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NCT01532687 · OUTCOME

Percentage of Participants Achieving Best Overall Objective Response (CR+PR)

Gemcitabine With or Without Pazopanib in Treating Patients With Refractory Soft Tissue Sarcoma · Source last updated 2021-09-27

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
Best overall objective response recorded from the start of treatment until disease progression/recurrence assessed up to 3 years

What was measured

Response is evaluated using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, where RECIST combines assessments for target, non-target and presence of new lesions. Best Overall Objective Response is the sum of all CR+PR divided by all randomized participants, where the strongest recorded response is used for the evaluation (CR\>PR\>SD\>PD). Objective response (CR+PR) requires at least a 30% decrease in the sum of the largest diameter target lesions (with respective to the baseline sum); disappearance of all or persistence of one or more non-target lesions, maintenance of tumor marker levels above normal limits, and no new lesions. Estimated odds ratio of best overall objective response are reported with 95% confidence interval for the two histologic sarcoma subgroups (liposarcoma vs all other eligible soft tissue sarcoma subtypes). One-sided proportions test is used to determine whether best overall objective response is greater for the gemcitabine plus pazopanib group.

Analysis population: All randomized participants.

Groups in this outcome

Gemcitabine Hydrochloride Plus Pazopanib Hydrochloride

Patients receive gemcitabine hydrochloride IV over 30 minutes on days 1 and 8 and pazopanib hydrochloride PO on days 1-21. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Gemcitabine: Given IV Gemcitabine Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies Pazopanib: Given PO Pazopanib Hydrochloride: Given PO

Gemcitabine Hydrochloride Plus Placebo

Patients receive gemcitabine hydrochloride IV over 30 minutes on days 1 and 8 and placebo PO on days 1-21. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients who experience disease progression may receive single-agent pazopanib hydrochloride PO daily. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Gemcitabine: Given IV Gemcitabine Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies Pazopanib: Given PO Pazopanib Hydrochloride: Given PO Placebo Administration: Given PO

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

Analysis denominator · Participants

GroupSource count
Gemcitabine Hydrochloride Plus Pazopanib Hydrochloride29
Gemcitabine Hydrochloride Plus Placebo25

Reported measurements

All randomized participants

Analysis denominator · Participants

GroupSource count
Gemcitabine Hydrochloride Plus Pazopanib Hydrochloride29
Gemcitabine Hydrochloride Plus Placebo25
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Gemcitabine Hydrochloride Plus Pazopanib Hydrochloride6.9Not reported0.922.8Not reported
Gemcitabine Hydrochloride Plus Placebo8.0Not reported1.026.0Not reported
Liposarcoma participants

Analysis denominator · Participants

GroupSource count
Gemcitabine Hydrochloride Plus Pazopanib Hydrochloride9
Gemcitabine Hydrochloride Plus Placebo7
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Gemcitabine Hydrochloride Plus Pazopanib Hydrochloride22.2Not reported2.860Not reported
Gemcitabine Hydrochloride Plus Placebo0Not reportedNANANo participants achieved overall objective response, making the confidence interval not estimable
Other sarcoma participants

Analysis denominator · Participants

GroupSource count
Gemcitabine Hydrochloride Plus Pazopanib Hydrochloride20
Gemcitabine Hydrochloride Plus Placebo18
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Gemcitabine Hydrochloride Plus Pazopanib Hydrochloride0Not reportedNANANo participants achieved overall objective response, making the confidence interval not estimable
Gemcitabine Hydrochloride Plus Placebo11.1Not reported1.434.7Not reported

Source statistical analyses

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

  1. group Description
    Statistical results are for the full randomized population (n = 54). The study tests whether gemcitabine plus pazopanib is superior to gemcitabine plus placebo (one-sided proportion test with Yate's continuity correction)
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Analysis was not powered for secondary endpoints. Given the study closed early due to slow enrollment, we do not anticipate detecting a statistical difference between the two groups
    non Inferiority Type
    SUPERIORITY
    p Value
    0.5
    p Value Comment
    Yate's continuity correction was applied because of the number of subjects and successes (n = 4)
    statistical Method
    One-sided Proportions Test
  2. group Description
    Statistical results are for the Liposarcoma group (n = 16). The study tests whether gemcitabine plus pazopanib is superior to gemcitabine plus placebo (one-sided proportion test with Yate's continuity correction). Analysis was not powered for the secondary endpoints. Given the study closed early due to slow enrollment we do not anticipate detecting a statistical difference between the groups.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.3
    p Value Comment
    Yate's continuity correction was applied because of small number of participants (n = 16) and successes (n = 2).
    statistical Method
    One-sided Proportion Test
  3. group Description
    Statistical results are for the Other Sarcoma group (n = 38). The study tests whether gemcitabine plus pazopanib is superior to gemcitabine plus placebo (one-sided proportion test with Yate's continuity correction). Analysis was not powered for secondary endpoints. Given the study closed early due to slow enrollment, we do not anticipate detecting a statistical difference between the two groups.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.8
    p Value Comment
    Yate's continuity correction was applied because of the small number of participants and successes (n = 2).
    statistical Method
    One-sided Proportion Test
Complete source fields
analyses
  1. group Description
    Statistical results are for the full randomized population (n = 54). The study tests whether gemcitabine plus pazopanib is superior to gemcitabine plus placebo (one-sided proportion test with Yate's continuity correction)
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Analysis was not powered for secondary endpoints. Given the study closed early due to slow enrollment, we do not anticipate detecting a statistical difference between the two groups
    non Inferiority Type
    SUPERIORITY
    p Value
    0.5
    p Value Comment
    Yate's continuity correction was applied because of the number of subjects and successes (n = 4)
    statistical Method
    One-sided Proportions Test
  2. group Description
    Statistical results are for the Liposarcoma group (n = 16). The study tests whether gemcitabine plus pazopanib is superior to gemcitabine plus placebo (one-sided proportion test with Yate's continuity correction). Analysis was not powered for the secondary endpoints. Given the study closed early due to slow enrollment we do not anticipate detecting a statistical difference between the groups.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.3
    p Value Comment
    Yate's continuity correction was applied because of small number of participants (n = 16) and successes (n = 2).
    statistical Method
    One-sided Proportion Test
  3. group Description
    Statistical results are for the Other Sarcoma group (n = 38). The study tests whether gemcitabine plus pazopanib is superior to gemcitabine plus placebo (one-sided proportion test with Yate's continuity correction). Analysis was not powered for secondary endpoints. Given the study closed early due to slow enrollment, we do not anticipate detecting a statistical difference between the two groups.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.8
    p Value Comment
    Yate's continuity correction was applied because of the small number of participants and successes (n = 2).
    statistical Method
    One-sided Proportion Test
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0.9
        upper Limit
        22.8
        value
        6.9
      2. group Id
        OG001
        lower Limit
        1.0
        upper Limit
        26.0
        value
        8.0
    denoms
    1. counts
      1. group Id
        OG000
        value
        29
      2. group Id
        OG001
        value
        25
      units
      Participants
    title
    All randomized participants
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        2.8
        upper Limit
        60
        value
        22.2
      2. comment
        No participants achieved overall objective response, making the confidence interval not estimable
        group Id
        OG001
        lower Limit
        NA
        upper Limit
        NA
        value
        0
    denoms
    1. counts
      1. group Id
        OG000
        value
        9
      2. group Id
        OG001
        value
        7
      units
      Participants
    title
    Liposarcoma participants
  3. categories
    1. measurements
      1. comment
        No participants achieved overall objective response, making the confidence interval not estimable
        group Id
        OG000
        lower Limit
        NA
        upper Limit
        NA
        value
        0
      2. group Id
        OG001
        lower Limit
        1.4
        upper Limit
        34.7
        value
        11.1
    denoms
    1. counts
      1. group Id
        OG000
        value
        20
      2. group Id
        OG001
        value
        18
      units
      Participants
    title
    Other sarcoma participants
denoms
  1. counts
    1. group Id
      OG000
      value
      29
    2. group Id
      OG001
      value
      25
    units
    Participants
description
Response is evaluated using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, where RECIST combines assessments for target, non-target and presence of new lesions. Best Overall Objective Response is the sum of all CR+PR divided by all randomized participants, where the strongest recorded response is used for the evaluation (CR\>PR\>SD\>PD). Objective response (CR+PR) requires at least a 30% decrease in the sum of the largest diameter target lesions (with respective to the baseline sum); disappearance of all or persistence of one or more non-target lesions, maintenance of tumor marker levels above normal limits, and no new lesions. Estimated odds ratio of best overall objective response are reported with 95% confidence interval for the two histologic sarcoma subgroups (liposarcoma vs all other eligible soft tissue sarcoma subtypes). One-sided proportions test is used to determine whether best overall objective response is greater for the gemcitabine plus pazopanib group.
dispersion Type
95% Confidence Interval
groups
  1. description
    Patients receive gemcitabine hydrochloride IV over 30 minutes on days 1 and 8 and pazopanib hydrochloride PO on days 1-21. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Gemcitabine: Given IV Gemcitabine Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies Pazopanib: Given PO Pazopanib Hydrochloride: Given PO
    id
    OG000
    title
    Gemcitabine Hydrochloride Plus Pazopanib Hydrochloride
  2. description
    Patients receive gemcitabine hydrochloride IV over 30 minutes on days 1 and 8 and placebo PO on days 1-21. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients who experience disease progression may receive single-agent pazopanib hydrochloride PO daily. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Gemcitabine: Given IV Gemcitabine Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies Pazopanib: Given PO Pazopanib Hydrochloride: Given PO Placebo Administration: Given PO
    id
    OG001
    title
    Gemcitabine Hydrochloride Plus Placebo
param Type
NUMBER
population Description
All randomized participants.
reporting Status
POSTED
time Frame
Best overall objective response recorded from the start of treatment until disease progression/recurrence assessed up to 3 years
title
Percentage of Participants Achieving Best Overall Objective Response (CR+PR)
type
SECONDARY
unit Of Measure
percentage of participants

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Preserved source evidence · Not medical advice