ENTHUSE M1C: A Phase III Trial of ZD4054 (Zibotentan) (Endothelin A Antagonist) and Docetaxel in Metastatic Hormone Resistant Prostate Cancer

Sponsor
AstraZeneca (Industry)
Overall Status
Completed
CT.gov ID
NCT00617669
Collaborator
(none)
1,494
147
2
42
10.2
0.2

Study Details

Study Description

Brief Summary

Enthuse M1C is a large phase III clinical trial studying the safety and efficacy of ZD4054 (Zibotentan) in combination with docetaxel (Taxotere) in patients with metastatic hormone resistant prostate cancer (HRPC).

This clinical trial will test if the Endothelin A Receptor Antagonist ZD4054 (Zibotentan) can further improve survival compared with docetaxel alone.

ZD4054 (Zibotentan) is a new type of agent, which is thought to slow tumour growth and spread by blocking Endothelin A receptor activity. This trial will look at the effects of ZD4054 (Zibotentan) in hormone resistant prostate cancer patients with bone metastases compared with docetaxel.

All patients participating in this clinical trial will receive docetaxel chemotherapy, which is a commonly used chemotherapy to treat prostate cancer in addition to other existing prostate cancer therapies.

Half the patients will receive ZD4054 (Zibotentan), and half the patients will receive placebo in addition to docetaxel and other prostate cancer therapy. By participating in this trial there is a 50% chance that patients will receive an agent that may further slow the progression of the tumour.

No patients will be deprived of standard prostate cancer therapy.

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
1494 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Care Provider, Investigator)
Primary Purpose:
Treatment
Official Title:
A Phase III, Randomised, Double-blind, Placebo-controlled Study to Assess the Efficacy and Safety of 10 mg ZD4054 (Zibotentan) in Combination With Docetaxel in Comparison With Docetaxel in Patients With Metastatic Hormone-resistant Prostate Cancer
Study Start Date :
Jan 1, 2008
Actual Primary Completion Date :
May 1, 2011
Actual Study Completion Date :
Jul 1, 2011

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Placebo + Docetaxel

placebo oral tablet once daily + docetaxel intravenous infusion every 3 weeks

Drug: Docetaxel
intravenous infusion given every three weeks
Other Names:
  • Taxotere®
  • Drug: Placebo
    placebo oral tablet once daily

    Experimental: ZD4054 + Docetaxel

    ZD4054 10 mg oral tablet once daily + docetaxel intravenous infusion every 3 weeks

    Drug: Docetaxel
    intravenous infusion given every three weeks
    Other Names:
  • Taxotere®
  • Drug: ZD4054
    10 mg oral once daily dose
    Other Names:
  • Zibotentan
  • Outcome Measures

    Primary Outcome Measures

    1. Overall Survival [Patients were followed for survival up to 40 months]

      Median time (in months) from randomisation until death using the Kaplan-Meier method.

    Secondary Outcome Measures

    1. Progression Free Survival [Patients were followed for progression up to 40 months]

      Median time (in months) from randomisation until clinical progression of disease using the Kaplan-Meier method. Progression is defined, using RECIST, as a measurable increase in the smallest dimension of any target or non-target lesion, or the appearance of new lesions, since baseline

    2. Incidence of Skeletal Related Events [While receiving docetaxel study visits were aligned with its administration ie every 3weeks, after 12 weeks and completion of docetaxel therapy every 12 weeks (up to 40 months)]

      Median time (in months) from randomisation until occurrence of a skeletal related event using the Kaplan-Meier method, where skeletal related event is defined as the first occurrence of a pathological fracture, a vertebral compression fracture not related to trauma, prophylactic surgery or radiation for impending fracture or spinal cord compression, or a spinal cord compression.

    3. Time to Prostate-specific Antigen (PSA) Progression [While receiving docetaxel study visits were aligned with its administration ie every 3weeks, after 12 weeks and completion of docetaxel therapy every 12 weeks (up to 40 months)]

      Median time (in months) from randomisation until first PSA value >50% higher than baseline of at least 5ng/ml seen in at least 2 consecutive PSA values at least 2 weeks apart using the Kaplan-Meier method.

    4. Time to Pain Progression [While receiving docetaxel study visits were aligned with its administration ie every 3weeks, after 12 weeks and completion of docetaxel therapy every 12 weeks (up to 40 months)]

      Median time (in months) from randomisation until date of first assessment of increased pain using the Kaplan-Meier method, where increased pain event is defined as the first of a patient requiring opiate medication for duration of ≥1 week for pain due to prostate cancer metastasis, pain due to metastasis that has an increase in the worst pain item of the Brief Pain Inventory (BPI) from baseline to a minimum score of 5 with no decrease in analgesic use, or pain due to metastasis requiring radionuclide therapy, radiation therapy or surgery.

    5. Pain Response [While receiving docetaxel study visits were aligned with its administration ie every 3weeks, after 12 weeks and completion of docetaxel therapy every 12 weeks (up to 40 months)]

      Number of patients with a pain response, defined as a decrease in brief pain inventory questionnaire (BPI) of at least 2 points from baseline or a decrease in opiate use of 25% from baseline.

    6. Health Related Quality of Life [While receiving docetaxel study visits were aligned with its administration ie every 3weeks, after 12 weeks and completion of docetaxel therapy every 12 weeks (up to 40 months)]

      Median time (in months) from randomisation until deterioration of Health Related Quality of Life using the Kaplan-Meier method, where deterioration is defined as a change from baseline of less than or equal to -6 points in Total FACT-P score maintained for 2 consecutive visits.

    7. PSA Response [While receiving docetaxel study visits were aligned with its administration ie every 3weeks, after 12 weeks and completion of docetaxel therapy every 12 weeks (up to 40 months)]

      PSA response defined as >50% decrease in serum PSA values from baseline seen in at least 2 consecutive PSA values at least 2 weeks apart.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    Male
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:

    Patients who answer TRUE to the following criteria may be eligible to participate in this trial.

    • Confirmed diagnosis of prostate cancer (adenocarcinoma of the prostate) that has spread to the bone (bone metastasis)

    • Increasing Prostate Specific Antigen (PSA), collected within one year of enrollment

    • Currently receiving treatment with surgical or medical castration

    Exclusion Criteria:

    Patients who answer TRUE to the following ARE NOT eligible to participate in this trial.

    • Previous treatment with chemotherapy (paclitaxel, docetaxel, and mitoxantrone). Prior targeted cancer therapies are permitted if received during a previous clinical trial.

    • Suffering from heart failure or had a myocardial infarction within last 6 months

    • A history of epilepsy or seizures

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Research Site Greenbrae California United States
    2 Research Site San Diego California United States
    3 Research Site Norwich Connecticut United States
    4 Research Site Washington District of Columbia United States
    5 Research Site Fort Myers Florida United States
    6 Research Site Gainsville Florida United States
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    8 Research Site PORTUGALt St. Lucie Florida United States
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    Sponsors and Collaborators

    • AstraZeneca

    Investigators

    • Principal Investigator: Karim Fizazi, MD, PhD, Gustave Roussy, Cancer Campus, Grand Paris
    • Principal Investigator: Judd W Moul, MD, FACS, Duke University

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    AstraZeneca
    ClinicalTrials.gov Identifier:
    NCT00617669
    Other Study ID Numbers:
    • D4320C00033
    First Posted:
    Feb 18, 2008
    Last Update Posted:
    Sep 10, 2012
    Last Verified:
    Apr 1, 2012

    Study Results

    Participant Flow

    Recruitment Details 1494 patients with hormone resistant prostate cancer patients and bone metastasis were recruited between 24th January 2008 and 10th May 2011
    Pre-assignment Detail 442 of the 1494 enrolled patients were not randomised to treatment groups as they failed screening.
    Arm/Group Title ZD4054 + Docetaxel Placebo + Docetaxel
    Arm/Group Description XD4054 10 mg oral tablet once daily + docetaxel intravenous infusion every 3 weeks placebo oral tablet once daily + docetaxel intravenous infusion every 3 weeks
    Period Title: Overall Study
    STARTED 524 528
    Patients Who Received IP 522 525
    COMPLETED 94 77
    NOT COMPLETED 430 451

    Baseline Characteristics

    Arm/Group Title ZD4054 + Docetaxel Placebo + Docetaxel Total
    Arm/Group Description XD4054 10 mg oral tablet once daily + docetaxel intravenous infusion every 3 weeks placebo oral tablet once daily + docetaxel intravenous infusion every 3 weeks Total of all reporting groups
    Overall Participants 524 528 1052
    Age (years) [Mean (Standard Deviation) ]
    overall
    8.1
    (67.7)
    7.8
    (67.6)
    7.9
    (67.6)
    Sex: Female, Male (Count of Participants)
    Female
    0
    0%
    0
    0%
    0
    0%
    Male
    524
    100%
    528
    100%
    1052
    100%

    Outcome Measures

    1. Primary Outcome
    Title Overall Survival
    Description Median time (in months) from randomisation until death using the Kaplan-Meier method.
    Time Frame Patients were followed for survival up to 40 months

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set
    Arm/Group Title ZD4054 + Docetaxel Placebo + Docetaxel
    Arm/Group Description XD4054 10 mg oral tablet once daily + docetaxel intravenous infusion every 3 weeks placebo oral tablet once daily + docetaxel intravenous infusion every 3 weeks
    Measure Participants 524 528
    Median (Inter-Quartile Range) [Months]
    20.0
    19.2
    2. Secondary Outcome
    Title Progression Free Survival
    Description Median time (in months) from randomisation until clinical progression of disease using the Kaplan-Meier method. Progression is defined, using RECIST, as a measurable increase in the smallest dimension of any target or non-target lesion, or the appearance of new lesions, since baseline
    Time Frame Patients were followed for progression up to 40 months

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set
    Arm/Group Title ZD4054 + Docetaxel Placebo + Docetaxel
    Arm/Group Description XD4054 10 mg oral tablet once daily + docetaxel intravenous infusion every 3 weeks placebo oral tablet once daily + docetaxel intravenous infusion every 3 weeks
    Measure Participants 524 528
    Median (Inter-Quartile Range) [Months]
    7.0
    7.9
    3. Secondary Outcome
    Title Incidence of Skeletal Related Events
    Description Median time (in months) from randomisation until occurrence of a skeletal related event using the Kaplan-Meier method, where skeletal related event is defined as the first occurrence of a pathological fracture, a vertebral compression fracture not related to trauma, prophylactic surgery or radiation for impending fracture or spinal cord compression, or a spinal cord compression.
    Time Frame While receiving docetaxel study visits were aligned with its administration ie every 3weeks, after 12 weeks and completion of docetaxel therapy every 12 weeks (up to 40 months)

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set
    Arm/Group Title ZD4054 + Docetaxel Placebo + Docetaxel
    Arm/Group Description XD4054 10 mg oral tablet once daily + docetaxel intravenous infusion every 3 weeks placebo oral tablet once daily + docetaxel intravenous infusion every 3 weeks
    Measure Participants 524 528
    Median (Inter-Quartile Range) [Months]
    17.4
    17.3
    4. Secondary Outcome
    Title Time to Prostate-specific Antigen (PSA) Progression
    Description Median time (in months) from randomisation until first PSA value >50% higher than baseline of at least 5ng/ml seen in at least 2 consecutive PSA values at least 2 weeks apart using the Kaplan-Meier method.
    Time Frame While receiving docetaxel study visits were aligned with its administration ie every 3weeks, after 12 weeks and completion of docetaxel therapy every 12 weeks (up to 40 months)

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title ZD4054 + Docetaxel Placebo + Docetaxel
    Arm/Group Description XD4054 10 mg oral tablet once daily + docetaxel intravenous infusion every 3 weeks placebo oral tablet once daily + docetaxel intravenous infusion every 3 weeks
    Measure Participants 524 528
    Median (Inter-Quartile Range) [Months]
    11.9
    12.1
    5. Secondary Outcome
    Title Time to Pain Progression
    Description Median time (in months) from randomisation until date of first assessment of increased pain using the Kaplan-Meier method, where increased pain event is defined as the first of a patient requiring opiate medication for duration of ≥1 week for pain due to prostate cancer metastasis, pain due to metastasis that has an increase in the worst pain item of the Brief Pain Inventory (BPI) from baseline to a minimum score of 5 with no decrease in analgesic use, or pain due to metastasis requiring radionuclide therapy, radiation therapy or surgery.
    Time Frame While receiving docetaxel study visits were aligned with its administration ie every 3weeks, after 12 weeks and completion of docetaxel therapy every 12 weeks (up to 40 months)

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set
    Arm/Group Title ZD4054 + Docetaxel Placebo + Docetaxel
    Arm/Group Description XD4054 10 mg oral tablet once daily + docetaxel intravenous infusion every 3 weeks placebo oral tablet once daily + docetaxel intravenous infusion every 3 weeks
    Measure Participants 524 528
    Median (Inter-Quartile Range) [Months]
    9.3
    10.0
    6. Secondary Outcome
    Title Pain Response
    Description Number of patients with a pain response, defined as a decrease in brief pain inventory questionnaire (BPI) of at least 2 points from baseline or a decrease in opiate use of 25% from baseline.
    Time Frame While receiving docetaxel study visits were aligned with its administration ie every 3weeks, after 12 weeks and completion of docetaxel therapy every 12 weeks (up to 40 months)

    Outcome Measure Data

    Analysis Population Description
    The Pain Response Analysis Set includes patients who were either receiving opiates at baseline (randomisation) or with a baseline BPI score ≥2.
    Arm/Group Title ZD4054 + Docetaxel Placebo + Docetaxel
    Arm/Group Description XD4054 10 mg oral tablet once daily + docetaxel intravenous infusion every 3 weeks placebo oral tablet once daily + docetaxel intravenous infusion every 3 weeks
    Measure Participants 362 373
    Number [Participants]
    255
    48.7%
    276
    52.3%
    7. Secondary Outcome
    Title Health Related Quality of Life
    Description Median time (in months) from randomisation until deterioration of Health Related Quality of Life using the Kaplan-Meier method, where deterioration is defined as a change from baseline of less than or equal to -6 points in Total FACT-P score maintained for 2 consecutive visits.
    Time Frame While receiving docetaxel study visits were aligned with its administration ie every 3weeks, after 12 weeks and completion of docetaxel therapy every 12 weeks (up to 40 months)

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set
    Arm/Group Title ZD4054 + Docetaxel Placebo + Docetaxel
    Arm/Group Description XD4054 10 mg oral tablet once daily + docetaxel intravenous infusion every 3 weeks placebo oral tablet once daily + docetaxel intravenous infusion every 3 weeks
    Measure Participants 524 528
    Median (Inter-Quartile Range) [Months]
    4.4
    5.1
    8. Secondary Outcome
    Title PSA Response
    Description PSA response defined as >50% decrease in serum PSA values from baseline seen in at least 2 consecutive PSA values at least 2 weeks apart.
    Time Frame While receiving docetaxel study visits were aligned with its administration ie every 3weeks, after 12 weeks and completion of docetaxel therapy every 12 weeks (up to 40 months)

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set
    Arm/Group Title ZD4054 + Docetaxel Placebo + Docetaxel
    Arm/Group Description XD4054 10 mg oral tablet once daily + docetaxel intravenous infusion every 3 weeks placebo oral tablet once daily + docetaxel intravenous infusion every 3 weeks
    Measure Participants 524 528
    Number [Participants]
    279
    53.2%
    298
    56.4%

    Adverse Events

    Time Frame
    Adverse Event Reporting Description
    Arm/Group Title ZD4054 + Docetaxel Placebo + Docetaxel
    Arm/Group Description XD4054 10 mg oral tablet once daily + docetaxel intravenous infusion every 3 weeks placebo oral tablet once daily + docetaxel intravenous infusion every 3 weeks
    All Cause Mortality
    ZD4054 + Docetaxel Placebo + Docetaxel
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN)
    Serious Adverse Events
    ZD4054 + Docetaxel Placebo + Docetaxel
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 214/522 (41%) 203/525 (38.7%)
    Blood and lymphatic system disorders
    Febrile Neutropenia 22/522 (4.2%) 16/525 (3%)
    Anaemia 19/522 (3.6%) 8/525 (1.5%)
    Neutropenia 10/522 (1.9%) 12/525 (2.3%)
    Leukopenia 2/522 (0.4%) 4/525 (0.8%)
    Coagulopathy 0/522 (0%) 1/525 (0.2%)
    Lymphatic Obstruction 1/522 (0.2%) 0/525 (0%)
    Cardiac disorders
    Atrial Fibrillation 5/522 (1%) 2/525 (0.4%)
    Cardiac Failure 5/522 (1%) 2/525 (0.4%)
    Acute Myocardial Infarction 3/522 (0.6%) 4/525 (0.8%)
    Angina Pectoris 2/522 (0.4%) 2/525 (0.4%)
    Atrial Flutter 1/522 (0.2%) 2/525 (0.4%)
    Cardiac Failure Congestive 2/522 (0.4%) 0/525 (0%)
    Cardio-Respiratory Arrest 0/522 (0%) 2/525 (0.4%)
    Coronary Artery Stenosis 2/522 (0.4%) 0/525 (0%)
    Myocardial Infarction 2/522 (0.4%) 2/525 (0.4%)
    Myocardial Ischaemia 0/522 (0%) 2/525 (0.4%)
    Ventricular Tachycardia 0/522 (0%) 2/525 (0.4%)
    Angina Unstable 0/522 (0%) 1/525 (0.2%)
    Aortic Valve Disease 1/522 (0.2%) 0/525 (0%)
    Arrhythmia 0/522 (0%) 1/525 (0.2%)
    Bradycardia 1/522 (0.2%) 0/525 (0%)
    Cardiac Arrest 1/522 (0.2%) 1/525 (0.2%)
    Cardiopulmonary Failure 1/522 (0.2%) 0/525 (0%)
    Coronary Artery Disease 0/522 (0%) 1/525 (0.2%)
    Diastolic Dysfunction 0/522 (0%) 1/525 (0.2%)
    Hypertrophic Cardiomyopathy 1/522 (0.2%) 0/525 (0%)
    Left Ventricular Dysfunction 1/522 (0.2%) 0/525 (0%)
    Sinus Tachycardia 1/522 (0.2%) 0/525 (0%)
    Endocrine disorders
    Adrenal Insufficiency 1/522 (0.2%) 0/525 (0%)
    Adrenocortical Insufficiency Acute 0/522 (0%) 1/525 (0.2%)
    Inappropriate Antidiuretic Hormone Secretion 0/522 (0%) 1/525 (0.2%)
    Eye disorders
    Cataract 0/522 (0%) 1/525 (0.2%)
    Scleral Disorder 1/522 (0.2%) 0/525 (0%)
    Staphyloma 0/522 (0%) 1/525 (0.2%)
    Visual Acuity Reduced 1/522 (0.2%) 0/525 (0%)
    Gastrointestinal disorders
    Diarrhoea 6/522 (1.1%) 5/525 (1%)
    Constipation 3/522 (0.6%) 3/525 (0.6%)
    Ileus 0/522 (0%) 3/525 (0.6%)
    Abdominal Pain 2/522 (0.4%) 0/525 (0%)
    Enterocolitis 2/522 (0.4%) 0/525 (0%)
    Gastric Ulcer 1/522 (0.2%) 2/525 (0.4%)
    Haemorrhoids 1/522 (0.2%) 2/525 (0.4%)
    Nausea 2/522 (0.4%) 0/525 (0%)
    Upper Gastrointestinal Haemorrhage 2/522 (0.4%) 0/525 (0%)
    Vomiting 2/522 (0.4%) 1/525 (0.2%)
    Anal Fistula 0/522 (0%) 1/525 (0.2%)
    Ascites 0/522 (0%) 1/525 (0.2%)
    Colitis 0/522 (0%) 1/525 (0.2%)
    Colitis Ischaemic 1/522 (0.2%) 0/525 (0%)
    Colonic Polyp 1/522 (0.2%) 0/525 (0%)
    Diarrhoea Haemorrhagic 0/522 (0%) 1/525 (0.2%)
    Diverticulum 0/522 (0%) 1/525 (0.2%)
    Duodenal Ulcer 1/522 (0.2%) 1/525 (0.2%)
    Erosive Oesophagitis 1/522 (0.2%) 0/525 (0%)
    Gastric Ulcer Haemorrhage 1/522 (0.2%) 0/525 (0%)
    Gastritis 1/522 (0.2%) 1/525 (0.2%)
    Gastrointestinal Haemorrhage 0/522 (0%) 1/525 (0.2%)
    Haematemesis 1/522 (0.2%) 0/525 (0%)
    Inguinal Hernia 0/522 (0%) 1/525 (0.2%)
    Inguinal Hernia Strangulated 0/522 (0%) 1/525 (0.2%)
    Intestinal Infarction 1/522 (0.2%) 0/525 (0%)
    Irritable Bowel Syndrome 1/522 (0.2%) 0/525 (0%)
    Large Intestinal Haemorrhage 1/522 (0.2%) 0/525 (0%)
    Lower Gastrointestinal Haemorrhage 0/522 (0%) 1/525 (0.2%)
    Melaena 0/522 (0%) 1/525 (0.2%)
    Mouth Haemorrhage 1/522 (0.2%) 0/525 (0%)
    Neutropenic Colitis 0/522 (0%) 1/525 (0.2%)
    Oesophagitis Ulcerative 1/522 (0.2%) 0/525 (0%)
    Rectal Haemorrhage 1/522 (0.2%) 0/525 (0%)
    Rectourethral Fistula 1/522 (0.2%) 0/525 (0%)
    Small Intestinal Obstruction 1/522 (0.2%) 1/525 (0.2%)
    General disorders
    Pyrexia 6/522 (1.1%) 12/525 (2.3%)
    Death 10/522 (1.9%) 6/525 (1.1%)
    Oedema Peripheral 6/522 (1.1%) 3/525 (0.6%)
    General Physical Health Deterioration 0/522 (0%) 3/525 (0.6%)
    Asthenia 0/522 (0%) 2/525 (0.4%)
    Disease Progression 1/522 (0.2%) 2/525 (0.4%)
    Medical Device Complication 0/522 (0%) 2/525 (0.4%)
    Chest Pain 1/522 (0.2%) 0/525 (0%)
    Device Occlusion 1/522 (0.2%) 1/525 (0.2%)
    Pain 1/522 (0.2%) 0/525 (0%)
    Sudden Death 1/522 (0.2%) 0/525 (0%)
    Hepatobiliary disorders
    Cholecystitis Acute 0/522 (0%) 1/525 (0.2%)
    Hepatic Cirrhosis 0/522 (0%) 1/525 (0.2%)
    Hypertransaminasaemia 1/522 (0.2%) 0/525 (0%)
    Immune system disorders
    Drug Hypersensitivity 2/522 (0.4%) 0/525 (0%)
    Hypersensitivity 1/522 (0.2%) 1/525 (0.2%)
    Infections and infestations
    Pneumonia 26/522 (5%) 8/525 (1.5%)
    Sepsis 10/522 (1.9%) 2/525 (0.4%)
    Urinary Tract Infection 9/522 (1.7%) 7/525 (1.3%)
    Urosepsis 4/522 (0.8%) 5/525 (1%)
    Cellulitis 4/522 (0.8%) 1/525 (0.2%)
    Neutropenic Sepsis 4/522 (0.8%) 3/525 (0.6%)
    Bronchopneumonia 3/522 (0.6%) 2/525 (0.4%)
    Lung Infection 3/522 (0.6%) 0/525 (0%)
    Bronchitis 2/522 (0.4%) 1/525 (0.2%)
    Cystitis 2/522 (0.4%) 0/525 (0%)
    Gastroenteritis 2/522 (0.4%) 2/525 (0.4%)
    Infection 0/522 (0%) 2/525 (0.4%)
    Lobar Pneumonia 0/522 (0%) 2/525 (0.4%)
    Lower Respiratory Tract Infection 2/522 (0.4%) 2/525 (0.4%)
    Pharyngitis 2/522 (0.4%) 0/525 (0%)
    Pyelonephritis 2/522 (0.4%) 1/525 (0.2%)
    Sinusitis 2/522 (0.4%) 0/525 (0%)
    Skin Infection 2/522 (0.4%) 0/525 (0%)
    Upper Respiratory Tract Infection 2/522 (0.4%) 1/525 (0.2%)
    Abscess 0/522 (0%) 1/525 (0.2%)
    Abscess Limb 0/522 (0%) 1/525 (0.2%)
    Anal Abscess 0/522 (0%) 1/525 (0.2%)
    Appendicitis 1/522 (0.2%) 1/525 (0.2%)
    Arthritis Bacterial 0/522 (0%) 1/525 (0.2%)
    Arthritis Infective 0/522 (0%) 1/525 (0.2%)
    Bacterial Diarrhoea 1/522 (0.2%) 0/525 (0%)
    Catheter Site Infection 0/522 (0%) 1/525 (0.2%)
    Clostridium Difficile Colitis 0/522 (0%) 1/525 (0.2%)
    Diverticulitis 0/522 (0%) 1/525 (0.2%)
    Endocarditis 1/522 (0.2%) 0/525 (0%)
    Erysipelas 0/522 (0%) 1/525 (0.2%)
    Furuncle 0/522 (0%) 1/525 (0.2%)
    Herpes Zoster 1/522 (0.2%) 0/525 (0%)
    Labyrinthitis 1/522 (0.2%) 0/525 (0%)
    Localised Infection 0/522 (0%) 1/525 (0.2%)
    Lyme Disease 0/522 (0%) 1/525 (0.2%)
    Necrotising Fasciitis 1/522 (0.2%) 0/525 (0%)
    Neutropenic Infection 0/522 (0%) 1/525 (0.2%)
    Otitis Media 1/522 (0.2%) 0/525 (0%)
    Peritonitis Bacterial 1/522 (0.2%) 0/525 (0%)
    Pneumocystis Jiroveci Pneumonia 0/522 (0%) 1/525 (0.2%)
    Postoperative Wound Infection 0/522 (0%) 1/525 (0.2%)
    Psoas Abscess 0/522 (0%) 1/525 (0.2%)
    Pulmonary Tuberculosis 1/522 (0.2%) 0/525 (0%)
    Respiratory Tract Infection 1/522 (0.2%) 1/525 (0.2%)
    Staphylococcal Bacteraemia 1/522 (0.2%) 1/525 (0.2%)
    Staphylococcal Infection 1/522 (0.2%) 0/525 (0%)
    Subcutaneous Abscess 1/522 (0.2%) 0/525 (0%)
    Tooth Infection 0/522 (0%) 1/525 (0.2%)
    Tracheobronchitis 1/522 (0.2%) 0/525 (0%)
    Injury, poisoning and procedural complications
    Femoral Neck Fracture 2/522 (0.4%) 1/525 (0.2%)
    Subdural Haematoma 1/522 (0.2%) 2/525 (0.4%)
    Cerebral Haemorrhage Traumatic 0/522 (0%) 1/525 (0.2%)
    Facial Bones Fracture 1/522 (0.2%) 0/525 (0%)
    Hip Fracture 1/522 (0.2%) 1/525 (0.2%)
    Kidney Rupture 0/522 (0%) 1/525 (0.2%)
    Multiple Injuries 1/522 (0.2%) 0/525 (0%)
    Overdose 1/522 (0.2%) 0/525 (0%)
    Postoperative Wound Complication 0/522 (0%) 1/525 (0.2%)
    Radiation Pneumonitis 1/522 (0.2%) 0/525 (0%)
    Spinal Compression Fracture 0/522 (0%) 1/525 (0.2%)
    Stress Fracture 0/522 (0%) 1/525 (0.2%)
    Toxicity To Various Agents 1/522 (0.2%) 0/525 (0%)
    Wrist Fracture 1/522 (0.2%) 0/525 (0%)
    Haemoglobin Decreased 2/522 (0.4%) 0/525 (0%)
    Blood Electrolytes Abnormal 1/522 (0.2%) 0/525 (0%)
    Electrocardiogram QT Prolonged 0/522 (0%) 1/525 (0.2%)
    Neutrophil Count Decreased 0/522 (0%) 1/525 (0.2%)
    Transaminases Increased 0/522 (0%) 1/525 (0.2%)
    Metabolism and nutrition disorders
    Dehydration 7/522 (1.3%) 8/525 (1.5%)
    Hyponatraemia 6/522 (1.1%) 5/525 (1%)
    Hyperglycaemia 4/522 (0.8%) 3/525 (0.6%)
    Type 2 Diabetes Mellitus 0/522 (0%) 4/525 (0.8%)
    Hypophosphataemia 0/522 (0%) 2/525 (0.4%)
    Diabetes Mellitus 0/522 (0%) 1/525 (0.2%)
    Hyperkalaemia 0/522 (0%) 1/525 (0.2%)
    Hypernatraemia 1/522 (0.2%) 0/525 (0%)
    Hypocalcaemia 1/522 (0.2%) 1/525 (0.2%)
    Hypoglycaemia 1/522 (0.2%) 1/525 (0.2%)
    Musculoskeletal and connective tissue disorders
    Osteonecrosis Of Jaw 2/522 (0.4%) 2/525 (0.4%)
    Pathological Fracture 1/522 (0.2%) 2/525 (0.4%)
    Arthralgia 1/522 (0.2%) 0/525 (0%)
    Back Pain 1/522 (0.2%) 1/525 (0.2%)
    Bone Pain 0/522 (0%) 1/525 (0.2%)
    Bursitis 0/522 (0%) 1/525 (0.2%)
    Muscular Weakness 0/522 (0%) 1/525 (0.2%)
    Musculoskeletal Pain 1/522 (0.2%) 0/525 (0%)
    Myalgia 0/522 (0%) 1/525 (0.2%)
    Osteonecrosis 1/522 (0.2%) 1/525 (0.2%)
    Rheumatoid Arthritis 0/522 (0%) 1/525 (0.2%)
    Synovitis 0/522 (0%) 1/525 (0.2%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Malignant Melanoma 0/522 (0%) 2/525 (0.4%)
    Basal Cell Carcinoma 1/522 (0.2%) 0/525 (0%)
    Bladder Transitional Cell Carcinoma 0/522 (0%) 1/525 (0.2%)
    Colorectal Cancer 0/522 (0%) 1/525 (0.2%)
    Gastrointestinal Stromal Tumour 0/522 (0%) 1/525 (0.2%)
    Lentigo Maligna Stage Unspecified 1/522 (0.2%) 0/525 (0%)
    Malignant Lymphoid Neoplasm 0/522 (0%) 1/525 (0.2%)
    Rectal Cancer 1/522 (0.2%) 0/525 (0%)
    Renal Cell Carcinoma 1/522 (0.2%) 0/525 (0%)
    Nervous system disorders
    Cerebrovascular Accident 3/522 (0.6%) 1/525 (0.2%)
    Cerebral Haemorrhage 0/522 (0%) 2/525 (0.4%)
    Cerebral Infarction 1/522 (0.2%) 2/525 (0.4%)
    Presyncope 1/522 (0.2%) 2/525 (0.4%)
    Transient Ischaemic Attack 0/522 (0%) 2/525 (0.4%)
    Convulsion 0/522 (0%) 1/525 (0.2%)
    Depressed Level Of Consciousness 1/522 (0.2%) 0/525 (0%)
    Diabetic Neuropathy 1/522 (0.2%) 0/525 (0%)
    Dizziness 1/522 (0.2%) 0/525 (0%)
    Encephalopathy 1/522 (0.2%) 0/525 (0%)
    Ischaemic Stroke 1/522 (0.2%) 1/525 (0.2%)
    Neurotoxicity 1/522 (0.2%) 0/525 (0%)
    Paraplegia 1/522 (0.2%) 0/525 (0%)
    Radiculopathy 1/522 (0.2%) 0/525 (0%)
    Spinal Cord Compression 1/522 (0.2%) 1/525 (0.2%)
    Subarachnoid Haemorrhage 1/522 (0.2%) 1/525 (0.2%)
    Syncope 1/522 (0.2%) 1/525 (0.2%)
    Psychiatric disorders
    Completed Suicide 1/522 (0.2%) 3/525 (0.6%)
    Confusional State 1/522 (0.2%) 0/525 (0%)
    Delirium 0/522 (0%) 1/525 (0.2%)
    Depression 0/522 (0%) 1/525 (0.2%)
    Renal and urinary disorders
    Renal Failure Acute 7/522 (1.3%) 2/525 (0.4%)
    Haematuria 2/522 (0.4%) 4/525 (0.8%)
    Urinary Retention 1/522 (0.2%) 2/525 (0.4%)
    Bladder Neck Obstruction 1/522 (0.2%) 0/525 (0%)
    Bladder Obstruction 1/522 (0.2%) 0/525 (0%)
    Calculus Ureteric 0/522 (0%) 1/525 (0.2%)
    Calculus Urinary 0/522 (0%) 1/525 (0.2%)
    Cystitis Noninfective 0/522 (0%) 1/525 (0.2%)
    Haemorrhage Urinary Tract 1/522 (0.2%) 0/525 (0%)
    Postrenal Failure 1/522 (0.2%) 0/525 (0%)
    Renal Colic 1/522 (0.2%) 0/525 (0%)
    Renal Failure 1/522 (0.2%) 0/525 (0%)
    Renal Tubular Necrosis 1/522 (0.2%) 0/525 (0%)
    Respiratory, thoracic and mediastinal disorders
    Pulmonary Embolism 6/522 (1.1%) 7/525 (1.3%)
    Dyspnoea 0/522 (0%) 5/525 (1%)
    Pleural Effusion 3/522 (0.6%) 4/525 (0.8%)
    Respiratory Failure 4/522 (0.8%) 2/525 (0.4%)
    Lung Disorder 2/522 (0.4%) 0/525 (0%)
    Respiratory Distress 2/522 (0.4%) 1/525 (0.2%)
    Acute Respiratory Distress Syndrome 1/522 (0.2%) 0/525 (0%)
    Acute Respiratory Failure 1/522 (0.2%) 0/525 (0%)
    Bronchitis Chronic 0/522 (0%) 1/525 (0.2%)
    Cough 1/522 (0.2%) 1/525 (0.2%)
    Emphysema 1/522 (0.2%) 0/525 (0%)
    Haemoptysis 0/522 (0%) 1/525 (0.2%)
    Interstitial Lung Disease 0/522 (0%) 1/525 (0.2%)
    Orthopnoea 0/522 (0%) 1/525 (0.2%)
    Pleural Haemorrhage 0/522 (0%) 1/525 (0.2%)
    Pneumonitis 1/522 (0.2%) 1/525 (0.2%)
    Skin and subcutaneous tissue disorders
    Erythema 0/522 (0%) 1/525 (0.2%)
    Skin Ulcer 1/522 (0.2%) 0/525 (0%)
    Stevens-Johnson Syndrome 0/522 (0%) 1/525 (0.2%)
    Vascular disorders
    Deep Vein Thrombosis 3/522 (0.6%) 2/525 (0.4%)
    Aortic Aneurysm 2/522 (0.4%) 0/525 (0%)
    Hypotension 2/522 (0.4%) 2/525 (0.4%)
    Jugular Vein Thrombosis 0/522 (0%) 2/525 (0.4%)
    Circulatory Collapse 0/522 (0%) 1/525 (0.2%)
    Femoral Artery Occlusion 0/522 (0%) 1/525 (0.2%)
    Haematoma 0/522 (0%) 1/525 (0.2%)
    Hypertension 1/522 (0.2%) 0/525 (0%)
    Hypovolaemic Shock 1/522 (0.2%) 1/525 (0.2%)
    Shock 1/522 (0.2%) 0/525 (0%)
    sThrombosis 0/522 (0%) 1/525 (0.2%)
    Other (Not Including Serious) Adverse Events
    ZD4054 + Docetaxel Placebo + Docetaxel
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 490/522 (93.9%) 483/525 (92%)
    Blood and lymphatic system disorders
    Anaemia 155/522 (29.7%) 116/525 (22.1%)
    Neutropenia 114/522 (21.8%) 118/525 (22.5%)
    Leukopenia 64/522 (12.3%) 60/525 (11.4%)
    Eye disorders
    Lacrimation Increased 38/522 (7.3%) 36/525 (6.9%)
    Gastrointestinal disorders
    Diarrhoea 183/522 (35.1%) 185/525 (35.2%)
    Nausea 174/522 (33.3%) 160/525 (30.5%)
    Constipation 152/522 (29.1%) 129/525 (24.6%)
    Vomiting 110/522 (21.1%) 84/525 (16%)
    Dyspepsia 21/522 (4%) 40/525 (7.6%)
    Stomatitis 32/522 (6.1%) 35/525 (6.7%)
    Abdominal Pain 25/522 (4.8%) 34/525 (6.5%)
    Abdominal Pain Upper 31/522 (5.9%) 27/525 (5.1%)
    General disorders
    Oedema Peripheral 278/522 (53.3%) 188/525 (35.8%)
    Fatigue 150/522 (28.7%) 164/525 (31.2%)
    Asthenia 118/522 (22.6%) 117/525 (22.3%)
    Pyrexia 59/522 (11.3%) 60/525 (11.4%)
    Mucosal Inflammation 37/522 (7.1%) 28/525 (5.3%)
    Infections and infestations
    Rhinitis 51/522 (9.8%) 36/525 (6.9%)
    Urinary Tract Infection 37/522 (7.1%) 48/525 (9.1%)
    Nasopharyngitis 30/522 (5.7%) 36/525 (6.9%)
    Upper Respiratory Tract Infection 18/522 (3.4%) 27/525 (5.1%)
    Weight Decreased 37/522 (7.1%) 37/525 (7%)
    Metabolism and nutrition disorders
    Decreased Appetite 127/522 (24.3%) 119/525 (22.7%)
    Hypocalcaemia 29/522 (5.6%) 17/525 (3.2%)
    Hypokalaemia 25/522 (4.8%) 27/525 (5.1%)
    Musculoskeletal and connective tissue disorders
    Back Pain 94/522 (18%) 91/525 (17.3%)
    Arthralgia 80/522 (15.3%) 86/525 (16.4%)
    Pain In Extremity 71/522 (13.6%) 84/525 (16%)
    Myalgia 42/522 (8%) 53/525 (10.1%)
    Musculoskeletal Pain 46/522 (8.8%) 28/525 (5.3%)
    Muscle Spasms 22/522 (4.2%) 37/525 (7%)
    Muscular Weakness 29/522 (5.6%) 37/525 (7%)
    Bone Pain 28/522 (5.4%) 32/525 (6.1%)
    Musculoskeletal Chest Pain 32/522 (6.1%) 20/525 (3.8%)
    Nervous system disorders
    Headache 107/522 (20.5%) 71/525 (13.5%)
    Dysgeusia 88/522 (16.9%) 73/525 (13.9%)
    Neuropathy Peripheral 49/522 (9.4%) 65/525 (12.4%)
    Paraesthesia 45/522 (8.6%) 48/525 (9.1%)
    Dizziness 43/522 (8.2%) 45/525 (8.6%)
    Peripheral Sensory Neuropathy 41/522 (7.9%) 39/525 (7.4%)
    Hypoaesthesia 24/522 (4.6%) 28/525 (5.3%)
    Psychiatric disorders
    Insomnia 71/522 (13.6%) 59/525 (11.2%)
    Renal and urinary disorders
    Haematuria 30/522 (5.7%) 17/525 (3.2%)
    Dysuria 29/522 (5.6%) 19/525 (3.6%)
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea 82/522 (15.7%) 72/525 (13.7%)
    Cough 58/522 (11.1%) 78/525 (14.9%)
    Nasal Congestion 78/522 (14.9%) 26/525 (5%)
    Dyspnoea Exertional 43/522 (8.2%) 38/525 (7.2%)
    Epistaxis 26/522 (5%) 31/525 (5.9%)
    Skin and subcutaneous tissue disorders
    Alopecia 178/522 (34.1%) 196/525 (37.3%)
    Rash 24/522 (4.6%) 40/525 (7.6%)
    Nail Discolouration 28/522 (5.4%) 39/525 (7.4%)
    Dry Skin 32/522 (6.1%) 28/525 (5.3%)
    Nail Disorder 23/522 (4.4%) 28/525 (5.3%)
    Vascular disorders
    Hypertension 16/522 (3.1%) 37/525 (7%)
    Hypotension 33/522 (6.3%) 28/525 (5.3%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

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

    3. Other disclosure agreement that restricts the right of the PI to discuss or publish trial results after the trial is completed. AstraZeneca can review results communications prior to public release and may within 60 days of receipt require amendments to be made. AstraZeneca can also require that submission or disclosure be delayed to allow for

    Results Point of Contact

    Name/Title Gerard Lynch
    Organization AstraZeneca
    Phone
    Email aztrial_results_posting@astrazeneca.com
    Responsible Party:
    AstraZeneca
    ClinicalTrials.gov Identifier:
    NCT00617669
    Other Study ID Numbers:
    • D4320C00033
    First Posted:
    Feb 18, 2008
    Last Update Posted:
    Sep 10, 2012
    Last Verified:
    Apr 1, 2012