Trial Outcomes & Findings for Docetaxel + Plinabulin Compared to Docetaxel + Placebo in Patients With Advanced NSCLC (NCT NCT02504489)

NCT ID: NCT02504489

Last Updated: 2026-05-19

Results Overview

Overall survival is defined as the time (days) from the date of randomization to the date of death due to any cause (i.e., Date of death - date of randomization +1).

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

559 participants

Primary outcome timeframe

The time (Days) from the date of randomization to the date of death, up to 48 months

Results posted on

2026-05-19

Participant Flow

919 patients were screened for inclusion, and 360 patients were excluded due to failure to meet entry criteria, adverse events, and other reasons.

Participant milestones

Participant milestones
Measure
Docetaxel (D)
A treatment cycle is 21 days. Treatment will be repeated until disease progression is detected by imaging studies or unacceptable toxicities are encountered. On Day 1, all patients will receive docetaxel 75 mg/m2 by intravenous (IV) infusion over 1 hour. Oral dexamethasone (16 mg, given as 8 mg twice daily) will be given on the day prior to, the day of (Day 1), and the day following docetaxel infusion (Day 2). Antiemetic prophylaxis will be administered according to institutional guideline for docetaxel. Institutional guideline/practice should be followed in the event of infusion/hypersensitivity reaction. Diphenhydramine and dexamethasone infusion may be administered in the event of infusion reaction. Docetaxel (D): Docetaxel 75 mg/m2 IV
Docetaxel + Plinabulin (DP)
The treatment regimen for Docetaxel (D) will be followed for this arm. In addition, on Days 1 and 8 of the 21 day cycle, patients will receive Plinabulin (P) administered via IV infusion over 60 minutes. On Day 1, the infusion begins 2 hours from the starting time of docetaxel infusion, i.e, approximately 60 minutes from the end of docetaxel infusion. On Day 8, patients must be given an anti-emetic prophylactically before the plinabulin infusion. If emesis persists after Day 8, with a grade \>1, plinabulin will be reduced to 20 mg/m2. Patients from the DP Arm who stop treatment with docetaxel due to toxicity or another medically acceptable reason, may continue treatment with plinabulin alone as previously described. Docetaxel + Plinabulin (DP): Docetaxel 75 mg/m2 IV + Plinabulin 30 mg/m2 Docetaxel (D): Docetaxel 75 mg/m2 IV
Overall Study
STARTED
281
278
Overall Study
Treated
281
278
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
281
278

Reasons for withdrawal

Reasons for withdrawal
Measure
Docetaxel (D)
A treatment cycle is 21 days. Treatment will be repeated until disease progression is detected by imaging studies or unacceptable toxicities are encountered. On Day 1, all patients will receive docetaxel 75 mg/m2 by intravenous (IV) infusion over 1 hour. Oral dexamethasone (16 mg, given as 8 mg twice daily) will be given on the day prior to, the day of (Day 1), and the day following docetaxel infusion (Day 2). Antiemetic prophylaxis will be administered according to institutional guideline for docetaxel. Institutional guideline/practice should be followed in the event of infusion/hypersensitivity reaction. Diphenhydramine and dexamethasone infusion may be administered in the event of infusion reaction. Docetaxel (D): Docetaxel 75 mg/m2 IV
Docetaxel + Plinabulin (DP)
The treatment regimen for Docetaxel (D) will be followed for this arm. In addition, on Days 1 and 8 of the 21 day cycle, patients will receive Plinabulin (P) administered via IV infusion over 60 minutes. On Day 1, the infusion begins 2 hours from the starting time of docetaxel infusion, i.e, approximately 60 minutes from the end of docetaxel infusion. On Day 8, patients must be given an anti-emetic prophylactically before the plinabulin infusion. If emesis persists after Day 8, with a grade \>1, plinabulin will be reduced to 20 mg/m2. Patients from the DP Arm who stop treatment with docetaxel due to toxicity or another medically acceptable reason, may continue treatment with plinabulin alone as previously described. Docetaxel + Plinabulin (DP): Docetaxel 75 mg/m2 IV + Plinabulin 30 mg/m2 Docetaxel (D): Docetaxel 75 mg/m2 IV
Overall Study
Death
230
214
Overall Study
Withdrawal by Subject
18
16
Overall Study
Lost to Follow-up
2
2
Overall Study
Alive at database lock
25
39
Overall Study
Alive at project end
6
7

Baseline Characteristics

Docetaxel + Plinabulin Compared to Docetaxel + Placebo in Patients With Advanced NSCLC

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Docetaxel (D)
n=281 Participants
A treatment cycle is 21 days. Treatment will be repeated until disease progression is detected by imaging studies or unacceptable toxicities are encountered. On Day 1, all patients will receive docetaxel 75 mg/m2 by intravenous (IV) infusion over 1 hour. Oral dexamethasone (16 mg, given as 8 mg twice daily) will be given on the day prior to, the day of (Day 1), and the day following docetaxel infusion (Day 2). Antiemetic prophylaxis will be administered according to institutional guideline for docetaxel. Institutional guideline/practice should be followed in the event of infusion/hypersensitivity reaction. Diphenhydramine and dexamethasone infusion may be administered in the event of infusion reaction. Docetaxel (D): Docetaxel 75 mg/m2 IV
Docetaxel + Plinabulin (DP)
n=278 Participants
The treatment regimen for Docetaxel (D) will be followed for this arm. In addition, on Days 1 and 8 of the 21 day cycle, patients will receive Plinabulin (P) administered via IV infusion over 60 minutes. On Day 1, the infusion begins 2 hours from the starting time of docetaxel infusion, i.e, approximately 60 minutes from the end of docetaxel infusion. On Day 8, patients must be given an anti-emetic prophylactically before the plinabulin infusion. If emesis persists after Day 8, with a grade \>1, plinabulin will be reduced to 20 mg/m2. Patients from the DP Arm who stop treatment with docetaxel due to toxicity or another medically acceptable reason, may continue treatment with plinabulin alone as previously described. Docetaxel + Plinabulin (DP): Docetaxel 75 mg/m2 IV + Plinabulin 30 mg/m2 Docetaxel (D): Docetaxel 75 mg/m2 IV
Total
n=559 Participants
Total of all reporting groups
Age, Continuous
59.8 years
STANDARD_DEVIATION 9.41 • n=30 Participants
60.6 years
STANDARD_DEVIATION 8.96 • n=30 Participants
60.2 years
STANDARD_DEVIATION 9.19 • n=60 Participants
Sex: Female, Male
Female
74 Participants
n=30 Participants
79 Participants
n=30 Participants
153 Participants
n=60 Participants
Sex: Female, Male
Male
207 Participants
n=30 Participants
199 Participants
n=30 Participants
406 Participants
n=60 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=30 Participants
0 Participants
n=30 Participants
0 Participants
n=60 Participants
Race (NIH/OMB)
Asian
248 Participants
n=30 Participants
244 Participants
n=30 Participants
492 Participants
n=60 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=30 Participants
0 Participants
n=30 Participants
0 Participants
n=60 Participants
Race (NIH/OMB)
Black or African American
6 Participants
n=30 Participants
3 Participants
n=30 Participants
9 Participants
n=60 Participants
Race (NIH/OMB)
White
25 Participants
n=30 Participants
29 Participants
n=30 Participants
54 Participants
n=60 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=30 Participants
0 Participants
n=30 Participants
0 Participants
n=60 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=30 Participants
2 Participants
n=30 Participants
4 Participants
n=60 Participants
Tumor histology
Non-squamous
178 Participants
n=30 Participants
154 Participants
n=30 Participants
332 Participants
n=60 Participants
Tumor histology
Squamous
100 Participants
n=30 Participants
120 Participants
n=30 Participants
220 Participants
n=60 Participants
Tumor histology
Missing
3 Participants
n=30 Participants
4 Participants
n=30 Participants
7 Participants
n=60 Participants
ECOG score
0 (Fully active, able to carry on all pre-disease performance without restriction)
44 Participants
n=30 Participants
40 Participants
n=30 Participants
84 Participants
n=60 Participants
ECOG score
1 (Restricted in physically strenuous activity but ambulatory and able to carry out work of a light)
225 Participants
n=30 Participants
229 Participants
n=30 Participants
454 Participants
n=60 Participants
ECOG score
2 (Ambulatory and capable of all selfcare but unable to carry out any work activities)
11 Participants
n=30 Participants
9 Participants
n=30 Participants
20 Participants
n=60 Participants
ECOG score
Missing value
1 Participants
n=30 Participants
0 Participants
n=30 Participants
1 Participants
n=60 Participants
Regional distribution
Asian
245 Participants
n=30 Participants
243 Participants
n=30 Participants
488 Participants
n=60 Participants
Regional distribution
Non-Asian
36 Participants
n=30 Participants
35 Participants
n=30 Participants
71 Participants
n=60 Participants
Cancer stage
IIIB (The Cancer has spread extensively to the lymph nodes in the chest)
41 Participants
n=30 Participants
50 Participants
n=30 Participants
91 Participants
n=60 Participants
Cancer stage
IV (The cancer is in both lungs or has spread to other parts of the body)
236 Participants
n=30 Participants
224 Participants
n=30 Participants
460 Participants
n=60 Participants
Cancer stage
Missing value (no staging recorded)
4 Participants
n=30 Participants
4 Participants
n=30 Participants
8 Participants
n=60 Participants
Previous PD-1 or PD-L1 therapy received
Yes
57 Participants
n=30 Participants
49 Participants
n=30 Participants
106 Participants
n=60 Participants
Previous PD-1 or PD-L1 therapy received
No
224 Participants
n=30 Participants
229 Participants
n=30 Participants
453 Participants
n=60 Participants
Line of previous therapy
First-line
212 Participants
n=30 Participants
204 Participants
n=30 Participants
416 Participants
n=60 Participants
Line of previous therapy
Second-line
69 Participants
n=30 Participants
74 Participants
n=30 Participants
143 Participants
n=60 Participants
Previous radiotherapy
Yes
84 Participants
n=30 Participants
87 Participants
n=30 Participants
171 Participants
n=60 Participants
Previous radiotherapy
No
197 Participants
n=30 Participants
191 Participants
n=30 Participants
388 Participants
n=60 Participants
Previous surgery
Yes
138 Participants
n=30 Participants
123 Participants
n=30 Participants
261 Participants
n=60 Participants
Previous surgery
No
143 Participants
n=30 Participants
155 Participants
n=30 Participants
298 Participants
n=60 Participants

PRIMARY outcome

Timeframe: The time (Days) from the date of randomization to the date of death, up to 48 months

Population: All randomized participants

Overall survival is defined as the time (days) from the date of randomization to the date of death due to any cause (i.e., Date of death - date of randomization +1).

Outcome measures

Outcome measures
Measure
Docetaxel (D)
n=281 Participants
A treatment cycle is 21 days. Treatment will be repeated until disease progression is detected by imaging studies or unacceptable toxicities are encountered. On Day 1, all patients will receive docetaxel 75 mg/m2 by intravenous (IV) infusion over 1 hour. Oral dexamethasone (16 mg, given as 8 mg twice daily) will be given on the day prior to, the day of (Day 1), and the day following docetaxel infusion (Day 2). Antiemetic prophylaxis will be administered according to institutional guideline for docetaxel. Institutional guideline/practice should be followed in the event of infusion/hypersensitivity reaction. Diphenhydramine and dexamethasone infusion may be administered in the event of infusion reaction. Docetaxel (D): Docetaxel 75 mg/m2 IV
Docetaxel + Plinabulin (DP)
n=278 Participants
The treatment regimen for Docetaxel (D) will be followed for this arm. In addition, on Days 1 and 8 of the 21 day cycle, patients will receive Plinabulin (P) administered via IV infusion over 60 minutes. On Day 1, the infusion begins 2 hours from the starting time of docetaxel infusion, i.e, approximately 60 minutes from the end of docetaxel infusion. On Day 8, patients must be given an anti-emetic prophylactically before the plinabulin infusion. If emesis persists after Day 8, with a grade \>1, plinabulin will be reduced to 20 mg/m2. Patients from the DP Arm who stop treatment with docetaxel due to toxicity or another medically acceptable reason, may continue treatment with plinabulin alone as previously described. Docetaxel + Plinabulin (DP): Docetaxel 75 mg/m2 IV + Plinabulin 30 mg/m2 Docetaxel (D): Docetaxel 75 mg/m2 IV
Overall Survival
9.4 months
Interval 8.38 to 10.68
10.5 months
Interval 9.34 to 11.87

SECONDARY outcome

Timeframe: up to 2 years after study Initiation

Population: All randomized participants

Overall response rate

Outcome measures

Outcome measures
Measure
Docetaxel (D)
n=281 Participants
A treatment cycle is 21 days. Treatment will be repeated until disease progression is detected by imaging studies or unacceptable toxicities are encountered. On Day 1, all patients will receive docetaxel 75 mg/m2 by intravenous (IV) infusion over 1 hour. Oral dexamethasone (16 mg, given as 8 mg twice daily) will be given on the day prior to, the day of (Day 1), and the day following docetaxel infusion (Day 2). Antiemetic prophylaxis will be administered according to institutional guideline for docetaxel. Institutional guideline/practice should be followed in the event of infusion/hypersensitivity reaction. Diphenhydramine and dexamethasone infusion may be administered in the event of infusion reaction. Docetaxel (D): Docetaxel 75 mg/m2 IV
Docetaxel + Plinabulin (DP)
n=278 Participants
The treatment regimen for Docetaxel (D) will be followed for this arm. In addition, on Days 1 and 8 of the 21 day cycle, patients will receive Plinabulin (P) administered via IV infusion over 60 minutes. On Day 1, the infusion begins 2 hours from the starting time of docetaxel infusion, i.e, approximately 60 minutes from the end of docetaxel infusion. On Day 8, patients must be given an anti-emetic prophylactically before the plinabulin infusion. If emesis persists after Day 8, with a grade \>1, plinabulin will be reduced to 20 mg/m2. Patients from the DP Arm who stop treatment with docetaxel due to toxicity or another medically acceptable reason, may continue treatment with plinabulin alone as previously described. Docetaxel + Plinabulin (DP): Docetaxel 75 mg/m2 IV + Plinabulin 30 mg/m2 Docetaxel (D): Docetaxel 75 mg/m2 IV
ORR
24 Participants
39 Participants

SECONDARY outcome

Timeframe: Up to 48 months after study initiation.

Population: All randomized participants

Progress-free survival

Outcome measures

Outcome measures
Measure
Docetaxel (D)
n=281 Participants
A treatment cycle is 21 days. Treatment will be repeated until disease progression is detected by imaging studies or unacceptable toxicities are encountered. On Day 1, all patients will receive docetaxel 75 mg/m2 by intravenous (IV) infusion over 1 hour. Oral dexamethasone (16 mg, given as 8 mg twice daily) will be given on the day prior to, the day of (Day 1), and the day following docetaxel infusion (Day 2). Antiemetic prophylaxis will be administered according to institutional guideline for docetaxel. Institutional guideline/practice should be followed in the event of infusion/hypersensitivity reaction. Diphenhydramine and dexamethasone infusion may be administered in the event of infusion reaction. Docetaxel (D): Docetaxel 75 mg/m2 IV
Docetaxel + Plinabulin (DP)
n=278 Participants
The treatment regimen for Docetaxel (D) will be followed for this arm. In addition, on Days 1 and 8 of the 21 day cycle, patients will receive Plinabulin (P) administered via IV infusion over 60 minutes. On Day 1, the infusion begins 2 hours from the starting time of docetaxel infusion, i.e, approximately 60 minutes from the end of docetaxel infusion. On Day 8, patients must be given an anti-emetic prophylactically before the plinabulin infusion. If emesis persists after Day 8, with a grade \>1, plinabulin will be reduced to 20 mg/m2. Patients from the DP Arm who stop treatment with docetaxel due to toxicity or another medically acceptable reason, may continue treatment with plinabulin alone as previously described. Docetaxel + Plinabulin (DP): Docetaxel 75 mg/m2 IV + Plinabulin 30 mg/m2 Docetaxel (D): Docetaxel 75 mg/m2 IV
PFS
2.8 months
Interval 2.76 to 2.93
3.3 months
Interval 2.89 to 3.88

SECONDARY outcome

Timeframe: Day 8 of Cycle 1 (±1 day)

Population: All participants who received at least 1 dose of study treatment

Percent of patients without severe neutropenia on Day 8 of Cycle 1

Outcome measures

Outcome measures
Measure
Docetaxel (D)
n=241 Participants
A treatment cycle is 21 days. Treatment will be repeated until disease progression is detected by imaging studies or unacceptable toxicities are encountered. On Day 1, all patients will receive docetaxel 75 mg/m2 by intravenous (IV) infusion over 1 hour. Oral dexamethasone (16 mg, given as 8 mg twice daily) will be given on the day prior to, the day of (Day 1), and the day following docetaxel infusion (Day 2). Antiemetic prophylaxis will be administered according to institutional guideline for docetaxel. Institutional guideline/practice should be followed in the event of infusion/hypersensitivity reaction. Diphenhydramine and dexamethasone infusion may be administered in the event of infusion reaction. Docetaxel (D): Docetaxel 75 mg/m2 IV
Docetaxel + Plinabulin (DP)
n=228 Participants
The treatment regimen for Docetaxel (D) will be followed for this arm. In addition, on Days 1 and 8 of the 21 day cycle, patients will receive Plinabulin (P) administered via IV infusion over 60 minutes. On Day 1, the infusion begins 2 hours from the starting time of docetaxel infusion, i.e, approximately 60 minutes from the end of docetaxel infusion. On Day 8, patients must be given an anti-emetic prophylactically before the plinabulin infusion. If emesis persists after Day 8, with a grade \>1, plinabulin will be reduced to 20 mg/m2. Patients from the DP Arm who stop treatment with docetaxel due to toxicity or another medically acceptable reason, may continue treatment with plinabulin alone as previously described. Docetaxel + Plinabulin (DP): Docetaxel 75 mg/m2 IV + Plinabulin 30 mg/m2 Docetaxel (D): Docetaxel 75 mg/m2 IV
Severe Neutropenia
174 Participants
216 Participants

SECONDARY outcome

Timeframe: up to 24months after study initiation

Population: All randomized participants

To compare 24-month overall survival rate

Outcome measures

Outcome measures
Measure
Docetaxel (D)
n=281 Participants
A treatment cycle is 21 days. Treatment will be repeated until disease progression is detected by imaging studies or unacceptable toxicities are encountered. On Day 1, all patients will receive docetaxel 75 mg/m2 by intravenous (IV) infusion over 1 hour. Oral dexamethasone (16 mg, given as 8 mg twice daily) will be given on the day prior to, the day of (Day 1), and the day following docetaxel infusion (Day 2). Antiemetic prophylaxis will be administered according to institutional guideline for docetaxel. Institutional guideline/practice should be followed in the event of infusion/hypersensitivity reaction. Diphenhydramine and dexamethasone infusion may be administered in the event of infusion reaction. Docetaxel (D): Docetaxel 75 mg/m2 IV
Docetaxel + Plinabulin (DP)
n=278 Participants
The treatment regimen for Docetaxel (D) will be followed for this arm. In addition, on Days 1 and 8 of the 21 day cycle, patients will receive Plinabulin (P) administered via IV infusion over 60 minutes. On Day 1, the infusion begins 2 hours from the starting time of docetaxel infusion, i.e, approximately 60 minutes from the end of docetaxel infusion. On Day 8, patients must be given an anti-emetic prophylactically before the plinabulin infusion. If emesis persists after Day 8, with a grade \>1, plinabulin will be reduced to 20 mg/m2. Patients from the DP Arm who stop treatment with docetaxel due to toxicity or another medically acceptable reason, may continue treatment with plinabulin alone as previously described. Docetaxel + Plinabulin (DP): Docetaxel 75 mg/m2 IV + Plinabulin 30 mg/m2 Docetaxel (D): Docetaxel 75 mg/m2 IV
Month 24 OS Rate
12.51 percentage of participants
Interval 7.99 to 17.02
22.13 percentage of participants
Interval 16.76 to 27.51

SECONDARY outcome

Timeframe: up to 36 months after study initiation

Population: All randomized participants

To compare 36-month overall survival rate

Outcome measures

Outcome measures
Measure
Docetaxel (D)
n=281 Participants
A treatment cycle is 21 days. Treatment will be repeated until disease progression is detected by imaging studies or unacceptable toxicities are encountered. On Day 1, all patients will receive docetaxel 75 mg/m2 by intravenous (IV) infusion over 1 hour. Oral dexamethasone (16 mg, given as 8 mg twice daily) will be given on the day prior to, the day of (Day 1), and the day following docetaxel infusion (Day 2). Antiemetic prophylaxis will be administered according to institutional guideline for docetaxel. Institutional guideline/practice should be followed in the event of infusion/hypersensitivity reaction. Diphenhydramine and dexamethasone infusion may be administered in the event of infusion reaction. Docetaxel (D): Docetaxel 75 mg/m2 IV
Docetaxel + Plinabulin (DP)
n=278 Participants
The treatment regimen for Docetaxel (D) will be followed for this arm. In addition, on Days 1 and 8 of the 21 day cycle, patients will receive Plinabulin (P) administered via IV infusion over 60 minutes. On Day 1, the infusion begins 2 hours from the starting time of docetaxel infusion, i.e, approximately 60 minutes from the end of docetaxel infusion. On Day 8, patients must be given an anti-emetic prophylactically before the plinabulin infusion. If emesis persists after Day 8, with a grade \>1, plinabulin will be reduced to 20 mg/m2. Patients from the DP Arm who stop treatment with docetaxel due to toxicity or another medically acceptable reason, may continue treatment with plinabulin alone as previously described. Docetaxel + Plinabulin (DP): Docetaxel 75 mg/m2 IV + Plinabulin 30 mg/m2 Docetaxel (D): Docetaxel 75 mg/m2 IV
Month 36 OS Rate
5.27 percentage of participants
Interval 1.8 to 8.73
11.73 percentage of participants
Interval 6.65 to 16.81

SECONDARY outcome

Timeframe: Up to 2 years after study initiation.

Duration of response

Outcome measures

Outcome measures
Measure
Docetaxel (D)
n=24 Participants
A treatment cycle is 21 days. Treatment will be repeated until disease progression is detected by imaging studies or unacceptable toxicities are encountered. On Day 1, all patients will receive docetaxel 75 mg/m2 by intravenous (IV) infusion over 1 hour. Oral dexamethasone (16 mg, given as 8 mg twice daily) will be given on the day prior to, the day of (Day 1), and the day following docetaxel infusion (Day 2). Antiemetic prophylaxis will be administered according to institutional guideline for docetaxel. Institutional guideline/practice should be followed in the event of infusion/hypersensitivity reaction. Diphenhydramine and dexamethasone infusion may be administered in the event of infusion reaction. Docetaxel (D): Docetaxel 75 mg/m2 IV
Docetaxel + Plinabulin (DP)
n=39 Participants
The treatment regimen for Docetaxel (D) will be followed for this arm. In addition, on Days 1 and 8 of the 21 day cycle, patients will receive Plinabulin (P) administered via IV infusion over 60 minutes. On Day 1, the infusion begins 2 hours from the starting time of docetaxel infusion, i.e, approximately 60 minutes from the end of docetaxel infusion. On Day 8, patients must be given an anti-emetic prophylactically before the plinabulin infusion. If emesis persists after Day 8, with a grade \>1, plinabulin will be reduced to 20 mg/m2. Patients from the DP Arm who stop treatment with docetaxel due to toxicity or another medically acceptable reason, may continue treatment with plinabulin alone as previously described. Docetaxel + Plinabulin (DP): Docetaxel 75 mg/m2 IV + Plinabulin 30 mg/m2 Docetaxel (D): Docetaxel 75 mg/m2 IV
DoR
6.1 months
Interval 3.65 to 7.86
8.3 months
Interval 4.37 to 20.48

SECONDARY outcome

Timeframe: Baseline and End of Treatment (Last study assessment prior to treatment discontinuation), assessed up to 2 years after study initiation.

The European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) Global Health Status / Quality of Life scale was used. The Global Health Status / Quality of Life scale is transformed to a 0-100 scale according to the EORTC scoring manual. Minimum value: 0 Maximum value: 100 Higher scores indicate better quality of life The reported values represent the mean change from baseline to end of treatment (end of treatment score minus baseline score).

Outcome measures

Outcome measures
Measure
Docetaxel (D)
n=265 Participants
A treatment cycle is 21 days. Treatment will be repeated until disease progression is detected by imaging studies or unacceptable toxicities are encountered. On Day 1, all patients will receive docetaxel 75 mg/m2 by intravenous (IV) infusion over 1 hour. Oral dexamethasone (16 mg, given as 8 mg twice daily) will be given on the day prior to, the day of (Day 1), and the day following docetaxel infusion (Day 2). Antiemetic prophylaxis will be administered according to institutional guideline for docetaxel. Institutional guideline/practice should be followed in the event of infusion/hypersensitivity reaction. Diphenhydramine and dexamethasone infusion may be administered in the event of infusion reaction. Docetaxel (D): Docetaxel 75 mg/m2 IV
Docetaxel + Plinabulin (DP)
n=253 Participants
The treatment regimen for Docetaxel (D) will be followed for this arm. In addition, on Days 1 and 8 of the 21 day cycle, patients will receive Plinabulin (P) administered via IV infusion over 60 minutes. On Day 1, the infusion begins 2 hours from the starting time of docetaxel infusion, i.e, approximately 60 minutes from the end of docetaxel infusion. On Day 8, patients must be given an anti-emetic prophylactically before the plinabulin infusion. If emesis persists after Day 8, with a grade \>1, plinabulin will be reduced to 20 mg/m2. Patients from the DP Arm who stop treatment with docetaxel due to toxicity or another medically acceptable reason, may continue treatment with plinabulin alone as previously described. Docetaxel + Plinabulin (DP): Docetaxel 75 mg/m2 IV + Plinabulin 30 mg/m2 Docetaxel (D): Docetaxel 75 mg/m2 IV
Change From Baseline in EORTC QLQ-C30 Global Health Status / Quality of Life Score
-5.48 Score on a 0-100 scale
Standard Error 0.600
-7.74 Score on a 0-100 scale
Standard Error 0.557

SECONDARY outcome

Timeframe: up to 2 years after study initiation.

To compare the mean difference in quality-adjusted time without symptoms of disease and toxicity

Outcome measures

Outcome measures
Measure
Docetaxel (D)
n=281 Participants
A treatment cycle is 21 days. Treatment will be repeated until disease progression is detected by imaging studies or unacceptable toxicities are encountered. On Day 1, all patients will receive docetaxel 75 mg/m2 by intravenous (IV) infusion over 1 hour. Oral dexamethasone (16 mg, given as 8 mg twice daily) will be given on the day prior to, the day of (Day 1), and the day following docetaxel infusion (Day 2). Antiemetic prophylaxis will be administered according to institutional guideline for docetaxel. Institutional guideline/practice should be followed in the event of infusion/hypersensitivity reaction. Diphenhydramine and dexamethasone infusion may be administered in the event of infusion reaction. Docetaxel (D): Docetaxel 75 mg/m2 IV
Docetaxel + Plinabulin (DP)
n=278 Participants
The treatment regimen for Docetaxel (D) will be followed for this arm. In addition, on Days 1 and 8 of the 21 day cycle, patients will receive Plinabulin (P) administered via IV infusion over 60 minutes. On Day 1, the infusion begins 2 hours from the starting time of docetaxel infusion, i.e, approximately 60 minutes from the end of docetaxel infusion. On Day 8, patients must be given an anti-emetic prophylactically before the plinabulin infusion. If emesis persists after Day 8, with a grade \>1, plinabulin will be reduced to 20 mg/m2. Patients from the DP Arm who stop treatment with docetaxel due to toxicity or another medically acceptable reason, may continue treatment with plinabulin alone as previously described. Docetaxel + Plinabulin (DP): Docetaxel 75 mg/m2 IV + Plinabulin 30 mg/m2 Docetaxel (D): Docetaxel 75 mg/m2 IV
Q-TWiST
10.47 Months
Interval 9.34 to 11.63
12.40 Months
Interval 10.99 to 13.83

SECONDARY outcome

Timeframe: Up to 2 years after study initiation.

EORTC QLQ C30/QLQ LC13, this instrument consists of one multi-item dyspnea scale and several single item symptom scales (e.g. pain, coughing, sore mouth, dysphagia, peripheral neuropathy, alopecia and hemoptysis). All LC13 symptom scales were scored according to the EORTC QLQ C30/QLQ LC13 scoring manuals. On this 0-100 scale, higher scores represent a higher level of symptoms (worse outcome). The QLQ LC13 Symptom Combined Score used for this outcome is the average of all available LC13 symptom scale scores, if all 3 dyspnea items are non-missing, the dyspnea scale score and all other symptom scales are calculated and the Symptom Combined Score is the average of all available scales. The reported LSMeans (SE) and LSMeans differences (95% CI) are based on this 0-100 Symptom Combined Score, where 0 indicates no lung cancer-related symptoms and 100 indicates the highest level of symptoms.

Outcome measures

Outcome measures
Measure
Docetaxel (D)
n=266 Participants
A treatment cycle is 21 days. Treatment will be repeated until disease progression is detected by imaging studies or unacceptable toxicities are encountered. On Day 1, all patients will receive docetaxel 75 mg/m2 by intravenous (IV) infusion over 1 hour. Oral dexamethasone (16 mg, given as 8 mg twice daily) will be given on the day prior to, the day of (Day 1), and the day following docetaxel infusion (Day 2). Antiemetic prophylaxis will be administered according to institutional guideline for docetaxel. Institutional guideline/practice should be followed in the event of infusion/hypersensitivity reaction. Diphenhydramine and dexamethasone infusion may be administered in the event of infusion reaction. Docetaxel (D): Docetaxel 75 mg/m2 IV
Docetaxel + Plinabulin (DP)
n=251 Participants
The treatment regimen for Docetaxel (D) will be followed for this arm. In addition, on Days 1 and 8 of the 21 day cycle, patients will receive Plinabulin (P) administered via IV infusion over 60 minutes. On Day 1, the infusion begins 2 hours from the starting time of docetaxel infusion, i.e, approximately 60 minutes from the end of docetaxel infusion. On Day 8, patients must be given an anti-emetic prophylactically before the plinabulin infusion. If emesis persists after Day 8, with a grade \>1, plinabulin will be reduced to 20 mg/m2. Patients from the DP Arm who stop treatment with docetaxel due to toxicity or another medically acceptable reason, may continue treatment with plinabulin alone as previously described. Docetaxel + Plinabulin (DP): Docetaxel 75 mg/m2 IV + Plinabulin 30 mg/m2 Docetaxel (D): Docetaxel 75 mg/m2 IV
QoL (QLQ-LC13)
4.44 score on a scale
Standard Error 0.326
4.32 score on a scale
Standard Error 0.303

SECONDARY outcome

Timeframe: Up to 29 cycles

Population: All randomized participants

To compare proportion of patients who received docetaxel \>8 cycles, \>10 cycles, and \>12 cycles

Outcome measures

Outcome measures
Measure
Docetaxel (D)
n=281 Participants
A treatment cycle is 21 days. Treatment will be repeated until disease progression is detected by imaging studies or unacceptable toxicities are encountered. On Day 1, all patients will receive docetaxel 75 mg/m2 by intravenous (IV) infusion over 1 hour. Oral dexamethasone (16 mg, given as 8 mg twice daily) will be given on the day prior to, the day of (Day 1), and the day following docetaxel infusion (Day 2). Antiemetic prophylaxis will be administered according to institutional guideline for docetaxel. Institutional guideline/practice should be followed in the event of infusion/hypersensitivity reaction. Diphenhydramine and dexamethasone infusion may be administered in the event of infusion reaction. Docetaxel (D): Docetaxel 75 mg/m2 IV
Docetaxel + Plinabulin (DP)
n=278 Participants
The treatment regimen for Docetaxel (D) will be followed for this arm. In addition, on Days 1 and 8 of the 21 day cycle, patients will receive Plinabulin (P) administered via IV infusion over 60 minutes. On Day 1, the infusion begins 2 hours from the starting time of docetaxel infusion, i.e, approximately 60 minutes from the end of docetaxel infusion. On Day 8, patients must be given an anti-emetic prophylactically before the plinabulin infusion. If emesis persists after Day 8, with a grade \>1, plinabulin will be reduced to 20 mg/m2. Patients from the DP Arm who stop treatment with docetaxel due to toxicity or another medically acceptable reason, may continue treatment with plinabulin alone as previously described. Docetaxel + Plinabulin (DP): Docetaxel 75 mg/m2 IV + Plinabulin 30 mg/m2 Docetaxel (D): Docetaxel 75 mg/m2 IV
Proportion of Patients Who Received Docetaxel
No. of subjects who received docetaxel >8 cycles
21 Participants
28 Participants
Proportion of Patients Who Received Docetaxel
No. of subjects who received docetaxel >10 cycles
13 Participants
17 Participants
Proportion of Patients Who Received Docetaxel
No. of subjects who received docetaxel >12 cycles
4 Participants
13 Participants
Proportion of Patients Who Received Docetaxel
No. of subjects who received docetaxel ≦8 cycles
243 Participants
220 Participants

SECONDARY outcome

Timeframe: up to 18 months after study initiation

Population: All randomized participants

To compare 18-month overall survival rate

Outcome measures

Outcome measures
Measure
Docetaxel (D)
n=281 Participants
A treatment cycle is 21 days. Treatment will be repeated until disease progression is detected by imaging studies or unacceptable toxicities are encountered. On Day 1, all patients will receive docetaxel 75 mg/m2 by intravenous (IV) infusion over 1 hour. Oral dexamethasone (16 mg, given as 8 mg twice daily) will be given on the day prior to, the day of (Day 1), and the day following docetaxel infusion (Day 2). Antiemetic prophylaxis will be administered according to institutional guideline for docetaxel. Institutional guideline/practice should be followed in the event of infusion/hypersensitivity reaction. Diphenhydramine and dexamethasone infusion may be administered in the event of infusion reaction. Docetaxel (D): Docetaxel 75 mg/m2 IV
Docetaxel + Plinabulin (DP)
n=278 Participants
The treatment regimen for Docetaxel (D) will be followed for this arm. In addition, on Days 1 and 8 of the 21 day cycle, patients will receive Plinabulin (P) administered via IV infusion over 60 minutes. On Day 1, the infusion begins 2 hours from the starting time of docetaxel infusion, i.e, approximately 60 minutes from the end of docetaxel infusion. On Day 8, patients must be given an anti-emetic prophylactically before the plinabulin infusion. If emesis persists after Day 8, with a grade \>1, plinabulin will be reduced to 20 mg/m2. Patients from the DP Arm who stop treatment with docetaxel due to toxicity or another medically acceptable reason, may continue treatment with plinabulin alone as previously described. Docetaxel + Plinabulin (DP): Docetaxel 75 mg/m2 IV + Plinabulin 30 mg/m2 Docetaxel (D): Docetaxel 75 mg/m2 IV
Month 18 OS Rate
23.75 percentage of participants
Interval 18.4 to 29.09
31.11 percentage of participants
Interval 25.42 to 36.81

SECONDARY outcome

Timeframe: First Cycle 1 Day 1 to the end of Cycle 12 (approximately up to 36 weeks)

Population: Evaluable population, defined as participants with available data for the analysis; the largest evaluable sample size was observed at Cycle 4.

Relative Dose Intensity (RDI) was defined as the ratio of the actual delivered dose intensity to the planned dose intensity of docetaxel. Dose intensity was calculated as the total dose (mg/m²) divided by the actual cycle duration (days) and normalized to the planned 21-day treatment cycle. Thus, RDI = \[(Actual dose / actual duration) / (Planned dose / 21 days)\]. RDI values were summarized as mean (SD), median, and range per treatment group after 4, 6, 8, 10, and 12 cycles." Note: Analysis population: ITT (Docetaxel \[D\] n=281; Docetaxel + Plinabulin \[DP\] n=278). Means (SD) were calculated using participants with available data at each duration; therefore, the number analyzed varies by row.

Outcome measures

Outcome measures
Measure
Docetaxel (D)
n=128 Participants
A treatment cycle is 21 days. Treatment will be repeated until disease progression is detected by imaging studies or unacceptable toxicities are encountered. On Day 1, all patients will receive docetaxel 75 mg/m2 by intravenous (IV) infusion over 1 hour. Oral dexamethasone (16 mg, given as 8 mg twice daily) will be given on the day prior to, the day of (Day 1), and the day following docetaxel infusion (Day 2). Antiemetic prophylaxis will be administered according to institutional guideline for docetaxel. Institutional guideline/practice should be followed in the event of infusion/hypersensitivity reaction. Diphenhydramine and dexamethasone infusion may be administered in the event of infusion reaction. Docetaxel (D): Docetaxel 75 mg/m2 IV
Docetaxel + Plinabulin (DP)
n=133 Participants
The treatment regimen for Docetaxel (D) will be followed for this arm. In addition, on Days 1 and 8 of the 21 day cycle, patients will receive Plinabulin (P) administered via IV infusion over 60 minutes. On Day 1, the infusion begins 2 hours from the starting time of docetaxel infusion, i.e, approximately 60 minutes from the end of docetaxel infusion. On Day 8, patients must be given an anti-emetic prophylactically before the plinabulin infusion. If emesis persists after Day 8, with a grade \>1, plinabulin will be reduced to 20 mg/m2. Patients from the DP Arm who stop treatment with docetaxel due to toxicity or another medically acceptable reason, may continue treatment with plinabulin alone as previously described. Docetaxel + Plinabulin (DP): Docetaxel 75 mg/m2 IV + Plinabulin 30 mg/m2 Docetaxel (D): Docetaxel 75 mg/m2 IV
Analysis of the Relative Dose Intensity of Docetaxel Over the First 4, 6, 8, 10, 12 Cycles
First 4 cycles
0.925 Ratio (unitless)
Standard Deviation 0.10
0.918 Ratio (unitless)
Standard Deviation 0.09
Analysis of the Relative Dose Intensity of Docetaxel Over the First 4, 6, 8, 10, 12 Cycles
First 6 cycles
0.916 Ratio (unitless)
Standard Deviation 0.10
0.899 Ratio (unitless)
Standard Deviation 0.11
Analysis of the Relative Dose Intensity of Docetaxel Over the First 4, 6, 8, 10, 12 Cycles
First 8 cycles
0.920 Ratio (unitless)
Standard Deviation 0.11
0.900 Ratio (unitless)
Standard Deviation 0.11
Analysis of the Relative Dose Intensity of Docetaxel Over the First 4, 6, 8, 10, 12 Cycles
First 10 cycles
0.892 Ratio (unitless)
Standard Deviation 0.13
0.899 Ratio (unitless)
Standard Deviation 0.11
Analysis of the Relative Dose Intensity of Docetaxel Over the First 4, 6, 8, 10, 12 Cycles
First 12 cycles
0.902 Ratio (unitless)
Standard Deviation 0.11
0.884 Ratio (unitless)
Standard Deviation 0.10

SECONDARY outcome

Timeframe: up to 12 months after study initiation

Population: All randomized participants

To compare 12-month overall survival rate

Outcome measures

Outcome measures
Measure
Docetaxel (D)
n=281 Participants
A treatment cycle is 21 days. Treatment will be repeated until disease progression is detected by imaging studies or unacceptable toxicities are encountered. On Day 1, all patients will receive docetaxel 75 mg/m2 by intravenous (IV) infusion over 1 hour. Oral dexamethasone (16 mg, given as 8 mg twice daily) will be given on the day prior to, the day of (Day 1), and the day following docetaxel infusion (Day 2). Antiemetic prophylaxis will be administered according to institutional guideline for docetaxel. Institutional guideline/practice should be followed in the event of infusion/hypersensitivity reaction. Diphenhydramine and dexamethasone infusion may be administered in the event of infusion reaction. Docetaxel (D): Docetaxel 75 mg/m2 IV
Docetaxel + Plinabulin (DP)
n=278 Participants
The treatment regimen for Docetaxel (D) will be followed for this arm. In addition, on Days 1 and 8 of the 21 day cycle, patients will receive Plinabulin (P) administered via IV infusion over 60 minutes. On Day 1, the infusion begins 2 hours from the starting time of docetaxel infusion, i.e, approximately 60 minutes from the end of docetaxel infusion. On Day 8, patients must be given an anti-emetic prophylactically before the plinabulin infusion. If emesis persists after Day 8, with a grade \>1, plinabulin will be reduced to 20 mg/m2. Patients from the DP Arm who stop treatment with docetaxel due to toxicity or another medically acceptable reason, may continue treatment with plinabulin alone as previously described. Docetaxel + Plinabulin (DP): Docetaxel 75 mg/m2 IV + Plinabulin 30 mg/m2 Docetaxel (D): Docetaxel 75 mg/m2 IV
Month 12 OS Rate
40.47 percentage of participants
Interval 34.51 to 46.44
43.48 percentage of participants
Interval 37.48 to 49.47

Adverse Events

Docetaxel (D)

Serious events: 92 serious events
Other events: 269 other events
Deaths: 230 deaths

Docetaxel + Plinabulin (DP)

Serious events: 115 serious events
Other events: 270 other events
Deaths: 214 deaths

Serious adverse events

Serious adverse events
Measure
Docetaxel (D)
n=278 participants at risk
A treatment cycle is 21 days. Treatment will be repeated until disease progression is detected by imaging studies or unacceptable toxicities are encountered. On Day 1, all patients will receive docetaxel 75 mg/m2 by intravenous (IV) infusion over 1 hour. Oral dexamethasone (16 mg, given as 8 mg twice daily) will be given on the day prior to, the day of (Day 1), and the day following docetaxel infusion (Day 2). Antiemetic prophylaxis will be administered according to institutional guideline for docetaxel. Institutional guideline/practice should be followed in the event of infusion/hypersensitivity reaction. Diphenhydramine and dexamethasone infusion may be administered in the event of infusion reaction. Docetaxel (D): Docetaxel 75 mg/m2 IV
Docetaxel + Plinabulin (DP)
n=274 participants at risk
The treatment regimen for Docetaxel (D) will be followed for this arm. In addition, on Days 1 and 8 of the 21 day cycle, patients will receive Plinabulin (P) administered via IV infusion over 60 minutes. On Day 1, the infusion begins 2 hours from the starting time of docetaxel infusion, i.e, approximately 60 minutes from the end of docetaxel infusion. On Day 8, patients must be given an anti-emetic prophylactically before the plinabulin infusion. If emesis persists after Day 8, with a grade \>1, plinabulin will be reduced to 20 mg/m2. Patients from the DP Arm who stop treatment with docetaxel due to toxicity or another medically acceptable reason, may continue treatment with plinabulin alone as previously described. Docetaxel + Plinabulin (DP): Docetaxel 75 mg/m2 IV + Plinabulin 30 mg/m2 Docetaxel (D): Docetaxel 75 mg/m2 IV
Blood and lymphatic system disorders
Febrile neutropenia
5.4%
15/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
3.3%
9/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Gastrointestinal disorders
Ileus
0.00%
0/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
4.0%
11/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Gastrointestinal disorders
Diarrhoea
0.00%
0/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
2.9%
8/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Gastrointestinal disorders
Intestinal obstruction
0.00%
0/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
2.2%
6/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
General disorders
Pyrexia
0.72%
2/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
3.6%
10/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Infections and infestations
Lung infection
9.0%
25/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
3.6%
10/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Investigations
Neutrophil count decreased
11.5%
32/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
10.6%
29/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Investigations
White blood cell count decreased
9.7%
27/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
12.0%
33/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).

Other adverse events

Other adverse events
Measure
Docetaxel (D)
n=278 participants at risk
A treatment cycle is 21 days. Treatment will be repeated until disease progression is detected by imaging studies or unacceptable toxicities are encountered. On Day 1, all patients will receive docetaxel 75 mg/m2 by intravenous (IV) infusion over 1 hour. Oral dexamethasone (16 mg, given as 8 mg twice daily) will be given on the day prior to, the day of (Day 1), and the day following docetaxel infusion (Day 2). Antiemetic prophylaxis will be administered according to institutional guideline for docetaxel. Institutional guideline/practice should be followed in the event of infusion/hypersensitivity reaction. Diphenhydramine and dexamethasone infusion may be administered in the event of infusion reaction. Docetaxel (D): Docetaxel 75 mg/m2 IV
Docetaxel + Plinabulin (DP)
n=274 participants at risk
The treatment regimen for Docetaxel (D) will be followed for this arm. In addition, on Days 1 and 8 of the 21 day cycle, patients will receive Plinabulin (P) administered via IV infusion over 60 minutes. On Day 1, the infusion begins 2 hours from the starting time of docetaxel infusion, i.e, approximately 60 minutes from the end of docetaxel infusion. On Day 8, patients must be given an anti-emetic prophylactically before the plinabulin infusion. If emesis persists after Day 8, with a grade \>1, plinabulin will be reduced to 20 mg/m2. Patients from the DP Arm who stop treatment with docetaxel due to toxicity or another medically acceptable reason, may continue treatment with plinabulin alone as previously described. Docetaxel + Plinabulin (DP): Docetaxel 75 mg/m2 IV + Plinabulin 30 mg/m2 Docetaxel (D): Docetaxel 75 mg/m2 IV
Blood and lymphatic system disorders
Anaemia
40.3%
112/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
43.8%
120/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Blood and lymphatic system disorders
Febrile neutropenia
6.5%
18/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
5.5%
15/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Gastrointestinal disorders
Nausea
22.7%
63/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
33.9%
93/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Gastrointestinal disorders
Diarrhoea
16.9%
47/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
36.9%
101/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Gastrointestinal disorders
Vomiting
11.9%
33/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
28.1%
77/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Gastrointestinal disorders
Constipation
16.2%
45/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
20.8%
57/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Gastrointestinal disorders
Abdominal pain
5.0%
14/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
12.8%
35/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Gastrointestinal disorders
Abdominal distension
2.9%
8/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
9.1%
25/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
General disorders
Malaise
16.5%
46/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
20.8%
57/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
General disorders
Pyrexia
10.1%
28/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
23.0%
63/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
General disorders
Stomatitis
11.5%
32/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
11.3%
31/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
General disorders
Fatigue
10.8%
30/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
11.7%
32/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
General disorders
Asthenia
7.2%
20/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
10.6%
29/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
General disorders
Non-cardiac chest pain
5.4%
15/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
8.0%
22/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
General disorders
Pain
4.3%
12/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
5.5%
15/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
General disorders
Chills
1.4%
4/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
5.5%
15/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Infections and infestations
Lung infection
8.6%
24/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
5.8%
16/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Investigations
White blood cell count decreased
68.0%
189/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
58.0%
159/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Investigations
Neutrophil count decreased
70.5%
196/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
51.1%
140/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Investigations
Platelet count decreased
16.9%
47/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
27.4%
75/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Investigations
Blood pressure increased
3.2%
9/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
33.2%
91/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Investigations
Hepatic enzyme increased
14.0%
39/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
14.2%
39/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Investigations
Blood bilirubin increased
7.2%
20/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
8.8%
24/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Investigations
Lymphocyte count decreased
6.5%
18/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
7.3%
20/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Investigations
Weight decreased
5.0%
14/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
6.9%
19/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Metabolism and nutrition disorders
Decreased appetite
26.3%
73/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
32.1%
88/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Metabolism and nutrition disorders
Hypoalbuminaemia
9.7%
27/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
12.8%
35/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Metabolism and nutrition disorders
Hypokalaemia
6.5%
18/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
10.9%
30/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Metabolism and nutrition disorders
Hypocalcaemia
1.4%
4/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
5.5%
15/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Musculoskeletal and connective tissue disorders
Pain in extremity
10.8%
30/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
8.4%
23/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Musculoskeletal and connective tissue disorders
Arthralgia
6.8%
19/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
7.7%
21/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Musculoskeletal and connective tissue disorders
Myalgia
5.0%
14/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
5.1%
14/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Nervous system disorders
Hypoaesthesia
5.0%
14/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
6.6%
18/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Nervous system disorders
Peripheral neuropathy
2.9%
8/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
6.9%
19/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Psychiatric disorders
Sleep disorder
5.8%
16/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
4.7%
13/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Respiratory, thoracic and mediastinal disorders
Dyspnoea
6.5%
18/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
4.4%
12/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
Skin and subcutaneous tissue disorders
Alopecia
42.4%
118/278 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).
42.7%
117/274 • Up to 48 months
Per protocol, deaths d/t disease progression were evaluated as efficacy outcomes, were not reported as AEs unless there's uncertainty about an AE. Consequently, deaths reported as SAEs are included in AEs tables. According to CT.gov reporting requirements for All-Cause Mortality, all deaths occurring during the cause of study, \& deaths d/t progression that were reported in clinical database death form, are entered in All-Cause Mortality table (Docetaxel=230 Plinabulin + Docetaxel =214deaths).

Additional Information

Hao Zhang

BeyondSpring Pharmaceuticals, Inc.

Phone: (646) 305-6387

Results disclosure agreements

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