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Single Vial Docetaxel Injection - ION Solutions

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Table 13 - Response and TTP Analysis of <strong>Docetaxel</strong> in Combination Therapy for Chemotherapy-<br />

Naïve NSCLC<br />

Endpoint <strong>Docetaxel</strong>+Cisplatin Vinorelbine+Cisplatin p-value<br />

Objective Response Rate<br />

31.6%<br />

24.4% Not Significant<br />

(95% CI) a (26.5%, 36.8%) (19.8%, 29.2%)<br />

Median Time to Progression b<br />

(95% CI) a 21.4 weeks<br />

(19.3, 24.6)<br />

a Adjusted for multiple comparisons.<br />

b Kaplan-Meier estimates.<br />

22.1 weeks<br />

(18.1, 25.6)<br />

Not Significant<br />

14.4 Hormone Refractory Prostate Cancer<br />

The safety and efficacy of docetaxel in combination with prednisone in patients with androgen<br />

independent (hormone refractory) metastatic prostate cancer were evaluated in a randomized multicenter<br />

active control trial. A total of 1006 patients with Karnofsky Performance Status (KPS) ≥60 were<br />

randomized to the following treatment groups:<br />

• <strong>Docetaxel</strong> 75 mg/m 2 every 3 weeks for 10 cycles.<br />

• <strong>Docetaxel</strong> 30 mg/m 2 administered weekly for the first 5 weeks in a 6-week cycle for 5 cycles.<br />

• Mitoxantrone 12 mg/m 2 every 3 weeks for 10 cycles.<br />

All 3 regimens were administered in combination with prednisone 5 mg twice daily, continuously.<br />

In the docetaxel every three week arm, a statistically significant overall survival advantage was<br />

demonstrated compared to mitoxantrone. In the docetaxel weekly arm, no overall survival advantage was<br />

demonstrated compared to the mitoxantrone controlarm. Efficacy results for the docetaxel every 3 week<br />

arm versus the control arm are summarized in Table 14 and Figure 5.<br />

Table 14 - Efficacy of <strong>Docetaxel</strong> in the Treatment of Patients with Androgen Independent<br />

(Hormone Refractory) Metastatic Prostate Cancer (Intent-to-Treat Analysis)<br />

<strong>Docetaxel</strong>+Prednisone<br />

every 3 weeks<br />

Mitoxantrone+Prednisone<br />

every 3 weeks<br />

Number of patients<br />

Median survival (months)<br />

95% CI<br />

Hazard ratio<br />

335<br />

18.9<br />

(17.0-21.2)<br />

0.761<br />

337<br />

16.5<br />

(14.4-18.6)<br />

—<br />

95% CI<br />

(0.619-0.936)<br />

—<br />

p-value*<br />

0.0094<br />

—<br />

*Stratified log rank test. Threshold for statistical significance = 0.0175 because of 3 arms.<br />

Page 40 of 46

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