Trial Outcomes & Findings for Pirfenidone in Children and Young Adults With Neurofibromatosis Type I and Progressive Plexiform Neurofibromas (NCT NCT00076102)

NCT ID: NCT00076102

Last Updated: 2018-04-23

Results Overview

Time to progression is defined as greater than or equal to 20% increase in plexiform neurofibromas (PN) volume on magnetic resonance imaging (MRI).

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

36 participants

Primary outcome timeframe

5 years

Results posted on

2018-04-23

Participant Flow

36 participants were enrolled in this study

Participant milestones

Participant milestones
Measure
Pirfenidone
Pirfenidone orally as capsules three times a day approximately every 8 hours for cycles of 28 days with no rest period between cycles (28 day treatment cycles); 500 mg/m\^2 every 8 hours (1500 mg/m2/day).
Overall Study
STARTED
36
Overall Study
COMPLETED
31
Overall Study
NOT COMPLETED
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Pirfenidone
Pirfenidone orally as capsules three times a day approximately every 8 hours for cycles of 28 days with no rest period between cycles (28 day treatment cycles); 500 mg/m\^2 every 8 hours (1500 mg/m2/day).
Overall Study
Clinical progression
1
Overall Study
Progression in pre-existing brain tumor
1
Overall Study
plexiform neurofibroma surgery
1
Overall Study
refusal of further therapy
2

Baseline Characteristics

Pirfenidone in Children and Young Adults With Neurofibromatosis Type I and Progressive Plexiform Neurofibromas

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pirfenidone
n=36 Participants
Pirfenidone orally as capsules three times a day approximately every 8 hours for cycles of 28 days with no rest period between cycles (28 day treatment cycles); 500 mg/m\^2 every 8 hours (1500 mg/m2/day).
Age, Categorical
<=18 years
34 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
9.81 years
STANDARD_DEVIATION 4.52 • n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
Sex: Female, Male
Male
26 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
29 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=5 Participants
Race (NIH/OMB)
White
29 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
Region of Enrollment
United States
36 participants
n=5 Participants

PRIMARY outcome

Timeframe: 5 years

Time to progression is defined as greater than or equal to 20% increase in plexiform neurofibromas (PN) volume on magnetic resonance imaging (MRI).

Outcome measures

Outcome measures
Measure
Pirfenidone
n=36 Participants
Pirfenidone orally as capsules three times a day approximately every 8 hours for cycles of 28 days with no rest period between cycles (28 day treatment cycles); 500 mg/m\^2 every 8 hours (1500 mg/m2/day).
Median Time to Disease Progression
13.2 Months
Interval 8.2 to 18.6

PRIMARY 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
Pirfenidone
n=36 Participants
Pirfenidone orally as capsules three times a day approximately every 8 hours for cycles of 28 days with no rest period between cycles (28 day treatment cycles); 500 mg/m\^2 every 8 hours (1500 mg/m2/day).
Number of Participants With Adverse Events
36 Participants

PRIMARY outcome

Timeframe: ≥4 weeks

Objective response rate is defined as a complete response (CR) or partial response (PR). Complete response is a complete resolution of all measurable or palpable soft tissue tumors for ≥4 weeks and no appearance of new lesions. Partial response is a ≥50% reduction in the sum of the volume of all index lesions for ≥4 weeks.

Outcome measures

Outcome measures
Measure
Pirfenidone
n=31 Participants
Pirfenidone orally as capsules three times a day approximately every 8 hours for cycles of 28 days with no rest period between cycles (28 day treatment cycles); 500 mg/m\^2 every 8 hours (1500 mg/m2/day).
Percentage of Participants Who Had an Objective Response Rate
Complete Response
0 percentage of participants
Percentage of Participants Who Had an Objective Response Rate
Partial Response
0 percentage of participants

SECONDARY outcome

Timeframe: Baseline

Population: Of the 36 patients enrolled, 28 were within the age range of the IPI Scale at baseline. Two patients did not have any QOL forms completed; one did not have a baseline evaluation, and six patients had missing follow-up evaluations. Thus, QOL data is presented for 19 subjects.

Quality of life was assessed by the Impact of Pediatric Illness scale for children 6-18 years of age. The child's primary caregiver completed the proxy Parent Form and children answered either the self-report Child or Adolescent (11-18 years) Form. The parallel IPI Scale forms assess four domains: adaptive behavior, emotional functioning, medical/physical status, and cognitive functioning. Responses to the 43 items are made on a 3-or5-point Likert scale (1 to 5 for Parent and Adolescent Form and 1, 3, 5 for the Child Form) ranging from "not at all" to "a lot". Item scores are transformed to a scale of 0-100, and then mean scores are calculated for the four domains and total scale with higher scores indicating better QOL. Baseline comparisons between child and parent total and domain scores were performed.

Outcome measures

Outcome measures
Measure
Pirfenidone
n=19 Participants
Pirfenidone orally as capsules three times a day approximately every 8 hours for cycles of 28 days with no rest period between cycles (28 day treatment cycles); 500 mg/m\^2 every 8 hours (1500 mg/m2/day).
Quality of Life (QOL) Using the Impact of Pediatric Illness (IPI) Scale at Baseline
Total score parent
72.7 Scores on a scale
Standard Deviation 10.7
Quality of Life (QOL) Using the Impact of Pediatric Illness (IPI) Scale at Baseline
Total score child
69.1 Scores on a scale
Standard Deviation 12.0
Quality of Life (QOL) Using the Impact of Pediatric Illness (IPI) Scale at Baseline
Parent proxy-adaptive behavior
72.1 Scores on a scale
Standard Deviation 10.2
Quality of Life (QOL) Using the Impact of Pediatric Illness (IPI) Scale at Baseline
Child Self-Report-adaptive behavior
76.7 Scores on a scale
Standard Deviation 11.8
Quality of Life (QOL) Using the Impact of Pediatric Illness (IPI) Scale at Baseline
Parent proxy - emotional functioning
72.4 Scores on a scale
Standard Deviation 13.4
Quality of Life (QOL) Using the Impact of Pediatric Illness (IPI) Scale at Baseline
Child Self-Report-emotional functioning
63.7 Scores on a scale
Standard Deviation 14.7
Quality of Life (QOL) Using the Impact of Pediatric Illness (IPI) Scale at Baseline
Parent proxy - medical/physical status
77.6 Scores on a scale
Standard Deviation 15.1
Quality of Life (QOL) Using the Impact of Pediatric Illness (IPI) Scale at Baseline
Child Self-Report - medical/physical status
67.1 Scores on a scale
Standard Deviation 16.2
Quality of Life (QOL) Using the Impact of Pediatric Illness (IPI) Scale at Baseline
Parent proxy - cognitive functioning
62.9 Scores on a scale
Standard Deviation 19.6
Quality of Life (QOL) Using the Impact of Pediatric Illness (IPI) Scale at Baseline
Child Self-Report- cognitive functioning
69.4 Scores on a scale
Standard Deviation 18.5

SECONDARY outcome

Timeframe: prior to cycles 1, 4, 7 and 10.

Population: Of the 36 pts enrolled, 28 were within the age range of the IPI Scale at baseline. 2 pts did not have any QOL forms completed; 1 did not have a baseline \& 6 pts had missing f/u evals. QOL data is presented for 19 pts. Due to pts not completing forms at random f/u evals, some time points have fewer than 19 pts included in the longitudinal analysis.

Quality of life was assessed by the Impact of Pediatric Illness scale for children 6-18 years of age. The child's primary caregiver completed the proxy Parent Form and children answered either the self-report Child or Adolescent (11-18 years) Form prior to cycles 1, 4, 7 and 10. The parallel IPI Scale forms assess four domains: adaptive behavior, emotional functioning, medical/physical status, and cognitive functioning. Responses to the 43 items are made on a 3-or5-point Likert scale (1 to 5 for Parent and Adolescent Form and 1, 3, 5 for the Child Form) ranging from "not at all" to "a lot". Item scores are transformed to a scale of 0-100, and then mean scores are calculated for the four domains and total scale with higher scores indicating better QOL.

Outcome measures

Outcome measures
Measure
Pirfenidone
n=19 Participants
Pirfenidone orally as capsules three times a day approximately every 8 hours for cycles of 28 days with no rest period between cycles (28 day treatment cycles); 500 mg/m\^2 every 8 hours (1500 mg/m2/day).
Longitudinal Total Quality of Life Scores Assessed by the Impact of Pediatric Illness Scale
Parent Baseline (to Cycle 4)
71.1 scores on a scale
Standard Deviation 13.1
Longitudinal Total Quality of Life Scores Assessed by the Impact of Pediatric Illness Scale
Parent Pre Cycle 4
71.8 scores on a scale
Standard Deviation 10.7
Longitudinal Total Quality of Life Scores Assessed by the Impact of Pediatric Illness Scale
Child Baseline (to Cycle 4)
67.9 scores on a scale
Standard Deviation 12.9
Longitudinal Total Quality of Life Scores Assessed by the Impact of Pediatric Illness Scale
Child Pre Cycle 4
69.8 scores on a scale
Standard Deviation 10.8
Longitudinal Total Quality of Life Scores Assessed by the Impact of Pediatric Illness Scale
Parent Baseline (to Cycle 7)
71.7 scores on a scale
Standard Deviation 11.5
Longitudinal Total Quality of Life Scores Assessed by the Impact of Pediatric Illness Scale
Parent Pre Cycle 7
70.6 scores on a scale
Standard Deviation 9.0
Longitudinal Total Quality of Life Scores Assessed by the Impact of Pediatric Illness Scale
Child Baseline (to Cycle 7)
69.5 scores on a scale
Standard Deviation 12.8
Longitudinal Total Quality of Life Scores Assessed by the Impact of Pediatric Illness Scale
Child Pre Cycle 7
71.4 scores on a scale
Standard Deviation 12.3
Longitudinal Total Quality of Life Scores Assessed by the Impact of Pediatric Illness Scale
Parent Baseline (to Pre Cycle 10)
71.56 scores on a scale
Standard Deviation 12.6
Longitudinal Total Quality of Life Scores Assessed by the Impact of Pediatric Illness Scale
Parent Pre Cycle 10
72.1 scores on a scale
Standard Deviation 7.8
Longitudinal Total Quality of Life Scores Assessed by the Impact of Pediatric Illness Scale
Child Baseline (to Pre Cycle 10)
67.5 scores on a scale
Standard Deviation 13.0
Longitudinal Total Quality of Life Scores Assessed by the Impact of Pediatric Illness Scale
Child Pre Cycle 10
68.3 scores on a scale
Standard Deviation 14.1

SECONDARY outcome

Timeframe: Prior to cycles 1, 4, 7, and 10 and then every 6 cycles thereafter until progression

Population: This outcome measure was not done because only 3D imaging was performed. Due to a detailed comparison of 1D-2D and 3D imaging for another study (Tipifarnib R115777) the investigator determined that a detailed comparison of 1D-2D and 3D analysis would really add no new knowledge. Therefore only 3D analysis was performed for this trial.

Index lesions will be followed for progression by 1D magnetic resonance imaging. Progression is defined as a ≥20% increase in the volume of at least one of the index plexiform neurofibromas compared to the pretreatment volume measured prior to the start of treatment.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Prior to cycles 1, 4, 7, and 10 and then every 6 cycles thereafter until progression

Population: This outcome measure was not done because only 3D imaging was performed. Due to a detailed comparison of 1D-2D and 3D imaging for another study (Tipifarnib R115777) the investigator determined that a detailed comparison of 1D-2D and 3D analysis would really add no new knowledge. Therefore only 3D analysis was performed for this trial.

Index lesions will be followed for progression by 2D magnetic resonance imaging. Progression is defined as a ≥20% increase in the volume of at least one of the index plexiform neurofibromas compared to the pretreatment volume measured prior to the start of treatment.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Prior to cycles 1, 4, 7, and 10 and then every 6 cycles thereafter, approximately 5 years

Population: Five patients were not analyzed due to clinical progression (n=1), plexiform neurofibroma surgery (n=1), progression in a pre-existing brain tumor (n=1), and refusal of further therapy (n=2).

Index lesions will be followed for progression by 3D magnetic resonance imaging. Compete response is a complete resolution of all measurable or palpable soft tissue tumors for ≥4 weeks and no appearance of new lesions. Partial response is a ≥50% reduction in the sum of the volume of all index lesions for ≥4 weeks. Progression is defined as a ≥20% increase in the volume of at least one of the index plexiform neurofibromas compared to the pretreatment volume measured prior to the start of treatment. Stable disease is a \<20% increase, and \<25% decrease in the sum of the volume of all index lesions for ≥4 weeks. Minor response is a ≥25% but \<50% reduction in the sum of the volume of all index lesions for ≥4 weeks.

Outcome measures

Outcome measures
Measure
Pirfenidone
n=31 Participants
Pirfenidone orally as capsules three times a day approximately every 8 hours for cycles of 28 days with no rest period between cycles (28 day treatment cycles); 500 mg/m\^2 every 8 hours (1500 mg/m2/day).
Number of Participants With A Response Evaluation Determined by the Comparison of Three-Dimensional (3D) Magnetic Resonance Imaging
Progressive disease
31 Participants
Number of Participants With A Response Evaluation Determined by the Comparison of Three-Dimensional (3D) Magnetic Resonance Imaging
Complete response
0 Participants
Number of Participants With A Response Evaluation Determined by the Comparison of Three-Dimensional (3D) Magnetic Resonance Imaging
Partial response
0 Participants
Number of Participants With A Response Evaluation Determined by the Comparison of Three-Dimensional (3D) Magnetic Resonance Imaging
Stable disease
0 Participants
Number of Participants With A Response Evaluation Determined by the Comparison of Three-Dimensional (3D) Magnetic Resonance Imaging
MInor response
0 Participants

SECONDARY outcome

Timeframe: 5 years

Population: Participants declined to contribute specimens for the tissue bank.

Tumor specimens from patients who undergo tumor surgery or biopsies for clinical reasons.

Outcome measures

Outcome data not reported

Adverse Events

Pirfenidone

Serious events: 3 serious events
Other events: 36 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Pirfenidone
n=36 participants at risk
Pirfenidone orally as capsules three times a day approximately every 8 hours for cycles of 28 days with no rest period between cycles (28 day treatment cycles); 500 mg/m\^2 every 8 hours (1500 mg/m2/day).
Respiratory, thoracic and mediastinal disorders
Adult Respiratory Distress Syndrome (ARDS)
2.8%
1/36 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
Atelectasis
2.8%
1/36 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
Bronchospasm, wheezing
2.8%
1/36 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
Cough
2.8%
1/36 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
2.8%
1/36 • Number of events 1 • 5 years
Blood and lymphatic system disorders
Hemorrhage, CNS
2.8%
1/36 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
Hypoxia
2.8%
1/36 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
Pneumothorax
2.8%
1/36 • Number of events 1 • 5 years

Other adverse events

Other adverse events
Measure
Pirfenidone
n=36 participants at risk
Pirfenidone orally as capsules three times a day approximately every 8 hours for cycles of 28 days with no rest period between cycles (28 day treatment cycles); 500 mg/m\^2 every 8 hours (1500 mg/m2/day).
Investigations
ALT, SGPT (serum glutamic pyruvic transaminase)
5.6%
2/36 • Number of events 2 • 5 years
Metabolism and nutrition disorders
Albumin, serum low (hypoalbuminemia)
13.9%
5/36 • Number of events 7 • 5 years
Immune system disorders
Allergic rhinitis (including sneezing, nasal stuffiness, postnasal drip)
19.4%
7/36 • Number of events 8 • 5 years
Gastrointestinal disorders
Anorexia
25.0%
9/36 • Number of events 22 • 5 years
Skin and subcutaneous tissue disorders
Atrophy, skin
2.8%
1/36 • Number of events 1 • 5 years
Investigations
Bicarbonate, serum low
11.1%
4/36 • Number of events 7 • 5 years
Respiratory, thoracic and mediastinal disorders
Bronchospasm, wheezing
2.8%
1/36 • Number of events 2 • 5 years
Metabolism and nutrition disorders
Calcium, serum-high (hypercalcemia)
11.1%
4/36 • Number of events 5 • 5 years
Metabolism and nutrition disorders
Calcium, hypocalcemia
25.0%
9/36 • Number of events 13 • 5 years
Cardiac disorders
Cardiac arrhythmia-Other, specify- sinus tachycardia
2.8%
1/36 • Number of events 1 • 5 years
Cardiac disorders
Cardiac general, Other-(specify-fluid retention)
2.8%
1/36 • Number of events 1 • 5 years
Gastrointestinal disorders
Constipation
16.7%
6/36 • Number of events 6 • 5 years
General disorders
Constitutional symptoms (Other, specify-cold symptoms)
8.3%
3/36 • Number of events 4 • 5 years
Gastrointestinal disorders
Dehydration
8.3%
3/36 • Number of events 3 • 5 years
Gastrointestinal disorders
Dental: teeth
2.8%
1/36 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
Dermatology/Skin-Other (Specify-multiple bug bites)
11.1%
4/36 • Number of events 6 • 5 years
Gastrointestinal disorders
Diarrhea
58.3%
21/36 • Number of events 63 • 5 years
Nervous system disorders
Dizziness
11.1%
4/36 • Number of events 5 • 5 years
Eye disorders
Dry eye syndrome
2.8%
1/36 • Number of events 1 • 5 years
General disorders
Edema: head and neck
2.8%
1/36 • Number of events 1 • 5 years
General disorders
Edema: limb
2.8%
1/36 • Number of events 1 • 5 years
General disorders
Fatigue (asthenia, lethargy, malaise)
30.6%
11/36 • Number of events 21 • 5 years
General disorders
Fever (in the absence of neutropenia, where neutropenia is defined as ANC < 1.0 x 10e9/L)
27.8%
10/36 • Number of events 20 • 5 years
General disorders
Flu-like syndrome
16.7%
6/36 • Number of events 7 • 5 years
Gastrointestinal disorders
Gastrointestinal-Other (Specify- 1 episode of incontinence of bowel)
5.6%
2/36 • Number of events 2 • 5 years
Metabolism and nutrition disorders
Glucose, serum-high (hyperglycemia)
11.1%
4/36 • Number of events 4 • 5 years
Metabolism and nutrition disorders
Glucose, serum low (hypoglycemia)
2.8%
1/36 • Number of events 1 • 5 years
Ear and labyrinth disorders
Hearing: patients without baseline audiogram and not enrolled in a monitoring program
2.8%
1/36 • Number of events 1 • 5 years
Gastrointestinal disorders
Heartburn/dyspepsia
5.6%
2/36 • Number of events 2 • 5 years
Blood and lymphatic system disorders
Hemoglobin
13.9%
5/36 • Number of events 10 • 5 years
Reproductive system and breast disorders
Hemorrhage, GU: Ovary
2.8%
1/36 • Number of events 1 • 5 years
Renal and urinary disorders
Hemorrhage, GU: urinary NOA
2.8%
1/36 • Number of events 2 • 5 years
Respiratory, thoracic and mediastinal disorders
Hemorrhage, pulmonary/upper respiratory: nose
5.6%
2/36 • Number of events 3 • 5 years
Vascular disorders
Hypertension
8.3%
3/36 • Number of events 3 • 5 years
Renal and urinary disorders
Incontinence, urinary
5.6%
2/36 • Number of events 2 • 5 years
Infections and infestations
Infection (documented clinically or microbiologically) with grade 3 or 4 neutrophils (ANC < 1.0 x 10
2.8%
1/36 • Number of events 1 • 5 years
Infections and infestations
Infection-Other (specify-infection)
16.7%
6/36 • Number of events 7 • 5 years
Investigations
Leukocytes (total WBC)
22.2%
8/36 • Number of events 22 • 5 years
Musculoskeletal and connective tissue disorders
Lumbar spine-range of motion
2.8%
1/36 • Number of events 3 • 5 years
Blood and lymphatic system disorders
Lymphatics-Other (Specify-bilateral lymphadenopathy)
11.1%
4/36 • Number of events 4 • 5 years
Blood and lymphatic system disorders
Lymphopenia
16.7%
6/36 • Number of events 8 • 5 years
Metabolism and nutrition disorders
Magnesium, serum high (hype
22.2%
8/36 • Number of events 9 • 5 years
Metabolism and nutrition disorders
Magnesium, serum low (hypomagnesemia)
8.3%
3/36 • Number of events 3 • 5 years
Nervous system disorders
Mood alteration: agitation
5.6%
2/36 • Number of events 2 • 5 years
Nervous system disorders
Mood alteration: depression
5.6%
2/36 • Number of events 3 • 5 years
Gastrointestinal disorders
Mucositis/stomatitis (clinical exam): oral cavity
5.6%
2/36 • Number of events 3 • 5 years
Musculoskeletal and connective tissue disorders
Muscle weaknesses, generalized or specific area (not due to neuropathy): extreme-lower
5.6%
2/36 • Number of events 2 • 5 years
Gastrointestinal disorders
Nausea
80.6%
29/36 • Number of events 157 • 5 years
Nervous system disorders
Neurology-Other (specify-tic, constant clearing of throat)
2.8%
1/36 • Number of events 1 • 5 years
Nervous system disorders
Neuropathy: motor
8.3%
3/36 • Number of events 3 • 5 years
Nervous system disorders
Neuropathy: sensory
5.6%
2/36 • Number of events 2 • 5 years
Investigations
Neutrophils/granulocytes (ANC/AGC)
19.4%
7/36 • Number of events 24 • 5 years
Respiratory, thoracic and mediastinal disorders
Obstruction/stenosis of airway: bronchus
2.8%
1/36 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
Obstruction/stenosis of airway: larynx
2.8%
1/36 • Number of events 1 • 5 years
Eye disorders
Ocular/Visual-Other (Specify-blurred vision intermittent)
5.6%
2/36 • Number of events 2 • 5 years
Ear and labyrinth disorders
Otitis, middle ear (non-infectious)
8.3%
3/36 • Number of events 6 • 5 years
Investigations
PTT (partial thromboplastin time)
2.8%
1/36 • Number of events 1 • 5 years
Reproductive system and breast disorders
Pain: abdomen NOS
13.9%
5/36 • Number of events 8 • 5 years
Musculoskeletal and connective tissue disorders
Pain: back
13.9%
5/36 • Number of events 6 • 5 years
Renal and urinary disorders
Pain: bladder
2.8%
1/36 • Number of events 3 • 5 years
Musculoskeletal and connective tissue disorders
Pain: bone
2.8%
1/36 • Number of events 2 • 5 years
Musculoskeletal and connective tissue disorders
Pain: buttock
2.8%
1/36 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
Pain: chest wall
2.8%
1/36 • Number of events 2 • 5 years
Musculoskeletal and connective tissue disorders
Pain: chest/thorax NOS
11.1%
4/36 • Number of events 4 • 5 years
Gastrointestinal disorders
Pain: dental/teeth/peridontal
5.6%
2/36 • Number of events 3 • 5 years
Gastrointestinal disorders
Pain: esophagus
2.8%
1/36 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
Pain: extremity-limb
19.4%
7/36 • Number of events 13 • 5 years
Nervous system disorders
Pain: head/headache
58.3%
21/36 • Number of events 52 • 5 years
Musculoskeletal and connective tissue disorders
Pain: joint
5.6%
2/36 • Number of events 3 • 5 years
Ear and labyrinth disorders
Pain: middle ear
2.8%
1/36 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
Pain: muscle
11.1%
4/36 • Number of events 7 • 5 years
Musculoskeletal and connective tissue disorders
Pain: neck
13.9%
5/36 • Number of events 15 • 5 years
Nervous system disorders
Pain: pain NOS
11.1%
4/36 • Number of events 4 • 5 years
Reproductive system and breast disorders
Pain: pelvis
2.8%
1/36 • Number of events 1 • 5 years
Reproductive system and breast disorders
Pain: penis
2.8%
1/36 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
Pain: skin
2.8%
1/36 • Number of events 1 • 5 years
Gastrointestinal disorders
Pain: stomach
5.6%
2/36 • Number of events 2 • 5 years
Gastrointestinal disorders
Pain: throat/pharynx/larynx
11.1%
4/36 • Number of events 5 • 5 years
Psychiatric disorders
Personality/behavioral
13.9%
5/36 • Number of events 7 • 5 years
Metabolism and nutrition disorders
Phosphate, serum low (hypophosphatemia)
5.6%
2/36 • Number of events 3 • 5 years
Investigations
Platelets
8.3%
3/36 • Number of events 5 • 5 years
Respiratory, thoracic and mediastinal disorders
Pneumonitis/pulmonary infiltrates
2.8%
1/36 • Number of events 1 • 5 years
Metabolism and nutrition disorders
Potassium, serum high (hyperkalemia)
2.8%
1/36 • Number of events 1 • 5 years
Metabolism and nutrition disorders
Potassium, serum low (hypokalemia)
11.1%
4/36 • Number of events 6 • 5 years
Skin and subcutaneous tissue disorders
Pruritis/itching
13.9%
5/36 • Number of events 7 • 5 years
Respiratory, thoracic and mediastinal disorders
Pulmonary/upper respiratory-Other (Specify-bloody nose)
8.3%
3/36 • Number of events 5 • 5 years
Skin and subcutaneous tissue disorders
Rash/desquamation
5.6%
2/36 • Number of events 4 • 5 years
Skin and subcutaneous tissue disorders
Rash: acne/acneiform
2.8%
1/36 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
Rash: hand-foot skin reaction
5.6%
2/36 • Number of events 3 • 5 years
Metabolism and nutrition disorders
Sodium, serum-high (hypernatremia)
8.3%
3/36 • Number of events 3 • 5 years
Metabolism and nutrition disorders
Sodium, serum-low (hyponatremia)
5.6%
2/36 • Number of events 2 • 5 years
Cardiac disorders
Supraventricular and nodal arrhythmia: sinus tachycardia
2.8%
1/36 • Number of events 1 • 5 years
Gastrointestinal disorders
Taste alteration (dysgeusia)
2.8%
1/36 • Number of events 1 • 5 years
Nervous system disorders
Tremor
2.8%
1/36 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
Ulceration
2.8%
1/36 • Number of events 1 • 5 years
Vascular disorders
Vascular-Other (Specify-vascular other specify, coolness LL)
2.8%
1/36 • Number of events 1 • 5 years
Eye disorders
Vision-photophobia
2.8%
1/36 • Number of events 1 • 5 years
Gastrointestinal disorders
Vomiting
69.4%
25/36 • Number of events 119 • 5 years
Vascular disorders
Flushing
2.8%
1/36 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
Cough
27.8%
10/36 • Number of events 11 • 5 years
Ear and labyrinth disorders
Pain-Other (Specify-left ear pain)
11.1%
4/36 • Number of events 6 • 5 years
Investigations
AST, SGOT (serum oxaloacetic transaminase)
5.6%
2/36 • Number of events 3 • 5 years
Investigations
Alkaline phosphatase
8.3%
3/36 • Number of events 3 • 5 years
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils : bronchus
5.6%
2/36 • Number of events 2 • 5 years
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils : catheter-related
2.8%
1/36 • Number of events 1 • 5 years
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils : conjunctiva
5.6%
2/36 • Number of events 2 • 5 years
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils : foreign body (e.g. graft, implant, prosthesi
2.8%
1/36 • Number of events 1 • 5 years
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils : lung (pneumonia)
2.8%
1/36 • Number of events 1 • 5 years
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils : middle ear (otitis media)
5.6%
2/36 • Number of events 2 • 5 years
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils : penis
2.8%
1/36 • Number of events 1 • 5 years
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils : pharynx
2.8%
1/36 • Number of events 1 • 5 years
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils : sinus
5.6%
2/36 • Number of events 2 • 5 years
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils : skin (cellulitis)
5.6%
2/36 • Number of events 3 • 5 years
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils : upper aerodigestive NOS
2.8%
1/36 • Number of events 1 • 5 years
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils : upper airway NOS
13.9%
5/36 • Number of events 7 • 5 years
Infections and infestations
Infection with unknown ANC : external ear (otitis externa)
5.6%
2/36 • Number of events 3 • 5 years
Infections and infestations
Infection with unknown ANC : lung (pneumonia)
2.8%
1/36 • Number of events 1 • 5 years
Infections and infestations
Infection with unknown ANC : sinus
5.6%
2/36 • Number of events 2 • 5 years
Infections and infestations
Infection with unknown ANC : trachea
2.8%
1/36 • Number of events 1 • 5 years
Infections and infestations
Infection with unknown ANC : upper airway NOS
5.6%
2/36 • Number of events 3 • 5 years

Additional Information

Brigitte C. Widemann, M.D.

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

Phone: 301-496-7387

Results disclosure agreements

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