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S0421, Docetaxel and Prednisone With or Without Atrasentan in Treating Patients With Stage IV Prostate Cancer and Bone Metastases That Did Not Respond to Previous Hormone Therapy

Phase III Study of Docetaxel and Atrasentan Versus Docetaxel and Placebo for Patients With Advanced Hormone Refractory Prostate Cancer

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00134056
Enrollment
1038
Registered
2005-08-24
Start date
2006-08-31
Completion date
2016-02-29
Last updated
2021-10-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Metastatic Cancer, Prostate Cancer

Keywords

adenocarcinoma of the prostate, stage IV prostate cancer, recurrent prostate cancer, bone metastases

Brief summary

RATIONALE: Drugs used in chemotherapy, such as docetaxel, prednisone, and atrasentan work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) may kill more tumor cells. It is not yet known whether docetaxel, prednisone, and atrasentan are more effective than docetaxel and prednisone in treating prostate cancer. PURPOSE: This randomized phase III trial is studying docetaxel, prednisone, and atrasentan to see how well they work compared to docetaxel and prednisone in treating patients with stage IV prostate cancer and bone metastases that did not respond to previous hormone therapy.

Detailed description

OBJECTIVES: Primary * Compare the survival and progression-free survival of patients with hormone-refractory stage IV prostate cancer and bone metastases treated with docetaxel and prednisone combined with either atrasentan vs placebo. Secondary * Compare pain progression of patients treated with these regimens. * Compare the qualitative and quantitative toxicity of these regimens in these patients. * Compare the quality of life, in terms of palliation of metastatic bone pain and improvement in functional status, of patients treated with these regimens. * Compare prostate-specific antigen (PSA) response rates in patients treated with these regimens. * Compare objective response in patients with measurable disease treated with these regimens. * Determine whether a 30% reduction in PSA and the slope of PSA from baseline to 3 months is a surrogate marker for survival in patients treated with these regimens. * Correlate PSA progression with clinical progression and death in patients treated with these regimens. OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are stratified according to disease progression (measurable or non-measurable disease progression vs prostate-specific antigen progression only), use of bisphosphonates at study entry (yes vs no), worst pain, measured by the Brief Pain Inventory pain scale (\< grade 4 vs ≥ grade 4), and extraskeletal metastases (yes vs no). Patients are randomized to 1 of 2 treatment arms. * Arm I: Patients receive docetaxel IV over 1 hour on day 1. Patients also receive oral atrasentan and oral prednisone once daily on days 1-21. Treatment repeats every 21 days for up to 12 courses. Patients with stable or responding disease after course 12 may register for continued oral atrasentan treatment for up to 52 weeks in the absence of disease progression\* or unacceptable toxicity. * Arm II: Patients receive docetaxel and prednisone as in arm I. Patients also receive oral placebo once daily on days 1-21. Treatment repeat every 21 days for up to 12 courses. Patients with stable or responding disease after course 12 may register for continued oral placebo treatment for up to 52 weeks in the absence of disease progression\* or unacceptable toxicity. NOTE: \*Patients with PSA progression alone will be allowed to continue treatment Quality of life is assessed at baseline, before courses 4, 7, and 10, and then after completion of study treatment. After completion of study treatment, patients are followed every 3 months for 1 year and then every 6 months for up to 3 years from study entry. PROJECTED ACCRUAL: A total of 930 patients will be accrued for this study within 4 years.

Interventions

OTHERplacebo

Given orally

Given orally

DRUGdocetaxel

Docetaxel given IV and prednisone given orally

DRUGprednisone

Docetaxel given IV and prednisone given orally

Sponsors

National Cancer Institute (NCI)
CollaboratorNIH
SWOG Cancer Research Network
Lead SponsorNETWORK

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

DISEASE CHARACTERISTICS: * Histologically confirmed adenocarcinoma of the prostate * Stage IV disease (any T, any N, M1b) * Evidence of bone metastases by bone scan or MRI * Measurable or nonmeasurable disease * Soft tissue disease that has been irradiated within the past 2 months is not assessable as measurable disease * Hormone-refractory disease despite androgen deprivation and antiandrogen withdrawal, as defined by 1 of the following criteria: * Prostate-specific antigen (PSA) progression, defined as 3 consecutive rising PSA levels\* taken ≥ 1 week apart * PSA ≥ 5 ng/mL NOTE: \*If the third confirmatory PSA level is \< the second level, the patient is considered eligible provided a fourth PSA level is \> the second level * Progression of measurable disease * Progression of nonmeasurable disease by bone scan * Must have undergone surgical or medical (e.g., luteinizing hormone-releasing hormone \[LHRH\] agonist \[e.g., leuprolide or goserelin\] or LHRH antagonist therapy) castration * Patients who have undergone medical castration must continue LHRH agonist or antagonist therapy during study treatment * Must have completed 12 courses of blinding protocol treatment (atrasentan/placebo) AND stopped docetaxel for any reason (including completion of 12 courses) other than progressive disease * No symptomatic pleural effusion * No third space fluid accumulation (e.g., ascites) * No prior or concurrent brain metastases * Patients with clinical evidence of brain metastases must have a negative brain CT scan or MRI within the past 8 weeks PATIENT CHARACTERISTICS: Age * 18 and over Performance status * Zubrod 0-3\* NOTE: For a performance status of 3, the cause must be due to pain secondary to bone metastases Life expectancy * Not specified Hematopoietic * Not specified Hepatic * Not specified Renal * Not specified Other * Fertile patients must use effective contraception * Able to take oral medication without crushing, dissolving, or chewing tablets * No major infection * No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer or stage I or II cancer in complete remission * No symptomatic sensory neuropathy ≥ grade 2 * No history of hypersensitivity reaction to docetaxel or other drugs formulated with polysorbate 80 * No other significant, active medical illness that would preclude study treatment or survival PRIOR CONCURRENT THERAPY: Biologic therapy * No more than 1 prior systemic vaccine or biologic therapy * At least 4 weeks since prior vaccine or biologic therapy and recovered * No concurrent biological response modifiers * No concurrent prophylactic colony-stimulating factors Chemotherapy * More than 2 years since prior adjuvant therapy with a single non-taxane-containing cytotoxic regimen * No prior cytotoxic chemotherapy for metastatic prostate cancer * No other concurrent chemotherapy Endocrine therapy * See Disease Characteristics * At least 6 weeks since prior bicalutamide or nilutamide AND has subsequent disease progression * At least 4 weeks since prior flutamide or ketoconazole AND has subsequent disease progression * Prior or concurrent megestrol for treatment of hot flashes allowed * No other concurrent corticosteroid or hormonal therapy unless continuing luteinizing hormone-releasing hormone treatment and/or bisphosphonate therapy Radiotherapy * See Disease Characteristics * Prior samarium allowed * At least 3 weeks since prior radiotherapy and recovered * No prior radiotherapy to ≥ 30% of the bone marrow * No prior strontium * No concurrent radiotherapy Surgery * See Disease Characteristics * At least 3 weeks since prior surgery and recovered Other * More than 4 weeks since prior investigational drugs * Concurrent bisphosphonates allowed provided therapy is started prior to study entry, dose is maintained during the first 12 weeks of study treatment, and patient meets criteria for disease progression * No initiation of bisphosphonates during the first 12 weeks of study treatment * No concurrent herbal medications or food supplements (e.g., PC-SPES, saw palmetto, Hypericum perforatum \[St. John's wort\]) * Concurrent daily vitamins and calcium supplements allowed * At least 14 days since prior and no concurrent administration of any of the following: * Antibiotics (e.g., clarithromycin, erythromycin, troleandomycin, rifampin, rifabutin, and rifapentine) * Antifungals (e.g., itraconazole, ketoconazole, fluconazole \[doses \> 200 mg/day\], and voriconazole) * Antidepressants (e.g., nefazodone and fluvoxamine) * Calcium channel blockers (e.g., verapamil, diltiazem) * Miscellaneous (e.g., amiodarone \[no use within 6 months prior to study entry\], grapefruit juice, bitter orange, or modafinil) * Anticonvulsants (e.g., phenytoin, carbamazepine, phenobarbital, and oxcarbazepine) * Antibiotics (e.g., rifampin, rifabutin, and rifapentine)

Design outcomes

Primary

MeasureTime frameDescription
Compare Survival Between a Control or Standard Therapy Arm of Docetaxel + Placebo + Prednisone With Docetaxel + Atrasentan + Prednisone in Patients With Hormone Refractory Prostate Cancer.Up to 7 years after study opensMeasured from date of registration to date of death due to any cause. Patient last known to be alive are censored at date of last contact.
Compare Progression-free Survival Between a Control or Standard Therapy Arm of Docetaxel + Placebo + Prednisone With Docetaxel + Atrasentan + Prednisone in Patients With Hormone Refractory Prostate Cancer.Up to 7 years after study opensMeasured from date of registration to date of first observation of progressive disease, or death due to any cause. Patients without progression are censored at date of last contact. Disease progression is defined by confirmed bone disease progression, soft tissue or pain progression.

Secondary

MeasureTime frameDescription
Compare Qualitative and Quantitative Toxicity Between the Two Study ArmsAssessed every 3 weeks up to 52 weeksOnly adverse events that are possibly, probably or definitely related to study drug are reported.
Compare Objective Responses Between the Two Treatment Groups in Patients With Measurable Disease as Defined by RECIST Criteria.Up to 52 weeksComplete Response (CR): Complete disappearance of all measurable and non-measurable disease. No new lesions. No disease related symptoms. Normalization of markers and other abnormal lab values. PSA ≤ .2 ng/ml. Partial Response (PR): Applies only to patients with at least one measurable lesion. 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.
Compare Prostate Specific Antigen (PSA) Response Rates Between the Experimental Arm and the Standard Arm.Up to 7 years after study opensPSA Partial Response: Greater than or equal to 50% reduction in baseline PSA. There must be no evidence of soft tissue progression, or confirmed none disease progression, or pain progression.
Compare Pain Progression Between the Two Study Arms.Up to 52 weeksPain progression is defined as patients reporting an increase of at least two Worst Pain points, maintained for at least two consecutive assessments, increase to Level 3 (strong opioid) on the Pain Medication Log Analgesic Code for patients receiving Level 2 (weak opioid) analgesics at randomization, or an increase to Level 2 or 3 analgesics for patients receiving Level 0 or 1 analgesics at randomization.

Other

MeasureTime frameDescription
Compare Elements of Quality of Life Between Treatment Arms: Pain Palliation Response, as Measured by the Brief Pain Inventory (BPI)up to 18 months study periodPain palliation is the proportion of patients showing a two-point reduction in the Worst Pain score (WPS) maintained for two consecutive assessments with no increase in analgesic use. Increase in analgesic use is defined as an increase in Analgesic code Level to 2 (weak opioid) or 3 (strong opioid). Patients will be classified as pain palliated or not palliated. Patients with a WPS of 0 will be defined as stable if their WPS remains 0 for Weeks 7 and 10 with no increase in analgesic use, but they will not be categorized as responders. Pain palliation response is measured by BPI short form that has the following: yes/no question about pain today; 4 pain rating questions (worst pain, least pain, average pain, and current pain); pain medications and pain relief; 7 items addressing effect of pain on functioning. For patients who continue to receive treatment beyond 12 treatment cycles, the Worst Pain item is measured by Pain Medication Log and Pain Assessment
Number of Patients With a Change in Functional Statusup to 18 months study periodFunctional status will be measured with the Functional Assessment of Cancer Therapy-Prostate (FACT-P) Trial Outcome Index. The FACT-P also addresses four general domains of QOL (physical, functional, emotional, and social well-being subscales) as well as symptom concerns associated with prostate cancer and its treatment.

Countries

United States

Participant flow

Participants by arm

ArmCount
Arm I: Placebo
Patients receive docetaxel and prednisone as in arm I. Patients also receive oral placebo once daily on days 1-21. Treatment repeat every 21 days for up to 12 courses. Patients with stable or responding disease after course 12 may register for continued oral placebo treatment for up to 52 weeks. docetaxel: Docetaxel given IV and prednisone given orally prednisone: Docetaxel given IV and prednisone given orally placebo: Given orally
496
Arm II: Atrasentan
Patients receive docetaxel IV over 1 hour on day 1. Patients also receive oral atrasentan and oral prednisone once daily on days 1-21. Treatment repeats every 21 days for up to 12 courses. Patients with stable or responding disease after course 12 may register for continued oral atrasentan treatment for up to 52 weeks. atrasentan hydrochloride: Given orally docetaxel: Docetaxel given IV and prednisone given orally prednisone: Docetaxel given IV and prednisone given orally
498
Total994

Withdrawals & dropouts

PeriodReasonFG000FG001
Eligible for Protocol Assigned TreatmentAdverse Event8167
Eligible for Protocol Assigned TreatmentLack of Efficacy171171
Eligible for Protocol Assigned TreatmentOther5556
Eligible for Protocol Assigned TreatmentWithdrawal by Subject2021
RandomizationNot eligible for assigned treatment2220

Baseline characteristics

CharacteristicArm I: PlaceboArm II: AtrasentanTotal
Age, Continuous69 years69 years69 years
Bisphosphonate use at study entry305 Participants304 Participants609 Participants
Brief Pain Inventory, worst pain
<4
283 Participants288 Participants571 Participants
Brief Pain Inventory, worst pain
>= 4
213 Participants210 Participants423 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
20 Participants21 Participants41 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
476 Participants477 Participants953 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Gleason score
5-6
49 Participants52 Participants101 Participants
Gleason score
7
137 Participants141 Participants278 Participants
Gleason score
8-10
272 Participants275 Participants547 Participants
Gleason score
Missing
38 Participants30 Participants68 Participants
Metastases
Extraskeletal
48 Participants45 Participants93 Participants
Metastases
Lung, liver or brain
94 Participants101 Participants195 Participants
Metastases
Lymph nodes
148 Participants149 Participants297 Participants
Metastases
Skeletal only
206 Participants203 Participants409 Participants
Performance status
0-1
457 Participants462 Participants919 Participants
Performance status
2-3
39 Participants36 Participants75 Participants
Previous prostatectomy145 Participants168 Participants313 Participants
Race/Ethnicity, Customized
Asian
12 Participants8 Participants20 Participants
Race/Ethnicity, Customized
Black
64 Participants73 Participants137 Participants
Race/Ethnicity, Customized
Unknown
14 Participants10 Participants24 Participants
Race/Ethnicity, Customized
White
403 Participants403 Participants806 Participants
Serum PSA67.7 ug/L79.0 ug/L72.7 ug/L
Sex: Female, Male
Female
0 Participants0 Participants0 Participants
Sex: Female, Male
Male
496 Participants498 Participants994 Participants
Type of Progression at study entry
Measurable or evaluable
394 Participants407 Participants801 Participants
Type of Progression at study entry
PSA increase only
102 Participants91 Participants193 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
476 / 486475 / 492
serious
Total, serious adverse events
172 / 486153 / 492

Outcome results

Primary

Compare Progression-free Survival Between a Control or Standard Therapy Arm of Docetaxel + Placebo + Prednisone With Docetaxel + Atrasentan + Prednisone in Patients With Hormone Refractory Prostate Cancer.

Measured from date of registration to date of first observation of progressive disease, or death due to any cause. Patients without progression are censored at date of last contact. Disease progression is defined by confirmed bone disease progression, soft tissue or pain progression.

Time frame: Up to 7 years after study opens

ArmMeasureValue (MEDIAN)
Arm I: PlaceboCompare Progression-free Survival Between a Control or Standard Therapy Arm of Docetaxel + Placebo + Prednisone With Docetaxel + Atrasentan + Prednisone in Patients With Hormone Refractory Prostate Cancer.9.1 months
Arm II: AtrasentanCompare Progression-free Survival Between a Control or Standard Therapy Arm of Docetaxel + Placebo + Prednisone With Docetaxel + Atrasentan + Prednisone in Patients With Hormone Refractory Prostate Cancer.9.2 months
Comparison: The primary analysis was by intention to treat and the Hochberg procedure was used for multiple testing of co-primary endpoints. Assuming a 4 year accrual, 2.5 years of follow-up, and 930 eligible patients, the study was designed to have 87% power to detect a 25% increase from 6.0 months to 7.5 months in median overall survival with a one-sided log rank with alpha of 0.0125.p-value: 0.8195% CI: [0.89, 1.16]Log Rank
Primary

Compare Survival Between a Control or Standard Therapy Arm of Docetaxel + Placebo + Prednisone With Docetaxel + Atrasentan + Prednisone in Patients With Hormone Refractory Prostate Cancer.

Measured from date of registration to date of death due to any cause. Patient last known to be alive are censored at date of last contact.

Time frame: Up to 7 years after study opens

ArmMeasureValue (MEDIAN)
Arm I: PlaceboCompare Survival Between a Control or Standard Therapy Arm of Docetaxel + Placebo + Prednisone With Docetaxel + Atrasentan + Prednisone in Patients With Hormone Refractory Prostate Cancer.17.6 months
Arm II: AtrasentanCompare Survival Between a Control or Standard Therapy Arm of Docetaxel + Placebo + Prednisone With Docetaxel + Atrasentan + Prednisone in Patients With Hormone Refractory Prostate Cancer.17.8 months
Comparison: The primary analysis was by intention to treat and the Hochberg procedure was used for multiple testing of co-primary endpoints. Assuming a 4 year accrual, 2.5 years of follow-up, and 930 eligible patients, the study was designed to have 87% power to detect a 25% increase from 18.0 months to 22.5 months in median overall survival with a one-sided log rank with alpha of 0.0125.p-value: 0.6495% CI: [0.9, 1.19]Log Rank
Secondary

Compare Objective Responses Between the Two Treatment Groups in Patients With Measurable Disease as Defined by RECIST Criteria.

Complete Response (CR): Complete disappearance of all measurable and non-measurable disease. No new lesions. No disease related symptoms. Normalization of markers and other abnormal lab values. PSA ≤ .2 ng/ml. Partial Response (PR): Applies only to patients with at least one measurable lesion. 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.

Time frame: Up to 52 weeks

Population: 450 (225 in each arm) of 461 patients with measurable disease at trial enrollment were assessable for response by RECIST.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Arm I: PlaceboCompare Objective Responses Between the Two Treatment Groups in Patients With Measurable Disease as Defined by RECIST Criteria.Partial response (confirmed)31 Participants
Arm I: PlaceboCompare Objective Responses Between the Two Treatment Groups in Patients With Measurable Disease as Defined by RECIST Criteria.Complete response0 Participants
Arm I: PlaceboCompare Objective Responses Between the Two Treatment Groups in Patients With Measurable Disease as Defined by RECIST Criteria.No response194 Participants
Arm II: AtrasentanCompare Objective Responses Between the Two Treatment Groups in Patients With Measurable Disease as Defined by RECIST Criteria.Partial response (confirmed)32 Participants
Arm II: AtrasentanCompare Objective Responses Between the Two Treatment Groups in Patients With Measurable Disease as Defined by RECIST Criteria.Complete response0 Participants
Arm II: AtrasentanCompare Objective Responses Between the Two Treatment Groups in Patients With Measurable Disease as Defined by RECIST Criteria.No response193 Participants
Secondary

Compare Pain Progression Between the Two Study Arms.

Pain progression is defined as patients reporting an increase of at least two Worst Pain points, maintained for at least two consecutive assessments, increase to Level 3 (strong opioid) on the Pain Medication Log Analgesic Code for patients receiving Level 2 (weak opioid) analgesics at randomization, or an increase to Level 2 or 3 analgesics for patients receiving Level 0 or 1 analgesics at randomization.

Time frame: Up to 52 weeks

Population: Only those patients who progressed on study were included in this analysis. The proportion of patients with pain progression is calculated using number of patients with pain progression as the numerator and the total number of patients who progressed on study as the denominator.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Arm I: PlaceboCompare Pain Progression Between the Two Study Arms.59 Participants
Arm II: AtrasentanCompare Pain Progression Between the Two Study Arms.41 Participants
Secondary

Compare Prostate Specific Antigen (PSA) Response Rates Between the Experimental Arm and the Standard Arm.

PSA Partial Response: Greater than or equal to 50% reduction in baseline PSA. There must be no evidence of soft tissue progression, or confirmed none disease progression, or pain progression.

Time frame: Up to 7 years after study opens

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Arm I: PlaceboCompare Prostate Specific Antigen (PSA) Response Rates Between the Experimental Arm and the Standard Arm.243 Participants
Arm II: AtrasentanCompare Prostate Specific Antigen (PSA) Response Rates Between the Experimental Arm and the Standard Arm.249 Participants
Secondary

Compare Qualitative and Quantitative Toxicity Between the Two Study Arms

Only adverse events that are possibly, probably or definitely related to study drug are reported.

Time frame: Assessed every 3 weeks up to 52 weeks

Population: patients with hormone-refractory stage IV prostate cancer and bone metastases treated with docetaxel and prednisone combined with either atrasentan vs placebo

ArmMeasureGroupValue (NUMBER)
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsFatigue (asthenia, lethargy, malaise)60 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsDehydration9 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHypoxia10 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsINR (of prothrombin time)3 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsLipase0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMucositis/stomatitis (clinical exam) - Oral cavity2 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMucositis/stomatitis (clinical exam) - Pharynx1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsNail changes0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsVomiting8 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsAnorexia5 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsAllergic reaction/hypersensitivity5 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsAllergy/Immunology-Other (Specify)0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsAmylase0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsArthritis (non-septic)1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsAspiration0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsAuditory/Ear-Other (Specify)1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsBilirubin (hyperbilirubinemia)0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsBlood/Bone Marrow-Other (Specify)2 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsCNS cerebrovascular ischemia0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsCPK (creatine phosphokinase)2 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsCalcium, serum-low (hypocalcemia)7 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsCardiac Arrhythmia-Other (Specify)2 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsCardiac General-Other (Specify)1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsCardiac troponin I (cTnI)2 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsCardiac troponin T (cTnT)1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsCardiac-ischemia/infarction2 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsConduction abnormality NOS1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsConfusion1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsConstipation3 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsCough1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsDiarrhea10 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsDizziness3 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsDry mouth/salivary gland (xerostomia)1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsDysphagia (difficulty swallowing)1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsDyspnea (shortness of breath)38 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsEdema: head and neck0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsEdema: limb16 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsEdema: trunk/genital1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsErectile dysfunction2 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsEsophagitis0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsCreatinine4 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsFebrile neutropenia8 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsFever in absence of neutropenia, ANC lt1.0x10e9/L1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsFracture1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsGlucose, serum-high (hyperglycemia)20 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsGlucose, serum-low (hypoglycemia)1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHeartburn/dyspepsia1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHemoglobin47 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHemolysis1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHemorrhage, Respiratory tract NOS0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHemorrhage, GI - Rectum1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHemorrhage, GI - Stomach1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHemorrhage, GI - Upper GI NOS0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHemorrhage, GU - Bladder0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHemorrhage/Bleeding-Other (Specify)2 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHemorrhoids0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHot flashes/flushes2 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHypertension2 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHypotension9 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInduration/fibrosis (skin and subcutaneous tissue)1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf (clin/microbio) w/Gr 3-4 neuts - Bladder1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf (clin/microbio) w/Gr 3-4 neuts - Blood2 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf (clin/microbio) w/Gr 3-4 neuts - Bronchus0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf (clin/microbio) w/Gr 3-4 neuts - Esophagus0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf (clin/microbio) w/Gr 3-4 neuts - Lung11 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf (clin/microbio) w/Gr 3-4 neuts - Nerve-periph1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf (clin/microbio) w/Gr 3-4 neuts - Skin1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf (clin/microbio) w/Gr 3-4 neuts - Soft tissue1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf (clin/microbio) w/Gr 3-4 neuts - UTI4 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf (clin/microbio) w/Gr 3-4 neuts - Upper airway0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Blood2 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Bronchus1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Colon1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Lung1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Muscle1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Scrotum0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Sinus1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Skin1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Stomach1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Trachea1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - UTI0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Ungual0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/unknown ANC - Middle ear (otitis media)0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/unknown ANC - Upper aerodigestive NOS0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInfection with unknown ANC - Blood0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInfection with unknown ANC - Lung (pneumonia)3 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInfection with unknown ANC - Upper airway NOS0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInfection with unknown ANC - Urinary tract NOS1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInfection-Other (Specify)4 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInsomnia1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsLeft ventricular diastolic dysfunction1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsLeft ventricular systolic dysfunction3 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsLeukocytes (total WBC)101 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsLymphopenia30 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMagnesium, serum-high (hypermagnesemia)1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMetabolic/Laboratory-Other (Specify)0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMood alteration - agitation1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMood alteration - depression1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMucositis/stomatitis (clinical exam) - Stomach1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMucositis/stomatitis (functional/symp) - Esophagus0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMucositis/stomatitis (functional/symp) - Oral cav3 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMucositis/stomatitis (functional/symp) - Pharynx0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMucositis/stomatitis (functional/symp) - Rectum0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMuscle weakness, not d/t neuropathy - Extrem-lower2 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMuscle weakness, not d/t neuropathy - body/general11 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMyocarditis1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsNasal cavity/paranasal sinus reactions2 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsNausea11 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsNeuropathy: motor7 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsNeuropathy: sensory10 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsNeutrophils/granulocytes (ANC/AGC)140 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsOpportunistic inf associated w/gt=Gr 2 lymphopenia1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPTT (Partial thromboplastin time)1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain - Abdomen NOS4 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain - Back1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain - Bone5 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain - Chest wall0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain - Chest/thorax NOS1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain - Extremity-limb1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain - Joint2 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain - Muscle8 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain - Neuralgia/peripheral nerve1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain - Pelvis0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain-Other (Specify)0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPhosphate, serum-low (hypophosphatemia)3 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPlatelets7 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPneumonitis/pulmonary infiltrates7 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPneumothorax1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPotassium, serum-high (hyperkalemia)2 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPotassium, serum-low (hypokalemia)11 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPulmonary/Upper Respiratory-Other (Specify)0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsRash: hand-foot skin reaction1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsRenal failure4 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsRenal/Genitourinary-Other (Specify)1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsRight ventricular dysfunction (cor pulmonale)0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsSVT and nodal arrhythmia - Atrial fibrillation3 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsSVT and nodal arrhythmia - Atrial flutter1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsSVT and nodal arrhythmia - Sinus tachycardia0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsSodium, serum-low (hyponatremia)8 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsSomnolence/depressed level of consciousness1 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsSpeech impairment (e.g., dysphasia or aphasia)0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsSudden death2 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsSyncope (fainting)3 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsThrombosis/embolism (vascular access-related)0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsThrombosis/thrombus/embolism9 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsVasovagal episode0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsWatery eye (epiphora, tearing)0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsWeight gain0 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsALT, SGPT (serum glutamic pyruvic transaminase)2 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsAST, SGOT2 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsAdult respiratory distress syndrome (ARDS)3 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsAlbumin, serum-low (hypoalbuminemia)3 Participants
Arm I: PlaceboCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsAlkaline phosphatase4 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Stomach0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsCreatinine1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain - Chest wall1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsDehydration8 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Trachea0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHypoxia3 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsSVT and nodal arrhythmia - Atrial fibrillation2 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsINR (of prothrombin time)1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - UTI1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain - Chest/thorax NOS0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMucositis/stomatitis (clinical exam) - Oral cavity2 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Ungual1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsAlkaline phosphatase6 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/unknown ANC - Middle ear (otitis media)1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsAmylase1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain - Extremity-limb1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/unknown ANC - Upper aerodigestive NOS1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsAllergic reaction/hypersensitivity6 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsSVT and nodal arrhythmia - Atrial flutter1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsAllergy/Immunology-Other (Specify)1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInfection with unknown ANC - Blood1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsAnorexia5 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain - Joint2 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsArthritis (non-septic)0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInfection with unknown ANC - Lung (pneumonia)0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsAspiration1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsVasovagal episode2 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsAuditory/Ear-Other (Specify)0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInfection with unknown ANC - Upper airway NOS1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsBilirubin (hyperbilirubinemia)1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain - Muscle3 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsBlood/Bone Marrow-Other (Specify)2 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInfection with unknown ANC - Urinary tract NOS1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsCNS cerebrovascular ischemia1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsSVT and nodal arrhythmia - Sinus tachycardia1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsCPK (creatine phosphokinase)0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInfection-Other (Specify)3 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsCalcium, serum-low (hypocalcemia)1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain - Neuralgia/peripheral nerve1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsCardiac Arrhythmia-Other (Specify)0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInsomnia1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsCardiac General-Other (Specify)1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsVomiting7 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsCardiac troponin I (cTnI)1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsLeft ventricular diastolic dysfunction0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsCardiac troponin T (cTnT)0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain - Pelvis1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsCardiac-ischemia/infarction1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsLeft ventricular systolic dysfunction2 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsConduction abnormality NOS0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsSodium, serum-low (hyponatremia)3 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsConfusion0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsLeukocytes (total WBC)98 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsConstipation4 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsLipase1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsCough2 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain-Other (Specify)1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsDiarrhea7 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsLymphopenia32 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsDizziness1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsAST, SGOT4 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsDry mouth/salivary gland (xerostomia)0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMagnesium, serum-high (hypermagnesemia)0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsDysphagia (difficulty swallowing)1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPhosphate, serum-low (hypophosphatemia)0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsDyspnea (shortness of breath)17 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMetabolic/Laboratory-Other (Specify)2 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsEdema: head and neck1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsSomnolence/depressed level of consciousness0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsEdema: limb2 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMood alteration - agitation0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsEdema: trunk/genital0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPlatelets4 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsErectile dysfunction0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMood alteration - depression0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsEsophagitis1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMucositis/stomatitis (clinical exam) - Pharynx0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsFatigue (asthenia, lethargy, malaise)40 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsWatery eye (epiphora, tearing)1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsFebrile neutropenia20 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMucositis/stomatitis (clinical exam) - Stomach0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsFever in absence of neutropenia, ANC lt1.0x10e9/L2 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPneumonitis/pulmonary infiltrates0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsFracture0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMucositis/stomatitis (functional/symp) - Esophagus1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsGlucose, serum-high (hyperglycemia)24 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsSpeech impairment (e.g., dysphasia or aphasia)1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsGlucose, serum-low (hypoglycemia)0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMucositis/stomatitis (functional/symp) - Oral cav3 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHeartburn/dyspepsia1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPneumothorax0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHemoglobin22 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMucositis/stomatitis (functional/symp) - Pharynx1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHemolysis0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsAlbumin, serum-low (hypoalbuminemia)0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHemorrhage, Respiratory tract NOS1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMucositis/stomatitis (functional/symp) - Rectum1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHemorrhage, GI - Rectum0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPotassium, serum-high (hyperkalemia)1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHemorrhage, GI - Stomach0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHypertension2 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMuscle weakness, not d/t neuropathy - Extrem-lower1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHemorrhage, GI - Upper GI NOS1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsSudden death0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHemorrhage, GU - Bladder1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMuscle weakness, not d/t neuropathy - body/general8 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHemorrhage/Bleeding-Other (Specify)1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPotassium, serum-low (hypokalemia)2 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHemorrhoids2 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsMyocarditis0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHot flashes/flushes1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsNail changes1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsWeight gain1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsHypotension3 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsNeuropathy: motor6 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInduration/fibrosis (skin and subcutaneous tissue)0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsNasal cavity/paranasal sinus reactions0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf (clin/microbio) w/Gr 3-4 neuts - Bladder2 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPulmonary/Upper Respiratory-Other (Specify)1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf (clin/microbio) w/Gr 3-4 neuts - Blood0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsNausea5 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf (clin/microbio) w/Gr 3-4 neuts - Bronchus1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsSyncope (fainting)1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf (clin/microbio) w/Gr 3-4 neuts - Esophagus1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsRash: hand-foot skin reaction0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf (clin/microbio) w/Gr 3-4 neuts - Lung6 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsNeuropathy: sensory11 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf (clin/microbio) w/Gr 3-4 neuts - Nerve-periph0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsAdult respiratory distress syndrome (ARDS)0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf (clin/microbio) w/Gr 3-4 neuts - Skin2 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsNeutrophils/granulocytes (ANC/AGC)154 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf (clin/microbio) w/Gr 3-4 neuts - Soft tissue0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsRenal failure2 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf (clin/microbio) w/Gr 3-4 neuts - UTI3 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsOpportunistic inf associated w/gt=Gr 2 lymphopenia1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf (clin/microbio) w/Gr 3-4 neuts - Upper airway2 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsThrombosis/embolism (vascular access-related)1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Blood1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPTT (Partial thromboplastin time)0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Bronchus1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsRenal/Genitourinary-Other (Specify)0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Colon0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain - Abdomen NOS0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Lung5 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsALT, SGPT (serum glutamic pyruvic transaminase)2 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Muscle0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain - Back2 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Scrotum1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsRight ventricular dysfunction (cor pulmonale)1 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Sinus0 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsPain - Bone8 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsInf w/normal ANC or Gr 1-2 neutrophils - Skin2 Participants
Arm II: AtrasentanCompare Qualitative and Quantitative Toxicity Between the Two Study ArmsThrombosis/thrombus/embolism11 Participants
Other Pre-specified

Compare Elements of Quality of Life Between Treatment Arms: Pain Palliation Response, as Measured by the Brief Pain Inventory (BPI)

Pain palliation is the proportion of patients showing a two-point reduction in the Worst Pain score (WPS) maintained for two consecutive assessments with no increase in analgesic use. Increase in analgesic use is defined as an increase in Analgesic code Level to 2 (weak opioid) or 3 (strong opioid). Patients will be classified as pain palliated or not palliated. Patients with a WPS of 0 will be defined as stable if their WPS remains 0 for Weeks 7 and 10 with no increase in analgesic use, but they will not be categorized as responders. Pain palliation response is measured by BPI short form that has the following: yes/no question about pain today; 4 pain rating questions (worst pain, least pain, average pain, and current pain); pain medications and pain relief; 7 items addressing effect of pain on functioning. For patients who continue to receive treatment beyond 12 treatment cycles, the Worst Pain item is measured by Pain Medication Log and Pain Assessment

Time frame: up to 18 months study period

Population: There was a large amount of missing data points due to the difficulty of data collection of pain medication logs in addition to a questionnaire.The study team and site staff were only able to obtain complete data for the patients included in this analysis.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Arm I: PlaceboCompare Elements of Quality of Life Between Treatment Arms: Pain Palliation Response, as Measured by the Brief Pain Inventory (BPI)75 Participants
Arm II: AtrasentanCompare Elements of Quality of Life Between Treatment Arms: Pain Palliation Response, as Measured by the Brief Pain Inventory (BPI)83 Participants
Other Pre-specified

Number of Patients With a Change in Functional Status

Functional status will be measured with the Functional Assessment of Cancer Therapy-Prostate (FACT-P) Trial Outcome Index. The FACT-P also addresses four general domains of QOL (physical, functional, emotional, and social well-being subscales) as well as symptom concerns associated with prostate cancer and its treatment.

Time frame: up to 18 months study period

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Arm I: PlaceboNumber of Patients With a Change in Functional Status118 Participants
Arm II: AtrasentanNumber of Patients With a Change in Functional Status139 Participants

Source: ClinicalTrials.gov · Data processed: Mar 23, 2026