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NCT00768664

Open-Label Trial Of Oral PF-00299804 By Continuous Dosing In Patients With Recurrent Or Metastatic Head And Neck Squamous Cell Cancer

Completed Phase 2 Results posted Last updated 9 February 2021
What this trial tests

Phase 2 trial testing PF-00299804 in Head and Neck Neoplasms in 69 participants. Completed in 18 April 2012.

Timeline
4 November 2008
Primary endpoint
5 May 2010
18 April 2012

Quick facts

Lead sponsorPfizer
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Maskingnone
Primary purposetreatment
Enrollment69
Start date4 November 2008
Primary completion5 May 2010
Estimated completion18 April 2012
Sites10 locations across Canada

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

Adults 18 to 99, any sex, with Head and Neck Neoplasms. 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.

Percentage of Participants With Objective Response (OR) of Complete Response (CR) or Partial Response (PR) Primary · Baseline up to 18 months

Percentage of participants with best OR of confirmed CR or PR according to Response Evaluation Criteria in Solid Tumors (RECIST) relative to total number of evaluable participants for response. CR defined as disappearance of all target/non-target lesions. PR defined as at least a 30 percent (%) decrease in sum of the longest dimensions of target lesions taking as a reference the baseline sum longest dimensions. Confirmed responses (CR and PR) were those that persisted on a follow-up imaging assessment greater than or equal to (≥)4 weeks after the initial objective documentation of response.

GroupValue95% CI
Dacomitinib 45 mg12.55.6 – 23.5
Duration of Response (DR) Secondary · Baseline up to 18 months

Time in weeks from the first documentation of objective tumor response (CR or PR) to progression or death due to progressive disease (PD). DR was calculated as (the date of the first documentation of PD or death due to PD minus the date of the first CR or PR that was subsequently confirmed plus 1). DR was calculated for the subgroup of participants with a confirmed objective tumor response (CR or PR).

GroupValue95% CI
Dacomitinib 45 mg17.912.6 – 20.1
Duration of Stable Disease (SD) Secondary · Baseline up to 18 months

Time in weeks from start of treatment to date of objective disease progression (based on RECIST criteria). SD defined as neither sufficient shrinkage for PR nor sufficient increase for PD, taking as a reference the smallest sum of the longest dimensions since treatment start. Participants last known to be alive, not to have started new anticancer treatment, to be progression free, and who had a baseline and at least 1 on-study disease assessment were censored at date of last objective disease assessment that verified lack of PD. Participants who died not due to PD censored on death date.

GroupValue95% CI
Dacomitinib 45 mg14.612.0 – 24.7
Progression-Free Survival (PFS) Secondary · Baseline up to 18 months

Time in weeks from date of enrollment to first documentation of PD, death due to any cause, symptomatic deterioration, or start of secondary anticancer therapy, whichever occurred first. PFS calculated as (first event date minus enrollment date plus 1). Documentation of progression determined from objective disease assessment based on RECIST criteria. PD defined as at least a 20% increase in the sum of the longest dimensions of the target lesions taking as a reference the smallest sum of the longest dimensions recorded since treatment started or the appearance of 1 or more new lesions.

GroupValue95% CI
Dacomitinib 45 mg12.111.1 – 17.9
Progression-Free Survival (PFS) at 6 Months and at 1 Year Secondary · Baseline up to 52 weeks

Probability of being event-free (event defined as PD, death due to any cause, symptomatic deterioration, or start of secondary anticancer therapy) at 26 weeks and 52 weeks after the first dose of study treatment.

Probability of being event free at Week 26
GroupValue95% CI
Dacomitinib 45 mg21.411.4 – 33.4
Probability of being event free at Week 52
GroupValue95% CI
Dacomitinib 45 mg2.10.2 – 9.8
Overall Survival (OS) Secondary · Baseline up to 18 months

Time in weeks from the start date of enrollment to date of death due to any cause. OS was calculated as (the death date minus the enrollment date plus 1). Participants without death dates, last known to be alive were censored at last contact.

GroupValue95% CI
Dacomitinib 45 mg34.629.4 – 52.1
Overall Survival at 6 Months and 1 Year Secondary · Baseline up to Week 52

Probability of survival 26 weeks and 52 weeks after the first dose of study treatment.

Survival Probability at Week 26
GroupValue95% CI
Dacomitinib 45 mg66.553.7 – 76.5
Survival Probability at Week 52
GroupValue95% CI
Dacomitinib 45 mg39.627.6 – 51.3
Trough Plasma Concentrations (Ctrough) of Dacomitinib After Repeat Dosing Secondary · Predose on Day 1 of Cycles 2, 3, and 4 and predose on Day 8 of Cycle 1

Trough concentrations of dacomitinib in plasma measured as nanograms per milliliter (ng/mL).

Cycle 1 Day 8
GroupValue95% CI
Dacomitinib 45 mg64.300.000 – 118
Cycle 2 Day 1
GroupValue95% CI
Dacomitinib 45 mg76.857.67 – 244
Cycle 3 Day 1
GroupValue95% CI
Dacomitinib 45 mg74.5021.6 – 248
Cycle 4 Day 1
GroupValue95% CI
Dacomitinib 45 mg69.6012.1 – 191
Ctrough of Dacomitinib After Repeat Dosing In Participants Requiring Administration of Dacomitinib With a Feeding Tube Secondary · Predose on Day 1 of Cycles 2, 3, and 4 and predose on Day 8 of Cycle 1
Cycle 1 Day 8
GroupValue95% CI
Dacomitinib 45 mg81.3046.1 – 105
Cycle 2 Day 1
GroupValue95% CI
Dacomitinib 45 mg92.0564.3 – 130
Cycle 3 Day 1
GroupValue95% CI
Dacomitinib 45 mg129.295.3 – 163
Cycle 4 Day 1
GroupValue95% CI
Dacomitinib 45 mg156156 – 156
Maximum Observed Plasma Concentration (Cmax) In Participants Requiring Administration of Dacomitinib With a Feeding Tube Secondary · Cycle 1 Day 1 at predose and 1, 2, 4, 6, 8, 10, and 24 hours postdose
GroupValue95% CI
Dacomitinib 45 mg23.8023.8 – 23.8
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) In Participants Requiring Administration of Dacomitinib With a Feeding Tube Secondary · Cycle 1 Day 1 at predose and 1, 2, 4, 6, 8, 10, and 24 hours postdose

Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast).

GroupValue95% CI
Dacomitinib 45 mg285.0285 – 285
Time to Reach Maximum Observed Plasma Concentration (Tmax) In Participants Requiring Administration of Dacomitinib With a Feeding Tube Secondary · Cycle 1 Day 1 at predose and 1, 2, 4, 6, 8, 10, and 24 hours postdose
GroupValue95% CI
Dacomitinib 45 mg4.004.00 – 4.00

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Dacomitinib 45 mg
Serious: 20/69 (29%)
Deaths:

Serious adverse events (34 terms)

ReactionSystemDacomitinib 45 mg
DiarrhoeaGastrointestinal disorders
Disease progressionGeneral disorders
VomitingGastrointestinal disorders
DehydrationMetabolism and nutrition disorders
Pneumonia aspirationRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
Angina pectorisCardiac disorders
Atrial fibrillationCardiac disorders
Cardio-respiratory arrestCardiac disorders
DysphagiaGastrointestinal disorders
NauseaGastrointestinal disorders
Chest painGeneral disorders
Brain abscessInfections and infestations
CellulitisInfections and infestations
PneumoniaInfections and infestations
SepsisInfections and infestations
Septic shockInfections and infestations
Pelvic fractureInjury, poisoning and procedural complications
Blood creatinine increasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
HypercalcaemiaMetabolism and nutrition disorders
HyperglycaemiaMetabolism and nutrition disorders
HyponatraemiaMetabolism and nutrition disorders
Squamous cell carcinoma of skinNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cerebral infarctionNervous system disorders
Other adverse events (189 terms — click to expand)

ReactionSystemDacomitinib 45 mg
DiarrhoeaGastrointestinal disorders
Dermatitis acneiformSkin and subcutaneous tissue disorders
FatigueGeneral disorders
Dry skinSkin and subcutaneous tissue disorders
Palmar-plantar erythrodysaesthesia syndromeSkin and subcutaneous tissue disorders
StomatitisGastrointestinal disorders
PruritusSkin and subcutaneous tissue disorders
Decreased appetiteMetabolism and nutrition disorders
Exfoliative rashSkin and subcutaneous tissue disorders
NauseaGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
ParonychiaInfections and infestations
Weight decreasedInvestigations
Mucosal inflammationGeneral disorders
RashSkin and subcutaneous tissue disorders
VomitingGastrointestinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
AcneSkin and subcutaneous tissue disorders
DysphagiaGastrointestinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
ConstipationGastrointestinal disorders
DyspepsiaGastrointestinal disorders
InsomniaPsychiatric disorders
ConjunctivitisEye disorders
CheilitisGastrointestinal disorders
Oedema peripheralGeneral disorders
RhinitisInfections and infestations
DehydrationMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
DysphoniaRespiratory, thoracic and mediastinal disorders
Nail disorderSkin and subcutaneous tissue disorders
Abdominal painGastrointestinal disorders
Dry mouthGastrointestinal disorders
Chest painGeneral disorders
PyrexiaGeneral disorders
DizzinessNervous system disorders
HeadacheNervous system disorders
AlopeciaSkin and subcutaneous tissue disorders
Rash erythematousSkin and subcutaneous tissue disorders
Skin fissuresSkin and subcutaneous tissue disorders

Most-reported serious reactions: Diarrhoea, Disease progression, Vomiting, Dehydration, Pneumonia aspiration, Anaemia, Angina pectoris, Atrial fibrillation.

Data from ClinicalTrials.gov NCT00768664 adverse events section.

Sponsor's own description

This study will investigate the safety and efficacy of oral PF-00299804 in patients who have not yet undergone any other drug treatment for recurrent and/ or metastatic head and neck squamous cell cancer.

Publications & conference data

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

  1. The current and future impact of human papillomavirus on treatment of squamous cell carcinoma of the head and neck.
    Psyrri A, Rampias T, Vermorken JB. · · 2014 · cited 59× · PMID 25057165 · DOI 10.1093/annonc/mdu265
  2. 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
  3. Rationale for Using Irreversible Epidermal Growth Factor Receptor Inhibitors in Combination with Phosphatidylinositol 3-Kinase Inhibitors for Advanced Head and Neck Squamous Cell Carcinoma.
    Michmerhuizen NL, Leonard E, Matovina C, Harris M, et al · · 2019 · cited 18× · PMID 30858165 · DOI 10.1124/mol.118.115162
  4. Pre-clinical characterization of Dacomitinib (PF-00299804), an irreversible pan-ErbB inhibitor, combined with ionizing radiation for head and neck squamous cell carcinoma.
    Williams JP, Kim I, Ito E, Shi W, et al · · 2014 · cited 11× · PMID 24853121 · DOI 10.1371/journal.pone.0098557
  5. Emerging tyrosine kinase inhibitors for head and neck cancer.
    Long Z, Grandis JR, Johnson DE. · · 2022 · cited 10× · PMID 36131561 · DOI 10.1080/14728214.2022.2125954
  6. Patient-derived xenograft models of Fanconi anemia-associated head and neck cancer identify personalized therapeutic strategies.
    Grandis JR, Li H, Harrison BA, Webster AL, et al · · 2026 · cited 3× · PMID 41401087 · DOI 10.1172/jci195334

Verify or expand the search:

Other trials of PF-00299804

Trials testing the same drug.

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Other Pfizer trials

Trials by the same sponsor.

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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/NCT00768664.

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