Metastatic Cancer, Prostate Cancer
Conditions
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
Given orally
Given orally
Docetaxel given IV and prednisone given orally
Docetaxel given IV and prednisone given orally
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| 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 opens | 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. |
| 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 opens | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Assessed every 3 weeks up to 52 weeks | Only 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 weeks | 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. |
| Compare Prostate Specific Antigen (PSA) Response Rates Between the Experimental Arm and the Standard Arm. | Up to 7 years after study opens | 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. |
| Compare Pain Progression Between the Two Study Arms. | Up to 52 weeks | 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. |
Other
| Measure | Time frame | Description |
|---|---|---|
| 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 period | 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 |
| Number of Patients With a Change in Functional Status | up to 18 months study period | 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. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| 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 |
| Total | 994 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Eligible for Protocol Assigned Treatment | Adverse Event | 81 | 67 |
| Eligible for Protocol Assigned Treatment | Lack of Efficacy | 171 | 171 |
| Eligible for Protocol Assigned Treatment | Other | 55 | 56 |
| Eligible for Protocol Assigned Treatment | Withdrawal by Subject | 20 | 21 |
| Randomization | Not eligible for assigned treatment | 22 | 20 |
Baseline characteristics
| Characteristic | Arm I: Placebo | Arm II: Atrasentan | Total |
|---|---|---|---|
| Age, Continuous | 69 years | 69 years | 69 years |
| Bisphosphonate use at study entry | 305 Participants | 304 Participants | 609 Participants |
| Brief Pain Inventory, worst pain <4 | 283 Participants | 288 Participants | 571 Participants |
| Brief Pain Inventory, worst pain >= 4 | 213 Participants | 210 Participants | 423 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 20 Participants | 21 Participants | 41 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 476 Participants | 477 Participants | 953 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Gleason score 5-6 | 49 Participants | 52 Participants | 101 Participants |
| Gleason score 7 | 137 Participants | 141 Participants | 278 Participants |
| Gleason score 8-10 | 272 Participants | 275 Participants | 547 Participants |
| Gleason score Missing | 38 Participants | 30 Participants | 68 Participants |
| Metastases Extraskeletal | 48 Participants | 45 Participants | 93 Participants |
| Metastases Lung, liver or brain | 94 Participants | 101 Participants | 195 Participants |
| Metastases Lymph nodes | 148 Participants | 149 Participants | 297 Participants |
| Metastases Skeletal only | 206 Participants | 203 Participants | 409 Participants |
| Performance status 0-1 | 457 Participants | 462 Participants | 919 Participants |
| Performance status 2-3 | 39 Participants | 36 Participants | 75 Participants |
| Previous prostatectomy | 145 Participants | 168 Participants | 313 Participants |
| Race/Ethnicity, Customized Asian | 12 Participants | 8 Participants | 20 Participants |
| Race/Ethnicity, Customized Black | 64 Participants | 73 Participants | 137 Participants |
| Race/Ethnicity, Customized Unknown | 14 Participants | 10 Participants | 24 Participants |
| Race/Ethnicity, Customized White | 403 Participants | 403 Participants | 806 Participants |
| Serum PSA | 67.7 ug/L | 79.0 ug/L | 72.7 ug/L |
| Sex: Female, Male Female | 0 Participants | 0 Participants | 0 Participants |
| Sex: Female, Male Male | 496 Participants | 498 Participants | 994 Participants |
| Type of Progression at study entry Measurable or evaluable | 394 Participants | 407 Participants | 801 Participants |
| Type of Progression at study entry PSA increase only | 102 Participants | 91 Participants | 193 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 476 / 486 | 475 / 492 |
| serious Total, serious adverse events | 172 / 486 | 153 / 492 |
Outcome results
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
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Arm I: Placebo | 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. | 9.1 months |
| Arm II: Atrasentan | 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. | 9.2 months |
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
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Arm I: Placebo | Compare 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: Atrasentan | Compare 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 |
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.
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Arm I: Placebo | Compare Objective Responses Between the Two Treatment Groups in Patients With Measurable Disease as Defined by RECIST Criteria. | Partial response (confirmed) | 31 Participants |
| Arm I: Placebo | Compare Objective Responses Between the Two Treatment Groups in Patients With Measurable Disease as Defined by RECIST Criteria. | Complete response | 0 Participants |
| Arm I: Placebo | Compare Objective Responses Between the Two Treatment Groups in Patients With Measurable Disease as Defined by RECIST Criteria. | No response | 194 Participants |
| Arm II: Atrasentan | Compare Objective Responses Between the Two Treatment Groups in Patients With Measurable Disease as Defined by RECIST Criteria. | Partial response (confirmed) | 32 Participants |
| Arm II: Atrasentan | Compare Objective Responses Between the Two Treatment Groups in Patients With Measurable Disease as Defined by RECIST Criteria. | Complete response | 0 Participants |
| Arm II: Atrasentan | Compare Objective Responses Between the Two Treatment Groups in Patients With Measurable Disease as Defined by RECIST Criteria. | No response | 193 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Arm I: Placebo | Compare Pain Progression Between the Two Study Arms. | 59 Participants |
| Arm II: Atrasentan | Compare Pain Progression Between the Two Study Arms. | 41 Participants |
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
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Arm I: Placebo | Compare Prostate Specific Antigen (PSA) Response Rates Between the Experimental Arm and the Standard Arm. | 243 Participants |
| Arm II: Atrasentan | Compare Prostate Specific Antigen (PSA) Response Rates Between the Experimental Arm and the Standard Arm. | 249 Participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Fatigue (asthenia, lethargy, malaise) | 60 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Dehydration | 9 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hypoxia | 10 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | INR (of prothrombin time) | 3 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Lipase | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Mucositis/stomatitis (clinical exam) - Oral cavity | 2 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Mucositis/stomatitis (clinical exam) - Pharynx | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Nail changes | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Vomiting | 8 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Anorexia | 5 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Allergic reaction/hypersensitivity | 5 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Allergy/Immunology-Other (Specify) | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Amylase | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Arthritis (non-septic) | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Aspiration | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Auditory/Ear-Other (Specify) | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Bilirubin (hyperbilirubinemia) | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Blood/Bone Marrow-Other (Specify) | 2 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | CNS cerebrovascular ischemia | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | CPK (creatine phosphokinase) | 2 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Calcium, serum-low (hypocalcemia) | 7 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Cardiac Arrhythmia-Other (Specify) | 2 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Cardiac General-Other (Specify) | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Cardiac troponin I (cTnI) | 2 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Cardiac troponin T (cTnT) | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Cardiac-ischemia/infarction | 2 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Conduction abnormality NOS | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Confusion | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Constipation | 3 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Cough | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Diarrhea | 10 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Dizziness | 3 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Dry mouth/salivary gland (xerostomia) | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Dysphagia (difficulty swallowing) | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Dyspnea (shortness of breath) | 38 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Edema: head and neck | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Edema: limb | 16 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Edema: trunk/genital | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Erectile dysfunction | 2 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Esophagitis | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Creatinine | 4 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Febrile neutropenia | 8 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Fever in absence of neutropenia, ANC lt1.0x10e9/L | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Fracture | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Glucose, serum-high (hyperglycemia) | 20 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Glucose, serum-low (hypoglycemia) | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Heartburn/dyspepsia | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hemoglobin | 47 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hemolysis | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hemorrhage, Respiratory tract NOS | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hemorrhage, GI - Rectum | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hemorrhage, GI - Stomach | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hemorrhage, GI - Upper GI NOS | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hemorrhage, GU - Bladder | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hemorrhage/Bleeding-Other (Specify) | 2 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hemorrhoids | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hot flashes/flushes | 2 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hypertension | 2 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hypotension | 9 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Induration/fibrosis (skin and subcutaneous tissue) | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf (clin/microbio) w/Gr 3-4 neuts - Bladder | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf (clin/microbio) w/Gr 3-4 neuts - Blood | 2 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf (clin/microbio) w/Gr 3-4 neuts - Bronchus | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf (clin/microbio) w/Gr 3-4 neuts - Esophagus | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf (clin/microbio) w/Gr 3-4 neuts - Lung | 11 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf (clin/microbio) w/Gr 3-4 neuts - Nerve-periph | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf (clin/microbio) w/Gr 3-4 neuts - Skin | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf (clin/microbio) w/Gr 3-4 neuts - Soft tissue | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf (clin/microbio) w/Gr 3-4 neuts - UTI | 4 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf (clin/microbio) w/Gr 3-4 neuts - Upper airway | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Blood | 2 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Bronchus | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Colon | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Lung | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Muscle | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Scrotum | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Sinus | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Skin | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Stomach | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Trachea | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - UTI | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Ungual | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/unknown ANC - Middle ear (otitis media) | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/unknown ANC - Upper aerodigestive NOS | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Infection with unknown ANC - Blood | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Infection with unknown ANC - Lung (pneumonia) | 3 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Infection with unknown ANC - Upper airway NOS | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Infection with unknown ANC - Urinary tract NOS | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Infection-Other (Specify) | 4 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Insomnia | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Left ventricular diastolic dysfunction | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Left ventricular systolic dysfunction | 3 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Leukocytes (total WBC) | 101 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Lymphopenia | 30 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Magnesium, serum-high (hypermagnesemia) | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Metabolic/Laboratory-Other (Specify) | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Mood alteration - agitation | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Mood alteration - depression | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Mucositis/stomatitis (clinical exam) - Stomach | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Mucositis/stomatitis (functional/symp) - Esophagus | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Mucositis/stomatitis (functional/symp) - Oral cav | 3 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Mucositis/stomatitis (functional/symp) - Pharynx | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Mucositis/stomatitis (functional/symp) - Rectum | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Muscle weakness, not d/t neuropathy - Extrem-lower | 2 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Muscle weakness, not d/t neuropathy - body/general | 11 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Myocarditis | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Nasal cavity/paranasal sinus reactions | 2 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Nausea | 11 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Neuropathy: motor | 7 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Neuropathy: sensory | 10 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Neutrophils/granulocytes (ANC/AGC) | 140 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Opportunistic inf associated w/gt=Gr 2 lymphopenia | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | PTT (Partial thromboplastin time) | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain - Abdomen NOS | 4 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain - Back | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain - Bone | 5 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain - Chest wall | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain - Chest/thorax NOS | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain - Extremity-limb | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain - Joint | 2 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain - Muscle | 8 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain - Neuralgia/peripheral nerve | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain - Pelvis | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain-Other (Specify) | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Phosphate, serum-low (hypophosphatemia) | 3 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Platelets | 7 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pneumonitis/pulmonary infiltrates | 7 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pneumothorax | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Potassium, serum-high (hyperkalemia) | 2 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Potassium, serum-low (hypokalemia) | 11 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pulmonary/Upper Respiratory-Other (Specify) | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Rash: hand-foot skin reaction | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Renal failure | 4 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Renal/Genitourinary-Other (Specify) | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Right ventricular dysfunction (cor pulmonale) | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | SVT and nodal arrhythmia - Atrial fibrillation | 3 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | SVT and nodal arrhythmia - Atrial flutter | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | SVT and nodal arrhythmia - Sinus tachycardia | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Sodium, serum-low (hyponatremia) | 8 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Somnolence/depressed level of consciousness | 1 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Speech impairment (e.g., dysphasia or aphasia) | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Sudden death | 2 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Syncope (fainting) | 3 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Thrombosis/embolism (vascular access-related) | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Thrombosis/thrombus/embolism | 9 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Vasovagal episode | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Watery eye (epiphora, tearing) | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Weight gain | 0 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | ALT, SGPT (serum glutamic pyruvic transaminase) | 2 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | AST, SGOT | 2 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Adult respiratory distress syndrome (ARDS) | 3 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Albumin, serum-low (hypoalbuminemia) | 3 Participants |
| Arm I: Placebo | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Alkaline phosphatase | 4 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Stomach | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Creatinine | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain - Chest wall | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Dehydration | 8 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Trachea | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hypoxia | 3 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | SVT and nodal arrhythmia - Atrial fibrillation | 2 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | INR (of prothrombin time) | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - UTI | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain - Chest/thorax NOS | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Mucositis/stomatitis (clinical exam) - Oral cavity | 2 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Ungual | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Alkaline phosphatase | 6 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/unknown ANC - Middle ear (otitis media) | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Amylase | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain - Extremity-limb | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/unknown ANC - Upper aerodigestive NOS | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Allergic reaction/hypersensitivity | 6 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | SVT and nodal arrhythmia - Atrial flutter | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Allergy/Immunology-Other (Specify) | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Infection with unknown ANC - Blood | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Anorexia | 5 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain - Joint | 2 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Arthritis (non-septic) | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Infection with unknown ANC - Lung (pneumonia) | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Aspiration | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Vasovagal episode | 2 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Auditory/Ear-Other (Specify) | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Infection with unknown ANC - Upper airway NOS | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Bilirubin (hyperbilirubinemia) | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain - Muscle | 3 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Blood/Bone Marrow-Other (Specify) | 2 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Infection with unknown ANC - Urinary tract NOS | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | CNS cerebrovascular ischemia | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | SVT and nodal arrhythmia - Sinus tachycardia | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | CPK (creatine phosphokinase) | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Infection-Other (Specify) | 3 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Calcium, serum-low (hypocalcemia) | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain - Neuralgia/peripheral nerve | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Cardiac Arrhythmia-Other (Specify) | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Insomnia | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Cardiac General-Other (Specify) | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Vomiting | 7 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Cardiac troponin I (cTnI) | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Left ventricular diastolic dysfunction | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Cardiac troponin T (cTnT) | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain - Pelvis | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Cardiac-ischemia/infarction | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Left ventricular systolic dysfunction | 2 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Conduction abnormality NOS | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Sodium, serum-low (hyponatremia) | 3 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Confusion | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Leukocytes (total WBC) | 98 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Constipation | 4 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Lipase | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Cough | 2 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain-Other (Specify) | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Diarrhea | 7 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Lymphopenia | 32 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Dizziness | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | AST, SGOT | 4 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Dry mouth/salivary gland (xerostomia) | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Magnesium, serum-high (hypermagnesemia) | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Dysphagia (difficulty swallowing) | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Phosphate, serum-low (hypophosphatemia) | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Dyspnea (shortness of breath) | 17 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Metabolic/Laboratory-Other (Specify) | 2 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Edema: head and neck | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Somnolence/depressed level of consciousness | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Edema: limb | 2 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Mood alteration - agitation | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Edema: trunk/genital | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Platelets | 4 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Erectile dysfunction | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Mood alteration - depression | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Esophagitis | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Mucositis/stomatitis (clinical exam) - Pharynx | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Fatigue (asthenia, lethargy, malaise) | 40 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Watery eye (epiphora, tearing) | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Febrile neutropenia | 20 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Mucositis/stomatitis (clinical exam) - Stomach | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Fever in absence of neutropenia, ANC lt1.0x10e9/L | 2 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pneumonitis/pulmonary infiltrates | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Fracture | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Mucositis/stomatitis (functional/symp) - Esophagus | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Glucose, serum-high (hyperglycemia) | 24 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Speech impairment (e.g., dysphasia or aphasia) | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Glucose, serum-low (hypoglycemia) | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Mucositis/stomatitis (functional/symp) - Oral cav | 3 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Heartburn/dyspepsia | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pneumothorax | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hemoglobin | 22 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Mucositis/stomatitis (functional/symp) - Pharynx | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hemolysis | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Albumin, serum-low (hypoalbuminemia) | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hemorrhage, Respiratory tract NOS | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Mucositis/stomatitis (functional/symp) - Rectum | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hemorrhage, GI - Rectum | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Potassium, serum-high (hyperkalemia) | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hemorrhage, GI - Stomach | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hypertension | 2 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Muscle weakness, not d/t neuropathy - Extrem-lower | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hemorrhage, GI - Upper GI NOS | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Sudden death | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hemorrhage, GU - Bladder | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Muscle weakness, not d/t neuropathy - body/general | 8 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hemorrhage/Bleeding-Other (Specify) | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Potassium, serum-low (hypokalemia) | 2 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hemorrhoids | 2 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Myocarditis | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hot flashes/flushes | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Nail changes | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Weight gain | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Hypotension | 3 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Neuropathy: motor | 6 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Induration/fibrosis (skin and subcutaneous tissue) | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Nasal cavity/paranasal sinus reactions | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf (clin/microbio) w/Gr 3-4 neuts - Bladder | 2 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pulmonary/Upper Respiratory-Other (Specify) | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf (clin/microbio) w/Gr 3-4 neuts - Blood | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Nausea | 5 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf (clin/microbio) w/Gr 3-4 neuts - Bronchus | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Syncope (fainting) | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf (clin/microbio) w/Gr 3-4 neuts - Esophagus | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Rash: hand-foot skin reaction | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf (clin/microbio) w/Gr 3-4 neuts - Lung | 6 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Neuropathy: sensory | 11 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf (clin/microbio) w/Gr 3-4 neuts - Nerve-periph | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Adult respiratory distress syndrome (ARDS) | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf (clin/microbio) w/Gr 3-4 neuts - Skin | 2 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Neutrophils/granulocytes (ANC/AGC) | 154 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf (clin/microbio) w/Gr 3-4 neuts - Soft tissue | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Renal failure | 2 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf (clin/microbio) w/Gr 3-4 neuts - UTI | 3 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Opportunistic inf associated w/gt=Gr 2 lymphopenia | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf (clin/microbio) w/Gr 3-4 neuts - Upper airway | 2 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Thrombosis/embolism (vascular access-related) | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Blood | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | PTT (Partial thromboplastin time) | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Bronchus | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Renal/Genitourinary-Other (Specify) | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Colon | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain - Abdomen NOS | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Lung | 5 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | ALT, SGPT (serum glutamic pyruvic transaminase) | 2 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Muscle | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain - Back | 2 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Scrotum | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Right ventricular dysfunction (cor pulmonale) | 1 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Sinus | 0 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Pain - Bone | 8 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Inf w/normal ANC or Gr 1-2 neutrophils - Skin | 2 Participants |
| Arm II: Atrasentan | Compare Qualitative and Quantitative Toxicity Between the Two Study Arms | Thrombosis/thrombus/embolism | 11 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Arm I: Placebo | Compare Elements of Quality of Life Between Treatment Arms: Pain Palliation Response, as Measured by the Brief Pain Inventory (BPI) | 75 Participants |
| Arm II: Atrasentan | Compare Elements of Quality of Life Between Treatment Arms: Pain Palliation Response, as Measured by the Brief Pain Inventory (BPI) | 83 Participants |
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
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Arm I: Placebo | Number of Patients With a Change in Functional Status | 118 Participants |
| Arm II: Atrasentan | Number of Patients With a Change in Functional Status | 139 Participants |