using the 7-point scale) by treatment arm are provided. (NCT00236899)
Timeframe: Baseline up to 51.64 months
Intervention | participants (Number) |
---|
| 1=Excellent | 2=Good | 3=Moderately Good | 4=Neither Good Nor Bad | 5=Rather Poor | 6=Poor | 7=Extremely Poor | No Response |
---|
Arm A: Docetaxel and Gemcitabine (Tri-weekly) | 0 | 7 | 2 | 3 | 0 | 2 | 1 | 45 |
,Arm B: Paclitaxel and Gemcitabine (Tri-weekly) | 0 | 7 | 6 | 6 | 1 | 0 | 0 | 44 |
,Arm C: Docetaxel and Gemcitabine (Weekly) | 0 | 2 | 3 | 0 | 1 | 1 | 2 | 49 |
,Arm D: Paclitaxel and Gemcitabine (Weekly) | 0 | 4 | 2 | 3 | 1 | 2 | 0 | 47 |
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Overall Response Rate(ORR) by Treatment Drug
Response 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 do not meet above criteria. Not Available=participants assessed whose data were not available. Not Assessed=participants who did not participate in assessments. The ORR=sum of complete and partial tumor responses observed, divided by the total number of evaluable participants. (NCT00236899)
Timeframe: Baseline up to 49.84 months
Intervention | percentage of responses (Number) |
---|
| ORR (Complete Response or Partial Response) | Complete Response | Partial Response | Stable Disease | Progressive Disease | Not Available | Not Assessed |
---|
Treatment Drug (Docetaxel) | 43.2 | 5.08 | 38.14 | 32.20 | 17.80 | 0.85 | 5.93 |
,Treatment Drug (Paclitaxel) | 39.8 | 7.32 | 32.52 | 32.52 | 16.26 | 1.63 | 9.76 |
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Objective Response Rate by RECIST Criteria Following
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. (NCT00244933)
Timeframe: every 2 courses until disease progression or death, up to 24 weeks
Intervention | participants (Number) |
---|
Gemcitabine & Genistein | 0 |
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Percentage of Participants With Reduction in Grade 3/4 Neutropenia
Reduction grade 3/4 neutropenia (NCT00247416)
Timeframe: continuous throughout treatment, up to 25 weeks
Intervention | percentage of participants (Number) |
---|
Arm 1, Control, no Dexamethasone Pretreatment | 40 |
Arm 2, Dexamethasone Pretreatment Test Arm | 13 |
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Progression-free Survival
progression-free survival (NCT00247416)
Timeframe: Pre-treatment, pre-cycles 3 & 5,4 weeks after last treatment, and every 3 months, an average of 471 days
Intervention | days (Median) |
---|
Arm 1, Control, no Dexamethasone Pretreatment | 101 |
Arm 2, Dexamethasone Pretreatment Test Arm | 122 |
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Effect of Dexamethasone Pre-treatment on Overall Survival.
Overall survival (NCT00247416)
Timeframe: Pre-treatment, pre-cycles 3 & 5,4 weeks after last treatment, every 3 months, an average of 471 days
Intervention | days (Median) |
---|
Arm 1, Control, no Dexamethasone Pretreatment | 291 |
Arm 2, Dexamethasone Pretreatment Test Arm | 378 |
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Effect of Dexamethasone Pre-treatment on 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. (NCT00247416)
Timeframe: Pre-treatment, pre-cycles 3 & 5, and up to 4 weeks after last treatment
Intervention | percentage of responders out of total (Number) |
---|
1 No Dex | 8 |
2 Dex | 26 |
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Response Duration
Response duration in months (NCT00248560)
Timeframe: Every 8 weeks
Intervention | months (Median) |
---|
Gemcitabine, Docetaxel | 3.2 |
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Survival
Overall Survival using the Kaplan-Meier method (NCT00248560)
Timeframe: Every 8 weeks
Intervention | months (Median) |
---|
Gemcitabine, Docetaxel | 4.2 |
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Toxicity as Measured by Number and Grade of Adverse Events
Toxicity as the total number of participants with a given grade 3 and/or grade 4 adverse event (NCT00248560)
Timeframe: Every 2 weeks
Intervention | participants (Number) |
---|
| Anemia | Neutropenia | Hyponatremia | Dehydration | Fatigue | Dyspnea | Pneumonia | Thrombocytopenia | Febrile neutropenia | Tachycardia | Syncope | Fluid retention | Mucositis | Hyperglycemia | Constipation | Anorexia | Vomiting | Other non-hematologic toxicity |
---|
Gemcitabine, Docetaxel | 13 | 10 | 10 | 3 | 3 | 3 | 3 | 2 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
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Response (Complete Response [CR] + Partial Response [PR])
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. (NCT00248560)
Timeframe: every 8 weeks for approximately 8 - 48 weeks
Intervention | participants (Number) |
---|
Gemcitabine, Docetaxel | 6 |
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Response Rate After 2 Courses of Therapy
Response was evaluated after two cycles of therapy using the 1999 Cheson response criteria. All responses were based on CT scans. The criteria that were developed include anatomic definitions of response, with normal lymph node size after treatment of 1.5 cm in the longest transverse diameter by computer-assisted tomography scan. A designation of complete response/unconfirmed was adopted to include patients with a greater than 75% reduction in tumor size after therapy but with a residual mass, to include patients-especially those with large-cell NHL-who may not have residual disease. For patients who had FDG-PET imaging, metabolic response was defined as a decrease in the standardized uptake value in target lesions (regions of abnormal FDG uptake on pretreatment FDG-PET images) to below three on posttreatment FDG-PET imaging). All PET scans were reviewed and interpreted by a single radiologist (SV). (NCT00262860)
Timeframe: 21 Days/course for up to 2 courses
Intervention | participants (Number) |
---|
Bortezomib, Gemcitabine Hydrochloride | 4 |
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Change in Proteasome Activity Compared to Baseline (Cycle 2)
Peripheral blood (40 ml) was collected at baseline and 1-2 weeks after cycle 2, day 11 post-bortezomib treatment. The samples were refrigerated at 4C and processed within 36 h of collection. Frozen cell lysates were thawed and the proteasome activity in 10 microliters was determined using a spectroflourometric 20S proteasome assay kit. Samples were run in triplicate on two separate days. The percent change between baseline and 2 hrs (day1, cycle 1) was calculated. (NCT00262860)
Timeframe: baseline and 1-2 weeks after cycle 2, day 11
Intervention | percentage of change in proteosome activ (Median) |
---|
Bortezomib, Gemcitabine Hydrochloride | -57 |
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Change in Proteasome Activity Compared to Baseline (Cycle 1)
Peripheral blood (40 ml) was collected on cycle 1, day 1 of prebortezomib at baseline and 2 hrs post-bortezomib treatment. The samples were refrigerated at 4C and processed within 36 h of collection. Frozen cell lysates were thawed and the proteasome activity in 10 microliters was determined using a spectroflourometric 20S proteasome assay kit. Samples were run in triplicate on two separate days. The percent change between baseline and 2 hrs (day1, cycle 1) was calculated. (NCT00262860)
Timeframe: baseline to 2 hours
Intervention | Percentage of change in proteosome activ (Median) |
---|
Bortezomib, Gemcitabine Hydrochloride | -50 |
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Progression Free Survival (PFS)
Interval between date of randomization and earliest date of objective disease progression per RECIST criteria or death due to any cause in the absence of progression (NCT00264498)
Timeframe: Date of randomization to earliest date of objective disease progression
Intervention | Days (Mean) |
---|
Active Comparator | 131.0 |
Experimental | 42.0 |
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Overall Survival (OS)
OS was the duration from randomization to death. OS was censored at the last contact for participants who were alive, at the cut-off date. (NCT00267020)
Timeframe: Randomization to the date of death from any cause up to 27.7 months
Intervention | months (Median) |
---|
Enzastaurin+Gemcitabine | 5.6 |
Gemcitabine | 5.1 |
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Relationship of Steady-state Drug Levels to Best Overall Response of Complete Response (CR), Partial Response (PR), or Stable Disease (SD) (Disease Control)
"The overall disease control rate was calculated as percent of participants with overall response of complete response (CR), partial response (PR) or stable disease (SD) over number of per-protocol population. Using the Response Evaluation Criteria in Solid Tumors (RECIST v1.0) criteria, CR: disappearance of all target and non-target lesions; PR: as at least a 30% decrease in sum of longest diameter (LD) of target lesions; progressive disease (PD) was defined as at least 20% increase in sum of LD of target lesions; SD: small changes that did not meet above criteria.~Participants were categorized into 2 groups based on their steady state drug levels of Enzastaurin (total analyte=enzastaurin + LSN326020 [metabolite]): participants below the median and participants above the median [2754.521 nanomoles per liter (nmol/l)].~The steady state drug levels and clinical outcomes were not evaluated for the Gemcitabine only group." (NCT00267020)
Timeframe: Beginning of treatment up to 27.7 months
Intervention | percentage of participants (Number) |
---|
| CR (Below median) | CR (Above median) | PR (Below median) | PR (Above median) | SD (Below median) | SD (Above median) | PD (Below median) | PD (Above median) | Disease Control (Below median) | Disease Control (Above median) |
---|
Enzastaurin+Gemcitabine | 3.6 | 0.0 | 17.9 | 3.6 | 57.1 | 39.3 | 14.3 | 32.1 | 78.6 | 42.9 |
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Duration of Response
The duration of a complete response (CR) or partial response (PR) was defined, using the Response Evaluation Criteria in Solid Tumors (RECIST v1.0) criteria, as the time from first objective status assessment of CR or PR to the first time of disease progression or death as a result of any cause. Using the Response Evaluation Criteria in Solid Tumors (RECIST V1.0) criteria, 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 LD. Duration of response was censored at the date of the last assessment visit for responders who were still alive at data cut-off and had no documented progressive disease (PD). (NCT00267020)
Timeframe: Time of response to PD or death from any cause up to 19.9 months
Intervention | months (Median) |
---|
Enzastaurin+Gemcitabine | 4.6 |
Gemcitabine | 9.2 |
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Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Response Rate)
"Response rate was defined as percentage of responders (best study response recorded as CR or PR) from the qualified number of participants for tumor response analysis. Response defined using Response Evaluation Criteria In Solid Tumors (RECIST, v1.0) criteria: CR was disappearance of all target lesions for at least 4 weeks. PR was at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum of LD.~Percentage of participants was calculated as: (The number of responders with CR or PR/ The number of participants qualified for tumor response analysis) × 100." (NCT00267020)
Timeframe: Randomization to measured progressive disease (PD) up to 19.9 months
Intervention | percentage of participants (Number) |
---|
| CR | PR |
---|
Enzastaurin+Gemcitabine | 1.2 | 7.4 |
,Gemcitabine | 0 | 5.3 |
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Number of Participants Experiencing Serious Adverse Events (SAEs) and Adverse Events (AEs) (Toxicity)
Clinically significant events were defined as SAEs and other non-serious adverse events (AEs). Participants who died due to progressive disease (PD), AEs while on treatment or died during the 30 day post-treatment are included. A summary of SAEs and other non-serious AEs regardless of causality is located in the Reported Adverse Events module. (NCT00267020)
Timeframe: Baseline through study completion (Up To 27.7 Months)
Intervention | Participants (Count of Participants) |
---|
| Non-serious AEs | SAEs | Deaths due to PD | Deaths due to AEs | Deaths within 30-days after treatment |
---|
Enzastaurin+Gemcitabine | 80 | 49 | 3 | 4 | 3 |
,Gemcitabine | 38 | 23 | 1 | 1 | 1 |
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Change in Scores From Baseline (Improved, Stable or Worsened) to End of Study in Functional Assessment of Cancer Therapy Hepatobiliary Version 4 ( FACT-Hep v.4) (Quality of Life (QOL))
"FACT-Hep consists of 45 items in five subscales (1) physical well-being (PWB) score rage 0 -28; (2) social well-being (SWB) score range 0-28; (3) emotional well-being (EWB) score range 0-24; (4) functional well-being (FWB) score range 0-28; and (5) the hepatobiliary cancer subscale (HCS) Score range 0-72. The Trial Outcomes Index (TOI) is the sum of the PWB, FWB and Hep subscales with a scores range of 0 to 128. The Total FACT-Hep score was the sum of all questions with a scores range of 0 to 180. The Total FACT-G score was the sum of the 27 questions in the PWB, SFWB, EWB and FWB with a scores range of 0 to 108. The FACT-Hep Symptoms Index with 8 key questions and scores range of 0 to 32 from the Hep Subscale. Higher score in sub-score or total score indicates better QOL and better health state. Participants were classified as Improved if they had positive change from baseline, Worsened if they had negative change from baseline, and Stable otherwise." (NCT00267020)
Timeframe: Baseline through end of study up to 27.7 months
Intervention | units on a scale (Mean) |
---|
| Physical well-being- Improved | Physical well-being- Stable | Physical well-being- Worsened | Social well-being- Improved | Social well-being- Stable | Social well-being- Worsened | Emotional well-being- Improved | Emotional well-being- Stable | Emotional well-being- Worsened | Functional well-being- Improved | Functional well-being- Stable | Functional well-being- Worsened | Hepatobiliary cancer subscale- Improved | Hepatobiliary cancer subscale- Stable | Hepatobiliary cancer subscale- Worsened | Total Outcome Index- Improved | Total outcome index- Stable | Total outcome index- Worsened | Total FACT-Hep score- Improved | Total FACT-Hep score- Stable | Total FACT-Hep score- Worsened | Total FACT-G-score- Improved | Total FACT-G-score- Stable | Total FACT-G-score- Worsened | FACT Hep Symptoms Index- Improved | FACT Hep Symptoms Index- Stable | FACT Hep Symptoms Index- Worsened |
---|
Enzastaurin+Gemcitabine | 7.2 | 0.3 | -10.0 | 3.8 | 0.1 | -6.5 | 6.9 | 0 | -5.8 | 6.8 | -0.2 | -10.6 | 12.7 | 0.5 | -14.6 | 21.4 | -1.6 | -35.9 | 30.0 | -1.2 | -37.9 | 19.1 | -0.5 | -20.1 | 7.4 | 0.5 | -7.0 |
,Gemcitabine | 6.5 | 0.8 | -7.8 | 4.7 | -0.6 | -5.5 | 6.7 | -0.1 | -8.2 | 6.5 | -1.1 | -8.5 | 12.0 | 0.7 | -10.0 | 19.0 | -1.3 | -23.0 | 27.5 | 0 | -26.6 | 24.1 | -0.6 | -21.2 | 6.3 | 0.1 | -7.0 |
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Carbohydrate Antigen 19-9 (CA 19-9) Concentration in the Blood
CA19-9 is a tumor biomarker which was measured in the blood to assess the effect of treatment with enzastaurin. (NCT00267020)
Timeframe: Cycles 1 to 6, and post-treatment (up to 27.7 months)
Intervention | kilo units/liter (kU/L) (Mean) |
---|
| Cycle 1 | Cycle 2 | Cycle 3 | Cycle 4 | Cycle 5 | Cycle 6 | Post-treatment 1st visit | Post-treatment 2nd visit |
---|
Enzastaurin+Gemcitabine | 31708.5 | 12828.4 | 24709.5 | 37261.0 | 392.3 | 600.9 | 19420.5 | 19557.7 |
,Gemcitabine | 12038.6 | 40764.9 | 1573.0 | 1102.7 | 403.1 | 938.5 | 11351.3 | 93955.9 |
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Progression Free Survival (PFS)
PFS was defined as the time from the date of randomization to the first date of documented progressive disease (PD) or death due to any cause, whichever occurred first. PFS was censored at the date of the last assessment visit for participants who were still alive at data cut-off and who had not had documented progressive disease. Participants who started a new treatment before progression were censored as of the date of the start of new treatment. (NCT00267020)
Timeframe: Randomization to measured PD or death from any cause up to 21.6 months
Intervention | months (Median) |
---|
Enzastaurin+Gemcitabine | 3.4 |
Gemcitabine | 3.0 |
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Relationship of Steady-State Drug Levels to Clinical Outcomes of Overall Survival (OS)
OS was the duration from randomization to death from any cause. For participants who were alive at data cut-off, OS was censored at the last contact. Participants were categorized into 2 groups based on their steady state drug levels of Enzastaurin (total analyte=enzastaurin + LSN326020 [metabolite]): those participants below the median and those participants above the median [2786.042 nanomoles per /liter (nmol/l)]. The steady state drug levels and clinical outcomes were not evaluated for the Gemcitabine only treatment group. (NCT00267020)
Timeframe: Randomization to date of death from any cause up to 27.7 months
Intervention | months (Median) |
---|
| Below median | Above median |
---|
Enzastaurin+Gemcitabine | 7.2 | 5.6 |
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Determine the Antitumor Activity of Gemcitabine/Carboplatin/Bevacizumab Regimen as Measured by the Probability of Surviving Progression-free for at Least 6 Months or Responding.
Progression-free survival (PFS) by RECIST, and safety. RECIST verison 1.0 was used for the assessment of progression and was based on radiologic evaluation. (NCT00267696)
Timeframe: up to 6 months
Intervention | months (Median) |
---|
Gemcitabine/Carboplatin/Bevacizumab | 13.3 |
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Overall Survival for Patients Treated With the Regimen.
The period of time from study entry until disease progression or date of last contact. (NCT00267696)
Timeframe: To progression of Disease
Intervention | months (Median) |
---|
Gemcitabine/Carboplatin/Bevacizumab | 36.1 |
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Complete Response Rate
Assumptions/ hypothesis: A Complete Response (CR) rate of 30% or less is unacceptable, and 50% or more is promising. A two-stage design will be used. Initially, 18 patients will be enrolled. If 5 or fewer achieve CR, the study will be stopped. Otherwise, an additional 22 patients will be accrued. Accrual was not halted while follow-up of the first 18 evaluable patients was under way. Therefore, 24 patients were enrolled. Four weeks is anticipated for observation for response. Only 5 patients (21%) achieved a CR and therefore, the study was terminated. Since response was assessed using the International Working Group criteria, a complete response was determined by Morphologic complete remission: A CR designation requires that the patient achieve the morphologic leukemia-free state and have an absolute neutrophil count of more than 1,000/μL and platelets of ≥ 100,000/μL, a cytogenic CR and a morphologic CR with incomplete blood count recovery (CRi). (NCT00268242)
Timeframe: 4 Weeks
Intervention | participants (Number) |
---|
Gemcitabine + Mitoxantrone | 5 |
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Percentage of Patients Making it to Bone Marrow Transplant.
Assessing the number of patients who were able to have protocol treatment and have a bone marrow transplant after treatment. (NCT00268242)
Timeframe: After completion of protocol therapy
Intervention | percentage of Patients completed a BMT (Number) |
---|
Gemcitabine + Mitoxantrone | 8 |
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White Blood Cell Count at Time of Relapse
(NCT00268242)
Timeframe: After a CR is achieved, patient will be followed at 3 month intervals for disease progression, typically for up to 5 years.
Intervention | cells per microliter (Median) |
---|
Gemcitabine + Mitoxantrone | 3450 |
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Disease-free and Overall Survival
(NCT00268242)
Timeframe: After a CR is achieved, patients are followed at 3 month intervals for disease progression and survival. If a patient has disease progression after achieving a CR, survival will be captured at 6 month intervals, typically for up to 5 years.
Intervention | participants (Number) |
---|
| Patients dead >30 days post-tx, no relapse | Patients alive with no evidence of disease relapse | Patient death on Day 1 of Protocol Therapy | Patients dead >30 days post-tx, after relapse |
---|
Gemcitabine + Mitoxantrone | 1 | 4 | 1 | 18 |
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Laboratory Correlates: Immunohistochemistry
"Percentage of patients who had a moderate-strong (2-3+) expression of multidrug resistance (MDR) genes by immunohistochemistry.~Multidrug resistance gene 1 (MDR1)~Equilibrative nucleoside transporter 2(SLC29A2)" (NCT00268242)
Timeframe: Baseline
Intervention | percentage of participants (Number) |
---|
| Participants with GSTP1 Gene Expression | Participants with SLC29A2 Gene Expression | Participants with MRP1 Gene Expression | Participants with LRP1 Gene Expression | Participants with MDR1 Gene Expression |
---|
Gemcitabine + Mitoxantrone | 70 | 55 | 43 | 35 | 22 |
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Duration of the First Complete Response
(NCT00268242)
Timeframe: After a CR is achieved, patients are followed at 3 month intervals for disease progression and survival. If a patient has disease progression after achieving a CR, survival will be captured at 6 month intervals, typically for up to 5 years.
Intervention | months (Median) |
---|
Gemcitabine + Mitoxantrone | 7.3 |
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Objective PSA Response Rate (Number of Patients With a PSA Response)
Decline from a baseline value by ≥ 50% or normalization of PSA (< 0.03) confirmed by a second measurement at least 1 week or more weeks later. Patients must not demonstrate clinical or radiographic evidence of disease progression during this time period. The date of response will be defined as the first date at which the PSA declined from baseline by ≥ 50% or normalized. (NCT00276549)
Timeframe: every 4 weeks
Intervention | participants (Number) |
---|
| Number of patients with a response ≥ 50% | Number of patients with no response |
---|
Gemcitabine (Gemzar) and Docetaxel (Taxotere) | 17 | 18 |
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Number of Patients With Measurable Soft Tissue Disease Will be Assessed Per Solid Tumor Response Criteria (RECIST).
Patients who have a response of Complete Response (CR), Partial Response (PR), or Stable Disease (SD) by RECIST criteria. To be assigned a status of PR or CR, changes in tumor measurements must be confirmed by repeat assessments that should be performed no less than 4 weeks after the criteria for response are first met. In the case of SD, patients who do not meet the criteria for response or progressive disease for at least 90 days will be categorized as stable disease. (NCT00276549)
Timeframe: at 4 weeks after treatment completion
Intervention | participants (Number) |
---|
| Partial Response | Stable Disease |
---|
Gemcitabine (Gemzar) and Docetaxel (Taxotere) | 3 | 19 |
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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 |
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Response Rate as Measured by RECIST Criteria
Complete Response (CR) or Partial Response (PR) as defined by RECIST v 1.0 criteria. (NCT00276861)
Timeframe: 4 - 6 months
Intervention | percentage of particpants (Number) |
---|
Single Arm | 9.9 |
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Time to Progression as Measured by the Kaplan Meyer Curve at Completion of Study Treatment
Number of months from time of enrollment to the date of first documented progression or date of death. (NCT00276861)
Timeframe: 6 months
Intervention | months (Number) |
---|
Oxaliplatin + Gemcitabine | 4.6 |
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Number of Patients Alive at 56 Months (End of Study)
Patients alive from date of enrollment to date of death or censored at date of last contact (Overall Survival). (NCT00281827)
Timeframe: Up to 56 months
Intervention | Participants (Number) |
---|
Intent-to-Treat | 8 |
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Number of Patients Disease-free at 1 Year
Calculated from date of enrollment to date of recurrence or death, whichever came first (NCT00281827)
Timeframe: 1 year
Intervention | Participants (Number) |
---|
Intent-to-Treat | 14 |
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Number of Patients Disease-free at 2 Years
Calculated from date of enrollment to date of recurrence or death, whichever came first (NCT00281827)
Timeframe: 2 Years
Intervention | Participants (Number) |
---|
Intent-To-Treat | 8 |
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Number of Patients Alive at 2 Years (Survival)
Participants who were alive at 2 years from date of enrollment. (NCT00281827)
Timeframe: 24 Months
Intervention | Participants (Number) |
---|
Intent-to-Treat | 16 |
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Number of Patients Alive at 1 Year (Survival)
Participants who were alive at one year from date of enrollment . (NCT00281827)
Timeframe: 12 Months
Intervention | Participants (Number) |
---|
Intent-to-Treat | 21 |
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Number of Patients Reporting Clinical Response
Objective clinical response measuring using tumor assessments: Complete Response (CR) = disappearance of all target and non-target lesions and normalization of tumor marker level, if applicable. Pathological Complete Response (PCR) = No viable tumor cells in specimen determined by light microscopy. Partial Response (PR) = at least 30% decrease in the sum of longest diameter of target lesions from baseline. Progressive Disease (PD) = at least 20% increase in the sum of longest diameters of target lesions from baseline or new lesions. Stable Disease (SD) = Neither PR or PD. (NCT00281827)
Timeframe: At end of 3 -21 day cycles of treatment
Intervention | Participants (Number) |
---|
| Complete Response | Pathological Complete Response | Partial Response | Stable Disease | Progressive Disease |
---|
Evaluable Patients | 0 | 0 | 14 | 4 | 2 |
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Correlation Between 1988 FIGO Stage and Tumor Response to Treatment (PFS)
Stage I: confined to the uterine corpus Stage II: confined to corpus and cervix Stage IIIA: serosa involvement only (disease could involve the uterine serosa, but patients must have had no other evidence of local spread) (NCT00282087)
Timeframe: 2 years
Intervention | participants (Number) |
---|
| FIFO Stage I | FIGO Stage II | FIGO Stage III |
---|
Women Treated With Adjuvant Regimen for High Risk Uterine LMS | 38 | 7 | 2 |
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Two-year Progression-free Survival Among Women Treated With This Adjuvant Regimen for High Risk Uterine LMS
(NCT00282087)
Timeframe: Every 3 months up to two years
Intervention | percentage of participants (Number) |
---|
Women Treated With Adjuvant Regimen for High Risk Uterine LMS | 78 |
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Correlation Between Mitotic Rate and Tumor Response to Treatment (PFS)
Mitotic rate is measured in mitoses per 10 high-power fields (NCT00282087)
Timeframe: 2 years
Intervention | mitoses per 10 high-power fields (Median) |
---|
Women Treated With Adjuvant Regimen for High Risk Uterine LMS | 18 |
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Correlation Between Age and Tumor Response to Treatment (PFS)
(NCT00282087)
Timeframe: 2 years
Intervention | years (Median) |
---|
Women Treated With Adjuvant Regimen for High Risk Uterine LMS | 53 |
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Correlation Between Uterine Serosal Involvement and Tumor Response to Treatment (PFS)
AJCC Stage I: No serosal involvement AJCC Stage II: No serosal involement AJCC Stage III: Serosal only (NCT00282087)
Timeframe: 2 years
Intervention | participants (Number) |
---|
| AJCC Stage I | AJCC Stage II | AJCC Stage III |
---|
Women Treated With Adjuvant Regimen for High Risk Uterine LMS | 0 | 6 | 41 |
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Correlation Between Progesterone Receptor (PR) Status and Tumor Response to Treatment (PFS)
(NCT00282087)
Timeframe: 2 years
Intervention | participants (Number) |
---|
| Positive Status | Negative Status |
---|
Women Treated With Adjuvant Regimen for High Risk Uterine LMS | 19 | 19 |
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Tolerability/Toxicity of This Regimen
Unacceptable toxicity is defined as grade 3 or 4 non-hematologic toxicity events that are considered to be treatment-related, excluding alopecia and fatigue. (NCT00282087)
Timeframe: Every 28 days during dosing and then every 3 months thereafter until patient comes off study
Intervention | number of major toxicity events (Number) |
---|
Women Treated With Adjuvant Regimen for High Risk Uterine LMS | 6 |
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Correlation Between Menopausal Status at Diagnosis and Tumor Response to Treatment (PFS)
(NCT00282087)
Timeframe: 2 years
Intervention | participants (Number) |
---|
| Postmenopausal | Premenopausal |
---|
Women Treated With Adjuvant Regimen for High Risk Uterine LMS | 43 | 4 |
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Correlation Between Estrogen Receptor (ER) Status and Tumor Response to Treatment (PFS)
(NCT00282087)
Timeframe: 2 years
Intervention | participants (Number) |
---|
| Positive Status | Negative Status |
---|
Women Treated With Adjuvant Regimen for High Risk Uterine LMS | 24 | 14 |
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Correlation Between Estrogen Receptor (ER) or Progesterone Receptor (PR) Positive and Tumor Response to Treatment (PFS)
(NCT00282087)
Timeframe: 2 years
Intervention | participants (Number) |
---|
| ER or PR Positive | ER and PR Negative |
---|
Women Treated With Adjuvant Regimen for High Risk Uterine LMS | 33 | 14 |
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Quality of Life (QOL)- Functional Assessment of Cancer Therapy for Lung Cancer (FACT-L) Trial Outcome Index-L (TOI-L)
"The FACT-L is the FACT-G and a lung cancer specific (LCS) subscale given at baseline, after each cycle and at end of treatment. The FACT-G is a 27 item measure of general QOL assessing function in 4 domains: physical well-being (PWB), social-family well-being (SFWB), emotional well-being (EWB) and functional well-being (FWB). Items are rated by patients on a Likert scale from 0 to 4. Higher scores represent better QOL. The TOI-L sums the PWB, FWB, and LCS subscale scores.~A best response for TOI-L scores is based on change from baseline and coded as:~a change >=+6 improved, <= -6 worsened and otherwise no change.~A best overall score response is coded as:~Improved (2 visit resp. of improved a min. of 28 days apart w/ no interim worsened) No change (not improved; 2 visit resp. of no change or improved a min. of 28 days apart w/ no interim worsened) Worsened (not improved or no change; 2 consecutive worsened) Other (none of the above)" (NCT00283244)
Timeframe: After each cycle/3 weeks
Intervention | participants (Number) |
---|
| Improved | No change | Worsened | Other |
---|
Arm A (Gemcitabine) | 5 | 12 | 11 | 16 |
,Arm B (Erlotinib) | 6 | 9 | 12 | 24 |
,Arm C (Gemcitabine + Erlotinib) | 7 | 9 | 9 | 26 |
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Response Rate
The best overall response (BOR) is the best response recorded from the start of the treatment until disease progression-recurrence (taking as reference for progressive disease the smallest measurement recorded since the treatment started. The response rate was defined as the percentage of patients achieving a BOR of complete response or partial 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. (NCT00283244)
Timeframe: Six months
Intervention | percentage of participants (Number) |
---|
Arm A (Gemcitabine) | 7 |
Arm B (Erlotinib) | 0 |
Arm C (Gemcitabine + Erlotinib) | 21 |
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Progression-free Survival
We would consider the combination of gemcitabine plus erlotinib or single agent erlotinib to be worthy of further study if there was an increased progressed-free survival. We would use an increase to 45% progression-free survival at 6 months as significant. 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. (NCT00283244)
Timeframe: Six months
Intervention | months (Median) |
---|
Arm A (Gemcitabine) | 3.7 |
Arm B (Erlotinib) | 2.8 |
Arm C (Gemcitabine + Erlotinib) | 4.1 |
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Toxicity
Assessments for treatment toxicity will be done with each cycle according to CTCAE v3. Results listed here are grade >=3, treatment related hematologic events (all) and Grade>=3 treatment related non hematologic events that occurred in >=5% of patients in any arm. Adverse events (toxicities) are graded on a 5 point scale from 1 (mild) to 5 (lethal), with grades 3 and higher being severe or life threatening. (NCT00283244)
Timeframe: After each cycle/3 weeks, up to 3 years
Intervention | participants (Number) |
---|
| Anemia (Grade>=3; treatment related) | Neutropenia (Grade>=3; treatment related) | Thrombocyopenia (Grade>=3; treatment related) | Dehydration (Grade>=3; treatment related) | Diarrhea (Grade>=3; treatment related) | Dyspnea (Grade>=3; treatment related) | Fatigue (Grade>=3; treatment related) | Rash (Grade>=3; treatment related) |
---|
Arm A (Gemcitabine) | 1 | 4 | 3 | 0 | 0 | 2 | 4 | 1 |
,Arm B (Erlotinib) | 0 | 1 | 1 | 3 | 3 | 0 | 1 | 2 |
,Arm C (Gemcitabine + Erlotinib) | 4 | 1 | 2 | 2 | 3 | 3 | 5 | 3 |
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Overall Survival
Survival calculated from start of treatment to death from any cause for up to three years. (NCT00283244)
Timeframe: Up to 3 years
Intervention | Months (Median) |
---|
Arm A (Gemcitabine) | 6.8 |
Arm B (Erlotinib) | 5.8 |
Arm C (Gemcitabine + Erlotinib) | 5.6 |
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Response Rate in Patients With Relapsed or Refractory B- and T-cell NHL With Gemcitabine and Bortezomib Combination Treatment.
"Response rate in patients with relapsed or refractory B- and T-cell NHL with Gemcitabine and Bortezomib combination treatment will be defined as the number of patients with Complete Remission [CR] and Partial Remission [PR]. CT scans at screening and after completing cycle 3, cycle 6 and 30 days after Cycle 8 assessed by the Response Criteria for Non-hodgkins Lymphoma will be used to determine response where:~CR=Complete disappearance of all detectable clinical and radiographic evidence of disease PR=> 50% decrease in SPD of the six largest dominant nodes or nodal masses" (NCT00290706)
Timeframe: At screening and after completing cycle 3, cycle 6 and 30 days after Cycle 8
Intervention | participants (Number) |
---|
Phase II Gemcitabine 800 mg/m2 + Bortezomib 1.6 mg/m2 D1+D8 | 1 |
Phase II Gemcitabine 800 mg/m2 + Bortezomib 1.6 mg/m2 D1+D15 | 2 |
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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 |
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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 |
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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 |
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Overall Survival Probability
Original outcome was overall survival = time from date of enrollment to date of death due to any cause. Survival time was censored at date of last contact for participants who were still alive or lost to follow-up. Because only 8 participants had documented death while on study, results are reported as 6- and 12-month overall survival probability. (NCT00316199)
Timeframe: baseline to date of death from any cause
Intervention | percent (Number) |
---|
| 6-Month Overall Survival Probability | 12-Month Overall Survival Probability |
---|
Gemcitabine + Paclitaxel | 97 | 87 |
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Best Overall Tumor Response
"Best response recorded from the start of treatment until disease progression/recurrence using Response Evaluation Criteria In Solid Tumors (RECIST) criteria that defines when participants improve (respond), stay the same (stable), or worsen (progression) during treatment." (NCT00316199)
Timeframe: baseline to measured progressive disease (tumor assessments were performed every 2 cycles during study therapy, or 3 months during post-therapy until disease progression, or up to 12 months after enrollment)
Intervention | participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Progressive Disease (PD) | Early Death from Malignant Disease | Death from Toxicity | Early Death from Other Causes | Unknown |
---|
Gemcitabine + Paclitaxel | 2 | 27 | 20 | 7 | 0 | 0 | 0 | 2 |
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Time to Treatment Failure
Defined as time from enrollment to the date of death due to any cause, measured disease progression, treatment discontinuation for undocumented progression, early treatment discontinuation for toxicity or other reason, or new anticancer treatment started. (NCT00316199)
Timeframe: baseline to stopping treatment
Intervention | months (Median) |
---|
Gemcitabine + Paclitaxel | 4.5 |
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Progression-Free Survival
Defined as the time from enrollment to the date of objective disease progression or death on study, whichever occurs first. Censoring was determined based on US-FDA 2005 draft guidance on clinical endpoints. (NCT00316199)
Timeframe: baseline to measured progressive disease or death (tumor assessments were performed every 2 cycles during study therapy, or 3 months during post-therapy until disease progression, or up to 12 months after enrollment)
Intervention | months (Median) |
---|
Gemcitabine + Paclitaxel | 7.6 |
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Duration of Response
Measured from the time of first documentation of complete response (CR) or partial response (PR), whichever status is first recorded, until the date of objective disease progression or death on study, whichever occurs first, with censoring defined in the same way as for progression-free survival. (NCT00316199)
Timeframe: time of response to measured progressive disease or death (tumor assessments were performed every 2 cycles during study therapy, or 3 months during post-therapy until disease progression, or up to 12 months after enrollment)
Intervention | months (Median) |
---|
Gemcitabine + Paclitaxel | 5.6 |
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Total Functional Assessment of Cancer Therapy -Breast (FACT-B): Change From Baseline to End of Therapy
FACT-B measures the following domains of health-related quality of life (HR-QL): physical well-being (PWB), social/family well-being (SFWB), emotional well-being (EWB), functional well-being (FWB), & additional concerns of breast cancer (BCS). Total FACT-B scores range from 0-144, with higher scores representing better HR-QOL. Minimally important differences estimates obtained for FACT-B is 7-8 points. FACT-B was assessed at baseline (prior to start of Cycle 1 [Day 1]), prior to start of each subsequent cycle (approximately every 4 weeks) during therapy, through 30-day post therapy follow-up. (NCT00320541)
Timeframe: Baseline through 30 days post therapy follow-up (up to 35 months)
Intervention | units on a scale (Mean) |
---|
Paclitaxel Plus Bevacizumab (PB) | -1.0 |
Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) | -10.8 |
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Trial Outcome Index-Breast (TOI-B): Change From Baseline to End of Therapy
The TOI-B represents the total of the subscales PWB,FWB, and BCS. Total TOI-B scores range from 0 to 92, with higher scores representing better HR-QOL. Minimally important differences estimates obtained for TOI is 5-6 points. FACT-B was assessed at baseline (prior to start of Cycle 1 [Day 1]), then prior to start of each subsequent cycle (approximately every 4 weeks) during therapy, through 30-day post therapy follow-up. (NCT00320541)
Timeframe: Baseline through 30 days post therapy follow-up (up to 35 months)
Intervention | units on a scale (Mean) |
---|
Paclitaxel Plus Bevacizumab (PB) | -2.5 |
Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) | -9.1 |
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Breast Cancer Subscale (BCS): Change From Baseline to End of Therapy
The BCS subscale of FACT-B measures additional concerns of breast cancer . Total BCS scores range from 0 to 36, with higher scores representing better HR-QOL. Minimally important differences estimates obtained for BCS is 2-3 points. FACT-B was assessed at baseline (prior to start of Cycle 1 [Day 1]), then prior to start of each subsequent cycle (approximately every 4 weeks) during therapy, through 30-day post therapy follow-up. (NCT00320541)
Timeframe: Baseline through 30 days post therapy follow-up (up to 35 months)
Intervention | units on a scale (Mean) |
---|
Paclitaxel Plus Bevacizumab (PB) | -0.1 |
Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) | -1.9 |
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Emotional Well Being (EWB) Subscale: Change From Baseline to End of Therapy
The EWB subscale of FACT-B measures emotional well-being. Total EWB scores range from 0 to 24, with higher scores representing better HR-QOL. FACT-B was assessed at baseline (prior to start of Cycle 1 [Day 1]), then prior to start of each subsequent cycle (approximately every 4 weeks) during therapy, through 30-day post therapy follow-up. (NCT00320541)
Timeframe: Baseline through 30 days post therapy follow-up (up to 35 months)
Intervention | units on a scale (Mean) |
---|
Paclitaxel Plus Bevacizumab (PB) | 1.8 |
Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) | -0.2 |
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Functional Well Being (FWB) Subscale: Change From Baseline to End of Therapy
The FWB subscale of FACT-B measures functional well-being. Total FWB scores range from 0 to 28, with higher scores representing better HR-QOL. FACT-B was assessed at baseline (prior to start of Cycle 1 [Day 1]), then prior to start of each subsequent cycle (approximately every 4 weeks) during therapy, through 30-day post therapy follow-up. (NCT00320541)
Timeframe: Baseline through 30 days post therapy follow-up (up to 35 months)
Intervention | units on a scale (Mean) |
---|
Paclitaxel Plus Bevacizumab (PB) | -0.3 |
Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) | -3.8 |
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Overall Response Rate (ORR)
Response defined per 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=20% increase in sum of longest diameter of target lesions; Stable Disease=small changes that do not meet above criteria. ORR was defined as the proportion of participants who achieved a best response of either CR or PR. ORR=number of participants with CR or PR/number of participants qualified for tumor response analysis (per-protocol population). (NCT00320541)
Timeframe: baseline & every 2 cycles (approximately 8 weeks) of treatment to measured progressive disease (PD) & post-therapy until PD or other therapy initiated (up to 35 months)
Intervention | proportion of responders (Mean) |
---|
Paclitaxel Plus Bevacizumab (PB) | 0.489 |
Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) | 0.587 |
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Overall Survival
Overall survival was measured from date of randomization to date of death from any cause. For participants not known to have died as of data-inclusion cut-off date, overall survival duration was censored at date of last study visit prior to the data cut-off date. (NCT00320541)
Timeframe: baseline to death from any cause (up to 35 months)
Intervention | months (Median) |
---|
Paclitaxel Plus Bevacizumab (PB) | 25.0 |
Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) | 24.3 |
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Physical Well Being (PWB) Subscale: Change From Baseline to End of Therapy
The PWB subscale of FACT-B measures physical well-being. Total PWB scores range from 0 to 28, with higher scores representing better HR-QOL. FACT-B was assessed at baseline (prior to start of Cycle 1 [Day 1]), then prior to start of each subsequent cycle (approximately every 4 weeks) during therapy, through 30-day post therapy follow-up. (NCT00320541)
Timeframe: Baseline through 30 days post therapy follow-up (up to 35 months)
Intervention | units on a scale (Mean) |
---|
Paclitaxel Plus Bevacizumab (PB) | -1.9 |
Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) | -4.0 |
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Progression-free Survival (PFS)
PFS was measured from date of randomization to first date of disease progression or death from any cause. For participants not known to have died or had disease progression as of data-inclusion cut-off date, PFS duration was censored at date of last study visit prior to data-inclusion cut-off date. (NCT00320541)
Timeframe: baseline to measured progressive disease or death up to 35 months (tumor assessments were performed every 2 cycles during study therapy; every 2 months during post-therapy until disease progression or new anticancer treatment initiated)
Intervention | months (Median) |
---|
Paclitaxel Plus Bevacizumab (PB) | 8.8 |
Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) | 11.3 |
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Social/Family Well Being (SFWB) Subscale: Change From Baseline to End of Therapy
The SFWB subscale of FACT-B measures social/family well-being. Total SFWB scores range from 0 to 28, with higher scores representing better HR-QOL. FACT-B was assessed at baseline (prior to start of Cycle 1 [Day 1]), then prior to start of each subsequent cycle (approximately every 4 weeks) during therapy, through 30-day post therapy follow-up. (NCT00320541)
Timeframe: Baseline through 30 days post therapy follow-up (up to 35 months)
Intervention | units on a scale (Mean) |
---|
Paclitaxel Plus Bevacizumab (PB) | 0.0 |
Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) | -1.9 |
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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 |
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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 |
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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 |
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Response Rate (Complete and Partial Response)
Overall response rate was evaluated every 2 cycles (six weeks) for both groups using international criteria by the Response Evaluation Criteria in Solid Tumors (RECISTv1.0) for target lesions and were assessed by CT or MRI. Response rates were 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) defined as OR=CR + PR (NCT00323063)
Timeframe: 5 years
Intervention | percentage of participants (Number) |
---|
Arm I (Gemcitabine Hydrochloride) | 9.1 |
Arm II (Gemcitabine Hydrochloride + Imatinib) | 9.1 |
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Time to Progression
Sample size of 40 patients per group was needed to detect an 8 month increase in time to progression with the combination (80% power, alpha =.05, 2-sided). (NCT00323063)
Timeframe: 5 years
Intervention | months (Median) |
---|
Arm I (Gemcitabine Hydrochloride) | 2 |
Arm II (Gemcitabine Hydrochloride + Imatinib) | 2.5 |
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1-year Survival
Accrual duration is 2 years with an additional year for assessment of 1-year survival. Outcome measure time frame is about 3 years. (NCT00323362)
Timeframe: 3 years
Intervention | percentage of patients (Number) |
---|
Gemcitabine Hydrochloride and Imatinib Mesylate | 35 |
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Percentage of Patients Who Meet Critieria for Response
"Response is considered Partial Response or Complete Response as per 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.~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." (NCT00323362)
Timeframe: 2 years
Intervention | percentage of patients who responded (Number) |
---|
Gemcitabine Hydrochloride and Imatinib Mesylate | 0 |
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Time to Progression
(NCT00323362)
Timeframe: 2 years
Intervention | months (Mean) |
---|
Gemcitabine Hydrochloride and Imatinib Mesylate | 2.77 |
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Time-to-First Event
Median time-to-first event, with events defined as disease progression, death, or toxicity requiring drug discontinuation (NCT00323869)
Timeframe: 18 months
Intervention | months (Median) |
---|
Bevacizumab + Carboplatin + Gemcitabine | 6.4 |
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Progression-free Survival (PFS)
Median progression-free survival (PFS) was assessed as the time to disease progression; toxicity requiring treatment discontinuation; or death. (NCT00323869)
Timeframe: 18 months
Intervention | months (Median) |
---|
Bevacizumab + Carboplatin + Gemcitabine | 8.7 |
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Partial Response (PR)
Number of subjects with PR per RECIST criteria (NCT00323869)
Timeframe: 6 weeks
Intervention | participants (Number) |
---|
Bevacizumab + Carboplatin + Gemcitabine | 7 |
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Overall Survival (OS) at 12 Months
Number of subjects surviving 1 year after treatment initiation (NCT00323869)
Timeframe: 12 months
Intervention | participants (Number) |
---|
Bevacizumab + Carboplatin + Gemcitabine | 27 |
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Overall Survival (OS)
To evaluate the safety of the combination regimen. (NCT00323869)
Timeframe: 36 months
Intervention | months (Median) |
---|
Bevacizumab + Carboplatin + Gemcitabine | 12.8 |
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Response Rate (CR + PR + SD)
"Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions, by computed tomography (CT); bone scan; positron emission tomography (PET) scan; and/or magnetic resonance imaging (MRI) as necessary to assess diseasE~Response determined as the number of subjects with any clinical response (CR + PR + SD) per 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~Progressive Disease (PD): At least a 20% increase in the sum of the LD of target lesions, or appearance of new cancer lesions~Stable Disease (SD): No significant effect, does not meet criteria for PR or PD." (NCT00323869)
Timeframe: 6 weeks
Intervention | participants (Number) |
---|
Bevacizumab + Carboplatin + Gemcitabine | 41 |
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Stable Disease (SD)
Number of subjects with SD per RECIST criteria (NCT00323869)
Timeframe: 6 weeks
Intervention | participants (Number) |
---|
Bevacizumab + Carboplatin + Gemcitabine | 34 |
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Overall Survival (OS) at 24 Months
Number of subjects surviving 2 years after treatment initiation (NCT00323869)
Timeframe: 24 months
Intervention | participants (Number) |
---|
Bevacizumab + Carboplatin + Gemcitabine | 5 |
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Complete Response (CR)
Number of subjects with CR per RECIST criteria (NCT00323869)
Timeframe: 6 weeks
Intervention | participants (Number) |
---|
Bevacizumab + Carboplatin + Gemcitabine | 0 |
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Overall Survival
Overall survival (OS) was defined as the time from randomization to death from any cause, and patients who were thought to be alive at the time of final analysis were censored at the last date of contact. The study failed to meet its primary endpoint. (NCT00324805)
Timeframe: From registration to death, up to 10 years
Intervention | months (Median) |
---|
Arm I (Chemotherapy) | NA |
Arm II (Chemotherapy, Bevacizumab) | 85.8 |
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Disease-free Survival
Disease-free survival (DFS) was defined as the time from randomization to an event. Events include disease recurrence, new primary of lung cancer, second primaries or death, whichever occurred first; however, it should be noted that patients with new primaries at other non-lung sites should have continued followup for recurrence of the original cancer. Patients that have not had an event reported at analysis were censored at their last date of disease assessment. (NCT00324805)
Timeframe: From registration to death, up to 10 years
Intervention | months (Median) |
---|
Arm I (Chemotherapy) | 42.9 |
Arm II (Chemotherapy, Bevacizumab) | 40.6 |
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Tumor Response Rate
Participants with best overall response determined from complete response (CR) or partial response (PR) according to Response Criteria in Solid Tumors (RECIST) criteria. For CR or PR, best response must be confirmed. A second assessment performed at 28 days. Two determinations of CR before progression required for rate to=CR. Evaluations include: CR=Disappearance of lesions. PR=≥30% size decrease of lesions. Progressive Disease (PD)=≥20% size increase of lesions. Stable Disease (SD)=Not enough shrinkage for PR nor enough increase for PD. Overall Response Rate=PR+CR/Qualified Participants*100. (NCT00325234)
Timeframe: Baseline up to 30 days of follow-up after 21 cycles of treatment
Intervention | percentage of participants (Number) |
---|
| Overall Response | Complete Response | Partial Response | Stable Disease | Progressive Disease | Unknown |
---|
Gemcitabine/Vinorelbine | 29.5 | 3.3 | 26.2 | 34.4 | 27.9 | 8.2 |
,Pemetrexed/Carboplatin | 26.6 | 0.0 | 26.6 | 35.9 | 26.6 | 10.9 |
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Duration of Response (DOR)
DOR-RECIST criteria of (Complete Response [CR =Disappearance of lesions] or Partial Response [PR=≥30% size decrease of lesions]) is defined as time from the date when measurement criteria are met for CR or PR until the date of first observation of progressive disease (PD) or death from study disease. For participants who die from causes other than study disease and without PD, DOR will be censored at the date of death. For participants who have not died as of the data cut-off date who are without PD, DOR was censored at last contact date. (NCT00325234)
Timeframe: Time of response to progressive disease (up to 19 months)
Intervention | Months (Median) |
---|
Pemetrexed/Carboplatin | 7.7 |
Gemcitabine/Vinorelbine | 7.5 |
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Time to Progressive Disease (PD)
Time to PD is defined as the time from the date of study enrollment to the first documented date of PD or death from study disease. For participants who die from causes other than study disease and without PD, time to PD was censored at the date of death. For participants not known to have died as of the data cut-off date and do not have PD, time to PD was censored at the last contact date. For participants who received subsequent chemotherapy (after discontinuation from the study chemotherapy) prior to disease progression, time to PD was censored at the date of subsequent chemotherapy. (NCT00325234)
Timeframe: Baseline to measured PD (up to 25.1 months)
Intervention | Months (Median) |
---|
Pemetrexed/Carboplatin | 5.1 |
Gemcitabine/Vinorelbine | 5.6 |
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Time to Response
Time to response (Complete Response(CR) or Partial Response (PR) is defined as the time from the date of study enrollment to the first date when the measurement criteria are met for complete response or partial response (whichever status is recorded first). CR=Disappearance of target lesions lesions. PR=≥30% size decrease of lesions. (NCT00325234)
Timeframe: Baseline to response (up to 7.8 months)
Intervention | Months (Median) |
---|
Pemetrexed/Carboplatin | 1.8 |
Gemcitabine/Vinorelbine | 1.8 |
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Time To Treatment Failure (TTTF)
TTTF is defined as the time from date of study enrollment to the first documented date of death, PD, or study treatment discontinuation due to adverse event (AE). For participants not known to have discontinued as of the data cut-off date, TTTF is censored at the last contact date. For participants who discontinued for reasons other than death, PD, or AE, TTTF is censored at the date of discontinuation. (NCT00325234)
Timeframe: Baseline to end of treatment (up to 21.9 months)
Intervention | Months (Median) |
---|
Pemetrexed/Carboplatin | 4.8 |
Gemcitabine/Vinorelbine | 5.1 |
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Number of Participants With Adverse Events (AE)
A listing of adverse events is presented in the Reported Adverse Event Module. (NCT00325234)
Timeframe: every cycle up to twenty-one 21-day cycles (plus 30 days of follow-up)
Intervention | participants (Number) |
---|
| Adverse Events | Serious Adverse Events |
---|
Gemcitabine/Vinorelbine | 66 | 22 |
,Pemetrexed/Carboplatin | 64 | 18 |
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Progression-free Survival Rate at 6 Months After Randomization (Phase II Patients Only)
"Estimated using the Binomial point estimator (number of successes divided by the total number of evaluable patients). A patient is classified as a success if alive and progression-free at 6 months.~Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST), 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." (NCT00326599)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Phase II: Arm I (Cediranib + Gemcitabine + Carboplatin) | 48 |
Phase II: Arm II (Gemcitabine + Carboplatin) | 38 |
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Time to Treatment Failure (Phase II Patients Only)
Time to treatment failure was defined to be the time from date of registration to the date at which the patient was removed from the treatment due to progression, toxicity, refusal or death from any cause. (NCT00326599)
Timeframe: Up to 15 months
Intervention | months (Median) |
---|
Phase II: Arm I (Cediranib + Gemcitabine + Carboplatin) | 2.48 |
Phase II: Arm II (Gemcitabine + Carboplatin) | 2.89 |
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Overall Survival (Phase II Patients Only)
Overall survival was defined as the time from study enrollment to the time of death from any cause. Overall survival will be censored at the date of the last follow-up visit for patients who are still alive or lost to follow-up. (NCT00326599)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Phase II: Arm I (Cediranib + Gemcitabine + Carboplatin) | 12.0 |
Phase II: Arm II (Gemcitabine + Carboplatin) | 9.9 |
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Overall Survival at 1 Year After Randomization (Phase II Patients Only)
Overall survival was defined as the time from study enrollment to the time of death from any cause. A patient is classified as a success if alive at 1 year. (NCT00326599)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
Phase II: Arm I (Cediranib + Gemcitabine + Carboplatin) | 48 |
Phase II: Arm II (Gemcitabine + Carboplatin) | 41 |
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Dose Limiting Toxicity (DLT) (Lead-in Phase Arm I Patients Only)
DLT was defined as an adverse event occurring in cycle 1 only, at least possibly attributed to the study treatment and meeting the following criteria: 1) Grade 4 absolute neutrophil count (ANC) >5 days or of any duration with fever >38.5 degree Celsius; 2) Grade 4 platelet count; 3) Grade 3 or higher non-hematologic toxicities (for nausea, vomiting or diarrhea, grade 3 toxicities will be DLT if they occur despite maximal use of anti-emetic support or anti-diarrhea agents, respectively); 4) Cediranib dose interruption of >14 days for drug-related toxicities. (NCT00326599)
Timeframe: Cycle 1 (up to 3 weeks)
Intervention | participants (Number) |
---|
Lead-in Phase: Arm I (Cediranib + Gemcitabine + Carboplatin) | 1 |
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Progression-free Survival (Phase II Patients Only)
Progression-free survival was defined as the time from study enrollment to the first date of disease progression or death as a result of any cause, whichever occurs first. Progression-free survival will be censored at the date of the last contact for patients who are still alive and who have not had disease progression. (NCT00326599)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Phase II: Arm I (Cediranib + Gemcitabine + Carboplatin) | 6.3 |
Phase II: Arm II (Gemcitabine + Carboplatin) | 4.5 |
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Confirmed Response Rate (Complete Response and Partial Response) as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST) (Phase II Patients Only)
"A confirmed tumor response was defined as a complete response (CR) or partial response (PR) noted as the objective status on 2 consecutive evaluations at least 6 weeks apart.~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" (NCT00326599)
Timeframe: Up to 5 years
Intervention | percentage of participants (Number) |
---|
Phase II: Arm I (Cediranib + Gemcitabine + Carboplatin) | 19 |
Phase II: Arm II (Gemcitabine + Carboplatin) | 20 |
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Change From Baseline in QoL Assessment Using LASA, Legal Concerns, at Cycle 2 Week 4
Accrual on the trial was stopped earlier than planned due to insufficient efficacy on both arms. The primary analysis of pancreatic cancer symptoms was conducted using the LASA QoL questionnaire and was considered exploratory. The Legal Concerns question change from baseline to Cycle 2 Week 4 is reported. The best overall score is 10 and the worst is 0. A negative score indicates worsening from baseline. (NCT00326911)
Timeframe: Screening, and then every 8 weeks while receiving study drug to 30-day follow-up
Intervention | Scores on a scale (Mean) |
---|
Cetuximab + Bevacizumab + Gemcitabine | 0.4 |
Cetuximab + Bevacizumab | 2.3 |
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Change From Baseline in QoL Assessment Using LASA, Frequency of Pain, at Cycle 2 Week 4
Accrual on the trial was stopped earlier than planned due to insufficient efficacy on both arms. The primary analysis of pancreatic cancer symptoms was conducted using the LASA QoL questionnaire and was considered exploratory. The Frequency of Pain question change from baseline to Cycle 2 Week 4 is reported. The best overall score is 10 and the worst is 0. A negative score indicates improvement from baseline. (NCT00326911)
Timeframe: Screening, and then every 8 weeks while receiving study drug to 30-day follow-up
Intervention | Scores on a scale (Mean) |
---|
Cetuximab + Bevacizumab + Gemcitabine | -1.5 |
Cetuximab + Bevacizumab | -2.3 |
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Change From Baseline in QoL Assessment Using LASA, Financial Concerns, at Cycle 2 Week 4
Accrual on the trial was stopped earlier than planned due to insufficient efficacy on both arms. The primary analysis of pancreatic cancer symptoms was conducted using the LASA QoL questionnaire and was considered exploratory. The Financial Concerns Question question change from baseline to Cycle 2 Week 4 is reported. The best overall score is 10 and the worst is 0. A negative score indicates worsening from baseline. (NCT00326911)
Timeframe: Screening, and then every 8 weeks while receiving study drug to 30-day follow-up
Intervention | Scores on a scale (Mean) |
---|
Cetuximab + Bevacizumab + Gemcitabine | -0.1 |
Cetuximab + Bevacizumab | 0.9 |
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Progression-free Survival (PFS)
Progression-free survival is the time from randomization until the date of progressive disease (PD) or death from any cause whichever is first reported. Patients who die without a reported prior progression were considered to have progresssed on the day of their death. Patients who did not progress were censored at the day of their last tumor assessment. (NCT00326911)
Timeframe: Time from randomization to disease progression or death from any cause (Range: 0 -10 months)
Intervention | months (Median) |
---|
Cetuximab + Bevacizumab + Gemcitabine | 3.55 |
Cetuximab + Bevacizumab | 1.91 |
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Overall Survival (OS)
This measure is defined as the time from randomization to the date of death due to any cause. Survival of living patients or those who lost to follow-up were censored on the last date the patients were known to be alive. (NCT00326911)
Timeframe: Survival information was collected continuously every 3 months after completion of therapy and/or follow-up (range: 1-19 months).
Intervention | Months (Median) |
---|
Cetuximab + Bevacizumab + Gemcitabine | 5.41 |
Cetuximab + Bevacizumab | 4.17 |
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Change From Baseline in QoL Assessment Using LASA, Overall Physical Well Being, at Cycle 2 Week 4
Accrual on the trial was stopped earlier than planned due to insufficient efficacy on both arms. The primary analysis of pancreatic cancer symptoms was conducted using the LASA QoL questionnaire and was considered exploratory. The Overall Physical Well Being question change from baseline to Cycle 2 Week 4 is reported. The best overall score is 10 and the worst is 0. A negative score indicates worsening from baseline. (NCT00326911)
Timeframe: Screening, and then every 8 weeks while receiving study drug to 30-day follow-up
Intervention | Scores on a scale (Mean) |
---|
Cetuximab + Bevacizumab + Gemcitabine | -0.6 |
Cetuximab + Bevacizumab | -0.6 |
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Change From Baseline in Quality of Life (QoL) Assessment Using the Linear Analog Scale Assessment (LASA), Overall QoL at Cycle 2 Week 4
Accrual on the trial was stopped earlier than planned due to insufficient efficacy on both arms. The primary analysis of pancreatic cancer symptoms was conducted using the LASA QoL questionnaire and was considered exploratory. The Overall QoL question change from baseline to Cycle 2 Week 4 is reported. The best overall score is 10 and the worst is 0. A negative score indicates worsening from baseline. (NCT00326911)
Timeframe: Screening, and then every 8 weeks while receiving study drug to 30-day follow-up
Intervention | Scores on a scale (Mean) |
---|
Cetuximab + Bevacizumab + Gemcitabine | -0.9 |
Cetuximab + Bevacizumab | -0.9 |
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Change From Baseline in QoL Assessment Using LASA, Severity of Pain, Average, at Cycle 2 Week 4
Accrual on the trial was stopped earlier than planned due to insufficient efficacy on both arms. The primary analysis of pancreatic cancer symptoms was conducted using the LASA QoL questionnaire and was considered exploratory. The Severity of Pain question change from baseline to Cycle 2 Week 4 is reported. The best overall score is 10 and the worst is 0. A positive score indicates improvement from baseline. (NCT00326911)
Timeframe: Screening, and then every 8 weeks while receiving study drug to 30-day follow-up while receiving study drug
Intervention | Scores on a scale (Mean) |
---|
Cetuximab + Bevacizumab + Gemcitabine | -0.5 |
Cetuximab + Bevacizumab | -0.9 |
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Change From Baseline in QoL Assessment Using LASA, Overall Spiritual Well Being, at Cycle 2 Week 4
Accrual on the trial was stopped earlier than planned due to insufficient efficacy on both arms. The primary analysis of pancreatic symptoms was conducted using the LASA QoL questionnaire and was considered exploratory. The Overall Spiritual Well Being question change from baseline to Cycle 2 Week 4 is reported. The best overall score is 10 and the worst is 0. A negative score indicates worsening from baseline. (NCT00326911)
Timeframe: Screening, and then every 8 weeks while receiving study drug to 30-day follow-up while receiving study drug
Intervention | Scores on a scale (Mean) |
---|
Cetuximab + Bevacizumab + Gemcitabine | -0.4 |
Cetuximab + Bevacizumab | -0.3 |
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Percentage of Patients With Carbohydrate Antigen 19-9 (CA19-9) Response at End of Cycle 2 in Patients With Elevated Baseline Values (Equal or Greater Than 2 x Upper Limit of Normal).
CA19-9 is a tumor marker for pancreatic cancer and the level usually increases as the disease is progressing. The CA19-9 response was the percentage of patients whose CA19-9 level was declining, stable or increasing < 10% compared with baseline, divided by the total patients with elevated baseline CA19-9 in that arm. (NCT00326911)
Timeframe: First day of treatment to the end of Cycle 2, Week 1
Intervention | Percentage of participants (Number) |
---|
Cetuximab + Bevacizumab + Gemcitabine | 8 |
Cetuximab + Bevacizumab | 9 |
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Change From Baseline in QoL Assessment Using LASA, Level of Social Activity, at Cycle 2 Week 4
Accrual on the trial was stopped earlier than planned due to insufficient efficacy on both arms. The primary analysis of pancreatic cancer symptoms was conducted using the LASA QoL questionnaire and was considered exploratory. The Level of Social Activity question change from baseline to Cycle 2 Week 4 is reported. The best overall score is 10 and the worst is 0. A negative score indicates worsening from baseline. (NCT00326911)
Timeframe: Screening, and then every 8 weeks while receiving study drug to 30-day follow-up
Intervention | Scores on a scale (Mean) |
---|
Cetuximab + Bevacizumab + Gemcitabine | -1.1 |
Cetuximab + Bevacizumab | 0.6 |
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Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Reported AEs per patient were coded according to the corresponding preferred term and system organ class in the Medical Dictionary for regulatory Activities dictionary. The National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE), Version 3.0 was used to grade all AEs. The collection of AEs began at the time the patient received the first cetuximab dose and continued during the study until 30 days after the last dose of cetuximab. All patients who were enrolled and treated with cetuximab were assessed for safety (mITT population, as treated). (NCT00326911)
Timeframe: An AE was included in the safety analysis if its onset date occurred anytime during cetuximab treatment or up to 30 days after the last dose of cetuximab.
Intervention | Participants (Number) |
---|
Cetuximab + Bevacizumab + Gemcitabine | 29 |
Cetuximab + Bevacizumab | 29 |
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The Number of Patients With a Best Overall Response of Either a Complete Response (CR) or Partial Response (PR)
The best overall response is the number of patients with a best overall response of CR or PR, as classifed by the investigator according to the RECIST guidelines. A CR is the disappearance of all target lesions and a PR is at least a 30% decrease in the sum of the longest diameters of target lesions, taking as reference the baseline sum longest diameter. (NCT00326911)
Timeframe: Tumor evaluations were performed every 8 weeks while on cetuximab therapy until PD or recurrence. Patients with a PR or CR had a confirmatory tumor assessment no less than 4 weeks after the initial evaluation.
Intervention | Participants (Number) |
---|
Cetuximab + Bevacizumab + Gemcitabine | 4 |
Cetuximab + Bevacizumab | 0 |
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Time to Progression (TTP)
Time to progression was defined as the time from randomization until the date of objectively confirmed tumor progression was first reported. The censoring rule was consistent with PFS except death. Patients who died from any cause were censored at the time of death or at last tumor assessment date if the death date was missing. For patients lost to follow-up, they were censored at the last tumor assessment date. (NCT00326911)
Timeframe: Time from randomization until the date of objective tumor progression was first reported (range: 11 -38 months)
Intervention | months (Median) |
---|
Cetuximab + Bevacizumab + Gemcitabine | 4.11 |
Cetuximab + Bevacizumab | 2.07 |
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Change From Baseline in QoL Assessment Using LASA, Overall Mental Well Being, at Cycle 2 Week 4
Accrual on the trial was stopped earlier than planned due to insufficient efficacy on both arms. The primary analysis of pancreatic cancer symptoms was conducted using the LASA QoL questionnaire and was considered exploratory. The Overall Mental Well Being question change from baseline to Cycle 2 Week 4 is reported. The best overall score is 10 and the worst is 0. A negative score indicates worsening from baseline. (NCT00326911)
Timeframe: Screening, and then every 8 weeks while receiving study drug to 30-day follow-up
Intervention | Scores on a scale (Mean) |
---|
Cetuximab + Bevacizumab + Gemcitabine | 0.6 |
Cetuximab + Bevacizumab | -0.8 |
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Change From Baseline in QoL Assessment Using LASA, Overall Emotional Well Being, at Cycle 2 Week 4
Accrual on the trial was stopped earlier than planned due to insufficient efficacy on both arms. The primary analysis of pancreatic cancer symptoms was conducted using the LASA QoL questionnaire and was considered exploratory. The Overall Emotional Well Being question change from baseline to Cycle 2 Week 4 is reported. The best overall score is 10 and the worst is 0. A negative score indicates worsening from baseline. (NCT00326911)
Timeframe: Screening, and then every 8 weeks while receiving study drug to 30-day follow-up
Intervention | Scores on a scale (Mean) |
---|
Cetuximab + Bevacizumab + Gemcitabine | -0.2 |
Cetuximab + Bevacizumab | -1.1 |
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Change From Baseline in QoL Assessment Using LASA, Level of Support, Friends and Family, at Cycle 2 Week 4
Accrual on the trial was stopped earlier than planned due to insufficient efficacy on both arms. The primary analysis of pancreatic cancer symptoms was conducted using the LASA QoL questionnaire and was considered exploratory. The Level of Support, Friends and Family question change from baseline to Cycle 2 Week 4 is reported. The best overall score is 10 and the worst is 0. A negative score indicates worsening from baseline. (NCT00326911)
Timeframe: Screening, and then every 8 weeks while receiving study drug to 30-day follow-up
Intervention | Scores on a scale (Mean) |
---|
Cetuximab + Bevacizumab + Gemcitabine | 0.1 |
Cetuximab + Bevacizumab | -0.8 |
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Change From Baseline in QoL Assessment Using LASA, Level of Fatigue, Average, at Cycle 2 Week 4
Accrual on the trial was stopped earlier than planned due to insufficient efficacy on both arms. The primary analysis of pancreatic cancer symptoms was conducted using the LASA QoL questionnaire and was considered exploratory. The Level of Fatigue question change from baseline to Cycle 2 Week 4 is reported. The best overall score is 10 and the worst is 0. A positive score indicates improvement from baseline. (NCT00326911)
Timeframe: Screening, and then every 8 weeks while receiving study drug to 30-day follow-up
Intervention | Scores on a scale (Mean) |
---|
Cetuximab + Bevacizumab + Gemcitabine | 1.5 |
Cetuximab + Bevacizumab | 0.3 |
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Pharmacokinetics - Maximum Plasma Concentration (Cmax)
Maximum plasma concentration of gemcitabine plus paclitaxel on Day 1, Cycle 1, and gemcitabine monotherapy on Day 8, Cycle 1. (NCT00334802)
Timeframe: cycle 1, day 1 (0 minutes, 3, 3.25, 3.5, 3.58, 3.75, 4, 4.5, 5 hours) and 8 (0, 15, 30, 35, 45, 60, 90, 120 minutes)
Intervention | nanograms per milliliter (ng/mL) (Geometric Mean) |
---|
Gemcitabine + Paclitaxcel | 25800 |
Gemcitabine | 25400 |
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Duration of Response
The duration of a complete response (CR) or partial response (PR) was defined as the time from first objective status assessment of CR or PR to the first time of progression or death as a result of any cause. (NCT00334802)
Timeframe: time of response to progressive disease
Intervention | months (Median) |
---|
Dose Level 2 | 4.70 |
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Number of Participants Alive at One Year (1-Year Survival)
(NCT00334802)
Timeframe: baseline to date of death from any cause, evaluated at 1 year
Intervention | participants (Number) |
---|
Dose Level 1 | 5 |
Dose Level 2 | 45 |
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Pharmacokinetics - Area Under the Concentration Curve (AUC)
Area under the concentration curve from time zero to infinity. (NCT00334802)
Timeframe: cycle 1, day 1 (0 minutes, 3, 3.25, 3.5, 3.58, 3.75, 4, 4.5, 5 hours) and 8 (0, 15, 30, 35, 45, 60, 90, 120 minutes)
Intervention | nanograms*hour per milliliter (ng*hr/mL) (Geometric Mean) |
---|
Gemcitabine + Paclitaxcel | 16300 |
Gemcitabine | 14700 |
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Pharmacokinetics - Half Life (t½)
Apparent elimination half-life. (NCT00334802)
Timeframe: cycle 1, day 1 (0 minutes, 3, 3.25, 3.5, 3.58, 3.75, 4, 4.5, 5 hours) and 8 (0, 15, 30, 35, 45, 60, 90, 120 minutes)
Intervention | hours (Geometric Mean) |
---|
Gemcitabine + Paclitaxcel | 0.282 |
Gemcitabine | 0.258 |
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Time to Progressive Disease
Defined as the time from study enrollment to the first date of disease progression. Time to disease progression was censored at the date of death if death was due to other cause. (NCT00334802)
Timeframe: baseline to measured progressive disease
Intervention | days (Median) |
---|
Dose Level 1 | 310.5 |
Dose Level 2 | 194.0 |
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Tumor Response
"Best response recorded from the start of treatment until disease progression/recurrence using Response Evaluation Criteria In Solid Tumors (RECIST) criteria that defines when participants improve (respond), stay the same (stable), or worsen (progression) during treatment. Responders are patients with complete response or partial response." (NCT00334802)
Timeframe: baseline to measured progressive disease
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Not Evaluable |
---|
Dose Level 1 | 0 | 3 | 1 | 1 | 1 |
,Dose Level 2 | 0 | 25 | 17 | 11 | 3 |
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Recurrence Free Survival (RFS)
The time interval between day 1, cycle 1, of adjuvant treatment to the first date of radiologic recurrence or death. (NCT00336700)
Timeframe: Up to 60 months
Intervention | months (Median) |
---|
Gemcitabine (900-1500 mg/m^2) + Erlotinib (50-150 mg Daily) | 14 |
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KRAS Mutational Status
KRAS mutation status in resected tumor specimens. (NCT00336700)
Timeframe: Up to 60 months
Intervention | percentage of participants (Number) |
---|
Gemcitabine (900-1500 mg/m^2) + Erlotinib (50-150 mg Daily) | 92 |
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2-year Recurrence Free Survival (RFS)
(NCT00336700)
Timeframe: Up to 60 months
Intervention | percentage of participants (Number) |
---|
Gemcitabine (900-1500 mg/m^2) + Erlotinib (50-150 mg Daily) | 26 |
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Percentage of Participants With Expression of Epidermal Growth Factor Receptor (EGFR)
Percentage of participants with expression of epidermal growth factor receptor (EGFR) expression in the resected tumors was assessed by fluorescence in situ hybridization (FISH) and immunohistochemistry (IHC). (NCT00336700)
Timeframe: Up to 60 months
Intervention | percentage of participants (Number) |
---|
| EGFR FISH - Negative | EGFR FISH - Positive | EGFR IHC - 1+ (incomplete circumferential) | 2+ (complete circumferential) | 3+ (complete strong circumferential) |
---|
Gemcitabine (900-1500 mg/m^2) + Erlotinib (50-150 mg Daily) | 80 | 20 | 22 | 35 | 43 |
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Estimated 1&2 Year Overall Survival (OS)
Time from from date of first study therapy to to death from any cause. (NCT00336700)
Timeframe: Up to 60 months
Intervention | percentage of participants (Number) |
---|
| Estimated 1-year OS | Estimated 2-year OS |
---|
Gemcitabine (900-1500 mg/m^2) + Erlotinib (50-150 mg Daily) | 84 | 53 |
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1-year Recurrence Free Survival (RFS)
(NCT00336700)
Timeframe: Up to 60 months
Intervention | percentage of participants (Number) |
---|
Gemcitabine (900-1500 mg/m^2) + Erlotinib (50-150 mg Daily) | 56 |
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sCD30 Levels
A 2-sided t-test with alpha = 0.05 will be used to compare sCD30 levels between responders (OR) and non-responders groups. (NCT00337194)
Timeframe: Up to day 21 of course 6
Intervention | U/ml (Median) |
---|
Responders | 174.2 |
Non-responders | 76.5 |
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Event Free Survival (EFS)
Event free survival is the time from trial entry until progression, death, or termination of treatment due to nonresponse. Patients who went on to receive a stem cell transplant (SCT) were not censored from the EFS survival at the time of transplant and were only considered failures at the time of relapse or death from any cause. The median EFS with 95% confidence interval (CI) was estimated using the Kaplan Meier method. (NCT00337194)
Timeframe: Up to 10 years
Intervention | months (Median) |
---|
Arm I (SGN-30, Chemotherapy) | 11.3 |
Arm II (Placebo, Chemotherapy) | 4.1 |
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Number of Participants With Overall Response (OR)
The number of participants who respond (complete or partial) to treatment. Response was defined using the revised criteria for malignant lymphoma. Complete response (CR): complete disappearance of all detectable disease; partial response (PR): >= 50% reduction in sum of the product of diameters of indicator lesions. (NCT00337194)
Timeframe: Up to 10 years
Intervention | participants (Number) |
---|
Arm I (SGN-30, Chemotherapy) | 15 |
Arm II (Placebo, Chemotherapy) | 4 |
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Overall Survival (OS) At 1 Year
Percentage of patients who were alive at 1 year. The 1-year survival rate was estimated using the Kaplan Meier method. (NCT00337194)
Timeframe: 1 year
Intervention | percentage of participants (Median) |
---|
Arm I (SGN-30, Chemotherapy) | 86 |
Arm II (Placebo, Chemotherapy) | 30 |
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Peak Serum Level of Monoclonal Antibody SGN-30
Record the highest serum level of monoclonal antibody SGN-30 achieved. (NCT00337194)
Timeframe: Up to day 21 of course 6
Intervention | mg/ml (Median) |
---|
Arm I (SGN-30, Chemotherapy) | 339 |
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Fc Gamma Receptor Polymorphisms
Fisher's exact test with 2-sided alpha = 0.05 will be used to compare the response probabilities in patients with V/V (valine expression), V/F (heterozygous), and F/F (homozygous for phenylalanine) for each of Fc gamma RIIIa a (NCT00337194)
Timeframe: Baseline
Intervention | participants (Number) |
---|
| V/V | F/F | F/V |
---|
Non-responders | 0 | 6 | 5 |
,Responders | 0 | 10 | 7 |
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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 |
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Rate of Local Control
"The proportion of patients with local control where local control is defined as no recurrence or disease progression in the primary disease site.~Disease progression was defined using either the RECIST or Pet criteria. Using the RECIST criteria disease progression is defined as a more than 25% tumor increase by volume and/ or presence of a new lesion. Using the Pet criteria disease progression is defined as an increase in PET activity as compared to the scan used in the planning of the treatment; any subsequent increase in SUVmax was defined as local progression." (NCT00350142)
Timeframe: up to 3 years
Intervention | participants (Number) |
---|
Stereotactic Radiosurgery | 15 |
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Overall Survival
Overall survival is the number of participants who were alive when the trial was terminated. (NCT00356525)
Timeframe: baseline to trial termination (17.5 months)
Intervention | participants alive (Number) |
---|
Less Than One Year: Pemetrexed | 6 |
Less Than One Year: Pemetrexed + Gemcitabine | 4 |
One Year or Greater: Pemetrexed + Carboplatin | 6 |
One Year or Greater: Pemetrexed + Gemcitabine | 7 |
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Objective Tumor Response
Best response recorded from the start of treatment until disease progression/recurrence 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 do not meet above criteria. (NCT00356525)
Timeframe: baseline to time of response (up to 17.5 months)
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Unknown |
---|
Less Than One Year: Pemetrexed | 0 | 7 | 3 | 2 | 2 |
,Less Than One Year: Pemetrexed + Gemcitabine | 0 | 0 | 9 | 2 | 0 |
,One Year or Greater: Pemetrexed + Carboplatin | 0 | 2 | 5 | 0 | 0 |
,One Year or Greater: Pemetrexed + Gemcitabine | 0 | 1 | 6 | 1 | 1 |
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Overall Response Rate
To assess the overall response rate of GEMOX-B in patients with advanced BTC. Response rate is determined through 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. (NCT00361231)
Timeframe: 2 years
Intervention | percentage of participants (Number) |
---|
Bevacizumab, Gemcitabine, Oxaliplatin | 0 |
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Time to Tumor Progression
"Time to tumor progression (TTP) = time from date of initial treatment to first objective documentation of progressive disease or death; patients who die without a reported prior progression will be considered to have progressed on the day of their 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." (NCT00366457)
Timeframe: all patients will be followed for a minimum of 4 months
Intervention | months (Median) |
---|
Gemcitabine, Bevacizumab and Erlotinib | 3.5 |
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Toxicity Profile
Grade 3-4 treatment-related toxicities (treatment-related = possible, probable, or definite) Grading system: 1= mild, 2 = moderate, 3 = severe, 4 = life-threatening (NCT00366457)
Timeframe: during and after first 28-day cycle of treatment
Intervention | Participants (Count of Participants) |
---|
| Neutrophils | ALT-SGPT | Fatigue | Leukocytes | Rash: acne/acneiform | Thrombosis/thrombus/embolism | Anorexia | AST - SGOT | Hemoglobin | Lymphopenia | Nonneuropathic generalized weakness | Upper GI-hemorrhage NOS | Vascular access-Thrombosis/embolism | Vessel injury - artery - Other NOS | Weight loss |
---|
Gemcitabine, Bevacizumab and Erlotinib | 4 | 3 | 2 | 2 | 2 | 2 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
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Overall Survival
overall survival (OS) = time from study entry until death from any cause (NCT00366457)
Timeframe: 5 years
Intervention | months (Median) |
---|
Gemcitabine, Bevacizumab and Erlotinib | 6.7 |
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Maximum Tolerated Dose as Measured by the Number of Dose Limiting Toxicities Seen in Cohort.
"Only dose limiting toxicities (DLT) were collected. DLTs were graded according to the National Cancer Institute's Common Toxicity Criteria for adverse events version 3.0 (CTCAE v3.0) 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~The occurrence of any of the following toxicities during the first treatment cycle constitutes DLT in this study:~Grade 3 and/or 4 non-hematologic toxicity other than grade 3 nausea or vomiting.~Grade 3 and/or 4 unexpected non-hematologic toxicities. Grade 4 vomiting despite maximal antiemetic support. Grade 4 neutropenia and fever during first cycle. Grade 4 neutropenia on Day 1 of 2nd treatment cycle despite growth factor support or grade 4 thrombocytopenia on Day 1 of 2nd treatment cycle." (NCT00369629)
Timeframe: From the day that the first treatment is given through the first 28 day period for each patient.
Intervention | DLT (Number) |
---|
| Perforated sigmoid diverticulitis | Febrile neutropenia |
---|
Cohort 1 | 1 | 0 |
,Cohort 2 | 0 | 0 |
,Cohort 3 | 0 | 1 |
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Time to Treatment Failure
Imaging tests (CT scan, CXR, MRI or imaging studies as clinically indicated). Progressive disesase is defined as a greater than 20% increase in the sum of the longest diameter of target lesions taking as reference the smalles sum of the longest diameter recorded since the treatment started or the appearance of new lesions. (NCT00376948)
Timeframe: Every 8 weeks
Intervention | months (Median) |
---|
Novasoy®, Gemcitabine & Erlotinib | 2.04 |
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Time to Progression
Imaging tests (CT scan, CXR, MRI or imaging studies as clinically indicated). Progressive disesase is defined as a greater than 20% increase in the sum of the longest diameter of target lesions taking as reference the smalles sum of the longest diameter recorded since the treatment started or the appearance of new lesions. (NCT00376948)
Timeframe: Every 8 weeks
Intervention | moths (Median) |
---|
Novasoy®, Gemcitabine & Erlotinib | 2.07 |
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Response Duration
Imaging tests (CT scan, CXR, MRI or imaging studies as clinically indicated). Progressive disesase is defined as a greater than 20% increase in the sum of the longest diameter of target lesions taking as reference the smalles sum of the longest diameter recorded since the treatment started or the appearance of new lesions. Partial response is defined as greater than or equal to 30% reduction in the sum of the longest diameteres of target lesions, taking as reference the baseline sum of the longest diameters. (NCT00376948)
Timeframe: Every 8 weeks
Intervention | days (Number) |
---|
Novasoy®, Gemcitabine & Erlotinib | 73 |
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Patients Alive
(NCT00376948)
Timeframe: at 6 months
Intervention | participants (Number) |
---|
Novasoy®, Gemcitabine & Erlotinib | 10 |
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Overall Objective Response Rate (Complete and Partial Response)
Imaging tests (CT scan, CXR [Chest X-Ray], MRI or imaging studies as clinically indicated (NCT00376948)
Timeframe: Every 8 weeks
Intervention | proportion of patients (Number) |
---|
Novasoy®, Gemcitabine & Erlotinib | 0.056 |
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Grade 3 or Higher Toxicity Evaluation
Toxicity evaluation using NCI-CTC (Common Terminology Criteria) v.3 criteria; CBC (complete blood count) with differential white cell and platelet counts; Serum sodium, potassium, chloride, bicarbonate, AST, ALT, alkaline phosphatase, total bilirubin, blood urea nitrogen, creatinine, and albumin; Serum CA 19-9 (NCT00376948)
Timeframe: First day of each cycle
Intervention | Participants (Count of Participants) |
---|
| diarrhea | fatigue | infection | nausea | neutrophil | pain | platelet | stomach mucostis | vomiting | wbc | other toxicity |
---|
Novasoy®, Gemcitabine & Erlotinib | 3 | 5 | 1 | 7 | 4 | 5 | 1 | 1 | 4 | 2 | 4 |
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Objective Response Rate (Complete Response [CR] Plus Partial Response [PR]) Using Response Evaluation Criteria in Solid Tumors (RECIST)
"Complete response is defined as disappearance of all target and nontarget lesions identified and reported at baseline (at or within 4 weeks before the beginning of treatment) by image-based evaluations such as computerized tomography (CT) or magnetic resonance imaging (MRI).~Partial response is defined as persistence of one or more nontarget lesions and at least 30 percent decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameters." (NCT00378573)
Timeframe: 1 year from start of treatment
Intervention | Participants (Number) |
---|
| Complete Response | Confirmed Partial Response | Unconfirmed Partial Response | Stable Disease | Progressive Disease | Not Evaluable |
---|
Docetaxel, Gemcitabine and Bevacizumab | 0 | 6 | 1 | 2 | 7 | 1 |
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Number of Participants With a Dose-limiting Toxicity (DLT)
"Toxicities were assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), V 3.0. A DLT was one of the following, if considered at least possibly related to study treatment:~Grade 4 neutropenia for ≥5 days or febrile neutropenia; Grade 4 thrombocytopenia or need for a platelet transfusion; ≥ Grade 3 nausea and/or emesis despite using optimal antiemetic therapy; ≥ Grade 3 diarrhea despite using maximal supportive therapy; Any clinically significant Grade 3 or 4 nonhematologic toxicity; Inability to administer all doses in cycle 1." (NCT00379639)
Timeframe: 28 days
Intervention | participants (Number) |
---|
Dose Level 1 | 3 |
Dose Level 2 | 1 |
Dose Level 5 | 0 |
Dose Level 6 | 2 |
Dose Level 8 | 0 |
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Best Overall Response
"Disease response was determined by the Investigator according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria using computed tomography or magnetic resonance imaging:~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; Progressive Disease (PD): At least a 20% increase in the sum of the LD of target lesions or the appearance of ≥1 new lesions; Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD." (NCT00379639)
Timeframe: Disease assessments were performed within 4 weeks of first dose and every 8 weeks thereafter (up to 236 days).
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable disease | Progressive disease |
---|
Dose Level 1 | 0 | 0 | 5 | 1 |
,Dose Level 2 | 0 | 1 | 4 | 2 |
,Dose Level 5 | 0 | 0 | 3 | 4 |
,Dose Level 6 | 0 | 0 | 1 | 3 |
,Dose Level 8 | 0 | 1 | 1 | 1 |
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Number of Participants With Adverse Events (AEs)
"AEs were graded for severity according to the National Cancer Institute Common Terminology Criteria (NCI CTCAE), V 3.0: Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe (prevents normal everyday activities); Grade 4: Life-threatening or disabling; Grade 5: Death.~A serious AE is associated with events that pose a threat to a patient's life or functioning, require hospitalization, is a congenital anomaly/birth defect or is an important medical event or condition that may jeopardize the patient and may require medical or surgical intervention to prevent one of the above outcomes." (NCT00379639)
Timeframe: From the date of first dose to 30 days after last dose (up to 236 days).
Intervention | participants (Number) |
---|
| Any adverse event | ≥Grade 3 adverse event | Grade 4 adverse event | Serious adverse event | Adverse event leading to discontinuation | Adverse event leading to death |
---|
Dose Level 1 | 7 | 7 | 1 | 3 | 0 | 0 |
,Dose Level 2 | 7 | 5 | 2 | 2 | 0 | 0 |
,Dose Level 5 | 10 | 5 | 3 | 4 | 1 | 0 |
,Dose Level 6 | 6 | 4 | 2 | 1 | 0 | 0 |
,Dose Level 8 | 6 | 3 | 1 | 2 | 1 | 1 |
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Tumor Response
"Response Evaluation Criteria In Solid Tumors - define when cancer patients improve (respond), stay the same (stabilize), or worsen (progression) during treatments. 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; Stable Disease (SD) = small changes that do not meet above criteria." (NCT00380588)
Timeframe: baseline to measured progressive disease (up to 2 years)
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Not Evaluable |
---|
Gemcitabine | 0 | 5 | 16 | 17 | 4 |
,Gemcitabine + Cisplatin | 0 | 8 | 20 | 9 | 4 |
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Progression Free Survival
The period from study entry until disease progression, death or date of last contact. (NCT00380588)
Timeframe: baseline to measured progressive disease (up to 2 years)
Intervention | months (Median) |
---|
Gemcitabine + Cisplatin | 5.8 |
Gemcitabine | 3.7 |
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Percentage of Patients Alive at 1 Year (1-Year Survival Rate)
Percentage of patients alive at 1 year. (NCT00380588)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
Gemcitabine + Cisplatin | 39 |
Gemcitabine | 31 |
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Survival Time
Data of patients lost to follow-up were censored at the last date of confirmation of their survival. (NCT00380588)
Timeframe: baseline to date of death due to any cause (up to 2 years)
Intervention | months (Median) |
---|
Gemcitabine + Cisplatin | 11.2 |
Gemcitabine | 7.7 |
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Overall Survival
Survival time is defined as the time from date of randomization to death due to any cause. (NCT00383331)
Timeframe: baseline and every 14 or 21 day cycle (6-9 cycles), every 6 weeks post-therapy follow-up
Intervention | months (Median) |
---|
21-Day Cycle | 5.1 |
14-Day Cycle | 8.1 |
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Best Overall Tumor Response
"Best response recorded from the start of treatment until disease progression/recurrence using Response Evaluation Criteria In Solid Tumors (RECIST) criteria that defines when participants improve (respond), stay the same (stable), or worsen (progression) during treatment." (NCT00383331)
Timeframe: baseline and every 14 or 21 day cycle (6-9 cycles), every 6 weeks post-therapy follow-up
Intervention | participants (Number) |
---|
| Complete Response | Partial Response |
---|
14-Day Cycle | 0 | 0 |
,21-Day Cycle | 0 | 2 |
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Progression Free Survival
baseline to measured progressive disease (NCT00383331)
Timeframe: baseline and every 14 or 21 day cycle (6-9 cycles), every 6 weeks post-therapy follow-up
Intervention | months (Median) |
---|
21-Day Cycle | 1.66 |
14-Day Cycle | 5.04 |
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Overall Objective Response Rate (CR + PR)
Objective response (OR) defined as percentage of participants with RECIST Complete Response (CR) and Partial Response (PR), defined as CR: Disappearance all target and non-target lesions, no evidence of new lesions documented by 2 disease assessments at least 4 weeks apart. Normalization of CA-125, if elevated at baseline, is required; PR: 30% decrease in sum of longest dimensions (LD) of all target measurable lesions reference baseline sum of LD, no unequivocal progression of non-target lesions; no new lesions documented by 2 disease assessments at least 4 weeks apart is required. In the case where the ONLY target lesion is a solitary pelvic mass measured by physical examination, which is not radiographically measurable, a 50% decrease in the LD is required. 21-day cycle assessments or until either disease progression or adverse effects prohibit further treatment. (NCT00388154)
Timeframe: Responses required confirmation by imaging after 4-week+ interval following 3 week (21 day) therapy course.
Intervention | percentage of participants (Number) |
---|
Gemcitabine + Cisplatin | 50 |
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Participant Responses
Response Evaluation Criteria In Solid Tumors (RECIST): Complete Response (CR): disappearance all target & nontarget lesions, absence new lesions, documented by 2 disease assessments 4 weeks apart; Partial response (PR): 30% decrease in sum longest diameter (LD) all measurable target lesions (baseline sum LDs as reference) & absence of progression of nontarget lesions or development of new, documented by 2 disease assessments 4 weeks apart. When only target lesion solitary pelvic mass measurable by physical examination but not radiography, a 50% decrease in LD required to be PR; Progressive disease (PD): 20% increase in sum LDs of target lesions (reference smallest sum of LDs at any assessment) or appearance of new lesions within 9 weeks of study entry, and unequivocal progression of existing nontarget lesions, other than pleural effusions without cytological proof of neoplastic origin within 9 weeks of enrollment; Stable disease (SD): any condition not meeting above CR, PR, or PD. (NCT00388154)
Timeframe: Responses required confirmation by imaging after 4-week+ interval following 3 week (21 day) therapy course.
Intervention | participants (Number) |
---|
| CR | PR | PD | SD |
---|
Gemcitabine + Cisplatin | 2 | 8 | 4 | 6 |
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Dose-limiting Toxicity of Gemcitabine Due to Non-hematologic Toxicity
Reported as the number of Phase 1 participants by gemcitabine dose that experienced non-hematologic toxicity, ie, drug-related adverse events. (NCT00388349)
Timeframe: 6 months
Intervention | participants (Number) |
---|
1250 mg/m2 Gemcitabine + HD Chemo + PBSC Rescue | 0 |
1500 mg/m2 Gemcitabine + HD Chemo + PBSC Rescue | 3 |
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Relapse Post-transplant
Reports the percentage of participants that experienced relapse post-transplant. (NCT00388349)
Timeframe: 2 years
Intervention | percentage of participants (Number) |
---|
Gemcitabine + High-dose Chemotherapy + PBSC Rescue | 29 |
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Pulmonary Toxicity (BCNU Pneumonitis)
Pulmonary toxicity as assessed by the number of participants that experience BCNU pneumonitis, ie, pneumonitis due to carmustine (BCNU). (NCT00388349)
Timeframe: 2 years
Intervention | participants (Number) |
---|
Gemcitabine + High-dose Chemotherapy + PBSC Rescue | 26 |
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Overall Survival (OS)
Reports the percentage of participants surviving 6 months after PBSC infusion (transplant). (NCT00388349)
Timeframe: 2 years
Intervention | percentage of participants (Number) |
---|
Gemcitabine + High-dose Chemotherapy + PBSC Rescue | 87 |
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Survival Measures
"Reports the survival measures:~Freedom from progression (FFP)~Event-free survival (EFS)~Overall survival (OS)~EFS and OS were estimated by Kaplan-Meier method~Progression was 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" (NCT00388349)
Timeframe: 2 years
Intervention | percentage of patients (Number) |
---|
| Freedom from Progression (FFP) | Event-Free Survival (EFS) | Overall Survival (OS) |
---|
1250 mg/m2 Gemcitabine + High-dose Chemotherapy + PBSC Rescue | 71 | 67 | 83 |
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Percentage of Participants With Distant Mestastases - Liver
Patients with distant mestastases to the liver (NCT00390182)
Timeframe: Participants were followed for an average of 8 years
Intervention | percentage of participants (Number) |
---|
Low Dose Fractionated Radiation Therapy (LDFRT) + Gemcitabine | 63 |
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Overall 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. (NCT00390182)
Timeframe: 3 weeks
Intervention | participants (Number) |
---|
Low Dose Fractionated Radiation Therapy (LDFRT) + Gemcitabine | 3 |
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Toxicity Profile
Toxicities are assessed according to the National Cancer Institute's Common Terminology Criteria for Adverse Events, version 3.0. Toxicities are reported as the number of patients who experienced grade 3 or grade 4 adverse events after receiving at least one dose of on-study treatment. (NCT00391586)
Timeframe: 28 days after last on-study treatment
Intervention | participants (Number) |
---|
| Acne | Anorexia | Confusion | Dehydration | Diarrhea | Dyspnea | Fatigue | Nasal hemorrhage | Insomnia | Kidney pain | Lymphocyte count decreased | Muscle weakness | Neutrophil count decreased | Desquamating rash | Syncope | Thrombosis (clotting) |
---|
Erlotinib Followed by Chemotherapy | 1 | 1 | 1 | 1 | 2 | 3 | 8 | 1 | 1 | 1 | 1 | 1 | 2 | 1 | 1 | 1 |
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Time to Progression
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. (NCT00394147)
Timeframe: 1 year
Intervention | months (Median) |
---|
Pemetrexed and Gemcitabine | 5.9 |
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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. (NCT00394147)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|
Pemetrexed and Gemcitabine | 2 |
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Overall Survival
(NCT00394147)
Timeframe: 1 year
Intervention | months (Median) |
---|
Pemetrexed and Gemcitabine | 5.9 |
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Maximal Degree of Anemia
The maximal degree of anemia (and myelosuppression) was assessed by the overall (any time after first dose of study drug) nadir of hemoglobin levels based on clinical laboratory measurements. (NCT00398086)
Timeframe: During the treatment phase, up to a maximum of 24 months.
Intervention | g/L (Mean) |
---|
100 mg/m^2 | 95.1 |
125 mg/m^2 | 91.8 |
150 mg/m^2 | 95.3 |
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Number of Participants With Adverse Events (AE)
"An AE was any untoward medical occurrence, not necessarily having a causal relationship with the patient's treatment, that began or worsened in grade after the start of study drug through 30 days after the last dose.~A serious AE (SAE) is any untoward medical occurrence that is fatal, life-threatening, results in persistent or significant disability or incapacity, requires or prolongs existing in-patient hospitalization, is a congenital anomaly/birth defect, or is a condition that may jeopardize the patient or may require intervention to prevent one of the outcomes listed above.~Treatment-related AEs (TRAEs) include those assessed by the Investigator as possibly, probably, or definitely related to study treatment.~Severity was graded according to the NCI CTCAE based on the following: Grade 1- Mild; Grade 2 -Moderate; Grade 3 - Severe; Grade 4 - Life-threatening or disabling; Grade 5 - Death related to AE." (NCT00398086)
Timeframe: Up to 25 months
Intervention | participants (Number) |
---|
| Patients with at least 1 AE | At least 1 grade 3 or higher AE | At least 1 treatment-related AE | At least 1 treatment-related grade 3 to 5 AE | Patients with at least 1 SAE | Patients with at least 1 treatment-related SAE | At least 1 AE and drug permanently discontinued | At least 1 TRAE and drug permanently discontinued | At least 1 dose reduction due to TRAE | At least 1 dose interruption due to AE | At least 1 treatment-related AE dose interruption | At least 1 treatment-emergent dose delay due to AE | At least 1 treatment-related dose delay due to AE | At least 1 AE resulting in death |
---|
100 mg/m^2 | 20 | 15 | 18 | 11 | 10 | 4 | 3 | 2 | 4 | 1 | 1 | 14 | 13 | 0 |
,125 mg/m^2 | 44 | 42 | 42 | 38 | 24 | 12 | 12 | 8 | 10 | 0 | 0 | 27 | 27 | 1 |
,150 mg/m^2 | 3 | 3 | 3 | 3 | 1 | 1 | 2 | 2 | 1 | 0 | 0 | 3 | 3 | 1 |
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Maximal Degree of Myelosuppression
The maximal degree of myelosuppression was assessed by the overall nadir of absolute neutrophil count (ANC), white blood cell count and platelet count based on clinical laboratory measurements. (NCT00398086)
Timeframe: During the treatment phase, up to a maximum of 24 months.
Intervention | x10^9/L (Mean) |
---|
| Absolute neutrophil count | White blood cell count | Platelet count |
---|
100 mg/m^2 | 1.38 | 2.69 | 120.3 |
,125 mg/m^2 | 0.96 | 2.18 | 88.3 |
,150 mg/m^2 | 0.47 | 1.52 | 58.7 |
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Progression-free Survival
"Progression-free survival is defined as the time from first dose of study drug to the start of disease progression or patient death, whichever occurs first, assessed by an Independent Radiological Reviewer. Participants who do not have disease progression or have not died were censored at the last known time that the participant was progression free. Progression-free survival was summarized using Kaplan-Meier methods.~Progressive Disease is defined as at least a 20% increase in the sum of the longest diameters of target lesions, taking as reference the smallest sum of the longest diameters recorded since the treatment started; or the appearance of one or more new lesions; or the unequivocal progression of a non-target lesion." (NCT00398086)
Timeframe: Up to approximately 4 years
Intervention | months (Median) |
---|
100 mg/m^2 | 6.1 |
125 mg/m^2 | 6.9 |
150 mg/m^2 | 1.6 |
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Percentage of Participants With Disease Control
"Disease control is defined as participants with Stable Disease for at least 16 weeks, or confirmed complete or partial overall response, based on RECIST guidelines and assessed by an Independent Radiological Reviewer.~Stable disease is defined as neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for Progressive Disease, and no new non-target lesions or unequivocal progression of existing non-target lesions. Progressive Disease is defined as at least a 20% increase in the sum of the longest diameters of target lesions, taking as reference the smallest sum of the longest diameters recorded since the treatment started; or the appearance of one or more new lesions; or the unequivocal progression of a non-target lesion." (NCT00398086)
Timeframe: Up to approximately 4 years
Intervention | percentage of participants (Number) |
---|
100 mg/m^2 | 55 |
125 mg/m^2 | 55 |
150 mg/m^2 | 33 |
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Percentage of Participants Who Achieved an Objective Confirmed Overall Response
"Overall Response is defined as the percent of participants who achieve an objective confirmed complete (CR) or partial response (PR). Response was determined according to Response Evaluation Criteria in Solid Tumors (RECIST) guidelines, assessed by an Independent Radiological Reviewer.~CR: The disappearance of all known disease and no new sites or disease-related symptoms confirmed at least 4 weeks after initial documentation. All sites must be assessed, including non-measurable sites, such as effusions, or markers.~PR: At least a 30% decrease in the sum of the longest diameters of target lesions, taking as a reference the baseline sum of the longest diameters confirmed at least 4 weeks after initial documentation and no new non-target lesions and/or unequivocal progression of existing non-target lesions. PR is also recorded when all measurable disease has completely disappeared, but a non-measurable component (i.e., ascites) is still present but not progressing." (NCT00398086)
Timeframe: Up to approximately 4 years
Intervention | percentage of participants (Number) |
---|
100 mg/m^2 | 25 |
125 mg/m^2 | 39 |
150 mg/m^2 | 0 |
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Overall Survival
Overall survival was defined as the time from the date of first dose of study drug to the date of patient death from all causes. Participants who did not die were censored at the last known time the patient was alive. Patient survival was summarized using Kaplan-Meier methods. (NCT00398086)
Timeframe: Up to approximately 4 years
Intervention | months (Median) |
---|
100 mg/m^2 | 9.3 |
125 mg/m^2 | 12.2 |
150 mg/m^2 | 6.1 |
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Number of Participants With Dose-limiting Toxicities
"A dose-limiting toxicity (DLT) is defined as one or more of the following toxicities related to study drug during Cycle 1, according to the National Cancer Institute (NCI) Common Toxicity Criteria for Adverse Events (CTCAE), Version 3:~Grade 4 neutropenia lasting >3 days in the absence of growth factor support;~Grade 4 neutropenia associated with fever >38.5°C;~Any other Grade 4 hematological toxicity;~Grade 3 thrombocytopenia with hemorrhage;~Grade 3 or 4 nausea, vomiting or diarrhea despite prophylaxis or treatment with an optimal anti-emetic or anti-diarrhea regimen;~Any other Grade 3 or higher non-hematological toxicity attributable to the study drug, excluding alopecia and fatigue." (NCT00398086)
Timeframe: Cycle 1 (Days 1-28)
Intervention | participants (Number) |
---|
100 mg/m^2 | 4 |
125 mg/m^2 | 0 |
150 mg/m^2 | 1 |
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Duration of Response
Duration of response was assessed by progression-free survival for participants who achieved a confirmed Complete Response or Partial Response, assessed by an Independent Radiological Reviewer. (NCT00398086)
Timeframe: Up to approximately 4 years
Intervention | months (Median) |
---|
100 mg/m^2 | NA |
125 mg/m^2 | 7.3 |
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Best Overall Response by Cycle
Number of patients and their best response recorded from the state of treatment until disease progression. Response was assessed using Response Evaluation Criteria in Solid Tumors (RECIST): 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. (NCT00400803)
Timeframe: After Cycle 4, Cycle 6 and Cycle 7 of Therapy
Intervention | Participants (Number) |
---|
| Cycle 1 | Cycle 2 | Cycle 3 | Cycle 4 | Cycle 5 | Cycle 6 | Cycle 7 |
---|
Intent To Treat - Lung Cancer Patients | 1 | 1 | 3 | 24 | 0 | 2 | 4 |
,Partial Response | 0 | 0 | 0 | 15 | 0 | 2 | 2 |
,Progressive Disease | 1 | 1 | 1 | 3 | 0 | 0 | 0 |
,Stable Disease | 0 | 0 | 2 | 6 | 0 | 0 | 2 |
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Overall Survival Time
Overall survival is defined as the time from the start of treatment until death due to whatever cause. For subjects alive at study completion, time to death will be censored at the time of last contact. (NCT00400803)
Timeframe: Baseline to Death
Intervention | Months (Mean) |
---|
Intent To Treat - Lung Cancer Patients | 14.3 |
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Time to Best Response
Time to best response is defined as the time from the start of treatment until first documented evidence of tumor response (30% decrease or complete disappearance of tumor). For subjects who do not show a tumor response, the time will be censored at the time of last contact. (NCT00400803)
Timeframe: From Enrollment to First Tumor Response
Intervention | Days (Median) |
---|
Intent To Treat - Lung Cancer Patients | 72 |
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Time to Progression
Time to progression (progression free survival)is defined as the time from the start of treatment until first documented sign of disease progression or death due to any cause. For subjects who do not progress, time to progression will be censored at the time of last tumor assessment. (NCT00400803)
Timeframe: From Enrollment Through 2 Years
Intervention | Months (Mean) |
---|
Intent To Treat - Lung Cancer Patients | 3.1 |
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Duration of Response
For subjects who show a response, duration of response is defined to be the time from first documented evidence of response(30% decrease or complete disappearance of tumor) until the first documented sign of disease progression or death due to any cause. For subjects who do not progress or die, duration of response will be censored at the time of last tumor assessment. (NCT00400803)
Timeframe: From Enrollment through Date of First Documented Disease Progression or Date of Death From Any Cause, Whichever Came First, Up to 100 Months
Intervention | Days (Median) |
---|
Intent To Treat - Lung Cancer Patients | 105 |
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Overall Survival (OS), Confirmed
Overall Survival (OS) as determined by confirmed date of death. Participants without documentation as either alive or deceased as of 6 years from the start of treatment were considered lost-to-follow-up. (NCT00403130)
Timeframe: 6 years
Intervention | months (Median) |
---|
Bevacizumab + Gemcitabine + Paclitaxel | 33.7 |
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Response Rates
"The best overall response was recorded for each participant from randomization until disease progression/recurrence, using any increase from the smallest measurements recorded since randomization as the indicator of Progressive Disease (PD).~Overall response was determined on the basis of response at the target and non-target lesions, and the appearance of new lesions, as follows.~Target Nontarget New Lesions Overall Response~Complete Complete None Overall Complete Response~Complete Incomplete response/ None Overall Partial Response Stable Disease (SD)~Partial Not PD None Overall Partial Response~SD Not PD None Overall Stable Disease~PD Any Yes/No Overall PD~Any PD Yes/No Overall PD~Any Any Yes Overall PD~Overall Response Rate (ORR) was assessed as the sum of the Complete Response (CR) rate and the Partial Response (PR) rate." (NCT00403130)
Timeframe: 24 weeks
Intervention | Participants (Count of Participants) |
---|
| Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Progressive Disease (PD) | Overall Response Rate (ORR) |
---|
Bevacizumab + Gemcitabine + Paclitaxel | 1 | 4 | 1 | 7 | 5 |
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Overall Survival (OS), All Participants
Overall Survival (OS), based on date of death or last known date alive (NCT00403130)
Timeframe: 6 years
Intervention | months (Median) |
---|
Bevacizumab + Gemcitabine + Paclitaxel | 14.8 |
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Time-to-Progression (TTP)
Time-to-Progression (TTP) was assessed as the time from start of treatment to progression, as observed on radiographic scans and assessed per the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria for progressive disease (ie, a 5-mm absolute increase of the sum of the longest diameters of the target lesions in addition to a 20% increase in the sum of the target lesions) (NCT00403130)
Timeframe: 2 years
Intervention | months (Median) |
---|
Bevacizumab + Gemcitabine + Paclitaxel | 8.9 |
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Progression-free Survival
Progression-free survival was defined as the number of months from registration to the date of disease progression or death, with patients who are alive and progression free being censored on the date of their last evaluation. (NCT00407550)
Timeframe: Time from registration to progression or death (up to 2 years)
Intervention | months (Median) |
---|
Gemzar x2 | 1.66 |
Gemzar x1 | 5.04 |
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Overall Survival
Overall survival time was defined as the number of months from registration to the date of death or last follow-up (NCT00407550)
Timeframe: Death or last follow-up (up to 2 years)
Intervention | months (Median) |
---|
Gemzar x2 | 5.1 |
Gemzar x1 | 8.1 |
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Number of Patients With Confirmed Responses
"Confirmed tumor response (complete and partial) as measured by RECIST(Response Evaluation Criteria In Solid Tumors) criteria on 2 consecutive evaluations at least 6 weeks apart.~>~> Confirmed tumor response is at least a 30% decrease in the sum of the longest diameter of target lesions and no new lesions." (NCT00407550)
Timeframe: Two consecutive evaluations at least 6 weeks apart (up to 2 years)
Intervention | participants (Number) |
---|
Gemzar x2 | 2 |
Gemzar x1 | 0 |
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Adverse Event
Number of patients that experienced adverse events (grade 4 or more) as measured by NCI CTCAE (Common Terminology Criteria for Adverse Events) v3.0 (NCT00407550)
Timeframe: Gemzar x2 Arm every 21 days, Gemzar x1 Arm every 14 days (up to 2 years)
Intervention | Participants (Count of Participants) |
---|
Gemzar x2 | 6 |
Gemzar x1 | 4 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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Overall Survival
(NCT00408564)
Timeframe: up to 46 weeks after the start of study treatment
Intervention | percentage of participants (Number) |
---|
Gemcitabine,Oxaliplatin and Cetuximab | 49 |
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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 |
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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 |
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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 |
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Number of Participants With Platelet Transfusions
Number of participants who were administered platelet transfusions during first on study treatment cycle. (NCT00413283)
Timeframe: 3 weeks
Intervention | Participants (Number) |
---|
Placebo | 1 |
Romiplostim 250 µg | 4 |
Romiplostim 500 µg | 1 |
Romiplostim 750 µg | 1 |
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Number of Participants With Adverse Events
This summary includes all treatment-emergent adverse events recorded from the start of investigational product on this study, or any worsening of adverse events initially experienced before initiation of this study. (NCT00413283)
Timeframe: 4 months
Intervention | Participants (Number) |
---|
Placebo | 12 |
Romiplostim 250 µg | 16 |
Romiplostim 500 µg | 18 |
Romiplostim 750 µg | 14 |
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Number of Participants Experiencing Grade 3 or 4 Thrombocytopenia During the First Treatment Cycle.
The number of participants in each treatment group with grade 3 or 4 thrombocytopenia during the first on study treatment cycle. Per the Common Terminology Criteria for Adverse Events (CTCAE) v3.0, participants with a platelet count < 50 x 10^9/L, but ≥ 25 x 10^9/L are considered to have Grade 3 thrombocytopenia and participants with a platelet count < 25 x 10^9/L are considered to have Grade 4 thrombocytopenia. Additionally, participants with a platelet transfusion during the first on-study treatment cycle were classified as having Grade 3/4 thrombocytopenia. (NCT00413283)
Timeframe: 3 weeks
Intervention | Participants (Number) |
---|
Placebo | 5 |
Romiplostim 250 µg | 7 |
Romiplostim 500 µg | 7 |
Romiplostim 750 µg | 7 |
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Gemcitabine Dose Reduction on Day 8 of the First Chemotherapy Cycle
Number of participants who required a gemcitabine dose reduction on Day 8 of the first on study chemotherapy cycle. (NCT00413283)
Timeframe: 8 days
Intervention | Participants (Number) |
---|
Placebo | 2 |
Romiplostim 250 µg | 4 |
Romiplostim 500 µg | 4 |
Romiplostim 750 µg | 5 |
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Platelet Count on Day 22
Platelet count on Day 22 of the first on study chemotherapy treatment cycle (planned Day 1 of next cycle) by treatment group (NCT00413283)
Timeframe: Day 22
Intervention | 10^9/L (Mean) |
---|
Placebo | 281.2 |
Romiplostim 250 µg | 222.6 |
Romiplostim 500 µg | 412.8 |
Romiplostim 750 µg | 336.0 |
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Duration of Grade 3 or 4 Thrombocytopenia
The duration of grade 3 or 4 thrombocytopenia (defined as platelet count <50 x 10^9/L) experienced during the first on study chemotherapy cycle by treatment group. (NCT00413283)
Timeframe: 3 weeks
Intervention | days (Mean) |
---|
Placebo | 2.1 |
Romiplostim 250 µg | 3.6 |
Romiplostim 500 µg | 2.6 |
Romiplostim 750 µg | 2.1 |
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Rate of Progression Free Survival at 6 Months (24 Weeks) From Initiation of Therapy
(NCT00417976)
Timeframe: 6 months
Intervention | percent of patients (Number) |
---|
Bevacizumab | 49 |
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Response Rates Defined by RECIST 1.0
The National Cancer Institutes Response Evaluation Criteria in Solid Tumors (RECIST) 1.0 was used in accessing response for patients (NCT00417976)
Timeframe: 6 months
Intervention | patients (Number) |
---|
| Complete Respsonse | Partial Response | Stable Disease | Progressive Disease |
---|
Bevacizumab | 0 | 12 | 18 | 10 |
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Determine the Nature and Degree of Toxicities Following Treatment With Oxaliplatin, Gemcitabine, and Bevacizumab in This Patient Population.
The nature and toxicities of treatment were graded per the National Cancer Institute Common Terminology Criteria of Adverse Events version 3.0 Patients with grade 2 or higher toxicity were reported (NCT00418093)
Timeframe: Toxicities were assessed every cycle and for up to 30 days after being removed from the trial
Intervention | percentage of participants (Number) |
---|
Chemotherapy Group | 94.7 |
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Overall Survival
Duration of time participants are alive after enrolling on the study. Assessed by clinical records (NCT00418093)
Timeframe: Assessed every 3 months until death from disease, other causes, or loss to follow up at a median follow up of 24 months
Intervention | weeks (Median) |
---|
Chemotherapy Group | 112.3 |
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Progression Free Survival
Time participant remains free of progression of her disease. Evaluated by RECIST criteria (NCT00418093)
Timeframe: Assessed every 2 cycles (every 8 weeks) of chemotherapy until progression of disease is documented with a median duration of follow up of 24 months
Intervention | weeks (Median) |
---|
Chemotherapy Group | 36.9 |
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Partial Response Rate
Precentage of women who responded to the treatment regimen Response was determined by RECIST criteria (NCT00418093)
Timeframe: Outcome was assessed every 2 cycles (every 8 weeks) for the duration on study, an average of 4.5 cycles (18 weeks)
Intervention | percentage of patients on study (Number) |
---|
Chemotherapy Group | 68.4 |
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Number of Participants With Dose-limiting Toxicities (DLT) Due to Vorinostat Administered in Combination With Standard Dose of Gemcitabine Plus Either Cisplatin or Carboplatin
DLT = any Common Terminology Criteria for Adverse Events Grade 3/4 drug related non-hematologic toxicity EXCEPT Grade 3 nausea/vomiting responsive to therapy, Grade 3 Fatigue responsive to management, transient electrolyte disorders that were corrected, any Grade 4 drug related hematologic toxicity EXCEPT lymphopenia/neutropenia, unless the neutropenia was febrile and/or was an infection requiring treatment, OR Any Grade 4 neutropenia lasting >=7 days, failure of absolute neutrophil count or platelets to recover, or any drug-related AE that led to a dose reduction of >=1 study drugs. (NCT00423449)
Timeframe: every 21 days (every cycle), up to 126 days (6 cycles)
Intervention | Participants (Number) |
---|
Vorinostat 300 7/21+ Gemcitabine 1000 + Cisplatin | 0 |
Vorinostat 300 7/21+ Gemcitabine 1250 + Cisplatin | 1 |
Vorinostat 400 7/21+ Gemcitabine 1250 + Cisplatin | 0 |
Vorinostat 400 10/21+ Gemcitabine 1250 + Cisplatin | 0 |
Vorinostat 400 14/21+ Gemcitabine 1250 + Cisplatin | 1 |
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Number of Participants With Clinical Adverse Experiences (Safety and Tolerability)
"An adverse experience (AE) was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the sponsor's product, whether or not considered related to the use of the product. Any worsening (any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which was temporally associated with the use of the sponsor's product, was also an adverse experience.~The AEs could have been any grade from 1 to 5 in severity (mild, moderate, severe, life-threatening, death, respectively)." (NCT00423449)
Timeframe: every 21 days (every cycle), up to 126 days (6 cycles)
Intervention | Participants (Number) |
---|
Vorinostat 300 7/21+ Gemcitabine 1000 + Cisplatin | 4 |
Vorinostat 300 7/21+ Gemcitabine 1250 + Cisplatin | 6 |
Vorinostat 400 7/21+ Gemcitabine 1250 + Cisplatin | 17 |
Vorinostat 400 10/21+ Gemcitabine 1250 + Cisplatin | 27 |
Vorinostat 400 14/21+ Gemcitabine 1250 + Cisplatin | 7 |
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Maximum Tolerated Dose of Vorinostat Administered in Combination With Standard Doses of Gemcitabine Plus Either Cisplatin or Carboplatin in Patients With Advanced Stage Non-Small Cell Lung Cancer Who Have Not Received Chemotherapy for Advanced Disease
"Maximum tolerated dose (MTD) was defined as the highest dose level in which fewer than 2 patients among the first 6 enrolled experience a DLT (as defined in Outcome Measure 1) during the first cycle of treatment.~The MTD was 400 mg for up to 10 days in 21-day cycles." (NCT00423449)
Timeframe: every 21 days (every cycle), up to 126 days (6 cycles)
Intervention | mg (Number) |
---|
All Participants | 400 |
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Number of Participants With Laboratory Adverse Experiences (Safety and Tolerability)
"An adverse experience was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the sponsor's product, whether or not considered related to the use of the product. Any worsening (any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which was temporally associated with the use of the sponsor's product, was also an adverse experience.~The AEs could have been any grade from 1 to 5 in severity (mild, moderate, severe, life-threatening, death, respectively)." (NCT00423449)
Timeframe: every 21 days (every cycle), up to 126 days (6 cycles)
Intervention | Participants (Number) |
---|
Vorinostat 300 7/21+ Gemcitabine 1000 + Cisplatin | 2 |
Vorinostat 300 7/21+ Gemcitabine 1250 + Cisplatin | 4 |
Vorinostat 400 7/21+ Gemcitabine 1250 + Cisplatin | 7 |
Vorinostat 400 10/21+ Gemcitabine 1250 + Cisplatin | 13 |
Vorinostat 400 14/21+ Gemcitabine 1250 + Cisplatin | 2 |
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Toxicity Associated With This Regimen.
(NCT00424827)
Timeframe: 1-Year
Intervention | participants (Number) |
---|
Gemcitabine/Fluorouracil With External Beam Radiation: | 2 |
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Biomarker Response to Chemoradiation Therapy
20% decrease in biomarker (CA19-9) from baseline (NCT00424827)
Timeframe: 1-year
Intervention | participants (Number) |
---|
Gemcitabine/Fluorouracil With External Beam Radiation: | 7 |
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Overall Survival
(NCT00424827)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Gemcitabine/Fluorouracil With External Beam Radiation: | 17 |
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Progression-free Survival of Patients With Locally Advanced Pancreatic Cancer Treated With Concurrent Gemcitabine, 5-FU, Cetuximab and External Beam Radiation Therapy.
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 (NCT00424827)
Timeframe: 1-year
Intervention | months (Median) |
---|
Gemcitabine/Fluorouracil With External Beam Radiation: | 7.17 |
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Resection Rate
(NCT00424827)
Timeframe: 1-Year
Intervention | participants (Number) |
---|
Gemcitabine/Fluorouracil With External Beam Radiation: | 4 |
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Overall Survival
Overall survival was defined as the time from randomization to death from any cause. (NCT00434642)
Timeframe: From randomization through July 19, 2013 (up to 6 years, 3 months)
Intervention | Months (Median) |
---|
Carboplatin and Gemcitabine + Bevacizumab | 33.6 |
Carboplatin and Gemcitabine + Placebo | 32.9 |
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Duration of Objective Response (OR) as Determined by the Investigator, Per Response Evaluation Criteria for Solid Tumors (RECIST)
Duration of OR was analyzed in the subset of patients who achieved an OR. The duration of OR was defined as the time from the initial CR or PR until documented PD or death. Lesions were assessed by computed tomography (CT), magnetic resonance imaging (MRI), or ultrasound every 9 weeks. (NCT00434642)
Timeframe: From randomization through September 17, 2010 (up to 3 years, 5 months)
Intervention | Months (Median) |
---|
Carboplatin and Gemcitabine + Bevacizumab | 10.4 |
Carboplatin and Gemcitabine + Placebo | 7.4 |
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Percentage of Patients Who Had a Gastrointestinal Perforation (GIP)
A gastrointestinal perforation is a hole that develops through the entire wall of the stomach, small intestine, large bowel, or gallbladder. (NCT00434642)
Timeframe: From randomization through September 17, 2010 (up to 3 years, 5 months)
Intervention | Percentage of participants (Number) |
---|
Carboplatin and Gemcitabine + Bevacizumab | 0 |
Carboplatin and Gemcitabine + Placebo | 0 |
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Percentage of Patients Who Had at Least 1 Adverse Event
(NCT00434642)
Timeframe: From randomization through July 19, 2013 (up to 6 years, 3 months)
Intervention | Percentage of participants (Number) |
---|
Carboplatin and Gemcitabine + Bevacizumab | 100.0 |
Carboplatin and Gemcitabine + Placebo | 100.0 |
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Percentage of Patients With an Objective Response as Determined by the Investigator, Per Response Evaluation Criteria for Solid Tumors (RECIST)
An objective response was the occurrence of either a partial response (PR) or complete response (CR). PR: At least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum longest diameter. CR: The disappearance of all target and non-target lesions. Lesions were assessed by computed tomography (CT), magnetic resonance imaging (MRI), or ultrasound every 9 weeks. (NCT00434642)
Timeframe: From randomization through September 17, 2010 (up to 3 years, 5 months)
Intervention | Percentage of participants (Number) |
---|
Carboplatin and Gemcitabine + Bevacizumab | 78.5 |
Carboplatin and Gemcitabine + Placebo | 57.4 |
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Progression Free Survival (PFS) as Determined by the Investigator, Per Response Evaluation Criteria for Solid Tumors (RECIST)
PFS was defined as the time from randomization to disease progression (PD), as determined by the investigator, or death due to any cause. 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 treatment started; the appearance of 1 or more new lesions; and/or the unequivocal progression of existing non-target lesions. Lesions were assessed by computed tomography (CT), magnetic resonance imaging (MRI), or ultrasound every 9 weeks. (NCT00434642)
Timeframe: From randomization through September 17, 2010 (up to 3 years, 5 months)
Intervention | Months (Median) |
---|
Carboplatin and Gemcitabine + Bevacizumab | 12.4 |
Carboplatin and Gemcitabine + Placebo | 8.4 |
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Percent of Participants With Progression Free Survival (PFS) After 1 Year Treatment
PFS is defined as the rate at 1 year from the date of first dose of study drug to the first date of measured PD or death from any cause and was determined using the distribution of overall PFS times. The PFS rate at 1 year was determined using Kaplan-Meier estimates. For participants not known to have died as of the data cut-off date and who do not have PD, PFS was censored at the date of the last progression-free disease assessment. (NCT00436280)
Timeframe: First Dose of Study Drug to Measured Progressive Disease or Death from Any Cause at 1 Year
Intervention | percentage of participants (Number) |
---|
Enzastaurin + R-GEMOX | 16.4 |
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Duration of Tumor Response (DOR)
Duration of tumor response was defined as the time from the date when the measurement criteria were met for CR and CRu or PR (whichever status was recorded first) until the date of first observation of objective disease progression. For responding patients who died without objective PD (including death from study disease), duration of response was censored at the date of the last objective progression-free disease assessment. For responding patients not known to have died as of the data cut-off date and who do not have objective PD, duration of response was censored at the date of the last objective progression-free disease assessment. For responding patients who received subsequent systemic anticancer therapy (after discontinuation from the study chemotherapy) prior to objectively determined disease progression, duration of response was censored at the date of the last objective progression-free disease assessment prior to post-discontinuation therapy. (NCT00436280)
Timeframe: Time from Observed CR and CRu or PR (Up to 4 Years)
Intervention | years (Number) |
---|
Enzastaurin + R-GEMOX | 23.4 |
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Progression-Free Survival (PFS ) of Participants With Diffuse Large B-cell Lymphoma (DLBCL) Germinal-Center B-cells (GCB) Versus Non-GCB Molecular Subtypes (Assessment of Biomarkers Relevant for Enzastaurin)
PFS based on DLBCL molecular subtypes (GCB vs non-GCB) were determined. The molecular characterization of germinal center B-cells (GCBs) vs. non-GCBs was analyzed as separate combination immunohistochemistry (IHC) markers based on the Hans algorithms. Molecular subtype was included as class effect in the analytical models, adjusting for International Prognostic Index (IPI) score. (NCT00436280)
Timeframe: Baseline, Cycles 1-4, End of Study
Intervention | months (Median) |
---|
| GCB | Non-GCB |
---|
Enzastaurin + R-GEMOX | 7.8 | 4.7 |
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PFS of Participants With Diffuse Large B-cell Lymphoma (DLBCL) Protein Kinase C Beta 2 (PKCB2) Expression (Assessment of Biomarkers Relevant for Enzastaurin)
Reported PFS was based on PKCB2 protein expression assessed by immunohistochemistry (scored in 10% increments for percent of tumor cells). Protein expression levels was grouped into high and low in association with the clinical endpoints. Grouping was based on 1) a pre-specified threshold provided by the pathologist at Cleveland Clinic for the diffuse large B-cell lymphoma (DLBCL)-prognostic markers, and 2) a median cut-point for the enzastaurin-specific markers. (NCT00436280)
Timeframe: Baseline, Cycles 1-4, End of Study
Intervention | months (Median) |
---|
| High Expression | Low Expression |
---|
Enzastaurin + R-GEMOX | 3.6 | 6.1 |
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Percent of Participants With Progression-Free Survival (PFS) After 2 Years and 4 Years of Treatment
"PFS was defined as time from randomization until the first evidence of progression as defined by Response Evaluation Criteria in Solid Tumors (RECIST v1.0) or death from any cause; by Investigator assessment. Progressive disease (PD) was defined as at least a 20% increase in sum of longest diameter of target lesions taking as reference the smallest sum longest diameter since baseline, progression in non-target lesions or the appearance of 1 or more new lesion(s).~PFS rate was defined as the rate of PFS at 2 year from the date of first dose of study drug and was determined using the distribution of overall PFS times.~PFS rate was defined as the rate of PFS at 4 year from the date of first dose of study drug and was determined using the distribution of overall PFS times.~For participants not known to have died as of the data cut-off date and who did not have PD, PFS was censored at the date of the last progression-free disease assessment." (NCT00436280)
Timeframe: First Dose of Study Drug to Measured Progressive Disease or Death from Any Cause at 2 Years, 4 Years
Intervention | percentage of participants (Number) |
---|
| 2 Years | 4 Years |
---|
Enzastaurin + R-GEMOX | 12.1 | 8.7 |
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Percent of Participants With Overall Survival (OS) After 1 Year, 2 Years and 4 Years
Overall survival was defined as the time from the date of first dose of study drug to the date of death from any cause. For participants who were not still alive at the time of analysis, survival time was censored at the last contact date. For participants not known to have died as of the cut-off date for analysis,OS was censored at the last contact date for participants in post-discontinuation. (NCT00436280)
Timeframe: First Dose of Study Drug to Death from Any Cause at 1 Year, 2 Years and 4 Years
Intervention | percentage of participants (Number) |
---|
| 1 Year | 2 Years | 4 Years |
---|
Enzastaurin + R-GEMOX | 52.3 | 29.9 | 20.9 |
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Percent of Participants With Event Free Survival (EFS) After 1 Year, 2 Years and 4 Years
Event-free survival time was defined as the time from the date of first dose of study drug to the first date of measured PD,or start of a new treatment for the lymphoma, or death from any cause. For participants not known to have events as of the data cut-off date, EFS was censored at the date of the last tumor assessment. (NCT00436280)
Timeframe: First Dose of Study Drug to Measured PD, or Start of New Lymphoma Treatment or Death from Any Cause at 1 Year, 2 Years and 4 Years
Intervention | percentage of participants (Number) |
---|
| 1 Year | 2 Years | 4 Years |
---|
Enzastaurin + R-GEMOX | 15.0 | 10.3 | 8.6 |
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Percent of Participants With Disease-Free Survival (DFS) at 1 Year, 2 Years and 4 Years
DFS was calculated as the duration from date of first dose of study drug to the date of first relapse event after CR or CRu or death from any cause. Participants who have not experienced an event at the time of analysis were censored at the most recent date of disease assessment. Events are relapse after a CR or CRu. Related death or death from unknown cause was considered as an event. Unrelated death was not considered as an event and the participant was censored at the time of death for this analysis. Unrelated death was defined as death from a cause not related to the lymphoma, any examination done for the lymphoma, or any treatment of the lymphoma. (NCT00436280)
Timeframe: First Dose of Study Drug to Relapse after CR or CRu or Death from any Cause at 1 Year, 2 Years and 4 Years
Intervention | percentage of participants (Number) |
---|
| 1 Year | 2 Years | 4 Years |
---|
Enzastaurin + R-GEMOX | 69.2 | 52.7 | 52.7 |
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Overall Response Rate (ORR) - Percentage of Participants Achieving Complete Response (CR) or Complete Response Unconfirmed (CRu) or Partial Response (PR) (Response)
Assessment of response was based on the International Workshop to Standardize Response criteria for lymphoma (Cheson et al. 1999). CR is the complete disappearance of all detectable clinical and radiologic evidence of disease; all lymph nodes and nodal masses must have regressed to normal size (≤1.5 cm in their greatest transverse diameter for nodes >1.5 cm before therapy).CRu is as CR but with 1 or more of the following features: A residual lymph node mass >1.5 cm in greatest transverse diameter that has regressed by more than 75% in the sum of the products of the greatest diameters (SPD) and/or indeterminate bone marrow with normalization of all biologic abnormalities. PR is regression of more than 50% (SPD) of all measurable lesions, disappearance of nonmeasurable lesions and no new lesion. For each response category the number of participants with this response will be divided by the total number of participants treated to achieve the response rate. (NCT00436280)
Timeframe: Baseline to Measured Progressive Disease or Death from Any Cause at End of 4 and 8 Cycles
Intervention | percentage of participants (Number) |
---|
| End of 4 cycles | End of 8 cycles |
---|
Enzastaurin + R-GEMOX | 50 | 52.50 |
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PK: Area Under the Concentration vs. Time Curve During 1 Dosing Interval at Steady State (AUCτ,ss) for Total Analyte
AUCτ,ss is defined as the area under the concentration versus time curve during 1 dosing interval at steady state. (NCT00436280)
Timeframe: Day 2 of Cycle 2: Predose;1-2 hours(h);3-4 h;5-6 h;7-8 h Postdose
Intervention | nanomoles*hour per liter(nmol•h/L) (Geometric Mean) |
---|
Enzastaurin + R-GEMOX | 44100 |
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Number of Participants With Objective Response (OR)
OR based assessment of confirmed complete response(CR)/confirmed partial response(PR)/stable disease(SD)/progressive disease(PD) as per Response Evaluation Criteria in Solid Tumors(RECIST).CR:disappearance of target lesions;PR:at least(>=) 30% decrease in sum of longest dimensions of target lesions(reference:baseline sum of longest dimensions);PD:>=20% increase in sum of longest dimensions of target lesions(reference:smallest sum of longest dimensions recorded since treatment started)/appearance of any new lesions;SD:no adequate shrinkage to qualify for PR/adequate increase to qualify for PD. (NCT00437203)
Timeframe: Baseline, Day 15 of Cycle 2 and 4 and every 4 cycles thereafter up to Week 62
Intervention | participants (Number) |
---|
PF-00477736 50 mg 3 Hrs + Gemcitabine 750 mg/m^2 (Cohort 1) | 1 |
PF-00477736 65 mg 3 Hrs + Gemcitabine 750 mg/m^2 (Cohort 2) | 0 |
PF-00477736 80 mg 3 Hrs + Gemcitabine 750 mg/m^2 (Cohort 3) | 1 |
PF-00477736 80 mg 24 Hrs + Gemcitabine 750 mg/m^2 (Cohort 4) | 1 |
PF-00477736 120 mg 24 Hrs + Gemcitabine 750 mg/m^2 (Cohort 5) | 0 |
PF-00477736 180 mg 24 Hrs + Gemcitabine 750 mg/m^2 (Cohort 6) | 0 |
PF-00477736 270 mg 24 Hrs + Gemcitabine 750 mg/m^2 (Cohort 7) | 0 |
PF-00477736 340 mg 24 Hrs + Gemcitabine 750 mg/m^2 (Cohort 8) | 0 |
PF-00477736 180 mg 24 Hrs + Gemcitabine 1000 mg/m^2 (Cohort 9) | 1 |
PF-00477736 225 mg 24 Hrs + Gemcitabine 1000 mg/m^2 (cohort10) | 0 |
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Maximum Tolerated Dose (MTD) of PF-00477736 When Administered in Combination With Gemcitabine
(NCT00437203)
Timeframe: Up to Day 21 Cycle 1
Intervention | mg (Number) |
---|
PF-00477736 + Gemcitabine 750 mg/m^2 | 270 |
PF-00477736 + Gemcitabine 1000 mg/m^2 | NA |
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Overall Survival
Overall survival using the Kaplan-Meier method. (NCT00438204)
Timeframe: Every 8 weeks, for up to 54 months
Intervention | months (Median) |
---|
Bevacizumab, Gemcitabine Hydrochloride | 17.5 |
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Number of Participants With Response
The rate of 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. (NCT00438204)
Timeframe: Every 8 weeks, for up to 54 months
Intervention | Participants (Count of Participants) |
---|
| Complete response | Partial response | Stable disease | Progressive disease | Not response evaluable |
---|
Bevacizumab, Gemcitabine Hydrochloride | 1 | 15 | 12 | 10 | 1 |
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Number of Participants With Grade 3 or Grade 4 Toxicity
Grade 3/4 toxicity according to the NCI Common Toxicity Criteria v3.0 . (NCT00438204)
Timeframe: Every two weeks, for up to 54 months
Intervention | Participants (Count of Participants) |
---|
| Neutropenia | Leukopenia | Anemia | Thrombocytopenia | Febrile Neutropenia | Elevated ALT/AST | Acute renal insufficiency | Anorexia | Thrombosis/embolism | Dehydration | Fatigue | Hyperglycemia | Hypertension | Nausea/vomiting | Bowel Perforation | Dyspnea | Diverticulitis | Ataxia |
---|
Bevacizumab, Gemcitabine Hydrochloride | 11 | 3 | 1 | 1 | 1 | 4 | 1 | 2 | 3 | 1 | 7 | 9 | 2 | 1 | 1 | 4 | 2 | 1 |
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Time to Treatment Failure
Time to treatment failure using the Kaplan-Meier method. (NCT00438204)
Timeframe: Every 8 weeks, for up to 54 months
Intervention | months (Median) |
---|
Bevacizumab, Gemcitabine Hydrochloride | 6.2 |
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Progression-free Survival (PFS)
RECIST criteria for tumor progression of 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). (NCT00438204)
Timeframe: Up to 12 months
Intervention | months (Median) |
---|
Bevacizumab, Gemcitabine Hydrochloride | 6.1 |
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Disease Recurrence Rate
Percentage of patients who experienced a recurrence of grade 1 or 2 superficial transitional cell cancer of the bladder between the date of registration and 24 months. Disease recurrence considered to occur at date of first observation of recurrent disease subsequently confirmed by biopsy. Patients without recurrence were censored at the time of their last cystoscopy. (NCT00445601)
Timeframe: Up to 2 Years
Intervention | percentage of patients with recurrence (Number) |
---|
Arm I | 27.86 |
Arm II | 40 |
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Compare Qualitative and Quantitative Toxicities Between the Treatment Arms
Number of patients with Grade 3 through Grade 5 adverse events that are related to study drug (NCT00445601)
Timeframe: Up to 4 years after Transurethral Resection of Bladder Tumor (TURBT)
Intervention | Participants (Number) |
---|
| Bladder spasms | Hemorrhage, GU - Bladder | Hemorrhage, GU - Urinary NOS | Infection-Other (Specify) | Pain - Bladder | Pain - Urethra | Urinary frequency/urgency |
---|
Arm I: Gemcitabine | 0 | 1 | 2 | 1 | 0 | 0 | 0 |
,Arm II: Placebo | 1 | 0 | 1 | 0 | 1 | 1 | 2 |
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Rate of Progression to Muscle Invasive Disease at 4 Years
From date of registration to date of diagnosis of progressive disease. Censor at date of last disease assessment for those without progression. (NCT00445601)
Timeframe: 4 years
Intervention | percentage of patients with progression (Number) |
---|
Arm I | 2.49 |
Arm II | 4.39 |
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Time to Response (TTR) in the ITT (Non-squamous) Population
TTR for patients who achieved a best response (CR or PR) was defined as the time from date of randomization to the earliest date that response was first documented. (NCT00449033)
Timeframe: from randomization of the first patient until 38 months or date of death of any cause whichever came first
Intervention | days (Median) |
---|
Sorafenib (Nexavar, BAY43-9006) + GC | 42 |
Placebo + GC | 43 |
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Functional Assessment of Cancer Treatment-Lung (FACT-L) Scores in the ITT (Non-squamous) Population
The FACT-L measures health related quality of life (HRQOL) and composes of five domains: the four domains (physical well being, emotional well being, social well being, functional well being) from the Functional Assessment of Cancer Treatment-General scale (FACT-G) and the lung cancer subscale (LCS). The FACT-L total score ranges from 0 to 136, higher scores represent better HRQOL. (NCT00449033)
Timeframe: from randomization of the first patient until 38 months
Intervention | scores on a scale (Least Squares Mean) |
---|
| cycle 2 (day 22) | cycle 4 (day 64) | cycle 6 (day 106) |
---|
Placebo + GC | 94.0 | 93.6 | 93.1 |
,Sorafenib (Nexavar, BAY43-9006) + GC | 90.6 | 90.1 | 89.7 |
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Lung Cancer Subscale (LCS) Scores in the ITT (Non-squamous) Population
LCS is a subscale of FACT-L measuring lung cancer specific symptoms. The LCS scores range from 0 to 28, higher scores represent fewer lung cancer symptoms. (NCT00449033)
Timeframe: from randomization of the first patient to 38 months later or death whatever occurs first.
Intervention | scores on a scale (Least Squares Mean) |
---|
| cycle 1 (day 1) | cycle 2 (day 22) | cycle 3 (day 43) | cycle 4 (day 64) | cycle 5 (day 85) | cycle 6 (day 106) |
---|
Placebo + GC | 20.5 | 20.5 | 20.4 | 20.3 | 20.3 | 20.2 |
,Sorafenib (Nexavar, BAY43-9006) + GC | 20.0 | 19.9 | 19.9 | 19.8 | 19.7 | 19.7 |
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Disease Control (DC) in the ITT (Non-squamous) Population
DC was defined as the total number of patients whose best response was not PD according to RECIST (version 1.0) by Investigator-assessment (= total number of CR + total number of PR + total number of SD; CR or PR had to be maintained for at least 28 days from the first demonstration of that rating, SD had to be documented at least once more than 6 weeks from baseline). PD: an increase in the sum of tumor lesions sizes or new lesions. (NCT00449033)
Timeframe: from randomization of the first patient until 38 months or date of death or progression whichever came first, assessed until discontinuation every 6 weeks up to 9 months and then every 12 weeks
Intervention | percentage of participants (Number) |
---|
Sorafenib (Nexavar, BAY43-9006) + GC | 62.1 |
Placebo + GC | 63.1 |
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Duration of Response in the ITT (Non-squamous) Population
Duration of response was defined as the time from date of first documented objective response of PR or CR, whichever was noted earlier, to date of disease progression or death (if death occurred before progression was documented). Patients without disease progression at the time of analysis or death before progression were censored at the last date of tumor evaluation. Disease progression: increase in the sum of tumor lesion sizes or new lesions. (NCT00449033)
Timeframe: from randomization of the first patient until 38 months or date of death or progression whichever came first, assessed until discontinuation every 6 weeks up to 9 months and then every 12 weeks
Intervention | days (Median) |
---|
Sorafenib (Nexavar, BAY43-9006) + GC | 171 |
Placebo + GC | 133 |
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Duration of Stable Disease (SD) in the ITT (Non-squamous) Population
Duration of SD was defined as the time from date of randomization to date that disease progression (radiological or clinical, whichever was earlier) was first documented. Patients without disease progression at the time of analysis or death before progression were censored at the date of their last tumor assessment.(Disease progression: increase in the sum of tumor lesion sizes or new lesions.) Duration of stable disease was only evaluated in patients failing to achieve a best response of CR or PR. (NCT00449033)
Timeframe: from randomization of the first patient until 38 months or date of death or progression whichever came first, assessed until discontinuation every 6 weeks up to 9 months and then every 12 weeks
Intervention | days (Median) |
---|
Sorafenib (Nexavar, BAY43-9006) + GC | 144 |
Placebo + GC | 131 |
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OS in the ITT (Both Squamous and Non-squamous) Population
OS was defined as the time from date of randomization to death due to any cause. Patients still alive at the time of analysis were censored at their last date of last contact. (NCT00449033)
Timeframe: from randomization of the first patient until 38 months or date of death of any cause whichever came first
Intervention | days (Median) |
---|
Sorafenib (Nexavar, BAY43-9006) + GC | 371 |
Placebo + GC | 378 |
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OS in the ITT (Squamous) Population
OS was defined as the time from date of randomization to death due to any cause. Patients still alive at the time of analysis were censored at their last date of last contact. (NCT00449033)
Timeframe: from randomization of the first patient until 38 months or date of death of any cause whichever came first
Intervention | days (Median) |
---|
Sorafenib (Nexavar, BAY43-9006) + GC | 254 |
Placebo + GC | 374 |
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Overall Survival (OS) in the ITT (Non-squamous) Population
Overall survival (OS) was defined as the time from date of randomization to death due to any cause. Patients still alive at the time of analysis were censored at their last date of last contact. (NCT00449033)
Timeframe: from randomization of the first patient until 38 months or date of death of any cause whichever came first
Intervention | days (Median) |
---|
Sorafenib (Nexavar, BAY43-9006) + GC | 376 |
Placebo + GC | 379 |
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Progression-free Survival (PFS) in the ITT (Non-squamous) Population
PFS was defined as the time from date of randomization to disease progression (radiological or clinical, whichever was earlier, based on Investigator-assessment using Response Evaluation Criteria in Solid Tumors (RECIST), version 1.0) or death due to any cause, whichever occured first. Patients without progression or death at the time of analysis were censored at their last date of tumor evaluation. Disease progression: increase in the sum of tumor lesion sizes or new lesions. (NCT00449033)
Timeframe: from randomization of the first patient until 38 months or date of death or progression whichever came first, assessed until discontinuation every 6 weeks up to 9 months and then every 12 weeks
Intervention | days (Median) |
---|
Sorafenib (Nexavar, BAY43-9006) + GC | 183 |
Placebo + GC | 168 |
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Time to Progression (TTP) in the ITT (Non-squamous) Population
TTP was defined as the time from date of randomization to disease progression (radiological or clinical, whichever was earlier, based on Investigator-assessment using RECIST version 1.0). Patients without progression at the time of analysis or death before progression were censored at their last date of tumor evaluation. Disease progression: increase in the sum of tumor lesion sizes or new lesions. (NCT00449033)
Timeframe: from randomization of the first patient until 38 months or date of death or progression whichever came first, assessed until discontinuation every 6 weeks up to 9 months and then every 12 weeks
Intervention | days (Median) |
---|
Sorafenib (Nexavar, BAY43-9006) + GC | 185 |
Placebo + GC | 167 |
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Time to Symptomatic Deterioration (TSD) in the ITT (Non-squamous) Population
TSD is defined as the time from randomization to the date of symptomatic deterioration (≥3 point decline in the LCS score that is maintained for at least 2 consecutive cycles) or death if death occurs before these 2 consecutive cycles are completed. (NCT00449033)
Timeframe: from randomization of the first patient to 38 months later or death whatever occurs first
Intervention | months (Median) |
---|
Sorafenib (Nexavar, BAY43-9006) + GC | 6.9 |
Placebo + GC | 4.5 |
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EQ-5D Visual Analog Scale (VAS) Scores in the ITT (Non-squamous) Population
The EQ-5D also contains a visual analog scale (EQ-VAS), which records the respondent's self-rated health status on a vertical graduated visual analog scale ranging from 0 (worst imaginable health state) to 100 (best imaginable health state). (NCT00449033)
Timeframe: from randomization of the first patient until 38 months later or death whatever occurs first
Intervention | scores on a scale (Least Squares Mean) |
---|
| cycle 1 (day 1) | cycle 2 (day 22) | cycle 3 (day 43) | cycle 4 (day 64) | cycle 5 (day 85) | cycle 6 (day 106) |
---|
Placebo + GC | 68.96 | 68.96 | 68.95 | 68.95 | 68.95 | 68.95 |
,Sorafenib (Nexavar, BAY43-9006) + GC | 66.43 | 66.43 | 66.43 | 66.43 | 66.42 | 66.42 |
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Euro Quality of Life - 5D (EQ-5D) Index Scores in the ITT (Non-squamous) Population
The EQ-5D contains a descriptive system which measures 5 health dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. These five health dimensions are summarized into a single score, the EQ-5D index score which ranges from -0.594 to 1 when the United Kingdom (UK) weights are applied (0=death, 1=perfect health). Higher index scores represent better health states. (NCT00449033)
Timeframe: from randomization of the first patient until 38 months later or death whatever occurs first
Intervention | scores on a scale (Least Squares Mean) |
---|
| cycle 1 (day 1) | cycle 2 (day 22) | cycle 3 (day 43) | cycle 4 (day 64) | cycle 5 (day 85) | cycle 6 (day 106) |
---|
Placebo + GC | 0.76 | 0.75 | 0.75 | 0.74 | 0.73 | 0.73 |
,Sorafenib (Nexavar, BAY43-9006) + GC | 0.70 | 0.69 | 0.69 | 0.68 | 0.68 | 0.67 |
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Percentage of Participants With Different Tumor Response in the ITT (Non-squamous) Population
Tumor response (= Best Overall Response) of a patient was defined as the best tumor response (confirmed Complete Response (CR: disappearance of tumor lesions), confirmed Partial Response (PR: a decrease of at least 30% in the sum of tumor lesion sizes), Stable Disease (SD: steady state of disease), or Progressive Disease (PD: an increase in the sum of tumor lesions sizes or new lesions)) observed during trial period assessed according to the RECIST criteria (version 1.0) based on Investigator-assessment. (NCT00449033)
Timeframe: from randomization of the first patient until 38 months or date of death or progression whichever came first, assessed until discontinuation every 6 weeks up to 9 months and then every 12 weeks
Intervention | percentage of participants (Number) |
---|
| CR | confirmed PR | SD | PD | Not assessable |
---|
Placebo + GC | 0.0 | 25.8 | 37.2 | 17.1 | 19.9 |
,Sorafenib (Nexavar, BAY43-9006) + GC | 0.0 | 27.8 | 34.3 | 10.9 | 27.0 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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Overall Survival (OS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death
OS is defined as the time from the date of study entry until the date of death due to any cause. In the absence of confirmation of death or lack of data beyond follow-up period, the survival time was censored to the last date the participant was known to be alive. (NCT00456261)
Timeframe: From date of study entry until the date of death from any cause or the date the patient was last known alive, up to 18 months
Intervention | months (Number) |
---|
Bevacizumab/Pemetrexed/Gemcitabine | 7.5 |
Bevacizumab/Pemetrexed/Carboplatin | 14.8 |
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Time to Progression (TTP), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease
Time to Progression (TTP) is defined as the interval between the date of treatment initiation and the date of progressive disease. Progression is defined using the Response Evaluation Criteria in Solid Tumors (RECIST v1.0). Progressive Disease (PD): 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 unequivocal progression of non-target lesions or the appearance of one or more new lesions. (NCT00456261)
Timeframe: From the date of treatment initiation until the date of first documented PD or date of last study contact or date of other therapy begins up to 18 months
Intervention | months (Median) |
---|
Bevacizumab/Pemetrexed/Gemcitabine | 4.7 |
Bevacizumab/Pemetrexed/Carboplatin | 10.2 |
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Overall Response Rate (ORR), the Percentage of Patients Who Experience an Objective Benefit From Treatment
Overall response rate (ORR) is defined as the percentage of patients who have a partial or complete response to therapy. Responses were assessed by the Response Evaluation Criteria in Solid Tumors (RECIST; version 1.0). Complete Response: Disappearance of all target lesions, and disappearance of all non-target lesions. Partial Response: At least a 30% decrease in the sum of the longest diameter of target lesions (taking as reference the baseline sum of longest diameters) (NCT00456261)
Timeframe: From date of treatment initiation to end of study treatment up to 18 months
Intervention | percentage of patients (Number) |
---|
Bevacizumab/Pemetrexed/Gemcitabine | 35 |
Bevacizumab/Pemetrexed/Carboplatin | 35 |
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Overall Survival
Percent overall survival was calculated for all evaluable patients. (NCT00456599)
Timeframe: 5 years
Intervention | months (Median) |
---|
Oxaliplatin & Gemcitabine With Radiation | 18.2 |
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Two-year Disease Free Survival.
The percent of patients alive and disease-free at two years. (NCT00456599)
Timeframe: two years
Intervention | percentage of patients (Number) |
---|
Oxaliplatin & Gemcitabine With Radiation | 26.1 |
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Time to Treatment Failure
Median time for disease recurrence after surgery. (NCT00456599)
Timeframe: 2 years
Intervention | months (Median) |
---|
Oxaliplatin & Gemcitabine With Radiation | 10.4 |
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Percentage of Participants With Disease Control According to RECIST
Disease control was defined as BOR of CR, PR, or stable disease (SD). As per RECIST V 1.0: 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 BL SLD; SD was defined as neither sufficient decrease in SLD to qualify for PR nor sufficient increase in SLD to qualify for PD. For NTLs, a CR was defined as the disappearance of all NTLs and normalization of tumor marker levels; SD was defined as the persistence of one or more NTLs and/or maintenance of tumor marker level above the normal limits. Participants for whom no assessment of response was available and who had finalized the study due to disease progression or tumor-related death, disease progression was considered the BOR. (NCT00461708)
Timeframe: Enrollment, every 2 treatment cycles (4-week cycles) until disease progression, death, or end of study, for up to 24 months.
Intervention | percentage of participants (Number) |
---|
Erlotinib, Gemcitabine: Rash Grade < 2 | 42.6 |
Erlotinib, Gemcitabine: Rash Grade ≥ 2 | 84.2 |
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PFS
The time, in months, from enrollment to PFS event. Participants whose last recorded status was not progression or death were censored. PFS was estimated using Kaplan-Meier methodology. (NCT00461708)
Timeframe: Enrollment, every 2 treatment cycles (4-week cycles) until disease progression, death, or end of study, for up to 24 months
Intervention | months (Median) |
---|
Erlotinib, Gemcitabine: Rash Grade < 2 | 2.497 |
Erlotinib, Gemcitabine: Rash Grade ≥ 2 | 6.439 |
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OS At 6 Months
OS was defined as the time, in months, from the date of enrollment to the date of death due to any cause. Participants whose last recorded status was not death were censored. OS was estimated using Kaplan-Meier methodology. (NCT00461708)
Timeframe: Enrollment through Cycle 6 (4-week cycles), up to 6 months.
Intervention | months (Median) |
---|
Erlotinib, Gemcitabine: Rash Grade < 2 | 4.468 |
Erlotinib, Gemcitabine: Rash Grade ≥ 2 | NA |
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Number of Participants Who Died at 6 Months
(NCT00461708)
Timeframe: Enrollment through Cycle 6 (4-week cycles), up to 6 months.
Intervention | participants (Number) |
---|
Erlotinib, Gemcitabine: Rash Grade < 2 | 69 |
Erlotinib, Gemcitabine: Rash Grade ≥ 2 | 8 |
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Number of Participants Who Died During the Study
(NCT00461708)
Timeframe: Enrollment through Cycle 24 (4-week cycles), up to 24 months.
Intervention | participants (Number) |
---|
Erlotinib, Gemcitabine: Rash Grade < 2 | 102 |
Erlotinib, Gemcitabine: Rash Grade ≥ 2 | 27 |
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Number of Participants Who Died During the Study By Rash Grade
(NCT00461708)
Timeframe: Enrollment through Cycle 24 (4-week cycles), up to 24 months.
Intervention | participants (Number) |
---|
Erlotinib, Gemcitabine: Rash Grade 0 | 65 |
Erlotinib, Gemcitabine: Rash Grade 1 | 37 |
Erlotinib, Gemcitabine: Rash Grade ≥ 2 | 27 |
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Number of Participants With Disease Progression or Death
Progression-free survival (PFS) was defined as the time from the date of enrollment to the date of document disease progression or death due to any cause. As per Response Evaluation Criteria in Solid Tumors (RECIST) V 1.0, progressive disease (PD) was defined for target lesions (TLs) as at least a 20 percent (%) increase in the sum of the longest diameter (SLD), taking as reference the smallest SLD recorded since the start of treatment, and for non-target lesions (NTLs) as unequivocal progression of NTLs. Participants whose last recorded status was not PD or death were censored. (NCT00461708)
Timeframe: Enrollment, every 2 treatment cycles (4-week cycles) until disease progression, death, or end of study, for up to 24 months.
Intervention | participants (Number) |
---|
Erlotinib, Gemcitabine: Rash Grade < 2 | 110 |
Erlotinib, Gemcitabine: Rash Grade ≥ 2 | 33 |
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OS By Rash Grade
OS was defined as the time, in months, from the date of enrollment to the date of death due to any cause. Participants whose last recorded status was not death were censored. OS was estimated using Kaplan-Meier methodology. (NCT00461708)
Timeframe: Enrollment through Cycle 24 (4-week cycles), up to 24 months.
Intervention | months (Median) |
---|
Erlotinib, Gemcitabine: Rash Grade 0 | 3.318 |
Erlotinib, Gemcitabine: Rash Grade 1 | 6.571 |
Erlotinib, Gemcitabine: Rash Grade ≥ 2 | 10.546 |
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Overall Survival (OS) During the Study
OS was defined as the time, in months, from the date of enrollment to the date of death due to any cause. Participants whose last recorded status was not death were censored. OS was estimated using Kaplan-Meier methodology. (NCT00461708)
Timeframe: Enrollment through Cycle 24 (4-week cycles), up to 24 months.
Intervention | months (Median) |
---|
Erlotinib, Gemcitabine: Rash Grade < 2 | 4.468 |
Erlotinib, Gemcitabine: Rash Grade ≥ 2 | 10.546 |
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Percentage of Participants With Best Overall Response (BOR) of Complete Response (CR) or Partial Response (PR) According to RECIST
As per RECIST V 1.0: 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 (BL) SLD. For NTLs, a CR was defined as the disappearance of all NTLs and normalization of tumor marker levels. Participants for whom no assessment of response was available and who had finalized the study due to disease progression or tumor-related death, disease progression was considered the BOR. (NCT00461708)
Timeframe: Enrollment, every 2 treatment cycles (4-week cycles) until disease progression, death, or end of study, for up to 24 months.
Intervention | percentage of participants (Number) |
---|
Erlotinib, Gemcitabine: Rash Grade < 2 | 7.0 |
Erlotinib, Gemcitabine: Rash Grade ≥ 2 | 21.1 |
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Dose Ruction (Toxicity)
To determine the toxicity of combination therapy with sorafenib, gemcitabine and carboplatin, dose reductions by drug are reported. The number of patients that were reduced in dosage are reported here. (NCT00461851)
Timeframe: Upon completion of study
Intervention | Participants (Count of Participants) |
---|
| Dose Reduction: Gemcitabine | Dose Reduction: Carboplatin | Dose Reduction: Sorafenib |
---|
Chemotherapy Plus Sorafenib | 15 | 5 | 9 |
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Progression Free Survival (PFS)
The primary outcome was the proportion of patients who achieved progression free survival (PFS) of five months. PFS was defined as time to progression or any-cause mortality, whichever came first. (NCT00461851)
Timeframe: Upon completion of study
Intervention | months (Median) |
---|
Chemotherapy Plus Sorafenib | 9.5 |
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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 |
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Progression Free Survival (PFS)
"Time in weeks from randomization to the first documentation of objective tumor progression or death due to any cause. PFS was calculated as = (first event date minus randomization date plus 1) divided by 7. 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)." (NCT00471146)
Timeframe: Baseline until disease progression or at least 1 year after the randomization of last participant
Intervention | Weeks (Median) |
---|
Axitinib + Gemcitabine | 19.1 |
Placebo + Gemcitabine | 18.9 |
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Percentage of Participants With Objective Response (OR)
Percentage of participants with OR based assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). Confirmed response were those that persisted on repeat imaging study at least 4 weeks after initial documentation of response. CR was defined as disappearance of all lesions (target and/or non target). PR were those with at least 30 percent decrease in sum of the longest dimensions of target lesions taking as a reference the baseline sum longest dimensions, with non target lesions not increased or absent. (NCT00471146)
Timeframe: Baseline, every 8 weeks until tumor progression or death
Intervention | Percentage of participants (Number) |
---|
Axitinib + Gemcitabine | 4.9 |
Placebo + Gemcitabine | 1.6 |
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Change From Baseline in European Organization for Research and Treatment of Cancer, Quality of Life Questionnaire Core-30 (EORTC QLQ- C30) Score
EORTC QLQ-C30: included functional scales (physical, role, cognitive, emotional, and social), global health status (GHS), 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=better level of functioning or greater degree of symptoms. Change from baseline=Cycle/Day score minus baseline score. (NCT00471146)
Timeframe: Baseline, Day 1 (D1) of each cycle (C2-C13) up to 28 days after the last dose (follow-up) or early withdrawal
Intervention | Units on a scale (Mean) |
---|
| Physical functioning: Baseline (n=295, 289) | Physical functioning: Change at C2 D1 (n=233, 233) | Physical functioning: Change at C3 D1 (n=173, 179) | Physical functioning: Change at C4 D1 (n=134, 133) | Physical functioning: Change at C5 D1 (n=96, 82) | Physical functioning: Change at C6 D1 (n=59, 58) | Physical functioning: Change at C7 D1 (n=38, 37) | Physical functioning: Change at C8 D1 (n=15, 21) | Physical functioning: Change at C9 D1 (n=9, 9) | Physical functioning: Change at C10 D1 (n=3, 4) | Physical functioning: Change at C11 D1 (n=1, 1) | Physical functioning: Change at C12 D1 (n=1, 0) | Physical functioning: Change at C13 D1 (n=1, 0) | Physical functioning:Change at followup (n=67, 70) | Role functioning: Baseline (n=297, 295) | Role functioning: Change at C2 D1 (n=239, 242) | Role functioning: Change at C3 D1 (n=177, 185) | Role functioning: Change at C4 D1 (n=135, 136) | Role functioning: Change at C5 D1 (n=99, 81) | Role functioning: Change at C6 D1 (n=60, 58) | Role functioning: Change at C7 D1 (n=38, 37) | Role functioning: Change at C8 D1 (n=16, 21) | Role functioning: Change at C9 D1 (n=9, 9) | Role functioning: Change at C10 D1 (n=3, 4) | Role functioning: Change at C11 D1 (n=1, 1) | Role functioning: Change at C12 D1 (n=1, 0) | Role functioning: Change at C13 D1 (n=1, 0) | Role functioning: Change at follow-up (n=66, 72) | Emotional functioning (EF): Baseline (n=294, 287) | EF: Change at C2 D1 (n=233, 229) | EF: Change at C3 D1 (n=170, 180) | EF: Change at C4 D1 (n=134, 131) | EF: Change at C5 D1 (n=96, 80) | EF: Change at C6 D1 (n=60, 56) | EF: Change at C7 D1 (n=37, 34) | EF: Change at C8 D1 (n=17, 19) | EF: Change at C9 D1 (n=9, 9) | EF: Change at C10 D1 (n=3, 4) | EF: Change at C11 D1 (n=1, 1) | EF: Change at C12 D1 (n=1, 0) | EF: Change at C13 D1 (n=1, 0) | EF: Change at follow-up (n=65, 71) | Cognitive Functioning (CF): Baseline (n=293, 288) | CF: Change at C2 D1 (n=234, 234) | CF: Change at C3 D1 (n=172, 179) | CF: Change at C4 D1 (n=134, 134) | CF: Change at C5 D1 (n=97, 80) | CF: Change at C6 D1 (n=60, 56) | CF: Change at C7 D1 (n=38, 34) | CF: Change at C8 D1 (n=17, 17) | CF: Change at C9 D1 (n=9, 9) | CF: Change at C10 D1 (n=3, 4) | CF: Change at C11 D1 (n=1, 1) | CF: Change at C12 D1 (n=1, 0) | CF: Change at C13 D1 (n=1, 0) | CF: Change at follow-up (n=65, 71) | Social functioning: Baseline (n=289, 286) | Social functioning: Change at C2 D1 (n=232, 230) | Social functioning: Change at C3 D1 (n=169, 178) | Social functioning: Change at C4 D1 (n=132, 134) | Social functioning: Change at C5 D1 (n=95, 80) | Social functioning: Change at C6 D1 (n=58, 56) | Social functioning: Change at C7 D1 (n=37, 35) | Social functioning: Change at C8 D1 (n=17, 19) | Social functioning: Change at C9 D1 (n=9, 9) | Social functioning: Change at C10 D1 (n=3, 4) | Social functioning: Change at C11 D1 (n=1, 1) | Social functioning: Change at C12 D1 (n=1, 0) | Social functioning: Change at C13 D1 (n=1, 0) | Social functioning: Change at follow-up (n=64, 70) | Fatigue: Baseline (n=293, 289) | Fatigue: Change at C2 D1 (n=227, 228) | Fatigue: Change at C3 D1 (n=170, 181) | Fatigue: Change at C4 D1 (n=132, 132) | Fatigue: Change at C5 D1 (n=97, 80) | Fatigue: Change at C6 D1 (n=60, 57) | Fatigue: Change at C7 D1 (n=38, 36) | Fatigue: Change at C8 D1 (n=17, 20) | Fatigue: Change at C9 D1 (n=9, 9) | Fatigue: Change at C10 D1 (n=3, 4) | Fatigue: Change at C11 D1 (n=1, 1) | Fatigue: Change at C12 D1 (n=1, 0) | Fatigue: Change at C13 D1 (n=1, 0) | Fatigue: Change at follow-up (n=63, 71) | Nausea and vomiting: Baseline (n=295, 294) | Nausea and vomiting: Change at C2 D1 (n=238, 239) | Nausea and vomiting: Change at C3 D1 (n=176, 185) | Nausea and vomiting: Change at C4 D1 (n=133, 135) | Nausea and vomiting: Change at C5 D1 (n=98, 81) | Nausea and vomiting: Change at C6 D1 (n=60, 59) | Nausea and vomiting: Change at C7 D1 (n=38, 37) | Nausea and vomiting: Change at C8 D1 (n=17, 21) | Nausea and vomiting: Change at C9 D1 (n=9, 9) | Nausea and vomiting: Change at C10 D1 (n=3, 4) | Nausea and vomiting: Change at C11 D1 (n=1, 1) | Nausea and vomiting: Change at C12 D1 (n=1, 0) | Nausea and vomiting: Change at C13 D1 (n=1, 0) | Nausea and vomiting: Change at followup (n=68, 73) | Pain: Baseline (n=291, 291) | Pain: Change at C2 D1 (n=231, 234) | Pain: Change at C3 D1 (n=169, 181) | Pain: Change at C4 D1 (n=131, 135) | Pain: Change at C5 D1 (n=97, 80) | Pain: Change at C6 D1 (n=59, 58) | Pain: Change at C7 D1 (n=38, 35) | Pain: Change at C8 D1 (n=17, 20) | Pain: Change at C9 D1 (n=9, 9) | Pain: Change at C10 D1 (n=3, 4) | Pain: Change at C11 D1 (n=1, 1) | Pain: Change at C12 D1 (n=1, 0) | Pain: Change at C13 D1 (n=1, 0) | Pain: Change at follow-up (n=66, 72) | Dyspnoea: Baseline (n=295, 295) | Dyspnoea: Change at C2 D1 (n=238, 240) | Dyspnoea: Change at C3 D1 (n=175, 186) | Dyspnoea: Change at C4 D1 (n=135, 135) | Dyspnoea: Change at C5 D1 (n=98, 82) | Dyspnoea: Change at C6 D1 (n=60, 59) | Dyspnoea: Change at C7 D1 (n=37, 37) | Dyspnoea: Change at C8 D1 (n=16, 21) | Dyspnoea: Change at C9 D1 (n=9, 9) | Dyspnoea: Change at C10 D1 (n=3, 4) | Dyspnoea: Change at C11 D1 (n=1, 1) | Dyspnoea: Change at C12 D1 (n=1, 0) | Dyspnoea: Change at C13 D1 (n=1, 0) | Dyspnoea: Change at follow-up (n=68, 73) | Insomnia: Baseline (n=297, 295) | Insomnia: Change at C2 D1 (n=240, 241) | Insomnia: Change at C3 D1 (n=178, 185) | Insomnia: Change at C4 D1 (n=134, 134) | Insomnia: Change at C5 D1 (n=99, 82) | Insomnia: Change at C6 D1 (n=60, 59) | Insomnia: Change at C7 D1 (n=37, 37) | Insomnia: Change at C8 D1 (n=17, 21) | Insomnia: Change at C9 D1 (n=9, 9) | Insomnia: Change at C10 D1 (n=3, 4) | Insomnia: Change at C11 D1 (n=1, 1) | Insomnia: Change at C12 D1 (n=1, 0) | Insomnia: Change at C13 D1 (n=1, 0) | Insomnia: Change at follow-up (n=68, 73) | Loss of appetite: Baseline (n=297, 295) | Loss of appetite: Change at C2 D1 (n=240, 240) | Loss of appetite: Change at C3 D1 (n=178, 186) | Loss of appetite: Change at C4 D1 (n=135, 135) | Loss of appetite: Change at C5 D1 (n=99, 82) | Loss of appetite: Change at C6 D1 (n=60, 59) | Loss of appetite: Change at C7 D1 (n=38, 37) | Loss of appetite: Change at C8 D1 (n=17, 20) | Loss of appetite: Change at C9 D1 (n=9, 9) | Loss of appetite: Change at C10 D1 (n=3, 4) | Loss of appetite: Change at C11 D1 (n=1, 1) | Loss of appetite: Change at C12 D1 (n=1, 0) | Loss of appetite: Change at C13 D1 (n=1, 0) | Loss of appetite: Change at follow-up (n=67, 73) | Constipation: Baseline (n=293, 289) | Constipation: Change at C2 D1 (n=234, 235) | Constipation: Change at C3 D1 (n =173, 181) | Constipation: Change at C4 D1 (n=134, 135) | Constipation: Change at C5 D1 (n=97, 80) | Constipation: Change at C6 D1 (n=60, 58) | Constipation: Change at C7 D1 (n=38, 36) | Constipation: Change at C8 D1 (n=17, 20) | Constipation: Change at C9 D1 (n=9, 9) | Constipation: Change at C10 D1 (n=3, 4) | Constipation: Change at C11 D1 (n=1, 1) | Constipation: Change at C12 D1 (n=1, 0) | Constipation: Change at C13 D1 (n=1, 0) | Constipation: Change at follow-up (n=66, 71) | Diarrhoea: Baseline (n=294, 290) | Diarrhoea: Change at C2 D1 (n=235, 235) | Diarrhoea: Change at C3 D1 (n=173, 182) | Diarrhoea: Change at C4 D1 (n=134, 136) | Diarrhoea: Change at C5 D1 (n=96, 81) | Diarrhoea: Change at C6 D1 (n=60, 58) | Diarrhoea: Change at C7 D1 (n=38, 36) | Diarrhoea: Change at C8 D1 (n=17, 20) | Diarrhoea: Change at C9 D1 (n=9, 9) | Diarrhoea: Change at C10 D1 (n=3, 4) | Diarrhoea: Change at C11 D1 (n=1, 1) | Diarrhoea: Change at C12 D1 (n=1, 0) | Diarrhoea: Change at C13 D1 (n=1, 0) | Diarrhoea: Change at follow-up (n=66, 71) | Financial difficulties (FD): Baseline (n=292, 285) | FD:Change at C2 D1 (n=233, 228) | FD: Change at C3 D1 (n=171, 176) | FD: Change at C4 D1 (n=133, 133) | FD: Change at C5 D1 (n=96, 80) | FD: Change at C6 D1 (n=60, 56) | FD: Change at C7 D1 (n=37, 34) | FD: Change at C8 D1 (n=17, 17) | FD: Change at C9 D1 (n=9, 9) | FD: Change at C10 D1 (n=3, 4) | FD: Change at C11 D1 (n=1, 1) | FD: Change at C12 D1 (n=1, 0) | FD: Change at C13 D1 (n=1, 0) | FD: Change at follow-up (n=65, 70) | GHS/Quality of Life (QoL): Baseline (n=292, 288) | GHS/QoL:Change at C2 D1 (n=234, 233) | GHS/QoL:Change at C3 D1 (n=168, 180) | GHS/QoL:Change at C4 D1(n=132, 132) | GHS/QoL:Change at C5 D1 (n=96, 81) | GHS/QoL:Change at C6 D1 (n=60, 57) | GHS/QoL:Change at C7 D1 (n=38, 35) | GHS/QoL:Change at C8 D1 (n=17, 19) | GHS/QoL:Change at C9 D1 (n=9, 9) | GHS/QoL: Change at C10 D1 (n=3, 4) | GHS/QoL: Change at C11 D1 (n=1, 1) | GHS/QoL: Change at C12 D1 (n=1, 0) | GHS/QoL: Change at C13 D1 (n=1, 0) | GHS/QoL:Change at follow-up (n=65, 71) |
---|
Axitinib + Gemcitabine | 77.445 | -2.713 | -5.897 | -5.671 | -2.498 | -5.193 | -1.924 | -4.000 | 0.033 | 6.667 | 0.000 | 0.000 | 0.000 | -17.713 | 66.3 | -2.2 | -4.6 | -4.3 | -0.5 | -4.4 | -3.1 | -6.2 | 1.9 | 5.6 | 0.0 | 0.0 | 0.0 | -20.0 | 70.8 | 5.0 | 3.7 | 3.0 | 4.3 | 4.0 | 0.0 | -2.9 | 3.7 | 13.9 | 0.0 | 0.0 | 0.0 | -7.3 | 78.7 | -1.1 | -2.1 | -4.2 | -1.4 | -3.1 | -4.4 | -8.8 | -0.0 | -5.6 | 0.0 | 0.0 | 0.0 | -12.6 | 68.9 | 1.3 | -1.3 | 0.1 | 2.1 | -4.9 | -5.4 | 4.9 | -0.0 | 5.6 | 0.0 | 0.0 | 0.0 | -13.3 | 41.0 | 2.8 | 3.4 | 5.6 | -0.0 | 5.0 | 1.8 | 7.2 | -6.2 | -11.1 | 0.0 | 0.0 | 0.0 | 13.1 | 12.9 | 3.7 | 1.9 | 3.5 | 4.6 | 6.9 | 1.3 | -4.9 | -13.0 | -11.1 | 0.0 | 0.0 | 0.0 | 9.8 | 40.7 | -10.1 | -13.6 | -12.2 | -10.5 | -11.9 | -14.0 | -9.8 | -22.2 | -33.3 | 0.0 | 0.0 | 0.0 | 3.3 | 16.1 | 5.5 | 5.7 | 7.7 | 4.4 | 9.4 | 6.3 | 4.2 | 11.1 | -11.1 | 0.0 | 0.0 | 0.0 | 13.2 | 36.8 | -13.6 | -13.5 | -12.7 | -14.5 | -8.3 | -11.7 | 5.9 | -14.8 | 11.1 | 0.0 | 0.0 | 0.0 | 1.5 | 39.6 | -2.1 | -1.3 | 0.0 | 1.7 | 2.8 | 0.9 | 7.8 | -14.8 | -22.2 | 0.0 | 0.0 | 0.0 | 7.0 | 30.7 | -4.8 | -7.3 | -6.5 | -11.0 | -5.6 | -2.6 | 0.0 | -18.5 | -11.1 | 0.0 | 0.0 | 0.0 | 5.1 | 14.3 | 1.7 | 9.4 | 7.7 | 11.8 | 20.0 | 14.9 | 25.5 | 37.0 | 22.2 | 0.0 | 0.0 | 0.0 | 2.5 | 24.7 | -3.1 | -7.2 | -5.5 | -4.9 | -3.9 | -2.7 | 2.0 | 7.4 | 0.0 | 0.0 | 0.0 | 0.0 | 6.7 | 54.2 | 2.2 | -0.3 | 0.1 | 1.5 | 0.8 | 2.6 | -1.0 | 7.4 | 22.3 | 0.0 | 0.0 | 0.0 | -9.1 |
,Placebo + Gemcitabine | 78.546 | -3.261 | -1.565 | -1.453 | -0.076 | -1.719 | 0.011 | 0.014 | -12.578 | -1.675 | -6.600 | NA | NA | -11.523 | 68.1 | -2.8 | 1.5 | 1.2 | -2.7 | -2.3 | -1.3 | 0.0 | -20.4 | -4.2 | -50.0 | NA | NA | -14.1 | 71.7 | 5.0 | 3.4 | 5.2 | 5.9 | 6.7 | 3.2 | 5.3 | -4.6 | 2.1 | -16.6 | NA | NA | -2.7 | 80.9 | -0.3 | -0.9 | 2.0 | 1.7 | -4.5 | 0.5 | -2.9 | -1.8 | 8.3 | 0.0 | NA | NA | -7.5 | 69.7 | 0.9 | 3.2 | 0.6 | 0.8 | 1.5 | 2.4 | -1.7 | -1.8 | 12.5 | 33.4 | NA | NA | -2.6 | 40.1 | 2.1 | -0.9 | -1.1 | 1.1 | 0.0 | 2.2 | 4.4 | 14.8 | -5.5 | 11.1 | NA | NA | 12.1 | 13.1 | 2.9 | -0.4 | 0.4 | 1.0 | 2.8 | 2.7 | 0.8 | -5.6 | 8.3 | 0.0 | NA | NA | 7.5 | 36.9 | -7.9 | -11.2 | -7.8 | -6.9 | -7.5 | -9.5 | -6.7 | -5.6 | -4.2 | -33.3 | NA | NA | 3.5 | 14.8 | 2.1 | 3.9 | 4.4 | 2.8 | -0.0 | 5.4 | 12.7 | 14.8 | 0.0 | 0.0 | NA | NA | 8.7 | 32.2 | -7.3 | -8.7 | -11.2 | -7.3 | -2.3 | -2.7 | -3.2 | -0.0 | -0.0 | 33.3 | NA | NA | 1.4 | 37.5 | -2.6 | -5.9 | -6.7 | -4.5 | -4.5 | -7.2 | -1.7 | -7.4 | 0.0 | 33.3 | NA | NA | 7.8 | 29.6 | -2.8 | -6.1 | -10.6 | -8.7 | -9.8 | -13.0 | -16.7 | -29.6 | -50.0 | -66.7 | NA | NA | -6.1 | 13.7 | 0.3 | 0.2 | -1.5 | 1.2 | 1.7 | 2.8 | 1.7 | 22.2 | 16.7 | 0.0 | NA | NA | 2.8 | 23.0 | -4.5 | -3.4 | -3.3 | 1.3 | -1.8 | -3.9 | 2.0 | 3.7 | 25.0 | 66.7 | NA | NA | -0.5 | 57.1 | 1.9 | 5.7 | 2.8 | 2.7 | 3.2 | 2.1 | 1.3 | -8.3 | -0.0 | 0.0 | NA | NA | -6.7 |
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Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Pancreatic 26 (EORTC QLQ- PAN26) Score
QLQ-PAN26 consists of 26 questions (Qs) relating to disease symptoms, treatment (Tx) side effects and emotional issues specific to pancreatic cancer (PC). Questions include on altered bowel habits, pain, dietary changes, disease and Tx-related symptoms and issues related to the emotional and social well-being of participants with PC. All 26 Qs are answered on 4-point Likert scale ranging from '1=not at all' to 4='very much' and subsequently transformed into scales that range from 0-100; higher scores= greater degree of symptoms or treatment side effects and emotional issues. (NCT00471146)
Timeframe: Baseline, Day 1 (D1) of each cycle (C2-C13) up to 28 days after the last dose (follow-up) or early withdrawal
Intervention | Units on a scale (Mean) |
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| Pancreatic Pain: Baseline (n=246, 250) | Pancreatic Pain: Change at C2 D1 (n=191, 197) | Pancreatic Pain: Change at C3 D1 (n=141, 153) | Pancreatic Pain: Change at C4 D1 (n=99, 111) | Pancreatic Pain: Change at C5 D1 (n=67, 64) | Pancreatic Pain: Change at C6 D1 (n=41, 43) | Pancreatic Pain: Change at C7 D1 (n=25, 25) | Pancreatic Pain: Change at C8 D1 (n=11, 11) | Pancreatic Pain: Change at C9 D1 (n=6, 6) | Pancreatic Pain: Change at C10 D1 (n=2, 3) | Pancreatic Pain: Change at C11 D1 (n=1, 1) | Pancreatic Pain: Change at C12 D1 (n=1, 0) | Pancreatic Pain: Change at C13 D1 (n=1, 0) | Pancreatic Pain: Change at follow-up (n=47, 46) | Hepatic: Baseline (n=245, 254) | Hepatic: Change at C2 D1 (n=193, 205) | Hepatic: Change at C3 D1 (n=142, 157) | Hepatic: Change at C4 D1 (n=99, 112) | Hepatic: Change at C5 D1 (n=68, 64) | Hepatic: Change at C6 D1 (n=40, 41) | Hepatic: Change at C7 D1 (n=25, 24) | Hepatic: Change at C8 D1 (n=11, 12) | Hepatic: Change at C9 D1 (n=6, 5) | Hepatic: Change at C10 D1 (n=2, 2) | Hepatic: Change at C11 D1 (n=1, 1) | Hepatic: Change at C12 D1 (n=1, 0) | Hepatic: Change at C13 D1 (n=1, 0) | Hepatic: Change at follow-up (n=47, 48) | Digestive Symptom: Baseline (n=250, 255) | Digestive Symptom: Change at C2 D1 (n=195, 206) | Digestive Symptom: Change at C3 D1 (n=144, 159) | Digestive Symptom: Change at C4 D1 (n=100, 114) | Digestive Symptom: Change at C5 D1 (n=69, 65) | Digestive Symptom: Change at C6 D1 (n=40, 45) | Digestive Symptom: Change at C7 D1 (n=25, 26) | Digestive Symptom: Change at C8 D1 (n=11, 14) | Digestive Symptom: Change at C9 D1 (n=6, 6) | Digestive Symptom: Change at C10 D1 (n=2, 3) | Digestive Symptom: Change at C11 D1 (n=1, 1) | Digestive Symptom: Change at C12 D1 (n=1, 0) | Digestive Symptom: Change at C13 D1 (n=1, 0) | Digestive Symptom: Change at follow-up (n=47, 47) | Sexuality: Baseline (n=217, 232) | Sexuality: Change at C2 D1 (n=157, 181) | Sexuality: Change at C3 D1 (n=118, 139) | Sexuality: Change at C4 D1 (n=85, 100) | Sexuality: Change at C5 D1 (n=55, 58) | Sexuality: Change at C6 D1 (n=30, 38) | Sexuality: Change at C7 D1 (n=19, 21) | Sexuality: Change at C8 D1 (n=8, 10) | Sexuality: Change at C9 D1 (n=4, 6) | Sexuality: Change at C10 D1 (n=0, 3) | Sexuality: Change at C11 D1 (n=0, 1) | Sexuality: Change at C12 D1 (n=0, 0) | Sexuality: Change at C13 D1 (n=0, 0) | Sexuality: Change at follow-up (n=36, 41) | Health care(HC)satisfaction: Baseline (n=241, 247) | HC satisfaction: Change at C2 D1 (n=182, 194) | HC satisfaction: Change at C3 D1 (n=135, 149) | HC satisfaction: Change at C4 D1 (n=97, 108) | HC satisfaction: Change at C5 D1 (n=66, 59) | HC satisfaction: Change at C6 D1 (n=40, 39) | HC satisfaction: Change at C7 D1 (n=27, 20) | HC satisfaction: Change at C8 D1 (n=12, 11) | HC satisfaction: Change at C9 D1 (n=6, 6) | HC satisfaction: Change at C10 D1 (n=2, 3) | HC satisfaction: Change at C11 D1 (n=1, 1) | HC satisfaction: Change at C12 D1 (n=1, 0) | HC satisfaction: Change at C13 D1(n=1, 0) | HC satisfaction: Change at follow-up (n=46, 45) | Body Image: Baseline (n=249, 251) | Body Image: Change at C2 D1 (n=189, 200) | Body Image: Change at C3 D1 (n=142, 149) | Body Image: Change at C4 D1 (n=97, 111) | Body Image: Change at C5 D1 (n=70, 62) | Body Image: Change at C6 D1 (n=40, 42) | Body Image: Change at C7 D1 (n=25, 24) | Body Image: Change at C8 D1 (n=11, 12) | Body Image: Change at C9 D1 (n=6, 6) | Body Image: Change at C10 D1 (n=2, 3) | Body Image: Change at C11 D1 (n=1, 1) | Body Image: Change at C12 D1 (n=1, 0) | Body Image: Change at C13 D1 (n=1, 0) | Body Image: Change at follow-up (n=47, 45) | Altered Bowel Habit: Baseline (n=250, 255) | Altered Bowel Habit: Change at C2 D1 (n=193, 204) | Altered Bowel Habit: Change at C3 D1 (n=143, 156) | Altered Bowel Habit: Change at C4 D1 (n=98, 114) | Altered Bowel Habit: Change at C5 D1 (n=68, 63) | Altered Bowel Habit: Change at C6 D1 (n=40, 43) | Altered Bowel Habit: Change at C7 D1 (n=25, 25) | Altered Bowel Habit: Change at C8 D1 (n=11, 13) | Altered Bowel Habit: Change at C9 D1 (n=6, 6) | Altered Bowel Habit: Change at C10 D1 (n=2, 3) | Altered Bowel Habit: Change at C11 D1 (n=1, 1) | Altered Bowel Habit: Change at C12 D1 (n=1, 0) | Altered Bowel Habit: Change at C13 D1 (n=1, 0) | Altered Bowel Habit: Change at followup (n=47, 48) | Ascites: Baseline (n=250, 256) | Ascites: Change at C2 D1 (n=197, 207) | Ascites: Change at C3 D1 (n=144, 158) | Ascites: Change at C4 D1 (n=101, 114) | Ascites: Change at C5 D1 (n=71, 65) | Ascites: Change at C6 D1 (n=42, 45) | Ascites: Change at C7 D1 (n=26, 26) | Ascites: Change at C8 D1 (n=11, 14) | Ascites: Change at C9 D1 (n=6, 6) | Ascites: Change at C10 D1 (n=2, 3) | Ascites: Change at C11 D1 (n=1, 1) | Ascites: Change at C12 D1 (n=1, 0) | Ascites: Change at C13 D1 (n=1, 0) | Ascites: Change at follow-up (n=48, 48) | Indigestion: Baseline (n=252, 257) | Indigestion: Change at C2 D1 (n=198, 208) | Indigestion: Change at C3 D1 (n=144, 159) | Indigestion: Change at C4 D1 (n=101, 115) | Indigestion: Change at C5 D1 (n=71, 65) | Indigestion: Change at C6 D1 (n=41, 45) | Indigestion: Change at C7 D1 (n=26, 26) | Indigestion: Change at C8 D1 (n=11, 14) | Indigestion: Change at C9 D1 (n=6, 6) | Indigestion: Change at C10 D1 (n=2, 3) | Indigestion: Change at C11 D1 (n=1, 1) | Indigestion: Change at C12 D1 (n=1, 0) | Indigestion: Change at C13 D1 (n=1, 0) | Indigestion: Change at follow-up (n=48, 48) | Flatulence: Baseline (n=249, 256) | Flatulence: Change at C2 D1 (n=197, 206) | Flatulence: Change at C3 D1 (n=146, 159) | Flatulence: Change at C4 D1 (n=101, 115) | Flatulence: Change at C5 D1 (n=70, 65) | Flatulence: Change at C6 D1 (n=41, 45) | Flatulence: Change at C7 D1 (n=25, 26) | Flatulence: Change at C8 D1 (n=10, 14) | Flatulence: Change at C9 D1 (n=5, 6) | Flatulence: Change at C10 D1 (n=1, 3) | Flatulence: Change at C11 D1 (n=0, 1) | Flatulence: Change at C12 D1 (n=0, 0) | Flatulence: Change at C13 D1 (n=0, 0) | Flatulence: Change at follow-up (n=48, 46) | Cachexia: Baseline (n=251, 253) | Cachexia: Change at C2 D1 (n=197, 205) | Cachexia: Change at C3 D1 (n=145, 157) | Cachexia: Change at C4 D1 (n=101, 112) | Cachexia: Change at C5 D1 (n=70, 64) | Cachexia: Change at C6 D1 (n=40, 44) | Cachexia: Change at C7 D1 (n=24, 26) | Cachexia: Change at C8 D1 (n=10, 14) | Cachexia: Change at C9 D1 (n=5, 6) | Cachexia: Change at C10 D1 (n=1, 3) | Cachexia: Change at C11 D1 (n=0, 1) | Cachexia: Change at C12 D1 (n=0, 0) | Cachexia: Change at C13 D1 (n=0, 0) | Cachexia: Change at follow-up (n=48, 47) | Side Effects: Baseline (n=209, 226) | Side Effects: Change at C2 D1 (n=159, 181) | Side Effects: Change at C3 D1 (n=113, 137) | Side Effects: Change at C4 D1 (n=80, 102) | Side Effects: Change at C5 D1 (n=54, 59) | Side Effects: Change at C6 D1 (n=29, 40) | Side Effects: Change at C7 D1 (n=17, 22) | Side Effects: Change at C8 D1 (n=8, 11) | Side Effects: Change at C9 D1 (n=3, 6) | Side Effects: Change at C10 D1 (n=0, 3) | Side Effects: Change at C11 D1 (n=0, 1) | Side Effects: Change at C12 D1 (n=0, 0) | Side Effects: Change at C13 D1 (n=0, 0) | Side Effects: Change at follow-up (n=42, 42) | Fear of Future Health (FH): Baseline (n=252, 250)) | Fear of FH: Change at C2 D1 (n=192, 201) | Fear of FH: Change at C3 D1 (n=145, 155) | Fear of FH: Change at C4 D1 (n=103, 113) | Fear of FH: Change at C5 D1 (n=71, 64) | Fear of FH: Change at C6 D1 (n=42, 44) | Fear of FH: Change at C7 D1 (n=27, 25) | Fear of FH: Change at C8 D1 (n=12, 12) | Fear of FH: Change at C9 D1 (n=6, 6) | Fear of FH: Change at C10 D1 (n=2, 3) | Fear of FH: Change at C11 D1 (n=1, 1) | Fear of FH: Change at C12 D1 (n=1, 0) | Fear of FH: Change at C13 D1 (n=1, 0) | Fear of FH:Change at follow-up (n=48, 45) | Future Plan ability: Baseline (n=250, 249) | Future Plan ability: Change at C2 D1 (n=192, 198) | Future Plan ability:Change at C3 D1 (n=142, 153) | Future Plan ability:Change at C4 D1 (n=101, 112) | Future Plan ability:Change at C5 D1 (n=70, 62) | Future Plan ability:Change at C6 D1 (n=42, 42) | Future Plan ability: Change at C7 D1 (n=26, 24) | Future Plan ability: Change at C8 D1 (n=11, 11) | Future Plan ability: Change at C9 D1 (n=5, 6) | Future Plan ability: Change at C10 D1 (n=1, 3) | Future Plan ability: Change at C11 D1 (n=1, 1) | Future Plan ability: Change at C12 D1 (n=1, 0) | Future Plan ability: Change at C13 D1 (n=1, 0) | Future Plan ability: Change at followup (n=48, 45) |
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Axitinib + Gemcitabine | 41.6 | -10.9 | -16.3 | -13.2 | -15.8 | -15.9 | -15.3 | -7.6 | -29.2 | -20.9 | 0.0 | 0.0 | 0.0 | -3.5 | 10.2 | 0.3 | -1.4 | -2.5 | 1.0 | 0.4 | -0.7 | -4.5 | -11.1 | -16.7 | 0.0 | 0.0 | 0.0 | 2.8 | 34.3 | 2.8 | -1.2 | 0.5 | 1.4 | 3.3 | -6.0 | 4.5 | -13.9 | -33.3 | 0.0 | 0.0 | 0.0 | 6.0 | 56.8 | -0.5 | -4.9 | -4.1 | -1.5 | 12.2 | 4.4 | 12.5 | 25.0 | NA | NA | NA | NA | -3.2 | 78.0 | 0.1 | 0.2 | -4.3 | 1.0 | -6.7 | -4.3 | -16.7 | 16.7 | -33.3 | -33.3 | -33.3 | -33.3 | -0.7 | 28.5 | 4.9 | 4.9 | 6.7 | 4.8 | 8.3 | 12.0 | 21.2 | 33.3 | -8.3 | 0.0 | 0.0 | 0.0 | 13.1 | 20.3 | 3.0 | 6.2 | 6.6 | 8.3 | 9.6 | 6.0 | 1.5 | 13.9 | -8.3 | 16.7 | 16.7 | 0.0 | 6.0 | 38.7 | -8.6 | -8.3 | -5.0 | -8.5 | -3.2 | -14.1 | -18.2 | -11.1 | -16.7 | 0.0 | 0.0 | 0.0 | 5.6 | 29.4 | -0.3 | 0.2 | -4.0 | 0.5 | 1.6 | -3.8 | 0.0 | -5.6 | -16.7 | 0.0 | 0.0 | 0.0 | 7.6 | 37.9 | 1.2 | 3.2 | -1.3 | -1.0 | -1.6 | -1.3 | -10.0 | 0.0 | 33.3 | NA | NA | NA | -0.7 | 33.1 | 4.2 | 4.6 | 1.2 | 0.5 | -2.1 | -0.7 | 15.0 | 16.7 | 0.0 | NA | NA | NA | 8.0 | 24.9 | 11.2 | 13.0 | 10.1 | 7.4 | 8.1 | 15.0 | 9.7 | 14.8 | NA | NA | NA | NA | 18.8 | 59.3 | -3.5 | -0.9 | -4.5 | -0.5 | -4.8 | -6.2 | 2.8 | 16.7 | -16.7 | 0.0 | 0.0 | 0.0 | 5.6 | 34.3 | 6.1 | 3.5 | 5.6 | 0.9 | 4.8 | 2.6 | 6.1 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 21.5 |
,Placebo + Gemcitabine | 40.0 | -10.1 | -11.2 | -11.4 | -13.0 | -13.0 | -15.0 | -9.8 | 0.0 | 5.6 | 0.0 | NA | NA | -3.6 | 10.8 | -2.0 | -2.5 | -2.4 | -2.6 | -3.2 | -4.9 | -4.2 | -13.3 | -8.4 | 0.0 | NA | NA | -1.4 | 33.9 | 0.6 | -4.3 | -4.5 | -3.6 | 0.4 | -1.3 | 17.9 | 22.2 | 11.1 | 66.7 | NA | NA | 2.8 | 55.5 | -4.0 | -3.0 | 3.0 | -5.2 | -11.4 | -7.1 | -15.0 | 0.0 | 11.1 | 33.3 | NA | NA | -23.2 | 78.3 | 1.8 | 5.4 | -0.2 | 0.8 | -0.4 | 6.7 | 7.6 | -5.6 | 5.6 | 0.0 | NA | NA | -2.2 | 28.8 | -0.2 | 2.1 | 0.9 | -0.3 | -0.8 | -5.6 | 11.1 | 8.3 | 5.6 | -50.0 | NA | NA | 11.5 | 21.2 | 1.5 | 2.5 | 4.8 | 1.3 | 2.3 | 1.3 | 7.7 | -5.6 | -16.7 | -100.0 | NA | NA | 5.9 | 32.9 | -3.4 | -5.1 | -0.3 | -0.5 | -2.2 | -12.8 | -11.9 | -16.7 | 22.2 | 33.3 | NA | NA | -2.1 | 24.0 | -2.4 | -5.2 | -4.1 | -4.6 | -1.5 | -1.3 | 2.4 | 11.1 | 22.2 | 0.0 | NA | NA | 1.4 | 34.0 | 2.6 | 0.2 | 2.3 | 1.0 | -1.5 | -3.8 | 2.4 | 5.6 | -11.1 | 0.0 | NA | NA | 2.2 | 33.6 | 0.6 | -3.3 | -6.2 | -8.3 | -5.3 | -5.1 | -4.7 | 2.8 | 0.0 | -16.6 | NA | NA | 6.4 | 27.4 | 5.8 | 4.7 | 4.9 | 3.6 | -1.4 | -1.0 | -3.0 | -1.9 | 0.0 | -33.4 | NA | NA | 13.2 | 61.1 | -9.6 | -11.6 | -15.9 | -10.9 | -14.4 | -13.3 | 5.6 | 16.7 | 11.1 | 0.0 | NA | NA | -4.4 | 38.0 | -0.3 | 0.4 | 0.3 | -3.8 | 0.8 | -7.0 | 3.0 | 0.0 | -11.1 | -66.7 | NA | NA | 5.2 |
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Change From Baseline in Euro QoL Questionnaire- 5 Dimension (EQ-5D) VAS Score
EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single index value. The VAS component rates current health state on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state); higher scores indicate a better health state. (NCT00471146)
Timeframe: Baseline, Day 1 (D1) of each cycle (C2-C13) up to 28 days after the last dose (follow-up) or early withdrawal
Intervention | Millimeter (mm) (Mean) |
---|
| Baseline (n= 277, 281) | Change at Cycle 2 Day 1 (n= 223, 226) | Change at Cycle 3 Day 1 (n= 161, 171) | Change at Cycle 4 Day 1 (n=122, 128) | Change at Cycle 5 Day 1 (n= 90, 79) | Change at Cycle 6 Day 1 (n= 56, 56) | Change at Cycle 7 Day 1 (n= 36, 35) | Change at Cycle 8 Day 1 (n= 16, 19) | Change at Cycle 9 Day 1 (n= 9, 9) | Change at Cycle 10 Day 1 (n= 3, 4) | Change at Cycle 11 Day 1 (n= 1, 1) | Change at Cycle 12 Day 1 (n= 1, 0) | Change at Cycle 13 Day 1 (n= 1, 1) | Change at follow-up (n= 62, 68) |
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Axitinib + Gemcitabine | 60.6 | 1.0 | 2.6 | 0.5 | -0.3 | 1.0 | 2.6 | 3.8 | 22.2 | 20.0 | 0.0 | 0.0 | 0.0 | -6.3 |
,Placebo + Gemcitabine | 62.6 | -0.4 | 1.1 | 3.2 | 1.9 | 3.7 | 4.1 | 9.6 | 7.7 | 6.3 | 30.0 | NA | 36.0 | -4.8 |
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Overall Survival (OS)
Time in weeks from randomization to date of death due to any cause. OS was calculated as (the death date minus the date of randomization plus 1) divided by 7. Death was determined from adverse event data (where outcome was death) or from follow-up contact data (where the participant current status was death). (NCT00471146)
Timeframe: Baseline until death or at least 1 year after the randomization of last participant
Intervention | Weeks (Median) |
---|
Axitinib + Gemcitabine | 36.9 |
Placebo + Gemcitabine | 35.8 |
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Duration of Response (DR)
Time in weeks 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 due to cancer minus the date of the first CR or PR that was subsequently confirmed plus 1) divided by 7. (NCT00471146)
Timeframe: Baseline until death or at least 1 year after the randomization of last participant
Intervention | Weeks (Median) |
---|
Axitinib + Gemcitabine | 33.1 |
Placebo + Gemcitabine | NA |
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Change From Baseline in Euro QoL Questionnaire- 5 Dimension (EQ-5D) Health State Profile
"EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (eg, confined to bed). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state." (NCT00471146)
Timeframe: Baseline, Day 1 (D1) of each cycle (C2-C13) up to 28 days after the last dose (follow-up) or early withdrawal
Intervention | Units on a scale (Mean) |
---|
| Baseline (n=289, 290) | Change at C2 D1 (n=231, 240) | Change at C3 D1 (n=171, 178) | Change at C4 D1 (n=128, 131) | Change at C5 D1 (n=94, 80) | Change at C6 D1 (n=57, 57) | Change at C7 D1 (n=37, 36) | Change at C8 D1 (n=17, 20) | Change at C9 D1 (n=9, 9) | Change at C10 D1 (n=3, 4) | Change at C11 D1 (n=1, 1) | Change at C12 D1 (n=1, 0) | Change at C13 D1 (n=1, 1) | Change at follow-up (n=65, 73) |
---|
Axitinib + Gemcitabine | 0.665 | 0.050 | 0.053 | 0.010 | 0.010 | 0.001 | 0.049 | -0.021 | 0.049 | 0.181 | 0.000 | 0.000 | 0.000 | -0.148 |
,Placebo + Gemcitabine | 0.690 | 0.020 | 0.028 | 0.050 | 0.044 | 0.058 | 0.075 | 0.071 | 0.121 | 0.208 | 0.058 | NA | 0.470 | -0.080 |
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Chemotherapy Completion Rate
Feasibility in this study was based on the chemotherapy regimen. The chemotherapy completion rate is defined as the percentage of patients who complete 3 cycles of oxaliplatin and gemcitabine chemotherapy prior to radiation therapy. (NCT00476086)
Timeframe: 3 cycles of chemotherapy which approximates 3 months given the 28-day cycle
Intervention | percentage of participants (Number) |
---|
Oxaliplatin/ Gemcitabine Then Radiation | 100 |
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Radiation Therapy Completion Rate
Disease was evaluated radiologically at baseline and every X cycles on treatment; Treatment continued if radiological exam showed no progressive disease (NCT00476086)
Timeframe: Radiation therapy was within 4-6 weeks of last chemotherapy dose. Participants received up to 5 weeks of radiation therapy.
Intervention | percentage of participants (Number) |
---|
Oxaliplatin/ Gemcitabine Then Radiation | 79 |
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Safety and Efficacy of Same-day Pegfilgrastim
Determined the number of participants who had either a fever due to abnormally low level of neutrophils, a type of white blood cell, on the day of study drug treatment, or the participants who had the study drug treatment delayed due to an abnormally low level of neutrophils. (NCT00478361)
Timeframe: Up to 3 years
Intervention | participants (Number) |
---|
| Neutropenic Fever | Treatment Delay |
---|
Gemcitabine, Paclitaxel and Doxorubicin | 4 | 0 |
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Overall Survival (OS) of Participants With a Continuous Complete Response, Partial Response and Stable Disease
The overall survival was determined by grouping participants based upon their response based on RECIST. The groups are Complete Response(CR): All the cancerous lesion disappear, Partial Response (PR): All the measured lesions decrease by at least 30 percent, and Stable Disease(SD): No significant change in the disease burden. OS of complete response or partial response participants were compared to the reference group of stable disease participants in a Hazard Ratio(HR). If HR is greater than 1, the experimental group has a better outcome than the reference group. If HR is less than 1, the reference group has the better outcome. (NCT00478361)
Timeframe: Registration Date of each participant for up to three years or death whichever came first
Intervention | Hazard Ratio (Number) |
---|
| Complete Response | Partial Response |
---|
Gemcitabine, Paclitaxel and Doxorubicin | 0.25 | 1.09 |
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Objective Response Rate
The percentage of participants with either Complete Response (CR) or Partial Response (PR) in their disease burden based upon the rules of the Response Evaluation Criteria in Solid Tumors (RECIST). A participant with of all of the lesions disappearing is a CR. A participant with at least a 30 percent decrease in the measured lesions is a PR. (NCT00478361)
Timeframe: Up to 12 weeks, or following completion 6 cycles of chemotherapy, respectively; the best response achieved within 6 cycles of starting chemotherapy used to calculate response rate.
Intervention | percentage of participants (Number) |
---|
Gemcitabine, Paclitaxel and Doxorubicin | 56.4 |
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Duration of Response
Duration of response was defined as the number of days between the date of first tumor response assessment of objective response to the time of the first tumor response assessment of progressive disease (PD) or death due to any cause (date of first PD assessment or death - date of first objective response assessment + 1) (NCT00481871)
Timeframe: Response assessments were performed no less than every 3 cycles in the Phase 1 part of the study and every 8 weeks (± 1 week) in the Phase 2a part of the study
Intervention | days (Median) |
---|
Phase 1 | 174 |
Phase 2 - Group B | 210 |
Phase 2 - Group C | 170 |
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Objective Responses Assessed by International Workshop Criteria (IWC)
Number of participants who achieved an objective response. Objective response was defined as a tumor response assessment of either complete response (CR) or partial response (PR) and was determined only for patients with measurable disease at baseline. A tumor response assessment reported by IWC without PET was used for any analyses in cases where an IWC+PET evaluation was not done. (NCT00481871)
Timeframe: Assessed every 8 weeks (+/- 1 week) for Phase II and no less than every 3 cycles for Phase I
Intervention | participants (Number) |
---|
Phase 1 | 8 |
Phase 2 - Group B | 5 |
Phase 2 - Group C | 7 |
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Progression-free Survival (PFS) Time
PFS time was calculated as the number of days from study day 1 to the date of PD or death, regardless of cause (date of PD or death - study day 1 + 1). (NCT00481871)
Timeframe: Response assessments were performed no less than every 3 cycles in the Phase 1 part of the study and every 8 weeks (± 1 week) in the Phase 2a part of the study
Intervention | days (Median) |
---|
Phase 1 | 53.0 |
Phase 2 - Group B | 59.0 |
Phase 2 - Group C | 54.0 |
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Overall Response
Number of participants with complete or partial response. Response Evaluation Criteria in Solid Tumors (RECIST) of Complete Response: disappearance all target lesions; Partial Response: >30% decrease in sum of longest diameter (LD) of target lesions, reference baseline sum LD; Progressive Disease: >20% increase sum of LD of target lesions, reference smallest sum LD recorded since treatment started or appearance of 1 or > new lesions; Stable Disease: Insufficient shrinkage for partial response, or insufficient increase for progressive disease, reference smallest sum LD since treatment started. (NCT00491075)
Timeframe: Baseline to 8 weeks (after 4 cycles) protocol response at 16 weeks
Intervention | percentage of participants (Number) |
---|
Pemetrexed + Gemcitabine | 6.7 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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Response Rate (RR)
Number of participants per response category. Response to treatment was determined according to Response Evaluation Criteria in Solid Tumors (RECIST). 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. (NCT00499109)
Timeframe: 6 months
Intervention | participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) |
---|
C. Standard of Care Control Arm | 0 | 31 |
,E. Dual Agent Chemotherapy | 0 | 64 |
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Progression Free Survival (PFS)
PFS is defined as the duration of time from start of treatment to time of progression or death, whichever occurs first. Progressive Disease (PD): Appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions. The data of first documented disease progression or death, as defined by Response Evaluation Criteria In Solid Tumors (RECIST), was recorded, and the time interval from randomization to that date was calculated for each patient and used to generate Kaplan-Meier survival estimates and to calculate the PFS at 6 months. (NCT00499109)
Timeframe: 6 months
Intervention | estimated percentage of participants (Number) |
---|
E. Dual Agent Chemotherapy | 52 |
C. Standard of Care Control Arm | 56.5 |
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Overall Survival (OS)
OS at 12 months, determined from the date of randomization. The time interval from randomization to the date of death was calculated for each patient and used to generate Kaplan-Meier survival estimates and to calculate the overall survival. (NCT00499109)
Timeframe: 12 months
Intervention | estimated percentage of participants (Number) |
---|
E. Dual Agent Chemotherapy | 46.1 |
C. Standard of Care Control Arm | 46.6 |
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Rates of Partial Response (PR), Complete Response (CR) and Overall Response (ORR) in Study Participants
Rates of partial response (PR), complete response (CR) and overall response (PR+CR = ORR) in study participants according to Response Evaluation Criteria In Solid Tumors (RECIST) version 1.0. (NCT00503906)
Timeframe: After two cycles, about 60 days
Intervention | percentage of participants (Number) |
---|
| Overall Response Rate (ORR) | Complete Response (CR) | Partial Response (PR) |
---|
Abraxane, Avastin and Gemcitabine | 75.6 | 27.6 | 48.3 |
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Rate of Toxicity in Study Participants
Determination of safety and side effect profile of the protocol therapy including the rate of toxicity in study participants. The descriptions and grading scales found in the revised NCI Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 will be utilized for adverse event reporting. (NCT00503906)
Timeframe: Over the course of study treatment.
Intervention | percentage of participants (Number) |
---|
| Alopecia, Grade 1/2 | Fatigue, Grade 1/2 | Bone Pain, Grade 1/2 | Nausea, Grade 1/2 | Skin rash/lesions, Grade 1/2 | Neutropenia, Grade 1/2 | Grade 3/4 Toxicities |
---|
Abraxane, Avastin and Gemcitabine | 65.5 | 37.9 | 31 | 31 | 27.6 | 10.3 | 27.6 |
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Rate of Overall Survival in Study Participants
Rate of overall survival in study participants. Overall survival will be measured from the date of enrollment to the date of death from any cause, or the date of last contact (censored observations.) (NCT00503906)
Timeframe: 18 months
Intervention | percentage of participants (Median) |
---|
Abraxane, Avastin and Gemcitabine | 77.2 |
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Mean Change From Baseline to Follow-up Cycle in Quality of Life - Functional Assessment of Cancer Therapy-Lung (FACT-L)
The outcome measure is mean change in the Trial Outcome Index (TOI) between baseline and each follow-up assessment measured by the Functional Assessment of Cancer Therapy-Lung (FACT-L). The FACT-L instrument consists of 34 items to assess physical (PWB), social and family (SWB), emotional (EWB), functional well-being (FWB) and additional lung specific concerns (LCS). Using a 5-point Likert type scale, responses to individual items range from 0 (not at all) to 4 (Very Much) with higher scores indicating better quality of life. The TOI is the sum of PWB (7 items), FWB (7 items) and LCS scores (7 items), which each have a possible range between 0 and 28. Therefore, TOI ranges from 0 to 84. (NCT00509366)
Timeframe: Baseline, Every 21 days for a maximum of 6 cycles
Intervention | units on a scale (Mean) |
---|
| Change from baseline to Cycle 1 | Change from baseline to Cycle 2 | Change from baseline to Cycle 3 | Change from baseline to Cycle 4 | Change from baseline to Cycle 5 | Change from baseline to Cycle 6 |
---|
Treatment | 0.15 | -1.04 | -1.28 | -2.62 | -6.14 | -0.72 |
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1-year Progression Free Survival Rate in Chemo-naive Select Stage IIIB or Stage IV NSCLC Patients
One-year progression-free survival was defined from the time from initiation of study treatment to the first date of disease progression or death as a result of any cause. Progression was defined as at least a 20% increase in the sum of the longest diameter (LD) of target lesions taking as references the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. Time was censored at the date of the last follow-up visit for patients who were still alive and have not progressed. The one-year progression free survival rate is a percentage, representing the fraction of treated patients who, after one-year, are disease free or alive. (NCT00509366)
Timeframe: 1 year
Intervention | percentage of treated patients (Number) |
---|
Treatment | 19.15 |
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Number of Patients Who Had Greater Than Grade 2 Toxicity
(NCT00509665)
Timeframe: from time of initial treatment until end of study, an average of 6 months
Intervention | Participants (Count of Participants) |
---|
Gemcitabine+Doxorubicin | 10 |
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Overall Survival
(NCT00509665)
Timeframe: From the time of initial therapy until the time of death.
Intervention | Months (Median) |
---|
Gemcitabine+Doxorubicin | 5.6 |
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Response Rate
Per Response Evaluation Criteria in Solid Tumors (RECIST) for target lesions assessed by CT or MRI: Complete Response (CR) is the disappearance of all target lesions (TL) and non-target lesions (NTL); Partial Response (PR) is defined by either a CR of TL and stable disease (SD) in NTL or PR of TL and non-progressive disease (PD) in NTL. Response rate is the sum of CR + PR as defined above. (NCT00509665)
Timeframe: Every 6 weeks from the time of initial treatment for up to 8 months
Intervention | participants (Number) |
---|
Gemcitabine+Doxorubicin | 4 |
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Progression-free Survival
(NCT00509665)
Timeframe: Through the end of follow up, for an average of 8 months
Intervention | months (Median) |
---|
Gemcitabine+Doxorubicin | 1.6 |
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Time to Progression (TTP)
Time to progression is defined as the time from treatment start until objective tumor progression. Progression is defined per RECIST criteria v1.0 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. (NCT00517595)
Timeframe: TTP was measured from day 1 of treatment until time of progression (assessed every 8 weeks), assessed up to 15 months.
Intervention | Months (Median) |
---|
Pemetrexed, Gemcitabine, and Bevacizumab | 5.56 |
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Progression Free Survival (PFS)
PFS is defined as the duration of time from start of treatment to time of progression or death, whichever comes first. Progression is defined per RECIST criteria v1.0 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 progression free survival is the parameter used to describe PFS. (NCT00517595)
Timeframe: PFS was measured from day 1 of treatment until time of progression (assessed every 8 weeks) or death, whichever came first, assessed up to 15 months.
Intervention | Months (Median) |
---|
Pemetrexed, Gemcitabine, and Bevacizumab | 4.90 |
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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. (NCT00517595)
Timeframe: OS was measured from day 1 of treatment until time of death, assessed up to 20 months.
Intervention | Months (Median) |
---|
Pemetrexed, Gemcitabine, and Bevacizumab | 8.78 |
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Overall Response
Response was evaluated via changes from baseline in radiological tumor measurements performed after every 4th treatment cycle 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 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. (NCT00517595)
Timeframe: Response to treatment was assessed after every 8 weeks of treatment, up to 50 weeks.
Intervention | Participants (Number) |
---|
| Complete response (CR) | Partial response (PR) | Stable disease (SD) | Progressive disease (PD) | Not evaluable (NE) |
---|
Pemetrexed, Gemcitabine, and Bevacizumab | 0 | 17 | 21 | 6 | 4 |
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Disease Control Rate
Disease control rate was defined as the percentage of participants who have any evidence of confirmed objective CR or PR or Stable disease (SD) (where SD was maintained for 8 weeks), as assessed by the RECIST version 1.0 criteria. As per the RECIST Version 1.0 CR is defined as disappearance of all target 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 of the LD. SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum of the LD since the treatment started. PD is defined as at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum of the LD recorded since the treatment started or the appearance of one or more new lesions. (NCT00518011)
Timeframe: Up to 2 years
Intervention | Percentage of participants (Number) |
---|
Gemcitabine | 50 |
Erlotinib + Gemcitabine | 85.7 |
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Mean Change in Pulse Rate From Baseline
Mean change in pulse rate from Baseline for each cycle calculated as Day 1 of each cycle value minus Baseline value (NCT00518011)
Timeframe: Baseline (Day -14 to Day 0), Cycle 1 (Days 1, 8, 15 and 22), Cycle 2 (Days 1, 8, 15 and 22), Cycle 3 (Days 1, 8, and 15), Cycle 4 (Days 1, 8, and 15), Cycle 5 (Days 1, 8, and 15), Cycle 6 (Days 1, 8, and 15)
Intervention | beats per minute (Mean) |
---|
| Cycle 1 (n=8, 8) | Cycle 2 (n=7, 6) | Cycle 3 (n=4, 5) | Cycle 4 (n=1, 5) | Cycle 5 (n=1, 3) | Cycle 6 (n= 1, 2) |
---|
Erlotinib + Gemcitabine | 3.00 | -3.00 | -1.80 | 1.80 | -9.00 | 6.00 |
,Gemcitabine | 2.37 | 3.00 | 2.75 | 18.00 | -6.00 | 4.00 |
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Duration of Response
Duration of response was defined as the interval between the date of CR or PR was first recorded to the date on which progressive disease was first noted or date of death. (NCT00518011)
Timeframe: Up to 2 years
Intervention | Week (Mean) |
---|
Erlotinib + Gemcitabine | 16.3 |
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Mean Change in Body Temperature From Baseline
Mean change in body temperature from Baseline for each cycle calculated as Day 1 of each cycle value minus baseline value. (NCT00518011)
Timeframe: Baseline (Day -14 to Day 0), Cycle 1 (Days 1, 8, 15 and 22), Cycle 2 (Days 1, 8, 15 and 22), Cycle 3 (Days 1, 8, and 15), Cycle 4 (Days 1, 8, and 15), Cycle 5 (Days 1, 8, and 15), Cycle 6 (Days 1, 8, and 15)
Intervention | Fahrenheit (Mean) |
---|
| Cycle 1 (n=8, 8) | Cycle 2 (n=7, 6) | Cycle 3 (n=4, 5) | Cycle 4 (n=1, 5) | Cycle 5 (n=1, 3) | Cycle 6 (n=1, 2) |
---|
Erlotinib + Gemcitabine | -0.012 | -0.30 | -0.32 | -0.24 | -0.46 | -0.20 |
,Gemcitabine | -0.02 | 0.14 | -0.07 | -0.60 | -0.70 | -0.20 |
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Progression Free Survival
Progression free survival was defined as the interval between the day of randomization and the date of the first documentation of disease progression or date of death (from any cause), whichever occurs first. (NCT00518011)
Timeframe: Up to 2 years
Intervention | Week (Median) |
---|
Gemcitabine | 23.3 |
Erlotinib + Gemcitabine | 24.4 |
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Mean Change in Blood Pressure From Baseline
Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were recorded as vital parameters in this study. Mean change in SBP and DBP from Baseline for each cycle calculated as Day 1 of each cycle value minus baseline value. (NCT00518011)
Timeframe: Baseline (Day -14 to Day 0), Cycle 1 (Days 1, 8, 15 and 22), Cycle 2 (Days 1, 8, 15 and 22), Cycle 3 (Days 1, 8, and 15), Cycle 4 (Days 1, 8, and 15), Cycle 5 (Days 1, 8, and 15), Cycle 6 (Days 1, 8, and 15)
Intervention | mm Hg (Mean) |
---|
| SBP at Cycle 1 (n=8, 8) | DBP at Cycle 1 (n=8, 8) | SBP at Cycle 2 (n=7, 6) | DBP at Cycle 2 (n=7, 6) | SBP at Cycle 3 (n=4, 5) | DBP at Cycle 3 (n=4, 5) | SBP at Cycle 4 (n=1, 5) | DBP at Cycle 4 (n=1, 5) | SBP at Cycle 5 (n=1, 3) | DBP at Cycle 5 (n=1, 3) | SBP at Cycle 6 (n=1, 2) | DBP at Cycle 6 (n=1, 2) |
---|
Erlotinib + Gemcitabine | -0.87 | -5.37 | -17.83 | -9.50 | -17.20 | -9.20 | -10.20 | -1.60 | -1.66 | 0.66 | 5.00 | -0.50 |
,Gemcitabine | 3.00 | -6.87 | -4.85 | -10.71 | -9.00 | -8.25 | -18.00 | -4.00 | 28.00 | 12.00 | 10.00 | 5.00 |
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Objective Response Rate
Objective response rate was defined as the percentage of participants who have any evidence of confirmed objective of complete response (CR) + partial response (PR), as assessed by the Response Evaluation Criteria In Solid Tumors (RECIST version 1.0) criteria. As per the RECIST Version 1.0 CR is defined as 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 baseline sum of the LD. (NCT00518011)
Timeframe: Up to 2 years
Intervention | Percentage of participants (Number) |
---|
Gemcitabine | 0 |
Erlotinib + Gemcitabine | 28.6 |
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Overall Survival
Overall survival was defined as the interval between the date of randomization to the date of death from any cause. (NCT00518011)
Timeframe: Up to 2 years
Intervention | Week (Median) |
---|
Gemcitabine | 21.1 |
Erlotinib + Gemcitabine | 39.0 |
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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 |
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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 |
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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 |
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Two-year Progression-free Survival From the Date of Surgery
Estimated using the product-limit method of Kaplan and Meier. Progression defined as a 25% increase or an increase of 10 cm2 (whichever is smaller) in the sum of the products of all measurable lesions over the smallest sum observed (over baseline if no decrease) using the same techniques as baseline, or clear worsening of any evaluable disease, or reappearance of any lesion that had disappeared, or appearance of any new lesion/site, or failure to return for evaluation or death, or deteriorating condition (unless clearly unrelated to this cancer). (NCT00530634)
Timeframe: 2 years post-surgery
Intervention | percentage of participants (Number) |
---|
Gemcitabine + Cisplatin | 67.6 |
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Specific Tumor Marker Response (CEA) to Neoadjuvant Therapy
(NCT00536874)
Timeframe: Baseline and 2 years
Intervention | ng/ml (Median) |
---|
| CEA (Pre-Therapy) | CEA (Post-Therapy) |
---|
Gemcitabine And Oxaliplatin | 4.2 | 4.2 |
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Specific Tumor Marker Response (Ca 19-9) to Neoadjuvant Therapy
(NCT00536874)
Timeframe: Baseline and 2 years
Intervention | U/ml (Median) |
---|
| Ca 19-9 (Pre-Therapy) | Ca 19-9 (Post-Therapy) |
---|
Gemcitabine And Oxaliplatin | 133 | 132 |
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RECIST Radiologic Response to Neoadjuvant Therapy
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 (NCT00536874)
Timeframe: 2 years
Intervention | participants (Number) |
---|
| Partial Response | Stable Disease | Progression of Disease | Inevaluable |
---|
Gemcitabine And Oxaliplatin | 4 | 28 | 3 | 3 |
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Specific Tumor Marker Response (CEA) to Neoadjuvant Therapy
Percentage change in specific tumor marker (Carcinoembryonic antigen, CEA) levels in response to neoadjuvant therapy (NCT00536874)
Timeframe: Baseline and 2 years
Intervention | percent change (Median) |
---|
Gemcitabine And Oxaliplatin | -5.1 |
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Specific Tumor Marker Response (Ca 19-9) to Neoadjuvant Therapy
Percent change in specific tumor marker (Cancer Antigen 19-9, Ca 19-9) levels in response to neoadjuvant therapy (NCT00536874)
Timeframe: Baseline and 2 years
Intervention | percent change (Median) |
---|
Gemcitabine And Oxaliplatin | -25.6 |
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Overall Survival at 18 Months
Percentage of participants that were alive or survived at 18 months after randomization (NCT00536874)
Timeframe: 18 months
Intervention | percentage of participants (Number) |
---|
Gemcitabine And Oxaliplatin | 63 |
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Overall Survival (Follow-Up Time)
(NCT00536874)
Timeframe: From Baseline until 2 Years and Follow-Up, up to 120 months
Intervention | months (Median) |
---|
Gemcitabine And Oxaliplatin | 39.6 |
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Determination of Maximum Tolerated Dose (MTD), The Dose of Study Drug(s) Which Causes <33% of Patients Treated to Experience Unacceptable Side Effects
"Unacceptable side effects or dose-limiting toxicities (DLTs) were defined as follows:~Inability to Complete cycle 1 of therapy due to drug-related toxicity.~> Grade 3 non-hematological drug-related toxicity (excluding alopecia) despite optimal supportive care~Febrile neutropenia (absolute neutrophil count [ANC] <1,000/μL and fever >101° F (38.5° C))~Grade 4 neutropenia that occurs prior to day 21. (Grade 4 neutropenia that occurs after day 21 but resolves within 7 days of the scheduled cycle 2, will not be considered DLT)~Platelet count < 25,000/μL~Inability to initiate Cycle 2, Day 1 therapy within 7 days of scheduled start (i.e. cannot delay the start of Cycle 2 by more than 7 days following the normal 7 day recovery period) due to drug-related toxicity." (NCT00540579)
Timeframe: 6 months
Intervention | milligrams (Number) |
---|
| Pomalidomide | Gemcitabine |
---|
Pomalidomide/Gemcitabine | 10 | 1000 |
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The Safety and Tolerability of Protocol Treatment, Defined as the Percentage of Patients Experiencing Severe or Life-threatening Side Effects Per CTCAE Version 3.0
The relative incidence of Grade 3/4 adverse events from protocol treatment as defined by Common Terminology Criteria for Adverse Events v3.0 (CTCAE) (NCT00540579)
Timeframe: 24 Months
Intervention | percentage of patients (Number) |
---|
Pomalidomide/Gemcitabine | 39 |
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Overall Response
Complete response (CR): Complete disappearance of all measurable and evaluable disease. No new lesions. Partial response (PR): Greater than or equal 50% decrease under baseline in the sum of products of perpendicular diameters of all measurable lesions. No new lesions. All measurable and evaluable lesions and sites must be assessed using the same techniques as baseline. Overall Response (OR) = CR + PR. (NCT00544414)
Timeframe: 30 days after last course of treatment
Intervention | Participants (Count of Participants) |
---|
Treatment | 28 |
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Progression-free Survival
Estimated using the product-limit method of Kaplan and Meier. Progression defined as a 50% increase or an increase of 10 cm^2 (whichever is smaller) in the sum of all measurable lesions over smallest sum observed (over baseline if no decrease) using the same techniques as baseline, or clear worsening of any evaluable disease, or reappearance of any lesion that had disappeared, or appearance of any new lesion/site, or failure to return for evaluation due to death or deteriorating condition. Progression-free survival defined as from first day of treatment until the date of first documented progression or date of death from any cause, whichever came first. If failure has not occurred, failure time is censored at the time of last follow-up. (NCT00544414)
Timeframe: From date of initial treatment until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 171 months
Intervention | Months (Median) |
---|
Treatment | 170.5 |
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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. If the patient is considered to be a major treatment violation or is taken off study as a nonprotocol failure, the patient will be censored on the date they are removed from treatment. The time to treatment failure will be estimated using the method of Kaplan-Meier. (NCT00550836)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Arm A: GE | 2.0 |
Arm B: PGE | 3.8 |
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Confirmed Response Rate
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. (NCT00550836)
Timeframe: Up to 2 years
Intervention | rate of confirmed response (Number) |
---|
Arm A: GE | 0.087 |
Arm B: PGE | 0.065 |
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Frequency and Severity of Observed Adverse Effects
"Patients are assessed for Adverse events each cycle using the Common Terminology Criteria for Adverse Events version 3.0 (CTCAE v3.0). The maximum grade for each type of adverse event will be recorded for each patient, and tables will be reviewed to determine adverse event patterns. The number of patients in each arm that reported a grade 3 or higher adverse event and a grade 4 or higher adverse event are reported.~A complete listing of all adverse events is reported in the Adverse Events section." (NCT00550836)
Timeframe: Up to 2 years
Intervention | participants (Number) |
---|
| Grade 3+ Adverse Event | Grade 4+ Adverse Event |
---|
Arm A: GE | 41 | 15 |
,Arm B: PGE | 41 | 14 |
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Overall Survival
Overall Survival is defined as the time from registration to death due to any cause. The estimate will be done using the Kaplan-Meier method. The primary goal of this trial is to compare the experimental arm (Arm B) to the standard arm (Arm A). 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. (NCT00550836)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Arm A: GE | 4.2 |
Arm B: PGE | 8.3 |
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Progression-free Survival
Progression-free survival is defined as the time from randomization to documentation of disease progression or death, whichever comes first. Progression is defined as at least a 20% increase in the sum of longest dimension (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. The distribution of progression-free survival will be estimated using the method of Kaplan-Meier. The progression-free survival curves will be compared between the 2 arms using a log-rank test. (NCT00550836)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Arm A: GE | 2.0 |
Arm B: PGE | 3.6 |
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To Determine the Overall Response Rate of Combination Therapy With Gemcitabine and Sunitinib in Sarcomatoid and/or Poor-risk mRCC Patients as First Line Therapy.
(NCT00556049)
Timeframe: Until disease progression
Intervention | percentage of participants (Number) |
---|
Treatment | 25 |
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Radiographic Tumor Response
CT scans evaluated for response using Response Evaluation Criteria in Solid Tumors (RECIST) (NCT00557492)
Timeframe: Up to 48 months
Intervention | Participants (Number) |
---|
| metastatic progression (at restaging) | stable disease | partial response | progressive disease |
---|
FDR GEM + BEV +/- BEV/RT | 4 | 39 | 5 | 10 |
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Rate of Surgical Resection
Number of participants that underwent resection / per the total number of evaluable participants (NCT00557492)
Timeframe: Up to 48 months
Intervention | percentage of participants (Number) |
---|
FDR GEM + BEV +/- BEV/RT | 74 |
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Rate of Pathologic Complete Response (pCR)
Rate of pathologic complete response (pCR) is no residual invasive tumor, in situ carcinoma can be present, and no residual lymph node metastasis. Rate of pCR is the number of participants who underwent laparoscopy and pancreatic resections that experienced complete pathologic response/total number of participants who underwent laparoscopy and pancreatic resections. (NCT00557492)
Timeframe: Up to 48 months
Intervention | percentage of participants (Number) |
---|
FDR GEM + BEV +/- BEV/RT | 2.3 |
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Rate of Margin Negative Surgical Resection (R0 Resection Rate)
Number of participants who underwent laparoscopy and pancreatic resections that were margin negative/total number of participants who underwent laparoscopy and pancreatic resections. (NCT00557492)
Timeframe: Up to 48 months
Intervention | percentage of participants (Number) |
---|
FDR GEM + BEV +/- BEV/RT | 88 |
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Progression-free Survival (PFS)
(NCT00557492)
Timeframe: Up to 48 months
Intervention | months (Median) |
---|
FDR GEM + BEV +/- BEV/RT | 6.6 |
FDR GEM + BEV +/- BEV/RT | 12.9 |
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Ca 19-9 Level (in Serum) - Biomarker Response
Percentage decrease in Ca 19-9 level (in serum) (NCT00557492)
Timeframe: Baseline and up to 48 months
Intervention | percentage decrease in serum Ca19-9 leve (Mean) |
---|
FDR GEM + BEV +/- BEV/RT | 25 |
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Overall Survival (OS)
(NCT00557492)
Timeframe: Up to 48 months
Intervention | months (Number) |
---|
FDR GEM + BEV +/- BEV/RT | 16.8 |
FDR GEM + BEV +/- BEV/RT | 19.7 |
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Maximum Tolerated Dose (MTD)
The MTD was defined as the highest dose level below the maximum administered dose which caused 0 or 1 out of 6 participants to experience a DLT in that given cohort at Cycle 1 (NCT00560573)
Timeframe: Cycle 1, up to Day 21
Intervention | mg/kg (Number) |
---|
Overall Population | 20 |
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Serum Total Circulating Insulin-like Growth Factor (IGF-1) Levels
To monitor serum total IGF-1 levels as a potential pharmacodynamic response to figitumumab treatment (NCT00560573)
Timeframe: Baseline, Day 8, end of study
Intervention | ng/mL (Mean) |
---|
| Baseline | End of study |
---|
Overall Population | 124.88 | 543.63 |
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Percentage of Participants With Blood Anti-drug Antibody (ADA) Specific for Figitumumab
Percentage of participants with positive total or neutralizing anti-drug antibody (ADA) for figitumumab (NCT00560573)
Timeframe: 30 min prior to figitumumab infusion in Cycle 1 and Cycle 4, end of study, fourth follow up visit (approximately 150 days after last dose)
Intervention | Percentage of participants (Number) |
---|
| C1D1 - Negative | C1D1 - Positive | C1D1 - Not determined | C4D1 - Negative | C4D1 - Positive | C4D1 - Not determined | End of Study - Negative | End of Study - Positive | End of Study - Not determined | Follow Up - Negative | Follow Up - Positive | Follow Up - Not determined |
---|
Figitumumab 10 mg/kg | 33.3 | 0 | 66.7 | 0 | 0 | 100 | 0 | 0 | 100 | 0 | 0 | 100 |
,Figitumumab 20 mg/kg Dose Escalation | 50.0 | 0 | 50.0 | 50.0 | 0 | 50.0 | 50.0 | 0 | 50.0 | 0 | 0 | 100 |
,Figitumumab 20 mg/kg Pemetrexed Expansion | 100 | 0 | 0 | 53.8 | 0 | 46.2 | 46.2 | 0 | 53.8 | 0 | 0 | 100 |
,Figitumumab 20 mg/kg RP2D Expansion 1.0 Infusion | 80.0 | 0 | 20.0 | 30.0 | 0 | 70.0 | 20.0 | 0 | 80.0 | 0 | 0 | 100 |
,Figitumumab 20 mg/kg RP2D Expansion 2.5 Infusion | 100 | 0 | 0 | 71.4 | 0 | 28.6 | 42.9 | 0 | 51.7 | 14.3 | 0 | 85.7 |
,Figitumumab 6 mg/kg | 50.0 | 0 | 50.0 | 16.7 | 0 | 83.3 | 83.3 | 0 | 16.7 | 0 | 0 | 100 |
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Recommended Phase 2 Dose (RP2D)
The RP2D was determined after review and discussion by sponsor and investigators of the study data. Consideration was given to type and severity of toxicity as well as clinical suitability for long-term administration (NCT00560573)
Timeframe: Baseline to end of dose escalation, which was assessed in the last participant of the dose escalation portion of the study in Month 19
Intervention | mg/kg (Number) |
---|
Overall Participapnts | 20 |
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Progression-Free Survival (PFS)
Time from the date of enrollment to date of documented disease progression, or death due to any cause (NCT00560573)
Timeframe: Screening, from Cycle 2 onwards CT scan done within 7-10 days prior to next cycle (approximately Day 15 of each cycle), follow-up (30 days after last study treatment dose)
Intervention | months (Median) |
---|
Overall Population | 5.7 |
Figitumumab 20 mg/kg With Gemcitabine and Cisplatin | 6.5 |
Figitumumab 20 mg/kg Expansion With Pemetrexed | 5.4 |
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Percentage of Participants With Objective Response or Prolonged Stabilization
Percentage of participants with a confirmed complete response (CR), confirmed partial response (PR), or stable disease (SD) for at least 12 weeks on study according to Response Evaluation Criteria in Solid Tumors (RECIST). Participants with non measurable disease were considered having a clinical benefit response only in the case of achievement of CR. Participants who developed early progressive disease post dosing and prior to response evaluation were considered to have progressed on study. Confirmed responses were those that persisted on repeat imaging >= 4 weeks after initial response (NCT00560573)
Timeframe: Screening, from Cycle 2 onwards computerized tomography (CT) scan done within 7-10 days prior to next cycle (approximately Day 15 of each cycle), follow-up (30 days after last study treatment dose)
Intervention | Percentage of participants (Number) |
---|
Overall Population | 53.3 |
Figitumumab 20 mg/kg With Gemcitabine and Cisplatin | 56.5 |
Figitumumab 20 mg/kg Expansion With Pemetrexed | 46.2 |
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Number of Participants With Dose-limiting Toxicities (DLT)
Cycle 1 figitumumab attributed: Grade (Gr) 4 neutropenia (absolute neutrophil count <500 cells/cubic millimeter [mm^3]) >=7 days, febrile neutropenia (Gr 3, fever >=38.5 degrees Celsius), neutropenic infection (Gr 3 neutropenia, infection); Gr 4 thrombocytopenia (platelet <25,000 cells/mm^3), Gr 3 thrombocytopenia >=7 days/bleeding; other Gr 3 not blood/bone marrow Common Terminology Criteria for Adverse Events bar gastrointestinal toxicity, treatment-managed hyperglycemia/fatigue, hypersensitivity; Gr 3-4 hyperglycemia despite treatment; fail to adequately recover to continue study treatment (NCT00560573)
Timeframe: Start of treatment up to end of Cycle 1, Day 21
Intervention | participants (Number) |
---|
Figitumumab 6 mg/kg | 0 |
Figitumumab 10 mg/kg | 0 |
Figitumumab 20 mg/kg Dose Escalation | 1 |
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Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Figitumumab
Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast). Figitumumab PK data was analyzed using noncompartmental methods (NCT00560573)
Timeframe: 0 (pre-dose), 1, 24, 72, 168, 336, 504 hr in Cycle 1 for dose escation and 0 (pre-dose), 1, 24, 72, 168, 336, 504 hr in Cycle 4 for expansion
Intervention | mg*hr/L (Mean) |
---|
Figitumumab 6 mg/kg | 26020 |
Figitumumab 10 mg/kg | 21500 |
Figitumumab 20 mg/kg Dose Escalation | 84100 |
Figitumumab 20 mg/kg Expansion | 121200 |
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Minimum Observed Plasma Trough Concentration (Cmin) for Figitumumab
Concentration at the end of Cycle 4 (NCT00560573)
Timeframe: 0 (pre-dose) in Cycle 5 Day 1
Intervention | mg/L (Mean) |
---|
Figitumumab 20 mg/kg Expansion | 113.6 |
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Maximum Observed Plasma Concentration (Cmax) for Gemcitabine
Gemcitabine PK data was analyzed using noncompartmental methods. Plasma exposure parameters for gemcitabine were analyzed in the absence (Cycle) 1 and presence (Cycle 2) of figitumumab (NCT00560573)
Timeframe: 0 (pre-dose), 0.417, 1, 1.5, 2.5, 3.5 hr on Cycle 1, Day 1 and Cycle 2, Day 8
Intervention | ng/L (Mean) |
---|
Cisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 1) | 12.85 |
Cisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 2) | 23.97 |
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Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Gemcitabine
Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast). Gemcitabine PK data was analyzed using noncompartmental methods. Plasma exposure parameters for gemcitabine were analyzed in the absence (Cycle 1) and presence (Cycle 2) of figitumumab (NCT00560573)
Timeframe: 0 (pre-dose), 0.417, 1, 1.5, 2.5, 3.5 hr on Cycle 1, Day 1 and Cycle 2, Day 8
Intervention | ng*hr/L (Mean) |
---|
Cisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 1) | 6.665 |
Cisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 2) | 12.53 |
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Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Pemetrexed
Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast). Pemetrexed PK data was analyzed using noncompartmental methods. Plasma exposure parameters for pemetrexed were analyzed in the absence (Cycle 1) and presence (Cycle 2) of figitumumab (NCT00560573)
Timeframe: 0, 0.167, 1.167, 2.167, 4.167, 6.167, 24.167 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for pemetrexed 500 mg/m^2
Intervention | ng*hr/L (Mean) |
---|
Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 1) | 132.2 |
Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 2) | 161.6 |
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Concentration at the End of Infusion (Cinf) for Figitumumab
Figitumumab pharmacokinetic (PK) data was analyzed using noncompartmental methods (NCT00560573)
Timeframe: Cycle 1 for dose escalation and Cycle 4 for dose expansion
Intervention | mg/liter (L) (Mean) |
---|
Figitumumab 6 mg/kg | 120.4 |
Figitumumab 10 mg/kg | 137.0 |
Figitumumab 20 mg/kg Dose Escalation | 435.0 |
Figitumumab 20 mg/kg Expansion | 513.4 |
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Maximum Observed Plasma Concentration (Cmax) for Cisplatin
Cisplatin PK data was analyzed using noncompartmental methods. Plasma exposure parameters for cisplatin were analyzed in the absence (Cycle 1) and presence of (Cycle 2) figitumumab (NCT00560573)
Timeframe: 0 (pre-dose), 1.917, 2.5, 3, 4, 5, 24 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for cisplatin 75 mg/m^2 and 0 (pre-dose), 0.917, 1.5, 2, 3, 4, 23 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for cisplatin 80 mg/m^2
Intervention | nanogram (ng)/mL (Mean) |
---|
Cisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 1) | 3.816 |
Cisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 2) | 3.880 |
Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 1) | 2.845 |
Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 2) | 3.490 |
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Maximum Observed Plasma Concentration (Cmax) for Pemetrexed
Pemetrexed PK data was analyzed using noncompartmental methods. Plasma exposure parameters for pemetrexed were analyzed in the absence (Cycle 1) and presence (Cycle 2) of figitumumab (NCT00560573)
Timeframe: 0, 0.167, 1.167, 2.167, 4.167, 6.167, 24.167 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for pemetrexed 500 mg/m^2
Intervention | ng/mL (Mean) |
---|
Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 1) | 72.96 |
Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 2) | 93.13 |
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Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Cisplatin
Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast). Cisplatin PK data was analyzed using noncompartmental methods. Plasma exposure parameters for cisplatin were analyzed in the absence (Cycle 1) and presence (Cycle 2) of figitumumab (NCT00560573)
Timeframe: 0 (pre-dose), 1.917, 2.5, 3, 4, 5, 24 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for cisplatin 75 mg/m^2 and 0 (pre-dose), 0.917, 1.5, 2, 3, 4, 23 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for cisplatin 80 mg/m^2
Intervention | ng*hr/L (Mean) |
---|
Cisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 1) | 38.23 |
Cisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 2) | 45.18 |
Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 1) | 37.12 |
Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 2) | 48.29 |
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Overall Response Rate (Patients That Achieve a CR or PR)
Assessed by Response Evaluation Criteria in Solid Tumors (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; Overall Response (OR) = CR + PR. (NCT00564733)
Timeframe: At the end of 4 cycles of treatment, up to 24 weeks.
Intervention | participants (Number) |
---|
Chemotherapy | 13 |
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To Determine if Surgical Secondary Cytoreduction in Addition to Adjuvant Chemotherapy Increases the Duration of Overall Survival in Patients With Recurrent Platinum Sensitive Epithelial Ovarian Cancer, Peritoneal Primary or Fallopian Tube Cancer
The treatment regimens will be compared with a logrank procedure which includes all of the patients categorized by their randomly assigned treatment. The logrank test will be stratified by the secondary surgical debulking status (randomized to undergo cytoreduction, vs randomized to not undergo secondary cytoreduction vs not a candidate or did not consent to secondary surgical cytoreduction) and the duration of treatment free-interval prior to enrolling onto this study (6-12 months vs > 12 months). The median duration of follow-up is calculated by the reverse Kaplan-Meier method. (NCT00565851)
Timeframe: The time frame is 82.5 months (median duration of follow-up)
Intervention | Months (Median) |
---|
No Cytoreductive Surgery | 64.7 |
Cytoreductive Surgery | 50.6 |
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To Determine if the Addition of Bevacizumab Increases the Duration of Overall Survival Relative to Second-line Paclitaxel and Carboplatin Alone in Patients With Recurrent Platinum Sensitive Epithelial Ovarian, Peritoneal Primary or Fallopian Tube Cancer
The treatment regimens will be compared with a logrank procedure which includes all of the patients categorized by their randomly assigned treatment. The logrank test will be stratified by the secondary surgical debulking status (randomized to undergo cytoreduction, vs randomized to not undergo secondary cytoreduction vs not a candidate or did not consent to secondary surgical cytoreduction) and the duration of treatment free-interval prior to enrolling onto this study (6-12 months vs > 12 months). The median duration of follow-up is calculated by the reverse Kaplan-Meier method. (NCT00565851)
Timeframe: The time frame is 82.5 months (median duration of follow-up).
Intervention | Months (Median) |
---|
Paclitaxel and Carboplatin Chemotherapy | 37.3 |
Paclitaxel and Carboplatin Chemotherapy With Bevacizumab | 42.2 |
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Patient Reported Quality of Life (Chemotherapy Analysis)
Patient reported quality of life was measured with the Treatment Outcome Index (TOI) of the Functional Assessment of Cancer Therapy for ovarian 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). The FACT-O TOI score ranges 0-100 with a large score suggests better QOL. (NCT00565851)
Timeframe: 1. Prior to cycle 1 (baseline), 2. Prior to cycle 3 (6 weeks post cycle 1), 3. Prior to cycle 6 (15 weeks post cycle 1), 4. 6 months post cycle 1, 5. 12 months post cycle 1.
Intervention | score on a scale (Least Squares Mean) |
---|
| Prior to cycle 1 (baseline) | Prior to cycle 3 | Prior to cycle 6 | 6 months post cycle 1 | 12 months post cycle 1 |
---|
Paclitaxel and Carboplatin Chemotherapy | 75.8 | 74.2 | 73.3 | 77.1 | 77.0 |
,Paclitaxel and Carboplatin Chemotherapy With Bevacizumab | 75.3 | 73.4 | 72.3 | 77.2 | 77.8 |
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Summary of Adverse Events (CTCAE Version 4.0)
Number of treated patients with at least one adverse event reported (assessed by Common Terminology Criteria for Adverse Events (version 4.0)) (NCT00565851)
Timeframe: During treatment period and up to 100 days after stopping the study treatment, a median duration of 82.5 months
Intervention | Participants (Count of Participants) |
---|
Arm I (no Surgery; Carboplatin and Paclitaxel) | 304 |
Arm II (no Surgery; Carboplatin, Paclitaxel and Bevacizumab) | 376 |
Arm III (Surgery; Carboplatin and Paclitaxel) | 29 |
Arm IV (Surgery; Carboplatin, Paclitaxel and Bevacizumab) | 77 |
Arm V (no Surgery; Carboplatin and Gemcitabine) | 3 |
Arm VI (no Surgery; Carboplatin, Gemcitabine and Bevacizumab)) | 9 |
Arm VII (Surgery; Carboplatin and Gemcitabine) | 3 |
Arm VIII (Surgery; Carboplatin, Gemcitabine and Bevacizumab)) | 9 |
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Patient Reported Physical Functioning (Surgery Analysis)
Patient reported physical functioning was measured with physical functioning subscale of the RAND SF-36. The Physical Functioning subscale consists of 10 items concerning activities of daily living: walking, climbing stairs, bathing, dressing, and performance of physical activities. Each item is rated on a three-point scale of limitation of activity due to the patients' health from 1=limited a lot to 3=not limited. The total PF score is the summation of item scores and then rescaled to 0-100. A larger score suggests better physical functioning. This measure was completed by US patients only. (NCT00565851)
Timeframe: 1. Prior to surgery (baseline), 2. 6 weeks post-surgery, 3. 15 weeks post-surgery 4. 6 months post-surgery, 5. 12 months post-surgery
Intervention | score on a scale (Least Squares Mean) |
---|
| Prior to surgery (baseline) | 6 weeks post-surgery | 15 weeks post-surgery | 6 months post-surgery | 12 months post-surgery |
---|
Cytoreductive Surgery | 71.7 | 69.8 | 64.6 | 70.2 | 70.7 |
,No Cytoreductive Surgery | 73.4 | 73.2 | 71.5 | 71.6 | 71.8 |
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Patient Reported Physical Function (Chemotherapy Analysis)
Patient reported physical functioning was measured with physical functioning subscale of the RAND SF-36. The Physical Functioning Subscale consists of 10 items concerning activities of daily living: walking, climbing stairs, bathing, dressing, and performance of physical activities. Each item is rated on a three-point scale of limitation of activity due to the patients' health from 1=limited a lot to 3=not limited. The total PF score is the summation of item scores and then rescaled to 0-100. A larger score suggests better physical functioning. (NCT00565851)
Timeframe: 1. Prior to cycle 1 (baseline), 2. Prior to cycle 3 (6 weeks post cycle 1), 3. Prior to cycle 6 (15 weeks post cycle 1), 4. 6 months post cycle 1, 5. 12 months post cycle 1.
Intervention | score on a scale (Least Squares Mean) |
---|
| Prior to cycle 1 (baseline) | Prior to cycle 3 | Prior to cycle 6 | 6 months post cycle 1 | 12 months post cycle 1 |
---|
Paclitaxel and Carboplatin Chemotherapy | 71.5 | 73.2 | 71.5 | 71.6 | 71.8 |
,Paclitaxel and Carboplatin Chemotherapy With Bevacizumab | 69.4 | 69.8 | 64.6 | 70.2 | 70.7 |
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Patient Reported Quality of Life (Surgery Analysis)
Patient reported quality of life was measured with the Treatment Outcome Index (TOI) of the Functional Assessment of Cancer Therapy for ovarian 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). The FACT-O TOI score ranges 0-100 with a large score suggests better QOL. (NCT00565851)
Timeframe: 1. Prior to surgery, 2. 6 weeks post-surgery, 3. 15 weeks post-surgery, 4. 6 months post-surgery, 5. 12 months post-surgery.
Intervention | score on a scale (Least Squares Mean) |
---|
| Prior to surgery | 6 weeks post-surgery | 15 weeks post-surgery | 6 months post-surgery | 12 months post-surgery |
---|
Cytoreductive Surgery | 74.2 | 68.4 | 68.8 | 73.5 | 75.6 |
,No Cytoreductive Surgery | 74.5 | 69.3 | 68.7 | 72.6 | 74.0 |
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Progression Free Survival (Surgery Analysis)
Progression-free survival was defined as the time from randomization to cancer progression as shown on radiography, according to the RECIST version 1.0 criteria, an increase in the CA125 level according to Gynecologic Cancer InterGroup (GCIG) criteria, global deterioration of health, or death from any cause. (NCT00565851)
Timeframe: Radiographic assessment of disease (in patients with measurable and non-measurable disease) was conducted Every three months for two years and then every 6 months after completion of chemotherapy during the maintenance/surveillance phase.
Intervention | Months (Median) |
---|
No Cytoreductive Surgery | 16.2 |
Cytoreductive Surgery | 18.9 |
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Progression-free Survival (Chemotherapy Analysis)
Progression-free survival was defined as the time from randomization to cancer progression as shown on radiography, according to the RECIST version 1.0 criteria, an increase in the CA125 level according to Gynecologic Cancer InterGroup (GCIG) criteria, global deterioration of health, or death from any cause. (NCT00565851)
Timeframe: Radiographic assessment of disease was conducted during chemotherapy and then every 6 months during the maintenance / surveillance phase
Intervention | Months (Median) |
---|
Paclitaxel and Carboplatin Chemotherapy | 10.4 |
Paclitaxel and Carboplatin Chemotherapy With Bevacizumab | 13.8 |
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Best Overall Response Rate
Best overall response is the number of participants with a Complete Response (CR) or Partial Response (PR), as classified by independent blinded review of the CT or MRI images, based on RECIST 1.0. A CR is the disappearance of all target lesions. PR is at least a 30% decrease in the sum of the longest diameters of target lesions, taking as a reference the baseline sum longest diameter. Progressive Disease (PD) is at least a 20% increase in the sum of the longest diameters of target lesions or the appearance of one or more new lesions. Stable disease (SD) is neither CR, PR or PD. (NCT00570713)
Timeframe: Baseline to response up to 21 months
Intervention | percentage of participants (Number) |
---|
| Complete or Partial Response | Complete Response | Partial Response | Stable Disease | Progressive Disease | Not Evaluable |
---|
MORAb-009 Plus Gemcitabine ('MORAb-009') | 6.4 | 0 | 6.4 | 47.4 | 19.2 | 26.9 |
,Placebo Plus Gemcitabine ('Placebo') | 7.8 | 0 | 7.8 | 55.8 | 23.4 | 13.0 |
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Progression-free Survival
Progression-free Survival (PFS) is defined as the time from the date of randomization to the date of the first observation of disease progression (clinical or radiological) or death due to any cause. Progression is defined, using RECIST, as a measurable increase in the smallest dimension of any target or non-target lesion, or the appearance of new lesions, since baseline. If progression or death is not observed, the PFS time will be censored at the date of the last tumor assessment without evidence of progression prior to the date of initiation of further anticancer treatment. (NCT00570713)
Timeframe: 1-21 Months
Intervention | Months (Median) |
---|
MORAb-009 Plus Gemcitabine ('MORAb-009') | 3.4 |
Placebo Plus Gemcitabine ('Placebo') | 3.5 |
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Overall Survival (OS)
This measure was defined as the time (in months) from the date of randomization to the date of death, whatever the cause. The primary endpoint was analyzed when 110 events (deaths) were observed. In the absence of death confirmation or for subjects alive at the time of analysis, the survival time will be censored at the date of the last study follow-up. (NCT00570713)
Timeframe: 1-21 Months
Intervention | Months (Median) |
---|
MORAb-009 Plus Gemcitabine ('MORAb-009') | 6.5 |
Placebo Plus Gemcitabine ('Placebo') | 6.9 |
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Progression Free Survival (PFS) Based on Response Evaluation Criteria in Solid Tumors [RECIST] Criteria
"PFS was the time interval from the date of registration to the date of progression, or death from any cause if it occurs before tumor progression is documented. Tumor progression was assessed using RECIST criteria, by which progression was a pre-defined increase in the size of existing tumors or appearance of one or more new tumors.~If a participant did not progress or die, the progression was censored to the date of the last valid tumor assessment or data cut-off, whichever was earlier.~Median PFS time was estimated from Kaplan-Meier Plots." (NCT00574275)
Timeframe: From the first randomization until the end of study data cutoff date (approximately 2 years)
Intervention | months (Median) |
---|
Placebo and Gemcitabine | 3.71 |
Aflibercept and Gemcitabine | 3.71 |
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Number of Participants With Anti-drug Antibodies
Anti-drug antibodies in the participants blood sample were detected using a validated immunoassay. The validated lower limit of detection (LLOD) for the assay was about 5.4 ng/mL in the absence of aflibercept and about 25.2 ng/mL in the presence of 20 μg/mL of aflibercept. (NCT00574275)
Timeframe: Up to 90 days post last dose of study drug
Intervention | participants (Number) |
---|
Placebo and Gemcitabine | 5 |
Aflibercept and Gemcitabine | 5 |
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Overall Survival (OS)
"OS is the time interval from the date of randomization to the date of death due to any cause. If death was not observed during the study, data on OS were censored at the earlier of the last date participant was known to be alive, or the study data cutoff date (11 September 2009).~OS time was estimated from Kaplan-Meier Plots." (NCT00574275)
Timeframe: From the first randomization until the end of study data cutoff date (approximately 2 years)
Intervention | months (Median) |
---|
Placebo and Gemcitabine | 7.75 |
Aflibercept and Gemcitabine | 6.54 |
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Safety-Number of Participants With Adverse Events (AE)
All AEs regardless of seriousness or relationship to study treatment, spanning from the signature of informed consent until 30 days after the last administration of study treatment, were recorded. The number of participants with all treatment emergent adverse events (TEAE), serious adverse events (SAE), TEAE leading to death, and TEAE leading to permanent treatment discontinuation are reported. (NCT00574275)
Timeframe: up to 30 days after treatment discontinuation. SAEs and related AEs were followed till resolved or stabilized.
Intervention | participants (Number) |
---|
| Treatment Emergent Adverse Event (TEAE) | Treatment Emergent Serious Adverse Event | TEAE leading to death | TEAE leading to permanent discontinuation |
---|
Aflibercept and Gemcitabine | 266 | 148 | 55 | 76 |
,Placebo and Gemcitabine | 257 | 122 | 43 | 32 |
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Disease Relapse or Progression as Measured by CT Scan or PET
(NCT00574496)
Timeframe: 3 years
Intervention | months (Median) |
---|
High-Risk or Relapsed Hodgkin Lymphoma | 34.3 |
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Overall Survival
(NCT00574496)
Timeframe: up to 8 years
Intervention | months (Median) |
---|
High-Risk or Relapsed Hodgkin Lymphoma | 70.3 |
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Progression-free Survival at 1 Year
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 (NCT00574496)
Timeframe: 1 year
Intervention | proportion of progression-free pts (Number) |
---|
High-Risk or Relapsed Hodgkin Lymphoma | 33.3 |
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Overall Survival Time
Overall Survival time is defined as the time from registration to death due to any cause. Estimated using the method of Kaplan-Meier. (NCT00577889)
Timeframe: Assessed up to 2 years from registration
Intervention | months (Median) |
---|
Arm I (Combination Chemotherapy) | 4.8 |
Arm II (Combination Chemotherapy) | 6.9 |
Arm III (Combination Chemotherapy) | 4.3 |
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Six Month Survival Rate
"A patient that is alive at 6 months is considered a treatment success. Estimated by the number of successes divided by the total number of evaluable patients. Ninety-five percent confidence intervals for the true success proportion will be calculated according to the approach of Duffy and Santner." (NCT00577889)
Timeframe: 6 months
Intervention | percentage of patients (Number) |
---|
Arm I (Combination Chemotherapy) | 25 |
Arm II (Combination Chemotherapy) | 67 |
Arm III (Combination Chemotherapy) | 33 |
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Time to Disease Progression
"The time to disease progression is defined as the time from registration to the time of confirmed disease progression using the Response Evaluation Criteria In Solid Tumors (RECIST). Estimated using the method of Kaplan-Meier.~Complete Response (CR): Disappearance of all target lesions and normalization of tumor biomarkers (CA 19-9 or CEA).~Partial Response (PR): At least a 30% decrease in the sum of largest dimension(LD) of target lesions taking as reference the baseline sum LD." (NCT00577889)
Timeframe: Time from registration to documentation of disease progression, assessed up to 2 years
Intervention | months (Median) |
---|
Arm I (Combination Chemotherapy) | 2.2 |
Arm II (Combination Chemotherapy) | 4.1 |
Arm III (Combination Chemotherapy) | 2.3 |
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Confirmed Response Rate
"A confirmed response is defined as a complete response (CR) or partial response (PR) observed in two consecutive evaluations at least 4 weeks apart using the Response Evaluation Criteria In Solid Tumors (RECIST). Estimated using the method of Kaplan-Meier.~Complete Response (CR): Disappearance of all target lesions and normalization of tumor biomarkers (CA 19-9 or CEA).~Partial Response (PR): At least a 30% decrease in the sum of largest dimension(LD) of target lesions taking as reference the baseline sum LD.Evaluated using RECIST criteria." (NCT00577889)
Timeframe: 2 consecutive evaluations at least 4 weeks, up to 6 courses of treatment
Intervention | participants (Number) |
---|
Arm I (Combination Chemotherapy) | 0 |
Arm II (Combination Chemotherapy) | 0 |
Arm III (Combination Chemotherapy) | 0 |
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Participant Response
Number of participants evaluated using Response to Treatment in Solid Tumors (RECIST) with definitions of Complete Response (CR): disappearance of all target lesions; and, Partial Response: at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum longest diameter. Maintained Continued CR: participants who entered study in a CR and maintained CR post study treatment. Evaluations once a week till Day +30, then Days 30, 60, and 100 then at 6 months or until disease progression. (NCT00583622)
Timeframe: Up to 6 months
Intervention | percentage of participants (Number) |
---|
| Complete Response (CR) | Maintained Continued CR | Partial Response (PR) | No Response | Not Evaluable |
---|
Bevacizumab + High-Dose Chemotherapy | 33.3 | 42.0 | 8.3 | 8.3 | 8.3 |
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Percentage of Patients With Complete Pathologic Response After 3 Cycles of Treatment
The rate of pathologic complete response (pT0) following three 21 day cycles of neoadjuvant ABI-007, carboplatin and gemcitabine was determined. (NCT00585689)
Timeframe: 63 days (post 3 cycles)
Intervention | percentage of patients (Number) |
---|
Neoadjuvant ABI-007, Carboplatin, and Gemcitabine | 27.3 |
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Evaluate the Time to Disease Progression
Response and progression will be evaluated in this study using the international criteria by the Response Evaluation Criteria in Solid Tumors (RECIST) Committee [JNCI, 92(3):205-216, 2000]. Changes in only the largest diameter (uni-dimensional measurement) are used in the RECIST criteria. (NCT00588666)
Timeframe: 3 years
Intervention | months (Median) |
---|
| Time to Progression | Overall Survival |
---|
Treatment | 6.5 | 13.9 |
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Overall Objective Response
"To determine the objective radiologic response rate of pemetrexed and gemcitabine in patients with recurrent or metastatic Head and Neck Squamouse Cell Carcinoma.~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." (NCT00589667)
Timeframe: 2 years
Intervention | participants (Number) |
---|
| Partial Response | Stable Disease | Progression of Disease | Response not available |
---|
Pemetrexed Plus Gemcitabine | 4 | 18 | 2 | 1 |
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The Maximum Tolerated Radiation Dose
The maximum tolerated radiation dose delivered with intensity-modulated radiotherapy (IMRT) and concurrent gemcitabine in patients with unresectable adenocarcinoma of the pancreas. (NCT00593866)
Timeframe: 13 weeks post radiation
Intervention | Gray (Gy) (Number) |
---|
Radiation Dose Escalation With Gemcitabine | 55 |
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The Percentage of Participants Free From Local Progression at 2 Years
(NCT00593866)
Timeframe: 2 Years
Intervention | percentage of participants (Number) |
---|
Radiation Dose Escalation With Gemcitabine | 59 |
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Change in FGD-PET Uptake From Baseline to Week 6
"Fold change in SUVmean of FDG uptake with accompanying 80% Confidence Interval.~The SUVmean was calculated by summing the radioactivity from volumes of interest within each tumor and normalizing for the injected dose and lean body mass." (NCT00599755)
Timeframe: Baseline and Week 6
Intervention | Fold change in SUVmean (Number) |
---|
Gemcitabine and Cisplatin or Gemcitabine and Carboplatin | 0.65 |
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Repeatability of FDG SUVmean at Baseline
Two positron emission tomography (PET) scans are obtained on different days at baseline, as close together as possible, under conditions of no biological change, to measure FDG SUVmean. The SUVmean was calculated by summing the radioactivity from volumes of interest within each tumor and normalizing for the injected dose and lean body mass. (NCT00599755)
Timeframe: Between -14 to -6 days and between -5 to 0 days prior to starting chemotherapy
Intervention | SUVmean (Geometric Mean) |
---|
Gemcitabine and Cisplatin or Gemcitabine and Carboplatin | 3.79 |
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Change in FDG-PET Uptake From Week 3 to Week 6
Fold change in SUVmean of FDG uptake with accompanying 80% Confidence Interval. The SUVmean was calculated by summing the radioactivity from volumes of interest within each tumor and normalizing for the injected dose and lean body mass. (NCT00599755)
Timeframe: Week 3 and Week 6
Intervention | Fold change in SUVmean (Number) |
---|
Gemcitabine and Cisplatin or Gemcitabine and Carboplatin | 0.85 |
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Change in FDG-PET Uptake From Baseline to Week 3
Fold change in SUVmean of FDG uptake with accompanying 80% Confidence Interval. The SUVmean was calculated by summing the radioactivity from volumes of interest within each tumor and normalizing for the injected dose and lean body mass. (NCT00599755)
Timeframe: Baseline and Week 3
Intervention | Fold Change in SUVmean (Number) |
---|
Gemcitabine and Cisplatin or Gemcitabine and Carboplatin | 0.75 |
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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 |
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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 |
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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 |
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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 |
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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 |
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Number of Participants With the Responses Outlined
"Complete Response (CR): disappearance of all clinical and radiological evidence of tumour.~Partial Response (PR): at least a 30% decrease in the sum of 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.~Progressive Disease (PD): 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 will also constitute progressive disease." (NCT00603915)
Timeframe: Measured every 2 cycles until the participant is off treatment.
Intervention | Participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Inevaluable |
---|
GEMCITABINE AND CISPLATIN/CARBOPLATIN (GC) PLUS ERLOTINIB | 0 | 7 | 11 | 1 | 1 |
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Progression Free Survival.
From randomization to the first documented disease progression or death from any cause, whichever came first, assessed until all participants randomized to the study have progressed for died. (NCT00603915)
Timeframe: From the on-study date until the date of first documented progression or date of death from any cause any cause until all participants have progressed or died.
Intervention | Months (Mean) |
---|
GEMCITABINE AND CISPLATIN/CARBOPLATIN (GC) PLUS ERLOTINIB | 6.3 |
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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 |
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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 |
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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 |
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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 |
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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 |
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Number of Patients With Measurable Concentration of Gemcitabine in Uterine Vein (dFdC)
Efficacy of the CerviPrep™ device in delivering topical gemcitabine hydrochloride to the cervix as measured by gemcitabine hydrochloride concentration levels in tissue samples. (NCT00610740)
Timeframe: 30 Minutes After Application of Gemcitabine
Intervention | Participants (Number) |
---|
Patients Treated With CerviPrep™ | 5 |
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Number of Patients With Measurable Peripheral Vein Concentration of dFdC
Efficacy of the CerviPrep™ device in delivering topical gemcitabine hydrochloride to the cervix as measured by peripheral gemcitabine hydrochloride concentration levels in blood (NCT00610740)
Timeframe: 30, 60, 90 minutes post uterine vein sample
Intervention | Participants (Number) |
---|
| 30 Minutes | 60 Minutes | 90 Minutes |
---|
Patients Treated With CerviPrep™ | 0 | 0 | 0 |
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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. (NCT00617708)
Timeframe: Up to 3 years
Intervention | months (Median) |
---|
Erlotinib + Gemcitabine + IMC-A12 | 3.6 |
Erlotinib + Gemcitabine | 3.6 |
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Maximum Tolerated Dose Determination
Maximum dose of IMC-A12 (in combination with erlotinib and gemcitabine) at which 3/10 or fewer patients have dose-limiting toxicities (DLT). Toxicities graded according to the NCI Common Terminology Criteria for Adverse Events Version 3.0 (CTCAE 3.0). DLT apply only during cycle 1 and should be drug-related (possible, probable, or definite). (NCT00617708)
Timeframe: 28 days
Intervention | mg/kg IMC-A12 (Number) |
---|
Ph I: Erlotinib + Gemcitabine + IMC-A12 | 6 |
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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. (NCT00617708)
Timeframe: Up to 3 years
Intervention | months (Median) |
---|
Erlotinib + Gemcitabine + IMC-A12 | 7.0 |
Erlotinib + Gemcitabine | 6.5 |
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Toxicity
Number of patients with Grade 3 through 5 adverse events that are related to study drug. Only adverse events that are possibly, probably or definitely related to study drug are reported. (NCT00617708)
Timeframe: Up to 3 years
Intervention | Participants (Number) |
---|
| ALT, SGPT (serum glutamic pyruvic transaminase) | AST, SGOT | Acidosis (metabolic or respiratory) | Adult respiratory distress syndrome (ARDS) | Albumin, serum-low (hypoalbuminemia) | Alkaline phosphatase | Allergic reaction/hypersensitivity | Anorexia | Bilirubin (hyperbilirubinemia) | Calcium, serum-low (hypocalcemia) | Cardiac troponin I (cTnI) | Cardiac-ischemia/infarction | Cardiopulmonary arrest, cause unknown (non-fatal) | Dehydration | Diarrhea | Dizziness | Dysphagia (difficulty swallowing) | Dyspnea (shortness of breath) | Edema: limb | Edema: trunk/genital | Fatigue (asthenia, lethargy, malaise) | GGT (gamma-glutamyl transpeptidase) | Glucose, serum-high (hyperglycemia) | Hemoglobin | Hypotension | Hypoxia | Inf (clin/microbio) w/Gr 3-4 neuts - Blood | Inf (clin/microbio) w/Gr 3-4 neuts - UTI | Inf w/normal ANC or Gr 1-2 neutrophils - Bil. tree | Inf w/normal ANC or Gr 1-2 neutrophils - Blood | Inf w/normal ANC or Gr 1-2 neutrophils - Lung | Inf w/normal ANC or Gr 1-2 neutrophils - Pancreas | Inf w/normal ANC or Gr 1-2 neutrophils - Skin | Inf w/normal ANC or Gr 1-2 neutrophils - UTI | Inf w/normal ANC or Gr 1-2 neutrophils -Up aerodig | Infection-Other (Specify) | Left ventricular systolic dysfunction | Leukocytes (total WBC) | Liver dysfunction/failure (clinical) | Lymphatics-Other (Specify) | Lymphopenia | Magnesium, serum-low (hypomagnesemia) | Mucositis/stomatitis (functional/symp) - Oral cav | Muscle weakness, not d/t neuropathy - Extrem-lower | Muscle weakness, not d/t neuropathy - body/general | Nausea | Neuropathy: sensory | Neutrophils/granulocytes (ANC/AGC) | Obstruction, GI - Duodenum | Opportunistic inf associated w/gt=Gr 2 lymphopenia | PTT (Partial thromboplastin time) | Pain - Abdomen NOS | Pain - Eye | Pain - Head/headache | Pain - Muscle | Pancreas, exocrine enzyme deficiency | Pancreatic endocrine: glucose intolerance | Pericardial effusion (non-malignant) | Personality/behavioral | Platelets | Pleural effusion (non-malignant) | Pneumonitis/pulmonary infiltrates | Potassium, serum-low (hypokalemia) | Pulmonary/Upper Respiratory-Other (Specify) | Rash/desquamation | Rash: acne/acneiform | Rash: erythema multiforme | SVT and nodal arrhythmia - Atrial fibrillation | Sodium, serum-low (hyponatremia) | Stricture/stenosis (incl anastomotic), Stomach | Syncope (fainting) | Thrombosis/embolism (vascular access-related) | Thrombosis/thrombus/embolism | Tremor | Uric acid, serum-high (hyperuricemia) | Ventricular arrhythmia - Ventricular fibrillation | Vision-blurred vision | Vision-photophobia | Vomiting | Weight loss |
---|
Ph I: Erlotinib + Gemcitabine + IMC-A12 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 3 | 2 | 0 | 0 | 0 | 0 | 0 | 4 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 4 | 0 | 3 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 |
,Ph II: Erlotinib + Gemcitabine | 4 | 3 | 0 | 1 | 0 | 3 | 0 | 6 | 0 | 1 | 0 | 1 | 1 | 5 | 2 | 0 | 1 | 4 | 1 | 1 | 12 | 0 | 1 | 8 | 1 | 2 | 1 | 1 | 0 | 1 | 2 | 1 | 0 | 1 | 0 | 0 | 0 | 5 | 1 | 1 | 5 | 0 | 0 | 0 | 3 | 6 | 0 | 10 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 7 | 1 | 2 | 1 | 1 | 1 | 2 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
,Ph II: Erlotinib + Gemcitabine + IMC-A12 | 9 | 6 | 1 | 0 | 3 | 4 | 0 | 7 | 5 | 1 | 3 | 0 | 0 | 6 | 3 | 1 | 0 | 2 | 0 | 0 | 16 | 1 | 16 | 9 | 3 | 1 | 0 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 1 | 1 | 9 | 0 | 0 | 4 | 1 | 1 | 1 | 5 | 9 | 1 | 21 | 0 | 0 | 1 | 0 | 1 | 1 | 0 | 1 | 6 | 0 | 1 | 16 | 0 | 1 | 1 | 1 | 0 | 3 | 1 | 1 | 5 | 0 | 3 | 1 | 4 | 1 | 1 | 1 | 1 | 1 | 5 | 2 |
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Response
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. (NCT00617708)
Timeframe: Up to 3 years
Intervention | percentage of participants (Number) |
---|
Erlotinib + Gemcitabine + IMC-A12 | 13.7 |
Erlotinib + Gemcitabine | 15.3 |
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Overall 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. (NCT00618826)
Timeframe: maximum 50 months
Intervention | proportion of participants (Number) |
---|
Arm 1 | 0.46 |
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Progression-free Survival
Time from study entry to disease progression or death (NCT00618826)
Timeframe: maximum 50 months
Intervention | months (Median) |
---|
Treatment | 43 |
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Number of Participants With Adverse Events (AEs); Pharmacology Toxicities
A listing of serious adverse events (SAEs) and other non-serious AEs is located in the Reported Adverse Event module. (NCT00623233)
Timeframe: Baseline, every cycle (every 14 days) up to 34 months
Intervention | participants (Number) |
---|
| SAEs | Other non-serious AEs |
---|
Gemcitabine 2500 mg/m^2 + Bevacizumab 10 mg/kg | 18 | 51 |
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Progression Free Survival (PFS) Time
PFS was measured from date of first dose to first date of progressive disease (PD) or death from any cause. For each participant who was not known to have died or to have had PD as of the data inclusion cut-off date for a particular analysis, PFS duration was censored for that analysis at the date of the participant's last progression-free tumor assessment before that cut-off date. (NCT00623233)
Timeframe: Baseline to measured PD or death from any cause. Tumor assessments were performed every 8 weeks during therapy and every 2 months during post-therapy until documented PD (up to 34 months).
Intervention | months (Median) |
---|
Gemcitabine 2500 mg/m^2 + Bevacizumab 10 mg/kg | 4.80 |
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Overall Tumor Response Rate (ORR)
Response defined per 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=small changes that do not meet above criteria. ORR=proportion of participants who achieved a confirmed best response of CR or PR (responders). ORR=number of participants with CR or PR /number of participants qualified for tumor response analysis (per protocol population). (NCT00623233)
Timeframe: Baseline to measured PD. Tumor assessments were performed every 8 weeks (q 8 weeks) during therapy and q 2 months during post-therapy until documented PD (up to 34 months).
Intervention | proportion of responders (Number) |
---|
Gemcitabine 2500 mg/m^2 + Bevacizumab 10 mg/kg | 0.214 |
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1-Year Overall Survival (OS) Rate
OS was measured from the date of first dose to the date of death from any cause. For each participant who was not known to have died as of the data inclusion cut-off date for a particular analysis, OS duration was censored for that analysis at the date of participant's last study contact prior to that cut-off date. The 1-year survival rate (percentage of participants who were alive at 1 year) was estimated from OS data. (NCT00623233)
Timeframe: Baseline to death from any cause, 1 year
Intervention | percentage of participants (Number) |
---|
Gemcitabine 2500 mg/m^2 + Bevacizumab 10 mg/kg | 68.68 |
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Number of Patients Alive at 8 Months
(NCT00625586)
Timeframe: 8 months
Intervention | participants (Number) |
---|
RAV12 Plus Gemcitabine | 1 |
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Partial Response and Complete Response Rates
Based on Response Evaluation Criteria in Solid Tumors (RECIST) criteria 1.0; partial response = 30% decrease in sum of longest diameter. complete response = 100% decrease in sum of longest diameter. Rate of response = proportion of complete or partial responses based on number of patients evaluated. (NCT00625586)
Timeframe: 8 months
Intervention | participants (Number) |
---|
RAV12 Plus Gemcitabine | 0 |
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Participants With Adverse Events
Frequency of adverse events and serious adverse events (NCT00625586)
Timeframe: Throughout the study, up to 11 months
Intervention | participants (Number) |
---|
RAV12 Plus Gemcitabine | 2 |
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Cmax
RAV12 and gemcitabine cmax (NCT00625586)
Timeframe: 29 days
Intervention | mcg/mL (Mean) |
---|
RAV12 Plus Gemcitabine | NA |
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Time to Progression
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 (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. (NCT00630409)
Timeframe: Up to 40 months
Intervention | participants (Median) |
---|
Gemcitabine 800 mg/m^2 + Doxil 24 mg/m^2 (IV) | NA |
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Response Rate
Number of participants that experienced response/total number of participants per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT scan. Response was defined as Complete Response (CR), the disappearance of all target lesions; Partial Response (PR), a 30% or greater decrease in the sum of the longest diameter of target lesions. (NCT00630409)
Timeframe: Up to 18 weeks for individual; Up to 40 months for cohort
Intervention | percentage of participants (Number) |
---|
Gemcitabine 800 mg/m^2 + Doxil 24 mg/m^2 (IV) | 0 |
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Complete Response Rate
The complete response rate will be defined as the total number of patients who have defined complete response using study regimen (intensive induction therapy/progressive chemotherapy/stem cell rescue), divided by the number of patients entered in the trial using response-evaluable patients. (NCT00632827)
Timeframe: Up to 3 years
Intervention | Participants (Count of Participants) |
---|
Treatment Plan | 14 |
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Progression Free Survival
Progression-Free Survival will be defined the percentage of participants alive and progression-free at median follow up of 25 months. Patients will be routinely followed for disease progression and those who die without a reported prior progression will be considered to have progressed on the day of their death. Patients who did not progress or die will be censored at the day of their last treatment assessment. Patients who have not received study regimen or did not have on-study treatment assessments will be censored on the day they entered the trial. Patients who receive chemotherapy for reasons other than documented progression of disease or clinical progression without documented progression will be censored on the earliest date of subsequent therapy (NCT00632827)
Timeframe: Up to 3 years
Intervention | percentage of partcipants (Number) |
---|
Treatment Plan | 65 |
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Overall Survival Rate
Overall Survival will be defined the percentage of participants alive at median follow up of 25 months. If the patient is lost to follow-up, survival will be censored on the last date the patient was known to be alive. The analysis is expected to occur up to 60 months after the first patient is entered the trial. (NCT00632827)
Timeframe: Up to 5 years
Intervention | percentage of participants (Number) |
---|
Treatment Plan | 75 |
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Objective Response Rates of the Two Treatment Arms
Objective response is measured by tumor reduction as defined in the RECIST criteria. Tumor shrinkage must be at least 30% to qualify as an objective response. (NCT00637247)
Timeframe: one year
Intervention | percent of responses (Number) |
---|
Amplimexon (Imexon) + Gemcitabine | 13.2 |
Imexon Placebo + Gemcitabine | 16.4 |
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Overall Survival for the Intent to Treat Population
To compare the overall survival duration of the two treatment arms. Overall survival is measured from the time of randomization until reported death. Subjects were censored at last time known alive if lost to follow-up. Alive patients were censored at the last survival follow-up. Follow-up was monthly after off study treatment. (NCT00637247)
Timeframe: up to 2 years
Intervention | months (Median) |
---|
Amplimexon (Imexon) + Gemcitabine | 5.2 |
Imexon Placebo + Gemcitabine | 6.8 |
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Progression Free Survival
To compare the median progression free survival (PFS) of the two treatment arms. Progression free survival is measured from randomization until the subject has documented disease progression by an objective measure. Subjects were censored if no documented progression had occurred at the one year time point. Subjects must be alive with no more than 20% increase in tumor size to qualify for progression free survival. Changes in tumor size are defined by RECIST criteria. (NCT00637247)
Timeframe: one year
Intervention | months (Median) |
---|
Amplimexon (Imexon) + Gemcitabine | 2.8 |
Imexon Placebo + Gemcitabine | 3.8 |
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To Evaluate and Compare the Tolerability and Toxicity of the Two Treatment Arms by Comparing Adverse Events
Number of Participants with Adverse Events were compared between the two arms to detect any differences in number or types of events (NCT00637247)
Timeframe: Adverse events were collected from the time of treatment until the participant went off study treatment, an average of 4 months
Intervention | participants (Number) |
---|
Imexon + Gemcitabine | 67 |
Placebo + Gemcitabine | 68 |
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The Number of Grade 3 to 5 Adverse Events Experienced by Arm 1 and Arm 2
"One of the secondary outcomes was to assess the safety and tolerability of treatment for both arms.~The descriptions and grading scales found in the revised NCI Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 were utilized for adverse event reporting." (NCT00645593)
Timeframe: 3 years
Intervention | adverse events (Number) |
---|
Arm 1, Gemcitabine and Cisplatin | 75 |
Arm 2, Cetuximab, Gemcitabine and Cisplatin | 83 |
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Percentage of Participants That Respond to Treatment in Arm 1 and Arm 2
"The primary objective is to compare the overall response rate of participants with locally advanced or metastatic urothelial carcinoma treated with gemcitabine and cisplatin with or without cetuximab.~Overall response rate is defined as the percentage of participants that experience Complete Response (CR) (Disappearance of all target lesions) or Partial Response (PR) (>=30% decrease in the sum of the longest diameter of target lesions)." (NCT00645593)
Timeframe: 3 years
Intervention | percentage of participants (Number) |
---|
Arm 1, Gemcitabine and Cisplatin | 57.1 |
Arm 2, Cetuximab, Gemcitabine and Cisplatin | 61.4 |
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Overall Survival
Estimated using the product-limit method of Kaplan and Meier. Event defined as death due to any cause. (NCT00645710)
Timeframe: Up to 5 years
Intervention | Months (Median) |
---|
Dose Level 1- FUdR 0.10 mg/kg/Day | 23.2 |
Dose Level 2 - FUdR 0.15 mg/kg/Day | 73.2 |
Dose Level 3 - FUdR 0.20 mg/kg/Day | 41.2 |
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Number of Participants With at Least One Dose Limiting Toxicity
Dose Limiting Toxicity (DLT) defined as any treatment-related grade grade 3 nonhematologic toxicity not reversible to grade 2 or less within 24 hours, or any grade 4 toxicity.Up to three cycles of therapy were allowed with DLTs determined based on first cycle tolerance. Toxicity was graded using the National Cancer Institute Common Toxicity Criteria version 2.0. (NCT00645710)
Timeframe: 4 weeks from start of treatment, up to 2 years.
Intervention | participants with DLTs (Number) |
---|
Dose Level 1- FUdR 0.10 mg/kg/Day | 0 |
Dose Level 2 - FUdR 0.15 mg/kg/Day | 0 |
Dose Level 3 - FUdR 0.20 mg/kg/Day | 1 |
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Progression-free Survival
Estimated using the product-limit method of Kaplan and Meier. Progression is defined as a 25% increase in the sum of products of measurable lesions over the smallest sum observed, or appearance of any lesions that had disappeared, or appearance of any new lesion/site. (NCT00645710)
Timeframe: Up to 5 years
Intervention | Months (Median) |
---|
Dose Level 1- FUdR 0.10 mg/kg/Day | 8.3 |
Dose Level 2 - FUdR 0.15 mg/kg/Day | 11.5 |
Dose Level 3 - FUdR 0.20 mg/kg/Day | 9.6 |
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Recommended Phase II Dose
The maximum tolerated dose (MTD) of HAI FUdR in combination with intravenous gemcitabine and 90Y-DTPA-cT84.66 is based on toxicities observed during the first cycle and is defined as the highest dose tested in which fewer than 33% of patients experience an attributable DLT to the study drug, when at least 6 patients are treated at that dose and are evaluable for toxicity. Dose escalations proceeded according to a standard 3+3 design. (NCT00645710)
Timeframe: 4 weeks from start of treatment, up to 2 years.
Intervention | mg/kg/day (Number) |
---|
RIT/Gemcitabine/FUdR | 0.20 |
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Percentage of Total pCDC2 in Skin Cells at Baseline and 24 Hours After MK-1775 Dosing
The pCDC2 level in skin cells was used as a marker to evaluate MK-1775 activity. Analysis was done by immunohistochemistry and the percentage of total pCDC2 at baseline and 24 hours after MK-1775 dosing were reported for participants in the Part 2-B/3 MK-1775 QD x2 Multi Dose plus Gemcitabine treatment groups with available data per protocol. (NCT00648648)
Timeframe: Baseline, 24 hours after first MK-1775 dose
Intervention | percentage of cells (Geometric Least Squares Mean) |
---|
| Baseline percentage | Percentage after dosing |
---|
MK-1775 100 mg QD x2 Multi + Gemcitabine 1000 mg/ m^2 | 47.5 | 29.9 |
,MK-1775 125 mg QD x2 Multi + Gemcitabine 1000 mg/ m^2 | 27.9 | 17.7 |
,MK-1775 150 mg QD x2 Multi + Gemcitabine 1000 mg/ m^2 | 18.7 | 12.7 |
,MK-1775 200 mg QD x2 Multi Dose + Gemcitabine 1000 mg/ m^2 | 11.6 | 6.3 |
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Mean Urine Excretion of MK-1775 24 Hours After the Day 1 Monotherapy Dose
The mean cumulative amount of MK-1775 excreted unchanged in urine after a single oral dose was measured during the initial monotherapy cycle of the study. For this outcome measure, samples were collected and analyzed only for the MK-1775 monotherapy arms of the study at defined intervals after the Day 1 dose of monotherapy. Part 2 MK-1775 combination arms were not sampled per protocol. (NCT00648648)
Timeframe: At 0-4 hours, 4-8 hours, and 12-24 hours post Day 1 dose of monotherapy
Intervention | mg (Mean) |
---|
MK-1775 325 mg Single Dose | 16.7 |
MK-1775 650 mg Single Dose | 35.4 |
MK-1775 1300 mg Single Dose | 154 |
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Number of Participants Experiencing Dose-Limiting Toxicities (DLTs)
DLTs were adverse events (AEs) considered at least possibly related to study drug that prevented escalation of the drug dose. Hematologic DLTs were any grade (Gr) 4-5 toxicity EXCEPT: Gr 4 anemia and Gr 4 leukopenia, Gr 4 neutropenia lasting for <7 days, Gr 4 thrombocytopenia lasting for <4 days except if a platelet transfusion is required, and Gr 3/Gr 4 neutropenia with fever >38.5°C and/or infection requiring antibiotic or anti-fungal treatment. Non-hematologic DLT was defined as any Gr 3, 4, or 5 non-hematologic toxicity EXCEPT: nausea, vomiting, diarrhea, or dehydration (all Gr 3) occurring in a setting of inadequate compliance with supportive care measures and lasting for <48 hours, alopecia of any grade, inadequately treated hypersensitivity reactions, and clinically non-significant, treatable or reversible lab abnormalities including liver function tests, uric acid, etc. (NCT00648648)
Timeframe: Part 1: Up to 14 days, Part 2: Up to 28 days
Intervention | Participants (Count of Participants) |
---|
MK-1775 325 mg Single Dose | 0 |
MK-1775 650 mg Single Dose | 0 |
MK-1775 1300 mg Single Dose | 0 |
MK-1775 100 mg Single Dose + Gemcitabine 1000 mg/m^2 | 0 |
MK-1775 200 mg Single Dose + Gemcitabine 1000 mg/m^2 | 2 |
MK-1775 100 mg Single Dose + Cisplatin 75 mg/ m^2 | 0 |
MK-1775 200 mg Single Dose + Cisplatin 75 mg/ m^2 | 2 |
MK-1775 100 mg Single Dose + Carboplatin AUC 5 | 0 |
MK-1775 200 mg Single Dose + Carboplatin AUC 5 | 0 |
MK-1775 325 mg Single Dose + Carboplatin AUC 5 | 0 |
MK-1775 25 mg BID x2.5 Multi Dose + Gemcitabine 1000 mg/ m^2 | 1 |
MK-1775 50/25 mg BID x2.5 Multi + Gemcitabine 1000 mg/ m^2 | 2 |
MK-1775 50 mg BID x2.5 Multi + Gemcitabine 1000 mg/ m^2 | 5 |
MK-1775 100 mg QD x2 Multi + Gemcitabine 1000 mg/ m^2 | 0 |
MK-1775 125 mg QD x2 Multi + Gemcitabine 1000 mg/ m^2 | 0 |
MK-1775 150 mg QD x2 Multi + Gemcitabine 1000 mg/ m^2 | 2 |
MK-1775 175 mg QD x2 Multi Dose + Gemcitabine 1000 mg/ m^2 | 1 |
MK-1775 200 mg QD x2 Multi Dose + Gemcitabine 1000 mg/ m^2 | 3 |
MK-1775 50 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 0 |
MK-1775 100 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 1 |
MK-1775 125 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 0 |
MK-1775 150 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 0 |
MK-1775 200 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 4 |
MK-1775 250 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 3 |
MK-1775 75 mg BID x2.5 Multi Dose + Carboplatin AUC 5 | 0 |
MK-1775 150 mg BID x 2.5 Multi Dose + Carboplatin AUC 5 | 0 |
MK-1775 225 mg BID x2.5 Multi Dose + Carboplatin AUC 5 | 7 |
MK-1775 325 mg BID x2.5 Multi Dose + Carboplatin AUC 5 | 6 |
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Plasma Concentration of MK-1775 at 8 Hours After Administration (C8hr) of Single or Multiple Oral Doses
MK-1775 was measured in the plasma at 8 hours after dosing (Day 1 for single dose of monotherapy, Day 2 of single-dose combination therapy and QD x 2 Combination dosing, and Day 3 dose for BID X 2.5 combination dosing) for participants with available data. (NCT00648648)
Timeframe: 8 hours after MK-1775 dose
Intervention | nM (Mean) |
---|
MK-1775 325 mg Single Dose | 585 |
MK-1775 650 mg Single Dose | 1130 |
MK-1775 1300 mg Single Dose | 2190 |
MK-1775 100 mg Single Dose + Gemcitabine 1000 mg/m^2 | 129 |
MK-1775 200 mg Single Dose + Gemcitabine 1000 mg/m^2 | 235 |
MK-1775 100 mg Single Dose + Cisplatin 75 mg/ m^2 | 108 |
MK-1775 200 mg Single Dose + Cisplatin 75 mg/ m^2 | 310 |
MK-1775 100 mg Single Dose + Carboplatin AUC 5 | 119 |
MK-1775 200 mg Single Dose + Carboplatin AUC 5 | 262 |
MK-1775 325 mg Single Dose + Carboplatin AUC 5 | 425 |
MK-1775 25 mg BID x2.5 Multi Dose + Gemcitabine 1000 mg/ m^2 | 41.7 |
MK-1775 50/25 mg BID x2.5 Multi + Gemcitabine 1000 mg/ m^2 | 65.4 |
MK-1775 50 mg BID x2.5 Multi + Gemcitabine 1000 mg/ m^2 | 138 |
MK-1775 100 mg QD x2 Multi + Gemcitabine 1000 mg/ m^2 | 188 |
MK-1775 125 mg QD x2 Multi + Gemcitabine 1000 mg/ m^2 | 241 |
MK-1775 150 mg QD x2 Multi + Gemcitabine 1000 mg/ m^2 | 355 |
MK-1775 175 mg QD x2 Multi Dose + Gemcitabine 1000 mg/ m^2 | 346 |
MK-1775 200 mg QD x2 Multi Dose + Gemcitabine 1000 mg/ m^2 | 407 |
MK-1775 50 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 113 |
MK-1775 100 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 388 |
MK-1775 125 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 748 |
MK-1775 150 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 920 |
MK-1775 200 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 1070 |
MK-1775 250 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 2010 |
MK-1775 75 mg BID x2.5 Multi Dose + Carboplatin AUC 5 | 184 |
MK-1775 150 mg BID x 2.5 Multi Dose + Carboplatin AUC 5 | 295 |
MK-1775 225 mg BID x2.5 Multi Dose + Carboplatin AUC 5 | 985 |
MK-1775 325 mg BID x2.5 Multi Dose + Carboplatin AUC 5 | 1960 |
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Best Overall Response as Per Response Evaluation Criteria in Solid Tumors (RECIST) Criteria
Best overall response achieved by a participant. Starting at Day 1, participants in Part 2 were evaluated for tumor response every 6-8 weeks until discontinuation from study treatment according to RECIST criteria; which are based on radiographic imaging. Recorded responses were either confirmed by Central Review or unconfirmed (Investigator assessment only), and included complete response (CR; defined as 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 growth to qualify for PD, taking as reference the smallest sum LD since the treatment started), or progressive disease (PD; ≥20% increase in 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). (NCT00648648)
Timeframe: From Day 1 up through discontinuation of study treatment (up to ~11.2 months)
Intervention | Participants (Count of Participants) |
---|
| CR | Confirmed PR | Unconfirmed PR | SD | PD | NE |
---|
MK-1775 100 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 0 | 2 | 0 | 1 | 2 | 0 |
,MK-1775 100 mg QD x2 Multi + Gemcitabine 1000 mg/ m^2 | 0 | 0 | 0 | 2 | 2 | 0 |
,MK-1775 100 mg Single Dose + Carboplatin AUC 5 | 0 | 0 | 0 | 0 | 3 | 0 |
,MK-1775 100 mg Single Dose + Cisplatin 75 mg/ m^2 | 0 | 0 | 1 | 0 | 2 | 0 |
,MK-1775 100 mg Single Dose + Gemcitabine 1000 mg/m^2 | 0 | 1 | 0 | 3 | 1 | 1 |
,MK-1775 125 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 0 | 0 | 0 | 1 | 4 | 0 |
,MK-1775 125 mg QD x2 Multi + Gemcitabine 1000 mg/ m^2 | 0 | 0 | 0 | 2 | 2 | 0 |
,MK-1775 1300 mg Single Dose | 0 | 0 | 0 | 0 | 0 | 0 |
,MK-1775 150 mg BID x 2.5 Multi Dose + Carboplatin AUC 5 | 0 | 0 | 0 | 3 | 1 | 0 |
,MK-1775 150 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 0 | 0 | 2 | 4 | 4 | 0 |
,MK-1775 150 mg QD x2 Multi + Gemcitabine 1000 mg/ m^2 | 0 | 0 | 0 | 8 | 2 | 0 |
,MK-1775 175 mg QD x2 Multi Dose + Gemcitabine 1000 mg/ m^2 | 0 | 1 | 1 | 8 | 3 | 0 |
,MK-1775 200 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 0 | 1 | 1 | 6 | 3 | 0 |
,MK-1775 200 mg QD x2 Multi Dose + Gemcitabine 1000 mg/ m^2 | 0 | 0 | 1 | 3 | 1 | 0 |
,MK-1775 200 mg Single Dose + Carboplatin AUC 5 | 0 | 0 | 0 | 0 | 3 | 0 |
,MK-1775 200 mg Single Dose + Cisplatin 75 mg/ m^2 | 0 | 1 | 0 | 7 | 1 | 0 |
,MK-1775 200 mg Single Dose + Gemcitabine 1000 mg/m^2 | 0 | 0 | 0 | 5 | 1 | 0 |
,MK-1775 225 mg BID x2.5 Multi Dose + Carboplatin AUC 5 | 0 | 0 | 2 | 14 | 8 | 0 |
,MK-1775 25 mg BID x2.5 Multi Dose + Gemcitabine 1000 mg/ m^2 | 0 | 0 | 0 | 4 | 1 | 0 |
,MK-1775 250 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 0 | 0 | 1 | 2 | 1 | 0 |
,MK-1775 325 mg BID x2.5 Multi Dose + Carboplatin AUC 5 | 0 | 0 | 0 | 6 | 6 | 0 |
,MK-1775 325 mg Single Dose | 0 | 0 | 0 | 0 | 0 | 0 |
,MK-1775 325 mg Single Dose + Carboplatin AUC 5 | 0 | 1 | 1 | 3 | 3 | 1 |
,MK-1775 50 mg BID x2.5 Multi + Gemcitabine 1000 mg/ m^2 | 0 | 0 | 0 | 4 | 1 | 0 |
,MK-1775 50 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 0 | 0 | 0 | 2 | 1 | 0 |
,MK-1775 50/25 mg BID x2.5 Multi + Gemcitabine 1000 mg/ m^2 | 0 | 0 | 0 | 4 | 5 | 0 |
,MK-1775 650 mg Single Dose | 0 | 0 | 0 | 0 | 0 | 0 |
,MK-1775 75 mg BID x2.5 Multi Dose + Carboplatin AUC 5 | 0 | 0 | 0 | 2 | 2 | 0 |
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Percentage of Total Cyclin-dependent Kinase (CDC2)-Positive Cells That Were Phosphorylated (pCDC2) in Skin Cells at Baseline and 8 Hours After MK-1775 Dosing
The pCDC2 level in skin cells was used as a marker to evaluate MK-1775 activity. Analysis was done by immunohistochemistry and the percentage of total CDC2-positive cells that were pCDC2 positive (% pCDC2-positive cells) at baseline and 8 hours after MK-1775 dosing were reported for participants in Part 1, 2-A, and 2-B/3 treatment groups with available data per protocol. (NCT00648648)
Timeframe: Baseline, 8 hours after first MK-1775 dose
Intervention | percentage of cells (Geometric Least Squares Mean) |
---|
| Baseline percentage | Percentage after dosing |
---|
MK-1775 100 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 24.1 | 14.4 |
,MK-1775 100 mg Single Dose + Carboplatin AUC 5 | 34.4 | 41.9 |
,MK-1775 100 mg Single Dose + Cisplatin 75 mg/ m^2 | 16.1 | 14.8 |
,MK-1775 100 mg Single Dose + Gemcitabine 1000 mg/m^2 | 53.2 | 28.9 |
,MK-1775 125 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 21.4 | 19.9 |
,MK-1775 1300 mg Single Dose | 36.2 | 20.6 |
,MK-1775 150 mg BID x 2.5 Multi Dose + Carboplatin AUC 5 | 27 | 16.8 |
,MK-1775 200 mg Single Dose + Carboplatin AUC 5 | 17.6 | 20.9 |
,MK-1775 200 mg Single Dose + Cisplatin 75 mg/ m^2 | 28.6 | 22.1 |
,MK-1775 200 mg Single Dose + Gemcitabine 1000 mg/m^2 | 40.7 | 35.7 |
,MK-1775 225 mg BID x2.5 Multi Dose + Carboplatin AUC 5 | 21 | 11.5 |
,MK-1775 25 mg BID x2.5 Multi Dose + Gemcitabine 1000 mg/ m^2 | 28.1 | 20.1 |
,MK-1775 325 mg Single Dose | 40.8 | 18 |
,MK-1775 325 mg Single Dose + Carboplatin AUC 5 | 22.4 | 17.1 |
,MK-1775 50 mg BID x2.5 Multi + Gemcitabine 1000 mg/ m^2 | 30.8 | 16.6 |
,MK-1775 50 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 16.4 | 17.8 |
,MK-1775 50/25 mg BID x2.5 Multi + Gemcitabine 1000 mg/ m^2 | 18.3 | 13.7 |
,MK-1775 650 mg Single Dose | 35.1 | 13.4 |
,MK-1775 75 mg BID x2.5 Multi Dose + Carboplatin AUC 5 | 15.7 | 12.1 |
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Percentage of Total pCDC2 in Skin Cells at Baseline and 48 Hours After MK-1775 Dosing
The pCDC2 level in skin cells was used as a marker to evaluate MK-1775 activity. Analysis was done by immunohistochemistry and the percentage of total pCDC2 at baseline and at 48 hours after MK-1775 dosing were reported for participants in the Part 2-B/3 MK-1775 (150 mg, 200 mg, 250) BID x 2.5 Multi Dose plus cisplatin 75 mg/m^2 groups and the 325 mg BID x2.5 Multi Dose + Carboplatin group with available data per protocol. (NCT00648648)
Timeframe: Baseline, 48 hours after first MK-1775 dose
Intervention | percentage of cells (Geometric Least Squares Mean) |
---|
| Baseline percentage | Percentage after dosing |
---|
MK-1775 150 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 28.6 | 15.7 |
,MK-1775 200 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 31.5 | 7.4 |
,MK-1775 250 mg BID x2.5 Multi Dose + Cisplatin 75 mg/ m^2 | 31.5 | 11.1 |
,MK-1775 325 mg BID x2.5 Multi Dose + Carboplatin AUC 5 | 33.5 | 15.1 |
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Percentage of Participants With a CR, PR, Stable Disease (SD), or PD According to RECIST
CR was defined as the disappearance of all TLs. PR was defined as at least a 30% decrease in the SLD of the TLs, taking as a reference the BL SLD SD was defined as neither sufficient decrease in SLD to qualify for PR nor sufficient increase in SLD to qualify for PD. PD was defined as at least a 20% increase in the SLD of TLs, taking as reference the smallest SLD recorded since the treatment started. The 95% CI for one sample binomial was determined using the Pearson-Clopper method. (NCT00652366)
Timeframe: BL, Weeks 8, 16, 24, 32, 40, every 12 weeks thereafter until disease progression for up to 46 months.
Intervention | percentage of participants (Number) |
---|
| CR | PR | SD | PD | Missing (no response assessment) |
---|
G+E Escalating Dose: Rash Grade < 2 | 1.4 | 7.1 | 72.9 | 12.9 | 5.7 |
,G+E Standard Dose: Rash Grade < 2 | 0.0 | 14.7 | 58.7 | 25.3 | 1.3 |
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Percentage of Participants With Disease Progression or Death as Assessed From the Start of 4-Week Run-In
PFS as assessed from the start of 4-week run-in was defined as the time from BL to the first occurrence of PD according to RECIST or death due to any cause. For TLs, PD was defined as at least a 20% increase in the SLD of TLs, taking as reference the smallest SLD recorded since the treatment started. For NTLs, PD was defined as unequivocal progression of existing NTLs. Participants who had neither progressed nor died at time of analysis were censored at the date of last tumor assessment. (NCT00652366)
Timeframe: BL, Weeks 8, 16, 24, 32, 40, every 12 weeks thereafter until disease progression or death for up to 46 months.
Intervention | percentage of participants (Number) |
---|
G+E: Rash ≥ Grade 2 | 90.6 |
G+E Standard Dose: Rash Grade < 2 | 90.7 |
G+E Escalating Dose: Rash Grade < 2 | 88.6 |
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Percentage of Participants Who Died as Assessed From Start of 4-Week Run-In
OS assessed from the start of the 4-week run in period was defined as the time from BL to the date of death due to any cause. Participants still alive at the time of analysis were censored at the date they were last known to be alive. (NCT00652366)
Timeframe: BL and weekly thereafter for up to 46 months.
Intervention | percentage of participants (Number) |
---|
G+E: Rash ≥ Grade 2 | 84.9 |
G+E Standard Dose: Rash Grade < 2 | 81.3 |
G+E Escalating Dose: Rash Grade < 2 | 85.7 |
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Percentage of Participants Who Died Assessed From Point of Randomization
Overall survival (OS) assessed from the point of randomization was defined as the time from randomization to the date of death due to any cause. Participants still alive at the time of analysis were censored at the date they were last known to be alive. (NCT00652366)
Timeframe: Randomization [Day 1 of Cycle 2 (4-week cycles)] and weekly thereafter for up to 46 months.
Intervention | percentage of participants (Number) |
---|
G+E Standard Dose: Rash Grade < 2 | 81.3 |
G+E Escalating Dose: Rash Grade < 2 | 85.7 |
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OS Assessed From Start of 4-Week Run-In
OS assessed from the start of the 4-week run in period was defined as the median time, in months, from BL to the date of death, due to any cause. Participants who were still alive at the time of analysis were censored at the date they were last known to be alive. The 95% CI was determined using Kaplan-Meier methodology. (NCT00652366)
Timeframe: BL and weekly thereafter for up to 46 months.
Intervention | months (Median) |
---|
G+E: Rash ≥ Grade 2 | 7.9 |
G+E Standard Dose: Rash Grade < 2 | 9.3 |
G+E Escalating Dose: Rash Grade < 2 | 8.0 |
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Percentage of Participants With a Best Overall Response (BOR) of Confirmed Complete Response (CR) or Partial Response (PR) According to RECIST
BOR was defined as a confirmed CR or PR for at least 4 weeks. CR was defined as the disappearance of all TLs. PR was defined as at least a 30% decrease in the SLD of the TLs, taking as a reference the baseline (BL) SLD. The 95% CI for one sample binomial was determined using Pearson-Clopper method. (NCT00652366)
Timeframe: BL, Weeks 8, 16, 24, 32, 40, every 12 weeks thereafter until disease progression for up to 46 months.
Intervention | percentage of participants (Number) |
---|
G+E Standard Dose: Rash Grade < 2 | 14.7 |
G+E Escalating Dose: Rash Grade < 2 | 8.6 |
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Percentage of Participants With Disease Progression or Death as Assessed From Point of Randomization
Progression-free survival (PFS) as assessed from the point of randomization was defined as the time from randomization to the first occurrence of progressive disease (PD) according to the Response Evaluation Criteria in Solid Tumors (RECIST) or death due to any cause. For target lesions (TLs), PD was defined as at least a 20% increase in the sum of longest diameter (SLD) of TLs, taking as reference the smallest SLD recorded since the treatment started. For non-target lesions (NTLs), PD was defined as unequivocal progression of existing NTLs. Participants who had neither progressed nor died at time of analysis were censored at the date of last tumor assessment. (NCT00652366)
Timeframe: Randomization [Day 1 of Cycle 2 (4-week cycles)] and weekly thereafter for up to 46 months.
Intervention | percentage of participants (Number) |
---|
G+E Standard Dose: Rash Grade < 2 | 90.7 |
G+E Escalating Dose: Rash Grade < 2 | 88.6 |
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PFS Assessed From Point of Randomization
PFS assessed from the point of randomization was defined as the median time, in weeks, from randomization to disease progression or death due to any cause. Participants who had neither progressed nor died at time of analysis were censored at the date of last tumor assessment. The 95% CI was determined using Kaplan-Meier methodology. (NCT00652366)
Timeframe: Randomization [Day 1 of Cycle 2 (4-week cycles)] and weekly thereafter for up to 46 months.
Intervention | weeks (Median) |
---|
G+E Standard Dose: Rash Grade < 2 | 19.4 |
G+E Escalating Dose: Rash Grade < 2 | 15.3 |
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Percentage of Participants With SD (Maintained for at Least 8 Weeks) or CR or PR (Maintained for at Least 4 Weeks) According to RECIST
Disease control was defined as a participant with a response of CR or PR for at least 4 weeks at any time during treatment, or SD that was maintained for at least 8 weeks after the start of treatment. The 95% CI for one sample binomial was determined using the Pearson-Clopper method. (NCT00652366)
Timeframe: BL, Weeks 8, 16, 24, 32, 40, every 12 weeks thereafter until disease progression for up to 46 months.
Intervention | percentage of participants (Number) |
---|
G+E Standard Dose: Rash Grade < 2 | 62.7 |
G+E Escalating Dose: Rash Grade < 2 | 47.1 |
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PFS Assessed From the Start of 4-Week Run-In
PFS assessed from the start of 4-week run-in was defined as the median time, in weeks, from BL to disease progression or death due to any cause. Participants who had neither progressed nor died at time of analysis were censored at the date of last tumor assessment. The 95% CI was determined using Kaplan-Meier methodology. (NCT00652366)
Timeframe: BL, Weeks 8, 16, 24, 32, 40, every 12 weeks thereafter until disease progression or death for up to 46 months.
Intervention | weeks (Median) |
---|
G+E: Rash ≥ Grade 2 | 17.1 |
G+E Standard Dose: Rash Grade < 2 | 23.4 |
G+E Escalating Dose: Rash Grade < 2 | 19.3 |
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OS Assessed From Point of Randomization
OS assessed from the point of randomization was defined as the median time, in months, from randomization to the date of death due to any cause. Participants still alive at the time of analysis were censored at the date they were last known to be alive. The 95 percent (%) confidence interval (CI) was determined using Kaplan-Meier methodology. (NCT00652366)
Timeframe: Randomization [Day 1 of Cycle 2 (4-week cycles)] and weekly thereafter for up to 46 months.
Intervention | months (Median) |
---|
G+E Standard Dose: Rash Grade < 2 | 8.4 |
G+E Escalating Dose: Rash Grade < 2 | 7.0 |
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Number of Participants With Adverse Events
All adverse events will be recorded as to the grade and relationship to the study drug in accordance with the Common Terminology Criteria for Adverse Events (CTCAE v 3.0) (NCT00655850)
Timeframe: Baseline through duration of treatment an average of 1 year
Intervention | participants (Number) |
---|
Paclitaxel and Gemcitabine + Avastin | 36 |
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Objective Response Rate
The percentage of patients who achieve a complete response and partial response according to RECIST criteria (v1.0). (NCT00655850)
Timeframe: Baseline up to 12 months
Intervention | Participants (Count of Participants) |
---|
Paclitaxel and Gemcitabine + Avastin | 22 |
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Overall Survival (OS)
Overall Survival is defined as the number of days from the day the subject started treatment to the day the subject experiences death or lost to follow up. (NCT00655850)
Timeframe: Baseline up to 84 months
Intervention | months (Median) |
---|
Paclitaxel and Gemcitabine + Avastin | 25.5 |
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Progression-Free Survival (PFS)
Progression Free Survival is defined as the number of days from the day the subject started treatment to the day the subject experiences disease progression in accordance with the Response Evaluation Criteria Solid Tumors (RECIST v1.0). The RECIST criteria indicates progression as a 20% increase in the total tumor measurement over nadir value or the appearance of new lesions. (NCT00655850)
Timeframe: Baseline to 24 months
Intervention | months (Median) |
---|
Paclitaxel and Gemcitabine + Avastin | 8.5 |
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Progression-free Survival Rate at 1 Year.
PFS is measured from the date of randomization to the date of first documented disease progression or date of death, whichever comes first. If a patient neither progresses nor dies, this patient will be censored at last contact date. (NCT00656084)
Timeframe: 1 year.
Intervention | Probability of Progression-free Survival (Number) |
---|
Gemzar + Novantrone + Rituxan | 0.54 |
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Overall Survival (OS) Rate at 1 Year
OS is measured from the date of randomization to the date of death for a dead patient. If a patient is still alive or is lost to follow up, the patient will be censored at the last contact date. (NCT00656084)
Timeframe: 1 year.
Intervention | Probability of Survival (Number) |
---|
Gemzar + Novantrone + Rituxan | 0.57 |
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Objective Response Rate (CR + PR)
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. (NCT00656084)
Timeframe: 2 years
Intervention | percentage of participants (Number) |
---|
Gemzar + Novantrone + Rituxan | 46.7 |
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Duration of Response
"The duration of response is measured from the time measurement criteria are first met for CR/PR until the first date that recurrent or progressive disease is objectively documented.~CR: Disappearance of all target lesions. PR: At least a 30% decrease in the sum of the LD of target lesions taking as reference the baseline sum LD." (NCT00656084)
Timeframe: From date of randomization until the date of first documented progression or the date of death from any cause, whichever came first, assessed up to 33 months.
Intervention | months (Median) |
---|
Gemzar + Novantrone + Rituxan | 7.9 |
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Toxicities Associated With Treatment (Grade 1-2)
Toxicity was graded according to National Cancer Institute Common Toxicity Criteria (NCI-CTC) version 2.0. The most common grade 1-2 non-hematologic and hematologic toxicities were collected for this outcome. (NCT00660699)
Timeframe: 30 days after completion of treatment (treatment lasts approximately 19 weeks)
Intervention | percentage of participants (Number) |
---|
| Mucositis | Nausea | Vomiting | Diarrhea | Dehydration | Weight loss | Fatigue | Renal toxicity | Hepatotoxicity | Infection | Neutropenia | Anemia | Thrombocytopenia |
---|
Arm 1 | 31 | 48 | 23 | 31 | 17 | 27 | 67 | 13 | 69 | 13 | 46 | 65 | 46 |
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Overall Survival (OS)
OS was defined as the time from the initiation of treatment to death from any cause or last follow-up (NCT00660699)
Timeframe: 2 years
Intervention | percentage of participants (Number) |
---|
| Pancreatic cancer | Biliary/ampullary cancer |
---|
Arm 1 | 32.1 | 49.1 |
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Overall Survival (OS)
OS was defined as the time from the initiation of treatment to death from any cause or last follow-up (NCT00660699)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
| Pancreatic cancer | Biliary/ampullary cancer |
---|
Arm 1 | 60.7 | 75.0 | 78.6 | 81.2 |
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Incidence of Disease Recurrence
(NCT00660699)
Timeframe: Median follow-up was 24 months (range 3.2-97 months)
Intervention | percentage of participants (Number) |
---|
Arm 1 | 83 |
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Incidence of Severe Toxicities
Toxicity was graded according to National Cancer Institute Common Toxicity Criteria (NCI-CTC) version 2.0 (NCT00660699)
Timeframe: 1 month after completion of treatment (treatment lasts approximately 19 weeks)
Intervention | percentage of participants (Number) |
---|
Arm 1 | 20 |
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Toxicities Associated With Treatment (Grade 3-4)
Toxicity was graded according to National Cancer Institute Common Toxicity Criteria (NCI-CTC) version 2.0. The most common grade 3-4 non-hematologic and hematologic toxicities were collected for this outcome. (NCT00660699)
Timeframe: 30 days after completion of treatment (treatment lasts approximately 19 weeks)
Intervention | percentage of participants (Number) |
---|
| Mucositis | Nausea | Vomiting | Diarrhea | Dehydration | Weight loss | Fatigue | Renal toxicity | Hepatotoxicity | Infection | Neutropenia | Anemia | Thrombocytopenia |
---|
Arm 1 | 2 | 4 | 4 | 15 | 4 | 0 | 8 | 0 | 4 | 15 | 23 | 4 | 6 |
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Overall Survival
Overall Survival (OS) is measured from start of treatment to death due to any cause until end of follow-up period. Time to last observation will be used if a patient has not died and OS for the patient will be considered censored at the date of the last observation. (NCT00661830)
Timeframe: one year
Intervention | days (Median) |
---|
Gemcitabine + Sorafenib | 255 |
Gemcitabine + Placebo | 341 |
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Progression-free Survival (PFS)
The primary endpoint is the progression-free survival (PFS) defined as the time from start of treatment to first documentation of objective tumor progression or to death due to any cause, whichever occurs first during treatment or follow-up period. For patients not known to have died as of the data cut-off date and who do not have objective progressive disease, PFS will be censored at the date of the last objective progression-free disease assessment. For patients who receive subsequent anticancer therapy (after discontinuation from the study drug) prior to objectively determined disease progression or death, PFS will be censored at the date of the last objective progression-free disease assessment prior to post-discontinuation anti-cancer therapy. Acceptable documentation of objective disease progression status consists of objective assessments using CT scan assessment method. (NCT00661830)
Timeframe: one year
Intervention | days (Median) |
---|
Gemcitabine + Sorafenib | 91 |
Gemcitabine + Placebo | 148 |
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Time to Objective Response
Time to Objective Response (OR) is defined as the time from start of treatment to objective tumor response (CR or PR) is first documented according to the RECIST tumor response criteria during treatment or until 30 days after termination of active therapy. Response must subsequently be confirmed. For subjects failing to achieve an objective response and who did not progress during the trial, time to objective response will be censored at their last date of tumor evaluation. (NCT00661830)
Timeframe: one year
Intervention | days (Median) |
---|
Gemcitabine + Sorafenib | NA |
Gemcitabine + Placebo | NA |
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Best Overall Response
"Best Overall Response (BOR) is defined as the best tumor response (confirmed partial or complete response, stable disease) that is achieved during treatment or within 30 days after termination of active therapy that is confirmed according to the RECIST tumor response criteria. Best response is determined from the sequence of responses assessed. For complete response (CR) or partial response (PR), best response must be confirmed by a second assessment within 4 -6 weeks.~Two objective status determinations of CR before progression are required for a best response of CR.~Two determinations of PR or better before progression, but not qualifying for a CR, are required for a best response of PR.~Best response of Stable Disease (SD) is defined as disease that does not meet the criteria of CR, PR or Progressive Disease (PD) and has been evaluated at least one time, at least 6 weeks after baseline assessment." (NCT00661830)
Timeframe: one year
Intervention | participants (Number) |
---|
| Complete response | Partial response | Stable disease | Progressive disease | Missing |
---|
Gemcitabine + Placebo | 0 | 3 | 27 | 0 | 18 |
,Gemcitabine + Sorafenib | 0 | 4 | 24 | 0 | 21 |
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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. If the patient is considered to be a major treatment violation or is taken off study as a non-protocol failure, the patient will be censored on the date they were removed from treatment. The distribution of time to treatment failure will be estimated using the method of Kaplan-Meier (1958). Progression is defined using the RECIST Criteria, as 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, appearance of one or more new lesions, or unequivocal progression of existing non-target lesions. (NCT00662129)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Paclitaxel + Gemcitabine + Bevacizumab | 6.9 |
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Quality of Life, as Measure by the Mean Change in FACT-B TOI Score at Cycle 8
"Quality of life (QOL) as measured by the mean change (from baseline) in FACT-B (TOI) Trial Outcome Index at Cycle 8 (24 weeks). FACT-B was scored according to the published scoring (*) criteria with higher scores representing better QOL. The FACT-B TOI was the sum of the following FACT-B subscale/scale scores: physical (score range 0-28), functional (score range 0-28), and Breast Cancer Subscale (score range 0-40); range of the FACT-B TOI is 0-96 (the change scores have a possible range of -96 to 96). The mean change and 95% confidence interval are reported below. A one-sample t-test is used to compare the change from baseline to a value of 0.~(*)= Brady MJ, Cella DF, Mo F, Bonomi AE, Tulsky DS, Lloyd SR, Deasy S, Cobleigh M, Shiomoto G. Reliability and validity of the Functional Assessment of Cancer Therapy-Breast (FACT-B) quality of life instrument. J Clin Oncol 1997;15:974-986." (NCT00662129)
Timeframe: From baseline to end of Cycle 8; Up to 24 weeks
Intervention | units on a scale (Mean) |
---|
Paclitaxel + Gemcitabine + Bevacizumab | -7.4 |
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PFS Time
Progression-free survival time is defined as the time from registration to the earliest date of documentation of disease progression. If a patient dies without a documentation of disease progression the patient will be considered to have had disease progression at the time of their death. The distribution of time to progression will be estimated using the method of Kaplan-Meier (1958). Progression is defined using the RECIST Criteria, as 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, appearance of one or more new lesions, or unequivocal progression of existing non-target lesions. (NCT00662129)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Paclitaxel + Gemcitabine + Bevacizumab | 11.2 |
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Overall Survival Time
Overall 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 (1958). (NCT00662129)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Paclitaxel + Gemcitabine + Bevacizumab | 24.4 |
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Confirmed Response (Complete or Partial Response) Rate
A confirmed 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 8 weeks apart. The confirmed response rate (percentage) will be estimated by the number of confirmed responses in evaluable patients divided by the total number of evaluable patients multiplied by 100. The appropriate confidence interval will be calculated based on the binomial distribution. (NCT00662129)
Timeframe: Up to 5 years
Intervention | percentage of patients with CR or PR (Number) |
---|
Paclitaxel + Gemcitabine + Bevacizumab | 70.8 |
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6-month Progression-free Survival (PFS) Rate
The primary endpoint of this trial is the 6-month progression-free survival rate. A patient is considered to be a 6-month progression-free survivor if the patient is 6 months from registration without a documentation of disease progression (note, the patient need not be on study treatment at 6 months to be considered a success). 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 using the properties of the binomial distribution. Progression is defined using the RECIST Criteria, as 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, appearance of one or more new lesions, or unequivocal progression of existing non-target lesions. (NCT00662129)
Timeframe: at 6 months
Intervention | proportion of patients progression-free (Number) |
---|
Paclitaxel + Gemcitabine + Bevacizumab | 0.792 |
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Duration of Response
Duration of response is defined for all evaluable patients who have achieved a confirmed 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. If a patient dies subsequent to the confirmed response without a documentation of disease progression, the patient will be considered to have had disease progression at the time of their death. In the case of a patient failing to return for evaluations before a documentation of disease progression, the patient will be censored for progression on the date of last evaluation. The distribution of duration of response will be estimated using the method of Kaplan-Meier (1958). (NCT00662129)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Paclitaxel + Gemcitabine + Bevacizumab | 9.7 |
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Overall Survival From Time of Study Entry
"The number of weeks patient survived from the time of patient entry. The time frame reflects the time the first patient was entered into the study to the time till the last patient survived.~Note: Not all patients started the study at the same time so the time frame is different from the full range.~The full range reflects the least number of weeks a patient survived to the most number of weeks a patient survived." (NCT00674206)
Timeframe: 132 weeks
Intervention | Weeks (Median) |
---|
Gemcitabine and Oxaliplatin | 62 |
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Number of Participants With Complete Response, Partial Response, Progressive Disease and Stable Disease.
"A sum of the longest diameter(LD) for all target lesions will be calculated and reported as the baseline sum LD.~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.~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." (NCT00674206)
Timeframe: 8 weeks
Intervention | participants (Number) |
---|
| Stable Disease | Partial Response |
---|
Gemcitabine and Oxaliplatin | 4 | 2 |
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Overall Survival as Assessed by the Kaplan and Meier Method
Overall survival as assessed by the Kaplan and Meier method at 5 years (NCT00679029)
Timeframe: Original time frame: Up to 5 years from date of first treatment; study terminated at 2.5 years
Intervention | percentage of participants (Number) |
---|
Arm I | 69.1 |
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Percentage of Participants With Study Drug-associated Adverse Events Leading to Dose Holds or Reductions
This outcome is to measure the feasibility of the of administering two sequential chemotherapy doublets with Avastin in the adjuvant setting in women with stage II and III breast cancer that does not over-express human epidermal growth factor receptor 2 (HER 2)/neu (NCT00679029)
Timeframe: through study completion, an average of 10 months
Intervention | percentage of participants (Number) |
---|
Arm I | 20 |
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Disease-free Survival
Disease-free survival as assessed by the Kaplan and Meier method (NCT00679029)
Timeframe: From the date of first treatment to the date of disease progression/recurrence, second cancer, or death, whichever came first: Original time frame up to 5 years from date of first treatment; study terminated at 2.5 years
Intervention | percentage of participants (Number) |
---|
Arm I | 70 |
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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 |
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Objective Response Rate
The response rate is the percentage of the patients who have a complete response or partial response based on RECIST from the start of the treatment. The response is evaluated every 2 cycles by radiologic methods (e.g., computer tomography (CT)). (NCT00696696)
Timeframe: up to 1 year
Intervention | percentage of patients (Number) |
---|
Combination GES | 7 |
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4-month Progression Free Survival (PFS) Rate
The PFS rate at 4 months is defined as the percentage of patients whose disease is progression free at 4 months from the start of treatment. Disease progression is evaluated using the Response Evaluation Criteria in Solid Tumors (RECIST) (Therasse et al, 2000). Radiological measurements to determine progression is performed every 2 cycles. (NCT00696696)
Timeframe: 4 months
Intervention | percentage of patients (Number) |
---|
Combination GES | 49 |
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Overall Response Rate (ORR)
Overall response rate was defined as the percentage of participants who had any evidence of confirmed objective complete response (CR) or partial response (PR), per the Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) and assessed by computed tomography imaging (CT): 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. (NCT00701558)
Timeframe: From the time of randomization until disease progression or death (up to 193 weeks)
Intervention | percentage of participants (Number) |
---|
Erlotinib + Gemcitabine | 15.8 |
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Overall Survival
Overall survival was defined as the interval between the day of randomization and the date of death from any cause. (NCT00701558)
Timeframe: From the time of randomization until death (up to 193 weeks)
Intervention | weeks (Median) |
---|
Erlotinib + Gemcitabine | 39 |
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Time to Disease Progression
Time to disease progression or progression free survival (PFS) was defined as the interval between the day of randomization and the date of the first documentation of disease progression or date of death (from any cause), whichever occurs first. (NCT00701558)
Timeframe: From the time of randomization until disease progression or death (up to 193 weeks)]
Intervention | weeks (Median) |
---|
Erlotinib + Gemcitabine | 15 |
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Maximum Tolerated Dose (MTD)
"The MTD was defined as the dose below which one-third of at least 6 patients (2/6) experienced a dose limiting toxicity (DLT).~DLTs had to occur during cycle 1 of treatment and had to be considered related to PG-11047:~Any nonhematologic toxicity > Grade 3 lasting > 3 days~Grade 4 thrombocytopenia~Grade 4 Anemia on the next scheduled dosing day~Grade 4 Neutropenia (lasting > than 5 days~Any febrile neutropenia (Grade 3 or 4))~Inability to receive all scheduled doses of PG-11047 during the first dosing cycle due to drug related toxicity" (NCT00705874)
Timeframe: End of Study
Intervention | mg (Number) |
---|
PG11047/Gemcitabine | NA |
PG11047/Docetaxel | NA |
PG11047/Bevacizumab | 590 |
PG11047/Erlotinib | 590 |
PG11047/Cisplatin | 590 |
PG11047/5-Flurouracil | 590 |
PG11047/Sunitinib | NA |
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Overall Survival
(NCT00709826)
Timeframe: Randomization then every other cycle
Intervention | Months (Median) |
---|
Apricoxib/Gemcitabine/Erlotinib | 5.0 |
Placebo/Gemcitabine/Erlotinib | 4.8 |
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Progression Free Survival
Progression is defined, using RECIST, as a measurable increase in the smallest dimension of any target or non-target lesion, or the appearance of new lesions, since baseline. (NCT00709826)
Timeframe: Randomization then every other cycle
Intervention | Months (Median) |
---|
Apricoxib/Gemcitabine/Erlotinib | 3.0 |
Placebo/Gemcitabine/Erlotinib | 2.8 |
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Overall Survival at 2 Years
The primary endpoint of this trial is 2-year overall survival, which will be evaluated as the proportion of treatment successes. A treatment success is defined to be an evaluable patient who is alive at two years from the date of registration. (NCT00733746)
Timeframe: At 2 years post-registration
Intervention | proportion of patients (Number) |
---|
Neoadjuvant Therapy + Surgery + Adjuvant Therapy | 0.54 |
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Response Rate
The response rates to preoperative chemotherapy for patients treated with preoperative gemcitabine and erlotinib and rates of accurate pathologic assessment of the resected tumor specimen according to College of American Pathology guidelines will be estimated with a binomial point estimate and corresponding 95% confidence intervals. (NCT00733746)
Timeframe: Up to 4 years postoperative chemotherapy treatment
Intervention | proportion of patients (Number) |
---|
Neoadjuvant Therapy + Surgery + Adjuvant Therapy | 0.06 |
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Number of Participants Experiencing Grade 3 or Higher Adverse Events as Graded by the NCI's Common Toxicity Criteria for Adverse Events
The maximum grade for each type of adverse event will be recorded for each patient, and frequency tables will be reviewed to determine adverse event patterns. These patterns will be summarized with descriptive statistics. The number of patients reporting grade 3 or higher adverse events as graded by the NCI's Common Toxicity Criteria (CTCAE) Version 4 are reported here. A complete list of all reported adverse events is reported in the Adverse Events section of this report. (NCT00733746)
Timeframe: Up to 4 years postoperative chemotherapy treatment
Intervention | Participants (Count of Participants) |
---|
| Grade 3+ Adverse Event | Grade 4+ Adverse Event |
---|
Neoadjuvant Therapy + Surgery + Adjuvant Therapy | 27 | 2 |
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Relapse/Progression-free Survival
Relapse/progression-free survival is defined as the time from date of registration to the date of documentation of disease recurrence/progression. If a patient dies without documentation of disease recurrence/progression, the patient will be considered to have had disease recurrence/progression at the time of their death unless there is sufficient documented evidence to conclude no recurrence/progression occurred prior to death. If a patient is declared to be a major treatment violation, the patient will be censored on the date the treatment violation occurred. If a patient is lost to follow-up, s/he will be censored at the data of last contact. The distribution of disease-free survival will be estimated using the method of Kaplan and Meier. (NCT00733746)
Timeframe: At 2 years post-registration
Intervention | months (Median) |
---|
Neoadjuvant Therapy + Surgery + Adjuvant Therapy | 11.9 |
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Resection Rate
"The resection rate is defined as the fraction of patients that proceed to planned surgery with removal of primary tumor (R0/R1) following neoadjuvant treatment with gemcitabine plus erlotinib.The resection rate will be estimated by the binomial point estimate, i.e. as the number of patients that undergo the planned surgery with removal of the primary tumor following neoadjuvant treatment with gemcitabine plus erlotinib divided by the number of evaluable patients. This quantity will also be estimated with a 95% binomial confidence interval.~Curative resection (R0) is defined as macroscopically and microscopically complete resection (with microscopic surgical margin assessment according to AJCC Staging Principles).~An R1 resection is defined as macroscopically complete tumor removal with any positive microscopic surgical margin (bile duct, pancreatic parenchyma, or SMA margins)." (NCT00733746)
Timeframe: Up to 4 years postoperative chemotherapy treatment
Intervention | proportion of patients (Geometric Least Squares Mean) |
---|
Neoadjuvant Therapy + Surgery + Adjuvant Therapy | 0.76 |
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Overall Survival (OS)
Time in months from the start of study treatment to date of death due to any cause. OS was calculated as (the death date minus the date of first dose of study medication plus 1) divided by 30.4. Death was determined from adverse event data (where outcome was death) or from follow-up contact data (where the participant current status was death). (NCT00735904)
Timeframe: Baseline until death or assessed every 2 months (up to 28 days after the last dose)
Intervention | Months (Median) |
---|
Axitinib + Cisplatin + Gemcitabine | 14.2 |
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Percentage of Participants With Objective Response (OR)
Percentage 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 (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 as a reference the baseline sum longest dimensions. (NCT00735904)
Timeframe: Baseline until disease progression or discontinuation from the study due to any cause, assessed every 6 weeks during chemotherapy phase and every 8 weeks during single agent phase up to final study visit (Week 78)
Intervention | Percentage of participants (Number) |
---|
Axitinib + Cisplatin + Gemcitabine | 39.5 |
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Progression Free Survival (PFS)
"Time in months from start of study treatment to the first documentation of objective tumor progression or to death due to any cause. PFS calculated as (Months) = (first event date minus first dose date 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)." (NCT00735904)
Timeframe: Baseline, assessed every 2 months (up to 28 days after the last dose)
Intervention | Months (Median) |
---|
Axitinib + Cisplatin + Gemcitabine | 6.2 |
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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 due to cancer 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. (NCT00735904)
Timeframe: Baseline until disease progression or discontinuation from the study due to any cause, assessed every 6 weeks during chemotherapy phase and every 8 weeks during single agent phase up to final study visit (Week 78)
Intervention | Months (Median) |
---|
Axitinib + Cisplatin + Gemcitabine | 5.78 |
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Duration of Response (DOR)
DOR is defined from the date of first documentation of response until date of PD or death (NCT00753675)
Timeframe: up to 1032 days
Intervention | Days (Median) |
---|
Arm A Vandetanib 300 mg | 277 |
Arm B Vandetanib 100mg + Gemcitab | 179 |
ARM C Placebo+ Gemcitabine | 127 |
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Overall Survival
OS is defined from the date of randomization to death (NCT00753675)
Timeframe: up to 1032 days
Intervention | Days (Median) |
---|
Arm A Vandetanib 300 mg | 228 |
Arm B Vandetanib 100mg + Gemcitab | 284 |
ARM C Placebo+ Gemcitabine | 307 |
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Disease Control Rate (CR+PR+SD)
DCR is the sum of patients with a best overall CR, PR or SD (>=8 weeks) by the patient in the analysis (NCT00753675)
Timeframe: up to 1032 days
Intervention | Partecipants (Number) |
---|
| Disease control rate = NO | Disease control rate = YES |
---|
Arm A Vandetanib 300 mg | 42 | 14 |
,Arm B Vandetanib 100mg + Gemcitab | 40 | 17 |
,ARM C Placebo+ Gemcitabine | 32 | 20 |
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Progression Free Survival
Progression was defined as Time from the date of first dose of study medication to progression of disease, or death (it also includes patients who are lost to follow-up or have withdrawn consent) and evaluated with RECIST criteria as an increase of at least 20% in the sum of longest diameter (LD) of target lesion(s) taking as reference the smallest sum of LD since the treatment started or any new lesion(s). (NCT00753675)
Timeframe: up to 1032 days
Intervention | days (Median) |
---|
Arm A Vandetanib 300 mg | 105 |
Arm B Vandetanib 100mg + Gemcitab | 114 |
ARM C Placebo+ Gemcitabine | 148 |
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Objective Tumor Response Rate (CR+PR),
Objective Tumor Response Rate was defined as complete response (CR) + partial response (PR) evaluated by RECIST. CR was defined as disappearance of all target lesions. PR was defined as at least 30% decrease in the sum of longest diameters (LD) of target lesion(s) taking as reference the baseline sum of LD (NCT00753675)
Timeframe: up to 1032 days
Intervention | Participants (Number) |
---|
| Objective Response = NO | Objective Response = YES |
---|
Arm A Vandetanib 300 mg | 54 | 2 |
,Arm B Vandetanib 100mg + Gemcitab | 46 | 11 |
,ARM C Placebo+ Gemcitabine | 45 | 7 |
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Progression Free Survival
(NCT00753714)
Timeframe: Oct 2008- dec 2011
Intervention | days (Median) |
---|
ZD6474 (Vandetanib),Gemcitabine | 183 |
Placebo to Match ZD6474 (Vandetanib),Gemcitabine | 169 |
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Overall Survival
(NCT00753714)
Timeframe: Oct 2008- dec 2011
Intervention | days (Median) |
---|
ZD6474 (Vandetanib),Gemcitabine | 262 |
Placebo to Match ZD6474 (Vandetanib),Gemcitabine | 305 |
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Overall Objective Response
(NCT00753714)
Timeframe: Oct 2008- dec 2011
Intervention | Participants (Number) |
---|
ZD6474 ( (Vandetanib),Gemcitabine | 9 |
Placebo to Match ZD6474 (Vandetanib),Gemcitabine | 8 |
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Duration of Response
(NCT00753714)
Timeframe: Oct 2008- dec 2011
Intervention | days (Median) |
---|
ZD6474 (Vandetanib),Gemcitabine | 225 |
Placebo to Match ZD6474 (Vandetanib),Gemcitabine | 214 |
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The Safety and Tolerability Profile of ZD6474 (Vandetanib) in Combination With Gemcitabine
The Safety and Tolerability Profile of ZD6474 (Vandetanib) in Combination With Gemcitabine is defined as the number of Adverse Events which includes any symptoms and/or Clinically Significant Laboratory or Vital Signs Abnormalities, and/or ECGs Changes (NCT00753714)
Timeframe: Oct 2008- Dec 2011
Intervention | Adverse Events (Number) |
---|
ZD6474 (Vandetanib),Gemcitabine | 378 |
Placebo to Match ZD6474 (Vandetanib),Gemcitabine | 381 |
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To Determine the Dose Limiting Toxicities
(NCT00761345)
Timeframe: weekly physician and nurse assessment and in between as needed until 30 days after treatment termination
Intervention | participants (Number) |
---|
Radiotherapy and Chemotherapy | 27 |
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Progression Free Survival
Time interval (in months) from date of randomization until the date of first documented progression or date of death from any cause, whichever came first (NCT00769483)
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 100 months
Intervention | months (Median) |
---|
Arm A / Phase II Randomization | 1.8 |
Arm B / Phase II Randomization | 1.8 |
Arm C / Phase II Randomization | 1.9 |
Phase II Expansion | 2.0 |
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Treatment Toxicity
Number of patients who developed toxicity from treatment according to the National Cancer Institute's Common Terminology Criteria (NCT00769483)
Timeframe: Through the treatment cycles
Intervention | Participants (Count of Participants) |
---|
Arm A / Phase I | 9 |
Arm B / Phase I | 12 |
Arm A / Phase II Randomization | 15 |
Arm B / Phase II Randomization | 15 |
Arm C / Phase II Randomization | 15 |
Phase II Expansion | 9 |
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MK-0646 Maximum Tolerable Dose
MK-0646 10 mg/kg was declared to be the MTD in combination with gemcitabine and 5 mg/kg the MTD in combination with Gemcitabine and erlotinib (NCT00769483)
Timeframe: up to 12 cycles
Intervention | participants (Number) |
---|
| MK 5mg +G: #DLT | MK 10mg +G: # DLT |
---|
Arm A / Phase I | 0 | 0 |
,Arm B / Phase I | 0 | 2 |
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Overall Response Rate
Complete response + Partial response using RECIST (Response Evaluation Criteria in Solid Tumors) (NCT00769483)
Timeframe: From start of the treatment until disease progression/recurrence; or through study completion (average of 1 year)
Intervention | Participants (Count of Participants) |
---|
Arm A / Phase I | 0 |
Arm B / Phase I | 0 |
Arm A / Phase II Randomization | 2 |
Arm B / Phase II Randomization | 1 |
Arm C / Phase II Randomization | 2 |
Phase II Expansion | 0 |
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Overall Survival
Time interval (in months) from date of randomization until the date of death from any cause (NCT00769483)
Timeframe: From date of randomization until the date of death from any cause, assessed up to 100 months
Intervention | months (Median) |
---|
Arm A / Phase II Randomization | 10.4 |
Arm B / Phase II Randomization | 7.1 |
Arm C / Phase II Randomization | 5.7 |
Phase II Expansion | 8.2 |
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Percentage of Patients With Grade 3 or Higher Genitourinary, Gastrointestinal, or Hematologic Adverse Events
Highest grade adverse event (AE) per subject was 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, Grade 2 Moderate, Grade 3 Severe, Grade 4 Life-threatening or disabling, Grade 5 Death related to AE. All adverse events are counted, regardless of reported relationship to protocol treatment. (NCT00777491)
Timeframe: From start of treatment to 180 days after the end of treatment. Treatment could last up to 40 weeks depending on arm, tumor response, and allowed time ranges.
Intervention | Participants (Count of Participants) |
---|
| During Treatment | Between End of Treatment and 180 days after |
---|
5-FU and Cisplatin + BID Irradiation | 19 | 8 |
,Gemcitabine + QD Irradiation | 18 | 5 |
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Percentage of Patients Who Completed Treatment Per Protocol
Treatment administration data was centrally reviewed to determine if patients completed each treatment component per protocol. (NCT00777491)
Timeframe: After each treatment component (induction, consolidation, adjuvant). Timing varies bases on arm, tumor response at multiple time points, and allowed time ranges.
Intervention | Participants (Count of Participants) |
---|
| Induction Therapy | Consolidation Therapy | Adjuvant Therapy |
---|
5-FU and Cisplatin + BID Irradiation | 32 | 27 | 18 |
,Gemcitabine + QD Irradiation | 31 | 23 | 17 |
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Change in American Urological Association Symptom Index (AUASI) Score at 3 Years
The AUASI is a validated 7-item measure used to assess urinary symptoms. A higher score indicates more severe symptoms for the individual questions and overall total. Six questions ask about frequency of symptoms over the past month with possible responses: 0= Not at all; 1 = Less than 1 time in 5; 2 = less than half the time, 3 = About half the time, 4 = More than half the time, 5 = Almost always. An additional question asks the number of times one gets up to urinate after going to bed, with response indicating the exact number of times ranging from 0 to 5. The total score is the sum of the questions and ranges from 0 to 35. Change is calculated as 3-year score - baseline score such that a negative change indicates improvement. (NCT00777491)
Timeframe: Baseline and 3 years
Intervention | units on a scale (Median) |
---|
| Sensation of Not Emptying Bladder | Urinate Again < 2 Hours After Urinating | Stopped and Started When Urinating | Difficult to Postpone Urination | Weak Urinary Stream | Push or Strain to Begin Urination | How Often Get Up at Night to Urinate | AUA Total Symptom Score |
---|
5-FU and Cisplatin + BID Irradiation | -0.50 | -2.50 | -1.00 | -3.00 | -0.50 | -0.50 | -3.50 | -9.50 |
,Gemcitabine + QD Irradiation | 0.0 | -1.0 | 0.00 | -0.50 | 0.00 | 0.00 | -1.50 | -3.50 |
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Number of Participants With Progression or Removal of Bladder Five Years After Therapy
Progression is defined as an increase of 50% or more in the largest diameter of the endoscopically appreciable tumor in the tumor-site biopsy specimen, the development of new bladder tumors, or the development of metastatic disease. (NCT00777491)
Timeframe: From start of treatment to five years after the end of therapy. Treatment could last up to 40 weeks depending on arm, tumor response, and allowed time ranges.
Intervention | Participants (Count of Participants) |
---|
5-FU and Cisplatin + BID Irradiation | 4 |
Gemcitabine + QD Irradiation | 5 |
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Number of Patients Experiencing Complete Response of the Primary Tumor After Induction Therapy
Patients will be considered as having a clinical complete response when all biopsies are negative at the site(s) of the pretreatment tumor(s). (NCT00777491)
Timeframe: 3-4 weeks following induction therapy (approximately maximum 8 weeks from start of treatment depending on treatment arm and allowed time windows)
Intervention | Participants (Count of Participants) |
---|
5-FU and Cisplatin + BID Irradiation | 29 |
Gemcitabine + QD Irradiation | 25 |
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Number of Participants Who Discontinued Study Treatment Due to an AE
An AE was defined as any untoward medical occurrence in a participant administered study treatment which did not necessarily have to have a causal relationship with this treatment. An AE could have been any unfavorable and unintended sign (e.g. an abnormal laboratory finding), symptom, or disease temporally associated with the use of study treatment, whether or not considered related to study treatment. The number of participants who discontinued study treatment due to an AE is presented. (NCT00779584)
Timeframe: Up to approximatey 66 weeks
Intervention | Participants (Number) |
---|
MK-8776 10mg/m^2+Gemcitabine 800mg/m^2 | 1 |
MK-8776 20mg/m^2+Gemcitabine 800mg/m^2 | 0 |
MK-8776 40mg/m^2+Gemcitabine 800mg/m^2 | 2 |
MK-8776 80mg/m^2+Gemcitabine 800mg/m^2 | 0 |
MK-8776 112mg/m^2+Gemcitabine 800mg/m^2 | 0 |
MK-8776 80mg/m^2+Gemcitabine 1000mg/m^2 | 0 |
MK-8776 112mg/m^2+Gemcitabine 1000mg/m^2 | 2 |
MK-8776 150mg/m^2+Gemcitabine 1000mg/m^2 | 1 |
MK-8776 200mg+Gemcitabine 1000mg/m^2 | 1 |
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Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) During Cycle 0 and Cycle 1 Based on National Cancer Institute Common Terminology Criteria for Adverse Events Version 3.0 (CTCAE v 3.0)
During Cycle 0, a DLT was defined as: CTCAE v 3.0 Grade 3 neutropenia or thrombocytopenia lasting ≥3 days; any CTCAE v 3.0 Grade 4 neutropenia or thrombocytopenia; neutropenic fever; any CTCAE v. 3.0 ≥ Grade 3 QT interval corrected by Fridericia (QTcF) prolongation of any duration; any other CTCAE v 3.0 Grade 3 or higher nonhematologic toxicity; or Grade 3 elevation of transaminases that resolved prior to administration of next dose(s) of study drug(s); delay in Cycle 1 Day 1 beyond 3 weeks due to continuing toxicity. During Cycle 1, a DLT was defined as: CTCAE v 3.0 Grade 4 neutropenia that persists for ≥7 days; neutropenic fever; CTCAE v 3.0 Grade 4 thrombocytopenia; CTCAE v 3.0 ≥ Grade 3 thrombocytopenia with bleeding; any CTCAE v 3.0 QTc ≥ Grade 3 QTcF prolongation of any duration; any other CTCAE v 3.0 Grade 3 or higher nonhematologic toxicity; or Grade 3 elevation of transaminases that resolved prior to administration of next dose(s) of study drug(s). (NCT00779584)
Timeframe: Through Cycle 0 and Cycle 1 (Up to 42 days)
Intervention | Participants (Number) |
---|
MK-8776 10mg/m^2+Gemcitabine 800mg/m^2 | 0 |
MK-8776 20mg/m^2+Gemcitabine 800mg/m^2 | 0 |
MK-8776 40mg/m^2+Gemcitabine 800mg/m^2 | 1 |
MK-8776 80mg/m^2+Gemcitabine 800mg/m^2 | 0 |
MK-8776 112mg/m^2+Gemcitabine 800mg/m^2 | 2 |
MK-8776 80mg/m^2+Gemcitabine 1000mg/m^2 | 0 |
MK-8776 112mg/m^2+Gemcitabine 1000mg/m^2 | 1 |
MK-8776 150mg/m^2+Gemcitabine 1000mg/m^2 | 0 |
MK-8776 200mg+Gemcitabine 1000mg/m^2 | 0 |
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Number of Participants Who Experienced an Adverse Event (AE)
An AE was defined as any untoward medical occurrence in a participant administered study treatment which did not necessarily have to have a causal relationship with this treatment. An AE could have been any unfavorable and unintended sign (e.g. an abnormal laboratory finding), symptom, or disease temporally associated with the use of study treatment, whether or not considered related to study treatment. The number of participants who experienced an AE is presented. (NCT00779584)
Timeframe: Up to approximately 72 weeks (Up to approximately 6 weeks after last dose of study treatment)
Intervention | Participants (Number) |
---|
MK-8776 10mg/m^2+Gemcitabine 800mg/m^2 | 3 |
MK-8776 20mg/m^2+Gemcitabine 800mg/m^2 | 3 |
MK-8776 40mg/m^2+Gemcitabine 800mg/m^2 | 7 |
MK-8776 80mg/m^2+Gemcitabine 800mg/m^2 | 6 |
MK-8776 112mg/m^2+Gemcitabine 800mg/m^2 | 7 |
MK-8776 80mg/m^2+Gemcitabine 1000mg/m^2 | 4 |
MK-8776 112mg/m^2+Gemcitabine 1000mg/m^2 | 8 |
MK-8776 150mg/m^2+Gemcitabine 1000mg/m^2 | 3 |
MK-8776 200mg+Gemcitabine 1000mg/m^2 | 2 |
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MK-8776 Area Under the Curve of the Plasma Concentration Versus Time From Time Zero to the Time of the Last Analytically Quantifiable Concentration (AUC0-last)
AUC0-last was assessed in Cycle 0 and in Cycle 1. On Day 1 of Cycle 0 and Cycle 1, plasma samples were obtained from all participants before infusion, at end of infusion of MK-8776 (Cycle 0) or gemcitabine (Cycle 1), and at 0.25, 1, 3, 6, 8, 24 and 48 hours after completion of MK-8776 infusion. AUC0-last was calculated by the linear trapezoidal method. (NCT00779584)
Timeframe: At end of infusion of MK-8776 (Cycle 0) or gemcitabine (Cycle 1), and at 0.25, 1, 3, 6, 8, 24 and 48 hours after completion of MK-8776 infusion
Intervention | ng*hr/mL (Mean) |
---|
| Cycle 0 (n=3, 3, 7, 6, 7, 4, 8, 3, 2) | Cycle 1 (n=3, 3, 7, 5, 6, 4, 6, 1, 2) |
---|
MK-8776 10mg/m^2+Gemcitabine 800mg/m^2 | 565 | 539 |
,MK-8776 112mg/m^2+Gemcitabine 1000mg/m^2 | 9240 | 6900 |
,MK-8776 112mg/m^2+Gemcitabine 800mg/m^2 | 9050 | 10300 |
,MK-8776 150mg/m^2+Gemcitabine 1000mg/m^2 | 18500 | 13000 |
,MK-8776 200mg+Gemcitabine 1000mg/m^2 | 8440 | 16900 |
,MK-8776 20mg/m^2+Gemcitabine 800mg/m^2 | 1400 | 1570 |
,MK-8776 40mg/m^2+Gemcitabine 800mg/m^2 | 2250 | 1900 |
,MK-8776 80mg/m^2+Gemcitabine 1000mg/m^2 | 4040 | 4660 |
,MK-8776 80mg/m^2+Gemcitabine 800mg/m^2 | 5060 | 4540 |
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Time of MK-8776 Cmax (Tmax)
The time of Cmax of MK-8776 was assessed in Cycle 0 and in Cycle 1. On Day 1 of Cycle 0 and Cycle 1, plasma samples were obtained from all participants before infusion, at end of infusion of MK-8776 (Cycle 0) or gemcitabine (Cycle 1), and at 0.25, 1, 3, 6, 8, 24 and 48 hours after completion of MK-8776 infusion. (NCT00779584)
Timeframe: At end of infusion of MK-8776 (Cycle 0) or gemcitabine (Cycle 1), and at 0.25, 1, 3, 6, 8, 24 and 48 hours after completion of MK-8776 infusion
Intervention | hr (Mean) |
---|
| Cycle 0 (n=3, 3, 7, 6, 7, 4, 8, 3, 2) | Cycle 1 (n=3, 3, 7, 5, 6, 4, 6, 1, 2) |
---|
MK-8776 10mg/m^2+Gemcitabine 800mg/m^2 | 0.27 | 0.26 |
,MK-8776 112mg/m^2+Gemcitabine 1000mg/m^2 | 0.23 | 0.23 |
,MK-8776 112mg/m^2+Gemcitabine 800mg/m^2 | 0.30 | 0.28 |
,MK-8776 150mg/m^2+Gemcitabine 1000mg/m^2 | 0.48 | 0.50 |
,MK-8776 200mg+Gemcitabine 1000mg/m^2 | 0.49 | 0.57 |
,MK-8776 20mg/m^2+Gemcitabine 800mg/m^2 | 0.26 | 0.27 |
,MK-8776 40mg/m^2+Gemcitabine 800mg/m^2 | 0.29 | 0.35 |
,MK-8776 80mg/m^2+Gemcitabine 1000mg/m^2 | 0.26 | 0.26 |
,MK-8776 80mg/m^2+Gemcitabine 800mg/m^2 | 0.24 | 0.25 |
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MK-8776 Terminal Phase Half-Life (t1/2)
The t1/2 of MK-8776 was assessed in Cycle 0 and in Cycle 1. On Day 1 of Cycle 0 and Cycle 1, plasma samples were obtained from all participants before infusion, at end of infusion of MK-8776 (Cycle 0) or gemcitabine (Cycle 1), and at 0.25, 1, 3, 6, 8, 24 and 48 hours after completion of MK-8776 infusion. (NCT00779584)
Timeframe: At end of infusion of MK-8776 (Cycle 0) or gemcitabine (Cycle 1), and at 0.25, 1, 3, 6, 8, 24 and 48 hours after completion of MK-8776 infusion
Intervention | hr (Mean) |
---|
| Cycle 0 (n=3, 3, 7, 6, 7, 4, 8, 3, 2) | Cycle 1 (n=3, 3, 6, 6, 7, 4, 7, 1, 2) |
---|
MK-8776 10mg/m^2+Gemcitabine 800mg/m^2 | 6.29 | 6.24 |
,MK-8776 112mg/m^2+Gemcitabine 1000mg/m^2 | 7.14 | 7.98 |
,MK-8776 112mg/m^2+Gemcitabine 800mg/m^2 | 5.94 | 7.29 |
,MK-8776 150mg/m^2+Gemcitabine 1000mg/m^2 | 9.46 | 7.59 |
,MK-8776 200mg+Gemcitabine 1000mg/m^2 | 6.30 | 9.89 |
,MK-8776 20mg/m^2+Gemcitabine 800mg/m^2 | 9.33 | 8.57 |
,MK-8776 40mg/m^2+Gemcitabine 800mg/m^2 | 8.45 | 8.23 |
,MK-8776 80mg/m^2+Gemcitabine 1000mg/m^2 | 8.13 | 7.87 |
,MK-8776 80mg/m^2+Gemcitabine 800mg/m^2 | 7.44 | 9.01 |
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MK-8776 Maximum Plasma Concentration (Cmax)
The Cmax of MK-8776 was assessed in Cycle 0 and in Cycle 1. On Day 1 of Cycle 0 and Cycle 1, plasma samples were obtained from all participants before infusion, at end of infusion of MK-8776 (Cycle 0) or gemcitabine (Cycle 1), and at 0.25, 1, 3, 6, 8, 24 and 48 hours after completion of MK-8776 infusion. (NCT00779584)
Timeframe: At end of infusion of MK-8776 (Cycle 0) or gemcitabine (Cycle 1), and at 0.25, 1, 3, 6, 8, 24 and 48 hours after completion of MK-8776 infusion
Intervention | ng/mL (Mean) |
---|
| Cycle 0 (n=3, 3, 7, 6, 7, 4, 8, 3, 2) | Cycle 1 (n=3, 3, 7, 5, 6, 4, 6, 1, 2) |
---|
MK-8776 10mg/m^2+Gemcitabine 800mg/m^2 | 414 | 445 |
,MK-8776 112mg/m^2+Gemcitabine 1000mg/m^2 | 6210 | 4690 |
,MK-8776 112mg/m^2+Gemcitabine 800mg/m^2 | 5270 | 4710 |
,MK-8776 150mg/m^2+Gemcitabine 1000mg/m^2 | 6220 | 4940 |
,MK-8776 200mg+Gemcitabine 1000mg/m^2 | 4860 | 3700 |
,MK-8776 20mg/m^2+Gemcitabine 800mg/m^2 | 1010 | 1650 |
,MK-8776 40mg/m^2+Gemcitabine 800mg/m^2 | 1220 | 962 |
,MK-8776 80mg/m^2+Gemcitabine 1000mg/m^2 | 2960 | 3610 |
,MK-8776 80mg/m^2+Gemcitabine 800mg/m^2 | 4970 | 3700 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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Two-year Disease-free Survival
(NCT00792701)
Timeframe: From time of registration to maximum of 2 years
Intervention | percentage of participants (Number) |
---|
Active Monitoring | 71 |
Gemcitabine Hydrochloride and Cisplatin | 83 |
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Frequency and Severity of Toxicities as Assessed by NCI CTCAE v3.0
Patients in the active monitoring arm were not followed for adverse events. (NCT00792701)
Timeframe: From time of registration to maximum of 2 years
Intervention | participants (Number) |
---|
| ALT, SGPT (serum glutamic pyruvic transaminase) | Anorexia | Dehydration | Fatigue (asthenia, lethargy, malaise) | Febrile neutropenia | Hearing: pts w/o audiogram not enroll monitor prgm | Hemoglobin | Mucositis/stomatitis (clinical exam) - Oral cavity | Nausea | Neutrophils/granulocytes (ANC/AGC) | Platelets | Pleural effusion (non-malignant) | Potassium, serum-low (hypokalemia) | Renal failure | SVT and nodal arrhythmia - Sinus bradycardia | Sodium, serum-low (hyponatremia) | Syncope (fainting) | Thrombosis/embolism (vascular access-related) | Thrombosis/thrombus/embolism | Vomiting |
---|
Gemcitabine Hydrochloride and Cisplatin | 1 | 2 | 1 | 2 | 2 | 1 | 2 | 1 | 4 | 17 | 8 | 1 | 1 | 1 | 1 | 2 | 1 | 1 | 1 | 4 |
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Relationship Between RNA and Protein Expression of RRM1 and ERCC1
(NCT00792701)
Timeframe: From time of registration to maximum of 2 years
Intervention | Scores (Median) |
---|
| RRM1 Protein Score | ERCC1 Protein Score |
---|
All Patients | 39.7 | 41.9 |
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Feasibility of Pharmacogenomics-based Treatment Assignment in the Cooperative Group Setting
Feasibility will be assessed both by accrual rate and the percentage of patients successfully assigned to adjuvant chemotherapy or active monitoring. (NCT00792701)
Timeframe: From time of registration to 84 days after surgical resection.
Intervention | Participants (Count of Participants) |
---|
All Eligible Patients | 71 |
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Progression Free Survival
Defined as the time from first day of treatment to the first observation of disease progression or death due to any cause. If a patient has not progressed or died, progression-free survival is censored at the time of last follow-up. 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. (NCT00810719)
Timeframe: Up to 36 months
Intervention | months (Median) |
---|
Gemcitabine and Erlotinib | 2.07 |
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Overall Survival
Overall survival will be followed for survival every three months until documented progression, death or study termination. If a participant is still alive, survival time is censored at the time of last follow-up. (NCT00810719)
Timeframe: Up to 36 months
Intervention | months (Median) |
---|
Gemcitabine and Erlotinib | 5.67 |
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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. (NCT00810719)
Timeframe: Up to 36 months
Intervention | percentage of participants (Number) |
---|
Gemcitabine and Erlotinib | 11 |
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Proportion of Patients With Objective Tumor Response Rate (Complete Response [CR] or Partial Response [PR]) Using RECIST Version 1.0
RECIST 1.0 defines complete response as the disappearance of all target lesions and non-target lesions and no evidence of new lesions documented by two disease assessments at least 4 weeks apart. Partial response is defined as at least a 30% decrease in the sum of longest dimensions (LD) of all target measurable lesions taking as reference the baseline sum of LD. There can be no unequivocal progression of non-target lesions and no new lesions. Documentation by two disease assessments at least 4 weeks apart is required. In the case where the ONLY target lesion is a solitary pelvic mass measured by physical exam, which is not radiographically measurable, a 50% decrease in the LD is required. These patients will have their response classified according to the definitions stated above. Complete and partial responses are included in the objective tumor response rate. (NCT00820898)
Timeframe: CT scan or MRI if used to follow lesion for measurable disease every other cycle until disease progression for up to 5 years.
Intervention | Participants (Count of Participants) |
---|
| Partial response | Complete response |
---|
Gemcitabine | 1 | 0 |
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Incidence of Adverse Effects as Assessed by Common Terminology Criteria for Adverse Events Version 3.0
(NCT00820898)
Timeframe: Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Intervention | Participants (Count of Participants) |
---|
| Leukopenia | Thrombocytopenia | Neutropenia | Anemia | Hemorrhage | Nausea/Vomiting | Gastrointestinal | Alopecia | Dermatologic | Renal | Alkaline Phosphatase | SGOT | Neurotoxicity | Constitutional | Metabolic | Pulmonary | Lymphatics | Infection | Pain |
---|
Grade 0 | 6 | 5 | 10 | 5 | 22 | 14 | 7 | 19 | 21 | 20 | 20 | 20 | 14 | 6 | 18 | 17 | 21 | 20 | 17 |
,Grade 1 (CTCAE v 3.0) | 6 | 11 | 1 | 6 | 1 | 6 | 7 | 2 | 0 | 1 | 3 | 2 | 8 | 10 | 2 | 2 | 1 | 0 | 5 |
,Grade 2 (CTCAE v 3.0) | 8 | 5 | 7 | 7 | 0 | 3 | 8 | 2 | 2 | 1 | 0 | 1 | 1 | 6 | 2 | 1 | 0 | 2 | 1 |
,Grade 3 (CTCAE v 3.0) | 3 | 1 | 4 | 4 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 1 | 1 | 0 |
,Grade 4 (CTCAE v 3.0) | 0 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
,Grade 5 (CTCAE v 3.0) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 |
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Progression-free Survival
"PFS is measured from the date of randomization to the date of first documented disease progression or date of death, whichever comes first. If a patient neither progresses nor dies, this patient will be censored at last contact date.~Progression (PD) is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), 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 1 or more new lesions." (NCT00821327)
Timeframe: 2 years
Intervention | Month (Median) |
---|
Study Arm: Advanced/Metastatic UC | 8.0 |
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Ovarall Survival (OS)
OS is measured from the date of randomization to the date of death for a dead patient. If a patient is still alive or is lost to follow up, the patient will be censored at the last contact date. (NCT00821327)
Timeframe: 2 years
Intervention | months (Median) |
---|
Study Arm: Advanced/Metastatic UC | 13.8 |
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Overall Survival by Treatment Arm
(NCT00828841)
Timeframe: Survival was measured from the date of randomization to date of death due to any cause, assessed up to 36 months. Subjects who were alive at the date of last contact were censored at the date of last contact.
Intervention | Months (Median) |
---|
Paclitaxel, Carboplatin, Cetuximab (Arm A) | 9.5 |
Platinum, Gemcitabine, Cetuximab (Arm B) | 8.3 |
Platinum, Pemetrexed, Cetuximab (Arm C) | 10.6 |
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Overall Survival by Histology
(NCT00828841)
Timeframe: Survival was measured from the date of randomization to date of death due to any cause, assessed up to 36 months. Subjects who were alive at the date of last contact were censored at the date of last contact.
Intervention | Months (Median) |
---|
Squamous Cell Histology | 8.7 |
Non-squamous Cell Histology | 9.9 |
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1-year Survival by Treatment Arm
(NCT00828841)
Timeframe: Survival was measured from the date of randomization to date of death due to any cause, assessed up to 36 months. Subjects who were alive at the date of last contact were censored at the date of last contact.
Intervention | percentage of participants (Number) |
---|
Paclitaxel, Carboplatin, Cetuximab (Arm A) | 39.7 |
Platinum, Gemcitabine, Cetuximab (Arm B) | 37.2 |
Platinum, Pemetrexed, Cetuximab (Arm C) | 47.3 |
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Toxicity
Toxicity will be evaluated per National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE), version 4.0. Frequency and severity of adverse events will be tabulated using counts of frequently occurring, serious and severe events of interest (i.e. Grade 3 and Grade 4 adverse events). (NCT00832637)
Timeframe: Patients are followed for at least one month following end of on-study treatment. All patients who discontinue the trial secondary to an adverse event are followed until resolution, stabilization or return to a baseline condition. An average of 24 weeks
Intervention | participants (Number) |
---|
| Anemia | Neutropenia | Neutropenic Fever | Thrombocytopenia | Diarrhea | Abdominal Pain | Renal Failure | Dermatitis (acneiform) | Peripheral neuropathy | Metabolic syndrome | Cerebral hemorrhage |
---|
Gemcitabine, Cisplatin, Erlotinib | 2 | 7 | 2 | 6 | 4 | 2 | 1 | 3 | 1 | 2 | 1 |
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Overall Response Rate
"Overall response rate is defined as the percentage of patients achieving a complete response (CR) + partial response (PR) at 24 weeks following treatment.~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." (NCT00832637)
Timeframe: 24 weeks
Intervention | percentage of evaluable participants (Number) |
---|
| Complete response (CR) | Partial response (PR) | CR + PR |
---|
Gemcitabine, Cisplatin, Erlotinib | 0 | 7.1 | 7.1 |
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Tumor Control Rate
"Rate of tumor control is defined as the percentage of patients achieving a complete response (CR) + partial response (PR) + stable disease (SD) at 24 weeks following treatment.~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." (NCT00832637)
Timeframe: 24 weeks
Intervention | percentage of evaluable participants (Number) |
---|
| Complete response (CR) | Partial response (PR) | Stable disease (SD) | CR + PR + SD |
---|
Gemcitabine, Cisplatin, Erlotinib | 0 | 7.1 | 53.6 | 60.7 |
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Time to Tumor Progression (TTP)
The time from treatment initiation to disease progression. 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): 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. (NCT00832637)
Timeframe: 2 years
Intervention | weeks (Median) |
---|
Gemcitabine, Cisplatin, Erlotinib | 22 |
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Overall Survival (OS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death
Length of time, in months, that patients were alive from their first date of protocol treatment until death (NCT00837031)
Timeframe: 18 months
Intervention | months (Median) |
---|
Lenalidomide/Gemcitabine | 4.7 |
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Progression Free Survival (PFS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease
The length of time, in months, that patients were alive from their first date of protocol treatment until worsening of their disease (NCT00837031)
Timeframe: 18 months
Intervention | months (Median) |
---|
Lenalidomide/Gemcitabine | 2.3 |
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Six-Month Overall Survival (OS) Probability, the Percentage of Patients Estimated to be Alive Six Months After Beginning Protocol Treatment
The percentage of patients who were alive 6 months after beginning treatment (NCT00837031)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Lenalidomide/Gemcitabine | 37 |
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Number of Deaths During the Phase 1 Post-study Period
The number of participants who died during the post-study period of Phase 1 does not include the outcomes for the 4 participants who died while on treatment during Phase 2 as captured in the Participant Flow Table. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT00839332)
Timeframe: Phase 1: Time of last dose of study drug through the end of the follow-up period
Intervention | Participants (Count of Participants) |
---|
| Total deaths | Deaths within 30 days of last dose of study drug | Deaths during the follow-up period |
---|
Phase 1: LY2603618 + Gemcitabine | 5 | 4 | 1 |
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Phase 1: Maximum Plasma Concentration (Cmax) of Gemcitabine, 2',2'-Difluorodeoxyuridine (dFdU), and LY2603618
Plasma samples for pharmacokinetic (PK) analysis were collected following IV infusion of each study drug. However, the dose-normalized PK analysis of gemcitabine and dFdU were not reported because the gemcitabine and dFdU plasma concentration data generated for all participants with PK samples collected in this study were withdrawn (invalidated) as a result of the failure of the Incurred Sample Reanalysis (ISR) for both gemcitabine and dFdU. Therefore, only the LY2603618 plasma Cmax values are reported for each LY2603618 dose level on Cycle (C) 1 /Day (D) 1, Cycle 1 /Day 16, and Cycle 2 /Day 2. The number of PK observations (n) used in the analysis is presented for each dose level and time point. (NCT00839332)
Timeframe: Phase 1: LY2603618 - Predose and 0, 1, 3, 6, 24, 48, and 72 hours after the end of infusion on C1 /D2, C1 /D16, and C2 /D2. Gemcitabine - Predose and 0, 10, 30, 60, and 120 minutes after the end of infusion on C1 /D1, C1 /D15, and C2 /D1.
Intervention | nanograms per milliliter (ng/mL) (Geometric Mean) |
---|
| 70 mg/m^2, Cycle 1 /Day 2 | 70 mg/m^2, Cycle 1 /Day 16 | 70 mg/m^2, Cycle 2 /Day 2 | 105 mg/m^2, Cycle 1 /Day 2 | 105 mg/m^2, Cycle 1 /Day 16 | 105 mg/m^2, Cycle 2 /Day 2 | 150 mg/m^2, Cycle 1 /Day 2 | 150 mg/m^2, Cycle 1 /Day 16 | 150 mg/m^2, Cycle 2 /Day 2 | 200 mg/m^2, Cycle 1 /Day 2 | 200 mg/m^2, Cycle 1 /Day 16 | 200 mg/m^2, Cycle 2 /Day 2 | 250 mg/m^2, Cycle 1 /Day 2 | 250 mg/m^2, Cycle 1 /Day 16 | 250 mg/m^2, Cycle 2 /Day 2 | 200 mg (flat dose), Cycle 1 /Day 2 | 200 mg (flat dose), Cycle 1 /Day 16 | 200 mg (flat dose), Cycle 2 /Day 2 | 230 mg (flat dose), Cycle 1 /Day 2 | 230 mg (flat dose), Cycle 1 /Day 16 | 230 mg (flat dose), Cycle 2 /Day 2 |
---|
Phase 1: LY2603618 + Gemcitabine | 3530 | 3360 | 3100 | 4890 | 5170 | 5360 | 4280 | 5040 | 4370 | 4870 | 5360 | 5290 | 7990 | 7990 | 5290 | 3440 | 3470 | 3640 | 4820 | 4980 | 3830 |
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Phase 1: Electrocardiogram QTc Prolongation
The QT interval is a measure of the time between the start of the Q wave and the end of the T wave. Twelve-lead electrocardiogram (ECG) data was used to calculate the corrected QT (QTc) based on Fridericia's formula (QTc=QT/RR^0.33, where RR is the interval between two R waves). For each participant, changes in QTc were calculated by subtracting the reading taken before LY2603618 administration from the reading taken after LY2603618 administration on Days 2 and 16 during Cycle 1. The number of participants in which the change in QTc was <=30 milliseconds (msec), >30-60 msec, or >60 msec is presented by dose group and overall. (NCT00839332)
Timeframe: Phase 1: Days 2 and 16 of Cycle 1
Intervention | Participants (Count of Participants) |
---|
| 70 mg/m^2, <=30 msec | 70 mg/m^2, >30-60 msec | 70 mg/m^2, >60 msec | 105 mg/m^2, <=30 msec | 105 mg/m^2, >30-60 msec | 105 mg/m^2, >60 msec | 150 mg/m^2, <=30 msec | 150 mg/m^2, >30-60 msec | 150 mg/m^2, >60 msec | 200 mg/m^2, <=30 msec | 200 mg/m^2, >30-60 msec | 200 mg/m^2, >60 msec | 250 mg/m^2, <=30 msec | 250 mg/m^2, >30-60 msec | 250 mg/m^2, >60 msec | 200 mg (flat dose), <=30 msec | 200 mg (flat dose), >30-60 msec | 200 mg (flat dose), >60 msec | 230 mg (flat dose), <=30 msec | 230 mg (flat dose), >30-60 msec | 230 mg (flat dose), >60 msec | Total, <=30 msec | Total, >30-60 msec | Total, >60 msec |
---|
Phase 1: LY2603618 + Gemcitabine | 2 | 1 | 0 | 2 | 0 | 0 | 6 | 1 | 0 | 11 | 0 | 0 | 6 | 0 | 0 | 9 | 1 | 0 | 8 | 2 | 0 | 44 | 5 | 0 |
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Phase 2: Area Under the Plasma Concentration Versus Time Curve (AUC) of Gemcitabine, dFdU, and LY2603618
Plasma samples for PK analysis were collected following IV infusion of each study drug. However, the dose-normalized PK analysis of gemcitabine and dFdU were not reported because the gemcitabine and dFdU plasma concentration data generated for all participants with PK samples collected in this study were withdrawn (invalidated) as a result of the failure of the Incurred Sample Reanalysis (ISR) for both gemcitabine and dFdU. Therefore, only the LY2603618 plasma AUC(0-24), AUC(0-tlast), and AUC(0-inf) values are reported for the 230 mg LY2603618 dose on Cycle 1 /Day 1, Cycle 1 /Day 16, and Cycle 2 /Day 2. The number of PK observations (n) used in the analysis is presented for each time point. (NCT00839332)
Timeframe: Phase 2: LY2603618 - Predose and 0, 1, 3, and 24 hours after the end of infusion on Days 2 and 16 of Cycle 1. Gemcitabine - Predose and 0, 10, 60, and 120 minutes after the end of infusion on Days 1 and 15 of Cycle 1.
Intervention | ng*h/mL (Geometric Mean) |
---|
| AUC(0-24), Cycle 1 /Day 2 | AUC(0-24), Cycle 1 /Day 16 | AUC(0-24), Cycle 2 /Day 2 | AUC(0-tlast), Cycle 1 /Day 2 | AUC(0-tlast), Cycle 1 /Day 16 | AUC(0-tlast), Cycle 2 /Day 2 | AUC(0-inf), Cycle 1 /Day 2 | AUC(0-inf), Cycle 1 /Day 16 | AUC(0-inf), Cycle 2 /Day 2 |
---|
Phase 2: LY2603618 + Gemcitabine | 23200 | 23700 | 19800 | 22200 | 20800 | 20100 | 29400 | 29100 | 23300 |
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Phase 2: Maximum Plasma Concentration (Cmax) of Gemcitabine, dFdU, and LY2603618
Plasma samples for PK analysis were collected following IV infusion of each study drug. However, the dose-normalized PK analysis of gemcitabine and dFdU were not reported because the gemcitabine and dFdU plasma concentration data generated for all participants with PK samples collected in this study were withdrawn (invalidated) as a result of the failure of the Incurred Sample Reanalysis (ISR) for both gemcitabine and dFdU. Therefore, only the LY2603618 plasma Cmax values are reported at the 230 mg LY2603618 dose level on Cycle 1 /Day 1, Cycle 1 /Day 16, and Cycle 2 /Day 2. The number of PK observations (n) used in the analysis is presented for each time point. (NCT00839332)
Timeframe: Phase 2: LY2603618 - Predose and 0, 1, 3, and 24 hours after the end of infusion on Days 2 and 16 of Cycle 1. Gemcitabine - Predose and 0, 10, 60, and 120 minutes after the end of infusion on Days 1 and 15 of Cycle 1.
Intervention | ng/mL (Geometric Mean) |
---|
| Cycle 1 /Day 2 | Cycle 1 /Day 16 | Cycle 2 /Day 2 |
---|
Phase 2: LY2603618 + Gemcitabine | 3170 | 3410 | 2390 |
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Phase 1: Area Under the Plasma Concentration Versus Time Curve (AUC) of Gemcitabine, dFdU, and LY2603618
Plasma samples for PK analysis were collected following IV infusion of each study drug. However, the dose-normalized PK analysis of gemcitabine and dFdU were not reported because the gemcitabine plasma and dFdU concentration data generated for all participants with PK samples collected in this study were withdrawn (invalidated) as a result of the failure of the Incurred Sample Reanalysis (ISR) for both gemcitabine and dFdU. Therefore, only LY2603618 plasma AUC from time zero to 24 hours (AUC[0-24]), AUC from time zero to the last time point with a measurable concentration (AUC[0-tlast]), and AUC from time zero to infinity (AUC[0-inf]) values are reported for each LY2603618 dose level on Cycle 1 /Day 1, Cycle 1 /Day 16, and Cycle 2 /Day 2. The number of PK observations (n) used in the analysis is presented for each dose level and time point. (NCT00839332)
Timeframe: Phase 1: LY2603618 - Predose and 0, 1, 3, 6, 24, 48, and 72 hours after the end of infusion on C1 /D2, C1 /D16, and C2 /D2. Gemcitabine - Predose and 0, 10, 30, 60, and 120 minutes after the end of infusion on C1 /D1, C1 /D15, and C2 /D1.
Intervention | nanogram*hour/milliliter (ng*h/mL) (Geometric Mean) |
---|
| AUC(0-24), 70 mg/m^2, Cycle 1 /Day 2 | AUC(0-24), 70 mg/m^2, Cycle 1 /Day 16 | AUC(0-24), 70 mg/m^2, Cycle 2 /Day 2 | AUC(0-24), 105 mg/m^2, Cycle 1 /Day 2 | AUC(0-24), 105 mg/m^2, Cycle 1 /Day 16 | AUC(0-24), 105 mg/m^2, Cycle 2 /Day 2 | AUC(0-24), 150 mg/m^2, Cycle 1 /Day 2 | AUC(0-24), 150 mg/m^2, Cycle 1 /Day 16 | AUC(0-24), 150 mg/m^2, Cycle 2 /Day 2 | AUC(0-24), 200 mg/m^2, Cycle 1 /Day 2 | AUC(0-24), 200 mg/m^2, Cycle 1 /Day 16 | AUC(0-24), 200 mg/m^2, Cycle 2 /Day 2 | AUC(0-24), 250 mg/m^2, Cycle 1 /Day 2 | AUC(0-24), 250 mg/m^2, Cycle 1 /Day 16 | AUC(0-24), 250 mg/m^2, Cycle 2 /Day 2 | AUC(0-24), 200 mg (flat), Cycle 1 /Day 2 | AUC(0-24), 200 mg (flat), Cycle 1 /Day 16 | AUC(0-24), 200 mg (flat), Cycle 2 /Day 2 | AUC(0-24), 230 mg (flat), Cycle 1 /Day 2 | AUC(0-24), 230 mg (flat), Cycle 1 /Day 16 | AUC(0-24), 230 mg (flat), Cycle 2 /Day 2 | AUC(0-tlast), 70 mg/m^2, Cycle 1 /Day 2 | AUC(0-tlast), 70 mg/m^2, Cycle 1 /Day 16 | AUC(0-tlast), 70 mg/m^2, Cycle 2 /Day 2 | AUC(0-tlast), 105 mg/m^2, Cycle 1 /Day 2 | AUC(0-tlast), 105 mg/m^2, Cycle 1 /Day 16 | AUC(0-tlast), 105 mg/m^2, Cycle 2 /Day 2 | AUC(0-tlast), 150 mg/m^2, Cycle 1 /Day 2 | AUC(0-tlast), 150 mg/m^2, Cycle 1 /Day 16 | AUC(0-tlast), 150 mg/m^2, Cycle 2 /Day 2 | AUC(0-tlast), 200 mg/m^2, Cycle 1 /Day 2 | AUC(0-tlast), 200 mg/m^2, Cycle 1 /Day 16 | AUC(0-tlast), 200 mg/m^2, Cycle 2 /Day 2 | AUC(0-tlast), 250 mg/m^2, Cycle 1 /Day 2 | AUC(0-tlast), 250 mg/m^2, Cycle 1 /Day 16 | AUC(0-tlast), 250 mg/m^2, Cycle 2 /Day 2 | AUC(0-tlast), 200 mg (flat), Cycle 1 /Day 2 | AUC(0-tlast), 200 mg (flat), Cycle 1 /Day 16 | AUC(0-tlast), 200 mg (flat), Cycle 2 /Day 2 | AUC(0-tlast), 230 mg (flat), Cycle 1 /Day 2 | AUC(0-tlast), 230 mg (flat), Cycle 1 /Day 16 | AUC(0-tlast), 230 mg (flat), Cycle 2 /Day 2 | AUC(0-inf), 70 mg/m^2, Cycle 1 /Day 2 | AUC(0-inf), 70 mg/m^2, Cycle 1 /Day 16 | AUC(0-inf), 70 mg/m^2, Cycle 2 /Day 2 | AUC(0-inf), 105 mg/m^2, Cycle 1 /Day 2 | AUC(0-inf), 105 mg/m^2, Cycle 1 /Day 16 | AUC(0-inf), 105 mg/m^2, Cycle 2 /Day 2 | AUC(0-inf), 150 mg/m^2, Cycle 1 /Day 2 | AUC(0-inf), 150 mg/m^2, Cycle 1 /Day 16 | AUC(0-inf), 150 mg/m^2, Cycle 2 /Day 2 | AUC(0-inf), 200 mg/m^2, Cycle 1 /Day 2 | AUC(0-inf), 200 mg/m^2, Cycle 1 /Day 16 | AUC(0-inf), 200 mg/m^2, Cycle 2 /Day 2 | AUC(0-inf), 250 mg/m^2, Cycle 1 /Day 2 | AUC(0-inf), 250 mg/m^2, Cycle 1 /Day 16 | AUC(0-inf), 250 mg/m^2, Cycle 2 /Day 2 | AUC(0-inf), 200 mg (flat), Cycle 1 /Day 2 | AUC(0-inf), 200 mg (flat), Cycle 1 /Day 16 | AUC(0-inf), 200 mg (flat), Cycle 2 /Day 2 | AUC(0-inf), 230 mg (flat), Cycle 1 /Day 2 | AUC(0-inf), 230 mg (flat), Cycle 1 /Day 16 | AUC(0-inf), 230 mg (flat), Cycle 2 /Day 2 |
---|
Phase 1: LY2603618 + Gemcitabine | 21300 | 21200 | 19900 | 40500 | 50100 | 49800 | 32200 | 40000 | 31000 | 40200 | 39800 | 44300 | 88800 | 61000 | 40000 | 22900 | 28700 | 23800 | 32400 | 32300 | 32500 | 24600 | 27500 | 25800 | 65800 | 75500 | 79600 | 41600 | 52000 | 39800 | 44300 | 55300 | 55600 | 140000 | 98200 | 60400 | 33100 | 42600 | 32400 | 43000 | 51900 | 45900 | 24900 | 28600 | 27100 | 78600 | 79800 | 88800 | 42800 | 54600 | 41000 | 60300 | 56800 | 65400 | 153000 | 101000 | 70500 | 35200 | 45700 | 34400 | 45200 | 57700 | 48000 |
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Phase 1: Determine the Recommended Phase 2 Dose for LY2603618 When Administered After Gemcitabine
The recommended Phase 2 dose for LY2603618 when administered approximately 24 hours after gemcitabine was based on the maximum tolerated dose and achievement of predefined LY2603618 plasma systemic exposures targets (area under the LY2603618 plasma concentration versus time curve from time zero to infinity [AUC(0-inf)] >21,000 nanogram*hour/milliliter [ng*h/mL] and maximum LY2603618 plasma concentration [Cmax] >2000 nanograms/milliliter [ng/mL]). (NCT00839332)
Timeframe: Baseline through 18 months
Intervention | milligrams (mg) (Number) |
---|
Phase 1: LY2603618 + Gemcitabine | 230 |
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Phase 2: Clinical Benefit Rate
Clinical benefit rate is the best response CR, PR, or stable disease (SD) as classified by the investigators according to the RECIST v1.1 guidelines. CR is a disappearance of all target and non-target lesions and normalization of tumor marker level. PR is an at least 30% decrease in the sum of the diameters of target lesions (taking as reference the baseline sum diameter) without progression of not-target lesions or appearance of new lesions. SD is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum diameter since treatment started. Overall response rate is calculated as a total number of participants with CR, PR, or SD divided by the total number of participants with at least 1 measurable lesion, multiplied by 100. (NCT00839332)
Timeframe: Phase 2: Baseline to measured progressive disease or date of death from any cause
Intervention | percentage of participants (Number) |
---|
Phase 2: LY2603618 + Gemcitabine | 55.4 |
Phase 2: Gemcitabine | 64.7 |
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Phase 2: Duration of Response
Duration of response was defined as the time from the first observation of complete response (CR) or partial response (PR) to the first observation of progressive disease or death from any cause. For participants who were not known to have died as of the data-inclusion cut-off date and who do not have progressive disease, the duration was censored at the date of the last objective progression-free disease assessment prior to the date of any subsequent anticancer therapy (systemic, radiologic, or surgery). Participants were also censored at the last valid assessment prior to missing more than 1 consecutive scheduled assessment. Duration of response was summarized using Kaplan-Meier estimates. (NCT00839332)
Timeframe: Phase 2. Baseline to measured progressive disease or date of death from any cause
Intervention | months (Median) |
---|
Phase 2: LY2603618 + Gemcitabine | 3.5 |
Phase 2: Gemcitabine | 6.0 |
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Phase 2: Overall Response Rate
Overall response rate is the best response of complete response (CR) or partial response (PR) as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST v1.1) guidelines. CR is a disappearance of all target and non-target lesions and normalization of tumor marker level. PR is an at least 30% decrease in the sum of the diameters of target lesions (taking as reference the baseline sum diameter) without progression of not-target lesions or appearance of new lesions. Overall response rate is calculated as a total number of participants with CR or PR divided by the total number of participants with at least 1 measurable lesion, multiplied by 100. (NCT00839332)
Timeframe: Phase 2: Baseline to measured progressive disease or date of death from any cause
Intervention | percentage of participants (Number) |
---|
Phase 2: LY2603618 + Gemcitabine | 21.5 |
Phase 2: Gemcitabine | 8.8 |
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Phase 2: Overall Survival (OS)
Overall survival (OS) time is defined as the time from the date of randomization to the date of death from any cause. For participants not known to have died as of the data cut-off date, OS time was censored at the last contact date the participant was known to be alive prior to the cut-off date. OS was summarized using Kaplan-Meier estimates. (NCT00839332)
Timeframe: Phase 2: Baseline to date of death
Intervention | months (Median) |
---|
Phase 2: LY2603618 + Gemcitabine | 7.8 |
Phase 2: Gemcitabine | 8.3 |
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Phase 2: Progression-free Survival (PFS)
Progression-free survival (PFS) time was defined as the time from the date of randomization to the first date of progressive disease (symptomatic or objective) or death due to any cause, whichever occurred first. For participants who were not known to have died or progressed as of the data-inclusion cutoff date, PFS time was censored at the date of the last objective progression-free disease assessment prior to the date of any subsequent systematic anticancer therapy. PFS was summarized using Kaplan-Meier estimates. (NCT00839332)
Timeframe: Phase 2: Baseline to measured progressive disease or date of death from any cause
Intervention | months (Median) |
---|
Phase 2: LY2603618 + Gemcitabine | 3.5 |
Phase 2: Gemcitabine | 5.6 |
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Phase 2: Electrocardiogram QTc Prolongation
The QT interval is a measure of the time between the start of the Q wave and the end of the T wave. Twelve-lead ECG data was used to calculate QTc based on Fridericia's formula (QTc=QT/RR^0.33, where RR is the interval between two R waves). For each participant, changes in QTc were calculated by subtracting the reading taken before LY2603618 administration from the reading taken after LY2603618 administration on Days 2 and 16 during Cycle 1. The number of participants in which the change in QTc was <=30 milliseconds (msec), >30-60 msec, or >60 msec is presented. (NCT00839332)
Timeframe: Phase 2: Days 2 and 16 of Cycle 1
Intervention | Participants (Count of Participants) |
---|
| <=30 msec | >30-60 msec | >60 msec |
---|
Phase 2: LY2603618 + Gemcitabine | 55 | 5 | 0 |
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Randomized Part: Progression Free Survival (PFS) Time - Independent Read
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. Independent Read is the assessment of all imaging centrally by an Independent Review Committee (IRC). (NCT00842712)
Timeframe: Time from randomization until disease progression, death or last tumor assessment, reported between day of first participant randomized, that is, Feb 2009 until cut-off date, (26 Jun 2013)
Intervention | months (Median) |
---|
Randomized Part: Cil (Once Weekly) + Cetuximab + Chemotherapy | 6.2 |
Randomized Part: Cil (Twice Weekly) + Cetuximab + Chemotherapy | 5.6 |
Randomized Part: Cetuximab + Chemotherapy | 5.0 |
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Randomized Part: Progression Free Survival (PFS) Time - Investigator Read
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. Investigator read is the assessment of all imaging by the treating physician at the local trial site. (NCT00842712)
Timeframe: Time from randomization until disease progression, death or last tumor assessment, reported between day of first participant randomized, that is, Feb 2009 until cut-off date, (26 Jun 2013)
Intervention | months (Median) |
---|
Randomized Part: Cil (Once Weekly) + Cetuximab + Chemotherapy | 5.6 |
Randomized Part: Cil (Twice Weekly) + Cetuximab + Chemotherapy | 5.6 |
Randomized Part: Cetuximab + Chemotherapy | 5.3 |
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Safety run-in Part: Number of Participants With Dose Limiting Toxicities (DLTs)
(NCT00842712)
Timeframe: Up to Week 3
Intervention | participants (Number) |
---|
Safety run-in Part: Cil (1000 mg) + Cetuximab + Cis + Gem | 0 |
Safety run-in Part: Cil (1000 mg) + Cetuximab + Cis + Vin | 0 |
Safety run-in Part: Cil (2000 mg) + Cetuximab + Cis + Gem | 0 |
Safety run-in Part: Cil (2000 mg) + Cetuximab + Cis + Vin | 0 |
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Randomized Part: Time to Treatment Failure
Time to treatment failure was defined as the time from first administration of trial treatment until the date of the first occurrence of one of the events defining treatment failure: Progressive Disease (PD) assessed by the investigator, discontinuation of treatment due to PD, discontinuation of treatment due to an adverse event (AE), start of any new anticancer therapy, or withdrawal of consent or death within 60 days of the last tumor assessment or first administration of trial treatment. Time to treatment failure was assessed according to modified World Health Organization (WHO) criteria by Independent Review Committee (IRC). (NCT00842712)
Timeframe: Time from randomization until treatment failure or last tumor assessment, reported between day of first participant randomized, that is, Feb 2009 until cut-off date,(26 Jun 2013)
Intervention | months (Median) |
---|
Randomized Part: Cil (Once Weekly) + Cetuximab + Chemotherapy | 4.4 |
Randomized Part: Cil (Twice Weekly) + Cetuximab + Chemotherapy | 2.8 |
Randomized Part: Cetuximab + Chemotherapy | 4.2 |
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Randomized Part: Overall Survival (OS) Time
The OS time is defined as the time (in months) 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. (NCT00842712)
Timeframe: Time from randomization until death or last day known to be alive, reported between day of first participant randomized, that is, Feb 2009 until cut-off date,(26 Jun 2013)
Intervention | months (Median) |
---|
Randomized Part: Cil (Once Weekly) + Cetuximab + Chemotherapy | 13.6 |
Randomized Part: Cil (Twice Weekly) + Cetuximab + Chemotherapy | 13.6 |
Randomized Part: Cetuximab + Chemotherapy | 9.7 |
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Randomized Part: Best Overall Response (BOR) Rate
The BOR rate is defined as the percentage of participants having achieved confirmed 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]) as assessed by Independent Review Committee (IRC): CR = disappearance of all target lesions; PR = at least 30% decrease in the sum of the longest diameter of target lesions. (NCT00842712)
Timeframe: Time from randomization until disease progression, death or last tumor assessment, reported between day of first participant randomized, that is, Feb 2009 until cut-off date,(26 Jun 2013)
Intervention | percentage of participants (Number) |
---|
Randomized Part: Cil (Once Weekly) + Cetuximab + Chemotherapy | 37.6 |
Randomized Part: Cil (Twice Weekly) + Cetuximab + Chemotherapy | 27.5 |
Randomized Part: Cetuximab + Chemotherapy | 29.8 |
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Number of Participants With Dose Reductions
The number of participants with dose reductions occurring during the treatment period. Dose reductions are typically caused by clinically significant laboratory abnormalities and /or treatment emergent adverse events/toxicities. (NCT00844649)
Timeframe: Maximum time on treatment was 666 days
Intervention | participants (Number) |
---|
| At least 1 alumbin bound paclitaxel dose reduction | At least 1 Gemcitabine dose reduction |
---|
Albumin-bound Paclitaxel (ABI-007)/Gemcitabine (Gem) | 172 | 198 |
,Gemcitabine (Gem) | 0 | 132 |
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Number of Participants With Dose Interruptions
The number of participants with dose interruptions experienced by participants that occurred during the treatment period. Dose interruptions are typically caused by clinically significant laboratory abnormalities and /or treatment emergent adverse events/toxicities. (NCT00844649)
Timeframe: Maximum time on treatment was 666 days
Intervention | participants (Number) |
---|
| ≥ 1 Albumin-bound paclitaxel dose interruption | At least 1 Gemcitabine dose interruption |
---|
Albumin-bound Paclitaxel (ABI-007)/Gemcitabine | 2 | 8 |
,Gemcitabine | 0 | 9 |
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Progression-free Survival (PFS) by Independent Radiological Review (IRR)
Progression-free survival was defined as the time from the date of randomization to the date of disease progression, or death (any cause) on or prior to the clinical cutoff date, whichever occurred earlier. Participants who did not have disease progression or had not died were censored at the date of the last tumor assessment, on or prior to the clinical cutoff, and the patient was progression free. If a patient began a new anti-cancer treatment prior to documented disease progression (or death), the patient was censored at the date of last assessment when the patient was documented as progression free prior to the intervention. Patients with two or more consecutive missing response assessments prior to a visit with documented progression (or death) were censored at the last date of tumor assessment when the patient was documented to be progression free. PFS was summarized using Kaplan-Meier methods. (NCT00844649)
Timeframe: Randomization until disease progression or death from any cause; Until the data cut off of 17 Sept 2012. The maximum time in follow up was 37 months.
Intervention | months (Median) |
---|
Albumin-bound Paclitaxel (ABI-007)/Gemcitabine | 5.5 |
Gemcitabine | 3.7 |
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Percentage of Participants Who Achieved an Objective Confirmed Overall Response by Independent Radiological Review (IRR)
Objective tumor response was summarized as the percentage of participants who achieved a confirmed complete (CR) or partial response (PR) based on an independent blinded radiology assessment of response using Response Evaluation Criteria in Solid Tumors (RECIST) guidelines. Using RECIST Version 1.0, participants were to achieve either a complete response (CR) defined as the disappearance of all known disease and no new sites or disease related symptoms confirmed at least 4 weeks after initial documentation or partial response (PR) defined as at least a 30% decrease in the sum of the longest diameters of target lesions and no progression in non-target lesions based on confirmed responses from the investigator assessment of best overall response during study treatment. (NCT00844649)
Timeframe: Assessment every 4 weeks after initial response; Day 1 to data cut off of 17 Sept 2013; maximum time on study 37 months
Intervention | percentage of participants (Number) |
---|
Albumin-bound Paclitaxel (ABI-007)/Gemcitabine | 23 |
Gemcitabine | 7 |
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Overall Survival (OS)
Overall survival was defined as the time from the date of randomization to the date of death from all causes. Participants who did not die were censored at the last known time the participant was alive. Patient survival was summarized using Kaplan-Meier methods. (NCT00844649)
Timeframe: From randomization to death; until the data cut off 17 Sept 2012. The maximum time in follow up was 37 months.
Intervention | months (Median) |
---|
Albumin-bound Paclitaxel (ABI-007)/Gemcitabine | 8.5 |
Gemcitabine | 6.7 |
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Number of Participants With Dose Delays/Doses Not Given
The number of dose delays or doses not given experienced by participants during the treatment period. Dose delays are typically caused by clinically significant laboratory abnormalities and /or treatment emergent adverse events/toxicities. Treatment delays of no longer than 21 days allowed participants to recover from acute toxicity, otherwise participants were discontinued from further treatment except in the event of peripheral neuropathy. (NCT00844649)
Timeframe: Up to 666 days
Intervention | number of dose delays (Number) |
---|
| At least 1 ABI-007 dose delay/Not given | At least ≥ 1 Gem dose delay/Not given |
---|
Albumin-bound Paclitaxel (ABI-007)/Gemcitabine | 300 | 295 |
,Gemcitabine | 0 | 230 |
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Participants With Treatment Emergent Adverse Events (AE)
A Treatment Emergent Adverse Event (TEAE) is as any AE occurring or worsening on or after the first treatment of any study drug, and within 30 days after the last dose of the last study drug. Severity grades according to Common Terminology Criteria for Adverse Events v3.0 (CTCAE) on a 1-5 scale: 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. (NCT00844649)
Timeframe: Study drug initiation through 30 days after the last dose of study drug or EOS, whichever is later; Up to 696 days
Intervention | participants (Number) |
---|
| At least 1 AE | ≥ 1 Treatment related AE (TEAE) | At least 1 Serious Adverse Event (SAE) | ≥ 1 treatment related SAE | ≥ 1 Grade (GR) 3/4 AE | ≥ 1 Grade 3 or higher AE | ≥ 1 AE leading to stopping treatment | ≥ 1 AE leading to death | ≥ 1 AE leading to dose reduction of ABI-007 or Gem | ≥ 1 AE related dose interruption of ABI-007 or Gem | ≥ 1 AE related dose delay of ABI-007 or Gem |
---|
Albumin-bound Paclitaxel (ABI-007)/Gemcitabine | 417 | 403 | 212 | 121 | 370 | 374 | 149 | 18 | 209 | 11 | 276 |
,Gemcitabine | 395 | 371 | 172 | 53 | 298 | 303 | 95 | 18 | 125 | 10 | 192 |
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Overall Survival
Overall survival is defined as the time from the first dose of study medication until death. (NCT00846027)
Timeframe: Baseline to the end of the study (up to 2 years 10 months)
Intervention | Months (Median) |
---|
Bevacizumab + Paclitaxel + Gemcitabine | 27.39 |
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Progression-free Survival
Progression-free survival was defined as the time from enrollment in the study to the first documented disease progression using Response Evaluation Criteria In Solid Tumors (RECIST) or death from any cause, whichever occurred first. (NCT00846027)
Timeframe: Baseline to the end of the study (up to 2 years 10 months)
Intervention | Months (Median) |
---|
Bevacizumab + Paclitaxel + Gemcitabine | 11.51 |
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Percentage of Participants With an Objective Response
An objective response was defined as a complete or partial response determined on 2 consecutive occasions ≥ 4 weeks apart using Response Evaluation Criteria in Solid Tumors (RECIST). Complete response was defined as the disappearance of all target and non-target lesions. Any pathological lymph nodes (whether target or non-target) must be < 10 mm on the short axis. Partial response was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum. (NCT00846027)
Timeframe: Baseline to the end of the study (up to 2 years 10 months)
Intervention | Percentage of participants (Number) |
---|
Bevacizumab + Paclitaxel + Gemcitabine | 72.37 |
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Duration of the Objective Response
Duration of the objective response is defined as the time from a complete or partial response to disease progression or death due to disease. (NCT00846027)
Timeframe: Baseline to the end of the study (up to 2 years 10 months)
Intervention | Months (Median) |
---|
Bevacizumab + Paclitaxel + Gemcitabine | 12.39 |
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The Pathologic Response Rate (is defined as the absence of muscle invasive carcinoma (NCT00847015)
Timeframe: 2 years
Intervention | percentage of participants (Number) |
---|
Gemcitabine, Cisplatin, and Sunitinib | 33 |
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The Time to Disease Progression in Patients With Muscle Invasive Urothelial Carcinoma of the Bladder Treated With Neoadjuvant GCS Followed by Radical Cystectomy.
The time to disease progression is measured from the time of initiation of chemotherapy until the first date that systemic recurrence is objectively documented. Systemic recurrence for this trial is defined as either metastatic or local pelvic recurrence. (NCT00847015)
Timeframe: 2 years
Intervention | months (Median) |
---|
Gemcitabine, Cisplatin, and Sunitinib | 10 |
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The Pathologic Complete Response Rate (Complete pathologic response to neoadjuvant GCS is the primary endpoint is defined as the absence of carcinoma (pT0 disease) and the absence of microscopic lymph node metastases (N0) on the final cystectomy specimen. (NCT00847015)
Timeframe: 2 years
Intervention | percentage of participants (Number) |
---|
Gemcitabine, Cisplatin, and Sunitinib | 6.67 |
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Safety Profile
Evaluate the safety profile of Neoadjuvant Cisplatin, Gemcitabine, Sunitinib Malate + Radical Cystectomy in participants with TCC (NCT00859339)
Timeframe: 18 months
Intervention | participants (Number) |
---|
| Perioperative bleeding | neutropenia | neutropenic fever | thrombocytopenia | anemia | nausea/emesis | syncope | myocardial infarction | fatigue |
---|
CGS + Radical Cystectomy | 4 | 2 | 1 | 1 | 1 | 3 | 2 | 1 | 1 |
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Pathological Complete Response (pCR) Rate.
number of participants with a pCR (NCT00859339)
Timeframe: 18 months
Intervention | particpants with pCR (Number) |
---|
CGS + Radical Cystectomy | 2 |
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Best Response
Radiologic response by RECIST criteria will be compared between baseline and at 2 months. Disease assessment: Two objective status determinations of CR before progression are required for a best response of CR. Two determinations of PR or better before progression, but not qualifying for a CR, are required for a best response of PR. Two determinations of stable/no response or better before progression, but not qualifying as CR or PR are required for a best response of stable/no response. (NCT00859469)
Timeframe: Two months
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease |
---|
Oxaliplatin and Gemcitabine | 0 | 7 | 11 | 11 |
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Progression-free Survival
Time to radiologic disease progression or death (NCT00859469)
Timeframe: 50 months
Intervention | months (Median) |
---|
Oxaliplatin and Gemcitabine | 5 |
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Overall Survival
(NCT00859469)
Timeframe: 50 months
Intervention | months (Median) |
---|
Oxaliplatin and Gemcitabine | 8 |
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Tumor Best Response Rate
The best response rate will include patients with both Complete Response and Partial Response after 2 months of treatment. 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. (NCT00860015)
Timeframe: Two months
Intervention | Participants (Count of Participants) |
---|
Alimta/Gemcitabine | 0 |
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Number of Subject With Complete Response
Per standard lymphoma response criteria (Cheson): Complete Response (CR), 1. Complete disappearance of all detectable clinical and radiographic evidence of disease and disappearance of all disease related symptoms if present before therapy, with normalization of LDH if elevated prior to therapy. 2. All lymph nodes and masses must regress to normal size (<1.5 cm in greatest transverse diameter if >1.5 cm prior to treatment). 3. The spleen, if enlarged prior to therapy, must have regressed to normal size. 3. If bone marrow was involved by lymphoma, it must be cleared as documented by biopsy at the same location. (NCT00863369)
Timeframe: Up to 1 year
Intervention | Participants (Count of Participants) |
---|
Dose Level 1 Tx Schema I - Velcade 1.0 mg/m2, Gemcitabine 1000 mg/m2 | 1 |
Dose Level Tx Schema I -1 - Velcade 1.0 mg/m2, Gemcitabine 800 mg/m2 | 0 |
Dose Level 3B Tx Schema II - Velcade 1.0 mg/m2, Gemcitabine 800 mg/m2 | 0 |
Dose Level 4B Tx Schema II - Velcade 1.3 mg/m2, Gemcitabine 800 mg/m2 | 0 |
Dose Level 5B Tx Schema II - Velcade 1.3 mg/m2, Gemcitabine 1000 mg/m2 | 1 |
Dose Level 5B Tx Schema II - Velcade 1.3 mg/m2, Gemcitabine 1000 mg/m2, Rituximab 375 mg/m2 | 1 |
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Number of Participants With at Least One Dose Limiting Toxicity (DLT)
Adverse events were graded by NCI CTCAE, Version 3.0. DLT defined as grade 4 thrombocytopenia, or grade 3 thrombocytopenia lasting greater than 7 days. Grade 4 neutropenia lasting 7 days or more despite use of growth factors. Febrile neutropenia only is it occurs after 7 days of neutropenia. Any grade 3 or higher non-hematologic toxicity related to the study drug, with the exception of alopecia, inadequately treated nausea, vomiting and/or diarrhea and fatigue. (NCT00863369)
Timeframe: 28 days from start of treatment, up to 2 years.
Intervention | Participants (Count of Participants) |
---|
Dose Level 1 Tx Schema I - Velcade 1.0 mg/m2, Gemcitabine 1000 mg/m2 | 3 |
Dose Level Tx Schema I -1 - Velcade 1.0 mg/m2, Gemcitabine 800 mg/m2 | 1 |
Dose Level 3B Tx Schema II - Velcade 1.0 mg/m2, Gemcitabine 800 mg/m2 | 0 |
Dose Level 4B Tx Schema II - Velcade 1.3 mg/m2, Gemcitabine 800 mg/m2 | 0 |
Dose Level 5B Tx Schema II - Velcade 1.3 mg/m2, Gemcitabine 1000 mg/m2 | 0 |
Dose Level 5B Tx Schema II - Velcade 1.3 mg/m2, Gemcitabine 1000 mg/m2, Rituximab 375 mg/m2 | 0 |
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Recommended Phase II Dose
The maximum tolerated dose (MTD) of Gemcitabine in combination with 1.3 mg/m2 of velcade on days 1 and 15 is based on toxicities observed during the first cycle and is defined as the highest dose tested in which fewer than 33% of patients experience an attributable DLT to the study drug, when at least 6 patients are treated at that dose and are evaluable for toxicity. Dose escalations proceeded according to a standard 3+3 design. (NCT00863369)
Timeframe: 28 days from start of treatment, up to 2 years.
Intervention | mg/m^2 (Number) |
---|
Treatment (Velcade, Gemcitabine Hydrochloride, Rituximab) | 1000 |
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Overall Survival (OS)
OS was defined as the duration from the date of randomization to the date of death from any cause. For participants who were alive, OS was censored at the date of last follow-up visit or at the date of last contact. (NCT00870870)
Timeframe: Randomization to death due to any cause or censor (up to 30.4 months)
Intervention | months (Median) |
---|
GCiC | 11.5 |
GCiC Plus Cixutumumab | 8.9 |
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Percentage of Participants With Complete Response (CR) or Partial Response (PR) [Objective Response Rate (ORR)]
ORR was defined as the percentage of participants achieving either CR or PR. Response was defined using Response Evaluation Criteria in Solid Tumors (RECIST), version (v) 1.0 criteria. CR was defined as the disappearance of all target and non-target lesions and the normalization of the tumour marker level. PR was defined as having at least a 30% decrease in sum of longest diameter (LD) of target lesions, taking as reference the baseline sum LD. Percentage of participants is calculated as a total number of participants with CR or PR / total number of participants treated * 100. (NCT00870870)
Timeframe: Randomization to measured progressive disease (PD) (up to 16.9 months)
Intervention | percentage of participants (Number) |
---|
Gemcitabine/Cisplatin/Cetuximab (GCiC) | 31.0 |
GCiC Plus Cixutumumab | 20.0 |
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Progression-Free Survival (PFS)
PFS was defined as the duration from the date of randomization until disease progression or death due to any cause, whichever occurred first. Response was defined using RECIST, v 1.0 criteria. PD was defined as having a ≥20% increase in sum of LD of target lesions or the appearance of new lesions and/or unequivocal progression of non-target lesions. For participants who were alive and without disease progression, PFS was censored at the date of last objective tumor assessment. For participants who did not experience disease progression and were lost to follow-up, PFS was censored at the date of the last objective tumor assessment or the date of last contact. (NCT00870870)
Timeframe: Randomization to PD or death due to any cause or censor (up to 16.9 months)
Intervention | months (Median) |
---|
GCiC | 4.2 |
GCiC Plus Cixutumumab | 5.6 |
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Time To Progression (TTP)
TTP was defined as the duration from the date of randomization until the date of disease progression. Response was defined using RECIST v 1.0 criteria. PD was defined as having a ≥20% increase in the sum of LD of target lesions or the appearance of new lesions and/or unequivocal progression of non-target lesions. For participants without disease progression, TTP was censored at the date of last objective tumor assessment. For participants without disease progression and were subsequently lost to follow-up, TTP was censored at the date of last follow-up visit or at the date of last contact. (NCT00870870)
Timeframe: Randomization to months until PD or censor (up to 16.9 months)
Intervention | months (Median) |
---|
GCiC | 5.8 |
GCiC Plus Cixutumumab | 5.7 |
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Duration of Response
The duration of CR or PR was defined as the time from first objective status assessment of CR or PR to the first time of disease progression or death. Response was defined using RECIST v 1.0 criteria. CR was defined as the disappearance of all target lesions and non-target lesions. PR was defined as having at least a 30% decrease in sum of LD of target lesions. Duration of response was censored on the date of last tumor assessment for participants who were alive and have no evidence of disease progression. (NCT00870870)
Timeframe: Date of first response to the date of PD or death due to any cause or censor ( up to 15.5 months)
Intervention | months (Median) |
---|
GCiC | 4.8 |
GCiC Plus Cixutumumab | 4.8 |
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Number of Participants With Adverse Events (AEs) or Deaths
Data presented are the number of participants who experienced 1 or more AEs, serious AEs (SAEs), and AEs that lead to death during the study including the 30-day follow-up. A summary of SAEs and other non-serious AEs, regardless of causality is located in the Reported Adverse Events section of this report. (NCT00870870)
Timeframe: Randomization to last dose of study medication (up to 11.7 months) plus 30-day safety follow-up
Intervention | Participants (Count of Participants) |
---|
| AEs | SAEs | Deaths Due to AEs |
---|
GCC Plus Cixutumumab | 6 | 5 | 1 |
,GCiC Plus Cixutumumab | 25 | 15 | 1 |
,Gemcitabine/Carboplatin/Cetuximab (GCC) | 4 | 4 | 1 |
,Gemcitabine/Cisplatin/Cetuximab (GCiC) | 29 | 20 | 4 |
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Percentage of Participants Alive at the End of Study-Overall and Among Different Subgroups
(NCT00883779)
Timeframe: Randomization until death (assessed at baseline and every 8 weeks thereafter until death or end of study [up to approximately 5.5 years])
Intervention | percentage of participants (Number) |
---|
| Overall participants (n=225,226) | Adenocarcinoma (n=168,174) | Non-adenocarcinoma (n=57,52) | Never smoked (n=107,112) | Current/former smoker (n=118,114) | EGFR mutation (n=48,49) | EGFR wild-type (n=67,69) | KRAS mutation (n=11,10) | KRAS wild-type (n=101,101) | EGFR IHC positive (n=36,40) | EGFR IHC negative (n=25,12) | EGFR FISH positive (n=20,14) | EGFR FISH negative (n=23,25) |
---|
Erlotinib | 15.9 | 19.5 | 3.8 | 23.2 | 8.8 | 30.6 | 10.1 | 20.0 | 17.8 | 25.0 | 33.3 | 42.9 | 16.0 |
,Placebo | 13.3 | 14.9 | 8.8 | 13.1 | 13.6 | 22.9 | 7.5 | 0.0 | 14.9 | 11.1 | 8.0 | 10.0 | 13.0 |
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Time to Deterioration in TOI Using FACT-L Version 4.0
"Time to deterioration in TOI is defined as time from randomization until the earlier of a clinically meaningful decline from baseline in TOI or death on study. TOI is defined as the sum of the scores of the PWB, FWB, and LCS. PWB, FWB, and LCS scores were obtained from 7-item questionnaires from the FACT-L (Version 4.0). Participants responded to questions on a 5-point scale from 0-4, where 0 = not at all and 4 = very much. The participants' responses were summed to result in an overall score, scores range on a scale of 0 to 84; higher score indicates better physical aspects of QoL. A clinically meaningful decline used to determine deterioration in TOI was ≥6-point decline from baseline. Participants without deterioration in TOI at the time of analysis were censored at the time of the last FACT-L assessment. Analysis was performed using Kaplan-Meier method." (NCT00883779)
Timeframe: Baseline, Day 1 of Cycles 3 and 5, Day 1 of post-study Visits 1 and 2 until end of study medication administration or PD (up to approximately 1.5 years)
Intervention | months (Median) |
---|
Placebo | 5.6 |
Erlotinib | 6.3 |
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Duration of Response
Duration of response is defined as the time between the date of first documented response (CR or PR, as determined by the RECIST criteria) and the date of first documented PD or death. Participants who did not progress or die after they had a confirmed response (CR or PR) were censored at the date of their last tumor assessment where non-progression was documented or last date of follow-up for progression of disease, whichever was last. CR and PR are defined in Outcome Measure 7. (NCT00883779)
Timeframe: Randomization until PD or death (assessed at baseline and every 8 weeks thereafter until PD, death or end of study [up to approximately 1.5 years])
Intervention | months (Median) |
---|
Placebo | 5.6 |
Erlotinib | 10.3 |
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Time to Progression
Time to progression is defined as the time between the date of randomization and the date of the first documented disease progression. Participants who have not progressed at the time of study completion (or data cut off) or who were lost to follow up were censored at the date of the last tumor assessment where non-progression was documented or last date of follow-up for progression of disease, whichever was latest. PD 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 1 or more new lesions. Participants with no post baseline tumor assessments were censored at the time of randomization. Analysis was performed using Kaplan-Meier method. (NCT00883779)
Timeframe: Randomization until PD (assessed at baseline and every 8 weeks thereafter until PD or end of study [up to approximately 1.5 years])
Intervention | months (Median) |
---|
Placebo | 6.5 |
Erlotinib | 7.9 |
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Time to Deterioration in QOL Using FACT-L Version 4.0
"Time to deterioration in QoL is defined as time from randomization until the earlier of a clinically meaningful decline from baseline in Total FACT-L or death on study. Total FACT-L score was defined as the sum of the TOI, SWB and EWB of the FACT-L questionnaires. TOI (PWB + FWB + LCS), SWB and EWB scores were obtained from 7-item (6-item in the case of EWB) questionnaires from the FACT-L (Version 4.0). Participants responded to questions on a 5-point scale from 0-4, where 0 = not at all and 4 = very much. The participants' responses were summed to result in an overall score, scores range on a scale of 0 to 136; higher score indicates better QoL. A clinically meaningful decline used to determine deterioration in QoL was ≥6-point decline from baseline. Participants without deterioration in QoL at the time of analysis were censored at the time of the last FACT-L assessment. Analysis was performed using Kaplan-Meier method." (NCT00883779)
Timeframe: Baseline, Day 1 of Cycles 3 and 5, Day 1 of post-study Visits 1 and 2 until end of study medication administration or PD (up to approximately 1.5 years)
Intervention | months (Median) |
---|
Placebo | 4.5 |
Erlotinib | 5.6 |
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Non-Progression Rate: Percentage of Participants With a Confirmed Best Overall Response of Either Complete Response (CR) or Partial Response (PR) or Stable Disease (SD) for At Least 16 Weeks
Tumor response was evaluated according to RECIST (version 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 at least a 30% decrease in the sum of the LD of target lesions, taking as reference the screening sum LD; SD for target lesions is defined as 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 and SD for non-target lesions defined as persistence of 1 or more non-target lesion(s) or/and maintenance of tumor marker level above the normal limits. Responses were confirmed with repeated assessment 4 weeks after initial response was observed. (NCT00883779)
Timeframe: Randomization until PD or death (assessed at baseline and every 8 weeks thereafter until PD, death or end of study [up to approximately 1.5 years])
Intervention | percentage of participants (Number) |
---|
Placebo | 64.4 |
Erlotinib | 67.3 |
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Objective Response Rate: Percentage of Participants With a Confirmed Best Overall Response of CR or PR
Tumor response was evaluated according to RECIST (version 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 at least a 30% decrease in the sum of the LD of target lesions, taking as reference the screening sum LD. Responses were confirmed with repeated assessment 4 weeks after initial response was observed. (NCT00883779)
Timeframe: Randomization until PD or death (assessed at baseline and every 8 weeks thereafter until PD, death or end of study [up to approximately 1.5 years])
Intervention | percentage of participants (Number) |
---|
Placebo | 17.8 |
Erlotinib | 42.9 |
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Percentage of Participants Alive and Free From Disease Progression
Tumor response was evaluated according to RECIST (version 1.0). PD 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 1 or more new lesions. (NCT00883779)
Timeframe: Randomization until PD or death (assessed at baseline and every 8 weeks thereafter until PD, death or end of study [up to approximately 1.5 years])
Intervention | percentage of participants (Number) |
---|
Placebo | 6.2 |
Erlotinib | 22.6 |
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Percentage of Participants With Deterioration in Quality of Life (QOL) Using FACT-L Version 4.0
"Total FACT-L score was defined as the sum of the TOI, Social Well Being (SWB) and EWB of the FACT-L questionnaires. TOI (PWB + FWB + LCS), SWB and EWB scores were obtained from 7-item (6-item in the case of EWB) questionnaires from the FACT-L (Version 4.0). Participants responded to questions on a 5-point scale from 0-4, where 0 = not at all and 4 = very much. The participants' responses were summed to result in an overall score, scores range on a scale of 0 to 136; higher score indicates better QoL. A clinically meaningful decline used to determine deterioration in QoL was ≥6-point decline from baseline. Participants without deterioration in QoL at the time of analysis were censored at the time of the last FACT-L assessment." (NCT00883779)
Timeframe: Baseline, Day 1 of Cycles 3 and 5, Day 1 of post-study Visits 1 and 2 until end of study medication administration or PD (up to approximately 1.5 years)
Intervention | percentage of participants (Number) |
---|
Placebo | 79.6 |
Erlotinib | 70.4 |
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Percentage of Participants With Deterioration in Trial Outcome Index (TOI) Using FACT-L Version 4.0
"TOI was defined as the sum of the scores of the Physical Well-Being (PWB), Functional Well-Being (FWB), and LCS. PWB, FWB, and LCS scores were obtained from 7-item questionnaires from the FACT-L (Version 4.0). Participants responded to questions on a 5-point scale from 0-4, where 0 = not at all and 4 = very much. The participants' responses were summed to result in an overall score, scores range on a scale of 0 to 84; higher score indicates better physical aspects of quality of life (QoL). A clinically meaningful decline used to determine deterioration in TOI was greater than or equal to (≥) 6-point decline from baseline. Participants without deterioration in TOI at the time of analysis were censored at the time of the last FACT-L assessment." (NCT00883779)
Timeframe: Baseline, Day 1 of Cycles 3 and 5, Day 1 of post-study Visits 1 and 2 until end of study medication administration or PD (up to approximately 1.5 years)
Intervention | percentage of participants (Number) |
---|
Placebo | 75.6 |
Erlotinib | 65.9 |
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Percentage of Participants With Symptomatic Progression Assessed Using the Lung Cancer Subscale (LCS)
"LCS scores were obtained from a 7-item questionnaire from the Functional Assessment of Cancer Therapy - Lung (FACT-L) (version 4.0). Participants responded to questions such as shortness of breath, cough, tightness in chest, breathing difficulty, appetite loss, weight loss and unclear thinking; on a 5-point scale from 0-4, where 0 equaled (=) not at all and 4 = very much. The participants' responses were summed to result in an overall score, scores range on a scale of 0 (most symptomatic) to 28 (asymptomatic); higher score indicates fewer symptoms. A clinically meaningful decline used to determine symptomatic progression in this study was at least a three point decline in LCS score from baseline. Participants without symptomatic progression at the time of analysis were censored at the time of the last FACT-L assessment." (NCT00883779)
Timeframe: Baseline, Day 1 of Cycles 3 and 5, Day 1 of post-study Visits 1 and 2 until end of study medication administration or PD (up to approximately 1.5 years)
Intervention | percentage of participants (Number) |
---|
Placebo | 72.4 |
Erlotinib | 66.4 |
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Time to Symptomatic Progression
"Time to symptomatic progression was the time from randomization until the earlier of a clinically meaningful decline from baseline in LCS score, or death on study. LCS scores were obtained from a 7-item questionnaire from the FACT-L (version 4.0). Participants responded to questions such as shortness of breath, cough, tightness in chest, breathing difficulty, appetite loss, weight loss and unclear thinking; on a 5-point scale from 0-4, where 0 = not at all and 4 = very much. The participants' responses were summed to result in an overall score, scores range on a scale of 0 (most symptomatic) to 28 (asymptomatic); higher score indicates fewer symptoms. A clinically meaningful decline used to determine symptomatic progression in this study was at least a three point decline in LCS score from baseline. Participants without symptomatic progression at the time of analysis were censored at the time of the last FACT-L assessment. Analysis was performed using Kaplan-Meier method." (NCT00883779)
Timeframe: Baseline, Day 1 of Cycles 3 and 5, Day 1 of post-study Visits 1 and 2 until end of study medication administration or PD (up to approximately 1.5 years)
Intervention | months (Mean) |
---|
Placebo | 6.6 |
Erlotinib | 7.2 |
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Overall Objective Response
Overall Objective Response will be evaluated in this study using the new international criteria proposed by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1) (NCT00887809)
Timeframe: 6 months
Intervention | participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Progression of Disease (POD) |
---|
Gemcitabine, Docetaxel, Bevacizumab | 0 | 9 | 23 | 1 |
,Gemcitabine, Docetaxel, Placebo | 1 | 1 | 7 | 1 |
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Progression-free Survival (PFS)
Measured from Day 1 of study drug administration to disease progression - defined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 as a 20% increase in the sum of the longest diameter of target lesions and/or appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions (NCT00894504)
Timeframe: every 6 weeks until treatment discontinuation
Intervention | Months (Median) |
---|
Panitumumab/Gemcitabine/Carboplatin | 4.4 |
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Objective Response Rate and Clinical Benefit Rate
Estimated as the proportion of subjects who meet the criteria for complete or partial response (CR or PR) per Response Evaluation Criteria in Solid Tumors (RECIST) v 1.1 - for target lesions assessed by MRI: Complete Response (CR) is defined as disappearance of all target lesions; Partial Response (PR) is defined as >=30% decrease in the sum of the longest diameter of target lesions. (NCT00894504)
Timeframe: every 6 weeks until treatment discontinuation
Intervention | Participants (Number) |
---|
| Clinical benefit rate (CR + PR + SD>6 months) | Objective response rate (CR + PR) |
---|
Panitumumab/Gemcitabine/Carboplatin | 32 | 30 |
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Correlation of Biomarker Expressions of EGFR, K-ras, p53, PTEN Expression, and PI3K in Triple-negative Breast Cancer With Response to Treatment With the Combination of Gemcitabine, Carboplatin, and Panitumumab
Median PFS (95% CI), months, reported by biomarker expression/mutation status for: EGFR, p53, PTEN, PIK3CA, KRAS (NCT00894504)
Timeframe: 18 months
Intervention | months (Median) |
---|
EGFR Normal | 4.57 |
EGFR Amplified | 3.42 |
p53 Normal | 4.16 |
p53 Loss | 5.32 |
PTEN Normal | 4.4 |
PTEN Loss | 2.91 |
PIK3CA No Mutation | 4.37 |
PIK3CA Mutation(s) | 4.73 |
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Vorinostat Maximum Tolerated Dose (MTD) [Phase Ib]
The Vorinostat MTD 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 no DLTs are observed, the MTD is not reached. (NCT00910000)
Timeframe: The DLT observation period in determining the MTD was the 21-day cycle 1 length.
Intervention | mg/day (Number) |
---|
All Phase Ib Participants | NA |
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Response
Response was based on RECIST 1.0 criteria. Per RECIST 1.0 for target lesions, complete response (CR) is complete disappearance of all target lesions and 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. Progressive disease (PD) is at least a 20% increase in sum LD from the smallest LD recorded on treatment. Stable disease (SD) is neither sufficient increase to qualify as PD nor sufficient shrinkage to qualify for PR. For CR or PR, changes in tumor measurements must be confirmed by repeat assessments performed 4 weeks +/- 2 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. Participants who received therapy but did not have their disease re-evaluated were considered unevaluable. (NCT00910000)
Timeframe: Disease was assessed radiographically (CT or MRI scan) every 2 cycles on treatment; Phase Ib participants received up to 8 cycles of treatment. The median number of cycles started was 2 (range 1-8).
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Unevaluable |
---|
Dose Level 1A | 0 | 3 | 0 | 0 | 0 |
,Dose Level 1B | 0 | 0 | 0 | 0 | 3 |
,Dose Level 1C | 0 | 1 | 0 | 0 | 1 |
,Dose Level 1D | 0 | 2 | 0 | 0 | 1 |
,Dose Level 2A | 0 | 0 | 1 | 0 | 2 |
,Dose Level 2D | 0 | 0 | 0 | 0 | 1 |
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Dose Limiting Toxicity (DLT) [Phase Ib]
"Dose-limiting toxicity was based on the Common Terminology Criteria for Adverse Events version 3.0 (CTCAE v3.0) and defined as any of the following:~Any CTCAE grade 3 or 4 non-hematologic event except manageable gastrointestinal toxicity and fatigue.~Any of the following hematologic events (excluding neutropenia lasting < 5 days):~i) febrile neutropenia defined as grade 3-4 neutropenia with fever ≥ 38.5°C and/or infection.~ii) any grade 4 neutropenia lasting 5 days or more. iii) grade 4 thrombocytopenia (plt count < 25x 109/L) iv) failure of ANC to recover to ≥ 1000/μL or platelets to recover to ≥ 50,000/μL within 14 days of therapy v) grade 4 anemia~Any clinically significant abnormal laboratory value that results in dose delay of >14 days.~<75% of vorinostat dosing taken by the patient during the first cycle due to any toxicity." (NCT00910000)
Timeframe: The DLT observation period in determining the MTD was the 21-day cycle 1 length.
Intervention | participants with DLT (Number) |
---|
Dose Level 1A | 0 |
Dose Level 2A | 2 |
Dose Level 1B | 2 |
Dose Level 1C | 2 |
Dose Level 1D | 0 |
Dose Level 2D | 1 |
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Progression-Free Survival
Progression free survival will be calculated from study entry to documented disease progression, death from any cause, or drop out due to toxicity, whichever occurs first. (NCT00919061)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Gemcitabine and Cisplatin Plus Sorafenib | 51 |
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Number of Participants With Serious and Non-Serious Adverse Events
Here is the number of participants with adverse events assessed by the Common Terminology Criteria in Adverse Events (CTCAE v3.0). 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. For the detailed list of adverse events see the adverse event module. (NCT00924209)
Timeframe: Date treatment consent signed to date off study, approximately 38 months
Intervention | Participants (Count of Participants) |
---|
Stage IIIA Lung Cancer Patients | 7 |
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Tumor Response Rates Using Modified SWOG Criteria to the Combination of Gleevec and Gemzar in Patients With Relapsed Ovarian Cancer Who Have Failed at Least One Prior Chemotherapy Treatment.
"Best response to thearpy was assessed using modified SWOG criteria (same as for outcome masure #1). Subjects were assess as complete response, partial response, stable disease, and progressive disease after 2 cycles (6 weeks) of beginning treatment and every 6 weeks afterward until progression of disease, unacceptable toxicity, or subject withdrawl from study.~the measurement reported is the number of patients who met the criteria for partial response." (NCT00928642)
Timeframe: Subjects treated until progression of disease or unacceptable toxicity. no maximum dose was specified
Intervention | participants (Number) |
---|
Oral Imatinib Plus IV Gemcitabine | 0 |
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To Estimate the Clinical Response Rate(Partial and Complete Response as Defined Under the SWOG Criterial)
"Using SWOG criteria for response of measurable disease, subject best response was assessed. First assessment was 6 weeks after starting treatment. Subjequent evaluations were every 6 weeks in patients who remained on study.~Repsonse rate was the sum of Complete Repsonse and Partial Response." (NCT00928642)
Timeframe: until disease progression or unacceptable toxicity
Intervention | participants (Number) |
---|
Treatment | 0 |
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To Determine the Safety and Tolerability Via Frequency and Severity of Adverse Effect of Combination Gleevec and Gemzar in This Cohort of Patients as Assessed Byt Common Toxicity Criteria
Toxicity was assess prior to each cycle of therapy (every 3 weeks) and graded based on NCI common toxicity criteria (NCT00928642)
Timeframe: Until disease progression or unacceptable toxicity
Intervention | participants (Number) |
---|
| Grade 3 toxicity | Grade 4 toxicity | Red Blood Cell Transfusion |
---|
Oral Imatinib Puls IV Gemcitabine | 3 | 1 | 1 |
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To Determine the Distribution of the Overall Survival
All subjects were followed after treatment was complete to assess overall survival. (NCT00928642)
Timeframe: Until death
Intervention | months (Median) |
---|
Treatment | 9 |
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The Cystostatic, Anti-tumor Activity of the Combination of Gleevec and Gemzar Via Progression-free Survival for at Least Six Months in Patients With Recurrent or Persistent Epithelial Ovarian or Primary Peritoneal Carcinoma.
Progression free survival at six months was assessed for all research subjects. Progression defined by SWOG criteria: Invest New Drugs. 1992 Nov;10(4):239-53. Progression is defined as > 50% increase in the sume of measured cross sectional area of areasa of measurable disease, measured from the lowest measured amount of disease. Progression is also defined as new areas of measurabe disease. (NCT00928642)
Timeframe: Time to progression was measured from enrollment in study until documented disease progression over a period not greater than 2 years.
Intervention | participants (Number) |
---|
Oral Imatinib Plus Gemcitabine | 0 |
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Percentage of Participants With Non-Progression at Weeks 8 and 16
Non-progression was defined as CR, PR, or stable disease according to RECIST V 1.0: for TLs, CR was defined as the disappearance of all TLs, PR was defined as at least a 30% decrease in the SLD of TLs taking as reference the BL SLD, and SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest SLD recorded since the start of treatment. For NTLs, CR was defined as the disappearance of all NTLs and normalization of tumor marker levels, and SD was defined as the persistence of 1 or more NTLs and/or maintenance of tumor marker levels above the normal limits. The 95% CI for one-sample binomial was determined using the Pearson-Clopper method. (NCT00940875)
Timeframe: Weeks 8 and 16
Intervention | percentage of participants (Number) |
---|
| Week 8 | Week 16 |
---|
Gemcitabine + Erlotinib | 38.5 | 11.5 |
,Gemcitabine Monotherapy | 50.0 | 25.0 |
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PFS
The median time, in weeks, between randomization and PFS event. Participants without documented PD were censored at the date of last tumor assessment, the last date recorded in the drug log, or the last date of follow-up the participant was known to be progression free, whichever was last. Participants without a post-BL tumor assessment who were known to be alive were censored at the date of randomization. PFS was estimated by using Kaplan-Meier methodology. (NCT00940875)
Timeframe: BL, Day 22 of Cycles 2, 4, and 6 (28-day cycles), every 2 months thereafter until disease progression, participant withdrawal, or study termination (up to 2 years)
Intervention | weeks (Median) |
---|
Gemcitabine Monotherapy | 8.0 |
Gemcitabine + Erlotinib | 10.3 |
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Percentage of Participants With Disease Progression or Death
Progression-free survival (PFS) was defined as the time from randomization to the date of first documentation of progressive disease (PD), according to Response Evaluation Criteria in Solid Tumors (RECIST) version (V) 1.0, or date of death from any cause. PD was defined for target lesions (TLs) as at least a 20 percent (%) increase in the sum of the longest diameter (SLD), taking as reference the smallest SLD recorded since the start of treatment, and for non-target lesions (NTLs) as unequivocal progression of NTLs. Participants without documented PD were censored at the date of last tumor assessment, the last date recorded in the drug log, or the last date of follow-up the participant was known to be progression free, whichever was last. Participants without a post-Baseline (BL) tumor assessment who were known to be alive were censored at the date of randomization. (NCT00940875)
Timeframe: BL, Day 22 of Cycles 2, 4, and 6 (28-day cycles), every 2 months thereafter until disease progression, participant withdrawal, or study termination (12 months after randomization of the last participant).
Intervention | percentage of participants (Number) |
---|
Gemcitabine Monotherapy | 96.4 |
Gemcitabine + Erlotinib | 96.2 |
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Percentage of Participants Who Died
(NCT00940875)
Timeframe: BL, Days 1, 8, and 15 of Cycles 1-6 (28-day cycles), every 28 days thereafter until death, participant withdrawal, or study termination up to 2 years.
Intervention | percentage of participants (Number) |
---|
Gemcitabine Monotherapy | 92.9 |
Gemcitabine+ Erlotinib | 76.9 |
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Percentage of Participants Who Achieved Confirmed Complete Response (CR) or Partial Response (PR) According to RECIST V 1.0
As per RECIST V 1.0: for TLs, CR was defined as the disappearance of all TLs, and PR was defined as at least a 30% decrease in the SLD of TLs taking as reference the BL SLD. For NTLs, CR was defined as the disappearance of all NTLs and normalization of tumor marker levels. The 95% confidence interval (CI) for one-sample binomial was determined using the Pearson-Clopper Method. (NCT00940875)
Timeframe: BL, Day 22 of Cycle 2, 4, and 6 (28-day cycles), every 2 months thereafter until disease progression, participant withdrawal, or study termination (12 months after randomization of the last participant).
Intervention | percentage of participants (Number) |
---|
Gemcitabine Monotherapy | 7.1 |
Gemcitabine + Erlotinib | 3.8 |
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Overall Survival (OS)
OS was defined as the median time, in weeks, between randomization and death due to any cause. Participants without documented death were censored at the last date recorded in the drug log, or the last date of follow-up the participant was known to be alive, whichever was last. Participants without a post-BL assessment who were known to be alive were censored at the date of randomization. OS was estimated using Kaplan-Meier methodology. (NCT00940875)
Timeframe: BL, Days 1, 8, and 15 of Cycles 1-6 (28-day cycles), every 28 days thereafter until death, participant withdrawal, or study termination up to 2 years.
Intervention | weeks (Median) |
---|
Gemcitabine Monotherapy | 21.3 |
Gemcitabine + Erlotinib | 17.1 |
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Overall Survival (OS)
Overall survival time is defined as the time from randomization to death due to any cause. The median and 95% confidence intervals are estimated using the Kaplan-Meier estimator.The stratified log-rank statistic will be the primary analysis to compare the two treatment arms on OS with the stratification factors: presence of visceral metastases (no, yes) and prior chemotherapy (no, yes). In addition, the proportional hazards model will be used to assess the importance of the treatment arm adjusting on patient characteristics, stratification variables and other important covariates in predicting OS. (NCT00942331)
Timeframe: From date of randomization to date of death due to any cause, assessed up to 7 years
Intervention | months (Median) |
---|
Arm II (GCB) | 14.5 |
Arm I (GCP) | 14.3 |
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Number of Patients Experiencing Grade 3+ Toxicity
The number of patients experiencing grade 3 or higher toxicity (adverse events considered at least possibly related to treatment) is reported below. (NCT00942331)
Timeframe: Up to 7 years
Intervention | Participants (Count of Participants) |
---|
Arm II (GCB) | 183 |
Arm I (GCP) | 163 |
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Objective Response
"Objective response is defined as confirmed complete and partial responses using Response Evaluation Criteria in Solid Tumors criteria. A complete response (CR) is defined as a disappearance of all target lesions. A partial response (PR) is defined as having at least a 30% decrease in the sum of the longest diameter of target lesions taking as reference the baseline sum.~In each arm, the number of patients reporting a CR or PR was divided by the number of patients evaluable in each arm to obtain the proportion." (NCT00942331)
Timeframe: Up to 7 years
Intervention | proportion of participants (Number) |
---|
Arm II (GCB) | 0.4 |
Arm I (GCP) | 0.36 |
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Progression-free Survival (PFS)
The primary analysis of PFS will be a two-sided stratified log-rank test comparing arm A and arm B. The stratification factors will consist of the two stratification factors used for patient randomization: prior nephrectomy (yes vs. no) and Motzer score (0 vs. 1-2 vs. 3+). Results from unstratified log-rank tests will also be provided. Kaplan-Meier methodology will be used to estimate median PFS for each treatment arm. (NCT00942331)
Timeframe: From the date of randomization to date of progression or death due to any cause, whichever occurs first, assessed up to 7 years
Intervention | months (Median) |
---|
Arm II (GCB) | 8.0 |
Arm I (GCP) | 6.7 |
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Progression Free Survival Rate at Five Months
(NCT00948935)
Timeframe: 5 months
Intervention | percentage of participants (Number) |
---|
Chemotherapy | 69 |
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Response Rate From Combination Chemotherapy
(NCT00948935)
Timeframe: 5 months
Intervention | Participants (Count of Participants) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Not Assessable |
---|
Chemotherapy | 2 | 9 | 15 | 2 | 7 |
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Part 2: Number of Participants With Each Type of Response Evaluation Criteria in Solid Tumors (RECIST)-Determined Overall Best Response
Overall best response was determined by RECIST criteria. Types of overall response could be: Complete Response (CR), Partial Response (PR), Stable Disease (SD), Progressive Disease (PD), Not Assessable (NA) or Incomplete Response/Stable Disease (IR/SD). (NCT00954512)
Timeframe: Up to ~30 days after the final dose of robatumumab (Up to ~14 months)
Intervention | Participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Progressive Disease (PD) | Not Assessable (NA) | Incomplete Response/Stable Disease (IR/SD) |
---|
Regimen A: FOLFIRI (± Cetuximab) + Robatumumab | 0 | 0 | 0 | 2 | 0 | 0 |
,Regimen B: Carboplatin + Paclitaxel + Robatumumab | 0 | 0 | 2 | 1 | 0 | 0 |
,Regimen D: Trastuzumab + Robatumumab | 0 | 0 | 1 | 1 | 0 | 0 |
,Regimen E: mTor Inhibitor (Everolimus) + Robatumumab | 0 | 0 | 2 | 1 | 0 | 0 |
,Regimen F: Gemcitabine (± Erlotinib) + Robatumumab | 0 | 0 | 1 | 1 | 0 | 0 |
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Part 1: Number of Participants Who Experienced One or More Adverse Events (AEs)
An AE is any unfavorable and unintended sign, symptom, or disease temporally associated with the use of study drug, whether or not considered related to this study drug. AEs may include the onset of new illness and the exacerbation of pre-existing conditions. (NCT00954512)
Timeframe: Up to ~30 days after the final dose of robatumumab (Up to ~14 months)
Intervention | Participants (Number) |
---|
Regimen A: FOLFIRI (± Cetuximab) + Robatumumab | 2 |
Regimen B: Carboplatin + Paclitaxel + Robatumumab | 3 |
Regimen D: Trastuzumab + Robatumumab | 2 |
Regimen E: mTor Inhibitor (Everolimus) + Robatumumab | 4 |
Regimen F: Gemcitabine (± Erlotinib) + Robatumumab | 4 |
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Phase I: Recommended Phase II Dose (RPTD) of the Combination of Sorafenib and GEMOX in Patients With Advanced Biliary Tract Cancer (BTC).
Establish the recommended phase II dose (RPTD) of the combination of sorafenib and GEMOX in patients with advanced biliary tract cancer (BTC). (NCT00955721)
Timeframe: First two 14-day Phase I cycles
Intervention | mg (Number) |
---|
| Gemcitabine | Oxaliplatin | Sorafenib |
---|
Phase 1: GEMOX + Sorafenib | NA | NA | NA |
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Progression Free Survival(PFS)
PFS is defined as time to death or first occurrence of documented disease progression assessed by the investigator as per the RECIST guidelines (at lease a 20% increase in the diameter of a lesion, in addition to an absolute increase of 5mm). If no deaths occur prior to progression, this measure will be the same as the median time to progression. (NCT00970684)
Timeframe: 1 year
Intervention | months (Median) |
---|
Bevacizumab, Docetaxel, and Gemcitabine | 5.6 |
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Best Response
The number of patients with a response will be assessed using the RECIST criteria of complete response (the disappearance of all target lesions); partial response (at least a 30% decrease in the diameter of lesions); progressive disease at least a 20% increase in the diameter of lesions); or stable disease(neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease) (NCT00970684)
Timeframe: 1 year
Intervention | participants (Number) |
---|
| Stable Disease | Partial Response | Progressive Disease |
---|
Bevacizumab, Docetaxel, and Gemcitabine | 2 | 9 | 1 |
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Progression-Free Survival (PFS)
PFS is defined as the time from randomization until the first radiographic documentation of objective measured progressive disease as defined by RECIST (Version 1.0), or death from any cause. Progressive Disease (PD) was defined as having at least a 20% increase in the sum of the longest diameter of target lesions. Participants who die without a reported prior progression were considered to have progressed on the day of their death. Participants who did not progress or were lost to follow-up were censored at the day of their last radiographic tumor assessment. If no baseline or postbaseline radiologic assessment was available, the participants were censored at the date of randomization. If death or PD occurs after two or more consecutive missing radiographic visits, censoring occurred at the date of the last radiographic visit prior to the missed visits. (NCT00981058)
Timeframe: Randomization to Measured Progressive Disease or Death from Any Cause (Up to 31 Months)
Intervention | months (Median) |
---|
Necitumumab + Gemcitabine + Cisplatin | 5.7 |
Gemcitabine + Cisplatin | 5.5 |
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Percentage of Participants Achieving Complete Response (CR) and Partial Response (PR) (Objective Response Rate [ORR])
ORR is confirmed best overall tumor response of CR or PR. According to RECIST v1.0, CR was defined as the disappearance of all target and non-target lesions. PR defined as a >=30% decrease in the sum of the longest diameters (LD) of the target lesions, taking as reference the baseline sum of the LD; Percentage of participants was calculated as: (total number of participants with CR or PR from start of the treatment until disease progression or recurrence)/total number of participants treated) * 100. (NCT00981058)
Timeframe: Baseline to Measured Progressive Disease (Up to 31 Months)
Intervention | percentage of participants (Number) |
---|
Necitumumab + Gemcitabine + Cisplatin | 31.2 |
Gemcitabine + Cisplatin | 28.8 |
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Time to Treatment Failure (TTF)
TTF is defined as the time from the date of randomization until the date of the first radiographic documentation of PD, death from any cause, discontinuation of treatment for any reason, or initiation of new cancer therapy. Participants who withdrew from the study for reasons other than progression or death were censored at the date of study withdrawal. Participants who did not meet any of the criteria for treatment failure were censored at their date of last contact in the study. (NCT00981058)
Timeframe: Randomization to Measured Progressive Disease, Death From Any Cause, Discontinuation of Treatment or Initiation of New Anticancer Therapy (Up to 31 Months)
Intervention | Months (Median) |
---|
Necitumumab + Gemcitabine + Cisplatin | 4.3 |
Gemcitabine + Cisplatin | 3.6 |
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Overall Survival Time (OS)
Overall survival is defined as the time from randomization to death from any cause. Participants who do not die at the end of the extended follow-up period, or were lost to follow-up during the study, were censored at the last date they were known to be alive. OS was estimated by the Kaplan-Meier method. (NCT00981058)
Timeframe: Randomization to Death from Any Cause (Up to 31 Months)
Intervention | Months (Median) |
---|
Necitumumab + Gemcitabine + Cisplatin | 11.5 |
Gemcitabine + Cisplatin | 9.9 |
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Mean Change From Baseline in Patient Reported Outcomes (PRO) Using the European Quality of Life-5 Dimension (EQ-5D)
The EQ-5D is a generic, multidimensional, health-related, quality-of-life instrument. The profile allows participants to rate their health state in 5 health domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression using a three level scale 1-3 (no problem, some problems, and major problems). These combinations of attributes were converted into a weighted health-state Index Score according to the United Kingdom (UK) population-based algorithm. The possible values for the Index Score ranged from -0.59 (severe problems in all 5 dimensions) to 1.0 (no problem in any dimension). (NCT00981058)
Timeframe: Baseline, Cycle 6 (Cycle = 3 Weeks)
Intervention | units on a scale (Mean) |
---|
Necitumumab + Gemcitabine + Cisplatin | -0.0053 |
Gemcitabine + Cisplatin | -0.0083 |
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Mean Change From Baseline in PRO Using the Outcomes Lung Cancer Symptom Scale (LCSS)
The LCSS consisted of 9 items: 6 items focused on lung cancer symptoms [loss of appetite, fatigue, cough, dyspnea (shortness of breath), hemoptysis (blood in sputum), and pain] and 3 items were global items (symptom distress, interference with activity level, and global quality of life). Participant responses to each item were measured using visual analogue scales (VAS) with 100-mm lines. A higher score for any item represented a higher level of symptoms/problems. Scores for each of the reported categories ranged from 0 (for best outcome) to 100 (for worst outcome). The Average Symptom Burden Index (ASBI) was the mean of the 6 symptom items of the LCSS, and the Total LCSS was the mean of all 9 LCSS items. ASBI and Total LCSS were not computed for a participant if he/she had 1 or more missing values for the 6 and 9 items, respectively. (NCT00981058)
Timeframe: Baseline, Cycle 6 (Cycle = 3 Weeks)
Intervention | millimeter (mm) (Mean) |
---|
| Loss of Appetite (n=304, 242) | Fatigue (n=302, 242) | Cough (n=303, 243) | Dyspnea (n=305, 244) | Pain (n=302, 243) | Overall Symptoms (n=303, 242) | Interference (n=306,241) | Quality of Life (n=305, 243) | Average Symptom Burden Index (ASBI) (n=294, 234) | LCSS Total Score (n=290, 228) |
---|
Gemcitabine + Cisplatin | 1.5 | 3.5 | -9.1 | -1.8 | -2.2 | -0.6 | 2.2 | -1.6 | -1.5 | -0.8 |
,Necitumumab + Gemcitabine + Cisplatin | 1.8 | 6.3 | -7.8 | -2.8 | -3.3 | -0.3 | 3.8 | -0.3 | -1.9 | -0.8 |
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Number of Participants With an Epidermal Growth Factor Hormone (EGFR) Protein Expression Measured by Immunohistochemistry (IHC)
EGFR IHC Histoscore H-score = weighted sum of % 1+ cells, twice % 2+ cells, and three times % 3+ cells. IHC H-score criteria was used to assess participants with a low EGFR expression defined by a H-score cutoff value of <200 and participants with a high EGFR expression defined by a H-score of cutoff value of >=200. (NCT00981058)
Timeframe: 31 Months
Intervention | participants (Number) |
---|
| 0 | >0 | <200 | ≥200 |
---|
Gemcitabine + Cisplatin | 23 | 473 | 313 | 183 |
,Necitumumab + Gemcitabine + Cisplatin | 24 | 462 | 295 | 191 |
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Pharmacokinetics (PK): Minimum Concentration (Cmin) of Necitumumab
(NCT00981058)
Timeframe: Day 1 of Cycle 2, 3, 4, 5 and 6 Prior to Necitumumab Drug Infusion, Up to 24 Months
Intervention | micrograms/milliliter (ug/mL) (Geometric Mean) |
---|
| Predose Cycle 2 Day 1 (n=419) | Predose Cycle3 Day 1 (n=386) | Predose Cycle 4 Day 1 (n=344) | Predose Cycle 5 Day 1 (n=297) | Predose Cycle 6 Day 1 (n=262) |
---|
Necitumumab + Gemcitabine + Cisplatin | 52.4 | 76.6 | 94.5 | 101 | 98.5 |
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Number of Participants With a Serum Anti-Necitumumab Antibody Assessment
A participant was considered to have an anti-Necitumumab antibody response if anti-drug antibodies (ADA) were detected at any time point. (NCT00981058)
Timeframe: Baseline through 31 Months
Intervention | participants (Number) |
---|
| Participants with at least 1 positive titer | Neutralizing antibody detected |
---|
Necitumumab + Gemcitabine + Cisplatin | 81 | 5 |
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Number of Participants Experiencing Toxicity Treated With Gemcitabine Every Two Weeks & 5-FU Given Concurrently With External Beam Radiation Therapy , Followed by Brachytherapy or SBRT Boost.
(NCT00983541)
Timeframe: Toxicity was assessed for each patient over the course of the study treatment and follow-up stage which together lasted 9 months. Only one patient was enrolled.
Intervention | participants (Number) |
---|
All Patients | 1 |
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Pharmacokinetic of Gemcitabine on Cycle 1 Day 8: Total Plasma Clearance Normalized to Body Surface Area (CL/BSA)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 8 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | L/hr/m^2 (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 157 |
Cabazitaxel + Gemcitabine Dose Level -1 | 62.8 |
Gemcitabine + Cabazitaxel Dose Level 0 | 143 |
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Pharmacokinetic of Gemcitabine on Cycle 1 Day 8: Total Plasma Clearance (CL)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 8 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | L/hr (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 262 |
Cabazitaxel + Gemcitabine Dose Level -1 | 110 |
Gemcitabine + Cabazitaxel Dose Level 0 | 252 |
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Pharmacokinetic of Gemcitabine on Cycle 1 Day 8: Time to Maximum Concentration (Tmax)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 8 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | hours (hr) (Median) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 0.52 |
Cabazitaxel + Gemcitabine Dose Level -1 | 0.45 |
Gemcitabine + Cabazitaxel Dose Level 0 | 0.47 |
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Pharmacokinetic of Gemcitabine on Cycle 1 Day 8: Terminal Half-life (t1/2z)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 8 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | hours (hr) (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 0.222 |
Cabazitaxel + Gemcitabine Dose Level -1 | 0.282 |
Gemcitabine + Cabazitaxel Dose Level 0 | 0.317 |
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Pharmacokinetic of Gemcitabine on Cycle 1 Day 8: Maximum Plasma Concentration Observed (Cmax)
"Blood samples for gemcitabine assay were collected on Day 8 of cycle 1 at the following timepoints:~Cabazitaxel + Gemcitabine: prior the start of infusion, immediately before the end of infusion, 15, 30 minutes, 1.5, 3.5 and 22.5 hours after the end of infusion;~Gemcitabine + cabazitaxel: prior the start of infusion, immediately before the end of infusion, 15, 30 minutes, 1, 1.5, 2.5, 9 and 23.5 hours after the end of infusion;~Gemcitabine plasma concentrations were determined using validated LC-MS/MS methods with a LLOQ of 50 ng/mL.~PK parameters were calculated from plasma concentrations using non-compartmental analysis." (NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 8 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | ng/ml (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 10200 |
Cabazitaxel + Gemcitabine Dose Level -1 | 34500 |
Gemcitabine + Cabazitaxel Dose Level 0 | 14100 |
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Pharmacokinetic of Gemcitabine on Cycle 1 Day 8: Area Under the Time Concentration Curve From Time 0 To the Real Time Tlast (AUClast)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 8 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | ng*hr/ml (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 5530 |
Cabazitaxel + Gemcitabine Dose Level -1 | 15300 |
Gemcitabine + Cabazitaxel Dose Level 0 | 7710 |
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Pharmacokinetic of Gemcitabine on Cycle 1 Day 8: Area Under the Time Concentration Curve (AUC)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 8 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | ng*hr/ml (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 6360 |
Cabazitaxel + Gemcitabine Dose Level -1 | 18500 |
Gemcitabine + Cabazitaxel Dose Level 0 | 7780 |
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Pharmacokinetic of Gemcitabine on Cycle 1 Day 1: Volume of Distribution at Steady State Normalized to Body Surface Area (Vss/BSA)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 1 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | L/m^2 (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 66.5 |
Cabazitaxel + Gemcitabine Dose Level -1 | 17.3 |
Cabazitaxel + Gemcitabine Dose Level -2 | 29.9 |
Gemcitabine + Cabazitaxel Dose Level 0 | 28.7 |
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Pharmacokinetic of Gemcitabine on Cycle 1 Day 1: Volume of Distribution at Steady State (Vss)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 1 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | L (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 135 |
Cabazitaxel + Gemcitabine Dose Level -1 | 28.9 |
Cabazitaxel + Gemcitabine Dose Level -2 | 47.0 |
Gemcitabine + Cabazitaxel Dose Level 0 | 51.6 |
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Pharmacokinetic of Gemcitabine on Cycle 1 Day 1: Total Plasma Clearance Normalized to Body Surface Area (CL/BSA)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 1 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | L/hr/m^2 (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 159 |
Cabazitaxel + Gemcitabine Dose Level -1 | 49.8 |
Cabazitaxel + Gemcitabine Dose Level -2 | 78.4 |
Gemcitabine + Cabazitaxel Dose Level 0 | 96.4 |
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Pharmacokinetic of Gemcitabine on Cycle 1 Day 1: Total Plasma Clearance (CL)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 1 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | L/hr (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 313 |
Cabazitaxel + Gemcitabine Dose Level -1 | 85.1 |
Cabazitaxel + Gemcitabine Dose Level -2 | 123 |
Gemcitabine + Cabazitaxel Dose Level 0 | 174 |
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Pharmacokinetic of Gemcitabine on Cycle 1 Day 1: Time to Maximum Concentration (Tmax)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 1 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | hours (hr) (Median) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 0.49 |
Cabazitaxel + Gemcitabine Dose Level -1 | 0.38 |
Cabazitaxel + Gemcitabine Dose Level -2 | 0.60 |
Gemcitabine + Cabazitaxel Dose Level 0 | 0.42 |
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Pharmacokinetic of Gemcitabine on Cycle 1 Day 1: Terminal Half-life (t1/2z)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 1 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | hours (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 0.295 |
Cabazitaxel + Gemcitabine Dose Level -1 | 0.254 |
Cabazitaxel + Gemcitabine Dose Level -2 | 0.202 |
Gemcitabine + Cabazitaxel Dose Level 0 | 0.256 |
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Pharmacokinetic of Gemcitabine on Cycle 1 Day 1: Maximum Plasma Concentration Observed (Cmax)
"Blood samples for gemcitabine assay were collected on Day 1 of cycle 1 at the following timepoints:~Cabazitaxel + Gemcitabine: prior the start of cabazitaxel infusion, immediately before the end of gemcitabine infusion, 15, 30 minutes, 1.5, 3.5 and 22.5 hours after the end of gemcitabine infusion;~Gemcitabine + cabazitaxel: prior the start of gemcitabine infusion, immediately before the end of gemcitabine infusion, 15, 30 minutes, 1, 1.5, 2.5, 9 and 23.5 hours after the end of cabazitaxel infusion;~Gemcitabine plasma concentrations were determined using validated LC-MS/MS methods with a LLOQ of 50 ng/mL.~PK parameters were calculated from plasma concentrations using non-compartmental analysis." (NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 1 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | ng/ml (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 14600 |
Cabazitaxel + Gemcitabine Dose Level -1 | 35600 |
Cabazitaxel + Gemcitabine Dose Level -2 | 11400 |
Gemcitabine + Cabazitaxel Dose Level 0 | 19000 |
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Pharmacokinetic of Gemcitabine on Cycle 1 Day 1: Area Under the Time Concentration Curve From Time 0 To the Real Time Tlast (AUClast)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 1 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | ng*hr/ml (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 7320 |
Cabazitaxel + Gemcitabine Dose Level -1 | 16000 |
Cabazitaxel + Gemcitabine Dose Level -2 | 6120 |
Gemcitabine + Cabazitaxel Dose Level 0 | 9920 |
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Pharmacokinetic of Gemcitabine on Cycle 1 Day 1: Area Under the Time Concentration Curve (AUC)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 1 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | ng*hr/ml (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 6290 |
Cabazitaxel + Gemcitabine Dose Level -1 | 21900 |
Cabazitaxel + Gemcitabine Dose Level -2 | 8530 |
Gemcitabine + Cabazitaxel Dose Level 0 | 9970 |
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Pharmacokinetic of Cabazitaxel on Cycle 1: Volume of Distribution at Steady State Normalized to Body Surface Area (Vss/BSA)
(NCT01001221)
Timeframe: before the start of infusion and 5 minutes before the end of infusion, then 5, 15, 30 minutes, 1, 2, 3, 5, 7, 10, 24, 48, 72, 120 and 168 hours after the end of infusion
Intervention | L/m^2 (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 3530 |
Cabazitaxel + Gemcitabine Dose Level -1 | 2690 |
Cabazitaxel + Gemcitabine Dose Level -2 | 1980 |
Gemcitabine + Cabazitaxel Dose Level 0 | 3020 |
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Pharmacokinetic of Cabazitaxel on Cycle 1: Volume of Distribution at Steady State (Vss)
(NCT01001221)
Timeframe: before the start of infusion and 5 minutes before the end of infusion, then 5, 15, 30 minutes, 1, 2, 3, 5, 7, 10, 24, 48, 72, 120 and 168 hours after the end of infusion
Intervention | L (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 6780 |
Cabazitaxel + Gemcitabine Dose Level -1 | 4980 |
Cabazitaxel + Gemcitabine Dose Level -2 | 3930 |
Gemcitabine + Cabazitaxel Dose Level 0 | 5570 |
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Pharmacokinetic of Cabazitaxel on Cycle 1: Total Plasma Clearance Normalized to Body Surface Area (CL/BSA)
(NCT01001221)
Timeframe: before the start of infusion and 5 minutes before the end of infusion, then 5, 15, 30 minutes, 1, 2, 3, 5, 7, 10, 24, 48, 72, 120 and 168 hours after the end of infusion
Intervention | L/hr/m^2 (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 32.4 |
Cabazitaxel + Gemcitabine Dose Level -1 | 36.1 |
Cabazitaxel + Gemcitabine Dose Level -2 | 31.9 |
Gemcitabine + Cabazitaxel Dose Level 0 | 49.6 |
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Pharmacokinetic of Cabazitaxel on Cycle 1: Total Plasma Clearance (CL)
(NCT01001221)
Timeframe: before the start of infusion and 5 minutes before the end of infusion, then 5, 15, 30 minutes, 1, 2, 3, 5, 7, 10, 24, 48, 72, 120 and 168 hours after the end of infusion
Intervention | L/hr (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 61.0 |
Cabazitaxel + Gemcitabine Dose Level -1 | 64.3 |
Cabazitaxel + Gemcitabine Dose Level -2 | 59.5 |
Gemcitabine + Cabazitaxel Dose Level 0 | 90.8 |
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Pharmacokinetic of Cabazitaxel on Cycle 1: Time to Maximum Concentration (Tmax)
(NCT01001221)
Timeframe: before the start of infusion and 5 minutes before the end of infusion, then 5, 15, 30 minutes, 1, 2, 3, 5, 7, 10, 24, 48, 72, 120 and 168 hours after the end of infusion
Intervention | hours (hr) (Median) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 1.00 |
Cabazitaxel + Gemcitabine Dose Level -1 | 0.94 |
Cabazitaxel + Gemcitabine Dose Level -2 | 0.94 |
Gemcitabine + Cabazitaxel Dose Level 0 | 0.93 |
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Pharmacokinetic of Cabazitaxel on Cycle 1: Terminal Half-life (t1/2z)
(NCT01001221)
Timeframe: before the start of infusion and 5 minutes before the end of infusion, then 5, 15, 30 minutes, 1, 2, 3, 5, 7, 10, 24, 48, 72, 120 and 168 hours after the end of infusion
Intervention | hours (hr) (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 92.1 |
Cabazitaxel + Gemcitabine Dose Level -1 | 88.3 |
Cabazitaxel + Gemcitabine Dose Level -2 | 75.6 |
Gemcitabine + Cabazitaxel Dose Level 0 | 70.3 |
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Pharmacokinetic of Cabazitaxel on Cycle 1: Maximum Plasma Concentration Observed (Cmax)
"Blood samples for cabazitaxel assay were collected during cycle 1 and cabazitaxel plasma concentrations were determined using a validated liquid chromatography with tandem mass spectometry (LC-MS/MS) method with a lower limit of quantification (LLOQ) of 1 ng/mL.~Pharmacokinetic (PK) parameters were calculated from plasma concentrations using non-compartmental analysis." (NCT01001221)
Timeframe: before the start of infusion and 5 minutes before the end of infusion, then 5, 15, 30 minutes, 1, 2, 3, 5, 7, 10, 24, 48, 72, 120 and 168 hours after the end of infusion
Intervention | ng/ml (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 123 |
Cabazitaxel + Gemcitabine Dose Level -1 | 150 |
Cabazitaxel + Gemcitabine Dose Level -2 | 273 |
Gemcitabine + Cabazitaxel Dose Level 0 | 118 |
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Pharmacokinetic of Cabazitaxel on Cycle 1: Area Under the Time Concentration Curve From Time 0 To the Real Time Tlast (AUClast)
Area under the plasma concentration versus time curve calculated using the trapezoidal method from time 0 to the last measurable concentration at time t. (NCT01001221)
Timeframe: before the start of infusion and 5 minutes before the end of infusion, then 5, 15, 30 minutes, 1, 2, 3, 5, 7, 10, 24, 48, 72, 120 and 168 hours after the end of infusion
Intervention | ng*hr/ml (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 556 |
Cabazitaxel + Gemcitabine Dose Level -1 | 352 |
Cabazitaxel + Gemcitabine Dose Level -2 | 344 |
Gemcitabine + Cabazitaxel Dose Level 0 | 315 |
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Pharmacokinetic of Cabazitaxel on Cycle 1: Area Under the Time Concentration Curve (AUC)
Area under the plasma concentration versus time curve extrapolated to infinity (NCT01001221)
Timeframe: before the start of infusion and 5 minutes before the end of infusion, then 5, 15, 30 minutes, 1, 2, 3, 5, 7, 10, 24, 48, 72, 120 and 168 hours after the end of infusion
Intervention | ng*hr/ml (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 876 |
Cabazitaxel + Gemcitabine Dose Level -1 | 420 |
Cabazitaxel + Gemcitabine Dose Level -2 | 462 |
Gemcitabine + Cabazitaxel Dose Level 0 | 306 |
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Pharmacokinetic of 2',2' Difluorodeoxyuridine on Cycle 1 Day 8: Time to Maximum Concentration (Tmax)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 8 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | hours (Median) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 0.69 |
Cabazitaxel + Gemcitabine Dose Level -1 | 0.68 |
Gemcitabine + Cabazitaxel Dose Level 0 | 0.72 |
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Pharmacokinetic of 2',2' Difluorodeoxyuridine on Cycle 1 Day 8: Terminal Half-life (t1/2z)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 8 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | hours (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 7.29 |
Cabazitaxel + Gemcitabine Dose Level -1 | 8.55 |
Gemcitabine + Cabazitaxel Dose Level 0 | 9.10 |
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Pharmacokinetic of 2',2' Difluorodeoxyuridine on Cycle 1 Day 8: Maximum Plasma Concentration Observed (Cmax)
"Blood samples collected for gemcitabine assay were used to assay gemcitabine metabolite, 2',2' difluorodeoxyuridine(dFdU).~2',2' difluorodeoxyuridine plasma concentrations were determined using validated LC-MS/MS methods with a LLOQ of 50 ng/mL.~PK parameters were calculated from plasma concentrations using non-compartmental analysis." (NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 8 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | ng/ml (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 27400 |
Cabazitaxel + Gemcitabine Dose Level -1 | 34800 |
Gemcitabine + Cabazitaxel Dose Level 0 | 18700 |
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Pharmacokinetic of 2',2' Difluorodeoxyuridine on Cycle 1 Day 8: Area Under the Time Concentration Curve From Time 0 To the Real Time Tlast (AUClast)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 8 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | ng*hr/ml (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 216000 |
Cabazitaxel + Gemcitabine Dose Level -1 | 287000 |
Gemcitabine + Cabazitaxel Dose Level 0 | 141000 |
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Pharmacokinetic of 2',2' Difluorodeoxyuridine on Cycle 1 Day 8: Area Under the Time Concentration Curve (AUC)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 8 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | ng*hr/ml (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 240000 |
Cabazitaxel + Gemcitabine Dose Level -1 | 340000 |
Gemcitabine + Cabazitaxel Dose Level 0 | 168000 |
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Pharmacokinetic of 2',2' Difluorodeoxyuridine on Cycle 1 Day 1: Time to Maximum Concentration (Tmax)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 1 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | hours (Median) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 0.73 |
Cabazitaxel + Gemcitabine Dose Level -1 | 0.77 |
Cabazitaxel + Gemcitabine Dose Level -2 | 0.65 |
Gemcitabine + Cabazitaxel Dose Level 0 | 0.77 |
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Pharmacokinetic of 2',2' Difluorodeoxyuridine on Cycle 1 Day 1: Terminal Half-life (t1/2z)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 1 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | hours (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 9.07 |
Cabazitaxel + Gemcitabine Dose Level -1 | 9.41 |
Cabazitaxel + Gemcitabine Dose Level -2 | 7.96 |
Gemcitabine + Cabazitaxel Dose Level 0 | 12.1 |
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Pharmacokinetic of 2',2' Difluorodeoxyuridine on Cycle 1 Day 1: Maximum Plasma Concentration Observed (Cmax)
"Blood samples collected for gemcitabine assay were used to assay gemcitabine metabolite, 2',2' difluorodeoxyuridine(dFdU).~2',2' difluorodeoxyuridine plasma concentrations were determined using validated LC-MS/MS methods with a LLOQ of 50 ng/mL.~PK parameters were calculated from plasma concentrations using non-compartmental analysis." (NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 1 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | ng/ml (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 32200 |
Cabazitaxel + Gemcitabine Dose Level -1 | 32500 |
Cabazitaxel + Gemcitabine Dose Level -2 | 25500 |
Gemcitabine + Cabazitaxel Dose Level 0 | 21100 |
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Pharmacokinetic of 2',2' Difluorodeoxyuridine on Cycle 1 Day 1: Area Under the Time Concentration Curve From Time 0 To the Real Time Tlast (AUClast)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 1 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | ng*hr/ml (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 227000 |
Cabazitaxel + Gemcitabine Dose Level -1 | 235000 |
Cabazitaxel + Gemcitabine Dose Level -2 | 167000 |
Gemcitabine + Cabazitaxel Dose Level 0 | 168000 |
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Pharmacokinetic of 2',2' Difluorodeoxyuridine on Cycle 1 Day 1: Area Under the Time Concentration Curve (AUC)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 1 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | ng*hr/ml (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 273000 |
Cabazitaxel + Gemcitabine Dose Level -1 | 285000 |
Cabazitaxel + Gemcitabine Dose Level -2 | 191000 |
Gemcitabine + Cabazitaxel Dose Level 0 | 151000 |
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Participants With Dose Limiting Toxicities During Dose Escalation
Dose Limiting Toxicities (DLTs) were defined as clinical adverse events (AE) or laboratory abnormalities considered drug-related as assessed by the Investigator or Sponsor, and achieving a Common Terminology Criteria for Adverse Events v3.0 (CTCAE) severity rating of severe (3) or life-threatening (4). (NCT01001221)
Timeframe: Day 1 to Day 21 of the first treatment cycle
Intervention | participants (Number) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 2 |
Cabazitaxel + Gemcitabine Dose Level -1 | 2 |
Cabazitaxel + Gemcitabine Dose Level -2 | 2 |
Gemcitabine + Cabazitaxel Dose Level 0 | 2 |
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Pharmacokinetic of Gemcitabine on Cycle 1: Ratio Day 1/Day 8 for AUClast and AUC
Ratio Day 1/Day 8 for AUClast and AUC were calculated to assess the effect of cabazitaxel on gemcitabine exposure. (NCT01001221)
Timeframe: Day 1 (7 to 9 timepoints from start of infusion up to 24h hours after the end of infusion) and Day 8 (7 to 9 timepoints from start of infusion up to 24h hours after the end of infusion)
Intervention | ratio (Mean) |
---|
| AUClast | AUC |
---|
Cabazitaxel + Gemcitabine Dose Level -1 | 1.17 | 1.24 |
,Cabazitaxel + Gemcitabine Dose Level 0 | 1.15 | 1.15 |
,Gemcitabine + Cabazitaxel Dose Level 0 | 1.11 | 1.11 |
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Participants With Adverse Events
"Summary of participants with adverse events (AEs) according to severity and relationship to study drug as assessed by the investigator. The National Cancer Institute Common Terminology Criteria for Adverse Event (NCI-CTCAE), version 3.0 was used to grade the severity of AE.~Treatment-emergent adverse events (TEAEs) are AEs that occurred or worsened from start of treatment up to 30 days after treatment ceased.~NCI CTCAE v.3.0 grade 3 =severe and grade 4= life-threatening or disabling." (NCT01001221)
Timeframe: from first dose of study medication up to 30 days after the last dose of study medication (maximum follow-up of 68 weeks)
Intervention | participants (Number) |
---|
| Any AE | Any TEAE | - Drug-related TEAE | Grade 3-4 TEAE | - Grade 3-4 drug-related TEAE | Serious TEAE | - Drug-related serious TEAE | AE leading to drug withdrawn | - Drug-related AE leading to drug withdrawn | AE leading to death | AE leading to dose reduction | AE leading to dose delay |
---|
Cabazitaxel + Gemcitabine Dose Level -1 | 5 | 5 | 5 | 5 | 5 | 2 | 2 | 2 | 2 | 0 | 4 | 2 |
,Cabazitaxel + Gemcitabine Dose Level -2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 0 | 0 | 0 | 2 | 1 |
,Cabazitaxel + Gemcitabine Dose Level 0 | 5 | 5 | 5 | 5 | 4 | 5 | 3 | 2 | 0 | 1 | 3 | 4 |
,Gemcitabine + Cabazitaxel Dose Level 0 | 6 | 6 | 6 | 6 | 6 | 4 | 3 | 2 | 1 | 0 | 4 | 4 |
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Participant Best Response as Per the Response Evaluation Criteria In Solid Tumors (RECIST) Version 1.1
"Participant Best response was assessed by investigator using the Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1:~Complete response (CR): Disappearance of all target lesions, all non-target lesions, and no new lesion. Any pathological lymph nodes must have had reduction in the short axis to <10 mm:~Partial response (PR): At least a 30% decrease in the sum of diameters of target lesions, no progression in non-target lesion, and no new lesion;~Progressive disease (PD): >=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 appearance of >=1 new lesion and/or unequivocal progression of existing non-target lesions;~Stable disease (SD): not a CR, PR or PD." (NCT01001221)
Timeframe: Up to a maximum of 22 cycles (median 4 cycles)
Intervention | participants (Number) |
---|
| Complete response | Partial response | Stable disease | Progressive disease | Not evaluable |
---|
Cabazitaxel + Gemcitabine Dose Level -1 | 0 | 1 | 3 | 1 | 0 |
,Cabazitaxel + Gemcitabine Dose Level -2 | 0 | 0 | 0 | 2 | 0 |
,Cabazitaxel + Gemcitabine Dose Level 0 | 0 | 1 | 2 | 1 | 1 |
,Gemcitabine + Cabazitaxel Dose Level 0 | 0 | 1 | 3 | 2 | 0 |
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Pharmacokinetic of Gemcitabine on Cycle 1 Day 8: Volume of Distribution at Steady State Normalized to Body Surface Area (Vss/BSA)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 8 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | L/m^2 (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 62.2 |
Cabazitaxel + Gemcitabine Dose Level -1 | 20.6 |
Gemcitabine + Cabazitaxel Dose Level 0 | 52.3 |
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Pharmacokinetic of Gemcitabine on Cycle 1 Day 8: Volume of Distribution at Steady State (Vss)
(NCT01001221)
Timeframe: 7 to 9 timepoints from start of Day 8 infusion up to 24h hours after the end of infusion depending on the sequence of treatment on Day 1
Intervention | L (Mean) |
---|
Cabazitaxel + Gemcitabine Dose Level 0 | 104 |
Cabazitaxel + Gemcitabine Dose Level -1 | 36.2 |
Gemcitabine + Cabazitaxel Dose Level 0 | 93.3 |
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Risk/Benefit Ratio
Risk/benefit ratio was calculated as the percentage of participants who experienced a study-drug related toxicity of Common Terminology Criteria for Adverse Events (CTCAE v3.0) Cancer Therapy Evaluation Program (CTEP) Grade 3 or higher, divided by the Kaplan-Meier estimated percentage of participants surviving one year. (NCT01005680)
Timeframe: Randomization to date of death from any cause up to 35.8 months post-randomization
Intervention | ratio (Number) |
---|
Pemetrexed Plus Cisplatin (PC) | 0.70 |
Gemcitabine Plus Cisplatin (GC) | 0.83 |
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Survival Without Toxicity (SWT)
SWT was defined as the time from randomization to a study-drug related toxicity. Toxicity was defined as Common Terminology Criteria for Adverse Events (CTCAE v3.0) Grade 3 or 4 or death. Participants who do not have a CTCAE Grade 3 or higher toxicity and are alive will be censored at the date of last contact. (NCT01005680)
Timeframe: Randomization to date of toxicity or date of death up to 34.6 months post-randomization
Intervention | months (Median) |
---|
Pemetrexed Plus Cisplatin (PC) | 5.85 |
Gemcitabine Plus Cisplatin (GC) | 2.56 |
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Overall Survival (OS)
OS was defined as the duration from date of randomization to date of death from any cause. Participants who were alive were censored at the date of last contact. (NCT01005680)
Timeframe: Randomization to date of death from any cause up to 35.8 months post-randomization
Intervention | months (Median) |
---|
Pemetrexed Plus Cisplatin (PC) | 17.54 |
Gemcitabine Plus Cisplatin (GC) | 15.51 |
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Tumor Response Rate
Tumor response rate was the percentage of participants with confirmed best tumor response of complete response (CR) or partial response (PR) using Response Evaluation Criteria in Solid Tumor (RECIST v1.0) criteria. Complete Response (CR) was defined as the disappearance of all target lesions; Partial Response (PR) was defined as at least a 30% decrease in sum of longest diameter of target lesions. Progressive disease (PD) assessed using RECIST v1.0 criteria and 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 ever recorded since study treatment started, or the appearance of 1 or more new lesions. (NCT01005680)
Timeframe: Randomization until date of objective PD or death from any cause up to 35.8 months post-randomization
Intervention | percentage of participants (Number) |
---|
Pemetrexed Plus Cisplatin (PC) | 24.8 |
Gemcitabine Plus Cisplatin (GC) | 20.7 |
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Time to Treatment Failure (TtTF)
TtTF was defined as date of randomization until the date of discontinuation of study treatment due to adverse event, progressive disease (PD), or death from any cause. PD assessed using Response Evaluation Criteria in Solid Tumor (RECIST v1.0) criteria and 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 ever recorded since study treatment started, or the appearance of 1 or more new lesions. Participants who discontinued study treatment for any other reason were censored at the date of discontinuation of study treatment. Participants still on study drug at data-inclusion cut-off date were censored at the cut-off date. (NCT01005680)
Timeframe: Randomization until date of discontinuation of study treatment due to adverse events, PD, or death from any cause up to 6.3 months post-randomization
Intervention | months (Median) |
---|
Pemetrexed Plus Cisplatin (PC) | NA |
Gemcitabine Plus Cisplatin (GC) | NA |
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Time to Progressive Disease (TtPD)
TtPD defined as the time from study randomization to the first date of progressive disease (PD). PD assessed using Response Evaluation Criteria in Solid Tumor (RECIST v1.0) criteria and 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 ever recorded since study treatment started, or the appearance of 1 or more new lesions. Participants who were not known to have PD or who died without PD were censored at the date of last of last tumor assessment. (NCT01005680)
Timeframe: Randomization to first date of PD up to 23.7 months post-randomization
Intervention | months (Median) |
---|
Pemetrexed Plus Cisplatin (PC) | 5.82 |
Gemcitabine Plus Cisplatin (GC) | 5.82 |
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Progression Free Survival (PFS)
PFS was defined as the date of randomization to date of first observation of clinical or objective progressive disease (PD) or death due to any cause. PD assessed using Response Evaluation Criteria in Solid Tumor (RECIST v1.0) criteria and 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 ever recorded since study treatment started, or the appearance of one or more new lesions. Participants who were not known to have died or had PD were censored at the date of last contact. (NCT01005680)
Timeframe: Randomization to first date of Progressive Disease (PD) or death from any cause up to 33.0 months post-randomization
Intervention | months (Median) |
---|
Pemetrexed Plus Cisplatin (PC) | 5.88 |
Gemcitabine Plus Cisplatin (GC) | 5.85 |
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Duration of Response (DoR)
DoR was defined as the time from first objective status assessment of complete response (CR) or partial response (PR) to the first time progressive disease (PD) or death as a result of any cause. Response using Response Evaluation Criteria in Solid Tumor (RECIST v1.0) criteria. CR was defined as the disappearance of all target lesions. PR was defined as having at least a 30% decrease in sum of longest diameter of target lesions. Participants who are not known to have died or to have PD were censored at the date of last contact. PD assessed using RECIST v1.0 and 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 ever recorded since study treatment started, or the appearance of 1 or more new lesions (NCT01005680)
Timeframe: Date of first response to the date of (PD) or death from any cause up to 22.9 months post-randomization
Intervention | months (Median) |
---|
Pemetrexed Plus Cisplatin (PC) | 4.53 |
Gemcitabine Plus Cisplatin (GC) | 4.98 |
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Disease Control Rate (DCR)
DCR was the percentage of participants with Complete Response (CR), Partial Response (PR), and Stable Disease (SD). Response determined using Response Evaluation Criteria In Solid Tumors (RECIST v1.0) criteria. CR was defined as the disappearance of all target lesions; PR was defined as at least a 30% decrease in sum of longest diameter of target lesions; progressive disease (PD) 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 ever recorded since study treatment started, or the appearance of 1 or more new lesions; SD was defined as small changes that did not meet the above criteria. (NCT01005680)
Timeframe: Randomization to date of objective PD or death from any cause up to 35.8 months post-randomization
Intervention | percentage of participants (Number) |
---|
Pemetrexed Plus Cisplatin (PC) | 78.5 |
Gemcitabine Plus Cisplatin (GC) | 75.9 |
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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 |
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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 |
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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 |
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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 |
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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 |
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Progression-free Survival
"Progression free survival (PFS) was defined as the number of months between study enrollment and documentation of disease progression (RECIST 1.1) or death from any cause. Patients still alive and disease free at the last followup were censored on the date of last CT Scan.~Assessed with a log-rank test stratified by whether the patient had whole pelvic radiotherapy prior to starting the study treatment. The product-limit method will be used to estimate the cumulative distribution of PFS for the patients assigned to each treatment group." (NCT01012297)
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 60 months
Intervention | months (Median) |
---|
Arm I Gem+Doce+Placebo | 6.2 |
Arm II Gem+Doce+Bev | 4.2 |
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Frequency and Severity of Adverse Effects as Assessed by the CTCAE Version 4.0
"Count of participants with Adverse events (AEs) that are CTCAE Grade 3 or worse.~Please refer to the adverse event reporting for more detail." (NCT01012297)
Timeframe: Up to 5 years
Intervention | Participants (Count of Participants) |
---|
Arm I Gem+Doce+Placebo | 36 |
Arm II Gem+Doce+Bev | 46 |
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Overall Survival
"Overall survival (OS) was defined as the number of months between study enrollment and death from any cause. Patients still alive at the last followup were censored on the date of last CT Scan.~The product-limit method will be used to estimate the cumulative distribution of overall survival times for the patients assigned to each treatment group." (NCT01012297)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Arm I Gem+Doce+Placebo | 26.9 |
Arm II Gem+Doce+Bev | 23.3 |
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Objective Response Rate as Measured by RECIST 1.1 Criteria
"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." (NCT01012297)
Timeframe: Up to 5 years
Intervention | percentage of participants (Number) |
---|
Arm I Gem+Doce+Placebo | 31.5 |
Arm II Gem+Doce+Bev | 35.8 |
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Phase II: Number of Subjects With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, and TEAEs Leading to Permanent Treatment Discontinuation
An AE was any untoward medical occurrence in a subject 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. All AEs (serious and non-serious) except AEs recorded with an onset date prior to the first day of drug administration unless a worsening of the event was recorded after the first dosing date, in which case the event was counted as a TEAE. TEAEs include both SAEs and non-SAEs. (NCT01016483)
Timeframe: From the first dose of study drug administration until EOT (6 years)
Intervention | subjects (Number) |
---|
| TEAEs | Serious TEAEs | TEAEs Leading to Treatment Discontinuation |
---|
Phase II: Arm 1 | 40 | 28 | 10 |
,Phase II: Arm 2 | 45 | 35 | 21 |
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Safety Run-In Part: Total Clearance (CL) of Gemcitabine: Regimen 2
Clearance of a drug was a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. (NCT01016483)
Timeframe: 0 hour (pre-dose), 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 24 (post-dose) on Day 1, 22 of Cycle 1
Intervention | liter/hour (Geometric Mean) |
---|
| CL: Gemcitabine on Day 1 (n=11, 14) | CL: Gemcitabine on Day 22 (n=9, 4) |
---|
Regimen 2: 60 mg | 145.65 | 164.68 |
,Regimen 2: 75 mg | 221.46 | 183.85 |
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Safety Run-In Part: Total Clearance (CL) of Gemcitabine: Regimen 1
Clearance of a drug was a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. (NCT01016483)
Timeframe: 0 hour (pre-dose), 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 24 (post-dose) on Day 1, 22 of Cycle 1
Intervention | liter/hour (Geometric Mean) |
---|
| CL: Gemcitabine on Day 1 (n=4,3,3,3,3,11) | CL: Gemcitabine on Day 22 (n=2,2,1,2,2,9) |
---|
Regimen 1: 120 mg | 151.93 | 164.6 |
,Regimen 1: 15 mg | 60.537 | 163.37 |
,Regimen 1: 30 mg | 133.88 | 156.93 |
,Regimen 1: 45 mg | 190.52 | 190.69 |
,Regimen 1: 68 mg | 95.96 | 25.123 |
,Regimen 1: 90 mg | 210.25 | 183.97 |
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Safety Run-In Part: Levels of Pharmacodynamic (Pd) Markers (Phosphorylated- Extracellular Signal-Regulated Kinase (ERK) in Peripheral Blood Mononuclear Cells [PBMCs]): Regimen 1
ERK phosphoprotein in peripheral blood monocytes (PBMCs) was analyzed from blood samples of all subjects in the SAF analysis set (safety-run part) only. (NCT01016483)
Timeframe: pre-dose on Day 1, 2, 22 of Cycle 1; post-dose on Day 1, 22 of Cycle 1
Intervention | Fluorescence Intensity (Mean) |
---|
| Cycle 1 Day 1 Pre-dose (n=3,2,2,3,3,7) | Cycle 1 Day 1 Post-dose (n=3,2,2,3,2,6) | Cycle 1 Day 2 Pre-dose (n=3,2,1,2,2,6) | Cycle 1 Day 22 Pre-dose (n=2,1,2,1,3,5) | Cycle 1 Day 22 Post-dose (n=0,0,0,0,2) |
---|
Regimen 1: 30 mg | 6.476 | 2.061 | 6.719 | 6.000 | NA |
,Regimen 1: 45 mg | 4.767 | 0.837 | 3.902 | 1.978 | NA |
,Regimen 1: 68 mg | 6.509 | 3.881 | 2.768 | 8.653 | NA |
,Regimen 1: 90 mg | 4.608 | 1.059 | 4.874 | 4.252 | NA |
,Regimen 1:15 mg | 5.389 | 1.611 | 4.818 | 5.242 | NA |
,Regimen1: 120 mg | 4.229 | 0.946 | 3.636 | 3.453 | 4.130 |
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Safety Run-In Part: Levels of Pharmacodynamic (Pd) Markers (Phosphorylated- Extracellular Signal-Regulated Kinase (ERK) in Peripheral Blood Mononuclear Cells [PBMCs]): Regimen 2
ERK phosphoprotein in peripheral blood monocytes (PBMCs) was analyzed from blood samples of all subjects in the SAF analysis set (safety-run part) only. (NCT01016483)
Timeframe: pre-dose on Day 1, 2, 22 of Cycle 1; post-dose on Day 1, 22 of Cycle 1
Intervention | Fluorescence Intensity (Mean) |
---|
| Cycle 1 Day 1 Pre-dose (n=7,4) | Cycle 1 Day 1 Post-dose (n=5,3) | Cycle 1 Day 2 Pre-dose (n=7,3) | Cycle 1 Day 22 Pre-dose (n=6,2) | Cycle 1 Day 22 Post-dose (n=3,1) |
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Regimen 2: 60 mg | 6.081 | 1.520 | 3.877 | 2.728 | 1.443 |
,Regimen 2: 75 mg | 5.874 | 1.048 | 2.263 | 2.295 | 1.111 |
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Safety Run-In Part: Number of Subjects With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, and TEAEs Leading to Permanent Treatment Discontinuation
An adverse event (AE) was any untoward medical occurrence in a subjects who received study drug without regard to possibility of causal relationship. An serious adverse event (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. All AEs (serious and non-serious) except AEs recorded with an onset date prior to the first day of drug administration unless a worsening of the event was recorded after the first dosing date, in which case the event was counted as a TEAE. TEAEs include both SAEs and non-SAEs. (NCT01016483)
Timeframe: From the first dose of study drug administration until EOT (6 years)
Intervention | subjects (Number) |
---|
| TEAEs | Serious TEAEs | Permanent treatment discontinuation of pimasertib | Permanent treatment discontinuation of gemcitabine |
---|
Safety Run-in Part: Regimen 1 | 27 | 18 | 12 | 14 |
,Safety Run-in Part: Regimen 2 | 26 | 20 | 16 | 15 |
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Safety Run-In Part: Oral Volume of Distribution (V/f) of Pimasertib (MSC1936369B): Regimen 1
Volume of distribution was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. (NCT01016483)
Timeframe: 0 hour (pre-dose), 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 24 (post-dose) on Day 1, 22 of Cycle 1
Intervention | liter (Geometric Mean) |
---|
| V/f: MSC1936369B on Day 1 (n=4,3,3,2,3,11) | V/f: MSC1936369B on Day 22 (n=2,2,3,2,3,8) |
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Regimen 1: 120 mg | 367.25 | 414.38 |
,Regimen 1: 15 mg | 528.62 | 824.33 |
,Regimen 1: 30 mg | 369.12 | 366.30 |
,Regimen 1: 45 mg | 329.80 | 264.31 |
,Regimen 1: 68 mg | 524.96 | 441.40 |
,Regimen 1: 90 mg | 362.29 | 284.42 |
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Safety Run-In Part: Oral Volume of Distribution (V/f) of Pimasertib (MSC1936369B): Regimen 2
Volume of distribution was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. (NCT01016483)
Timeframe: 0 hour (pre-dose), 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 24 (post-dose) on Day 1, 22 of Cycle 1
Intervention | liter (Geometric Mean) |
---|
| V/f: MSC1936369B on Day 1 (n= 10,11) | V/f: MSC1936369B on Day 22 (n=8,5) |
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Regimen 2: 60 mg | 335.56 | 389.56 |
,Regimen 2: 75 mg | 213.24 | 319.02 |
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Safety Run-In Part: Apparent Volume of Distribution (V) of Gemcitabine: Regimen 2
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 plasma concentration of a drug. (NCT01016483)
Timeframe: 0 hour (pre-dose), 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 24 (post-dose) on Day 1, 22 of Cycle 1
Intervention | liter (Geometric Mean) |
---|
| V: Gemcitabine on Day 1 (n=11,14) | V: Gemcitabine on Day 22 (n=9,4) |
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Regimen 2: 60 mg | 716.12 | 1590.8 |
,Regimen 2: 75 mg | 1059.0 | 801.90 |
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Phase II: Time to Progression (TTP)
Time to progression (TTP) is defined as the time (in months) from the randomization date to the date of progression prior to the start of any subsequent therapy for the primary disease, as reported and documented by the Investigator (i.e. radiological progression per RECIST). (NCT01016483)
Timeframe: From randomization every 8 weeks up to EOT (6 years)
Intervention | months (Median) |
---|
Phase II: Arm 1 | 3.78 |
Phase II: Arm 2 | 5.09 |
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Phase II: Overall Survival (OS) Time
Overall survival (OS) time is defined as the time (in months) from randomization to death. (NCT01016483)
Timeframe: Baseline, every 8 weeks up to EOT (6 years)
Intervention | months (Median) |
---|
Phase II: Arm 1 | 6.64 |
Phase II: Arm 2 | 9.33 |
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Phase II: Percentage of Subjects With Clinical Benefit
Clinical Benefit was defined as the presence of at least one CR, PR or Stable Disease (SD) (using RECIST v1.0) during treatment. CR: Disappearance of all target lesions, PR: At least 30% decrease in the sum of the longest diameter of target lesions, taking as reference the sum of the longest diameter at baseline and SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum of the longest diameter since treatment started. (NCT01016483)
Timeframe: Baseline, every 8 weeks up to end of treatment (EOT i.e. 6 years)
Intervention | percentage of subjects (Number) |
---|
Phase II: Arm 1 | 45.5 |
Phase II: Arm 2 | 59.1 |
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Phase II: Progression-Free Survival (PFS) Time
PFS was defined as the time from randomization to the first documentation of objective tumor progression (Complete Response (CR): Disappearance of all target lesions, Partial Response (PR): At least 30% decrease in the sum of the longest diameter of target lesions, taking as reference the sum of the longest diameter at baseline, Progressive Disease (PD): At least 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter recorded since treatment started, or the appearance of 1 or more new lesions and stable disease: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum of the longest diameter since treatment started) or to death due to any cause, whichever occurred first. PFS calculated as (Months) = Date of first PD or death or censoring date minus date of randomization plus 1) divided by 30.4375. (NCT01016483)
Timeframe: From the time of randomization to every 8 weeks up to end of treatment (EOT) (6 years)
Intervention | months (Median) |
---|
Phase II: Arm 1 | 2.83 |
Phase II: Arm 2 | 3.75 |
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Safety Run-In Part: Apparent Volume of Distribution (V) of Gemcitabine: Regimen 1
Apparent volume of distribution was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. (NCT01016483)
Timeframe: 0 hour (pre-dose), 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 24 (post-dose) on Day 1, 22 of Cycle 1
Intervention | liter (Geometric Mean) |
---|
| V: Gemcitabine (dFdC) on Day 1 (n= 4,3,3,3,3,11) | V: Gemcitabine (dFdC) on Day 22 (n=2,2,1,2,2,9) |
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Regimen 1: 120 mg | 1270.1 | 805.15 |
,Regimen 1: 15 mg | 359.55 | 1723.6 |
,Regimen 1: 30 mg | 531.23 | 908.50 |
,Regimen 1: 45 mg | 587.64 | 251.79 |
,Regimen 1: 68 mg | 729.65 | 149.65 |
,Regimen 1: 90 mg | 2402.1 | 2140.8 |
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Safety Run-In Part: Number of Subjects With Dose Limiting Toxicities (DLTs)
DLT using the National Cancer Institute Common Terminology Criteria for Adverse Events(CTCAE) v3.0,was defined as any of the following toxicities at any dose level and judged to be possibly or probably related to trial medication by the Investigator and/or the Sponsor and relevant for the combination treatment: Grade 3/more non-hematological toxicity excluding: Subjects with liver involvement: Grade 4 asymptomatic increases in liver function tests and subject without liver involvement: Grade 3 asymptomatic increases in liver function tests reversible within 7 days. Grade 3 vomiting encountered despite adequate therapy. Grade 3 diarrhea encountered despite adequate anti diarrhea therapy. Grade 4 neutropenia greater (>) 5 days duration or febrile neutropenia lasting for more than 1 day. Grade 4 thrombocytopenia > 1 day/Grade 3 with bleeding. Grade 4 anemia: Any treatment delay > 2 weeks due to drug-related adverse effects. (NCT01016483)
Timeframe: Up to 28 days in Cycle 1
Intervention | subjects (Number) |
---|
Safety Run-in Part Regimen 1: 15 mg | 0 |
Safety Run-in Part Regimen 1: 30 mg | 0 |
Safety Run-in Part Regimen 1: 45 mg | 0 |
Safety Run-in Part Regimen 1: 68 mg | 0 |
Safety Run-in Part Regimen 1: 90 mg | 0 |
Safety Run-in Part Regimen 1: 120 mg | 0 |
Safety Run-in Part Regimen 2: 60 mg | 1 |
Safety Run-in Part Regimen 2: 75 mg | 2 |
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Phase II: Percentage of Subjects With Best Overall Response (BOR)
Best overall response was defined as the presence of at least one complete response (CR), partial response (PR) or Stable Disease (SD) (using RECIST v1.0) during treatment. CR: Disappearance of all target lesions, PR: At least 30% decrease in the sum of the longest diameter of target lesions, taking as reference the sum of the longest diameter at baseline and SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum of the longest diameter since treatment started. (NCT01016483)
Timeframe: Baseline, every 8 weeks up to end of treatment (EOT i.e. 6 years)
Intervention | percentage of subjects (Number) |
---|
| CR | PR | SD | PD | Missing |
---|
Phase II: Arm 1 | 0 | 9.1 | 36.4 | 29.5 | 25 |
,Phase II: Arm 2 | 0 | 9.1 | 50.0 | 20.5 | 20.5 |
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Safety Run-In Part: Apparent Oral Clearance (CL/f) of Pimasertib (MSC1936369B): Regimen 1
Clearance of a drug was a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) was influenced by the fraction of the dose absorbed. (NCT01016483)
Timeframe: 0 hour (pre-dose), 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 24 (post-dose) on Day 1, 22 of Cycle 1
Intervention | Liter per hour (L/h) (Geometric Mean) |
---|
| CL/f: MSC1936369B on Day 1 (n=4,3,3,2,3,11) | CL/f: MSC1936369B on Day 22 (n=2,2,3,2,3,9) |
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Regimen 1: 120 mg | 55.171 | 55.723 |
,Regimen 1: 30 mg | 58.104 | 42.484 |
,Regimen 1: 45 mg | 51.072 | 44.579 |
,Regimen 1: 68 mg | 87.765 | 56.502 |
,Regimen 1: 90 mg | 52.025 | 50.873 |
,Regimen 1:15 mg | 92.152 | 74.143 |
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Safety Run-In Part: Apparent Oral Clearance (CL/f) of Pimasertib (MSC1936369B): Regimen 2
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. (NCT01016483)
Timeframe: 0 hour (pre-dose), 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 24 (post-dose) on Day 1, 22 of Cycle 1
Intervention | Liter per hour (L/H) (Geometric Mean) |
---|
| CL/f: MSC1936369B on Day 1 (n=10,11) | CL/f: MSC1936369B on Day 22 (n=8,5) |
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Regimen 2: 60 mg | 85.186 | 70.163 |
,Regimen 2: 75 mg | 52.558 | 68.312 |
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Number of Participants With Treatment Emergent Adverse Events (AEs)
Clinically meaningful toxicity adverse events will be defined in accordance with by CTCAE v3.0 (NCT01020006)
Timeframe: First dose until 28 days after last dose of PCI-27483 or gemcitabine whichever occurs last in the assigned part (A or B).
Intervention | participants (Number) |
---|
(PCI-27483 + Gemcitabine)/Part A | 8 |
(PCI-27483 + Gemcitabine)/Part B | 18 |
Gemcitabine/Part B | 16 |
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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. The median and 95% confidence intervals are estimated using the Kaplan-Meier estimator. (NCT01041781)
Timeframe: Time between randomization and disease relapse or death from any cause, assessed up to 5 years
Intervention | months (Median) |
---|
Arm I (Arm A: Celecoxib + Standard Chemotherapy) | 5.16 |
Arm II (Arm B: Placebo + Standard Chemotherapy) | 5.26 |
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Response Rate
The response rate (percentage) is the percent of patients whose best response was Complete Response (CR) or Partial Response (PR) as defined by RECIST 1.1 criteria. Percentage of successes will be estimated by 100 times the number of successes divided by the total number of evaluable patients. Response rates (including complete and partial response) will be tested using Fisher's exact test (NCT01041781)
Timeframe: Up to 5 years
Intervention | percentage of patients (Number) |
---|
Arm I (Arm A: Celecoxib + Standard Chemotherapy) | 40 |
Arm II (Arm B: Placebo + Standard Chemotherapy) | 35 |
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Incidence of Toxicities as Assessed by NCI CTCAE v. 4.0
The overall toxicity rates (percentages) for grade 3 or higher adverse events considered at least possibly related to treatment (NCT01041781)
Timeframe: Up to 5 years
Intervention | percentage of patients (Number) |
---|
Arm I (Arm A: Celecoxib + Standard Chemotherapy) | 61.04 |
Arm II (Arm B: Placebo + Standard Chemotherapy) | 55.06 |
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Overall Survival
Overall survival time is defined as the time from randomization to death due to any cause. The median and 95% confidence intervals are estimated using the Kaplan-Meier estimator. (NCT01041781)
Timeframe: Time between randomization and death from any cause, assessed up to 5 years
Intervention | months (Median) |
---|
Arm I (Arm A: Celecoxib + Standard Chemotherapy) | 11.4 |
Arm II (Arm B: Placebo + Standard Chemotherapy) | 12.5 |
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Kaplan-Meier Estimate of the Overall Survival (OS) in the DE Cohorts
OS was defined from date of first dose to date of death due to any cause, censoring at the date of last contact. (NCT01055496)
Timeframe: From first dose of study medication through 2 year follow-up period
Intervention | Months (Median) |
---|
DE Arm 1: (R-CVP) Plus Inotuzumab Ozogamicin | NA |
DE Arm 2: (R-GDP) Plus Inotuzumab Ozogamicin | NA |
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Kaplan-Meier Estimate of the PFS in the MTD Confirmation/EE Cohorts
PFS was defined as time from date of first dose to the earlier date of progression (including symptomatic deterioration), date of death from any cause, or initiation of new anticancer therapy for the lymphoma. Participants without an event were censored at the date of the last valid tumour assessment. A valid tumour assessment visit was defined as the tumour assessment visit with OR of CR, PR, SD, or PD, but not 'Not Done' or 'Unknown'. Participants without a post-baseline tumour assessment and without a PFS event were censored on the date of first dose. (NCT01055496)
Timeframe: From first dose of study medication through 2 year follow-up period, including but not limited to planned assessments scheduled every 9 to 24 weeks
Intervention | Months (Median) |
---|
MTD/EE Arm 1: (R-CVP) Plus Inotuzumab Ozogamicin | 14.36 |
MTD/EE Arm 2: (R-GDP) Plus Inotuzumab Ozogamicin | 6.14 |
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Kaplan-Meier Estimate of the Progression-Free Survival (PFS) in the DE Cohorts
PFS was defined as time from date of first dose to the earlier date of progression (including symptomatic deterioration), date of death from any cause, or initiation of new anticancer therapy for the lymphoma. Participants without an event were censored at the date of the last valid tumour assessment. A valid tumour assessment visit was defined as the tumour assessment visit with overall response of CR, PR, stable disease (SD), or disease progression (PD), but not 'Not Done' or 'Unknown'. Participants without a post-baseline tumour assessment and without a PFS event were censored on the date of first dose. (NCT01055496)
Timeframe: From first dose of study medication through 2 year follow-up period, including but not limited to planned assessments scheduled every 9 to 24 weeks
Intervention | Months (Median) |
---|
DE Arm 1: (R-CVP) Plus Inotuzumab Ozogamicin | 16.36 |
DE Arm 2: (R-GDP) Plus Inotuzumab Ozogamicin | 10.12 |
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Participants Reporting DLT AEs for Participants in the DE Cohort and the MTD Confirmation Cohort for Arm 2
DLT was defined as: febrile neutropenia, Grade (Gr) 4 neutropenia ≥7 days, Gr 4 thrombocytopenia ≥7 days, Gr 3/4 thrombocytopenia associated with bleeding requiring a transfusion, Gr 3/4 non-hematologic toxicity (except alopecia) ≥7 days or treatment-related and clinically significant irrespective of duration, ≥Gr 3 QTc prolongation, Gr 4 alanine or aspartate aminotransferase, Gr 2 hyperbilirubinemia (greater than (>)1.5 x upper normal limit) >7 days, delayed recovery from a treatment-related toxicity that prevented re-dosing by >7 days, or Granulocyte-colony stimulating factor treatment during the first cycle. (NCT01055496)
Timeframe: From the first dose of study medication (Study Day 1) to the completion of the first 21-day cycle.
Intervention | Participants (Count of Participants) |
---|
Cohort 1, Arm 2 | 0 |
Cohort 2a, Arm 2 | 2 |
Cohort 2b, Arm 2 | 1 |
Cohort 3b, Arm 2 | 2 |
Cohort 4, Arm 2 | 0 |
MTD Confirmation Cohort, Arm 2 | 3 |
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Participants Reporting Dose Limiting Toxicity (DLT) Adverse Events (AEs) for Participants in the DE Cohort and the MTD Confirmation Cohort for Arm 1
DLT was defined as: febrile neutropenia, Grade (Gr) 4 neutropenia ≥7 days, Gr 4 thrombocytopenia ≥7 days, Gr 3/4 thrombocytopenia associated with bleeding requiring a transfusion, Gr 3/4 non-hematologic toxicity (except alopecia) ≥7 days or treatment-related and clinically significant irrespective of duration, ≥Gr 3 QTc prolongation, Gr 4 alanine or aspartate aminotransferase, Gr 2 hyperbilirubinemia (greater than (>)1.5 x upper normal limit) >7 days, delayed recovery from a treatment-related toxicity that prevented re-dosing by >7 days, or Granulocyte-colony stimulating factor treatment during the first cycle. (NCT01055496)
Timeframe: From the first dose of study medication (Study Day 1) to the completion of the first 21-day cycle.
Intervention | Participants (Count of Participants) |
---|
Cohort 1, Arm 1 | 0 |
Cohort 2, Arm 1 | 0 |
Cohort 3, Arm 1 | 1 |
Cohort 4, Arm 1 | 2 |
MTD Confirmation Cohort, Arm 1 | 2 |
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Percentage of Participants With a Best OR of CR or PR According to International Response Criteria for NHLs in the DE Cohorts
OR was evaluated according to the International Response Criteria for NHLs. CR was defined as complete disappearance of all lesions and disease-related symptoms; all nodes must have decreased to normal (≤1.5 cm in their GTD for nodes >1.5 cm before therapy) or ≤1 cm (short axis) in previously involved node; enlarged spleen prior to therapy must have regressed and be non-palpable; bone marrow lymphoma: infiltrate must have been cleared on repeat bone marrow aspirate and biopsy. PR was defined as >50% decrease in the SPD of up to 6 index lesions. No increase in size of other nodes, liver or spleen. Splenic and hepatic nodules must have regressed by ≥50% in the SPD or GTD (for single nodules). With the exception of splenic and hepatic nodules, involvement of other organs is usually assessable and no measurable disease should be present. No progression of non-target disease or new lesions. (NCT01055496)
Timeframe: From first dose of study medication through 2 year follow-up period, including but not limited to planned assessments scheduled every 9 to 24 weeks.
Intervention | Percentage of participants (Number) |
---|
DE Arm 1: (R-CVP) Plus Inotuzumab Ozogamicin | 81.3 |
DE Arm 2: (R-GDP) Plus Inotuzumab Ozogamicin | 51.9 |
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Percentage of Participants With Any Grade 3/4 Chemistry Abnormality During Therapy
"The following parameters were analyzed for blood chemistry: blood urea nitrogen (or urea), creatinine, glucose, calcium, sodium, potassium, phosphorus, lactate dehydrogenase, aspartate aminotransferase, alanine aminotransferase, total bilirubin (and direct bilirubin, if total bilirubin was elevated), alkaline phosphatase, uric acid (or urate), albumin and total protein. Laboratory test results were graded using the NCI CTCAE v3.0 where CTCAE Grade 3 equals severe and CTCAE Grade 4 equals life threatening or disabling." (NCT01055496)
Timeframe: Within 3 days prior to the start of each cycle, on Day 8 of each cycle, on Day 15 of Cycles 1, 2, and 3, and the end-of-treatment visit. Each Cycle is 21 Days.
Intervention | Percentage of Participants (Number) |
---|
Arm 1 (R-CVP) Plus Inotuzumab Ozogamicin | 21.3 |
Arm 2 (R-GDP) Plus Inotuzumab Ozogamicin | 36.4 |
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Percentage of Participants With Any Grade 3/4 Hematology Abnormality During Therapy
"The following parameters were analyzed for hematology: lymphocytes, basophils, eosinophils, erythrocytes, hematocrit, hemoglobin, leukocytes, monocytes, neutrophils, platelets, prothrombin international normalized ratio, prothrombin time, fibrinogen, and activated partial thromboplastin time. Laboratory test results were graded using the NCI CTCAE v3.0 where CTCAE Grade 3 equals severe and CTCAE Grade 4 equals life threatening or disabling." (NCT01055496)
Timeframe: Within 3 days prior to the start of each cycle, Day 8 of each cycle, Day 15 of Cycles 1, 2, and 3, and the end-of-treatment visit. Each Cycle is 21 Days.
Intervention | Percentage of Participants (Number) |
---|
Arm 1 (R-CVP) Plus Inotuzumab Ozogamicin | 91.7 |
Arm 2 (R-GDP) Plus Inotuzumab Ozogamicin | 96.4 |
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Percentage of Participants With Best Overall Response (OR) of Complete Response (CR) or Partial Response (PR) According to International Response Criteria for NHLs in the MTD and EE Cohorts
OR was evaluated according to the International Response Criteria for NHLs. CR was defined as complete disappearance of all lesions and disease-related symptoms; all nodes must have decreased to normal (less than or equal to [≤]1.5 centimeters [cm] in their greatest transverse diameter (GTD) for nodes >1.5 cm before therapy) or ≤1 cm (short axis) in previously involved node; enlarged spleen prior to therapy must have regressed and be non-palpable; bone marrow lymphoma: infiltrate must have been cleared on repeat bone marrow aspirate and biopsy. PR was defined as >50% decrease in the sum of the product diameters (SPD) of up to 6 index lesions. No increase in size of other nodes, liver or spleen. Splenic and hepatic nodules must have regressed by ≥50% in the SPD or GTD (for single nodules). With the exception of splenic and hepatic nodules, involvement of other organs is usually assessable and no measurable disease should be present. No progression of non-target disease or new lesions. (NCT01055496)
Timeframe: From first dose of study medication through 2 year follow-up period, including but not limited to planned assessments scheduled every 9 to 24 weeks.
Intervention | Percentage of participants (Number) |
---|
MTD/EE Arm 1: (R-CVP) Plus Inotuzumab Ozogamicin | 81.3 |
MTD/EE Arm 2: (R-GDP) Plus Inotuzumab Ozogamicin | 53.6 |
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Kaplan-Meier Estimates of the Probability of Being Alive and Free From PD or New Anticancer Therapy at 6, 12, and 24 Months in the DE Cohorts
Measure includes death from any cause, PD (including symptomatic deterioration) during and after treatment or initiation of new anticancer therapy for the lymphoma. PD was defined as symptomatic deterioration and according to the International Response Criteria for NHL: 1) appearance of any new lesion >1.5 cm in any axis during or at EOT, even if other lesions are decreasing, 2) at least a 50% increase from nadir in the SPD of any previously involved or single involved nodes, or the size of other lesions (splenic or hepatic). Lymph nodes with a short axis diameter of <1.0 cm must increase by ≥50% and to a size of 1.5x1.5 cm or >1.5 cm in the long axis, 3) 50% increase in the longest diameter of any single previously identified node >1 cm in its short axis. PD was defined as clinical PD, new non-nodal lesions or new nodal lesion ≥1.5 cm in GTD, progression of existing non-index lesions or bone marrow that was negative and now positive. (NCT01055496)
Timeframe: 6, 12 and 24 months
Intervention | Percent Probability (Number) |
---|
| 6 months | 12 months | 24 months |
---|
DE Arm 1: (R-CVP) Plus Inotuzumab Ozogamicin | 80.00 | 66.67 | 22.22 |
,DE Arm 2: (R-GDP) Plus Inotuzumab Ozogamicin | 60.98 | 47.92 | 33.54 |
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Kaplan-Meier Estimates of the Probability of Being Alive at 6, 12, and 24 Months in the DE Cohorts
OS was defined from date of first dose to date of death due to any cause, censoring at the date of last contact. (NCT01055496)
Timeframe: 6, 12, and 24 months
Intervention | Percent Probability (Number) |
---|
| 6 months | 12 months | 24 months |
---|
DE Arm 1: (R-CVP) Plus Inotuzumab Ozogamicin | 100.00 | 80.00 | 80.00 |
,DE Arm 2: (R-GDP) Plus Inotuzumab Ozogamicin | 74.07 | 62.96 | 55.09 |
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Mean Inotuzumab Ozogamicin Serum Concentrations
Pharmacokinetic (PK) samples were required for participants enrolled in the confirmatory and preliminary efficacy MTD cohorts only (Parts 2 and 3). Concentrations of inotuzumab ozogamicin in serum were determined using appropriate, validated unconjugated (also known as free) bioanalytical assays. (NCT01055496)
Timeframe: Pre-dose on Cycle 1, Day 2; Pre-dose, 1 and 3 hours post-dose on Cycle 3, Day 2; 24 hours post-dose on Cycle 3, Day 3 and 168 hours post-dose on Cycle 3, Day 8.
Intervention | ng/mL (Mean) |
---|
| Cycle 1 Day 2, 0h | Cycle 3 Day 2, 0h | Cycle 3 Day 2, 1h | Cycle 3 Day 2, 3h | Cycle 3 Day 3, 24h | Cycle 3 Day 8, 168h |
---|
Cohort 2b/MTD/EE Arm 2: (R-GDP) Plus Inotuzumab Ozogamicin | NA | 25.00 | 283.27 | 280.33 | 154.25 | NA |
,Cohort 3/MTD/EE Arm 1: (R-CVP) Plus Inotuzumab Ozogamicin | NA | NA | 189.74 | 213.95 | 110.39 | NA |
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Kaplan-Meier Estimates of the Probability of Being Alive at 6, 12, and 24 Months in the MTD Confirmation/EE Cohorts
OS was defined from date of first dose to date of death due to any cause, censoring at the date of last contact. (NCT01055496)
Timeframe: 6, 12, and 24 Months
Intervention | Percent Probability (Number) |
---|
| 6 months | 12 months | 24 months |
---|
MTD/EE Arm 1: (R-CVP) Plus Inotuzumab Ozogamicin | 84.38 | 78.13 | 71.61 |
,MTD/EE Arm 2: (R-GDP) Plus Inotuzumab Ozogamicin | 88.00 | 59.11 | 53.74 |
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Mean Inotuzumab Ozogamicin Serum Concentrations
Pharmacokinetic (PK) samples were required for participants enrolled in the confirmatory and preliminary efficacy MTD cohorts only (Parts 2 and 3). Concentrations of inotuzumab ozogamicin in serum were determined using appropriate, validated unconjugated (also known as free) bioanalytical assays. (NCT01055496)
Timeframe: Pre-dose on Cycle 1, Day 2; Pre-dose, 1 and 3 hours post-dose on Cycle 3, Day 2; 24 hours post-dose on Cycle 3, Day 3 and 168 hours post-dose on Cycle 3, Day 8.
Intervention | ng/mL (Mean) |
---|
| Cycle 1 Day 2, 0h |
---|
Cohort 1, Arm 2 | NA |
,Cohort 3b, Arm 2 | NA |
,Cohort 4, Arm 1 | NA |
,Cohort 4, Arm 2 | NA |
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Kaplan-Meier Estimates of the Probability of Being Alive and Free From PD or New Anticancer Therapy at 6, 12, and 24 Months in the MTD Confirmation/EE Cohorts.
Measure includes death from any cause, PD (including symptomatic deterioration) during and after treatment or initiation of new anticancer therapy for the lymphoma. PD was defined as symptomatic deterioration and according to the International Response Criteria for NHL: 1) appearance of any new lesion >1.5 cm in any axis during or at EOT, even if other lesions are decreasing, 2) at least a 50% increase from nadir in the SPD of any previously involved or single involved nodes, or the size of other lesions (splenic or hepatic). Lymph nodes with a short axis diameter of <1.0 cm must increase by ≥50% and to a size of 1.5x1.5 cm or >1.5 cm in the long axis, 3) 50% increase in the longest diameter of any single previously identified node >1 cm in its short axis. PD was defined as clinical PD, new non-nodal lesions or new nodal lesion ≥1.5 cm in GTD, progression of existing non-index lesions or bone marrow that was negative and now positive. (NCT01055496)
Timeframe: 6, 12, and 24 months
Intervention | Percent Probability (Number) |
---|
| 6 months | 12 months | 24 months |
---|
MTD/EE Arm 1: (R-CVP) Plus Inotuzumab Ozogamicin | 61.85 | 51.54 | 44.67 |
,MTD/EE Arm 2: (R-GDP) Plus Inotuzumab Ozogamicin | 54.74 | 24.88 | NA |
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Percentage of Participants With a Treatment Emergent AE
An AE was any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event may not necessarily have had a causal relationship with the treatment or usage. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged in-patient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent AEs were defined as those occurring on or after the first study drug dose day through and including 56 days post last dose of study drug. The severity of all AEs was graded by the investigator using the National Cancer Institute Common Terminology Criteria for AE Version 3.0 (NCI CTCAE v3.0). (NCT01055496)
Timeframe: SAEs were assessed from informed consent through and including the end of treatment visit (at least 28 calendar days after last study drug administration). Non-SAEs were recorded from time of the first dose of study drug through last participant visit.
Intervention | Percentage of Participants (Number) |
---|
| Subjects with AEs | Subjects with SAEs | Subjects with Grade 3 or 4 AEs | Subjects with Grade 5 AEs | Subjects discontinued due to AEs | Subjects with dose reduced due to AEs | Subjects with temporary discontinuation due to AEs |
---|
Arm 1 (R-CVP) Plus Inotuzumab Ozogamicin | 100 | 31.3 | 89.6 | 4.2 | 27.1 | 16.7 | 54.2 |
,Arm 2 (R-GDP) Plus Inotuzumab Ozogamicin | 100 | 45.5 | 96.4 | 5.5 | 36.4 | 32.7 | 67.3 |
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Kaplan-Meier Estimate of the OS in the MTD Confirmation/EE Cohorts
OS was defined from date of first dose to date of death due to any cause, censoring at the date of last contact. (NCT01055496)
Timeframe: From first dose of study medication through 2 year follow-up period
Intervention | Months (Median) |
---|
MTD/EE Arm 1: (R-CVP) Plus Inotuzumab Ozogamicin | NA |
MTD/EE Arm 2: (R-GDP) Plus Inotuzumab Ozogamicin | NA |
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Objective Response Rate
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT or 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. (NCT01064622)
Timeframe: Up to 6 months
Intervention | percentage of participants (Number) |
---|
Arm I (Gemcitabine Hydrochloride and Placebo) | 13.2 |
Arm II (Gemcitabine Hydrochloride and Vismodegib) | 7.5 |
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Overall Survival
Time from randomization to death from any cause. Estimated in the two treatment groups by the Kaplan-Meier method and compared using a stratified logrank test. (NCT01064622)
Timeframe: Up to 3 years
Intervention | months (Median) |
---|
Arm I (Gemcitabine Hydrochloride and Placebo) | 6.1 |
Arm II (Gemcitabine Hydrochloride and Vismodegib) | 6.9 |
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Incidence of Adverse Events
Details are provided in Adverse Events section below. Reported here are percentage of patients in each arm with any grade 1 or higher adverse event, regardless of attribution. (NCT01064622)
Timeframe: Up to 3 years
Intervention | percentage of participants (Number) |
---|
Arm I (Gemcitabine Hydrochloride and Placebo) | 98.1 |
Arm II (Gemcitabine Hydrochloride and Vismodegib) | 98.1 |
Phase I lead-in Patients | 100.0 |
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Progression-free Survival
Time from randomization to disease progression or death from any cause. Estimated in the two treatment groups by the Kaplan-Meier method and compared using a stratified logrank test. (NCT01064622)
Timeframe: Up to 3 years
Intervention | months (Median) |
---|
Arm I (Gemcitabine Hydrochloride and Placebo) | 2.5 |
Arm II (Gemcitabine Hydrochloride and Vismodegib) | 4.0 |
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Activity (Overall Response Rate) in Crossover Patients
RECIST response rate in patients after crossover from placebo to vismodegib arm. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT or 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. (NCT01064622)
Timeframe: Up to 6 months
Intervention | percentage of participants (Number) |
---|
Arm I (Gemcitabine Hydrochloride and Placebo) | 4.5 |
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Percentage of Participants With Disease Control
Disease control was defined as having CR/PR/SD as per RECIST criteria v 1.1. CR was defined as disappearance of all target and non-target lesions and no new lesions, all pathological lymph nodes must have decreased to <10 mm in short axis. PR was defined as at least a 30% decrease in the sum of diameters of target lesions (taking as reference the baseline sum diameters), no progression in non-target lesions, and no new lesions. SD was defined as 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 was defined as at least 20% increase in the sum of diameters of target lesions 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. (NCT01077713)
Timeframe: Cycle 3 Day 15, Cycle 6 Day 15 and at Month 6
Intervention | percentage of participants (Number) |
---|
| Cycle 3 | Cycle 6 | Month 6 |
---|
Bevacizumab + Gemcitabine | 53.5 | 27.9 | 25.6 |
,Bevacizumab + Gemcitabine + Cisplatin | 67.5 | 37.5 | 30.0 |
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Percentage of Participants With Disease Progression or Death
Disease progression was assessed according to RECIST criteria v1.1. Disease progression was defined as at least a 20% increase in the sum of diameters of target lesions 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. (NCT01077713)
Timeframe: Baseline; Day 15 of Cycles 3 and 6; Month 6 and then every 3 months until disease progression, death, or consent withdrawal (up to 53 months)
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Gemcitabine | 86.0 |
Bevacizumab + Gemcitabine + Cisplatin | 90.0 |
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Duration of Response (DoR)
DoR was defined for participants who had achieved an objective response (CR/PR) (whichever status was recorded first) as the time period from first documentation of a response to the date of first occurrence of investigator documented disease progression or death. CR was defined as disappearance of all target and non-target lesions and no new lesions, all pathological lymph nodes must have decreased to <10 mm in short axis. PR was defined as at least a 30% decrease in the sum of diameters of target lesions (taking as reference the baseline sum diameters), no progression in non-target lesions, and no new lesions. Disease progression was defined as increase by at least 20% in the sum of the longest diameters of each target lesion, taking as a reference the smallest sum of the longest diameters or appearance of one or more new lesions. DoR was estimated using Kaplan Meier method. (NCT01077713)
Timeframe: Baseline; Day 15 of Cycles 3 and 6; Month 6 and then every 3 months until disease progression, death or consent withdrawal (up to 53 months)
Intervention | months (Median) |
---|
Bevacizumab + Gemcitabine | 5.23 |
Bevacizumab + Gemcitabine + Cisplatin | 5.97 |
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Overall Survival (OS)
OS was defined as the interval between the date of randomization and death from any cause. OS was estimated using Kaplan Meier method. (NCT01077713)
Timeframe: From randomization to death or end of the study (up to 53 months)
Intervention | months (Median) |
---|
Bevacizumab + Gemcitabine | 5.66 |
Bevacizumab + Gemcitabine + Cisplatin | 12.0 |
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Percentage of Participants Alive and Without Progressive Disease at Month 6
Disease progression was assessed according to Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.1 (v 1.1). Disease progression was defined at least a 20% increase in the sum of diameters of target lesions compared to smallest sum of diameters on-study and absolute increase of at least 5 millimeter (mm), progression of existing non-target lesions, or presence of new lesions. (NCT01077713)
Timeframe: Month 6
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Gemcitabine | 25.6 |
Bevacizumab + Gemcitabine + Cisplatin | 30.0 |
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Percentage of Participants Alive at 12 Months After Randomization
(NCT01077713)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Gemcitabine | 37.2 |
Bevacizumab + Gemcitabine + Cisplatin | 47.5 |
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Percentage of Participants Who Died
(NCT01077713)
Timeframe: From randomization to death or end of the study (up to 53 months)
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Gemcitabine | 69.8 |
Bevacizumab + Gemcitabine + Cisplatin | 72.5 |
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Progression Free Survival (PFS)
PFS was defined as the interval between the date of randomization and the first documentation of progressive disease or death from any cause. Disease progression was assessed according to RECIST criteria v 1.1. Disease progression was defined at least 20% increase in the sum of diameters of target lesions 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. PFS was estimated using Kaplan Meier method. (NCT01077713)
Timeframe: Baseline; Day 15 of Cycles 3 and 6; Month 6 and then every 3 months until disease progression, death, or consent withdrawal (up to 53 months)
Intervention | months (Median) |
---|
Bevacizumab + Gemcitabine | 4.33 |
Bevacizumab + Gemcitabine + Cisplatin | 6.82 |
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Percentage of Participants by Best Overall Response
Best overall response was defined as the best response recorded from the start of the treatment until disease progression/recurrence, assessed according to RECIST criteria v 1.1. Complete Response (CR): disappearance of all target and non-target lesions and no new lesions, all pathological lymph nodes must have decreased to less than (<) 10 millimeter (mm) in short axis; Partial Response (PR): at least a 30% decrease in the sum of diameters of target lesions (taking as reference the baseline sum diameters), no progression in non-target lesion, and no new lesions; Progressive Disease (PD): at least 20% increase in the sum of diameters of target lesions 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; 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. (NCT01077713)
Timeframe: Baseline; Day 15 of Cycles 3 and 6; Month 6 and then every 3 months until disease progression, death or consent withdrawal (up to 53 months)
Intervention | percentage of participants (Number) |
---|
| CR | PR | SD | PD | Not Assessable |
---|
Bevacizumab + Gemcitabine | 0.0 | 14.0 | 39.5 | 16.3 | 30.2 |
,Bevacizumab + Gemcitabine + Cisplatin | 0.0 | 35.0 | 37.5 | 12.5 | 15.0 |
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Percentage of Participants With an Objective Response
Objective response was defined as having a CR or PR according to a RECIST criteria v 1.1. CR was defined as disappearance of all target and non-target lesions and no new lesions, all pathological lymph nodes must have decreased to <10 mm in short axis. PR was defined as at least a 30% decrease in the sum of diameters of target lesions (taking as reference the baseline sum diameters), no progression in non-target lesions, and no new lesions. (NCT01077713)
Timeframe: Cycle 3 Day 15, Cycle 6 Day 15 and at Month 6
Intervention | percentage of participants (Number) |
---|
| Cycle 3 | Cycle 6 | Month 6 |
---|
Bevacizumab + Gemcitabine | 11.6 | 9.3 | 4.7 |
,Bevacizumab + Gemcitabine + Cisplatin | 27.5 | 15.0 | 10.0 |
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Response Rate by RECIST Criteria.
"Response rate = complete response + partial response per RECIST~Complete response - disappearance of all target and non-target lesions.~Partial response - at least a 30% decrease in the sum of the longest diameter of the target lesions, taking as reference the baseline sum longest diameter" (NCT01080248)
Timeframe: Follow-up was approximately 9 weeks
Intervention | percentage of participants (Number) |
---|
Arm 1 (Gemcitabine & Pazopanib) | 0 |
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Progression-free Survival (PFS)
"PFS is defined as the duration of time from start of treatment to time to progression.~Progressive disease - at least a 20% increase in the sum of the longest diameter of the target lesions taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of one or more new lesions." (NCT01080248)
Timeframe: Follow-up was approximately 9 weeks
Intervention | weeks (Number) |
---|
Arm 1 (Gemcitabine & Pazopanib) | 8 |
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Overall Survival
(NCT01080248)
Timeframe: 1 year
Intervention | participants (Number) |
---|
Arm 1 (Gemcitabine & Pazopanib) | 0 |
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Progression Free Survival With the Combination of GDC-0449 With Gemcitabine and Nab-paclitaxel.
Number of months from time first therapy received to the earliest documented disease progression or death from any cause. (NCT01088815)
Timeframe: 6 years
Intervention | months (Median) |
---|
Gemcitabine, Nab-paclitaxel, GDC-0449 | 5.42 |
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Efficacy of Combination of GDC-0449 With Gemcitabine and Nab-Paclitaxel as Assessed by Tumor Response
Number of participants with complete (CR) or partial (PR) response as defined by RECIST criteria. (NCT01088815)
Timeframe: 6 years
Intervention | Participants (Count of Participants) |
---|
| CR | PR |
---|
Gemcitabine, Nab-paclitaxel, GDC-0449 | 1 | 26 |
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Efficacy of Combination of GDC-0449 With Gemcitabine and Nab-Paclitaxel as Assessed by Changes in Pancreatic Cancer Stem Cell
Change in number of Pancreatic cancer stem cells in tissue and peripheral blood in tissue biopsy and peripheral blood. (NCT01088815)
Timeframe: 6 years
Intervention | cells (Mean) |
---|
| peripheral blood |
---|
Gemcitabine, Nab-paclitaxel, GDC-0449 | 27.0 |
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Efficacy of Combination of GDC-0449 With Gemcitabine and Nab-Paclitaxel as Assessed by Overall Survival
Total number of months alive. (NCT01088815)
Timeframe: 6 years
Intervention | months (Median) |
---|
Gemcitabine, Nab-paclitaxel, GDC-0449 | 9.79 |
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Tumour Shrinkage
"Tumour shrinkage is calculated as the minimum post-baseline sum of longest diameters of target lesions (longest for non-nodal lesions, short axis for nodal lesions) (SLD), as assessed by central independent review. The mean of these minimum values are presented after adjusting for baseline sum of longest diameters and EGFR mutation category. Only data collected up until the analysis cut-off date (27 Dec 2013) were considered. A negative value means the smallest post-baseline SLD was smaller than baseline (decreased since baseline); a positive value means tumor size increased since baseline.~The means are adjusted for baseline sum of lesions and EGFR mutation category." (NCT01121393)
Timeframe: Tumour assessment were performed at screening, week 6, 12, 18, 24, 30, 36, 42, 48 and then every 12 weeks until progression or death whichever occurs first up to week 374
Intervention | millimetre (mm) (Mean) |
---|
Afatinib 40 Milligram (mg) | 33.41 |
Gemcitabine / Cisplatin Chemotherapy | 47.06 |
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Change From Baseline in Body Weight
The change from baseline to the lowest and the last body weight recorded or during the the study. (NCT01121393)
Timeframe: Baseline and throughout the study (every 3 weeks) until progression or death (whichever occurs first) up to 374 weeks.
Intervention | kilogram (kg) (Mean) |
---|
| Change from baseline at lowest value | Change from baseline at last value |
---|
Afatinib 40 Milligram (mg) | -3.03 | -0.76 |
,Gemcitabine / Cisplatin Chemotherapy | -1.52 | 0.00 |
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Time to Objective Response (OR)
"OR is defined as a best of overall response of complete response (CR) or partial response (PR) assessed by central independent review according to RECIST version 1.1.~For patients with an objective response, time to objective response was defined as the time from randomisation to the first objective response.~Outcome data are the percentage of patients with OR by each scheduled tumour assessment." (NCT01121393)
Timeframe: Tumour assessment were performed at screening, week 6, 12, 18, 24, 30, 36, 42, 48 and then every 12 weeks until progression or death whichever occurs first up to week 374
Intervention | percentage of participants (Number) |
---|
| By Week 6 | By Week 12 | By Week 18 | By Week 24 | By Week 30 | By Week 36 | By Week 42 | By Week 48 | By Week 60 | By Week 72 | By Week 84 | By Week 96 | By Week 108 | By Week 120 |
---|
Afatinib 40 Milligram (mg) | 49.2 | 59.9 | 64.0 | 64.9 | 65.7 | 66.1 | 66.5 | 66.5 | 66.9 | 66.9 | 66.9 | 67.4 | 67.4 | 67.8 |
,Gemcitabine / Cisplatin Chemotherapy | 13.1 | 19.7 | 23.0 | 23.0 | 23.0 | 23.0 | 23.0 | 23.0 | 23.0 | 23.0 | 23.0 | 23.0 | 23.0 | 23.0 |
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Duration of Objective Response
"OR is defined as a best of overall response of complete response (CR) or partial response (PR) assessed by central independent review according to RECIST version 1.1.~For patients with an objective response, duration of objective response was defined as the time from the first objective response to disease progression or death whichever occurs earlier. A pre-defined set of censoring rules were used for patients who did not progress/die. The Median values are Kaplan-Meier estimates." (NCT01121393)
Timeframe: Tumour assessment were performed at screening, week 6, 12, 18, 24, 30, 36, 42, 48 and then every 12 weeks until progression or death whichever occurs first up to week 374
Intervention | months (Median) |
---|
Afatinib 40 Milligram (mg) | 9.72 |
Gemcitabine / Cisplatin Chemotherapy | 4.27 |
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Duration of Disease Control
For patients with disease control, duration of disease control was defined as the time from randomisation to progression or death whichever occurs first. A pre-defined set of censoring rules were used for patients who did not progress/die. The Median values are Kaplan-Meier estimates. (NCT01121393)
Timeframe: Tumour assessment were performed at screening, week 6, 12, 18, 24, 30, 36, 42, 48 and then every 12 weeks until progression or death whichever occurs first up to week 374
Intervention | months (Median) |
---|
Afatinib 40 Milligram (mg) | 11.07 |
Gemcitabine / Cisplatin Chemotherapy | 5.65 |
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Disease Control (DC)
DC is defined as a patient with objective response (OR) or stable disease (SD) assessed by central independent review according to RECIST version 1.1 and will be presented as the percentage of patients with DC. (NCT01121393)
Timeframe: Tumour assessment were performed at screening, week 6, 12, 18, 24, 30, 36, 42, 48 and then every 12 weeks until progression or death whichever occurs first up to week 374
Intervention | percentage of participants (Number) |
---|
Afatinib 40 Milligram (mg) | 92.6 |
Gemcitabine / Cisplatin Chemotherapy | 76.2 |
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Pharmacokinetics of Afatinib at Day 22
Outcome data are the trough plasma concentrations of afatinib at day 22 after multiple daily dosing of 40mg afatinib and after dose escalation to 50mg or dose reduction to 30mg afatinib (no patient dose reduced to 20mg during the Pharmacokinetics (PK) assessment period). (NCT01121393)
Timeframe: Day 22 (course 2, visit 1)
Intervention | nanogram/millilitre (ng/mL) (Geometric Mean) |
---|
Afatinib 30mg q.d. | 17.7 |
Afatinib 40mg q.d. | 23.1 |
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Overall Survival (OS)
"OS is defined as the time from randomisation to death. For patients who had not died until 7 December 2017, the date they were last known to be alive was derived from patient status records, the trial completion record, radiological imaging assessments, the study treatment termination record, and the randomisation date.~Median time results from unstratified Kaplan-Meier estimates." (NCT01121393)
Timeframe: From randomisation up to 374 weeks
Intervention | months (Median) |
---|
Afatinib 40 Milligram (mg) | 23.10 |
Gemcitabine / Cisplatin Chemotherapy | 23.46 |
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Objective Response (OR)
"OR is defined as a best overall response of complete response (CR) or partial response (PR) assessed by central independent review according to RECIST version 1.1 and will be presented as the percentage of patients with OR.~CR is defined as the disappearance of all target lesions and non-target lesions and no new lesions.~PR is defined as at least a 30% decrease in the sum of longest diameter (LD) of target lesions taking as reference the baseline sum LD, non-Progressive Disease or non evaluation of all non-target lesions and no new lesions.~(Exact 95% Confidence interval by Clopper and Pearson.)" (NCT01121393)
Timeframe: Tumour assessment were performed at screening, week 6, 12, 18, 24, 30, 36, 42, 48 and then every 12 weeks until progression or death whichever occurs first up to week 374
Intervention | percentage of participants (Number) |
---|
Afatinib 40 Milligram (mg) | 67.8 |
Gemcitabine / Cisplatin Chemotherapy | 23.0 |
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Pharmacokinetics of Afatinib at Day 29
Outcome data are the trough plasma concentrations of afatinib at day 29 after multiple daily dosing of 40mg afatinib and after dose escalation to 50mg or dose reduction to 30mg afatinib (no patient dose reduced to 20mg during the PK assessment period). (NCT01121393)
Timeframe: Day 29 (course 2, visit 2)
Intervention | ng/mL (Geometric Mean) |
---|
Afatinib 30mg q.d. | 19.5 |
Afatinib 40mg q.d. | 23.8 |
Afatinib 50mg q.d. | 22.8 |
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Safety of Afatinib as Indicated by Intensity and Incidence of Adverse Events
Safety of Afatinib as indicated by intensity and incidence of adverse events graded according to the US National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 3.0. Presented as the percentage of patients with an Adverse Events during the on-treatment period by highest CTCAE grade. (NCT01121393)
Timeframe: From first administration of study medication up to 28 days after the last administration of study medication up to 374 weeks.
Intervention | percentage of participants (Number) |
---|
| CTCAE Grade 1 | CTCAE Grade 2 | CTCAE Grade 3 | CTCAE Grade 4 | CTCAE Grade 5 |
---|
Afatinib 40 Milligram (mg) | 13.8 | 36.0 | 39.3 | 4.2 | 6.7 |
,Gemcitabine / Cisplatin Chemotherapy | 8.0 | 29.2 | 38.1 | 21.2 | 2.7 |
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Pharmacokinetics of Afatinib at Day 43
Outcome data are the trough plasma concentrations of afatinib at day 43 after multiple daily dosing of 40mg afatinib and after dose escalation to 50mg or dose reduction to 30mg afatinib (no patient dose reduced to 20mg during the PK assessment period). (NCT01121393)
Timeframe: Day 43 (course 3, visit 1)
Intervention | ng/mL (Geometric Mean) |
---|
Afatinib 30mg q.d. | 21.5 |
Afatinib 40mg q.d. | 22.1 |
Afatinib 50mg q.d. | 22.9 |
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Progression-free Survival
"The primary endpoint was progression-free survival (PFS) as assessed by central independent review according to Response Evaluation Criteria in Solid Tumours (RECIST) version 1.1. Progression-free survival was defined as the time from randomisation to disease progression or death whichever occurs earlier. A pre-defined set of censoring rules were used for patients who did not have a PFS.~Only data collected up until the analysis cut-off date (27 December 2013) were considered. Median time results from unstratified Kaplan-Meier estimates." (NCT01121393)
Timeframe: Tumour assessment were performed at screening, week 6, 12, 18, 24, 30, 36, 42, 48 and then every 12 weeks until progression or death whichever occurs first up to week 168
Intervention | months (Median) |
---|
Afatinib 40 Milligram (mg) | 11.01 |
Gemcitabine / Cisplatin Chemotherapy | 5.59 |
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Changes in Safety Laboratory Parameters
"Outcome data presented are the percentage of patients by worst CTCAE grade (only Grades 2 to 4 presented) on treatment for the following laboratory parameters: Potassium, Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Creatine and Creatine Kinase.~For Potassium; only CTCAE grades resulting from hypokalemia (low values) are presented." (NCT01121393)
Timeframe: From first administration of study medication up to 28 days after the last administration of study medication up to 374 weeks.
Intervention | percentage of participants (Number) |
---|
| Potassium CTCAE grade 2 | Potassium CTCAE grade 3 | Potassium CTCAE grade 4 | AST CTCAE grade 2 | AST CTCAE grade 3 | AST CTCAE grade 4 | ALT CTCAE grade 2 | ALT CTCAE grade 3 | ALT CTCAE grade 4 | Creatinine CTCAE grade 2 | Creatinine CTCAE grade 3 | Creatinine CTCAE grade 4 | Creatinine Kinase CTCAE grade 2 | Creatinine Kinase CTCAE grade 3 | Creatinine Kinase CTCAE grade 4 |
---|
Afatinib 40 Milligram (mg) | NA | 5.1 | 2.6 | 5.1 | 1.3 | 0.0 | 8.1 | 3.4 | 0.0 | 2.1 | 0.0 | 0.0 | 3.7 | 1.9 | 0.0 |
,Gemcitabine / Cisplatin Chemotherapy | NA | 15.6 | 0.9 | 1.9 | 1.9 | 0.0 | 5.6 | 1.9 | 0.0 | 2.8 | 0.0 | 0.0 | 1.0 | 0.0 | 0.0 |
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Biological Progression-free Survival Based on Serum Cancer Antigen 125 (CA-125) According to the Gynaecologic Cancer Intergroup (GCIG) Criteria
"Biological PFS including assessment of CA-125 levels was defined as the time from randomisation until the first occurrence of progressive disease according to CA-125, progressive disease according to radiological evidence, or death.~Also according to the below criterias,~In patients with radiological measurable disease, disease progression during study treatment could not be declared on the basis of CA-125 alone.~Patients with elevated CA-125 pre-treatment and normalization of CA-125 had to show evidence of CA-125 ≥ to two times the upper normal limit on two occasions at least one week apart or~Patients with elevated CA-125 pre-treatment, which never normalized, had to show evidence of CA-125 ≥ to two times the nadir value on two occasions at least one week apart or~Patients with CA-125 in the normal range pre-treatment had to show evidence of CA-125 ≥ to two times the upper normal limit on two occasions at least one week apart." (NCT01121406)
Timeframe: At screening and every 6 weeks thereafter (Up to 213 weeks )
Intervention | weeks (Median) |
---|
Volasertib (BI 6727) | 13.1 |
Cytotoxic | 20.6 |
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CL; Total Clearance of BI 6727 BS in Plasma After Intravenous Administration
CL; total clearance of BI 6727 BS in plasma after intravenous administration (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration
Intervention | mL/min (Geometric Mean) |
---|
Volasertib | 801 |
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Cmax; Maximum Measured Concentration of BI 6727 BS in Plasma
Cmax; maximum measured concentration of BI 6727 BS in plasma (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration
Intervention | ng/mL (Geometric Mean) |
---|
Volasertib | 341 |
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Cmax; Maximum Measured Concentration of CD 10899 BS in Plasma
Cmax; maximum measured concentration of CD 10899 BS (metabolite of Volasertib BI 6727) in plasma (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration
Intervention | ng/mL (Geometric Mean) |
---|
Volasertib | 10.8 |
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Disease Control Rate (DCR) at Week 24 According to Response Evaluation Criteria In Solid Tumours (RECIST) Version 1.1
DCR was defined as the proportion of patients who had an overall response of complete response (CR), partial response (PR), or stable disease (SD). (NCT01121406)
Timeframe: Week 24
Intervention | percentage of participants (Number) |
---|
Volasertib (BI 6727) | 30.6 |
Cytotoxic | 43.1 |
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MRT; Mean Residence Time of BI 6727 BS in the Body
MRT; Mean residence time of BI 6727 BS in the body (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration
Intervention | hours (Geometric Mean) |
---|
Volasertib | 118 |
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Overall Survival (OS)
OS is defined as time from randomisation to death irrespective of the cause of the death. (NCT01121406)
Timeframe: From randomization until death or study discontinuation; Up to 213 weeks
Intervention | weeks (Median) |
---|
Volasertib (BI 6727) | 60.1 |
Cytotoxic | 68.6 |
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Progression Free Survival (PFS)
"Progression-free survival of a patient was based on the investigator's assessment; it was defined as the number of days from the date of randomisation until the date of either disease progression or death from any cause, whichever occurred first.~Definition of disease progression according to RECIST version 1.1; Patients with measurable tumour lesions at baseline, Target-lesions: at least a 20% increase in the sum of diameters of target lesions, the sum of diameters must also demonstrate an absolute increase of at least 5 mm,taking as reference the smallest sum on study, or appearance of 1 or more new lesions.~Non-target lesions: unequivocal progression of existing non-target lesions or appearance of 1 or more new lesions Patients with non-measurable tumour lesions at baseline, Non-target lesions: requires unequivocal progression of existing non-target lesions or appearance of 1 or more new lesions" (NCT01121406)
Timeframe: From randomization until disease progression, death or study discontinuation; Up to 213 weeks
Intervention | weeks (Median) |
---|
Volasertib (BI 6727) | 13.1 |
Cytotoxic | 20.6 |
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t1/2; Terminal Half-life of BI 6727 BS in Plasma
t1/2; Terminal half-life of BI 6727 BS in plasma (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration
Intervention | hours (Geometric Mean) |
---|
Volasertib | 143 |
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t1/2; Terminal Half-life of CD 10899 BS in Plasma
t1/2; Terminal half-life of CD 10899 BS in plasma (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration
Intervention | hours (Geometric Mean) |
---|
Volasertib | 146 |
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Time to Deterioration in Abdominal Bloating/ Quality of Life (QOL)
"Time to deterioration in abdominal bloating/ Quality of life (QOL) and symptom control assessed by the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30, QLQ-OV28, and individual symptom questionnaires.~The time to deterioration was defined as the time from randomisation to a score increased (i.e. worsened) by at least 10 points from baseline (0-100 point scale). If score is missing, and patient died within 28 days after scheduled time for completion, the patient was considered deteriorated. In this case, time to deterioration is time to death." (NCT01121406)
Timeframe: Every 6 weeks (Up to 213 weeks )
Intervention | weeks (Median) |
---|
Volasertib (BI 6727) | NA |
Cytotoxic | 47.2 |
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Time to Deterioration in Global Health Status/Quality of Life (QOL)
"Time to deterioration in global health status/Quality of life (QOL) and symptom control assessed by the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30, QLQ-OV28, and individual symptom questionnaires.~The time to deterioration was defined as the time from randomisation to a score increased (i.e. worsened) by at least 10 points from baseline (0-100 point scale). If score is missing, and patient died within 28 days after scheduled time for completion, the patient was considered deteriorated. In this case, time to deterioration is time to death." (NCT01121406)
Timeframe: Every 6 weeks (Up to 213 weeks )
Intervention | weeks (Median) |
---|
Volasertib (BI 6727) | NA |
Cytotoxic | 39.6 |
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Time to Deterioration in Pain/ Quality of Life (QOL)
"Time to deterioration in pain/ Quality of life (QOL) and symptom control assessed by the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30, QLQ-OV28, and individual symptom questionnaires.~The time to deterioration was defined as the time from randomisation to a score increased (i.e. worsened) by at least 10 points from baseline (0-100 point scale). If score is missing, and patient died within 28 days after scheduled time for completion, the patient was considered deteriorated. In this case, time to deterioration is time to death." (NCT01121406)
Timeframe: Every 6 weeks (Up to 213 weeks )
Intervention | weeks (Median) |
---|
Volasertib (BI 6727) | NA |
Cytotoxic | 54.1 |
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Time to Deterioration in the Three Most Troublesome Disease Specific Symptoms/ Quality of Life (QOL)
"Three most troublesome disease specific symptoms, defined by the patient at baseline.~Patients that have defined more than 3 most troublesome symptoms have not been taken into account in the analysis.~Quality of life (QOL) and symptom control assessed by the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30, QLQ-OV28, and individual symptom questionnaires.~The time to deterioration was defined as the time from randomisation to a score increased (i.e. worsened) by at least 10 points from baseline (0-100 point scale). If score is missing, and patient died within 28 days after scheduled time for completion, the patient was considered deteriorated. In this case, time to deterioration is time to death." (NCT01121406)
Timeframe: Every 6 weeks (Up to 213 weeks)
Intervention | weeks (Median) |
---|
Volasertib (BI 6727) | NA |
Cytotoxic | 18.9 |
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Tmax; Time From Dosing to Maximum Measured Concentration of BI 6727 BS in Plasma
tmax; time from dosing to maximum measured concentration of BI 6727 BS in plasma (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration
Intervention | hours (Median) |
---|
Volasertib | 2.00 |
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Tmax; Time From Dosing to Maximum Measured Concentration of CD 10899 BS in Plasma
tmax; time from dosing to maximum measured concentration of CD 10899 BS (metabolite of Volasertib BI 6727) in plasma (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration
Intervention | hours (Median) |
---|
Volasertib | 6.07 |
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Vss;Apparent Volume of Distribution at Steady State Following Intravenous Administration for BI 6727 BS
Vss;apparent volume of distribution at steady state following intravenous administration for BI 6727 BS (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration
Intervention | Litres (Geometric Mean) |
---|
Volasertib | 5690 |
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Best Overall Response
"Best overall response (BOR) is defined as the best response recorded at any time from the date of randomisation until the end of treatment.~Missing categories signify that no tumour imaging has been performed post baseline, and therefore the response status could not be assessed." (NCT01121406)
Timeframe: time from the date of randomisation until study completion/discontinuation; Up to 213 weeks
Intervention | participants (Number) |
---|
| CR- Measurable disease | PR- Measurable disease | SD- Measurable disease | PD- Measurable disease | Missing- Measurable disease | CR- Non-measurable disease | Non-CR/Non-PD- Non-measurable disease | PD- Non-measurable disease | Missing- Non-measurable disease |
---|
Cytotoxic | 0 | 8 | 24 | 10 | 2 | 1 | 9 | 0 | 1 |
,Volasertib (BI 6727) | 0 | 7 | 24 | 14 | 0 | 0 | 6 | 3 | 0 |
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Biological Tumour Response Based on Serum Cancer Antigen 125 (CA-125) According to the Gynaecologic Cancer Intergroup (GCIG) Criteria
"Patients were to have a pre-treatment CA-125 of at least twice the upper limit of normal to be considered for CA-125 response. Patients were not evaluable by CA-125 if they had received mouse antibodies or if they had undergone medical and/or surgical interference with their peritoneum or pleura during the previous 28 days. In eligible patients, a CA-125 response was defined as the moment the CA- 25 was reduced by 50%, with this being confirmed with a consecutive CA-125 assessment not earlier than 28 days after the previous one.~Biological response rate based on serum CA-125 levels was assessed according to the guidelines by the Gynaecologic Cancer Intergroup. Monitoring of blood levels of the tumour marker CA-125 was performed at screening and every 6 weeks thereafter." (NCT01121406)
Timeframe: At screening and every 6 weeks thereafter (Up to 213 weeks)
Intervention | participants (Number) |
---|
| Yes | No | Not evaluable | Missing |
---|
Cytotoxic | 12 | 23 | 11 | 9 |
,Volasertib (BI 6727) | 10 | 33 | 4 | 7 |
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Clinically Relevant Changes in Laboratory and ECG Data
Clinically relevant changes in laboratory and ECG data (NCT01121406)
Timeframe: From first treatment administration to 21 days after the last drug administration (Up to 1403 days)
Intervention | percentage of participants (Number) |
---|
| Blood alkaline phosphatase increased | Blood creatinine increased | Platelet count decreased | Alanine aminotransferase increased | Aspartate aminotransferase increased | Blood uric acid increased | Gamma-glutamyltransferase increased | Alanine aminotransferase abnormal | Electrocardiogram QT prolonged | Haemoglobin decreased | Neutrophil count decreased | Troponin I increased | Blood lactate dehydrogenase increased | Blood magnesium decreased | White blood cell count decreased | Blood urea increased | Alanine aminotransferase decreased | Blood bilirubin increased | Blood creatine phosphokinase decreased | Blood potassium decreased | Hepatic enzyme increased | Aspartate aminotransferase abnormal | Transaminases increased |
---|
Cytotoxic | 12.7 | 3.6 | 0.0 | 9.1 | 5.5 | 5.5 | 5.5 | 0.0 | 0.0 | 3.6 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 3.6 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 1.8 | 1.8 |
,Cytotoxic to Volasertib Switch | 8.3 | 0.0 | 8.3 | 4.2 | 4.2 | 0.0 | 4.2 | 4.2 | 4.2 | 4.2 | 4.2 | 4.2 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 |
,Volasertib (BI 6727) | 3.7 | 9.3 | 9.3 | 1.9 | 3.7 | 1.9 | 3.7 | 0.0 | 0.0 | 3.7 | 1.9 | 0.0 | 3.7 | 3.7 | 3.7 | 1.9 | 1.9 | 1.9 | 1.9 | 1.9 | 1.9 | 0.0 | 0.0 |
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Incidence and Intensity of Adverse Events According to the United States National Cancer Institute (US NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0
Incidence and intensity of adverse events according to the United States National Cancer Institute (US NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 (NCT01121406)
Timeframe: From first treatment administration to 21 days after the last drug administration (Up to 1403 days)
Intervention | participants (Number) |
---|
| Grade 1 | Grade 2 | Grade 3 | Grade 4 | Grade 5 |
---|
Cytotoxic | 3 | 19 | 25 | 5 | 3 |
,Cytotoxic to Volasertib Switch | 1 | 3 | 9 | 6 | 3 |
,Volasertib (BI 6727) | 4 | 6 | 16 | 25 | 3 |
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Time to Deterioration in Fatigue/Quality of Life (QOL)
"Time to deterioration in fatigue/Quality of life (QOL) and symptom control assessed by the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30, QLQ-OV28, and individual symptom questionnaires.~The time to deterioration was defined as the time from randomisation to a score increased (i.e. worsened) by at least 10 points from baseline (0-100 point scale). If score is missing, and patient died within 28 days after scheduled time for completion, the patient was considered deteriorated. In this case, time to deterioration is time to death." (NCT01121406)
Timeframe: Every 6 weeks (Up to 213 weeks )
Intervention | weeks (Median) |
---|
Volasertib (BI 6727) | NA |
Cytotoxic | 67.1 |
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AUC (0-24); Area Under the Concentration-time Curve in Plasma Over the Time Interval From 0 to 24 Hours for BI 6727 BS
AUC (0-24); area under the concentration-time curve in plasma over the time interval from 0 to 24 hours for BI 6727 BS (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration
Intervention | ng*h/mL (Geometric Mean) |
---|
Volasertib | 2140 |
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AUC (0-24); Area Under the Concentration-time Curve in Plasma Over the Time Interval From 0 to 24 Hours for CD 10899 BS
AUC (0-24); area under the concentration-time curve in plasma over the time interval from 0 to 24 hours for CD 10899 BS (metabolite of Volasertib BI 6727) (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration
Intervention | ng*h/mL (Geometric Mean) |
---|
Volasertib | 204 |
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AUC (0-inf); Area Under the Concentration-time Curve in Plasma Over the Time Interval From 0 Extrapolated to Infinity for BI 6727 BS
AUC (0-inf); area under the concentration-time curve in plasma over the time interval from 0 extrapolated to infinity for BI 6727 BS (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration
Intervention | ng*h/mL (Geometric Mean) |
---|
Volasertib | 6240 |
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AUC (0-inf); Area Under the Concentration-time Curve in Plasma Over the Time Interval From 0 Extrapolated to Infinity for CD 10899 BS
AUC (0-inf); area under the concentration-time curve in plasma over the time interval from 0 extrapolated to infinity for CD 10899 BS (metabolite of Volasertib BI 6727) (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration
Intervention | ng*h/mL (Geometric Mean) |
---|
Volasertib | 1400 |
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Overall Survival in Patients With Low High Human Equilibrative Nucleoside Transporter 1 (hENT1) Expression
(NCT01124786)
Timeframe: Monthly follow up after treatment discontinuation until death, up to 1.5 years.
Intervention | months (Median) |
---|
CO-1.01 | 5.7 |
Gemcitabine | 6.1 |
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Phase 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
TEAE was defined as an adverse event that had an onset date, or a worsening in severity on or after the first dose of study drug up to the end of the study. Number of participants with TEAEs were reported based on safety assessments of laboratory tests, physical examination, examining bowel movements, regular measurement of vital signs, eastern cooperative oncology group-performance status and electrocardiogram parameter values. SAE was any untoward medical occurrence that at any dose: resulted in death; life threatening required inpatient hospitalization; resulted in persistent, significant disability; was congenital anomaly/birth defect or medically important due to other reasons than mentioned criteria. Number of participants with TEAEs and SAEs were reported. (NCT01126749)
Timeframe: From the first dose of study drug up to approximately 6 years 3 months
Intervention | Participants (Count of Participants) |
---|
| TEAEs | SAEs |
---|
Phase 2: Eribulin Mesylate 1.0 mg/m^2 + Gemcitabine 1000 mg/m^2+ Cisplatin 70 mg/m^2 | 41 | 22 |
,Phase 2: Gemcitabine 1000 mg/m^2+ Cisplatin 70 mg/m^2 | 38 | 14 |
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Phase 2: Percentage of Participants With Overall Response
Overall response rate was defined as the percentage of participants with the best confirmed response of complete response (CR) or partial response (PR) based on RECIST v1.1. CR was defined as complete disappearance of all target lesions. Any pathological lymph nodes (whether target or nontarget) must have reduction in short axis to less than 10 mm. PR was defined as at least a 30% decrease in the sum of the longest diameters of target lesions, taking as reference the baseline summed longest diameters. (NCT01126749)
Timeframe: From the date of randomization until CR or PR (Up to approximately 6 years 3 months)
Intervention | percentage of participants (Number) |
---|
Phase 2: Eribulin Mesylate 1.0 mg/m^2 + Gemcitabine 1000 mg/m^2+ Cisplatin 70 mg/m^2 | 52.5 |
Phase 2: Gemcitabine 1000 mg/m^2+ Cisplatin 70 mg/m^2 | 46.2 |
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Phase 2: Overall Survival (OS)
OS was defined as the time from the date of randomization until the date of death due to any cause. (NCT01126749)
Timeframe: From the date of randomization until the date of death (Up to approximately 6 years 3 months)
Intervention | weeks (Median) |
---|
Phase 2: Eribulin Mesylate 1.0 mg/m^2 + Gemcitabine 1000 mg/m^2+ Cisplatin 70 mg/m^2 | 62.9 |
Phase 2: Gemcitabine 1000 mg/m^2+ Cisplatin 70 mg/m^2 | 64.6 |
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Phase 1b: Number of Participants With Dose-limiting Toxicity (DLT) as Per National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.0
DLTs were clinically significant adverse events within 21 days of treatment judged by investigator at least possibly related to treatment. This included greater than or equal to (>=) Grade 3 (G3) peripheral neuropathy, >=G3 nausea and vomiting despite optimal anti-emetic treatment, any other non-hematologic toxicity of >=G3 (except alopecia, single abnormal laboratory values the Investigator judged unlikely related to study therapy, had no clinical correlate, and resolved within 7 days, and hypersensitivity reaction to any of the compounds), Grade 4 neutropenia lasting over 7 days, febrile neutropenia (defined as fever >=38.5 degrees Celsius with absolute neutrophil count below 1.0*10^9 per liter, G3 thrombocytopenia with nontraumatic bleeding (without therapeutic systemic anticoagulation) requiring platelet transfusion, Grade 4 thrombocytopenia (with or without nontraumatic bleeding), any study drug-related death, any other toxicity the dose escalation committee believed to be DLT. (NCT01126749)
Timeframe: Cycle 1 (Cycle length=21 days)
Intervention | Participants (Count of Participants) |
---|
Phase 1b: Eribulin Mesylate 0.7 mg/m^2 + Gemcitabine 1000 mg/m^2 + Cisplatin 70 mg/m^2 | 0 |
Phase 1b: Eribulin Mesylate 1.0 mg/m^2 + Gemcitabine 1000 mg/m^2 + Cisplatin 70 mg/m^2 | 1 |
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Disease-free Survival (DFS) by Response to HCQ Treatment
Median number of months of disease-free survival in participants who did and did not experience response to HCQ treatment. Patients who had >51 % increase in their LC3-II staining were classified as having a response to HCQ. (NCT01128296)
Timeframe: Up to 30 months
Intervention | months (Median) |
---|
| Response to HQC treatment | No response to HQC treatment |
---|
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (≤1200 mg/Day) | 15.03 | 6.9 |
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Overall Survival (OS)
Median number of months of overall survival for participants receiving study treatment. (NCT01128296)
Timeframe: Up to 35 months
Intervention | months (Median) |
---|
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (≤1200 mg/Day) | 34.83 |
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R0 Resection Rate
Number of participants that underwent a resection with microscopically margin-negative resection in which no gross or microscopic tumor remains in the primary tumor bed (24) / number of that completed treatment (31) (NCT01128296)
Timeframe: Up to 30 months
Intervention | percentage of participants (Number) |
---|
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (≤1200 mg/Day) | 77 |
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Disease-free Survival (DFS) by CA 19-9 Response
Median number of months of disease-free survival for participants who experienced Ca 19-9 (surrogate biomarker) response (either an increase or decrease in Ca 19-9), or no Ca 19-9 response. Per participant increases in Ca 19-9 ranged from >0 to 225%. Per participant decreases in Ca 19-9 ranged from >0 to 100%. (NCT01128296)
Timeframe: Up to 30 months
Intervention | months (Median) |
---|
| Ca 19-9 Response | No Ca 19-9 Response |
---|
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (≤1200 mg/Day) | 21.4 | 6.9 |
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Disease-free Survival by p53 Genetic Status
(NCT01128296)
Timeframe: Up to 35 months
Intervention | months (Median) |
---|
| p53 WT | p53 Mutant |
---|
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (≤1200 mg/Day) | 21.4 | 11.8 |
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Overall Survival (OS) by CA 19-9 Response
Median number of months of overall survival for participants who experienced Ca 19-9 (surrogate biomarker) response (either an increase or decrease in Ca 19-9), or, no Ca 19-9 response. Per participant increases in Ca 19-9 ranged from >0 to 225%. Per participant decreases in Ca 19-9 ranged from >0 to 100%. (NCT01128296)
Timeframe: Up to 35 months
Intervention | months (Median) |
---|
| Ca 19-9 Response (increase or decrease) | No Ca 19-9 Response |
---|
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (≤1200 mg/Day) | 34.8 | 8.8 |
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Overall Survival (OS) by Response to HCQ Treatment
Median number of months of overall survival in participants who did and did not experience response to HCQ treatment. Patients who had >51 % increase in their LC3-II staining were classified as having a response to HCQ. (NCT01128296)
Timeframe: Up to 35 months
Intervention | months (Median) |
---|
| Response to HQC treatment | No response to HQC treatment |
---|
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (≤1200 mg/Day) | 34.83 | 10.83 |
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Overall Survival (OS) by p53 Mutant Status
(NCT01128296)
Timeframe: Up to 35 months
Intervention | months (Median) |
---|
| p53 WT | p53 Mutant |
---|
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (≤1200 mg/Day) | NA | 26.1 |
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Disease-free Survival (DFS)
Median number of months of disease-free survival for participants receiving study treatment. (NCT01128296)
Timeframe: Up to 30 months
Intervention | months (Median) |
---|
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (1200 mg/Day) | 11.97 |
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Number of Participants That Experienced a Dose Limiting Toxicity (DLT)
Number of Participants at each dose level of HCQ that experienced a Dose Limiting Toxicity (DLT). (NCT01128296)
Timeframe: Up to 31 days
Intervention | participants (Number) |
---|
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (200 mg/Day) | 0 |
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (400 mg/Day) | 0 |
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (600 mg/Day) | 0 |
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (800 mg/Day) | 0 |
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (1000 mg/Day) | 0 |
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (1200 mg/Day) | 0 |
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Number of Participants With Dose Limiting Toxicity (DLT)
DLTs were defined as clinically significant adverse events occurring less than or equal to 21 days after commencing study treatment and considered to be possibly or probably related to study treatment by the Investigator. If 1 DLT occurred at any dose level, the cohort was to be expanded to include a maximum of six evaluable subjects. If 2 DLTs occurred at any dose level, the maximum tolerated dose (MTD) was to be either defined as the preceding dose, or an intermediate dose. To evaluate an intermediate dose, an additional dose cohort could be added to more accurately define the MTD. (NCT01133756)
Timeframe: Cycle 1 (21 days)
Intervention | Participants (Number) |
---|
| Platelet count decreased | Thrombocytopenia |
---|
Lenvatinib 16 mg (Day 1 to Day 21) + Carboplatin + Gemcitabine | 1 | 0 |
,Lenvatinib 16 mg (Day 2 to Day 21) + Carboplatin + Gemcitabine | 0 | 2 |
,Lenvatinib 8 mg (Day 2 to Day 21) + Carboplatin + Gemcitabine | 0 | 0 |
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Progression-free Survival (PFS)
Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST), 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 (NCT01144455)
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 1 year
Intervention | days (Median) |
---|
Gemcitabine | 111 |
240 mg/m2 TH-302 + Gemcitabine | 169 |
340 mg/m2 TH-302 + Gemcitabine | 183 |
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To Determine the Overall Survival in Pancreatic Cancer Patients Treated With Gemcitabine and SBRT for up to 5 Years of Follow up.
Time to death was measured from start of treatment to until death. If death was not observed, the patient was censored at last follow up. (NCT01146054)
Timeframe: Up to 5 years of follow up.
Intervention | Months (Median) |
---|
SBRT and Gemzar | 13.9 |
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Proportion of Participants Achieving Freedom From Local Progression (FFLP) in Patients Treated With Gemcitabine Followed by Fractionated Stereotactic Body Radiotherapy (SBRT) for up to 5 Years of Follow up.
"Freedom from local progression is defined as the time from start of SBRT treatment to local progression, with death as a competing risk. If the patient neither died nor experienced local progression, then patient was censored at last follow up.~The data was analyzed in a competing risk model and the outcome reported was the 1 year cumulative incidence rate." (NCT01146054)
Timeframe: Up to 5 years of follow up.
Intervention | Proportion of participants with FFLP (Number) |
---|
SBRT and Gemzar | 0.78 |
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Evaluate Acute Gastrointestinal Toxicity up to 3 Months of Treatment.
Acute grade 2 or greater gastritis, fistula, enteritis, or ulcer or any other grade 3-4 gastrointestinal toxicity within 3 months of treatment. (NCT01146054)
Timeframe: Within 3 months of treatment.
Intervention | Number of toxicities. (Number) |
---|
SBRT and Gemzar | 14 |
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To Determine the Rate of (Grade 2 or Greater) Gastrointestinal Toxicity Attributable to Gemcitabine and Fractionated SBRT at One Year.
Grade 2 or greater late gastritis, fistula, enteritis, or ulcer or late grade 3-4 gastrointestinal toxicity at one year. (NCT01146054)
Timeframe: One year.
Intervention | Number of toxicities. (Number) |
---|
SBRT and Gemzar | 5 |
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To Evaluate Progression Free Survival Following Gemcitabine and SBRT for up to 5 Years of Follow up .
"Time to progression free survival is measured from start of SBRT treatment until first progression event or death, which ever comes first. If the patient did not have an event, then the patient was censored at the last follow up.~The analysis was a Kaplan-Meier curve and the outcome was the median time to progression free survival." (NCT01146054)
Timeframe: Up to 5 years of follow up.
Intervention | Months (Median) |
---|
SBRT and Gemzar | 7.8 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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Progression-Free Survival (PFS)
PFS was the time from randomization to the first objective progression as defined by Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v 1.1) or death from any cause, whichever occurred first. Progressive disease (PD) was defined as ≥20% increase in sum of diameter (SOD) of target lesions and short axes of target lymph nodes, taking as reference the smallest sum of the longest diameters recorded since treatment started and an absolute increase in sum diameter of ≥5 millimeters (mm); appearance of ≥1 new lesions and/or unequivocal progression of existing non-target lesions. Participants alive and without disease progression were censored at the time of the last objective tumor assessment. Participants who did not progress and were lost to follow-up were censored at their last radiographic assessment. If no baseline or post baseline radiologic assessments were available, participants were censored at date of randomization. (NCT01160744)
Timeframe: Randomization to PD or death (up to 24 months)
Intervention | months (Median) |
---|
Pem + Carb or Cis (Non-Squamous) | 5.6 |
Ram + Pem + Carb or Cis (Non-Squamous) | 7.2 |
Gem + Carb or Cis (Squamous) | 5.4 |
Ram + Gem + Carb or Cis (Squamous) | 5.6 |
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Change in Tumor Size (CTS)
CTS was defined as the log ratio of tumor size at 6 weeks to tumor size at baseline. CTS at 6 weeks=Log (Sum of Target Lesion Measurements at 6 Weeks)-Log (Sum of Target Lesion Measurements at Baseline). (NCT01160744)
Timeframe: Baseline, 6 weeks
Intervention | log ratio (Mean) |
---|
Pem + Carb or Cis (Non-Squamous) | -0.2 |
Ram + Pem + Carb or Cis (Non-Squamous) | -0.2 |
Gem + Carb or Cis (Squamous) | -0.3 |
Ram + Gem + Carb or Cis (Squamous) | -0.4 |
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Duration of Response (DOR)
DOR was measured from the time criteria were met for the first objectively recorded CR or PR until the first date criteria for PD were met or death. Response was defined using RECIST v 1.1 criteria. CR was defined as the disappearance of all lesions, pathological lymph node reduction in short axis to <10 mm, and normalization of tumor marker level of non-target lesions. PR was defined as ≥30% decrease SOD of target lesions taking as reference the baseline sum diameter. PD was defined as ≥20% increase in SOD of target lesions and short axes of target lymph nodes, taking as reference the smallest sum of the longest diameters recorded since treatment started and an absolute increase in sum diameter of ≥5 mm; appearance of ≥1 new lesions and/or unequivocal progression of existing non-target lesions. Participants who did not relapse were censored at the day of their last objective tumor assessment. (NCT01160744)
Timeframe: Time of first response (CR or PR) until PD or death (up to 24 months)
Intervention | months (Median) |
---|
Pem + Carb or Cis (Non-Squamous) | 4.5 |
Ram + Pem + Carb or Cis (Non-Squamous) | 5.5 |
Gem + Carb or Cis (Squamous) | 4.3 |
Ram + Gem + Carb or Cis (Squamous) | 4.3 |
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Percentage of Participants With Best Overall Response of Complete Response (CR) or Partial Response (PR) [Objective Response Rate (ORR)]
Best overall response of CR or PR was defined using RECIST v 1.1 criteria. CR was defined as the disappearance of all lesions, pathological lymph node reduction in short axis to <10 mm, and normalization of tumor marker levels of non-target lesions. PR was defined as ≥30% decrease in SOD of target lesions taking as reference the baseline sum diameter. PD was defined as ≥20% increase in SOD of target lesions and short axes of target lymph nodes, taking as reference the smallest sum of the longest diameters recorded since treatment started and an absolute increase in sum diameter of ≥5 mm; appearance of ≥1 new lesions and/or unequivocal progression of existing non-target lesions. Participants who had no post baseline tumor assessments were considered non-responders and included in the denominator when calculating response rate. Percentage of participants=(number of participants with CR+PR/total number of participants)*100. (NCT01160744)
Timeframe: Day 1, Cycle 1 (3-week cycles) and every 6 weeks thereafter to PD (up to 24 months)
Intervention | percentage of participants (Number) |
---|
Pem + Carb or Cis (Non-Squamous) | 38.0 |
Ram + Pem + Carb or Cis (Non-Squamous) | 49.3 |
Gem + Carb or Cis (Squamous) | 24.6 |
Ram + Gem + Carb or Cis (Squamous) | 46.5 |
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Percentage of Participants With CR, PR, or Stable Disease (SD) [Disease Control Rate (DCR)]
DCR: percentage of participants with CR, PR, or SD using RECIST v 1.1 criteria. CR: disappearance of all lesions, pathological lymph node reduction in short axis to <10 mm, and normalization of tumor marker levels of non-target lesions. PR: ≥30% decrease in SOD of target lesions taking as reference baseline sum diameter. PD: ≥20% increase in SOD of target lesions and short axes of target lymph nodes, taking as reference smallest sum of longest diameters recorded since treatment started and an absolute increase in sum diameter ≥5 mm; appearance of ≥1 new lesions and/or unequivocal progression of existing non-target lesions. SD: neither sufficient shrinkage to qualify for PR nor increase to qualify for PD. Participants who had no post baseline tumor assessments were considered non-responders and included in the denominator when calculating response rate. Percentage of participants=(number of participants with CR+PR+SD/total number of participants)*100. (NCT01160744)
Timeframe: Day 1, Cycle 1 (3-week cycles) and every 6 weeks thereafter to PD (up to 24 months)
Intervention | percentage of participants (Number) |
---|
Pem + Carb or Cis (Non-Squamous) | 70.4 |
Ram + Pem + Carb or Cis (Non-Squamous) | 85.5 |
Gem + Carb or Cis (Squamous) | 66.7 |
Ram + Gem + Carb or Cis (Squamous) | 73.2 |
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Number of Participants Reporting Treatment-Emergent Adverse Events (TEAEs) and Who Died
Data presented are the number of participants with at least 1 treatment-emergent adverse event (TEAE) and treatment-emergent serious adverse event (SAE), as well as, the number of participants who died during the study. TEAEs were defined as serious and other non-serious AEs that occurred or worsened after study treatment (regardless of causality). A summary of SAEs and other non-serious adverse events, regardless of causality, is located in the Reported Adverse Events module. (NCT01160744)
Timeframe: Day 1, Cycle 1 (3-week cycles) Up to 3 Years
Intervention | Participants (Count of Participants) |
---|
| Treatment-Emergent SAE | Treatment-Emergent Adverse Event | Deaths |
---|
Gem + Carb or Cis (Squamous) | 29 | 63 | 55 |
,Pem + Carb or Cis (Non-Squamous) | 38 | 68 | 51 |
,Ram + Gem + Carb or Cis (Squamous) | 39 | 71 | 56 |
,Ram + Pem + Carb or Cis (Non-Squamous) | 44 | 67 | 55 |
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Overall Survival (OS)
OS was defined as the time from the date of randomization to the date of death from any cause. If the participant was alive at the end of the follow-up period or was lost to follow-up, OS was censored on the last date the participant was known to be alive. (NCT01160744)
Timeframe: Randomization to the date of death from any cause (up to 31.3 months)
Intervention | months (Median) |
---|
Pem + Carb or Cis (Non-Squamous) | 10.4 |
Ram + Pem + Carb or Cis (Non-Squamous) | 13.9 |
Gem + Carb or Cis (Squamous) | 11.3 |
Ram + Gem + Carb or Cis (Squamous) | 10.4 |
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Overall Survival
Overall survival is defined as the time from randomization to death or date last known alive. (NCT01164228)
Timeframe: Assessed every 3 months for 2 years and every 6 months for year 3.
Intervention | months (Median) |
---|
Arm A (Sunitinib + Gemcitabine) | 9.4 |
Arm B (Sunitinib) | 7.8 |
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Proportion of Patients With Response
Response is defined as either complete response (CR, disappearance of all lesions) or partial response (PR, at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters, or persistence of one or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits). (NCT01164228)
Timeframe: Assessed every 3 months for 2 years and every 6 months for year 3.
Intervention | proportion of participants (Number) |
---|
Arm A (Sunitinib + Gemcitabine) | 0.18 |
Arm B (Sunitinib) | 0.11 |
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Progression-free Survival
"Progression-free survival is defined as the time from randomization to progression or death, whichever occurs first. Progression is defined as follows:~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.~Appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions." (NCT01164228)
Timeframe: Assessed every 3 months for 2 years and every 6 months for year 3.
Intervention | months (Median) |
---|
Arm A (Sunitinib + Gemcitabine) | 4.5 |
Arm B (Sunitinib) | 3.6 |
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Recurrence-free Survival as Measured by CT Scan
Clinical data were prospectively collected. Staging was performed using 7th American Committee on Cancer criteria. Patients were followed by radiologic evaluation (CT or MRI) and carbohydrate antigen 19-9 (CA19-9) every 3 months for the first 3 years after resection to assess for recurrence. Subsequently, patients underwent imaging every 6 months. (NCT01188109)
Timeframe: Every 3 months and then every 6 months for 2 more years after resection
Intervention | months (Median) |
---|
Gemcitabine / Cisplatin | 16.7 |
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Immunohistochemistry to Determine Status of Excision Repair Cross Complementation Gene-1 (ERCC1) Expression
To determine the level of ERCC1 expression, formalin-fixed, resected tumors were stained with anti-ERCC1 monoclonal antibody (clone 8F1; Neomarkers, Fremont, CA, USA) using the Dako Autostainer (Ft. Collins, CO). The percentage and intensity of fine granular nuclear staining were graded by a single pathologist. Percentage of staining was categorized into the following groups: 0 ≤ 1%; 1 = 1-10%; 2 = 11-50%; 3 = 51-100%. Staining intensity was scored as follows: 0 = none; 1 = weak; 2 = moderate; 3 = strong. Subsequently, an overall score to dichotomize the expression level to low or high was calculated: [(1+intensity score)/3]*percentage score. An overall score ≤ 2 was considered low ERCC1 expression, and > 2 was high ERCC1 expression. (NCT01188109)
Timeframe: At the time of resection
Intervention | patients (Number) |
---|
| Low Tumor ERCC1 Expression | High Tumor ERCC1 Expression |
---|
Gemcitabine / Cisplatin | 15 | 5 |
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Progression Free Survival (PFS)
(NCT01194453)
Timeframe: 36months
Intervention | day (Median) |
---|
Group A | 168 |
Group B | 140 |
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Response Rate
(NCT01194453)
Timeframe: 6 weeks
Intervention | percentage (Number) |
---|
Group A | 24.41 |
Group B | 14.17 |
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Percentage of Treated Patients Experiencing Grade 3+ Toxicity Per National Cancer Institute Common Toxicity Criteria (CTC) Version 3.0
(NCT01195415)
Timeframe: Up to 4 weeks
Intervention | percentage of patients (Number) |
---|
Treatment (Vismodegib, Gemcitabine Hydrochloride) | 56 |
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The Number of Participants With an Objective Best Response (CR + PR)
The number of participants with either a complete response (CR) or a partial response (PR) will be calculated. A CR is defined as the disappearance of all target lesions. A PR is defined as at least a 30% decrease in the sum of the diameters of target lesions. (NCT01195415)
Timeframe: Up to 4 weeks
Intervention | participants (Number) |
---|
Treatment (Vismodegib, Gemcitabine Hydrochloride) | 5 |
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Stage 1: Percentage of Participants With a Complete Response According to the IWG Response Criteria as Assessed by the Investigators at the Final Data Cut During the Core Treatment Phase
A complete response was defined as participants with a complete response (CR), or unconfirmed complete response (CRu) based on IWG 1999 Response Criteria for NHL as assessed by the investigator. A CR is a complete disappearance of all disease with the exception of nodes. No new lesions. Previously enlarged organs must have regressed and not be palpable. Bone marrow must be negative if positive at baseline. Normalization of markers. CR Unconfirmed (CRu) does not qualify for CR above, due to a residual nodal mass or an indeterminate BM. (NCT01197560)
Timeframe: From the date of randomization to the final data cut-off date of 18 May 2018; median study duration was 27.0 and 19.7 weeks, respectively.
Intervention | percentage of participants (Number) |
---|
Lenalidomide | 13.7 |
Investigators Choice (IC) | 3.9 |
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Number of Participants With Treatment Emergent Events (TEAEs) in the Overall Treatment Phase by Initial Treatment Assignment
"A TEAE was defined as an AE that begins or worsens in intensity of frequency on or after the first dose of study drug through 28 days after last dose of study drug.~A serious adverse event (SAE) is any:~Death;~Life-threatening event;~Any inpatient hospitalization or prolongation of existing hospitalization;~Persistent or significant disability or incapacity;~Congenital anomaly or birth defect;~Any other important medical event The investigator determined the relationship of an AE to study drug based on the timing of the AE relative to drug administration and whether or not other drugs, therapeutic interventions, or underlying conditions could provide a sufficient explanation for the event.The severity of an AE was evaluated by the investigator according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) (Version 4.03) where Grade 1 = Mild, Grade 2 = Moderate, Grade 3 = Severe, Grade 4 = Life-threatening and Grade 5 = Death" (NCT01197560)
Timeframe: From first dose of study drug to the final data cut-off date of 18 May 2018; median study duration was 27.0 and 19.7 weeks, respectively.
Intervention | Participants (Count of Participants) |
---|
| Any TEAEs | Any Treatment Related TEAE | Any TEAE Grade ≥ 3 | Any TEAE Grade ≥ 4 | Any TEAE Grade 5 | Any TEAE Grade 3 or 4 | Any Treatment Related TEAE Grade ≥ 3 | Any Treatment Related TEAEs Grade ≥ 4 | Any Treatment Related TEAE Grade 5 | Any Treatment Related TEAE Grade 3 or 4 | Any Serious Adverse Events (SAEs) | Any Treated Related SAEs | Any AE leading to stopping of study drug | Any drug related AE leading to halt of study drug | Any AE leading to dose interruption/reduct | Any drug related AE leading to interruption/reduct |
---|
Investigators Choice (IC) | 55 | 45 | 53 | 36 | 18 | 52 | 39 | 21 | 2 | 39 | 42 | 21 | 17 | 4 | 34 | 30 |
,Lenalidomide | 54 | 49 | 43 | 29 | 9 | 42 | 30 | 15 | 0 | 30 | 31 | 14 | 11 | 5 | 32 | 27 |
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Stage 1: Kaplan Meier Estimates of Overall Survival As Assessed by the Investigators at the Final Data Cut During The Core Treatment Phase
Overall survival was defined as time from randomization until death of any cause. (NCT01197560)
Timeframe: From the date of randomization to the final data cut-off date of 18 May 2018; median study duration was 27.0 and 19.7 weeks, respectively.
Intervention | Weeks (Median) |
---|
Lenalidomide | 31.0 |
Investigators Choice (IC) | 24.6 |
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Stage 1: Kaplan Meier Estimates of Duration of Overall Response (DoR) as Assessed by the Investigators at the Final Data Cut During the Core Treatment Phase
Duration of overall response was calculated as the time of initial response (CR+CRu+PR) until documented disease progression determinted by computerized scan CT scan or MRI or death due to lymphoma, whichever occurred earlier, for participants who responded. (NCT01197560)
Timeframe: From the date of randomization to the final data cut-off date of 18 May 2018; median study duration was 27.0 and 19.7 weeks, respectively.
Intervention | Weeks (Median) |
---|
Lenalidomide | 64.7 |
Investigators Choice (Control Arm) | 63.1 |
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Stage 1: Percentage of Participants With a Durable Overall Response (dORR) According to the IWG Response Criteria as Assessed by the Investigators at the Final Data Cut During the Core Treatment Phase
Durable overall response rate was defined as the percentage of participants who maintained a response for at least 16 weeks after initial response. (NCT01197560)
Timeframe: From the date of randomization to the final data cut-off date of 18 May 2018; median study duration was 27.0 and 19.7 weeks, respectively.
Intervention | percentage of participants (Median) |
---|
Lenalidomide | 23.5 |
Investigators Choice (Control Arm) | 9.8 |
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Stage 1: Kaplan Meier Estimates of Progression-Free Survival As Assessed By The Investigators At The Final Data Cut During The Core Treatment Phase
Progression-free survival was defined as the time from randomization to the first documented disease progression or death due to any cause. (NCT01197560)
Timeframe: From the date of randomization to the final data cut-off date of 18 May 2018; median study duration was 27.0 and 19.7 weeks, respectively.
Intervention | Weeks (Median) |
---|
Lenalidomide | 9.6 |
Investigators Choice (IC) | 7.1 |
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Stage 1: Kaplan Meier Estimates of Duration of Complete Response (DoCR) as Assessed by the Investigators at the Final Data Cut During the Core Treatment Phase
Duration of complete response was defined as the time from the first documented complete response (CR + CRu) until the first disease progression or death for participants who had a CR. (NCT01197560)
Timeframe: From the date of randomization to the final data cut-off date of 18 May 2018; median study duration was 27.0 and 19.7 weeks, respectively.
Intervention | Weeks (Median) |
---|
Lenalidomide | 66.4 |
Investigators Choice (Control Arm) | 179.3 |
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Stage 1: Percentage of Participants With an Overall Response According to the International Working Group (IWG) Response Criteria for Non Hodgkin's Lymphoma (NHL), Cheson 1999 and Evaluated by the Independent Response Adjudication Committee (IRAC)
An overall response is a complete response (CR), unconfirmed complete response (CRu) or partial response (PR) and was evaluated by the IRAC. A CR = complete disappearance of disease and related symptoms. Lymph nodes and nodal masses regressed on computed tomography to normal size (≤ 1.5 cm in their greatest transverse diameter for nodes > 1.5 cm prior to therapy and ≤ 1.0 cm in their short axis for nodes 1.1-1.5 cm in their long axis and > 1.0 cm in their short axis prior to therapy). Spleen and/or liver not palpable on exam, normal size by imaging, and absence of nodules related to lymphoma. If bone marrow was involved prior to therapy, infiltrate must have cleared on repeat biopsy. PR = ≥ 50% decrease in sum of the product of the diameters (SPD) of up to 6 of the largest dominant nodes or nodal masses. No increase in other nodes, liver, or spleen. Splenic and hepatic nodules regressed by ≥ 50% in their SPD or for single nodules, in the greatest transverse diameter;no new disease. (NCT01197560)
Timeframe: From the date of randomization to the data cut-off of 4 July 2013; when all patients reached the scheduled 16-week assessment or had progressed/died before the scheduled 16-week assessment); the median study duration was 27.0 and 19.7 weeks, respectively.
Intervention | percentage of participants (Number) |
---|
| ORR for All Participants | GCB Subtype | Non-GCB |
---|
Investigators Choice (IC) | 11.8 | 12.0 | 11.5 |
,Lenalidomide | 27.5 | 26.1 | 28.6 |
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Stage 1: Percentage of Participants With an Overall Response According to the IWG Response Criteria Based on the Investigators Assessment at the Final Data Cut During the Core Treatment Phase
Response was defined as having a CR, CRu or PR, based on IWG 1999 Response Criteria for NHL as evaluated by the investigators. CR = complete disappearance of disease and disease related symptoms. All lymph nodes and nodal masses regressed on computed tomography to normal size (≤ 1.5 cm in their greatest transverse diameter for nodes > 1.5 cm prior to therapy and ≤ 1.0 cm in their short axis for nodes 1.1-1.5 cm in their long axis and > 1.0 cm in their short axis prior to therapy). Spleen and/or liver not palpable on physical exam, normal size by imaging, and absence of nodules related to lymphoma. If BM was involved prior to therapy, infiltrate must have cleared on repeat biopsy. PR = ≥ 50% decrease in sum of the product of the diameters (SPD) of up to 6 of the largest dominant nodes or nodal masses. No increase in the other nodes, liver, or spleen. Splenic and hepatic nodules regressed by ≥ 50% in their SPD or, for single nodules, in the greatest transverse diameter. No new disease. (NCT01197560)
Timeframe: From the date of randomization to the final data cut-off date of 18 May 2018; median study duration was 27.0 and 19.7 weeks, respectively.
Intervention | Percentage of participants (Number) |
---|
Lenalidomide | 29.4 |
Investigators Choice (IC) | 13.7 |
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Event-free Survival (EFS) of Patients
The event-free survival (EFS) of patients with poor prognosis relapse or refractory Hodgkin's disease (HD) after high-dose chemotherapy (HDC) with Gemcitabine/Busulfan/Melphalan (GemBuMel). Event is defined as relapse, tumor progression or death.Progression free survival is the length of time during and after the treatment of disease that a patient lives with the disease but it does not get worse. Toxicity is defined as the treatment related mortality (TRM) rate, which will be evaluated within 30 days post transplant, and this rate will be compared with the 5% maximum rate. For EFS analysis, patients who experience the tumor relapse, disease progression, or death will be considered to be an event. (NCT01200329)
Timeframe: Enrollment up to 2 years post transplant
Intervention | Participants (Count of Participants) |
---|
Overall Study Group | 51 |
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Overall Survival (OS) of These Patients.
The overall survival is the length of time from the start of treatment (Auto SCT) for the cancer, that patients are diagnosed with are still alive until date of first documented progression or date of death from any cause. It is measured in months and assessed up to 84 months. (NCT01200329)
Timeframe: Beyond 100 days post transplant up to 84 months.
Intervention | Months (Median) |
---|
Overall Study Group | 52 |
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Change From Baseline to Cycle 6 in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-30)
The EORTC QLQ-C30 (version 3.0) questionnaire incorporates 9 multi scale items: 5 functional scales (physical, role, cognitive, emotional and social); 3 symptom scales (fatigue, pain and nausea & vomiting); and a global health and quality-of-life scale. It contains 30 questions. The score for each item and the overall score ranges from 0 to 100. A high overall scale and subscale scores represent improved health status. However, in case of symptoms, higher scores suggest increased perception of these symptoms. (NCT01201265)
Timeframe: Baseline, cycle 6
Intervention | units on a scale (Mean) |
---|
| Baseline; physical (n=40) | Change at Cycle 6; physical (n=28) | Baseline; role (n=40) | Change at Cycle 6; role (n=28) | Baseline; cognitive (n=40) | Change at Cycle 6; cognitive (n=28) | Baseline; emotional (n=40) | Change at Cycle 6; emotional (n=28) | Baseline; social (n=40) | Change at Cycle 6; social (n=28) | Baseline; fatigue (n=40) | Change at Cycle 6; fatigue (n=28) | Baseline; pain (n=40) | Change at Cycle 6; pain (n=28) | Baseline; nausea and vomiting (n=40) | Change at Cycle 6; nausea and vomiting (n=28) | Baseline; global health & QOL (n=40) | Change at Cycle 6; global health & QOL (n=28) |
---|
All Participants | 69.33 | -8.82 | 71.26 | -5.36 | 74.58 | -4.17 | 61.87 | -15.78 | 65.42 | -8.33 | 42.21 | 8.35 | 34.58 | 13.09 | 16.67 | 2.38 | 58.55 | -3.86 |
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Change From Baseline in Systolic Blood Pressure (SBP)
Change from baseline in SBP was analyzed by overall response (CR+PR, SD+PD). (NCT01201265)
Timeframe: Baseline, Cycle 6, 12 of treatment
Intervention | millimetre of mercury (mmHg) (Mean) |
---|
| Baseline; CR+PR (n= 19) | Change at cycle 6; CR+PR (n=14) | Change at cycle 12; CR+PR at cycle 12 (n=5) | Baseline; SD+PD (n= 18) | Change at cycle 6; SD+PD at cycle 6 (n=13) | Change at cycle 12; SD+PD at cycle 12 (n=4) |
---|
All Participants | 124.8 | -4.6 | -4.0 | 123.6 | 0.2 | -6.3 |
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Change From Baseline in Diastolic Blood Pressure (DBP)
Change from baseline in DBP was analyzed by overall response (CR+PR, SD+PD). (NCT01201265)
Timeframe: Baseline, Cycle 6, 12 of treatment
Intervention | mmHg (Mean) |
---|
| Baseline; CR+PR (n= 19) | Change at cycle 6; CR+PR (n=14) | Change at cycle 12; CR+PR (n=5) | Baseline; SD+PD (n= 18) | Change at cycle 6; SD+PD (n=13) | Change at cycle 12; SD+PD (n=4) |
---|
All Participants | 80.4 | -4.1 | -2.0 | 78.9 | 2.3 | 7.5 |
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Time to Progression (TTP)
Duration of time to progression (TTP) was estimated using the Kaplan-Meier method. The time to progression was calculated in days from the date of registration until the earliest date of documented disease progression. (NCT01201265)
Timeframe: From the date of registration until the disease progression (up to 1541 days).
Intervention | days (Median) |
---|
All Participants | 269.0 |
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Progression-free Survival (PFS)
Progression free survival (PFS) was calculated in days from the date of registration until the earliest date of documented disease progression or death. The median PFS time with 95% confidence interval (CI) was estimated using Kaplan Meier method. The progression-free survival was assessed utilizing computer tomography (CT)/ magnetic resonance imaging (MRI)/bone scans and X-ray and Response Evaluation Criteria in Solid Tumors (RECIST) v. 1.1. Progression of disease is defined as 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. (NCT01201265)
Timeframe: From the date of registration until the disease progression or death (up to 1541 days).
Intervention | days (Median) |
---|
All Participants | 255 |
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Percentage of Participants Achieving an Overall Response
The overall response rate (ORR) was defined as complete response (CR) + partial response (PR). ORR was summarized using number and percentage along with two-sided 95% Pearson-Clopper CI. The overall response rate was assessed utilizing the RECIST v. 1.1. 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 millimeter (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 diameters. (NCT01201265)
Timeframe: From the date of registration until the disease progression or death (up to 1541 days)
Intervention | percentage of participants (Number) |
---|
All Participants | 50.0 |
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Percentage of Participants Achieving a Clinical Benefit Response (CBR)
Clinical benefit response was defined as a complete response (CR), partial response (PR) or stable disease (SD). CBR was assessed using Recist v.1.1. CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <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, 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. (NCT01201265)
Timeframe: From the date of registration until the disease progression or death (up to 1541 days)
Intervention | percentage of participants (Number) |
---|
All Participants | 92.5 |
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Overall Survival (OS)
Overall survival was measured from the date of the first study drug dose to the date of death from any cause. The median overall survival time with 95%CI was estimated using Kaplan-Meier method. (NCT01201265)
Timeframe: From the date of registration until the disease progression or death (up to 1541 days)
Intervention | days (Median) |
---|
All Participants | 475.0 |
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Number of Participants With an Adverse Event (AE)
An AE 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. (NCT01201265)
Timeframe: Up to 28 days after termination of study treatment (approximately 1569 days)
Intervention | participants (Number) |
---|
All Participants | 24 |
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Number of Participants With Any Adverse Event (AE) and 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 to be related to the 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, or results in a congenital anomaly/birth defect, or is an event of possible drug-induced liver injury. Per protocol other events were considered SAEs like symptomatic left ventricular ejection fraction (LVEF) decreases or cases of central serous retinopathy (CSR) or retinal vein occlusion (RVO). AE and SAE data were collected from the start of the first dose of study treatment and continued until 28 days following discontinuation of the study treatment or death. Refer to the general AE/SAE module for a complete list of AEs and SAEs. (NCT01231581)
Timeframe: From the start of the first dose of study treatment until 28 days following discontinuation of the study treatment or until the data cutoff of 15-March-2013 (up to 21 months)
Intervention | participants (Number) |
---|
| Any AE | SAE |
---|
Placebo + Gemcitabine | 80 | 37 |
,Trametinib + Gemcitabine | 80 | 42 |
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Number of Participants With an Investigator-assessed Best Response, With or Without Confirmation, of Complete Response (CR) or Partial Response (PR)
CR is defined as the disappearance of all target and non-target lesions. Any pathological lymph nodes must be <10 mm in the short axis. PR is defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the baseline sum of the diameters (e.g., percent change from baseline). CR and PR were evaluated by the Investigator using standard criteria (RECIST version 1.1). Confirmation of response was not required. (NCT01231581)
Timeframe: From randomization until disease progression or death due to any cause or until the data cutoff of 17-April-2012 (up to 15 months)
Intervention | participants (Number) |
---|
| CR | PR |
---|
Placebo + Gemcitabine | 0 | 14 |
,Trametinib + Gemcitabine | 1 | 16 |
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Number of Participants With Change From Baseline Increase to Grade 3/Grade 4 in Lab Hematology Test Measurements
A grading (severity) scale is provided for each laboratory toxicity. Grade refers to the severity of the toxicity. The CTCAE version 3.0 displays Grades 1 through 5, with unique clinical descriptions of the severity for each toxicity based on the general guideline: Grade 1, mild toxicity; Grade 2, moderate toxicity; Grade 3, severe toxicity; Grade 4, life-threatening or disabling toxicity; Grade 5, death related to toxicity. (NCT01231581)
Timeframe: From the start of the first dose of study treatment until 28 days following discontinuation of the study treatment or until the data cutoff of 17-April-2012 (up to 17 months)
Intervention | participants (Number) |
---|
| Hemoglobin (Increased), Grade 3, n=80, 79 | Hemoglobin (Increased), Grade 4, n=80, 79 | Hemoglobin (Anemia), Grade 3, n=80, 79 | Hemoglobin (Anemia), Grade 4, n=80, 79 | Lymphocytes (Increased), Grade 3, n=80, 79 | Lymphocytes (Increased), Grade 4, n=80, 79 | Lymphocytes (Decreased), Grade 3, n=80, 79 | Lymphocytes (Decreased), Grade 4, n=80, 79 | Absolute Neutrophil Count, Grade 3, n=80, 79 | Absolute Neutrophil Count, Grade 4, n=80, 79 | Platelet count, Grade 3, n=80, 79 | Platelet count, Grade 4, n=80, 79 | White Blood Cell count, Grade 3, n=80, 79 | White Blood Cell count, Grade 4, n=80, 79 |
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Placebo + Gemcitabine | 0 | 0 | 13 | 0 | 0 | 0 | 12 | 6 | 20 | 10 | 10 | 4 | 14 | 4 |
,Trametinib + Gemcitabine | 3 | 0 | 24 | 0 | 1 | 0 | 9 | 3 | 23 | 7 | 11 | 1 | 15 | 1 |
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Overall Survival
Overall survival is defined as the time from randomization until death due to any cause. For the analysis of overall survival, the last date of known contact was used for those participants who were not dead at the time of analysis; such participants were considered censored. (NCT01231581)
Timeframe: From randomization until death due to any cause or until the data cutoff of 15-March-2013 (up to 24 months)
Intervention | months (Median) |
---|
Trametinib + Gemcitabine | 8.4 |
Placebo + Gemcitabine | 6.7 |
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Progression-free Survival (PFS) as Assessed by the Investigator
PFS is defined as the time from randomization until the earliest date of radiological PD or death due to any cause. PD was based on radiographic or photographic evidence, and assessments were made by the investigator according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. 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 (e.g., percent change from nadir, where nadir is defined as the smallest sum of diameters recorded since treatment start). In addition, the sum must have an absolute increase from nadir of 5 millimeters (mm). PD was also based on unequivocal progression of existing non-target lesions. If the participant received subsequent anti-cancer therapy prior to the date of documented progression or death, or did not have a documented date of progression or death, PFS was censored at the last adequate assessment. (NCT01231581)
Timeframe: From randomization until disease progression (PD) or death due to any cause or until the data cutoff of 17-April-2012 (up to 15 months)
Intervention | weeks (Median) |
---|
Trametinib + Gemcitabine | 16.1 |
Placebo + Gemcitabine | 15.1 |
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Investigator-Assessed Duration of Response
Duration of response is defined, for the subset of participants with a CR or PR, as the time from the first documented evidence of CR or PR until the first documented disease progression or death due to any cause. CR is defined as the disappearance of all target and non-target lesions. Any pathological lymph nodes must be <10 mm in the short axis. PR is defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the baseline sum of the diameters (e.g., percent change from baseline). 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 (e.g., percent change from nadir, where nadir is defined as the smallest sum of diameters recorded since treatment start). (NCT01231581)
Timeframe: From the first documented CR or PR until disease progression or death due to any cause or until the data cutoff of 17-April-2012 (up to 13 months)
Intervention | Weeks (Median) |
---|
Trametinib + Gemcitabine | 23.9 |
Placebo + Gemcitabine | 16.1 |
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Number of Participants (Par.) With a Worst-case Change to Grade 3 or Grade 4 From Baseline Grade in Chemistry Parameters
A grading (severity) scale is provided for each laboratory toxicity. Grade refers to the severity of the toxicity. The Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 displays Grades 1 through 5 based on the general guideline: Grade 1, mild toxicity; Grade 2, moderate toxicity; Grade 3, severe toxicity; Grade 4, life-threatening or disabling toxicity; Grade 5, death related to toxicity. (NCT01231581)
Timeframe: From the start of the first dose of study treatment until 28 days following discontinuation of the study treatment or until the data cutoff of 17-April-2012 (up to 17 months)
Intervention | participants (Number) |
---|
| Albumin, Grade 3, n=73, 73 | Albumin, Grade 4, n=73, 73 | Alkaline Phosphatase, Grade 3, n=74, 73 | Alkaline Phosphatase, Grade 4, n=74, 73 | Alanine Amino Transferase, Grade 3, n=74, 73 | Alanine Amino Transferase, Grade 4, n=74, 73 | Aspartate Aminotransferase, Grade 3, n=73, 72 | Aspartate Aminotransferase, Grade 4, n=73, 72 | Total Bilirubin, Grade 3, n=74, 73 | Total Bilirubin, Grade 4, n=74, 73 | Calcium (hypercalcemia), Grade 3, n=73, 73 | Calcium (hypercalcemia), Grade 4, n=73, 73 | Calcium (hypocalcemia), Grade 3, n=73, 73 | Calcium (hypocalcemia), Grade 4, n=73, 73 | Creatinine, Grade 3, n=74, 75 | Creatinine, Grade 4, n=74, 75 | Glucose (hyperglycemia), Grade 3, n=74, 72 | Glucose (hyperglycemia), Grade 4, n=74, 72 | Glucose (hypoglycemia), Grade 3, n=74, 72 | Glucose (hypoglycemia), Grade 4, n=74, 72 | Potassium (hyperkalemia), Grade 3, n=74, 72 | Potassium (hyperkalemia), Grade 4, n=74, 72 | Potassium (hypokalemia), Grade 3, n=74, 72 | Potassium (hypokalemia), Grade 4, n=74, 72 | Sodium (hyponatremia), Grade 3, n=74, 74 | Sodium (hyponatremia), Grade 4, n=74, 74 |
---|
Placebo + Gemcitabine | 4 | 0 | 4 | 0 | 7 | 0 | 7 | 0 | 7 | 1 | 1 | 0 | 2 | 0 | 0 | 0 | 10 | 1 | 0 | 0 | 1 | 0 | 1 | 0 | 3 | 0 |
,Trametinib + Gemcitabine | 7 | 0 | 7 | 0 | 7 | 0 | 6 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 0 | 1 | 9 | 0 | 0 | 1 | 2 | 0 | 4 | 0 | 5 | 2 |
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Duration of Response
The duration of overall response is measured from the first date of response until the first date that the progressive disease (PD) or death is objectively documented. The hazard ratio and corresponding 95% 2-sided confidence interval were calculated using stratified Cox proportional hazard regression. (NCT01232556)
Timeframe: Up to 2 years from first study drug dose or up to final study visit, whichever occurs first, including but not limited to planned assessments scheduled approximately every 12 weeks.
Intervention | Months (Median) |
---|
Inotuzumab Ozogamicin+Rituximab | 11.56 |
Rituximab+Gemcitabine or Rituximab+Bendamustine | 6.93 |
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Health Status as Assessed by the European Quality of Life 5 Dimension (EQ-5D) Questionnaire
EQ-5D consists of a descriptive system and an EQ visual analogue scale. The descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, extreme problems. The scale, the best state is marked 100 and the worst state is marked 0, is to help the participant to say how good or bad a health state is. EQ-5D index, which was reported, was derived based on US weight. The range of EQ-5D index is -0.109 to 1.00. Higher scores mean better outcomes. The average post-baseline scores for EQ-5D index were computed at approximately Week 12. The overall treatment comparisons were estimated at approximately Week 12. (NCT01232556)
Timeframe: Assessed at Day 1 of each cycle and 6-9 weeks after the last dose, Cycle 3 (Week 12) reported
Intervention | Unit on a scale (Mean) |
---|
Inotuzumab Ozogamicin+Rituximab | 0.79 |
Rituximab+Gemcitabine or Rituximab+Bendamustine | 0.77 |
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Overall Survival
Overall Survival (OS) was defined as the time from randomization to death due to any cause, censoring at the date of last contact or the end of the study. The Kaplan-Meier method was used to determine OS. The hazard ratio and corresponding 95% 2-sided confidence interval were calculated using stratified Cox proportional hazard regression. (NCT01232556)
Timeframe: From randomization up to 5 years after last dose or up to final study visit, whichever occurs first.
Intervention | Months (Median) |
---|
Inotuzumab Ozogamicin+Rituximab | 9.5 |
Rituximab+Gemcitabine or Rituximab+Bendamustine | 9.5 |
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Percentage of Participants With A Best Overall Response of CR or Partial Response (PR) Per NCI International Response Criteria for NHL
"CR is defined as disappearance of all detectable clinical evidence of disease (including cleared infiltrate on repeat bone marrow aspirate/biopsy if lymphoma involvement of bone marrow before treatment).~Partial Response (PR) requires the following:~≥50 % decrease in SPD of the six largest dominant nodes or nodal masses.~No increase in the size of other nodes, liver, or spleen.~Splenic and hepatic nodules must regress by ≥50% in the SPD, or for single nodules, in the greatest transverse diameter.~With the exception of splenic and hepatic nodules, involvement of other organs is usually assessable and no measurable disease should be present.~No new sites of disease. The 95% CI was determined using the exact method based on binomial distribution." (NCT01232556)
Timeframe: Up to 2 years from first study drug dose or up to final study visit, whichever occurs first, including but not limited to planned assessments scheduled approximately every 12 weeks.
Intervention | Percentage of Participants (Number) |
---|
Inotuzumab Ozogamicin+Rituximab | 29.5 |
Rituximab+Gemcitabine or Rituximab+Bendamustine | 29.7 |
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Percentage of Participants With A Best Overall Response of CR, Unconfirmed CR (unCR), PR, or Unconfirmed PR (unPR) Per NCI International Response Criteria for NHL
"CR is defined as disappearance of all detectable clinical evidence of disease (including cleared infiltrate on repeat bone marrow aspirate/biopsy if lymphoma involvement of bone marrow before treatment).~Partial Response (PR) requires the following:~≥50 % decrease in SPD of the six largest dominant nodes or nodal masses.~No increase in the size of other nodes, liver, or spleen.~Splenic and hepatic nodules must regress by ≥50% in the SPD, or for single nodules, in the greatest transverse diameter.~With the exception of splenic and hepatic nodules, involvement of other organs is usually assessable and no measurable disease should be present.~No new sites of disease. unCR and unPR means didn't have confirmatory assessment (including bone marrow assessment for CR).~The 95% CI was determined using the exact method based on binomial distribution." (NCT01232556)
Timeframe: Up to 2 years from first study drug dose or up to final study visit, whichever occurs first, including but not limited to planned assessments scheduled approximately every 12 weeks.
Intervention | Percentage of Participants (Number) |
---|
Inotuzumab Ozogamicin+Rituximab | 41.0 |
Rituximab+Gemcitabine or Rituximab+Bendamustine | 43.6 |
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Progression-Free Survival (PFS)
"PFS is defined as time from date of randomization to date of progressive disease (PD, including investigator's claim of clinical progression), date of death from any cause, or initiation of a new treatment for the lymphoma due to persistent/refractory disease. The Kaplan-Meier method was used to determine PFS. The hazard ratio and corresponding 95% 2-sided confidence interval were calculated using stratified Cox proportional hazard regression.~PD requires the following:~Appearance of any new lesion more than 1.5 cm in any axis during or at the end of treatment, even if other lesions are decreasing in size.~At least a 50% increase from nadir in the sum of the product diameters of any previously involved nodes, or in a single involved node, or the size of other lesions.~At least a 50% increase in the longest diameter of any single previously identified node more than 1 cm in its short axis." (NCT01232556)
Timeframe: From randomization up to 2 years or final study visit, whichever occurs first, including but not limited to planned assessments scheduled approximately every 12 weeks.
Intervention | Months (Median) |
---|
Inotuzumab Ozogamicin+Rituximab | 3.7 |
Rituximab+Gemcitabine or Rituximab+Bendamustine | 3.5 |
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Percentage of Participants With a Treatment Emergent Adverse Event (TEAE) (Safety Population)
Includes all TEAEs: Any event that occurred after the first dose of study drug and was not present prior to study drug administration or worsened in severity after study drug administration.. (NCT01232556)
Timeframe: Up to 20 weeks after the first dose of study drug
Intervention | Percentage of Participants (Number) |
---|
| % participants with a TEAE | % participants with serious TEAE | % participants with Grade 3 or 4 TEAE | % participants with Grade 5 TEAE | % participants for study drug discontinuation | % participants with dose reductions due to TEAEs | % participants for study drug stopped temporarily |
---|
Inotuzumab Ozogamicin+Rituximab | 98.8 | 37.2 | 79.9 | 14.6 | 25.0 | 27.4 | 31.1 |
,Rituximab+Gemcitabine or Rituximab+Bendamustine | 100.0 | 37.7 | 79.6 | 13.8 | 18.0 | 29.3 | 46.1 |
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Overall Survival
Number of participants from ASCT to death or last contact (NCT01237951)
Timeframe: From date of transplant until the date of death from any cause, assessed up to 2 years
Intervention | Participants (Count of Participants) |
---|
Gemcitabine/Busulfan/Melphalan | 49 |
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Participants Who Had Measurable Disease at Time of Transplant and Achieved a Stringent Complete Remission
Stringent complete remission was defined as negative immunofixation on the serum and urine, disappearance of any soft tissue plasmacytomas, 5% or fewer plasma cells in bone marrow, normal free light chain ratio, and the absence of clonal cells in bone marrow by immunohistochemistry or immunofluorescence. (NCT01237951)
Timeframe: 100 days post-transplant
Intervention | Participants (Count of Participants) |
---|
Gemcitabine/Busulfan/Melphalan | 16 |
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Progression-free Survival (PFS)
Number of participants remain free of progression or death after ASCT (NCT01237951)
Timeframe: From date of transplant until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 2 years.
Intervention | Participants (Count of Participants) |
---|
Gemcitabine/Busulfan/Melphalan | 31 |
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Objective Response According to RECIST v1.1
Objective response according to RECIST v1.1. Objective response is complete response or partial response for patients with measurable disease. Missing categories signify that no tumour imaging has been performed post baseline, and therefore the response status could not be assessed. (NCT01251653)
Timeframe: From first drug administration until 28 days after last drug administration, up to 717 days.
Intervention | Participants (Number) |
---|
| No | Yes | Missing |
---|
Afatinib 30mg and Docetaxel 60mg | 17 | 1 | 0 |
,Afatinib 30mg and Docetaxel 75mg | 12 | 5 | 1 |
,Afatinib 30mg and Gemcitabine 1000mg | 3 | 0 | 0 |
,Afatinib 30mg and Gemcitabine 1250mg | 6 | 1 | 1 |
,Afatinib 40mg and Docetaxel 75mg | 7 | 4 | 1 |
,Afatinib 40mg and Gemcitabine 1000mg | 15 | 4 | 1 |
,Afatinib 40mg and Gemcitabine 1250mg | 6 | 0 | 0 |
,Afatinib 50mg and Docetaxel 75mg | 6 | 0 | 0 |
,Afatinib 50mg and Gemcitabine 1250mg | 2 | 0 | 0 |
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The Incidence and Intensity of AEs With Grading According to CTCAE.
The incidence and intensity of adverse events with grading according to CTCAE. The CTCAE grades are: 1 (mild AE), 2 (moderate AE), 3 (severe AE), 4 (life-threatening or disabling AE), 5 (death related to AE). (NCT01251653)
Timeframe: From first drug administration until 28 days after last drug administration, up to 717 days.
Intervention | Participants (Number) |
---|
| Grade 1 | Grade 2 | Grade 3 | Grade 4 | Grade 5 |
---|
Afatinib 30mg and Docetaxel 60mg | 1 | 3 | 6 | 6 | 2 |
,Afatinib 30mg and Docetaxel 75mg | 0 | 1 | 4 | 11 | 2 |
,Afatinib 30mg and Gemcitabine 1000mg | 0 | 2 | 0 | 0 | 1 |
,Afatinib 30mg and Gemcitabine 1250mg | 0 | 1 | 6 | 1 | 0 |
,Afatinib 40mg and Docetaxel 75mg | 0 | 0 | 4 | 6 | 2 |
,Afatinib 40mg and Gemcitabine 1000mg | 0 | 5 | 6 | 5 | 4 |
,Afatinib 40mg and Gemcitabine 1250mg | 0 | 2 | 2 | 1 | 1 |
,Afatinib 50mg and Docetaxel 75mg | 0 | 1 | 2 | 1 | 2 |
,Afatinib 50mg and Gemcitabine 1250mg | 0 | 0 | 1 | 1 | 0 |
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Time to Objective Response According to RECIST v1.1
Objective response according to RECIST v1.1. Objective response is complete response or partial response for patients with measurable disease. Time to objective response is the time from the start of treatment to the date of first documented complete response or partial response. Descriptive analyses has been performed for the time to objective response (N(%) of patients with first occurrence of objective response at 6, 12 and 24 weeks). Onset of objective response is derived for patient with measurable disease. (NCT01251653)
Timeframe: 6 weeks, 12 weeks and 24 weeks
Intervention | Participants (Number) |
---|
| 6 Weeks | 12 Weeks | 24 Weeks | Not applicable |
---|
Afatinib 30mg and Docetaxel 60mg | 1 | 0 | 0 | 17 |
,Afatinib 30mg and Docetaxel 75mg | 4 | 1 | 0 | 13 |
,Afatinib 30mg and Gemcitabine 1000mg | 0 | 0 | 0 | 3 |
,Afatinib 30mg and Gemcitabine 1250mg | 0 | 1 | 0 | 7 |
,Afatinib 40mg and Docetaxel 75mg | 1 | 2 | 1 | 8 |
,Afatinib 40mg and Gemcitabine 1000mg | 1 | 3 | 0 | 16 |
,Afatinib 40mg and Gemcitabine 1250mg | 0 | 0 | 0 | 6 |
,Afatinib 50mg and Docetaxel 75mg | 0 | 0 | 0 | 6 |
,Afatinib 50mg and Gemcitabine 1250mg | 0 | 0 | 0 | 2 |
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Cmax of Docetaxel
Maximum concentration of docetaxel in plasma. (NCT01251653)
Timeframe: PK samples were taken on day 1 at hours; -0:05, 1, 2, 3, 5, 7, 23:55 and on day 22 at hours; -0:10, 1, 2, 3, 5, 7, 23:55
Intervention | ng/mL (Geometric Mean) |
---|
Docetaxel 60mg With Afatinib 30mg | 1690.0 |
Docetaxel 60mg Without Afatinib | 1860.0 |
Docetaxel 75mg With Afatinib 30mg | 1790.0 |
Docetaxel 75mg Without Afatinib | 2080.0 |
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AUC 0-tz of Gemcitabine
Area under the concentration-time curve of Gemcitabine in plasma over the time interval from 0 up to the last quantifiable data point (NCT01251653)
Timeframe: PK samples were taken on day 1 at hours; -0:05, 0:30, 1, 1:30, 2, 3 and on day 22 at hours; -0:10, 0:30, 1, 1:30, 2, 3
Intervention | ng*h/mL (Geometric Mean) |
---|
Gemcitabine 1000mg With Afatinib 40 mg | 9610.0 |
Gemcitabine 1000mg Without Afatinib | 7120.0 |
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AUC 0-24 of Docetaxel
Area under the concentration-time curve of docetaxel in plasma over the time interval from 0 up to 24 hours (NCT01251653)
Timeframe: PK samples were taken on day 1 at hours; -0:05, 1, 2, 3, 5, 7, 23:55 and on day 22 at hours; -0:10, 1, 2, 3, 5, 7, 23:55
Intervention | ng*h/mL (Geometric Mean) |
---|
Docetaxel 60mg With Afatinib 30mg | 2000.0 |
Docetaxel 60mg Without Afatinib | 2210.0 |
Docetaxel 75mg With Afatinib 30mg | 2400.0 |
Docetaxel 75mg Without Afatinib | 2270.0 |
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Area Under the Concentration-time Curve (AUC) Tau,ss of Afatinib
Area under the concentration-time curve of Afatinib in plasma over a uniform dosing interval t at steady state. (NCT01251653)
Timeframe: PK samples were taken at hours; 167:55, 479:55, 481:05, 482:05, 483:05, 485:05, 487:05 and on day 22 at hours; -0:10, 1, 2, 3, 5, 7, 23:55
Intervention | ng*h/mL (Geometric Mean) |
---|
Afatinib 40mg With Gemcitabine 1000 mg | 1000.0 |
Afatinib 40mg Without Gemcitabine | 1230.0 |
Afatinib 30mg With Docetaxel 60mg | 642.0 |
Afatinib 30mg Without Docetaxel 60mg | 746.0 |
Afatinib 30mg With Docetaxel 75mg | 557.0 |
Afatinib 30mg Without Docetaxel 75mg | 723.0 |
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Cmax of Gemcitabine
Maximum concentration of Gemcitabine in plasma. (NCT01251653)
Timeframe: PK samples were taken on day 1 at hours; -0:05, 0:30, 1, 1:30, 2, 3 and on day 22 at hours; -0:10, 0:30, 1, 1:30, 2, 3
Intervention | ng/mL (Geometric Mean) |
---|
Gemcitabine 1000mg With Afatinib 40 mg | 16000.0 |
Gemcitabine 1000mg Without Afatinib | 13500.0 |
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Total Clearance (CL) of Gemcitabine
Total Clearance (CL) of Gemcitabine from plasma. (NCT01251653)
Timeframe: PK samples were taken on day 1 at hours; -0:05, 0:30, 1, 1:30, 2, 3 and on day 22 at hours; -0:10, 0:30, 1, 1:30, 2, 3
Intervention | mL/min (Geometric Mean) |
---|
Gemcitabine 1000mg With Afatinib 40 mg | 3020.0 |
Gemcitabine 1000mg Without Afatinib | 4090.0 |
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Total Clearance (CL) of Docetaxel
Total Clearance (CL) of Docetaxel from plasma. (NCT01251653)
Timeframe: PK samples were taken on day 1 at hours; -0:05, 1, 2, 3, 5, 7, 23:55 and on day 22 at hours; -0:10, 1, 2, 3, 5, 7, 23:55
Intervention | mL/min (Geometric Mean) |
---|
Docetaxel 60mg With Afatinib 30mg | 811.0 |
Docetaxel 60mg Without Afatinib | 671.0 |
Docetaxel 75mg With Afatinib 30mg | 886.0 |
Docetaxel 75mg Without Afatinib | 892.0 |
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Progression Free Survival (PFS)
Progression-free survival was defined as the time from the first administration of study medication to the time of disease progression or death, whichever occurred first. (NCT01251653)
Timeframe: From the first administration of study medication to the time of disease progression or death
Intervention | Weeks (Median) |
---|
Afatinib 40mg and Gemcitabine 1000mg | 23.9 |
Afatinib 30mg and Docetaxel 60mg | 18.1 |
Afatinib 30mg and Docetaxel 75mg | 23.6 |
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Overall Survival (OS)
Overall survival was defined as the time from the first administration of study medication to the time of death from any cause. (NCT01251653)
Timeframe: From the first administration of study medication to the time of death
Intervention | Weeks (Median) |
---|
Afatinib 40mg and Gemcitabine 1000mg | 52.4 |
Afatinib 30mg and Docetaxel 60mg | 38.4 |
Afatinib 30mg and Docetaxel 75mg | NA |
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Number of Participants With Dose Limiting Toxicities (DLTs) in Process for the Determination of the Maximum Tolerated Dose (MTD).
DLT was based on following criterions: 1. Grade 4 uncomplicated (not associated with fever >38.5° C (Celsius)) neutropenia for ≥7 days. 2. Grade 3 or 4 neutropenia concomitant with fever >38.5º C or Grade ≥3 infection. 3. Platelet count of <25x 10^9/L or <50x 10^9/L with bleeding requiring whole blood transfusion. 4. Grade ≥3 non-haematological toxicity (except untreated nausea, untreated vomiting, or untreated diarrhoea). 5. Grade ≥2 decrease in cardiac left ventricular function. 6. Grade ≥2 worsening of renal function as measured by serum creatinine, newly developed proteinuria, or a newly developed decrease in glomerular filtration rate. Toxicity grading was based on National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 3.0 (NCT01251653)
Timeframe: 3 weeks
Intervention | Participants (Number) |
---|
Afatinib 30mg and Gemcitabine 1000mg | 0 |
Afatinib 30mg and Gemcitabine 1250mg | 1 |
Afatinib 40mg and Gemcitabine 1000mg | 1 |
Afatinib 40mg and Gemcitabine 1250mg | 2 |
Afatinib 50mg and Gemcitabine 1250mg | 2 |
Afatinib 30mg and Docetaxel 60mg | 4 |
Afatinib 30mg and Docetaxel 75mg | 6 |
Afatinib 40mg and Docetaxel 75mg | 5 |
Afatinib 50mg and Docetaxel 75mg | 1 |
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Duration of Objective Response According to RECIST v1.1
Duration of objective response was the time from the first documented complete response or partial response to disease progression or death. (NCT01251653)
Timeframe: From the first documented complete response or partial response to the time of disease progression or death
Intervention | Days (Mean) |
---|
Afatinib 30mg and Gemcitabine 1250mg | 291.0 |
Afatinib 40mg and Gemcitabine 1000mg | 138.3 |
Afatinib 30mg and Docetaxel 60mg | 410.0 |
Afatinib 30mg and Docetaxel 75mg | 296.0 |
Afatinib 40mg and Docetaxel 75mg | 55.5 |
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Duration of Disease Control According to RECIST v1.1
Duration of disease control according to RECIST v1.1. (NCT01251653)
Timeframe: From the first administration of study medication to the time of disease progression or death
Intervention | Days (Mean) |
---|
Afatinib 30mg and Gemcitabine 1000mg | 119.5 |
Afatinib 30mg and Gemcitabine 1250mg | 210.0 |
Afatinib 40mg and Gemcitabine 1000mg | 119.7 |
Afatinib 40mg and Gemcitabine 1250mg | 77.4 |
Afatinib 30mg and Docetaxel 60mg | 207.1 |
Afatinib 30mg and Docetaxel 75mg | 233.6 |
Afatinib 40mg and Docetaxel 75mg | 158.7 |
Afatinib 50mg and Docetaxel 75mg | 85.0 |
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Cmax,ss of Afatinib
Maximum concentration of Afatinib in plasma at steady state. (NCT01251653)
Timeframe: PK samples were taken at hours; 167:55, 479:55, 481:05, 482:05, 483:05, 485:05, 487:05 and on day 22 at hours; -0:10, 1, 2, 3, 5, 7, 23:55
Intervention | ng/mL (Geometric Mean) |
---|
Afatinib 40mg With Gemcitabine 1000 mg | 58.1 |
Afatinib 40mg Without Gemcitabine | 66.4 |
Afatinib 30mg With Docetaxel 60mg | 33.9 |
Afatinib 30mg Without Docetaxel 60mg | 45.6 |
Afatinib 30mg With Docetaxel 75mg | 33.9 |
Afatinib 30mg Without Docetaxel 75mg | 45.7 |
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Volume of Distribution at Steady State (Vss) of Docetaxel
Apparent volume of distribution at steady state (Vss) of Docetaxel. (NCT01251653)
Timeframe: PK samples were taken on day 1 at hours; -0:05, 1, 2, 3, 5, 7, 23:55 and on day 22 at hours; -0:10, 1, 2, 3, 5, 7, 23:55
Intervention | L (Geometric Mean) |
---|
Docetaxel 60mg With Afatinib 30mg | 255.0 |
Docetaxel 60mg Without Afatinib | 315.0 |
Docetaxel 75mg With Afatinib 30mg | 323.0 |
Docetaxel 75mg Without Afatinib | 300.0 |
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Volume of Distribution at Steady State (Vss) of Gemcitabine
Apparent volume of distribution at steady state (Vss) of Gemcitabine. (NCT01251653)
Timeframe: PK samples were taken on day 1 at hours; -0:05, 0:30, 1, 1:30, 2, 3 and on day 22 at hours; -0:10, 0:30, 1, 1:30, 2, 3
Intervention | L (Geometric Mean) |
---|
Gemcitabine 1000mg With Afatinib 40 mg | 90.5 |
Gemcitabine 1000mg Without Afatinib | 106.0 |
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Best Overall Response According to RECIST v1.1 Criteria
Best overall response (according to Response Evaluation Criteria in Solid Tumours [RECIST] version 1.1) was the best response recorded at any time from the date of the first administration of afatinib or gemcitabine/docetaxel to the end of treatment (EOT). Partial response is for patients with measurable disease. Missing categories signifies that no tumour imaging has been performed post baseline, and therefore the response status could not be assessed. (NCT01251653)
Timeframe: From first drug administration until 28 days after last drug administration, up to 717 days.
Intervention | Participants (Number) |
---|
| Complete response (CR) | Partial response | Stable disease/ Non-CR/Non-PD | Progressive disease (PD) | Not evaluable | Missing |
---|
Afatinib 30mg and Docetaxel 60mg | 0 | 1 | 9 | 8 | 0 | 0 |
,Afatinib 30mg and Docetaxel 75mg | 0 | 5 | 8 | 4 | 0 | 1 |
,Afatinib 30mg and Gemcitabine 1000mg | 0 | 0 | 2 | 1 | 0 | 0 |
,Afatinib 30mg and Gemcitabine 1250mg | 0 | 1 | 3 | 3 | 0 | 1 |
,Afatinib 40mg and Docetaxel 75mg | 0 | 4 | 5 | 2 | 0 | 1 |
,Afatinib 40mg and Gemcitabine 1000mg | 0 | 4 | 9 | 6 | 0 | 1 |
,Afatinib 40mg and Gemcitabine 1250mg | 0 | 0 | 5 | 1 | 0 | 0 |
,Afatinib 50mg and Docetaxel 75mg | 0 | 0 | 2 | 4 | 0 | 0 |
,Afatinib 50mg and Gemcitabine 1250mg | 0 | 0 | 0 | 2 | 0 | 0 |
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Disease Control According to RECIST v1.1
Disease control according to RECIST v1.1 Disease control is complete response, partial response or stable disease for measurable patients and complete response or non-CR/non-PD for non-measurable patients. Missing categories signify that no tumour imaging has been performed post baseline, and therefore the response status could not be assessed. (NCT01251653)
Timeframe: From first drug administration until 28 days after last drug administration, up to 717 days.
Intervention | Participants (Number) |
---|
| No | Yes | Missing |
---|
Afatinib 30mg and Docetaxel 60mg | 8 | 10 | 0 |
,Afatinib 30mg and Docetaxel 75mg | 4 | 13 | 1 |
,Afatinib 30mg and Gemcitabine 1000mg | 1 | 2 | 0 |
,Afatinib 30mg and Gemcitabine 1250mg | 3 | 4 | 1 |
,Afatinib 40mg and Docetaxel 75mg | 2 | 9 | 1 |
,Afatinib 40mg and Gemcitabine 1000mg | 6 | 13 | 1 |
,Afatinib 40mg and Gemcitabine 1250mg | 1 | 5 | 0 |
,Afatinib 50mg and Docetaxel 75mg | 4 | 2 | 0 |
,Afatinib 50mg and Gemcitabine 1250mg | 2 | 0 | 0 |
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Phase I - Dose-limiting Toxicity (DLT)
Everolimus (mg) given in conjunction with intravesical gemcitabine (NCT01259063)
Timeframe: 8 weeks
Intervention | DLT (Number) |
---|
Pts Who Failed or Relapsed After Intravesical BCG | 0 |
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Complete Response (CR) Rate
Complete Response (CR) is defined as no evidence of disease (by cytology and cystoscopy). Partial Response is defined as negative cystoscopy and positive cytology. Progression is defined as the development of invasion or metastasis. If the participant develops a recurrence, they will be considered having failed treatment. Participants will also be considered having failed treatment if there is no response to treatment after two cycles. (NCT01259063)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|
| Complete Response | Partial Response | Did not achieve CR or PR |
---|
Pts Who Failed or Relapsed After Intravesical BCG | 17 | 8 | 8 |
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Survival of Patients Treated
With Everolimus in combination with intravesical gemcitabine. Overall survival following start of therapy will be estimated using Kaplan-Meier methods. (NCT01259063)
Timeframe: 1 year
Intervention | % of pts with CR who relapsed in a year (Number) |
---|
Pts Who Failed or Relapsed After Intravesical BCG | 21 |
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Phase II - Patients Who Are Free of Disease at 1 Year
following start of therapy. (NCT01259063)
Timeframe: 1 year
Intervention | percentage of pts disease free at 1 year (Number) |
---|
Pts Who Failed or Relapsed After Intravesical BCG | 21 |
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Phase I - Maximum Tolerated Dose (MTD)
of Everolimus given in conjunction with intravesical gemcitabine (NCT01259063)
Timeframe: 8 weeks
Intervention | mg daily of everolimus (Number) |
---|
Pts Who Failed or Relapsed After Intravesical BCG | 10 |
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Percentage of Participants With a Complete (CR) or Partial Response (PR) (Best Overall Tumor Response)
Best overall tumor response was evaluated using Response Evaluation Criteria In Solid Tumors (RECIST, version 1.0) criteria. Complete Response (CR) was defined as the disappearance of all target lesions; Partial Response (PR) was defined as at least a 30% decrease in sum of longest diameter of target lesions. (NCT01284335)
Timeframe: Baseline to Study Completion (Up to 2 years)
Intervention | percentage of participants (Number) |
---|
| Other |
---|
Arm C Tasisulam + Temozolomide Dose Confirmation | 0.0 |
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Number of Participants With a Clinically Significant Effects
Clinically significant effects are reported if a Grade 3 or higher treatment emergent adverse event (TEAE) and observed in ≥10% of participants or a toxicity possibly related to study drug based on Common Terminology Criteria for Adverse Events (CTCAE). A summary of other nonserious AEs and all SAEs, regardless of causality is located in the Reported Adverse Event section. (NCT01284335)
Timeframe: Baseline to Study Completion (Up to 2 years)
Intervention | Participants (Count of Participants) |
---|
| TEAE >/= Grade 3 | Toxicity >/= Grade 3 |
---|
Arm A Tasisulam + Gemcitabine Dose Confirmation | 18 | 18 |
,Arm A Tasisulam + Gemcitabine Dose Escalation | 15 | 13 |
,Arm B* Tasisulam + Docetaxel Dose Escalation | 0 | 4 |
,Arm B1 Tasisulam + Docetaxel Dose Escalation | 0 | 5 |
,Arm B2 Tasisulam + Docetaxel Dose Confirmation | 19 | 26 |
,Arm B2 Tasisulam + Docetaxel Dose Escalation | 16 | 18 |
,Arm C Tasisulam + Temozolomide Dose Confirmation | 6 | 6 |
,Arm C Tasisulam + Temozolomide Dose Escalation | 11 | 13 |
,Arm D Tasisulam + Cisplatin Dose Confirmation | 30 | 30 |
,Arm D Tasisulam + Cisplatin Dose Escalation | 8 | 7 |
,Arm D* Tasisulam + Cisplatin Dose Escalation | 0 | 1 |
,Arm E Tasisulam + Erlotinib Dose Confirmation | 7 | 7 |
,Arm E Tasisulam + Erlotinib Dose Escalation | 5 | 5 |
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Pharmacokinetic (PK): Concentration Maximum (Cmax)
Cycle 2: predose,1h start of infusion, end of infusion, 30min,2h,4h,6h,22h,166h,334h,698h end of infusion. (NCT01284335)
Timeframe: Cycle 1: predose,0,30min,1h start of infusion, end of infusion, 30min,2h,4h,6h,22h,166h,334h,698h end of infusion.
Intervention | micrograms per milliliter (µg/mL) (Geometric Mean) |
---|
| Cycle 1 | Cycle 2 |
---|
Tasisulam | 306 | 250 |
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Percentage of Participants With a Complete (CR) or Partial Response (PR) (Best Overall Tumor Response)
Best overall tumor response was evaluated using Response Evaluation Criteria In Solid Tumors (RECIST, version 1.0) criteria. Complete Response (CR) was defined as the disappearance of all target lesions; Partial Response (PR) was defined as at least a 30% decrease in sum of longest diameter of target lesions. (NCT01284335)
Timeframe: Baseline to Study Completion (Up to 2 years)
Intervention | percentage of participants (Number) |
---|
| Non-Small Cell Lung Cancer (NSCLC) | Other | Pancreas | Small Cell Lung Cancer (SCLC) |
---|
Arm D Tasisulam + Cisplatin Dose Confirmation | 5.0 | 10.0 | 0 | 7.1 |
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Percentage of Participants With a Complete (CR) or Partial Response (PR) (Best Overall Tumor Response)
Best overall tumor response was evaluated using Response Evaluation Criteria In Solid Tumors (RECIST, version 1.0) criteria. Complete Response (CR) was defined as the disappearance of all target lesions; Partial Response (PR) was defined as at least a 30% decrease in sum of longest diameter of target lesions. (NCT01284335)
Timeframe: Baseline to Study Completion (Up to 2 years)
Intervention | percentage of participants (Number) |
---|
| Non-Small Cell Lung Cancer (NSCLC) | Other | Pancreas |
---|
Arm A Tasisulam + Gemcitabine Dose Confirmation | 0.0 | 14.3 | 13.3 |
,Arm E Tasisulam + Erlotinib Dose Confirmation | 0.0 | 14.3 | 0.0 |
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Percentage of Participants With a Complete (CR) or Partial Response (PR) (Best Overall Tumor Response)
Best overall tumor response was evaluated using Response Evaluation Criteria In Solid Tumors (RECIST, version 1.0) criteria. Complete Response (CR) was defined as the disappearance of all target lesions; Partial Response (PR) was defined as at least a 30% decrease in sum of longest diameter of target lesions. (NCT01284335)
Timeframe: Baseline to Study Completion (Up to 2 years)
Intervention | percentage of participants (Number) |
---|
| Non-Small Cell Lung Cancer (NSCLC) | Other |
---|
Arm B* Tasisulam + Docetaxel Dose Confirmation | 20.0 | 6.3 |
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PK: Area Under the Curve Albumin (AUCalb)
Cycle 2: predose,1h start of infusion, end of infusion, 30min,2h,4h,6h,22h,166h,334h,698h end of infusion. (NCT01284335)
Timeframe: Cycle 1: predose,0,30min,1h start of infusion, end of infusion, 30min,2h,4h,6h,22h,166h,334h,698h end of infusion.
Intervention | micrograms*hour/milliliter (µg*h/mL) (Geometric Mean) |
---|
| Cycle 1 | Cycle 2 |
---|
Tasisulam | 946 | 648 |
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Number of Participants With Dose-Limiting Toxicities Cycle 1
A Dose-Limiting Toxicity (DLT) is defined as an Adverse Event (AE) that is likely related to the study medication or combination, and fulfills any one of the following criteria: Common Terminology Criteria for Adverse Events (CTCAE, Version 3.0) Grade 4 neutropenia lasting more than 5 days. Grade 4 neutropenia with fever or Grade 4 thrombocytopenia, regardless of duration; Grade ≥3 thrombocytopenia with bleeding, regardless of duration; Grade ≥3 nonhematologic toxicity (excluding nausea/vomiting or diarrhea that can be controlled with medication, and alopecia). Grade 3 electrolyte toxicity (for example, hypokalemia, hypophosphatemia) will not be considered a DLT unless it is considered related to the study drug or combination and does not resolve with standard replacement treatments within 42 days after Cycle 1 Day 1. A summary of other nonserious AEs and all Serious Adverse Events (SAE), regardless of causality is located in the Reported Adverse Event section. (NCT01284335)
Timeframe: Baseline to Cycle 1 (Up to Day 28)
Intervention | Participants (Count of Participants) |
---|
Arm A Tasisulam + Gemcitabine Dose Escalation | 4 |
Arm A Tasisulam + Gemcitabine Dose Confirmation | 0 |
Arm B* Tasisulam + Docetaxel Dose Escalation | 4 |
Arm B1 Tasisulam + Docetaxel Dose Escalation | 4 |
Arm B2 Tasisulam + Docetaxel Dose Escalation | 3 |
Arm B2 Tasisulam + Docetaxel Dose Confirmation | 0 |
Arm C Tasisulam + Temozolomide Dose Escalation | 3 |
Arm C Tasisulam + Temozolomide Dose Confirmation | 0 |
Arm D* Tasisulam + Cisplatin Dose Escalation | 0 |
Arm D Tasisulam + Cisplatin Dose Escalation | 2 |
Arm D Tasisulam + Cisplatin Dose Confirmation | 0 |
Arm E Tasisulam + Erlotinib Dose Escalation | 1 |
Arm E Tasisulam + Erlotinib Dose Confirmation | 0 |
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Number of Participants With Dose Limiting Toxicity (DLT )
Here is the number of participants with DLT. DLT is defined as follows: All grade 3 or greater toxicities with the exception of Grade 3 constitutional symptoms that persist for less than 72 hours, Grade 3 and 4 myelosuppression (neutrophils and thrombocytopenia) of less than 5 days duration. Grade 3 metabolic/laboratory events that are correctable within 24 hours. Events that are assessed by the principal investigator as clearly unrelated to the agent will not be considered DLTs (e.g., events directly related to catheter insertion, pain related to underlying disease). (NCT01294358)
Timeframe: Cycle 1 (4 weeks), for up to 6 cycles
Intervention | Participants (Count of Participants) |
---|
18 mg/m(2)/24h | 0 |
36 mg/m(2)/24h | 1 |
72 mg/m(2)/24h | 0 |
96 mg/m(2)/24h | 0 |
115 mg/m(2)/24h | 0 |
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Response Using the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
Complete response is 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 is at least a 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum diameters. Progression 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) or the appearance of one or more new lesions. Stable disease is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD taking as references the smallest sum diameters while on study. (NCT01294358)
Timeframe: Every 2 cycles (8 weeks), up to 18 weeks
Intervention | Participants (Count of Participants) |
---|
| Complete response (CR) | Partial response (PR) | Stable disease | Progressive disease (PD) |
---|
115 mg/m(2)/24h | 0 | 0 | 0 | 1 |
,18 mg/m(2)/24h, | 0 | 0 | 4 | 0 |
,36 mg/m(2)/24h | 0 | 0 | 4 | 2 |
,72 mg/m(2)/24h | 0 | 0 | 2 | 2 |
,96 mg/m(2)/24h | 0 | 0 | 2 | 0 |
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Response Using Computed Tomography (CT) Perfusion Criteria European Association for the Study of the Liver (EASL1)
Complete response is 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 is at least a 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum diameters. Progression 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) or the appearance of one or more new lesions. Stable disease is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD taking as references the smallest sum diameters while on study. (NCT01294358)
Timeframe: Every 2 cycles (8 weeks), up to 18 weeks
Intervention | Participants (Count of Participants) |
---|
| Complete response (CR) | Partial response (PR) | Progressive disease (PD) | Stable disease (SD) |
---|
115 mg/m(2)/24h | 0 | 0 | 0 | 1 |
,18 mg/m(2)/24h | 0 | 0 | 0 | 4 |
,36 mg/m(2)/24h | 0 | 0 | 4 | 2 |
,72 mg/m(2)/24h | 0 | 0 | 2 | 2 |
,96 mg/m(2)/24h | 0 | 0 | 2 | 0 |
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Number of Participants With Serious and Non-Serious Adverse Events
Here is the count of participants with serious and non-serious adverse events assessed by the Common Terminology Criteria in 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 (NCT01294358)
Timeframe: Date treatment consent signed to date off study, approximately 2 years and 2 months and 21 days
Intervention | Participants (Count of Participants) |
---|
18 mg/m(2)/24h | 4 |
36 mg/m(2)/24h | 5 |
72 mg/m(2)/24h | 3 |
96 mg/m(2)/24h | 2 |
115 mg/m(2)/24h | 1 |
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Number of Participants Who Converted From Unresectable or Borderline Resectable To Potentially Resectable Pancreatic Cancer
Resectability is defined by the MD Anderson Resectability criteria: Resectable is no extension; normal fat plane between the tumor and the artery (superior mesenteric artery (SMA)). No extension (celiac axis/hepatic artery). Patent (superior mesenteric vein/portal vein (SMV/PV)). Borderline resectable is tumor abutment ≤180◦ (one half or less) of the circumference of the artery; periarterial stranding and tumor points of contact forming a convexity against the vessel improve chances of resection (SMA). Short-segment encasement/abutment of the common hepatic artery (typically at the gastroduodenal origin) (celiac axis/hepatic artery). Short-segment occlusion with suitable vessel above and below (SMV/PV). Locally advanced is encased (>180◦) (SMA). Encased and no technical option for reconstruction usually because of extension to the celiac axis/splenic/left gastric junction or the celiac origin (celiac axis/hepatic artery). Occluded and no technical option for reconstruction (SMV/PV). (NCT01294358)
Timeframe: 4 months
Intervention | Participants (Count of Participants) |
---|
18 mg/m(2)/24h | 0 |
36 mg/m(2)/24h | 0 |
72 mg/m(2)/24h | 0 |
96 mg/m(2)/24h. | 1 |
115 mg/m(2)/24h | 1 |
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MTD (Maximum Tolerated Dose)
The MTD is the highest dose that induces dose limiting toxicity (DLT) in no more than 2 patients among a cohort of 6 patients. If 1 or fewer patients experience dose limiting toxicity than the dose level will define the MTD. Only DLT's that occurred during cycle 1 of each dose level were used to determine the MTD. (NCT01294358)
Timeframe: Cycle 1 (4 weeks), for up to 6 cycles
Intervention | mg/ml/24h (Number) |
---|
Gemcitabine Dose Escalation | 115 |
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Urinary and Fecal Excretion of LY2603618 Radioactivity Over Time Expressed as a Percentage of the Total Radioactive Dose Administered
Urinary and fecal excretion samples from each participant were measured by liquid scintillation counting. The radioactive counts detected in urine and fecal samples were each divided by the theoretical radioactive count in the total radioactive dose administered and multiplied by 100% to arrive at a percentage of total radioactive dose excreted in urine and feces. (NCT01296568)
Timeframe: 0 to 6 hours, 6 to 12, 12 to 24, 24 to 48, 48 to 72 and 72 to 96 hours post-dose
Intervention | percentage of total dose (Mean) |
---|
| Feces | Urine |
---|
[^14C]LY2603618 | 72.2 | 11.0 |
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The Number of Participants With a Tumor Response
Tumor responses were followed and measured according to Response Evaluation Criteria In Solid Tumors (RECIST) criteria. Complete response was defined as the disappearance of all target and non-target lesions and any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 millimeter (mm) and normalization of tumor marker level of non-target lesions. Partial response was defined as at least a 30% decrease in sum of longest diameter of target lesions. Progressive disease was defined as at least 20% increase in sum of longest diameter of target lesions and minimum 5 mm increase over nadir; Stable disease was defined as small changes that did not meet above criteria. (NCT01296568)
Timeframe: Baseline through study completion [Cycle 5 (28 days/cycle) and 21-day safety follow-up]
Intervention | Participants (Count of Participants) |
---|
| Complete response | Partial response | Progressive disease | Stable disease |
---|
Entire Study Population | 0 | 0 | 2 | 0 |
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Plasma Pharmacokinetics of Radioactivity: Area Under the Concentration Time Curve From Time Zero to Time t [AUC(0-tlast)]
Plasma radioactivity AUC(0-tlast) [nanogram equivalents*hours per milliliter (ng Eq*h/mL)] where tlast is the last time point with a measurable concentration following a single dose on Day 1. (NCT01296568)
Timeframe: 0, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 and 96 hours post-dose
Intervention | ng Eq*h/mL (Geometric Mean) |
---|
[^14C]LY2603618 | 27700 |
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Plasma Pharmacokinetics of Radioactivity: Maximum Observed Drug Concentration (Cmax)
Plasma radioactivity Cmax [nanogram equivalents per milliliter (ng Eq/mL)] following a single dose on Day 1. (NCT01296568)
Timeframe: 0, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 and 96 hours post-dose
Intervention | ng Eq/mL (Geometric Mean) |
---|
[^14C]LY2603618 | 5660 |
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Plasma Pharmacokinetics of Radioactivity: Area Under the Concentration Time Curve From Time Zero to Infinity [AUC(0-infinity)]
Plasma radioactivity AUC(0-infinity) [nanogram equivalents*hours per milliliter (ng Eq*h/mL)] following a single dose on Day 1. (NCT01296568)
Timeframe: 0, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 and 96 hours post-dose
Intervention | ng Eq*h/mL (Geometric Mean) |
---|
[^14C]LY2603618 | 32500 |
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Plasma Pharmacokinetics of LY2603618: Maximum Observed Drug Concentration (Cmax)
Plasma LY2603618 Cmax following a single dose on Day 1. (NCT01296568)
Timeframe: 0, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 and 96 hours post-dose
Intervention | nanograms per milliliter (ng/mL) (Geometric Mean) |
---|
[^14C]LY2603618 | 4750 |
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Plasma Pharmacokinetics of LY2603618: Area Under the Concentration Time Curve From Time Zero to Time t [AUC(0-tlast)]
Plasma LY2603618 AUC(0-tlast) where tlast is the last time point with a measurable concentration following a single dose on Day 1. (NCT01296568)
Timeframe: 0, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 and 96 hours post-dose
Intervention | nanograms*hours per milliliter (ng*h/mL) (Geometric Mean) |
---|
[^14C]LY2603618 | 22200 |
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Plasma Pharmacokinetics of LY2603618: Area Under the Concentration Time Curve From Time Zero to Infinity [AUC(0-infinity)]
Plasma LY2603618 AUC(0-infinity) following a single dose on Day 1. (NCT01296568)
Timeframe: 0, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 and 96 hours post-dose
Intervention | nanograms*hours per milliliter (ng*h/mL) (Geometric Mean) |
---|
[^14C]LY2603618 | 22300 |
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Safety and Tolerability.
"A clinically relevant deleterious effect of IMM-101 on safety and tolerability profiles was judged by:~Local and systemic toxicities.~Number, type and degree of toxicities as measured by the National Cancer Institute (NCI) Common Toxicity Criteria for Adverse Events (CTCAE) v4.0.~Adverse events were collected from time of Informed Consent to 30 days post last dose of study medication IMM-101 does not appear to confer an incremental safety burden beyond that associated with chemotherapy and the disease itself. No new safety signals were identified from this study. The numbers of SAEs by preferred term were low, such that no trends could be inferred from these data and no significant SAEs attributable to IMM 101 were observed." (NCT01303172)
Timeframe: From time of Informed Consent to 30 days post last dose of study medication
Intervention | participants (Number) |
---|
| With Treatment Emergent Adverse Events (TEAEs) | Withdrawn due to a TEAE | With TEAEs related to IMM-101 | With Treatment Emergent Serious Adverse Events (TESAEs) | With Treatment Emergent Serious Adverse Events (TESAEs) related to IMM-101 |
---|
Control | 35 | 0 | 0 | 10 | 0 |
,Experimental | 73 | 4 | 43 | 38 | 7 |
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Overall Response Rate (ORR).
A clinically relevant improvement Overall Response Rate (ORR). Overall response rate was defined as the percentage of patients with a complete response or partial response as assessed by RECIST v1.1 criteria. (NCT01303172)
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 1 year (or longer in the case of patients who entered the long term treatment sub-study).
Intervention | participants (Number) |
---|
| Complete Response | Partial Response |
---|
Control | 0 | 1 |
,Experimental | 0 | 8 |
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Survival
Overall and progression free survival (NCT01303172)
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 1 year (or longer in the case of patients who entered the long term treatment sub-study, up to 5 years).
Intervention | Months (Median) |
---|
| Overall Survival | Progression Free Survival |
---|
Control | 5.6 | 2.4 |
,Experimental | 6.7 | 4.1 |
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The Number of Participants With Response to GEMOX-Panitumumab (GEMOX-P) in Chemotherapy naïve KRAS/ BRAF Wild Type Stage IV Biliary Tract Cancer Using the Response Evaluation Criteria In Solid Tumors (RECIST) Criteria.
Tumor measurement - same imaging modality used in pre-treatment evaluation - include radiological examination of all areas with affected disease. For pretreatment and at the end of cycle 2 CT scans (chest/abdomen/pelvis) will be used. For all subsequent cycles, CT of chest/abdomen/pelvis will be used every 8 weeks. (NCT01308840)
Timeframe: end of cycle 2 of treatment
Intervention | participants (Number) |
---|
| complete response | partial response | stable disease | progressive disease |
---|
Panitumumab | 0 | 14 | 14 | 3 |
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The Number of Participants Who Experience an Adverse Event
Any adverse event continuing after the study completion and considered potentially related to study treatment will be followed until resolution, stabilization or initiation of treatment that confounds the ability to assess the event (NCT01308840)
Timeframe: baseline to study completion
Intervention | participants (Number) |
---|
Panitumumab | 31 |
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Overall Response Rate
ORR is defined as the proportion of patients who achieve a CR or PR without additional therapy. (NCT01321541)
Timeframe: From date of randomization to the date of the patient's death due to any cause (Up to 100 weeks)
Intervention | percentage of patients (Number) |
---|
Pixantrone + Rituximab | 61.9 |
Gemcitabine + Rituximab | 43.9 |
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Progression Free Survival (PFS)
PFS is defined as the time of randomization to the date of disease progression or death due to any cause (whichever occurs first) (NCT01321541)
Timeframe: From the date of randomization to the date of progressive disease or death due to any cause (whichever is first reported) (Up to 100 weeks)
Intervention | Months (Median) |
---|
Pixantrone + Rituximab | 7.3 |
Gemcitabine + Rituximab | 6.3 |
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Complete Response Rate
CRR is defined as the proportion of patients who achieve a Complete Response (CR) without additional therapy. CR is defined as the disappearance of all target lesions. (NCT01321541)
Timeframe: From date of randomization to the date of the patient's death due to any cause (Up to 100 weeks)
Intervention | Participants (Count of Participants) |
---|
Pixantrone + Rituximab | 55 |
Gemcitabine + Rituximab | 34 |
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Overall Survival
Overall survival is from randomization to death due to any cause (NCT01321541)
Timeframe: From date of randomization to the date of the patient's death due to any cause (Up to 100 weeks)
Intervention | Months (Median) |
---|
Pixantrone + Rituximab | 13.3 |
Gemcitabine + Rituximab | 19.6 |
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Number of Participants With Best Overall Response of Complete Response (CR), Partial Response (PR), or Stable Disease (SD) (Best Overall Response)
Participants achieved disease control if they had a best overall response of PR, CR or SD according to RECIST v1.1 (SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD); PR at least 30% decrease and PD at least 20% increase in the sum of diameter of target lesions; CR: disappearance of all target lesions). Two determinations of PR or better before progression, but not qualifying for a CR, are required for a best response of PR. Best response of SD is defined as disease that does not meet the criteria for CR, PR or PD and has been evaluated at least 6 weeks after the first gemcitabine administration. (NCT01341457)
Timeframe: Baseline to Measured Progressive Disease (Up to 52 Months)
Intervention | participants (Number) |
---|
170 mg LY2603618 + Gemcitabine | 2 |
230 mg LY2603618 + Gemcitabine | 5 |
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Number of Participants With Dose Limiting Toxicity (DLT)
DLT is defined as adverse event (AE) during Cycle 1 (Days 1 through 28) that was possibly related to the study drug and toxicities considered by the investigator as dose limiting. A summary of other nonserious AEs, and all serious adverse events (SAE's), regardless of causality, is located in the Reported Adverse Events section. (NCT01341457)
Timeframe: Cycle 1 (28 Days)
Intervention | Participants (Count of Participants) |
---|
170 mg LY2603618 + Gemcitabine | 1 |
230 mg LY2603618 + Gemcitabine | 2 |
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Pharmacokinetics (PK): Maximum Plasma Concentration (Cmax) of LY2603618
(NCT01341457)
Timeframe: Cycle 1 (days 2 and 16) & 2 (day 2): Predose, End of Infusion, 1 hour (h), 3h, 6h, 24h (days 3 and 17), 48h (days 4 and 18 cycle 1 only), 72h (days 5 and 19)
Intervention | Nanograms per Milliliter (ng/mL) (Geometric Mean) |
---|
| Cycle 1 Day 2 | Cycle 1 Day 16 | Cycle 2 Day 2 |
---|
170 mg LY2603618 + Gemcitabine | 3610 | 3510 | 3290 |
,230 mg LY2603618 + Gemcitabine | 3920 | 4120 | 3570 |
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PK: Area Under the Plasma Concentration vs. Time Curve From Time Zero to Infinity [AUC(0-∞)] of LY2603618
(NCT01341457)
Timeframe: Cycle 1 (days 2 and 16) & 2 (day 2): Predose, End of Infusion, 1 hour (h), 3h, 6h, 24h (days 3 and 17), 48h (days 4 and 18 cycle 1 only), 72h (days 5 and 19)
Intervention | nanograms*hour per milliliter (ng*h/mL) (Geometric Mean) |
---|
| Cycle 1 Day 1 | Cycle 1 Day 16 | Cycle 2 Day 2 |
---|
170 mg LY2603618 + Gemcitabine | 43900 | 52600 | 47800 |
,230 mg LY2603618 + Gemcitabine | 37200 | 39000 | 35800 |
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PK: AUC(0-∞) of Gemcitabine
(NCT01341457)
Timeframe: Cycle 1 (days 1 and 15) & 2 (day 1): Predose, End of Infusion, 10 minutes (m), 30m, 60m, 120m
Intervention | ng*h/mL (Geometric Mean) |
---|
| Cycle 1 Day 1 | Cycle 1 Day 15 | Cycle 2 Day 1 |
---|
LY2603618 + Gemcitabine | 11600 | 12300 | 9530 |
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PK: Cmax of Gemcitabine
(NCT01341457)
Timeframe: Cycle 1 (days 1 and 15) & 2 (day 1): Predose, End of Infusion, 10 minutes (m), 30m, 60m, 120m
Intervention | ng/mL (Geometric Mean) |
---|
| Cycle 1 Day 1 | Cycle 1 Day 15 | Cycle 2 Day 1 |
---|
LY2603618 + Gemcitabine | 23000 | 24700 | 18100 |
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Plasma Pharmacokinetics of Desipramine: the Area Under the Plasma Concentration Versus Time Curve From Time Zero to Infinity [AUC(0-∞)]
(NCT01358968)
Timeframe: Periods 1 and 2: Predose, 0.5, 1, 2, 4, 8, 12, 24, 48, 72, 96, 120, 144 and 168 hours post dose
Intervention | nanograms*hour/milliliter (ng*h/mL) (Geometric Mean) |
---|
| Period 1 | Period 2 |
---|
Desipramine | 655 | 687 |
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Plasma Pharmacokinetics of Desipramine: the Area Under the Plasma Concentration Versus Time Curve From Time Zero to the Last Observed Plasma Concentration of Desipramine [AUC(0-tlast)]
(NCT01358968)
Timeframe: Periods 1 and 2: Predose, 0.5, 1, 2, 4, 8, 12, 24, 48, 72, 96, 120, 144 and 168 hours post dose
Intervention | nanogram*hour/milliliter (ng*h/mL) (Geometric Mean) |
---|
| Period 1 | Period 2 |
---|
Desipramine | 619 | 653 |
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Plasma Pharmacokinetics of LY2603618: the Area Under the Plasma Concentration Versus Time Curve From Time Zero to the Last Observed Plasma Concentration of LY2603618 [AUC(0-tlast)]
(NCT01358968)
Timeframe: Period 2 only: Predose 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120 and 144 hours post dose
Intervention | nanograms*hour/milliliter (ng*h/mL) (Geometric Mean) |
---|
LY2603618 | 53000 |
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Number of Participants With a Tumor Response
Tumor response is complete response (CR) + partial response (PR), as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST) criteria (Version 1.1). CR is the disappearance of all target and non-target lesions and PR is a ≥30% decrease in sum of longest diameter of target lesions. Number of participants with a tumor response is the total number of participants with CR or PR. (NCT01358968)
Timeframe: Baseline to study completion up to 11 cycles of 21-day cycles
Intervention | Participants (Count of Participants) |
---|
LY2603618 + Gemcitabine (Continued Access) | 1 |
LY2603618 + Pemetrexed (Continued Access) | 0 |
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Plasma Pharmacokinetics of Desipramine: the Maximum Concentration of Desipramine in the Plasma (Cmax)
(NCT01358968)
Timeframe: Periods 1 and 2: Predose, 0.5, 1, 2, 4, 8, 12, 24, 48, 72, 96, 120, 144 and 168 hours post dose
Intervention | nanograms/milliliter (ng/mL) (Geometric Mean) |
---|
| Period 1 | Period 2 |
---|
Desipramine | 21.2 | 22.8 |
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Plasma Pharmacokinetics of LY2603618: the Area Under the Plasma Concentration Versus Time Curve From Time Zero to Infinity [AUC(0-∞)]
(NCT01358968)
Timeframe: Period 2 only: Predose, 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120 and 144 hours post dose
Intervention | nanograms*hour/milliliter (ng*h/mL) (Geometric Mean) |
---|
LY2603618 | 53700 |
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Plasma Pharmacokinetics of LY2603618: the Maximum Concentration of LY2603618 in the Plasma (Cmax)
(NCT01358968)
Timeframe: Period 2 only: Predose, 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120 and 144 hours post dose
Intervention | nanograms/milliliter (ng/mL) (Geometric Mean) |
---|
LY2603618 | 5950 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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Phase 1b: Recommended Phase 2 Dose
The recommended Phase 2 dose was the highest dose where less than 1/3 of participants experienced dose limiting toxicities (DLTs). The recommended dose was determined based on a review of overall toxicity, dose reductions, omissions, and pharmacokinetic information from Phase 1b. (NCT01373164)
Timeframe: Time of first phase 1b dose until time of last phase 1b dose (up to 1 year)
Intervention | milligrams (mg) (Number) |
---|
Phase 1b Participants | 300 |
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Phase 2: Change From Baseline in Carbohydrate Antigen 19.9 (CA19-9) Level at First Study Completion Follow-up
Carbohydrate antigen 19-9 (CA 19-9) is a modified Lewis(a) blood group antigen, and has been used as a tumor marker. The outcome measure is the median, minimum and maximum values from participants who had samples collected at baseline and at follow-up (NCT01373164)
Timeframe: Baseline, study treatment completion after first follow up visit (up to 1 year)
Intervention | Units/Milliliter (U/mL) (Median) |
---|
Phase 2: 300 mg Galunisertib + Gemcitabine | 32.7 |
Phase 2: Placebo + Gemcitabine | -33.3 |
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Phase 2: Overall Survival (OS)
Overall survival is defined as the time from the date of randomization to the date of death from any cause. For each participant who is not known to have died as of the data-inclusion cut-off date for a particular analysis, overall survival duration was censored for that analysis at the date of last prior contact. (NCT01373164)
Timeframe: Baseline to date of death from any cause (up to 2 years)
Intervention | Months (Median) |
---|
Phase 2: 300 mg Galunisertib + Gemcitabine | 8.9 |
Phase 2: Placebo + Gemcitabine | 7.1 |
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Phase 2: Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR) (Overall Response Rate[ORR])
Overall response rate is the best response of complete response (CR) or partial response (PR) as classified by the independent central review according to the Response Evaluation Criteria In Solid Tumors (RECIST v1.1). CR is a disappearance of all target and non-target lesions and normalization of tumor marker level. PR is an at least 30% decrease in the sum of the diameters of target lesions (taking as reference the baseline sum diameter) without progression of non-target lesions or appearance of new lesions. Overall response rate is calculated as a total number of participants with CR or PR divided by the total number of participants with at least 1 measurable lesion, multiplied by 100. (NCT01373164)
Timeframe: Baseline to measured progressive disease (up to 2 years)
Intervention | Percentage of Participants (Number) |
---|
Phase 2: 300 mg Galunisertib + Gemcitabine | 10.6 |
Phase 2: Placebo + Gemcitabine | 3.8 |
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Phase 2: Population Pharmacokinetics (PK): Area Under the Concentration-Time Curve From Time Zero to 24 Hours (AUC[0-24])
AUC[0-24] is a combined measure obtained from Day 14 at 0 hour (pre-dose), 0.5, 2,3, 6 hours post dose and morning doses from 24h and 48h to compute. (NCT01373164)
Timeframe: Cycle 1 Days 14 (predose; 0.5, 2, 3, and 6 hours post dose), 24h (Days 15) and 48h (Days 16)
Intervention | mg*h/L (Mean) |
---|
Phase 2: 300 mg Galunisertib + Gemcitabine | 5.56 |
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Phase 2: Population PK: Maximum Concentration (Cmax) of Galunisertib
Plasma samples for pharmacokinetic (PK) analysis were obtained on Day 14 at 0 hours (Pre-dose), 0.5, 2, 3, 6 hours post dose and morning doses from 24h and 48h. Cmax takes all time points post dose into account and one value is reported. (NCT01373164)
Timeframe: Cycle 1 Days 14 (predose; 0.5, 2, 3, and 6 hours post dose), 24h (Days 15) and 48h (Days 16)
Intervention | ng/mL (Mean) |
---|
Phase 2: 300 mg Galunisertib + Gemcitabine | 904 |
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Phase 2: Progression Free Survival (PFS)
PFS is defined as the date of randomization to the first date of progression of disease or of death from any cause. For each participant who is not known to have died or to have had a progression of disease as of the data-inclusion cut-off date for a particular analysis, PFS will be censored at the date of last prior contact. PFS will be calculated and analyzed twice: (1) including clinical progressions of disease not based on lesion measurements, and (2) excluding clinical progressions. Progression Disease (PD) was defined as having at least a 25% increase in the sum of the longest diameter of target lesions. (NCT01373164)
Timeframe: Baseline to first date of progressive disease or death due to any cause (up to 2 years)
Intervention | Months (Median) |
---|
Phase 2: 300 mg Galunisertib + Gemcitabine | 4.11 |
Phase 2: Placebo + Gemcitabine | 2.86 |
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Phase 1b: Number of Participants With Tumor Response
Response was defined using RECIST (Response Evaluation Criteria in Solid Tumors) version 1.1. Complete Response (CR) was defined as the disappearance of all target and non-target lesions and any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 millimeter (mm) and normalization of tumor marker level of non-target lesions; Partial Response (PR) was defined as having at least a 30% decrease in sum of longest diameter of target lesions; Progressive Disease (PD) was defined as having at least 20% increase in sum of longest diameter of target lesions and minimum 5 mm increase above nadir; Stable Disease (SD) was defined as small changes that did not meet above criteria. (NCT01373164)
Timeframe: Baseline to end of Phase 1b (up to 1 year)
Intervention | Participants (Number) |
---|
| Progressive Disease (PD) | Stable Disease (SD) | Partial Response (PR) | Non-Complete Response/Non-Progressive Disease (NC) | Not Assessed (NA) |
---|
Phase 1b: 160 mg Galunisertib + Gemcitabine | 1 | 2 | 1 | 0 | 0 |
,Phase 1b: 300 mg Galunisertib + Gemcitabine | 2 | 2 | 0 | 1 | 0 |
,Phase 1b: 80 mg Galunisertib + Gemcitabine | 3 | 1 | 0 | 0 | 1 |
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Phase 1b: Pharmacokinetics: Area Under the Concentration-Time Curve at Steady State From Time Zero to 24 Hours (AUC[0-24], ss) and Time Zero to Infinity (AUC[0-∞], ss)
AUC[0-24h] is a combined measure obtained from Day 14 at 0 hour (pre-dose), 0.5, 2,3, 6 hours post dose and morning doses from 24h and 48h to compute. AUC0-infinity will take 48h and extrapolation beyond this in addition to earlier time points to be calculated. All mentioned time points are used to calculate the two AUCs. (NCT01373164)
Timeframe: Cycle 1 Days 14 (predose; 0.5, 2, 3, and 6 hours post dose), 24h (Days 15) and 48h (Days 16)
Intervention | nanogram*hour per milliliter (ng*h/mL) (Geometric Mean) |
---|
| AUC(0-24) | AUC(0-∞) |
---|
Phase 1b: 160 mg Galunisertib + Gemcitabine | NA | NA |
,Phase 1b: 300 mg Galunisertib + Gemcitabine | 9090 | 10600 |
,Phase 1b: 80 mg Galunisertib + Gemcitabine | 2530 | 2740 |
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Phase 2: Percentage Change From Baseline in Tumor Size (CTS)
Change in tumor size is defined as the maximum percent change from baseline in the sum of target lesions. Change was assessed in each participant using radiographic imaging. (NCT01373164)
Timeframe: Baseline, end of Cycle 2 (up to 56 days)
Intervention | Percent change in tumor size (Geometric Mean) |
---|
| Independent Assessor 1 | Independent Assessor 2 |
---|
Phase 2: 300 mg Galunisertib + Gemcitabine | 0.95 | 1.03 |
,Phase 2: Placebo + Gemcitabine | 0.92 | 0.98 |
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Phase 1b: Pharmacokinetics: Maximum Plasma Drug Concentration at Steady State (Cmax,ss)
Plasma samples for pharmacokinetic (PK) analysis were obtained on Day 14 at 0 hours (Pre-dose), 0.5, 2, 3, 6 hours post dose and morning doses from 24h and 48h. Cmax takes all time points post dose into account and one value is reported. (NCT01373164)
Timeframe: Cycle 1 Days 14 (predose; 0.5, 2, 3, and 6 hours post dose), 24h (Days 15) and 48h (Days 16)
Intervention | nanogram per milliliter (ng/mL) (Geometric Mean) |
---|
Phase 1b: 80 mg Galunisertib + Gemcitabine | 385 |
Phase 1b: 160 mg Galunisertib + Gemcitabine | NA |
Phase 1b: 300 mg Galunisertib + Gemcitabine | 1050 |
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Number of Participants With Adverse Events
Number of participants with adverse events as a measure of safety and tolerability (NCT01376310)
Timeframe: Until 30 days after the last dose of study treatment. Subjects may have continued to receive study treatment until disease progression, death, unacceptable toxicity or until locally commercially available. The maximum duration of exposure was 76 months.
Intervention | Participants (Count of Participants) |
---|
| Adverse Events | Treatment-Related Adverse Events | Serious Adverse Events | Treatment-Related Serious Adverse Events |
---|
Cohort A (GSK1120212 < 24 Weeks) | 119 | 101 | 26 | 8 |
,Cohort B (GSK1120212 >= 24 Weeks) | 30 | 26 | 13 | 4 |
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Progression-free Survival (PFS) Among Subjects With KRAS Mutation Positive NSCLC (ITT Population) Treated With Erlotinib Plus Tivantinib Compared to Single Agent Chemotherapy.
Progression is defined using Response Evaluation Criteria in Solid Tumors (RECIST v 1.1) criteria 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 or progression of existing non-target lesions are also considered progression. (NCT01395758)
Timeframe: Date of randomization until disease progression per RECIST (v 1.1) or death from any cause, whichever came first, assessed up to 24 months.
Intervention | weeks (Median) |
---|
Tivantinib Plus Erlotinib Arm | 7.3 |
Chemotherapy Arm | 18.6 |
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Overall Survival (OS) Among All Eligible Subjects (ITT Population) Treated With Erlotinib Plus Tivantinib Compared to Chemotherapy.
OS is calculated from the date of randomization until death from any cause. (NCT01395758)
Timeframe: Date of randomization to the date of death from any cause, assessed up to 24 months
Intervention | months (Median) |
---|
Tivantinib Plus Erlotinib Arm | 6.8 |
Chemotherapy Arm | 8.5 |
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ORR Among Subjects in the Crossover Period Treated With Erlotinib Plus Tivantinib
Per RECIST v1.1, CR = disappearance of all lesions and PR = at least 30% decrease in the sum of diameters of target lesions. ORR = (CR+PR)/# subjects. (NCT01395758)
Timeframe: Date of randomization to the date of death from any cause or to the date that the subject discontinues from the study, assessed up to 24 months.
Intervention | Participants (Count of Participants) |
---|
Tivantinib Plus Erlotinib Crossover Period | 2 |
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Objective Response Rate (ORR) Among All Eligible Subjects (ITT Population) Treated With Erlotinib Plus Tivantinib Compared to Chemotherapy.
Per RECIST v1.1, Complete Response (CR) = disappearance of all lesions and Partial Response (PR) = at least 30% decrease in the sum of diameters of target lesions. ORR = (CR+PR)/# subjects. (NCT01395758)
Timeframe: Date of randomization to the date of death from any cause or to the date that the subject discontinues from the study, assessed up to 24 months
Intervention | Participants (Count of Participants) |
---|
Tivantinib Plus Erlotinib Arm | 0 |
Chemotherapy Arm | 4 |
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Progression Free Survival
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, taking as reference the smallest sum longest diameter ever recorded since study treatment started, or progression in existing non-target lesions,or the appearance of one or more new lesions . (NCT01404260)
Timeframe: The evaluation of disease is demanded every two months for the patients receiving maintenance use of Gefitinib or patients in observation after chemotherapy,until disease progression occured
Intervention | months (Median) |
---|
Arm A: Gefitinib+Gemcitabine +Carboplatin | 9.7 |
Arm B: Gemcitabine +Carboplatin | 4.2 |
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Overall Objective Response
"Overall objective response measured using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.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.~Progressive Disease (PD): 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).~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." (NCT01418001)
Timeframe: Every 6 weeks up to 2 years
Intervention | participants (Number) |
---|
| Complete Response (CR) | Stable Disease (SD) |
---|
Level 1: Pazopanib 400 mg QD | 3 | 2 |
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Overall Survival
Number of months alive from cycle 1, Day 1 until 5 years post-intervention or death, whichever comes first. (NCT01431794)
Timeframe: 5 years
Intervention | months (Median) |
---|
Phase I: Gem, Nab-paclitaxel, and LDE225-600mg | 34.3 |
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Overall Tumor Response as Determined by Number of Participants With Complete or Partial Response
Number of participants who experienced complete response (CR) or partial response (PR), as defined by RECIST v1.0; where CR is a disappearance of all target lesions and PR is ≥30% reduction of target lesions. (NCT01431794)
Timeframe: 5 years
Intervention | Participants (Count of Participants) |
---|
Phase I: Gem, Nab-paclitaxel, and LDE225-600mg | 3 |
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Phase I - Safety and Feasibility of Gemcitabine and Nab-Paclitaxel in Combination With LDE-225 as Neoadjuvant Therapy as Measured by Number of Participants Who Tolerated the Maximal Dose of LDE-225
Number of participants who tolerated the maximal dose of LDE-225 in combination with gemcitabine, nab-paclitaxel as neoadjuvant therapy in patients with borderline resectable pancreatic adenocarcinoma (PDA). (NCT01431794)
Timeframe: 5 years
Intervention | Participants (Count of Participants) |
---|
Phase I: Gem, Nab-paclitaxel, and LDE225-600mg | 13 |
Phase I: Gem, Nab-paclitaxel, and LDE225-400mg | 0 |
Phase I: Gem, Nab-paclitaxel, and LDE225-800mg | 0 |
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Pathologic Response Rate
The percentage of patients with a major pathologic response (NCT01443078)
Timeframe: 2 years
Intervention | percentage of patients (Number) |
---|
All Patients | 17 |
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Pharmacokinetics
Pharmacokinetic (PK) evaluation was performed on plasma samples obtained weekly for the first cycle of the study and then on day 1 of each additional cycle to assess pre-treatment trough concentrations of MM-121. Non-compartmental analysis (NCA) was performed to calculate standard PK parameters, including the maximum observed concentration (Cmax). Serum levels of MM-121 were measured at a central lab using an enzyme-linked immunosorbent assay (ELISA). Data is presented per dose level of MM-121 (12 mg/kg, 20 mg/kg, or 40/20 mg/kg). (NCT01447225)
Timeframe: Collections taken at Cycle 1, Week 1 for all patients at start of the infusion (pretreatment), at the end of the infusion, and at 2, 4, 24 and 48 hours after the start of the MM-121 infusion
Intervention | ug/mL (Geometric Mean) |
---|
MM-121 + Gemcitabine: 20/12 mg/kg | 560 |
MM-121 + Carboplatin: 20/12 mg/kg | 554.8 |
MM-121 + Pemetrexed: 20/12 mg/kg | 900.7 |
MM-121 + Cisplatin: 20/12 mg/kg | 677.1 |
MM-121 + Gemcitabine: 40/20 mg/kg | 1033.4 |
MM-121 + Carboplatin: 40/20 mg/kg | 1107.2 |
MM-121 + Pemetrexed: 40/20 mg/kg | 1100.8 |
MM-121 + Cisplatin: 40/20 mg/kg | 1087.9 |
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Objective Response Rate
To determine the number of patients reporting an objective response using RECIST v 1.1 where a Partial Response (PR) is defined as >20% decrease in tumor burden from baseline and a Complete Response (CR) is defined as complete disappearance from tumor burden from baseline. Objective Response is presented as the total # patients with PR or CR. (NCT01447225)
Timeframe: patients were assessed for response during their time on study, the longest of which was 88.1 weeks
Intervention | participants with objective response (Number) |
---|
MM-121 Plus Gemcitabine: Cohort 1 | 0 |
MM-121 Plus Gemcitabine: Cohort 2 | 2 |
MM-121 Plus Carboplatin: Cohort 1 | 0 |
MM-121 Plus Carboplatin: Cohort 2 | 0 |
MM-121 Plus Carboplatin: Cohort 3 | 0 |
MM-121 Plus Pemetrexed: Cohort 1 | 0 |
MM-121 Plus Pemetrexed: Cohort 2 | 1 |
MM-121 Plus Cabazitaxel: Cohort 1 | 1 |
MM-121 Plus Cabazitaxel: Cohort 2 | 2 |
MM-121 Plus Cabazitaxel: Cohort 3 | 1 |
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Immunogenicity
Samples were collected to determine the presence of an immunologic reaction to MM-121 (i.e. human anti-human antibodies). (NCT01447225)
Timeframe: Samples were collected for all patients pre-dose on all cycles for duration of treatment, the longest of which was 88.1 weeks, and a collection was made post-infusion in any case of infusion reaction
Intervention | (Number) |
---|
MM-121 Plus Gemcitabine: Cohort 1 | NA |
MM-121 Plus Gemcitabine: Cohort 2 | NA |
MM-121 Plus Carboplatin: Cohort 1 | NA |
MM-121 Plus Carboplatin: Cohort 2 | NA |
MM-121 Plus Carboplatin: Cohort 3 | NA |
MM-121 Plus Pemetrexed: Cohort 1 | NA |
MM-121 Plus Pemetrexed: Cohort 2 | NA |
MM-121 Plus Cabazitaxel: Cohort 1 | NA |
MM-121 Plus Cabazitaxel: Cohort 2 | NA |
MM-121 Plus Cabazitaxel: Cohort 3 | NA |
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To Evaluate the Safety and Tolerability of Escalating Doses of the MM-121 Anticancer Therapies
Safety and tolerability data presented in detail in the adverse events and serious adverse events section of the results posting (NCT01447225)
Timeframe: From date of first dose to 30 days after termination, the longest 88.1 weeks
Intervention | participants reporting adverse events (Number) |
---|
MM-121 Plus Gemcitabine: Cohort 1 | 3 |
MM-121 Plus Gemcitabine: Cohort 2 | 8 |
MM-121 Plus Carboplatin: Cohort 1 | 5 |
MM-121 Plus Carboplatin: Cohort 2 | 3 |
MM-121 Plus Carboplatin: Cohort 3 | 3 |
MM-121 Plus Pemetrexed: Cohort 1 | 3 |
MM-121 Plus Pemetrexed: Cohort 2 | 7 |
MM-121 Plus Cabazitaxel: Cohort 1 | 4 |
MM-121 Plus Cabazitaxel: Cohort 2 | 3 |
MM-121 Plus Cabazitaxel: Cohort 3 | 4 |
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To Determine the Maximum Tolerated Dose (MTD) of MM-121 in Combination With Anticancer Therapies: Pemetrexed
"Using a 3+3 dose escalation model, the maximum tolerated dose of each therapy combination was determined by assessing dose-limiting toxicities in each cohort. If 3 patients were treated and passed the observation window, escalation to the next cohort was initiated. If a DLT was reported, 3-4 additional patients were enrolled and observed. If a DLT was observed in expanded cohort, this dose was considered to be the maximum tolerated dose. The maximum tolerated dose was defined at the cohort in which two dose-limiting toxicities were observed, or as the highest target dose tested in the absence of DLTs. The determined MTD was considered the Recommended Phase 2 Dose.~Dose Levels (3 week cycles) MM-121 doses tested: 20 mg/kg IV one-time loading dose then 12 mg/kg IV QW (20/12 mg/kg); 40/20 mg/kg Pemetrexed doses tested: 500 mg/m2 Day 1" (NCT01447225)
Timeframe: From date of first dose to 30 days after termination, the longest 88.1 weeks
Intervention | mg/m2 (Number) |
---|
MM-121 + Pemetrexed | 500 |
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To Determine the Maximum Tolerated Dose (MTD) of MM-121 in Combination With Anticancer Therapies: Gemcitabine
"Using a 3+3 dose escalation model, the maximum tolerated dose of each therapy combination was determined by assessing dose-limiting toxicities in each cohort. If 3 patients were treated and passed the observation window, escalation to the next cohort was initiated. If a DLT was reported, 3-4 additional patients were enrolled and observed. If a DLT was observed in expanded cohort, this dose was considered to be the maximum tolerated dose. The maximum tolerated dose was defined at the cohort in which two dose-limiting toxicities were observed, or as the highest target dose tested in the absence of DLTs. The determined MTD was considered the Recommended Phase 2 Dose.~Dose Levels (3 week cycles) MM-121 doses tested: 20 mg/kg IV one-time loading dose then 12 mg/kg IV QW (20/12 mg/kg); 40/20 mg/kg Gemcitabine doses tested: 1000 mg/m2 Day 1 and 8" (NCT01447225)
Timeframe: From date of first dose to 30 days after termination, the longest 88.1 weeks
Intervention | mg/m2 (Number) |
---|
MM-121 + Gemcitabine | 1000 |
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To Determine the Maximum Tolerated Dose (MTD) of MM-121 in Combination With Anticancer Therapies: Carboplatin
"Maximum Tolerated Dose reported in Target AUC, as calculated by the Calvert Formula~Using a 3+3 dose escalation model, the maximum tolerated dose of each therapy combination was determined by assessing dose-limiting toxicities in each cohort. If 3 patients were treated and passed the observation window, escalation to the next cohort was initiated. If a DLT was reported, 3-4 additional patients were enrolled and observed. If a DLT was observed in expanded cohort, this dose was considered to be the maximum tolerated dose. The maximum tolerated dose was defined at the cohort in which two dose-limiting toxicities were observed, or as the highest target dose tested in the absence of DLTs. The determined MTD was considered the Recommended Phase 2 Dose.~Dose Levels (3 week cycles) MM-121 doses tested: 20 mg/kg IV one-time loading dose then 12 mg/kg IV QW (20/12 mg/kg); 40/20 mg/kg Carboplatin doses tested: 5 or 6 AUC Day 1" (NCT01447225)
Timeframe: From date of first dose to 30 days after termination, the longest 88.1 weeks
Intervention | target AUC (mg*min/mL) (Number) |
---|
MM-121 + Carboplatin | 5 |
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To Determine the Maximum Tolerated Dose (MTD) of MM-121 in Combination With Anticancer Therapies: Cabazitaxel
"Using a 3+3 dose escalation model, the maximum tolerated dose of each therapy combination was determined by assessing dose-limiting toxicities in each cohort. If 3 patients were treated and passed the observation window, escalation to the next cohort was initiated. If a DLT was reported, 3-4 additional patients were enrolled and observed. If a DLT was observed in expanded cohort, this dose was considered to be the maximum tolerated dose. The maximum tolerated dose was defined at the cohort in which two dose-limiting toxicities were observed, or as the highest target dose tested in the absence of DLTs. The determined MTD was considered the Recommended Phase 2 Dose.~Dose Levels (3 week cycles) MM-121 doses tested: 20 mg/kg IV one-time loading dose then 12 mg/kg IV QW (20/12 mg/kg); 40/20 mg/kg Cabazitaxel doses tested: 20 or 25 mg/m2 Day 1 of 3" (NCT01447225)
Timeframe: From date of first dose to 30 days after termination, the longest 88.1 weeks
Intervention | mg/m2 (Number) |
---|
MM-121 + Cabazitaxel | 25 |
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To Characterize Dose-limiting Toxicities (DLTs) Associated With the Combination of MM-121 With Anticancer Therapies
To establish the safety of escalating doses of MM-121 administered in combination with multiple anti-cancer therapies in order to determine the recommended phase 2 dose. Dose-escalation conducted using standard 3+3 model to determine maximum tolerated dose. Reports of Dose-Limiting Toxicities (DLTs) were assessed to determine the MTD to be used for the expansion cohort. DLTs were not measured in the Expansion Cohort. (NCT01447225)
Timeframe: From date of first dose to 30 days after termination, the longest 88.1 weeks
Intervention | participants reporting DLTs (Number) |
---|
MM-121 Plus Gemcitabine: Cohort 1 | 0 |
MM-121 Plus Gemcitabine: Cohort 2 | 1 |
MM-121 Plus Carboplatin: Cohort 1 | 1 |
MM-121 Plus Carboplatin: Cohort 2 | 0 |
MM-121 Plus Carboplatin: Cohort 3 | 0 |
MM-121 Plus Pemetrexed: Cohort 1 | 0 |
MM-121 Plus Pemetrexed: Cohort 2 | 1 |
MM-121 Plus Cabazitaxel: Cohort 1 | 0 |
MM-121 Plus Cabazitaxel: Cohort 2 | 0 |
MM-121 Plus Cabazitaxel: Cohort 3 | 0 |
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Pharmacokinetics (AUClast)
Pharmacokinetic (PK) evaluation was performed on plasma samples obtained weekly for the first cycle of the study and then on day 1 of each additional cycle to assess pre-treatment trough concentrations of MM-121. Non-compartmental analysis (NCA) was performed to calculate standard PK parameters, including the AUClast. Serum levels of MM-121 were measured at a central lab using an enzyme-linked immunosorbent assay (ELISA). Data is presented per dose level of MM-121 (12 mg/kg, 20 mg/kg, or 40/20 mg/kg) and per study part (Part 1 or Part 2). (NCT01447225)
Timeframe: Collections taken at Cycle 1, Week 1 for all patients at the start of the infusion (pretreatment), at the end of the infusion, and at 2, 4, 24 and 48 hours after the start of the MM-121 infusion
Intervention | hr* ug/mL (Geometric Mean) |
---|
MM-121 + Gemcitabine: 20/12 mg/kg | 39666.4 |
MM-121 + Carboplatin: 20/12 mg/kg | 49749.6 |
MM-121 + Pemetrexed: 20/12 mg/kg | 59984.1 |
MM-121 + Cisplatin: 20/12 mg/kg | 51995.1 |
MM-121 + Gemcitabine: 40/20 mg/kg | 72132.1 |
MM-121 + Carboplatin: 40/20 mg/kg | 100309.9 |
MM-121 + Pemetrexed: 40/20 mg/kg | 92732.9 |
MM-121 + Cisplatin: 40/20 mg/kg | 98142.6 |
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To Determine the Maximum Tolerated Dose (MTD) of MM-121 in Combination With Anticancer Therapies: MM-121 Doses
"Using a 3+3 dose escalation model, the maximum tolerated dose of each therapy combination was determined by assessing dose-limiting toxicities in each cohort. If 3 patients were treated and passed the observation window, escalation to the next cohort was initiated. If a DLT was reported, 3-4 additional patients were enrolled and observed. If a DLT was observed in expanded cohort, this dose was considered to be the maximum tolerated dose. The maximum tolerated dose was defined at the cohort in which two dose-limiting toxicities were observed, or as the highest target dose tested in the absence of DLTs. The determined MTD was considered the Recommended Phase 2 Dose.~Dose Levels (3 week cycles) MM-121 doses tested: 20 mg/kg IV one-time loading dose then 12 mg/kg IV QW (20/12 mg/kg); 40/20 mg/kg Gemcitabine doses tested: 1000 mg/m2 Day 1 and 8 Pemetrexed doses tested: 500 mg/m2 Day 1 Carboplatin doses tested: 5 or 6 AUC Day 1 Cabazitaxel doses tested: 20 or 25 mg/m2 Day 1 of 3" (NCT01447225)
Timeframe: From date of first dose to 30 days after termination, the longest 88.1 weeks
Intervention | mg/kg (Number) |
---|
| one-time loading dose | maintenance dose |
---|
MM-121 Plus Cabazitaxel | 40 | 20 |
,MM-121 Plus Carboplatin | 40 | 20 |
,MM-121 Plus Gemcitabine | 40 | 20 |
,MM-121 Plus Pemetrexed | 40 | 20 |
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Number of Participants With a Dose-limiting Toxicity (DLT)
The safety and tolerability profile of PEGPH20 used in combination with gemcitabine was assessed by measuring the number of participants with a DLT during the dose-escalation phase of the study. A DLT was defined as any treatment-emergent National Cancer Institute (NCI) Common Terminology Criteria for Adverse Event (CTCAE), Version 4.0, Grade 3 or greater event occurring within the first 4 weeks of treatment that was considered related to PEGPH20. Any PEGPH20 treatment-related AE that resulted in a drug interruption or reduction might have been considered a DLT at the Investigator's or Sponsor's discretion. Hypersensitivity/infusion reactions related to PEGPH20 dosing were not considered DLTs. (NCT01453153)
Timeframe: first 4 weeks of Cycle 1
Intervention | Participants (Count of Participants) |
---|
PEGPH20 1.0 μg/kg | 0 |
PEGPH20 1.6 μg/kg | 0 |
PEGPH20 3.0 μg/kg | 0 |
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Objective Response Rate
Objective Response Rate is defined as the number of participants with a complete response plus the number of participants with a partial response, per RECIST, Version 1.1. For TLs, CR: Disappearance of all TLs. PR: >=30% decrease in the sum of diameters of TLs, referencing baseline sums. For NTLs, CR: Disappearance of all NTLs and normalization of tumor marker level. All lymph nodes must be nonpathological in size (short axis <10 mm). Incomplete response/SD: Persistence of >=1 NTLs and/or maintenance of tumor marker level above normal limits. (NCT01453153)
Timeframe: up to approximately 2 years 4 months
Intervention | Participants (Count of Participants) |
---|
PEGPH20 1.0 μg/kg | 0 |
PEGPH20 1.6 μg/kg | 2 |
PEGPH20 3.0 μg/kg | 8 |
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Observed Maximum Plasma Concentration (Cmax) Following Single PEGPH20 Doses
Cmax is defined as the observed maximum plasma concentration after the first dose. Blood samples were collected for pharmacokinetic assessment. (NCT01453153)
Timeframe: Cycle 1, Week 1, Day 1: First visit: predose; 15 minutes, 1, 2, 4, and 24 hours post-PEGPH20 dosing; all other visits: pre-PEGPH20 dose, 1 to 2 hours post-PEGPH20 dose, and immediately after the dose of gemcitabine (on the days gemcitabine was given)
Intervention | units per milliliter (Mean) |
---|
PEGPH20 1.0 μg/kg | 0.604 |
PEGPH20 1.6 μg/kg | 1.54 |
PEGPH20 3.0 μg/kg | 3.18 |
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Overall Survival
Overall survival was defined as the time from the time of the first dose of PEGPH20 until death. (NCT01453153)
Timeframe: from the time of the first dose of PEGPH20 until death (up to approximately 2 years 4 months)
Intervention | days (Median) |
---|
PEGPH20 1.0 μg/kg | 109.5 |
PEGPH20 1.6 μg/kg | 199.5 |
PEGPH20 3.0 μg/kg | 220.0 |
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Progression-free Survival (PFS)
PFS duration was defined as the time from the first dose of PEGPH20 until objective tumor progression or death. Per RECIST, Version 1.1, for the evaluation of target lesions, progressive disease is defined as 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 millimeters. Note: the appearance of 1 or more new lesions is also considered progression. For the evaluation of nontarget lesions, progressive disease is defined as the unequivocal progression of existing nontarget lesions. Note: The appearance of 1 or more new lesions is also considered progression. (NCT01453153)
Timeframe: from the first dose of PEGH20 until objective tumor progression or death (up to approximately 2 years 4 months)
Intervention | days (Median) |
---|
PEGPH20 1.0 μg/kg | 47.0 |
PEGPH20 1.6 μg/kg | 276.0 |
PEGPH20 3.0 μg/kg | 113.0 |
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Recommended Phase 2 Dose (RP2D)
The safety and tolerability profile of PEGPH20 used in combination with gemcitabine was assessed by determining the RP2D, the highest dose level at which no more than 1 of 6 evaluable participants experienced a DLT in the first 4 weeks of treatment (considered a safe dose). The RP2D was determined based on review of safety and pharmacokinetic (PK) data from participants enrolled during the dose-escalation phase of the study. (NCT01453153)
Timeframe: first 4 weeks of Cycle 1
Intervention | micrograms per kilogram (μg/kg) (Number) |
---|
PEGPH20 Plus Gemcitabine | 3.0 |
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Time to Reach Cmax (Tmax) Following Single PEGPH20 Doses
Blood samples were collected for pharmacokinetic assessment. (NCT01453153)
Timeframe: Cycle 1, Week 1, Day 1: First visit: predose; 15 minutes, 1, 2, 4, and 24 hours post-PEGPH20 dosing; all other visits: pre-PEGPH20 dose, 1 to 2 hours post-PEGPH20 dose, and immediately after the dose of gemcitabine (on the days gemcitabine was given)
Intervention | hours (Median) |
---|
PEGPH20 1.0 μg/kg | 0.250 |
PEGPH20 1.6 μg/kg | 0.250 |
PEGPH20 3.0 μg/kg | 0.420 |
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Tmax Following Twice-weekly PEGPH20 Doses for 3 Consecutive Weeks
Blood samples were collected for pharmacokinetic assessment. The 24-hour sample collected at the first visit was optional. (NCT01453153)
Timeframe: Cycle 1, Week 4, Day 1: First visit: predose; 15 minutes, 1, 2, 4, and 24 hours post-PEGPH20 dosing; all other visits: pre-PEGPH20 dose, 1 to 2 hours post-PEGPH20 dose, and immediately after the dose of gemcitabine (on the days gemcitabine was given)
Intervention | hours (Median) |
---|
PEGPH20 1.0 μg/kg | 0.330 |
PEGPH20 1.6 μg/kg | 0.325 |
PEGPH20 3.0 μg/kg | 0.420 |
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Change From Baseline in CA19-9 in Participants Classified as Responders and Non-responders
CA19-9 is a tumor marker. Blood samples (plasma) were collected for CA19-9 evaluations. Responders are defined as participants who had a complete response or partial response, and non-responders are defined as participants who had stable disease, progressive disease, or an unknown tumor response, per RECIST, Version 1.1. (NCT01453153)
Timeframe: up to the end of Cycle 10 (up to Week 44)
Intervention | U/ml (Mean) |
---|
| Cycle 1, Week 4, Visit 1 | Cycle 1, Week 8, Visit 1 | Cycle 2, Week 4, Visit 1 | Cycle 3, Week 4, Visit 1 | Cycle 4, Week 4, Visit 1 | Cycle 5, Week 4, Visit 1 | Cycle 6, Week 4, Visit 1 | Cycle 7, Week 4, Visit 1 | Cycle 8, Week 4, Visit 1 | Cycle 9, Week 4, Visit 1 | Cycle 10, Week 4, Visit 1 |
---|
Responders | -15677.1 | -16367.0 | -21587.2 | -28752.7 | -19976.6 | -22347.6 | -39900.5 | -77482.1 | -77472.8 | -154940 | -154937 |
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Change From Baseline in CA19-9 in Participants Classified as Responders and Non-responders
CA19-9 is a tumor marker. Blood samples (plasma) were collected for CA19-9 evaluations. Responders are defined as participants who had a complete response or partial response, and non-responders are defined as participants who had stable disease, progressive disease, or an unknown tumor response, per RECIST, Version 1.1. (NCT01453153)
Timeframe: up to the end of Cycle 10 (up to Week 44)
Intervention | U/ml (Mean) |
---|
| Cycle 1, Week 4, Visit 1 | Cycle 1, Week 8, Visit 1 | Cycle 2, Week 4, Visit 1 | Cycle 3, Week 4, Visit 1 | Cycle 4, Week 4, Visit 1 | Cycle 5, Week 4, Visit 1 |
---|
Non-responders | 675.7 | -6227.9 | 1377.1 | 23830.5 | -32900.0 | -29200.0 |
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Change From Baseline in CA19-9 in Participants With a Baseline Value >=59 U/ml
CA19-9 is a tumor marker. Blood samples (plasma) were collected for CA19-9 evaluations. (NCT01453153)
Timeframe: up to the end of Cycle 10 (up to Week 44)
Intervention | U/ml (Mean) |
---|
| Cycle 1, Week 4, Visit 1 |
---|
PEGPH20 1.0 μg/kg | 19346.2 |
,PEGPH20 1.6 μg/kg | -23500.0 |
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Change From Baseline in Carbohydrate Antigen 19-9 or Sialylated Lewis(a) Antigen (CA19-9)
CA19-9 is a tumor marker. Blood samples (plasma) were collected for CA19-9 evaluations. (NCT01453153)
Timeframe: up to the end of Cycle 10 (up to Week 44)
Intervention | Units per milliliter (U/ml) (Mean) |
---|
| Cycle 1, Week 4, Visit 1 | Cycle 1, Week 8, Visit 1 | Cycle 2, Week 4, Visit 1 | Cycle 3, Week 4, Visit 1 | Cycle 4, Week 4, Visit 1 | Cycle 5, Week 4, Visit 1 | Cycle 6, Week 4, Visit 1 | Cycle 7, Week 4, Visit 1 | Cycle 8, Week 4, Visit 1 | Cycle 9, Week 4, Visit 1 | Cycle 10, Week 4, Visit 1 |
---|
PEGPH20 3.0 μg/kg | -11800.3 | -15464.1 | -16581.0 | -12628.0 | -24089.1 | -27214.3 | -53200.6 | -154964 | -154946 | -154940 | -154937 |
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Change From Baseline in Carbohydrate Antigen 19-9 or Sialylated Lewis(a) Antigen (CA19-9)
CA19-9 is a tumor marker. Blood samples (plasma) were collected for CA19-9 evaluations. (NCT01453153)
Timeframe: up to the end of Cycle 10 (up to Week 44)
Intervention | Units per milliliter (U/ml) (Mean) |
---|
| Cycle 1, Week 4, Visit 1 | Cycle 1, Week 8, Visit 1 | Cycle 2, Week 4, Visit 1 |
---|
PEGPH20 1.0 μg/kg | 12897.5 | 0.0 | 0.0 |
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Change From Baseline in Carbohydrate Antigen 19-9 or Sialylated Lewis(a) Antigen (CA19-9)
CA19-9 is a tumor marker. Blood samples (plasma) were collected for CA19-9 evaluations. (NCT01453153)
Timeframe: up to the end of Cycle 10 (up to Week 44)
Intervention | Units per milliliter (U/ml) (Mean) |
---|
| Cycle 1, Week 4, Visit 1 | Cycle 1, Week 8, Visit 1 | Cycle 2, Week 4, Visit 1 | Cycle 3, Week 4, Visit 1 | Cycle 4, Week 4, Visit 1 | Cycle 5, Week 4, Visit 1 | Cycle 6, Week 4, Visit 1 | Cycle 7, Week 4, Visit 1 | Cycle 8, Week 4, Visit 1 |
---|
PEGPH20 1.6 μg/kg | -7833.9 | -1.9 | -1.2 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 |
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H-scores, as an Assessment of HA Staining Changes in Tumor Biopsies
An H-score approach methodology was developed and used to analyze staining in the tumor pericellular regions and the stroma separately. The H-score calculation was the sum of the products of the percentage of positive staining areas and the staining intensity (0, 1, 2 or 3), and ranged from 0 to 300. For example: [90% * 1 (weak)] + [10% * 2 (moderate)] + [0% * 3 (strong)] = 110. A score of 0 represents the absence of expression, and an H-score of 300 represents maximum expression. A larger decrease in H-score correlated with a greater target engagement of PEGPH20. As HA is a secreted protein, the scoring was performed in the immediate areas surrounding tumor (pericellular areas) as well as in stroma. (NCT01453153)
Timeframe: Screening; Cycle 1 Week 7
Intervention | score on a scale (Number) |
---|
| Screening pericellular tumor H-score | Screening stromal H-score | Post-treatment pericellular tumor H-score | Post-treatment stromal tumor H-score |
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PEGPH20 3.0 μg/kg | 40 | 260 | 15 | 150 |
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Mean Extravascular-Extracellular Volume Fraction (Ve) for Scans Across Tissue Sites
DCE-MRI provides a measure of the exchange of small-molecule contrast agents between the intracellular and extracellular spaces. Ve is defined as the extravascular-extracellular volume fraction and is a measure of extracellular, extravascular space. Mean Ve values across scan sites are reported per participant. DCE-MRI was performed before the first dosing visit (Week 1/Day 1), 24 hours after the first dose of PEGPH20 in Cycle 1, and 24 hours after the last dose of PEGPH20 in Cycle 1 (Week 7). Assessment was done for the entire cohort of participants, not per treatment group. (NCT01453153)
Timeframe: Baseline; 24 hours hours; end of Cycle 1 (Week 7)
Intervention | milliliters (Mean) |
---|
| Participant 1, Baseline | Participant 1, 24 hours | Participant 1, End of Cycle 1 | Participant 2, Baseline | Participant 2, 24 hours | Participant 2, End of Cycle 1 | Participant 3, Baseline | Participant 3, 24 hours | Participant 3, End of Cycle 1 | Participant 4, Baseline | Participant 4, 24 hours | Participant 4, End of Cycle 1 | Participant 5, Baseline | Participant 5, 24 hours | Participant 5, End of Cycle 1 | Participant 6, Baseline | Participant 6, 24 hours | Participant 6, End of Cycle 1 |
---|
PEGPH20 1.0, 1.6, or 3.0 μg/kg | 0.162 | 0.327 | NA | 0.671 | 0.386 | NA | 0.481 | 0.389 | NA | 0.458 | 0.788 | 0.751 | 0.380 | 0.395 | 0.550 | 0.355 | 0.825 | 0.425 |
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Mean Volume Transfer Constant (Ktrans) for Scans Across Tissue Sites
Dynamic control enhanced-magnetic resonance imaging (DCE-MRI) provides a measure of the exchange of small-molecule contrast agents between the intracellular and extracellular spaces. Using a 2-compartment pharmacokinetic model, an estimate of tissue (tumor) perfusion can be obtained by determining the exchange rate constant (Ktrans) of contrast exchange. Ktrans is defined as the volume transfer constant between extravascular/extracellular space to plasma space and is a measure of blood flow, vascular permeability, or both. Mean Ktrans values across scan sites are reported per participant. DCE-MRI was performed before the first dosing visit (Week 1/Day 1), 24 hours after the first dose of PEGPH20 in Cycle 1, and 24 hours after the last dose of PEGPH20 in Cycle 1 (Week 7). Assessment was done for the entire cohort of participants, not per treatment group. (NCT01453153)
Timeframe: Baseline; 24 hours hours; end of Cycle 1 (Week 7)
Intervention | milliliters (mL) per minute per 100 mL (Mean) |
---|
| Participant 1, Baseline | Participant 1, 24 hours | Participant 1, End of Cycle 1 | Participant 2, Baseline | Participant 2, 24 hours | Participant 2, End of Cycle 1 | Participant 3, Baseline | Participant 3, 24 hours | Participant 3, End of Cycle 1 | Participant 4, Baseline | Participant 4, 24 hours | Participant 4, End of Cycle 1 | Participant 5, Baseline | Participant 5, 24 hours | Participant 5, End of Cycle 1 | Participant 6, Baseline | Participant 6, 24 hours | Participant 6, End of Cycle 1 |
---|
PEGPH20 1.0, 1.6, or 3.0 μg/kg | 0.124 | 0.383 | NA | 0.430 | 0.468 | NA | 0.402 | 0.331 | NA | 0.564 | 0.672 | 0.646 | 0.135 | 0.197 | 0.133 | 0.249 | 0.376 | 0.078 |
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Number of Participants With the Indicated Best Response, Per Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1
Target lesions (TLs), complete response (CR): Disappearance of all TLs. Partial response (PR): >=30% decrease in the sum of diameters of TLs, referencing baseline sums. Progressive disease (PD): >= 20% increase in the sum of diameters of TLs, referencing the smallest sum (including baseline sum). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of >=5 mm. (The appearance of >=1 new lesions is considered progression.) Stable disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient to qualify for PD, referencing the smallest sum diameters. For nontarget lesions (NTLs), CR: Disappearance of all NTLs and normalization of tumor marker level. All lymph nodes must be nonpathological in size (short axis <10 mm). Incomplete response/SD: Persistence of >=1 NTLs and/or maintenance of tumor marker level above normal limits. PD: Unequivocal progression of existing NTLs. (The appearance of >=1 new lesions is considered progression.) (NCT01453153)
Timeframe: up to approximately 2 years 4 months
Intervention | Participants (Count of Participants) |
---|
| CR | PR | SD | PD | Unknown |
---|
PEGPH20 1.0 μg/kg | 0 | 0 | 1 | 3 | 0 |
,PEGPH20 1.6 μg/kg | 0 | 2 | 2 | 0 | 0 |
,PEGPH20 3.0 μg/kg | 0 | 8 | 6 | 0 | 6 |
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Plasma Hyaluronan (HA) Concentration at Baseline and After PEGPH20 Administration
The pharmacodynamic activity of PEGPH20 was evaluated by measuring plasma concentrations of HA after PEGPH20 dosing. Peak HA concentrations are the highest concentrations measured after a single dose of PEGPH20. HA samples were collected in Cycle 1 at the following time points: 1) Week 1/Day 1 (first visit) and Week 4 (first visit): predose and 15 minutes, 1, 2, 4, and 24 hours post-PEGPH20 dosing (24-hour sample optional for Week 4); 2) all other visits in Cycle 1: pre-PEGPH20 dose, 1 to 2 hours post-PEGPH20 dose, and immediately after the dose of gemcitabine (on the days gemcitabine was given). HA samples were collected in Cycles 2+ at the following time points: Week 3 of each cycle pre-PEGPH20 dose and 1 to 2 hours post-PEGPH20 dose. (NCT01453153)
Timeframe: Baseline; post-Baseline (average treatment duration of 94.6 days)
Intervention | nanograms per milliliter (Mean) |
---|
| Baseline | After PEGPH20 administration |
---|
PEGPH20 1.0 μg/kg | 123.7 | 7288 |
,PEGPH20 1.6 μg/kg | 982.3 | 27818 |
,PEGPH20 3.0 μg/kg | 164.7 | 128411 |
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t1/2 Following Twice-weekly PEGPH20 Doses for 3 Consecutive Weeks
The apparent half-life calculated by ln(2)/λ, where λ was the rate constant for the log-linear portion of the terminal phase. A minimum of 3 values in the postdistribution phase of the plasma concentration-time curve were required for calculation of λ. Blood samples were collected for pharmacokinetic assessment. The 24-hour sample collected at the first visit was optional. t1/2 is expressed as harmonic mean and pseudo standard deviation. (NCT01453153)
Timeframe: Cycle 1, Week 4, Day 1: First visit: predose; 15 minutes, 1, 2, 4, and 24 hours post-PEGPH20 dosing; all other visits: pre-PEGPH20 dose, 1 to 2 hours post-PEGPH20 dose, and immediately after the dose of gemcitabine (on the days gemcitabine was given)
Intervention | hours (Mean) |
---|
PEGPH20 1.0 μg/kg | 5.60 |
PEGPH20 1.6 μg/kg | 19.5 |
PEGPH20 3.0 μg/kg | 10.7 |
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Apparent Half-life (t1/2) Following Single PEGPH20 Doses
The apparent half-life calculated by ln(2)/λ, where λ was the rate constant for the log-linear portion of the terminal phase. A minimum of 3 values in the postdistribution phase of the plasma concentration-time curve were required for calculation of λ. Blood samples were collected for pharmacokinetic assessment. t1/2 is expressed as harmonic mean and pseudo standard deviation. (NCT01453153)
Timeframe: Cycle 1, Week 1, Day 1: First visit: predose; 15 minutes, 1, 2, 4, and 24 hours post-PEGPH20 dosing; all other visits: pre-PEGPH20 dose, 1 to 2 hours post-PEGPH20 dose, and immediately after the dose of gemcitabine (on the days gemcitabine was given)
Intervention | hours (Mean) |
---|
PEGPH20 1.6 μg/kg | 18.6 |
PEGPH20 3.0 μg/kg | 8.24 |
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Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Measurable Plasma Concentration (AUC0-T) Following Single PEGPH20 Doses
Blood samples were collected for pharmacokinetic assessment. AUC0-T was calculated by the linear trapezoidal rule. (NCT01453153)
Timeframe: Cycle 1, Week 1, Day 1: First visit: predose; 15 minutes, 1, 2, 4, and 24 hours post-PEGPH20 dosing; all other visits: pre-PEGPH20 dose, 1 to 2 hours post-PEGPH20 dose, and immediately after the dose of gemcitabine (on the days gemcitabine was given)
Intervention | Units*hour/milliliter (Mean) |
---|
PEGPH20 1.0 μg/kg | 1.39 |
PEGPH20 1.6 μg/kg | 13.6 |
PEGPH20 3.0 μg/kg | 31.5 |
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AUC0-T Following Twice-weekly PEGPH20 Doses for 3 Consecutive Weeks
Blood samples were collected for pharmacokinetic assessment. The 24-hour sample collected at the first visit was optional. AUC0-T was calculated by the linear trapezoidal rule. (NCT01453153)
Timeframe: Cycle 1, Week 4, Day 1: First visit: predose; 15 minutes, 1, 2, 4, and 24 hours post-PEGPH20 dosing; all other visits: pre-PEGPH20 dose, 1 to 2 hours post-PEGPH20 dose, and immediately after the dose of gemcitabine (on the days gemcitabine was given)
Intervention | Units*hour/milliliter (Mean) |
---|
PEGPH20 1.0 μg/kg | 2.99 |
PEGPH20 1.6 μg/kg | 21.5 |
PEGPH20 3.0 μg/kg | 35.2 |
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Cmax Following Twice-weekly PEGPH20 Doses for 3 Consecutive Weeks
Cmax is defined as the observed maximum plasma concentration after the first dose. Blood samples were collected for pharmacokinetic assessment. The 24-hour sample collected at the first visit was optional. (NCT01453153)
Timeframe: Cycle 1, Week 4, Day 1: First visit: predose; 15 minutes, 1, 2, 4, and 24 hours post-PEGPH20 dosing; all other visits: pre-PEGPH20 dose, 1 to 2 hours post-PEGPH20 dose, and immediately after the dose of gemcitabine (on the days gemcitabine was given)
Intervention | units per milliliter (Mean) |
---|
PEGPH20 1.0 μg/kg | 1.08 |
PEGPH20 1.6 μg/kg | 2.40 |
PEGPH20 3.0 μg/kg | 3.98 |
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Cmin Following Twice-weekly PEGPH20 Doses for 3 Consecutive Weeks
Blood samples were collected for pharmacokinetic assessment. The 24-hour sample collected at the first visit was optional. (NCT01453153)
Timeframe: Cycle 1, Week 4, Day 1: First visit: predose; 15 minutes, 1, 2, 4, and 24 hours post-PEGPH20 dosing; all other visits: pre-PEGPH20 dose, 1 to 2 hours post-PEGPH20 dose, and immediately after the dose of gemcitabine (on the days gemcitabine was given)
Intervention | Units per milliliter (Mean) |
---|
PEGPH20 1.0 μg/kg | 0.572 |
PEGPH20 1.6 μg/kg | 0.976 |
PEGPH20 3.0 μg/kg | 1.52 |
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Disease Control Rate
Disease Control Rate is defined as the sum of the number of participants with a complete response, the number of participants with a partial response, and the number of participants with stable disease per RECIST, Version 1.1. For TLs, CR: Disappearance of all TLs. PR: >=30% decrease in the sum of diameters of TLs, referencing baseline sums. SD: Neither sufficient shrinkage to qualify for PR nor sufficient to qualify for PD, referencing the smallest sum diameters. For NTLs, CR: Disappearance of all NTLs and normalization of tumor marker level. All lymph nodes must be nonpathological in size (short axis <10 mm). Incomplete response/SD: Persistence of >=1 NTLs and/or maintenance of tumor marker level above normal limits. (NCT01453153)
Timeframe: up to approximately 2 years 4 months
Intervention | Participants (Count of Participants) |
---|
PEGPH20 1.0 μg/kg | 1 |
PEGPH20 1.6 μg/kg | 4 |
PEGPH20 3.0 μg/kg | 14 |
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Last Measurable Observed Plasma Concentration (Cmin) Following Single PEGPH20 Doses
Blood samples were collected for pharmacokinetic assessment. (NCT01453153)
Timeframe: Cycle 1, Week 1, Day 1: First visit: predose; 15 minutes, 1, 2, 4, and 24 hours post-PEGPH20 dosing; all other visits: pre-PEGPH20 dose, 1 to 2 hours post-PEGPH20 dose, and immediately after the dose of gemcitabine (on the days gemcitabine was given)
Intervention | units per milliliter (Mean) |
---|
PEGPH20 1.0 μg/kg | 0.626 |
PEGPH20 1.6 μg/kg | 0.651 |
PEGPH20 3.0 μg/kg | 0.864 |
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Change From Baseline in CA19-9 in Participants With a Baseline Value >=59 U/ml
CA19-9 is a tumor marker. Blood samples (plasma) were collected for CA19-9 evaluations. (NCT01453153)
Timeframe: up to the end of Cycle 10 (up to Week 44)
Intervention | U/ml (Mean) |
---|
| Cycle 1, Week 4, Visit 1 | Cycle 1, Week 8, Visit 1 | Cycle 2, Week 4, Visit 1 | Cycle 3, Week 4, Visit 1 | Cycle 4, Week 4, Visit 1 | Cycle 5, Week 4, Visit 1 | Cycle 6, Week 4, Visit 1 | Cycle 7, Week 4, Visit 1 | Cycle 8, Week 4, Visit 1 | Cycle 9, Week 4, Visit 1 | Cycle 10, Week 4, Visit 1 |
---|
PEGPH20 3.0 μg/kg | -15018.9 | -18274.5 | -20724.4 | -16835.7 | -27530.1 | -32656.8 | -79800.9 | -154964 | -154946 | -154940 | -154937 |
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Progression-Free Survival Rate (PFSR) at Week 24
"Progression-Free Survival (PFS) was defined as the time from the date of first dose of study medication to the date of first disease progression or death, if death occurred within 100 days of the final dose of study drug. Among participants without previous RECIST-defined progression, participants who died beyond 100 days and those who remained alive were censored at the last tumor assessment date (before subsequent therapy).~PFSR at week 24 was defined as the proportion of subjects remaining progression free and surviving at 24 weeks. The proportion was calculated by the product-limit method (Kaplan-Meier estimate), which takes into account censored data, and expressed as a percentage." (NCT01454102)
Timeframe: 24 weeks
Intervention | Percentage of participants (Number) |
---|
Arm A: Nivolumab + Gemcitabine + Cisplatin | 50.5 |
Arm B: Nivolumab + Pemetrexed + Cisplatin | 68.4 |
Arm C10: Nivolumab + Paclitaxel + Carboplatin | 34.3 |
Arm D: Nivolumab + Bevacizumab Maintenance | 58.3 |
Arm E: Nivolumab + Erlotinib | 50.6 |
Arm F: Nivolumab | 39.7 |
Arm GH: Nivolumab + Ipilimumab | 42.8 |
Arm IJ: Nivolumab + Ipilimumab | 37.3 |
Arm K: Nivolumab in Squamous Histology Subjects (NSCLC) | 50.0 |
Arm L: Nivolumab in Non-squamous Histology Subjects (NSCLC) | 20.5 |
Arm M: Nivolumab | 8.3 |
Arm N: Nivolumab + Ipilimumab | 49.1 |
Arm O: Nivolumab + Ipilimumab | 48.0 |
Arm P: Nivolumab + Ipilimumab | 72.4 |
Arm Q: Nivolumab + Ipilimumab | 39.5 |
Arm C5: Nivolumab + Paclitaxel + Carboplatin | 59.3 |
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Number of Participants Who Experienced Selected Adverse Events
"The number of participants who experienced an AE of interest due to any cause is presented. Endocrine, Gastrointestinal, Hepatic, Pulmonary, Renal, Skin, and~Hypersensitivity/Infusion select AEs were identified that are potentially associated with the use of nivolumab, based on the following 4 guiding principles:~AEs that may differ in type, frequency, or severity from AEs caused by non-immunotherapies~AEs that may require immunosuppression (eg, corticosteroids) as part of their management~AEs whose early recognition and management may mitigate severe toxicity~AEs for which multiple event terms may be used to describe a single type of AE, thereby necessitating the pooling of terms for full characterization." (NCT01454102)
Timeframe: From first dose to 30 days after the last dose of study drug (assessed up to July 2016, approximately 55 months)
Intervention | Participants (Count of Participants) |
---|
| Endorcrine | Gastrointestinal | Hepatic | Pulmonary | Renal | Skin | Hypersensitivity/Infusion Reactions |
---|
Arm A: Nivolumab + Gemcitabine + Cisplatin | 3 | 4 | 0 | 2 | 1 | 3 | 1 |
,Arm B: Nivolumab + Pemetrexed + Cisplatin | 2 | 6 | 2 | 2 | 6 | 9 | 6 |
,Arm C10: Nivolumab + Paclitaxel + Carboplatin | 0 | 8 | 1 | 0 | 1 | 7 | 7 |
,Arm C5: Nivolumab + Paclitaxel + Carboplatin | 1 | 6 | 0 | 1 | 4 | 7 | 1 |
,Arm D: Nivolumab + Bevacizumab Maintenance | 2 | 2 | 0 | 2 | 1 | 5 | 1 |
,Arm E: Nivolumab + Erlotinib | 4 | 10 | 4 | 1 | 2 | 16 | 2 |
,Arm F: Nivolumab | 8 | 16 | 5 | 3 | 0 | 27 | 4 |
,Arm GH: Nivolumab + Ipilimumab | 8 | 15 | 7 | 3 | 2 | 15 | 1 |
,Arm IJ: Nivolumab + Ipilimumab | 6 | 12 | 2 | 2 | 0 | 14 | 3 |
,Arm K: Nivolumab in Squamous Histology Subjects (NSCLC) | 3 | 5 | 2 | 1 | 3 | 4 | 2 |
,Arm L: Nivolumab in Non-squamous Histology Subjects (NSCLC) | 2 | 1 | 0 | 2 | 0 | 2 | 0 |
,Arm M: Nivolumab | 0 | 1 | 0 | 0 | 0 | 2 | 0 |
,Arm N: Nivolumab + Ipilimumab | 4 | 12 | 4 | 3 | 2 | 20 | 1 |
,Arm O: Nivolumab + Ipilimumab | 15 | 13 | 13 | 3 | 2 | 20 | 1 |
,Arm P: Nivolumab + Ipilimumab | 8 | 11 | 1 | 5 | 6 | 21 | 3 |
,Arm Q: Nivolumab + Ipilimumab | 12 | 13 | 2 | 3 | 4 | 20 | 1 |
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Number of Participants Who Experienced Serious Adverse Events (SAE), Adverse Events (AE) Leading to Discontinuation, or Death
AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Treatment-related=having certain, probable, possible, or missing relationship to study drug. Grade (Gr) 1=Mild, Gr 2=Moderate, Gr 3=Severe, Gr 4= Potentially Life-threatening or disabling. (NCT01454102)
Timeframe: From first dose to 30 days after the last dose of study drug (assessed up to July 2016, approximately 55 months)
Intervention | Participants (Count of Participants) |
---|
| SAEs | AEs leading to discontinuation | Death |
---|
Arm A: Nivolumab + Gemcitabine + Cisplatin | 4 | 2 | 0 |
,Arm B: Nivolumab + Pemetrexed + Cisplatin | 10 | 5 | 0 |
,Arm C10: Nivolumab + Paclitaxel + Carboplatin | 8 | 1 | 0 |
,Arm C5: Nivolumab + Paclitaxel + Carboplatin | 9 | 2 | 0 |
,Arm D: Nivolumab + Bevacizumab Maintenance | 3 | 3 | 0 |
,Arm E: Nivolumab + Erlotinib | 11 | 3 | 0 |
,Arm F: Nivolumab | 23 | 9 | 2 |
,Arm GH: Nivolumab + Ipilimumab | 18 | 11 | 2 |
,Arm IJ: Nivolumab + Ipilimumab | 17 | 13 | 3 |
,Arm K: Nivolumab in Squamous Histology Subjects (NSCLC) | 3 | 3 | 0 |
,Arm L: Nivolumab in Non-squamous Histology Subjects (NSCLC) | 4 | 4 | 1 |
,Arm M: Nivolumab | 4 | 1 | 1 |
,Arm N: Nivolumab + Ipilimumab | 12 | 3 | 1 |
,Arm O: Nivolumab + Ipilimumab | 21 | 4 | 1 |
,Arm P: Nivolumab + Ipilimumab | 25 | 10 | 4 |
,Arm Q: Nivolumab + Ipilimumab | 25 | 8 | 2 |
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Number of Participants With Abnormalities in Selected Hepatic Clinical Laboratory Tests
"The number of subjects with selected hepatic laboratory abnormalities is reported.~AST= aspartate aminotransferase; ALT= alanine aminotransferase; ULN= upper limit of normal." (NCT01454102)
Timeframe: From first dose to 30 days following last dose of study drug (assessed up to July 2016, approximately 55 months)
Intervention | Participants (Count of Participants) |
---|
| ALT OR AST > 3XULN | ALT OR AST > 5XULN | ALT OR AST > 10XULN | ALT OR AST > 20XULN | TOTAL BILIRUBIN > 2XULN | AST or ALT>3XULN with Bilirubin>2XULN within 1 day | AST or ALT>3XULN with Bilirubin>2XULN within 30day |
---|
Arm A: Nivolumab + Gemcitabine + Cisplatin | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Arm B: Nivolumab + Pemetrexed + Cisplatin | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Arm C10: Nivolumab + Paclitaxel + Carboplatin | 2 | 0 | 0 | 0 | 0 | 0 | 0 |
,Arm C5: Nivolumab + Paclitaxel + Carboplatin | 2 | 0 | 0 | 0 | 0 | 0 | 0 |
,Arm D: Nivolumab + Bevacizumab Maintenance | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
,Arm E: Nivolumab + Erlotinib | 4 | 2 | 1 | 0 | 1 | 1 | 1 |
,Arm F: Nivolumab | 2 | 2 | 0 | 0 | 1 | 1 | 1 |
,Arm GH: Nivolumab + Ipilimumab | 6 | 4 | 2 | 1 | 0 | 0 | 0 |
,Arm IJ: Nivolumab + Ipilimumab | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Arm K: Nivolumab in Squamous Histology Subjects (NSCLC) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Arm L: Nivolumab in Non-squamous Histology Subjects (NSCLC) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Arm M: Nivolumab | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Arm N: Nivolumab + Ipilimumab | 1 | 1 | 1 | 1 | 0 | 0 | 0 |
,Arm O: Nivolumab + Ipilimumab | 2 | 1 | 0 | 0 | 0 | 0 | 0 |
,Arm P: Nivolumab + Ipilimumab | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
,Arm Q: Nivolumab + Ipilimumab | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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Objective Response Rate (ORR)
ORR was defined as the percentage of all treated participants who achieved a Best Overall Response (BOR) of Complete Response (CR) or Partial Response (PR) using the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria as per investigator assessment. This proportion was multiplied by 100 and expressed as a percentage. BOR was defined as the best response designation recorded between the date of randomization and the date of progression, or the date of subsequent anticancer therapy, whichever occurred first. CR or PR determinations included in the BOR assessment were confirmed by a second scan at least 4 weeks after the criteria for responses were first met. For participants without progression or subsequent therapy, all available response designations contributed to the BOR determination. For participants who continued treatment beyond progression, the BOR was determined based on response designations recorded up to the time of the initial progression. (NCT01454102)
Timeframe: From first dose until date of progression or subsequent anti-cancer therapy (assessed up to July 2016, approximately 55 months)
Intervention | Percentage of participants (Number) |
---|
Arm A: Nivolumab + Gemcitabine + Cisplatin | 41.7 |
Arm B: Nivolumab + Pemetrexed + Cisplatin | 46.7 |
Arm C10: Nivolumab + Paclitaxel + Carboplatin | 46.7 |
Arm D: Nivolumab + Bevacizumab Maintenance | 16.7 |
Arm E: Nivolumab + Erlotinib | 19.0 |
Arm F: Nivolumab | 23.1 |
Arm GH: Nivolumab + Ipilimumab | 20.8 |
Arm IJ: Nivolumab + Ipilimumab | 24.0 |
Arm K: Nivolumab in Squamous Histology Subjects (NSCLC) | 0 |
Arm L: Nivolumab in Non-squamous Histology Subjects (NSCLC) | 15.4 |
Arm M: Nivolumab | 8.3 |
Arm N: Nivolumab + Ipilimumab | 22.6 |
Arm O: Nivolumab + Ipilimumab | 32.5 |
Arm P: Nivolumab + Ipilimumab | 47.4 |
Arm Q: Nivolumab + Ipilimumab | 38.5 |
Arm C5: Nivolumab + Paclitaxel + Carboplatin | 50.0 |
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Number of Participants With Abnormalities in Selected Thyroid Clinical Laboratory Tests
"The number of subjects with selected thyroid laboratory abnormalities is reported. FT3 and FT4 test abnormalities were considered for a 2-week window after the abnormal TSH test date.~TSH= thyroid-stimulating hormone; FT3= Free T3; FT4= Free T4; LLN= lower limit of normal; ULN= upper limit of normal" (NCT01454102)
Timeframe: From first dose to 30 days following last dose of study drug (assessed up to July 2016, approximately 55 months)
Intervention | Participants (Count of Participants) |
---|
| TSH > ULN | TSH > ULN WITH TSH <= ULN AT BASELINE | TSH > ULN WITH >=1 FT3/FT4 TEST VALUE < LLN | TSH > ULN WITH ALL FT3/FT4 TEST VALUES >= LLN | TSH > ULN WITH FT3/FT4 TEST MISSING | TSH < LLN | TSH < LLN WITH TSH >= LLN AT BASELINE | TSH < LLN WITH >=1 FT3/FT4 TEST VALUE > ULN | TSH < LLN WITH ALL FT3/FT4 TEST VALUES <= ULN | TSH < LLN WITH FT3/FT4 TEST MISSING |
---|
Arm A: Nivolumab + Gemcitabine + Cisplatin | 2 | 1 | 0 | 0 | 2 | 2 | 1 | 1 | 0 | 1 |
,Arm B: Nivolumab + Pemetrexed + Cisplatin | 3 | 2 | 1 | 2 | 0 | 7 | 3 | 1 | 3 | 3 |
,Arm C10: Nivolumab + Paclitaxel + Carboplatin | 1 | 1 | 0 | 1 | 0 | 5 | 1 | 0 | 1 | 4 |
,Arm C5: Nivolumab + Paclitaxel + Carboplatin | 5 | 4 | 2 | 0 | 3 | 7 | 5 | 2 | 0 | 5 |
,Arm D: Nivolumab + Bevacizumab Maintenance | 8 | 4 | 1 | 0 | 7 | 2 | 1 | 0 | 1 | 1 |
,Arm E: Nivolumab + Erlotinib | 12 | 8 | 7 | 0 | 5 | 7 | 7 | 4 | 0 | 3 |
,Arm F: Nivolumab | 21 | 13 | 3 | 4 | 14 | 9 | 9 | 4 | 1 | 4 |
,Arm GH: Nivolumab + Ipilimumab | 10 | 10 | 5 | 1 | 4 | 12 | 12 | 6 | 3 | 3 |
,Arm IJ: Nivolumab + Ipilimumab | 7 | 6 | 5 | 2 | 0 | 9 | 9 | 5 | 1 | 3 |
,Arm K: Nivolumab in Squamous Histology Subjects (NSCLC) | 5 | 5 | 3 | 2 | 0 | 3 | 3 | 2 | 1 | 0 |
,Arm L: Nivolumab in Non-squamous Histology Subjects (NSCLC) | 5 | 3 | 0 | 2 | 3 | 1 | 0 | 1 | 0 | 0 |
,Arm M: Nivolumab | 2 | 1 | 0 | 0 | 2 | 6 | 4 | 1 | 0 | 5 |
,Arm N: Nivolumab + Ipilimumab | 10 | 7 | 6 | 1 | 3 | 9 | 9 | 6 | 2 | 1 |
,Arm O: Nivolumab + Ipilimumab | 12 | 9 | 7 | 1 | 4 | 10 | 9 | 7 | 2 | 1 |
,Arm P: Nivolumab + Ipilimumab | 11 | 5 | 5 | 0 | 6 | 6 | 6 | 1 | 1 | 4 |
,Arm Q: Nivolumab + Ipilimumab | 11 | 8 | 4 | 2 | 5 | 9 | 9 | 1 | 1 | 7 |
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Objective Response Rate (ORR)
The ORR was defined as the proportion of participants with best overall response of complete response (CR) or partial response (PR) per RECIST criteria. The ORR was estimated by study arm based on the tumor response evaluation as determined by the investigator, according to RECIST 1.1. Participants with unknown response were treated as non-responders. The statistical difference in ORR between treatment arms was evaluated using the Cochran-Mantel-Haenszel (CMH) chi-square test with histology, TPC option, and geographic region as strata, tested at an alpha level of 0.05 (2-sided). The 95 percent confidence interval (CI) was calculated using Clopper Pearson method. (NCT01454934)
Timeframe: Randomization (Day 1) to CR or PR
Intervention | percentage of participants (Number) |
---|
Arm A: Eribulin Mesylate | 12.2 |
Arm B: Vinorelbine, Gemcitabine, Docetaxel, or Pemetrexed | 15.2 |
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Progression Free Survival (PFS) by Response Evaluation Criteria in Solid Tumors (RECIST)
PFS was defined as the time from the date of randomization to the date of first documentation of disease progression, or date of death, whichever occurred first. The difference in PFS (based on the tumor response evaluation as determined by the investigator) between eribulin mesylate and TPC was evaluated using the log rank test, stratified by histology, TPC option, and geographic region, tested at an alpha level of 0.05 (2-sided). PFS censoring rules will be defined in the SAP and follow Federal Department of Agriculture (FDA) guidance. (NCT01454934)
Timeframe: Randomization (Day 1) until date of disease progression or death (whichever occurred first), or 37 months
Intervention | months (Median) |
---|
Arm A: Eribulin Mesylate | 3.0 |
Arm B: Vinorelbine, Gemcitabine, Docetaxel, or Pemetrexed | 2.8 |
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Overall Survival (OS)
The OS was defined as the time in months from the date of randomization to the date of death, regardless of cause. In the absence of confirmation of death, the participants were censored either at the date that participant was last known to be alive or the date of study cut-off, whichever was earlier. The two treatment arms were compared using the log-rank test, stratified by histology, TPC option, and geographic region; and the treatment difference between eribulin mesylate and TPC was tested at a significance level of 0.05 (2-sided). Kaplan-Meier (K-M) survival probabilities for each arm were plotted over time. The treatment effect was estimated by fitting a Cox Proportional Hazards model to the OS times including treatment arm as a factor and histology, TPC option and geographic region as strata. (NCT01454934)
Timeframe: Randomization (Day 1) until date of death from any cause, or 37 months
Intervention | months (Median) |
---|
Arm A: Eribulin Mesylate | 9.5 |
Arm B: Vinorelbine, Gemcitabine, Docetaxel, or Pemetrexed | 9.5 |
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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 |
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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 |
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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 |
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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 |
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Pathologic Downstaging and Margin Status
Pathologic stage and margin status after resection. Pathologic downstaging was determined my looking at the rate of R0 (all residual tumor removed during surgery) vs R1 (microscopic tumor present at the resection margin per pathology) resections. (NCT01470417)
Timeframe: At the time of surgery after neoadjuvant therapy
Intervention | participants (Number) |
---|
| R0 Resection | R1 Resection |
---|
Chemotherapy | 3 | 0 |
,Chemotherapy + ChemoRadiotherapy | 3 | 2 |
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Radiographic Response Rate
Evaluate radiographic response of the measurable disease with repeat imaging at 4 - 8 weeks after therapy. Measurable disease was evaluated using Response Evaluation Criteria In Solid Tumors Criteria (RECIST) 1.1 criteria. Per RECIST v1.1 in target lesions assessed by CT or MRI: 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% growth in the sum of the longest diameter or target lesions or appearance of new lesions; Stable Disease (SD), change in sum of longest diameter of target lesions does not meet criteria for PR or PD. The number of subjects experiencing Complete Response (CR), Partial Response (PR), Stable Disease (SD) and Progressive Disease (PD) is reported. (NCT01470417)
Timeframe: 4 - 8 weeks after neoadjuvant therapy
Intervention | participants (Number) |
---|
| Partial Response | Stable Disease | Progressive Disease |
---|
Chemotherapy | 1 | 2 | 0 |
,Chemotherapy + ChemoRadiotherapy | 0 | 5 | 2 |
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90 Day Post-operative Mortality
Evaluate mortality in the first 90 days after surgery (NCT01470417)
Timeframe: 90 days after surgery
Intervention | participants (Number) |
---|
| Number of survival | Number of mortality |
---|
Chemotherapy | 3 | 0 |
,Chemotherapy + ChemoRadiotherapy | 5 | 0 |
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Biochemical Response Rate
Biochemical response rate (serum CA 19-9). Baseline compared to pre-operative serum CA19-9 values. (NCT01470417)
Timeframe: 4 - 8 weeks after neoadjuvant therapy
Intervention | U/mL (Mean) |
---|
| Baseline CA19-9 | Pre-Operative CA19-9 |
---|
Chemotherapy | 383 | 43 |
,Chemotherapy + ChemoRadiotherapy | 550 | 53 |
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Progression Free Survival (PFS) in Patients With Pancreas Adenocarcinoma Treated With Ipilimumab and Gemcitabine Combination
Median Progression Free Survival (mPFS) was estimated using a Kaplan-Meier curve with 0 censored patients. PFS is defined from the time of treatment initiation until the first documentation of progressive disease. Any patient without the event at the time of analysis will be censored from the last documented contact. (NCT01473940)
Timeframe: Every 12 weeks during treatment with a 12 week induction and then 28 day maintenance cycles. Range of cycles completed (including induction cycle) 0-10
Intervention | months (Median) |
---|
Cohort 1 Gemcitabine - 750 mg/m2, Ipilimumab 3 mg/kg | 3.3859 |
Cohort 2/Expansion Gemcitabine-1,000mg/m2+Ipilimumab-3mg/kg | 2.5312 |
Cohort 3 Gemcitabine -1,000 mg/m2, Ipilimumab 6 mg/kg | 3.8626 |
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Number of Dose Limiting Toxicities (DLTs) Seen in Patients With Pancreas Adenocarcinoma Treated With Ipilimumab and Gemcitabine Combination in Order to Define the Maximum Tolerated Dose (MTD)
"Dose limiting toxicity (DLT) will be monitored by calculating the Bayesian predictive probability of a DLT given the data to date. All toxicities will be summarized in a descriptive manner as to type, frequency, attribution and timing by dose level. Safety will be evaluated for all treated patients using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE), Version 4.0 where grading is as follows:~Mild (grade 1) Moderate (grade 2) Severe (grade 3) Life-threatening (grade 4) Fatal (grade 5)~In general a DLT will be defined as any any of the following drug-related toxicities:~Febrile neutropenia with grade 3/4 neutropenia Asymptomatic grade 4 neutropenia more than 7 days Grade 3 thrombocytopenia with grade 3-4 hemorrhage or grade 4 thrombocytopenia Non-hematologic toxicity grade 3 or 4 (with some protocol specified exceptions)~DLTs will be used to determine the MTD for the expansion cohort of the study.~*AST = Aspartate transamina" (NCT01473940)
Timeframe: During the 12 weeks of Induction Therapy
Intervention | DLTs (Number) |
---|
| Number of DLTS seen in cohort | Number of AST increase DLTs seen in cohort | Number of diarrhea DLTs seen in cohort |
---|
Cohort 1 Gemcitabine - 750 mg/m2, Ipilimumab 3 mg/kg | 0 | 0 | 0 |
,Cohort 2 Gemcitabine - 1,000 mg/m2, Ipilimumab 3 mg/kg | 0 | 0 | 0 |
,Cohort 3 Gemcitabine -1,000 mg/m2, Ipilimumab 6 mg/kg | 2 | 1 | 1 |
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Duration of Response in Patients Pancreas Adenocarcinoma Treated With Ipilimumab and Gemcitabine Combination
"Duration of response is shown below for patients who showed a response as defined by immune-related response criteria (irCR) as either of the following:~irComplete Response (irCR)-Complete disappearance of all index lesions or irPartial Response (irPR)-Decrease of 50% or greater in the sum of products of the two largest perpendicular diameters of all index and all new measurable lesions (i.e., percentage change in tumor burden)~Duration of response is defined as the time from first documentation of response to first documentation of progression, with progression defined as:~irProgressive Disease (irPD)-At least 25% increase in the percentage change in tumor burden (i.e., taking sum of all the products of all the index lesions and any new lesions) when compared to the sum of all the product diameters (SPD) at nadir." (NCT01473940)
Timeframe: From the time of response and every 12 weeks during treatment with a 12 week induction and then 28 day maintenance cycles. Range of cycles completed (including induction cycle) 0-10
Intervention | months (Number) |
---|
Cohort 2 Gemcitabine-1,000mg/m2+Ipilimumab-3mg/kg | 8.5 |
Cohort 3 Gemcitabine -1,000 mg/m2, Ipilimumab 6 mg/kg | 19.8 |
Expansion - Gemcitabine-1,000mg/m2+Ipilimumab-3mg/kg | 11 |
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Overall Survival (OS) in Patients With Pancreas Adenocarcinoma Treated With Ipilimumab and Gemcitabine Combination
Overall Survival (OS) was estimated using a kaplan-meier curve with 0 patients censored. OS is defined from the time of treatment initiation until the time of death from any cause. Any patient without the event at the time of analysis will be censored from the last documented contact. (NCT01473940)
Timeframe: Every 12 weeks during treatment with a 12 week induction and then 28 day maintenance cycles. Range of cycles completed (including induction cycle) 0-10
Intervention | months (Median) |
---|
Cohort 1 Gemcitabine - 750 mg/m2, Ipilimumab 3 mg/kg | 5.3254 |
Cohort 2/Expansion Gemcitabine-1,000mg/m2+Ipilimumab-3mg/kg | 5.7199 |
Cohort 3 Gemcitabine -1,000 mg/m2, Ipilimumab 6 mg/kg | 8.9908 |
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Overall Survival (OS)
OS was defined as the time from the date of randomization to the date of death. Participants without documentation of death were censored at the date last known to be alive. (NCT01482962)
Timeframe: Participants were followed for survival for 2 years from date of last participant off study treatment, or death, whichever occurs first. Contacts were every 4 months (Median follow-up 519 days in the alisertib arm and 586 days in the comparative arm)
Intervention | days (Median) |
---|
Alisertib | 415 |
Pralatrexate, or Romidepsin, or Gemcitabine | 367 |
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Progression-Free Survival (PFS) Based on IRC Assessment
PFS was defined as the time from the date of randomization to the date of first documentation of progressive disease (PD) or death due to any cause, whichever occurred first. (NCT01482962)
Timeframe: Every 8 weeks from date of first dose treatment; every 12 weeks after 40 week assessment; at end of treatment visit until progressive disease. Duration is approximately 3 years
Intervention | days (Median) |
---|
Alisertib | 115 |
Pralatrexate, or Romidepsin, or Gemcitabine | 104 |
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Time to Disease Progression (TTP)
Time to Progression (TTP) was defined as the time from the date of randomization to the date of first documentation of PD/relapse. (NCT01482962)
Timeframe: At the end of every 8 weeks from date of first dose treatment; every 12 weeks after 40 week assessment; at end of treatment visit until progressive disease. Duration is approximately 3 years
Intervention | days (Median) |
---|
Alisertib | 162 |
Pralatrexate, or Romidepsin, or Gemcitabine | 116 |
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Time to Response
Time to Response is defined as the time from the date of randomization to the date of first documentation of PR or better. (NCT01482962)
Timeframe: At the end of every 8 weeks from date of first dose treatment; every 12 weeks after 40 week assessment; at end of treatment visit until progressive disease. Duration is approximately 3 years
Intervention | days (Median) |
---|
Alisertib | 62 |
Pralatrexate, or Romidepsin, or Gemcitabine | 64 |
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Number of Participants With Clinically Important Abnormal Laboratory Values Reported as AEs
Clinical laboratory tests included chemistry, hematology and urinalysis test. Clinically significant treatment-emergent laboratory abnormalities were reported by the investigator as TEAEs. (NCT01482962)
Timeframe: First dose to 30 days after last dose of study drug or comparator (Up to 152 Weeks)
Intervention | participants (Number) |
---|
| Neutrophil Count Decreased | White Blood Cell Count Decreased | Lymphocyte Count Decreased | Monocyte Count Decreased | Lymphocyte Count Increased | Monocyte Count Increased | White Blood Cell Count Increased | Platelet Count Decreased | Alanine Aminotransferase Increased | Aspartate Aminotransferase Increased | Gamma-glutamyltransferase Increased | Blood Bilirubin Increased | Hepatic Enzyme Increased | Liver Function Test Abnormal | Transaminases Increased | Blood Alkaline Phosphatase Increased | Blood Lactate Dehydrogenase Increased | Blood Creatinine Increased | Blood Creatinine Decreased | Blood Urea Increased | Blood Potassium Decreased | Blood Magnesium Decreased | Blood Bicarbonate Decreased | Blood Calcium Decreased | Blood Calcium Increased | Blood Phosphorus Decreased | Calcium Ionised Increased | Haemoglobin Decreased | Haematocrit Increased | Haematocrit Decreased | Coagulation Factor XIII Level Decreased | International Normalised Ratio Increased | Blood Albumin Decreased | Myocardial Necrosis Marker Increased | Troponin Increased | Blood Glucose Increased | Immunoglobulins Increased | Blood Uric Acid Increased | Enterovirus Test Positive |
---|
Alisertib | 18 | 17 | 6 | 2 | 1 | 1 | 1 | 15 | 8 | 5 | 6 | 2 | 2 | 0 | 0 | 9 | 5 | 3 | 0 | 1 | 1 | 1 | 0 | 0 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 1 | 0 | 0 | 1 | 1 | 0 |
,Pralatrexate, or Romidepsin, or Gemcitabine | 14 | 10 | 5 | 1 | 0 | 0 | 0 | 22 | 11 | 11 | 3 | 1 | 0 | 1 | 1 | 7 | 1 | 7 | 1 | 0 | 4 | 2 | 1 | 1 | 0 | 1 | 0 | 3 | 2 | 0 | 0 | 0 | 2 | 0 | 1 | 1 | 0 | 0 | 1 |
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Number of Participants With Clinically Important Vital Sign Measurements Reported as AEs
Vital signs included blood pressure, heart rate and temperature. Individual clinically significant changes in vital signs were reported by the investigator as TEAEs. (NCT01482962)
Timeframe: First dose to 30 days after last dose of study drug or comparator (Up to 152 Weeks)
Intervention | participants (Number) |
---|
| Heart Rate Increased | Body Temperature Increased | Hypotension | Orthostatic Hypotension | Hypertension | Pyrexia |
---|
Alisertib | 1 | 0 | 4 | 2 | 5 | 48 |
,Pralatrexate, or Romidepsin, or Gemcitabine | 0 | 1 | 6 | 1 | 7 | 40 |
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Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. A TEAE is defined as an adverse event with an onset that occurs after receiving study drug. A SAE is any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly/ birth defect or is a medically important event. (NCT01482962)
Timeframe: First dose to 30 days after last dose of study drug or comparator (Up to 152 Weeks)
Intervention | participants (Number) |
---|
| TEAE | SAE |
---|
Alisertib | 136 | 75 |
,Pralatrexate, or Romidepsin, or Gemcitabine | 126 | 69 |
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Time to Subsequent Antineoplastic Therapy
Time to subsequent antineoplastic therapy was defined as the time from randomization to the first date of subsequent antineoplastic therapy (excluding transplant). Participants without subsequent antineoplastic therapy were censored at the date of death or last known to be alive. (NCT01482962)
Timeframe: From date of last study drug to date of subsequent antineoplastic therapy, if required; approximately 3 years
Intervention | days (Median) |
---|
Alisertib | 336 |
Pralatrexate, or Romidepsin, or Gemcitabine | 233 |
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Complete Response (CR) Rate
Complete Response (CR) rate is defined as the percentage of participants with CR as assessed by the IRC using IWG criteria (2007 Cheson). CR= Disappearance of all evidence of disease. (NCT01482962)
Timeframe: At the end of every 8 weeks from date of first dose treatment; every 12 weeks after 40 week assessment; at end of treatment visit until PD (approximately 3 years)
Intervention | percentage of participants (Number) |
---|
Alisertib | 18 |
Pralatrexate, or Romidepsin, or Gemcitabine | 27 |
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Duration of Response (DOR)
DOR was defined as the time from the date of first documentation of a PR or better to the date of first documentation of progressive disease (PD)/relapse for responders as assessed by the IRC using IWG criteria. Responders without documentation of PD/relapse were censored at the date of last response assessment that was stable disease (SD) or better. (NCT01482962)
Timeframe: At the end of every 8 weeks from date of first dose treatment; every 12 weeks after 40 week assessment; at end of treatment visit until progressive disease. Duration is approximately 3 years
Intervention | days (Median) |
---|
Alisertib | 225 |
Pralatrexate, or Romidepsin, or Gemcitabine | 172 |
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Overall Response Rate (ORR) Based on Independent Review Committee (IRC) Assessment
ORR was defined as the percentage of participants who achieve Complete Response (CR) or Partial Response (PR) as assessed by the IRC using International Working Group (IWG) criteria. CR=Disappearance of all evidence of disease and PR=Regression of measurable disease and no new sites. (NCT01482962)
Timeframe: Every 8 weeks from date of first dose treatment; every 12 weeks after 40 week assessment; at end of treatment visit until progressive disease. Duration is approximately 3 years
Intervention | percentage of participants (Number) |
---|
Alisertib | 33 |
Pralatrexate, or Romidepsin, or Gemcitabine | 45 |
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Overall Survival
Time to event outcome measure (death), measured in days from cycle 1 day 1. (NCT01515046)
Timeframe: up to 5 years
Intervention | days (Number) |
---|
Gemcitabine With Escalating IV Ascorbate | 268 |
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Progression Free Survival
Time-to-event outcome measure (initial disease progression) measured in days from cycle 1 day 1 to day of first progression as defined by RECIST criteria from NCI. (NCT01515046)
Timeframe: up to 5 years
Intervention | days (Number) |
---|
Gemcitabine With Escalating IV Ascorbate | 80 |
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Progression-Free Survival
"To determine the progression-free survival (using irRC and RECIST v1.0) of patients with advanced/metastatic urothelial carcinoma treated with gemcitabine, cisplatin, and ipilimumab.~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. Progression is definied by IrRC as at least 25% increase in tumor burden compared with nadir (at any single time point) in two consecutive observations at least 4 wk apart." (NCT01524991)
Timeframe: 12 months
Intervention | months (Median) |
---|
Treatment | 7.9 |
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Overall Survival
Two treatment arms will be compared using a one-sided log-rank test stratified by sarcoma subtype and study site. Kaplan-Meier estimates and the survival curves for each treatment arm will be presented with the estimated hazard ratios and their associated confidence interval. (NCT01532687)
Timeframe: From randomization to death due to any cause, or until last patient contact if the patient did not die, assessed up to 3 years
Intervention | months (Median) |
---|
| All Randomized | Liposarcoma participants | Other Sarcoma participants |
---|
Gemcitabine Hydrochloride Plus Pazopanib Hydrochloride | 11.0 | 20.5 | 10.2 |
,Gemcitabine Hydrochloride Plus Placebo | 15.6 | 5.7 | 17.7 |
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Progression-free Survival (PFS)
Compared using a one-sided Gehan-Wilcoxon test stratified by sarcoma subtype. Kaplan-Meier estimates for each treatment arm will be presented with the estimated hazard ratios and their associated confidence intervals. Progression is defined using Response Evaluation Criteria in Solid Tumors (RECIST) v1.0 as at least a 20% increase in the sum of the longest diameters of target lesions (taking as reference the smallest sum on study) with an absolute increase of at least 5 mm (target lesions), or measurable increase in non-target lesions (unequivocal progression), or appearance of one or more new lesions. (NCT01532687)
Timeframe: Calculated as the time from randomization to the first documented progression or death, whichever occurs first, or until time of last contact if no progression or death occurred, assessed up to 3 years
Intervention | months (Median) |
---|
| All randomized | Liposarcoma | Other Sarcoma |
---|
Gemcitabine Hydrochloride Plus Pazopanib Hydrochloride | 4.5 | 8.9 | 4.4 |
,Gemcitabine Hydrochloride Plus Placebo | 1.6 | 1.5 | 2.2 |
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Percentage of Participants Achieving Best Overall Objective Response (CR+PR)
Response is evaluated using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, where RECIST combines assessments for target, non-target and presence of new lesions. Best Overall Objective Response is the sum of all CR+PR divided by all randomized participants, where the strongest recorded response is used for the evaluation (CR>PR>SD>PD). Objective response (CR+PR) requires at least a 30% decrease in the sum of the largest diameter target lesions (with respective to the baseline sum); disappearance of all or persistence of one or more non-target lesions, maintenance of tumor marker levels above normal limits, and no new lesions. Estimated odds ratio of best overall objective response are reported with 95% confidence interval for the two histologic sarcoma subgroups (liposarcoma vs all other eligible soft tissue sarcoma subtypes). One-sided proportions test is used to determine whether best overall objective response is greater for the gemcitabine plus pazopanib group. (NCT01532687)
Timeframe: Best overall objective response recorded from the start of treatment until disease progression/recurrence assessed up to 3 years
Intervention | percentage of participants (Number) |
---|
| All randomized participants | Liposarcoma participants | Other sarcoma participants |
---|
Gemcitabine Hydrochloride Plus Pazopanib Hydrochloride | 6.9 | 22.2 | 0 |
,Gemcitabine Hydrochloride Plus Placebo | 8.0 | 0 | 11.1 |
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Progression-free Survival (PFS) for a Sub-group of Patients Treated With Open-label Pazopanib Hydrochloride Following Administration of Gemcitabine Hydrochloride in the Cross-over Portion of This Study
Participants who progress during treatment and are found to be part of the gemcitabine+placebo arm after unblinding are eligible to receive open-label pazopanib with gemcitabine. This is the crossover population. Statistical analysis is exploratory and requires sufficient crossover participants to assess Kaplan-Meier estimated hazard ratio and associated 95% confidence interval. This represents the participants second progression. In both cases progression is defined using Response Evaluation Criteria in Solid Tumors (RECIST) v1.0 as at least a 20% increase in the sum of the longest diameters of target lesions with an absolute increase of at least 5 mm (target lesions), or measurable increase in non-target lesions (unequivocal progression), or appearance of one or more new lesions. First progression uses the smallest sum on study as a reference; progression for the crossover population uses first progression measurements as the reference. (NCT01532687)
Timeframe: Calculated as the time from receiving open-labeled pazopanib hydrochloride to the next documented progression or death whichever occurs first, assessed up to 3 years
Intervention | months (Median) |
---|
Crossover From Gemcitabine + Placebo to Gemcitabine + Open-label Pazopanib | 3.0 |
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Incidence of Grade 3 or Higher Adverse Events as Assessed by National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0
(NCT01533207)
Timeframe: Approximately 4 years
Intervention | participants (Number) |
---|
Regimen 1 | 10 |
Regimen II | 1 |
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Number of Participants Who Experienced Death
The duration of time from study entry to time of death or the date of last contact. (NCT01533207)
Timeframe: Follow-up every 4 months for 3 years, then every 6 months for 2 years.
Intervention | Participants (Number) |
---|
Regimen 1 | 5 |
Regimen II | 1 |
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Number of Participants With Recurrence
The duration of time from study entry to time of recurrence or death, whichever occurred first, or the date of last contact. (NCT01533207)
Timeframe: Follow-up every 4 months for 3 years, then every 6 months for 2 years.
Intervention | participants (Number) |
---|
Regimen 1 | 8 |
Regimen II | 8 |
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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 |
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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 |
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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 |
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Overall Response Rate (ORR) of Bendamustine Hydrochloride and Gemcitabine Hydrochloride in Patients With Relapsed or Refractory Hodgkin Lymphoma (Phase II)
Tested using Simon's two-stage Minimax design. Descriptive statistics (i.e. means, standard deviations, 95% confidence intervals for continuous variables, and frequencies for discrete data) and graphical analyses will be used for all correlative laboratory parameters. The associations between correlative laboratory parameters and clinical response will be evaluated using two sample t test or Fisher's exact test, whichever is appropriate. (NCT01535924)
Timeframe: up to 5 years
Intervention | percentage of patients (Number) |
---|
Phase 2 (Dose Levels 5) | 67 |
Phase 2 | 71 |
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Adverse Events in Terms of Dose-limiting Toxicity (DLT) and MTD of Bendamustine Hydrochloride (Phase I)
Dose limiting toxicity will be defined during cycle 1 only of the phase I trial. Hematologic and Infectious Dose Limiting Toxicities include: Grade 3 febrile neutropenia persisting> 7 days, Grade 4 infection or febrile neutropenia. Treatment delay>14 days due to grade 3-4 neutropenia or thrombocytopenia. Non-Hematological Dose Limiting Toxicities include: any Grade 3 or 4 non-hematologic toxicity related to study treatment with the exception of nausea or vomiting, alopecia, or electrolyte/glucose abnormalities that are correctable within 72 hours. (NCT01535924)
Timeframe: up to 5 years
Intervention | number of patients (Number) |
---|
Phase 1 (Dose Levels 1) | 0 |
Phase 1 (Dose Levels 2) | 0 |
Phase 1 (Dose Levels 3) | 0 |
Phase 1 (Dose Levels 4) | 0 |
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Number of Participants Correlative Studies Including DPC4 (SMAD4) Staining and Circulating Tumor Cells (CTC) Post-Surgery
Tumor tissue collected pre-therapy and post-therapy for surgically resected patients was assessed for SMAD4 status and classified as either present or absent based on immunohistochemistry evaluation. (NCT01560949)
Timeframe: 43 months
Intervention | Participants (Count of Participants) |
---|
| Present | Absent |
---|
Surgery | 4 | 7 |
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Number of Participants Correlative Studies Including DPC4 (SMAD4) Staining and Circulating Tumor Cells (CTC) Pre-Surgery
Tumor tissue collected pre-therapy and post-therapy for surgically resected patients was assessed for SMAD4 status and classified as either present or absent based on immunohistochemistry evaluation. (NCT01560949)
Timeframe: 43 months
Intervention | Participants (Count of Participants) |
---|
| Present | Absent |
---|
Surgery | 4 | 2 |
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Overall Survival
Overall survival (OS) was defined as the time interval from the date of diagnosis to the date of death due to any cause or the date a patient was last known to be alive. Estimated by using the Kaplan-Meier method. (NCT01560949)
Timeframe: 54 months
Intervention | months (Median) |
---|
All Phases(Systematic,Chemoradiation w/ Gemcitabine & Surgery) | 24 |
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Number of Participants With Resectability Rate
Patients with borderline resectable treated with preoperative modified FOLFIRINOX chemotherapy, followed by gemcitabine-based chemoradiation therapy. At least 4- 6 weeks after the last dose of gemcitabine if there is no local progression or distant metastasis, patients were scheduled for surgery. (NCT01560949)
Timeframe: 43 months
Intervention | Participants (Count of Participants) |
---|
Surgery | 15 |
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Number of Participants With R0 Margin Resection
The specimen was designated R0 if no tumor cells were identified at any of the resection margins. (NCT01560949)
Timeframe: 43 months
Intervention | Participants (Count of Participants) |
---|
Surgery | 10 |
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Disease Free Survival (DFS)
Disease free survival (DFS) was defined as the time interval from the date of surgery to the date of disease recurrence or death or the date of a participant was last known to be alive without disease recurrence. (NCT01560949)
Timeframe: 54 months
Intervention | months (Median) |
---|
All Phases | 11.1 |
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Number of Participants With Local and Distant Failure
(NCT01560949)
Timeframe: 43 months
Intervention | Participants (Count of Participants) |
---|
| Local recurrence | Distant recurrence |
---|
Surgery | 0 | 10 |
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Number of Participants That Were SMAD4 Positive Before and After Surgery
Tumor tissue collected pre-therapy and post-therapy for surgically resected patients was assessed for SMAD4 status and classified as either present or absent based on immunohistochemistry evaluation. (NCT01560949)
Timeframe: 43 months
Intervention | Participants (Count of Participants) |
---|
| SMAD4 positive before surgery | SMAD4 positive after surgery |
---|
Surgery | 4 | 4 |
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Part 2: Overall Response Rate (ORR)
ORR was defined as the percentage of subjects with either a complete response (CR) or a partial response (PR) based on RECIST 1.1. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<) 10 millimeter (mm). PR was defined as at least a 30 percent (%) decrease in sum of diameters of target lesions, taking as reference the baseline sum of diameters. (NCT01574716)
Timeframe: From date of first dose until disease progression (up to approximately 3.5 years)
Intervention | percentage of participants (Number) |
---|
Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel | 19.4 |
Part 2: Placebo + Gemcitabine/Docetaxel | 20.0 |
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Part 2: Overall Survival (OS)
OS was defined as the time (in months) from the date of randomization to the date of death, regardless of the cause. (NCT01574716)
Timeframe: From date of first dose until date of death from any cause (up to approximately 3.5 years)
Intervention | months (Median) |
---|
Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel | 18.3 |
Part 2: Placebo + Gemcitabine/Docetaxel | 21.1 |
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Part 2: Radiologic Progression-free Survival (PFS)
PFS was defined as the time (in weeks) from the date of randomization to the date of first observation of disease progression according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) or date of death, regardless of the cause. (NCT01574716)
Timeframe: From date of first dose until date of first observation of disease progression, or death due to any cause (up to approximately 3 years)
Intervention | weeks (Median) |
---|
Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel | 18.7 |
Part 2: Placebo + Gemcitabine/Docetaxel | 24.1 |
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Part 2: Radiologic Progression-free Survival Rate (PFR)
Radiologic progression-free survival rate was defined as the percentage of subjects achieving radiologic PFS at the pre-specified time points. (NCT01574716)
Timeframe: Weeks 12, 24, 48 and 52
Intervention | percentage of participants (Number) |
---|
| 12 weeks | 24 weeks | 48 weeks | 52 weeks |
---|
Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel | 57.6 | 43.3 | 24.5 | 20.8 |
,Part 2: Placebo + Gemcitabine/Docetaxel | 61.8 | 51.0 | 25.2 | 21.4 |
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Part 2: Symptomatic Progression-free Survival
PFS including symptomatic progression was defined as the time (in weeks) from the date of randomization to the date of the first observation of disease progression according to RECIST 1.1, symptomatic progression, or death due to any cause. (NCT01574716)
Timeframe: From date of first dose until date of first observation of disease progression, symptomatic progression, or death due to any cause (up to approximately 3 years)
Intervention | weeks (Median) |
---|
Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel | 18.1 |
Part 2: Placebo + Gemcitabine/Docetaxel | 24.0 |
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Part 2: Number of Participants Who Had Relationship Between MORAb-004 Exposures and Biomarker Levels
(NCT01574716)
Timeframe: Up to approximately 3 years
Intervention | participants (Number) |
---|
Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel | 0 |
Part 2: Placebo + Gemcitabine/Docetaxel | 0 |
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Pathologic Response Rate
Defined as the absence of muscle invasive carcinoma (NCT01589094)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
Gemcitabine and Cisplatin (DD GC) | 57 |
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Number of Participants With Toxicity
Toxicity will be graded according to the National Cancer Institute Common Toxicity Criteria for Adverse Events version 4.0. (NCT01589094)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|
Gemcitabine and Cisplatin (DD GC) | 51 |
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2 Year Recurrence Free Survival (RFS) Rate for Nonresponders
Defined as the time from treatment initiation to disease progression, local-regional or metastatic recurrence, or death analyzed using the Kaplan Meier method. (NCT01589094)
Timeframe: 2 years
Intervention | percentage of participants (Number) |
---|
Gemcitabine and Cisplatin (DD GC) | 52 |
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2 Year Recurrence Free Survival (RFS) Rate for Responders
Defined as the time from treatment initiation to disease progression, local-regional or metastatic recurrence, or death analyzed using the Kaplan Meier method. (NCT01589094)
Timeframe: 2 years
Intervention | percentage of participants (Number) |
---|
Gemcitabine and Cisplatin (DD GC) | 95 |
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Rate of Participants With Grade 3 or Higher Toxicity
Toxicity is graded according to the CTCAE v 4. (NCT01593748)
Timeframe: 30 days post end of treatment
Intervention | Participants (Count of Participants) |
---|
Experimental | 39 |
Standard of Care | 39 |
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Hazard Ratio
Hazard ratio is defined as the rate of survival in the experimental group versus the standard of care group. A hazard ratio of greater than one or less than one means that survival was better in one of the groups. (NCT01593748)
Timeframe: minimum of 18 months
Intervention | hazard ratio (Number) |
---|
Experimental | 1.2 |
Standard of Care | NA |
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Average Number of Months of Progression-free Survival
To estimate the PFS of the combination of G+P or G+T in patients with metastatic and/or locally advanced or recurrent STS. Progression free survival is defined as the duration of time from start of treatment to time of progression or death, whichever occurs first. (NCT01593748)
Timeframe: minimum of 18 months
Intervention | months (Median) |
---|
Experimental | 4.1 |
Standard of Care | 4.1 |
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Average Score of Quality of Life
"To estimate the quality of life of patient with metastatic an/or locally advanced recurrent STS using the Quality of Life Questionnaire (QLQ-C30). The QLQ-C30 is scored on a scale from 0-100 with 0 indicating never and 100 indicating always in regard the the participants' experience of fatigue, nausea/vomiting, pain, disponae, insomnia, appetite loss, constipation, diarrhea, financial concerns at 4 time points through the study." (NCT01593748)
Timeframe: Baseline, Cycle 2, Cycle 6 and End of Treatment
Intervention | score on a scale (Mean) |
---|
| Fatigue at baseline | Nausea/Vommiting at baseline | Pain at baseline | Dysponae at baseline | Insomnia at baseline | Appetite loss at baseline | Constipation at baseline | Diarrhea at baseline | Financial at baseline | Fatigue at cycle 2 | Nausea/Vomitting at cycle 2 | Pain at cycle 2 | Dyspnoae at cycle 2 | Insomnia at cycle 2 | Appetite loss at cycle 2 | Constipation at cycle 2 | Diarrhea at cycle 2 | Financial at cycle 2 | Fatigue at cycle 6 | Nausea/vommiting at cycle 6 | Pain at cycle 6 | Dyspnoae at cycle 6 | Insomnia at cycle 6 | Appetite loss at cycle 6 | Constipation at cycle 6 | Diarrhea at cycle 6 | Financial at cycle 6 | Fatigue at end of study | Nausea/vomitting at end of study | Pain at end of study | Dysponae at end of study | Insomnia at end of study | Appetite loss at end of study | Constipation at end of study | Diarrhea at end of study | Financial at end of study |
---|
Experimental | 61.79 | 91.06 | 61.38 | 22.76 | 45.53 | 22.76 | 14.63 | 4.88 | 37.40 | 52.89 | 80.67 | 66.00 | 24.00 | 42.67 | 36.11 | 13.33 | 4.88 | 26.67 | 64.44 | 86.67 | 80.00 | 10.00 | 23.33 | 26.67 | 13.33 | 36.67 | 23.33 | 49.81 | 75.86 | 53.45 | 31.03 | 48.28 | 37.93 | 17.24 | 21.43 | 39.60 |
,Standard of Care | 67.12 | 90.99 | 74.77 | 21.62 | 36.04 | 15.32 | 15.32 | 8.11 | 32.43 | 55.09 | 93.75 | 83.33 | 26.39 | 38.89 | 26.39 | 23.61 | 8.11 | 22.22 | 51.11 | 8.05 | 78.33 | 43.33 | 33.33 | 30.00 | 13.33 | 20.00 | 20.00 | 49.77 | 92.36 | 72.92 | 34.72 | 37.50 | 23.61 | 29.17 | 15.28 | 29.17 |
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Progression-free Survival (PFS)
Estimate for probability of progression free survival by Kaplan-Meier method, where progression-free survival is defined as the period of time from study entry to time of disease progression, death or date of last contact, whichever occurs first. PFS is censored in patients who are alive and have not progressed. Progression is assessed by RECIST 1.1 (NCT01595061)
Timeframe: From study entry to disease progression, death or date of last contact, whichever occurs first. The median for observed PFS was 26.2 month with a range from 1.5 months to 82.4 months
Intervention | percentage of participants (Number) |
---|
GEM+CIS+IMRT | 75 |
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Complete Clinical Response
Percentage of participants with complete clinical response. Complete clinical response is defined as no clinical/radiographic evidence of primary disease (vulva or groin) following primary chemo-radiation therapy. (NCT01595061)
Timeframe: 6-8 weeks after completion of chemo-radiation
Intervention | percentage of participants (Number) |
---|
GEM+CIS+IMRT | 71.7 |
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Complete Pathologic Response
Percentage of participants with complete pathologic response. Complete pathologic response is defined as negative local core biopsy or FNA specimens following primary chemo-radiation therapy. (NCT01595061)
Timeframe: 6 -8 weeks after completion of chemo-radiation
Intervention | percentage of participants (Number) |
---|
GEM+CIS+IMRT | 73.6 |
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Adverse Events (Grade 3 or Higher) During Treatment Period
Number of participants with a maximum grade of 3 or higher during treatment period. Adverse events are graded and categorized using CTCAE v4.0. (NCT01595061)
Timeframe: During treatment period and up to 30 days after stopping the study treatment. The median for duration of study treatment was 2.1 months with a range from 1.2 months to 4.6 months.
Intervention | Participants (Count of Participants) |
---|
| Leukopenia | Thrombocytopenia | Neutropenia | Anemia | Other Investigations | Other blood and lymphatic disorders | Cardiac disorders | Gastrointestinal disorders | General disorders and administration site conditions | Infections and infestations | Injury, poisoning and procedural complications | Metabolism and nutrition disorders | Musculoskeletal and connective tissue disorders | Peripheral sensory neuropathy | Other nervous system disorders | Renal and urinary disorders | Reproductive system and breast disorders | Respiratory, thoracic and mediastinal disorders | Skin and subcutaneous tissue disorders | Surgical and medical procedures | Vascular disorders |
---|
GEM+CIS+IMRT | 27 | 20 | 20 | 20 | 7 | 8 | 2 | 10 | 5 | 5 | 20 | 19 | 2 | 1 | 2 | 1 | 7 | 1 | 4 | 1 | 5 |
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PK: Dose-Normalized Cmax of Gemcitabine
(NCT01606748)
Timeframe: Run-In Period Day 1 Cohort 1: 0,0.5,1,1.5,3,4,6.67 and 24h Post Start of Infusion; Cycle 1, Day 1: 0, 0.50, 1, 1.5, 3, 4.67, 6.67 and 24 h Post Start of Infusion
Intervention | nanogram(ng)/mL/mg (Geometric Mean) |
---|
Gemcitabine Cohort 1 Day 1 PK Run-In | 4.83 |
Gemcitabine Cohort 1 Day 1, Cycle 1, Combination | 7.87 |
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Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR) (Overall Response Rate [ORR]) (Antitumor Activity of Necitumumab in Combination With Gemcitabine-cisplatin Chemotherapy)
ORR is confirmed best overall tumor response of CR or PR. According to RECIST v1.1, CR was defined as the disappearance of all target and non-target lesions; PR defined as a >30% decrease in the sum of the longest diameters (LD) of the target lesions, taking as reference the baseline sum of the LD. Percentage of participants was calculated as: (total number of participants with CR or PR from start of the treatment until disease progression or recurrence)/total number of participants treated) * 100. (NCT01606748)
Timeframe: Baseline to Measured Progressive Disease (Up to 14 Months)
Intervention | percentage of participants (Number) |
---|
Necitumumab Cohort 1 | 16.7 |
Necitumumab Cohort 2 | 5.9 |
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Pharmacokinetics (PK): Maximum Observed Drug Concentration (Cmax) of Necitumumab
(NCT01606748)
Timeframe: Run-In Period Day 3 Cohort 1: 0, 0.83, 1.33, 1.83, 3.83, 7.5, 24.83, 72 and 168 Hour (h) Post Start of Infusion; Cycle 1, Day 1: 0, 0.83, 1.33, 1.83, 3.83, 7.5, 24.83, 72 and 168 h Post Start of Infusion
Intervention | microgram/milliliter (ug/mL) (Geometric Mean) |
---|
Necitumumab Cohort 1 Day 3 Run-in | 277 |
Necitumumab Cohort 1 Day 1, Cycle 1, Combination | 315 |
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PK: Area Under Concentration-Time Curve From Zero to Time 168 (AUC[-168]) of Necitumumab
(NCT01606748)
Timeframe: Run-In Period Day 3 Cohort 1: 0, 0.83, 1.33, 1.83, 3.83, 7.5, 24.83, 72 and 168 h Post Start of Infusion; Cycle 1, Day 1: 0, 0.83, 1.33, 1.83, 3.83, 7.5, 24.83, 72 and 168 h Post Start of Infusion
Intervention | ug*hour(h)/mL (Geometric Mean) |
---|
Necitumumab Cohort 1 Day 3 Run-In | 21900 |
Necitumumab Cohort 1 Day 1, Cycle 1, Combination | 22900 |
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PK: AUC(0-∞) of Necitumumab After Administration of Process C and Process D Drug Product
(NCT01606748)
Timeframe: Run-In Period Day 3 Cohort 1 and Cohort 2: 0, 0.83, 1.33, 1.83, 3.83, 7.5, 24.83, 72 and 168 h Post Start of Infusion
Intervention | ug*h/mL (Geometric Mean) |
---|
Necitumumab Cohort 1 | 33800 |
Necitumumab Cohort 2 | 35500 |
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PK: Area Under the Plasma Concentration-Time Curve From Time Zero to Infinity, (AUC[0-∞]) of Necitumumab
(NCT01606748)
Timeframe: Run-In Period Day 3 Cohort 1: 0, 0.83, 1.33, 1.83, 3.83, 7.5, 24.83, 72 and 168 h Post Start of Infusion; Cycle 1 Day 1: 0, 0.83, 1.33, 1.83, 3.83, 7.5, 24.83, 72 and 168 h Post Start of Infusion
Intervention | ug*h/mL (Geometric Mean) |
---|
Necitumumab Cohort 1 Day 3 PK Run-In | 33800 |
Necitumumab Cohort 1 Day 1, Cycle 1, Combination | 26400 |
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PK: Cmax of Necitumumab After Administration of Process C and Process D Drug Product
(NCT01606748)
Timeframe: Run-In Period Day 3 Cohort 1 and Cohort 2: 0, 0.83, 1.33, 1.83, 3.83, 7.5, 24.83, 72 and 168 h Post Start of Infusion
Intervention | ug/mL (Geometric Mean) |
---|
Necitumumab Cohort 1 | 277 |
Necitumumab Cohort 2 | 300 |
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PK: Dose-Normalized AUC(0-24) of Gemcitabine
(NCT01606748)
Timeframe: Run-In Period Day 1 Cohort 1: 0,0.5,1,1.5,3,4,6.67 and 24h Post Start of Infusion; Cycle 1, Day 1: 0, 0.50, 1, 1.5, 3, 4.67, 6.67 and 24 h Post Start of Infusion
Intervention | ng*h/mL/mg (Geometric Mean) |
---|
Gemcitabine Cohort 1 Day 1 PK Run-in | 2.71 |
Gemcitabine Cohort 1 Day 1, Cycle 1, Combination | 3.31 |
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PK: Dose-Normalized AUC(0-5) of Cisplatin
(NCT01606748)
Timeframe: Run-In Period Day 1 Cohort 1: 0, 2, 2.03, 2.25, 3, 3.67 and 5.67 h Post Start of Infusion; Cycle 1, Day 1: 0, 2, 2.03, 2.25, 3, 3.67 and 5.67 h Post Start of Infusion
Intervention | ng*h/mL/mg (Geometric Mean) |
---|
Cisplatin Cohort 1 Day 1 Run-in | 61.5 |
Cisplatin Cohort 1 Day 1, Cycle 1, Combination | 67.3 |
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PK: Dose-Normalized Cmax of Cisplatin
(NCT01606748)
Timeframe: Run-In Period Day 1 Cohort 1: 0, 2, 2.03, 2.25, 3, 3.67 and 5.67 h Post Start of Infusion; Cycle 1, Day 1: 0, 2, 2.03, 2.25, 3, 3.67 and 5.67 h Post Start of Infusion
Intervention | nanogram (ng)/mL/mg (Geometric Mean) |
---|
Cisplatin Cohort 1 Day 1 Run-in | 19.2 |
Cisplatin Cohort 1 Day 1, Cycle 1, Combination | 22.1 |
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Number of Participants With Anti-Necitumumab Antibodies
A participant was considered to have an anti-necitumumab antibody response if anti-drug antibodies (ADA) were confirmed positive. Treatment emergent antibodies were defined as any anti-necitumumab antibody titer equal to or greater than 4-fold the participant's baseline titer. (NCT01606748)
Timeframe: Baseline through, 30-Day Follow-Up
Intervention | participants with immunogenicity samples (Number) |
---|
| ADA Positive | TE Antibodies | Neutralizing Antibodies |
---|
Necitumumab Cohort 1 | 3 | 1 | 0 |
,Necitumumab Cohort 2 | 0 | 0 | 0 |
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PK: Dose Normalized AUC(0-∞) of Gemcitabine
(NCT01606748)
Timeframe: Run-In Period Day 1 Cohort 1: 0,0.5,1,1.5,3,4,6.67 and 24h Post Start of Infusion; Cycle 1, Day 1: 0, 0.50, 1, 1.5, 3, 4.67, 6.67 and 24 h Post Start of Infusion
Intervention | ng*h/mL/mg (Geometric Mean) |
---|
Gemcitabine Cohort 1 Day 1 PK Run-in | 2.72 |
Gemcitabine Cohort 1 Day 1, Cycle 1, Combination | 3.32 |
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Progression-free Survival
Progression-Free Survival (PFS) is defined as the duration of time from study entry to time of recurrence/progression or death from any cause, whichever occurs first. (NCT01610206)
Timeframe: 3 years
Intervention | months (Median) |
---|
Gemcitabine | 2.9 |
Gemcitabine + Pazopanib | 5.3 |
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Number of Participants With Adverse Events
Adverse events will be evaluated using CTCAE criteria from the start of study treatment until 30 days following the last dose of study treatment (NCT01610206)
Timeframe: 30 days after last dose
Intervention | Participants (Count of Participants) |
---|
Gemcitabine | 73 |
Gemcitabine + Pazopanib | 75 |
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Pathological Complete Response Rate Following Chemotherapy Before Surgery
Pathological response rate following neoadjuvant chemotherapy was assessed by TNM staging at the time of radical cystectomy (NCT01611662)
Timeframe: Up to 5 years
Intervention | percentage of participants (Number) |
---|
Treatment (Gemcitabine Hydrochloride, Cisplatin, Surgery) | 32 |
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Progression Free Survival (PFS)
Progression Free Survival will be calculated from the start of treatment until progressive disease or death. Patients who die before documented progression will be considered failures at their time of death. If the patient did not progress or die, the patient will be censored on the date of last follow-up. Response and progression will be evaluated in this study using the international criteria by the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 Measurable lesions: lesions that can be accurately measured in at least one dimension with longest diameter ≥ 10 mm by clinical exam or with spiral CT scan or MRI (no less than double the slice thickness and a minimum of 10mm). Malignant lymph nodes must be 15 mm in the short axis when assessed by spiral CT scan to be considered measurable. Non-measurable lesions: all other lesions (or sites of disease) including small lesions (longest diameter < 20 mm with conventional techniques or < 10 mm u (NCT01622660)
Timeframe: 2 years
Intervention | days (Number) |
---|
Gemcitabine and Pazopanib | 184 |
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Progression Free Survival
Progression-free survival was defined as the time from the first date of treatment until the date that PD or death was first reported. Disease progression included PD in any compartment per ATL response criteria, clinical progression at the end of the randomized treatment, or disease progression reported during the follow-up period. The date of PD was the earliest date at which disease progression could be declared. (NCT01626664)
Timeframe: From date of randomization until the date of first documented progression, start of alternative therapy, or date of death from any cause, whichever came first, up to 36 months
Intervention | percentage of subjects (Median) |
---|
| PFS Subjects (%) Alive for at Least: 1 Month | PFS Subjects (%) Alive for at Least: 2 Months | PFS Subjects (%) Alive for at Least: 3 Months | PFS Subjects (%) Alive for at Least: 4 Months | PFS Subjects (%) Alive for at Least: 5 Months | PFS Subjects (%) Alive for at Least: 6 Months |
---|
Investigator's Choice | 44.1 | 33.0 | 26.4 | 13.2 | 0 | 0 |
,KW-0761 | 47.5 | 29.8 | 24.4 | 18.3 | 18.3 | 12.2 |
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Change in Functional Assessment of Cancer Therapy-Lymphoma (FACT-Lym) Total Score
The FACT-Lym consists of a 27-item general core questionnaire (i.e., Functional Assessment of Cancer Therapy - General [FACT-G]) and a 15-item disease-specific questionnaire (Lymphoma Subscale). The FACT-G includes 4 domains: physical well-being, social/family well-being, emotional well-being, and functional well-being. The total FACT-Lym score (0-168) was obtained by summing individual subscale scores. Higher scores for the scales indicate better quality of life. Change was calculated as the value at the last observation minus the value at baseline. (NCT01626664)
Timeframe: From date of randomization until the date of first documented progression, up to 36 months
Intervention | Units on a scale (Mean) |
---|
| Baseline | Last Observation Change from Baseline |
---|
Investigator's Choice | 106.8 | -14.9 |
,KW-0761 | 110.1 | -12.1 |
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Overall Response Rate
"Overall Response Rate was determined based on the response in all compartments (lymph nodes, extranodal masses, spleen/liver, skin, peripheral blood, and bone marrow), referencing Tsukasaki, 2009 as follows: Complete Response (CR) = All compartments involved with disease must be CR; Uncertified Complete Response (CRu) = > 75% decrease in lymph nodes and/or extranodal disease with all other compartments involved with disease CR; Partial Response (PR) = If any compartment is CR/PR and all other compartments involved with disease are at least SD; Stable Disease (SD) = All compartments involved with disease are SD; Progressive Disease (PD) = PD in any compartment.~Lymph node and extranodal masses response ≥50% decrease by CT, skin response ≥50% decrease in mSWAT score; blood response ≥50% decrease in malignant cells by flow cytometry; normal bone marrow if abnormal at baseline. PD equals New or ≥50% increase in any compartment." (NCT01626664)
Timeframe: every 8 weeks from date of randomization until the date of first documented progression or date of death from any cause, whichever came first
Intervention | participants (Number) |
---|
| Complete Response | Uncertified Complete Response | Partial Response | Stable Disease | Relapsed Disease or Progressive Disease | Not Assessable | Overall Response Rate (Confirmed and Unconfirmed) | Overall Response Rate Confirmed |
---|
Investigator's Choice | 0 | 0 | 2 | 4 | 13 | 5 | 2 | 0 |
,KW-0761 | 2 | 0 | 11 | 0 | 16 | 18 | 13 | 5 |
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Overall Survival
The estimates and summary statistics for OS were calculated based on Kaplan-Meier method, and the median OS was 4.9 months for subjects randomized to the mogamulizumab group versus 6.87 months for subjects randomized to the Investigator's Choice group. (NCT01626664)
Timeframe: up to 36 months
Intervention | percentage of subjects (Median) |
---|
| Subjects (%) Alive for at Least: 1 Month | Subjects (%) Alive for at Least: 2 Months | Subjects (%) Alive for at Least: 3 Months | Subjects (%) Alive for at Least: 4 Months | Subjects (%) Alive for at Least: 5 Months | Subjects (%) Alive for at Least: 6 Months |
---|
Investigator's Choice | 91.7 | 79.2 | 70.8 | 66.7 | 54.2 | 54.2 |
,KW-0761 | 87.0 | 75.6 | 59.1 | 54.3 | 49.5 | 44.3 |
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Time-to-engraftment
The number of days until participants by dose level reach engraftment. (NCT01629511)
Timeframe: 30 days post transplant
Intervention | participants (Number) |
---|
| Day 10 | Day 11 | Day 12 | Day 13 | Day 15 | Day 17 | <10 days - Graft Failure |
---|
Gemcitabine Dose Level 1 | 1 | 2 | 1 | 0 | 0 | 0 | 0 |
,Gemcitabine Dose Level 3 | 2 | 4 | 0 | 1 | 0 | 0 | 1 |
,Gemcitabine Dose Level 4 | 0 | 0 | 1 | 0 | 1 | 1 | 0 |
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Overall Survival
Will be estimated by the method of Kaplan and Meier. Time-to-event distributions as function of patient baseline covariates will be evaluated using Bayesian time-to-event regression modeling. (NCT01629511)
Timeframe: Up to 1 year post transplant
Intervention | Participants (Count of Participants) |
---|
Gemcitabine Dose Level 1 | 3 |
Gemcitabine Dose Level 2 | 0 |
Gemcitabine Dose Level 3 | 4 |
Gemcitabine Dose Level 4 | 2 |
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Progression Free Survival (PFS)
PFS was as the time from enrollment to the earliest documented evidence of disease progression or death,whatever comes first. (NCT01632306)
Timeframe: Baseline to Disease Progression Up to 18 Months
Intervention | Months (Median) |
---|
LY2090314 + Gemcitabine | 1.8 |
LY2090314 + FOLFOX | 3.4 |
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Percentage of Participants Who Survived at 6 Months
(NCT01632306)
Timeframe: Baseline to Date of Death to any cause Up to 6 Months
Intervention | Percentage of participants (Number) |
---|
LY2090314 + Gemcitabine | 0 |
LY2090314 + FOLFOX | 50.0 |
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Percentage of Participants With Complete Response (CR) or Partial Response (PR) [Overall Response Rate (ORR)]
"Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST v1.1) criteria. CR was defined as the disappearance of all target and non-target lesions and all target and non-target lymph nodes were non-pathological or normal in size [<10 millimeter (mm) short axis]. PR was defined as having at least a 30% decrease in sum of longest diameter of target lesions taking as reference the baseline sum diameters. ORR calculated as: (sum of the number of participants with PRs and CRs) divided by (number of evaluable participants) multiplied by 100.~A CR or PR noted as the objective status on 2 consecutive evaluations at least 4 weeks apart." (NCT01632306)
Timeframe: Baseline Up to 6 Months
Intervention | Percentage of Participants (Number) |
---|
LY2090314 + Gemcitabine | 0 |
LY2090314 + FOLFOX | 10.0 |
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Overall Survival (OS)
(NCT01632306)
Timeframe: Baseline to Date of Death Due to any Cause Up to 21 Months
Intervention | Months (Median) |
---|
LY2090314 + Gemcitabine | 1.8 |
LY2090314 + FOLFOX | 7.7 |
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Progression-free Survival (PFS)
Progression-free survival is defined as the duration of time from start of treatment to time of progression or death, whichever occurs first. PFS is defined as the number of months from the date of first dose of study drug 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. (NCT01639131)
Timeframe: 9 months
Intervention | months (Median) |
---|
Gemcitabine and Docetaxel | 1.79 |
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Response Rate
The Response Rate is defined as the number of patients achieving a complete response (CR) or partial response (PR) 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. (NCT01639131)
Timeframe: 9 months
Intervention | participants (Number) |
---|
Gemcitabine and Docetaxel | 0 |
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Overall Survival With Gemcitabine and Docetaxel Combination Therapy
Overall survival is the time from the start of first dose of study drug to death. OS will be measured from date of first dose of a study drug 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. (NCT01639131)
Timeframe: 62 months
Intervention | months (Median) |
---|
Gemcitabine and Docetaxel | 15.67 |
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Phase Ib: Number of Participants With Dose-limiting Toxicities (DLT)
Number of participants with dose-limiting toxicities when administered OMP-59R5 every of other week (Days 1 and 15) in combination with nab-paclitaxel (Nab-P) 125 mg/m2 and gemcitabine (Gem) 1000 mg/m2 on Days 1, 8, and 15 of every 28-day cycle in subjects with previously untreated stage IV pancreatic cancer. In the event that no DLTs are observed, maximum tested dose would be considered the Maximum Tolerated Dose (MTD). (NCT01647828)
Timeframe: Up to 1 year in absence of unacceptable toxicity or disease progression.
Intervention | Participants (Count of Participants) |
---|
P1B: OMP-59R5 2.5 mg/kg + Gem | 0 |
P1B: OMP-59R5 5 mg/kg + Gem | 0 |
P1B: OMP-59R5 5 mg/kg + Nab-P + Gem | 0 |
P1B: OMP-59R5 7.5 mg/kg + Nab-P + Gem | 0 |
P1B: OMP-59R5 10 mg/kg + Nab-P + Gem | 0 |
P1B: OMP-59R5 12.5 mg/kg + Nab-P + Gem | 0 |
P1B: OMP-59R5 15 mg/kg + Nab-P + Gem | 1 |
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Phase 2: Overall Survival (ITT Population)
To determine the clinical benefit, as measured by overall survival (OS) ofthe addition of OMP-59R5 to nab-paclitaxel and gemcitabine in all subjects who are receiving first-line therapy for stage IV pancreatic cancer. (NCT01647828)
Timeframe: Up to 1 year in absence of unacceptable toxicity or disease progression.
Intervention | participants (Number) |
---|
| Number of subjects who died | Number of subjects who did not die |
---|
P2: OMP-59R5 15 mg/kg + Nab-P + Gem | 71 | 18 |
,P2: Placebo + Nab-P + Gem | 60 | 28 |
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Adverse Events as a Measure of Safety and Tolerability
Adverse events, whether volunteered by the study subject, discovered by the investigators during questioning, or detected by physical examination, laboratory tests, or other means will be collected and recorded at each visit. Events will be recorded from the time the consent is signed until 4 weeks after the study protocol is discontinued. Subjects experiencing Grade 4 neutropenia, Grade ≥3 thrombocytopenia, or Grade 2 peripheral neuropathy who do not recover will have treatment protocol discontinued. (NCT01654861)
Timeframe: Weekly for up to 6 months.
Intervention | participants (Number) |
---|
HDIVC | 0 |
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The Percentage of Untreated and Previously Treated Patients That Had a Partial Response to Treatment
"The primary objective of this clinical trial is to estimate the response rate to treatment with the triplet chemotherapy regimen of gemcitabine, infusional 5-FU, and cisplatin, in untreated and previously treated advanced pancreatic and biliary cancer patients.~Partial Response (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." (NCT01661114)
Timeframe: 28 days
Intervention | percentage of patients (Number) |
---|
| Untreated | Received Previous Treatment |
---|
Gemcitabine, 5-FU and Cisplatin | 40 | 7.1 |
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Maximum Tolerated Dose
The MTD is defined at the highest dose level at which ≤25% of patients experience a dose-limiting toxicity (DLT). (NCT01663272)
Timeframe: 5 weeks
Intervention | mg (Number) |
---|
Cabozantinib With Gemcitabine | NA |
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Phase 2: Overall Survival
Data presented are the median overall survival in months for participants in the Phase 2 treatment arms. (NCT01663857)
Timeframe: Baseline to Date of Death from any cause (up to 5 years)
Intervention | months (Median) |
---|
LY2228820 + Gemcitabine +Carboplatin | 29.17 |
Placebo + Gemcitabine + Carboplatin | 25.10 |
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Phase 2: Percentage of Participants Who Achieve Complete Response or Partial Response (Overall Response Rate)
Overall Response Rate was estimated as the percentage of participants with best response of Complete Response (CR) or Partial Response (PR), based on RECIST version 1.1 divided by the total number of randomized participants. CR is defined as disappearance of all target lesions. PR is defined as at least 30% disease in the sum of the largest diameter (LD) of target lesions, taking as reference the baseline sum LD. (NCT01663857)
Timeframe: Baseline to Disease Progression (up to 3 years)
Intervention | percentage of participants (Number) |
---|
LY2228820 + Gemcitabine +Carboplatin | 46.6 |
Placebo + Gemcitabine + Carboplatin | 46.2 |
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Phase 2: Progression-free Survival (PFS) in Participants Treated With LY2228820 Plus Gemcitabine and Carboplatin Versus Placebo Plus Gemcitabine and Carboplatin
PFS was defined as time from date of randomization to the date of investigator-determined objective progression as defined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or death due to any cause, whichever occurred first. Progressive disease (PD) is defined as at least a 20% increase in the sum of the largest 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. (NCT01663857)
Timeframe: Randomization to Date of Disease Progression or Death from any cause (up to 3 years)
Intervention | months (Median) |
---|
LY2228820 + Gemcitabine +Carboplatin | 10.25 |
Placebo + Gemcitabine + Carboplatin | 8.44 |
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Phase 1b and 2: Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to 8 Hours (AUC 0-8) of LY2228820
PK parameters after administration of LY2228820 for both Phase 1b and Phase 2. (NCT01663857)
Timeframe: Phase1b:Cycle(C)1 Day(D)1:Predose(PRD),0.5,1,2,4,6,8 hours(hr)postdose(PD); C1D10:PRD,0.5,1,2,8hrPD; C2D10:PRD,0.5,1,2,4,6,8,12hrPD; C7D3:PRD,0.5,1,2,4,6hrPD; Phase 2: C1D3:PRD,0.5,1,2,4,6,8hrPD; C1D10:PRD,0.5,1,2,4,6,8hrPD; C7D3:PRD,0.5,1,2,4,6,8hrPD
Intervention | nanograms * hr per milliliter (ng*hr/mL) (Geometric Mean) |
---|
| Cycle 1 Day 1 | Cycle 1 Day 10 | Cycle 2 Day 10 | Cycle 7 Day 3 |
---|
300 mg LY2228820 | 3560 | 9350 | 3490 | 7230 |
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Phase 1b and 2: Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to 8 Hours (AUC 0-8) of LY2228820
PK parameters after administration of LY2228820 for both Phase 1b and Phase 2. (NCT01663857)
Timeframe: Phase1b:Cycle(C)1 Day(D)1:Predose(PRD),0.5,1,2,4,6,8 hours(hr)postdose(PD); C1D10:PRD,0.5,1,2,8hrPD; C2D10:PRD,0.5,1,2,4,6,8,12hrPD; C7D3:PRD,0.5,1,2,4,6hrPD; Phase 2: C1D3:PRD,0.5,1,2,4,6,8hrPD; C1D10:PRD,0.5,1,2,4,6,8hrPD; C7D3:PRD,0.5,1,2,4,6,8hrPD
Intervention | nanograms * hr per milliliter (ng*hr/mL) (Geometric Mean) |
---|
| Cycle 1 Day 1 | Cycle 1 Day 3 | Cycle 1 Day 10 | Cycle 2 Day 10 |
---|
200 mg LY2228820 | 3470 | 3170 | 4270 | 3270 |
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Phase 2: Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Cancer (FACT-O) Total Score
"The Functional Assessment of Cancer Therapy-Ovarian Cancer (FACT-O) instrument measures health related quality of life (HRQoL) in participants with ovarian cancer. The instrument is organized into sections of physical, social/family, emotional, functional well-being and ovarian subscales with a 5-point rating scale in which 0 = not at all and 4 = very much. Data presented here are change from baseline at follow-up in the FACT-O Total Score. The total score is the sum of Physical Well Being (PWB) + Social Well-being (SWB) + Emotional Well Being (EWB) + Family Well-being (FWB) + Ovarian Cancer Subscale (OCS). The FACT-O Total score range 0 - 152 with higher scores indicating better quality of life." (NCT01663857)
Timeframe: Baseline, Study Completion (up to 3 years)
Intervention | units on a scale (Mean) |
---|
LY2228820 + Gemcitabine +Carboplatin | -0.6 |
Placebo + Gemcitabine + Carboplatin | -8.9 |
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Phase 1b: Recommended Phase 2 Dose of LY2228820 in Combination With Gemcitabine and Carboplatin (Maximum Tolerated Dose [MTD])
Recommended Phase 2 dose of LY2228820 that could be safely administered in combination with gemcitabine and carboplatin based on defined dose limiting toxicities (DLT) assessment and MTD definition. The MTD is defined as the highest dose level at which no more than 33% of patients experience a DLT during Cycle 1 that does not exceed the single-agent MTD for LY2228820 (300 mg Q12H). (NCT01663857)
Timeframe: Cycle 1 (21 Days)
Intervention | milligrams (mg) (Number) |
---|
LY2228820 + Gemcitabine + Carboplatin | 200 |
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Tumor Control Rate
Tumor control rate is defined as the best tumour response (confirmed partial or complete response, stable disease) that is achieved until end of treatment according to Recist 1.1. (NCT01679405)
Timeframe: Treatment period: up to eight cycles (maximum 8 months).
Intervention | Participants (Count of Participants) |
---|
Dose Level 1 | 0 |
Dose Level -1 | 4 |
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Number of Adverse Events
"In part A the maximum tolerated dose (MTD) of BIBW 2992 administered continuously to the standard therapy of Gemcitabine / Cisplatin (Gem/Cis) (administered together on day 1 and 8 of a three-week cycle) will be evaluated in a 2 step dose escalation.~Safety and toxicity will be evaluated as described and considered primary for part B of the study." (NCT01679405)
Timeframe: Treatment period: up to eight cycles (maximum 8 months). 12 months follow-up period.
Intervention | Participants (Count of Participants) |
---|
Dose Level 1 | 2 |
Dose Level -1 | 1 |
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Objective Response Rate
Response was assessed by means of RECIST 1.1 criteria for target lesions, non-target lesions and the appearance of new lesions. Objective response was defined as the CR, PR or SD at end of treatment (NCT01679405)
Timeframe: Treatment period: up to eight cycles (maximum 8 months).
Intervention | Participants (Count of Participants) |
---|
Dose Level 1 | 0 |
Dose Level -1 | 0 |
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Overall Survival (OS)
Median overall survival time including the 95% confidence interval were determined using Kaplan-Meier estimates. (NCT01679405)
Timeframe: Time from start of treatment to death due to any cause. Time to last observation will be used if a patient has not died and OS for the patient will be considered censored. Estimated time period: up to 76 weeks
Intervention | days (Median) |
---|
Dose Level 1 | 163 |
Dose Level -1 | 260 |
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Time to Progress (TTP)
Median time to progress (according to RECIST 1.1 criteria) including the 95% confidence intervals were determined using Kaplan-Meier estimates. Time from start of treatment to first documentation of objective tumour progression. Deaths were censored at the time of death. (NCT01679405)
Timeframe: Treatment period: up to eight cycles (maximum 8 months). 12 months follow-up period.
Intervention | days (Median) |
---|
Dose Level 1 | 159 |
Dose Level -1 | NA |
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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 |
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Part 1: PFS Assessed by the Investigator
PFS as assessed by Investigator was defined as the time from first dose of pertuzumab or chemotherapy in Part 1 of the trial, until disease progression according to RECIST version 1.1, symptomatic deterioration or death from any cause, whichever occurs first. PD could base on symptom deterioration or 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 appearance of one or more new lesions and/or the unequivocal progression of existing non-target lesions. Participants were censored at the last tumor assessment. Participants who have no tumor assessments after baseline and who were still alive will be censored at 1 day. (NCT01684878)
Timeframe: Approximately 28 months (assessed at screening and every 9 weeks from randomization until disease progression)
Intervention | months (Median) |
---|
Part 1: Pertuzumab + Topotecan | 4.07 |
Part 1: Pertuzumab + Paclitaxel | 4.24 |
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Part 2- Objective Response Rate (ORR)
ORR was defined as the number of participants with BOR of CR or PR recorded from the start of treatment, until the end of treatment. BOR documented as confirmed CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<)10 millimeter (mm). PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. (NCT01684878)
Timeframe: Approximately 44 months (assessed at screening and every 9 weeks from randomization until disease progression)
Intervention | percentage of participants (Number) |
---|
Part 2: Pertuzumab+Chemotherapy | 14.8 |
Part 2: Placebo+Chemotherapy | 8.7 |
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Part 2: Overall Survival
Overall survival was defined as the time from randomization into Part 2 of the trial until death from any cause (NCT01684878)
Timeframe: Approximately 44 months (assessed at screening and every 9 weeks from randomization until disease progression)
Intervention | months (Median) |
---|
Part 2: Pertuzumab+Chemotherapy | 10.18 |
Part 2: Placebo+Chemotherapy | 8.36 |
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Part 2: Percentage of Participants With Adverse Events (AEs)
An AE can be any unfavorable and unintended sign (including an abnormality laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. (NCT01684878)
Timeframe: Approximately 28 months (assessed at screening, baseline until 28 days after the last dose of study treatment)
Intervention | percentage of participants (Number) |
---|
Part 2: Pertuzumab+Chemotherapy | 98.7 |
Part 2: Placebo+Chemotherapy | 100 |
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Part 2: Progression Free Survival (PFS) as Assessed by a Blinded Independent Review Committee (IRC) Including Malignant Bowel Obstruction (MBO)
PFS (IRC-Assessed) was defined as the time from randomization into Part 2 of the trial until progressive disease (PD), MBO or death from any cause, whichever occurred first per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. PD could base on symptom deterioration or 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 appearance of one or more new lesions and/or the unequivocal progression of existing non-target lesions. (NCT01684878)
Timeframe: Approximately 44 months (assessed at screening and every 9 weeks from randomization until disease progression)
Intervention | months (Median) |
---|
Part 2: Pertuzumab+Chemotherapy | 4.27 |
Part 2: Placebo+Chemotherapy | 2.74 |
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Part 2: Progression-free Survival (PFS) Assessed by the Investigator
PFS (Investigator-assessed) is defined as the time from randomization, until disease progression according to RECIST v1.1 including death or MBO, whichever occurs first. Censoring is based on the last tumor assessment. If no tumor assessment post baseline, then censoring is at day 1. PD could base on symptom deterioration or 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 appearance of one or more new lesions and/or the unequivocal progression of existing non-target lesions. (NCT01684878)
Timeframe: Approximately 44 months (assessed at screening and every 9 weeks from randomization until disease progression)
Intervention | months (Median) |
---|
Part 2: Pertuzumab+Chemotherapy | 4.22 |
Part 2: Placebo+Chemotherapy | 3.94 |
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Part 2: European Organization for Research and Treatment of Cancer (EORTC) Quality of Life (QoL) Questionnaire (QLQ) of Core 30 (C30) Score
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; for functional scores, a higher score represents a better level of functioning. For symptom scores, a higher score represents a more severe level of symptoms. For the global health status scores, a higher score represents a better quality of life. (NCT01684878)
Timeframe: Baseline (assessed at baseline and every 9 weeks from randomization until disease progression)
Intervention | units on a scale (Mean) |
---|
| Functional Scales: Physical (n=71, 74) | Functional Scales: Role (n=70, 73) | Functional Scales: Emotional (n=71, 73) | Functional Scales: Cognitive (n=71, 73) | Functional Scales: Social (n=71, 73) | Symptomatic Scales: Fatigue (n=71, 74) | Symptomatic Scales: Nausea and vomiting (n=72, 74) | Symptomatic Scales: Pain (n=72, 74) | Symptomatic Scales: Dyspnoea (n=68, 73) | Symptomatic Scales: Insomnia (n=69, 74) | Symptomatic Scales: Appetite loss (n=71, 73) | Symptomatic Scales: Constipation (n=69, 72) | Symptomatic Scales: Diarrhoea (n=69, 72) | Symptomatic Scales:Financial difficulties(n=70,72 | Global health status / QoL scale (n=71, 72) |
---|
Part 2: Pertuzumab+Chemotherapy | 71.1 | 68.6 | 59.5 | 81.2 | 70.7 | 41.2 | 10.4 | 35.2 | 22.5 | 35.3 | 24.9 | 25.6 | 14.5 | 17.6 | 54.1 |
,Part 2: Placebo+Chemotherapy | 74.9 | 69.4 | 65.9 | 84.9 | 68.3 | 38.4 | 12.4 | 31.1 | 21.5 | 31.5 | 21.0 | 26.4 | 14.4 | 13.4 | 61.1 |
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Part 1- Objective Response Rate (ORR)
ORR was defined as the number of participants with best overall response (BOR) of complete response (CR) or partial response (PR) recorded from the start of treatment, until the end of treatment. BOR documented as confirmed CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<)10 millimeter (mm). PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. (NCT01684878)
Timeframe: Approximately 28 months (assessed at baseline and every 9 weeks from randomization until disease progression)
Intervention | percentage of participants (Number) |
---|
Part 1: Pertuzumab + Topotecan | 14.3 |
Part 1: Pertuzumab + Paclitaxel | 25.0 |
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Part 1: Percentage of Participants With Adverse Events (AEs)
An AE can be any unfavorable and unintended sign (including an abnormality laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. (NCT01684878)
Timeframe: Approximately 28 months (assessed at screening, baseline until 28 days after the last dose of study treatment)
Intervention | percentage of participants (Number) |
---|
Part 1: Pertuzumab + Topotecan | 95.5 |
Part 1: Pertuzumab + Paclitaxel | 100.0 |
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Duration of Response
Duration of response is defined as the time between the date of the first documentation of complete response/full response or partial response, and the date of disease progression or date of death due to any cause, or the last adequate tumor assessment prior to the start of subsequent anti-cancer therapy including crossing over to G+C from TC arm, whichever occurred earlier. Only participants who responded were included in the duration of response calculation. (NCT01696032)
Timeframe: Up to 24 months
Intervention | Days (Median) |
---|
Stage 1: Guadecitabine+Carboplatin 30 mg/m2 | 225 |
Stage 1: Guadecitabine+Carboplatin 45 mg/m2 | 195 |
Stage 2: Guadecitabine+Carboplatin 30 mg/m2 | 186 |
Stage 2: Treatment Choice | 173 |
Stage 2: Crossover Treatment Choice to Guadecitabine+Carboplatin 30 mg/m2 | 182 |
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Stage 1: Pharmacokinetic Parameter AUC0-8
Area under the concentration-time curve from 0 to 8 hours (AUC0-8) for guadecitabine, decitabine and carboplatin (NCT01696032)
Timeframe: Pre-dose and up to 8 hours post-dose on Cycle 1 Day 1 for guadecitabine and decitabine and Day 8 for carboplatin (28 day cycles)
Intervention | Hours*ng/mL (Mean) |
---|
| Guadecitabine | Decitabine | Carboplatin |
---|
Stage 1: Guadecitabine+Carboplatin 30 mg/m2 | 239 | 71.1 | 51200 |
,Stage 1: Guadecitabine+Carboplatin 45 mg/m2 | 416 | 129 | 41900 |
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Clinical Benefit Rate
Clinical benefit rate (CBR) was defined as the proportion of subjects who experienced a best overall response of complete response/full response or partial response (confirmed by a subsequent assessment at least 28 days later), or documented stable disease for at least 3 months after the first dose. Response categories were determined based on RECIST v1.1 criteria, then based on modified Rustin (CA-125) criteria if assessment could not be made using RECIST criteria. (NCT01696032)
Timeframe: Up to 24 months
Intervention | Percent of participants (Number) |
---|
Stage 1: Guadecitabine+Carboplatin 30 mg/m2 | 43 |
Stage 1: Guadecitabine+Carboplatin 45 mg/m2 | 50 |
Stage 2: Guadecitabine+Carboplatin 30 mg/m2 | 41 |
Stage 2: Treatment Choice | 29 |
Stage 2: Crossover Treatment Choice to Guadecitabine+Carboplatin 30 mg/m2 | 19 |
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Stage 1: Dose Limiting Toxicities
Number of participants with dose limiting toxicities (DLTs) in Stage 1 (NCT01696032)
Timeframe: Up to 12 months
Intervention | Participants (Count of Participants) |
---|
Stage 1: Guadecitabine+Carboplatin 30 mg/m2 | 0 |
Stage 1: Guadecitabine+Carboplatin 45 mg/m2 | 4 |
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Stage 1: Pharmacokinetic Parameter Tmax
Time to last measurable concentration for guadecitabine, decitabine and carboplatin (NCT01696032)
Timeframe: Pre-dose and up to 8 hours post-dose on Cycle 1 Day 1 for guadecitabine and decitabine and Day 8 for carboplatin (28 day cycles)
Intervention | Hours (Median) |
---|
| Guadecitabine | Decitabine | Carboplatin |
---|
Stage 1: Guadecitabine+Carboplatin 30 mg/m2 | 1.42 | 1.98 | 1.03 |
,Stage 1: Guadecitabine+Carboplatin 45 mg/m2 | 1.98 | 3.95 | 1.05 |
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Stage 1: Pharmacokinetic Parameter Cmax
Time to maximum plasma concentration for guadecitabine, decitabine and carboplatin (NCT01696032)
Timeframe: Pre-dose and up to 8 hours post-dose on Cycle 1 Day 1 for guadecitabine and decitabine and Day 8 for carboplatin (28 day cycles)
Intervention | ng/mL (Mean) |
---|
| Guadecitabine | Decitabine | Carboplatin |
---|
Stage 1: Guadecitabine+Carboplatin 30 mg/m2 | 96.2 | 22.6 | 19600 |
,Stage 1: Guadecitabine+Carboplatin 45 mg/m2 | 109 | 26.3 | 21900 |
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Stage 2: Progression Free Survival
Progression free survival (PFS) time was defined as the time interval from the date of the first dose of study medication until the earlier of disease progression or death. Participants were treated with their assigned treatment [guadecitabine+carboplatin (G+C) or treatment choice (TC)] until disease progression or unacceptable treatment-related toxicity occurred. (NCT01696032)
Timeframe: Up to 24 months
Intervention | Days (Median) |
---|
Stage 2: Guadecitabine+Carboplatin 30 mg/m2 | 114 |
Stage 2: Treatment Choice | 64 |
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CA-125 Levels
Percentage of participants with CA-125 reduction by ≥ 50% from baseline (NCT01696032)
Timeframe: Up to 24 months
Intervention | Percent of participants (Number) |
---|
Stage 1: Guadecitabine+Carboplatin 30 mg/m2 | 27 |
Stage 1: Guadecitabine+Carboplatin 45 mg/m2 | 50 |
Stage 2: Guadecitabine+Carboplatin 30 mg/m2 | 36 |
Stage 2: Treatment Choice | 32 |
Stage 2: Crossover Treatment Choice to Guadecitabine+Carboplatin 30 mg/m2 | 29 |
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Progression Free Survival at 6 Months
Progression free survival rate at 6 months is the proportion of participants who were alive and did not have disease progression at 6 months after start of treatment. (NCT01696032)
Timeframe: 6 months
Intervention | Percent of participants (Number) |
---|
Stage 1: Guadecitabine+Carboplatin 30 mg/m2 | 0.36 |
Stage 1: Guadecitabine+Carboplatin 45 mg/m2 | 0.33 |
Stage 2: Guadecitabine+Carboplatin 30 mg/m2 | 0.37 |
Stage 2: Treatment Choice | 0.11 |
Stage 2: Crossover Treatment Choice to Guadecitabine+Carboplatin 30 mg/m2 | 0.19 |
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Overall Survival
Overall survival was defined as the number of days from the day the participant was administered the first dose of study treatment to the date of death (regardless of cause). Survival time was censored on the last date the participant was known to be alive or lost to follow-up before reaching the event of death; in the TC group, time was censored at the date of crossover. (NCT01696032)
Timeframe: Up to 24 months
Intervention | Days (Median) |
---|
Stage 1: Guadecitabine+Carboplatin 30 mg/m2 | 341 |
Stage 1: Guadecitabine+Carboplatin 45 mg/m2 | 195 |
Stage 2: Guadecitabine+Carboplatin 30 mg/m2 | 331 |
Stage 2: Treatment Choice | 221 |
Stage 2: Crossover Treatment Choice to Guadecitabine+Carboplatin 30 mg/m2 | 279 |
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Objective Response Rate
The objective response rate (ORR) was defined as the proportion of participants who experienced an objective response (best overall response of complete response/full response or partial response, which was confirmed by a subsequent assessment at least 28 days later). Response categories were determined based on RECIST v1.1 criteria, or on modified Rustin (CA-125) criteria if response assessment could not be made using RECIST criteria. (NCT01696032)
Timeframe: Up to 24 months
Intervention | Percent (Number) |
---|
Stage 1: Guadecitabine+Carboplatin 30 mg/m2 | 21 |
Stage 1: Guadecitabine+Carboplatin 45 mg/m2 | 0 |
Stage 2: Guadecitabine+Carboplatin 30 mg/m2 | 16 |
Stage 2: Treatment Choice | 8 |
Stage 2: Crossover Treatment Choice to Guadecitabine+Carboplatin 30 mg/m2 | 4 |
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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 |
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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 |
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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 |
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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 |
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Induction Response
Induction response is the defined as the proportion of patients who achieve complete remission (CR) or partial remission (PR) during 6 cycles of induction therapy. Response was assessed was using a combination of CT scans and PET scans. Partial and complete response were categorized according to standard lymphoma response criteria, specifically the Revised Response Criteria (Cheson 2007). Given the cycle length of 3 weeks, induction duration per protocol was 18 weeks. (NCT01746173)
Timeframe: Disease was re-staged at cycles 3 and 6 during induction. Median duration of induction therapy in this study cohort was 6 cycles/18 weeks (range 2-6 cycles).
Intervention | proportion of patients (Number) |
---|
CHOEP + High Dose Therapy + Auto SCT | .60 |
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24-month Progression-Free Survival Rate
24-month progression-free survival rate is defined as the proportion of patients remaining alive and progression-free at 24 months from start of induction therapy. Disease progression was assessed using a combination of CT scans and PET scans. Progression was categorized according to standard lymphoma response criteria, specifically the Revised Response Criteria (Cheson 2007). (NCT01746173)
Timeframe: Disease was re-staged at cycles 3 and 6 during induction, at day 100 post-ASCT, and in long-term follow-up at months 12, 18, 24 and 36. All patients were evaluable up to month 24.
Intervention | proportion of patients (Number) |
---|
CHOEP + High Dose Therapy + Auto SCT | 0.0 |
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Overall Survival
Overall survival is defined as time from randomization to death or last day known to be alive. (NCT01746979)
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 2 years
Intervention | months (Median) |
---|
Gemcitabine Plus TH-302 | 8.9 |
Gemcitabine Plus Placebo | 7.6 |
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Progression Free Survival
Progression Free Survival is defined as the time from randomization to either first observation of progressive disease or occurrence of death. 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. (NCT01746979)
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 2 years
Intervention | months (Median) |
---|
Gemcitabine Plus TH-302 | 5.5 |
Gemcitabine Plus Placebo | 3.7 |
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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 |
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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 |
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Phase 1b: Percentage of Participants Who Achieve Best Overall Tumor Response of Complete Response or Partial Response (Objective Tumor Response Rate [ORR])
ORR was the percentage of participants achieving a best overall response of complete response (CR) or partial response (PR) as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. CR defined as the disappearance of all target and non-target lesions and no appearance of new lesions. PR 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), no progression of nontarget lesions, and no appearance of new lesions. PD was 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. (NCT01763788)
Timeframe: Baseline to Measured Progressive Disease (Up To 39 Months)
Intervention | percentage of participants (Number) |
---|
Phase 1b: Cohort 1 | 0.0 |
Phase 1b: Cohort 2 | 83.3 |
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Phase 1b: Number of Participants With Dose Limiting Toxicities (DLTs)
DLT was defined as any of the following events graded according to the National Cancer Institute (NCI)-Common Terminology Criteria for Adverse Events (CTCAE) version 4.0, when the event occurred within 21 days from Day 1 in Cycle 1 and was considered to be definitely or probably related to necitumumab and/or gemcitabine-cisplatin chemotherapy: Grade 4 neutropenia ≥ 7 days, Grade ≥ 3 febrile neutropenia except for transient febrile neutropenia (Grade 3 neutropenia with fever ≥ 38.5 degrees Celsius (°C) for ≤ 24 hours), Grade 3 thrombocytopenia requiring platelet substitution, Grade 4 thrombocytopenia, ≥Grade 3 nonhematologic toxicity (excluding nausea, vomiting, arthralgia, myalgia, asthenia, fatigue, diarrhea, constipation, anorexia), any toxicity leading to the omission of necitumumab on Day 8 or 15 (for participants for whom necitumumab was delayed from Days 8 to 15) during the Cycle 1. (NCT01763788)
Timeframe: Day 1 to Day 21 in Cycle 1 (Up To 21 days)
Intervention | Participants (Count of Participants) |
---|
Phase 1b: Cohort 1 | 0 |
Phase 1b: Cohort 2 | 0 |
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Phase 1b: PK: Area Under the Serum Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity]) of Necitumumab
The AUC(0-infinity) is area under the serum concentration-time curve from time zero to infinite time. (NCT01763788)
Timeframe: Cycle 1 (C1) Day 1 (D1) and C3 D1: Predose, End-of-infusion and 1, 3, 6, 24, 96, 168 h post-end-of-infusion
Intervention | microgram*hour per milliliter (µg*h/mL) (Geometric Mean) |
---|
| Cycle 1 |
---|
Phase 1b: Cohort 1 | NA |
,Phase 1b: Cohort 2 | 38900 |
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Phase 1b: PK: Area Under the Plasma Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity]) of Gemcitabine and Cisplatin
The AUC(0-infinity) is area under the plasma concentration-time curve from time zero to infinite time. (NCT01763788)
Timeframe: Gemcitabine: C1D1: Predose, End-of-infusion and 0.5, 1, 2 h post-end-of-infusion; Cisplatin:C1D1: Predose, End-of-infusion and 3, 21, 93, 165 h post-end-of-infusion
Intervention | nanogram*hour per milliliter (ng*h/mL) (Geometric Mean) |
---|
| Gemcitabine | Cisplatin |
---|
Phase 1b: Cohort 2 | 13300 | NA |
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Phase 2: Change From Baseline in EuroQol 5-Dimensional 3 Level (EuroQol-5D-3L) Visual Analog Scale (VAS)
EQ-5D VAS allowed participants to rate their present health condition. Possible scores ranged from 0 (worst imaginable health state) to 100 (best imaginable health state). One Cycle = 3 weeks and it can be delayed up to 6 weeks. (NCT01763788)
Timeframe: Baseline, Cycle 4 (Cycle = 3 weeks)
Intervention | units on a scale (Mean) |
---|
Phase 2: GC+N (Gemcitabine, Cisplatin + Necitumumab) | 7.81 |
Phase 2: GC (Gemcitabine, Cisplatin) | 11.10 |
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Phase 2: Change From Baseline in EuroQol 5-Dimensional 3 Level (EuroQol-5D-3L) Index Score
EQ-5D measures mobility, self-care, usual activities, pain/discomfort, anxiety/depression. 3 severity levels: no, some, severe problems. The index score was calculated from a set of item weights to derive a score on a theoretical scale of 0 to 1, with 1 representing the best health status and zero representing death based on item weights for the Japanese population. One Cycle = 3 weeks and it can be delayed up to 6 weeks. (NCT01763788)
Timeframe: Baseline, Cycle 4 (Cycle = 3 weeks)
Intervention | Score on a scale (Mean) |
---|
Phase 2: GC+N (Gemcitabine, Cisplatin + Necitumumab) | 0.04 |
Phase 2: GC (Gemcitabine, Cisplatin) | 0.03 |
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Phase 1b: PK: Area Under the Plasma Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity]) of Gemcitabine and Cisplatin
The AUC(0-infinity) is area under the plasma concentration-time curve from time zero to infinite time. (NCT01763788)
Timeframe: Gemcitabine: C1D1: Predose, End-of-infusion and 0.5, 1, 2 h post-end-of-infusion; Cisplatin:C1D1: Predose, End-of-infusion and 3, 21, 93, 165 h post-end-of-infusion
Intervention | nanogram*hour per milliliter (ng*h/mL) (Geometric Mean) |
---|
| Gemcitabine |
---|
Phase 1b: Cohort 1 | 8710 |
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Phase 1b: Pharmacokinetics (PK): Maximum Concentration (Cmax) of Necitumumab
The Cmax is observed maximum serum concentration, taken directly from the serum concentration-time profile. (NCT01763788)
Timeframe: Cycle 1 (C1) Day 1 (D1) and C3 D1: Predose, End-of-infusion and 1, 3, 6, 24, 96, 168 h post-end-of-infusion
Intervention | micrograms/milliliter (µg/ml) (Geometric Mean) |
---|
| Cycle 1 | Cycle 3 |
---|
Phase 1b: Cohort 2 | 371 | 372 |
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Phase 2: Percentage of Participants Who Achieve Best Overall Tumor Response of Complete Response or Partial Response (Objective Tumor Response Rate [ORR])
ORR was the percentage of participants achieving a best overall response of complete response (CR) or partial response (PR) as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. CR defined as the disappearance of all target and non-target lesions and no appearance of new lesions. PR 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), no progression of nontarget lesions, and no appearance of new lesions. PD was 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. (NCT01763788)
Timeframe: Baseline to Measured Progressive Disease (Up To 39 Months)
Intervention | percentage of participants (Number) |
---|
Phase 2: GC+N (Gemcitabine, Cisplatin + Necitumumab) | 51.1 |
Phase 2: GC (Gemcitabine, Cisplatin) | 20.9 |
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Phase 2: Time to Treatment Failure (TTF)
TTF was time from the date of randomization until the date of the first observation of radiographically documented progressive disease (PD), death due to any cause, discontinuation of treatment for any reason, or initiation of new anticancer therapy. PD was 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. Time to treatment failure was censored at the date of the last follow-up visit for participants who did not discontinue early, who were still alive, and who have not progressed. (NCT01763788)
Timeframe: From Date of Randomization to Measured Progressive Disease, Death Due to Any Cause, Discontinuation of Treatment or Initiation of New Anticancer Therapy (Up To 39 Months)
Intervention | Months (Median) |
---|
Phase 2: GC+N (Gemcitabine, Cisplatin + Necitumumab) | 4.16 |
Phase 2: GC (Gemcitabine, Cisplatin) | 3.75 |
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Phase 2: Progression Free Survival (PFS)
PFS defined as time from date of randomization until first radiographic documentation of measured progressive disease(PD) defined by response evaluation criteria in solid tumors (RECIST) v1.1 or death from any cause. PD was at least 20% increase in sum of diameters of target lesions with reference being 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 participant does not have complete baseline disease assessment,PFS time censored at date of randomization,regardless of whether or not objectively determined disease progression or death observed for participant.If participant was not known to have died or have objective progression as of data inclusion cutoff date for analysis,the PFS time censored at last adequate tumor assessment date.The use of new anticancer therapy prior to occurrence of PD resulted in censoring at the date of last radiographic assessment prior to initiation of new therapy. (NCT01763788)
Timeframe: From Date of Randomization to Measured Progressive Disease or Death Due to Any Cause (Up To 39 Months)
Intervention | Months (Median) |
---|
Phase 2: GC+N (Gemcitabine, Cisplatin + Necitumumab) | 4.21 |
Phase 2: GC (Gemcitabine, Cisplatin) | 4.01 |
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Phase 2: Overall Survival (OS)
OS defined as the time from the date of randomization to the date of death due to any cause. Participants who are alive at the time of study completion or are lost to follow-up will be censored at the time they were last known to be alive. (NCT01763788)
Timeframe: From Date of Randomization until Death Due to Any Cause (Up To 39 Months)
Intervention | Months (Median) |
---|
Phase 2: GC+N (Gemcitabine, Cisplatin + Necitumumab) | 14.92 |
Phase 2: GC (Gemcitabine, Cisplatin) | 10.84 |
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Phase 2: Number of Participants With Serum Anti-Necitumumab Antibody Assessment (Immunogenicity)
A participant was considered to have an anti-Necitumumab antibody response if anti-drug antibodies (ADA) were detected at any time point. (NCT01763788)
Timeframe: Baseline up to 30 Days Post Last Infusion (estimated up to 39 months)
Intervention | Participants (Count of Participants) |
---|
Phase 2: GC+N (Gemcitabine, Cisplatin + Necitumumab) | 4 |
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Phase 2: Change From Baseline in Lung Cancer Symptom Scale (LCSS)
The LCSS is a validated and reliable instrument to assess lung cancer-specific symptoms and their impact on QOL.The LCSS total score was defined as the mean of the 9 items of the scale and the average symptom burden index (ASBI) is defined as the mean of 6 symptom-specific lung cancer questions. Each of the 9 symptom or summary items is assessed on a 100-mm visual analogue scale (VAS), with 0 representing no symptoms or better QOL. (NCT01763788)
Timeframe: Baseline, Cycle 4 (Cycle = 3 weeks)
Intervention | units on a scale (Mean) |
---|
| Loss of Appetite | Fatigue | Cough | Dyspnea | Hemoptysis | Pain | Overall Symptoms | Interference | Quality of Life | Average Symptom Burden Index (ASBI) | LCSS Total Score |
---|
Phase 2: GC (Gemcitabine, Cisplatin) | -9.03 | -4.02 | -15.82 | -5.08 | -4.10 | -12.38 | -9.56 | -5.93 | -15.43 | -8.40 | -9.04 |
,Phase 2: GC+N (Gemcitabine, Cisplatin + Necitumumab) | -4.48 | -5.42 | -18.00 | -5.14 | -4.75 | -10.68 | -11.62 | -6.92 | -5.10 | -8.08 | -8.01 |
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Phase 2: PK: Minimum Concentration (Ctrough) of Necitumumab
The minimum observed serum concentration (Ctrough) of Necitumumab was evaluated. (NCT01763788)
Timeframe: Predose Day 1 of Cycle 1, 2, 3, 4, and every 2 cycles after Cycle 5
Intervention | microgram per milliliter (µg/mL) (Geometric Mean) |
---|
| Dose 3 | Dose 5 | Dose 7 | Dose 9 | Dose 13 | Dose 17 | Dose 21 |
---|
Phase 2: GC+N (Gemcitabine, Cisplatin + Necitumumab) | 77.9 | 110 | 130 | 137 | 145 | 120 | 194 |
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Phase 1b: Pharmacokinetics (PK): Maximum Concentration (Cmax) of Necitumumab
The Cmax is observed maximum serum concentration, taken directly from the serum concentration-time profile. (NCT01763788)
Timeframe: Cycle 1 (C1) Day 1 (D1) and C3 D1: Predose, End-of-infusion and 1, 3, 6, 24, 96, 168 h post-end-of-infusion
Intervention | micrograms/milliliter (µg/ml) (Geometric Mean) |
---|
| Cycle 1 |
---|
Phase 1b: Cohort 1 | 454 |
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Phase 1b: PK: Cmax of Gemcitabine and Cisplatin
The Cmax is observed maximum plasma concentration, taken directly from the plasma concentration-time profile. (NCT01763788)
Timeframe: Gemcitabine: Cycle 1(C1) Day1(D1): Predose, End-of-infusion and 0.5, 1, 2 h post-end-of-infusion; Cisplatin:C1 D1: Predose, End-of-infusion and 3, 21, 93, 165 h post-end-of-infusion
Intervention | nanogram per milliliter (ng/mL) (Geometric Mean) |
---|
| Gemcitabine | Cisplatin |
---|
Phase 1b: Cohort 1 | 17400 | 3740 |
,Phase 1b: Cohort 2 | 26000 | 3980 |
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Adverse Events Graded According to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
The number of eligible patients assigned to receive brentuximab vedotin in combination with gemcitabine that experienced CTC Version 4, grade 3 or higher adverse events during Phase 1 and Phase 2. (NCT01780662)
Timeframe: 13 months from first dose
Intervention | Participants (Count of Participants) |
---|
| Abdominal pain | Adrenal insufficiency | Alanine aminotransferase increased | Anemia | Anorexia | Aspartate aminotransferase increased | Dehydration | Dental caries | Diarrhea | Febrile neutropenia | GGT increased | Hemolytic uremic syndrome | Hypophosphatemia | Hypotension | Infections and infestations - Other- Specify | Investigations - Other- Specify | Lung infection | Lymphocyte count decreased | Myositis | Nausea | Neutrophil count decreased | Non-cardiac chest pain | Pain in extremity | Pericardial effusion | Platelet count decreased | Pneumonitis | Pruritus | Rash maculo-papular | Skin infection | Urinary tract infection | White blood cell decreased |
---|
Dose 1.4mg/kg (Phase I) | 0 | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 3 |
,Dose 1.8mg/kg (Phase I + Phase II) | 1 | 1 | 13 | 4 | 1 | 10 | 1 | 1 | 3 | 2 | 1 | 1 | 2 | 4 | 1 | 1 | 2 | 8 | 1 | 2 | 28 | 1 | 1 | 1 | 13 | 0 | 0 | 3 | 1 | 1 | 15 |
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The Number of Patients Who Had Successful Peripheral Blood Stem Cell (PBSC) Collection
Successful PBSC collection was defined as a collection of more than 2x10^6 CD34 positive cells. (NCT01780662)
Timeframe: From 1 to 5 cycles
Intervention | Participants (Count of Participants) |
---|
Treatment (Brentuximab Vedotin, Gemcitabine Hydrochloride) | 24 |
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The Number of Patients Who Had Disease Response Assessed by Deauville Scales Among Those in Phase I With Dose Level 2.
The Deauville five-point scale was used to assess the number of participants with complete response (CR) and partial response (PR). A lower score indicates a better outcome. Scores of 1-3 represent CR and 4-5 represent PR. (NCT01780662)
Timeframe: Up to 13 months from first dose
Intervention | Participants (Count of Participants) |
---|
Treatment (Brentuximab Vedotin, Gemcitabine Hydrochloride) | 8 |
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Percentage of Patients Who Achieved Overall Response (OR) as Measured by Complete Response (CR) and Partial Response (PR)
The percentage of patients who experienced complete Response (CR) within the first four cycles.By modern response criteria, those with partial response (PR) or stable disease with all target lesions with Deauville scores <=3 after cycle 4 are also considered as CR. Patients were assessed after treatment with four cycles of gemcitabine with brentuximab vedotin. CR was only reported for Dose level 2 across both phases of study. (NCT01780662)
Timeframe: After 4 cycles (21 days per cycle) of protocol therapy
Intervention | percentage of participants (Number) |
---|
Treatment (Brentuximab Vedotin, Gemcitabine Hydrochloride) | 74 |
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Maximum Tolerated Dose (MTD) for Brentuximab Vedotin
MTD was determined as the maximum dose at which fewer than one-third of patients experience Dose Limiting Toxicities (DLT) as assessed by National Cancer Institute (NCI) CTCAE v 4.0 during Cycle 1 of therapy. Gemcitabine was administered on days 1 and 8 of a 21 day cycle at a fixed dose. Brentuximab vedotin was investigated at a starting dose of 1.4 mg/kg administered on day 1 and escalated if tolerated. (NCT01780662)
Timeframe: During cycle 1 of protocol therapy (21 days)
Intervention | mg/kg (Number) |
---|
Treatment (Brentuximab Vedotin, Gemcitabine Hydrochloride) | 1.8 |
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The Number of Patients With Relapsed or Refractory HL Who Achieved Complete Response (CR)
The number of patients who experienced complete Response (CR) within the first four cycles. By modern response criteria, those with partial response (PR) or stable disease with all target lesions with Deauville scores <=3 after cycle 4 are also considered as CR. Patients were assessed after treatment with four cycles of gemcitabine with brentuximab vedotin. CR was only reported for Dose level 2 across both phases of study. (NCT01780662)
Timeframe: After 4 cycles (21 days per cycle) of protocol therapy
Intervention | Participants (Count of Participants) |
---|
Treatment (Brentuximab Vedotin, Gemcitabine Hydrochloride) | 28 |
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Number of Patients With FcyRIIIa-158 V/F (Valine/Phenylalanine) Polymorphism
Among patients who received 1.8mg/kg dose, the frequency of the FcγRIIIa-158 V/F polymorphism are described. (NCT01780662)
Timeframe: From the end of first dose to the end of last dose (Up to 13 Months)
Intervention | Participants (Count of Participants) |
---|
| Homozygous FF- Phenylalanine | Heterozygous FV- Valine/Phenylalanine | Homozygous VV- Valine |
---|
Dose 1.8mg/kg | 22 | 14 | 5 |
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Plasma Level of Thymus and Activation-Regulated Chemokine (TARC)
Limit to 41 evaluable patients who received dose 1.8 mg/kg (NCT01780662)
Timeframe: From baseline to time prior to cycle 2
Intervention | pg/ml (Median) |
---|
| Baseline | Prior to Cycle 2 |
---|
Dose 1.8mg/kg | 5700 | 668 |
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Number of Participants With Rash by Severity
Reported is the total number of participants with rash as well as the number of participants with specific forms of rash, including paronychia, dry skin and papulopustulous eczema. Severity was reported according to Common Terminology Criteria for Adverse Events version 4.0 (CTC AE 4.0): Grade 1 = mild, asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; Grade 2 = moderate, minimal, local or noninvasive intervention indicated, limiting age-appropriate instrumental activities of daily living (ADL); Grade 3 = severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care ADL. (NCT01782690)
Timeframe: Up to 12 months
Intervention | participants (Number) |
---|
| Total number with rash | Paronychia Grade 1 | Paronychia Grade 2 | Paronychia Grade 3 | Dry skin Grade 1 | Dry skin Grade 2 | Papulopustulous eczema Grade 1 | Papulopustulous eczema Grade 2 | Papulopustulous eczema Grade 3 |
---|
Erlotinib Plus Gemcitabine | 174 | 10 | 7 | 2 | 62 | 26 | 89 | 69 | 6 |
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Score in Participant Questionnaire: Quality of Life
Participant assessment of life quality under therapy. Assessment ranged from 1 (very good) to 6 (very bad). Questionnaire scores were assessed at several time points during the study. (NCT01782690)
Timeframe: At Weeks 4, 8, 9 and 16
Intervention | scores on a scale (Mean) |
---|
| Week 4 | Week 8 | Week 9 | Week 16 |
---|
Erlotinib Plus Gemcitabine | 2.9 | 2.9 | 1.0 | 2.9 |
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Score in Patient Questionnaire: Possible Side Effects
Participant questionnaire regarding satisfaction with the information about possible side effects. Assessment ranged from 1 (very satisfied) to 6 (not satisfied). Questionnaire scores were assessed at several time points during the study. (NCT01782690)
Timeframe: At Weeks 4, 8, 9 and 16
Intervention | scores on a scale (Mean) |
---|
| Week 4 | Week 8 | Week 9 | Week 16 |
---|
Erlotinib Plus Gemcitabine | 1.9 | 1.9 | 1.0 | 1.9 |
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Score in Participant Questionnaire: What to Do in Case of Side Effect
Participant questionnaire regarding satisfaction with the information about what one should do in case of side effects. Assessment ranged from 1 (very satisfied) to 6 (not satisfied). Questionnaire scores were assessed at several time points during the study. (NCT01782690)
Timeframe: At Weeks 4, 8, 9 and 16
Intervention | scores on a scale (Mean) |
---|
| Week 4 | Week 8 | Week 9 | Week 16 |
---|
Erlotinib Plus Gemcitabine | 1.9 | 2.0 | 1.0 | 1.9 |
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Number of Dose Modifications and Dose Withdrawals of Erlotinib
Reported is the total number of dose modifications/withdrawals for erlotinib. (NCT01782690)
Timeframe: Up to 12 months
Intervention | dose modifications/withdrawals (Number) |
---|
Erlotinib Plus Gemcitabine | 152 |
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Number of Dose Modifications and Dose Withdrawals of Gemcitabine
Reported is the number of dose modifications/withdrawals for gemcitabine. (NCT01782690)
Timeframe: Up to 12 months
Intervention | dose modifications/withdrawals (Number) |
---|
Erlotinib Plus Gemcitabine | 738 |
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Number of Participants With Adverse Events (AEs)
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. (NCT01782690)
Timeframe: Up to 12 months
Intervention | participants (Number) |
---|
Erlotinib Plus Gemcitabine | 310 |
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Percentage of Participants With Best Overall Response
Best overall response was defined as complete response (CR) plus partial response (PR). Tumor evaluations were performed in accordance with daily routine practice. (NCT01782690)
Timeframe: Up to 12 months
Intervention | percentage of participants (Number) |
---|
Erlotinib Plus Gemcitabine | 24.74 |
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Time to Disease Progression
Disease progression was defined in accordance with daily routine practice. (NCT01782690)
Timeframe: Up to 12 months
Intervention | months (Median) |
---|
Erlotinib Plus Gemcitabine | 4.3726 |
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Time of Onset of Rash After Start Erlotinib Treatment
Reported is the number of days from first erlotinib treatment to first rash onset. (NCT01782690)
Timeframe: Up to 12 months
Intervention | days (Mean) |
---|
Erlotinib Plus Gemcitabine | 18.4 |
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Overall Survival Stratified by Rash
Overall survival was defined as the time from the date of randomization to the date of death from any cause and was stratified by rash status. Participants with rash: rash = yes. Participants without rash: rash = no. (NCT01782690)
Timeframe: Up to 12 months
Intervention | months (Median) |
---|
| Rash = Yes | Rash = No |
---|
Erlotinib Plus Gemcitabine | 9.9288 | 8.6795 |
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Score in Participant Questionnaire: Actual Side Effects of Therapy Compared to Expectation
Participant questionnaire regarding the actual side effects of therapy compared to what one expected before therapy. Assessment ranged from 1 (less than expected) to 6 (more than expected). Questionnaire scores were assessed at several time points during the study. (NCT01782690)
Timeframe: At Weeks 4, 8, 9 and 16
Intervention | scores on a scale (Mean) |
---|
| Week 4 | Week 8 | Week 9 | Week 16 |
---|
Erlotinib Plus Gemcitabine | 2.6 | 2.6 | 6.0 | 2.7 |
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Number of Participants With R0 Resection Status.
R0 resection status is a macroscopic complete removal of tumor by non-contaminated operation, with neither macroscopic nor microscopic residual tumor. (NCT01783054)
Timeframe: at time of surgery
Intervention | participants (Number) |
---|
Chemotherapy, Surgery | 2 |
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Number of Adverse Events Reported in Subjects Enrolled.
Assess the safety profile of this neoadjuvant regimen in patients with localized pancreatic adenocarcinoma. All toxicities will be reported by type and grade and tabulated. All adverse events will be reported via case report forms. The intensity of any adverse event should be reported according to the NCI Common Terminology Criteria for Adverse Events v4.0. (NCT01783054)
Timeframe: First study drug administration until end of study
Intervention | adverse events (Number) |
---|
Chemotherapy, Surgery | 60 |
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Overall Survival (OS)
Overall survival (OS) duration is defined from the date of first dose of study drug to the date of death from any cause. OS was estimated by the Kaplan-Meier method. For participants who were not known to have died as of the data cut-off date, OS was censored at the date of last contact prior to the data cutoff date. (NCT01788566)
Timeframe: Baseline to Death from Any Cause (up to 17 Months)
Intervention | months (Median) |
---|
Gemcitabine + Cisplatin + Necitumumab | 11.7 |
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Percentage of Participants Who Achieve Best Overall Tumor Response of Complete Response (CR) or Partial Response (PR) Objective Tumor Response Rate (ORR)
ORR is confirmed best overall tumor response of CR or PR. According to RECIST v1.1, PR defined as a >30% decrease in the sum of the longest diameters (LD) of the target lesions, taking as reference the baseline sum of the LD; CR was defined as the disappearance of all target and non-target lesions. Percentage of participants was calculated as: total number of participants with a best tumor response of PR or CR among participants counted in the denominator/total number of participants treated with any amount of study drug, who has a complete radiographic assessment at baseline, and who has at least 1 complete radiographic assessment at postbaseline x 100%. (NCT01788566)
Timeframe: Baseline to Measured Progressive Disease (up to 17 Months)
Intervention | Percentage of participants (Number) |
---|
Gemcitabine + Cisplatin + Necitumumab | 48.1 |
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Progression Free Survival (PFS)
PFS is defined as the time from the date of first dose of study drug until objective progressive disease (PD) or death for any cause. According to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1), PD was at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study. In addition to the 20% relative increase, the sum must have also demonstrated an absolute increase of at least 5 millimeters (mm). The appearance of 1 or more new lesions was also considered progression. For participants not known to have died as of the data cut-off date and who do not have objective PD, PFS will be censored at the date of the last complete radiographic assessment. (NCT01788566)
Timeframe: Baseline to Measured Progressive Disease or Death from Any Cause (up to 17 Months)
Intervention | months (Median) |
---|
Gemcitabine + Cisplatin + Necitumumab | 5.6 |
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Number of Participants With Anti-Necitumumab Antibodies
A participant was considered to have an anti-necitumumab antibody response if anti-drug antibodies (ADA) were detected at any time point. Treatment emergent antibodies were defined as any anti-necitumumab antibody titer equal to or greater than 4-fold the participant's baseline titer. (NCT01788566)
Timeframe: Baseline up to 30 Days Post Last Infusion (up to 17 Months)
Intervention | participants (Number) |
---|
| Number of Participants with 1 Positive Titer | Treatment Emergent Antibody Positive | Neutralizing Antibody Detected |
---|
Gemcitabine + Cisplatin + Necitumumab | 9 | 4 | 3 |
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Pharmacokinetics (PK): Minimum (Cmin) Maximum Concentration (Cmax) of Necitumumab
Pre-infusion Minimum Concentration (Cmin) and post-infusion (Cmax) necitumumab serum concentration (NCT01788566)
Timeframe: Predose Cycle 1 Day 8; Cycle 2 through 6 Day 1; End of Infusion (EOI) Cycle 1, 3, 5 Day 1
Intervention | micrograms/milliliter (ug/ml) (Geometric Mean) |
---|
| Predose Cycle 1 Day 8 | Predose Cycle 2 Day 1 | Predose Cycle 3 Day 1 | Predose Cycle 4 Day 1 | Predose Cycle 5 Day 1 | Predose Cycle 6 Day 1 | EOI Cycle 1 Day 1 | EOI Cycle 3 Day 1 | EOI Cycle 5 Day 1 |
---|
Gemcitabine + Cisplatin + Necitumumab | 70.8 | 67.5 | 106 | 115 | 141 | 126 | 266 | 352 | 360 |
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Number of Participants Who Achieve Best Overall Disease Response of Complete Response (CR), Partial Response (PR) or Stable Disease (SD) [Disease Control Rate (DCR)]
DCR is best overall response of SD, PR or CR. According to RECIST v1.1, PR defined as a ≥30% decrease in the sum of the longest diameters (LD) of the target lesions, taking as reference the baseline sum of the LD; CR was defined as the disappearance of all target and non-target lesions. SD was neither sufficient shrinkage to qualify as PR nor sufficient increase to qualify as PD, taking as reference the smallest sum diameter since treatment started. Percentage of participants who achieved disease control = (those participants counted in the denominator with a best tumor response of SD, PR, or CR)/(the same denominator as for ORR)*100. (NCT01788566)
Timeframe: Baseline to Measured Progressive Disease or Participants Stops Study (up to 17 Months)
Intervention | percentage of participants (Number) |
---|
Gemcitabine + Cisplatin + Necitumumab | 81.5 |
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Percent Change in Tumor Size (CTS)
CTS is defined as maximum percent improvement from baseline in the sum of target lesions. (NCT01788566)
Timeframe: Baseline until Measured Progressive Disease (up to 17 Months)
Intervention | percent change (Mean) |
---|
Gemcitabine + Cisplatin + Necitumumab | 39.68 |
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Percentage of Participants Experiencing Laboratory Abnormalities
Treatment-emergent laboratory abnormalities were defined as values that increase at least one toxicity grade from baseline. Participants with any laboratory abnormality were reported. (NCT01803282)
Timeframe: Part A: First dose date up to 32 weeks plus 30 days; Part B: First dose date up to 181 weeks plus 30 days
Intervention | percentage of participants (Number) |
---|
| Any Laboratory abnormalities: Hematology | Any Laboratory abnormalities: Serum Chemistry | Any Laboratory abnormalities: Coagulation |
---|
Part A: ADX 1800 mg | 33.3 | 83.3 | 33.3 |
,Part A: ADX 200 mg | 0.0 | 100.0 | 25.0 |
,Part A: ADX 600 mg | 33.3 | 66.7 | 0.0 |
,Part B: BRCA, ADX 800 mg | 86.7 | 66.7 | 40.0 |
,Part B: EGC, ADX 800 mg | 87.5 | 87.5 | 35.0 |
,Part B: FL CRC, ADX 800 mg+BEV 10 mg/kg | 90.9 | 81.8 | 36.4 |
,Part B: FL CRC, ADX 800 mg+BEV 5 mg/kg | 84.4 | 95.6 | 37.8 |
,Part B: LAC, ADX 1200 mg | 90.0 | 60.0 | 10.0 |
,Part B: LSC, ADX 1200 mg | 80.0 | 70.0 | 10.0 |
,Part B: PAC, ADX 800 mg | 97.2 | 88.9 | 38.9 |
,Part B: SL CRC, ADX 800 mg+BEV 10 mg/kg | 100.0 | 87.5 | 37.5 |
,Part B: SL CRC, ADX 800 mg+BEV 5 mg/kg | 95.5 | 86.4 | 45.5 |
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Percentage of Participants Experiencing Treatment-Emergent Adverse Events
(NCT01803282)
Timeframe: Part A: First dose date up to 32 weeks plus 30 days; Part B: First dose date up to 181 weeks plus 30 days
Intervention | percentage of participants (Number) |
---|
Part A: ADX 200 mg | 100.0 |
Part A: ADX 600 mg | 100.0 |
Part A: ADX 1800 mg | 83.3 |
Part B: PAC, ADX 800 mg | 100.0 |
Part B: LAC, ADX 1200 mg | 100.0 |
Part B: LSC, ADX 1200 mg | 100.0 |
Part B: EGC, ADX 800 mg | 100.0 |
Part B: FL CRC, ADX 800 mg+BEV 5 mg/kg | 100.0 |
Part B: FL CRC, ADX 800 mg+BEV 10 mg/kg | 100.0 |
Part B: SL CRC, ADX 800 mg+BEV 5 mg/kg | 100.0 |
Part B: SL CRC, ADX 800 mg+BEV 10 mg/kg | 100.0 |
Part B: BRCA, ADX 800 mg | 100.0 |
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CL/F
Apparent oral plasma clearance (NCT01809210)
Timeframe: Cycle 2 Day1, pre-dose, 0.5, 1, 1.5, 2, 4, 8, 10 hours post dose
Intervention | L/h (Mean) |
---|
Cohort 1 sel50, Gem, Cis | NA |
Cohort 2 sel50, Gem, Carb | 14.72 |
Cohort 3 sel75, Gem, Cis | 22.64 |
Cohort 4 sel150, Pem, Carb | 10.72 |
Cohort 5 sel75, Pem, Carb | 18.82 |
Cohort 6 sel75, Pem, Cis | 19.08 |
Cohort 7 sel100, Pem, Carb | 21.02 |
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Cmax,ss
Maximum plasma concentration at steady state (NCT01809210)
Timeframe: Cycle 2 Day1, pre-dose, 0.5, 1, 1.5, 2, 4, 8, 10 hours post dose
Intervention | ng/mL (Geometric Mean) |
---|
Cohort 1 sel50, Gem, Cis | 476.7 |
Cohort 2 sel50, Gem, Carb | 1222 |
Cohort 3 sel75, Gem, Cis | 1487 |
Cohort 4 sel150, Pem, Carb | 1615 |
Cohort 5 sel75, Pem, Carb | 1375 |
Cohort 6 sel75, Pem, Cis | 1364 |
Cohort 7 sel100, Pem, Carb | 2309 |
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Percentage Change From Baseline at 6 Weeks in Target Lesion Size
The percentage change in the sum of the diameters of target lesions (NCT01809210)
Timeframe: Week 6
Intervention | % change (Mean) |
---|
Cohort 1 sel50, Gem, Cis | -7.5 |
Cohort 2 sel50, Gem, Carb | -29.3 |
Cohort 3 sel75, Gem, Cis | -10.4 |
Cohort 4 sel150, Pem, Carb | -14.7 |
Cohort 5 sel75, Pem, Carb | -24.4 |
Cohort 6 sel75, Pem, Cis | -18.9 |
Cohort 7 sel100, Pem, Carb | -18.4 |
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Tmax,ss
Time to reach maximum plasma concentration at steady state (NCT01809210)
Timeframe: Cycle 2 Day1, pre-dose, 0.5, 1, 1.5, 2, 4, 8, 10 hours post dose
Intervention | h (Median) |
---|
Cohort 1 sel50, Gem, Cis | 1.00 |
Cohort 2 sel50, Gem, Carb | 1.25 |
Cohort 3 sel75, Gem, Cis | 1.00 |
Cohort 4 sel150, Pem, Carb | 1.00 |
Cohort 5 sel75, Pem, Carb | 1.75 |
Cohort 6 sel75, Pem, Cis | 1.48 |
Cohort 7 sel100, Pem, Carb | 1.50 |
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Best Objective Response
The best response a patient has had during their time in the study up until RECIST progression or last valuable assessment in the absence of RECIST progression. Per Response Evaluation Criteria In Solid Tumours (RECIST version 1.1) for target lesions (TL) and assessed by MRI or CT: Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for a Partial Response nor sufficient increase to qualify for Progressive Disease (PD); Progressive Disease (PD), >=20% increase in the sum of the longest diameter of target lesions, the sum must also demonstrate an absolute increase of >=5mm; Complete Response (CR), disappearance of all target lesions, any pathological lymph nodes selected as TLs must have a reduction in short axis to <10mm (NCT01809210)
Timeframe: Screening, week 6 and week 12
Intervention | participants (Number) |
---|
| Complete response | Partial response | Unconfirmed complete or partial response | Stable disease | RECIST progression | Death | Incomplete post-baseline assessments |
---|
Cohort 1 sel50, Gem, Cis | 0 | 1 | 0 | 0 | 2 | 0 | 0 |
,Cohort 2 sel50, Gem, Carb | 0 | 2 | 3 | 1 | 0 | 0 | 3 |
,Cohort 3 sel75, Gem, Cis | 0 | 2 | 0 | 2 | 1 | 0 | 2 |
,Cohort 4 sel150, Pem, Carb | 0 | 1 | 0 | 2 | 0 | 0 | 0 |
,Cohort 5 sel75, Pem, Carb | 0 | 1 | 2 | 3 | 0 | 0 | 0 |
,Cohort 6 sel75, Pem, Cis | 0 | 2 | 2 | 7 | 1 | 1 | 2 |
,Cohort 7 sel100, Pem, Carb | 0 | 2 | 2 | 6 | 1 | 0 | 1 |
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Dose Limiting Toxicity (DLT) Events in Chemotherapy in Combination With Selumetinib
Any toxicity not attributable to the disease or disease-related processess under investigation, considered related to the combination of chemotherapy plus selumetinib, which occurs within the timeframe and is dose limiting (NCT01809210)
Timeframe: The first dose on Cycle 1 Day 1 up to the time before dosing on Cycle 2 Day 1, assessed up to 3 weeks
Intervention | participants (Number) |
---|
| Evaluable patients | Evaluable patients with a DLT Event |
---|
Cohort 1 sel50, Gem, Cis | 3 | 0 |
,Cohort 2 sel50, Gem, Carb | 7 | 2 |
,Cohort 3 sel75, Gem, Cis | 4 | 1 |
,Cohort 4 sel150, Pem, Carb | 3 | 0 |
,Cohort 5 sel75, Pem, Carb | 6 | 0 |
,Cohort 6 sel75, Pem, Cis | 12 | 1 |
,Cohort 7 sel100, Pem, Carb | 6 | 1 |
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Objective Response Rate (ORR)
The number of patients who had at least 1 confirmed visit response of Complete Response (CR) or Partial Response (PR) prior to any evidence of progression. Per Response Evaluation Criteria In Solid Tumours (RECIST version 1.1) for target lesions (TL) and assessed by MRI or CT: Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Complete Response (CR), disappearance of all target lesions, any pathological lymph nodes selected as TLs must have a reduction in short axis to <10mm; Objective Response Rate (ORR) = CR + PR (NCT01809210)
Timeframe: Up until progression or last evaluable assessment in the absence of progression, up to 9 months
Intervention | participants (Number) |
---|
Cohort 1 sel50, Gem, Cis | 1 |
Cohort 2 sel50, Gem, Carb | 2 |
Cohort 3 sel75, Gem, Cis | 2 |
Cohort 4 sel150, Pem, Carb | 1 |
Cohort 5 sel75, Pem, Carb | 1 |
Cohort 6 sel75, Pem, Cis | 2 |
Cohort 7 sel100, Pem, Carb | 2 |
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AUC (0-tau)
Area under the concentration time curve (AUC) over a dosing interval at steady state (0-tau) (NCT01809210)
Timeframe: Cycle 2 Day1, pre-dose, 0.5, 1, 1.5, 2, 4, 8, 10 hours post dose
Intervention | h*ng/mL (Geometric Mean) |
---|
Cohort 1 sel50, Gem, Cis | NA |
Cohort 2 sel50, Gem, Carb | 3571 |
Cohort 3 sel75, Gem, Cis | 3339 |
Cohort 4 sel150, Pem, Carb | 4813 |
Cohort 5 sel75, Pem, Carb | 4366 |
Cohort 6 sel75, Pem, Cis | 4116 |
Cohort 7 sel100, Pem, Carb | 5202 |
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Best Percentage Change From Baseline in Target Lesion Size
The best percentage change in tumour size a patient has had during their time in the study up until RECIST progression or last valuable assessment in the absence of RECIST progression. Percentage change was derived at each visit by the percentage change in the sum of the diameters of target lesions (NCT01809210)
Timeframe: Screening, week 6 and week 12
Intervention | % change (Mean) |
---|
Cohort 1 sel50, Gem, Cis | -11.9 |
Cohort 2 sel50, Gem, Carb | -34.6 |
Cohort 3 sel75, Gem, Cis | -41.3 |
Cohort 4 sel150, Pem, Carb | -28.3 |
Cohort 5 sel75, Pem, Carb | -34.7 |
Cohort 6 sel75, Pem, Cis | -24.4 |
Cohort 7 sel100, Pem, Carb | -25.4 |
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Duration of Response
Duration of response was the time from the first overall response contributing to an objective response to the first overall response of progressive disease (PD) occurring after the first overall response contributing to the objective response. Confidence intervals for median duration of response were calculated using the method of Brookmeyer and Crowley (1982). (NCT01822756)
Timeframe: Randomization to clinical cutoff 22Sept2015 (approx 244 days)
Intervention | days (Median) |
---|
Cohort A0 | 132.0 |
Cohort B (-1) | 33.0 |
Cohort B0 (+GCSF) | 113.0 |
Cohort B0 (-GCSF) | 244.0 |
Cohort B1 | 225.0 |
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Percentage of Participants With a Best Response by RECIST Criteria
"Best response was determined on the subject level using the highest overall response achieved post-baseline. In the case of stable disease (SD), measurements had to meet the SD criterion at least once after study entry at a minimum interval of 49 days. Subjects who failed to meet this criterion had best response of progressive disease (PD) if the next available RECIST evaluation after the initial scan indicated PD or not evaluable (NE) if no additional RECIST evaluations were available.~Complete Response (CR) and Partial Response (PR) defined by the Response Evaluation Criteria in Solid Tumor (RECIST) criteria. CR: Disappearance of all target and nontarget lesions. PR: At least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum longest diameter, or persistence of 1 or more nontarget lesion(s) or/and maintenance of tumor marker level above the normal limits." (NCT01822756)
Timeframe: every 2 cycles starting at Cycle 3 Day 1 up to approximately 4 to 6 months
Intervention | percentage of participants (Number) |
---|
| Overall response | Complete response | Partial response | Stable disease | Progressive disease | Not evaluable | Missing |
---|
Cohort A0 | 12.5 | 0.0 | 12.5 | 25.0 | 37.5 | 6.3 | 18.8 |
,Cohort B (-1) | 25.0 | 0.0 | 25.0 | 75.0 | 0.0 | 0.0 | 0.0 |
,Cohort B0 (-GCSF) | 25.0 | 25.0 | 0.0 | 50.0 | 0.0 | 0.0 | 25.0 |
,Cohort B0 (+GCSF) | 50.0 | 0.0 | 50.0 | 20.0 | 10.0 | 0.0 | 20.0 |
,Cohort B1 | 37.5 | 0.0 | 37.5 | 25.0 | 37.5 | 0.0 | 0.0 |
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Percentage of Participants With Adverse Events That Are Defined as Dose Limiting Toxicities (DLTs)
Toxicities occurring during the first treatment cycle (Cycle 1) defined tolerability. Within each cohort, subjects were considered evaluable if they had received at least 40 of 56 planned doses of RUX during the 28-day surveillance period and received 2 of the 3 planned doses of chemotherapy (gemcitabine and/or gemcitabine and nab-paclitaxel) at the assigned dose level, or they had experienced a DLT. (NCT01822756)
Timeframe: Approximately 28 days
Intervention | percentage of participants (Number) |
---|
Cohort A0 | 0.0 |
Cohort B (-1) | 0.0 |
Cohort B0 (+GCSF) | 20.0 |
Cohort B0 (-GCSF) | 50.0 |
Cohort B1 | 0.0 |
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Percentage of Responders
Duration of response was measured as the time from the first overall response contributing to an objective response to the first overall response of progressive disease (PD) occurring after the first overall response contributing to the objective response. (NCT01822756)
Timeframe: Randomization to clinical cutoff 22Sept2015 (approx 244 days)
Intervention | Percentage of responders (Number) |
---|
Cohort A0 | 12.5 |
Cohort B (-1) | 25.0 |
Cohort B0 (+GCSF) | 50.0 |
Cohort B0 (-GCSF) | 25.0 |
Cohort B1 | 37.5 |
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Safety - Frequency of Toxicities Grade 3 and 4
Frequency of toxicities was reported by type and grade according to the National Cancer Institute Common Terminology Criteria for Adverse Events (version 4.0). (NCT01822886)
Timeframe: 24 months
Intervention | events (Number) |
---|
Romidepsin, Gemcitabine | 29 |
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Percentage of Participants With Progression-Free Survival
The time from start of study treatment to first documentation of objective tumor progression or to death due to any cause, whichever comes first. PFS (progression-free survival) data will be censored on the day following the date of the last radiological assessment of measured lesions documenting absence of progressive disease for patients who do not have objective tumor progression and are still on study at the time of an analysis, are given antitumor treatment other than the study treatment or stem cell transplant, or are removed from study prior to documentation of objective tumor progression. Patients lacking an evaluation of tumor response after their first dose will have their event time censored at 1 day. Percentage of participants is an estimate based on Kaplan-Meier method. (NCT01822886)
Timeframe: 24 months
Intervention | percentage of partecipants (Number) |
---|
Romidepsin, Gemcitabine | 11.2 |
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Overall Survival is Measured From the Date of Study Entry to the Date of Patient's Death
OS (overall survival) is measured from the date of study entry to the date of patient's death. If the patient is alive or his vital status is unknown, the date of death will be censored at the date that the patient is last known to be alive. (NCT01822886)
Timeframe: 24 months
Intervention | percentage of partecipants (Number) |
---|
Romidepsin, Gemcitabine | 50 |
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Complete Remission (CR) Rate
"Complete Remission is disappearance of all target lesions per the Revised Response Criteria for Malignant Lymphoma (Cheson et al. 2007)" (NCT01822886)
Timeframe: 18 months
Intervention | Participants (Count of Participants) |
---|
Romidepsin, Gemcitabine | 3 |
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Overall Response Rate (ORR)
"ORR the proportion of patients who achieve CR (complete response), CRu (complete remission unconfirmed) or PR (partial response) relative to the per-protocol population. Disease response and progression will be evaluated according to the Revised Response Criteria for malignant lymphoma (Cheson et al. 2007)." (NCT01822886)
Timeframe: 24 months
Intervention | Participants (Count of Participants) |
---|
Romidepsin, Gemcitabine | 6 |
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MTD of MEK162 - Phase I
In the phase I portion, up to 18 patients will be enrolled in classic 3+3 cohort dose escalation design to identify the MTD of MEK162 when administered with gemcitabine and cisplatin given weeks 2 and 3 of a 3 week cycle . (NCT01828034)
Timeframe: 1 year
Intervention | mg (Number) |
---|
Gemcitabine, Cisplatin and MEK162 | 45 |
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Objective Response Rate (ORR)
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. (NCT01828034)
Timeframe: 1 year
Intervention | percentage of participants with ORR (Number) |
---|
Gemcitabine, Cisplatin and MEK162 | 12 |
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Number of Participants With Treatment-Emergent Adverse Events (TEAE), Serious TEAEs, TEAEs Leading to Death
AE was defined as any untoward medical occurrence which does not necessarily have a causal relationship with this the study drug. An AE was defined as any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug. A serious AE was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. TEAEs are events with start date on or after the date of first dose of study treatment and up to and including 30 days after the last dose of study treatment, or events with start date prior to the date of first dose of study treatment, and worsened in severity or become serious during treatment. TEAEs include both Serious TEAEs and non-serious TEAEs. (NCT01833546)
Timeframe: Baseline up to 33 months
Intervention | Participants (Count of Participants) |
---|
| TEAEs | Serious TEAEs | TEAEs leading to death |
---|
Evofosfamide 240 mg | 3 | 0 | 0 |
,Evofosfamide 340 mg | 3 | 0 | 0 |
,Evofosfamide 340 mg + Gemcitabine | 6 | 1 | 0 |
,Evofosfamide 480 mg | 8 | 1 | 0 |
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Number of Participants With Clinical Significant Laboratory Abnormalities and Vital Signs Abnormalities Reported as Treatment Emergent Adverse Events
Clinical laboratory parameters that were assessed included: hematological parameters, blood chemistry parameters, coagulation and urinalysis and the vital signs that were assessed included: blood pressure, heart rate, respiratory rate, and body temperature. (NCT01833546)
Timeframe: Baseline up to 33 months
Intervention | Participants (Count of Participants) |
---|
| Subjects with Lab Abnormalities | Subjects with Vital signs Abnormalities |
---|
Evofosfamide 240 mg | 3 | 0 |
,Evofosfamide 340 mg | 3 | 0 |
,Evofosfamide 340 mg + Gemcitabine | 6 | 0 |
,Evofosfamide 480 mg | 8 | 0 |
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Cumulative Amount of Evofosfamide Excreted From Time Zero to Time After Dosing (Ae0-t)
Cumulative amount excreted in urine from time zero to the end of the last measurable concentration was reported. (NCT01833546)
Timeframe: Monotherapy: pre-dose, 0.25, 0.5, 0.58, 0.75, 1, 1.08, 1.25, 1.5, 2, 2.5, 3.5, 4.5, 6.5, 8.5, 12.5 hours post-dose on Day 1 and 15; Combination therapy: pre-dose, 0.5, 0.66, 1, 2, 2.5, 3, 3.5, 4, 4.5, 6.5, 8, 10.5, 26.5 hours post-dose on Day 1 and 15
Intervention | milligram per square meter (Geometric Mean) |
---|
| Evofosfamide: Day 1 | Evofosfamide: Day 15 |
---|
Evofosfamide 240 mg | 22.913 | 11.674 |
,Evofosfamide 340 mg | 17.135 | 22.605 |
,Evofosfamide 340 mg + Gemcitabine | 22.691 | 30.025 |
,Evofosfamide 480 mg | 38.771 | 40.049 |
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Apparent Volume of Distribution During Terminal Phase (Vz) of Gemcitabine
Apparent volume of distribution during the terminal phase, calculated as Vz = Dose/AUC0-inf multiplied by elimination rate constant [λz]) following single dose. Area under the plasma concentration-time curve from time zero to infinity, calculated (AUC0-inf) as AUC0-t + AUCextra. AUCextra represents an extrapolated value obtained by Clast / λz, where Clast is the calculated serum concentration at the last sampling time point at which the measured plasma concentration is at or above lower limit of quantification (LLQ) and λz is the elimination rate constant. And the elimination rate constant obtained from linear regression of the terminal phase of the log transformed concentration-time data. This outcome was applicable for only combination arm in which evofosfamide was administered along with gemcitabine. (NCT01833546)
Timeframe: Pre-dose, 0.5, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and 15
Intervention | Liter per square meter (Geometric Mean) |
---|
| Gemcitabine: Day 1 | Gemcitabine: Day 15 |
---|
Evofosfamide 340 mg + Gemcitabine | 28.78 | 30.14 |
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Apparent Volume of Distribution During Terminal Phase (Vz) of Evofosfamide
Apparent volume of distribution during the terminal phase, calculated as Vz = Dose/AUC0-inf multiplied by elimination rate constant [λz]) following single dose. Area under the plasma concentration-time curve from time zero to infinity, calculated (AUC0-inf) as AUC0-t + AUCextra. AUCextra represents an extrapolated value obtained by Clast / λz, where Clast is the calculated serum concentration at the last sampling time point at which the measured plasma concentration is at or above lower limit of quantification (LLQ) and λz is the elimination rate constant. And the elimination rate constant obtained from linear regression of the terminal phase of the log transformed concentration-time data. (NCT01833546)
Timeframe: Monotherapy: pre-dose, 0.25, 0.5, 0.58, 0.75, 1, 1.08, 1.25, 1.5, 2, 2.5, 3.5, 4.5, 6.5, 8.5, 12.5 hours post-dose on Day 1 and 15; Combination therapy: pre-dose, 0.5, 0.66, 1, 2, 2.5, 3, 3.5, 4, 4.5, 6.5, 8, 10.5, 26.5 hours post-dose on Day 1 and 15
Intervention | Liter per square meter (Geometric Mean) |
---|
| Evofosfamide: Day 1 | Evofosfamide: Day 15 |
---|
Evofosfamide 240 mg | 44.85 | 45.41 |
,Evofosfamide 340 mg | 39.16 | 40.44 |
,Evofosfamide 340 mg + Gemcitabine | 49.07 | 51.34 |
,Evofosfamide 480 mg | 42.10 | 46.86 |
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Number of Participants With Abnormal Electrocardiogram (ECG) Findings Reported as Treatment Emergent Adverse Events (TEAEs)
Twelve-lead ECGs were performed and assessed after at least 5 minutes rest in supine position locally. (NCT01833546)
Timeframe: Baseline up to 33 months
Intervention | Participants (Count of Participants) |
---|
Evofosfamide 240 mg | 0 |
Evofosfamide 340 mg | 0 |
Evofosfamide 480 mg | 3 |
Evofosfamide 340 mg + Gemcitabine | 1 |
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Number of Participants With Disease Control
Disease Control was defined as having achieved at least disease stabilization; that is participants with confirmed CR, PR, or SD lasting for at least 16 weeks. CR: Disappearance of all target lesions. PR: A decrease of at least 30% in the sum of the longest diameter of target lesions. PD: PD is defined as at least a 20 percent (%) increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. SD: Neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease. (NCT01833546)
Timeframe: Time from first treatment to final assessment at 33 months
Intervention | Participants (Count of Participants) |
---|
Evofosfamide 240 mg | 0 |
Evofosfamide 340 mg | 0 |
Evofosfamide 480 mg | 2 |
Evofosfamide 340 mg + Gemcitabine | 2 |
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Renal Clearance (CL) for Evofosfamide
Renal clearance is the volume of plasma from which the drug is completely removed by the kidney in a given amount of time. (NCT01833546)
Timeframe: Monotherapy: pre-dose, 0.25, 0.5, 0.58, 0.75, 1, 1.08, 1.25, 1.5, 2, 2.5, 3.5, 4.5, 6.5, 8.5, 12.5 hours post-dose on Day 1 and 15; Combination therapy: pre-dose, 0.5, 0.66, 1, 2, 2.5, 3, 3.5, 4, 4.5, 6.5, 8, 10.5, 26.5 hours post-dose on Day 1 and 15
Intervention | Liter per hour per square meter (Geometric Mean) |
---|
| Evofosfamide: Day 1 | Evofosfamide: Day 15 |
---|
Evofosfamide 240 mg | 4.35 | 2.23 |
,Evofosfamide 340 mg | 2.18 | 2.76 |
,Evofosfamide 340 mg + Gemcitabine | 3.79 | 5.35 |
,Evofosfamide 480 mg | 3.72 | 3.73 |
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Apparent Volume of Distribution at Steady State (Vss) of Gemcitabine
Volume of distribution was 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) was the apparent volume of distribution at steady-state. This outcome was applicable for only combination arm in which evofosfamide was administered along with gemcitabine. (NCT01833546)
Timeframe: Pre-dose, 0.5, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and 15
Intervention | Liter per square meter (Geometric Mean) |
---|
| Gemcitabine: Day 1 | Gemcitabine: Day 15 |
---|
Evofosfamide 340 mg + Gemcitabine | 34.41 | 43.71 |
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Apparent Volume of Distribution at Steady State (Vss) of Evofosfamide
Volume of distribution was 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) was the apparent volume of distribution at steady-state. (NCT01833546)
Timeframe: Monotherapy: pre-dose, 0.25, 0.5, 0.58, 0.75, 1, 1.08, 1.25, 1.5, 2, 2.5, 3.5, 4.5, 6.5, 8.5, 12.5 hours post-dose on Day 1 and 15; Combination therapy: pre-dose, 0.5, 0.66, 1, 2, 2.5, 3, 3.5, 4, 4.5, 6.5, 8, 10.5, 26.5 hours post-dose on Day 1 and 15
Intervention | Liter per square meter (Geometric Mean) |
---|
| Evofosfamide: Day 1 | Evofosfamide: Day 15 |
---|
Evofosfamide 240 mg | 21.71 | 20.26 |
,Evofosfamide 340 mg | 21.54 | 18.83 |
,Evofosfamide 340 mg + Gemcitabine | 39.03 | 41.55 |
,Evofosfamide 480 mg | 21.79 | 21.35 |
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Apparent Total Body Clearance of (CL) of Gemcitabine
Apparent total clearance (CL/F) was calculated as dose divided by area under the plasma concentration-time profile from time zero extrapolated to infinity (AUC[inf]). This outcome was applicable for only combination arm in which evofosfamide was administered along with gemcitabine. (NCT01833546)
Timeframe: Pre-dose, 0.5, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and 15
Intervention | Liter per hour per square meter (Geometric Mean) |
---|
| Gemcitabine: Day 1 | Gemcitabine: Day 15 |
---|
Evofosfamide 340 mg + Gemcitabine | 93.29 | 101.04 |
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Apparent Total Body Clearance of (CL) of Evofosfamide
Apparent total clearance (CL/F) was calculated as dose divided by area under the plasma concentration-time profile from time zero extrapolated to infinity (AUC[inf]). (NCT01833546)
Timeframe: Monotherapy: pre-dose, 0.25, 0.5, 0.58, 0.75, 1, 1.08, 1.25, 1.5, 2, 2.5, 3.5, 4.5, 6.5, 8.5, 12.5 hours post-dose on Day 1 and 15; Combination therapy: pre-dose, 0.5, 0.66, 1, 2, 2.5, 3, 3.5, 4, 4.5, 6.5, 8, 10.5, 26.5 hours post-dose on Day 1 and 15
Intervention | Liter per hour per square meter (Geometric Mean) |
---|
| Evofosfamide: Day 1 | Evofosfamide: Day 15 |
---|
Evofosfamide 240 mg | 45.83 | 45.74 |
,Evofosfamide 340 mg | 43.05 | 41.74 |
,Evofosfamide 340 mg + Gemcitabine | 56.23 | 60.43 |
,Evofosfamide 480 mg | 46.07 | 44.59 |
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Best Overall Response (BOR)
BOR was determined according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1). BOR was defined as the best response of any of the confirmed complete response (CR), confirmed partial response (PR), stable disease (SD) and progressive disease (PD). CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. Stable disease (SD)=Neither sufficient increase to qualify for PD nor sufficient shrinkage to qualify for PR. PD was defined as at least a 20 percent (%) increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. Number of participants with CR, PR, SD and PD were reported. (NCT01833546)
Timeframe: Time from first treatment to final assessment at 33 months
Intervention | Participants (Count of Participants) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease |
---|
Evofosfamide 240 mg | 0 | 0 | 0 | 2 |
,Evofosfamide 340 mg | 0 | 0 | 0 | 3 |
,Evofosfamide 340 mg + Gemcitabine | 0 | 0 | 2 | 3 |
,Evofosfamide 480 mg | 0 | 0 | 2 | 4 |
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Number of Participants With Objective Response
OR was determined according to RECIST v1.1. Objective response is defined as a best overall response of confirmed complete response (CR) or partial response (PR). CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. Number of participants with OR were reported. (NCT01833546)
Timeframe: Time from first treatment to final assessment at 33 months
Intervention | Participants (Count of Participants) |
---|
Evofosfamide 240 mg | 0 |
Evofosfamide 340 mg | 0 |
Evofosfamide 480 mg | 0 |
Evofosfamide 340 mg + Gemcitabine | 0 |
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Number of Participants Who Experienced Any Dose-Limiting Toxicity (DLT) During First Cycle - Day 1 to 28
A DLT was defined as any of the following toxicities at any dose level that occurred during the first cycle, and were considered to be related to the study drug by the Investigator or the Sponsor: - Grade 3 or Grade 4 non-hematological toxicity, except for Grade 3 or Grade 4 nausea, vomiting and diarrhea, - Grade 3 or higher skin reactions or mucosal toxicities, - Febrile neutropenia, - Grade 3 alanine aminotransferase (ALT)/aspartate aminotransferase (AST) elevation lasting more than 7 days, - Grade 4 neutropenia lasting more than 5 days, - Grade 4 thrombocytopenia, - Grade 4 anemia, - Any non-preexisting Grade 2 or higher non-hematologic toxicity which, in the judgment of the Investigator and the Sponsor, was considered a DLT, - Any Grade 2 or higher non-hematologic toxicity that did not resolve to Grade 0 or Grade 1 toxicity by the start of the next cycle which, in the judgment of the Investigator and the Sponsor, was considered a DLT. (NCT01833546)
Timeframe: Day 1 up to Day 28 of Cycle 1
Intervention | Participants (Count of Participants) |
---|
Evofosfamide 240 mg | 0 |
Evofosfamide 340 mg | 0 |
Evofosfamide 480 mg | 1 |
Evofosfamide 340 mg + Gemcitabine | 0 |
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Overall Survival
Overall survival was defined as the time from randomization until death from any cause. Participants who died or were lost to follow-up by the date of analysis data cutoff were censored at their last contact date. (NCT01839487)
Timeframe: From randomization until death from any cause (maximum exposure: 30.72 months for PAG, and 20.27 months for AG)
Intervention | months (Median) |
---|
PAG: PEGPH20 + Nab-paclitaxel + Gemcitabine | 9.59 |
AG: Nab-paclitaxel + Gemcitabine | 9.23 |
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Percentage of Participants in the PAG Arm Who Experienced Any Thromboembolic (TE) Event in Stage 2 of the Study
TE events were identified by applying the Medical Dictionary for Regulatory Activities (MedDRA) Standardized MedDRA Queries (SMQ) search strategy for 3 SMQs: TE arterial, TE venous, and TE vessel type unspecified and mixed arterial and venous. TE events were considered by the Sponsor to be adverse events (AEs) of special interest. All TE events, regardless of type of event, severity, or seriousness were reported. Participants with multiple events were counted only once. A summary of serious and all other non-serious adverse events regardless of causality is located in the 'Reported AE section'. (NCT01839487)
Timeframe: From first exposure to any study drug (PEGPH20, NAB, GEM) through 30 days after end of treatment visit (maximum exposure: 30.72 months for PAG)
Intervention | percentage of participants (Number) |
---|
PAG: PEGPH20 + Nab-paclitaxel + Gemcitabine | 14.0 |
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Percentage of Participants With AEs
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Serious adverse event (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. AEs included both SAEs and non-serious AEs. A summary of other non-serious AEs and all SAEs, regardless of causality is located in the 'Reported AE section'. (NCT01839487)
Timeframe: From first exposure to any study drug (PEGPH20, NAB, GEM) through 30 days after end of treatment visit (maximum exposure: 30.72 months for PAG and 20.27 months for AG)
Intervention | percentage of participants (Number) |
---|
PAG: PEGPH20 + Nab-paclitaxel + Gemcitabine | 99.4 |
AG: Nab-paclitaxel + Gemcitabine | 98.0 |
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Progression-Free Survival (PFS)
PFS: time from randomization until first occurrence of disease progression, either by central radiologic determination (Response Evaluation Criteria in Solid Tumours [RECIST] version 1.1) or by clinical progression determined by Investigator, or death during treatment period from any cause. Radiological disease progression was defined as at least a 20 percent (%) increase in sum of diameters of target lesions, taking as reference the smallest sum on study thus far, nadir (this included baseline sum if that was the smallest on study); Sum must also demonstrate an absolute increase of at least 5 millimeters (mm); Appearance of one or more new lesions; Unequivocal progression of existing non-target lesions. Surviving participants without disease progression were censored for PFS analysis at the date of last evaluable post-baseline tumor assessment. Surviving participants without any post-baseline disease assessment were censored on Day 1. PFS was estimated using Kaplan-Meier (KM) method. (NCT01839487)
Timeframe: From the date of randomization until disease progression or death from any cause (maximum exposure: 30.72 months for PAG, and 20.27 months for AG)
Intervention | months (Median) |
---|
PAG: PEGPH20 + Nab-paclitaxel + Gemcitabine | 6.05 |
AG: Nab-paclitaxel + Gemcitabine | 5.26 |
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Area Under the Concentration-Time Curve From Time 0 to Last Quantifiable Concentration (AUC0-last) of PEGPH20
Samples were analyzed for PEGPH20 concentration using a validated electrochemiluminescence immunoassay. Plasma samples to assess the potential effects of NAB+GEM on PEGH20 PK were collected in the PAG treatment group in the run-in phases (Run-in Phase 1: Original PEGPH20 formulation [3.5 mg/mL], and Run-in Phase 2: New PEGPH20 formulation [0.3 mg/mL]). (NCT01839487)
Timeframe: Pre-PEGPH20 dosing and 15 minutes, 1 hour, 2 hours, and 4 hours post-PEGPH20 dosing on Days 1 and 15 of Cycle 1
Intervention | hours*ng/mL (Mean) |
---|
| Day 1 | Day 15 |
---|
Run-in Phase 1-PAG: PEGPH20 (Original Formulation) + NAB + GEM | 1837.93575 | 2807.94210 |
,Run-in Phase 2- PAG: PEGPH20 (New Formulation) + NAB + GEM | 2143.30319 | 2423.01690 |
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Maximum Observed Plasma Concentration (Cmax) of PEGPH20
Samples were analyzed for PEGPH20 concentration using a validated electrochemiluminescence immunoassay. Plasma samples to assess the potential effects of NAB+GEM on PEGH20 pharmacokinetic (PK) were collected in the PAG treatment group in the run-in phases (Run-in Phase 1: Original PEGPH20 formulation [3.5 mg/mL], and Run-in Phase 2: New PEGPH20 formulation [0.3 mg/mL]). (NCT01839487)
Timeframe: Pre-PEGPH20 dosing and 15 minutes, 1 hour, 2 hours, and 4 hours post-PEGPH20 dosing on Days 1 and 15 of Cycle 1
Intervention | nanograms/milliliter (ng/mL) (Mean) |
---|
| Day 1 | Day 15 |
---|
Run-in Phase 1-PAG: PEGPH20 (Original Formulation) + NAB + GEM | 72.1 | 82.9 |
,Run-in Phase 2- PAG: PEGPH20 (New Formulation) + NAB + GEM | 67.8 | 84.1 |
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PFS in Relation to Tumor Hyaluronan (HA) Levels
PFS was defined as time from randomization until first occurrence of disease progression, either by central radiologic determination (RECIST version 1.1) or by clinical progression determined by Investigator, or death during treatment period from any cause. Disease progression was defined as at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study thus far, nadir (this included baseline sum if that was the smallest on study); Sum must also demonstrate an absolute increase of at least 5 mm; Appearance of one or more new lesions; Unequivocal progression of existing non-target lesions. Surviving participants without disease progression were censored for PFS analysis at the date of last evaluable post-baseline tumor assessment. Surviving participants without any post-baseline disease assessment were censored on Day 1. PFS was estimated using KM method. PFS was measured in HA-high and HA-low participants. (NCT01839487)
Timeframe: From the date of randomization until disease progression or death from any cause (maximum exposure: 30.72 months for PAG, and 20.27 months for AG)
Intervention | months (Median) |
---|
| HA-High | HA-Low |
---|
AG: Nab-paclitaxel + Gemcitabine | 5.19 | 5.26 |
,PAG: PEGPH20 + Nab-paclitaxel + Gemcitabine | 9.23 | 5.59 |
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Time to Reach Cmax (Tmax) of PEGPH20
Samples were analyzed for PEGPH20 concentration using a validated electrochemiluminescence immunoassay. Plasma samples to assess the potential effects of NAB+GEM on PEGH20 PK were collected in the PAG treatment group in the run-in phases (Run-in Phase 1: Original PEGPH20 formulation [3.5 mg/mL], and Run-in Phase 2: New PEGPH20 formulation [0.3 mg/mL]). (NCT01839487)
Timeframe: Pre-PEGPH20 dosing and 15 minutes, 1 hour, 2 hours, and 4 hours post-PEGPH20 dosing on Days 1 and 15 of Cycle 1
Intervention | hours (Median) |
---|
| Day 1 | Day 15 |
---|
Run-in Phase 1-PAG: PEGPH20 (Original Formulation) + NAB + GEM | 0.430 | 0.790 |
,Run-in Phase 2- PAG: PEGPH20 (New Formulation) + NAB + GEM | 0.865 | 0.810 |
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Objective Response Rate (ORR): Percentage of Participants With Objective Response
ORR was defined as percentage of participants who achieved either a complete response (CR) or partial response (PR) regardless of confirmation, as assessed by RECIST version 1.1. CR was defined as disappearance of all target and non-target lesions; Any pathological or non-pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<) 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. (NCT01839487)
Timeframe: From the date of randomization until last date on study treatment (maximum exposure: 30.72 months for PAG, and 20.27 months for AG)
Intervention | percentage of participants (Number) |
---|
PAG: PEGPH20 + Nab-paclitaxel + Gemcitabine | 40.4 |
AG: Nab-paclitaxel + Gemcitabine | 32.7 |
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Number of Participants With Relapse-free Survival
In this small trial we will regard a median progression-free survival of 20 months as indicative of potential therapeutic benefit meriting additional study. (NCT01839799)
Timeframe: 20 months
Intervention | Participants (Count of Participants) |
---|
Arm 1 | 3 |
Arm 2 | 2 |
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Duration of Response
Duration of response: time from the date of first documented response per the investigator response assessment (CR or PR) to the date of PD or the date of last disease assessment if the participant discontinued the study before PD using RECIST 1.1 CR: complete disappearance of all target lesions and non-target disease, with 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 sum of diameters of all target lesions; short axis was used in sum for target nodes, while longest diameter was used in sum for all other target lesions; no unequivocal progression of non-target disease; no new lesions. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in sum of diameters of target lesions, taking as reference smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions. (NCT01862328)
Timeframe: From the date of first documented response (CR or PR) to the date of first documented PD or the date of last disease assessment if the participants discontinued the study before PD (up to 5 years)
Intervention | months (Mean) |
---|
Arm 1: MLN4924 25 mg/m^2 + Docetaxel 75 mg/m^2 | 2.880 |
Arm 2a: MLN4924 15 mg/m^2 + Carboplatin AUC6 | 2.270 |
Arm 2:MLN4924 20 mg/m^2+Paclitaxel 175 mg/m^2+Carboplatin AUC5 | 16.153 |
Arm 2:MLN4924 25 mg/m^2+Paclitaxel 175 mg/m^2+Carboplatin AUC5 | 7.015 |
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Dose-escalation Phase: Plasma Concentrations-time Data of MLN4924
(NCT01862328)
Timeframe: Cycle 1 Day 1 pre-dose and at multiple time points (up to 20 hours) post-dose (Cycle Length=21 days [Arm 1 and 2] and 28 days [Arm 3])
Intervention | nanogram per milliliter (ng/ml) (Mean) |
---|
| Cycle 1 Day 1: End-dose | Cycle 1 Day 1: 1.5 hours post dose | Cycle 1 Day 1: 3 hours post dose | Cycle 1 Day 1: 20 hours post dose |
---|
Arm 1: MLN4924 15 mg/m^2 + Docetaxel 75 mg/m^2 | 163.8 | 82.0 | 48.0 | 7.5 |
,Arm 1: MLN4924 25 mg/m^2 + Docetaxel 75 mg/m^2 | 197.1 | 130.6 | 95.8 | 14.6 |
,Arm 2: MLN4924 15 mg/m^2+Paclitaxel 175mg/m^2+Carboplatin AUC5 | 275.7 | 156.8 | 152.4 | 23.4 |
,Arm 2:MLN4924 20 mg/m^2+Paclitaxel 175 mg/m^2+Carboplatin AUC5 | 257.3 | 192.7 | 138.0 | 34.6 |
,Arm 2:MLN4924 25 mg/m^2+Paclitaxel 175 mg/m^2+Carboplatin AUC5 | 372.7 | 246.7 | 186.9 | 24.4 |
,Arm 3: MLN4924 25 mg/m^2 + Gemcitabine 1000 mg/m^2 | 222.0 | 160.5 | 103.0 | 14.2 |
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MTD Expansion Phase: Plasma Concentrations-time Data of MLN4924
The number of participants analyzed includes only those participants who had data available for this measure. (NCT01862328)
Timeframe: Cycle 1 Days 1 and 5 pre-dose and at multiple time points (up to 20 hours) post-dose (Cycle Length=21 days [Arm 1 and 2])
Intervention | ng/ml (Mean) |
---|
| Cycle 1 Day 1: End-dose | Cycle 1 Day 1: 1.5 hours post dose | Cycle 1 Day 1: 3 hours post dose | Cycle 1 Day 1: 6 hours post dose | Cycle 1 Day 1: 20 hours post dose | Cycle 1 Day 5: End-dose | Cycle 1 Day 5: 1.5 hours post dose | Cycle 1 Day 5: 3 hours post dose | Cycle 1 Day 5: 6 hours post dose | Cycle 1 Day 5: 20 hours post dose |
---|
Arm 2:MLN4924 20 mg/m^2+Paclitaxel 175 mg/m^2+Carboplatin AUC5 | 429.8 | 253.6 | 192.8 | 136.3 | 30.2 | 253.2 | 171.0 | 118.4 | 76.5 | 10.9 |
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MTD Expansion Phase: Plasma Concentrations-time Data of MLN4924
The number of participants analyzed includes only those participants who had data available for this measure. (NCT01862328)
Timeframe: Cycle 1 Days 1 and 5 pre-dose and at multiple time points (up to 20 hours) post-dose (Cycle Length=21 days [Arm 1 and 2])
Intervention | ng/ml (Mean) |
---|
| Cycle 1 Day 1: End-dose | Cycle 1 Day 1: 1.5 hours post dose | Cycle 1 Day 1: 3 hours post dose | Cycle 1 Day 1: 7 hours post dose | Cycle 1 Day 1: 20 hours post dose | Cycle 1 Day 5: End-dose | Cycle 1 Day 5: 1.5 hours post dose | Cycle 1 Day 5: 3 hours post dose | Cycle 1 Day 5: 7 hours post dose | Cycle 1 Day 5: 20 hours post dose |
---|
Arm 1: MLN4924 25 mg/m^2 + Docetaxel 75 mg/m^2 | 152.8 | 137.3 | 86.4 | 63.4 | 14.2 | 211.1 | 115.3 | 96.7 | 38.3 | 9.8 |
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Number of Participants Who Experience at Least 1 Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
(NCT01862328)
Timeframe: Baseline up to 30 days after the last dose of study drug (up to 5 years)
Intervention | Participants (Count of Participants) |
---|
| TEAE | SAE |
---|
Arm 1: MLN4924 15 mg/m^2 + Docetaxel 75 mg/m^2 | 4 | 1 |
,Arm 1: MLN4924 25 mg/m^2 + Docetaxel 75 mg/m^2 | 18 | 9 |
,Arm 2: MLN4924 15 mg/m^2+Paclitaxel 175mg/m^2+Carboplatin AUC5 | 7 | 2 |
,Arm 2:MLN4924 20 mg/m^2+Paclitaxel 175 mg/m^2+Carboplatin AUC5 | 12 | 3 |
,Arm 2:MLN4924 25 mg/m^2+Paclitaxel 175 mg/m^2+Carboplatin AUC5 | 7 | 1 |
,Arm 2a: MLN4924 15 mg/m^2 + Carboplatin AUC6 | 6 | 3 |
,Arm 3: MLN4924 25 mg/m^2 + Gemcitabine 1000 mg/m^2 | 10 | 7 |
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Percentage of Participants With Objective Response
Percentage of participants with objective response based on assessment of complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. CR: complete disappearance of all target lesions and non-target disease, with exception of nodal disease; all nodes, both target and non-target, must decrease to normal (short axis less than [<] 10 millimeter [mm]); no new lesions. PR: greater than or equal to (>=) 30 percent (%) decrease under baseline of sum of diameters of all target lesions; short axis was used in sum for target nodes, while longest diameter was used in sum for all other target lesions; no unequivocal progression of non-target disease; no new lesions. (NCT01862328)
Timeframe: Screening, Cycle 2 Days 15 (Arm 1, 2a, and 2) and 22 (Arm 3) then every other Cycle thereafter up to 30 days after the last dose of study drug (up to 5 years) (Cycle Length = 21 days [Arm 1, 2a, and 2] and 28 days [Arm 3])
Intervention | percentage of participants (Number) |
---|
| CR | PR |
---|
Arm 1: MLN4924 15 mg/m^2 + Docetaxel 75 mg/m^2 | 0 | 0 |
,Arm 1: MLN4924 25 mg/m^2 + Docetaxel 75 mg/m^2 | 0 | 19 |
,Arm 2: MLN4924 15 mg/m^2+Paclitaxel 175mg/m^2+Carboplatin AUC5 | 0 | 0 |
,Arm 2:MLN4924 20 mg/m^2+Paclitaxel 175 mg/m^2+Carboplatin AUC5 | 18 | 36 |
,Arm 2:MLN4924 25 mg/m^2+Paclitaxel 175 mg/m^2+Carboplatin AUC5 | 0 | 40 |
,Arm 2a: MLN4924 15 mg/m^2 + Carboplatin AUC6 | 0 | 17 |
,Arm 3: MLN4924 25 mg/m^2 + Gemcitabine 1000 mg/m^2 | 0 | 0 |
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Progression-free Survival (PFS)
The median length of time from the beginning of study treatment that patients remain alive without progression of their disease (cancer). Per RECIST v1.1, progressive disease (PD) is defined as 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 5mm. For non-target lesions, PD: Unequivocal progression of existing non-target lesions. The appearance of one or more new lesions is also considered progression. (NCT01879085)
Timeframe: Up to 7 years and 7 months
Intervention | months (Median) |
---|
Phase 2 | 5.552361 |
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Six-month Overall Survival (OS)
Proportion of participants alive at six months from the start of treatment. (NCT01879085)
Timeframe: Up to 6 months (per patient)
Intervention | proportion of participants (Number) |
---|
Phase 2 | 0.742 |
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Six-month Progression-free Survival (PFS)
Proportion of participants whose disease does not progress within 6 months of start of treatment (number of patients without progressive disease/total number of patients). Per RECIST v1.1, progressive disease (PD) is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (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 5mm. For non-target lesions, PD: Unequivocal progression of existing non-target lesions. The appearance of one or more new lesions is also considered progression. (NCT01879085)
Timeframe: Up to 6 months (per patient)
Intervention | proportion of participants (Number) |
---|
Phase 2 | 0.473 |
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Objective Response Rate (ORR)
Number of patients with Complete response [CR] + partial response [PR], per RECIST v1.1 criteria . Per RECIST v1.1, CR: Disappearance of all target lesions. Any pathological lymph nodes(whether target or non-target) must have reduction in short axis to <10 mm. For non-target lesions: Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (<10mm short axis);PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters (NCT01879085)
Timeframe: Up to 7 years and 7 months
Intervention | Participants (Count of Participants) |
---|
Phase 2 | 7 |
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One-year Overall Survival (OS)
Proportion of participants alive at one year from the start of treatment. (NCT01879085)
Timeframe: Up to one year (per patient)
Intervention | proportion of participants (Number) |
---|
Phase 2 | 0.477 |
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One-year Progression-free Survival (PFS)
Proportion of participants whose disease does not progress within one year of start of treatment (number of patients with progressive disease/total number of patients). Per RECIST v1.1, progressive disease (PD) is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (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 5mm. For non-target lesions, PD: Unequivocal progression of existing non-target lesions. The appearance of one or more new lesions is also considered progression. (NCT01879085)
Timeframe: Up to one year (per patient)
Intervention | proportion of participants (Number) |
---|
Phase 2 | 0.304 |
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Overall Survival (OS)
The median length of time from the start of treatment that diagnosed study participants remain alive. (NCT01879085)
Timeframe: Up to 7 years and 7 months
Intervention | months (Median) |
---|
Phase 2 | 11.92608 |
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Phase I: Recommended Phase II Dose of Vorinostat
Recommended Phase ll dose of vorinostat that can be safely combined with gemcitabine and docetaxel. Gemcitabine and docetaxel were given at a fixed dose while vorinostat was dose-escalated using a standard '3+3' design. Dose-limiting toxicity (DLT) is defined as specific study drug-related events experienced during Cycle 1; only DLTs observed in a patient during the first cycle of treatment will be used for the dose escalation decision. (NCT01879085)
Timeframe: During Cycle 1 of treatment
Intervention | mg/day of Vorinostat (Number) |
---|
Combination Therapy: Docetaxel + Gemcitabine + Vorinostat + Pegfilgrastim | 300 |
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Kaplan-Meier Estimates of Overall Survival
Overall survival was defined as the time from the date of randomization to the date of death (from any cause). (NCT01881230)
Timeframe: From date of randomization to data cut-off date of 16 December 2016; total length of time on study was 31 months for Arm A, 34 months for Arm B and 35 months for Arm C
Intervention | months (Median) |
---|
Arm A: Nab-Paclitaxel + Gemcitabine | 12.1 |
Arm B: Nab-Paclitaxel + Carboplatin | 16.8 |
Arm C: Gemcitabine + Carboplatin | 12.6 |
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Kaplan-Meier Estimates of Progression-Free Survival (PFS) Based on Investigator Assessment.
PFS was defined as the time from the date of randomization to the date of disease progression or death from any cause on or prior to the data cutoff date for the statistical analysis, whichever occurred earlier. Tumor responses were assessed every 6 weeks using, Response Evaluation Criteria in Solid Tumors (RECIST 1.1) and defined as: Complete response (CR) is the disappearance of all target lesions; Partial response (PR) occurs when at least a 30% decrease in the sum of diameters of target lesions from baseline; Stable disease is neither sufficient shrinkage to qualify for a PR nor sufficient increase of lesions to qualify for Progressive disease (PD); Progressive Disease- is at least a 20% increase in the sum of diameters of target lesions from nadir. (NCT01881230)
Timeframe: From date of randomization to data cut-off date of 16 December 2016; total length of time on study was 31 months for Arm A, 34 months for Arm B and 35 months for Arm C
Intervention | months (Median) |
---|
Arm A: Nab-Paclitaxel + Gemcitabine | 5.5 |
Arm B: Nab-Paclitaxel + Carboplatin | 8.3 |
Arm C: Gemcitabine + Carboplatin | 6.0 |
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Percentage of Participants Who Discontinued From All Study Treatment Due to TEAEs
Treatment-emergent adverse events (TEAEs) were defined as any AEs that begin or worsen with an onset date on or after the date of the first dose of IP through 28 days after the last dose. (NCT01881230)
Timeframe: From randomization through to 28 days after the last dose of IP; up to data-cut off of date of 16 Dec 2016; maximum treatment duration of study drug exposure was 108.3 weeks for Arm A, 83 weeks for Arm B, 110.1 weeks for Arm C
Intervention | percentage of participants (Number) |
---|
Arm A: Nab-Paclitaxel + Gemcitabine | 21.7 |
Arm B: Nab-Paclitaxel + Carboplatin | 26.6 |
Arm C: Gemcitabine + Carboplatin | 21.9 |
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Percentage of Participants Experiencing Dose Modifications (Reductions and Interruptions)
The number of participants with dose modifications occurring during the treatment period. Dose reductions and interruptions are typically caused by clinically significant laboratory abnormalities and /or treatment emergent adverse events/toxicities. (NCT01881230)
Timeframe: From randomization through to 28 days after the last dose of IP; up to data-cut off of date of 16 Dec 2016; maximum treatment duration of study drug exposure was 108.3 weeks for Arm A, 83 weeks for Arm B, 110.1 weeks for Arm C
Intervention | percentage of participants (Number) |
---|
| ≥ one DR for both IPs | ≥ one DI for both IPs | ≥ one dose missed for both IPs |
---|
Arm A: Nab-Paclitaxel + Gemcitabine | 33.3 | 38.3 | 48.3 |
,Arm B: Nab-Paclitaxel + Carboplatin | 46.9 | 70.3 | 45.3 |
,Arm C: Gemcitabine + Carboplatin | 51.6 | 73.4 | 56.3 |
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Percentage of Participants Who Initiated Cycle 6 Receiving Doublet Combination Therapy
The percentage of participants who initiated Cycle 6 receiving doublet combination therapy regardless of the need for dose modifications. (NCT01881230)
Timeframe: Cycle 6
Intervention | percentage of participants (Number) |
---|
Arm A: Nab-Paclitaxel + Gemcitabine | 55.7 |
Arm B: Nab-Paclitaxel + Carboplatin | 64.1 |
Arm C: Gemcitabine + Carboplatin | 50.0 |
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Percentage of Participants With an Objective Complete or Partial Overall Response by Investigator Assessment.
Percentage of participants with an Objective Complete or Partial Overall Response according to RECIST 1.1 and defined as: Complete response-disappearance of all target lesions; partial response at least a 30% decrease in the sum of diameters of target lesions from baseline; stable disease-neither sufficient shrinkage to qualify for PR nor sufficient increase of lesions to qualify for Progressive disease (PD)• Progressive Disease- At least a 20% increase in the sum of diameters of target lesions from nadir. (NCT01881230)
Timeframe: Disease response was assessed every 6 weeks; from date of randomization to data cut-off date of 16 December 2016; total length of time on study was 31 months for Arm A, 34 months for Arm B and 35 months for Arm C
Intervention | percentage of participants (Number) |
---|
Arm A: Nab-Paclitaxel + Gemcitabine | 39.3 |
Arm B: Nab-Paclitaxel + Carboplatin | 73.4 |
Arm C: Gemcitabine + Carboplatin | 43.9 |
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Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Treatment-emergent adverse events (TEAEs) were defined as any AEs that began or worsened with the onset date on or after the date of the first dose of IP through 28 days after the last dose. A serious AE (SAE) = any AE which results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; constitutes an important medical event. The severity of AEs was graded based on the participant's symptoms according to the Common Terminology Criteria for Adverse Events (CTCAE, Version 4.0); AEs were evaluated for severity as follows: Grade 1 = Mild - transient or mild discomfort; no medical intervention required; Grade 2 = Moderate - mild to moderate limitation in activity; Grade 3 = Severe; Grade 4 = Life threatening; Grade 5 = Death. (NCT01881230)
Timeframe: From randomization through to 28 days after the last dose of IP; up to data cut off date of 16 Dec 2016; maximum treatment duration of study drug exposure was 108.3 weeks for Arm A, 83 weeks for Arm B, 110.1 weeks for Arm C
Intervention | participants (Number) |
---|
| Any TEAE | Any Grade 3 or Higher TEAE | Treatment-related TEAE | Treatment-related, Grade 3 or Higher TEAE | Serious TEAE | Treatment-related Serious TEAE | TEAE Leading to Discontinuation (D/C) of IP | Treatment Related (TR) TEAE Leading to D/C of IP | TEAE Leading to Dose Reduction (DR) of IP | Treatment related TEAE Leading to DR of IP | TEAE Leading to Dose Interruption (DI) of IP | TR TEAE Leading to DI of IP | TEAE leading to D/C of nab-Paclitaxel | TR TEAE leading to D/C of nab-Paclitaxel | TEAE leading to DR of nab-Paclitaxel | TR TEAE leading to DR of nab-Paclitaxel | TEAE leading to DI of nab-Paclitaxel | TR TEAE leading to DI of nab-Paclitaxel | TEAE leading to D/C of Gemcitabine | TR TEAE leading to D/C of Gemcitabine | TEAE leading to DR of Gemcitabine | TR TEAE leading to DR of Gemcitabine | TEAE leading to DI of Gemcitabine | TR TEAE leading to DI of Gemcitabine | TEAE leading to D/C of Carboplatin | TR TEAE leading to D/C of Carboplatin | TEAE leading to DR of Carboplatin | TR TEAE leading to DR of Carboplatin | TEAE leading to DI of Carboplatin | TR TEAE leading to DI of Carboplatin | TEAE Leading to Death | Treatment Related TEAE leading to death |
---|
Arm A: Nab-Paclitaxel + Gemcitabine | 60 | 46 | 59 | 35 | 22 | 10 | 16 | 12 | 23 | 23 | 31 | 27 | 16 | 11 | 22 | 21 | 31 | 27 | 13 | 7 | 18 | 18 | 31 | 24 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 1 |
,Arm B: Nab-Paclitaxel + Carboplatin | 63 | 51 | 62 | 43 | 20 | 9 | 29 | 27 | 20 | 20 | 50 | 44 | 17 | 13 | 19 | 19 | 50 | 44 | 0 | 0 | 0 | 0 | 0 | 0 | 28 | 25 | 17 | 17 | 50 | 44 | 1 | 0 |
,Arm C: Gemcitabine + Carboplatin | 64 | 54 | 60 | 46 | 25 | 13 | 15 | 12 | 25 | 23 | 50 | 44 | 0 | 0 | 0 | 0 | 0 | 0 | 13 | 9 | 25 | 23 | 49 | 43 | 15 | 12 | 21 | 20 | 50 | 43 | 2 | 1 |
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Progression-Free Survival
Progression-free survival is defined as the time from study enrollment until the first documented tumor progression (using RECIST 1.1 criteria) or death from any cause. (NCT01893801)
Timeframe: Over the course of the subjects' treatment and participation in study, approx 18 mos
Intervention | months (Median) |
---|
Nab-Pac+Cis+Gem | 10.1 |
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Percentage Change in CA 19-9
Percentage change in CA 19-9 from baseline values (NCT01893801)
Timeframe: Over the course of the subjects' treatment on study, approx 1 year
Intervention | percentage change CA 19-9 from baseline (Mean) |
---|
Nab-Pac+Cis+Gem | -47.7 |
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Overall Survival
Overall survival is defined as the time from study enrollment until death from any cause. (NCT01893801)
Timeframe: Over the course of the subjects' treatment and participation in study, approx 18 mos
Intervention | months (Median) |
---|
Nab-Pac+Cis+Gem | 16.4 |
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Toxicities Associated With Chemotherapy and Radiotherapy
The number of patients who experienced treatment related adverse events will be determined for all patients who received at least one cycle of FOLFIRINOX chemotherapy. These events will be graded according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. (NCT01897454)
Timeframe: Up to 30 months
Intervention | Participants (Count of Participants) |
---|
Treatment (FOLFIRINOX, IMRT, and Gemcitabine Hydrochloride) | 22 |
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Progression Free Survival (PFS)
Progression-free Survival defined as the duration of time from start of treatment to time of disease progression will be analyzed. Median progression free survival will be presented. (NCT01897454)
Timeframe: From start of treatment to time of progression, assessed up to 60 months
Intervention | Months (Median) |
---|
Treatment (FOLFIRINOX, IMRT, and Gemcitabine Hydrochloride) | 34 |
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Percentage of Patients Able to Undergo Resection
The percentage of participants with resectable or borderline resectable disease to undergo resection will be determined. The ability for patients to complete preoperative therapy and undergo resection is correlated with more favorable overall survival outcomes. (NCT01897454)
Timeframe: Up to 30 months
Intervention | Participants (Count of Participants) |
---|
Treatment (FOLFIRINOX, IMRT, and Gemcitabine Hydrochloride) | 15 |
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Percentage of Participants Achieving R0 Resection (R0 Resection Rate)
The percentage of participants achieving R0 resection, defined as the absence of gross and microscopic tumor involvement in the resection margins, will be determined for those participants who receive at least one cycle of FOLFIRINOX chemotherapy. A 90% confidence interval will be determined. (NCT01897454)
Timeframe: Up to 30 months
Intervention | Percentage of Participants (Number) |
---|
Treatment (FOLFIRINOX, IMRT, and Gemcitabine Hydrochloride) | 55.6 |
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Overall Survival (OS)
Median Overall Survival defined as the the duration of time from diagnosis to the time of death from any cause will be determined. (NCT01897454)
Timeframe: Up to 60 months
Intervention | Months (Median) |
---|
Treatment (FOLFIRINOX, IMRT, and Gemcitabine Hydrochloride) | 35.1 |
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Overall Response Rate
Overall Response Rate, defined as the percentage of patients that achieved Partial Response (PR) or Complete Response (CR) as per the Response evaluation in solid tumors criteria, was assessed using RECIST Version 1.1 criteria. Complete Response (CR) is defined as the 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) is defined as having at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Higher percentages of PR and CR are associated with more favorable outcomes (NCT01897454)
Timeframe: Up to 30 months
Intervention | Participants (Count of Participants) |
---|
Treatment (FOLFIRINOX, IMRT, and Gemcitabine Hydrochloride) | 4 |
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Vascular Reconstruction
The percentage of patients who underwent pancreaticoduodenectomy requiring vascular reconstruction will be evaluated. (NCT01897454)
Timeframe: Up to 30 months
Intervention | Participants (Count of Participants) |
---|
Treatment (FOLFIRINOX, IMRT, and Gemcitabine Hydrochloride) | 5 |
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Pathologic Complete Response Rate (The absence of carcinoma (pT0 disease) and the absence of microscopic lymph node metastases (N0) on the final cystectomy specimen. (NCT01916109)
Timeframe: 1 year
Intervention | participants (Number) |
---|
Gemcitabine, Carboplatin, and Panitumumab (GCaP) | 3 |
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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 |
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Patients With Dose Limiting Toxicity
Safety will be assessed through summaries of adverse events, vital signs, physical examinations, and clinical laboratory test data (including change from baseline). (NCT01938573)
Timeframe: Up to 28 days
Intervention | Participants (Count of Participants) |
---|
Phase 1 - Sirolimus, Cisplatin, Gemcitabine | 0 |
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Percent of Patients With Pathologic Complete Response (Phase II)
The study will follow an optimal two-stage Simon design based on pathologic complete response rate. (NCT01938573)
Timeframe: 12 weeks
Intervention | Participants (Count of Participants) |
---|
Sirolimus, Cisplatin, Gemcitabine | 4 |
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The Number of Dose-limiting Toxicities
The number of dose-limiting toxicities in selumetinib in combination with cisplatin and gemcitabine (NCT01949870)
Timeframe: The first cycle with selumetinib until Day 1 of Cycle 2 of combination dosing
Intervention | Participants (Number) |
---|
| Yes | No |
---|
Selumetinib+ Cisplatin + Gemcitabine | 0 | 3 |
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Overall Response Rate
"Overall response rate (ORR) was defined as the percentage of patients with a response, either CR or PR, according to RECIST v.1.1.~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." (NCT01951157)
Timeframe: Time from the date of randomization until 30±7 days after the last treatment infusion, assessed up to 3 years
Intervention | percentage of participants (Number) |
---|
A - Docetaxel | 9.1 |
B - Lurbinectedin (PM01183) | 0 |
C - Gemcitabine + Lurbinectedin (PM01183) | 17.4 |
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Duration of Response
"Duration of response (DR) was defined as the time from the date when the response criteria (PR or CR, whichever was reached first) were fulfilled, to the first date when PD, recurrence or death was documented.~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." (NCT01951157)
Timeframe: The time from the date when the response criteria (PR or CR, whichever was reached first) were fulfilled, to the first date when PD, recurrence or death was documented, up to 3 years
Intervention | months (Median) |
---|
A - Docetaxel | 1.2 |
C - Gemcitabine + Lurbinectedin (PM01183) | 6.1 |
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Overall Survival (OS)
Overall survival (OS) will be defined as time from the date of first infusion to the date of death or last contact (NCT01951157)
Timeframe: From the date of first infusion to the date of death or last contact, up to 12 months after last patient inclusion
Intervention | months (Median) |
---|
A - Docetaxel | 9.4 |
B - Lurbinectedin (PM01183) | 5.5 |
C - Gemcitabine + Lurbinectedin (PM01183) | 7.2 |
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Progression-free Survival Rate at Six Months (PFS6)
The rate estimate of the percentage of patients who are alive and progression-free at 24 weeks (~6 months) after randomization. Progession 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 (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 was also considered progression. (NCT01951157)
Timeframe: At month six after patient inclusion
Intervention | percentage of participants (Number) |
---|
A - Docetaxel | 18.2 |
B - Lurbinectedin (PM01183) | 16.7 |
C - Gemcitabine + Lurbinectedin (PM01183) | 17.5 |
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Progression-free Survival Rate at Four Months (PFS4)
The rate estimate of the percentage of patients who are alive and progression-free at 16 weeks (~4 months) after randomization. Progession 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 (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 was also considered progression. (NCT01951157)
Timeframe: At month four after patient inclusion
Intervention | percentage of participants (Number) |
---|
A - Docetaxel | 27.3 |
B - Lurbinectedin (PM01183) | 15.8 |
C - Gemcitabine + Lurbinectedin (PM01183) | 26.1 |
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Progression-free Survival
PFS, progression-free survival Progression-free survival (PFS), defined as the time from the date of randomization to the date of PD, death (of any cause), or last tumor evaluation. Progession 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 (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 was also considered progression. (NCT01951157)
Timeframe: Time from the date of randomization to the date of PD, death (of any cause), or last tumor evaluation, whichever came first, assessed up to 3 years
Intervention | months (Median) |
---|
A - Docetaxel | 3.1 |
B - Lurbinectedin (PM01183) | 1.9 |
C - Gemcitabine + Lurbinectedin (PM01183) | 3.3 |
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Distant Failure-free Survival
Analyzed using Kaplan-Meier plots, medians and ranges. (NCT01959672)
Timeframe: Date of administration study drug to the date of first appearance of tumor lesions by imaging, or death, assessed up to 5 years
Intervention | months (Median) |
---|
Treatment (Chemotherapy, Oregovomab, SBRT, Surgery) | 11 |
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Surgical Complete Resection (Negative Margin) Rate
The percentage of patients who will undergo R0 resection (NCT01959672)
Timeframe: Up to week 18
Intervention | Participants (Count of Participants) |
---|
Treatment (Chemotherapy, Oregovomab, SBRT, Surgery) | 4 |
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Overall Survival
Analyzed using Kaplan-Meier plots, medians and ranges. (NCT01959672)
Timeframe: Date of first of study drug to the date of death, assessed up to 5 years
Intervention | months (Median) |
---|
Treatment (Chemotherapy, Oregovomab, SBRT, Surgery) | 14.4 |
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Number of Participants With Progressive Disease,
Rate of progressive disease 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. An exact one-sided 90% confidence interval will be constructed round the progressive disease rate. (NCT01959672)
Timeframe: Up to 4 months
Intervention | Participants (Count of Participants) |
---|
Treatment (Chemotherapy, Oregovomab, SBRT, Surgery) | 2 |
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Number of Participants With CA-125-Specific T-cell Signal.
The percentage of patients responding will be summarized using frequencies and percentages. (NCT01959672)
Timeframe: Baseline to up to week 12
Intervention | Participants (Count of Participants) |
---|
Treatment (Chemotherapy, Oregovomab, SBRT, Surgery) | 2 |
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The Number of Participants With Clinical Chemistry Laboratory-Detected Abnormalities (Grade 3-4)
The number of participants with grade 3-4 laboratory abnormalities in selected clinically significant parameters. Grades for chemistry parameters were coded using National Cancer Institute Common Terminology Criteria for Adverse Events (Grade 3= severe, Grade 4= life-threatening). (NCT01964430)
Timeframe: From day 1 of study drug up to 28 days after the last dose of study drug, or the treatment discontinuation date, whichever was later (up to approximately 37 weeks).
Intervention | Participants (Count of Participants) |
---|
| Alkaline phosphatase | Alanine aminotransferase | Aspartate aminotransferase | Bilirubin |
---|
Gemcitabine | 3 | 3 | 2 | 1 |
,Nab-Paclitaxel and Gemcitabine | 7 | 9 | 9 | 0 |
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Kaplan Meier Estimate for Disease Free Survival (DFS) According to the Independent Radiological Review Committee
Disease free survival was defined as the time from the date of randomization to the date of disease recurrence or death, whichever occurred earlier. Disease recurrence was determined by the independent radiological review of computed tomography (CT) or magnetic resonance imaging (MRI) scans. Participants who did not have disease recurrence or did not die were censored at the last tumor assessment date with disease-free status or the randomization date if the last tumor assessment with disease-free status was missing. Disease-free status referred to a status that was neither being disease recurrent nor indeterminate or not evaluable. Participants who received new anti-cancer therapy or cancer-related surgery prior to disease recurrence or death were censored at the date of last tumor assessment with disease-free status prior to the start of new anti-cancer therapy or cancer-related surgery or the randomization date. (NCT01964430)
Timeframe: Date of randomization up to data cut off date of 31 December 2018; median DFS follow-up time for censored participants was 22.242 months for nab-Paclitaxel and gemcitabine and 13.832 months for gemcitabine alone
Intervention | months (Median) |
---|
Nab-Paclitaxel and Gemcitabine | 19.4 |
Gemcitabine | 18.8 |
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Kaplan Meier Estimate of Overall Survival (OS)
Overall survival was defined as the time from the date of randomization to the date of death. Participants who were alive at the end of study or clinical data cut were censored on the last-known-to-be-alive date or the clinical cutoff date, whichever was earlier. (NCT01964430)
Timeframe: From randomization to date of death; median OS follow-up time for censored participants was 77.832 months for nab-Paclitaxel and gemcitabine and 77.799 months for gemcitabine alone
Intervention | months (Median) |
---|
| 25th Quartile | 50th Quartile | 75th Quartile |
---|
Gemcitabine | 17.7 | 37.7 | 83.0 |
,Nab-Paclitaxel and Gemcitabine | 20.7 | 41.8 | 90.2 |
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Number of Participants With Treatment Emergent Adverse Events (TEAE's)
"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)." (NCT01964430)
Timeframe: From day 1 of study drug up to 28 days after the last dose of study drug; up to the data cut off date of 31 December 2018 (up to approximately 37 weeks).
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 Serious Related TEAE | ≥1 TEAE Leading to Withdrawal of IP | ≥1 Related TEAE Leading to Withdrawal of IP | ≥1 TEAE Lead Dose Reduction: nab-Paclitaxel or Gem | ≥1 Related TEAE Dose Reduct: nab-Paclitaxel or Gem | TEAE Lead Dose Interruption nab-Paclitaxel or Gem | ≥1 Related TEAE Dose Interruption to IP | TEAE Leading to Death | >=1 Related TEAE Leading to Death |
---|
Gemcitabine | 417 | 399 | 286 | 239 | 96 | 55 | 43 | 35 | 210 | 205 | 158 | 125 | 2 | 2 |
,Nab-Paclitaxel and Gemcitabine | 429 | 423 | 371 | 332 | 176 | 102 | 117 | 98 | 276 | 270 | 266 | 221 | 2 | 2 |
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Evans Grade Histopathologic Response
The number of patients who exhibited an Evans grade Histologic response (I, IIA, IIB, or III) to pre-operative gemcitabine / nab-paclitaxel. Histological response validated scoring system by Evans is as follows: Grade I: 1-9% tumor destruction, Grade II: 10 - 90%, Grade III: >90% tumor destruction (Grade IIA = 10-50% of tumor cells destroyed; Grade IIB = 50-90% of tumor cells destroyed), Grade IV: Absence of viable tumor cells. (NCT01978184)
Timeframe: Up to 4 years
Intervention | number of participants (Number) |
---|
| Evans grade - I | Evans grade - IIA | Evans grade - IIB | Evans grade - III |
---|
Gemcitabine + Abraxane | 10 | 17 | 3 | 0 |
,Gemcitabine + Abraxane and Hydroxychloroquine | 7 | 12 | 13 | 9 |
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Type of Surgical Procedure (Operation)
The number of participants in having each type of surgical resection procedure: Celiac Axis Resection With Distal Pancreatectomy (DPCAR) (Modified Appleby), Distal Pancreatectomy, Total Pancreatectomy, or Whipple. (Operation variable used in the proportional odds logistic regression, secondary analysis of Evans Grade). (NCT01978184)
Timeframe: At the time of surgery (≥2 weeks and ≤6 weeks post chemotherapy)
Intervention | Participants (Count of Participants) |
---|
| DPCAR | Distal Pancreatectomy | Total Pancreatectomy | Whipple |
---|
Gemcitabine + Abraxane | 2 | 3 | 1 | 24 |
,Gemcitabine + Abraxane and Hydroxychloroquine | 0 | 5 | 0 | 36 |
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Carbohydrate Antigen 19-9 (CA19-9) Response
Levels of Carbohydrate antigen 19-9 (CA19-9) response to pre-operative gemcitabine/ nab-paclitaxel measured in the serum (original scale) (NCT01978184)
Timeframe: Prior to treatment (average 73.3 +/- 9.9 days prior to surgery)
Intervention | units per milliliter (U/mL) (Mean) |
---|
Gemcitabine + Abraxane | 351.820 |
Gemcitabine + Abraxane and Hydroxychloroquine | 1534.633 |
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Age at Diagnosis
The mean age of patients at the time of diagnosis of disease (as a variable in the proportional odds logistic regression, secondary analysis of Evans Grade). (NCT01978184)
Timeframe: Baseline - At the time of diagnosis, prior to treatment
Intervention | years (Mean) |
---|
Gemcitabine + Abraxane | 63.6 |
Gemcitabine + Abraxane and Hydroxychloroquine | 66.1 |
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Robotic Resection Surgery
The number of participants who had robotic resection surgery. (Robotic surgery variable used in the proportional odds logistic regression, secondary analysis of Evans Grade). (NCT01978184)
Timeframe: At the time of surgery (≥2 weeks and ≤6 weeks post chemotherapy)
Intervention | Participants (Count of Participants) |
---|
| Yes - robotic surgical resection procedure | No - not robotic surgical resection procedure |
---|
Gemcitabine + Abraxane | 8 | 22 |
,Gemcitabine + Abraxane and Hydroxychloroquine | 10 | 31 |
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Rate of R0 Resection
The proportion of participants having resection for cure or complete remission, in which the surgical margins are negative for tumor cells. R0 resection indicates a microscopically margin-negative resection, in which no gross or microscopic tumor remains in the primary tumor bed. (NCT01978184)
Timeframe: At the time of surgery (≥2 weeks and ≤6 weeks post chemotherapy)
Intervention | proportion of participants (Mean) |
---|
Gemcitabine + Abraxane | 0.7 |
Gemcitabine + Abraxane and Hydroxychloroquine | 0.829 |
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Cancer Diagnosis Stage
"The number of participants in cancer diagnosis stage groups. Stage 0: cancer hasn't spread to nearby tissues/located in the same of origin.Stage I: cancers hasn't grown deeply into nearby tissues or spread to lymph nodes or other parts of the body. Stage II and III: cancers have grown more deeply into nearby tissues (may have metastasized to lymph nodes but not other parts of the body). Stage IV: most advanced stage (metastatic cancer) ; cancer has spread to other parts of the body. Stages subdivided further into the categories A (less agressive disease) and B (more advanced cancer). Example: stage IIA is less aggressive than stage IIB, but stage IIIA is more aggressive than stage IIB. (Stage variable used in the proportional odds logistic regression, secondary analysis of Evans Grade)." (NCT01978184)
Timeframe: Baseline - At the time of diagnosis, prior to treatment
Intervention | Participants (Count of Participants) |
---|
| IA | IB | IIA | IIB | Not Available |
---|
Gemcitabine + Abraxane | 0 | 5 | 6 | 19 | 0 |
,Gemcitabine + Abraxane and Hydroxychloroquine | 2 | 1 | 11 | 20 | 7 |
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Age-Adjusted Charlson Comorbidity Index
The Charlson Comorbidity Index is a method of categorizing comorbidities of patients based on the International Classification of Diseases (ICD) diagnosis codes found in administrative data, such as hospital abstracts data. Each comorbidity category has an associated weight (from 1 to 6), based on the adjusted risk of mortality or resource use, and the sum of all the weights results in a single comorbidity score for a patient. A score of zero indicates that no comorbidities were found. The higher the score, the more likely the predicted outcome will result in mortality or higher resource use. Up to 12 comorbidities with various weightings can result in a maximum score of 24. The minimum score is zero. (NCT01978184)
Timeframe: Prior to treatment
Intervention | Participants (Count of Participants) |
---|
| Age-Adjusted CCI=2 | Age-Adjusted CCI=3 | Age-Adjusted CCI=4 | Age-Adjusted CCI=5 | Age-Adjusted CCI=6 | Age-Adjusted CCI=7 | Age-Adjusted CCI=8 |
---|
Gemcitabine + Abraxane | 3 | 5 | 7 | 8 | 5 | 2 | 0 |
,Gemcitabine + Abraxane and Hydroxychloroquine | 1 | 2 | 11 | 15 | 8 | 2 | 2 |
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Positive Lymph Node Involvement
The proportion of participants with positive (disease) lymph nodes involvement. (NCT01978184)
Timeframe: At the time of surgery (≥2 weeks and ≤6 weeks post chemotherapy)
Intervention | proportion of participants (Number) |
---|
Gemcitabine + Abraxane | 0.8 |
Gemcitabine + Abraxane and Hydroxychloroquine | 0.561 |
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CT Tumor Size
Tumor size as measured via computerized tomography (CT) scan (as a variable in the proportional odds logistic regression, secondary analysis of Evans Grade). (NCT01978184)
Timeframe: Baseline - At the time of diagnosis, prior to treatment
Intervention | centimeters (Mean) |
---|
Gemcitabine + Abraxane | 2.562069 |
Gemcitabine + Abraxane and Hydroxychloroquine | 2.543056 |
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Carbohydrate Antigen 19-9 (CA19-9) Response
Levels of Carbohydrate antigen 19-9 (CA19-9) response to pre-operative gemcitabine/ nab-paclitaxel measured in the serum (original scale). (NCT01978184)
Timeframe: After treatment (50-67 days post treatment/surgery)
Intervention | units per milliliter (U/mL) (Mean) |
---|
Gemcitabine + Abraxane | 319.079 |
Gemcitabine + Abraxane and Hydroxychloroquine | 1696.710 |
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Frequency of DLT
Maximum tolerated dose (MTD) of azacitidine based on DLT was defined as any Grade 4 nonhematologic and noninfectious toxicity or any grade 3 mucositis or skin toxicity lasting > 3 days at peak severity. For dose finding, the continunal reassessment method was used with a target DLT probability per cohort of 25%. Azacitidine doses were chosen adaptively for sucessive cohorts with a minimum size of 2 patients. Toxicity scoring followed the National Cancer Institute Common Toxicity Criteria, version 3. (NCT01983969)
Timeframe: Enrollment up to day 30 post transplant for each dosing cohort
Intervention | Dose-limiting toxicities (Number) |
---|
Azacitidine Dose Level 1 | 16 |
Azacitidine Dose Level 2 | 28 |
Azacitidine Dose Level 3 | 40 |
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Participants With Event-free Survival (EFS)
EFS is defined as the time from transplantation to either relapse, second tumors, or death, whichever occurred first, or last contact. EFS was analzyed by the individual disease groups rather than the cohort dose levels. (NCT01983969)
Timeframe: Enrollment up to 100 days post transplant.
Intervention | Participants (Count of Participants) |
---|
DLBCL | 17 |
Hodgkin Lymphoma | 16 |
T-cell NHL | 7 |
Other B-cell Lymphoma | 5 |
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Duration of Response
Duration of Response was defined similarly for complete responders and partial responders. CR was defined as the date CR was first recorded to the date on which PD was first noted or date of death. PR was defined as the date the first PR was recorded to the date of the first observation of PD or date of death. (NCT01998919)
Timeframe: Screening/Baseline, Day 22 of Cycles 2, 4 and 6 and every 8 weeks in Post-Study and Off-study Phases
Intervention | weeks (Median) |
---|
Placebo Plus Chemotherapy | 24.1 |
Erlotinib Plus Chemotherapy | 38.4 |
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Percentage of Participants With Non-Progression at Week 16 as Assessed by RECIST
Non-progression defined as documented best overall tumor response of CR, PR, or SD (where SD was maintained for >16 weeks) per RECIST. (NCT01998919)
Timeframe: Week 16
Intervention | percentage of participants (Number) |
---|
Placebo Plus Chemotherapy | 53.8 |
Erlotinib Plus Chemotherapy | 64.5 |
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Time to Progression
Time to progression was defined as the interval between the day of randomization and the first documentation of PD. Participants who were withdrawn from the study without documented progression and for whom there exists CRF evidence that evaluations have been made, were censored at 1) the date of the last tumor assessment, 2) last date in the drug log, or 3) last date of follow-up when the participant was known to be progression free, whichever was last. Participants without post-baseline tumor assessments but known to be alive were censored at the time of randomization. (NCT01998919)
Timeframe: Screening/Baseline, Day 22 of Cycles 2, 4 and 6 and every 8 weeks in Post-Study and Off-Study Phases
Intervention | weeks (Median) |
---|
Placebo Plus Chemotherapy | 24.1 |
Erlotinib Plus Chemotherapy | 31.4 |
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Progression-Free Survival (PFS)
PFS was defined as the interval between the day of randomization and the date of first documentation of progressive disease or date of death, whichever came first. (NCT01998919)
Timeframe: Screening/Baseline, Day 22 of Cycles 2, 4 and 6 and every 8 weeks in Post-Study and Off-Study Phases
Intervention | weeks (Median) |
---|
Placebo Plus Chemotherapy | 23.4 |
Erlotinib Plus Chemotherapy | 30.4 |
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Percentage of Participants With Confirmed CR or PR as Assessed by RECIST
CR=disappearance of all target lesions; PR=at least a 30% decrease in sum of LD of target lesions, taking as reference the baseline sum LD. (NCT01998919)
Timeframe: Screening/Baseline, Day 22 of Cycles 2, 4 and 6 and every 8 weeks in Post-Study and Off-Study Phases
Intervention | percentage of participants (Number) |
---|
Placebo Plus Chemotherapy | 24.4 |
Erlotinib Plus Chemotherapy | 36.8 |
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Overall Survival
Overall Survival (OS) was defined as the time from the date of randomization to the date of death, regardless of the cause of death. Participants who were alive at the time of the analysis were censored at the date of the last follow-up assessment. (NCT01998919)
Timeframe: Date of randomization until date of death or date of last follow-up assessment
Intervention | weeks (Median) |
---|
Placebo Plus Chemotherapy | 75.7 |
Erlotinib Plus Chemotherapy | 74.1 |
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Percentage of Participants With Non-Progression at Week 8 as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST)
Non-progression defined as documented best overall tumor response of complete response (CR), partial response (PR), or stable disease (SD; where SD was maintained for greater than [>]8 weeks) per RECIST. Investigator's assessment of response used in all analyses. CR equals (=)disappearance of all target lesions; PR=at least a 30 percent (%) decrease in sum of longest diameter (LD) of target lesions, taking as reference the baseline sum LD; SD=neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for disease progression, taking as reference smallest sum LD since treatment started. (NCT01998919)
Timeframe: Week 8
Intervention | percentage of participants (Number) |
---|
Placebo Plus Chemotherapy | 76.9 |
Erlotinib Plus Chemotherapy | 80.3 |
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Participants With Adverse Events
(NCT02000531)
Timeframe: start of second-line treatment to data cut-off in December 2014 (within 12 months)
Intervention | participants (Number) |
---|
| With any adverse events (AEs) | With any serious AEs (SAEs) | With any AEs Grade ≥ 3 | With any drug related (possible/probable) AEs | With any drug related (possible/probable) SAEs | With any AEs leading to study drug withdrawal | With any AEs leading to death | With AEs of Special Interest | With pregnancy |
---|
Chemotherapy-Erlotinib | 12 | 1 | 2 | 9 | 0 | 0 | 0 | 0 | 0 |
,Erlotinib-Chemotherapy | 14 | 0 | 5 | 10 | 0 | 0 | 0 | 0 | 0 |
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Progression Free Survival (PFS) Based on Well-documented and Verifiable Progression Events
Progression free survival is defined as the time of randomization in ENSURE study to progressive disease (PD) while on second-line treatment or death from any cause, whichever occurred first during the second-line treatment. (NCT02000531)
Timeframe: within 3 years, 9 months (data cut-off December 2014)
Intervention | Months (Median) |
---|
Erlotinib-Chemotherapy | 26.3 |
Chemotherapy-Erlotinib | 23.4 |
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Kaplan-Meier Probability of Being Progression Free at 1 Year
(NCT02004093)
Timeframe: 1 year
Intervention | percent (Number) |
---|
Chemotherapy + Pertuzumab | 24 |
Chemotherapy | 19 |
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Kaplan-Meier Probability of Maintaining a Response to at Least 1 Year
(NCT02004093)
Timeframe: 1 year
Intervention | percent (Number) |
---|
Chemotherapy + Pertuzumab | 18 |
Chemotherapy | 18 |
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Overall Survival
Survival was the interval of time from date of first dose of study medication to date of death at any time. Participants who had not died were censored at the date of last contact when they were known to be alive. (NCT02004093)
Timeframe: Screening and Day 15 of Cycles 2, 4, 6, and Day 15 of all cycles from Cycle 7 to 17 until 2 years after last dose of treatment
Intervention | months (Median) |
---|
Chemotherapy + Pertuzumab | 28.2 |
Chemotherapy | NA |
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Duration of Response
For participants who achieved a response, the duration of response was defined as the interval between initial documentation of response to the first documentation of disease progression or death. Participants who responded and did not progress or die while on study or while being followed were censored at the last valid tumor or CA 125 measurement. (NCT02004093)
Timeframe: Day 15 of Cycles 2, 4, 6, and Day 15 of all Cycles from Cycle 7 to 17 until disease progression up to 104 weeks
Intervention | weeks (Median) |
---|
Chemotherapy + Pertuzumab | 28.7 |
Chemotherapy | 37.0 |
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Time to Progressive Disease
The time to progressive disease is the interval of time from date of first dose of study medication to date of first documentation of progressive disease by either RECIST or CA 125 criteria. Participants who never progressed while being followed were censored at the last valid tumor measurement or CA 125 measurement. (NCT02004093)
Timeframe: Screening and Day 15 of Cycles 2, 4, 6, and Day 15 of all cycles from Cycle 7 to 17 until disease progression
Intervention | weeks (Median) |
---|
Chemotherapy + Pertuzumab | 34.3 |
Chemotherapy | 37.3 |
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Kaplan-Meier Probability of No Disease or Progression at 1 Year
The probability of being event free (no disease progression or death events) at 1 year in participants remaining at risk. (NCT02004093)
Timeframe: 1 year
Intervention | percent (Number) |
---|
Chemotherapy + Pertuzumab | 24 |
Chemotherapy | 21 |
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Kaplan-Meier Probability of Being Alive at 1 Year
(NCT02004093)
Timeframe: 1 year
Intervention | percent (Number) |
---|
Chemotherapy + Pertuzumab | 88 |
Chemotherapy | 85 |
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Percentage of Participants Who Died
(NCT02004093)
Timeframe: Screening and Day 15 of Cycles 2, 4, 6, and Day 15 of all cycles from Cycle 7 to 17 until 2 years after last dose of treatment
Intervention | percentage of participants (Number) |
---|
Chemotherapy + Pertuzumab | 45.9 |
Chemotherapy | 41.3 |
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Percentage of Participants With a Best Overall Confirmed Response Based on Combined CA 125 and RECIST Measurements
"Response by tumor measurement occurred if there was documented and confirmed complete response (CR) or partial response (PR). For all participants, response was assessed by both the RECIST and by CA 125 levels, according to whether the participant had measurable or non-measurable disease at baseline. Response according to CA 125 levels was defined as at least a 50% reduction from baseline. The decrease had to be confirmed and maintained for at least 28 days. The confirmatory sample must have been less than or equal to the previous sample (within an assay variability of 10%). For overall response, the response categories were response, stable disease and progressive disease. Stable disease included 1) stable disease as defined by RECIST for solid tumors and 2) CA 125 levels that had not met the definition of response or progressive disease." (NCT02004093)
Timeframe: Screening and Day 15 of Cycles 2, 4, 6, and Day 15 of all cycles from Cycle 7 to 17 until disease progression up to 104 weeks
Intervention | percentage of participants (Number) |
---|
Chemotherapy + Pertuzumab | 74.3 |
Chemotherapy | 68.0 |
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Percentage of Participants With Disease Progression
Disease progression was assessed according to RECIST, for participants with measurable disease, or by changes in CA 125 according to GCIG for all participants. Participants who did not progress while being followed were censored at the time of the last valid tumor assessment or valid CA 125 assessment. (NCT02004093)
Timeframe: Screening and Day 15 of Cycles 2, 4, 6, and Day 15 of all cycles from Cycle 7 to 17 until disease progression
Intervention | percentage of participants (Number) |
---|
Chemotherapy + Pertuzumab | 83.8 |
Chemotherapy | 76.0 |
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Percentage of Participants With Disease Progression or Death
Disease progression was assessed according to RECIST (Response Evaluation Criteria In Solid Tumors), for participants with measurable disease, or by changes in CA 125 (Cancer Antigen 125) according to GCIG (Gynecologic Cancer Inter Group) for all participants. Participants who did not progress or died while being followed were censored at the time of the last valid tumor assessment or valid CA 125 assessment. (NCT02004093)
Timeframe: Screening and Day 15 of Cycles 2, 4, 6, and Day 15 of all cycles from Cycle 7 to 17 until disease progression up to 104 weeks
Intervention | percentage of participants (Number) |
---|
Chemotherapy + Pertuzumab | 87.8 |
Chemotherapy | 80.0 |
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Progression-Free Survival
Progression-free survival was defined as the time from first administration of study drug (Study Day 1) to documented disease progression or death, whichever occurred earlier. Disease progression was assessed according to RECIST, for participants with measurable disease, or by changes in CA 125 according to GCIG for all participants. Participants who did not progress or died while being followed were censored at the time of the last valid tumor assessment or valid CA 125 assessment. (NCT02004093)
Timeframe: Screening and Day 15 of Cycles 2, 4, 6, and Day 15 of all cycles from Cycle 7 to 17 until disease progression up to 104 weeks
Intervention | weeks (Median) |
---|
Chemotherapy + Pertuzumab | 34.1 |
Chemotherapy | 40.0 |
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Time To Response
Time to response was the date of first dose of study medication to the date of the first documentation of response, according to CA 125 criteria for all participants or response according to RECIST criteria for participants with measurable disease. If response was evaluable by both criteria, then the date of response was for the earlier of the two events. (NCT02004093)
Timeframe: Screening and Day 15 of Cycles 2, 4, 6, and Day 15 of all cycles from Cycle 7 to 17 until 2 years after last dose of treatment
Intervention | weeks (Median) |
---|
Chemotherapy + Pertuzumab | 6.0 |
Chemotherapy | 6.3 |
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Overall Survival - Time to Event
The median time, in months, from the start of study treatment to OS event. (NCT02006667)
Timeframe: Screening, Day 1 of Cycles 1 through 6, every 4 weeks until end of treatment, up to 36 months
Intervention | months (Median) |
---|
Trastuzumab/Gemcitabine/Cisplatin | 14.9 |
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Percentage of Participants Achieving Complete Response (CR), Partial Response (PR), or Stable Disease (SD)
Per Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST v1.1): 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. SD was defined as not qualifying for CR, PR, or Progressive Disease (PD). (NCT02006667)
Timeframe: Screening, Day 1 of Cycles 1 through 6, every 4 weeks until end of treatment, up to 33 months
Intervention | percentage of participants (Number) |
---|
| CR | PR | SD | PD | CR/PR | CR/PR/SD |
---|
Trastuzumab/Gemcitabine/Cisplatin | 15.4 | 23.1 | 46.2 | 15.4 | 38.5 | 84.6 |
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Overall Survival (OS) - Percentage of Participants With an Event
OS was defined as the time from the start of study treatment to date of death due to any cause. (NCT02006667)
Timeframe: Screening, Day 1 of Cycles 1 through 6, every 4 weeks until end of treatment, up to 36 months
Intervention | percentage of participants (Number) |
---|
Trastuzumab/Gemcitabine/Cisplatin | 84.6 |
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Progression-Free Survival - Time to Event
The median time, in months, from the first dose of study treatment to PFS event. (NCT02006667)
Timeframe: Screening, Day 1 of Cycles 1 through 6, every 4 weeks until end of treatment, up to 33 months
Intervention | months (Median) |
---|
Trastuzumab/Gemcitabine/Cisplatin | 11.0 |
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Progression-Free Survival (PFS) - Percentage of Participants With an Event
PFS was defined as the time from the first dose of study treatment to the first documentation of objective tumor progression or death due to any cause. (NCT02006667)
Timeframe: Screening, Day 1 of Cycles 1 through 6, every 4 weeks until end of treatment, up to 33 months
Intervention | percentage of participants (Number) |
---|
Trastuzumab/Gemcitabine/Cisplatin | 92.3 |
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Percentage of Participants Surviving at 12 and 24 Months
(NCT02006667)
Timeframe: Screening, and Months 12 and 24
Intervention | percentage of participants (Number) |
---|
| 12 Months | 24 Months |
---|
Trastuzumab/Gemcitabine/Cisplatin | 76.9 | 23.1 |
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Percentage of Participants Who Were Progression Free at 12 and 24 Months
(NCT02006667)
Timeframe: Screening, and Months 12 and 24
Intervention | percentage of participants (Number) |
---|
| 12 Months | 24 Months |
---|
Trastuzumab/Gemcitabine/Cisplatin | 38.5 | 15.4 |
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Phase 1: Dose Limiting Toxicities (DLT) Following Intravesical Administration of ABI-009
The primary endpoint of the Phase 1 study is DLT following intravesical administration of ABI-009 in patients with BCG refractory or recurrent nonmuscle-invasive transitional cell carcinoma (TCC) of the bladder to identify maximum deliverable dose (MDD). Systemic DLT will be defined as any grade systemic toxicity using the NCI CTCAE version 4.0. Local dose limiting toxicity was defined as grade 3 or 4 bladder toxicity (hematuria, dysuria, urinary retention, urinary frequency/urgency, or bladder spasms) using the NCI CTCAE version 4.0. (NCT02009332)
Timeframe: Duration of treatment (6 weeks) plus 30 days follow up (up to 2.5 months)
Intervention | Participants (Count of Participants) |
---|
Phase 1: ABI-009 100 mg/Week | 0 |
Phase 1: ABI-009 200 mg/Week | 0 |
Phase 1: ABI-009 100 mg 2×/Week | 0 |
Phase 1: ABI-009 300 mg/Week | 0 |
Phase 1: ABI-009 400 mg/Week | 0 |
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Phase 1: Number of Participants Achieving a Complete Response Following Intravesical Administration of ABI-009
Response rate will be measured and documented at the 6-week post-treatment assessment, including cystoscopy with biopsy. A complete response is defined as a cancer-negative biopsy at the 6-week post-treatment cystoscopy. No response will be defined as positive cystoscopic biopsy. (NCT02009332)
Timeframe: End of Study [EOS, 3 months]
Intervention | Participants (Count of Participants) |
---|
Phase 1: ABI-009 100 mg/Week | 0 |
Phase 1: ABI-009 200 mg/Week | 1 |
Phase 1: ABI-009 100 mg 2×/Week | 0 |
Phase 1: ABI-009 300 mg/Week | 0 |
Phase 1: ABI-009 400 mg/Week | 1 |
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Phase 2: Number of Participants Achieving a Complete Response Following Intravesical Administration of ABI-009 and Gemcitabine
The primary objective of the Phase 2 study is to evaluate the utility (potential for clinical efficacy) of ABI-009 in combination with gemcitabine in the treatment of BCG refractory or recurrent nonmuscle-invasive TCC of the bladder. Response rate will be measured and documented at the 6-week post-treatment assessment, including cystoscopy with biopsy. A complete response is defined as a cancer-negative biopsy at the 6-week post-treatment cystoscopy. No response will be defined as positive cystoscopic biopsy. (NCT02009332)
Timeframe: End of Study [EOS, 3 months]
Intervention | Participants (Count of Participants) |
---|
Phase 2: ABI-009 400 mg/Week + Gemcitabine 2000 mg/Week | 1 |
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Number of Participants Experiencing Treatment Emergent Adverse Events (TEAE)
TEAEs were defined as adverse events (AEs) that began or worsened in severity on or after the date of the first dose of study drug and within 30 days of the last dose of study drug. A Serious AE (SAE) = any AE that results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability, is a congenital anomaly/birth defect; constitutes an important medical event. Treatment-related AEs (TRAEs) were any TEAEs considered to be related to the study drug. A TRAE is a TEAE with relationship as suspected to either ABI-007 or gemcitabine The intensity of AEs were graded 1 to 5 according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0. Other AEs not described in the CTCAE criteria, the intensity will be assessed by the investigator as mild grade (Gr 1), moderate (grade 2), severe (grade 3), life-threatening (grade 4) or death (grade 5) (NCT02017015)
Timeframe: Study drug initiation through 30 days after the last dose of study drug or End Of Study, whichever is later; maximum treatment duration was 54.9 weeks
Intervention | participants (Number) |
---|
| At least 1 TEAE | At Least 1 Treatment-related TEAE | ≥ 1 TEAE with NCI CTCAE Gr 3 or higher | ≥ 1 TRAE NCI CTCAE ≥ Gr 3 | At Least 1 Serious TEAE | At Least 1 Treatment-related Serious TEAE | ≥ 1 TEAE causing discontinuing of either drug | ≥1 TRAE causing discontinuing of either drug | ≥ 1 TEAE causing reduction in ABI-007/Gemcitabine | ≥ 1 TRAE causing reduction in ABI-007/Gemcitabine | ≥1 TEAE causing interruption in either study drug | ≥1 TRAE causing interruption in either study drug | At Least 1 TEAE With Outcome of Death | ≥1 TRAE with Outcome of Death |
---|
Nab-paclitaxel and Gemcitabine | 83 | 82 | 70 | 62 | 20 | 9 | 10 | 5 | 38 | 38 | 43 | 40 | 8 | 2 |
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Kaplan-Meier Estimate of Overall Survival (OS)
Overall survival was defined as the time from the date of first treatment to the date of death. Participants who did not die at the end of study or clinical data cut were censored on the last-known-to-be-alive date or the clinical cut-off date, whichever was earlier. (NCT02017015)
Timeframe: From the first participant enrolled to data cut off of 01 June 2015; up to approximately 70 weeks
Intervention | months (Median) |
---|
Nab-paclitaxel With Gemcitabine | 9.2 |
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Overall Response Rate (ORR) Based on Independent Radiological Review (IRR)
ORR was defined as the percentage of participants who achieve a complete response (CR) or partial response (PR) based on independent radiological review per Response Evaluation Criteria in Solid Tumors (RECIST) Criteria (V1.0). Using RECIST Version 1.0, participants were to achieve either a complete response defined as the disappearance of all known disease and no new sites or disease related symptoms confirmed at least 4 weeks after initial documentation or partial response defined as at least a 30% decrease in the sum of the longest diameters of target lesions and no progression in non-target lesions based on confirmed responses from the independent radiological review of best overall response during study treatment. (NCT02017015)
Timeframe: Assessment every 8 weeks; Day 1 to data cut off of 01 June 2015; Up to approximately 70 weeks
Intervention | percentage of participants (Number) |
---|
Nab-paclitaxel and Gemcitabine | 35 |
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Duration of Response (DoR) Based on IRR According to RECIST Guidelines
DoR was defined as the time from the first tumor assessment when the confirmed CR/PR response criterion is met to the date of disease progression based on IRR following RECIST 1.0. Only for those participants with a confirmed CR/PR. If a participant had disease progression, then the date of disease progression was the event date. For a participant who did not develop disease progression or disease progression occurred after 2 or more missing tumor assessments, the participant was censored on the date of last tumor assessment where the participant was documented to be progression free. If a participant died prior to disease progression, the participant was censored on the date of death. If patient started new anti-cancer therapy, the patient was censored on the last tumor assessment date on or prior to the start date of new anti-cancer therapy (NCT02017015)
Timeframe: Assessment performed every 8 weeks; from the first participant enrolled to cut off date of 01 June 2015; up to approximately 70 weeks
Intervention | months (Median) |
---|
Nab-paclitaxel With Gemcitabine | 8.9 |
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Number of Participants Experiencing Toxicities With Neoadjuvant Gemcitabine and Fractionated Cisplatin for Patients With Bladder Cancer
Toxicities assessed while patients are on treatments (NCT02030574)
Timeframe: Prior to each of the 4 cycles of treatment, after 4 months of treatment, 30 days post the last dose of drug (for a total of approximately 5 months)
Intervention | participants (Number) |
---|
Gemcitabine and Fractionated Cisplatin (Combination Treatment) | 2 |
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Pathologic Complete Response Rate of Neoadjuvant Gemcitabine and Fractionated Cisplatin for Patients With Muscle Invasive Bladder Cancer Whom Are Not Candidates for High Dose Cisplatin.
Response will be evaluated in this study using the international criteria proposed in the Revised Response Evaluation Criteria in Solid Tumors (RECIST) Guideline version 1.1 [Eur J Cancer. 2009;45:228-247.].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. Progressive Disease (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. (Note: the appearance of one or more new lesions is also considered progressions). Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficie (NCT02030574)
Timeframe: at approximately 6 months
Intervention | participants (Number) |
---|
Gemcitabine and Fractionated Cisplatin (Combination Treatment) | 2 |
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Overall Survival
Overall survival (OS) summarized by Kaplan-Meier curves and characterized by descriptive statistics such as median OS. The time frame for data collection for OS varied depending on the length of patient follow-up, which ranged from 1.8 months to 47.2 months. Patients who enrolled soon after the study opened may have been followed longer than patients who enrolled later, toward the end of the study. (NCT02037230)
Timeframe: Up to 48 months following treatment
Intervention | months (Median) |
---|
AZD-1775 100 mg | 21.96 |
AZD-1775 125 mg | 21.73 |
AZD-1775 150 mg | 23.84 |
AZD-1775 175 mg | 22.45 |
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Time From Date of Registration to Date of Documented Disease Progression
Time from date of registration to date of documented disease progression summarized by Kaplan-Meier method. The time frame for data collection varied depending on the length of patient follow-up, which ranged from 1.8 months to 47.2 months. Patients who enrolled soon after the study opened may have been followed longer than patients who enrolled later, toward the end of the study. (NCT02037230)
Timeframe: Up to 48 months following treatment
Intervention | months (Median) |
---|
AZD-1775 100 mg | 8.05 |
AZD-1775 125 mg | 9.44 |
AZD-1775 150 mg | 9.90 |
AZD-1775 175 mg | 6.08 |
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Number of Patients With Phosphorylation Inhibition of Greater Than 0
During the first cycle of treatment, patients underwent 2 biopsies: 3 h after treatment with gemcitabine (but before MK- 1775), and 2 hours after MK-1775. WEE1 signaling was assessed using immunohistochemistry (IHC) to measure phosphorylation of various markers including Cdk1 (Y15). Inhibition was quantified as the within subject change in the above markers between the two biopsy timepoints. Descriptive statistics of inhibition across subjects (for each marker) were calculated and reported by dose level. (NCT02037230)
Timeframe: First cycle of treatment
Intervention | participants (Number) |
---|
AZD-1775 100 mg | 1 |
AZD-1775 125 mg | 7 |
AZD-1775 150 mg | 3 |
AZD-1775 175 mg | 5 |
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Maximum Tolerated Dose (MTD) of AZD1775 (MK-1775) When Used Concurrently With Gemcitabine and Radiation Therapy.
Probability of dose limiting toxicities was calculated for each dose (p[DLT/d]) using the Time to Event Continual Reassessment Method (TITE-CRM). The target DLT rate was 0.30. Dose level 1 (150 mg AZD1775) was determined to be the MTD and recommended phase 2 dose (RP2D). (NCT02037230)
Timeframe: The observation period for MTD is defined as the first 4 cycles of treatment (with a 3 week break between cycle 3 and cycle 4), for a total of 105 days in length.
Intervention | mg (Number) |
---|
AZD1775 (MK-1775), Gemcitabine, Radiation Therapy | 150 |
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Progression-Free Survival in All Randomized Participants
Progression-Free Survival (PFS) was defined as the time between the date of randomization and the first date of documented tumor progression, as determined by the Independent Radiology Review Committee (IRRC) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, or death due to any cause, whichever occurs first. Participants who die without a reported progression were considered to have progressed on the date of their death. Participants who did not progress or die were censored on the date of their last evaluable tumor assessment. Participants who did not have any on-study tumor assessments and did not die were censored on the day they were randomized. Participants who received subsequent anti-cancer therapy prior to documented progression were censored at the last evaluable tumor assessment prior to the initiation of new therapy. (NCT02041533)
Timeframe: From date of randomization until date of documented tumor progression (assessed up to August 2016, approximately 28 months)
Intervention | Months (Median) |
---|
Nivolumab | 4.21 |
Investigator Choice of Chemotherapy | 5.82 |
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Objective Response Rate (ORR) in Participants With PD-L1 Expression >= 5%
ORR was defined as the proportion of randomized participants who achieved a Best Overall Response (BOR) of CR or PR using the RECIST v1.1 criteria per Independent Radiology Review Committee (IRRC) assessment. BOR was defined as the best response designation recorded between the date of randomization and the date of objectively documented progression or start of subsequent anti-cancer therapy, whichever occurred first. For participants without documented progression or subsequent therapy, all available response designations contributed to the BOR assessment. For participants who continued treatment beyond progression, BOR was determined from response designations recorded up to the time of initial progression. CR= Disappearance of all evidence of disease, confirmed by PET scan; PR= Regression of measureable disease and no new sites; Stable Disease (SD)= Failure to attain CR/PR or PD; Progressive Disease (PD)= Any new lesion or increase by >=50% of previously involved sites from nadir. (NCT02041533)
Timeframe: From date of randomization until date of documented tumor progression or subsequent anti-cancer therapy, whichever occurs first (assessed up to August 2016, approximately 28 months)
Intervention | Percentage of participants (Number) |
---|
Nivolumab | 26.1 |
Investigator Choice of Chemotherapy | 33.5 |
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Overall Survival in All Randomized Participants
Overall Survival (OS) was defined as the time from randomization to the date of death. A participant who had not died was censored at the last known alive date. OS was censored at the date of randomization for participants who were randomized but had no follow-up. (NCT02041533)
Timeframe: From date of randomization to date of death (up to approximately 89 months)
Intervention | Months (Median) |
---|
Nivolumab | 13.73 |
Investigator Choice of Chemotherapy | 13.80 |
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Overall Survival in Participants With PD-L1 Expression >= 5%
Overall Survival (OS) was defined as the time from randomization to the date of death. A participant who had not died was censored at the last known alive date. OS was censored at the date of randomization for participants who were randomized but had no follow-up. (NCT02041533)
Timeframe: From date of randomization to date of death (up to approximately 89 months)
Intervention | Months (Median) |
---|
Nivolumab | 14.36 |
Investigator Choice of Chemotherapy | 13.21 |
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Progression-Free Survival in Participants With PD-L1 Expression >= 5%
Progression-Free Survival (PFS) was defined as the time between the date of randomization and the first date of documented tumor progression, as determined by the Independent Radiology Review Committee (IRRC) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, or death due to any cause, whichever occurs first. Participants who die without a reported progression were considered to have progressed on the date of their death. Participants who did not progress or die were censored on the date of their last evaluable tumor assessment. Participants who did not have any on-study tumor assessments and did not die were censored on the day they were randomized. Participants who received subsequent anti-cancer therapy prior to documented progression were censored at the last evaluable tumor assessment prior to the initiation of new therapy. (NCT02041533)
Timeframe: From date of randomization until date of documented tumor progression (assessed up to August 2016, approximately 28 months)
Intervention | Months (Median) |
---|
Nivolumab | 4.21 |
Investigator Choice of Chemotherapy | 5.88 |
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Number of Subjects Experiencing Dose Limiting Toxicity (DLT)
(NCT02047500)
Timeframe: Up to Day 28 of Cycle 1
Intervention | Participants (Count of Participants) |
---|
TH-302 Plus Nab-paclitaxel Plus Gemcitabine | 1 |
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Overall Survival
The secondary efficacy parameter was Overall Survival (OS) analysed in the Intent-to-treat (ITT) population. OS was defined as the time elapsed from the date of randomisation up to death or last follow-up. (NCT02054338)
Timeframe: OS was evaluated from the date of registration to the date of death due to any cause (median duration of follow-up: 14.1 months)
Intervention | Months (Median) |
---|
Vinflunine Plus Gemcitabine | 18.9 |
Paclitaxel Plus Gemcitabine | 19.1 |
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Overall Response Rate & Disease Control Rate
Disease control rate (DCR) is defined as the sum of Complete Response (CR) and Partial Response (PR) and Stable Disease (SD) ≥ 6 months rate. Objective response rate (ORR) is defined as the sum of Complete Response (CR) and Partial Response (PR) rate (using the best confirmed response recorded from the date of randomisation to the end of treatment). DCR and ORR, assessed by Independent Review Committee using RECIST 1.0, were calculated in the ITT population. (NCT02054338)
Timeframe: ORR and DCR were calculated from the date of randomisation of first patient until the database cut-off (30 June 2011), assessed up to 5 years
Intervention | percentage of patients (Median) |
---|
| Overall Response Rate | Disease Control Rate |
---|
Paclitaxel Plus Gemcitabine | 14.6 | 44.9 |
,Vinflunine Plus Gemcitabine | 11.3 | 39.8 |
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Progression Free Survival
The primary efficacy parameter was Progression-free survival (PFS) analysed in the Intent-to-treat (ITT) population. PFS was defined as the time elapsed from randomisation date until the date of progression or death due to any cause (whichever came first).Tumor response was evaluated using the RECIST version 1.0 every 6 weeks until progression was recorded. (NCT02054338)
Timeframe: PFS was calculated from the registration date until the date of progression or death due to any cause if no progression was recorded first (median duration of follow-up: 14.1 months)
Intervention | Months (Median) |
---|
Vinflunine Plus Gemcitabine | 8.0 |
Paclitaxel Plus Gemcitabine | 8.4 |
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PK: Area Under the Concentration Curve (AUC) of Abemaciclib in Part A, B, C, D and E
Area under the concentration time curve from zero to 8 hours AUC(0-8h) of abemaciclib in Part A, B, C, D and E was evaluated. (NCT02079636)
Timeframe: C1D1 pre-dose and 1, 2, 4, 6, 8, 10 h post-dose; C2D1 pre-dose and 1, 2, 4, 6, 8, 10 h post-dose
Intervention | nanogram*hour/mL (ng*h/mL) (Geometric Mean) |
---|
| Day 1 |
---|
Part E: 100 mg Abemaciclib + 200 mg Pembrolizumab | NA |
,Part D: 200 mg Abemaciclib + 150 mg LY3023414 | 967 |
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PK: Area Under the Concentration Curve (AUC) of Abemaciclib in Part A, B, C, D and E
Area under the concentration time curve from zero to 8 hours AUC(0-8h) of abemaciclib in Part A, B, C, D and E was evaluated. (NCT02079636)
Timeframe: C1D1 pre-dose and 1, 2, 4, 6, 8, 10 h post-dose; C2D1 pre-dose and 1, 2, 4, 6, 8, 10 h post-dose
Intervention | nanogram*hour/mL (ng*h/mL) (Geometric Mean) |
---|
| Day 1 | Steady State |
---|
Part A: 200 mg Abemaciclib + 500 mg/m^2 Pemetrexed | 979 | 3710 |
,Part B: 200 mg Abemaciclib + 1250 mg/m^2 Gemcitabine | 886 | 2690 |
,Part C: 150 mg Abemaciclib + 8 mg/kg or 10 mg/kg Ramucirumab | 797 | 1720 |
,Part C: 200 mg Abemaciclib + 10mg/kg Ramucirumab Day1 | 1030 | 1840 |
,Part D: 100 mg Abemaciclib + 100 mg LY3023414 | 394 | NA |
,Part D: 150 mg Abemaciclib + 100 or 150 or 200 mg LY3023414 | 719 | 1550 |
,Part A:150 Milligram(mg) Abemaciclib + 500 mg/m^2 Pemetrexed | 533 | NA |
,Part B: 150 mg Abemaciclib + 1250 mg/m^2 Gemcitabine | 393 | NA |
,Part E: 150 mg Abemaciclib + 200 mg Pembrolizumab | 518 | 1400 |
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PK: Area Under the Concentration Curve (AUC) of LY3023414 in Part D
Area under the plasma concentration versus time curve from time zero to infinity (AUC) of LY3023414 in Part D was evaluated. For Day 1, AUC is defined as AUC from time zero to infinity (AUC[0-∞]), for steady state, AUC is defined as AUC from time zero to the end of the dosing interval, tau (AUC[0-tau ]) (NCT02079636)
Timeframe: C1D1 pre-dose and 1, 2, 4, 6, 8, 10 h post-dose; C2D1 pre-dose and 1, 2, 4, 6, 8, 10 h post-dose
Intervention | nanogram*hour/mL (ng*h/mL) (Geometric Mean) |
---|
| Day 1 | Steady State |
---|
Part D: 100 or 150 mg Abemaciclib + 100 mg LY3023414 | 1005 | 1303 |
,Part D: 150 mg Abemaciclib + 200 mg LY3023414 | 3809 | NA |
,Part D: 150 or 200 mg Abemaciclib + 150 mg LY3023414 | 1751 | 1293 |
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PK: Maximum Concentration (Cmax) of LY3023414 in Part D
Cmax of LY3023414 in Part D was evaluated. (NCT02079636)
Timeframe: C1D1 pre-dose and 1, 2, 4, 6, 8, 10 h post-dose; C2D1 pre-dose and 1, 2, 4, 6, 8, 10 h post-dose
Intervention | nanograms per milliliter (ng/mL) (Geometric Mean) |
---|
| Day 1 | Steady State |
---|
Part D: 100 or 150 mg Abemaciclib + 100 mg LY3023414 | 298 | 438 |
,Part D: 150 mg Abemaciclib + 200 mg LY3023414 | 578 | NA |
,Part D: 150 or 200 mg Abemaciclib + 150 mg LY3023414 | 454 | 491 |
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PK: Maximum Concentration (Cmax) of Ramucirumab at 1 Hour Post-End-of-Infusion in Part C
Cmax of ramucirumab at 1 hour post-end-of-Infusion in Part C was evaluated. (NCT02079636)
Timeframe: C1D1 and C2D1: 1 hour post-end-of-infusion
Intervention | microgram per milliliter (μg/mL) (Geometric Mean) |
---|
| C1D1 | C2D1 |
---|
Part C: 150 mg Abemaciclib + 10 mg/kg Ramucirumab Day 1 | 226 | NA |
,Part C: 150 mg Abemaciclib + 10 mg/kg Ramucirumab Days 1 and 8 | 193 | NA |
,Part C: 150 mg Abemaciclib + 8 mg/kg Ramucirumab Days 1 and 8 | 174 | 221 |
,Part C: 200 mg Abemaciclib + 10mg/kg Ramucirumab Day1 | 221 | 226 |
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Pharmacokinetics: Maximum Concentration (Cmax) of Pemetrexed at Steady State in Part A
Cmax of pemetrexed at steady state in Part A was evaluated. (NCT02079636)
Timeframe: C2D1 pre-dose and 1, 2, 4, 6, 8, 10 h post-dose
Intervention | microgram per milliliter (μg/mL) (Geometric Mean) |
---|
Part A:150 mg Abemaciclib + 500 mg/m^2 Pemetrexed | 98.1 |
Part A: 200 mg Abemaciclib + 500 mg/m^2 Pemetrexed | 93.5 |
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Number of Participants Achieving Complete Response (CR) or Partial Response (PR) (Overall Response Rate [ORR]) in Part A, B, C, D and E
ORR is the best response of CR or PR as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST v1.1). CR is a disappearance of all target and non-target lesions and normalization of tumor marker level. PR is an at least 30% decrease in the sum of the diameters of target lesions (taking as reference the baseline sum diameter) without progression of not-target lesions or appearance of new lesions. Overall response rate is calculated as a total number of participants with CR or PR divided by the total number of participants with at least 1 measurable lesion, multiplied by 100. (NCT02079636)
Timeframe: Baseline through study completion (Up To 15 Months)
Intervention | Participants (Count of Participants) |
---|
Part A:150 Milligram(mg) Abemaciclib + 500 mg/m^2 Pemetrexed | 0 |
Part A: 200 mg Abemaciclib + 500 mg/m^2 Pemetrexed | 1 |
Part B: 150 mg Abemaciclib + 1250 mg/m^2 Gemcitabine | 0 |
Part B: 200 mg Abemaciclib + 1250 mg/m^2 Gemcitabine | 1 |
Part C:150 mg Abemaciclib+10mg/kg Ramucirumab Day1 | 1 |
Part C: 200 mg Abemaciclib + 10 mg/kg Ramucirumab Day 1 | 1 |
Part C: 150 mg Abemaciclib + 8 mg/kg Ramucirumab Days 1 and 8 | 0 |
Part C: 150 mg Abemaciclib + 10 mg/kg Ramucirumab Days 1 and 8 | 0 |
Part D: 100 mg Abemaciclib + 100 mg LY3023414 | 0 |
Part D: 150 mg Abemaciclib + 100 mg LY3023414 | 0 |
Part D: 150 mg Abemaciclib + 150 mg LY3023414 | 1 |
Part D: 200 mg Abemaciclib + 150 mg LY3023414 | 0 |
Part D: 150 mg Abemaciclib + 200 mg LY3023414 | 0 |
Part E: 100 mg Abemaciclib + 200 mg Pembrolizumab | 0 |
Part E: 150 mg Abemaciclib + 200 mg Pembrolizumab | 2 |
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Number of Participants With Dose-Limiting Toxicities (DLT) or DLT-equivalent in Part A, B, C, D and E
A DLT defined as adverse event(AE) occurring between Day 1 and Day 21 of Cycle 1 that was considered at least possibly related to either abemaciclib or the combination therapy and fulfilled a criteria selected (using the National Cancer Institute Common Terminology Criteria for Adverse Events,version 4.0 [NCI-CTCAE v 4.0] [NCI 2009]):Grade(Gr)≥3 nonhematological toxicity,Gr4 thrombocytopenia lasting at least 5 days and/or complicated with bleeding,Gr≥3 febrile neutropenia(ntr) and for Part D participants (pts): Gr3 hyperglycemia (fasting) of <5 days, Gr3 hypertriglyceridemia or hyperlipidemia without optimal treatment.A DLT-equivalent defined as AE that would have met the criteria for DLT if it had occurred during Cycle 1 for pts enrolled in dose-escalation phase,but that occurs between 1)Day 1 and Day 21 of Cycle 2 and beyond for a participant enrolled in dose-escalation phase 2) at any time for a participant in dose-expansion phase. (NCT02079636)
Timeframe: Baseline through study completion (Up To 15 Months)
Intervention | Participants (Count of Participants) |
---|
Part A:150 Milligram(mg) Abemaciclib + 500 mg/m^2 Pemetrexed | 1 |
Part A: 200 mg Abemaciclib + 500 mg/m^2 Pemetrexed | 4 |
Part B: 150 mg Abemaciclib + 1250 mg/m^2 Gemcitabine | 0 |
Part B: 200 mg Abemaciclib + 1250 mg/m^2 Gemcitabine | 5 |
Part C:150 mg Abemaciclib+10 mg/kg Ramucirumab Day 1 | 1 |
Part C: 200 mg Abemaciclib + 10 mg/kg Ramucirumab Day 1 | 4 |
Part C: 150 mg Abemaciclib + 8 mg/kg Ramucirumab Days 1 and 8 | 1 |
Part C: 150 mg Abemaciclib + 10 mg/kg Ramucirumab Days 1 and 8 | 3 |
Part D: 100 mg Abemaciclib + 100 mg LY3023414 | 1 |
Part D: 150 mg Abemaciclib + 100 mg LY3023414 | 1 |
Part D: 150 mg Abemaciclib + 150 mg LY3023414 | 1 |
Part D: 200 mg Abemaciclib + 150 mg LY3023414 | 1 |
Part D: 150 mg Abemaciclib + 200 mg LY3023414 | 2 |
Part E: 100 mg Abemaciclib + 200 mg Pembrolizumab | 0 |
Part E: 150 mg Abemaciclib + 200 mg Pembrolizumab | 0 |
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PK: Area Under the Concentration Curve (AUC) of Pemetrexed at Steady State in Part A
Area under the plasma concentration versus time curve from time zero to infinity (AUC[0-∞]) of Pemetrexed in Part A was evaluated. (NCT02079636)
Timeframe: C2D1 pre-dose and 1, 2, 4, 6, 8, 10 h post-dose
Intervention | microgram*hour per milliliter (μg*hr/mL) (Geometric Mean) |
---|
Part A:150 mg Abemaciclib + 500 mg/m^2 Pemetrexed | 201 |
Part A: 200 mg Abemaciclib + 500 mg/m^2 Pemetrexed | 198 |
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Progression Free Survival Time in Part A, B, C, D and E
Progression free survival (PFS) defined as the time from the date of randomization to the first evidence of disease progression as defined by response evaluation criteria in solid tumors (RECIST) v1.1 or death from any cause. Progressive Disease (PD) was 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 participant does not have a complete baseline disease assessment, then the PFS time was censored at the date of randomization, regardless of whether or not objectively determined disease progression or death has been observed for the participant. If a participant was not known to have died or have objective progression as of the data inclusion cutoff date for the analysis, the PFS time was censored at the last adequate tumor assessment date. PFS time was summarized using Kaplan-Meier estimates. (NCT02079636)
Timeframe: Date of first dose until first documented progression or death (Up To 15 Months)
Intervention | Months (Median) |
---|
Part A:Abemaciclib + 500 mg/m^2 Pemetrexed | 5.55 |
Part B: Abemaciclib + 1250 mg/m^2 Gemcitabine | 1.58 |
Part C:Abemaciclib+ 8/10mg/kg Ramucirumab Day1/8 | 4.83 |
Part D: Abemaciclib + 100 mg/150 mg/ 200 mg LY3023414 | 1.87 |
Part E: 100 mg/150 mg Abemaciclib + 200 mg Pembrolizumab | 4.11 |
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Change From Baseline in MD Anderson Symptom Inventory Scale-Lung Cancer (MDASI-LC) in Part A, B, C, D and E
"The MDASI-LC is a self-reported lung cancer instrument included 22 items covered by one of the following dimensions: Mean core symptom severity (Core items 1-13: pain, fatigue, nausea, disturbed sleep, distress, shortness of breath, remembering things, lack of appetite, drowsy, dry mouth, sad, vomiting, numbness/tingling), Lung cancer symptoms (3 items: coughing, constipation, sore throat), Mean symptom severity (13 core items plus 3 lung items) and Interference with mood or functional status (6 items: general activity, mood, work, relations with other people, walking, enjoyment of life). The mean of all symptom subscale items was calculated where 0 equals not present and 10 equals as bad as you can imagine. A change from baseline with negative values indicate improvement, positive values indicate worsening." (NCT02079636)
Timeframe: Baseline, through study completion (Up To 15 Months)
Intervention | units on a scale (Mean) |
---|
| Mean core symptom severity | Mean symptom severity | Mean lung cancer symptom | Mean interference severity |
---|
Part A: 200 mg Abemaciclib + 500 mg/m^2 Pemetrexed | 0.89 | 0.83 | 0.71 | 0.49 |
,Part A:150 Milligram(mg) Abemaciclib + 500 mg/m^2 Pemetrexed | -0.16 | -0.05 | 1.22 | 2.32 |
,Part B: 150 mg Abemaciclib + 1250 mg/m^2 Gemcitabine | -0.54 | -0.44 | 1.67 | 0.00 |
,Part B: 200 mg Abemaciclib + 1250 mg/m^2 Gemcitabine | -0.08 | -0.03 | 0.19 | 0.95 |
,Part C: 150 mg Abemaciclib + 10 mg/kg Ramucirumab Days 1 and 8 | -1.39 | -1.01 | 3.01 | -3.08 |
,Part C: 150 mg Abemaciclib + 8 mg/kg Ramucirumab Days 1 and 8 | -0.64 | -0.61 | -0.78 | -1.00 |
,Part C: 200 mg Abemaciclib + 10mg/kg Ramucirumab Day1 | 0.61 | 0.72 | 1.13 | 0.15 |
,Part C:150 mg Abemaciclib+10mg/kg Ramucirumab Day1 | -0.35 | -0.41 | -0.67 | -1.33 |
,Part D: 100 mg Abemaciclib + 100 mg LY3023414 | 0.61 | 0.64 | 0.78 | 0.72 |
,Part D: 150 mg Abemaciclib + 100 mg LY3023414 | 1.89 | 1.86 | 1.40 | 1.47 |
,Part D: 150 mg Abemaciclib + 150 mg LY3023414 | 1.60 | 1.60 | 2.19 | 1.81 |
,Part D: 150 mg Abemaciclib + 200 mg LY3023414 | 0.28 | 0.19 | 0.67 | -0.38 |
,Part D: 200 mg Abemaciclib + 150 mg LY3023414 | -0.80 | -0.73 | -0.44 | -0.22 |
,Part E: 100 mg Abemaciclib + 200 mg Pembrolizumab | 0.91 | 0.99 | 1.67 | 1.44 |
,Part E: 150 mg Abemaciclib + 200 mg Pembrolizumab | 0.88 | 0.75 | 0.23 | 1.00 |
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Pharmacokinetics (PK): Maximum Concentration (Cmax) of Abemaciclib on Day 1 and at Steady State (Cycle 2 Day 1) in Part A , B, C, D and E
Cmax of Abemaciclib on day 1 and at steady State (Cycle 2 Day 1) Part A , B, C, D and E was evaluated. (NCT02079636)
Timeframe: Cycle 1 Day 1 (C1D1) pre-dose and 1, 2, 4, 6, 8, 10 h post-dose; Cycle 2 Day 1 (C2D1) pre-dose and 1, 2, 4, 6, 8, 10 h post-dose
Intervention | nanograms per milliliter (ng/mL) (Geometric Mean) |
---|
| Day 1 |
---|
Part D: 200 mg Abemaciclib + 150 mg LY3023414 | 225 |
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Pharmacokinetics (PK): Maximum Concentration (Cmax) of Abemaciclib on Day 1 and at Steady State (Cycle 2 Day 1) in Part A , B, C, D and E
Cmax of Abemaciclib on day 1 and at steady State (Cycle 2 Day 1) Part A , B, C, D and E was evaluated. (NCT02079636)
Timeframe: Cycle 1 Day 1 (C1D1) pre-dose and 1, 2, 4, 6, 8, 10 h post-dose; Cycle 2 Day 1 (C2D1) pre-dose and 1, 2, 4, 6, 8, 10 h post-dose
Intervention | nanograms per milliliter (ng/mL) (Geometric Mean) |
---|
| Day 1 | Steady State |
---|
Part A: 200 mg Abemaciclib + 500 mg/m^2 Pemetrexed | 212 | 509 |
,Part A:150 mg Abemaciclib + 500 mg/m^2 Pemetrexed | 114 | NA |
,Part B: 150 mg Abemaciclib + 1250 mg/m^2 Gemcitabine | 80.6 | NA |
,Part B: 200 mg Abemaciclib + 1250 mg/m^2 Gemcitabine | 201 | 417 |
,Part C: 150 mg Abemaciclib + 8 mg/kg or 10 mg/kg Ramucirumab | 140 | 322 |
,Part C: 200 mg Abemaciclib + 10mg/kg Ramucirumab Day 1 | 195 | 228 |
,Part D: 100 mg Abemaciclib + 100 mg LY3023414 | 86.2 | 227 |
,Part D: 150 mg Abemaciclib + 100 or 150 or 200 mg LY3023414 | 159 | 305 |
,Part E: 100 mg Abemaciclib + 200 mg Pembrolizumab | 125 | 270 |
,Part E: 150 mg Abemaciclib + 200 mg Pembrolizumab | 114 | 240 |
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Overall Survival Time
Time from the date of randomization until the date of death or the last date the subject was known to be alive (NCT02082522)
Timeframe: Up to 26 months
Intervention | days (Median) |
---|
Photodynamic Therapy-Photofrin Plus SMC | 444 |
Standard Medical Care (SMC) | 387 |
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Best Overall Tumor Response as Measured by the RECIST 1.1 Criteria (Response Evaluation Criteria in Solid Tumors)
From the start of the treatment until disease progression or recurrence the RECIST 1.1 criteria are applied (Response Evaluation Criteria in Solid Tumors) (NCT02082522)
Timeframe: Up to 26 months
Intervention | percentage of participants (Number) |
---|
Photodynamic Therapy-Photofrin Plus SMC | 56 |
Standard Medical Care (SMC) | 75 |
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Number of Subjects With Dose Limiting Toxicities (DLTs)
DLT: any National Cancer Institute Common Toxicity Criteria for Adverse Events Version 4.03 Grade 4 hematologic or Grade 3/4 non-hematologic toxicities that occurred during DLT observation period and were considered by Investigator to be at least possibly related to trial treatment, and were confirmed by Safety Monitoring Committee (SMC), with exception of Grade 4 neutropenia for not >5 days; Grade 4 lymphocytopenia/ thrombocytopenia for not >5 days; fatigue/headache lasting < 7 days; nausea/vomiting/diarrhoea lasting not >3 days; asymptomatic Grade 3 increase in liver function tests that resolve to baseline within 7 days; Mucositis >= Grade 3 lasting < 7 days; Grade 3 hyperglycemia that resolves in < 7 days; any laboratory values >Grade 3 without any clinical correlate (resolve within 5 days); Grade 3 skin toxicities that resolve to Grade 2 within 7 days; Grade 3/4 hypomagnesemia that resolves within 5 days. Subjects with DLTs presented based on investigator and SMC decision. (NCT02083679)
Timeframe: Day 1 to Day 21 of Cycle 1
Intervention | Subjects (Number) |
---|
| Investigator | SMC |
---|
Part 1: Sym004 6 mg/kg + Carboplatin/Paclitaxel | 1 | 0 |
,Part 1: Sym004 6 mg/kg + Cisplatin/Gemcitabine | 2 | 2 |
,Part 1: Sym004 6 mg/kg + Cisplatin/Pemetrexed | 1 | 1 |
,Part 1: Sym004 6/12 mg/kg + Carboplatin/Paclitaxel | 0 | 0 |
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Number of Subjects With Treatment-emergent Adverse (TEAEs), Serious TEAEs, TEAEs Leading to Discontinuation and TEAEs Leading to Death
An adverse event (AE) was defined as any untoward medical occurrence in a subject or clinical investigation subject administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment. An AE was any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. AEs were considered treatment emergent if they started on or after the day of first administration of the first trial treatment given (Sym004 or one of the individual Platinum-Doublet therapies) or if they worsened after receiving first dose of treatment. (NCT02083679)
Timeframe: Day 1 up to 28 days after last dose of study drug (up to 53 weeks)
Intervention | subjects (Number) |
---|
| TEAEs | Serious TEAEs | TEAE leading to Discontinuation | TEAEs Leading to Death |
---|
Part 1: Sym004 6 mg/kg + Carboplatin/Paclitaxel | 3 | 3 | 0 | 0 |
,Part 1: Sym004 6 mg/kg + Cisplatin/Gemcitabine | 3 | 3 | 1 | 0 |
,Part 1: Sym004 6 mg/kg + Cisplatin/Pemetrexed | 6 | 5 | 3 | 0 |
,Part 1: Sym004 6/12 mg/kg + Carboplatin/Paclitaxel | 3 | 3 | 2 | 0 |
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Lead-In Phase: Percentage of Participants Experiencing Treatment-Emergent Dose Limiting Toxicity (DLT) Adverse Events
"Dose limiting toxicities were based on the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03. Dose limiting toxicities referred to toxicities experienced during the first 28 days (Cycle 1) of treatment that were judged to be clinically significant and related to study treatment.~No statistical analysis was planned or performed for this endpoint." (NCT02101021)
Timeframe: Up to 28 Days
Intervention | percentage of participants (Number) |
---|
MMB Dose Level 1 | 16.7 |
MMB Dose Level 2 | 0 |
MMB Dose Level 3 | 16.7 |
MMB Dose Level 4 | 0 |
MMB Dose Level 5 | 0 |
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Lead-In Phase: Overall Survival (OS)
Overall survival was defined as the time interval from first dose date of MMB to death from any cause (NCT02101021)
Timeframe: Baseline up to the Date of Death or Censoring, up to 3 years
Intervention | Months (Median) |
---|
MMB Dose Level 1 | 12.4 |
MMB Dose Level 2 | 5.1 |
MMB Dose Level 3 | 8.7 |
MMB Dose Level 4 | 5.6 |
MMB Dose Level 5 | 7.1 |
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Lead-In Phase: Overall Response Rate (ORR)
The ORR was defined as the proportion of participants who achieved a best overall response (BOR) during MMB therapy of complete response (CR) or partial response (PR) as assessed by RECIST v1.1. (NCT02101021)
Timeframe: Baseline up to the Last Tumor Assessment Date, up to 3 years
Intervention | Participants (Count of Participants) |
---|
| Complete Response (CR) | Partial Response (PR) |
---|
MMB Dose Level 1 | 2 | 2 |
,MMB Dose Level 2 | 1 | 2 |
,MMB Dose Level 3 | 3 | 4 |
,MMB Dose Level 4 | 1 | 1 |
,MMB Dose Level 5 | 0 | 4 |
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Lead-In Phase: Progression-Free Survival (PFS)
Progression-free survival was defined as the time interval from the first dose of MMB to the earlier of the first documentation of definitive disease progression or death from any cause. Definitive disease progression is progression based on Response Evaluation Criteria In Solid Tumors (RECIST) criteria v1.1. Data from survival, non-progressing participants will be censored at the earliest of the time of initiation of anti-tumor therapy other than the study treatment or the last time that lack of definitive disease progression was objectively documented while on study. (NCT02101021)
Timeframe: Baseline up to the Date of Event or Censoring, up to 3 years
Intervention | Months (Median) |
---|
MMB Dose Level 1 | 5.3 |
MMB Dose Level 2 | 3.2 |
MMB Dose Level 3 | 5.5 |
MMB Dose Level 4 | 5.3 |
MMB Dose Level 5 | 5.5 |
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TP53 Mutations
To evaluate TP53 mutations (presence of mutation and type of mutation) as potential predictive factors of benefit (defined as response or PFS prolongation) to AZD1775 and gemcitabine treatment. TP53 status was assessed using Sanger sequencing. (NCT02101775)
Timeframe: Baseline
Intervention | Participants (Count of Participants) |
---|
Arm I (WEE1 Inhibitor AZD1775, Gemcitabine Hydrochloride) | 48 |
Arm II (Placebo, Gemcitabine Hydrochloride) | 22 |
Arm III (Exploratory WEE1 Inhibitor AZD1775, Gemcitabine Hydrochloride) | 8 |
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Progression Free Survival
To evaluate the progression free survival (PFS) of subjects with recurrent platinum-resistant ovarian, fallopian tube or primary peritoneal cancer receiving gemcitabine in combination with AZD1775 compared to subjects receiving gemcitabine in combination with placebo. Progression is defined, using the Response Evaluation Criteria In Solid Tumors (RECIST v1.1) guideline, as at least a 20% increase in the sum of the diameters of target lesions or the appearance of one or more new lesions. (NCT02101775)
Timeframe: From start of treatment until date of progression or death, whichever occurs first, up to 1 year follow-up
Intervention | months (Median) |
---|
Arm I (WEE1 Inhibitor AZD1775, Gemcitabine Hydrochloride) | 4.6 |
Arm II (Placebo, Gemcitabine Hydrochloride) | 3.0 |
Arm III (Exploratory WEE1 Inhibitor AZD1775, Gemcitabine) | 5.3 |
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p53 Protein Expression
"To evaluate p53 protein expression by immunohistochemistry as potential predictive factors of benefit (defined as response or PFS prolongation) to AZD1775 and gemcitabine treatment.~Evaluating p53 expression in patients with high-grade serous ovarian cancer and in patients with high-grade serous ovarian cancer with TP53 mutations." (NCT02101775)
Timeframe: Baseline
Intervention | Participants (Count of Participants) |
---|
Abnormal p53 Expression in Patients With High-grade Serous Ovarian Cancer | 82 |
Abnormal p53 Expression in Patients With High-grade Serous Ovarian Cancer and With TP53 Mutations | 68 |
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Overall Survival
To evaluate the overall survival of patients receiving gemcitabine combined with AZD1775 compared to patients receiving gemcitabine in combination with placebo. (NCT02101775)
Timeframe: From start of study treatment, every 12 weeks, until death, up to 22 months follow-up
Intervention | months (Median) |
---|
Arm I (WEE1 Inhibitor AZD1775, Gemcitabine Hydrochloride) | 11.4 |
Arm II (Placebo, Gemcitabine Hydrochloride) | 7.2 |
Arm III (Exploratory WEE1 Inhibitor AZD1775, Gemcitabine Hydrochloride) | 13 |
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Patient Reported Outcomes
"Will be assessed using Patient Reported Outcomes-Common Terminology Criteria for Adverse Events (PRO-CTCAE).~Each symptomatic AE is assessed with respect to 1 to 3 of the following attributes: frequency (F), severity (S) and/or interference (I) with usual or daily activities, and a recall period of 'the past 7 days'. PRO-CTCAE responses are scored from 0 to 4 with scores of 3 and 4 corresponding to high frequency, severity and/or interference. Results show the number of patients in each arm reporting high scores (3-4) for symptomatic AEs occurring in >30% of patients" (NCT02101775)
Timeframe: First 3 months
Intervention | Participants (Count of Participants) |
---|
| Abdominal Pain F | Abdominal Pain S | Anxiety F | Bloating F | Bloating S | Fatigue S | Fatigue I |
---|
Arm I (WEE1 Inhibitor AZD-1775, Gemcitabine Hydrochloride) | 10 | 9 | 7 | 10 | 9 | 16 | 17 |
,Arm II (Placebo, Gemcitabine Hydrochloride) | 9 | 5 | 6 | 5 | 3 | 6 | 7 |
,Arm III (Exploratory WEE1 Inhibitor AZD-1775, Gemcitabine) | 1 | 0 | 2 | 1 | 1 | 4 | 5 |
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Objective Response
To evaluate the objective response per Response Evaluation Criteria in Solid Tumors (RECIST v1.1) of patients receiving gemcitabine combined with AZD1775 compared to patients receiving gemcitabine in combination with placebo. RECIST v1.1 criteria used for 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 diameters of target lesions; Progressive Disease (PD), at least a 20% increase in the sum of the diameters of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. The Best Overall Response is the best response recorded from the start of the treatment until disease progression/recurrence . (NCT02101775)
Timeframe: From start of treatment, every 6-8 weeks, until time of progression or death, whichever occurs first, up to 1 year follow-up
Intervention | Participants (Count of Participants) |
---|
Arm I (WEE1 Inhibitor AZD1775, Gemcitabine Hydrochloride) | 14 |
Arm II (Placebo, Gemcitabine Hydrochloride) | 2 |
Arm III (Exploratory WEE1 Inhibitor AZD1775, Gemcitabine Hydrochloride) | 3 |
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Response According to CA125 Criteria
To evaluate the GCIG CA125 response rate of patients receiving gemcitabine combined with AZD1775 compared to patients receiving gemcitabine in combination with placebo. A response according to CA-125 has occurred if there is at least a 50% reduction in CA-125 levels from a pre-treatment sample. The response must be confirmed and maintained for at least 28 days. (NCT02101775)
Timeframe: From start of treatment, every 4 weeks, until time of progression or death, whichever occurs first, up to 1 year follow-up
Intervention | Participants (Count of Participants) |
---|
Arm I (WEE1 Inhibitor AZD1775, Gemcitabine Hydrochloride) | 14 |
Arm II (Placebo, Gemcitabine Hydrochloride) | 3 |
Arm III (Exploratory WEE1 Inhibitor AZD1775, Gemcitabine Hydrochloride) | 4 |
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Duration of Response (in Responders)
Duration of response was calculated from the date of first documented response to the date of progression (including SD after PR) or date of start of new treatment in not progressed, when available. In 2 patients with CR, periods of PR are included. For those not documented as progressed before death, an unknown duration was kept and considered missing data. (NCT02106884)
Timeframe: Measured during treatment and FU, from signature of informed consent to progression (variable for each patient), for a max of 3 years from database lock (when applicable).
Intervention | Months (Median) |
---|
Arm A (Nab-Paclitaxel + Gemcitabine) | 6.3 |
Arm B (Gemcitabine) | 7.4 |
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Overall Survival
Overall survival was considered from start of treatment to death. All patients (ITT) (NCT02106884)
Timeframe: Measured during treatment and FU, from signature of informed consent to progression (variable for each patient), for a max of 3 years from database lock (when applicable).
Intervention | Months (Median) |
---|
Arm A (Nab-Paclitaxel + Gemcitabine) | 10.94 |
Arm B (Gemcitabine) | 11.73 |
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Progression Free Survival
Progression free survival time was considered from start of treatment until the first observation of disease progression or death from any cause, whichever occurred first. All patients (ITT). (NCT02106884)
Timeframe: Measured during treatment and FU, from signature of informed consent to progression (variable for each patient), for a max of 3 years from database lock (when applicable).
Intervention | Months (Median) |
---|
Arm A (Nab-Paclitaxel + Gemcitabine) | 7.01 |
Arm B (Gemcitabine) | 5.06 |
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Deterioration-free Survival Rate of the QOL Global Health Status at 3, 6 and 12 Months (Mos)
"The QOL global health status (GHS) is a functional parameter derived from the EORTC QLQ - C30 questionnaire, based on questions 29 How would you rate your overall health during the past week? and 30 How would you rate your overall quality of life during the past week?. Transformed scores range from 0 to 100% with higher scores representing better outcomes. The deterioration free survival rate at 3 mos is defined as the Kaplan-Meier estimate of the probability of being alive and free of deterioration of the QOL score at 3 mos. The definitive deterioration of the QOL score is a decrease of at least 10 points (minimal clinical important difference) as compared to baseline, with no further improvement of more than 10 points as compared to the score qualifying the deterioration or with no data after deterioration. Death was also considered as an event if the patient did not experience deterioration before death. Patients without event were censored at the time of last follow-up." (NCT02106884)
Timeframe: From date of randomisation to 3, 6 and 12 months respectively
Intervention | percentage of participants (Number) |
---|
| Rate at 3 months (percentage) | Rate at 6 months (percentage) | Rate at 12 months (percentage) |
---|
Arm A (Nab-Paclitaxel + Gemcitabine) | 89 | 74 | 40 |
,Arm B (Gemcitabine) | 73 | 59 | 35 |
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Laboratory Safety Assessment
Severe laboratory abnormalities (hematology and biochemistry grade 3 and higher). Worst grade per patient. All patients treated (Safety set). (NCT02106884)
Timeframe: Measured during treatment, from signature of informed consent to end of treatment, plus 30 days mandatory safety follow-up period. Duration of treatment was variable for each patient.
Intervention | Participants (Count of Participants) |
---|
| Hemoglobin decreased | Neutrophils decreased | White blood cell count decreased | Platelet count decreased | Hyperglycemia | Serum creatinine increased | Bilirubin increased | ALT increased | AST increased | ALP increased | Albumin decreased | Magnesium decreased | Sodium decreased | Potassium decreased | Potassium increased | Calcium decreased |
---|
Arm A (Nab-Paclitaxel + Gemcitabine) | 10 | 31 | 22 | 12 | 6 | 0 | 3 | 13 | 7 | 9 | 4 | 4 | 8 | 8 | 1 | 3 |
,Arm B (Gemcitabine) | 8 | 31 | 11 | 11 | 10 | 2 | 8 | 8 | 8 | 11 | 4 | 9 | 13 | 6 | 0 | 2 |
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Time to Reach Maximum Observed Plasma Concentration (Tmax) for PF-03084014, Nab-P and GEM in Phase 1
(NCT02109445)
Timeframe: PF-03084014: Cycle 1 Days 3, 15, 22; Day 1 of subsequent cycles; and end of treatment. nab-P: Cycle 1 Days 1-3 and 15-17. Gemcitabine: Cycle 1 Days 1 and 15.
Intervention | hours (Median) |
---|
| Tmax of PF-03084014 on Day 3 (n=3) | Tmax of PF-03084014 on Day 15 (n=1) | Tmax of nab-paclitaxel on Day 1 (n=3) | Tmax of nab-paclitaxel on Day 15 (n=1) | Tmax of gemcitabine on Day 1 (n=3) | Tmax of gemcitabine on Day 15 (n=1) |
---|
PF-03084014 + Nab-Paclitaxel + Gemcitabine | 1.23 | 0.900 | 0.550 | 0.217 | 0.517 | 0.350 |
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Systemic Clearance (CL) of Nab-paclitaxel in Phase 1
(NCT02109445)
Timeframe: Cycle 1 Days 1-3, and 15-17
Intervention | liter (L)/hour (hr) (Geometric Mean) |
---|
| Day 1 (n=3) | Day 15 (n=1) |
---|
PF-03084014 + Nab-Paclitaxel + Gemcitabine | 37.88 | 38.60 |
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Systemic Clearance (CL) of Gemcitabine in Phase 1
(NCT02109445)
Timeframe: Cycle 1 Days 1 and 15
Intervention | liter (L)/minute (min) (Geometric Mean) |
---|
| Day 1 (n=3) | Day 15 (n=1) |
---|
PF-03084014 + Nab-Paclitaxel + Gemcitabine | 5.434 | 8.160 |
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Plasma Decay Half-life (t1/2) for Nab-P and GEM in Phase 1
(NCT02109445)
Timeframe: Cycle 1 (Days 1 and 15 for gemcitabine; Days 1-3 and 15-17 for nab-paclitaxel)
Intervention | hours (Mean) |
---|
| t1/2 of nab-paclitaxel on Day 1 (n=3) | t1/2 of nab-paclitaxel on Day 15 (n=1) | t1/2 of gemcitabine on Day 1 (n=3) | t1/2 of gemcitabine on Day 15 (n=1) |
---|
PF-03084014 + Nab-Paclitaxel + Gemcitabine | 2.500 | 2.030 | 0.2813 | 0.2230 |
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Maximum Observed Plasma Concentration (Cmax) for PF-03084014, Nab-P and GEM in Phase 1
(NCT02109445)
Timeframe: PF-03084014: Cycle 1 Days 3, 15, 22; Day 1 of subsequent cycles; and end of treatment. nab-P: Cycle 1 Days 1-3 and 15-17. Gemcitabine: Cycle 1 Days 1 and 15.
Intervention | nanogram/milliliter (ng/mL) (Geometric Mean) |
---|
| Cmax for PF-03084014 on Day 3 (n=3) | Cmax for PF-03084014 on Day 15 (n=1) | Cmax for nab-paclitaxel on Day 1 (n=3) | Cmax for nab-paclitaxel on Day 15 (n=1) | Cmax for gemcitabine on Day 1 (n=3) | Cmax for gemcitabine on Day 15 (n=1) |
---|
PF-03084014 + Nab-Paclitaxel + Gemcitabine | 527.3 | 943.0 | 6023 | 5140 | 10760 | 3620 |
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Area Under the Concentration-time Curve (AUC) for PF-03084014, Nab-P and Gemcitabine in Phase 1
AUC included AUC from time 0 extrapolated to infinite time (AUCinf), AUC from time 0 to end of dosing interval (AUCtau, tau=12 hours), and AUC from time 0 to last measured concentration (AUClast). (NCT02109445)
Timeframe: PF-03084014: Cycle 1 Days 3, 15, 22; Day 1 of subsequent cycles; and end of treatment. nab-P: Cycle 1 Days 1-3 and 15-17. Gemcitabine: Cycle 1 Days 1 and 15.
Intervention | nanogram*hour/milliliter (ng*hr/mL) (Geometric Mean) |
---|
| AUClast for PF-03084014 on Day 3 (n=3) | AUClast for PF-03084014 on Day 15 (n=1) | AUCinf for nab-paclitaxel on Day 1 (n=3) | AUClast for nab-paclitaxel on Day 1 (n=3) | AUCinf for nab-paclitaxel on Day 15 (n=1) | AUClast for nab-paclitaxel on Day 15 (n=1) | AUCinf for gemcitabine on Day 1 (n=3) | AUClast for gemcitabine on Day 1 (n=3) | AUCinf for gemcitabine on Day 15 (n=1) | AUClast for gemcitabine on Day 15 (n=1) |
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PF-03084014 + Nab-Paclitaxel + Gemcitabine | 1122 | 1770 | 5774 | 5185 | 5050 | 4600 | 5316 | 5262 | 2510 | 2500 |
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Number of Participants With Worsening QTc Results in Phase 1
Triplicate 12-lead electrocardiogram (ECG) measurements (each recording separated by approximately 2 minutes) were performed and average was calculated. The time corresponding to beginning of depolarization to repolarization of the ventricles (QT interval) were corrected for heart rate (QTc) using Fridericia (QTcF) and Bazett (QTcB) formulas. Any change from baseline in QTc was considered as worsening in ECG and was classified accordingly to the Common Terminology Criteria (CTC) grade. Grading was as follows: prolonged QTc of 450 to 480 milliseconds (msec)=Grade 1, 481 to 500 msec=Grade 2, more than or equal to (>=) 501 msec on at least 2 seperate ECGs=Grade 3, >=501 or more than (>) 60 msec change from baseline and Torsade de pointes or polymorphic ventricular tachycardia or signs of serious arrhythmia=Grade 4. (NCT02109445)
Timeframe: Screening, Cycle 1 Days 3 and 22, Cycles 2 and 3 Day 1, end of treatment
Intervention | participants (Number) |
---|
PF-03084014 + Nab-Paclitaxel + Gemcitabine | NA |
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Number of Participants With Objective Response (OR) in Phase 1
"Number of participants with objective response based on assessment of complete response (CR) or partial response (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 decrease to normal (short axis less than (<) 10 mm). No new lesions. PR was defined as more 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." (NCT02109445)
Timeframe: Screening till 28-35 days post last administration of study drug
Intervention | participants (Number) |
---|
PF-03084014 + Nab-Paclitaxel + Gemcitabine | 0 |
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Number of Participants With Dose-limiting Toxicities (DLTs) in Cycle 1
DLT was defined as any of the following events occurring during the first cycle of treatment and considered at least possibly-related to study medication: any Grade 3 or 4 clinically-relevant non-hematologic and/or hematologic toxicity, delay of more than 2 weeks in receiving the next scheduled cycle due to persisting treatment-related toxicities. (NCT02109445)
Timeframe: Cycle 1 (28 days)
Intervention | participants (Number) |
---|
PF-03084014 + Nab-Paclitaxel + Gemcitabine | 2 |
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Number of Participants With Adverse Events (AEs) by Seriousness and Relationship to Treatment in Phase 1
Counts of participants who had treatment-emergent adverse events (TEAEs), defined as newly occurring or worsening after first dose. Relatedness to study drug was assessed by the investigator (Yes/No). Participants with multiple occurrences of an AE within a category were counted once within the category. Severity was graded by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE). Grade 1=mild, Grade 2=moderate, Grade 3=Severe or medically significant but not immediately life-threatening, Grade 4=life-threatening. (NCT02109445)
Timeframe: Baseline up to 28-35 days post last administration of study drug
Intervention | participants (Number) |
---|
| All-causality TEAEs | Treatment-related TEAEs | Grade 3 or 4 TEAEs |
---|
PF-03084014 + Nab-Paclitaxel + Gemcitabine | 3 | 3 | 3 |
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Volume of Distribution at Steady State (Vss) for Nab-P and GEM in Phase 1
(NCT02109445)
Timeframe: Cycle 1 (Days 1 and 15 for gemcitabine; Days 1-3 and 15-17 for nab-paclitaxel)
Intervention | liters (Geometric Mean) |
---|
| Vss of nab-paclitaxel on Day 1 (n=3) | Vss of nab-paclitaxel on Day 15 (n=1) | Vss of gemcitabine on Day 1 (n=3) | Vss of gemcitabine on Day 15 (n=1) |
---|
PF-03084014 + Nab-Paclitaxel + Gemcitabine | 64.46 | 60.80 | 61.76 | 201.0 |
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Number of Participants With Laboratory Abnormalities in Phase 1
Following parameters were analyzed for laboratory examination: hematology (hemoglobin, platelet count, white blood cell count, total neutrophils, eosinophils, monocytes, basophils, lymphocytes); blood chemistry (urea, creatinine, glucose, calcium, sodium, potassium, chloride, magnesium, phosphate, aspartate aminotransferase, alanine aminotransferase, total bilirubin, alkaline phosphatase, uric acid); urinalysis (protein, blood, microscopy[if urine tested positive for blood or protein]). (NCT02109445)
Timeframe: Screening; Cycle 1 Days 1, 8, 15, 22; up to 28-35 days post last administration of study drug
Intervention | participants (Number) |
---|
PF-03084014 + Nab-Paclitaxel + Gemcitabine | 3 |
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Survival at 6 Months
Evaluate the proportion of patients who are alive at 6 months following randomization (NCT02117024)
Timeframe: 6 months
Intervention | Participants (Count of Participants) |
---|
Viagenpumatucel-L Plus Metronomic Cyclophosphamide | 21 |
Chemotherapy Alone | 17 |
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Survival at 12 Months
Evaluate the proportion of patients who are alive at 12 months following randomization (NCT02117024)
Timeframe: 12 months
Intervention | Participants (Count of Participants) |
---|
Viagenpumatucel-L Plus Metronomic Cyclophosphamide | 8 |
Chemotherapy Alone | 11 |
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Frequency of Adverse Events: Number of Participants With Treatment-Emergent Adverse Events (TEAE)
Evaluate the safety of the combination of viagenpumatucel-L and low-dose cyclophosphamide by frequency of Treatment-Emergent Adverse Events (NCT02117024)
Timeframe: Up to 3 years
Intervention | Participants (Count of Participants) |
---|
| At least one TEAE | At least one severe TEAE | At least one treatment-related TEAE | At least one SAE | Fatal TEAE | At least one TEAE Leading to Tx Discontinuation | At least one TEAE Leading to a Dose Reduction |
---|
Chemotherapy Alone | 20 | 11 | 15 | 8 | 0 | 2 | 2 |
,Viagenpumatucel-L Plus Metronomic Cyclophosphamide | 41 | 25 | 32 | 17 | 7 | 7 | 0 |
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Overall Survival (OS)
"Overall survival (OS) calculated as the duration of survival from the date of randomization to the date of death from any cause, or was censored on the date the patient was last known to be alive.~Survival time was calculated from the randomization date up to the date of death,or censored on the date that the patient was last known to be alive (last available visit date) utilizing Kaplan-Meier Estimate of Overall Survival Ending Events" (NCT02117024)
Timeframe: Up to 3 years
Intervention | Days (Median) |
---|
Viagenpumatucel-L Plus Metronomic Cyclophosphamide | 176 |
Chemotherapy Alone | 372 |
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Time to Progression (TTP)
Evaluate immune-related TTP (irTTP) and also TTP (Time to Progression) by RECIST (NCT02117024)
Timeframe: Up to 3 years
Intervention | Days (Median) |
---|
| immune-related TTP (irTTP) | Time to Progression (TTP) |
---|
Chemotherapy Alone | 71.0 | 73.5 |
,Viagenpumatucel-L Plus Metronomic Cyclophosphamide | 67.0 | 67.5 |
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Progression-Free Survival (PFS)
Evaluate immune-related PFS (irPFS) and PFS by RECIST (Response Evaluation Criteria for Solid Tumors) (NCT02117024)
Timeframe: Up to 3 years
Intervention | Days (Median) |
---|
| immune-related PFS (irPFS) | Progression Free Survival (PFS) |
---|
Chemotherapy Alone | 190.0 | 190.0 |
,Viagenpumatucel-L Plus Metronomic Cyclophosphamide | 76.0 | 70.0 |
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Phase II: Objective Response Rate (ORR)
Objective Response Rate: Response according to Response Evaluation in Solid Tumors (RECIST) 1.1 for the combination of gemcitabine+trastuzumab+pertuzumab at the recommended phase II dose. Complete Response (CR): Disappearance of all evidence of tumor for at least two cycles of therapy. Tumor markers must be normal. Partial Response (PR): At least a 30% decrease in the sum of the longest diameter of target lesions, taking a reference the baseline sum longest diameter. Stable Disease (SD): Neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum longest diameter since the treatment started. 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 beginning of treatment or the appearance of one or more new lesions. (NCT02139358)
Timeframe: Up to 36 Months
Intervention | Participants (Count of Participants) |
---|
| Complete Response | Partial Response | Stable Disease |
---|
Dose Escalation / Phase II Treatment | 1 | 1 | 8 |
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Phase II: Progression Free Survival (PFS)
Median progression free survival (in months) for all participants evaluable for response. The time-to-event data will be summarized using Kaplan-Meir curve method for all patients who are evaluable for the ORR endpoint. 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 beginning of treatment or the appearance of one or more new lesions. (NCT02139358)
Timeframe: Up to 12 months
Intervention | months (Median) |
---|
Dose Escalation / Phase II Treatment | 6.4883 |
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Phase I: Recommended Phase II Dose (RP2D)
The RP2D dose in mg/m^2 of gemcitabine along with standard doses of pertuzumab (840 mg loading/420 mg maintenance) and Herceptin (8 mg/kg loading, 6 mg/kg maintenance). Safety data to be described using Common Terminology Criteria for Adverse Events (CTCAE) 4.0 terminology. Any participant who receives any dose of the study treatment will be evaluated for the safety/toxicity endpoints in the trial. (NCT02139358)
Timeframe: 6 Months
Intervention | dose in mg/m^2 (Number) |
---|
Dose Escalation / Phase II Treatment | 1200 |
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Overall Survival (OS)
Median overall survival (in months) for all participants evaluable for response. The length of time from the start of treatment that participants are still alive. (NCT02139358)
Timeframe: Up to 36 months
Intervention | months (Median) |
---|
Dose Escalation / Phase II Treatment | 11.3545 |
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Progression Free Survival (PFS) Rate at Month 6
PFS was defined as the time from randomization to documented disease progression per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) or death due to any cause, whichever occurred first and was based on blinded independent central radiologists' (BICR) review. Progressive Disease (PD) was defined as ≥20% increase in the sum of diameters of target lesions and an absolute increase of ≥5 mm. (Note: the appearance of one or more new lesions was also considered progression). Participants were evaluated every 9 weeks with radiographic imaging to assess their response to treatment. The data cutoff was 09-May-2016. The PFS rate at Month 6 was calculated. (NCT02142738)
Timeframe: Month 6
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab | 62.1 |
SOC Chemotherapy | 50.3 |
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Overall Survival (OS) Rate
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. The data cutoff was 10-July-2017. The median OS rate at 12 months is presented. (NCT02142738)
Timeframe: 12 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab | 70.3 |
SOC Chemotherapy | 54.8 |
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Objective Response Rate (ORR)
ORR was defined as the percentage of participants in the analysis population who experienced a 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) and was assessed using RECIST 1.1 based on BICR evaluation. ORR was assessed from enrollment/treatment initiation of a participant through data cutoff of 09-May-2016. The ORR is presented for each treatment group. (NCT02142738)
Timeframe: Up to ~1.6 years
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab | 44.8 |
SOC Chemotherapy | 27.8 |
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Progression-free Survival (PFS)
Each biomarker evaluated using its expression level (continuous variable) and dichotomous form (based on a median cutoff). A univariable Cox regression model will be used to assess the relationship of expression levels of each biomarker to PFS. In addition, for the dichotomous variables, the sample will be divided into those above and below the median for each biomarker. PFS probabilities for each group will be estimated using the Kaplan-Meier method, with standard errors based on Greenwood's formula. Log rank tests will be used to determine the level of significance between survival curves. Since, the study was canceled due to slow accrual, no biomarkers were measured; therefore, no analysis with biomarkers. Only the PFS will be calculated. (NCT02145078)
Timeframe: From the date of protocol-specified treatment initiation to the date of progression, death, or last observation, assessed up to 12 months
Intervention | days (Median) |
---|
Treatment (Chemotherapy Regimen) | 42 |
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Overall Survival (OS)
Since, the study was canceled due to slow accrual, no biomarkers were measured; therefore, no analysis with biomarkers. Only the OS will be calculated. (NCT02145078)
Timeframe: From the date of protocol-specified treatment initiation to the date of death or last observation, assessed up to 12 months
Intervention | months (Median) |
---|
Treatment (Chemotherapy Regimen) | 2.0 |
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Pathologic T0 Rate Evaluation: Gemcitabine+Cisplatin (GC) Versus Dose-dense Methotrexate, Vinblastin, Doxorubicin, and Cisplatin (DDMVAC)
Pathologic complete response rate at the time of cystectomy following GC or DDMVAC treatment (NCT02177695)
Timeframe: Up to 5 years post-registration
Intervention | percentage of participants (Number) |
---|
Gemcitabine & Cisplatin | 28 |
Dose Dense MVAC | 30 |
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Assessment of Whether the Treatment-specific COXEN Score is Prognostic of ≤ pT1 Rate
"The proportion of participants achieving <=pT1 in both favorable and unfavorable treatment specific-COXEN score categories.~Unit of measure is the number of participants in each category that achieved <= pT1~____________________________________________________________________________________________________________________ The relationship of dose-dense methotrexate, vinblastin, doxorubicin, and cisplatin (DDMVAC)- and gemcitabine+cisplatin (GC)- specific CO-eXpression ExtrapolatioN (COXEN) scores~This will be done in two ways:~By assessing whether the treatment-specific COXEN score is prognostic of pT0 rate or ≤ pT1 in this patient population and to assess in a preliminary fashion whether the COXEN score is a predictive factor distinguishing between these two chemotherapy regimens. .~By evaluating the correlation between the GC- and the DDMVAC-COXEN score." (NCT02177695)
Timeframe: up to 5 years post-registration
Intervention | Participants (Count of Participants) |
---|
| Favorable treatment-COXEN score | Unfavorable treatment-COXEN score |
---|
Dose Dense MVAC | 16 | 31 |
,Gemcitabine & Cisplatin | 10 | 30 |
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Assessment of COXEN Score as a Predictive Factor Distinguishing Between GC and ddMVAC
"To assess in a hypothesis generating fashion, the ability of COXEN to select for an individual chemotherapy regimen (GC vs DDMVAC)~P-values are reported as a measure of whether COXEN can select between GC/DDMVAC and to determine the significance of interactions between treatment specific COXEN scores and treatment arms in models predicting either pT0 or <= pT1. Interactions with p-values > 0.05 are interpreted as not significant.~________ The relationship of dose-dense methotrexate, vinblastin, doxorubicin, and cisplatin (DDMVAC)- and gemcitabine+cisplatin (GC)- specific CO-eXpression ExtrapolatioN (COXEN) scores~This will be done in two ways:~By assessing whether the treatment-specific COXEN score is prognostic of pT0 rate or ≤ pT1 in this patient population and to assess in a preliminary fashion whether the COXEN score is a predictive factor distinguishing between these two chemotherapy regimens. .~By evaluating the correlation between the GC- and the DDMVAC-COXEN score." (NCT02177695)
Timeframe: up to 5 years post-registration
Intervention | p-value (Number) |
---|
| P-value of interaction term (GCscore*treatment arm) in model predicting pT0 | P-value of interaction term (GCscore*treatment arm) in logistic regression model predicting <=pT1 | P-value of interaction term (MVACscore*treatment arm) in logistic regression model predicting pT0 | P-value of interaction term (MVACscore*treatment arm) in logistic regression model predicting <=pT1 |
---|
All Participants | 0.88 | 0.43 | 0.66 | 0.85 |
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Assessment of Whether the Treatment-specific COXEN Score is Prognostic of pT0 Rate
"The proportion of participants achieving pT0 in both favorable and unfavorable treatment specific-COXEN score categories.~Unit of measure is the number of participants in each category that achieved pT0~_____________________________________________________________________________________________________________________~The relationship of dose-dense methotrexate, vinblastin, doxorubicin, and cisplatin (DDMVAC)- and gemcitabine+cisplatin (GC)- specific CO-eXpression ExtrapolatioN (COXEN) scores~This will be done in two ways:~By assessing whether the treatment-specific COXEN score is prognostic of pT0 rate or ≤ pT1 in this patient population and to assess in a preliminary fashion whether the COXEN score is a predictive factor distinguishing between these two chemotherapy regimens. .~By evaluating the correlation between the GC- and the DDMVAC-COXEN score." (NCT02177695)
Timeframe: Up to 5 years post registration
Intervention | Participants (Count of Participants) |
---|
| Favorable treatment-COXEN score | Unfavorable treatment-COXEN score |
---|
Dose Dense MVAC | 10 | 17 |
,Gemcitabine & Cisplatin | 8 | 20 |
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Correlation Between GC-and ddMVAC-COXEN Score
"The Pearson and Spearman correlation coefficients for GC-and ddMVAC-COXEN score were calculated and are reported below.~___________________________________________________________________________________________________________________ The relationship of dose-dense methotrexate, vinblastin, doxorubicin, and cisplatin (DDMVAC)- and gemcitabine+cisplatin (GC)- specific CO-eXpression ExtrapolatioN (COXEN) scores~This will be done in two ways:~By assessing whether the treatment-specific COXEN score is prognostic of pT0 rate or ≤ pT1 in this patient population and to assess in a preliminary fashion whether the COXEN score is a predictive factor distinguishing between these two chemotherapy regimens. .~By evaluating the correlation between the GC- and the DDMVAC-COXEN score." (NCT02177695)
Timeframe: up to 5 years post-registration
Intervention | correlation coefficient (Number) |
---|
| Pearson correlation coefficient | Spearman correlation coefficient |
---|
All Participants | 0.385 | 0.386 |
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Predictability of the CO-eXpression ExtrapolatioN (COXEN) Score to Direct Which of the Two Regimens the Patient Should Receive: Gemcitabine+Cisplatin (GC) Versus Dose-dense Methotrexate, Vinblastin, Doxorubicin, and Cisplatin (DDMVAC)
In addition to stratification factors and dichotomous COXEN GEM score, an indicator for treatment arm and the interaction of treatment arm with COXEN GEM score was also included in a logistic regression model. A significant interaction would suggest that the respective COXEN GEM score was able to differentiate whether a patient was more likely to respond to one chemotherapy regimen over another. *note that this is the same objective at Primary Outcome #3 above - this was erroneously listed twice in the protocol. (NCT02177695)
Timeframe: Up to 5 years post registration
Intervention | p-value (Number) |
---|
| Pvalue of interaction term (GCscore*treatment arm) in model predicting pT0 | Pvalue of interaction term (GCscore*treatment arm) in model predicting <=pT1 | Pvalue of interaction term (MVACscore*treatment arm) in model predicting pT0 | Pvalue of interaction term (MVACscore*treatment arm) in model predicting <=pT1 |
---|
All Participants | 0.88 | 0.43 | 0.66 | 0.85 |
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Observed Overall Response 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), >=30% decrease in the sum of the longest diameter of target lesions; Observed Overall Response Rate = Number of patients who experienced a confirmed CR or PR divided by the number of eligible patients who began treatment. (NCT02178241)
Timeframe: Up to 36 months
Intervention | percentage of participants (Number) |
---|
Treatment (Eribulin Mesylate and Gemcitabine Hydrochloride) | 50 |
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Overall Survival
Estimated using the product-limit method of Kaplan and Meier. (NCT02178241)
Timeframe: From start of treatment until death from any cause ,up to 36 months
Intervention | months (Median) |
---|
Treatment (Eribulin Mesylate and Gemcitabine Hydrochloride) | 11.9 |
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Progression-free Survival
Estimated using the product-limit method of Kaplan and Meier. 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. (NCT02178241)
Timeframe: From the start until progression, death, or the start of another treatment, assessed up to 12 months
Intervention | months (Median) |
---|
Treatment (Eribulin Mesylate and Gemcitabine Hydrochloride) | 5.3 |
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Incidence of Adverse Events.
"Toxicities that Occurred in 10% or More of Patients or At Least Once as a Grade 3+ Adverse Event (excluding those toxicities classified as unrelated or unlikely related to study drugs). Toxicities graded using CTCAEv4 criteria." (NCT02178241)
Timeframe: Up to 36 months
Intervention | participants (Number) |
---|
| Grade 1 or 2 : Anemia | Grade 1 or 2 : Febrile neutropenia | Grade 1 or 2 : Thrombotic microangiopathy | Grade 1 or 2 : Chest pain - cardiac | Grade 1 or 2 : Heart failure | Grade 1 or 2 : Colitis | Grade 1 or 2 : Constipation | Grade 1 or 2 : Diarrhea | Grade 1 or 2 : Dry Mouth | Grade 1 or 2 : Mucositis oral | Grade 1 or 2 : Nausea | Grade 1 or 2 : Vomiting | Grade 1 or 2 : Edema | Grade 1 or 2 : Fatigue | Grade 1 or 2 : Fever | Grade 1 or 2 : Appendicitis perforated | Grade 1 or 2 : Lung infection | Grade 1 or 2 : Sepsis | Grade 1 or 2 : Upper respiratory infection | Grade 1 or 2 : Urinary Tract Infection | Grade 1 or 2 : Electrocardiogram QT | Grade 1 or 2 : Weight Loss | Grade 1 or 2 : Lymphocyte Count Decreased | Grade 1 or 2 : Neutrophil Count Decreased | Grade 1 or 2 : Platelet Count Decreased | Grade 1 or 2 : White Blood Cell Decreased | Grade 1 or 2 : INR increased | Grade 1 or 2 : Alanine Aminotransferase Increased | Grade 1 or 2 : Aspartate Aminotransferase Incr | Grade 1 or 2 : Creatinine Increased | Grade 1 or 2 : Anorexia | Grade 1 or 2 : Hyperglycemia | Grade 1 or 2 : Dehydration | Grade 1 or 2 : Hypoalbuminemia | Grade 1 or 2 : Hypocalcemia | Grade 1 or 2 : Hypokalemia | Grade 1 or 2 : Hypomagnesemia | Grade 1 or 2 : Hyponatremia | Grade 1 or 2 : Hypophosphatemia | Grade 1 or 2 : Generalized Muscle Weakness | Grade 1 or 2 : Grip Weakness | Grade 1 or 2 : Pain in Extremity | Grade 1 or 2 : Dizziness | Grade 1 or 2 : Dysgeusia | Grade 1 or 2 : Paresthesia | Grade 1 or 2 : Peripheral Sensory Neuropathy | Grade 1 or 2 : Insomnia | Grade 1 or 2 : Dyspnea | Grade 1 or 2 : Pneumonitis | Grade 1 or 2 : Sore Throat | Grade 1 or 2 : Alopecia | Grade 1 or 2 : Hypotension | Grade 1 or 2 : Thromboembolic event | Grade 3 or 4 : Anemia | Grade 3 or 4 : Febrile neutropenia | Grade 3 or 4 : Thrombotic microangiopathy | Grade 3 or 4 : Chest pain - cardiac | Grade 3 or 4 : Heart failure | Grade 3 or 4 : Colitis | Grade 3 or 4 : Constipation | Grade 3 or 4 : Diarrhea | Grade 3 or 4 : Dry Mouth | Grade 3 or 4 : Mucositis oral | Grade 3 or 4 : Nausea | Grade 3 or 4 : Vomiting | Grade 3 or 4 : Edema | Grade 3 or 4 : Fatigue | Grade 3 or 4 : Fever | Grade 3 or 4 : Appendicitis perforated | Grade 3 or 4 : Lung infection | Grade 3 or 4 : Sepsis | Grade 3 or 4 : Upper respiratory infection | Grade 3 or 4 : Urinary Tract Infection | Grade 3 or 4 : Electrocardiogram QT | Grade 3 or 4 : Weight Loss | Grade 3 or 4 : Lymphocyte Count Decreased | Grade 3 or 4 : Neutrophil Count Decreased | Grade 3 or 4 : Platelet Count Decreased | Grade 3 or 4 : White Blood Cell Decreased | Grade 3 or 4 : INR increased | Grade 3 or 4 : Alanine Aminotransferase Increased | Grade 3 or 4 : Aspartate Aminotransferase Incr | Grade 3 or 4 : Creatinine Increased | Grade 3 or 4 : Anorexia | Grade 3 or 4 : Hyperglycemia | Grade 3 or 4 : Dehydration | Grade 3 or 4 : Hypoalbuminemia | Grade 3 or 4 : Hypocalcemia | Grade 3 or 4 : Hypokalemia | Grade 3 or 4 : Hypomagnesemia | Grade 3 or 4 : Hyponatremia | Grade 3 or 4 : Hypophosphatemia | Grade 3 or 4 : Generalized Muscle Weakness | Grade 3 or 4 : Grip Weakness | Grade 3 or 4 : Pain in Extremity | Grade 3 or 4 : Dizziness | Grade 3 or 4 : Dysgeusia | Grade 3 or 4 : Paresthesia | Grade 3 or 4 : Peripheral Sensory Neuropathy | Grade 3 or 4 : Insomnia | Grade 3 or 4 : Dyspnea | Grade 3 or 4 : Pneumonitis | Grade 3 or 4 : Sore Throat | Grade 3 or 4 : Alopecia | Grade 3 or 4 : Hypotension | Grade 3 or 4 : Thromboembolic event |
---|
Treatment (Eribulin Mesylate and Gemcitabine Hydrochloride) | 7 | 3 | 1 | 0 | 0 | 0 | 10 | 7 | 4 | 2 | 7 | 2 | 9 | 13 | 4 | 0 | 0 | 0 | 0 | 1 | 2 | 4 | 4 | 4 | 7 | 7 | 1 | 9 | 11 | 4 | 9 | 0 | 3 | 8 | 4 | 4 | 3 | 7 | 4 | 5 | 0 | 3 | 5 | 4 | 4 | 5 | 3 | 0 | 0 | 3 | 12 | 2 | 0 | 8 | 0 | 0 | 1 | 1 | 1 | 0 | 2 | 0 | 2 | 3 | 2 | 1 | 7 | 0 | 1 | 1 | 1 | 1 | 2 | 1 | 0 | 6 | 15 | 3 | 13 | 1 | 0 | 1 | 0 | 0 | 1 | 2 | 1 | 0 | 0 | 0 | 2 | 0 | 1 | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 1 |
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Proportion of Patients With a Response
Point and 90% Wilson's confidence intervals will be estimated to describe response rate. If the best observed clinical response was complete response or partial response, we consider that the patient responded. (NCT02178436)
Timeframe: Up to 2 years
Intervention | proportion of patients (Number) |
---|
Group I: Phase Ib (Gemcitabine, Nab-paclitaxel, Selinexor) | 0.40 |
GroupIII: Phase II Group II (Gemcitabine, Selinexor) | 0 |
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Progression Free Survival (Phase II)
Estimated on an intention-to-treat basis (using all registered patients), and on a response-evaluable basis (using all patients who completed at least one 4-week treatment cycle) using the Kaplan-Meier method. Both progression and death are considered events for this analysis. (NCT02178436)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Group I: Phase Ib (Gemcitabine, Nab-paclitaxel, Selinexor) | 4.60 |
GroupIII: Phase II Group II (Gemcitabine, Selinexor) | 1.74 |
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Maximum Tolerated Dose (MTD) of Selinexor, Gemcitabine Hydrochloride, and Paclitaxel Albumin-stabilized Nanoparticle Formulation Combination (Phase Ib)
MTD is defined as the lowest dose for which less than a third of patients experience a dose limiting toxicity graded according to National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) version 4.03. (NCT02178436)
Timeframe: 28 days
Intervention | milligrams (Number) |
---|
Group I: Phase Ib (Gemcitabine, Nab-paclitaxel, Selinexor) | 80 |
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Overall Survival (Phase II)
Estimated on an intention-to-treat basis (using all registered patients), and on a response-evaluable basis (using all patients who completed at least one 4-week treatment cycle) using the Kaplan-Meier method. (NCT02178436)
Timeframe: Up to 7 months post treatment initiation
Intervention | months (Median) |
---|
Group I: Phase Ib (Gemcitabine, Nab-paclitaxel, Selinexor) | 5.45 |
GroupIII: Phase II Group II (Gemcitabine, Selinexor) | NA |
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Proportion of Patients With a Toxic Event, Graded According to NCI CTCAE Version 4.03
The reported output is the proportion of patients that had a toxic event along with the associated 90% Wilson's confidence interval. (NCT02178436)
Timeframe: Up to 2 years
Intervention | proportion of patients (Number) |
---|
Group I: Phase Ib (Gemcitabine, Nab-paclitaxel, Selinexor) | 1.00 |
GroupIII: Phase II Group II (Gemcitabine, Selinexor) | 0.75 |
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Time To Progression (TTP)
TTP was defined as the time from date of first dose of study therapy to date of removal from study for progression. Patients who have not experienced progression were censored at the date of last disease evaluation. Progression is evaluated using Solid Tumor Response Criteria (RECIST) Version 1.1. Progression is defined as at least a 20% increase in the sum of the diameters/axes 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 5mm over the nadir. The appearance of new lesions or unequivocal progression of existing non-target lesions also constitutes disease progression. (NCT02181634)
Timeframe: Every 3-6 months for up to 3 years
Intervention | months (Median) |
---|
Nab-Paclitaxel and Gemcitabine | 7.7 |
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Association Between OS and Maximum Change in Carbohydrate Antigen (CA) 19-9 From Baseline
Patients were dichotomized into maximum CA 19-9 decline >=50% and maximum CA 19-9 decline <50%. Cox proportional hazards model was used to evaluate the association between OS and maximum change in CA 19-9. (NCT02181634)
Timeframe: CA 19-9 was evaluated every 8 weeks until progression or for up to 3 years and off-treatment
Intervention | months (Median) |
---|
| CA 19-9 decline >=50% | CA 19-9 decline <50% |
---|
Nab-Paclitaxel and Gemcitabine | 14.6 | 10.2 |
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Association Between PFS and Maximum Change in Carbohydrate Antigen (CA) 19-9 From Baseline
Patients were dichotomized into maximum CA 19-9 decline >=50% and maximum CA 19-9 decline <50%. Cox proportional hazards model was used to evaluate the association between PFS and maximum change in CA 19-9. (NCT02181634)
Timeframe: CA 19-9 was evaluated every 8 weeks until progression or for up to 3 years and off-treatment
Intervention | months (Median) |
---|
| CA 19-9 decline >=50% | CA 19-9 decline <50% |
---|
Nab-Paclitaxel and Gemcitabine | 7.7 | 1.9 |
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Progression-Free Survival (PFS) Rate at 6 Months (Proportion of Participants Alive and Progression-Free at 6 Months)
"Progression-free survival is defined as the time from the date of first study treatment to either the date of documented disease progression or death from any cause, whichever occurred first. Progression-free survival rate at 6 months is defined as the proportion of patients who were disease progression-free and alive at 6 months.~Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the diameter/axes of target lesions, taking as reference the smallest sum on study, or unequivocal progression of existing non-target lesions, or the appearance of new lesions." (NCT02181634)
Timeframe: Assessed at 6 months
Intervention | proportion of participants (Number) |
---|
Nab-Paclitaxel and Gemcitabine | 0.605 |
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Overall Response Rate (ORR)
Overall response rate is defined as the proportion of patients with complete response or partial response per RECIST version 1.1. Complete response is defined as disappearance of all lesions. Partial response is defined as at least a 30% decrease in the sum of the diameters/axes of target lesions and the persistence of one or more non-target lesion(s) and/or the maintenance of tumor marker levels above the normal limits. A confirmation assessment performed >=4 weeks after the criteria for response is met is required. (NCT02181634)
Timeframe: Every 3-6 months for up to 3 years
Intervention | proportion of participants (Number) |
---|
Nab-Paclitaxel and Gemcitabine | 0.301 |
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Disease Control Rate (DCR)
Disease control rate is the proportion of patients achieved complete response, partial response or stable disease per RECIST version 1.1. Complete response is defined as disappearance of all lesions. Partial response is defined as at least a 30% decrease in the sum of the diameters/axes of target lesions and the persistence of one or more non-target lesion(s) and/or the maintenance of tumor marker levels above the normal limits. Stable disease is defined as neither sufficient shrinkage to qualify for complete or partial response nor sufficient increase to qualify for progression. A confirmation assessment performed >=4 weeks after the criteria for response is met is required. (NCT02181634)
Timeframe: Every 3-6 months for up to 3 years
Intervention | proportion of participants (Number) |
---|
Nab-Paclitaxel and Gemcitabine | 0.658 |
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Overall Survival (OS)
OS is defined as the time from enrollment until death or last patient contact. (NCT02181634)
Timeframe: Every 3-6 months for up to 3 years
Intervention | months (Median) |
---|
Nab-Paclitaxel and Gemcitabine | 11.2 |
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Progression-free Survival (PFS)
Progression-free survival is defined as the time from the date of first study treatment to either the date of documented disease progression or death from any cause, whichever occurred first. (NCT02181634)
Timeframe: Every 3-6 months for up to 3 years
Intervention | months (Median) |
---|
Nab-Paclitaxel and Gemcitabine | 7.7 |
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Number of Participants With Dose Limiting Toxicities (DLT)
A dose-limiting toxicity (DLT) was defined by the occurrence of any of the toxicities listed in section 5.1.5 of the protocol that are possibly, probably, or definitely related to study drug(s) within the first cycle (4 weeks = 28 days). (NCT02194829)
Timeframe: Assessed at 28 days
Intervention | Participants (Count of Participants) |
---|
Arm A (Phase I - Initial Dose Level) | 2 |
Arm B (Phase I - Dose Level -2) | 2 |
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Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
An AE was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. SAEs included death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized the participant and required medical intervention to prevent 1 of the outcomes listed in this definition. A TEAE was defined as a new or worsening AE that occurred in the window of first infusion of any study drug (Day 1) and within 28 days of the last infusion of study drug or the day before surgery, whichever occurred first. A summary of serious and non-serious AEs regardless of causality is located in 'Reported Adverse Events module'. (NCT02210559)
Timeframe: From first infusion of any study drug (Day 1) up to 28 days after last infusion of study drug or the day before surgery (up to Day 196)
Intervention | Participants (Count of Participants) |
---|
| TEAEs | SAEs |
---|
Arm A: Gemcitabine Plus Nab-paclitaxel + Pamrevlumab (G/NP+P) | 24 | 9 |
,Arm B: Gemcitabine Plus Nab-paclitaxel (G/NP) | 12 | 6 |
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Number of Participants in Whom R0 or R1 Resection Was Achieved
R0 or R1 resection was determined by pathological examination of the surgical specimen after resection. (NCT02210559)
Timeframe: After completion of 24 weeks of treatment with study drug
Intervention | Participants (Count of Participants) |
---|
Arm A: Gemcitabine Plus Nab-paclitaxel + Pamrevlumab (G/NP+P) | 8 |
Arm B: Gemcitabine Plus Nab-paclitaxel (G/NP) | 1 |
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Number of Participants in Whom R0 Resection Was Achieved
R0 resection was determined by pathological examination of the surgical specimen after resection. (NCT02210559)
Timeframe: After completion of 24 weeks of treatment with study drug
Intervention | Participants (Count of Participants) |
---|
Arm A: Gemcitabine Plus Nab-paclitaxel + Pamrevlumab (G/NP+P) | 4 |
Arm B: Gemcitabine Plus Nab-paclitaxel (G/NP) | 1 |
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Number of Participants Who Became Eligible for Surgery
(NCT02210559)
Timeframe: After completion of 24 weeks of treatment with study drug
Intervention | Participants (Count of Participants) |
---|
Arm A: Gemcitabine Plus Nab-paclitaxel + Pamrevlumab (G/NP+P) | 17 |
Arm B: Gemcitabine Plus Nab-paclitaxel (G/NP) | 2 |
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Number of Participants Who Had Surgical Complications Post-Resection
Number of participants who had surgical complications (for example; surgical site infection, intra-abdominal abscess, or perioperative leak during surgery) has been reported (NCT02210559)
Timeframe: 30 days following discharge after surgery (up to Day 198)
Intervention | Participants (Count of Participants) |
---|
Arm A: Gemcitabine Plus Nab-paclitaxel + Pamrevlumab (G/NP+P) | 0 |
Arm B: Gemcitabine Plus Nab-paclitaxel (G/NP) | 0 |
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Number of Participants With Complete Response (CR) or Partial Response (PR) Per Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
CR was defined as disappearance of all target lesions and any pathological lymph nodes (whether target or non-target) must have reduced in short axis to <10 millimeters (mm). PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. (NCT02210559)
Timeframe: From randomization up to Week 52
Intervention | Participants (Count of Participants) |
---|
Arm A: Gemcitabine Plus Nab-paclitaxel + Pamrevlumab (G/NP+P) | 5 |
Arm B: Gemcitabine Plus Nab-paclitaxel (G/NP) | 3 |
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Determine the Maximum Tolerated Dose of Gemcitabine to be Delivered Locally to the Pancreas
"Maximum Tolerated Dose (MTD) of gemcitabine administered intra-arterially to the pancreatic tumor(s) using the RenovoCath™ RC120 catheter.~One week post treatment, toxicities will be assessed to determine if there is a pre-defined Dose Limiting Toxicity necessitating dose stopping or holding." (NCT02237157)
Timeframe: 1 week post treatment
Intervention | mg/m^2 (Number) |
---|
Gemcitabine, Local Delivery | 1000 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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Number of Participants With Post-operative Complications After Partial Hepatectomy After Antecedent Combination Low-dose Radiotherapy and Gemcitabine-cisplatin.
Measured post-operative complications include (but not limited to) bile leak, liver failure, ascites, infection, any organ failure or insufficiency, venous thromboembolism, and mortality. (NCT02254681)
Timeframe: up to 90 days after partial hepatectomy
Intervention | Participants (Count of Participants) |
---|
Treatment | 1 |
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Number of Participants With Intrahepatic Recurrence After Partial Hepatectomy With Antecedent Combination Low-dose Radiotherapy and Gemcitabine-cisplatin.
To determine the number of participants with Intrahepatic recurrence assessed by RECIST criteria using MRI of the abdomen with intravenous gadolinium contrast. (NCT02254681)
Timeframe: From date of partial hepatectomy until date of first documented recurrence or date of death from any cause, assessed up to 24 months.
Intervention | Participants (Count of Participants) |
---|
Treatment | 1 |
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Number of Participants With Intrahepatic Disease Progression After Treatment With Combination Low-dose Radiotherapy and Gemcitabine-cisplatin.
To determine the number of participants with Intrahepatic disease progression assessed by MRI of the abdomen with intravenous gadolinium contrast using RECIST criteria. (NCT02254681)
Timeframe: From date of first treatment until date of first documented progression or date of death from any cause, which ever comes first, assessed up to 24 months.
Intervention | Participants (Count of Participants) |
---|
Treatment | 6 |
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Number of Participants Post Operative/Radiation Therapy Complications
Out of the 3 participants enrolled, the patient in cohort 1 proceeded to surgery and 1 of the 2 patients in cohort 2 proceeded to RT. The other patient in cohort 2 developed disease progression and was removed from protocol. (NCT02256982)
Timeframe: 90 Days
Intervention | participants (Number) |
---|
Resectable Disease | 0 |
Unresectable Disease | 0 |
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Phase 1a, 1b, and Phase 2: AUC0-τ: Area Under the Plasma Concentration-time Curve Over Dosing Interval for INCB052793
AUC0-τ is the area under the plasma concentration-time curve from time = 0 to the last measurable concentration at time = t measured at steady state (Day 15). For PK analyses subjects in TGA and TGB are combined by dosage group because only 3 subjects were enrolled in each dose group in TGB and 4 subject for first dose in TGB 50 mg. (NCT02265510)
Timeframe: Cycle 1, Day 15: predose and 0.5, 1, 2, 4, 6 hours postdose in Phase 1a; 0 (predose), 0.08, 0.5, 1, 2, 4, 6 and 8 hours postdose in Phase 1b and Phase 2
Intervention | nM*hr (Mean) |
---|
Phase 1a TGA - INCB052793 15 mg | 4750 |
Phase 1a TGA - INCB052793 25 mg | 9170 |
Phase 1a TGA - INCB052793 35 mg | 8430 |
Phase 1a TGA - INCB052793 50 mg | 14700 |
Phase 1a TGA - INCB052793 75 mg | 18300 |
Phase 1a TGA - INCB052793 100 mg | 27800 |
Phase 1b Cohort B - INCB052793 25 mg + Dexamethasone 40 mg | 6390 |
Phase 1b Cohort F - INCB052793 25 mg + Azacytidine 75 mg/m^2 | 9580 |
Phase 1b Cohort F - INCB052793 35 mg + Azacytidine 75 mg/m^2 | 10200 |
Phase 2 Cohort I - INCB052793 35 mg + Azacytidine 75 mg/m^2 | 9380 |
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Phase 1a, 1b, and Phase 2: Cmax: Maximum Observed Plasma Concentration of Itacitinib
Cmax is defined as the maximum observed plasma concentration measured at steady state (Day 15). (NCT02265510)
Timeframe: Cycle 1, Day 15: predose and 0.5, 1, 2, 4, 6 hours postdose in Phase 1a; 0 (predose), 0.08, 0.5, 1, 2, 4, 6 and 8 hours postdose in Phase 1b and Phase 2
Intervention | nM (Mean) |
---|
Phase 2 Cohort J - Itacitinib 300 mg + Azacitidine 75 mg/m^2 | 1310 |
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Phase 1A and 1B: Percentage of Participants With Response as Determined by Investigator's Assessment
Response rate is defined as the percentage of participants who achieved best overall response (BOR) as determined by IWG response criteria of investigator's assessment. A participant was considered an objective responder based on the following- Solid tumors: participant had a best overall response (BOR) of CR or PR, Lymphoma: participant had a BOR of complete radiologic response/complete metabolic response or partial remission/partial metabolic response, AML: participant had a BOR of CR, CRi, morphological leukemia-free state (MLFS), or PR, MDS: participant had a BOR of CR, PR, or marrow CR, MDS/myeloproliferative neoplasm (MPN): participant had a BOR of CR, PR, or marrow response, MM: participant had a BOR of stringent CR, CR, very good PR, PR, or MR. Subjects are combined by tumor type for this analysis. (NCT02265510)
Timeframe: Baseline through end of study (Up to approximately 4.5 years)
Intervention | Participants (Count of Participants) |
---|
Phase 1a TGA - INCB052793 in Solid Tumors | 0 |
Phase 1a TGB - INCB052793 in Lymphoma | 0 |
Phase 1a TGB - INCB052793 in MDS/MPN | 1 |
Phase 1a TGB - INCB052793 in MM | 0 |
Phase 1b Cohort B - INCB052793 + Dexamethasone in MM | 2 |
Phase 1b Cohort F-INCB052793 +Azacytidine in AML | 4 |
Phase 1b Cohort F-INCB052793 +Azacytidine in MDS | 3 |
Phase 1b Cohort F-INCB052793 +Azacytidine in MDS/MPN | 2 |
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Phase 1a, 1b, and Phase 2: Tmax: Time to Maximum Plasma Concentration for INCB052793
Tmax is the time to maximum (peak) observed plasma drug concentration. Summary of Steady-State, Day 15, was evaluated by dosing regimen. For PK analyses subjects in TGA and TGB are combined by dosage group because only 3 subjects were enrolled in each dose group in TGB and 4 subject for first dose in TGB 50 mg. (NCT02265510)
Timeframe: Cycle 1, Day 15: predose and 0.5, 1, 2, 4, 6 hours postdose in Phase 1a; 0 (predose), 0.08, 0.5, 1, 2, 4, 6 and 8 hours postdose in Phase 1b and Phase 2
Intervention | hours (hr) (Median) |
---|
Phase 1a TGA - INCB052793 15 mg | 1.1 |
Phase 1a TGA - INCB052793 25 mg | 0.76 |
Phase 1a TGA - INCB052793 35 mg | 2.0 |
Phase 1a TGA - INCB052793 50 mg | 1.1 |
Phase 1a TGA - INCB052793 75 mg | 2.2 |
Phase 1a TGA - INCB052793 100 mg | 2.0 |
Phase 1b Cohort B - INCB052793 25 mg + Dexamethasone 40 mg | 1.0 |
Phase 1b Cohort F - INCB052793 25 mg + Azacytidine 75 mg/m^2 | 1.1 |
Phase 1b Cohort F - INCB052793 35 mg + Azacytidine 75 mg/m^2 | 1.1 |
Phase 2 Cohort I - INCB052793 35 mg + Azacytidine 75 mg/m^2 | 0.51 |
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Phase 1a, 1b, and Phase 2: Tmax: Time to Maximum Plasma Concentration for Itacitinib
Tmax is the time to maximum (peak) observed plasma drug concentration. (NCT02265510)
Timeframe: Cycle 1, Day 15: predose and 0.5, 1, 2, 4, 6 hours postdose in Phase 1a; 0 (predose), 0.08, 0.5, 1, 2, 4, 6 and 8 hours postdose in Phase 1b and Phase 2
Intervention | hr (Median) |
---|
Phase 2 Cohort J - Itacitinib 300 mg + Azacitidine 75 mg/m^2 | 3.5 |
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Phase 1a, 1b, and Phase 2: Cmax: Maximum Observed Plasma Concentration for INCB052793
Cmax is defined as the maximum observed plasma concentration measured at steady state (Day 15). For PK analyses subjects in TGA and TGB are combined by dosage group because only 3 subjects were enrolled in each dose group in TGB and 4 subject for first dose in TGB 50 mg. (NCT02265510)
Timeframe: Cycle 1, Day 15: predose and 0.5, 1, 2, 4, 6 hours postdose in Phase 1a; 0 (predose), 0.08, 0.5, 1, 2, 4, 6 and 8 hours postdose in Phase 1b and Phase 2
Intervention | nM (Mean) |
---|
Phase 1a TGA - INCB052793 15 mg | 522 |
Phase 1a TGA - INCB052793 25 mg | 1110 |
Phase 1a TGA - INCB052793 35 mg | 1120 |
Phase 1a TGA - INCB052793 50 mg | 2050 |
Phase 1a TGA - INCB052793 75 mg | 1840 |
Phase 1a TGA - INCB052793 100 mg | 2890 |
Phase 1b Cohort B - INCB052793 25 mg + Dexamethasone 40 mg | 928 |
Phase 1b Cohort F - INCB052793 25 mg + Azacytidine 75 mg/m^2 | 1270 |
Phase 1b Cohort F - INCB052793 35 mg + Azacytidine 75 mg/m^2 | 1480 |
Phase 2 Cohort I - INCB052793 35 mg + Azacytidine 75 mg/m^2 | 1610 |
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Phase 2: Objective Response Rate (ORR) in Hematological Malignancies
ORR is defined as the proportion of participants who achieved complete response (CR), CR with incomplete hematologic recovery (CRi), partial response (PR), or hematologic improvement (HI), using the IWG response criteria. (NCT02265510)
Timeframe: Baseline through end of study (Up to approximately 4.5 years)
Intervention | Participants (Count of Participants) |
---|
Phase 2 Cohort I-INCB052793 +Azacytidine (AML) | 0 |
Phase 2 Cohort I-INCB052793 +Azacytidine (MDS) | 1 |
Phase 2 Cohort J-Itacitinib +Azacitidine (AML) | 1 |
Phase 2 Cohort J-Itacitinib +Azacitidine (MDS) | 0 |
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Phase 1a and 1b: Number of Participants With at Least One Treatment-Emergent Adverse Event (TEAE) and Serious Adverse Event (SAE)
An AE is any untoward medical occurrence in a subject administered a medicinal investigational drug. The untoward medical occurrence does not necessarily have to have a causal relationship with treatment. An SAE is any untoward medical occurrence that results in death; is life-threatening; requires inpatient hospitalization or prolongation of present hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect or is a medically important event that may not be immediately life-threatening or result in death or hospitalization. A TEAE was defined as any AE either reported for the first time or worsening of a pre-existing event after first dose of study drug and within 30 days of the last dose of study drug. (NCT02265510)
Timeframe: From first dose of study drug up to 30 days after last dose of study drug (Up to approximately 3.4 years)
Intervention | Participants (Count of Participants) |
---|
| TEAE | SAE |
---|
Phase 1a TGA - INCB052793 100 mg | 6 | 2 |
,Phase 1a TGA - INCB052793 15 mg | 3 | 0 |
,Phase 1a TGA - INCB052793 25 mg | 3 | 1 |
,Phase 1a TGA - INCB052793 35 mg | 6 | 0 |
,Phase 1a TGA - INCB052793 50 mg | 4 | 2 |
,Phase 1a TGA - INCB052793 75 mg | 3 | 3 |
,Phase 1a TGB - INCB052793 25 mg | 3 | 1 |
,Phase 1a TGB - INCB052793 35 mg | 4 | 2 |
,Phase 1a TGB - INCB052793 50 mg | 4 | 2 |
,Phase 1b Cohort B - INCB052793 25 mg + Dexamethasone 40 mg | 7 | 5 |
,Phase 1b Cohort F - INCB052793 25 mg + Azacytidine 75 mg/m^2 | 5 | 4 |
,Phase 1b Cohort F - INCB052793 35 mg + Azacytidine 75 mg/m^2 | 16 | 14 |
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Phase 2: Number of Participants With at Least One TEAE and SAE
An AE is any untoward medical occurrence in a subject administered a medicinal investigational drug. The untoward medical occurrence does not necessarily have to have a causal relationship with treatment. An SAE is any untoward medical occurrence that results in death; is life-threatening; requires inpatient hospitalization or prolongation of present hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect or is a medically important event that may not be immediately life-threatening or result in death or hospitalization. A TEAE was defined as any AE either reported for the first time or worsening of a pre-existing event after first dose of study drug and within 30 days of the last dose of study drug. (NCT02265510)
Timeframe: From first dose of study drug up to 30 days after last dose of study drug (Up to approximately 1.3 years)
Intervention | Participants (Count of Participants) |
---|
| TEAE | SAE |
---|
Phase 2 Cohort I - INCB052793 35 mg + Azacytidine 75 mg/m^2 | 9 | 7 |
,Phase 2 Cohort J - Itacitinib 300 mg + Azacitidine 75 mg/m^2 | 10 | 8 |
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Phase 1a, 1b, and Phase 2: AUC0-τ: Area Under the Plasma Concentration-time Curve Over Dosing Interval for Itacitinib
AUC0-τ is the area under the plasma concentration-time curve from time = 0 to the last measurable concentration at time = t measured at steady state (Day 15). (NCT02265510)
Timeframe: Cycle 1, Day 15: predose and 0.5, 1, 2, 4, 6 hours postdose in Phase 1a; 0 (predose), 0.08, 0.5, 1, 2, 4, 6 and 8 hours postdose in Phase 1b and Phase 2
Intervention | nM*hr (Mean) |
---|
Phase 2 Cohort J - Itacitinib 300 mg + Azacitidine 75 mg/m^2 | 9870 |
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Single Dose Adavosertib Cmax
Maximum plasma concentration of adavosertib after a single oral dose (Cycle 1 Day 1) in combination with IV infusion of commonly used chemotherapy agents, including gemcitabine, paclitaxel, and carboplatin. (NCT02272790)
Timeframe: Pre-dose, 0.5 hr, 1 hr, 2 hr, 4 hr, 6 hr, and 8 hr
Intervention | nM (Geometric Mean) |
---|
Arm A 800 mg/m² Gemcitabine | 477.4 |
Arm A 1000 mg/m² Gemcitabine | 571.1 |
Arm B | 533.8 |
Arm C | 556.6 |
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Objective Response Rate (ORR)
Objective response rate is defined as the proportion of patients achieving a complete or partial tumour response according to RECIST v1.1 criteria. (NCT02272790)
Timeframe: Throughout the duration of the study (up to 19 months)
Intervention | Participants (Number) |
---|
Arm A | 1 |
Arm B | 11 |
Arm C | 7 |
Arm C2 | 8 |
Arm D-175 mg | 2 |
Arm D-225 mg | 1 |
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Multiple Dose Adavosertib Tmax
The time to reach maximum plasma concentration of adavosertib after multiple oral doses (Cycle 1 Day 3) in combination with IV infusion of 40 mg/m² pegylated liposomal doxorubicin. (NCT02272790)
Timeframe: Pre-dose, 1 hr, 2 hr, 4 hr, 6 hr, and 8 hr
Intervention | hours (Median) |
---|
Arm D 175 mg | 3.92 |
Arm D 225 mg | 2.88 |
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Multiple Dose Adavosertib Cmax
Maximum plasma concentration of adavosertib after a multiple oral doses (Cycle 1 Day 3) in combination with IV infusion of 40 mg/m² pegylated liposomal doxorubicin. (NCT02272790)
Timeframe: Pre-dose, 1 hr, 2 hr, 4 hr, 6 hr, and 8 hr
Intervention | nM (Geometric Mean) |
---|
Arm D 175 mg | 4135 |
Arm D 225 mg | 23530 |
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Gynecologic Cancer Intergroup (GCIG) CA-125 Response
The GCIG CA-125 response is defined as the proportion of patients achieving a 50% reduction in CA-125 levels from baseline, if baseline level is ≥2 x the upper limit of normal (ULN) within 2 weeks prior to starting treatment. Response must be confirmed and maintained for at least 28 days. (NCT02272790)
Timeframe: Throughout the study, approximately 4 years
Intervention | Percent (Number) |
---|
Arm A | 25.0 |
Arm B | 53.6 |
Arm C | 26.7 |
Arm C2 | 63.6 |
Arm D-175 mg | 25.0 |
Arm D-225 mg | 25.0 |
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Duration of Response (DoR)
Duration of Response (DoR) is defined as the time from first documented tumour response until the date of documented progression or death from any cause. (NCT02272790)
Timeframe: Throughout the duration of the study, approximately 19 months.
Intervention | Months (Median) |
---|
Arm A | 4.4 |
Arm B | 12.0 |
Arm C | NA |
Arm C2 | 10.4 |
Arm D-175 mg | NA |
Arm D-225 mg | NA |
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Disease Control Rate (DCR)
The Disease Control Rate is defined as the proportion of patients achieving a complete response (CR), partial response (PR), or stable disease (SD) according to RECIST v1.1 criteria. (NCT02272790)
Timeframe: Throughout the duration of the study (up to 19 months)
Intervention | Participants (Number) |
---|
Arm A | 3 |
Arm B | 27 |
Arm C | 19 |
Arm C2 | 12 |
Arm D-175 mg | 3 |
Arm D-225 mg | 5 |
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The Number of Patients Experiencing Treatment-emergent Adverse Events (TEAEs) by Maximum CTCAE Grade.
"The number of patients experiencing at least one treatment-related adverse event (TEAE) by maximum CTCAE grade.~Severity Grade 1 = Mild; Severity Grade 2 = Moderate; Severity Grade 3 = Severe; Severity Grade 4 = Life Threatening; Severity Grade 5 = Fatal" (NCT02272790)
Timeframe: Throughout the duration of the study (up to 19 months)
Intervention | Participants (Number) |
---|
| Number of patients with ≥1 TEAE of max Grade 1 | Number of patients with ≥1 TEAE of max Grade 2 | Number of patients with ≥1 TEAE of max Grade 3 | Number of patients with ≥1 TEAE of max Grade 4 | Number of patients with ≥1 TEAE of max Grade 5 |
---|
Arm A | 0 | 1 | 2 | 6 | 0 |
,Arm B | 2 | 1 | 19 | 15 | 1 |
,Arm C | 0 | 5 | 10 | 8 | 0 |
,Arm C2 | 0 | 0 | 4 | 8 | 0 |
,Arm D-175 mg | 0 | 3 | 3 | 0 | 0 |
,Arm D-225 mg | 0 | 4 | 0 | 2 | 0 |
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Serious Adverse Events
The number of patients experiencing at least one serious adverse event (SAE). (NCT02272790)
Timeframe: Throughout the duration of the study (up to 19 months)
Intervention | Participants (Number) |
---|
| Pts. with ≥ one serious TEAE related to AZD1775. | Pts. with ≥ one serious TEAE related to Chemo. |
---|
Arm A | 0 | 0 |
,Arm B | 8 | 8 |
,Arm C | 9 | 9 |
,Arm C2 | 7 | 7 |
,Arm D-175 mg | 1 | 1 |
,Arm D-225 mg | 1 | 1 |
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Serious Adverse Events Leading to Death
The number of patients experiencing at least one serious adverse event (SAE) leading to death. (NCT02272790)
Timeframe: Throughout the duration of the study (up to 19 months)
Intervention | Participants (Number) |
---|
| No. with STEAE related to AZD1775 leading to death | No. with STEAE related to chemo leading to death |
---|
Arm A | 0 | 0 |
,Arm B | 1 | 1 |
,Arm C | 0 | 0 |
,Arm C2 | 0 | 0 |
,Arm D-175 mg | 0 | 0 |
,Arm D-225 mg | 0 | 0 |
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Single Dose Adavosertib Tmax
The time to reach maximum plasma concentration of adavosertib after a single oral dose (Cycle 1 Day 1) in combination with IV infusion of commonly used chemotherapy agents, including gemcitabine, paclitaxel, and carboplatin. (NCT02272790)
Timeframe: Pre-dose, 0.5 hr, 1 hr, 2 hr, 4 hr, 6 hr, and 8 hr
Intervention | hours (Median) |
---|
Arm A 800 mg/m² Gemcitabine | 2.00 |
Arm A 1000 mg/m² Gemcitabine | 2.02 |
Arm B | 4.08 |
Arm C | 3.15 |
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Progression Free Survival (PFS)
Dose Expansion. PFS is defined as the time from randomization until objective tumor progression or death. Progressive Disease (PD): 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). (NCT02300610)
Timeframe: 14 months
Intervention | months (Median) |
---|
Dose Escalation: Level 1 Dose | 3.81 |
Dose Escalation: Level 2 Dose | 14.63 |
Dose Expansion | 7.68 |
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Overall Response Rate (ORR): Complete Response (CR) + Partial Response (PR)
Dose Expansion. CR: Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. (NCT02300610)
Timeframe: Up to 6 months
Intervention | Participants (Count of Participants) |
---|
| Partial Response | Progressive Disease | Stable Disease | Complete Response | Not Evaluable |
---|
Dose Escalation: Level 1 Dose | 0 | 1 | 1 | 0 | 1 |
,Dose Escalation: Level 2 Dose | 3 | 0 | 0 | 0 | 0 |
,Dose Expansion | 1 | 0 | 1 | 1 | 1 |
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Recommended Dose of Enzalutamide
"Dose Escalation. Maximum Tolerated Dose (MTD) of Enzalutamide when given with Cisplatin and Gemcitabine at standard doses. Dose Level 1: 80 mg Enzalutamide; Dose Level 2: 160 mg Enzalutamide.~Dose-Limiting Toxicity (DLT) is defined as any of the following occurring in the first 21 days (cycle 1) of study participation that are considered at least possibly related to enzalutamide administration. Toxicities that are in the opinion of the investigator(s) attributable exclusively to gemcitabine or cisplatin will not be considered DLT.~7 consecutive missed doses (out of 21 doses) of enzalutamide in 21 days due to study drug related toxicity.~Missed day 8 dose of gemcitabine in cycle 1 will not be considered DLT.~Delay of greater than 3 weeks from scheduled date in initiating cycle 2 due to study drug related toxicity.~Discontinuation of a patient due to study drug related toxicity before completing cycle 1." (NCT02300610)
Timeframe: Up to 6 months
Intervention | mg (Number) |
---|
Dose Escalation | 160 |
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Overall Survival (OS)
Dose Expansion. Overall survival is defined as the time from randomization until death from any cause, and is measured in the intent-to-treat population. (NCT02300610)
Timeframe: Up to 24 Months
Intervention | months (Median) |
---|
Dose Escalation: Level 1 Dose | 4.14 |
Dose Escalation: Level 2 Dose | 14.63 |
Dose Expansion | 10.03 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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Progression Free Survival (PFS)
Progression free survival is defined as the time from treatment initiation to the earlier date of assessment of objective progression or death by any cause in the absence of progression. Progression Free Survival (PFS) is defined as the time from treatment initiation to the earlier date of assessment of objective progression or death by any cause in the absence of progression. Progression will be assessed by RECIST v. 1.1. (NCT02303262)
Timeframe: 27 months
Intervention | months (Median) |
---|
Mocetinostat and Gemcitabine | 2.0 |
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Duration of Response
The duration of objective response will be measured from the time measurement criteria are first met until disease progression is objectively documented. (NCT02303262)
Timeframe: 27 months
Intervention | months (Median) |
---|
Mocetinostat and Gemcitabine | 2 |
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Response Rate (Per RECIST 1.1)
Response rate (CR or PR) will be calculated by the number of patients achieving a response divided by the number of patients having been evaluated for response. Per Response Evaluation Criteria in Solid Tumors (RECIST): Complete Response (CR) is the disappearance of all target lesions; Partial Response (PR) is at least a 30% decrease in the sum of longest diameters of all target lesions. (NCT02303262)
Timeframe: 27 months
Intervention | Participants (Count of Participants) |
---|
Mocetinostat and Gemcitabine | 1 |
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Progression-free Survival
Measures the length of time from the first day of therapy until Progressive Disease, death from any cause, or last patient contact. 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 a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT02303977)
Timeframe: Averaging about 16 weeks
Intervention | Months (Median) |
---|
Gemcitabine + Paciltaxel | 2.6 |
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Disease Control Rate
The percentage of patients with a Partial Response, a Complete Response, or Stable Disease during the study. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT or MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the diameter of target lesions; Overall Response (OR) = CR + PR. (NCT02303977)
Timeframe: The duration of study treatment, averaging about 16 weeks.
Intervention | Percentage of participants (Number) |
---|
Gemcitabine + Paciltaxel | 59.5 |
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Overall Response Rate
The percentage of patients with a Partial Response or Complete Response recorded from the start of the treatment until disease progression/recurrence by RECIST 1.1 criteria. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT or MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the diameter of target lesions; Overall Response (OR) = CR + PR. (NCT02303977)
Timeframe: Averaging about 16 weeks.
Intervention | percentage of participants (Number) |
---|
Gemcitabine + Paciltaxel | 13.5 |
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Overall Survival
Length of time from the first day of therapy to death from any cause or last patient contact (NCT02303977)
Timeframe: Averaging about 47 weeks
Intervention | Months (Median) |
---|
Gemcitabine + Paciltaxel | 6.2 |
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Feasibility as Measured by Number of Participants Who Complete the Neoadjuvant Gemcitabine/Nab-paclitaxel and HIGRT Regimen
The neoadjuvant regimen will be considered feasible if (a) the trial can accrue 25 patients in no more than 3 years and (b) if at least 17 of the 25 patients adhere to the neoadjuvant regimen and c) the acute grade 3+ non-hematologic acute toxicity is less than 50% (exclusing fatigue and alopecia). (NCT02318095)
Timeframe: approximately 6 months
Intervention | Participants (Count of Participants) |
---|
Chemotherapy/Radiation/Surgery | 39 |
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Number of Participants Who Underwent Surgical Resection
Patients who undergo surgical resection will be documented (NCT02318095)
Timeframe: 14-30 days post surgery
Intervention | Participants (Count of Participants) |
---|
Chemotherapy/Radiation/Surgery | 24 |
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Number of Participants Who Received an R0 Resection
Pathologic review will determine if an R0 resection has been performed. R0 resection indicates a microscopically margin-negative resection, in which no gross or microscopic tumor remains in the primary tumor bed. (NCT02318095)
Timeframe: 14-30 days post surgery
Intervention | Participants (Count of Participants) |
---|
Chemotherapy/Radiation/Surgery | 18 |
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Number of Participants Experiencing Grade >/=2 Acute Toxicity
CTCAE version 4 will be used for all toxicity assessments. The acute toxicity rate, defined as any non-hematologic grade 2+ toxicity occurring during HIGRT treatment through 60 days post-treatment, will be estimated with its exact 80% confidence interval. Likewise, we will determine the rate of grade 2+ hematologic toxicity occurring during treatment through 60 days post treatment and the proportion of patients requiring treatment breaks longer than 5 days. (NCT02318095)
Timeframe: 60 days post surgery
Intervention | Participants (Count of Participants) |
---|
Chemotherapy/Radiation/Surgery | 10 |
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Plasma PK for Patients Treated With Rociletinib Based on Sparse Sampling
Blood samples were drawn for PK analysis at 21 ± 3 day intervals for the first 6 months (Day 1 of Cycles 2 to 7 inclusive). The sample could be taken predose or postdose. Plasma concentrations are presented for Rociletinib and 3 metabolites (M460, M502, M544). (NCT02322281)
Timeframe: Cycles 2 Day 1 to Cycle 7 Day 1, or approximately 6 months
Intervention | Plasma concentration (ng/mL) (Median) |
---|
| Rociletinib | M460 | M502 | M544 |
---|
Rociletinib 500 mg BID | 80.4 | 20.0 | 573.0 | 765.0 |
,Rociletinib 625 mg BID | 207.0 | 555.0 | 3260.0 | 525.0 |
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Progression Free Survival (PFS) According to RECIST Version 1.1 as Determined by Investigator Review (invPFS)
PFS was calculated as 1+ the number of days from the date of randomization to documented radiographic progression as determined by the investigator, or death due to any cause, 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, 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. (NCT02322281)
Timeframe: Cycle 1 Day 1 to End of Treatment, up to approximately 35 months. This Time Frame includes the cross-over period, however, participants who crossed over to rociletinib were not analyzed for PFS.
Intervention | Days (Median) |
---|
Rociletinib 500 mg BID | 125.0 |
Rociletinib 625 mg BID | 166.0 |
Chemotherapy | 77.0 |
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Percentage of Participants With Confirmed Response
Percentage of patients with a best overall confirmed response of partial response (PR) or complete response (CR) recorded from the start of the treatment until disease progression or recurrence. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions, defined by and assessed as: Complete Response (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. Partial Response (PR),at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter. Overall Response (OR),is 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). The patient's best response assignment was dependent on the achievement of both measurement and confirmation criteria. (NCT02322281)
Timeframe: Cycle 1 Day 1 to End of Treatment, up to approximately 35 months. This Time Frame includes the cross-over period, however, participants who crossed over to rociletinib were not analyzed for best overall confirmed response.
Intervention | percentage of participants (Number) |
---|
Rociletinib 500 mg BID | 17.0 |
Rociletinib 625 mg BID | 18.2 |
Chemotherapy | 8.2 |
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Overall Survival (OS)
OS was calculated as 1+ the number of days from randomization to death due to any cause. Patients without a documented date of death were censored on the date the patient was last known to be alive. (NCT02322281)
Timeframe: Cycle 1 Day 1 to date of death, assessed up to 3 years
Intervention | Days (Median) |
---|
Rociletinib 500 mg BID | 665 |
Rociletinib 625 mg BID | 541 |
Chemotherapy | 348 |
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Duration of Response (DOR) According to RECIST Version 1.1 as Determined by Investigator Assessment
DOR in patients with confirmed response per investigator. The DOR for complete response (CR) and partial response (PR) was measured from date that any of these best responses is first recorded until first date that progressive disease (PD) is objectively documented. For patients who continue treatment post-progression, the first date of progression was used for the analysis. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions, defined by and assessed as: CR is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10mm. PR is at least a 30% decrease in sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter. Overall Response is the best response from start of the treatment until disease progression/recurrence (taking as reference for progressive disease the smallest measurements recorded since the treatment started). (NCT02322281)
Timeframe: Cycle 1 Day 1 to End of Treatment, up to approximately 35 months
Intervention | Days (Median) |
---|
Rociletinib 500 mg BID | 335.0 |
Rociletinib 625 mg BID | 275.0 |
Chemotherapy | 206.0 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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OS, Contribution of the Components Analysis of Sub-study B
The OS was defined as the time from the date of randomization until death due to any cause. (NCT02352948)
Timeframe: From randomization (Day 1) until death due to any cause, approximately 36 months
Intervention | months (Median) |
---|
Sub-study B: Durvalumab+Tremelimumab | 11.5 |
Sub-study B: Durvalumab | 10.0 |
Sub-study B: Tremelimumab | 6.9 |
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Objective Response Rate (ORR)
The ORR was defined as the percentage of participants with at least 1 visit response of complete response (CR) or partial response (PR) among ITT participants who had measurable disease at baseline. CR was defined as disappearance of all target lesions (any pathological lymph nodes selected as target lesions must have a reduction in short axis to <10 mm) and PR was defined as at least a 30% decrease in the sum of diameters of target lesions (taking as reference the baseline sum of diameters as long as criteria for PD are not met). The ORR was measured using Investigator assessments according to RECIST v1.1. (NCT02352948)
Timeframe: Tumour scans performed at baseline then every ~8 weeks up to 48 weeks, then every ~12 weeks thereafter until confirmed disease progression. Assessed up to a maximum of approximately 3 years.
Intervention | percentage of participants (Number) |
---|
Sub-study A: Durvalumab | 35.5 |
Sub-study A: SoC | 12.5 |
Sub-study B: Durvalumab+Tremelimumab | 14.9 |
Sub-study B: SoC | 6.8 |
Sub-study B: Durvalumab | 15.4 |
Sub-study B: Tremelimumab | 6.7 |
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Duration of Response (DoR)
The DoR was defined as the time from the date of first documented response until the first date of documented progression or death in the absence of disease progression. The DoR was determined by Investigator assessments according to RECIST v1.1. PD was defined as at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 millimeter (mm) or progression of non-target lesions or the appearance of a new lesion (NCT02352948)
Timeframe: Tumour scans performed at baseline then every ~8 weeks up to 48 weeks, then every ~12 weeks thereafter until confirmed disease progression. Assessed up to a maximum of approximately 3 years.
Intervention | months (Median) |
---|
Sub-study A: Durvalumab | 9.5 |
Sub-study A: SoC | 4.8 |
Sub-study B: Durvalumab+Tremelimumab | 12.2 |
Sub-study B: SoC | 10.8 |
Sub-study B: Durvalumab | 10.0 |
Sub-study B: Tremelimumab | 4.7 |
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Overall Survival (OS)
The OS was defined as the time from the date of randomization until death due to any cause. (NCT02352948)
Timeframe: From randomization (Day 1) until death due to any cause, approximately 36 months
Intervention | months (Median) |
---|
Sub-study A: Durvalumab | 11.7 |
Sub-study A: SoC | 6.8 |
Sub-study B: Durvalumab+Tremelimumab | 11.5 |
Sub-study B: SoC | 8.7 |
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Percentage of Participants Alive and Progression Free at 12 Months (APF12)
The APF12 was defined as the percentage of participants who were alive and progression free per RECIST v1.1 at 12 months after randomization per Kaplan-Meier estimate of PFS at 12 months. PD was defined as at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 millimeter (mm) or progression of non-target lesions or the appearance of a new lesion (NCT02352948)
Timeframe: Tumour scans performed at baseline then every ~8 weeks up to 12 months.
Intervention | percentage of participants (Number) |
---|
Sub-study A: Durvalumab | 19.4 |
Sub-study A: SoC | 9.9 |
Sub-study B: Durvalumab+Tremelimumab | 20.6 |
Sub-study B: SoC | 8.0 |
Sub-study B: Durvalumab | 15.0 |
Sub-study B: Tremelimumab | 7.3 |
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Percentage of Participants Alive and Progression Free at 6 Months (APF6)
The APF6 was defined as the percentage of participants who were alive and progression free per RECIST v1.1 at 6 months after randomization per Kaplan-Meier estimate of PFS at 6 months. PD was defined as at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 millimeter (mm) or progression of non-target lesions or the appearance of a new lesion (NCT02352948)
Timeframe: Tumour scans performed at baseline then every ~8 weeks up to 6 months
Intervention | percentage of participants (Number) |
---|
Sub-study A: Durvalumab | 35.5 |
Sub-study A: SoC | 24.1 |
Sub-study B: Durvalumab+Tremelimumab | 31.5 |
Sub-study B: SoC | 27.6 |
Sub-study B: Durvalumab | 27.2 |
Sub-study B: Tremelimumab | 14.5 |
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Percentage of Participants Alive at 12 Months (OS12)
The OS12 was defined as the percentage of participants who were alive at 12 months after randomisation per Kaplan-Meier estimate of OS at 12 months. (NCT02352948)
Timeframe: From randomization (Day 1) up to 12 months
Intervention | percentage of participants (Number) |
---|
Sub-study A: Durvalumab | 49.3 |
Sub-study A: SoC | 31.3 |
Sub-study B: Durvalumab+Tremelimumab | 49.5 |
Sub-study B: SoC | 38.8 |
Sub-study B: Durvalumab | 43.6 |
Sub-study B: Tremelimumab | 41.2 |
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PFS, Contribution of the Components Analysis of Sub-study B
The PFS was defined as the time from the date of randomization until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the participant withdrew from randomized therapy or received another anti-cancer therapy prior to progression. The PFS was determined by Investigator assessments according to RECIST v1.1. PD was defined as at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 millimeter (mm) or progression of non-target lesions or the appearance of a new lesion (NCT02352948)
Timeframe: Tumour scans performed at baseline then every ~8 weeks up to 48 weeks, then every ~12 weeks thereafter until confirmed disease progression. Assessed up to a maximum of approximately 3 years.
Intervention | months (Median) |
---|
Sub-study B: Durvalumab+Tremelimumab | 3.5 |
Sub-study B: Durvalumab | 3.1 |
Sub-study B: Tremelimumab | 2.1 |
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Progression-Free Survival (PFS)
The PFS was defined as the time from the date of randomization until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the participant withdrew from randomized therapy or received another anti-cancer therapy prior to progression. The PFS was determined by Investigator assessments according to response evaluation criteria in solid tumours (RECIST) version 1.1. PD was defined as at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 millimeter (mm) or progression of non-target lesions or the appearance of a new lesion (NCT02352948)
Timeframe: Tumour scans performed at baseline then every ~8 weeks up to 48 weeks, then every ~12 weeks thereafter until confirmed disease progression. Assessed up to a maximum of approximately 3 years.
Intervention | months (Median) |
---|
Sub-study A: Durvalumab | 3.8 |
Sub-study A: SoC | 2.2 |
Sub-study B: Durvalumab+Tremelimumab | 3.5 |
Sub-study B: SoC | 3.5 |
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Time From Randomisation to Second Progression (PFS2) of Sub-study B
The PFS2 was defined as the time from the date of randomization to the earliest of the progression event subsequent to that used for the PFS endpoint or death and determined by local standard clinical practice and have included any of the following: objective radiological, symptomatic progression, or death. PFS2 was reported for sub-study B only. (NCT02352948)
Timeframe: Tumour scans performed at baseline then every ~8 weeks up to 48 weeks, then every ~12 weeks thereafter until first progression. Disease then assessed per local practice until 2nd progression. Assessed up to a maximum of approximately 3 years.
Intervention | months (Median) |
---|
Sub-study B: Durvalumab+Tremelimumab | 9.1 |
Sub-study B: SoC | 6.7 |
Sub-study B: Durvalumab | 8.0 |
Sub-study B: Tremelimumab | 5.7 |
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Number of Participants With Treatment Response Rate
Per Response Evaluation Criteria In Solid Tumors Criteria(RECIST v1.1.14) 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. (NCT02392637)
Timeframe: Up to 2 years
Intervention | Participants (Count of Participants) |
---|
| Disease Control Rate(DCR) | Complete Response(CR) | Partial Response (PR) | Stable Disease(SD) | Progressive Disease(PD) | Unknown |
---|
High Dose | 25 | 0 | 14 | 11 | 3 | 4 |
,Low Dose | 18 | 0 | 9 | 9 | 5 | 5 |
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Part 3: AUC0-24 of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 1
AUC0-24 was defined as the area under the plasma or serum concentration-time curve from time 0 to 24 hours post-dose. (NCT02393248)
Timeframe: predose and 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 1
Intervention | hr*ng/mL (Mean) |
---|
Part 3: Pem/Intermittent Pemigatinib 9 mg | 1550 |
Part 3: Pem/Intermittent Pemigatinib 13.5 mg | 1910 |
Part 3: Gem/Cis/Intermittent Pemigatinib 13.5 mg | 2920 |
Part 3: Doc/Intermittent Pemigatinib 13.5 mg | 1890 |
Part 3: Tras/Intermittent Pemigatinib 13.5 mg | 1890 |
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Part 3: Accumulation Ratio of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State)
The accumulation ratio was defined as the ratio of the accumulation of a drug under steady-state conditions as compared to a single dose. (NCT02393248)
Timeframe: predose and 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
Intervention | ratio (Mean) |
---|
Part 3: Pem/Intermittent Pemigatinib 9 mg | 1.65 |
Part 3: Pem/Intermittent Pemigatinib 13.5 mg | 1.53 |
Part 3: Gem/Cis/Intermittent Pemigatinib 13.5 mg | 0.604 |
Part 3: Doc/Intermittent Pemigatinib 13.5 mg | 1.52 |
Part 3: Tras/Intermittent Pemigatinib 13.5 mg | 1.90 |
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Parts 1 and 2: Cmax After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
Cmax was defined as the maximum observed plasma concentration. (NCT02393248)
Timeframe: Part 1: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14. Part 2: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
Intervention | ng/mL (Mean) |
---|
Part 1: Intermittent Pemigatinib 1 mg QD | 26.2 |
Part 1: Intermittent Pemigatinib 2 mg QD | 22.9 |
Part 1: Intermittent Pemigatinib 4 mg QD | 103 |
Part 1: Intermittent Pemigatinib 6 mg QD | 86.1 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 9 mg QD | 196 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 13.5 mg QD | 271 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 20 mg QD | 449 |
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Part 3: t1/2 of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State)
t1/2 was defined as the apparent plasma terminal phase disposition half-life. (NCT02393248)
Timeframe: predose and 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
Intervention | hr (Mean) |
---|
Part 3: Pem/Intermittent Pemigatinib 9 mg | 15.3 |
Part 3: Pem/Intermittent Pemigatinib 13.5 mg | 17.0 |
Part 3: Gem/Cis/Intermittent Pemigatinib 13.5 mg | 10.6 |
Part 3: Doc/Intermittent Pemigatinib 13.5 mg | 14.7 |
Part 3: Tras/Intermittent Pemigatinib 13.5 mg | 15.3 |
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Part 3: ORR
ORR was defined as the percentage of participants with a best overall response of CR or PR, per RECIST version 1.1, as determined by the investigator. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 millimeters (mm). PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. (NCT02393248)
Timeframe: up to 203 days
Intervention | percentage of participants (Number) |
---|
Part 3: Gem/Cis/Intermittent Pemigatinib 9 mg | 0.0 |
Part 3: Gem/Cis/Intermittent Pemigatinib 13.5 mg | 42.9 |
Part 3: Tras/Intermittent Pemigatinib 13.5 mg | 0.0 |
Part 3: Doc/Intermittent Pemigatinib 13.5 mg | 14.3 |
Part 3: Pem/Intermittent Pemigatinib 9 mg | 0.0 |
Part 3: Pem/Intermittent Pemigatinib 13.5 mg | 28.6 |
Part 3: Pem/Continuous Pemigatinib 13.5 mg | 33.3 |
Part 3: Ref/Continuous Pemigatinib 9 mg | 0.0 |
Part 3: Ref/Continuous Pemigatinib 13.5 mg | 22.2 |
Part 3: Ref/Continuous Pemigatinib 20 mg | 0.0 |
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Parts 1 and 2: Tmax Steady State Following Administration of Pemigatinib in the Fasted (Cycle 1 Day 14) and Fed (Cycle 2 Day 14) States
tmax was defined as the time to the maximum observed plasma concentration. (NCT02393248)
Timeframe: Cycles 1 and 2: predose and 0.5, 1, 2, 4, 6, and 8 hours post-dose on Day 14
Intervention | hr (Median) |
---|
Part 2: Intermittent/Continuous Pemigatinib 13.5 mg QD, Fasted | 1.58 |
Part 2: Intermittent/Continuous Pemigatinib 13.5 mg QD, Fed | 4.02 |
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Part 3: Number of Participants With Any TEAE
Adverse events were defined as the appearance of (or worsening of any pre-existing) undesirable sign(s), symptom(s), or medical condition(s) that occurred after a participant provided informed consent. Abnormal laboratory values or test results that occurred after informed consent constituted AEs only if they induced clinical signs or symptoms, were considered clinically meaningful, required therapy (e.g., hematologic abnormality that required transfusion), or required changes in the study drug(s). TEAEs were defined as adverse events either reported for the first time or the worsening of pre-existing events after the first dose of study drug and within 30 days of the last dose of study drug. (NCT02393248)
Timeframe: up to 869 days
Intervention | Participants (Count of Participants) |
---|
Part 3: Gem/Cis/Intermittent Pemigatinib 9 mg | 1 |
Part 3: Gem/Cis/Intermittent Pemigatinib 13.5 mg | 7 |
Part 3: Tras/Intermittent Pemigatinib 13.5 mg | 6 |
Part 3: Doc/Intermittent Pemigatinib 13.5 mg | 7 |
Part 3: Pem/Intermittent Pemigatinib 9 mg | 3 |
Part 3: Pem/Intermittent Pemigatinib 13.5 mg | 14 |
Part 3: Pem/Continuous Pemigatinib 13.5 mg | 9 |
Part 3: Ref/Continuous Pemigatinib 9 mg | 7 |
Part 3: Ref/Continuous Pemigatinib 13.5 mg | 9 |
Part 3: Ref/Continuous Pemigatinib 20 mg | 2 |
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Part 2: Overall Response Rate (ORR)
ORR was defined as the percentage of participants with a best overall response of complete response (CR) or partial response (PR), per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, as determined by the investigator. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 millimeters (mm). PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. (NCT02393248)
Timeframe: up to 126 days
Intervention | percentage of participants (Number) |
---|
Part 2: Intermittent Pemigatinib 9 mg QD | 25.0 |
Part 2: Intermittent Pemigatinib 13.5 mg QD | 4.5 |
Part 2: Continuous Pemigatinib 9 mg QD | 0.0 |
Part 2: Continuous Pemigatinib 13.5 mg QD | 30.0 |
Part 2: Continuous Pemigatinib 20 mg QD | 0.0 |
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EC50 Following Once Daily Dosing of Pemigatinib as Monotherapy in Parts 1 and 2
EC50 was defined as the pemigatinib steady-state area under the plasma or serum concentration-time curve that increases 50% of serum phosphate. (NCT02393248)
Timeframe: predose on Days 1 and 14 of Cycle 1; anytime during visit on Day 1 of Cycle 2 and all subsequent cycles
Intervention | hours*nanomoles (Geometric Mean) |
---|
Parts 1 and 2: Intermittent or Continuous Pemigatinib | 1573 |
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Emax Following Once Daily Dosing of Pemigatinib as Monotherapy in Parts 1 and 2
Emax was defined as the maximum degree of increasing of serum phosphate by pemigatinib. (NCT02393248)
Timeframe: predose on Days 1 and 14 of Cycle 1; anytime during visit on Day 1 of Cycle 2 and all subsequent cycles
Intervention | mg/dL (Geometric Mean) |
---|
Parts 1 and 2: Intermittent or Continuous Pemigatinib | 5.76 |
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Parts 1 and 2: Cmax Steady State Following Administration of Pemigatinib in the Fasted (Cycle 1 Day 14) and Fed (Cycle 2 Day 14) States
Cmax was defined as the maximum observed plasma concentration. (NCT02393248)
Timeframe: Cycles 1 and 2: predose and 0.5, 1, 2, 4, 6, and 8 hours post-dose on Day 14
Intervention | ng/mL (Mean) |
---|
Part 2: Intermittent/Continuous Pemigatinib 13.5 mg QD, Fasted | 215 |
Part 2: Intermittent/Continuous Pemigatinib 13.5 mg QD, Fed | 179 |
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Parts 1 and 2: Cmin After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
Cmin was defined as the minimum observed plasma concentration over the dose interval. (NCT02393248)
Timeframe: Part 1: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14. Part 2: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
Intervention | ng/mL (Mean) |
---|
Part 1: Intermittent Pemigatinib 1 mg QD | 3.24 |
Part 1: Intermittent Pemigatinib 2 mg QD | 7.87 |
Part 1: Intermittent Pemigatinib 4 mg QD | 23.9 |
Part 1: Intermittent Pemigatinib 6 mg QD | 30.0 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 9 mg QD | 49.9 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 13.5 mg QD | 71.7 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 20 mg QD | 104 |
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Parts 1 and 2: Cmin Steady State Following Administration of Pemigatinib in the Fasted (Cycle 1 Day 14) and Fed (Cycle 2 Day 14) States
Cmin was defined as the minimum observed plasma concentration over the dose interval. (NCT02393248)
Timeframe: Cycles 1 and 2: predose and 0.5, 1, 2, 4, 6, and 8 hours post-dose on Day 14
Intervention | ng/mL (Mean) |
---|
Part 2: Intermittent/Continuous Pemigatinib 13.5 mg QD, Fasted | 61.1 |
Part 2: Intermittent/Continuous Pemigatinib 13.5 mg QD, Fed | 65.7 |
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Parts 1 and 2: t1/2 After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
t1/2 was defined as the apparent plasma terminal phase disposition half-life. (NCT02393248)
Timeframe: Part 1: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14. Part 2: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
Intervention | hr (Mean) |
---|
Part 1: Intermittent Pemigatinib 1 mg QD | 10.9 |
Part 1: Intermittent Pemigatinib 2 mg QD | 18.1 |
Part 1: Intermittent Pemigatinib 4 mg QD | 30.4 |
Part 1: Intermittent Pemigatinib 6 mg QD | 21.0 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 9 mg QD | 17.2 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 13.5 mg QD | 17.4 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 20 mg QD | 13.1 |
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Parts 1 and 2: t1/2 Steady State Following Administration of Pemigatinib in the Fasted (Cycle 1 Day 14) and Fed (Cycle 2 Day 14) States
t1/2 was defined as the apparent plasma terminal phase disposition half-life. (NCT02393248)
Timeframe: Cycles 1 and 2: predose and 0.5, 1, 2, 4, 6, and 8 hours post-dose on Day 14
Intervention | hr (Mean) |
---|
Part 2: Intermittent/Continuous Pemigatinib 13.5 mg QD, Fasted | 19.2 |
Part 2: Intermittent/Continuous Pemigatinib 13.5 mg QD, Fed | 23.8 |
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Part 3: Cmin of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State)
Cmin was defined as the minimum observed plasma concentration over the dose interval. (NCT02393248)
Timeframe: predose and 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
Intervention | ng/mL (Mean) |
---|
Part 3: Pem/Intermittent Pemigatinib 9 mg | 58.0 |
Part 3: Pem/Intermittent Pemigatinib 13.5 mg | 56.6 |
Part 3: Gem/Cis/Intermittent Pemigatinib 13.5 mg | 48.5 |
Part 3: Doc/Intermittent Pemigatinib 13.5 mg | 63.1 |
Part 3: Tras/Intermittent Pemigatinib 13.5 mg | 64.2 |
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Parts 1 and 2: Tmax After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Day 1
tmax was defined as the time to the maximum observed plasma concentration. (NCT02393248)
Timeframe: Part 1: predose; 0.5, 1, 2, 4, 6, and 8 hours post-dose post-dose on Cycle 1 Day 1. Part 2: predose on Cycle 1 Day 1
Intervention | hours (hr) (Median) |
---|
Part 1: Intermittent Pemigatinib 1 mg QD | 1 |
Part 1: Intermittent Pemigatinib 2 mg QD | 5.92 |
Part 1: Intermittent Pemigatinib 4 mg QD | 2.02 |
Part 1: Intermittent Pemigatinib 6 mg QD | 1.14 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 9 mg QD | 1.17 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 13.5 mg QD | 1.20 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 20 mg QD | 1.98 |
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Parts 1 and 2: Tmax After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
tmax was defined as the time to the maximum observed plasma concentration. (NCT02393248)
Timeframe: Part 1: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14. Part 2: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
Intervention | hr (Median) |
---|
Part 1: Intermittent Pemigatinib 1 mg QD | 1.07 |
Part 1: Intermittent Pemigatinib 2 mg QD | 3.98 |
Part 1: Intermittent Pemigatinib 4 mg QD | 2.02 |
Part 1: Intermittent Pemigatinib 6 mg QD | 1.58 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 9 mg QD | 1.00 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 13.5 mg QD | 1.13 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 20 mg QD | 1.12 |
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Part 3: Cmax of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State)
Cmax was defined as the maximum observed plasma concentration. (NCT02393248)
Timeframe: predose and 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
Intervention | ng/mL (Mean) |
---|
Part 3: Pem/Intermittent Pemigatinib 9 mg | 166 |
Part 3: Pem/Intermittent Pemigatinib 13.5 mg | 255 |
Part 3: Gem/Cis/Intermittent Pemigatinib 13.5 mg | 214 |
Part 3: Doc/Intermittent Pemigatinib 13.5 mg | 231 |
Part 3: Tras/Intermittent Pemigatinib 13.5 mg | 404 |
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Parts 1 and 2: Cmax After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Day 1
Cmax was defined as the maximum observed plasma concentration. (NCT02393248)
Timeframe: Part 1: predose; 0.5, 1, 2, 4, 6, and 8 hours post-dose post-dose on Cycle 1 Day 1. Part 2: predose on Cycle 1 Day 1
Intervention | nanograms per milliliter (ng/mL) (Mean) |
---|
Part 1: Intermittent Pemigatinib 1 mg QD | 25.3 |
Part 1: Intermittent Pemigatinib 2 mg QD | 13.6 |
Part 1: Intermittent Pemigatinib 4 mg QD | 109 |
Part 1: Intermittent Pemigatinib 6 mg QD | 64.6 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 9 mg QD | 139 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 13.5 mg QD | 196 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 20 mg QD | 300 |
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Part 3: Cmax of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 1
Cmax was defined as the maximum observed plasma concentration. (NCT02393248)
Timeframe: predose and 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 1
Intervention | ng/mL (Mean) |
---|
Part 3: Pem/Intermittent Pemigatinib 9 mg | 137 |
Part 3: Pem/Intermittent Pemigatinib 13.5 mg | 199 |
Part 3: Gem/Cis/Intermittent Pemigatinib 13.5 mg | 234 |
Part 3: Doc/Intermittent Pemigatinib 13.5 mg | 214 |
Part 3: Tras/Intermittent Pemigatinib 13.5 mg | 259 |
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Parts 1 and 2: CL/F After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
CL/F was defined as the apparent oral dose clearance. (NCT02393248)
Timeframe: Part 1: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14. Part 2: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
Intervention | Liters per hr (L/hr) (Mean) |
---|
Part 1: Intermittent Pemigatinib 1 mg QD | 9.86 |
Part 1: Intermittent Pemigatinib 2 mg QD | 12.8 |
Part 1: Intermittent Pemigatinib 4 mg QD | 5.93 |
Part 1: Intermittent Pemigatinib 6 mg QD | 12.0 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 9 mg QD | 15.7 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 13.5 mg QD | 11.9 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 20 mg QD | 10.3 |
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Parts 1 and 2: AUClast After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Day 1
AUClast was defined as the area under the plasma or serum concentration-time curve from the time of dosing to the last measurable concentration. (NCT02393248)
Timeframe: Part 1: predose; 0.5, 1, 2, 4, 6, and 8 hours post-dose post-dose on Cycle 1 Day 1. Part 2: predose on Cycle 1 Day 1
Intervention | hr*ng/mL (Mean) |
---|
Part 1: Intermittent Pemigatinib 1 mg QD | 190 |
Part 1: Intermittent Pemigatinib 2 mg QD | 68.8 |
Part 1: Intermittent Pemigatinib 4 mg QD | 1010 |
Part 1: Intermittent Pemigatinib 6 mg QD | 641 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 9 mg QD | 1140 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 13.5 mg QD | 1820 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 20 mg QD | 2510 |
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Parts 1 and 2: AUC0-24 Steady State Following Administration of Pemigatinib in the Fasted (Cycle 1 Day 14) and Fed (Cycle 2 Day 14) States
AUC0-24 was defined as the area under the plasma or serum concentration-time curve from time 0 to 24 hours post-dose. (NCT02393248)
Timeframe: Cycles 1 and 2: predose and 0.5, 1, 2, 4, 6, and 8 hours post-dose on Day 14
Intervention | hr*ng/mL (Mean) |
---|
Part 2: Intermittent/Continuous Pemigatinib 13.5 mg QD, Fasted | 2580 |
Part 2: Intermittent/Continuous Pemigatinib 13.5 mg QD, Fed | 2910 |
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Parts 1 and 2: AUC0-24 After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
AUC0-24 was defined as the area under the plasma or serum concentration-time curve from time 0 to 24 hours post-dose. (NCT02393248)
Timeframe: Part 1: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14. Part 2: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
Intervention | hr*ng/mL (Mean) |
---|
Part 1: Intermittent Pemigatinib 1 mg QD | 208 |
Part 1: Intermittent Pemigatinib 2 mg QD | 322 |
Part 1: Intermittent Pemigatinib 4 mg QD | 1380 |
Part 1: Intermittent Pemigatinib 6 mg QD | 1080 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 9 mg QD | 2180 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 13.5 mg QD | 3010 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 20 mg QD | 4350 |
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Parts 1 and 2: AUC0-24 After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Day 1
AUC0-24 was defined as the area under the plasma or serum concentration-time curve from time 0 to 24 hours post-dose. (NCT02393248)
Timeframe: Part 1: predose; 0.5, 1, 2, 4, 6, and 8 hours post-dose post-dose on Cycle 1 Day 1. Part 2: predose on Cycle 1 Day 1
Intervention | hr*ng/mL (Mean) |
---|
Part 1: Intermittent Pemigatinib 1 mg QD | 191 |
Part 1: Intermittent Pemigatinib 2 mg QD | NA |
Part 1: Intermittent Pemigatinib 4 mg QD | 1010 |
Part 1: Intermittent Pemigatinib 6 mg QD | 644 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 9 mg QD | 1150 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 13.5 mg QD | 1840 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 20 mg QD | 2850 |
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Parts 1 and 2: Accumulation Ratio After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
The accumulation ratio was defined as the ratio of the accumulation of a drug under steady-state conditions as compared to a single dose. (NCT02393248)
Timeframe: Part 1: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14. Part 2: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
Intervention | ratio (Mean) |
---|
Part 1: Intermittent Pemigatinib 1 mg QD | 1.09 |
Part 1: Intermittent Pemigatinib 2 mg QD | 1.64 |
Part 1: Intermittent Pemigatinib 4 mg QD | 1.36 |
Part 1: Intermittent Pemigatinib 6 mg QD | 1.67 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 9 mg QD | 1.71 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 13.5 mg QD | 1.69 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 20 mg QD | 1.76 |
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Parts 1 and 2 Combined: Number of Participants With Any Treatment-emergent Adverse Event (TEAE)
Adverse events were defined as the appearance of (or worsening of any pre-existing) undesirable sign(s), symptom(s), or medical condition(s) that occurred after a participant provided informed consent. Abnormal laboratory values or test results that occurred after informed consent constituted AEs only if they induced clinical signs or symptoms, were considered clinically meaningful, required therapy (e.g., hematologic abnormality that required transfusion), or required changes in the study drug(s). TEAEs were defined as adverse events either reported for the first time or the worsening of pre-existing events after the first dose of study drug and within 30 days of the last dose of study drug. (NCT02393248)
Timeframe: up to 763 days
Intervention | Participants (Count of Participants) |
---|
Part 1: Intermittent Pemigatinib 1/2/4 mg QD | 3 |
Part 1: Intermittent Pemigatinib 6 mg QD | 3 |
Parts 1 and 2: Intermittent Pemigatinib 9 mg QD | 7 |
Parts 1 and 2: Intermittent Pemigatinib 13.5 mg QD | 50 |
Part 1: Intermittent Pemigatinib 20 mg QD | 6 |
Parts 1 and 2: Continuous Pemigatinib 9 mg QD | 14 |
Parts 1 and 2: Continuous Pemigatinib 13.5 mg QD | 30 |
Parts 1 and 2: Continuous Pemigatinib 20 mg QD | 15 |
Part 1: Continuous Pemigatinib 7.5 mg BID | 4 |
Part 1: Continuous Pemigatinib 10 mg BID | 3 |
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Parts 1 and 2: Vz/F After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
Vz/F was defined as the apparent volume of distribution. (NCT02393248)
Timeframe: Part 1: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14. Part 2: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
Intervention | Liters (Mean) |
---|
Part 1: Intermittent Pemigatinib 1 mg QD | 156 |
Part 1: Intermittent Pemigatinib 2 mg QD | 334 |
Part 1: Intermittent Pemigatinib 4 mg QD | 260 |
Part 1: Intermittent Pemigatinib 6 mg QD | 301 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 9 mg QD | 246 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 13.5 mg QD | 274 |
Parts 1 and 2: Intermittent/Continuous Pemigatinib 20 mg QD | 180 |
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Parts 1 and 2: CL/F Steady State Following Administration of Pemigatinib in the Fasted (Cycle 1 Day 14) and Fed (Cycle 2 Day 14) States
CL/F was defined as the apparent oral dose clearance. (NCT02393248)
Timeframe: Cycles 1 and 2: predose and 0.5, 1, 2, 4, 6, and 8 hours post-dose on Day 14
Intervention | L/hr (Mean) |
---|
Part 2: Intermittent/Continuous Pemigatinib 13.5 mg QD, Fasted | 12.4 |
Part 2: Intermittent/Continuous Pemigatinib 13.5 mg QD, Fed | 11.3 |
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Parts 1 and 2: Vz/F Steady State Following Administration of Pemigatinib in the Fasted (Cycle 1 Day 14) and Fed (Cycle 2 Day 14) States
Vz/F was defined as the apparent volume of distribution. (NCT02393248)
Timeframe: Cycles 1 and 2: predose and 0.5, 1, 2, 4, 6, and 8 hours post-dose on Day 14
Intervention | Liters (Mean) |
---|
Part 2: Intermittent/Continuous Pemigatinib 13.5 mg QD, Fasted | 307 |
Part 2: Intermittent/Continuous Pemigatinib 13.5 mg QD, Fed | 364 |
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Part 3: Tmax of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 1
tmax was defined as the time to the maximum observed plasma concentration. (NCT02393248)
Timeframe: predose and 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 1
Intervention | hr (Median) |
---|
Part 3: Pem/Intermittent Pemigatinib 9 mg | 1.98 |
Part 3: Pem/Intermittent Pemigatinib 13.5 mg | 1.05 |
Part 3: Gem/Cis/Intermittent Pemigatinib 13.5 mg | 2.00 |
Part 3: Doc/Intermittent Pemigatinib 13.5 mg | 1.00 |
Part 3: Tras/Intermittent Pemigatinib 13.5 mg | 0.783 |
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Highest Serum Phosphate Concentration Following Pemigatinib as Monotherapy in Parts 1 and 2
Serum phosphate concentration was assessed throughout Parts 1 and 2. (NCT02393248)
Timeframe: predose on Days 1 and 14 of Cycle 1; anytime during visit on Day 1 of Cycle 2 and all subsequent cycles
Intervention | mg/dL (Number) |
---|
| Minimum value in range of highest values for all participants | Maximum value in range of highest values for all participants |
---|
Parts 1 and 2: Intermittent or Continuous Pemigatinib | 3.5 | 11.2 |
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E0 Following Once Daily Dosing of Pemigatinib as Monotherapy in Parts 1 and 2
E0 was defined as the Baseline serum concentration of phosphate. (NCT02393248)
Timeframe: predose on Days 1 and 14 of Cycle 1; anytime during visit on Day 1 of Cycle 2 and all subsequent cycles
Intervention | milligrams per deciliter (mg/dL) (Geometric Mean) |
---|
Parts 1 and 2: Intermittent or Continuous Pemigatinib | 3.66 |
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Part 3: CL/F of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State)
CL/F was defined as the apparent oral dose clearance. (NCT02393248)
Timeframe: predose and 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
Intervention | L/hr (Mean) |
---|
Part 3: Pem/Intermittent Pemigatinib 9 mg | 8.03 |
Part 3: Pem/Intermittent Pemigatinib 13.5 mg | 13.4 |
Part 3: Gem/Cis/Intermittent Pemigatinib 13.5 mg | 24.5 |
Part 3: Doc/Intermittent Pemigatinib 13.5 mg | 12.7 |
Part 3: Tras/Intermittent Pemigatinib 13.5 mg | 8.26 |
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Part 3: AUClast of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 1
AUClast was defined as the area under the plasma or serum concentration-time curve from the time of dosing to the last measurable concentration. (NCT02393248)
Timeframe: predose and 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 1
Intervention | hr*ng/mL (Mean) |
---|
Part 3: Pem/Intermittent Pemigatinib 9 mg | 1480 |
Part 3: Pem/Intermittent Pemigatinib 13.5 mg | 1880 |
Part 3: Gem/Cis/Intermittent Pemigatinib 13.5 mg | 2890 |
Part 3: Doc/Intermittent Pemigatinib 13.5 mg | 1890 |
Part 3: Tras/Intermittent Pemigatinib 13.5 mg | 2040 |
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Part 3: AUC0-24 of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State)
AUC0-24 was defined as the area under the plasma or serum concentration-time curve from time 0 to 24 hours post-dose. (NCT02393248)
Timeframe: predose and 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
Intervention | hr*ng/mL (Mean) |
---|
Part 3: Pem/Intermittent Pemigatinib 9 mg | 2400 |
Part 3: Pem/Intermittent Pemigatinib 13.5 mg | 2400 |
Part 3: Gem/Cis/Intermittent Pemigatinib 13.5 mg | 1650 |
Part 3: Doc/Intermittent Pemigatinib 13.5 mg | 2910 |
Part 3: Tras/Intermittent Pemigatinib 13.5 mg | 3440 |
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Part 3: Vz/F of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State)
Vz/F was defined as the apparent volume of distribution. (NCT02393248)
Timeframe: predose and 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
Intervention | Liters (Mean) |
---|
Part 3: Pem/Intermittent Pemigatinib 9 mg | 177 |
Part 3: Pem/Intermittent Pemigatinib 13.5 mg | 303 |
Part 3: Gem/Cis/Intermittent Pemigatinib 13.5 mg | 376 |
Part 3: Doc/Intermittent Pemigatinib 13.5 mg | 227 |
Part 3: Tras/Intermittent Pemigatinib 13.5 mg | 182 |
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Part 3: Tmax of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State)
tmax was defined as the time to the maximum observed plasma concentration. (NCT02393248)
Timeframe: predose and 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
Intervention | hr (Median) |
---|
Part 3: Pem/Intermittent Pemigatinib 9 mg | 5.78 |
Part 3: Pem/Intermittent Pemigatinib 13.5 mg | 1.08 |
Part 3: Gem/Cis/Intermittent Pemigatinib 13.5 mg | 1.50 |
Part 3: Doc/Intermittent Pemigatinib 13.5 mg | 1.90 |
Part 3: Tras/Intermittent Pemigatinib 13.5 mg | 0.583 |
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Maximum Observed Serum Concentration (Cmax) of Atezolizumab
(NCT02409342)
Timeframe: 0 hour (predose) and 30 minutes after atezolizumab infusion on Day 1 (infusion duration = up to 1 hour)
Intervention | micrograms per milliliter (μg/ mL) (Mean) |
---|
Atezolizumab | 411 |
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Duration of Response (DOR) in the TC3 or IC3-WT Populations
DOR is defined as the time from the first occurrence of a documented objective response to the time of disease progression, as determined by the investigator with use of RECIST v1.1, or death from any cause, whichever occurs first. (NCT02409342)
Timeframe: From first occurrence of a complete response or partial response, whichever occurs first, until first date that progressive disease or death is documented, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Months (Number) |
---|
Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 6.7 |
Atezolizumab | NA |
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Percentage of Participants With Anti-therapeutic Antibodies (ATAs)
(NCT02409342)
Timeframe: Baseline until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Percentage of participants (Number) |
---|
| Baseline evaluable participants | Post-baseline evaluable participants |
---|
Atezolizumab | 1.4 | 24.3 |
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OS in Participants With PD-L1 Expression
OS is defined as the time from randomization to death from any cause. (NCT02409342)
Timeframe: From randomization to death from any cause until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Months (Median) |
---|
| SP263 >=50%-WT Population | SP263 >=25%-WT Population | SP263 =1%-WT Population |
---|
Atezolizumab | 19.5 | 18.2 | 17.8 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 16.1 | 12.6 | 14.0 |
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Overall Survival (OS) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
OS is defined as the time from randomization to death from any cause. (NCT02409342)
Timeframe: From randomization to death from any cause until data cut-off on 4 February 2020 (up to approximately 54.5 months)
Intervention | Months (Median) |
---|
| TC2/3 or IC2/3-WT Population | TC1/2/3 or IC1/2/3-WT Population |
---|
Atezolizumab | 19.9 | 18.9 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 16.1 | 14.7 |
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Percentage of Participants Who Are Alive at 1 Year in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
(NCT02409342)
Timeframe: Baseline to 1 year or death, whichever occurs first until clinical cut-off date on 4 February 2020 (up to approximately 54.5 months)
Intervention | Percentage of participants (Number) |
---|
| 1-Year TC2/3 or IC2/3-WT Population | 1-Year TC1/2/3 or IC1/2/3-WT Population |
---|
Atezolizumab | 63.39 | 59.95 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 58.65 | 54.89 |
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Percentage of Participants Who Are Alive at 2 Years in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
(NCT02409342)
Timeframe: Baseline to 2 years or death, whichever occurs first until clinical cut-off date on 4 February 2020 (up to approximately 54.5 months)
Intervention | Percentage of participants (Number) |
---|
| 2-Years TC2/3 or IC2/3-WT Population | 2-Years TC1/2/3 or IC1/2/3-WT Population |
---|
Atezolizumab | 44.15 | 41.76 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 35.42 | 30.82 |
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OS in Participants With Blood Tumor Mutational Burden (bTMB)
OS is defined as the time from randomization to death from any cause. (NCT02409342)
Timeframe: From randomization to death from any cause until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Months (Median) |
---|
| bTMB >=10-WT Population | bTMB >=16-WT Population | bTMB >=20-WT Population |
---|
Atezolizumab | 11.2 | 13.9 | 17.2 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 10.3 | 8.5 | 10.5 |
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Percentage of Participants With Objective Response (ORR) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
Objective response (partial response plus complete response) as determined by the investigator according to RECIST v1.1. (NCT02409342)
Timeframe: Every 6 weeks for 48 weeks following Day 1, thereafter every 9 weeks after completion of Week 48 tumor assessment, regardless of treatment delays, until radiographic disease progression until data cut-off on 4 Feb 2020 (up to approximately 54.5 months)
Intervention | Percentage of participants (Number) |
---|
| TC2/3 or IC2/3-WT Population | TC1/2/3 or IC1/2/3-WT Population |
---|
Atezolizumab | 33.7 | 31.4 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 32.1 | 32.1 |
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Progression-free Survival (PFS) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
PFS is defined as the time from randomization to the first occurrence of disease progression, as determined by the investigator with use of RECIST v1.1, or death from any cause, whichever occurs first. PFS could not be formally tested. (NCT02409342)
Timeframe: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first until data cut-off on 4 February 2020 (up to approximately 54.5 months)
Intervention | Months (Number) |
---|
| TC2/3 or IC2/3-WT Population | TC1/2/3 or IC1/2/3-WT Population |
---|
Atezolizumab | 7.3 | 5.8 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 5.5 | 5.6 |
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Time to Deterioration (TTD) in Patient-reported Lung Cancer Symptoms Score as Assessed by the Symptoms in Lung Cancer (SILC) Scale Symptom Score in the TC3 or IC3-WT Populations
TTD in each of the patient-reported lung cancer symptoms with use of the SILC scale. The SILC scale is a nine-item content valid self-report measure of lung cancer symptoms. It measures severity of cough, dyspnea, and chest pain with a total symptom severity score. Each SILC symptom scale (dyspnea, cough, chest pain) score was calculated as the average of the component items (range 0 to 4). An increase in score suggested worsening in symptomatology. A symptom score change of 0.3 points for the dyspnea and cough scores was considered to be clinically significant; whereas a symptom score change of 0.5 points for the chest pain score was considered to be clinically significant. (NCT02409342)
Timeframe: Baseline until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Months (Median) |
---|
| Cough | Dyspnea | Chest pain |
---|
Atezolizumab | 3.5 | 1.3 | 1.7 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 3.4 | 1.0 | 1.1 |
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TTD as Assessed Using EORTC QLQ Supplementary Lung Cancer Module (EORTC QLQ-LC13) in the TC3 or IC3-WT Populations
TTD in patient-reported lung cancer symptoms, defined as time from randomization to deterioration (10-point change) in any of the following symptom subscales (cough, dyspnea [multi-item scale], and chest pain), whichever occurs first, as measured by the EORTC QLQ-LC13. EORTC QLQ-LC13 module incorporates one multi-item scale to assess dyspnea and a series of single items assessing pain, coughing, sore mouth, dysphagia, peripheral neuropathy, alopecia, and hemoptysis. (NCT02409342)
Timeframe: Baseline until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Months (Median) |
---|
| Cough | Dyspnea | Chest pain |
---|
Atezolizumab | NA | 11.1 | NA |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | NA | 11.8 | NA |
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Percentage of Participants With Objective Response (ORR) in the TC3 or IC3-WT Populations
Objective response (partial response plus complete response) as determined by the investigator according to RECIST v1.1. (NCT02409342)
Timeframe: Every 6 weeks for 48 weeks following Day 1, thereafter every 9 weeks after completion of Week 48 tumor assessment, regardless of treatment delays, until radiographic disease progression until data cut-off on 10 Sep 2018 (up to approximately 38 months)
Intervention | Percentage of participants (Number) |
---|
Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 28.6 |
Atezolizumab | 38.3 |
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Percentage of Participants With at Least One Adverse Event
Percentage of participants with at least one adverse event. (NCT02409342)
Timeframe: Baseline up to until data cut-off on 8 March 2022 (up to approximately 79.5 months)
Intervention | Percentage of participants (Number) |
---|
Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 95.1 |
Atezolizumab | 92.3 |
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Percentage of Participants Who Are Alive at 2 Years in the TC3 or IC3-WT Populations
(NCT02409342)
Timeframe: Baseline to 2 years or death, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Percentage of participants (Number) |
---|
Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 24.79 |
Atezolizumab | 45.49 |
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Percentage of Participants Who Are Alive at 1 Year in the TC3 or IC3-WT Populations
(NCT02409342)
Timeframe: Baseline to 1 year or death, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Percentage of participants (Number) |
---|
Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 50.64 |
Atezolizumab | 64.90 |
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Overall Survival (OS) in the TC3 or IC3-WT Populations
OS is defined as the time from randomization to death from any cause. (NCT02409342)
Timeframe: From randomization to death from any cause until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Months (Median) |
---|
Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 13.1 |
Atezolizumab | 20.2 |
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Progression-free Survival (PFS) in the TC3 or IC3-WT Populations
PFS is defined as the time from randomization to the first occurrence of disease progression, as determined by the investigator with use of RECIST v1.1, or death from any cause, whichever occurs first. PFS could not be formally tested. (NCT02409342)
Timeframe: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Months (Number) |
---|
Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 5.0 |
Atezolizumab | 8.1 |
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Change From Baseline in Patient-reported Lung Cancer Symptoms Score as Assessed by the SILC Scale Symptom Score in the TC3 or IC3-WT Populations
Change from baseline in each of the patient-reported lung cancer symptoms with use of the SILC scale. The SILC scale is a nine-item content valid self-report measure of lung cancer symptoms. It measures severity of cough, dyspnea, and chest pain with a total symptom severity score. Each SILC symptom scale (dyspnea, cough, chest pain) score was calculated as the average of the component items (range 0 to 4). An increase in score suggested worsening in symptomatology. A symptom score change of 0.3 points for the dyspnea and cough scores was considered to be clinically significant; whereas a symptom score change of 0.5 points for the chest pain score was considered to be clinically significant. (NCT02409342)
Timeframe: Baseline until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Score on a scale (Mean) |
---|
| Chest Pain, Week 1 | Chest Pain, Week 2 | Chest Pain, Week 3 | Chest Pain, Week 4 | Chest Pain, Week 5 | Chest Pain, Week 6 | Chest Pain, Week 7 | Chest Pain, Week 8 | Chest Pain, Week 9 | Chest Pain, Week 10 | Chest Pain, Week 11 | Chest Pain, Week 12 | Chest Pain, Week 13 | Chest Pain, Week 14 | Chest Pain, Week 15 | Chest Pain, Week 16 | Chest Pain, Week 17 | Chest Pain, Week 18 | Chest Pain, Week 19 | Chest Pain, Week 20 | Chest Pain, Week 21 | Chest Pain, Week 22 | Chest Pain, Week 23 | Chest Pain, Week 24 | Chest Pain, Week 25 | Chest Pain, Week 26 | Chest Pain, Week 27 | Chest Pain, Week 28 | Chest Pain, Week 29 | Chest Pain, Week 30 | Chest Pain, Week 31 | Chest Pain, Week 32 | Chest Pain, Week 33 | Chest Pain, Week 34 | Chest Pain, Week 35 | Chest Pain, Week 36 | Chest Pain, Week 37 | Chest Pain, Week 38 | Chest Pain, Week 39 | Chest Pain, Week 40 | Chest Pain, Week 41 | Chest Pain, Week 42 | Chest Pain, Week 43 | Chest Pain, Week 44 | Chest Pain, Week 45 | Chest Pain, Week 46 | Chest Pain, Week 47 | Chest Pain, Week 48 | Chest Pain, Week 49 | Chest Pain, Week 50 | Chest Pain, Week 51 | Chest Pain, Week 52 | Chest Pain, Week 53 | Chest Pain, Week 54 | Chest Pain, Week 55 | Chest Pain, Week 56 | Chest Pain, Week 57 | Chest Pain, Week 58 | Chest Pain, Week 59 | Chest Pain, Week 60 | Chest Pain, Week 61 | Chest Pain, Week 62 | Chest Pain, Week 63 | Chest Pain, Week 64 | Chest Pain, Week 65 | Chest Pain, Week 66 | Chest Pain, Week 67 | Chest Pain, Week 68 | Chest Pain, Week 69 | Chest Pain, Week 70 | Chest Pain, Week 71 | Chest Pain, Week 72 | Chest Pain, Week 73 | Chest Pain, Week 74 | Chest Pain, Week 75 | Chest Pain, Week 76 | Chest Pain, Week 77 | Chest Pain, Week 78 | Chest Pain, Week 79 | Chest Pain, Week 80 | Chest Pain, Week 81 | Chest Pain, Week 82 | Chest Pain, Week 83 | Chest Pain, Week 84 | Chest Pain, Week 85 | Chest Pain, Week 86 | Chest Pain, Week 87 | Cough, Week 1 | Cough, Week 2 | Cough, Week 3 | Cough, Week 4 | Cough, Week 5 | Cough, Week 6 | Cough, Week 7 | Cough, Week 8 | Cough, Week 9 | Cough, Week 10 | Cough, Week 11 | Cough, Week 12 | Cough, Week 13 | Cough, Week 14 | Cough, Week 15 | Cough, Week 16 | Cough, Week 17 | Cough, Week 18 | Cough, Week 19 | Cough, Week 20 | Cough, Week 21 | Cough, Week 22 | Cough, Week 23 | Cough, Week 24 | Cough, Week 25 | Cough, Week 26 | Cough, Week 27 | Cough, Week 28 | Cough, Week 29 | Cough, Week 30 | Cough, Week 31 | Cough, Week 32 | Cough, Week 33 | Cough, Week 34 | Cough, Week 35 | Cough, Week 36 | Cough, Week 37 | Cough, Week 38 | Cough, Week 39 | Cough, Week 40 | Cough, Week 41 | Cough, Week 42 | Cough, Week 43 | Cough, Week 44 | Cough, Week 45 | Cough, Week 46 | Cough, Week 47 | Cough, Week 48 | Cough, Week 49 | Cough, Week 50 | Cough, Week 51 | Cough, Week 52 | Cough, Week 53 | Cough, Week 54 | Cough, Week 55 | Cough, Week 56 | Cough, Week 57 | Cough, Week 58 | Cough, Week 59 | Cough, Week 60 | Cough, Week 61 | Cough, Week 62 | Cough, Week 63 | Cough, Week 64 | Cough, Week 65 | Cough, Week 66 | Cough, Week 67 | Cough, Week 68 | Cough, Week 69 | Cough, Week 70 | Cough, Week 71 | Cough, Week 72 | Cough, Week 73 | Cough, Week 74 | Cough, Week 75 | Cough, Week 76 | Cough, Week 77 | Cough, Week 78 | Cough, Week 79 | Cough, Week 80 | Cough, Week 81 | Cough, Week 82 | Cough, Week 83 | Cough, Week 84 | Cough, Week 85 | Cough, Week 86 | Cough, Week 87 | Dyspnoea, Week 1 | Dyspnoea, Week 2 | Dyspnoea, Week 3 | Dyspnoea, Week 4 | Dyspnoea, Week 5 | Dyspnoea, Week 6 | Dyspnoea, Week 7 | Dyspnoea, Week 8 | Dyspnoea, Week 9 | Dyspnoea, Week 10 | Dyspnoea, Week 11 | Dyspnoea, Week 12 | Dyspnoea, Week 13 | Dyspnoea, Week 14 | Dyspnoea, Week 15 | Dyspnoea, Week 16 | Dyspnoea, Week 17 | Dyspnoea, Week 18 | Dyspnoea, Week 19 | Dyspnoea, Week 20 | Dyspnoea, Week 21 | Dyspnoea, Week 22 | Dyspnoea, Week 23 | Dyspnoea, Week 24 | Dyspnoea, Week 25 | Dyspnoea, Week 26 | Dyspnoea, Week 27 | Dyspnoea, Week 28 | Dyspnoea, Week 29 | Dyspnoea, Week 30 | Dyspnoea, Week 31 | Dyspnoea, Week 32 | Dyspnoea, Week 33 | Dyspnoea, Week 34 | Dyspnoea, Week 35 | Dyspnoea, Week 36 | Dyspnoea, Week 37 | Dyspnoea, Week 38 | Dyspnoea, Week 39 | Dyspnoea, Week 40 | Dyspnoea, Week 41 | Dyspnoea, Week 42 | Dyspnoea, Week 43 | Dyspnoea, Week 44 | Dyspnoea, Week 45 | Dyspnoea, Week 46 | Dyspnoea, Week 47 | Dyspnoea, Week 48 | Dyspnoea, Week 49 | Dyspnoea, Week 50 | Dyspnoea, Week 51 | Dyspnoea, Week 52 | Dyspnoea, Week 53 | Dyspnoea, Week 54 | Dyspnoea, Week 55 | Dyspnoea, Week 56 | Dyspnoea, Week 57 | Dyspnoea, Week 58 | Dyspnoea, Week 59 | Dyspnoea, Week 60 | Dyspnoea, Week 61 | Dyspnoea, Week 62 | Dyspnoea, Week 63 | Dyspnoea, Week 64 | Dyspnoea, Week 65 | Dyspnoea, Week 66 | Dyspnoea, Week 67 | Dyspnoea, Week 68 | Dyspnoea, Week 69 | Dyspnoea, Week 70 | Dyspnoea, Week 71 | Dyspnoea, Week 72 | Dyspnoea, Week 73 | Dyspnoea, Week 74 | Dyspnoea, Week 75 | Dyspnoea, Week 76 | Dyspnoea, Week 77 | Dyspnoea, Week 78 | Dyspnoea, Week 79 | Dyspnoea, Week 80 | Dyspnoea, Week 81 | Dyspnoea, Week 82 | Dyspnoea, Week 83 | Dyspnoea, Week 84 | Dyspnoea, Week 85 | Dyspnoea, Week 86 | Dyspnoea, Week 87 |
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Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 0.57 | 0.42 | 0.25 | 0.15 | 0.27 | 0.30 | 0.23 | 0.17 | 0.27 | 0.30 | 0.26 | 0.22 | 0.07 | 0.07 | 0.10 | 0.00 | 0.22 | 0.11 | 0.11 | 0.20 | 0.03 | 0.30 | 0.00 | -0.09 | 0.27 | 0.12 | 0.05 | 0.00 | -0.25 | 0.21 | 0.18 | 0.41 | 0.00 | 0.40 | 0.00 | 0.06 | 0.31 | 0.23 | 0.22 | 0.43 | 0.36 | 0.25 | 0.30 | 0.14 | 0.63 | 0.30 | 0.50 | 0.50 | 1.00 | 0.80 | 0.88 | 0.75 | 0.70 | 1.13 | 1.17 | 0.38 | 0.67 | 1.17 | 1.00 | 0.50 | 1.00 | 0.83 | 0.50 | 0.00 | 0.00 | 0.00 | 1.00 | 0.75 | 0.50 | 1.00 | 0.50 | 1.00 | 1.50 | 0.50 | 0.75 | 0.50 | 0.50 | 1.00 | 0.50 | 0.75 | 0.75 | 0.00 | 0.00 | 0.50 | 0.00 | 0.00 | 0.00 | 0.13 | -0.01 | -0.03 | -0.02 | -0.01 | -0.18 | -0.20 | -0.10 | -0.24 | -0.07 | 0.02 | -0.08 | -0.09 | -0.20 | -0.05 | -0.10 | -0.04 | 0.02 | -0.23 | 0.00 | -0.17 | -0.20 | -0.22 | -0.13 | -0.45 | -0.46 | -0.50 | -0.45 | -0.50 | -0.88 | -0.86 | -0.73 | -0.77 | -0.80 | -0.14 | -0.17 | -0.25 | 0.05 | -0.50 | -0.36 | 0.21 | 0.17 | 0.10 | 0.36 | 0.25 | 0.10 | 0.50 | 0.17 | 0.67 | 0.30 | 0.13 | 0.63 | 0.70 | 0.50 | 0.67 | 0.50 | 0.50 | 0.67 | 0.33 | 0.75 | 0.50 | 0.33 | 0.00 | 0.00 | 0.50 | 0.00 | 0.25 | 0.25 | 0.25 | 0.25 | 0.00 | -0.50 | 0.00 | 0.00 | 0.00 | 0.25 | 0.00 | 0.25 | 0.00 | 0.25 | 0.25 | 0.00 | 0.00 | 0.50 | 0.00 | 0.00 | 0.00 | 0.42 | 0.33 | 0.25 | 0.43 | 0.55 | 0.50 | 0.63 | 0.50 | 0.46 | 0.43 | 0.36 | 0.39 | 0.43 | 0.26 | 0.36 | 0.18 | 0.48 | 0.39 | 0.29 | 0.60 | 0.27 | 0.55 | 0.34 | 0.36 | 0.22 | 0.32 | 0.35 | 0.35 | 0.20 | 0.18 | 0.18 | 0.22 | 0.20 | 0.16 | 0.11 | 0.11 | 0.28 | 0.40 | 0.27 | 0.57 | 0.31 | 0.30 | 0.40 | 0.49 | 0.65 | 0.56 | 0.30 | 0.60 | 1.40 | 0.24 | 1.05 | 1.10 | 0.76 | 1.10 | 1.00 | 0.40 | 0.53 | 0.80 | 0.60 | 1.20 | 0.73 | 0.67 | 0.30 | 0.20 | 0.60 | 0.40 | 0.50 | 0.20 | 0.30 | 0.30 | 0.10 | 0.00 | 0.00 | 0.20 | 0.30 | 0.30 | 0.40 | 0.30 | 0.10 | 0.50 | 0.40 | 0.60 | 0.60 | 0.80 | 0.60 | 0.40 | 0.40 |
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Change From Baseline in Patient-reported Lung Cancer Symptoms Score as Assessed by the SILC Scale Symptom Score in the TC3 or IC3-WT Populations
Change from baseline in each of the patient-reported lung cancer symptoms with use of the SILC scale. The SILC scale is a nine-item content valid self-report measure of lung cancer symptoms. It measures severity of cough, dyspnea, and chest pain with a total symptom severity score. Each SILC symptom scale (dyspnea, cough, chest pain) score was calculated as the average of the component items (range 0 to 4). An increase in score suggested worsening in symptomatology. A symptom score change of 0.3 points for the dyspnea and cough scores was considered to be clinically significant; whereas a symptom score change of 0.5 points for the chest pain score was considered to be clinically significant. (NCT02409342)
Timeframe: Baseline until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Score on a scale (Mean) |
---|
| Chest Pain, Week 1 | Chest Pain, Week 2 | Chest Pain, Week 3 | Chest Pain, Week 4 | Chest Pain, Week 5 | Chest Pain, Week 6 | Chest Pain, Week 7 | Chest Pain, Week 8 | Chest Pain, Week 9 | Chest Pain, Week 10 | Chest Pain, Week 11 | Chest Pain, Week 12 | Chest Pain, Week 13 | Chest Pain, Week 14 | Chest Pain, Week 15 | Chest Pain, Week 16 | Chest Pain, Week 17 | Chest Pain, Week 18 | Chest Pain, Week 19 | Chest Pain, Week 20 | Chest Pain, Week 21 | Chest Pain, Week 22 | Chest Pain, Week 23 | Chest Pain, Week 24 | Chest Pain, Week 25 | Chest Pain, Week 26 | Chest Pain, Week 27 | Chest Pain, Week 28 | Chest Pain, Week 29 | Chest Pain, Week 30 | Chest Pain, Week 31 | Chest Pain, Week 32 | Chest Pain, Week 33 | Chest Pain, Week 34 | Chest Pain, Week 35 | Chest Pain, Week 36 | Chest Pain, Week 37 | Chest Pain, Week 38 | Chest Pain, Week 39 | Chest Pain, Week 40 | Chest Pain, Week 41 | Chest Pain, Week 42 | Chest Pain, Week 43 | Chest Pain, Week 44 | Chest Pain, Week 45 | Chest Pain, Week 46 | Chest Pain, Week 47 | Chest Pain, Week 48 | Chest Pain, Week 49 | Chest Pain, Week 50 | Chest Pain, Week 51 | Chest Pain, Week 52 | Chest Pain, Week 53 | Chest Pain, Week 54 | Chest Pain, Week 55 | Chest Pain, Week 56 | Chest Pain, Week 57 | Chest Pain, Week 58 | Chest Pain, Week 59 | Chest Pain, Week 60 | Chest Pain, Week 61 | Chest Pain, Week 62 | Chest Pain, Week 63 | Chest Pain, Week 64 | Chest Pain, Week 65 | Chest Pain, Week 66 | Chest Pain, Week 67 | Chest Pain, Week 68 | Chest Pain, Week 69 | Chest Pain, Week 70 | Chest Pain, Week 71 | Chest Pain, Week 72 | Chest Pain, Week 73 | Chest Pain, Week 74 | Chest Pain, Week 75 | Chest Pain, Week 76 | Chest Pain, Week 77 | Chest Pain, Week 78 | Chest Pain, Week 79 | Chest Pain, Week 80 | Chest Pain, Week 81 | Chest Pain, Week 82 | Chest Pain, Week 83 | Chest Pain, Week 84 | Chest Pain, Week 85 | Chest Pain, Week 86 | Chest Pain, Week 87 | Chest Pain, Week 88 | Chest Pain, Week 89 | Chest Pain, Week 90 | Chest Pain, Week 91 | Chest Pain, Week 92 | Chest Pain, Week 93 | Chest Pain, Week 94 | Chest Pain, Week 95 | Chest Pain, Week 96 | Chest Pain, Week 97 | Chest Pain, Week 98 | Chest Pain, Week 99 | Chest Pain, Week 100 | Chest Pain, Week 101 | Chest Pain, Week 102 | Chest Pain, Week 103 | Chest Pain, Week 104 | Chest Pain, Week 105 | Chest Pain, Week 106 | Chest Pain, Week 107 | Chest Pain, Week 108 | Chest Pain, Week 109 | Chest Pain, Week 110 | Chest Pain, Week 111 | Chest Pain, Week 112 | Chest Pain, Week 113 | Chest Pain, Week 114 | Chest Pain, Week 115 | Chest Pain, Week 116 | Chest Pain, Week 117 | Chest Pain, Week 118 | Chest Pain, Week 119 | Chest Pain, Week 120 | Chest Pain, Week 121 | Chest Pain, Week 122 | Chest Pain, Week 123 | Chest Pain, Week 124 | Chest Pain, Week 125 | Chest Pain, Week 126 | Chest Pain, Week 127 | Chest Pain, Week 128 | Chest Pain, Week 129 | Chest Pain, Week 130 | Chest Pain, Week 131 | Cough, Week 1 | Cough, Week 2 | Cough, Week 3 | Cough, Week 4 | Cough, Week 5 | Cough, Week 6 | Cough, Week 7 | Cough, Week 8 | Cough, Week 9 | Cough, Week 10 | Cough, Week 11 | Cough, Week 12 | Cough, Week 13 | Cough, Week 14 | Cough, Week 15 | Cough, Week 16 | Cough, Week 17 | Cough, Week 18 | Cough, Week 19 | Cough, Week 20 | Cough, Week 21 | Cough, Week 22 | Cough, Week 23 | Cough, Week 24 | Cough, Week 25 | Cough, Week 26 | Cough, Week 27 | Cough, Week 28 | Cough, Week 29 | Cough, Week 30 | Cough, Week 31 | Cough, Week 32 | Cough, Week 33 | Cough, Week 34 | Cough, Week 35 | Cough, Week 36 | Cough, Week 37 | Cough, Week 38 | Cough, Week 39 | Cough, Week 40 | Cough, Week 41 | Cough, Week 42 | Cough, Week 43 | Cough, Week 44 | Cough, Week 45 | Cough, Week 46 | Cough, Week 47 | Cough, Week 48 | Cough, Week 49 | Cough, Week 50 | Cough, Week 51 | Cough, Week 52 | Cough, Week 53 | Cough, Week 54 | Cough, Week 55 | Cough, Week 56 | Cough, Week 57 | Cough, Week 58 | Cough, Week 59 | Cough, Week 60 | Cough, Week 61 | Cough, Week 62 | Cough, Week 63 | Cough, Week 64 | Cough, Week 65 | Cough, Week 66 | Cough, Week 67 | Cough, Week 68 | Cough, Week 69 | Cough, Week 70 | Cough, Week 71 | Cough, Week 72 | Cough, Week 73 | Cough, Week 74 | Cough, Week 75 | Cough, Week 76 | Cough, Week 77 | Cough, Week 78 | Cough, Week 79 | Cough, Week 80 | Cough, Week 81 | Cough, Week 82 | Cough, Week 83 | Cough, Week 84 | Cough, Week 85 | Cough, Week 86 | Cough, Week 87 | Cough, Week 88 | Cough, Week 89 | Cough, Week 90 | Cough, Week 91 | Cough, Week 92 | Cough, Week 93 | Cough, Week 94 | Cough, Week 95 | Cough, Week 96 | Cough, Week 97 | Cough, Week 98 | Cough, Week 99 | Cough, Week 100 | Cough, Week 101 | Cough, Week 102 | Cough, Week 103 | Cough, Week 104 | Cough, Week 105 | Cough, Week 106 | Cough, Week 107 | Cough, Week 108 | Cough, Week 109 | Cough, Week 110 | Cough, Week 111 | Cough, Week 112 | Cough, Week 113 | Cough, Week 114 | Cough, Week 115 | Cough, Week 116 | Cough, Week 117 | Cough, Week 118 | Cough, Week 119 | Cough, Week 120 | Cough, Week 121 | Cough, Week 122 | Cough, Week 123 | Cough, Week 124 | Cough, Week 125 | Cough, Week 126 | Cough, Week 127 | Cough, Week 128 | Cough, Week 129 | Cough, Week 130 | Cough, Week 131 | Dyspnoea, Week 1 | Dyspnoea, Week 2 | Dyspnoea, Week 3 | Dyspnoea, Week 4 | Dyspnoea, Week 5 | Dyspnoea, Week 6 | Dyspnoea, Week 7 | Dyspnoea, Week 8 | Dyspnoea, Week 9 | Dyspnoea, Week 10 | Dyspnoea, Week 11 | Dyspnoea, Week 12 | Dyspnoea, Week 13 | Dyspnoea, Week 14 | Dyspnoea, Week 15 | Dyspnoea, Week 16 | Dyspnoea, Week 17 | Dyspnoea, Week 18 | Dyspnoea, Week 19 | Dyspnoea, Week 20 | Dyspnoea, Week 21 | Dyspnoea, Week 22 | Dyspnoea, Week 23 | Dyspnoea, Week 24 | Dyspnoea, Week 25 | Dyspnoea, Week 26 | Dyspnoea, Week 27 | Dyspnoea, Week 28 | Dyspnoea, Week 29 | Dyspnoea, Week 30 | Dyspnoea, Week 31 | Dyspnoea, Week 32 | Dyspnoea, Week 33 | Dyspnoea, Week 34 | Dyspnoea, Week 35 | Dyspnoea, Week 36 | Dyspnoea, Week 37 | Dyspnoea, Week 38 | Dyspnoea, Week 39 | Dyspnoea, Week 40 | Dyspnoea, Week 41 | Dyspnoea, Week 42 | Dyspnoea, Week 43 | Dyspnoea, Week 44 | Dyspnoea, Week 45 | Dyspnoea, Week 46 | Dyspnoea, Week 47 | Dyspnoea, Week 48 | Dyspnoea, Week 49 | Dyspnoea, Week 50 | Dyspnoea, Week 51 | Dyspnoea, Week 52 | Dyspnoea, Week 53 | Dyspnoea, Week 54 | Dyspnoea, Week 55 | Dyspnoea, Week 56 | Dyspnoea, Week 57 | Dyspnoea, Week 58 | Dyspnoea, Week 59 | Dyspnoea, Week 60 | Dyspnoea, Week 61 | Dyspnoea, Week 62 | Dyspnoea, Week 63 | Dyspnoea, Week 64 | Dyspnoea, Week 65 | Dyspnoea, Week 66 | Dyspnoea, Week 67 | Dyspnoea, Week 68 | Dyspnoea, Week 69 | Dyspnoea, Week 70 | Dyspnoea, Week 71 | Dyspnoea, Week 72 | Dyspnoea, Week 73 | Dyspnoea, Week 74 | Dyspnoea, Week 75 | Dyspnoea, Week 76 | Dyspnoea, Week 77 | Dyspnoea, Week 78 | Dyspnoea, Week 79 | Dyspnoea, Week 80 | Dyspnoea, Week 81 | Dyspnoea, Week 82 | Dyspnoea, Week 83 | Dyspnoea, Week 84 | Dyspnoea, Week 85 | Dyspnoea, Week 86 | Dyspnoea, Week 87 | Dyspnoea, Week 88 | Dyspnoea, Week 89 | Dyspnoea, Week 90 | Dyspnoea, Week 91 | Dyspnoea, Week 92 | Dyspnoea, Week 93 | Dyspnoea, Week 94 | Dyspnoea, Week 95 | Dyspnoea, Week 96 | Dyspnoea, Week 97 | Dyspnoea, Week 98 | Dyspnoea, Week 99 | Dyspnoea, Week 100 | Dyspnoea, Week 101 | Dyspnoea, Week 102 | Dyspnoea, Week 103 | Dyspnoea, Week 104 | Dyspnoea, Week 105 | Dyspnoea, Week 106 | Dyspnoea, Week 107 | Dyspnoea, Week 108 | Dyspnoea, Week 109 | Dyspnoea, Week 110 | Dyspnoea, Week 111 | Dyspnoea, Week 112 | Dyspnoea, Week 113 | Dyspnoea, Week 114 | Dyspnoea, Week 115 | Dyspnoea, Week 116 | Dyspnoea, Week 117 | Dyspnoea, Week 118 | Dyspnoea, Week 119 | Dyspnoea, Week 120 | Dyspnoea, Week 121 | Dyspnoea, Week 122 | Dyspnoea, Week 123 | Dyspnoea, Week 124 | Dyspnoea, Week 125 | Dyspnoea, Week 126 | Dyspnoea, Week 127 | Dyspnoea, Week 128 | Dyspnoea, Week 129 | Dyspnoea, Week 130 | Dyspnoea, Week 131 |
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Atezolizumab | 0.31 | 0.33 | 0.43 | 0.43 | 0.28 | 0.25 | 0.30 | 0.20 | 0.33 | 0.25 | 0.21 | 0.33 | 0.30 | 0.27 | 0.45 | 0.19 | 0.22 | 0.26 | 0.23 | 0.23 | 0.11 | 0.19 | 0.33 | 0.18 | 0.29 | 0.11 | 0.20 | 0.23 | 0.18 | 0.32 | 0.33 | 0.35 | 0.04 | 0.31 | 0.28 | 0.08 | 0.39 | 0.31 | 0.14 | 0.30 | 0.30 | 0.33 | 0.18 | 0.42 | 0.31 | 0.37 | 0.31 | 0.17 | 0.47 | 0.20 | 0.31 | 0.54 | 0.29 | 0.25 | 0.15 | 0.29 | 0.08 | 0.19 | 0.00 | 0.38 | 0.36 | 0.43 | 0.29 | 0.40 | 0.35 | 0.45 | -0.09 | 0.39 | 0.50 | 0.18 | 0.45 | 0.42 | 0.27 | 0.50 | 0.33 | 0.00 | 0.19 | 0.21 | 0.31 | 0.72 | 0.08 | 0.08 | 0.50 | 0.43 | 0.38 | 0.21 | 0.29 | 0.43 | -0.20 | 0.07 | -0.07 | 0.33 | 0.50 | 0.20 | 0.33 | 0.33 | 0.50 | 0.33 | 0.88 | 0.50 | 0.83 | 0.50 | 0.63 | 1.00 | 1.00 | 0.50 | 1.00 | 1.50 | 1.75 | 2.00 | 1.50 | 1.50 | 1.50 | 2.00 | 1.75 | 2.00 | 2.00 | 2.00 | 1.75 | 2.50 | 2.00 | 3.00 | 2.50 | 3.00 | 3.00 | 3.00 | 2.00 | 3.00 | 3.00 | 2.00 | 2.00 | 0.10 | 0.19 | -0.01 | -0.03 | 0.00 | -0.18 | -0.06 | -0.13 | -0.06 | -0.10 | -0.07 | -0.09 | -0.20 | -0.07 | -0.19 | -0.19 | -0.21 | -0.26 | -0.27 | -0.33 | -0.19 | -0.17 | 0.05 | -0.12 | 0.14 | -0.03 | -0.05 | 0.08 | 0.05 | 0.12 | 0.05 | -0.04 | -0.29 | -0.02 | -0.09 | -0.36 | -0.04 | -0.07 | -0.20 | -0.39 | 0.05 | -0.20 | 0.03 | -0.11 | -0.26 | 0.08 | -0.03 | 0.23 | 0.26 | 0.00 | 0.06 | 0.27 | 0.38 | 0.07 | 0.12 | 0.14 | 0.15 | 0.08 | 0.06 | -0.04 | 0.00 | 0.14 | -0.04 | 0.35 | 0.12 | 0.45 | -0.09 | 0.61 | 0.50 | 0.23 | 0.55 | 0.42 | 0.64 | 0.56 | 0.67 | 0.31 | 0.56 | 0.36 | 0.63 | 0.33 | 0.58 | 0.25 | 0.67 | 0.29 | 0.38 | 0.57 | 0.64 | 0.64 | 0.50 | 0.43 | 0.50 | 0.67 | 0.79 | 0.30 | 0.67 | 0.58 | 0.57 | 0.67 | 0.25 | 0.60 | 0.50 | 0.50 | 0.25 | 0.00 | 0.33 | -0.50 | 0.00 | 0.00 | 0.50 | 0.50 | 0.50 | 0.00 | 0.50 | 0.50 | 0.50 | 0.50 | 0.50 | 0.50 | 0.50 | 2.00 | 2.00 | 2.00 | 2.00 | 2.00 | 2.00 | 2.00 | 2.00 | 2.00 | 2.00 | 2.00 | 2.00 | 0.12 | 0.29 | 0.25 | 0.28 | 0.21 | 0.21 | 0.32 | 0.25 | 0.34 | 0.49 | 0.24 | 0.35 | 0.23 | 0.26 | 0.39 | 0.26 | 0.16 | 0.21 | 0.33 | 0.23 | 0.40 | 0.22 | 0.38 | 0.42 | 0.50 | 0.28 | 0.37 | 0.45 | 0.38 | 0.54 | 0.41 | 0.58 | 0.36 | 0.28 | 0.27 | -0.02 | 0.42 | 0.50 | 0.25 | 0.44 | 0.53 | 0.52 | 0.41 | 0.31 | 0.53 | 0.37 | 0.39 | 0.39 | 0.47 | 0.53 | 0.59 | 0.72 | 0.40 | 0.63 | 0.72 | 0.61 | 0.45 | 0.60 | 0.18 | 0.57 | 0.54 | 0.66 | 0.77 | 0.66 | 0.94 | 0.67 | 0.33 | 0.82 | 0.74 | 0.75 | 0.84 | 0.80 | 0.67 | 0.89 | 0.71 | 0.53 | 0.65 | 0.40 | 0.55 | 0.69 | 0.53 | 0.53 | 0.87 | 0.89 | 0.83 | 0.66 | 0.66 | 1.20 | 0.56 | 0.74 | 0.51 | 0.87 | 1.20 | 0.48 | 0.87 | 1.13 | 1.26 | 0.80 | 0.70 | 0.88 | 1.13 | 0.96 | 0.55 | 1.07 | 1.07 | 0.40 | 1.13 | 1.50 | 1.30 | 1.50 | 1.60 | 1.50 | 1.50 | 1.60 | 1.40 | 1.30 | 1.50 | 1.30 | 1.50 | 2.20 | 2.40 | 2.20 | 2.20 | 2.20 | 2.20 | 2.20 | 2.20 | 2.20 | 2.20 | 2.20 | 2.20 |
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Duration of Response (DOR) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
DOR is defined as the time from the first occurrence of a documented objective response to the time of disease progression, as determined by the investigator with use of RECIST v1.1, or death from any cause, whichever occurs first. (NCT02409342)
Timeframe: From first occurrence of a complete response or partial response, whichever occurs first, until first date that progressive disease or death is documented, whichever occurs first until data cut-off on 4 February 2020 (up to approximately 54.5 months)
Intervention | Months (Number) |
---|
| TC2/3 or IC2/3-WT Population | TC1/2/3 or IC1/2/3-WT Population |
---|
Atezolizumab | 38.9 | 26.3 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 5.8 | 5.7 |
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Investigator-Assessed PFS in Participants With bTMB According to RECIST v1.1
PFS according to RECIST v1.1 in the bTMB subpopulations. (NCT02409342)
Timeframe: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Months (Median) |
---|
| bTMB >=10-WT Population | bTMB >=16-WT Population | bTMB >=20-WT Population |
---|
Atezolizumab | 5.5 | 6.8 | 6.8 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 4.3 | 4.4 | 5.2 |
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Investigator-Assessed PFS in Participants With PD-L1 Expression According to RECIST v1.1
Investigator-assessed PFS according to RECIST v1.1 in the PD-L1 (defined with SP263 IHC assay) (NCT02409342)
Timeframe: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Months (Median) |
---|
| SP263 >=50%-WT Population | SP263 >=25%-WT Population | SP263 >=1%-WT Population |
---|
Atezolizumab | 7.0 | 6.9 | 6.8 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 4.9 | 4.9 | 5.4 |
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Minimum Observed Serum Concentration (Cmin) of Atezolizumab
(NCT02409342)
Timeframe: Prior to infusion (0 hour) on Day 1 of Cycles 2, 3, 4, 8, 16, and every eighth cycle thereafter, and at treatment discontinuation until data cut-off on 10 September 2018 (up to approximately 38 months) (cycle duration = 21 days)
Intervention | micrograms per milliliter (μg/ mL) (Mean) |
---|
| Cycle 2 Day 1 | Cycle 3 Day 1 | Cycle 4 Day 1 | Cycle 8 Day 1 | Cycle 16 Day 1 | Cycle 24 Day 1 | Cycle 32 Day 1 | Cycle 40 Day 1 | Cycle 48 Day 1 | Treatment Discontinuation Visit |
---|
Atezolizumab | 76.7 | 121 | 154 | 201 | 213 | 245 | 276 | 252 | 555 | 121 |
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Cumulative Incidence of Cancer-specific Death at 24 Months
Cancer-specific survival was defined as the time from registration to death due to cancer; deaths due to other causes are counted as competing events. Cancer-specific survival was analyzed using Gray's method and cumulative incidence of cancer-specific death at 24 months is reported. (NCT02412670)
Timeframe: Assessed every 3 months for 2 years
Intervention | proportion of patients died of cancer (Number) |
---|
Arm A (Methotrexate, Vinblastine, Doxorubicin, Cisplatin) | 0.09 |
Arm B (Gemcitabine, Carboplatin) | 0.20 |
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Complete Pathologic Response Rate
Complete pathologic response is defined as pT0pN0 (no evidence of disease) as assessed by pathologic evaluation of nephrectomy/ureterectomy and any identifiable regional lymph nodes. (NCT02412670)
Timeframe: Assessed at nephroureterectomy or regional lymph node dissection (21-60 days from completion of chemotherapy; chemotherapy was administered for a total of 4 cycles; cycle length is 14 days and 21 days for arms A and B, respectively)
Intervention | proportion of participants (Number) |
---|
Arm A (Methotrexate, Vinblastine, Doxorubicin, Cisplatin) | 0.103 |
Arm B (Gemcitabine, Carboplatin) | 0.167 |
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Event-free Survival
Event-free survival is defined as the time from registration to the earliest occurrence of recurrence of any type, disease progression, new invasive primary cancer, or death from any cause. Disease progression will be assessed using RECIST 1.1. Disease progression is defined as appearance of one or more new lesions, unequivocal progression of existing non-target lesions, or at least a 20% increase in the sum of the 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. (NCT02412670)
Timeframe: Assessed every 3 months for 2 years, and every 6 months for 3-5 years
Intervention | months (Median) |
---|
Arm A (Methotrexate, Vinblastine, Doxorubicin, Cisplatin) | NA |
Arm B (Gemcitabine, Carboplatin) | 10.2 |
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Proportion of Patients With Renal Insufficiency at Completion of Chemotherapy
Renal insufficiency is defined as CrCl < 60 ml/min. (NCT02412670)
Timeframe: Assessed at completion of chemotherapy; at 8 weeks for Arm A and 12 weeks for Arm B
Intervention | proportion of participants (Number) |
---|
Arm A (Methotrexate, Vinblastine, Doxorubicin, Cisplatin) | 0.2 |
Arm B (Gemcitabine, Carboplatin) | 0.833 |
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Recurrence-free Survival
Recurrence-free survival is defined as the time from the date of surgery to disease recurrence or death from any cause. Patients alive without documented recurrence will be censored at the date of last disease assessment. (NCT02412670)
Timeframe: Assessed every 3 months for 2 years; and every 6 months for 3-5 years
Intervention | months (Median) |
---|
Arm A (Methotrexate, Vinblastine, Doxorubicin, Cisplatin) | NA |
Arm B (Gemcitabine, Carboplatin) | 8.5 |
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Bladder Cancer-free Survival
Bladder cancer-free survival was defined as the time from the date of surgery to the earlier of a return of bladder cancer or death from any cause. Patients alive without documented bladder cancer were censored at the date of last disease assessment. (NCT02412670)
Timeframe: Assessed every 3 months for 2 years, and every 6 months for 3-5 years
Intervention | months (Median) |
---|
Arm A (Methotrexate, Vinblastine, Doxorubicin, Cisplatin) | NA |
Arm B (Gemcitabine, Carboplatin) | NA |
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Proportion of Patients With Renal Insufficiency at Completion of Surgery
Renal insufficiency is defined as CrCl < 60 ml/min. (NCT02412670)
Timeframe: Assessed at completion of surgery (21-60 days from completion of chemotherapy; chemotherapy was administered for a total of 4 cycles; cycle length is 14 days and 21 days for arms A and B, respectively)
Intervention | proportion of participants (Number) |
---|
Arm A (Methotrexate, Vinblastine, Doxorubicin, Cisplatin) | 0.69 |
Arm B (Gemcitabine, Carboplatin) | 0.833 |
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Incidence of Toxicity According to National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) Version (v) 4.0
Frequency and severity of adverse events will be tabulated based on the actual treatment and the number of courses the patient receives. In particular, grade 3 and 4 toxicity rates will be computed and summarized for all patients received at least one dose of the assigned treatment. (NCT02427841)
Timeframe: From the first dose of study drug(s) until 28 days after last study intervention, up to approximately 3 years, 10 months
Intervention | Adverse Events (Number) |
---|
| Blood and Lymphatic system disorders | Gastrointestinal disorders | Hepatobiliary disorders | Infections and infestations | Investigations | Metabolism and nutrition disorders | Musculoskeletal and connective tissue disorders | Nervous system disorders | Psychiatric disorders | Respiratory, thoracic and mediastinal disorders | Skin and subcutaneous tissue disorders | Vascular disorders |
---|
Treatment (Chemotherapy, Chemoradiation Therapy, Surgery) | 4 | 24 | 1 | 3 | 13 | 6 | 9 | 15 | 2 | 7 | 19 | 3 |
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Overall Survival Rate Defined as the Percentage of Subjects Alive at the 2 Year Time Point
The expected 2-year overall survival rate (%) will be reported with an associated 95% confidence interval for all enrolled participants (n = 19). Survival is assessed from the first dose of study drug(s) until the date of death due to any cause, up to two years. Participants known still alive at two-years will be censored at two years. Any participant lost to follow up during the two-year period will be censored on the last date known alive. (NCT02427841)
Timeframe: From first dose of study drug until 2 years or time of death by any cause, which ever comes first. Participants are assessed every 3 months after completing study interventions.
Intervention | percentage of participants (Number) |
---|
Treatment (Chemotherapy, Chemoradiation Therapy, Surgery) | 41 |
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Overall Survival Rate Defined as the Percentage of Subjects Alive at the One Year Time Point
The expected 1-year overall survival rate (%) will be reported with an associated 95% confidence interval. Survival is assessed from the first dose of study drug(s) until the date of death due to any cause, up to one year. Participants known still alive at one-year will be censored at one year. Any participant lost to follow up during the one-year period will be censored on the last date known alive. (NCT02427841)
Timeframe: From first dose of study drug until 1 year or time of death by any cause, whichever comes first. Participants are assessed every 3 months after completing study interventions.
Intervention | percentage of participants (Number) |
---|
Treatment (Chemotherapy, Chemoradiation Therapy, Surgery) | 79 |
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R0 Resection Rate Defined as Macroscopically Complete Tumor Removal With Negative Microscopic Surgical Margins by Pathologic Assessment
The R0 resection rate, measured as the percent of participants achieving R0 resection among those who initiate study drug, will be computed with 95% confidence interval. A 2-sided binomial test will be used to determine whether the R0 resection rate is significantly greater than 0.37 at 10% significance level. (NCT02427841)
Timeframe: At the time of surgery
Intervention | percentage of participants (Number) |
---|
Treatment (Chemotherapy, Chemoradiation Therapy, Surgery) | 42 |
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Relapse-free Survival Rate Defined as the Percentage of Subjects Who Are Without Recurrence or Death at One Year From Surgical Resection of the Primary Tumor
The expected 1-year relapse-free survival rate (%) will be reported with an associated 95% confidence interval for those who undergo resection (n = 11). Resection-free survival is assessed from the time of resection until time of progression or death by any cause, up to one year. Participants known still alive and without progression at one-year post-resection will be censored at one year. Any participant lost to follow up during the one-year post-resection period will be censored on the last disease assessment date. Response is measured per Response Evaluation Criteria in Solid Tumors (RECIST) v 1.1 using tumor imaging with CT. Changes in the largest diameter of tumor lesions (target lesions) and shortest diameter of malignant lymph nodes are assessed. Progression is at least 20% increase in sum of diameters of target lesions (referencing nadir sum of diameters) and an absolute increase of at least 5 mm. Presence of any new lesion is also considered progression disease. (NCT02427841)
Timeframe: From time of resection until progression or death by any cause, within 1 year of resection. Participants are assessed by imaging every 3 months after completing study interventions.
Intervention | percentage of participants (Number) |
---|
Resection | 64 |
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Response Rate by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 Defined as the Percent of Subjects With Complete or Partial Disease Response as Confirmed Through Tumor Imaging With Computed Tomography (CT)
The objective response rate (percentage of participants having complete response (CR) or partial response (PR)) will be computed with associated 95% confidence interval using the binomial exact method. Response is measured per RECIST 1.1 using tumor imaging with CT. Changes in the largest diameter of tumor lesions (target lesions) and shortest diameter of malignant lymphnodes are assessed. CR is the disappearance of all target lesions; any pathologic lymph nodes must show a reduction in short axis to < 10 mm. PR is at least a 30% decrease in the sum of the diameters of target lesions using the baseline sum of diameters of target lesions as the reference level. (NCT02427841)
Timeframe: From first dose of study drug(s), with assessments at Staging 1 (approximately 2 months) and Staging 2 (approximately 5 months after first dose of study drug(s)).
Intervention | percentage of participants (Number) |
---|
Treatment (Chemotherapy, Chemoradiation Therapy, Surgery) | 21 |
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Tumor Response Per RECIST v1.1 (by Local Investigator Assessment) Duration of Response
CR: complete response. PR: partial response. SD: stable disease: CBR: clinical benefit rate =CR + PR + SD lasting at least for 6 months. ORR = CR + PR. Efficacy Results presented for all MCS110 treated patients (with and without day 8 dose), in line with phase 2 study design. (NCT02435680)
Timeframe: 4 years
Intervention | months (Median) |
---|
MCS110+Carboplatin+Gemcitabine | 9.6 |
Carboplatin+Gemcitabine | 5 |
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Progression Free Survival (PFS) as Per RECIST v1.1 (by Local Investigator Assessment)
PFS Results presented for all MCS110 treated patients (with and without day 8 dose), in line with phase 2 study design. (NCT02435680)
Timeframe: 4 years
Intervention | months (Median) |
---|
All MCS110+Carboplatin+Gemcitabine | 5.6 |
Carboplatin+Gemcitabine | 5.5 |
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Tumor Response Per RECIST v1.1 (by Local Investigator Assessment)
CR: complete response. PR: partial response. SD: stable disease: CBR: clinical benefit rate =CR + PR + SD lasting at least for 6 months. ORR = CR + PR. Efficacy Results presented for all MCS110 treated patients (with and without day 8 dose), in line with phase 2 study design. (NCT02435680)
Timeframe: 4 years
Intervention | Participants (Count of Participants) |
---|
| PR | Non-CR/ Non-progressive disease | SD | progressive disease | unknown | clinical benefit rate | ORR |
---|
Carboplatin+Gemcitabine | 6 | 0 | 7 | 1 | 2 | 7 | 6 |
,MCS110+Carboplatin+Gemcitabine | 8 | 1 | 19 | 4 | 2 | 10 | 8 |
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MCS110 Dose Intensity
"Relative dose intensity by categories.~Patients treated with MCS110 only. The dose intensity measures the dose actually taken versus the planned dose, and is expressed in percentage:~<50%: less than 50 % of the planned dose received; 50-<75 %: dose received is 50% or more, but less than 75 %; 75-<90 %: dose received is 75% or more, but less than 90%; 90-<110 %: dose received is 90% or more, but less than 110%" (NCT02435680)
Timeframe: 4 years
Intervention | Participants (Count of Participants) |
---|
| <50% | 50-<75% | 75-<90% | 90-<110% |
---|
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine | 4 | 3 | 5 | 3 |
,MCS110+Carboplatin+Gemcitabine | 1 | 8 | 7 | 3 |
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Free MCS110 : Derived Pharmacokinetics (PK) Parameters: Cmax
(NCT02435680)
Timeframe: day 21 (end cycle 1); day 84 (end cycle 4)
Intervention | microgram / mL (Geometric Mean) |
---|
| day 21 | day 84 |
---|
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine | 281 | 319 |
,MCS110+Carboplatin+Gemcitabine | 186 | 240 |
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Free MCS110 : Derived Pharmacokinetics (PK) Parameters: AUCtau
AUC tau derived from day 0 to 21 (cycle 1) from day 0 to 21 (cycle 4) Cycle duration is 21 days (NCT02435680)
Timeframe: day 21 (end cycle 1); day 84 (end cycle 4)
Intervention | day * microgram / mL (Geometric Mean) |
---|
| day 21 | day 84 |
---|
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine | 2960 | 3240 |
,MCS110+Carboplatin+Gemcitabine | 1430 | 1840 |
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Cmax Derived From Plasma Concentration of Carboplatin, Gemcitabine and 2',2'-Difluoro-deoxyuridine (dFdU)
day 21 (end cycle 1); day 84 (end cycle 4) (NCT02435680)
Timeframe: day 21, day 84
Intervention | nanogram /mL (Geometric Mean) |
---|
| Cmax Carboplatin Day 21 | Cmax Carboplatin Day 84 | Cmax Gemcitabine Day 21 | Cmax Gemcitabine Day 84 | Cmax dFdU Day 21 | Cmax dFdU Day 84 |
---|
Carboplatin+Gemcitabine | 11200 | 11600 | 2370 | 8630 | 37700 | 32300 |
,MCS110 With C1D8 Dose + Carboplatin +Gemcitabine | 12500 | 10000 | 5480 | 3400 | 33900 | 30300 |
,MCS110+Carboplatin+Gemcitabine | 12400 | 9550 | 2750 | 2470 | 39100 | 36600 |
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Circulating Monocytes Cells in Blood
Cycle duration is 21 days results expressed in percentage of cells. Only 1 arm reported as results were available for 1 patient only. (NCT02435680)
Timeframe: day 15, 29, 43, 50
Intervention | percentage (Number) |
---|
| day 15 CD14+CD16- | day 15 CD14+CD16+ | day 29 (cycle 2 day 8) CD14+CD16- | day 29 (cycle 2 day 8) CD14+CD16+ | day 43 (cycle 3 day 1) CD14+CD16- | day 43 (cycle 3 day 1) CD14+CD16+ | day 50 (cycle 3 day 8) CD14+CD16- | day 50 (cycle 3 day 8) CD14+CD16+ |
---|
MCS110+Carboplatin+Gemcitabine | 43.5 | 54.8 | 86.6 | 12.2 | 9.1 | 89.7 | 86 | 10 |
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Total Colony Stimulation Factor -1 (CSF-I) Circulating Levels
results expressed as a the ratio change from baseline expressed in percentage. Cycle duration is 21 days. These Biomarker Analyses were performed for MCS110 treated patients only. (NCT02435680)
Timeframe: baseline, day 1, 4, 15, 22, 43, 64, 85, 106, 127, 148
Intervention | % change from baseline (Mean) |
---|
| Day 1 | Day 4 | Day 15 | Day 22 (cycle 2 day 1) | Day 43 (cycle 3 day 1) | Day 64 (cycle 4 day 1) | Day 85 (cycle 5 day 1) | Day 106 (cycle 6 day 1) | Day 127 (cycle 7 day 1) | Day 148 (cycle 8 day 1) |
---|
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine | 115 | 4350 | 19500 | 34400 | 70000 | 78000 | 107000 | 103000 | 109000 | 111000 |
,MCS110+Carboplatin+Gemcitabine | 110 | 4930 | 21600 | 32000 | 57900 | 73600 | 79300 | 97500 | 110000 | 108000 |
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AUClast Derived From Plasma Concentration of Carboplatin, Gemcitabine and 2',2'-Difluoro-deoxyuridine (dFdU)
day 21 (end cycle 1); day 84 (end cycle 4) (NCT02435680)
Timeframe: day 21, day 84
Intervention | hours * nanogram /mL (Geometric Mean) |
---|
| AUC Carboplatin Day 21 | AUC Carboplatin Day 84 | AUC Gemcitabine Day 21 | AUC Gemcitabine Day 84 | AUC dFdU Day 21 | AUC dFdU Day 84 |
---|
Carboplatin+Gemcitabine | 21800 | 20500 | 2620 | 6320 | 231000 | 211000 |
,MCS110 With C1D8 Dose + Carboplatin +Gemcitabine | 21400 | 17500 | 4270 | 2770 | 181000 | 147000 |
,MCS110+Carboplatin+Gemcitabine | 24500 | 18300 | 2390 | 2410 | 230000 | 229000 |
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Serum C-terminal Telopeptide of Type I Collagen (CTX-I)
"results expressed as a the ratio change from baseline expressed in percentage. Cycle duration is 21 days.~Biomarker Analyses performed for MCS110 treated patients only." (NCT02435680)
Timeframe: baseline, day 2, 4, 15, 22, 43, 64, 85, 106, 127, 148
Intervention | % change from baseline (Mean) |
---|
| Day 2 | Day 4 | Day 15 | Day 22 (cycle 2 day 1) | Day 43 (cycle 3 day 1) | Day 64 (cycle 4 day 1) | Day 85 (cycle 5 day 1) | Day 106 (cycle 6 day 1) | Day 127 (cycle 7 day 1) | Day 148 (cycle 8 day 1) |
---|
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine | 85.0 | 80.2 | 69.4 | 52.9 | 39.3 | 29.5 | 40.6 | 50.2 | 68.7 | 75.3 |
,MCS110+Carboplatin+Gemcitabine | 79.4 | 72.5 | 65.6 | 67.9 | 64.3 | 69.7 | 102 | 41.2 | 38.7 | 40.5 |
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Tumor Associated Macrophage (TAM) and Tumor Infiltrating Lymphocyte (TIL) Content in Pre- and Post-dose Tumor Biopsies.
results expressed as a the ratio change from baseline expressed in percentage: Biopsies were taken at baseline and between Day 29 and Day 43. Patients treated with MCS110 only (NCT02435680)
Timeframe: Baseline, Day 29-43
Intervention | % change from baseline (Geometric Mean) |
---|
| CD163 | CD8 |
---|
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine | 43.5 | 99.0 |
,MCS110+Carboplatin+Gemcitabine | 42.1 | 102 |
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Number of Patients With at Least One MCS110 Dose Reduction, and Number of Patients With at Least One MCS110 Dose Interruption
patients treated with MCS110 only (NCT02435680)
Timeframe: 4 years
Intervention | Participants (Count of Participants) |
---|
| MCS110 dose reduction | MCS110 dose interruption |
---|
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine | 5 | 9 |
,MCS110+Carboplatin+Gemcitabine | 3 | 6 |
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Number of Participants With Adverse Events as a Measure of Safety and Tolerability of Ibrutinib and Nab-paclitaxel and Gemcitabine Versus Placebo in Combination With Nab-paclitaxel and Gemcitabine.
This is a measure of percentage of subjects with Treatment Emergent Adverse Events Grade 3 or above collected Up to 30 days after the last participating subject discontinues study drug. (NCT02436668)
Timeframe: Results at an overall median follow-up of 24.87 months
Intervention | percentage of participants (Number) |
---|
| Subjects with any TEAE >= Grade 3 | Subjects with ibrutinib/pbo-related TEAE >=Grade 3 |
---|
Ibrutinib+Gemcitabine+Nab-paclitaxel | 85.6 | 54.3 |
,Placebo+Gemcitabine+Nab-Paclitaxel | 86.8 | 55.7 |
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Clinical Benefit Response
"Subject achieved a ≥50% reduction in pain intensity (Memorial Pain Assessment Card [MPAC]) or analgesic consumption, or a 20-point or greater improvement in KPS for a period of at least 4 consecutive weeks, without showing any sustained worsening in other parameters.~OR Subject was stable on all of the aforementioned parameters, and showed a marked, sustained weight gain (≥7% increase maintained for ≥4 weeks) not due to fluid accumulation (Burris 1997)." (NCT02436668)
Timeframe: Results at an overall median follow-up of 24.87 months
Intervention | percentage of patients (Number) |
---|
| Achieved a >=50% reduction in pain intensity | >=20-pt improvement in KPS (>=4 consecutive weeks) | Sustained weight gain (>=7% maintained >4 weeks |
---|
Ibrutinib+Gemcitabine+Nab-paclitaxel | 27.5 | 0 | 5.7 |
,Placebo+Gemcitabine+Nab-Paclitaxel | 25.8 | 1.4 | 11.7 |
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Rate of Venous Thromboembolic Events (VTE)
The VTE rate is defined as percentage of subjects with Venous thromboembolic events (SMQ) per investigator assessment. (NCT02436668)
Timeframe: Results at an overall median follow-up of 24.87 months
Intervention | Percentage of Participants (Number) |
---|
Placebo+Gemcitabine+Nab-Paclitaxel | 10.8 |
Ibrutinib+Gemcitabine+Nab-paclitaxel | 8.1 |
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Progression Free Survival (PFS)
PFS is defined as the time from the date of randomization until disease progression per RECIST 1.1 criteria assessed by investigator, or death from any cause, whichever occurs first. (NCT02436668)
Timeframe: Results at an overall median follow-up of 24.87 months
Intervention | Months (Median) |
---|
Ibrutinib+Gemcitabine+Nab-paclitaxel | 5.32 |
Placebo+Gemcitabine+Nab-Paclitaxel | 6.01 |
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Patient-reported Outcome (PRO) by European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30 (QLQ-C30).
"Unit is the month: TUDD1 - the time between random & 1st occurrence of a decrease in QLQ-C30 score ≥10 pts w/o improvement in QoL score of ≥10 points or any further QoL data due to deterioration. The proportion of subjects who met the responder criteria prior to subsequent anticancer therapy initiation. Response defined as achievement of a ≥50% reduction in MPAC visual analog scale which measures pain intensity or analgesic consumption, or a ≥20-point improvement from baseline in KPS sustained for a period of ≥ 4 consecutive weeks without showing any sustained worsening from baseline in any of the other parameters OR Subject stable on all parameters (pain and KPS), & showed a marked, sustained weight gain (≥7% increase from baseline maintained for ≥4 weeks) not due to fluid accumulation." (NCT02436668)
Timeframe: Results at an overall median follow-up of 24.87 months
Intervention | months (Median) |
---|
Placebo+Gemcitabine+Nab-Paclitaxel | 6.14 |
Ibrutinib+Gemcitabine+Nab-paclitaxel | 4.21 |
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Overall Survival (OS)
OS, is defined as the time from date of randomization until date of death from any cause. (NCT02436668)
Timeframe: Results at an overall median follow-up of 24.87 months
Intervention | Months (Median) |
---|
Ibrutinib+Gemcitabine+Nab-paclitaxel | 9.69 |
Placebo+Gemcitabine+Nab-Paclitaxel | 10.78 |
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Overall Response Rate
ORR is defined as the percentage of subjects who achieve a complete response or partial response, based on investigator assessment according to RECIST 1.1. (NCT02436668)
Timeframe: Results at an overall median follow-up of 24.87 months
Intervention | percentage of Patients (Number) |
---|
Placebo+Gemcitabine+Nab-Paclitaxel | 42.3 |
Ibrutinib+Gemcitabine+Nab-paclitaxel | 29.5 |
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Carbohydrate Antigen 19-9 (CA19-9) Response
The CA19-9 response rate is defined as the percentage of subjects with a decline of 20%, 90%, and other thresholds considered clinically meaningful, from baseline. This is a percentage of patients with > or = 60% reduction from baseline. (NCT02436668)
Timeframe: Results at an overall median follow-up of 24.87 months
Intervention | percentage of patients (Number) |
---|
Placebo+Gemcitabine+Nab-Paclitaxel | 62.9 |
Ibrutinib+Gemcitabine+Nab-paclitaxel | 53.6 |
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Frequency and Severity of Adverse Effects
Number of treated patients with Adverse Events (grade 3 or higher) observed while receiving randomized therapy, by Preferred term with incidence rate greater than 5%. (NCT02446600)
Timeframe: During treatment period and up to 100 days after stopping the study treatment, up to 39 months.
Intervention | Participants (Count of Participants) |
---|
| Anemia | Fatigue | Neutrophil count decreased | Platelet count decreased | Urinary tract infection | White blood cell decreased |
---|
Arm I (Platinum-based Chemotherapy) | 23 | 3 | 51 | 24 | 10 | 22 |
,Arm II (Olaparib) | 28 | 12 | 3 | 2 | 11 | 3 |
,Arm III (Olaparib, Cediranib Maleate) | 11 | 31 | 7 | 3 | 15 | 2 |
,Japanese Cohort | 1 | 0 | 1 | 0 | 0 | 1 |
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Progression Free Survival Determined Using Response Evaluation Criteria in Solid Tumors Version 1.1 Criteria
Progression free survival (PFS) was defined as the number of months between study enrollment and documentation of disease progression (RECIST 1.1) or death from any cause. Patients still alive and disease free at the last follow-up were censored on the date of last CT Scan, or the CT Scan date prior to two missed assessments. Japanese cohort not included in progression free survival analysis, only included in toxicity assessments. (NCT02446600)
Timeframe: The protocol required lesion assessments every 9 weeks from cycle 1, day 1 for the first year, then every 12 weeks thereafter until disease progression. An average of approximately 10 months.
Intervention | months (Median) |
---|
Arm I (Platinum-based Chemotherapy) | 10.3 |
Arm II (Olaparib) | 8.2 |
Arm III (Olaparib, Cediranib Maleate) | 10.4 |
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Overall Survival
Overall survival (OS) was defined as the number of months between study enrollment and death from any cause. Patients still alive at the last follow-up were censored on the date of last contact. Japanese cohort not included in overall survival analysis, the cohort was only included in toxicity assessments. (NCT02446600)
Timeframe: Approximately 30 months
Intervention | months (Median) |
---|
Arm I (Platinum-based Chemotherapy) | 31.3 |
Arm II (Olaparib) | 29.2 |
Arm III (Olaparib, Cediranib Maleate) | 30.5 |
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Disease Control Rate
"The number of participants that achieved either Stable Disease (SD) or a Partial Response (PR) as assessed by Response Evaluation Criteria in Solid Tumors (RECIST v1.1) at 24 weeks.~Partial Response (PR): At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.~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." (NCT02448537)
Timeframe: 24 Weeks
Intervention | Participants (Count of Participants) |
---|
PM01183 and Doxorubicin | 13 |
PM01183 and Gemcitabine | 2 |
Single Agent PM01183 | 3 |
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Overall Response Rate
"The overall response rate is the number of participants that achieved either Stable Disease (SD), a Partial Response (PR), or a Complete Response (CR) as assessed by Response Evaluation Criteria in Solid Tumors (RECIST v1.1). The overall response rate is the best response recorded from the start of treatment until disease progression/recurrence.~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.~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." (NCT02448537)
Timeframe: Every 6 weeks for the first 8 cycles (cycle is 21 days) and then every 9 weeks thereafter until disease progression
Intervention | Participants (Count of Participants) |
---|
| Complete Response | Partial Response | Stable Disease | Unknown |
---|
PM01183 and Doxorubicin | 0 | 7 | 6 | 1 |
,PM01183 and Gemcitabine | 0 | 1 | 1 | 0 |
,Single Agent PM01183 | 0 | 0 | 3 | 1 |
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Number of Participants With ADA Response to Tremelimumab
Blood samples were measured for the presence of ADAs and ADA-nAb for tremelimumab using validated assays. Tiered analysis was performed to include screening, confirmatory, and titer assay components, and positive-negative cut points previously statistically determined from drug-naïve validation samples were employed. Immunogenicity results were analyzed by summarizing the number of participants who developed detectable ADAs against tremelimumab. Persistently positive is defined as having at least 2 post-baseline ADA positive measurements with at least 16 weeks (112 days) between the first and last positive measurements, or an ADA positive result at the last available assessment. Transiently positive is defined as having at least one post-baseline ADA positive measurement and not fulfilling the conditions for persistently positive. (NCT02453282)
Timeframe: At Weeks 0 and 12; 3 and 6 months after last dose of study treatment.
Intervention | Participants (Count of Participants) |
---|
| ADA positive at any time | Treatment-emergent ADA positive | ADA positive at baseline and post-baseline | ADA positive at post-baseline only | ADA positive at baseline only | Treatment-boosted ADA | Persistent positive | Transient positive | nAb positive at any visit |
---|
Durvalumab + Tremelimumab | 33 | 28 | 1 | 28 | 4 | 0 | 25 | 4 | 25 |
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Cmax_ss of Tremelimumab
Blood samples were collected to determine the Cmax_ss of tremelimumab. Steady state was defined as Cycle 4 (Week 12). PK parameters were determined using standard non-compartmental methods. (NCT02453282)
Timeframe: Within 1 hour after end of infusion on infusion day at Week 12.
Intervention | mcg/mL (Mean) |
---|
Durvalumab + Tremelimumab | 24.8 |
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Trough Serum Concentration at Steady State (Ctrough_ss) of Durvalumab
Blood samples were collected to determine the Ctrough_ss of durvalumab. Steady state was defined as Cycle 4 (Week 12). PK parameters were determined using standard non-compartmental methods. (NCT02453282)
Timeframe: Pre-dose at Week 12.
Intervention | mcg/mL (Mean) |
---|
Durvalumab Monotherapy | 139.5 |
Durvalumab + Tremelimumab | 140.8 |
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Time From Randomization to Second Progression (PFS2); PD-L1 (TC >=25%) Analysis Set Population
The PFS2 was defined as the time from the date of randomization to the earliest of the progression events (subsequent to that used for the primary variable PFS and excluding any confirmation of progression scans performed for first progression) or death (ie, date of PFS2 event or censoring - date of randomization + 1). The second progression event was determined by local standard clinical practice which may have included any of the following: objective radiological imaging, symptomatic progression, or death. (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to Week 48, then every 8 weeks thereafter until 1st progression. Disease then assessed per local practice until 2nd progression. Assessed up to data cut-off date (maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | 12.7 |
Durvalumab + Tremelimumab | 10.9 |
SoC Chemotherapy | 10.4 |
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Progression-Free Survival (PFS); PD-L1 (TC >=25%) Analysis Set Population, Durvalumab + Tremelimumab Vs SoC Chemotherapy
The PFS per Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST 1.1) using blinded independent central review (BICR) assessments was defined as the time from the date of randomization until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the participant withdraw from randomized therapy or received another anti-cancer therapy prior to progression (ie, date of PFS event or censoring - date of randomization + 1). Progressive disease (PD) was defined as at least a 20% increase in the sum of diameters of target lesions (TLs) and an absolute increase of at least 5 millimeter (mm), taking as reference the smallest sum of diameters since treatment started including the baseline sum of diameters. Median PFS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 48 weeks relative to the date of randomization, then every 8 weeks thereafter until confirmed disease progression. Assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab + Tremelimumab | 3.9 |
SoC Chemotherapy | 5.4 |
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PFS2; FAS Population
The PFS2 was defined as the time from the date of randomization to the earliest of the progression events (subsequent to that used for the primary variable PFS and excluding any confirmation of progression scans performed for first progression) or death (ie, date of PFS2 event or censoring - date of randomization + 1). The second progression event was determined by local standard clinical practice which may have included any of the following: objective radiological imaging, symptomatic progression, or death. (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to Week 48, then every 8 weeks thereafter until 1st progression. Disease then assessed per local practice until 2nd progression. Assessed up to data cut-off date (maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | 9.3 |
Durvalumab + Tremelimumab | 9.8 |
SoC Chemotherapy | 10.1 |
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PFS; PD-L1 (TC >=1%) Analysis Set Population
The PFS per RECIST 1.1 using BICR assessments was defined as the time from the date of randomization until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the participant withdraw from randomized therapy or received another anti-cancer therapy prior to progression (ie, date of PFS event or censoring - date of randomization + 1). The PD was defined as at least a 20% increase in the sum of diameters of TLs and an absolute increase of at least 5 mm, taking as reference the smallest sum of diameters since treatment started including the baseline sum of diameters. Median PFS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 48 weeks relative to the date of randomization, then every 8 weeks thereafter until confirmed disease progression. Assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | 3.6 |
Durvalumab + Tremelimumab | 2.8 |
SoC Chemotherapy | 5.5 |
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Ctrough_ss of Tremelimumab
Blood samples were collected to determine the Ctrough_ss of tremelimumab. Steady state was defined as Cycle 4 (Week 12). PK parameters were determined using standard non-compartmental methods. (NCT02453282)
Timeframe: Pre-dose at Week 12.
Intervention | mcg/mL (Mean) |
---|
Durvalumab + Tremelimumab | 4.9 |
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Objective Response Rate (ORR); PD-L1 (TC >=25%) Analysis Set Population
The ORR per RECIST 1.1 using BICR assessments was defined as the percentage of participants with at least 1 visit response of Complete Response (CR) or Partial Response (PR). The CR was defined as disappearance of all TLs (any pathological lymph nodes selected as TLs must have a reduction in short axis to <10 mm) and PR was defined as at least a 30% decrease in the sum of diameters of TLs (taking as reference the baseline sum of diameters as long as criteria for PD are not met). (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 48 weeks relative to the date of randomization, then every 8 weeks thereafter until confirmed disease progression. Assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | percentage of participants (Number) |
---|
Durvalumab Monotherapy | 35.6 |
Durvalumab + Tremelimumab | 34.4 |
SoC Chemotherapy | 37.7 |
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DoR; FAS Population
The DoR per RECIST 1.1 using BICR assessments was defined as the time from the date of first documented response until the first date of documented progression or death in the absence of disease progression (ie, date of PFS event or censoring - date of first response + 1). The CR was defined as disappearance of all TLs (any pathological lymph nodes selected as TLs must have a reduction in short axis to <10 mm) and PR was defined as at least a 30% decrease in the sum of diameters of TLs (taking as reference the baseline sum of diameters as long as criteria for PD are not met). (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 48 weeks relative to the date of randomization, then every 8 weeks thereafter until confirmed disease progression. Assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | NA |
Durvalumab + Tremelimumab | NA |
SoC Chemotherapy | 4.3 |
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PFS; PD-L1 (TC >=25%) Analysis Set Population, Durvalumab Monotherapy Vs SoC Chemotherapy and Durvalumab + Tremelimumab Vs Durvalumab Monotherapy
The PFS per RECIST 1.1 using BICR assessments was defined as the time from the date of randomization until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the participant withdraw from randomized therapy or received another anti-cancer therapy prior to progression (ie, date of PFS event or censoring - date of randomization + 1). The PD was defined as at least a 20% increase in the sum of diameters of TLs and an absolute increase of at least 5 mm, taking as reference the smallest sum of diameters since treatment started including the baseline sum of diameters. Median PFS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 48 weeks relative to the date of randomization, then every 8 weeks thereafter until confirmed disease progression. Assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | 4.7 |
Durvalumab + Tremelimumab | 3.9 |
SoC Chemotherapy | 5.4 |
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PFS2; PD-L1 (TC >=1%) Analysis Set Population
The PFS2 was defined as the time from the date of randomization to the earliest of the progression events (subsequent to that used for the primary variable PFS and excluding any confirmation of progression scans performed for first progression) or death (ie, date of PFS2 event or censoring - date of randomization + 1). The second progression event was determined by local standard clinical practice which may have included any of the following: objective radiological imaging, symptomatic progression, or death. (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to Week 48, then every 8 weeks thereafter until 1st progression. Disease then assessed per local practice until 2nd progression. Assessed up to data cut-off date (maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | 10.6 |
Durvalumab + Tremelimumab | 9.4 |
SoC Chemotherapy | 10.5 |
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Serum Concentrations of Tremelimumab
Blood samples were collected to determine the serum concentration of tremelimumab. (NCT02453282)
Timeframe: Pre-dose and within 1 hour after end of infusion at Week 0 and 12, and at follow-up Month 3.
Intervention | mcg/mL (Mean) |
---|
| At Week 0: Pre-infusion | At Week 0: End of infusion | At Week 12: Pre-infusion | At Week 12: End of infusion | At follow-up Month 3 |
---|
Durvalumab + Tremelimumab | NA | 22.6 | 4.9 | 24.8 | 0.5 |
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Serum Concentrations of Durvalumab
Blood samples were collected to determine the serum concentration of durvalumab. (NCT02453282)
Timeframe: Pre-dose and within 1 hour after end of infusion at Week 0, 12 and 24, and at follow-up Month 3.
Intervention | microgram per milliliter (mcg/mL) (Mean) |
---|
| At Week 0: Pre-infusion | At Week 0: End of infusion | At Week 12: Pre-infusion | At Week 12: End of infusion | At Week 24: Pre-infusion | At Week 24: End of infusion | At follow-up Month 3 |
---|
Durvalumab + Tremelimumab | NA | 444.3 | 140.8 | 506.1 | 197.0 | 553.2 | 41.4 |
,Durvalumab Monotherapy | NA | 484.5 | 139.5 | 625.3 | 163.0 | 598.2 | 49.3 |
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Number of Participants With Anti-Drug Antibody (ADA) Response to Durvalumab
Blood samples were measured for the presence of ADAs and ADA-neutralizing antibodies (nAb) for durvalumab using validated assays. Tiered analysis was performed to include screening, confirmatory, and titer assay components, and positive-negative cut points previously statistically determined from drug-naïve validation samples were employed. Immunogenicity results were analyzed by summarizing the number of participants who developed detectable ADAs against durvalumab. Persistently positive is defined as having at least 2 post-baseline ADA positive measurements with at least 16 weeks (112 days) between the first and last positive measurements, or an ADA positive result at the last available assessment. Transiently positive is defined as having at least one post-baseline ADA positive measurement and not fulfilling the conditions for persistently positive. (NCT02453282)
Timeframe: At Weeks 0, 12, and 24; 3 and 6 months after last dose of study treatment.
Intervention | Participants (Count of Participants) |
---|
| ADA positive at any time | Treatment-emergent ADA positive | ADA positive at baseline and post-baseline | ADA positive at post-baseline only | ADA positive at baseline only | Treatment-boosted ADA | Persistent positive | Transient positive | nAb positive at any visit |
---|
Durvalumab + Tremelimumab | 14 | 8 | 1 | 8 | 5 | 0 | 9 | 0 | 1 |
,Durvalumab Monotherapy | 17 | 8 | 3 | 8 | 6 | 0 | 8 | 3 | 2 |
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PFS; FAS Population
The PFS per RECIST 1.1 using BICR assessments was defined as the time from the date of randomization until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the participant withdraw from randomized therapy or received another anti-cancer therapy prior to progression (ie, date of PFS event or censoring - date of randomization + 1). The PD was defined as at least a 20% increase in the sum of diameters of TLs and an absolute increase of at least 5 mm, taking as reference the smallest sum of diameters since treatment started including the baseline sum of diameters. Median PFS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 48 weeks relative to the date of randomization, then every 8 weeks thereafter until confirmed disease progression. Assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | 2.8 |
Durvalumab + Tremelimumab | 2.9 |
SoC Chemotherapy | 5.4 |
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Percentage of Participants APF12; PD-L1 (TC >=1%) Analysis Set Population
The APF12 was defined as the percentage of participants who were alive and progression free per RECIST v1.1 using BICR assessments at 12 months after randomization. The PFS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 12 months.
Intervention | percentage of participants (Number) |
---|
Durvalumab Monotherapy | 27.0 |
Durvalumab + Tremelimumab | 20.4 |
SoC Chemotherapy | 14.9 |
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Percentage of Participants APF12; FAS Population
The APF12 was defined as the percentage of participants who were alive and progression free per RECIST v1.1 using BICR assessments at 12 months after randomization. The PFS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 12 months.
Intervention | percentage of participants (Number) |
---|
Durvalumab Monotherapy | 22.5 |
Durvalumab + Tremelimumab | 19.8 |
SoC Chemotherapy | 13.8 |
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Percentage of Participants Alive and Progression Free at 12 Months (APF12); PD-L1 (TC >=25%) Analysis Set Population
The APF12 was defined as the percentage of participants who were alive and progression free per RECIST v1.1 using BICR assessments at 12 months after randomization. The PFS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 12 months.
Intervention | percentage of participants (Number) |
---|
Durvalumab Monotherapy | 32.3 |
Durvalumab + Tremelimumab | 25.8 |
SoC Chemotherapy | 14.3 |
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Overall Survival (OS); PD-L1 (TC >=25%) Analysis Set Population, Durvalumab Monotherapy Vs SoC Chemotherapy and Durvalumab + Tremelimumab Vs SoC Chemotherapy
The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at the time of analysis were censored based on the last recorded date on which the participant was known to be alive. Median OS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: From baseline (Day 1, Week 0) until death due to any cause, assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | 16.3 |
Durvalumab + Tremelimumab | 11.9 |
SoC Chemotherapy | 12.9 |
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OS; PD-L1 (TC >=25%) Analysis Set Population, Durvalumab + Tremelimumab Vs Durvalumab Monotherapy
The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at the time of analysis were censored based on the last recorded date on which the participant was known to be alive. Median OS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: From baseline until death due to any cause, assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | 16.3 |
Durvalumab + Tremelimumab | 11.9 |
SoC Chemotherapy | 12.9 |
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OS; PD-L1 (TC >=1%) Analysis Set Population
The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at the time of analysis were censored based on the last recorded date on which the participant was known to be alive. Median OS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: From baseline until death due to any cause, assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | 14.6 |
Durvalumab + Tremelimumab | 10.9 |
SoC Chemotherapy | 12.3 |
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OS; FAS Population
The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at the time of analysis were censored based on the last recorded date on which the participant was known to be alive. Median OS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: From baseline until death due to any cause, assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | 12.3 |
Durvalumab + Tremelimumab | 11.2 |
SoC Chemotherapy | 11.8 |
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ORR; PD-L1 (TC >=1%) Analysis Set Population
The ORR per RECIST 1.1 using BICR assessments was defined as the percentage of participants with at least 1 visit response of CR or PR. The CR was defined as disappearance of all TLs (any pathological lymph nodes selected as TLs must have a reduction in short axis to <10 mm) and PR was defined as at least a 30% decrease in the sum of diameters of TLs (taking as reference the baseline sum of diameters as long as criteria for PD are not met). (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 48 weeks relative to the date of randomization, then every 8 weeks thereafter until confirmed disease progression. Assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | percentage of participants (Number) |
---|
Durvalumab Monotherapy | 26.5 |
Durvalumab + Tremelimumab | 25.3 |
SoC Chemotherapy | 33.6 |
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ORR; FAS Population
The ORR per RECIST 1.1 using BICR assessments was defined as the percentage of participants with at least 1 visit response of CR or PR. The CR was defined as disappearance of all TLs (any pathological lymph nodes selected as TLs must have a reduction in short axis to <10 mm) and PR was defined as at least a 30% decrease in the sum of diameters of TLs (taking as reference the baseline sum of diameters as long as criteria for PD are not met). (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 48 weeks relative to the date of randomization, then every 8 weeks thereafter until confirmed disease progression. Assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | percentage of participants (Number) |
---|
Durvalumab Monotherapy | 22.2 |
Durvalumab + Tremelimumab | 24.7 |
SoC Chemotherapy | 30.1 |
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Maximum Serum Concentration at Steady State (Cmax_ss) of Durvalumab
Blood samples were collected to determine the Cmax_ss of durvalumab. Steady state was defined as Cycle 4 (Week 12). PK parameters were determined using standard non-compartmental methods. (NCT02453282)
Timeframe: Within 1 hour after end of infusion on infusion day at Week 12.
Intervention | mcg/mL (Mean) |
---|
Durvalumab Monotherapy | 625.3 |
Durvalumab + Tremelimumab | 506.1 |
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Duration of Response (DoR); PD-L1 (TC >=25%) Analysis Set Population
The DoR per RECIST 1.1 using BICR assessments was defined as the time from the date of first documented response until the first date of documented progression or death in the absence of disease progression (ie, date of PFS event or censoring - date of first response + 1). The CR was defined as disappearance of all TLs (any pathological lymph nodes selected as TLs must have a reduction in short axis to <10 mm) and PR was defined as at least a 30% decrease in the sum of diameters of TLs (taking as reference the baseline sum of diameters as long as criteria for PD are not met). (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 48 weeks relative to the date of randomization, then every 8 weeks thereafter until confirmed disease progression. Assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | NA |
Durvalumab + Tremelimumab | NA |
SoC Chemotherapy | 4.4 |
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DoR; PD-L1 (TC >=1%) Analysis Set Population
The DoR per RECIST 1.1 using BICR assessments was defined as the time from the date of first documented response (CR or PR) until the first date of documented progression or death in the absence of disease progression (ie, date of PFS event or censoring - date of first response + 1). The CR was defined as disappearance of all TLs (any pathological lymph nodes selected as TLs must have a reduction in short axis to <10 mm) and PR was defined as at least a 30% decrease in the sum of diameters of TLs (taking as reference the baseline sum of diameters as long as criteria for PD are not met). (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 48 weeks relative to the date of randomization, then every 8 weeks thereafter until confirmed disease progression. Assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | NA |
Durvalumab + Tremelimumab | NA |
SoC Chemotherapy | 4.4 |
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Progression Free Survival
Progression Free Survival (PFS) is defined as the time from randomization to the event of disease recurrence/progression defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) or death due to any cause. To determine the progression free survival of subjects dosed with Vigil immunotherapy in combination with irinotecan and temozolomide. (NCT02511132)
Timeframe: Estimated median 1.3 years
Intervention | Participants (Count of Participants) |
---|
Part 1: Vigil Alone | 5 |
Part 1: Gemicitabine and Docetaxel | 6 |
Part 2: Vigil in Combination With Temozolomide and Irinotecan | 9 |
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Overall Survival
OS is defined as time from randomization to death or to the date of last follow-up. The date of last follow-up confirming survival will be used as the censoring date for subjects who are alive and/or do not have a known date of death. (NCT02511132)
Timeframe: Estimated median 2 years
Intervention | Participants (Count of Participants) |
---|
Part 1: Vigil Alone | 3 |
Part 1: Gemcitabine and Docetaxel | 6 |
Part 2: Vigil in Combination With Temozolomide and Irinotecan | 5 |
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Number of Participants With Adverse Events Determined by Laboratory Assessments and Physical Examinations
"To determine safety profile of Vigil immunotherapy in combination with irinotecan and temozolomide with 30 days of last dose in patients with metastatic Ewing's sarcoma refractory or intolerant to at least 1 prior line of systemic chemotherapy.~• To determine safety profile of Vigil immunotherapy in combination with irinotecan and temozolimidetemozolomide in patients with metastatic Ewing's sarcoma refractory or intolerant to at least 1 prior line of systemic chemotherapy." (NCT02511132)
Timeframe: 30 days of last treatment dosing
Intervention | Participants (Count of Participants) |
---|
Part 1: Vigil Alone | 5 |
Part 1: Gemcitabine and Docetaxel | 6 |
Part 2: Vigil in Combination With Temozolomide and Irinotecan | 9 |
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Alive at 24 Months (OS24), PD-L1-Low/Negative Analysis Set
Alive at 24 months (OS24) is defined as the Kaplan-Meier estimate of OS at 24 months. (NCT02516241)
Timeframe: From randomization date until death due to any cause, assessed up to 24 months or the data cut-off date (27JAN2020).
Intervention | percentage of participants (Number) |
---|
Combination Therapy | 32.1 |
Monotherapy | 24.5 |
Standard of Care | 28.6 |
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PFS2, PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy Versus SoC and Durvalumab + Tremelimumab Combination Therapy Versus Durvalumab Monotherapy
"Time from randomization to second progression or death (PFS2) was defined as the time from the date of randomization to the earliest of the progression event subsequent to first subsequent therapy or death (ie, date of PFS2 event or censoring - date of randomization +1).~Median PFS2 was calculated using the Kaplan-Meier technique." (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until first confirmed disease progression, disease then assessed per local practice until 2nd progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | Months (Median) |
---|
Combination Therapy | 10.7 |
Monotherapy | 9.4 |
Standard of Care | 11.6 |
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To Assess the Efficacy of Durvalumab + Tremelimumab Combination Therapy Versus SoC in Terms of OS in Full Analysis Set
The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at the time of analysis were censored based on the last recorded date on which the participant was known to be alive. Median OS was calculated using the Kaplan-Meier technique. (NCT02516241)
Timeframe: From randomization date until death due to any cause, assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | Months (Median) |
---|
Combination Therapy | 15.1 |
Standard of Care | 12.1 |
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Improvement in Fatigue and Deterioration in Pain Per FACT-BL, PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
"Fatigue will be based on the question of I have a lack of energy and pain will be based on the question of I have pain, according to GP1 and GP4 in PWB, respectively.~Improvement in fatigue is defined at least 1 point improvement from baseline using GP1 of FACT-BL.~Deterioration in pain is defined as at least 1 point deterioration from baseline using GP4 of FACT-BL." (NCT02516241)
Timeframe: At baseline then every 8 weeks until second progression/death, whichever comes first. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | Participants (Count of Participants) |
---|
| Patients with improvement in fatigue | Patient with deterioration in pain |
---|
Combination Therapy | 15 | 64 |
,Monotherapy | 13 | 59 |
,Standard of Care | 10 | 32 |
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PFS, PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy Versus SoC and Durvalumab + Tremelimumab Combination Therapy Versus Durvalumab Monotherapy
"Progression free survival (PFS) (per RECIST 1.1, as assessed by investigator) was defined as the time from the date of randomization until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the patient withdraws from randomized therapy or receives another anticancer therapy prior to progression.~Median PFS was calculated using the Kaplan-Meier technique." (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | Months (Median) |
---|
Combination Therapy | 2.0 |
Monotherapy | 2.0 |
Standard of Care | 7.2 |
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Alive and Progression-free at 12 Months (APF12), Full Analysis Set
Alive and progression-free at 12 months (APF12) was defined as the Kaplan-Meier estimate of PFS (per RECIST 1.1 as assessed by investigator) at 12 months. (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 12 months or the data cut-off date (27JAN2020).
Intervention | percentage of participants (Number) |
---|
Combination Therapy | 21.4 |
Monotherapy | 16.8 |
Standard of Care | 15.3 |
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Alive and Progression-free at 12 Months (APF12), PD-L1-High Analysis Set
Alive and progression-free at 12 months (APF12) was defined as the Kaplan-Meier estimate of PFS (per RECIST 1.1 as assessed by investigator) at 12 months. (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 12 months or the data cut-off date (27JAN2020).
Intervention | percentage of participants (Number) |
---|
Combination Therapy | 25.6 |
Monotherapy | 21.2 |
Standard of Care | 15.0 |
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Alive and Progression-free at 12 Months (APF12), PD-L1-Low/Negative Analysis Set
Alive and progression-free at 12 months (APF12) was defined as the Kaplan-Meier estimate of PFS (per RECIST 1.1 as assessed by investigator) at 12 months. (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 12 months or the data cut-off date (27JAN2020).
Intervention | percentage of participants (Number) |
---|
Combination Therapy | 15.2 |
Monotherapy | 9.7 |
Standard of Care | 15.6 |
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Alive at 24 Months (OS24), Full Analysis Set
Alive at 24 months (OS24) is defined as the Kaplan-Meier estimate of OS at 24 months. (NCT02516241)
Timeframe: From randomization date until death due to any cause, assessed up to 24 months or the data cut-off date (27JAN2020).
Intervention | percentage of participants (Number) |
---|
Combination Therapy | 39.0 |
Monotherapy | 31.5 |
Standard of Care | 29.0 |
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Alive at 24 Months (OS24), PD-L1-High Analysis Set
Alive at 24 months (OS24) is defined as the Kaplan-Meier estimate of OS at 24 months. (NCT02516241)
Timeframe: From randomization date until death due to any cause, assessed up to 24 months or the data cut-off date (27JAN2020).
Intervention | percentage of participants (Number) |
---|
Combination Therapy | 43.7 |
Monotherapy | 36.0 |
Standard of Care | 29.3 |
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Duration of Response (DoR), PD-L1-Low/Negative Analysis Set
Duration of response (DoR) (per RECIST 1.1 as assessed by investigator) was defined as the time from the date of first documented response until the first date of documented progression or death in the absence of disease progression (i.e. date of PFS event or censoring - date of first response + 1). (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | Months (Median) |
---|
Combination Therapy | 12.9 |
Monotherapy | 5.6 |
Standard of Care | 5.7 |
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Improvement in Fatigue and Deterioration in Pain Per FACT-BL, Full Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
"Fatigue will be based on the question of I have a lack of energy and pain will be based on the question of I have pain, according to GP1 and GP4 in PWB, respectively.~Improvement in fatigue is defined at least 1 point improvement from baseline using GP1 of FACT-BL.~Deterioration in pain is defined as at least 1 point deterioration from baseline using GP4 of FACT-BL." (NCT02516241)
Timeframe: At baseline then every 8 weeks until second progression/death, whichever comes first. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | Participants (Count of Participants) |
---|
| Patients with improvement in fatigue | Patient with deterioration in pain |
---|
Combination Therapy | 38 | 142 |
,Monotherapy | 37 | 130 |
,Standard of Care | 24 | 83 |
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Change From Baseline in FACT-BL (Derived NFBlSI-18 Score, FACT-BL TOI, and FACT-BL Total Score) by MMRM Analysis, PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
"the change from baseline in the following total/index scores will be evaluated as secondary endpoints: FACT-BL TOI (refer to as TOI), FACT-BL Total score, and NFBlSI-18 score.~All the 5 subscales (PWB (0-28), FWB (0-28), EWB (0-24), SWB (0-28), and BlCS(0-48)) are summed as the FACT-BL total score (range 0-156), while the sum of PWB, FWB and BICS constitutes the FACT-BL TOI (range 0-104).~NFBlSI-18 (range 0-72) is based on the scores of 16 items (GP4, C2, BL1, GP3, GE6, GE1, C6, BL5, GF5, GP2, GP1, GP6, C3, GP5, GF3, GF7) and 2 extra items I feel weak all overall and I feel light-headed (dizzy). The range of each item is 0-4.~Higher score represent worse" (NCT02516241)
Timeframe: At baseline then every 8 weeks until second progression/death, whichever comes first. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | Scores on a scale (Mean) |
---|
| NFBLSI - 18 Score (Average overall visits) | FACT-BL TOI (Average overall visits) | FACT-BL Total score (Average overall visits) |
---|
Combination Therapy | -3.4 | -4.9 | -5.7 |
,Monotherapy | -3.8 | -5.0 | -6.5 |
,Standard of Care | -2.0 | -3.0 | -3.2 |
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Disease Control Rate (DCR) at 12 Months, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Monotherapy vs SoC
Disease control rate (DCR) at 12 months is defined as the percentage of patients who have a best objective response (BoR) of CR or PR, or who have demonstrated SD for a minimum interval of 48 weeks (-7 days, i.e., 329 days), following the start of study treatment. (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 12 months or the data cut-off date (27JAN2020).
Intervention | percentage of participants (Number) |
---|
Combination Therapy | 47.3 |
Monotherapy | 30.6 |
Standard of Care | 48.8 |
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Disease Control Rate (DCR) at 12 Months, PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy Versus SoC and Durvalumab + Tremelimumab Combination Therapy Versus Durvalumab Monotherapy
Disease control rate (DCR) at 12 months is defined as the percentage of patients who have a best objective response (BoR) of CR or PR, or who have demonstrated SD for a minimum interval of 48 weeks (-7 days, i.e., 329 days), following the start of study treatment. (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 12 months or the data cut-off date (27JAN2020).
Intervention | percentage of participants (Number) |
---|
Combination Therapy | 24.1 |
Monotherapy | 24.1 |
Standard of Care | 53.3 |
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Disease Control Rate (DCR) at 6 Months, Full Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
Disease control rate (DCR) at 6 months is defined as the percentage of patients who have a best objective response (BoR) of CR or PR, or who have demonstrated SD for a minimum interval of 24 weeks (-7 days, i.e., 161 days), following the start of study treatment. (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 6 months or the data cut-off date (27JAN2020).
Intervention | percentage of participants (Number) |
---|
Combination Therapy | 41.5 |
Monotherapy | 31.8 |
Standard of Care | 55.5 |
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Disease Control Rate (DCR) at 6 Months, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Monotherapy vs SoC
Disease control rate (DCR) at 6 months is defined as the percentage of patients who have a best objective response (BoR) of CR or PR, or who have demonstrated SD for a minimum interval of 24 weeks (-7 days, i.e., 161 days), following the start of study treatment. (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 6 months or the data cut-off date (27JAN2020).
Intervention | percentage of participants (Number) |
---|
Combination Therapy | 49.8 |
Monotherapy | 34.4 |
Standard of Care | 53.1 |
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Disease Control Rate (DCR) at 6 Months, PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy Versus SoC and Durvalumab + Tremelimumab Combination Therapy Versus Durvalumab Monotherapy
Disease control rate (DCR) at 6 months is defined as the percentage of patients who have a best objective response (BoR) of CR or PR, or who have demonstrated SD for a minimum interval of 24 weeks (-7 days, i.e., 161 days), following the start of study treatment. (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 6 months or the data cut-off date (27JAN2020).
Intervention | percentage of participants (Number) |
---|
Combination Therapy | 29.2 |
Monotherapy | 27.7 |
Standard of Care | 59.1 |
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Disease Control Rate (DCR) at 12 Months, Full Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
Disease control rate (DCR) at 12 months is defined as the percentage of patients who have a best objective response (BoR) of CR or PR, or who have demonstrated SD for a minimum interval of 48 weeks (-7 days, i.e., 329 days), following the start of study treatment. (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 12 months or the data cut-off date (27JAN2020)
Intervention | percentage of participants (Number) |
---|
Combination Therapy | 38.0 |
Monotherapy | 28.0 |
Standard of Care | 50.6 |
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Duration of Response (DoR), Full Analysis Set
Duration of response (DoR) (per RECIST 1.1 as assessed by investigator) was defined as the time from the date of first documented response until the first date of documented progression or death in the absence of disease progression (i.e. date of PFS event or censoring - date of first response + 1). (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | Months (Median) |
---|
Combination Therapy | 11.1 |
Monotherapy | 9.3 |
Standard of Care | 5.7 |
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Duration of Response (DoR), PD-L1-High Analysis Set
Duration of response (DoR) (per RECIST 1.1 as assessed by investigator) was defined as the time from the date of first documented response until the first date of documented progression or death in the absence of disease progression (i.e. date of PFS event or censoring - date of first response + 1). (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | Months (Median) |
---|
Combination Therapy | 10.0 |
Monotherapy | 18.5 |
Standard of Care | 5.8 |
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Change From Baseline in FACT-BL (Derived NFBlSI-18 Score, FACT-BL TOI, and FACT-BL Total Score) by MMRM Analysis, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
"the change from baseline in the following total/index scores will be evaluated as secondary endpoints: FACT-BL TOI (refer to as TOI), FACT-BL Total score, and NFBlSI-18 score.~All the 5 subscales (PWB (0-28), FWB (0-28), EWB (0-24), SWB (0-28), and BlCS(0-48)) are summed as the FACT-BL total score (range 0-156), while the sum of PWB, FWB and BICS constitutes the FACT-BL TOI (range 0-104).~NFBlSI-18 (range 0-72) is based on the scores of 16 items (GP4, C2, BL1, GP3, GE6, GE1, C6, BL5, GF5, GP2, GP1, GP6, C3, GP5, GF3, GF7) and 2 extra items I feel weak all overall and I feel light-headed (dizzy). The range of each item is 0-4.~Higher score represent worse" (NCT02516241)
Timeframe: At baseline then every 8 weeks until second progression/death, whichever comes first. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | Scores on a scale (Mean) |
---|
| NFBLSI - 18 Score (Average overall visits) | FACT-BL TOI (Average overall visits) | FACT-BL Total score (Average overall visits) |
---|
Combination Therapy | -3.9 | -5.8 | -8.0 |
,Monotherapy | -2.0 | -2.6 | -2.7 |
,Standard of Care | -5.7 | -8.0 | -10.1 |
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Objective Response Rate (ORR) Based on BICR Assessment According to RECIST 1.1 - Responses Are Confirmed - Durvalumab Cisplatin Ineligible Population
"Objective response rate ORR (per RECIST 1.1 as assessed by investigator) is defined as the number (%) of patients with at least 1 visit response of CR or PR.~unconfirmed responses are excluded." (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (01NOV2017, a maximum of 3 years).
Intervention | percentage of participants (Number) |
---|
Monotherapy - PD-L1 High | 23.0 |
Monotherapy - PD-L1 Low/Negative | 17.9 |
Monotherapy - Total | 21.0 |
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Objective Response Rate (ORR), Full Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
Objective response rate ORR (per RECIST 1.1 as assessed by investigator) is defined as the number (%) of patients with at least 1 visit response of CR or PR. (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | percentage of participants (Number) |
---|
Combination Therapy | 36.3 |
Monotherapy | 25.7 |
Standard of Care | 49.1 |
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Objective Response Rate (ORR), PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Monotherapy vs SoC
Objective response rate ORR (per RECIST 1.1 as assessed by investigator) is defined as the number (%) of patients with at least 1 visit response of CR or PR. (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | percentage of participants (Number) |
---|
Combination Therapy | 46.8 |
Monotherapy | 27.8 |
Standard of Care | 48.3 |
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Objective Response Rate (ORR), PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy Versus SoC and Durvalumab + Tremelimumab Combination Therapy Versus Durvalumab Monotherapy
Objective response rate ORR (per RECIST 1.1 as assessed by investigator) is defined as the number (%) of patients with at least 1 visit response of CR or PR. (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | percentage of participants (Number) |
---|
Combination Therapy | 20.4 |
Monotherapy | 22.6 |
Standard of Care | 50.4 |
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OS, Full Analysis Set - Durvalumab Monotherapy vs SoC
The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at the time of analysis were censored based on the last recorded date on which the participant was known to be alive. Median OS was calculated using the Kaplan-Meier technique. (NCT02516241)
Timeframe: From randomization date until death due to any cause, assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | Months (Median) |
---|
Monotherapy | 13.2 |
Standard of Care | 12.1 |
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Serum Concentrations of Tremelimumab, Pharmacokinetic Analysis Set
Blood samples were collected to determine the serum concentration of tremelimumab. (NCT02516241)
Timeframe: Pre-dose and within 1 hour after end of infusion at Week 0, 12 and 24, pre-dose at week 4, and at follow-up Month 3.
Intervention | μg/mL (Mean) |
---|
| Week 0 - Predose | Week 0 - Postdose | Week 4 - Predose | Week 12 - Predose | Week 12 - Postdose | Follow-up Month 3 |
---|
Combination Therapy | NA | 24.0 | 3.75 | 5.43 | 28.1 | 0.943 |
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Serum Concentrations of Durvalumab, Pharmacokinetic Analysis Set
Blood samples were collected to determine the serum concentration of durvalumab. (NCT02516241)
Timeframe: Pre-dose and within 1 hour after end of infusion at Week 0, 12 and 24, pre-dose at week 4, and at follow-up Month 3.
Intervention | μg/mL (Mean) |
---|
| Week 0 - Predose | Week 0 - Postdose | Week 4 - Predose | Week 12 - Predose | Week 12 - Postdose | Week 24 - Predose | Week 24 - Postdose | Follow-up Month 3 |
---|
Combination Therapy | NA | 511 | 75.3 | 125 | 594 | 150 | 604 | 23.3 |
,Monotherapy | NA | 484 | 78.9 | 144 | 576 | 163 | 600 | 19.9 |
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Number of Participants With Anti-Drug Antibody (ADA) Response to Tremelimumab, Safety Analysis Set - ADA Evaluable Patients
Serum Samples will be measured for the presence of ADAs and ADA-neutralizing antibodies for Tremelimumab using validated assays. Tiered analysis will be performed to include screening, confirmatory, and titer assay components, and positive-negative cut points previously statistically determined from drug-naïve validation samples will be used. Persistently positive is defined as having at least 2 post-baseline ADA positive measurements with at least 16 weeks (112 days) between the first and last positive measurements, or an ADA positive result at the last available assessment. Transiently positive is defined as having at least one post-baseline ADA positive measurement and not fulfilling the conditions for persistently positive. The category may include patients meeting these criteria who are ADA positive at baseline. (NCT02516241)
Timeframe: At week 0, 4, 12 and at follow-up Month 3.
Intervention | Participants (Count of Participants) |
---|
| ADA evaluable patients | ADA positive at any visit (ADA Prevalence) | Treatment-emergent ADA positive (ADA Incidence) | Treatment-boosted ADA | Treatment-induced ADA (Positive Post-baseline only) | ADA Positive at Baseline only | ADA Positive Post-baseline and Positive at Baseline | Persistently Positive | Transiently Positive | nAb Positive at any visit |
---|
Combination Therapy | 292 | 64 | 54 | 1 | 53 | 8 | 3 | 31 | 25 | 50 |
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Number of Participants With Anti-Drug Antibody (ADA) Response to Durvalumab, Safety Analysis Set - ADA Evaluable Patients
Serum Samples will be measured for the presence of ADAs and ADA-neutralizing antibodies for Durvalumab using validated assays. Tiered analysis will be performed to include screening, confirmatory, and titer assay components, and positive-negative cut points previously statistically determined from drug-naïve validation samples will be used. Persistently positive is defined as having at least 2 post-baseline ADA positive measurements with at least 16 weeks (112 days) between the first and last positive measurements, or an ADA positive result at the last available assessment. Transiently positive is defined as having at least one post-baseline ADA positive measurement and not fulfilling the conditions for persistently positive. The category may include patients meeting these criteria who are ADA positive at baseline. (NCT02516241)
Timeframe: At week 0, 4, 12 and 24, and at follow-up Month 3.
Intervention | Participants (Count of Participants) |
---|
| ADA evaluable patients | ADA positive at any visit (ADA Prevalence) | Treatment-emergent ADA positive (ADA Incidence) | Treatment-boosted ADA | Treatment-induced ADA (Positive Post-baseline only) | ADA Positive at Baseline only | ADA Positive Post-baseline and Positive at Baseline | Persistently Positive | Transiently Positive | nAb Positive at any visit |
---|
Combination Therapy | 293 | 37 | 28 | 0 | 28 | 8 | 1 | 15 | 14 | 3 |
,Monotherapy | 302 | 31 | 11 | 1 | 10 | 18 | 3 | 8 | 5 | 2 |
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OS, PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy Versus SoC and Durvalumab + Tremelimumab Combination Therapy Versus Durvalumab Monotherapy
The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at the time of analysis were censored based on the last recorded date on which the participant was known to be alive. Median OS was calculated using the Kaplan-Meier technique. (NCT02516241)
Timeframe: From randomization date until death due to any cause, assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | Months (Median) |
---|
Combination Therapy | 11.8 |
Monotherapy | 10.9 |
Standard of Care | 12.2 |
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PFS, Full Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
"Progression free survival (PFS) (per RECIST 1.1, as assessed by investigator) was defined as the time from the date of randomization until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the patient withdraws from randomized therapy or receives another anticancer therapy prior to progression.~Median PFS was calculated using the Kaplan-Meier technique." (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | Months (Median) |
---|
Combination Therapy | 3.7 |
Monotherapy | 2.3 |
Standard of Care | 6.7 |
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PFS, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Monotherapy vs SoC
"Progression free survival (PFS) (per RECIST 1.1, as assessed by investigator) was defined as the time from the date of randomization until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the patient withdraws from randomized therapy or receives another anticancer therapy prior to progression.~Median PFS was calculated using the Kaplan-Meier technique." (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | Months (Median) |
---|
Combination Therapy | 4.1 |
Monotherapy | 2.4 |
Standard of Care | 5.8 |
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To Assess the Efficacy of Durvalumab Monotherapy Versus SoC in Terms of OS in PD-L1-High Analysis Set
The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at the time of analysis were censored based on the last recorded date on which the participant was known to be alive. Median OS was calculated using the Kaplan-Meier technique. (NCT02516241)
Timeframe: From randomization date until death due to any cause, assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | Months (Median) |
---|
Monotherapy | 14.4 |
Standard of Care | 12.1 |
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OS, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy Versus SoC
The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at the time of analysis were censored based on the last recorded date on which the participant was known to be alive. Median OS was calculated using the Kaplan-Meier technique. (NCT02516241)
Timeframe: From randomization date until death due to any cause, assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | Months (Median) |
---|
Combination Therapy | 17.9 |
Standard of Care | 12.1 |
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PFS2, Full Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
"Time from randomization to second progression or death (PFS2) was defined as the time from the date of randomization to the earliest of the progression event subsequent to first subsequent therapy or death (ie, date of PFS2 event or censoring - date of randomization +1).~Median PFS2 was calculated using the Kaplan-Meier technique." (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until first confirmed disease progression, disease then assessed per local practice until 2nd progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | Months (Median) |
---|
Combination Therapy | 14.6 |
Monotherapy | 11.9 |
Standard of Care | 11.5 |
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PFS2, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Monotherapy vs SoC
"Time from randomization to second progression or death (PFS2) was defined as the time from the date of randomization to the earliest of the progression event subsequent to first subsequent therapy or death (ie, date of PFS2 event or censoring - date of randomization +1).~Median PFS2 was calculated using the Kaplan-Meier technique." (NCT02516241)
Timeframe: Tumour scans performed at baseline then every 8 weeks since randomization until first confirmed disease progression, disease then assessed per local practice until 2nd progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | Months (Median) |
---|
Combination Therapy | 17.2 |
Monotherapy | 13.4 |
Standard of Care | 11.3 |
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Improvement in Fatigue and Deterioration in Pain Per FACT-BL, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
"Fatigue will be based on the question of I have a lack of energy and pain will be based on the question of I have pain, according to GP1 and GP4 in PWB, respectively.~Improvement in fatigue is defined at least 1 point improvement from baseline using GP1 of FACT-BL.~Deterioration in pain is defined as at least 1 point deterioration from baseline using GP4 of FACT-BL." (NCT02516241)
Timeframe: At baseline then every 8 weeks until second progression/death, whichever comes first. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | Participants (Count of Participants) |
---|
| Patients with improvement in fatigue | Patient with deterioration in pain |
---|
Combination Therapy | 23 | 78 |
,Monotherapy | 24 | 71 |
,Standard of Care | 14 | 51 |
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Change From Baseline in FACT-BL (Derived NFBlSI-18 Score, FACT-BL TOI, and FACT-BL Total Score) by MMRM Analysis, Full Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
"the change from baseline in the following total/index scores will be evaluated as secondary endpoints: FACT-BL TOI (refer to as TOI), FACT-BL Total score, and NFBlSI-18 score.~All the 5 subscales (PWB (0-28), FWB (0-28), EWB (0-24), SWB (0-28), and BlCS(0-48)) are summed as the FACT-BL total score (range 0-156), while the sum of PWB, FWB and BICS constitutes the FACT-BL TOI (range 0-104).~NFBlSI-18 (range 0-72) is based on the scores of 16 items (GP4, C2, BL1, GP3, GE6, GE1, C6, BL5, GF5, GP2, GP1, GP6, C3, GP5, GF3, GF7) and 2 extra items I feel weak all overall and I feel light-headed (dizzy). The range of each item is 0-4.~Higher score represent worse outcome." (NCT02516241)
Timeframe: At baseline then every 8 weeks until second progression/death, whichever comes first. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
Intervention | Scores on a scale (Mean) |
---|
| NFBLSI - 18 Score (Average overall visits) | FACT-BL TOI (Average overall visits) | FACT-BL Total score (Average overall visits) |
---|
Combination Therapy | -3.7 | -5.5 | -7.2 |
,Monotherapy | -3.1 | -3.9 | -4.7 |
,Standard of Care | -5.2 | -7.2 | -8.8 |
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Overall Response Rate
defined as the percentage of patients with complete or partial responses based on RECIST 1.1, at any time prior to disease progression, out of all evaluable patients. 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 (NCT02525653)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|
| Partial Response | Complete Response | Not Evaluated, withdrew from study | Stable Disease | No Response |
---|
Albumin-Bound Paclitaxel and Gemcitabine | 18 | 1 | 5 | 12 | 4 |
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Number of Participants With Clinical Benefit
Clinical benefit defined as any response or stable disease ≥4 months. 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. Progressive Disease (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. (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. (NCT02533674)
Timeframe: Every two cycles (every six weeks ± one week) until Cycle 4, and then every three cycles (every nine weeks ± one week) while on treatment, up to 2 years
Intervention | Participants (Count of Participants) |
---|
GEM/PM060184 Dose Level I | 1 |
GEM/PM060184 Dose Level II | 3 |
GEM/PM060184 Dose Level III | 2 |
GEM/PM060184 Dose Level IV | 1 |
GEM/PM060184 Dose Level V | 1 |
GEM/PM060184 Dose Level VI | 2 |
GEM/PM060184 Dose Level VII | 6 |
GEM/PM060184 Dose Level VIII | 2 |
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Number of Participants With Dose Limiting Toxicities
"Dose-limiting toxicities were defined as:~Grade 4 neutropenia lasting >3 days~Grade≥3 febrile neutropenia of any duration or neutropenic sepsis~Grade 4 thrombocytopenia or grade 3 with any major bleeding episode requiring a platelet transfusion~Grade 4 ALT/AST increase, or grade 3 lasting >7 days~Treatment-related grade≥2 ALT/AST increase concomitantly with ≥2 x ULN total bilirubin increase and normal AP~Any other grade≥3 non-hematological AE that was suspected to be related to study drugs, except nausea/vomiting, hypersensitivity reactions, extravasations, grade 3 asthenia lasting less than one week, anorexia, and non-clinically relevant isolated biochemical abnormalities~Delay in the administration of Cycle 2 of the combination exceeding seven (+1) days of the treatment due date due to any AEs related to study drugs.~The following circumstances were to be discussed between the Principal Investigator and the Sponsor, and the final consensus had to be documented" (NCT02533674)
Timeframe: From the start of treatment to the end of cycle one which are 3 weeks
Intervention | Participants (Count of Participants) |
---|
GEM/PM060184 Dose Level I | 0 |
GEM/PM060184 Dose Level II | 1 |
GEM/PM060184 Dose Level III | 0 |
GEM/PM060184 Dose Level IV | 0 |
GEM/PM060184 Dose Level V | 0 |
GEM/PM060184 Dose Level VI | 1 |
GEM/PM060184 Dose Level VII | 1 |
GEM/PM060184 Dose Level VIII | 1 |
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Progression-Free Survival (PFS); Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, bTMB ≥12 Mut/Mb, tTMB ≥14 Mut/Mb, tTMB ≥12 Mut/Mb, tTMB ≥10 Mut/Mb, and tTMB ≥8 Mut/Mb Analysis Sets
"The PFS (per Response Evaluation Criteria in Solid Tumors, version 1.1 [RECIST 1.1] using Investigator assessments) was defined as the time from the date of randomization until the date of objective PD or death (by any cause in the absence of progression) regardless of whether the participant withdrew from randomized therapy or received another anticancer therapy prior to progression (ie, date of PFS event or censoring - date of randomization + 1).~bTMB ≥20 mut/Mb, bTMB ≥16 mut/Mb and bTMB ≥12 mut/Mb analysis sets included the subset of participants in FAS whose bTMB status was ≥20 mut/Mb, ≥16 mut/Mb and ≥12 mut/Mb, respectively at baseline as defined by the GuardantOMNI CDx assay.~tTMB ≥14 mut/Mb, tTMB ≥12 mut/Mb, tTMB ≥10 mut/Mb and tTMB ≥8 mut/Mb analysis sets included the subset of participants in FAS whose tTMB status was ≥14 mut/Mb, ≥12 mut/Mb, ≥10 mut/Mb and ≥8 mut/Mb, respectively at baseline as defined by the GuardantOMNI CDx assay." (NCT02542293)
Timeframe: Tumour scans performed at baseline and every 6 weeks up to 48 weeks relative to date of randomization, then every 8 weeks thereafter until confirmed PD/death. Up to Global cohort DCO date (approximately 44 months).
Intervention | months (Median) |
---|
| bTMB ≥20 mut/Mb analysis set | bTMB ≥16 mut/Mb analysis set | bTMB ≥12 mut/Mb analysis set | tTMB ≥14 mut/Mb analysis set | tTMB ≥12 mut/Mb analysis set | tTMB ≥10 mut/Mb analysis set | tTMB ≥8 mut/Mb analysis set |
---|
Global: Durvalumab + Tremelimumab | 4.2 | 4.2 | 3.9 | 8.7 | 5.2 | 4.3 | 4.4 |
,Global: SoC Chemotherapy | 5.1 | 5.5 | 5.1 | 5.8 | 5.8 | 5.1 | 5.0 |
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Serum Concentrations of Durvalumab
Blood samples were collected to determine the serum concentration of durvalumab. (NCT02542293)
Timeframe: Pre-dose and within 1 hour after end of infusion at Week 0 and 12; pre-dose on Week 24 and at follow-up Month 3
Intervention | microgram per milliliter (µg/mL) (Geometric Mean) |
---|
| Week 0: Pre-infusion | Week 0: End of infusion | Week 12: Pre-infusion | Week 12: End of infusion | Week 24: Pre-infusion | Follow-up Month 3 |
---|
China: Durvalumab + Tremelimumab | NA | 392.7 | 72.4 | 448.9 | 85.6 | 5.4 |
,Global: Durvalumab + Tremelimumab | NA | 418.6 | 77.5 | 434.3 | 108.8 | 8.8 |
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Serum Concentrations of Tremelimumab
Blood samples were collected to determine the serum concentration of tremelimumab. (NCT02542293)
Timeframe: Pre-dose and within 1 hour after end of infusion at Week 0 and 12, and at follow-up Month 3
Intervention | µg/mL (Geometric Mean) |
---|
| Week 0: Pre-infusion | Week 0: End of infusion | Week 12: Pre-infusion | Week 12: End of infusion | Follow-up Month 3 |
---|
China: Durvalumab + Tremelimumab | NA | 18.4 | 3.3 | 23.2 | NA |
,Global: Durvalumab + Tremelimumab | NA | 20.3 | 3.4 | 20.8 | NA |
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DoR; Global and China Cohorts: PD-L1-Negative NSCLC and FAS Analysis Sets
"DoR (per RECIST 1.1 using Investigator assessments) was defined as the time from the date of first documented response (CR or PR) until the first date of documented progression or death in the absence of PD (ie, date of PFS event or censoring - date of first response + 1).~PD-L1-negative analysis set included the subset of participants in FAS whose PD-L1 status was PD-L1-negative at baseline as defined by the Ventana SP263 PD-L1 Assay (ie, <1% PD-L1-membrane expression in tumoral tissue).~Global Cohort: The FAS included all randomized participants prior to the end of global recruitment.~China Cohort: The China FAS included all randomized participants in the China cohort and were used for all China only efficacy analyses." (NCT02542293)
Timeframe: Tumour scans performed at baseline and every 6 weeks up to 48 weeks relative to date of randomization, then every 8 weeks thereafter until confirmed PD/death. Up to Global or China cohort DCO dates, as applicable (approximately 44 months) for each cohort.
Intervention | months (Median) |
---|
| PD-L1-negative NSCLC analysis set | FAS |
---|
China: Durvalumab + Tremelimumab | 10.5 | 12.9 |
,China: SoC Chemotherapy | 6.1 | 6.1 |
,Global: Durvalumab + Tremelimumab | 10.2 | 11.1 |
,Global: SoC Chemotherapy | 4.9 | 4.9 |
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APF12; Global and China Cohorts: PD-L1-Negative NSCLC and FAS Analysis Sets
"The APF12 was defined as the percentage of patients who were alive and progression free at 12 months from randomization (ie, PFS rate at 12 months).~PD-L1-negative analysis set included the subset of participants in FAS whose PD-L1 status was PD-L1-negative at baseline as defined by the Ventana SP263 PD-L1 Assay (ie, <1% PD-L1-membrane expression in tumoral tissue).~Global Cohort: The FAS included all randomized participants prior to the end of global recruitment.~China Cohort: The China FAS included all randomized participants in the China cohort and were used for all China only efficacy analyses." (NCT02542293)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 12 months.
Intervention | percentage of participants (Number) |
---|
| PD-L1-negative NSCLC analysis set | FAS |
---|
China: Durvalumab + Tremelimumab | 15.6 | 23.9 |
,China: SoC Chemotherapy | 11.3 | 16.6 |
,Global: Durvalumab + Tremelimumab | 18.2 | 20.2 |
,Global: SoC Chemotherapy | 12.1 | 14.9 |
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OS; China Cohort: China Programmed Cell Death Ligand 1 (PD-L1) Negative NSCLC Analysis Set
The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. Median OS was calculated using the Kaplan-Meier technique. (NCT02542293)
Timeframe: From baseline (Day 1, Week 0) until death due to any cause, assessed up to the China cohort DCO date (a maximum of approximately 44 months).
Intervention | months (Median) |
---|
China: Durvalumab + Tremelimumab | 15.0 |
China: SoC Chemotherapy | 11.7 |
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Time From Randomization to Second Progression or Death (PFS2); Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, and bTMB ≥12 Mut/Mb Analysis Sets
"The PFS2 was defined as the time from the date of randomization to the earliest of the progression events subsequent to that used for the primary variable PFS, or death (ie, date of PFS2 event or censoring - date of randomization + 1).~bTMB ≥20 mut/Mb, bTMB ≥16 mut/Mb and bTMB ≥12 mut/Mb analysis sets included the subset of participants in FAS whose bTMB status was ≥20 mut/Mb, ≥16 mut/Mb and ≥12 mut/Mb, respectively at baseline as defined by the GuardantOMNI CDx assay." (NCT02542293)
Timeframe: Tumour scans performed at baseline and every 6 weeks up to 48 weeks relative to date of randomization, then every 8 weeks thereafter until confirmed PD/death. Up to Global cohort DCO date (approximately 44 months).
Intervention | months (Median) |
---|
| bTMB ≥20 mut/Mb analysis set | bTMB ≥16 mut/Mb analysis set | bTMB ≥12 mut/Mb analysis set |
---|
Global: Durvalumab + Tremelimumab | 10.6 | 10.9 | 9.9 |
,Global: SoC Chemotherapy | 8.6 | 10.5 | 9.0 |
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Overall Survival (OS); Global Cohort: Blood Tumor Mutational Burden (bTMB) ≥20 Mutations Per Megabase (Mut/Mb) Analysis Set
The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. Median OS was calculated using the Kaplan-Meier technique. (NCT02542293)
Timeframe: From baseline (Day 1, Week 0) until death due to any cause, assessed up to the Global cohort DCO date (a maximum of approximately 44 months).
Intervention | months (Median) |
---|
Global: Durvalumab + Tremelimumab | 11.7 |
Global: SoC Chemotherapy | 9.1 |
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Alive and Progression-Free at 12 Months (APF12); Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, and bTMB ≥12 Mut/Mb Analysis Sets
"The APF12 was defined as the percentage of participants who were alive and progression free at 12 months from randomization (ie, PFS rate at 12 months).~bTMB ≥20 mut/Mb, bTMB ≥16 mut/Mb and bTMB ≥12 mut/Mb analysis sets included the subset of participants in FAS whose bTMB status was ≥20 mut/Mb, ≥16 mut/Mb and ≥12 mut/Mb, respectively at baseline as defined by the GuardantOMNI CDx assay." (NCT02542293)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 12 months.
Intervention | percentage of participants (Number) |
---|
| bTMB ≥20 mut/Mb analysis set | bTMB ≥16 mut/Mb analysis set | bTMB ≥12 mut/Mb analysis set |
---|
Global: Durvalumab + Tremelimumab | 25.6 | 22.0 | 21.6 |
,Global: SoC Chemotherapy | 7.0 | 12.3 | 13.8 |
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Duration of Response (DoR); Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, and bTMB ≥12 Mut/Mb Analysis Sets
"DoR (per RECIST 1.1 using Investigator assessments) was defined as the time from the date of first documented response (CR or PR) until the first date of documented progression or death in the absence of PD (ie, date of PFS event or censoring - date of first response + 1).~bTMB ≥20 mut/Mb, bTMB ≥16 mut/Mb and bTMB ≥12 mut/Mb analysis sets included the subset of participants in FAS whose bTMB status was ≥20 mut/Mb, ≥16 mut/Mb and ≥12 mut/Mb, respectively at baseline as defined by the GuardantOMNI CDx assay." (NCT02542293)
Timeframe: Tumour scans performed at baseline and every 6 weeks up to 48 weeks relative to date of randomization, then every 8 weeks thereafter until confirmed PD/death. Up to Global cohort DCO date (approximately 44 months).
Intervention | months (Median) |
---|
| bTMB ≥20 mut/Mb analysis set | bTMB ≥16 mut/Mb analysis set | bTMB ≥12 mut/Mb analysis set |
---|
Global: Durvalumab + Tremelimumab | 11.6 | 10.6 | 11.5 |
,Global: SoC Chemotherapy | 4.2 | 4.3 | 4.3 |
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Number of Participants With ADA Response to Tremelimumab
Blood samples were measured for the presence of ADAs and ADA-nAb for tremelimumab using validated assays. ADA prevalence is defined as the percentage of participants with positive ADA result at any time, baseline or post-baseline. Treatment-emergent ADA is defined as the sum of treatment-induced ADA and treatment-boosted ADA. ADA incidence is the percentage of participants who were treatment-emergent ADA-positive. Treatment-boosted ADA is defined as baseline positive ADA titer that was boosted to >=4 fold during the study period. Persistently positive is defined as having at least 2 post baseline ADA positive measurements with at least 16 weeks (112 days) between the first and last positive measurements, or an ADA positive result at the last available assessment. Transiently positive is defined as having at least 1 post baseline ADA positive measurement and not fulfilling the conditions for persistently positive. (NCT02542293)
Timeframe: At Weeks 0 and 12; 3 and 6 months after last dose of study treatment.
Intervention | Participants (Count of Participants) |
---|
| ADA positive at any visit (ADA prevalence) | Treatment-emergent ADA positive (ADA incidence) | Treatment-boosted ADA | Treatment-induced ADA (positive post-baseline only) | ADA positive post-baseline and positive at baseline | Persistent positive | Transient positive | nAb positive at any visit | ADA positive at baseline and not detected post-baseline |
---|
China: Durvalumab + Tremelimumab | 2 | 1 | 0 | 1 | 1 | 0 | 2 | 0 | 0 |
,Global: Durvalumab + Tremelimumab | 49 | 37 | 1 | 36 | 4 | 29 | 11 | 33 | 9 |
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Number of Participants With Anti-Drug Antibody (ADA) Response to Durvalumab
Blood samples were measured for the presence of ADAs and ADA-neutralizing antibodies (nAb) for durvalumab using validated assays. ADA prevalence is defined as the percentage of participants with positive ADA result at any time, baseline or post-baseline. Treatment-emergent ADA is defined as the sum of treatment-induced ADA and treatment-boosted ADA. ADA incidence is the percentage of participants who were treatment-emergent ADA-positive. Treatment-boosted ADA is defined as baseline positive ADA titer that was boosted to >=4 fold during the study period. Persistently positive is defined as having at least 2 post baseline ADA positive measurements with at least 16 weeks (112 days) between the first and last positive measurements, or an ADA positive result at the last available assessment. Transiently positive is defined as having at least 1 post baseline ADA positive measurement and not fulfilling the conditions for persistently positive. (NCT02542293)
Timeframe: At Weeks 0, 12, and 24; 3 and 6 months after last dose of study treatment.
Intervention | Participants (Count of Participants) |
---|
| ADA positive at any visit (ADA prevalence) | Treatment-emergent ADA positive (ADA incidence) | Treatment-boosted ADA | Treatment-induced ADA (positive post-baseline only) | ADA positive post-baseline and positive at baseline | Persistent positive | Transient positive | nAb positive at any visit | ADA positive at baseline and not detected post-baseline |
---|
China: Durvalumab + Tremelimumab | 1 | 1 | 0 | 1 | 0 | 1 | 0 | 0 | 0 |
,Global: Durvalumab + Tremelimumab | 26 | 12 | 0 | 12 | 1 | 11 | 2 | 3 | 13 |
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Objective Response Rate (ORR); Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, bTMB ≥12 Mut/Mb, tTMB ≥14 Mut/Mb, tTMB ≥12 Mut/Mb, tTMB ≥10 Mut/Mb, and tTMB ≥8 Mut/Mb Analysis Sets
"The ORR (per RECIST 1.1 using Investigator assessments) was defined as the percentage of participants with at least 1 visit response of complete response (CR) or partial response (PR) prior to PD.~bTMB ≥20 mut/Mb, bTMB ≥16 mut/Mb and bTMB ≥12 mut/Mb analysis sets included the subset of participants in FAS whose bTMB status was ≥20 mut/Mb, ≥16 mut/Mb and ≥12 mut/Mb, respectively at baseline as defined by the GuardantOMNI CDx assay.~tTMB ≥14 mut/Mb, tTMB ≥12 mut/Mb, tTMB ≥10 mut/Mb and tTMB ≥8 mut/Mb analysis sets included the subset of participants in FAS whose tTMB status was ≥14 mut/Mb, ≥12 mut/Mb, ≥10 mut/Mb and ≥8 mut/Mb, respectively at baseline as defined by the GuardantOMNI CDx assay." (NCT02542293)
Timeframe: Tumour scans performed at baseline and every 6 weeks up to 48 weeks relative to date of randomization, then every 8 weeks thereafter until confirmed PD/death. Up to Global cohort DCO date (approximately 44 months).
Intervention | percentage of participants (Number) |
---|
| bTMB ≥20 mut/Mb analysis set | bTMB ≥16 mut/Mb analysis set | bTMB ≥12 mut/Mb analysis set | tTMB ≥14 mut/Mb analysis set | tTMB ≥12 mut/Mb analysis set | tTMB ≥10 mut/Mb analysis set | tTMB ≥8 mut/Mb analysis set |
---|
Global: Durvalumab + Tremelimumab | 27.5 | 31.2 | 28.7 | 61.3 | 42.6 | 37.7 | 36.7 |
,Global: SoC Chemotherapy | 43.3 | 46.1 | 42.0 | 44.7 | 41.8 | 42.5 | 41.2 |
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ORR; Global and China Cohorts: PD-L1-Negative NSCLC, FAS, PD-L1 TC ≥25%, and PD-L1 TC ≥50% Analysis Sets
"The ORR (per RECIST 1.1 using Investigator assessments) was defined as the percentage of participants with at least 1 visit response of CR or PR prior to PD.~PD-L1-negative analysis set included the subset of participants in FAS whose PD-L1 status was PD-L1-negative at baseline as defined by the Ventana SP263 PD-L1 Assay (ie, <1% PD-L1-membrane expression in tumoral tissue).~Global Cohort: The FAS included all randomized participants prior to the end of global recruitment.~China Cohort: The China FAS included all randomized participants in the China cohort and were used for all China only efficacy analyses.~PD-L1 TC ≥25% and PD-L1 TC ≥50% analysis sets included the subset of participants in the FAS whose PD-L1 status was TC ≥25% and TC ≥50% membrane expression in tumoral tissue, respectively at baseline as defined by the Ventana SP263 PD-L1 Assay." (NCT02542293)
Timeframe: Tumour scans performed at baseline and every 6 weeks up to 48 weeks relative to date of randomization, then every 8 weeks thereafter until confirmed PD/death. Up to Global or China cohort DCO dates, as applicable (approximately 44 months) for each cohort.
Intervention | percentage of participants (Number) |
---|
| PD-L1-negative NSCLC analysis set | FAS | PD-L1 TC ≥25% analysis set | PD-L1 TC ≥50% analysis set |
---|
China: Durvalumab + Tremelimumab | 23.1 | 35.9 | 54.8 | 60.0 |
,China: SoC Chemotherapy | 41.4 | 39.0 | 40.6 | 46.4 |
,Global: Durvalumab + Tremelimumab | 23.1 | 25.9 | 35.2 | 37.4 |
,Global: SoC Chemotherapy | 38.8 | 41.7 | 43.9 | 44.0 |
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OS at Months 12, 18 and 24; Global and China Cohorts: PD-L1-Negative NSCLC and FAS Analysis Sets
"The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1).~PD-L1-negative analysis set included the subset of participants in FAS whose PD-L1 status was PD-L1-negative at baseline as defined by the Ventana SP263 PD-L1 Assay (ie, <1% PD-L1-membrane expression in tumoral tissue).~Global Cohort: The FAS included all randomized participants prior to the end of global recruitment.~China Cohort: The China FAS included all randomized participants in the China cohort and were used for all China only efficacy analyses." (NCT02542293)
Timeframe: Months 12, 18 and 24
Intervention | percentage of participants (Number) |
---|
| Month 12: PD-L1-negative NSCLC analysis set | Month 12: FAS | Month 18: PD-L1-negative NSCLC analysis set | Month 18: FAS | Month 24: PD-L1-negative NSCLC analysis set | Month 24: FAS |
---|
China: Durvalumab + Tremelimumab | 68.0 | 72.8 | 44.0 | 54.6 | 36.0 | 44.2 |
,China: SoC Chemotherapy | 46.4 | 53.1 | 39.3 | 41.8 | 17.9 | 30.4 |
,Global: Durvalumab + Tremelimumab | 47.8 | 47.7 | 34.1 | 34.8 | 22.1 | 25.7 |
,Global: SoC Chemotherapy | 52.8 | 50.0 | 34.5 | 34.6 | 22.3 | 23.4 |
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OS at Months 12, 18 and 24; Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, and bTMB ≥12 Mut/Mb Analysis Sets
"The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1).~bTMB ≥20 mut/Mb, bTMB ≥16 mut/Mb and bTMB ≥12 mut/Mb analysis sets included the subset of participants in FAS whose bTMB status was ≥20 mut/Mb, ≥16 mut/Mb and ≥12 mut/Mb, respectively at baseline as defined by the GuardantOMNI CDx assay." (NCT02542293)
Timeframe: Months 12, 18 and 24
Intervention | percentage of participants (Number) |
---|
| Month 12: bTMB ≥20 mut/Mb analysis set | Month 12: bTMB ≥16 mut/Mb analysis set | Month 12: bTMB ≥12 mut/Mb analysis set | Month 18: bTMB ≥20 mut/Mb analysis set | Month 18: bTMB ≥16 mut/Mb analysis set | Month 18: bTMB ≥12 mut/Mb analysis set | Month 24: bTMB ≥20 mut/Mb analysis set | Month 24: bTMB ≥16 mut/Mb analysis set | Month 24: bTMB ≥12 mut/Mb analysis set |
---|
Global: Durvalumab + Tremelimumab | 49.3 | 50.5 | 46.9 | 36.2 | 35.5 | 29.4 | 26.1 | 24.0 | 21.3 |
,Global: SoC Chemotherapy | 40.8 | 48.9 | 44.6 | 20.4 | 28.5 | 27.8 | 13.6 | 18.2 | 19.0 |
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OS; Global and China Cohorts: FAS, PD-L1 Tumor Cell (TC) ≥25%, and PD-L1 TC ≥50% Analysis Sets
"The OS was defined as time from date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at the time of analysis was censored based on last recorded date on which participant was known to be alive.~Global Cohort: The FAS included all randomized participants prior to the end of global recruitment. Any participants recruited in China, after global recruitment had ended, were not included in the FAS.~China Cohort: The China FAS included all randomized participants in the China cohort and were used for all China only efficacy analyses.~PD-L1 TC ≥25% and PD-L1 TC ≥50% analysis sets included the subset of participants in the FAS whose PD-L1 status was TC ≥25% and TC ≥50% membrane expression in tumoral tissue, respectively at baseline as defined by the Ventana SP263 PD-L1 Assay." (NCT02542293)
Timeframe: From baseline (Day 1, Week 0) until death due to any cause, assessed up to the Global or China cohort DCO dates, as applicable (a maximum of approximately 44 months) for each cohort.
Intervention | months (Median) |
---|
| FAS | PD-L1 TC ≥25% analysis set | PD-L1 TC ≥50% analysis set |
---|
China: Durvalumab + Tremelimumab | 20.0 | 36.6 | 36.6 |
,China: SoC Chemotherapy | 14.1 | 15.8 | 15.8 |
,Global: Durvalumab + Tremelimumab | 10.9 | 12.2 | 14.1 |
,Global: SoC Chemotherapy | 12.1 | 10.4 | 10.5 |
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OS; Global Cohort: bTMB ≥16 Mut/Mb, bTMB ≥12 Mut/Mb, PD-L1-Negative NSCLC, bTMB <20 Mut/Mb, bTMB Non-Evaluable Population, tTMB ≥14 Mut/Mb, tTMB ≥12 Mut/Mb, tTMB ≥10 Mut/Mb, and tTMB ≥8 Mut/Mb Analysis Sets
"OS was defined as time from date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at time of analysis was censored based on last recorded date on which participant was known to be alive.~bTMB ≥16 mut/Mb, bTMB ≥12 mut/Mb and bTMB <20 mut/Mb analysis sets included the subset of participants in FAS whose bTMB status was ≥16 mut/Mb, ≥12 mut/Mb and <20 mut/Mb, respectively at baseline as defined by the GuardantOMNI CDx assay.~PD-L1-negative analysis set included the subset of participants in FAS whose PD-L1 status was PD-L1-negative at baseline as defined by the Ventana SP263 PD-L1 Assay (ie, <1% PD-L1-membrane expression in tumoral tissue).~bTMB non-evaluable analysis set included the subset of participants in FAS whose bTMB status at baseline could not be determined by the GuardantOMNI CDx assay or whose sample was not available.~tTMB analysis sets are defined same as the bTMB analysis sets (NCT02542293)
Timeframe: From baseline (Day 1, Week 0) until death due to any cause, assessed up to the Global cohort DCO date (a maximum of approximately 44 months).
Intervention | months (Median) |
---|
| bTMB ≥16 mut/Mb analysis set | bTMB ≥12 mut/Mb analysis set | PD-L1 negative analysis set | bTMB <20 mut/Mb analysis set | bTMB non-evaluable analysis set | tTMB ≥14 mut/Mb analysis set | tTMB ≥12 mut/Mb analysis set | tTMB ≥10 mut/Mb analysis set | tTMB ≥8 mut/Mb analysis set |
---|
Global: Durvalumab + Tremelimumab | 12.1 | 10.9 | 11.1 | 9.9 | 9.3 | 17.5 | 11.1 | 11.1 | 11.0 |
,Global: SoC Chemotherapy | 11.9 | 10.3 | 12.5 | 11.5 | 10.4 | 10.6 | 13.9 | 10.6 | 10.2 |
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PFS; Global and China Cohorts: PD-L1-Negative NSCLC, FAS, PD-L1 TC ≥25%, and PD-L1 TC ≥50% Analysis Sets
"PFS (per RECIST 1.1 using Investigator assessments) was defined as time from date of randomization until date of objective PD or death regardless of whether participant withdrew from randomized therapy or received another anticancer therapy prior to progression (ie, date of PFS event or censoring - date of randomization + 1).~PD-L1-negative analysis set included subset of participants in FAS whose PD-L1 status was PD-L1-negative at baseline as defined by Ventana SP263 PD-L1 Assay (ie, <1% PD-L1-membrane expression in tumoral tissue).~Global Cohort: FAS included all randomized participants prior to end of global recruitment.~China Cohort: China FAS included all randomized participants in China cohort and were used for all China only efficacy analyses.~PD-L1 TC ≥25% and PD-L1 TC ≥50% analysis sets included subset of participants in FAS whose PD-L1 status was TC ≥25% and TC ≥50% membrane expression in tumoral tissue, respectively at baseline as defined by the Ventana SP263 PD-L1 Assay." (NCT02542293)
Timeframe: Tumour scans performed at baseline and every 6 weeks up to 48 weeks relative to date of randomization, then every 8 weeks thereafter until confirmed PD/death. Up to Global or China cohort DCO dates, as applicable (approximately 44 months) for each cohort.
Intervention | months (Median) |
---|
| PD-L1-negative NSCLC analysis set | FAS | PD-L1 TC ≥25% analysis set | PD-L1 TC ≥50% analysis set |
---|
China: Durvalumab + Tremelimumab | 5.1 | 4.2 | 6.8 | 6.8 |
,China: SoC Chemotherapy | 6.0 | 6.0 | 5.7 | 5.7 |
,Global: Durvalumab + Tremelimumab | 4.1 | 4.0 | 4.2 | 4.6 |
,Global: SoC Chemotherapy | 5.6 | 5.6 | 5.4 | 5.4 |
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PFS2; Global and China Cohorts: PD-L1-Negative NSCLC and FAS Analysis Sets
"The PFS2 was defined as the time from the date of randomization to the earliest of the progression events subsequent to that used for the primary variable PFS, or death (ie, date of PFS2 event or censoring - date of randomization + 1).~PD-L1-negative analysis set included the subset of participants in FAS whose PD-L1 status was PD-L1-negative at baseline as defined by the Ventana SP263 PD-L1 Assay (ie, <1% PD-L1-membrane expression in tumoral tissue).~Global Cohort: The FAS included all randomized participants prior to the end of global recruitment.~China Cohort: The China FAS included all randomized participants in the China cohort and were used for all China only efficacy analyses." (NCT02542293)
Timeframe: Tumour scans performed at baseline and every 6 weeks up to 48 weeks relative to date of randomization, then every 8 weeks thereafter until confirmed PD/death. Up to Global or China cohort DCO dates, as applicable (approximately 44 months) for each cohort.
Intervention | months (Median) |
---|
| PD-L1-negative NSCLC analysis set | FAS |
---|
China: Durvalumab + Tremelimumab | 13.8 | 15.5 |
,China: SoC Chemotherapy | 10.3 | 12.9 |
,Global: Durvalumab + Tremelimumab | 9.1 | 9.4 |
,Global: SoC Chemotherapy | 12.4 | 10.4 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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Safety of Drug Regimen as Measured by Number of Adverse Events
Toxicity assessment will be observational. Numbers and types of events will be quantified and graded according to CTCAE. (NCT02560038)
Timeframe: From the time the participant signs the informed consent until the participant was taken off-study or the study was stopped, an average of 6 months
Intervention | adverse event (Number) |
---|
Combination Chemotherapy | 124 |
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Efficacy as Measured by Number Who Progressed
"Progression is defined using RECIST 1.1 criteria: 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)." (NCT02560038)
Timeframe: From the time the participant signs the informed consent until the participant was taken off-study or the study was stopped, an average of 6 months
Intervention | Participants (Count of Participants) |
---|
Combination Chemotherapy | 1 |
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Efficacy as Measured by the Objective Response Rate (ORR).
Objective Response Rate (ORR) is defined as the proportion of patients achieving either a complete response or a partial response based on imaging at any time during the study. Complete response or partial response is based on Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI or CT: 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. (NCT02560038)
Timeframe: From the time the participant signs the informed consent until the participant was taken off-study or the study was stopped, an average of 6 months
Intervention | Participants (Count of Participants) |
---|
Combination Chemotherapy | 3 |
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Number of Participants With a Response Following Preoperative Chemotherapy, Including Confirmed and Unconfirmed, Complete and Partial Response, Per RECIST 1.1.
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. (NCT02562716)
Timeframe: Up to 6 months post registration (and within 2 to 4 weeks after the last dose of Cycle 3 preoperative chemotherapy.).
Intervention | Participants (Count of Participants) |
---|
mFOLFIRINOX ->Surg ->mFOLFIRINOX | 5 |
Gem/Nab-P ->Surg ->Gem/Nab-P | 10 |
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Number of Patients Going to Surgery for Resection After Preoperative Chemotherapy.
(NCT02562716)
Timeframe: Up to 8 months post registration (and within 4 to 8 weeks after the last dose of Cycle 3 preoperative chemotherapy).
Intervention | Participants (Count of Participants) |
---|
mFOLFIRINOX ->Surg ->mFOLFIRINOX | 40 |
Gem/Nab-P ->Surg ->Gem/Nab-P | 33 |
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Number of Patients Achieving R0 Resection After Preoperative Chemotherapy.
R0 resection classification is defined as macroscopically complete tumor removal with negative microscopic surgical margins (bile duct, pancreatic parenchyma, and superior mesenteric artery margins). (NCT02562716)
Timeframe: Up to 8 months post registration (and within 4 to 8 weeks after the last dose of Cycle 3 preoperative chemotherapy).
Intervention | Participants (Count of Participants) |
---|
mFOLFIRINOX ->Surg ->mFOLFIRINOX | 34 |
Gem/Nab-P ->Surg ->Gem/Nab-P | 28 |
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Disease-free Survival From the Time of R0 or R1 Resection.
Disease-free survival (DFS) is calculated for patients who undergo surgical resection (R0/R1). DFS will be measured from the date of surgical resection to date of first documentation of recurrence (loco-regional or distant) or death due to any cause. Patients last known to be alive and free of disease will be censored at date of last contact. (NCT02562716)
Timeframe: Up to 4 years
Intervention | Months (Median) |
---|
mFOLFIRINOX ->Surg ->mFOLFIRINOX | 10.9 |
Gem/Nab-P ->Surg ->Gem/Nab-P | 14.2 |
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Overall Survival (OS)
OS is the length of time between protocol registration and patient death (NCT02562716)
Timeframe: Up to 4 years for the estimates of median overall survival. Up to 2 years for Statistical Analysis 1 and 2, comparing the observed 2-year overall survival (OS) to the null hypothesis of 40%, in each arm.
Intervention | Months (Median) |
---|
mFOLFIRINOX ->Surg ->mFOLFIRINOX | 23.2 |
Gem/Nab-P ->Surg ->Gem/Nab-P | 23.6 |
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CA19-9 Clinical Response Rate
The CA19-9 Response Rate is calculated using CA 19-9 treated patients who had a baseline CA19-9 > 75 units who have confirmed CA19-9 reduction of 75% from baseline value. Patients who have missing CA19-9 measurements will be treated as non-responders, i.e., they will be included in the denominator when calculating the percentage. The CA19-9 Response Rate, along with exact 95% confidence intervals, will be reported for the study. (NCT02562898)
Timeframe: 12 months
Intervention | proportion of responders (Number) |
---|
Dose Escalation for Safety and Toxicity | 0.333 |
Immune Response Cohort | 0.143 |
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Maximum Tolerated Dose (MTD)
The dose level at which fewer than 2 of 6 patients experience a dose-limiting toxicity (DLT) will be designated as the Maximum Tolerated Dose (MTD) (NCT02562898)
Timeframe: Up to 2 years
Intervention | mg/day (Number) |
---|
Dose Escalation for Safety and Toxicity | 820 |
Immune Response Cohort | 560 |
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Number of Patients Who Experienced a Dose-Limiting Toxicity (DLT)
DLTs will be based on the first course of treatment and defined as any unexpected grade 3 non-hematologic toxicity not reversible to grade 2 or less within 96 hours, or any grade 4 toxicity. Grade 4 hematological toxicities will not be considered dose limiting in this trial since a significant fraction of patients who are treated with gemcitabine and nab-paclitaxel are expected to experience these toxicities. Grade 3 peripheral neuropathy, a common and expected toxicity of treatment with nabpaclitaxel, will not be considered a DLT. (NCT02562898)
Timeframe: Up to 2 years
Intervention | participants (Number) |
---|
Dose Escalation for Safety and Toxicity | 9 |
Immune Response Cohort | 8 |
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Treatment Limiting Adverse Events
Adverse events that were fatal or led to treatment discontinuation. (NCT02567409)
Timeframe: Assessed from the time of initial treatment until 30 days post discontinuation of treatment, up to 36 months.
Intervention | Participants (Count of Participants) |
---|
| Hypotension | Multi-organ failure | Cardiac arrest | Neutropenia | Respiratory failure | Pulmonary embolism | Thrombocytopenia | Creatinine Increased | Leukocytosis | Acute kidney injury | Vomiting | Urinary tract infection |
---|
Arm A (Berzosertib, Gemcitabine Hydrochloride, Cisplatin) | 0 | 0 | 1 | 2 | 1 | 1 | 2 | 1 | 1 | 1 | 0 | 1 |
,Arm B (Gemcitabine Hydrochloride, Cisplatin) | 1 | 1 | 0 | 0 | 0 | 1 | 2 | 2 | 0 | 0 | 1 | 0 |
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Confirmed Objective Response Rate
Response was assessed using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. Confirmed Objective Response = CR + PR. (NCT02567409)
Timeframe: Up to 36 months
Intervention | percentage of participants (Number) |
---|
Arm A (Berzosertib, Gemcitabine Hydrochloride, Cisplatin) | 54 |
Arm B (Gemcitabine Hydrochloride, Cisplatin) | 63 |
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Progression-free Survival (PFS)
Estimated using the product-limit method of Kaplan and Meier. Event defined as 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. (NCT02567409)
Timeframe: Day of randomization, until progression, or death, assessed up to 12 months
Intervention | Months (Median) |
---|
Arm A (Berzosertib, Gemcitabine Hydrochloride, Cisplatin) | 8.0 |
Arm B (Gemcitabine Hydrochloride, Cisplatin) | 8.0 |
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Overall Survival (OS)
Estimated using the product-limit method of Kaplan and Meier. Event defined as death from any cause. (NCT02567409)
Timeframe: Up to 36 months
Intervention | Months (Median) |
---|
Arm A (Berzosertib, Gemcitabine Hydrochloride, Cisplatin) | 14.4 |
Arm B (Gemcitabine Hydrochloride, Cisplatin) | 19.8 |
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Overall Response Rate (ORR)
The overall response rate (ORR) of ACP-196 plus nab-paclitaxel/gemcitabine compared with nab-paclitaxel/gemcitabine in patients with previously untreated metastatic pancreatic cancer (NCT02570711)
Timeframe: At screening, Cycle 3, and Day 1 of every other cycle afterwards (e.g., Cycle 5 Day 1). Every cycle is 28 days.
Intervention | Participants (Count of Participants) |
---|
Arm 1- ACP-196 and Nab-Paclitaxel and Gemcitabine | 0 |
Arm 2 - Nab-Paclitaxel and Gemcitabine | 0 |
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Progression-Free Survival (PFS), Group E Only
Progression-free survival (PFS) is defined as the time from randomization to the date of the first documented tumor progression, as determined by investigators (per RECIST v1.1), or death due to any cause, whichever occurs first. (NCT02574078)
Timeframe: up to approximately 48 months
Intervention | months (Median) |
---|
Group E | 9.63 |
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Duration of Response (DOR), Groups A-D Only
"Duration of response (DOR) is defined as the time from first confirmed response (complete response (CR) or partial response (PR)) to the date of the initial objectively documented tumor progression as determined using RECIST 1.1 criteria or death due to any cause, whichever occurs first.~Median computed using Kaplan-Meier method." (NCT02574078)
Timeframe: up to approximately 48 months
Intervention | months (Median) |
---|
Group A, Cohort A, Nivo | 12.780 |
Group A, Cohort A, Beva + Nivo | NA |
Group A, Cohort A, Beva | 17.084 |
Group A, Cohort B, Nivo | 12.912 |
Group A, Cohort B, Peme + Nivo | 8.542 |
Group A, Cohort B, Peme | 14.982 |
Group B, Nivo | NA |
Group B, BSC | NA |
Group C, Nivo | 3.877 |
Group C, ICC | 2.940 |
Group D, Nivo + Erlo | 8.805 |
Group D, Erlo | 10.152 |
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Progression-Free Survival (PFS), Groups A-D Only
Progression-free survival (PFS) is defined as the time from randomization to the date of the first documented tumor progression, as determined by investigators (per RECIST v1.1), or death due to any cause, whichever occurs first. (NCT02574078)
Timeframe: up to approximately 48 months
Intervention | Months (Median) |
---|
Group A, Cohort A, Nivo | 15.0 |
Group A, Cohort A, Beva + Nivo | 6.7 |
Group A, Cohort A, Beva | 6.0 |
Group A, Cohort B, Nivo | 5.9 |
Group A, Cohort B, Peme + Nivo | 8.1 |
Group A, Cohort B, Peme | 5.0 |
Group B, Nivo | 9.6 |
Group B, BSC | 2.3 |
Group C, Nivo | 2.7 |
Group C, ICC | 6.7 |
Group D, Nivo + Erlo | 11.0 |
Group D, Erlo | 11.0 |
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Overall Survival (OS), Groups A-C Only
Overall survival (OS) is defined as the time from randomization to the date of death. (NCT02574078)
Timeframe: up to approximately 60 months
Intervention | Months (Median) |
---|
Group A, Cohort A, Nivo | 20.0 |
Group A, Cohort A, Beva + Nivo | 30.8 |
Group A, Cohort A, Beva | 18.1 |
Group A, Cohort B, Nivo | 28.9 |
Group A, Cohort B, Peme + Nivo | 17.4 |
Group A, Cohort B, Peme | 18.4 |
Group B, Nivo | NA |
Group B, BSC | 13.6 |
Group C, Nivo | 3.9 |
Group C, ICC | 15.8 |
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Overall Survival (OS), Group D Only
Overall survival (OS) is defined as the time from randomization to the date of death. (NCT02574078)
Timeframe: up to approximately 60 months
Intervention | months (Median) |
---|
Group D, Nivo + Erlo | NA |
Group D, Erlo | 34.8 |
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Objective Response Rate (ORR), Groups A-E
"Objective response rate (ORR) is defined as the number and percentage of participants with a best overall response (BOR) of confirmed complete response (CR) or partial response (PR). Best overall response (BOR) is defined as the best response designation, recorded between the date of first dose and the date of the initial objectively documented tumor progression per RECIST v1.1 or the date of subsequent therapy, whichever occurs first.~Confidence interval based on the Clopper and Pearson method." (NCT02574078)
Timeframe: up to approximately 48 months
Intervention | Percentage of participants (Number) |
---|
Group A, Cohort A, Nivo | 23.1 |
Group A, Cohort A, Beva + Nivo | 16.7 |
Group A, Cohort A, Beva | 12.5 |
Group A, Cohort B, Nivo | 29.4 |
Group A, Cohort B, Peme + Nivo | 21.2 |
Group A, Cohort B, Peme | 3.1 |
Group B, Nivo | 18.8 |
Group B, BSC | 5.9 |
Group C, Nivo | 20.8 |
Group C, ICC | 15.4 |
Group D, Nivo + Erlo | 64.7 |
Group D, Erlo | 62.5 |
Group E | 23.1 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Independent Review Committee (IRC) in Moderate and High Programmed Death Ligand 1 (PD-L1)+ Modified Full Analysis Set (mFAS)
PFS is defined as the time from date of randomization until date of the first documentation of progressive disease (PD) or death due to any cause in the absence of documented PD, whichever occurs first. PD is defined as at least a 20 percent (%) increase in the sum of the 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. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Weekly | 5.6 |
Chemotherapy | 5.6 |
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Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in High PD-L1+ Modified Full Analysis Set
Confirmed objective response was defined as the percentage of participants with a confirmed objective response of complete response (CR) or partial response (PR). CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | percentage of participants (Median) |
---|
Avelumab Weekly | 34.6 |
Chemotherapy | 30.2 |
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Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in Moderate and High PD-L1+ Full Analysis Set
Confirmed objective response was defined as the percentage of participants with a confirmed objective response of complete response (CR) or partial response (PR). CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | percentage of participants (Number) |
---|
Avelumab Biweekly | 33.5 |
Chemotherapy | 30.3 |
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Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in Moderate and High PD-L1+ Modified Full Analysis Set
Confirmed objective response was defined as the percentage of participants with a confirmed objective response of complete response (CR) or partial response (PR). CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | percentage of participants (Number) |
---|
Avelumab Weekly | 30.6 |
Chemotherapy | 30.6 |
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Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer 13 (EORTC QLQ-LC13) at End of Treatment (EOT) in High Programmed Death Ligand 1 (PD-L1)+ HRQoL Analysis Set
EORTC QLQ-LC13 consisted of 13 questions relating to disease symptoms specific to lung cancer and treatment side effects typical of treatment with chemotherapy and radiotherapy. The EORTC QLQ-LC13 module generated one multiple-item score assessing dyspnea and a series of single item scores assessing coughing, hemoptysis, sore mouth, dysphagia, peripheral neuropathy, alopecia, pain in chest, pain in arms or shoulder and pain in other parts. Score range: 0 (no burden of symptom domain or single symptom item) to 100 (highest burden of symptoms for symptom domains and single items). (NCT02576574)
Timeframe: Baseline, End of treatment (up to Week 283.9)
Intervention | score on a scale (Mean) |
---|
| Dyspnea | Coughing | Hemoptysis | Sore mouth | Dysphagia | Peripheral neuropathy | Alopecia | Pain in chest | Pain in arm or shoulder | Pain in other parts |
---|
Avelumab Biweekly | 7.3 | 2.4 | -1.8 | 3.0 | 3.0 | 3.6 | 0.0 | -4.2 | 0.6 | 1.8 |
,Chemotherapy | 5.2 | -4.3 | 1.5 | 1.9 | -0.6 | 10.8 | 14.2 | -1.5 | 1.9 | 1.5 |
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Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer 13 (EORTC QLQ-LC13) at End of Treatment (EOT) in High Programmed Death Ligand 1 (PD-L1)+ Modified HRQoL Analysis Set
EORTC QLQ-LC13 consisted of 13 questions relating to disease symptoms specific to lung cancer and treatment side effects typical of treatment with chemotherapy and radiotherapy. The EORTC QLQ-LC13 module generated one multiple-item score assessing dyspnea and a series of single item scores assessing coughing, hemoptysis, sore mouth, dysphagia, peripheral neuropathy, alopecia, pain in chest, pain in arms or shoulder and pain in other parts. Score range: 0 (no burden of symptom domain or single symptom item) to 100 (highest burden of symptoms for symptom domains and single items). (NCT02576574)
Timeframe: Baseline, End of treatment (up to Week 283.9)
Intervention | score on a scale (Mean) |
---|
| Dyspnea | Coughing | Hemoptysis | Sore mouth | Dysphagia | Peripheral neuropathy | Alopecia | Pain in chest | Pain in arm or shoulder | Pain in other parts |
---|
Avelumab Weekly | 6.1 | -0.6 | -0.6 | 0.6 | 3.8 | 0.6 | -2.5 | 2.5 | 4.4 | 10.1 |
,Chemotherapy | 4.9 | -5.2 | 0.0 | 1.9 | -0.5 | 9.9 | 15.0 | -0.5 | 1.4 | 1.4 |
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Number of Participants With At Least One Positive Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) for Avelumab
Serum samples were analyzed by a validated electrochemiluminesce immunoassay to detect the presence of antidrug antibodies (ADA). Samples that screened positive were subsequently tested in a confirmatory assay were tested for neutralizing antibodies (nAb). Number of participants with ADA or nAb positive results for Avelumab were reported. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | Participants (Count of Participants) |
---|
| ADAs to Avelumab | NAbs to Avelumab |
---|
Avelumab Biweekly | 66 | 43 |
,Avelumab Weekly | 38 | 18 |
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Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance: Baseline Score Versus (Vs) Worst Post-baseline Score
ECOG performance status measured to assess participant's performance status on a scale of 0 to 5, where 0 = Fully active, able to carry on all pre-disease activities without restriction; 1 = Restricted in physically strenuous activity, ambulatory and able to carry out light or sedentary work; 2 = Ambulatory and capable of all selfcare but unable to carry out any work activities; 3 = Capable of only limited self-care, confined to bed/chair for more than 50 percent of waking hours; 4 = Completely disabled, cannot carry on any self-care, totally confined to bed/chair; 5 = dead. ECOG performance status was reported in terms of number of participants with baseline value vs worst post-baseline value (that is [i.e.] highest score). (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | Participants (Count of Participants) |
---|
| Baseline score 0, worst post-baseline score 0 | Baseline score 0, worst post-baseline score 1 | Baseline score 0, worst post-baseline score 2 | Baseline score 0, worst post-baseline score 3 | Baseline score 0, worst post-baseline score 4 | Baseline score 0, worst post-baseline score 5 | Baseline score 0, worst post-baseline score Missing | Baseline score 1, worst post-baseline score 0 | Baseline score 1, worst post-baseline score 1 | Baseline score 1, worst post-baseline score 2 | Baseline score 1, worst post-baseline score 3 | Baseline score 1, worst post-baseline score 4 | Baseline score 1, worst post-baseline score 5 | Baseline score 1, worst post-baseline score Missing | Baseline score >=2, worst post-baseline score 0 | Baseline score >=2, worst post-baseline score 1 | Baseline score >=2, worst post-baseline score 2 | Baseline score >=2, worst post-baseline score 3 | Baseline score >=2, worst post-baseline score 4 | Baseline score >=2, worst post-baseline score 5 | Baseline score >=2, worst post-baseline score missing | Baseline score missing, worst post-baseline score 0 | Baseline score missing, worst post-baseline score 1 | Baseline score missing, worst post-baseline score 2 | Baseline score missing, worst post-baseline score 3 | Baseline score missing, worst post-baseline score 4 | Baseline score missing, worst post-baseline score 5 | Baseline score missing, worst post-baseline score missing |
---|
Avelumab Biweekly | 50 | 56 | 8 | 1 | 1 | 0 | 6 | 1 | 168 | 35 | 16 | 3 | 5 | 10 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Avelumab Weekly | 35 | 49 | 9 | 7 | 0 | 0 | 4 | 2 | 153 | 32 | 18 | 1 | 1 | 6 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Chemotherapy | 84 | 83 | 11 | 4 | 0 | 1 | 4 | 4 | 233 | 46 | 6 | 4 | 3 | 16 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
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Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Body Temperature Increase
The number of participants with changes from baseline in increased Body Temperature (degree Celsius [°C]) were reported by using criteria: Baseline temperature (temp.) less than (<) 37°C, on treatment change <1°C, 1 - <2°C, 2 - <3°C, greater than or equal to (>=)3°C and missing; Baseline temp. 37 - <38°C, on treatment change <1°C, 1 - <2°C, 2 - <3°C, >=3°C and missing; Baseline temp. 38 - <39°C, on treatment change <1°C, 1 - <2°C, 2 - <3°C, >=3°C and missing; Baseline temp. 39-<40°C, on treatment change <1°C, 1 - <2°C, 2 - <3°C, >=3°C and missing; Baseline temp. >=40°C, on treatment change <1°C, 1 - <2°C, 2 - <3°C, >=3°C and missing; Baseline temp. missing, on treatment change missing. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | Participants (Count of Participants) |
---|
| Baseline temp. <37°C, on treatment change <1°C | Baseline temp.<37°C, on treatment change 1 - <2°C | Baseline temp. <37°C, on treatment change 2 - <3°C | Baseline temp. <37°C, on treatment change >=3°C | Baseline temp. <37°C, on treatment change missing | Baseline temp. 37 - <38°C, on treatment change <1°C | Baseline temp. 37 - <38°C, on treatment change 1 - <2°C | Baseline temp. 37 - <38°C, on treatment change 2 - <3°C | Baseline temp. 37 - <38°C, on treatment change >=3°C | Baseline temp. 37 - <38°C, on treatment change missing | Baseline temp. 38 - <39°C, on treatment change <1°C | Baseline temp. 38 - <39°C, on treatment change 1 - <2°C | Baseline temp. 38 - <39°C, on treatment change 2 - <3°C | Baseline temp. 38 - <39°C, on treatment change >=3°C | Baseline temp. 38 - <39°C, on treatment change missing | Baseline temp. 39 - <40°C, on treatment change <1°C | Baseline temp. 39 - <40°C, on treatment change 1 - <2°C | Baseline temp. 39 - <40°C, on treatment change 2 - <3°C | Baseline temp. 39 - <40°C, on treatment change >=3°C | Baseline temp. 39 - <40°C, on treatment change missing | Baseline temp. >=40°C, on treatment change <1°C | Baseline temp. >=40°C, on treatment change 1 - <2°C | Baseline temp. >=40°C, on treatment change 2 - <3°C | Baseline temp. >=40°C, on treatment change >=3°C | Baseline temp. >=40°C, on treatment change missing | Baseline temp. missing, on treatment change missing |
---|
Avelumab Biweekly | 271 | 45 | 3 | 0 | 16 | 23 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Avelumab Weekly | 256 | 32 | 2 | 1 | 6 | 19 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Chemotherapy | 403 | 33 | 0 | 0 | 21 | 37 | 1 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 |
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Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Heart Rate Increase/Decrease
The number of participants with maximal on-treatment (TR) changes from baseline (BS) in Increase (Ic.)/Decrease (Dc.) heart rate (HR) (beats per minute [bpm]) were reported by using criteria: Ic./Dc. BS HR <100/>=100 bpm, on treatment change =<20 bpm, >20 - =<40 bpm, >40 bpm and missing; Ic./Dc. BS HR missing, on treatment change missing. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | Participants (Count of Participants) |
---|
| Ic. BS HR <100 bpm, on TR change =<20 bpm | Ic. BS HR <100 bpm, on TR change >20 - =<40 bpm | Ic. BS HR <100 bpm, on TR change >40 bpm | Ic. BS HR <100 bpm, on TR change missing | Ic. BS HR >= 100 bpm, on TR change =<20 bpm | Ic. BS HR >= 100 bpm, on TR change >20 - =<40 bpm | Ic. BS HR >= 100 bpm, on TR change >40 bpm | Ic. BS HR >= 100 bpm, on TR change missing | Ic. BS HR missing, on TR change missing | Dc. BS HR <100 bpm, on TR change =<20 bpm | Dc. BS HR <100 bpm, on TR change >20 - =<40 bpm | Dc. BS HR <100 bpm, on TR change >40 bpm | Dc. BS HR <100 bpm, on TR change missing | Dc. BS HR >= 100 bpm, on TR change =<20 bpm | Dc. BS HR >= 100 bpm, on TR change >20 - =<40 bpm | Dc. BS HR >= 100 bpm, on TR change >40 bpm | Dc. BS HR >= 100 bpm, on TR change missing | Dc. BS HR missing, on TR change missing |
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Avelumab Biweekly | 206 | 86 | 21 | 14 | 31 | 0 | 0 | 3 | 0 | 267 | 44 | 2 | 14 | 14 | 6 | 11 | 3 | 0 |
,Avelumab Weekly | 202 | 66 | 12 | 5 | 30 | 2 | 0 | 1 | 0 | 227 | 52 | 1 | 5 | 13 | 12 | 7 | 1 | 0 |
,Chemotherapy | 332 | 85 | 9 | 16 | 46 | 3 | 0 | 7 | 2 | 385 | 40 | 1 | 16 | 20 | 26 | 3 | 7 | 2 |
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Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Independent Review Committee (IRC) in High Programmed Death Ligand 1 (PD-L1) + Full Analysis Set (FAS)
PFS is defined as the time from date of randomization until date of the first documentation of progressive disease (PD) or death due to any cause in the absence of documented PD, whichever occurs first. PD is defined as at least a 20 percent (%) increase in the sum of the 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. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Biweekly | 8.4 |
Chemotherapy | 5.6 |
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Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Independent Review Committee (IRC) in High Programmed Death Ligand 1 (PD-L1) + Modified Full Analysis Set (mFAS)
PFS is defined as the time from date of randomization until date of the first documentation of progressive disease (PD) or death due to any cause in the absence of documented PD, whichever occurs first. PD is defined as at least a 20 percent (%) increase in the sum of the 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. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Weekly | 7.5 |
Chemotherapy | 5.6 |
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Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Independent Review Committee (IRC) in Moderate and High Programmed Death Ligand 1 (PD-L1)+ Full Analysis Set (FAS)
PFS is defined as the time from date of randomization until date of the first documentation of progressive disease (PD) or death due to any cause in the absence of documented PD, whichever occurs first. PD is defined as at least a 20 percent (%) increase in the sum of the 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. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Biweekly | 6.9 |
Chemotherapy | 5.6 |
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Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in High PD-L1+ Full Analysis Set
Confirmed objective response was defined as the percentage of participants with a confirmed objective response of complete response (CR) or partial response (PR). CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | percentage of participants (Number) |
---|
Avelumab Biweekly | 37.7 |
Chemotherapy | 30.1 |
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Number of Participants With Potentially Clinically Significant Abnormalities (PCSA) in Electrocardiogram (ECG) Parameters
ECG parameters included heart rate, PR interval, QRS interval, corrected QT interval using Bazett's formula (QTcB) and corrected QT interval using Fridericia's formula (QTcF). PCSA criteria for abnormal value of ECG parameters: any heart rate <= 50 bpm and decrease from baseline >=20 bpm , any hear rate >= 120 bpm and increase from baseline >= 20 bpm; PR interval: >= 220 milliseconds (ms) and increase from baseline >= 20 ms; QRS interval >= 120 ms; QTcF > 450 ms, > 480 ms, > 500 ms, QTcF increase from baseline > 30 ms and QTcF increase from baseline > 60 ms; QTcB > 450 ms, > 480 ms, > 500 ms, QTcB increase from baseline > 30 ms and QTcB increase from baseline > 60 ms. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | Participants (Count of Participants) |
---|
| Heart Rate <= 50 bpm and decrease from baseline >= 20 bpm | Heart Rate >= 120 bpm and decrease from baseline >= 20 bpm | PR interval >= 220 ms and increase from baseline >= 20 ms | QRS interval >= 120 ms | QTcF > 450 ms | QTcF > 480 ms | QTcF > 500 ms | QTcF increase from baseline > 30 ms | QTcF increase from baseline > 60 ms | QTcB > 450 ms | QTcB > 480 ms | QTcB > 500 ms | QTcB increase from baseline > 30 ms | QTcB increase from baseline > 60 ms |
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Avelumab Biweekly | 1 | 10 | 0 | 18 | 19 | 5 | 3 | 20 | 6 | 49 | 13 | 6 | 32 | 11 |
,Avelumab Weekly | 1 | 6 | 5 | 10 | 13 | 4 | 1 | 12 | 1 | 31 | 11 | 5 | 25 | 7 |
,Chemotherapy | 0 | 7 | 3 | 15 | 24 | 11 | 5 | 39 | 13 | 70 | 24 | 16 | 49 | 19 |
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Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Weight Increase/Decrease
The number of participants with maximal on-treatment changes from baseline in Increase (Ic.)/Decrease (Dc.) in maximal weight were reported by using criteria: Ic./Dc. From baseline, on treatment (TR) change <10 percentage (%), >=10% and missing. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | Participants (Count of Participants) |
---|
| Ic. from baseline, on TR change <10% | Ic. from baseline, on TR change >=10% | Ic. from baseline, on TR change missing | Dc. from baseline, on TR change <10% | Dc. from baseline, on TR change >=10% | Dc. from baseline, on TR change missing |
---|
Avelumab Biweekly | 302 | 38 | 21 | 296 | 44 | 21 |
,Avelumab Weekly | 280 | 28 | 10 | 258 | 50 | 10 |
,Chemotherapy | 436 | 39 | 25 | 423 | 52 | 25 |
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Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Systolic Blood Pressure Increase/Decrease and Maximal Diastolic Blood Pressure Increase/Decrease
The number of participants with maximal on-treatment changes from baseline (BS) in Increase (Ic.)/Decrease (Dc.) Systolic Blood Pressure (SBP) and diastolic blood pressure (DBP) (millimeter of mercury [mmHg]) were reported by using criteria: Ic./Dc. BS SBP <140 mmHg and >=140 mmHg, on maximal treatment (TR) change =<20 mmHg, >20 - =<40 mmHg, >40 mmHg and missing; Ic./Dc. BS SBP missing, on maximal treatment (TR) change missing; Ic./Dc. BS DBP <90 mmHg and >= 90 mmHg, on maximal TR change =<20 mmHg, >20 - =<40 mmHg, >40 mmHg and missing; Ic./Dc. BS DBP missing on maximal TR change missing. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | Participants (Count of Participants) |
---|
| Ic. BS SBP <140 mmHg, on TR change =<20 mmHg | Ic. BS SBP <140 mmHg, on TR change >20 - =<40 mmHg | Ic. BS SBP <140 mmHg, on TR change >40 mmHg | Ic. BS SBP <140 mmHg, on TR change missing | Ic. BS SBP >=140 mmHg, on TR change =<20 mmHg | Ic. BS SBP >=140 mmHg, on TR change >20 - =<40 mmHg | Ic. BS SBP >=140 mmHg, on TR change >40 mmHg | Ic. BS SBP > = 140 mmHg, on TR change missing | Ic. BS SBP missing, on TR change missing | Dc. BS SBP <140 mmHg, on TR change =<20 mmHg | Dc. BS SBP <140 mmHg, on TR change >20 - =<40 mmHg | Dc. BS SBP <140 mmHg, on TR change >40 mmHg | Dc. BS SBP <140 mmHg, on TR change missing | Dc. BS SBP >=140 mmHg, on TR change =<20 mmHg | Dc. BS SBP >=140 mmHg, on TR change >20 - =<40 mmHg | Dc. BS SBP >=140 mmHg, on TR change >40 mmHg | Dc. BS SBP > = 140 mmHg, on TR change missing | Dc. BS SBP missing, on TR change missing | Ic. BS DBP <90 mmHg, on TR change =<20 mmHg | Ic. BS DBP <90 mmHg, on TR change >20 - =<40 mmHg | Ic. BS DBP <90 mmHg, on TR change >40 mmHg | Ic. BS DBP <90 mmHg, on TR change missing | Ic. BS DBP missing, on TR change missing | Ic. BS DBP >=90 mmHg, on TR change =<20 mmHg | Ic. BS DBP >=90 mmHg, on TR change >20 - =<40 mmHg | Ic. BS DBP >=90 mmHg, on TR change >40 mmHg | Ic. BS DBP >=90 mmHg, on TR change missing | Dc. BS DBP <90 mmHg, on TR change =<20 mmHg | Dc. BS DBP <90 mmHg, on TR change >20 - =<40 mmHg | Dc. BS DBP <90 mmHg, on TR change >40 mmHg | Dc. BS DBP <90 mmHg, on TR change missing | Dc. BS DBP >=90 mmHg, on TR change =<20 mmHg | Dc. BS DBP >=90 mmHg,on TR change >20 - =<40 mmHg | Dc. BS DBP >=90 mmHg, on TR change >40 mmHg | Dc. BS DBP >=90 mmHg, on TR change missing | Dc. BS DBP missing, on TR change missing |
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Avelumab Biweekly | 219 | 61 | 16 | 14 | 41 | 7 | 0 | 3 | 0 | 220 | 70 | 6 | 14 | 11 | 25 | 12 | 3 | 0 | 272 | 48 | 0 | 17 | 0 | 24 | 0 | 0 | 0 | 279 | 38 | 3 | 17 | 11 | 12 | 1 | 0 | 0 |
,Avelumab Weekly | 209 | 56 | 16 | 4 | 26 | 5 | 0 | 2 | 0 | 204 | 70 | 7 | 4 | 6 | 15 | 10 | 2 | 0 | 260 | 37 | 1 | 5 | 0 | 12 | 1 | 1 | 1 | 264 | 33 | 1 | 5 | 5 | 9 | 0 | 1 | 0 |
,Chemotherapy | 278 | 104 | 10 | 21 | 78 | 5 | 1 | 2 | 1 | 322 | 69 | 1 | 21 | 32 | 34 | 18 | 2 | 1 | 402 | 45 | 1 | 23 | 1 | 28 | 0 | 0 | 0 | 415 | 32 | 1 | 23 | 18 | 10 | 0 | 0 | 1 |
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Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Respiration Rate Increase/Decrease
The number of participants with maximal on-treatment (TR) changes from baseline (BS) in Increase (Ic.)/Decrease (Dc.) maximal Respiration Rate (RR) were reported by using criteria: Ic./Dc. BS RR <20 breaths per minute (breaths/min), on TR change =<5 breaths/min, >5 - =<10 breaths/min, >10 breaths/min and missing. Ic./Dc. BS RR missing, on TR change missing. Ic./Dc. BS RR >=20 breaths/min, on TR change =<5 breaths/min, >5 - =<10 breaths/min, >10 breaths/min and missing. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to 71.5 months)
Intervention | Participants (Count of Participants) |
---|
| Ic. BS RR <20 breaths/min, on TR change =<5 breaths/min | Ic.BS RR<20 breaths/min, on TR change >5 - = <10 breaths/min | Ic. BS RR <20 breaths/min, on TR change >10 breaths/min | Ic. BS RR <20 breaths/min, on TR change missing | Ic. BS RR >=20 breaths/min, on TR change =<5 breaths/min | Ic.BS RR >=20 breaths/min, on TR change >5 - =<10 breaths/min | Ic. BS RR >=20 breaths/min, on TR change >10 breaths/min | Ic. BS RR >=20 breaths/min, on TR change missing | Ic. BS RR missing, on TR change missing | Dc. BS RR <20 breaths/min, on TR change =<5 breaths/min | Dc. BS RR <20 breaths/min, on TR change >5 - =<10 breaths/min | Dc. BS RR <20 breaths/min, on TR change >10 breaths/min | Dc. BS RR <20 breaths/min, on TR change missing | Dc. BS RR >=20 breaths/min, on TR ch =<5 breaths/min | Dc.BS RR >=20 breaths/min, on TR change >5 - =<10 breaths/min | Dc. BS RR >=20 breaths/min, on TR change >10 breaths/min | Dc. BS RR >=20 breaths/min, on TR change missing | Dc. BS RR missing, on TR change missing |
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Avelumab Biweekly | 221 | 18 | 1 | 11 | 89 | 5 | 3 | 7 | 6 | 232 | 8 | 0 | 11 | 79 | 14 | 4 | 7 | 6 |
,Avelumab Weekly | 224 | 13 | 1 | 4 | 68 | 4 | 1 | 2 | 1 | 236 | 2 | 0 | 4 | 58 | 13 | 2 | 2 | 1 |
,Chemotherapy | 306 | 26 | 2 | 14 | 124 | 2 | 0 | 15 | 11 | 325 | 8 | 1 | 14 | 101 | 22 | 3 | 15 | 11 |
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Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status at End of Treatment (EOT) in High Programmed Death Ligand 1 (PD-L1)+ HRQoL Analysis Set
EORTC QLQ-C30 was 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, dyspnea, sleep disturbance, appetite loss, constipation, diarrhea, financial impact). The EORTC QLQ-C30 GHS/QoL score ranged from 0 to 100; High score indicated better GHS/QoL. Score 0 represents: very poor physical condition and QoL. Score 100 represents: excellent overall physical condition and QoL. (NCT02576574)
Timeframe: Baseline, End of treatment (up to Week 283.9)
Intervention | score on a scale (Mean) |
---|
Avelumab Biweekly | -0.3 |
Chemotherapy | -6.1 |
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Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status at End of Treatment (EOT) in High Programmed Death Ligand 1 (PD-L1)+ Modified HRQoL Analysis Set
EORTC QLQ-C30 was 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, dyspnea, sleep disturbance, appetite loss, constipation, diarrhea, financial impact). The EORTC QLQ-C30 GHS/QoL score ranged from 0 to 100; High score indicated better GHS/QoL. Score 0 represents: very poor physical condition and QoL. Score 100 represents: excellent overall physical condition and QoL. (NCT02576574)
Timeframe: Baseline, End of treatment (Week 283.9)
Intervention | score on a scale (Mean) |
---|
Avelumab Weekly | -12.9 |
Chemotherapy | -4.5 |
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Number of Participants With Shift From Baseline to Greater Than or Equal to (>=) Grade 3 in Laboratory Parameter Values Based on National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE), Version 4.03
Number of participants with shifts from Baseline values (Grade 0/1/2/3) to abnormal post-baseline values (shift to >= Grade 4) were reported as per NCI-CTCAE, v4.03 graded from Grade 1 to 5. Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe; Grade 4: Life-threatening; Grade 5: Death. Shifts in laboratory parameter (anemia, lymphocyte count decreased, neutrophil count decreased, platelet count decreased, white blood cell count decreased, alanine aminotransferase increased, alkaline phosphatase increased, aspartate aminotransferase increased, blood bilirubin increased, creatine phosphokinase increased, creatinine increased and Hyperglycemia) were reported. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | Participants (Count of Participants) |
---|
| Anemia: Grade 0 to Grade 3 | Anemia: Grade 1 to Grade 3 | Anemia: Grade 2 to Grade 3 | Lymphocyte count decreased: Grade 0 to Grade 3 | Lymphocyte count decreased: Grade 0 to Grade 4 | Lymphocyte count decreased: Grade 1 to Grade 3 | Lymphocyte count decreased: Grade 2 to Grade 3 | Lymphocyte count decreased: Grade 2 to Grade 4 | Lymphocyte count decreased: Grade 3 to Grade 4 | Neutrophil count decreased: Grade 0 to Grade 3 | Neutrophil count decreased: Grade 0 to Grade 4 | Neutrophil count decreased: Grade 1 to Grade 3 | Platelet count decreased: Grade 0 to Grade 3 | Platelet count decreased: Grade 0 to Grade 4 | Platelet count decreased: Grade 1 to Grade 3 | White blood cell count decreased: Grade 0 to Grade 3 | White blood cell count decreased: Grade 0 to Grade 4 | Alanine aminotransferase increased: Grade 0 to Grade 3 | Alanine aminotransferase increased: Grade 0 to Grade 4 | Alanine aminotransferase increased: Grade 1 to Grade 3 | Alkaline phosphatase increased: Grade 0 to Grade 3 | Alkaline phosphatase increased: Grade 1 to Grade 3 | Alkaline phosphatase increased: Grade 1 to Grade 4 | Alkaline phosphatase increased: Grade 2 to Grade 3 | Aspartate aminotransferase increased: Grade 0 to Grade 3 | Aspartate aminotransferase increased: Grade 0 to Grade 4 | Aspartate aminotransferase increased: Grade 1 to Grade 3 | Blood bilirubin increased: Grade 0 to Grade 3 | Blood bilirubin increased: Grade 0 to Grade 4 | Creatine phosphokinase increased: Grade 0 to Grade 3 | Creatine phosphokinase increased: Grade 0 to Grade 4 | Creatine phosphokinase increased: Grade 1 to Grade 4 | Creatine phosphokinase increased: Grade 2 to Grade 3 | Creatinine increased: Grade 0 to Grade 3 | Creatinine increased: Grade 1 to Grade 3 | Hyperglycemia: Grade 0 to Grade 3 | Hyperglycemia: Grade 0 to Grade 4 |
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Avelumab Biweekly | 4 | 4 | 4 | 16 | 1 | 2 | 7 | 0 | 0 | 4 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 12 | 1 | 1 | 0 | 1 | 0 | 0 | 7 | 1 | 0 | 0 | 0 | 6 | 5 | 0 | 0 | 6 | 0 | 21 | 0 |
,Avelumab Weekly | 2 | 5 | 6 | 15 | 2 | 10 | 6 | 0 | 0 | 4 | 3 | 0 | 1 | 3 | 1 | 3 | 1 | 8 | 1 | 0 | 3 | 3 | 0 | 1 | 4 | 2 | 0 | 4 | 1 | 5 | 0 | 1 | 1 | 4 | 0 | 20 | 0 |
,Chemotherapy | 58 | 30 | 6 | 31 | 3 | 12 | 12 | 1 | 1 | 65 | 25 | 1 | 18 | 20 | 0 | 24 | 11 | 5 | 3 | 2 | 1 | 1 | 1 | 0 | 3 | 2 | 1 | 3 | 0 | 1 | 0 | 0 | 0 | 4 | 1 | 35 | 3 |
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Duration of Response (DOR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in High Programmed Death Ligand 1 (PD-L1)+ Full Analysis Set (FAS)
DOR was defined for participants with confirmed response, as the time from first documentation of objective response (Complete Response [CR] or Partial Response [PR]) to the date of first documentation of progression disease (PD) or death due to any cause, whichever occurred first. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the SLD of all lesions. PD: At least a 20 percent (%) increase in the sum of the longest diameter (SLD), taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Biweekly | 35.9 |
Chemotherapy | 8.4 |
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Change From Baseline in European Quality Of Life 5-dimensions (EQ-5D-5L) Visual Analog Scale (VAS) in High Programmed Death Ligand 1 (PD-L1)+ Modified HRQoL Analysis Set
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. (NCT02576574)
Timeframe: Baseline, End of treatment (Week 283.9)
Intervention | millimeter (Mean) |
---|
Avelumab Weekly | -10.3 |
Chemotherapy | -3.9 |
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Duration of Response (DOR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in High Programmed Death Ligand 1 (PD-L1)+ Modified Full Analysis Set (mFAS)
DOR was defined for participants with confirmed response, as the time from first documentation of objective response (Complete Response [CR] or Partial Response [PR]) to the date of first documentation of progression disease (PD) or death due to any cause, whichever occurred first. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the SLD of all lesions. PD: At least a 20 percent (%) increase in the sum of the longest diameter (SLD), taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Weekly | 19.4 |
Chemotherapy | 8.4 |
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Overall Survival (OS) in Full Analysis Set (FAS)
OS is defined as the time from randomization to the date of death, regardless of the actual cause of the participant's death. The participants who were still alive at the time of data analysis or who were lost to follow-up OS time was censored at the last recorded date that the participant was known to be alive before the data cutoff date. OS was measured using Kaplan-Meier (KM) estimates. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Biweekly | 15.0 |
Chemotherapy | 14.3 |
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Overall Survival (OS) in High Programmed Death Ligand 1 (PD-L1) + Full Analysis Set (FAS)
OS is defined as the time from randomization to the date of death, regardless of the actual cause of the participant's death. The participants who were still alive at the time of data analysis or who were lost to follow-up OS time was censored at the last recorded date that the participant was known to be alive before the data cutoff date. OS was measured using Kaplan-Meier (KM) estimates. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Biweekly | 20.1 |
Chemotherapy | 14.9 |
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Overall Survival (OS) in High Programmed Death Ligand 1 (PD-L1)+ Modified Full Analysis Set (mFAS)
OS is defined as the time from randomization to the date of death, regardless of the actual cause of the participant's death. The participants who were still alive at the time of data analysis or who were lost to follow-up OS time was censored at the last recorded date that the participant was known to be alive before the data cutoff date. OS was measured using Kaplan-Meier (KM) estimates. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Weekly | 19.3 |
Chemotherapy | 15.3 |
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Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and AEs of Special Interest (AESIs)
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 TEAEs were those events with onset dates occurring during the on-treatment period or if the worsening of an event is during the on-treatment period TEAEs included both serious TEAEs and non-serious TEAEs. Any AE that was suspicious to be a potential Immune-related adverse event (irAE) including infusion related reactions were considered AESIs. Number of participants with TEAEs and AESIs were reported. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | Participants (Count of Participants) |
---|
| TEAEs | AESIs |
---|
Avelumab Biweekly | 346 | 158 |
,Avelumab Weekly | 308 | 160 |
,Chemotherapy | 484 | 173 |
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Overall Survival (OS) in Moderate and High Programmed Death Ligand 1 (PD-L1)+ Full Analysis Set (FAS)
OS is defined as the time from randomization to the date of death, regardless of the actual cause of the participant's death. The participants who were still alive at the time of data analysis or who were lost to follow-up OS time was censored at the last recorded date that the participant was known to be alive before the data cutoff date. OS was measured using Kaplan-Meier (KM) estimates. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Biweekly | 18.7 |
Chemotherapy | 13.3 |
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Overall Survival (OS) in Moderate and High Programmed Death Ligand 1 (PD-L1)+ Modified Full Analysis Set (mFAS)
OS is defined as the time from randomization to the date of death, regardless of the actual cause of the participant's death. The participants who were still alive at the time of data analysis or who were lost to follow-up OS time was censored at the last recorded date that the participant was known to be alive before the data cutoff date. OS was measured using Kaplan-Meier (KM) estimates. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Weekly | 16.8 |
Chemotherapy | 13.0 |
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Overall Survival (OS) in Modified Full Analysis Set (mFAS)
OS is defined as the time from randomization to the date of death, regardless of the actual cause of the participant's death. The participants who were still alive at the time of data analysis or who were lost to follow-up OS time was censored at the last recorded date that the participant was known to be alive before the data cutoff date. OS was measured using Kaplan-Meier (KM) estimates. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Weekly | 15.4 |
Chemotherapy | 14.8 |
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Progression-free Survival (PFS) of Subjects With Advanced Nasopharyngeal Carcinoma.
Progression-free survival was defined as the duration from randomization to the first occurrence of documented disease progression [based on imaging results] or death from any cause, whichever occurred first. (NCT02578641)
Timeframe: From randomization until first occurrence of disease progression or death of any cause, whichever occurred first, assessed up to 7 years. Subjects who received subsequent anti-cancer therapy were censored at the date of last tumor assessment.
Intervention | Months (Median) |
---|
Chemo + EBV-CTL | 7.9 |
Chemo Only | 8.5 |
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Overall Survival (OS) of Subjects With Advanced Nasopharyngeal Carcinoma.
Efficacy of EBV-CTL following first line chemotherapy was compared to chemotherapy alone in terms of OS of subjects with advanced nasopharyngeal carcinoma. Overall survival was defined as the duration in months from the day of randomization until death from any cause for a subject known to be deceased, or censored at the last contact date that a subject was known to be alive or lost to follow-up. (NCT02578641)
Timeframe: From randomization until death, assessed up to 7 years. Survivors and lost to follow-up subjects were censored at the date of last contact. Survival follow-up was done every 12 weeks from end of treatment.
Intervention | Months (Median) |
---|
Chemo + EBV-CTL | 25 |
Chemo Only | 24.9 |
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Objective Response Rate (ORR) in Cohort 2
ORR is defined as the percentage of participants with a confirmed overall response of complete response (CR) or partial response (PR). A confirmed response of CR/PR means that a response of CR/PR is recorded at 1 visit and confirmed by repeat imaging, preferably at the next regularly scheduled imaging visit and not less than 4 weeks after the visit when the response was first observed with no evidence of progression between the initial and CR/PR confirmation visit. CR is defined as disappearance of all target lesions (TLs) since baseline. Any pathological lymph nodes selected as TLs must have a reduction in short axis to <10 millimeters (mm). PR is defined as at least a 30% decrease in the sum of diameters of TLs, taking as reference the baseline sum of diameters as long as criteria for PD were not met. ORR was determined using Investigator assessments according to Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST v1.1). (NCT02583477)
Timeframe: RECIST assessments performed at baseline (within 28 days before start of study treatment), every 6 weeks +/-7 days for first 48 weeks, then every 12 weeks +/-7 days thereafter until confirmed objective disease progression. Up to approximately 30 months.
Intervention | percentage of participants (Number) |
---|
Cohort 2 (MEDI4736 + AZD5069) | 5.6 |
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Mean Plasma Concentrations of MEDI4736 in Cohort 2
Mean peak and trough plasma concentrations of MEDI4736 are presented. (NCT02583477)
Timeframe: Predose (within 60 minutes prior to treatment with any IP) on Day 1 of Cycles 1, 2, 3, 4, and 7; and post infusion (within 10 minutes after end of MEDI4736 infusion) on Day 1 of Cycles 1 and 7
Intervention | nanograms per milliliter (Mean) |
---|
| Cycle 1 Day 1: Predose | Cycle 1 Day 1: Post infusion | Cycle 2 Day 1: Predose | Cycle 3 Day 1: Predose | Cycle 4 Day 1: Predose | Cycle 7 Day 1: Predose | Cycle 7 Day 1: Post infusion |
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Cohort 2 (MEDI4736 + AZD5069) | 1444.730 | 339342.229 | 56773.555 | 63655.840 | 69325.233 | 79687.820 | 435297.610 |
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Number of Participants With Dose-Limiting Toxicities (DLT)
"DLT period was defined as first treatment cycle for Cohort 1, and first dose of AZD5069 and MEDI4736 to end of Cycle 1 or until a participant experienced a DLT, whichever occurs first for Cohort 2.~A DLT was defined as any of below listed laboratory abnormalities or adverse events (AE) related to MEDI4736 collected during DLT period.~Liver transaminase elevation >= 5× but <= 8× upper limit of normal (ULN) that doesn't resolve to Grade 2 within 5 days~Transaminase elevation > 8× ULN or total bilirubin > 5× ULN~Any Grade 4 immune-related AE (irAE) not attributed to local tumor response, Grade >=3 colitis, Grade >=2 pneumonitis that doesn't resolve to <= Grade 1 within 7 days, Grade 3 irAE, that doesn't resolve to Grade <=1 or baseline status within 14 days~Any Grade >=3 non-irAE toxicity that doesn't resolve to Grade <=1 or baseline status within 14 days A DLT was defined as any Grade 3 or worse AE related to AZD5069 that occurs from first dose of AZD5069 up to end of DLT period." (NCT02583477)
Timeframe: Cohort 1: From time of first dose of MEDI4736 on Day 1 up to Day 28 of Cycle 1 and Cohort 2: From time of first dose of AZD5069 and MEDI4736 on Day 1 up to Day 28 of Cycle 1 or until a participant experiences a DLT, whichever occurs first.
Intervention | Participants (Count of Participants) |
---|
Cohort 1 (MEDI4736 + Nab-paclitaxel + Gemcitabine) | 0 |
Cohort 2 (MEDI4736 + AZD5069) | 4 |
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Number of Participants With AEs
An AE is the development of an undesirable medical condition or deterioration of a pre-existing medical condition following or during exposure to study treatment, whether or not considered causally related to study treatment. An undesirable medical condition can be symptoms, signs or abnormal results of an investigation. A serious AE (SAE) is an AE that fulfills one or more following criteria: death, life-threatening, in-patient hospitalization or prolongation of existing hospitalization, persistent or significant disability/incapacity or substantial disruption of ability to conduct normal life functions, congenital abnormality or birth defect, and an important medical event that may jeopardize participant or may require medical intervention to prevent one of outcomes listed above. AEs leading to discontinuation of study treatment were those with action taken was 'Drug Permanently Discontinued' for any study treatment. Only treatment emergent AEs were presented. (NCT02583477)
Timeframe: From first dose of study treatment administration (Day 1) until 90 days after the last dose of IP or initiation of the first subsequent anticancer therapy (whichever occurred first), approximately 30 months.
Intervention | Participants (Count of Participants) |
---|
| Any AE | Any AE causally related to treatment (CRT) | Any AE of CTCAE Grade 3 or higher | Any AE of CTCAE Grade 3 or higher CRT | Any AE leading discontinuation of study treatment | Any AE with outcome of death | Any AE with outcome of death CRT | Any SAE | Any SAE CRT |
---|
Cohort 1 (MEDI4736 + Nab-paclitaxel + Gemcitabine) | 3 | 3 | 3 | 3 | 2 | 1 | 1 | 1 | 1 |
,Cohort 2 (MEDI4736 + AZD5069) | 20 | 14 | 18 | 10 | 3 | 4 | 0 | 16 | 8 |
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Number of Participants With Anti-Drug Antibody (ADAs) for MEDI4736 in Cohort 2
Samples were measured for the presence of ADAs and ADA-neutralizing antibodies for MEDI4736 using validated assays. Persistently positive is defined as positive at >=2 post-baseline assessments or positive at the last post-baseline assessment. Transiently positive is defined as having at least one post-baseline ADA positive assessment and not fulfilling the conditions of persistently positive. NAB = neutralizing antibody. (NCT02583477)
Timeframe: On Day 1 of Cycles 1, 2, 3, 4, and 7; At months 3 and 6 after last dose
Intervention | Participants (Count of Participants) |
---|
| Positive at any visit | Both baseline and post-baseline positive | Only post-baseline positive | Only baseline positive | ADA persistently positive | ADA transiently positive | ADA positive participants who are NAB positive |
---|
Cohort 2 (MEDI4736 + AZD5069) | 3 | 0 | 1 | 2 | 0 | 1 | 0 |
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Duration of Response (DoR) in Cohort 2
DoR was defined as the time from the first documentation of CR/PR (which is subsequently confirmed) until the date of progression/death, or the last evaluable RECIST assessment for participants that did not progress or did progress after 2 missed visits of the last evaluable assessment (or first dose). PD was defined as at least a 20% increase in the sum of diameters of TLs, 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. DoR was determined using Investigator assessments according to RECIST v1.1 and was calculated using the Kaplan-Meier technique. (NCT02583477)
Timeframe: RECIST assessments performed at baseline (within 28 days before start of study treatment), every 6 weeks +/-7 days for first 48 weeks, then every 12 weeks +/-7 days thereafter until confirmed objective disease progression. Up to approximately 30 months.
Intervention | weeks (Median) |
---|
Cohort 2 (MEDI4736 + AZD5069) | 18.29 |
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Progression-Free Survival Rate at 3 Months (PFS3) in Cohort 2
The PFS rate was defined as percentage of participants alive and progression-free after 3 months. The PFS3 was calculated using Kaplan-Meier estimates. Tumor progression was determined based on Investigator assessment and RECIST v1.1. (NCT02583477)
Timeframe: RECIST assessments were performed at baseline (within 28 days before start of study treatment) and every 6 weeks +/- 7 days up to 3 months
Intervention | percentage of participants (Number) |
---|
Cohort 2 (MEDI4736 + AZD5069) | 11.1 |
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Overall Survival at 6 Months (OS6) in Cohort 2
OS6 is defined as percentage of participants alive at 6 months from first dose of study treatment. OS6 was calculated using the Kaplan-Meier estimate of OS at 6 months. (NCT02583477)
Timeframe: From first dose of study treatment (Day 1) up to 6 months
Intervention | percentage of participants (Number) |
---|
Cohort 2 (MEDI4736 + AZD5069) | 22.2 |
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Overall Survival at 12 Months (OS12) in Cohort 2
OS12 is defined as percentage of participants alive at 12 months from first dose of study treatment. OS12 was calculated using the Kaplan-Meier estimate of OS at 12 months. (NCT02583477)
Timeframe: From first dose of study treatment (Day 1) up to 12 months
Intervention | percentage of participants (Number) |
---|
Cohort 2 (MEDI4736 + AZD5069) | 14.8 |
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Disease Control Rate (DCR) in Cohort 2
DCR at 6 months is defined as the percentage of participants who had a best objective response (BoR) of CR or PR in the first 6 months (i.e. 24+1=25 weeks to allow for a late assessment within the assessment window) or who had demonstrated stable disease (SD) for a minimum interval of 24 weeks (minus 1 week to allow for an early assessment within the assessment window, i.e. 161 days) following the start of treatment. DCR at 12 months is defined as the percentage of participants who had a BoR of CR or PR in the first 12 months (i.e. 48+1=49 weeks to allow for a late assessment within the assessment window) or who had demonstrated SD for a minimum interval of 48 weeks (minus 1 week to allow for an early assessment within the assessment window, i.e. 329 days) following the start of treatment. DCR was determined using Investigator assessments according to RECIST v1.1. (NCT02583477)
Timeframe: RECIST assessments were performed at baseline (within 28 days before start of study treatment) and every 6 weeks +/- 7 days for first 48 weeks up to 6 months and 12 months
Intervention | percentage of participants (Number) |
---|
| At 6 months | At 12 months |
---|
Cohort 2 (MEDI4736 + AZD5069) | 11.1 | 5.6 |
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Mean Plasma Concentrations of AZD5069 in Cohort 2
Mean peak and trough plasma concentration of AZD5069 are presented. Concentration of AZD5069 was calculated by plasma concentration-time profile. (NCT02583477)
Timeframe: Predose (within 60 minutes prior to treatment with any IP) on Day 1 of Cycles 1, 2, 3, 4, and 7; and postdose (within 10 minutes after end of MEDI4736 infusion) on Day 1 of Cycles 1, 2, and 7
Intervention | nanomoles per liter (Mean) |
---|
| Cycle 1 Day 1: Predose | Cycle 1 Day 1: Postdose | Cycle 2 Day 1: Predose | Cycle 2 Day 1: Postdose | Cycle 3 Day 1: Predose | Cycle 4 Day 1: Predose | Cycle 7 Day 1: Predose | Cycle 7 Day 1: Postdose |
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Cohort 2 (MEDI4736 + AZD5069) | 10.60 | 2236.29 | 1829.36 | 24.40 | 502.48 | 1345.00 | 1200.00 | 7540.00 |
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Progression-Free Survival Rate at 6 Months (PFS6) in Cohort 2
The PFS6 was defined as percentage of participants alive and progression-free after 6 months. The PFS6 was calculated using Kaplan-Meier estimates. Tumor progression was determined based on Investigator assessment and RECIST v1.1. (NCT02583477)
Timeframe: RECIST assessments were performed at baseline (within 28 days before start of study treatment) and every 6 weeks +/- 7 days up to 6 months
Intervention | percentage of participants (Number) |
---|
Cohort 2 (MEDI4736 + AZD5069) | 11.1 |
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Duration of Response
Duration of response was evaluated at the first instance of CR or PR through the earliest assessment of progressive disease, death, or the last follow-up where the subject had not yet progressed from her prior response. Informational summaries without formal statistical comparisons were produced. (NCT02595892)
Timeframe: Assessed for up to 3 years.
Intervention | Weeks (Number) |
---|
| Patient 5 |
---|
Arm II (Gemcitabine, ATR Kinase Inhibitor M6620) | 7 |
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Progression Free Survival at 6 Months (PFS-6)
Assessed and compared PFS-6 between gemcitabine/VX-970 and gemcitabine alone arms (NCT02595892)
Timeframe: Number of days from the day the subject received the first dose of protocol therapy to the date of documented progressive disease by RECIST version 1.1 or death (regardless of cause), assessed at 6 months
Intervention | Participants (Count of Participants) |
---|
Arm I (Gemcitabine Hydrochloride) | 13 |
Arm II (Gemcitabine, ATR Kinase Inhibitor M6620) | 17 |
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Progression Free Survival (PFS)
PFS was summarized using Kaplan-Meier analyses and compared between the two arms using the logrank test. Additionally, PFS was analyzed using a Cox Proportional Hazards Model, including the stratification factor, and will be used to estimate the hazard ratio of the gemcitabine hydrochloride (gemcitabine)/ataxia telangiectasia mutated and Rad3-related (ATR) kinase inhibitor M6620 (formerly VX-970) arm relative to the gemcitabine alone arm and the associated 90% confidence interval. Disease progression, per protocol, is defined using Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.1), as at least a 20% increase in the sum of the diameters of target lesions, or the appearance of new lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (NCT02595892)
Timeframe: Number of days from the day the subject received the first dose of protocol therapy to the date of documented progressive disease by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 or death (regardless of cause), assessed up to 3 years
Intervention | Weeks (Median) |
---|
Arm I (Gemcitabine Hydrochloride) | 14.7 |
Arm II (Gemcitabine, ATR Kinase Inhibitor M6620) | 22.9 |
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Percentage of Patients With a Reduction in CA-125
Determined and compared CA125 reduction by > 50% between gemcitabine/VX-970 and gemcitabine alone arms. (NCT02595892)
Timeframe: CA-125 serum samples were collected from participants in both Arms I and II at baseline, on Day 1 of each cycle, and at the end-of-study treatment visit, assessed up to 2 years.
Intervention | Participants (Count of Participants) |
---|
Arm I (Gemcitabine Hydrochloride) | 9 |
Arm II (Gemcitabine, ATR Kinase Inhibitor M6620) | 9 |
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Overall Survival (OS)
Assessed and compared OS between gemcitabine/VX-970 and gemcitabine alone arms. (NCT02595892)
Timeframe: Number of weeks from the date of registration until date of death (regardless of cause), assessed up to 3 years.
Intervention | Weeks (Median) |
---|
Arm I (Gemcitabine Hydrochloride) | 43.0 |
Arm II (Gemcitabine, ATR Kinase Inhibitor M6620) | 59.4 |
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Objective Response Rate (ORR)
Defined as the percentage of subjects achieving a response rating of complete response (CR) or partial response (PR) by Response Evaluation Criteria in Solid Tumors (RECIST) in the whole population. Per RECIST v1.1 definitions for target lesions and assessed by conventional 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; Overall Response (OR) = CR + PR. ORR was summarized by counts (percentages) in each Arm. (NCT02595892)
Timeframe: Up to 3 years
Intervention | Participants (Count of Participants) |
---|
Arm I (Gemcitabine Hydrochloride) | 4 |
Arm II (Gemcitabine, ATR Kinase Inhibitor M6620) | 1 |
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Number of Participants With Serious Adverse Events (SAEs)
Determined and compared the safety profile of gemcitabine/VX-970 and gemcitabine alone regimens. (NCT02595892)
Timeframe: AE checks occurred on D1 and D8 of each cycle for up to 2 years and at the Final Treatment Visit. Patients who were removed from study treatment for unacceptable AEs were followed until resolution/stabilization of the AE up to 3 years, or until death.
Intervention | Participants (Count of Participants) |
---|
Arm I (Gemcitabine Hydrochloride) | 10 |
Arm II (Gemcitabine, ATR Kinase Inhibitor M6620) | 9 |
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Clinical Benefit Rate (CBR)
CBR is defined as the percentage of subjects achieving a response rating of stable disease >= 4 months, partial response (PR), or complete response (CR). Subject demographic and baseline characteristics will be summarized by mean, standard deviation, median, minimum, and maximum for continuous variables; and by counts and percentages for categorical variables. Summaries will be provided separately for each treatment group. Treatment group comparisons in CBR will be evaluated using logistic regression and expressed as odds ratios with associated 90% confidence intervals. In the event that rates are low, comparisons will be based on Fisher's exact test. (NCT02595892)
Timeframe: Up to 3 years
Intervention | Participants (Count of Participants) |
---|
Arm I (Gemcitabine Hydrochloride) | 9 |
Arm II (Gemcitabine, ATR Kinase Inhibitor M6620) | 12 |
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Duration of Response
Duration of response was evaluated at the first instance of CR or PR through the earliest assessment of progressive disease, death, or the last follow-up where the subject had not yet progressed from her prior response. Informational summaries without formal statistical comparisons were produced. (NCT02595892)
Timeframe: Assessed for up to 3 years.
Intervention | Weeks (Number) |
---|
| Patient 1 | Patient 2 | Patient 3 | Patient 4 |
---|
Arm I (Gemcitabine Hydrochloride) | 10 | 6 | 18 | 27 |
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Objective Response Rate by Platinum Free Status
Objective response rate by platinum-free status includes only informational summaries (counts of participants who met the categories outlined below) without formal statistical comparisons. (NCT02595892)
Timeframe: Up to 3 years
Intervention | Participants (Count of Participants) |
---|
| Patients who experienced an ORR with a platinum-free interval ≤3 months | Patients who experienced an ORR with a platinum-free interval 3-6 months |
---|
Arm I (Gemcitabine Hydrochloride) | 1 | 3 |
,Arm II (Gemcitabine, ATR Kinase Inhibitor M6620) | 1 | 0 |
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Overall Survival (OS)
-OS is defined as the days from the date of treatment start and death from any cause. Participants alive or lost to follow-up are censored. (NCT02608229)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
600 mg BVD-523/Nab-paclitaxel/Gemcitabine | 13.8 |
450 mg BVD-523/Nab-paclitaxel/Gemcitabine | 5.7 |
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Progression-free Survival (PFS)
"Progression 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). 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).~PFS is defined as the duration of time from start of treatment to time of progression or death, whichever occurs first. Patients alive without progression or lost to follow-up are censored." (NCT02608229)
Timeframe: Up to 2 years
Intervention | days (Median) |
---|
Dose De-escalation: BVD-523/Nab-paclitaxel/Gemcitabine | 85 |
Dose Expansion: BVD-523/Nab-paclitaxel/Gemcitabine | 39.5 |
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Time to Tumor Progression (TTP)
"Time to tumor progression is defined as the days from start of treatment until progressive disease.~Progression 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). 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)." (NCT02608229)
Timeframe: Up to 2 years
Intervention | days (Median) |
---|
Dose De-escalation: BVD-523/Nab-paclitaxel/Gemcitabine | 85 |
Dose Expansion: BVD-523/Nab-paclitaxel/Gemcitabine | 39.5 |
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Safety and Toxicity Profile of Treatment Regimen as Measured by Grade and Frequency of Adverse Events
-The descriptions and grading scales found in the revised NCI Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 will be utilized for all toxicity reporting. (NCT02608229)
Timeframe: 30 days after completion of treatment (median time was 67.5 days)
Intervention | Participants (Count of Participants) |
---|
| Grade 1/2 Hearing Impaired | Grade 1/2 blurred vision | Grade 3 abdominal infection | Grade 1/2 constipation | Grade 1/2 diarrhea | Grade 3 diarrhea | Grade 1/2 dry mouth | Grade 1/2 dyspepsia | Grade 1/2 flatulence | Grade 1/2 gastrointestinal pain | Grade 1/2 mucositis oral | Grade 1/2 nausea | Grade 3 nausea | Grade 1/2 taste change | Grade 1/2 vomiting | Grade 3 vomiting | Grade 1/2 acute kidney injury | Grade 3 lower GI hemorrhage | Grade 1/2 chills | Grade 1/2 edema limbs | Grade 1/2 edema trunk | Grade 1/2 fatigue | Grade 1/2 fever | Grade 1/2 thrush | Grade 5 death due to disease progression | Grade 1/2 alanine aminotransferase increased | Grade 1/2 alkaline phosphtase | Grade 4 blood bilirubin increased | Grade 3/4 neutrophil count decreased | Grade 3 platelet count decreased | Grade 1/2 lymphocyte count | Grade 1/2 white blood cell count decreased | Grade 1/2 hypercalcemia | Grade 1/2 hyperglycemia | Grade 1/2 hyperkalemia | Grade 1/2 hypoalbuminemia | Grade 1/2 hypocalcemia | Grade 1/2 dehydration | Grade 1/2 arthralgia | Grade 1/2 back pain | Grade 1/2 dizziness | Grade 1/2 headache | Grade 1/2 peripheral sensory neuropathy | Grade 1/2 numbness | Grade 1/2 insomnia | Grade 1/2 anxiety | Grade 1/2 cough | Grade 1/2 dyspnea | Grade 1/2 epistaxis | Grade 5 adult respiratory distress syndrome | Grade 1/2 alopecia | Grade 1/2 rash acneiform | Grade 3 rash acneiform | Grade 1/2 rash maculo-papular | Grade 1/2 sweating | Grade 1 scalp sun burned | Grade 1/2 hypertension | Grade 3 hypertension | Grade 1/2 hyperhydrosis | Grade 1/2 pruritus | Grade 1/2 myalgia | Grade 1/2 blood in stool | Grade 1/2 anorexia | Grade 3 anorexia | Grade 1/2 abdominal pain | Grade 3 abdominal pain | Grade 3 portal vein thrombosis | Grade 3 lung infection | Grade 1/2 anemia | Grade 3 anemia |
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450 mg BVD-523/Nab-paclitaxel/Gemcitabine | 0 | 0 | 0 | 2 | 4 | 0 | 0 | 1 | 0 | 0 | 2 | 1 | 1 | 0 | 1 | 1 | 0 | 0 | 1 | 1 | 0 | 2 | 2 | 1 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 0 | 0 | 3 | 4 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 1 | 1 | 1 | 1 | 1 |
,600 mg BVD-523/Nab-paclitaxel/Gemcitabine | 1 | 3 | 1 | 5 | 5 | 2 | 2 | 1 | 1 | 1 | 2 | 5 | 1 | 1 | 0 | 2 | 1 | 1 | 3 | 3 | 1 | 3 | 5 | 1 | 1 | 2 | 2 | 1 | 3 | 1 | 1 | 2 | 2 | 1 | 2 | 1 | 1 | 1 | 4 | 2 | 4 | 3 | 5 | 1 | 2 | 1 | 1 | 2 | 1 | 1 | 5 | 3 | 2 | 4 | 1 | 1 | 3 | 1 | 0 | 0 | 0 | 0 | 3 | 0 | 2 | 0 | 0 | 0 | 3 | 0 |
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Response Rate
"Response rate is the percentage of participants with best response of complete response or partial response per RECIST 1.1~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. Disappearance of all non-target lesions and normalization of tumor marker level.~Partial response (PR): at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters." (NCT02608229)
Timeframe: Through completion of treatment (median time was 37.5 days)
Intervention | Participants (Count of Participants) |
---|
Dose De-escalation: BVD-523/Nab-paclitaxel/Gemcitabine | 2 |
Dose Expansion: BVD-523/Nab-paclitaxel/Gemcitabine | 0 |
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Biochemical Response of Treatment Regimen
-The biochemical response (BR) is defined as more than 50% of decrease from baseline CA 19-9 (NCT02608229)
Timeframe: Through completion of treatment (median time was 37.5 days)
Intervention | Participants (Count of Participants) |
---|
Dose De-escalation: BVD-523/Nab-paclitaxel/Gemcitabine | 3 |
Dose Expansion: BVD-523/Nab-paclitaxel/Gemcitabine | 1 |
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Maximum Tolerated Dose (MTD) of BVD-523
-The maximum tolerated dose (MTD) is defined as the Dose Level 1 if 0 or 1 dose-limiting toxicities (DLTs) are seen in patients at that dose level or Dose Level -1 if 2+ DLTs are seen in Dose Level 1 but only 0 or 1 DLTs are seen in patients at Dose Level -1. (NCT02608229)
Timeframe: Completion of cycle 1 for all dose de-escalation patients (1.8 years), the first cycle is 28 days for each individual patient
Intervention | mg (Number) |
---|
Dose De-escalation: BVD-523/Nab-paclitaxel/Gemcitabine | 450 |
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Time to Progression
Calculated in months from the start of treatment to disease progression as defined by Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT or MRI: Progressive Disease (PD), 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 sum 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. (NCT02608684)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Cisplatin+Gemcitabine+Pembrolizumab | 6.25 |
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Overall Survival (OS)
Calculated in months from the start of treatment to the date of death from any cause (NCT02608684)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Cisplatin+Gemcitabine+Pembrolizumab | 17.75 |
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Duration of Response
Calculated in months as time from documentation of tumor response to disease progression (NCT02608684)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Cisplatin+Gemcitabine+Pembrolizumab | 3.75 |
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Progression-free Survival (PFS) at 6 Months and at 12 Months
Percentage of patients who have not progressed at 6 and 12 months with progression-free survival calculated from the start of treatment to the date of progression or death from any cause. Progression is measured by Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT or MRI: Progressive Disease (PD), 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 sum 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. (NCT02608684)
Timeframe: 6 months and 12 months
Intervention | percentage of participants (Number) |
---|
| PFS rate at 6 months | PFS rate at 12 months |
---|
Cisplatin+Gemcitabine+Pembrolizumab | 50.00 | 5.56 |
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Overall Response Rate by iRECIST
Per Immune Response Evaluation Criteria In Solid Tumors Criteria (iRECIST) for target lesions and assessed by CT or MRI, where the threshold is reset if RECIST 1.1 progression is followed at the next assessment by tumor shrinkage: 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. (NCT02608684)
Timeframe: Up to 2 years
Intervention | Participants (Count of Participants) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Not applicable |
---|
Cisplatin+Gemcitabine+Pembrolizumab | 0 | 0 | 0 | 12 | 6 |
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Overall Response Rate (ORR)
Defined as complete or partial response per RECIST 1.1 criteria with assessment every 6 weeks during first 6 cycles of therapy and every 9 weeks thereafter. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT or 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. (NCT02608684)
Timeframe: Up to 2 years
Intervention | Participants (Count of Participants) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease |
---|
Cisplatin+Gemcitabine+Pembrolizumab | 1 | 10 | 5 | 2 |
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Disease Control Rate (DCR)
Disease control rate of transarterial chemoperfusion treatment with cisplatin, methotrexate and gemcitabine in patients with unresectable malignant pleural mesothelioma using modified Response Evaluation Criteria in Solid Tumors (RECIST) for mesothelioma. DCR provided as percentage of participants with partial response + percentage of participants with stable disease. (NCT02611037)
Timeframe: Up to 3 years
Intervention | percentage of participants (Number) |
---|
Chemoperfusion + Questionnaire | 75 |
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Progression Free Survival (PFS)
Progression free survival defined as the time from the first day of transarterial chemoperfusion treatment to disease progression based on imaging findings using modified Response Evaluation Criteria in Solid Tumors (RECIST) criteria for mesothelioma. Progressive Disease (PD): 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 progression). (NCT02611037)
Timeframe: Up to 3 years
Intervention | months (Median) |
---|
Chemoperfusion + Questionnaire | 4.7 |
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Overall Survival (OS)
Overall survival defined as the time from the first day of transarterial chemoperfusion treatment to death. (NCT02611037)
Timeframe: Up to 3 years
Intervention | months (Median) |
---|
Chemoperfusion + Questionnaire | 8.9 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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Incidence of Toxicity (CTCAE Version 4.0)
Toxicity rates will be estimated using all treated patients. (NCT02620865)
Timeframe: Up to 18 months
Intervention | Participants (Count of Participants) |
---|
| Anorexia | Anxiety | Chills | Depression | Diarrhea | Dizziness | Dry Mouth | Fatigue | Fever | Gastroesophageal reflux disease | Headache | Myalgia | Nausea | Rash maculo-papular | Vomiting |
---|
Treatment (Anti-CD3 x Anti-EGFR BATs) | 1 | 1 | 2 | 1 | 2 | 1 | 1 | 2 | 2 | 1 | 2 | 1 | 2 | 2 | 1 |
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Progression Free Survival (PFS)
Descriptive statistics (point and exact 90% confidence interval estimates from the resultant Kaplan-Meier curve) will be generated for PFS. The median PFS will be estimated on an intention-to-treat basis (using all registered patients), and on a response-evaluable basis (using all patients who completed all BAT infusions) using the Kaplan-Meier method. (NCT02620865)
Timeframe: Up to 18 months
Intervention | Years (Median) |
---|
Treatment (Anti-CD3 x Anti-EGFR BATs) | 0.934 |
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Overall Survival (OS)
The length of time from either the date of diagnosis or the start of treatment for a disease, such as cancer, that patients diagnosed with the disease are still alive. (NCT02631590)
Timeframe: Up to 24 months
Intervention | months (Median) |
---|
Combination Therapy | 13.7 |
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Response Rate
Complete Response + Partial Response according to RECIST 1.1. 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. (NCT02631590)
Timeframe: Up to 24 months
Intervention | percentage of participants (Number) |
---|
| Partial Response | Stable Disease |
---|
Combination Therapy | 31.6 | 57.9 |
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Progression Free Survival (PFS)
PFS at six months. Response and progression will be evaluated using the new international criteria proposed by the revised Response Evaluation Criteria in Solid Tumors (RECIST) guidelines (version 1.1). PFS will be calculated from study entry to documented disease progression, death from any cause, or date of last follow-up, whichever comes first. Progressive Disease (PD): 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 progression.) (NCT02631590)
Timeframe: 6 months
Intervention | months (Median) |
---|
Combination Therapy | 6.2 |
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Phase 1b: PK: Elimination Half-Life (T1/2) of Olaratumab
T1/2 of Olaratumab. (NCT02659020)
Timeframe: Pre-dose, 5 min, 1, 4, 4.5, 24, 96, 168, 336 h post-dose on Cycle 1 Day 1, Cycle 1 Day 8, Cycle 3 Day 1, Cycle 3 Day 8
Intervention | days (Geometric Mean) |
---|
| Cycle 1 (Day 1) | Cycle 1 (Day 8) | Cycle 3 (Day 1) | Cycle 3 (Day 8) |
---|
Phase 1b: Cohort 1 - 15 mg/kg Olaratumab + Gemcitabine + Docetaxel | 4.60 | 6.25 | 5.17 | 5.82 |
,Phase 1b: Cohort 2 Overall - 20 mg/kg Olaratumab + Gemcitabine + Docetaxel | 4.29 | 6.62 | 6.36 | 6.39 |
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Phase 1b/2: PK: Area Under the Concentration Versus Time Curve From Time Zero to Infinity (AUC [0-∞]) of Docetaxel
AUC [0-∞] of Docetaxel. (NCT02659020)
Timeframe: 5 min, 1, 3, 24, 48 h post-dose on Cycle 1 Day 8
Intervention | nanograms*hours per milliliter (Geometric Mean) |
---|
Phase 1b: Cohort 1 - 15 mg/kg Olaratumab + Gemcitabine + Docetaxel | 4440 |
Phase 1b: Cohort 2 Overall - 20 mg/kg Olaratumab + Gemcitabine + Docetaxel | 2990 |
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Phase 1b: PK: Minimum Serum Concentration (Cmin) of Olaratumab
Cmin of Olaratumab. (NCT02659020)
Timeframe: Pre-dose, 5 min, 1, 4, 4.5, 24, 96, 168, 336 h post-dose on Cycle 1 Day 1, Cycle 1 Day 8, Cycle 3 Day 1
Intervention | μg/mL (Geometric Mean) |
---|
| Cycle 1 (Day 1) | Cycle 1 (Day 8) | Cycle 3 (Day 1) |
---|
Phase 1b: Cohort 1 - 15 mg/kg Olaratumab + Gemcitabine + Docetaxel | 95.9 | 64.3 | 137 |
,Phase 1b: Cohort 2 Overall - 20 mg/kg Olaratumab + Gemcitabine + Docetaxel | 142 | 93.3 | 252 |
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Phase 1b: Pharmacokinetics (PK): Maximum Serum Concentration (Cmax) of Olaratumab
Cmax of Olaratumab. (NCT02659020)
Timeframe: Pre-dose, 5 minutes (min), 1, 4, 4.5, 24, 96, 168, 336 hours (h) post-dose on Cycle 1 Day 1, Cycle 1 Day 8, Cycle 3 Day 1, Cycle 3 Day 8
Intervention | micrograms per milliliter (μg/mL) (Geometric Mean) |
---|
| Cycle 1 (Day 1) | Cycle 1 (Day 8) | Cycle 3 (Day 1) | Cycle 3 (Day 8) |
---|
Phase 1b: Cohort 1 - 15 mg/kg Olaratumab + Gemcitabine + Docetaxel | 432 | 460 | 523 | 513 |
,Phase 1b: Cohort 2 Overall - 20 mg/kg Olaratumab + Gemcitabine + Docetaxel | 572 | 697 | 644 | 689 |
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Phase 2: Progression Free Survival (PFS)
PFS was defined as the time from randomization to the first date of radiologic disease progression (as defined by Response Evaluation Criteria In Solid Tumors, Version 1.1 [RECIST v.1.1]) or death due to any cause. Progressive disease (PD) was 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. Participants who have neither progressed nor died were censored at the day of their last radiographic tumor assessment, if available, or date of randomization if no post-baseline radiographic assessment is available. (NCT02659020)
Timeframe: Baseline to Objective Disease Progression or Death from Any Cause (Up To 38 Months)
Intervention | Months (Median) |
---|
Phase 2: Olaratumab + Gemcitabine + Docetaxel (Olaratumab-naive) | 7.62 |
Phase 2: Placebo + Gemcitabine + Docetaxel (Olaratumab-naive) | 4.37 |
Phase 2: Olaratumab + Gemcitabine + Docetaxel (Olaratumab Pre-treated) | 5.45 |
Phase 2: Placebo + Gemcitabine + Docetaxel (Olaratumab Pre-treated) | 4.17 |
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Phase 2: Percentage of Participants With a Complete or Partial Response (Objective Response Rate [ORR])
ORR is the best overall tumor response of complete response (CR) or partial response (PR) as classified by the investigator according to the Response Evaluation Criteria In Solid Tumors (RECIST v1.1). CR is a disappearance of all target and non-target lesions and normalization of tumor marker level. PR is an at least 30% decrease in the sum of the diameters of target lesions (taking as reference the baseline sum diameter) without progression of non-target lesions or appearance of new lesions. (NCT02659020)
Timeframe: Baseline to Objective Disease Progression or Start of New Anti-Cancer Therapy (Up To 38 Months)
Intervention | Percentage of participants (Number) |
---|
Phase 2: Olaratumab + Gemcitabine + Docetaxel (Olaratumab-naive) | 32.1 |
Phase 2: Placebo + Gemcitabine + Docetaxel (Olaratumab-naive) | 23.3 |
Phase 2: Olaratumab + Gemcitabine + Docetaxel (Olaratumab Pre-treated) | 30.4 |
Phase 2: Placebo + Gemcitabine + Docetaxel (Olaratumab Pre-treated) | 14 |
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Phase 2: Overall Survival (OS) (Olaratumab-Naive)
OS was defined as the time from the date of randomization to the date of death from any cause. For each participant who is not known to have died as of the data-inclusion cut-off date for a particular analysis, overall survival duration was censored for that analysis at the date of last prior contact. (NCT02659020)
Timeframe: Baseline to Date of Death Due to Any Cause (Up To 38 Months)
Intervention | Months (Median) |
---|
Phase 2: Olaratumab + Gemcitabine + Docetaxel (Olaratumab-naive) | 16.76 |
Phase 2: Placebo + Gemcitabine + Docetaxel (Olaratumab-naive) | 18.04 |
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Phase 2: Overall Survival (Olaratumab Pre-Treated)
OS was defined as the time from the date of randomization to the date of death from any cause. For each participant who is not known to have died as of the data-inclusion cut-off date for a particular analysis, overall survival duration was censored for that analysis at the date of last prior contact. (NCT02659020)
Timeframe: Baseline to Date of Death Due to Any Cause (Up To 38 Months)
Intervention | Months (Median) |
---|
Phase 2: Olaratumab + Gemcitabine + Docetaxel (Olaratumab Pre-treated) | 19.84 |
Phase 2: Placebo + Gemcitabine + Docetaxel (Olaratumab Pre-treated) | 17.31 |
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Phase 2: Health Status on the EuroQol 5-Dimension 5 Level (EQ-5D-5L)
The EQ-5D-5L is a standardized instrument for use as a measure of self-reported health status. Five dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) of health status are each assessed with 5 response options (1=no problem, 2=slight, 3=moderate, 4=severe, and 5=extreme problem) 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. (NCT02659020)
Timeframe: Cycle 1 (Day 1), Follow-up (Up to 38 Months)
Intervention | score on a scale (Mean) |
---|
| EQ-5D-5L - Index Value [Cycle 1 (Day 1)] | EQ-5D-5L - VAS Score [Cycle 1 (Day 1)] | EQ-5D-5L - Index Value [Follow-up (Up to 38 Months)] | EQ-5D-5L - VAS Score [Follow-up (Up to 38 Months)] |
---|
Phase 2: Olaratumab + Gemcitabine + Docetaxel (Olaratumab Pre-treated) | 0.83 | 76.2 | 0.80 | 74.8 |
,Phase 2: Olaratumab + Gemcitabine + Docetaxel (Olaratumab-naive) | 0.80 | 73.5 | 0.74 | 68.7 |
,Phase 2: Placebo + Gemcitabine + Docetaxel (Olaratumab Pre-treated) | 0.83 | 70.3 | 0.76 | 70.8 |
,Phase 2: Placebo + Gemcitabine + Docetaxel (Olaratumab-naive) | 0.81 | 72.7 | 0.71 | 63.0 |
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Phase 2: Number of Participants With Treatment Emergent Anti-Olaratumab Antibodies
Number of Participants with Treatment Emergent Anti-Olaratumab Antibodies (NCT02659020)
Timeframe: Baseline through Follow-Up (Up to 38 Months)
Intervention | Participants (Count of Participants) |
---|
Phase 2: Olaratumab + Gemcitabine + Docetaxel (Olaratumab-naive) | 0 |
Phase 2: Olaratumab + Gemcitabine + Docetaxel (Olaratumab Pre-treated) | 0 |
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Phase 2: Disease Control Rate (DCR): Percentage of Participants With a Best Overall Response of Complete Response (CR), Partial Response (PR), and Stable Disease (SD)
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. (NCT02659020)
Timeframe: Baseline to Measured Progressive Disease or Start of New Anti-Cancer Therapy (Up To 38 Months)
Intervention | Percentage of participants (Number) |
---|
Phase 2: Olaratumab + Gemcitabine + Docetaxel (Olaratumab-naive) | 74.1 |
Phase 2: Placebo + Gemcitabine + Docetaxel (Olaratumab-naive) | 72.1 |
Phase 2: Olaratumab + Gemcitabine + Docetaxel (Olaratumab Pre-treated) | 67.4 |
Phase 2: Placebo + Gemcitabine + Docetaxel (Olaratumab Pre-treated) | 62.8 |
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Phase 1b/2: Population PK: Volume of Distribution at Steady State (Vss) of Olaratumab
The Vss is the sum of central volume of distribution (V1) + peripheral volume of distribution (V2). (NCT02659020)
Timeframe: Cycle 1-19: Pre-dose, 5 min, 1, 4, 4.5, 24, 96, 168, 336 h post-dose on days 1, 8
Intervention | Liter (Mean) |
---|
Olaratumab + Gemcitabine + Docetaxel | 5.14 |
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Phase 1b/2: PK: Cmax of Gemcitabine
Cmax of Gemcitabine. (NCT02659020)
Timeframe: Day 8 of Cycle 1 (end of infusion, 1, 2, 4, 24 hours post-infusion)
Intervention | μg/mL (Geometric Mean) |
---|
Phase 1b: Cohort 1 - 15 mg/kg Olaratumab + Gemcitabine + Docetaxel | 2.79 |
Phase 1b: Cohort 2 Overall - 20 mg/kg Olaratumab + Gemcitabine + Docetaxel | 3.49 |
Phase 2: Olaratumab + Gemcitabine + Docetaxel | 3.01 |
Phase 2: Placebo + Gemcitabine + Docetaxel | 2.35 |
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Phase 1b/2: PK: Cmax of Docetaxel
Cmax of Docetaxel. (NCT02659020)
Timeframe: 5 min, 1, 3, 24, 48 h post-dose on Cycle 1 Day 8
Intervention | Nanograms per milliliter (Geometric Mean) |
---|
Phase 1b: Cohort 1 - 15 mg/kg Olaratumab + Gemcitabine + Docetaxel | 903 |
Phase 1b: Cohort 2 Overall - 20 mg/kg Olaratumab + Gemcitabine + Docetaxel | 1110 |
Phase 2: Olaratumab + Gemcitabine + Docetaxel | 1030 |
Phase 2: Placebo + Gemcitabine + Docetaxel | 827 |
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Phase 1b: Number of Participants With Dose Limiting Toxicity (DLT)
"A Dose Limiting Toxicity is defined as an Adverse Event (AE) that is likely related to the study medication or combination, and fulfils any one of the following criteria, graded according to the NCI-CTCAE Version 4.0:~Febrile neutropenia with documented Grade ≥3 infection or sepsis~Grade 4 neutropenia lasting 7 days or longer.~Grade 4 thrombocytopenia, or Grade 3 thrombocytopenia complicated by hemorrhage.~Nonhematologic Grade ≥3 toxicity, except for toxicities such as nausea, vomiting, transient electrolyte abnormalities, or diarrhoea that can be controlled with optimal medical management within 48 hours." (NCT02659020)
Timeframe: Cycle 1 (Up To 21 Days)
Intervention | Participants (Count of Participants) |
---|
Phase 1b: Cohort 1 - 15 mg/kg Olaratumab + Gemcitabine + Docetaxel | 1 |
Phase 1b: Cohort 2 - 20 mg/kg Olaratumab + Gemcitabine + Docetaxel | 4 |
Phase 1b: Cohort 2 Expansion - 20 mg/kg Olaratumab + Gemcitabine + Docetaxel | 3 |
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"Phase 2: Time to First Worsening of the Brief Pain Inventory Short Form Modified (mBPI-sf) Worst Pain Score"
"The mBPI-sf is a 11-item instrument used as a multiple-item measure of cancer pain intensity ranging from 0 (no pain or does not interfere) and ranged through 10 (pain as bad as you can imagine or completely interferes). Time to first worsening of the mBPI-sf worst pain score (TWP) was defined as the time from the date of randomization to the first date of either a worst pain score increase of greater than or equal to (≥) 2 points from baseline or an analgesic drug class increase of ≥1 level. If the patient has not worsened by either of these criteria, TWP was censored for analysis on the last date the mBPI-sf was administered." (NCT02659020)
Timeframe: Baseline to Follow-up (Up To 24 Months)
Intervention | Months (Median) |
---|
Phase 2: Olaratumab + Gemcitabine + Docetaxel (Olaratumab-naive) | 3.61 |
Phase 2: Placebo + Gemcitabine + Docetaxel (Olaratumab-naive) | 2.27 |
Phase 2: Olaratumab + Gemcitabine + Docetaxel (Olaratumab Pre-treated) | 3.15 |
Phase 2: Placebo + Gemcitabine + Docetaxel (Olaratumab Pre-treated) | 2.20 |
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Phase 1b/2: Population PK: Clearance of Olaratumab
Population PK: Clearance of Olaratumab (NCT02659020)
Timeframe: Cycle 1-19: Pre-dose, 5 min, 1, 4, 4.5, 24, 96, 168, 336 h post-dose on days 1, 8
Intervention | Liter Per Hour (Mean) |
---|
Olaratumab + Gemcitabine + Docetaxel | 0.0186 |
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Phase 2: Time to First Worsening of Symptom Burden on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) - Symptom Scales.
The EORTC QLQ-C30 is a self-reported general cancer instrument consisting of 30 items covered by 1 of 3 dimensions: global health status/quality of life (2 items), functional scales (15 total items addressing either physical, role, emotional, cognitive, or social functioning), symptom scales (13 total items addressing either fatigue, nausea/vomiting, pain, dyspnoea, insomnia, appetite loss, constipation, diarrhoea, or financial impact). Time to first worsening of Symptom Burden was defined as the time from randomization to the first observation of worsening on symptom scales (i.e.,) increase of at least 10 points from baseline. For symptom scales, a linear transformation was used to obtain total score ranging from 0 to 100, a high score represents a high level of symptomatology or problems. (NCT02659020)
Timeframe: Baseline to Follow-up (Up to 33 months)
Intervention | Months (Median) |
---|
| Fatigue | Nausea and vomiting | Pain | Dyspnoea | Insomnia | Appetite loss | Constipation | Diarrhoea | Financial difficulties |
---|
Phase 2: Olaratumab + Gemcitabine + Docetaxel (Olaratumab Pre-treated) | 0.85 | 3.98 | 2.43 | 2.33 | 1.91 | 1.41 | 4.63 | 3.55 | 7.29 |
,Phase 2: Olaratumab + Gemcitabine + Docetaxel (Olaratumab-naive) | 0.95 | 3.78 | 4.67 | 2.14 | 5.32 | 1.12 | 3.25 | 1.41 | NA |
,Phase 2: Placebo + Gemcitabine + Docetaxel (Olaratumab Pre-treated) | 0.76 | 13.17 | 3.06 | 2.79 | 5.09 | 1.97 | 3.81 | 3.52 | NA |
,Phase 2: Placebo + Gemcitabine + Docetaxel (Olaratumab-naive) | 0.95 | 2.46 | 0.99 | 2.14 | 4.24 | 2.56 | 2.86 | 1.81 | 7.66 |
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Percentage of Subjects That Reach Complete Pathologic Response (pT0) at the Time of Cystectomy
"Pathologic (p) anatomic response for bladder cancer uses the American Joint Committee on Cancer (AJCC) TNM staging system, which is based on:~Size of primary tumor (T) and whether it has grown into nearby areas. Spread to regional lymph nodes (N). Spread (metastasis) (M) to other organs of the body. Once the T, N, and M categories have been determined, this information is combined into a prognostic group. Higher numbers mean the cancer is more advanced.~Pathologic staging is based on the operative and pathology report from cystectomy at the local site.~Complete pathologic response (pT0) is defined as pT0 N0 M0." (NCT02690558)
Timeframe: 14 weeks of treatment plus cystectomy within 70 days of treatment
Intervention | percentage of patients with response (Number) |
---|
Pembrolizumab, Gemcitabine and Cisplatin | 36 |
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Percentage of Subjects That Reach Pathological Downstaging (Response) at the Time of Cystectomy
"Pathologic (p) anatomic stage for bladder cancer uses the American Joint Committee on Cancer (AJCC) Tumor/Nodes/Metastasis (TNM) system, which is based on:~Size of primary tumor (T) and whether it has grown into nearby areas. Spread to regional lymph nodes (N). Spread (metastasis; M) to other organs of the body. Once the T, N, and M categories have been determined, this information is combined into a prognostic group. Higher numbers mean the cancer is more advanced.~Pathologic staging is based on the operative and pathology report from cystectomy at the local site. A pathologic response or downstaging is defined as a reduction in stage to below pathological tumor stage 2 (NCT02690558)
Timeframe: 14 weeks of treatment plus cystectomy within 70 days after treatment
Intervention | percentage of patients with response (Number) |
---|
Pembrolizumab, Gemcitabine and Cisplatin | 56 |
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Overall Survival (OS)
OS was defined as the time from start of treatment to time of death from any cause. Participants who had not died at the time of final analysis were censored at the date of last contact. OS was estimated by Kaplan-Meier methodology and expressed in months. (NCT02694536)
Timeframe: Up to approximately 40 months (assessed continuously through end of study)
Intervention | months (Median) |
---|
Erlotinib + Gemcitabine | 7.49 |
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Percentage of Participants Who Died
The percentage of participants who died from any cause was reported to the nearest integer. (NCT02694536)
Timeframe: Up to approximately 40 months (assessed continuously through end of study)
Intervention | percentage of participants (Number) |
---|
Erlotinib + Gemcitabine | 73 |
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Percentage of Participants With Adverse Events (AEs)
An AE was defined as any untoward medical occurrence and which did not necessarily have a causal relationship with treatment. The percentage of participants who experienced at least 1 AE was reported. (NCT02694536)
Timeframe: Up to approximately 40 months (assessed continuously during treatment)
Intervention | percentage of participants (Number) |
---|
Erlotinib + Gemcitabine | 78.8 |
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Percentage of Participants With Death or Disease Progression According to Response Evaluation Criteria in Solid Tumors (RECIST)
Tumor assessments were performed using RECIST. Disease progression was defined as greater than or equal to (≥) 20 percent (%) increase in sum of longest diameters (LD) of target lesions in reference to smallest sum of LD on study. The percentage of participants who died or demonstrated disease progression was reported to the nearest integer. (NCT02694536)
Timeframe: Up to approximately 40 months (assessed at Baseline, every 8 weeks during treatment, and end of study)
Intervention | percentage of participants (Number) |
---|
Erlotinib + Gemcitabine | 88 |
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European Organisation for Research and Treatment of Cancer (EORTC) 30-Item Quality of Life Questionnaire (QLQ-C30) Item Scores
"The QLQ-C30 is a 30-item questionnaire that assesses physical (Questions 1-5), role (Questions 6-7), emotional (Questions 21-24), cognitive (Questions 20 and 25), and social (Questions 26-27) functional domains as well as global health status (Questions 29-30) and several symptoms including fatigue (Questions 10, 12, and 18), pain (Questions 9 and 19), nausea/vomiting (Questions 14-15), dyspnea (Question 8), appetite loss (Question 13), insomnia (Question 11), constipation/diarrhea (Questions 16-17), and financial difficulties (Question 28). Questions 1 to 28 were assessed on a 4-point scale from 1 (no/not at all) to 4 (very much) where higher scores represented worse symptoms. Questions 29 and 30 were assessed on a 7-point scale from 1 (very poor) to 7 (excellent) where higher scores represented better functioning. Item scores over the study period were averaged among all participants across all visits for which data were available." (NCT02694536)
Timeframe: Up to approximately 40 months (assessed at Baseline, every 4 weeks during treatment, and end of study)
Intervention | units on a scale (Mean) |
---|
| Q1: Trouble in strenuous activities (n=256) | Q2: Trouble with long walk (n=259) | Q3: Trouble with short walk (n=258) | Q4: Need to say in bed or chair (n=255) | Q5: Need help in daily activities (n=259) | Q6: Limited in doing work/daily activities (n=257) | Q7: Limited in pursuing hobbies (n=255) | Q8: Short of breath (n=258) | Q9: Pain (n=257) | Q10: Need to rest (n=255) | Q11: Trouble sleeping (n=257) | Q12: Felt weak (n=255) | Q13: Lacked appetite (n=257) | Q14: Felt nauseated (n=257) | Q15: Vomited (n=259) | Q16: Constipated (n=259) | Q17: Diarrhea (n=259) | Q18: Tired (n=255) | Q19: Pain interference with daily activity (n=256) | Q20: Difficulty concentrating (n=257) | Q21: Felt tense (n=256) | Q22: Worried (n=253) | Q23: Felt irritable (n=258) | Q24: Felt depressed (n=258) | Q25: Difficulty remembering things (n=257) | Q26: Interference with family life (n=257) | Q27: Interference with social activities (n=257) | Q28: Financial difficulties (n=258) | Q29: Overall health (n=255) | Q30: Overall quality of life (n=255) |
---|
Erlotinib + Gemcitabine | 1.96 | 2.03 | 1.50 | 1.87 | 1.21 | 1.82 | 1.73 | 1.38 | 1.88 | 2.05 | 1.74 | 2.05 | 1.70 | 1.48 | 1.10 | 1.51 | 1.27 | 2.07 | 1.69 | 1.49 | 1.97 | 2.10 | 1.75 | 1.67 | 1.44 | 1.59 | 1.62 | 1.32 | 4.44 | 4.38 |
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Progression-Free Survival (PFS) According to RECIST
Tumor assessments were performed using RECIST. PFS was defined as the time from treatment start to the time of death or disease progression. Disease progression was defined as ≥20% increase in sum of LD of target lesions in reference to smallest sum of LD on study. PFS was estimated by Kaplan-Meier methodology and expressed in months. (NCT02694536)
Timeframe: Up to approximately 40 months (assessed at Baseline, every 8 weeks during treatment, and end of study)
Intervention | months (Median) |
---|
Erlotinib + Gemcitabine | 4.864 |
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Freedom From Bladder Stones/Dystrophic Calcification
The secondary endpoint for this study will be the number of subjects who did not experience dystrophic calcification or bladder calculi measured by the number of patients with Grade 3 through Grade 5 Adverse Events that are related to study arm, graded according to NCI CTCAE Version 4.03.Version 4.03 (NCT02695771)
Timeframe: Two years
Intervention | Participants (Count of Participants) |
---|
Mitomycin C | 24 |
Gemcitabine | 23 |
No Intervention | 25 |
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Number of Participants Without Grade ≥ 3 Adverse Event, Graded According to NCI CTCAE Version 4.03
The NCI CTCAE Version 4.03 grades adverse events as follows: grade 3 include severe but non-life-threatening consequences that result in hospitalization and/or interventions, including elective radiologic or operative interventions; grade 4 events include life-threatening consequences, such as those requiring urgent reoperation; and grade 5 events result in treatment-related death. (NCT02695771)
Timeframe: Two years
Intervention | Participants (Count of Participants) |
---|
Mitomycin C | 15 |
Gemcitabine | 14 |
No Intervention | 20 |
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One- and Two-year Progression Survival Rate Will be Determined. Will be Determined.
The proportion of patients without disease progressions at 1 year and 2 years. (NCT02704156)
Timeframe: 2 years
Intervention | Participants (Count of Participants) |
---|
| 1-year PFS rate | 2-year PFS rate |
---|
SBRT Plus Gemcitabine | 7 | 0 |
,SBRT Plus Pembrolizumab and Trametinib | 18 | 0 |
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The Quality of Life Will be Analyzed.
The analysis of quality of life is based on European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (QLQ-C30). All scales and subscales range from 0 to 100. Regarding physical functioning, role functioning, emotional functioning, cognitive functioning, social functioning and global health, higher scores may indicate better outcomes. In the case of fatigue, nausea and vomitting, pain, dyspnea, insomina, appetite loss, constipation, diarrhea and financial difficulties, lower scores may indicate better outcomes. Scales of all items are independent and not combined to compute a total score. (NCT02704156)
Timeframe: 3 years
Intervention | units on a scale (Mean) |
---|
| Physical functioning | Role functioning | Emotional functioning | Cognitive functioning | Social functioning | Global health | Fatigue | Nausea and vomitting | Pain | Dyspnea | Insomina | Appetite loss | Constipation | Diarrhea | Financial difficulties |
---|
SBRT Plus Gemcitabine | 86.2 | 81.8 | 73.9 | 84.7 | 85.5 | 83.6 | 29.6 | 29.4 | 23.9 | 16.1 | 14.9 | 31.0 | 14.5 | 15.7 | 16.8 |
,SBRT Plus Pembrolizumab and Trametinib | 83.7 | 84.5 | 72.1 | 83.3 | 84.1 | 83.2 | 26.6 | 28.8 | 26.5 | 13.7 | 17.6 | 33.3 | 16.5 | 15.7 | 17.2 |
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One- and Two-year Overall Survival Rate Will be Determined.
The number of patients alive at 1 year and 2 years. (NCT02704156)
Timeframe: 2 year
Intervention | Participants (Count of Participants) |
---|
| 1-year OS rate | 2-year OS rate |
---|
SBRT Plus Gemcitabine | 48 | 0 |
,SBRT Plus Pembrolizumab and Trametinib | 53 | 2 |
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AUC0-24: Area Under the Steady-state Plasma Concentration-time Curve of INCB057643 Administered as Monotherapy
Area under the steady-state plasma concentration-time curve over 1 dosing interval from Hour 0 to 24 for QD administration of INCB057643 administered as monotherapy in fed state. (NCT02711137)
Timeframe: C2D1
Intervention | h*nM (Mean) |
---|
12mg QD INCB057643 | 2980 |
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AUC0-24: Area Under the Steady-state Plasma Concentration-time Curve of INCB057643 Administered as Monotherapy
Area under the steady-state plasma concentration-time curve over 1 dosing interval from Hour 0 to 24 for QD administration of INCB057643 administered as monotherapy in fasted state (NCT02711137)
Timeframe: Predose, 0.5, 1, 2, 4, 6, 8 hours on C1D8
Intervention | h*nM (Mean) |
---|
8mg QD INCB057643 | 1940 |
12mg QD INCB057643 | 2740 |
16mg QD INCB057643 | 3610 |
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Objective Response Rate (ORR) With INCB057643 in Solid Tumors
Objective response rate is defined as the proportion of subjects who have an objective response using the applicable disease assessment criteria. ORR was proportion of participants with best overall response [complete response (CR) or partial response (PR)]. (NCT02711137)
Timeframe: Efficacy measures from screening through end of treatment and follow-up (every 9 weeks), up to approximately 24 months
Intervention | Participants (Number) |
---|
| Solid Tumors | Lymphoma |
---|
Part1/Treatment Group A : 12mg QD INCB057643 | 0 | 0 |
,Part1/Treatment Group A : 16mg QD INCB057643 | 0 | 1 |
,Part1/Treatment Group A : 8mg QD INCB057643 | 0 | 1 |
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Number of Participants With Treatment Emergent Adverse Events (TEAE's).
Adverse events reported for the first time or worsening of a pre-existing event after first dose of study drug/treatment. (NCT02711137)
Timeframe: From screening through at least 30 days after end of treatment, up to approximately 24 months
Intervention | Participants (Number) |
---|
Part1/Treatment Group A : 8mg QD INCB057643 | 4 |
Part1/Treatment Group A : 12mg QD INCB057643 | 5 |
Part1/Treatment Group A : 16mg QD INCB057643 | 8 |
Part1/Treatment Group B : 8mg QD INCB057643 | 7 |
Part1/Treatment Group B : 12mg QD INCB057643 | 5 |
Part1/Treatment Group C : 8mg QD INCB057643 | 1 |
Part2/Treatment Group A : 12 mg INCB057643 Expansion Cohort | 86 |
Part2/Treatment Group B : 12 mg INCB057643 Expansion Cohort | 5 |
Part3/Treatment Group A : 8 mg INCB057643 + Gemcitabine 1000mg | 1 |
Part3/Treatment Group B : 8 mg INCB057643 + Paclitaxel 80mg | 2 |
Part3/Treatment Group C : 8 mg INCB057643 + Rucaparib 600mg | 4 |
Part3/Treatment Group D : 8 mg INCB057643 + Abir +Predni | 3 |
Part3/Treatment Group E : 8 mg INCB057643 + Ruxolitinib 20mg | 1 |
Part3/Treatment Group F : 8 mg INCB057643 + Azacitidine 75mg | 2 |
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Percent Inhibition of Total Cellular Myc Protein Concentrations Before and After Administration of INCB057643 When Administered as Monotherapy in an Ex-vivo Assay
An ex vivo assay (utilized in monotherapy only), Measuring Total c-Myc protein expressed from an exogenously added cell line (KMS12BM) to patient plasma, before and after administration of INCB057643. (NCT02711137)
Timeframe: PD in plasma at pre-dose and 0.5, 1, 2, 4, 6 and 8 hours postdose, for C1D1 and C1D8, and 24hrs post dose for C1D1
Intervention | %Inhibition of Total c-Myc (Mean) |
---|
| C1D1 | C1D8 |
---|
12mg QD INCB057643 | 28 | 43.4 |
,16mg QD INCB057643 | 54 | 65 |
,8mg QD INCB057643 | 24 | 30 |
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Part 2 - Cmax: Maximum Observed Plasma Concentration of INCB057643.
Maximum Observed Plasma Concentration INCB057643 administered as monotherapy in fed state. (NCT02711137)
Timeframe: C2D1
Intervention | nM (Mean) |
---|
12mg QD INCB057643 | 220 |
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Tmax: Time to Maximum Plasma Concentration of INCB057643
Time to maximum plasma concentration of INCB057643 administered as monotherapy in fasted state (NCT02711137)
Timeframe: Predose, 0.5, 1, 2, 4, 6, 8 hours on C1D1 and C1D8
Intervention | hours (Median) |
---|
| C1D1 | C1D8 |
---|
12mg QD INCB057643 | 2 | 2 |
,16mg QD INCB057643 | 2.00 | 2.00 |
,8mg QD INCB057643 | 2.00 | 1.00 |
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Part 2-Tmax: Time to Maximum Plasma Concentration of INCB057643
Time to maximum plasma concentration of INCB057643 administered as monotherapy in fed state (NCT02711137)
Timeframe: C2D1
Intervention | hours (Median) |
---|
12mg QD INCB057643 | 6.00 |
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Objective Response Rate (ORR) With INCB057643 in Solid Tumors
Objective response rate is defined as the proportion of subjects who have an objective response using the applicable disease assessment criteria. ORR was proportion of participants with best overall response [complete response (CR) or partial response (PR)]. (NCT02711137)
Timeframe: Efficacy measures from screening through end of treatment and follow-up (every 9 weeks), up to approximately 24 months
Intervention | Participants (Number) |
---|
| Solid Tumors | Lymphoma | Glioblastoma |
---|
Part2/Treatment Group A : 12 mg INCB057643 Expansion Cohort | 0 | 2 | 0 |
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Cmax: Maximum Observed Plasma Concentration of INCB057643.
Maximum Observed Plasma Concentration INCB057643 administered as monotherapy in fasted state. (NCT02711137)
Timeframe: Predose, 0.5, 1, 2, 4, 6, 8 hours on C1D1 and C1D8
Intervention | nM (Mean) |
---|
| C1D1 | C1D8 |
---|
12mg QD INCB057643 | 266 | 293 |
,16mg QD INCB057643 | 343 | 340 |
,8mg QD INCB057643 | 201 | 210 |
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Objective Response Rate (ORR) With INCB057643 in Solid Tumors
Objective response rate is defined as the proportion of subjects who have an objective response using the applicable disease assessment criteria. ORR was proportion of participants with best overall response [complete response (CR) or partial response (PR)]. (NCT02711137)
Timeframe: Efficacy measures from screening through end of treatment and follow-up (every 9 weeks), up to approximately 24 months
Intervention | Participants (Number) |
---|
| AML |
---|
Part3/Treatment Group F : 8 mg INCB057643 + Azacitidine 75mg | 0 |
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AUC0-t: Area Under the Single-dose Plasma Concentration-time Curve of INCB057643
Area under the single-dose plasma concentration-time curve from Hour 0 to the last quantifiable measurable plasma concentration of INCB057643 administered as monotherapy in fasted state (NCT02711137)
Timeframe: Predose, 0.5, 1, 2, 4, 6, 8 hours on C1D1
Intervention | h*nM (Mean) |
---|
8mg QD INCB057643 | 2090 |
12mg QD INCB057643 | 2550 |
16mg QD INCB057643 | 3210 |
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Objective Response Rate (ORR) With INCB057643 in Solid Tumors
Objective response rate is defined as the proportion of subjects who have an objective response using the applicable disease assessment criteria. ORR was proportion of participants with best overall response [complete response (CR) or partial response (PR)]. (NCT02711137)
Timeframe: Efficacy measures from screening through end of treatment and follow-up (every 9 weeks), up to approximately 24 months
Intervention | Participants (Number) |
---|
| AML | Myelodysplastic Syndrome |
---|
Part1/Treatment Group B : 12mg QD INCB057643 | 0 | 0 |
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Objective Response Rate (ORR) With INCB057643 in Solid Tumors
Objective response rate is defined as the proportion of subjects who have an objective response using the applicable disease assessment criteria. ORR was proportion of participants with best overall response [complete response (CR) or partial response (PR)]. (NCT02711137)
Timeframe: Efficacy measures from screening through end of treatment and follow-up (every 9 weeks), up to approximately 24 months
Intervention | Participants (Number) |
---|
| Multiple Myeloma |
---|
Part1/Treatment Group C : 8mg QD INCB057643 | 0 |
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Objective Response Rate (ORR) With INCB057643 in Solid Tumors
Objective response rate is defined as the proportion of subjects who have an objective response using the applicable disease assessment criteria. ORR was proportion of participants with best overall response [complete response (CR) or partial response (PR)]. (NCT02711137)
Timeframe: Efficacy measures from screening through end of treatment and follow-up (every 9 weeks), up to approximately 24 months
Intervention | Participants (Number) |
---|
| Myelofibrosis |
---|
Part3/Treatment Group E : 8 mg INCB057643 + Ruxolitinib 20mg | 0 |
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Objective Response Rate (ORR) With INCB057643 in Solid Tumors
Objective response rate is defined as the proportion of subjects who have an objective response using the applicable disease assessment criteria. ORR was proportion of participants with best overall response [complete response (CR) or partial response (PR)]. (NCT02711137)
Timeframe: Efficacy measures from screening through end of treatment and follow-up (every 9 weeks), up to approximately 24 months
Intervention | Participants (Number) |
---|
| Solid Tumors |
---|
Part3/Treatment Group A : 8 mg INCB057643 + Gemcitabine 1000mg | 0 |
,Part3/Treatment Group B : 8 mg INCB057643 + Paclitaxel 80mg | 1 |
,Part3/Treatment Group C : 8 mg INCB057643 + Rucaparib 600mg | 0 |
,Part3/Treatment Group D : 8 mg INCB057643 + Abir +Predni | 0 |
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Objective Response Rate (ORR) With INCB057643 in Solid Tumors
Objective response rate is defined as the proportion of subjects who have an objective response using the applicable disease assessment criteria. ORR was proportion of participants with best overall response [complete response (CR) or partial response (PR)]. (NCT02711137)
Timeframe: Efficacy measures from screening through end of treatment and follow-up (every 9 weeks), up to approximately 24 months
Intervention | Participants (Number) |
---|
| AML | Myelodysplastic Syndrome | Myelofibrosis |
---|
Part1/Treatment Group B : 8mg QD INCB057643 | 0 | 0 | 0 |
,Part2/Treatment Group B : 12 mg INCB057643 Expansion Cohort | 1 | 0 | 0 |
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Progression Free Survival (PFS)
PFS time was measured from the date of randomization until the first radiographic documentation of progression as defined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, or death from any cause. Progressive Disease (PD) was 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 participant does not have a complete baseline disease assessment, then the PFS time was censored at the date of first dose, regardless of whether or not objectively determined disease progression or death has been observed for the participant. If a participant was not known to have died or have objective progression as of the data inclusion cutoff date for the analysis, the PFS time was censored at the last adequate tumor assessment date. (NCT02711553)
Timeframe: Randomization to Progressive Disease or Death from Any Cause (Up To 20 Months)
Intervention | Months (Median) |
---|
8 mg/kg Ramucirumab + 25 mg/m² Cisplatin + 1000 mg/m² Gemcitabine | 6.47 |
80 mg Merestinib + 25 mg/m² Cisplatin + 1000 mg/m² Gemcitabine | 6.97 |
Pooled Placebo | 6.64 |
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Pharmacokinetics (PK): Minimum Concentration (Cmin) of Ramucirumab
PK was determined by the minimum observed plasma concentration (Cmin). 1 Cycle (C) = 21 days (D). (NCT02711553)
Timeframe: C1 D8, C2 D1, C3 D1, C4 D1,C5 D1,C7 D1, C9 D1 and C13 D1: Within 3 days Prior to Infusion(PTI)
Intervention | Microgram per milliliter (µg/mL) (Geometric Mean) |
---|
| Cycle 1 Day 8 (Week 1) | Cycle 2 Day 1 (Week 3) | Cycle 3 Day 1 (Week 6) | Cycle 4 Day 1 (Week 9) | Cycle 5 Day 1 (Week 12) | Cycle 7 Day 1 (Week 18) | Cycle 9 Day 1 (Week 24) | Cycle 13 Day 1 (Week 36) |
---|
8 mg/kg Ramucirumab + 25 mg/m² Cisplatin + 1000 mg/m² Gemcitabine | 46.2 | 38.1 | 54.1 | 77.3 | 82.9 | 85.6 | 82.7 | 97.7 |
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Change From Baseline in Functional Assessment of Cancer Therapy Hepatobiliary Questionnaire (FACT-Hep)
"FACT-Hep consists of 45 items in five subscales (1) physical well-being (PWB) score rage 0 -28; (2) social well-being (SWB) score range 0-28; (3) emotional well-being (EWB) score range 0-24; (4) functional well-being (FWB) score range 0-28; and (5) the hepatobiliary cancer subscale (HCS) Score range 0-72. The Trial Outcomes Index (TOI) is the sum of the PWB, FWB and Hep subscales with a scores range of 0 to 128. The Total FACT-Hep score was the sum of all questions with a scores range of 0 to 180.Total FACT-G score was the sum of the 27 questions in the PWB, SFWB, EWB and FWB with a scores range of 0 to 108. The FACT-Hep Symptoms Index with 8 key questions and scores range of 0 to 32 from the Hep Subscale. Higher score in sub-score or total score indicates better QOL and better health state. Participants were classified as Improved if they had positive change from baseline, Worsened if they had negative change from baseline, and Stable otherwise." (NCT02711553)
Timeframe: Baseline, Follow Up (Up To 48 Months)
Intervention | Units on a Scale (Least Squares Mean) |
---|
| PWB | SWB | EWB | FWB | HCS | FACT-Hep | TOI |
---|
8 mg/kg Ramucirumab + 25 mg/m² Cisplatin + 1000 mg/m² Gemcitabine | -2.75 | -0.26 | 0.23 | -2.40 | -3.62 | -1.11 | -8.68 |
,80 mg Merestinib + 25 mg/m² Cisplatin + 1000 mg/m² Gemcitabine | -2.88 | 0.22 | 0.64 | -1.34 | -2.32 | -0.74 | -6.43 |
,Pooled Placebo | -1.65 | 0.56 | 0.93 | -0.75 | -0.68 | -0.09 | -3.01 |
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Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR): Objective Response Rate (ORR)
ORR was the number of participants who achieve a best overall response of CR or PR divided by the total number of participants randomized to the corresponding treatment arm as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. CR defined as the disappearance of all target and non-target lesions and no appearance of new lesions. PR 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), 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. (NCT02711553)
Timeframe: Randomization to Disease Progression (Up To 30 Months)
Intervention | Percentage of participants (Number) |
---|
8 mg/kg Ramucirumab + 25 mg/m² Cisplatin + 1000 mg/m² Gemcitabine | 31.1 |
80 mg Merestinib + 25 mg/m² Cisplatin + 1000 mg/m² Gemcitabine | 19.6 |
Pooled Placebo | 32.7 |
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Overall Survival (OS)
OS defined as the time from from randomization to the date of death due to any cause. For each participant who is not known to have died as of the data-inclusion cutoff date for overall survival analysis, OS time was censored on the last date the participant is known to be alive. (NCT02711553)
Timeframe: Randomization to Date of Death from Any Cause (Up To 48 Months)
Intervention | Months (Median) |
---|
8 mg/kg Ramucirumab + 25 mg/m² Cisplatin + 1000 mg/m² Gemcitabine | 10.45 |
80 mg Merestinib + 25 mg/m² Cisplatin + 1000 mg/m² Gemcitabine | 14.03 |
Pooled Placebo | 13.04 |
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Percentage of Participants With a Best Overall Response of CR, PR, or Stable Disease (SD): Disease Control Rate (DCR)
Disease Control Rate (DCR) was the number of participants who achieve a best overall response of CR, PR, or SD divided by the total number of participants randomized to the corresponding treatment arm as per RECIST v1.1. CR defined as the disappearance of all target and non-target lesions and no appearance of new lesions. PR 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 was 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. (NCT02711553)
Timeframe: Randomization to Disease Progression (Up To 30 Months)
Intervention | Percentage of participants (Number) |
---|
8 mg/kg Ramucirumab + 25 mg/m² Cisplatin + 1000 mg/m² Gemcitabine | 81.1 |
80 mg Merestinib + 25 mg/m² Cisplatin + 1000 mg/m² Gemcitabine | 83.3 |
Pooled Placebo | 78.2 |
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Number of Participants With Treatment-Emergent Anti-Ramucirumab Antibodies
Number of participants with positive treatment emergent anti-ramucirumab antibodies (ADA) was summarized by treatment group. (NCT02711553)
Timeframe: Predose Cycle 1 Day 1 through Follow Up (Up To 48 Months)
Intervention | Participants (Count of Participants) |
---|
8 mg/kg Ramucirumab + 25 mg/m² Cisplatin + 1000 mg/m² Gemcitabine | 3 |
Placebo IV + 25 mg/m² Cisplatin + 1000 mg/m² Gemcitabine | 0 |
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Change From Baseline on the EuroQol 5-Dimension, 5-Level Questionnaire (EQ-5D-5L) Index Score
EQ-5D-5L is a 2-part questionnaire that assesses general health status for 'today'. The first part 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 the health state index scores using country-specific algorithms, with scores ranging from less than 0 (where zero is a health state equivalent to death; negative values are valued as worse than dead) to 1 (perfect health). Index values were calculated using the US algorithm (-0.109 to 1). A higher score indicates better health state. (NCT02711553)
Timeframe: Baseline, Follow Up (Up To 48 Months)
Intervention | Units on a Scale (Mean) |
---|
8 mg/kg Ramucirumab + 25 mg/m² Cisplatin + 1000 mg/m² Gemcitabine | 0.61 |
80 mg Merestinib + 25 mg/m² Cisplatin + 1000 mg/m² Gemcitabine | 0.63 |
Pooled Placebo | 0.66 |
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Change From Baseline in Participant-Reported EQ-5D-5L Visual Analog Scale (VAS) Score
EQ-5D-5L is a 2-part questionnaire that assesses general health status 'today'. The second part is assessed using a VAS on which the patient rates their perceived health state, ranging from 0 millimeter (the worst health you can imagine) to 100 millimeter (the best health you can imagine). (NCT02711553)
Timeframe: Baseline, Follow Up (Up To 48 Months)
Intervention | millimeter (mm) (Mean) |
---|
8 mg/kg Ramucirumab + 25 mg/m² Cisplatin + 1000 mg/m² Gemcitabine | 66.44 |
80 mg Merestinib + 25 mg/m² Cisplatin + 1000 mg/m² Gemcitabine | 66.57 |
Pooled Placebo | 69.08 |
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Number of Participants With Clinically Significant Abnormalities in Electrocardiogram (ECG)
ECGs including clinical significance was evaluated by the Investigator. Criteria for clinical significance were as per investigator's discretion. (NCT02715804)
Timeframe: From administration of first dose of study drug up to 30 days after last dose of study drug (maximum exposure: 150.1 weeks for PAG, and 83.9 weeks for AG)
Intervention | Participants (Count of Participants) |
---|
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 8 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 4 |
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Number of Participants With Treatment-Emergent Adverse Events (AEs)
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Serious adverse event (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 AEs were defined as AEs that begin or worsen in severity during or after the participant's first dose of study treatment and no later than 30 days after the date of the last dose of study treatment and/or any treatment-related AE regardless of the onset date. AEs included both SAEs and non-serious AEs. A summary of other non-serious AEs and all SAEs, regardless of causality is located in the 'Reported AE section'. (NCT02715804)
Timeframe: From administration of first dose of study drug up to 30 days after last dose of study drug (maximum exposure: 150.1 weeks for PAG, and 83.9 weeks for AG)
Intervention | Participants (Count of Participants) |
---|
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 325 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 156 |
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Duration of Response (DOR)
DOR was defined as the time from the first objective response of CR or PR until disease progression (as determined by the blinded CIV based on RECIST version 1.1) or death within 14 days of last dose of study treatment or randomization. CR was defined as disappearance of all target and non-target lesions; Any pathological or non-pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Disease progression was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study thus far, the sum must also demonstrate an absolute increase of at least 5 mm, or the appearance of one or more new lesions; and unequivocal progression of existing non-target lesions. DOR was analyzed using Kaplan-Meier methods. (NCT02715804)
Timeframe: From date of first objective response (CR or PR) until date of first disease progression (maximum exposure: 150.1 weeks for PAG, and 83.9 weeks for AG)
Intervention | months (Median) |
---|
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 6.1 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 7.4 |
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Number of Participants With Worst Post-Baseline Hematology and Chemistry (Clinical Laboratory Parameters) Severity Grade During the Study
Severity grade associated with a laboratory parameter value was determined using Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03. Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life-threatening. Grade 0 indicates evaluable lab records but not fall into any CTCAE grade for certain CTCAE term. A worst post-baseline grade shift was defined as the worst change that occurred at any measured timepoint during study. Hematology abnormalities: anemia(hemoglobin decreased), lymphocyte count decreased, lymphocyte count increased, neutropenia(neutrophil count decreased), thrombocytopenia(platelet count decreased), and leukopenia(white blood cell decreased). Chemistry abnormalities: hypoalbuminemia, alkaline phosphatase increased, alanine aminotransferase increased, aspartate aminotransferase increased, hyperbilirubinemia, hypo- and hypercalcemia, creatinine increased, hypo- and hyperglycaemia, hypo- and hyperkalemia, hypo- and hypermagnesemia, hypo- and hypernatremia. (NCT02715804)
Timeframe: From administration of first dose of study drug up to 30 days after last dose of study drug (maximum exposure: 150.1 weeks for PAG, and 83.9 weeks for AG)
Intervention | Participants (Count of Participants) |
---|
| Anemia: Post-baseline72032340 | Anemia: Post-baseline72032341 | Lymphocyte count decreased: Post-baseline72032340 | Lymphocyte count decreased: Post-baseline72032341 | Lymphocyte count increased: Post-baseline72032340 | Lymphocyte count increased: Post-baseline72032341 | Neutropenia: Post-baseline72032340 | Neutropenia: Post-baseline72032341 | Thrombocytopenia: Post-baseline72032341 | Thrombocytopenia: Post-baseline72032340 | Leukopenia: Post-baseline72032340 | Leukopenia: Post-baseline72032341 | Hypoalbuminemia (Albumin): Post-baseline72032340 | Hypoalbuminemia (Albumin): Post-baseline72032341 | Alkaline phosphatase increased: Post-baseline72032340 | Alkaline phosphatase increased: Post-baseline72032341 | Alanine aminotransferase increased: Post-baseline72032340 | Alanine aminotransferase increased: Post-baseline72032341 | Aspartate aminotransferase increased:Post-baseline72032340 | Aspartate aminotransferase increased:Post-baseline72032341 | Hyperbilirubinemia: Post-baseline72032340 | Hyperbilirubinemia: Post-baseline72032341 | Hypocalcemia (calcium): Post-baseline72032340 | Hypocalcemia (calcium): Post-baseline72032341 | Hypercalcemia (calcium): Post-baseline72032340 | Hypercalcemia (calcium): Post-baseline72032341 | Creatinine increased: Post-baseline72032340 | Creatinine increased: Post-baseline72032341 | Hypoglycemia (glucose): Post-baseline72032340 | Hypoglycemia (glucose): Post-baseline72032341 | Hyperglycemia (glucose): Post-baseline72032340 | Hyperglycemia (glucose): Post-baseline72032341 | Hypokalemia (potassium): Post-baseline72032341 | Hypokalemia (potassium): Post-baseline72032340 | Hyperkalemia (potassium): Post-baseline72032341 | Hyperkalemia (potassium): Post-baseline72032340 | Hypomagnesemia (magnesium): Post-baseline72032340 | Hypomagnesemia (magnesium): Post-baseline72032341 | Hypermagnesemia (magnesium): Post-baseline72032341 | Hypermagnesemia (magnesium): Post-baseline72032340 | Hyponatremia (sodium): Post-baseline72032341 | Hyponatremia (sodium): Post-baseline72032340 | Hypernatremia (sodium): Post-baseline72032340 | Hypernatremia (sodium): Post-baseline72032341 |
---|
| Grade 0 | Grade 1 | Grade 2 | Grade 3 | Grade 4 |
---|
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 84 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 41 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 164 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 74 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 67 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 37 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 33 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 17 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 83 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 102 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 46 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 90 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 40 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 13 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 6 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 302 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 150 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 0 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 19 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 85 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 31 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 27 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 11 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 57 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 30 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 98 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 48 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 35 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 52 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 134 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 63 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 20 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 4 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 74 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 32 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 30 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 15 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 100 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 43 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 87 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 51 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 14 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 62 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 185 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 44 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 12 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 3 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 135 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 57 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 114 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 50 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 26 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 10 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 69 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 33 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 155 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 72 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 43 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 51 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 77 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 28 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 168 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 96 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 49 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 25 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 13 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 237 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 125 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 36 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 224 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 119 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 68 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 22 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 278 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 148 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 34 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 267 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 135 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 45 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 16 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 6 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 292 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 140 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 17 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 9 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 1 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 3 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 31 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 24 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 45 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 119 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 76 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 4 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 202 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 104 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 89 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 38 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 0 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 24 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 2 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 245 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 122 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 44 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 19 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 21 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 7 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 2 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 209 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 113 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 95 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 36 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 5 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 306 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 8 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 96 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 49 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 167 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 85 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 54 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 21 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 1 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 308 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 153 |
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 9 |
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Number of Participants With Clinically Significant Abnormalities in Vital Signs
Vital signs included measurement of blood pressure (systolic blood pressure [SBP] and diastolic blood pressure [DBP]), heart rate, and body weight. Criteria for clinical significance abnormalities were: Heart rate: <50 beats per minute (bpm), >120 bpm, >=30 bpm increase from baseline, >=30 bpm decrease from baseline. SBP: >140 millimeters of mercury (mmHg) and increase from baseline >20 mmHg, >180 mmHg, <90 mmHg and decrease from baseline >10 mmHg. DBP: >90 mmHg and increase from baseline >20 mmHg, >105 mmHg, <60 mmHg and decrease from baseline >10 mmHg. Change in weight: >=5% increase from baseline, >=5% decrease from baseline. (NCT02715804)
Timeframe: From administration of first dose of study drug up to 30 days after last dose of study drug (maximum exposure: 150.1 weeks for PAG, and 83.9 weeks for AG)
Intervention | Participants (Count of Participants) |
---|
| Heart rate: <50 bpm | Heart rate: >120 bpm | Heart rate: >=30 bpm increase from baseline | Heart rate: >=30 bpm decrease from baseline | SBP: >140 mmHg and increase from baseline >20 mmHg | SBP: >180 mmHg | SBP: <90 mmHg and decrease from baseline >10 mmHg | DBP: >90 mmHg and increase from baseline >20 mmHg | DBP: >105 mmHg | DBP: <60 mmHg and decrease from baseline >10 mmHg | Change in weight: >=5% increase from baseline | Change in weight: >=5% decrease from baseline |
---|
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 4 | 13 | 26 | 19 | 37 | 4 | 17 | 10 | 6 | 56 | 52 | 57 |
,PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 7 | 47 | 102 | 38 | 75 | 6 | 60 | 21 | 8 | 142 | 85 | 151 |
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Progression-Free Survival (PFS)
PFS was defined as the time from randomization until the first occurrence of radiological disease progression, as determined by the blinded Central Imaging Vendor (CIV) based on Response Evaluation Criteria in Solid Tumours (RECIST) version 1.1, or death from any cause during the treatment period. Disease progression was defined as at least a 20 percent (%) increase in sum of diameters of target lesions, taking as reference the smallest sum on study thus far, nadir (this included baseline sum if that was the smallest on study); Sum must also demonstrate an absolute increase of at least 5 millimeters (mm); Appearance of one or more new lesions; Unequivocal progression of existing non-target lesions. Surviving participants without disease progression were censored for PFS analysis at the date of last evaluable post-baseline tumor assessment. Surviving participants without any post-baseline disease assessment were censored on Day 1. PFS was estimated using Kaplan-Meier method. (NCT02715804)
Timeframe: From the date of randomization until disease progression or death from any cause (maximum exposure: 150.1 weeks for PAG, and 83.9 weeks for AG)
Intervention | months (Median) |
---|
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 7.1 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 7.1 |
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Overall Survival
Overall survival was defined as the time from randomization until death from any cause. Overall survival was analyzed using Kaplan-Meier methods. (NCT02715804)
Timeframe: From randomization until death from any cause (maximum exposure: 150.1 weeks for PAG, and 83.9 weeks for AG)
Intervention | months (Median) |
---|
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 11.2 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 11.5 |
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Objective Response Rate (ORR): Percentage of Participants With Objective Response
ORR was defined as percentage of participants who achieved either a complete response (CR) or partial response (PR) as determined by the blinded CIV based on RECIST version 1.1. CR was defined as disappearance of all target and non-target lesions; Any pathological or non-pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<) 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. (NCT02715804)
Timeframe: From the date of randomization until CR or PR (maximum exposure: 150.1 weeks for PAG, and 83.9 weeks for AG)
Intervention | percentage of participants (Number) |
---|
PAG: PEGPH20 + Nab-Paclitaxel + Gemcitabine | 47.1 |
AG: Placebo + Nab-Paclitaxel + Gemcitabine | 36.4 |
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PF-04136309 Minimum Observed Plasma Concentration (Cmin) for Cycle 1 Day 15 in the 500 mg BID Group [Phase 1b]
Cmin of PF-04136309 was observed directly from data. This outcome measure reports summary statistics for the participants in the Phase 1b PF-04136309 500 mg BID +Nab-paclitaxel +Gemcitabine treatment group. (NCT02732938)
Timeframe: Cycle 1 Day 15 pre-dose (within 30 minutes), and 0.5, 1, 2, 3, 4, and 6 hours after the morning dose; Cycle 1 Day 16 pre-dose (within 30 minutes; as the 12-hour sample for evening dose on Day 15)
Intervention | ng/mL (Geometric Mean) |
---|
Phase 1b: PF-04136309 500 mg BID +Nab-paclitaxel +Gemcitabine | 72.34 |
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PF-04136309 Maximum Observed Plasma Concentration (Cmax) for Cycle 1 Day 15 in the 500 mg BID Group [Phase 1b]
Cmax of PF-04136309 was observed directly from data. This outcome measure reports summary statistics for the participants in the Phase 1b PF-04136309 500 mg BID +Nab-paclitaxel +Gemcitabine treatment group. Arithmetic coefficient of variation (CV) was the intended method of dispersion for reporting but system only has geometric CV option, hence geometric CV data were reported for this parameter. (NCT02732938)
Timeframe: Cycle 1 Day 15 pre-dose (within 30 minutes), and 0.5, 1, 2, 3, 4, and 6 hours after the morning dose; Cycle 1 Day 16 pre-dose (within 30 minutes; as the 12-hour sample for evening dose on Day 15)
Intervention | ng/mL (Geometric Mean) |
---|
Phase 1b: PF-04136309 500 mg BID +Nab-paclitaxel +Gemcitabine | 1276 |
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PF-04136309 Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) for Cycle 1 Day 15 in the 750 mg BID Group [Phase 1b]
The dosing interval was 12 hours for PF-04136309 BID dosing. AUCtau was determined by linear/log trapezoidal method. This outcome measure reports individual values for the participants in the Phase 1b PF-04136309 750 mg BID +Nab-paclitaxel +Gemcitabine treatment group as summary statistics were not generated when fewer than 3 participants had reportable data. (NCT02732938)
Timeframe: Cycle 1 Day 15 pre-dose (within 30 minutes), and 0.5, 1, 2, 3, 4, and 6 hours after the morning dose; Cycle 1 Day 16 pre-dose (within 30 minutes; as the 12-hour sample for evening dose on Day 15)
Intervention | nanogram*hour/milliliter (ng*hr/mL) (Number) |
---|
| Individual value for Participant 1 | Individual value for Participant 2 |
---|
Phase 1b: PF-04136309 750 mg BID +Nab-paclitaxel +Gemcitabine | 15700 | 10600 |
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PF-04136309 Maximum Observed Plasma Concentration (Cmax) for Cycle 1 Day 15 in the 750 mg BID Group [Phase 1b]
Cmax of PF-04136309 was observed directly from data. This outcome measure reports individual values for the participants in the Phase 1b PF-04136309 750 mg BID +Nab-paclitaxel +Gemcitabine treatment group as summary statistics were not generated when fewer than 3 participants had reportable data. (NCT02732938)
Timeframe: Cycle 1 Day 15 pre-dose (within 30 minutes), and 0.5, 1, 2, 3, 4, and 6 hours after the morning dose; Cycle 1 Day 16 pre-dose (within 30 minutes; as the 12-hour sample for evening dose on Day 15)
Intervention | nanograms per milliliter (ng/mL) (Number) |
---|
| Individual value for Participant 1 | Individual value for Participant 2 |
---|
Phase 1b: PF-04136309 750 mg BID +Nab-paclitaxel +Gemcitabine | 3390 | 2950 |
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Number of Participants With Chemistries Laboratory Abnormalities by Maximum NCI CTCAE Grade [Phase 1b]
Following parameters were analyzed for chemistry laboratory test: blood urea nitrogen (BUN), creatinine, glucose (fasting), calcium, sodium, potassium, chloride, total bicarbonate, AST, ALT, total bilirubin, alkaline phosphatase, uric acid, albumin, total protein, Magnesium, phosphorous or phosphate. For potential Hy's Law cases, in addition to repeating AST and ALT, laboratory tests should have included albumin, creatine kinase, total bilirubin, direct and indirect bilirubin, gamma-glutamyl transferase (GGT), prothrombin time / international normalized ratio (PT/INR), alkaline phosphatase, total bile acids, and acetaminophen drug and/or protein adduct levels. Laboratory abnormalities were graded per NCI CTCAE version 4.03 and those with at least 1 participant are presented here. (NCT02732938)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|
| ALT, Grade 1 | ALT, Grade 2 | ALT, Grade 3 | ALT, Grade 4 | Alkaline phosphatase, Grade 1 | Alkaline phosphatase, Grade 2 | Alkaline phosphatase, Grade 3 | AST, Grade 1 | AST, Grade 2 | AST, Grade 3 | Bilirubin (total), Grade 1 | Bilirubin (total), Grade 2 | Bilirubin (total), Grade 3 | Creatinine, Grade 1 | Creatinine, Grade 2 | GGT, Grade 1 | Hyperglycemia, Grade 1 | Hyperglycemia, Grade 2 | Hyperglycemia, Grade 3 | Hyperkalemia, Grade 1 | Hypermagnesemia, Grade 1 | Hypoalbuminemia, Grade 1 | Hypoalbuminemia, Grade 2 | Hypocalcemia, Grade 1 | Hypocalcemia, Grade 2 | Hypoglycemia, Grade 2 | Hypokalemia, Grade 1 | Hypokalemia, Grade 3 | Hypomagnesemia, Grade 1 | Hyponatremia, Grade 1 | Hyponatremia, Grade 3 | Hypophosphatemia, Grade 2 | Hypophosphatemia, Grade 3 |
---|
Phase 1b: PF-04136309 500 mg BID +Nab-paclitaxel +Gemcitabine | 8 | 3 | 4 | 1 | 7 | 5 | 2 | 8 | 1 | 5 | 1 | 3 | 2 | 9 | 2 | 1 | 6 | 6 | 5 | 2 | 1 | 8 | 6 | 6 | 2 | 1 | 3 | 1 | 5 | 7 | 3 | 3 | 1 |
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PF-04136309 Time to Reach Maximum Observed Plasma Concentration (Tmax) for Cycle 1 Day 15 in the 750 mg BID Group [Phase 1b]
Tmax of PF-04136309 was observed directly from data as time of first occurrence. This outcome measure reports individual values for the participants in the Phase 1b PF-04136309 750 mg BID +Nab-paclitaxel +Gemcitabine treatment group as summary statistics were not generated when fewer than 3 participants had reportable data. (NCT02732938)
Timeframe: Cycle 1 Day 15 pre-dose (within 30 minutes), and 0.5, 1, 2, 3, 4, and 6 hours after the morning dose; Cycle 1 Day 16 pre-dose (within 30 minutes; as the 12-hour sample for evening dose on Day 15)
Intervention | hours (hr) (Number) |
---|
| Individual value for Participant 1 | Individual value for Participant 2 |
---|
Phase 1b: PF-04136309 750 mg BID +Nab-paclitaxel +Gemcitabine | 1.00 | 3.02 |
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PF-04136309 Minimum Observed Plasma Concentration (Cmin) for Cycle 1 Day 15 in the 750 mg BID Group [Phase 1b]
Cmin of PF-04136309 was observed directly from data. This outcome measure reports individual values for the participants in the Phase 1b PF-04136309 750 mg BID +Nab-paclitaxel +Gemcitabine treatment group as summary statistics were not generated when fewer than 3 participants had reportable data. (NCT02732938)
Timeframe: Cycle 1 Day 15 pre-dose (within 30 minutes), and 0.5, 1, 2, 3, 4, and 6 hours after the morning dose; Cycle 1 Day 16 pre-dose (within 30 minutes; as the 12-hour sample for evening dose on Day 15)
Intervention | ng/mL (Number) |
---|
| Individual value for Participant 1 | Individual value for Participant 2 |
---|
Phase 1b: PF-04136309 750 mg BID +Nab-paclitaxel +Gemcitabine | 436 | 0 |
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Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs) [Phase 1b]
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; life-threatening experience (immediate risk of dying); initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect. Treatment-emergent AEs were those with initial onset or increasing in severity after the first dose of study treatment. (NCT02732938)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|
| Treatment-emergent AE (all causality) | Treatment-emergent AE (PF-04136309 related) | Treatment-emergent SAE (all causality) | Treatment-emergent SAE (PF-04136309 related) |
---|
Phase 1b: PF-04136309 500 mg BID +Nab-paclitaxel +Gemcitabine | 17 | 16 | 11 | 4 |
,Phase 1b: PF-04136309 750 mg BID +Nab-paclitaxel +Gemcitabine | 4 | 3 | 3 | 2 |
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PF-04136309 Apparent Oral Clearance (CL/F) for Cycle 1 Day 15 in the 750 mg BID Group [Phase 1b]
CL/F was determined by Dose/AUCtau. AUCtau is the area under the curve from time 0 to end of dosing interval. This outcome measure reports individual values for the participants in the Phase 1b PF-04136309 750 mg BID +Nab-paclitaxel +Gemcitabine treatment group as summary statistics were not generated when fewer than 3 participants had reportable data. (NCT02732938)
Timeframe: Cycle 1 Day 15 pre-dose (within 30 minutes), and 0.5, 1, 2, 3, 4, and 6 hours after the morning dose; Cycle 1 Day 16 pre-dose (within 30 minutes; as the 12-hour sample for evening dose on Day 15)
Intervention | Liters per hour (L/hr) (Number) |
---|
| Individual value for Participant 1 | Individual value for Participant 2 |
---|
Phase 1b: PF-04136309 750 mg BID +Nab-paclitaxel +Gemcitabine | 47.8 | 70.5 |
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Number of Participants With Treatment-Emergent Adverse Events (AEs) by Severity [Phase 1b]
Treatment-emergent AEs were those with initial onset or increasing in severity after the first dose of study treatment. AEs were graded by the investigator according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03: Grade 1: mild AE; Grade 2: moderate AE; Grade 3: severe AE; Grade 4: life-threatening consequences, urgent intervention indicated; Grade 5: death related to AE. (NCT02732938)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|
| Grade 1 | Grade 2 | Grade 3 | Grade 4 | Grade 5 |
---|
Phase 1b: PF-04136309 500 mg BID +Nab-paclitaxel +Gemcitabine | 0 | 1 | 12 | 3 | 1 |
,Phase 1b: PF-04136309 750 mg BID +Nab-paclitaxel +Gemcitabine | 0 | 0 | 4 | 0 | 0 |
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Number of Participants With Urinalysis Laboratory Abnormalities by Maximum NCI CTCAE Grade [Phase 1b]
Following parameters were analyzed for urinalysis laboratory test: pH, glucose, protein, blood, ketones, nitrites, leukocyte esterase, urobilinogen, urine bilirubin, microscopy (only if urine dipstick was positive for blood, protein, nitrites or leukocyte esterase), urine dipstick for urine protein (if positive collected 24 hour and microscopic [reflex testing]), urine dipstick for urine blood (if positive collected a microscopic [reflex testing]). Laboratory abnormalities were graded per NCI CTCAE version 4.03 and those with at least 1 participant are presented here. (NCT02732938)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|
Phase 1b: PF-04136309 750 mg BID +Nab-paclitaxel +Gemcitabine | 1 |
Phase 1b: PF-04136309 500 mg BID +Nab-paclitaxel +Gemcitabine | 0 |
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Objective Response Rate (ORR) [Phase 1b]
ORR was defined as the percentage of participants with confirmed complete response (CR) or confirmed partial response (PR) according to the Response Evaluation Criteria in Solid Tumor (RECIST) version 1.1, relative to all randomized participants who had baseline measurable disease. Confirmed responses were those that persisted on repeat imaging study ≥4 weeks after initial documentation of response. (NCT02732938)
Timeframe: 1 year
Intervention | Percentage of Participants (Number) |
---|
Phase 1b: PF-04136309 750 mg BID +Nab-paclitaxel +Gemcitabine | 0 |
Phase 1b: PF-04136309 500 mg BID +Nab-paclitaxel +Gemcitabine | 29.4 |
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PF-04136309 Apparent Oral Clearance (CL/F) for Cycle 1 Day 15 in the 500 mg BID Group [Phase 1b]
CL/F was determined by Dose/AUCtau. AUCtau is the area under the curve from time 0 to end of dosing interval. This outcome measure reports summary statistics for the participants in the Phase 1b PF-04136309 500 mg BID +Nab-paclitaxel +Gemcitabine treatment group. Arithmetic CV was the intended method of dispersion for reporting but system only has geometric CV option, hence geometric CV data were reported for this parameter. (NCT02732938)
Timeframe: Cycle 1 Day 15 pre-dose (within 30 minutes), and 0.5, 1, 2, 3, 4, and 6 hours after the morning dose; Cycle 1 Day 16 pre-dose (within 30 minutes; as the 12-hour sample for evening dose on Day 15)
Intervention | Liters per hour (L/hr) (Geometric Mean) |
---|
Phase 1b: PF-04136309 500 mg BID +Nab-paclitaxel +Gemcitabine | 85.09 |
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PF-04136309 Apparent Volume of Distribution (Vz/F) for Cycle 1 Day 15 [Phase 1b]
Vz/F was determined by Dose/(AUCtau×kel). AUCtau is the area under the curve from time 0 to end of dosing interval and kel is the terminal phase rate constant. (NCT02732938)
Timeframe: Cycle 1 Day 15 pre-dose (within 30 minutes), and 0.5, 1, 2, 3, 4, and 6 hours after the morning dose; Cycle 1 Day 16 pre-dose (within 30 minutes; as the 12-hour sample for evening dose on Day 15)
Intervention | Liters (L) (Geometric Mean) |
---|
Phase 1b: PF-04136309 750 mg BID +Nab-paclitaxel +Gemcitabine | 120 |
Phase 1b: PF-04136309 500 mg BID +Nab-paclitaxel +Gemcitabine | 398.3 |
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PF-04136309 Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) for Cycle 1 Day 15 in the 500 mg BID Group [Phase 1b]
The dosing interval was 12 hours for PF-04136309 BID dosing. AUCtau was determined by linear/log trapezoidal method. This outcome measure reports summary statistics for the participants in the Phase 1b PF-04136309 500 mg BID +Nab-paclitaxel +Gemcitabine treatment group. Arithmetic CV was the intended method of dispersion for reporting but system only has geometric CV option, hence geometric CV data were reported for this parameter. (NCT02732938)
Timeframe: Cycle 1 Day 15 pre-dose (within 30 minutes), and 0.5, 1, 2, 3, 4, and 6 hours after the morning dose; Cycle 1 Day 16 pre-dose (within 30 minutes; as the 12-hour sample for evening dose on Day 15)
Intervention | ng*hr/mL (Geometric Mean) |
---|
Phase 1b: PF-04136309 500 mg BID +Nab-paclitaxel +Gemcitabine | 5873 |
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Number of Participants With Dose-Limiting Toxicities (DLTs) [Phase 1b]
DLT: Any of the following events occurred in the first treatment cycle and was attributed to the combination of PF-04136309 with nab-paclitaxel and gemcitabine where relationship with the combination could not be ruled out. Hematologic: Grade (Gr) 4 neutropenia lasting more than (>)5 days; febrile neutropenia; Gr≥3 neutropenic infection; Gr≥3 thrombocytopenia with Gr≥2 bleeding; Gr4 thrombocytopenia. Non-Hematologic: Gr3 toxicities (except: nausea and vomiting responding to prophylaxis and/or treatment and lasting less than (<)7 days from each chemotherapy infusion period; diarrhea responding to treatment and lasting <7 days; Gr3 QTc prolongation [QTc >500 milliseconds] [a DLT only if persisting after correction of any reversible causes]; Gr3 aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) increase lasting less than or equal to (≤)7 days); all Gr4 toxicities; delay of >2 weeks in receiving the next scheduled cycle due to persisting treatment-related toxicities. (NCT02732938)
Timeframe: Day 1 to Day 28
Intervention | Participants (Count of Participants) |
---|
Phase 1b: PF-04136309 750 mg BID +Nab-paclitaxel +Gemcitabine | 1 |
Phase 1b: PF-04136309 500 mg BID +Nab-paclitaxel +Gemcitabine | 3 |
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Number of Participants With Hematology Laboratory Abnormalities by Maximum National Cancer Institute Common Terminology Criteria for Adverse Event (NCI CTCAE) Grade [Phase 1b]
Following parameters were analyzed for hematology laboratory test: hemoglobin, hematocrit, red blood cell (RBC) count, mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), platelet count, white blood cell (WBC) count, total neutrophils, eosinophils, monocytes, basophils, lymphocytes. Laboratory abnormalities were graded per NCI CTCAE version 4.03 and those with at least 1 participant are presented here. (NCT02732938)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|
| Anemia, Grade 1 | Anemia, Grade 2 | Anemia, Grade 3 | Lymphocyte count increased, Grade 2 | Lymphopenia, Grade 1 | Lymphopenia, Grade 2 | Lymphopenia, Grade 3 | Neutrophils (absolute), Grade 1 | Neutrophils (absolute), Grade 2 | Neutrophils (absolute), Grade 3 | Neutrophils (absolute), Grade 4 | Platelets, Grade 1 | Platelets, Grade 2 | WBC, Grade 1 | WBC, Grade 2 | WBC, Grade 3 | WBC, Grade 4 |
---|
Phase 1b: PF-04136309 500 mg BID +Nab-paclitaxel +Gemcitabine | 5 | 8 | 4 | 1 | 3 | 3 | 8 | 1 | 5 | 2 | 1 | 10 | 2 | 2 | 5 | 2 | 1 |
,Phase 1b: PF-04136309 750 mg BID +Nab-paclitaxel +Gemcitabine | 1 | 3 | 0 | 0 | 1 | 2 | 1 | 0 | 0 | 3 | 0 | 3 | 1 | 0 | 0 | 3 | 0 |
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PF-04136309 Time to Reach Maximum Observed Plasma Concentration (Tmax) for Cycle 1 Day 15 in the 500 mg BID Group [Phase 1b]
Tmax of PF-04136309 was observed directly from data as time of first occurrence. This outcome measure reports summary statistics for the participants in the Phase 1b PF-04136309 500 mg BID +Nab-paclitaxel +Gemcitabine treatment group. (NCT02732938)
Timeframe: Cycle 1 Day 15 pre-dose (within 30 minutes), and 0.5, 1, 2, 3, 4, and 6 hours after the morning dose; Cycle 1 Day 16 pre-dose (within 30 minutes; as the 12-hour sample for evening dose on Day 15)
Intervention | hours (hr) (Median) |
---|
Phase 1b: PF-04136309 500 mg BID +Nab-paclitaxel +Gemcitabine | 1.42 |
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PF-04136309 Plasma Decay Half-Life (t1/2) for Cycle 1 Day 15 [Phase 1b]
t1/2 was determined by Loge(2)/kel, where kel is the terminal phase rate constant calculated by a linear regression of the log linear concentration-time curve. Only those data points judged to describe the terminal log linear decline were used in the regression. (NCT02732938)
Timeframe: Cycle 1 Day 15 pre-dose (within 30 minutes), and 0.5, 1, 2, 3, 4, and 6 hours after the morning dose; Cycle 1 Day 16 pre-dose (within 30 minutes; as the 12-hour sample for evening dose on Day 15)
Intervention | hours (hr) (Mean) |
---|
Phase 1b: PF-04136309 750 mg BID +Nab-paclitaxel +Gemcitabine | 1.18 |
Phase 1b: PF-04136309 500 mg BID +Nab-paclitaxel +Gemcitabine | 3.41 |
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Number of Participants With Chemistries Laboratory Abnormalities by Maximum NCI CTCAE Grade [Phase 1b]
Following parameters were analyzed for chemistry laboratory test: blood urea nitrogen (BUN), creatinine, glucose (fasting), calcium, sodium, potassium, chloride, total bicarbonate, AST, ALT, total bilirubin, alkaline phosphatase, uric acid, albumin, total protein, Magnesium, phosphorous or phosphate. For potential Hy's Law cases, in addition to repeating AST and ALT, laboratory tests should have included albumin, creatine kinase, total bilirubin, direct and indirect bilirubin, gamma-glutamyl transferase (GGT), prothrombin time / international normalized ratio (PT/INR), alkaline phosphatase, total bile acids, and acetaminophen drug and/or protein adduct levels. Laboratory abnormalities were graded per NCI CTCAE version 4.03 and those with at least 1 participant are presented here. (NCT02732938)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|
| ALT, Grade 1 | ALT, Grade 2 | ALT, Grade 3 | ALT, Grade 4 | Alkaline phosphatase, Grade 1 | Alkaline phosphatase, Grade 2 | Alkaline phosphatase, Grade 3 | AST, Grade 1 | AST, Grade 2 | AST, Grade 3 | Bilirubin (total), Grade 1 | Bilirubin (total), Grade 2 | Bilirubin (total), Grade 3 | Creatinine, Grade 1 | Creatinine, Grade 2 | Hyperglycemia, Grade 1 | Hyperglycemia, Grade 2 | Hyperglycemia, Grade 3 | Hyperkalemia, Grade 1 | Hypermagnesemia, Grade 1 | Hypoalbuminemia, Grade 1 | Hypoalbuminemia, Grade 2 | Hypocalcemia, Grade 1 | Hypocalcemia, Grade 2 | Hypoglycemia, Grade 2 | Hypokalemia, Grade 1 | Hypokalemia, Grade 3 | Hypomagnesemia, Grade 1 | Hyponatremia, Grade 1 | Hyponatremia, Grade 3 | Hypophosphatemia, Grade 2 | Hypophosphatemia, Grade 3 |
---|
Phase 1b: PF-04136309 750 mg BID +Nab-paclitaxel +Gemcitabine | 1 | 2 | 1 | 0 | 2 | 1 | 0 | 2 | 1 | 1 | 0 | 0 | 0 | 4 | 0 | 2 | 2 | 0 | 0 | 0 | 0 | 1 | 2 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 |
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Time to Progression
Time to progression is defined as the time from treatment initiation to the date of first documentation of disease progression per RECIST v1.1. Otherwise, patients are censored at last radiographic assessment for progression. (NCT02769832)
Timeframe: Patients will be evaluated every 2 cycles until progression or off treatment (up to 3 years)
Intervention | months (Median) |
---|
Nab-Paclitaxel With Gemcitabine | 2.9 |
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Progression-Free Survival
Progression-free survival is defined as the time from treatment initiation to the date of first documentation of disease progression or death due to any cause. Otherwise, patients are censored at the date of last radiographic assessment for progression. (NCT02769832)
Timeframe: Patients will be evaluated every 2 cycles until progression or off treatment (up to 3 years)
Intervention | months (Median) |
---|
Nab-Paclitaxel With Gemcitabine | 2.9 |
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Overall Survival
Overall survival is defined as the time from treatment initiation to death due to any cause. Patients still alive are censored at last date known to be alive. (NCT02769832)
Timeframe: Patients will be evaluated every 3 months until death or study completion (up to 3 years)
Intervention | months (Median) |
---|
Nab-Paclitaxel With Gemcitabine | 9.3 |
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Objective Response Rate (ORR) in Atezolizumab Monotherapy Arm Versus Placebo+Gemcitabine+Carboplatin/Cisplatin Arm
Objective response rate (ORR) is defined as the proportion of participants with a confirmed objective response, either complete response (CR) or partial response (PR), observed on two assessments >= 28 days apart per RECIST v1.1, based on investigator assessment. The analysis population for ORR will be all randomized participants with measurable disease at baseline. (NCT02807636)
Timeframe: Baseline up to disease progression, death, or loss of follow-up, whichever occurs first (up to approximately 73 months)
Intervention | Percentage of Participants (Number) |
---|
Placebo+Gemcitabine+Carboplatin/Cisplatin | 44.4 |
Atezolizumab Monotherapy | 24.2 |
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Objective Response Rate (ORR) in Atezolizumab+Gemcitabine+Carboplatin/Cisplatin Arm Versus Placebo+Gemcitabine+Carboplatin/Cisplatin Arm
Objective response rate (ORR) is defined as the proportion of participants with a confirmed objective response, either complete response (CR) or partial response (PR), observed on two assessments >= 28 days apart per RECIST v1.1, based on investigator assessment. The analysis population for ORR will be all randomized participants with measurable disease at baseline. (NCT02807636)
Timeframe: Baseline up to disease progression, death, or loss of follow-up, whichever occurs first (up to approximately 73 months)
Intervention | Percentage of Participants (Number) |
---|
Placebo+Gemcitabine+Carboplatin/Cisplatin | 44.8 |
Atezolizumab+Gemcitabine+Carboplatin/Cisplatin | 48.1 |
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Time to Deterioration in Physical Function as Measured by the EORTC QLQ-C30 Score in the Placebo+Gemcitabine+Carboplatin/Cisplatin Arm Versus Atezolizumab +Gemcitabine+Carboplatin/Cisplatin Arm
Median time to deterioration in physical function as measured by the QLQ-C30 in the Placebo+Gemcitabine+Carboplatin/Cisplatin Arm versus Atezolizumab +Gemcitabine+Carboplatin/Cisplatin Arm. (NCT02807636)
Timeframe: Up to approximately 73 months
Intervention | Months (Median) |
---|
Placebo+Gemcitabine+Carboplatin/Cisplatin | 15.74 |
Atezolizumab+Gemcitabine+Carboplatin/Cisplatin | 16.39 |
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Time to Deterioration in Physical Function as Measured by the EORTC QLQ-C30 Score in the Placebo+Gemcitabine+Carboplatin/Cisplatin Arm Versus Atezolizumab Monotherapy Arm
Median time to deterioration in physical function as measured by the QLQ-C30 in the Placebo+Gemcitabine+Carboplatin/Cisplatin Arm versus Atezolizumab Monotherapy Arm. (NCT02807636)
Timeframe: Up to approximately 73 months
Intervention | Months (Median) |
---|
Placebo+Gemcitabine+Carboplatin/Cisplatin | 16.10 |
Atezolizumab Monotherapy | 9.23 |
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Investigator-Assessed Progression-Free Survival (INV-PFS) in Participants Treated With Atezolizumab Monotherapy Arm Compared With Placebo+Gemcitabine+Carboplatin/Cisplatin Arm
PFS is defined as the time from randomization to the first documented disease progression as determined by the investigator with the use of RECIST v1.1, or death from any cause, whichever occurs first. (NCT02807636)
Timeframe: Baseline up to disease progression, death, or loss of follow-up, whichever occurs first (assessed at baseline, every 9 weeks for 54 weeks and every 12 weeks thereafter up to 35 months)
Intervention | Months (Median) |
---|
Placebo+Gemcitabine+Carboplatin/Cisplatin | 6.31 |
Atezolizumab Monotherapy | 2.69 |
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OS Event Free Rate in Atezolizumab Monotherapy Arm Versus Placebo+Gemcitabine+Carboplatin/Cisplatin Arm
Overall Survival (OS) Event Free Rate at 1 Year. (NCT02807636)
Timeframe: Year 1
Intervention | Percentage (Number) |
---|
Placebo+Gemcitabine+Carboplatin/Cisplatin | 54.56 |
Atezolizumab Monotherapy | 57.91 |
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Investigator Assessed Progression-Free Survival (PFS) in the Placebo+Gemcitabine+Carboplatin/Cisplatin Arm Versus Atezolizumab +Gemcitabine+Carboplatin/Cisplatin Arm
PFS is defined as the time from randomization to the first documented disease progression as determined by the investigator with the use of RECIST v1.1, or death from any cause, whichever occurs first. (NCT02807636)
Timeframe: Baseline up to first documented disease progression or death, whichever occurs first (up to approximately 35 months)
Intervention | Months (Median) |
---|
Placebo+Gemcitabine+Carboplatin/Cisplatin | 6.34 |
Atezolizumab+Gemcitabine+Carboplatin/Cisplatin | 8.18 |
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Duration of Response (DOR) in Atezolizumab+Gemcitabine+Carboplatin/Cisplatin Arm Versus Placebo+Gemcitabine+Carboplatin/Cisplatin Arm
Duration of response (DOR) is defined for participants with an objective response as the time from the first documented objective response to documented disease progression per RECIST v1.1, based on investigator assessment, or death due to any cause, whichever occurs first. (NCT02807636)
Timeframe: From first documented objective response (CR or PR) to disease progression, death, or loss of follow-up, whichever occurs first (up to approximately 73 months)
Intervention | Months (Number) |
---|
Placebo+Gemcitabine+Carboplatin/Cisplatin | 8.15 |
Atezolizumab+Gemcitabine+Carboplatin/Cisplatin | 9.13 |
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Duration of Response (DOR) in Atezolizumab Monotherapy Arm Versus Placebo+Gemcitabine+Carboplatin/Cisplatin Arm
Duration of response (DOR) is defined for participants with an objective response as the time from the first documented objective response to documented disease progression per RECIST v1.1, based on investigator assessment, or death due to any cause, whichever occurs first. (NCT02807636)
Timeframe: From first documented objective response (CR or PR) to disease progression, death, or loss of follow-up, whichever occurs first (up to approximately 73 months)
Intervention | Months (Number) |
---|
Placebo+Gemcitabine+Carboplatin/Cisplatin | 8.11 |
Atezolizumab Monotherapy | 29.63 |
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Overall Survival (OS) in Atezolizumab+Gemcitabine+Carboplatin/Cisplatin Arm Versus Placebo+Gemcitabine+Carboplatin/Cisplatin Arm
OS is defined as the time from randomization to death due to any cause. (NCT02807636)
Timeframe: Baseline until death due to any cause (up to approximately 73 months)
Intervention | Months (Median) |
---|
Placebo+Gemcitabine+Carboplatin/Cisplatin | 13.44 |
Atezolizumab+Gemcitabine+Carboplatin/Cisplatin | 16.13 |
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Overall Survival (OS) in Atezolizumab Monotherapy Arm Versus Placebo+Gemcitabine+Carboplatin/Cisplatin Arm
OS is defined as the time from randomization to death due to any cause. (NCT02807636)
Timeframe: Baseline until death due to any cause (up to approximately 73 months)
Intervention | Months (Median) |
---|
Placebo+Gemcitabine+Carboplatin/Cisplatin | 13.34 |
Atezolizumab Monotherapy | 15.21 |
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Percentage of Participants With Anti-Therapeutic (Anti-Atezolizumab) Antibodies (ATAs)
Percentage of participants with Anti-Therapeutic (Anti-Atezolizumab) Antibodies (ATAs). (NCT02807636)
Timeframe: Up to approximately 35 months
Intervention | Percentage of participants (Number) |
---|
| Baseline evaluable participants | Post-baseline evaluable participants |
---|
Atezolizumab Monotherapy | 0.9 | 26.3 |
,Atezolizumab+Gemcitabine+Carboplatin/Cisplatin | 1.2 | 19.7 |
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Minimum Atezolizumab Serum Concentration
Minimum atezolizumab serum concentration. (NCT02807636)
Timeframe: Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 8 Day 1, Cycle 16 Day 1, Cycle 24 Day 1, Cycle 32 Day 1, Day 120 post dose of last blinded atezolizumab treatment, and study drug early discontinuation
Intervention | μg/ mL (Mean) |
---|
| Cycle 2 Day 1 | Cycle 3 Day 1 | Cycle 4 Day 1 | Cycle 8 Day 1 | Cycle 16 Day 1 | Cycle 24 Day 1 | Cycle 32 Day 1 | Day 120 Post Dose of Last Blinded Atezo Trt | Study Drug Early Discontinuation |
---|
Atezolizumab Monotherapy | 80.2 | 129 | 157 | 193 | 220 | 233 | 258 | 9.53 | 124 |
,Atezolizumab+Gemcitabine+Carboplatin/Cisplatin | 79.8 | 122 | 153 | 216 | 235 | 244 | 259 | 18.8 | 154 |
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PFS Event Free Rate
Progression Free Survival (PFS) Event Free Rate at Year 1 (NCT02807636)
Timeframe: Year 1
Intervention | Percentage (Number) |
---|
Placebo+Gemcitabine+Carboplatin/Cisplatin | 22.17 |
Atezolizumab+Gemcitabine+Carboplatin/Cisplatin | 30.47 |
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Time to Deterioration in Global Health Status as Measured by the EORTC QLQ-C30 Score in the Placebo+Gemcitabine+Carboplatin/Cisplatin Arm Versus Atezolizumab +Gemcitabine+Carboplatin/Cisplatin Arm
Time to deterioration in global health status as measured by the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30 in the Placebo+Gemcitabine+Carboplatin/Cisplatin Arm versus Atezolizumab +Gemcitabine+Carboplatin/Cisplatin Arm. (NCT02807636)
Timeframe: Up to approximately 73 months
Intervention | Months (Median) |
---|
Placebo+Gemcitabine+Carboplatin/Cisplatin | 12.06 |
Atezolizumab+Gemcitabine+Carboplatin/Cisplatin | 32.07 |
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Time to Deterioration in Global Health Status as Measured by the EORTC QLQ-C30 Score in the Placebo+Gemcitabine+Carboplatin/Cisplatin Arm Versus Atezolizumab Monotherapy Arm
Time to deterioration in global health status as measured by the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30 in the Placebo+Chemo Arm versus Atezolizumab Monotherapy Arm. (NCT02807636)
Timeframe: Up to approximately 73 months
Intervention | Months (Median) |
---|
Placebo+Gemcitabine+Carboplatin/Cisplatin | 12.02 |
Atezolizumab Monotherapy | 23.20 |
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IRF-PFS
Independent review facility PFS (IRF-PFS) is defined as the time from randomization to the first documented disease progression as determined by blinded independent central review with use of RECIST v1.1, or death due to any cause, whichever occurs first. (NCT02807636)
Timeframe: Randomization to first documented disease progression or death from any cause (up to 35 months)
Intervention | Months (Number) |
---|
Placebo+Gemcitabine+Carboplatin/Cisplatin | 6.34 |
Atezolizumab+Gemcitabine+Carboplatin/Cisplatin | 7.10 |
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Maximum Atezolizumab Serum Concentration
Maximum atezolizumab serum concentration. (NCT02807636)
Timeframe: Cycle 1 Day 1
Intervention | μg/ mL (Mean) |
---|
Atezolizumab+Gemcitabine+Carboplatin/Cisplatin | 379 |
Atezolizumab Monotherapy | 390 |
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OS Event Free Rate Atezolizumab+Gemcitabine+Carboplatin/Cisplatin Arm Versus Placebo+Gemcitabine+Carboplatin/Cisplatin Arm
Overall Survival (OS) Event Free Rate at 1 Year. (NCT02807636)
Timeframe: Year 1
Intervention | Percentage (Number) |
---|
Placebo+Gemcitabine+Carboplatin/Cisplatin | 55.00 |
Atezolizumab+Gemcitabine+Carboplatin/Cisplatin | 60.00 |
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Part 2: DOR - Participants With PD-L1 CPS ≥10 Tumors
For participants who demonstrate a confirmed CR (Disappearance of all target lesions) or confirmed PR (At least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, DOR is defined as the time from first documented evidence of CR or PR until progressive disease (PD) or death due to any cause, whichever occurs first, based on assessments by BICR per RECIST 1.1. 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 must also have demonstrated an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered PD. (NCT02819518)
Timeframe: Up to approximately 53 months
Intervention | Months (Median) |
---|
Part 2: Pembrolizumab + Chemotherapy | NA |
Part 2: Placebo + Chemotherapy | 7.3 |
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Part 2: Duration of Response (DOR) - All Participants
For participants who demonstrate a confirmed CR (Disappearance of all target lesions) or confirmed PR (At least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, DOR is defined as the time from first documented evidence of CR or PR until progressive disease (PD) or death due to any cause, whichever occurs first, based on assessments by BICR per RECIST 1.1. 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 must also have demonstrated an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered PD. (NCT02819518)
Timeframe: Up to approximately 53 months
Intervention | Months (Median) |
---|
Part 2: Pembrolizumab + Chemotherapy | NA |
Part 2: Placebo + Chemotherapy | 6.5 |
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Part 2: Objective Response Rate (ORR) - All Participants
Objective response rate is defined as the percentage of participants in the analysis population who have 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). The percentage of participants who experienced a CR or PR as assessed by BICR based on RECIST 1.1 is presented. (NCT02819518)
Timeframe: Up to approximately 53 months
Intervention | Percentage of Participants (Number) |
---|
Part 2: Pembrolizumab + Chemotherapy | 40.8 |
Part 2: Placebo + Chemotherapy | 37.0 |
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Part 2: ORR - Participants With PD-L1 CPS ≥1 Tumors
Objective response rate is defined as the percentage of participants in the analysis population who have 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). The percentage of participants who experienced a CR or PR as assessed by BICR based on RECIST 1.1 is presented. (NCT02819518)
Timeframe: Up to approximately 53 months
Intervention | Percentage of Participants (Number) |
---|
Part 2: Pembrolizumab + Chemotherapy | 44.9 |
Part 2: Placebo + Chemotherapy | 38.9 |
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Part 2: ORR - Participants With PD-L1 CPS ≥10 Tumors
Objective response rate is defined as the percentage of participants in the analysis population who have 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). The percentage of participants who experienced a CR or PR as assessed by BICR based on RECIST 1.1 is presented. (NCT02819518)
Timeframe: Up to approximately 53 months
Intervention | Percentage of Participants (Number) |
---|
Part 2: Pembrolizumab + Chemotherapy | 52.7 |
Part 2: Placebo + Chemotherapy | 40.8 |
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Part 2: OS - Participants With PD-L1 CPS ≥1 Tumors
Overall survival is 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. (NCT02819518)
Timeframe: Up to approximately 53 months
Intervention | Months (Median) |
---|
Part 2: Pembrolizumab + Chemotherapy | 17.6 |
Part 2: Placebo + Chemotherapy | 16.0 |
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Part 2: OS - Participants With PD-L1 CPS ≥10 Tumors
Overall survival is 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. (NCT02819518)
Timeframe: Up to approximately 53 months
Intervention | Months (Median) |
---|
Part 2: Pembrolizumab + Chemotherapy | 23.0 |
Part 2: Placebo + Chemotherapy | 16.1 |
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Part 2: Overall Survival (OS) - All Participants
Overall survival is 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. (NCT02819518)
Timeframe: Up to approximately 53 months
Intervention | Months (Median) |
---|
Part 2: Pembrolizumab + Chemotherapy | 17.2 |
Part 2: Placebo + Chemotherapy | 15.5 |
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Part 2: Percentage of Participants Who Discontinued Study Drug Due to an AE- All Participants
An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment. (NCT02819518)
Timeframe: Up to approximately 52 months
Intervention | Percentage of Participants (Number) |
---|
Part 2: Pembrolizumab + Chemotherapy | 20.5 |
Part 2: Placebo + Chemotherapy | 13.5 |
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Part 2: Percentage of Participants Who Experienced an AE- All Participants
An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment. (NCT02819518)
Timeframe: Up to approximately 53 months
Intervention | Percentage of Participants (Number) |
---|
Part 2: Pembrolizumab + Chemotherapy | 98.6 |
Part 2: Placebo + Chemotherapy | 98.2 |
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Part 2: PFS - Participants With PD-L1 CPS ≥10 Tumors
Progression-free survival was defined as the time from randomization to the first documented PD per RECIST 1.1 based on assessments by BICR or death due to any cause, whichever occurs 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 have demonstrated an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD. (NCT02819518)
Timeframe: Up to approximately 53 months
Intervention | Months (Median) |
---|
Part 2: Pembrolizumab + Chemotherapy | 9.7 |
Part 2: Placebo + Chemotherapy | 5.6 |
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Part 2: PFS - Participants With Programmed Cell Death-Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥1 Tumors
Progression-free survival was defined as the time from randomization to the first documented PD per RECIST 1.1 based on assessments by BICR or death due to any cause, whichever occurs 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 have demonstrated an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD. (NCT02819518)
Timeframe: Up to approximately 53 months
Intervention | Months (Median) |
---|
Part 2: Pembrolizumab + Chemotherapy | 7.6 |
Part 2: Placebo + Chemotherapy | 5.6 |
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Part 2: Progression-Free Survival (PFS) - All Participants
Progression-free survival was defined as the time from randomization to the first documented progressive disease (PD) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) based on assessments by blinded independent central review (BICR) or death due to any cause, whichever occurs 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 have demonstrated an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD. (NCT02819518)
Timeframe: Up to approximately 53 months
Intervention | Months (Median) |
---|
Part 2: Pembrolizumab + Chemotherapy | 7.5 |
Part 2: Placebo + Chemotherapy | 5.6 |
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Part 1: Percentage of Participants Who Discontinued Study Drug Due to an AE - All Participants
An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment. (NCT02819518)
Timeframe: Up to approximately 39 months
Intervention | Percentage of Participants (Number) |
---|
Part 1: Pembrolizumab + Nab-paclitaxel | 38.5 |
Part 1: Pembrolizumab + Paclitaxel | 50.0 |
Part 1: Pembrolizumab + Gemcitabine/Carboplatin | 27.3 |
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Part 1: Percentage of Participants Who Experienced an Adverse Event (AE) - All Participants
An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment. (NCT02819518)
Timeframe: Up to approximately 39 months
Intervention | Percentage of Participants (Number) |
---|
Part 1: Pembrolizumab + Nab-paclitaxel | 100.0 |
Part 1: Pembrolizumab + Paclitaxel | 100.0 |
Part 1: Pembrolizumab + Gemcitabine/Carboplatin | 100.0 |
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Part 2: Change From Baseline to Week 15 in EORTC QLQ-C30 Global Health Status (Item 29) and Quality of Life (Item 30) Combined Score - Participants With PD-L1 CPS ≥1 Tumors
"The EORTC QLQ-C30 is a questionnaire to assess the overall quality of life of cancer patients. Participant responses to the questions How would you rate your overall health during the past week? (Item 29) and 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 range from 0 to 100. A higher score indicates a better overall health status. The change from baseline in EORTC QLQ-C30 Items 29 and 30 combined score are presented." (NCT02819518)
Timeframe: Baseline and Week 15
Intervention | Scores on a scale (Least Squares Mean) |
---|
Part 2: Pembrolizumab + Chemotherapy | -3.92 |
Part 2: Placebo + Chemotherapy | -3.15 |
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Part 2: Change From Baseline to Week 15 in EORTC QLQ-C30 Global Health Status (Item 29) and Quality of Life (Item 30) Combined Score-Participants With PD-L1 CPS ≥10 Tumors
"The EORTC QLQ-C30 is a questionnaire to assess the overall quality of life of cancer patients. Participant responses to the questions How would you rate your overall health during the past week? (Item 29) and 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 range from 0 to 100. A higher score indicates a better overall health status. The change from baseline in EORTC QLQ-C30 Items 29 and 30 combined score are presented." (NCT02819518)
Timeframe: Baseline and Week 15
Intervention | Scores on a scale (Least Squares Mean) |
---|
Part 2: Pembrolizumab + Chemotherapy | -2.69 |
Part 2: Placebo + Chemotherapy | -0.88 |
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Part 2: Change From Baseline to Week 15 in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status (Item 29) and Quality of Life (Item 30) Combined Score- All Participants
"The EORTC QLQ-C30 is a questionnaire to assess the overall quality of life of cancer patients. Participant responses to the questions How would you rate your overall health during the past week? (Item 29) and 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 range from 0 to 100. A higher score indicates a better overall health status. The change from baseline in EORTC QLQ-C30 Items 29 and 30 combined score are presented." (NCT02819518)
Timeframe: Baseline and Week 15
Intervention | Scores on a scale (Least Squares Mean) |
---|
Part 2: Pembrolizumab + Chemotherapy | -3.52 |
Part 2: Placebo + Chemotherapy | -2.15 |
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Part 2: Change From Baseline to Week 15 in Systemic Therapy Side Effects Using the EORTC Breast Cancer-Specific Quality of Life Questionnaire (QLQ-BR23)-All Participants
EORTC-QLQ-BR23 is a 23-item breast cancer-specific companion module to the EORTC-QLQ-C30 and consists of four functional scales (body image, sexual enjoyment, sexual functioning, future perspective) and four symptom scales (systemic therapy side effects, upset by hair loss, arm symptoms, breast symptoms). Participant responses to 7 questions about their systemic therapy side effects were scored on a 4-point scale (1=Not at All to 4=Very Much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100. A higher score denotes worse symptoms for the systemic therapy side effects symptom scale. The change from baseline in systemic therapy side effects (EORTC QLQ-BR23 Items 1-4, 6, 7, and 8) score is presented. (NCT02819518)
Timeframe: Baseline and Week 15
Intervention | Scores on a scale (Least Squares Mean) |
---|
Part 2: Pembrolizumab + Chemotherapy | 12.50 |
Part 2: Placebo + Chemotherapy | 12.36 |
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Part 2: Change From Baseline to Week 15 in Systemic Therapy Side Effects Using the EORTC QLQ-BR23 - Participants With PD-L1 CPS ≥1 Tumors
EORTC-QLQ-BR23 is a 23-item breast cancer-specific companion module to the EORTC-QLQ-C30 and consists of four functional scales (body image, sexual enjoyment, sexual functioning, future perspective) and four symptom scales (systemic therapy side effects, upset by hair loss, arm symptoms, breast symptoms). Participant responses to 7 questions about their systemic therapy side effects were scored on a 4-point scale (1=Not at All to 4=Very Much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100. A higher score denotes worse symptoms for the systemic therapy side effects symptom scale. The change from baseline in systemic therapy side effects (EORTC QLQ-BR23 Items 1-4, 6, 7, and 8) score is presented. (NCT02819518)
Timeframe: Baseline and Week 15
Intervention | Scores on a scale (Least Squares Mean) |
---|
Part 2: Pembrolizumab + Chemotherapy | 13.00 |
Part 2: Placebo + Chemotherapy | 11.86 |
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Part 2: Change From Baseline to Week 15 in Systemic Therapy Side Effects Using the EORTC QLQ-BR23- Participants With PD-L1 CPS ≥10 Tumors
EORTC-QLQ-BR23 is a 23-item breast cancer-specific companion module to the EORTC-QLQ-C30 and consists of four functional scales (body image, sexual enjoyment, sexual functioning, future perspective) and four symptom scales (systemic therapy side effects, upset by hair loss, arm symptoms, breast symptoms). Participant responses to 7 questions about their systemic therapy side effects are scored on a 4-point scale (1=Not at All to 4=Very Much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100. A higher score denotes worse symptoms for the systemic therapy side effects symptom scale. The change from baseline in systemic therapy side effects (EORTC QLQ-BR23 Items 1-4, 6, 7, and 8) score is presented. (NCT02819518)
Timeframe: Baseline and Week 15
Intervention | Scores on a scale (Least Squares Mean) |
---|
Part 2: Pembrolizumab + Chemotherapy | 13.56 |
Part 2: Placebo + Chemotherapy | 13.26 |
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Part 2: DCR - Participants With PD-L1 CPS ≥1 Tumors
Disease control rate is defined as the percentage of participants who have achieved CR (disappearance of all target lesions) or PR (At least a 30% decrease in the sum of diameters of target lesions) or have demonstrated stable disease (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 is also considered PD]) for at least 24 weeks, based on assessments by BICR per RECIST 1.1. (NCT02819518)
Timeframe: Up to approximately 53 months
Intervention | Percentage of Participants (Number) |
---|
Part 2: Pembrolizumab + Chemotherapy | 58.6 |
Part 2: Placebo + Chemotherapy | 53.6 |
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Part 2: Disease Control Rate (DCR) - All Participants
Disease control rate is defined as the percentage of participants who have achieved CR (disappearance of all target lesions) or PR (At least a 30% decrease in the sum of diameters of target lesions) or have demonstrated stable disease (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 is also considered PD]) for at least 24 weeks, based on assessments by BICR per RECIST 1.1. (NCT02819518)
Timeframe: Up to approximately 53 months
Intervention | Percentage of Participants (Number) |
---|
Part 2: Pembrolizumab + Chemotherapy | 56.0 |
Part 2: Placebo + Chemotherapy | 51.2 |
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Part 2: DCR - Participants With PD-L1 CPS ≥10 Tumors
Disease control rate is defined as the percentage of participants who have achieved CR (disappearance of all target lesions) or PR (At least a 30% decrease in the sum of diameters of target lesions) or have demonstrated stable disease (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 is also considered PD]) for at least 24 weeks, based on assessments by BICR per RECIST 1.1. (NCT02819518)
Timeframe: Up to approximately 53 months
Intervention | Percentage of Participants (Number) |
---|
Part 2: Pembrolizumab + Chemotherapy | 65.0 |
Part 2: Placebo + Chemotherapy | 54.4 |
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Part 2: DOR - Participants With PD-L1 CPS ≥1 Tumors
For participants who demonstrate a confirmed CR (Disappearance of all target lesions) or confirmed PR (At least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, DOR is defined as the time from first documented evidence of CR or PR until progressive disease (PD) or death due to any cause, whichever occurs first, based on assessments by BICR per RECIST 1.1. 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 must also have demonstrated an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered PD. (NCT02819518)
Timeframe: Up to approximately 53 months
Intervention | Months (Median) |
---|
Part 2: Pembrolizumab + Chemotherapy | NA |
Part 2: Placebo + Chemotherapy | 6.8 |
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Pembro Combo vs Chemo: Duration of Response (DOR) Using RECIST 1.1 as Assessed by BICR
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 chemo arm who had CR or PR. Per protocol, DOR was assessed separately in responders of the pembro arm and chemo arm and is presented later in the record. (NCT02853305)
Timeframe: Up to approximately 42 months
Intervention | Months (Median) |
---|
Pembrolizumab + ST Chemotherapy (Pembro Combo) | 8.5 |
ST Chemotherapy (Chemo) | 6.2 |
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Pembro vs Chemo: PFS Using RECIST 1.1 as Assessed by BICR
"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. The sponsor allowed a maximum of 10 target lesions in total and 5 per organ on this study.~Per protocol, PFS in the pembro arm was compared to the chemo arm as a pre-specified analysis of the ITT population (all randomized participants). PFS is reported here for all participants in the pembro arm and chemo arm. Per protocol, PFS was compared separately between all participants of the pembro combo arm and chemo arm and is presented earlier in the record." (NCT02853305)
Timeframe: Up to approximately 42 months
Intervention | Months (Median) |
---|
Pembrolizumab (Pembro) | 3.9 |
ST Chemotherapy (Chemo) | 7.1 |
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Pembro vs Chemo: TTD in the EORTC-QLQ-C30 GHS/QoL (Items 29 and 30) Combined Score
"EORTC-QLQ-C30 is a 30-item questionnaire developed to assess the QoL 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). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100, with a higher score indicating a better overall outcome. TTD in GHS/QoL was defined as the time from first dose date to the first onset of a ≥10 point decrease from baseline in GHS/QoL combined score without confirmation. Per protocol, TTD in GHS/QoL combined score was compared between the pembro arm and chemo arm. TTD in GHS/QoL combined score was compared separately between the pembro combo arm and chemo arm and is presented earlier in the record." (NCT02853305)
Timeframe: Baseline up to approximately 25 months
Intervention | Months (Median) |
---|
Pembrolizumab (Pembro) | 3.6 |
ST Chemotherapy (Chemo) | 4.5 |
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PFS Using RECIST 1.1 as Assessed by BICR 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 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. The sponsor allowed a maximum of 10 target lesions in total and 5 per organ on this study. Per protocol, PFS was compared between arms as a pre-specified secondary analysis of the ITT population (all randomized participants). PFS is reported here for all participants at 12 months based on the product-limit (Kaplan-Meier) method for censored data. (NCT02853305)
Timeframe: 12 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab + ST Chemotherapy (Pembro Combo) | 33.7 |
Pembrolizumab (Pembro) | 26.6 |
ST Chemotherapy (Chemo) | 20.9 |
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Pembro vs Chemo: 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 final analysis were censored at the date of the last follow-up. Per protocol, OS in the CPS ≥10% subset of the pembro arm was compared to OS in the CPS ≥10% subset of the chemo arm for this endpoint as a pre-specified primary analysis of the ITT population. OS is reported here for all participants in the pembro arm and chemo arm who were PD-L1 CPS ≥10%. Per protocol, OS in the CPS ≥10% subset of the pembro combo arm was not a pre-specified analysis of the ITT population and is not presented. (NCT02853305)
Timeframe: Up to approximately 42 months
Intervention | Months (Median) |
---|
Pembrolizumab (Pembro) | 16.1 |
ST Chemotherapy (Chemo) | 15.2 |
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Pembro Combo vs Chemo: Objective Response Rate (ORR) Using RECIST 1.1 as Assessed by BICR
ORR was defined as the percentage of participants in the analysis population who had 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. The sponsor allowed a maximum of 10 target lesions in total and 5 per organ on this study. Per protocol, ORR in the pembro combo arm was compared to the chemo 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 chemo arm. Per protocol, ORR was compared separately between participants of the pembro arm and chemo arm and is presented later in the record. (NCT02853305)
Timeframe: Up to approximately 42 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab + ST Chemotherapy (Pembro Combo) | 54.7 |
ST Chemotherapy (Chemo) | 44.9 |
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Number of Participants Who Discontinue Study Drug 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 number of participants that discontinued any study drug due to an AE was reported for each treatment arm. (NCT02853305)
Timeframe: Up to approximately 52 months
Intervention | Participants (Count of Participants) |
---|
Pembrolizumab + ST Chemotherapy (Pembro Combo) | 108 |
Pembrolizumab (Pembro) | 48 |
ST Chemotherapy (Chemo) | 62 |
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Number of Participants Who Experience 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 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 number of participants that experienced at least one AE was reported for each treatment arm. (NCT02853305)
Timeframe: Up to approximately 55 months
Intervention | Participants (Count of Participants) |
---|
Pembrolizumab + ST Chemotherapy (Pembro Combo) | 348 |
Pembrolizumab (Pembro) | 289 |
ST Chemotherapy (Chemo) | 341 |
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PFS Using RECIST 1.1 as Assessed by BICR at 18 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 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. The sponsor allowed a maximum of 10 target lesions in total and 5 per organ on this study. Per protocol, PFS was compared between arms as a pre-specified secondary analysis of the ITT population (all randomized participants). PFS is reported here for all participants at 18 months based on the product-limit (Kaplan-Meier) method for censored data. (NCT02853305)
Timeframe: 18 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab + ST Chemotherapy (Pembro Combo) | 23.0 |
Pembrolizumab (Pembro) | 19.1 |
ST Chemotherapy (Chemo) | 13.5 |
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Pembro Combo vs Chemo: 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 combo arm and the chemo 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 arm and chemo arm and is presented later in the record." (NCT02853305)
Timeframe: Baseline, Week 18
Intervention | Score on a Scale (Least Squares Mean) |
---|
Pembrolizumab + ST Chemotherapy (Pembro Combo) | 2.54 |
ST Chemotherapy (Chemo) | -0.14 |
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Pembro Combo vs Chemo: Disease Control Rate (DCR) Using RECIST 1.1 as Assessed by BICR
DCR was defined as the percentage of participants who had a confirmed CR (disappearance of all target lesions), PR (at least a 30% decrease in the sum of diameters of target lesions), or Stable Disease (SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for 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]). Per protocol, DCR in the pembro combo arm was compared to the chemo arm as a pre-specified secondary analysis of the ITT population. The percentage of participants who experienced a confirmed CR, PR, or SD according to RECIST 1.1 as assessed by BICR was reported as the DCR for all participants in the pembro combo arm and chemo arm. Per protocol, DCR was compared separately between participants of the pembro arm and chemo arm and is presented later in the record. (NCT02853305)
Timeframe: Up to approximately 42 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab + ST Chemotherapy (Pembro Combo) | 80.3 |
ST Chemotherapy (Chemo) | 75.9 |
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Pembro Combo vs Chemo: Overall Survival (OS)
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 chemo arm as a pre-specified primary analysis of the ITT population (all randomized participants). OS is reported here for all participants in the pembro combo arm and chemo arm. Per protocol, OS was compared separately between all participants of the pembro arm and chemo arm and is presented later in the record. (NCT02853305)
Timeframe: Up to approximately 42 months
Intervention | Months (Median) |
---|
Pembrolizumab + ST Chemotherapy (Pembro Combo) | 17.0 |
ST Chemotherapy (Chemo) | 14.3 |
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Pembro Combo vs Chemo: Progression-free Survival (PFS) Using Response Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)
"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. The sponsor allowed a maximum of 10 target lesions in total and 5 per organ on this study.~Per protocol, PFS in the pembro combo arm was compared to the chemo arm as a pre-specified primary analysis of the Intent-To-Treat (ITT) population (all randomized participants). PFS is reported here for all participants in the pembro combo arm and chemo arm. Per protocol, PFS was compared separately between all participants of the pembro arm and chemo arm and is presented later in the record." (NCT02853305)
Timeframe: Up to approximately 42 months
Intervention | Months (Median) |
---|
Pembrolizumab + ST Chemotherapy (Pembro Combo) | 8.3 |
ST Chemotherapy (Chemo) | 7.1 |
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Pembro Combo vs Chemo: Time to Deterioration (TTD) in the EORTC-QLQ-C30 GHS/QoL (Items 29 and 30) Combined Score
"EORTC-QLQ-C30 is a 30-item questionnaire developed to assess the QoL 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). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100, with a higher score indicating a better overall outcome. TTD in GHS/QoL was defined as the time from first dose date to the first onset of a ≥10 point decrease from baseline in GHS/QoL combined score without confirmation. Per protocol, TTD in GHS/QoL combined score was compared between the pembro combo arm and chemo arm. TTD in GHS/QoL combined score was compared separately between the pembro arm and chemo arm and is presented later in the record." (NCT02853305)
Timeframe: Baseline up to approximately 25 months
Intervention | Months (Median) |
---|
Pembrolizumab + ST Chemotherapy (Pembro Combo) | 8.0 |
ST Chemotherapy (Chemo) | 4.5 |
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Pembro vs Chemo: Change From Baseline To Week 18 in the EORTC QLQ-C30 GHS/QoL 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 arm and the chemo 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 chemo arm and is presented earlier in the record." (NCT02853305)
Timeframe: Baseline, Week 18
Intervention | Score on a Scale (Least Squares Mean) |
---|
Pembrolizumab (Pembro) | -1.89 |
ST Chemotherapy (Chemo) | -0.95 |
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Pembro vs Chemo: DCR Using RECIST 1.1 as Assessed by BICR
DCR was defined as the percentage of participants who had a CR (disappearance of all target lesions), PR (at least a 30% decrease in the sum of diameters of target lesions), or SD (neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for 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]). Per protocol, DCR in the pembro arm was compared to the chemo arm as a pre-specified secondary analysis of the ITT population. The percentage of participants who experienced a confirmed CR, PR, or SD according to RECIST 1.1 as assessed by BICR was reported as the DCR for all participants in the pembro arm and chemo arm. Per protocol, DCR was compared separately between participants of the pembro combo arm and chemo arm and is presented earlier in the record. (NCT02853305)
Timeframe: Up to approximately 42 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab (Pembro) | 47.2 |
ST Chemotherapy (Chemo) | 75.9 |
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Pembro vs Chemo: DOR Using RECIST 1.1 as Assessed by BICR
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 arm and chemo arm who had CR or PR. Per protocol, DOR was assessed separately in responders of the pembro combo arm and chemo arm and is presented earlier in the record. (NCT02853305)
Timeframe: Up to approximately 42 months
Intervention | Months (Median) |
---|
Pembrolizumab (Pembro) | 28.2 |
ST Chemotherapy (Chemo) | 6.2 |
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Pembro vs Chemo: ORR Using RECIST 1.1 as Assessed by BICR
ORR was defined as the percentage of participants in the analysis population who had a CR (disappearance of all target lesions) or a 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. Per protocol, ORR in the pembro arm was compared to the chemo 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 arm and chemo arm. Per protocol, ORR was compared separately between participants of the pembro combo arm and chemo arm and is presented earlier in the record. (NCT02853305)
Timeframe: Up to approximately 42 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab (Pembro) | 30.3 |
ST Chemotherapy (Chemo) | 44.9 |
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Pembro vs Chemo: OS
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 arm was compared to the chemo arm as a pre-specified primary analysis of the ITT population (all randomized participants). OS is reported here for all participants in the pembro arm and chemo arm. Per protocol, OS was compared separately between all participants of the pembro combo arm and chemo arm and is presented earlier in the record. (NCT02853305)
Timeframe: Up to approximately 42 months
Intervention | Months (Median) |
---|
Pembrolizumab (Pembro) | 15.6 |
ST Chemotherapy (Chemo) | 14.3 |
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PFS Using RECIST 1.1 as Assessed by BICR 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 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. The sponsor allowed a maximum of 10 target lesions in total and 5 per organ on this study. Per protocol, PFS was compared between arms as a pre-specified secondary analysis of the ITT population (all randomized participants). PFS is reported here for all participants at 6 months based on the product-limit (Kaplan-Meier) method for censored data. (NCT02853305)
Timeframe: 6 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab + ST Chemotherapy (Pembro Combo) | 73.7 |
Pembrolizumab (Pembro) | 43.6 |
ST Chemotherapy (Chemo) | 70.3 |
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Investigator Assessed Progression-Free Survival (invPFS) by RECIST Version 1.1 for Rucaparib Versus Chemotherapy (Efficacy Population)
The primary efficacy endpoint is invPFS for the Treatment Part of the study. The time to invPFS is calculated in months as the time from randomization to disease progression +1 day, as determined by RECIST v1.1 (Response Evaluation Criteria in Solid Tumors) criteria or death due to any cause, whichever occurs first. Progression is defined using RECIST v1.1, 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. (NCT02855944)
Timeframe: Assessments every 8 weeks from Cycle 1 Day 1 (C1D1) until disease progression, death, or initiation of subsequent treatment. After 18 months on study, assessments every 16 weeks. Total follow-up was up to approximately 3.5 years.
Intervention | Months (Median) |
---|
Rucaparib | 7.4 |
Chemotherapy | 5.7 |
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Least Squares Mean Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Global Health Status Score for the First 6 Cycles (Efficacy Population)
EORTC QLQ-C30 is a questionnaire that rates the overall quality of life in cancer patients. The first 28 questions use a 4-point scale (1=not at all to 4=very much) for evaluating function (physical, role, social, cognitive, emotional), symptoms (diarrhea, fatigue, dyspnea, appetite loss, insomnia, nausea/vomiting, constipation, and pain) and financial difficulties. The last 2 questions use a 7-point scale (1=very poor to 7=excellent) to evaluate overall health and quality of life. Global scores are converted to a score of 0 to 100, with a higher score indicating improved health status. Mean changes from baseline global score over the first 6 cycles in the Treatment Part of the study were analyzed. (NCT02855944)
Timeframe: Baseline to the end of Cycle 6, or up to approximately 6 months
Intervention | score on a scale (Least Squares Mean) |
---|
Rucaparib | 0.5 |
Chemotherapy | 0.3 |
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Least Squares Mean Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Global Health Status Score for the First 6 Cycles (ITT Population)
EORTC QLQ-C30 is a questionnaire that rates the overall quality of life in cancer patients. The first 28 questions use a 4-point scale (1=not at all to 4=very much) for evaluating function (physical, role, social, cognitive, emotional), symptoms (diarrhea, fatigue, dyspnea, appetite loss, insomnia, nausea/vomiting, constipation, and pain) and financial difficulties. The last 2 questions use a 7-point scale (1=very poor to 7=excellent) to evaluate overall health and quality of life. Global scores are converted to a score of 0 to 100, with a higher score indicating improved health status. Mean changes from baseline global score over the first 6 cycles in the Treatment Part of the study were analyzed. (NCT02855944)
Timeframe: Baseline to the end of Cycle 6, or up to approximately 6 months
Intervention | score on a scale (Least Squares Mean) |
---|
Rucaparib | 0.6 |
Chemotherapy | 0.4 |
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Overall Survival (Efficacy Population)
Overall survival (OS) is defined as the number of days from the date of randomization to the date of death (due to any cause). Patients who are still alive were censored on the date of their last available visit or last date known to be alive. (NCT02855944)
Timeframe: All patients were followed for survival up to approximately 3.5 years.
Intervention | Months (Median) |
---|
Rucaparib | 21.1 |
Chemotherapy | 26.2 |
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Overall Survival (ITT Population)
Overall survival (OS) is defined as the number of days from the date of randomization to the date of death (due to any cause). Patients who are still alive were censored on the date of their last available visit or last date known to be alive. (NCT02855944)
Timeframe: All patients were followed for survival up to approximately 3.5 years.
Intervention | Months (Median) |
---|
Rucaparib | 19.4 |
Chemotherapy | 25.4 |
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Investigator Assessed Overall Response Rate (ORR) by RECIST v1.1 and/or CA-125 Response (Efficacy Population)
A secondary endpoint is ORR for the Treatment Part of the study defined as the percentage of patients with best response of CR or PR using RECIST v1.1 or response per Gynecologic Cancer InterGroup Cancer Antigen 125 (GCIG CA-125) criteria. Complete response (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. Partial response (PR) is at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter. Response to CA-125 has occurred if there is at least a 50% decrease from baseline: 1. in a sample collected after initiation of study treatment AND 2. that is confirmed in a subsequent sample collected ≥21 days after the prior sample. The absolute value of this confirmatory sample must be ≤110% of the prior sample. The date when the first sample with a 50% decrease from baseline is observed is the date of the CA-125 response. (NCT02855944)
Timeframe: Assessments every 8 weeks from C1D1 until disease progression, death, or initiation of subsequent treatment. After 18 months on study, assessments every 16 weeks. Total follow-up was up to approximately 3.5 years.
Intervention | percentage of patients (Number) |
---|
Rucaparib | 50.7 |
Chemotherapy | 43.6 |
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Investigator Assessed Overall Response Rate (ORR) by RECIST v1.1 (ITT Population)
A secondary endpoint is the ORR for the Treatment Part of the study. ORR is defined as the percentage of patients with a confirmed CR (complete response) or PR (partial response) by RECIST v1.1. The confirmed response is defined as a CR or PR on subsequent tumor assessment at least 28 days after first response documentation. 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 longest diameter of target lesions, taking as reference the baseline sum of longest diameter. (NCT02855944)
Timeframe: Assessments every 8 weeks from C1D1 until disease progression, death, or initiation of subsequent treatment. After 18 months on study, assessments every 16 weeks. Total follow-up was up to approximately 3.5 years.
Intervention | percentage of participants (Number) |
---|
Rucaparib | 37.9 |
Chemotherapy | 30.2 |
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Investigator Assessed Overall Response Rate (ORR) by RECIST v1.1 (Efficacy Population)
A secondary endpoint is the ORR for the Treatment Part of the study. ORR is defined as the percentage of patients with a confirmed CR (complete response) or PR (partial response) by RECIST v1.1. The confirmed response is defined as a CR or PR on subsequent tumor assessment at least 28 days after first response documentation. 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 longest diameter of target lesions, taking as reference the baseline sum of longest diameter. (NCT02855944)
Timeframe: Assessments every 8 weeks from C1D1 until disease progression, death, or initiation of subsequent treatment. After 18 months on study, assessments every 16 weeks. Total follow-up was up to approximately 3.5 years.
Intervention | percentage of participants (Number) |
---|
Rucaparib | 40.3 |
Chemotherapy | 32.3 |
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Investigator Assessed Duration of Response (DOR) by RECIST v1.1 (ITT Population)
A secondary endpoint is the DOR for the Treatment Part of the study. The DOR as assessed by investigator is analyzed in the subgroup of patients who had a confirmed response by RECIST v1.1. DOR for any confirmed RECIST CR or PR will be measured from the date of the first response until the first date that progressive disease (PD) is documented. DOR is calculated in months as the time from the first date of the scan showing a response to the first scan with disease progression +1 day. Any patients with an ongoing response are censored at the date of the last post-baseline scan. Only tumor scans up to and within 6 weeks of start of any subsequent anti-cancer treatment are included. Progressive disease (PD) is defined using RECIST v1.1, 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. (NCT02855944)
Timeframe: Assessments every 8 weeks from C1D1 until disease progression, death, or initiation of subsequent treatment. After 18 months on study, assessments every 16 weeks. Total follow-up was up to approximately 3.5 years.
Intervention | months (Median) |
---|
Rucaparib | 9.4 |
Chemotherapy | 7.2 |
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Investigator Assessed Progression-Free Survival (invPFS) by RECIST Version 1.1 for Rucaparib Versus Chemotherapy (ITT Population)
The primary efficacy endpoint is invPFS for the Treatment Part of the study. The time to invPFS is calculated in months as the time from randomization to disease progression +1 day, as determined by RECIST v1.1 (Response Evaluation Criteria in Solid Tumors) criteria or death due to any cause, whichever occurs first. Progression is defined using RECIST v1.1, 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. (NCT02855944)
Timeframe: Assessments every 8 weeks from C1D1 until disease progression, death, or initiation of subsequent treatment. After 18 months on study, assessments every 16 weeks. Total follow-up was up to approximately 3.5 years.
Intervention | Months (Median) |
---|
Rucaparib | 7.4 |
Chemotherapy | 5.7 |
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Investigator Assessed Duration of Response (DOR) by RECIST v1.1 (Efficacy Population)
A secondary endpoint is the DOR for the Treatment Part of the study. The DOR as assessed by investigator is analyzed in the subgroup of patients who had a confirmed response by RECIST v1.1. DOR for any confirmed RECIST CR or PR will be measured from the date of the first response until the first date that progressive disease (PD) is documented. DOR is calculated in months as the time from the first date of the scan showing a response to the first scan with disease progression +1 day. Any patients with an ongoing response are censored at the date of the last post-baseline scan. Only tumor scans up to and within 6 weeks of start of any subsequent anti-cancer treatment are included. Progressive disease (PD) is defined using RECIST v1.1, 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. (NCT02855944)
Timeframe: Assessments every 8 weeks from C1D1 until disease progression, death, or initiation of subsequent treatment. After 18 months on study, assessments every 16 weeks. Total follow-up was up to approximately 3.5 years.
Intervention | months (Median) |
---|
Rucaparib | 9.4 |
Chemotherapy | 7.2 |
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Investigator Assessed Overall Response Rate (ORR) by RECIST v1.1 and/or CA-125 Response (ITT Population)
A secondary endpoint is ORR for the Treatment Part of the study defined as the percentage of patients with best response of CR or PR using RECIST v1.1 or response per Gynecologic Cancer InterGroup Cancer Antigen 125 (GCIG CA-125) criteria. Complete response (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. Partial response (PR) is at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter. Response to CA-125 has occurred if there is at least a 50% decrease from baseline: 1. in a sample collected after initiation of study treatment AND 2. that is confirmed in a subsequent sample collected ≥21 days after the prior sample. The absolute value of this confirmatory sample must be ≤110% of the prior sample. The date when the first sample with a 50% decrease from baseline is observed is the date of the CA-125 response. (NCT02855944)
Timeframe: Assessments every 8 weeks from C1D1 until disease progression, death, or initiation of subsequent treatment. After 18 months on study, assessments every 16 weeks. Total follow-up was up to approximately 3.5 years.
Intervention | percentage of patients (Number) |
---|
Rucaparib | 47.8 |
Chemotherapy | 40.5 |
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The Maximum Tolerated Dose (MTD) of Stereotactic Body Radiotherapy (SBRT) in Locally Advanced Pancreatic Cancer (LAPC) Patients Who Have Not Developed Distant Progression After Induction Chemotherapies.
This will be accomplished by the standard 3+3 dose escalation design. Dose limiting toxicities (DLT) are defined by ≥ Grade 3 treatment-related GI toxicity within 3 months of SBRT. These include: (1) Bowel (includes bowel perforation, obstruction, or hemorrhage) and (2) Stomach (bleeding ulcer, perforation) as determined by imaging or endoscopic evaluation. (NCT02873598)
Timeframe: Up to 3 months
Intervention | grey (Number) |
---|
FOLFIRINOX or Gemcitabine/Abraxane Followed by SBRT | 33 |
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Progression Free Survival
Defined as the time from randomization to the first objective documentation of disease progression, 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, or death due to any cause with patients who had not progressed or died at the time of final analysis censored on the date of the last tumour assessment. (NCT02879318)
Timeframe: 35 months
Intervention | months (Median) |
---|
Gemcitabine Plus Nab-Paclitaxel | 5.4 |
Gemcitabine + Nab-Paclitaxel + Durvalumab + Tremelimumab | 5.5 |
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Overall Survival
Time from randomization to death from any cause with patients who were alive at the time of the final analysis or who became lost to follow-up censored at their last date known to be alive. (NCT02879318)
Timeframe: 35 months
Intervention | months (Median) |
---|
Gemcitabine Plus Nab-Paclitaxel | 8.8 |
Gemcitabine + Nab-Paclitaxel + Durvalumab + Tremelimumab | 9.8 |
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The Number of Participants With Grade 3/4/5 Adverse Events (AEs) as a Measure of Safety.
The reported incidence of AEs with an onset on or after the initiation of therapy will be graded according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.03. (NCT02887248)
Timeframe: through study completion, an average of 1 year
Intervention | Participants (Count of Participants) |
---|
Nab-paclitaxel+Gemcitabine | 2 |
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Overall Survival (OS) of Patients
To compare Overall Survival (OS) of patients who receive 145 mg/m2 NKTR-102 given once every 21 days (q21d) with OS of patients who receive Treatment of Physician's Choice (TPC). Overall survival is defined as the time from the date of randomization to the date of death from any cause. Patients will be followed until their date of death or until final database closure. Patients who are lost-to-follow-up or are alive at the time of analysis will be censored at the time they were last known to be alive or at the date of event cut-off for OS analysis. (NCT02915744)
Timeframe: Within 3 years from study start
Intervention | months (Median) |
---|
NKTR-102 | 7.8 |
Treatment of Physician's Choice (TPC) | 7.5 |
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Duration of Response (DoR)
Duration of response (DoR) outside the CNS will be defined as the time from first documented CR or PR until the earliest evidence of disease progression per RECIST v1.1 or death from any cause. CR is defined as disappearance of all target lesions for at least 4 weeks with no new lesions, not use of corticosteroids, and patient was stable or improved clinically. PR is defined as at least a 30% decrease in the sum of longest diameters sustained for at least 4 weeks, no new lesions; stable to decreased corticosteroid dose; stable or improved clinically. Progressive Disease (PD) is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this included the baseline sum if that was the smallest on study). Stable Disease (SD) is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. (NCT02915744)
Timeframe: Through study completion, an expected average of 1 year
Intervention | months (Median) |
---|
NKTR-102 | 7.4 |
Treatment of Physician's Choice (TPC) | 3.5 |
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Magnitude of Clinical Benefit Assessed by ESMO-MCBS Derived From Overall Survival
The magnitude of clinical benefit of NKTR-102 is assessed by the European Society for Medical Oncology Magnitude of Clinical Benefit Scale (ESMO-MCBS) (v1.0). The scale is graded 5, 4, 3, 2, 1, where grades 5 and 4 represent a high level of proven clinical benefit, and grade 1 represents no clinical benefit. To determine the magnitude of clinical benefit when the median OS with the standard of treatment is ≤ 1 year, the score is derived from the Hazard Ratio (HR) of Overall Survival, overall survival gain, and QoL improvement between two treatment arms. Values reported in the data table are Overall Survival values. (NCT02915744)
Timeframe: Through study completion, within 3 years from study start
Intervention | months (Median) |
---|
NKTR-102 | 7.8 |
Treatment of Physician's Choice (TPC) | 7.5 |
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Number of Participants With Adverse Events as Assessed by Common Terminology Criteria for Adverse Events (CTCAE) v4.3
The number of participants with adverse events as assessed by Common Terminology Criteria for Adverse Events (CTCAE) v4.3 (NCT02915744)
Timeframe: Through study completion, an expected average of 1 year
Intervention | Participants (Count of Participants) |
---|
NKTR-102 | 90 |
Treatment of Physician's Choice (TPC) | 76 |
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Progression-Free Survival (Outside the Central Nervous System)
Progression-Free Survival (PFS) is defined as the time from the date of randomization to the earliest evidence of documented Progressive Disease (PD) or of death from any cause. The date of global deterioration or symptomatic deterioration will not be used as the date of PD. The assessment of PFS outside the CNS will utilize RECIST criteria v1.1. (NCT02915744)
Timeframe: Through study completion, an expected average of 1 year
Intervention | months (Median) |
---|
NKTR-102 | 2.8 |
Treatment of Physician's Choice (TPC) | 1.9 |
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Progression-Free Survival (Overall)
Progression-free survival (CNS and peripheral) is defined as the time from the date of randomization to the earliest evidence of documented PD in either the CNS or peripheral (using RANO-BM) or death from any cause. The PD will be determined by both the investigator's and the central imaging facility assessments. The same statistical methods that were used for PFS and PFS-BM will be used for PFS (Overall). Progressive Disease (PD) is defined as at least a 20% increase in the sum of longest diameters of CNS target lesions, taking as reference the smallest sum on study. This included the baseline sum if that was the smallest on study. In addition to the relative increase of 20%, at least 1 lesion had to increase by an absolute value of 5 mm or more to be considered progression. (NCT02915744)
Timeframe: Through study completion, an expected average of 1 year
Intervention | months (Median) |
---|
NKTR-102 | 2.1 |
Treatment of Physician's Choice (TPC) | 1.9 |
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Clinical Benefit Rate (CBR)
Clinical Benefit Rate will be defined as the proportion of patients having a Complete Response (CR), Partial Response (PR), or Stable Disease (SD) for at least 4 months (≥ 120 days). CR is defined as disappearance of all target lesions for at least 4 weeks with no new lesions, not use of corticosteroids, and patient was stable or improved clinically. PR is defined as at least a 30% decrease in the sum of longest diameters sustained for at least 4 weeks, no new lesions; stable to decreased corticosteroid dose; stable or improved clinically. Progressive Disease (PD) is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this included the baseline sum if that was the smallest on study). Stable Disease (SD) is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. (NCT02915744)
Timeframe: For at least 4 months, with an expected average of 1 year
Intervention | participants (Number) |
---|
| # of Patients who achieved Complete Response | # of Patients who achieved Partial Response | # of Patients who have Stable Disease >= 120 days | # of Patients who achieved Clinical Benefit Rate (CBR) |
---|
NKTR-102 | 0 | 6 | 17 | 23 |
,Treatment of Physician's Choice (TPC) | 0 | 6 | 5 | 11 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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Progression-Free Survival (PFS) as Assessed by the Investigator Per Lugano Response Classification Criteria
Investigator assessed PFS was defined as time (in months) from date of randomization to the first documentation of disease progression or death (due to any cause), whichever occurred first. PFS data was censored on the date of the last adequate tumor assessment for participants who had no an event (PD or death), for participants who start a new anti-cancer therapy prior to an event or for participants with an event after 2 or more missing or inadequate post-baseline tumor assessment. Participants without an adequate baseline or post-baseline tumor assessment were censored on the date of randomization unless death occurred on or before the time of the second planned tumor assessment in which case the death was considered as an event. (NCT02951156)
Timeframe: From the date of randomization to progression of disease, study discontinuation, censoring date or death due to any cause, whichever occurred first (up to 36 months)
Intervention | Months (Median) |
---|
Avelumab+Rituximab+Utomilumab | 1.8 |
Avelumab+Azacitidine+Utomilumab | 1.5 |
Avelumab+Bendamustine+Rituximab | 2.7 |
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Overall Survival
Overall survival was defined as the time (in months) from the date of randomization to the date of death due to any cause. Participants last known to be alive were censored at date of last contact. Analysis was performed using Kaplan-Meier method. (NCT02951156)
Timeframe: From the date of randomization to discontinuation from the study or death, whichever occurred first (maximum up to 36 months)
Intervention | Months (Median) |
---|
Avelumab+Rituximab+Utomilumab | 14.8 |
Avelumab+Azacitidine+Utomilumab | 4.0 |
Avelumab+Bendamustine+Rituximab | 5.2 |
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Objective Response Rate (ORR) as Assessed by Investigator Per Lugano Response Classification Criteria
ORR was defined as percentage of participants with complete response (CR) or partial response (PR), as assessed by investigator per lugano response classification criteria. CR was defined as a score of 1 (no uptake above background), 2 (uptake less than or equal to [<=] mediastinum), or 3 (uptake less than [<] mediastinum but <=liver) with or without a residual mass on PET 5-point scale (5-PS), for lymph nodes and extralymphatic sites; no new lesions; no evidence of fluorodeoxyglucose (FDG)-avid disease in bone marrow. PR was defined as >=50% decrease in SPD of up to six of the largest dominant lymph nodes, no increase in size of other nodes, liver, or spleen volume, a >=50% decrease in sum of products of diameters (SPD) of hepatic and splenic nodules, absence of other organ involvement, and no new sites of disease. (NCT02951156)
Timeframe: Randomization until date of PD, start of new anticancer therapy, discontinuation from study or death due to any cause, whichever occurred first (maximum up to 36 months)
Intervention | Percentage of participants (Number) |
---|
Avelumab+Rituximab+Utomilumab | 11.1 |
Avelumab+Azacitidine+Utomilumab | 0 |
Avelumab+Bendamustine+Rituximab | 27.3 |
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Number of Participants With Dose Limiting Toxicities (DLT)
AEs occurring in first 4 weeks of treatment,attributable to 1 of study drugs. Hematology:1)Grade 4 neutropenia,2)Grade >=3 febrile neutropenia with single temperature of >38.3 degrees Celsius (C)/sustained temperature of >=38.0 degrees C for more than 1 hour with/without associated sepsis,3)Grade >=3 neutropenic infection,4)Grade 4 thrombocytopenia/Grade 3 thrombocytopenia with clinically significant bleeding,5)Grade 4 anemia 6)Any grade >=3 non-hematology toxicity except:transient Grade 3 flu like symptoms/fever controlled with standard medical management;transient Grade 3 fatigue,localized skin reactions/headache that resolves to Grade <=1;Grade 3 nausea,vomiting/diarrhea resolved to Grade <=1 in ˂72 hours after initiation of adequate medical management;Grade 3 skin toxicity resolved to Grade <=1 in ˂7 days;tumor flare;Single laboratory values that are out of normal range,that have no clinical correlate and resolve to Grade <=1 within 7 days with adequate medical management. (NCT02951156)
Timeframe: Day 1 Cycle 1 up to 4 Weeks
Intervention | Participants (Count of Participants) |
---|
Avelumab+Rituximab+Utomilumab | 1 |
Avelumab+Azacitidine+Utomilumab | 0 |
Avelumab+Bendamustine+Rituximab | 0 |
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Duration of Response (DOR) as Assessed by Investigator Per Lugano Response Classification Criteria
Investigator assessed DOR: was defined for participants with OR as time from first documentation of OR to time of first documentation of disease progression/death due to any cause, whichever occurred first. CR: score of 1(no uptake above background),2(uptake <=mediastinum),or 3(uptake =50% decrease in SPD of up to 6 of largest dominant lymph nodes,no increase in size of other nodes,liver,spleen volume,>=50% decrease in SPD of hepatic splenic nodules,absence of other organ involvement,no new sites of disease. PD: appearance of new lesion more than 1.5 cm in any axis,at least a 50% increase from nadir in SPD/longest diameter of previous lesion/node. Data was censored on date of last adequate tumor assessment in participants with no event,started new anti-cancer therapy/had 2 or more missing assessments. (NCT02951156)
Timeframe: First response (CR or PR) to date of PD, start of new anti-cancer therapy, discontinuation from the study, censoring date or death due to any cause, whichever occurred first (maximum up to 36 months)
Intervention | Months (Median) |
---|
Avelumab+Rituximab+Utomilumab | 1.81 |
Avelumab+Bendamustine+Rituximab | NA |
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Disease Control Rate as Assessed by the Investigator Per Lugano Response Classification Criteria
Disease control rate was defined as percentage of participants with disease control. Disease Control (DC) was defined as the best overall response of CR, PR, or stable disease (SD). CR: score of 1 (no uptake above background), 2 (uptake <= mediastinum), or 3 (uptake less than =50% decrease in SPD of up to six of the largest dominant lymph nodes, no increase in size of other nodes, liver, or spleen volume, a >=50% decrease in SPD of hepatic and splenic nodules, absence of other organ involvement, and no new sites of disease. SD: <50% decrease in SDP of up to 6 dominant, measurable nodes and extranodal sites; no criteria for progressive disease met. To qualify as a best overall response of SD, at least one SD assessment must be observed >=6 weeks after start date and before disease progression. (NCT02951156)
Timeframe: From the date of randomization to the first documentation of PD, study discontinuation, start of new anti-cancer therapy or death due to any cause, whichever occurred first (maximum up to 36 months)
Intervention | Percentage of participants (Number) |
---|
Avelumab+Rituximab+Utomilumab | 22.2 |
Avelumab+Azacitidine+Utomilumab | 0 |
Avelumab+Bendamustine+Rituximab | 36.4 |
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Number of Participants With Laboratory Abnormalities As Per National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI-CTCAE), Version 4.03
Laboratory parameters included hematological and biochemistry: Hematological parameters included: anemia, haemoglobin increased, lymphocyte count decreased, lymphocyte count increased, neutrophil count decreased, platelet count decreased and white blood cells decreased. Biochemistry parameters included alanine aminotransferase increased, alkaline phosphatase increased, aspartate aminotransferase increased, blood bilirubin increased, cholesterol high, creatine kinase(cpk) increased, creatinine increased, gamma glutamyl transferase(ggt) increased, hypercalcemia, hyperglycemia, hyperkalemia, hypermagnesemia, hypernatremia, hypertriglyceridemia, hypoalbuminemia, hypocalcemia, hypoglycemia, hypokalemia, hypomagnesemia, hyponatremia, hypophosphatemia, lipase increased,serum amylase increased.Test abnormalities were graded by NCI CTCAE version 4.03 as Grade 1=mild; Grade 2=moderate; Grade 3/Grade 4=severe/life-threatening. Number of participants with abnormalities of any grade were reported. (NCT02951156)
Timeframe: From first dose of study treatment up to at least 30 days after the last dose of study treatment or initiation of new anti-cancer therapy (up to 36 months)
Intervention | Participants (Count of Participants) |
---|
| Anemia | Hemoglobin increased | Lymphocyte count decreased | Lymphocyte count increased | Neutrophil count decreased | Platelet count decreased | White blood cell decreased | Alanine aminotransferase increased | Alkaline phosphatase increased | Aspartate aminotransferase increased | Blood bilirubin increased | Cholesterol high | Cpk increased | Creatinine increased | GGT increased | Hypercalcemia | Hyperglycemia | Hyperkalemia | Hypermagnesemia | Hypernatremia | Hypertriglyceridemia | Hypoalbuminemia | Hypocalcemia | Hypoglycemia | Hypokalemia | Hypomagnesemia | Hyponatremia | Hypophosphatemia | Lipase increased | Serum amylase increased |
---|
Avelumab+Azacitidine+Utomilumab | 8 | 0 | 7 | 0 | 2 | 3 | 4 | 5 | 4 | 6 | 3 | 3 | 1 | 6 | 4 | 3 | 1 | 0 | 1 | 0 | 3 | 4 | 0 | 0 | 1 | 0 | 1 | 0 | 2 | 1 |
,Avelumab+Bendamustine+Rituximab | 10 | 0 | 9 | 0 | 9 | 8 | 8 | 2 | 6 | 3 | 3 | 3 | 2 | 10 | 6 | 2 | 2 | 2 | 1 | 1 | 7 | 6 | 2 | 1 | 4 | 4 | 3 | 5 | 3 | 3 |
,Avelumab+Rituximab+Utomilumab | 6 | 0 | 4 | 0 | 2 | 4 | 1 | 2 | 3 | 3 | 0 | 2 | 2 | 6 | 3 | 0 | 3 | 0 | 1 | 0 | 3 | 3 | 1 | 0 | 1 | 0 | 0 | 1 | 1 | 2 |
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Number of Participants With Treatment-Emergent Adverse Events (TEAEs) Greater Than or Equal to (>=) Grade 3, As Per National Cancer Institute Common Terminology Criteria For Adverse Events (NCI-CTCAE), Version 4.03
AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. As per NCI-CTCAE version 4.03,severity was graded as Grade 1:asymptomatic/mild symptoms,clinical/diagnostic observations only, intervention not indicated; Grade 2:moderate, minimal, local/noninvasive intervention indicated,limiting age-appropriate instrumental activities of daily life (ADL); Grade 3:severe/medically significant but not immediately life-threatening, hospitalization/prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4:life-threatening consequence, urgent intervention indicated; Grade 5:death related to AE. TEAE was defined as events which occurred during on-treatment period beginning with first dose of study treatment through minimum (30 days + last dose of study treatment or start of new anti-cancer drug therapy). In this outcome measure participant with any TEAE of Grade 3 or above are reported. (NCT02951156)
Timeframe: From first dose of study treatment up to at least 30 days after the last dose of study treatment or initiation of new anti-cancer therapy (up to 36 months)
Intervention | Participants (Count of Participants) |
---|
Avelumab+Rituximab+Utomilumab | 4 |
Avelumab+Azacitidine+Utomilumab | 7 |
Avelumab+Bendamustine+Rituximab | 10 |
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Programmed Death Receptor-1 Ligand-1 (PD-L1) Biomarker Expression in Tumor and Immune Cells as Assessed by Immunohistochemistry (IHC) at Baseline
Percentage of Tumor and Immune Cells as Assessed by Immunohistochemistry at Baseline. (NCT02951156)
Timeframe: Screening (prior to first dose of study treatment)
Intervention | Percentage of cells staining positive (Median) |
---|
| Tumor Cells (membrane) | Immune Cells |
---|
Avelumab+Azacitidine+Utomilumab | 0.5 | 7.5 |
,Avelumab+Bendamustine+Rituximab | 0 | 17.5 |
,Avelumab+Rituximab+Utomilumab | 0 | 7.5 |
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Number of Participants With Neutralizing Antibodies (nAb) Against Utomilumab by Never and Ever Positive Status
nAb never-positive was defined as no positive nAb results at any time point and nAb ever-positive was defined as at least one positive nAb result at any time point. (NCT02951156)
Timeframe: From the date of first study treatment up to 30 Days after the end of treatment (maximum up to 36 months)
Intervention | Participants (Count of Participants) |
---|
| nAb ever-positive | nAb never-positive |
---|
Avelumab+Azacitidine+Utomilumab | 0 | 2 |
,Avelumab+Rituximab+Utomilumab | 0 | 1 |
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Number of Participants With Minimal Residual Disease Burden (MRD) Positive, Negative and Not Evaluable (NE) Status
Number of participants with MRD positive, negative and not evaluable status were reported in this outcome measure. (NCT02951156)
Timeframe: Baseline, Day 1 of Cycle 3, 6, 9, 12 and 18
Intervention | Participants (Count of Participants) |
---|
| Baseline: Positive | Baseline: Negative | Baseline: NE | Cycle 3 Day 1: Positive | Cycle 3 Day 1: Negative | Cycle 3 Day 1: NE | Cycle 6 Day 1: Positive | Cycle 6 Day 1: Negative | Cycle 6 Day 1: NE | Cycle 9 Day 1: Positive | Cycle 9 Day 1: Negative | Cycle 9 Day 1: NE | Cycle 12 Day 1: Positive | Cycle 12 Day 1: Negative | Cycle 12 Day 1: NE | Cycle 18 Day 1: Positive | Cycle 18 Day 1: Negative | Cycle 18 Day 1: NE |
---|
Avelumab+Azacitidine+Utomilumab | 1 | 0 | 8 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Avelumab+Bendamustine+Rituximab | 3 | 2 | 6 | 1 | 3 | 1 | 0 | 2 | 2 | 0 | 1 | 2 | 0 | 1 | 2 | 0 | 0 | 1 |
,Avelumab+Rituximab+Utomilumab | 3 | 0 | 5 | 3 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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Number of Participants With Electrocardiogram (ECG) Abnormalities
ECG abnormalities included: 1) QT interval, QT interval corrected using Bazett's formula (QTcB) and QT interval corrected using Fridericia's formula (QTcF): increase from baseline greater than (>) 30 millisecond (ms) or 60 ms; absolute value >450 ms, >480 ms and >500 ms; 2) heart rate (HR): absolute value <=50 beats per minute (bpm) and decrease from baseline >=20 bpm; absolute value >=120 bpm and increase from baseline >=20 bpm; 3) PR interval: absolute value >=220 ms and increase from baseline >=20 ms; 4) QRS interval: absolute value >=120 ms. (NCT02951156)
Timeframe: From first dose of study treatment up to at least 30 days after the last dose of study treatment or initiation of new anti-cancer therapy (up to 36 months)
Intervention | Participants (Count of Participants) |
---|
| QT: Increase from baseline >30 ms | QT: Increase from baseline >60 ms | QT: >450 ms | QT: >480 ms | QT: >500 ms | QTcB: Increase from baseline >30 ms | QTcB: Increase from baseline >60 ms | QTcB: >450 ms | QTcB: >480 ms | QTcB: >500 ms | QTcF: Increase from baseline >30 ms | QTcF: Increase from baseline >60 ms | QTcF: >450 ms | QTcF: >480 ms | QTcF: >500 ms | Heart rate: <=50 bpm and decrease from baseline >=20 bpm | Heart rate: >=120 bpm and increase from baseline >=20 bpm | PR: >=220 ms and increase from baseline >=20 ms | QRS: >=120 ms |
---|
Avelumab+Azacitidine+Utomilumab | 4 | 3 | 2 | 1 | 0 | 3 | 1 | 5 | 3 | 2 | 3 | 2 | 3 | 2 | 2 | 1 | 0 | 0 | 1 |
,Avelumab+Bendamustine+Rituximab | 4 | 2 | 2 | 1 | 0 | 4 | 0 | 9 | 4 | 1 | 3 | 0 | 6 | 0 | 0 | 0 | 1 | 0 | 2 |
,Avelumab+Rituximab+Utomilumab | 4 | 1 | 2 | 0 | 0 | 1 | 1 | 4 | 2 | 1 | 1 | 0 | 4 | 0 | 0 | 0 | 0 | 0 | 1 |
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Number of Participants With Anti-Drug Antibodies (ADA) Against Utomilumab by Never and Ever Positive Status
ADA never-positive was defined as no positive ADA results at any time point. ADA ever-positive was defined as at least one positive ADA result at any time point. (NCT02951156)
Timeframe: From the date of first study treatment up to 30 Days after the end of treatment (maximum up to 36 months)
Intervention | Participants (Count of Participants) |
---|
| ADA ever-positive | ADA never-positive |
---|
Avelumab+Azacitidine+Utomilumab | 2 | 7 |
,Avelumab+Rituximab+Utomilumab | 1 | 7 |
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Number of Participants With Anti-Drug Antibodies (ADA) Against Rituximab by Never and Ever Positive Status
ADA never-positive was defined as no positive ADA results at any time point. ADA ever-positive was defined as at least one positive ADA result at any time point. (NCT02951156)
Timeframe: From the date of first study treatment up to 30 Days after the end of treatment (maximum up to 36 months)
Intervention | Participants (Count of Participants) |
---|
| ADA ever-positive | ADA never-positive |
---|
Avelumab+Bendamustine+Rituximab | 0 | 11 |
,Avelumab+Rituximab+Utomilumab | 0 | 8 |
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Number of Participants With Anti-Drug Antibodies (ADA) Against Avelumab by Never and Ever Positive Status
ADA never-positive was defined as no positive ADA results at any time point. ADA ever-positive was defined as at least one positive ADA result at any time point. (NCT02951156)
Timeframe: Baseline: 2 hours pre-dose of first dose of avelumab, Post baseline: post first dose up to up to 30 Days after the end of treatment (maximum up to 36 months)
Intervention | Participants (Count of Participants) |
---|
| Baseline: ADA ever-positive | Baseline: ADA never-positive | Post Baseline: ADA ever-positive | Post Baseline: ADA never-positive |
---|
Avelumab+Azacitidine+Utomilumab | 0 | 9 | 0 | 9 |
,Avelumab+Bendamustine+Rituximab | 1 | 10 | 0 | 11 |
,Avelumab+Rituximab+Utomilumab | 0 | 8 | 0 | 8 |
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Concentration Verses Time Summary of Avelumab
(NCT02951156)
Timeframe: 1 hour Post dose Day 2 Cycle 1, 144 hour Post dose Day 8 of Cycle 1, 0 hour Post dose Day 16 of Cycle 1, Day 1 of Cycle 4 and Cycle 6
Intervention | microgram per milliliter (mcg/mL) (Mean) |
---|
| Cycle 1 Day 2 | Cycle 1 Day 8 | Cycle 1 Day 16 | Cycle 4 Day 1 | Cycle 6 Day 1 |
---|
Avelumab+Azacitidine+Utomilumab | 198.43 | 68.44 | 26.53 | 62.00 | 7.57 |
,Avelumab+Bendamustine+Rituximab | 193.30 | 65.33 | 19.36 | 120.88 | 39.43 |
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Concentration Verses Time Summary of Avelumab
(NCT02951156)
Timeframe: 1 hour Post dose Day 2 Cycle 1, 144 hour Post dose Day 8 of Cycle 1, 0 hour Post dose Day 16 of Cycle 1, Day 1 of Cycle 4 and Cycle 6
Intervention | microgram per milliliter (mcg/mL) (Mean) |
---|
| Cycle 1 Day 2 | Cycle 1 Day 8 | Cycle 1 Day 16 | Cycle 4 Day 1 |
---|
Avelumab+Rituximab+Utomilumab | 183.29 | 75.14 | 25.33 | 25.00 |
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Time to Tumor Response (TTR) as Assessed by Investigator Per Lugano Response Classification Criteria
TTR was defined for participants who achieved objective response as time from randomization to first documentation of objective tumor response (CR or PR) that was subsequently confirmed. CR was defined as a score of 1 (no uptake above background), 2 (uptake <= mediastinum), or 3 (uptake =50% decrease in SPD of up to six of the largest dominant lymph nodes, no increase in size of other nodes, liver, or spleen volume, a >=50% decrease in SPD of hepatic and splenic nodules, absence of other organ involvement, and no new sites of disease. (NCT02951156)
Timeframe: From the date of randomization to the first documentation of objective response (CR or PR) (maximum up to 36 months)
Intervention | Months (Median) |
---|
Avelumab+Rituximab+Utomilumab | 1.8 |
Avelumab+Bendamustine+Rituximab | 1.9 |
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Dose Escalation Phase: Maximum Tolerated Dose (MTD) of TAK-659
MTD was defined as the maximum dose that is determined to be safe and tolerable in different cohorts. Each cohort (A, B, C, D and E) received different escalating doses of TAK-659 in combination with other drugs. For each cohort the maximum tolerated dose of TAK-659 in combination with the other drug/s from the selected dose range is reported. (NCT02954406)
Timeframe: Cycle 1 (Cohorts A, B and C - each cycle was of 21 days and Cohorts D and E - each cycle was of 28 days)
Intervention | mg (Number) |
---|
Dose Escalation Phase Cohort A: TAK-659 60-100 mg + Bendamustine 90 mg/m^2 | NA |
Dose Escalation Phase Cohort B: TAK-659 60-100 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | NA |
Dose Escalation Phase Cohort C: TAK-659 60 mg + Gemcitabine 1000 mg/m^2 | NA |
Dose Escalation Phase Cohort D: TAK-659 40-60 mg + Lenalidomide 25 mg | NA |
Dose Escalation Phase Cohort E: TAK-659 60 mg + Ibrutinib 560 mg | NA |
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AUCtau: Area Under the Plasma Concentration-time Curve During Dosing Interval
(NCT02954406)
Timeframe: Days 1 and 15: Pre-dose and at multiple time points (up to 24 hours) post-dose in Cycle 1 (Cohorts A, B and C - each cycle was of 21 days and Cohorts D and E - each cycle was of 28 days)
Intervention | h×ng/mL (Geometric Mean) |
---|
| Cycle 1 Day 1 | Cycle 1 Day 15 |
---|
Dose Escalation Phase Cohort A: TAK-659 100 mg + Bendamustine 90 mg/m^2 | 1532.34 | 3050.97 |
,Dose Escalation Phase Cohort A: TAK-659 60 mg + Bendamustine 90 mg/m^2 | 1094.51 | 1845.21 |
,Dose Escalation Phase Cohort A: TAK-659 80 mg + Bendamustine 90 mg/m^2 | 1011.49 | 1675.91 |
,Dose Escalation Phase Cohort B: TAK-659 100 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 1444.89 | 2662.16 |
,Dose Escalation Phase Cohort B: TAK-659 60 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 852.36 | 1896.76 |
,Dose Escalation Phase Cohort B: TAK-659 80 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 1455.92 | 2788.61 |
,Dose Escalation Phase Cohort C: TAK-659 60 mg + Gemcitabine 1000 mg/m^2 | 387.54 | 3251.29 |
,Dose Escalation Phase Cohort D: TAK-659 40 mg + Lenalidomide 25 mg | 1456.03 | 2536.48 |
,Dose Escalation Phase Cohort D: TAK-659 60 mg + Lenalidomide 25 mg | 758.76 | 2578.30 |
,Dose Escalation Phase Cohort E: TAK-659 60 mg + Ibrutinib 560 mg | 968.82 | 4218.90 |
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Duration of Response (DOR)
DOR was defined as the time from the date of first documented response to the date of first documented PD. PD was defined as any new lesion or increase by > 50% of previously involved sites from nadir. (NCT02954406)
Timeframe: Up to 123 weeks
Intervention | months (Median) |
---|
Dose Escalation Phase Cohort A: TAK-659 60 mg + Bendamustine 90 mg/m^2 | 2.3 |
Dose Escalation Phase Cohort A: TAK-659 80 mg + Bendamustine 90 mg/m^2 | 2.8 |
Dose Escalation Phase Cohort A: TAK-659 100 mg + Bendamustine 90 mg/m^2 | NA |
Dose Escalation Phase Cohort B: TAK-659 60 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | NA |
Dose Escalation Phase Cohort B: TAK-659 80 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 3.9 |
Dose Escalation Phase Cohort D: TAK-659 40 mg + Lenalidomide 25 mg | 1.8 |
Dose Escalation Phase Cohort D: TAK-659 60 mg + Lenalidomide 25 mg | NA |
Dose Escalation Phase Cohort E: TAK-659 60 mg + Ibrutinib 560 mg | NA |
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Tmax: Time to Reach the Maximum Plasma Concentration for TAK-659
(NCT02954406)
Timeframe: Days 1 and 15: Pre-dose and at multiple time points (up to 24 hours) post-dose in Cycle 1 (Cohorts A, B and C - each cycle was of 21 days and Cohorts D and E - each cycle was of 28 days)
Intervention | hours (h) (Median) |
---|
| Cycle 1 Day 1 | Cycle 1 Day 15 |
---|
Dose Escalation Phase Cohort A: TAK-659 100 mg + Bendamustine 90 mg/m^2 | 4.00 | 3.83 |
,Dose Escalation Phase Cohort A: TAK-659 60 mg + Bendamustine 90 mg/m^2 | 4.00 | 4.00 |
,Dose Escalation Phase Cohort A: TAK-659 80 mg + Bendamustine 90 mg/m^2 | 2.03 | 1.09 |
,Dose Escalation Phase Cohort B: TAK-659 100 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 2.00 | 2.47 |
,Dose Escalation Phase Cohort B: TAK-659 60 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 1.10 | 1.17 |
,Dose Escalation Phase Cohort B: TAK-659 80 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 2.00 | 1.93 |
,Dose Escalation Phase Cohort C: TAK-659 60 mg + Gemcitabine 1000 mg/m^2 | 4.13 | 2.76 |
,Dose Escalation Phase Cohort D: TAK-659 40 mg + Lenalidomide 25 mg | 0.6 | 1.9 |
,Dose Escalation Phase Cohort D: TAK-659 60 mg + Lenalidomide 25 mg | 2.12 | 2.08 |
,Dose Escalation Phase Cohort E: TAK-659 60 mg + Ibrutinib 560 mg | 1.00 | 1.01 |
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Cmax: Maximum Observed Plasma Concentration for TAK-659
(NCT02954406)
Timeframe: Days 1 and 15: Pre-dose and at multiple time points (up to 24 hours) post-dose in Cycle 1 (Cohorts A, B and C - each cycle was of 21 days and Cohorts D and E - each cycle was of 28 days)
Intervention | nanograms(ng)/mL (Geometric Mean) |
---|
| Cycle 1 Day 1 | Cycle 1 Day 15 |
---|
Dose Escalation Phase Cohort A: TAK-659 100 mg + Bendamustine 90 mg/m^2 | 118.10 | 187.73 |
,Dose Escalation Phase Cohort A: TAK-659 60 mg + Bendamustine 90 mg/m^2 | 83.61 | 126.49 |
,Dose Escalation Phase Cohort A: TAK-659 80 mg + Bendamustine 90 mg/m^2 | 89.74 | 145.03 |
,Dose Escalation Phase Cohort B: TAK-659 100 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 180.10 | 223.53 |
,Dose Escalation Phase Cohort B: TAK-659 60 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 128.58 | 158.28 |
,Dose Escalation Phase Cohort B: TAK-659 80 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 142.84 | 222.96 |
,Dose Escalation Phase Cohort C: TAK-659 60 mg + Gemcitabine 1000 mg/m^2 | 141.27 | 303.34 |
,Dose Escalation Phase Cohort D: TAK-659 40 mg + Lenalidomide 25 mg | 139.00 | 188.00 |
,Dose Escalation Phase Cohort D: TAK-659 60 mg + Lenalidomide 25 mg | 65.03 | 202.90 |
,Dose Escalation Phase Cohort E: TAK-659 60 mg + Ibrutinib 560 mg | 120.23 | 306.59 |
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Time to Progression (TTP)
TTP was defined as the time from the date of first drug administration to the date of first documented PD. PD was defined as any new lesion or increase by >50% of previously involved sites from nadir. (NCT02954406)
Timeframe: Up to 123 weeks
Intervention | months (Median) |
---|
Dose Escalation Phase Cohort A: TAK-659 60 mg + Bendamustine 90 mg/m^2 | 4.2 |
Dose Escalation Phase Cohort A: TAK-659 80 mg + Bendamustine 90 mg/m^2 | 2.7 |
Dose Escalation Phase Cohort A: TAK-659 100 mg + Bendamustine 90 mg/m^2 | 9.6 |
Dose Escalation Phase Cohort B: TAK-659 60 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 2.6 |
Dose Escalation Phase Cohort B: TAK-659 80 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 4.2 |
Dose Escalation Phase Cohort B: TAK-659 100 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 1.3 |
Dose Escalation Phase Cohort C: TAK-659 60 mg + Gemcitabine 1000 mg/m^2 | 1.4 |
Dose Escalation Phase Cohort D: TAK-659 40 mg + Lenalidomide 25 mg | 3.4 |
Dose Escalation Phase Cohort D: TAK-659 60 mg + Lenalidomide 25 mg | NA |
Dose Escalation Phase Cohort E: TAK-659 60 mg + Ibrutinib 560 mg | 2.7 |
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Dose Escalation Phase: Recommended Phase 2 Dose (RP2D) of TAK-659
The RP2D was the MTD or less. The dose recommended for use in phase 2 studies was analyzed on the basis of the safety, tolerability, and preliminary pharmacokinetic (PK) and efficacy data obtained in phase 1 studies. Each cohort (A, B, C, D and E) received different escalating doses of TAK-659 in combination with other drugs. For each cohort the recommended Phase 2 dose of TAK-659 in combination with the other drug/s from the selected dose range is reported. (NCT02954406)
Timeframe: Cycle 1 (Cohorts A, B and C - each cycle was of 21 days and Cohorts D and E each cycle was of 28 days)
Intervention | mg (Number) |
---|
Dose Escalation Phase Cohort A: TAK-659 60-100 mg + Bendamustine 90 mg/m^2 | NA |
Dose Escalation Phase Cohort B: TAK-659 60-100 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 60 |
Dose Escalation Phase Cohort C: TAK-659 60 mg + Gemcitabine 1000 mg/m^2 | NA |
Dose Escalation Phase Cohort D: TAK-659 40-60 mg + Lenalidomide 25 mg | NA |
Dose Escalation Phase Cohort E: TAK-659 60 mg + Ibrutinib 560 mg | NA |
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Overall Response Rate (ORR)
ORR was defined as the percentage of participants in the response-evaluable population who achieved either complete response (CR), or partial response (PR). CR was defined as the disappearance of all evidence of disease, and PR was defined as regression of measurable disease and no new sites. (NCT02954406)
Timeframe: Up to 123 weeks
Intervention | percentage of participants (Number) |
---|
Dose Escalation Phase Cohort A: TAK-659 60 mg + Bendamustine 90 mg/m^2 | 33.3 |
Dose Escalation Phase Cohort A: TAK-659 80 mg + Bendamustine 90 mg/m^2 | 75.0 |
Dose Escalation Phase Cohort A: TAK-659 100 mg + Bendamustine 90 mg/m^2 | 50.0 |
Dose Escalation Phase Cohort B: TAK-659 60 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 40.0 |
Dose Escalation Phase Cohort B: TAK-659 80 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 80.0 |
Dose Escalation Phase Cohort B: TAK-659 100 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 0.0 |
Dose Escalation Phase Cohort C: TAK-659 60 mg + Gemcitabine 1000 mg/m^2 | 0.0 |
Dose Escalation Phase Cohort D: TAK-659 40 mg + Lenalidomide 25 mg | 100.0 |
Dose Escalation Phase Cohort D: TAK-659 60 mg + Lenalidomide 25 mg | 33.3 |
Dose Escalation Phase Cohort E: TAK-659 60 mg + Ibrutinib 560 mg | 50.0 |
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Terminal Elimination Half-Life (t1/2) of Trilaciclib
t1/2 was calculated as 0.693 divided by lambda z. lambda z (terminal phase rate constant) was determined by linear regression of at least 3 points on the terminal phase of the log-linear plasma concentration-time curve, the actual body exposure to drug after administration of a dose of the drug ( in mg*h/L). (NCT02978716)
Timeframe: Cycle 1 Day 1 (Group 1): Pre-dose, 0.5, 1, 2, 3.5, 5, 24 hours post-dose; Cycle 1 Day 1 (Group 2) and Cycle 1 Day 2 (Group 3): Pre-dose, 0.5, 1, 1.5, 2.5, 4, 5.5, 24 hours post-dose (Each cycle is of 21 days)
Intervention | hours (Median) |
---|
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 5.27 |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 5.31 |
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Duration of Severe (Grade 4) Neutropenia (DSN) During Cycle 1
DSN was defined as the number of days from the date of the first absolute neutrophil count (ANC) value of less than (<) 0.5 × 10^9 cells/liter (L) observed between Day 1 Cycle 1 and the end of Cycle 1 to the date of the first ANC value greater than or equal to (>=) 0.5 × 10^9/L that met the following: (1) occurred after the ANC value of < 0.5 × 10^9 cells/L and (2) no other ANC values < 0.5 × 10^9 cells/L occurred between this day and the end of Cycle 1. Severe neutropenia (SN) was set to zero for participants who did not experience severe (Grade 4) neutropenia in Cycle 1, including those who were randomized but never treated. (NCT02978716)
Timeframe: From randomization to the end of Cycle 1 (Each cycle= 21 days)
Intervention | days (Mean) |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 1 |
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 2 |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 1 |
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Number of Participants With Best Overall Response (BOR) as Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
BOR was defined as the best response across all time points (RECIST v1.1). The best overall response was determined once all the data for the participant is known. Each participant has been assigned one of the following categories (RECIST 1.1): complete response (CR): disappearance of all target lesions; partial response (PR): >= 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters; progression disease (PD): >= 20% increase in the sum of diameters of target lesions (taking as reference the smallest sum on study); stable disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD); NE: not evaluable and missing. (NCT02978716)
Timeframe: From date of randomization until the occurrence of progressive disease or a censoring event, assessed up to a maximum of 875 days
Intervention | Participants (Count of Participants) |
---|
| Complete response (CR) | Partial response (PR) | Stable disease (SD) | Progressive disease (PD) | Not evaluable (NE) | Missing |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 0 | 7 | 11 | 6 | 0 | 0 |
,Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 0 | 15 | 9 | 5 | 0 | 1 |
,Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 0 | 11 | 15 | 3 | 1 | 1 |
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Relative Dose Intensity of Gemcitabine and Carboplatin
Relative dose intensity was defined as 100% times the actual dose intensity divided by the planned dose intensity. The planned dose intensity was defined as the cumulative planned dose through the study divided by (number of cycles × 3 weeks). Relative dose intensity (%) was calculated as: for gemcitabine (100 * [Dose intensity (mg/m2/week) / (2000/3 (mg/m2/week)]); for carboplatin (100 * [Dose intensity (AUC/week)/ (4/3) (AUC/week)]) and for trilaciclib (100 * [Dose intensity (mg/m2/week)/ (480 /3 (mg/m2/week)] for Group 2 and 100 * [Dose intensity (mg/m2/week) / (960 /3 (mg/m2/week)] for Group 3). (NCT02978716)
Timeframe: During the treatment period. From date of first dose, 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator, assessed up to a maximum of 871 days
Intervention | percentage of dose (Mean) |
---|
| Carboplatin | Gemcitabine |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 77.5 | 79.1 |
,Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 79.1 | 80.8 |
,Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 81.7 | 81.0 |
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Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs
An Adverse event (AE) was any untoward medical occurrence in a participant administered a medicinal product that did not necessarily have a causal relationship with this treatment. Any AE that started on or after the first dose of study drugs was included as a TEAE. A Serious AE was defined as any AE, occurring at any dose (including after the informed consent form was signed and prior to dosing) and regardless of causality that met one, more of the following criteria: results in death, life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent, significant disability/incapacity, a congenital abnormality/birth defect, an important medical event. TEAEs included serious and non-serious TEAEs. (NCT02978716)
Timeframe: During the treatment period. From date of first dose, 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator, assessed up to a maximum of 1116 days
Intervention | Participants (Count of Participants) |
---|
| Participants with any TEAEs | Participants with any Serious TEAEs |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 30 | 10 |
,Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 33 | 11 |
,Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 34 | 4 |
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Number of Participants With Grade 3 and 4 Hematologic Toxicities
Hematologic toxicities events were defined as any cycle where any hematologic lab value occurs that meets the CTCAE toxicity grade criteria for >= Grade 3 and the value is treatment emergent. The occurrence of Grade 3 and 4 hematologic toxicities was a binary endpoint. If a participant had at least 1 cycle with at least one Grade 3 or 4 hematologic toxicities during the treatment period, the participant was assigned as Yes to the occurrence of Grade 3 and 4 hematologic toxicities; otherwise, it was No. If a participant did not have an event, the value of 0 was assigned to that participant. (NCT02978716)
Timeframe: During the treatment period. From date of randomization, 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator, assessed up to a maximum of 542 days
Intervention | Participants (Count of Participants) |
---|
| Participants with Grade 3 and 4 hematologic toxicities: Yes | Participants with Grade 3 and 4 hematologic toxicities: No |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 25 | 9 |
,Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 30 | 3 |
,Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 27 | 8 |
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Dose Modifications: Number of Participants With Any Dose Interruptions
Dose interruptions was defined as interruption of infusion, regardless of whether the study drug was continued after the interruption. (NCT02978716)
Timeframe: During the treatment period. From date of first dose, 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator, assessed up to a maximum of 871 days
Intervention | Participants (Count of Participants) |
---|
| Trilaciclib | Carboplatin | Gemcitabine |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | NA | 1 | 2 |
,Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 3 | 1 | 4 |
,Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 5 | 0 | 0 |
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Dose Modifications - Number of Participants With Dose Reductions
Dose (mg/m2) reductions were not permitted for trilaciclib. Dose reductions for carboplatin and gemcitabine were determined by comparing the planned dose on the respective drug administration pages between the current cycle and the previous cycle. (NCT02978716)
Timeframe: During the treatment period. From date of first dose, 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator, assessed up to a maximum of 871 days
Intervention | Participants (Count of Participants) |
---|
| Carboplatin | Gemcitabine |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 10 | 13 |
,Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 13 | 20 |
,Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 15 | 17 |
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Volume of Distribution at Steady State (Vss) of Free Carboplatin
Vss was the volume of distribution at steady state of free carboplatin was reported. (NCT02978716)
Timeframe: Cycle 1 Day 1 (Group 1): Pre-dose, 0.5, 1, 2, 3.5, 5, 24 hours post-dose; Cycle 1 Day 1 (Group 2) and Cycle 1 Day 2 (Group 3): Pre-dose, 0.5, 1, 1.5, 2.5, 4, 5.5, 24 hours post-dose (Each cycle is of 21 days)
Intervention | Liter (Mean) |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 44.4 |
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 35.0 |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 34.0 |
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Area Under the Plasma Concentration-Time Curve From Time 0 to t Hours (AUC0-t) of Gemcitabine
AUC0-t was calculated with the linear/log-trapezoidal method. (NCT02978716)
Timeframe: Cycle 1 Day 1 (Group 1): Pre-dose, 0.5, 1, 2, 3.5, 5, 24 hours post-dose; Cycle 1 Day 1 (Group 2) and Cycle 1 Day 2 (Group 3): Pre-dose, 0.5, 1, 1.5, 2.5, 4, 5.5, 24 hours post-dose (Each cycle is of 21 days)
Intervention | hour*microgram per milliliter (h*mcg/mL) (Mean) |
---|
Group 1: Gemcitabine/Carboplatin (Day 1 and 8) | NA |
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 20.4 |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 15.4 |
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Terminal Elimination Half-Life (t1/2) of Free Carboplatin
t1/2 was calculated as 0.693 divided by lambda z. lambda z (terminal phase rate constant) was determined by linear regression of at least 3 points on the terminal phase of the log-linear plasma concentration-time curve. (NCT02978716)
Timeframe: Cycle 1 Day 1 (Group 1): Pre-dose, 0.5, 1, 2, 3.5, 5, 24 hours post-dose; Cycle 1 Day 1 (Group 2) and Cycle 1 Day 2 (Group 3): Pre-dose, 0.5, 1, 1.5, 2.5, 4, 5.5, 24 hours post-dose (Each cycle is of 21 days)
Intervention | hours (Median) |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 5.23 |
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 2.49 |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 1.79 |
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Progression Free Survival (PFS) as Per RECIST v1.1 as Determined by Investigator
PFS was defined as the time (months) from date of randomization until date of documented PD or death due to any cause, whichever comes first. PD: >= 20% increase in the sum of diameters of target lesions (taking as reference the smallest sum on study). The PFS was calculated using Kaplan-Meier method. (NCT02978716)
Timeframe: From date of randomization until the occurrence of disease progression, death due to any cause or a censoring event, assessed up to a maximum of 875 days
Intervention | months (Median) |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 5.7 |
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 9.4 |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 7.3 |
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Overall Survival (OS)
Overall survival was defined as the time (months) from date of randomization to the date of death due to any cause. Participants who do not die during the study were censored at the date last known to be alive. The OS was calculated using Kaplan-Meier method. (NCT02978716)
Timeframe: From date of randomization to date of death due to any cause, assessed up to a maximum of 1120 days
Intervention | months (Median) |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 12.6 |
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | NA |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 17.8 |
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Number of Participants With Febrile Neutropenia (FN)
"The criterion for identifying FN was if the PT was FEBRILE NEUTROPENIA the occurrence during the treatment period was defined as a binary variable (Yes or No); Yes if total number of events >=1 was observed, No for other scenarios. If a participant did not have an event, the value of 0 was assigned to that participant." (NCT02978716)
Timeframe: During the treatment period. From date of randomization, 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator, assessed up to a maximum of 542 days
Intervention | Participants (Count of Participants) |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 1 |
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 1 |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 0 |
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Number of Cycles Participants Received Treatment in Each Treatment Arm
Participants were considered to have started a cycle if they have received at least 1 dose of any study drug. (NCT02978716)
Timeframe: During the treatment period. From date of first dose, 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator, assessed up to a maximum of 871 days
Intervention | number of cycles (Mean) |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 6 |
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 9 |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 8 |
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Maximum Observed Plasma Concentration (Cmax) of Trilaciclib
The observed peak plasma concentration was determined from the plasma concentration-versus time data. (NCT02978716)
Timeframe: Cycle 1 Day 1 (Group 1): Pre-dose, 0.5, 1, 2, 3.5, 5, 24 hours post-dose; Cycle 1 Day 1 (Group 2) and Cycle 1 Day 2 (Group 3): Pre-dose, 0.5, 1, 1.5, 2.5, 4, 5.5, 24 hours post-dose (Each cycle is of 21 days)
Intervention | ng/mL (Mean) |
---|
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 2280 |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 1630 |
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Major Adverse Hematologic Event (MAHE) Rate
MAHE was a composite endpoint incorporating the measurement of several clinically meaningful aspects of myelosuppression into a single endpoint by summing of the total number of events across a set of pre-specified components.The individual components for MAHE were all-cause hospitalizations, all-cause dose reductions, febrile neutropenia, prolonged severe neutropenia (duration > 5 days), RBC transfusion and platelet transfusion. Event rate for MAHE was calculated as the number of events/durations of treatment period divided by 7 days/1 week. (NCT02978716)
Timeframe: During the treatment period. From date of randomization, 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator, assessed up to a maximum of 542 days
Intervention | event rate per week (Number) |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 0.153 |
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 0.108 |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 0.080 |
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Duration of Objective Response (DOR) as Per RECIST v1.1 as Determined by Investigator
DOR is the time between first response by RECIST Version 1.1 of CR or PR and the first date that progressive disease is documented by RECIST Version 1.1, or death. Participants who do not experience PD or death was censored at the last tumor assessment date. 95% Confidence Interval (CI) was calculated using the Kaplan-Meier method. (NCT02978716)
Timeframe: From date of randomization until the occurrence of progressive disease or a censoring event, assessed up to a maximum of 875 days
Intervention | months (Median) |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 7.8 |
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 11.5 |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 9.6 |
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Number of Participants With Grade 3 or 4 Thrombocytopenia
"Hematologic toxicities events are defined as any cycle where any hematologic lab value occurs that meets the CTCAE toxicity grade criteria for >= Grade 3 and the value is treatment emergent. The occurrence of Grade 3 and 4 thrombocytopenia was a binary endpoint. If a participant had at least 1 cycle with at least one Grade 3 or 4 thrombocytopenia during the treatment period, the participant was assigned as Yes to the occurrence of Grade 3 and 4 thrombocytopenia; otherwise, it was No. If a participant did not have an event, the value of 0 was assigned to that participant." (NCT02978716)
Timeframe: During the treatment period. From date of randomization, 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator, assessed up to a maximum of 542 days
Intervention | Participants (Count of Participants) |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 21 |
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 12 |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 19 |
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Dose Modifications: Number of Participants With Cycle Delays
Dose modifications was summarized for each study drug based on number of cycles received during the treatment period. If the participant was unable to start a new cycle at that next visit, then the cycle is delayed, the reason entered, and the question was asked again at the next visit until the participant either starts a new cycle or discontinues treatment. (NCT02978716)
Timeframe: During the treatment period. From date of first dose, 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator, assessed up to a maximum of 871 days
Intervention | Participants (Count of Participants) |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 17 |
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 19 |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 22 |
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Dose Modifications - Number of Participants With Skipped Doses
Dose modifications was summarized for each study drug based on skipped doses not received during the treatment period. Primary reasons for skipped doses included toxicity, investigator decision and administrative reasons (e.g., holidays). (NCT02978716)
Timeframe: During the treatment period. From date of first dose, 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator, assessed up to a maximum of 871 days
Intervention | Participants (Count of Participants) |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 15 |
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 20 |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 13 |
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Duration of Exposure
Duration of exposure (days) = First dose date of study drug from the last cycle - first dose date of study drug + 21. (NCT02978716)
Timeframe: During the treatment period. From date of first dose, 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator, assessed up to a maximum of 871 days
Intervention | days (Median) |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 101 |
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 161 |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 168 |
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Maximum Observed Plasma Concentration (Cmax) of Gemcitabine
The observed peak plasma concentration was determined from the plasma concentration-versus time data. (NCT02978716)
Timeframe: Cycle 1 Day 1 (Group 1): Pre-dose, 0.5, 1, 2, 3.5, 5, 24 hours post-dose; Cycle 1 Day 1 (Group 2) and Cycle 1 Day 2 (Group 3): Pre-dose, 0.5, 1, 1.5, 2.5, 4, 5.5, 24 hours post-dose (Each cycle is of 21 days)
Intervention | microgram per milliliter (mcg/mL) (Mean) |
---|
Group 1: Gemcitabine/Carboplatin (Day 1 and 8) | NA |
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 18.0 |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 23.8 |
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Cumulative Dose of Gemcitabine
Cumulative dose: Sum of the total doses by cycle administered to a participant in the duration of exposure, i.e. total number of cycles received (milligram per meter square [mg/m^2]). (NCT02978716)
Timeframe: During the treatment period. From date of first dose, 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator, assessed up to a maximum of 871 days
Intervention | mg/m^2 (Mean) |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 10694.3 |
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 14680.9 |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 13277.2 |
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Cumulative Dose of Carboplatin
Cumulative dose: Sum of the total doses by cycle (AUC) administered to a participant in the duration of exposure, i.e. total number of cycles received (in total prescribed AUC). (NCT02978716)
Timeframe: During the treatment period. From date of first dose, 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator, assessed up to a maximum of 871 days
Intervention | AUC (mg/mL/min) (Mean) |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 20.3 |
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 27.8 |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 26.0 |
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Clearance (CL) of of Free Carboplatin
Clearance after intravenous infusion administration was calculated as: CL=Dose/AUC0-inf. AUC0-inf was calculated as: AUC0-inf=AUClast+Clast/lambdaz where Clast is the last quantifiable concentration in the terminal elimination phase. (NCT02978716)
Timeframe: Cycle 1 Day 1 (Group 1): Pre-dose, 0.5, 1, 2, 3.5, 5, 24 hours post-dose; Cycle 1 Day 1 (Group 2) and Cycle 1 Day 2 (Group 3): Pre-dose, 0.5, 1, 1.5, 2.5, 4, 5.5, 24 hours post-dose (Each cycle is of 21 days)
Intervention | Liter/hour (L/h) (Mean) |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 6.65 |
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 14.0 |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 13.7 |
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Area Under the Plasma Concentration-Time Curve From Time 0 to t Hours (AUC0-t) of Trilaciclib
AUC0-t was calculated with the linear/log-trapezoidal method, which uses linear interpolation between data points to calculate the AUC. The linear/log-trapezoidal method will be employed for all incremental trapezoids arising from increasing concentrations and the logarithmic trapezoidal method will be used for those arising from decreasing concentrations. (NCT02978716)
Timeframe: Cycle 1 Day 1 (Group 1): Pre-dose, 0.5, 1, 2, 3.5, 5, 24 hours post-dose; Cycle 1 Day 1 (Group 2) and Cycle 1 Day 2 (Group 3): Pre-dose, 0.5, 1, 1.5, 2.5, 4, 5.5, 24 hours post-dose (Each cycle is of 21 days)
Intervention | hour* nanogram per milliliter (h*ng/mL) (Mean) |
---|
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 3610 |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 3800 |
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All-cause Dose Reductions, Event Rate (Per Cycle)
Dose reductions were not permitted for trilaciclib. Dose reductions for gemcitabine or carboplatin were collected on the dosing page. No more than 3 dose modifications for toxicity in total were allowed for any participant. All dose reductions were counted as a separate event. Discontinuations of an individual component of the chemotherapy regimen were counted as a dose reduction If the participant continued the other chemotherapy drug as a monotherapy. Event rate was calculated as the total number of cycles with an event divided by the total number of cycles. (NCT02978716)
Timeframe: During the treatment period. From date of randomization, 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator, assessed up to a maximum of 542 days
Intervention | event rate per cycle (Number) |
---|
Group 1: Gemcitabine/Carboplatin (Days 1 and 8) | 0.141 |
Group 2: Trilaciclib + Gemcitabine/Carboplatin (Days 1 and 8) | 0.118 |
Group 3: Trilaciclib (Days 1, 2, 8 and 9) + Gemcitabine/Carboplatin (Days 2 and 9) | 0.133 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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Percentage of Patients Experienced AEs/SAEs
The safety and tolerability of pembrolizumab treatment will be assessed through analysis of the worst grade of toxicity/adverse events according to CTCAE v4.0 criteria observed over the whole treatment period. Adverse events are collected from study treatment initiation to 30 days after treatment is ceased for any reason. Serious adverse events and events of clinical interest are collected within 90 days after last dose of trial treatment. (NCT02991482)
Timeframe: Time from randomization of the first patient until database cutoff date for the primary PFS analysis (Sep 2017 - Feb 2019; approximately 1.5 years).
Intervention | Participants (Count of Participants) |
---|
| Experienced any adverse event | Experienced treatment related adverse event | Experienced treatment related adverse event of grade 3-5 | Experienced treatment related adverse event leading to death | Experienced treatment related adverse event leading to treatment discontinuation |
---|
Pembrolizumab Arm | 70 | 50 | 14 | 1 | 5 |
,Standard Chemotherapy Arm | 65 | 52 | 18 | 1 | 5 |
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Progression Free Survival (PFS) Assessed by Investigator
Investigator assessed PFS, from the date of randomisation until documented progression or death, if progression is not documented. Censoring occurs at the last tumor assessment. (NCT02991482)
Timeframe: Time from randomization of the first patient until database cutoff date for the primary PFS analysis (Sep 2017 - Feb 2019; approximately 1.5 years).
Intervention | months (Median) |
---|
Pembrolizumab Arm | 3.5 |
Standard Chemotherapy Arm | 3.7 |
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Progression Free Survival (PFS) as Assessed by Independent Radiological Review
To investigate whether treatment with pembrolizumab improves PFS, compared to standard, institutional choice chemotherapy, assessed according to RECIST 1.1 criteria based on independent radiological review; using Kaplan-Meier method and compared between the two treatment arms by a stratified log rank test. (NCT02991482)
Timeframe: Time from randomization of the first patient until database cutoff date for the primary PFS analysis (Sep 2017 - Feb 2019; approximately 1.5 years).
Intervention | months (Median) |
---|
Pembrolizumab Arm | 2.5 |
Standard Chemotherapy Arm | 3.4 |
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Overall Survival.
Defined as time from the date of randomisation until death from any cause. Censoring will occur at the last follow-up date. (NCT02991482)
Timeframe: Time from randomization of the first patient until database cutoff date for the OS analysis (Sep 2017 - Aug 2019; approximately 2 years).
Intervention | months (Median) |
---|
Pembrolizumab Arm | 10.7 |
Standard Chemotherapy Arm | 12.4 |
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Time to Treatment Failure.
Time from from randomisation to discontinuation of treatment for any reason, including progression of disease, treatment toxicity, refusal and death, by Kaplan Meier method. Censoring will occur at the last follow-up date. (NCT02991482)
Timeframe: Time from randomization of the first patient until database cutoff date for the primary PFS analysis (Sep 2017 - Feb 2019; approximately 1.5 years).
Intervention | months (Median) |
---|
Pembrolizumab Arm | 2.8 |
Standard Chemotherapy Arm | 2.3 |
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Objective Response Rate by Independent Radiological Review
Defined as the best overall response (complete or partial response) across all assessment time-points from randomisation to end of trial treatment, determined by RECIST 1.1 criteria. (NCT02991482)
Timeframe: Time from randomization of the first patient until database cutoff date for the primary PFS analysis (Sep 2017 - Feb 2019; approximately 1.5 years).
Intervention | percentage of participants (Number) |
---|
Pembrolizumab Arm | 21.9 |
Standard Chemotherapy Arm | 5.6 |
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Overall Response Rate in Biomarker Positive Patients
To assess the effect of napabucasin plus weekly nab-paclitaxel with gemcitabine versus weekly nab-paclitaxel with gemcitabine on the Overall Response Rate (ORR) of patients with metastatic pancreatic ductal adenocarcinoma in biomarker positive patients. ORR is evaluated using RECIST 1.1. This biomarker-positive sub-population is defined as those patients with phospho-STAT3 positivity based on immunohistochemical (IHC) staining of Formalin Fixed Paraffin Embedded (FFPE) tumor tissue. (NCT02993731)
Timeframe: From date of randomization, every 8 weeks, until the date of first documented objective disease progression, up to 36 months
Intervention | Percentage (Number) |
---|
Napabucasin Plus Nab-paclitaxel With Gemcitabine (pSTAT3 Positive; Response Analysis Set) | 42 |
Nab-paclitaxel With Gemcitabine (pSTAT3 Positive; Response Analysis Set) | 47 |
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Overall Survival
To assess the effect of napabucasin plus weekly nab-paclitaxel with gemcitabine versus weekly nab-paclitaxel with gemcitabine on the Overall Survival of patients with metastatic pancreatic ductal adenocarcinoma. (NCT02993731)
Timeframe: From 4 weeks after the patient has been off study therapy, every 4 weeks thereafter for 6 months, then every 3 months thereafter until death, the study closes or 3 years since treatment discontinuation.
Intervention | Months (Median) |
---|
Napabucasin Plus Nab-paclitaxel With Gemcitabine | 11.43 |
Nab-paclitaxel With Gemcitabine | 11.73 |
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Overall Response Rate
To assess the effect of napabucasin plus weekly nab-paclitaxel with gemcitabine versus weekly nab-paclitaxel with gemcitabine on the Overall Response Rate (ORR) of patients with metastatic pancreatic ductal adenocarcinoma. ORR is evaluated using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1). (NCT02993731)
Timeframe: From date of randomization, every 8 weeks, until the date of first documented objective disease progression, up to 36 months
Intervention | Percentage (Number) |
---|
Napabucasin Plus Nab-paclitaxel With Gemcitabine (Response Analysis Set) | 43 |
Nab-paclitaxel With Gemcitabine (Response Analysis Set) | 43 |
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Number of Patients With Adverse Events
All patients who have received at least one dose of napabucasin will be included in the safety analysis according to the National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI CTCAE) version 4.0. The incidence of adverse events will be summarized by type of adverse event and severity. (NCT02993731)
Timeframe: Every 1-2 weeks from date of screening until protocol treatment discontinuation. Following permanent protocol treatment discontinuation, every 8 weeks, starting with the 4 week post-protocol treatment discontinuation visit, up to 36 months.
Intervention | Participants (Count of Participants) |
---|
Napabucasin Plus Nab-paclitaxel With Gemcitabine (Safety Population) | 560 |
Nab-paclitaxel With Gemcitabine (Safety Population) | 543 |
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Mean Change From Baseline for Global Quality of Life (QoL) at 8 Weeks.
QoL will be measured using the European Organization for Research and Treatment of Cancer Quality of Life questionnaire (EORTC-QLQ-C30) in patients with metastatic pancreatic ductal adenocarcinoma with napabucasin plus weekly nab-paclitaxel with gemcitabine versus weekly nab-paclitaxel with gemcitabine. EORTQ QLC-C30 is a questionnaire used to assess the overall quality of life in cancer patients - 28 questions use a 4-point scale (1 'Not at All' to 4 'Very Much'); 2 questions use a 7-point scale (1 'Very Poor' to 7 'Excellent'). Scores are averaged and transformed to 0-100 scale; higher overall score = better quality of life. (NCT02993731)
Timeframe: 8 weeks
Intervention | Score on a scale (Mean) |
---|
Napabucasin Plus Nab-paclitaxel With Gemcitabine | -1.63 |
Nab-paclitaxel With Gemcitabine | -0.57 |
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Disease Control Rate in Biomarker Positive Patients
To assess the effect of napabucasin plus weekly nab-paclitaxel with gemcitabine versus weekly nab-paclitaxel with gemcitabine on the Disease Control Rate (DCR) of patients with metastatic pancreatic ductal adenocarcinoma in biomarker positive patients. DCR is evaluated using RECIST 1.1. This biomarker-positive sub-population is defined as those patients with phospho-STAT3 positivity based on immunohistochemical (IHC) staining of Formalin Fixed Paraffin Embedded (FFPE) tumor tissue. (NCT02993731)
Timeframe: From date of randomization, every 8 weeks, until the date of first documented objective disease progression, up to 36 months
Intervention | Percentage (Number) |
---|
Napabucasin Plus Nab-paclitaxel With Gemcitabine (pSTAT3 Positive; Response Analysis Set) | 75 |
Nab-paclitaxel With Gemcitabine (pSTAT3 Positive; Response Analysis Set) | 79 |
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Disease Control Rate
To assess the effect of napabucasin plus weekly nab-paclitaxel with gemcitabine versus weekly nab-paclitaxel with gemcitabine on the Disease Control Rate (DCR) of patients with metastatic pancreatic ductal adenocarcinoma. DCR is defined as the proportion of patients with a documented complete response, partial response, and stable disease (CR + PR + SD) based on RECIST 1.1. (NCT02993731)
Timeframe: From date of randomization, every 8 weeks, until the date of first documented objective disease progression, up to 36 months
Intervention | Percentage of participants (Number) |
---|
Napabucasin Plus Nab-paclitaxel With Gemcitabine (Response Analysis Set) | 74 |
Nab-paclitaxel With Gemcitabine (Response Analysis Set) | 76 |
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Progression Free Survival in Biomarker Positive Patients
To assess the effect of napabucasin plus weekly nab-paclitaxel with gemcitabine versus weekly nab-paclitaxel with gemcitabine on the Progression Free Survival (PFS) of patients with metastatic pancreatic ductal adenocarcinoma in biomarker positive patients. PFS is defined as the time from randomization to the first objective documentation of disease progression or death due to any cause. This biomarker-positive sub-population is defined as those patients with phospho-STAT3 positivity based on immunohistochemical (IHC) staining of Formalin Fixed Paraffin Embedded (FFPE) tumor tissue. (NCT02993731)
Timeframe: From date of randomization, every 8 weeks, until the date of first documented objective disease progression, up to 36 months
Intervention | Months (Median) |
---|
Napabucasin Plus Nab-paclitaxel With Gemcitabine (pSTAT3 Positive) | 5.68 |
Nab-paclitaxel With Gemcitabine (pSTAT3 Positive) | 5.82 |
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Progression Free Survival
To assess the effect of napabucasin plus weekly nab-paclitaxel with gemcitabine versus weekly nab-paclitaxel with gemcitabine on the Progression Free Survival (PFS) of patients with metastatic pancreatic ductal adenocarcinoma. PFS is defined as the time from randomization to the first objective documentation of disease progression or death due to any cause. (NCT02993731)
Timeframe: From date of randomization, every 8 weeks, until the date of first documented objective disease progression, up to 36 months
Intervention | Months (Median) |
---|
Napabucasin Plus Nab-paclitaxel With Gemcitabine | 6.70 |
Nab-paclitaxel With Gemcitabine | 6.08 |
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Overall Survival in Biomarker Positive Patients
To assess the effect of napabucasin plus weekly nab-paclitaxel with gemcitabine versus weekly nab-paclitaxel with gemcitabine on the Overall Survival of patients with metastatic pancreatic ductal adenocarcinoma in biomarker positive patients. This biomarker-positive sub-population is defined as those patients with phospho-STAT3 positivity based on immunohistochemical (IHC) staining of Formalin Fixed Paraffin Embedded (FFPE) tumor tissue. (NCT02993731)
Timeframe: From 4 weeks after the patient has been off study therapy, every 4 weeks thereafter for 6 months, then every 3 months thereafter until death, the study closes or 3 years since treatment discontinuation.
Intervention | Months (Number) |
---|
Napabucasin Plus Nab-paclitaxel With Gemcitabine (pSTAT3 Positive) | 11.40 |
Nab-paclitaxel With Gemcitabine (pSTAT3 Positive) | 10.78 |
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Event-Free Survival (EFS)
Event-free survival (EFS) is defined as the length of time from randomization to any of the following events: any progression of disease precluding surgery, progression or recurrence disease based on blinded independent central review (BICR) assessment per response evaluation criteria in solid tumors (RECIST) 1.1 after surgery, or death due to any cause. Participants who don't undergo surgery for reason other than progression will be considered to have an event at progression or death. 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. 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). (NCT02998528)
Timeframe: From randomization to disease progression, reoccurrence, or death due to any cause. (Up to a median of 30 months)
Intervention | Months (Median) |
---|
Arm B: Platinum Doublet Chemo | 20.80 |
Arm C: Nivo 360 mg + Platinum Doublet Chemo | 31.57 |
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Pathologic Complete Response (pCR) Rate
Pathologic complete response (pCR) rate is defined as the number of randomized participants with absence of residual tumor in lung and lymph nodes as evaluated by blinded independent pathological review (BIPR). (NCT02998528)
Timeframe: From randomization up to a median of 30 months after randomization.
Intervention | Participants (Count of Participants) |
---|
Arm B: Platinum Doublet Chemo | 4 |
Arm C: Nivo 360 mg + Platinum Doublet Chemo | 43 |
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Major Pathologic Response (MPR) Rate
Major pathologic response (MPR) rate is defined as number of randomized participants with = 10% residual tumor in lung and lymph nodes as evaluated by blinded independent pathological review (BIPR). Viable tumors in situ carcinoma should not be included in MPR calculation. (NCT02998528)
Timeframe: From randomization up to a median of 30 months after randomization.
Intervention | Participants (Count of Participants) |
---|
Arm B: Platinum Doublet Chemo | 16 |
Arm C: Nivo 360 mg + Platinum Doublet Chemo | 66 |
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OS at 24 Months
OS was defined as the time from the date of randomization until death due to any cause. Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. The percentage of participants alive at 24 months were defined as the Kaplan-Meier estimate of OS at 24 months. (NCT03003962)
Timeframe: From date of randomization till 24 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 34.6 |
Platinum-based SoC | 27.2 |
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OS in PD-L1 TC >= 50% Analysis Set
OS is defined as the time from the date of randomization until death due to any cause (date of death or censoring-date of randomization + 1). Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. (NCT03003962)
Timeframe: From date of randomization until death due to any cause. Assessed up to a maximum of approximately 69 months (DCO 27 October 2022)
Intervention | months (Median) |
---|
Durvalumab | 14.6 |
Platinum-based SoC | 11.8 |
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Time to Deterioration of EORTC QLQ-C30 in PD-L1 TC >= 25% LREM Analysis Set
Time to symptom deterioration was defined as the time from the date of randomization until the date if the first clinically meaningful deterioration a decrease in the function scales or the global health status/ HRQoL from baseline of ≥10) that was confirmed at a subsequent visit or death (by any cause) in the absence of a clinically meaningful symptom deterioration, regardless of whether the participant withdraws from the study treatment or received another anticancer therapy prior to symptom deterioration. The EORTC QLQ-C30 consisted of 30 questions that were combined to produce 5 functional scales (physical, role, cognitive, emotional, and social), 3 symptom scales (fatigue, pain, and nausea/vomiting), 5 individual items (dyspnea, insomnia, appetite loss, constipation, and diarrhea), and a global measure of health status. The EORTC QLQ-C30 was scored according to the EORTC QLQ-C30 scoring manual. (NCT03003962)
Timeframe: From randomization until date of first symptom deterioration that is confirmed, assessed up to a maximum of approximately 69 months (DCO 27 October 2022)
Intervention | months (Median) |
---|
| Global health status | Physical functioning | Appetite loss | Fatigue |
---|
Durvalumab | 7.4 | 7.4 | 9.3 | 5.5 |
,Platinum-based SoC | 5.5 | 4.7 | 3.7 | 1.8 |
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Time to Deterioration of EORTC QLQ-LC13
Time to symptom deterioration was defined as the time from the date of randomization until the date if the first clinically meaningful symptom deterioration a decrease in the function scales or the global health status/ HRQoL from baseline of ≥10) that was confirmed at a subsequent visit or death (by any cause) in the absence of a clinically meaningful symptom deterioration, regardless of whether the participant withdraws from the study treatment or received another anticancer therapy prior to symptom deterioration. The QLQ-LC13 is a lung cancer specific module from the EORTC for lung cancer that comprised of 13 questions to assess lung cancer symptoms (cough, hemoptysis, dyspnea, and site-specific pain), treatment-related side-effects (sore mouth, dysphagia, peripheral neuropathy, and alopecia), and pain medication. (NCT03003962)
Timeframe: From randomization until date of first symptom deterioration that is confirmed, assessed up to maximum of approximately 69 months (DCO 27 October 2022)
Intervention | months (Median) |
---|
| Cough | Dyspnea | Chest pain |
---|
Durvalumab | 7.5 | 2.8 | 9.0 |
,Platinum-based SoC | 6.6 | 3.6 | 6.4 |
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Time to Deterioration of EORTC QLQ-LC13 in PD-L1 TC >= 25% LREM Analysis Set
Time to symptom deterioration was defined as the time from the date of randomization until the date if the first clinically meaningful symptom deterioration a decrease in the function scales or the global health status/ HRQoL from baseline of ≥10) that was confirmed at a subsequent visit or death (by any cause) in the absence of a clinically meaningful symptom deterioration, regardless of whether the participant withdraws from the study treatment or received another anticancer therapy prior to symptom deterioration. The QLQ-LC13 is a lung cancer specific module from the EORTC for lung cancer that comprised of 13 questions to assess lung cancer symptoms (cough, hemoptysis, dyspnea, and site-specific pain), treatment-related side-effects (sore mouth, dysphagia, peripheral neuropathy, and alopecia), and pain medication. (NCT03003962)
Timeframe: From randomization until date of first symptom deterioration that is confirmed, assessed up to maximum of approximately 69 months (DCO 27 October 2022)
Intervention | months (Median) |
---|
| Cough | Dyspnea | Chest pain |
---|
Durvalumab | 9.2 | 3.6 | 9.8 |
,Platinum-based SoC | 8.2 | 3.6 | 6.6 |
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Percentage of Participants With Antidrug Antibody (ADA) Response to Durvalumab
Treatment-emergent ADA positive was defined as either treatment-induced or treatment-boosted ADA. Treatment-boosted ADA was defined as a baseline positive ADA titer that was boosted to a 4-fold or higher-level following study drug administration. Persistently positive was defined as positive at least 2 post-baseline assessments with at least 16 weeks between the first and last positive assessment or positive at last post-baseline assessment. Transiently positive was defined as having at least 1 post-baseline ADA positive assessment and not fulfilling the conditions of persistently positive. (NCT03003962)
Timeframe: Up to 24 weeks
Intervention | percentage of participants (Number) |
---|
| Treatment-emergent ADA positive | Treatment-boosted ADA | Persistently positive | Transiently positive |
---|
Durvalumab | 0.8 | 0.4 | 0 | 0.8 |
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OS at 18 Months in PD-L1 TC > = 25% LREM Analysis Set
OS was defined as the time from the date of randomization until death due to any cause. Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. The percentage of participants alive at 18 months were defined as the Kaplan-Meier estimate of OS at 18 months. (NCT03003962)
Timeframe: From date of randomization till 18 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 43.0 |
Platinum-based SoC | 41.4 |
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PFS2 in PD-L1 TC >= 25% LREM Analysis Set
PFS2 was defined as the time from the date of randomization to the earliest of the progression events defined according to local clinical practice (subsequent to that used for the primary variable PFS) or death (i.e., date of PFS2 event or censoring - date of randomization + 1). PFS2 was calculated using the Kaplan-Meier technique. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) until confirmed objective disease progression. Disease then assessed as per local practice until 2nd progression or death (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 11.8 |
Platinum-based SoC | 10.9 |
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Overall Survival (OS)
OS is defined as the time from the date of randomization until death due to any cause (date of death or censoring-date of randomization + 1). Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. (NCT03003962)
Timeframe: From date of randomization until death due to any cause. Assessed up to a maximum of approximately 69 months [data cut-off (DCO) 27 October 2022]
Intervention | months (Median) |
---|
Durvalumab | 14.6 |
Platinum-based SoC | 12.8 |
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PFS Based on Investigator Assessment According to RECIST 1.1 in LREM Analysis Set
The PFS (per RECIST 1.1 using Investigator assessments) was defined as the time from the date of randomization until the date of objective disease progression or death regardless of whether the participants withdrew from randomized therapy or received another anticancer therapy prior to progression (i.e., date of PFS event or censoring - date of randomization +1). (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 5.5 |
Platinum-based SoC | 5.6 |
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Percentage of Participants With ADA Response to Durvalumab in LREM Analysis Set
Treatment-emergent ADA positive was defined as either treatment-induced or treatment-boosted ADA. Treatment-boosted ADA was defined as a baseline positive ADA titer that was boosted to a 4-fold or higher-level following study drug administration. Persistently positive was defined as positive at least 2 post-baseline assessments with at least 16 weeks between the first and last positive assessment or positive at last post-baseline assessment. Transiently positive was defined as having at least 1 post-baseline ADA positive assessment and not fulfilling the conditions of persistently positive. (NCT03003962)
Timeframe: Up to 24 weeks
Intervention | percentage of participants (Number) |
---|
| Treatment-emergent ADA positive | Treatment-boosted ADA | Persistently positive | Transiently positive |
---|
Durvalumab | 1.0 | 0.5 | 0 | 1.0 |
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Time to Deterioration of EORTC QLQ-C30
Time to symptom deterioration was defined as the time from the date of randomization until the date if the first clinically meaningful deterioration (a decrease in the function scales or the global health status/ health-related quality of life [HRQoL] from baseline of ≥10) that was confirmed at a subsequent visit or death in the absence of a clinically meaningful symptom deterioration, regardless of whether the participant withdraws from the study treatment or received another anticancer therapy prior to symptom deterioration. The EORTC QLQ-C30 consisted of 30 questions that were combined to produce 5 functional scales (physical, role, cognitive, emotional, and social), 3 symptom scales (fatigue, pain, and nausea/vomiting), 5 individual items (dyspnea, insomnia, appetite loss, constipation, and diarrhea), and a global measure of health status. The EORTC QLQ-C30 was scored according to the EORTC QLQ-C30 scoring manual. (NCT03003962)
Timeframe: From randomization until date of first symptom deterioration that is confirmed, assessed up to a maximum of approximately 69 months (DCO 27 October 2022)
Intervention | months (Median) |
---|
| Global health status | Physical functioning | Appetite loss | Fatigue |
---|
Durvalumab | 7.3 | 7.4 | 9.2 | 4.9 |
,Platinum-based SoC | 3.8 | 3.8 | 3.6 | 1.8 |
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OS in PD-L1 TC >= 50% LREM Analysis Set
OS is defined as the time from the date of randomization until death due to ay cause (date of death or censoring-date of randomization + 1). Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. (NCT03003962)
Timeframe: From date of randomization until death due to any cause. Assessed up to a maximum of approximately 69 months (DCO 27 October 2022)
Intervention | months (Median) |
---|
Durvalumab | 14.9 |
Platinum-based SoC | 14.9 |
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OS at 18 Months in PD-L1 TC >= 50% LREM Analysis Set
OS was defined as the time from the date of randomization until death due to any cause. Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. The percentage of participants alive at 18 months were defined as the Kaplan-Meier estimate of OS at 18 months. (NCT03003962)
Timeframe: From date of randomization till 18 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 44.3 |
Platinum-based SoC | 42.2 |
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OS at 18 Months in PD-L1 TC >= 50% Analysis Set
OS was defined as the time from the date of randomization until death due to any cause. Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. The percentage of participants alive at 18 months were defined as the Kaplan-Meier estimate of OS at 18 months. (NCT03003962)
Timeframe: From date of randomization till 18 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 43.2 |
Platinum-based SoC | 34.9 |
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PFS Based on Investigator Assessment According to RECIST 1.1 in PD-L1 TC >= 50% LREM Analysis Set
The PFS (per RECIST 1.1 using Investigator assessments) was defined as the time from the date of randomization until the date of objective disease progression or death regardless of whether the participants withdrew from randomized therapy or received another anticancer therapy prior to progression (i.e., date of PFS event or censoring - date of randomization +1). (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 5.7 |
Platinum-based SoC | 5.5 |
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OS at 18 Months
OS was defined as the time from the date of randomization until death due to any cause. Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. The percentage of participants alive at 18 months were defined as the Kaplan-Meier estimate of OS at 18 months. (NCT03003962)
Timeframe: From date of randomization till 18 months.
Intervention | percentage of participants (Number) |
---|
Durvalumab | 42.5 |
Platinum-based SoC | 34.2 |
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ORR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >= 50% LREM Analysis Set
ORR (per RECIST 1.1 using Investigator assessments) was defined as the percentage of participants with an unconfirmed response of CR or PR. CR was defined as disappearance of all TLs. Any pathological lymph nodes selected as TLs had a reduction in short axis to < 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of TLs, with reference the baseline sum of diameters if criteria for PD are not met. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | percentage of participants (Number) |
---|
Durvalumab | 44.0 |
Platinum-based SoC | 43.7 |
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ORR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >= 50% Analysis Set
ORR (per RECIST 1.1 using Investigator assessments) was defined as the percentage of participants with an unconfirmed response of CR or PR. CR was defined as disappearance of all TLs. Any pathological lymph nodes selected as TLs had a reduction in short axis to < 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of TLs, with reference the baseline sum of diameters if criteria for PD are not met. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | percentage of participants (Number) |
---|
Durvalumab | 42.1 |
Platinum-based SoC | 40.7 |
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ORR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >= 25% LREM Analysis Set
ORR (per RECIST 1.1 using Investigator assessments)was defined as the percentage of participants with an unconfirmed response of CR or PR. CR was defined as disappearance of all TLs. Any pathological lymph nodes selected as TLs had a reduction in short axis to < 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of TLs, with reference the baseline sum of diameters if criteria for PD are not met. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | percentage of participants (Number) |
---|
Durvalumab | 38.5 |
Platinum-based SoC | 40.2 |
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Objective Response Rate (ORR) as Per RECIST 1.1 Using Investigator Assessment
ORR (per RECIST 1.1 using Investigator assessments) was defined as the percentage of participants with an unconfirmed response of complete response (CR) or partial response (PR). CR was defined as disappearance of all target lesions (TLs). Any pathological lymph nodes selected as TLs had a reduction in short axis to < 10 millimeter (mm). PR was defined as at least a 30% decrease in the sum of diameters of TLs, with reference the baseline sum of diameters if criteria for PD are not met. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | percentage of participants (Number) |
---|
Durvalumab | 37.6 |
Platinum-based SoC | 37.4 |
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Duration of Response (DoR) as Per RECIST 1.1 Using Investigator Assessment
DoR (per RECIST 1.1 using Investigator assessments) was defined as the time from the date of first documented response until the first date of documented progression or death in the absence of disease progression (i.e. date of PFS event or censoring - date of first response + 1). DoR was calculated using the Kaplan-Meier technique. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 11.9 |
Platinum-based SoC | 4.2 |
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DoR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >=50% LREM Analysis Set
DoR (per RECIST 1.1 using Investigator assessments) was defined as the time from the date of first documented response until the first date of documented progression or death in the absence of disease progression (i.e. date of PFS event or censoring - date of first response + 1). DoR was calculated using the Kaplan-Meier technique. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 12.2 |
Platinum-based SoC | 4.2 |
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DoR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >=50% Analysis Set
DoR (per RECIST 1.1 using Investigator assessments) was defined as the time from the date of first documented response until the first date of documented progression or death in the absence of disease progression (i.e. date of PFS event or censoring - date of first response + 1). DoR was calculated using the Kaplan-Meier technique. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 12.2 |
Platinum-based SoC | 4.2 |
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OS at 24 Months in PD-L1 TC > = 25% LREM Analysis Set
OS was defined as the time from the date of randomization until death due to any cause. Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. The percentage of participants alive at 24 months were defined as the Kaplan-Meier estimate of OS at 24 months. (NCT03003962)
Timeframe: From date of randomization till 24 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 34.7 |
Platinum-based SoC | 32.8 |
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OS at 24 Months in PD-L1 TC >= 50% Analysis Set
OS was defined as the time from the date of randomization until death due to any cause. Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. The percentage of participants alive at 24 months were defined as the Kaplan-Meier estimate of OS at 24 months. (NCT03003962)
Timeframe: From date of randomization till 24 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 37.0 |
Platinum-based SoC | 27.0 |
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OS at 24 Months in PD-L1 TC >= 50% LREM Analysis Set
OS was defined as the time from the date of randomization until death due to any cause. Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. The percentage of participants alive at 24 months were defined as the Kaplan-Meier estimate of OS at 24 months. (NCT03003962)
Timeframe: From date of randomization till 24 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 36.9 |
Platinum-based SoC | 32.6 |
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OS in Participants With LREM
OS is defined as the time from the date of randomization until death due to any cause (date of death or censoring-date of randomization + 1). Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. (NCT03003962)
Timeframe: From date of randomization until death due to any cause. Assessed up to a maximum of approximately 69 months (DCO 27 October 2022)
Intervention | months (Median) |
---|
Durvalumab | 14.6 |
Platinum-based SoC | 15.0 |
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PFS Based on Investigator Assessment According to RECIST 1.1 in PD-L1 TC >= 50% Analysis Set
The PFS (per RECIST 1.1 using Investigator assessments) was defined as the time from the date of randomization until the date of objective disease progression or death regardless of whether the participants withdrew from randomized therapy or received another anticancer therapy prior to progression (i.e., date of PFS event or censoring - date of randomization +1). (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 5.6 |
Platinum-based SoC | 4.5 |
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Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC) 30-Item Core Quality of Life Questionnaire Version 3 (QLQ-C30)
The EORTC QLQ-C30 consisted of 30 questions that were combined to produce 5 functional scales (physical, role, cognitive, emotional, and social), 3 symptom scales (fatigue, pain, and nausea/vomiting), 5 individual items (dyspnea, insomnia, appetite loss, constipation, and diarrhea), and a global measure of health status. The EORTC QLQ-C30 was scored according to the EORTC QLQ-C30 scoring manual. An outcome variable consisted of a score from 0 to 100. Higher scores on the global health status and functioning scales indicate better health status/function, but higher scores on symptom scales/items represent greater symptom severity. Baseline was defined as the last non-missing assessment prior to randomization. The mixed model repeated measures (MMRM) analysis of EORTC QLQ-C30 considered all data from baseline to PD or 12 months. (NCT03003962)
Timeframe: Baseline and 12 months
Intervention | scores on a scale (Mean) |
---|
| Global health status | Physical functioning | Fatigue | Appetite loss |
---|
Durvalumab | -0.7 | -3.3 | 1.4 | -1.1 |
,Platinum-based SoC | -7.4 | -6.1 | 7.2 | 9.1 |
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PFS2 in PD-L1 TC >= 50% Analysis Set
PFS2 was defined as the time from the date of randomization to the earliest of the progression events defined according to local clinical practice (subsequent to that used for the primary variable PFS) or death (i.e., date of PFS2 event or censoring - date of randomization + 1). PFS2 was calculated using the Kaplan-Meier technique. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) until confirmed objective disease progression. Disease then assessed as per local practice until 2nd progression or death (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 11.3 |
Platinum-based SoC | 8.8 |
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PFS2 in PD-L1 TC >= 50% LREM Analysis Set
PFS2 was defined as the time from the date of randomization to the earliest of the progression events defined according to local clinical practice (subsequent to that used for the primary variable PFS) or death (i.e., date of PFS2 event or censoring - date of randomization + 1). PFS2 was calculated using the Kaplan-Meier technique. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) until confirmed objective disease progression. Disease then assessed as per local practice until 2nd progression or death (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 12.0 |
Platinum-based SoC | 10.9 |
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Progression Free Survival (PFS) Based on Investigator Assessment According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)
The PFS (per RECIST 1.1) was defined as the time from the date of randomization until the date of objective disease progression or death regardless of whether the participants withdrew from randomized therapy or received another anticancer therapy prior to progression (i.e., date of PFS event or censoring - date of randomization +1). Progression of disease per RECIST 1.1, when either 1 of the criteria met: Target lesion (TL): at least a 20% increase in the sum of diameters of TLs, for reference the smallest sum on study. In addition, the sum must also demonstrate an absolute increase of at least 5 millimeters (mm). Non-target lesion (NTL): Unequivocal progression of existing NTLs. It may be due to an important progression in 1 lesion only or in several lesions. In all cases the progression must be clinically significant for the physician to consider changing (or stopping) therapy. New lesions: the presence of 1 or more new lesions was assessed as progression. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months DCO 27 October 2022)
Intervention | months (Median) |
---|
Durvalumab | 5.4 |
Platinum-based SoC | 4.8 |
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Time From Randomization to Second Progression (PFS2)
PFS2 was defined as the time from the date of randomization to the earliest of the progression events defined according to local clinical practice (subsequent to that used for the primary variable PFS) or death (i.e., date of PFS2 event or censoring - date of randomization + 1). PFS2 was calculated using the Kaplan-Meier technique. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) until confirmed objective disease progression. Disease then assessed as per local practice until 2nd progression or death (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 11.3 |
Platinum-based SoC | 9.3 |
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DoR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >=25% LREM Analysis Set
DoR (per RECIST 1.1 using Investigator assessments) was defined as the time from the date of first documented response until the first date of documented progression or death in the absence of disease progression (i.e. date of PFS event or censoring - date of first response + 1). DoR was calculated using the Kaplan-Meier technique. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 11.6 |
Platinum-based SoC | 4.2 |
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APF12 in PD-L1 TC >= 50% LREM Analysis Set
The APF12 was defined as the Kaplan-Meier estimate of percentage of participants alive and progression free at 12 months based on PFS (per RECIST 1.1 as assessed using Investigator assessments) analysis. (NCT03003962)
Timeframe: From date of randomization until 12 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 26.5 |
Platinum-based SoC | 14.5 |
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Change From Baseline in EORTC 13-Item Lung Cancer Quality of Life Questionnaire (QLQ-LC13)
The QLQ-LC13 is a lung cancer specific module from the EORTC for lung cancer that comprised of 13 questions to assess lung cancer symptoms (cough, hemoptysis, dyspnea, and site-specific pain), treatment-related side-effects (sore mouth, dysphagia, peripheral neuropathy, and alopecia), and pain medication. An outcome variable consisted of a score from 0 to 100. Higher scores on symptom scales represent greater symptom severity. Baseline was defined as the last non-missing assessment prior to randomization. The MMRM analysis of EORTC QLQ-LC13 considered all data from baseline to PD or 12 months. (NCT03003962)
Timeframe: Baseline and 12 months
Intervention | scores on a scale (Mean) |
---|
| Cough | Dyspnea | Chest pain |
---|
Durvalumab | -6.4 | 2.4 | -1.0 |
,Platinum-based SoC | -7.9 | 4.1 | -0.2 |
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APF12 in PD-L1 TC >= 50% Analysis Set
The APF12 was defined as the Kaplan-Meier estimate of percentage of participants alive and progression free at 12 months based on PFS (per RECIST 1.1 as assessed using Investigator assessments) analysis. (NCT03003962)
Timeframe: From date of randomization until 12 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 26.1 |
Platinum-based SoC | 11.7 |
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APF12 in PD-L1 TC >= 25% LREM Analysis Set
The APF12 was defined as the Kaplan-Meier estimate of percentage of participants alive and progression free at 12 months based on PFS (per RECIST 1.1 as assessed using Investigator assessments) analysis. (NCT03003962)
Timeframe: From date of randomization until 12 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 24.1 |
Platinum-based SoC | 16.4 |
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Alive and Progression-Free at 12 Months (APF12)
The APF12 was defined as the Kaplan-Meier estimate of percentage of participants alive and progression free at 12 months based on PFS (per RECIST 1.1 as assessed using Investigator assessments) analysis. (NCT03003962)
Timeframe: From date of randomization until 12 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 25.5 |
Platinum-based SoC | 13.3 |
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Change From Baseline in EORTC QLQ-C30 in PD-L1 TC >= 25% LREM Analysis Set
The EORTC QLQ-C30 consisted of 30 questions that were combined to produce 5 functional scales (physical, role, cognitive, emotional, and social), 3 symptom scales (fatigue, pain, and nausea/vomiting), 5 individual items (dyspnea, insomnia, appetite loss, constipation, and diarrhea), and a global measure of health status. The EORTC QLQ-C30 was scored according to the EORTC QLQ-C30 scoring manual. An outcome variable consisted of a score from 0 to 100. Higher scores on the global health status and functioning scales indicate better health status/function, but higher scores on symptom scales/items represent greater symptom severity. Baseline was defined as the last non-missing assessment prior to randomization. The MMRM analysis of EORTC QLQ-C30 considered all data from baseline to PD or 12 months. (NCT03003962)
Timeframe: Baseline and 12 months
Intervention | scores on a scale (Mean) |
---|
| Global health status | Physical functioning | Fatigue | Appetite loss |
---|
Durvalumab | -1.4 | -3.9 | 2.2 | -0.2 |
,Platinum-based SoC | -7.3 | -6.0 | 7.7 | 9.8 |
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Change From Baseline in EORTC QLQ-LC13 in PD-L1 TC >= 25% LREM Analysis Set
The QLQ-LC13 is a lung cancer specific module from the EORTC for lung cancer that comprised of 13 questions to assess lung cancer symptoms (cough, hemoptysis, dyspnea, and site-specific pain), treatment-related side-effects (sore mouth, dysphagia, peripheral neuropathy, and alopecia), and pain medication. An outcome variable consisted of a score from 0 to 100. Higher scores on symptom scales represent greater symptom severity. Baseline was defined as the last non-missing assessment prior to randomization. The MMRM analysis of EORTC QLQ-LC13 considered all data from baseline to PD or 12 months. (NCT03003962)
Timeframe: Baseline and 12 months
Intervention | scores on a scale (Mean) |
---|
| Cough | Dyspnea | Chest pain |
---|
Durvalumab | -6.6 | 2.9 | -0.7 |
,Platinum-based SoC | -8.6 | 3.9 | -1.0 |
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Number of Participants With Dose Limiting Toxicity (DLT) Within the First Cycle
DLT was defined as the occurrence of any of the following adverse events (AE) or abnormal laboratory value (graded according to the NCI Common Terminology Criteria for AE (CTCAE) version 4.0), assessed as possibly, probably or definitively related to study drug/medication, occurring within the first cycle of study treatment: any Grade 4 thrombocytopenia or neutropenia lasting > 7 days; episcleritis, uveitis, or iritis of Grade 2 or higher, any Grade 4 toxicity, any Grade 3 toxicity EXCLUDING: nausea, vomiting, or diarrhea controlled by medical intervention within 72 hours, grade 3 rash in the absence of desquamation, no mucosal involvement, does not require steroids, and resolves to Grade 1 by the next scheduled dose of pembrolizumab, transient Grade 3 Aspartate Transaminase (AST) or Alanine Transaminase (ALT) elevation, defined as no more than 3 days with or without steroid use, discontinuation or delay of more than 2 weeks of any study drug/medication due to treatment-related AE. (NCT03025880)
Timeframe: Up to cycle 1
Intervention | Participants (Count of Participants) |
---|
Run-in Phase Dose Level 0 | 1 |
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Objective Response Rate (ORR)
Tumor response was assessed using Response Evaluation Criteria In Solid Tumors Criteria (RECIST 1.1). ORR is defined as the percentage of patients with a Complete Response (CR) or Partial Response (PR) out of the patients from the efficacy population. Per RECIST, CR is defined as the disappearance of all target lesions; PR is defined as an >=30% decrease in the sum of the longest diameter of target lesions. (NCT03025880)
Timeframe: Through study treatment, and average of 3 months
Intervention | Participants (Count of Participants) |
---|
Run-in Phase Dose Level 0 | 0 |
Phase II | 5 |
Run-in Phase Plus Phase II | 5 |
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Overall Survival (OS)
OS is defined as the time from the date of enrollment to the date of death from any cause. (NCT03025880)
Timeframe: Up to 2 years
Intervention | Months (Median) |
---|
Run-in Phase Dose Level 0 | 6.1 |
Phase II | 10.1 |
Run-in Phase Plus Phase II | 8.7 |
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Clinical Benefit Rate (CBR)
Tumor response was assessed using Response Evaluation Criteria In Solid Tumors Criteria (RECIST 1.1) criteria. CBR was defined as the percentage of patients with a Complete Response (CR) or Partial Response (PR) plus stable disease (SD) out of the efficacy population. Per RECIST, CR is defined as the disappearance of all target lesions; PR is defined as an >=30% decrease in the sum of the longest diameter of target lesions; SD is defined as a failure to meet criteria for CR or PR in the absence of progressive disease. Overall Response (OR) = CR + PR. (NCT03025880)
Timeframe: Through study treatment, and average of 3 months
Intervention | Participants (Count of Participants) |
---|
Run-in Phase Dose Level 0 | 7 |
Phase II | 10 |
Run-in Phase Plus Phase II | 17 |
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Clinical Benefit Rate (CBR) at Least 24 Weeks
Tumor response was assessed using Response Evaluation Criteria In Solid Tumors Criteria (RECIST 1.1) criteria. CBR was defined as the percentage of patients with a Complete Response (CR) or Partial Response (PR) plus stable disease (SD) lasting at least 24 months out of the efficacy population. Per RECIST, CR is defined as the disappearance of all target lesions; PR is defined as an >=30% decrease in the sum of the longest diameter of target lesions; SD is defined as a failure to meet criteria for CR or PR in the absence of progressive disease lasting at least 24 months. Overall Response (OR) = CR + PR. (NCT03025880)
Timeframe: 24 weeks
Intervention | Participants (Count of Participants) |
---|
Run-in Phase Dose Level 0 | 1 |
Phase II | 5 |
Run-in Phase Plus Phase II | 6 |
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Progression-Free Survival (PFS)
Tumor response was assessed using Response Evaluation Criteria In Solid Tumors Criteria (RECIST 1.1). PFS is defined as the time from enrollment to the first documented progression disease (PD), or death from any cause, whichever occurs first. PD is defined using RECIST, 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 (NCT03025880)
Timeframe: Through study treatment, and average of 3 months
Intervention | Months (Median) |
---|
Run-in Phase Dose Level 0 | 3.1 |
Phase II | 2.6 |
Run-in Phase Plus Phase II | 3.1 |
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Response Duration (RD)
Tumor response was assessed using Response Evaluation Criteria In Solid Tumors Criteria (RECIST 1.1) criteria. RD was defined as the time from the first documentation of objective tumor response (complete response (CR) or partial response (PR)) to the first documented progressive disease (PD), or to death due to any cause, whichever occurs first. Per RECIST, CR is defined as the disappearance of all target lesions; PR is defined as an >=30% decrease in the sum of the longest diameter of target lesions; PD is defined 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 (NCT03025880)
Timeframe: Through study treatment, and average of 3 months
Intervention | Months (Median) |
---|
Phase II | 4.3 |
Run-in Phase Plus Phase II | 4.3 |
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Recommended Phase II Dose (RP2D) of Gemcitabine in Combination With Pembrolizumab
The RP2D was decided by the internal committee taken into consideration the information obtained in the study and based on the number of DLT. (NCT03025880)
Timeframe: Up to cycle 1
Intervention | mg/m2 (Number) |
---|
Run-in Phase Dose Level 0 | 1250 |
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Number of Participants With Grade 3 or Grade 4 Adverse Events
Assess toxicity of Nivolumab plus single agent chemotherapy compared with single agent chemotherapy alone. Number of grade 3 and 4 toxicities as defined by the NCI Common Terminology Criteria for Adverse Events (NCI CTCAE) v4. (NCT03041181)
Timeframe: 6 months
Intervention | participants (Number) |
---|
| GR4 Thromboembolic Event | GR3 Adverse Events |
---|
Arm A | 0 | 0 |
,Arm B | 1 | 0 |
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Phases 1 and 2: Objective Response Rate (ORR)
ORR was defined as the percentage of participants having a complete response (CR) or partial response (PR) as determined by investigator assessment of radiographic disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. (NCT03085914)
Timeframe: Up to Week 18
Intervention | Participants (Count of Participants) |
---|
| Complete Response | Partial Response |
---|
Group A: Epa + Pembrolizumab + mFOLFOX6 | 0 | 5 |
,Group B: Epa + Pembrolizumab + Nab-Paclitaxel and Gemcitabine | 1 | 2 |
,Group C: Epa + Pembrolizumab + Paclitaxel and Carboplatin | 0 | 3 |
,Group D: Epa + Pembrolizumab + Pemetrexed and Platinum Agent | 0 | 2 |
,Group E: Epa + Pembrolizumab + Cyclophosphamide | 0 | 3 |
,Group F: Epa + Pembrolizumab + Gemcitabine and Platinum Agent | 0 | 1 |
,Group G: Epa + Pembrolizumab + 5-FU and Platinum Agent | 0 | 5 |
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Phases 1 & 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs
A TEAE is any AE either reported for the first time or worsening of a pre-existing event after first dose of epacadostat, pembrolizumab, or chemotherapy. Serious adverse event is defined as an event that meets 1 of the following criteria: is fatal or life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability, incapacity, or a substantial disruption of a person's ability to conduct normal life functions, constitutes a congenital anomaly or birth defect,is a medically important event that may jeopardize the participant or may require medical or surgical intervention to prevent 1 of the outcomes listed above. (NCT03085914)
Timeframe: Up to 21 months
Intervention | Participants (Count of Participants) |
---|
| TEAE | Serious TEAE |
---|
Group A: Epa + Pembrolizumab + mFOLFOX6 | 9 | 5 |
,Group B: Epa + Pembrolizumab + Nab-Paclitaxel and Gemcitabine | 9 | 5 |
,Group C: Epa + Pembrolizumab + Paclitaxel and Carboplatin | 11 | 3 |
,Group D: Epa + Pembrolizumab + Pemetrexed and Platinum Agent | 9 | 6 |
,Group E: Epa + Pembrolizumab + Cyclophosphamide | 13 | 4 |
,Group F: Epa + Pembrolizumab + Gemcitabine and Platinum Agent | 8 | 6 |
,Group G: Epa + Pembrolizumab + 5-FU and Platinum Agent | 11 | 5 |
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Phases 1 and 2: Number of Participants With Dose Limiting Toxicities (DLTs)
A DLT was defined as the occurrence of any of the protocol-specified toxicities occurring up to and including Day 28 for the cohorts where mFOLFOX6 and nab-paclitaxel/gemcitabine are administered and Day 21 for all other chemotherapy regimens in Phase 1, except those with a clear alternative explanation (eg, disease progression) or transient (≤ 72 hours) abnormal laboratory values without associated clinically significant signs or symptoms based on investigator determination. (NCT03085914)
Timeframe: 28 days
Intervention | Participants (Count of Participants) |
---|
Group A: Epa + Pembrolizumab + mFOLFOX6 | 2 |
Group B: Epa + Pembrolizumab + Nab-Paclitaxel and Gemcitabine | 0 |
Group C: Epa + Pembrolizumab + Paclitaxel and Carboplatin | 0 |
Group D: Epa + Pembrolizumab + Pemetrexed and Platinum Agent | 0 |
Group E: Epa + Pembrolizumab + Cyclophosphamide | 0 |
Group F: Epa + Pembrolizumab + Gemcitabine and Platinum Agent | 3 |
Group G: Epa + Pembrolizumab + 5-FU and Platinum Agent | 0 |
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"Phase 2: Time to First Worsening of the Brief Pain Inventory Short Form Modified (mBPI-sf) Worst Pain Score"
"The mBPI-sf is a 11-item instrument used as a multiple-item measure of cancer pain intensity ranging from 0 (no pain or does not interfere) and ranged through 10 (pain as bad as you can imagine or completely interferes). Time to first worsening of the mBPI-sf worst pain score (TWP) was defined as the time from the date of randomization to the first date of either a worst pain score increase of greater than or equal to (≥) 2 points from baseline or an analgesic drug class increase of ≥1 level. If the participant has not worsened by either of these criteria, TWP was censored for analysis on the last date the mBPI-sf was administered." (NCT03086369)
Timeframe: Baseline through Follow-up (Up To 21 Months)
Intervention | Months (Median) |
---|
Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine | 14.13 |
Phase 2: Placebo + Nab-paclitaxel + Gemcitabine | 6.11 |
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Phase 1b: Number of Participants With Dose Limiting Toxicities (DLTs)
"A DLT is defined as an adverse event that is likely related to the study medication or combination, and fulfils any one of the following criteria, graded according to the NCI-CTCAE version 4.03:~Any febrile neutropenia~Grade 4 thrombocytopenia, or Grade 3 thrombocytopenia complicated by clinically significant hemorrhage~Grade 4 neutropenia lasting 7 days or longer~Nonhematologic Grade ≥3 toxicity, except for toxicities such as nausea, vomiting, transient electrolyte abnormalities, diarrhea which can be controlled with optimal medical management within 48 hours; non-clinically significant, treatable, or reversible laboratory abnormalities including liver function tests, uric acid, electrolytes, etc.~Any other significant toxicity deemed to be dose-limiting (e.g., any toxicity that is possibly related to the study medication that requires the withdrawal of the participant from the study during Cycle 1)." (NCT03086369)
Timeframe: Cycle 1 (Up to 28 days)
Intervention | Participants (Count of Participants) |
---|
Phase1b: Olaratumab 15 mg/kg + Nab-paclitaxel + Gemcitabine | 0 |
Phase1b: Olaratumab 20 mg/kg + Nab-paclitaxel + Gemcitabine | 0 |
Phase1b (Cohort Expansion): Olaratumab 20 mg/kg + Nab-paclitaxel + Gemcitabine | 0 |
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Phase 1b/2: Duration of Response (DoR)
DoR is defined as the time from the date measurement criteria for CR or PR (whichever is first recorded) are first met until the first date that disease is recurrent or objective progression is observed, per RECIST 1.1 criteria, or the date of death from any cause in the absence of objectively determined disease progression or recurrence. (NCT03086369)
Timeframe: From Date of CR or PR to Date of Objective Disease Progression or Death Due to Any Cause (Up To 19 Months)
Intervention | Months (Median) |
---|
Phase1b: Olaratumab 15 mg/kg + Nab-paclitaxel + Gemcitabine | NA |
Phase1b: Olaratumab 20 mg/kg + Nab-paclitaxel + Gemcitabine | NA |
Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine | 5.55 |
Phase 2: Placebo + Nab-paclitaxel + Gemcitabine | 5.55 |
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Phase 2: Time to First Worsening of Symptom Burden on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) - Symptom Scales.
The EORTC QLQ-C30 is a self-reported general cancer instrument consisting of 30 items covered by 1 of 3 dimensions: global health status/quality of life (2 items), functional scales (15 total items addressing either physical, role, emotional, cognitive, or social functioning), symptom scales (13 total items addressing either fatigue, nausea/vomiting, pain, dyspnoea, insomnia, appetite loss, constipation, diarrhoea, or financial impact). Time to first worsening of Symptom Burden was defined as the time from randomization to the first observation of worsening on symptom scales (i.e.,) increase of at least 10 points from baseline. For symptom scales, a linear transformation was used to obtain total score ranging from 0 to 100, a high score represents a high level of symptomatology or problems. (NCT03086369)
Timeframe: Baseline through Follow-up (Up To 21 Months)
Intervention | Months (Median) |
---|
| Appetite loss | Constipation | Diarrhoea | Dyspnoea | Fatigue | Financial difficulties | Insomnia | Nausea and vomiting | Pain |
---|
Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine | NA | NA | 2.79 | 2.79 | 1.87 | NA | 3.19 | 3.19 | NA |
,Phase 2: Placebo + Nab-paclitaxel + Gemcitabine | 2.86 | NA | 1.97 | 3.12 | 1.87 | NA | NA | 2.86 | 3.25 |
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Phase 2: Health Status on the EuroQol 5-Dimension 5 Level (EQ-5D-5L)
The EQ-5D-5L is a standardized instrument for use as a measure of self-reported health status. Five dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) of health status are each assessed with 5 response options (1=no problem, 2=slight, 3=moderate, 4=severe, and 5=extreme problem) 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. (NCT03086369)
Timeframe: Cycle 1 Day 1, Cycle 7 Day 1
Intervention | score on a scale (Mean) |
---|
| Index Value [Cycle 1 (Day1)] | Index Value [Cycle 7 (Day1)] | VAS Score [Cycle 1 (Day1)] | VAS Score [Cycle 7 (Day1)] |
---|
Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine | 0.8 | 0.8 | 70.1 | 71.7 |
,Phase 2: Placebo + Nab-paclitaxel + Gemcitabine | 0.8 | 0.8 | 69.7 | 73.2 |
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Phase 1b/2: Pharmacokinetics (PK): Minimum Concentration (Cmin) of Olaratumab
PK: Cmin of olaratumab (NCT03086369)
Timeframe: Pre-dose, 5 min, 1, 4, 4.5, 24, 96, 168, 336 h post-dose on Cycle 1 Day 1, Cycle 1 Day 15, Cycle 3 Day 1, Cycle 3 Day 15
Intervention | micrograms per milliliter (μg/mL) (Geometric Mean) |
---|
| Cycle 1 (Day 1) | Cycle 1 (Day 15) | Cycle 3 (Day 1) | Cycle 3 (Day 15) |
---|
Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine | 112 | 94.7 | 147 | 106 |
,Phase1b (Cohort Expansion): Olaratumab 20 mg/kg + Nab-paclitaxel + Gemcitabine | 87.8 | 101 | 173 | 101 |
,Phase1b: Olaratumab 15 mg/kg + Nab-paclitaxel + Gemcitabine | 128 | 78.7 | 204 | 159 |
,Phase1b: Olaratumab 20 mg/kg + Nab-paclitaxel + Gemcitabine | 86.3 | 172 | NA | NA |
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Phase 2: Progression-Free Survival (PFS)
PFS is defined as the time from randomization to the first date of radiologic disease progression (as defined by Response Evaluation Criteria In Solid Tumors, Version 1.1 [RECIST v.1.1]) or death due to any cause in the absence of progressive disease (PD). 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. Participants who did not progress or are lost to follow-up were censored at the day of their last radiographic tumor assessment, if available, or date of randomization if no post-baseline radiographic assessment is available. If death or PD occurs after 2 or more consecutive missing radiographic visits, censoring will occur at the date of the last radiographic visit prior to the missed visits. (NCT03086369)
Timeframe: Baseline to Disease Progression or Death (Up To 26 Months)
Intervention | Months (Median) |
---|
Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine | 5.55 |
Phase 2: Placebo + Nab-paclitaxel + Gemcitabine | 6.41 |
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Phase 2: Overall Survival (OS)
OS is defined as the time from the date of randomization to the date of death from any cause. If the participant is alive or lost to follow-up at the time of data analysis, OS data will be censored on the last date the participant is known to be alive. For any participant who has withdrawn consent for further follow-up of survival data, OS will be censored at the last date for which the participant consented to be followed for the study. (NCT03086369)
Timeframe: Baseline to Date of Death from Any Cause (Up To 29 Months)
Intervention | Months (Median) |
---|
Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine | 9.10 |
Phase 2: Placebo + Nab-paclitaxel + Gemcitabine | 10.81 |
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Phase 2: Number of Participants With Treatment Emergent Anti-Olaratumab Antibodies
Number of Participants With Treatment Emergent Anti-Olaratumab Antibodies (NCT03086369)
Timeframe: Baseline through Follow-up (Up To 29 Months)
Intervention | Participants (Count of Participants) |
---|
Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine | 0 |
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Phase 1b/2: Objective Response Rate (ORR): Percentage of Participants Who Achieve Complete Response (CR) or Partial Response (PR)
ORR is the best overall tumor response of CR or PR as classified by the investigator according to the Response Evaluation Criteria In Solid Tumors (RECIST v1.1). CR is a disappearance of all target and non-target lesions and normalization of tumor marker level. PR is an at least 30% decrease in the sum of the diameters of target lesions (taking as reference the baseline sum diameter) without progression of non-target lesions or appearance of new lesions. (NCT03086369)
Timeframe: Baseline through Disease Progression or Death (Up To 26 Months)
Intervention | Percentage of participants (Number) |
---|
Phase1b: Olaratumab 15 mg/kg + Nab-paclitaxel + Gemcitabine | 33.3 |
Phase1b: Olaratumab 20 mg/kg + Nab-paclitaxel + Gemcitabine | 14.3 |
Phase1b (Cohort Expansion): Olaratumab 20 mg/kg + Nab-paclitaxel + Gemcitabine | 0 |
Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine | 30.5 |
Phase 2: Placebo + Nab-paclitaxel + Gemcitabine | 33.8 |
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The Percentage of Patients Alive and Without Progression at 6 Months Following the Initiation of Treatment
The primary endpoint is PFS (Progression Free Survival) at 6 months following the initiation of treatment. Progression will be defined clinically or on imaging as per immune related response evaluation criteria in solid tumors (irRECIST) definition. (NCT03101566)
Timeframe: 6 Months
Intervention | percentage of participants (Number) |
---|
Gemcitabine + Cisplatin + Nivolumab | 59.4 |
Nivolumab + Ipilimumab | 21.2 |
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Overall Response Rate (ORR)
Overall Response Rate will be determined as per the combined RECIST v1.1 and irRECIST criteria (NCT03101566)
Timeframe: Up to two years
Intervention | percentage of patients (Number) |
---|
Gemcitabine + Cisplatin + Nivolumab | 22.9 |
Nivolumab + Ipilimumab | 3.0 |
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Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Pancreatic 26 (EORTC QLQ- PAN26) Score
European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Pancreatic 26 (EORTC QLQ- PAN26) consists of 26 questions (Qs) relating to disease symptoms, treatment (Tx) side effects and emotional issues specific to pancreatic cancer (PC). Questions include on altered bowled habits, pain, dietary changes, disease and Tx-related symptoms and issues related to the emotional and social well-being of participants with PC. All 26 Qs are answered on 4-point Likert scale ranging from '1=not at all' to 4='very much' and subsequently transformed into scales that range from 0-100; higher scores= greater degree of symptoms or treatment side effects and emotional issues. (NCT03126435)
Timeframe: Up to approximately 33.5 months (assessed at baseline and end of treatment (EOT))
Intervention | score on a scale (Mean) |
---|
| Pancreatic pain | Digestive | Altered bowel habit | Hepatic | Body image | Health care satisfaction | Sexuality |
---|
EndoTAG-1 and Gemcitabine | 1.0 | 0.6 | 0.5 | 0.0 | 0.6 | 0.8 | -0.1 |
,Gemcitabine Monotherapy | 1.7 | 0.9 | -0.1 | 0.0 | 0.7 | 0.4 | 0.8 |
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Percentage of Subjects With Objective Response
Percentage of subjects with objective response is based on assessment of complete response (CR) or partial response (PR) according to RECIST v.1.1. (NCT03126435)
Timeframe: Up to approximately 33.5 months (assessed continuously during treatment)
Intervention | Participants (Count of Participants) |
---|
EndoTAG-1 and Gemcitabine | 11 |
Gemcitabine Monotherapy | 6 |
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Percentage of Subjects With Disease Control According to RECIST v.1.1
Percentage of subjects with disease control is based on assessment of complete response (CR) or partial response (PR) or stable disease (SD) according to RECIST v.1.1 (NCT03126435)
Timeframe: Up to approximately 33.5 months (assessed continuously during treatment)
Intervention | Participants (Count of Participants) |
---|
EndoTAG-1 and Gemcitabine | 57 |
Gemcitabine Monotherapy | 43 |
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Serum Carcinoma Antigen 19-9 (CA 19-9) Response Rate
Responders are defined as subjects with a reduction in CA 19-9 levels by least 50% from baseline to the end of cycle 1 (or end of full treatment course). If a subject died while on study, he/she was classified as a failure, regardless of previous assessments. (NCT03126435)
Timeframe: Up to approximately 33.5 months (assessed at baseline, end of cycle 1 or the full treatment course)
Intervention | Participants (Count of Participants) |
---|
EndoTAG-1 and Gemcitabine | 2 |
Gemcitabine Monotherapy | 2 |
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Overall Survival
The efficacy of EndoTAG-1 treatment was demonstrated through number of events, meaning subject death, compared to number of subjects censored at the time of analysis. (NCT03126435)
Timeframe: From randomization to death from any cause or last day known to be alive, up to approximately 33.5 months (assessed continuously during treatment)
Intervention | days (Median) |
---|
EndoTAG-1 and Gemcitabine | 226 |
Gemcitabine Monotherapy | 209 |
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Change From Baseline in European Organization for Research and Treatment of Cancer, Quality of Life Questionnaire Core-30 (EORTC QLQ- C30) Score
Change From Baseline in European Organization for Research and Treatment of Cancer, Quality of Life Questionnaire Core-30 (EORTC QLQ- C30): included functional scales (physical, role, cognitive, emotional, and social), global health status (GHS), 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 = better level of functioning or greater degree of symptoms. Change from baseline = Cycle/day score minus baseline score. (NCT03126435)
Timeframe: Up to approximately 33.5 months (assessed at baseline and end of treatment (EOT))
Intervention | score on a scale (Mean) |
---|
| Global health QoL | Functional scales | Symptom scales | Side effect scales | Physical | Role | Cognitive | Emotional | Social | Fatigue | Pain | Nausea/vomiting | Dyspnoea | Appetite loss | Insomnia | Constipation/diarrhea |
---|
EndoTAG-1 and Gemcitabine | -1.6 | 5.4 | 2.6 | 1.3 | 2.0 | 1.1 | 0.5 | 1.2 | 0.6 | 1.5 | 0.7 | 0.4 | 0.5 | 0.5 | 0.0 | 0.4 |
,Gemcitabine Monotherapy | -2.0 | 6.9 | 2.6 | 1.4 | 2.4 | 1.4 | 0.6 | 1.6 | 0.9 | 1.4 | 0.9 | 0.2 | 0.6 | 0.3 | 0.2 | 0.4 |
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Duration of Response
Duration of Response = (date of tumor progression or death - date of first objective response (CR or PR) +1) / 30. (NCT03126435)
Timeframe: From the first documentation of objective tumor response (date of the first CR or PR) to objective tumor progression or death due to any cause.
Intervention | Months (Mean) |
---|
EndoTAG-1 and Gemcitabine | 5.8 |
Gemcitabine Monotherapy | 9.1 |
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Progression Free Survival (PFS)
The efficacy of EndoTAG-1 treatment was demonstrated through number of events, meaning first observation of progressive disease, compared to number of subjects censored at the time of analysis. (NCT03126435)
Timeframe: From randomization to either first observation of progressive disease or occurrence of death, up to approximately 33.5 months (assessed continuously during treatment)
Intervention | days (Median) |
---|
EndoTAG-1 and Gemcitabine | 113 |
Gemcitabine Monotherapy | 110 |
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Duration of Response (DoR)
DoR (per RECIST 1.1 using BICR assessments) was defined as the time from the date of first documented response until date of documented progression or death in the absence of disease progression. The end of response coincided with the date of progression or death from any cause used for the RECIST 1.1 PFS endpoint. The time of the initial response was defined as the latest of the dates contributing towards the first visit of PR or CR. Results are presented for the pre-specified DoR analysis using unconfirmed responses based on BICR. (NCT03164616)
Timeframe: Tumor scans performed at baseline, Week 6, Week 12 and then every 8 weeks relative to date of randomization until radiological progression. Assessed until global cohort DCO of 24 July 2019 (maximum of approximately 25 months).
Intervention | months (Median) |
---|
T + D + SoC | 7.4 |
D + SoC | 6.0 |
SoC Alone | 4.2 |
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Objective Response Rate (ORR)
ORR (per RECIST 1.1 using BICR assessments) was defined as the percentage of patients with at least one visit response of complete response (CR) or partial response (PR). Results are presented for the pre-specified ORR analysis using unconfirmed responses based on BICR. (NCT03164616)
Timeframe: Tumor scans performed at baseline, Week 6, Week 12 and then every 8 weeks relative to date of randomization until radiological progression. Assessed until global cohort DCO of 24 July 2019 (maximum of approximately 25 months).
Intervention | percentage of patients (Number) |
---|
T + D + SoC | 46.3 |
D + SoC | 48.5 |
SoC Alone | 33.4 |
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PK of Tremelimumab; Peak and Trough Serum Concentrations
To evaluate PK, blood samples were collected at pre-specified timepoints and peak and trough serum concentrations of tremelimumab were determined. Peak concentration on Week 0 is the post-infusion concentration of Week 0 (collected within 10 minutes of the end of infusion). Trough concentrations on Weeks 3 and 12 are the pre-infusion concentrations of Weeks 3 and 12, respectively. (NCT03164616)
Timeframe: Samples were collected post-dose on Day 1 (Week 0), pre-dose on Weeks 3 and 12 and at follow-up (3 months after the last valid dose). Assessed at the global cohort DCO of 12 March 2021.
Intervention | μg/mL (Geometric Mean) |
---|
| Week 0 | Week 3 | Week 12 | Follow-up (3 months) |
---|
T + D + SoC | 23.17 | 4.16 | 7.82 | 0.86 |
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OS; T + D + SoC Compared With SoC Alone and T + D + SoC Compared With D + SoC
OS was defined as the time from the date of randomization until death due to any cause. Any patient not known to have died at the time of analysis was censored based on the last recorded date on which the patient was known to be alive. Median OS was calculated using the Kaplan-Meier technique. (NCT03164616)
Timeframe: From baseline until death due to any cause. Assessed until global cohort DCO of 12 March 2021 (maximum of approximately 45 months).
Intervention | months (Median) |
---|
T + D + SoC | 14.0 |
D + SoC | 13.3 |
SoC Alone | 11.7 |
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Overall Survival (OS); D + SoC Compared With SoC Alone
OS was defined as the time from the date of randomization until death due to any cause. Any patient not known to have died at the time of analysis was censored based on the last recorded date on which the patient was known to be alive. Median OS was calculated using the Kaplan-Meier technique. The final analysis of OS in the global cohort was pre-specified after approximately 532 OS events occurred across the D + SoC and SoC alone treatment arms (80% maturity). (NCT03164616)
Timeframe: From baseline until death due to any cause. Assessed until global cohort DCO of 12 March 2021 (maximum of approximately 45 months).
Intervention | months (Median) |
---|
D + SoC | 13.3 |
SoC Alone | 11.7 |
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PFS; T + D + SoC Compared With SoC Alone and T + D + SoC Compared With D + SoC
PFS (per RECIST 1.1 using BICR assessments) was defined as time from date of randomization until date of objective disease progression or death (by any cause in the absence of progression), regardless of whether the patient withdrew from randomized therapy or received another anticancer therapy prior to progression. Median PFS was calculated using the Kaplan-Meier technique. (NCT03164616)
Timeframe: Tumor scans performed at baseline, Week 6, Week 12 and then every 8 weeks relative to date of randomization until radiological progression. Assessed until global cohort DCO of 24 July 2019 (maximum of approximately 25 months.
Intervention | months (Median) |
---|
T + D + SoC | 6.2 |
D + SoC | 5.5 |
SoC Alone | 4.8 |
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Progression-Free Survival (PFS); D + SoC Compared With SoC Alone
PFS (per RECIST version 1.1 [RECIST 1.1] using Blinded Independent Central Review [BICR] assessments) was defined as time from date of randomization until date of objective disease progression or death (by any cause in the absence of progression), regardless of whether the patient withdrew from randomized therapy or received another anticancer therapy prior to progression. Median PFS was calculated using the Kaplan-Meier technique. The final analysis of PFS in the global cohort was pre-specified after approximately 497 BICR PFS events occurred across the D + SoC and SoC alone treatment arms (75% maturity). (NCT03164616)
Timeframe: Tumor scans performed at baseline, Week 6, Week 12 and then every 8 weeks relative to date of randomization until radiological progression. Assessed until global cohort DCO of 24 July 2019 (maximum of approximately 25 months).
Intervention | months (Median) |
---|
D + SoC | 5.5 |
SoC Alone | 4.8 |
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Time From Randomization to Second Progression (PFS2)
PFS2 was defined as the time from the date of randomization to the earliest of the progression event (subsequent to that used for the primary variable PFS) or death. The date of second progression was recorded by the Investigator and defined according to local standard clinical practice and could involve any of: objective radiological imaging, symptomatic progression or death. (NCT03164616)
Timeframe: Tumor scans performed at baseline, Week 6, Week 12 and then every 8 weeks relative to date of randomization until radiological progression. Assessed until global cohort DCO of 24 July 2019 (maximum of approximately 25 months).
Intervention | months (Median) |
---|
T + D + SoC | 10.4 |
D + SoC | 10.2 |
SoC Alone | 9.4 |
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Number of Patients With ADA Response to Tremelimumab
Blood samples were collected at pre-specified timepoints and number of patients who developed detectable ADAs against tremelimumab was determined. ADA prevalence is defined as percentage of patients with positive ADA result at any time, baseline or post-baseline. Treatment-emergent ADA is defined as either treatment-induced ADA or treatment-boosted ADA. ADA incidence is percentage of patients who were treatment-emergent ADA-positive. Treatment-boosted ADA is defined as baseline positive ADA titer that was boosted by ≥4-fold during the study period. Persistently positive is defined as having ≥2 post-baseline ADA positive measurements with ≥16 weeks (112 days) between the first and last positive, or an ADA positive result at the last available assessment. Transiently positive is defined as having ≥1 post-baseline ADA positive measurement and not fulfilling the conditions for persistently positive. Presence of nAb was tested for all ADA positive samples. (NCT03164616)
Timeframe: Samples were collected on Day 1 (Week 0), Week 12 and at 3 months after the last dose of study treatment (ie, tremelimumab).
Intervention | Participants (Count of Participants) |
---|
| ADA positive at any visit (ADA prevalence) | Treatment-emergent ADA positive (ADA incidence) | Treatment-boosted ADA | Treatment-induced ADA (ADA positive post-baseline only) | ADA positive at baseline only | ADA positive post-baseline and positive at baseline | Persistently positive | Transiently positive | nAb positive at any visit |
---|
T + D + SoC | 44 | 38 | 3 | 35 | 4 | 5 | 22 | 18 | 31 |
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Number of Patients With Anti-Drug Antibody (ADA) Response to Durvalumab
Blood samples were collected at pre-specified timepoints and number of patients who developed detectable ADAs against durvalumab was determined. ADA prevalence is defined as percentage of patients with positive ADA result at any time, baseline or post-baseline. Treatment-emergent ADA is defined as either treatment-induced ADA or treatment-boosted ADA. ADA incidence is percentage of patients who were treatment-emergent ADA-positive. Treatment-boosted ADA is defined as baseline positive ADA titer that was boosted by ≥4-fold during the study period. Persistently positive is defined as having ≥2 post-baseline ADA positive measurements with ≥16 weeks (112 days) between the first and last positive, or an ADA positive result at the last available assessment. Transiently positive is defined as having ≥1 post-baseline ADA positive measurement and not fulfilling the conditions for persistently positive. Presence of neutralizing antibody (nAb) was tested for all ADA positive samples. (NCT03164616)
Timeframe: Samples were collected on Day 1 (Week 0), Week 12 and at 3 months after the last dose of study treatment (ie, durvalumab).
Intervention | Participants (Count of Participants) |
---|
| ADA positive at any visit (ADA prevalence) | Treatment-emergent ADA positive (ADA incidence) | Treatment-boosted ADA | Treatment-induced ADA (ADA positive post-baseline only) | ADA positive at baseline only | ADA positive post-baseline and positive at baseline | Persistently positive | Transiently positive | nAb positive at any visit |
---|
D + SoC | 33 | 19 | 1 | 18 | 13 | 2 | 7 | 13 | 3 |
,T + D + SoC | 42 | 29 | 2 | 27 | 8 | 7 | 8 | 26 | 3 |
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Pharmacokinetics (PK) of Durvalumab; Peak and Trough Serum Concentrations
To evaluate PK, blood samples were collected at pre-specified timepoints and peak and trough serum concentrations of durvalumab were determined. Peak concentration on Week 0 is the post-infusion concentration of Week 0 (collected within 10 minutes of the end of infusion). Trough concentrations on Weeks 3 and 12 are the pre-infusion concentrations of Weeks 3 and 12, respectively. (NCT03164616)
Timeframe: Samples were collected post-dose on Day 1 (Week 0), pre-dose on Weeks 3 and 12 and at follow-up (3 months after the last valid dose). Assessed at the global cohort DCO of 12 March 2021.
Intervention | micrograms/milliliter (μg/mL) (Geometric Mean) |
---|
| Week 0 | Week 3 | Week 12 | Follow-up (3 months) |
---|
D + SoC | 505.01 | 91.53 | 212.11 | 16.06 |
,T + D + SoC | 418.80 | 82.08 | 195.62 | 13.42 |
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Time to Deterioration of PRO Symptoms, Assessed Using EORTC QLQ-Lung Cancer Module 13 (QLQ-LC13)
The EORTC QLQ-LC13 is a disease-specific 13-item self-administered questionnaire for lung cancer, to be used in conjunction with the EORTC QLQ-C30. It comprises both multi-item and single-item measures of lung cancer-associated symptoms (ie, coughing, hemoptysis, dyspnea, and pain) and treatment-related symptoms from conventional chemotherapy and radiotherapy (ie, hair loss, neuropathy, sore mouth, and dysphagia). Scores from 0 to 100 were derived for each symptom item, with higher scores representing greater level of symptoms. Time to deterioration was defined as time from randomization until the date of first clinically meaningful deterioration that was confirmed at a subsequent visit or death (by any cause) in the absence of a clinically meaningful deterioration. (NCT03164616)
Timeframe: At baseline, Weeks 3, 6, 9, 12, 16 and 20, then Q4W until PD, on Day 28 and 2 months post-PD, then every 8 weeks until second progression/death (whichever came first). Assessed until global cohort DCO of 12 March 2021 (maximum of approximately 45 months).
Intervention | months (Median) |
---|
| QLQ-LC13 Cough | QLQ-LC13 Hemoptysis | QLQ-LC13 Dyspnea | QLQ-LC13 Pain in Chest | QLQ-LC13 Pain in Arm or Shoulder | QLQ-LC13 Pain in Other Parts |
---|
D + SoC | 11.0 | 14.0 | 5.0 | 9.5 | 8.9 | 8.9 |
,SoC Alone | 8.8 | 11.4 | 3.6 | 8.6 | 8.8 | 5.8 |
,T + D + SoC | 9.7 | 17.8 | 5.4 | 10.0 | 8.9 | 9.7 |
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Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 (EORTC-QLQ-C30) Score
EORTC QLQ-C30 is a validated and reliable self-report measure that consists of 30 questions that assess five aspects of patient functioning (physical, emotional, role, cognitive, and social), three symptom scales (fatigue, nausea and vomiting, pain), global health/quality of life, and six single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). EORTC QLQ-C30 is scored according to the EORTC scoring manual (Fayers et al. 2001). All EORTC scales and single-item measures are linearly transformed so that each score has a range of 0-100. A high score for a functional/global health status scale represents a high or healthy level of functioning/HRQoL (Health-Related Quality of Life); however a high score for a symptom scale or item represents a high level of symptomatology or problems. A ≥10-point change in the symptoms subscale score is perceived by participants as clinically significant (Osoba et al. 1998). (NCT03191786)
Timeframe: Baseline, Day 1 of each treatment cycle up to 30 days after last dose (up to approximately 55 months) (Cycle length = 21 days)
Intervention | units of a scale (Mean) |
---|
| GHS/HRQoL Scale Score, Baseline | GHS/HRQoL Scale Score, Week 6 | GHS/HRQoL Scale Score, Week 12 | GHS/HRQoL Scale Score, Week 18 | GHS/HRQoL Scale Score, Week 24 | GHS/HRQoL Scale Score, Week 30 | GHS/HRQoL Scale Score, Week 36 | GHS/HRQoL Scale Score, Week 42 | GHS/HRQoL Scale Score, Week 48 | GHS/HRQoL Scale Score, Week 57 | GHS/HRQoL Scale Score, Week 66 | GHS/HRQoL Scale Score, Week 75 | GHS/HRQoL Scale Score, Week 84 | GHS/HRQoL Scale Score, Week 93 | GHS/HRQoL Scale Score, Week 102 | GHS/HRQoL Scale Score, Safety Follow-Up Visit | Physical Functioning, Baseline | Physical Functioning, Week 6 | Physical Functioning, Week 12 | Physical Functioning, Week 18 | Physical Functioning, Week 24 | Physical Functioning, Week 30 | Physical Functioning, Week 36 | Physical Functioning, Week 42 | Physical Functioning, Week 48 | Physical Functioning, Week 57 | Physical Functioning, Week 66 | Physical Functioning, Week 75 | Physical Functioning, Week 84 | Physical Functioning, Week 93 | Physical Functioning, Week 102 | Physical Functioning, Safety Follow-Up Visit | Role Functioning, Baseline | Role Functioning, Week 6 | Role Functioning, Week 12 | Role Functioning, Week 18 | Role Functioning, Week 24 | Role Functioning, Week 30 | Role Functioning, Week 36 | Role Functioning, Week 42 | Role Functioning, Week 48 | Role Functioning, Week 57 | Role Functioning, Week 66 | Role Functioning, Week 75 | Role Functioning, Week 84 | Role Functioning, Week 93 | Role Functioning, Week 102 | Role Functioning, Safety Follow-Up Visit | Emotional Functioning, Baseline | Emotional Functioning, Week 6 | Emotional Functioning, Week 12 | Emotional Functioning, Week 18 | Emotional Functioning, Week 24 | Emotional Functioning, Week 30 | Emotional Functioning, Week 36 | Emotional Functioning, Week 42 | Emotional Functioning, Week 48 | Emotional Functioning, Week 57 | Emotional Functioning, Week 66 | Emotional Functioning, Week 75 | Emotional Functioning, Week 84 | Emotional Functioning, Week 93 | Emotional Functioning, Week 102 | Emotional Functioning, Safety Follow-Up Visit | Cognitive Functioning, Baseline | Cognitive Functioning, Week 6 | Cognitive Functioning, Week 12 | Cognitive Functioning, Week 18 | Cognitive Functioning, Week 24 | Cognitive Functioning, Week 30 | Cognitive Functioning, Week 36 | Cognitive Functioning, Week 42 | Cognitive Functioning, Week 48 | Cognitive Functioning, Week 57 | Cognitive Functioning, Week 66 | Cognitive Functioning, Week 75 | Cognitive Functioning, Week 84 | Cognitive Functioning, Week 93 | Cognitive Functioning, Week 102 | Cognitive Functioning, Safety Follow-Up Visit | Social Functioning, Baseline | Social Functioning, Week 6 | Social Functioning, Week 12 | Social Functioning, Week 18 | Social Functioning, Week 24 | Social Functioning, Week 30 | Social Functioning, Week 36 | Social Functioning, Week 42 | Social Functioning, Week 48 | Social Functioning, Week 57 | Social Functioning, Week 66 | Social Functioning, Week 75 | Social Functioning, Week 84 | Social Functioning, Week 93 | Social Functioning, Week 102 | Social Functioning, Safety Follow-Up Visit | Fatigue, Baseline | Fatigue, Week 6 | Fatigue, Week 12 | Fatigue, Week 18 | Fatigue, Week 24 | Fatigue, Week 30 | Fatigue, Week 36 | Fatigue, Week 42 | Fatigue, Week 48 | Fatigue, Week 57 | Fatigue, Week 66 | Fatigue, Week 75 | Fatigue, Week 84 | Fatigue, Week 93 | Fatigue, Week 102 | Fatigue, Safety Follow-Up Visit | Nausea and Vomiting, Baseline | Nausea and Vomiting, Week 6 | Nausea and Vomiting, Week 12 | Nausea and Vomiting, Week 18 | Nausea and Vomiting, Week 24 | Nausea and Vomiting, Week 30 | Nausea and Vomiting, Week 36 | Nausea and Vomiting, Week 42 | Nausea and Vomiting, Week 48 | Nausea and Vomiting, Week 57 | Nausea and Vomiting, Week 66 | Nausea and Vomiting, Week 75 | Nausea and Vomiting, Week 84 | Nausea and Vomiting, Week 93 | Nausea and Vomiting, Week 102 | Nausea and Vomiting, Safety Follow-Up Visit | Pain, Baseline | Pain, Week 6 | Pain, Week 12 | Pain, Week 18 | Pain, Week 24 | Pain, Week 30 | Pain, Week 36 | Pain, Week 42 | Pain, Week 48 | Pain, Week 57 | Pain, Week 66 | Pain, Week 75 | Pain, Week 84 | Pain, Week 93 | Pain, Week 102 | Pain, Safety Follow-Up Visit | Dyspnoea, Baseline | Dyspnoea, Week 6 | Dyspnoea, Week 12 | Dyspnoea, Week 18 | Dyspnoea, Week 24 | Dyspnoea, Week 30 | Dyspnoea, Week 36 | Dyspnoea, Week 42 | Dyspnoea, Week 48 | Dyspnoea, Week 57 | Dyspnoea, Week 66 | Dyspnoea, Week 75 | Dyspnoea, Week 84 | Dyspnoea, Week 93 | Dyspnoea, Week 102 | Dyspnoea, Safety Follow-Up Visit | Insomnia, Baseline | Insomnia, Week 6 | Insomnia, Week 12 | Insomnia, Week 18 | Insomnia, Week 24 | Insomnia, Week 30 | Insomnia, Week 36 | Insomnia, Week 42 | Insomnia, Week 48 | Insomnia, Week 57 | Insomnia, Week 66 | Insomnia, Week 75 | Insomnia, Week 84 | Insomnia, Week 93 | Insomnia, Week 102 | Insomnia, Safety Follow-Up Visit | Appetite Loss, Baseline | Appetite Loss, Week 6 | Appetite Loss, Week 12 | Appetite Loss, Week 18 | Appetite Loss, Week 24 | Appetite Loss, Week 30 | Appetite Loss, Week 36 | Appetite Loss, Week 42 | Appetite Loss, Week 48 | Appetite Loss, Week 57 | Appetite Loss, Week 66 | Appetite Loss, Week 75 | Appetite Loss, Week 84 | Appetite Loss, Week 93 | Appetite Loss, Week 102 | Appetite Loss, Safety Follow-Up Visit | Constipation, Baseline | Constipation, Week 6 | Constipation, Week 12 | Constipation, Week 18 | Constipation, Week 24 | Constipation, Week 30 | Constipation, Week 36 | Constipation, Week 42 | Constipation, Week 48 | Constipation, Week 57 | Constipation, Week 66 | Constipation, Week 75 | Constipation, Week 84 | Constipation, Week 93 | Constipation, Week 102 | Constipation, Safety Follow-Up Visit | Diarrhoea, Baseline | Diarrhoea, Week 6 | Diarrhoea, Week 12 | Diarrhoea, Week 18 | Diarrhoea, Week 24 | Diarrhoea, Week 30 | Diarrhoea, Week 36 | Diarrhoea, Week 42 | Diarrhoea, Week 48 | Diarrhoea, Week 57 | Diarrhoea, Week 66 | Diarrhoea, Week 75 | Diarrhoea, Week 84 | Diarrhoea, Week 93 | Diarrhoea, Week 102 | Diarrhoea, Safety Follow-Up Visit | Financial Difficulties, Baseline | Financial Difficulties, Week 6 | Financial Difficulties, Week 12 | Financial Difficulties, Week 18 | Financial Difficulties, Week 24 | Financial Difficulties, Week 30 | Financial Difficulties, Week 36 | Financial Difficulties, Week 42 | Financial Difficulties, Week 48 | Financial Difficulties, Week 57 | Financial Difficulties, Week 66 | Financial Difficulties, Week 75 | Financial Difficulties, Week 84 | Financial Difficulties, Week 93 | Financial Difficulties, Week 102 | Financial Difficulties, Safety Follow-Up Visit |
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Single Agent Chemotherapy (Vinorelbine or Gemcitabine) | 55.25 | 0.29 | 1.85 | -0.42 | -1.72 | 2.65 | -0.52 | 1.19 | 4.86 | 8.33 | 5.00 | 2.08 | -2.78 | -12.50 | -25.00 | 3.85 | 61.97 | -1.07 | 1.46 | -1.58 | -5.50 | -1.23 | -4.90 | 0.95 | 2.22 | -3.33 | 2.67 | -1.67 | -8.89 | -26.67 | -40.00 | -6.67 | 61.72 | -3.51 | -1.59 | 1.71 | -5.00 | -7.25 | -14.58 | -4.76 | -2.78 | -4.17 | -6.67 | 8.33 | -11.11 | -25.00 | -33.33 | -1.28 | 73.38 | 0.46 | 4.21 | 0.28 | 4.07 | 2.17 | -5.38 | -7.14 | -3.47 | 3.13 | 6.67 | 12.50 | 0.00 | -4.17 | -16.67 | -5.77 | 82.65 | -5.94 | -2.60 | -7.92 | -10.00 | -8.70 | -11.46 | -7.14 | -11.11 | -2.08 | -3.33 | -4.17 | 5.56 | 0.00 | 0.00 | 5.13 | 74.43 | -4.49 | -4.17 | -14.17 | -11.11 | -5.80 | -14.58 | -7.14 | -5.56 | 2.08 | 3.33 | 4.17 | 22.22 | 8.33 | 16.67 | -12.82 | 42.62 | 2.08 | -1.56 | 2.22 | 2.96 | -3.38 | 4.86 | 3.17 | 1.85 | 1.39 | -6.67 | -8.33 | 22.22 | 22.22 | 33.33 | 1.71 | 7.99 | 1.01 | 3.65 | 3.33 | 3.33 | 3.62 | 3.13 | 3.57 | 0.00 | 2.08 | -3.33 | -4.17 | 0.00 | -8.33 | 0.00 | 0.00 | 32.99 | -1.01 | -5.73 | 3.75 | 3.89 | -9.42 | 3.13 | -4.76 | -11.11 | -6.25 | -20.00 | 0.00 | -11.11 | -16.67 | -33.33 | -7.69 | 39.31 | -0.58 | -4.69 | -3.33 | -4.44 | -8.70 | 0.00 | -7.69 | -3.03 | -12.50 | -20.00 | -16.67 | 0.00 | -16.67 | 0.00 | -2.78 | 31.05 | -1.16 | -3.65 | -2.50 | -5.56 | -15.94 | -18.75 | -9.52 | 2.78 | 4.17 | -6.67 | -16.67 | -22.22 | 0.00 | 0.00 | -5.13 | 31.05 | 0.00 | 7.29 | 13.33 | 10.00 | 7.25 | 6.25 | 2.38 | 5.56 | 8.33 | 13.33 | 0.00 | 22.22 | 50.00 | 66.67 | -7.69 | 21.92 | 1.45 | -0.52 | 0.83 | 1.11 | 5.80 | 6.25 | 0.00 | -6.06 | -8.33 | 0.00 | 16.67 | 11.11 | 33.33 | 33.33 | 7.69 | 5.71 | 3.48 | 1.06 | 5.83 | 5.56 | 4.35 | 2.08 | 2.38 | 8.33 | 4.17 | 6.67 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 20.32 | 0.00 | 1.56 | 4.17 | 2.22 | -1.45 | 4.44 | 2.38 | -5.56 | -4.17 | -6.67 | 8.33 | -22.22 | -16.67 | -33.33 | 0.00 |
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Duration of Response (DOR), as Determined by the Investigator Using RECIST v1.1
DOR is defined as the time from the first tumor assessment that supports the participants' objective response (CR or PR, whichever is first reported) to documented disease progression as determined by the investigator according to RECIST v1.1 or death from any cause, whichever occurs first, among patients who have a best overall response as CR or PR. (NCT03191786)
Timeframe: Time from the first occurrence of a documented objective response to the time of disease progression or death from any cause, whichever occurs first (up to approximately 55 months)
Intervention | Months (Median) |
---|
Atezolizumab | 14.0 |
Single Agent Chemotherapy (Vinorelbine or Gemcitabine) | 7.8 |
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Progression-Free Survival (PFS), as Determined by the Investigator Using RECIST v1.1 in Participants With PD-L1 Positive Status
Investigator-assessed PFS according to RECIST v1.1 assessed in participants whose tumors express PD-L1 protein as measured by PD-L1 SP263 IHC assay. (NCT03191786)
Timeframe: From randomization to the first occurence of disease progression or death from any cause, whichever occurs first (up to approximately 55 months)
Intervention | Months (Median) |
---|
Atezolizumab | 4.2 |
Single Agent Chemotherapy (Vinorelbine or Gemcitabine) | 3.0 |
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Overall Survival (OS)
Overall survival is defined as the time between the date of randomization and the date of death due to any cause. (NCT03191786)
Timeframe: From randomization up to death from any cause (up to approximately 55 months)
Intervention | Months (Median) |
---|
Atezolizumab | 10.3 |
Single Agent Chemotherapy (Vinorelbine or Gemcitabine) | 9.2 |
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Overall Survival in Participants With PD-L1 Positive Status
Overall survival will be assessed in participants whose tumors express PD-L1 protein as measured by PD-L1 SP263 IHC assay. (NCT03191786)
Timeframe: From randomization up to death from any cause (up to approximately 55 months)
Intervention | Months (Median) |
---|
Atezolizumab | 9.4 |
Single Agent Chemotherapy (Vinorelbine or Gemcitabine) | 10.3 |
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Percentage of Participants With At Lease One Adverse Event
Percentage of participants with at least one adverse event. (NCT03191786)
Timeframe: From randomization up to approximately 55 months
Intervention | Percentage of participants (Number) |
---|
Atezolizumab | 91.7 |
Single Agent Chemotherapy (Vinorelbine or Gemcitabine) | 97.3 |
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Percentage of Participants With Objective Response Rate, as Determined by the Investigator Using Response Evaluation Criteria In Solid Tumors (RECIST) Version 1.1 (v1.1)
Objective response rate (ORR) is defined as a Best Overall Response (BOR) of either Complete Response (CR) or Partial Response (PR), as determined by the investigator with use of RECIST v1.1. A minimum interval of 6 weeks (42 days) will be considered for Stable Disease (SD) to be assigned as best overall response, i.e. in the case the single response is SD, PR or CR, this single response must have been assessed no less than 6 weeks (at least 42 days) after start date of study treatment. (NCT03191786)
Timeframe: From randomization to the first occurence of disease progression or death from any cause, whichever occurs first (up to approximately 55 months)
Intervention | Percentage of participants (Number) |
---|
Atezolizumab | 16.9 |
Single Agent Chemotherapy (Vinorelbine or Gemcitabine) | 7.9 |
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Change From Baseline in EORTC QLQ Supplementary Lung Cancer Module 13 (EORTC QLQ-LC13) Score
The EORTC QLQ-LC13 module incorporates one multiple item scale to assess dyspnea and a series of single items assessing pain, coughing, sore mouth, dysphagia, peripheral neuropathy, alopecia, and hemoptysis. The EORTC QLQ-LC13 is scored according to the EORTC scoring manual (Fayers et al. 2001). All EORTC scales and single-item measures are linearly transformed so that each score has a range of 0-100. A high score for a functional/global health status scale represents a high or healthy level of functioning/HRQoL (Health-Related Quality of Life); however, a high score for a symptom scale or item represents a high level of symptomatology or problems. A≥10-point change in the symptoms subscale score is perceived by participants as clinically significant (Osoba et al. 1998). (NCT03191786)
Timeframe: Baseline, Day 1 of each treatment cycle up to 30 days after last dose (up to approximately 55 months) (Cycle length = 21 days)
Intervention | units of a scale (Mean) |
---|
| Dyspnoea, Baseline | Dyspnoea, Week 6 | Dyspnoea, Week 12 | Dyspnoea, Week 18 | Dyspnoea, Week 24 | Dyspnoea, Week 30 | Dyspnoea, Week 36 | Dyspnoea, Week 42 | Dyspnoea, Week 48 | Dyspnoea, Week 57 | Dyspnoea, Week 66 | Dyspnoea, Week 75 | Dyspnoea, Week 84 | Dyspnoea, Week 93 | Dyspnoea, Week 102 | Dyspnoea, Week 111 | Dyspnoea, Week 120 | Dyspnoea, Week 129 | Dyspnoea, Week 138 | Dyspnoea, Week 147 | Dyspnoea, Week 156 | Dyspnoea, Week 165 | Dyspnoea, Week 174 | Dyspnoea, Week 183 | Dyspnoea, Week 192 | Dyspnoea, Week 201 | Dyspnoea, Week 210 | Dyspnoea, Safety Follow-Up Visit | Coughing, Baseline | Coughing, Week 6 | Coughing, Week 12 | Coughing, Week 18 | Coughing, Week 24 | Coughing, Week 30 | Coughing, Week 36 | Coughing, Week 42 | Coughing, Week 48 | Coughing, Week 57 | Coughing, Week 66 | Coughing, Week 75 | Coughing, Week 84 | Coughing, Week 93 | Coughing, Week 102 | Coughing, Week 111 | Coughing, Week 120 | Coughing, Week 129 | Coughing, Week 138 | Coughing, Week 147 | Coughing, Week 156 | Coughing, Week 165 | Coughing, Week 174 | Coughing, Week 183 | Coughing, Week 192 | Coughing, Week 201 | Coughing, Week 210 | Coughing, Safety Follow-Up Visit | Haemoptysis, Baseline | Haemoptysis, Week 6 | Haemoptysis, Week 12 | Haemoptysis, Week 18 | Haemoptysis, Week 24 | Haemoptysis, Week 30 | Haemoptysis, Week 36 | Haemoptysis, Week 42 | Haemoptysis, Week 48 | Haemoptysis, Week 57 | Haemoptysis, Week 66 | Haemoptysis, Week 75 | Haemoptysis, Week 84 | Haemoptysis, Week 93 | Haemoptysis, Week 102 | Haemoptysis, Week 111 | Haemoptysis, Week 120 | Haemoptysis, Week 129 | Haemoptysis, Week 138 | Haemoptysis, Week 147 | Haemoptysis, Week 156 | Haemoptysis, Week 165 | Haemoptysis, Week 174 | Haemoptysis, Week 183 | Haemoptysis, Week 192 | Haemoptysis, Week 201 | Haemoptysis, Week 210 | Haemoptysis, Safety Follow-Up Visit | Sore Mouth, Baseline | Sore Mouth, Week 6 | Sore Mouth, Week 12 | Sore Mouth, Week 18 | Sore Mouth, Week 24 | Sore Mouth, Week 30 | Sore Mouth, Week 36 | Sore Mouth, Week 42 | Sore Mouth, Week 48 | Sore Mouth, Week 57 | Sore Mouth, Week 66 | Sore Mouth, Week 75 | Sore Mouth, Week 84 | Sore Mouth, Week 93 | Sore Mouth, Week 102 | Sore Mouth, Week 111 | Sore Mouth, Week 120 | Sore Mouth, Week 129 | Sore Mouth, Week 138 | Sore Mouth, Week 147 | Sore Mouth, Week 156 | Sore Mouth, Week 165 | Sore Mouth, Week 174 | Sore Mouth, Week 183 | Sore Mouth, Week 192 | Sore Mouth, Week 201 | Sore Mouth, Week 210 | Sore Mouth, Safety Follow-Up Visit | Dysphagia, Baseline | Dysphagia, Week 6 | Dysphagia, Week 12 | Dysphagia, Week 18 | Dysphagia, Week 24 | Dysphagia, Week 30 | Dysphagia, Week 36 | Dysphagia, Week 42 | Dysphagia, Week 48 | Dysphagia, Week 57 | Dysphagia, Week 66 | Dysphagia, Week 75 | Dysphagia, Week 84 | Dysphagia, Week 93 | Dysphagia, Week 102 | Dysphagia, Week 111 | Dysphagia, Week 120 | Dysphagia, Week 129 | Dysphagia, Week 138 | Dysphagia, Week 147 | Dysphagia, Week 156 | Dysphagia, Week 165 | Dysphagia, Week 174 | Dysphagia, Week 183 | Dysphagia, Week 192 | Dysphagia, Week 201 | Dysphagia, Week 210 | Dysphagia, Safety Follow-Up Visit | Peripheral Neuropathy, Baseline | Peripheral Neuropathy, Week 6 | Peripheral Neuropathy, Week 12 | Peripheral Neuropathy, Week 18 | Peripheral Neuropathy, Week 24 | Peripheral Neuropathy, Week 30 | Peripheral Neuropathy, Week 36 | Peripheral Neuropathy, Week 42 | Peripheral Neuropathy, Week 48 | Peripheral Neuropathy, Week 57 | Peripheral Neuropathy, Week 66 | Peripheral Neuropathy, Week 75 | Peripheral Neuropathy, Week 84 | Peripheral Neuropathy, Week 93 | Peripheral Neuropathy, Week 102 | Peripheral Neuropathy, Week 111 | Peripheral Neuropathy, Week 120 | Peripheral Neuropathy, Week 129 | Peripheral Neuropathy, Week 138 | Peripheral Neuropathy, Week 147 | Peripheral Neuropathy, Week 156 | Peripheral Neuropathy, Week 165 | Peripheral Neuropathy, Week 174 | Peripheral Neuropathy, Week 183 | Peripheral Neuropathy, Week 192 | Peripheral Neuropathy, Week 201 | Peripheral Neuropathy, Week 210 | Peripheral Neuropathy, Safety Follow-Up Visit | Alopecia, Baseline | Alopecia, Week 6 | Alopecia, Week 12 | Alopecia, Week 18 | Alopecia, Week 24 | Alopecia, Week 30 | Alopecia, Week 36 | Alopecia, Week 42 | Alopecia, Week 48 | Alopecia, Week 57 | Alopecia, Week 66 | Alopecia, Week 75 | Alopecia, Week 84 | Alopecia, Week 93 | Alopecia, Week 102 | Alopecia, Week 111 | Alopecia, Week 120 | Alopecia, Week 129 | Alopecia, Week 138 | Alopecia, Week 147 | Alopecia, Week 156 | Alopecia, Week 165 | Alopecia, Week 174 | Alopecia, Week 183 | Alopecia, Week 192 | Alopecia, Week 201 | Alopecia, Week 210 | Alopecia, Safety Follow-Up Visit | Pain in Chest, Baseline | Pain in Chest, Week 6 | Pain in Chest, Week 12 | Pain in Chest, Week 18 | Pain in Chest, Week 24 | Pain in Chest, Week 30 | Pain in Chest, Week 36 | Pain in Chest, Week 42 | Pain in Chest, Week 48 | Pain in Chest, Week 57 | Pain in Chest, Week 66 | Pain in Chest, Week 75 | Pain in Chest, Week 84 | Pain in Chest, Week 93 | Pain in Chest, Week 102 | Pain in Chest, Week 111 | Pain in Chest, Week 120 | Pain in Chest, Week 129 | Pain in Chest, Week 138 | Pain in Chest, Week 147 | Pain in Chest, Week 156 | Pain in Chest, Week 165 | Pain in Chest, Week 174 | Pain in Chest, Week 183 | Pain in Chest, Week 192 | Pain in Chest, Week 201 | Pain in Chest, Week 210 | Pain in Chest, Safety Follow-Up Visit | Pain in Arm or Shoulder, Baseline | Pain in Arm or Shoulder, Week 6 | Pain in Arm or Shoulder, Week 12 | Pain in Arm or Shoulder, Week 18 | Pain in Arm or Shoulder, Week 24 | Pain in Arm or Shoulder, Week 30 | Pain in Arm or Shoulder, Week 36 | Pain in Arm or Shoulder, Week 42 | Pain in Arm or Shoulder, Week 48 | Pain in Arm or Shoulder, Week 57 | Pain in Arm or Shoulder, Week 66 | Pain in Arm or Shoulder, Week 75 | Pain in Arm or Shoulder, Week 84 | Pain in Arm or Shoulder, Week 93 | Pain in Arm or Shoulder, Week 102 | Pain in Arm or Shoulder, Week 111 | Pain in Arm or Shoulder, Week 120 | Pain in Arm or Shoulder, Week 129 | Pain in Arm or Shoulder, Week 138 | Pain in Arm or Shoulder, Week 147 | Pain in Arm or Shoulder, Week 156 | Pain in Arm or Shoulder, Week 165 | Pain in Arm or Shoulder, Week 174 | Pain in Arm or Shoulder, Week 183 | Pain in Arm or Shoulder, Week 192 | Pain in Arm or Shoulder, Week 201 | Pain in Arm or Shoulder, Week 210 | Pain in Arm or Shoulder, Safety Follow-Up Visit | Pain in other parts, Baseline | Pain in other parts, Week 6 | Pain in other parts, Week 12 | Pain in other parts, Week 18 | Pain in other parts, Week 24 | Pain in other parts, Week 30 | Pain in other parts, Week 36 | Pain in other parts, Week 42 | Pain in other parts, Week 48 | Pain in other parts, Week 57 | Pain in other parts, Week 66 | Pain in other parts, Week 75 | Pain in other parts, Week 84 | Pain in other parts, Week 93 | Pain in other parts, Week 102 | Pain in other parts, Week 111 | Pain in other parts, Week 120 | Pain in other parts, Week 129 | Pain in other parts, Week 138 | Pain in other parts, Week 147 | Pain in other parts, Week 156 | Pain in other parts, Week 165 | Pain in other parts, Week 174 | Pain in other parts, Week 183 | Pain in other parts, Week 192 | Pain in other parts, Week 201 | Pain in other parts, Week 210 | Pain in other parts, Safety Follow-Up Visit |
---|
Atezolizumab | 34.30 | 1.13 | -0.23 | -4.78 | -5.05 | -5.34 | -3.90 | -11.11 | -4.84 | -7.89 | -6.58 | -4.55 | -8.50 | -2.34 | -2.96 | -2.56 | -4.27 | 3.70 | 0.00 | -0.85 | 1.59 | -1.85 | 1.59 | 5.56 | 5.56 | 0.00 | 0.00 | 12.12 | 41.36 | -1.80 | -7.61 | -9.64 | -11.01 | -9.24 | -7.10 | -10.06 | -15.91 | -14.29 | -11.46 | -9.33 | -19.30 | -21.67 | -14.58 | -11.90 | -11.90 | -14.29 | -16.67 | -21.43 | -23.81 | -16.67 | -19.05 | 0.00 | -16.67 | 0.00 | 0.00 | 3.03 | 5.86 | 0.75 | -1.80 | -1.64 | -2.52 | -3.97 | -1.67 | -1.26 | -3.79 | -2.78 | -2.15 | -1.33 | -3.51 | -1.67 | -2.08 | -2.38 | -2.38 | -2.38 | -2.38 | -2.38 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 3.03 | 4.17 | 1.64 | -0.22 | -0.82 | -1.90 | -3.57 | -2.73 | 0.00 | -5.30 | -5.56 | -4.17 | -5.33 | -1.75 | -1.67 | 2.08 | 0.00 | 2.38 | -4.76 | 2.38 | 0.00 | 0.00 | 4.17 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 27.27 | 11.15 | -1.20 | -0.44 | -2.19 | -4.72 | -3.57 | -6.11 | -7.55 | -5.30 | -3.70 | -6.45 | -4.00 | -8.77 | 0.00 | 0.00 | -4.76 | 2.38 | -2.38 | 4.76 | -4.76 | 0.00 | -8.33 | 0.00 | 0.00 | 0.00 | 16.67 | 0.00 | 12.12 | 11.26 | 3.29 | 1.99 | 1.10 | 3.77 | 4.82 | 7.78 | 8.18 | 6.82 | 7.41 | 6.25 | 5.33 | 8.77 | 6.67 | 6.25 | 2.38 | 2.38 | 2.38 | 0.00 | 2.38 | -4.76 | 0.00 | -4.76 | -8.33 | 16.67 | 0.00 | 0.00 | 21.21 | 7.91 | -1.06 | -2.01 | -1.93 | -1.27 | -1.20 | 5.56 | 3.85 | 3.10 | 7.62 | 6.67 | 5.56 | 1.75 | 5.00 | 4.17 | 2.38 | 4.76 | 2.38 | 7.14 | 2.38 | 0.00 | 0.00 | 0.00 | 0.00 | 8.33 | 16.67 | 0.00 | 0.00 | 20.29 | -2.45 | -4.03 | -9.37 | -7.62 | -7.23 | -11.67 | -11.54 | -17.83 | -18.10 | -15.05 | -13.89 | -22.81 | -23.33 | -20.83 | -26.19 | -26.19 | -21.43 | -26.19 | -19.05 | -23.81 | -25.00 | -23.81 | -16.67 | -16.67 | -33.33 | -66.67 | 0.00 | 19.16 | -0.45 | 0.67 | -1.65 | -3.21 | -0.40 | -4.44 | -1.89 | -1.52 | 7.41 | 1.08 | -1.39 | 3.51 | 6.67 | 8.33 | 2.38 | 4.76 | 2.38 | 2.38 | 2.38 | 9.52 | 4.17 | 0.00 | 25.00 | 0.00 | 0.00 | 0.00 | 12.12 | 25.32 | -1.85 | -0.91 | -1.74 | -3.53 | -2.88 | -5.08 | -2.67 | -4.65 | -1.96 | 3.45 | 8.33 | -1.75 | -3.33 | -4.17 | -5.13 | 0.00 | -7.14 | -7.14 | 0.00 | -14.29 | -16.67 | -9.52 | 8.33 | -8.33 | -33.33 | -66.67 | 9.09 |
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Change From Baseline in EORTC QLQ Supplementary Lung Cancer Module 13 (EORTC QLQ-LC13) Score
The EORTC QLQ-LC13 module incorporates one multiple item scale to assess dyspnea and a series of single items assessing pain, coughing, sore mouth, dysphagia, peripheral neuropathy, alopecia, and hemoptysis. The EORTC QLQ-LC13 is scored according to the EORTC scoring manual (Fayers et al. 2001). All EORTC scales and single-item measures are linearly transformed so that each score has a range of 0-100. A high score for a functional/global health status scale represents a high or healthy level of functioning/HRQoL (Health-Related Quality of Life); however, a high score for a symptom scale or item represents a high level of symptomatology or problems. A≥10-point change in the symptoms subscale score is perceived by participants as clinically significant (Osoba et al. 1998). (NCT03191786)
Timeframe: Baseline, Day 1 of each treatment cycle up to 30 days after last dose (up to approximately 55 months) (Cycle length = 21 days)
Intervention | units of a scale (Mean) |
---|
| Dyspnoea, Baseline | Dyspnoea, Week 6 | Dyspnoea, Week 12 | Dyspnoea, Week 18 | Dyspnoea, Week 24 | Dyspnoea, Week 30 | Dyspnoea, Week 36 | Dyspnoea, Week 42 | Dyspnoea, Week 48 | Dyspnoea, Week 57 | Dyspnoea, Week 66 | Dyspnoea, Week 75 | Dyspnoea, Week 84 | Dyspnoea, Week 93 | Dyspnoea, Week 102 | Dyspnoea, Safety Follow-Up Visit | Coughing, Baseline | Coughing, Week 6 | Coughing, Week 12 | Coughing, Week 18 | Coughing, Week 24 | Coughing, Week 30 | Coughing, Week 36 | Coughing, Week 42 | Coughing, Week 48 | Coughing, Week 57 | Coughing, Week 66 | Coughing, Week 75 | Coughing, Week 84 | Coughing, Week 93 | Coughing, Week 102 | Coughing, Safety Follow-Up Visit | Haemoptysis, Baseline | Haemoptysis, Week 6 | Haemoptysis, Week 12 | Haemoptysis, Week 18 | Haemoptysis, Week 24 | Haemoptysis, Week 30 | Haemoptysis, Week 36 | Haemoptysis, Week 42 | Haemoptysis, Week 48 | Haemoptysis, Week 57 | Haemoptysis, Week 66 | Haemoptysis, Week 75 | Haemoptysis, Week 84 | Haemoptysis, Week 93 | Haemoptysis, Week 102 | Haemoptysis, Safety Follow-Up Visit | Sore Mouth, Baseline | Sore Mouth, Week 6 | Sore Mouth, Week 12 | Sore Mouth, Week 18 | Sore Mouth, Week 24 | Sore Mouth, Week 30 | Sore Mouth, Week 36 | Sore Mouth, Week 42 | Sore Mouth, Week 48 | Sore Mouth, Week 57 | Sore Mouth, Week 66 | Sore Mouth, Week 75 | Sore Mouth, Week 84 | Sore Mouth, Week 93 | Sore Mouth, Week 102 | Sore Mouth, Safety Follow-Up Visit | Dysphagia, Baseline | Dysphagia, Week 6 | Dysphagia, Week 12 | Dysphagia, Week 18 | Dysphagia, Week 24 | Dysphagia, Week 30 | Dysphagia, Week 36 | Dysphagia, Week 42 | Dysphagia, Week 48 | Dysphagia, Week 57 | Dysphagia, Week 66 | Dysphagia, Week 75 | Dysphagia, Week 84 | Dysphagia, Week 93 | Dysphagia, Week 102 | Dysphagia, Safety Follow-Up Visit | Peripheral Neuropathy, Baseline | Peripheral Neuropathy, Week 6 | Peripheral Neuropathy, Week 12 | Peripheral Neuropathy, Week 18 | Peripheral Neuropathy, Week 24 | Peripheral Neuropathy, Week 30 | Peripheral Neuropathy, Week 36 | Peripheral Neuropathy, Week 42 | Peripheral Neuropathy, Week 48 | Peripheral Neuropathy, Week 57 | Peripheral Neuropathy, Week 66 | Peripheral Neuropathy, Week 75 | Peripheral Neuropathy, Week 84 | Peripheral Neuropathy, Week 93 | Peripheral Neuropathy, Week 102 | Peripheral Neuropathy, Safety Follow-Up Visit | Alopecia, Baseline | Alopecia, Week 6 | Alopecia, Week 12 | Alopecia, Week 18 | Alopecia, Week 24 | Alopecia, Week 30 | Alopecia, Week 36 | Alopecia, Week 42 | Alopecia, Week 48 | Alopecia, Week 57 | Alopecia, Week 66 | Alopecia, Week 75 | Alopecia, Week 84 | Alopecia, Week 93 | Alopecia, Week 102 | Alopecia, Safety Follow-Up Visit | Pain in Chest, Baseline | Pain in Chest, Week 6 | Pain in Chest, Week 12 | Pain in Chest, Week 18 | Pain in Chest, Week 24 | Pain in Chest, Week 30 | Pain in Chest, Week 36 | Pain in Chest, Week 42 | Pain in Chest, Week 48 | Pain in Chest, Week 57 | Pain in Chest, Week 66 | Pain in Chest, Week 75 | Pain in Chest, Week 84 | Pain in Chest, Week 93 | Pain in Chest, Safety Follow-Up Visit | Pain in Arm or Shoulder, Baseline | Pain in Arm or Shoulder, Week 6 | Pain in Arm or Shoulder, Week 12 | Pain in Arm or Shoulder, Week 18 | Pain in Arm or Shoulder, Week 24 | Pain in Arm or Shoulder, Week 30 | Pain in Arm or Shoulder, Week 36 | Pain in Arm or Shoulder, Week 42 | Pain in Arm or Shoulder, Week 48 | Pain in Arm or Shoulder, Week 57 | Pain in Arm or Shoulder, Week 66 | Pain in Arm or Shoulder, Week 75 | Pain in Arm or Shoulder, Week 84 | Pain in Arm or Shoulder, Week 93 | Pain in Arm or Shoulder, Safety Follow-Up Visit | Pain in other parts, Baseline | Pain in other parts, Week 6 | Pain in other parts, Week 12 | Pain in other parts, Week 18 | Pain in other parts, Week 24 | Pain in other parts, Week 30 | Pain in other parts, Week 36 | Pain in other parts, Week 42 | Pain in other parts, Week 48 | Pain in other parts, Week 57 | Pain in other parts, Week 66 | Pain in other parts, Week 75 | Pain in other parts, Week 84 | Pain in other parts, Week 93 | Pain in other parts, Safety Follow-Up Visit |
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Single Agent Chemotherapy (Vinorelbine or Gemcitabine) | 36.67 | 0.92 | -2.87 | 0.90 | 2.68 | 1.52 | 5.56 | -6.84 | 1.85 | 4.17 | 0.00 | -2.78 | 3.70 | 5.56 | 0.00 | 6.48 | 46.26 | -5.46 | -9.38 | -3.42 | 3.33 | 0.00 | 0.00 | -2.38 | 0.00 | 4.17 | -13.33 | -8.33 | 11.11 | 16.67 | 0.00 | -17.95 | 7.76 | -4.64 | -3.17 | -1.71 | -1.11 | -2.90 | -6.25 | -2.38 | -5.56 | -8.33 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | -2.56 | 5.02 | 0.00 | 0.00 | 2.56 | 2.30 | 0.00 | -2.08 | 4.76 | -2.78 | 0.00 | 6.67 | 16.67 | 11.11 | 0.00 | 0.00 | 0.00 | 8.68 | 2.90 | -1.04 | -0.85 | 1.11 | 2.90 | 6.25 | 4.76 | 0.00 | 4.17 | 0.00 | 16.67 | 0.00 | 0.00 | 0.00 | 0.00 | 14.84 | 1.45 | 2.08 | 5.13 | 7.78 | -1.45 | 12.50 | 9.52 | 8.33 | 20.83 | 13.33 | 8.33 | 0.00 | 0.00 | 0.00 | -2.78 | 4.83 | 6.09 | 7.94 | 12.82 | 14.29 | 10.14 | 10.42 | 7.14 | 13.89 | 29.17 | 6.67 | 8.33 | 11.11 | 16.67 | 33.33 | 12.82 | 19.91 | -4.09 | -5.29 | -5.26 | -2.30 | -9.09 | 2.38 | -2.56 | 3.03 | -4.76 | -16.67 | -22.22 | -16.67 | 0.00 | 12.82 | 19.08 | -0.58 | -4.23 | -2.63 | 0.00 | 4.55 | -2.22 | -5.13 | -6.06 | -9.52 | -33.33 | -33.33 | -16.67 | 0.00 | 7.69 | 27.55 | 1.18 | -0.54 | 11.11 | -4.76 | -7.58 | 2.22 | -12.82 | -15.15 | -9.52 | -16.67 | 0.00 | 0.00 | 0.00 | 0.00 |
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Time to Deterioration in Patient-Reported Lung Cancer Symptoms As Assessed by EORTC QLQ-LC13 Score
TTD with use of the EORTC is defined as the time from randomization to the first confirmed clinically meaningful deterioration in EORTC symptom scores. Confirmed clinically meaningful deterioration in lung cancer symptoms is defined as a = 10-point increase above baseline in a symptom score that must be held for at least two consecutive assessments or an initial = 10-point increase above baseline followed by either (a) death within 6 weeks from the last assessment through Week 48 or (b) death within 9 weeks from the last assessment from Week 48 thereafter. A = 10-point change in the EORTC scale score is perceived by participants as clinically significant. (NCT03191786)
Timeframe: From baseline up to approximately 55 months
Intervention | Months (Median) |
---|
| Cough | Chest Pain | Dyspnoea | Arm and/or Shoulder Pain | Composite of Cough, Dyspnea and Chest Pain |
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Atezolizumab | NA | NA | 17.3 | 21.3 | 8.3 |
,Single Agent Chemotherapy (Vinorelbine or Gemcitabine) | 21.4 | NA | 8.3 | 13.9 | 4.2 |
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Time to Deterioration (TTD) in Patient-Reported Lung Cancer Symptoms as Assessed by EORTC QLQ-C30 Score
TTD with use of the EORTC is defined as the time from randomization to the first confirmed clinically meaningful deterioration in EORTC symptom scores. Confirmed clinically meaningful deterioration in lung cancer symptoms is defined as a = 10-point increase above baseline in a symptom score that must be held for at least two consecutive assessments or an initial = 10-point increase above baseline followed by either (a) death within 6 weeks from the last assessment through Week 48 or (b) death within 9 weeks from the last assessment from Week 48 thereafter. A = 10-point change in the EORTC scale score is perceived by participants as clinically significant (Osoba et al. 1998). (NCT03191786)
Timeframe: From baseline up to approximately 55 months
Intervention | Months (Median) |
---|
| Dyspnoea | Fatigue |
---|
Atezolizumab | NA | 13.5 |
,Single Agent Chemotherapy (Vinorelbine or Gemcitabine) | NA | 8.4 |
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Progression-Free Survival (PFS), as Determined by the Investigator Using RECIST v1.1
PFS is defined as the time from randomization to the first documented disease progression as determined by the investigator with the use of RECIST v1.1 or death from any cause, whichever occurs first. (NCT03191786)
Timeframe: From randomization to the first occurence of disease progression or death from any cause, whichever occurs first (up to approximately 55 months)
Intervention | Months (Median) |
---|
Atezolizumab | 4.2 |
Single Agent Chemotherapy (Vinorelbine or Gemcitabine) | 4.0 |
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OS Rates at the 6, 12, 18, 24-Months Timepoints
OS rate at 6, 12, 18 and 24 months were estimated for each treatment arm. (NCT03191786)
Timeframe: 6, 12, 18 and 24 months
Intervention | Percentage (Number) |
---|
| 6 Months | 12 Months | 18 Months | 24 Months |
---|
Atezolizumab | 64.0 | 43.7 | 31.4 | 24.3 |
,Single Agent Chemotherapy (Vinorelbine or Gemcitabine) | 57.5 | 38.6 | 24.0 | 12.4 |
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Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 (EORTC-QLQ-C30) Score
EORTC QLQ-C30 is a validated and reliable self-report measure that consists of 30 questions that assess five aspects of patient functioning (physical, emotional, role, cognitive, and social), three symptom scales (fatigue, nausea and vomiting, pain), global health/quality of life, and six single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). EORTC QLQ-C30 is scored according to the EORTC scoring manual (Fayers et al. 2001). All EORTC scales and single-item measures are linearly transformed so that each score has a range of 0-100. A high score for a functional/global health status scale represents a high or healthy level of functioning/HRQoL (Health-Related Quality of Life); however a high score for a symptom scale or item represents a high level of symptomatology or problems. A ≥10-point change in the symptoms subscale score is perceived by participants as clinically significant (Osoba et al. 1998). (NCT03191786)
Timeframe: Baseline, Day 1 of each treatment cycle up to 30 days after last dose (up to approximately 55 months) (Cycle length = 21 days)
Intervention | units of a scale (Mean) |
---|
| GHS/HRQoL Scale Score, Baseline | GHS/HRQoL Scale Score, Week 6 | GHS/HRQoL Scale Score, Week 12 | GHS/HRQoL Scale Score, Week 18 | GHS/HRQoL Scale Score, Week 24 | GHS/HRQoL Scale Score, Week 30 | GHS/HRQoL Scale Score, Week 36 | GHS/HRQoL Scale Score, Week 42 | GHS/HRQoL Scale Score, Week 48 | GHS/HRQoL Scale Score, Week 57 | GHS/HRQoL Scale Score, Week 66 | GHS/HRQoL Scale Score, Week 75 | GHS/HRQoL Scale Score, Week 84 | GHS/HRQoL Scale Score, Week 93 | GHS/HRQoL Scale Score, Week 102 | GHS/HRQoL Scale Score, Week 111 | GHS/HRQoL Scale Score, Week 120 | GHS/HRQoL Scale Score, Week 129 | GHS/HRQoL Scale Score, Week 138 | GHS/HRQoL Scale Score, Week 147 | GHS/HRQoL Scale Score, Week 156 | GHS/HRQoL Scale Score, Week 165 | GHS/HRQoL Scale Score, Week 174 | GHS/HRQoL Scale Score, Week 183 | GHS/HRQoL Scale Score, Week 192 | GHS/HRQoL Scale Score, Week 201 | GHS/HRQoL Scale Score, Week 210 | GHS/HRQoL Scale Score, Safety Follow-Up Visit | Physical Functioning, Baseline | Physical Functioning, Week 6 | Physical Functioning, Week 12 | Physical Functioning, Week 18 | Physical Functioning, Week 24 | Physical Functioning, Week 30 | Physical Functioning, Week 36 | Physical Functioning, Week 42 | Physical Functioning, Week 48 | Physical Functioning, Week 57 | Physical Functioning, Week 66 | Physical Functioning, Week 75 | Physical Functioning, Week 84 | Physical Functioning, Week 93 | Physical Functioning, Week 102 | Physical Functioning, Week 111 | Physical Functioning, Week 120 | Physical Functioning, Week 129 | Physical Functioning, Week 138 | Physical Functioning, Week 147 | Physical Functioning, Week 156 | Physical Functioning, Week 165 | Physical Functioning, Week 174 | Physical Functioning, Week 183 | Physical Functioning, Week 192 | Physical Functioning, Week 201 | Physical Functioning, Week 210 | Physical Functioning, Safety Follow-Up Visit | Role Functioning, Baseline | Role Functioning, Week 6 | Role Functioning, Week 12 | Role Functioning, Week 18 | Role Functioning, Week 24 | Role Functioning, Week 30 | Role Functioning, Week 36 | Role Functioning, Week 42 | Role Functioning, Week 48 | Role Functioning, Week 57 | Role Functioning, Week 66 | Role Functioning, Week 75 | Role Functioning, Week 84 | Role Functioning, Week 93 | Role Functioning, Week 102 | Role Functioning, Week 111 | Role Functioning, Week 120 | Role Functioning, Week 129 | Role Functioning, Week 138 | Role Functioning, Week 147 | Role Functioning, Week 156 | Role Functioning, Week 165 | Role Functioning, Week 174 | Role Functioning, Week 183 | Role Functioning, Week 192 | Role Functioning, Week 201 | Role Functioning, Week 210 | Role Functioning, Safety Follow-Up Visit | Emotional Functioning, Baseline | Emotional Functioning, Week 6 | Emotional Functioning, Week 12 | Emotional Functioning, Week 18 | Emotional Functioning, Week 24 | Emotional Functioning, Week 30 | Emotional Functioning, Week 36 | Emotional Functioning, Week 42 | Emotional Functioning, Week 48 | Emotional Functioning, Week 57 | Emotional Functioning, Week 66 | Emotional Functioning, Week 75 | Emotional Functioning, Week 84 | Emotional Functioning, Week 93 | Emotional Functioning, Week 102 | Emotional Functioning, Week 111 | Emotional Functioning, Week 120 | Emotional Functioning, Week 129 | Emotional Functioning, Week 138 | Emotional Functioning, Week 147 | Emotional Functioning, Week 156 | Emotional Functioning, Week 165 | Emotional Functioning, Week 174 | Emotional Functioning, Week 183 | Emotional Functioning, Week 192 | Emotional Functioning, Week 201 | Emotional Functioning, Week 210 | Emotional Functioning, Safety Follow-Up Visit | Cognitive Functioning, Baseline | Cognitive Functioning, Week 6 | Cognitive Functioning, Week 12 | Cognitive Functioning, Week 18 | Cognitive Functioning, Week 24 | Cognitive Functioning, Week 30 | Cognitive Functioning, Week 36 | Cognitive Functioning, Week 42 | Cognitive Functioning, Week 48 | Cognitive Functioning, Week 57 | Cognitive Functioning, Week 66 | Cognitive Functioning, Week 75 | Cognitive Functioning, Week 84 | Cognitive Functioning, Week 93 | Cognitive Functioning, Week 102 | Cognitive Functioning, Week 111 | Cognitive Functioning, Week 120 | Cognitive Functioning, Week 129 | Cognitive Functioning, Week 138 | Cognitive Functioning, Week 147 | Cognitive Functioning, Week 156 | Cognitive Functioning, Week 165 | Cognitive Functioning, Week 174 | Cognitive Functioning, Week 183 | Cognitive Functioning, Week 192 | Cognitive Functioning, Week 201 | Cognitive Functioning, Week 210 | Cognitive Functioning, Safety Follow-Up Visit | Social Functioning, Baseline | Social Functioning, Week 6 | Social Functioning, Week 12 | Social Functioning, Week 18 | Social Functioning, Week 24 | Social Functioning, Week 30 | Social Functioning, Week 36 | Social Functioning, Week 42 | Social Functioning, Week 48 | Social Functioning, Week 57 | Social Functioning, Week 66 | Social Functioning, Week 75 | Social Functioning, Week 84 | Social Functioning, Week 93 | Social Functioning, Week 102 | Social Functioning, Week 111 | Social Functioning, Week 120 | Social Functioning, Week 129 | Social Functioning, Week 138 | Social Functioning, Week 147 | Social Functioning, Week 156 | Social Functioning, Week 165 | Social Functioning, Week 174 | Social Functioning, Week 183 | Social Functioning, Week 192 | Social Functioning, Week 201 | Social Functioning, Week 210 | Social Functioning, Safety Follow-Up Visit | Fatigue, Baseline | Fatigue, Week 6 | Fatigue, Week 12 | Fatigue, Week 18 | Fatigue, Week 24 | Fatigue, Week 30 | Fatigue, Week 36 | Fatigue, Week 42 | Fatigue, Week 48 | Fatigue, Week 57 | Fatigue, Week 66 | Fatigue, Week 75 | Fatigue, Week 84 | Fatigue, Week 93 | Fatigue, Week 102 | Fatigue, Week 111 | Fatigue, Week 120 | Fatigue, Week 129 | Fatigue, Week 138 | Fatigue, Week 147 | Fatigue, Week 156 | Fatigue, Week 165 | Fatigue, Week 174 | Fatigue, Week 183 | Fatigue, Week 192 | Fatigue, Week 201 | Fatigue, Week 210 | Fatigue, Safety Follow-Up Visit | Nausea and Vomiting, Baseline | Nausea and Vomiting, Week 6 | Nausea and Vomiting, Week 12 | Nausea and Vomiting, Week 18 | Nausea and Vomiting, Week 24 | Nausea and Vomiting, Week 30 | Nausea and Vomiting, Week 36 | Nausea and Vomiting, Week 42 | Nausea and Vomiting, Week 48 | Nausea and Vomiting, Week 57 | Nausea and Vomiting, Week 66 | Nausea and Vomiting, Week 75 | Nausea and Vomiting, Week 84 | Nausea and Vomiting, Week 93 | Nausea and Vomiting, Week 102 | Nausea and Vomiting, Week 111 | Nausea and Vomiting, Week 120 | Nausea and Vomiting, Week 129 | Nausea and Vomiting, Week 138 | Nausea and Vomiting, Week 147 | Nausea and Vomiting, Week 156 | Nausea and Vomiting, Week 165 | Nausea and Vomiting, Week 174 | Nausea and Vomiting, Week 183 | Nausea and Vomiting, Week 192 | Nausea and Vomiting, Week 201 | Nausea and Vomiting, Week 210 | Nausea and Vomiting, Safety Follow-Up Visit | Pain, Baseline | Pain, Week 6 | Pain, Week 12 | Pain, Week 18 | Pain, Week 24 | Pain, Week 30 | Pain, Week 36 | Pain, Week 42 | Pain, Week 48 | Pain, Week 57 | Pain, Week 66 | Pain, Week 75 | Pain, Week 84 | Pain, Week 93 | Pain, Week 102 | Pain, Week 111 | Pain, Week 120 | Pain, Week 129 | Pain, Week 138 | Pain, Week 147 | Pain, Week 156 | Pain, Week 165 | Pain, Week 174 | Pain, Week 183 | Pain, Week 192 | Pain, Week 201 | Pain, Week 210 | Pain, Safety Follow-Up Visit | Dyspnoea, Baseline | Dyspnoea, Week 6 | Dyspnoea, Week 12 | Dyspnoea, Week 18 | Dyspnoea, Week 24 | Dyspnoea, Week 30 | Dyspnoea, Week 36 | Dyspnoea, Week 42 | Dyspnoea, Week 48 | Dyspnoea, Week 57 | Dyspnoea, Week 66 | Dyspnoea, Week 75 | Dyspnoea, Week 84 | Dyspnoea, Week 93 | Dyspnoea, Week 102 | Dyspnoea, Week 111 | Dyspnoea, Week 120 | Dyspnoea, Week 129 | Dyspnoea, Week 138 | Dyspnoea, Week 147 | Dyspnoea, Week 156 | Dyspnoea, Week 165 | Dyspnoea, Week 174 | Dyspnoea, Week 183 | Dyspnoea, Week 192 | Dyspnoea, Week 201 | Dyspnoea, Week 210 | Dyspnoea, Safety Follow-Up Visit | Insomnia, Baseline | Insomnia, Week 6 | Insomnia, Week 12 | Insomnia, Week 18 | Insomnia, Week 24 | Insomnia, Week 30 | Insomnia, Week 36 | Insomnia, Week 42 | Insomnia, Week 48 | Insomnia, Week 57 | Insomnia, Week 66 | Insomnia, Week 75 | Insomnia, Week 84 | Insomnia, Week 93 | Insomnia, Week 102 | Insomnia, Week 111 | Insomnia, Week 120 | Insomnia, Week 129 | Insomnia, Week 138 | Insomnia, Week 147 | Insomnia, Week 156 | Insomnia, Week 165 | Insomnia, Week 174 | Insomnia, Week 183 | Insomnia, Week 192 | Insomnia, Week 201 | Insomnia, Week 210 | Insomnia, Safety Follow-Up Visit | Appetite Loss, Baseline | Appetite Loss, Week 6 | Appetite Loss, Week 12 | Appetite Loss, Week 18 | Appetite Loss, Week 24 | Appetite Loss, Week 30 | Appetite Loss, Week 36 | Appetite Loss, Week 42 | Appetite Loss, Week 48 | Appetite Loss, Week 57 | Appetite Loss, Week 66 | Appetite Loss, Week 75 | Appetite Loss, Week 84 | Appetite Loss, Week 93 | Appetite Loss, Week 102 | Appetite Loss, Week 111 | Appetite Loss, Week 120 | Appetite Loss, Week 129 | Appetite Loss, Week 138 | Appetite Loss, Week 147 | Appetite Loss, Week 156 | Appetite Loss, Week 165 | Appetite Loss, Week 174 | Appetite Loss, Week 183 | Appetite Loss, Week 192 | Appetite Loss, Week 201 | Appetite Loss, Week 210 | Appetite Loss, Safety Follow-Up Visit | Constipation, Baseline | Constipation, Week 6 | Constipation, Week 12 | Constipation, Week 18 | Constipation, Week 24 | Constipation, Week 30 | Constipation, Week 36 | Constipation, Week 42 | Constipation, Week 48 | Constipation, Week 57 | Constipation, Week 66 | Constipation, Week 75 | Constipation, Week 84 | Constipation, Week 93 | Constipation, Week 102 | Constipation, Week 111 | Constipation, Week 120 | Constipation, Week 129 | Constipation, Week 138 | Constipation, Week 147 | Constipation, Week 156 | Constipation, Week 165 | Constipation, Week 174 | Constipation, Week 183 | Constipation, Week 192 | Constipation, Week 201 | Constipation, Week 210 | Constipation, Safety Follow-Up Visit | Diarrhoea, Baseline | Diarrhoea, Week 6 | Diarrhoea, Week 12 | Diarrhoea, Week 18 | Diarrhoea, Week 24 | Diarrhoea, Week 30 | Diarrhoea, Week 36 | Diarrhoea, Week 42 | Diarrhoea, Week 48 | Diarrhoea, Week 57 | Diarrhoea, Week 66 | Diarrhoea, Week 75 | Diarrhoea, Week 84 | Diarrhoea, Week 93 | Diarrhoea, Week 102 | Diarrhoea, Week 111 | Diarrhoea, Week 120 | Diarrhoea, Week 129 | Diarrhoea, Week 138 | Diarrhoea, Week 147 | Diarrhoea, Week 156 | Diarrhoea, Week 165 | Diarrhoea, Week 174 | Diarrhoea, Week 183 | Diarrhoea, Week 192 | Diarrhoea, Week 201 | Diarrhoea, Week 210 | Diarrhoea, Safety Follow-Up Visit | Financial Difficulties, Baseline | Financial Difficulties, Week 6 | Financial Difficulties, Week 12 | Financial Difficulties, Week 18 | Financial Difficulties, Week 24 | Financial Difficulties, Week 30 | Financial Difficulties, Week 36 | Financial Difficulties, Week 42 | Financial Difficulties, Week 48 | Financial Difficulties, Week 57 | Financial Difficulties, Week 66 | Financial Difficulties, Week 75 | Financial Difficulties, Week 84 | Financial Difficulties, Week 93 | Financial Difficulties, Week 102 | Financial Difficulties, Week 111 | Financial Difficulties, Week 120 | Financial Difficulties, Week 129 | Financial Difficulties, Week 138 | Financial Difficulties, Week 147 | Financial Difficulties, Week 156 | Financial Difficulties, Week 165 | Financial Difficulties, Week 174 | Financial Difficulties, Week 183 | Financial Difficulties, Week 192 | Financial Difficulties, Week 201 | Financial Difficulties, Week 210 | Financial Difficulties, Safety Follow-Up Visit |
---|
Atezolizumab | 54.70 | 2.09 | 2.76 | 4.20 | 4.92 | 4.32 | 8.20 | 6.17 | 6.44 | 8.56 | 6.82 | 3.85 | 11.40 | 2.08 | 4.69 | 1.79 | 2.38 | -2.98 | 1.19 | 4.17 | -2.38 | -3.13 | -2.38 | -6.67 | -4.17 | 0.00 | -16.67 | -9.85 | 61.34 | -2.93 | 0.17 | 3.02 | 3.49 | 4.25 | 6.98 | 3.58 | 7.44 | 7.59 | 4.65 | 4.87 | 3.70 | 1.67 | 2.40 | 2.38 | 3.33 | -1.03 | -0.48 | -0.48 | -4.76 | -3.61 | -1.90 | 2.67 | -3.33 | -3.33 | -20.00 | -9.70 | 62.53 | -2.63 | -1.78 | -0.96 | 1.25 | -0.20 | 2.15 | 1.54 | 4.92 | 3.15 | 0.51 | -0.64 | 3.70 | -1.67 | 2.08 | -3.57 | -1.19 | -1.19 | -2.38 | -3.57 | -2.38 | -10.42 | -7.14 | -10.00 | -16.67 | 0.00 | 0.00 | -22.73 | 74.20 | 2.12 | 1.24 | 3.82 | 4.13 | 3.15 | 2.02 | 2.01 | 5.04 | 5.78 | 4.29 | 0.32 | 6.58 | 2.92 | 4.69 | 3.57 | 1.79 | 2.98 | 4.17 | 5.36 | 2.38 | -1.04 | 2.38 | -1.67 | -2.08 | -4.17 | -16.67 | 6.82 | 81.39 | -1.67 | -1.79 | 2.62 | 0.48 | -2.01 | -0.54 | -4.94 | -1.89 | -3.15 | -4.04 | -5.13 | -3.51 | 3.33 | 4.17 | 4.76 | 0.00 | 0.00 | -2.38 | 1.19 | 4.76 | 6.25 | 0.00 | 3.33 | 0.00 | 0.00 | 0.00 | -16.67 | 71.32 | 1.30 | 1.58 | 5.60 | 5.08 | 4.82 | 3.01 | -0.31 | 1.89 | 3.60 | 5.56 | 5.77 | 2.63 | 8.33 | 9.38 | 2.38 | 7.14 | -2.38 | 2.38 | 7.14 | 4.76 | -6.25 | 7.14 | 6.67 | -4.17 | -25.00 | -50.00 | 1.52 | 41.62 | 3.37 | 0.53 | -1.79 | -3.14 | -2.88 | -4.06 | -2.67 | -6.72 | -3.30 | -2.53 | -4.70 | -6.79 | -5.56 | -5.56 | -0.79 | -2.38 | -2.78 | -1.59 | -3.17 | -1.59 | 1.39 | -4.76 | 4.44 | 5.56 | -5.56 | -11.11 | 0.00 | 8.28 | 0.90 | 1.12 | -0.41 | -1.87 | -2.38 | 2.12 | 1.54 | -1.55 | 2.25 | -1.01 | 2.56 | 0.88 | -1.67 | -2.08 | 4.76 | -1.19 | 0.00 | -2.38 | -2.38 | -2.38 | -2.08 | -2.38 | -3.33 | 0.00 | 0.00 | 0.00 | 13.64 | 31.52 | -0.98 | -3.58 | -5.51 | -6.70 | -5.36 | -7.41 | -5.25 | -9.85 | -7.21 | -13.13 | -5.77 | -15.79 | -7.50 | -17.71 | -14.29 | -15.48 | -10.71 | -15.48 | -13.10 | -14.29 | -10.42 | -11.90 | -13.33 | -12.50 | -25.00 | -16.67 | 9.09 | 36.17 | -1.36 | 0.45 | -1.91 | -5.03 | -4.37 | -6.99 | -8.64 | -7.58 | -9.01 | -3.03 | -5.13 | -9.26 | 0.00 | 4.17 | -7.69 | 0.00 | 2.38 | -2.38 | -4.76 | 0.00 | -4.17 | 4.76 | 6.67 | 0.00 | 0.00 | 0.00 | 24.24 | 30.50 | -1.95 | -1.78 | -4.37 | -6.23 | -3.17 | -3.17 | -3.09 | -6.20 | -9.91 | -8.08 | -8.97 | -7.41 | -8.33 | -10.42 | -9.52 | -11.90 | -9.52 | -16.67 | -14.29 | -4.76 | 0.00 | -9.52 | -13.33 | -8.33 | -33.33 | -33.33 | 12.12 | 31.63 | 1.06 | -4.22 | -7.38 | -9.43 | -12.30 | -11.11 | -7.41 | -10.85 | -6.31 | -9.09 | -10.26 | -17.54 | -10.00 | -10.42 | -7.14 | -9.52 | -7.14 | -9.52 | -16.67 | 0.00 | 0.00 | -9.52 | -13.33 | 8.33 | 16.67 | 0.00 | -9.09 | 21.20 | -0.45 | -2.46 | -6.01 | -5.61 | -6.75 | -7.94 | -4.94 | -10.61 | -15.32 | -13.13 | -5.13 | -3.51 | -8.33 | -10.42 | -7.14 | -4.76 | -7.14 | -9.52 | -11.90 | -14.29 | -8.33 | -14.29 | -13.33 | 0.00 | 16.67 | 0.00 | 3.03 | 5.63 | -0.61 | 1.80 | -0.83 | 0.00 | 2.01 | 0.00 | -3.09 | -0.76 | 0.00 | -4.04 | -5.13 | 1.75 | 1.67 | 0.00 | 7.14 | 4.76 | 2.38 | -4.76 | -4.76 | -4.76 | 0.00 | -9.52 | -13.33 | 0.00 | 0.00 | 0.00 | 6.06 | 22.22 | -3.20 | -4.95 | -4.41 | -4.76 | -3.21 | -2.69 | -1.85 | -0.76 | -4.50 | 0.00 | 1.28 | 3.51 | 0.00 | 2.08 | 2.38 | -2.38 | -2.38 | 2.38 | -2.38 | -9.52 | 4.17 | -9.52 | 0.00 | 0.00 | 16.67 | 0.00 | -3.03 |
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Disease Control Rate (DCR)
Phase 2 Secondary Efficacy Outcome. Disease Control Rate is defined as the proportion of participants who had a best overall response of Complete Response (CR), Partial Response (PR), or Stable Disease (SD) as defined by RECIST v1.1. (NCT03214250)
Timeframe: Initiation of study drug through radiographic progression or initiation of new anti-cancer therapy with a maximum exposure of 24.2 months.
Intervention | percentage of participants (Number) |
---|
Gem/NP/Nivolumab | 73.5 |
Gem/NP/APX005M (0.3 mg/kg) | 77.8 |
Gem/NP/Nivolumab/APX005M (0.3 mg/kg) | 68.6 |
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Phase 1b Primary Safety Outcome
Number and percentage of subjects with adverse events (AEs), serious adverse events (SAEs), and dose-limiting toxicities (DLTs) (NCT03214250)
Timeframe: Initiation of study drug (or informed consent for SAEs) through 100 days after the last dose of study drug or initiation of a new systemic anti-cancer therapy with a maximum exposure of 34.3 months.
Intervention | Participants (Count of Participants) |
---|
| Adverse Events (AEs) | Serious Adverse Events (SAEs) | Dose-Limiting Toxicities (DLTs) |
---|
Phase 1b: Gem/NP/APX005M (0.1 mg/kg) | 6 | 4 | 0 |
,Phase 1b: Gem/NP/APX005M (0.3 mg/kg) | 6 | 4 | 1 |
,Phase 1b: Gem/NP/Nivolumab/APX005M (0.1 mg/kg) | 6 | 6 | 1 |
,Phase 1b: Gem/NP/Nivolumab/APX005M (0.3 mg/kg) | 6 | 1 | 0 |
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Progression-free Survival (PFS)
PFS is defined as the time from treatment initiation until radiographic disease progression or death (whichever occurred first). PFS and the CIs were estimated using the Kaplan-Meier method. (NCT03214250)
Timeframe: Initiation of study drug through radiographic progression or death with a maximum exposure of 24.2 months.
Intervention | months (Median) |
---|
Gem/NP/Nivolumab | 6.37 |
Gem/NP/APX005M (0.3 mg/kg) | 7.26 |
Gem/NP/Nivolumab/APX005M (0.3 mg/kg) | 6.74 |
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Objective Response Rate (ORR): Efficacy Population
Phase 2 Secondary Efficacy Outcome. Overall Response Rate is defined as the proportion of participants who had a best overall response of Complete Response (CR) or Partial Response (PR) as defined by RECIST v1.1. Overall Response (OR) = CR + PR. (NCT03214250)
Timeframe: Initiation of study drug through radiographic progression or initiation of new anti-cancer therapy with a maximum exposure of 24.2 months.
Intervention | percentage of participants (Number) |
---|
Gem/NP/Nivolumab | 50 |
Gem/NP/APX005M (0.3 mg/kg) | 33.3 |
Gem/NP/Nivolumab/APX005M (0.3 mg/kg) | 31.4 |
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Objective Response Rate (ORR): DLT-Evaluable Population
Phase 1b DLT-Evaluable Population. Overall Response Rate is defined as the proportion of participants who had a best overall response of Complete Response (CR) or Partial Response (PR) as defined by RECIST v1.1. Overall Response (OR) = CR + PR. (NCT03214250)
Timeframe: Initiation of study drug through radiographic progression or initiation of new anti-cancer therapy with a maximum exposure of 34.3 months.
Intervention | percentage of participants (Number) |
---|
Gem/NP/APX005M (0.1 mg/kg) | 66.7 |
Gem/NP/APX005M (0.3 mg/kg) | 33.3 |
Gem/NP/Nivolumab/APX005M (0.1 mg/kg) | 66.7 |
Gem/NP/Nivolumab/APX005M (0.3 mg/kg) | 66.7 |
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Duration of Response (DOR): Efficacy Population
DOR was the time from the first tumor assessment demonstrating response until the date of radiographic disease progression. DOR and the CIs were estimated using the Kaplan-Meier method. (NCT03214250)
Timeframe: Initiation of study drug through radiographic progression or initiation of new anti-cancer therapy with a maximum exposure of 24.2 months.
Intervention | months (Median) |
---|
Gem/NP/Nivolumab | 7.36 |
Gem/NP/APX005M (0.3 mg/kg) | 5.55 |
Gem/NP/Nivolumab/APX005M (0.3 mg/kg) | 7.88 |
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Duration of Response (DOR): DLT-Evaluable Population
DOR was the time from the first tumor assessment demonstrating response until the date of radiographic disease progression. DOR and the CIs were estimated using the Kaplan-Meier method. (NCT03214250)
Timeframe: Initiation of study drug through radiographic progression or initiation of new anti-cancer therapy with a maximum exposure of 34.3 months.
Intervention | months (Median) |
---|
Gem/NP/APX005M (0.1 mg/kg) | 15.51 |
Gem/NP/APX005M (0.3 mg/kg) | 7.03 |
Gem/NP/Nivolumab/APX005M (0.1 mg/kg) | 9.07 |
Gem/NP/Nivolumab/APX005M (0.3 mg/kg) | 10.35 |
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1-year Overall Survival Rate
The primary endpoint was the 1-year OS rate of each treatment arm, compared to the historical rate of 35% for gemcitabine and nab-Paclitaxel. OS was defined as the time from treatment initiation until death from any cause. Patients who were not reported as having died at the time of analysis were censored at the most recent contact date. OS and the 1-year OS rate were estimated by the Kaplan-Meier method for each treatment arm. The 1-year OS rate and corresponding one-sided, 95% CI were calculated to determine whether the lower bound of the CI excluded the assumed historical value of 35%. P values were calculated using a one-sided, one-sample z-test of the Kaplan-Meier estimate of the 1-year OS rate (and its standard error) against the historical rate of 35%. This study was not powered for statistical comparison between arms. (NCT03214250)
Timeframe: 1 year from initiation of study therapy
Intervention | probability (Number) |
---|
Gem/NP/Nivolumab | 0.577 |
Gem/NP/APX005M (0.3 mg/kg) | 0.481 |
Gem/NP/Nivolumab/APX005M (0.3 mg/kg) | 0.413 |
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Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 4)
Count of participants with Adverse Events related to Nivolumab with Gemcitabine/Cisplatin (NCT03294304)
Timeframe: Treatment day 8 of cycle 4
Intervention | Participants (Count of Participants) |
---|
Nivolumab, Cisplatin, & Gemcitabine | 11 |
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Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 4)
Count of participants with Adverse Events related to Nivolumab with Gemcitabine/Cisplatin (NCT03294304)
Timeframe: Treatment day 1 of cycle 4
Intervention | Participants (Count of Participants) |
---|
Nivolumab, Cisplatin, & Gemcitabine | 8 |
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Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 1)
Count of participants with Adverse Events related to Nivolumab with Gemcitabine/Cisplatin (NCT03294304)
Timeframe: Treatment Day 8 of cycle 1
Intervention | Participants (Count of Participants) |
---|
Nivolumab, Cisplatin, & Gemcitabine | 27 |
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Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 2)
Count of participants with Adverse Events related to Nivolumab with Gemcitabine/Cisplatin (NCT03294304)
Timeframe: Treament day 8 of cycle 2
Intervention | Participants (Count of Participants) |
---|
Nivolumab, Cisplatin, & Gemcitabine | 15 |
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Safety of Nivolumab With Gemcitabine/Cisplatin
Incidence of Adverse Events (NCT03294304)
Timeframe: 30 Days +/- 7 Days after last chemotherapy
Intervention | Participants (Count of Participants) |
---|
Nivolumab, Cisplatin, & Gemcitabine | 5 |
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Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 2)
Count of participants with Adverse Events related to Nivolumab with Gemcitabine/Cisplatin (NCT03294304)
Timeframe: Treatment Day 1 of cycle 2
Intervention | Participants (Count of Participants) |
---|
Nivolumab, Cisplatin, & Gemcitabine | 18 |
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Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 3)
Count of participants with Adverse Events related to Nivolumab with Gemcitabine/Cisplatin (NCT03294304)
Timeframe: Treatment day 1 of cycle 3
Intervention | Participants (Count of Participants) |
---|
Nivolumab, Cisplatin, & Gemcitabine | 16 |
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Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 1)
Count of participants with Adverse Events related to Nivolumab with Gemcitabine/Cisplatin (NCT03294304)
Timeframe: Treatment Day 1 of cycle 1
Intervention | Participants (Count of Participants) |
---|
Nivolumab, Cisplatin, & Gemcitabine | 7 |
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Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 3)
Count of participants with Adverse Events related to Nivolumab with Gemcitabine/Cisplatin (NCT03294304)
Timeframe: Treatment day 8 of cycle 3
Intervention | Participants (Count of Participants) |
---|
Nivolumab, Cisplatin, & Gemcitabine | 13 |
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Safety of Nivolumab With Gemcitabine/Cisplatin
Incidence of Adverse Events (NCT03294304)
Timeframe: 4 weeks post radical cystectomy
Intervention | Participants (Count of Participants) |
---|
Nivolumab, Cisplatin, & Gemcitabine | 24 |
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Pathologic Response Rate (PaR) at Time of Radical Cystectomy. PaR is Defined as Absence of Residual MIBC at Cystectomy in the Surgical Specimen (Pathologic Down-staging to ≤pT1pN0 Which Includes pT0, pT1, pTa and pTis)
"Incidence of Measurable Disease pT in the TNM staging system refers to the size and extend of the primary tumor. The higher the number after the T, the larger the tumor or the more it has grown into nearby tissues. T's may be further divided to provide more detail, such as T3a and T3b. pTa refers to noninvasive papillary carcinoma. pTis refers to carcinoma in situ (CIS) or a flat tumor stage. pN refers to lymph nodes. N0 mans cancer has not spread to nearby lymph nodes." (NCT03294304)
Timeframe: Surgery Day 1
Intervention | Participants (Count of Participants) |
---|
Nivolumab, Cisplatin, & Gemcitabine | 27 |
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Count of Participants Experiencing Progression Free Survival (PFS)
Count of participants experiencing Progression Free Survival (PFS) (NCT03294304)
Timeframe: Every 3 Months for 2 Years
Intervention | Participants (Count of Participants) |
---|
Nivolumab, Cisplatin, & Gemcitabine | 36 |
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Phases 1 and 2: Duration of Response
DOR was defined as the time from initial objective response (CR or PR) (as determined by investigator assessment of radiographic disease assessment per RECIST v1.1) until the earliest date of disease progression or death due to any cause, if it occurred sooner than disease progression. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 mm. PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. PD: progression of a target or non-target lesion or presence of a new lesion. (NCT03314935)
Timeframe: up to 368 days
Intervention | months (Median) |
---|
Phase 2: INCB001158 100 mg + Gemcitabine + Cisplatin: BTC (Cohort B1) | 5.8 |
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Phases 1 and 2: Number of Participants With Any Treatment-emergent Adverse Event (TEAE)
An adverse event (AE) was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related, that occurred after a participant provided informed consent. Abnormal laboratory values or test results occurring after informed consent constituted AEs only if they induced clinical signs or symptoms, were considered clinically meaningful, required therapy (e.g., hematologic abnormality that required transfusion), or required changes in the study drug(s). A TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first dose of study drug. (NCT03314935)
Timeframe: up to 1385 days
Intervention | Participants (Count of Participants) |
---|
Phase 1 and Phase 2: INCB001158 50 mg + mFOLFOX6 | 8 |
Phase 1 and Phase 2: INCB001158 75 mg + mFOLFOX6 | 6 |
Phase 1 and Phase 2: INCB001158 100 mg + mFOLFOX6 | 13 |
Phase 1 and Phase 2: INCB001158 50 mg + Gemcitabine + Cisplatin | 7 |
Phase 1 and Phase 2: INCB001158 75 mg + Gemcitabine + Cisplatin | 4 |
Phase 1 and Phase 2: INCB001158 100 mg + Gemcitabine + Cisplatin | 46 |
Phase 1 and Phase 2: INCB001158 50 mg + Paclitaxel | 7 |
Phase 1 and Phase 2: INCB001158 75 mg + Paclitaxel | 5 |
Phase 1 and Phase 2: INCB001158 100 mg + Paclitaxel | 51 |
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AUC0-t of INCB001158 in Participants Treated With INCB001158 in Combination With Chemotherapy Following the First Dose on Cycle 1 Day 1 and on Cycle 2 Day 1 Following Repeated Dose Administration
AUC0-t was defined as the area under the plasma concentration-time curve from time = 0 to the last measurable concentration at time = t. Extensive sample collection was used for the first 12 participants enrolled in each chemotherapy regimen. Sparse sample collection was used for the 13th participant enrolled and onward. (NCT03314935)
Timeframe: Day 1 of Cycles 1 and 2: predose; 0.5, 1, 2, 4, 6, and 8-10 hours post-dose for extensive sample collection. Day 1 of Cycles 1 and 2: predose; 1 and 4 hours post-dose for sparse sample collection
Intervention | hours x ng/mL (Geometric Mean) |
---|
| Cycle 1 Day 1 | Cycle 2 Day 1 |
---|
Phase 2: INCB001158 100 mg + Gemcitabine + Cisplatin: BTC (Cohort B1) | 7240 | 10600 |
,Phase 2: INCB001158 100 mg + Gemcitabine + Cisplatin: OC (Cohort B2) | 10600 | 12200 |
,Phase 2: INCB001158 100 mg + mFOLFOX6: MSS-CRC (Cohort A1) | 6910 | 11000 |
,Phase 2: INCB001158 100 mg + Paclitaxel: EC (Cohort C2) | 9290 | 14400 |
,Phase 2: INCB001158 100 mg + Paclitaxel: GC (Cohort C1) | 4680 | 10000 |
,Phase 2: INCB001158 100 mg + Paclitaxel: OC (Cohort C3) | 8840 | 12800 |
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Phase 2: Objective Response Rate (ORR)
ORR was defined as the percentage of participants with a best overall response of complete response (CR) or partial response (PR), as determined by investigator assessment of radiographic disease as per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 (v1.1). CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 millimeters (mm). PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. Analysis was conducted by cohort (tumor type) in Phase 2 because different tumor types could have different response criteria or different background response rates. (NCT03314935)
Timeframe: up to 1385 days
Intervention | percentage of participants (Number) |
---|
Phase 2: INCB001158 100 mg + mFOLFOX6: MSS-CRC (Cohort A1) | 0.0 |
Phase 2: INCB001158 100 mg + Gemcitabine + Cisplatin: BTC (Cohort B1) | 24.2 |
Phase 2: INCB001158 100 mg + Gemcitabine + Cisplatin: OC (Cohort B2) | 22.2 |
Phase 2: INCB001158 100 mg + Paclitaxel: GC (Cohort C1) | 9.1 |
Phase 2: INCB001158 100 mg + Paclitaxel: EC (Cohort C2) | 30.0 |
Phase 2: INCB001158 100 mg + Paclitaxel: OC (Cohort C3) | 16.7 |
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Cmin of INCB001158 in Participants Treated With INCB001158 in Combination With Chemotherapy on Cycle 2 Day 1 Following Repeated Dose Administration
Cmin was defined as the minimum observed plasma concentration over the dose interval. Extensive sample collection was used for the first 12 participants enrolled in each chemotherapy regimen. Sparse sample collection was used for the 13th participant enrolled and onward. (NCT03314935)
Timeframe: Day 1 of Cycle 2: predose; 0.5, 1, 2, 4, 6, and 8-10 hours post-dose for extensive sample collection. Day 1 of Cycle 2: predose; 1 and 4 hours post-dose for sparse sample collection
Intervention | nanograms per milliliter (ng/mL) (Geometric Mean) |
---|
Phase 2: INCB001158 100 mg + mFOLFOX6: MSS-CRC (Cohort A1) | 747 |
Phase 2: INCB001158 100 mg + Gemcitabine + Cisplatin: BTC (Cohort B1) | 407 |
Phase 2: INCB001158 100 mg + Gemcitabine + Cisplatin: OC (Cohort B2) | 268 |
Phase 2: INCB001158 100 mg + Paclitaxel: GC (Cohort C1) | 542 |
Phase 2: INCB001158 100 mg + Paclitaxel: EC (Cohort C2) | 1020 |
Phase 2: INCB001158 100 mg + Paclitaxel: OC (Cohort C3) | 633 |
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Phase 1: Number of Participants With Any Dose-limiting Toxicity (DLT)
A DLT was defined as the occurrence of any protocol-defined toxicity occurring up to and including Day 28, except those with a clear alternative explanation (e.g., disease progression) or transient (≤72 hours) abnormal laboratory values without associated clinically significant signs or symptoms based on investigator determination. All DLTs were assessed by the investigator using Common Terminology Criteria for Adverse Events (CTCAE) v4.03 criteria. (NCT03314935)
Timeframe: up to Day 28
Intervention | Participants (Count of Participants) |
---|
Phase 1: INCB001158 50 mg + mFOLFOX6 | 0 |
Phase 1: INCB001158 75 mg + mFOLFOX6 | 0 |
Phase 1: INCB001158 100 mg + mFOLFOX6 | 0 |
Phase 1: INCB001158 50 mg + Gemcitabine + Cisplatin | 1 |
Phase 1: INCB001158 75 mg + Gemcitabine + Cisplatin | 0 |
Phase 1: INCB001158 100 mg + Gemcitabine + Cisplatin | 0 |
Phase 1: INCB001158 50 mg + Paclitaxel | 0 |
Phase 1: INCB001158 75 mg + Paclitaxel | 0 |
Phase 1: INCB001158 100 mg + Paclitaxel | 0 |
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Tmax of INCB001158 in Participants Treated With INCB001158 in Combination With Chemotherapy Following the First Dose on Cycle 1 Day 1 and on Cycle 2 Day 1 Following Repeated Dose Administration
tmax was defined as the time to the maximum concentration. Extensive sample collection was used for the first 12 participants enrolled in each chemotherapy regimen. Sparse sample collection was used for the 13th participant enrolled and onward. (NCT03314935)
Timeframe: Day 1 of Cycles 1 and 2: predose; 0.5, 1, 2, 4, 6, and 8-10 hours post-dose for extensive sample collection. Day 1 of Cycles 1 and 2: predose; 1 and 4 hours post-dose for sparse sample collection
Intervention | hours (Median) |
---|
| Cycle 1 Day 1 | Cycle 2 Day 1 |
---|
Phase 2: INCB001158 100 mg + Gemcitabine + Cisplatin: BTC (Cohort B1) | 4.07 | 4.00 |
,Phase 2: INCB001158 100 mg + Gemcitabine + Cisplatin: OC (Cohort B2) | 4.08 | 4.06 |
,Phase 2: INCB001158 100 mg + mFOLFOX6: MSS-CRC (Cohort A1) | 4.13 | 4.00 |
,Phase 2: INCB001158 100 mg + Paclitaxel: EC (Cohort C2) | 4.09 | 3.85 |
,Phase 2: INCB001158 100 mg + Paclitaxel: GC (Cohort C1) | 5.05 | 4.13 |
,Phase 2: INCB001158 100 mg + Paclitaxel: OC (Cohort C3) | 3.97 | 3.95 |
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Tlast of INCB001158 in Participants Treated With INCB001158 in Combination With Chemotherapy Following the First Dose on Cycle 1 Day 1 and on Cycle 2 Day 1 Following Repeated Dose Administration
tlast was defined as the time of the last sample collected from which a concentration was measured. Extensive sample collection was used for the first 12 participants enrolled in each chemotherapy regimen. Sparse sample collection was used for the 13th participant enrolled and onward. (NCT03314935)
Timeframe: Day 1 of Cycles 1 and 2: predose; 0.5, 1, 2, 4, 6, and 8-10 hours post-dose for extensive sample collection. Day 1 of Cycles 1 and 2: predose; 1 and 4 hours post-dose for sparse sample collection
Intervention | hours (Median) |
---|
| Cycle 1 Day 1 | Cycle 2 Day 1 |
---|
Phase 2: INCB001158 100 mg + Gemcitabine + Cisplatin: BTC (Cohort B1) | 7.73 | 7.58 |
,Phase 2: INCB001158 100 mg + Gemcitabine + Cisplatin: OC (Cohort B2) | 7.53 | 7.60 |
,Phase 2: INCB001158 100 mg + mFOLFOX6: MSS-CRC (Cohort A1) | 7.53 | 7.50 |
,Phase 2: INCB001158 100 mg + Paclitaxel: EC (Cohort C2) | 7.53 | 7.55 |
,Phase 2: INCB001158 100 mg + Paclitaxel: GC (Cohort C1) | 7.50 | 7.57 |
,Phase 2: INCB001158 100 mg + Paclitaxel: OC (Cohort C3) | 7.65 | 7.58 |
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Cmax of INCB001158 in Participants Treated With INCB001158 in Combination With Chemotherapy Following the First Dose on Cycle 1 Day 1 and on Cycle 2 Day 1 Following Repeated Dose Administration
Cmax was defined as the maximum observed plasma concentration over the dose interval. Extensive sample collection was used for the first 12 participants enrolled in each chemotherapy regimen. Sparse sample collection was used for the 13th participant enrolled and onward. (NCT03314935)
Timeframe: Day 1 of Cycles 1 and 2: predose; 0.5, 1, 2, 4, 6, and 8-10 hours post-dose for extensive sample collection. Day 1 of Cycles 1 and 2: predose; 1 and 4 hours post-dose for sparse sample collection
Intervention | ng/mL (Geometric Mean) |
---|
| Cycle 1 Day 1 | Cycle 2 Day 1 |
---|
Phase 2: INCB001158 100 mg + Gemcitabine + Cisplatin: BTC (Cohort B1) | 1350 | 1860 |
,Phase 2: INCB001158 100 mg + Gemcitabine + Cisplatin: OC (Cohort B2) | 2160 | 2250 |
,Phase 2: INCB001158 100 mg + mFOLFOX6: MSS-CRC (Cohort A1) | 1290 | 1960 |
,Phase 2: INCB001158 100 mg + Paclitaxel: EC (Cohort C2) | 1760 | 2390 |
,Phase 2: INCB001158 100 mg + Paclitaxel: GC (Cohort C1) | 1100 | 1600 |
,Phase 2: INCB001158 100 mg + Paclitaxel: OC (Cohort C3) | 1640 | 2100 |
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Recommended Phase 2 Dose (RP2D) of INCB001158 When Given in Combination With Each Chemotherapy Regimen
The RP2D of the combination of INCB001158 and chemotherapy in 21-day (for gemcitabine/cisplatin) or 28-day (for mFOLFOX6 or paclitaxel) treatment cycles in participants with advanced or metastatic solid tumors was determined. After the dose escalation was completed, the INCB001158 dose level that was pharmacologically active and tolerable in combination with each chemotherapy regimen (i.e., maximum tolerated dose or lower) was determined to be the RP2D. The RP2D was then further assessed in tumor expansion cohorts in Phase 2. (NCT03314935)
Timeframe: up to Day 580
Intervention | milligrams (Number) |
---|
All Phase 1 Participants | 100 |
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Phase 1: ORR
ORR was defined as the percentage of participants with a confirmed best overall response of CR or PR, as determined by investigator assessment of radiographic disease as per RECIST v1.1. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 mm. PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the Baseline sum diameters, no new lesions, and no progression of non-target lesions. (NCT03314935)
Timeframe: up to 580 days
Intervention | percentage of participants (Number) |
---|
Phase 1: INCB001158 50 mg + mFOLFOX6 | 12.5 |
Phase 1: INCB001158 75 mg + mFOLFOX6 | 0.0 |
Phase 1: INCB001158 100 mg + mFOLFOX6 | 0.0 |
Phase 1: INCB001158 50 mg + Gemcitabine + Cisplatin | 0.0 |
Phase 1: INCB001158 75 mg + Gemcitabine + Cisplatin | 25.0 |
Phase 1: INCB001158 100 mg + Gemcitabine + Cisplatin | 0.0 |
Phase 1: INCB001158 50 mg + Paclitaxel | 14.3 |
Phase 1: INCB001158 75 mg + Paclitaxel | 0.0 |
Phase 1: INCB001158 100 mg + Paclitaxel | 28.6 |
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Phases 1 and 2: Progression-free Survival
According to RECIST 1.1, PFS was defined as the length of time from the date of the first dose study of drug until the earliest date of disease progression, as determined by investigator assessment of radiographic disease per RECIST v1.1, or death due to any cause, if it occurred sooner than progression. (NCT03314935)
Timeframe: up to 1385 days
Intervention | months (Median) |
---|
Phase 1: INCB001158 50 mg + mFOLFOX6 | 3.7 |
Phase 1: INCB001158 75 mg + mFOLFOX6 | 6.6 |
Phase 1: INCB001158 100 mg + mFOLFOX6 | 1.7 |
Phase 1: INCB001158 50 mg + Gemcitabine + Cisplatin | 3.9 |
Phase 1: INCB001158 75 mg + Gemcitabine + Cisplatin | 5.3 |
Phase 1: INCB001158 100 mg + Gemcitabine + Cisplatin | 6.4 |
Phase 1: INCB001158 50 mg + Paclitaxel | 3.9 |
Phase 1: INCB001158 75 mg + Paclitaxel | 3.7 |
Phase 1: INCB001158 100 mg + Paclitaxel | 11.8 |
Phase 2: INCB001158 100 mg + mFOLFOX6: MSS-CRC (Cohort A1) | 3.7 |
Phase 2: INCB001158 100 mg + Gemcitabine + Cisplatin: BTC (Cohort B1) | 8.5 |
Phase 2: INCB001158 100 mg + Gemcitabine + Cisplatin: OC (Cohort B2) | 7.8 |
Phase 2: INCB001158 100 mg + Paclitaxel: GC (Cohort C1) | 3.5 |
Phase 2: INCB001158 100 mg + Paclitaxel: EC (Cohort C2) | 7.1 |
Phase 2: INCB001158 100 mg + Paclitaxel: OC (Cohort C3) | 3.7 |
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Phases 1 and 2: Disease Control Rate
DCR was defined as the percentage of participants with an overall response of CR, PR, or stable disease (SD), as determined by investigator assessment of radiographic disease as per RECIST v1.1, for at least 8 weeks. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 mm. PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. PD: progression of a target or non-target lesion or presence of a new lesion. SD: no change in target lesions to qualify for CR, PR, or PD. (NCT03314935)
Timeframe: up to 1385 days
Intervention | percentage of participants (Number) |
---|
Phase 1: INCB001158 50 mg + mFOLFOX6 | 62.5 |
Phase 1: INCB001158 75 mg + mFOLFOX6 | 83.3 |
Phase 1: INCB001158 100 mg + mFOLFOX6 | 16.7 |
Phase 1: INCB001158 50 mg + Gemcitabine + Cisplatin | 57.1 |
Phase 1: INCB001158 75 mg + Gemcitabine + Cisplatin | 75.0 |
Phase 1: INCB001158 100 mg + Gemcitabine + Cisplatin | 100.0 |
Phase 1: INCB001158 50 mg + Paclitaxel | 42.9 |
Phase 1: INCB001158 75 mg + Paclitaxel | 60.0 |
Phase 1: INCB001158 100 mg + Paclitaxel | 85.7 |
Phase 2: INCB001158 100 mg + mFOLFOX6: MSS-CRC (Cohort A1) | 100.0 |
Phase 2: INCB001158 100 mg + Gemcitabine + Cisplatin: BTC (Cohort B1) | 66.7 |
Phase 2: INCB001158 100 mg + Gemcitabine + Cisplatin: OC (Cohort B2) | 88.9 |
Phase 2: INCB001158 100 mg + Paclitaxel: GC (Cohort C1) | 54.5 |
Phase 2: INCB001158 100 mg + Paclitaxel: EC (Cohort C2) | 80.0 |
Phase 2: INCB001158 100 mg + Paclitaxel: OC (Cohort C3) | 66.7 |
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Percentage of Participants With Confirmed Objective Response (OR) as Per Response Evaluation Criteria in Solid Tumors (RECIST) Version (v) 1.1 by Investigator Assessment
OR: complete response(CR) or partial response(PR)determined by investigator according to RECIST v1.1 from date of first dose of study treatment until date of first documentation of progressive disease(PD),confirmed by repeat assessments performed no less than 4 weeks after first response. CR: disappearance of target and non-target lesions, with exception of nodal disease and normalization of tumor markers. All nodes, target and non-target must have short axis measures less than (<)10 millimeter(mm). PR: >=30% decrease in sum of measures (longest diameter for tumor lesions and short axis measure for nodes) of target lesions, taking as reference baseline sum of diameters. Non-target lesions must be non-PD. PD: >=20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to relative increase of 20%, sum must also demonstrate an absolute increase of at least 5mm, appearance of one or more new lesions was considered PD. (NCT03317496)
Timeframe: From start of the treatment until disease progression or death due to any cause, whichever occurred first (maximum up to 3.5 years approximately)
Intervention | Percentage of Participants (Number) |
---|
Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | 50.0 |
Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 53.8 |
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | 33.3 |
Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | 39.0 |
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Overall Survival (OS)
OS was defined as the time from the first dose of study treatment to the date of death due to any cause. Participants last known to be alive were censored at the date of last contact. The median duration of OS was not derived for less than (<) 10 participants. (NCT03317496)
Timeframe: From first dose of study treatment until death due to any cause (maximum up to 5 years approximately)
Intervention | Months (Median) |
---|
Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | NA |
Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 18.1 |
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | NA |
Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | 15.1 |
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Number of Participants With Grade 3 or Higher TEAEs Based on National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI CTCAE) v 4.03
AE was any untoward medical occurrence in a participant who received any study drug without regard to possibility of causal relationship. TEAEs were those events with onset dates occurring during the on-treatment period. On-treatment period was defined as time from first dose of any study treatment and up to 30 days after last dose or start day of new anti-cancer drug therapy minus 1 day, whichever occurred first. TEAEs were graded by the investigator using NCI CTCAE v 4.03 as Grade 1 = mild; Grade 2 = moderate; Grade 3 = severe; Grade 4 = life-threatening; Grade 5 = death. In this outcome measure, number of participants with grade 3 or higher TEAEs were reported. (NCT03317496)
Timeframe: From start of the treatment up to 30 days after last dose or start of new anticancer therapy minus 1 day, whichever occurred first (maximum up to 5 years approximately)
Intervention | Participants (Count of Participants) |
---|
Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | 5 |
Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 12 |
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | 6 |
Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | 37 |
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Serum Concentration of Avelumab
The lower limit of quantification (LLOQ) for avelumab was 0.2 micrograms per milliliter. Pharmacokinetic concentration analysis set was subset of safety analysis set and included participants who had at least one concentration measurement for avelumab or other study drugs which they were assigned to receive. Treatment groups with same dose and administration frequency were combined as pre-specified in reporting and analysis plan. (NCT03317496)
Timeframe: Pre-dose, 1 hour post-dose on Day 1 of Cycle 1, 2, 3, 6, 10, 14; 336 hours post-dose on Day 15 of Cycle 1, 2, 3 (each cycle of 21 days)
Intervention | Micrograms per milliliter (Geometric Mean) |
---|
| Cycle 1/Day 1- 1 hour | Cycle 1/Day 15- 336 hours | Cycle 2/Day 1- pre-dose | Cycle 2/Day 1- 1 hour | Cycle 2/Day 15- 336 hours | Cycle 3/Day 1- pre-dose | Cycle 3/Day 1- 1 hour | Cycle 3/Day 15- 336 hours | Cycle 6/Day 1- pre-dose | Cycle 6/Day 1- 1 hour | Cycle 10/Day 1- pre-dose | Cycle 10/Day 1- 1 hour | Cycle 14/Day 1- pre-dose | Cycle 14/Day 1- 1 hour |
---|
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | 284.1 | 16.51 | 4.328 | 104.5 | 16.82 | 4.878 | 93.81 | 26.17 | 10.86 | 245.4 | 6.620 | 6.040 | 12.24 | 29.05 |
,Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 172.2 | 9.570 | 3.754 | 197.0 | 13.55 | 5.651 | 204.0 | 17.15 | 9.518 | 208.3 | 8.695 | 222.0 | 13.37 | 216.6 |
,Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | 173.3 | 12.32 | 4.780 | 164.2 | 16.87 | 8.122 | 147.0 | 19.40 | 11.38 | 92.53 | 9.523 | 179.0 | 14.97 | 215.3 |
,Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | 300.2 | 14.71 | 5.013 | 311.9 | 18.66 | 6.771 | 296.8 | 22.55 | 10.39 | 344.0 | 18.55 | 242.9 | 16.49 | 402.2 |
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Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs
Adverse event (AE) was any untoward medical occurrence in a participants who received any study drug without regard to possibility of causal relationship. Serious adverse event was any untoward medical occurrence that at any dose resulted in any of following outcomes/deemed significant for any other reason: death; initial /prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect. TEAEs were those events with onset dates occurring during the on-treatment period. On-treatment period was defined as time from first dose of any study treatment and up to 30 days after last dose or start day of new anti-cancer drug therapy minus 1 day, whichever occurred first. (NCT03317496)
Timeframe: From start of the treatment up to 30 days after last dose or start of new anticancer therapy minus 1 day, whichever occurred first (maximum up to 5 years approximately)
Intervention | Participants (Count of Participants) |
---|
| TEAEs | Serious TEAEs |
---|
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | 6 | 5 |
,Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 13 | 9 |
,Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | 6 | 3 |
,Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | 40 | 20 |
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Absolute Value of Tumor Mutational Burden (TMB) in Tumor Tissue
Mutational load within tumor tissue was defined as number per megabase of the genome, coding, base substitution, and indel mutations present in the sample. Mutational load was determined in whole blood samples using next generation deoxyribonucleic acid (DNA) sequencing followed by computational analysis. (NCT03317496)
Timeframe: Pre-dose on Day 1 of Cycle 1
Intervention | Mutations per megabase (Mean) |
---|
Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | 4.3 |
Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 2.8 |
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | 4.4 |
Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | 2.5 |
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Duration of Response (DOR) as Per RECIST v 1.1 by Investigator Assessment
DOR was defined as time from first documentation of objective response (confirmed CR or PR) to the date of first PD documentation or death due to any cause, whichever occurs first. CR: disappearance of target and non-target lesions, with exception of nodal disease and normalization of tumor markers. All nodes, target and non-target must have short axis measures less than (<)10 millimeter(mm). PR: >=30% decrease in sum of measures (longest diameter for tumor lesions and short axis measure for nodes) of target lesions, taking as reference baseline sum of diameters. Non-target lesions must be non-PD. PD: >=20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to relative increase of 20%, sum must also demonstrate an absolute increase of at least 5mm, appearance of one or more new lesions was considered PD. Median DOR was not derived for < 5 participants. (NCT03317496)
Timeframe: From date of first documented response to date of first documented PD or death due to any cause, whichever occurred first (maximum up to 5 years approximately)
Intervention | Months (Median) |
---|
Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | NA |
Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 9.6 |
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | NA |
Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | NA |
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Number of Participants With Programmed Death-Ligand 1 (PD-L1) Expression
PD-L1 expression was determined using the Ventana PD-L1 SP263 IHC assay. PD-L1-positive status in UC cohorts was defined using an algorithm that combines assessments of PD-L1 staining on tumor and immune cells scored by pathologists and in NSCLC cohorts was defined as PD-L1 expression on >=1% of tumor cells. PD-L1 expression at baseline and on-treatment were reported in this outcome measure. (NCT03317496)
Timeframe: Baseline and Cycle 2 Day 8 (each cycle of 21 days)
Intervention | Participants (Count of Participants) |
---|
| Baseline- Positive PD-L1 | Baseline- Negative PD-L1 | Baseline- Unknown PD-L1 | On-treatment (Cycle 2 Day 8)- Positive PD-L1 | On-treatment (Cycle 2 Day 8)- Negative PD-L1 | On-treatment (Cycle 2 Day 8)- Unknown PD-L1 |
---|
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | 1 | 4 | 1 | 1 | 0 | 5 |
,Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 6 | 7 | 0 | 2 | 1 | 10 |
,Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | 0 | 4 | 2 | 0 | 2 | 4 |
,Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | 28 | 13 | 0 | 3 | 6 | 32 |
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Number of Participants With Grade 3 or Higher Laboratory Abnormalities by CTCAE Grade
Participants with laboratory abnormalities of any Grade as per NCI CTCAE toxicity grading v4.03 were summarized:hematology(anemia,hemoglobin increased,lymphocyte count decreased,lymphocyte count increased, neutrophil count decreased,platelet count decreased and white blood cell decreased)and clinical chemistry(alanine aminotransferase increased,alkaline phosphatase,increased,aspartate,aminotransferase increased,blood bilirubin increased,cholesterol high,creatinine phosphokinase[cpk] increased,creatinine increased,gamma-glutamyl transferase[ggt] increased,hypercalcemia,hyperglycemia,hyperkalemia, hypermagnesemia,hypernatremia,hypertriglyceridemia,hypoalbuminemia,hypocalcemia,hypoglycemia,hypokalemia,hypomagnesemia,hyponatremia, hypophosphatemia,serum amylase increased and lipase increased).As per NCI CTCAE toxicity grading v4.03, Grade1=mild;Grade2=moderate;Grade3=severe;Grade4=life-threatening;Grade 5=death.Parameters with at least 1 participant with abnormal value are reported. (NCT03317496)
Timeframe: From screening up to 90 days after last dose of study drug (maximum up to 5 years approximately)
Intervention | Participants (Count of Participants) |
---|
| ALANINE AMINOTRANSFERASE INCREASED | ALKALINE PHOSPHATASE INCREASED | ASPARTATE AMINOTRANSFERASE INCREASED | BLOOD BILIRUBIN INCREASED | CPK INCREASED | CREATININE INCREASED | GGT INCREASED | HYPERGLYCEMIA | HYPERKALEMIA | HYPOKALEMIA | HYPONATREMIA | LIPASE INCREASED | SERUM AMYLASE INCREASED | HYPOPHOSPHATEMIA | HYPOMAGNESEMIA | HYPOCALCEMIA | HYPERTRIGLYCERIDEMIA | HYPERNATREMIA | HYPERMAGNESEMIA | HYPERCALCEMIA | ANEMIA | LYMPHOCYTE COUNT DECREASED | LYMPHOCYTE COUNT INCREASED | NEUTROPHIL COUNT DECREASED | PLATELET COUNT DECREASED | WHITE BLOOD CELL DECREASED |
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Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 3 | 0 | 3 |
,Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 1 | 0 | 1 | 1 | 0 | 1 | 2 | 2 | 1 | 0 | 2 | 2 | 2 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 5 | 5 | 0 | 8 | 2 | 7 |
,Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | 1 | 0 | 1 | 0 | 0 | 1 | 0 | 2 | 0 | 1 | 0 | 1 | 0 | 2 | 0 | 2 | 0 | 0 | 0 | 0 | 2 | 3 | 0 | 3 | 3 | 2 |
,Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | 3 | 1 | 2 | 0 | 1 | 0 | 4 | 4 | 2 | 5 | 4 | 4 | 4 | 3 | 2 | 1 | 2 | 1 | 1 | 1 | 6 | 7 | 1 | 21 | 11 | 16 |
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Time-to-Tumor Response (TTR) as Per RECIST v 1.1 by Investigator Assessment
TTR was defined as the time from the date of first dose of study treatment to the first documentation of objective response (CR or PR) as assessed by investigator according to RECIST v 1.1. CR: disappearance of target and non-target lesions, with exception of nodal disease and normalization of tumor markers. All nodes, target and non-target must have short axis measures less than (<)10 millimeter(mm). PR: >=30% decrease in sum of measures (longest diameter for tumor lesions and short axis measure for nodes) of target lesions, taking as reference baseline sum of diameters. Non-target lesions must be non-PD. (NCT03317496)
Timeframe: From first dose of study treatment until first documentation of CR or PR (maximum up to 5 years approximately)
Intervention | Months (Median) |
---|
Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | 2.8 |
Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 1.4 |
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | 1.3 |
Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | 1.5 |
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Progression Free Survival (PFS) as Per RECIST v 1.1 by Investigator Assessment
PFS was defined as the time from the date of first dose of study treatment to the date of the first documentation of PD per RECIST v1.1 or death due to any cause, whichever occurred first. PD: >=20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to relative increase of 20%, sum must also demonstrate an absolute increase of at least 5mm, appearance of one or more new lesions was considered PD. The median duration of PFS was not derived for less than (<) 10 participants. (NCT03317496)
Timeframe: From start of treatment until disease progression or death due to any cause, whichever occurred first (maximum up to 5 years approximately)
Intervention | Months (Median) |
---|
Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | NA |
Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 9.8 |
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | NA |
Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | 5.4 |
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Phase 1b Lead-in: Number of Participants With Dose-Limiting Toxicities (DLT)
DLTs=occurrence of any AEs attributable to study treatment in first 2 treatment cycles:Hematologic: grade(G)4 neutropenia lasting >7days;febrile neutropenia with body temperature >=38 degree Celsius for >1hour; G>=3 neutropenic infection(absolute neutrophil count <1.0*10^9/L),G>=3 thrombocytopenia (platelet count<50.0-25.0*10^9/L)with bleeding;G4 thrombocytopenia(PC<25.0*10^9/L),G4 anemia(life-threatening).Non-hematologic: any G4 toxicities;G3 toxicities persisting for >3days despite medical treatment(nausea,vomiting,diarrhea)except endocrinopathies controlled with hormonal therapy;ALT/AST >3*upper limit of normal(ULN)if normal at baseline or 2*Baseline(>ULN at baseline)with total bilirubin >2*ULN and alkaline phosphatase <2*ULN;G3 QTcF prolongation after correction of any reversible cause(electrolyte abnormalities/hypoxia).Delay of >=3weeks in scheduled administration/failure to deliver 75% of doses due to toxicities attributable to any study treatment. DLT-evaluable analysis set. (NCT03317496)
Timeframe: Day 1 up to Week 6 (first 2 treatment cycles; 1 cycle = 21 days)
Intervention | Participants (Count of Participants) |
---|
Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | 0 |
Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 1 |
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | 0 |
Phase 1b Lead-in: Avelumab 1200mg+Gemcitabine/Cisplatin | 1 |
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Change in CA19-9 Levels
Levels of CA19-9 (tumor marker) in preoperative and postoperative tissues will be determined. Higher levels of CA19-9 are associated with progressive disease. (NCT03344172)
Timeframe: Up to 3 years
Intervention | units per milliliter (U/mL) (Mean) |
---|
PGHA: Gemcitabine, Nab-Paclitaxel, Hydroxychloroquine+Avelumab | -0.37 |
PGH: Gemcitabine, Nab-Paclitaxel, and Hydroxychloroquine | -0.88 |
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Proportion of Grade IIb or Higher Histolopathologic Responses
Number of grade IIb+lll+lllm+IV+lVm responses / total number of all grade histolopathologic responses. Histoligic appearance will be assess per the Grading System for Pathological Response: Grade I - Characteristic cytologic changes of malignancy present, but little (< 10%) or no tumor cell destruction is evident; Grade II - Characteristic cytologic changes of malignancy; 10% to 90% of tumor cells are destroyed; Grade IIa - Destruction of 10% to 50% of tumor cells; Grade IIb - Destruction of 51% to 90% of tumor cells; Grade III - Few (< 10%) viable-appearing tumor cells are present; Grade IIIm - Sizable pools of mucin present; Grade IV - No viable tumor cells present; Grade IVm - Acellular pools of mucin present. (NCT03344172)
Timeframe: up to 3 years
Intervention | percentage of participants (Number) |
---|
PGHA: Gemcitabine, Nab-Paclitaxel, Hydroxychloroquine+Avelumab | 33.3 |
PGH: Gemcitabine, Nab-Paclitaxel, and Hydroxychloroquine | 50.0 |
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Percentage of Participants With Disease Control Rate (DCR) Determined According to RECIST Version 1.1
DCR was defined as the percentage of participants with observed tumor response of CR, PR or stable disease (SD) determined according to RECIST version 1.1. CR was defined as the disappearance of all target lesions with reduction in target/non-target pathological lymph nodes to <10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD). PD is at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study including baseline (nadir). The percentages of participants are rounded off to the nearest single decimal point. (NCT03386721)
Timeframe: Baseline up to disease progression or study treatment discontinuation (up to 38 months)
Intervention | percentage of participants (Number) |
---|
NSCLC: Part I Cohort A (QW/Q2W) | 53.8 |
NSCLC: Part I Cohort B (QW/Q2W) | 62.5 |
NSCLC: Part I Cohort D, Arm 1 (QW/Q2W) | 0 |
NSCLC: Part I Cohort D, Arm 2 (Q3W) | 20.0 |
NSCLC: Part I Cohort F (Q3W) | 57.1 |
NSCLC: Part II Cohort E, Arm 1 (QW/Q2W) | 66.7 |
NSCLC: Part II Cohort E, Arm 2 (Q3W) | 50.0 |
SCCHN: Part III Cohort G (Q3W) | 50.0 |
SCCHN: Part III Cohort H (Q3W) | 14.3 |
ESCC: Part III Cohort I (Q3W) | 43.8 |
CSCC: Part III Cohort J (Q3W) | 68.2 |
SCCHN: Part III Cohort K (QW/Q2W) | 36.0 |
ESCC: Part III Cohort M (QW/Q2W) | 50.0 |
CSCC: Part III Cohort N (QW/Q2W) | 0 |
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Progression-Free Survival (PFS) According to RECIST Version 1.1
PFS was defined as the time from study treatment initiation (Cycle 1 Day 1 [1 cycle=14 days for QW/Q2W cohorts; 1 cycle=21 days for Q3W cohorts]) to the first occurrence of documented disease progression (based on Investigator's assessment) or death from any cause during treatment, whichever occurs first. Participants that did not have documented progressive disease or death during the study were censored at the day of the last tumor assessment. (NCT03386721)
Timeframe: Study treatment initiation up to disease progression or study treatment discontinuation (up to 38 months)
Intervention | months (Median) |
---|
NSCLC: Part I Cohort A (QW/Q2W) | 3.5 |
NSCLC: Part I Cohort B (QW/Q2W) | 3.7 |
NSCLC: Part I Cohort D, Arm 1 (QW/Q2W) | 2.0 |
NSCLC: Part I Cohort D, Arm 2 (Q3W) | 2.0 |
NSCLC: Part I Cohort F (Q3W) | 3.5 |
NSCLC: Part II Cohort E, Arm 1 (QW/Q2W) | NA |
NSCLC: Part II Cohort E, Arm 2 (Q3W) | 10.5 |
SCCHN: Part III Cohort G (Q3W) | 2.5 |
SCCHN: Part III Cohort H (Q3W) | 1.9 |
ESCC: Part III Cohort I (Q3W) | 1.9 |
CSCC: Part III Cohort J (Q3W) | 3.7 |
SCCHN: Part III Cohort K (QW/Q2W) | 1.9 |
ESCC: Part III Cohort M (QW/Q2W) | 2.6 |
CSCC: Part III Cohort N (QW/Q2W) | 1.9 |
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Overall Survival (OS)
OS was defined as the time from the first dose of study treatment to the time of death from any cause on study. Participants who were still alive at the time of analysis were censored at the last date known alive. (NCT03386721)
Timeframe: From first dose of study treatment up to death due to any cause (up to approximately 47 months)
Intervention | months (Median) |
---|
NSCLC: Part I Cohort A (QW/Q2W) | NA |
NSCLC: Part I Cohort B (QW/Q2W) | NA |
NSCLC: Part I Cohort D, Arm 1 (QW/Q2W) | NA |
NSCLC: Part I Cohort D, Arm 2 (Q3W) | NA |
NSCLC: Part I Cohort F (Q3W) | NA |
NSCLC: Part II Cohort E, Arm 1 (QW/Q2W) | NA |
NSCLC: Part II Cohort E, Arm 2 (Q3W) | NA |
SCCHN: Part III Cohort G (Q3W) | NA |
SCCHN: Part III Cohort H (Q3W) | NA |
ESCC: Part III Cohort I (Q3W) | NA |
CSCC: Part III Cohort J (Q3W) | NA |
SCCHN: Part III Cohort K (QW/Q2W) | NA |
ESCC: Part III Cohort M (QW/Q2W) | NA |
CSCC: Part III Cohort N (QW/Q2W) | NA |
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Percentage of Participants With Adverse Events (AEs)
An AE is any untoward medical occurrence in a participant or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be 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. (NCT03386721)
Timeframe: Baseline up to end of the study (up to approximately 47 months)
Intervention | percentage of participants (Number) |
---|
NSCLC: Part I Cohort A (QW/Q2W) | 100 |
NSCLC: Part I Cohort B (QW/Q2W) | 100 |
NSCLC: Part I Cohort D, Arm 1 (QW/Q2W) | 100 |
NSCLC: Part I Cohort D, Arm 2 (Q3W) | 100 |
NSCLC: Part I Cohort D, Arm 3 (Q3W) | 100 |
NSCLC: Part I Cohort F (Q3W) | 100 |
NSCLC: Part II Cohort E, Arm 1 (QW/Q2W) | 100 |
NSCLC: Part II Cohort E, Arm 2 (Q3W) | 100 |
SCCHN: Part III Cohort G (Q3W) | 100 |
SCCHN: Part III Cohort H (Q3W) | 100 |
ESCC: Part III Cohort I (Q3W) | 100 |
CSCC: Part III Cohort J (Q3W) | 100 |
SCCHN: Part III Cohort K (QW/Q2W) | 100 |
ESCC: Part III Cohort M (QW/Q2W) | 100 |
CSCC: Part III Cohort N (QW/Q2W) | 100 |
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Percentage of Participants With Objective Response Rate (ORR) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1
ORR was defined as the percentage of participants with observed tumor response of complete response (CR), or partial response (PR) determined according to RECIST version 1.1. CR was defined as the disappearance of all target lesions with reduction in target/non-target pathological lymph nodes to <10 millimeters (mm). PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. The percentages of participants are rounded off to the nearest single decimal point. (NCT03386721)
Timeframe: Baseline up to disease progression or study treatment discontinuation (up to 38 months)
Intervention | percentage of participants (Number) |
---|
NSCLC: Part I Cohort A (QW/Q2W) | 19.2 |
NSCLC: Part I Cohort B (QW/Q2W) | 6.3 |
NSCLC: Part I Cohort D, Arm 1 (QW/Q2W) | 0 |
NSCLC: Part I Cohort D, Arm 2 (Q3W) | 0 |
NSCLC: Part I Cohort F (Q3W) | 4.8 |
NSCLC: Part II Cohort E, Arm 1 (QW/Q2W) | 66.7 |
NSCLC: Part II Cohort E, Arm 2 (Q3W) | 50.0 |
SCCHN: Part III Cohort G (Q3W) | 18.2 |
SCCHN: Part III Cohort H (Q3W) | 3.6 |
ESCC: Part III Cohort I (Q3W) | 21.9 |
CSCC: Part III Cohort J (Q3W) | 27.3 |
SCCHN: Part III Cohort K (QW/Q2W) | 4.0 |
ESCC: Part III Cohort M (QW/Q2W) | 0 |
CSCC: Part III Cohort N (QW/Q2W) | 0 |
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Safety and Tolerability of Regimen as Measured by Number and Grade of Adverse Events
-The descriptions and grading scales found in the revised NCI Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 will be utilized for all toxicity reporting. (NCT03449901)
Timeframe: From start of treatment through 30 days after completion of treatment (median treatment of 9 months + 1 month follow-up)
Intervention | Participants (Count of Participants) |
---|
| Grade 1-2 anemia | Grade 3-5 anemia | Grade 3-5 febrile neutropenia | Grade 1-2 eosiniphilia | Grade 3-5 mitral valve disease | Grade 1-2 atrial fibrillation | Grade 3-5 atrial fibrillation | Grade 1-2 palpitations | Grade 3-5 pericardial effusion | Grade 1-2 sinus bradycardia | Grade 1-2 sinus tachycardia | Grade 3-5 sinus tachycardia | Grade 1-2 chest pain - cardiac | Grade 1-2 ear pain | Grade 1-2 vertigo | Grade 3-5 tinnitus | Grade 1-2 hyperthyroidism | Grade 1-2 cataract | Grade 1-2 blurred vision | Grade 1-2 watering eyes | Grade 1-2 retinal tear | Grade 1-2 dry eye | Grade 1-2 abdominal distension | Grade 1-2 abdominal pain | Grade 3-5 abdominal pain | Grade 1-2 anal hemorrhage | Grade 1-2 anal mucositis | Grade 1-2 ascites | Grade 3-5 ascites | Grade 1-2 bloating | Grade 1-2 colitis | Grade 1-2 colonic hemorrhage | Grade 3-5 colonic perforation | Grade 1-2 constipation | Grade 1-2 dental caries | Grade 3-5 dental caries | Grade 1-2 diarrhea | Grade 3-5 diarrhea | Grade 1-2 dry mouth | Grade 1-2 dyspepsia | Grade 1-2 dysphagia | Grade 1-2 fecal incontinence | Grade 1-2 flatulence | Grade 1-2 gastroesophageal reflux disease | Grade 1-2 hematochezia | Grade 3-5 generalized GI bleed | Grade 1-2 tooth extraction | Grade 1-2 hemorrhoids | Grade 3-5 lower gastrointestinal hemorrhage | Grade 1-2 lip pain | Grade 1-2 mucositis oral | Grade 1-2 nausea | Grade 1-2 oral pain | Grade 1-2 rectal hemorrhage | Grade 3-5 small intestinal obstruction | Grade 3-5 typhlitis | Grade 3-5 upper gastrointestinal hemorrhage | Grade 1-2 vomiting | Grade 3-5 vomiting | Grade 1-2 chills | Grade 5 death NOS | Grade 1-2 edema face | Grade 1-2 edema limbs | Grade 3-5 edema limbs | Grade 1-2 edema trunk | Grade 3-5 edema trunk | Grade 1-2 facial pain | Grade 1-2 fatigue | Grade 3-5 fatigue | Grade 1-2 fever | Grade 1-2 flu-like symptoms | Grade 1-2 generalized edema | Grade 1-2 infusion related reaction | Grade 1-2 injection site reaction | Grade 1-2 localized edema | Grade 1-2 malaise | Grade 1-2 non-cardiac chest pain | Grade 3-5 non-cardiac chest pain | Grade 1-2 pain at injection site | Grade 1-2 pain | Grade 3-5 hepatic hemorrhage | Grade 1-2 allergic reaction | Grade 3-5 allergic reaction | Grade 3-5 Celiac disease | Grade 1-2 bladder infection | Grade 1-2 bronchial infection | Grade 1-2 enterocolitis infectious | Grade 3-5 enterocolitis infectious | Grade 1-2 eye infection | Grade 1-2 folliculitis | Grade 1-2 gum infection | Grade 3-5 influenza A infection | Grade 1-2 lung infection | Grade 3-5 lung infection | Grade 1-2 papulopustular rash | Grade 1-2 paronychia | Grade 3-5 pleural infection | Grade 3-5 sepsis | Grade 1-2 sinusitis | Grade 1-2 skin infection | Grade 3-5 skin infection | Grade 1-2 thrush | Grade 1-2 tooth infection | Grade 1-2 upper respiratory infection | Grade 3-5 upper respiratory infection | Grade 1-2 urinary tract infection | Grade 3-5 urinary tract infection | Grade 3-5 wound infection | Grade 1-2 ankle fracture | Grade 1-2 bruising | Grade 1-2 fall | Grade 3-5 fall | Grade 1-2 fracture | Grade 1-2 twisted knee | Grade 3-5 ileal bleed due to tumor invasion | Grade 3-5 postoperative hemorrhage | Grade 1-2 spinal fracture | Grade 3-5 wound complication | Grade 1-2 activated partial thromboplastin time prolonged | Grade 3-5 activated partial thromboplastin time prolonged | Grade 1-2 alanine aminotransferase increased | Grade 3-5 alanine aminotransferase increased | Grade 1-2 alkaline phosphatase increased | Grade 3-5 alkaline phosphatase increased | Grade 1-2 aspartate aminotransferase increased | Grade 3-5 aspartate aminotransferase increased | Grade 1-2 blood bilirubin increased | Grade 3-5 blood bilirubin increased | Grade 1-2 lactate dehydrogenase increased | Grade 1-2 cardiac troponin I increased | Grade 3-5 cardiac troponin I increased | Grade 1-2 cardiac troponin T increased | Grade 1-2 creatinine increased | Grade 3-5 creatinine increased | Grade 1-2 electrocardiogram QT corrected interval prolonged | Grade 3-5 electrocardiogram QT corrected interval prolonged | Grade 1-2 INR increased | Grade 3-5 GGT increased | Grade 3-5 INR increased | Grade 3-5 ammonia increased | Grade 1-2 lipase increased | Grade 3-5 lipase increased | Grade 1-2 lymphocyte count decreased | Grade 3-5 lymphocyte count decreased | Grade 1-2 neutrophil count decreased | Grade 3-5 neutrophil count decreased | Grade 1-2 platelet count decreased | Grade 3-5 platelet count decreased | Grade 1-2 weight loss | Grade 1-2 white blood cell count decreased | Grade 3-5 white blood cell count decreased | Grade 3-5 acidosis | Grade 1-2 anorexia | Grade 3-5 anorexia | Grade 1-2 dehydration | Grade 3-5 dehydration | Grade 1-2 hypercalcemia | Grade 1-2 hyperglycemia | Grade 3-5 hyperglycemia | Grade 1-2 hyperkalemia | Grade 3-5 hyperkalemia | Grade 1-2 hyperlipidemia | Grade 1-2 hypermagnesemia | Grade 3-5 hypermagnesemia | Grade 1-2 hypernatremia | Grade 1-2 hyperuricemia | Grade 3-5 hyperuricemia | Grade 1-2 hypoalbuminemia | Grade 3-5 hypoalbuminemia | Grade 1-2 hypocalcemia | Grade 3-5 hypocalcemia | Grade 1-2 hypoglycemia | Grade 3-5 hypoglycemia | Grade 1-2 hypokalemia | Grade 3-5 hypokalemia | Grade 1-2 hyponatremia | Grade 3-5 hyponatremia | Grade 1-2 hypophosphatemia | Grade 3-5 hypophosphatemia | Grade 1-2 arthralgia | Grade 1-2 back pain | Grade 3-5 back pain | Grade 1-2 bone pain | Grade 1-2 flank pain | Grade 1-2 generalized muscle weakness | Grade 1-2 joint effusion | Grade 1-2 muscle cramp | Grade 1-2 muscle weakness lower limb | Grade 1-2 myalgia | Grade 1-2 neck pain | Grade 1-2 pain in extremity | Grade 1-2 palpable lump RUE | Grade 1-2 skin pailloma, R hallux | Grade 3-5 disease progression | Grade 1-2 tumor pain | Grade 3-5 tumor pain | Grade 1-2 concentration impairment | Grade 1-2 dizziness | Grade 1-2 dysgeusia | Grade 1-2 extrapyramidal disorder | Grade 1-2 headache | Grade 1-2 plantar sensitivity | Grade 3-5 cerebral hemorrhage | Grade 1-2 neuralgia | Grade 1-2 paresthesia | Grade 1-2 paresthesia (face) | Grade 1-2 peripheral sensory neuropathy | Grade 1-2 phantom pain | Grade 1-2 presyncope | Grade 3-5 spinal cord compression | Grade 3-5 syncope | Grade 1-2 tremor | Grade 3-5 agitation | Grade 1-2 anxiety | Grade 1-2 confusion | Grade 3-5 confusion | Grade 1-2 depression | Grade 3-5 depression | Grade 1-2 insomnia | Grade 1-2 irritability | Grade 1-2 acute kidney injury | Grade 3-5 acute kidney injury | Grade 1-2 dysuria | Grade 1-2 hematuria | Grade 1-2 proteinuria | Grade 1-2 renal calculi | Grade 1-2 urinary frequency | Grade 1-2 urinary incontinence | Grade 1-2 urinary retention | Grade 3-5 urinary tract obstruction | Grade 1-2 genital edema | Grade 1-2 pelvic pain | Grade 1-2 groin pain | Grade 1-2 vaginal hemorrhage | Grade 1-2 allergic rhinitis | Grade 3-5 bronchial obstruction | Grade 1-2 cough | Grade 1-2 dyspnea | Grade 3-5 dyspnea | Grade 1-2 epistaxis | Grade 1-2 hoarseness | Grade 1-2 hypoxia | Grade 3-5 hypoxia | Grade 1-2 laryngeal hemorrhage | Grade 1-2 laryngeal inflammation | Grade 1-2 nasal congestion | Grade 1-2 pleural effusion | Grade 3-5 pleural effusion | Grade 3-5 pneumonitis | Grade 1-2 pneumothorax | Grade 3-5 pneumothorax | Grade 1-2 postnasal drip | Grade 1-2 productive cough | Grade 3-5 pulmonary edema | Grade 3-5 respiratory failure | Grade 1-2 chest pressure with exertion | Grade 1-2 rhinorrhea | Grade 1-2 sore throat | Grade 1-2 wheezing | Grade 1-2 alopecia | Grade 1-2 bullous dermatitis | Grade 1-2 dry skin | Grade 1-2 hyperhidrosis | Grade 1-2 nail changes | Grade 1-2 nail discoloration | Grade 1-2 nail loss | Grade 1-2 palmar-plantar erythrodysesthesia syndrome | Grade 1-2 pruritus | Grade 3-5 pruritus | Grade 1-2 rash acneiform | Grade 1-2 rash maculo-papular | Grade 3-5 rash maculo-papular | Grade 1-2 skin atrophy | Grade 1-2 rash NOS | Grade 3-5 petechial rash | Grade 1-2 skin ulceration | Grade 1-2 urticaria | Grade 1-2 minor gum transplant | Grade 1-2 hot flashes | Grade 1-2 hypertension | Grade 3-5 hypertension | Grade 1-2 hypotension | Grade 3-5 hypotension | Grade 1-2 lymphedema | Grade 1-2 thromboembolic event | Grade 3-5 thromboembolic event | Grade 1-2 peripheral edema | "Grade 1-2 muscle tightness" | Grade 1-2 left hand pain | Grade 1-2 right axillary pain | Grade 1-2 right neck stiffness | "Grade 1-2 frozen thumb" | Grade 1-2 hip pain | Grade 1-2 ankle sprain | Grade 1-2 port site bleed | Grade 1-2 vaginal cyst | Grade 1-2 rash NOS on neck | Grade 1-2 rash NOS on bilateral UE | Grade 1-2 nail bed pain | Grade 1-2 feet peeling | Grade 3-5 leukemia secondary to oncology chemotherapy |
---|
Cohort 1, 600mg/m2 Gemcitabine Dose Level: ADI-PEG 20 + Gemcitabine + Docetaxel | 11 | 19 | 2 | 0 | 1 | 0 | 0 | 2 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 8 | 3 | 1 | 10 | 0 | 1 | 4 | 1 | 0 | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 1 | 6 | 13 | 0 | 0 | 2 | 0 | 0 | 6 | 1 | 0 | 0 | 0 | 9 | 1 | 0 | 0 | 1 | 16 | 7 | 5 | 1 | 5 | 1 | 3 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 3 | 1 | 0 | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 1 | 1 | 0 | 0 | 1 | 3 | 0 | 1 | 3 | 1 | 2 | 1 | 1 | 0 | 0 | 0 | 1 | 2 | 0 | 2 | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 12 | 2 | 12 | 1 | 1 | 0 | 2 | 0 | 2 | 1 | 0 | 0 | 6 | 1 | 1 | 0 | 4 | 0 | 0 | 0 | 0 | 0 | 6 | 18 | 6 | 19 | 6 | 23 | 0 | 6 | 19 | 0 | 5 | 0 | 1 | 0 | 1 | 6 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 6 | 2 | 14 | 1 | 12 | 3 | 1 | 0 | 5 | 2 | 14 | 0 | 6 | 0 | 3 | 4 | 0 | 3 | 1 | 4 | 0 | 6 | 0 | 5 | 0 | 3 | 1 | 1 | 2 | 9 | 0 | 1 | 1 | 8 | 1 | 5 | 0 | 0 | 1 | 2 | 0 | 9 | 0 | 2 | 0 | 2 | 0 | 1 | 3 | 2 | 1 | 4 | 1 | 2 | 0 | 0 | 2 | 1 | 9 | 7 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 1 | 0 | 5 | 12 | 3 | 6 | 1 | 1 | 0 | 1 | 1 | 1 | 3 | 2 | 1 | 0 | 0 | 0 | 2 | 1 | 0 | 1 | 2 | 1 | 1 | 2 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 1 | 0 | 1 | 2 | 0 | 1 | 1 | 0 | 1 | 1 | 2 | 1 | 3 | 1 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
,Cohort 1, 750 mg/m2 Gemcitabine Dose Level: ADI-PEG 20 + Gemcitabine + Docetaxel | 9 | 11 | 3 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 2 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 1 | 2 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 5 | 0 | 0 | 7 | 1 | 1 | 2 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 2 | 1 | 0 | 5 | 8 | 1 | 1 | 2 | 0 | 1 | 4 | 0 | 1 | 0 | 1 | 5 | 1 | 1 | 0 | 0 | 15 | 7 | 9 | 1 | 0 | 0 | 3 | 0 | 0 | 1 | 0 | 2 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 3 | 2 | 1 | 0 | 1 | 0 | 5 | 0 | 0 | 3 | 0 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 13 | 1 | 11 | 1 | 7 | 1 | 6 | 0 | 0 | 1 | 1 | 0 | 5 | 0 | 0 | 1 | 3 | 0 | 1 | 0 | 0 | 0 | 7 | 11 | 1 | 18 | 5 | 18 | 3 | 5 | 17 | 0 | 5 | 1 | 4 | 1 | 2 | 4 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 5 | 0 | 6 | 2 | 6 | 1 | 1 | 0 | 6 | 1 | 7 | 0 | 1 | 3 | 3 | 3 | 1 | 2 | 1 | 3 | 0 | 2 | 1 | 7 | 1 | 2 | 0 | 0 | 0 | 3 | 0 | 1 | 5 | 5 | 0 | 5 | 1 | 1 | 1 | 2 | 0 | 5 | 0 | 0 | 1 | 1 | 0 | 0 | 2 | 2 | 0 | 1 | 0 | 3 | 0 | 1 | 0 | 2 | 3 | 7 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 2 | 1 | 6 | 4 | 1 | 6 | 1 | 0 | 1 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 2 | 1 | 1 | 0 | 2 | 3 | 1 | 2 | 0 | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 1 | 3 | 1 | 0 | 2 | 1 | 1 | 0 | 0 | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 1 | 1 |
,Cohort 1, 900 mg/m2 Gemcitabine Dose Level: ADI-PEG 20 + Gemcitabine + Docetaxel | 12 | 12 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 2 | 0 | 0 | 0 | 0 | 2 | 0 | 1 | 0 | 2 | 1 | 1 | 1 | 1 | 1 | 0 | 1 | 1 | 1 | 8 | 0 | 0 | 7 | 2 | 0 | 3 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 3 | 14 | 0 | 0 | 0 | 1 | 0 | 3 | 0 | 0 | 0 | 0 | 10 | 1 | 0 | 1 | 0 | 10 | 8 | 5 | 1 | 0 | 0 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 1 | 0 | 4 | 0 | 1 | 2 | 1 | 0 | 4 | 0 | 4 | 1 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 3 | 2 | 8 | 3 | 13 | 0 | 8 | 2 | 6 | 1 | 1 | 0 | 1 | 1 | 9 | 0 | 0 | 0 | 9 | 0 | 3 | 0 | 1 | 1 | 4 | 20 | 6 | 11 | 9 | 12 | 0 | 5 | 15 | 1 | 5 | 1 | 1 | 1 | 1 | 5 | 2 | 0 | 1 | 1 | 1 | 1 | 1 | 6 | 4 | 13 | 2 | 11 | 1 | 2 | 2 | 7 | 3 | 11 | 1 | 4 | 2 | 2 | 4 | 1 | 3 | 0 | 4 | 1 | 0 | 0 | 2 | 0 | 1 | 0 | 0 | 2 | 0 | 0 | 0 | 2 | 8 | 0 | 3 | 0 | 0 | 2 | 0 | 0 | 10 | 1 | 2 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 1 | 0 | 8 | 7 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 5 | 6 | 1 | 3 | 1 | 0 | 1 | 0 | 0 | 0 | 2 | 1 | 0 | 0 | 2 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 1 | 4 | 0 | 1 | 1 | 1 | 0 | 2 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 3 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Cohort 2, 600mg/m2 Gemcitabine Dose Level: ADI-PEG 20 + Gemcitabine + Docetaxel | 9 | 4 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 1 | 1 | 0 | 2 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 2 | 0 | 0 | 0 | 0 | 0 | 4 | 0 | 0 | 1 | 0 | 2 | 0 | 0 | 0 | 0 | 5 | 0 | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 0 | 5 | 1 | 2 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 2 | 8 | 3 | 7 | 4 | 7 | 2 | 2 | 9 | 0 | 2 | 0 | 0 | 0 | 1 | 2 | 0 | 2 | 0 | 0 | 0 | 1 | 1 | 2 | 0 | 1 | 2 | 2 | 2 | 0 | 0 | 2 | 1 | 5 | 1 | 3 | 0 | 0 | 0 | 0 | 2 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 3 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 0 | 0 | 0 | 1 | 1 | 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 |
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Progression-free Survival (PFS) (Cohort 1 Only)
"PFS: defined as time on study to time patients progressed on the drug combination or death or latest follow-up if progression/death is not observed yet~Progressive disease: 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)." (NCT03449901)
Timeframe: Through completion of follow-up (median follow-up 494 days, full range of 5-1500 days).
Intervention | months (Median) |
---|
Cohort 1: ADI-PEG 20 + Gemcitabine + Docetaxel | 5.0597 |
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Clinical Benefit Rate (CBR) (Cohort 1 Only)
"CBR = proportion of patients who have experienced complete response (CR)+ partial response (PR) + stable disease (SD) lasting 24 weeks or longer~CR: Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. 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).~PR: At least a 30% decrease in the sum of the 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, taking as reference the smallest sum diameters while on study." (NCT03449901)
Timeframe: Through completion of treatment (median treatment of 9 months)
Intervention | Participants (Count of Participants) |
---|
Cohort 1: ADI-PEG 20 + Gemcitabine + Docetaxel | 27 |
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Overall Survival (OS) (Cohort 1 Only)
-OS: defined as time on study to time of death due to any reasons or latest follow-up (whichever is earlier) (NCT03449901)
Timeframe: Through completion of follow-up (median follow-up 494 days, full range of 5-1500 days).
Intervention | months (Median) |
---|
Cohort 1: ADI-PEG 20 + Gemcitabine + Docetaxel | 18.1359 |
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Overall Progression Free Survival
PFS is the median amount of time subject survives without disease progression after treatment. Progression was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST) and is defined as the appearance of new lesions. (NCT03451773)
Timeframe: up to 6 months
Intervention | Months (Median) |
---|
All Participants | 1.4 |
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Percentage of Participants Who Have Not Progressed at 3 Months
Percentage of participants who have not progressed at 3 months. Progression was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST) and is defined as the appearance of new lesions. (NCT03451773)
Timeframe: 3 months
Intervention | percentage of participants (Number) |
---|
Dose Level -1: Gemcitabine + De-escalating Dose of M7824 (MSB0011359C) | NA |
Dose Level 0: Gemcitabine + Recommended Phase 2 Dose (RP2D) of M7824 (MSB0011359C) | 16.7 |
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Percentage of Evaluable Participants Alive at 6 Months and 9 Months
Participants who are alive at 6 months and 9 months after therapy. (NCT03451773)
Timeframe: At 6 and 9 months
Intervention | percentage of participants (Number) |
---|
| 6 Months | 9 Months |
---|
Dose Level -1: Gemcitabine + De-escalating Dose of M7824 (MSB0011359C) | NA | NA |
,Dose Level 0: Gemcitabine + Recommended Phase 2 Dose (RP2D) of M7824 (MSB0011359C) | 33.3 | 16.7 |
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Phase II: Number of Participants With a Best Overall Response (BOR)
Changes in tumor size and occurrence of metastases was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST) v 1.1 to determine the best overall response: Complete Response (CR), Partial Response (PR), and Stable Disease (SD), whichever is recorded first. Complete Response is disappearance of all lesions, Partial Response is at least a 30% decrease in the sum of diameters of target lesions, and Stable Disease is when the sum of all target lesions does not qualify for CR, PR, or Progressive Disease (PD), defined as the appearance of new lesions. (NCT03451773)
Timeframe: Every 8 weeks, up to 2 years
Intervention | Participants (Count of Participants) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease |
---|
Dose Level -1: Gemcitabine + De-escalating Dose of M7824 (MSB0011359C) | 0 | 0 | 1 | 0 |
,Dose Level 0: Gemcitabine + Recommended Phase 2 Dose (RP2D) of M7824 (MSB0011359C) | 0 | 0 | 3 | 0 |
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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 count 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. (NCT03451773)
Timeframe: Date treatment consent signed to date off study, approximately 7 months and 20 days for Dose Level -1, and 15 months and 20 days for Dose Level 0.
Intervention | Participants (Count of Participants) |
---|
Dose Level -1: Gemcitabine + De-escalating Dose of M7824 (MSB0011359C) | 1 |
Dose Level 0: Gemcitabine + Recommended Phase 2 Dose (RP2D) of M7824 (MSB0011359C) | 6 |
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Overall Survival
Time from start of therapy (day 1, cycle 1) to death. (NCT03468075)
Timeframe: Every 2 months for first 6 months, then every 3 months up to 2 years post treatment
Intervention | Participants (Count of Participants) |
---|
| Alive | Dead |
---|
Gemcitabine + High-Dose Ascorbate | 5 | 5 |
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Progression Free Survival
Time from start of therapy (day 1, cycle 1) to documented disease progression or death due to any cause. Progression will be defined using the RECIST 1.1 guidelines. Results are provided in nominal categories (CR, PR, SD, PD) as per RECIST. (NCT03468075)
Timeframe: Every 2 months for first 6 months, then every 3 months up to 2 years post treatment
Intervention | Participants (Count of Participants) |
---|
| 2 months | 3 months | 6 months | 9 months |
---|
Gemcitabine + High-Dose Ascorbate | 7 | 1 | 1 | 1 |
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Tumor Response
From first day of treatment to documented disease progression as described by RECIST 1.1 criteria. Results are provided in nominal categories (CR, PR, SD, PD) as per RECIST. (NCT03468075)
Timeframe: Every 2 months for first 6 months, then every 3 months up to 2 years post treatment
Intervention | Participants (Count of Participants) |
---|
| PD | SD | PR |
---|
Gemcitabine + High-Dose Ascorbate | 8 | 1 | 1 |
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Incidence of Adverse Events (AE) Per CTCAE 4.03
Categorize and quantify adverse events from start of therapy (day 1, cycle 1) to end of study per (CTCAE) version 4.03. (NCT03468075)
Timeframe: Up to 30 days after completion of study treatment
Intervention | adverse events (Number) |
---|
| Blood and lymphatic system disorders | Gastrointestinal disorders | Infections and infestations | Investigations | Metabolism and nutrition disorders | Musculoskeletal and connective tissue disorders | Psychiatric disorders | Renal and urinary disorders | Respiratory, thoracic and mediastinal disorders | Skin and subcutaneous tissue disorders | Vascular disorders | General disorders and administration site conditions |
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Gemcitabine + High-Dose Ascorbate | 4 | 7 | 1 | 43 | 2 | 1 | 1 | 1 | 11 | 3 | 2 | 7 |
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Part 1 and 2: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
An AE is as any untoward medical occurrence in a participant or clinical investigation in a participant administered a pharmaceutical product(s) and which does not necessarily have to have a causal relationship with this experimental intervention(s). A SAE is any AE that is fatal or life-threatening, permanently disabling (incapacitating or interfering with the ability to resume usual life patterns), results in unplanned in-subject hospitalization or prolongation of an existing hospitalization, results in a congenital abnormality or birth defect, or any other situation that require medical or scientific judgement. Number of participants with common >=0 percent (%) TEAEs and SAEs are presented. (NCT03488251)
Timeframe: Up to 168 Days
Intervention | Participants (Count of Participants) |
---|
| TEAEs | SAEs |
---|
Part 1 Cohort 1: MT-3724 10 mcg/kg/ GEM/ OX | 8 | 4 |
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Part 1 and 2: Number of Participants With Anti-drug Antibody Titer
Blood samples were planned to be collected at indicated time points for analysis of anti-drug antibody titer. (NCT03488251)
Timeframe: Up to 168 Days
Intervention | Participants (Count of Participants) |
---|
Part 1: Cohort 1: MT-3724 10 mcg/kg/ GEM/ OX | NA |
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Part 1 and 2: Number of Participants With Dose Limiting Toxicities (DLTs)
A DLT is any treatment-emergent adverse event (TEAE) that occurred after the start of infusion in cycle 1 of Part 1 and the TEAE is at least possibly related to the study drug, as determined by the sponsor after consultation with the investigator(s). (NCT03488251)
Timeframe: Up to 168 Days
Intervention | Participants (Count of Participants) |
---|
Part 1: Cohort 1: MT-3724 10 mcg/kg/ GEM/ OX | 2 |
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Part 1 and 2: Number of Participants With Immunophenotyping Data Outside the Reference Range
Blood samples were planned to be collected at indicated time points for analysis of immunophenotyping parameters which included cluster of differentiation (CD)3 (Percentage [%] and absolute), CD4 (% and absolute), CD8 (% and absolute), CD4:CD8 ratio, CD19 (% and absolute), Natural Killer (NK) cells (% and absolute), naïve B cells (% and absolute), non-switched memory B cells (% and absolute), class-switched memory B cells, Immunoglobulin (Ig)M only memory B cells (% and absolute), and total memory B cells (% and absolute). (NCT03488251)
Timeframe: Up to 168 Days
Intervention | Participants (Count of Participants) |
---|
Part 1: Cohort 1: MT-3724 10 mcg/kg/ GEM/ OX | NA |
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Part 1 and 2: Area Under the Plasma Concentration Time Curve (AUC) Following Administration of MT-3724
Blood samples were planned to be collected at indicated time points for PK analysis of MT-3724. (NCT03488251)
Timeframe: Cycle(C)1:Day1:Predose,10 minutes(min) before end of treatment(EOT),5,30 min,1,2,3,4 hours after EOT,Days5,12:Predose,10 min before EOT,5min,2hours after EOT;C2,C3,C4:Day1:Predose,10min before EOT,5 min after EOT(C1 is 42-days;C2,C3,C4 are 28-days cycles)
Intervention | Hours*micrograms per milliliter (Geometric Mean) |
---|
Part 1: Cohort 1: MT-3724 10 mcg/kg/ GEM/ OX | NA |
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Part 1 and 2: Maximum Concentration (Cmax) Following Administration of MT-3724
Blood samples were planned to be collected at indicated time points for pharmacokinetic (PK) analysis of MT-3724. PK Population consisted of all participants who received at least one dose of MT-3724 and have at least one post-Baseline PK value. (NCT03488251)
Timeframe: Cycle(C)1:Day1:Predose,10 minutes(min) before end of treatment(EOT),5,30 min,1,2,3,4 hours after EOT,Days5,12:Predose,10 min before EOT,5min,2hours after EOT;C2,C3,C4:Day1:Predose,10min before EOT,5 min after EOT(C1 is 42-days;C2,C3,C4 are 28-days cycles)
Intervention | Micrograms per milliliter (Geometric Mean) |
---|
Part 1 Cohort 1: MT-3724 10 mcg/kg/ GEM/ OX | NA |
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Part 1 and 2: Number of Participants With Positive Neutralizing Antibodies
Blood samples were planned to be collected at indicated time points for analysis of positive neutralizing antibodies. (NCT03488251)
Timeframe: Up to 168 Days
Intervention | Participants (Count of Participants) |
---|
Part 1: Cohort 1: MT-3724 10 mcg/kg/ GEM/ OX | NA |
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Part 1 and 2: Objective Response Rate
Objective response rate is defined as the participants with a reduction in tumor size (Partial Response [PR] or Complete Response [CR]) using the Lugano Classification for Lymphoma, adjusted according to Lymphoma response to immunomodulatory therapy criteria (LYRIC). (NCT03488251)
Timeframe: Up to 168 Days
Intervention | Participants (Count of Participants) |
---|
Part 1: Cohort 1: MT-3724 10 mcg/kg/ GEM/ OX | 3 |
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Part 1 and 2: Disease Control Rate
Disease Control rate is defined as participants with objective response of CR, PR or stable disease (SD) defined as SD for 3 months or longer from the Baseline scan. (NCT03488251)
Timeframe: Up to 168 Days
Intervention | Participants (Count of Participants) |
---|
Part 1: Cohort 1: MT-3724 10 mcg/kg/ GEM/ OX | NA |
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Part 1 and 2: Duration of Response
Duration of Response is defined as the time from first documented stable disease to the actual date of disease progression or death, for participants who met the criteria of having stable disease for at least 3 months from Baseline. Data was not collected due to early termination of the trial. (NCT03488251)
Timeframe: Up to 168 Days
Intervention | Months (Median) |
---|
Part 1: Cohort 1: MT-3724 10 mcg/kg/ GEM/ OX | NA |
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Part 1 and 2: Progression-free Survival
Progression-Free Survival is defined as the time from the start of treatment with MT-3724 on Cycle 1 Day 1 to the date of disease progression or death from any cause. Data was not collected due to early termination of the trial. (NCT03488251)
Timeframe: Up to 168 Days
Intervention | Months (Median) |
---|
Part 1: Cohort 1: MT-3724 10 mcg/kg/ GEM/ OX | NA |
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Part 1 and 2: Time to Maximum Plasma Concentration (Tmax) Following Administration of MT-3724
Blood samples were planned to be collected at indicated time points for PK analysis of MT-3724. (NCT03488251)
Timeframe: Cycle(C)1:Day1:Predose,10 minutes(min) before end of treatment(EOT),5,30 min,1,2,3,4 hours after EOT,Days5,12:Predose,10 min before EOT,5min,2hours after EOT;C2,C3,C4:Day1:Predose,10min before EOT,5 min after EOT(C1 is 42-days;C2,C3,C4 are 28-days cycles)
Intervention | Hours (Median) |
---|
Part 1: Cohort 1: MT-3724 10 mcg/kg/ GEM/ OX | NA |
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(Part B and Part A Experimental Dose Level 0 Only): Objective Response Rate
"Objective response rate (ORR) is defined as number of participants with complete response or partial response.~Complete Response (CR): Disappearance of all target and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Normalization of tumor marker level.~Partial Response (PR): At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters." (NCT03496662)
Timeframe: Through completion of treatment (approximately 4 months)
Intervention | Participants (Count of Participants) |
---|
Part A - Experimental Dose Level 0 | 1 |
Part B - Dose Expansion | 6 |
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(Part B and Part A Experimental Dose Level 0 Only): Percentage of Patients Whose Disease Becomes Resectable After Treatment
(NCT03496662)
Timeframe: Completion of treatment (approximately 4 months)
Intervention | Participants (Count of Participants) |
---|
Part A - Experimental Dose Level 0 | 1 |
Part B - Dose Expansion | 8 |
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(Part A Experimental Dose Level 0 Only) Safety of the Combination of BMS-813160 Plus Nivolumab Plus Gemcitabine Plus Nab-paclitaxel as Measured by Frequency, Type, and Severity of Adverse Events
-The descriptions and grading scales found in the revised NCI Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 will be utilized for all toxicity reporting. (NCT03496662)
Timeframe: Through 100 days after completion of treatment (approximately 7.5 months)
Intervention | Participants (Count of Participants) |
---|
| Grade 1-2 anemia | Grade 3 anemia | Grade 1-2 leukocytosis | Grade 1-2 abdominal pain | Grade 1-2 constipation | Grade 1-2 diarrhea | Grade 3 diarrhea | Grade 1-2 hemorrhoids | Grade 1-2 mucositis oral | Grade 1-2 nausea | Grade 4 upper gastrointestinal hemorrhage | Grade 1-2 vomiting | Grade 1-2 chills | Grade 1-2 edema limbs | Grade 1-2 fatigue | Grade 3 fatigue | Grade 1-2 fever | Grade 1-2 foot pain | Grade 1-2 sweating | Grade 1-2 activated partial thromboplastin time prolonged | Grade 1-2 alanine aminotransferase increased | Grade 3 alanine aminotransferase increased | Grade 1-2 alkaline phosphatase increased | Grade 3 alkaline phosphatase increased | Grade 1-2 aspartate aminotransferase increased | Grade 3 aspartate aminotransferase increased | Grade 1-2 creatinine increased | Grade 1-2 lymphocyte count decreased | Grade 3 lymphocyte count decreased | Grade 1-2 neutrophil count decreased | Grade 3 neutrophil count decreased | Grade 4 neutrophil count decreased | Grade 1-2 platelet count decreased | Grade 1-2 white blood cell decreased | Grade 3 white blood cell decreased | Grade 1-2 anorexia | Grade 1-2 dehydration | Grade 1-2 hyperglycemia | Grade 3 hyperglycemia | Grade 1-2 hypoalbuminemia | Grade 1-2 hypocalcemia | Grade 1-2 hypoglycemia | Grade 1-2 hypokalemia | Grade 3 hypokalemia | Grade 1-2 hyponatremia | Grade 3 hyponatremia | Grade 1-2 arthralgia | Grade 1-2 back pain | Grade 1-2 myalgia | Grade 1-2 pain in extremity | Grade 1-2 vertigo | Grade 1-2 dizziness | Grade 1-2 dysgeusia | Grade 1-2 headache | Grade 1-2 paresthesia | Grade 1-2 peripheral sensory neuropathy | Grade 1-2 tremor | Grade 1-2 depression | Grade 1-2 insomnia | Grade 1-2 cough | Grade 1-2 dyspnea | Grade 3 dyspnea | Grade 1-2 epistaxis | Grade 1-2 hoarseness | Grade 1-2 nasal congestion | Grade 1-2 pneumonitis | Grade 1-2 alopecia | Grade 1-2 dermatitis | Grade 1-2 discoloration | Grade 1-2 nail ridging | Grade 1-2 pruritis | Grade 1-2 rash maculopapular | Grade 1-2 skin hyperpigmentation | Grade 1-2 acute kidney injury | Grade 1-2 dysuria | Grade 1-2 hematuria | Grade 1-2 proteinuria | Grade 3 cholangitis | Grade 1-2 cholecystitis | Grade 3 gallbladder obstruction | Grade 1-2 hypertension | Grade 3 hypertension | Grade 1-2 hypotension | Grade 1-2 thromboembolic event | Grade 1-2 chest swelling | Grade 1-2 sinus bradycardia | Grade 1-2 vaginal bleeding | Grade 1-2 bruising | Grade 1-2 infusion related reaction | Grade 1-2 wound dehiscence | Grade 3 sepsis | Grade 1-2 gallbladder infection | Grade 1-2 upper respiratory infection |
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Part A - Experimental Dose Level 0 | 6 | 1 | 1 | 2 | 3 | 2 | 1 | 1 | 2 | 6 | 1 | 3 | 3 | 5 | 3 | 3 | 4 | 1 | 2 | 1 | 4 | 2 | 4 | 1 | 4 | 2 | 2 | 3 | 3 | 1 | 3 | 1 | 7 | 3 | 3 | 5 | 1 | 3 | 1 | 5 | 2 | 1 | 3 | 1 | 1 | 1 | 2 | 1 | 3 | 2 | 1 | 4 | 1 | 2 | 1 | 5 | 2 | 1 | 1 | 5 | 1 | 1 | 4 | 1 | 1 | 1 | 7 | 1 | 2 | 1 | 1 | 3 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 2 | 1 | 1 | 2 | 1 | 1 | 1 | 1 | 1 | 2 | 1 |
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Surgically Resectable
Patients able to proceed to surgery after administering necitumumab in the neoadjuvant setting with gemcitabine and cisplatin in surgically resectable patients with stage IB with tumor size >4cm, II and potentially resectable IIIA squamous cell lung cancer. (NCT03574818)
Timeframe: up to 63 days
Intervention | Participants (Count of Participants) |
---|
Arm 1 | 1 |
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Serum Concentrations of Durvalumab
Serum concentrations of durvalumab are reported. (NCT03611556)
Timeframe: Ten mins (± 5 mins) post EOI, approximately 1 hour (+ 15 mins) after start of infusion on C1D1 and C5D1; and pre-dose on C2D1 and C5D1
Intervention | μg/mL (Geometric Mean) |
---|
| C1D1 (EOI) | C2D1 (pre-dose) | C5D1 (pre-dose) | C5D1 (EOI) |
---|
Dose-escalation, Oleclumab 1500 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 292.5 | 35.97 | NA | NA |
,Dose-escalation, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 374.5 | 14.39 | 74.52 | 522.1 |
,Dose-escalation, Oleclumab 3000 mg + Durvalumab + mFOLFOX | 380.7 | 59.97 | 175.9 | 664.5 |
,Dose-expansion, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 345.8 | 86.20 | 137.9 | 597.9 |
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Serum Concentrations of Durvalumab
Serum concentrations of durvalumab are reported. (NCT03611556)
Timeframe: Ten mins (± 5 mins) post EOI, approximately 1 hour (+ 15 mins) after start of infusion on C1D1 and C5D1; and pre-dose on C2D1 and C5D1
Intervention | μg/mL (Geometric Mean) |
---|
| C1D1 (EOI) | C2D1 (pre-dose) |
---|
Dose-escalation, Oleclumab 1500 mg + Durvalumab + mFOLFOX | 309.0 | 50.52 |
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Plasma Concentrations of Nab-paclitaxel
Plasma concentrations of nab-paclitaxel are reported. (NCT03611556)
Timeframe: Ten mins (± 5 mins) post EOI, approximately 30-40 mins after start of infusion on C1D1 and C4D1; and pre-dose on C4D1
Intervention | ng/mL (Geometric Mean) |
---|
| C1D1 (EOI) | C4D1 (pre-dose) | C4D1 (EOI) |
---|
Dose-escalation, Oleclumab 1500 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 1711 | NA | NA |
,Dose-escalation, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 2685 | NA | 1474 |
,Dose-expansion, Gemcitabine + Nab-paclitaxel | 2381 | NA | 1825 |
,Dose-expansion, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 2611 | NA | 1747 |
,Dose-expansion, Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel | 2711 | NA | 1445 |
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Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs) in Dose Escalation Phase
An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is 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. The TEAEs are defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug. (NCT03611556)
Timeframe: Day 1 through 65.7 weeks (maximum observed duration)
Intervention | Participants (Count of Participants) |
---|
| Any TEAEs | Any TESAEs |
---|
Dose-escalation, Oleclumab 1500 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 7 | 4 |
,Dose-escalation, Oleclumab 1500 mg + Durvalumab + mFOLFOX | 3 | 0 |
,Dose-escalation, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 7 | 6 |
,Dose-escalation, Oleclumab 3000 mg + Durvalumab + mFOLFOX | 8 | 4 |
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Number of Participants With Positive ADA to Durvalumab
Number of participants with positive ADA to durvalumab are reported. Persistent positive is defined as positive at >= 2 post-baseline assessments (with >=16 weeks between first and last positive) or positive at last post-baseline assessment. Transient positive is defined as negative at last post-baseline assessment and positive at only one post-baseline assessment or at >= 2 post-baseline assessments (with <16 weeks between first and last positive). Treatment-boosted ADA is defined as baseline ADA positive titer that was boosted to a 4-fold or higher level following drug administration. (NCT03611556)
Timeframe: Day 1 through 128 weeks (Pre-dose on C1D1, C2D1, C3D1, Day 1 of every 3 cycles starting with C5, through 12 weeks post last dose of durvalumab)
Intervention | Participants (Count of Participants) |
---|
| ADA positive at baseline | ADA positive post-baseline | Persistent Positive | Transient Positive | Treatment-boosted ADA |
---|
Dose-escalation, Oleclumab 1500 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 0 | 1 | 1 | 0 | 0 |
,Dose-escalation, Oleclumab 1500 mg + Durvalumab + mFOLFOX | 0 | 0 | 0 | 0 | 0 |
,Dose-escalation, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 0 | 0 | 0 | 0 | 0 |
,Dose-escalation, Oleclumab 3000 mg + Durvalumab + mFOLFOX | 0 | 2 | 2 | 0 | 0 |
,Dose-expansion, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 2 | 0 | 0 | 0 | 0 |
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Number of Participants With TEAEs and TESAEs in Dose Expansion Phase
An AE is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE is 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. The TEAEs are defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug. (NCT03611556)
Timeframe: Day 1 through 172.1 weeks (maximum observed duration)
Intervention | Participants (Count of Participants) |
---|
| Any TEAEs | Any TESAEs |
---|
Dose-expansion, Gemcitabine + Nab-paclitaxel | 62 | 34 |
,Dose-expansion, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 70 | 37 |
,Dose-expansion, Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel | 37 | 24 |
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Number of Participants With Positive Anti-drug Antibodies (ADA) to Oleclumab
Number of participants with positive ADA to oleclumab are reported. Persistent positive is defined as positive at >= 2 post-baseline assessments (with >=16 weeks between first and last positive) or positive at last post-baseline assessment. Transient positive is defined as negative at last post-baseline assessment and positive at only one post-baseline assessment or at >= 2 post-baseline assessments (with <16 weeks between first and last positive). Treatment-boosted ADA is defined as baseline ADA positive titer that was boosted to a 4-fold or higher level following drug administration. (NCT03611556)
Timeframe: Day 1 through 172.1 weeks (Pre-dose on Cycle [C] 1 Day [D] 1, C2D1, C3D1, Day 1 of every 3 cycles starting with C5, through 12 weeks post last dose of oleclumab)
Intervention | Participants (Count of Participants) |
---|
| ADA positive at baseline | ADA positive post-baseline | Persistent Positive | Transient Positive | Treatment-boosted ADA |
---|
Dose-escalation, Oleclumab 1500 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 0 | 1 | 1 | 0 | 0 |
,Dose-escalation, Oleclumab 1500 mg + Durvalumab + mFOLFOX | 0 | 0 | 0 | 0 | 0 |
,Dose-escalation, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 0 | 0 | 0 | 0 | 0 |
,Dose-escalation, Oleclumab 3000 mg + Durvalumab + mFOLFOX | 0 | 1 | 1 | 0 | 0 |
,Dose-expansion, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 0 | 0 | 0 | 0 | 0 |
,Dose-expansion, Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel | 0 | 1 | 0 | 1 | 0 |
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Number of Participants With Abnormal Vital Signs Reported as TEAEs in Dose Expansion Phase
Number of participants with abnormal vital signs (temperature, blood pressure, pulse rate, and respiratory rate) reported as TEAEs are reported. (NCT03611556)
Timeframe: Day 1 through 172.1 weeks (maximum observed duration)
Intervention | Participants (Count of Participants) |
---|
| Hypothermia | Pyrexia | Dyspnoea | Dyspnoea exertional | Hypertension | Hypotension | Orthostatic hypotension |
---|
Dose-expansion, Gemcitabine + Nab-paclitaxel | 0 | 15 | 7 | 1 | 2 | 3 | 1 |
,Dose-expansion, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 1 | 21 | 8 | 2 | 11 | 4 | 0 |
,Dose-expansion, Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel | 0 | 12 | 6 | 1 | 3 | 4 | 0 |
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Number of Participants With Abnormal Vital Signs Reported as TEAEs in Dose Escalation Phase
Number of participants with abnormal vital signs (temperature, blood pressure, pulse rate, and respiratory rate) reported as TEAEs are reported. (NCT03611556)
Timeframe: Day 1 through 65.7 weeks (maximum observed duration)
Intervention | Participants (Count of Participants) |
---|
| Pyrexia | Dyspnoea | Dyspnoea exertional | Hypotension | Temperature intolerance | Hypertension |
---|
Dose-escalation, Oleclumab 1500 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 3 | 1 | 0 | 2 | 0 | 0 |
,Dose-escalation, Oleclumab 1500 mg + Durvalumab + mFOLFOX | 0 | 0 | 0 | 0 | 1 | 0 |
,Dose-escalation, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 3 | 0 | 1 | 1 | 0 | 0 |
,Dose-escalation, Oleclumab 3000 mg + Durvalumab + mFOLFOX | 1 | 0 | 0 | 1 | 0 | 1 |
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Number of Participants With Abnormal Electrocardiogram (ECG) Parameters Reported as TEAEs in Dose Escalation Phase
Number of participants with abnormal ECG parameters reported as TEAEs are reported. (NCT03611556)
Timeframe: Day 1 through 65.7 weeks (maximum observed duration)
Intervention | Participants (Count of Participants) |
---|
| Atrial fibrillation | Tachycardia | Atrioventricular block |
---|
Dose-escalation, Oleclumab 1500 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 0 | 0 | 0 |
,Dose-escalation, Oleclumab 1500 mg + Durvalumab + mFOLFOX | 0 | 0 | 0 |
,Dose-escalation, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 1 | 1 | 0 |
,Dose-escalation, Oleclumab 3000 mg + Durvalumab + mFOLFOX | 0 | 0 | 1 |
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Number of Participants With Abnormal ECG Parameters Reported as TEAEs in Dose Expansion Phase
Number of participants with abnormal ECG parameters reported as TEAEs are reported. (NCT03611556)
Timeframe: Day 1 through 172.1 weeks (maximum observed duration)
Intervention | Participants (Count of Participants) |
---|
| Supraventricular tachycardia | Tachycardia |
---|
Dose-expansion, Gemcitabine + Nab-paclitaxel | 0 | 2 |
,Dose-expansion, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 0 | 3 |
,Dose-expansion, Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel | 1 | 3 |
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Number of Participants With Abnormal Clinical Laboratory Parameters Reported as TEAEs in Dose Expansion Phase
Number of participants with abnormal clinical laboratory parameters reported as TEAEs are reported. (NCT03611556)
Timeframe: Day 1 through 172.1 weeks (maximum observed duration)
Intervention | Participants (Count of Participants) |
---|
| Anaemia | Febrile neutropenia | Leukocytosis | Leukopenia | Lymphopenia | Neutropenia | Thrombocytopenia | Thrombocytosis | Hyperthyroidism | Hypothyroidism | Hypertransaminasaemia | Alanine aminotransferase decreased | Alanine aminotransferase increased | Amylase increased | Aspartate aminotransferase increased | Blood albumin decreased | Blood alkaline phosphatase increased | Blood bilirubin increased | Blood creatinine increased | Blood glucose increased | Blood lactate dehydrogenase increased | Blood magnesium decreased | Blood oestrogen decreased | Gamma-glutamyltransferase increased | Haemoglobin decreased | International normalised ratio increased | Lipase increased | Liver function test increased | Lymphocyte count decreased | Neutrophil count | Neutrophil count decreased | Platelet count decreased | Troponin I increased | White blood cell count decreased | White blood cell count increased | Hyperglycaemia | Hyperkalaemia | Hypoalbuminaemia | Hypocalcaemia | Hypoglycaemia | Hypokalaemia | Hypomagnesaemia | Hyponatraemia | Hypophosphataemia | Hypovolaemia | Iron deficiency | Type 2 diabetes mellitus | Proteinuria |
---|
Dose-expansion, Gemcitabine + Nab-paclitaxel | 17 | 0 | 1 | 1 | 2 | 22 | 6 | 2 | 0 | 0 | 0 | 1 | 8 | 1 | 11 | 1 | 3 | 3 | 2 | 0 | 1 | 0 | 0 | 6 | 0 | 0 | 0 | 1 | 4 | 0 | 19 | 13 | 1 | 6 | 0 | 4 | 1 | 3 | 2 | 0 | 4 | 4 | 8 | 1 | 1 | 0 | 0 | 0 |
,Dose-expansion, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 28 | 3 | 1 | 3 | 2 | 16 | 13 | 1 | 3 | 7 | 0 | 0 | 16 | 1 | 15 | 0 | 8 | 2 | 8 | 0 | 3 | 0 | 0 | 8 | 1 | 1 | 2 | 0 | 6 | 1 | 24 | 20 | 0 | 10 | 0 | 6 | 1 | 6 | 3 | 2 | 8 | 6 | 3 | 0 | 0 | 1 | 0 | 1 |
,Dose-expansion, Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel | 14 | 1 | 0 | 2 | 0 | 15 | 7 | 0 | 0 | 0 | 1 | 0 | 9 | 0 | 8 | 0 | 2 | 3 | 0 | 2 | 0 | 1 | 1 | 1 | 0 | 0 | 1 | 0 | 2 | 0 | 8 | 9 | 0 | 6 | 1 | 2 | 1 | 2 | 2 | 0 | 2 | 3 | 0 | 0 | 0 | 0 | 1 | 1 |
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Number of Participants With Abnormal Clinical Laboratory Parameters Reported as TEAEs in Dose Escalation Phase
Number of participants with abnormal clinical laboratory parameters reported as TEAEs are reported. (NCT03611556)
Timeframe: Day 1 through 65.7 weeks (maximum observed duration)
Intervention | Participants (Count of Participants) |
---|
| Anaemia | Neutropenia | Thrombocytopenia | Hypothyroidism | Alanine aminotransferase increased | Aspartate aminotransferase increased | Blood alkaline phosphatase increased | Blood bilirubin increased | Blood creatinine increased | Blood glucose decreased | International normalised ratio increased | Lymphocyte count decreased | Neutrophil count decreased | Platelet count decreased | White blood cell count decreased | Hypoalbuminaemia | Hypocalcaemia | Hypokalaemia | Hypomagnesaemia | Hyponatraemia | Hypophosphataemia | Proteinuria | Hyperthyroidism | Amylase increased | Gamma-glutamyltransferase increased | Lipase increased |
---|
Dose-escalation, Oleclumab 1500 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 3 | 2 | 2 | 0 | 3 | 3 | 2 | 1 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
,Dose-escalation, Oleclumab 1500 mg + Durvalumab + mFOLFOX | 1 | 2 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
,Dose-escalation, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 3 | 2 | 2 | 1 | 4 | 3 | 1 | 0 | 3 | 0 | 0 | 1 | 2 | 3 | 2 | 2 | 1 | 3 | 2 | 2 | 1 | 0 | 0 | 0 | 0 | 0 |
,Dose-escalation, Oleclumab 3000 mg + Durvalumab + mFOLFOX | 0 | 1 | 1 | 1 | 2 | 3 | 1 | 1 | 0 | 0 | 0 | 2 | 3 | 2 | 2 | 1 | 1 | 2 | 1 | 2 | 0 | 0 | 1 | 1 | 1 | 1 |
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Progression-free Survival According to RECIST v1.1 in Dose Expansion Phase
The PFS is defined as the time from randomization until the first documentation of a PD or death due to any cause, whichever occurred first, regardless of whether the participant received subsequent anticancer treatment prior to progression. The PD is defined as at least a 20% increase in sum of the diameters of target lesions, taking as reference the smallest sum on study and an absolute increase of at least 5 mm of sum of the diameters, or unequivocal progression of existing non-target lesions, or the appearance of new lesion/s. Participants who had no documented progression and were still alive at the time of analysis were censored at the time of the latest date of assessment from their last evaluable RECIST v1.1 assessment. The PFS is assessed using the Kaplan-Meier method. (NCT03611556)
Timeframe: Baseline (Days -28 to -1) through 36.1 months (maximum observed duration)
Intervention | Months (Median) |
---|
Dose-expansion, Gemcitabine + Nab-paclitaxel | 6.7 |
Dose-expansion, Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel | 5.6 |
Dose-expansion, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 7.5 |
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Progression-free Survival According to RECIST v1.1 by CD73 Expression at Baseline in Dose Expansion Phase
The PFS is defined as the time from randomization until the first documentation of a PD or death due to any cause, whichever occurred first, regardless of whether the participant receives subsequent anticancer treatment prior to progression. The PD is defined as at least a 20% increase in SoD of TLs, taking as reference the smallest sum on study and an absolute increase of at least 5 mm of SoD, or unequivocal progression of existing NTLs, or the appearance of new lesion/s. Participants who had no documented progression and were still alive at time of analysis were censored at time of latest date of assessment from their last evaluable RECIST v1.1 assessment. PFS is assessed by CD73 expression level either low/high at baseline using Kaplan-Meier method. CD73 low: No CD73 expression in tumor cells/<50% of tumor cells with 2+/3+ intensity. CD73 high: CD73 expression with 2+/3+ intensity in >=50% of tumor cells. (NCT03611556)
Timeframe: Baseline (Days -28 to -1) through 36.1 months (maximum observed duration)
Intervention | Months (Median) |
---|
Gemcitabine + Nab-paclitaxel: CD73 Level = High | 5.6 |
Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel: CD73 Level = High | 5.2 |
Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel: CD73 Level = High | 5.5 |
Gemcitabine + Nab-paclitaxel: CD73 Level = Low | 10.5 |
Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel: CD73 Level = Low | 7.6 |
Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel: CD73 Level = Low | 10.9 |
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Percentage of Participants With OR According to RECIST v1.1 in Dose Escalation Phase
The OR is defined as best overall response of confirmed CR or confirmed PR based on RECIST v1.1 guidelines. The CR is defined as disappearance of all target and non-target lesions, any pathological lymph nodes (target and non-target) must have reduction in short axis < 10 mm, and no new lesions. The PR is defined as at least a 30% decrease in the sum of the diameters of target lesions (compared to baseline) and no new lesions. Confirmation of CR and PR is required by a repeat, consecutive assessment no less than 4 weeks from the date of first documentation. Percentage of participants with OR is reported. (NCT03611556)
Timeframe: Baseline (Days -28 to -1) through 24.5 months (maximum observed duration)
Intervention | Percentage of Participants (Number) |
---|
Dose-escalation, Oleclumab 1500 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 0 |
Dose-escalation, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 14.3 |
Dose-escalation, Oleclumab 1500 mg + Durvalumab + mFOLFOX | 0 |
Dose-escalation, Oleclumab 3000 mg + Durvalumab + mFOLFOX | 12.5 |
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Percentage of Participants With OR According to RECIST v1.1 by CD73 Expression at Baseline in Dose Expansion Phase
The OR is defined as best overall response of confirmed CR or confirmed PR based on RECIST v1.1. The CR is defined as disappearance of all TLs and NTLs, any pathological lymph nodes (target and non-target) must have reduction in short axis <10 mm, and no new lesions. The PR is defined as at least a 30% decrease in the SoD of TLs (compared to baseline) and no new lesions. Confirmation of CR and PR is required by a repeat, consecutive assessment no less than 4 weeks from the date of first documentation. The OR is assessed by cluster of differentiation 73 (CD73) expression level either low or high at baseline. The CD73 low is defined as no CD73 expression in tumor cells or <50% of tumor cells with 2+ or 3+ intensity and CD73 high is defined as CD73 expression with 2+ or 3+ intensity in >=50% of tumor cells. (NCT03611556)
Timeframe: Baseline (Days -28 to -1) through 36.1 months (maximum observed duration)
Intervention | Percentage of Participants (Number) |
---|
Gemcitabine + Nab-paclitaxel: CD73 Level = High | 23.9 |
Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel: CD73 Level = High | 22.2 |
Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel: CD73 Level = High | 31.4 |
Gemcitabine + Nab-paclitaxel: CD73 Level = Low | 43.8 |
Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel: CD73 Level = Low | 18.2 |
Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel: CD73 Level = Low | 36.8 |
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Percentage of Participants With Objective Response (OR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) in Dose Expansion Phase
The OR is defined as best overall response of confirmed complete response (CR) or confirmed partial response (PR) based on RECIST v1.1 guidelines. The CR is defined as disappearance of all target lesions (TLs) and non-target lesions (NTLs), any pathological lymph nodes (target and non-target) must have reduction in short axis < 10 mm, and no new lesions. The PR is defined as at least a 30% decrease in the sum of the diameters (SoD) of TLs (compared to baseline) and no new lesions. Confirmation of CR and PR is required by a repeat, consecutive assessment no less than 4 weeks from the date of first documentation. Percentage of participants with OR is reported. (NCT03611556)
Timeframe: Baseline (Days -28 to -1) through 36.1 months (maximum observed duration)
Intervention | Percentage of Participants (Number) |
---|
Dose-expansion, Gemcitabine + Nab-paclitaxel | 29.0 |
Dose-expansion, Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel | 21.1 |
Dose-expansion, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 32.9 |
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Percentage of Participants With Disease Control (DC) According to RECIST v1.1 in Dose Escalation Phase
The DC is defined as confirmed CR, PR, or stable disease (SD) (maintained for >=8 weeks). The CR is defined as disappearance of all TLs and NTLs, any pathological lymph nodes (target and non-target) must have reduction in short axis <10 mm, and no new lesions. The PR is defined as at least a 30% decrease in the SoD of TLs (compared to baseline) and no new lesions. Confirmation of CR and PR is required by a repeat, consecutive assessment no less than 4 weeks from date of first documentation. The SD is defined as neither sufficient shrinkage of TLs to qualify for PR nor sufficient increase of TLs to qualify for progressive disease (PD), taking as reference the smallest SoD while on study, and no new lesions. The PD is defined as at least a 20% increase in SoD of TLs, taking as reference the smallest sum on study and an absolute increase of at least 5 mm of SoD, or unequivocal progression of existing NTLs, or the appearance of new lesion/s. Percentage of participants with DC is reported. (NCT03611556)
Timeframe: Baseline (Days -28 to -1) through 24.5 months (maximum observed duration)
Intervention | Percentage of Participants (Number) |
---|
Dose-escalation, Oleclumab 1500 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 42.9 |
Dose-escalation, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 71.4 |
Dose-escalation, Oleclumab 1500 mg + Durvalumab + mFOLFOX | 66.7 |
Dose-escalation, Oleclumab 3000 mg + Durvalumab + mFOLFOX | 62.5 |
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Percentage of Participants With DC According to RECIST v1.1 in Dose Expansion Phase
The DC is defined as confirmed CR, PR, or stable disease (SD) (maintained for >=8 weeks). The CR is defined as disappearance of all TLs and NTLs, any pathological lymph nodes (target and non-target) must have reduction in short axis <10 mm, and no new lesions. The PR is defined as at least a 30% decrease in the SoD of TLs (compared to baseline) and no new lesions. Confirmation of CR and PR is required by a repeat, consecutive assessment no less than 4 weeks from date of first documentation. The SD is defined as neither sufficient shrinkage of TLs to qualify for PR nor sufficient increase of TLs to qualify for PD, taking as reference the smallest SoD while on study, and no new lesions. The PD is defined as at least a 20% increase in SoD of TLs, taking as reference the smallest sum on study and an absolute increase of at least 5 mm of SoD, or unequivocal progression of existing NTLs, or the appearance of new lesion/s. Percentage of participants with DC is reported. (NCT03611556)
Timeframe: Baseline (Days -28 to -1) through 36.1 months (maximum observed duration)
Intervention | Percentage of Participants (Number) |
---|
Dose-expansion, Gemcitabine + Nab-paclitaxel | 66.1 |
Dose-expansion, Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel | 73.7 |
Dose-expansion, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 75.7 |
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Overall Survival in Dose Expansion Phase
The overall survival is defined as the time from the randomization until death due to any cause. For participants who were alive at the time of data cut off, overall survival was censored on the last date when participants were known to be alive. The overall survival is assessed using the Kaplan-Meier method. (NCT03611556)
Timeframe: Baseline (Days -28 to -1) through 38.7 months (maximum observed duration)
Intervention | Months (Median) |
---|
Dose-expansion, Gemcitabine + Nab-paclitaxel | 10.8 |
Dose-expansion, Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel | 8.9 |
Dose-expansion, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 12.9 |
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Overall Survival by CD73 Expression at Baseline in Dose Expansion Phase
The overall survival is defined as the time from the randomization until death due to any cause. For participants who were alive at the time of data cut off, overall survival was censored on the last date when participants were known to be alive. The overall survival is assessed by CD73 expression level either low or high at baseline using the Kaplan-Meier method. The CD73 low is defined as no CD73 expression in tumor cells or <50% of tumor cells with 2+ or 3+ intensity and CD73 high is defined as CD73 expression with 2+ or 3+ intensity in >=50% of tumor cells. (NCT03611556)
Timeframe: Baseline (Days -28 to -1) through 38.7 months (maximum observed duration)
Intervention | Months (Median) |
---|
Gemcitabine + Nab-paclitaxel: CD73 Level = High | 9.9 |
Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel: CD73 Level = High | 7.9 |
Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel: CD73 Level = High | 12.1 |
Gemcitabine + Nab-paclitaxel: CD73 Level = Low | 22.2 |
Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel: CD73 Level = Low | 16.0 |
Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel: CD73 Level = Low | 16.1 |
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Number of Participants With Progression-free Survival Events According to RECIST v1.1 in Dose Expansion Phase
Progression-free survival (PFS) is defined as the time from randomization until the first documentation of a PD or death due to any cause, whichever occurred first, regardless of whether the participant received subsequent anticancer treatment prior to progression. The PD is defined as at least a 20% increase in sum of the diameters of target lesions, taking as reference the smallest sum on study and an absolute increase of at least 5 mm of sum of the diameters, or unequivocal progression of existing non-target lesions, or the appearance of new lesion/s. Participants who had no documented progression and were still alive at the time of analysis were censored at the time of the latest date of assessment from their last evaluable RECIST v1.1 assessment. The PFS is assessed using the Kaplan-Meier method. The number of participants with PFS events is reported. (NCT03611556)
Timeframe: Baseline (Days -28 to -1) through 36.1 months (maximum observed duration)
Intervention | Participants with event (Number) |
---|
Dose-expansion, Gemcitabine + Nab-paclitaxel | 43 |
Dose-expansion, Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel | 32 |
Dose-expansion, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 51 |
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Number of Participants With Progression-free Survival Events According to RECIST v1.1 by CD73 Expression at Baseline in Dose Expansion Phase
PFS: Time from randomization until first documentation of PD/death due to any cause, whichever occurred first, regardless of whether participant received subsequent anticancer treatment prior to progression. PD:>=20% increase in SoD of TLs and an absolute increase of >= 5 mm of SoD/unequivocal progression of existing NTLs/appearance of new lesion. Participants who had no documented progression and were still alive at the time of analysis were censored at time of latest date of assessment from their last evaluable RECIST v1.1 assessment. PFS is assessed by CD73 expression level either low/high at baseline using Kaplan-Meier method. CD73 low: No CD73 expression in tumor cells/<50% of tumor cells with 2+/3+ intensity. CD73 high: CD73 expression with 2+/3+ intensity in >=50% of tumor cells. Number of participants with PFS events is reported. (NCT03611556)
Timeframe: Baseline (Days -28 to -1) through 36.1 months (maximum observed duration)
Intervention | Participants with event (Number) |
---|
Gemcitabine + Nab-paclitaxel: CD73 Level = High | 35 |
Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel: CD73 Level = High | 23 |
Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel: CD73 Level = High | 39 |
Gemcitabine + Nab-paclitaxel: CD73 Level = Low | 8 |
Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel: CD73 Level = Low | 9 |
Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel: CD73 Level = Low | 12 |
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Number of Participants With Overall Survival Events in Dose Expansion Phase
The overall survival is defined as the time from the randomization until death due to any cause. For participants who were alive at the time of data cut off, overall survival was censored on the last date when participants were known to be alive. The overall survival is assessed using the Kaplan-Meier method. The number of participants with overall survival events (deaths) is reported. (NCT03611556)
Timeframe: Baseline (Days -28 to -1) through 38.7 months (maximum observed duration)
Intervention | Participants with event (Number) |
---|
Dose-expansion, Gemcitabine + Nab-paclitaxel | 47 |
Dose-expansion, Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel | 32 |
Dose-expansion, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 53 |
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Serum Concentrations of Oleclumab
Serum concentrations of oleclumab are reported. (NCT03611556)
Timeframe: Ten minutes (mins) (± 5 mins) post end of infusion (EOI), approximately 1 hour (+ 15 mins) after start of infusion on C1D1, C3D1, and C5D1; and pre-dose on C3D1 and C5D1
Intervention | μg/mL (Geometric Mean) |
---|
| C1D1 (EOI) | C3D1 (pre-dose) | C3D1 (EOI) | C5D1 (pre-dose) | C5D1 (EOI) |
---|
Dose-escalation, Oleclumab 1500 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 297.6 | 128.6 | NA | NA | NA |
,Dose-escalation, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 710.2 | 211.5 | 870.3 | 73.19 | 948.3 |
,Dose-escalation, Oleclumab 3000 mg + Durvalumab + mFOLFOX | 734.6 | 368.9 | 1181 | 235.7 | 1057 |
,Dose-expansion, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 725.9 | 226.8 | 894.4 | 116.4 | 753.2 |
,Dose-expansion, Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel | 704.4 | 164.8 | 893.0 | 85.99 | 852.8 |
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Serum Concentrations of Oleclumab
Serum concentrations of oleclumab are reported. (NCT03611556)
Timeframe: Ten minutes (mins) (± 5 mins) post end of infusion (EOI), approximately 1 hour (+ 15 mins) after start of infusion on C1D1, C3D1, and C5D1; and pre-dose on C3D1 and C5D1
Intervention | μg/mL (Geometric Mean) |
---|
| C1D1 (EOI) | C3D1 (pre-dose) | C3D1 (EOI) |
---|
Dose-escalation, Oleclumab 1500 mg + Durvalumab + mFOLFOX | 412.7 | 134.3 | 571.1 |
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Number of Participants With Overall Survival Events by CD73 Expression at Baseline in Dose Expansion Phase
The overall survival is defined as the time from the randomization until death due to any cause. For participants who were alive at the time of data cut off, overall survival was censored on the last date when participants were known to be alive. The overall survival is assessed by CD73 expression level either low or high at baseline using the Kaplan-Meier method. The CD73 low is defined as no CD73 expression in tumor cells or <50% of tumor cells with 2+ or 3+ intensity and CD73 high is defined as CD73 expression with 2+ or 3+ intensity in >=50% of tumor cells. The number of participants with overall survival events (deaths) is reported. (NCT03611556)
Timeframe: Baseline (Days -28 to -1) through 38.7 months (maximum observed duration)
Intervention | Participants with event (Number) |
---|
Gemcitabine + Nab-paclitaxel: CD73 Level = High | 37 |
Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel: CD73 Level = High | 22 |
Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel: CD73 Level = High | 39 |
Gemcitabine + Nab-paclitaxel: CD73 Level = Low | 10 |
Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel: CD73 Level = Low | 10 |
Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel: CD73 Level = Low | 14 |
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Number of Participants With Dose-limiting Toxicities (DLTs) in Dose Escalation Phase
DLT: Any study drug related Grade (G)3 or higher toxicity including: any G4 immune-mediated AEs, >=G3 colitis/pneumonitis/interstitial lung disease (ILD), >=G3 nausea/vomiting/diarrhea that does not resolve to G2 or less within 3 days of maximal supportive care (MSC), G2 pneumonitis/ILD that does not resolve within 7 days of initiation of MSC, G4 anemia, G3 anemia with clinical sequelae/requires >2 units of red blood cells transfusion, G4 thrombocytopenia/neutropenia >=7 days, G3/4 thrombocytopenia with >=G3 hemorrhage, G4 febrile neutropenia (FN), G3 FN lasting >=5 days while receiving MSC, isolated G3 liver transaminase elevation (LTE)/ isolated G3 total bilirubin (TBL) that does not downgrade to G1 or less within 14 days of onset, isolated G4 LTE or TBL, elevated aspartate aminotransferase/alanine aminotransferase >3×upper limit of normal (ULN) and concurrent TBL >2×ULN without cholestasis or alternative explanations, any other toxicity judged as a DLT by Dose Escalation Committee. (NCT03611556)
Timeframe: From Day 1 to 28 days after the first dose of study drugs
Intervention | Participants (Count of Participants) |
---|
Dose-escalation, Oleclumab 1500 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 0 |
Dose-escalation, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 0 |
Dose-escalation, Oleclumab 1500 mg + Durvalumab + mFOLFOX | 0 |
Dose-escalation, Oleclumab 3000 mg + Durvalumab + mFOLFOX | 1 |
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Duration of Response (DoR) According to RECIST v1.1 in Dose Expansion Phase
The DoR is defined as the time from the first documentation of an OR until the first documentation of a PD or death due to any cause, whichever occurs first. The OR is defined as best overall response of confirmed CR or PR based on RECIST v1.1 guidelines. The CR is defined as disappearance of all TLs and NTLs, any pathological lymph nodes (target and non-target) must have reduction in short axis < 10 mm, and no new lesions. The PR is defined as at least a 30% decrease in the SoD of TLs (compared to baseline) and no new lesions. Confirmation of CR and PR is required by a repeat, consecutive assessment no less than 4 weeks from the date of first documentation. The PD is defined as at least a 20% increase in SoD of TLs, taking as reference the smallest sum on study and an absolute increase of at least 5 mm of SoD, or unequivocal progression of existing NTLs, or the appearance of new lesion/s. The DoR is assessed using the Kaplan-Meier method. (NCT03611556)
Timeframe: Baseline (Days -28 to -1) through 36.1 months (maximum observed duration)
Intervention | Months (Median) |
---|
Dose-expansion, Gemcitabine + Nab-paclitaxel | 7.2 |
Dose-expansion, Oleclumab 3000 mg + Gemcitabine + Nab-paclitaxel | 12.9 |
Dose-expansion, Oleclumab 3000 mg + Durvalumab + Gemcitabine + Nab-paclitaxel | 9.5 |
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DOR (Duration of Response)
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, 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 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 must also have demonstrated an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered PD. DOR assessments were based on BIRRC assessment. The DOR according to RECIST 1.1 for all participants who experienced a confirmed CR or PR was reported for each arm. (NCT03629925)
Timeframe: Through Database Cutoff Date of 25 March 2020 (up to approximately 18 months)
Intervention | Months (Median) |
---|
Sintilimab+ Gemcitabine Plus Platinum | 6.05 |
Placebo+Gemcitabine Plus Platinum | 5.06 |
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DCR (Disease Control Rate)
DCR was defined as the percentage of participants who had a CR (disappearance of all target lesions), PR (at least a 30% decrease in the sum of diameters of target lesions), or Stable Disease (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]). The percentage of participants who experienced a confirmed CR, PR, or SD according to RECIST 1.1 as assessed by BIRRC was reported as the DCR for each arm. (NCT03629925)
Timeframe: Through Database Cutoff Date of 25 March 2020 (up to approximately 18 months)
Intervention | Percentage of Participants (Number) |
---|
Sintilimab+ Gemcitabine Plus Platinum | 86.0 |
Placebo+Gemcitabine Plus Platinum | 80.3 |
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PFS(Progression Free Survival)
PFS was defined as the time from randomization to the first documented 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 have demonstrated an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD. PFS according to RECIST 1.1 as assessed by BIRRC was reported for each arm. (NCT03629925)
Timeframe: Through Database Cutoff Date of 25 March 2020 (up to approximately 18 months)
Intervention | months (Median) |
---|
Sintilimab+ Gemcitabine Plus Platinum | 5.5 |
Placebo+Gemcitabine Plus Platinum | 4.9 |
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TTR (Time to Response)
TTR was defined as the time of participants from the first treatment administration to the first incidence of a confirmed CR (disappearance of all lesions) or PR (at least a 30% decrease in the sum of diameters [SOD] of target lesions, taking as reference the baseline SOD) according to RECIST 1.1. The time from first treatment administration to the first incidence of treatment response was reported as the TTR for each arm. (NCT03629925)
Timeframe: Through Database Cutoff Date of 25 March 2020 (up to approximately 18 months)
Intervention | Months (Median) |
---|
Sintilimab+ Gemcitabine Plus Platinum | 1.41 |
Placebo+Gemcitabine Plus Platinum | 1.41 |
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OS (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 to be censored at the date of the last follow-up. OS was reported for each arm. (NCT03629925)
Timeframe: Through Database Cutoff Date of 15 October 2019 (up to approximately 13 months)
Intervention | Months (Median) |
---|
Sintilimab+ Gemcitabine Plus Platinum | NA |
Placebo+Gemcitabine Plus Platinum | NA |
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ORR(Objective Response Rate)
ORR was defined as the percentage of participants in the analysis population who had a confirmed Complete Response (CR: disappearance of all lesions) or Partial Response (PR: at least a 30% decrease in the sum of diameters [SOD] of target lesions, taking as reference the baseline SOD) according to RECIST 1.1. The percentage of participants who experienced a confirmed CR or PR according to RECIST 1.1 as assessed by BIRRC was reported as the ORR for each arm. (NCT03629925)
Timeframe: Through Database Cutoff Date of 25 March 2020 (up to approximately 18 months)
Intervention | Percentage of Participants (Number) |
---|
Sintilimab+ Gemcitabine Plus Platinum | 44.7 |
Placebo+Gemcitabine Plus Platinum | 35.4 |
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Number of Participants With an Adverse Event of Grade 3 or Higher
Assess safety and tolerability of bemcentinib plus chemotherapy in patients with metastatic pancreatic adenocarcinoma and will be graded according to the NCI CTCAE, Version 5 (NCT03649321)
Timeframe: Every 4 months from time of first dose of study drug until completion of treatment for approximately 42 months.
Intervention | Participants (Count of Participants) |
---|
Phase 1b | 5 |
Phase 2 | 0 |
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Overall Response Rate (ORR)
Determine the clinical activity as defined by overall response rate (ORR) of bemcentinib plus chemotherapy (nab-paclitaxel/gemcitabine) in patients with metastatic pancreatic adenocarcinoma. The analyses of ORR was performed on the Response Evaluable Population. ORR is defined as the proportion of patients with CR+partial response as their best clinical response. (NCT03649321)
Timeframe: Every 4 months from time of first dose of study drug until completion of treatment for approximately 42 months.
Intervention | Participants (Count of Participants) |
---|
Phase 1b | 2 |
Phase 2 | 0 |
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Clinical Benefit Rate
Determine clinical benefit rate as defined by complete response (CR), Partial Response (PR), and Stable Disease (SD) response rates. Clinical benefit response - percent of CR, PR, and SD. (NCT03649321)
Timeframe: Every 4 months from time of first dose of study drug until completion of treatment for approximately 42 months.
Intervention | Participants (Count of Participants) |
---|
Phase 1b | 6 |
Phase 2 | 0 |
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Complete Response Rate (CR)
Determine clinical activity of bemcentinib plus chemotherapy as defined by complete response rate (CRR), partial response, stable disease, duration of response - overall response/stable disease, median progression free survival (PFS) and overall survival (OS) rate. (NCT03649321)
Timeframe: Every 4 months from time of first dose of study drug until completion of treatment for approximately 42 months.
Intervention | Participants (Count of Participants) |
---|
Phase 1b | 0 |
Phase 2 | 0 |
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Number of Participants With Positive Responses to Therapy Per Response Evaluation Criteria in Solid Tumors (RECIST)
"Objective RR (complete response [CR] + partial response [PR]) will be compared between this study sample and a historical benchmark value of 10%. For this comparison we will use a one-sample test of proportion.~Complete Response (CR): Disappearance of all target lesions.~Partial Response (PR): Decrease by ≥ 30% in sum of longest diameter of target lesions.~Stable Disease (SD): Not meeting criteria for CR, PR, or PD.~Progressive Disease (PD): Increase by ≥ 20% in sum of longest diameter of target lesions or the appearance of one or more new lesions.~The response in non-target lesions is defined as follows:~Complete Response (CR): Complete disappearance of all non-target lesions.~Stable Disease (SD): Persistence of one or more non-target lesion(s).~Progressive Disease (PD): Appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions." (NCT03662074)
Timeframe: Up to 8 weeks
Intervention | Participants (Count of Participants) |
---|
| Partial response | Progressive disease | Lost to follow up |
---|
Treatment (Gemcitabine, Nivolumab) | 1 | 11 | 2 |
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Progression-free Survival (PFS) - Months
A median value (months) of progressive-free survival will be estimated using standard Kaplan Meier survival analysis methods. Progressive Disease (PD): Increase by ≥ 20% in sum of longest diameter of target lesions or the appearance of one or more new lesions (NCT03662074)
Timeframe: Duration of time from the start of treatment to the time of investigator assessed progression or death, assessed up to 2 years
Intervention | months (Median) |
---|
Treatment (Gemcitabine, Nivolumab) | 1.8 |
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Overall Survival (OS) - Months
A median value (months) of overall survival will be estimated using standard Kaplan Meier survival analysis methods. (NCT03662074)
Timeframe: Duration of time from the start of treatment to date of death, assessed up to 2 years
Intervention | months (Median) |
---|
Treatment (Gemcitabine, Nivolumab) | 3.2 |
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Number of Adverse Events
Toxicity rates will be estimated by responder status and presented overall and by body site per Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 (NCT03662074)
Timeframe: Up to 2 years
Intervention | Number of adverse events reported (Number) |
---|
Treatment (Gemcitabine, Nivolumab) | 12 |
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Progression-free Survival (PFS) - Number of Participants
Progression-free survival will be estimated using standard Kaplan Meier survival analysis methods. Progression-Free Survival (PFS) is defined as the duration of time from the start of treatment to the time of investigator assessed progression or death. Progressive Disease (PD): Increase by ≥ 20% in sum of longest diameter of target lesions or the appearance of one or more new lesions (NCT03662074)
Timeframe: Duration of time from the start of treatment to the time of investigator assessed progression or death, assessed up to 2 years
Intervention | Participants (Count of Participants) |
---|
| Participants that had disease progression | Participants that did not have disease progression |
---|
Treatment (Gemcitabine, Nivolumab) | 11 | 3 |
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Overall Survival (OS) - Number of Participants
OS will be estimated using standard Kaplan Meier survival analysis methods. (NCT03662074)
Timeframe: Duration of time from the start of treatment to date of death, assessed up to 2 years
Intervention | Participants (Count of Participants) |
---|
| Deaths - any reason | Survivors |
---|
Treatment (Gemcitabine, Nivolumab) | 8 | 6 |
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Disease Control Rate (DCR)
To compare the between the 2 treatment arms (NCT03665441)
Timeframe: ~24 weeks
Intervention | Participants (Count of Participants) |
---|
Eryaspase Plus Chemotherapy | 147 |
Chemotherapy Alone | 126 |
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Time to Quality of Life Questionnaire EORTC QLQ-C30 First Worsening in Global Health Status Analysis
The time to first Worsening was defined as the date of randomization to the date of first Worsening occurred in patient score on their global health status. Patients who did not have any worsening were censored at date of last measurement or at baseline if no measurement is available post-baseline. (NCT03665441)
Timeframe: ~1 year
Intervention | months (Median) |
---|
Eryaspase Plus Chemotherapy | 4.0 |
Chemotherapy Alone | 3.6 |
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Duration of Response (DoR)
To compare the DoR between the 2 treatment arms (NCT03665441)
Timeframe: ~24 weeks
Intervention | months (Median) |
---|
Eryaspase Plus Chemotherapy | 5.7 |
Chemotherapy Alone | 6.8 |
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Incidence of Treatment Emergent Adverse Events as Assessed by CTCAE v5.0
To evaluate the safety and tolerability of eryaspase in combination with chemotherapy versus chemotherapy alone by assessing the number of patients with with treatment emergent adverse events per CTCAE v5.0 (NCT03665441)
Timeframe: ~9 months
Intervention | participants (Number) |
---|
| Number of patients with treatment emergent adverse events (TEAE) | number of patients with TEAE >= Grade 3 | Number of patients with TE SAE | Number of patients with TEAEs leading to study drug discontinuation | Number of patients with TE SAE with outcome of death |
---|
Chemotherapy Alone | 246 | 176 | 105 | 41 | 9 |
,Eryaspase Plus Chemotherapy | 248 | 195 | 122 | 46 | 14 |
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Objective Response Rate (ORR)
To compare the ORR between the 2 treatment arms. ORR is defined as the proportion of patients who achieve objective tumor response (CR or PR) per modified RECIST 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. (NCT03665441)
Timeframe: ~24 weeks
Intervention | Participants (Count of Participants) |
---|
Eryaspase Plus Chemotherapy | 41 |
Chemotherapy Alone | 32 |
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Overall Survival (OS)
To determine whether the addition of eryaspase to chemotherapy improves OS when compared to chemotherapy alone (NCT03665441)
Timeframe: ~12 months
Intervention | months (Median) |
---|
Eryaspase Plus Chemotherapy | 7.5 |
Chemotherapy Alone | 6.7 |
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Progression Free Survival (PFS)
To compare PFS between the 2 treatment arm. Progression is determined 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. (NCT03665441)
Timeframe: ~24 weeks
Intervention | months (Median) |
---|
Eryaspase Plus Chemotherapy | 3.7 |
Chemotherapy Alone | 3.4 |
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Overall Response Rate (ORR)
ORR is defined as the proportion of patients who achieved a complete response (CR) or partial response (PR) as per RANO (2010) criteria for patients with high grade glioma (Cohorts 1a and 1b). For patients with low grade glioma, ORR is defined as CR+PR+minor response (MR) as per LGG RANO criteria (2011). For Cohorts 2-5, ORR is defined as CR+PR as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria. (NCT03684811)
Timeframe: While on treatment
Intervention | Participants (Count of Participants) |
---|
Cohort 1A | 2 |
Cohort 1B | 0 |
Cohort 2A | 1 |
Cohort 3A | 0 |
Cohort 4A | 0 |
Cohort 5A | 0 |
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Overall Survival (OS)
Overall survival (OS), defined as the time in weeks from the first dose to death due to any cause or date last known alive at end of follow-up (NCT03684811)
Timeframe: From date of first dose until the date of death from any cause, assessed up to 101 weeks
Intervention | weeks (Median) |
---|
Cohort 1A | 75.00 |
Cohort 1B | NA |
Cohort 2A | NA |
Cohort 3A | NA |
Cohort 4A | 36.43 |
Cohort 5A | NA |
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Progression-Free Survival (PFS)
Progression-Free Survival from time of entry on study. Progression-free survival (PFS) is defined as the time from the first dose to disease progression as determined by applicable disease criteria or death due to any cause, whichever was sooner. Disease progression as measured by the appropriate response criteria, unless deemed by the Investigator to be receiving clinical benefit (NCT03684811)
Timeframe: From time of entry on study through progression, up to 24 weeks, on average
Intervention | weeks (Median) |
---|
Cohort 1A | 8.21 |
Cohort 1B | 8.29 |
Cohort 2A | NA |
Cohort 3A | 8.57 |
Cohort 4A | 8.29 |
Cohort 5A | 8.07 |
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Rate of Drug Distribution Within the Blood Stream (Vd/F)
Rate of drug distribution within the blood stream (Vd/F) (NCT03684811)
Timeframe: Cycles 1: Day 1 (0, 1, 2, 4, 8 hours post dose), Days 2, 8, 15, 22 pre dose. Cycles 2 Day 1 (0, 1, 2, 4, 8 hours post dose).
Intervention | units (Number) |
---|
Cohort 1A | NA |
Cohort 1B | NA |
Cohort 2A | NA |
Cohort 3A | NA |
Cohort 4A | NA |
Cohort 5A | NA |
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Time for Half of the Drug to be Absent in Blood Stream Following Dose (T 1/2)
Time for half of the drug to be absent in blood stream following dose (T 1/2) (NCT03684811)
Timeframe: Cycles 1: Day 1 (0, 1, 2, 4, 8 hours post dose), Days 2, 8, 15, 22 pre dose. Cycles 2 Day 1 (0, 1, 2, 4, 8 hours post dose).
Intervention | ng / mL (Mean) |
---|
Cohort 1A | NA |
Cohort 1B | NA |
Cohort 2A | NA |
Cohort 3A | NA |
Cohort 4A | NA |
Cohort 5A | NA |
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Time to Progression (TTP)
Time to progression is defined as the time (in weeks) from start of treatment until disease specified progression. (NCT03684811)
Timeframe: From first dose of study drug through time of disease progression
Intervention | weeks (Median) |
---|
Cohort 1A | 8.21 |
Cohort 1B | 8.29 |
Cohort 2A | NA |
Cohort 3A | 15.00 |
Cohort 4A | 13.86 |
Cohort 5A | 8.14 |
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Time to Response (TTR)
Time to response (TTR) in weeks. TTR is defined as the time from first dose to first response. First response is defined as first observation of overall response of CR+PR+MR (glioma) or CR+PR (Cohort 2-5). (NCT03684811)
Timeframe: Response may be observed from time of first dose through time of treatment discontinuation, up to 2 years.
Intervention | weeks (Median) |
---|
Cohort 1A | 38.07 |
Cohort 2A | 31.43 |
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Area Under the Plasma Concentration Versus Time Curve (AUC)
Area under the plasma concentration versus time curve (AUC) summarized for Cycle 1 and Cycle 2 (NCT03684811)
Timeframe: Cycles 1: Day 1 (0, 1, 2, 4, 8 hours post dose), Days 2, 8, 15, 22 pre dose. Cycles 2 Day 1 (0, 1, 2, 4, 8 hours post dose).
Intervention | h*ng/mL (Mean) |
---|
| Cycle 1 | Cycle 2 |
---|
Cohort 1A | 6840 | 20390 |
,Cohort 1B | 6190 | 21210 |
,Cohort 2A | 13140 | 27580 |
,Cohort 3A | 12000 | 28170 |
,Cohort 4A | 10780 | 24400 |
,Cohort 5A | 11030 | 39540 |
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Peak Plasma Concentration (Cmax)
Peak Plasma Concentration (Cmax) was summarized for Cycle 1 and Cycle 2. (NCT03684811)
Timeframe: Cycles 1: Day 1 (0, 1, 2, 4, 8 hours post dose), Days 2, 8, 15, 22 pre dose. Cycles 2 Day 1 (0, 1, 2, 4, 8 hours post dose).
Intervention | ng / mL (Mean) |
---|
| Cycle 1 | Cycle 2 |
---|
Cohort 1A | 388.1 | 2965 |
,Cohort 1B | 369.5 | 2870 |
,Cohort 2A | 879.4 | 4045 |
,Cohort 3A | 863.4 | 4104 |
,Cohort 4A | 744.1 | 3650 |
,Cohort 5A | 815.4 | 5663 |
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Time of Peak Plasma Concentration (Tmax)
Time of peak plasma concentration (Tmax) was summarized for Cycle 1 and Cycle 2. (NCT03684811)
Timeframe: Cycles 1: Day 1 (0, 1, 2, 4, 8 hours post dose), Days 2, 8, 15, 22 pre dose. Cycles 2 Day 1 (0, 1, 2, 4, 8 hours post dose).
Intervention | hours (Median) |
---|
| Cycle 1 | Cycle 2 |
---|
Cohort 1A | 4.18 | 1.97 |
,Cohort 1B | 3.95 | 4.00 |
,Cohort 2A | 15.27 | 1.05 |
,Cohort 3A | 16.37 | 1.98 |
,Cohort 4A | 7.50 | 1.04 |
,Cohort 5A | 4.17 | 1.52 |
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Number of Participants With a Dose Limiting Toxicity (DLT)
DLTs are AEs unrelated to the underlying disease and considered related to FT-2102. For non-hematologic AEs: Grade 3 or higher per CTCAE v 4.03 criteria except Grade 3 nausea, vomiting, diarrhea, or rash: lasting <72 hours (with optimal medical management) or clinically relevant Grade 3 or higher non-hematologic laboratory finding. For hematologic AEs: Grade 3 or higher thrombocytopenia or febrile neutropenia or Grade 4 or higher neutropenia lasting for >7 days. (NCT03684811)
Timeframe: Day 1-28
Intervention | Participants (Count of Participants) |
---|
Cohort 1A | 0 |
Cohort 1B | 2 |
Cohort 3A | 0 |
Cohort 5A | 1 |
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Apparent Clearance (CL/F)
Rate at which drug is removed from the blood stream (CL/F). (NCT03684811)
Timeframe: Cycles 1: Day 1 (0, 1, 2, 4, 8 hours post dose), Days 2, 8, 15, 22 pre dose. Cycles 2 Day 1 (0, 1, 2, 4, 8 hours post dose).
Intervention | units (Geometric Mean) |
---|
Cohort 1A | NA |
Cohort 1B | NA |
Cohort 2A | NA |
Cohort 3A | NA |
Cohort 4A | NA |
Cohort 5A | NA |
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Duration of Response (DOR)
Duration of response (DOR), defined as the time from the first response to documented disease progression as determined by applicable disease criteria. First response is defined as first observation of overall response of CR+PR+MR (glioma) or CR+PR (Cohort 2-5). Disease progression as measured by the appropriate response criteria, unless deemed by the Investigator to be receiving clinical benefit (NCT03684811)
Timeframe: From date of first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 44 weeks
Intervention | weeks (Median) |
---|
Cohort 1A | 43.71 |
Cohort 2A | NA |
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Olutasidenib Concentration Within Cerebro-spinal Fluid (CSF)
Olutasidenib concentration within CSF (Glioma Cohorts 1-A and 1-B only). Due to sparse data, analysis was not conducted by timepoint. (NCT03684811)
Timeframe: CSF sample for drug concentration was collected at Day 1 of Cycles 1 and 3 (each cycle is 28 days) and through study completion, up to 24 weeks, on average.
Intervention | ng/mL (Mean) |
---|
Cohort 1A | 27.15 |
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Number of Participants With Positive Anti-Drug Antibody (ADA) of Cetuximab
The detection of antibodies to cetuximab was performed using a validated immunoassay method with tiered testing of screening, confirmatory and titration. Number of participants with positive anti-drug antibody (ADA) of cetuximab were reported. (NCT03717155)
Timeframe: Pre-dose up to 149 days
Intervention | Participants (Count of Participants) |
---|
Avelumab and Cetuximab | 1 |
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Progression-Free Survival (PFS) Time Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
Progression free survival (PFS) is defined as the time (in months) from first treatment day to the date of the first documentation of objective progression of disease (PD) according to RECIST version 1.1 assessed by Investigator, or death due to any cause, whichever occurs first. PD is defined as at least a 20 percent (%) increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. (NCT03717155)
Timeframe: Time from the first dose of study drug until occurrence of PD, death due to any cause (assessed up to 737 days)
Intervention | Months (Median) |
---|
Avelumab and Cetuximab | 6.1 |
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Percentage of Participants With Confirmed Best Objective Response (BOR) According to Response Evaluation Criteria In Solid Tumors (RECIST) Version 1.1 Assessed by Investigator
Confirmed BOR was defined as the percentage of participants who achieved confirmed complete responses (CR) or partial response (PR), according to RECIST version 1.1 assessed by the Investigator.CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30 percent (%) reduction from baseline in the sum of the longest diameter (SLD) of all lesions. Stable disease (SD)= Neither sufficient increase to qualify for progression of disease (PD) nor sufficient shrinkage to qualify for PR. PD: At least a 20 % increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. Confirmed CR=as at least two determinations of CR at least 4 weeks apart with no PD. Confirmed PR=as at least 2 determinations of PR or better (PR followed by PR or PR followed by CR), at least 4 weeks apart (not qualifying for a CR) with no PD in between. Percentage of Participants with confirmed BOR were reported. (NCT03717155)
Timeframe: Time from the first dose of study drug until occurrence of PD, death due to any cause (assessed up to 612 days)
Intervention | percentage of participants (Number) |
---|
Avelumab and Cetuximab | 34.9 |
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Overall Survival (OS)
OS is defined as the time from the first treatment day to the date of death due to any cause. Overall survival was assessed using Kaplan-Meier analysis. (NCT03717155)
Timeframe: Time from the first dose of study drug until occurrence of death due to any cause (assessed up to 941 days)
Intervention | Months (Median) |
---|
Avelumab and Cetuximab | 10.1 |
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Duration of Response (DOR)
DOR is defined for participants with confirmed complete response (CR) or partial response (PR), as the time from first documentation of confirmed response to the date of first documentation of progression of disease (PD) according to RECIST version 1.1 (assessed by Investigator) or death due to any cause or tumor assessment. Duration of objective response was assessed using Kaplan-Meier analysis. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the SLD of all lesions. PD: At least a 20 percent (%) increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. (NCT03717155)
Timeframe: Time from the first dose of study drug until occurrence of PD, death due to any cause or last tumor assessment (assessed up to 612 days)
Intervention | Months (Median) |
---|
Avelumab and Cetuximab | 7.1 |
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Number of Participants With Positive Anti-Drug Antibody (ADA) of Avelumab
The detection of antibodies to avelumab was performed using a validated immunoassay method with tiered testing of screening, confirmatory and titration. Number of participants with positive anti-drug antibody (ADA) of avelumab were reported. (NCT03717155)
Timeframe: Pre-dose up to 149 days
Intervention | Participants (Count of Participants) |
---|
Avelumab and Cetuximab | 7 |
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Serum Trough Concentration Levels (Ctrough) of Cetuximab
Ctrough is the serum concentration observed immediately before next dosing. (NCT03717155)
Timeframe: Pre-dose: Day 8, Day 22, Day 29, Day 43, Day 50, Day 64, Day 71, Day 85, Day 99, Day 113, Day 127, Day 169, Day 253 and Day 337
Intervention | mcg/mL (Geometric Mean) |
---|
| Day 8 | Day 22 | Day 29 | Day 43 | Day 50 | Day 64 | Day 71 | Day 85 | Day 99 | Day 113 | Day 127 | Day 169 | Day 253 | Day 337 |
---|
Avelumab and Cetuximab | 12.1 | 12.8 | 22.8 | 25.6 | 23.9 | 17.2 | 35.4 | 26.5 | 22.6 | 35.0 | 38.0 | 40.4 | 31.9 | 28.9 |
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Serum Trough Concentration Levels (Ctrough) of Avelumab
Ctrough is the serum concentration observed immediately before next dosing. (NCT03717155)
Timeframe: Pre-dose: Day 8, Day 22, Day 29, Day 43, Day 50, Day 64, Day 71, Day 85, Day 99, Day 113, Day 127, Day 169, Day 253 and Day 337
Intervention | mcg/mL (Geometric Mean) |
---|
| Day 8 | Day 22 | Day 29 | Day 43 | Day 50 | Day 64 | Day 71 | Day 85 | Day 99 | Day 113 | Day 127 | Day 169 | Day 253 | Day 337 |
---|
Avelumab and Cetuximab | 28.8 | 13.6 | 42.4 | 15.6 | 56.4 | 19.7 | 58.2 | 21.5 | 21.2 | 19.4 | 18.1 | 19.3 | 17.0 | 20.8 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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Clinical Benefit Rate (CBR) With irRECIST
"Clinical benefit rate (CBR) of treatment (defined by proportion of all subjects with stable disease for at least 3 months, partial response, or complete response) using irRECIST from the start of treatment until disease progression/recurrence (taking as reference for progressive disease the smallest measurements recorded since the start of treatment).~Per irRECIST for target lesions: Complete Response (irCR), Disappearance of all target lesions; Partial Response (irPR), >=30% decrease in the sum of the longest diameter of target lesions, neither sufficient shrinkage to qualify for irPR nor sufficient increase to qualify for irPD, taking as reference the smallest sum longest diameter since the treatment started; Clinical Benefit Rate (CBR) = irCR +irPR +irSD (for atleast 3 months)." (NCT03737123)
Timeframe: From C1D1 until death or up to a maximum of 28 months.
Intervention | percentage of participants (Number) |
---|
Phase IIA : Atezolizumab + Carboplatin + Gemcitabine | 100 |
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Number of Participants With Adverse Events as a Measure of Safety and Tolerability of Carboplatin + Gemcitabine or Docetaxel
Assess the safety and tolerability of the combination of atezolizumab plus chemotherapy (carboplatin + gemcitabine or docetaxel) using CTCAE v4.03. Number of subjects who had any adverse events or events greater than grade 3 were reported in this outcome measure. (NCT03737123)
Timeframe: From C1D1 until death or up to a maximum of 8 months
Intervention | Participants (Count of Participants) |
---|
| Number of patients had at least one adverse event of any grade | Number of patients had at least one grade 3 or greater adverse event | Number of patients had at least one grade 3 or greater treatment related adverse event | Number of patients having serious adverse event |
---|
Phase IIA : Atezolizumab + Carboplatin + Gemcitabine | 6 | 6 | 6 | 3 |
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Clinical Benefit Rate (CBR) With RECIST 1.1
Clinical benefit rate (CBR) of treatment (defined by proportion of all subjects with stable disease for at least 3 months, partial response, or complete response) using RECIST 1.1 from the start of treatment until disease/recurrence(taking as reference for progressive disease the smallest measurements recorded since the start of treatment). 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, neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum longest diameter since the treatment started; Clinical Benefit Rate (CBR) = CR +PR +SD (for atleast 3 months). (NCT03737123)
Timeframe: From C1D1 until death or up to a maximum of 28 months.
Intervention | percentage of participants (Number) |
---|
Phase IIA : Atezolizumab + Carboplatin + Gemcitabine | 100 |
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Progression Free Survival (PFS) for Atezolizumab + Carboplatin and Gemcitabine
Evaluate PFS for atezolizumab + carboplatin and gemcitabine. PFS defined as duration from date of treatment start until progression according to RECIST 1.1 criteria, or death from any cause.Per RECIST 1.1 criteria, Progressive disease can be 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 the treatment started or the appearance of one or more new lesions. (NCT03737123)
Timeframe: From C1D1 until death or progression or up to a maximum of 26 months
Intervention | months (Median) |
---|
Phase IIA : Atezolizumab + Carboplatin + Gemcitabine | 11.3 |
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Progression Free Survival (PFS) Compared to Historical Controls
"To compare Progression Free Survival(PFS) with the historical control, Null hypothesis - Patients receiving atezolizumab plus chemotherapy (carboplatin +gemcitabine or docetaxel) will have a median PFS of 4 months.~Alternative hypothesis - Patients receiving atezolizumab plus chemotherapy (carboplatin + gemcitabine or docetaxel) will have a median PFS of 7.2 months.~Progression Free Survival defined as duration from date of treatment start until progression according to RECIST 1.1 criteria, or death from any cause.Per RECIST 1.1 criteria, Progressive disease can be 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 the treatment started or the appearance of one or more new lesions." (NCT03737123)
Timeframe: From C1D1 until progression or death or up to a maximum of 26 months
Intervention | months (Median) |
---|
Phase IIA : Atezolizumab + Carboplatin + Gemcitabine | 11.3 |
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Overall Survival (OS)
OS defined by the date of treatment start to date of death from any cause. (NCT03737123)
Timeframe: From C1D1 until death or up to a maximum of 28 months
Intervention | months (Median) |
---|
Phase IIA : Atezolizumab + Carboplatin + Gemcitabine | NA |
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PFS by irRECIST
PFS defined as duration from date of treatment start until progression according to irRECIST criteria or death from any cause. Per irRECIST criteria, Progressive disease can be 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 the treatment started or the appearance of one or more new lesions. (NCT03737123)
Timeframe: From C1D1 until progression or death or up to a maximum of 26 months
Intervention | months (Median) |
---|
Phase IIA : Atezolizumab + Carboplatin + Gemcitabine | 11.3 |
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Progression Free Survival (PFS)
"Evaluate PFS among patients to be treated with atezolizumab in combination with carboplatin + gemcitabine or docetaxel, who have cisplatin-ineligible metastatic urothelial carcinoma and who have progressed on prior PD-1 or PD-L1 inhibitor. PFS defined as duration from date of treatment start until progression according to RECIST 1.1 criteria, or death from any cause.~Per RECIST 1.1 criteria, Progressive disease can be 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 the treatment started or the appearance of one or more new lesions." (NCT03737123)
Timeframe: From C1D1 until progression or death or up to a maximum of 26 months
Intervention | months (Median) |
---|
Phase IIA : Atezolizumab + Carboplatin + Gemcitabine | 11.3 |
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Objective Response Rate (ORR) With RECIST 1.1
"Objective response rate (ORR) using RECIST 1.1 defined as the proportion of all subjects with confirmed PR or CR according to RECIST 1.1, from the start of treatment until disease progression/recurrence (taking as reference for progressive disease the smallest measurements recorded since the start of treatment).~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" (NCT03737123)
Timeframe: From C1D1 until death or up to a maximum of 28 months.
Intervention | percentage of participants (Number) |
---|
Phase IIA : Atezolizumab + Carboplatin + Gemcitabine | 40 |
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Objective Response Rate (ORR) With irRECIST
"ORR defined as the proportion of all subjects with confirmed PR or CR using immunerelated response criteria (irRECIST), from the start of treatment until disease progression/recurrence (taking as reference for progressive disease the smallest measurements recorded since the start of treatment).~Per irRECIST for target lesions Complete Response (irCR), Disappearance of all target lesions; Partial Response (irPR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = irCR + irPR." (NCT03737123)
Timeframe: From C1D1 until death or up to a maximum of 28 months.
Intervention | percentage of participants (Number) |
---|
Phase IIA : Atezolizumab + Carboplatin + Gemcitabine | 40 |
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Presence of Anti-drug Antibodies (ADAs) for Durvalumab
Presence of anti-drug antibodies (ADAs) for durvalumab, as assessed at 3, 6, 12, 16 and 20 weeks after start of treatment and every 12 weeks thereafter until 3 and 6 months after last dose of durvalumab (NCT03775486)
Timeframe: Assessed from start of initial therapy up to 2 years.
Intervention | Participants (Count of Participants) |
---|
| ADA prevalence (any ADA positive, baseline or post-baseline) | ADA incidence (treatment-induced or treatment-boosted) | ADA positive post-baseline and positive at baseline | ADA positive post-baseline and not detected at baseline (treatment-induced) | ADA not detected at post-baseline and positive at baseline | Treatment-boosted ADA | Persistent positive | Transient positive | Neutralizing anti-drug antibody positive at any visit |
---|
Durvalumab/Olaparib Combination Therapy | 11 | 5 | 0 | 5 | 6 | 0 | 0 | 5 | 1 |
,Durvalumab/Placebo Therapy | 9 | 4 | 1 | 4 | 4 | 0 | 3 | 2 | 1 |
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Progression-free Survival
"Progression-free survival (PFS) based on investigator assessments according to Response Evaluation Criteria in Solid Tumours version 1.1.~PFS is defined as time from date of randomization until the date of objective radiological disease progression using Response Evaluation Criteria in Solid Tumours version 1.1 (RECIST 1.1) or death (by any cause in the absence of progression)." (NCT03775486)
Timeframe: From randomization until date of objective radiological disease progression or death, or last evaluable assessment in the absence of progression, up to 18 months
Intervention | Participants (Count of Participants) |
---|
| RECIST progression: Target Lesions | RECIST progression: Non Target Lesions | RECIST progression: New Lesions | Death in the absence of progression | Censored subjects: Censored RECIST progression | Censored subjects: Censored death | Censored subjects: Progression-free at time of analysis | Censored subjects: Progression-free prior to lost to follow-up | Censored subjects: Progression-free prior to withdrawal of consent | Censored subjects: Progression-free prior to discontinuation due to other reason | Censored subjects: No post-baseline evaluable tumor assessment |
---|
Durvalumab/Olaparib Combination Therapy | 40 | 28 | 44 | 8 | 0 | 1 | 44 | 0 | 3 | 0 | 2 |
,Durvalumab/Placebo Therapy | 63 | 30 | 39 | 9 | 0 | 0 | 34 | 0 | 2 | 0 | 2 |
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Time to Deterioration in EORTC Quality of Life Questionnaire (QLQ) QLQ-C30
"Disease-related symptoms and health-related quality of life (HRQoL) assessed by time to deterioration (for maintenance phase) in EORTC QLQ-C30.~NA is not applicable. The upper confidence limit was not calculable because of an insufficient number of participants with events." (NCT03775486)
Timeframe: From randomization until date of first symptom deterioration that is confirmed, up to 18 months.
Intervention | time to deterioration (months) (Median) |
---|
| EORTC QLQ-C30: Fatigue | EORTC QLQ-C30: Nausea And Vomiting | EORTC QLQ-C30: Pain | EORTC QLQ-C30: Dyspnoea | EORTC QLQ-C30: Insomnia | EORTC QLQ-C30: Appetite Loss | EORTC QLQ-C30: Constipation | EORTC QLQ-C30: Diarrhoea | Physical Functioning | Role Functioning | Emotional Functioning | Cognitive Functioning | Social Functioning | Global Health Status/Quality of Life |
---|
Durvalumab/Olaparib Combination Therapy | 8.8 | 12.2 | 10.2 | 12.2 | 13.8 | 11.7 | 12.2 | 13.8 | 12.0 | 10.0 | 12.2 | 10.2 | 9.3 | 10.2 |
,Durvalumab/Placebo Therapy | 10 | 12.6 | 9.7 | 11.0 | 10.6 | 11.5 | 12.0 | 11.5 | 12.0 | 10.6 | 11.0 | 10.6 | 10.0 | 9.7 |
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Time to Deterioration in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ)-Lung Cancer (LC)13
"Disease-related symptoms assessed by time to deterioration (for maintenance phase) in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ)-Lung Cancer (LC)13.~Symptom deterioration is defined as an increase in the score from baseline of less than or equal to 10) that is confirmed at a subsequent assessment, or death (by any cause) in the absence of a clinically meaningful symptom deterioration.~NA is not applicable. The upper confidence limit was not calculable because of an insufficient number of participants with events." (NCT03775486)
Timeframe: From randomization until date of objective radiological disease progression or death, or last evaluable assessment in the absence of progression, up to 18 months
Intervention | months (Median) |
---|
| EORTC QLQ-LC13: Dyspnoea | EORTC QLQ-LC13: Coughing | EORTC QLQ-LC13: Haemoptysis | EORTC QLQ-LC13: Pain In Chest | EORTC QLQ-LC13: Pain In Arm Or Shoulder | EORTC QLQ-LC13: Pain In Other Parts |
---|
Durvalumab/Olaparib Combination Therapy | 10.0 | 11.7 | 15.0 | 13.8 | 15.0 | 10.3 |
,Durvalumab/Placebo Therapy | 9.7 | 10.6 | 12.6 | 11.5 | 9.7 | 10.6 |
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Change From Baseline in EORTC Quality of Life Questionnaire (QLQ) QLQ-C30
"Disease-related symptoms and health-related quality of life (HRQoL) assessed by change from baseline (for maintenance phase) in EORTC QLQ-C30. Average adjusted mean over first 11 cycles is presented.~The EORTC QLQ-C30 was scored according to the published scoring manual. An outcome variable consisting of a score from 0 to 100 was derived for each of the symptom scales, each of the function scales, and the global health status/QoL scale in the EORTC QLQ-C30. Higher scores on the global health status and function scales indicate better health status/function.~A high scale score represents a higher response level. Thus a high score for a functional scale represents a high / healthy level of functioning, a high score for the global health status / quality of life (QoL) represents a high QoL, but a high score for a symptom scale / item represents a high level of symptomatology / problems." (NCT03775486)
Timeframe: Includes all assessments occurring within the first 12 months of randomization or until disease progression, up to 18 months.
Intervention | change from baseline score (Mean) |
---|
| EORTC QLQ-C30: Fatigue | EORTC QLQ-C30: Appetite loss |
---|
Durvalumab/Olaparib Combination Therapy | 0.15 | -0.13 |
,Durvalumab/Placebo Therapy | -1.49 | -3.35 |
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Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ)-Lung Cancer (LC)13
"Disease-related symptoms assessed by change from baseline (for maintenance phase) in EORTC QLQ-LC13. Average adjusted mean over first 11 cycles is presented.~The EORTC QLQ-LC13 was scored according to the published scoring manual. An outcome variable consisting of a score from 0 to 100 was derived for each of the symptom scales in the EORTC QLQ-LC13. Higher scores on symptom scales represent greater symptom severity." (NCT03775486)
Timeframe: From randomization until date of objective radiological disease progression or death, or last evaluable assessment in the absence of progression, up to 18 months
Intervention | change from baseline score (Mean) |
---|
| EORTC QLQ-LC13: Dyspnoea | EORTC QLQ-LC13: Coughing | EORTC QLQ-LC13: Pain in chest |
---|
Durvalumab/Olaparib Combination Therapy | -1.27 | -2.14 | 1.31 |
,Durvalumab/Placebo Therapy | -0.76 | -3.09 | 3.57 |
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Concentration of Durvalumab
Concentration (pharmacokinetics) of durvalumab (NCT03775486)
Timeframe: Assessed from start of initial therapy up to 2 years.
Intervention | μg/mL (Geometric Mean) |
---|
| Cycle 01 Day 01 (Initial Therapy Phase) Post dose | Cycle 02 Day 01 (Initial Therapy Phase) Pre dose | Cycle 04 Day 01 (Initial Therapy Phase) Pre dose | Cycle 01 (Maintenance Phase) Post dose | Cycle 02 (Maintenance Phase) Pre dose | Cycle 05 (Maintenance Phase) Pre dose | Cycle 08 (Maintenance Phase) Pre dose | Cycle 11 (Maintenance Phase) Pre dose | Cycle 14 (Maintenance Phase) Pre dose | Cycle 17 (Maintenance Phase) Pre dose | Cycle 20 (Maintenance Phase) Pre dose | Month 03 (Maintenance Phase) Pre dose |
---|
Durvalumab/Olaparib Combination Therapy | 417.152 | 76.812 | 155.461 | 535.078 | 159.157 | 166.644 | 198.932 | 210.794 | 276.612 | 264.096 | 528.046 | 12.289 |
,Durvalumab/Placebo Therapy | 453.724 | 76.959 | 154.947 | 524.306 | 160.315 | 147.848 | 154.057 | 186.092 | 182.042 | 217.137 | 112.276 | 12.769 |
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Overall Survival
"Overall survival (OS) across the maintenance phase.~OS is defined as time from date of randomization until the date of death by any cause" (NCT03775486)
Timeframe: From randomization until the date of death due to any cause, up to 18 months.
Intervention | Participants (Count of Participants) |
---|
| Death | Censored participants (still in survival at follow up or terminated study prior to death) |
---|
Durvalumab/Olaparib Combination Therapy | 44 | 90 |
,Durvalumab/Placebo Therapy | 45 | 90 |
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Duration of Response
"Duration of response (DoR) defined as time from the date of first documented response following randomization until the first date of documented progression or death in the absence of disease progression.~Percentage of participants remaining in response at 3, 6, 9 and 12 months estimated using the Kaplan-Meier method." (NCT03775486)
Timeframe: From date of first documented response until objective radiological disease progression or death, up to 18 months.
Intervention | percent (Number) |
---|
| Percentage of participants remaining in response at 3 months | Percentage of participants remaining in response at 6 months | Percentage of participants remaining in response at 9 months | Percentage of participants remaining in response at 12 months |
---|
Durvalumab/Olaparib Combination Therapy | 90.5 | 79.1 | 69.2 | 69.2 |
,Durvalumab/Placebo Therapy | 85.1 | 65.7 | 65.7 | 65.7 |
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Change From Baseline in Serum Albumin
Mean change from Baseline to Month 12 serum albumin levels (NCT03790111)
Timeframe: Month 12
Intervention | g/L (Mean) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | -2.2 |
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Mean Change From Baseline in Plasma 5-hydroxyindoleacetic Acid (5-HIAA)
Mean change from Baseline to End of Study in plasma 5-hydroxyindoleacetic acid (5-HIAA) (NCT03790111)
Timeframe: End of Study as defined up to 24 months
Intervention | micrograms/Liter (Mean) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 4.154 |
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Mean Change From Baseline in Plasma 5-hydroxyindoleacetic Acid (5-HIAA)
Mean change from Baseline to Month 12 in plasma level 5-hydroxyindoleacetic Acid (5-HIAA) (NCT03790111)
Timeframe: Month 12
Intervention | micrograms/Liter (Mean) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | -5.608 |
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Mean Change From Baseline in Plasma 5-hydroxyindoleacetic Acid (5-HIAA)
Mean change from Baseline to Month 6 plasma level 5-hydroxyindoleacetic acid (5-HIAA) (NCT03790111)
Timeframe: Month 6
Intervention | micrograms/Liter (Mean) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | -1.735 |
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Weight Change From Baseline
Mean change in weight from baseline to End of Study (NCT03790111)
Timeframe: End of Study as defined up to 24 months
Intervention | kg (Mean) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | -3.28 |
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Overall (Objective) Response Rate (ORR), Central Radiologist's Assessment
"Overall response rate (ORR) was defined as the proportion of patients with best overall response of confirmed PR or confirmed CR. The best overall response was the best overall response recorded from the start of study treatment until the EOS considering any requirement for confirmation.~(CR) + partial response (PR) at Months 6" (NCT03790111)
Timeframe: Month 6
Intervention | Participants (Count of Participants) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 7 |
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Overall (Objective) Response Rate (ORR), Central Radiologist's Assessment
Overall response rate (ORR) was defined as the proportion of patients (Number of Responders) with best overall response of confirmed PR or confirmed CR. The best overall response was the best overall response recorded from the start of study treatment until Month 12. (NCT03790111)
Timeframe: Month 12
Intervention | Participants (Count of Participants) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 7 |
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Overall (Objective) Response Rate (ORR), Local Reader's Assessment
Overall response rate (ORR) was defined as the proportion of patients with best overall response of confirmed PR or confirmed CR. The best overall response was the best overall response recorded from the start of study treatment until the EOS considering any requirement for confirmation. (NCT03790111)
Timeframe: End of Study as defined up to 24 months
Intervention | Participants (Count of Participants) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 8 |
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Number of Participants With Progression-free Survival (PFS) as Evaluated by Central Radiologist's Assessment
"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, or similar definition as accurate and appropriate." (NCT03790111)
Timeframe: Month 6
Intervention | Participants (Count of Participants) |
---|
| Safety Population71994742 | Per Protocol Population71994742 | By Treatment Cycle Population71994742 |
---|
| Responders, Central Reviewer | Non-Responders, Central Reviewer |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 41 |
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 12 |
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 30 |
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 21 |
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Overall (Objective) Response Rate, Central Radiologist's Assessment
Overall response rate (ORR) was defined as the proportion of patients with best overall response of confirmed PR or confirmed CR. The best overall response was the best overall response recorded from the start of study treatment until the EOS considering any requirement for confirmation. (NCT03790111)
Timeframe: End of Study as defined up to 24 months
Intervention | Participants (Count of Participants) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 7 |
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Weight Change From Baseline
Mean change in weight at Month 6 from baseline measurement (NCT03790111)
Timeframe: Month 6
Intervention | kg (Mean) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | -0.69 |
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Weight Change From Baseline
Mean change in weight at Month 12 from baseline measurement (NCT03790111)
Timeframe: Month 12
Intervention | kg (Mean) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 1.69 |
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Summary of Duration of Progression Free Survival, Local Radiologist's Assessment
Summary of Duration of Median Progression Free Survival, Local Radiologist's Assessment. Patient progression was defined from date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 7 months. (NCT03790111)
Timeframe: up to 7 months
Intervention | Months (Median) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 7.000 |
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Project Overall Survival Rate at Month 6
Overall Survival (OS) was defined as the time from the frist dose of study treatment until the date of death due to any cause. Duration of Overall Survival (OS) in days is defined as (Date of event/censoring- date of First dose +1). Use Kaplan Meier method to project survival rate at month 6. (NCT03790111)
Timeframe: 6 Months
Intervention | Proportion of participants (Number) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 0.87 |
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Overall (Objective) Response Rate, Local Read
Overall response rate (ORR) was defined as the proportion of patients with best overall response of confirmed PR or confirmed CR. The best overall response was the best overall response recorded from the start of study treatment at Month 6. (NCT03790111)
Timeframe: 6 Months
Intervention | Participants (Count of Participants) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 6 |
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Project Overall Survival Rate at Month 12
Overall Survival (OS) was defined as the time from the first dose of study treatment until the date of death due to any cause. Duration of Overall Survival (OS) in days is defined as (Date of event/censoring - date of first dose +1). Use Kaplan Meier method to project survival rate at month 12. (NCT03790111)
Timeframe: 12 Months
Intervention | Proportion of participants (Number) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 0.60 |
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Progression Free Survival, Local Radiologist's Assessment
Summary of Median Progression Free Survival, Local Radiologist's Assessment. Defined as the time from first dose of study treatment until the first date of either disease progression or death due to any cause. Scheduled disease assessment at Cycle 19 Day 1 was used to determine PFS response rate at Month 12. (NCT03790111)
Timeframe: Month 12
Intervention | Months (Median) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 7.467 |
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Change From Baseline in Serum Albumin
Mean change from Baseline to Month 6 serum albumin levels (NCT03790111)
Timeframe: Month 6
Intervention | g/L (Mean) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | -0.2 |
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Progression Free Survival, Local Radiologist's Assessment
Summary of Median Progression Free Survival, Local Radiologist's Assessment, End of Study (NCT03790111)
Timeframe: End of Study as defined up to 24 months
Intervention | Months (Median) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 7.467 |
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Overall Survival (OS)
Overall Survival (OS) was defined as the time from first dose of study treatment until the date of death due to any cause. (NCT03790111)
Timeframe: First dose of study treatment until the date of death due to any cause, whichever came first, a median of approximately 17.67 months
Intervention | Months (Median) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 17.667 |
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Overall (Objective) Response Rate, Local Reader's Assessment
Overall response rate (ORR) was defined as the proportion of patients with best overall response of confirmed PR or confirmed CR. The best overall response was the best overall response recorded from the start of study treatment at Month 12. (NCT03790111)
Timeframe: 12 Months
Intervention | Participants (Count of Participants) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 8 |
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Change From Baseline in Carbohydrate Antigen 19-9 (CA 19-9)
Mean change from Baseline to Month 12 in plasma carbohydrate antigen 19-9 (CA 19-9) (NCT03790111)
Timeframe: Month 12
Intervention | U/mL (Mean) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | -18.04 |
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Change From Baseline in Carbohydrate Antigen 19-9 (CA 19-9)
Mean change from Baseline to month 6 in plasma carbohydrate antigen 19-9 (CA 19-9) (NCT03790111)
Timeframe: Month 6
Intervention | U/mL (Mean) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | -229.82 |
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Change From Baseline in Plasma Carbohydrate Antigen 19-9 (CA 19-9)
Mean change from Baseline to End of Study in plasma carbohydrate antigen 19-9 (CA 19-9) (NCT03790111)
Timeframe: End of Study as defined up to 24 months
Intervention | Units per milliliter (Mean) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | -153.98 |
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Change From Baseline in Serum Albumin
Mean change from Baseline to End of Study serum albumin levels (NCT03790111)
Timeframe: End of Study as defined up to 24 months
Intervention | g/L (Mean) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | -1.2 |
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Disease Control Rate (DCR), Central Radiologist's Assessment
"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.." (NCT03790111)
Timeframe: Month 6
Intervention | Participants (Count of Participants) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 33 |
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Disease Control Rate (DCR), Central Radiologist's Assessment
Disease control rate (DCR) was defined as the proportion of patients with best overall response of SD longer than 6 weeks from first dosing, confirmed PR, or confirmed CR. (NCT03790111)
Timeframe: End of Study up to 24 months
Intervention | Participants (Count of Participants) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 35 |
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Disease Control Rate (DCR), Central Radiologist's Assessment
Disease control rate (DCR) was defined as the proportion of patients with best overall response of SD longer than 6 weeks from first dosing, confirmed PR, or confirmed CR. (NCT03790111)
Timeframe: Month 12
Intervention | Participants (Count of Participants) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 33 |
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Disease Control Rate (DCR), Local Reviewer
Disease control rate (DCR) was defined as the proportion of patients with best overall response of SD longer than 6 weeks from first dosing, confirmed PR, or confirmed CR. (NCT03790111)
Timeframe: Month 12 as defined by 1 year
Intervention | Participants (Count of Participants) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 40 |
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Disease Control Rate (DCR), Local Reviewer
Disease control rate (DCR), Local Reviewer, 6 Months (NCT03790111)
Timeframe: Month 6
Intervention | Participants (Count of Participants) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 40 |
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Disease Control Rate End of Study, Local Reviewer
Disease control rate (DCR) was defined as the proportion of patients with best overall response of SD longer than 6 weeks from first dosing, confirmed PR, or confirmed CR. (NCT03790111)
Timeframe: End of Study as defined up to 24 months
Intervention | Participants (Count of Participants) |
---|
Xermelo 250mg Plus 1L Therapy for a Week, Then Xermelo 500mg | 40 |
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Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) Assessed by Investigator
PFS was defined as the time from first administration of study intervention until date of the first documentation of disease progression (PD) or death due to any cause, whichever occurred first. PD: At least a 20 percent (%) increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. Kaplan-Meier estimates was used to calculate PFS. (NCT03840915)
Timeframe: Time from first administration of study drug until the first documentation of PD or death, assessed up to approximately 26 months
Intervention | months (Median) |
---|
Cohort A: Bintrafusp Alfa + Cisplatin/Carboplatin + Pemetrexed | 5.0 |
Cohort B: Bintrafusp Alfa + Carboplatin + Paclitaxel or Nab-paclitaxel | 4.1 |
Cohort C: Bintrafusp Alfa + Cisplatin/Carboplatin + Gemcitabine | 5.4 |
Cohort D: Bintrafusp Alfa + Docetaxel | 2.6 |
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Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator (IRC)
Percentage of participants with confirmed objective response that is at least one overall assessment of complete response (CR) or partial response (PR) reported here. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. Confirmed CR = at least 2 determinations of CR at least 4 weeks apart and before progression. Confirmed PR = at least 2 determinations of PR at least 4 weeks apart and before progression (and not qualifying for a CR). Confirmed objective response was determined according to RECIST v1.1 and as adjudicated by Investigator. (NCT03840915)
Timeframe: Time from first treatment assessed up to approximately 26 months
Intervention | Percentage of Participants (Number) |
---|
Cohort A: Bintrafusp Alfa + Cisplatin/Carboplatin + Pemetrexed | 45.0 |
Cohort B: Bintrafusp Alfa + Carboplatin + Paclitaxel or Nab-paclitaxel | 66.7 |
Cohort C: Bintrafusp Alfa + Cisplatin/Carboplatin + Gemcitabine | 44.4 |
Cohort D: Bintrafusp Alfa + Docetaxel | 16.7 |
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Overall Survival (OS)
OS was defined as the time from first administration of study intervention to the date of death due to any cause. The OS was analyzed by using the Kaplan-Meier method. (NCT03840915)
Timeframe: Time from first treatment assessed up to approximately 26 months
Intervention | months (Median) |
---|
Cohort A: Bintrafusp Alfa + Cisplatin/Carboplatin + Pemetrexed | 11.4 |
Cohort B: Bintrafusp Alfa + Carboplatin + Paclitaxel or Nab-paclitaxel | 11.8 |
Cohort C: Bintrafusp Alfa + Cisplatin/Carboplatin + Gemcitabine | NA |
Cohort D: Bintrafusp Alfa + Docetaxel | 16.5 |
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Number of Participants With Positive Antidrug Antibodies (ADA)
Serum samples were analyzed by a validated assay method to detect the presence of antidrug antibodies (ADA). Number of participants with positive ADA were reported. (NCT03840915)
Timeframe: Time from first treatment assessed up to approximately 26 months
Intervention | Participants (Count of Participants) |
---|
Cohort A: Bintrafusp Alfa + Cisplatin/Carboplatin + Pemetrexed | 9 |
Cohort B: Bintrafusp Alfa + Carboplatin + Paclitaxel or Nab-paclitaxel | 3 |
Cohort C: Bintrafusp Alfa + Cisplatin/Carboplatin + Gemcitabine | 2 |
Cohort D: Bintrafusp Alfa + Docetaxel | 3 |
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Number of Participants With Dose-Limiting Toxicities (DLTs)
DLT was defined as Adverse Events(AEs) with any of following toxicities: Grade 4 nonhematologic toxicity or hematologic toxicity lasting more than equal to(>=) 7 days despite medical intervention; Grade 3 nausea, vomiting, and diarrhea lasting >= 3 days despite supportive care; Any Grade 3 or Grade 4 nonhematologic lab value leading to hospitalization or persisting for >= 7 days; Grade 3 or Grade 4: grade 3 is defined as absolute neutrophil count (ANC) less than (<) 1,000/Cubic Millimeter(mm3) with a temperature of > 38.3 degree Celsius (°C); grade 4 is defined as ANC < 1,000/mm3 with a temperature of > 38.3°C, with life-threatening consequences; Thrombocytopenia < 25,000/mm3 associated with bleeding not resulting in hemodynamic instability or a life-threatening bleeding resulting in urgent intervention; Bleeding events >= Grade 3 occurring within 5 days of bintrafusp alfa treatment; Prolonged delay(> 3 weeks) in initiating Cycle 2 due to treatment-related toxicity; Grade 5 toxicity. (NCT03840915)
Timeframe: Day 1 Week 1 up to Week 3
Intervention | Participants (Count of Participants) |
---|
Cohort A: Bintrafusp Alfa + Cisplatin/Carboplatin + Pemetrexed | 1 |
Cohort B: Bintrafusp Alfa + Carboplatin + Paclitaxel or Nab-paclitaxel | 1 |
Cohort C: Bintrafusp Alfa + Cisplatin/Carboplatin + Gemcitabine | 0 |
Cohort D: Bintrafusp Alfa + Docetaxel | 3 |
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Duration of Response (DOR)
DOR was defined for participants with confirmed response, as the time from first documentation of confirmed objective response (Complete Response [CR] or Partial Response [PR]) according to RECIST 1.1 to the date of first documentation of progression disease (PD) or death due to any cause, whichever occurred first. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the SLD of all lesions. PD: At least a 20 percent (%) increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. Results were calculated based on Kaplan-Meier estimates. (NCT03840915)
Timeframe: Time from first documentation of a confirmed objective response to PD or death due to any cause (assessed up to approximately 26 months)
Intervention | months (Median) |
---|
Cohort A: Bintrafusp Alfa + Cisplatin/Carboplatin + Pemetrexed | 9.6 |
Cohort B: Bintrafusp Alfa + Carboplatin + Paclitaxel or Nab-paclitaxel | NA |
Cohort C: Bintrafusp Alfa + Cisplatin/Carboplatin + Gemcitabine | 10.5 |
Cohort D: Bintrafusp Alfa + Docetaxel | 3.4 |
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Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs
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 unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether considered related to the medicinal product or protocol-specified procedure. Serious AE was defined AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital anomaly/birth defect. TEAE was defined as events with onset date or worsening during the on-treatment period. TEAEs included serious TEAEs and non-serious TEAEs. (NCT03840915)
Timeframe: Time from first treatment assessed up to approximately 26 months
Intervention | Participants (Count of Participants) |
---|
| TEAEs | Serious TEAEs |
---|
Cohort A: Bintrafusp Alfa + Cisplatin/Carboplatin + Pemetrexed | 40 | 31 |
,Cohort B: Bintrafusp Alfa + Carboplatin + Paclitaxel or Nab-paclitaxel | 9 | 5 |
,Cohort C: Bintrafusp Alfa + Cisplatin/Carboplatin + Gemcitabine | 9 | 6 |
,Cohort D: Bintrafusp Alfa + Docetaxel | 12 | 9 |
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Incidence of Grade 3-5 Adverse Events
Graded per National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0. The safety and tolerability of durvalumab in combination with chemotherapy in subjects with variant histology bladder cancer who initiate study treatment will be assessed as the number, by treatment cohort, of grade 3, 4, or 5 adverse events, considered probably or definitely related by the investigator. (NCT03912818)
Timeframe: At 120 days
Intervention | events (Number) |
---|
| Grade 3 | Grade 4 | Grade 5 |
---|
Cohort I (Durvalumab, DD MVAC) | 1 | 0 | 0 |
,Cohort III (Durvalumab, Carbo-gem) | 2 | 0 | 0 |
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Proportion of Subjects Who Initiate Study Treatment and Achieve Tumor Stage of pT2 N0 M0 or Better (e.g., pT0, pT1 N0) at Cystectomy
"Achievement of tumor staging will be determined by pathologist at cystectomy and reported by treatment cohort. Assessed per National Comprehensive Cancer Network bladder cancer guidelines.~T0 N0 M0 = No evidence of primary tumor~T1 N0 M0 = Tumor staging by pathological assessment detected in lamina propria (T0), with no tumor positive nodes (N0).~T2 N0 M0 = Tumor staging by pathological assessment detected in muscularis propria (pT2), with no tumor positive nodes (N0) or tumor metastases (M0) observed." (NCT03912818)
Timeframe: At 20 weeks
Intervention | Participants (Count of Participants) |
---|
Cohort I (Durvalumab, DD MVAC) | 1 |
Cohort III (Durvalumab, Carbo-gem) | 1 |
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Incidence of SSI Requiring Intervention
Number of participants with SSI requiring reoperation or other procedural intervention at 30 days. (NCT03945357)
Timeframe: 30 days
Intervention | Participants (Count of Participants) |
---|
Saline Irrigation | 8 |
Antibiotic Irrigation | 8 |
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Surgical Site Infection
Number of participants with Surgical Site Infections (NCT03945357)
Timeframe: 30 days
Intervention | Participants (Count of Participants) |
---|
Saline Irrigation | 11 |
Antibiotic Irrigation | 10 |
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Overall Survival (OS), Subgroup Analysis by Stratification Factors
Number of participants who died due to any cause. Participants last known to be alive are censored at date of last contact. (NCT03971474)
Timeframe: From date of registration to a maximum of 3 years or death
Intervention | Participants (Number) |
---|
| PD-L1: < 1% | PD-L1: >= 1% | Histology: Squamous | Histology: Non-squamous |
---|
Ramucirumab + Pembrolizumab | 21 | 19 | 18 | 27 |
,Standard of Care (Inv. Choice) | 21 | 27 | 24 | 27 |
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Disease Control Rate (DCR)
"Percentage of participants with complete response (CR), partial response (PR), or stable disease as best response.~CR: Complete disappearance of all target and non-target lesions. No new lesions. No disease related symptoms. Any lymph nodes must have reduction in short axis to <1.0cm. All disease must be assessed using the same technique as baseline.~PR: Applies only to participants with at least one measurable lesion. At least 30% decrease under baseline of the sum of appropriate diameters of all target measurable lesions. No unequivocal progression of non-measurable disease. No new lesions. All target measurable lesions must be assessed using the same techniques as baseline.~Stable disease: Does not qualify for CR, PR, Progression or Symptomatic Deterioration. All target measurable lesions must be assessed using the same techniques as baseline." (NCT03971474)
Timeframe: From date of registration to a maximum of 3 years or death
Intervention | Percentage of participants (Number) |
---|
Standard of Care (Inv. Choice) | 73 |
Ramucirumab + Pembrolizumab | 75 |
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Investigator-Assessed Progression-Free Survival (IA-PFS), Subgroup Analysis by Stratification Factors
"Number of participants with progression assessed by local review or symptomatic deterioration, or death due to any cause. Participants last known to be alive without report of progression are censored at date of last disease assessment. For participants with a missing scan (or consecutive missing scans) whose subsequent scan determines progression, the expected date of the first missing scan is used as the date of progression.~Symptomatic deterioration: Global deterioration of health status requiring discontinuation of treatment without objective evidence of progression. Efforts should be made to obtain objective evidence of progression after discontinuation." (NCT03971474)
Timeframe: From date of registration to a maximum of 3 years or death
Intervention | Participants (Number) |
---|
| Histology: Non-squamous | Histology: Squamous | PD-L1: < 1% | PD-L1: >= 1% |
---|
Ramucirumab + Pembrolizumab | 34 | 23 | 27 | 24 |
,Standard of Care (Inv. Choice) | 34 | 28 | 25 | 34 |
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Response Rate (RR)
"Percentage of participants with a complete or partial, confirmed or unconfirmed response.~Complete Response (CR): Complete disappearance of all target and non-target lesions. No new lesions. No disease related symptoms. Any lymph nodes (whether target or non-target) must have reduction in short axis to < 1.0 cm. All disease must be assessed using the same technique as baseline.~Partial Response (PR): Applies only to participants with at least one measurable lesion. Greater than or equal to 30% decrease under baseline of the sum of appropriate diameters of all target measurable lesions. No unequivocal progression of non-measurable disease. No new lesions. All target measurable lesions must be assessed using the same techniques as baseline." (NCT03971474)
Timeframe: From date of registration to a maximum of 3 years or death
Intervention | Percentage of participants (Number) |
---|
Standard of Care (Inv. Choice) | 28 |
Ramucirumab + Pembrolizumab | 22 |
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Investigator Assessed-progression-free Survival (IA-PFS)
"Time from date of registration to date of first documentation of progression assessed by local review or symptomatic deterioration, or death due to any cause. Participants last known to be alive without report of progression are censored at date of last disease assessment. For participants with a missing scan (or consecutive missing scans) whose subsequent scan determines progression, the expected date of the first missing scan is used as the date of progression.~Symptomatic deterioration: Global deterioration of health status requiring discontinuation of treatment without objective evidence of progression. Efforts should be made to obtain objective evidence of progression after discontinuation." (NCT03971474)
Timeframe: From date of registration to a maximum of 3 years or death
Intervention | months (Median) |
---|
Standard of Care (Inv. Choice) | 5.2 |
Ramucirumab + Pembrolizumab | 4.5 |
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Duration of Response (DOR)
Time from date of first documentation of response (complete or partial) to date of first documentation of progression assessed by local review or symptomatic deterioration, or death due to any cause among participants who achieve a response. Participants last known to be alive without report of progression are censored at date of last disease assessment. For participants with a missing scan (or consecutive missing scans) whose subsequent scan determines progression, the expected date of the first missing scan (as defined by the disease assessment schedule) is used as the date of progression. (NCT03971474)
Timeframe: From date of registration to a maximum of 3 years or death
Intervention | months (Median) |
---|
Standard of Care (Inv. Choice) | 5.6 |
Ramucirumab + Pembrolizumab | 12.9 |
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Overall Survival (OS)
Time from date of registration to date of death due to any cause. Participants last known to be alive are censored at date of last contact. (NCT03971474)
Timeframe: From date of registration to a maximum of 2 years and 11 months or death
Intervention | months (Median) |
---|
Standard of Care (Inv. Choice) | 11.6 |
Ramucirumab + Pembrolizumab | 14.5 |
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Number of Participants With the Indicated EQ-5D-5L Dimension Scores
The EQ-5D-5L is a standardized instrument for use as a measure of health outcome. The EQ-5D-5L descriptive system is composed of 5 dimensions (mobility, self-case, usual activities, pain/discomfort, and anxiety/depression). Each dimension has 5 response levels, which are coded by single-digit numbers: 1 = no problems, 2 = slight problems, 3 = moderate problems, 4 = severe problems, 5 = unable to/extreme problems. The EQ-5D-5L also includes a graded (0 [worst overall health] to 100 [best overall health]) vertical visual analog scale that provides a quantitative measure of the participant's perception of their overall health. (NCT04003610)
Timeframe: up to 160 days
Intervention | Participants (Count of Participants) | Participants (Count of Participants) |
---|
| Anxiety/Depression, Baseline72490111 | Anxiety/Depression, Baseline72490112 | Anxiety/Depression, Cycle 4 Day 172490112 | Anxiety/Depression, Cycle 7 Day 172490112 | Anxiety/Depression, Follow Up72490112 | Mobility, Baseline72490111 | Mobility, Baseline72490112 | Mobility, Cycle 4 Day 172490112 | Mobility, Cycle 7 Day 172490112 | Mobility, Follow Up72490112 | Pain/Discomfort, Baseline72490111 | Pain/Discomfort, Baseline72490112 | Pain/Discomfort, Cycle 4 Day 172490112 | Pain/Discomfort, Cycle 7 Day 172490112 | Pain/Discomfort, Follow Up72490112 | Self-care, Baseline72490111 | Self-care, Baseline72490112 | Self-care, Cycle 4 Day 172490112 | Self-care, Cycle 7 Day 172490112 | Self-care, Follow Up72490112 | Usual Activities, Baseline72490111 | Usual Activities, Baseline72490112 | Usual Activities, Cycle 4 Day 172490112 | Usual Activities, Cycle 7 Day 172490112 | Usual Activities, Follow Up72490112 |
---|
| 1 | 2 | 3 | 4 | 5 |
---|
Gemcitabine 1000 mg/m^2 Plus Carboplatin or Pembrolizumab 200 mg | 3 |
Pemigatinib 13.5 mg Plus Pembrolizumab 200 mg | 1 |
Gemcitabine 1000 mg/m^2 Plus Carboplatin or Pembrolizumab 200 mg | 2 |
Pemigatinib 13.5 mg Plus Pembrolizumab 200 mg | 0 |
Gemcitabine 1000 mg/m^2 Plus Carboplatin or Pembrolizumab 200 mg | 1 |
Gemcitabine 1000 mg/m^2 Plus Carboplatin or Pembrolizumab 200 mg | 0 |
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EORTC QLQ-C30 Score
The European Organization for the Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30) contains 30 items and measures 5 functional dimensions (i.e., physical, role, emotional, cognitive, and social), 3 symptom items (i.e., fatigue, nausea/vomiting, and pain), 6 single items (i.e., dyspnea, sleep disturbance, appetite loss, constipation, diarrhea, and financial impact), and a global health and quality of life scale. For each scale and single item, a linear transformation was applied to standardize the scores between 0 (worst) and 100 (best) as described in the EORTC QLQ-C30 Scoring Manual. (NCT04003610)
Timeframe: up to 160 days
Intervention | scores on a scale (Mean) |
---|
| Appetite Loss, Baseline | Cognitive Functioning, Baseline | Constipation, Baseline | Diarrhea, Baseline | Dyspnea, Baseline | Emotional Functioning, Baseline | Fatigue, Baseline | Financial Difficulties, Baseline | Global Health Status/Quality of Life (QoL), Baseline | Insomnia, Baseline | Nausea and Vomiting, Baseline | Pain, Baseline | Physical Functioning, Baseline | Role Functioning, Baseline | Social Functioning, Baseline |
---|
Pemigatinib 13.5 mg Plus Pembrolizumab 200 mg | 33.3 | 66.7 | 0.0 | 0.0 | 0.0 | 50.0 | 44.4 | 33.3 | 16.7 | 33.3 | 0.0 | 50.0 | 73.3 | 66.7 | 66.7 |
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Change From Baseline in the EQ-5D-5L EQ Visual Analog Scale Score
The EQ-5D-5L is a standardized instrument for use as a measure of health outcome. The EQ-5D-5L descriptive system is composed of 5 dimensions (mobility, self-case, usual activities, pain/discomfort, and anxiety/depression). Each dimension has 5 response levels, which are coded by single-digit numbers: 1 = no problems, 2 = slight problems, 3 = moderate problems, 4 = severe problems, 5 = unable to/extreme problems. The EQ-5D-5L also includes a graded (0 [worst overall health] to 100 [best overall health]) vertical visual analog scale that provides a quantitative measure of the participant's perception of their overall health. (NCT04003610)
Timeframe: Baseline; up to 160 days
Intervention | scores on a scale (Mean) |
---|
| Baseline | Cycle 4 Day 1 | Cycle 7 Day 1 | Follow Up |
---|
Gemcitabine 1000 mg/m^2 Plus Carboplatin or Pembrolizumab 200 mg | 52 | 5 | 5 | 30 |
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Change From Baseline in the EQ-5D-5L EQ Visual Analog Scale Score
The EQ-5D-5L is a standardized instrument for use as a measure of health outcome. The EQ-5D-5L descriptive system is composed of 5 dimensions (mobility, self-case, usual activities, pain/discomfort, and anxiety/depression). Each dimension has 5 response levels, which are coded by single-digit numbers: 1 = no problems, 2 = slight problems, 3 = moderate problems, 4 = severe problems, 5 = unable to/extreme problems. The EQ-5D-5L also includes a graded (0 [worst overall health] to 100 [best overall health]) vertical visual analog scale that provides a quantitative measure of the participant's perception of their overall health. (NCT04003610)
Timeframe: Baseline; up to 160 days
Intervention | scores on a scale (Mean) |
---|
| Baseline |
---|
Pemigatinib 13.5 mg Plus Pembrolizumab 200 mg | 40 |
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Change From Baseline in the EORTC QLQ-C30 Score
The European Organization for the Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30) contains 30 items and measures 5 functional dimensions (i.e., physical, role, emotional, cognitive, and social), 3 symptom items (i.e., fatigue, nausea/vomiting, and pain), 6 single items (i.e., dyspnea, sleep disturbance, appetite loss, constipation, diarrhea, and financial impact), and a global health and quality of life scale. For each scale and single item, a linear transformation was applied to standardize the scores between 0 (worst) and 100 (best) as described in the EORTC QLQ-C30 Scoring Manual. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT04003610)
Timeframe: Baseline; up to 160 days
Intervention | scores on a scale (Mean) |
---|
| Appetite Loss, Cycle 3 Day 1 | Appetite Loss, Cycle 6 Day 1 | Appetite Loss, Follow Up | Cognitive Functioning, Cycle 3 Day 1 | Cognitive Functioning, Cycle 6 Day 1 | Cognitive Functioning, Follow Up | Constipation, Cycle 3 Day 1 | Constipation, Cycle 6 Day 1 | Constipation, Follow Up | Diarrhea, Cycle 3 Day 1 | Diarrhea, Cycle 6 Day 1 | Diarrhea, Follow Up | Dyspnea, Cycle 3 Day 1 | Dyspnea, Cycle 6 Day 1 | Dyspnea, Follow Up | Emotional Functioning, Cycle 3 Day 1 | Emotional Functioning, Cycle 6 Day 1 | Emotional Functioning, Follow Up | Fatigue, Cycle 3 Day 1 | Fatigue, Cycle 6 Day 1 | Fatigue, Follow Up | Financial Difficulties, Cycle 3 Day 1 | Financial Difficulties, Cycle 6 Day 1 | Financial Difficulties, Follow Up | Global Health Status/QoL, Cycle 3 Day 1 | Global Health Status/QoL, Cycle 6 Day 1 | Global Health Status/QoL, Follow Up | Insomnia, Cycle 3 Day 1 | Insomnia, Cycle 6 Day 1 | Insomnia, Follow Up | Nausea and Vomiting, Cycle 3 Day 1 | Nausea and Vomiting, Cycle 6 Day 1 | Nausea and Vomiting, Follow Up | Pain, Cycle 3 Day 1 | Pain, Cycle 6 Day 1 | Pain, Follow Up | Physical Functioning, Cycle 3 Day 1 | Physical Functioning, Cycle 6 Day 1 | Physical Functioning, Follow Up | Role Functioning, Cycle 3 Day 1 | Role Functioning, Cycle 6 Day 1 | Role Functioning, Follow Up | Social Functioning, Cycle 3 Day 1 | Social Functioning, Cycle 6 Day 1 | Social Functioning, Follow Up |
---|
Gemcitabine 1000 mg/m^2 Plus Carboplatin or Pembrolizumab 200 mg | -16.7 | 0.0 | 0.0 | 33.3 | 0.0 | 33.3 | -33.3 | -33.3 | -33.3 | -50.0 | 0.0 | -66.7 | 0.0 | 33.3 | 33.3 | 12.5 | 0.0 | 41.7 | -11.1 | 11.1 | -44.4 | 0.0 | 0.0 | -33.3 | 33.3 | 16.7 | 33.3 | -16.7 | 0.0 | -33.3 | 0.0 | 0.0 | 0.0 | -8.3 | 0.0 | -83.3 | -26.7 | 0.0 | -13.3 | 0.0 | 0.0 | 33.3 | 41.7 | 33.3 | 66.7 |
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Progression-free Survival (PFS)
PFS was defined as the time from the randomization date until the date of disease progression (as measured by a blinded independent central review [BICR] per Response Evaluation Criteria in Solid Tumors version 1.1 [RECIST v1.1]) or death due to any cause, whichever occurred first. (NCT04003610)
Timeframe: up to 130 days
Intervention | months (Median) |
---|
Pemigatinib 13.5 mg Plus Pembrolizumab 200 mg | 1.81 |
Gemcitabine 1000 mg/m^2 Plus Carboplatin or Pembrolizumab 200 mg | 2.12 |
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Overall Survival (OS)
OS was defined as the time from the date of randomization until death due to any cause. (NCT04003610)
Timeframe: up to 225 days
Intervention | months (Median) |
---|
Pemigatinib 13.5 mg Plus Pembrolizumab 200 mg | NA |
Gemcitabine 1000 mg/m^2 Plus Carboplatin or Pembrolizumab 200 mg | NA |
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Objective Response Rate (ORR)
ORR was defined as the proportion of participants with a best overall response of complete response (CR) or partial response (PR) per RECIST v1.1 (as measured by BICR). (NCT04003610)
Timeframe: up to 148 days
Intervention | percentage of participants (Number) |
---|
Pemigatinib 13.5 mg Plus Pembrolizumab 200 mg | 0 |
Gemcitabine 1000 mg/m^2 Plus Carboplatin or Pembrolizumab 200 mg | 0 |
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Number of Participants With Treatment-emergent Adverse Events
A treatment-emergent adverse event was defined as an adverse event that was either reported for the first time or the worsening of a pre-existing event after the first dose of study drug until 30 days after the last dose of study drug. (NCT04003610)
Timeframe: up to 178 days
Intervention | Participants (Count of Participants) |
---|
Pemigatinib 13.5 mg Plus Pembrolizumab 200 mg | 1 |
Gemcitabine 1000 mg/m^2 Plus Carboplatin or Pembrolizumab 200 mg | 6 |
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EORTC QLQ-C30 Score
The European Organization for the Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30) contains 30 items and measures 5 functional dimensions (i.e., physical, role, emotional, cognitive, and social), 3 symptom items (i.e., fatigue, nausea/vomiting, and pain), 6 single items (i.e., dyspnea, sleep disturbance, appetite loss, constipation, diarrhea, and financial impact), and a global health and quality of life scale. For each scale and single item, a linear transformation was applied to standardize the scores between 0 (worst) and 100 (best) as described in the EORTC QLQ-C30 Scoring Manual. (NCT04003610)
Timeframe: up to 160 days
Intervention | scores on a scale (Mean) |
---|
| Appetite Loss, Baseline | Appetite Loss, Cycle 3 Day 1 | Appetite Loss, Cycle 6 Day 1 | Appetite Loss, Follow Up | Cognitive Functioning, Baseline | Cognitive Functioning, Cycle 3 Day 1 | Cognitive Functioning, Cycle 6 Day 1 | Cognitive Functioning, Follow Up | Constipation, Baseline | Constipation, Cycle 3 Day 1 | Constipation, Cycle 6 Day 1 | Constipation, Follow Up | Diarrhea, Baseline | Diarrhea, Cycle 3 Day 1 | Diarrhea, Cycle 6 Day 1 | Diarrhea, Follow Up | Dyspnea, Baseline | Dyspnea, Cycle 3 Day 1 | Dyspnea, Cycle 6 Day 1 | Dyspnea, Follow Up | Emotional Functioning, Baseline | Emotional Functioning, Cycle 3 Day 1 | Emotional Functioning, Cycle 6 Day 1 | Emotional Functioning, Follow Up | Fatigue, Baseline | Fatigue, Cycle 3 Day 1 | Fatigue, Cycle 6 Day 1 | Fatigue, Follow Up | Financial Difficulties, Baseline | Financial Difficulties, Cycle 3 Day 1 | Financial Difficulties, Cycle 6 Day 1 | Financial Difficulties, Follow Up | Global Health Status/Quality of Life (QoL), Baseline | Global Health Status/QoL, Cycle 3 Day 1 | Global Health Status/QoL, Cycle 6 Day 1 | Global Health Status/QoL, Follow Up | Insomnia, Baseline | Insomnia, Cycle 3 Day 1 | Insomnia, Cycle 6 Day 1 | Insomnia, Follow Up | Nausea and Vomiting, Baseline | Nausea and Vomiting, Cycle 3 Day 1 | Nausea and Vomiting, Cycle 6 Day 1 | Nausea and Vomiting, Follow Up | Pain, Baseline | Pain, Cycle 3 Day 1 | Pain, Cycle 6 Day 1 | Pain, Follow Up | Physical Functioning, Baseline | Physical Functioning, Cycle 3 Day 1 | Physical Functioning, Cycle 6 Day 1 | Physical Functioning, Follow Up | Role Functioning, Baseline | Role Functioning, Cycle 3 Day 1 | Role Functioning, Cycle 6 Day 1 | Role Functioning, Follow Up | Social Functioning, Baseline | Social Functioning, Cycle 3 Day 1 | Social Functioning, Cycle 6 Day 1 | Social Functioning, Follow Up |
---|
Gemcitabine 1000 mg/m^2 Plus carboplatinGemcitabine 1000 mg/m^2 Plus Carboplatin | 26.7 | 16.7 | 0.0 | 66.7 | 66.7 | 91.7 | 66.7 | 83.3 | 40.0 | 16.7 | 0.0 | 33.3 | 20.0 | 0.0 | 0.0 | 33.3 | 26.7 | 16.7 | 33.3 | 66.7 | 73.3 | 87.5 | 91.7 | 100.0 | 46.7 | 50.0 | 33.3 | 55.6 | 20.0 | 16.7 | 0.0 | 0.0 | 51.7 | 66.7 | 66.7 | 50.0 | 46.7 | 33.3 | 0.0 | 66.7 | 6.7 | 8.3 | 0.0 | 16.7 | 40.0 | 41.7 | 0.0 | 16.7 | 65.3 | 33.3 | 66.7 | 40.0 | 56.7 | 33.3 | 66.7 | 33.3 | 53.3 | 66.7 | 66.7 | 83.3 |
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Number of Participants Who Discontinued Study Intervention Due to an Adverse Event (AE)
An AE was defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it was considered related to the medical treatment or procedure, that occurs during the course of the study. (NCT04003636)
Timeframe: Up to approximately 38 months
Intervention | Participants (Count of Participants) |
---|
Arm A (Pembrolizumab+Gemcitabine+Cisplatin) | 138 |
Arm B (Placebo+Gemcitabine+Cisplatin) | 122 |
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Progression-free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Response Evaluation Criteria in Solid Tumors Version 1.1 (BICR)
PFS was defined as the time from randomization to the first documented progressive disease (PD) per RECIST 1.1 by BICR, or death due to any cause, whichever occurred first. (NCT04003636)
Timeframe: Up to approximately 26 months
Intervention | Months (Median) |
---|
Arm A (Pembrolizumab+Gemcitabine+Cisplatin) | 6.5 |
Arm B (Placebo+Gemcitabine+Cisplatin) | 5.6 |
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Overall Survival (OS)
Overall survival was defined as the time from randomization to death due to any cause. (NCT04003636)
Timeframe: Up to approximately 38 months
Intervention | Months (Median) |
---|
Arm A (Pembrolizumab+Gemcitabine+Cisplatin) | 12.7 |
Arm B (Placebo+Gemcitabine+Cisplatin) | 10.9 |
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Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)
ORR was defined as the percentage of participants who have a confirmed Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: a ≥30% decrease in the sum of diameters [SOD] of target lesions) as assessed by BICR per RECIST 1.1, which was adjusted for this study to allow a maximum of 10 target lesions in total and 5 per organ. (NCT04003636)
Timeframe: Up to approximately 26 months
Intervention | Percentage of Participants (Number) |
---|
Arm A (Pembrolizumab+Gemcitabine+Cisplatin) | 28.7 |
Arm B (Placebo+Gemcitabine+Cisplatin) | 28.5 |
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Duration of Response (DOR) Per RECIST 1.1 as Assessed by BICR
For participants who demonstrate a confirmed CR or PR, DOR was the time from the first documented evidence of CR or PR until disease progression or death due to any cause, whichever occurred first. (NCT04003636)
Timeframe: Up to approximately 38 months
Intervention | Months (Median) |
---|
Arm A (Pembrolizumab+Gemcitabine+Cisplatin) | 9.7 |
Arm B (Placebo+Gemcitabine+Cisplatin) | 6.9 |
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Number of Participants Who Experience One or More Adverse Events (AE)
An adverse event (AE) was defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it was considered related to the medical treatment or procedure, that occurred during the course of the study. (NCT04003636)
Timeframe: Up to approximately 38 months
Intervention | Participants (Count of Participants) |
---|
Arm A (Pembrolizumab+Gemcitabine+Cisplatin) | 524 |
Arm B (Placebo+Gemcitabine+Cisplatin) | 532 |
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Number of Participants With Treatment-emergent Adverse Events to Evaluate Tolerability of Oxaliplatin With Gemcitabine
To evaluate the tolerability of administering Oxaliplatin in combination with gemcitabine in patients with recurrent or advanced TCC bladder. Toxicity and adverse events are based on the CTCAE (NCI Common Terminology Criteria for Adverse Events) Version 3.0. (NCT04039867)
Timeframe: From date of registration until treatment completion, disease progression or other reasons for removal from protocol treatments, whichever came first, an average of 1 year.
Intervention | Participants (Count of Participants) |
---|
Oxaliplatin With Gemcitabine | 17 |
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Overall Survival of Patients Who Received Gemcitabine and Oxaliplatin
To evaluate overall survival in patients with advanced TCC bladder treated with this combination of gemcitabine and Oxaliplatin. (NCT04039867)
Timeframe: From date of registration for 5 years or until death from any cause, whichever came first.
Intervention | days (Median) |
---|
Oxaliplatin With Gemcitabine | 314 |
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Overall Response Rate as Assessed by RECIST Criteria of Patients Who Received Gemcitabine and Oxaliplatin
To assess the overall response rate to the combination of gemcitabine and Oxaliplatin in patients with recurrent or advanced TCC bladder. Per Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI. Complete Response (CR) is defined as disappearance of all target lestions. Partial Response (PR) is defined as >=30% decrease in the sum of the longest diameter of target lesions. Overall response rate (ORR) is defined as confirmed complete response (CR) and partial response (PR). ORR = CR + PR (NCT04039867)
Timeframe: From date of registration until first date of disease progression, toxicity, delay of treatment, or withdrawal of treatment, whichever came first, an average of 1 year.
Intervention | participants (Number) |
---|
Oxaliplatin With Gemcitabine | 5 |
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Safety Run-in Part: Number of Participants Who Experienced Dose Limiting Toxicities (DLTs)
A DLT is a toxicity related to the study intervention that meets the following criteria as evaluated in the open-label, safety run-in: Grade 3 or 4 Immune-related adverse event (irAE) that needs permanent discontinuation of M7824 treatment; a malignant skin lesion induced by M7824 that is local and can be resected with a negative resection margin is not a DLT; Grade 3 or 4 nonhematologic toxicity other than irAE, A life threatening hematological toxicity (unless clearly attributable to chemotherapy alone), which is hardly medically manageable, including a bleeding event resulting in urgent intervention and admission to an intensive care unit and Grade 5 toxicity. (NCT04066491)
Timeframe: Day 1 up to Day 21 of Cycle 1 (each Cycle is of 21 days)
Intervention | Participants (Count of Participants) |
---|
Safety Run-In Part: M7824 + Gemcitabine + Cisplatin | 0 |
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Safety Run-in Part: Number of Participants With Grade Greater Than or Equal (>=) 3 Laboratory Abnormalities
Laboratory investigation included hematology and biochemistry. The number of participants with Grade >=3 laboratory abnormalities were reported. Severity of grade 3 or higher TEAEs were graded using NCI-CTCAE v5.0 toxicity grades, as follows: Grade 3 = Severe; Grade 4 = Life-threatening and Grade 5 = Death. (NCT04066491)
Timeframe: Time from first treatment up to data cutoff (assessed up to 609 days)
Intervention | Participants (Count of Participants) |
---|
| Hemoglobin low | Leukocytes low | Neutrophils low | Platelets low | Alanine Aminotransferase high | Bilirubin high | Creatinine high | Lipase high | Potassium low | Lymphocytes low | Corrected Calcium high |
---|
Safety Run-In Part: M7824 + Gemcitabine + Cisplatin | 6 | 4 | 6 | 3 | 2 | 1 | 1 | 1 | 1 | 2 | 1 |
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Double-blind Part: Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC)
Percentage of participants with confirmed objective response that is at least one overall assessment of complete response (CR) or partial response (PR) reported here. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. Confirmed CR = at least 2 determinations of CR at least 4 weeks apart and before progression. Confirmed PR = at least 2 determinations of PR at least 4 weeks apart and before progression (and not qualifying for a CR). Confirmed objective response was determined according to RECIST v1.1 and as adjudicated by IRC. (NCT04066491)
Timeframe: Time from randomization of study drug up to data cut off (assessed up to 609 days)
Intervention | Percentage of participants (Number) |
---|
Double-blinded Part: Placebo + Gemcitabine + Cisplatin | 19.5 |
Double-blinded Part: M7824 + Gemcitabine + Cisplatin | 31.5 |
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Double-blind Part: Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) Assessed by Independent Review Committee (IRC)
Progression free survival was defined as the time from randomization of study intervention until the first documentation of disease progression (PD) or death due to any cause in the absence of documented PD, whichever occurred first. PD: At least a 20 percent (%) increase in the sum of the longest diameter (SLD) taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. (NCT04066491)
Timeframe: Time from randomization of study drug until the first documentation of PD or death, assessed up to 609 days
Intervention | Months (Median) |
---|
Double-blinded Part: Placebo + Gemcitabine + Cisplatin | 5.6 |
Double-blinded Part: M7824 + Gemcitabine + Cisplatin | 5.5 |
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Double-blind Part: Overall Survival
Overall Survival was defined as the time from study day 1 to the date of death due to any cause. The overall survival was analyzed by using the Kaplan-Meier method. (NCT04066491)
Timeframe: Time from study day 1 up to data cutoff (assessed up to 609 days)
Intervention | Months (Median) |
---|
Double-blinded Part: Placebo + Gemcitabine + Cisplatin | 11.5 |
Double-blinded Part: M7824 + Gemcitabine + Cisplatin | 11.5 |
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Double-blind Part: Duration of Response (DOR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC)
DOR was defined for participants with objective response, as the time from first documentation of objective response (confirmed Complete Response [CR] or Partial Response [PR]) to the date of first documentation of progression disease (PD) or death due to any cause, whichever occurred first. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the SLD of all lesions. PD: At least a 20 percent (%) increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. DOR was determined according to RECIST v1.1 and assessed by IRC. Results were calculated based on Kaplan-Meier estimates. (NCT04066491)
Timeframe: From first documented objective response to PD or death due to any cause, assessed up to 609 days
Intervention | Months (Median) |
---|
Double-blinded Part: Placebo + Gemcitabine + Cisplatin | 12.5 |
Double-blinded Part: M7824 + Gemcitabine + Cisplatin | 7.0 |
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Overall Disease Control Rate (DCR)
Proportion of patients with BOR of CR, PR or stable disease (SD) (according to RECIST 1.1) at or after the first follow-up scan, partial response or complete response (NCT04099888)
Timeframe: 6 months and 12 months
Intervention | Participants (Count of Participants) |
---|
| Overall Disease Control Rate | Disease Control Rate at 6 Months |
---|
PCI Treatment in Conjunction With Standard of Care (SoC) | 15 | 11 |
,Standard of Care (SoC) | 14 | 10 |
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Duration of Response (DoR)
From first documented tumour response until first documented disease progression, or death in the absence of disease progression (in months) (NCT04099888)
Timeframe: Up to 24 months
Intervention | Days (Number) |
---|
| Patient A | Patient B | Patient C | Patient D | Patient E | Patient F |
---|
PCI Treatment in Conjunction With Standard of Care (SoC) | 169 | 260 | 264 | NA | NA | NA |
,Standard of Care (SoC) | NA | NA | NA | 85 | 1 | 1 |
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Progression-free Survival (PFS)
From date of randomisation to date of objective disease progression or death, whichever comes first (in months) (NCT04099888)
Timeframe: Up to 18 months
Intervention | Months (Median) |
---|
PCI Treatment in Conjunction With Standard of Care (SoC) | 7.29 |
Standard of Care (SoC) | 8.08 |
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Adverse Events (AEs)/Serious Adverse Events (SAEs)
Number and proportion of patients with AEs/SAEs (NCT04099888)
Timeframe: Up to 12 months
Intervention | Participants (Count of Participants) |
---|
PCI Treatment in Conjunction With Standard of Care (SoC) | 12 |
Standard of Care (SoC) | 8 |
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Change in Tumor Size
Best overall percentage change in tumour size from baseline (NCT04099888)
Timeframe: Up to 18 months
Intervention | Percentage Change in Tumor Size (Mean) |
---|
PCI Treatment in Conjunction With Standard of Care (SoC) | -12.06 |
Standard of Care (SoC) | -14.73 |
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Objective Response Rate (ORR)
Proportion of patients with measurable disease at baseline who have at least one visit response with a complete response (CR) or partial response (PR) noted (according to RECIST 1.1) (NCT04099888)
Timeframe: Up to 18 months
Intervention | Participants (Count of Participants) |
---|
PCI Treatment in Conjunction With Standard of Care (SoC) | 3 |
Standard of Care (SoC) | 3 |
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Overall Survival (OS)
From date of randomisation to date of death from any cause (in months) (NCT04099888)
Timeframe: Up to 24 months
Intervention | Participants (Count of Participants) |
---|
PCI Treatment in Conjunction With Standard of Care (SoC) | 12 |
Standard of Care (SoC) | 13 |
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Complete Response (CR): Percentage of Participants Who Achieve CR
CR is a disappearance of all target and non-target lesions and normalization of tumor marker level. (NCT04145700)
Timeframe: Baseline Up to 6.94 months
Intervention | Percentage of participants (Number) |
---|
Ramucirumab + Gemcitabine + Docetaxel | 0 |
Gemcitabine + Docetaxel | 0 |
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Duration of Response (DoR)
DoR is defined as the time from the date that measurement criteria for CR or PR (whichever is first recorded) are first met until the first date that disease is recurrent or objective disease progression is observed, per RECIST 1.1 criteria, or the date of death from any cause in the absence of documented disease progression or recurrence. (NCT04145700)
Timeframe: Date of CR or PR to Date of Objective Disease Progression or Death Due to Any Cause (Up To 4.13 Months)
Intervention | Months (Number) |
---|
Ramucirumab + Gemcitabine + Docetaxel | NA |
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PK: Minimum Serum Concentration of Ramucirumab (Cmin)
Cmin was the concentration of study drug in the blood immediately before the next dose was administered. It was measured pre-dose at all visits and was summarized using descriptive statistics. (NCT04145700)
Timeframe: Prior to ramucirumab infusion on Day 8 of Cycle 1, Day 1 of Cycle 2 and Day 1 of Cycle 5
Intervention | microgram per milliliter (µg/mL) (Geometric Mean) |
---|
| Day 8 of Cycle 1 | Day 1 of Cycle 2 | Day 1 of Cycle 5 |
---|
Ramucirumab + Gemcitabine + Docetaxel | 73.3 | 55.4 | NA |
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Progression Free Survival (PFS)
PFS is defined as the time from randomization until the first investigator-determined objective progression as defined by Response Evaluation Criteria In Solid Tumors, Version 1.1 (RECIST v1.1) or death from any cause in the absence of progressive disease. Participants known to be alive and without disease progression will be censored at the time of the last adequate tumor assessment or date of randomization, whichever is later. (NCT04145700)
Timeframe: Baseline to Objective Progression or Death Due to Any Cause (Up To 6.4 Months)
Intervention | Months (Median) |
---|
Ramucirumab + Gemcitabine + Docetaxel | 2.10 |
Gemcitabine + Docetaxel | 2.03 |
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Pharmacokinetics (PK): Maximum Serum Concentration of Ramucirumab (Cmax)
Cmax was the concentration of study drug in the blood after the dose is administered. It was measured post-dose and was summarized using descriptive statistics. (NCT04145700)
Timeframe: 0.5 hours after the end of ramucirumab infusion on Day 1 of Cycle 1
Intervention | microgram per milliliter (µg/mL) (Geometric Mean) |
---|
Ramucirumab + Gemcitabine + Docetaxel | 231 |
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Overall Response Rate (ORR): Percentage of Participants Who Achieve Complete Response (CR) or Partial Response (PR)
ORR is the best overall tumor response of complete response (CR) or partial response (PR) as classified by the investigator according to the Response Evaluation Criteria In Solid Tumors (RECIST v1.1). CR is a disappearance of all target and non-target lesions and normalization of tumor marker level. PR is an at least 30% decrease in the sum of the diameters of target lesions (taking as reference the baseline sum diameter) without progression of non-target lesions or appearance of new lesions. (NCT04145700)
Timeframe: Baseline through Measured Progressive Disease (Up To 6.4 Months)
Intervention | Percentage of participants (Number) |
---|
Ramucirumab + Gemcitabine + Docetaxel | 6.3 |
Gemcitabine + Docetaxel | 0 |
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Number of Participants With Treatment-Emergent Anti-Drug Antibodies (TE-ADA)
A TE-ADA evaluable participant is considered to be TE-ADA positive if the participant has at least one post baseline titer that is a 4-fold or greater increase in titer from baseline measurement (treatment-boosted). If baseline result is ADA Not Present, then the participant is TE ADA positive if there is at least one post baseline result of ADA Present with titer >= 20 (treatment-induced). (NCT04145700)
Timeframe: Baseline Up to 6.94 months
Intervention | Participants (Count of Participants) |
---|
Ramucirumab + Gemcitabine + Docetaxel | 0 |
Gemcitabine + Docetaxel | 0 |
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Objective Response Rate (ORR)
"Percentage of patients achieving a confirmed complete response (CR) or partial response (PR) to treatment as assessed by blinded independent review according to RECIST v1.1 criteria. ORR = patients with CR + patients with PR, where 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 This outcome was assessed in the population of patients with measurable disease at baseline who were also randomized ≥28 weeks before the data cut-off (ITTMD28). Patients were to receive a confirmatory scan 28-42 days after response is first observed." (NCT04163900)
Timeframe: Evaluated at Screening (baseline) then every 9 weeks from treatment start (C1D1), or every 12 weeks if treatment is stopped with no evidence of progression, until disease progression or death from any cause up to the end of study, an average of 6 months.
Intervention | Participants (Count of Participants) |
---|
A - NUC-1031 and Cisplatin | 53 |
B - Gemcitabine and Cisplatin | 34 |
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Overall Survival (OS)
The median time, in months, from the date of randomization to the date of death from any cause. For patients who were alive at the time of a data cut-off or were permanently lost to follow up, duration of OS was censored at the date at which they were last known to be alive. (NCT04163900)
Timeframe: From the date of randomization until the date of death from any cause, assessed up to 12 months on average
Intervention | Months (Median) |
---|
A - NUC-1031 and Cisplatin | 9.2 |
B - Gemcitabine and Cisplatin | 12.6 |
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3-Month Complete Response Rate
Number of patients with no evidence of recurrent high grade urothelial carcinoma of the bladder of any stage as assessed by cystoscopy with biopsy and urine cytology. (NCT04386746)
Timeframe: 3 months
Intervention | Participants (Count of Participants) |
---|
Intravesical Gemcitabine/Docetaxel | 25 |
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Time to Death
Defined as the time (days) from date of Radical Nephroureterectomy to date of death (NCT04398368)
Timeframe: Up to 2 years
Intervention | Days (Mean) |
---|
Prevention (Gemcitabine Hydrochloride) | 543 |
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Time to Development of Muscle-invasive Bladder Cancer
Defined as the time (days) from date of Radical Nephroureterectomy to date of histologic proof of Urothelial Carcinoma (NCT04398368)
Timeframe: Up to 2 years
Intervention | Days (Mean) |
---|
Prevention (Gemcitabine Hydrochloride) | 178.75 |
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Incidence of Adverse Events
Adverse events will be categorized by grade and further distinguished as serious adverse events. Furthermore, they will be designated by each site as not related, unlikely, possible, probably, and definitely related to treatment adverse events. they will also be summarized and organized by organ system, with the number and percent of patients experiencing the adverse event at least once and the number of patients exposed. Adverse events will be described and analyzed qualitatively. Adverse events will be grouped into categories and numerically described. (NCT04398368)
Timeframe: Up to 2 years
Intervention | Adverse Events (Number) |
---|
Prevention (Gemcitabine Hydrochloride) | 213 |
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Incidence of Muscle-invasive Bladder Cancer
Number of subject to experience muscle-invasive bladder cancer. Assessed by Urothelial Carcinoma on final pathology of Transurethral Resection of Bladder Tumor specimen or Urothelial Carcinoma on final pathology of radical cystectomy specimen. (NCT04398368)
Timeframe: Up to 2 years
Intervention | Participants (Count of Participants) |
---|
Prevention (Gemcitabine Hydrochloride) | 4 |
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Urothelial Carcinoma Relapse-free Survival
Number of participants without recurrence of Urothelial Carcinoma. Relapse-free survival will be assessed by cystoscopy and urine cytology. (NCT04398368)
Timeframe: Up to 1 year
Intervention | Participants (Count of Participants) |
---|
Prevention (Gemcitabine Hydrochloride) | 14 |
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Time to Recurrence
Number of days from Radical Nephroureterectomy to date of histologic proof of recurrence/relapse of Urothelial Carcinoma (NCT04398368)
Timeframe: Up to 1 year
Intervention | Days (Mean) |
---|
Prevention (Gemcitabine Hydrochloride) | 178.75 |
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Time to Confirmed Deterioration (TTCD)
TTCD in patient-reported physical functioning, role functioning, and quality of life, as measured by the respective scales of the EORTC QLQ-C30 and/or EORTC IL77, and defined as the time from randomization to the first clinically meaningful deterioration that is either maintained for two consecutive assessments or followed by death from any cause within 3 weeks. (NCT04677504)
Timeframe: Randomization to the first clinically meaningful deterioration (up to approximately 14 months)
Intervention | Months (Median) |
---|
| Quality of Life | Physical Function Scale | Role Function Scale |
---|
Arm A: Atezo+Bev+CisGem, Followed by Atezo+Bev | 2.79 | 6.21 | 4.24 |
,Arm B: Atezo+PBO+CisGem, Followed by Atezo+PBO | 6.28 | 3.29 | 3.52 |
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Confirmed Objective Response Rate (ORR)
Confirmed ORR is defined as the proportion of participants with Complete Response (CR) or Partial Response (PR) on two consecutive occasions >=4 weeks apart, as determined by the investigator according to RECIST v1.1. (NCT04677504)
Timeframe: Randomization up to approximately 14 months
Intervention | Percentage of participants (Number) |
---|
Arm B: Atezo+PBO+CisGem, Followed by Atezo+PBO | 25.3 |
Arm A: Atezo+Bev+CisGem, Followed by Atezo+Bev | 24.1 |
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Duration of Response (DOR)
DOR is defined as the time from the first occurrence of a confirmed objective response to disease progression as determined by the investigator according to RECIST v1.1 or death from any cause (whichever occurs first). (NCT04677504)
Timeframe: First occurrence of a confirmed objective response to disease progression as determined by the investigator according to RECIST v1.1 or death from any cause (whichever occurs first)(up to approximately 14 months)
Intervention | Months (Median) |
---|
Arm B: Atezo+PBO+CisGem, Followed by Atezo+PBO | 5.78 |
Arm A: Atezo+Bev+CisGem, Followed by Atezo+Bev | NA |
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Progression Free Survival (PFS)
PFS is defined as the time from randomization to the first occurrence of disease progression as determined by the investigator according to RECIST v1.1 or death from any cause (whichever occurs first) (NCT04677504)
Timeframe: Randomization to the first occurrence of disease progression as determined by the investigator according to RECIST v1.1 or death from any cause (whichever occurs first)(up to approximately 14 months)
Intervention | Months (Median) |
---|
Arm B: Atezo+PBO+CisGem, Followed by Atezo+PBO | 7.92 |
Arm A: Atezo+Bev+CisGem, Followed by Atezo+Bev | 8.35 |
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Serum Concentration of Atezolizumab
Serum concentration of atezolizumab at specified timepoints. (NCT04677504)
Timeframe: Pre-Dose on Day 1 of Cycles 1, 2, 3, 4, 8, 12, and 16, and Post Dose Day 1 of Cycle 1 (cycle length=21 days)
Intervention | μg/ mL (Mean) |
---|
| Cycle 1 Day 1 Pre-Dose | Cycle 1 Day 1 Post Dose | Cycle 2 Day 1 Pre-Dose | Cycle 3 Day 1 Pre-Dose | Cycle 4 Day 1 Pre-Dose | Cycle 8 Day 1 Pre-Dose | Cycle 12 Day 1 Pre-Dose | Cycle 16 Day 1 Pre-Dose |
---|
Arm A: Atezo+Bev+CisGem, Followed by Atezo+Bev | NA | 411 | 79.4 | 118 | 155 | 200 | 210 | 174 |
,Arm B: Atezo+PBO+CisGem, Followed by Atezo+PBO | NA | 416 | 85.0 | 129 | 153 | 224 | 223 | 230 |
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Disease Control Rate (DCR)
DCR is defined as the proportion of participants with a CR or a PR on two consecutive occasions >= 4 weeks apart or SD with a minimum duration of 9weeks, as determined by the investigator according to RECIST v1.1 (NCT04677504)
Timeframe: Randomization up to approximately 14 months
Intervention | Percentage of participants (Number) |
---|
Arm B: Atezo+PBO+CisGem, Followed by Atezo+PBO | 75.9 |
Arm A: Atezo+Bev+CisGem, Followed by Atezo+Bev | 78.5 |
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Number of Participants Who Discontinued Study Intervention Due to an Adverse Event (AE)
An AE was defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it was considered related to the medical treatment or procedure, that occurred during the course of the study. (NCT04924062)
Timeframe: Up to approximately 29 months
Intervention | Participants (Count of Participants) |
---|
Arm A (Pembrolizumab+Gemcitabine+Cisplatin) | 18 |
Arm B (Placebo+Gemcitabine+Cisplatin) | 14 |
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Overall Survival (OS)
Overall survival was defined as the time from randomization to death due to any cause. Per protocol the final reported outcome for OS did not include any sensitivity or supportive analysis. (NCT04924062)
Timeframe: Up to approximately 29 months
Intervention | Months (Median) |
---|
Arm A (Pembrolizumab+Gemcitabine+Cisplatin) | 14.1 |
Arm B (Placebo+Gemcitabine+Cisplatin) | 9.9 |
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Number of Participants Who Experience One or More Adverse Events (AE)
An adverse event (AE) was defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it was considered related to the medical treatment or procedure, that occurred during the course of the study. (NCT04924062)
Timeframe: Up to approximately 29 months
Intervention | Participants (Count of Participants) |
---|
Arm A (Pembrolizumab+Gemcitabine+Cisplatin) | 73 |
Arm B (Placebo+Gemcitabine+Cisplatin) | 82 |
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Progression-free Survival (PFS) Per RECIST 1.1 as Assessed by BICR
Progression-free survival was defined as the time from randomization to the first documented disease progression or death due to any cause, whichever occurred first. (NCT04924062)
Timeframe: Up to approximately 29 months
Intervention | Months (Median) |
---|
Arm A (Pembrolizumab+Gemcitabine+Cisplatin) | 5.6 |
Arm B (Placebo+Gemcitabine+Cisplatin) | 5.7 |
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Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)
ORR was defined as the percentage of participants who had a confirmed Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: a ≥30% decrease in the sum of diameters [SOD] of target lesions) as assessed by BICR per RECIST 1.1, which was adjusted for this study to allow a maximum of 10 target lesions in total and 5 per organ. (NCT04924062)
Timeframe: Up to approximately 29 months
Intervention | Percentage (Number) |
---|
Arm A (Pembrolizumab+Gemcitabine+Cisplatin) | 36.0 |
Arm B (Placebo+Gemcitabine+Cisplatin) | 28.9 |
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Duration of Response (DOR) Per RECIST 1.1 as Assessed by BICR
For participants who demonstrated a confirmed CR or PR, DOR was the time from the first documented evidence of CR or PR until disease progression or death due to any cause, whichever occurred first. (NCT04924062)
Timeframe: Up to approximately 29 months
Intervention | Months (Median) |
---|
Arm A (Pembrolizumab+Gemcitabine+Cisplatin) | 10.2 |
Arm B (Placebo+Gemcitabine+Cisplatin) | 5.7 |
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