Trial Outcomes & Findings for Nutrition Therapy in Improving Immune System in Patients With Bladder Cancer That Can Be Removed by Surgery (NCT NCT03757949)

NCT ID: NCT03757949

Last Updated: 2026-05-04

Results Overview

A post-operative complication is defined as a binary indicator variable indicating whether the patient experienced any complication (any/none; Clavien-Dindo grades I-V). The primary analysis will be based on a multivariable logistic regression under intent-totreat among all randomized patients, irrespective of their eligibility status, adjusting for the specified stratification factors: a. Diversion type (neobladder versus \[vs.\] ileal conduit); b. Prior neoadjuvant chemotherapy (any vs. none); and c. Nutrition status (well nourished vs. moderate malnutrition). A Fisher's exact test will also be conducted to establish whether the results are sensitive to model assumptions. A single interim analysis for efficacy will be conducted when 50% of patients achieve their endpoint at the alpha=0.005 level. Accordingly, the final analysis will be conducted at the alpha=0.045 level. A separate analysis among all eligible randomized patients will also be conducted.

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE3

Target enrollment

203 participants

Primary outcome timeframe

Up to 30 days post surgery

Results posted on

2026-05-04

Participant Flow

Participant milestones

Participant milestones
Measure
Arm I (SIM)
Patients receive SIM PO TID on days -5 to -1 and 1-5. Patients undergo standard of care surgery on day 0. Laboratory Biomarker Analysis: Correlative studies Nutritional Intervention: Receive SIM PO Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Arm II (Placebo)
ARM II: Patients receive placebo PO TID on days -5 to -1 and 1-5. Patients undergo standard of care surgery on day 0. Laboratory Biomarker Analysis: Correlative studies Placebo Administration: Given PO Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Overall Study
STARTED
99
104
Overall Study
COMPLETED
90
88
Overall Study
NOT COMPLETED
9
16

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Nutrition Therapy in Improving Immune System in Patients With Bladder Cancer That Can Be Removed by Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm I (SIM)
n=99 Participants
Patients receive SIM PO TID on days -5 to -1 and 1-5. Patients undergo standard of care surgery on day 0. Laboratory Biomarker Analysis: Correlative studies Nutritional Intervention: Receive SIM PO Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Arm II (Placebo)
n=104 Participants
ARM II: Patients receive placebo PO TID on days -5 to -1 and 1-5. Patients undergo standard of care surgery on day 0. Laboratory Biomarker Analysis: Correlative studies Placebo Administration: Given PO Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Total
n=203 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=54 Participants
0 Participants
n=60 Participants
0 Participants
n=114 Participants
Age, Categorical
Between 18 and 65 years
33 Participants
n=54 Participants
32 Participants
n=60 Participants
65 Participants
n=114 Participants
Age, Categorical
>=65 years
66 Participants
n=54 Participants
72 Participants
n=60 Participants
138 Participants
n=114 Participants
Age, Continuous
68 years
n=54 Participants
69.45 years
n=60 Participants
68.8 years
n=114 Participants
Sex: Female, Male
Female
22 Participants
n=54 Participants
19 Participants
n=60 Participants
41 Participants
n=114 Participants
Sex: Female, Male
Male
77 Participants
n=54 Participants
85 Participants
n=60 Participants
162 Participants
n=114 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=54 Participants
0 Participants
n=60 Participants
0 Participants
n=114 Participants
Race (NIH/OMB)
Asian
4 Participants
n=54 Participants
2 Participants
n=60 Participants
6 Participants
n=114 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=54 Participants
0 Participants
n=60 Participants
1 Participants
n=114 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=54 Participants
6 Participants
n=60 Participants
10 Participants
n=114 Participants
Race (NIH/OMB)
White
68 Participants
n=54 Participants
79 Participants
n=60 Participants
147 Participants
n=114 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=54 Participants
0 Participants
n=60 Participants
0 Participants
n=114 Participants
Race (NIH/OMB)
Unknown or Not Reported
22 Participants
n=54 Participants
17 Participants
n=60 Participants
39 Participants
n=114 Participants
Region of Enrollment
United States
99 participants
n=54 Participants
104 participants
n=60 Participants
203 participants
n=114 Participants

PRIMARY outcome

Timeframe: Up to 30 days post surgery

Population: Participants who are evaluable at day 30

A post-operative complication is defined as a binary indicator variable indicating whether the patient experienced any complication (any/none; Clavien-Dindo grades I-V). The primary analysis will be based on a multivariable logistic regression under intent-totreat among all randomized patients, irrespective of their eligibility status, adjusting for the specified stratification factors: a. Diversion type (neobladder versus \[vs.\] ileal conduit); b. Prior neoadjuvant chemotherapy (any vs. none); and c. Nutrition status (well nourished vs. moderate malnutrition). A Fisher's exact test will also be conducted to establish whether the results are sensitive to model assumptions. A single interim analysis for efficacy will be conducted when 50% of patients achieve their endpoint at the alpha=0.005 level. Accordingly, the final analysis will be conducted at the alpha=0.045 level. A separate analysis among all eligible randomized patients will also be conducted.

Outcome measures

Outcome measures
Measure
Arm II (Placebo)
n=88 Participants
ARM II: Patients receive placebo PO TID on days -5 to -1 and 1-5. Patients undergo standard of care surgery on day 0. Laboratory Biomarker Analysis: Correlative studies Placebo Administration: Given PO Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Arm I (SIM)
n=90 Participants
Patients receive SIM PO TID on days -5 to -1 and 1-5. Patients undergo standard of care surgery on day 0. Laboratory Biomarker Analysis: Correlative studies Nutritional Intervention: Receive SIM PO Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Post-operative Complications (30 Days)
51 Participants
56 Participants

SECONDARY outcome

Timeframe: Within 90 days after scheduled RC

Population: Patients evaluable at 90 days

Late-phase post-operative complications within 90 days after scheduled RC

Outcome measures

Outcome measures
Measure
Arm II (Placebo)
n=88 Participants
ARM II: Patients receive placebo PO TID on days -5 to -1 and 1-5. Patients undergo standard of care surgery on day 0. Laboratory Biomarker Analysis: Correlative studies Placebo Administration: Given PO Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Arm I (SIM)
n=90 Participants
Patients receive SIM PO TID on days -5 to -1 and 1-5. Patients undergo standard of care surgery on day 0. Laboratory Biomarker Analysis: Correlative studies Nutritional Intervention: Receive SIM PO Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Post-Op Complications (90 Days)
Fever
2 participants
0 participants
Post-Op Complications (90 Days)
Metabolic acidosis
0 participants
5 participants

SECONDARY outcome

Timeframe: 30 days post-op

Number of post-operative infections

Outcome measures

Outcome measures
Measure
Arm II (Placebo)
n=88 Participants
ARM II: Patients receive placebo PO TID on days -5 to -1 and 1-5. Patients undergo standard of care surgery on day 0. Laboratory Biomarker Analysis: Correlative studies Placebo Administration: Given PO Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Arm I (SIM)
n=90 Participants
Patients receive SIM PO TID on days -5 to -1 and 1-5. Patients undergo standard of care surgery on day 0. Laboratory Biomarker Analysis: Correlative studies Nutritional Intervention: Receive SIM PO Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Infections
Superficial wound infection
5 number of infections
5 number of infections
Infections
Deep wound infection
2 number of infections
0 number of infections
Infections
Urinary tract infection
15 number of infections
29 number of infections

SECONDARY outcome

Timeframe: 30 days post op

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 days post-op

High grade complications 30 days post-op, where high grade is Clavien-Dindo scores III-V

Outcome measures

Outcome measures
Measure
Arm II (Placebo)
n=88 Participants
ARM II: Patients receive placebo PO TID on days -5 to -1 and 1-5. Patients undergo standard of care surgery on day 0. Laboratory Biomarker Analysis: Correlative studies Placebo Administration: Given PO Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Arm I (SIM)
n=90 Participants
Patients receive SIM PO TID on days -5 to -1 and 1-5. Patients undergo standard of care surgery on day 0. Laboratory Biomarker Analysis: Correlative studies Nutritional Intervention: Receive SIM PO Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
High Grade Post-Op Complications
7 number of complications
11 number of complications

SECONDARY outcome

Timeframe: 30 days post-op

Count of participants that were readmitted to hospital within 30 days post-op.

Outcome measures

Outcome measures
Measure
Arm II (Placebo)
n=88 Participants
ARM II: Patients receive placebo PO TID on days -5 to -1 and 1-5. Patients undergo standard of care surgery on day 0. Laboratory Biomarker Analysis: Correlative studies Placebo Administration: Given PO Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Arm I (SIM)
n=90 Participants
Patients receive SIM PO TID on days -5 to -1 and 1-5. Patients undergo standard of care surgery on day 0. Laboratory Biomarker Analysis: Correlative studies Nutritional Intervention: Receive SIM PO Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Readmission Rates
19 participants
30 participants

SECONDARY outcome

Timeframe: 30 days post op

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 2 years

Disease free survival is defined as time from surgery to documented recurrence or death from any cause. The number reported is the number of participants who survived two years without documented recurrence.

Outcome measures

Outcome measures
Measure
Arm II (Placebo)
n=88 Participants
ARM II: Patients receive placebo PO TID on days -5 to -1 and 1-5. Patients undergo standard of care surgery on day 0. Laboratory Biomarker Analysis: Correlative studies Placebo Administration: Given PO Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Arm I (SIM)
n=90 Participants
Patients receive SIM PO TID on days -5 to -1 and 1-5. Patients undergo standard of care surgery on day 0. Laboratory Biomarker Analysis: Correlative studies Nutritional Intervention: Receive SIM PO Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
2-Year Disease Free Survival
59 participants
70 participants

Adverse Events

Arm I (SIM)

Serious events: 2 serious events
Other events: 68 other events
Deaths: 9 deaths

Arm II (Placebo)

Serious events: 2 serious events
Other events: 67 other events
Deaths: 17 deaths

Serious adverse events

Serious adverse events
Measure
Arm I (SIM)
n=91 participants at risk
Patients receive SIM PO TID on days -5 to -1 and 1-5. Patients undergo standard of care surgery on day 0. Laboratory Biomarker Analysis: Correlative studies Nutritional Intervention: Receive SIM PO Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Arm II (Placebo)
n=88 participants at risk
ARM II: Patients receive placebo PO TID on days -5 to -1 and 1-5. Patients undergo standard of care surgery on day 0. Laboratory Biomarker Analysis: Correlative studies Placebo Administration: Given PO Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Cardiac disorders
Cardiac arrest
0.00%
0/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
2.3%
2/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Gastrointestinal disorders
Small intestinal obstruction
0.00%
0/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
1.1%
1/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Infections and infestations
Kidney infection
1.1%
1/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
0.00%
0/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Infections and infestations
Sepsis
1.1%
1/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
0.00%
0/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Injury, poisoning and procedural complications
Postoperative thoracic procedure complication
0.00%
0/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
1.1%
1/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.00%
0/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
1.1%
1/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.

Other adverse events

Other adverse events
Measure
Arm I (SIM)
n=91 participants at risk
Patients receive SIM PO TID on days -5 to -1 and 1-5. Patients undergo standard of care surgery on day 0. Laboratory Biomarker Analysis: Correlative studies Nutritional Intervention: Receive SIM PO Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Arm II (Placebo)
n=88 participants at risk
ARM II: Patients receive placebo PO TID on days -5 to -1 and 1-5. Patients undergo standard of care surgery on day 0. Laboratory Biomarker Analysis: Correlative studies Placebo Administration: Given PO Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Blood and lymphatic system disorders
Anemia
19.8%
18/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
23.9%
21/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Blood and lymphatic system disorders
Leukocytosis
6.6%
6/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
5.7%
5/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Cardiac disorders
Sinus tachycardia
5.5%
5/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
4.5%
4/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Gastrointestinal disorders
Abdominal distension
5.5%
5/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
1.1%
1/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Gastrointestinal disorders
Abdominal pain
17.6%
16/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
19.3%
17/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Gastrointestinal disorders
Bloating
8.8%
8/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
8.0%
7/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Gastrointestinal disorders
Constipation
16.5%
15/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
13.6%
12/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Gastrointestinal disorders
Diarrhea
18.7%
17/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
10.2%
9/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Gastrointestinal disorders
Gastrointestinal disorders-Other
4.4%
4/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
8.0%
7/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Gastrointestinal disorders
Ileus
6.6%
6/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
10.2%
9/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Gastrointestinal disorders
Nausea
30.8%
28/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
29.5%
26/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Gastrointestinal disorders
Vomiting
22.0%
20/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
15.9%
14/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
General disorders
Chills
6.6%
6/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
2.3%
2/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
General disorders
Edema limbs
5.5%
5/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
8.0%
7/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
General disorders
Fatigue
15.4%
14/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
18.2%
16/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
General disorders
Fever
16.5%
15/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
4.5%
4/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
General disorders
Pain
16.5%
15/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
8.0%
7/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Infections and infestations
Sepsis
5.5%
5/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
3.4%
3/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Infections and infestations
Urinary tract infection
20.9%
19/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
11.4%
10/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Investigations
Creatinine increased
11.0%
10/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
12.5%
11/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Metabolism and nutrition disorders
Anorexia
6.6%
6/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
5.7%
5/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Metabolism and nutrition disorders
Hyperglycemia
8.8%
8/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
14.8%
13/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Metabolism and nutrition disorders
Hypoalbuminemia
5.5%
5/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
2.3%
2/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Metabolism and nutrition disorders
Hypocalcemia
8.8%
8/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
6.8%
6/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Metabolism and nutrition disorders
Hypokalemia
6.6%
6/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
6.8%
6/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Metabolism and nutrition disorders
Hypomagnesemia
8.8%
8/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
5.7%
5/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Metabolism and nutrition disorders
Hyponatremia
8.8%
8/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
4.5%
4/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Metabolism and nutrition disorders
Hypophosphatemia
6.6%
6/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
4.5%
4/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Metabolism and nutrition disorders
Metabolism and nutrition disorders-Other
6.6%
6/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
1.1%
1/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Musculoskeletal and connective tissue disorders
Back pain
6.6%
6/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
4.5%
4/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Nervous system disorders
Dizziness
7.7%
7/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
3.4%
3/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Renal and urinary disorders
Hematuria
6.6%
6/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
4.5%
4/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Renal and urinary disorders
Renal and urinary disorders-Other
6.6%
6/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
4.5%
4/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
Vascular disorders
Hypertension
8.8%
8/91 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.
8.0%
7/88 • Once within 14 days after preoperative treatment, once within 14 days after post-operative treatment. Death assessed for 2 years.
Adverse Events are assessed using CTCAE version 5.0. The population assessed is not the same as analysis population. The analysis population was among all randomized (not just eligible participants), with evaluability based on assessment for primary outcome. Whereas the AE/SAE population was all eligible patients, assessed for AEs, and evaluable for survival endpoints.

Additional Information

Danika Lew

SWOG

Phone: 206-667-2272

Results disclosure agreements

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