Trial Outcomes & Findings for CCI-779 and Rituximab in Treating Patients With Relapsed or Refractory Non-Hodgkin's Lymphoma (NCT NCT00109967)

NCT ID: NCT00109967

Last Updated: 2014-04-17

Results Overview

Complete Response (CR) - Complete disappearance of all detectable clinical and radiographic evidence of disease and disappearance of all disease-related symptoms. Partial Response (PR) requires a \>=50% decrease in sum of the products of the greatest dimension (SPD) of the six largest dominant nodes or nodal masses. Overall Response Rate (ORR) - The number of patients who achieve a CR or PR divided by the total number of evaluable patients. We report the Overall Response Rate here.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

71 participants

Primary outcome timeframe

Up to 12, 28-day cycles.

Results posted on

2014-04-17

Participant Flow

Seventy-one patients seen at 35 sites were enrolled on this trial between May 6, 2005 and March 6, 2009. Two patients canceled before receiving treatment and 69 patients were therefore included in the analysis. There were 48 patients in group 1 (rituximab-sensitive) and 21 (rituximab-refractory) in group 2.

The patients were stratified by their previous response to rituximab into rituximab sensitive (group 1) or rituximab refractory (group 2) groups. Rituximab refractory was defined as no response (stable disease or progression) or a response that lasted \<6 months the last time the patient received rituximab alone or rituximab with chemotherapy.

Participant milestones

Participant milestones
Measure
Group I: Rituximab Sensitive
Patients receive CCI-779 IV over 30 minutes on days 1, 8, 15, and 22. Patients also receive rituximab IV on days 1, 8, 15, and 22 of course 1 and on day 1 only of courses 3, 5, 7, 9, and 11. Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. After completion of course 3, patients undergo reevaluation. Patients achieving a CR or an unconfirmed CR (CRu) receive 2 additional courses of treatment for a total of 5 courses. Patients achieving a PR or stable disease continue study treatment as outlined above for up to 12 courses. Patients achieving a PR or stable disease who subsequently achieve a CR or CRu between courses 3 and 10 receive 2 additional courses of treatment. rituximab: 375 mg/m\^2 Given IV temsirolimus: 25 mg given IV
Group II: Rituximab Refractory
Patients receive CCI-779 IV over 30 minutes on days 1, 8, 15, and 22. Patients also receive rituximab IV on days 1, 8, 15, and 22 of course 1 and on day 1 only of courses 3, 5, 7, 9, and 11. Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. After completion of course 3, patients undergo reevaluation. Patients achieving a CR or an unconfirmed CR (CRu) receive 2 additional courses of treatment for a total of 5 courses. Patients achieving a PR or stable disease continue study treatment as outlined above for up to 12 courses. Patients achieving a PR or stable disease who subsequently achieve a CR or CRu between courses 3 and 10 receive 2 additional courses of treatment. rituximab: 375 mg/m\^2 Given IV temsirolimus: 25 mg given IV
Overall Study
STARTED
50
21
Overall Study
COMPLETED
30
15
Overall Study
NOT COMPLETED
20
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Group I: Rituximab Sensitive
Patients receive CCI-779 IV over 30 minutes on days 1, 8, 15, and 22. Patients also receive rituximab IV on days 1, 8, 15, and 22 of course 1 and on day 1 only of courses 3, 5, 7, 9, and 11. Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. After completion of course 3, patients undergo reevaluation. Patients achieving a CR or an unconfirmed CR (CRu) receive 2 additional courses of treatment for a total of 5 courses. Patients achieving a PR or stable disease continue study treatment as outlined above for up to 12 courses. Patients achieving a PR or stable disease who subsequently achieve a CR or CRu between courses 3 and 10 receive 2 additional courses of treatment. rituximab: 375 mg/m\^2 Given IV temsirolimus: 25 mg given IV
Group II: Rituximab Refractory
Patients receive CCI-779 IV over 30 minutes on days 1, 8, 15, and 22. Patients also receive rituximab IV on days 1, 8, 15, and 22 of course 1 and on day 1 only of courses 3, 5, 7, 9, and 11. Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. After completion of course 3, patients undergo reevaluation. Patients achieving a CR or an unconfirmed CR (CRu) receive 2 additional courses of treatment for a total of 5 courses. Patients achieving a PR or stable disease continue study treatment as outlined above for up to 12 courses. Patients achieving a PR or stable disease who subsequently achieve a CR or CRu between courses 3 and 10 receive 2 additional courses of treatment. rituximab: 375 mg/m\^2 Given IV temsirolimus: 25 mg given IV
Overall Study
Cancel Prior to Treatment
2
0
Overall Study
Adverse Event
12
1
Overall Study
Withdrawal by Subject
5
0
Overall Study
Physician Decision
1
3
Overall Study
Death
0
2

Baseline Characteristics

CCI-779 and Rituximab in Treating Patients With Relapsed or Refractory Non-Hodgkin's Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group I: Rituximab Sensitive
n=48 Participants
Patients receive CCI-779 IV over 30 minutes on days 1, 8, 15, and 22. Patients also receive rituximab IV on days 1, 8, 15, and 22 of course 1 and on day 1 only of courses 3, 5, 7, 9, and 11. Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. After completion of course 3, patients undergo reevaluation. Patients achieving a CR or an unconfirmed CR (CRu) receive 2 additional courses of treatment for a total of 5 courses. Patients achieving a PR or stable disease continue study treatment as outlined above for up to 12 courses. Patients achieving a PR or stable disease who subsequently achieve a CR or CRu between courses 3 and 10 receive 2 additional courses of treatment. rituximab: 375 mg/m\^2 Given IV temsirolimus: 25 mg given IV
Group II: Rituximab Refractory
n=21 Participants
Patients receive CCI-779 IV over 30 minutes on days 1, 8, 15, and 22. Patients also receive rituximab IV on days 1, 8, 15, and 22 of course 1 and on day 1 only of courses 3, 5, 7, 9, and 11. Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. After completion of course 3, patients undergo reevaluation. Patients achieving a CR or an unconfirmed CR (CRu) receive 2 additional courses of treatment for a total of 5 courses. Patients achieving a PR or stable disease continue study treatment as outlined above for up to 12 courses. Patients achieving a PR or stable disease who subsequently achieve a CR or CRu between courses 3 and 10 receive 2 additional courses of treatment. rituximab: 375 mg/m\^2 Given IV temsirolimus: 25 mg given IV
Total
n=69 Participants
Total of all reporting groups
Age, Continuous
67.5 years
n=99 Participants
66 years
n=107 Participants
67 years
n=206 Participants
Sex: Female, Male
Female
13 Participants
n=99 Participants
6 Participants
n=107 Participants
19 Participants
n=206 Participants
Sex: Female, Male
Male
35 Participants
n=99 Participants
15 Participants
n=107 Participants
50 Participants
n=206 Participants
Region of Enrollment
United States
48 participants
n=99 Participants
21 participants
n=107 Participants
69 participants
n=206 Participants

PRIMARY outcome

Timeframe: Up to 12, 28-day cycles.

Complete Response (CR) - Complete disappearance of all detectable clinical and radiographic evidence of disease and disappearance of all disease-related symptoms. Partial Response (PR) requires a \>=50% decrease in sum of the products of the greatest dimension (SPD) of the six largest dominant nodes or nodal masses. Overall Response Rate (ORR) - The number of patients who achieve a CR or PR divided by the total number of evaluable patients. We report the Overall Response Rate here.

Outcome measures

Outcome measures
Measure
Group I: Rituximab Sensitive
n=48 Participants
Patients receive CCI-779 IV over 30 minutes on days 1, 8, 15, and 22. Patients also receive rituximab IV on days 1, 8, 15, and 22 of course 1 and on day 1 only of courses 3, 5, 7, 9, and 11. Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. After completion of course 3, patients undergo reevaluation. Patients achieving a CR or an unconfirmed CR (CRu) receive 2 additional courses of treatment for a total of 5 courses. Patients achieving a PR or stable disease continue study treatment as outlined above for up to 12 courses. Patients achieving a PR or stable disease who subsequently achieve a CR or CRu between courses 3 and 10 receive 2 additional courses of treatment. rituximab: 375 mg/m\^2 Given IV temsirolimus: 25 mg given IV
Group II: Rituximab Refractory
n=21 Participants
Patients receive CCI-779 IV over 30 minutes on days 1, 8, 15, and 22. Patients also receive rituximab IV on days 1, 8, 15, and 22 of course 1 and on day 1 only of courses 3, 5, 7, 9, and 11. Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. After completion of course 3, patients undergo reevaluation. Patients achieving a CR or an unconfirmed CR (CRu) receive 2 additional courses of treatment for a total of 5 courses. Patients achieving a PR or stable disease continue study treatment as outlined above for up to 12 courses. Patients achieving a PR or stable disease who subsequently achieve a CR or CRu between courses 3 and 10 receive 2 additional courses of treatment. rituximab: 375 mg/m\^2 Given IV temsirolimus: 25 mg given IV
Overall Response Rate (Complete and Partial Responses) as Defined by the International Workshop Criteria
62.5 percentage of patients
Interval 47.4 to 76.1
52.4 percentage of patients
Interval 29.8 to 74.3

SECONDARY outcome

Timeframe: Patients were followed up to five years after registration.

Time to progression was defined as the time from registration to the date of progression. Patients who died without disease progression were censored at the date of their last evaluation. Patients who were still receiving treatment at the time of these analyses were censored at the date of their last evaluation. The distribution of this time-to-event end point was estimated using the Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
Group I: Rituximab Sensitive
n=48 Participants
Patients receive CCI-779 IV over 30 minutes on days 1, 8, 15, and 22. Patients also receive rituximab IV on days 1, 8, 15, and 22 of course 1 and on day 1 only of courses 3, 5, 7, 9, and 11. Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. After completion of course 3, patients undergo reevaluation. Patients achieving a CR or an unconfirmed CR (CRu) receive 2 additional courses of treatment for a total of 5 courses. Patients achieving a PR or stable disease continue study treatment as outlined above for up to 12 courses. Patients achieving a PR or stable disease who subsequently achieve a CR or CRu between courses 3 and 10 receive 2 additional courses of treatment. rituximab: 375 mg/m\^2 Given IV temsirolimus: 25 mg given IV
Group II: Rituximab Refractory
n=21 Participants
Patients receive CCI-779 IV over 30 minutes on days 1, 8, 15, and 22. Patients also receive rituximab IV on days 1, 8, 15, and 22 of course 1 and on day 1 only of courses 3, 5, 7, 9, and 11. Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. After completion of course 3, patients undergo reevaluation. Patients achieving a CR or an unconfirmed CR (CRu) receive 2 additional courses of treatment for a total of 5 courses. Patients achieving a PR or stable disease continue study treatment as outlined above for up to 12 courses. Patients achieving a PR or stable disease who subsequently achieve a CR or CRu between courses 3 and 10 receive 2 additional courses of treatment. rituximab: 375 mg/m\^2 Given IV temsirolimus: 25 mg given IV
Time to Progression
10.9 months
Interval 8.0 to 12.8
5.4 months
Interval 1.8 to 9.4

SECONDARY outcome

Timeframe: Response duration is followed up to 5 years from registration.

Population: Of the 48 Rituximab Sensitive patients, 30 patients had a response. Of the 21 Rituximab Refractory patients, 11 patients had a response. Therefore, this endpoint uses 30 patients from the Rituximab Sensitive group and 11 patients from the Rituximab Refractory group in the analysis.

Duration of response was defined as the time from the date of documented response to the date of progression. Patients who went off treatment due to other reasons (eg, adverse reactions, refusal of further treatment) were censored at that time. The distribution of this time-to-event end point was estimated using the Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
Group I: Rituximab Sensitive
n=30 Participants
Patients receive CCI-779 IV over 30 minutes on days 1, 8, 15, and 22. Patients also receive rituximab IV on days 1, 8, 15, and 22 of course 1 and on day 1 only of courses 3, 5, 7, 9, and 11. Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. After completion of course 3, patients undergo reevaluation. Patients achieving a CR or an unconfirmed CR (CRu) receive 2 additional courses of treatment for a total of 5 courses. Patients achieving a PR or stable disease continue study treatment as outlined above for up to 12 courses. Patients achieving a PR or stable disease who subsequently achieve a CR or CRu between courses 3 and 10 receive 2 additional courses of treatment. rituximab: 375 mg/m\^2 Given IV temsirolimus: 25 mg given IV
Group II: Rituximab Refractory
n=11 Participants
Patients receive CCI-779 IV over 30 minutes on days 1, 8, 15, and 22. Patients also receive rituximab IV on days 1, 8, 15, and 22 of course 1 and on day 1 only of courses 3, 5, 7, 9, and 11. Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. After completion of course 3, patients undergo reevaluation. Patients achieving a CR or an unconfirmed CR (CRu) receive 2 additional courses of treatment for a total of 5 courses. Patients achieving a PR or stable disease continue study treatment as outlined above for up to 12 courses. Patients achieving a PR or stable disease who subsequently achieve a CR or CRu between courses 3 and 10 receive 2 additional courses of treatment. rituximab: 375 mg/m\^2 Given IV temsirolimus: 25 mg given IV
Duration of Response
11.0 months
Interval 7.1 to 13.2
6.6 months
Interval 2.0 to 20.9

SECONDARY outcome

Timeframe: Assessed during treatment (up to 12, 28-day cycles)

As per the National Cancer Institute's Common Terminology Criteria for Adverse Events (CTCAE) Version 3, toxicity was defined as adverse events that are classified as either possibly, probably, or definitely related to study treatment by the treating physician. In this section, we report the number of participants that experienced at least one Grade 3 or higher adverse event.

Outcome measures

Outcome measures
Measure
Group I: Rituximab Sensitive
n=48 Participants
Patients receive CCI-779 IV over 30 minutes on days 1, 8, 15, and 22. Patients also receive rituximab IV on days 1, 8, 15, and 22 of course 1 and on day 1 only of courses 3, 5, 7, 9, and 11. Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. After completion of course 3, patients undergo reevaluation. Patients achieving a CR or an unconfirmed CR (CRu) receive 2 additional courses of treatment for a total of 5 courses. Patients achieving a PR or stable disease continue study treatment as outlined above for up to 12 courses. Patients achieving a PR or stable disease who subsequently achieve a CR or CRu between courses 3 and 10 receive 2 additional courses of treatment. rituximab: 375 mg/m\^2 Given IV temsirolimus: 25 mg given IV
Group II: Rituximab Refractory
n=21 Participants
Patients receive CCI-779 IV over 30 minutes on days 1, 8, 15, and 22. Patients also receive rituximab IV on days 1, 8, 15, and 22 of course 1 and on day 1 only of courses 3, 5, 7, 9, and 11. Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. After completion of course 3, patients undergo reevaluation. Patients achieving a CR or an unconfirmed CR (CRu) receive 2 additional courses of treatment for a total of 5 courses. Patients achieving a PR or stable disease continue study treatment as outlined above for up to 12 courses. Patients achieving a PR or stable disease who subsequently achieve a CR or CRu between courses 3 and 10 receive 2 additional courses of treatment. rituximab: 375 mg/m\^2 Given IV temsirolimus: 25 mg given IV
Toxicity
Grade 3 or Higher
36 patients
17 patients
Toxicity
Grade 4 or Higher
7 patients
2 patients

SECONDARY outcome

Timeframe: Patients were followed for survival status for up to 5 years.

Overall survival (OS) was defined as the time from registration to death resulting from any cause. The distribution of this time-to-event end point was estimated using the Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
Group I: Rituximab Sensitive
n=48 Participants
Patients receive CCI-779 IV over 30 minutes on days 1, 8, 15, and 22. Patients also receive rituximab IV on days 1, 8, 15, and 22 of course 1 and on day 1 only of courses 3, 5, 7, 9, and 11. Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. After completion of course 3, patients undergo reevaluation. Patients achieving a CR or an unconfirmed CR (CRu) receive 2 additional courses of treatment for a total of 5 courses. Patients achieving a PR or stable disease continue study treatment as outlined above for up to 12 courses. Patients achieving a PR or stable disease who subsequently achieve a CR or CRu between courses 3 and 10 receive 2 additional courses of treatment. rituximab: 375 mg/m\^2 Given IV temsirolimus: 25 mg given IV
Group II: Rituximab Refractory
n=21 Participants
Patients receive CCI-779 IV over 30 minutes on days 1, 8, 15, and 22. Patients also receive rituximab IV on days 1, 8, 15, and 22 of course 1 and on day 1 only of courses 3, 5, 7, 9, and 11. Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. After completion of course 3, patients undergo reevaluation. Patients achieving a CR or an unconfirmed CR (CRu) receive 2 additional courses of treatment for a total of 5 courses. Patients achieving a PR or stable disease continue study treatment as outlined above for up to 12 courses. Patients achieving a PR or stable disease who subsequently achieve a CR or CRu between courses 3 and 10 receive 2 additional courses of treatment. rituximab: 375 mg/m\^2 Given IV temsirolimus: 25 mg given IV
Overall Survival
32.6 months
Interval 24.9 to 39.7
24.2 months
Interval 5.7 to 30.0

Adverse Events

Group I: Rituximab Sensitive

Serious events: 16 serious events
Other events: 48 other events
Deaths: 0 deaths

Group II: Rituximab Refractory

Serious events: 7 serious events
Other events: 21 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Group I: Rituximab Sensitive
n=48 participants at risk
temsirolimus: 25 mg given IV
Group II: Rituximab Refractory
n=21 participants at risk
temsirolimus: 25 mg given IV
Blood and lymphatic system disorders
Febrile neutropenia
2.1%
1/48 • Number of events 1
0.00%
0/21
Blood and lymphatic system disorders
Hemoglobin decreased
2.1%
1/48 • Number of events 1
0.00%
0/21
Cardiac disorders
Left ventricular failure
0.00%
0/48
4.8%
1/21 • Number of events 1
Cardiac disorders
Myocardial ischemia
2.1%
1/48 • Number of events 1
0.00%
0/21
Gastrointestinal disorders
Abdominal pain
2.1%
1/48 • Number of events 1
0.00%
0/21
Gastrointestinal disorders
Hemorrhoids
2.1%
1/48 • Number of events 1
0.00%
0/21
Gastrointestinal disorders
Rectal pain
2.1%
1/48 • Number of events 1
0.00%
0/21
General disorders
Death NOS
0.00%
0/48
4.8%
1/21 • Number of events 1
General disorders
Disease progression
2.1%
1/48 • Number of events 1
0.00%
0/21
General disorders
Fever
2.1%
1/48 • Number of events 1
0.00%
0/21
General disorders
Localized edema
0.00%
0/48
4.8%
1/21 • Number of events 1
Immune system disorders
Hypersensitivity
2.1%
1/48 • Number of events 1
0.00%
0/21
Infections and infestations
Catheter related infection
4.2%
2/48 • Number of events 2
0.00%
0/21
Infections and infestations
Pneumonia
8.3%
4/48 • Number of events 4
4.8%
1/21 • Number of events 1
Infections and infestations
Skin infection
2.1%
1/48 • Number of events 1
0.00%
0/21
Infections and infestations
Soft tissue infection
2.1%
1/48 • Number of events 1
0.00%
0/21
Investigations
Aspartate aminotransferase increased
0.00%
0/48
4.8%
1/21 • Number of events 1
Investigations
Leukocyte count decreased
0.00%
0/48
4.8%
1/21 • Number of events 1
Investigations
Neutrophil count decreased
6.2%
3/48 • Number of events 5
4.8%
1/21 • Number of events 1
Investigations
Platelet count decreased
6.2%
3/48 • Number of events 5
9.5%
2/21 • Number of events 2
Metabolism and nutrition disorders
Dehydration
0.00%
0/48
4.8%
1/21 • Number of events 1
Metabolism and nutrition disorders
Serum calcium decreased
2.1%
1/48 • Number of events 1
0.00%
0/21
Nervous system disorders
Encephalopathy
0.00%
0/48
4.8%
1/21 • Number of events 1
Nervous system disorders
Peripheral sensory neuropathy
2.1%
1/48 • Number of events 1
0.00%
0/21
Nervous system disorders
Tremor
2.1%
1/48 • Number of events 1
0.00%
0/21
Renal and urinary disorders
Renal failure
0.00%
0/48
9.5%
2/21 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Dyspnea
2.1%
1/48 • Number of events 3
4.8%
1/21 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Hypoxia
2.1%
1/48 • Number of events 1
0.00%
0/21
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/48
4.8%
1/21 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pneumonitis
8.3%
4/48 • Number of events 5
4.8%
1/21 • Number of events 1
Vascular disorders
Hematoma
2.1%
1/48 • Number of events 1
0.00%
0/21
Vascular disorders
Hemorrhage
2.1%
1/48 • Number of events 1
0.00%
0/21
Vascular disorders
Thrombosis
2.1%
1/48 • Number of events 1
0.00%
0/21

Other adverse events

Other adverse events
Measure
Group I: Rituximab Sensitive
n=48 participants at risk
temsirolimus: 25 mg given IV
Group II: Rituximab Refractory
n=21 participants at risk
temsirolimus: 25 mg given IV
Blood and lymphatic system disorders
Hemoglobin decreased
60.4%
29/48 • Number of events 143
76.2%
16/21 • Number of events 88
Blood and lymphatic system disorders
Hemolysis
0.00%
0/48
4.8%
1/21 • Number of events 2
Cardiac disorders
Left ventricular dysfunction
4.2%
2/48 • Number of events 2
0.00%
0/21
Cardiac disorders
Pericardial effusion
2.1%
1/48 • Number of events 1
0.00%
0/21
Cardiac disorders
Sinus tachycardia
2.1%
1/48 • Number of events 1
0.00%
0/21
Cardiac disorders
Ventricular tachycardia
2.1%
1/48 • Number of events 1
0.00%
0/21
Ear and labyrinth disorders
External ear pain
2.1%
1/48 • Number of events 1
0.00%
0/21
Endocrine disorders
Endocrine disorder
2.1%
1/48 • Number of events 1
0.00%
0/21
Endocrine disorders
Hypothyroidism
2.1%
1/48 • Number of events 1
0.00%
0/21
Eye disorders
Dry eye syndrome
2.1%
1/48 • Number of events 2
4.8%
1/21 • Number of events 9
Eye disorders
Eye disorder
2.1%
1/48 • Number of events 1
0.00%
0/21
Eye disorders
Eye pain
2.1%
1/48 • Number of events 1
0.00%
0/21
Eye disorders
Photophobia
2.1%
1/48 • Number of events 3
0.00%
0/21
Eye disorders
Watering eyes
2.1%
1/48 • Number of events 4
4.8%
1/21 • Number of events 3
Gastrointestinal disorders
Abdominal distension
2.1%
1/48 • Number of events 2
0.00%
0/21
Gastrointestinal disorders
Abdominal pain
2.1%
1/48 • Number of events 1
0.00%
0/21
Gastrointestinal disorders
Anal exam abnormal
2.1%
1/48 • Number of events 1
0.00%
0/21
Gastrointestinal disorders
Constipation
12.5%
6/48 • Number of events 21
19.0%
4/21 • Number of events 9
Gastrointestinal disorders
Diarrhea
33.3%
16/48 • Number of events 51
28.6%
6/21 • Number of events 10
Gastrointestinal disorders
Dry mouth
4.2%
2/48 • Number of events 3
4.8%
1/21 • Number of events 5
Gastrointestinal disorders
Dyspepsia
6.2%
3/48 • Number of events 6
0.00%
0/21
Gastrointestinal disorders
Dysphagia
0.00%
0/48
4.8%
1/21 • Number of events 1
Gastrointestinal disorders
Ear, nose and throat examination abnormal
2.1%
1/48 • Number of events 3
14.3%
3/21 • Number of events 4
Gastrointestinal disorders
Esophageal mucositis
0.00%
0/48
4.8%
1/21 • Number of events 1
Gastrointestinal disorders
Esophagitis
0.00%
0/48
4.8%
1/21 • Number of events 1
Gastrointestinal disorders
Flatulence
2.1%
1/48 • Number of events 1
0.00%
0/21
Gastrointestinal disorders
Gastric mucositis
2.1%
1/48 • Number of events 1
0.00%
0/21
Gastrointestinal disorders
Gastroscopy abnormal
2.1%
1/48 • Number of events 1
0.00%
0/21
Gastrointestinal disorders
Gingival pain
2.1%
1/48 • Number of events 1
0.00%
0/21
Gastrointestinal disorders
Hemorrhoids
0.00%
0/48
4.8%
1/21 • Number of events 1
Gastrointestinal disorders
Mucositis oral
39.6%
19/48 • Number of events 47
23.8%
5/21 • Number of events 5
Gastrointestinal disorders
Nausea
22.9%
11/48 • Number of events 20
47.6%
10/21 • Number of events 25
Gastrointestinal disorders
Oral pain
2.1%
1/48 • Number of events 1
4.8%
1/21 • Number of events 2
Gastrointestinal disorders
Rectal hemorrhage
0.00%
0/48
4.8%
1/21 • Number of events 1
Gastrointestinal disorders
Vomiting
6.2%
3/48 • Number of events 4
4.8%
1/21 • Number of events 2
General disorders
Chest pain
4.2%
2/48 • Number of events 4
0.00%
0/21
General disorders
Chills
4.2%
2/48 • Number of events 3
4.8%
1/21 • Number of events 1
General disorders
Disease progression
0.00%
0/48
4.8%
1/21 • Number of events 1
General disorders
Edema limbs
29.2%
14/48 • Number of events 50
23.8%
5/21 • Number of events 18
General disorders
Fatigue
75.0%
36/48 • Number of events 170
76.2%
16/21 • Number of events 74
General disorders
Fever
8.3%
4/48 • Number of events 5
4.8%
1/21 • Number of events 1
General disorders
Localized edema
2.1%
1/48 • Number of events 8
0.00%
0/21
General disorders
Pain
6.2%
3/48 • Number of events 3
0.00%
0/21
Immune system disorders
Hypersensitivity
6.2%
3/48 • Number of events 4
4.8%
1/21 • Number of events 1
Infections and infestations
Bladder infection
0.00%
0/48
4.8%
1/21 • Number of events 1
Infections and infestations
Bronchitis
2.1%
1/48 • Number of events 1
4.8%
1/21 • Number of events 1
Infections and infestations
Eye infection
2.1%
1/48 • Number of events 1
4.8%
1/21 • Number of events 1
Infections and infestations
Gingival infection
2.1%
1/48 • Number of events 1
4.8%
1/21 • Number of events 1
Infections and infestations
Infection
6.2%
3/48 • Number of events 3
4.8%
1/21 • Number of events 1
Infections and infestations
Nail infection
2.1%
1/48 • Number of events 3
0.00%
0/21
Infections and infestations
Pneumonia
6.2%
3/48 • Number of events 3
9.5%
2/21 • Number of events 3
Infections and infestations
Sinusitis
4.2%
2/48 • Number of events 4
9.5%
2/21 • Number of events 2
Infections and infestations
Skin infection
0.00%
0/48
9.5%
2/21 • Number of events 2
Infections and infestations
Small intestine infection
0.00%
0/48
4.8%
1/21 • Number of events 1
Infections and infestations
Upper respiratory infection
4.2%
2/48 • Number of events 2
9.5%
2/21 • Number of events 2
Infections and infestations
Urinary tract infection
2.1%
1/48 • Number of events 1
0.00%
0/21
Injury, poisoning and procedural complications
Bruising
2.1%
1/48 • Number of events 2
0.00%
0/21
Injury, poisoning and procedural complications
Vascular access complication
2.1%
1/48 • Number of events 1
0.00%
0/21
Injury, poisoning and procedural complications
Wound dehiscence
2.1%
1/48 • Number of events 2
0.00%
0/21
Investigations
Alanine aminotransferase increased
4.2%
2/48 • Number of events 2
9.5%
2/21 • Number of events 4
Investigations
Alkaline phosphatase increased
14.6%
7/48 • Number of events 25
28.6%
6/21 • Number of events 7
Investigations
Aspartate aminotransferase increased
8.3%
4/48 • Number of events 8
19.0%
4/21 • Number of events 7
Investigations
Creatinine increased
12.5%
6/48 • Number of events 30
23.8%
5/21 • Number of events 16
Investigations
INR increased
10.4%
5/48 • Number of events 19
0.00%
0/21
Investigations
Laboratory test abnormal
0.00%
0/48
4.8%
1/21 • Number of events 2
Investigations
Leukocyte count decreased
58.3%
28/48 • Number of events 174
76.2%
16/21 • Number of events 68
Investigations
Lipase increased
0.00%
0/48
4.8%
1/21 • Number of events 1
Investigations
Lymphocyte count decreased
14.6%
7/48 • Number of events 64
14.3%
3/21 • Number of events 20
Investigations
Neutrophil count decreased
43.8%
21/48 • Number of events 97
61.9%
13/21 • Number of events 38
Investigations
Platelet count decreased
70.8%
34/48 • Number of events 176
71.4%
15/21 • Number of events 75
Investigations
Serum cholesterol increased
72.9%
35/48 • Number of events 136
71.4%
15/21 • Number of events 45
Investigations
Weight loss
27.1%
13/48 • Number of events 27
33.3%
7/21 • Number of events 26
Metabolism and nutrition disorders
Anorexia
27.1%
13/48 • Number of events 27
42.9%
9/21 • Number of events 22
Metabolism and nutrition disorders
Blood bicarbonate decreased
2.1%
1/48 • Number of events 1
0.00%
0/21
Metabolism and nutrition disorders
Blood glucose increased
43.8%
21/48 • Number of events 45
52.4%
11/21 • Number of events 38
Metabolism and nutrition disorders
Dehydration
2.1%
1/48 • Number of events 3
0.00%
0/21
Metabolism and nutrition disorders
Serum albumin decreased
12.5%
6/48 • Number of events 12
9.5%
2/21 • Number of events 2
Metabolism and nutrition disorders
Serum calcium decreased
16.7%
8/48 • Number of events 28
9.5%
2/21 • Number of events 2
Metabolism and nutrition disorders
Serum calcium increased
0.00%
0/48
9.5%
2/21 • Number of events 2
Metabolism and nutrition disorders
Serum glucose decreased
4.2%
2/48 • Number of events 7
0.00%
0/21
Metabolism and nutrition disorders
Serum magnesium decreased
2.1%
1/48 • Number of events 1
0.00%
0/21
Metabolism and nutrition disorders
Serum phosphate decreased
2.1%
1/48 • Number of events 2
0.00%
0/21
Metabolism and nutrition disorders
Serum potassium decreased
8.3%
4/48 • Number of events 6
19.0%
4/21 • Number of events 7
Metabolism and nutrition disorders
Serum potassium increased
2.1%
1/48 • Number of events 1
4.8%
1/21 • Number of events 1
Metabolism and nutrition disorders
Serum sodium decreased
10.4%
5/48 • Number of events 9
9.5%
2/21 • Number of events 5
Metabolism and nutrition disorders
Serum sodium increased
2.1%
1/48 • Number of events 1
4.8%
1/21 • Number of events 6
Metabolism and nutrition disorders
Serum triglycerides increased
77.1%
37/48 • Number of events 151
76.2%
16/21 • Number of events 63
Musculoskeletal and connective tissue disorders
Arthralgia
14.6%
7/48 • Number of events 19
4.8%
1/21 • Number of events 1
Musculoskeletal and connective tissue disorders
Arthritis
2.1%
1/48 • Number of events 1
0.00%
0/21
Musculoskeletal and connective tissue disorders
Back pain
10.4%
5/48 • Number of events 14
4.8%
1/21 • Number of events 1
Musculoskeletal and connective tissue disorders
Chest wall pain
0.00%
0/48
4.8%
1/21 • Number of events 1
Musculoskeletal and connective tissue disorders
Muscle weakness
4.2%
2/48 • Number of events 6
14.3%
3/21 • Number of events 3
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
2.1%
1/48 • Number of events 3
4.8%
1/21 • Number of events 1
Musculoskeletal and connective tissue disorders
Muscle weakness upper limb
2.1%
1/48 • Number of events 2
0.00%
0/21
Musculoskeletal and connective tissue disorders
Myalgia
10.4%
5/48 • Number of events 8
4.8%
1/21 • Number of events 2
Musculoskeletal and connective tissue disorders
Neck pain
4.2%
2/48 • Number of events 2
0.00%
0/21
Musculoskeletal and connective tissue disorders
Pain in extremity
8.3%
4/48 • Number of events 4
4.8%
1/21 • Number of events 1
Nervous system disorders
Dizziness
10.4%
5/48 • Number of events 15
9.5%
2/21 • Number of events 2
Nervous system disorders
Dysgeusia
25.0%
12/48 • Number of events 30
9.5%
2/21 • Number of events 6
Nervous system disorders
Headache
12.5%
6/48 • Number of events 8
9.5%
2/21 • Number of events 2
Nervous system disorders
Peripheral motor neuropathy
8.3%
4/48 • Number of events 6
9.5%
2/21 • Number of events 2
Nervous system disorders
Peripheral sensory neuropathy
25.0%
12/48 • Number of events 41
23.8%
5/21 • Number of events 17
Nervous system disorders
Syncope
2.1%
1/48 • Number of events 1
0.00%
0/21
Nervous system disorders
Tremor
0.00%
0/48
4.8%
1/21 • Number of events 1
Psychiatric disorders
Anxiety
6.2%
3/48 • Number of events 10
0.00%
0/21
Psychiatric disorders
Confusion
2.1%
1/48 • Number of events 6
4.8%
1/21 • Number of events 1
Psychiatric disorders
Depression
4.2%
2/48 • Number of events 7
0.00%
0/21
Psychiatric disorders
Insomnia
8.3%
4/48 • Number of events 7
9.5%
2/21 • Number of events 3
Renal and urinary disorders
Urinary frequency
4.2%
2/48 • Number of events 9
0.00%
0/21
Reproductive system and breast disorders
Reproductive tract disorder
2.1%
1/48 • Number of events 4
0.00%
0/21
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
6.2%
3/48 • Number of events 7
14.3%
3/21 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Apnea
0.00%
0/48
4.8%
1/21 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Cough
18.8%
9/48 • Number of events 13
14.3%
3/21 • Number of events 12
Respiratory, thoracic and mediastinal disorders
Dyspnea
16.7%
8/48 • Number of events 14
23.8%
5/21 • Number of events 9
Respiratory, thoracic and mediastinal disorders
Epistaxis
8.3%
4/48 • Number of events 14
9.5%
2/21 • Number of events 6
Respiratory, thoracic and mediastinal disorders
Hypoxia
2.1%
1/48 • Number of events 1
0.00%
0/21
Respiratory, thoracic and mediastinal disorders
Laryngoscopy abnormal
2.1%
1/48 • Number of events 1
0.00%
0/21
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
2.1%
1/48 • Number of events 3
14.3%
3/21 • Number of events 4
Respiratory, thoracic and mediastinal disorders
Pleural effusion
2.1%
1/48 • Number of events 1
0.00%
0/21
Respiratory, thoracic and mediastinal disorders
Pneumonitis
18.8%
9/48 • Number of events 15
4.8%
1/21 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pulmonary hypertension
0.00%
0/48
4.8%
1/21 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Respiratory disorder
8.3%
4/48 • Number of events 7
4.8%
1/21 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Voice alteration
4.2%
2/48 • Number of events 4
0.00%
0/21
Skin and subcutaneous tissue disorders
Alopecia
4.2%
2/48 • Number of events 2
4.8%
1/21 • Number of events 12
Skin and subcutaneous tissue disorders
Dry skin
2.1%
1/48 • Number of events 1
4.8%
1/21 • Number of events 12
Skin and subcutaneous tissue disorders
Hand-and-foot syndrome
2.1%
1/48 • Number of events 1
0.00%
0/21
Skin and subcutaneous tissue disorders
Nail disorder
20.8%
10/48 • Number of events 31
14.3%
3/21 • Number of events 13
Skin and subcutaneous tissue disorders
Pain of skin
2.1%
1/48 • Number of events 1
0.00%
0/21
Skin and subcutaneous tissue disorders
Petechiae
0.00%
0/48
4.8%
1/21 • Number of events 2
Skin and subcutaneous tissue disorders
Pruritus
12.5%
6/48 • Number of events 15
14.3%
3/21 • Number of events 10
Skin and subcutaneous tissue disorders
Rash acneiform
6.2%
3/48 • Number of events 5
4.8%
1/21 • Number of events 1
Skin and subcutaneous tissue disorders
Rash desquamating
54.2%
26/48 • Number of events 88
57.1%
12/21 • Number of events 40
Skin and subcutaneous tissue disorders
Skin atrophy
2.1%
1/48 • Number of events 2
0.00%
0/21
Skin and subcutaneous tissue disorders
Skin disorder
2.1%
1/48 • Number of events 7
0.00%
0/21
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
2.1%
1/48 • Number of events 9
0.00%
0/21
Skin and subcutaneous tissue disorders
Sweating
2.1%
1/48 • Number of events 1
0.00%
0/21
Skin and subcutaneous tissue disorders
Urticaria
4.2%
2/48 • Number of events 4
0.00%
0/21
Vascular disorders
Flushing
0.00%
0/48
4.8%
1/21 • Number of events 1
Vascular disorders
Hemorrhage
2.1%
1/48 • Number of events 1
0.00%
0/21
Vascular disorders
Hot flashes
2.1%
1/48 • Number of events 1
0.00%
0/21
Vascular disorders
Hypertension
4.2%
2/48 • Number of events 6
0.00%
0/21
Vascular disorders
Hypotension
4.2%
2/48 • Number of events 2
0.00%
0/21
Vascular disorders
Phlebitis
2.1%
1/48 • Number of events 1
0.00%
0/21
Vascular disorders
Thrombosis
6.2%
3/48 • Number of events 3
4.8%
1/21 • Number of events 2

Additional Information

Stephen M. Ansell, M.D., Ph.D.

Mayo Clinic

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60