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Docetaxel, Oxaliplatin, and Fluorouracil in Treating Patients With Metastatic or Unresectable Stomach Cancer, Gastroesophageal Junction Cancer, or Other Solid Tumor

A Phase I/II Study of Taxotere, Oxaliplatin, and 5- Fluorouracil

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00711243
Enrollment
59
Registered
2008-07-08
Start date
2005-04-20
Completion date
2011-02-25
Last updated
2019-02-26

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

Conditions

Gastric Cancer, Unspecified Adult Solid Tumor, Protocol Specific

Keywords

unspecified adult solid tumor, protocol specific, adenocarcinoma of the stomach, stage III gastric cancer, stage IV gastric cancer

Brief summary

RATIONALE: Drugs used in chemotherapy, such as docetaxel, oxaliplatin, and fluorouracil, 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. PURPOSE: This phase I/II trial is studying the side effects and best dose of docetaxel when given with oxaliplatin and fluorouracil and to see how well they work in treating patients with metastatic or unresectable stomach cancer, gastroesophageal junction cancer, or other solid tumor.

Detailed description

OBJECTIVES: Primary * To establish the maximum tolerated dose of docetaxel when administered with oxaliplatin and fluorouracil in patients with metastatic or unresectable solid tumors. (Phase I) * To determine the response rate in patients with metastatic or unresectable adenocarcinoma of the stomach or gastroesophageal junction treated with this regimen. (Phase II) Secondary * To determine the dose limiting toxicity of this regimen in these patients. * To evaluate the frequency of CYP3A4, CYP3A5, and MDR polymorphisms and their impact on toxicity of docetaxel. * To evaluate the frequency of XRCC1 and ERCC2 polymorphisms and their impact on the toxicity of oxaliplatin. * To evaluate the frequency of DPD and TSER polymorphisms and their impact on the toxicity of fluorouracil. * To characterize the toxicity profile of this regimen in these patients. OUTLINE: This is a dose-escalation study of docetaxel. Patients receive docetaxel IV over 1 hour and oxaliplatin IV over 2 hours on day 1 and fluorouracil IV continuously over 46 hours on days 1 and 2. Treatment repeats every 14 days for at least 2 courses in the absence of disease progression, symptomatic tumor progression, or unacceptable toxicity. Patients undergo blood sample collection periodically for pharmacokinetic and pharmacogenomic correlative studies. Plasma concentrations of docetaxel are analyzed by reverse-phase high performance liquid chromatography and tandem mass spectrometry. Polymorphisms in CYP3A4/5, MDR, and other genes are analyzed by PCR. After completion of study therapy, patients are followed every 3 months. PROJECTED ACCRUAL: A total of 73 patients (30 for phase I and 43 for phase II) will be accrued for this study.

Interventions

DRUGdocetaxel

Docetaxel at the dose indicated by the patient cohort, administered intravenously in 5% dextrose over 1 hour on day 1 of each cycle.

DRUGfluorouracil

Intravenous infusion at 85 mg/m2 continuously over 46 hours beginning each cycle after docetaxel administration.

DRUGoxaliplatin

Oxaliplatin 2.4 gm/m2 administered intravenously in 5% dextrose over 2 hours each cycle beginning immediately following docetaxel

Sponsors

National Cancer Institute (NCI)
CollaboratorNIH
Northwestern University
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 120 Years
Healthy volunteers
No

Inclusion criteria

DISEASE CHARACTERISTICS: * Histologically confirmed metastatic or surgically unresectable solid tumor meeting 1 of the following criteria: * Any solid tumor (Phase I) * Adenocarcinoma of the stomach or gastroesophageal junction (Phase II) * Unidimensionally measurable disease by CT scan or MRI * No uncontrolled brain metastasis PATIENT CHARACTERISTICS: * ECOG performance status 0-1 * ANC ≥ 1,500/mm³ * Platelet count ≥ 100,000/mm³ * Hemoglobin ≥ 8.0 g/dL * Creatinine ≤ 1.5 times upper limit of normal (ULN) * Total bilirubin normal * Meets 1 of the following criteria: * Alkaline phosphatase (AP) normal AND AST or ALT ≤ 5 times ULN * AP ≤ 2.5 times ULN AND AST or ALT ≤ 1.5 times ULN * AP ≤ 5 times ULN AND AST or ALT normal * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception during and for ≥ 3 months after completion of study therapy * No preexisting neuropathy * No concurrent uncontrolled illness or other condition that would preclude study compliance * No history of severe hypersensitivity reaction to docetaxel or to other drugs formulated with polysorbate 80 * No history of allergic reactions attributed to compounds of similar chemical or biologic composition to agents used in this study PRIOR CONCURRENT THERAPY: * Recovered from prior therapy * More than 4 weeks since prior therapy (Phase I) * No prior oxaliplatin or taxanes (Phase I) * More than 4 weeks since prior radiotherapy (Phase I) * No more than two prior therapies for metastatic disease (Phase I) * No prior therapy for metastatic disease (Phase II) * At least 6 months since prior adjuvant therapy (given prior to the occurrence of metastatic disease) (Phase II) * Prior fluorouracil and concurrent radiotherapy for palliation of the primary tumor allowed provided metastatic disease is present outside the radiotherapy field (Phase II) * No prior radiotherapy to ≥ 30% of bone marrow * No other concurrent investigational agents

Design outcomes

Primary

MeasureTime frameDescription
Maximum Tolerated Dose (MTD) of Docetaxel When Given in Combination With Oxaliplatin and Fluorouracil (Phase I)After completion of 1 cycle of therapy (1 cycle = 14 days)The MTD will be determined using a 3+3 dose escalating design. There will be 5 dose cohorts: Cohort 1a 25mg/m2 Cohort 2a 30mg/m2 Cohort 3a 40 mg/m2 Cohort 4a 50 mg/m2 Cohort 5a 60 mg/m2 3 patients will be enrolled at dose of 25mg/m2 docetaxel. If no dose limiting toxicities (DLTs) are seen then dose will be escalated to next cohort and 3 patients will be treated at that dose level. If a DLT is seen at any dose, then 3 more patients will be enrolled at that dose level. If 1 patient out of 6, experience a DLT then MTD will be determined to be at this dose level. If 2 or more DLTs are seen in first 3 patients at that dose, then MTD will be one dose lower to the level where the DLTs were experienced. Dose of docetaxel will be escalated by use of cohorts until the MTD for phase II is determined. DLTs were defined using the National Cancer Institute Common Toxicity Criteria Version 3.0
Response Rate in Patients With Adenocarcinoma of the Stomach or Gastroesophageal Junction (Phase II)After 4 cycles of therapy (1 cycle = 14 days)Overall Response Rate (ORR) is defined as Complete Response (CR) plus Partial Response (PR) and will be measured per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT scan. Complete Response (CR) - Disappearance of all target lesions. Partial Response (PR), \>=30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum. Stable Disease, neither sufficient shrinkage to qualify for Partial disease nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum LD while on study. Progressive Disease - \<=20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.

Secondary

MeasureTime frameDescription
Frequency of XRCC1 and ERCC2 Polymorphisms and Their Impact on Oxaliplatin ToxicityBlood sample cycle 1 day 1 and toxicity on day 1 of each cycle
Dose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and FluorouracilAfter 1 cycle of therapy (1 cycle = 14 days)Dose limiting toxicities (DLT) will be graded according to National Cancer Institute's Common Toxicity Criteria for adverse events version 3.0 (CTCAE v3.0) except for neurosensory. The occurrence of any of the following during the 1st cycle, seen in more than one patient, will constitute a DLT. Grade 3 non-hematologic toxicity(except alopecia) Grade 4 thrombocytopenia, not recovered to platelet count of \>75,000/ul by day 15. Grade 4 neutropenia, not recovered to count of \>1,500/ul by day 15. Grade 4 neutropenia with fever or infection. Grade 2 neurologic-sensory toxicity not recovered to grade 1 or better by day 15
Toxicity ProfileDay 1 of each cycle of therapy with 1 cycle =14 days until disease progression for up to a maximum of 34 cycles and 30 days after last treatmentToxicity data will be collected on day 1 of every 14 day cycle during treatment according to the National Cancer Institute's Common Toxicity Criteria for adverse events (AE) version 3.0 (CTCAE v3.0). For patients that experience multiple grades of the same AE that is determined to be at least possibly related to at least one study drug, only highest grade will be collected. In general AEs will be graded according to the following: Grade 1 Mild AE Grade 2 Moderate AE Grade 3 Severe AE Grade 4 Life-threatening or disabling AE Grade 5 Death related to AE
Frequency of DPD and TSER Polymorphisms and Their Impact on Fluorouracil ToxicityBlood sample cycle 1 day 1 and toxicity on day 1 of each cycle
Frequency of CYP3A4, CYP3A5, and MDR Polymorphisms and Their Impact on Docetaxel ToxicityBlood sample cycle 1 day 1 and toxicity on day 1 of each cycle

Countries

United States

Participant flow

Recruitment details

The study opened for accrual on March 3, 2005 and the first patient was enrolled April 20 2005. Accrual goal of approximately 50 for the phase I and phase II portion. Accrual for phase I was suspended on February 13 2006 reopened with phase II accrual on February 16, 2006. The study was closed permanently on July 23, 2008.

Pre-assignment details

Phase I was opened to all solid tumor cancers and phase II was opened to stomach/gastro-esophageal junction cancer only.

Participants by arm

ArmCount
Cohort 1a
Docetaxel 25 mg/m2 + oxaliplatin 85 mg/m2 + 5-Fluorouracil 2.4 gm/m2 docetaxel: Docetaxel at the dose indicated by the patient cohort, administered intravenously in 5% dextrose over 1 hour on day 1 of each cycle. fluorouracil: Intravenous infusion at 85 mg/m2 continuously over 46 hours beginning each cycle after docetaxel administration. oxaliplatin: Oxaliplatin 2.4 gm/m2 administered intravenously in 5% dextrose over 2 hours each cycle beginning immediately following docetaxel
3
Cohort 2a
Docetaxel 30 mg/m2 + oxaliplatin 85 mg/m2 + 5-Fluorouracil 2.4 gm/m2 docetaxel: Docetaxel at the dose indicated by the patient cohort, administered intravenously in 5% dextrose over 1 hour on day 1 of each cycle. fluorouracil: Intravenous infusion at 85 mg/m2 continuously over 46 hours beginning each cycle after docetaxel administration. oxaliplatin: Oxaliplatin 2.4 gm/m2 administered intravenously in 5% dextrose over 2 hours each cycle beginning immediately following docetaxel
3
Cohort 3a
Docetaxel 40 mg/m2 + oxaliplatin 85 mg/m2 + 5-Fluorouracil 2.4 gm/m2 docetaxel: Docetaxel at the dose indicated by the patient cohort, administered intravenously in 5% dextrose over 1 hour on day 1 of each cycle. fluorouracil: Intravenous infusion at 85 mg/m2 continuously over 46 hours beginning each cycle after docetaxel administration. oxaliplatin: Oxaliplatin 2.4 gm/m2 administered intravenously in 5% dextrose over 2 hours each cycle beginning immediately following docetaxel
3
Cohort 4a
Docetaxel 50 mg/m2 + oxaliplatin 85 mg/m2 + 5-Fluorouracil 2.4 gm/m2 docetaxel: Docetaxel at the dose indicated by the patient cohort, administered intravenously in 5% dextrose over 1 hour on day 1 of each cycle. fluorouracil: Intravenous infusion at 85 mg/m2 continuously over 46 hours beginning each cycle after docetaxel administration. oxaliplatin: Oxaliplatin 2.4 gm/m2 administered intravenously in 5% dextrose over 2 hours each cycle beginning immediately following docetaxel
3
Cohort 5a
Docetaxel 60 mg/m2 + oxaliplatin 85 mg/m2 + 5-Fluorouracil 2.4 gm/m2 docetaxel: Docetaxel at the dose indicated by the patient cohort, administered intravenously in 5% dextrose over 1 hour on day 1 of each cycle. fluorouracil: Intravenous infusion at 85 mg/m2 continuously over 46 hours beginning each cycle after docetaxel administration. oxaliplatin: Oxaliplatin 2.4 gm/m2 administered intravenously in 5% dextrose over 2 hours each cycle beginning immediately following docetaxel
3
Phase II
Docetaxel 50 mg/m2 + oxaliplatin 85 mg/m2 + 5-Fluorouracil 2.4 gm/m2 docetaxel: Docetaxel at the dose indicated by the patient cohort, administered intravenously in 5% dextrose over 1 hour on day 1 of each cycle. fluorouracil: Intravenous infusion at 85 mg/m2 continuously over 46 hours beginning each cycle after docetaxel administration. oxaliplatin: Oxaliplatin 2.4 gm/m2 administered intravenously in 5% dextrose over 2 hours each cycle beginning immediately following docetaxel
44
Total59

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005
Follow up Every 3 Months Until DeathLost to Follow-up000002
Reached First Response/4 CyclesDeath000002
Reached First Response/4 CyclesProgressive disease000100
Registed and Started TreatmentWithdrawal by Subject000001
Treated Cycle 5 After First ResponseDeath000002
Treated Cycle 5 After First ResponseDecline in performance status000001
Treated Cycle 5 After First ResponseProgressive disease120011

Baseline characteristics

CharacteristicTotalCohort 2aCohort 3aCohort 4aCohort 1aCohort 5aPhase II
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
24 Participants0 Participants2 Participants3 Participants1 Participants2 Participants16 Participants
Age, Categorical
Between 18 and 65 years
35 Participants3 Participants1 Participants0 Participants2 Participants1 Participants28 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants1 Participants0 Participants0 Participants0 Participants0 Participants3 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
49 Participants2 Participants2 Participants3 Participants3 Participants3 Participants36 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
6 Participants0 Participants1 Participants0 Participants0 Participants0 Participants5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
8 Participants0 Participants0 Participants0 Participants0 Participants0 Participants8 Participants
Race (NIH/OMB)
Black or African American
8 Participants1 Participants0 Participants0 Participants1 Participants0 Participants6 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
42 Participants2 Participants2 Participants3 Participants2 Participants3 Participants30 Participants
Region of Enrollment
United States
59 Participants3 Participants3 Participants3 Participants3 Participants3 Participants44 Participants
Sex: Female, Male
Female
22 Participants1 Participants2 Participants1 Participants2 Participants2 Participants14 Participants
Sex: Female, Male
Male
37 Participants2 Participants1 Participants2 Participants1 Participants1 Participants30 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
3 / 33 / 33 / 33 / 33 / 341 / 43
other
Total, other adverse events
3 / 33 / 33 / 33 / 33 / 343 / 43
serious
Total, serious adverse events
0 / 30 / 31 / 30 / 32 / 311 / 43

Outcome results

Primary

Maximum Tolerated Dose (MTD) of Docetaxel When Given in Combination With Oxaliplatin and Fluorouracil (Phase I)

The MTD will be determined using a 3+3 dose escalating design. There will be 5 dose cohorts: Cohort 1a 25mg/m2 Cohort 2a 30mg/m2 Cohort 3a 40 mg/m2 Cohort 4a 50 mg/m2 Cohort 5a 60 mg/m2 3 patients will be enrolled at dose of 25mg/m2 docetaxel. If no dose limiting toxicities (DLTs) are seen then dose will be escalated to next cohort and 3 patients will be treated at that dose level. If a DLT is seen at any dose, then 3 more patients will be enrolled at that dose level. If 1 patient out of 6, experience a DLT then MTD will be determined to be at this dose level. If 2 or more DLTs are seen in first 3 patients at that dose, then MTD will be one dose lower to the level where the DLTs were experienced. Dose of docetaxel will be escalated by use of cohorts until the MTD for phase II is determined. DLTs were defined using the National Cancer Institute Common Toxicity Criteria Version 3.0

Time frame: After completion of 1 cycle of therapy (1 cycle = 14 days)

Population: Dose of docetaxel was escalated up through 5 cohorts.

ArmMeasureValue (NUMBER)
Phase IMaximum Tolerated Dose (MTD) of Docetaxel When Given in Combination With Oxaliplatin and Fluorouracil (Phase I)50 mg/m2
Primary

Response Rate in Patients With Adenocarcinoma of the Stomach or Gastroesophageal Junction (Phase II)

Overall Response Rate (ORR) is defined as Complete Response (CR) plus Partial Response (PR) and will be measured per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT scan. Complete Response (CR) - Disappearance of all target lesions. Partial Response (PR), \>=30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum. Stable Disease, neither sufficient shrinkage to qualify for Partial disease nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum LD while on study. Progressive Disease - \<=20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.

Time frame: After 4 cycles of therapy (1 cycle = 14 days)

Population: One patient that was registered to phase II did not get treated on study and was therefore not evaluable. Two patients did not reach first response at 4 cycles and therefore were not evaluable.

ArmMeasureValue (NUMBER)
Phase IResponse Rate in Patients With Adenocarcinoma of the Stomach or Gastroesophageal Junction (Phase II)73.2 percentage of patients
Secondary

Dose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and Fluorouracil

Dose limiting toxicities (DLT) will be graded according to National Cancer Institute's Common Toxicity Criteria for adverse events version 3.0 (CTCAE v3.0) except for neurosensory. The occurrence of any of the following during the 1st cycle, seen in more than one patient, will constitute a DLT. Grade 3 non-hematologic toxicity(except alopecia) Grade 4 thrombocytopenia, not recovered to platelet count of \>75,000/ul by day 15. Grade 4 neutropenia, not recovered to count of \>1,500/ul by day 15. Grade 4 neutropenia with fever or infection. Grade 2 neurologic-sensory toxicity not recovered to grade 1 or better by day 15

Time frame: After 1 cycle of therapy (1 cycle = 14 days)

Population: 15 patients enrolled in 5 dose escalating cohorts were monitored for DLTs in the phase I part of the study.

ArmMeasureGroupValue (NUMBER)
Phase IDose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and FluorouracilFatigue0 participants
Phase IDose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and FluorouracilDiarrhea0 participants
Cohort 2aDose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and FluorouracilFatigue0 participants
Cohort 2aDose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and FluorouracilDiarrhea0 participants
Cohort 3aDose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and FluorouracilFatigue0 participants
Cohort 3aDose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and FluorouracilDiarrhea0 participants
Cohort 4aDose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and FluorouracilDiarrhea0 participants
Cohort 4aDose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and FluorouracilFatigue0 participants
Cohort 5aDose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and FluorouracilFatigue2 participants
Cohort 5aDose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and FluorouracilDiarrhea2 participants
Secondary

Frequency of CYP3A4, CYP3A5, and MDR Polymorphisms and Their Impact on Docetaxel Toxicity

Time frame: Blood sample cycle 1 day 1 and toxicity on day 1 of each cycle

Population: Data not collected.

Secondary

Frequency of DPD and TSER Polymorphisms and Their Impact on Fluorouracil Toxicity

Time frame: Blood sample cycle 1 day 1 and toxicity on day 1 of each cycle

Population: Data not collected.

Secondary

Frequency of XRCC1 and ERCC2 Polymorphisms and Their Impact on Oxaliplatin Toxicity

Time frame: Blood sample cycle 1 day 1 and toxicity on day 1 of each cycle

Population: Data not collected.

Secondary

Toxicity Profile

Toxicity data will be collected on day 1 of every 14 day cycle during treatment according to the National Cancer Institute's Common Toxicity Criteria for adverse events (AE) version 3.0 (CTCAE v3.0). For patients that experience multiple grades of the same AE that is determined to be at least possibly related to at least one study drug, only highest grade will be collected. In general AEs will be graded according to the following: Grade 1 Mild AE Grade 2 Moderate AE Grade 3 Severe AE Grade 4 Life-threatening or disabling AE Grade 5 Death related to AE

Time frame: Day 1 of each cycle of therapy with 1 cycle =14 days until disease progression for up to a maximum of 34 cycles and 30 days after last treatment

Population: Data collected and analyzed for patients enrolled in the phase II of the study only.1 Patient did not receive treatment on study and was not evaluable. For each patient that experienced the toxicity, highest grade for that patient is recorded. Grades ranging between 1-5 were collected and are represented below.

ArmMeasureGroupValue (NUMBER)
Phase IToxicity ProfileNeuro-sens30 participants
Phase IToxicity ProfileNeuro-motor2 participants
Phase IToxicity ProfileNeutropenia23 participants
Phase IToxicity ProfileLeukopenia31 participants
Phase IToxicity ProfileLymphopenia15 participants
Phase IToxicity ProfileAnemia30 participants
Phase IToxicity ProfileThrombocytopenia13 participants
Phase IToxicity ProfileFatigue36 participants
Phase IToxicity ProfileVomiting22 participants
Phase IToxicity ProfileDehydration5 participants
Phase IToxicity ProfileInfection4 participants
Phase IToxicity ProfileNausea31 participants
Phase IToxicity ProfilePain5 participants
Phase IToxicity ProfileAllergy4 participants
Phase IToxicity ProfileTransaminitis7 participants
Phase IToxicity ProfileRash3 participants
Phase IToxicity ProfileWeight loss6 participants
Phase IToxicity ProfileAnorexia13 participants
Phase IToxicity ProfileFever4 participants
Phase IToxicity ProfileHypertension2 participants
Phase IToxicity ProfileHyperglycemia3 participants
Phase IToxicity ProfileDiarrhea22 participants
Phase IToxicity ProfileConstipation10 participants
Phase IToxicity ProfileMucositis14 participants
Phase IToxicity ProfileNail changes2 participants
Phase IToxicity ProfileAlopecia6 participants
Phase IToxicity ProfileSkin6 participants
Phase IToxicity ProfileHemorrhage5 participants
Phase IToxicity ProfileAltered taste6 participants
Phase IToxicity ProfileEdema2 participants
Phase IToxicity ProfileAbdominal distension2 participants
Phase IToxicity ProfileShortness of breath6 participants
Post Hoc

Median Overall Survival (OS)

Median Overall Survival (OS)

Time frame: From first day of treatment until death from any cause measured, assessed up to 4 years

Population: Patients enrolled in phase II portion of the study were evaluable for OS. One patient in phase II was registered to the study but did not receive treatment and was not evaluable for OS. Two patients did not have death dates and were censored for the last known time to be living.

ArmMeasureValue (MEDIAN)
Phase IMedian Overall Survival (OS)10.3 Months

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026