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TerminatedNCT00637728Updated Jun 23, 2016Results posted

Treatment of Cancer-anorexia Using Megestrol Acetate Concentrated Suspension in Lung or Pancreatic Cancer Patients

A Phase 3 interventional study of Megestrol acetate concentrated suspension 110 mg/mL and Placebo in Anorexia, Cachexia and Weight Loss, sponsored by Par Pharmaceutical, Inc.. Terminated at 3 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-06-23.

Sponsored by Par Pharmaceutical, Inc. · Phase 3, Interventional, and Treatment

Why this study was terminated
Difficulty finding the required patient population
Phase
Phase 3
Study type
Interventional
Enrollment
5
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Purpose of the study is to compare the effects of megestrol acetate concentrated suspension and placebo on caloric intake for the treatment of cancer-associated anorexia in patients with lung or pancreatic cancer

02

Conditions studied

  • Anorexia
  • Cachexia
  • Weight Loss

Keywords

  • Megestrol acetate
  • Anorexia
  • Cachexia
  • Lung cancer
  • Pancreatic cancer
  • Unintended weight loss
  • Body weight
  • Appetite
  • Megace ES
03

In context

Pancreatic Neoplasms

3,235 studies on the registry are indexed under Pancreatic Neoplasms; 899 are open to participants now.

This study's enrollment of 5 is below the median of 46 across 2,424 interventional studies indexed under Pancreatic Neoplasms.

Browse Pancreatic Neoplasms studies →

Lead sponsor

Par Pharmaceutical, Inc. is the lead sponsor of 34 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Stage II, III,or IV lung or pancreatic cancer
  • Fair, poor, or very poor appetite
  • Cancer associated anorexia/cachexia
  • Weight loss perceived to be associated with diminished appetite
  • Eastern Cooperative Oncology Group Performance score of 0, 1, 2
  • Life expectancy >3 months
  • Alert and mentally competent
  • Women of child-bearing potential required to use an adequate and reliable method of contraception. Post-menopausal women have to have been so for at least 1 year
  • Screening laboratory values must not be clinically significant (some exceptions per protocol)

Exclusion criteria

Exclusion Criteria:

  • Brain, or head and neck metastases that may interfere with food consumption
  • AIDS-related wasting
  • Radiation therapy to the head and neck, abdomen, or pelvis within past 6 weeks, or anticipated during course of the study such that the result may interfere with food consumption
  • Conditions that interfere with oral intake, or ability to swallow
  • Absence of a normally functioning gut
  • Mechanical obstruction of the alimentary or biliary tract, or malabsorption syndrome
  • Intractable or frequent vomiting that regularly interfere with eating
  • Clinically significant diarrhea
  • History of recurrent thromboembolic events, a thromboembolic event in past 3 months, or long-term anticoagulation treatment for thromboembolism
  • Uncontrolled diabetes mellitus, or symptomatic hypoadrenalism
  • Poorly controlled hypertension, or congestive heart failure
  • Pregnant/lactating females
  • Use within past 30 days of an appetite stimulant
  • Use within past week, or planned use during the study of parenteral nutrition or tube feedings
  • Chronic use of steroids within past 3 months (intermittent short-term use allowed)
  • Current use of or not willing to abstain from using illicit substances
  • Allergy, hypersensitivity, or contraindication to megestrol acetate
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
5 participants (actual)

Study arms

  • Active comparator
    1

    Megestrol acetate concentrated suspension 110 mg/mL

    Drug: Megestrol acetate concentrated suspension 110 mg/mL

  • Placebo comparator
    2

    Placebo suspension

    Drug: Placebo

Interventions

  • DrugMegestrol acetate concentrated suspension 110 mg/mL

    Megestrol acetate concentrated suspension 110 mg/mL given as an oral dose of 550 mg (5 mL) once per day for 56 days, with an optional 28 days extension phase

    Also known as: Megace ES

  • DrugPlacebo

    Placebo oral suspension, 5 mL once daily

06

What researchers measure

Primary outcomes

  1. Average Daily Caloric Intake Over the Course of the 8-week Double-blind Phase

    The Nutrition Data System for Research (NDSR) was used to determine nutrient and caloric value for foods and beverages consumed and recorded by subjects over a 3-day assessment period prior to each visit. Total number of calories consumed during each 3-day assessment was averaged over available values to determine the week's daily caloric intake value.

    Time frame: 8 weeks

Secondary outcomes

  1. Changes in Body Composition as Measured by Bioelectric Impedance Analysis (BIA) at Week 4 and Week 8 Relative to Baseline

    Time frame: Baseline, Week 4 and Week 8

  2. Change in Weight Over the Course of the 8-week Double-blind Phase

    Time frame: Baseline, Week 1, 2, 3, 4, 6, and 8

  3. Change in Appetite Over the 8-week Double-blind Phase as Measured by a VAS Appetite Scale

    Subjects marked 6 items on a visual analog scale (VAS) appetite scale including feeling not hungry to hungry, not nauseated to nauseated, empty to full, not satiated to satiated; weak to strong desire to eat; and ability to eat none to a large amount of food

    Time frame: Baseline, Weeks 1, 2, 3, 4, 6 and 8

07

Results

Posted Feb 29, 2016

Participant flow

Double-blind Phase
Participant flow — Double-blind Phase
MilestoneDB MA-CS 550 mg/DayDB PlaceboOL MA-CS 550 mg/Day
Started410
Completed000
Not completed410
Withdrew: Adverse event100
Withdrew: Non-compliance200
Withdrew: Study discontinued110
Extension Phase
Participant flow — Extension Phase
MilestoneDB MA-CS 550 mg/DayDB PlaceboOL MA-CS 550 mg/Day
Started000
Completed000
Not completed000

Outcome measures

PrimaryAverage Daily Caloric Intake Over the Course of the 8-week Double-blind Phase

The Nutrition Data System for Research (NDSR) was used to determine nutrient and caloric value for foods and beverages consumed and recorded by subjects over a 3-day assessment period prior to each visit. Total number of calories consumed during each 3-day assessment was averaged over available values to determine the week's daily caloric intake value.

Time frame:
8 weeks

No measurements were reported for this outcome.

SecondaryChanges in Body Composition as Measured by Bioelectric Impedance Analysis (BIA) at Week 4 and Week 8 Relative to Baseline
Time frame:
Baseline, Week 4 and Week 8

No measurements were reported for this outcome.

SecondaryChange in Weight Over the Course of the 8-week Double-blind Phase
Time frame:
Baseline, Week 1, 2, 3, 4, 6, and 8

No measurements were reported for this outcome.

SecondaryChange in Appetite Over the 8-week Double-blind Phase as Measured by a VAS Appetite Scale

Subjects marked 6 items on a visual analog scale (VAS) appetite scale including feeling not hungry to hungry, not nauseated to nauseated, empty to full, not satiated to satiated; weak to strong desire to eat; and ability to eat none to a large amount of food

Time frame:
Baseline, Weeks 1, 2, 3, 4, 6 and 8

No measurements were reported for this outcome.

Adverse events

Collected over Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
DB MA-CS 550 mg/Day—2/4 (50%)3/4 (75%)
DB Placebo—0/1 (0%)1/1 (100%)
OL MA-CS 550 mg/Day———
Most frequent serious events
Most frequent serious events
EventDB MA-CS 550 mg/DayDB PlaceboOL MA-CS 550 mg/Day
Cardiac arrestCardiac disorders1/40/1—
OesophagitisGastrointestinal disorders1/40/1—
Disease progressionGeneral disorders1/40/1—
Pneumonia aspergillusInfections and infestations1/40/1—
Haemoglobin decreasedInvestigations1/40/1—
DehydrationMetabolism and nutrition disorders1/40/1—
ComaNervous system disorders1/40/1—
Respiratory failureRespiratory, thoracic and mediastinal disorders1/40/1—
HypotensionVascular disorders1/40/1—
Most frequent other events
Most frequent other events
EventDB MA-CS 550 mg/DayDB PlaceboOL MA-CS 550 mg/Day
Weight decreasedInvestigations0/41/1—
AnemiaBlood and lymphatic system disorders2/40/1—
VomitingGastrointestinal disorders1/40/1—
DehydrationMetabolism and nutrition disorders1/40/1—
DyspnoeaRespiratory, thoracic and mediastinal disorders1/40/1—
Renal failureRenal and urinary disorders1/40/1—

Baseline characteristics

All subjects who received at least 1 dose of study medication and who had at least 1 on-therapy safety assessment

Age, Categorical
Age, Categorical(Participants)DB MA-CS 550 mg/DayDB PlaceboTotal
<=18 years000
Between 18 and 65 years112
>=65 years303
Sex: Female, Male
Sex: Female, Male(Participants)DB MA-CS 550 mg/DayDB PlaceboTotal
Female213
Male202
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)DB MA-CS 550 mg/DayDB PlaceboTotal
Hispanic or Latino000
Not Hispanic or Latino415
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)DB MA-CS 550 mg/DayDB PlaceboTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American213
White202
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)DB MA-CS 550 mg/DayDB PlaceboTotal
United States415
08

Study locations

3 sites
  • Innovative Medical Research of South Florida, Inc
    Miami, Florida 33179, United States
  • Western Maryland Health System
    Cumberland, Maryland 21502, United States
  • Lowcountry Hematology & Oncology, PA
    Mt. Pleasant, South Carolina 29464, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 23, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00637728
Lead sponsor
Par Pharmaceutical, Inc.
Collaborators
PRA Health Sciences
Responsible party
Sponsor
First posted
Mar 18, 2008
Start date
Jun 2006
Primary completion
Sep 2006
Completion
Sep 2006
Results posted
Feb 29, 2016
Last update
Jun 23, 2016

Study contacts

Lynn D Kramer, MD
study chair · Par Pharmaceutical, Inc.
John N Mehanna, MD
principal investigator · Western Maryland Health System
M.Daud Nawabi, MD
principal investigator · Lowcountry Hematology & Oncology, PA
Marc A Saltzman, MD
principal investigator · Innovative Medical Research of South Florida, Inc

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in May 2016. You cannot join it, but the record below documents what was studied.

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