Last reviewed · How we verify

NCT00945191

Combination Chemotherapy With CS-1008 to Treat Ovarian Cancer

Completed Phase 2 Results posted Last updated 8 April 2021
What this trial tests

Phase 2 trial testing CS-1008 in Ovarian Cancer Stage IIIC in 24 participants. Completed in 23 August 2011.

Timeline
6 October 2009
Primary endpoint
23 August 2011
23 August 2011

Quick facts

Lead sponsorDaiichi Sankyo
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment24
Start date6 October 2009
Primary completion23 August 2011
Estimated completion23 August 2011
Sites3 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Daiichi Sankyo — full company profile →

Who can join

18 and older, female only, with Ovarian Cancer Stage IIIC or Ovarian Cancer Stage IV. 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.

Best Overall Response and Objective Response Rate Following Treatment With CS-1008 in Combination With Chemotherapy (Paclitaxel/Carboplatin) in Locally Advanced or Metastatic Ovarian Cancer Primary · Baseline up to first documented objective response, disease progression, or study withdrawal, up to 1 year 10 months

The best overall response is the best response (in the order of confirmed complete response \[CR\], confirmed partial response \[PR\], unconfirmed CR, unconfirmed PR, stable disease \[SD\], and progressive disease \[PD\]) among all overall responses recorded from the start of treatment until the participant withdraws from the study. If there is no tumor assessment after the first dose of study drug, the best overall response is classified as Inevaluable. CR was defined as a disappearance of all target lesions, PR was defined as at least a 30% decrease in the sum of diameters of target lesions,

Confirmed CR after 6 cycles (18 weeks) of treatment
GroupValue95% CI
CS-1008 in Combination With Paclitaxel/Carboplatin0
Confirmed CR
GroupValue95% CI
CS-1008 in Combination With Paclitaxel/Carboplatin0
Confirmed PR
GroupValue95% CI
CS-1008 in Combination With Paclitaxel/Carboplatin12
Objective Response (Confirmed CR + Confirmed PR)
GroupValue95% CI
CS-1008 in Combination With Paclitaxel/Carboplatin12
Unconfirmed CR
GroupValue95% CI
CS-1008 in Combination With Paclitaxel/Carboplatin0
Unconfirmed PR
GroupValue95% CI
CS-1008 in Combination With Paclitaxel/Carboplatin4
Stable disease (SD)
GroupValue95% CI
CS-1008 in Combination With Paclitaxel/Carboplatin5
Progressive disease (PD)
GroupValue95% CI
CS-1008 in Combination With Paclitaxel/Carboplatin1
Change From Baseline in the Sum of Longest Diameters of Target Lesions Following Treatment With CS-1008 in Combination With Chemotherapy (Paclitaxel/Carboplatin) in Locally Advanced or Metastatic Ovarian Cancer Secondary · Baseline to Cycle 3, Week 3 Day 1; Cycle 6, Week 3 Day 1 (each cycle 21 days) up to end of study, approximately 1 year 10 months postdose

A sum of the diameters for all target lesions will be calculated and reported as the baseline sum of diameters, defined as the last non-missing value before initial administration of study treatment. The baseline sum of diameters will be used as reference for characterization of the objective tumor response. The change from baseline in the sum of longest diameters of target lesions is being reported. Negative values indicate an improvement in tumor reduction.

Cycle 3, Week 3 Day 1
GroupValue95% CI
CS-1008 in Combination With Paclitaxel/Carboplatin-39.0± 41.73
Cycle 6, Week 3 Day 1
GroupValue95% CI
CS-1008 in Combination With Paclitaxel/Carboplatin-52.4± 41.56
Minimum post-treatment value
GroupValue95% CI
CS-1008 in Combination With Paclitaxel/Carboplatin-48.3± 41.65
Participants With Treatment-Emergent Adverse Events Grade 3 or Higher by System Organ Class and Preferred Term Following Treatment With CS-1008 in Combination With Chemotherapy (Paclitaxel/Carboplatin) in Locally Advanced or Metastatic Ovarian Cancer Secondary · Baseline up to 30 days after last dose, up to 1 year 10 months postdose

Treatment-emergent adverse events (TEAEs) were defined as those events that occur, having been absent before the study, or worsen in severity after the initiation of CS-1008 and/or paclitaxel/docetaxel/carboplatin administration. All adverse events (AEs) were graded (1 to 5) according to the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 3.0, where Grade 1 was mild, Grade 2 moderate, Grade 3 severe, Grade 4 life-threatening or disabling, and Grade 5 death related to AE.

Any TEAE ≥Grade 3
GroupValue95% CI
CS-1008 in Combination With Paclitaxel/Carboplatin22
Any Preferred Term Within Blood and Lymphatic System Disorders
GroupValue95% CI
CS-1008 in Combination With Paclitaxel/Carboplatin20
Anaemia
GroupValue95% CI
CS-1008 in Combination With Paclitaxel/Carboplatin6
Febrile neutropenia
GroupValue95% CI
CS-1008 in Combination With Paclitaxel/Carboplatin1
Leukopenia
GroupValue95% CI
CS-1008 in Combination With Paclitaxel/Carboplatin2
Neutropenia
GroupValue95% CI
CS-1008 in Combination With Paclitaxel/Carboplatin18
Pancytopenia
GroupValue95% CI
CS-1008 in Combination With Paclitaxel/Carboplatin1
Thrombocytopenia
GroupValue95% CI
CS-1008 in Combination With Paclitaxel/Carboplatin7

Adverse events — posted to ClinicalTrials.gov

Time frame: Treatment-emergent adverse events (TEAEs) were collected from baseline up to 30 days after last dose, up to 1 year 10 months postdose.. Reporting threshold: 4%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

CS-1008 in Combination With Paclitaxel/Carboplatin
Serious: 9/24 (38%)
Deaths: 0/24

Serious adverse events (12 terms)

ReactionSystemCS-1008 in Combination Wit…
AnaemiaBlood and lymphatic system disorders
Small intestinal obstructionGastrointestinal disorders
NeutropeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
DehydrationMetabolism and nutrition disorders
EnterocolitisGastrointestinal disorders
AscitesGastrointestinal disorders
ConstipationGastrointestinal disorders
Abdominal abscessInfections and infestations
Electrolyte imbalanceMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
Venous thrombosisVascular disorders
Other adverse events (16 terms — click to expand)

ReactionSystemCS-1008 in Combination Wit…
AnaemiaBlood and lymphatic system disorders
Small intestinal obstructionGastrointestinal disorders
NeutropeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
DehydrationMetabolism and nutrition disorders
Abdominal painGastrointestinal disorders
AscitesGastrointestinal disorders
ConstipationGastrointestinal disorders
DiarrheaGastrointestinal disorders
EnterocolitisGastrointestinal disorders
VomitingGastrointestinal disorders
Abdominal abscessInfections and infestations
Electrolyte imbalanceMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
PneumothoraxRespiratory, thoracic and mediastinal disorders
Venous thrombosisVascular disorders

Most-reported serious reactions: Anaemia, Small intestinal obstruction, Neutropenia, Thrombocytopenia, Dehydration, Enterocolitis, Ascites, Constipation.

Data from ClinicalTrials.gov NCT00945191 adverse events section.

Sponsor's own description

This trial assessed the effect of treatment with CS-1008 in combination with paclitaxel/carboplatin on response in patients with locally advanced or metastatic ovarian cancer.

Publications & conference data

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

  1. Death receptors as targets in cancer.
    Micheau O, Shirley S, Dufour F. · · 2013 · cited 151× · PMID 23638798 · DOI 10.1111/bph.12238
  2. Principles of antibody-mediated TNF receptor activation.
    Wajant H. · · 2015 · cited 111× · PMID 26292758 · DOI 10.1038/cdd.2015.109
  3. TRAIL of Hope Meeting Resistance in Cancer.
    Deng D, Shah K. · · 2020 · cited 103× · PMID 32718904 · DOI 10.1016/j.trecan.2020.06.006
  4. The Role of TRAIL in Apoptosis and Immunosurveillance in Cancer.
    Pimentel JM, Zhou JY, Wu GS. · · 2023 · cited 73× · PMID 37345089 · DOI 10.3390/cancers15102752
  5. Novel agents for advanced pancreatic cancer.
    Akinleye A, Iragavarapu C, Furqan M, Cang S, et al · · 2015 · cited 24× · PMID 26369833 · DOI 10.18632/oncotarget.3999
  6. FOLFIRI plus dulanermin (rhApo2L/TRAIL) in a patient with BRAF-mutant metastatic colon cancer.
    Lim B, Scicchitano A, Beachler C, Gusani N, et al · · 2013 · cited 12× · PMID 23792567 · DOI 10.4161/cbt.25310

Verify or expand the search:

Other trials of CS-1008

Trials testing the same drug.

Other recruiting trials for Ovarian Cancer Stage IIIC

Currently open trials in the same condition.

Other Daiichi Sankyo 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/NCT00945191.

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