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NCT01494506 · OUTCOME

Percentage of Patients With Tumor Marker (CA 19-9) 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
percent of participants with TMR
Interval / dispersion
Not reported
Time frame
Baseline to treatment discontinuation every 6 weeks; The maximum time in follow up was 25 months

What was measured

Tumor marker response (TMR) was evaluated by the change in CA19-9 serum levels. Response was defined as a decrease of 50% of CA19-9 in relation to the baseline level at least once during the treatment period.

Analysis population: Patients with elevated baseline CA19-9 value (\> 30 U/mL) who received study drug.

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)123
5-FU + Leucovorin (Arm B) (Mono Therapy Comparison)105
MM-398 + 5-FU + Leucovorin(Arm C) Combo Therapy Comparison97
5-FU + Leucovorin (Combo Therapy Comparison)81

Reported measurements

Source class 1
Values in percent of participants with TMR · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
MM-398 Arm A (Mono Therapy Comparison)23.6Not reportedNot reportedNot reportedNot reported
5-FU + Leucovorin (Arm B) (Mono Therapy Comparison)11.4Not reportedNot reportedNot reportedNot reported
MM-398 + 5-FU + Leucovorin(Arm C) Combo Therapy Comparison28.9Not reportedNot reportedNot reportedNot reported
5-FU + Leucovorin (Combo Therapy Comparison)8.6Not 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
    0.024
    statistical Method
    Fisher Exact
    tested Non Inferiority
    false
  2. group Ids
    1. OG002
    2. OG003
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    <0.001
    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
    0.024
    statistical Method
    Fisher Exact
    tested Non Inferiority
    false
  2. group Ids
    1. OG002
    2. OG003
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    <0.001
    statistical Method
    Fisher Exact
    tested Non Inferiority
    false
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        23.6
      2. group Id
        OG001
        value
        11.4
      3. group Id
        OG002
        value
        28.9
      4. group Id
        OG003
        value
        8.6
denoms
  1. counts
    1. group Id
      OG000
      value
      123
    2. group Id
      OG001
      value
      105
    3. group Id
      OG002
      value
      97
    4. group Id
      OG003
      value
      81
    units
    Participants
description
Tumor marker response (TMR) was evaluated by the change in CA19-9 serum levels. Response was defined as a decrease of 50% of CA19-9 in relation to the baseline level at least once during the treatment 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
Patients with elevated baseline CA19-9 value (\> 30 U/mL) who received study drug.
reporting Status
POSTED
time Frame
Baseline to treatment discontinuation every 6 weeks; The maximum time in follow up was 25 months
title
Percentage of Patients With Tumor Marker (CA 19-9) Response
type
SECONDARY
unit Of Measure
percent of participants with TMR

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Preserved source evidence · Not medical advice