SOURCE: Sarcoma Study of MORAb-004 Utilization: Research and Clinical Evaluation

Sponsor
Morphotek (Industry)
Overall Status
Completed
CT.gov ID
NCT01574716
Collaborator
(none)
209
29
2
47.8
7.2
0.2

Study Details

Study Description

Brief Summary

This study is being done to see if MORAb-004 increases the effectiveness of the chemotherapies gemcitabine and docetaxel in people with metastatic Soft Tissue Sarcoma.

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
209 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Study of the Safety and Efficacy of the Combination of Gemcitabine and Docetaxel With MORAb-004 in Metastatic Soft Tissue Sarcoma
Actual Study Start Date :
Aug 7, 2012
Actual Primary Completion Date :
Aug 11, 2015
Actual Study Completion Date :
Aug 2, 2016

Arms and Interventions

Arm Intervention/Treatment
Experimental: MORAb-004, gemcitabine, docetaxel

Drug: MORAb-004
IV, Days 1 and 8 of every cycle until disease progression

Drug: Gemcitabine
IV, Days 1 and 8 of each cycle until disease progression

Drug: Docetaxel
IV, Day 8 of every cycle until disease progression

Active Comparator: Placebo, gemcitabine, docetaxel

Drug: Gemcitabine
IV, Days 1 and 8 of each cycle until disease progression

Drug: Docetaxel
IV, Day 8 of every cycle until disease progression

Drug: Placebo

Outcome Measures

Primary Outcome Measures

  1. Part 2: Radiologic Progression-free Survival (PFS) [From date of first dose until date of first observation of disease progression, or death due to any cause (up to approximately 3 years)]

    PFS was defined as the time (in weeks) from the date of randomization to the date of first observation of disease progression according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) or date of death, regardless of the cause.

Secondary Outcome Measures

  1. Part 2: Symptomatic Progression-free Survival [From date of first dose until date of first observation of disease progression, symptomatic progression, or death due to any cause (up to approximately 3 years)]

    PFS including symptomatic progression was defined as the time (in weeks) from the date of randomization to the date of the first observation of disease progression according to RECIST 1.1, symptomatic progression, or death due to any cause.

  2. Part 2: Overall Survival (OS) [From date of first dose until date of death from any cause (up to approximately 3.5 years)]

    OS was defined as the time (in months) from the date of randomization to the date of death, regardless of the cause.

  3. Part 2: Overall Response Rate (ORR) [From date of first dose until disease progression (up to approximately 3.5 years)]

    ORR was defined as the percentage of subjects with either a complete response (CR) or a partial response (PR) based on RECIST 1.1. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<) 10 millimeter (mm). PR was defined as at least a 30 percent (%) decrease in sum of diameters of target lesions, taking as reference the baseline sum of diameters.

  4. Part 2: Radiologic Progression-free Survival Rate (PFR) [Weeks 12, 24, 48 and 52]

    Radiologic progression-free survival rate was defined as the percentage of subjects achieving radiologic PFS at the pre-specified time points.

  5. Part 2: Number of Participants Who Had Relationship Between MORAb-004 Exposures and Biomarker Levels [Up to approximately 3 years]

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Be at least 18 years of age

  • Be surgically sterile or consent to use a medically acceptable method of contraception throughout the study period

  • Have a histologically confirmed diagnosis of mSTS as defined by the 4 specified study subgrouped

  • Have been treated in the metastatic setting with 0 to 2 prior systemic regimens for mSTS (Systemic treatment regimens given in the neoadjuvant setting and maintenance therapies will not be considered as regimens in the metastatic setting for the purposes of this protocol. Prior anthracycline-based regimen is allowable but not required. Subjects with extra-skeletal small round blue cell sarcomas, including rhabdomyosarcomas, must have exhausted or be intolerant of standard first line anthracycline-based chemotherapy.)

  • Have measurable disease, as defined by RECIST v 1.1 assess within 2 weeks of study entry and have radiologically documented disease progression greater than or equal to a 10% increase in the sum of the longest diameters of target lesions present within 6 months prior to randomization

  • Have tumor tissue available for TEM-1 biomarker studies

  • Be willing and able to provide written informed consent

Exclusion Criteria:
  • Have received more than 2 prior systemic treatment regimens for mSTS

  • Have received either gemcitabine or docetaxel in any previous treatment for mSTS (regardless of the line of treatment)

  • Have a diagnosis of primary bone sarcoma of any histological type.

  • Have a history of clinically significant heart disease, or clinically significant arrhythmia on ECG within the past 6 months

  • Have a history of allergic reaction to prior monoclonal antibody or biologic agent

  • Have received previous treatment with MORAb-004 (anti-TEM-1)

  • Have a medical condition with a high risk of bleeding (e.g., a known bleeding disorder, a coagulopathy, or a tumor that involves the major vessels) or have a recent (within past 6 months) history of a significant bleeding event

  • Have undergone major surgical procedures or open biopsy, have significant traumatic injury within 30 days prior to the first date of study treatment, or have major surgical procedures anticipated during the study

  • Have a serious non-healing wound, an ulcer (including gastrointestinal), or a bone fracture

Contacts and Locations

Locations

Site City State Country Postal Code
1 Sarcoma Oncology Center Santa Monica California United States 90403
2 UCLA Santa Monica California United States 90404
3 Mayo Clinic Jacksonville Jacksonville Florida United States 32224
4 University of Miami Miami Florida United States 33136
5 Moffitt Cancer Center Tampa Florida United States 33612
6 Northwestern Memorial Hospital Chicago Illinois United States 60611
7 Siouxland Hematology-Oncology Sioux City Iowa United States 51101
8 Sidney Kimmel Comprehensive Cancer Center at John Hopkins Baltimore Maryland United States 21231
9 Dana-Farber Cancer Institute Boston Massachusetts United States 2215
10 University of Michigan Health System Ann Arbor Michigan United States 48109
11 Washington University Saint Louis Missouri United States 63110
12 Mount Sinai Medical Center New York New York United States 10029
13 Mayo Clinic - Rochester Rochester New York United States 55905
14 The University of North Carolina at Chapel Hill Chapel Hill North Carolina United States 27599
15 Oregon Health and Science University Portland Oregon United States 97239
16 Fox Chase Cancer Center Philadelphia Pennsylvania United States 19111
17 MD Anderson Cancer Center Houston Texas United States 77030
18 Huntsman Cancer Institute at the University of Utah Salt Lake City Utah United States 84112
19 Seattle Care Alliance Seattle Washington United States
20 Canberra Hospital Garran Australian Capital Territory Australia 2605
21 Royal North Shore Hospital St. Leonards New South Wales Australia 2065
22 Princess Alexandra Hospital Woolloongabba Queensland Australia 4102
23 Ashford Cancer Centre Research Kurralta Park South Australia Australia 5037
24 Sir Charles Gairdner Hospital Perth Western Australia Australia 6009
25 UZ Leuven Medical Oncology Leuven Belgium 3000
26 Institut Gustave Roussy Villejuif France 94805
27 University of Claude Bernard Villeurbanne France 69100
28 Istituto Ortopedico Rizzoli Bologna Italy 40136
29 Leiden University Medical Center Leiden Netherlands

Sponsors and Collaborators

  • Morphotek

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Morphotek
ClinicalTrials.gov Identifier:
NCT01574716
Other Study ID Numbers:
  • MORAb-004-203-STS
  • 2012-001399-12
First Posted:
Apr 10, 2012
Last Update Posted:
Aug 21, 2019
Last Verified:
Nov 1, 2016
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details Participants took part in the study at 31 investigative sites in the United States, Australia, Italy, Netherlands, France and Belgium from 07 August 2012 to 02 August 2016.
Pre-assignment Detail In Part 1, a total of 16 participants were enrolled and treated in the study. A total of 225 participants were screened for entry into Part 2 of the study. Of these 225 participants, 46 were screen failures and 209 were randomized into the study, of which 207 participants were treated.
Arm/Group Title Part 1: MORAb-004 4.0 mg/kg + Gemcitabine/Docetaxel Part 1: MORAb-004 6.0 mg/kg + Gemcitabine/Docetaxel Part 1: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel Part 2: Placebo + Gemcitabine/Docetaxel
Arm/Group Description Participants received MORAb-004 4 milligram per kilogram (mg/kg), infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 milligram per square meter (mg/m^2), infusion, intravenously on Days 1 and 8 and docetaxel, infusion, intravenously on Day 8 of each 21-day treatment cycle until disease progression (approximately 28 cycles). MORAb-004 was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle. Participants received MORAb-004 6 mg/kg, infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle until disease progression (approximately 28 cycles). MORAb-004 was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle. Participants received MORAb-004 8 mg/kg, infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle until disease progression (approximately 28 cycles). MORAb-004 was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle. Participants received MORAb-004 8.0 mg/kg, infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle for until disease progression (approximately 31 cycles). MORAb-004 was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle. Participants received normal saline (0.9 percent [%] sodium chloride), infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle for until disease progression (approximately 31 cycles). Normal saline (0.9% sodium chloride) was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle.
Period Title: Part 1
STARTED 3 4 9 0 0
COMPLETED 0 0 0 0 0
NOT COMPLETED 3 4 9 0 0
Period Title: Part 1
STARTED 0 0 0 139 70
Treated Participants 0 0 0 140 67
COMPLETED 0 0 0 2 0
NOT COMPLETED 0 0 0 137 70

Baseline Characteristics

Arm/Group Title Part 1: MORAb-004 4.0 mg/kg + Gemcitabine/Docetaxel Part 1: MORAb-004 6.0 mg/kg + Gemcitabine/Docetaxel Part 1: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel Part 2: Placebo + Gemcitabine/Docetaxel Total
Arm/Group Description Participants received MORAb-004 4 mg/kg, infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel, infusion, intravenously on Day 8 of each 21-day treatment cycle until disease progression (approximately 28 cycles). MORAb-004 was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle. Participants received MORAb-004 6 mg/kg, infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle until disease progression (approximately 28 cycles). MORAb-004 was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle. Participants received MORAb-004 8 mg/kg, infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle until disease progression (approximately 28 cycles). MORAb-004 was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle. Participants received MORAb-004 8.0 mg/kg, infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle for until disease progression (approximately 31 cycles). MORAb-004 was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle. Participants received normal saline (0.9% sodium chloride), infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle for until disease progression (approximately 31 cycles). Normal saline (0.9% sodium chloride) was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle. Total of all reporting groups
Overall Participants 3 4 9 139 70 225
Age (Count of Participants)
<=18 years
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Between 18 and 65 years
3
100%
3
75%
8
88.9%
103
74.1%
49
70%
166
73.8%
>=65 years
0
0%
1
25%
1
11.1%
36
25.9%
21
30%
59
26.2%
Sex: Female, Male (Count of Participants)
Female
2
66.7%
2
50%
3
33.3%
63
45.3%
32
45.7%
102
45.3%
Male
1
33.3%
2
50%
6
66.7%
76
54.7%
38
54.3%
123
54.7%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino
1
33.3%
0
0%
2
22.2%
18
12.9%
8
11.4%
29
12.9%
Not Hispanic or Latino
2
66.7%
4
100%
7
77.8%
119
85.6%
61
87.1%
193
85.8%
Unknown or Not Reported
0
0%
0
0%
0
0%
2
1.4%
1
1.4%
3
1.3%
Race/Ethnicity, Customized (Count of Participants)
White
1
33.3%
3
75%
8
88.9%
116
83.5%
57
81.4%
185
82.2%
Black or African American
1
33.3%
1
25%
0
0%
12
8.6%
9
12.9%
23
10.2%
Asian
1
33.3%
0
0%
1
11.1%
7
5%
2
2.9%
11
4.9%
Chinese
0
0%
0
0%
0
0%
0
0%
2
2.9%
2
0.9%
American Indian or Alaskan Native
0
0%
0
0%
0
0%
1
0.7%
0
0%
1
0.4%
Other
0
0%
0
0%
0
0%
3
2.2%
0
0%
3
1.3%

Outcome Measures

1. Primary Outcome
Title Part 2: Radiologic Progression-free Survival (PFS)
Description PFS was defined as the time (in weeks) from the date of randomization to the date of first observation of disease progression according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) or date of death, regardless of the cause.
Time Frame From date of first dose until date of first observation of disease progression, or death due to any cause (up to approximately 3 years)

Outcome Measure Data

Analysis Population Description
The ITT population consisted of all randomized participants and were analyzed according to the treatment assigned by the IxRS.
Arm/Group Title Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel Part 2: Placebo + Gemcitabine/Docetaxel
Arm/Group Description Participants received MORAb-004 8.0 mg/kg, infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle for until disease progression (approximately 31 cycles). MORAb-004 was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle. Participants received normal saline (0.9% sodium chloride), infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle for until disease progression (approximately 31 cycles). Normal saline (0.9% sodium chloride) was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle.
Measure Participants 139 70
Median (95% Confidence Interval) [weeks]
18.7
24.1
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel, Part 2: Placebo + Gemcitabine/Docetaxel
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value = 0.6562
Comments
Method Log Rank
Comments Two-sided log-rank test
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.08
Confidence Interval (2-Sided) 95%
0.77 to 1.50
Parameter Dispersion Type:
Value:
Estimation Comments Based on Cox PH model
2. Secondary Outcome
Title Part 2: Symptomatic Progression-free Survival
Description PFS including symptomatic progression was defined as the time (in weeks) from the date of randomization to the date of the first observation of disease progression according to RECIST 1.1, symptomatic progression, or death due to any cause.
Time Frame From date of first dose until date of first observation of disease progression, symptomatic progression, or death due to any cause (up to approximately 3 years)

Outcome Measure Data

Analysis Population Description
The ITT population consisted of all randomized participants and were analyzed according to treatment assigned by the IxRS.
Arm/Group Title Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel Part 2: Placebo + Gemcitabine/Docetaxel
Arm/Group Description Participants received MORAb-004 8.0 mg/kg, infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle for until disease progression (approximately 31 cycles). MORAb-004 was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle. Participants received normal saline (0.9% sodium chloride), infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle for until disease progression (approximately 31 cycles). Normal saline (0.9% sodium chloride) was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle.
Measure Participants 139 70
Median (95% Confidence Interval) [weeks]
18.1
24.0
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel, Part 2: Placebo + Gemcitabine/Docetaxel
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value =0.4469
Comments
Method Log Rank
Comments Two-sided log-rank test
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.13
Confidence Interval (2-Sided) 95%
0.82 to 1.57
Parameter Dispersion Type:
Value:
Estimation Comments Based on Cox PH model
3. Secondary Outcome
Title Part 2: Overall Survival (OS)
Description OS was defined as the time (in months) from the date of randomization to the date of death, regardless of the cause.
Time Frame From date of first dose until date of death from any cause (up to approximately 3.5 years)

Outcome Measure Data

Analysis Population Description
The ITT Population consisted of all randomized participants and were analyzed according to treatment assigned by the IxRS.
Arm/Group Title Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel Part 2: Placebo + Gemcitabine/Docetaxel
Arm/Group Description Participants received MORAb-004 8.0 mg/kg, infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle for until disease progression (approximately 31 cycles). MORAb-004 was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle. Participants received normal saline (0.9% sodium chloride), infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle for until disease progression (approximately 31 cycles). Normal saline (0.9% sodium chloride) was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle.
Measure Participants 139 70
Median (95% Confidence Interval) [months]
18.3
21.1
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel, Part 2: Placebo + Gemcitabine/Docetaxel
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.3153
Comments
Method Log Rank
Comments Two-sided log-rank test
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.23
Confidence Interval (2-Sided) 95%
0.82 to 1.83
Parameter Dispersion Type:
Value:
Estimation Comments Based on Cox PH model
4. Secondary Outcome
Title Part 2: Overall Response Rate (ORR)
Description ORR was defined as the percentage of subjects with either a complete response (CR) or a partial response (PR) based on RECIST 1.1. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<) 10 millimeter (mm). PR was defined as at least a 30 percent (%) decrease in sum of diameters of target lesions, taking as reference the baseline sum of diameters.
Time Frame From date of first dose until disease progression (up to approximately 3.5 years)

Outcome Measure Data

Analysis Population Description
The ITT Population consisted of all randomized participants and were analyzed according to treatment assigned by the IxRS.
Arm/Group Title Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel Part 2: Placebo + Gemcitabine/Docetaxel
Arm/Group Description Participants received MORAb-004 8.0 mg/kg, infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle for until disease progression (approximately 31 cycles). MORAb-004 was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle. Participants received normal saline (0.9% sodium chloride), infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle for until disease progression (approximately 31 cycles). Normal saline (0.9% sodium chloride) was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle.
Measure Participants 139 70
Number [percentage of participants]
19.4
646.7%
20.0
500%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel, Part 2: Placebo + Gemcitabine/Docetaxel
Comments Difference equal to (=) (MORAb 8.0 mg/kg + Gemcitabine/Docetaxel) minus (Placebo + Gemcitabine/Docetaxel). Confidence interval based on a normal approximation to the binomial distribution.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value = 1.000
Comments
Method Log Rank
Comments Two-sided log-rank test
Method of Estimation Estimation Parameter Difference
Estimated Value -0.6
Confidence Interval (2-Sided) 95%
-12.0 to 10.9
Parameter Dispersion Type:
Value:
Estimation Comments Based on Cox PH model
5. Secondary Outcome
Title Part 2: Radiologic Progression-free Survival Rate (PFR)
Description Radiologic progression-free survival rate was defined as the percentage of subjects achieving radiologic PFS at the pre-specified time points.
Time Frame Weeks 12, 24, 48 and 52

Outcome Measure Data

Analysis Population Description
The ITT Population consisted of all randomized participants and were analyzed according to treatment assigned by the IxRS.
Arm/Group Title Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel Part 2: Placebo + Gemcitabine/Docetaxel
Arm/Group Description Participants received MORAb-004 8.0 mg/kg, infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle for until disease progression (approximately 31 cycles). MORAb-004 was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle. Participants received normal saline (0.9% sodium chloride), infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle for until disease progression (approximately 31 cycles). Normal saline (0.9% sodium chloride) was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle.
Measure Participants 139 70
12 weeks
57.6
1920%
61.8
1545%
24 weeks
43.3
1443.3%
51.0
1275%
48 weeks
24.5
816.7%
25.2
630%
52 weeks
20.8
693.3%
21.4
535%
6. Secondary Outcome
Title Part 2: Number of Participants Who Had Relationship Between MORAb-004 Exposures and Biomarker Levels
Description
Time Frame Up to approximately 3 years

Outcome Measure Data

Analysis Population Description
The ITT Population consisted of all randomized participants and were analyzed according to treatment assigned by the IxRS.
Arm/Group Title Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel Part 2: Placebo + Gemcitabine/Docetaxel
Arm/Group Description Participants received MORAb-004 8.0 mg/kg, infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle for until disease progression (approximately 31 cycles). MORAb-004 was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle. Participants received normal saline (0.9% sodium chloride), infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle for until disease progression (approximately 31 cycles). Normal saline (0.9% sodium chloride) was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle.
Measure Participants 139 70
Number [participants]
0
0%
0
0%

Adverse Events

Time Frame From date of first dose until 45 days after last dose of study drug (approximately up to 4 years)
Adverse Event Reporting Description
Arm/Group Title Part 1: MORAb-004 4.0 mg/kg + Gemcitabine/Docetaxel Part 1: MORAb-004 6.0 mg/kg + Gemcitabine/Docetaxel Part 1: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel Part 2: Placebo + Gemcitabine/Docetaxel
Arm/Group Description Participants received MORAb-004 4 mg/kg, infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel, infusion, intravenously on Day 8 of each 21-day treatment cycle until disease progression (approximately 28 cycles). MORAb-004 was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle. Participants received MORAb-004 6 mg/kg, infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle until disease progression (approximately 28 cycles). MORAb-004 was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle. Participants received MORAb-004 8 mg/kg, infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle until disease progression (approximately 28 cycles). MORAb-004 was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle. Participants received MORAb-004 8.0 mg/kg, infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle for until disease progression (approximately 31 cycles). MORAb-004 was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle. Participants received normal saline (0.9% sodium chloride), infusion, intravenously on Days 1 and 8 in combination with gemcitabine 900 mg/m^2, infusion, intravenously on Days 1 and 8 and docetaxel 75 mg/m^2, infusion, intravenously on Day 8 of each 21-day treatment cycle for until disease progression (approximately 31 cycles). Normal saline (0.9% sodium chloride) was administered after the administration of gemcitabine on Day 1 and after the administration of gemcitabine/docetaxel on Day 8 in each 21-day treatment cycle.
All Cause Mortality
Part 1: MORAb-004 4.0 mg/kg + Gemcitabine/Docetaxel Part 1: MORAb-004 6.0 mg/kg + Gemcitabine/Docetaxel Part 1: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel Part 2: Placebo + Gemcitabine/Docetaxel
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 3/3 (100%) 1/4 (25%) 8/9 (88.9%) 76/140 (54.3%) 35/67 (52.2%)
Serious Adverse Events
Part 1: MORAb-004 4.0 mg/kg + Gemcitabine/Docetaxel Part 1: MORAb-004 6.0 mg/kg + Gemcitabine/Docetaxel Part 1: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel Part 2: Placebo + Gemcitabine/Docetaxel
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/3 (0%) 1/4 (25%) 6/9 (66.7%) 106/140 (75.7%) 45/67 (67.2%)
Blood and lymphatic system disorders
Anaemia 0/3 (0%) 0/4 (0%) 0/9 (0%) 5/140 (3.6%) 4/67 (6%)
Disseminated intravascular coagulation 0/3 (0%) 0/4 (0%) 0/9 (0%) 0/140 (0%) 1/67 (1.5%)
Febrile neutropenia 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 3/140 (2.1%) 2/67 (3%)
Haemolytic uraemic syndrome 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Leukocytosis 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Leukopenia 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Neutropenia 0/3 (0%) 1/4 (25%) 1/9 (11.1%) 2/140 (1.4%) 2/67 (3%)
Thrombocytopenia 0/3 (0%) 0/4 (0%) 3/9 (33.3%) 2/140 (1.4%) 3/67 (4.5%)
Cardiac disorders
Atrial flutter 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Atrial thrombosis 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Cardiac arrest 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Cardiac failure 0/3 (0%) 0/4 (0%) 0/9 (0%) 0/140 (0%) 1/67 (1.5%)
Diastolic dysfunction 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Pericardial effusion 0/3 (0%) 0/4 (0%) 0/9 (0%) 2/140 (1.4%) 0/67 (0%)
Sinus tachycardia 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Gastrointestinal disorders
Abdominal hernia 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Abdominal pain 0/3 (0%) 0/4 (0%) 0/9 (0%) 0/140 (0%) 2/67 (3%)
Colitis 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 2/67 (3%)
Constipation 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 1/67 (1.5%)
Gastrointestinal pain 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Ileus 0/3 (0%) 0/4 (0%) 0/9 (0%) 0/140 (0%) 1/67 (1.5%)
Intussusception 0/3 (0%) 0/4 (0%) 0/9 (0%) 0/140 (0%) 1/67 (1.5%)
Nausea 0/3 (0%) 0/4 (0%) 0/9 (0%) 4/140 (2.9%) 1/67 (1.5%)
Oesophagitis 0/3 (0%) 0/4 (0%) 0/9 (0%) 2/140 (1.4%) 0/67 (0%)
Pancreatic cyst 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Upper gastrointestinal haemorrhage 0/3 (0%) 0/4 (0%) 0/9 (0%) 0/140 (0%) 1/67 (1.5%)
Vomiting 0/3 (0%) 0/4 (0%) 0/9 (0%) 3/140 (2.1%) 0/67 (0%)
General disorders
Chills 0/3 (0%) 0/4 (0%) 0/9 (0%) 0/140 (0%) 1/67 (1.5%)
Generalised oedema 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Infusion site extravasation 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Mucosal inflammation 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Non-cardiac chest pain 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Oedema peripheral 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 1/67 (1.5%)
Pyrexia 0/3 (0%) 0/4 (0%) 0/9 (0%) 7/140 (5%) 2/67 (3%)
Systemic inflammatory response syndrome 0/3 (0%) 0/4 (0%) 0/9 (0%) 2/140 (1.4%) 0/67 (0%)
Hepatobiliary disorders
Hepatic failure 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Hepatotoxicity 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Portal vein thrombosis 0/3 (0%) 0/4 (0%) 0/9 (0%) 0/140 (0%) 1/67 (1.5%)
Immune system disorders
Cytokine release syndrome 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Hypersensitivity 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Infections and infestations
Campylobacter gastroenteritis 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Cellulitis 0/3 (0%) 1/4 (25%) 1/9 (11.1%) 8/140 (5.7%) 3/67 (4.5%)
Corona virus infection 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Enterocolitis infectious 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Escherichia sepsis 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Influenza 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Liver abscess 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Lobar pneumonia 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 2/67 (3%)
Lung infection 0/3 (0%) 0/4 (0%) 0/9 (0%) 3/140 (2.1%) 0/67 (0%)
Neutropenic sepsis 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Pneumocystis jiroveci infection 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 1/67 (1.5%)
Pneumocystis jiroveci pneumonia 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 1/67 (1.5%)
Pneumonia 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 7/140 (5%) 6/67 (9%)
Pneumonia primary atypical 0/3 (0%) 0/4 (0%) 0/9 (0%) 0/140 (0%) 1/67 (1.5%)
Respiratory tract infection 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Sepsis 0/3 (0%) 0/4 (0%) 0/9 (0%) 2/140 (1.4%) 1/67 (1.5%)
Soft tissue infection 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Upper respiratory tract infection 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Urinary tract infection 0/3 (0%) 0/4 (0%) 0/9 (0%) 3/140 (2.1%) 0/67 (0%)
Wound infection 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Injury, poisoning and procedural complications
Accidental overdose 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Clavicle fracture 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Femur fracture 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Hip fracture 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Infusion related reaction 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Rib fracture 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Investigations
Blood creatine phosphokinase increased 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Blood creatinine increased 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 1/67 (1.5%)
Neutrophil count decreased 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 1/67 (1.5%)
Platelet count decreased 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 3/67 (4.5%)
White blood cell count decreased 0/3 (0%) 0/4 (0%) 0/9 (0%) 2/140 (1.4%) 1/67 (1.5%)
Metabolism and nutrition disorders
Dehydration 0/3 (0%) 0/4 (0%) 0/9 (0%) 6/140 (4.3%) 0/67 (0%)
Hypoglycaemia 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Hypophosphataemia 0/3 (0%) 0/4 (0%) 0/9 (0%) 0/140 (0%) 1/67 (1.5%)
Hypovolaemia 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Musculoskeletal and connective tissue disorders
Arthralgia 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 1/67 (1.5%)
Back pain 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 3/67 (4.5%)
Groin pain 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Musculoskeletal chest pain 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Myalgia 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Myositis 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Pain in extremity 0/3 (0%) 0/4 (0%) 0/9 (0%) 2/140 (1.4%) 0/67 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cancer pain 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Malignant pleural effusion 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Metastases to central nervous system 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 1/67 (1.5%)
Tumour pain 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Nervous system disorders
Depressed level of consciousness 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Embolic stroke 0/3 (0%) 0/4 (0%) 0/9 (0%) 0/140 (0%) 1/67 (1.5%)
Encephalopathy 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Lethargy 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Memory impairment 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Peripheral motor neuropathy 0/3 (0%) 0/4 (0%) 0/9 (0%) 0/140 (0%) 1/67 (1.5%)
Presyncope 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Syncope 0/3 (0%) 0/4 (0%) 0/9 (0%) 2/140 (1.4%) 0/67 (0%)
Transient global amnesia 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Psychiatric disorders
Confusional state 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Mental status changes 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 1/67 (1.5%)
Renal and urinary disorders
Haematuria 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Hydronephrosis 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Renal failure 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Renal failure acute 0/3 (0%) 0/4 (0%) 0/9 (0%) 2/140 (1.4%) 0/67 (0%)
Respiratory, thoracic and mediastinal disorders
Dyspnoea 0/3 (0%) 0/4 (0%) 0/9 (0%) 6/140 (4.3%) 3/67 (4.5%)
Haemoptysis 0/3 (0%) 0/4 (0%) 0/9 (0%) 2/140 (1.4%) 1/67 (1.5%)
Haemothorax 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Hypoxia 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Pleural effusion 0/3 (0%) 0/4 (0%) 0/9 (0%) 3/140 (2.1%) 0/67 (0%)
Pleural haemorrhage 0/3 (0%) 0/4 (0%) 0/9 (0%) 0/140 (0%) 1/67 (1.5%)
Pneumonitis 0/3 (0%) 0/4 (0%) 0/9 (0%) 2/140 (1.4%) 2/67 (3%)
Pneumothorax 0/3 (0%) 0/4 (0%) 0/9 (0%) 4/140 (2.9%) 0/67 (0%)
Pulmonary embolism 0/3 (0%) 0/4 (0%) 0/9 (0%) 2/140 (1.4%) 1/67 (1.5%)
Pulmonary haemorrhage 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Pulmonary oedema 0/3 (0%) 0/4 (0%) 0/9 (0%) 3/140 (2.1%) 0/67 (0%)
Respiratory failure 0/3 (0%) 0/4 (0%) 0/9 (0%) 0/140 (0%) 1/67 (1.5%)
Skin and subcutaneous tissue disorders
Rash 0/3 (0%) 0/4 (0%) 0/9 (0%) 0/140 (0%) 1/67 (1.5%)
Vascular disorders
Capillary leak syndrome 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Deep vein thrombosis 0/3 (0%) 0/4 (0%) 0/9 (0%) 2/140 (1.4%) 0/67 (0%)
Hypertension 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Hypotension 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Vena cava thrombosis 0/3 (0%) 0/4 (0%) 0/9 (0%) 1/140 (0.7%) 0/67 (0%)
Other (Not Including Serious) Adverse Events
Part 1: MORAb-004 4.0 mg/kg + Gemcitabine/Docetaxel Part 1: MORAb-004 6.0 mg/kg + Gemcitabine/Docetaxel Part 1: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel Part 2: MORAb-004 8.0 mg/kg + Gemcitabine/Docetaxel Part 2: Placebo + Gemcitabine/Docetaxel
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 3/3 (100%) 4/4 (100%) 9/9 (100%) 140/140 (100%) 66/67 (98.5%)
Blood and lymphatic system disorders
Anaemia 2/3 (66.7%) 1/4 (25%) 8/9 (88.9%) 85/140 (60.7%) 37/67 (55.2%)
Thrombocytopenia 3/3 (100%) 0/4 (0%) 8/9 (88.9%) 56/140 (40%) 28/67 (41.8%)
Neutropenia 1/3 (33.3%) 2/4 (50%) 4/9 (44.4%) 32/140 (22.9%) 15/67 (22.4%)
Leukopenia 1/3 (33.3%) 0/4 (0%) 0/9 (0%) 20/140 (14.3%) 11/67 (16.4%)
Ear and labyrinth disorders
Deafness Unilateral 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Ear Pain 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Tinnitus 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Eye disorders
Lacrimation Increased 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 8/140 (5.7%) 6/67 (9%)
Conjunctivitis 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Dry Eye 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Vision Blurred 1/3 (33.3%) 0/4 (0%) 0/9 (0%) 0/140 (0%) 0/67 (0%)
Gastrointestinal disorders
Nausea 2/3 (66.7%) 1/4 (25%) 5/9 (55.6%) 75/140 (53.6%) 34/67 (50.7%)
Constipation 2/3 (66.7%) 1/4 (25%) 2/9 (22.2%) 54/140 (38.6%) 25/67 (37.3%)
Abdominal pain 1/3 (33.3%) 2/4 (50%) 1/9 (11.1%) 11/140 (7.9%) 15/67 (22.4%)
Diarrhoea 1/3 (33.3%) 0/4 (0%) 2/9 (22.2%) 61/140 (43.6%) 24/67 (35.8%)
Vomiting 1/3 (33.3%) 2/4 (50%) 0/9 (0%) 38/140 (27.1%) 11/67 (16.4%)
Stomatitis 0/3 (0%) 0/4 (0%) 0/9 (0%) 17/140 (12.1%) 5/67 (7.5%)
Dyspepsia 0/3 (0%) 0/4 (0%) 0/9 (0%) 10/140 (7.1%) 2/67 (3%)
Abdominal Pain Upper 0/3 (0%) 1/4 (25%) 0/9 (0%) 9/140 (6.4%) 6/67 (9%)
Dry Mouth 0/3 (0%) 0/4 (0%) 0/9 (0%) 8/140 (5.7%) 5/67 (7.5%)
Gastrooesophageal Reflux Disease 1/3 (33.3%) 1/4 (25%) 0/9 (0%) 8/140 (5.7%) 4/67 (6%)
Dental Caries 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Flatulence 1/3 (33.3%) 0/4 (0%) 0/9 (0%) 0/140 (0%) 0/67 (0%)
Frequent Bowel Movements 0/3 (0%) 1/4 (25%) 0/9 (0%) 0/140 (0%) 0/67 (0%)
Peptic Ulcer 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
General disorders
Fatigue 3/3 (100%) 3/4 (75%) 6/9 (66.7%) 103/140 (73.6%) 44/67 (65.7%)
Oedema peripheral 1/3 (33.3%) 2/4 (50%) 2/9 (22.2%) 59/140 (42.1%) 29/67 (43.3%)
Pyrexia 2/3 (66.7%) 1/4 (25%) 4/9 (44.4%) 51/140 (36.4%) 17/67 (25.4%)
Chills 0/3 (0%) 1/4 (25%) 0/9 (0%) 28/140 (20%) 3/67 (4.5%)
Influenza Like Illness 0/3 (0%) 0/4 (0%) 0/9 (0%) 15/140 (10.7%) 2/67 (3%)
Mucosal Inflammation 0/3 (0%) 0/4 (0%) 0/9 (0%) 12/140 (8.6%) 6/67 (9%)
Pain 0/3 (0%) 0/4 (0%) 0/9 (0%) 11/140 (7.9%) 4/67 (6%)
Asthenia 0/3 (0%) 1/4 (25%) 0/9 (0%) 7/140 (5%) 4/67 (6%)
Chest Pain 0/3 (0%) 0/4 (0%) 0/9 (0%) 7/140 (5%) 2/67 (3%)
Non-Cardiac Chest Pain 0/3 (0%) 0/4 (0%) 2/9 (22.2%) 7/140 (5%) 1/67 (1.5%)
Catheter Site Rash 0/3 (0%) 1/4 (25%) 0/9 (0%) 0/140 (0%) 0/67 (0%)
Early Satiety 0/3 (0%) 1/4 (25%) 0/9 (0%) 0/140 (0%) 0/67 (0%)
Hepatobiliary disorders
Hyperbilirubinaemia 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Infections and infestations
Upper Respiratory Tract Infection 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 17/140 (12.1%) 3/67 (4.5%)
Urinary Tract Infection 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 13/140 (9.3%) 4/67 (6%)
Cellulitis 0/3 (0%) 1/4 (25%) 0/9 (0%) 9/140 (6.4%) 4/67 (6%)
Nasopharyngitis 0/3 (0%) 0/4 (0%) 0/9 (0%) 7/140 (5%) 3/67 (4.5%)
Pneumonia 0/3 (0%) 0/4 (0%) 0/9 (0%) 7/140 (5%) 2/67 (3%)
Sinusitis 0/3 (0%) 0/4 (0%) 0/9 (0%) 7/140 (5%) 2/67 (3%)
Diverticulitis 0/3 (0%) 1/4 (25%) 0/9 (0%) 0/140 (0%) 0/67 (0%)
Gastrointestinal Viral Infection 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Lower Respiratory Tract Infection Viral 0/3 (0%) 1/4 (25%) 0/9 (0%) 0/140 (0%) 0/67 (0%)
Oral Candidiasis 0/3 (0%) 0/4 (0%) 2/9 (22.2%) 0/140 (0%) 0/67 (0%)
Staphylococcal Skin Infection 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Viral Upper Respiratory Tract Infection 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Injury, poisoning and procedural complications
Infusion Related Reaction 1/3 (33.3%) 0/4 (0%) 0/9 (0%) 10/140 (7.1%) 1/67 (1.5%)
Contusion 0/3 (0%) 2/4 (50%) 0/9 (0%) 0/140 (0%) 0/67 (0%)
Tooth Fracture 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Investigations
Alanine Aminotransferase Increased 0/3 (0%) 0/4 (0%) 3/9 (33.3%) 31/140 (22.1%) 12/67 (17.9%)
Platelet Count Decreased 1/3 (33.3%) 0/4 (0%) 0/9 (0%) 20/140 (14.3%) 15/67 (22.4%)
Aspartate Aminotransferase Increased 0/3 (0%) 0/4 (0%) 2/9 (22.2%) 16/140 (11.4%) 8/67 (11.9%)
Blood Alkaline Phosphatase Increased 0/3 (0%) 0/4 (0%) 0/9 (0%) 13/140 (9.3%) 7/67 (10.4%)
Neutrophil Count Decreased 0/3 (0%) 0/4 (0%) 0/9 (0%) 13/140 (9.3%) 9/67 (13.4%)
White Blood Cell Count Decreased 1/3 (33.3%) 0/4 (0%) 0/9 (0%) 11/140 (7.9%) 10/67 (14.9%)
Blood Creatinine Increased 0/3 (0%) 0/4 (0%) 0/9 (0%) 10/140 (7.1%) 4/67 (6%)
Blood Albumin Decreased 0/3 (0%) 0/4 (0%) 0/9 (0%) 8/140 (5.7%) 4/67 (6%)
Lymphocyte Count Decreased 0/3 (0%) 0/4 (0%) 0/9 (0%) 8/140 (5.7%) 8/67 (11.9%)
Weight Decreased 0/3 (0%) 0/4 (0%) 2/9 (22.2%) 8/140 (5.7%) 2/67 (3%)
Blood Calcium Decreased 0/3 (0%) 0/4 (0%) 0/9 (0%) 7/140 (5%) 2/67 (3%)
Metabolism and nutrition disorders
Decreased appetite 2/3 (66.7%) 0/4 (0%) 2/9 (22.2%) 43/140 (30.7%) 16/67 (23.9%)
Hypokalaemia 0/3 (0%) 0/4 (0%) 3/9 (33.3%) 19/140 (13.6%) 7/67 (10.4%)
Hyperglycaemia 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 22/140 (15.7%) 4/67 (6%)
Dehydration 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 12/140 (8.6%) 4/67 (6%)
Hypoalbuminaemia 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 10/140 (7.1%) 2/67 (3%)
Hypomagnesaemia 0/3 (0%) 0/4 (0%) 0/9 (0%) 8/140 (5.7%) 2/67 (3%)
Hyponatraemia 0/3 (0%) 0/4 (0%) 0/9 (0%) 8/140 (5.7%) 1/67 (1.5%)
Hypocalcaemia 0/3 (0%) 0/4 (0%) 0/9 (0%) 7/140 (5%) 5/67 (7.5%)
Increased Appetite 1/3 (33.3%) 0/4 (0%) 0/9 (0%) 0/140 (0%) 0/67 (0%)
Musculoskeletal and connective tissue disorders
Back pain 1/3 (33.3%) 3/4 (75%) 1/9 (11.1%) 21/140 (15%) 13/67 (19.4%)
Pain in extremity 1/3 (33.3%) 2/4 (50%) 1/9 (11.1%) 25/140 (17.9%) 13/67 (19.4%)
Arthralgia 0/3 (0%) 3/4 (75%) 0/9 (0%) 21/140 (15%) 15/67 (22.4%)
Myalgia 0/3 (0%) 0/4 (0%) 0/9 (0%) 34/140 (24.3%) 13/67 (19.4%)
Bone Pain 0/3 (0%) 0/4 (0%) 0/9 (0%) 20/140 (14.3%) 10/67 (14.9%)
Musculoskeletal Pain 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 14/140 (10%) 5/67 (7.5%)
Musculoskeletal Chest Pain 0/3 (0%) 0/4 (0%) 0/9 (0%) 8/140 (5.7%) 2/67 (3%)
Groin Pain 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Metatarsalgia 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Muscle Twitching 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Musculoskeletal Stiffness 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Pain In Jaw 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour Pain 0/3 (0%) 1/4 (25%) 0/9 (0%) 0/140 (0%) 0/67 (0%)
Nervous system disorders
Headache 1/3 (33.3%) 2/4 (50%) 3/9 (33.3%) 57/140 (40.7%) 13/67 (19.4%)
Dysgeusia 0/3 (0%) 1/4 (25%) 0/9 (0%) 31/140 (22.1%) 15/67 (22.4%)
Dizziness 0/3 (0%) 1/4 (25%) 1/9 (11.1%) 16/140 (11.4%) 10/67 (14.9%)
Neuropathy Peripheral 0/3 (0%) 1/4 (25%) 1/9 (11.1%) 16/140 (11.4%) 16/67 (23.9%)
Paraesthesia 0/3 (0%) 1/4 (25%) 0/9 (0%) 14/140 (10%) 7/67 (10.4%)
Peripheral Sensory Neuropathy 1/3 (33.3%) 0/4 (0%) 0/9 (0%) 8/140 (5.7%) 5/67 (7.5%)
Hyperaesthesia 1/3 (33.3%) 1/4 (25%) 0/9 (0%) 0/140 (0%) 0/67 (0%)
Loss Of Consciousness 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Neuralgia 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Psychiatric disorders
Insomnia 1/3 (33.3%) 0/4 (0%) 1/9 (11.1%) 24/140 (17.1%) 12/67 (17.9%)
Anxiety 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 7/140 (5%) 2/67 (3%)
Depression 0/3 (0%) 0/4 (0%) 0/9 (0%) 7/140 (5%) 2/67 (3%)
Renal and urinary disorders
Dysuria 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Urinary Tract Obstruction 1/3 (33.3%) 0/4 (0%) 0/9 (0%) 0/140 (0%) 0/67 (0%)
Respiratory, thoracic and mediastinal disorders
Cough 0/3 (0%) 0/4 (0%) 2/9 (22.2%) 42/140 (30%) 23/67 (34.3%)
Dyspnoea 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 41/140 (29.3%) 18/67 (26.9%)
Epistaxis 0/3 (0%) 1/4 (25%) 2/9 (22.2%) 18/140 (12.9%) 10/67 (14.9%)
Dyspnoea Exertional 0/3 (0%) 1/4 (25%) 0/9 (0%) 12/140 (8.6%) 7/67 (10.4%)
Oropharyngeal pain 1/3 (33.3%) 0/4 (0%) 2/9 (22.2%) 11/140 (7.9%) 5/67 (7.5%)
Pleural Effusion 0/3 (0%) 0/4 (0%) 2/9 (22.2%) 10/140 (7.1%) 3/67 (4.5%)
Haemoptysis 0/3 (0%) 0/4 (0%) 2/9 (22.2%) 0/140 (0%) 0/67 (0%)
Hiccups 1/3 (33.3%) 1/4 (25%) 0/9 (0%) 0/140 (0%) 0/67 (0%)
Hypoxia 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Nasal Congestion 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Oropharyngeal Discomfort 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Rhinitis Allergic 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Wheezing 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Skin and subcutaneous tissue disorders
Alopecia 2/3 (66.7%) 0/4 (0%) 2/9 (22.2%) 48/140 (34.3%) 21/67 (31.3%)
Rash 0/3 (0%) 1/4 (25%) 1/9 (11.1%) 30/140 (21.4%) 23/67 (34.3%)
Pruritus 0/3 (0%) 0/4 (0%) 0/9 (0%) 20/140 (14.3%) 3/67 (4.5%)
Rash Maculo-Papular 0/3 (0%) 0/4 (0%) 0/9 (0%) 12/140 (8.6%) 1/67 (1.5%)
Dry Skin 0/3 (0%) 0/4 (0%) 0/9 (0%) 10/140 (7.1%) 5/67 (7.5%)
Erythema 0/3 (0%) 0/4 (0%) 0/9 (0%) 10/140 (7.1%) 4/67 (6%)
Hyperhidrosis 1/3 (33.3%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Nail Disorder 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Night Sweats 0/3 (0%) 1/4 (25%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Rash Pruritic 0/3 (0%) 0/4 (0%) 1/9 (11.1%) 0/140 (0%) 0/67 (0%)
Skin Exfoliation 0/3 (0%) 1/4 (25%) 0/9 (0%) 0/140 (0%) 0/67 (0%)
Vascular disorders
Hypertension 0/3 (0%) 0/4 (0%) 0/9 (0%) 17/140 (12.1%) 2/67 (3%)
Hot Flush 0/3 (0%) 1/4 (25%) 0/9 (0%) 9/140 (6.4%) 0/67 (0%)
Flushing 1/3 (33.3%) 0/4 (0%) 1/9 (11.1%) 7/140 (5%) 4/67 (6%)
Hypotension 0/3 (0%) 1/4 (25%) 0/9 (0%) 7/140 (5%) 7/67 (10.4%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

Results Point of Contact

Name/Title Eisai Medical Information
Organization Eisai Inc.
Phone 1-888-274-2378
Email esi_oncmedinfo@eisai.com
Responsible Party:
Morphotek
ClinicalTrials.gov Identifier:
NCT01574716
Other Study ID Numbers:
  • MORAb-004-203-STS
  • 2012-001399-12
First Posted:
Apr 10, 2012
Last Update Posted:
Aug 21, 2019
Last Verified:
Nov 1, 2016