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NCT03468075

Gemcitabine Plus Ascorbate for Sarcoma in Adults

Terminated Phase 2 Results posted Last updated 10 December 2020
What this trial tests

Phase 2 trial testing Ascorbate in Sarcoma in 10 participants. Terminated before completion.

Timeline
11 July 2018
Primary endpoint
16 April 2019
19 October 2020

Quick facts

Lead sponsorMohammed Milhem, MBBS
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment10
Start date11 July 2018
Primary completion16 April 2019
Estimated completion19 October 2020
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Mohammed Milhem, MBBS — full company profile →

Who can join

18 and older, any sex, with Sarcoma or Soft Tissue Sarcoma. 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.

Tumor Response Primary · Every 2 months for first 6 months, then every 3 months up to 2 years post treatment

From first day of treatment to documented disease progression as described by RECIST 1.1 criteria. Results are provided in nominal categories (CR, PR, SD, PD) as per RECIST.

PD
GroupValue95% CI
Gemcitabine + High-Dose Ascorbate8
SD
GroupValue95% CI
Gemcitabine + High-Dose Ascorbate1
PR
GroupValue95% CI
Gemcitabine + High-Dose Ascorbate1
Progression Free Survival Secondary · Every 2 months for first 6 months, then every 3 months up to 2 years post treatment

Time from start of therapy (day 1, cycle 1) to documented disease progression or death due to any cause. Progression will be defined using the RECIST 1.1 guidelines. Results are provided in nominal categories (CR, PR, SD, PD) as per RECIST.

2 months
GroupValue95% CI
Gemcitabine + High-Dose Ascorbate7
3 months
GroupValue95% CI
Gemcitabine + High-Dose Ascorbate1
6 months
GroupValue95% CI
Gemcitabine + High-Dose Ascorbate1
9 months
GroupValue95% CI
Gemcitabine + High-Dose Ascorbate1
Overall Survival Secondary · Every 2 months for first 6 months, then every 3 months up to 2 years post treatment

Time from start of therapy (day 1, cycle 1) to death.

Alive
GroupValue95% CI
Gemcitabine + High-Dose Ascorbate5
Dead
GroupValue95% CI
Gemcitabine + High-Dose Ascorbate5
Incidence of Adverse Events (AE) Per CTCAE 4.03 Secondary · Up to 30 days after completion of study treatment

Categorize and quantify adverse events from start of therapy (day 1, cycle 1) to end of study per (CTCAE) version 4.03.

Blood and lymphatic system disorders
GroupValue95% CI
Gemcitabine + High-Dose Ascorbate4
Gastrointestinal disorders
GroupValue95% CI
Gemcitabine + High-Dose Ascorbate7
Infections and infestations
GroupValue95% CI
Gemcitabine + High-Dose Ascorbate1
Investigations
GroupValue95% CI
Gemcitabine + High-Dose Ascorbate43
Metabolism and nutrition disorders
GroupValue95% CI
Gemcitabine + High-Dose Ascorbate2
Musculoskeletal and connective tissue disorders
GroupValue95% CI
Gemcitabine + High-Dose Ascorbate1
Psychiatric disorders
GroupValue95% CI
Gemcitabine + High-Dose Ascorbate1
Renal and urinary disorders
GroupValue95% CI
Gemcitabine + High-Dose Ascorbate1

Adverse events — posted to ClinicalTrials.gov

Time frame: AEs were collected up to 30 days after completion of study treatment, up to 7 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Gemcitabine + High-Dose Ascorbate
Serious: 2/10 (20%)
Deaths: 6/10

Serious adverse events (3 terms)

ReactionSystemGemcitabine + High-Dose As…
Abdominal painGastrointestinal disorders
FeverGeneral disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Other adverse events (32 terms — click to expand)

ReactionSystemGemcitabine + High-Dose As…
Neutrophil count decreasedInvestigations
Platelet count decreasedInvestigations
Respiratory, thoracic and mediastinal disorders - Other, specifyRespiratory, thoracic and mediastinal disorders
AnemiaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
NauseaGastrointestinal disorders
FeverGeneral disorders
Alanine aminotransferase increasedInvestigations
CoughRespiratory, thoracic and mediastinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders
Abdominal painGastrointestinal disorders
AscitesGastrointestinal disorders
VomitingGastrointestinal disorders
ChillsGeneral disorders
Edema limbsGeneral disorders
FatigueGeneral disorders
PainGeneral disorders
Upper respiratory infectionInfections and infestations
Aspartate aminotransferase increasedInvestigations
Blood bilirubin increasedInvestigations
GGT increasedInvestigations
Weight lossInvestigations
AnorexiaMetabolism and nutrition disorders
Metabolism and nutrition disorders - Other, specifyMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
HematuriaRenal and urinary disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specifySkin and subcutaneous tissue disorders

Most-reported serious reactions: Abdominal pain, Fever, Dyspnea.

Data from ClinicalTrials.gov NCT03468075 adverse events section.

Sponsor's own description

This study will enroll patients who have a diagnosis of locally advanced, unresectable or metastatic soft tissue or bone sarcoma (except gastrointestinal stromal tumors and Kaposi's sarcoma) from any site.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Balanced Duality: H<sub>2</sub>O<sub>2</sub>-Based Therapy in Cancer and Its Protective Effects on Non-Malignant Tissues.
    Zaher A, Petronek MS, Allen BG, Mapuskar KA. · · 2024 · cited 11× · PMID 39201571 · DOI 10.3390/ijms25168885

Verify or expand the search:

Other trials of Ascorbate

Trials testing the same drug.

Other recruiting trials for Sarcoma

Currently open trials in the same condition.

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