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NCT00736944

Trial of 2 Cycles of Induction Chemo With Abraxane, Cetuximab, Cisplatin, & 5-FU for Advanced Head and Neck Cancer

Completed Phase 2 Results posted Last updated 9 September 2020
What this trial tests

Phase 2 trial testing Abraxane in Squamous Cell Carcinoma of the Head and Neck in 30 participants. Completed in 6 July 2020.

Timeline
19 December 2008
Primary endpoint
31 August 2010
6 July 2020

Quick facts

Lead sponsorWashington University School of Medicine
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment30
Start date19 December 2008
Primary completion31 August 2010
Estimated completion6 July 2020
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Washington University School of Medicine

Who can join

18 and older, any sex, with Squamous Cell Carcinoma of the Head and Neck. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Clinical Complete Response Rate at the Primary Tumor Primary · post-2 cycles of induction (approximately 42 days from start of treatment)

Clinical exam included laryngoscopy in office or operating room. Complete response rate includes complete response (CR) which is defined as 100% decrease in tumor size and it also includes near complete response (near CR) defined as 95-99% decrease in tumor size.

GroupValue95% CI
Induction Chemo + RT + Cisplatin or Cetuximab16
Clinical Partial Response Rate at the Primary Tumor Secondary · post-2 cycles of induction therapy (approximately 42 days from start of treatment)

Clinical exam included laryngoscopy in office or operating room. Partial response rate (PR) defined as 50% to 94% decrease in tumor size.

GroupValue95% CI
Induction Chemo + RT + Cisplatin or Cetuximab14
Clinical Complete and Partial Response Rates to the Involved Regional Nodes Secondary · post-2 cycles of induction therapy (approximately 42 days from start of treatment)

Clinical exam consisted of physical exam of neck in office. Complete response rate includes complete response (CR) which is defined as 100% decrease in tumor size and near complete response (near CR) defined as 95-99% decrease in tumor size. Partial response rate defined as 50% to 94% decrease in tumor size.

Complete response
GroupValue95% CI
Induction Chemo + RT + Cisplatin or Cetuximab11
Partial response
GroupValue95% CI
Induction Chemo + RT + Cisplatin or Cetuximab7
Clinical Overall Complete and Partial Response Rates Secondary · post-2 cycles of induction therapy (approximately 42 days)

Clinical exam included laryngoscopy in office or operating room. Clinical exam consisted of physical exam of neck in office. Complete response rate includes complete response (CR) which is defined as 100% decrease in tumor size and it also includes near complete response (near CR) defined as 95-99% decrease in tumor size. Partial response rate defined as 50% to 94% decrease in tumor size.

Overall complete response
GroupValue95% CI
Induction Chemo + RT + Cisplatin or Cetuximab13
Overall partial response
GroupValue95% CI
Induction Chemo + RT + Cisplatin or Cetuximab17
Complete and Partial Response Rates of Primary Tumor by FDG Uptake on PET Scan Secondary · post-2 cycles of induction therapy (approximately 42 days from start of treatment)

Complete response rate defined as complete resolution of the metabolically active primary tumor. Partial response rate defined as 20% or greater decrease in maximum SUV \[SUV g/ml) = ROI activity (mCi/ml) / (injected dose (mCi/body weight(g))\] from baseline. No unequivocal metabolic progression of non-target disease, and no unequivocal new lesions.

Complete response
GroupValue95% CI
Induction Chemo + RT + Cisplatin or Cetuximab9
Partial response
GroupValue95% CI
Induction Chemo + RT + Cisplatin or Cetuximab17
Complete and Partial Response Rates of Involved Lymph Nodes by FDG Uptake on PET Scan Secondary · post-2 cycles of induction therapy (approximately 42 days from start of treatment)

Complete response rate defined as complete resolution of the metabolically active primary tumor. Partial response rate defined as 20% or greater decrease in maximum SUV \[SUV g/ml) = ROI activity (mCi/ml) / (injected dose (mCi/body weight(g))\] from baseline. No unequivocal metabolic progression of non-target disease, and no unequivocal new lesions.

Complete response
GroupValue95% CI
Induction Chemo + RT + Cisplatin or Cetuximab9
Partial response
GroupValue95% CI
Induction Chemo + RT + Cisplatin or Cetuximab14
Radiographic Complete and Partial Response Rates of Primary Tumor as Assessed by Conventional CT Scan Using RECIST Criteria Secondary · post-2 cycles of induction therapy (approximately 42 days from start of treatment)

Complete response rate per RECIST criteria is defined as disappearance of all target lesions. Partial response rate per RECIST criteria is defined as at least a 30% decrease in the sum of the longest diameter of target lesions taking as reference the baseline sum longest diameter.

Complete response
GroupValue95% CI
Induction Chemo + RT + Cisplatin or Cetuximab10
Partial response
GroupValue95% CI
Induction Chemo + RT + Cisplatin or Cetuximab11
Radiographic Complete and Partial Response Rates of Involved Lymph Nodes as Assessed by Conventional CT Scan Using RECIST Criteria Secondary · post-2 cycles of induction therapy (approximately 42 days from start of treatment)

Complete response rate per RECIST criteria is defined as disappearance of all target lesions. Partial response rate per RECIST criteria is defined as at least a 30% decrease in the sum of the longest diameter of target lesions taking as reference the baseline sum longest diameter.

Complete response
GroupValue95% CI
Induction Chemo + RT + Cisplatin or Cetuximab7
Partial response
GroupValue95% CI
Induction Chemo + RT + Cisplatin or Cetuximab12
Radiographic Overall Complete and Partial Response Rates as Assessed by Conventional CT Scan Using RECIST Criteria Secondary · post-2 cycles of induction therapy (approximately 42 days from start of treatment)

Complete response rate per RECIST criteria is defined as disappearance of all target lesions. Partial response rate per RECIST criteria is defined as at least a 30% decrease in the sum of the longest diameter of target lesions taking as reference the baseline sum longest diameter.

Overall complete response
GroupValue95% CI
Induction Chemo + RT + Cisplatin or Cetuximab4
Overall partial response
GroupValue95% CI
Induction Chemo + RT + Cisplatin or Cetuximab14
Correlate Primary Tumor Site Response Rates Based on Visual Categorical Criteria of Assessment With That Based on CT Scan and FDG-PET/CT Secondary · post-2 cycles of induction therapy (approximately 42 days from start of treatment)

In the future, primary tumor site, nodal, and OTR by VCR (CR-x or PR-x = Y or N) will be compared with response based on CT scan (CR-x or PR-x = Y or N) using a test for difference in paired, binary values. Median standardized uptake value of FDG measured by PET/CT will be compared among those with or without response (CR-x or PR-x) using nonparametric Wilcoxon-Mann-Whitney tests. We are releasing results based on comparing actual responses from visual categorical response, CT scan, and FDG-PET/CT scan after 2 cycles.

Complete Response
GroupValue95% CI
Clinical Examination53
CT Scan33
FDG-PET/CT32
Partial Response
GroupValue95% CI
Clinical Examination47
CT Scan41
FDG-PET/CT61
Stable Disease/Progressive Disease
GroupValue95% CI
Clinical Examination0
CT Scan26
FDG-PET/CT7
Correlate Nodal Response Rates Based on Visual Categorical Criteria of Assessment With That Based on CT Scan and FDG-PET/CT Secondary · post-2 cycles of induction therapy (approximately 42 days from start of treatment)

In the future, primary tumor site, nodal, and overall tumor response by visual categorical response (CR-x or PR-x = yes or no) will be compared with response based on CT scan (CR-x or PR-x = yes or no) using a test for difference in paired, binary values (e.g., McNemar's test). Median standardized uptake value of FDG measured by PET/CT will be compared among those with or without response (CR-x or PR-x) using nonparametric Wilcoxon-Mann-Whitney tests. At this point, we are releasing results based on comparing actual responses from visual categorical response, CT scan, and FDG-PET/CT scan after

Complete Response
GroupValue95% CI
Clinical Examination61
CT Scan30
FDG-PET/CT36
Partial Response
GroupValue95% CI
Clinical Examination39
CT Scan48
FDG-PET/CT56
Stable Disease/Progressive Disease
GroupValue95% CI
Clinical Examination0
CT Scan22
FDG-PET/CT8
Correlate Overall Tumor Response Rates Based on Visual Categorical Criteria of Assessment With That Based on CT Scan and FDG-PET/CT Secondary · post-2 cycles of induction therapy (approximately 42 days from start of treatment)

In the future, primary tumor site, nodal, and overall tumor response by visual categorical response (CR-x or PR-x = yes or no) will be compared with response based on CT scan (CR-x or PR-x = yes or no) using a test for difference in paired, binary values (e.g., McNemar's test). Median standardized uptake value of FDG measured by PET/CT will be compared among those with or without response (CR-x or PR-x) using nonparametric Wilcoxon-Mann-Whitney tests. At this point, we are releasing results based on comparing actual responses from visual categorical response, CT scan, and FDG-PET/CT scan after

Complete Response
GroupValue95% CI
Clinical Examination43
CT Scan14
FDG-PET/CT24
Partial Response
GroupValue95% CI
Clinical Examination57
CT Scan50
FDG-PET/CT66
Stable Disease/Progressive Disease
GroupValue95% CI
Clinical Examination0
CT Scan36
FDG-PET/CT10

Adverse events — posted to ClinicalTrials.gov

Time frame: From time of consent through completion of induction chemotherapy.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Induction Chemo + RT + Cisplatin or Cetuximab
Serious: 19/30 (63%)
Deaths:

Serious adverse events (28 terms)

ReactionSystemInduction Chemo + RT + Cis…
Neutrophils (ANC)Investigations
LymphopeniaInvestigations
Rash: acneiformSkin and subcutaneous tissue disorders
Thrombosis/thrombus/embolism-vascular access deviceVascular disorders
FatigueGeneral disorders
Leukocytes (WBC)Investigations
Potassium, lowMetabolism and nutrition disorders
Calcium, lowMetabolism and nutrition disorders
Allergic reaction/hypersensitivityImmune system disorders
ColitisGastrointestinal disorders
DehydrationMetabolism and nutrition disorders
DiarrheaGastrointestinal disorders
NauseaGastrointestinal disorders
Sodium, lowMetabolism and nutrition disorders
Phosphorus, lowMetabolism and nutrition disorders
Renal failureRenal and urinary disorders
Thrombosis/thrombus/embolismVascular disorders
Supraventricular and nodal arrhythmia: atrial fibrillationCardiac disorders
Cardiac ischemiaCardiac disorders
MucositisGastrointestinal disorders
PlateletsInvestigations
Infection with normal ANC-rectal abscessInfections and infestations
Infection with grade 4 neutrophils:lung-pneumoniaInfections and infestations
Albumin, lowMetabolism and nutrition disorders
Glucose, highMetabolism and nutrition disorders
Other adverse events (39 terms — click to expand)

ReactionSystemInduction Chemo + RT + Cis…
HemoglobinInvestigations
Leukocytes (WBC)Investigations
Rash:acneiformSkin and subcutaneous tissue disorders
FatigueGeneral disorders
NauseaGastrointestinal disorders
LymphopeniaInvestigations
Neutrophils (ANC)Investigations
DiarrheaGastrointestinal disorders
AlopeciaSkin and subcutaneous tissue disorders
Calcium, lowMetabolism and nutrition disorders
SGPT (ALT)Investigations
Magnesium, lowInvestigations
PlateletsInvestigations
ConstipationGastrointestinal disorders
CreatinineInvestigations
MucositisGastrointestinal disorders
Alkaline phosphataseInvestigations
Albumin, lowMetabolism and nutrition disorders
Sodium, lowInvestigations
Neuropathy:sensory (peripheral)Nervous system disorders
VomitingGastrointestinal disorders
Glucose, highMetabolism and nutrition disorders
Potassium, lowInvestigations
INRInvestigations
HeartburnGastrointestinal disorders
Hemorrhage:noseBlood and lymphatic system disorders
SGOT (AST)Investigations
Edema:limbGeneral disorders
Potassium, highInvestigations
DizzinessNervous system disorders
Pain:tumor painNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Allergic reaction/hypersensitivityImmune system disorders
PTTInvestigations
Weight lossInvestigations
Rash:penile (unconfirmed HSV)Skin and subcutaneous tissue disorders
Dental:teethGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
Hiccoughs (hiccups)Respiratory, thoracic and mediastinal disorders
GFRRenal and urinary disorders

Most-reported serious reactions: Neutrophils (ANC), Lymphopenia, Rash: acneiform, Thrombosis/thrombus/embolism-vascular access device, Fatigue, Leukocytes (WBC), Potassium, low, Calcium, low.

Data from ClinicalTrials.gov NCT00736944 adverse events section.

Sponsor's own description

This phase two trial will determine the tumor response rate at the primary site and at involved regional nodes to two cycles of an IC regimen of weekly Abraxane and cetuximab given in combination with cisplatin and 5-FU in patients with local regionally advanced HNSCC.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. A phase 2 trial of induction nab-paclitaxel and cetuximab given with cisplatin and 5-fluorouracil followed by concurrent cisplatin and radiation for locally advanced squamous cell carcinoma of the head and neck.
    Adkins D, Ley J, Trinkaus K, Thorstad W, et al · · 2013 · cited 28× · PMID 22991252 · DOI 10.1002/cncr.27741
  2. Nab-paclitaxel-based compared to docetaxel-based induction chemotherapy regimens for locally advanced squamous cell carcinoma of the head and neck.
    Schell A, Ley J, Wu N, Trinkaus K, et al · · 2015 · cited 25× · PMID 25619559 · DOI 10.1002/cam4.382
  3. Shooting at Moving and Hidden Targets-Tumour Cell Plasticity and the Notch Signalling Pathway in Head and Neck Squamous Cell Carcinomas.
    Kałafut J, Czerwonka A, Anameriç A, Przybyszewska-Podstawka A, et al · · 2021 · cited 21× · PMID 34944837 · DOI 10.3390/cancers13246219
  4. Exploring the Therapeutic Implications of Co-Targeting the EGFR and Spindle Assembly Checkpoint Pathways in Oral Cancer.
    Calheiros-Lobo M, Silva JPN, Pinto B, Monteiro L, et al · · 2024 · cited 2× · PMID 39339232 · DOI 10.3390/pharmaceutics16091196

Verify or expand the search:

Other trials of Abraxane

Trials testing the same drug.

Other recruiting trials for Squamous Cell Carcinoma of the Head and Neck

Currently open trials in the same condition.

Other Washington University School of Medicine trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00736944.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing