Trial Outcomes & Findings for First Line Metastatic Colorectal Cancer Therapy in Combination With FOLFOX (NCT NCT00384176)

NCT ID: NCT00384176

Last Updated: 2017-04-14

Results Overview

Progression is defined as the number of months from randomisation until progressive disease based on RECIST (progression of target lesions, clear progression of existing non-target lesions or the appearance of one or more new lesions) or death in the absence of progression.

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

1814 participants

Primary outcome timeframe

Baseline then at Weeks 8, 16, 24 and then every 12 weeks until progression

Results posted on

2017-04-14

Participant Flow

Enrolled = 1814 though not all patient randomised. Randomised= Intent to treat (ITT): Cediranib 20mg 709, Cediranib 30mg 192 Bevacizumab 713; Safety: Cediranib 20mg 705, Cediranib 30mg 191 Bevacizumab 704

Cediranib 30mg discontinued following Phase II, Cediranib 20mg chosen dose for comparing with Bevacizumab. 200 patients dropped prior to treatment. Study was set up as a phase II/III study. Participants were enrolled into both phases if they participated in both Phase II/III, but are only counted once in the Enrollment Number and in the Results.

Participant milestones

Participant milestones
Measure
Cediranib 20 mg
Cediranib 20 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Bevacizumab 5 mg/kg
Bevacizumab 5 mg/kg on Day 1 and every 2 weeks + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Cediranib 30 mg
Cediranib 30 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Overall Study
STARTED
709
713
192
Overall Study
COMPLETED
397
394
60
Overall Study
NOT COMPLETED
312
319
132

Reasons for withdrawal

Reasons for withdrawal
Measure
Cediranib 20 mg
Cediranib 20 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Bevacizumab 5 mg/kg
Bevacizumab 5 mg/kg on Day 1 and every 2 weeks + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Cediranib 30 mg
Cediranib 30 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Overall Study
Death
239
247
105
Overall Study
Withdrawal by Subject
52
48
22
Overall Study
Lost to Follow-up
16
18
4
Overall Study
Incorrect enrol/elig crit not fulfilled
2
3
0
Overall Study
Longer QTC as Visit 1
1
0
0
Overall Study
Toxicity of treatment
1
0
0
Overall Study
Did not receive study treatment
0
1
1
Overall Study
Physician Decision
0
2
0
Overall Study
Liver metastases, colon resec. planned
1
0
0

Baseline Characteristics

First Line Metastatic Colorectal Cancer Therapy in Combination With FOLFOX

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cediranib 20 mg
n=709 Participants
Cediranib 20 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Bevacizumab 5 mg/kg
n=713 Participants
Bevacizumab 5 mg/kg on Day 1 and every 2 weeks \+ FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Cediranib 30 mg
n=192 Participants
Cediranib 30 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Total
n=1614 Participants
Total of all reporting groups
Age, Continuous
58.1 years
STANDARD_DEVIATION 11.37 • n=5 Participants
59.0 years
STANDARD_DEVIATION 10.82 • n=7 Participants
59.2 years
STANDARD_DEVIATION 10.59 • n=5 Participants
58.6 years
STANDARD_DEVIATION 11.1 • n=4 Participants
Sex: Female, Male
Female
297 Participants
n=5 Participants
299 Participants
n=7 Participants
73 Participants
n=5 Participants
669 Participants
n=4 Participants
Sex: Female, Male
Male
412 Participants
n=5 Participants
414 Participants
n=7 Participants
119 Participants
n=5 Participants
945 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Baseline then at Weeks 8, 16, 24 and then every 12 weeks until progression

Population: Two cediranib doses (20 mg and 30 mg) were initially included in this study; however, it was intended that one dose would be selected for continuation. The decision was taken to continue with cediranib 20 mg. No statistical analyses were performed on the 30mg group.

Progression is defined as the number of months from randomisation until progressive disease based on RECIST (progression of target lesions, clear progression of existing non-target lesions or the appearance of one or more new lesions) or death in the absence of progression.

Outcome measures

Outcome measures
Measure
Cediranib 20 mg
n=709 Participants
Cediranib 20 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Bevacizumab 5 mg/kg
n=713 Participants
Bevacizumab 5 mg/kg on Day 1 and every 2 weeks \+ FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Cediranib 30 mg
Cediranib 30 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Progression Free Survival
9.9 Months
Interval 6.3 to 13.5
10.3 Months
Interval 6.5 to 14.1

SECONDARY outcome

Timeframe: Randomisation until data cut-off

Population: Two cediranib doses (20 mg and 30 mg) were initially included in this study; however, it was intended that one dose would be selected for continuation. The decision was taken to continue with cediranib 20 mg. No statistical analyses were performed on the 30mg group.

Number of months from randomisation to the date of death from any cause

Outcome measures

Outcome measures
Measure
Cediranib 20 mg
n=709 Participants
Cediranib 20 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Bevacizumab 5 mg/kg
n=713 Participants
Bevacizumab 5 mg/kg on Day 1 and every 2 weeks \+ FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Cediranib 30 mg
Cediranib 30 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Overall Survival
22.8 Months
Interval 13.3 to 32.3
21.3 Months
Interval 12.2 to 32.8

SECONDARY outcome

Timeframe: Up until data cut-off

Population: Two cediranib doses (20 mg and 30 mg) were initially included in this study; however, it was intended that one dose would be selected for continuation. The decision was taken to continue with cediranib 20 mg. No statistical analyses were performed on the 30mg group.

Objective response rate is Complete Response (CR) + Partial Response (PR) as defined below: CR = Disappearance of all target lesions. PR = At least a 30% decrease in the sum of longest diameters (LDs) of target lesions, taking as reference the baseline sum of LDs.

Outcome measures

Outcome measures
Measure
Cediranib 20 mg
n=709 Participants
Cediranib 20 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Bevacizumab 5 mg/kg
n=713 Participants
Bevacizumab 5 mg/kg on Day 1 and every 2 weeks \+ FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Cediranib 30 mg
Cediranib 30 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Objective Response Rate
328 Participants
337 Participants

SECONDARY outcome

Timeframe: Up until data cut-off date of 15/11/2007

Population: Two cediranib doses (20 mg and 30 mg) were initially included in this study; however, it was intended that one dose would be selected for continuation. The decision was taken to continue with cediranib 20 mg. No statistical analyses were performed on the 30mg group.

Duration of Response is calculated as the time from the first recording of CR/PR until the patient progresses, regardless of whether the patient was still taking study medication. Only confirmed responses are included in the calculation. For patients who had not progressed, the end date used in the calculation of duration of response is the data cut-off date of 15th November 2009.

Outcome measures

Outcome measures
Measure
Cediranib 20 mg
n=328 Participants
Cediranib 20 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Bevacizumab 5 mg/kg
n=337 Participants
Bevacizumab 5 mg/kg on Day 1 and every 2 weeks \+ FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Cediranib 30 mg
Cediranib 30 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Duration of Response
8.6 Months
Interval 6.1 to 12.1
9.6 Months
Interval 6.5 to 13.6

SECONDARY outcome

Timeframe: Baseline to Week 8

Population: No statistical analyses were performed on the 30mg group. Patients had to have both a baseline and post-baseline (week 8) value to be included in the analysis. If patients did not have a week 8 assessment they were not included.

Percentage change in tumour size from baseline to first RECIST assessment (Week 8) ((Week 8 - baseline)/baseline)\*100

Outcome measures

Outcome measures
Measure
Cediranib 20 mg
n=634 Participants
Cediranib 20 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Bevacizumab 5 mg/kg
n=649 Participants
Bevacizumab 5 mg/kg on Day 1 and every 2 weeks \+ FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Cediranib 30 mg
Cediranib 30 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Percentage Change in Tumour Size
-23.2 Percentage change in tumour size
Standard Deviation 21.8
-22.1 Percentage change in tumour size
Standard Deviation 19.55

SECONDARY outcome

Timeframe: Baseline through to data cut-off

Time to worsening of symptoms, as measured by the FACT colorectal symptom index (FCSI), will be defined as the time when a sustained clinically important deterioration in the total score from the FCSI has been recorded.

Outcome measures

Outcome measures
Measure
Cediranib 20 mg
n=709 Participants
Cediranib 20 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Bevacizumab 5 mg/kg
n=713 Participants
Bevacizumab 5 mg/kg on Day 1 and every 2 weeks \+ FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Cediranib 30 mg
Cediranib 30 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Time to Worsening of Health Related Quality of Life (QOL) Based on the FACT Colorectal Symptom Index (FCSI)
170 Days
Interval 56.0 to 328.0
245 Days
Interval 112.0 to 348.0

Adverse Events

Cediranib 20 mg

Serious events: 275 serious events
Other events: 684 other events
Deaths: 0 deaths

Cediranib 30 mg

Serious events: 90 serious events
Other events: 187 other events
Deaths: 0 deaths

1Bevacizumab 5mg/kg

Serious events: 231 serious events
Other events: 672 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cediranib 20 mg
n=705 participants at risk
Cediranib 20 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Cediranib 30 mg
n=191 participants at risk
Cediranib 30 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
1Bevacizumab 5mg/kg
n=704 participants at risk
Bevacizumab 5 mg/kg on Day 1 and every 2 weeks
Blood and lymphatic system disorders
Febrile Neutropenia
1.6%
11/705
0.52%
1/191
1.8%
13/704
Blood and lymphatic system disorders
Neutropenia
1.1%
8/705
2.6%
5/191
1.6%
11/704
Blood and lymphatic system disorders
Thrombocytopenia
0.85%
6/705
0.52%
1/191
0.14%
1/704
Blood and lymphatic system disorders
Anaemia
0.14%
1/705
0.00%
0/191
0.43%
3/704
Blood and lymphatic system disorders
Idiopathic Thrombocytopenic Purpura
0.00%
0/705
0.00%
0/191
0.28%
2/704
Blood and lymphatic system disorders
Agranulocytosis
0.00%
0/705
0.52%
1/191
0.14%
1/704
Blood and lymphatic system disorders
Coagulopathy
0.00%
0/705
0.00%
0/191
0.14%
1/704
Blood and lymphatic system disorders
Disseminated Intravascular Coagulation
0.14%
1/705
0.00%
0/191
0.00%
0/704
Blood and lymphatic system disorders
Leukopenia
0.14%
1/705
0.00%
0/191
0.00%
0/704
Blood and lymphatic system disorders
Pancytopenia
0.00%
0/705
0.52%
1/191
0.14%
1/704
Cardiac disorders
Acute Myocardial Infarction
0.14%
1/705
0.00%
0/191
0.43%
3/704
Cardiac disorders
Cardiac Failure
0.43%
3/705
0.00%
0/191
0.14%
1/704
Cardiac disorders
Myocardial Ischaemia
0.43%
3/705
0.52%
1/191
0.28%
2/704
Cardiac disorders
Atrial Fibrillation
0.14%
1/705
0.00%
0/191
0.28%
2/704
Cardiac disorders
Myocardial Infarction
0.28%
2/705
0.00%
0/191
0.14%
1/704
Cardiac disorders
Angina Pectoris
0.00%
0/705
0.52%
1/191
0.00%
0/704
Cardiac disorders
Angina Unstable
0.14%
1/705
0.00%
0/191
0.00%
0/704
Cardiac disorders
Arrhythmia
0.00%
0/705
0.00%
0/191
0.14%
1/704
Cardiac disorders
Arteriospasm Coronary
0.14%
1/705
0.00%
0/191
0.00%
0/704
Cardiac disorders
Atrial Flutter
0.00%
0/705
0.52%
1/191
0.00%
0/704
Cardiac disorders
Atrial Thrombosis
0.14%
1/705
0.00%
0/191
0.14%
1/704
Cardiac disorders
Atrioventricular Block
0.00%
0/705
0.00%
0/191
0.14%
1/704
Cardiac disorders
Bradycardia
0.14%
1/705
0.00%
0/191
0.00%
0/704
Cardiac disorders
Cardiomyopathy
0.00%
0/705
0.52%
1/191
0.00%
0/704
Cardiac disorders
Cardiopulmonary Failure
0.14%
1/705
0.52%
1/191
0.00%
0/704
Cardiac disorders
Coronary Artery Disease
0.00%
0/705
0.00%
0/191
0.14%
1/704
Cardiac disorders
Intracardiac Thrombus
0.00%
0/705
0.00%
0/191
0.14%
1/704
Cardiac disorders
Left Ventricular Dysfunction
0.14%
1/705
0.52%
1/191
0.00%
0/704
Cardiac disorders
Left Ventricular Failure
0.00%
0/705
0.00%
0/191
0.14%
1/704
Cardiac disorders
Mitral Valve Incompetence
0.00%
0/705
0.52%
1/191
0.00%
0/704
Cardiac disorders
Pericarditis Constrictive
0.14%
1/705
0.00%
0/191
0.00%
0/704
Cardiac disorders
Supraventricular Tachycardia
0.00%
0/705
0.52%
1/191
0.00%
0/704
Congenital, familial and genetic disorders
Dihydropyrimidine Dehydrogenase Deficiency
0.14%
1/705
0.00%
0/191
0.14%
1/704
Ear and labyrinth disorders
Deafness
0.14%
1/705
0.00%
0/191
0.00%
0/704
Ear and labyrinth disorders
Vertigo
0.14%
1/705
0.00%
0/191
0.00%
0/704
Endocrine disorders
Adrenal Insufficiency
0.14%
1/705
0.00%
0/191
0.00%
0/704
Endocrine disorders
Hypothyroidism
0.00%
0/705
0.52%
1/191
0.14%
1/704
Eye disorders
Diplopia
0.14%
1/705
0.00%
0/191
0.00%
0/704
Eye disorders
Ulcerative Keratitis
0.00%
0/705
0.00%
0/191
0.14%
1/704
Gastrointestinal disorders
Diarrhoea
4.3%
30/705
5.8%
11/191
1.8%
13/704
Gastrointestinal disorders
Intestinal Obstruction
1.3%
9/705
1.0%
2/191
1.7%
12/704
Gastrointestinal disorders
Vomiting
1.6%
11/705
1.6%
3/191
1.7%
12/704
Gastrointestinal disorders
Abdominal Pain
1.3%
9/705
1.0%
2/191
1.4%
10/704
Gastrointestinal disorders
Nausea
1.4%
10/705
0.52%
1/191
0.57%
4/704
Gastrointestinal disorders
Ileus
0.99%
7/705
1.0%
2/191
0.85%
6/704
Gastrointestinal disorders
Small Intestinal Obstruction
0.99%
7/705
0.00%
0/191
0.99%
7/704
Gastrointestinal disorders
Stomatitis
0.99%
7/705
1.0%
2/191
0.14%
1/704
Gastrointestinal disorders
Intestinal Perforation
0.00%
0/705
0.52%
1/191
0.85%
6/704
Gastrointestinal disorders
Rectal Haemorrhage
0.71%
5/705
0.52%
1/191
0.00%
0/704
Gastrointestinal disorders
Anal Fistula
0.00%
0/705
0.00%
0/191
0.57%
4/704
Gastrointestinal disorders
Constipation
0.43%
3/705
0.52%
1/191
0.57%
4/704
Gastrointestinal disorders
Abdominal Pain Upper
0.28%
2/705
1.0%
2/191
0.43%
3/704
Gastrointestinal disorders
Colitis
0.00%
0/705
0.00%
0/191
0.43%
3/704
Gastrointestinal disorders
Subileus
0.43%
3/705
0.00%
0/191
0.00%
0/704
Gastrointestinal disorders
Gastrooesophageal Reflux Disease
0.00%
0/705
0.00%
0/191
0.28%
2/704
Gastrointestinal disorders
Abdominal Pain Lower
0.14%
1/705
0.00%
0/191
0.00%
0/704
Gastrointestinal disorders
Anal Fissure
0.00%
0/705
0.00%
0/191
0.14%
1/704
Gastrointestinal disorders
Ascites
0.00%
0/705
0.00%
0/191
0.14%
1/704
Gastrointestinal disorders
Colonic Obstruction
0.00%
0/705
0.00%
0/191
0.14%
1/704
Gastrointestinal disorders
Duodenal Ulcer
0.14%
1/705
0.00%
0/191
0.00%
0/704
Gastrointestinal disorders
Duodenal Ulcer Perforation
0.00%
0/705
0.00%
0/191
0.14%
1/704
Gastrointestinal disorders
Duodenitis
0.14%
1/705
0.00%
0/191
0.00%
0/704
Gastrointestinal disorders
Enteritis
0.00%
0/705
0.52%
1/191
0.14%
1/704
Gastrointestinal disorders
Enterovesical Fistula
0.14%
1/705
0.00%
0/191
0.14%
1/704
Gastrointestinal disorders
Gastric Ulcer Haemorrhage
0.00%
0/705
0.00%
0/191
0.14%
1/704
Gastrointestinal disorders
Gastritis
0.14%
1/705
0.00%
0/191
0.14%
1/704
Gastrointestinal disorders
Gastrointestinal Haemorrhage
0.00%
0/705
0.00%
0/191
0.14%
1/704
Gastrointestinal disorders
Gastrointestinal Inflammation
0.00%
0/705
0.52%
1/191
0.00%
0/704
Gastrointestinal disorders
Gastrointestinal Pain
0.00%
0/705
0.52%
1/191
0.00%
0/704
Gastrointestinal disorders
Gastrointestinal Toxicity
0.00%
0/705
0.52%
1/191
0.00%
0/704
Gastrointestinal disorders
Ileus Paralytic
0.00%
0/705
0.52%
1/191
0.00%
0/704
Gastrointestinal disorders
Inguinal Hernia
0.00%
0/705
0.00%
0/191
0.14%
1/704
Gastrointestinal disorders
Intestinal Haemorrhage
0.00%
0/705
0.52%
1/191
0.00%
0/704
Gastrointestinal disorders
Large Intestinal Haemorrhage
0.00%
0/705
0.00%
0/191
0.14%
1/704
Gastrointestinal disorders
Large Intestinal Obstruction
0.14%
1/705
0.52%
1/191
0.14%
1/704
Gastrointestinal disorders
Large Intestine Perforation
0.14%
1/705
0.52%
1/191
0.14%
1/704
Gastrointestinal disorders
Melaena
0.14%
1/705
0.00%
0/191
0.14%
1/704
Gastrointestinal disorders
Mesenteric Artery Thrombosis
0.14%
1/705
0.00%
0/191
0.00%
0/704
Gastrointestinal disorders
Mouth Ulceration
0.14%
1/705
0.00%
0/191
0.00%
0/704
Gastrointestinal disorders
Oesophageal Varices Haemorrhage
0.14%
1/705
0.00%
0/191
0.00%
0/704
Gastrointestinal disorders
Oesophagitis
0.00%
0/705
0.52%
1/191
0.00%
0/704
Gastrointestinal disorders
Pancreatitis
0.00%
0/705
0.00%
0/191
0.14%
1/704
Gastrointestinal disorders
Pancreatitis Acute
0.00%
0/705
0.00%
0/191
0.14%
1/704
Gastrointestinal disorders
Periproctitis
0.14%
1/705
0.00%
0/191
0.00%
0/704
Gastrointestinal disorders
Peritonitis
0.14%
1/705
0.00%
0/191
0.14%
1/704
Gastrointestinal disorders
Proctalgia
0.00%
0/705
0.00%
0/191
0.14%
1/704
Gastrointestinal disorders
Rectal Perforation
0.00%
0/705
0.00%
0/191
0.14%
1/704
Gastrointestinal disorders
Reflux Oesophagitis
0.14%
1/705
0.00%
0/191
0.00%
0/704
Gastrointestinal disorders
Varices Oesophageal
0.14%
1/705
0.00%
0/191
0.00%
0/704
General disorders
Pyrexia
3.0%
21/705
4.7%
9/191
1.6%
11/704
General disorders
Fatigue
0.85%
6/705
3.7%
7/191
0.00%
0/704
General disorders
Asthenia
0.43%
3/705
1.0%
2/191
0.14%
1/704
General disorders
Malaise
0.43%
3/705
0.00%
0/191
0.00%
0/704
General disorders
Non-Cardiac Chest Pain
0.43%
3/705
1.0%
2/191
0.14%
1/704
General disorders
Catheter Related Complication
0.28%
2/705
0.00%
0/191
0.00%
0/704
General disorders
Catheter Thrombosis
0.28%
2/705
0.00%
0/191
0.14%
1/704
General disorders
Chills
0.28%
2/705
0.00%
0/191
0.00%
0/704
General disorders
Multi-Organ Failure
0.28%
2/705
0.00%
0/191
0.00%
0/704
General disorders
Death
0.14%
1/705
0.52%
1/191
0.00%
0/704
General disorders
General Physical Health Deterioration
0.14%
1/705
0.52%
1/191
0.00%
0/704
General disorders
Infusion Site Extravasation
0.14%
1/705
0.00%
0/191
0.00%
0/704
General disorders
Infusion Site Inflammation
0.00%
0/705
0.00%
0/191
0.14%
1/704
General disorders
Mucosal Inflammation
0.14%
1/705
0.00%
0/191
0.00%
0/704
General disorders
Oedema
0.00%
0/705
0.00%
0/191
0.14%
1/704
General disorders
Oedema Peripheral
0.14%
1/705
0.00%
0/191
0.00%
0/704
General disorders
Pain
0.00%
0/705
0.00%
0/191
0.14%
1/704
General disorders
Sudden Death
0.14%
1/705
0.00%
0/191
0.00%
0/704
Hepatobiliary disorders
Hyperbilirubinaemia
0.28%
2/705
0.00%
0/191
0.14%
1/704
Hepatobiliary disorders
Portal Vein Thrombosis
0.28%
2/705
0.00%
0/191
0.14%
1/704
Hepatobiliary disorders
Bile Duct Obstruction
0.00%
0/705
0.00%
0/191
0.14%
1/704
Hepatobiliary disorders
Cholecystitis
0.14%
1/705
0.00%
0/191
0.14%
1/704
Hepatobiliary disorders
Hepatic Failure
0.14%
1/705
0.00%
0/191
0.00%
0/704
Hepatobiliary disorders
Hepatic Pain
0.00%
0/705
0.00%
0/191
0.14%
1/704
Immune system disorders
Drug Hypersensitivity
0.28%
2/705
0.52%
1/191
0.71%
5/704
Immune system disorders
Hypersensitivity
0.00%
0/705
0.00%
0/191
0.28%
2/704
Immune system disorders
Food Allergy
0.14%
1/705
0.00%
0/191
0.00%
0/704
Infections and infestations
Pneumonia
1.4%
10/705
1.0%
2/191
0.71%
5/704
Infections and infestations
Catheter Related Infection
0.85%
6/705
0.52%
1/191
0.85%
6/704
Infections and infestations
Sepsis
0.85%
6/705
0.52%
1/191
0.85%
6/704
Infections and infestations
Urinary Tract Infection
0.85%
6/705
0.52%
1/191
0.43%
3/704
Infections and infestations
Central Line Infection
0.57%
4/705
0.00%
0/191
0.57%
4/704
Infections and infestations
Infection
0.57%
4/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Catheter Sepsis
0.14%
1/705
0.00%
0/191
0.43%
3/704
Infections and infestations
Lower Respiratory Tract Infection
0.14%
1/705
0.00%
0/191
0.43%
3/704
Infections and infestations
Abscess
0.00%
0/705
0.00%
0/191
0.28%
2/704
Infections and infestations
Anal Abscess
0.28%
2/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Diverticulitis
0.00%
0/705
0.00%
0/191
0.28%
2/704
Infections and infestations
Gastroenteritis
0.28%
2/705
0.00%
0/191
0.28%
2/704
Infections and infestations
Herpes Zoster
0.00%
0/705
0.00%
0/191
0.28%
2/704
Infections and infestations
Septic Shock
0.14%
1/705
0.00%
0/191
0.28%
2/704
Infections and infestations
Sinusitis
0.00%
0/705
0.00%
0/191
0.28%
2/704
Infections and infestations
Staphylococcal Infection
0.14%
1/705
0.00%
0/191
0.28%
2/704
Infections and infestations
Abdominal Abscess
0.00%
0/705
0.52%
1/191
0.00%
0/704
Infections and infestations
Abdominal Infection
0.00%
0/705
0.52%
1/191
0.00%
0/704
Infections and infestations
Abdominal Sepsis
0.00%
0/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Appendicitis
0.14%
1/705
0.52%
1/191
0.00%
0/704
Infections and infestations
Breast Abscess
0.14%
1/705
0.00%
0/191
0.00%
0/704
Infections and infestations
Bronchitis
0.14%
1/705
0.52%
1/191
0.14%
1/704
Infections and infestations
Bronchopneumonia
0.14%
1/705
0.00%
0/191
0.00%
0/704
Infections and infestations
Catheter Site Cellulitis
0.14%
1/705
0.52%
1/191
0.00%
0/704
Infections and infestations
Cellulitis
0.14%
1/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Clostridial Infection
0.00%
0/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Cystitis
0.14%
1/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Endocarditis
0.00%
0/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Enterococcal Infection
0.14%
1/705
0.00%
0/191
0.00%
0/704
Infections and infestations
Gas Gangrene
0.00%
0/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Gastroenteritis Viral
0.00%
0/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Gingival Infection
0.00%
0/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Hepatitis C
0.14%
1/705
0.00%
0/191
0.00%
0/704
Infections and infestations
Herpes Virus Infection
0.14%
1/705
0.00%
0/191
0.00%
0/704
Infections and infestations
Influenza
0.00%
0/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Infusion Site Infection
0.00%
0/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Liver Abscess
0.00%
0/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Lobar Pneumonia
0.14%
1/705
0.52%
1/191
0.00%
0/704
Infections and infestations
Lung Infection
0.14%
1/705
0.00%
0/191
0.00%
0/704
Infections and infestations
Mucormycosis
0.00%
0/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Nasopharyngitis
0.00%
0/705
0.52%
1/191
0.00%
0/704
Infections and infestations
Necrotising Fasciitis
0.00%
0/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Neutropenic Sepsis
0.00%
0/705
0.52%
1/191
0.00%
0/704
Infections and infestations
Oesophageal Candidiasis
0.00%
0/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Pelvic Abscess
0.14%
1/705
0.00%
0/191
0.00%
0/704
Infections and infestations
Perirectal Abscess
0.00%
0/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Pulmonary Tuberculosis
0.14%
1/705
0.52%
1/191
0.00%
0/704
Infections and infestations
Pyelonephritis
0.14%
1/705
0.00%
0/191
0.00%
0/704
Infections and infestations
Respiratory Tract Infection
0.00%
0/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Retroperitoneal Abscess
0.00%
0/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Tooth Abscess
0.00%
0/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Upper Respiratory Tract Infection
0.14%
1/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Urosepsis
0.14%
1/705
0.00%
0/191
0.14%
1/704
Infections and infestations
Viral Diarrhoea
0.14%
1/705
0.00%
0/191
0.00%
0/704
Infections and infestations
Viral Infection
0.14%
1/705
0.00%
0/191
0.00%
0/704
Infections and infestations
Wound Infection
0.14%
1/705
0.00%
0/191
0.00%
0/704
Injury, poisoning and procedural complications
Post Procedural Complication
0.43%
3/705
0.00%
0/191
0.00%
0/704
Injury, poisoning and procedural complications
Abdominal Wound Dehiscence
0.14%
1/705
0.00%
0/191
0.00%
0/704
Injury, poisoning and procedural complications
Cardiac Valve Replacement Complication
0.00%
0/705
0.00%
0/191
0.14%
1/704
Injury, poisoning and procedural complications
Drug Toxicity
0.14%
1/705
0.00%
0/191
0.00%
0/704
Injury, poisoning and procedural complications
Femur Fracture
0.14%
1/705
0.00%
0/191
0.14%
1/704
Injury, poisoning and procedural complications
Gastrointestinal Stoma Complication
0.00%
0/705
0.00%
0/191
0.14%
1/704
Injury, poisoning and procedural complications
Hip Fracture
0.14%
1/705
0.00%
0/191
0.00%
0/704
Injury, poisoning and procedural complications
Joint Dislocation
0.14%
1/705
0.00%
0/191
0.00%
0/704
Injury, poisoning and procedural complications
Lumbar Vertebral Fracture
0.14%
1/705
0.00%
0/191
0.00%
0/704
Injury, poisoning and procedural complications
Multiple Fractures
0.00%
0/705
0.00%
0/191
0.14%
1/704
Injury, poisoning and procedural complications
Patella Fracture
0.00%
0/705
0.00%
0/191
0.14%
1/704
Injury, poisoning and procedural complications
Post Procedural Haemorrhage
0.14%
1/705
0.00%
0/191
0.14%
1/704
Injury, poisoning and procedural complications
Procedural Pain
0.00%
0/705
0.00%
0/191
0.14%
1/704
Injury, poisoning and procedural complications
Wound Dehiscence
0.00%
0/705
0.00%
0/191
0.14%
1/704
Injury, poisoning and procedural complications
Wrist Fracture
0.00%
0/705
0.00%
0/191
0.14%
1/704
Investigations
Alanine Aminotransferase Increased
0.28%
2/705
0.00%
0/191
0.00%
0/704
Investigations
Blood Pressure Increased
0.28%
2/705
0.00%
0/191
0.28%
2/704
Investigations
Aspartate Aminotransferase Increased
0.14%
1/705
0.00%
0/191
0.00%
0/704
Investigations
Body Temperature Increased
0.14%
1/705
0.00%
0/191
0.00%
0/704
Investigations
C-Reactive Protein Increased
0.00%
0/705
0.00%
0/191
0.14%
1/704
Investigations
Electrocardiogram Qt Prolonged
0.14%
1/705
0.00%
0/191
0.00%
0/704
Investigations
Gamma-Glutamyltransferase Increased
0.14%
1/705
0.00%
0/191
0.00%
0/704
Investigations
Glomerular Filtration Rate Decreased
0.14%
1/705
0.00%
0/191
0.00%
0/704
Investigations
Haemoglobin Decreased
0.14%
1/705
0.00%
0/191
0.00%
0/704
Investigations
Lipase Increased
0.00%
0/705
0.00%
0/191
0.14%
1/704
Investigations
Transaminases Increased
0.00%
0/705
0.00%
0/191
0.14%
1/704
Investigations
Viral Test Positive
0.14%
1/705
0.00%
0/191
0.00%
0/704
Investigations
Weight Decreased
0.14%
1/705
0.00%
0/191
0.00%
0/704
Metabolism and nutrition disorders
Dehydration
0.85%
6/705
2.6%
5/191
1.1%
8/704
Metabolism and nutrition disorders
Hypokalaemia
0.57%
4/705
0.00%
0/191
0.14%
1/704
Metabolism and nutrition disorders
Hyperglycaemia
0.00%
0/705
0.00%
0/191
0.43%
3/704
Metabolism and nutrition disorders
Decreased Appetite
0.28%
2/705
1.0%
2/191
0.00%
0/704
Metabolism and nutrition disorders
Hyponatraemia
0.28%
2/705
0.00%
0/191
0.00%
0/704
Metabolism and nutrition disorders
Electrolyte Imbalance
0.14%
1/705
0.00%
0/191
0.00%
0/704
Metabolism and nutrition disorders
Fluid Intake Reduced
0.00%
0/705
0.00%
0/191
0.14%
1/704
Metabolism and nutrition disorders
Gout
0.00%
0/705
0.00%
0/191
0.14%
1/704
Metabolism and nutrition disorders
Hypercalcaemia
0.00%
0/705
0.52%
1/191
0.00%
0/704
Metabolism and nutrition disorders
Hyperkalaemia
0.14%
1/705
0.00%
0/191
0.00%
0/704
Metabolism and nutrition disorders
Hypoalbuminaemia
0.00%
0/705
0.00%
0/191
0.14%
1/704
Metabolism and nutrition disorders
Hypocalcaemia
0.14%
1/705
0.00%
0/191
0.00%
0/704
Metabolism and nutrition disorders
Hypoglycaemia
0.14%
1/705
0.00%
0/191
0.00%
0/704
Metabolism and nutrition disorders
Ketoacidosis
0.00%
0/705
0.00%
0/191
0.14%
1/704
Musculoskeletal and connective tissue disorders
Back Pain
0.28%
2/705
0.00%
0/191
0.43%
3/704
Musculoskeletal and connective tissue disorders
Chondrocalcinosis Pyrophosphate
0.14%
1/705
0.00%
0/191
0.00%
0/704
Musculoskeletal and connective tissue disorders
Flank Pain
0.00%
0/705
0.00%
0/191
0.14%
1/704
Musculoskeletal and connective tissue disorders
Intervertebral Disc Protrusion
0.14%
1/705
0.00%
0/191
0.00%
0/704
Musculoskeletal and connective tissue disorders
Musculoskeletal Pain
0.14%
1/705
0.00%
0/191
0.00%
0/704
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/705
0.52%
1/191
0.00%
0/704
Musculoskeletal and connective tissue disorders
Neck Pain
0.00%
0/705
0.00%
0/191
0.14%
1/704
Musculoskeletal and connective tissue disorders
Osteoporosis
0.00%
0/705
0.00%
0/191
0.14%
1/704
Musculoskeletal and connective tissue disorders
Pain In Extremity
0.14%
1/705
0.00%
0/191
0.14%
1/704
Musculoskeletal and connective tissue disorders
Pathological Fracture
0.00%
0/705
0.00%
0/191
0.14%
1/704
Musculoskeletal and connective tissue disorders
Periostitis
0.14%
1/705
0.00%
0/191
0.00%
0/704
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastatic Pain
0.00%
0/705
0.00%
0/191
0.14%
1/704
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Osteoma
0.14%
1/705
0.00%
0/191
0.00%
0/704
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour Haemorrhage
0.14%
1/705
0.00%
0/191
0.14%
1/704
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour Pain
0.00%
0/705
0.00%
0/191
0.14%
1/704
Nervous system disorders
Cerebral Haemorrhage
0.43%
3/705
1.0%
2/191
0.14%
1/704
Nervous system disorders
Syncope
0.43%
3/705
0.52%
1/191
0.14%
1/704
Nervous system disorders
Transient Ischaemic Attack
0.43%
3/705
0.52%
1/191
0.14%
1/704
Nervous system disorders
Convulsion
0.00%
0/705
1.0%
2/191
0.00%
0/704
Nervous system disorders
Aphasia
0.14%
1/705
0.00%
0/191
0.00%
0/704
Nervous system disorders
Cerebral Infarction
0.14%
1/705
0.00%
0/191
0.00%
0/704
Nervous system disorders
Cerebral Ischaemia
0.14%
1/705
0.52%
1/191
0.14%
1/704
Nervous system disorders
Cerebrovascular Accident
0.00%
0/705
0.52%
1/191
0.14%
1/704
Nervous system disorders
Cognitive Disorder
0.00%
0/705
0.52%
1/191
0.00%
0/704
Nervous system disorders
Depressed Level Of Consciousness
0.14%
1/705
0.00%
0/191
0.14%
1/704
Nervous system disorders
Dizziness
0.00%
0/705
0.00%
0/191
0.14%
1/704
Nervous system disorders
Facial Palsy
0.14%
1/705
0.00%
0/191
0.00%
0/704
Nervous system disorders
Grand Mal Convulsion
0.14%
1/705
0.00%
0/191
0.00%
0/704
Nervous system disorders
Haemorrhagic Cerebral Infarction
0.14%
1/705
0.00%
0/191
0.00%
0/704
Nervous system disorders
Haemorrhagic Stroke
0.00%
0/705
0.52%
1/191
0.00%
0/704
Nervous system disorders
Headache
0.14%
1/705
0.00%
0/191
0.00%
0/704
Nervous system disorders
Hemiparesis
0.00%
0/705
0.00%
0/191
0.14%
1/704
Nervous system disorders
Hypertensive Encephalopathy
0.14%
1/705
0.00%
0/191
0.00%
0/704
Nervous system disorders
Ischaemic Cerebral Infarction
0.14%
1/705
0.00%
0/191
0.00%
0/704
Nervous system disorders
Lethargy
0.14%
1/705
0.52%
1/191
0.00%
0/704
Nervous system disorders
Loss Of Consciousness
0.14%
1/705
0.00%
0/191
0.14%
1/704
Nervous system disorders
Nerve Root Lesion
0.14%
1/705
0.00%
0/191
0.00%
0/704
Nervous system disorders
Neuropathy Peripheral
0.14%
1/705
0.52%
1/191
0.00%
0/704
Nervous system disorders
Partial Seizures
0.00%
0/705
0.00%
0/191
0.14%
1/704
Nervous system disorders
Peroneal Nerve Palsy
0.00%
0/705
0.00%
0/191
0.14%
1/704
Nervous system disorders
Reversible Posterior Leukoencephalopathy Syndrome
0.14%
1/705
0.00%
0/191
0.14%
1/704
Nervous system disorders
Somnolence
0.14%
1/705
0.00%
0/191
0.00%
0/704
Nervous system disorders
Toxic Encephalopathy
0.14%
1/705
0.00%
0/191
0.00%
0/704
Nervous system disorders
Vascular Encephalopathy
0.00%
0/705
0.52%
1/191
0.00%
0/704
Psychiatric disorders
Bradyphrenia
0.00%
0/705
0.52%
1/191
0.00%
0/704
Psychiatric disorders
Depression
0.00%
0/705
0.00%
0/191
0.14%
1/704
Psychiatric disorders
Dissociative Disorder
0.14%
1/705
0.00%
0/191
0.00%
0/704
Psychiatric disorders
Suicidal Ideation
0.00%
0/705
0.00%
0/191
0.14%
1/704
Renal and urinary disorders
Hydronephrosis
0.00%
0/705
0.00%
0/191
0.28%
2/704
Renal and urinary disorders
Renal Failure
0.28%
2/705
0.52%
1/191
0.14%
1/704
Renal and urinary disorders
Bladder Obstruction
0.14%
1/705
0.00%
0/191
0.00%
0/704
Renal and urinary disorders
Haematuria
0.14%
1/705
0.52%
1/191
0.00%
0/704
Renal and urinary disorders
Renal Colic
0.14%
1/705
0.00%
0/191
0.00%
0/704
Renal and urinary disorders
Renal Failure Acute
0.14%
1/705
0.00%
0/191
0.00%
0/704
Renal and urinary disorders
Renal Pain
0.14%
1/705
0.00%
0/191
0.00%
0/704
Renal and urinary disorders
Ureteric Obstruction
0.14%
1/705
0.00%
0/191
0.14%
1/704
Renal and urinary disorders
Urinary Incontinence
0.00%
0/705
0.00%
0/191
0.14%
1/704
Renal and urinary disorders
Urinary Retention
0.14%
1/705
0.00%
0/191
0.14%
1/704
Reproductive system and breast disorders
Female Genital Tract Fistula
0.00%
0/705
0.00%
0/191
0.28%
2/704
Reproductive system and breast disorders
Fibrocystic Breast Disease
0.00%
0/705
0.00%
0/191
0.14%
1/704
Respiratory, thoracic and mediastinal disorders
Pulmonary Embolism
1.8%
13/705
3.1%
6/191
3.0%
21/704
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.43%
3/705
1.0%
2/191
0.57%
4/704
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.00%
0/705
0.00%
0/191
0.43%
3/704
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.28%
2/705
0.00%
0/191
0.00%
0/704
Respiratory, thoracic and mediastinal disorders
Laryngospasm
0.28%
2/705
0.00%
0/191
0.00%
0/704
Respiratory, thoracic and mediastinal disorders
Pneumonia Aspiration
0.28%
2/705
0.00%
0/191
0.00%
0/704
Respiratory, thoracic and mediastinal disorders
Bronchospasm
0.00%
0/705
0.00%
0/191
0.14%
1/704
Respiratory, thoracic and mediastinal disorders
Chronic Obstructive Pulmonary Disease
0.14%
1/705
0.00%
0/191
0.14%
1/704
Respiratory, thoracic and mediastinal disorders
Haemoptysis
0.14%
1/705
0.00%
0/191
0.00%
0/704
Respiratory, thoracic and mediastinal disorders
Lung Disorder
0.00%
0/705
0.00%
0/191
0.14%
1/704
Respiratory, thoracic and mediastinal disorders
Organising Pneumonia
0.14%
1/705
0.00%
0/191
0.00%
0/704
Respiratory, thoracic and mediastinal disorders
Pharyngeal Oedema
0.00%
0/705
0.52%
1/191
0.00%
0/704
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
0.14%
1/705
0.52%
1/191
0.00%
0/704
Skin and subcutaneous tissue disorders
Palmar-Plantar Erythrodysaesthesia Syndrome
0.00%
0/705
1.0%
2/191
0.00%
0/704
Skin and subcutaneous tissue disorders
Dermatitis Contact
0.14%
1/705
0.00%
0/191
0.00%
0/704
Skin and subcutaneous tissue disorders
Subcutaneous Emphysema
0.00%
0/705
0.00%
0/191
0.14%
1/704
Skin and subcutaneous tissue disorders
Swelling Face
0.00%
0/705
0.00%
0/191
0.14%
1/704
Vascular disorders
Deep Vein Thrombosis
1.3%
9/705
1.0%
2/191
1.3%
9/704
Vascular disorders
Hypertension
1.3%
9/705
2.1%
4/191
0.28%
2/704
Vascular disorders
Jugular Vein Thrombosis
0.43%
3/705
0.00%
0/191
0.00%
0/704
Vascular disorders
Hypertensive Crisis
0.28%
2/705
1.0%
2/191
0.00%
0/704
Vascular disorders
Hypotension
0.14%
1/705
0.00%
0/191
0.28%
2/704
Vascular disorders
Arterial Thrombosis Limb
0.00%
0/705
0.00%
0/191
0.14%
1/704
Vascular disorders
Circulatory Collapse
0.14%
1/705
0.00%
0/191
0.00%
0/704
Vascular disorders
Embolism Venous
0.00%
0/705
0.52%
1/191
0.00%
0/704
Vascular disorders
Haematoma
0.14%
1/705
0.00%
0/191
0.00%
0/704
Vascular disorders
Orthostatic Hypotension
0.14%
1/705
0.00%
0/191
0.14%
1/704
Vascular disorders
Shock Haemorrhagic
0.14%
1/705
0.00%
0/191
0.00%
0/704
Vascular disorders
Subclavian Vein Thrombosis
0.14%
1/705
0.52%
1/191
0.00%
0/704
Vascular disorders
Thrombosis
0.00%
0/705
0.52%
1/191
0.00%
0/704
Vascular disorders
Vasospasm
0.14%
1/705
0.00%
0/191
0.00%
0/704
Vascular disorders
Vena Cava Thrombosis
0.14%
1/705
0.52%
1/191
0.14%
1/704
Vascular disorders
Venous Thrombosis
0.14%
1/705
0.00%
0/191
0.14%
1/704
Vascular disorders
Venous Thrombosis Limb
0.14%
1/705
0.00%
0/191
0.00%
0/704

Other adverse events

Other adverse events
Measure
Cediranib 20 mg
n=705 participants at risk
Cediranib 20 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
Cediranib 30 mg
n=191 participants at risk
Cediranib 30 mg/day + FOLFOX The FOLFOX regimen in this study was a modified FOLFOX6 regimen, repeated every 2 weeks: * Oxaliplatin 85 mg/m2 with leucovorin 400 mg/m2 (or equivalent folinic acid preparation) administered intravenously over 2 hours on Day 1 * 5-FU 400 mg/m2 bolus immediately after completion of the oxaliplatin infusion on Day 1, followed immediately by 5-FU 2400 mg/m2 administered by a continuous iv infusion over 46 hours.
1Bevacizumab 5mg/kg
n=704 participants at risk
Bevacizumab 5 mg/kg on Day 1 and every 2 weeks
Blood and lymphatic system disorders
Neutropenia
42.8%
302/705
44.5%
85/191
32.4%
228/704
Blood and lymphatic system disorders
Thrombocytopenia
26.4%
186/705
28.8%
55/191
12.1%
85/704
Blood and lymphatic system disorders
Anaemia
7.1%
50/705
8.4%
16/191
11.2%
79/704
Blood and lymphatic system disorders
Leukopenia
7.9%
56/705
10.5%
20/191
7.4%
52/704
Endocrine disorders
Hypothyroidism
5.0%
35/705
12.6%
24/191
1.1%
8/704
Gastrointestinal disorders
Diarrhoea
68.9%
486/705
77.0%
147/191
50.3%
354/704
Gastrointestinal disorders
Nausea
50.4%
355/705
52.4%
100/191
49.6%
349/704
Gastrointestinal disorders
Stomatitis
35.7%
252/705
40.3%
77/191
26.6%
187/704
Gastrointestinal disorders
Vomiting
31.3%
221/705
33.5%
64/191
27.3%
192/704
Gastrointestinal disorders
Constipation
20.6%
145/705
17.8%
34/191
26.6%
187/704
Gastrointestinal disorders
Abdominal Pain
22.8%
161/705
25.7%
49/191
17.6%
124/704
Gastrointestinal disorders
Abdominal Pain Upper
11.6%
82/705
11.0%
21/191
8.4%
59/704
Gastrointestinal disorders
Dyspepsia
6.4%
45/705
5.8%
11/191
8.0%
56/704
Gastrointestinal disorders
Dry Mouth
4.7%
33/705
5.2%
10/191
4.3%
30/704
Gastrointestinal disorders
Dysphagia
3.1%
22/705
5.8%
11/191
1.4%
10/704
General disorders
Fatigue
44.5%
314/705
46.6%
89/191
42.5%
299/704
General disorders
Pyrexia
13.0%
92/705
13.6%
26/191
17.5%
123/704
General disorders
Asthenia
13.6%
96/705
16.2%
31/191
10.4%
73/704
General disorders
Oedema Peripheral
4.0%
28/705
7.3%
14/191
5.5%
39/704
Immune system disorders
Drug Hypersensitivity
5.8%
41/705
5.2%
10/191
7.1%
50/704
Infections and infestations
Nasopharyngitis
6.0%
42/705
11.0%
21/191
7.1%
50/704
Infections and infestations
Urinary Tract Infection
6.0%
42/705
7.9%
15/191
6.1%
43/704
Infections and infestations
Upper Respiratory Tract Infection
2.6%
18/705
2.1%
4/191
5.1%
36/704
Investigations
Weight Decreased
11.3%
80/705
16.8%
32/191
8.0%
56/704
Investigations
Alanine Aminotransferase Increased
2.6%
18/705
5.8%
11/191
1.8%
13/704
Metabolism and nutrition disorders
Decreased Appetite
25.1%
177/705
37.2%
71/191
22.7%
160/704
Metabolism and nutrition disorders
Hypokalaemia
8.4%
59/705
8.4%
16/191
5.4%
38/704
Musculoskeletal and connective tissue disorders
Back Pain
7.7%
54/705
10.5%
20/191
8.9%
63/704
Musculoskeletal and connective tissue disorders
Pain In Extremity
6.5%
46/705
8.4%
16/191
5.4%
38/704
Musculoskeletal and connective tissue disorders
Arthralgia
4.8%
34/705
7.9%
15/191
5.7%
40/704
Musculoskeletal and connective tissue disorders
Musculoskeletal Pain
5.7%
40/705
3.7%
7/191
5.0%
35/704
Musculoskeletal and connective tissue disorders
Myalgia
2.6%
18/705
5.8%
11/191
3.1%
22/704
Nervous system disorders
Neuropathy Peripheral
30.9%
218/705
25.7%
49/191
30.1%
212/704
Nervous system disorders
Paraesthesia
22.3%
157/705
24.1%
46/191
22.4%
158/704
Nervous system disorders
Peripheral Sensory Neuropathy
19.1%
135/705
19.4%
37/191
20.5%
144/704
Nervous system disorders
Headache
16.6%
117/705
24.1%
46/191
12.8%
90/704
Nervous system disorders
Dysgeusia
11.6%
82/705
12.6%
24/191
11.9%
84/704
Nervous system disorders
Dizziness
7.2%
51/705
8.4%
16/191
4.7%
33/704
Nervous system disorders
Lethargy
5.7%
40/705
6.3%
12/191
4.3%
30/704
Psychiatric disorders
Insomnia
7.0%
49/705
8.4%
16/191
7.8%
55/704
Psychiatric disorders
Depression
3.3%
23/705
5.8%
11/191
3.3%
23/704
Renal and urinary disorders
Proteinuria
6.8%
48/705
12.0%
23/191
5.7%
40/704
Respiratory, thoracic and mediastinal disorders
Epistaxis
24.0%
169/705
23.6%
45/191
24.4%
172/704
Respiratory, thoracic and mediastinal disorders
Dysphonia
17.6%
124/705
24.6%
47/191
11.5%
81/704
Respiratory, thoracic and mediastinal disorders
Cough
10.1%
71/705
11.5%
22/191
9.7%
68/704
Respiratory, thoracic and mediastinal disorders
Dyspnoea
8.5%
60/705
14.1%
27/191
6.1%
43/704
Respiratory, thoracic and mediastinal disorders
Oropharyngeal Pain
6.2%
44/705
6.8%
13/191
5.3%
37/704
Skin and subcutaneous tissue disorders
Palmar-Plantar Erythrodysaesthesia Syndrome
14.8%
104/705
16.2%
31/191
9.7%
68/704
Skin and subcutaneous tissue disorders
Alopecia
9.2%
65/705
9.4%
18/191
9.1%
64/704
Skin and subcutaneous tissue disorders
Rash
7.2%
51/705
7.3%
14/191
5.4%
38/704
Vascular disorders
Hypertension
41.4%
292/705
48.2%
92/191
26.0%
183/704
Vascular disorders
Phlebitis
3.1%
22/705
5.2%
10/191
4.4%
31/704

Additional Information

Gerard Lynch

AstraZeneca

Results disclosure agreements

  • Principal investigator is a sponsor employee If a Study Site, or an investigator, requests permission to publish data from this study, any such publication (including oral presentations) is to be agreed with AstraZeneca prior to publication.
  • Publication restrictions are in place

Restriction type: OTHER