Clincosm LogoSign in Get a demo

AMG 386 and Abiraterone for Advanced Prostate Cancer

Sponsor
National Cancer Institute (NCI) (NIH)
Overall Status
Completed
CT.gov ID
NCT01553188
Collaborator
(none)
36
Enrollment
2
Locations
3
Arms
76.7
Actual Duration (Months)
18
Patients Per Site
0.2
Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Background:

  • Advanced prostate cancer is treated with surgery or drugs that lower the levels of androgens (male hormones) in the body. However, some cancers become resistant to this treatment. These types of cancers are known as castration-resistant prostate cancers.

  • Interfering with the growth of blood vessels that feed tumors can slow prostate cancer growth. Trebananib (AMG 386), a new anticancer drug, targets the blood vessels that feed tumors. It has been tested for different types of cancer, but not for prostate cancer. Researchers want to see if AMG 386 can slow disease progression in men with castration-resistant prostate cancer. AMG 386 will be given with abiraterone and prednisone, two drugs that are also used to treat advanced prostate cancer.

Objectives:
  • To test the safety and effectiveness of AMG 386 with abiraterone for castration-resistant prostate cancer.
Eligibility:
  • Men at least 18 years of age with castration-resistant prostate cancer.
Design:

  • Participants will be screened with a physical exam, medical history, and imaging studies. Blood and urine samples will also be collected.

  • Participants will be separated into two groups.

  • The first group will have AMG 386 once per week for a total of four doses during a 28-day cycle. They will also take abiraterone once a day and prednisone twice a day, every day of the cycle.

  • The second group will not have AMG 386. They will take abiraterone once a day and prednisone twice a day, every day of the 28-day cycle.

  • Treatment will be monitored with frequent blood tests and imaging studies.

  • Participants will continue to take the study drugs as long as the disease does not progress and there are no severe side effects.

Condition or Disease Intervention/Treatment Phase
Phase 2

Detailed Description

Background:

  • Inhibition of angiogenesis, either as a stand-alone approach or in combination with chemotherapy, has demonstrable antitumor efficacy against castration-resistant prostate cancer (CRPC) and there are several antiangiogenic agents that are now in clinical trials in this population of patients.

  • AMG 386 is a novel peptide-Fc fusion protein. The molecule is a non-glycosylated homodimer engineered by fusing an Immunoglobulin gamma-1 heavy chain constant region, partial (IgG1 Fc) domain to 4 copies of an anti-angiopoietin 2 (Ang2) peptide. AMG 386 sequesters Ang1 and Ang2, thereby preventing their interaction with Tie2 and inhibiting tumor endothelial cell (EC) proliferation and tumor growth.

  • Abiraterone acetate is a small molecule that irreversibly inhibits Cytochrome P450 17A1 (CYP17), a rate-limiting enzyme in androgen biosynthesis, to block residual androgen synthesis in the adrenal gland and tumor cells.

  • Previous studies have demonstrated that in vivo alterations of testosterone levels regulate the expression of vascular endothelial growth factor (VEGF), fibroblast growth factor (FGF), and angiopoietin family members. Dual targeting of the androgen and angiogenic axis represents a novel approach as a potential targeted therapy for patients with metastatic castration-resistant prostate cancer (CRPC).

Objectives:

-To estimate the treatment effect as measured by progression free survival (PFS) in patients treated with AMG 386 plus abiraterone/prednisone relative to abiraterone/prednisone alone.

Eligibility:

-Patients with progressive, metastatic CRPC with radiographic evidence of progression after primary therapy (surgery or radiotherapy) and adequate androgen deprivation therapy.

Design:

  • This is an open-label, randomized, phase II multicenter trial with a two-part design and a planned accrual of 88 patients.

  • An initial run-in phase of AMG 386 will be conducted with 15mg/kg weekly escalating to 30mg/kg weekly to establish the MTD. The decision on declaration of a safe and tolerable dose during this run-in phase will lead to the second part of the study consisting of a randomized comparison of abiraterone/prednisone plus AMG 386 (at the established maximum tolerated dose (MTD)) vs. abiraterone/prednisone alone.

  • AMG 386 will be administered intravenously every week, on days 1, 8, 15 and 22 of each 28-day cycle. Abiraterone acetate will be self-administered once daily by mouth and prednisone will be self-administered by mouth either twice per day at 5 mg per dose or once per day at 10 mg per dose as the patient prefers.

Study Design

Study Type:
Interventional
Actual Enrollment :
36 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase II Multicenter Study of AMG 386 and Abiraterone in Metastatic Castration Resistant Prostate Cancer
Actual Study Start Date :
Feb 8, 2012
Actual Primary Completion Date :
Apr 20, 2017
Actual Study Completion Date :
Jul 1, 2018

Arms and Interventions

Arm Intervention/Treatment
Experimental: Abiraterone, Prednisone and AMG

Abiraterone and prednisone will be given with maximum tolerated dose (MTD) of Trebananib (AMG)

Drug: AMG 386
AMG 386 dose will be calculated using the subjects actual body weight (Kg). Supplied in 240 mg v will be administered as an intravenous (IV) infusion using an intravenous infusion pump given over a 60-minute period.
Other Names:
  • Trebananib

    • Drug: Abiraterone
    A 1,000 mg dose of abiraterone should be taken orally once daily
    Other Names:
  • Zytiga

    • Drug: Prednisone
    Prednisone should be taken orally either, at 5mg twice a day for each dose or 10 mg once a day a patients preference.
    Other Names:
  • Deltasone

    		•
    Active Comparator: Abiraterone and Prednisone only

    Abiraterone and prednisone only

    Drug: Abiraterone
    A 1,000 mg dose of abiraterone should be taken orally once daily
    Other Names:
  • Zytiga

    • Drug: Prednisone
    Prednisone should be taken orally either, at 5mg twice a day for each dose or 10 mg once a day a patients preference.
    Other Names:
  • Deltasone

    		•
    Other: Run in

    Dose escalation phase to determine MTD of AMG

    Drug: AMG 386
    AMG 386 dose will be calculated using the subjects actual body weight (Kg). Supplied in 240 mg v will be administered as an intravenous (IV) infusion using an intravenous infusion pump given over a 60-minute period.
    Other Names:
  • Trebananib

    • Drug: Abiraterone
    A 1,000 mg dose of abiraterone should be taken orally once daily
    Other Names:
  • Zytiga

    		•

    Outcome Measures

    Primary Outcome Measures

    1. Progression Free Survival (PFS) [Median potential follow-up of 50.3 months]

      PFS is defined as the duration of time from start of treatment to time of progression or death, whichever comes first. Clinical progression is assessed by the Response Criteria in Solid Tumors (RECIST) and is at least a 20% increase in the sum of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progressions).

    Secondary Outcome Measures

    1. Radiographic Progression Free Survival [Median potential follow-up of 50.3 months]

      Radiographic progression free survival is defined as the duration of time from start of treatment to time of radiographic progression by computed tomography (CT) scan (or magnetic resonance imaging (MRI)) or bone scan. Progression is a minimum of two new lesions observed on bone scan. The minimum size for a measurable lesion on CY and MRI should be twice the slice thickness based on the assumption that CT slice thickness is 500 or less.

    2. Overall Survival [Time between the first day of treatment to the day of death, approximately 50.3 months.]

      Overall Survival is the time between the first day of treatment to the day of death.

    3. Count of Participants With Serious and Non-serious Adverse Events [Date treatment consent signed to date off study, approximately 65 months and 7 days]

      Here is the count of participants with serious and non-serious adverse events assessed by the Common Terminology Criteria in Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

    Other Outcome Measures

    1. Maximum Tolerated Dose (MTD) [First 28 days of treatment]

      The MTD is defined as the highest dose studied for which the incidence of dose limiting toxicity was less than 33%.

    2. Dose Limiting Toxicity (DLT) [First 28 days of treatment]

      DLTs are defined as any grade 3 or higher hematologic (excluding anemia) or non-hematologic toxicity considered to be possible related to AMG 386. Any treatment related adverse events that lead tor reduction of dose exposure of either agent (duration or dose) by >50% in cycle 1 will be considered a DLT.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 100 Years
    Sexes Eligible for Study:
    Male
    Accepts Healthy Volunteers:
    No

    • INCLUSION CRITERIA:

    • Must have metastatic, progressive, castrate-resistant prostate cancer (CRPC) with radiographic evidence of disease that has continued to progress radiographically or biochemically (rising prostatic specific antigen (PSA) levels on successive measurements) despite adequate androgen-deprivation therapy. If patients had been on flutamide, disease progression is documented 4 weeks or more after withdrawal. For patients on bicalutamide or nilutamide disease progression is documented 6 or more weeks after withdrawal. Flutamide, nilutamide and bicalutamide disease progression requirements only apply to patients who have been on these drugs for at least the prior 6 months.

    • Histopathological confirmation of prostate cancer by the Laboratory of Pathology of the National Cancer Institute (NCI) or Walter Reed National Military Medical Center prior to entering this study. Patients enrolled at participating sites may have histopathological confirmation at the enrolling center prior to entering the study. Patients whose pathology specimens are no longer available may be enrolled if the patient has a clinical course that is consistent with prostate cancer and available documentation from an outside pathology laboratory of the diagnosis. All efforts should be made to have the material forwarded to the research team for use in correlative studies in cases where original tissue blocks or archival biopsy material is available.

    • Patients must have metastatic disease, defined as at least one lesion on bone scan or at least one lesion that can be accurately measured in at least one dimension (longest diameter to be recorded for non-nodal lesions and short axis for nodal lesions) as >20 mm with conventional techniques or as >10 mm with spiral computed tomography (CT) scan, magnetic resonance imaging (MRI), or calipers by clinical exam.

    • Patients participating in the study must have Metastatic Castration-Resistant Prostate Cancer (mCRPC).

    • Patients who have received docetaxel plus androgen deprivation therapy (ADT) for metastatic castrate sensitive prostate cancer are eligible for the study. (Patients may enroll as long as they did not have progressive disease while on docetaxel and are 6 months removed from treatment, with all treatment related toxicities resolving to at least grade 1.)

    • Patients may not have had more than 7 days of treatment with ketoconazole by mouth in the past 6 months.

    • Males greater than or equal to 18 years of age. Because no dosing or adverse event data are currently available on the use AMG 386 in combination with abiraterone in patients <18 years of age, children are excluded from this study, but will be eligible for future pediatric trials.

    • Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to 2 for run-in phase; ECOG less than or equal to 1 for randomized phase.

    • Life expectancy of > 3 months for the run in phase and > 6 months for the randomized phase.

    • Adequate bone marrow, hepatic, and renal function with:

    • Leukocytes greater than or equal to 3000/mu L

    • Absolute neutrophil count (ANC) greater than or equal to 1500/mu L

    • Platelets greater than or equal to 100000/mu L

    • Total bilirubin less than or equal to 1.5 times institutional upper limits of normal

    • Aspartate aminotransferase (AST) serum glutamic oxaloacetic transaminase(SGOT)/alanine aminotransferase (ALT) serum glutamic pyruvic transaminase(SGPT) less than or equal to 2.5 times institutional upper limits of normal

    • Partial thromboplastin time (PTT) or activated partial thromboplastin time (aPTT) less than or equal to 1.5 times upper limits of normal (ULN) per institutional laboratory range and international normalized ratio (INR) less than or equal to 5

    • Creatinine less than or equal to 1.5 times institutional upper limits of normal

    OR

    • Creatinine clearance of >40 mL/min per 24 h urine collection or calculated according to the Cockcroft-Gault formula

    ---Creatinine clearance (CrCl) (mL/min) = (((140-age) times actual body weight (kg))/(72 x serum creatinine (mg/dL)))*(x 0.85 for females)

    • Urinary protein less than or equal to 30 mg/dL in urinalysis or less than or equal to1+ on dipstick, unless quantitative protein is <1000 mg in a 24h urine sample

    • Generally well-controlled blood pressure with systolic blood pressure less than or equal to 140 mmHg AND diastolic blood pressure less than or equal to 90 mmHg prior to enrollment. The use of antihypertensive medications to control hypertension is permitted.

    • Must have recovered from any acute toxicity related to prior therapy, including surgery. Toxicity should be less than or equal to grade 1 Common Terminology Criteria in Adverse Events (CTCAE) version 4 or has returned to baseline. Alopecia >grade 1 is permitted.

    • The effects of AMG 386 on the developing human fetus are unknown. For this reason and because inhibitors of angiogenesis as well as other therapeutic agents used in this trial are known to be teratogenic, men must agree to use adequate contraception

    (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation. Should a woman become pregnant or suspect she is pregnant while her partner is participating in this study, she should inform her treating

    physician immediately. Men treated or enrolled on this protocol must agree to use adequate contraception prior to the study, for the duration of study participation, and 6 months after completion of AMG 386 administration.

    -Must have the ability to understand and the willingness to sign a written informed consent document.

    EXCLUSION CRITERIA:

    • Patients who have had chemotherapy for metastatic castration-resistant prostate cancer.

    • History or presence of known central nervous system metastases.

    • History of venous or arterial thromboembolism within 12 months prior to enrollment/randomization.

    • History of clinically significant bleeding within 6 months of enrollment/randomization.

    • Currently or previously treated with AMG 386, or other molecules that primarily inhibit the angiopoietins or Tie2 receptor.

    • Clinically significant cardiovascular disease within 12 months prior to enrollment/randomization, including myocardial infarction, unstable angina, grade 2 or greater peripheral vascular disease, cerebrovascular accident, transient ischemic attack, congestive heart failure, or arrhythmias not controlled by outpatient medication or placement of percutaneous transluminal coronary angioplasty/stent.

    • Major surgery within 28 days prior to enrollment or still recovering from prior surgery.

    • Minor surgical procedures, placement of tunneled central venous access device within 3 days prior to randomization/enrollment.

    • Treatment within 30 days prior to enrollment with the following: cyclosporine, tacrolimus, sirolimus, mycophenolate mofetil, methotrexate, azathioprine, rapamycin, and targeted immune modulators such as abatacept (CTLA-4-Ig), adalimumab,

    alefacept, anakinra, belatacept (LEA29Y), efalizumab, etanercept, infliximab, or rituximab.

    • Patients who have had large field radiotherapy must wait 2 weeks prior to entering the study.

    • Non-healing wound, ulcer (including gastrointestinal), or fracture.

    • Contraindication to steroid use or history of allergic reactions attributable to the study compounds.

    • History of allergic reactions to bacterially-produced proteins.

    • Previously diagnosed with another malignancy, within the past two years with the exception of non-melanoma skin cancers or non-invasive bladder cancer.

    • Patients who have not yet completed at least 28 days (30 days for prior monoclonal antibody therapy) since receiving other investigational drugs.

    • Inability to absorb abiraterone after oral administration (i.e., previous major gastrointestinal surgery or gastrointestinal disease resulting in malabsorption).

    • Use of ketoconazole, itraconazole, ritonavir, cyclosporine, carbamazepine, phenytoin, phenobarbital within 2 weeks prior to and while on study therapy.

    • Human immunodeficiency virus (HIV)-positive patients on combination antiretroviral therapy are ineligible because of the potential for pharmacokinetic interactions with the study agents. In addition, these patients are at increased risk of lethal infections when treated with marrow-suppressive

    therapy. Appropriate studies will be undertaken in patients receiving combination antiretroviral therapy when indicated.

    • Uncontrolled intercurrent illness or infections, unstable angina pectoris, cardiac arrythmias, renal dysfunction, or psychiatric illness/social situations that would limit compliance with study requirements.

    • Have had treatment with docetaxel for the treatment of metastatic castrate-sensitive prostate cancer within 6 months before the first dose of study enrollment.

    • Have had progression of prostate cancer on prior docetaxel treatment for castrate sensitive disease.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 National Institutes of Health Clinical Center, 9000 Rockville Pike Bethesda Maryland United States 20892
    2 Fox Chase Cancer Center Philadelphia Pennsylvania United States 19111

    Sponsors and Collaborators

    • National Cancer Institute (NCI)

    Investigators

    • Principal Investigator: Ravi A Madan, M.D., National Cancer Institute (NCI)

    Study Documents (Full-Text)

    More Information

    Additional Information:

    Publications

    Responsible Party:
    Ravi A. Madan, M.D., Principal Investigator, National Cancer Institute (NCI)
    ClinicalTrials.gov Identifier:
    NCT01553188
    Other Study ID Numbers:
    • 120079
    • 12-C-0079
    First Posted:
    Mar 14, 2012
    Last Update Posted:
    Mar 5, 2019
    Last Verified:
    Feb 1, 2019
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Ravi A. Madan, M.D., Principal Investigator, National Cancer Institute (NCI)
    Anti-Angiogenesis
    Ang 1
    Ang 2
    Peptide-Fc fusion protein
    Small Molecule
    Additional relevant MeSH terms:
    Prostatic Neoplasms
    Neoplasms
    Prednisone
    Trebananib

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail An initial run-I phase of AMG 386 will be conducted with 15mg/kg weekly escalating to 30mg/kg weekly to establish the maximum tolerated dose.
    Arm/Group Title DL 1 Run in - 15mg/kg DL 2 Run in - 30mg/kg Abiraterone, Prednisone and AMG Abiraterone and Prednisone Only
    Arm/Group Description Dose escalation phase to determine MTD of AMG AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily DL 1 AMG is 15 mg/kg DL 2 AMG is 30 mg/kg The randomized portion is 30 mg/kg. Dose escalation phase to determine MTD of AMG AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily DL 1 AMG is 15 mg/kg DL 2 AMG is 30 mg/kg The randomized portion is 30 mg/kg. Abiraterone and prednisone will be given with maximum tolerated dose (MTD) of Trebananib (AMG) AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Supplied in 240 mg v will be administered as an intravenous (IV) infusion using an intravenous infusion pump given over a 60-minute period. Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily Prednisone: Prednisone should be taken orally either, at 5mg twice a day for each dose or 10 mg once a day a patients preference. Abiraterone and prednisone only Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily Prednisone: Prednisone should be taken orally either, at 5mg twice a day for each dose or 10 mg once a day a patients preference.
    Period Title: Overall Study
    STARTED 3 6 16 11
    COMPLETED 2 5 14 11
    NOT COMPLETED 1 1 2 0

    Baseline Characteristics

    Arm/Group Title DL 1 Run in - 15mg/kg DL 2 Run in - 30mg/kg Abiraterone, Prednisone and AMG Abiraterone and Prednisone Only Total
    Arm/Group Description Dose escalation phase to determine MTD of AMG AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily DL 1 AMG is 15 mg/kg DL 2 AMG is 30 mg/kg The randomized portion is 30 mg/kg. Dose escalation phase to determine MTD of AMG AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily DL 1 AMG is 15 mg/kg DL 2 AMG is 30 mg/kg The randomized portion is 30 mg/kg. Abiraterone and prednisone will be given with maximum tolerated dose (MTD) of Trebananib (AMG) AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Supplied in 240 mg v will be administered as an intravenous (IV) infusion using an intravenous infusion pump given over a 60-minute period. Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily Prednisone: Prednisone should be taken orally either, at 5mg twice a day for each dose or 10 mg once a day a patients preference. Abiraterone and prednisone only Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily Prednisone: Prednisone should be taken orally either, at 5mg twice a day for each dose or 10 mg once a day a patients preference. Total of all reporting groups
    Overall Participants 3 6 16 11 36
    Age (Count of Participants)
    <=18 years
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Between 18 and 65 years
    3
    100%
    6
    100%
    2
    12.5%
    3
    27.3%
    14
    38.9%
    >=65 years
    0
    0%
    0
    0%
    14
    87.5%
    8
    72.7%
    22
    61.1%
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    62.4
    (1.8)
    62.9
    (8.7)
    74.85
    (7.44)
    66.05
    (9.87)
    69.13
    (9.56)
    Sex: Female, Male (Count of Participants)
    Female
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Male
    3
    100%
    6
    100%
    16
    100%
    11
    100%
    36
    100%
    Race/Ethnicity, Customized (Count of Participants)
    Not meeting definition for Hispanic or Latino
    3
    100%
    6
    100%
    16
    100%
    10
    90.9%
    35
    97.2%
    Mexican, Puerto Rican, Cuban, Central or So Amer.
    0
    0%
    0
    0%
    0
    0%
    1
    9.1%
    1
    2.8%
    Black or African American
    0
    0%
    4
    66.7%
    5
    31.3%
    0
    0%
    9
    25%
    White
    3
    100%
    2
    33.3%
    10
    62.5%
    11
    100%
    26
    72.2%
    Unknown
    0
    0%
    0
    0%
    1
    6.3%
    0
    0%
    1
    2.8%
    Region of Enrollment (Count of Participants)
    United States
    3
    100%
    6
    100%
    16
    100%
    11
    100%
    36
    100%
    OnStudy Prostatic Specific Antigen (PSA) (Count of Participants)
    >4.0 mg/mL
    3
    100%
    6
    100%
    0
    0%
    0
    0%
    9
    25%
    <4.0 mg/mL
    0
    0%
    0
    0%
    0
    0%
    2
    18.2%
    2
    5.6%

    Outcome Measures

    1. Primary Outcome
    Title Progression Free Survival (PFS)
    Description PFS is defined as the duration of time from start of treatment to time of progression or death, whichever comes first. Clinical progression is assessed by the Response Criteria in Solid Tumors (RECIST) and is at least a 20% increase in the sum of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progressions).
    Time Frame Median potential follow-up of 50.3 months

    Outcome Measure Data

    Analysis Population Description
    One patient of the 9 (i.e., Run-in in Participant Flow) was not evaluable for responses as we previously defined through the document. Thus, it cannot be included in the PFS assessment. Patient came off the trial early for other reasons.
    Arm/Group Title DL 1 Run in - 15mg/kg DL 2 Run in - 30mg/kg Abiraterone, Prednisone and AMG Abiraterone and Prednisone Only
    Arm/Group Description Dose escalation phase to determine MTD of AMG AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily DL 1 AMG is 15 mg/kg DL 2 AMG is 30 mg/kg The randomized portion is 30 mg/kg. Dose escalation phase to determine MTD of AMG AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily DL 1 AMG is 15 mg/kg DL 2 AMG is 30 mg/kg The randomized portion is 30 mg/kg. Abiraterone and prednisone will be given with maximum tolerated dose (MTD) of Trebananib (AMG) AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Supplied in 240 mg v will be administered as an intravenous (IV) infusion using an intravenous infusion pump given over a 60-minute period. Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily Prednisone: Prednisone should be taken orally either, at 5mg twice a day for each dose or 10 mg once a day a patients preference. Abiraterone and prednisone only Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily Prednisone: Prednisone should be taken orally either, at 5mg twice a day for each dose or 10 mg once a day a patients preference.
    Measure Participants 2 6 16 11
    Median (95% Confidence Interval) [Months]
    2.8
    9.0
    11.5
    10.1
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Abiraterone, Prednisone and AMG
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.44
    Comments
    Method Log rank two-tailed p-value
    Comments
    2. Secondary Outcome
    Title Radiographic Progression Free Survival
    Description Radiographic progression free survival is defined as the duration of time from start of treatment to time of radiographic progression by computed tomography (CT) scan (or magnetic resonance imaging (MRI)) or bone scan. Progression is a minimum of two new lesions observed on bone scan. The minimum size for a measurable lesion on CY and MRI should be twice the slice thickness based on the assumption that CT slice thickness is 500 or less.
    Time Frame Median potential follow-up of 50.3 months

    Outcome Measure Data

    Analysis Population Description
    One patient of the 9 (i.e., Run-in in Participant Flow) was not evaluable for responses as we previously defined through the document. Thus, it cannot be included in the PFS assessment. Patient came off the trial early for other reasons.
    Arm/Group Title DL 1 Run in - 15mg/kg DL 2 Run in - 30mg/kg Abiraterone, Prednisone and AMG Abiraterone and Prednisone Only
    Arm/Group Description Dose escalation phase to determine MTD of AMG AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily DL 1 AMG is 15 mg/kg DL 2 AMG is 30 mg/kg The randomized portion is 30 mg/kg. Dose escalation phase to determine MTD of AMG AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily DL 1 AMG is 15 mg/kg DL 2 AMG is 30 mg/kg The randomized portion is 30 mg/kg. Abiraterone and prednisone will be given with maximum tolerated dose (MTD) of Trebananib (AMG) AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Supplied in 240 mg v will be administered as an intravenous (IV) infusion using an intravenous infusion pump given over a 60-minute period. Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily Prednisone: Prednisone should be taken orally either, at 5mg twice a day for each dose or 10 mg once a day a patients preference. Abiraterone and prednisone only Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily Prednisone: Prednisone should be taken orally either, at 5mg twice a day for each dose or 10 mg once a day a patients preference.
    Measure Participants 2 6 16 11
    Median (95% Confidence Interval) [Months]
    2.7
    9.0
    13.7
    10.6
    3. Secondary Outcome
    Title Overall Survival
    Description Overall Survival is the time between the first day of treatment to the day of death.
    Time Frame Time between the first day of treatment to the day of death, approximately 50.3 months.

    Outcome Measure Data

    Analysis Population Description
    One patient of the 9 (i.e., Run-in in Participant Flow) was not evaluable for responses as we previously defined through the document. Thus, it cannot be included in the PFS assessment. Patient came off the trial early for other reasons.
    Arm/Group Title DL 1 Run in - 15mg/kg DL 2 Run in - 30mg/kg Abiraterone, Prednisone and AMG Abiraterone and Prednisone Only
    Arm/Group Description Dose escalation phase to determine MTD of AMG AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily DL 1 AMG is 15 mg/kg DL 2 AMG is 30 mg/kg The randomized portion is 30 mg/kg. Dose escalation phase to determine MTD of AMG AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily DL 1 AMG is 15 mg/kg DL 2 AMG is 30 mg/kg The randomized portion is 30 mg/kg. Abiraterone and prednisone will be given with maximum tolerated dose (MTD) of Trebananib (AMG) AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Supplied in 240 mg v will be administered as an intravenous (IV) infusion using an intravenous infusion pump given over a 60-minute period. Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily Prednisone: Prednisone should be taken orally either, at 5mg twice a day for each dose or 10 mg once a day a patients preference. Abiraterone and prednisone only Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily Prednisone: Prednisone should be taken orally either, at 5mg twice a day for each dose or 10 mg once a day a patients preference.
    Measure Participants 2 6 16 11
    Median (95% Confidence Interval) [Months]
    11.1
    27.9
    31.1
    25.5
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection DL 1 Run in - 15mg/kg, Abiraterone, Prednisone and AMG
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.26
    Comments
    Method Log rank two-tailed p-value
    Comments
    4. Secondary Outcome
    Title Count of Participants With Serious and Non-serious Adverse Events
    Description Here is the count of participants with serious and non-serious adverse events assessed by the Common Terminology Criteria in Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.
    Time Frame Date treatment consent signed to date off study, approximately 65 months and 7 days

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title DL 1 Run in - 15mg/kg DL 2 Run in - 30mg/kg Abiraterone, Prednisone and AMG Abiraterone and Prednisone Only
    Arm/Group Description Dose escalation phase to determine MTD of AMG AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily DL 1 AMG is 15 mg/kg DL 2 AMG is 30 mg/kg The randomized portion is 30 mg/kg. Dose escalation phase to determine MTD of AMG AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily DL 1 AMG is 15 mg/kg DL 2 AMG is 30 mg/kg The randomized portion is 30 mg/kg. Abiraterone and prednisone will be given with maximum tolerated dose (MTD) of Trebananib (AMG) AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Supplied in 240 mg v will be administered as an intravenous (IV) infusion using an intravenous infusion pump given over a 60-minute period. Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily Prednisone: Prednisone should be taken orally either, at 5mg twice a day for each dose or 10 mg once a day a patients preference. Abiraterone and prednisone only Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily Prednisone: Prednisone should be taken orally either, at 5mg twice a day for each dose or 10 mg once a day a patients preference.
    Measure Participants 3 6 16 11
    Count of Participants [Participants]
    3
    100%
    6
    100%
    16
    100%
    11
    100%
    5. Other Pre-specified Outcome
    Title Maximum Tolerated Dose (MTD)
    Description The MTD is defined as the highest dose studied for which the incidence of dose limiting toxicity was less than 33%.
    Time Frame First 28 days of treatment

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title All Participants
    Arm/Group Description All participants who had at least one dose of Abiraterone, prednisone, and/or Trebananib (AMG 386).
    Measure Participants 36
    Number [mg/kg]
    30
    6. Other Pre-specified Outcome
    Title Dose Limiting Toxicity (DLT)
    Description DLTs are defined as any grade 3 or higher hematologic (excluding anemia) or non-hematologic toxicity considered to be possible related to AMG 386. Any treatment related adverse events that lead tor reduction of dose exposure of either agent (duration or dose) by >50% in cycle 1 will be considered a DLT.
    Time Frame First 28 days of treatment

    Outcome Measure Data

    Analysis Population Description
    Per protocol, only participants in the Run-in phase were evaluated for DLT.
    Arm/Group Title DL 1 Run in - 15mg/kg DL 2 Run in - 30mg/kg
    Arm/Group Description Dose escalation phase to determine MTD of AMG AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily DL 1 AMG is 15 mg/kg DL 2 AMG is 30 mg/kg The randomized portion is 30 mg/kg. Dose escalation phase to determine MTD of AMG AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily DL 1 AMG is 15 mg/kg DL 2 AMG is 30 mg/kg The randomized portion is 30 mg/kg.
    Measure Participants 3 6
    Count of Participants [Participants]
    0
    0%
    1
    16.7%

    Adverse Events

    Time Frame Date treatment consent signed to date off study, approximately 65 months and 7 days.
    Adverse Event Reporting Description
    Arm/Group Title DL 1 Run in - 15mg/kg DL 2 Run in - 30mg/kg Abiraterone, Prednisone and AMG Abiraterone and Prednisone Only
    Arm/Group Description Dose escalation phase to determine MTD of AMG AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily DL 1 AMG is 15 mg/kg DL 2 AMG is 30 mg/kg The randomized portion is 30 mg/kg. Dose escalation phase to determine MTD of AMG AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily DL 1 AMG is 15 mg/kg DL 2 AMG is 30 mg/kg The randomized portion is 30 mg/kg. Abiraterone and prednisone will be given with maximum tolerated dose (MTD) of Trebananib (AMG) AMG 386: AMG 386 dose will be calculated using the subjects actual body weight (Kg). Supplied in 240 mg v will be administered as an intravenous (IV) infusion using an intravenous infusion pump given over a 60-minute period. Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily Prednisone: Prednisone should be taken orally either, at 5mg twice a day for each dose or 10 mg once a day a patients preference. Abiraterone and prednisone only Abiraterone: A 1,000 mg dose of abiraterone should be taken orally once daily Prednisone: Prednisone should be taken orally either, at 5mg twice a day for each dose or 10 mg once a day a patients preference.
    All Cause Mortality
    DL 1 Run in - 15mg/kg DL 2 Run in - 30mg/kg Abiraterone, Prednisone and AMG Abiraterone and Prednisone Only
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/3 (0%) 1/6 (16.7%) 4/16 (25%) 3/11 (27.3%)
    Serious Adverse Events
    DL 1 Run in - 15mg/kg DL 2 Run in - 30mg/kg Abiraterone, Prednisone and AMG Abiraterone and Prednisone Only
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 3/3 (100%) 6/6 (100%) 14/16 (87.5%) 11/11 (100%)
    Cardiac disorders
    Supraventricular tachycardia 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1
    Eye disorders
    Glaucoma 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    General disorders
    Fatigue 0/3 (0%) 0 1/6 (16.7%) 1 0/16 (0%) 0 0/11 (0%) 0
    Gait disturbance 0/3 (0%) 0 1/6 (16.7%) 1 0/16 (0%) 0 0/11 (0%) 0
    Death NOS 0/3 (0%) 0 1/6 (16.7%) 1 4/16 (25%) 4 3/11 (27.3%) 3
    Infections and infestations
    Sepsis 0/3 (0%) 0 1/6 (16.7%) 1 2/16 (12.5%) 2 0/11 (0%) 0
    Lung infection 0/3 (0%) 0 0/6 (0%) 0 2/16 (12.5%) 2 1/11 (9.1%) 1
    Metabolism and nutrition disorders
    Dehydration 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1
    Musculoskeletal and connective tissue disorders
    Back pain 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, progressive disease 2/3 (66.7%) 2 3/6 (50%) 3 6/16 (37.5%) 6 8/11 (72.7%) 8
    Nervous system disorders
    Ataxia 1/3 (33.3%) 1 0/6 (0%) 0 0/16 (0%) 0 0/11 (0%) 0
    Dizziness 1/3 (33.3%) 1 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Nervous system disorders - Other, specify 1/3 (33.3%) 2 0/6 (0%) 0 0/16 (0%) 0 0/11 (0%) 0
    Presyncope 0/3 (0%) 0 1/6 (16.7%) 1 0/16 (0%) 0 0/11 (0%) 0
    Syncope 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Psychiatric disorders
    Confusion 0/3 (0%) 0 1/6 (16.7%) 2 0/16 (0%) 0 0/11 (0%) 0
    Renal and urinary disorders
    Acute kidney injury 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Urinary tract obstruction 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Respiratory, thoracic and mediastinal disorders
    Bronchopulmonary hemorrhage 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Respiratory failure 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Hypoxia 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 2/11 (18.2%) 2
    Vascular disorders
    Thromboembolic event 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 1/11 (9.1%) 1
    Other (Not Including Serious) Adverse Events
    DL 1 Run in - 15mg/kg DL 2 Run in - 30mg/kg Abiraterone, Prednisone and AMG Abiraterone and Prednisone Only
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 3/3 (100%) 6/6 (100%) 16/16 (100%) 11/11 (100%)
    Blood and lymphatic system disorders
    Anemia 0/3 (0%) 0 0/6 (0%) 0 3/16 (18.8%) 6 5/11 (45.5%) 12
    Cardiac disorders
    Atrial fibrillation 0/3 (0%) 0 1/6 (16.7%) 1 1/16 (6.3%) 2 0/11 (0%) 0
    Sinus bradycardia 0/3 (0%) 0 1/6 (16.7%) 1 1/16 (6.3%) 1 0/11 (0%) 0
    Sinus tachycardia 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 1/11 (9.1%) 1
    Palpitations 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1
    Ear and labyrinth disorders
    Ear and labyrinth disorders - Other, specify 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1
    Ear pain 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1
    Eye disorders
    Cataract 0/3 (0%) 0 1/6 (16.7%) 1 0/16 (0%) 0 0/11 (0%) 0
    Dry eye 0/3 (0%) 0 1/6 (16.7%) 1 0/16 (0%) 0 0/11 (0%) 0
    Blurred vision 0/3 (0%) 0 0/6 (0%) 0 2/16 (12.5%) 2 1/11 (9.1%) 1
    Eye pain 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Gastrointestinal disorders
    Nausea 0/3 (0%) 0 2/6 (33.3%) 2 2/16 (12.5%) 3 3/11 (27.3%) 5
    Vomiting 0/3 (0%) 0 2/6 (33.3%) 2 3/16 (18.8%) 5 3/11 (27.3%) 8
    Bloating 0/3 (0%) 0 1/6 (16.7%) 1 0/16 (0%) 0 0/11 (0%) 0
    Dental caries 0/3 (0%) 0 1/6 (16.7%) 1 0/16 (0%) 0 0/11 (0%) 0
    Dry mouth 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Oral pain 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 1/11 (9.1%) 1
    Toothache 0/3 (0%) 0 2/6 (33.3%) 2 0/16 (0%) 0 0/11 (0%) 0
    Ascites 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Constipation 0/3 (0%) 0 1/6 (16.7%) 1 1/16 (6.3%) 1 3/11 (27.3%) 4
    Dyspepsia 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Flatulence 0/3 (0%) 0 1/6 (16.7%) 1 1/16 (6.3%) 1 0/11 (0%) 0
    Gastritis 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Abdominal pain 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 2/11 (18.2%) 3
    Colitis 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1
    Diarrhea 0/3 (0%) 0 1/6 (16.7%) 1 3/16 (18.8%) 3 5/11 (45.5%) 8
    Enterocolitis infectious 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1
    Gastroesophageal reflux disease 1/3 (33.3%) 1 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1
    Rectal hemorrhage 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1
    General disorders
    Edema limbs 0/3 (0%) 0 5/6 (83.3%) 10 14/16 (87.5%) 33 7/11 (63.6%) 12
    Fatigue 1/3 (33.3%) 1 3/6 (50%) 3 8/16 (50%) 14 5/11 (45.5%) 7
    Gait disturbance 1/3 (33.3%) 1 1/6 (16.7%) 1 0/16 (0%) 0 0/11 (0%) 0
    Genital edema 0/3 (0%) 0 1/6 (16.7%) 1 1/16 (6.3%) 1 0/11 (0%) 0
    Pain 1/3 (33.3%) 1 2/6 (33.3%) 2 3/16 (18.8%) 7 3/11 (27.3%) 3
    Edema face 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 1/11 (9.1%) 1
    Edema trunk 0/3 (0%) 0 1/6 (16.7%) 1 1/16 (6.3%) 1 0/11 (0%) 0
    Flu like symptoms 0/3 (0%) 0 1/6 (16.7%) 1 0/16 (0%) 0 1/11 (9.1%) 1
    Infusion site extravasation 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Chills 0/3 (0%) 0 0/6 (0%) 0 2/16 (12.5%) 8 0/11 (0%) 0
    Fever 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 2 3/11 (27.3%) 4
    Infusion related reaction 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Localized edema 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Infections and infestations
    Mucosal infection 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 5 0/11 (0%) 0
    Sinusitis 1/3 (33.3%) 1 0/6 (0%) 0 1/16 (6.3%) 3 1/11 (9.1%) 1
    Urinary tract infection 0/3 (0%) 0 0/6 (0%) 0 3/16 (18.8%) 3 0/11 (0%) 0
    Bronchial infection 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1
    Lung infection 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 2
    Skin infection 0/3 (0%) 0 1/6 (16.7%) 1 0/16 (0%) 0 1/11 (9.1%) 1
    Injury, poisoning and procedural complications
    Bruising 0/3 (0%) 0 1/6 (16.7%) 1 0/16 (0%) 0 0/11 (0%) 0
    Injury, poisoning and procedural complications - Other, specify 0/3 (0%) 0 1/6 (16.7%) 1 0/16 (0%) 0 0/11 (0%) 0
    Fall 0/3 (0%) 0 1/6 (16.7%) 1 2/16 (12.5%) 2 0/11 (0%) 0
    Fracture 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Investigations
    Weight gain 1/3 (33.3%) 1 3/6 (50%) 3 11/16 (68.8%) 28 3/11 (27.3%) 4
    Weight loss 2/3 (66.7%) 2 0/6 (0%) 0 1/16 (6.3%) 1 3/11 (27.3%) 3
    Alanine aminotransferase increased 0/3 (0%) 0 0/6 (0%) 0 2/16 (12.5%) 2 2/11 (18.2%) 3
    Alkaline phosphatase increased 0/3 (0%) 0 0/6 (0%) 0 3/16 (18.8%) 4 4/11 (36.4%) 9
    Creatinine increased 0/3 (0%) 0 1/6 (16.7%) 1 2/16 (12.5%) 2 0/11 (0%) 0
    Lymphocyte count decreased 0/3 (0%) 0 0/6 (0%) 0 3/16 (18.8%) 6 4/11 (36.4%) 9
    Aspartate aminotransferase increased 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 1/11 (9.1%) 4
    Metabolism and nutrition disorders
    Dehydration 1/3 (33.3%) 1 1/6 (16.7%) 1 2/16 (12.5%) 2 0/11 (0%) 0
    Muscle weakness lower limb 1/3 (33.3%) 1 1/6 (16.7%) 1 2/16 (12.5%) 3 0/11 (0%) 0
    Hypercalcemia 0/3 (0%) 0 1/6 (16.7%) 2 0/16 (0%) 0 0/11 (0%) 0
    Hyperglycemia 0/3 (0%) 0 1/6 (16.7%) 1 3/16 (18.8%) 4 4/11 (36.4%) 7
    Hypermagnesemia 0/3 (0%) 0 1/6 (16.7%) 1 0/16 (0%) 0 1/11 (9.1%) 1
    Hypokalemia 0/3 (0%) 0 1/6 (16.7%) 1 1/16 (6.3%) 2 0/11 (0%) 0
    Hypomagnesemia 0/3 (0%) 0 0/6 (0%) 0 2/16 (12.5%) 2 0/11 (0%) 0
    Hyponatremia 0/3 (0%) 0 0/6 (0%) 0 3/16 (18.8%) 4 1/11 (9.1%) 1
    Anorexia 0/3 (0%) 0 0/6 (0%) 0 4/16 (25%) 6 1/11 (9.1%) 1
    Hyperkalemia 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 2/11 (18.2%) 2
    Hypoalbuminemia 0/3 (0%) 0 0/6 (0%) 0 3/16 (18.8%) 5 4/11 (36.4%) 9
    Hypophosphatemia 0/3 (0%) 0 0/6 (0%) 0 2/16 (12.5%) 3 2/11 (18.2%) 4
    Glucose intolerance 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 2
    Hypocalcemia 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 2/11 (18.2%) 2
    Musculoskeletal and connective tissue disorders
    Generalized muscle weakness 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Arthralgia 0/3 (0%) 0 0/6 (0%) 0 2/16 (12.5%) 3 1/11 (9.1%) 1
    Bone pain 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 2/11 (18.2%) 2
    Joint effusion 0/3 (0%) 0 0/6 (0%) 0 2/16 (12.5%) 2 0/11 (0%) 0
    Myalgia 0/3 (0%) 0 1/6 (16.7%) 1 3/16 (18.8%) 3 0/11 (0%) 0
    Back pain 0/3 (0%) 0 1/6 (16.7%) 1 2/16 (12.5%) 3 6/11 (54.5%) 8
    Buttock pain 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1
    Chest wall pain 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 1/11 (9.1%) 1
    Musculoskeletal and connective tissue disorder - Other, specify 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1
    Neck pain 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1
    Non-cardiac chest pain 0/3 (0%) 0 1/6 (16.7%) 1 0/16 (0%) 0 2/11 (18.2%) 2
    Pain in extremity 0/3 (0%) 0 0/6 (0%) 0 2/16 (12.5%) 2 2/11 (18.2%) 2
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Tumor pain 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1
    Nervous system disorders
    Dizziness 1/3 (33.3%) 1 2/6 (33.3%) 2 9/16 (56.3%) 14 2/11 (18.2%) 2
    Movements involuntary 0/3 (0%) 0 1/6 (16.7%) 1 0/16 (0%) 0 0/11 (0%) 0
    Dysgeusia 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 2/11 (18.2%) 2
    Headache 0/3 (0%) 0 1/6 (16.7%) 1 3/16 (18.8%) 4 1/11 (9.1%) 1
    Memory impairment 1/3 (33.3%) 1 0/6 (0%) 0 1/16 (6.3%) 1 1/11 (9.1%) 1
    Nervous system disorders - Other, restless legs 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1
    Paresthesia 0/3 (0%) 0 0/6 (0%) 0 2/16 (12.5%) 2 2/11 (18.2%) 2
    Peripheral sensory neuropathy 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1
    Syncope 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1
    Psychiatric disorders
    Insomnia 0/3 (0%) 0 2/6 (33.3%) 3 1/16 (6.3%) 1 3/11 (27.3%) 3
    Confusion 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1
    Renal and urinary disorders
    Acute kidney injury 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Proteinuria 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 1/11 (9.1%) 1
    Urinary frequency 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Urinary incontinence 0/3 (0%) 0 0/6 (0%) 0 2/16 (12.5%) 2 0/11 (0%) 0
    Urinary retention 0/3 (0%) 0 1/6 (16.7%) 1 1/16 (6.3%) 1 0/11 (0%) 0
    Urinary tract pain 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Urinary urgency 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Cystitis noninfective 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1
    Hematuria 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 2/11 (18.2%) 3
    Reproductive system and breast disorders
    Genital edema 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Pelvic pain 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Respiratory, thoracic and mediastinal disorders
    Dyspnea 1/3 (33.3%) 1 1/6 (16.7%) 1 4/16 (25%) 6 3/11 (27.3%) 5
    Pleural effusion 1/3 (33.3%) 1 0/6 (0%) 0 2/16 (12.5%) 2 1/11 (9.1%) 1
    Cough 0/3 (0%) 0 2/6 (33.3%) 3 3/16 (18.8%) 5 3/11 (27.3%) 5
    Pericardial effusion 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Sore throat 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 2/11 (18.2%) 2
    Upper respiratory infection 0/3 (0%) 0 1/6 (16.7%) 1 1/16 (6.3%) 1 4/11 (36.4%) 4
    Wheezing 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Bronchopulmonary hemorrhage 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 2
    Nasal congestion 0/3 (0%) 0 1/6 (16.7%) 1 1/16 (6.3%) 3 1/11 (9.1%) 1
    Skin and subcutaneous tissue disorders
    Skin and subcutaneous tissue disorders - Other, specify 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Skin ulceration 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 2 0/11 (0%) 0
    Periorbital edema 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Skin and subcutaneous tissue disorders - Other, abrasion 1/3 (33.3%) 1 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Dry skin 0/3 (0%) 0 2/6 (33.3%) 3 0/16 (0%) 0 1/11 (9.1%) 1
    Pruritus 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 2/11 (18.2%) 2
    Rash maculo-papular 0/3 (0%) 0 2/6 (33.3%) 2 2/16 (12.5%) 2 2/11 (18.2%) 3
    Skin and subcutaneous tissue disorders - Other, specify 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 2/11 (18.2%) 2
    Skin hyperpigmentation 0/3 (0%) 0 2/6 (33.3%) 2 1/16 (6.3%) 1 1/11 (9.1%) 1
    Vascular disorders
    Hot flashes 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 0/11 (0%) 0
    Hypertension 0/3 (0%) 0 0/6 (0%) 0 6/16 (37.5%) 12 2/11 (18.2%) 4
    Hypotension 0/3 (0%) 0 0/6 (0%) 0 1/16 (6.3%) 1 1/11 (9.1%) 1
    Phlebitis 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1
    Thromboembolic event 0/3 (0%) 0 0/6 (0%) 0 0/16 (0%) 0 1/11 (9.1%) 1

    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 Dr. Ravi Madan
    Organization National Cancer Institute
    Phone 301-480-7168
    Email madanr@mail.nih.gov
    Responsible Party:
    Ravi A. Madan, M.D., Principal Investigator, National Cancer Institute (NCI)
    ClinicalTrials.gov Identifier:
    NCT01553188
    Other Study ID Numbers:
    • 120079
    • 12-C-0079
    First Posted:
    Mar 14, 2012
    Last Update Posted:
    Mar 5, 2019
    Last Verified:
    Feb 1, 2019