Trial Outcomes & Findings for A Phase 1 Dose-escalation Study to Evaluate the Safety and Pharmacokinetics (PK) of Palifermin in Subjects With Acute Leukemias Undergoing HSCT (NCT NCT00460421)

NCT ID: NCT00460421

Last Updated: 2014-12-05

Results Overview

A DLT is appearance of side effects during treatment severe enough to prevent further increase in dosage or strength of treatment agent, or to prevent continuation of treatment at any dosage level. A DLT was defined as: Grade 3 or 4 AE \[based on Cancer Therapy Evaluation Program Common Terminology Criteria for Adverse Events (CTCAE) v3.0\] considered by the investigator to be related to palifermin with the exceptions: Grade 3 erythema, pruritus or rash that resolves within 7 days of the last dose of palifermin. The percentage of particiapnts with a DLT during the study was assessed.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

27 participants

Primary outcome timeframe

Approximately 1 month duration (Day -10 through Day +16)

Results posted on

2014-12-05

Participant Flow

This phase 1 dose-escalation study to evaluate the safety and pharmacokinetics (PK) of palifermin in pediatric subjects with acute leukemias undergoing myeloblative therapy and allogeneic hematopoietic stem cell transplant (HSCT) was performed in 7 centers in USA between 2006 and 2011.

Participant milestones

Participant milestones
Measure
Palifermin 40 µg/kg/Day
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 60 µg/kg/Day
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 80 µg/kg/Day
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Overall Study
STARTED
9
9
9
Overall Study
COMPLETED
9
9
9
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Phase 1 Dose-escalation Study to Evaluate the Safety and Pharmacokinetics (PK) of Palifermin in Subjects With Acute Leukemias Undergoing HSCT

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Palifermin 40 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 60 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 80 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Total
n=27 Participants
Total of all reporting groups
Age, Categorical
<=18 years
9 Participants
n=5 Participants
9 Participants
n=7 Participants
9 Participants
n=5 Participants
27 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Continuous
7.4 years
STANDARD_DEVIATION 6.3 • n=5 Participants
7.4 years
STANDARD_DEVIATION 5.6 • n=7 Participants
8.0 years
STANDARD_DEVIATION 6.6 • n=5 Participants
7.6 years
STANDARD_DEVIATION 5.9 • n=4 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
12 Participants
n=4 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
5 Participants
n=7 Participants
4 Participants
n=5 Participants
15 Participants
n=4 Participants
Region of Enrollment
United States
9 participants
n=5 Participants
9 participants
n=7 Participants
9 participants
n=5 Participants
27 participants
n=4 Participants

PRIMARY outcome

Timeframe: Approximately 1 month duration (Day -10 through Day +16)

Population: Safety Analysis Set. This set consisted of subjects who received at least one dose of palifermin.

A DLT is appearance of side effects during treatment severe enough to prevent further increase in dosage or strength of treatment agent, or to prevent continuation of treatment at any dosage level. A DLT was defined as: Grade 3 or 4 AE \[based on Cancer Therapy Evaluation Program Common Terminology Criteria for Adverse Events (CTCAE) v3.0\] considered by the investigator to be related to palifermin with the exceptions: Grade 3 erythema, pruritus or rash that resolves within 7 days of the last dose of palifermin. The percentage of particiapnts with a DLT during the study was assessed.

Outcome measures

Outcome measures
Measure
Palifermin 40 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 60 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 80 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
All Subjects
All subjects from each age group (1-2, 3-11, 12-16 years)
Incidence of Dose Limiting Toxicities (DLTs)
0 percentage of participants
0 percentage of participants
0 percentage of participants

SECONDARY outcome

Timeframe: Approximately 4 month duration (Through Day + 100 (+/- 40 days))

Population: Safety Analysis Set. This set consisted of subjects who received at least one dose of palifermin.

The percentage of participants developing palifermin antibodies during the study was assessed.

Outcome measures

Outcome measures
Measure
Palifermin 40 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 60 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 80 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
All Subjects
All subjects from each age group (1-2, 3-11, 12-16 years)
Incidence of Serum Palifermin Antibody Formation
0 percentage of participants
0 percentage of participants
0 percentage of participants

SECONDARY outcome

Timeframe: Approximately 1 1/2 months duration (Through Day +30/End of Treatment)

Population: Safety Analysis Set. This set consisted of subjects who received at least one dose of palifermin.

The percentage of participants with a severe AE during the study was assessed.

Outcome measures

Outcome measures
Measure
Palifermin 40 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 60 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 80 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
All Subjects
All subjects from each age group (1-2, 3-11, 12-16 years)
Incidence of Severe Adverse Events (AEs)
100 percentage of participants
100 percentage of participants
100 percentage of participants

SECONDARY outcome

Timeframe: Approximately 1 1/2 months duration (Through Day +30/End of Treatment)

Population: Safety Analysis Set. This set consisted of subjects who received at least one dose of palifermin.

The percentage of participants with a laboratory value outside the normal ranges during the study.

Outcome measures

Outcome measures
Measure
Palifermin 40 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 60 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 80 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
All Subjects
All subjects from each age group (1-2, 3-11, 12-16 years)
Incidence of Laboratory Abnormalities
100 percentage of participants
100 percentage of participants
100 percentage of participants

SECONDARY outcome

Timeframe: Day -10

Population: Pharmacokinetic Analysis Set. This set consists of all subjects who receive at least one dose of palifermin and who have a sufficient number of serum concentration data points to allow calculation of the pharmacokinetic variables.

Clearence was estimated as dose divided by the area under serum concentration-time curve from time zero to infinity where the dose was given in amount palifermin actually administered.

Outcome measures

Outcome measures
Measure
Palifermin 40 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 60 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 80 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
All Subjects
All subjects from each age group (1-2, 3-11, 12-16 years)
Pharmacokinetics of Palifermin, Clearence (CL) After the 1st Intravenous (IV) Bolus Injection for Multiple Dose Levels
1954.84 mL/hr/kg
Interval 570.83 to 3629.06
2164.87 mL/hr/kg
Interval 419.39 to 5152.07
3932.30 mL/hr/kg
Interval 1268.22 to 18182.41

SECONDARY outcome

Timeframe: Day -10

Population: Pharmacokinetic Analysis Set. This set consists of all subjects who receive at least one dose of palifermin and who have a sufficient number of serum concentration data points to allow calculation of the pharmacokinetic variables.

Outcome measures

Outcome measures
Measure
Palifermin 40 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 60 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 80 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
All Subjects
All subjects from each age group (1-2, 3-11, 12-16 years)
Pharmacokinetics of Palifermin, Volume of Distribution at Steady State (Vss) After the 1st IV Bolus Injection for Multiple Dose Levels
2552.79 mL/kg
Interval 369.31 to 4862.29
5134.84 mL/kg
Interval 1033.25 to 28349.41
8580.91 mL/kg
Interval 1165.08 to 70085.13

SECONDARY outcome

Timeframe: Day -10

Population: Pharmacokinetic Analysis Set. This set consists of all subjects who receive at least one dose of palifermin and who have a sufficient number of serum concentration data points to allow calculation of the pharmacokinetic variables.

The terminal half-life was calculated as ln(2)/lambda,z where lambda,z was estimated using at least three quantifiable serum concentrations of the terminal log-linear phase.

Outcome measures

Outcome measures
Measure
Palifermin 40 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 60 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 80 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
All Subjects
All subjects from each age group (1-2, 3-11, 12-16 years)
Pharmacokinetics of Palifermin, Terminal Half-life (t½,z) After the 1st IV Bolus Injection for Multiple Dose Levels
2.91 hour
Interval 1.43 to 5.81
3.05 hour
Interval 2.19 to 8.36
3.68 hour
Interval 0.97 to 4.88

SECONDARY outcome

Timeframe: Day -8

Population: Pharmacokinetic Analysis Set. This set consists of all subjects who receive at least one dose of palifermin and who have a sufficient number of serum concentration data points to allow calculation of the pharmacokinetic variables.

The terminal half-life was calculated as ln(2)/lambda,z where lambda,z was estimated using at least three quantifiable serum concentrations of the terminal log-linear phase.

Outcome measures

Outcome measures
Measure
Palifermin 40 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 60 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 80 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
All Subjects
All subjects from each age group (1-2, 3-11, 12-16 years)
Pharmacokinetics of Palifermin, t½,z After the 3rd IV Bolus Injection for Multiple Dose Levels
3.40 hour
Interval 0.84 to 5.71
3.89 hour
Interval 3.21 to 11.84
2.99 hour
Interval 2.06 to 4.03

SECONDARY outcome

Timeframe: Day -10

Population: Pharmacokinetic Analysis Set. This set consists of all subjects who receive at least one dose of palifermin and who have a sufficient number of serum concentration data points to allow calculation of the pharmacokinetic variables.

The AUC was estimated using the linear/log trapezoidal method for AUC0-tau from time zero to the end of the dosing interval (24 hours (hrs) post-dose) Data collected at time points: 0, 2 minutes (min), 15 min, 30 min, 60 min, 2 hrs, 4 hrs, 6, hrs, 10, hrs and 24 hrs post-dose.

Outcome measures

Outcome measures
Measure
Palifermin 40 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 60 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 80 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
All Subjects
All subjects from each age group (1-2, 3-11, 12-16 years)
Pharmacokinetics of Palifermin, Area Under the Concentration Time Curve From Zero to the End of the Dosing Interval (AUCtau) After the 1st IV Bolus Injection for Multiple Dose Levels
16.54 ng*hr/mL
Interval 4.69 to 70.57
18.14 ng*hr/mL
Interval 12.35 to 142.71
38.44 ng*hr/mL
Interval 4.53 to 185.35

SECONDARY outcome

Timeframe: Day -8

Population: Pharmacokinetic Analysis Set. This set consists of all subjects who receive at least one dose of palifermin and who have a sufficient number of serum concentration data points to allow calculation of the pharmacokinetic variables.

The AUC was estimated using the linear/log trapezoidal method for AUC0-tau from time zero to the end of the dosing interval (24 hours (hrs) post-dose) Data collected at time points: 0, 2 minutes (min), 15 min, 30 min, 60 min, 2 hrs, 4 hrs, 6, hrs, 10, hrs and 24 hrs post-dose.

Outcome measures

Outcome measures
Measure
Palifermin 40 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 60 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 80 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
All Subjects
All subjects from each age group (1-2, 3-11, 12-16 years)
Pharmacokinetics of Palifermin, AUCtau After the 3rd IV Bolus Injection for Multiple Dose Levels
18.32 ng*hr/mL
Interval 1.73 to 63.65
17.97 ng*hr/mL
Interval 2.45 to 325.96
34.74 ng*hr/mL
Interval 3.14 to 295.11

SECONDARY outcome

Timeframe: Up to 4 years duration (Assessments performed on months 6, 9, 12 (+/- 30 Days) for the first year and then annually)

Population: Safety Analysis Set. This set consisted of subjects who received at least one dose of palifermin.

Outcome measures

Outcome measures
Measure
Palifermin 40 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 60 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 80 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
All Subjects
All subjects from each age group (1-2, 3-11, 12-16 years)
Long-Term Follow-Up: Incidence of Secondary Malignancies
0 percentage of participants
11 percentage of participants
0 percentage of participants

SECONDARY outcome

Timeframe: Up to 4 years duration (Assessments performed on months 6, 9, 12 (+/- 30 Days) for the first year and then annually)

Population: Safety Analysis Set. This set consisted of subjects who received at least one dose of palifermin.

Progression free survival (PFS) was defined as the number of days between the date of first investigational product administration and the date when physical or radiological evidence of disease progression is determined or death (regardless of cause)

Outcome measures

Outcome measures
Measure
Palifermin 40 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 60 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 80 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
All Subjects
n=27 Participants
All subjects from each age group (1-2, 3-11, 12-16 years)
Long-Term Follow-Up: Progression Free Survival
NA months
Reported for the entire study population
NA months
Reported for the entire study population
NA months
Reported for the entire study population
36 months
Interval 6.0 to 48.0

SECONDARY outcome

Timeframe: Up to 4 years duration (Assessments performed on months 6, 9, 12 (+/- 30 Days) for the first year and then annually)

Population: Safety Analysis Set. This set consisted of subjects who received at least one dose of palifermin.

Overall survival was defined as the number of days from the date of first investigational product administration to the date of death (regardless of cause)

Outcome measures

Outcome measures
Measure
Palifermin 40 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 60 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
Palifermin 80 µg/kg/Day
n=9 Participants
Three subjects from each age group (1-2, 3-11, 12-16 years) were sequentially enrolled into the 3 planned dosing cohorts
All Subjects
n=27 Participants
All subjects from each age group (1-2, 3-11, 12-16 years)
Long-Term Follow-Up: Overall Survival
NA months
Reported for the entire study population
NA months
Reported for the entire study population
NA months
Reported for the entire study population
36 months
Interval 6.0 to 48.0

Adverse Events

All Subjects

Serious events: 5 serious events
Other events: 27 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
All Subjects
n=27 participants at risk
All subjects from each age group (1-2, 3-11, 12-16 years)
Gastrointestinal disorders
Diarrhoea
7.4%
2/27 • Number of events 2 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Gastrointestinal disorders
Vomiting
3.7%
1/27 • Number of events 1 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Cardiac disorders
Cardiac arrest
3.7%
1/27 • Number of events 1 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Gastrointestinal disorders
Ascites
3.7%
1/27 • Number of events 1 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Gastrointestinal disorders
Gastrointestinal haemorrhage
3.7%
1/27 • Number of events 1 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
General disorders
Pyrexia
7.4%
2/27 • Number of events 2 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Infections and infestations
Enterococcal infection
3.7%
1/27 • Number of events 1 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Infections and infestations
Septic chock
3.7%
1/27 • Number of events 1 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Investigations
Urine output decreased
3.7%
1/27 • Number of events 1 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Nervous system disorders
Cerebral haemorrhage
3.7%
1/27 • Number of events 1 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Renal and urinary disorders
Renal failure
7.4%
2/27 • Number of events 2 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
3.7%
1/27 • Number of events 1 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Vascular disorders
Hypotension
3.7%
1/27 • Number of events 1 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Vascular disorders
Venoocclusive disease
7.4%
2/27 • Number of events 2 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Nervous system disorders
Convulsion
3.7%
1/27 • Number of events 1 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Nervous system disorders
Haemorrhage intracranial
3.7%
1/27 • Number of events 1 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.

Other adverse events

Other adverse events
Measure
All Subjects
n=27 participants at risk
All subjects from each age group (1-2, 3-11, 12-16 years)
Blood and lymphatic system disorders
Febrile neutropenia
11.1%
3/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Cardiac disorders
Pericardial effusion
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Cardiac disorders
Tachycardia
25.9%
7/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Ear and labyrinth disorders
Ear pain
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Eye disorders
Dry eye
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Gastrointestinal disorders
Abdominal pain
55.6%
15/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Gastrointestinal disorders
Ascites
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Gastrointestinal disorders
Constipation
18.5%
5/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Gastrointestinal disorders
Diarrhoea
70.4%
19/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Gastrointestinal disorders
Dyspepsia
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Gastrointestinal disorders
Flatulence
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Gastrointestinal disorders
Gastritis
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Gastrointestinal disorders
Gingival hyperplasia
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Gastrointestinal disorders
Haematemesis
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Gastrointestinal disorders
Lip dry
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Gastrointestinal disorders
Mouth haemorrhage
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Gastrointestinal disorders
Nausea
77.8%
21/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Gastrointestinal disorders
Oesophagitis
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Gastrointestinal disorders
Oral pain
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Gastrointestinal disorders
Perianal erythema
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Gastrointestinal disorders
Proctalgia
14.8%
4/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Gastrointestinal disorders
Vomiting
85.2%
23/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
General disorders
Catheter related complication
22.2%
6/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
General disorders
Catheter site pain
18.5%
5/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
General disorders
Chills
11.1%
3/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
General disorders
Face oedema
11.1%
3/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
General disorders
Fatigue
25.9%
7/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
General disorders
Irritability
14.8%
4/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
General disorders
Oedema
14.8%
4/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
General disorders
Oedema peripheral
18.5%
5/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
General disorders
Pain
14.8%
4/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
General disorders
Pyrexia
81.5%
22/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Hepatobiliary disorders
Hepatomegaly
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Hepatobiliary disorders
Hyperbilirubinaemia
18.5%
5/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Immune system disorders
Acute graft versus host disease in skin
18.5%
5/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Infections and infestations
Alpha haemolytic streptococcal infection
11.1%
3/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Infections and infestations
Bacteraemia
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Infections and infestations
Clostridium difficile colitis
11.1%
3/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Infections and infestations
Enterococcal sepsis
11.1%
3/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Infections and infestations
Fungal infection
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Infections and infestations
Parotitis
11.1%
3/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Infections and infestations
Pneumonia
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Infections and infestations
Sinusitis
11.1%
3/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Infections and infestations
Staphylococcal infection
14.8%
4/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Infections and infestations
Urinary tract infection enterococcal
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Injury, poisoning and procedural complications
Contusion
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Injury, poisoning and procedural complications
Excoriation
14.8%
4/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Injury, poisoning and procedural complications
Head injury
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Investigations
Blood bilirubin increased
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Investigations
Occult blood positive
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Investigations
Weight decreased
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Investigations
Weight increased
14.8%
4/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Metabolism and nutrition disorders
Anorexia
66.7%
18/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Metabolism and nutrition disorders
Decreased appetite
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Metabolism and nutrition disorders
Fluid retention
18.5%
5/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Metabolism and nutrition disorders
Hyperglycaemia
18.5%
5/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Metabolism and nutrition disorders
Hyperkalaemia
11.1%
3/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Metabolism and nutrition disorders
Hypoalbuminaemia
11.1%
3/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Metabolism and nutrition disorders
Hypocalcaemia
18.5%
5/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Metabolism and nutrition disorders
Hypokalaemia
33.3%
9/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Metabolism and nutrition disorders
Hypomagnesaemia
37.0%
10/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Metabolism and nutrition disorders
Hyponatraemia
18.5%
5/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Metabolism and nutrition disorders
Hypophosphataemia
11.1%
3/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Musculoskeletal and connective tissue disorders
Back pain
14.8%
4/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Musculoskeletal and connective tissue disorders
bone pain
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Musculoskeletal and connective tissue disorders
Pain in extremity
29.6%
8/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Musculoskeletal and connective tissue disorders
Pain in jaw
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Nervous system disorders
Dizziness
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Nervous system disorders
Headache
40.7%
11/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Nervous system disorders
Lethargy
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Psychiatric disorders
Agitation
14.8%
4/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Psychiatric disorders
Anxiety
22.2%
6/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Psychiatric disorders
Insomnia
14.8%
4/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Renal and urinary disorders
Dysuria
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Renal and urinary disorders
Haematuria
11.1%
3/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Renal and urinary disorders
Renal tubular acidosis
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Reproductive system and breast disorders
Scrotal erythema
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Reproductive system and breast disorders
Testicular pain
11.1%
3/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Respiratory, thoracic and mediastinal disorders
Atelectasis
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Respiratory, thoracic and mediastinal disorders
Cough
44.4%
12/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
11.1%
3/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Respiratory, thoracic and mediastinal disorders
Epistaxis
25.9%
7/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
51.9%
14/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Respiratory, thoracic and mediastinal disorders
Pleural effusion
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Respiratory, thoracic and mediastinal disorders
Tachypnoea
14.8%
4/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Respiratory, thoracic and mediastinal disorders
Upper respiratory tract congestion
11.1%
3/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Skin and subcutaneous tissue disorders
Alopecia
11.1%
3/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Skin and subcutaneous tissue disorders
Dermatitis diaper
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Skin and subcutaneous tissue disorders
Dry skin
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Skin and subcutaneous tissue disorders
Erythema
11.1%
3/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Skin and subcutaneous tissue disorders
Ingrowing nail
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Skin and subcutaneous tissue disorders
Petechiae
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Skin and subcutaneous tissue disorders
Pruritus
59.3%
16/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Skin and subcutaneous tissue disorders
Rash
55.6%
15/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Skin and subcutaneous tissue disorders
Skin disorder
11.1%
3/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Skin and subcutaneous tissue disorders
Skin lesion
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Skin and subcutaneous tissue disorders
Urticaria
7.4%
2/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Vascular disorders
Hypertension
59.3%
16/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.
Vascular disorders
Hypotension
25.9%
7/27 • Adverse events collected from signed informed consent to Day 30, i.e. a period of up to 71 days.

Additional Information

Medical Program Director

Swedish Orphan Biovitrum

Phone: +46 8 697 20 00

Results disclosure agreements

  • Principal investigator is a sponsor employee The Clinical Trial Agreement generally does not restrict an investigator's discussion of trial results after completion. The Agreement permits sponsor a limited period of time to review material discussing trial results (approximately up to 90 days). Sponsor may remove confidential information, but authors have final control and approval of publication content. For multi-center studies, investigator agrees not to publish any results before the first multi-center publication.
  • Publication restrictions are in place

Restriction type: OTHER