Trial Outcomes & Findings for Vismodegib in Treating Patients With Steroid-Refractory Chronic Graft-Versus-Host Disease (NCT NCT02337517)

NCT ID: NCT02337517

Last Updated: 2021-07-19

Results Overview

Defined as the count of participants at six months with an absence of non relapse mortality (NRM), no recurrent malignancy, steroid dose at 6 months =\< 0.2 mg/kg/day of prednisone dose equivalent (PDE), and no addition of new systemic treatment for chronic graft-versus-host disease (GVHD) at six months after start of treatment.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

6 participants

Primary outcome timeframe

At 6 months

Results posted on

2021-07-19

Participant Flow

Participant milestones

Participant milestones
Measure
Supportive Care (Vismodegib)
Patients receive vismodegib PO daily, every other day, every three days, or twice weekly for 6-12 months in the absence of disease progression or unacceptable toxicity.
Overall Study
STARTED
6
Overall Study
COMPLETED
6
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Vismodegib in Treating Patients With Steroid-Refractory Chronic Graft-Versus-Host Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Supportive Care (Vismodegib)
n=6 Participants
Patients receive vismodegib PO daily, every other day, every three days, or twice weekly for 6-12 months in the absence of disease progression or unacceptable toxicity.
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=99 Participants
Age, Categorical
>=65 years
1 Participants
n=99 Participants
Age, Continuous
53 years
n=99 Participants
Sex: Female, Male
Female
2 Participants
n=99 Participants
Sex: Female, Male
Male
4 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 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
0 Participants
n=99 Participants
Race (NIH/OMB)
White
6 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Baseline Chronic GVHD Grade
Mild GVHD
0 Participants
n=99 Participants
Baseline Chronic GVHD Grade
Moderate GVHD
0 Participants
n=99 Participants
Baseline Chronic GVHD Grade
Severe GVHD
6 Participants
n=99 Participants

PRIMARY outcome

Timeframe: At 6 months

Defined as the count of participants at six months with an absence of non relapse mortality (NRM), no recurrent malignancy, steroid dose at 6 months =\< 0.2 mg/kg/day of prednisone dose equivalent (PDE), and no addition of new systemic treatment for chronic graft-versus-host disease (GVHD) at six months after start of treatment.

Outcome measures

Outcome measures
Measure
Supportive Care (Vismodegib)
n=6 Participants
Patients receive vismodegib PO daily, every other day, every three days, or twice weekly for 6-12 months in the absence of disease progression or unacceptable toxicity.
Failure Free Survival (FFS)
3 Participants

SECONDARY outcome

Timeframe: Up to 1 month post last date of treatment (max time of approximately one year)

The count of participants who experience adverse events (AE) and serious adverse events (SAE) while on treatment or within one month after discontinuing treatment.

Outcome measures

Outcome measures
Measure
Supportive Care (Vismodegib)
n=6 Participants
Patients receive vismodegib PO daily, every other day, every three days, or twice weekly for 6-12 months in the absence of disease progression or unacceptable toxicity.
Incidence of Adverse Events
Participants with any AE
6 Participants
Incidence of Adverse Events
Participants with any SAE
4 Participants

SECONDARY outcome

Timeframe: Baseline to up to 12 months after initiation of protocol therapy

Population: Only 3 participants had NIH GVHD assessment for response at 6 months. Only 1 participant had NIH GVHD assessment for response at 12 months.

Chronic graft-versus-host disease (GVHD) severity was assessed at baseline with the National Institutes of Health (NIH) global score of chronic GVHD, which was defined using the 2014 NIH consensus criteria for diagnosis and staging of chronic GVHD (see Baseline Characteristics). Following initiation of treatment, the response to therapy was assessed as complete response (CR) (complete resolution of GVHD in one or more organ system) , partial response (PR) (improvement of GVHD in one or more organ system), stable disease (SD) (no change in GVHD), or progressive disease (PD) (worsened GVHD in one or more organ system), based on 2014 NIH consensus criteria for response assessment. GVHD was assessed monthly, with defined study endpoints at 6 and 12 months. Additionally, best overall response on the study is being reported to include response for patients who did not remain on study long enough to be included in the 6 month assessment.

Outcome measures

Outcome measures
Measure
Supportive Care (Vismodegib)
n=6 Participants
Patients receive vismodegib PO daily, every other day, every three days, or twice weekly for 6-12 months in the absence of disease progression or unacceptable toxicity.
Chronic Graft-versus-host Disease Response
Best Overall Response on study · Partial Response (PR)
6 Participants
Chronic Graft-versus-host Disease Response
Best Overall Response on study · CR, SD, and PD
0 Participants
Chronic Graft-versus-host Disease Response
Response at 6 months · Partial Response (PR)
3 Participants
Chronic Graft-versus-host Disease Response
Response at 6 months · CR, SD, and PD
0 Participants
Chronic Graft-versus-host Disease Response
Response at 12 months · Partial Response (PR)
1 Participants
Chronic Graft-versus-host Disease Response
Response at 12 months · CR, SD, and PD
0 Participants

SECONDARY outcome

Timeframe: At 1 year

Relapse will be defined as malignancy relapse or as the initiation of any unintended intervention including an unplanned taper of immunosuppressant therapy to prevent malignancy progression due to any signs of recurrent, residual or new malignant disease after transplantation. Non relapse mortality is the number of participant deaths due to any cause other than relapse.

Outcome measures

Outcome measures
Measure
Supportive Care (Vismodegib)
n=6 Participants
Patients receive vismodegib PO daily, every other day, every three days, or twice weekly for 6-12 months in the absence of disease progression or unacceptable toxicity.
One-year Non Relapse Mortality (NRM)
0 Participants

SECONDARY outcome

Timeframe: Up to one year

Relapse will be defined as malignancy relapse or as the initiation of any unintended intervention including an unplanned taper of immunosuppressant therapy to prevent malignancy progression due to any signs of recurrent, residual or new malignant disease after transplantation. This measure is reported as the count of participants who experienced a relapse of their primary malignancy within one year of starting study therapy.

Outcome measures

Outcome measures
Measure
Supportive Care (Vismodegib)
n=6 Participants
Patients receive vismodegib PO daily, every other day, every three days, or twice weekly for 6-12 months in the absence of disease progression or unacceptable toxicity.
One Year Relapse
1 Participants

SECONDARY outcome

Timeframe: At 1 year

Defined as the count of participants at one year with an absence of non relapse mortality (NRM), no recurrent malignancy, steroid dose at 6 months =\< 0.2 mg/kg/day of prednisone dose equivalent (PDE), and no addition of new systemic treatment for chronic graft-versus-host disease (GVHD) at one year after start of treatment.

Outcome measures

Outcome measures
Measure
Supportive Care (Vismodegib)
n=6 Participants
Patients receive vismodegib PO daily, every other day, every three days, or twice weekly for 6-12 months in the absence of disease progression or unacceptable toxicity.
One-year Failure Free Survival (FFS)
1 Participants

SECONDARY outcome

Timeframe: At 1 year

A count of participants who are not deceased at one year after initiation of study therapy.

Outcome measures

Outcome measures
Measure
Supportive Care (Vismodegib)
n=6 Participants
Patients receive vismodegib PO daily, every other day, every three days, or twice weekly for 6-12 months in the absence of disease progression or unacceptable toxicity.
One-year Overall Survival
5 Participants

SECONDARY outcome

Timeframe: Up to 1 year

The study proposed to evaluate clinical characteristics that could be associated with FFS. Each patient was categorized as either having FFS greater than 6 months or less than 6 months. Factors evaluated were whether or not the patient had high intensity conditional with total-body irradiation (TBI) before bone marrow transplant, whether or not the patient had \> 3 involved sites with chronic graft versus host disease (GVHD), whether or not the patient had lower gastrointestinal (GI) involvement by GVHD, and whether or not the patient had a Severe NIH global score at initiation of protocol treatment.

Outcome measures

Outcome measures
Measure
Supportive Care (Vismodegib)
n=6 Participants
Patients receive vismodegib PO daily, every other day, every three days, or twice weekly for 6-12 months in the absence of disease progression or unacceptable toxicity.
Clinical Characteristics Associated With Failure Free Survival (FFS)
Factor: TBI before transplanat · Had Factor and FFS > 6 months
1 Participants
Clinical Characteristics Associated With Failure Free Survival (FFS)
Factor: TBI before transplanat · Did not have factor and FFS > 6 months
2 Participants
Clinical Characteristics Associated With Failure Free Survival (FFS)
Factor: TBI before transplanat · Had factor and FFS < 6 months
1 Participants
Clinical Characteristics Associated With Failure Free Survival (FFS)
Factor: TBI before transplanat · Did not have factor and FFS < 6 months
2 Participants
Clinical Characteristics Associated With Failure Free Survival (FFS)
Factor: Greater than 3 sites involved with GVHD · Had Factor and FFS > 6 months
1 Participants
Clinical Characteristics Associated With Failure Free Survival (FFS)
Factor: Greater than 3 sites involved with GVHD · Did not have factor and FFS > 6 months
2 Participants
Clinical Characteristics Associated With Failure Free Survival (FFS)
Factor: Greater than 3 sites involved with GVHD · Had factor and FFS < 6 months
2 Participants
Clinical Characteristics Associated With Failure Free Survival (FFS)
Factor: Greater than 3 sites involved with GVHD · Did not have factor and FFS < 6 months
1 Participants
Clinical Characteristics Associated With Failure Free Survival (FFS)
Factor: Lower GI involvement with GVHD · Had Factor and FFS > 6 months
2 Participants
Clinical Characteristics Associated With Failure Free Survival (FFS)
Factor: Lower GI involvement with GVHD · Did not have factor and FFS > 6 months
1 Participants
Clinical Characteristics Associated With Failure Free Survival (FFS)
Factor: Lower GI involvement with GVHD · Had factor and FFS < 6 months
2 Participants
Clinical Characteristics Associated With Failure Free Survival (FFS)
Factor: Lower GI involvement with GVHD · Did not have factor and FFS < 6 months
1 Participants
Clinical Characteristics Associated With Failure Free Survival (FFS)
Factor: Severe NIH Global GVHD Score · Had Factor and FFS > 6 months
3 Participants
Clinical Characteristics Associated With Failure Free Survival (FFS)
Factor: Severe NIH Global GVHD Score · Did not have factor and FFS > 6 months
0 Participants
Clinical Characteristics Associated With Failure Free Survival (FFS)
Factor: Severe NIH Global GVHD Score · Had factor and FFS < 6 months
3 Participants
Clinical Characteristics Associated With Failure Free Survival (FFS)
Factor: Severe NIH Global GVHD Score · Did not have factor and FFS < 6 months
0 Participants

Adverse Events

Supportive Care (Vismodegib)

Serious events: 4 serious events
Other events: 6 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Supportive Care (Vismodegib)
n=6 participants at risk
Patients receive vismodegib PO daily, every other day, every three days, or twice weekly for 6-12 months in the absence of disease progression or unacceptable toxicity.
Injury, poisoning and procedural complications
Fracture
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Vascular disorders
Hypotension
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Respiratory, thoracic and mediastinal disorders
Pleural effusion
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Gastrointestinal disorders
Pneumatosis
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Infections and infestations
Sepsis
16.7%
1/6 • Number of events 2 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Investigations
Weight loss
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.

Other adverse events

Other adverse events
Measure
Supportive Care (Vismodegib)
n=6 participants at risk
Patients receive vismodegib PO daily, every other day, every three days, or twice weekly for 6-12 months in the absence of disease progression or unacceptable toxicity.
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
33.3%
2/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Skin and subcutaneous tissue disorders
Hyperhidrosis
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Gastrointestinal disorders
Abdominal pain
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Renal and urinary disorders
Acute kidney injury
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Endocrine disorders
Adrenal insufficiency
33.3%
2/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Psychiatric disorders
Agitation
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Investigations
Alkaline phosphatase increased
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Skin and subcutaneous tissue disorders
Alopecia
66.7%
4/6 • Number of events 7 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Blood and lymphatic system disorders
Anemia
16.7%
1/6 • Number of events 2 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Metabolism and nutrition disorders
Anorexia
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Musculoskeletal and connective tissue disorders
Arthralgia
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Musculoskeletal and connective tissue disorders
Arthritis
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Respiratory, thoracic and mediastinal disorders
Atelectasis
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Musculoskeletal and connective tissue disorders
Back pain
16.7%
1/6 • Number of events 2 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Gastrointestinal disorders
Bloating
33.3%
2/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Skin and subcutaneous tissue disorders
Bullous dermatitis
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Metabolism and nutrition disorders
BUN elevated
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Cardiac disorders
Chest pain - cardiac
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Musculoskeletal and connective tissue disorders
Chest wall pain
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
colonic polyps
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Nervous system disorders
Concentration impairment
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Psychiatric disorders
Confusion
33.3%
2/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Eye disorders
conjunctival irritation lower eye
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Cardiac disorders
Coronary atherosclerosis
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Respiratory, thoracic and mediastinal disorders
Cough
33.3%
2/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Investigations
Creatinine increased
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Gastrointestinal disorders
crown of tooth detached
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Gastrointestinal disorders
Dental caries
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Psychiatric disorders
Depression
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Gastrointestinal disorders
Diarrhea
83.3%
5/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Nervous system disorders
Dizziness
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Gastrointestinal disorders
Dry mouth
33.3%
2/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Nervous system disorders
Dysgeusia
66.7%
4/6 • Number of events 7 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Gastrointestinal disorders
Dysphagia
16.7%
1/6 • Number of events 2 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Respiratory, thoracic and mediastinal disorders
Dyspnea
16.7%
1/6 • Number of events 2 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Blood and lymphatic system disorders
elevated neutrophils
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Nervous system disorders
Encephalopathy
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Infections and infestations
Epstein Barr Virus
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Skin and subcutaneous tissue disorders
Erythema multiforme
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Injury, poisoning and procedural complications
Fall
33.3%
2/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
General disorders
Fatigue
33.3%
2/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
General disorders
Fever
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Gastrointestinal disorders
Flatulence
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
General disorders
Flu like symptoms
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Injury, poisoning and procedural complications
Fracture
33.3%
2/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Gastrointestinal disorders
Gastritis
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Gastrointestinal disorders
gastrointestinal disorder
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Metabolism and nutrition disorders
Hypernatremia
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Vascular disorders
Hypertension
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Metabolism and nutrition disorders
Hypokalemia
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Metabolism and nutrition disorders
Hyponatremia
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Metabolism and nutrition disorders
Hypophosphatemia
33.3%
2/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Vascular disorders
Hypotension
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Metabolism and nutrition disorders
Increased Appetite
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Psychiatric disorders
Insomnia
33.3%
2/6 • Number of events 3 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Infections and infestations
leg ulceration
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Investigations
Lymphocyte count decreased
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Nervous system disorders
Movements involuntary
50.0%
3/6 • Number of events 6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Musculoskeletal and connective tissue disorders
Muscle cramps
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Musculoskeletal and connective tissue disorders
Myalgia
33.3%
2/6 • Number of events 3 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Gastrointestinal disorders
Nausea
83.3%
5/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Investigations
Neutrophil count decreased
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Respiratory, thoracic and mediastinal disorders
Productive cough
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Infections and infestations
Rhinitis infective
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Infections and infestations
Skin infection
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Nervous system disorders
Spasticity
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Gastrointestinal disorders
Stomach pain
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Nervous system disorders
Syncope
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Nervous system disorders
Tremor
33.3%
2/6 • Number of events 3 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Vascular disorders
Vasculitis
16.7%
1/6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.
Investigations
Weight loss
50.0%
3/6 • Number of events 6 • From the first dose of study treatment until 30 days after the last dose, up to one year.
The occurrence of adverse events (AEs) was sought by non-directive questioning of the patient at each visit or phone contact during the study. Adverse events may also have been detected when they were volunteered by the patient during or between visits or through physical examination, laboratory test, or other assessments.

Additional Information

Data Manager

HCI Research Compliance Office

Phone: 8015850601

Results disclosure agreements

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

Restriction type: LTE60