Trial Outcomes & Findings for Study to Evaluate the Safety/ Efficacy of T-VEC in Japanese Subjects With Unresectable Stage IIIB-IV Malignant Melanoma (NCT NCT03064763)

NCT ID: NCT03064763

Last Updated: 2023-08-09

Results Overview

DLTs were graded using the Common Terminology Criteria for Adverse Events (CTCAE) version 4 Events were considered DLTs, if judged by the investigator to be related to study treatment: Grade 4 non-hematologic toxicity Grade 3 non-hematologic toxicity lasting \> 3 days despite optimal supportive care (grade 3 fatigue not a DLT) Grade 3 or higher non-hematologic laboratory value reported as an adverse event if: medical intervention is required, or abnormality leads to hospitalization, or abnormality persists for \> 1 week (Laboratory values that persist for \> 1 week but are deemed not clinically important per both investigator and sponsor were not considered DLTs) Febrile neutropenia grade 3 or 4 Thrombocytopenia \< 25 x 10\^9/L associated with bleeding event requiring intervention Serious herpetic event (eg, herpetic encephalitis, encephalomyelitis, or disseminated herpetic infection) Grade 5 toxicity Any other intolerable toxicity leading to permanent discontinuation of study treatment

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

18 participants

Primary outcome timeframe

Day 1 to Day 35

Results posted on

2023-08-09

Participant Flow

A total of 18 participants were enrolled at 8 centers in Japan from March 2017 until January 2023.

Participant milestones

Participant milestones
Measure
Talimogene Laherparepvec
Participants received talimogene laherparepvec administered by intralesional injection only into injectable cutaneous, subcutaneous, and nodal tumors, with or without image ultrasound guidance. On Day 1 (Week 0), the initial dose of talimogene laherparepvec was up to 4.0 mL of 10\^6 Plaque forming units per millilitre (PFU/mL). Subsequent doses of talimogene laherparepvec were up to 4.0 mL of 10\^8 or 10\^7 PFU/mL. The second dose was administered 3 weeks (+ 5 days) after the initial dose, and subsequent doses were given every 2 weeks (+ 3 days). Participants could receive talimogene laherparepvec for a maximum treatment duration of 48 months.
Overall Study
STARTED
18
Overall Study
Received Treatment
18
Overall Study
COMPLETED
9
Overall Study
NOT COMPLETED
9

Reasons for withdrawal

Reasons for withdrawal
Measure
Talimogene Laherparepvec
Participants received talimogene laherparepvec administered by intralesional injection only into injectable cutaneous, subcutaneous, and nodal tumors, with or without image ultrasound guidance. On Day 1 (Week 0), the initial dose of talimogene laherparepvec was up to 4.0 mL of 10\^6 Plaque forming units per millilitre (PFU/mL). Subsequent doses of talimogene laherparepvec were up to 4.0 mL of 10\^8 or 10\^7 PFU/mL. The second dose was administered 3 weeks (+ 5 days) after the initial dose, and subsequent doses were given every 2 weeks (+ 3 days). Participants could receive talimogene laherparepvec for a maximum treatment duration of 48 months.
Overall Study
Lost to Follow-up
1
Overall Study
Death
8

Baseline Characteristics

Study to Evaluate the Safety/ Efficacy of T-VEC in Japanese Subjects With Unresectable Stage IIIB-IV Malignant Melanoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Talimogene Laherparepvec
n=18 Participants
Participants received talimogene laherparepvec administered by intralesional injection only into injectable cutaneous, subcutaneous, and nodal tumors, with or without image ultrasound guidance. On Day 1 (Week 0), the initial dose of talimogene laherparepvec was up to 4.0 mL of 10\^6 Plaque forming units per millilitre (PFU/mL). Subsequent doses of talimogene laherparepvec were up to 4.0 mL of 10\^8 or 10\^7 PFU/mL. The second dose was administered 3 weeks (+ 5 days) after the initial dose, and subsequent doses were given every 2 weeks (+ 3 days). Participants could receive talimogene laherparepvec for a maximum treatment duration of 48 months.
Age, Continuous
57.2 years
STANDARD_DEVIATION 18.3 • n=99 Participants
Sex: Female, Male
Female
13 Participants
n=99 Participants
Sex: Female, Male
Male
5 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
18 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
Race (NIH/OMB)
White
0 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants

PRIMARY outcome

Timeframe: Day 1 to Day 35

Population: The DLT Analysis Set: all participants who had the opportunity to be followed for at least 35 days on treatment from the initial dosing (unless discontinued due to DLT) and received at least 1 dose of talimogene laherparepvec.

DLTs were graded using the Common Terminology Criteria for Adverse Events (CTCAE) version 4 Events were considered DLTs, if judged by the investigator to be related to study treatment: Grade 4 non-hematologic toxicity Grade 3 non-hematologic toxicity lasting \> 3 days despite optimal supportive care (grade 3 fatigue not a DLT) Grade 3 or higher non-hematologic laboratory value reported as an adverse event if: medical intervention is required, or abnormality leads to hospitalization, or abnormality persists for \> 1 week (Laboratory values that persist for \> 1 week but are deemed not clinically important per both investigator and sponsor were not considered DLTs) Febrile neutropenia grade 3 or 4 Thrombocytopenia \< 25 x 10\^9/L associated with bleeding event requiring intervention Serious herpetic event (eg, herpetic encephalitis, encephalomyelitis, or disseminated herpetic infection) Grade 5 toxicity Any other intolerable toxicity leading to permanent discontinuation of study treatment

Outcome measures

Outcome measures
Measure
Talimogene Laherparepvec
n=18 Participants
Participants received talimogene laherparepvec administered by intralesional injection only into injectable cutaneous, subcutaneous, and nodal tumors, with or without image ultrasound guidance. On Day 1 (Week 0), the initial dose of talimogene laherparepvec was up to 4.0 mL of 10\^6 Plaque forming units per millilitre (PFU/mL). Subsequent doses of talimogene laherparepvec were up to 4.0 mL of 10\^8 or 10\^7 PFU/mL. The second dose was administered 3 weeks (+ 5 days) after the initial dose, and subsequent doses were given every 2 weeks (+ 3 days). Participants could receive talimogene laherparepvec for a maximum treatment duration of 48 months.
Number of Participants Who Experienced One or More Dose Limiting Toxicities (DLTs)
0 Participants

PRIMARY outcome

Timeframe: Day 1 up to the maximum time on treatment or follow-up at primary data cutoff date (03 August 2020): 89.1 weeks of treatment and 37 months of follow-up

Population: Safety Analysis Set: all enrolled participants who received at least 1 dose of talimogene laherparepvec.

DRR using WHO response criteria was defined as the percentage of participants who experienced objective response (complete response \[CR\] or partial response \[PR\]) lasting continuously for ≥ 6 months that starting any time within 12 months of initiating treatment. CR: Complete disappearance of all index lesions, including any new tumors which might have appeared. PR: Achieving a 50% or greater reduction in the SPD of the perpendicular diameters of all index lesions at the time of assessment as compared to the sum of the products of the perpendicular diameters of all index lesions at baseline (Day 1).

Outcome measures

Outcome measures
Measure
Talimogene Laherparepvec
n=18 Participants
Participants received talimogene laherparepvec administered by intralesional injection only into injectable cutaneous, subcutaneous, and nodal tumors, with or without image ultrasound guidance. On Day 1 (Week 0), the initial dose of talimogene laherparepvec was up to 4.0 mL of 10\^6 Plaque forming units per millilitre (PFU/mL). Subsequent doses of talimogene laherparepvec were up to 4.0 mL of 10\^8 or 10\^7 PFU/mL. The second dose was administered 3 weeks (+ 5 days) after the initial dose, and subsequent doses were given every 2 weeks (+ 3 days). Participants could receive talimogene laherparepvec for a maximum treatment duration of 48 months.
Durable Response Rate (DRR) Using Modified World Health Organization (WHO) Response Criteria
11.1 Percentage of participants
Interval 1.4 to 34.7

SECONDARY outcome

Timeframe: Day 1 to end of study, maximum time to end of study was 212.6 weeks

Population: Safety Analysis Set: all enrolled participants who received at least 1 dose of talimogene laherparepvec.

ORR was defined as the percentage of participants who experienced an objective response of CR or PR per modified WHO response criteria among the set of participants analyzed.

Outcome measures

Outcome measures
Measure
Talimogene Laherparepvec
n=18 Participants
Participants received talimogene laherparepvec administered by intralesional injection only into injectable cutaneous, subcutaneous, and nodal tumors, with or without image ultrasound guidance. On Day 1 (Week 0), the initial dose of talimogene laherparepvec was up to 4.0 mL of 10\^6 Plaque forming units per millilitre (PFU/mL). Subsequent doses of talimogene laherparepvec were up to 4.0 mL of 10\^8 or 10\^7 PFU/mL. The second dose was administered 3 weeks (+ 5 days) after the initial dose, and subsequent doses were given every 2 weeks (+ 3 days). Participants could receive talimogene laherparepvec for a maximum treatment duration of 48 months.
Overall Response Rate (ORR) Using Modified World Health Organization (WHO) Response Criteria
11.1 Percentage of participants
Interval 1.4 to 34.7

SECONDARY outcome

Timeframe: Day 1 to end of study, maximum time to end of study was 212.6 weeks

Population: Safety Analysis Set: all enrolled participants who received at least 1 dose of talimogene laherparepvec.

TTR was defined as the time from the first treatment administration to the first incidence of a confirmed CR or PR according to modified WHO response criteria among the set of participants analyzed. TTR was estimated using Kaplan-Meier (KM) method.

Outcome measures

Outcome measures
Measure
Talimogene Laherparepvec
n=18 Participants
Participants received talimogene laherparepvec administered by intralesional injection only into injectable cutaneous, subcutaneous, and nodal tumors, with or without image ultrasound guidance. On Day 1 (Week 0), the initial dose of talimogene laherparepvec was up to 4.0 mL of 10\^6 Plaque forming units per millilitre (PFU/mL). Subsequent doses of talimogene laherparepvec were up to 4.0 mL of 10\^8 or 10\^7 PFU/mL. The second dose was administered 3 weeks (+ 5 days) after the initial dose, and subsequent doses were given every 2 weeks (+ 3 days). Participants could receive talimogene laherparepvec for a maximum treatment duration of 48 months.
Time to Response (TTR) Using Modified World Health Organization (WHO) Response Criteria
NA Months
Interval 8.08 to
The median TTR or upper limit could not be estimated due to insufficient number of participants who experienced either CR or PR.

SECONDARY outcome

Timeframe: Day 1 to end of study, maximum time to end of study was 212.6 weeks

Population: Responders among Safety Analysis Set: all enrolled participants who received at least 1 dose of talimogene laherparepvec who experienced a response of either CR or PR.

DOR was defined as the time from the date of an initial response (CR or PR) to the earlier of progressive disease (PD) or death. Participants who had not ended their response at the time of analysis were censored at their last evaluable tumor assessment. PD: A \> 25% increase in the sum of the products of the perpendicular diameters of all index tumors since baseline, or the unequivocal appearance of a new tumor since the last response assessment time point. DOR was estimated using Kaplan-Meier (KM) method.

Outcome measures

Outcome measures
Measure
Talimogene Laherparepvec
n=2 Participants
Participants received talimogene laherparepvec administered by intralesional injection only into injectable cutaneous, subcutaneous, and nodal tumors, with or without image ultrasound guidance. On Day 1 (Week 0), the initial dose of talimogene laherparepvec was up to 4.0 mL of 10\^6 Plaque forming units per millilitre (PFU/mL). Subsequent doses of talimogene laherparepvec were up to 4.0 mL of 10\^8 or 10\^7 PFU/mL. The second dose was administered 3 weeks (+ 5 days) after the initial dose, and subsequent doses were given every 2 weeks (+ 3 days). Participants could receive talimogene laherparepvec for a maximum treatment duration of 48 months.
Duration of Response (DOR) Using Using Modified World Health Organization (WHO) Response Criteria
NA Months
Interval 11.07 to
The median DOR or upper limit could not be estimated due to insufficient number of participants who experienced either CR or PR.

SECONDARY outcome

Timeframe: Day 1 to end of study, maximum time to end of study was 212.6 weeks

Population: Safety Analysis Set: all enrolled participants who received at least 1 dose of talimogene laherparepvec.

PFS was defined as the interval from the first dose to the earlier of PD per modified WHO response criteria or death from any cause; otherwise, PFS was censored at the last evaluable tumor assessment. PFS was estimated using Kaplan-Meier (KM) method.

Outcome measures

Outcome measures
Measure
Talimogene Laherparepvec
n=18 Participants
Participants received talimogene laherparepvec administered by intralesional injection only into injectable cutaneous, subcutaneous, and nodal tumors, with or without image ultrasound guidance. On Day 1 (Week 0), the initial dose of talimogene laherparepvec was up to 4.0 mL of 10\^6 Plaque forming units per millilitre (PFU/mL). Subsequent doses of talimogene laherparepvec were up to 4.0 mL of 10\^8 or 10\^7 PFU/mL. The second dose was administered 3 weeks (+ 5 days) after the initial dose, and subsequent doses were given every 2 weeks (+ 3 days). Participants could receive talimogene laherparepvec for a maximum treatment duration of 48 months.
Progression Free Survival (PFS) Using Using Modified World Health Organization (WHO) Response Criteria
3.07 Months
Interval 2.56 to 5.78

SECONDARY outcome

Timeframe: Day 1 to end of study, maximum time to end of study was 212.6 weeks

Population: Safety Analysis Set: all enrolled participants who received at least 1 dose of talimogene laherparepvec.

OS was defined as the interval from first dose to the event of death from any cause; otherwise, OS was censored at the date the participant was last known to be alive. OS was estimated using Kaplan-Meier (KM) method.

Outcome measures

Outcome measures
Measure
Talimogene Laherparepvec
n=18 Participants
Participants received talimogene laherparepvec administered by intralesional injection only into injectable cutaneous, subcutaneous, and nodal tumors, with or without image ultrasound guidance. On Day 1 (Week 0), the initial dose of talimogene laherparepvec was up to 4.0 mL of 10\^6 Plaque forming units per millilitre (PFU/mL). Subsequent doses of talimogene laherparepvec were up to 4.0 mL of 10\^8 or 10\^7 PFU/mL. The second dose was administered 3 weeks (+ 5 days) after the initial dose, and subsequent doses were given every 2 weeks (+ 3 days). Participants could receive talimogene laherparepvec for a maximum treatment duration of 48 months.
Overall Survival (OS)
NA Months
Interval 17.51 to
The median OS or upper limit could not be estimated due to insufficient number of participants who experienced death.

Adverse Events

Talimogene Laherparepvec

Serious events: 6 serious events
Other events: 17 other events
Deaths: 8 deaths

Serious adverse events

Serious adverse events
Measure
Talimogene Laherparepvec
n=18 participants at risk
Participants received talimogene laherparepvec administered by intralesional injection only into injectable cutaneous, subcutaneous, and nodal tumors, with or without image ultrasound guidance. On Day 1 (Week 0), the initial dose of talimogene laherparepvec was up to 4.0 mL of 10\^6 Plaque forming units per millilitre (PFU/mL). Subsequent doses of talimogene laherparepvec were up to 4.0 mL of 10\^8 or 10\^7 PFU/mL. The second dose was administered 3 weeks (+ 5 days) after the initial dose, and subsequent doses were given every 2 weeks (+ 3 days). Participants could receive talimogene laherparepvec for a maximum treatment duration of 48 months.
General disorders
Malaise
11.1%
2/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Hepatobiliary disorders
Jaundice cholestatic
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Infections and infestations
Enteritis infectious
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Infections and infestations
Epiglottitis
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Infections and infestations
Pneumonia
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Injury, poisoning and procedural complications
Forearm fracture
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Metabolism and nutrition disorders
Decreased appetite
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Vascular disorders
Haemorrhage
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks

Other adverse events

Other adverse events
Measure
Talimogene Laherparepvec
n=18 participants at risk
Participants received talimogene laherparepvec administered by intralesional injection only into injectable cutaneous, subcutaneous, and nodal tumors, with or without image ultrasound guidance. On Day 1 (Week 0), the initial dose of talimogene laherparepvec was up to 4.0 mL of 10\^6 Plaque forming units per millilitre (PFU/mL). Subsequent doses of talimogene laherparepvec were up to 4.0 mL of 10\^8 or 10\^7 PFU/mL. The second dose was administered 3 weeks (+ 5 days) after the initial dose, and subsequent doses were given every 2 weeks (+ 3 days). Participants could receive talimogene laherparepvec for a maximum treatment duration of 48 months.
Blood and lymphatic system disorders
Anaemia
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Gastrointestinal disorders
Constipation
11.1%
2/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Gastrointestinal disorders
Diarrhoea
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Gastrointestinal disorders
Gingival pain
11.1%
2/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Gastrointestinal disorders
Nausea
11.1%
2/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Gastrointestinal disorders
Vomiting
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
General disorders
Chills
11.1%
2/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
General disorders
Fatigue
11.1%
2/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
General disorders
Injection site reaction
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
General disorders
Malaise
11.1%
2/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
General disorders
Oedema peripheral
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
General disorders
Pain
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
General disorders
Pyrexia
50.0%
9/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Hepatobiliary disorders
Jaundice cholestatic
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Immune system disorders
Seasonal allergy
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Infections and infestations
Bacterial infection
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Infections and infestations
Nasopharyngitis
27.8%
5/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Infections and infestations
Subcutaneous abscess
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Infections and infestations
Upper respiratory tract infection
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Investigations
Alanine aminotransferase increased
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Investigations
Aspartate aminotransferase increased
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Metabolism and nutrition disorders
Decreased appetite
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Metabolism and nutrition disorders
Hyperglycaemia
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Musculoskeletal and connective tissue disorders
Arthralgia
11.1%
2/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Musculoskeletal and connective tissue disorders
Arthritis
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Musculoskeletal and connective tissue disorders
Back pain
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Musculoskeletal and connective tissue disorders
Muscle spasms
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Musculoskeletal and connective tissue disorders
Tenosynovitis
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Nervous system disorders
Syncope
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Renal and urinary disorders
Haematuria
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Renal and urinary disorders
Pollakiuria
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Reproductive system and breast disorders
Benign prostatic hyperplasia
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Respiratory, thoracic and mediastinal disorders
Cough
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Respiratory, thoracic and mediastinal disorders
Laryngeal pain
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Respiratory, thoracic and mediastinal disorders
Pharyngeal inflammation
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Skin and subcutaneous tissue disorders
Acne
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Skin and subcutaneous tissue disorders
Alopecia areata
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Skin and subcutaneous tissue disorders
Dermatitis
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Skin and subcutaneous tissue disorders
Erythema
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Skin and subcutaneous tissue disorders
Pruritus
11.1%
2/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Skin and subcutaneous tissue disorders
Purpura
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Skin and subcutaneous tissue disorders
Rash
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Skin and subcutaneous tissue disorders
Skin ulcer
11.1%
2/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Skin and subcutaneous tissue disorders
Vitiligo
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Immune system disorders
Contrast media allergy
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Injury, poisoning and procedural complications
Foot fracture
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour pain
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks
Skin and subcutaneous tissue disorders
Hyperkeratosis
5.6%
1/18 • Deaths: From enrollment to end of study, up to maximum of 212.6 weeks; SAE and non-serious AEs: Day 1 (post 1st dose) to 30 days after last dose. Median (min, max) duration of treatment overall was 23.14 (3.1, 201.6) weeks

Additional Information

Study Director

Amgen Inc.

Phone: 866-572-6436

Results disclosure agreements

  • Principal investigator is a sponsor employee The Clinical Trial Agreement generally does not restrict an investigator's discussion of trial results after completion. The Agreement permits Amgen a limited period of time to review material discussing trial results (typically up to 45 days and possible extension). Amgen may remove confidential information, but authors have final control and approval of publication content. For multicenter studies, the investigator agrees not to publish any results before the first multi-center publication.
  • Publication restrictions are in place

Restriction type: OTHER