A Phase 1/2 interventional study of Patupilone in Carcinoma, Non-Small-Cell Lung, sponsored by Novartis Pharmaceuticals. Completed at 4 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-02-05.
Sponsored by Novartis Pharmaceuticals · Phase 1/2, Interventional, and Treatment
The study objective is to evaluate the maximum tolerated dose, safety and efficacy of patupilone in patients with NSCLC who have progressed after prior chemotherapy.
7,243 studies on the registry are indexed under Lung Neoplasms; 1,557 are open to participants now.
This study's enrollment of 89 is above the median of 60 across 5,295 interventional studies indexed under Lung Neoplasms.
Browse Lung Neoplasms studies →Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.
Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Cardiac pacemaker Ferromagnetic metal implants other than those approved as safe for use in MRI scanners Claustrophobia Obesity (exceeding the limits of scanning equipment)
Other protocol-dependent inclusion / exclusion criteria may apply
Patupilone (2.5 mg/mL) was supplied as a clear, colorless concentrate for solution for infusion in glass vials containing 5 mg/2 mL in Phase I and 10 mg/4 mL in Phase II part of the study. Patupilone was administered as a single intravenous (i.v.) infusion over 5 to 10 minutes (Amendment 1) till Amendment 2 and over 10 to 20 minutes (Amendment 2) till the completion of Phase I part of the study. Patupilone was administered as a single i.v. infusion over 20 minutes (Amendment 4), once every 3 weeks in Phase II part of the study.
Also known as: EPO906, Epothilone B
Phase I: Number of Total Dose-limiting Toxicity (DLT) During Dose Escalation to Determine Maximum Tolerated Dose (MTD)
The MTD was defined as the highest dose of patupilone administered every three weeks (q3w) where not more than one out of six patients experienced a DLT using a standard 3+3 design. Dose escalation started at 6.5 mg/m\^2 until MTD in steps of 0.5 mg/m\^2 until 12 mg/m\^2, then in steps of 1 mg/m\^2 till 13.0 mg/m\^2. DLTs were assessed during cycle 1. During this time frame, no more than one DLT occurred in any of the explored dose levels up to 13 mg/m\^2, thus, the MTD as defined by the protocol was not reached in this study.
Time frame: Cycle 1 (21 days)
Phase II: Number of Participants With Best Overall Response Rate (ORR) According to Response Evaluation Criteria in Solid Tumors (RECIST)
Overall response is the number of participants who had a complete response (CR) or a partial response (PR) based on local investigator's assessment of RECIST criteria. Per RECIST: CR, all detectable tumor has disappeared; PR, a \>=30% decrease in the sum of the longest dimensions of the target lesions (TLs) taking as a reference the baseline sum, no worsening of non-TLs, and no new lesions; Progressive disease (PD), a \>=20% increase in TLs, clearly worsening of non-TLs, or emergence of new lesions; Stable Disease (SD), small changes that do not meet previously given criteria.
Time frame: At baseline, then every second cycle (approximately every 6 weeks), until disease progression or discontinuation. Average 18 weeks.
Number of Participants With Best Overall Response-Phase I
This was defined as the number of participants whose best overall response was CR or PR by RECIST. Per RECIST: CR, all detectable tumor has disappeared; PR, a \>=30% decrease in the sum of the longest dimensions of the target lesions (TLs) taking as a reference the baseline sum, no worsening of non-TLs, and no new lesions; Progressive disease (PD), a \>=20% increase in TLs, clearly worsening of non-TLs, or emergence of new lesions; Stable Disease (SD), small changes that do not meet previously given criteria.
Time frame: Best achieved overall response according to RECIST from start of study until study discontinuation. Imaging was assessed every second cycle (ie. approximately every 6 weeks) until disease progression or discontinuation. Average 18 weeks
Overall Survival Time-Phase I and Phase II
Overall survival (OS) time was measured from the start of study drug to the date of death due to any cause. If a patient was not known to have died, survival was censored at the date of last contact. Data was collected post treatment every 3 months until approximately 70% of patients have reached the survival endpoint (Phase I + Phase II).
Time frame: From start of study drug to date of death due to any cause. Follow-up after treatment discontinuation approximately every 3 months until approximately 70% of participants have reached the survival endpoint. Average 9.75 months
Time to Progression (TTP)-Phase I and Phase II
Time to progression was measured from the start of study drug to the date of first documented disease progression by RECIST, discontinuation due to disease progression, or death from underlying cancer, whichever event occurred first. If a patient had not progressed by RECIST, discontinued due to disease progression, or died from underlying cancer, TTP was censored at the time of last adequate tumor assessment. However, if a patient took any new cancer therapy prior to PD or death, then TTP was censored at the date of last adequate tumor assessment prior to the start date of new cancer therapy.
Time frame: From baseline, then every second cycle (i.e. approximately every 6 weeks), until disease progression or discontinuation from study. Average 18 weeks
Duration of Stable Disease-Phase I and Phase II
Duration of stable disease (CR, PR, or SD) by RECIST was defined as the time from start of study drug to the date of first documented disease progression or discontinuation due to disease progression, or death from underlying cancer, whichever event occured first.
Time frame: Imaging was assessed every second cycle (i.e. approximately every 6 weeks), until disease progression or discontinuation from treatment . Average 18 weeks
Time to Overall Response -Phase I and Phase II
Time to overall response (CR or PR) measured by RECIST was the time between study start until date of first documented response (CR or PR).
Time frame: From baseline, then every second cycle (i.e. approximately every 6 weeks), until disease progression or discontinuation from study. Average 18 weeks
Duration of Overall Response -Phase I and Phase II
Duration of overall response (CR or PR) measured by RECIST was measured from the first documented CR or PR to the date of first documented disease progression or discontinuation due to disease progression, or death from underlying cancer, whichever event occured first.
Time frame: Duration of response according to RECIST from start of study until study discontinuation. Duration of response was assessed every second cycle ( i.e. approximately every 6 weeks) until disease progression or discontinuation from study. Average 18 weeks
| Milestone | Patupilone ≤7.0 mg/m^2 (Phase I) | Patupilone 7.5-8.0 mg/m^2 (Phase I) | Patupilone 8.5-9.5 mg/m^2 (Phase I) | Patupilone 10.0-11.5 mg/m^2 (Phase I) | Patupilone 12.0-13.0 mg/m^2 (Phase I) | Patupilone 10 mg/m^2 (Phase II) NSCLC Cohort | Patupilone 10 mg/m^2 (Phase II) NSCLC w.BM Cohort |
|---|---|---|---|---|---|---|---|
| Started | 6 | 12 | 12 | 12 | 8 | 35 | 4 |
| Completed 6 cycles of treatment | 0 | 0 | 1 | 0 | 2 | 1 | 0 |
| Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Not completed | 6 | 12 | 12 | 12 | 8 | 35 | 4 |
| Withdrew: Adverse event | 2 | 1 | 3 | 2 | 2 | 15 | 1 |
| Withdrew: Withdrawal by subject | 0 | 2 | 0 | 1 | 1 | 1 | 0 |
| Withdrew: Death from study indication | 0 | 1 | 0 | 0 | 1 | 0 | 0 |
| Withdrew: Disease progression | 4 | 8 | 8 | 9 | 2 | 18 | 3 |
| Withdrew: Treatment duration completed | 0 | 0 | 1 | 0 | 2 | 1 | 0 |
This was defined as the number of participants whose best overall response was CR or PR by RECIST. Per RECIST: CR, all detectable tumor has disappeared; PR, a \>=30% decrease in the sum of the longest dimensions of the target lesions (TLs) taking as a reference the baseline sum, no worsening of non-TLs, and no new lesions; Progressive disease (PD), a \>=20% increase in TLs, clearly worsening of non-TLs, or emergence of new lesions; Stable Disease (SD), small changes that do not meet previously given criteria.
| Participants | Patupilone ≤7.0 mg/m^2 (Phase I) | Patupilone 7.5-8.0 mg/m^2 (Phase I) | Patupilone 8.5-9.5 mg/m^2 (Phase I) | Patupilone 10.0-11.5 mg/m^2 (Phase I) | Patupilone 12.0-13.0 mg/m^2 (Phase I) |
|---|---|---|---|---|---|
| Complete Response (CR) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Partial Response (PR) | 0 ± 0 | 3 ± 25 | 1 ± 8.3 | 1 ± 8.3 | 0 ± 0 |
| Stable Disease (SD) | 1 ± 16.7 | 2 ± 16.7 | 5 ± 41.7 | 4 ± 33.3 | 5 ± 62.5 |
| Progressive Disease (PD) | 5 ± 83.3 | 4 ± 33.3 | 5 ± 41.7 | 6 ± 50.0 | 1 ± 12.5 |
| Unknown | 0 ± 0 | 3 ± 25.0 | 1 ± 8.3 | 1 ± 8.3 | 2 ± 25.0 |
| Best overall response (CR,PR) & the response rate | 0 ± 0 | 3 ± 25.0 | 1 ± 8.3 | 1 ± 8.3 | 0 ± 0 |
Overall survival (OS) time was measured from the start of study drug to the date of death due to any cause. If a patient was not known to have died, survival was censored at the date of last contact. Data was collected post treatment every 3 months until approximately 70% of patients have reached the survival endpoint (Phase I + Phase II).
| Months | Patupilone (EPO906) Phase I | Patupilone (EPO906) Phase II |
|---|---|---|
| Overall Survival Time-Phase I and Phase II | 9.2 (6.8 to 12.9) | 10.3 (6.0 to 13.6) |
Time to progression was measured from the start of study drug to the date of first documented disease progression by RECIST, discontinuation due to disease progression, or death from underlying cancer, whichever event occurred first. If a patient had not progressed by RECIST, discontinued due to disease progression, or died from underlying cancer, TTP was censored at the time of last adequate tumor assessment. However, if a patient took any new cancer therapy prior to PD or death, then TTP was censored at the date of last adequate tumor assessment prior to the start date of new cancer therapy.
| Months | Patupilone (EPO906) Phase I | Patupilone (EPO906) Phase II |
|---|---|---|
| Time to Progression (TTP)-Phase I and Phase II | 2.1 (0.8 to 3.5) | 2.1 (1.9 to 3.7) |
The MTD was defined as the highest dose of patupilone administered every three weeks (q3w) where not more than one out of six patients experienced a DLT using a standard 3+3 design. Dose escalation started at 6.5 mg/m\^2 until MTD in steps of 0.5 mg/m\^2 until 12 mg/m\^2, then in steps of 1 mg/m\^2 till 13.0 mg/m\^2. DLTs were assessed during cycle 1. During this time frame, no more than one DLT occurred in any of the explored dose levels up to 13 mg/m\^2, thus, the MTD as defined by the protocol was not reached in this study.
| Dose Limiting Toxicity (DLT) | Patupilone 6.5 mg/m^2 (Phase I) | Patupilone 7.0 mg/m^2 (Phase I) | Patupilone 7.5 mg/m^2 (Phase I) | Patupilone 8.0 mg/m^2 (Phase I) | Patupilone 8.5 mg/m^2 (Phase I) | Patupilone 9.0 mg/m^2 (Phase I) | Patupilone 9.5 mg/m^2 (Phase I) | Patupilone 10.0 mg/m^2 (Phase I) | Patupilone 10.5 mg/m^2 (Phase I) | Patupilone 11.0 mg/m^2 (Phase I) | Patupilone 11.5 mg/m^2 (Phase I) | Patupilone 12.0 mg/m^2 (Phase I) | Patupilone 13.0 mg/m^2 (Phase I) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Asthenia | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Diarrhea | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Any DLT | 0 | 0 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Overall response is the number of participants who had a complete response (CR) or a partial response (PR) based on local investigator's assessment of RECIST criteria. Per RECIST: CR, all detectable tumor has disappeared; PR, a \>=30% decrease in the sum of the longest dimensions of the target lesions (TLs) taking as a reference the baseline sum, no worsening of non-TLs, and no new lesions; Progressive disease (PD), a \>=20% increase in TLs, clearly worsening of non-TLs, or emergence of new lesions; Stable Disease (SD), small changes that do not meet previously given criteria.
| Participants | Patupilone 10 mg/m^2 (Phase II) NSCLC Cohort |
|---|---|
| Complete Response | 0 (6.596 to 30.55) |
| Partial Response (PR) | 6 |
| Stable Disease (SD) | 9 |
| Progressive Disease (PD) | 13 |
| Unknown | 7 |
| Best overall response (CR, PR) & the response rate | 6 |
Duration of stable disease (CR, PR, or SD) by RECIST was defined as the time from start of study drug to the date of first documented disease progression or discontinuation due to disease progression, or death from underlying cancer, whichever event occured first.
| Months | Patupilone (EPO906) Phase I | Patupilone (EPO906) Phase II |
|---|---|---|
| Duration of Stable Disease-Phase I and Phase II | 3.7 (3.5 to 4.9) | 5.6 (3.5 to 9.0) |
Time to overall response (CR or PR) measured by RECIST was the time between study start until date of first documented response (CR or PR).
| Months | Patupilone (EPO906) Phase I | Patupilone (EPO906) Phase II |
|---|---|---|
| Time to Overall Response -Phase I and Phase II | 2.6 (1.2 to 3.5) | 3.4 (1.0 to 6.5) |
Duration of overall response (CR or PR) measured by RECIST was measured from the first documented CR or PR to the date of first documented disease progression or discontinuation due to disease progression, or death from underlying cancer, whichever event occured first.
| Months | Patupilone (EPO906) Phase I | Patupilone (EPO906) Phase II |
|---|---|---|
| Duration of Overall Response -Phase I and Phase II | 2.6 (2.3 to 2.6) | NA (2.5 to NA) |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Patupilone ≤7.0 mg/m^2 (Phase I) | — | 3/6 (50%) | 6/6 (100%) |
| Patupilone 7.5-8.0 mg/m^2 (Phase I) | — | 3/12 (25%) | 11/12 (91.7%) |
| Patupilone 8.5-9.5 mg/m^2 (Phase I) | — | 2/12 (16.7%) | 12/12 (100%) |
| Patupilone 10.0-11.5 mg/m^2 (Phase I) | — | 3/12 (25%) | 10/12 (83.3%) |
| Patupilone 12.0-13.0 mg/m^2 (Phase I) | — | 4/8 (50%) | 8/8 (100%) |
| Patupilone 10 mg/m^2 (Phase II) NSCLC Cohort | — | 14/35 (40%) | 33/35 (94.3%) |
| Patupilone 10 mg/m^2 (Phase II) NSCLC w. Brain Metastases (BM) | — | 2/4 (50%) | 4/4 (100%) |
| Event | Patupilone ≤7.0 mg/m^2 (Phase I) | Patupilone 7.5-8.0 mg/m^2 (Phase I) | Patupilone 8.5-9.5 mg/m^2 (Phase I) | Patupilone 10.0-11.5 mg/m^2 (Phase I) | Patupilone 12.0-13.0 mg/m^2 (Phase I) | Patupilone 10 mg/m^2 (Phase II) NSCLC Cohort | Patupilone 10 mg/m^2 (Phase II) NSCLC w. Brain Metastases (BM) |
|---|---|---|---|---|---|---|---|
| VomitingGastrointestinal disorders | 0/6 | 1/12 | 0/12 | 0/12 | 0/8 | 0/35 | 1/4 |
| FatigueGeneral disorders | 0/6 | 0/12 | 0/12 | 0/12 | 0/8 | 0/35 | 1/4 |
| Oedema peripheralGeneral disorders | 0/6 | 0/12 | 0/12 | 0/12 | 0/8 | 0/35 | 1/4 |
| DehydrationMetabolism and nutrition disorders | 0/6 | 0/12 | 0/12 | 0/12 | 0/8 | 0/35 | 1/4 |
| Confusional statePsychiatric disorders | 0/6 | 0/12 | 0/12 | 0/12 | 0/8 | 0/35 | 1/4 |
| DiarrhoeaGastrointestinal disorders | 1/6 | 1/12 | 1/12 | 1/12 | 1/8 | 8/35 | 0/4 |
| AstheniaGeneral disorders | 1/6 | 0/12 | 0/12 | 0/12 | 1/8 | 1/35 | 0/4 |
| Urinary tract infectionInfections and infestations | 1/6 | 0/12 | 0/12 | 0/12 | 0/8 | 0/35 | 0/4 |
| Peripheral sensorimotor neuropathyNervous system disorders | 0/6 | 0/12 | 0/12 | 0/12 | 1/8 | 0/35 | 0/4 |
| Pulmonary embolismRespiratory, thoracic and mediastinal disorders | 0/6 | 0/12 | 0/12 | 0/12 | 1/8 | 1/35 | 0/4 |
| Event | Patupilone ≤7.0 mg/m^2 (Phase I) | Patupilone 7.5-8.0 mg/m^2 (Phase I) | Patupilone 8.5-9.5 mg/m^2 (Phase I) | Patupilone 10.0-11.5 mg/m^2 (Phase I) | Patupilone 12.0-13.0 mg/m^2 (Phase I) | Patupilone 10 mg/m^2 (Phase II) NSCLC Cohort | Patupilone 10 mg/m^2 (Phase II) NSCLC w. Brain Metastases (BM) |
|---|---|---|---|---|---|---|---|
| DiarrhoeaGastrointestinal disorders | 3/6 | 6/12 | 9/12 | 7/12 | 7/8 | 29/35 | 4/4 |
| Abdominal distensionGastrointestinal disorders | 4/6 | 2/12 | 2/12 | 3/12 | 0/8 | 4/35 | 1/4 |
| Abdominal painGastrointestinal disorders | 3/6 | 5/12 | 3/12 | 4/12 | 0/8 | 10/35 | 1/4 |
| NauseaGastrointestinal disorders | 3/6 | 3/12 | 4/12 | 5/12 | 3/8 | 6/35 | 1/4 |
| FatigueGeneral disorders | 3/6 | 2/12 | 4/12 | 3/12 | 3/8 | 5/35 | 1/4 |
| Decreased appetiteMetabolism and nutrition disorders | 0/6 | 3/12 | 1/12 | 0/12 | 4/8 | 12/35 | 0/4 |
| VomitingGastrointestinal disorders | 1/6 | 4/12 | 5/12 | 3/12 | 3/8 | 12/35 | 1/4 |
| ConstipationGastrointestinal disorders | 1/6 | 2/12 | 1/12 | 2/12 | 3/8 | 1/35 | 1/4 |
| ChillsGeneral disorders | 0/6 | 1/12 | 2/12 | 3/12 | 3/8 | 3/35 | 0/4 |
| ParaesthesiaNervous system disorders | 2/6 | 1/12 | 3/12 | 3/12 | 2/8 | 8/35 | 1/4 |
| Age, Continuous(years) | Patupilone ≤7.0 mg/m^2 (Phase I) | Patupilone 7.5-8.0 mg/m^2 (Phase I) | Patupilone 8.5-9.5 mg/m^2 (Phase I) | Patupilone 10.0-11.5 mg/m^2 (Phase I) | Patupilone 12.0-13.0 mg/m^2 (Phase I) | Patupilone 10 mg/m^2 (Phase II) NSCLC Cohort | Patupilone 10 mg/m^2 (Phase II) NSCLC w.BM Cohort | Total |
|---|---|---|---|---|---|---|---|---|
| Mean | 58.3 ± 12.01 | 59.4 ± 8.98 | 57.8 ± 9.31 | 57.6 ± 9.07 | 56.3 ± 13.31 | 63.3 ± 8.04 | 60.5 ± 9.71 | 57.9 ± 9.85 |
| Sex: Female, Male(Participants) | Patupilone ≤7.0 mg/m^2 (Phase I) | Patupilone 7.5-8.0 mg/m^2 (Phase I) | Patupilone 8.5-9.5 mg/m^2 (Phase I) | Patupilone 10.0-11.5 mg/m^2 (Phase I) | Patupilone 12.0-13.0 mg/m^2 (Phase I) | Patupilone 10 mg/m^2 (Phase II) NSCLC Cohort | Patupilone 10 mg/m^2 (Phase II) NSCLC w.BM Cohort | Total |
|---|---|---|---|---|---|---|---|---|
| Female | 3 | 5 | 4 | 4 | 2 | 10 | 2 | 30 |
| Male | 3 | 7 | 8 | 8 | 6 | 25 | 2 | 59 |
| Race/Ethnicity, Customized(participants) | Patupilone ≤7.0 mg/m^2 (Phase I) | Patupilone 7.5-8.0 mg/m^2 (Phase I) | Patupilone 8.5-9.5 mg/m^2 (Phase I) | Patupilone 10.0-11.5 mg/m^2 (Phase I) | Patupilone 12.0-13.0 mg/m^2 (Phase I) | Patupilone 10 mg/m^2 (Phase II) NSCLC Cohort | Patupilone 10 mg/m^2 (Phase II) NSCLC w.BM Cohort | Total |
|---|---|---|---|---|---|---|---|---|
| Caucasian | 6 | 12 | 11 | 12 | 8 | 35 | 4 | 88 |
| Black or African American | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
This study is completed, as verified in Jan 2014. You cannot join it, but the record below documents what was studied.
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