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NCT02015065

Phase II Trial of Vandetanib in Children and Adults With Wild-Type Gastrointestinal Stromal Tumors

Completed Phase 2 Results posted Last updated 30 March 2020
What this trial tests

Phase 2 trial testing Vandetanib in GIST in 9 participants. Completed in 10 December 2019.

Timeline
14 December 2013
Primary endpoint
4 May 2016
10 December 2019

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment9
Start date14 December 2013
Primary completion4 May 2016
Estimated completion10 December 2019
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Cancer Institute (NCI)

Who can join

Adults 3 to 99, any sex, with GIST. 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.

Number of Participants With a Clinical Activity-radiographic Response Primary · Every 3 cycles x4 and then every 6 cycles (1 cycle = 28 days) until removal from protocol therapy, an average of 12 months.

Clinical activity will be assessed primarily by radiographic response of measurable disease using the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. Complete Response is disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to \<10 mm. Partial Response is at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. Progressive Disease is at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baselin

GroupValue95% CI
200 mg Vandetanib Adult0
300 mg Vandetanib Adult0
Dose Level 100mg/m^2 Vandetanib Pediatric0
200 mg Vandetanib Adult0
300 mg Vandetanib Adult0
Dose Level 100mg/m^2 Vandetanib Pediatric0
200 mg Vandetanib Adult1
300 mg Vandetanib Adult2
Dose Level 100mg/m^2 Vandetanib Pediatric1
200 mg Vandetanib Adult1
300 mg Vandetanib Adult3
Dose Level 100mg/m^2 Vandetanib Pediatric1
Count of Participants With Serious and Non-serious Adverse Events Secondary · Date treatment consent signed to date off study, approximately 32 months and 1 day.

The count of participants with serious and non-serious adverse events was 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 th

GroupValue95% CI
200 mg Vandetanib Adult2
300 mg Vandetanib Adult5
Dose Level 100mg/m^2 Vandetanib Pediatric2
Percentage of Participants Overall Survival Secondary · Overall survival was computed using the number of months from the date of on study to the date of death, an average of 12 months.

Overall survival is defined as the date of on-study to the date of death from any cause or last follow up.

GroupValue95% CI
200 mg Vandetanib Adult500.6 – 91
300 mg Vandetanib Adult6012.6 – 88.2
Dose Level 100mg/m^2 Vandetanib Pediatric500.6 – 91
Progression Free-Survival Secondary · Patients will be evaluated approximately 60 days after last dose of investigational drug until removal of protocol therapy, an average of 12 months.

Progression free survival is defined as the time interval from start of treatment to documented evidence of disease progression. Disease progression was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 and is at least a 20% increase in the sum of the diameters 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

GroupValue95% CI
200 mg Vandetanib Adult40.6 – 91
300 mg Vandetanib Adult5.11.8 – 22.5
Dose Level 100mg/m^2 Vandetanib Pediatric13.42.7 – 24.1
Maximum Standardized Uptake Value (SUVmax) on Fluorodeoxyglucose Positron Emission Tomography (FDG-PET) Secondary · Baseline and at a subsequent PET performed on or about day 3-6 of cycle 1

The maximum standardized uptake value (SUVmax) was used to measure the uptake of FDG-PET by the Gastrointestinal Tumors.

Baseline
GroupValue95% CI
200 mg Vandetanib Adult22.422.4 – 22.4
300 mg Vandetanib Adult21.415.6 – 30.7
Day 3-6 of cycle 1
GroupValue95% CI
200 mg Vandetanib Adult22.022.0 – 22.0
300 mg Vandetanib Adult12.47.5 – 19.3

Adverse events — posted to ClinicalTrials.gov

Time frame: Date treatment consent signed to date off study, approximately 32 months and 1 day.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

200 mg Vandetanib Adult
Serious: 0/2 (0%)
Deaths: 1/2
300 mg Vandetanib Adult
Serious: 4/5 (80%)
Deaths: 2/5
Dose Level 100mg/m^2 Vandetanib Pediatric
Serious: 0/2 (0%)
Deaths: 1/2

Serious adverse events (4 terms)

ReactionSystem200 mg Vandetanib Adult300 mg Vandetanib AdultDose Level 100mg/m^2 Vande…
Abdominal painGastrointestinal disorders
HypertensionVascular disorders
SeizureNervous system disorders
Stomach painGastrointestinal disorders
Other adverse events (69 terms — click to expand)

ReactionSystem200 mg Vandetanib Adult300 mg Vandetanib AdultDose Level 100mg/m^2 Vande…
Aspartate aminotransferase increasedInvestigations
HypertensionVascular disorders
HeadacheNervous system disorders
ProteinuriaPsychiatric disorders
Rash acneiformSkin and subcutaneous tissue disorders
DiarrheaGastrointestinal disorders
HyperuricemiaMetabolism and nutrition disorders
Lymphocyte count decreasedInvestigations
NauseaGastrointestinal disorders
Stomach painGastrointestinal disorders
VomitingGastrointestinal disorders
AlopeciaSkin and subcutaneous tissue disorders
HypoglycemiaMetabolism and nutrition disorders
Abdominal painGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
Alkaline phosphatase increasedInvestigations
AnorexiaMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
Electrocardiogram QT corrected interval prolongedCardiac disorders
HemoglobinuriaRenal and urinary disorders
HyperglycemiaMetabolism and nutrition disorders
HypoalbuminemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
Creatinine increasedInvestigations
Dry skinSkin and subcutaneous tissue disorders
DyspneaRespiratory, thoracic and mediastinal disorders
FatigueGeneral disorders
PruritusSkin and subcutaneous tissue disorders
Weight lossInvestigations
Back painMusculoskeletal and connective tissue disorders
Bladder infectionInfections and infestations
BloatingGastrointestinal disorders
ChillsGeneral disorders
DehydrationMetabolism and nutrition disorders
DepressionPsychiatric disorders
DysgeusiaNervous system disorders
DyspepsiaGastrointestinal disorders
Edema limbsGeneral disorders
Generalized muscle weaknessMusculoskeletal and connective tissue disorders
HematuriaRenal and urinary disorders

Most-reported serious reactions: Abdominal pain, Hypertension, Seizure, Stomach pain.

Data from ClinicalTrials.gov NCT02015065 adverse events section.

Sponsor's own description

Background: -Some people with wild-type gastrointestinal stromal tumors (WT-GIST) have a deficiency in one of their proteins called succinate dehydrogenase (SDH). Vandetanib is a cancer drug that has been approved to treat thyroid cancer and has been used with some success in other tumors that have a similar loss of SDH. Researchers want to see if this drug can also decrease tumor growth in people with WT-GIST. Objectives: -To test whether the study drug will benefit people with WT-GIST. Eligibility: -Adults and children 3 years old and older with WT-GIST. Design: * Researchers will test participants tumor tissue to confirm it is the wild type of GIST. * Participants will be screened with a medical history, physical exam, and blood tests. They will also have electrical recording of the heart (Eastern Cooperative Oncology Group (ECOG)) and scans of the tumor. * Participants will take the study drug in 28-day cycles. Their doctor will decide how many cycles they can complete. * They will take the study drug once every day and record it in a diary. * On Day 14, they will also visit their doctor to look for side effects. * Before cycles 2, 3 and 4, participants will have a physical exam, urine tests, blood pressure check, and blood tests. These tests will then be done periodically for as long as they are in the study. * Before cycle 4, scans will be done to check the size of the cancer. Most of these will be repeated every 3-6 cycles. * When they stop taking the study drug, participants will return to the clinic for a physical exam and blood tests.

Publications & conference data

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

  1. The genetic landscape of gastrointestinal stromal tumor lacking KIT and PDGFRA mutations.
    Boikos SA, Stratakis CA. · · 2014 · cited 33× · PMID 25027296 · DOI 10.1007/s12020-014-0346-3
  2. Emerging Agents for the Treatment of Advanced, Imatinib-Resistant Gastrointestinal Stromal Tumors: Current Status and Future Directions.
    Bauer S, Joensuu H. · · 2015 · cited 27× · PMID 26187774 · DOI 10.1007/s40265-015-0440-8
  3. Role of the ABL tyrosine kinases in the epithelial-mesenchymal transition and the metastatic cascade.
    Luttman JH, Colemon A, Mayro B, Pendergast AM. · · 2021 · cited 26× · PMID 34022881 · DOI 10.1186/s12964-021-00739-6
  4. Current Molecular Profile of Gastrointestinal Stromal Tumors and Systemic Therapeutic Implications.
    Mathias-Machado MC, de Jesus VHF, de Carvalho Oliveira LJ, Neumann M, et al · · 2022 · cited 15× · PMID 36358751 · DOI 10.3390/cancers14215330
  5. Safety of Anti-Angiogenic Drugs in Pediatric Patients with Solid Tumors: A Systematic Review and Meta-Analysis.
    Spini A, Ciccone V, Rosellini P, Ziche M, et al · · 2022 · cited 15× · PMID 36358734 · DOI 10.3390/cancers14215315
  6. Taming the Wild-Type Gastrointestinal Stromal Tumor: Improved Tissue Culture.
    Blakely AM, Glod JW, Wedekind Malone MF. · · 2022 · cited 1× · PMID 34711630 · DOI 10.1158/1078-0432.ccr-21-3409
  7. Advancement in medical treatment for gastrointestinal stromal tumors (GISTs): a ray of hope.
    Singh H, Mohanto S, Chopra H, Chopra S, et al · · 2025 · PMID 40213228 · DOI 10.1097/ms9.0000000000002843

Verify or expand the search:

Other trials of Vandetanib

Trials testing the same drug.

Other recruiting trials for GIST

Currently open trials in the same condition.

Other National Cancer Institute (NCI) trials

Trials by the same sponsor.

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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/NCT02015065.

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