Trial Outcomes & Findings for Pembrolizumab and All-Trans Retinoic Acid Combination Treatment of Advanced Melanoma (NCT NCT03200847)

NCT ID: NCT03200847

Last Updated: 2024-10-01

Results Overview

MTD is defined as the highest dose level with no more than 3 DLTs reported in 6 DLT-evaluable subjects. A target toxicity rate of approximately 33% of all 24 patients will be used to establish the RP2D. This is one part of the pembrolizumab-ATRA combination treatment.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

26 participants

Primary outcome timeframe

21 days from first dose of combined treatment

Results posted on

2024-10-01

Participant Flow

No de-escalation occurred. All subjects received 150 mg/m2 for 3 days before and after each of the first four infusions of pembrolizumab.

Participant milestones

Participant milestones
Measure
Pembrolizumab With All-Trans Retinoic Acid
Patients will receive pembrolizumab infusions every three weeks. Patients will also receive 3 days of all-trans retinoic acid treatment surrounding each of the first 4 infusions of pembrolizumab, beginning one day prior to the infusion (a total of 12 days of all-trans retinoic acid). Pembrolizumab with All-Trans Retinoic Acid: All the patients will receive 200mg Q3W pembrolizumab treatment plus the supplemental treatment of 150 mg/m2 All-Trans Retinoic Acid orally for 3 days surrounding each of the first four infusions of pembrolizumab
Overall Study
STARTED
26
Overall Study
COMPLETED
25
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pembrolizumab and All-Trans Retinoic Acid Combination Treatment of Advanced Melanoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pembrolizumab With All-Trans Retinoic Acid
n=25 Participants
Patients will receive pembrolizumab infusions every three weeks. Patients will also receive 3 days of all-trans retinoic acid treatment surrounding each of the first 4 infusions of pembrolizumab, beginning one day prior to the infusion (a total of 12 days of all-trans retinoic acid). Pembrolizumab with All-Trans Retinoic Acid: All the patients will receive 200mg Q3W pembrolizumab treatment plus the supplemental treatment of 150 mg/m2 All-Trans Retinoic Acid orally for 3 days surrounding each of the first four infusions of pembrolizumab
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=99 Participants
Age, Categorical
>=65 years
15 Participants
n=99 Participants
Age, Continuous
65.6 years
STANDARD_DEVIATION 13.38843 • n=99 Participants
Sex: Female, Male
Female
4 Participants
n=99 Participants
Sex: Female, Male
Male
21 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
23 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
Race (NIH/OMB)
White
24 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
Region of Enrollment
United States
25 participants
n=99 Participants

PRIMARY outcome

Timeframe: 21 days from first dose of combined treatment

Population: The analysis population is 24 patients rather than 25 because one patient was not on treatment long enough to be evaluated for any outcomes.

MTD is defined as the highest dose level with no more than 3 DLTs reported in 6 DLT-evaluable subjects. A target toxicity rate of approximately 33% of all 24 patients will be used to establish the RP2D. This is one part of the pembrolizumab-ATRA combination treatment.

Outcome measures

Outcome measures
Measure
Pembrolizumab With All-Trans Retinoic Acid
n=24 Participants
Patients will receive pembrolizumab infusions every three weeks. Patients will also receive 3 days of all-trans retinoic acid treatment surrounding each of the first 4 infusions of pembrolizumab, beginning one day prior to the infusion (a total of 12 days of all-trans retinoic acid). Pembrolizumab with All-Trans Retinoic Acid: All the patients will receive 200mg Q3W pembrolizumab treatment plus the supplemental treatment of 150 mg/m2 All-Trans Retinoic Acid orally for 3 days surrounding each of the first four infusions of pembrolizumab
Maximally Tolerated Dose (MTD) and the Recommended Phase 2 Dose (RP2D) of Pembrolizumab
200 mg

PRIMARY outcome

Timeframe: 21 days from first dose of combined treatment

Population: The analysis population is 24 patients rather than 25 because one patient was not on treatment long enough to be evaluated for any outcomes.

MTD is defined as the highest dose level with no more than 3 DLT reported in 6 DLT-evaluable subjects. A target toxicity rate of approximately 33% of all 24 patients will be used to establish the RP2D. This dose is one part of the pembrolizumab-ATRA combination treatment.

Outcome measures

Outcome measures
Measure
Pembrolizumab With All-Trans Retinoic Acid
n=24 Participants
Patients will receive pembrolizumab infusions every three weeks. Patients will also receive 3 days of all-trans retinoic acid treatment surrounding each of the first 4 infusions of pembrolizumab, beginning one day prior to the infusion (a total of 12 days of all-trans retinoic acid). Pembrolizumab with All-Trans Retinoic Acid: All the patients will receive 200mg Q3W pembrolizumab treatment plus the supplemental treatment of 150 mg/m2 All-Trans Retinoic Acid orally for 3 days surrounding each of the first four infusions of pembrolizumab
Maximally Tolerated Dose (MTD) and the Recommended Phase 2 Dose (RP2D) of All-Trans Retinoic Acid
150 mg/m2

SECONDARY outcome

Timeframe: 2 years

Population: The analysis population is 24 patients rather than 25 because one patient was not on treatment long enough to be evaluated for any outcomes.

Toxicity is evaluated according to NCI CTCAE Version 4.0. A dose limiting toxicity (DLT) is defined as any grade 3 or higher adverse event related to VESNOID (the all-trans retinoic acid) and/or pembrolizumab.

Outcome measures

Outcome measures
Measure
Pembrolizumab With All-Trans Retinoic Acid
n=24 Participants
Patients will receive pembrolizumab infusions every three weeks. Patients will also receive 3 days of all-trans retinoic acid treatment surrounding each of the first 4 infusions of pembrolizumab, beginning one day prior to the infusion (a total of 12 days of all-trans retinoic acid). Pembrolizumab with All-Trans Retinoic Acid: All the patients will receive 200mg Q3W pembrolizumab treatment plus the supplemental treatment of 150 mg/m2 All-Trans Retinoic Acid orally for 3 days surrounding each of the first four infusions of pembrolizumab
Number of Patients With a Dose-Limiting Toxicity (DLT) for the Combined Treatment of Pembrolizumab and All-Trans Retinoic Acid
5 Participants

SECONDARY outcome

Timeframe: up to 36 months

Population: The analysis population is 24 patients rather than 25 because one patient was not on treatment long enough to be evaluated for any outcomes.

Progression free survival was calculated from treatment start date to data cutoff date.

Outcome measures

Outcome measures
Measure
Pembrolizumab With All-Trans Retinoic Acid
n=24 Participants
Patients will receive pembrolizumab infusions every three weeks. Patients will also receive 3 days of all-trans retinoic acid treatment surrounding each of the first 4 infusions of pembrolizumab, beginning one day prior to the infusion (a total of 12 days of all-trans retinoic acid). Pembrolizumab with All-Trans Retinoic Acid: All the patients will receive 200mg Q3W pembrolizumab treatment plus the supplemental treatment of 150 mg/m2 All-Trans Retinoic Acid orally for 3 days surrounding each of the first four infusions of pembrolizumab
Progression Free Survival
20.3 months
Interval 7.6 to
The upper limit of the calculated 95% confidence interval was not estimable because there were not enough patients who had events at later timepoints to get a reliable upper estimate.

SECONDARY outcome

Timeframe: Pre-treatment (0-30 days before first ATRA administration) and post-treatment (84-130 days after first ATRA administration)

Population: Percent change in MDSC was computed both in total and separately for i) patients that responded to therapy, and ii) patients that did not respond to therapy. Response was evaluated using RECIST v1.1 criteria. The analysis population for this outcome measure is 23 patients because one patient did not complete a post-treatment blood draw.

Anti-tumor activity will be determined by the percent change in MDSC (immunosuppressive myeloid-derived suppressor cells) frequency in peripheral blood of advanced melanoma patients undergoing the combined treatment of pembrolizumab and All-Trans Retinoic Acid (ATRA). Pre-treatment levels will be compared to post-treatment levels, where post-treatment means 4-6 weeks after stopping ATRA. MDSCs include CD45+, CD3-, CD19-, CD56-, CD11b+, CD33+, and HLA-DR-/low. In the original protocol, suppressive function was included as part of this outcome measure to assess anti-tumor activity. However, this analysis could not be performed because the decrease in concentration of MDSCs after treatment resulted in inadequate data for the planned assays.

Outcome measures

Outcome measures
Measure
Pembrolizumab With All-Trans Retinoic Acid
n=23 Participants
Patients will receive pembrolizumab infusions every three weeks. Patients will also receive 3 days of all-trans retinoic acid treatment surrounding each of the first 4 infusions of pembrolizumab, beginning one day prior to the infusion (a total of 12 days of all-trans retinoic acid). Pembrolizumab with All-Trans Retinoic Acid: All the patients will receive 200mg Q3W pembrolizumab treatment plus the supplemental treatment of 150 mg/m2 All-Trans Retinoic Acid orally for 3 days surrounding each of the first four infusions of pembrolizumab
Percent Change in Anti-Tumor Activity
Responding patients
-48.6 percent change from pre-treatment value
Standard Deviation 54.4
Percent Change in Anti-Tumor Activity
Non-responding patients
109.7 percent change from pre-treatment value
Standard Deviation 224.6
Percent Change in Anti-Tumor Activity
Overall
-7.3 percent change from pre-treatment value
Standard Deviation 136.6

Adverse Events

Pembrolizumab With All-Trans Retinoic Acid

Serious events: 12 serious events
Other events: 25 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Pembrolizumab With All-Trans Retinoic Acid
n=25 participants at risk
Patients will receive pembrolizumab infusions every three weeks. Patients will also receive 3 days of all-trans retinoic acid treatment surrounding each of the first 4 infusions of pembrolizumab, beginning one day prior to the infusion (a total of 12 days of all-trans retinoic acid). Pembrolizumab with All-Trans Retinoic Acid: All the patients will receive 200mg Q3W pembrolizumab treatment plus the supplemental treatment of 150 mg/m2 All-Trans Retinoic Acid orally for 3 days surrounding each of the first four infusions of pembrolizumab
Renal and urinary disorders
Adrenal insufficiency
4.0%
1/25 • Number of events 1 • 2 years
Blood and lymphatic system disorders
DVT
4.0%
1/25 • Number of events 1 • 2 years
Gastrointestinal disorders
Colitis
4.0%
1/25 • Number of events 1 • 2 years
Psychiatric disorders
Confusion
4.0%
1/25 • Number of events 1 • 2 years
Blood and lymphatic system disorders
Encephalopathy
4.0%
1/25 • Number of events 1 • 2 years
General disorders
Fatigue
4.0%
1/25 • Number of events 1 • 2 years
Gastrointestinal disorders
Small Bowel Obstruction
4.0%
1/25 • Number of events 2 • 2 years
Renal and urinary disorders
Hematuria
4.0%
1/25 • Number of events 1 • 2 years
Blood and lymphatic system disorders
Hyperglycemia
4.0%
1/25 • Number of events 1 • 2 years
General disorders
Malaise
4.0%
1/25 • Number of events 1 • 2 years
Infections and infestations
Meningitis
4.0%
1/25 • Number of events 1 • 2 years
Injury, poisoning and procedural complications
Shoulder Dislocation
4.0%
1/25 • Number of events 1 • 2 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant Neoplasm Prostate Adenocarcinoma
4.0%
1/25 • Number of events 1 • 2 years
Nervous system disorders
Cerebrovascular Event
4.0%
1/25 • Number of events 1 • 2 years
Respiratory, thoracic and mediastinal disorders
Pneumothorax
4.0%
1/25 • Number of events 1 • 2 years
Respiratory, thoracic and mediastinal disorders
Acute Hypoxic Respiratory Failure
4.0%
1/25 • Number of events 1 • 2 years
Nervous system disorders
Seizure
4.0%
1/25 • Number of events 1 • 2 years
Blood and lymphatic system disorders
Stroke
4.0%
1/25 • Number of events 1 • 2 years
Surgical and medical procedures
Intramedullary nail fixation of L humerus surgery
4.0%
1/25 • Number of events 1 • 2 years
Blood and lymphatic system disorders
Thrombolytic Event
4.0%
1/25 • Number of events 1 • 2 years
Renal and urinary disorders
Acute kidney insufficiency
4.0%
1/25 • Number of events 1 • 2 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Altered mental status due to new brain mets
4.0%
1/25 • Number of events 1 • 2 years

Other adverse events

Other adverse events
Measure
Pembrolizumab With All-Trans Retinoic Acid
n=25 participants at risk
Patients will receive pembrolizumab infusions every three weeks. Patients will also receive 3 days of all-trans retinoic acid treatment surrounding each of the first 4 infusions of pembrolizumab, beginning one day prior to the infusion (a total of 12 days of all-trans retinoic acid). Pembrolizumab with All-Trans Retinoic Acid: All the patients will receive 200mg Q3W pembrolizumab treatment plus the supplemental treatment of 150 mg/m2 All-Trans Retinoic Acid orally for 3 days surrounding each of the first four infusions of pembrolizumab
General disorders
Abdominal Pain
12.0%
3/25 • Number of events 3 • 2 years
Endocrine disorders
Adrenal Insufficiency
8.0%
2/25 • Number of events 2 • 2 years
Gastrointestinal disorders
Alanine aminotransferase increased
24.0%
6/25 • Number of events 8 • 2 years
Blood and lymphatic system disorders
Alkaline Phosphatase Increase
8.0%
2/25 • Number of events 3 • 2 years
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
12.0%
3/25 • Number of events 3 • 2 years
General disorders
Alopecia
4.0%
1/25 • Number of events 1 • 2 years
Blood and lymphatic system disorders
Anemia
24.0%
6/25 • Number of events 8 • 2 years
General disorders
anorexia
8.0%
2/25 • Number of events 2 • 2 years
Psychiatric disorders
anxiety
4.0%
1/25 • Number of events 1 • 2 years
General disorders
Arthralgia
8.0%
2/25 • Number of events 3 • 2 years
Hepatobiliary disorders
Aspartate aminotransferase increased
20.0%
5/25 • Number of events 5 • 2 years
General disorders
Back Pain
12.0%
3/25 • Number of events 3 • 2 years
Infections and infestations
Bladder Infection
4.0%
1/25 • Number of events 2 • 2 years
Blood and lymphatic system disorders
Hypothyroid
12.0%
3/25 • Number of events 3 • 2 years
Blood and lymphatic system disorders
Thrombocytopenia
4.0%
1/25 • Number of events 1 • 2 years
Endocrine disorders
Elevated TSH
4.0%
1/25 • Number of events 1 • 2 years
Blood and lymphatic system disorders
Chronic anticoagulation
4.0%
1/25 • Number of events 1 • 2 years
Eye disorders
Blurred Vision
4.0%
1/25 • Number of events 1 • 2 years
Skin and subcutaneous tissue disorders
Bruising
4.0%
1/25 • Number of events 1 • 2 years
Cardiac disorders
Hypertension
8.0%
2/25 • Number of events 3 • 2 years
Cardiac disorders
R Bundle Branch Block w/L Anterior Fascia Block
4.0%
1/25 • Number of events 1 • 2 years
General disorders
Chills
4.0%
1/25 • Number of events 2 • 2 years
Psychiatric disorders
Confusion
4.0%
1/25 • Number of events 1 • 2 years
Gastrointestinal disorders
Constipation
16.0%
4/25 • Number of events 5 • 2 years
General disorders
Cough
24.0%
6/25 • Number of events 7 • 2 years
Renal and urinary disorders
Creatinine Increased
16.0%
4/25 • Number of events 4 • 2 years
General disorders
Dehydration
8.0%
2/25 • Number of events 2 • 2 years
General disorders
Dental Caries
4.0%
1/25 • Number of events 1 • 2 years
Gastrointestinal disorders
Diarrhea
20.0%
5/25 • Number of events 9 • 2 years
General disorders
Dizziness
20.0%
5/25 • Number of events 5 • 2 years
General disorders
Dry Mouth
20.0%
5/25 • Number of events 5 • 2 years
General disorders
Dry Skin
16.0%
4/25 • Number of events 5 • 2 years
Gastrointestinal disorders
Dyspepsia
16.0%
4/25 • Number of events 5 • 2 years
Ear and labyrinth disorders
Ear Wound
4.0%
1/25 • Number of events 1 • 2 years
General disorders
Ear pain
4.0%
1/25 • Number of events 1 • 2 years
Blood and lymphatic system disorders
Edema
12.0%
3/25 • Number of events 3 • 2 years
Endocrine disorders
Endocrine Disorders
8.0%
2/25 • Number of events 2 • 2 years
General disorders
epistaxis
4.0%
1/25 • Number of events 1 • 2 years
Gastrointestinal disorders
Esophagitis
4.0%
1/25 • Number of events 1 • 2 years
Eye disorders
Sore Eyes
4.0%
1/25 • Number of events 1 • 2 years
Injury, poisoning and procedural complications
Fall
4.0%
1/25 • Number of events 1 • 2 years
General disorders
Fatigue
64.0%
16/25 • Number of events 28 • 2 years
Infections and infestations
Fever
8.0%
2/25 • Number of events 2 • 2 years
General disorders
Flank Pain
4.0%
1/25 • Number of events 1 • 2 years
General disorders
Flu like Symptoms
4.0%
1/25 • Number of events 1 • 2 years
Cardiac disorders
Flushing
4.0%
1/25 • Number of events 1 • 2 years
Injury, poisoning and procedural complications
Fracture
4.0%
1/25 • Number of events 1 • 2 years
General disorders
Gait disturbance
8.0%
2/25 • Number of events 2 • 2 years
Gastrointestinal disorders
Gastritis
4.0%
1/25 • Number of events 1 • 2 years
Gastrointestinal disorders
Loose Stools
12.0%
3/25 • Number of events 4 • 2 years
Gastrointestinal disorders
Small Bowel obstruction
4.0%
1/25 • Number of events 1 • 2 years
Gastrointestinal disorders
Gastrointestinal discomfort
4.0%
1/25 • Number of events 1 • 2 years
Gastrointestinal disorders
Nausea without Vomiting
4.0%
1/25 • Number of events 1 • 2 years
Gastrointestinal disorders
Odynophagia
4.0%
1/25 • Number of events 1 • 2 years
General disorders
Sinus Congestion
4.0%
1/25 • Number of events 1 • 2 years
General disorders
Reduced Stamina
4.0%
1/25 • Number of events 1 • 2 years
General disorders
Decreased Appetite
12.0%
3/25 • Number of events 3 • 2 years
General disorders
Night Sweats
4.0%
1/25 • Number of events 1 • 2 years
General disorders
Runny Nose
4.0%
1/25 • Number of events 2 • 2 years
General disorders
Dry lips
4.0%
1/25 • Number of events 1 • 2 years
Renal and urinary disorders
Elevated PSA
4.0%
1/25 • Number of events 1 • 2 years
Gastrointestinal disorders
Pneumomesentery
4.0%
1/25 • Number of events 1 • 2 years
General disorders
Headache
80.0%
20/25 • Number of events 46 • 2 years
Renal and urinary disorders
Hematuria
4.0%
1/25 • Number of events 1 • 2 years
General disorders
Hemorrhoids
4.0%
1/25 • Number of events 1 • 2 years
Hepatobiliary disorders
Elevated Liver Enzymes
4.0%
1/25 • Number of events 1 • 2 years
Hepatobiliary disorders
Portal Vein/Hepatic Thrombosis
4.0%
1/25 • Number of events 1 • 2 years
Hepatobiliary disorders
LFT Elevation
4.0%
1/25 • Number of events 1 • 2 years
Hepatobiliary disorders
Transaminitis
4.0%
1/25 • Number of events 1 • 2 years
General disorders
Hot Flashes
4.0%
1/25 • Number of events 2 • 2 years
Blood and lymphatic system disorders
Hypercalcemia
4.0%
1/25 • Number of events 2 • 2 years
Endocrine disorders
Hyperglycemia
8.0%
2/25 • Number of events 2 • 2 years
Vascular disorders
Hypoalbuminemia
4.0%
1/25 • Number of events 1 • 2 years
Gastrointestinal disorders
Hypokalemia
8.0%
2/25 • Number of events 3 • 2 years
General disorders
Hyponatremia
4.0%
1/25 • Number of events 3 • 2 years
Cardiac disorders
Hypotension
4.0%
1/25 • Number of events 2 • 2 years
Infections and infestations
COVID-19
12.0%
3/25 • Number of events 3 • 2 years
Injury, poisoning and procedural complications
Head Injury
4.0%
1/25 • Number of events 1 • 2 years
General disorders
Insomnia
8.0%
2/25 • Number of events 2 • 2 years
General disorders
Intracranial Hemorrhage
4.0%
1/25 • Number of events 1 • 2 years
Blood and lymphatic system disorders
Leukocytosis
8.0%
2/25 • Number of events 2 • 2 years
General disorders
Libido decreased
4.0%
1/25 • Number of events 1 • 2 years
Blood and lymphatic system disorders
Lymphocyte Count Decreased
8.0%
2/25 • Number of events 2 • 2 years
Metabolism and nutrition disorders
Diabetes mellitus Type II
4.0%
1/25 • Number of events 1 • 2 years
Metabolism and nutrition disorders
Loss of Weight
12.0%
3/25 • Number of events 3 • 2 years
Skin and subcutaneous tissue disorders
Oral Mucositis
4.0%
1/25 • Number of events 1 • 2 years
Musculoskeletal and connective tissue disorders
Knee Pain
4.0%
1/25 • Number of events 1 • 2 years
Musculoskeletal and connective tissue disorders
Neck Pain
4.0%
1/25 • Number of events 2 • 2 years
Musculoskeletal and connective tissue disorders
Left Inguinal pain
4.0%
1/25 • Number of events 1 • 2 years
Musculoskeletal and connective tissue disorders
Joint Pain
8.0%
2/25 • Number of events 2 • 2 years
Musculoskeletal and connective tissue disorders
Low Back Pain
4.0%
1/25 • Number of events 1 • 2 years
Musculoskeletal and connective tissue disorders
Chest Tightness
8.0%
2/25 • Number of events 5 • 2 years
Musculoskeletal and connective tissue disorders
Chest Tingles
4.0%
1/25 • Number of events 1 • 2 years
Musculoskeletal and connective tissue disorders
Penis Tingles
4.0%
1/25 • Number of events 1 • 2 years
Metabolism and nutrition disorders
Soreness in Penis
4.0%
1/25 • Number of events 1 • 2 years
Musculoskeletal and connective tissue disorders
Right Upper Quadrant Discomfort
4.0%
1/25 • Number of events 1 • 2 years
Musculoskeletal and connective tissue disorders
Polymyalgia Rheumatica Symptoms
4.0%
1/25 • Number of events 1 • 2 years
Musculoskeletal and connective tissue disorders
Myalgia
8.0%
2/25 • Number of events 2 • 2 years
General disorders
Nausea
32.0%
8/25 • Number of events 15 • 2 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Carcinoma
8.0%
2/25 • Number of events 4 • 2 years
Gastrointestinal disorders
Oral Pain
4.0%
1/25 • Number of events 1 • 2 years
Musculoskeletal and connective tissue disorders
Osteoporsis
8.0%
2/25 • Number of events 2 • 2 years
Musculoskeletal and connective tissue disorders
Pain
16.0%
4/25 • Number of events 5 • 2 years
Cardiac disorders
Palipations
4.0%
1/25 • Number of events 1 • 2 years
Nervous system disorders
Peripheral Sensory Neuropathy
4.0%
1/25 • Number of events 1 • 2 years
Eye disorders
Photosensitivity
4.0%
1/25 • Number of events 1 • 2 years
Blood and lymphatic system disorders
Platelet Count Decreased
4.0%
1/25 • Number of events 5 • 2 years
Respiratory, thoracic and mediastinal disorders
Productive Cough
4.0%
1/25 • Number of events 1 • 2 years
Skin and subcutaneous tissue disorders
Pruritus
8.0%
2/25 • Number of events 3 • 2 years
Psychiatric disorders
Forgetfulness
4.0%
1/25 • Number of events 1 • 2 years
Skin and subcutaneous tissue disorders
Rash Acneiform
4.0%
1/25 • Number of events 2 • 2 years
Skin and subcutaneous tissue disorders
Rash Maculo-papular
28.0%
7/25 • Number of events 11 • 2 years
Renal and urinary disorders
Enlarged Prostate
4.0%
1/25 • Number of events 1 • 2 years
Respiratory, thoracic and mediastinal disorders
Shortness of Breath
4.0%
1/25 • Number of events 1 • 2 years
Skin and subcutaneous tissue disorders
Scrotal Infection
4.0%
1/25 • Number of events 1 • 2 years
Nervous system disorders
Seizure
4.0%
1/25 • Number of events 1 • 2 years
Infections and infestations
Sinusitis
4.0%
1/25 • Number of events 1 • 2 years
Skin and subcutaneous tissue disorders
Dry desquamation
4.0%
1/25 • Number of events 1 • 2 years
Skin and subcutaneous tissue disorders
Generalized Itchy Rash
4.0%
1/25 • Number of events 1 • 2 years
Skin and subcutaneous tissue disorders
Left Chest Papule of Unknown Origin
4.0%
1/25 • Number of events 1 • 2 years
Skin and subcutaneous tissue disorders
Xerosis over BUE
4.0%
1/25 • Number of events 1 • 2 years
Skin and subcutaneous tissue disorders
Tinea Pedis - Bilateral
4.0%
1/25 • Number of events 1 • 2 years
Skin and subcutaneous tissue disorders
pruritis on Abdomen
4.0%
1/25 • Number of events 1 • 2 years
Skin and subcutaneous tissue disorders
Desquamation - Scalp
4.0%
1/25 • Number of events 1 • 2 years
Skin and subcutaneous tissue disorders
Fingers Peeling
4.0%
1/25 • Number of events 1 • 2 years
Skin and subcutaneous tissue disorders
Erythematous Rash on Trunk
4.0%
1/25 • Number of events 1 • 2 years
Skin and subcutaneous tissue disorders
Erythematous Rash on Back
4.0%
1/25 • Number of events 1 • 2 years
Skin and subcutaneous tissue disorders
Actinic Keratosis
4.0%
1/25 • Number of events 1 • 2 years
Skin and subcutaneous tissue disorders
Palmar/plantar xeroderma
4.0%
1/25 • Number of events 1 • 2 years
Skin and subcutaneous tissue disorders
Skin Hypopigmentation
4.0%
1/25 • Number of events 1 • 2 years
Infections and infestations
Skin Infection
4.0%
1/25 • Number of events 1 • 2 years
Surgical and medical procedures
Post-Operative Dental Pain
4.0%
1/25 • Number of events 1 • 2 years
General disorders
Tinnituts
4.0%
1/25 • Number of events 1 • 2 years
Infections and infestations
Tooth infection
4.0%
1/25 • Number of events 1 • 2 years
Nervous system disorders
Tremor
4.0%
1/25 • Number of events 1 • 2 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumor pain
8.0%
2/25 • Number of events 2 • 2 years
Respiratory, thoracic and mediastinal disorders
Upper Respiratory infection
8.0%
2/25 • Number of events 2 • 2 years
Infections and infestations
Urinary Tract infection
16.0%
4/25 • Number of events 4 • 2 years
Gastrointestinal disorders
Vomiting
28.0%
7/25 • Number of events 9 • 2 years
Blood and lymphatic system disorders
White blood cell decreased
4.0%
1/25 • Number of events 3 • 2 years
Renal and urinary disorders
Acute urinary Retention
4.0%
1/25 • Number of events 1 • 2 years
Eye disorders
Right Eye Stye
4.0%
1/25 • Number of events 1 • 2 years

Additional Information

Dr. Martin McCarter

University of Colorado Hospital

Phone: 13037242725

Results disclosure agreements

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