Trial Outcomes & Findings for Atezolizumab With Neoadjuvant Chemotherapy for Patients With Newly-Diagnosed Advanced-Stage Ovarian Cancer (NCT NCT03394885)

NCT ID: NCT03394885

Last Updated: 2021-08-12

Results Overview

The number of subjects able to undergo interval cytoreductive surgery will be utilized as a measure of safety regarding the initial dosing of atezolizumab.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

18 participants

Primary outcome timeframe

9 weeks

Results posted on

2021-08-12

Participant Flow

Participant milestones

Participant milestones
Measure
Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
1. Atezolizumab administered over 90 (± 15) minutes (for the first infusion, shortening to 60 (± 15) minutes and 30 ± 15) minutes for subsequent infusions as described below) followed by 2. Paclitaxel 70-80mg/m2 IV administered over approximately one hour followed by 3. Carboplatin IV administered over 15-30 minutes to achieve an initial target AUC of 5-6 mg/mL/Min (Calvert formula dosing). 4. (Optional, Physician choice) Bevacizumab IV maintenance administered starting at cycle 5 of chemotherapy over 30-90 minutes. For those who receive bevacizumab, it will be given for a total duration of 16 cycles Atezolizumab: 1200mg IV q3weeks Carboplatin: 5-6mg/ML IV q3 weeks Paclitaxel: 70-80 mg/m2 IV q1 week Bevacizumab: 15 mg/kg IV q3 weeks
Overall Study
STARTED
18
Overall Study
COMPLETED
3
Overall Study
NOT COMPLETED
15

Reasons for withdrawal

Reasons for withdrawal
Measure
Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
1. Atezolizumab administered over 90 (± 15) minutes (for the first infusion, shortening to 60 (± 15) minutes and 30 ± 15) minutes for subsequent infusions as described below) followed by 2. Paclitaxel 70-80mg/m2 IV administered over approximately one hour followed by 3. Carboplatin IV administered over 15-30 minutes to achieve an initial target AUC of 5-6 mg/mL/Min (Calvert formula dosing). 4. (Optional, Physician choice) Bevacizumab IV maintenance administered starting at cycle 5 of chemotherapy over 30-90 minutes. For those who receive bevacizumab, it will be given for a total duration of 16 cycles Atezolizumab: 1200mg IV q3weeks Carboplatin: 5-6mg/ML IV q3 weeks Paclitaxel: 70-80 mg/m2 IV q1 week Bevacizumab: 15 mg/kg IV q3 weeks
Overall Study
Adverse Event
4
Overall Study
Lack of Efficacy
1
Overall Study
Physician Decision
1
Overall Study
Withdrawal by Subject
8
Overall Study
Alternative Therapy
1

Baseline Characteristics

Atezolizumab With Neoadjuvant Chemotherapy for Patients With Newly-Diagnosed Advanced-Stage Ovarian Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
n=18 Participants
1. Atezolizumab administered over 90 (± 15) minutes (for the first infusion, shortening to 60 (± 15) minutes and 30 ± 15) minutes for subsequent infusions as described below) followed by 2. Paclitaxel 70-80mg/m2 IV administered over approximately one hour followed by 3. Carboplatin IV administered over 15-30 minutes to achieve an initial target AUC of 5-6 mg/mL/Min (Calvert formula dosing). 4. (Optional, Physician choice) Bevacizumab IV maintenance administered starting at cycle 5 of chemotherapy over 30-90 minutes. For those who receive bevacizumab, it will be given for a total duration of 16 cycles Atezolizumab: 1200mg IV q3weeks Carboplatin: 5-6mg/ML IV q3 weeks Paclitaxel: 70-80 mg/m2 IV q1 week Bevacizumab: 15 mg/kg IV q3 weeks
Age, Continuous
67.9 years
STANDARD_DEVIATION 10.2 • n=99 Participants
Sex: Female, Male
Female
18 Participants
n=99 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
17 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
1 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
2 Participants
n=99 Participants
Race (NIH/OMB)
White
14 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants

PRIMARY outcome

Timeframe: 9 weeks

The number of subjects able to undergo interval cytoreductive surgery will be utilized as a measure of safety regarding the initial dosing of atezolizumab.

Outcome measures

Outcome measures
Measure
Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
n=18 Participants
1. Atezolizumab administered over 90 (± 15) minutes (for the first infusion, shortening to 60 (± 15) minutes and 30 ± 15) minutes for subsequent infusions as described below) followed by 2. Paclitaxel 70-80mg/m2 IV administered over approximately one hour followed by 3. Carboplatin IV administered over 15-30 minutes to achieve an initial target AUC of 5-6 mg/mL/Min (Calvert formula dosing). 4. (Optional, Physician choice) Bevacizumab IV maintenance administered starting at cycle 5 of chemotherapy over 30-90 minutes. For those who receive bevacizumab, it will be given for a total duration of 16 cycles Atezolizumab: 1200mg IV q3weeks Carboplatin: 5-6mg/ML IV q3 weeks Paclitaxel: 70-80 mg/m2 IV q1 week Bevacizumab: 15 mg/kg IV q3 weeks
Safety: Incidence of Post Chemotherapy Surgical Debulking
15 Participants

PRIMARY outcome

Timeframe: 18 months

The number of adverse events experienced while receiving study drugs will be utilized to assess safety of atezolizumab.

Outcome measures

Outcome measures
Measure
Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
n=18 Participants
1. Atezolizumab administered over 90 (± 15) minutes (for the first infusion, shortening to 60 (± 15) minutes and 30 ± 15) minutes for subsequent infusions as described below) followed by 2. Paclitaxel 70-80mg/m2 IV administered over approximately one hour followed by 3. Carboplatin IV administered over 15-30 minutes to achieve an initial target AUC of 5-6 mg/mL/Min (Calvert formula dosing). 4. (Optional, Physician choice) Bevacizumab IV maintenance administered starting at cycle 5 of chemotherapy over 30-90 minutes. For those who receive bevacizumab, it will be given for a total duration of 16 cycles Atezolizumab: 1200mg IV q3weeks Carboplatin: 5-6mg/ML IV q3 weeks Paclitaxel: 70-80 mg/m2 IV q1 week Bevacizumab: 15 mg/kg IV q3 weeks
Safety: Incidence of Treatment Emergent Adverse Events
None (Grade 0)
1 Participants
Safety: Incidence of Treatment Emergent Adverse Events
Mild (Grade 1)
2 Participants
Safety: Incidence of Treatment Emergent Adverse Events
Moderate (Grade 2)
9 Participants
Safety: Incidence of Treatment Emergent Adverse Events
Severe (Grade 3)
4 Participants
Safety: Incidence of Treatment Emergent Adverse Events
Life Threatening (Grade 4)
2 Participants
Safety: Incidence of Treatment Emergent Adverse Events
Lethal (Grade 5)
0 Participants

PRIMARY outcome

Timeframe: Cycles 1-6,18 months total

Population: Participants planned to receive atezolizumab at each cycle.

Percentage of planned doses of atezolizumab received at each cycle (21 day period) will be utilized as a measure of safety and tolerability for each subject.

Outcome measures

Outcome measures
Measure
Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
n=18 Participants
1. Atezolizumab administered over 90 (± 15) minutes (for the first infusion, shortening to 60 (± 15) minutes and 30 ± 15) minutes for subsequent infusions as described below) followed by 2. Paclitaxel 70-80mg/m2 IV administered over approximately one hour followed by 3. Carboplatin IV administered over 15-30 minutes to achieve an initial target AUC of 5-6 mg/mL/Min (Calvert formula dosing). 4. (Optional, Physician choice) Bevacizumab IV maintenance administered starting at cycle 5 of chemotherapy over 30-90 minutes. For those who receive bevacizumab, it will be given for a total duration of 16 cycles Atezolizumab: 1200mg IV q3weeks Carboplatin: 5-6mg/ML IV q3 weeks Paclitaxel: 70-80 mg/m2 IV q1 week Bevacizumab: 15 mg/kg IV q3 weeks
Safety: Dose Intensity
Cycle 1
100.0 percentage of planned doses
Safety: Dose Intensity
Cycle 2
81.3 percentage of planned doses
Safety: Dose Intensity
Cycle 3
93.3 percentage of planned doses
Safety: Dose Intensity
Cycle 4
86.7 percentage of planned doses
Safety: Dose Intensity
Cycle 5
86.7 percentage of planned doses
Safety: Dose Intensity
Cycle 6
100.0 percentage of planned doses

PRIMARY outcome

Timeframe: Cycles 1-6,18 months total

Population: Participants who received atezolizumab at each cycle.

The number of dose modifications for atezolizumab at each cycle (21 day period) will be utilized as a measure of safety and tolerability for each subject. Dose modifications are defined as doses delayed, doses discontinued, or doses held.

Outcome measures

Outcome measures
Measure
Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
n=18 Participants
1. Atezolizumab administered over 90 (± 15) minutes (for the first infusion, shortening to 60 (± 15) minutes and 30 ± 15) minutes for subsequent infusions as described below) followed by 2. Paclitaxel 70-80mg/m2 IV administered over approximately one hour followed by 3. Carboplatin IV administered over 15-30 minutes to achieve an initial target AUC of 5-6 mg/mL/Min (Calvert formula dosing). 4. (Optional, Physician choice) Bevacizumab IV maintenance administered starting at cycle 5 of chemotherapy over 30-90 minutes. For those who receive bevacizumab, it will be given for a total duration of 16 cycles Atezolizumab: 1200mg IV q3weeks Carboplatin: 5-6mg/ML IV q3 weeks Paclitaxel: 70-80 mg/m2 IV q1 week Bevacizumab: 15 mg/kg IV q3 weeks
Safety: Incidence of Dose Modifications
Cycle 1
0 dose modifications
Safety: Incidence of Dose Modifications
Cycle 2
3 dose modifications
Safety: Incidence of Dose Modifications
Cycle 3
1 dose modifications
Safety: Incidence of Dose Modifications
Cycle 4
2 dose modifications
Safety: Incidence of Dose Modifications
Cycle 5
3 dose modifications
Safety: Incidence of Dose Modifications
Cycle 6
2 dose modifications

SECONDARY outcome

Timeframe: 18 months

Population: Five participants were not evaluable for response.

RECIST criteria will be utilized for subjects over the course of the study to measure their response to study drugs. A Complete Response (disappearance of all tumor lesions) or Partial Response (reduction of greater than 30% in total tumor size) is considered a response.

Outcome measures

Outcome measures
Measure
Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
n=13 Participants
1. Atezolizumab administered over 90 (± 15) minutes (for the first infusion, shortening to 60 (± 15) minutes and 30 ± 15) minutes for subsequent infusions as described below) followed by 2. Paclitaxel 70-80mg/m2 IV administered over approximately one hour followed by 3. Carboplatin IV administered over 15-30 minutes to achieve an initial target AUC of 5-6 mg/mL/Min (Calvert formula dosing). 4. (Optional, Physician choice) Bevacizumab IV maintenance administered starting at cycle 5 of chemotherapy over 30-90 minutes. For those who receive bevacizumab, it will be given for a total duration of 16 cycles Atezolizumab: 1200mg IV q3weeks Carboplatin: 5-6mg/ML IV q3 weeks Paclitaxel: 70-80 mg/m2 IV q1 week Bevacizumab: 15 mg/kg IV q3 weeks
Number of Participants With a Complete or Partial Response as Measured by RECIST (Response Evaluation Criteria in Solid Tumors)
12 Participants

SECONDARY outcome

Timeframe: 9 weeks

Population: Three participants were not evaluable for response.

Cytoreduction pathologic complete remission will be measured using RECIST (Response Evaluation Criteria in Solid Tumors) and immune-related response criteria.

Outcome measures

Outcome measures
Measure
Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
n=15 Participants
1. Atezolizumab administered over 90 (± 15) minutes (for the first infusion, shortening to 60 (± 15) minutes and 30 ± 15) minutes for subsequent infusions as described below) followed by 2. Paclitaxel 70-80mg/m2 IV administered over approximately one hour followed by 3. Carboplatin IV administered over 15-30 minutes to achieve an initial target AUC of 5-6 mg/mL/Min (Calvert formula dosing). 4. (Optional, Physician choice) Bevacizumab IV maintenance administered starting at cycle 5 of chemotherapy over 30-90 minutes. For those who receive bevacizumab, it will be given for a total duration of 16 cycles Atezolizumab: 1200mg IV q3weeks Carboplatin: 5-6mg/ML IV q3 weeks Paclitaxel: 70-80 mg/m2 IV q1 week Bevacizumab: 15 mg/kg IV q3 weeks
Number of Participants With Pathologic Complete Remission
0 Participants

SECONDARY outcome

Timeframe: 18 months

All patients will be evaluated for progression free survival from the date of first treatment to the date of first observation of progressive disease or death due to any cause or will be stopped at date of last follow-up for those still alive without disease progression. 18-month progression free survival rate as estimated by Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
n=18 Participants
1. Atezolizumab administered over 90 (± 15) minutes (for the first infusion, shortening to 60 (± 15) minutes and 30 ± 15) minutes for subsequent infusions as described below) followed by 2. Paclitaxel 70-80mg/m2 IV administered over approximately one hour followed by 3. Carboplatin IV administered over 15-30 minutes to achieve an initial target AUC of 5-6 mg/mL/Min (Calvert formula dosing). 4. (Optional, Physician choice) Bevacizumab IV maintenance administered starting at cycle 5 of chemotherapy over 30-90 minutes. For those who receive bevacizumab, it will be given for a total duration of 16 cycles Atezolizumab: 1200mg IV q3weeks Carboplatin: 5-6mg/ML IV q3 weeks Paclitaxel: 70-80 mg/m2 IV q1 week Bevacizumab: 15 mg/kg IV q3 weeks
Progression Free Survival Rate
0.65 proportion of participants
Interval 0.26 to 0.92

SECONDARY outcome

Timeframe: 18 months

All patients will be evaluated for overall survival from the date of first treatment on protocol to the date of death due to any cause and will be stopped at date of last follow-up for those still alive.18-month overall survival rate as estimated by Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
n=18 Participants
1. Atezolizumab administered over 90 (± 15) minutes (for the first infusion, shortening to 60 (± 15) minutes and 30 ± 15) minutes for subsequent infusions as described below) followed by 2. Paclitaxel 70-80mg/m2 IV administered over approximately one hour followed by 3. Carboplatin IV administered over 15-30 minutes to achieve an initial target AUC of 5-6 mg/mL/Min (Calvert formula dosing). 4. (Optional, Physician choice) Bevacizumab IV maintenance administered starting at cycle 5 of chemotherapy over 30-90 minutes. For those who receive bevacizumab, it will be given for a total duration of 16 cycles Atezolizumab: 1200mg IV q3weeks Carboplatin: 5-6mg/ML IV q3 weeks Paclitaxel: 70-80 mg/m2 IV q1 week Bevacizumab: 15 mg/kg IV q3 weeks
Overall Survival Rate
0.93 proportion of participants
Interval 0.82 to 1.0

OTHER_PRE_SPECIFIED outcome

Timeframe: 18 months

Analyzing changes in PD-L1 expression measured based on: immunohistochemistry after treatment with atezolizumab, association with BRCA mutation status, tumor mutation profile (next generation sequencing), and progression free survival.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 18 months

Analyzing changes in tumor infiltrating lymphocytes expression based on: immunohistochemistry after treatment with atezolizumab, association with BRCA mutation status, tumor mutation profile (next generation sequencing) and progression free survival.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 18 months

Analyzing changes in immune checkpoint receptor expression based on: flow cytometry after treatment with atezolizumab, association with BRCA mutation status, tumor mutation profile (next generation sequencing) and progression free survival.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, 18 months

Population: Data not collected on 4 participants.

Analyzing changes in cytokine expression based on: ELISA (enzyme-linked immunosorbent assay) after treatment with atezolizumab, association with BRCA mutation status, tumor mutation profile (next generation sequencing) and progression free survival.

Outcome measures

Outcome measures
Measure
Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
n=14 Participants
1. Atezolizumab administered over 90 (± 15) minutes (for the first infusion, shortening to 60 (± 15) minutes and 30 ± 15) minutes for subsequent infusions as described below) followed by 2. Paclitaxel 70-80mg/m2 IV administered over approximately one hour followed by 3. Carboplatin IV administered over 15-30 minutes to achieve an initial target AUC of 5-6 mg/mL/Min (Calvert formula dosing). 4. (Optional, Physician choice) Bevacizumab IV maintenance administered starting at cycle 5 of chemotherapy over 30-90 minutes. For those who receive bevacizumab, it will be given for a total duration of 16 cycles Atezolizumab: 1200mg IV q3weeks Carboplatin: 5-6mg/ML IV q3 weeks Paclitaxel: 70-80 mg/m2 IV q1 week Bevacizumab: 15 mg/kg IV q3 weeks
Translational: Fold Change in Cytokine Expression
CXCL10 Fold Change
0.7 Fold change
Interval 0.2 to 3.8
Translational: Fold Change in Cytokine Expression
INFgamma Fold Change
0.8 Fold change
Interval 0.0 to 6.0
Translational: Fold Change in Cytokine Expression
IL10 Fold Change
0.9 Fold change
Interval 0.2 to 1.5
Translational: Fold Change in Cytokine Expression
IL12p70 Fold Change
1.4 Fold change
Interval 0.0 to 13.5
Translational: Fold Change in Cytokine Expression
IL1b Fold Change
0.9 Fold change
Interval 0.2 to 16.5
Translational: Fold Change in Cytokine Expression
IL2RA Fold Change
1.1 Fold change
Interval 0.4 to 2.8
Translational: Fold Change in Cytokine Expression
IL6 Fold Change
0.4 Fold change
Interval 0.0 to 5.6
Translational: Fold Change in Cytokine Expression
TNFalpha Fold Change
0.8 Fold change
Interval 0.2 to 1.9
Translational: Fold Change in Cytokine Expression
TIM3 Fold Change
1.0 Fold change
Interval 0.6 to 2.3

OTHER_PRE_SPECIFIED outcome

Timeframe: 18 months

Analyzing changes in gene expression profiles based on: RNA sequencing after treatment with atezolizumab, association with BRCA mutation status, tumor mutation profile (next generation sequencing) and progression free survival.

Outcome measures

Outcome data not reported

Adverse Events

Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)

Serious events: 4 serious events
Other events: 18 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
n=18 participants at risk
1. Atezolizumab administered over 90 (± 15) minutes (for the first infusion, shortening to 60 (± 15) minutes and 30 ± 15) minutes for subsequent infusions as described below) followed by 2. Paclitaxel 70-80mg/m2 IV administered over approximately one hour followed by 3. Carboplatin IV administered over 15-30 minutes to achieve an initial target AUC of 5-6 mg/mL/Min (Calvert formula dosing). 4. (Optional, Physician choice) Bevacizumab IV maintenance administered starting at cycle 5 of chemotherapy over 30-90 minutes. For those who receive bevacizumab, it will be given for a total duration of 16 cycles Atezolizumab: 1200mg IV q3weeks Carboplatin: 5-6mg/ML IV q3 weeks Paclitaxel: 70-80 mg/m2 IV q1 week Bevacizumab: 15 mg/kg IV q3 weeks
Infections and infestations
Infections and infestations - Other: MRSA
5.6%
1/18 • 18 months
Investigations
Neutrophil count decreased
5.6%
1/18 • 18 months
Metabolism and nutrition disorders
Hypokalemia
5.6%
1/18 • 18 months
Metabolism and nutrition disorders
Hyponatremia
5.6%
1/18 • 18 months
Vascular disorders
Thromboembolic event
5.6%
1/18 • 18 months

Other adverse events

Other adverse events
Measure
Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
n=18 participants at risk
1. Atezolizumab administered over 90 (± 15) minutes (for the first infusion, shortening to 60 (± 15) minutes and 30 ± 15) minutes for subsequent infusions as described below) followed by 2. Paclitaxel 70-80mg/m2 IV administered over approximately one hour followed by 3. Carboplatin IV administered over 15-30 minutes to achieve an initial target AUC of 5-6 mg/mL/Min (Calvert formula dosing). 4. (Optional, Physician choice) Bevacizumab IV maintenance administered starting at cycle 5 of chemotherapy over 30-90 minutes. For those who receive bevacizumab, it will be given for a total duration of 16 cycles Atezolizumab: 1200mg IV q3weeks Carboplatin: 5-6mg/ML IV q3 weeks Paclitaxel: 70-80 mg/m2 IV q1 week Bevacizumab: 15 mg/kg IV q3 weeks
Metabolism and nutrition disorders
Hypoalbuminemia
55.6%
10/18 • 18 months
Blood and lymphatic system disorders
Anemia
88.9%
16/18 • 18 months
Blood and lymphatic system disorders
Leukocytosis
5.6%
1/18 • 18 months
Cardiac disorders
Mitral valve disease
5.6%
1/18 • 18 months
Cardiac disorders
Palpitations
5.6%
1/18 • 18 months
Cardiac disorders
Sinus tachycardia
22.2%
4/18 • 18 months
Ear and labyrinth disorders
Vertigo
5.6%
1/18 • 18 months
Endocrine disorders
Hyperthyroidism
22.2%
4/18 • 18 months
Endocrine disorders
Hypothyroidism
16.7%
3/18 • 18 months
Eye disorders
Blurred vision
5.6%
1/18 • 18 months
Eye disorders
Cataract
5.6%
1/18 • 18 months
Gastrointestinal disorders
Abdominal distension
11.1%
2/18 • 18 months
Gastrointestinal disorders
Abdominal pain
50.0%
9/18 • 18 months
Gastrointestinal disorders
Ascites
11.1%
2/18 • 18 months
Gastrointestinal disorders
Bloating
16.7%
3/18 • 18 months
Gastrointestinal disorders
Colonic fistula
5.6%
1/18 • 18 months
Gastrointestinal disorders
Constipation
38.9%
7/18 • 18 months
Gastrointestinal disorders
Diarrhea
66.7%
12/18 • 18 months
Gastrointestinal disorders
Dry mouth
16.7%
3/18 • 18 months
Gastrointestinal disorders
Dyspepsia
5.6%
1/18 • 18 months
Gastrointestinal disorders
Gastroesophageal reflux disease
16.7%
3/18 • 18 months
Gastrointestinal disorders
Gastrointestinal disorders - Other, specify
5.6%
1/18 • 18 months
Gastrointestinal disorders
Hemorrhoids
5.6%
1/18 • 18 months
Gastrointestinal disorders
Mucositis oral
16.7%
3/18 • 18 months
Gastrointestinal disorders
Nausea
66.7%
12/18 • 18 months
Gastrointestinal disorders
Oral pain
5.6%
1/18 • 18 months
Gastrointestinal disorders
Rectal hemorrhage
11.1%
2/18 • 18 months
Gastrointestinal disorders
Vomiting
27.8%
5/18 • 18 months
General disorders
Edema limbs
33.3%
6/18 • 18 months
General disorders
Fatigue
83.3%
15/18 • 18 months
General disorders
Fever
5.6%
1/18 • 18 months
General disorders
Flu like symptoms
11.1%
2/18 • 18 months
General disorders
General disorders and administration site conditions - Other, specify
5.6%
1/18 • 18 months
General disorders
Malaise
5.6%
1/18 • 18 months
General disorders
Non-cardiac chest pain
5.6%
1/18 • 18 months
General disorders
Pain
27.8%
5/18 • 18 months
Infections and infestations
Bacteremia
5.6%
1/18 • 18 months
Infections and infestations
Bladder infection
5.6%
1/18 • 18 months
Infections and infestations
Device related infection
5.6%
1/18 • 18 months
Infections and infestations
Eye infection
5.6%
1/18 • 18 months
Infections and infestations
Lung infection
5.6%
1/18 • 18 months
Infections and infestations
Nail infection
5.6%
1/18 • 18 months
Infections and infestations
Rhinitis infective
5.6%
1/18 • 18 months
Infections and infestations
Sinusitis
5.6%
1/18 • 18 months
Infections and infestations
Skin infection
5.6%
1/18 • 18 months
Infections and infestations
Upper respiratory infection
11.1%
2/18 • 18 months
Infections and infestations
Urinary tract infection
22.2%
4/18 • 18 months
Injury, poisoning and procedural complications
Bruising
11.1%
2/18 • 18 months
Injury, poisoning and procedural complications
Fall
5.6%
1/18 • 18 months
Injury, poisoning and procedural complications
Infusion related reaction
38.9%
7/18 • 18 months
Injury, poisoning and procedural complications
Wound complication
5.6%
1/18 • 18 months
Investigations
Alanine aminotransferase increased
27.8%
5/18 • 18 months
Investigations
Alkaline phosphatase increased
27.8%
5/18 • 18 months
Investigations
Aspartate aminotransferase increased
50.0%
9/18 • 18 months
Investigations
Blood bilirubin increased
5.6%
1/18 • 18 months
Investigations
Blood lactate dehydrogenase increased
5.6%
1/18 • 18 months
Investigations
CPK increased
5.6%
1/18 • 18 months
Investigations
Creatinine increased
11.1%
2/18 • 18 months
Investigations
Lymphocyte count decreased
5.6%
1/18 • 18 months
Investigations
Neutrophil count decreased
88.9%
16/18 • 18 months
Investigations
Platelet count decreased
83.3%
15/18 • 18 months
Investigations
Thyroid stimulating hormone increased
16.7%
3/18 • 18 months
Investigations
Weight gain
5.6%
1/18 • 18 months
Investigations
Weight loss
38.9%
7/18 • 18 months
Investigations
White blood cell decreased
72.2%
13/18 • 18 months
Metabolism and nutrition disorders
Anorexia
38.9%
7/18 • 18 months
Metabolism and nutrition disorders
Hypercalcemia
5.6%
1/18 • 18 months
Metabolism and nutrition disorders
Hyperglycemia
22.2%
4/18 • 18 months
Metabolism and nutrition disorders
Hyperlipidemia
5.6%
1/18 • 18 months
Metabolism and nutrition disorders
Hypermagnesemia
5.6%
1/18 • 18 months
Metabolism and nutrition disorders
Hyperphosphatemia
11.1%
2/18 • 18 months
Metabolism and nutrition disorders
Hypocalcemia
55.6%
10/18 • 18 months
Metabolism and nutrition disorders
Hypokalemia
50.0%
9/18 • 18 months
Metabolism and nutrition disorders
Hypomagnesemia
55.6%
10/18 • 18 months
Metabolism and nutrition disorders
Hyponatremia
44.4%
8/18 • 18 months
Metabolism and nutrition disorders
Hypophosphatemia
5.6%
1/18 • 18 months
Musculoskeletal and connective tissue disorders
Arthralgia
33.3%
6/18 • 18 months
Musculoskeletal and connective tissue disorders
Arthritis
5.6%
1/18 • 18 months
Musculoskeletal and connective tissue disorders
Back pain
5.6%
1/18 • 18 months
Musculoskeletal and connective tissue disorders
Flank pain
5.6%
1/18 • 18 months
Musculoskeletal and connective tissue disorders
Muscle cramp
5.6%
1/18 • 18 months
Musculoskeletal and connective tissue disorders
Myalgia
11.1%
2/18 • 18 months
Musculoskeletal and connective tissue disorders
Myositis
5.6%
1/18 • 18 months
Musculoskeletal and connective tissue disorders
Pain in extremity
11.1%
2/18 • 18 months
Nervous system disorders
Dizziness
16.7%
3/18 • 18 months
Nervous system disorders
Dysgeusia
27.8%
5/18 • 18 months
Nervous system disorders
Headache
33.3%
6/18 • 18 months
Nervous system disorders
Hypersomnia
5.6%
1/18 • 18 months
Nervous system disorders
Memory impairment
5.6%
1/18 • 18 months
Nervous system disorders
Peripheral sensory neuropathy
77.8%
14/18 • 18 months
Psychiatric disorders
Anxiety
5.6%
1/18 • 18 months
Psychiatric disorders
Depression
5.6%
1/18 • 18 months
Psychiatric disorders
Insomnia
16.7%
3/18 • 18 months
Renal and urinary disorders
Acute kidney injury
5.6%
1/18 • 18 months
Renal and urinary disorders
Cystitis noninfective
5.6%
1/18 • 18 months
Renal and urinary disorders
Glucosuria
5.6%
1/18 • 18 months
Renal and urinary disorders
Hematuria
11.1%
2/18 • 18 months
Renal and urinary disorders
Proteinuria
16.7%
3/18 • 18 months
Renal and urinary disorders
Renal and urinary disorders - Other, specify
5.6%
1/18 • 18 months
Renal and urinary disorders
Urinary frequency
22.2%
4/18 • 18 months
Renal and urinary disorders
Urinary urgency
5.6%
1/18 • 18 months
Reproductive system and breast disorders
Pelvic pain
11.1%
2/18 • 18 months
Reproductive system and breast disorders
Vaginal discharge
5.6%
1/18 • 18 months
Reproductive system and breast disorders
Vaginal hemorrhage
22.2%
4/18 • 18 months
Reproductive system and breast disorders
Vaginal inflammation
5.6%
1/18 • 18 months
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
27.8%
5/18 • 18 months
Respiratory, thoracic and mediastinal disorders
Cough
16.7%
3/18 • 18 months
Respiratory, thoracic and mediastinal disorders
Dyspnea
55.6%
10/18 • 18 months
Respiratory, thoracic and mediastinal disorders
Epistaxis
33.3%
6/18 • 18 months
Respiratory, thoracic and mediastinal disorders
Hoarseness
11.1%
2/18 • 18 months
Respiratory, thoracic and mediastinal disorders
Nasal congestion
5.6%
1/18 • 18 months
Respiratory, thoracic and mediastinal disorders
Pneumonitis
16.7%
3/18 • 18 months
Respiratory, thoracic and mediastinal disorders
Productive cough
5.6%
1/18 • 18 months
Skin and subcutaneous tissue disorders
Alopecia
38.9%
7/18 • 18 months
Skin and subcutaneous tissue disorders
Dry skin
38.9%
7/18 • 18 months
Skin and subcutaneous tissue disorders
Pruritus
44.4%
8/18 • 18 months
Skin and subcutaneous tissue disorders
Rash acneiform
11.1%
2/18 • 18 months
Skin and subcutaneous tissue disorders
Rash maculo-papular
50.0%
9/18 • 18 months
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify
11.1%
2/18 • 18 months
Vascular disorders
Flushing
5.6%
1/18 • 18 months
Vascular disorders
Hot flashes
5.6%
1/18 • 18 months
Vascular disorders
Hypertension
38.9%
7/18 • 18 months
Vascular disorders
Thromboembolic event
5.6%
1/18 • 18 months

Additional Information

Dr. Angeles Alvarez Secord

Duke Cancer Center

Phone: 919-684-3765

Results disclosure agreements

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