NIMES-ROC: Non-interventional European Study of Trabectedin + PLD in the Treatment of Relapsed Ovarian Cancer (ROC) Patients

Sponsor
PharmaMar (Industry)
Overall Status
Completed
CT.gov ID
NCT02825420
Collaborator
(none)
220
65
49.7
3.4
0.1

Study Details

Study Description

Brief Summary

Non-interventional, multicenter, prospective, European study to describe the effectiveness of trabectedin + PLD in the treatment of relapsed ovarian cancer (ROC) patients according to SmPC regardless of previous use of an antiangiogenic drug

Condition or Disease Intervention/Treatment Phase

Study Design

Study Type:
Observational
Actual Enrollment :
220 participants
Observational Model:
Other
Time Perspective:
Prospective
Official Title:
NonInterventional, Multicenter, Prospective, European Study to Describe the Effectiveness of Trabectedin + PLD in the Treatment of Relapsed Ovarian Cancer (ROC) Patients According to SmPC Regardless of Previous Use of an Antiangiogenic Drug
Actual Study Start Date :
Jul 28, 2015
Actual Primary Completion Date :
Sep 18, 2019
Actual Study Completion Date :
Sep 18, 2019

Outcome Measures

Primary Outcome Measures

  1. Progression-Free Survival [From Day 1 to the earliest date of disease progression as reported by the investigator or death, up to 4.5 years (Jan 2015 to Sept 2019)]

    PFS was defined as time (in months) from Day 1 to the earliest date of disease progression as reported by the investigator or death, regardless of cause, (whichever is first). Patients with no reported disease progression and alive were censored at last contact date/last date known alive. PFS was calculated as the date of progressive disease or death minus date of Day 1, and the result in days was converted to months. All tumor assessment dates were based on the actual imaging dates reported by the investigator. Progressive disease (PD) defined as at least a 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.

  2. Progression Free Survival by Prior Antiangiogenic Treatment [From Day 1 to the earliest date of disease progression as reported by the investigator or death, up to 4.5 years (Jan 2015 to Sept 2019)]

    PFS was defined as time (in months) from Day 1 to the earliest date of disease progression as reported by the investigator or death, regardless of cause, (whichever is first). Patients with no reported disease progression and alive were censored at last contact date/last date known alive. PFS was calculated as the date of progressive disease or death minus date of Day 1, and the result in days was converted to months. All tumor assessment dates were based on the actual imaging dates reported by the investigator. Progressive disease (PD) defined as at least a 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.

  3. Progression Free Survival by BRCA1/2 Status [From Day 1 to the earliest date of disease progression as reported by the investigator or death, up to 4.5 years (Jan 2015 to Sept 2019)]

    PFS was defined as time (in months) from Day 1 to the earliest date of disease progression as reported by the investigator or death, regardless of cause, (whichever is first). Patients with no reported disease progression and alive were censored at last contact date/last date known alive. PFS was calculated as the date of progressive disease or death minus date of Day 1, and the result in days was converted to months. All tumor assessment dates were based on the actual imaging dates reported by the investigator. Progressive disease (PD) defined as at least a 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.

  4. Progression Free Survival by Platinum Sensitivity [From Day 1 to the earliest date of disease progression as reported by the investigator or death, up to 4.5 years (Jan 2015 to Sept 2019)]

    PFS was defined as time (in months) from Day 1 to the earliest date of disease progression as reported by the investigator or death, regardless of cause, (whichever is first). Patients with no reported disease progression and alive were censored at last contact date/last date known alive. PFS was calculated as the date of progressive disease or death minus date of Day 1, and the result in days was converted to months. All tumor assessment dates were based on the actual imaging dates reported by the investigator. Progressive disease (PD) defined as at least a 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 Outcome Measures

  1. Best Tumor Response [From Day 1 of study treatment to end of study, up to 4.5 years (Jan 2015 to Sept 2019)]

    Complete response (CR): Disappearance of all target lesions; Partial response (PR): At least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD; Stable disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started; Progressive disease (PD): At least a 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

  2. Best Response by Prior Antiangiogenic Treatment [From Day 1 of study treatment to end of study, up to 4.5 years (Jan 2015 to Sept 2019)]

    Complete response (CR): Disappearance of all target lesions; Partial response (PR): At least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD; Stable disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started; Progressive disease (PD): At least a 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

  3. Overall Survival [From Day 1 to death, up to 4.5 years (Jan 2015 to Sept 2019)]

    Overall Survival time was calculated as the number of days from Day 1 to death. Time to death was summarized in months. Patients who did not die (no record of death) or were lost to follow up were censored at the date of last contact/last date known alive.

  4. Overall Survival by Prior Antiangiogenic Treatment [From Day 1 to death, up to 4.5 years (Jan 2015 to Sept 2019)]

    Overall Survival time was calculated as the number of days from Day 1 to death. Time to death was summarized in months. Patients who did not die (no record of death) or were lost to follow up were censored at the date of last contact/last date known alive.

  5. Overall Survival by BRCA1/2 Status [From Day 1 to death, up to 4.5 years (Jan 2015 to Sept 2019)]

    Overall Survival time was calculated as the number of days from Day 1 to death. Time to death was summarized in months. Patients who did not die (no record of death) or were lost to follow up were censored at the date of last contact/last date known alive.

  6. Overall Survival by Platinum Sensitivity [From Day 1 to death, up to 4.5 years (Jan 2015 to Sept 2019)]

    Overall Survival time was calculated as the number of days from Day 1 to death. Time to death was summarized in months. Patients who did not die (no record of death) or were lost to follow up were censored at the date of last contact/last date known alive.

  7. Change From Baseline to Best Post-baseline ECOG Performance Status Score [Through study completion, up to 4.5 years (Jan 2015 to Sept 2019)]

    Eastern Cooperative Oncology Group performance status (ECOG): 0 Fully active, able to carry on all pre-disease performance without restriction; 1 Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature; 2 Ambulatory and capable of all selfcare but unable to carry out any work activities; up and about more than 50% of waking hours; 3 Capable of only limited selfcare; confined to bed or chair more than 50% of waking hours; 4 Completely disabled; cannot carry on any selfcare; totally confined to bed or chair; 5 Dead

  8. Change From Baseline to Best Post-baseline ECOG Performance Status Score by Prior Antiangiogenic Treatment [Through study completion, up to 4.5 years (Jan 2015 to Sept 2019)]

    Eastern Cooperative Oncology Group performance status (ECOG): 0 Fully active, able to carry on all pre-disease performance without restriction; 1 Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature; 2 Ambulatory and capable of all selfcare but unable to carry out any work activities; up and about more than 50% of waking hours; 3 Capable of only limited selfcare; confined to bed or chair more than 50% of waking hours; 4 Completely disabled; cannot carry on any selfcare; totally confined to bed or chair; 5 Dead

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
Female
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Women aged 18 years or older.

  • Presence of platinum-sensitive relapsed ovarian cancer.

  • Treatment and treated indication according to local label SmPC and reimbursement for trabectedin and PLD treatment.

  • Prior treatment with a minimum of 1 cycle of trabectedin + PLD according to SmPC before inclusion in the study, and no more than 3 previous treatment lines.

  • Written informed consent indicating that patients understand the purpose and procedures and are willing to participate in the study.

Exclusion Criteria:
  • None

Contacts and Locations

Locations

Site City State Country Postal Code
1 O.L.V. Aalst Aalst Flandes Belgium 164-9300
2 AZ Maria Middelares Gent Flandes Belgium 1026-9000
3 Centre Hospitalier de Jolimont La Louviere Henao Belgium 7100
4 CHU Ambroise-Paré Mons Henao Belgium 02-7000
5 Centre Hospitalier de Wallonie Picarde Tournai Henao Belgium 807500
6 CHIREC - Cancer Institute Bruxelles Belgium 32-1180
7 Centre d'Oncologie et de Radiothérapie du Parc Dijon Borgoña France 21000
8 Clinique Saint Jean Toulon Provence France 83000
9 Institut d'Oncologie Hauts-de-Seine Nord Neuilly sur Seine Seine France
10 Clinique Victor Hugo - Centre Jean Bernard Le Mans Sharte France 72000
11 Clinique de l'Europe Amiens France 80000
12 Medipole de Savoie Challes Les Eaux France 73190
13 Oncologie médicale du Val d'Oise Osny France 95520
14 Hôpital Saint Louis Paris France 75010
15 Strasbourg Oncologie Libérale Centre de radiothérapie Strasbourg France 67000
16 Onkologie Westerstede Westerstede Ammerland Germany 26655
17 Klinikum Kempten Kempten Baviera Germany 87439
18 Städtisches Klinikum Solingen Düsseldorf Germany 42653
19 Klinikum Darmstadt Frauenklinik Darmstadt Hesse Germany 64283
20 Brustzentrum Wetzlar Hesse Germany 35578
21 Uniklinik Homburg - Klinik Für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin Homburg/Saar Homburg Germany 66424
22 Onkologische Schwerpunktpraxis Dresden Sajonia Germany 1307
23 Franziskus-Hospital Harderberg Internistische Onkologie und Hämatologie Georgsmarienhutte Sajonia Germany 49124
24 Klinikum St. Marien Amberg Amberg Germany 92224
25 Klinikum Arnsberg, Karolinen Hospital, Frauenheilkunde Arnsberg Germany 59759
26 Onkologische Gemeinschaftspraxis Bottrop Germany 46236
27 Städt. Klinik Dortmund, Frauenklinik Dortmund Germany 44137
28 Instirtut für klinische Forschung (IKF) Städtisches Klinikum München GmbH München Germany 80804
29 Praxis Dr. Rene Schubert Scheibenberg Germany 09481
30 Kreiskrankenhaus Torgau Torgau Germany 04860
31 Policlinico Universitario Monserrato - Presidio Policlinico Duilio Casula Monserrato Cerdeña Italy 09042
32 IRCCS Casa Sollievo Della Sofferenza San Giovanni Rotondo Foggia Italy 71013
33 Centro Riferimento Oncologico di Aviano Aviano Pordenone Italy 33081
34 Ospedale S.Maria d. Misericordia Bergamo Savona Italy 24047
35 Ospedale Cardinal Massaia Asti Italy 14100
36 Istituto Tumori Giovanni Paolo II IRCCS Bari Italy 70124
37 Azienda Ospedaliera Gaetano Rummo Benevento Italy 82100
38 A. O. Papa Giovanni XXIII Bergamo Italy 24127
39 Ospedale S. Anna Como Italy 22020
40 Azienda Ospedaliera Universitaria Careggi Firenze Italy 50134
41 A.O. Sacco Milano Italy 20157
42 Istituto Nazionale Tumori IRCCS Pascale Napoli Italy 80131
43 A.O.U. di Parma Parma Italy 43126
44 Policlinico Universitario Agostino Gemelli Università Cattolica di Roma Roma Italy 00168
45 Ospedale Gradenigo Torino Italy 10153
46 Ospedale Cà Foncello Treviso Italy 31100
47 Complejo Hospitalario de Jaén Jaén Jaen Spain 23007
48 Hospital Doctor Negrín Las Palmas de Gran Canaria Las Palmas Spain 35010
49 Hospital de León Leon León Spain 28040
50 Hospital Infanta Cristina Parla Madrid Spain 06080
51 Hospital Xeral-Cíes de Vigo Vigo Pontevedra Spain 36204
52 Hospital Universitario de La Laguna San Cristóbal de La Laguna Santa Cruz De Tenerife Spain 38320
53 Hospital de Basurto Bilbao Vizcaya Spain 48013
54 Hospital de Galdakao Galdakao Vizcaya Spain 48960
55 Hospital Sant Pau Barcelona Spain 08026
56 Hospital de Reus Barcelona Spain 43204
57 Complejo Hospitalario de La Coruña La Coruña Spain 15006
58 MD Anderson Madrid Spain 28033
59 Hospital Ramón y Cajal Madrid Spain 28034
60 Hospital Clínico San Carlos Madrid Spain 28040
61 Hospital Virgen de la Arrixaca Murcia Spain 30120
62 Hospital Son Llatzer Palma de Mallorca Spain 07198
63 Hospital Virgen Macarena Sevilla Spain 41071
64 Instituto Valenciano de Oncología Valencia Spain 46009
65 Hospital Clínico Universitario Lozano Blesa Zaragoza Spain 50009

Sponsors and Collaborators

  • PharmaMar

Investigators

  • Study Chair: María José Pontes, PharmaMar

Study Documents (Full-Text)

More Information

Publications

None provided.
Responsible Party:
PharmaMar
ClinicalTrials.gov Identifier:
NCT02825420
Other Study ID Numbers:
  • ET-D-031-14
First Posted:
Jul 7, 2016
Last Update Posted:
Oct 29, 2021
Last Verified:
Jul 1, 2021

Study Results

Participant Flow

Recruitment Details A total of 220 patients treated according to standard local clinical practice in 57 sites across Italy, Spain, Germany, France, and Belgium have been enrolled in the study. The first patient was included in the study on 28 July 2015. Data were collected between 26 January 2015, date of first patient trabectedin administration (prior treatment before inclusion in the study) and 18 September 2019, date of last patient last visit.
Pre-assignment Detail
Arm/Group Title Prior Use of Antiangiogenics No Prior Use of Antiangiogenics
Arm/Group Description Patients who used a prior Antiangiogenics defined as type of therapy reported in the CRF categorized as "antiangiogenic" by the investigator or prior treatment reported by the investigator being bevacizumab (or Avastin®), pazopanib, or trabananib Antiangiogenics-naïve Patients. Antiangiogenics defined as type of therapy reported in the CRF categorized as "antiangiogenic" by the investigator or prior treatment reported by the investigator being bevacizumab (or Avastin®), pazopanib, or trabananib
Period Title: Overall Study
STARTED 131 89
COMPLETED 88 72
NOT COMPLETED 43 17

Baseline Characteristics

Arm/Group Title Prior Use of Antiangiogenics No Prior Use of Antiangiogenics Total
Arm/Group Description Patients who used a prior Antiangiogenics defined as type of therapy reported in the CRF categorized as "antiangiogenic" by the investigator or prior treatment reported by the investigator being bevacizumab (or Avastin®), pazopanib, or trabananib Antiangiogenics-naïve Patients. Antiangiogenics defined as type of therapy reported in the CRF categorized as "antiangiogenic" by the investigator or prior treatment reported by the investigator being bevacizumab (or Avastin®), pazopanib, or trabananib Total of all reporting groups
Overall Participants 129 89 218
Age (Count of Participants)
<=18 years
0
0%
0
0%
0
0%
Between 18 and 65 years
75
58.1%
54
60.7%
129
59.2%
>=65 years
54
41.9%
35
39.3%
89
40.8%
Age (years) [Median (Full Range) ]
Median (Full Range) [years]
61.0
61.0
61.0
Sex: Female, Male (Count of Participants)
Female
129
100%
89
100%
218
100%
Male
0
0%
0
0%
0
0%
Race and Ethnicity Not Collected (Count of Participants)
Count of Participants [Participants]
0
0%
Region of Enrollment (Count of Participants)
Belgium
10
7.8%
2
2.2%
12
5.5%
Italy
57
44.2%
37
41.6%
94
43.1%
France
9
7%
5
5.6%
14
6.4%
Germany
16
12.4%
2
2.2%
18
8.3%
Spain
39
30.2%
43
48.3%
82
37.6%
Weight (Kg) [Median (Full Range) ]
Median (Full Range) [Kg]
64.0
68.0
65.0
Height (cm) [Median (Full Range) ]
Median (Full Range) [cm]
160
158
160
Calculated body surface area (m^2) [Median (Full Range) ]
Median (Full Range) [m^2]
1.7
1.7
1.7
Investigator reported body surface area (m^2) [Median (Full Range) ]
Median (Full Range) [m^2]
1.6
1.7
1.7
Tumor grade at diagnosis (Count of Participants)
High grade
95
73.6%
61
68.5%
156
71.6%
Intermediate grade
9
7%
5
5.6%
14
6.4%
Low grade
6
4.7%
6
6.7%
12
5.5%
Not done/not reported/unknown
19
14.7%
17
19.1%
36
16.5%
Histopathology at initial ovarian cancer diagnosis (Count of Participants)
Papillary/serous
97
75.2%
60
67.4%
157
72%
Endometroid
6
4.7%
8
9%
14
6.4%
Clear cell carcinoma
6
4.7%
4
4.5%
10
4.6%
Peritoneal carcinoma
6
4.7%
3
3.4%
9
4.1%
Mixed epithelial tumour
4
3.1%
1
1.1%
5
2.3%
Mucinous
2
1.6%
1
1.1%
3
1.4%
Undifferentiated carcinoma
2
1.6%
1
1.1%
3
1.4%
Fallopian tube carcinoma
0
0%
2
2.2%
2
0.9%
Transitional carcinoma (brenner)
0
0%
1
1.1%
1
0.5%
Transitional carcinoma (no brenner)
0
0%
1
1.1%
1
0.5%
Unknown
6
4.7%
7
7.9%
13
6%
Platinum sensitivity (Count of Participants)
Partially Platinum Sensitive
80
62%
47
52.8%
127
58.3%
Fully Platinum Sensitive
48
37.2%
41
46.1%
89
40.8%
Missing
1
0.8%
1
1.1%
2
0.9%
BRCA 1/2 status tested (Count of Participants)
Positive
15
11.6%
19
21.3%
34
15.6%
Negative
68
52.7%
32
36%
100
45.9%
Unknown
1
0.8%
0
0%
1
0.5%
Not tested
45
34.9%
38
42.7%
83
38.1%
ECOG performance status (Count of Participants)
PS 0
63
48.8%
45
50.6%
108
49.5%
PS 1
41
31.8%
15
16.9%
56
25.7%
PS 2
3
2.3%
3
3.4%
6
2.8%
Missing
22
17.1%
26
29.2%
48
22%
Prior surgery (Count of Participants)
Count of Participants [Participants]
118
91.5%
81
91%
199
91.3%
Surgery residual disease (Count of Participants)
Count of Participants [Participants]
58
45%
26
29.2%
84
38.5%
Prior radiotherapy (Count of Participants)
Count of Participants [Participants]
4
3.1%
3
3.4%
7
3.2%
Prior chemotherapy (Count of Participants)
Count of Participants [Participants]
129
100%
88
98.9%
217
99.5%
Number of prior chemotherapy lines (Count of Participants)
None
0
0%
1
1.1%
1
0.5%
1 prior line
22
17.1%
37
41.6%
59
27.1%
2 prior lines
48
37.2%
23
25.8%
71
32.6%
3 prior lines
32
24.8%
11
12.4%
43
19.7%
4-8 prior lines
27
20.9%
17
19.1%
44
20.2%
Best response to prior therapy regimen (Count of Participants)
Complete Response
24
18.6%
31
34.8%
55
25.2%
Partial Response
31
24%
23
25.8%
54
24.8%
Stable Disease
36
27.9%
12
13.5%
48
22%
Disease recurrence/Progression disease
26
20.2%
6
6.7%
32
14.7%
Not Evaluable/Not done/Unknown
12
9.3%
17
19.1%
29
13.3%

Outcome Measures

1. Primary Outcome
Title Progression-Free Survival
Description PFS was defined as time (in months) from Day 1 to the earliest date of disease progression as reported by the investigator or death, regardless of cause, (whichever is first). Patients with no reported disease progression and alive were censored at last contact date/last date known alive. PFS was calculated as the date of progressive disease or death minus date of Day 1, and the result in days was converted to months. All tumor assessment dates were based on the actual imaging dates reported by the investigator. Progressive disease (PD) defined as at least a 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 From Day 1 to the earliest date of disease progression as reported by the investigator or death, up to 4.5 years (Jan 2015 to Sept 2019)

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Full Analysis Set
Arm/Group Description The full analysis set consisted of all the patients enrolled into the study and who had at least one administration of T + PLD.
Measure Participants 218
Median (95% Confidence Interval) [months]
9.46
2. Primary Outcome
Title Progression Free Survival by Prior Antiangiogenic Treatment
Description PFS was defined as time (in months) from Day 1 to the earliest date of disease progression as reported by the investigator or death, regardless of cause, (whichever is first). Patients with no reported disease progression and alive were censored at last contact date/last date known alive. PFS was calculated as the date of progressive disease or death minus date of Day 1, and the result in days was converted to months. All tumor assessment dates were based on the actual imaging dates reported by the investigator. Progressive disease (PD) defined as at least a 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 From Day 1 to the earliest date of disease progression as reported by the investigator or death, up to 4.5 years (Jan 2015 to Sept 2019)

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Prior Use of Antiangiogenics No Prior Use of Antiangiogenics
Arm/Group Description Patients who used a prior Antiangiogenics defined as type of therapy reported in the CRF categorized as "antiangiogenic" by the investigator or prior treatment reported by the investigator being bevacizumab (or Avastin®), pazopanib, or trabananib Antiangiogenics-naïve Patients. Antiangiogenics defined as type of therapy reported in the CRF categorized as "antiangiogenic" by the investigator or prior treatment reported by the investigator being bevacizumab (or Avastin®), pazopanib, or trabananib
Measure Participants 129 89
Median (95% Confidence Interval) [months]
7.59
12.45
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Full Analysis Set, No Prior Use of Antiangiogenics
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.007
Comments
Method Log Rank
Comments
3. Primary Outcome
Title Progression Free Survival by BRCA1/2 Status
Description PFS was defined as time (in months) from Day 1 to the earliest date of disease progression as reported by the investigator or death, regardless of cause, (whichever is first). Patients with no reported disease progression and alive were censored at last contact date/last date known alive. PFS was calculated as the date of progressive disease or death minus date of Day 1, and the result in days was converted to months. All tumor assessment dates were based on the actual imaging dates reported by the investigator. Progressive disease (PD) defined as at least a 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 From Day 1 to the earliest date of disease progression as reported by the investigator or death, up to 4.5 years (Jan 2015 to Sept 2019)

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Positive BRCA Negative
Arm/Group Description Patients with Positive BRCA Patients with Negative BRCA
Measure Participants 34 100
Median (95% Confidence Interval) [months]
9.23
8.97
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Full Analysis Set, No Prior Use of Antiangiogenics
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.58
Comments
Method Log Rank
Comments
4. Primary Outcome
Title Progression Free Survival by Platinum Sensitivity
Description PFS was defined as time (in months) from Day 1 to the earliest date of disease progression as reported by the investigator or death, regardless of cause, (whichever is first). Patients with no reported disease progression and alive were censored at last contact date/last date known alive. PFS was calculated as the date of progressive disease or death minus date of Day 1, and the result in days was converted to months. All tumor assessment dates were based on the actual imaging dates reported by the investigator. Progressive disease (PD) defined as at least a 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 From Day 1 to the earliest date of disease progression as reported by the investigator or death, up to 4.5 years (Jan 2015 to Sept 2019)

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Fully Platinum Sensitivity Partially Platinum Sensitivity
Arm/Group Description Cancer that responds Fully to treatment with anticancer drugs that contain the metal platinum, such as cisplatin and carboplatin. Cancer that responds Partially to treatment with anticancer drugs that contain the metal platinum, such as cisplatin and carboplatin.
Measure Participants 89 127
Median (95% Confidence Interval) [months]
9.26
9.46
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Full Analysis Set, No Prior Use of Antiangiogenics
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.62
Comments
Method Log Rank
Comments
5. Secondary Outcome
Title Best Tumor Response
Description Complete response (CR): Disappearance of all target lesions; Partial response (PR): At least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD; Stable disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started; Progressive disease (PD): At least a 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 From Day 1 of study treatment to end of study, up to 4.5 years (Jan 2015 to Sept 2019)

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Full Analysis Set
Arm/Group Description The full analysis set consisted of all the patients enrolled into the study and who had at least one administration of T + PLD.
Measure Participants 218
Complete response
24
18.6%
Partial response
57
44.2%
Stable disease
59
45.7%
Progressive disease
62
48.1%
Not evaluable/Not done
16
12.4%
6. Secondary Outcome
Title Best Response by Prior Antiangiogenic Treatment
Description Complete response (CR): Disappearance of all target lesions; Partial response (PR): At least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD; Stable disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started; Progressive disease (PD): At least a 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 From Day 1 of study treatment to end of study, up to 4.5 years (Jan 2015 to Sept 2019)

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Prior Use of Antiangiogenics No Prior Use of Antiangiogenics
Arm/Group Description Patients who used a prior Antiangiogenics defined as type of therapy reported in the CRF categorized as "antiangiogenic" by the investigator or prior treatment reported by the investigator being bevacizumab (or Avastin®), pazopanib, or trabananib Antiangiogenics-naïve Patients. Antiangiogenics defined as type of therapy reported in the CRF categorized as "antiangiogenic" by the investigator or prior treatment reported by the investigator being bevacizumab (or Avastin®), pazopanib, or trabananib
Measure Participants 129 89
Progressive disease
46
35.7%
16
18%
Stable disease
32
24.8%
27
30.3%
Partial response
27
20.9%
30
33.7%
Complete response
11
8.5%
13
14.6%
Not evaluable/Not done
13
10.1%
3
3.4%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Full Analysis Set, No Prior Use of Antiangiogenics
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.010
Comments
Method Chi-squared
Comments
7. Secondary Outcome
Title Overall Survival
Description Overall Survival time was calculated as the number of days from Day 1 to death. Time to death was summarized in months. Patients who did not die (no record of death) or were lost to follow up were censored at the date of last contact/last date known alive.
Time Frame From Day 1 to death, up to 4.5 years (Jan 2015 to Sept 2019)

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Full Analysis Set
Arm/Group Description The full analysis set consisted of all the patients enrolled into the study and who had at least one administration of T + PLD.
Measure Participants 218
Median (95% Confidence Interval) [months]
23.56
8. Secondary Outcome
Title Overall Survival by Prior Antiangiogenic Treatment
Description Overall Survival time was calculated as the number of days from Day 1 to death. Time to death was summarized in months. Patients who did not die (no record of death) or were lost to follow up were censored at the date of last contact/last date known alive.
Time Frame From Day 1 to death, up to 4.5 years (Jan 2015 to Sept 2019)

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Prior Use of Antiangiogenics No Prior Use of Antiangiogenics
Arm/Group Description Patients who used a prior Antiangiogenics defined as type of therapy reported in the CRF categorized as "antiangiogenic" by the investigator or prior treatment reported by the investigator being bevacizumab (or Avastin®), pazopanib, or trabananib Antiangiogenics-naïve Patients. Antiangiogenics defined as type of therapy reported in the CRF categorized as "antiangiogenic" by the investigator or prior treatment reported by the investigator being bevacizumab (or Avastin®), pazopanib, or trabananib
Measure Participants 129 89
Median (95% Confidence Interval) [months]
21.85
26.28
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Full Analysis Set, No Prior Use of Antiangiogenics
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.048
Comments
Method Log Rank
Comments
9. Secondary Outcome
Title Overall Survival by BRCA1/2 Status
Description Overall Survival time was calculated as the number of days from Day 1 to death. Time to death was summarized in months. Patients who did not die (no record of death) or were lost to follow up were censored at the date of last contact/last date known alive.
Time Frame From Day 1 to death, up to 4.5 years (Jan 2015 to Sept 2019)

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Positive BRCA Negative
Arm/Group Description Patients with Positive BRCA Patients with Negative BRCA
Measure Participants 34 100
Median (95% Confidence Interval) [months]
23.56
21.85
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Full Analysis Set, No Prior Use of Antiangiogenics
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.51
Comments
Method Log Rank
Comments
10. Secondary Outcome
Title Overall Survival by Platinum Sensitivity
Description Overall Survival time was calculated as the number of days from Day 1 to death. Time to death was summarized in months. Patients who did not die (no record of death) or were lost to follow up were censored at the date of last contact/last date known alive.
Time Frame From Day 1 to death, up to 4.5 years (Jan 2015 to Sept 2019)

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Fully Platinum Sensitivity Partially Platinum Sensitivity
Arm/Group Description Cancer that responds Fully to treatment with anticancer drugs that contain the metal platinum, such as cisplatin and carboplatin. Cancer that responds Partially to treatment with anticancer drugs that contain the metal platinum, such as cisplatin and carboplatin.
Measure Participants 89 127
Median (95% Confidence Interval) [months]
23.56
26.05
11. Secondary Outcome
Title Change From Baseline to Best Post-baseline ECOG Performance Status Score
Description Eastern Cooperative Oncology Group performance status (ECOG): 0 Fully active, able to carry on all pre-disease performance without restriction; 1 Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature; 2 Ambulatory and capable of all selfcare but unable to carry out any work activities; up and about more than 50% of waking hours; 3 Capable of only limited selfcare; confined to bed or chair more than 50% of waking hours; 4 Completely disabled; cannot carry on any selfcare; totally confined to bed or chair; 5 Dead
Time Frame Through study completion, up to 4.5 years (Jan 2015 to Sept 2019)

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Full Analysis Set
Arm/Group Description The full analysis set consisted of all the patients enrolled into the study and who had at least one administration of T + PLD.
Measure Participants 218
Less than 0 (improvement)
24
18.6%
0 (no change)
125
96.9%
More than 0 to 2 (deterioration)
14
10.9%
Missing
55
42.6%
12. Secondary Outcome
Title Change From Baseline to Best Post-baseline ECOG Performance Status Score by Prior Antiangiogenic Treatment
Description Eastern Cooperative Oncology Group performance status (ECOG): 0 Fully active, able to carry on all pre-disease performance without restriction; 1 Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature; 2 Ambulatory and capable of all selfcare but unable to carry out any work activities; up and about more than 50% of waking hours; 3 Capable of only limited selfcare; confined to bed or chair more than 50% of waking hours; 4 Completely disabled; cannot carry on any selfcare; totally confined to bed or chair; 5 Dead
Time Frame Through study completion, up to 4.5 years (Jan 2015 to Sept 2019)

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Prior Use of Antiangiogenics No Prior Use of Antiangiogenics
Arm/Group Description Patients who used a prior Antiangiogenics defined as type of therapy reported in the CRF categorized as "antiangiogenic" by the investigator or prior treatment reported by the investigator being bevacizumab (or Avastin®), pazopanib, or trabananib Antiangiogenics-naïve Patients. Antiangiogenics defined as type of therapy reported in the CRF categorized as "antiangiogenic" by the investigator or prior treatment reported by the investigator being bevacizumab (or Avastin®), pazopanib, or trabananib
Measure Participants 129 89
Less than 0 (improvement)
14
10.9%
10
11.2%
0 (no change)
83
64.3%
42
47.2%
More than 0 to 2 (deterioration)
5
3.9%
9
10.1%
Missing
27
20.9%
28
31.5%

Adverse Events

Time Frame From Day 1 of study treatment to 30 days post last dose of study treatment, up to 4.5 years (Jan 2015 to Sept 2019)
Adverse Event Reporting Description Two patients were excluded from the safety set because of missing PLD treatment data
Arm/Group Title Prior Use of Antiangiogenics No Prior Use of Antiangiogenics
Arm/Group Description Patients who used a prior Antiangiogenics defined as type of therapy reported in the CRF categorized as "antiangiogenic" by the investigator or prior treatment reported by the investigator being bevacizumab (or Avastin®), pazopanib, or trabananib Antiangiogenics-naïve Patients. Antiangiogenics defined as type of therapy reported in the CRF categorized as "antiangiogenic" by the investigator or prior treatment reported by the investigator being bevacizumab (or Avastin®), pazopanib, or trabananib
All Cause Mortality
Prior Use of Antiangiogenics No Prior Use of Antiangiogenics
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 30/129 (23.3%) 12/89 (13.5%)
Serious Adverse Events
Prior Use of Antiangiogenics No Prior Use of Antiangiogenics
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 23/129 (17.8%) 14/89 (15.7%)
Blood and lymphatic system disorders
Anaemia 3/129 (2.3%) 3 1/89 (1.1%) 1
Febrile neutropenia 4/129 (3.1%) 4 4/89 (4.5%) 4
Neutropenia 5/129 (3.9%) 7 4/89 (4.5%) 4
Pancytopenia 2/129 (1.6%) 2 1/89 (1.1%) 1
Thrombocytopenia 4/129 (3.1%) 5 1/89 (1.1%) 1
Leukopenia 0/129 (0%) 0 1/89 (1.1%) 1
Gastrointestinal disorders
Diarrhoea 1/129 (0.8%) 1 0/89 (0%) 0
Dysphagia 1/129 (0.8%) 1 0/89 (0%) 0
Gastrointestinal haemorrhage 1/129 (0.8%) 1 0/89 (0%) 0
Gastrointestinal obstruction 1/129 (0.8%) 1 0/89 (0%) 0
Gastrooesophageal reflux disease 1/129 (0.8%) 1 0/89 (0%) 0
Nausea 1/129 (0.8%) 1 0/89 (0%) 0
Oesophagitis 1/129 (0.8%) 1 0/89 (0%) 0
Retching 1/129 (0.8%) 1 0/89 (0%) 0
Vomiting 4/129 (3.1%) 6 1/89 (1.1%) 1
Abdominal pain 0/129 (0%) 0 1/89 (1.1%) 1
Enteritis 0/129 (0%) 0 1/89 (1.1%) 1
Intestinal obstruction 0/129 (0%) 0 1/89 (1.1%) 3
General disorders
Asthenia 1/129 (0.8%) 1 1/89 (1.1%) 1
Disease progression 1/129 (0.8%) 1 0/89 (0%) 0
Fatigue 1/129 (0.8%) 1 0/89 (0%) 0
Oedema 1/129 (0.8%) 1 0/89 (0%) 0
Pyrexia 2/129 (1.6%) 2 0/89 (0%) 0
Immune system disorders
Drug hypersensitivity 1/129 (0.8%) 1 0/89 (0%) 0
Infections and infestations
Device related infection 1/129 (0.8%) 1 0/89 (0%) 0
Escherichia infection 1/129 (0.8%) 1 0/89 (0%) 0
Infusion site infection 1/129 (0.8%) 1 0/89 (0%) 0
Pneumocystis jirovecii pneumonia 1/129 (0.8%) 1 0/89 (0%) 0
Pneumonia 2/129 (1.6%) 2 0/89 (0%) 0
Respiratory tract infection 1/129 (0.8%) 1 0/89 (0%) 0
Sepsis 1/129 (0.8%) 1 0/89 (0%) 0
Upper respiratory tract infection 1/129 (0.8%) 1 0/89 (0%) 0
Urosepsis 1/129 (0.8%) 1 0/89 (0%) 0
Bacteraemia 0/129 (0%) 0 1/89 (1.1%) 1
Clostridium difficile infection 0/129 (0%) 0 1/89 (1.1%) 1
Investigations
Blood alkaline phosphatase increased 1/129 (0.8%) 1 0/89 (0%) 0
Blood electrolytes decreased 1/129 (0.8%) 1 0/89 (0%) 0
Platelet count decreased 1/129 (0.8%) 1 0/89 (0%) 0
Transaminases increased 0/129 (0%) 0 1/89 (1.1%) 1
Musculoskeletal and connective tissue disorders
Back pain 1/129 (0.8%) 2 0/89 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hepatic cancer metastatic 1/129 (0.8%) 1 0/89 (0%) 0
Nervous system disorders
Cerebral haemorrhage 1/129 (0.8%) 1 0/89 (0%) 0
Convulsion 1/129 (0.8%) 1 0/89 (0%) 0
Psychiatric disorders
Mood altered 0/129 (0%) 0 1/89 (1.1%) 1
Renal and urinary disorders
Azotaemia 1/129 (0.8%) 1 0/89 (0%) 0
Renal failure 0/129 (0%) 0 1/89 (1.1%) 1
Renal failure acute 0/129 (0%) 0 1/89 (1.1%) 1
Respiratory, thoracic and mediastinal disorders
Dysphonia 1/129 (0.8%) 1 0/89 (0%) 0
Dyspnoea 4/129 (3.1%) 4 0/89 (0%) 0
Pleural effusion 1/129 (0.8%) 1 0/89 (0%) 0
Pulmonary embolism 1/129 (0.8%) 1 0/89 (0%) 0
Skin and subcutaneous tissue disorders
Pyoderma gangrenosum 1/129 (0.8%) 1 0/89 (0%) 0
Surgical and medical procedures
Off label use 0/129 (0%) 0 1/89 (1.1%) 1
Vascular disorders
Embolism 0/129 (0%) 0 1/89 (1.1%) 1
Other (Not Including Serious) Adverse Events
Prior Use of Antiangiogenics No Prior Use of Antiangiogenics
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 106/129 (82.2%) 78/89 (87.6%)
Blood and lymphatic system disorders
Anaemia 45/129 (34.9%) 99 25/89 (28.1%) 48
Leukopenia 18/129 (14%) 36 7/89 (7.9%) 22
Neutropenia 57/129 (44.2%) 162 46/89 (51.7%) 152
Thrombocytopenia 22/129 (17.1%) 34 6/89 (6.7%) 14
Gastrointestinal disorders
Constipation 15/129 (11.6%) 22 12/89 (13.5%) 15
Diarrhoea 10/129 (7.8%) 12 8/89 (9%) 10
Nausea 39/129 (30.2%) 63 26/89 (29.2%) 36
Stomatitis 5/129 (3.9%) 5 5/89 (5.6%) 6
Vomiting 30/129 (23.3%) 42 15/89 (16.9%) 19
General disorders
Asthenia 35/129 (27.1%) 64 37/89 (41.6%) 61
Fatigue 11/129 (8.5%) 11 5/89 (5.6%) 6
Mucosal inflammation 10/129 (7.8%) 16 15/89 (16.9%) 22
Investigations
Neutrophil count decreased 9/129 (7%) 30 7/89 (7.9%) 13
Metabolism and nutrition disorders
Decreased appetite 13/129 (10.1%) 21 8/89 (9%) 8
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysaesthesia syndrome 4/129 (3.1%) 6 12/89 (13.5%) 17
Skin hyperpigmentation 1/129 (0.8%) 1 5/89 (5.6%) 5

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days from the time submitted to the sponsor for review.

Results Point of Contact

Name/Title Clinical Developtment, Department of PharmaMar´s Oncology., Business Unit.
Organization Pharma Mar S.A.
Phone 0034 91846 60 00
Email clinicaltrials@pharmamar.com
Responsible Party:
PharmaMar
ClinicalTrials.gov Identifier:
NCT02825420
Other Study ID Numbers:
  • ET-D-031-14
First Posted:
Jul 7, 2016
Last Update Posted:
Oct 29, 2021
Last Verified:
Jul 1, 2021