1. A randomised phase II trial of the Polo-like kinase inhibitor BI 2536 in chemo-naïve patients with unresectable exocrine adenocarcinoma of the pancreas – a study within the Central European Society Anticancer Drug Research (CESAR) collaborative network
- Author
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Jochen Schütte, Frank Fleischer, Dirk Strumberg, Klaus Mross, M Merger, W E Aulitzky, Roland M Schmid, Max E. Scheulen, S Hollerbach, Gerd Munzert, and Christian Dittrich
- Subjects
Male ,Cancer Research ,medicine.medical_specialty ,Nausea ,Population ,pancreatic cancer ,Medizin ,Cell Cycle Proteins ,Neutropenia ,Adenocarcinoma ,Protein Serine-Threonine Kinases ,Gastroenterology ,Disease-Free Survival ,Plk1 inhibitor ,Cohort Studies ,Internal medicine ,Proto-Oncogene Proteins ,medicine ,Clinical endpoint ,Confidence Intervals ,Humans ,education ,Adverse effect ,Aged ,education.field_of_study ,Leukopenia ,business.industry ,Pteridines ,phase II ,Middle Aged ,Interim analysis ,medicine.disease ,Surgery ,BI 2536 ,Pancreatic Neoplasms ,Oncology ,Clinical Study ,Female ,medicine.symptom ,business ,Follow-Up Studies - Abstract
Background: BI 2536, a novel Polo-like kinase 1 inhibitor, was assessed in patients with unresectable advanced exocrine adenocarcinoma of the pancreas. Methods: The study employed a two-stage design. Randomised first-line patients received BI 2536 200 mg on day 1 (n=43) or 60 mg on days 1-3 (n=43) every 21 days. Recruitment of second-line patients was planned for a second stage dependent on an interim analysis demonstrating ≥2 responses in the first 18 evaluable patients following 12 weeks of treatment and/or tumour control ≥12 weeks in 5 patients per schedule. Primary end point was objective response rate (ORR). Results: By independent review, ORR was 2.3% (all partial) and 24.4% had stable disease as confirmed best response. The second stage was not initiated. Median overall and progression-free survivals were 149 (95% confidence interval (CI), 91-307) and 46 days (95% CI, 44-56). Most common drug-related adverse events were neutropenia (37.2%), leukopenia (29.1%), fatigue (29.1%) and nausea (22.1%); most common grade 3/4-related events were neutropenia (36.0%), leukopenia (27.9%) and thrombocytopenia (8.1%). Conclusion: Given the low ORR and poor survival, further development of BI 2536 monotherapy is not warranted in this population. © 2012 Cancer Research UK All rights reserved.
- Published
- 2012