Trial Outcomes & Findings for A Pilot Study of Autologous T-Cell Transplantation With Vaccine Driven Expansion of Anti-Tumor Effectors After Cytoreductive Therapy in Metastatic Pediatric Sarcomas (NCT NCT00001566)

NCT ID: NCT00001566

Last Updated: 2012-06-15

Results Overview

Immune response was defined as a percent specific lysis of \>10% following challenge with peptide pulsed targets, or interferon gamma production following challenge with peptide pulsed targets \>2-fold that found with no-peptide controls or a proliferation index \>3.0. Tumor specific peptides: Ewings sarcoma Type 1: EF-1 (EWS/FLI-1)\*SSSYGQQN/PSYDSVRRGA,Ewing's Sarcoma Type 2: EF-2 (EWS/FLI-2)\* SSSYGQ/QSSLLAYNT, Alveolar rhabdomyosarcoma: PXFK (PAX3/FKHR)† TIGNGLSPQ/NSIRHNLSL. Non-tumor specific peptide:HPV16E7 MLDLQPETT-MET-9-THR. See protocol link module for additional information re: peptides.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

42 participants

Primary outcome timeframe

20 weeks post vaccination

Results posted on

2012-06-15

Participant Flow

42 patients were enrolled in this study.

Participant milestones

Participant milestones
Measure
Peptide Vaccine/Autologous T Cell Transplant/Indinavir Therapy
Patients receive oral indinavir sulfate 350 mg/m\^2 administered every 8 hours; maximum dose i.e. 800 mg every 8 hours; peptide pulsed dendritic cells 1 x 10\^6 injection; harvested autologous T cells (minimum dose 1 x 10\^6/kg will be thawed rapidly in 37 degree water bath and infused sequentially over 5-15 minutes.
Overall Study
STARTED
42
Overall Study
Completed Immunotherapy
23
Overall Study
COMPLETED
23
Overall Study
NOT COMPLETED
19

Reasons for withdrawal

Reasons for withdrawal
Measure
Peptide Vaccine/Autologous T Cell Transplant/Indinavir Therapy
Patients receive oral indinavir sulfate 350 mg/m\^2 administered every 8 hours; maximum dose i.e. 800 mg every 8 hours; peptide pulsed dendritic cells 1 x 10\^6 injection; harvested autologous T cells (minimum dose 1 x 10\^6/kg will be thawed rapidly in 37 degree water bath and infused sequentially over 5-15 minutes.
Overall Study
patients' choice to discontinue protocol
3
Overall Study
stopped after C3 due to symptomatic PD
1
Overall Study
Death
13
Overall Study
Lost to Follow-up
1
Overall Study
unable to complete initial apheresis
1

Baseline Characteristics

A Pilot Study of Autologous T-Cell Transplantation With Vaccine Driven Expansion of Anti-Tumor Effectors After Cytoreductive Therapy in Metastatic Pediatric Sarcomas

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Peptide Vaccine/Autologous T Cell Transplant/Indinavir Therapy
n=42 Participants
Patients receive oral indinavir sulfate 350 mg/m\^2 administered every 8 hours; maximum dose i.e. 800 mg every 8 hours; peptide pulsed dendritic cells 1 x 10\^6 injection; harvested autologous T cells (minimum dose 1 x 10\^6/kg will be thawed rapidly in 37 degree water bath and infused sequentially over 5-15 minutes.
Age, Categorical
<=18 years
26 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
16 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age Continuous
18.67 years
STANDARD_DEVIATION 8.59 • n=5 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
Sex: Female, Male
Male
25 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
40 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
42 participants
n=5 Participants

PRIMARY outcome

Timeframe: 20 weeks post vaccination

Immune response was defined as a percent specific lysis of \>10% following challenge with peptide pulsed targets, or interferon gamma production following challenge with peptide pulsed targets \>2-fold that found with no-peptide controls or a proliferation index \>3.0. Tumor specific peptides: Ewings sarcoma Type 1: EF-1 (EWS/FLI-1)\*SSSYGQQN/PSYDSVRRGA,Ewing's Sarcoma Type 2: EF-2 (EWS/FLI-2)\* SSSYGQ/QSSLLAYNT, Alveolar rhabdomyosarcoma: PXFK (PAX3/FKHR)† TIGNGLSPQ/NSIRHNLSL. Non-tumor specific peptide:HPV16E7 MLDLQPETT-MET-9-THR. See protocol link module for additional information re: peptides.

Outcome measures

Outcome measures
Measure
Peptide Vaccine/Autologous T Cell Transplant/Indinavir Therapy
n=23 Participants
Patients receive oral indinavir sulfate 350 mg/m\^2 administered every 8 hours; maximum dose i.e. 800 mg every 8 hours; peptide pulsed dendritic cells 1 x 10\^6 injection; harvested autologous T cells (minimum dose 1 x 10\^6/kg will be thawed rapidly in 37 degree water bath and infused sequentially over 5-15 minutes.
Number of Participants With an Immune Response to Tumor-specific and Non-tumor Specific Peptides During a Period of Immune Reconstitution
Immune response to tumor specific peptides
9 Participants
Number of Participants With an Immune Response to Tumor-specific and Non-tumor Specific Peptides During a Period of Immune Reconstitution
Immune response to non-tumor specific peptides
23 Participants

PRIMARY outcome

Timeframe: 2 to 6 months

CD4 counts were measured from peripheral blood using standard flow cytometric techniques at the following timepoints: 2 months post-chemotherapy, 4 months post-chemotherapy and 6 months post-chemotherapy. To be eligible for evaluation for this endpoint, patient much have been \<10 years of age and sustained a CD4 count of \<300 cells/mcl upon completion of standard therapy. Recovery was defined as a CD4 count \> 500 cells/mcl at any timepoint within 6 months of completing chemotherapy.

Outcome measures

Outcome measures
Measure
Peptide Vaccine/Autologous T Cell Transplant/Indinavir Therapy
n=16 Participants
Patients receive oral indinavir sulfate 350 mg/m\^2 administered every 8 hours; maximum dose i.e. 800 mg every 8 hours; peptide pulsed dendritic cells 1 x 10\^6 injection; harvested autologous T cells (minimum dose 1 x 10\^6/kg will be thawed rapidly in 37 degree water bath and infused sequentially over 5-15 minutes.
The Percent of Patients Who Recover CD4 Counts Within 6 Months of Completion of Chemotherapy
12.5 Percentage of participants

PRIMARY outcome

Timeframe: 5 years

Immune responses were measured following 3 sequential influenza vaccines during the same period as the peptide-pulsed dendritic cell vaccines.

Outcome measures

Outcome measures
Measure
Peptide Vaccine/Autologous T Cell Transplant/Indinavir Therapy
n=23 Participants
Patients receive oral indinavir sulfate 350 mg/m\^2 administered every 8 hours; maximum dose i.e. 800 mg every 8 hours; peptide pulsed dendritic cells 1 x 10\^6 injection; harvested autologous T cells (minimum dose 1 x 10\^6/kg will be thawed rapidly in 37 degree water bath and infused sequentially over 5-15 minutes.
Number of Participants With an Immune Response to the Translocation Breakpoint Peptide
9 Participants

PRIMARY outcome

Timeframe: 5 years

Population: 12 patients were human leukocyte antigen serotype within HLA-A A serotype group (HLA-A2+) and therefore evaluable for response to E7 peptides.

Immune response was defined as a percent specific lysis of \>10% following challenge with peptide pulsed targets, or interferon gamma production following challenge with peptide pulsed targets \>2-fold that found with no-peptide controls or a proliferation index \>3.0.

Outcome measures

Outcome measures
Measure
Peptide Vaccine/Autologous T Cell Transplant/Indinavir Therapy
n=12 Participants
Patients receive oral indinavir sulfate 350 mg/m\^2 administered every 8 hours; maximum dose i.e. 800 mg every 8 hours; peptide pulsed dendritic cells 1 x 10\^6 injection; harvested autologous T cells (minimum dose 1 x 10\^6/kg will be thawed rapidly in 37 degree water bath and infused sequentially over 5-15 minutes.
Number of Participants With an Immune Response to Non-Tumor-specific Peptide E7
3 Participants

PRIMARY outcome

Timeframe: Once per enrollment

Immune response was defined as a percent specific lysis of \>10% following challenge with tumor peptide pulsed targets, or interferon gamma production following challenge with tumor peptide pulsed targets \>2-fold that found with no-peptide controls or a proliferation index \>3.0 to tumor peptide targets.Tumor specific peptides: Ewings sarcoma Type 1: EF-1 (EWS/FLI-1)\*SSSYGQQN/PSYDSVRRGA,Ewing's Sarcoma Type 2: EF-2 (EWS/FLI-2)\* SSSYGQ/QSSLLAYNT, Alveolar rhabdomyosarcoma: PXFK (PAX3/FKHR)† TIGNGLSPQ/NSIRHNLSL. See protocol link module for additional information re: peptides.

Outcome measures

Outcome measures
Measure
Peptide Vaccine/Autologous T Cell Transplant/Indinavir Therapy
n=23 Participants
Patients receive oral indinavir sulfate 350 mg/m\^2 administered every 8 hours; maximum dose i.e. 800 mg every 8 hours; peptide pulsed dendritic cells 1 x 10\^6 injection; harvested autologous T cells (minimum dose 1 x 10\^6/kg will be thawed rapidly in 37 degree water bath and infused sequentially over 5-15 minutes.
Number of Participants With an Immune Response to Tumor-Specific Peptides at the Time of Presentation
5 Participants

SECONDARY outcome

Timeframe: 5 years

Overall survival is defined as the time between the first day of treatment to the day of death.

Outcome measures

Outcome measures
Measure
Peptide Vaccine/Autologous T Cell Transplant/Indinavir Therapy
n=42 Participants
Patients receive oral indinavir sulfate 350 mg/m\^2 administered every 8 hours; maximum dose i.e. 800 mg every 8 hours; peptide pulsed dendritic cells 1 x 10\^6 injection; harvested autologous T cells (minimum dose 1 x 10\^6/kg will be thawed rapidly in 37 degree water bath and infused sequentially over 5-15 minutes.
Percentage of Participants Overall Survival
43 Percentage of participants

SECONDARY outcome

Timeframe: 5 years

Event free survival is calculated from the date of diagnosis for patients enrolled with newly diagnosed metastatic disease and from the date of the last recurrence detection before enrollment on this study for patients with recurrent disease.

Outcome measures

Outcome measures
Measure
Peptide Vaccine/Autologous T Cell Transplant/Indinavir Therapy
n=42 Participants
Patients receive oral indinavir sulfate 350 mg/m\^2 administered every 8 hours; maximum dose i.e. 800 mg every 8 hours; peptide pulsed dendritic cells 1 x 10\^6 injection; harvested autologous T cells (minimum dose 1 x 10\^6/kg will be thawed rapidly in 37 degree water bath and infused sequentially over 5-15 minutes.
Percent of Participants: Event Free Survival
31 Percentage of participants

SECONDARY outcome

Timeframe: 5 years

Here are the number of participants with adverse events. For the detailed list of adverse events see the adverse event module.

Outcome measures

Outcome measures
Measure
Peptide Vaccine/Autologous T Cell Transplant/Indinavir Therapy
n=42 Participants
Patients receive oral indinavir sulfate 350 mg/m\^2 administered every 8 hours; maximum dose i.e. 800 mg every 8 hours; peptide pulsed dendritic cells 1 x 10\^6 injection; harvested autologous T cells (minimum dose 1 x 10\^6/kg will be thawed rapidly in 37 degree water bath and infused sequentially over 5-15 minutes.
Number of Participants With Adverse Events
27 Participants

SECONDARY outcome

Timeframe: 5.4 years

Overall survival is defined as the time between the first day of treatment to the day of death.

Outcome measures

Outcome measures
Measure
Peptide Vaccine/Autologous T Cell Transplant/Indinavir Therapy
n=42 Participants
Patients receive oral indinavir sulfate 350 mg/m\^2 administered every 8 hours; maximum dose i.e. 800 mg every 8 hours; peptide pulsed dendritic cells 1 x 10\^6 injection; harvested autologous T cells (minimum dose 1 x 10\^6/kg will be thawed rapidly in 37 degree water bath and infused sequentially over 5-15 minutes.
Median Overall Survival
4.1 Years
Interval 3.4 to 5.4

Adverse Events

Peptide Vaccine/Autologous T Cell Transplant/Indinavir Therapy

Serious events: 15 serious events
Other events: 27 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Peptide Vaccine/Autologous T Cell Transplant/Indinavir Therapy
n=42 participants at risk
Patients receive oral indinavir sulfate 350 mg/m\^2 administered every 8 hours; maximum dose i.e. 800 mg every 8 hours; peptide pulsed dendritic cells 1 x 10\^6 injection; harvested autologous T cells (minimum dose 1 x 10\^6/kg will be thawed rapidly in 37 degree water bath and infused sequentially over 5-15 minutes.
Gastrointestinal disorders
Abdominal pain or cramping
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Anorexia
2.4%
1/42 • Number of events 1 • 5 years
Investigations
CPK (Creatine phosphokinase)
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Diarrhea
4.8%
2/42 • Number of events 2 • 5 years
Vascular disorders
DVT (deep vein thrombosis)
2.4%
1/42 • Number of events 1 • 5 years
Investigations
Elevated total bilirubin
2.4%
1/42 • Number of events 1 • 5 years
Nervous system disorders
Headache
2.4%
1/42 • Number of events 1 • 5 years
Blood and lymphatic system disorders
Hemorrhage
2.4%
1/42 • Number of events 1 • 5 years
Investigations
Leukocytes
2.4%
1/42 • Number of events 2 • 5 years
Investigations
Neutropenia
7.1%
3/42 • Number of events 4 • 5 years
Investigations
Neutrophils
2.4%
1/42 • Number of events 2 • 5 years
Skin and subcutaneous tissue disorders
Rash
2.4%
1/42 • Number of events 2 • 5 years
Skin and subcutaneous tissue disorders
Rash with macules/papules
2.4%
1/42 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
Skin rash
2.4%
1/42 • Number of events 1 • 5 years
Blood and lymphatic system disorders
Thrombocytopenia
4.8%
2/42 • Number of events 2 • 5 years

Other adverse events

Other adverse events
Measure
Peptide Vaccine/Autologous T Cell Transplant/Indinavir Therapy
n=42 participants at risk
Patients receive oral indinavir sulfate 350 mg/m\^2 administered every 8 hours; maximum dose i.e. 800 mg every 8 hours; peptide pulsed dendritic cells 1 x 10\^6 injection; harvested autologous T cells (minimum dose 1 x 10\^6/kg will be thawed rapidly in 37 degree water bath and infused sequentially over 5-15 minutes.
Gastrointestinal disorders
Abdominal discomfort
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Abdominal pain
4.8%
2/42 • Number of events 5 • 5 years
Musculoskeletal and connective tissue disorders
Achiness
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Achy
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Acid reflux
2.4%
1/42 • Number of events 6 • 5 years
Skin and subcutaneous tissue disorders
Acne (rash) on chest
2.4%
1/42 • Number of events 4 • 5 years
Metabolism and nutrition disorders
Alkaline phosphate elevated
16.7%
7/42 • Number of events 10 • 5 years
Metabolism and nutrition disorders
ALT (SGPT)
2.4%
1/42 • Number of events 5 • 5 years
Blood and lymphatic system disorders
Anemia
14.3%
6/42 • Number of events 9 • 5 years
Psychiatric disorders
Anxiety
4.8%
2/42 • Number of events 2 • 5 years
Psychiatric disorders
Anxiety symptoms
2.4%
1/42 • Number of events 1 • 5 years
Metabolism and nutrition disorders
AST (SGOT)
4.8%
2/42 • Number of events 3 • 5 years
Musculoskeletal and connective tissue disorders
Back pain
7.1%
3/42 • Number of events 7 • 5 years
Gastrointestinal disorders
Bad taste in mouth
2.4%
1/42 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
Bilateral flank pain
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Bitter taste in mouth
2.4%
1/42 • Number of events 4 • 5 years
Injury, poisoning and procedural complications
Bruise
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Chelitis
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Chest tightness
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Chills
16.7%
7/42 • Number of events 14 • 5 years
General disorders
Cold
4.8%
2/42 • Number of events 2 • 5 years
Respiratory, thoracic and mediastinal disorders
Congestion
7.1%
3/42 • Number of events 4 • 5 years
Gastrointestinal disorders
Constipation
4.8%
2/42 • Number of events 3 • 5 years
Respiratory, thoracic and mediastinal disorders
Cough
11.9%
5/42 • Number of events 9 • 5 years
Respiratory, thoracic and mediastinal disorders
Cough (dry)
2.4%
1/42 • Number of events 2 • 5 years
Respiratory, thoracic and mediastinal disorders
Cough (mild, intermittent)
2.4%
1/42 • Number of events 3 • 5 years
Respiratory, thoracic and mediastinal disorders
Cough nonproductive
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Cranky
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Decreased appetite
7.1%
3/42 • Number of events 4 • 5 years
General disorders
Decreased flexibility swelling left leg
2.4%
1/42 • Number of events 1 • 5 years
Metabolism and nutrition disorders
Decreased uric acid
2.4%
1/42 • Number of events 1 • 5 years
Renal and urinary disorders
Decreased urine output (o/p)
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Diarrhea
19.0%
8/42 • Number of events 10 • 5 years
Skin and subcutaneous tissue disorders
Discoloration skin (L) hand
4.8%
2/42 • Number of events 2 • 5 years
Nervous system disorders
Dizziness
4.8%
2/42 • Number of events 2 • 5 years
Nervous system disorders
Dizzy
2.4%
1/42 • Number of events 1 • 5 years
Eye disorders
Double vision
2.4%
1/42 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
Drainage on foot
2.4%
1/42 • Number of events 2 • 5 years
Respiratory, thoracic and mediastinal disorders
Dry cough
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Dry heaves
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Dry lips
4.8%
2/42 • Number of events 2 • 5 years
Skin and subcutaneous tissue disorders
Dry scaly peeling skin
2.4%
1/42 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
Dry scaly skin
2.4%
1/42 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
Dry skin
9.5%
4/42 • Number of events 5 • 5 years
Ear and labyrinth disorders
Ear pain/infection
2.4%
1/42 • Number of events 1 • 5 years
Ear and labyrinth disorders
Ears ringing
2.4%
1/42 • Number of events 4 • 5 years
Ear and labyrinth disorders
Ears ringing and clogged
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Edema
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Edema media R mid-thigh
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Edema on foot
2.4%
1/42 • Number of events 2 • 5 years
General disorders
Edema, facial
4.8%
2/42 • Number of events 2 • 5 years
Investigations
Elevated creat
2.4%
1/42 • Number of events 1 • 5 years
Investigations
Elevated creatin
2.4%
1/42 • Number of events 1 • 5 years
Hepatobiliary disorders
Elevated D bili
9.5%
4/42 • Number of events 4 • 5 years
Metabolism and nutrition disorders
Elevated glucose
4.8%
2/42 • Number of events 2 • 5 years
Hepatobiliary disorders
Elevated LFT's (liver function tests)
2.4%
1/42 • Number of events 1 • 5 years
Metabolism and nutrition disorders
Elevated magnesium
4.8%
2/42 • Number of events 3 • 5 years
Investigations
Elevated SGOT(serum glutamic oxaloacetic transaminase)
19.0%
8/42 • Number of events 8 • 5 years
Investigations
Elevated SGPT (serum glutamic pyruvic transaminase)
23.8%
10/42 • Number of events 14 • 5 years
Investigations
Elevated BUN
2.4%
1/42 • Number of events 1 • 5 years
Investigations
Elevated creatinine
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Emesis
4.8%
2/42 • Number of events 7 • 5 years
Investigations
Eosinophilia
31.0%
13/42 • Number of events 33 • 5 years
Skin and subcutaneous tissue disorders
Erythema
4.8%
2/42 • Number of events 3 • 5 years
Eye disorders
Eye pain
2.4%
1/42 • Number of events 1 • 5 years
Eye disorders
Eye swollen
2.4%
1/42 • Number of events 1 • 5 years
Eye disorders
Eyes watery
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Fatigue
38.1%
16/42 • Number of events 24 • 5 years
General disorders
Fever
28.6%
12/42 • Number of events 25 • 5 years
General disorders
Fever (by touch)
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Fever (by touch-low grade)
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Fever blister
2.4%
1/42 • Number of events 3 • 5 years
General disorders
Fever-low grade (by touch)
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Flatulence
2.4%
1/42 • Number of events 1 • 5 years
General disorders
flu symptoms
7.1%
3/42 • Number of events 8 • 5 years
General disorders
Flu-like symptoms
9.5%
4/42 • Number of events 4 • 5 years
General disorders
Flush cheeks
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Flush, facial
4.8%
2/42 • Number of events 2 • 5 years
General disorders
Flushed
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Flushed skin
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Flushing
4.8%
2/42 • Number of events 3 • 5 years
General disorders
Foot drop
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Gas build-up
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Gas pains
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Generalized pain
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Glands swoll
2.4%
1/42 • Number of events 1 • 5 years
Metabolism and nutrition disorders
Glucosuria
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Gum line bump (L. upper)
2.4%
1/42 • Number of events 1 • 5 years
Nervous system disorders
Headache
26.2%
11/42 • Number of events 14 • 5 years
Gastrointestinal disorders
Heartburn
4.8%
2/42 • Number of events 7 • 5 years
Renal and urinary disorders
Hematuria
16.7%
7/42 • Number of events 10 • 5 years
Blood and lymphatic system disorders
Hemoglobin
2.4%
1/42 • Number of events 1 • 5 years
Eye disorders
Hemorrhage sclera
2.4%
1/42 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
Hives
2.4%
1/42 • Number of events 1 • 5 years
Vascular disorders
Hot feeling
2.4%
1/42 • Number of events 1 • 5 years
Hepatobiliary disorders
Hyperbilirubin
2.4%
1/42 • Number of events 1 • 5 years
Metabolism and nutrition disorders
Hyperglycemia
7.1%
3/42 • Number of events 3 • 5 years
Vascular disorders
Hypertension
2.4%
1/42 • Number of events 2 • 5 years
Endocrine disorders
Hyperthyroid
2.4%
1/42 • Number of events 1 • 5 years
Metabolism and nutrition disorders
Hypoglycemia
2.4%
1/42 • Number of events 1 • 5 years
Metabolism and nutrition disorders
Hypomagnesemia
2.4%
1/42 • Number of events 1 • 5 years
Metabolism and nutrition disorders
Hyponatremia
2.4%
1/42 • Number of events 2 • 5 years
Vascular disorders
Hypotension
9.5%
4/42 • Number of events 4 • 5 years
Endocrine disorders
Hypothyroid
4.8%
2/42 • Number of events 2 • 5 years
Skin and subcutaneous tissue disorders
Impetigo
2.4%
1/42 • Number of events 1 • 5 years
Investigations
INC SGOT (serum glutamic oxaloacetic transaminase)
2.4%
1/42 • Number of events 2 • 5 years
Investigations
INC SGPT (serum glutamic pyruvic transaminase)
2.4%
1/42 • Number of events 5 • 5 years
General disorders
Increase fatigue
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Indigestion
2.4%
1/42 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
Induration
2.4%
1/42 • Number of events 2 • 5 years
Skin and subcutaneous tissue disorders
Induration injection site
2.4%
1/42 • Number of events 5 • 5 years
Infections and infestations
Inf IV site
2.4%
1/42 • Number of events 1 • 5 years
Eye disorders
Injection sclera
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Injection reaction
16.7%
7/42 • Number of events 38 • 5 years
Psychiatric disorders
Insomnia
7.1%
3/42 • Number of events 4 • 5 years
Musculoskeletal and connective tissue disorders
Intermittent pain in shaft of R tibia
7.1%
3/42 • Number of events 3 • 5 years
Nervous system disorders
Intermittent H/A (headache)
7.1%
3/42 • Number of events 6 • 5 years
Musculoskeletal and connective tissue disorders
Intermittent cramping legs
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Intermittent fatigue
2.4%
1/42 • Number of events 4 • 5 years
Psychiatric disorders
Intermittent insomnia
2.4%
1/42 • Number of events 3 • 5 years
General disorders
Irritable
2.4%
1/42 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
Itching
2.4%
1/42 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
Itching (chest)
2.4%
1/42 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
Itching/injection site
2.4%
1/42 • Number of events 3 • 5 years
Skin and subcutaneous tissue disorders
Itchy L. leg
2.4%
1/42 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
Itchy scratch under left eye
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Jaw pain
2.4%
1/42 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
Joint pain
4.8%
2/42 • Number of events 2 • 5 years
Renal and urinary disorders
Kidney stone
2.4%
1/42 • Number of events 1 • 5 years
General disorders
L anterior chest pain
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Left chest pressure
2.4%
1/42 • Number of events 1 • 5 years
Ear and labyrinth disorders
Left ear ringing
2.4%
1/42 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
Leg pain
4.8%
2/42 • Number of events 2 • 5 years
Nervous system disorders
Lethargic
2.4%
1/42 • Number of events 1 • 5 years
Investigations
Leukocytes
2.4%
1/42 • Number of events 7 • 5 years
Nervous system disorders
Lips numb
4.8%
2/42 • Number of events 2 • 5 years
Gastrointestinal disorders
Loose stool
4.8%
2/42 • Number of events 8 • 5 years
Gastrointestinal disorders
Loose stools
2.4%
1/42 • Number of events 1 • 5 years
Ear and labyrinth disorders
Loss of balance
2.4%
1/42 • Number of events 1 • 5 years
Metabolism and nutrition disorders
Low albumin
7.1%
3/42 • Number of events 3 • 5 years
Investigations
Low CO2
2.4%
1/42 • Number of events 1 • 5 years
Metabolism and nutrition disorders
Low potassium
2.4%
1/42 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
Lower back soreness
4.8%
2/42 • Number of events 3 • 5 years
General disorders
Malaise
11.9%
5/42 • Number of events 6 • 5 years
General disorders
Malleolus (pain)
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Minor sore throat
2.4%
1/42 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
Muscle aches
2.4%
1/42 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
Muscle atrophy
2.4%
1/42 • Number of events 3 • 5 years
Musculoskeletal and connective tissue disorders
Myalgia
7.1%
3/42 • Number of events 3 • 5 years
Musculoskeletal and connective tissue disorders
Myalgia-bilateral thighs
2.4%
1/42 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
Nasal congestion
26.2%
11/42 • Number of events 18 • 5 years
Respiratory, thoracic and mediastinal disorders
Nasal drainage
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Nausea
28.6%
12/42 • Number of events 24 • 5 years
Gastrointestinal disorders
Nausea/vomiting
4.8%
2/42 • Number of events 2 • 5 years
Investigations
Neutropenia
11.9%
5/42 • Number of events 6 • 5 years
Investigations
Neutrophils
2.4%
1/42 • Number of events 5 • 5 years
Skin and subcutaneous tissue disorders
Night sweat
2.4%
1/42 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
Nose bleed
2.4%
1/42 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
Nose congestion
2.4%
1/42 • Number of events 1 • 5 years
Nervous system disorders
Numbness in feet and hands
4.8%
2/42 • Number of events 3 • 5 years
Nervous system disorders
Occipital (mild pain)
2.4%
1/42 • Number of events 1 • 5 years
Ear and labyrinth disorders
Otitis media
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Pain
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Pain injection site
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Pain R foot
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Pain R hip
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Pain tailbone
2.4%
1/42 • Number of events 2 • 5 years
Skin and subcutaneous tissue disorders
Patchy dry skin/itch trunk
2.4%
1/42 • Number of events 2 • 5 years
General disorders
Perior edema
2.4%
1/42 • Number of events 2 • 5 years
Blood and lymphatic system disorders
Petechiae
2.4%
1/42 • Number of events 1 • 5 years
Investigations
Platelets
2.4%
1/42 • Number of events 2 • 5 years
Respiratory, thoracic and mediastinal disorders
Pressure in chest with inhalation
2.4%
1/42 • Number of events 3 • 5 years
General disorders
Pretib edema
2.4%
1/42 • Number of events 1 • 5 years
Nervous system disorders
Prickling sensation
2.4%
1/42 • Number of events 1 • 5 years
Renal and urinary disorders
Proteinuria
19.0%
8/42 • Number of events 17 • 5 years
Skin and subcutaneous tissue disorders
Pruritis
7.1%
3/42 • Number of events 3 • 5 years
Eye disorders
Ptosis
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Puffy face
2.4%
1/42 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
Quad muscle soreness
2.4%
1/42 • Number of events 4 • 5 years
Musculoskeletal and connective tissue disorders
Quad/muscle pain
2.4%
1/42 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
Rash
9.5%
4/42 • Number of events 5 • 5 years
Skin and subcutaneous tissue disorders
Rash, chest
2.4%
1/42 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
Rash, arm/chs
2.4%
1/42 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
Rash/redness (top of arm)
2.4%
1/42 • Number of events 1 • 5 years
Psychiatric disorders
Restlessness
2.4%
1/42 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
Rhinitis
2.4%
1/42 • Number of events 2 • 5 years
Respiratory, thoracic and mediastinal disorders
Rhinorrhea
2.4%
1/42 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
Runny nose
2.4%
1/42 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
Scrape on face
2.4%
1/42 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
Scratch under left eye
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Shoulder pain
2.4%
1/42 • Number of events 2 • 5 years
Skin and subcutaneous tissue disorders
Skin peeling
2.4%
1/42 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
Skin sensation
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Sore mouth
2.4%
1/42 • Number of events 2 • 5 years
Respiratory, thoracic and mediastinal disorders
Sore throat
7.1%
3/42 • Number of events 4 • 5 years
Musculoskeletal and connective tissue disorders
Soreness under ribs
2.4%
1/42 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
Soreness/achiness
2.4%
1/42 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
Stiff neck
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Stomach ache
7.1%
3/42 • Number of events 4 • 5 years
Gastrointestinal disorders
Stomach burning
2.4%
1/42 • Number of events 3 • 5 years
Gastrointestinal disorders
Stomach pain
7.1%
3/42 • Number of events 3 • 5 years
Respiratory, thoracic and mediastinal disorders
Stuffy nose
4.8%
2/42 • Number of events 2 • 5 years
Eye disorders
Stye (L) lower corner eye
4.8%
2/42 • Number of events 2 • 5 years
Skin and subcutaneous tissue disorders
Sweating
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Swell ankle
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Swell tongue
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Swelling lip
2.4%
1/42 • Number of events 1 • 5 years
General disorders
Swelling-lower extremity
2.4%
1/42 • Number of events 1 • 5 years
Cardiac disorders
Tachycardia
2.4%
1/42 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
Throat pain
2.4%
1/42 • Number of events 1 • 5 years
Blood and lymphatic system disorders
Thrombocytopenia
16.7%
7/42 • Number of events 9 • 5 years
General disorders
Tiredness
2.4%
1/42 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
Ulceration (R) heel
2.4%
1/42 • Number of events 4 • 5 years
Skin and subcutaneous tissue disorders
Ulceration L heel
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Upset stomach
7.1%
3/42 • Number of events 3 • 5 years
Respiratory, thoracic and mediastinal disorders
URI (upper respiratory infection)
7.1%
3/42 • Number of events 4 • 5 years
Vascular disorders
Vascular
2.4%
1/42 • Number of events 1 • 5 years
Gastrointestinal disorders
Vomiting
23.8%
10/42 • Number of events 15 • 5 years
General disorders
Weakness
2.4%
1/42 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
Weakness (L. leg)
2.4%
1/42 • Number of events 2 • 5 years
Investigations
Weight gain
14.3%
6/42 • Number of events 6 • 5 years
Investigations
Weight loss
7.1%
3/42 • Number of events 3 • 5 years
General disorders
Decreased L leg flexibility
4.8%
2/42 • Number of events 2 • 5 years
Metabolism and nutrition disorders
Elevated uric acid
2.4%
1/42 • Number of events 1 • 5 years
Metabolism and nutrition disorders
Elev phos
2.4%
1/42 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
Itchy legs
2.4%
1/42 • Number of events 4 • 5 years
General disorders
Pain, legs
2.4%
1/42 • Number of events 1 • 5 years
Investigations
Elevated total bilirubin
7.1%
3/42 • Number of events 3 • 5 years

Additional Information

Crystal Mackall, M.D.

National Cancer Institute (NCI), National Institutes of Health (NIH)

Phone: 301-402-5940

Results disclosure agreements

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