The classic website will no longer be available as of June 25, 2024. Please use the modernized ClinicalTrials.gov.
Working…
ClinicalTrials.gov
ClinicalTrials.gov Menu

Gemcitabine and Nab-Paclitaxel vs Gemcitabine, Nab-Paclitaxel, Durvalumab and Tremelimumab as 1st Line Therapy in Metastatic Pancreatic Adenocarcinoma

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02879318
Recruitment Status : Active, not recruiting
First Posted : August 25, 2016
Results First Posted : May 28, 2021
Last Update Posted : March 12, 2024
Sponsor:
Collaborator:
AstraZeneca
Information provided by (Responsible Party):
Canadian Cancer Trials Group

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: None (Open Label);   Primary Purpose: Treatment
Condition Pancreatic Adenocarcinoma
Interventions Drug: Gemcitabine
Drug: Nab-paclitaxel
Drug: Durvalumab
Drug: Tremelimumab
Enrollment 180
Recruitment Details From April 10, 2017 to July 28, 2018 in 25 cancer centres in Canada
Pre-assignment Details There was a run-in phase of this study which accrued the first patient on August 22, 2016, which can be considered as start date of this study. Only patients recruited from April 10, 2017 to July 28, 2018 into the randomized phase II component of the study were included in the analysis.
Arm/Group Title Gemcitabine Plus Nab-Paclitaxel Gemcitabine + Nab-Paclitaxel + Durvalumab + Tremelimumab
Hide Arm/Group Description

Gemcitabine 1000 mg/m2 IV & Nab-Paclitaxel 125 mg/m2 until unequivocal progression or unacceptable toxicity. Days 1, 8, 15 Q28 days.

Gemcitabine

Nab-paclitaxel

Gemcitabine 1000 mg/m2 IV & Nab-Paclitaxel 125 mg/m2 until unequivocal progression or unacceptable toxicity. Day 1, 8, 15 Q28 days.

plus Durvalumab 1500mg IV day 1 only Q28 days; and Tremelimumab 75 mg IV Days 1 cycles 1, 2, 3 and 4 only until unequivocal progression or unacceptable toxicity.

Gemcitabine

Nab-paclitaxel

Durvalumab

Tremelimumab

Period Title: Overall Study
Started 61 119
Completed 61 119
Not Completed 0 0
Arm/Group Title Gemcitabine Plus Nab-Paclitaxel Gemcitabine + Nab-Paclitaxel + Durvalumab + Tremelimumab Total
Hide Arm/Group Description

Gemcitabine 1000 mg/m2 IV & Nab-Paclitaxel 125 mg/m2 until unequivocal progression or unacceptable toxicity. Days 1, 8, 15 Q28 days.

Gemcitabine

Nab-paclitaxel

Gemcitabine 1000 mg/m2 IV & Nab-Paclitaxel 125 mg/m2 until unequivocal progression or unacceptable toxicity. Day 1, 8, 15 Q28 days.

plus Durvalumab 1500mg IV day 1 only Q28 days; and Tremelimumab 75 mg IV Days 1 cycles 1, 2, 3 and 4 only until unequivocal progression or unacceptable toxicity.

Gemcitabine

Nab-paclitaxel

Durvalumab

Tremelimumab

Total of all reporting groups
Overall Number of Baseline Participants 61 119 180
Hide Baseline Analysis Population Description
[Not Specified]
Age, Continuous  
Median (Full Range)
Unit of measure:  Years
Number Analyzed 61 participants 119 participants 180 participants
65
(42 to 84)
64
(29 to 81)
65
(29 to 84)
Age, Customized  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 61 participants 119 participants 180 participants
Younger than 65 years
27
  44.3%
61
  51.3%
88
  48.9%
65 years or older
34
  55.7%
58
  48.7%
92
  51.1%
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 61 participants 119 participants 180 participants
Female
35
  57.4%
52
  43.7%
87
  48.3%
Male
26
  42.6%
67
  56.3%
93
  51.7%
Race (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 61 participants 119 participants 180 participants
American Indian or Alaska Native
0
   0.0%
0
   0.0%
0
   0.0%
Asian
6
   9.8%
10
   8.4%
16
   8.9%
Native Hawaiian or Other Pacific Islander
0
   0.0%
0
   0.0%
0
   0.0%
Black or African American
0
   0.0%
2
   1.7%
2
   1.1%
White
55
  90.2%
105
  88.2%
160
  88.9%
More than one race
0
   0.0%
0
   0.0%
0
   0.0%
Unknown or Not Reported
0
   0.0%
2
   1.7%
2
   1.1%
Region of Enrollment  
Measure Type: Number
Unit of measure:  Participants
Canada Number Analyzed 61 participants 119 participants 180 participants
61 119 180
Eastern Cooperative Oncology Group (ECOG) Performance Status   [1] 
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 61 participants 119 participants 180 participants
0
14
  23.0%
27
  22.7%
41
  22.8%
1
47
  77.0%
92
  77.3%
139
  77.2%
[1]
Measure Description:

0: Fully active, able to carry on all pre-disease performance without restriction

  1. Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work
  2. Ambulatory and capable of all selfcare but unable to carry out any work activities; up and about more than 50% of waking hours
  3. Capable of only limited selfcare; confined to bed or chair more than 50% of waking hours
  4. Completely disabled; cannot carry on any selfcare; totally confined to bed or chair 5. Dead
1.Primary Outcome
Title Overall Survival
Hide Description Time from randomization to death from any cause with patients who were alive at the time of the final analysis or who became lost to follow-up censored at their last date known to be alive.
Time Frame 35 months
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Gemcitabine Plus Nab-Paclitaxel Gemcitabine + Nab-Paclitaxel + Durvalumab + Tremelimumab
Hide Arm/Group Description:

Gemcitabine 1000 mg/m2 IV & Nab-Paclitaxel 125 mg/m2 until unequivocal progression or unacceptable toxicity. Days 1, 8, 15 Q28 days.

Gemcitabine

Nab-paclitaxel

Gemcitabine 1000 mg/m2 IV & Nab-Paclitaxel 125 mg/m2 until unequivocal progression or unacceptable toxicity. Day 1, 8, 15 Q28 days.

plus Durvalumab 1500mg IV day 1 only Q28 days; and Tremelimumab 75 mg IV Days 1 cycles 1, 2, 3 and 4 only until unequivocal progression or unacceptable toxicity.

Gemcitabine

Nab-paclitaxel

Durvalumab

Tremelimumab

Overall Number of Participants Analyzed 61 119
Median (90% Confidence Interval)
Unit of Measure: months
8.8
(7.2 to 11.2)
9.8
(8.3 to 12.2)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Gemcitabine Plus Nab-Paclitaxel, Gemcitabine + Nab-Paclitaxel + Durvalumab + Tremelimumab
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.72
Comments a priori threshold for statistical significance was 0.1.
Method Log Rank
Comments stratified by ECOG performance status and prior adjuvant therapy.
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.94
Confidence Interval (2-Sided) 90%
0.71 to 1.25
Estimation Comments [Not Specified]
2.Secondary Outcome
Title Progression Free Survival
Hide Description Defined as the time from randomization to the first objective documentation of disease progression, defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions, or death due to any cause with patients who had not progressed or died at the time of final analysis censored on the date of the last tumour assessment.
Time Frame 35 months
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Gemcitabine Plus Nab-Paclitaxel Gemcitabine + Nab-Paclitaxel + Durvalumab + Tremelimumab
Hide Arm/Group Description:

Gemcitabine 1000 mg/m2 IV & Nab-Paclitaxel 125 mg/m2 until unequivocal progression or unacceptable toxicity. Days 1, 8, 15 Q28 days.

Gemcitabine

Nab-paclitaxel

Gemcitabine 1000 mg/m2 IV & Nab-Paclitaxel 125 mg/m2 until unequivocal progression or unacceptable toxicity. Day 1, 8, 15 Q28 days.

plus Durvalumab 1500mg IV day 1 only Q28 days; and Tremelimumab 75 mg IV Days 1 cycles 1, 2, 3 and 4 only until unequivocal progression or unacceptable toxicity.

Gemcitabine

Nab-paclitaxel

Durvalumab

Tremelimumab

Overall Number of Participants Analyzed 61 119
Median (90% Confidence Interval)
Unit of Measure: months
5.4
(3.6 to 6.6)
5.5
(3.8 to 5.7)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Gemcitabine Plus Nab-Paclitaxel, Gemcitabine + Nab-Paclitaxel + Durvalumab + Tremelimumab
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.91
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.98
Confidence Interval (2-Sided) 90%
0.75 to 1.29
Estimation Comments [Not Specified]
3.Secondary Outcome
Title Objective Response Rate
Hide Description Defined as percentage of participants with objective response over all participants randomized. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Objective Response (OR) = CR + PR.
Time Frame 35 months
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Gemcitabine Plus Nab-Paclitaxel Gemcitabine + Nab-Paclitaxel + Durvalumab + Tremelimumab
Hide Arm/Group Description:

Gemcitabine 1000 mg/m2 IV & Nab-Paclitaxel 125 mg/m2 until unequivocal progression or unacceptable toxicity. Days 1, 8, 15 Q28 days.

Gemcitabine

Nab-paclitaxel

Gemcitabine 1000 mg/m2 IV & Nab-Paclitaxel 125 mg/m2 until unequivocal progression or unacceptable toxicity. Day 1, 8, 15 Q28 days.

plus Durvalumab 1500mg IV day 1 only Q28 days; and Tremelimumab 75 mg IV Days 1 cycles 1, 2, 3 and 4 only until unequivocal progression or unacceptable toxicity.

Gemcitabine

Nab-paclitaxel

Durvalumab

Tremelimumab

Overall Number of Participants Analyzed 61 119
Measure Type: Count of Participants
Unit of Measure: Participants
Responded
14
  23.0%
36
  30.3%
Not responded
47
  77.0%
83
  69.7%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Gemcitabine Plus Nab-Paclitaxel, Gemcitabine + Nab-Paclitaxel + Durvalumab + Tremelimumab
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.28
Comments [Not Specified]
Method Cochran-Mantel-Haenszel
Comments stratified by ECOG performance status and prior adjuvant chemotherapy
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 1.49
Confidence Interval (2-Sided) 90%
0.81 to 2.72
Estimation Comments [Not Specified]
Time Frame 35 months
Adverse Event Reporting Description Only patients who received at least one dose of protocol treatment were included in the evaluation of adverse events.
 
Arm/Group Title Gemcitabine Plus Nab-Paclitaxel Gemcitabine + Nab-Paclitaxel + Durvalumab + Tremelimumab
Hide Arm/Group Description

Gemcitabine 1000 mg/m2 IV & Nab-Paclitaxel 125 mg/m2 until unequivocal progression or unacceptable toxicity. Days 1, 8, 15 Q28 days.

Gemcitabine

Nab-paclitaxel

Gemcitabine 1000 mg/m2 IV & Nab-Paclitaxel 125 mg/m2 until unequivocal progression or unacceptable toxicity. Day 1, 8, 15 Q28 days.

plus Durvalumab 1500mg IV day 1 only Q28 days; and Tremelimumab 75 mg IV Days 1 cycles 1, 2, 3 and 4 only until unequivocal progression or unacceptable toxicity.

Gemcitabine

Nab-paclitaxel

Durvalumab

Tremelimumab

All-Cause Mortality
Gemcitabine Plus Nab-Paclitaxel Gemcitabine + Nab-Paclitaxel + Durvalumab + Tremelimumab
Affected / at Risk (%) Affected / at Risk (%)
Total   52/58 (89.66%)   102/119 (85.71%) 
Hide Serious Adverse Events
Gemcitabine Plus Nab-Paclitaxel Gemcitabine + Nab-Paclitaxel + Durvalumab + Tremelimumab
Affected / at Risk (%) Affected / at Risk (%)
Total   26/58 (44.83%)   82/119 (68.91%) 
Blood and lymphatic system disorders     
Febrile neutropenia  1  1/58 (1.72%)  6/119 (5.04%) 
Leukocytosis  1  0/58 (0.00%)  1/119 (0.84%) 
Cardiac disorders     
Cardiac arrest  1  0/58 (0.00%)  2/119 (1.68%) 
Heart failure  1  1/58 (1.72%)  0/119 (0.00%) 
Myocarditis  1  0/58 (0.00%)  1/119 (0.84%) 
Pericardial effusion  1  0/58 (0.00%)  1/119 (0.84%) 
Gastrointestinal disorders     
Abdominal distension  1  0/58 (0.00%)  1/119 (0.84%) 
Abdominal pain  1  6/58 (10.34%)  5/119 (4.20%) 
Colitis  1  0/58 (0.00%)  5/119 (4.20%) 
Colonic obstruction  1  0/58 (0.00%)  1/119 (0.84%) 
Colonic perforation  1  0/58 (0.00%)  1/119 (0.84%) 
Constipation  1  1/58 (1.72%)  1/119 (0.84%) 
Diarrhea  1  1/58 (1.72%)  3/119 (2.52%) 
Duodenal obstruction  1  0/58 (0.00%)  1/119 (0.84%) 
Duodenal stenosis  1  0/58 (0.00%)  2/119 (1.68%) 
Enterocolitis  1  0/58 (0.00%)  1/119 (0.84%) 
Gastric hemorrhage  1  1/58 (1.72%)  1/119 (0.84%) 
Gastric ulcer  1  1/58 (1.72%)  0/119 (0.00%) 
Gastrointestinal pain  1  0/58 (0.00%)  1/119 (0.84%) 
Ileal obstruction  1  0/58 (0.00%)  1/119 (0.84%) 
Ileus  1  0/58 (0.00%)  1/119 (0.84%) 
Nausea  1  1/58 (1.72%)  2/119 (1.68%) 
Obstruction gastric  1  1/58 (1.72%)  1/119 (0.84%) 
Other gastrointestinal disorders  1  0/58 (0.00%)  1/119 (0.84%) 
Pancreatic duct stenosis  1  0/58 (0.00%)  1/119 (0.84%) 
Pancreatitis  1  1/58 (1.72%)  1/119 (0.84%) 
Proctitis  1  0/58 (0.00%)  1/119 (0.84%) 
Small intestinal obstruction  1  1/58 (1.72%)  2/119 (1.68%) 
Small intestinal perforation  1  0/58 (0.00%)  1/119 (0.84%) 
Upper gastrointestinal hemorrhage  1  0/58 (0.00%)  2/119 (1.68%) 
Vomiting  1  1/58 (1.72%)  5/119 (4.20%) 
General disorders     
Chills  1  0/58 (0.00%)  1/119 (0.84%) 
Death NOS  1  1/58 (1.72%)  0/119 (0.00%) 
Edema limbs  1  1/58 (1.72%)  3/119 (2.52%) 
Edema trunk  1  0/58 (0.00%)  1/119 (0.84%) 
Fatigue  1  1/58 (1.72%)  5/119 (4.20%) 
Fever  1  4/58 (6.90%)  14/119 (11.76%) 
Sudden death NOS  1  0/58 (0.00%)  1/119 (0.84%) 
Hepatobiliary disorders     
Bile duct stenosis  1  0/58 (0.00%)  6/119 (5.04%) 
Gallbladder obstruction  1  0/58 (0.00%)  1/119 (0.84%) 
Hepatic failure  1  0/58 (0.00%)  1/119 (0.84%) 
Immune system disorders     
Other immune system disorders  1  0/58 (0.00%)  8/119 (6.72%) 
Infections and infestations     
Appendicitis  1  0/58 (0.00%)  1/119 (0.84%) 
Biliary tract infection  1  3/58 (5.17%)  10/119 (8.40%) 
Catheter related infection  1  1/58 (1.72%)  0/119 (0.00%) 
Enterocolitis infectious  1  1/58 (1.72%)  1/119 (0.84%) 
Hepatic infection  1  0/58 (0.00%)  3/119 (2.52%) 
Lung infection  1  2/58 (3.45%)  5/119 (4.20%) 
Other infections and infestations  1  0/58 (0.00%)  1/119 (0.84%) 
Sepsis  1  7/58 (12.07%)  12/119 (10.08%) 
Skin infection  1  0/58 (0.00%)  1/119 (0.84%) 
Upper respiratory infection  1  0/58 (0.00%)  2/119 (1.68%) 
Urinary tract infection  1  0/58 (0.00%)  2/119 (1.68%) 
Injury, poisoning and procedural complications     
Aortic injury  1  0/58 (0.00%)  1/119 (0.84%) 
Fall  1  0/58 (0.00%)  1/119 (0.84%) 
Hip fracture  1  1/58 (1.72%)  0/119 (0.00%) 
Spinal fracture  1  1/58 (1.72%)  1/119 (0.84%) 
Investigations     
Blood bilirubin increased  1  0/58 (0.00%)  1/119 (0.84%) 
Platelet count decreased  1  0/58 (0.00%)  1/119 (0.84%) 
Metabolism and nutrition disorders     
Dehydration  1  0/58 (0.00%)  4/119 (3.36%) 
Hypercalcemia  1  0/58 (0.00%)  1/119 (0.84%) 
Musculoskeletal and connective tissue disorders     
Back pain  1  0/58 (0.00%)  2/119 (1.68%) 
Bone pain  1  1/58 (1.72%)  0/119 (0.00%) 
Generalized muscle weakness  1  2/58 (3.45%)  1/119 (0.84%) 
Muscle weakness lower limb  1  0/58 (0.00%)  1/119 (0.84%) 
Nervous system disorders     
Encephalopathy  1  0/58 (0.00%)  1/119 (0.84%) 
Ischemia cerebrovascular  1  0/58 (0.00%)  1/119 (0.84%) 
Lethargy  1  0/58 (0.00%)  1/119 (0.84%) 
Presyncope  1  0/58 (0.00%)  2/119 (1.68%) 
Radiculitis  1  0/58 (0.00%)  1/119 (0.84%) 
Reversible posterior leukoencephalopathy syndrome  1  0/58 (0.00%)  1/119 (0.84%) 
Stroke  1  0/58 (0.00%)  3/119 (2.52%) 
Psychiatric disorders     
Confusion  1  1/58 (1.72%)  1/119 (0.84%) 
Delirium  1  0/58 (0.00%)  2/119 (1.68%) 
Insomnia  1  0/58 (0.00%)  1/119 (0.84%) 
Renal and urinary disorders     
Acute kidney injury  1  1/58 (1.72%)  2/119 (1.68%) 
Urinary tract obstruction  1  0/58 (0.00%)  1/119 (0.84%) 
Respiratory, thoracic and mediastinal disorders     
Adult respiratory distress syndrome  1  0/58 (0.00%)  1/119 (0.84%) 
Dyspnea  1  1/58 (1.72%)  9/119 (7.56%) 
Hiccups  1  0/58 (0.00%)  1/119 (0.84%) 
Pleural effusion  1  1/58 (1.72%)  3/119 (2.52%) 
Pneumonitis  1  1/58 (1.72%)  7/119 (5.88%) 
Pulmonary edema  1  1/58 (1.72%)  1/119 (0.84%) 
Pulmonary fibrosis  1  1/58 (1.72%)  0/119 (0.00%) 
Skin and subcutaneous tissue disorders     
Photosensitivity  1  0/58 (0.00%)  1/119 (0.84%) 
Pruritus  1  0/58 (0.00%)  2/119 (1.68%) 
Rash maculo-papular  1  0/58 (0.00%)  4/119 (3.36%) 
Skin ulceration  1  0/58 (0.00%)  1/119 (0.84%) 
Vascular disorders     
Hypertension  1  0/58 (0.00%)  1/119 (0.84%) 
Hypotension  1  1/58 (1.72%)  4/119 (3.36%) 
Other vascular disorders  1  0/58 (0.00%)  1/119 (0.84%) 
Superficial thrombophlebitis  1  0/58 (0.00%)  1/119 (0.84%) 
Thromboembolic event  1  1/58 (1.72%)  5/119 (4.20%) 
1
Term from vocabulary, CTCAE (4.0)
Indicates events were collected by systematic assessment
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 5%
Gemcitabine Plus Nab-Paclitaxel Gemcitabine + Nab-Paclitaxel + Durvalumab + Tremelimumab
Affected / at Risk (%) Affected / at Risk (%)
Total   57/58 (98.28%)   118/119 (99.16%) 
Ear and labyrinth disorders     
Hearing impaired  1  3/58 (5.17%)  3/119 (2.52%) 
Eye disorders     
Blurred vision  1  2/58 (3.45%)  12/119 (10.08%) 
Dry eye  1  3/58 (5.17%)  7/119 (5.88%) 
Gastrointestinal disorders     
Abdominal distension  1  4/58 (6.90%)  10/119 (8.40%) 
Abdominal pain  1  45/58 (77.59%)  93/119 (78.15%) 
Ascites  1  3/58 (5.17%)  5/119 (4.20%) 
Bloating  1  2/58 (3.45%)  14/119 (11.76%) 
Constipation  1  33/58 (56.90%)  80/119 (67.23%) 
Diarrhea  1  33/58 (56.90%)  76/119 (63.87%) 
Dry mouth  1  5/58 (8.62%)  9/119 (7.56%) 
Dyspepsia  1  9/58 (15.52%)  20/119 (16.81%) 
Flatulence  1  1/58 (1.72%)  6/119 (5.04%) 
Gastroesophageal reflux disease  1  10/58 (17.24%)  17/119 (14.29%) 
Gastrointestinal pain  1  1/58 (1.72%)  6/119 (5.04%) 
Hemorrhoidal hemorrhage  1  3/58 (5.17%)  0/119 (0.00%) 
Hemorrhoids  1  1/58 (1.72%)  8/119 (6.72%) 
Mucositis oral  1  4/58 (6.90%)  12/119 (10.08%) 
Nausea  1  41/58 (70.69%)  88/119 (73.95%) 
Other gastrointestinal disorders  1  0/58 (0.00%)  6/119 (5.04%) 
Stomach pain  1  2/58 (3.45%)  12/119 (10.08%) 
Vomiting  1  28/58 (48.28%)  60/119 (50.42%) 
General disorders     
Chills  1  6/58 (10.34%)  19/119 (15.97%) 
Edema face  1  1/58 (1.72%)  6/119 (5.04%) 
Edema limbs  1  25/58 (43.10%)  57/119 (47.90%) 
Fatigue  1  48/58 (82.76%)  103/119 (86.55%) 
Fever  1  18/58 (31.03%)  48/119 (40.34%) 
Flu like symptoms  1  5/58 (8.62%)  15/119 (12.61%) 
Non-cardiac chest pain  1  0/58 (0.00%)  19/119 (15.97%) 
Pain  1  4/58 (6.90%)  11/119 (9.24%) 
Infections and infestations     
Lung infection  1  4/58 (6.90%)  12/119 (10.08%) 
Mucosal infection  1  0/58 (0.00%)  7/119 (5.88%) 
Skin infection  1  8/58 (13.79%)  16/119 (13.45%) 
Upper respiratory infection  1  5/58 (8.62%)  7/119 (5.88%) 
Urinary tract infection  1  7/58 (12.07%)  9/119 (7.56%) 
Injury, poisoning and procedural complications     
Bruising  1  4/58 (6.90%)  4/119 (3.36%) 
Fall  1  3/58 (5.17%)  5/119 (4.20%) 
Wound complication  1  3/58 (5.17%)  1/119 (0.84%) 
Investigations     
Weight loss  1  17/58 (29.31%)  31/119 (26.05%) 
Metabolism and nutrition disorders     
Anorexia  1  35/58 (60.34%)  76/119 (63.87%) 
Dehydration  1  6/58 (10.34%)  15/119 (12.61%) 
Musculoskeletal and connective tissue disorders     
Arthralgia  1  6/58 (10.34%)  28/119 (23.53%) 
Back pain  1  23/58 (39.66%)  62/119 (52.10%) 
Bone pain  1  4/58 (6.90%)  5/119 (4.20%) 
Flank pain  1  4/58 (6.90%)  7/119 (5.88%) 
Generalized muscle weakness  1  7/58 (12.07%)  16/119 (13.45%) 
Muscle weakness lower limb  1  4/58 (6.90%)  7/119 (5.88%) 
Myalgia  1  3/58 (5.17%)  17/119 (14.29%) 
Pain in extremity  1  7/58 (12.07%)  27/119 (22.69%) 
Nervous system disorders     
Dizziness  1  9/58 (15.52%)  24/119 (20.17%) 
Dysgeusia  1  16/58 (27.59%)  34/119 (28.57%) 
Headache  1  13/58 (22.41%)  26/119 (21.85%) 
Paresthesia  1  7/58 (12.07%)  17/119 (14.29%) 
Peripheral motor neuropathy  1  6/58 (10.34%)  9/119 (7.56%) 
Peripheral sensory neuropathy  1  20/58 (34.48%)  59/119 (49.58%) 
Somnolence  1  0/58 (0.00%)  6/119 (5.04%) 
Psychiatric disorders     
Anxiety  1  9/58 (15.52%)  33/119 (27.73%) 
Confusion  1  2/58 (3.45%)  8/119 (6.72%) 
Depression  1  5/58 (8.62%)  17/119 (14.29%) 
Insomnia  1  17/58 (29.31%)  53/119 (44.54%) 
Libido decreased  1  3/58 (5.17%)  0/119 (0.00%) 
Renal and urinary disorders     
Hematuria  1  0/58 (0.00%)  7/119 (5.88%) 
Urinary frequency  1  5/58 (8.62%)  6/119 (5.04%) 
Respiratory, thoracic and mediastinal disorders     
Allergic rhinitis  1  5/58 (8.62%)  12/119 (10.08%) 
Cough  1  14/58 (24.14%)  35/119 (29.41%) 
Dyspnea  1  22/58 (37.93%)  56/119 (47.06%) 
Epistaxis  1  12/58 (20.69%)  22/119 (18.49%) 
Hiccups  1  2/58 (3.45%)  6/119 (5.04%) 
Nasal congestion  1  3/58 (5.17%)  9/119 (7.56%) 
Pleural effusion  1  5/58 (8.62%)  7/119 (5.88%) 
Pneumonitis  1  3/58 (5.17%)  6/119 (5.04%) 
Productive cough  1  5/58 (8.62%)  6/119 (5.04%) 
Sore throat  1  3/58 (5.17%)  11/119 (9.24%) 
Skin and subcutaneous tissue disorders     
Alopecia  1  28/58 (48.28%)  64/119 (53.78%) 
Dry skin  1  5/58 (8.62%)  17/119 (14.29%) 
Erythema multiforme  1  1/58 (1.72%)  6/119 (5.04%) 
Hyperhidrosis  1  1/58 (1.72%)  13/119 (10.92%) 
Nail discoloration  1  1/58 (1.72%)  8/119 (6.72%) 
Other skin and subcutaneous tissue disorders  1  1/58 (1.72%)  10/119 (8.40%) 
Pain of skin  1  2/58 (3.45%)  7/119 (5.88%) 
Pruritus  1  6/58 (10.34%)  29/119 (24.37%) 
Rash acneiform  1  3/58 (5.17%)  15/119 (12.61%) 
Rash maculo-papular  1  14/58 (24.14%)  51/119 (42.86%) 
Vascular disorders     
Hot flashes  1  2/58 (3.45%)  9/119 (7.56%) 
Hypertension  1  7/58 (12.07%)  11/119 (9.24%) 
Hypotension  1  4/58 (6.90%)  9/119 (7.56%) 
Thromboembolic event  1  17/58 (29.31%)  30/119 (25.21%) 
1
Term from vocabulary, CTCAE (4.0)
Indicates events were collected by systematic assessment
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
Layout table for Results Point of Contact information
Name/Title: Chris O'Callaghan
Organization: Canadian Cancer Trials Group
Phone: 6135336430
EMail: cocallaghan@ctg.queensu.ca
Layout table for additonal information
Responsible Party: Canadian Cancer Trials Group
ClinicalTrials.gov Identifier: NCT02879318    
Other Study ID Numbers: PA7
First Submitted: August 22, 2016
First Posted: August 25, 2016
Results First Submitted: May 5, 2021
Results First Posted: May 28, 2021
Last Update Posted: March 12, 2024