Trial Outcomes & Findings for N2001-02: I-MIBG With Intensive Chemotherapy and Autologous Stem Cell Rescue for High-Risk Neuroblastoma (NCT NCT00253435)

NCT ID: NCT00253435

Last Updated: 2023-04-10

Results Overview

Tumor response based on evaluation performed on day 60 or at the time of disease progression/recurrence or start of another treatment - whichever comes first. Such evaluations will include 123I-MIBG scan, CT/MRI, urine catecholamine measurement, and bone marrow analysis (for those with marrow disease at study entry).

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

50 participants

Primary outcome timeframe

Response assessed 60 days post stem cell infusion

Results posted on

2023-04-10

Participant Flow

Opened to accrual on 12/10/04 \& closed to accrual on 07/21/10; suspended 6 times for amendments. Opened at 12 NANT institutions. 1st patient started on treatment on 03/11/05. 50 patients enrolled; all eligible \& evaluable for toxicity. 49 patients were evaluable for response.

Participant milestones

Participant milestones
Measure
Poor Risk Patients
Poor risk patients are those who experienced a Minor response (MR) or No Response (NR) to induction therapy or progressive disease (PD) during or following induction.
Good Risk Patients
Good risk patients are those who experienced a Partial Response (PR) following 4 cycles of induction.
Overall Study
STARTED
42
8
Overall Study
1st Interim Analysis
15
8
Overall Study
2nd Interim Analysis
10
0
Overall Study
3rd Interim Analysis
10
0
Overall Study
COMPLETED
42
8
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

N2001-02: I-MIBG With Intensive Chemotherapy and Autologous Stem Cell Rescue for High-Risk Neuroblastoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Poor Risk Patients
n=42 Participants
Poor risk patients are those who experienced a Minor response (MR) or No Response (NR) to induction therapy or progressive disease (PD) during or following induction.
Good Risk Patients
n=8 Participants
Good risk patients are those who experienced a Partial Response (PR) following 4 cycles of induction.
Total
n=50 Participants
Total of all reporting groups
Age, Continuous
6.0 years
n=5 Participants
7.7 years
n=7 Participants
6.0 years
n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
2 Participants
n=7 Participants
12 Participants
n=5 Participants
Sex: Female, Male
Male
32 Participants
n=5 Participants
6 Participants
n=7 Participants
38 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
38 Participants
n=5 Participants
5 Participants
n=7 Participants
43 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
3 Participants
n=5 Participants
0 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
0 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
White
33 Participants
n=5 Participants
8 Participants
n=7 Participants
41 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
GFR Status
Normal GFR
30 participants
n=5 Participants
7 participants
n=7 Participants
37 participants
n=5 Participants
GFR Status
Low GFR
12 participants
n=5 Participants
1 participants
n=7 Participants
13 participants
n=5 Participants

PRIMARY outcome

Timeframe: Response assessed 60 days post stem cell infusion

Population: One patient in the Poor Risk Cohort underwent surgery for resection (of his only measureable lesion) prior to post-treatment assessment and is not evaluable for response.

Tumor response based on evaluation performed on day 60 or at the time of disease progression/recurrence or start of another treatment - whichever comes first. Such evaluations will include 123I-MIBG scan, CT/MRI, urine catecholamine measurement, and bone marrow analysis (for those with marrow disease at study entry).

Outcome measures

Outcome measures
Measure
Poor Risk Patients
n=41 Participants
Poor risk patients are those who experienced a Minor response (MR) or No Response (NR) to induction therapy or progressive disease (PD) during or following induction.
Good Risk Patients
n=8 Participants
Good risk patients are those who experienced a Partial Response (PR) following 4 cycles of induction.
Response (Complete Response, Very Good Partial Response, and Partial Response) at 60-days Post Stem Cell Infusion
4 participants
3 participants

SECONDARY outcome

Timeframe: 3 years since start of treatment

Population: Estimated probability of 3-year progression free survival for all patients enrolled in each risk group.

EFS will be measured from start of treatment until progression, death or start of another treatment - whichever comes first. We report the estimated probability of EFS at 3 years.

Outcome measures

Outcome measures
Measure
Poor Risk Patients
n=42 Participants
Poor risk patients are those who experienced a Minor response (MR) or No Response (NR) to induction therapy or progressive disease (PD) during or following induction.
Good Risk Patients
n=8 Participants
Good risk patients are those who experienced a Partial Response (PR) following 4 cycles of induction.
Event-free Survival (EFS) at 3 Years
0.20 Estimated probability
0.38 Estimated probability

SECONDARY outcome

Timeframe: From treatment start until 60 days post stem cell infusion

Population: All patients who began treatment

• Engraftment toxicity: delayed engraftment and/or failure to engraft defined as: * neutrophils (ANC) \< 500/μL by day 28 post transplant, or * platelets \< 20,000 /μL by day 56 post transplant, or * if additional stem cells are required to be infused for any medical reason prior to initial engraftment of neutrophils or platelets.

Outcome measures

Outcome measures
Measure
Poor Risk Patients
n=42 Participants
Poor risk patients are those who experienced a Minor response (MR) or No Response (NR) to induction therapy or progressive disease (PD) during or following induction.
Good Risk Patients
n=8 Participants
Good risk patients are those who experienced a Partial Response (PR) following 4 cycles of induction.
Engraftment DLT
2 participants
1 participants

SECONDARY outcome

Timeframe: Between start of MIBG treatment and 60 days post stem cell infusion

Population: All patients who began treatment

Dose limiting veno-occlusive disease (VOD) defined as: * the presence of hepatomegaly with right upper quadrant tenderness and an elevation of total bilirubin \> grade 1, PLUS * the presence of grade 3 abnormalities of any ONE of the following: total bilirubin, hypoalbuminemia, weight gain, or hypoxia without other attribution

Outcome measures

Outcome measures
Measure
Poor Risk Patients
n=42 Participants
Poor risk patients are those who experienced a Minor response (MR) or No Response (NR) to induction therapy or progressive disease (PD) during or following induction.
Good Risk Patients
n=8 Participants
Good risk patients are those who experienced a Partial Response (PR) following 4 cycles of induction.
Dose Limiting Veno-occlusive Disease (VOD) / Sinusoidal Obstruction Syndrome SOS
6 participants
0 participants

Adverse Events

Poor Risk Patients

Serious events: 12 serious events
Other events: 42 other events
Deaths: 0 deaths

Good Risk Patients

Serious events: 3 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Poor Risk Patients
n=42 participants at risk
Poor risk patients are those who experienced a Minor response (MR) or No Response (NR) to induction therapy or progressive disease (PD) during or following induction.
Good Risk Patients
n=8 participants at risk
Good risk patients are those who experienced a Partial Response (PR) following 4 cycles of induction.
Blood and lymphatic system disorders
Blood/Bone Marrow - Other (DELAYED PLATELET ENGRAFTMENT)
2.4%
1/42 • Number of events 1
0.00%
0/8
Blood and lymphatic system disorders
Blood/Bone Marrow - Other (INFUSION OF BACKUP STEM CELLS)
2.4%
1/42 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Vomiting
2.4%
1/42 • Number of events 1
0.00%
0/8
General disorders
Fever (in the absence of neutropenia, where neutropenia is defined as ANC <1.0 x 10e9/L)
4.8%
2/42 • Number of events 2
0.00%
0/8
Hepatobiliary disorders
Hepatobiliary/Pancreas - Other (HEPATOMEGALY)
2.4%
1/42 • Number of events 1
0.00%
0/8
Infections and infestations
Infection (documented clinically or microbiologically) with Grade 3 or 4 neutrophils
2.4%
1/42 • Number of events 1
0.00%
0/8
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils (Blood)
4.8%
2/42 • Number of events 3
0.00%
0/8
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils (Catheter-related)
2.4%
1/42 • Number of events 1
12.5%
1/8 • Number of events 1
Investigations
Bilirubin (hyperbilirubinemia)
11.9%
5/42 • Number of events 5
0.00%
0/8
Investigations
Neutrophils/granulocytes (ANC/AGC)
0.00%
0/42
12.5%
1/8 • Number of events 1
Investigations
Platelets
2.4%
1/42 • Number of events 1
12.5%
1/8 • Number of events 1
Investigations
Weight gain
11.9%
5/42 • Number of events 5
0.00%
0/8
Metabolism and nutrition disorders
Albumin, serum-low (hypoalbuminemia)
4.8%
2/42 • Number of events 2
0.00%
0/8
Nervous system disorders
Pain (Head/headache)
2.4%
1/42 • Number of events 1
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/42
12.5%
1/8 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
2.4%
1/42 • Number of events 1
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Hypoxia
9.5%
4/42 • Number of events 4
12.5%
1/8 • Number of events 1
Vascular disorders
Hypotension
2.4%
1/42 • Number of events 1
0.00%
0/8

Other adverse events

Other adverse events
Measure
Poor Risk Patients
n=42 participants at risk
Poor risk patients are those who experienced a Minor response (MR) or No Response (NR) to induction therapy or progressive disease (PD) during or following induction.
Good Risk Patients
n=8 participants at risk
Good risk patients are those who experienced a Partial Response (PR) following 4 cycles of induction.
Blood and lymphatic system disorders
Blood/Bone Marrow - Other (DELAYED ENGRAFTMENT ANC)
0.00%
0/42
12.5%
1/8 • Number of events 1
Blood and lymphatic system disorders
Blood/Bone Marrow - Other (INFUSION OF BACKUP SC FOR DELAYED ENGRAFTMENT)
0.00%
0/42
12.5%
1/8 • Number of events 1
Blood and lymphatic system disorders
Febrile neutropenia (fever of unknown origin)
73.8%
31/42 • Number of events 31
75.0%
6/8 • Number of events 6
Blood and lymphatic system disorders
Hemoglobin
95.2%
40/42 • Number of events 40
87.5%
7/8 • Number of events 7
Blood and lymphatic system disorders
Hemolysis (e.g., immune hemolytic anemia, drug-related hemolysis)
2.4%
1/42 • Number of events 1
0.00%
0/8
Blood and lymphatic system disorders
Lymphatics - Other (CAPILLARY LEAK)
2.4%
1/42 • Number of events 1
0.00%
0/8
Blood and lymphatic system disorders
Lymphatics - Other (GENERALIZED EDEMA)
2.4%
1/42 • Number of events 1
0.00%
0/8
Cardiac disorders
Cardiac Arrhythmia - Other (MURMUR)
2.4%
1/42 • Number of events 1
0.00%
0/8
Cardiac disorders
Cardiac Arrhythmia - Other (SINUS TACHYCARDIA)
2.4%
1/42 • Number of events 1
0.00%
0/8
Cardiac disorders
Cardiac General - Other (SYSTOLIC MURMUR)
2.4%
1/42 • Number of events 1
0.00%
0/8
Cardiac disorders
Supraventricular and nodal arrhythmia (Atrial tachycardia/Paroxysmal Atrial Tachycardia)
2.4%
1/42 • Number of events 1
0.00%
0/8
Cardiac disorders
Supraventricular and nodal arrhythmia (Sinus tachycardia)
26.2%
11/42 • Number of events 11
0.00%
0/8
Cardiac disorders
Ventricular arrhythmia (Ventricular arrhythmia NOS)
0.00%
0/42
12.5%
1/8 • Number of events 1
Ear and labyrinth disorders
Hearing: patients with/without baseline audiogram and enrolled in a monitoring program
2.4%
1/42 • Number of events 1
12.5%
1/8 • Number of events 1
Ear and labyrinth disorders
Hearing: patients without baseline audiogram and not enrolled in a monitoring program
2.4%
1/42 • Number of events 1
0.00%
0/8
Ear and labyrinth disorders
Otitis, middle ear (non-infectious)
2.4%
1/42 • Number of events 1
0.00%
0/8
Ear and labyrinth disorders
Pain (Middle ear)
2.4%
1/42 • Number of events 1
0.00%
0/8
Endocrine disorders
Endocrine - Other (TSH)
2.4%
1/42 • Number of events 1
0.00%
0/8
Endocrine disorders
Thyroid function, high (hyperthyroidism, thyrotoxicosis)
2.4%
1/42 • Number of events 1
0.00%
0/8
Eye disorders
Ocular/Visual - Other (BILATERAL CONJUNCTIVAL HEMORRHAGE)
2.4%
1/42 • Number of events 1
0.00%
0/8
Eye disorders
Pain (Eye)
2.4%
1/42 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Ascites (non-malignant)
11.9%
5/42 • Number of events 5
0.00%
0/8
Gastrointestinal disorders
Cheilitis
9.5%
4/42 • Number of events 4
0.00%
0/8
Gastrointestinal disorders
Constipation
19.0%
8/42 • Number of events 8
25.0%
2/8 • Number of events 2
Gastrointestinal disorders
Dental: teeth
2.4%
1/42 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Diarrhea
76.2%
32/42 • Number of events 32
50.0%
4/8 • Number of events 4
Gastrointestinal disorders
Distension/bloating, abdominal
11.9%
5/42 • Number of events 5
0.00%
0/8
Gastrointestinal disorders
Dry mouth/salivary gland (xerostomia)
2.4%
1/42 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Dysphagia (difficulty swallowing)
4.8%
2/42 • Number of events 2
0.00%
0/8
Gastrointestinal disorders
Gastrointestinal - Other (HICCUPS)
2.4%
1/42 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Gastrointestinal - Other (LOOSE TEETH)
2.4%
1/42 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Gastrointestinal - Other (REFLUX)
2.4%
1/42 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Heartburn/dyspepsia
7.1%
3/42 • Number of events 3
0.00%
0/8
Gastrointestinal disorders
Hemorrhage, GI (Lower GI NOS)
4.8%
2/42 • Number of events 2
0.00%
0/8
Gastrointestinal disorders
Hemorrhage, GI (Oral cavity)
4.8%
2/42 • Number of events 2
12.5%
1/8 • Number of events 1
Gastrointestinal disorders
Hemorrhage, GI (Stomach)
2.4%
1/42 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Hemorrhage, GI (Upper GI NOS)
11.9%
5/42 • Number of events 5
0.00%
0/8
Gastrointestinal disorders
Mucositis/stomatitis (clinical exam) (Anus)
2.4%
1/42 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Mucositis/stomatitis (clinical exam) (Esophagus)
2.4%
1/42 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Mucositis/stomatitis (clinical exam) (Oral cavity)
69.0%
29/42 • Number of events 29
62.5%
5/8 • Number of events 5
Gastrointestinal disorders
Mucositis/stomatitis (clinical exam) (Rectum)
2.4%
1/42 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Mucositis/stomatitis (functional/symptomatic) (Large bowel)
2.4%
1/42 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Mucositis/stomatitis (functional/symptomatic) (Oral cavity)
33.3%
14/42 • Number of events 14
50.0%
4/8 • Number of events 4
Gastrointestinal disorders
Mucositis/stomatitis (functional/symptomatic) (Small bowel)
2.4%
1/42 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Mucositis/stomatitis (functional/symptomatic) (Stomach)
2.4%
1/42 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Nausea
76.2%
32/42 • Number of events 32
62.5%
5/8 • Number of events 5
Gastrointestinal disorders
Obstruction, GI (Small bowel NOS)
2.4%
1/42 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Pain (Abdomen NOS)
47.6%
20/42 • Number of events 20
37.5%
3/8 • Number of events 3
Gastrointestinal disorders
Pain (Esophagus)
2.4%
1/42 • Number of events 1
12.5%
1/8 • Number of events 1
Gastrointestinal disorders
Pain (Oral cavity)
45.2%
19/42 • Number of events 19
37.5%
3/8 • Number of events 3
Gastrointestinal disorders
Pain (Oral-gums)
2.4%
1/42 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Pain (Rectum)
2.4%
1/42 • Number of events 1
12.5%
1/8 • Number of events 1
Gastrointestinal disorders
Pain (Stomach)
4.8%
2/42 • Number of events 2
12.5%
1/8 • Number of events 1
Gastrointestinal disorders
Salivary gland changes/saliva
2.4%
1/42 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Typhlitis (cecal inflammation)
2.4%
1/42 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Vomiting
78.6%
33/42 • Number of events 33
87.5%
7/8 • Number of events 7
General disorders
Constitutional Symptoms - Other (BRITTLE HAIR)
2.4%
1/42 • Number of events 1
0.00%
0/8
General disorders
Constitutional Symptoms - Other (RHINORRHEA)
2.4%
1/42 • Number of events 1
0.00%
0/8
General disorders
Edema:head and neck
11.9%
5/42 • Number of events 5
25.0%
2/8 • Number of events 2
General disorders
Edema:limb
7.1%
3/42 • Number of events 3
0.00%
0/8
General disorders
Edema:trunk/genital
4.8%
2/42 • Number of events 2
12.5%
1/8 • Number of events 1
General disorders
Fatigue (asthenia, lethargy, malaise)
28.6%
12/42 • Number of events 12
0.00%
0/8
General disorders
Fever (in the absence of neutropenia, where neutropenia is defined as ANC <1.0 x 10e9/L)
38.1%
16/42 • Number of events 16
25.0%
2/8 • Number of events 2
General disorders
Irritability (children <3 years of age)
2.4%
1/42 • Number of events 1
0.00%
0/8
General disorders
Pain (Chest/thorax NOS)
4.8%
2/42 • Number of events 2
0.00%
0/8
General disorders
Pain (Face)
2.4%
1/42 • Number of events 1
0.00%
0/8
General disorders
Pain (Pain NOS)
2.4%
1/42 • Number of events 1
0.00%
0/8
General disorders
Pain - Other (BROVIAC SITE)
2.4%
1/42 • Number of events 1
0.00%
0/8
General disorders
Pain - Other (CVC SITE)
2.4%
1/42 • Number of events 1
0.00%
0/8
General disorders
Pain - Other (GENERAL (NOS))
4.8%
2/42 • Number of events 2
0.00%
0/8
General disorders
Pain - Other (MOUTH PAIN)
2.4%
1/42 • Number of events 1
0.00%
0/8
General disorders
Pain - Other (MUCOSITIS)
2.4%
1/42 • Number of events 1
0.00%
0/8
General disorders
Pain - Other (OROPHANRIX)
0.00%
0/42
12.5%
1/8 • Number of events 1
General disorders
Pain - Other (PAROTID GLAND)
2.4%
1/42 • Number of events 1
0.00%
0/8
General disorders
Pain - Other (WHOLE BODY)
2.4%
1/42 • Number of events 1
0.00%
0/8
General disorders
Rigors/chills
4.8%
2/42 • Number of events 2
0.00%
0/8
Hepatobiliary disorders
Hepatobiliary/Pancreas - Other (CHOLANGITIS)
2.4%
1/42 • Number of events 1
0.00%
0/8
Hepatobiliary disorders
Liver dysfunction/failure (clinical)
2.4%
1/42 • Number of events 1
0.00%
0/8
Hepatobiliary disorders
Pain (Liver)
2.4%
1/42 • Number of events 1
0.00%
0/8
Hepatobiliary disorders
Portal vein flow
7.1%
3/42 • Number of events 3
0.00%
0/8
Immune system disorders
Allergic reaction/hypersensitivity (including drug fever)
4.8%
2/42 • Number of events 2
0.00%
0/8
Immune system disorders
Cytokine release syndrome/acute infusion reaction
2.4%
1/42 • Number of events 1
0.00%
0/8
Infections and infestations
Colitis, infectious (e.g., Clostridium difficile)
2.4%
1/42 • Number of events 1
0.00%
0/8
Infections and infestations
Infection with Grade 3 or 4 neutrophils (ANC <1.0 x 10e9/L) (Blood)
11.9%
5/42 • Number of events 5
25.0%
2/8 • Number of events 2
Infections and infestations
Infection with Grade 3 or 4 neutrophils (ANC <1.0 x 10e9/L) (Catheter-related)
4.8%
2/42 • Number of events 2
12.5%
1/8 • Number of events 1
Infections and infestations
Infection with Grade 3 or 4 neutrophils (ANC <1.0 x 10e9/L) (Lung (pneumonia))
4.8%
2/42 • Number of events 2
0.00%
0/8
Infections and infestations
Infection with Grade 3 or 4 neutrophils (ANC <1.0 x 10e9/L) (Mucosa)
2.4%
1/42 • Number of events 1
0.00%
0/8
Infections and infestations
Infection with Grade 3 or 4 neutrophils (ANC <1.0 x 10e9/L) (Sinus)
2.4%
1/42 • Number of events 1
0.00%
0/8
Infections and infestations
Infection with Grade 3 or 4 neutrophils (ANC <1.0 x 10e9/L) (Skin (cellulitis))
2.4%
1/42 • Number of events 1
12.5%
1/8 • Number of events 1
Infections and infestations
Infection - Other (ASPERGILLUS OF MOUTH)
2.4%
1/42 • Number of events 1
0.00%
0/8
Infections and infestations
Infection - Other (L-PRESEPTAL CELLULITIS)
2.4%
1/42 • Number of events 1
0.00%
0/8
Infections and infestations
Infection - Other (ORAL CANDIDA)
2.4%
1/42 • Number of events 1
0.00%
0/8
Infections and infestations
Infection - Other (PERIRECTAL CELLULITIS)
2.4%
1/42 • Number of events 1
0.00%
0/8
Infections and infestations
Infection - Other (URINE + FOR CYTOMEGALOVIRUS)
2.4%
1/42 • Number of events 1
0.00%
0/8
Infections and infestations
Infection - Other (VARICELLA)
2.4%
1/42 • Number of events 1
0.00%
0/8
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils (Blood)
14.3%
6/42 • Number of events 6
12.5%
1/8 • Number of events 1
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils (Bronchus)
2.4%
1/42 • Number of events 1
0.00%
0/8
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils (Catheter-related)
7.1%
3/42 • Number of events 3
0.00%
0/8
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils (Colon)
2.4%
1/42 • Number of events 1
0.00%
0/8
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils (Lung (pneumonia))
2.4%
1/42 • Number of events 1
0.00%
0/8
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils (Oral cavity-gums (gingivitis))
4.8%
2/42 • Number of events 2
0.00%
0/8
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils (Sinus)
2.4%
1/42 • Number of events 1
0.00%
0/8
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils (Small bowel NOS)
2.4%
1/42 • Number of events 1
0.00%
0/8
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils (Upper airway NOS)
2.4%
1/42 • Number of events 1
0.00%
0/8
Infections and infestations
Infection with unknown ANC (Catheter-related)
2.4%
1/42 • Number of events 1
0.00%
0/8
Infections and infestations
Infection with unknown ANC (Skin (cellulitis))
0.00%
0/42
12.5%
1/8 • Number of events 1
Infections and infestations
Opportunistic infection associated with >=Grade 2 Lymphopenia
2.4%
1/42 • Number of events 1
0.00%
0/8
Injury, poisoning and procedural complications
Bruising (in absence of Grade 3 or 4 thrombocytopenia)
4.8%
2/42 • Number of events 2
0.00%
0/8
Injury, poisoning and procedural complications
Rash: dermatitis associated with radiation (Chemoradiation)
4.8%
2/42 • Number of events 2
0.00%
0/8
Investigations
ALT, SGPT (serum glutamic pyruvic transaminase)
81.0%
34/42 • Number of events 34
100.0%
8/8 • Number of events 8
Investigations
AST, SGOT(serum glutamic oxaloacetic transaminase)
85.7%
36/42 • Number of events 36
100.0%
8/8 • Number of events 8
Investigations
Alkaline phosphatase
19.0%
8/42 • Number of events 8
25.0%
2/8 • Number of events 2
Investigations
Bilirubin (hyperbilirubinemia)
23.8%
10/42 • Number of events 10
12.5%
1/8 • Number of events 1
Investigations
Cholesterol, serum-high (hypercholesteremia)
2.4%
1/42 • Number of events 1
0.00%
0/8
Investigations
Creatinine
16.7%
7/42 • Number of events 7
0.00%
0/8
Investigations
Fibrinogen
2.4%
1/42 • Number of events 1
0.00%
0/8
Investigations
GGT (gamma-Glutamyl transpeptidase)
35.7%
15/42 • Number of events 15
0.00%
0/8
Investigations
INR (International Normalized Ratio of prothrombin time)
16.7%
7/42 • Number of events 7
12.5%
1/8 • Number of events 1
Investigations
Leukocytes (total WBC)
90.5%
38/42 • Number of events 38
100.0%
8/8 • Number of events 8
Investigations
Lymphopenia
71.4%
30/42 • Number of events 30
62.5%
5/8 • Number of events 5
Investigations
Metabolic/Laboratory - Other (CHLORIDE)
2.4%
1/42 • Number of events 1
0.00%
0/8
Investigations
Metabolic/Laboratory - Other (DECREASED TOTAL PROTEIN)
0.00%
0/42
12.5%
1/8 • Number of events 1
Investigations
Metabolic/Laboratory - Other (HYPERCHLOREMIA)
0.00%
0/42
12.5%
1/8 • Number of events 1
Investigations
Metabolic/Laboratory - Other (HYPERCHLORIDEMIA)
2.4%
1/42 • Number of events 1
0.00%
0/8
Investigations
Metabolic/Laboratory - Other (HYPERPHOSPHATEMIA)
2.4%
1/42 • Number of events 1
0.00%
0/8
Investigations
Metabolic/Laboratory - Other (INCREASED CHLORIDE)
2.4%
1/42 • Number of events 1
0.00%
0/8
Investigations
Metabolic/Laboratory - Other (INCREASED FIBRINOGEN)
0.00%
0/42
12.5%
1/8 • Number of events 1
Investigations
Metabolic/Laboratory - Other (PRE-ALBUMIN)
2.4%
1/42 • Number of events 1
0.00%
0/8
Investigations
Neutrophils/granulocytes (ANC/AGC)
92.9%
39/42 • Number of events 39
87.5%
7/8 • Number of events 7
Investigations
PTT (Partial Thromboplastin Time)
19.0%
8/42 • Number of events 8
12.5%
1/8 • Number of events 1
Investigations
Platelets
95.2%
40/42 • Number of events 40
87.5%
7/8 • Number of events 7
Investigations
Weight gain
23.8%
10/42 • Number of events 10
0.00%
0/8
Investigations
Weight loss
19.0%
8/42 • Number of events 8
0.00%
0/8
Metabolism and nutrition disorders
Acidosis (metabolic or respiratory)
4.8%
2/42 • Number of events 2
0.00%
0/8
Metabolism and nutrition disorders
Albumin, serum-low (hypoalbuminemia)
90.5%
38/42 • Number of events 38
100.0%
8/8 • Number of events 8
Metabolism and nutrition disorders
Alkalosis (metabolic or respiratory)
2.4%
1/42 • Number of events 1
0.00%
0/8
Metabolism and nutrition disorders
Anorexia
59.5%
25/42 • Number of events 25
75.0%
6/8 • Number of events 6
Metabolism and nutrition disorders
Bicarbonate, serum-low
19.0%
8/42 • Number of events 8
12.5%
1/8 • Number of events 1
Metabolism and nutrition disorders
Calcium, serum-high (hypercalcemia)
19.0%
8/42 • Number of events 8
0.00%
0/8
Metabolism and nutrition disorders
Calcium, serum-low (hypocalcemia)
69.0%
29/42 • Number of events 29
75.0%
6/8 • Number of events 6
Metabolism and nutrition disorders
Dehydration
9.5%
4/42 • Number of events 4
0.00%
0/8
Metabolism and nutrition disorders
Glucose, serum-high (hyperglycemia)
71.4%
30/42 • Number of events 30
100.0%
8/8 • Number of events 8
Metabolism and nutrition disorders
Glucose, serum-low (hypoglycemia)
38.1%
16/42 • Number of events 16
12.5%
1/8 • Number of events 1
Metabolism and nutrition disorders
Magnesium, serum-high (hypermagnesemia)
28.6%
12/42 • Number of events 12
12.5%
1/8 • Number of events 1
Metabolism and nutrition disorders
Magnesium, serum-low (hypomagnesemia)
52.4%
22/42 • Number of events 22
75.0%
6/8 • Number of events 6
Metabolism and nutrition disorders
Phosphate, serum-low (hypophosphatemia)
61.9%
26/42 • Number of events 26
62.5%
5/8 • Number of events 5
Metabolism and nutrition disorders
Potassium, serum-high (hyperkalemia)
28.6%
12/42 • Number of events 12
25.0%
2/8 • Number of events 2
Metabolism and nutrition disorders
Potassium, serum-low (hypokalemia)
76.2%
32/42 • Number of events 32
87.5%
7/8 • Number of events 7
Metabolism and nutrition disorders
Sodium, serum-high (hypernatremia)
21.4%
9/42 • Number of events 9
37.5%
3/8 • Number of events 3
Metabolism and nutrition disorders
Sodium, serum-low (hyponatremia)
81.0%
34/42 • Number of events 34
100.0%
8/8 • Number of events 8
Metabolism and nutrition disorders
Triglyceride, serum-high (hypertriglyceridemia)
66.7%
28/42 • Number of events 28
75.0%
6/8 • Number of events 6
Metabolism and nutrition disorders
Uric acid, serum-high (hyperuricemia)
2.4%
1/42 • Number of events 1
0.00%
0/8
Musculoskeletal and connective tissue disorders
Muscle weakness, generalized or specific area (not due to neuropathy) (Extremity-lower)
2.4%
1/42 • Number of events 1
12.5%
1/8 • Number of events 1
Musculoskeletal and connective tissue disorders
Muscle weakness, generalized or specific area (not due to neuropathy) (Extremity-upper)
2.4%
1/42 • Number of events 1
0.00%
0/8
Musculoskeletal and connective tissue disorders
Musculoskeletal/Soft Tissue - Other (NOT SPECIFIED)
2.4%
1/42 • Number of events 1
0.00%
0/8
Musculoskeletal and connective tissue disorders
Musculoskeletal/Soft Tissue - Other (OCCASIONAL ACHES AND PAINS)
2.4%
1/42 • Number of events 1
0.00%
0/8
Musculoskeletal and connective tissue disorders
Pain (Back)
7.1%
3/42 • Number of events 3
0.00%
0/8
Musculoskeletal and connective tissue disorders
Pain (Bone)
4.8%
2/42 • Number of events 2
0.00%
0/8
Musculoskeletal and connective tissue disorders
Pain (Chest wall)
2.4%
1/42 • Number of events 1
0.00%
0/8
Musculoskeletal and connective tissue disorders
Pain (Extremity-limb)
21.4%
9/42 • Number of events 9
0.00%
0/8
Musculoskeletal and connective tissue disorders
Pain (Joint)
7.1%
3/42 • Number of events 3
0.00%
0/8
Musculoskeletal and connective tissue disorders
Pain (Neck)
7.1%
3/42 • Number of events 3
0.00%
0/8
Nervous system disorders
Neurology - Other (ACHY FEELING)
2.4%
1/42 • Number of events 1
0.00%
0/8
Nervous system disorders
Neurology - Other (DYSTONIC REACTION)
2.4%
1/42 • Number of events 1
0.00%
0/8
Nervous system disorders
Neurology - Other (GENERALIZED TENDERNESS)
2.4%
1/42 • Number of events 1
0.00%
0/8
Nervous system disorders
Neuropathy: cranial (CN VII Motor-face; Sensory-taste)
2.4%
1/42 • Number of events 1
0.00%
0/8
Nervous system disorders
Neuropathy: motor
2.4%
1/42 • Number of events 1
0.00%
0/8
Nervous system disorders
Neuropathy: sensory
2.4%
1/42 • Number of events 1
0.00%
0/8
Nervous system disorders
Pain (Head/headache)
11.9%
5/42 • Number of events 5
0.00%
0/8
Nervous system disorders
Somnolence/depressed level of consciousness
2.4%
1/42 • Number of events 1
0.00%
0/8
Nervous system disorders
Syncope (fainting)
2.4%
1/42 • Number of events 1
0.00%
0/8
Nervous system disorders
Taste alteration (dysgeusia)
9.5%
4/42 • Number of events 4
0.00%
0/8
Nervous system disorders
Tremor
2.4%
1/42 • Number of events 1
0.00%
0/8
Psychiatric disorders
Confusion
4.8%
2/42 • Number of events 2
12.5%
1/8 • Number of events 1
Psychiatric disorders
Insomnia
7.1%
3/42 • Number of events 3
0.00%
0/8
Psychiatric disorders
Mood alteration (Agitation)
4.8%
2/42 • Number of events 2
0.00%
0/8
Psychiatric disorders
Mood alteration (Anxiety)
9.5%
4/42 • Number of events 4
12.5%
1/8 • Number of events 1
Psychiatric disorders
Mood alteration (Depression)
2.4%
1/42 • Number of events 1
0.00%
0/8
Psychiatric disorders
Psychosis (hallucinations/delusions)
4.8%
2/42 • Number of events 2
25.0%
2/8 • Number of events 2
Renal and urinary disorders
Bladder spasms
4.8%
2/42 • Number of events 2
0.00%
0/8
Renal and urinary disorders
Cystitis
4.8%
2/42 • Number of events 2
0.00%
0/8
Renal and urinary disorders
Hemoglobinuria
2.4%
1/42 • Number of events 1
12.5%
1/8 • Number of events 1
Renal and urinary disorders
Hemorrhage, GU (Bladder)
4.8%
2/42 • Number of events 2
0.00%
0/8
Renal and urinary disorders
Hemorrhage, GU (Urinary NOS)
4.8%
2/42 • Number of events 2
0.00%
0/8
Renal and urinary disorders
Pain (Bladder)
2.4%
1/42 • Number of events 1
0.00%
0/8
Renal and urinary disorders
Proteinuria
28.6%
12/42 • Number of events 12
0.00%
0/8
Renal and urinary disorders
Renal/Genitourinary - Other (DECREASED URINE OUTPUT)
2.4%
1/42 • Number of events 1
0.00%
0/8
Renal and urinary disorders
Renal/Genitourinary - Other (FLUID RETENTION)
4.8%
2/42 • Number of events 2
0.00%
0/8
Renal and urinary disorders
Urinary retention (including neurogenic bladder)
7.1%
3/42 • Number of events 3
0.00%
0/8
Reproductive system and breast disorders
Pain (Pelvis)
2.4%
1/42 • Number of events 1
0.00%
0/8
Reproductive system and breast disorders
Pain (Penis)
2.4%
1/42 • Number of events 1
12.5%
1/8 • Number of events 1
Reproductive system and breast disorders
Pain (Scrotum)
4.8%
2/42 • Number of events 2
0.00%
0/8
Reproductive system and breast disorders
Vaginal mucositis
0.00%
0/42
12.5%
1/8 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis (including sneezing, nasal stuffiness, postnasal drip)
7.1%
3/42 • Number of events 3
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Atelectasis
4.8%
2/42 • Number of events 2
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Bronchospasm, wheezing
2.4%
1/42 • Number of events 1
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Cough
31.0%
13/42 • Number of events 13
25.0%
2/8 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
7.1%
3/42 • Number of events 3
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Hemorrhage, pulmonary/upper respiratory (Nose)
42.9%
18/42 • Number of events 18
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Hemorrhage, pulmonary/upper respiratory (Respiratory tract NOS)
2.4%
1/42 • Number of events 1
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Hypoxia
23.8%
10/42 • Number of events 10
12.5%
1/8 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Mucositis/stomatitis (clinical exam) (Larynx)
2.4%
1/42 • Number of events 1
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Mucositis/stomatitis (clinical exam) (Pharynx)
7.1%
3/42 • Number of events 3
12.5%
1/8 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Mucositis/stomatitis (functional/symptomatic) (Pharynx)
2.4%
1/42 • Number of events 1
12.5%
1/8 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Nasal cavity/paranasal sinus reactions
0.00%
0/42
12.5%
1/8 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pain (Larynx)
2.4%
1/42 • Number of events 1
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Pain (Throat/pharynx/larynx)
19.0%
8/42 • Number of events 8
50.0%
4/8 • Number of events 4
Respiratory, thoracic and mediastinal disorders
Pleural effusion (non-malignant)
7.1%
3/42 • Number of events 3
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Pneumonitis/pulmonary infiltrates
4.8%
2/42 • Number of events 2
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Pulmonary/Upper Respiratory - Other (CONGESTION)
2.4%
1/42 • Number of events 1
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Pulmonary/Upper Respiratory - Other (HYPERCARBIA)
2.4%
1/42 • Number of events 1
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Pulmonary/Upper Respiratory - Other (RHINORRHEA)
2.4%
1/42 • Number of events 1
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Pulmonary/Upper Respiratory - Other (RUNNY NOSE)
2.4%
1/42 • Number of events 1
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Pulmonary/Upper Respiratory - Other (TACHYPNEIC)
4.8%
2/42 • Number of events 2
0.00%
0/8
Skin and subcutaneous tissue disorders
Dermatology/Skin - Other (DRY LIPS)
2.4%
1/42 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Dermatology/Skin - Other (FACIAL ABRAISIONS)
2.4%
1/42 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Dermatology/Skin - Other (INGROWN TOENAIL)
0.00%
0/42
12.5%
1/8 • Number of events 1
Skin and subcutaneous tissue disorders
Dermatology/Skin - Other (LACERATION)
2.4%
1/42 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Dermatology/Skin - Other (PEELING SKIN)
2.4%
1/42 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Dermatology/Skin - Other (PERIORBITAL ECCHYMOSES)
2.4%
1/42 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Dermatology/Skin - Other (PSEUDOMEMBRANOUS CHANGES)
2.4%
1/42 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Dermatology/Skin - Other (SORE/SCAB)
2.4%
1/42 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Dermatology/Skin - Other (SUN BURN)
2.4%
1/42 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Dermatology/Skin - Other (ZOSTER LESION)
2.4%
1/42 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Dry skin
9.5%
4/42 • Number of events 4
0.00%
0/8
Skin and subcutaneous tissue disorders
Hair loss/alopecia (scalp or body)
11.9%
5/42 • Number of events 5
0.00%
0/8
Skin and subcutaneous tissue disorders
Hyperpigmentation
11.9%
5/42 • Number of events 5
0.00%
0/8
Skin and subcutaneous tissue disorders
Hypopigmentation
2.4%
1/42 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Petechiae/purpura (hemorrhage/bleeding into skin or mucosa)
7.1%
3/42 • Number of events 3
0.00%
0/8
Skin and subcutaneous tissue disorders
Pruritus/itching
19.0%
8/42 • Number of events 8
37.5%
3/8 • Number of events 3
Skin and subcutaneous tissue disorders
Rash/desquamation
45.2%
19/42 • Number of events 19
12.5%
1/8 • Number of events 1
Skin and subcutaneous tissue disorders
Rash: erythema multiforme (e.g., Stevens-Johnson syndrome, toxic epidermal necrolysis)
2.4%
1/42 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Rash: hand-foot skin reaction
2.4%
1/42 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Skin breakdown/decubitus ulcer
2.4%
1/42 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Sweating (diaphoresis)
2.4%
1/42 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Ulceration
2.4%
1/42 • Number of events 1
0.00%
0/8
Vascular disorders
Flushing
7.1%
3/42 • Number of events 3
0.00%
0/8
Vascular disorders
Hematoma
2.4%
1/42 • Number of events 1
0.00%
0/8
Vascular disorders
Hemorrhage/Bleeding - Other (EPISTAXIS)
4.8%
2/42 • Number of events 2
0.00%
0/8
Vascular disorders
Hemorrhage/Bleeding - Other (EYE)
2.4%
1/42 • Number of events 1
0.00%
0/8
Vascular disorders
Hemorrhage/Bleeding - Other (HEMATURIA)
2.4%
1/42 • Number of events 1
12.5%
1/8 • Number of events 1
Vascular disorders
Hemorrhage/Bleeding - Other (HEMOPTYSIS)
2.4%
1/42 • Number of events 1
0.00%
0/8
Vascular disorders
Hemorrhage/Bleeding - Other (NOSE BLEED)
2.4%
1/42 • Number of events 1
0.00%
0/8
Vascular disorders
Hemorrhage/Bleeding - Other (TONGUE BLEED)
2.4%
1/42 • Number of events 1
0.00%
0/8
Vascular disorders
Hypertension
19.0%
8/42 • Number of events 8
0.00%
0/8
Vascular disorders
Hypotension
31.0%
13/42 • Number of events 13
12.5%
1/8 • Number of events 1

Additional Information

Araz Marachelian, MD, NANT Medical Director

Chidlren's Hospital Los Angeles

Phone: 323-3691-5687

Results disclosure agreements

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

Restriction type: OTHER