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NCT00844649 · OUTCOME

Percentage of Participants Who Achieved an Objective Confirmed Overall Response by Independent Radiological Review (IRR)

Phase III Study of ABI-007(Albumin-bound Paclitaxel) Plus Gemcitabine Versus Gemcitabine in Metastatic Adenocarcinoma of the Pancreas · Source last updated 2019-11-25

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
percentage of participants
Interval / dispersion
95% Confidence Interval
Time frame
Assessment every 4 weeks after initial response; Day 1 to data cut off of 17 Sept 2013; maximum time on study 37 months

What was measured

Objective tumor response was summarized as the percentage of participants who achieved a confirmed complete (CR) or partial response (PR) based on an independent blinded radiology assessment of response using Response Evaluation Criteria in Solid Tumors (RECIST) guidelines. Using RECIST Version 1.0, participants were to achieve either a complete response (CR) defined as the disappearance of all known disease and no new sites or disease related symptoms confirmed at least 4 weeks after initial documentation or partial response (PR) defined as at least a 30% decrease in the sum of the longest diameters of target lesions and no progression in non-target lesions based on confirmed responses from the investigator assessment of best overall response during study treatment.

Analysis population: Intent to Treat population (ITT population) consisted of all randomized participants.

Groups in this outcome

Albumin-bound Paclitaxel (ABI-007)/Gemcitabine

Albumin-bound paclitaxel (ABI-007)/Gemcitabine: ABI-007 125 mg/m\^2 administered intravenously (IV) in combination with Gemcitabine 1000 mg/m\^2 IV weekly for 3 weeks on Days 1, 8, and 15 followed by one week of rest

Gemcitabine

Gemcitabine 1000 mg/m\^2 administered IV weekly for 7 weeks through Day 43 followed by a week of rest (Cycle 1), followed by cycles of weekly administration for 3 weeks on Days 1, 8, and 15 followed by a week of rest (Cycle 2 onward)

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Albumin-bound Paclitaxel (ABI-007)/Gemcitabine431
Gemcitabine430

Reported measurements

Source class 1
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Albumin-bound Paclitaxel (ABI-007)/Gemcitabine23Not reported19.127.2Not reported
Gemcitabine7Not reported5.010.1Not reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    2.178
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    4.662
    estimate Comment
    Response rate ratio: albumin-bound paclitaxel + gemcitabine /gemcitabine alone
    group Description
    PA+G/PG = response rate ratio of albumin bound paclitaxel + gemcitabine / gemcitabine.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    <0.0001
    param Type
    Response Rate Ratio
    param Value
    3.19
    statistical Method
    Chi-squared
Complete source fields
analyses
  1. ci Lower Limit
    2.178
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    4.662
    estimate Comment
    Response rate ratio: albumin-bound paclitaxel + gemcitabine /gemcitabine alone
    group Description
    PA+G/PG = response rate ratio of albumin bound paclitaxel + gemcitabine / gemcitabine.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    <0.0001
    param Type
    Response Rate Ratio
    param Value
    3.19
    statistical Method
    Chi-squared
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        19.1
        upper Limit
        27.2
        value
        23
      2. group Id
        OG001
        lower Limit
        5.0
        upper Limit
        10.1
        value
        7
denoms
  1. counts
    1. group Id
      OG000
      value
      431
    2. group Id
      OG001
      value
      430
    units
    Participants
description
Objective tumor response was summarized as the percentage of participants who achieved a confirmed complete (CR) or partial response (PR) based on an independent blinded radiology assessment of response using Response Evaluation Criteria in Solid Tumors (RECIST) guidelines. Using RECIST Version 1.0, participants were to achieve either a complete response (CR) defined as the disappearance of all known disease and no new sites or disease related symptoms confirmed at least 4 weeks after initial documentation or partial response (PR) defined as at least a 30% decrease in the sum of the longest diameters of target lesions and no progression in non-target lesions based on confirmed responses from the investigator assessment of best overall response during study treatment.
dispersion Type
95% Confidence Interval
groups
  1. description
    Albumin-bound paclitaxel (ABI-007)/Gemcitabine: ABI-007 125 mg/m\^2 administered intravenously (IV) in combination with Gemcitabine 1000 mg/m\^2 IV weekly for 3 weeks on Days 1, 8, and 15 followed by one week of rest
    id
    OG000
    title
    Albumin-bound Paclitaxel (ABI-007)/Gemcitabine
  2. description
    Gemcitabine 1000 mg/m\^2 administered IV weekly for 7 weeks through Day 43 followed by a week of rest (Cycle 1), followed by cycles of weekly administration for 3 weeks on Days 1, 8, and 15 followed by a week of rest (Cycle 2 onward)
    id
    OG001
    title
    Gemcitabine
param Type
NUMBER
population Description
Intent to Treat population (ITT population) consisted of all randomized participants.
reporting Status
POSTED
time Frame
Assessment every 4 weeks after initial response; Day 1 to data cut off of 17 Sept 2013; maximum time on study 37 months
title
Percentage of Participants Who Achieved an Objective Confirmed Overall Response by Independent Radiological Review (IRR)
type
SECONDARY
unit Of Measure
percentage of participants

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Preserved source evidence · Not medical advice