Gastric Cancer, Unspecified Adult Solid Tumor, Protocol Specific
Conditions
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
Docetaxel at the dose indicated by the patient cohort, administered intravenously in 5% dextrose over 1 hour on day 1 of each cycle.
Intravenous infusion at 85 mg/m2 continuously over 46 hours beginning each cycle after docetaxel administration.
Oxaliplatin 2.4 gm/m2 administered intravenously in 5% dextrose over 2 hours each cycle beginning immediately following docetaxel
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| 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
| Measure | Time frame | Description |
|---|---|---|
| Frequency of XRCC1 and ERCC2 Polymorphisms and Their Impact on Oxaliplatin Toxicity | Blood 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 Fluorouracil | After 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 Profile | 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 | 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 |
| Frequency of DPD and TSER Polymorphisms and Their Impact on Fluorouracil Toxicity | Blood 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 Toxicity | Blood 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
| Arm | Count |
|---|---|
| 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 |
| Total | 59 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 |
|---|---|---|---|---|---|---|---|
| Follow up Every 3 Months Until Death | Lost to Follow-up | 0 | 0 | 0 | 0 | 0 | 2 |
| Reached First Response/4 Cycles | Death | 0 | 0 | 0 | 0 | 0 | 2 |
| Reached First Response/4 Cycles | Progressive disease | 0 | 0 | 0 | 1 | 0 | 0 |
| Registed and Started Treatment | Withdrawal by Subject | 0 | 0 | 0 | 0 | 0 | 1 |
| Treated Cycle 5 After First Response | Death | 0 | 0 | 0 | 0 | 0 | 2 |
| Treated Cycle 5 After First Response | Decline in performance status | 0 | 0 | 0 | 0 | 0 | 1 |
| Treated Cycle 5 After First Response | Progressive disease | 1 | 2 | 0 | 0 | 1 | 1 |
Baseline characteristics
| Characteristic | Total | Cohort 2a | Cohort 3a | Cohort 4a | Cohort 1a | Cohort 5a | Phase II |
|---|---|---|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 24 Participants | 0 Participants | 2 Participants | 3 Participants | 1 Participants | 2 Participants | 16 Participants |
| Age, Categorical Between 18 and 65 years | 35 Participants | 3 Participants | 1 Participants | 0 Participants | 2 Participants | 1 Participants | 28 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 4 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 3 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 49 Participants | 2 Participants | 2 Participants | 3 Participants | 3 Participants | 3 Participants | 36 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 6 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 5 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 8 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 8 Participants |
| Race (NIH/OMB) Black or African American | 8 Participants | 1 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 6 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 1 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 42 Participants | 2 Participants | 2 Participants | 3 Participants | 2 Participants | 3 Participants | 30 Participants |
| Region of Enrollment United States | 59 Participants | 3 Participants | 3 Participants | 3 Participants | 3 Participants | 3 Participants | 44 Participants |
| Sex: Female, Male Female | 22 Participants | 1 Participants | 2 Participants | 1 Participants | 2 Participants | 2 Participants | 14 Participants |
| Sex: Female, Male Male | 37 Participants | 2 Participants | 1 Participants | 2 Participants | 1 Participants | 1 Participants | 30 Participants |
Adverse events
| Event type | EG000 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 / 3 | 3 / 3 | 3 / 3 | 3 / 3 | 3 / 3 | 41 / 43 |
| other Total, other adverse events | 3 / 3 | 3 / 3 | 3 / 3 | 3 / 3 | 3 / 3 | 43 / 43 |
| serious Total, serious adverse events | 0 / 3 | 0 / 3 | 1 / 3 | 0 / 3 | 2 / 3 | 11 / 43 |
Outcome results
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase I | Maximum Tolerated Dose (MTD) of Docetaxel When Given in Combination With Oxaliplatin and Fluorouracil (Phase I) | 50 mg/m2 |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase I | Response Rate in Patients With Adenocarcinoma of the Stomach or Gastroesophageal Junction (Phase II) | 73.2 percentage of patients |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Phase I | Dose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and Fluorouracil | Fatigue | 0 participants |
| Phase I | Dose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and Fluorouracil | Diarrhea | 0 participants |
| Cohort 2a | Dose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and Fluorouracil | Fatigue | 0 participants |
| Cohort 2a | Dose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and Fluorouracil | Diarrhea | 0 participants |
| Cohort 3a | Dose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and Fluorouracil | Fatigue | 0 participants |
| Cohort 3a | Dose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and Fluorouracil | Diarrhea | 0 participants |
| Cohort 4a | Dose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and Fluorouracil | Diarrhea | 0 participants |
| Cohort 4a | Dose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and Fluorouracil | Fatigue | 0 participants |
| Cohort 5a | Dose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and Fluorouracil | Fatigue | 2 participants |
| Cohort 5a | Dose-limiting Toxicity of Docetaxel When Given in Combination With Oxaliplatin and Fluorouracil | Diarrhea | 2 participants |
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.
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.
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.
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Phase I | Toxicity Profile | Neuro-sens | 30 participants |
| Phase I | Toxicity Profile | Neuro-motor | 2 participants |
| Phase I | Toxicity Profile | Neutropenia | 23 participants |
| Phase I | Toxicity Profile | Leukopenia | 31 participants |
| Phase I | Toxicity Profile | Lymphopenia | 15 participants |
| Phase I | Toxicity Profile | Anemia | 30 participants |
| Phase I | Toxicity Profile | Thrombocytopenia | 13 participants |
| Phase I | Toxicity Profile | Fatigue | 36 participants |
| Phase I | Toxicity Profile | Vomiting | 22 participants |
| Phase I | Toxicity Profile | Dehydration | 5 participants |
| Phase I | Toxicity Profile | Infection | 4 participants |
| Phase I | Toxicity Profile | Nausea | 31 participants |
| Phase I | Toxicity Profile | Pain | 5 participants |
| Phase I | Toxicity Profile | Allergy | 4 participants |
| Phase I | Toxicity Profile | Transaminitis | 7 participants |
| Phase I | Toxicity Profile | Rash | 3 participants |
| Phase I | Toxicity Profile | Weight loss | 6 participants |
| Phase I | Toxicity Profile | Anorexia | 13 participants |
| Phase I | Toxicity Profile | Fever | 4 participants |
| Phase I | Toxicity Profile | Hypertension | 2 participants |
| Phase I | Toxicity Profile | Hyperglycemia | 3 participants |
| Phase I | Toxicity Profile | Diarrhea | 22 participants |
| Phase I | Toxicity Profile | Constipation | 10 participants |
| Phase I | Toxicity Profile | Mucositis | 14 participants |
| Phase I | Toxicity Profile | Nail changes | 2 participants |
| Phase I | Toxicity Profile | Alopecia | 6 participants |
| Phase I | Toxicity Profile | Skin | 6 participants |
| Phase I | Toxicity Profile | Hemorrhage | 5 participants |
| Phase I | Toxicity Profile | Altered taste | 6 participants |
| Phase I | Toxicity Profile | Edema | 2 participants |
| Phase I | Toxicity Profile | Abdominal distension | 2 participants |
| Phase I | Toxicity Profile | Shortness of breath | 6 participants |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase I | Median Overall Survival (OS) | 10.3 Months |