YOSEMITE: Study of Gemcitabine, Abraxane® Plus Placebo Versus Gemcitabine, Abraxane® Plus 1 or 2 Truncated Courses of Demcizumab in Subjects With 1st-Line Metastatic Pancreatic Ductal Adenocarcinoma

Sponsor
OncoMed Pharmaceuticals, Inc. (Industry)
Overall Status
Completed
CT.gov ID
NCT02289898
Collaborator
Celgene Corporation (Industry)
207
42
3
28.4
4.9
0.2

Study Details

Study Description

Brief Summary

This is a randomized, double blind, 3 arm (1:1:1) study in subjects with 1st-line metastatic pancreatic ductal adenocarcinoma.

The purpose is to test the efficacy and safety of demcizumab, when given in combination with gemcitabine and Abraxane® compared to placebo. The administration of gemcitabine and Abraxane® is a standard treatment for patients with metastatic pancreatic ductal adenocarcinoma.

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
207 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A 3-Arm Phase 2 Double-Blind Randomized Study of Gemcitabine, Abraxane® Plus Placebo Versus Gemcitabine, Abraxane® Plus 1 or 2 Truncated Courses of Demcizumab in Subjects With 1st-Line Metastatic Pancreatic Ductal Adenocarcinoma
Actual Study Start Date :
Apr 20, 2015
Actual Primary Completion Date :
May 1, 2017
Actual Study Completion Date :
Sep 1, 2017

Arms and Interventions

Arm Intervention/Treatment
Experimental: Abraxane® and gemcitabine plus placebo

Abraxane® and gemcitabine plus placebo (3 cycles), Abraxane® and gemcitabine (3 cycles), Abraxane® and gemcitabine plus placebo (3 cycles) and then Abraxane® and gemcitabine until disease progression

Drug: Demcizumab
administered intravenously

Drug: Abraxane®
administered intravenously

Drug: gemcitabine
administered intravenously

Drug: Placebo

Experimental: Abraxane® and gemcitabine plus demcizumab plus placebo

Abraxane® and gemcitabine plus demcizumab (3 cycles), Abraxane® and gemcitabine (3 cycles), Abraxane® and gemcitabine plus placebo (3 cycles) and then Abraxane® and gemcitabine until disease progression

Drug: Demcizumab
administered intravenously

Drug: Abraxane®
administered intravenously

Drug: gemcitabine
administered intravenously

Experimental: Abraxane® and gemcitabine plus demcizumab

Abraxane® and gemcitabine plus demcizumab (3 cycles), Abraxane® and gemcitabine (3 cycles), Abraxane® and gemcitabine plus demcizumab (3 cycles) and then Abraxane® and gemcitabine until disease progression

Drug: Demcizumab
administered intravenously

Drug: Abraxane®
administered intravenously

Drug: gemcitabine
administered intravenously

Outcome Measures

Primary Outcome Measures

  1. Hazard of Progression in the Placebo/Placebo Arm and the Pooled Demcizumab Arms [Investigator-assessed progression-free survival time through duration of the study (2 years, 23 days).]

    Investigator assessed Kaplan-Meier estimates of progression-free survival for placebo/placebo arm and pooled demcizumab arm.

Eligibility Criteria

Criteria

Ages Eligible for Study:
21 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  1. Subjects must have histologically confirmed metastatic pancreatic ductal adenocarcinoma.. Prior chemotherapy and/or radiotherapy either in the adjuvant or neoadjuvant setting or for metastatic disease is not allowed.

  2. Availability of formalin-fixed paraffin-embedded (FFPE) tumor tissue (from either the primary tumor, locoregional disease or a metastatic site), either fresh core-needle-biopsied or archived (two FFPE cores preferred whenever possible). If fresh tissue is obtained, the core biopsy must be done at least 7 days prior to randomization.

  3. Age ≥21 years

  4. Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 5. Measurable disease per RECIST v1.1

  5. Adequate organ and marrow function

  6. Signed Informed Consent Form

  7. For women of childbearing potential, agreement to use two effective forms of contraception

Exclusion Criteria:
  1. Subjects with a neuroendocrine tumor of the pancreas, an acinar tumor of the pancreas or a pancreatic tumor with mixed histologies.

  2. Subjects receiving heparin, warfarin, factor Xa inhibitors or other similar anticoagulants. Note: Subjects may be receiving low-dose aspirin and/or non-steroidal anti-inflammatory agents.

  3. Subjects with brain metastases, leptomeningeal disease, uncontrolled seizure disorder, or active neurologic disease

  4. Subjects with Grade >2 peripheral neuropathy

  5. Subjects with clinically significant ascites

  6. Malignancies other than pancreatic cancer successfully treated within 3 years prior to randomization, except for adequately treated carcinoma in situ of the cervix, basal or squamous cell skin cancer, treated superficial bladder cancer, localized prostate cancer treated surgically with curative intent, ductal carcinoma in situ treated surgically with curative intent

  7. Significant intercurrent illness that will limit the patient's ability to participate in the study or may result in their death over the next 18 months

  8. History of a significant allergic reaction attributed to humanized or human monoclonal antibody therapy

  9. Subjects with known clinically significant gastrointestinal disease including, but not limited to, inflammatory bowel disease

  10. Pregnant women or nursing women

  11. Subjects with known HIV infection

  12. Known bleeding disorder or coagulopathy

Contacts and Locations

Locations

Site City State Country Postal Code
1 Banner MD Anderson Cancer Center Gilbert Arizona United States 85234
2 Providence Saint Joseph Medical Center Burbank California United States 91505
3 City of Hope Duarte California United States 91010
4 Scripps Cancer Center La Jolla California United States 92037
5 University of California, Davis Comprehensive Cancer Center Sacramento California United States 95817
6 Soulhern California Permanente Medical Group San Marcos California United States 92078
7 Kaiser Permanente Medical Center Vallejo California United States 94589
8 Rocky Mountain Cancer Centers Denver Colorado United States 80218
9 Lynn Cancer Institute Boca Raton Florida United States 33486
10 University of Iowa Hospitals and Clinics Iowa City Iowa United States 52242
11 University of Kansas Cancer Center Westwood Kansas United States 66205
12 Ochsner Clinic Foundation New Orleans Louisiana United States 70121
13 University of Michigan Ann Arbor Michigan United States 48109
14 Dartmouth Hitchcock Medical Center, Norris Cotton Cancer Center Lebanon New Hampshire United States 03756
15 University of Rochester Rochester New York United States 14642
16 SUNY Upstate Medical University Syracuse New York United States 13210
17 Cleveland Clinic Cleveland Ohio United States 44195
18 Kaiser Permanente NW Oncology Research Portland Oregon United States 97227
19 Thomas Jefferson University, Sydney Kimmel Cancer Center Philadelphia Pennsylvania United States 19107
20 Baylor College of Medicine Houston Texas United States 77030
21 Joe Arrington Cancer Research Treatment Center Lubbock Texas United States 79410
22 Huntsman Cancer Institute at The University of Utah Salt Lake City Utah United States 84112
23 Prince of Wales Hospital Randwick New South Wales Australia 2031
24 Monash Medical Centre, Moorabbin Bentleigh East Victoria Australia 3165
25 Western Health (Sunshine Hospitals) St Albans Victoria Australia 3021
26 St John of God Murdoch Hospital Murdoch Western Australia Australia 6150
27 St. John of God Subiaco Hospital Subiaco Western Australia Australia 6008
28 Hopital Erasme Brussels Brussels Capital Belgium 1070
29 Tom Baker Cancer Centre Calgary Alberta Canada T2N 4N2
30 British Columbia Cancer Agency Vancouver British Columbia Canada V5Z 4E6
31 QEII Health Sciences Centre Halifax Nova Scotia Canada B3H 2Y9
32 London Regional Cancer Program London Ontario Canada N6A 4L6
33 Sunnybrook Health Sciences Centre, Odette Cancer Centre Toronto Ontario Canada M4N 3M5
34 Princess Margaret Hospital Toronto Ontario Canada M5G 2M9
35 St Josephs Health Centre Toronto Ontario Canada M6R 1B5
36 Hospital Universitario de Fuenlabrada Fuenlabrada Madrid Spain 28492
37 Hospital Universitari Germans Trias i Pujol - lnstituto Catalan d'Oncologia (!CO) Barcelona Spain 08916
38 Hospital General Universitario Gregorio Marafi6n Madrid Spain 28007
39 Hospital Universitario de Fuenlabrada Madrid Spain 28942
40 Hospital Universitario Miguel Servet Zaragoza Spain 50009
41 Bristol Haematology & Oncology Centre Bristol United Kingdom BS2 8ED
42 Sarah Cannon Research Institute UK London United Kingdom W1G 6AD

Sponsors and Collaborators

  • OncoMed Pharmaceuticals, Inc.
  • Celgene Corporation

Investigators

None specified.

Study Documents (Full-Text)

More Information

Publications

None provided.
Responsible Party:
OncoMed Pharmaceuticals, Inc.
ClinicalTrials.gov Identifier:
NCT02289898
Other Study ID Numbers:
  • M18-006
First Posted:
Nov 13, 2014
Last Update Posted:
Sep 28, 2020
Last Verified:
Sep 1, 2020
Keywords provided by OncoMed Pharmaceuticals, Inc.
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail A total of 207 subjects were randomized and 204 subjects were treated in the study.
Arm/Group Title Placebo/Placebo Arm Demcizumab/Placebo Arm Demcizumab/Demcizumab Arm
Arm/Group Description Abraxane and gemcitabine plus placebo (3 cycles), Abraxane and gemcitabine (3 cycles), Abraxane and gemcitabine plus placebo (3 cycles), and then Abraxane and gemcitabine until disease progression. Abraxane and gemcitabine plus demcizumab (3 cycles), Abraxane and gemcitabine (3 cycles), Abraxane and gemcitabine plus placebo (3 cycles), and then Abraxane and gemcitabine until disease progression. Abraxane and gemcitabine plus demcizumab (3 cycles), abraxane and gemcitabine (3 cycles), Abraxane and gemcitabine plus demcizumab (3 cycles), and then Abraxane and gemcitabine until disease progression.
Period Title: Overall Study
STARTED 68 71 65
COMPLETED 16 18 9
NOT COMPLETED 52 53 56

Baseline Characteristics

Arm/Group Title Placebo/Placebo Arm Demcizumab/Placebo Arm Demcizumab/Demcizumab Arm Total
Arm/Group Description Abraxane and gemcitabine plus placebo (3 cycles), Abraxane and gemcitabine (3 cycles), Abraxane and gemcitabine plus placebo (3 cycles), and then Abraxane and gemcitabine until disease progression. Abraxane and gemcitabine plus demcizumab (3 cycles), Abraxane and gemcitabine (3 cycles), Abraxane and gemcitabine plus placebo (3 cycles), and then Abraxane and gemcitabine until disease progression. Abraxane and gemcitabine plus demcizumab (3 cycles), abraxane and gemcitabine (3 cycles), Abraxane and gemcitabine plus demcizumab (3 cycles), and then Abraxane and gemcitabine until disease progression. Total of all reporting groups
Overall Participants 68 71 65 204
Age (Count of Participants)
<=18 years
0
0%
0
0%
0
0%
0
0%
Between 18 and 65 years
37
54.4%
34
47.9%
30
46.2%
101
49.5%
>=65 years
31
45.6%
37
52.1%
35
53.8%
103
50.5%
Age (years) [Median (Full Range) ]
Median (Full Range) [years]
62
63
66
63
Sex: Female, Male (Count of Participants)
Female
27
39.7%
31
43.7%
30
46.2%
88
43.1%
Male
41
60.3%
40
56.3%
35
53.8%
116
56.9%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
0
0%
0
0%
1
1.5%
1
0.5%
Asian
1
1.5%
0
0%
1
1.5%
2
1%
Native Hawaiian or Other Pacific Islander
0
0%
1
1.4%
0
0%
1
0.5%
Black or African American
1
1.5%
0
0%
0
0%
1
0.5%
White
60
88.2%
70
98.6%
62
95.4%
192
94.1%
More than one race
0
0%
0
0%
0
0%
0
0%
Unknown or Not Reported
6
8.8%
0
0%
1
1.5%
7
3.4%
Region of Enrollment (Count of Participants)
Canada
3
4.4%
5
7%
4
6.2%
12
5.9%
Belgium
2
2.9%
2
2.8%
2
3.1%
6
2.9%
United States
17
25%
18
25.4%
15
23.1%
50
24.5%
United Kingdom
3
4.4%
2
2.8%
4
6.2%
9
4.4%
Australia
24
35.3%
13
18.3%
19
29.2%
56
27.5%
Spain
19
27.9%
31
43.7%
21
32.3%
71
34.8%

Outcome Measures

1. Primary Outcome
Title Hazard of Progression in the Placebo/Placebo Arm and the Pooled Demcizumab Arms
Description Investigator assessed Kaplan-Meier estimates of progression-free survival for placebo/placebo arm and pooled demcizumab arm.
Time Frame Investigator-assessed progression-free survival time through duration of the study (2 years, 23 days).

Outcome Measure Data

Analysis Population Description
Placebo/placebo arm and pooled demcizumab arms (ITT population).
Arm/Group Title Placebo/Placebo Arm Demcizumab/Placebo and Demcizumab/Demcizumab
Arm/Group Description Abraxane and gemcitabine plus placebo (3 cycles), Abraxane and gemcitabine (3 cycles), Abraxane and gemcitabine plus placebo (3 cycles), and then Abraxane and gemcitabine until disease progression. Pooled demcizumab arms: Demcizumab/placebo arm - Abraxane and gemcitabine plus demcizumab (3 cycles), Abraxane and gemcitabine (3 cycles), Abraxane and gemcitabine plus placebo (3 cycles), and then Abraxane and gemcitabine until disease progression. Demcizumab/demcizumab arn - Abraxane and gemcitabine plus demcizumab (3 cycles), Abraxane and gemcitabine (3 cycles), Abraxane and gemcitabine plus demcizumab (3 cycles), and then Abraxane and gemcitabine until disease progression.
Measure Participants 68 136
Progressed (event)
38
55.9%
70
98.6%
Died (event)
5
7.4%
12
16.9%
Censored, follow-up ended
3
4.4%
7
9.9%
Censored, follow-up ongoing
22
32.4%
47
66.2%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo/Placebo Arm, Demcizumab/Placebo and Demcizumab/Demcizumab
Comments Efficacy (investigator-assessed Kaplan-Meier estimates of progression-free survival) of placebo/placebo arm to the pooled demcizumab arm (i.e., placebo/placebo arm to demcizumab/placebo and demcizumab/demcizumab arms) in subjects with first-line metastatic pancreatic ductal adenocarcinoma.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value =0.7158
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value .930
Confidence Interval (2-Sided) 95%
0.630 to 1.375
Parameter Dispersion Type:
Value:
Estimation Comments

Adverse Events

Time Frame Adverse event data are collected from the time of randomization through 30 days after discontinuation from the study (30 dates from the date of the treatment termination visit). Total study duration: 2 years, 23 days.
Adverse Event Reporting Description
Arm/Group Title Placebo/Placebo Arm Demcizumab/Placebo Arm Demcizumab/Demcizumab Arm
Arm/Group Description Abraxane and gemcitabine plus placebo (3 cycles), Abraxane and gemcitabine (3 cycles), Abraxane and gemcitabine plus placebo (3 cycles), and then Abraxane and gemcitabine until disease progression. Abraxane and gemcitabine plus demcizumab (3 cycles), Abraxane and gemcitabine (3 cycles), Abraxane and gemcitabine plus placebo (3 cycles), and then Abraxane and gemcitabine until disease progression. Abraxane and gemcitabine plus demcizumab (3 cycles), abraxane and gemcitabine (3 cycles), Abraxane and gemcitabine plus demcizumab (3 cycles), and then Abraxane and gemcitabine until disease progression.
All Cause Mortality
Placebo/Placebo Arm Demcizumab/Placebo Arm Demcizumab/Demcizumab Arm
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 5/68 (7.4%) 12/71 (16.9%) 3/65 (4.6%)
Serious Adverse Events
Placebo/Placebo Arm Demcizumab/Placebo Arm Demcizumab/Demcizumab Arm
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 40/68 (58.8%) 49/71 (69%) 34/65 (52.3%)
Blood and lymphatic system disorders
Febrile neutropenia 4/68 (5.9%) 4 1/71 (1.4%) 1 0/65 (0%) 0
Anaemia 3/68 (4.4%) 3 0/71 (0%) 0 1/65 (1.5%) 1
Neutropenia 1/68 (1.5%) 1 1/71 (1.4%) 1 2/65 (3.1%) 2
Haemolytic anaemia 0/68 (0%) 0 2/71 (2.8%) 2 0/65 (0%) 0
Haemolytic uraemic syndrome 0/68 (0%) 0 1/71 (1.4%) 1 1/65 (1.5%) 1
Pancytopenia 0/68 (0%) 0 0/71 (0%) 0 2/65 (3.1%) 2
Thrombotic thrombocytopenic purpura 0/68 (0%) 0 0/71 (0%) 0 2/65 (3.1%) 2
Iron deficiency anaemia 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Thrombocytopenia 1/68 (1.5%) 1 0/71 (0%) 0 0/65 (0%) 0
Cardiac disorders
Cardiac failure 0/68 (0%) 0 2/71 (2.8%) 2 1/65 (1.5%) 1
Angina pectoris 0/68 (0%) 0 2/71 (2.8%) 2 0/65 (0%) 0
Atrial fibrillation 0/68 (0%) 0 1/71 (1.4%) 1 1/65 (1.5%) 1
Acute myocardial infarction 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Cardiac arrest 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Cardiac failure congestive 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Ear and labyrinth disorders
Vertigo 1/68 (1.5%) 1 0/71 (0%) 0 1/65 (1.5%) 1
Papilloedema 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Gastrointestinal disorders
Vomiting 5/68 (7.4%) 5 4/71 (5.6%) 4 5/65 (7.7%) 5
Diarrhoea 1/68 (1.5%) 1 4/71 (5.6%) 4 3/65 (4.6%) 3
Abdominal pain 4/68 (5.9%) 4 0/71 (0%) 0 3/65 (4.6%) 3
Nausea 4/68 (5.9%) 4 1/71 (1.4%) 1 2/65 (3.1%) 2
Gastrointestinal haemorrhage 0/68 (0%) 0 2/71 (2.8%) 2 2/65 (3.1%) 2
Ascites 1/68 (1.5%) 1 2/71 (2.8%) 2 0/65 (0%) 0
Abdominal pain upper 1/68 (1.5%) 1 1/71 (1.4%) 1 0/65 (0%) 0
Colitis 1/68 (1.5%) 1 1/71 (1.4%) 1 0/65 (0%) 0
Enterocolitis 0/68 (0%) 0 1/71 (1.4%) 1 1/65 (1.5%) 1
Gastritis 0/68 (0%) 0 2/71 (2.8%) 2 0/65 (0%) 0
Intestinal obstruction 0/68 (0%) 0 1/71 (1.4%) 1 1/65 (1.5%) 1
Small intestinal haemorrhage 0/68 (0%) 0 1/71 (1.4%) 1 1/65 (1.5%) 1
Upper gastrointestinal haemorrhage 0/68 (0%) 0 2/71 (2.8%) 2 0/65 (0%) 0
Anal fissure 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Colonic fistula 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Constipation 1/68 (1.5%) 1 0/71 (0%) 0 0/65 (0%) 0
Diverticular perforation 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Duodenal ulcer 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Gastric haemorrhage 1/68 (1.5%) 1 0/71 (0%) 0 0/65 (0%) 0
Haematemesis 1/68 (1.5%) 1 0/71 (0%) 0 0/65 (0%) 0
Ileus 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Intestinal stenosis 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Intra-abdominal haemorrhage 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Large intestinal obstruction 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Pancreatic duct obstruction 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Pancreatic insufficiency 1/68 (1.5%) 1 0/71 (0%) 0 0/65 (0%) 0
General disorders
Pyrexia 6/68 (8.8%) 6 3/71 (4.2%) 3 6/65 (9.2%) 6
Chest discomfort 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Multiple organ dysfunction syndrome 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Peripheral swelling 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Systemic inflammatory response syndrome 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Hepatobiliary disorders
Jaundice cholestatic 1/68 (1.5%) 1 1/71 (1.4%) 1 1/65 (1.5%) 1
Cholangitis 1/68 (1.5%) 1 1/71 (1.4%) 1 0/65 (0%) 0
Bile duct obstruction 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Bile duct stenosis 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Cholecystitis acute 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Cholestasis 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Hepatic haematoma 1/68 (1.5%) 1 0/71 (0%) 0 0/65 (0%) 0
Hyperbilirubinaemia 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Jaundice 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Portal vein thrombosis 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Infections and infestations
Sepsis 3/68 (4.4%) 3 4/71 (5.6%) 4 4/65 (6.2%) 4
Liver abscess 2/68 (2.9%) 2 2/71 (2.8%) 2 0/65 (0%) 0
Urinary tract infection 2/68 (2.9%) 2 1/71 (1.4%) 1 1/65 (1.5%) 1
Cellulitis 1/68 (1.5%) 1 2/71 (2.8%) 2 0/65 (0%) 0
Pneumonia 2/68 (2.9%) 2 1/71 (1.4%) 1 0/65 (0%) 0
Urosepsis 2/68 (2.9%) 2 0/71 (0%) 0 1/65 (1.5%) 1
Abdominal abscess 1/68 (1.5%) 1 0/71 (0%) 0 1/65 (1.5%) 1
Bacteraemia 0/68 (0%) 0 2/71 (2.8%) 2 0/65 (0%) 0
Lower respiratory tract infection 1/68 (1.5%) 1 0/71 (0%) 0 1/65 (1.5%) 1
Neutropenic sepsis 0/68 (0%) 0 1/71 (1.4%) 1 1/65 (1.5%) 1
Bacterial infection 1/68 (1.5%) 1 0/71 (0%) 0 0/65 (0%) 0
Bacterial sepsis 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Bronchitis 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Colonic abscess 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Cystitis 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Device related infection 1/68 (1.5%) 1 0/71 (0%) 0 0/65 (0%) 0
Escherichia bacteraemia 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Hepatic infection 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Infection 1/68 (1.5%) 1 0/71 (0%) 0 0/65 (0%) 0
Lung infection 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Tick-borne fever 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Pyelonephritis acute 1/68 (1.5%) 1 0/71 (0%) 0 0/65 (0%) 0
Septic shock 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Upper respiratory tract infection 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Injury, poisoning and procedural complications
Fall 2/68 (2.9%) 2 0/71 (0%) 0 0/65 (0%) 0
Toxicity to various agents 1/68 (1.5%) 1 1/71 (1.4%) 1 0/65 (0%) 0
Anaesthetic complication 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Hip fracture 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Procedural pain 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Investigations
Blood bilirubin increased 1/68 (1.5%) 1 0/71 (0%) 0 1/65 (1.5%) 1
Liver function test increased 1/68 (1.5%) 1 0/71 (0%) 0 0/65 (0%) 0
Neutrophil count decreased 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Transaminases increased 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
White blood cell count decreased 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Metabolism and nutrition disorders
Dehydration 2/68 (2.9%) 2 3/71 (4.2%) 3 2/65 (3.1%) 2
Hyponatraemia 0/68 (0%) 0 0/71 (0%) 0 2/65 (3.1%) 2
Food intolerance 1/68 (1.5%) 1 0/71 (0%) 0 0/65 (0%) 0
Hyperglycaemia 1/68 (1.5%) 1 0/71 (0%) 0 0/65 (0%) 0
Hypophosphataemia 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Musculoskeletal and connective tissue disorders
Back pain 2/68 (2.9%) 2 1/71 (1.4%) 1 0/65 (0%) 0
Myalgia 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Vertebral lesion 1/68 (1.5%) 1 0/71 (0%) 0 0/65 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cancer pain 1/68 (1.5%) 1 0/71 (0%) 0 0/65 (0%) 0
Hepatic neoplasm 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Metastases to central nervous system 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Tumour rupture 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Nervous system disorders
Syncope 1/68 (1.5%) 1 0/71 (0%) 0 1/65 (1.5%) 1
Transient ischaemic attack 0/68 (0%) 0 1/71 (1.4%) 1 1/65 (1.5%) 1
Cerebral haemorrhage 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Cerebral infarction 1/68 (1.5%) 1 0/71 (0%) 0 0/65 (0%) 0
Cerebrovascular accident 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Generalised tonic-clonic seizure 1/68 (1.5%) 1 0/71 (0%) 0 0/65 (0%) 0
Peroneal nerve palsy 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Presyncope 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Product Issues
Device dislocation 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Psychiatric disorders
Anxiety 1/68 (1.5%) 1 1/71 (1.4%) 1 0/65 (0%) 0
Confusional state 1/68 (1.5%) 1 0/71 (0%) 0 1/65 (1.5%) 1
Delirium 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Mental status changes 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Renal and urinary disorders
Acute kidney injury 0/68 (0%) 0 0/71 (0%) 0 3/65 (4.6%) 3
Renal failure 1/68 (1.5%) 1 0/71 (0%) 0 0/65 (0%) 0
Renal injury 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Respiratory, thoracic and mediastinal disorders
Dyspnoea 2/68 (2.9%) 2 2/71 (2.8%) 2 0/65 (0%) 0
Pleural effusion 2/68 (2.9%) 2 1/71 (1.4%) 1 0/65 (0%) 0
Pulmonary embolism 2/68 (2.9%) 2 0/71 (0%) 0 0/65 (0%) 0
Pulmonary hypertension 0/68 (0%) 0 2/71 (2.8%) 2 0/65 (0%) 0
Respiratory failure 1/68 (1.5%) 1 0/71 (0%) 0 1/65 (1.5%) 1
Acute respiratory distress syndrome 1/68 (1.5%) 1 0/71 (0%) 0 0/65 (0%) 0
Orthopnoea 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Pneumonitis 1/68 (1.5%) 1 0/71 (0%) 0 0/65 (0%) 0
Pneumothorax 1/68 (1.5%) 1 0/71 (0%) 0 0/65 (0%) 0
Pulmonary oedema 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Skin and subcutaneous tissue disorders
Erythema 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Rash 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Vascular disorders
Deep vein thrombosis 0/68 (0%) 0 1/71 (1.4%) 1 0/65 (0%) 0
Embolism 0/68 (0%) 0 0/71 (0%) 0 1/65 (1.5%) 1
Hypotension 1/68 (1.5%) 1 0/71 (0%) 0 1/65 (1.5%) 1
Other (Not Including Serious) Adverse Events
Placebo/Placebo Arm Demcizumab/Placebo Arm Demcizumab/Demcizumab Arm
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 68/68 (100%) 71/71 (100%) 65/65 (100%)
Blood and lymphatic system disorders
Anaemia 27/68 (39.7%) 27 43/71 (60.6%) 43 35/65 (53.8%) 35
Thrombocytopenia 15/68 (22.1%) 15 14/71 (19.7%) 14 16/65 (24.6%) 16
Neutropenia 21/68 (30.9%) 21 24/71 (33.8%) 24 25/65 (38.5%) 25
Eye disorders
Vision blurred 3/68 (4.4%) 3 3/71 (4.2%) 3 5/65 (7.7%) 5
Gastrointestinal disorders
Nausea 42/68 (61.8%) 42 38/71 (53.5%) 38 41/65 (63.1%) 41
Diarrhoea 34/68 (50%) 34 41/71 (57.7%) 41 45/65 (69.2%) 45
Vomiting 27/68 (39.7%) 27 32/71 (45.1%) 32 25/65 (38.5%) 25
Constipation 20/68 (29.4%) 20 21/71 (29.6%) 21 28/65 (43.1%) 28
Abdominal pain 24/68 (35.3%) 24 16/71 (22.5%) 16 27/65 (41.5%) 27
Stomatitis 13/68 (19.1%) 13 12/71 (16.9%) 12 15/65 (23.1%) 15
Abdominal pain upper 13/68 (19.1%) 13 6/71 (8.5%) 6 8/65 (12.3%) 8
Dry mouth 7/68 (10.3%) 7 9/71 (12.7%) 9 6/65 (9.2%) 6
Ascites 9/68 (13.2%) 9 6/71 (8.5%) 6 3/65 (4.6%) 3
Gastrooesophageal reflux disease 6/68 (8.8%) 6 7/71 (9.9%) 7 5/65 (7.7%) 5
Abdominal distension 5/68 (7.4%) 5 4/71 (5.6%) 4 4/65 (6.2%) 4
Erythema 3/68 (4.4%) 3 7/71 (9.9%) 7 3/65 (4.6%) 3
Hypokalaemia 7/68 (10.3%) 7 7/71 (9.9%) 7 6/65 (9.2%) 6
General disorders
Fatigue 34/68 (50%) 34 31/71 (43.7%) 31 37/65 (56.9%) 37
Oedema peripheral 29/68 (42.6%) 29 39/71 (54.9%) 39 34/65 (52.3%) 34
Pyrexia 24/68 (35.3%) 24 30/71 (42.3%) 30 23/65 (35.4%) 23
Asthenia 18/68 (26.5%) 18 27/71 (38%) 27 20/65 (30.8%) 20
Chills 6/68 (8.8%) 6 3/71 (4.2%) 3 8/65 (12.3%) 8
Headache 12/68 (17.6%) 12 13/71 (18.3%) 13 22/65 (33.8%) 22
Infections and infestations
Urinary tract infection 7/68 (10.3%) 7 5/71 (7%) 5 7/65 (10.8%) 7
Upper respiratory tract infection 6/68 (8.8%) 6 6/71 (8.5%) 6 6/65 (9.2%) 6
Oral candidiasis 8/68 (11.8%) 8 2/71 (2.8%) 2 4/65 (6.2%) 4
Cellulitis 6/68 (8.8%) 6 5/71 (7%) 5 1/65 (1.5%) 1
Sepsis 3/68 (4.4%) 3 5/71 (7%) 5 4/65 (6.2%) 4
Investigations
Platelet count decreased 16/68 (23.5%) 16 20/71 (28.2%) 20 13/65 (20%) 13
Alanine aminotransferase increased 16/68 (23.5%) 16 15/71 (21.1%) 15 15/65 (23.1%) 15
Neutrophil count decreased 16/68 (23.5%) 16 12/71 (16.9%) 12 12/65 (18.5%) 12
Aspartate aminotransferase increased 13/68 (19.1%) 13 5/71 (7%) 5 12/65 (18.5%) 12
Brain natriuretic peptide increased 5/68 (7.4%) 5 11/71 (15.5%) 11 14/65 (21.5%) 14
White blood cell count decreased 9/68 (13.2%) 9 4/71 (5.6%) 4 10/65 (15.4%) 10
Blood alkaline phosphatase increased 5/68 (7.4%) 5 6/71 (8.5%) 6 10/65 (15.4%) 10
Weight decreased 8/68 (11.8%) 8 5/71 (7%) 5 8/65 (12.3%) 8
Blood bilirubin increased 6/68 (8.8%) 6 3/71 (4.2%) 3 3/65 (4.6%) 3
Gamma-glutamyltransferase increased 5/68 (7.4%) 5 2/71 (2.8%) 2 5/65 (7.7%) 5
Metabolism and nutrition disorders
Decreased appetite 19/68 (27.9%) 19 30/71 (42.3%) 30 27/65 (41.5%) 27
Hypoalbuminaemia 8/68 (11.8%) 8 10/71 (14.1%) 10 9/65 (13.8%) 9
Dehydration 6/68 (8.8%) 6 10/71 (14.1%) 10 6/65 (9.2%) 6
Hyperglycaemia 11/68 (16.2%) 11 5/71 (7%) 5 4/65 (6.2%) 4
Hyponatraemia 6/68 (8.8%) 6 4/71 (5.6%) 4 8/65 (12.3%) 8
Hypophosphataemia 5/68 (7.4%) 5 5/71 (7%) 5 6/65 (9.2%) 6
Hypocalcaemia 6/68 (8.8%) 6 7/71 (9.9%) 7 2/65 (3.1%) 2
Musculoskeletal and connective tissue disorders
Back pain 16/68 (23.5%) 16 10/71 (14.1%) 10 13/65 (20%) 13
Myalgia 6/68 (8.8%) 6 10/71 (14.1%) 10 15/65 (23.1%) 15
Arthralgia 8/68 (11.8%) 8 9/71 (12.7%) 9 10/65 (15.4%) 10
Pain in extremity 8/68 (11.8%) 8 5/71 (7%) 5 7/65 (10.8%) 7
Musculoskeletal pain 3/68 (4.4%) 3 3/71 (4.2%) 3 6/65 (9.2%) 6
Muscular weakness 5/68 (7.4%) 5 2/71 (2.8%) 2 4/65 (6.2%) 4
Nervous system disorders
Dysgeusia 18/68 (26.5%) 18 16/71 (22.5%) 16 17/65 (26.2%) 17
Peripheral sensory neuropathy 16/68 (23.5%) 16 17/71 (23.9%) 17 17/65 (26.2%) 17
Dizziness 10/68 (14.7%) 10 5/71 (7%) 5 7/65 (10.8%) 7
Neurotoxicity 2/68 (2.9%) 2 11/71 (15.5%) 11 4/65 (6.2%) 4
Psychiatric disorders
Insomnia 9/68 (13.2%) 9 8/71 (11.3%) 8 9/65 (13.8%) 9
Anxiety 10/68 (14.7%) 10 5/71 (7%) 5 3/65 (4.6%) 3
Depression 6/68 (8.8%) 6 3/71 (4.2%) 3 7/65 (10.8%) 7
Respiratory, thoracic and mediastinal disorders
Dyspnoea 18/68 (26.5%) 18 16/71 (22.5%) 16 10/65 (15.4%) 10
Epistaxis 10/68 (14.7%) 10 13/71 (18.3%) 13 17/65 (26.2%) 17
Cough 10/68 (14.7%) 10 12/71 (16.9%) 12 11/65 (16.9%) 11
Dyspnoea exertional 3/68 (4.4%) 3 4/71 (5.6%) 4 8/65 (12.3%) 8
Pulmonary hypertension 1/68 (1.5%) 1 7/71 (9.9%) 7 7/65 (10.8%) 7
Rhinorrhoea 5/68 (7.4%) 5 2/71 (2.8%) 2 5/65 (7.7%) 5
Skin and subcutaneous tissue disorders
Alopecia 30/68 (44.1%) 30 33/71 (46.5%) 33 28/65 (43.1%) 28
Rash 18/68 (26.5%) 18 14/71 (19.7%) 14 17/65 (26.2%) 17
Dry skin 4/68 (5.9%) 4 5/71 (7%) 5 5/65 (7.7%) 5
Rash maculo-papular 6/68 (8.8%) 6 3/71 (4.2%) 3 5/65 (7.7%) 5
Vascular disorders
Hypertension 10/68 (14.7%) 10 17/71 (23.9%) 17 21/65 (32.3%) 21
Hypotension 11/68 (16.2%) 11 6/71 (8.5%) 6 5/65 (7.7%) 5
Deep vein thrombosis 7/68 (10.3%) 7 4/71 (5.6%) 4 9/65 (13.8%) 9

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

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

Results Point of Contact

Name/Title John, Lewicki, Chief Scientific Officer
Organization Mereo BioPharma Group Plc.
Phone +44333023300
Email John.Lewicki@mereobiopharma.com
Responsible Party:
OncoMed Pharmaceuticals, Inc.
ClinicalTrials.gov Identifier:
NCT02289898
Other Study ID Numbers:
  • M18-006
First Posted:
Nov 13, 2014
Last Update Posted:
Sep 28, 2020
Last Verified:
Sep 1, 2020