Phase II Study of Cabazitaxel in Refractory Metastatic Gastric or Gastroesophageal Adenocarcinoma

Sponsor
Weill Medical College of Cornell University (Other)
Overall Status
Completed
CT.gov ID
NCT01757171
Collaborator
Sanofi (Industry)
85
5
2
54
17
0.3

Study Details

Study Description

Brief Summary

Cabazitaxel will be administered 20 mg/m2 IV over 1 hour every 3 weeks, as is the standard administration dose and schedule. This application is a non-labeled indication for cabazitaxel and will inform future drug development in gastroesophageal malignancies, where docetaxel remains an approved first line agent, but is not routinely used due to excessive toxicity and marginal efficacy.

At the conclusion of this study, we hope to demonstrate activity of single agent cabazitaxel in refractory gastric cancer, with preferential activity in one or more gastric cancer subtypes

Detailed Description

Prior to initiating protocol therapy, patients will undergo screening evaluations, to be done within 30 days of protocol initiation unless otherwise noted.

Patients who are taxane naïve will be assigned to arm A and patients who have had prior taxane therapy will be assigned to Arm B. Each arm will be analyzed separately for the primary study endpoint of 3 month progression free survival rate (PFS), as defined as the time from the start of treatment to the date of disease progression or death. Cabazitaxel will be administered 20 mg/m2 IV over 1 hour every 3 weeks.

In the absence of treatment delays due to adverse event(s), treatment may continue until disease progression; intercurrent illness that prevents further administration of treatment; unacceptable adverse event(s); patient decides to withdraw; general or specific changes in the patient's condition render the patient unacceptable for further treatment in the judgment of the investigator.

Patients will be followed for 6 months after removal from study or until death, whichever occurs first. Patients removed from study for unacceptable adverse events will be followed until resolution or stabilization of the adverse event.

Study Design

Study Type:
Interventional
Actual Enrollment :
85 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
An Open-Labeled, Multicenter Phase II Study of Cabazitaxel in Refractory Metastatic Gastric or Gastroesophageal Adenocarcinoma
Actual Study Start Date :
Dec 1, 2012
Actual Primary Completion Date :
Jul 1, 2016
Actual Study Completion Date :
Jun 1, 2017

Arms and Interventions

Arm Intervention/Treatment
Experimental: Arm A (taxane naïve)

No prior Taxane treatment. Cabazitaxel will be administered 20 mg/m2 IV over 1 hour every 3 weeks

Drug: Cabazitaxel
20mg IV over 1 hour every 3 weeks

Experimental: Arm B (prior taxane therapy)

Subject previously treated with taxane. Cabazitaxel will be administered 20 mg/m2 IV over 1 hour every 3 weeks

Drug: Cabazitaxel
20mg IV over 1 hour every 3 weeks

Outcome Measures

Primary Outcome Measures

  1. Number of Participants With Progression at the 3 Month Follow up Visit [3 months]

    Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions Results below list the number of participants who progressed at the 3 month follow up visit

Secondary Outcome Measures

  1. Duration of Event Free Survival of Subjects Treated With Cabazitaxel [From date of first subject treated until the date of last subject documented progression or date of death from any cause, whichever came first, assessed up to 6 months]

    To examine other measures of efficacy such as overall progression free in all evaluable patients

  2. Number of Participants With Response to Cabazitaxel Across Gastric Cancer Subtypes [From date of first subject treated until the date of last subject documented progression or date of death from any cause, whichever came first, assessed up to 6 months]

    Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR

  3. Percent of Participants Treated With Cabazitaxel With Event Free Survival [From date of first subject treated until the date of last subject documented progression or date of death from any cause, whichever came first, assessed up to 6 months]

    To examine other measures of efficacy such as overall survival in all evaluable patients

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  1. Subject must have histologically or cytologically confirmed gastric, or gastroesophageal adenocarcinoma, or distal esophageal adenocarcinoma.

  2. Subject must have unresectable or metastatic gastroesophageal adenocarcinoma.

  3. Subject must have evaluable disease as per RECIST criteria.

  4. Subject must have had at least one prior cytotoxic chemotherapy regimen for unresectable or metastatic disease. Prior taxane therapy is allowed.

  5. Age >/=18 years old.

  6. ECOG performance status status >/= 2

  7. Subject must have normal organ and marrow function as defined below:

  • WBC >/= 3,000/uL

  • Total Bilirubin ≤ 1.5 x upper limits of normal

  • AST (SGOT) ≤ 2.5 x upper limits of normal

  • ALT (SGPT) ≤ 2.5 x upper limits of normal

  • Hgb > 7.5 g/dl (without transfusion within 7 days)

  • ANC > 1000 /ml

  • Plt > 75 K/ml (without transfusion)

  • Creatinine* < 2.0 g/dl *or a calculated creatinine clearance > 45/cc (using Cockroft-Gault formula)

  1. Women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation. 10. Ability to understand and the willingness to sign a written informed consent document.
Exclusion Criteria:
  1. Subject with previously untreated unresectable or metastatic gastroesophageal adenocarcinoma.

  2. Subject with more than 2 prior cytotoxic therapies (not including treatment administered for locally curable disease) for unresectable or metastatic gastroesophageal adenocarcinoma.

  3. Subject with CNS metastases with active neurologic dysfunction. These patients are excluded because of their poor prognosis and because they often develop progressive neurologic dysfunction that would confound the evaluation of neurologic and other adverse event.

  4. Significant medical co-morbidity that would preclude safe administration of cytotoxic therapy, including but not limited to:

a.Cardiac disease i. Unstable angina ii. Myocardial infarction < 3 months prior to study initiation b. Ongoing serious infection i. Bacteremia or sepsis requiring intravenous antibiotics ii. HIV with AIDS defining illness c.Inadequate oral nutritional intake i. Requirement for daily intravenous fluids or total parenteral nutrition. d. Psychiatric illness/social situations that would limit compliance with study requirement

  1. Subject who has had chemotherapy or radiotherapy within 4 weeks (6 weeks for nitrosoureas or mitomycin C) prior to entering the study or those who have not recovered from prior treatment related toxicity with persistent symptoms >/= grade 2 due to agents administered more than 4 weeks earlier.

  2. Subject may not receive another investigational agent.

  3. History of allergic reactions attributed to compounds of similar chemical or biologic composition to Cabazitaxel, or to drugs formulated with polysorbate 80.

  4. Pregnant (positive pregnancy test) and lactating women are excluded from the study because the risks to an unborn fetus or potential risks in nursing infants are unknown.

Contacts and Locations

Locations

Site City State Country Postal Code
1 UCSF Comprehensive Cancer Center San Francisco California United States 94115
2 Yale University New Haven Connecticut United States 06510
3 Dana Farber Cancer Institute Boston Massachusetts United States 02215
4 Karmanos Cancer Institute Detroit Michigan United States 48201
5 Weill Cornell Medical College New York New York United States 10065

Sponsors and Collaborators

  • Weill Medical College of Cornell University
  • Sanofi

Investigators

  • Principal Investigator: Manish Shah, MD, Weill Medical College of Cornell University

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Weill Medical College of Cornell University
ClinicalTrials.gov Identifier:
NCT01757171
Other Study ID Numbers:
  • 1208012946
First Posted:
Dec 28, 2012
Last Update Posted:
Apr 3, 2018
Last Verified:
Mar 1, 2018
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Keywords provided by Weill Medical College of Cornell University
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Arm A (Taxane naïve) Arm B (Prior Taxane Therapy)
Arm/Group Description Arm A - No prior Taxane treatment. Cabazitaxel will be administered 20 mg/m2 IV over 1 hour every 3 weeks Cabazitaxel: 20mg IV over 1 hour every 3 weeks Arm B - Subject previously treated with taxane. Cabazitaxel will be administered 20 mg/m2 IV over 1 hour every 3 weeks Cabazitaxel: 20mg IV over 1 hour every 3 weeks
Period Title: Overall Study
STARTED 61 24
COMPLETED 53 23
NOT COMPLETED 8 1

Baseline Characteristics

Arm/Group Title Arm A (Taxane naïve) Arm B (Prior Taxane Therapy) Total
Arm/Group Description No prior Taxane treatment. Cabazitaxel will be administered 20 mg/m2 IV over 1 hour every 3 weeks Cabazitaxel: 20mg IV over 1 hour every 3 weeks Subject previously treated with taxane. Cabazitaxel will be administered 20 mg/m2 IV over 1 hour every 3 weeks Cabazitaxel: 20mg IV over 1 hour every 3 weeks Total of all reporting groups
Overall Participants 53 23 76
Age (years) [Median (Full Range) ]
Median (Full Range) [years]
62.1
57.34
61.67
Sex: Female, Male (Count of Participants)
Female
20
37.7%
6
26.1%
26
34.2%
Male
33
62.3%
17
73.9%
50
65.8%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino
5
9.4%
4
17.4%
9
11.8%
Not Hispanic or Latino
36
67.9%
14
60.9%
50
65.8%
Unknown or Not Reported
12
22.6%
5
21.7%
17
22.4%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
0
0%
0
0%
0
0%
Asian
7
13.2%
1
4.3%
8
10.5%
Native Hawaiian or Other Pacific Islander
0
0%
0
0%
0
0%
Black or African American
1
1.9%
0
0%
1
1.3%
White
36
67.9%
14
60.9%
50
65.8%
More than one race
0
0%
0
0%
0
0%
Unknown or Not Reported
9
17%
8
34.8%
17
22.4%
Region of Enrollment (Count of Participants)
United States
53
100%
23
100%
76
100%

Outcome Measures

1. Primary Outcome
Title Number of Participants With Progression at the 3 Month Follow up Visit
Description Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions Results below list the number of participants who progressed at the 3 month follow up visit
Time Frame 3 months

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Arm A (Taxane naïve) Arm B (Prior Taxane Therapy)
Arm/Group Description No prior Taxane treatment. Cabazitaxel will be administered 20 mg/m2 IV over 1 hour every 3 weeks Cabazitaxel: 20mg IV over 1 hour every 3 weeks Subject previously treated with taxane. Cabazitaxel will be administered 20 mg/m2 IV over 1 hour every 3 weeks Cabazitaxel: 20mg IV over 1 hour every 3 weeks
Measure Participants 53 23
Number [participants]
15
28.3%
7
30.4%
2. Secondary Outcome
Title Duration of Event Free Survival of Subjects Treated With Cabazitaxel
Description To examine other measures of efficacy such as overall progression free in all evaluable patients
Time Frame From date of first subject treated until the date of last subject documented progression or date of death from any cause, whichever came first, assessed up to 6 months

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Arm A (Taxane naïve) Arm B (Prior Taxane Therapy)
Arm/Group Description No prior Taxane treatment. Cabazitaxel will be administered 20 mg/m2 IV over 1 hour every 3 weeks Cabazitaxel: 20mg IV over 1 hour every 3 weeks Subject previously treated with taxane. Cabazitaxel will be administered 20 mg/m2 IV over 1 hour every 3 weeks Cabazitaxel: 20mg IV over 1 hour every 3 weeks
Measure Participants 53 23
Median (95% Confidence Interval) [months]
2.17
1.31
3. Secondary Outcome
Title Number of Participants With Response to Cabazitaxel Across Gastric Cancer Subtypes
Description Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR
Time Frame From date of first subject treated until the date of last subject documented progression or date of death from any cause, whichever came first, assessed up to 6 months

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Arm A (Taxane naïve) Arm B (Prior Taxane Therapy)
Arm/Group Description No prior Taxane treatment. Cabazitaxel will be administered 20 mg/m2 IV over 1 hour every 3 weeks Cabazitaxel: 20mg IV over 1 hour every 3 weeks Subject previously treated with taxane. Cabazitaxel will be administered 20 mg/m2 IV over 1 hour every 3 weeks Cabazitaxel: 20mg IV over 1 hour every 3 weeks
Measure Participants 53 22
Stable Disease
12
22.6%
5
21.7%
Partial Response
5
9.4%
3
13%
Complete Response
1
1.9%
0
0%
Progression Disease
34
64.2%
14
60.9%
Death
1
1.9%
0
0%
4. Secondary Outcome
Title Percent of Participants Treated With Cabazitaxel With Event Free Survival
Description To examine other measures of efficacy such as overall survival in all evaluable patients
Time Frame From date of first subject treated until the date of last subject documented progression or date of death from any cause, whichever came first, assessed up to 6 months

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Arm A (Taxane naïve) Arm B (Prior Taxane Therapy)
Arm/Group Description No prior Taxane treatment. Cabazitaxel will be administered 20 mg/m2 IV over 1 hour every 3 weeks Cabazitaxel: 20mg IV over 1 hour every 3 weeks Subject previously treated with taxane. Cabazitaxel will be administered 20 mg/m2 IV over 1 hour every 3 weeks Cabazitaxel: 20mg IV over 1 hour every 3 weeks
Measure Participants 53 23
Number (95% Confidence Interval) [percentage of participants]
11.32
21.4%
13
56.5%

Adverse Events

Time Frame
Adverse Event Reporting Description
Arm/Group Title Arm A (Taxane naïve) Arm B (Prior Taxane Therapy)
Arm/Group Description No prior Taxane treatment. Cabazitaxel will be administered 20 mg/m2 IV over 1 hour every 3 weeks Cabazitaxel: 20mg IV over 1 hour every 3 weeks Subject previously treated with taxane. Cabazitaxel will be administered 20 mg/m2 IV over 1 hour every 3 weeks Cabazitaxel: 20mg IV over 1 hour every 3 weeks
All Cause Mortality
Arm A (Taxane naïve) Arm B (Prior Taxane Therapy)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN)
Serious Adverse Events
Arm A (Taxane naïve) Arm B (Prior Taxane Therapy)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 27/53 (50.9%) 15/23 (65.2%)
Blood and lymphatic system disorders
Anemia 1/53 (1.9%) 1 0/23 (0%) 0
Cardiac disorders
Heart Block 1/53 (1.9%) 1 0/23 (0%) 0
Gastrointestinal disorders
Abdominal Pain 2/53 (3.8%) 2 1/23 (4.3%) 1
Ascites 0/53 (0%) 0 1/23 (4.3%) 1
Constipation 0/53 (0%) 0 1/23 (4.3%) 1
Diarrhea 2/53 (3.8%) 2 0/23 (0%) 0
Dysphagia 2/53 (3.8%) 2 0/23 (0%) 0
Gastric Hemorrhage 1/53 (1.9%) 1 1/23 (4.3%) 1
Gastric perforation 1/53 (1.9%) 1 0/23 (0%) 0
Right Upper Quadrant Pain 1/53 (1.9%) 1 0/23 (0%) 0
General disorders
Death 0/53 (0%) 0 2/23 (8.7%) 2
Fatigue 2/53 (3.8%) 2 0/23 (0%) 0
Hypokalemia 1/53 (1.9%) 1 1/23 (4.3%) 1
Increased generalized weakness 1/53 (1.9%) 1 1/23 (4.3%) 1
Nausea 1/53 (1.9%) 1 0/23 (0%) 0
Pain 1/53 (1.9%) 1 0/23 (0%) 0
Infections and infestations
Bacteremia 0/53 (0%) 0 1/23 (4.3%) 1
Pneumonia 1/53 (1.9%) 1 0/23 (0%) 0
Sepsis 3/53 (5.7%) 3 0/23 (0%) 0
Urinary Tract Infection 0/53 (0%) 0 1/23 (4.3%) 1
Investigations
Decreased white blood cell count 4/53 (7.5%) 5 3/23 (13%) 3
Neutropenia 6/53 (11.3%) 6 8/23 (34.8%) 9
Metabolism and nutrition disorders
Dehydration 2/53 (3.8%) 2 1/23 (4.3%) 1
Hypocalcemia 0/53 (0%) 0 1/23 (4.3%) 1
Hyponatremia 0/53 (0%) 0 1/23 (4.3%) 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumor pain 1/53 (1.9%) 1 0/23 (0%) 0
Nervous system disorders
Stroke 1/53 (1.9%) 1 0/23 (0%) 0
Renal and urinary disorders
Acute Kidney Failure 0/53 (0%) 0 1/23 (4.3%) 2
Hematuria 2/53 (3.8%) 2 0/23 (0%) 0
Renal Failure 1/53 (1.9%) 1 0/23 (0%) 0
Urinary Tract Obstruction 1/53 (1.9%) 1 1/23 (4.3%) 1
Respiratory, thoracic and mediastinal disorders
Pleural Effusion 0/53 (0%) 0 1/23 (4.3%) 1
Pneumonitis 1/53 (1.9%) 1 0/23 (0%) 0
Shortness of Breath 0/53 (0%) 0 1/23 (4.3%) 1
Vascular disorders
Hypotension 0/53 (0%) 0 1/23 (4.3%) 1
Thromboembolic event 0/53 (0%) 0 2/23 (8.7%) 2
Other (Not Including Serious) Adverse Events
Arm A (Taxane naïve) Arm B (Prior Taxane Therapy)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 53/53 (100%) 27/27 (100%)
Blood and lymphatic system disorders
Anemia 25/53 (47.2%) 34 13/27 (48.1%) 19
Disseminated intravascular coagulation 1/53 (1.9%) 1 0/27 (0%) 0
Febrile neutropenia 2/53 (3.8%) 2 0/27 (0%) 0
Leuocytosis 1/53 (1.9%) 1 0/27 (0%) 0
Lymphadenopathy 1/53 (1.9%) 1 0/27 (0%) 0
Left Neck Adenopathy 1/53 (1.9%) 1 0/27 (0%) 0
Myelosuppression 2/53 (3.8%) 2 1/27 (3.7%) 1
Cardiac disorders
Cardiac arrest 0/53 (0%) 0 1/27 (3.7%) 1
tachycardia 2/53 (3.8%) 2 0/27 (0%) 0
Complete heart block 1/53 (1.9%) 1 0/27 (0%) 0
Heart Disease (Organic) 1/53 (1.9%) 1 0/27 (0%) 0
Palpitations 2/53 (3.8%) 2 0/27 (0%) 0
Ear and labyrinth disorders
Hearing impaired 1/53 (1.9%) 1 0/27 (0%) 0
sound in ear 1/53 (1.9%) 1 0/27 (0%) 0
Endocrine disorders
Hypothyroidism 1/53 (1.9%) 1 1/27 (3.7%) 1
Eye disorders
Blurred vision 2/53 (3.8%) 2 0/27 (0%) 0
Glaucoma 1/53 (1.9%) 1 0/27 (0%) 0
erythema at the bottom of eyelids 1/53 (1.9%) 1 0/27 (0%) 0
increased tears 0/53 (0%) 0 1/27 (3.7%) 1
vision change 1/53 (1.9%) 1 0/27 (0%) 0
Right eye Pressure 1/53 (1.9%) 1 0/27 (0%) 0
right eye dimness 1/53 (1.9%) 1 0/27 (0%) 0
Gastrointestinal disorders
Abdominal distension 4/53 (7.5%) 4 6/27 (22.2%) 8
Abdominal pain 25/53 (47.2%) 27 9/27 (33.3%) 13
Ascites 6/53 (11.3%) 6 5/27 (18.5%) 6
Bloating 7/53 (13.2%) 7 1/27 (3.7%) 1
Colitis 2/53 (3.8%) 2 0/27 (0%) 0
Constipation 16/53 (30.2%) 20 8/27 (29.6%) 10
Diarrhea 14/53 (26.4%) 20 9/27 (33.3%) 9
Dry mouth 3/53 (5.7%) 3 0/27 (0%) 0
Dyspepsia 3/53 (5.7%) 3 3/27 (11.1%) 3
Dysphagia 13/53 (24.5%) 16 2/27 (7.4%) 3
Esophageal fistula 1/53 (1.9%) 1 0/27 (0%) 0
Esophageal pain 1/53 (1.9%) 1 0/27 (0%) 0
Flatulence 0/53 (0%) 0 2/27 (7.4%) 4
Gastric hemorrhage 2/53 (3.8%) 2 2/27 (7.4%) 2
Gastric perforation 1/53 (1.9%) 1 0/27 (0%) 0
Gastric ulcer 1/53 (1.9%) 1 0/27 (0%) 0
Gastritis 1/53 (1.9%) 1 0/27 (0%) 0
Gastroesophageal reflux disease 8/53 (15.1%) 9 0/27 (0%) 0
Gastrointestinal pain 2/53 (3.8%) 3 1/27 (3.7%) 2
Mucositis oral 1/53 (1.9%) 1 1/27 (3.7%) 1
Nausea 24/53 (45.3%) 31 12/27 (44.4%) 16
Rectal Obstruction 0/53 (0%) 0 1/27 (3.7%) 1
Stomach pain 1/53 (1.9%) 1 1/27 (3.7%) 1
Vomiting 13/53 (24.5%) 18 9/27 (33.3%) 13
Increased Eructation 1/53 (1.9%) 1 0/27 (0%) 0
Heartburn 1/53 (1.9%) 1 0/27 (0%) 0
Pain in anterior ribs 1/53 (1.9%) 1 0/27 (0%) 0
Hernia 2/53 (3.8%) 3 0/27 (0%) 0
mouth sore 1/53 (1.9%) 1 1/27 (3.7%) 1
hiatus hernia syndrome 1/53 (1.9%) 1 0/27 (0%) 0
Increasing Epigastric Pain 1/53 (1.9%) 1 0/27 (0%) 0
early satiety 1/53 (1.9%) 1 0/27 (0%) 0
difficulty swallowing 1/53 (1.9%) 1 0/27 (0%) 0
pyloric stenosis 1/53 (1.9%) 1 0/27 (0%) 0
early satiety 1/53 (1.9%) 1 1/27 (3.7%) 1
left upper quadrant pain 1/53 (1.9%) 1 0/27 (0%) 0
extensive peritoneal carcinomatosis 1/53 (1.9%) 1 0/27 (0%) 0
H.Pylori Infection 2/53 (3.8%) 2 0/27 (0%) 0
increase sputum production 1/53 (1.9%) 1 0/27 (0%) 0
bloody stools 1/53 (1.9%) 1 0/27 (0%) 0
Hypercholesterolemia 1/53 (1.9%) 1 0/27 (0%) 0
Melena (black feces) 1/53 (1.9%) 1 0/27 (0%) 0
Epigastric discomfort 1/53 (1.9%) 1 0/27 (0%) 0
Abdominal Tenderness 1/53 (1.9%) 1 0/27 (0%) 0
epigastralgia 1/53 (1.9%) 1 0/27 (0%) 0
oral thrush 1/53 (1.9%) 1 0/27 (0%) 0
Anasarca 0/53 (0%) 0 1/27 (3.7%) 1
Mouth ulcer 0/53 (0%) 0 1/27 (3.7%) 1
Clostridium difficle 0/53 (0%) 0 1/27 (3.7%) 1
Loose Stools 0/53 (0%) 0 1/27 (3.7%) 1
Increased Abdominal Girth 0/53 (0%) 0 2/27 (7.4%) 2
Right Upper Quadrant Pain 1/53 (1.9%) 1 1/27 (3.7%) 1
Anal fissure 0/53 (0%) 0 1/27 (3.7%) 1
burping 0/53 (0%) 0 1/27 (3.7%) 1
Chills 9/53 (17%) 11 1/27 (3.7%) 1
Edema limbs 9/53 (17%) 11 7/27 (25.9%) 7
Fatigue 47/53 (88.7%) 64 19/27 (70.4%) 26
Fever 4/53 (7.5%) 5 2/27 (7.4%) 3
Localized edema 1/53 (1.9%) 1 1/27 (3.7%) 1
Malaise 4/53 (7.5%) 4 1/27 (3.7%) 1
Non-cardiac chest pain 2/53 (3.8%) 2 1/27 (3.7%) 1
Rigors 0/53 (0%) 0 1/27 (3.7%) 1
Big white light and dizziness 0/53 (0%) 0 1/27 (3.7%) 1
intermittent low appetite 0/53 (0%) 0 1/27 (3.7%) 1
Lightheadedness 1/53 (1.9%) 1 2/27 (7.4%) 2
Weakness 2/53 (3.8%) 2 2/27 (7.4%) 2
Dizziness 0/53 (0%) 0 1/27 (3.7%) 1
Edema- Scrotal 0/53 (0%) 0 1/27 (3.7%) 1
Rash on Neck 0/53 (0%) 0 1/27 (3.7%) 1
neuropathy to fingers 0/53 (0%) 0 1/27 (3.7%) 1
Weight Change 2/53 (3.8%) 2 1/27 (3.7%) 1
Skin Changes 0/53 (0%) 0 1/27 (3.7%) 1
Body aches 0/53 (0%) 0 1/27 (3.7%) 1
hiatal hernia 0/53 (0%) 0 1/27 (3.7%) 1
Hypokalemia 0/53 (0%) 0 1/27 (3.7%) 1
Elevated CEA 1/53 (1.9%) 1 1/27 (3.7%) 1
cold intolerance 0/53 (0%) 0 1/27 (3.7%) 1
Flu like symptoms 1/53 (1.9%) 1 0/27 (0%) 0
Infusion related reaction 1/53 (1.9%) 1 0/27 (0%) 0
Infusion site extravasation 1/53 (1.9%) 1 0/27 (0%) 0
uremia 1/53 (1.9%) 1 0/27 (0%) 0
dehydration 1/53 (1.9%) 2 0/27 (0%) 0
Itching 1/53 (1.9%) 1 0/27 (0%) 0
Abrasion on R forearm after CT Scan 1/53 (1.9%) 1 0/27 (0%) 0
Anorexia 3/53 (5.7%) 4 0/27 (0%) 0
hypersensitivity to oxaliplatin 1/53 (1.9%) 1 0/27 (0%) 0
vasogenic edema 1/53 (1.9%) 1 0/27 (0%) 0
BLE Edema 1/53 (1.9%) 1 0/27 (0%) 0
moon face 1/53 (1.9%) 1 0/27 (0%) 0
Headache 2/53 (3.8%) 2 0/27 (0%) 0
Hypocalcemia 1/53 (1.9%) 1 0/27 (0%) 0
HIGH ALKALINE PHOSPHATASE 3/53 (5.7%) 4 0/27 (0%) 0
HYPOALBUMINEMIA 1/53 (1.9%) 1 0/27 (0%) 0
general discomfort 1/53 (1.9%) 1 0/27 (0%) 0
Neuropathy to Extremities 1/53 (1.9%) 1 0/27 (0%) 0
Cold 2/53 (3.8%) 3 0/27 (0%) 0
Swelling from Contrast Dye 1/53 (1.9%) 1 0/27 (0%) 0
Discharge from Feeding Tube 1/53 (1.9%) 1 0/27 (0%) 0
Ascites 1/53 (1.9%) 1 0/27 (0%) 0
biopsy site sore and numb 1/53 (1.9%) 1 0/27 (0%) 0
Night Sweats 1/53 (1.9%) 2 0/27 (0%) 0
arthralgia 1/53 (1.9%) 1 0/27 (0%) 0
myalgia 1/53 (1.9%) 1 0/27 (0%) 0
abdominal cramping 1/53 (1.9%) 1 0/27 (0%) 0
Thrush 1/53 (1.9%) 1 0/27 (0%) 0
Hepatobiliary disorders
Cholecystitis 1/53 (1.9%) 1 0/27 (0%) 0
Elevate Liver Functions 1/53 (1.9%) 1 0/27 (0%) 0
Splenic Vein Thrombosis 1/53 (1.9%) 1 0/27 (0%) 0
mild jaundice 1/53 (1.9%) 1 0/27 (0%) 0
Immune system disorders
Allergic reaction 0/53 (0%) 0 1/27 (3.7%) 1
Allergy to Penecillin 1/53 (1.9%) 1 0/27 (0%) 0
Infections and infestations
flu 1/53 (1.9%) 1 0/27 (0%) 0
Thrush 1/53 (1.9%) 1 0/27 (0%) 0
pneumonia 1/53 (1.9%) 1 0/27 (0%) 0
Sepsis 4/53 (7.5%) 4 1/27 (3.7%) 1
Urinary tract infection 3/53 (5.7%) 3 0/27 (0%) 0
Mycoplasma pneumoniae 0/53 (0%) 0 1/27 (3.7%) 1
Acinetobacter baumanii bacteremia 0/53 (0%) 0 1/27 (3.7%) 1
Positive blood culture 0/53 (0%) 0 1/27 (3.7%) 1
Bacteruria 0/53 (0%) 0 1/27 (3.7%) 1
Injury, poisoning and procedural complications
Fall 1/53 (1.9%) 1 0/27 (0%) 0
Rib Pain (left side) 1/53 (1.9%) 1 0/27 (0%) 0
BRUISING 1/53 (1.9%) 1 0/27 (0%) 0
Investigations
decreseaed neutrophill count 3/53 (5.7%) 4 3/27 (11.1%) 4
Elevated ANC 1/53 (1.9%) 1 0/27 (0%) 0
decreased absolute lymphocyte count 0/53 (0%) 0 1/27 (3.7%) 1
decreased platelets 5/53 (9.4%) 8 1/27 (3.7%) 2
decreased WBC count 9/53 (17%) 14 7/27 (25.9%) 10
Weight gain 9/53 (17%) 10 0/27 (0%) 0
Weight loss 0/53 (0%) 0 3/27 (11.1%) 3
Metabolism and nutrition disorders
Hyponatremia 1/53 (1.9%) 1 1/27 (3.7%) 1
Early Satiety 2/53 (3.8%) 2 1/27 (3.7%) 1
Dysguesia 0/53 (0%) 0 1/27 (3.7%) 1
Poor Appetite 0/53 (0%) 0 1/27 (3.7%) 1
Hypoalbuminemia 0/53 (0%) 0 1/27 (3.7%) 1
hyperlipidemia 0/53 (0%) 0 1/27 (3.7%) 1
Poor Oral Intake 0/53 (0%) 0 1/27 (3.7%) 1
Decreased Appetite 0/53 (0%) 0 1/27 (3.7%) 1
Hypophosphatemia 1/53 (1.9%) 1 0/27 (0%) 0
Obesity 2/53 (3.8%) 2 0/27 (0%) 0
vitamin B12 defeciency 1/53 (1.9%) 1 0/27 (0%) 0
Iron defeciency 1/53 (1.9%) 1 0/27 (0%) 0
Vitamin D3 defeciency 1/53 (1.9%) 1 0/27 (0%) 0
Vitamin D deficiency 1/53 (1.9%) 1 0/27 (0%) 0
hypercholesterolemia 1/53 (1.9%) 1 0/27 (0%) 0
Diabetes 1/53 (1.9%) 1 0/27 (0%) 0
Hypercholesteremias 1/53 (1.9%) 1 0/27 (0%) 0
Difficulty Feeding 1/53 (1.9%) 1 0/27 (0%) 0
Dyspepsia 2/53 (3.8%) 2 0/27 (0%) 0
Musculoskeletal and connective tissue disorders
right upper quadrant pain 1/53 (1.9%) 1 0/27 (0%) 0
Lower extremity chills at night 1/53 (1.9%) 1 0/27 (0%) 0
Pain in extremity 3/53 (5.7%) 4 0/27 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
bone metastasis 1/53 (1.9%) 1 0/27 (0%) 0
shallow white-based ulcer on L Lower buccal mucosa near border of lip 1/53 (1.9%) 1 0/27 (0%) 0
new left cervical and supraclavicular adenopathy of the axilla 1/53 (1.9%) 1 0/27 (0%) 0
Brain Metastases 1/53 (1.9%) 1 0/27 (0%) 0
Tumor pain 1/53 (1.9%) 1 0/27 (0%) 0
Bone Mets 0/53 (0%) 0 1/27 (3.7%) 1
Nervous system disorders
Concentration impairment 0/53 (0%) 0 1/27 (3.7%) 1
Dizziness 4/53 (7.5%) 4 4/27 (14.8%) 4
Dysgeusia 5/53 (9.4%) 5 1/27 (3.7%) 1
Headache 2/53 (3.8%) 2 1/27 (3.7%) 3
Lightheadedness 0/53 (0%) 0 1/27 (3.7%) 2
balance difficulty 0/53 (0%) 0 1/27 (3.7%) 1
generalized weakness 0/53 (0%) 0 2/27 (7.4%) 2
hypersensitivity 0/53 (0%) 0 1/27 (3.7%) 1
Neuropathy 0/53 (0%) 0 1/27 (3.7%) 1
Paresthesia 5/53 (9.4%) 8 2/27 (7.4%) 2
Peripheral sensory neuropathy 16/53 (30.2%) 20 7/27 (25.9%) 9
reduced dexterity (right hand) 1/53 (1.9%) 1 0/27 (0%) 0
Neuropathy 3/53 (5.7%) 3 0/27 (0%) 0
brain metastases 1/53 (1.9%) 1 0/27 (0%) 0
right arm spasms 1/53 (1.9%) 1 0/27 (0%) 0
TINGLING IN HANDS 1/53 (1.9%) 1 0/27 (0%) 0
vocal chord paralysis 1/53 (1.9%) 1 0/27 (0%) 0
Peripheral motor neuropathy 2/53 (3.8%) 2 0/27 (0%) 0
Stroke 1/53 (1.9%) 1 0/27 (0%) 0
Psychiatric disorders
Agitation 0/53 (0%) 0 1/27 (3.7%) 1
Anxiety 14/53 (26.4%) 14 5/27 (18.5%) 5
Depression 7/53 (13.2%) 7 2/27 (7.4%) 2
Insomnia 8/53 (15.1%) 8 5/27 (18.5%) 6
Hallucinations 1/53 (1.9%) 1 0/27 (0%) 0
Apathy 1/53 (1.9%) 1 0/27 (0%) 0
Altered Mental Status 1/53 (1.9%) 1 0/27 (0%) 0
night sweats 1/53 (1.9%) 1 0/27 (0%) 0
Renal and urinary disorders
Acute kidney injury 3/53 (5.7%) 3 0/27 (0%) 0
Chronic kidney disease 1/53 (1.9%) 2 0/27 (0%) 0
Cystitis noninfective 1/53 (1.9%) 1 1/27 (3.7%) 1
Hematuria 12/53 (22.6%) 18 2/27 (7.4%) 4
Hemoglobinuria 1/53 (1.9%) 1 0/27 (0%) 0
Pyuria 1/53 (1.9%) 1 0/27 (0%) 0
Hydronephrosis 1/53 (1.9%) 1 0/27 (0%) 0
Dysuria 1/53 (1.9%) 1 3/27 (11.1%) 5
Nocturia 2/53 (3.8%) 2 1/27 (3.7%) 1
overactive bladder 1/53 (1.9%) 1 0/27 (0%) 0
UROSEPSIS 1/53 (1.9%) 1 1/27 (3.7%) 1
Hydronephrosis 1/53 (1.9%) 1 1/27 (3.7%) 1
left ureteral stricture 1/53 (1.9%) 1 0/27 (0%) 0
renal failure 1/53 (1.9%) 1 1/27 (3.7%) 1
decreased urine output 1/53 (1.9%) 1 1/27 (3.7%) 1
Proteinuria 3/53 (5.7%) 4 1/27 (3.7%) 1
Urinary frequency 6/53 (11.3%) 6 3/27 (11.1%) 3
Urinary incontinence 1/53 (1.9%) 1 0/27 (0%) 0
Urinary retention 1/53 (1.9%) 1 0/27 (0%) 0
Urinary tract obstruction 1/53 (1.9%) 1 0/27 (0%) 0
Urinary tract pain 1/53 (1.9%) 1 0/27 (0%) 0
Prostatitis 0/53 (0%) 0 1/27 (3.7%) 1
Bengin enlargement of Prostate 0/53 (0%) 0 1/27 (3.7%) 1
Nephrolithiasis (Kidney Stone) 0/53 (0%) 0 1/27 (3.7%) 1
Hydrouretroneprosis 0/53 (0%) 0 1/27 (3.7%) 1
benign prostatic hypertrophy 0/53 (0%) 0 1/27 (3.7%) 1
urosepsis 0/53 (0%) 0 1/27 (3.7%) 1
Hydronephrosis 0/53 (0%) 0 1/27 (3.7%) 1
Renal Failure 0/53 (0%) 0 1/27 (3.7%) 1
Difficulty Urinating 0/53 (0%) 0 1/27 (3.7%) 1
Urinary tract obstruction 0/53 (0%) 0 1/27 (3.7%) 1
Dysmenorrhea 0/53 (0%) 0 1/27 (3.7%) 1
increase in size of right testis 1/53 (1.9%) 1 0/27 (0%) 0
post menopausal vaginal bleeding 1/53 (1.9%) 1 0/27 (0%) 0
Vaginal hemorrhage 1/53 (1.9%) 2 0/27 (0%) 0
Aspiration 1/53 (1.9%) 1 0/27 (0%) 0
Atelectasis 1/53 (1.9%) 1 0/27 (0%) 0
Cough 6/53 (11.3%) 8 4/27 (14.8%) 4
Dyspnea 11/53 (20.8%) 13 6/27 (22.2%) 9
Hiccups 3/53 (5.7%) 3 1/27 (3.7%) 1
Hoarseness 2/53 (3.8%) 2 0/27 (0%) 0
Hypoxia 1/53 (1.9%) 1 0/27 (0%) 0
Pneumonia 1/53 (1.9%) 1 0/27 (0%) 0
Pulmonary embolism 1/53 (1.9%) 1 0/27 (0%) 0
rales at the bases 1/53 (1.9%) 1 0/27 (0%) 0
COPD exacerbation 1/53 (1.9%) 1 0/27 (0%) 0
increase mucus production 1/53 (1.9%) 1 0/27 (0%) 0
increased mucus 1/53 (1.9%) 1 0/27 (0%) 0
Decreased breathing sounds over Left Lower Lung Field 1/53 (1.9%) 1 0/27 (0%) 0
Shortness of Breath 3/53 (5.7%) 3 0/27 (0%) 0
Pleural effusion 2/53 (3.8%) 2 0/27 (0%) 0
Pneumonitis 2/53 (3.8%) 2 0/27 (0%) 0
Postnasal drip 1/53 (1.9%) 2 0/27 (0%) 0
Sleep apnea 1/53 (1.9%) 1 0/27 (0%) 0
Allergic rhinitis 0/53 (0%) 0 1/27 (3.7%) 1
Epistaxis 0/53 (0%) 0 1/27 (3.7%) 1
Nasal congestion 0/53 (0%) 0 1/27 (3.7%) 1
Shortness of Breath 0/53 (0%) 0 1/27 (3.7%) 1
VATS pleurodesis 0/53 (0%) 0 1/27 (3.7%) 1
Reproductive system and breast disorders
increase in size of right testis 1/53 (1.9%) 1 0/27 (0%) 0
post menopausal vaginal bleeding 1/53 (1.9%) 1 0/27 (0%) 0
Vaginal hemorrhage 2/53 (3.8%) 2 0/27 (0%) 0
Respiratory, thoracic and mediastinal disorders
Epistaxis (nose bleeds) 1/53 (1.9%) 1 0/27 (0%) 0
Allergic rhinitis 0/53 (0%) 0 1/27 (3.7%) 1
Cough 6/53 (11.3%) 8 4/27 (14.8%) 4
Dyspnea 11/53 (20.8%) 13 6/27 (22.2%) 9
Epistaxis 0/53 (0%) 0 1/27 (3.7%) 1
Hiccups 3/53 (5.7%) 3 1/27 (3.7%) 1
Nasal congestion 0/53 (0%) 0 1/27 (3.7%) 1
Shortness of Breath 0/53 (0%) 0 1/27 (3.7%) 1
VATS pleurodesis 0/53 (0%) 0 1/27 (3.7%) 1
Pleural effusion 0/53 (0%) 0 2/27 (7.4%) 2
Pneumonitis 0/53 (0%) 0 1/27 (3.7%) 1
Sore throat 0/53 (0%) 0 1/27 (3.7%) 1
Aspiration 1/53 (1.9%) 1 0/27 (0%) 0
Atelectasis 1/53 (1.9%) 1 0/27 (0%) 0
Hoarseness 2/53 (3.8%) 2 0/27 (0%) 0
Hypoxia 1/53 (1.9%) 1 0/27 (0%) 0
Pneumonia 1/53 (1.9%) 1 0/27 (0%) 0
Pulmonary embolism 1/53 (1.9%) 1 0/27 (0%) 0
rales at the bases 1/53 (1.9%) 1 0/27 (0%) 0
COPD exacerbation 1/53 (1.9%) 1 0/27 (0%) 0
increase mucus production 2/53 (3.8%) 2 0/27 (0%) 0
Decreased breathing sounds over Left Lower Lung Field 1/53 (1.9%) 1 0/27 (0%) 0
Shortness of Breath 3/53 (5.7%) 3 0/27 (0%) 0
Pleural effusion 2/53 (3.8%) 2 0/27 (0%) 0
Pneumonitis 2/53 (3.8%) 2 0/27 (0%) 0
Postnasal drip 1/53 (1.9%) 2 0/27 (0%) 0
Sleep apnea 1/53 (1.9%) 1 0/27 (0%) 0
Skin and subcutaneous tissue disorders
Alopecia 6/53 (11.3%) 6 2/27 (7.4%) 2
Dry skin 2/53 (3.8%) 2 2/27 (7.4%) 4
eczemarous dermatitis with eosinophilic folliculitis 1/53 (1.9%) 1 0/27 (0%) 0
Pruritic maculaopapular rash LUQ 1/53 (1.9%) 1 0/27 (0%) 0
rosacia 1/53 (1.9%) 1 0/27 (0%) 0
Chills/ Sweats 1/53 (1.9%) 1 0/27 (0%) 0
psoriasis flare 1/53 (1.9%) 1 0/27 (0%) 0
Puncture Wound Foot 1/53 (1.9%) 1 0/27 (0%) 0
Skin Changes 1/53 (1.9%) 1 0/27 (0%) 0
ecchymotic rash on hands 1/53 (1.9%) 1 0/27 (0%) 0
Darkening of skin surrounding nasal areas 1/53 (1.9%) 1 0/27 (0%) 0
Hyperhidrosis 0/53 (0%) 0 1/27 (3.7%) 4
Hypohidrosis 0/53 (0%) 0 1/27 (3.7%) 1
Nail discoloration 0/53 (0%) 0 1/27 (3.7%) 1
slow skin turgor 0/53 (0%) 0 1/27 (3.7%) 1
Rash 0/53 (0%) 0 1/27 (3.7%) 1
flushing 0/53 (0%) 0 1/27 (3.7%) 1
Nodular findings 0/53 (0%) 0 1/27 (3.7%) 1
Vascular disorders
Flushing 1/53 (1.9%) 1 0/27 (0%) 0
Hypertension 5/53 (9.4%) 7 2/27 (7.4%) 2
peripheral vascular disease 1/53 (1.9%) 1 0/27 (0%) 0
scatter petechiae 1/53 (1.9%) 1 0/27 (0%) 0
bloody nose 1/53 (1.9%) 1 0/27 (0%) 0
Syncope 1/53 (1.9%) 1 0/27 (0%) 0
portal vein thrombosis 1/53 (1.9%) 1 0/27 (0%) 0
Thromboembolic event 4/53 (7.5%) 4 2/27 (7.4%) 2
Hypotension 0/53 (0%) 0 4/27 (14.8%) 4
easy bruisability 0/53 (0%) 0 1/27 (3.7%) 1

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

All Principal Investigators ARE employed by the organization sponsoring the study.

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/Title Navjot Kaur, GI Program Manager
Organization Weill Cornell Medical College
Phone 646-962-9350
Email nak2028@med.cornell.edu
Responsible Party:
Weill Medical College of Cornell University
ClinicalTrials.gov Identifier:
NCT01757171
Other Study ID Numbers:
  • 1208012946
First Posted:
Dec 28, 2012
Last Update Posted:
Apr 3, 2018
Last Verified:
Mar 1, 2018