Trial Outcomes & Findings for SARC031: MEK Inhibitor Selumetinib (AZD6244) in Combination With the mTOR Inhibitor Sirolimus for Patients With Malignant Peripheral Nerve Sheath Tumors (NCT NCT03433183)

NCT ID: NCT03433183

Last Updated: 2026-05-27

Results Overview

An evaluable patient will be classified as a responder if the patient achieves a partial response (PR), complete response (CR) or stable disease (SD) ≥ 4 cycles.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

21 participants

Primary outcome timeframe

Up to 6 months

Results posted on

2026-05-27

Participant Flow

Participant milestones

Participant milestones
Measure
Selumetinib and Sirolimus
A Simon's two-stage phase 2 trial of MEK inhibitor selumetinib in combination with the mTOR inhibitor sirolimus to determine the safety and clinical benefit in patients with unresectable or metastatic MPNSTs. Both agents will be given orally on an empty stomach. Selumetinib will be given orally at a dose of 50mg twice daily continuously. Sirolimus will be given orally at a dose of 4mg once daily with a cycle 1 day 1 loading dose of 12mg. Each cycle will be considered 28 days. Selumetinib: Selumetinib (AZD6244) is an oral selective inhibitor of the mitogen-activated protein kinase (MEK) 1/2 currently in development for adult malignancies, pediatric low-grade gliomas and NF1 plexiform neurofibromas. MEK is a critical kinase in the mitogen activated protein (MAP) kinase signal transduction pathway for many growth factor receptors that provide growth signals to cancer cells. Sirolimus: Sirolimus is a macrocyclic lactone produced by Streptomyces hygroscopicus and inhibitor of mammalian Target of Rapamycin (mTOR) serine threonine kinase, which plays a critical role in regulating cellular energy sensing, growth and metabolism.
Overall Study
STARTED
21
Overall Study
COMPLETED
21
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

SARC031: MEK Inhibitor Selumetinib (AZD6244) in Combination With the mTOR Inhibitor Sirolimus for Patients With Malignant Peripheral Nerve Sheath Tumors

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Selumetinib and Sirolimus
n=21 Participants
A Simon's two-stage phase 2 trial of MEK inhibitor selumetinib in combination with the mTOR inhibitor sirolimus to determine the safety and clinical benefit in patients with unresectable or metastatic MPNSTs. Both agents will be given orally on an empty stomach. Selumetinib will be given orally at a dose of 50mg twice daily continuously. Sirolimus will be given orally at a dose of 4mg once daily with a cycle 1 day 1 loading dose of 12mg. Each cycle will be considered 28 days. Selumetinib: Selumetinib (AZD6244) is an oral selective inhibitor of the mitogen-activated protein kinase (MEK) 1/2 currently in development for adult malignancies, pediatric low-grade gliomas and NF1 plexiform neurofibromas. MEK is a critical kinase in the mitogen activated protein (MAP) kinase signal transduction pathway for many growth factor receptors that provide growth signals to cancer cells. Sirolimus: Sirolimus is a macrocyclic lactone produced by Streptomyces hygroscopicus and inhibitor of mammalian Target of Rapamycin (mTOR) serine threonine kinase, which plays a critical role in regulating cellular energy sensing, growth and metabolism.
Age, Categorical
<=18 years
1 Participants
n=51 Participants
Age, Categorical
Between 18 and 65 years
18 Participants
n=51 Participants
Age, Categorical
>=65 years
2 Participants
n=51 Participants
Age, Continuous
41 years
n=51 Participants
Sex: Female, Male
Female
7 Participants
n=51 Participants
Sex: Female, Male
Male
14 Participants
n=51 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=51 Participants
Race (NIH/OMB)
Asian
1 Participants
n=51 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=51 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=51 Participants
Race (NIH/OMB)
White
15 Participants
n=51 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=51 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=51 Participants
Region of Enrollment
United States
21 participants
n=51 Participants

PRIMARY outcome

Timeframe: Up to 6 months

Population: Clinical Benefit Outcome info: * Estimation Parameter: Other (Proportion) * Estimated Value: 9.5% (or 0.095 if it wants a proportion) * Confidence Interval (2-sided): 95% CI: 1.67%, 32%

An evaluable patient will be classified as a responder if the patient achieves a partial response (PR), complete response (CR) or stable disease (SD) ≥ 4 cycles.

Outcome measures

Outcome measures
Measure
Selumetinib and Sirolimus
n=21 Participants
A Simon's two-stage phase 2 trial of MEK inhibitor selumetinib in combination with the mTOR inhibitor sirolimus to determine the safety and clinical benefit in patients with unresectable or metastatic MPNSTs. Both agents will be given orally on an empty stomach. Selumetinib will be given orally at a dose of 50mg twice daily continuously. Sirolimus will be given orally at a dose of 4mg once daily with a cycle 1 day 1 loading dose of 12mg. Each cycle will be considered 28 days. Selumetinib: Selumetinib (AZD6244) is an oral selective inhibitor of the mitogen-activated protein kinase (MEK) 1/2 currently in development for adult malignancies, pediatric low-grade gliomas and NF1 plexiform neurofibromas. MEK is a critical kinase in the mitogen activated protein (MAP) kinase signal transduction pathway for many growth factor receptors that provide growth signals to cancer cells. Sirolimus: Sirolimus is a macrocyclic lactone produced by Streptomyces hygroscopicus and inhibitor of mammalian Target of Rapamycin (mTOR) serine threonine kinase, which plays a critical role in regulating cellular energy sensing, growth and metabolism.
Clinical Benefit Rate of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
0.095 Proportion
Interval 0.0167 to 0.32

SECONDARY outcome

Timeframe: PFS is the duration of time from the start of treatment to the time of objective progression or death whichever happens first up to 4 years. OS is the duration of time from the start of treatment to the time of death; assessed up to 4 years.

Population: PFS Outcome data: * Measure type: median time to event * Unit of measure: months * Estimated Value: 1.97 months * Confidence Interval: 95% CI (1.71, 3.65 months)

Determined using the Kaplan-Meier method with PFS at important time points reported along with 95% two sided confidence intervals.

Outcome measures

Outcome measures
Measure
Selumetinib and Sirolimus
n=21 Participants
A Simon's two-stage phase 2 trial of MEK inhibitor selumetinib in combination with the mTOR inhibitor sirolimus to determine the safety and clinical benefit in patients with unresectable or metastatic MPNSTs. Both agents will be given orally on an empty stomach. Selumetinib will be given orally at a dose of 50mg twice daily continuously. Sirolimus will be given orally at a dose of 4mg once daily with a cycle 1 day 1 loading dose of 12mg. Each cycle will be considered 28 days. Selumetinib: Selumetinib (AZD6244) is an oral selective inhibitor of the mitogen-activated protein kinase (MEK) 1/2 currently in development for adult malignancies, pediatric low-grade gliomas and NF1 plexiform neurofibromas. MEK is a critical kinase in the mitogen activated protein (MAP) kinase signal transduction pathway for many growth factor receptors that provide growth signals to cancer cells. Sirolimus: Sirolimus is a macrocyclic lactone produced by Streptomyces hygroscopicus and inhibitor of mammalian Target of Rapamycin (mTOR) serine threonine kinase, which plays a critical role in regulating cellular energy sensing, growth and metabolism.
Progression Free (PFS) and Overall Survival (OS)
PFS
1.97 Months
Interval 1.71 to 3.65
Progression Free (PFS) and Overall Survival (OS)
OS
6.12 Months
Interval 3.55 to 10.39

SECONDARY outcome

Timeframe: Up to 6 months

Treatment-emergent adverse events occurring after initiation of selumetinib in combination with sirolimus were assessed and graded according to CTCAE v5.0. The safety population included all participants who received at least one dose of study treatment.

Outcome measures

Outcome measures
Measure
Selumetinib and Sirolimus
n=21 Participants
A Simon's two-stage phase 2 trial of MEK inhibitor selumetinib in combination with the mTOR inhibitor sirolimus to determine the safety and clinical benefit in patients with unresectable or metastatic MPNSTs. Both agents will be given orally on an empty stomach. Selumetinib will be given orally at a dose of 50mg twice daily continuously. Sirolimus will be given orally at a dose of 4mg once daily with a cycle 1 day 1 loading dose of 12mg. Each cycle will be considered 28 days. Selumetinib: Selumetinib (AZD6244) is an oral selective inhibitor of the mitogen-activated protein kinase (MEK) 1/2 currently in development for adult malignancies, pediatric low-grade gliomas and NF1 plexiform neurofibromas. MEK is a critical kinase in the mitogen activated protein (MAP) kinase signal transduction pathway for many growth factor receptors that provide growth signals to cancer cells. Sirolimus: Sirolimus is a macrocyclic lactone produced by Streptomyces hygroscopicus and inhibitor of mammalian Target of Rapamycin (mTOR) serine threonine kinase, which plays a critical role in regulating cellular energy sensing, growth and metabolism.
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Anemia · Grade 4
0 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Anemia · No Grade 3-4 AE reported
20 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Infection, cecal · Grade 3
1 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Infection, cecal · Grade 4
0 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Infection, cecal · No Grade 3-4 AE reported
20 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Anemia · Grade 3
1 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Dyspnea · Grade 3
1 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Dyspnea · Grade 4
0 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Dyspnea · No Grade 3-4 AE reported
20 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Hypertension · Grade 3
1 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Hypertension · Grade 4
0 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Hypertension · No Grade 3-4 AE reported
20 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Hypokalemia · Grade 3
1 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Hypokalemia · Grade 4
0 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Hypokalemia · No Grade 3-4 AE reported
20 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Hypoxia · Grade 3
1 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Hypoxia · Grade 4
0 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Hypoxia · No Grade 3-4 AE reported
20 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Hypophosphatemia · Grade 3
0 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Hypophosphatemia · Grade 4
1 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Hypophosphatemia · No Grade 3-4 AE reported
20 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Mucositis, oral · Grade 3
1 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Mucositis, oral · Grade 4
0 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Mucositis, oral · No Grade 3-4 AE reported
20 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Pleural effusion · Grade 3
1 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Pleural effusion · Grade 4
0 Participants
Define and Describe the Toxicities of Selumetinib in Combination With Sirolimus in Patients With Unresectable or Metastatic NF1 Associated or Sporadic MPNST.
Pleural effusion · No Grade 3-4 AE reported
20 Participants

SECONDARY outcome

Timeframe: Up to 6 months

Population: Change in Pain Interference from baseline to pre-cycle 2 (calculated as the score pre-cycle 2 minus the score at baseline). Positive values indicate increasing pain. Higher scores indicate worse pain The statistical test assesses if there is a significant change in pain interference from baseline to pre-cycle 2 Wilcoxon signed-rank test

Change in Pain Interference (PROMIS) from baseline to pre-cycle 2 (calculated as the score pre-cycle 2 minus the score at baseline). Positive values indicate increasing pain. Higher scores indicate worse pain The statistical test assesses if there is a significant change in pain interference from baseline to pre-cycle 2 Wilcoxon signed-rank test T-scores are standardized to the general population with a mean of 50 and standard deviation of 10. Higher scores indicate worse anxiety symptoms. A T-score of 55-60 indicates mild pain interference, 60-70 indicates moderate pain interference, and 70-80 indicates severe pain interference.

Outcome measures

Outcome measures
Measure
Selumetinib and Sirolimus
n=21 Participants
A Simon's two-stage phase 2 trial of MEK inhibitor selumetinib in combination with the mTOR inhibitor sirolimus to determine the safety and clinical benefit in patients with unresectable or metastatic MPNSTs. Both agents will be given orally on an empty stomach. Selumetinib will be given orally at a dose of 50mg twice daily continuously. Sirolimus will be given orally at a dose of 4mg once daily with a cycle 1 day 1 loading dose of 12mg. Each cycle will be considered 28 days. Selumetinib: Selumetinib (AZD6244) is an oral selective inhibitor of the mitogen-activated protein kinase (MEK) 1/2 currently in development for adult malignancies, pediatric low-grade gliomas and NF1 plexiform neurofibromas. MEK is a critical kinase in the mitogen activated protein (MAP) kinase signal transduction pathway for many growth factor receptors that provide growth signals to cancer cells. Sirolimus: Sirolimus is a macrocyclic lactone produced by Streptomyces hygroscopicus and inhibitor of mammalian Target of Rapamycin (mTOR) serine threonine kinase, which plays a critical role in regulating cellular energy sensing, growth and metabolism.
Assess the Impact on Pain Interference
Median at baseline
61.5 PROMIS T-Score
Interval 56.2 to 64.7
Assess the Impact on Pain Interference
Median pre Cycle 2
55.9 PROMIS T-Score
Interval 52.5 to 61.3

SECONDARY outcome

Timeframe: Up to 6 months

Change in Pain Intensity, as assessed on the numerical rating scale 11, from baseline to pre-cycle 2 (calculated as the score pre-cycle 2 minus the score at baseline). Positive values indicate increasing pain. Higher scores indicate worse pain The statistical test assesses if there is a significant change in pain intensity from baseline to pre-cycle 2 Wilcoxon signed-rank test The Numerical Rating Scale-11 (NRS-11) is a self-report segmented 11-point numeric scale that assesses pain severity. It consists of a horizontal line with 0 representing "no pain" at the right end of the line and 10 representing "worst pain you can imagine" at the left end.

Outcome measures

Outcome measures
Measure
Selumetinib and Sirolimus
n=21 Participants
A Simon's two-stage phase 2 trial of MEK inhibitor selumetinib in combination with the mTOR inhibitor sirolimus to determine the safety and clinical benefit in patients with unresectable or metastatic MPNSTs. Both agents will be given orally on an empty stomach. Selumetinib will be given orally at a dose of 50mg twice daily continuously. Sirolimus will be given orally at a dose of 4mg once daily with a cycle 1 day 1 loading dose of 12mg. Each cycle will be considered 28 days. Selumetinib: Selumetinib (AZD6244) is an oral selective inhibitor of the mitogen-activated protein kinase (MEK) 1/2 currently in development for adult malignancies, pediatric low-grade gliomas and NF1 plexiform neurofibromas. MEK is a critical kinase in the mitogen activated protein (MAP) kinase signal transduction pathway for many growth factor receptors that provide growth signals to cancer cells. Sirolimus: Sirolimus is a macrocyclic lactone produced by Streptomyces hygroscopicus and inhibitor of mammalian Target of Rapamycin (mTOR) serine threonine kinase, which plays a critical role in regulating cellular energy sensing, growth and metabolism.
Assess the Impact on Pain Severity
Median at baseline
6.0 Numerical Rating Scale-11 (NRS-11) score
Interval 2.5 to 9.5
Assess the Impact on Pain Severity
Median pre Cycle 2
5.0 Numerical Rating Scale-11 (NRS-11) score
Interval 2.5 to 6.5

Adverse Events

Selumetinib and Sirolimus

Serious events: 21 serious events
Other events: 21 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Selumetinib and Sirolimus
n=21 participants at risk
A Simon's two-stage phase 2 trial of MEK inhibitor selumetinib in combination with the mTOR inhibitor sirolimus to determine the safety and clinical benefit in patients with unresectable or metastatic MPNSTs. Both agents will be given orally on an empty stomach. Selumetinib will be given orally at a dose of 50mg twice daily continuously. Sirolimus will be given orally at a dose of 4mg once daily with a cycle 1 day 1 loading dose of 12mg. Each cycle will be considered 28 days. Selumetinib: Selumetinib (AZD6244) is an oral selective inhibitor of the mitogen-activated protein kinase (MEK) 1/2 currently in development for adult malignancies, pediatric low-grade gliomas and NF1 plexiform neurofibromas. MEK is a critical kinase in the mitogen activated protein (MAP) kinase signal transduction pathway for many growth factor receptors that provide growth signals to cancer cells. Sirolimus: Sirolimus is a macrocyclic lactone produced by Streptomyces hygroscopicus and inhibitor of mammalian Target of Rapamycin (mTOR) serine threonine kinase, which plays a critical role in regulating cellular energy sensing, growth and metabolism.
Gastrointestinal disorders
ABDOMINAL PAIN
9.5%
2/21 • Number of events 2 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Infections and infestations
ADMITTED FOR WOUND EROSION WITH POSSIBLE SUPERINFECTION
4.8%
1/21 • Number of events 1 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Blood and lymphatic system disorders
ANEMIA
14.3%
3/21 • Number of events 3 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Infections and infestations
CECAL INFECTION
4.8%
1/21 • Number of events 1 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Respiratory, thoracic and mediastinal disorders
DYSPNEA
4.8%
1/21 • Number of events 1 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Gastrointestinal disorders
ENTEROCOLITIS
4.8%
1/21 • Number of events 1 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Cardiac disorders
HYPERTENSION
9.5%
2/21 • Number of events 2 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Renal and urinary disorders
HYPERURICEMIA
4.8%
1/21 • Number of events 1 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Metabolism and nutrition disorders
HYPOKALEMIA
9.5%
2/21 • Number of events 2 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Metabolism and nutrition disorders
HYPOPHOSPHATEMIA
4.8%
1/21 • Number of events 1 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Respiratory, thoracic and mediastinal disorders
HYPOXIA
9.5%
2/21 • Number of events 2 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
MULTI-ORGAN FAILURE
9.5%
2/21 • Number of events 2 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Respiratory, thoracic and mediastinal disorders
PLEURAL EFFUSION
4.8%
1/21 • Number of events 1 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Infections and infestations
SEPSIS
4.8%
1/21 • Number of events 1 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Cardiac disorders
SINUS TACHYCARDIA
4.8%
1/21 • Number of events 1 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Cardiac disorders
SUPRAVENTRICULAR TACHYCARDIA
4.8%
1/21 • Number of events 1 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Blood and lymphatic system disorders
THROMBOEMBOLIC EVENT
4.8%
1/21 • Number of events 1 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Infections and infestations
UPPER RESPIRATORY INFECTION
4.8%
1/21 • Number of events 1 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Infections and infestations
URINARY TRACT INFECTION
9.5%
2/21 • Number of events 2 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
ASCITES
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Ear and labyrinth disorders
HEARING IMPAIRED
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Blood and lymphatic system disorders
LEUKOCYTOSIS
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Blood and lymphatic system disorders
LYMPHOCYTE COUNT DECREASED
23.8%
5/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Metabolism and nutrition disorders
ANOREXIA
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
MUCOSITIS ORAL
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.

Other adverse events

Other adverse events
Measure
Selumetinib and Sirolimus
n=21 participants at risk
A Simon's two-stage phase 2 trial of MEK inhibitor selumetinib in combination with the mTOR inhibitor sirolimus to determine the safety and clinical benefit in patients with unresectable or metastatic MPNSTs. Both agents will be given orally on an empty stomach. Selumetinib will be given orally at a dose of 50mg twice daily continuously. Sirolimus will be given orally at a dose of 4mg once daily with a cycle 1 day 1 loading dose of 12mg. Each cycle will be considered 28 days. Selumetinib: Selumetinib (AZD6244) is an oral selective inhibitor of the mitogen-activated protein kinase (MEK) 1/2 currently in development for adult malignancies, pediatric low-grade gliomas and NF1 plexiform neurofibromas. MEK is a critical kinase in the mitogen activated protein (MAP) kinase signal transduction pathway for many growth factor receptors that provide growth signals to cancer cells. Sirolimus: Sirolimus is a macrocyclic lactone produced by Streptomyces hygroscopicus and inhibitor of mammalian Target of Rapamycin (mTOR) serine threonine kinase, which plays a critical role in regulating cellular energy sensing, growth and metabolism.
Gastrointestinal disorders
ABDOMINAL PAIN
9.5%
2/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Hepatobiliary disorders
ALANINE AMINOTRANSFERASE INCREASED
14.3%
3/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Hepatobiliary disorders
ALKALINE PHOSPHATASE INCREASED
33.3%
7/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Blood and lymphatic system disorders
ANEMIA
33.3%
7/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Metabolism and nutrition disorders
ANOREXIA
19.0%
4/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Hepatobiliary disorders
ASPARTATE AMINOTRANSFERASE INCREASED
28.6%
6/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
BLEEDING FROM ANKLE TUMOR SITE
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Metabolism and nutrition disorders
CHOLESTEROL HIGH
23.8%
5/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Gastrointestinal disorders
CONSTIPATION
28.6%
6/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Metabolism and nutrition disorders
CPK INCREASED
23.8%
5/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Metabolism and nutrition disorders
CREATININE INCREASED
9.5%
2/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Gastrointestinal disorders
DIARRHEA
23.8%
5/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Eye disorders
DRY EYE
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Skin and subcutaneous tissue disorders
DRY SKIN
14.3%
3/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
DYSGEUSIA
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
FALL
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
FATIGUE
33.3%
7/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
FEVER
9.5%
2/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Musculoskeletal and connective tissue disorders
GENERALIZED MUSCLE WEAKNESS
14.3%
3/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Metabolism and nutrition disorders
HYPERGLYCEMIA
38.1%
8/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Metabolism and nutrition disorders
HYPERPHOSPHATEMIA
9.5%
2/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Cardiac disorders
HYPERTENSION
19.0%
4/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Metabolism and nutrition disorders
HYPERTRIGLYCERIDEMIA
14.3%
3/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Metabolism and nutrition disorders
HYPOALBUMINEMIA
42.9%
9/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Metabolism and nutrition disorders
HYPOCALCEMIA
23.8%
5/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Metabolism and nutrition disorders
HYPOKALEMIA
19.0%
4/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Metabolism and nutrition disorders
HYPOPHOSPHATEMIA
9.5%
2/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Blood and lymphatic system disorders
LYMPHOCYTE COUNT DECREASED
23.8%
5/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
MOUTH SORES
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
MUCOSITIS ORAL
28.6%
6/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Musculoskeletal and connective tissue disorders
MYALGIA
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Gastrointestinal disorders
NAUSEA
57.1%
12/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Blood and lymphatic system disorders
NEUTROPHIL COUNT DECREASED
14.3%
3/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Infections and infestations
PARONYCHIA
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Blood and lymphatic system disorders
PLATELET COUNT DECREASED
23.8%
5/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Skin and subcutaneous tissue disorders
RASH ACNEIFORM
42.9%
9/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Skin and subcutaneous tissue disorders
RASH MACULO-PAPULAR
23.8%
5/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Skin and subcutaneous tissue disorders
SKIN ULCERATION
14.3%
3/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Cardiac disorders
SUPRAVENTRICULAR TACHYCARDIA
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Gastrointestinal disorders
VOMITING
33.3%
7/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Metabolism and nutrition disorders
WEIGHT LOSS
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Blood and lymphatic system disorders
WHITE BLOOD CELL DECREASED
28.6%
6/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Blood and lymphatic system disorders
ACTIVATED PARTIAL THROMBOPLASTIN TIME PROLONGED
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
ALLERGIC RHINITIS
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Psychiatric disorders
ANXIETY
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Respiratory, thoracic and mediastinal disorders
ASTHMA
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Musculoskeletal and connective tissue disorders
BACK PAIN
14.3%
3/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
BLOATING
9.5%
2/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Skin and subcutaneous tissue disorders
BULLOUS DERMATITIS
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
CHILLS
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
CONCENTRATION IMPAIRMENT
9.5%
2/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
CONFUSION
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Respiratory, thoracic and mediastinal disorders
COUGH
14.3%
3/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
DEHYDRATION
14.3%
3/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Psychiatric disorders
DEPRESSION
9.5%
2/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
DIZZINESS
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
DRIED BLOOD IN EAR
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
DRY MOUTH
14.3%
3/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
DYSESTHESIA
9.5%
2/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Respiratory, thoracic and mediastinal disorders
DYSPNEA
19.0%
4/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
EDEMA FACE
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
EDEMA LIMBS
33.3%
7/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
EPISTAXIS
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
FECAL INCONTINENCE
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
FLU LIKE SYMPTOMS
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Musculoskeletal and connective tissue disorders
FRACTURE
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
GAIT DISTURBANCE
9.5%
2/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Gastrointestinal disorders
GASTROESOPHAGEAL REFLUX DISEASE
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
GENITAL EDEMA
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
HEADACHE
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Renal and urinary disorders
HEMATURIA
9.5%
2/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
HYDROCEPHALUS
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Metabolism and nutrition disorders
HYPERKALEMIA
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Metabolism and nutrition disorders
HYPERMAGNESEMIA
14.3%
3/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Metabolism and nutrition disorders
HYPOGLYCEMIA
14.3%
3/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Metabolism and nutrition disorders
HYPONATREMIA
23.8%
5/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Cardiac disorders
HYPOTENSION
9.5%
2/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Respiratory, thoracic and mediastinal disorders
HYPOXIA
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Blood and lymphatic system disorders
INR INCREASED
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
INSOMNIA
14.3%
3/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Musculoskeletal and connective tissue disorders
JOINT RANGE OF MOTION DECREASED
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
LETHARGY
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
LOCALIZED EDEMA
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Blood and lymphatic system disorders
LYMPHEDEMA
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Musculoskeletal and connective tissue disorders
MUSCLE WEAKNESS LOWER LIMB
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
NON-CARDIAC CHEST PAIN
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Psychiatric disorders
OCD
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Eye disorders
OPTIC GLIOMA
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
ORAL PAIN
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Musculoskeletal and connective tissue disorders
OSTEOPOROSIS
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
PAIN
23.8%
5/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
PAIN IN EXTREMITY
14.3%
3/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
PARESTHESIA
9.5%
2/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
PERIORBITAL EDEMA
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Nervous system disorders
PERIPHERAL MOTOR NEUROPATHY
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Nervous system disorders
PERIPHERAL SENSORY NEUROPATHY
14.3%
3/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
PHOTOPHOBIA
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
PRESENTED WITH 2 BUMPS US DONE PROGRESSION NOT SUSPECTED
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Psychiatric disorders
PSYCHIATRIC DISORDERS - OTHER, SPECIFY
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Renal and urinary disorders
RENAL CALCULI
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
SEROMA
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Cardiac disorders
SINUS TACHYCARDIA
28.6%
6/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Blood and lymphatic system disorders
THROMBOEMBOLIC EVENT
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Musculoskeletal and connective tissue disorders
TRISMUS
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
General disorders
TUMOR PAIN
23.8%
5/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Infections and infestations
UPPER RESPIRATORY INFECTION
9.5%
2/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Renal and urinary disorders
URINARY RETENTION
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Metabolism and nutrition disorders
VITAMIN D DEFICIENCY
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Injury, poisoning and procedural complications
WOUND COMPLICATION
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.
Metabolism and nutrition disorders
CREATININE KINASE INCREASED
4.8%
1/21 • All-cause mortality was monitored from enrollment until death or end of follow-up, up to 4 years. Serious and other adverse events were assessed from first study treatment through 30 days after the last treatment or until resolution or stabilization of the adverse event (whichever occurs last), up to 4 years.

Additional Information

Lindsey Overman

SARC

Phone: 734-930-7600

Results disclosure agreements

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