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NCT02859415 · STUDY IN CONTEXT

Continuous 24h Intravenous Infusion of Mithramycin, an Inhibitor of Cancer Stem Cell Signaling, in People With Primary Thoracic Malignancies or Carcinomas, Sarcomas or Germ Cell Ne

Draft scope assessment: narrower. Linked by condition-string match at the cancer-entity level. The study's eligibility - stage, biomarker, treatment line and prior therapy - has not been reconciled against this page's definition, so its population is narrower than this page in ways not yet recorded. The condition was transformed or resolved through the terminology hierarchy to reach this cancer type, so the link itself is a candidate a reviewer must confirm. Found by searching ClinicalTrials.gov for this cancer type, restricted to studies that have posted results to the registry. No FDA notice, FDA label or NCI summary held by this site cites this study. Because the search asked for posted results, studies without posted results were never looked for, so their absence from this page means nothing.

Read the full study record and all posted results →

Linked outcomes

Measures are not ranked. Open each original source section for treatment groups, denominators, units and results.

primary · POSTED

MTD is defined as the number of participants experiencing a dose-limiting toxicity (DLT). A DLT is defined as Grade 4 or greater anemia or neutropenia exceeding 5 days duration, thrombocytopenia requiring transfusion, or Grade 3 or greater nonhematologic toxicity possibly, probably, or definitely related to the investigational therapy excluding alopecia during Cycle 1 of therapy.

Source null

→

primary · POSTED

Response was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST). Complete response is disappearance of all target lesions. Partial response is at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.

One participant in the first group only received one dose, thus was not evaluable.

→

secondary · POSTED

Studies on tumor tissue obtained during baseline /previous biopsy (if available), Cycle 1 Day 4(+/- 3 days), and possible treatment evaluation following Course 1. Plasma and blood will also be collected.

No data was collected thus this outcome measure was not done.

→

secondary · POSTED

Studies on tumor tissue obtained during baseline /previous biopsy (if available), Cycle 1 Day 4(+/- 3 days), and possible treatment evaluation following Course 1.

No data was collected thus this outcome measure was not done.

→

secondary · POSTED

Studies on tumor tissue obtained during baseline /previous biopsy (if available), Cycle 1 Day 4(+/- 3 days), and possible treatment evaluation following Course 1.

No data was collected thus this outcome measure was not done.

→

secondary · POSTED

Studies on tumor tissue obtained during baseline /previous biopsy (if available), Cycle 1 Day 4(+/- 3 days), and possible treatment evaluation following Course 1.

No data was collected thus this outcome measure was not done.

→

Reported safety

Serious events are not the same as severe events. Compare the original safety groups and their at-risk populations.

Open the study safety table →

Quality of life and patient-reported measures

No linked quality-of-life measure is recorded for this setting and study.

Full draft applicability and source-link record
trial
release id
clinical-indications-draft-1
disease state id
ds-lung-neoplasm
nct id
NCT02859415
trial label
Continuous 24h Intravenous Infusion of Mithramycin, an Inhibitor of Cancer Stem Cell Signaling, in People With Primary Thoracic Malignancies or Carcinomas, Sarcomas or Germ Cell Ne
applicability
narrower
applicability note
Linked by condition-string match at the cancer-entity level. The study's eligibility - stage, biomarker, treatment line and prior therapy - has not been reconciled against this page's definition, so its population is narrower than this page in ways not yet recorded. The condition was transformed or resolved through the terminology hierarchy to reach this cancer type, so the link itself is a candidate a reviewer must confirm.
curation status
draft
reviewed by
Source null
reviewed at
Source null
created at
2026-09-10T00:00:00Z
provenance class
registry-condition-search
discovery note
Found by searching ClinicalTrials.gov for this cancer type, restricted to studies that have posted results to the registry. No FDA notice, FDA label or NCI summary held by this site cites this study. Because the search asked for posted results, studies without posted results were never looked for, so their absence from this page means nothing.
outcome Count
6
harms Count
2
qol Count
0
outcomes
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-lung-neoplasm
    nct id
    NCT02859415
    outcome key
    om-0000
    source section id
    NCT02859415-om-0000
    source outcome index
    0
    endpoint
    Maximum Tolerated Dose (MTD)
    endpoint definition
    MTD is defined as the number of participants experiencing a dose-limiting toxicity (DLT). A DLT is defined as Grade 4 or greater anemia or neutropenia exceeding 5 days duration, thrombocytopenia requiring transfusion, or Grade 3 or greater nonhematologic toxicity possibly, probably, or definitely related to the investigational therapy excluding alopecia during Cycle 1 of therapy.
    time origin
    At the end of first 14 day cycle at each dose level
    analysis role
    primary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  2. release id
    clinical-indications-draft-1
    disease state id
    ds-lung-neoplasm
    nct id
    NCT02859415
    outcome key
    om-0001
    source section id
    NCT02859415-om-0001
    source outcome index
    1
    endpoint
    Number of Participants Whose Best Response is a Complete Response (CR) or Partial Response (PR)
    endpoint definition
    Response was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST). Complete response is disappearance of all target lesions. Partial response is at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.
    time origin
    every 8 weeks until at disease progression, approximately 3.5 months
    analysis role
    primary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    One participant in the first group only received one dose, thus was not evaluable.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  3. release id
    clinical-indications-draft-1
    disease state id
    ds-lung-neoplasm
    nct id
    NCT02859415
    outcome key
    om-0002
    source section id
    NCT02859415-om-0002
    source outcome index
    2
    endpoint
    To Ascertain if Mithramycin Inhibits Stem Cell Gene Expression in Participants With Thoracic Malignancies
    endpoint definition
    Studies on tumor tissue obtained during baseline /previous biopsy (if available), Cycle 1 Day 4(+/- 3 days), and possible treatment evaluation following Course 1. Plasma and blood will also be collected.
    time origin
    baseline, Cycle 1 Day 4 (+/- 3 days), and possible treatment evaluation following Course 1
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    No data was collected thus this outcome measure was not done.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  4. release id
    clinical-indications-draft-1
    disease state id
    ds-lung-neoplasm
    nct id
    NCT02859415
    outcome key
    om-0003
    source section id
    NCT02859415-om-0003
    source outcome index
    3
    endpoint
    To Evaluate Gene Expression, Deoxyribonucleic Acid (DNA) Methylation and Micro-ribonucleic Acid (RNA) Profiles in Pre- and Post-treatment Tumor Biopsies
    endpoint definition
    Studies on tumor tissue obtained during baseline /previous biopsy (if available), Cycle 1 Day 4(+/- 3 days), and possible treatment evaluation following Course 1.
    time origin
    baseline, Cycle 1 Day 4 (+/- 3 days), and possible treatment evaluation following Course 1
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    No data was collected thus this outcome measure was not done.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  5. release id
    clinical-indications-draft-1
    disease state id
    ds-lung-neoplasm
    nct id
    NCT02859415
    outcome key
    om-0004
    source section id
    NCT02859415-om-0004
    source outcome index
    4
    endpoint
    To Compare Gene Expression, Deoxyribonucleic Acid (DNA) Methylation and Micro-ribonucleic Acid (RNA) Profiles in Participant Tumor Biopsies With Treatment Response Profiles in Pre-clinical Studies
    endpoint definition
    Studies on tumor tissue obtained during baseline /previous biopsy (if available), Cycle 1 Day 4(+/- 3 days), and possible treatment evaluation following Course 1.
    time origin
    baseline, Cycle 1 Day 4 (+/- 3 days), and possible treatment evaluation following Course 1
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    No data was collected thus this outcome measure was not done.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  6. release id
    clinical-indications-draft-1
    disease state id
    ds-lung-neoplasm
    nct id
    NCT02859415
    outcome key
    om-0005
    source section id
    NCT02859415-om-0005
    source outcome index
    5
    endpoint
    To Examine if Mithramycin Decreases Pluripotent Cancer Stem Cells (Side Population)
    endpoint definition
    Studies on tumor tissue obtained during baseline /previous biopsy (if available), Cycle 1 Day 4(+/- 3 days), and possible treatment evaluation following Course 1.
    time origin
    baseline, Cycle 1 Day 4 (+/- 3 days), and possible treatment evaluation following Course 1
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    No data was collected thus this outcome measure was not done.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
arms
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-lung-neoplasm
    nct id
    NCT02859415
    outcome key
    om-0000
    arm key
    OG000
    arm label
    All Participants
    regimen
    All participants in phase I dose level 1 and dose level -1.
    analyzed count
    3
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT02859415-om-0000#groups/OG000
  2. release id
    clinical-indications-draft-1
    disease state id
    ds-lung-neoplasm
    nct id
    NCT02859415
    outcome key
    om-0001
    arm key
    OG000
    arm label
    Phase I Dose Level 1 Mithramycin 60 mcg/kg
    regimen
    Phase I Dose Level 1 Mithramycin 60 mcg/kg Mithramycin: Phase 1: 24 hour intravenous infusion of mithramycin given once every 14 days at escalating doses..
    analyzed count
    0
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT02859415-om-0001#groups/OG000
  3. release id
    clinical-indications-draft-1
    disease state id
    ds-lung-neoplasm
    nct id
    NCT02859415
    outcome key
    om-0001
    arm key
    OG001
    arm label
    Phase I Dose Level -1 Mithramycin 60 mcg/kg Followed by Mithramycin 30 mcg/kg
    regimen
    Phase I Dose Level -1 Mithramycin 60 mcg/kg followed by Mithramycin 30 mcg/kg Mithramycin: Phase 1: 24 hour intravenous infusion of mithramycin given once every 14 days at escalating doses.
    analyzed count
    2
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT02859415-om-0001#groups/OG001
  4. release id
    clinical-indications-draft-1
    disease state id
    ds-lung-neoplasm
    nct id
    NCT02859415
    outcome key
    om-0002
    arm key
    OG000
    arm label
    Phase I Dose Level 1 Mithramycin 60 mcg/kg
    regimen
    Phase I Dose Level 1 Mithramycin 60 mcg/kg Mithramycin: Phase 1: 24 hour intravenous infusion of mithramycin given once every 14 days at escalating doses..
    analyzed count
    0
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT02859415-om-0002#groups/OG000
  5. release id
    clinical-indications-draft-1
    disease state id
    ds-lung-neoplasm
    nct id
    NCT02859415
    outcome key
    om-0002
    arm key
    OG001
    arm label
    Phase I Dose Level -1 Mithramycin 60 mcg/kg Followed by Mithramycin 30 mcg/kg
    regimen
    Phase I Dose Level -1 Mithramycin 60 mcg/kg followed by Mithramycin 30 mcg/kg Mithramycin: Phase 1: 24 hour intravenous infusion of mithramycin given once every 14 days at escalating doses.
    analyzed count
    0
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT02859415-om-0002#groups/OG001
  6. release id
    clinical-indications-draft-1
    disease state id
    ds-lung-neoplasm
    nct id
    NCT02859415
    outcome key
    om-0003
    arm key
    OG000
    arm label
    Phase I Dose Level 1 Mithramycin 60 mcg/kg
    regimen
    Phase I Dose Level 1 Mithramycin 60 mcg/kg Mithramycin: Phase 1: 24 hour intravenous infusion of mithramycin given once every 14 days at escalating doses..
    analyzed count
    0
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT02859415-om-0003#groups/OG000
  7. release id
    clinical-indications-draft-1
    disease state id
    ds-lung-neoplasm
    nct id
    NCT02859415
    outcome key
    om-0003
    arm key
    OG001
    arm label
    Phase I Dose Level -1 Mithramycin 60 mcg/kg Followed by Mithramycin 30 mcg/kg
    regimen
    Phase I Dose Level -1 Mithramycin 60 mcg/kg followed by Mithramycin 30 mcg/kg Mithramycin: Phase 1: 24 hour intravenous infusion of mithramycin given once every 14 days at escalating doses.
    analyzed count
    0
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT02859415-om-0003#groups/OG001
  8. release id
    clinical-indications-draft-1
    disease state id
    ds-lung-neoplasm
    nct id
    NCT02859415
    outcome key
    om-0004
    arm key
    OG000
    arm label
    Phase I Dose Level 1 Mithramycin 60 mcg/kg
    regimen
    Phase I Dose Level 1 Mithramycin 60 mcg/kg Mithramycin: Phase 1: 24 hour intravenous infusion of mithramycin given once every 14 days at escalating doses..
    analyzed count
    0
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT02859415-om-0004#groups/OG000
  9. release id
    clinical-indications-draft-1
    disease state id
    ds-lung-neoplasm
    nct id
    NCT02859415
    outcome key
    om-0004
    arm key
    OG001
    arm label
    Phase I Dose Level -1 Mithramycin 60 mcg/kg Followed by Mithramycin 30 mcg/kg
    regimen
    Phase I Dose Level -1 Mithramycin 60 mcg/kg followed by Mithramycin 30 mcg/kg Mithramycin: Phase 1: 24 hour intravenous infusion of mithramycin given once every 14 days at escalating doses.
    analyzed count
    0
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT02859415-om-0004#groups/OG001
  10. release id
    clinical-indications-draft-1
    disease state id
    ds-lung-neoplasm
    nct id
    NCT02859415
    outcome key
    om-0005
    arm key
    OG000
    arm label
    Phase I Dose Level 1 Mithramycin 60 mcg/kg
    regimen
    Phase I Dose Level 1 Mithramycin 60 mcg/kg Mithramycin: Phase 1: 24 hour intravenous infusion of mithramycin given once every 14 days at escalating doses..
    analyzed count
    0
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT02859415-om-0005#groups/OG000
  11. release id
    clinical-indications-draft-1
    disease state id
    ds-lung-neoplasm
    nct id
    NCT02859415
    outcome key
    om-0005
    arm key
    OG001
    arm label
    Phase I Dose Level -1 Mithramycin 60 mcg/kg Followed by Mithramycin 30 mcg/kg
    regimen
    Phase I Dose Level -1 Mithramycin 60 mcg/kg followed by Mithramycin 30 mcg/kg Mithramycin: Phase 1: 24 hour intravenous infusion of mithramycin given once every 14 days at escalating doses.
    analyzed count
    0
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT02859415-om-0005#groups/OG001
harms
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-lung-neoplasm
    nct id
    NCT02859415
    harm key
    EG000
    source section id
    NCT02859415-ae
    event group key
    EG000
    event group label
    Phase I Dose Level 1 Mithramycin 60 mcg/kg
    serious affected
    0
    serious at risk
    1
    other affected
    1
    other at risk
    1
    frequency threshold
    0
    collection period
    Date treatment consent signed to date off study, approximately 1 month and 4 days, and 3 months and 17 days for the first and second group respectively.
    event definition
    Source null
    undenominated note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  2. release id
    clinical-indications-draft-1
    disease state id
    ds-lung-neoplasm
    nct id
    NCT02859415
    harm key
    EG001
    source section id
    NCT02859415-ae
    event group key
    EG001
    event group label
    Phase I Dose Level -1 Mithramycin 60 mcg/kg Followed by Mithramycin 30 mcg/kg
    serious affected
    2
    serious at risk
    2
    other affected
    2
    other at risk
    2
    frequency threshold
    0
    collection period
    Date treatment consent signed to date off study, approximately 1 month and 4 days, and 3 months and 17 days for the first and second group respectively.
    event definition
    Source null
    undenominated note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
quality of life
    setting source links

      Preserved source evidence · Not medical advice