Trial Outcomes & Findings for Doxorubicin and Cyclophosphamide Followed By Trastuzumab, Paclitaxel, and Lapatinib in Treating Patients With Early-Stage HER2-Positive Breast Cancer That Has Been Removed By Surgery (NCT NCT00436566)

NCT ID: NCT00436566

Last Updated: 2022-08-05

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

122 participants

Primary outcome timeframe

6 months

Results posted on

2022-08-05

Participant Flow

One-hundred and twenty-two (122) participants were recruited between April 2007 and October 2008 at Mayo Clinic. Ten (10) participants were deemed ineligible due to HER-2+ not corroborated by the central laboratory evaluation. These 10 participants and 3 participants (those who did not completed the treatment) were excluded from all analysis.

Participant milestones

Participant milestones
Measure
AC/PTL
Standard doxorubicin and cyclophosphamide (AC) followed by weekly paclitaxel (80 mg/m\^2) x 12 with concurrent standard dose trastuzumab (weekly x 12, then repeat 3 weeks for an additional 9 months) plus daily lapatinib (modified to 750 mg during Paclitaxel + Trastuzumab + Lapatinib (PTL) and 1000 mg during trastuzumab + lapatinib (TL)) for a total of 12 months.
Overall Study
STARTED
112
Overall Study
COMPLETED
109
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
AC/PTL
Standard doxorubicin and cyclophosphamide (AC) followed by weekly paclitaxel (80 mg/m\^2) x 12 with concurrent standard dose trastuzumab (weekly x 12, then repeat 3 weeks for an additional 9 months) plus daily lapatinib (modified to 750 mg during Paclitaxel + Trastuzumab + Lapatinib (PTL) and 1000 mg during trastuzumab + lapatinib (TL)) for a total of 12 months.
Overall Study
Withdrawal by Subject
2
Overall Study
Protocol Violation
1

Baseline Characteristics

Doxorubicin and Cyclophosphamide Followed By Trastuzumab, Paclitaxel, and Lapatinib in Treating Patients With Early-Stage HER2-Positive Breast Cancer That Has Been Removed By Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
AC/PTL
n=109 Participants
Standard doxorubicin and cyclophosphamide (AC) followed by weekly paclitaxel (80 mg/m\^2) x 12 with concurrent standard dose trastuzumab (weekly x 12, then repeat 3 weeks for an additional 9 months) plus daily lapatinib (modified to 750 mg during Paclitaxel + Trastuzumab + Lapatinib (PTL) and 1000 mg during trastuzumab + lapatinib (TL)) for a total of 12 months.
Age, Continuous
51 years
n=5 Participants
Sex: Female, Male
Female
109 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 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
12 Participants
n=5 Participants
Race (NIH/OMB)
White
94 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
109 participants
n=5 Participants
Eastern Cooperative Oncology Group (ECOG) performance status
0
91 participants
n=5 Participants
Eastern Cooperative Oncology Group (ECOG) performance status
1
18 participants
n=5 Participants
T Stage
T1=Tumor <=2 cm (3/4 of an inch) across
43 participants
n=5 Participants
T Stage
T2=2cm < Tumor <5 cm across
58 participants
n=5 Participants
T Stage
T3=Tumor > 5 cm across
6 participants
n=5 Participants
T Stage
Missing
2 participants
n=5 Participants
Nodal Status
N0
49 participants
n=5 Participants
Nodal Status
N1
32 participants
n=5 Participants
Nodal Status
N2
12 participants
n=5 Participants
Nodal Status
N3
14 participants
n=5 Participants
Nodal Status
SLN+ without full axillary dissection
2 participants
n=5 Participants
Hormonal Status
Estrogen and/or Progesterone Positive
54 participants
n=5 Participants
Hormonal Status
Estrogen and Progesterone Negative
55 participants
n=5 Participants
HER2 Status - Positive
FISH Amp/IHC Pos
93 participants
n=5 Participants
HER2 Status - Positive
FISH Amp/IHC Neg
8 participants
n=5 Participants
HER2 Status - Positive
FISH Not Amp/IHC Pos
6 participants
n=5 Participants
HER2 Status - Positive
FISH Not Done/IHC Pos
2 participants
n=5 Participants
Left Ventricular Ejection Fraction (LVEF) Measurement
63.3 percentage
n=5 Participants
Smoking status
Never
60 participants
n=5 Participants
Smoking status
Former
24 participants
n=5 Participants
Smoking status
Current
25 participants
n=5 Participants
Current use of hypertensive medication
Yes
28 participants
n=5 Participants
Current use of hypertensive medication
No
81 participants
n=5 Participants
History of diabetes
Yes
10 participants
n=5 Participants
History of diabetes
No
99 participants
n=5 Participants
Menopausal status
Premenopausal
43 participants
n=5 Participants
Menopausal status
Perimenopausal
8 participants
n=5 Participants
Menopausal status
Postmenopausal
58 participants
n=5 Participants
Education level
Less than high school
3 participants
n=5 Participants
Education level
High school
35 participants
n=5 Participants
Education level
Beyond high school
71 participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
AC/PTL
n=109 Participants
Standard doxorubicin and cyclophosphamide (AC) followed by weekly paclitaxel (80 mg/m\^2) x 12 with concurrent standard dose trastuzumab (weekly x 12, then repeat 3 weeks for an additional 9 months) plus daily lapatinib (modified to 750 mg during Paclitaxel + Trastuzumab + Lapatinib (PTL) and 1000 mg during trastuzumab + lapatinib (TL)) for a total of 12 months.
Number of Patients With Congestive Heart Failure (CHF) While on Active Treatment
0 participants

SECONDARY outcome

Timeframe: 5 years

Measured by number of patients with at least one with grade 3+, Grade 4+, Hem, and Non-Hem AEs.

Outcome measures

Outcome measures
Measure
AC/PTL
n=109 Participants
Standard doxorubicin and cyclophosphamide (AC) followed by weekly paclitaxel (80 mg/m\^2) x 12 with concurrent standard dose trastuzumab (weekly x 12, then repeat 3 weeks for an additional 9 months) plus daily lapatinib (modified to 750 mg during Paclitaxel + Trastuzumab + Lapatinib (PTL) and 1000 mg during trastuzumab + lapatinib (TL)) for a total of 12 months.
Adverse Event Profile as Measured by NCI CTCAE v 3.0
Grade 3+ Adverse Event
84 Participants
Adverse Event Profile as Measured by NCI CTCAE v 3.0
Grade 4+ Adverse Event
27 Participants
Adverse Event Profile as Measured by NCI CTCAE v 3.0
Grade 3+ Hem Adverse Event
33 Participants
Adverse Event Profile as Measured by NCI CTCAE v 3.0
Grade 4+ Hem Adverse Event
23 Participants
Adverse Event Profile as Measured by NCI CTCAE v 3.0
Grade 3+ Non-Hem Adverse Event
80 Participants
Adverse Event Profile as Measured by NCI CTCAE v 3.0
Grade 4+ Non-Hem Adverse Event
12 Participants

SECONDARY outcome

Timeframe: 5 years

Population: 102 patients began post-AC therapy

Evaluable patients included those completed the AC phase of their treatment regimen; with post AC cardiac evaluation indicates they are eligible to begin treatment with PTL; and those have begun their post-AC therapy. Cardiac events: symptomatic congestive heart failure (CHF), cardiac death and other cardiac events (NCI Common Terminology Criteria for Adverse Events (CTCAE) Grade \>=3)

Outcome measures

Outcome measures
Measure
AC/PTL
n=102 Participants
Standard doxorubicin and cyclophosphamide (AC) followed by weekly paclitaxel (80 mg/m\^2) x 12 with concurrent standard dose trastuzumab (weekly x 12, then repeat 3 weeks for an additional 9 months) plus daily lapatinib (modified to 750 mg during Paclitaxel + Trastuzumab + Lapatinib (PTL) and 1000 mg during trastuzumab + lapatinib (TL)) for a total of 12 months.
Cumulative Incidence (CI) of Cardiac Events
5 Post AC Cardiac Adverse Event

SECONDARY outcome

Timeframe: 5 years

Number of Patients Who Experience \>= 10 Percent Drop in Left Ventricular Ejection Fraction (LVEF) from baseline to any post-baseline time point.

Outcome measures

Outcome measures
Measure
AC/PTL
n=104 Participants
Standard doxorubicin and cyclophosphamide (AC) followed by weekly paclitaxel (80 mg/m\^2) x 12 with concurrent standard dose trastuzumab (weekly x 12, then repeat 3 weeks for an additional 9 months) plus daily lapatinib (modified to 750 mg during Paclitaxel + Trastuzumab + Lapatinib (PTL) and 1000 mg during trastuzumab + lapatinib (TL)) for a total of 12 months.
Number of Patients Who Experience >= 10 Percent Drop in Left Ventricular Ejection Fraction (LVEF)
Drop ≤ 10 between any 2 time points
41 Participants
Number of Patients Who Experience >= 10 Percent Drop in Left Ventricular Ejection Fraction (LVEF)
Drop ≥ 10 between any 2 time points
63 Participants

SECONDARY outcome

Timeframe: 5 years

DFS was defined as the time from registration to the earliest date of documentation of any local, regional, or distant recurrence of breast cancer (BC); the development of a contralateral BC or second primary other than squamous or basal cell carcinoma of the skin, carcinoma in situ of the cervix, or lobular carcinoma in situ of the breast; or death from any cause without the documentation of one of these events. Participants were followed for a maximum of 5 years from randomization. The median OS with 95%CI was estimated using the Kaplan Meier method.

Outcome measures

Outcome measures
Measure
AC/PTL
n=109 Participants
Standard doxorubicin and cyclophosphamide (AC) followed by weekly paclitaxel (80 mg/m\^2) x 12 with concurrent standard dose trastuzumab (weekly x 12, then repeat 3 weeks for an additional 9 months) plus daily lapatinib (modified to 750 mg during Paclitaxel + Trastuzumab + Lapatinib (PTL) and 1000 mg during trastuzumab + lapatinib (TL)) for a total of 12 months.
Percentage of Participants With Disease-Free Survival (DFS)
91.9 percentage of participants
Interval 84.5 to 95.9

SECONDARY outcome

Timeframe: 5 years

OS was defined as the time from registration to death of any cause. Participants were followed for a maximum of 5 years from randomization. The median OS with 95%CI was estimated using the Kaplan Meier method.

Outcome measures

Outcome measures
Measure
AC/PTL
n=109 Participants
Standard doxorubicin and cyclophosphamide (AC) followed by weekly paclitaxel (80 mg/m\^2) x 12 with concurrent standard dose trastuzumab (weekly x 12, then repeat 3 weeks for an additional 9 months) plus daily lapatinib (modified to 750 mg during Paclitaxel + Trastuzumab + Lapatinib (PTL) and 1000 mg during trastuzumab + lapatinib (TL)) for a total of 12 months.
Percentage of Participants With Overall Survival (OS)
95.0 percentage of participants
Interval 88.4 to 97.9

SECONDARY outcome

Timeframe: 5 years

Population: Number who completed the QOL questions for each Timeframe.

LASA score is from 0-90 with 0 being the worst and 90 being the best. SDS score is from 13-65 with 65 being the worst and 13 being the best.

Outcome measures

Outcome measures
Measure
AC/PTL
n=109 Participants
Standard doxorubicin and cyclophosphamide (AC) followed by weekly paclitaxel (80 mg/m\^2) x 12 with concurrent standard dose trastuzumab (weekly x 12, then repeat 3 weeks for an additional 9 months) plus daily lapatinib (modified to 750 mg during Paclitaxel + Trastuzumab + Lapatinib (PTL) and 1000 mg during trastuzumab + lapatinib (TL)) for a total of 12 months.
Change in Overall LINEAR ANALOGUE SELF ASSESSMENT (LASA) and Change in Symptom Distress Scale (SDS) Overall QOL
LASA Time from Cycle 5 Baseline (Months 2-3)
-11.1 units on a scale
Interval -14.9 to -7.3
Change in Overall LINEAR ANALOGUE SELF ASSESSMENT (LASA) and Change in Symptom Distress Scale (SDS) Overall QOL
LASA Time from Cycle 5 Baseline (Months 5-6)
-13.2 units on a scale
Interval -18.2 to -8.1
Change in Overall LINEAR ANALOGUE SELF ASSESSMENT (LASA) and Change in Symptom Distress Scale (SDS) Overall QOL
LASA Time from Cycle 5 Baseline (Month 18-Year 3)
-3.6 units on a scale
Interval -8.2 to 1.0
Change in Overall LINEAR ANALOGUE SELF ASSESSMENT (LASA) and Change in Symptom Distress Scale (SDS) Overall QOL
LASA Time from Cycle 5 Baseline (Year 4-5)
-0.5 units on a scale
Interval -5.0 to 4.0
Change in Overall LINEAR ANALOGUE SELF ASSESSMENT (LASA) and Change in Symptom Distress Scale (SDS) Overall QOL
SDS Time from Cycle 5 Baseline (Months 2-3)
-6.7 units on a scale
Interval -9.2 to -4.3
Change in Overall LINEAR ANALOGUE SELF ASSESSMENT (LASA) and Change in Symptom Distress Scale (SDS) Overall QOL
SDS Time from Cycle 5 Baseline (Months 5-6)
-9.5 units on a scale
Interval -12.1 to -6.9
Change in Overall LINEAR ANALOGUE SELF ASSESSMENT (LASA) and Change in Symptom Distress Scale (SDS) Overall QOL
SDS Time from Cycle 5 Baseline (Month 18-Year 3)
-1.4 units on a scale
Interval -4.1 to 1.4
Change in Overall LINEAR ANALOGUE SELF ASSESSMENT (LASA) and Change in Symptom Distress Scale (SDS) Overall QOL
SDS Time from Cycle 5 Baseline (Year 4-5)
0.3 units on a scale
Interval -2.5 to 3.1

SECONDARY outcome

Timeframe: 5 years

Population: Number who completed the QOL questions for each Timeframe.

Overall Symptom Distress Scale (SDS) QOL Measurement and Overall LINEAR ANALOGUE SELF ASSESSMENT (LASA) QOL Measurement

Outcome measures

Outcome measures
Measure
AC/PTL
n=109 Participants
Standard doxorubicin and cyclophosphamide (AC) followed by weekly paclitaxel (80 mg/m\^2) x 12 with concurrent standard dose trastuzumab (weekly x 12, then repeat 3 weeks for an additional 9 months) plus daily lapatinib (modified to 750 mg during Paclitaxel + Trastuzumab + Lapatinib (PTL) and 1000 mg during trastuzumab + lapatinib (TL)) for a total of 12 months.
Proportion of Patients Experienced a Significant Decline in LINEAR ANALOGUE SELF ASSESSMENT (LASA) and a Overall Symptom Distress Scale (SDS) QOL Measurements
SDS Time from Cycle 5 Baseline (Months 2-3)
32 Participants
Proportion of Patients Experienced a Significant Decline in LINEAR ANALOGUE SELF ASSESSMENT (LASA) and a Overall Symptom Distress Scale (SDS) QOL Measurements
SDS Time from Cycle 5 Baseline (Months 5-6)
33 Participants
Proportion of Patients Experienced a Significant Decline in LINEAR ANALOGUE SELF ASSESSMENT (LASA) and a Overall Symptom Distress Scale (SDS) QOL Measurements
SDS Time from Cycle 5 Baseline (Month 18-Year 3)
12 Participants
Proportion of Patients Experienced a Significant Decline in LINEAR ANALOGUE SELF ASSESSMENT (LASA) and a Overall Symptom Distress Scale (SDS) QOL Measurements
SDS Time from Cycle 5 Baseline (Year 4-5)
7 Participants
Proportion of Patients Experienced a Significant Decline in LINEAR ANALOGUE SELF ASSESSMENT (LASA) and a Overall Symptom Distress Scale (SDS) QOL Measurements
LASA Time from Cycle 5 Baseline (Months 2-3)
67 Participants
Proportion of Patients Experienced a Significant Decline in LINEAR ANALOGUE SELF ASSESSMENT (LASA) and a Overall Symptom Distress Scale (SDS) QOL Measurements
LASA Time from Cycle 5 Baseline (Months 5-6)
45 Participants
Proportion of Patients Experienced a Significant Decline in LINEAR ANALOGUE SELF ASSESSMENT (LASA) and a Overall Symptom Distress Scale (SDS) QOL Measurements
LASA Time from Cycle 5 Baseline (Month 18-3 Year)
40 Participants
Proportion of Patients Experienced a Significant Decline in LINEAR ANALOGUE SELF ASSESSMENT (LASA) and a Overall Symptom Distress Scale (SDS) QOL Measurements
LASA Time from Cycle 5 Baseline (Year 4-5)
19 Participants

SECONDARY outcome

Timeframe: 5 years

Population: No patients experienced grade 3 or higher pulmonary adverse events at least possibly related to study treatment after at any time after post-AC treatment began.

Pulmonary events to be included were grade 3 and higher pulmonary adverse events at least possibly related to study treatment, which occur at any time after post-AC treatment is begun, but prior to documentation of a breast cancer recurrence, contralateral breast cancer, secondary primary cancer, non-pulmonary death, or pulmonary death not related to study treatment.

Outcome measures

Outcome measures
Measure
AC/PTL
n=109 Participants
Standard doxorubicin and cyclophosphamide (AC) followed by weekly paclitaxel (80 mg/m\^2) x 12 with concurrent standard dose trastuzumab (weekly x 12, then repeat 3 weeks for an additional 9 months) plus daily lapatinib (modified to 750 mg during Paclitaxel + Trastuzumab + Lapatinib (PTL) and 1000 mg during trastuzumab + lapatinib (TL)) for a total of 12 months.
Incidence of Pulmonary Events
0 pulmonary adverse events

Adverse Events

AC/PTL

Serious events: 17 serious events
Other events: 107 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
AC/PTL
n=108 participants at risk
Standard doxorubicin and cyclophosphamide (AC) followed by weekly paclitaxel (80 mg/m\^2) x 12 with concurrent standard dose trastuzumab (weekly x 12, then repeat 3 weeks for an additional 9 months) plus daily lapatinib (modified to 750 mg during Paclitaxel + Trastuzumab + Lapatinib (PTL) and 1000 mg during trastuzumab + lapatinib (TL)) for a total of 12 months.
Blood and lymphatic system disorders
Febrile neutropenia
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Cardiac disorders
Left ventricular failure
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Gastrointestinal disorders
Diarrhea
5.6%
6/108 • Number of events 9
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
General disorders
Fatigue
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Infections and infestations
Pneumonia
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Infections and infestations
Skin infection
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Infections and infestations
Urinary tract infection
0.93%
1/108 • Number of events 2
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Investigations
Alanine aminotransferase increased
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Investigations
Aspartate aminotransferase increased
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Investigations
Leukopenia
1.9%
2/108 • Number of events 2
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Investigations
Neutrophil count decreased
3.7%
4/108 • Number of events 4
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Metabolism and nutrition disorders
Hypokalemia
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Nervous system disorders
Peripheral sensory neuropathy
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Respiratory, thoracic and mediastinal disorders
Cough
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Respiratory, thoracic and mediastinal disorders
Pulmonary
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Vascular disorders
Thrombosis
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.

Other adverse events

Other adverse events
Measure
AC/PTL
n=108 participants at risk
Standard doxorubicin and cyclophosphamide (AC) followed by weekly paclitaxel (80 mg/m\^2) x 12 with concurrent standard dose trastuzumab (weekly x 12, then repeat 3 weeks for an additional 9 months) plus daily lapatinib (modified to 750 mg during Paclitaxel + Trastuzumab + Lapatinib (PTL) and 1000 mg during trastuzumab + lapatinib (TL)) for a total of 12 months.
Blood and lymphatic system disorders
Anemia
30.6%
33/108 • Number of events 80
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Blood and lymphatic system disorders
Febrile neutropenia
3.7%
4/108 • Number of events 4
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Blood and lymphatic system disorders
Hemolysis
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Blood and lymphatic system disorders
Lymph node pain
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Cardiac disorders
Diastolic dysfunction
8.3%
9/108 • Number of events 17
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Cardiac disorders
Left ventricular failure
41.7%
45/108 • Number of events 87
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Ear and labyrinth disorders
Ear pain
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Ear and labyrinth disorders
Middle ear inflammation
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Eye disorders
Dry eye
1.9%
2/108 • Number of events 4
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Eye disorders
Vision
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Eye disorders
Vision-Blurred
2.8%
3/108 • Number of events 4
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Eye disorders
Watering eyes
0.93%
1/108 • Number of events 3
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Gastrointestinal disorders
Abdominal pain
3.7%
4/108 • Number of events 4
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Gastrointestinal disorders
Anal hemorrhage
0.93%
1/108 • Number of events 2
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Gastrointestinal disorders
Constipation
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Gastrointestinal disorders
Diarrhea
86.1%
93/108 • Number of events 426
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Gastrointestinal disorders
Dry mouth
1.9%
2/108 • Number of events 3
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Gastrointestinal disorders
Dyspepsia
8.3%
9/108 • Number of events 16
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Gastrointestinal disorders
Esophagitis
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Gastrointestinal disorders
Flatulence
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Gastrointestinal disorders
Gastritis
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Gastrointestinal disorders
Mucositis oral
10.2%
11/108 • Number of events 17
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Gastrointestinal disorders
Nausea
28.7%
31/108 • Number of events 60
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Gastrointestinal disorders
Oral cavity Mucositis/stomatitis (clinical exam)
7.4%
8/108 • Number of events 12
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Gastrointestinal disorders
Oral pain
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Gastrointestinal disorders
Rectal pain
0.93%
1/108 • Number of events 2
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Gastrointestinal disorders
Vomiting
14.8%
16/108 • Number of events 23
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
General disorders
Chills
1.9%
2/108 • Number of events 2
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
General disorders
Constitutional Symptoms
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
General disorders
Edema limbs
4.6%
5/108 • Number of events 6
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
General disorders
Fatigue
93.5%
101/108 • Number of events 624
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
General disorders
Fever
1.9%
2/108 • Number of events 2
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
General disorders
Influenza Symptoms
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
General disorders
Pain-Chest
1.9%
2/108 • Number of events 2
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Immune system disorders
Hypersensitivity
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Infections and infestations
Bladder infection
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Infections and infestations
Bronchial infection
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Infections and infestations
Catheter related infection
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Infections and infestations
Clostridial infection
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Infections and infestations
Dental-tooth infection
0.93%
1/108 • Number of events 2
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Infections and infestations
Infection without neutropenia
2.8%
3/108 • Number of events 5
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Infections and infestations
Mucosa infection
0.93%
1/108 • Number of events 2
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Infections and infestations
Opportunisitic infection
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Infections and infestations
Pneumonia
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Infections and infestations
Sinus infection
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Infections and infestations
Sinusitis
2.8%
3/108 • Number of events 4
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Infections and infestations
Skin (cellulites) infection
2.8%
3/108 • Number of events 3
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Infections and infestations
Stomach infection
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Infections and infestations
Upper airway infection
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Infections and infestations
Urinary tract infection
2.8%
3/108 • Number of events 3
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Infections and infestations
Vaginal infection
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Infections and infestations
Wound infection
1.9%
2/108 • Number of events 3
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Injury, poisoning and procedural complications
Appendix injury
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Injury, poisoning and procedural complications
Dermatitis radiation
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Investigations
Alanine aminotransferase increased
18.5%
20/108 • Number of events 60
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Investigations
Alkaline phosphatase increased
0.93%
1/108 • Number of events 2
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Investigations
Aspartate aminotransferase increased
18.5%
20/108 • Number of events 49
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Investigations
Leukopenia
29.6%
32/108 • Number of events 96
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Investigations
Lymphopenia
11.1%
12/108 • Number of events 31
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Investigations
Neutrophil count decreased
32.4%
35/108 • Number of events 85
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Investigations
Platelet count decreased
5.6%
6/108 • Number of events 6
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Investigations
Weight loss
3.7%
4/108 • Number of events 15
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Metabolism and nutrition disorders
Anorexia
6.5%
7/108 • Number of events 17
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Metabolism and nutrition disorders
Dehydration
8.3%
9/108 • Number of events 14
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Metabolism and nutrition disorders
Hyperglycemia
2.8%
3/108 • Number of events 5
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Metabolism and nutrition disorders
Hyperuricemia
0.93%
1/108 • Number of events 3
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Metabolism and nutrition disorders
Hypoalbuminemia
1.9%
2/108 • Number of events 2
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Metabolism and nutrition disorders
Hypocalcemia
1.9%
2/108 • Number of events 2
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Metabolism and nutrition disorders
Hypoglycemia
0.93%
1/108 • Number of events 2
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Metabolism and nutrition disorders
Hypokalemia
4.6%
5/108 • Number of events 6
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Metabolism and nutrition disorders
Hyponatremia
1.9%
2/108 • Number of events 5
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Metabolism and nutrition disorders
Obesity
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Musculoskeletal and connective tissue disorders
Arthralgia
50.9%
55/108 • Number of events 216
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Musculoskeletal and connective tissue disorders
Bone pain
49.1%
53/108 • Number of events 136
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Musculoskeletal and connective tissue disorders
Joint effusion
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Musculoskeletal and connective tissue disorders
Muscle Weakness
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Musculoskeletal and connective tissue disorders
Myalgia
53.7%
58/108 • Number of events 199
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Nervous system disorders
Dizziness
6.5%
7/108 • Number of events 8
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Nervous system disorders
Headache
6.5%
7/108 • Number of events 12
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Nervous system disorders
Neuralgia
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Nervous system disorders
Peripheral motor neuropathy
1.9%
2/108 • Number of events 2
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Nervous system disorders
Peripheral sensory neuropathy
59.3%
64/108 • Number of events 348
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Nervous system disorders
Sinus pain
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Nervous system disorders
Syncope
1.9%
2/108 • Number of events 2
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Nervous system disorders
Taste
5.6%
6/108 • Number of events 16
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Psychiatric disorders
Agitation
1.9%
2/108 • Number of events 3
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Psychiatric disorders
Anxiety
4.6%
5/108 • Number of events 5
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Psychiatric disorders
Confusion
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Psychiatric disorders
Depression
2.8%
3/108 • Number of events 6
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Psychiatric disorders
Insomnia
5.6%
6/108 • Number of events 9
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Renal and urinary disorders
Bladder spasm
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Renal and urinary disorders
Cystitis
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Renal and urinary disorders
Glomerular filtration rate
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Renal and urinary disorders
Urethra Hemorrhage
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Reproductive system and breast disorders
Vaginal inflammation
1.9%
2/108 • Number of events 3
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Respiratory, thoracic and mediastinal disorders
Cough
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Respiratory, thoracic and mediastinal disorders
Dyspnea
42.6%
46/108 • Number of events 133
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Respiratory, thoracic and mediastinal disorders
Epistaxis
2.8%
3/108 • Number of events 3
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Respiratory, thoracic and mediastinal disorders
Pneumonitis
2.8%
3/108 • Number of events 11
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Respiratory, thoracic and mediastinal disorders
Voice alteration
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Skin and subcutaneous tissue disorders
Acne
49.1%
53/108 • Number of events 177
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Skin and subcutaneous tissue disorders
Alopecia
31.5%
34/108 • Number of events 144
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Skin and subcutaneous tissue disorders
Dermatology
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Skin and subcutaneous tissue disorders
Dry skin
4.6%
5/108 • Number of events 6
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Skin and subcutaneous tissue disorders
Hand-foot skin reaction
5.6%
6/108 • Number of events 11
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Skin and subcutaneous tissue disorders
Nail Changes
10.2%
11/108 • Number of events 21
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Skin and subcutaneous tissue disorders
Pruritus
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Skin and subcutaneous tissue disorders
Rash
1.9%
2/108 • Number of events 2
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
1.9%
2/108 • Number of events 4
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Skin and subcutaneous tissue disorders
Sweating
0.93%
1/108 • Number of events 2
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Skin and subcutaneous tissue disorders
Urticaria
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Vascular disorders
Flushing
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Vascular disorders
Hot flashes
4.6%
5/108 • Number of events 8
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.
Vascular disorders
Hypotension
0.93%
1/108 • Number of events 1
Adverse event data is not available on one patient, thus, only 108 patients were included in adverse events table.

Additional Information

Dr. Edith A. Perez

Mayo Clinic

Phone: 507-266-0800

Results disclosure agreements

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