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CompletedNCT00661609Updated Jan 12, 2011Results posted

A Phase II Study of AZD4877 (a Novel Anti-mitotic Agent) in Advanced Bladder Cancer

A Phase 2 interventional study of AZD4877 in Bladder Cancer, Transitional Cell Bladder Cancer and Urethra Cancer, sponsored by AstraZeneca. Completed at 36 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2011-01-12.

Sponsored by AstraZeneca · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
54
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this Phase II study is to determine if AZD4877, an experimental drug that is a novel anti-mitotic agent (Eg5 or Kinesin Spindle Protein inhibitor that interferes with tumor cell division leading to tumor growth), can reduce tumor sizes in patients with bladder cancer

02

Conditions studied

  • Bladder Cancer
  • Transitional Cell Bladder Cancer
  • Urethra Cancer
  • Ureter Cancer
  • Renal Pelvis Cancer

Keywords

  • Anti-mitotic
  • Eg5 Inhibitor
  • Kinesin Spindle Protein Inhibitor
  • Urothelial Cancer
  • Bladder Cancer
  • Renal Pelvis Cancer
  • Urethra Cancer
  • Ureter Cancer
  • Recurrent
  • Advanced
  • Stage IV
03

In context

Urinary Bladder Neoplasms

1,616 studies on the registry are indexed under Urinary Bladder Neoplasms; 421 are open to participants now.

This study's enrollment of 54 is close to the median of 60 across 1,163 interventional studies indexed under Urinary Bladder Neoplasms.

Browse Urinary Bladder Neoplasms studies →

Lead sponsor

AstraZeneca is the lead sponsor of 3,429 studies on the registry; 270 are open to participants now.

Of its 357 completed or terminated interventional studies of FDA-regulated products, 173 (48%) have results posted.

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

  • Confirmed urothelial cancer (cancer of the bladder, renal pelvis, ureter, or urethra).
  • Tumor, Node, Metastasis (TNM) Stage IV urothelial cancer that can not be helped by curative surgery and/or curative radiotherapy
  • Must have had a maximum of 2 prior chemotherapeutic regimens, one for unremovable and/or metastasized disease, and the other in the adjuvant or neo-adjuvant setting.
  • Ambulatory and capable of all selfcare more than 50% of waking hours

Exclusion criteria

Exclusion Criteria:

  • Prior treatment with investigational or standard anti-cancer agents, including radiotherapy, within 4 weeks prior to first dose of study medication; 6 weeks if prior systemic mitomycin, nitrosourea, or suramin.
  • Inadequate bone marrow reserve
  • Inadequate liver function in the presence of liver metastases
  • Impaired renal function
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
54 participants (actual)

Study arms

  • Experimental
    AZD4877

    Single agent AZD4877

    Drug: AZD4877

Interventions

  • DrugAZD4877

    Intravenous (IV)25mg/weekly

06

What researchers measure

Primary outcomes

  1. Objective Response Rate (ORR) as Evaluated by Response Evaluation Criteria In Solid Tumors (RECIST)

    Percentage of participants with complete response (CR) or partial response (PR) as per Response Evaluation Criteria In Solid Tumors (RECIST), version 1.0 (Therasse et al. Natl Cancer Inst 92 (2000) pp205-216).

    Time frame: 8 weeks after study drug begins & and every 8 wks thereafter until discontinuation of study drug ( maximum treatment period of 309 days (44 weeks)

Secondary outcomes

  1. Disease Control Rate (DCR)

    Percentage of participants with Complete Response (CR), Partial Response (PR), or stable disease (SD) lasting at least 8 weeks from the first administration of study drug. RECIST guidelines:(Response evaluation criteria in solid tumors, version 1.0).

    Time frame: 8 weeks after study drug begins & every 8 weeks thereafter until discontinuation of the study ( maximum treatment period of 309 days (44 weeks)

  2. Duration of Objective Tumor Response (OTR)

    Time in weeks from the date of Complete Response (CR) or Partial Response (PR), whichever occurs earlier, to the date of discontinuation of study. RECIST guidelines:(Response evaluation criteria in solid tumors, version 1.0)

    Time frame: Time from first documentation of Complete or Partial Response, whichever occurs earlier, to discontinuation of the study drug (maximum treatment period of 309 days (44 weeks)

  3. Progression Free Survival (PFS)

    Time in weeks from date of first study drug administration to the date of progressive disease according to the RECIST guidelines (Response evaluation in solid tumors, version 1.0), or death due to any cause.

    Time frame: Time from the first administration of study drug to disease progression or death (maximum treatment period of 309 days (44 weeks)

  4. Overall Survival (OS)

    Time in weeks from the first administration of study drug to death.

    Time frame: Time from the first administration of study drug to disease progression or death (maximum treatment period of 309 days (44 weeks)

07

Results

Posted Jan 12, 2011

Participant flow

Patients were recruited at 23 study sites in 5 countries: United States (7 centers), United Kingdom (6 centers), Germany (5 centers), Canada (3 centers), and Spain (2 centers) between 29 May 2008 and 11 January 2010. 54 participants were enrolled into the study of which 41 participants received at least one dose of study medication.

Participant flow — Overall Study
MilestoneAZD4877
Started41
Completed0
Not completed41
Withdrew: Adverse event4
Withdrew: Death20
Withdrew: Withdrawal by subject2
Withdrew: Pi decision1
Withdrew: Survival follow up stage discontinued11
Withdrew: Disease progression3

Outcome measures

PrimaryObjective Response Rate (ORR) as Evaluated by Response Evaluation Criteria In Solid Tumors (RECIST)

Percentage of participants with complete response (CR) or partial response (PR) as per Response Evaluation Criteria In Solid Tumors (RECIST), version 1.0 (Therasse et al. Natl Cancer Inst 92 (2000) pp205-216).

Time frame:
8 weeks after study drug begins & and every 8 wks thereafter until discontinuation of study drug ( maximum treatment period of 309 days (44 weeks)
Reported as:
Number · Percengate of participants
Objective Response Rate (ORR) as Evaluated by Response Evaluation Criteria In Solid Tumors (RECIST)
Percengate of participantsAZD4877
Objective Response Rate (ORR) as Evaluated by Response Evaluation Criteria In Solid Tumors (RECIST)2.6
SecondaryDisease Control Rate (DCR)

Percentage of participants with Complete Response (CR), Partial Response (PR), or stable disease (SD) lasting at least 8 weeks from the first administration of study drug. RECIST guidelines:(Response evaluation criteria in solid tumors, version 1.0).

Time frame:
8 weeks after study drug begins & every 8 weeks thereafter until discontinuation of the study ( maximum treatment period of 309 days (44 weeks)
Reported as:
Number · Percentage of participants
Disease Control Rate (DCR)
Percentage of participantsAZD4877
Disease Control Rate (DCR)20.5
SecondaryDuration of Objective Tumor Response (OTR)

Time in weeks from the date of Complete Response (CR) or Partial Response (PR), whichever occurs earlier, to the date of discontinuation of study. RECIST guidelines:(Response evaluation criteria in solid tumors, version 1.0)

Time frame:
Time from first documentation of Complete or Partial Response, whichever occurs earlier, to discontinuation of the study drug (maximum treatment period of 309 days (44 weeks)
Reported as:
Number · Time in weeks

Results for this outcome have not been posted.

SecondaryProgression Free Survival (PFS)

Time in weeks from date of first study drug administration to the date of progressive disease according to the RECIST guidelines (Response evaluation in solid tumors, version 1.0), or death due to any cause.

Time frame:
Time from the first administration of study drug to disease progression or death (maximum treatment period of 309 days (44 weeks)
Reported as:
Median · Weeks
Progression Free Survival (PFS)
WeeksAZD4877
Progression Free Survival (PFS)7.3 (0 to 44)
SecondaryOverall Survival (OS)

Time in weeks from the first administration of study drug to death.

Time frame:
Time from the first administration of study drug to disease progression or death (maximum treatment period of 309 days (44 weeks)
Reported as:
Median · Weeks
Overall Survival (OS)
WeeksAZD4877
Overall Survival (OS)23.1 (1.3 to 48.1)

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
AZD4877—14/41 (34.1%)38/41 (92.7%)
Most frequent serious events
Showing 10 of 18
Most frequent serious events
EventAZD4877
Urinary Tract InfectionInfections and infestations2/41
DehydrationMetabolism and nutrition disorders2/41
LeukopeniaBlood and lymphatic system disorders1/41
NeutropeniaBlood and lymphatic system disorders1/41
Acute Myocardial InfarctionCardiac disorders1/41
Cardiac Failure CongestiveCardiac disorders1/41
Ventricular ArrhythmiaCardiac disorders1/41
Abdominal PainGastrointestinal disorders1/41
Chest PainGeneral disorders1/41
DeathGeneral disorders1/41
Most frequent other events
Showing 10 of 29
Most frequent other events
EventAZD4877
NeutropeniaBlood and lymphatic system disorders23/41
FatigueGeneral disorders13/41
AnaemiaBlood and lymphatic system disorders11/41
NauseaGastrointestinal disorders11/41
Urinary Tract InfectionInfections and infestations11/41
ConstipationGastrointestinal disorders8/41
VomitingGastrointestinal disorders8/41
LeukopeniaBlood and lymphatic system disorders7/41
PyrexiaGeneral disorders7/41
AnorexiaMetabolism and nutrition disorders7/41

Baseline characteristics

Age, Customized
Age, Customized(Participants)AZD4877
>=18 - <65 Years17
>=65 - <75 Years19
>=75 Years5
Sex: Female, Male
Sex: Female, Male(Participants)AZD4877
Female11
Male30
Race/Ethnicity, Customized
Race/Ethnicity, Customized(participants)AZD4877
White40
Black and African1
08

Study locations

36 sites
  • Research Site
    Palo Alto, California, United States
  • Research Site
    San Bernardino, California, United States
  • Research Site
    Southington, Connecticut, United States
  • Research Site
    Miami, Florida, United States
  • Research Site
    Atlanta, Georgia, United States
  • Research Site
    Marietta, Georgia, United States
  • Research Site
    Chicago, Illinois, United States
  • Research Site
    Scarborough, Maine, United States
  • Research Site
    Ann Arbor, Michigan, United States
  • Research Site
    Minneapolis, Minnesota, United States
  • Research Site
    Hackensack, New Jersey, United States
  • Research Site
    Morristown, New Jersey, United States
  • Research Site
    New York, New York, United States
  • Research Site
    Charlotte, North Carolina, United States
  • Research Site
    Philadelphia, Pennsylvania, United States
  • Research Site
    Woonsocket, Rhode Island, United States
  • Research Site
    Seattle, Washington, United States
  • Research Site
    Morgantown, West Virginia, United States
  • Research Site
    Vancouver, British Columbia, Canada
  • Research Site
    Halifax, Nova Scotia, Canada
  • Research Site
    Toronto, Ontario, Canada
  • Research Site
    Montreal, Quebec, Canada
  • Research Site
    Quebec, Canada
  • Research Site
    Berlin, Germany
  • Research Site
    Dresden, Germany
  • Research Site
    Dusseldorf, Germany
  • Research Site
    Munchen, Germany
  • Research Site
    Munster, Germany
  • Research Site
    Barcelona, Spain
  • Research Site
    Madrid, Spain
  • Research Site
    Leeds, West Yorkshire, United Kingdom
  • Research Site
    Glasgow, United Kingdom
  • Research Site
    London, United Kingdom
  • Research Site
    Manchester, United Kingdom
  • Research Site
    Southampton, United Kingdom
  • Research Site
    Surrey, United Kingdom
09

References and documents

Publications

  • Jones R, Vuky J, Elliott T, Mead G, Arranz JA, Chester J, Chowdhury S, Dudek AZ, Muller-Mattheis V, Grimm MO, Gschwend JE, Wulfing C, Albers P, Li J, Osmukhina A, Skolnik J, Hudes G. Phase II study to assess the efficacy, safety and tolerability of the mitotic spindle kinesin inhibitor AZD4877 in patients with recurrent advanced urothelial cancer. Invest New Drugs. 2013 Aug;31(4):1001-7. doi: 10.1007/s10637-013-9926-y. Epub 2013 Jan 18. PubMed 23329066 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 12, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00661609
Lead sponsor
AstraZeneca
First posted
Apr 18, 2008
Start date
May 2008
Primary completion
May 2009
Completion
Dec 2009
Results posted
Jan 12, 2011
Last update
Jan 12, 2011

Study contacts

Gary Hudes, MD
principal investigator · Fox Chase Cancer Center
View the source record on ClinicalTrials.gov ↗

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