Trial Outcomes & Findings for Efficacy and Safety Study of SyB L-0501 for Patients With Multiple Myeloma (NCT NCT01179490)

NCT ID: NCT01179490

Last Updated: 2013-03-18

Results Overview

The proportion of subjects evaluated as CR was calculated. CR (modified SWOG) requires all of the followings: 1. Decline in serum myeloma protein by ≥75% to ≤25 g/L 2. Reduction in 24 h urinary protein by ≥90% to ≤200 mg/24 h 3. No increase in skeletal destruction 4. Serum calcium within normal range 5. No blood transfusion required in the previous 3 months

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

5 participants

Primary outcome timeframe

Up to 36 weeks

Results posted on

2013-03-18

Participant Flow

Participant milestones

Participant milestones
Measure
SyB L-0501 + Prednisolone
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
Overall Study
STARTED
5
Overall Study
COMPLETED
5
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Efficacy and Safety Study of SyB L-0501 for Patients With Multiple Myeloma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
SyB L-0501 + Prednisolone
n=5 Participants
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
Age Continuous
69.0 Year
STANDARD_DEVIATION 2.3 • n=39 Participants
Age, Customized
20-29 years
0 Participants
n=39 Participants
Age, Customized
30-39 years
0 Participants
n=39 Participants
Age, Customized
40-49 years
0 Participants
n=39 Participants
Age, Customized
50-59 years
0 Participants
n=39 Participants
Age, Customized
60-69 years
3 Participants
n=39 Participants
Age, Customized
70-84 years
2 Participants
n=39 Participants
Sex: Female, Male
Female
2 Participants
n=39 Participants
Sex: Female, Male
Male
3 Participants
n=39 Participants
Condition with symptoms of Multiple Myeloma
No
5 Participants
n=39 Participants
Condition with symptoms of Multiple Myeloma
Yes
0 Participants
n=39 Participants
Previous treatment of multiple myeloma
No
5 Participants
n=39 Participants
Previous treatment of multiple myeloma
Yes
0 Participants
n=39 Participants
Reason for not eligible for hematopoietic stem cell transplantation
Age 66 years or older
5 Participants
n=39 Participants
Reason for not eligible for hematopoietic stem cell transplantation
Presence of cardiopulmonary dysfunction
0 Participants
n=39 Participants
Reason for not eligible for hematopoietic stem cell transplantation
Renal dysfunction
0 Participants
n=39 Participants
Reason for not eligible for hematopoietic stem cell transplantation
Other
0 Participants
n=39 Participants
Performance status (P.S.)
0
3 Participants
n=39 Participants
Performance status (P.S.)
1
0 Participants
n=39 Participants
Performance status (P.S.)
2
2 Participants
n=39 Participants
Performance status (P.S.)
3
0 Participants
n=39 Participants
Clinical stage [International staging system (ISS) category]
Stage I
0 Participants
n=39 Participants
Clinical stage [International staging system (ISS) category]
Stage II
3 Participants
n=39 Participants
Clinical stage [International staging system (ISS) category]
Stage III
2 Participants
n=39 Participants
Previous history of multiple myeloma
No
5 Participants
n=39 Participants
Previous history of multiple myeloma
Yes
0 Participants
n=39 Participants
Associated symptom of the primary disease
No
0 Participants
n=39 Participants
Associated symptom of the primary disease
Yes
5 Participants
n=39 Participants
Complications of multiple myeloma
No
0 Participants
n=39 Participants
Complications of multiple myeloma
Yes
5 Participants
n=39 Participants
Serum β2M in clinical stage
5.00 mg/L
STANDARD_DEVIATION 1.48 • n=39 Participants
Height
151.40 cm
STANDARD_DEVIATION 8.53 • n=39 Participants
Weight
52.40 kg
STANDARD_DEVIATION 10.41 • n=39 Participants
Body surface area
1.470 m2
STANDARD_DEVIATION 0.185 • n=39 Participants

PRIMARY outcome

Timeframe: Up to 36 weeks

The proportion of subjects evaluated as CR was calculated. CR (modified SWOG) requires all of the followings: 1. Decline in serum myeloma protein by ≥75% to ≤25 g/L 2. Reduction in 24 h urinary protein by ≥90% to ≤200 mg/24 h 3. No increase in skeletal destruction 4. Serum calcium within normal range 5. No blood transfusion required in the previous 3 months

Outcome measures

Outcome measures
Measure
SyB L-0501 + Prednisolone
n=5 Participants
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
Complete Response (CR) Rate [Based on the Modified Southwest Oncology Group (SWOG) Criteria]
40.0 Percentage of Participants
Interval 5.3 to 85.3

SECONDARY outcome

Timeframe: Up to 36 weeks

The proportion of subjects evaluated as CR \[strict CR (sCR) + CR\] was calculated. sCR (IMWG): CR as defined below plus Normal FLC ratio and absence of clonal cells in bone marrow by immunohistochemistry or immunofluorescence CR (IMWG): Negative immunofixation on the serum and urine and disappearance of any soft tissue plasmacytomas and \<5% plasma cells in bone marrow

Outcome measures

Outcome measures
Measure
SyB L-0501 + Prednisolone
n=5 Participants
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
CR Rate [Based on the International Myeloma Working Group (IMWG) Criteria]
0.0 Percentage of participants
Interval 0.0 to 52.2

SECONDARY outcome

Timeframe: Up to 36 weeks

The proportion of subjects evaluated as response \[sCR + CR + very good partial response (VGPR) + Partial Response (PR)\] was calculated. VGPR (IMWG): Serum and urine M-protein detectable by immunofixation but not on electrophoresis or 90% or greater reduction in serum M-protein plus urine M-protein level \<100mg per 24 h PR (IMWG): ≥50% reduction of serum M-protein and reduction in 24 h urinary M-protein by ≥90% or to \<200mg per 24 h

Outcome measures

Outcome measures
Measure
SyB L-0501 + Prednisolone
n=5 Participants
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
Response Rate (Based on the IMWG Criteria)
60.0 Percentage of participants
Interval 14.7 to 94.7

SECONDARY outcome

Timeframe: Up to 36 weeks

The proportion of subjects evaluated as CR was calculated. CR (Bladé) requires all of the followings: 1. Absence of the original monoclonal paraprotein in serum and urine by immunofixation, maintained for a minimum of 6 weeks. The presence of oligoclonal bands consistent with oligoclonal immune reconstitution does not exclude CR. 2. \<5% plasma cells in a bone marrow aspirate and also on trephine bone biopsy, if biopsy is performed. If absence of monoclonal protein is sustained for 6 weeks it is not necessary to repeat the bone marrow, except in patients with non-secretory myeloma where the marrow examination must be repeated after an interval of at least 6 weeks to confirm CR. 3. No increase in size or number of lytic bone lesions (development of a compression fracture does not exclude response) 4. Disappearance of soft tissue plasmacytomas

Outcome measures

Outcome measures
Measure
SyB L-0501 + Prednisolone
n=5 Participants
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
CR Rate Based on the (Bladé) Criteria
0.0 Percentage of participants
Interval 0.0 to 52.2

SECONDARY outcome

Timeframe: Up to 36 weeks

The proportion of subjects evaluated as response (CR + PR) was calculated. PR (Bladé) requires 1. or all of the others: 1. Some, but not all, of the criteria for CR are fulfilled 2. ≥50% reduction in the level of the serum monoclonal paraprotein, maintained for a minimum of 6 weeks. 3. Reduction in 24 h urinary light chain excretion either by ≥90% or to \<200 mg, maintained for a minimum of 6 weeks. 4. For patients with non-secretory myeloma only, ≥50% reduction in plasma cells in a bone marrow aspirate and on trephine biopsy, if biopsy is performed, maintained for a minimum of 6 weeks. 5. ≥50% reduction in the size of soft tissue plasmacytomas (by radiography or clinical examination). 6. No increase in size or number of lytic bone lesions (development of a compression fracture does not exclude response).

Outcome measures

Outcome measures
Measure
SyB L-0501 + Prednisolone
n=5 Participants
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
Response Rate (Based on the Bladé Criteria)
60.0 Percentage of participants
Interval 14.7 to 94.7

SECONDARY outcome

Timeframe: Up to 36 weeks

The proportion of subjects evaluated as response (CR + PR) was calculated. PR (SWOG) requires the followings: 1. Decline in myeloma protein of ≥25%-\<74% in serum myeloma protein 2. Reduction in 24h urinary myeloma protein of ≥25%-\<89% 3. No increase in skeletal destruction 4. Serum calcium within normal range

Outcome measures

Outcome measures
Measure
SyB L-0501 + Prednisolone
n=5 Participants
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
Response Rate (Based on the Modified SWOG Criteria)
60.0 Percentage of participants
Interval 14.7 to 94.7

SECONDARY outcome

Timeframe: Up to 2 years

PFS is the period from patient registration to either the date of recurrence, exacerbation, progression or death. Recurrence, exacerbation, progression were assessed from serum M-protein, urine M-protein, serum free light chain (FLC), the percentage of marrow plasma cells, disappearance of clonal plasma cells, plasma cell tumor in soft tissue, and bone lesion.

Outcome measures

Outcome measures
Measure
SyB L-0501 + Prednisolone
n=5 Participants
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
Progression-Free Survival (PFS)
205.0 Days
Interval 38.0 to 274.0

SECONDARY outcome

Timeframe: Up to 2 years

TTF is the period from patient registration to either the date of recurrence, exacerbation, progression, death or discontinuation of treatment.

Outcome measures

Outcome measures
Measure
SyB L-0501 + Prednisolone
n=5 Participants
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
Time to Treatment Failure (TTF)
205.0 Days
Interval 38.0 to 274.0

SECONDARY outcome

Timeframe: Up to 2 years

DOR is the period from the date of achieving CR or PR to either the date of recurrence, exacerbation, progression or death.

Outcome measures

Outcome measures
Measure
SyB L-0501 + Prednisolone
n=5 Participants
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
Duration of Response (DOR)
162.0 Days
Interval 99.0 to 252.0

SECONDARY outcome

Timeframe: Up to 2 years

OS is the period from the date of patient registration to the date of death.

Outcome measures

Outcome measures
Measure
SyB L-0501 + Prednisolone
n=5 Participants
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
Overall Survival (OS)
205.0 Days
Interval 38.0 to 330.0

SECONDARY outcome

Timeframe: Up to 2 years

Adverse events were evaluated using Common Terminology Criteria for Adverse Events (CTCAE) v4.02, Japan Clinical Oncology Group/Japan Society of Clinical Oncology (JCOG/JSCO) version, and were encoded using Medical Dictionary for Regulatory Activities (MedDRA).

Outcome measures

Outcome measures
Measure
SyB L-0501 + Prednisolone
n=5 Participants
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
Number of Subjects With Adverse Event, Related Adverse Event, Serious Adverse Event, and Related Serious Adverse Event
Subjects with adverse event
5 Participants
Number of Subjects With Adverse Event, Related Adverse Event, Serious Adverse Event, and Related Serious Adverse Event
Subjects with related adverse event
5 Participants
Number of Subjects With Adverse Event, Related Adverse Event, Serious Adverse Event, and Related Serious Adverse Event
Subjects with serious adverse event
2 Participants
Number of Subjects With Adverse Event, Related Adverse Event, Serious Adverse Event, and Related Serious Adverse Event
Subjects with related serious adverse event
2 Participants

SECONDARY outcome

Timeframe: Up to 2 years

Adverse events were evaluated using Common Terminology Criteria for Adverse Events (CTCAE) v4.02, Japan Clinical Oncology Group/Japan Society of Clinical Oncology (JCOG/JSCO) version, and were encoded using Medical Dictionary for Regulatory Activities (MedDRA).

Outcome measures

Outcome measures
Measure
SyB L-0501 + Prednisolone
n=5 Participants
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
Number of Adverse Events, Related Adverse Events, Serious Adverse Events, and Related Serious Adverse Events
Adverse events
166 Events
Number of Adverse Events, Related Adverse Events, Serious Adverse Events, and Related Serious Adverse Events
Related adverse events
155 Events
Number of Adverse Events, Related Adverse Events, Serious Adverse Events, and Related Serious Adverse Events
Serious adverse events
4 Events
Number of Adverse Events, Related Adverse Events, Serious Adverse Events, and Related Serious Adverse Events
Related serious adverse events
4 Events

SECONDARY outcome

Timeframe: Up to 2 years

Abnormalities in laboratory test values in overall study period were analyzed. Severity of abnormalities were evaluated using CTCAE. grade 1 : mild grade 2 : moderate grade 3 : severe or medically significant but not immediately life-threatening grade 4 : life threatening or disabling grade 5 : death related to AE

Outcome measures

Outcome measures
Measure
SyB L-0501 + Prednisolone
n=5 Participants
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
Number of Subjects With Abnormality (Grade ≥3) in Laboratory Test Values
Subjects with Grade 3 abnormality
5 Participants
Number of Subjects With Abnormality (Grade ≥3) in Laboratory Test Values
Subjects with Grade 4 abnormality
5 Participants
Number of Subjects With Abnormality (Grade ≥3) in Laboratory Test Values
Subjects with Grade 5 abnormality
0 Participants

SECONDARY outcome

Timeframe: Up to 2 years

Abnormalities in laboratory test values in overall study period were analyzed. Severity of abnormalities were evaluated using CTCAE.

Outcome measures

Outcome measures
Measure
SyB L-0501 + Prednisolone
n=5 Participants
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
Number of Abnormalities (Grade ≥3) in Laboratory Test Values
Grade 3 abnormalities
33 Events
Number of Abnormalities (Grade ≥3) in Laboratory Test Values
Grade 4 abnormalities
39 Events
Number of Abnormalities (Grade ≥3) in Laboratory Test Values
Grade 5 abnormalities
0 Events

SECONDARY outcome

Timeframe: On Day 1 only

Plasma pharmacokinetics (Cmax) of unchanged bendamustine

Outcome measures

Outcome measures
Measure
SyB L-0501 + Prednisolone
n=5 Participants
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
Pharmacokinetic Parameters (Cmax)
8795.769 ng/mL
Standard Deviation 3907.460

SECONDARY outcome

Timeframe: On Day 1 only

Plasma pharmacokinetics (tmax) of unchanged bendamustine

Outcome measures

Outcome measures
Measure
SyB L-0501 + Prednisolone
n=5 Participants
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
Pharmacokinetic Parameters (Tmax)
1.00 h
Standard Deviation 0.00

SECONDARY outcome

Timeframe: On Day 1 only

Plasma pharmacokinetics (AUC) of unchanged bendamustine

Outcome measures

Outcome measures
Measure
SyB L-0501 + Prednisolone
n=5 Participants
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
Pharmacokinetic Parameters (AUC)
12315.992 ng・h/mL
Standard Deviation 7900.579

SECONDARY outcome

Timeframe: On Day 1 only

Plasma pharmacokinetics (t1/2) of unchanged bendamustine

Outcome measures

Outcome measures
Measure
SyB L-0501 + Prednisolone
n=5 Participants
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
Pharmacokinetic Parameters (t1/2)
0.44 h
Standard Deviation 0.152

Adverse Events

SyB L-0501 + Prednisolone

Serious events: 2 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
SyB L-0501 + Prednisolone
n=5 participants at risk
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
Infections and infestations
Pneumonia
20.0%
1/5 • Number of events 1 • Up to 2 years
Infections and infestations
Septic shock
20.0%
1/5 • Number of events 1 • Up to 2 years
Infections and infestations
Pneumonia bacterial
20.0%
1/5 • Number of events 1 • Up to 2 years
Infections and infestations
Acute respiratory distress syndrome
20.0%
1/5 • Number of events 1 • Up to 2 years

Other adverse events

Other adverse events
Measure
SyB L-0501 + Prednisolone
n=5 participants at risk
SyB L-0501 (150 mg/m2/day) will be administered by intravenous drip infusion for 60 min for 2 consecutive days and the course will be observed for the next 26 days. This is taken as one cycle and administration is repeated for 2-9 cycles (when a plateau is not reached after nine cycles, administration of up to an additional three cycles for a maximum of 12 cycles is possible. Prednisolone (60 mg/m2/day) will be administered orally for 4 consecutive days and the course will be observed for the next 24 days.
Blood and lymphatic system disorders
Anaemia
20.0%
1/5 • Up to 2 years
Blood and lymphatic system disorders
Febrile neutropenia
20.0%
1/5 • Up to 2 years
Gastrointestinal disorders
Abdominal distension
20.0%
1/5 • Up to 2 years
Gastrointestinal disorders
Constipation
20.0%
1/5 • Up to 2 years
Gastrointestinal disorders
Diarrhoea
40.0%
2/5 • Up to 2 years
Gastrointestinal disorders
Nausea
60.0%
3/5 • Up to 2 years
Gastrointestinal disorders
Proctalgia
20.0%
1/5 • Up to 2 years
Gastrointestinal disorders
Stomatitis
40.0%
2/5 • Up to 2 years
Gastrointestinal disorders
Vomiting
40.0%
2/5 • Up to 2 years
General disorders
Malaise
20.0%
1/5 • Up to 2 years
General disorders
Oedema
20.0%
1/5 • Up to 2 years
General disorders
Oedema peripheral
20.0%
1/5 • Up to 2 years
General disorders
Pyrexia
20.0%
1/5 • Up to 2 years
Hepatobiliary disorders
Hepatic function abnormal
20.0%
1/5 • Up to 2 years
Infections and infestations
Infection
20.0%
1/5 • Up to 2 years
Infections and infestations
Pharyngitis
20.0%
1/5 • Up to 2 years
Infections and infestations
Upper respiratory tract infection
20.0%
1/5 • Up to 2 years
Injury, poisoning and procedural complications
Excoriation
20.0%
1/5 • Up to 2 years
Investigations
Alanine aminotransferase increased
40.0%
2/5 • Up to 2 years
Investigations
Aspartate aminotransferase increased
20.0%
1/5 • Up to 2 years
Investigations
Blood albumin decreased
20.0%
1/5 • Up to 2 years
Investigations
Blood creatinine increased
40.0%
2/5 • Up to 2 years
Investigations
Blood lactate dehydrogenase increased
40.0%
2/5 • Up to 2 years
Investigations
Blood potassium increased
40.0%
2/5 • Up to 2 years
Investigations
Blood sodium decreased
20.0%
1/5 • Up to 2 years
Investigations
Blood urea increased
20.0%
1/5 • Up to 2 years
Investigations
Blood uric acid decreased
20.0%
1/5 • Up to 2 years
Investigations
Blood uric acid increased
20.0%
1/5 • Up to 2 years
Investigations
C-reactive protein increased
60.0%
3/5 • Up to 2 years
Investigations
CD4 lymphocytes decreased
60.0%
3/5 • Up to 2 years
Investigations
Gamma-glutamyltransferase increased
20.0%
1/5 • Up to 2 years
Investigations
Haemoglobin decreased
20.0%
1/5 • Up to 2 years
Investigations
Lymphocyte count decreased
100.0%
5/5 • Up to 2 years
Investigations
Neutrophil count decreased
100.0%
5/5 • Up to 2 years
Investigations
Neutrophil count increased
60.0%
3/5 • Up to 2 years
Investigations
Platelet count decreased
100.0%
5/5 • Up to 2 years
Investigations
Protein total decreased
20.0%
1/5 • Up to 2 years
Investigations
Weight increased
40.0%
2/5 • Up to 2 years
Investigations
White blood cell count decreased
100.0%
5/5 • Up to 2 years
Investigations
White blood cell count increased
40.0%
2/5 • Up to 2 years
Investigations
Blood alkaline phosphatase increased
40.0%
2/5 • Up to 2 years
Metabolism and nutrition disorders
Diabetes mellitus
20.0%
1/5 • Up to 2 years
Metabolism and nutrition disorders
Hypokalaemia
20.0%
1/5 • Up to 2 years
Metabolism and nutrition disorders
Tumour lysis syndrome
20.0%
1/5 • Up to 2 years
Metabolism and nutrition disorders
Decreased appetite
60.0%
3/5 • Up to 2 years
Respiratory, thoracic and mediastinal disorders
Dyspnoea
20.0%
1/5 • Up to 2 years
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
20.0%
1/5 • Up to 2 years
Skin and subcutaneous tissue disorders
Dry skin
20.0%
1/5 • Up to 2 years
Skin and subcutaneous tissue disorders
Erythema
20.0%
1/5 • Up to 2 years
Skin and subcutaneous tissue disorders
Rash
60.0%
3/5 • Up to 2 years
Skin and subcutaneous tissue disorders
Scab
20.0%
1/5 • Up to 2 years
Skin and subcutaneous tissue disorders
Toxic skin eruption
20.0%
1/5 • Up to 2 years
Vascular disorders
Circulatory collapse
20.0%
1/5 • Up to 2 years

Additional Information

Toshihiko Nagase

Symbio Pharmaceuticals

Phone: 81-3-5472-1127

Results disclosure agreements

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