Trial Outcomes & Findings for Dasatinib in Imatinib Resistant/Intolerant Chinese CML (Chronic and Advanced Phase) Subjects (NCT NCT00529763)

NCT ID: NCT00529763

Last Updated: 2023-05-08

Results Overview

Major Cytogenetic Response (MCyR) is defined as Complete Cytogenetic Response (CCyR) or Partial Cytogenetic Response (PCyR). CCyR: 0% Ph-chromosome-positive cells in metaphase in bone marrow \[BM\] PCyR: 1-35% Ph-chromosome-positive cells in metaphase in \[BM\].

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

121 participants

Primary outcome timeframe

From first dose up to approximately 12 months of follow up after dasatinib treatment (data cut-off date: 18-Jun-2010)

Results posted on

2023-05-08

Participant Flow

Participant milestones

Participant milestones
Measure
Advanced Disease CML - Accelerated Phase (AP)
Participants with AP advanced disease CML who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Chronic Phase (CP) CML
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Overall Study
STARTED
25
37
59
Overall Study
COMPLETED
4
0
27
Overall Study
NOT COMPLETED
21
37
32

Reasons for withdrawal

Reasons for withdrawal
Measure
Advanced Disease CML - Accelerated Phase (AP)
Participants with AP advanced disease CML who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Chronic Phase (CP) CML
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Overall Study
Adverse Event Unrelated to Study Drug
1
5
3
Overall Study
Death
1
1
1
Overall Study
Disease Progression
10
16
11
Overall Study
Lost to Follow-up
1
2
3
Overall Study
Stem Cell Transplant
0
3
1
Overall Study
Study Drug Toxicity
3
6
4
Overall Study
Participant Withdrew Consent
2
3
4
Overall Study
Other reasons
2
0
2
Overall Study
Participant request to discontinue treatment
1
1
3

Baseline Characteristics

Dasatinib in Imatinib Resistant/Intolerant Chinese CML (Chronic and Advanced Phase) Subjects

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Advanced Disease CML - Accelerated Phase (AP)
n=25 Participants
Participants with AP advanced disease CML who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
n=37 Participants
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Chronic Phase (CP) CML
n=59 Participants
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Total
n=121 Participants
Total of all reporting groups
Age, Customized
Between 21 and 45 years
18 Participants
n=5 Participants
23 Participants
n=7 Participants
33 Participants
n=5 Participants
74 Participants
n=4 Participants
Age, Customized
Between 46 and 65 years
5 Participants
n=5 Participants
9 Participants
n=7 Participants
23 Participants
n=5 Participants
37 Participants
n=4 Participants
Age, Continuous
39.5 years
STANDARD_DEVIATION 10.5 • n=5 Participants
39.2 years
STANDARD_DEVIATION 13.4 • n=7 Participants
42.8 years
STANDARD_DEVIATION 11.3 • n=5 Participants
41.0 years
STANDARD_DEVIATION 11.9 • n=4 Participants
Age, Customized
<=21 years
1 Participants
n=5 Participants
4 Participants
n=7 Participants
2 Participants
n=5 Participants
7 Participants
n=4 Participants
Age, Customized
Between 66 and 75 years
1 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
3 Participants
n=4 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
9 Participants
n=7 Participants
23 Participants
n=5 Participants
42 Participants
n=4 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
28 Participants
n=7 Participants
36 Participants
n=5 Participants
79 Participants
n=4 Participants
Race/Ethnicity, Customized
Asian
25 Participants
n=5 Participants
37 Participants
n=7 Participants
59 Participants
n=5 Participants
121 Participants
n=4 Participants
Region of Enrollment
China · China
25 Participants
n=5 Participants
37 Participants
n=7 Participants
59 Participants
n=5 Participants
121 Participants
n=4 Participants
Eastern co-operative Oncology Group Performance Status (ECOG PS)
ECOG PS = 0
8 units on a scale
n=5 Participants
2 units on a scale
n=7 Participants
25 units on a scale
n=5 Participants
35 units on a scale
n=4 Participants
Eastern co-operative Oncology Group Performance Status (ECOG PS)
ECOG PS = 1
16 units on a scale
n=5 Participants
29 units on a scale
n=7 Participants
33 units on a scale
n=5 Participants
78 units on a scale
n=4 Participants
Eastern co-operative Oncology Group Performance Status (ECOG PS)
ECOG PS = 2
1 units on a scale
n=5 Participants
6 units on a scale
n=7 Participants
0 units on a scale
n=5 Participants
7 units on a scale
n=4 Participants
Eastern co-operative Oncology Group Performance Status (ECOG PS)
Not Reported
0 units on a scale
n=5 Participants
0 units on a scale
n=7 Participants
1 units on a scale
n=5 Participants
1 units on a scale
n=4 Participants

PRIMARY outcome

Timeframe: From first dose up to approximately 12 months of follow up after dasatinib treatment (data cut-off date: 18-Jun-2010)

Population: All treated participants with Chronic Phase Chronic Myeloid Leukemia (CP - CML). Data pre-specified to be collected in the Chronic Phase (CP) CML arm only.

Major Cytogenetic Response (MCyR) is defined as Complete Cytogenetic Response (CCyR) or Partial Cytogenetic Response (PCyR). CCyR: 0% Ph-chromosome-positive cells in metaphase in bone marrow \[BM\] PCyR: 1-35% Ph-chromosome-positive cells in metaphase in \[BM\].

Outcome measures

Outcome measures
Measure
Chronic Phase (CP) CML
n=59 Participants
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Total
All treated Participants with Advanced Disease CML - Accelerated Phase (AP) and Blast Phase/PH+ ALL
Percentage of Chronic Phase Chronic Myeloid Leukemia (CP - CML) Participants With Major Cytogenetic Response (MCyR)
50.8 Percentage of participants
Interval 37.5 to 64.1

PRIMARY outcome

Timeframe: From first dose up to approximately 12 months of follow up after dasatinib treatment (data cut-off date: 18-Jun-2010)

Population: All treated participants with Advanced Disease Chronic Myeloid Leukemia (CML). Data pre-specified to be collected in the Advanced Disease CML - AP and Blast Phase/PH+ ALL arms only.

Major hematologic response: (MaHR) = complete hematologic response (CHR) + no evidence of leukemia (NEL). CHR=white blood cells (WBC) ≤upper limit of normal (ULN); absolute neutrophil count (ANC) ≥1,000/mm3; platelets ≥100,000/mm3; no blasts/promyelocytes, \<20% basophils \& \<5% myelocytes+metamyelocytes in peripheral blood (PB); BM blasts ≤5%; no extra-medullary involvement/hepatomegaly/splenomegaly. NEL=CHR except platelets ≥20,000/mm3 \& \<100,000/mm3; ANC \>500/mm3 \& \<1,000/mm3. Overall hematologic response (OHR)=CHR+NEL+ return to chronic phase (RTC=\<15% blasts in BM and PB; \<30% blasts+promyelocytes in BM \& PB; \<20% basophils in PB; no extra-medullar disease other than spleen \& liver)

Outcome measures

Outcome measures
Measure
Chronic Phase (CP) CML
n=25 Participants
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
n=37 Participants
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Total
All treated Participants with Advanced Disease CML - Accelerated Phase (AP) and Blast Phase/PH+ ALL
Percentage of Participants With Complete, Major, and Overall Hematologic Response (CHR, MaHR, & OHR) in Advanced Disease Chronic Myeloid Leukemia (AD CML) and Blast Phase CML/Philadelphia Chromosome Positive Acute Lymphoblastic Leukemia (Ph+ ALL)
CHR
52.0 Percentage of participants
Interval 31.3 to 72.2
16.2 Percentage of participants
Interval 6.2 to 32.0
Percentage of Participants With Complete, Major, and Overall Hematologic Response (CHR, MaHR, & OHR) in Advanced Disease Chronic Myeloid Leukemia (AD CML) and Blast Phase CML/Philadelphia Chromosome Positive Acute Lymphoblastic Leukemia (Ph+ ALL)
MaHR
84.0 Percentage of participants
Interval 63.9 to 95.5
29.7 Percentage of participants
Interval 15.9 to 47.0
Percentage of Participants With Complete, Major, and Overall Hematologic Response (CHR, MaHR, & OHR) in Advanced Disease Chronic Myeloid Leukemia (AD CML) and Blast Phase CML/Philadelphia Chromosome Positive Acute Lymphoblastic Leukemia (Ph+ ALL)
OHR
92.0 Percentage of participants
Interval 74.0 to 99.0
35.1 Percentage of participants
Interval 20.2 to 52.5

SECONDARY outcome

Timeframe: From first dose up to approximately 12 months of follow up after dasatinib treatment (data cut-off date: 18-Jun-2010)

Population: All treated participants with Chronic Phase Chronic Myeloid Leukemia (CP - CML). Data pre-specified to be collected in the Chronic Phase (CP) CML arm only.

Complete Hematologic Response (CHR) is obtained when all the following criteria are met: WBC ≤ institutional ULN; platelets ≤ 450,000/mm3; ≤20% basophils in peripheral blood; no blasts or promyelocytes in PB cells; \< 5% myelocytes plus metamyelocytes in PB cells; no extra-medullary involvement including no hepatomegaly or splenomegaly.

Outcome measures

Outcome measures
Measure
Chronic Phase (CP) CML
n=59 Participants
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Total
All treated Participants with Advanced Disease CML - Accelerated Phase (AP) and Blast Phase/PH+ ALL
Percentage of Chronic Phase Chronic Myeloid Leukemia (CP - CML) Participants With Complete Hematologic Response (CHR)
91.5 Percentage of participants
Interval 81.3 to 97.2

SECONDARY outcome

Timeframe: From first dose up to the day criteria were first met for CCyR or PCyR, whichever occurred first. (Up to approximately 12 months of follow up after dasatinib treatment [data cut-off date: 18-Jun-2010])

Population: All treated participants with Chronic Phase Chronic Myeloid Leukemia (CP - CML) with MCyR. Data pre-specified to be collected in the Chronic Phase (CP) CML arm only.

Time to MCyR is defined as the time from the first dosing date until day criteria were first met for CCyR or PCyR, whichever occurred first. Major Cytogenetic Response (MCyR) is defined as Complete Cytogenetic Response (CCyR: 0% Ph-chromosome-positive cells in metaphase in BM) or Partial Cytogenetic Response (PCyR: 1-35% Ph-chromosome-positive cells in metaphase in BM).

Outcome measures

Outcome measures
Measure
Chronic Phase (CP) CML
n=30 Participants
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Total
All treated Participants with Advanced Disease CML - Accelerated Phase (AP) and Blast Phase/PH+ ALL
Time to Major Cytogenetic Response (MCyR) in Chronic Phase Chronic Myeloid Leukemia (CP - CML) Participants
12.1 Weeks
Interval 4.3 to 48.0

SECONDARY outcome

Timeframe: From first dose until the date of progression or death. (Up to approximately 12 months of follow up after dasatinib treatment [data cut-off date: 18-Jun-2010])

Population: All treated participants with Chronic Phase Chronic Myeloid Leukemia (CP - CML) with MCyR. Data pre-specified to be collected in the Chronic Phase (CP) CML arm only.

The duration of time from when the first day all criteria are met for CCyR or PCyR until the date of progression or death. Participants who neither progress nor die will be censored on the date of their last cytogenetic assessment. The duration of MCyR will be estimated via the Kaplan-Meier product-limit method. Major Cytogenetic Response (MCyR) = Complete Cytogenetic Response (CCyR: 0% Ph-chromosome-positive cells in metaphase in BM) or Partial Cytogenetic Response (PCyR: 1-35% Ph-chromosome-positive cells in metaphase in BM).

Outcome measures

Outcome measures
Measure
Chronic Phase (CP) CML
n=30 Participants
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Total
All treated Participants with Advanced Disease CML - Accelerated Phase (AP) and Blast Phase/PH+ ALL
Duration of Major Cytogenetic Response (MCyR) in Chronic Phase Chronic Myeloid Leukemia (CP - CML) Participants
NA Months
Insufficient number of participants with events

SECONDARY outcome

Timeframe: From first dosing date until the time progressive disease (PD) is first documented. (Up to approximately 12 months of follow up after dasatinib treatment [data cut-off date: 18-Jun-2010])

Population: All treated participants with Chronic Phase Chronic Myeloid Leukemia (CP - CML). Data pre-specified to be collected in the Chronic Phase (CP) CML arm only.

Progression-free survival is defined as the time from first dosing date until the time progressive disease (PD) is first documented. Participants who die without a reported prior progression will be considered to have progressed on the date of their death. Participants who do not progress nor die will be censored on the date of their last hematologic or cytogenetic assessment, whichever comes last. PFS will be analyzed via the Kaplan-Meier product-limit method. Participants were considered as having PD if they: achieved a hematologic response but subsequently no longer meet the criteria consistently on all assessment over a consecutive 2-week period after starting maximum dose; had no decrease from their baseline percent blasts in PB or BM on all assessments over a 4-week period, or had an increase by at least 50% in PB blast count (absolute) over a 2-week period after starting their maximum (individually-tolerated) dose.

Outcome measures

Outcome measures
Measure
Chronic Phase (CP) CML
n=59 Participants
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Total
All treated Participants with Advanced Disease CML - Accelerated Phase (AP) and Blast Phase/PH+ ALL
Progression-free Survival Among CP CML Participants
NA Months
Insufficient number of participants with events

SECONDARY outcome

Timeframe: From first dose of Dasatinib until the first day CHR criteria are met (for all confirmed responses). (Up to approximately 12 months of follow up after dasatinib treatment [data cut-off date: 18-Jun-2010])

Population: All treated participants with Advanced Disease Chronic Myeloid Leukemia (CML) with CHR or MaHR. Data pre-specified to be collected in the Advanced Disease CML - AP and Blast Phase/PH+ ALL arms only.

The time from first dose of Dasatinib until the first day CHR or MaHR criteria are met (for all confirmed responses). Time to CHR is computed only for participants whose best response is CHR. Major HR (MaHR) includes CHR or no evidence of leukemia (NEL). Major hematologic response: (MaHR) = complete hematologic response (CHR) + no evidence of leukemia (NEL). CHR=white blood cells (WBC) ≤upper limit of normal (ULN); absolute neutrophil count (ANC) ≥1,000/mm3; platelets ≥100,000/mm3; no blasts/promyelocytes, \<20% basophils \& \<5% myelocytes+metamyelocytes in peripheral blood (PB); BM blasts ≤5%; no extra-medullary involvement/hepatomegaly/splenomegaly. NEL=CHR except platelets ≥20,000/mm3 \& \<100,000/mm3; ANC \>500/mm3 \& \<1,000/mm3.

Outcome measures

Outcome measures
Measure
Chronic Phase (CP) CML
n=21 Participants
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
n=11 Participants
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Total
n=32 Participants
All treated Participants with Advanced Disease CML - Accelerated Phase (AP) and Blast Phase/PH+ ALL
Time to Complete and Major Hematologic Response (CHR and MaHR) in Advanced Disease Chronic Myeloid Leukemia (AD CML) and Philadelphia Chromosome Positive Acute Lymphoblastic Leukemia Participants (Ph+ ALL)
CHR
16.0 Weeks
Interval 11.7 to 52.1
12.1 Weeks
Interval 11.6 to 28.0
12.1 Weeks
Interval 11.6 to 52.1
Time to Complete and Major Hematologic Response (CHR and MaHR) in Advanced Disease Chronic Myeloid Leukemia (AD CML) and Philadelphia Chromosome Positive Acute Lymphoblastic Leukemia Participants (Ph+ ALL)
MaHR
12.1 Weeks
Interval 11.7 to 28.6
12.1 Weeks
Interval 11.6 to 24.0
12.1 Weeks
Interval 11.6 to 28.6

SECONDARY outcome

Timeframe: From first dose until the date of disease progression (PD) or death. (Up to approximately 12 months of follow up after dasatinib treatment [data cut-off date: 18-Jun-2010])

Population: All treated participants with Advanced Disease Chronic Myeloid Leukemia (CML) with CHR. Data pre-specified to be collected in the Advanced Disease CML - AP and Blast Phase/PH+ ALL arms only.

Time from the first day all criteria are met for CHR until the date treatment is discontinued due to progressive disease (PD) or death. Participants who neither progress nor die will be censored on the date of their last assessment. CHR=white blood cells (WBC) ≤ upper limit of normal (ULN); absolute neutrophil count (ANC) ≥1,000/mm3; platelets ≥100,000/mm3; no blasts/promyelocytes, \<20% basophils and \<5% myelocytes+metamyelocytes in peripheral blood (PB); BM blasts ≤5%; no extra-medullary involvement/hepatomegaly/splenomegaly. PD = Hematologic response achieved but subsequently no longer meet the criteria consistently on all assessment over a 2-week period;, and no decrease from their baseline percent blasts in PB or BM on all assessments over a 4-week period or have an increase by at least 50% in PB blast count (absolute) over a 2-week period.

Outcome measures

Outcome measures
Measure
Chronic Phase (CP) CML
n=13 Participants
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
n=6 Participants
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Total
All treated Participants with Advanced Disease CML - Accelerated Phase (AP) and Blast Phase/PH+ ALL
Duration of CHR Among AD CML and Ph+ ALL Participants
NA Months
Interval 17.2 to
Insufficient number of participants with events
NA Months
Interval 13.2 to
Insufficient number of participants with events

SECONDARY outcome

Timeframe: From first dose until the date of disease progression (PD) or death. (Up to approximately 12 months of follow up after dasatinib treatment [data cut-off date: 18-Jun-2010])

Population: All treated participants with Advanced Disease Chronic Myeloid Leukemia (CML) with CHR or NEL or MiHR. Data pre-specified to be collected in the Advanced Disease CML - AP and Blast Phase/PH+ ALL arms only.

Time from the first day all criteria are met for CHR or NEL or MaHR until the date of progression or death. Participants who neither progress nor die will be censored on the date of their last assessment. MAHR = CHR or no evidence of leukemia (NEL). CHR=white blood cells (WBC) ≤ upper limit of normal (ULN); absolute neutrophil count (ANC) ≥1,000/mm3; platelets ≥100,000/mm3; no blasts/promyelocytes, \<20% basophils and \<5% myelocytes+metamyelocytes in peripheral blood (PB); BM blasts ≤5%; no extra-medullary involvement/hepatomegaly/splenomegaly. NEL=CHR except platelets ≥20,000/mm3 and \<100,000/mm3; ANC \>500/mm3 and \<1,000/mm3. Progressive disease (PD) = Hematologic response achieved but subsequently no longer meet the criteria consistently on all assessment over a 2-week period;, and no decrease from their baseline percent blasts in PB or BM on all assessments over a 4-week period or have an increase by at least 50% in PB blast count (absolute) over a 2-week period.

Outcome measures

Outcome measures
Measure
Chronic Phase (CP) CML
n=21 Participants
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
n=11 Participants
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Total
All treated Participants with Advanced Disease CML - Accelerated Phase (AP) and Blast Phase/PH+ ALL
Duration of MaHR Among AD CML and Ph+ ALL Participants
NA Months
Interval 22.9 to
Insufficient number of participants with events
11.2 Months
Interval 2.8 to
Insufficient number of participants with events

SECONDARY outcome

Timeframe: From first dose until the time progressive disease (PD) is first documented. (Up to approximately 12 months of follow up after dasatinib treatment [data cut-off date: 18-Jun-2010])

Population: All treated participants with Advanced Disease Chronic Myeloid Leukemia (CML). Data pre-specified to be collected in the Advanced Disease CML - AP and Blast Phase/PH+ ALL arms only.

Progression-free survival is defined as the time from first dosing date until the time progressive disease (PD) is first documented. Participants who die without a reported prior progression will be considered to have progressed on the date of their death. Participants who do not progress nor die will be censored on the date of their last hematologic or cytogenetic assessment whichever comes last. PFS will be analyzed via the Kaplan-Meier product-limit method. Progressive disease (PD) = Hematologic response achieved but subsequently no longer meet the criteria consistently on all assessment over a 2-week period;, and no decrease from their baseline percent blasts in PB or BM on all assessments over a 4-week period or have an increase by at least 50% in PB blast count (absolute) over a 2-week period.

Outcome measures

Outcome measures
Measure
Chronic Phase (CP) CML
n=25 Participants
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
n=37 Participants
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Total
All treated Participants with Advanced Disease CML - Accelerated Phase (AP) and Blast Phase/PH+ ALL
Progression-free Survival Among AD CML and Ph+ ALL Participants
25.7 Months
Interval 20.3 to
Insufficient number of participants with events
4.3 Months
Interval 2.6 to 7.4

SECONDARY outcome

Timeframe: From first dose to 30 days after last dose. (Up to approximately 161 months)

Population: All treated participants

AEs and SAEs considered possibly, probably, or certainly related to study treatment, graded according to Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 (Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe, Grade 4=Life-threatening or disabling, Grade 5=Death).SAE= any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization/prolongation of existing hospitalization, results in persistent/significant disability/incapacity, is a congenital anomaly/birth defect, or is an important medical event.

Outcome measures

Outcome measures
Measure
Chronic Phase (CP) CML
n=59 Participants
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
n=25 Participants
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Total
n=37 Participants
All treated Participants with Advanced Disease CML - Accelerated Phase (AP) and Blast Phase/PH+ ALL
Deaths, Serious Adverse Events (SAEs), Adverse Events (AEs), and Drug-related Fluid Retention AEs of Special Interest
All-Causality SAEs
18 Participants
13 Participants
24 Participants
Deaths, Serious Adverse Events (SAEs), Adverse Events (AEs), and Drug-related Fluid Retention AEs of Special Interest
Drug-Related SAEs
10 Participants
8 Participants
11 Participants
Deaths, Serious Adverse Events (SAEs), Adverse Events (AEs), and Drug-related Fluid Retention AEs of Special Interest
All-Causality AEs Leading to Discontinuation
10 Participants
9 Participants
19 Participants
Deaths, Serious Adverse Events (SAEs), Adverse Events (AEs), and Drug-related Fluid Retention AEs of Special Interest
Drug-Related AEs
46 Participants
21 Participants
30 Participants
Deaths, Serious Adverse Events (SAEs), Adverse Events (AEs), and Drug-related Fluid Retention AEs of Special Interest
Drug-Related Gr3/4 AEs
14 Participants
16 Participants
21 Participants
Deaths, Serious Adverse Events (SAEs), Adverse Events (AEs), and Drug-related Fluid Retention AEs of Special Interest
Drug-related Fluid Retention-related AEs (FR AE) - Ascites
2 Participants
0 Participants
0 Participants
Deaths, Serious Adverse Events (SAEs), Adverse Events (AEs), and Drug-related Fluid Retention AEs of Special Interest
Drug-related FR AE - Pleural Effusion
16 Participants
13 Participants
10 Participants
Deaths, Serious Adverse Events (SAEs), Adverse Events (AEs), and Drug-related Fluid Retention AEs of Special Interest
Drug-related FR AE - Pulmonary Hypertension
5 Participants
3 Participants
0 Participants
Deaths, Serious Adverse Events (SAEs), Adverse Events (AEs), and Drug-related Fluid Retention AEs of Special Interest
Drug-related FR AE - Oedema Peripheral
2 Participants
1 Participants
0 Participants
Deaths, Serious Adverse Events (SAEs), Adverse Events (AEs), and Drug-related Fluid Retention AEs of Special Interest
Drug-related FR AE - Pericardial Effusion
2 Participants
5 Participants
2 Participants
Deaths, Serious Adverse Events (SAEs), Adverse Events (AEs), and Drug-related Fluid Retention AEs of Special Interest
Drug-related FR AE - Oedema
0 Participants
2 Participants
1 Participants
Deaths, Serious Adverse Events (SAEs), Adverse Events (AEs), and Drug-related Fluid Retention AEs of Special Interest
Deaths
4 Participants
4 Participants
13 Participants
Deaths, Serious Adverse Events (SAEs), Adverse Events (AEs), and Drug-related Fluid Retention AEs of Special Interest
Drug-Related AEs leading to Discontinuation
6 Participants
3 Participants
6 Participants
Deaths, Serious Adverse Events (SAEs), Adverse Events (AEs), and Drug-related Fluid Retention AEs of Special Interest
All AEs
52 Participants
25 Participants
33 Participants

SECONDARY outcome

Timeframe: Day 1 (0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours postdose), Days 6 and 7 (0 hours postdose), Day 8 (0, 0.5, 1, 2, 3, 4, 5, 6, 8, 12 hours postdose),

Population: All treated participants with evaluable PK data. Data collection pre-specified by treatment dosage.

Mean dasatinib plasma concentrations following 70 mg BID dose in AD CML or Ph+ ALL participants and following 100 mg QD dose in CP CML participants

Outcome measures

Outcome measures
Measure
Chronic Phase (CP) CML
n=11 Participants
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
n=11 Participants
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Total
All treated Participants with Advanced Disease CML - Accelerated Phase (AP) and Blast Phase/PH+ ALL
Mean Dasatinib Plasma Concentrations
Day 1: 0.5 hours postdose
56.74 ng/mL
Standard Deviation 59.71
133.18 ng/mL
Standard Deviation 116.06
Mean Dasatinib Plasma Concentrations
Day 1 : 1 hour postdose
54.57 ng/mL
Standard Deviation 44.06
130.86 ng/mL
Standard Deviation 81.56
Mean Dasatinib Plasma Concentrations
Day 1 : 2 hours postdose
29.50 ng/mL
Standard Deviation 24.87
100.69 ng/mL
Standard Deviation 60.37
Mean Dasatinib Plasma Concentrations
Day 1 : 3 hours postdose
16.65 ng/mL
Standard Deviation 12.23
64.90 ng/mL
Standard Deviation 31.15
Mean Dasatinib Plasma Concentrations
Day 1 : 4 hours postdose
12.02 ng/mL
Standard Deviation 7.95
38.18 ng/mL
Standard Deviation 16.48
Mean Dasatinib Plasma Concentrations
Day 1 : 5 hours postdose
8.53 ng/mL
Standard Deviation 4.51
26.33 ng/mL
Standard Deviation 11.83
Mean Dasatinib Plasma Concentrations
Day 1 : 6 hours postdose
7.37 ng/mL
Standard Deviation 4.89
20.71 ng/mL
Standard Deviation 9.91
Mean Dasatinib Plasma Concentrations
Day 1 : 8 hours postdose
4.48 ng/mL
Standard Deviation 2.21
14.00 ng/mL
Standard Deviation 7.25
Mean Dasatinib Plasma Concentrations
Day 1 : 12 hours postdose
2.42 ng/mL
Standard Deviation 0.93
6.57 ng/mL
Standard Deviation 3.82
Mean Dasatinib Plasma Concentrations
Day 1 : 24 hours postdose
1.07 ng/mL
Standard Deviation 0.08
2.59 ng/mL
Standard Deviation 1.43
Mean Dasatinib Plasma Concentrations
Day 6: 0 hours postdose
8.93 ng/mL
Standard Deviation 4.24
3.15 ng/mL
Standard Deviation 3.57
Mean Dasatinib Plasma Concentrations
Day 7: 0 hours postdose
8.77 ng/mL
Standard Deviation 4.40
3.02 ng/mL
Standard Deviation 2.03
Mean Dasatinib Plasma Concentrations
Day 8: 0 hours postdose
8.22 ng/mL
Standard Deviation 3.41
2.75 ng/mL
Standard Deviation 1.58
Mean Dasatinib Plasma Concentrations
Day 8: 0.5 hours postdose
48.74 ng/mL
Standard Deviation 56.24
102.69 ng/mL
Standard Deviation 92.00
Mean Dasatinib Plasma Concentrations
Day 8: 1 hours postdose
52.55 ng/mL
Standard Deviation 39.79
168.51 ng/mL
Standard Deviation 112.14
Mean Dasatinib Plasma Concentrations
Day 8: 2 hours postdose
44.32 ng/mL
Standard Deviation 31.31
102.05 ng/mL
Standard Deviation 69.80
Mean Dasatinib Plasma Concentrations
Day 8: 3 hours postdose
31.64 ng/mL
Standard Deviation 19.93
71.23 ng/mL
Standard Deviation 34.29
Mean Dasatinib Plasma Concentrations
Day 8: 4 hours postdose
18.33 ng/mL
Standard Deviation 9.66
45.17 ng/mL
Standard Deviation 20.04
Mean Dasatinib Plasma Concentrations
Day 8: 5 hours postdose
13.74 ng/mL
Standard Deviation 6.36
31.16 ng/mL
Standard Deviation 13.47
Mean Dasatinib Plasma Concentrations
Day 8: 6 hours postdose
10.91 ng/mL
Standard Deviation 5.09
23.62 ng/mL
Standard Deviation 12.13
Mean Dasatinib Plasma Concentrations
Day 8: 8 hours postdose
7.23 ng/mL
Standard Deviation 3.28
15.41 ng/mL
Standard Deviation 8.04
Mean Dasatinib Plasma Concentrations
Day 8: 12 hours postdose
3.96 ng/mL
Standard Deviation 1.62
7.55 ng/mL
Standard Deviation 3.90

SECONDARY outcome

Timeframe: Day 1 (0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours postdose), Day 8 (0, 0.5, 1, 2, 3, 4, 5, 6, 8, 12 hours postdose)

Population: All treated participants with evaluable PK data. Data collection pre-specified by treatment dosage.

Cmax=maximum observed plasma concentration of dasatinib

Outcome measures

Outcome measures
Measure
Chronic Phase (CP) CML
n=11 Participants
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
n=11 Participants
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Total
All treated Participants with Advanced Disease CML - Accelerated Phase (AP) and Blast Phase/PH+ ALL
Mean Maximum Concentration (Cmax) of Dasatinib Following 70 mg BID and 100 QD Dose Administration
Day 1
71.01 ng/mL
Standard Deviation 54.705
170.53 ng/mL
Standard Deviation 99.245
Mean Maximum Concentration (Cmax) of Dasatinib Following 70 mg BID and 100 QD Dose Administration
Day 8
71.54 ng/mL
Standard Deviation 51.908
181.79 ng/mL
Standard Deviation 94.689

SECONDARY outcome

Timeframe: Day 1 (0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours postdose), Day 8 (0, 0.5, 1, 2, 3, 4, 5, 6, 8, 12 hours postdose)

Population: All treated participants with evaluable PK data. Data collection pre-specified by treatment dosage.

Tmax=time of maximum observed plasma concentration. T-Half=plasma half-life.

Outcome measures

Outcome measures
Measure
Chronic Phase (CP) CML
n=11 Participants
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
n=11 Participants
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Total
All treated Participants with Advanced Disease CML - Accelerated Phase (AP) and Blast Phase/PH+ ALL
Mean (Tmax) and (T-Half) of Dasatinib Following 70 mg BID and 100 QD Dose Administration
Tmax: Day 1
1.17 hours
Standard Deviation 1.348
1.50 hours
Standard Deviation 0.947
Mean (Tmax) and (T-Half) of Dasatinib Following 70 mg BID and 100 QD Dose Administration
Tmax: Day 8
1.62 hours
Standard Deviation 0.896
1.23 hours
Standard Deviation 0.684
Mean (Tmax) and (T-Half) of Dasatinib Following 70 mg BID and 100 QD Dose Administration
T-Half: Day 1
4.35 hours
Standard Deviation 2.445
4.78 hours
Standard Deviation 1.679
Mean (Tmax) and (T-Half) of Dasatinib Following 70 mg BID and 100 QD Dose Administration
T-Half: Day 8
4.80 hours
Standard Deviation 1.660
5.71 hours
Standard Deviation 1.012

SECONDARY outcome

Timeframe: Day 1 (0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours postdose), Day 8 (0, 0.5, 1, 2, 3, 4, 5, 6, 8, 12 hours postdose)

Population: All treated participants with evaluable PK data. Data collection pre-specified by treatment dosage.

Area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration AUC(0-T)for dasatinib. AUC(INF)=area under the plasma concentration-time curve from time zero extrapolated to infinite time. AUC(TAU)=area under the plasma concentration-time curve for a dosing interval

Outcome measures

Outcome measures
Measure
Chronic Phase (CP) CML
n=11 Participants
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
n=11 Participants
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Total
All treated Participants with Advanced Disease CML - Accelerated Phase (AP) and Blast Phase/PH+ ALL
Mean (AUC[0-T]), (AUC[INF]), and (AUC[TAU])of Dasatinib Following 70 mg BID and 100 QD Dose Administration
AUC(0-T): Day 8
214.60 ng*h/mL
Standard Deviation 102.616
567.30 ng*h/mL
Standard Deviation 286.851
Mean (AUC[0-T]), (AUC[INF]), and (AUC[TAU])of Dasatinib Following 70 mg BID and 100 QD Dose Administration
AUC(INF): Day 1
174.26 ng*h/mL
Standard Deviation 105.824
526.33 ng*h/mL
Standard Deviation 216.351
Mean (AUC[0-T]), (AUC[INF]), and (AUC[TAU])of Dasatinib Following 70 mg BID and 100 QD Dose Administration
AUC(0-T): Day 1
161.30 ng*h/mL
Standard Deviation 104.266
505.73 ng*h/mL
Standard Deviation 214.365
Mean (AUC[0-T]), (AUC[INF]), and (AUC[TAU])of Dasatinib Following 70 mg BID and 100 QD Dose Administration
AUC(INF): Day 8
247.10 ng*h/mL
Standard Deviation 103.802
588.52 ng*h/mL
Standard Deviation 293.512
Mean (AUC[0-T]), (AUC[INF]), and (AUC[TAU])of Dasatinib Following 70 mg BID and 100 QD Dose Administration
AUC(TAU): Day 1
163.56 ng*h/mL
Standard Deviation 103.573
511.07 ng*h/mL
Standard Deviation 211.781
Mean (AUC[0-T]), (AUC[INF]), and (AUC[TAU])of Dasatinib Following 70 mg BID and 100 QD Dose Administration
AUC(TAU): Day 8
218.05 ng*h/mL
Standard Deviation 104.156
568.85 ng*h/mL
Standard Deviation 285.532

SECONDARY outcome

Timeframe: Day 1 (0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours postdose), Day 8 (0, 0.5, 1, 2, 3, 4, 5, 6, 8, 12 hours postdose)

Population: All treated participants with evaluable PK data. Data collection pre-specified by treatment dosage.

Outcome measures

Outcome measures
Measure
Chronic Phase (CP) CML
n=11 Participants
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
n=11 Participants
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Total
All treated Participants with Advanced Disease CML - Accelerated Phase (AP) and Blast Phase/PH+ ALL
Mean Oral Clearance (CLo) of Dasatinib Following 70 mg BID and 100 QD Dose Administration
Day 1
564.97 mL/h
Standard Deviation 318.555
221.84 mL/h
Standard Deviation 99.003
Mean Oral Clearance (CLo) of Dasatinib Following 70 mg BID and 100 QD Dose Administration
Day 8
441.08 mL/h
Standard Deviation 307.574
211.09 mL/h
Standard Deviation 88.089

SECONDARY outcome

Timeframe: Day 1 (0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours postdose), Day 8 (0, 0.5, 1, 2, 3, 4, 5, 6, 8, 12 hours postdose)

Population: All treated participants with evaluable PK data. Data collection pre-specified by treatment dosage.

Outcome measures

Outcome measures
Measure
Chronic Phase (CP) CML
n=11 Participants
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
n=11 Participants
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Total
All treated Participants with Advanced Disease CML - Accelerated Phase (AP) and Blast Phase/PH+ ALL
Mean Apparent Volume of Distribution (Vz/F) of Dasatinib Following 70 mg BID and 100 QD Dose Administration
Day 1
3785.78 mL/h
Standard Deviation 3034.812
1454.71 mL/h
Standard Deviation 604.728
Mean Apparent Volume of Distribution (Vz/F) of Dasatinib Following 70 mg BID and 100 QD Dose Administration
Day 8
3446.74 mL/h
Standard Deviation 3196.014
1719.14 mL/h
Standard Deviation 730.345

Adverse Events

Advanced Disease CML - Accelerated Phase (AP)

Serious events: 13 serious events
Other events: 24 other events
Deaths: 5 deaths

Advanced Disease CML - Blast Phase/PH+ ALL

Serious events: 24 serious events
Other events: 30 other events
Deaths: 16 deaths

Chronic Phase (CP) CML

Serious events: 18 serious events
Other events: 50 other events
Deaths: 5 deaths

Serious adverse events

Serious adverse events
Measure
Advanced Disease CML - Accelerated Phase (AP)
n=25 participants at risk
Participants with AP advanced disease CML who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
n=37 participants at risk
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Chronic Phase (CP) CML
n=59 participants at risk
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Blood and lymphatic system disorders
Bone marrow necrosis
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Blood and lymphatic system disorders
Thrombocytopenia
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Cardiac disorders
Cardiac failure
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Gastrointestinal disorders
Ascites
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Gastrointestinal disorders
Colitis ulcerative
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Gastrointestinal disorders
Diarrhoea
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Gastrointestinal disorders
Duodenal perforation
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Gastrointestinal disorders
Enteritis
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Gastrointestinal disorders
Enterocolitis
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Gastrointestinal disorders
Gastrointestinal haemorrhage
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.4%
2/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Gastrointestinal disorders
Lower gastrointestinal haemorrhage
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Gastrointestinal disorders
Pancreatitis acute
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
General disorders
Death
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
General disorders
Fatigue
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
General disorders
Multiple organ dysfunction syndrome
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
General disorders
Oedema
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
General disorders
Pyrexia
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.4%
2/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
General disorders
Sudden death
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Hepatobiliary disorders
Cholelithiasis
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Infections and infestations
Anal infection
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Infections and infestations
Bacterial sepsis
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Infections and infestations
Cellulitis
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Infections and infestations
Enterococcal sepsis
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Infections and infestations
Infection
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Infections and infestations
Klebsiella sepsis
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Infections and infestations
Pneumonia
12.0%
3/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
16.2%
6/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Infections and infestations
Respiratory tract infection
8.0%
2/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Infections and infestations
Sepsis
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Infections and infestations
Septic shock
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Infections and infestations
Upper respiratory tract infection
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Injury, poisoning and procedural complications
Peripheral nerve injury
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Injury, poisoning and procedural complications
Subdural haematoma
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Musculoskeletal and connective tissue disorders
Bone pain
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Musculoskeletal and connective tissue disorders
Osteonecrosis
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Musculoskeletal and connective tissue disorders
Systemic lupus erythematosus
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bladder cancer
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Blast crisis in myelogenous leukaemia
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Central nervous system leukaemia
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Chronic myeloid leukaemia
20.0%
5/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
18.9%
7/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Chronic myeloid leukaemia transformation
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Endometrial cancer
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant neoplasm progression
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ureteric cancer
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Nervous system disorders
Central nervous system haemorrhage
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Nervous system disorders
Cerebral haemorrhage
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Nervous system disorders
Haemorrhage intracranial
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Nervous system disorders
Intracranial haematoma
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Renal and urinary disorders
Acute kidney injury
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Renal and urinary disorders
Renal failure
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Renal and urinary disorders
Renal impairment
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Respiratory, thoracic and mediastinal disorders
Pleural effusion
12.0%
3/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
10.8%
4/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
10.2%
6/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Respiratory, thoracic and mediastinal disorders
Pneumonitis
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Respiratory, thoracic and mediastinal disorders
Pulmonary hypertension
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
3.4%
2/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Skin and subcutaneous tissue disorders
Dermatitis atopic
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Skin and subcutaneous tissue disorders
Henoch-Schonlein purpura
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Surgical and medical procedures
Allogenic bone marrow transplantation therapy
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.4%
2/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Surgical and medical procedures
Bone marrow transplant
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Vascular disorders
Hypertension
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .

Other adverse events

Other adverse events
Measure
Advanced Disease CML - Accelerated Phase (AP)
n=25 participants at risk
Participants with AP advanced disease CML who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Advanced Disease CML - Blast Phase/PH+ ALL
n=37 participants at risk
Participants with blast phase (BP) advanced disease CML or Philadelphia positive acute lymphoblastic leukemia (Ph+ALL) who received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 70 mg BID. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Chronic Phase (CP) CML
n=59 participants at risk
Participants with chronic phase (CP) CML who have received prior treatment with imatinib mesylate and can no longer be treated with this drug due to primary or acquired resistance or intolerance. Dasatinib was administered orally at a dose of 100 mg QD in patients with chronic phase CML. Participants were treated until progression of disease or intolerable toxicity as determined by the treating physician.
Blood and lymphatic system disorders
Anaemia
12.0%
3/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
8.1%
3/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
16.9%
10/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Blood and lymphatic system disorders
Febrile neutropenia
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.4%
2/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Blood and lymphatic system disorders
Leukopenia
16.0%
4/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Blood and lymphatic system disorders
Neutropenia
28.0%
7/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
10.8%
4/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
8.5%
5/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Blood and lymphatic system disorders
Thrombocytopenia
24.0%
6/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
10.8%
4/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
15.3%
9/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Cardiac disorders
Palpitations
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.1%
3/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Cardiac disorders
Pericardial effusion
20.0%
5/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.4%
2/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
3.4%
2/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.1%
3/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Gastrointestinal disorders
Constipation
8.0%
2/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Gastrointestinal disorders
Diarrhoea
32.0%
8/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
10.8%
4/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
10.2%
6/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Gastrointestinal disorders
Gastrointestinal haemorrhage
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
8.1%
3/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Gastrointestinal disorders
Gingival bleeding
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.4%
2/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Gastrointestinal disorders
Toothache
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.1%
3/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
General disorders
Chest discomfort
8.0%
2/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
General disorders
Fatigue
12.0%
3/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
10.2%
6/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
General disorders
Pyrexia
16.0%
4/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
21.6%
8/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
11.9%
7/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Hepatobiliary disorders
Hyperbilirubinaemia
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
8.1%
3/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Infections and infestations
Infection
16.0%
4/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Infections and infestations
Laryngitis
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.4%
2/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Infections and infestations
Nasopharyngitis
12.0%
3/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.4%
2/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
10.2%
6/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Infections and infestations
Oral infection
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.4%
2/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Infections and infestations
Pneumonia
32.0%
8/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
18.9%
7/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
10.2%
6/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Infections and infestations
Upper respiratory tract infection
20.0%
5/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
8.1%
3/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
10.2%
6/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Injury, poisoning and procedural complications
Contusion
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.4%
2/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Investigations
Alanine aminotransferase increased
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.4%
2/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
8.5%
5/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Investigations
Aspartate aminotransferase increased
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.4%
2/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
6.8%
4/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Metabolism and nutrition disorders
Decreased appetite
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.1%
3/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Metabolism and nutrition disorders
Hyperuricaemia
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.4%
2/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Musculoskeletal and connective tissue disorders
Arthralgia
8.0%
2/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
1.7%
1/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Musculoskeletal and connective tissue disorders
Bone pain
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.1%
3/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.4%
2/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Nervous system disorders
Dizziness
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
6.8%
4/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Nervous system disorders
Headache
16.0%
4/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.4%
2/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
23.7%
14/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Respiratory, thoracic and mediastinal disorders
Cough
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
8.5%
5/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Respiratory, thoracic and mediastinal disorders
Dyspnoea
4.0%
1/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
6.8%
4/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.4%
2/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Respiratory, thoracic and mediastinal disorders
Haemoptysis
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.4%
2/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Respiratory, thoracic and mediastinal disorders
Pleural effusion
48.0%
12/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
24.3%
9/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
23.7%
14/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Respiratory, thoracic and mediastinal disorders
Pneumonitis
8.0%
2/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.1%
3/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Respiratory, thoracic and mediastinal disorders
Pulmonary hypertension
8.0%
2/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
6.8%
4/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
0.00%
0/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.1%
3/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Skin and subcutaneous tissue disorders
Rash
8.0%
2/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.4%
2/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
3.4%
2/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
Vascular disorders
Hypertension
0.00%
0/25 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
2.7%
1/37 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .
5.1%
3/59 • Participants were assessed for all-cause mortality from their first dose to their study completion (up to approximately 173 months). AE and SAEs were collected form first dose to 30 days post last dose (up to approximately 161 months) .

Additional Information

BMS Study Director

Bristol-Myers Squibb

Results disclosure agreements

  • Principal investigator is a sponsor employee Bristol-Myers Squibb Co. agreements with investigators vary; constant is our right to embargo communications regarding trial results prior to public release for a period ≤60 days from submittal for review. We will not prohibit investigators from publishing, but will prohibit the disclosure of previously undisclosed confidential information other than study results, and request postponement of single-center publications until after disclosure of the clinical trial's primary publication.
  • Publication restrictions are in place

Restriction type: OTHER