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NCT01494506 · OUTCOME

Percentage of Patients With Clinical Benefit Response

Study of MM-398 With or Without 5-FU/LV, Versus 5-FU/LV in Patients With Metastatic Pancreatic Cancer · Source last updated 2016-06-17

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

Measure
NUMBER
Unit
percentage of participants with CBR
Interval / dispersion
Not reported
Time frame
Randomization to treatment discontinuation.The maximum time in follow up was 25 months

What was measured

Composite measure based on patient-reported pain (per VAS), patient-reported pain medication, KPS, and weight. Clinical benefit is indicated by either: (a) improvement in pain (less pain intensity with stable or decreased pain medication; or less pain medication with stable or decreased pain intensity) with stable or improved KPS; or (b) improvement in KPS with stable or improved pain. With stable for KPS and pain, clinical benefit may be indicated with an observation of positive weight change. Clinical benefit response (CBR) was classified weekly and a patient was considered a clinical benefit responder if clinical benefit was observed and maintained over a 4 week period.

Analysis population: Clinical Benefit Response Evaluable Population: Patients who received study drug and met at least one of the following criteria were defined as eligible for evaluation of CBR: * baseline pain intensity ≥ 20 (out of 100) * baseline morphine consumption ≥ 10 mg/day PO morphine equivalents * baseline KPS of 70 to 90 points

Groups in this outcome

MM-398 Arm A (Mono Therapy Comparison)

• MM-398 120 mg/m2 IV on Day 1of a 3 weekly cycle Patients who were homozygous for UGT1A1\*28 allele received the first cycle of therapy at a reduced dose of 80 mg/m2. If the patient did not experience any drug related toxicity after the first administration of MM-398, from cycle 2 onwards, the dose could be increased in increments of 20 mg/m2 up to a maximum of 120 mg/m2.

5-FU + Leucovorin (Arm B) (Mono Therapy Comparison)

* 5-FU 2000 mg/m2 IV over 24-hours, every week for 4 weeks (days 1, 8, 15 and 22), followed by 2 weeks of rest, in a 6 week cycle * Leucovorin l + d racemic form 200 mg/m2, or l form 100 mg/m2 IV over 30 minutes, every week for 4 weeks (days 1, 8, 15 and 22), followed by 2 weeks of rest, in a 6 week cycle.

MM-398 + 5-FU + Leucovorin(Arm C) Combo Therapy Comparison

* MM-398 80 mg/m2 IV every 2 weeks Patients who were homozygous for UGT1A1\*28 allele and were randomized to Arm C, received the first cycle of therapy at a reduced dose of 60 mg/m2. If the patient did not experience any drug related toxicity after the first administration of MM-398, from cycle 2 onwards, the dose could be increased to 80 mg/m2. * 5-FU 2400 mg/m2 IV over 46-hours, and * Leucovorin l + d racemic form 400 mg/m2, or l form 200 mg/m2 IV over 30 minutes, every 2 weeks

5-FU + Leucovorin (Combo Therapy Comparison)

* 5-FU 2000 mg/m2 IV over 24-hours, every week for 4 weeks (days 1, 8, 15 and 22), followed by 2 weeks of rest, in a 6 week cycle * Leucovorin l + d racemic form 200 mg/m2, or l form 100 mg/m2 IV over 30 minutes, every week for 4 weeks (days 1, 8, 15 and 22), followed by 2 weeks of rest, in a 6 week cycle.

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

Analysis denominator · Participants

GroupSource count
MM-398 Arm A (Mono Therapy Comparison)92
5-FU + Leucovorin (Arm B) (Mono Therapy Comparison)80
MM-398 + 5-FU + Leucovorin(Arm C) Combo Therapy Comparison78
5-FU + Leucovorin (Combo Therapy Comparison)60

Reported measurements

Source class 1
Values in percentage of participants with CBR · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
MM-398 Arm A (Mono Therapy Comparison)14Not reportedNot reportedNot reportedNot reported
5-FU + Leucovorin (Arm B) (Mono Therapy Comparison)13Not reportedNot reportedNot reportedNot reported
MM-398 + 5-FU + Leucovorin(Arm C) Combo Therapy Comparison14Not reportedNot reportedNot reportedNot reported
5-FU + Leucovorin (Combo Therapy Comparison)12Not reportedNot reportedNot reportedNot reported

Source statistical analyses

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

  1. group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.82
    statistical Method
    Fisher Exact
    tested Non Inferiority
    false
  2. group Ids
    1. OG002
    2. OG003
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.80
    statistical Method
    Fisher Exact
    tested Non Inferiority
    false
Complete source fields
analyses
  1. group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.82
    statistical Method
    Fisher Exact
    tested Non Inferiority
    false
  2. group Ids
    1. OG002
    2. OG003
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.80
    statistical Method
    Fisher Exact
    tested Non Inferiority
    false
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        14
      2. group Id
        OG001
        value
        13
      3. group Id
        OG002
        value
        14
      4. group Id
        OG003
        value
        12
denoms
  1. counts
    1. group Id
      OG000
      value
      92
    2. group Id
      OG001
      value
      80
    3. group Id
      OG002
      value
      78
    4. group Id
      OG003
      value
      60
    units
    Participants
description
Composite measure based on patient-reported pain (per VAS), patient-reported pain medication, KPS, and weight. Clinical benefit is indicated by either: (a) improvement in pain (less pain intensity with stable or decreased pain medication; or less pain medication with stable or decreased pain intensity) with stable or improved KPS; or (b) improvement in KPS with stable or improved pain. With stable for KPS and pain, clinical benefit may be indicated with an observation of positive weight change. Clinical benefit response (CBR) was classified weekly and a patient was considered a clinical benefit responder if clinical benefit was observed and maintained over a 4 week period.
groups
  1. description
    • MM-398 120 mg/m2 IV on Day 1of a 3 weekly cycle Patients who were homozygous for UGT1A1\*28 allele received the first cycle of therapy at a reduced dose of 80 mg/m2. If the patient did not experience any drug related toxicity after the first administration of MM-398, from cycle 2 onwards, the dose could be increased in increments of 20 mg/m2 up to a maximum of 120 mg/m2.
    id
    OG000
    title
    MM-398 Arm A (Mono Therapy Comparison)
  2. description
    * 5-FU 2000 mg/m2 IV over 24-hours, every week for 4 weeks (days 1, 8, 15 and 22), followed by 2 weeks of rest, in a 6 week cycle * Leucovorin l + d racemic form 200 mg/m2, or l form 100 mg/m2 IV over 30 minutes, every week for 4 weeks (days 1, 8, 15 and 22), followed by 2 weeks of rest, in a 6 week cycle.
    id
    OG001
    title
    5-FU + Leucovorin (Arm B) (Mono Therapy Comparison)
  3. description
    * MM-398 80 mg/m2 IV every 2 weeks Patients who were homozygous for UGT1A1\*28 allele and were randomized to Arm C, received the first cycle of therapy at a reduced dose of 60 mg/m2. If the patient did not experience any drug related toxicity after the first administration of MM-398, from cycle 2 onwards, the dose could be increased to 80 mg/m2. * 5-FU 2400 mg/m2 IV over 46-hours, and * Leucovorin l + d racemic form 400 mg/m2, or l form 200 mg/m2 IV over 30 minutes, every 2 weeks
    id
    OG002
    title
    MM-398 + 5-FU + Leucovorin(Arm C) Combo Therapy Comparison
  4. description
    * 5-FU 2000 mg/m2 IV over 24-hours, every week for 4 weeks (days 1, 8, 15 and 22), followed by 2 weeks of rest, in a 6 week cycle * Leucovorin l + d racemic form 200 mg/m2, or l form 100 mg/m2 IV over 30 minutes, every week for 4 weeks (days 1, 8, 15 and 22), followed by 2 weeks of rest, in a 6 week cycle.
    id
    OG003
    title
    5-FU + Leucovorin (Combo Therapy Comparison)
param Type
NUMBER
population Description
Clinical Benefit Response Evaluable Population: Patients who received study drug and met at least one of the following criteria were defined as eligible for evaluation of CBR: * baseline pain intensity ≥ 20 (out of 100) * baseline morphine consumption ≥ 10 mg/day PO morphine equivalents * baseline KPS of 70 to 90 points
reporting Status
POSTED
time Frame
Randomization to treatment discontinuation.The maximum time in follow up was 25 months
title
Percentage of Patients With Clinical Benefit Response
type
SECONDARY
unit Of Measure
percentage of participants with CBR

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Preserved source evidence · Not medical advice