Trial Outcomes & Findings for Dose-Intense Temozolomide in Recurrent Glioblastoma (NCT NCT00657267)

NCT ID: NCT00657267

Last Updated: 2014-03-14

Results Overview

Progression is defined using Modified Macdonald Criteria , using a \>/= 25% increase in the sum of products of all measurable lesions over smallest sum observed (over baseline if no decrease) using the same techniques as baseline, OR clear worsening of any evaluable disease, OR appearance of any new lesion/site, OR clear clinical worsening or failure to return for evaluation due to death or deteriorating condition (unless clearly unrelated to this cancer).

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

58 participants

Primary outcome timeframe

6 months

Results posted on

2014-03-14

Participant Flow

Study activated at DFCI in May 2008 and was eventually activated at MGH, UPENN, Wake Forest University Baptist Medical Center, Dartmouth-Hitchcock Medical Center, and Tufts NEMC.

Participant milestones

Participant milestones
Measure
12 Cycles of Dose-Dense Temozolomide (Single Arm Study)
Temozolomide dose = 100 mg/m2/day for 21 days of every 28-day cycle (75 mg/m2/day for 21 days of every 28-day cycle if pt experienced myelosuppression on prior regimen: gr 1 ANC \&/or gr 2 platelets)
Overall Study
STARTED
58
Overall Study
COMPLETED
4
Overall Study
NOT COMPLETED
54

Reasons for withdrawal

Reasons for withdrawal
Measure
12 Cycles of Dose-Dense Temozolomide (Single Arm Study)
Temozolomide dose = 100 mg/m2/day for 21 days of every 28-day cycle (75 mg/m2/day for 21 days of every 28-day cycle if pt experienced myelosuppression on prior regimen: gr 1 ANC \&/or gr 2 platelets)
Overall Study
Progressive disease
45
Overall Study
Adverse Event
9

Baseline Characteristics

Dose-Intense Temozolomide in Recurrent Glioblastoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
12 Cycles of Dose-Dense Temozolomide (Single Arm Study)
n=58 Participants
Temozolomide dose = 100 mg/m2/day for 21 days of every 28-day cycle (75 mg/m2/day for 21 days of every 28-day cycle if pt experienced myelosuppression on prior regimen: gr 1 ANC \&/or gr 2 platelets)
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
48 Participants
n=99 Participants
Age, Categorical
>=65 years
10 Participants
n=99 Participants
Age, Continuous
57 years
n=99 Participants
Sex: Female, Male
Female
23 Participants
n=99 Participants
Sex: Female, Male
Male
35 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
54 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=99 Participants
Race (NIH/OMB)
White
51 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=99 Participants
Karnofsky performance status (KPS) at registration
90 %
n=99 Participants

PRIMARY outcome

Timeframe: 6 months

Population: Patients evaluable for imaging analysis, as protocol-defined.

Progression is defined using Modified Macdonald Criteria , using a \>/= 25% increase in the sum of products of all measurable lesions over smallest sum observed (over baseline if no decrease) using the same techniques as baseline, OR clear worsening of any evaluable disease, OR appearance of any new lesion/site, OR clear clinical worsening or failure to return for evaluation due to death or deteriorating condition (unless clearly unrelated to this cancer).

Outcome measures

Outcome measures
Measure
12 Cycles of Dose-Dense Temozolomide (Single Arm Study)
n=55 Participants
Temozolomide dose = 100 mg/m2/day for 21 days of every 28-day cycle (75 mg/m2/day for 21 days of every 28-day cycle if pt experienced myelosuppression on prior regimen: gr 1 ANC \&/or gr 2 platelets)
Complete Response
Complete responders on study; Temozolomide dose = 100 mg/m2/day for 21 days of every 28-day cycle (75 mg/m2/day for 21 days of every 28-day cycle if pt experienced myelosuppression on prior regimen: gr 1 ANC \&/or gr 2 platelets)
6 Month Progression Free Survival
11 percentage of evaluable participants

SECONDARY outcome

Timeframe: From patient registration until end of study, assessed up to 54 months

Population: Entire study population

Outcome measures

Outcome measures
Measure
12 Cycles of Dose-Dense Temozolomide (Single Arm Study)
n=58 Participants
Temozolomide dose = 100 mg/m2/day for 21 days of every 28-day cycle (75 mg/m2/day for 21 days of every 28-day cycle if pt experienced myelosuppression on prior regimen: gr 1 ANC \&/or gr 2 platelets)
Complete Response
Complete responders on study; Temozolomide dose = 100 mg/m2/day for 21 days of every 28-day cycle (75 mg/m2/day for 21 days of every 28-day cycle if pt experienced myelosuppression on prior regimen: gr 1 ANC \&/or gr 2 platelets)
Overall Survival
11.7 months
Interval 8.1 to 16.2

SECONDARY outcome

Timeframe: From patient registration until end of study, assessed up to 54 months

Population: Of the 58 patients registered, 3 of were ineligible for analysis based on path review, which is why only 55 patients were evaluated for this outcome.

Responders on study are those with a best response of either CR or PR. Per Modified Macdonald Criteria for lesions assessed by MRI/CT: Complete Response (CR) = Complete disappearance of all measurable and evaluable disease, no new lesions, no evidence of non-evaluable disease, with no steroids. Partial Response (PR) \>/= 50% decrease under baseline in the sum of products of perpendicular diameters of all measurable lesions, no progression of evaluable disease, no new lesions, with steroid dose @ time of response \</= max dose w/in the first 8 weeks of therapy.

Outcome measures

Outcome measures
Measure
12 Cycles of Dose-Dense Temozolomide (Single Arm Study)
n=55 Participants
Temozolomide dose = 100 mg/m2/day for 21 days of every 28-day cycle (75 mg/m2/day for 21 days of every 28-day cycle if pt experienced myelosuppression on prior regimen: gr 1 ANC \&/or gr 2 platelets)
Complete Response
n=55 Participants
Complete responders on study; Temozolomide dose = 100 mg/m2/day for 21 days of every 28-day cycle (75 mg/m2/day for 21 days of every 28-day cycle if pt experienced myelosuppression on prior regimen: gr 1 ANC \&/or gr 2 platelets)
Radiographic Response
13 percentage of participants evaluated
0 percentage of participants evaluated

SECONDARY outcome

Timeframe: From patient registration until end of study, assessed up to 54 months

Population: Of the 58 patients registered, 3 of were ineligible for analysis based on path review, which is why only 55 patients were evaluated for this outcome.

Progression is defined using Modified Macdonald Criteria , using a \>/= 25% increase in the sum of products of all measurable lesions over smallest sum observed (over baseline if no decrease) using the same techniques as baseline, OR clear worsening of any evaluable disease, OR appearance of any new lesion/site, OR clear clinical worsening or failure to return for evaluation due to death or deteriorating condition (unless clearly unrelated to this cancer).

Outcome measures

Outcome measures
Measure
12 Cycles of Dose-Dense Temozolomide (Single Arm Study)
n=55 Participants
Temozolomide dose = 100 mg/m2/day for 21 days of every 28-day cycle (75 mg/m2/day for 21 days of every 28-day cycle if pt experienced myelosuppression on prior regimen: gr 1 ANC \&/or gr 2 platelets)
Complete Response
Complete responders on study; Temozolomide dose = 100 mg/m2/day for 21 days of every 28-day cycle (75 mg/m2/day for 21 days of every 28-day cycle if pt experienced myelosuppression on prior regimen: gr 1 ANC \&/or gr 2 platelets)
Time to Progression.
56 days
Interval 56.0 to 84.0

Adverse Events

12 Cycles of Dose-Dense Temozolomide (Single Arm Study)

Serious events: 19 serious events
Other events: 58 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
12 Cycles of Dose-Dense Temozolomide (Single Arm Study)
n=58 participants at risk
All 58 participants who started treatment: Temozolomide dose = 100 mg/m2/day for 21 days of every 28-day cycle (75 mg/m2/day for 21 days of every 28-day cycle if pt experienced myelosuppression on prior regimen: gr 1 ANC \&/or gr 2 platelets
General disorders
Disease Progression NOS
3.4%
2/58 • Number of events 2 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Blood and lymphatic system disorders
Lymphopenia
12.1%
7/58 • Number of events 18 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Nervous system disorders
Seizure
10.3%
6/58 • Number of events 6 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Nervous system disorders
Neurology - Other
3.4%
2/58 • Number of events 2 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Blood and lymphatic system disorders
Blood/Bone Marrow - Other
1.7%
1/58 • Number of events 1 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Vascular disorders
Thrombosis/thrombus/embolism
3.4%
2/58 • Number of events 2 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Blood and lymphatic system disorders
Neutrophils/granulocytes (ANC/AGC)
1.7%
1/58 • Number of events 1 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Blood and lymphatic system disorders
Leukocytes (total WBC)
1.7%
1/58 • Number of events 1 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Blood and lymphatic system disorders
Platelets
1.7%
1/58 • Number of events 1 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Metabolism and nutrition disorders
Glucose, serum-high (hyperglycemia)
1.7%
1/58 • Number of events 1 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Musculoskeletal and connective tissue disorders
Extremity-lower (gait/walking)
1.7%
1/58 • Number of events 1 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Nervous system disorders
Speech impairment
3.4%
2/58 • Number of events 2 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Musculoskeletal and connective tissue disorders
Muscle weakness - left-sided
1.7%
1/58 • Number of events 1 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Cardiac disorders
Supraventricular and nodal arrhythmia: Sinus tachycardia
1.7%
1/58 • Number of events 1 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Nervous system disorders
Pain - headache
1.7%
1/58 • Number of events 2 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Gastrointestinal disorders
Nausea
1.7%
1/58 • Number of events 4 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Gastrointestinal disorders
Vomiting
1.7%
1/58 • Number of events 4 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Gastrointestinal disorders
Diarrhea
1.7%
1/58 • Number of events 4 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Gastrointestinal disorders
Distension/bloating,
1.7%
1/58 • Number of events 1 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Gastrointestinal disorders
Pain - Abdomen NOS
1.7%
1/58 • Number of events 1 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Gastrointestinal disorders
Colitis
1.7%
1/58 • Number of events 1 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Metabolism and nutrition disorders
Potassium, serum-low (Hypokalemia)
1.7%
1/58 • Number of events 1 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
General disorders
Pain - Chest NOS
1.7%
1/58 • Number of events 1 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Gastrointestinal disorders
Enteritis
1.7%
1/58 • Number of events 2 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Metabolism and nutrition disorders
Albumin, serum-low (hypoalbuminemia)
1.7%
1/58 • Number of events 1 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Musculoskeletal and connective tissue disorders
Fracture
1.7%
1/58 • Number of events 1 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Musculoskeletal and connective tissue disorders
Musculoskeletal - Other
3.4%
2/58 • Number of events 3 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
General disorders
Fatigue
1.7%
1/58 • Number of events 1 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.

Other adverse events

Other adverse events
Measure
12 Cycles of Dose-Dense Temozolomide (Single Arm Study)
n=58 participants at risk
All 58 participants who started treatment: Temozolomide dose = 100 mg/m2/day for 21 days of every 28-day cycle (75 mg/m2/day for 21 days of every 28-day cycle if pt experienced myelosuppression on prior regimen: gr 1 ANC \&/or gr 2 platelets
Blood and lymphatic system disorders
Hemoglobin
43.1%
25/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Blood and lymphatic system disorders
Leukocytes
58.6%
34/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Blood and lymphatic system disorders
Lymphopenia
84.5%
49/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Blood and lymphatic system disorders
Neutrophils
29.3%
17/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Blood and lymphatic system disorders
Platelets
51.7%
30/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Blood and lymphatic system disorders
INR
5.2%
3/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
General disorders
Fatigue
70.7%
41/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
General disorders
Insomnia
17.2%
10/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Skin and subcutaneous tissue disorders
Rash/desquamation
5.2%
3/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Endocrine disorders
Cushingnoid appearance
8.6%
5/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Gastrointestinal disorders
Anorexia
6.9%
4/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Gastrointestinal disorders
Constipation
32.8%
19/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Gastrointestinal disorders
Diarrhea w/o prior colostomy
15.5%
9/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Gastrointestinal disorders
Dyspepsia
6.9%
4/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Gastrointestinal disorders
Incontinence- anal
5.2%
3/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Gastrointestinal disorders
Nausea
31.0%
18/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Gastrointestinal disorders
Vomiting
12.1%
7/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Blood and lymphatic system disorders
Edema limb
22.4%
13/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Metabolism and nutrition disorders
Alkaline phosphatase
12.1%
7/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Metabolism and nutrition disorders
ALT- SGPT
24.1%
14/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Metabolism and nutrition disorders
AST- SGOT
22.4%
13/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Metabolism and nutrition disorders
Bicarbonate
17.2%
10/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Metabolism and nutrition disorders
Bilirubin
13.8%
8/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Metabolism and nutrition disorders
Creatinine
6.9%
4/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Metabolism and nutrition disorders
Hyperglycemia
67.2%
39/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Metabolism and nutrition disorders
Hyperkalemia
20.7%
12/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Metabolism and nutrition disorders
Hypernatremia
10.3%
6/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Metabolism and nutrition disorders
Hypoalbuminemia
20.7%
12/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Metabolism and nutrition disorders
Hypocalcemia
22.4%
13/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Metabolism and nutrition disorders
Hypoglycemia
8.6%
5/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Metabolism and nutrition disorders
Hypokalemia
13.8%
8/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Metabolism and nutrition disorders
Hyponatremia
15.5%
9/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Metabolism and nutrition disorders
Hypophosphatemia
13.8%
8/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Metabolism and nutrition disorders
Proteinuria
5.2%
3/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Musculoskeletal and connective tissue disorders
Extremity-lower (gait/walking)
24.1%
14/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Musculoskeletal and connective tissue disorders
Nonneuropathic generalized weakness
12.1%
7/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Musculoskeletal and connective tissue disorders
Nonneuropathic lower extr muscle weak
10.3%
6/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Musculoskeletal and connective tissue disorders
Nonneuropathic right-side muscle weak
5.2%
3/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Nervous system disorders
Anxiety
10.3%
6/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Nervous system disorders
Ataxia
6.9%
4/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Nervous system disorders
Cognitive disturbance
8.6%
5/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Nervous system disorders
Confusion
25.9%
15/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Nervous system disorders
Depressed level of consciousness
5.2%
3/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Nervous system disorders
Depression
15.5%
9/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Nervous system disorders
Dizziness
15.5%
9/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Nervous system disorders
Memory impairment
37.9%
22/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Nervous system disorders
Neuropathy CN II vision
8.6%
5/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Nervous system disorders
Neuropathy CN VII face-motor / taste
10.3%
6/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Nervous system disorders
Neuropathy CN VIII hearing & balance
10.3%
6/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Nervous system disorders
Neuropathy-motor
37.9%
22/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Nervous system disorders
Neuropathy-sensory
24.1%
14/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Nervous system disorders
Seizure
19.0%
11/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Nervous system disorders
Speech impairment
29.3%
17/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Nervous system disorders
Tremor
6.9%
4/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Eye disorders
Cataract
5.2%
3/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Eye disorders
Vision-blurred
13.8%
8/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Gastrointestinal disorders
Abdomen- pain
5.2%
3/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Musculoskeletal and connective tissue disorders
Back- pain
8.6%
5/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Musculoskeletal and connective tissue disorders
Extremity-limb- pain
6.9%
4/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Nervous system disorders
Head/headache
41.4%
24/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Musculoskeletal and connective tissue disorders
Joint- pain
8.6%
5/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Respiratory, thoracic and mediastinal disorders
Cough
10.3%
6/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Respiratory, thoracic and mediastinal disorders
Dyspnea
8.6%
5/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Respiratory, thoracic and mediastinal disorders
Voice changes/dysarthria
5.2%
3/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Renal and urinary disorders
Incontinence urinary
17.2%
10/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.
Renal and urinary disorders
Urinary frequency/urgency
5.2%
3/58 • SAEs are reported from the signing of the consent form until the 30-Days-After-Last Dose-of Study Drug Visit. (Any SAEs occurring within the 30 days after last dose of study drug need to be followed until resolved.)
AEs collected via regular Investigator assessment and regular laboratory testing.

Additional Information

Patrick Y. Wen, MD

Dana-Farber Cancer Institute / Brigham & Women's Hospital

Phone: 617-632-2166

Results disclosure agreements

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

Restriction type: GT60