Trial Outcomes & Findings for Pegylated Liposomal Doxorubicin, Low Freq Dexamethasone & Revlimid (Dd-R) in Newly Diagnosed Multiple Myeloma (MM) (NCT NCT00617591)

NCT ID: NCT00617591

Last Updated: 2014-01-17

Results Overview

ORR assessed using International Myeloma Working Group Response Definitions. Partial Remission (PR): A greater than 50% reduction in the serum paraprotein, and if present, a greater than 90% reduction in the urine M protein excretion. Patients must also have a decrease by 50% in the size of soft tissue plasmacytoma. If serum and urine M protein are not measurable, a 50% or greater decreased in the difference of the involved and uninvolved free light chain. Very Good Partial Remission (VGPR): Detectable serum and urine M component on immunofixation but not on electrophoresis or 90% or greater reduction in serum M protein with less than 100 mg/24 h of urinary M protein. Complete Remission (CR): The presence of less than 5% bone marrow plasmacytosis and the disappearance of all evidence of serum and urine M-components on electrophoresis as well as by immunofixation. In addition, soft tissue plasmacytoma must have disappeared.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

57 participants

Primary outcome timeframe

24 Months

Results posted on

2014-01-17

Participant Flow

57 Eligible participants were enrolled at Moffitt Cancer Center between February 2008 and February 2011.

Participant milestones

Participant milestones
Measure
Induction and Maintenance Therapy
Induction Phase Followed by Maintenance Therapy. Patients received lenalidomide 25 mg orally on days 1-21, dexamethasone 40 mg orally on days on 1-4, and Pegylated Liposomal Doxorubicin (PLD) 40 mg/m\^2 intravenously on day 1 (reduced to 30 mg/m\^2 after the initial 29 patients were treated). Cycles were repeated every 28 days. At the best response (4-8 cycles of induction), patients could proceed with either high-dose therapy or maintenance with lenalidomide and dexamethasone at the tolerated doses on the same schedule until disease progression. Dd-R: Lenalidomide (Revlimid®) combined with Pegylated Liposomal Doxorubicin (Doxil®) and Dexamethasone (Decadron®) as outlined in the Detailed Description.
Overall Study
STARTED
57
Overall Study
COMPLETED
47
Overall Study
NOT COMPLETED
10

Reasons for withdrawal

Reasons for withdrawal
Measure
Induction and Maintenance Therapy
Induction Phase Followed by Maintenance Therapy. Patients received lenalidomide 25 mg orally on days 1-21, dexamethasone 40 mg orally on days on 1-4, and Pegylated Liposomal Doxorubicin (PLD) 40 mg/m\^2 intravenously on day 1 (reduced to 30 mg/m\^2 after the initial 29 patients were treated). Cycles were repeated every 28 days. At the best response (4-8 cycles of induction), patients could proceed with either high-dose therapy or maintenance with lenalidomide and dexamethasone at the tolerated doses on the same schedule until disease progression. Dd-R: Lenalidomide (Revlimid®) combined with Pegylated Liposomal Doxorubicin (Doxil®) and Dexamethasone (Decadron®) as outlined in the Detailed Description.
Overall Study
Withdrew consent during Induction
4
Overall Study
Withdrew consent during Maintenance
6

Baseline Characteristics

Pegylated Liposomal Doxorubicin, Low Freq Dexamethasone & Revlimid (Dd-R) in Newly Diagnosed Multiple Myeloma (MM)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Induction and Maintenance Therapy
n=57 Participants
Induction Phase Followed by Maintenance Therapy. Patients received lenalidomide 25 mg orally on days 1-21, dexamethasone 40 mg orally on days on 1-4, and PLD 40 mg/m\^2 intravenously on day 1 (reduced to 30 mg/m\^2 after the initial 29 patients were treated). Cycles were repeated every 28 days. At the best response (4-8 cycles of induction), patients could proceed with either high-dose therapy or maintenance with lenalidomide and dexamethasone at the tolerated doses on the same schedule until disease progression. Dd-R: Lenalidomide (Revlimid®) combined with Pegylated Liposomal Doxorubicin (Doxil®) and Dexamethasone (Decadron®) as outlined in the Detailed Description.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
37 Participants
n=5 Participants
Age, Categorical
>=65 years
20 Participants
n=5 Participants
Age, Continuous
63 years
n=5 Participants
Sex: Female, Male
Female
26 Participants
n=5 Participants
Sex: Female, Male
Male
31 Participants
n=5 Participants
Region of Enrollment
United States
57 participants
n=5 Participants

PRIMARY outcome

Timeframe: 24 Months

Population: All participants

ORR assessed using International Myeloma Working Group Response Definitions. Partial Remission (PR): A greater than 50% reduction in the serum paraprotein, and if present, a greater than 90% reduction in the urine M protein excretion. Patients must also have a decrease by 50% in the size of soft tissue plasmacytoma. If serum and urine M protein are not measurable, a 50% or greater decreased in the difference of the involved and uninvolved free light chain. Very Good Partial Remission (VGPR): Detectable serum and urine M component on immunofixation but not on electrophoresis or 90% or greater reduction in serum M protein with less than 100 mg/24 h of urinary M protein. Complete Remission (CR): The presence of less than 5% bone marrow plasmacytosis and the disappearance of all evidence of serum and urine M-components on electrophoresis as well as by immunofixation. In addition, soft tissue plasmacytoma must have disappeared.

Outcome measures

Outcome measures
Measure
Induction and Maintenance Therapy
n=57 Participants
Induction Phase Followed by Maintenance Therapy. Patients received lenalidomide 25 mg orally on days 1-21, dexamethasone 40 mg orally on days on 1-4, and Pegylated Liposomal Doxorubicin (PLD) 40 mg/m\^2 intravenously on day 1 (reduced to 30 mg/m\^2 after the initial 29 patients were treated). Cycles were repeated every 28 days. At the best response (4-8 cycles of induction), patients could proceed with either high-dose therapy or maintenance with lenalidomide and dexamethasone at the tolerated doses on the same schedule until disease progression. Dd-R: Lenalidomide (Revlimid®) combined with Pegylated Liposomal Doxorubicin (Doxil®) and Dexamethasone (Decadron®) as outlined in the Detailed Description.
Overall Response Rate (ORR) - Percentage of Participants With Partial Response or Better With Induction Regimen
77.2 percentage of participants

PRIMARY outcome

Timeframe: 24 Months

Population: All participants

Quality of response: % Complete Response (CR) + Very Good Partial Remission (VGPR) to induction Dd-R as assessed using International Myeloma Working Group Response Definitions. Very Good Partial Remission (VGPR): Detectable serum and urine M component on immunofixation but not on electrophoresis or 90% or greater reduction in serum M protein with less than 100 mg/24 h of urinary M protein. Complete Remission (CR): The presence of less than 5% bone marrow plasmacytosis and the disappearance of all evidence of serum and urine M-components on electrophoresis as well as by immunofixation. In addition, soft tissue plasmacytoma must have disappeared.

Outcome measures

Outcome measures
Measure
Induction and Maintenance Therapy
n=57 Participants
Induction Phase Followed by Maintenance Therapy. Patients received lenalidomide 25 mg orally on days 1-21, dexamethasone 40 mg orally on days on 1-4, and Pegylated Liposomal Doxorubicin (PLD) 40 mg/m\^2 intravenously on day 1 (reduced to 30 mg/m\^2 after the initial 29 patients were treated). Cycles were repeated every 28 days. At the best response (4-8 cycles of induction), patients could proceed with either high-dose therapy or maintenance with lenalidomide and dexamethasone at the tolerated doses on the same schedule until disease progression. Dd-R: Lenalidomide (Revlimid®) combined with Pegylated Liposomal Doxorubicin (Doxil®) and Dexamethasone (Decadron®) as outlined in the Detailed Description.
Percentage of Participants With Very Good Partial Remission (VGPR) or Better
42.1 percentage of participants

SECONDARY outcome

Timeframe: 24 Months

Population: All participants

PFS: Time from study entry to progression/relapse or death from study entry to death of any cause, assessed using International Myeloma Working Group Response Definitions. Progressive Disease (PD): One of the following criteria must be met: a. Increase of 25% or greater in serum M protein (absolute increase greater or equal to 0.5g/dl); b. Increase of 25% or greater in urine M protein (absolute increase greater than 200 mg/24h); c. Increase of 25% or greater in the difference between the involved and uninvolved free light chain (absolute increase greater than 10 mg/dl); d. Increase of 25% or greater in bone marrow plasma cell percentage (absolute percent greater than 5% in case the patient was in CR and 10% otherwise); i.e. Definite development of new bone lesions or soft tissue plasmacytomas, or increase in the size of existing plasmacytomas by greater or equal to 25%. Development of hypercalcemia (serum calcium \> 11.5 mg/dl) attributable only to the plasma cell dyscrasia.

Outcome measures

Outcome measures
Measure
Induction and Maintenance Therapy
n=57 Participants
Induction Phase Followed by Maintenance Therapy. Patients received lenalidomide 25 mg orally on days 1-21, dexamethasone 40 mg orally on days on 1-4, and Pegylated Liposomal Doxorubicin (PLD) 40 mg/m\^2 intravenously on day 1 (reduced to 30 mg/m\^2 after the initial 29 patients were treated). Cycles were repeated every 28 days. At the best response (4-8 cycles of induction), patients could proceed with either high-dose therapy or maintenance with lenalidomide and dexamethasone at the tolerated doses on the same schedule until disease progression. Dd-R: Lenalidomide (Revlimid®) combined with Pegylated Liposomal Doxorubicin (Doxil®) and Dexamethasone (Decadron®) as outlined in the Detailed Description.
Median Progression Free Survival (PFS) in Months
28 months
Interval 18.1 to 34.8

SECONDARY outcome

Timeframe: 24 Months

Population: All participants

Percentage of participants with Overall Survival in response to Dd-R in newly diagnosed multiple myeloma patients with active disease. Overall survival is time from study entry to death of any cause.

Outcome measures

Outcome measures
Measure
Induction and Maintenance Therapy
n=57 Participants
Induction Phase Followed by Maintenance Therapy. Patients received lenalidomide 25 mg orally on days 1-21, dexamethasone 40 mg orally on days on 1-4, and Pegylated Liposomal Doxorubicin (PLD) 40 mg/m\^2 intravenously on day 1 (reduced to 30 mg/m\^2 after the initial 29 patients were treated). Cycles were repeated every 28 days. At the best response (4-8 cycles of induction), patients could proceed with either high-dose therapy or maintenance with lenalidomide and dexamethasone at the tolerated doses on the same schedule until disease progression. Dd-R: Lenalidomide (Revlimid®) combined with Pegylated Liposomal Doxorubicin (Doxil®) and Dexamethasone (Decadron®) as outlined in the Detailed Description.
2 Year Overall Survival (OS) Rate
79.6 percentage of participants

SECONDARY outcome

Timeframe: 24 Months

Population: First 29 participants with the PLD starting dose of PLD 40 mg/m\^2, due to increased neutropenia and fatigue.

Tolerability of full dose Revlimid® with full dose Doxil® in combination with reduced schedule dexamethasone was to be assessed during Cycle 1 and at the start of Cycle 2 using, whenever possible, the National Cancer Institute Common Terminology for Adverse Events (NCI CTCAE) v3.0. Due to increased neutropenia and fatigue, toxicities were reviewed after the first 29 participants were enrolled.

Outcome measures

Outcome measures
Measure
Induction and Maintenance Therapy
n=29 Participants
Induction Phase Followed by Maintenance Therapy. Patients received lenalidomide 25 mg orally on days 1-21, dexamethasone 40 mg orally on days on 1-4, and Pegylated Liposomal Doxorubicin (PLD) 40 mg/m\^2 intravenously on day 1 (reduced to 30 mg/m\^2 after the initial 29 patients were treated). Cycles were repeated every 28 days. At the best response (4-8 cycles of induction), patients could proceed with either high-dose therapy or maintenance with lenalidomide and dexamethasone at the tolerated doses on the same schedule until disease progression. Dd-R: Lenalidomide (Revlimid®) combined with Pegylated Liposomal Doxorubicin (Doxil®) and Dexamethasone (Decadron®) as outlined in the Detailed Description.
Occurrence of Induction Toxicities
Percentage with Dose Reductions Required
24 percentage of participants
Occurrence of Induction Toxicities
Percentage Receiving < 4 Cycles of Therapy
20 percentage of participants
Occurrence of Induction Toxicities
Percentage Who Discontinued After Only 1 Cycle
13.79 percentage of participants
Occurrence of Induction Toxicities
Percentage with Grade 3/4 Neutropenia
48 percentage of participants
Occurrence of Induction Toxicities
Percentage with Grade 3/4 Fatigue
20 percentage of participants

Adverse Events

Induction and Maintenance Therapy

Serious events: 26 serious events
Other events: 56 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Induction and Maintenance Therapy
n=57 participants at risk
Induction Phase Followed by Maintenance Therapy. Patients received lenalidomide 25 mg orally on days 1-21, dexamethasone 40 mg orally on days on 1-4, and PLD 40 mg/m\^2 intravenously on day 1 (reduced to 30 mg/m\^2 after the initial 29 patients were treated). Cycles were repeated every 28 days. At the best response (4-8 cycles of induction), patients could proceed with either high-dose therapy or maintenance with lenalidomide and dexamethasone at the tolerated doses on the same schedule until disease progression. Dd-R: Lenalidomide (Revlimid®) combined with Pegylated Liposomal Doxorubicin (Doxil®) and Dexamethasone (Decadron®) as outlined in the Detailed Description.
Blood and lymphatic system disorders
Hemoglobin
1.8%
1/57 • Number of events 1 • 4 years, 10 months
Blood and lymphatic system disorders
Neutrophils/granulocytes (ANC/AGC)
5.3%
3/57 • Number of events 3 • 4 years, 10 months
Cardiac disorders
Palpitations
1.8%
1/57 • Number of events 1 • 4 years, 10 months
Cardiac disorders
Supraventricular and nodal arrhythmia - Atrial
1.8%
1/57 • Number of events 1 • 4 years, 10 months
Cardiac disorders
Cardiac General - Other
3.5%
2/57 • Number of events 2 • 4 years, 10 months
General disorders
Constitutional Symptoms - Other
3.5%
2/57 • Number of events 2 • 4 years, 10 months
General disorders
Fever (in the absence of neutropenia, where neutropenia is defined as ANC <1.0 x 10^9/L)
7.0%
4/57 • Number of events 6 • 4 years, 10 months
Skin and subcutaneous tissue disorders
Rash/desquamation
3.5%
2/57 • Number of events 2 • 4 years, 10 months
Gastrointestinal disorders
Dehydration
1.8%
1/57 • Number of events 2 • 4 years, 10 months
Gastrointestinal disorders
Diarrhea
1.8%
1/57 • Number of events 2 • 4 years, 10 months
Gastrointestinal disorders
Nausea
1.8%
1/57 • Number of events 1 • 4 years, 10 months
Gastrointestinal disorders
Vomiting
1.8%
1/57 • Number of events 1 • 4 years, 10 months
Infections and infestations
Febrile neutropenia
3.5%
2/57 • Number of events 2 • 4 years, 10 months
Infections and infestations
Infection(documented clinically or microbiologically) w/Grade 3 or 4 neutrophils - Lung(pneumonia)
1.8%
1/57 • Number of events 1 • 4 years, 10 months
Infections and infestations
Infection (documented clinically or microbiologically) with Grade 3 or 4 neutrophils - Sinus
1.8%
1/57 • Number of events 1 • 4 years, 10 months
Infections and infestations
Infection - Other
1.8%
1/57 • Number of events 1 • 4 years, 10 months
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils - Bladder (urinary)
1.8%
1/57 • Number of events 1 • 4 years, 10 months
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils - Blood
1.8%
1/57 • Number of events 1 • 4 years, 10 months
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils - Foreign body
1.8%
1/57 • Number of events 1 • 4 years, 10 months
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils - Oral cavity-gums (gingivitis)
1.8%
1/57 • Number of events 1 • 4 years, 10 months
Infections and infestations
Infection with unknown ANC - Lung (pneumonia)
1.8%
1/57 • Number of events 1 • 4 years, 10 months
Blood and lymphatic system disorders
Edema: limb
1.8%
1/57 • Number of events 1 • 4 years, 10 months
Blood and lymphatic system disorders
Edema: trunk/genital
1.8%
1/57 • Number of events 1 • 4 years, 10 months
Metabolism and nutrition disorders
Magnesium, serum-low (hypomagnesemia)
1.8%
1/57 • Number of events 1 • 4 years, 10 months
Metabolism and nutrition disorders
Potassium, serum-low (hypokalemia)
3.5%
2/57 • Number of events 2 • 4 years, 10 months
Musculoskeletal and connective tissue disorders
Fracture
7.0%
4/57 • Number of events 4 • 4 years, 10 months
Musculoskeletal and connective tissue disorders
Muscle weakness, generalized or specific area (not due to neuropathy) - Whole body/generalized
1.8%
1/57 • Number of events 1 • 4 years, 10 months
Musculoskeletal and connective tissue disorders
Musculoskeletal/Soft Tissue - Other
1.8%
1/57 • Number of events 1 • 4 years, 10 months
Psychiatric disorders
Confusion
1.8%
1/57 • Number of events 1 • 4 years, 10 months
General disorders
Pain - NOS
1.8%
1/57 • Number of events 1 • 4 years, 10 months
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
5.3%
3/57 • Number of events 3 • 4 years, 10 months
Respiratory, thoracic and mediastinal disorders
Pleural effusion (non-malignant)
1.8%
1/57 • Number of events 1 • 4 years, 10 months
Respiratory, thoracic and mediastinal disorders
Pulmonary/Upper Respiratory - Other
7.0%
4/57 • Number of events 4 • 4 years, 10 months
Renal and urinary disorders
Renal failure
1.8%
1/57 • Number of events 1 • 4 years, 10 months
General disorders
Syndromes - Other
1.8%
1/57 • Number of events 1 • 4 years, 10 months
Vascular disorders
Thrombosis/thrombus/embolism
7.0%
4/57 • Number of events 4 • 4 years, 10 months

Other adverse events

Other adverse events
Measure
Induction and Maintenance Therapy
n=57 participants at risk
Induction Phase Followed by Maintenance Therapy. Patients received lenalidomide 25 mg orally on days 1-21, dexamethasone 40 mg orally on days on 1-4, and PLD 40 mg/m\^2 intravenously on day 1 (reduced to 30 mg/m\^2 after the initial 29 patients were treated). Cycles were repeated every 28 days. At the best response (4-8 cycles of induction), patients could proceed with either high-dose therapy or maintenance with lenalidomide and dexamethasone at the tolerated doses on the same schedule until disease progression. Dd-R: Lenalidomide (Revlimid®) combined with Pegylated Liposomal Doxorubicin (Doxil®) and Dexamethasone (Decadron®) as outlined in the Detailed Description.
General disorders
Fatigue
61.4%
35/57 • Number of events 60 • 4 years, 10 months
General disorders
Sweating (diaphoresis)
29.8%
17/57 • Number of events 17 • 4 years, 10 months
General disorders
Fever (in the absence of neutropenia)
22.8%
13/57 • Number of events 15 • 4 years, 10 months
General disorders
Insomnia
24.6%
14/57 • Number of events 16 • 4 years, 10 months
General disorders
Rigors/chills
21.1%
12/57 • Number of events 14 • 4 years, 10 months
General disorders
Weight Loss
7.0%
4/57 • Number of events 4 • 4 years, 10 months
Gastrointestinal disorders
Constipation
43.9%
25/57 • Number of events 35 • 4 years, 10 months
Gastrointestinal disorders
Diarrhea
42.1%
24/57 • Number of events 32 • 4 years, 10 months
Gastrointestinal disorders
Nausea
40.4%
23/57 • Number of events 33 • 4 years, 10 months
Gastrointestinal disorders
Anorexia
29.8%
17/57 • Number of events 20 • 4 years, 10 months
Gastrointestinal disorders
Gastrointestinal - Other
14.0%
8/57 • Number of events 15 • 4 years, 10 months
Gastrointestinal disorders
Vomiting
21.1%
12/57 • Number of events 17 • 4 years, 10 months
Gastrointestinal disorders
Taste alteration (dysgeusia)
21.1%
12/57 • Number of events 16 • 4 years, 10 months
Gastrointestinal disorders
Dysphagia (difficulty swallowing)
12.3%
7/57 • Number of events 7 • 4 years, 10 months
Gastrointestinal disorders
Heartburn/dyspepsia
10.5%
6/57 • Number of events 6 • 4 years, 10 months
Gastrointestinal disorders
Dehydration
8.8%
5/57 • Number of events 6 • 4 years, 10 months
Gastrointestinal disorders
Dry mouth/salivary gland
7.0%
4/57 • Number of events 4 • 4 years, 10 months
Gastrointestinal disorders
Mucositis/stomatitis (clinical exam) - Oral cavity
8.8%
5/57 • Number of events 5 • 4 years, 10 months
Blood and lymphatic system disorders
Leukocytes (total WBC)
73.7%
42/57 • Number of events 238 • 4 years, 10 months
Blood and lymphatic system disorders
Neutrophils/granulocytes (ANC/AGC)
71.9%
41/57 • Number of events 244 • 4 years, 10 months
Blood and lymphatic system disorders
Hemoglobin
43.9%
25/57 • Number of events 82 • 4 years, 10 months
Blood and lymphatic system disorders
Platelets
45.6%
26/57 • Number of events 111 • 4 years, 10 months
Blood and lymphatic system disorders
Lymphopenia
8.8%
5/57 • Number of events 20 • 4 years, 10 months
Skin and subcutaneous tissue disorders
Rash/desquamation
36.8%
21/57 • Number of events 30 • 4 years, 10 months
Skin and subcutaneous tissue disorders
Dermatology/Skin - Other
15.8%
9/57 • Number of events 14 • 4 years, 10 months
Skin and subcutaneous tissue disorders
Bruising (in absence of Grade 3 or 4 thrombocytopenia)
8.8%
5/57 • Number of events 5 • 4 years, 10 months
Skin and subcutaneous tissue disorders
Rash: hand-foot skin reaction
14.0%
8/57 • Number of events 10 • 4 years, 10 months
Skin and subcutaneous tissue disorders
Flushing
8.8%
5/57 • Number of events 10 • 4 years, 10 months
Skin and subcutaneous tissue disorders
Rash: erythema multiforme
8.8%
5/57 • Number of events 6 • 4 years, 10 months
Skin and subcutaneous tissue disorders
Pruritus/itching
7.0%
4/57 • Number of events 5 • 4 years, 10 months
Skin and subcutaneous tissue disorders
Hair loss/alopecia (scalp or body)
7.0%
4/57 • Number of events 4 • 4 years, 10 months
Skin and subcutaneous tissue disorders
Dry skin
5.3%
3/57 • Number of events 4 • 4 years, 10 months
General disorders
Pain - Head/headache
19.3%
11/57 • Number of events 11 • 4 years, 10 months
General disorders
Pain - Extremity-limb
8.8%
5/57 • Number of events 6 • 4 years, 10 months
General disorders
Pain - Abdomen NOS
8.8%
5/57 • Number of events 5 • 4 years, 10 months
General disorders
Pain - Throat/pharynx/larynx
7.0%
4/57 • Number of events 6 • 4 years, 10 months
General disorders
Pain - Joint
5.3%
3/57 • Number of events 5 • 4 years, 10 months
General disorders
Pain - Muscle
5.3%
3/57 • Number of events 3 • 4 years, 10 months
General disorders
Pain - Oral cavity
7.0%
4/57 • Number of events 5 • 4 years, 10 months
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
29.8%
17/57 • Number of events 18 • 4 years, 10 months
Respiratory, thoracic and mediastinal disorders
Cough
15.8%
9/57 • Number of events 10 • 4 years, 10 months
Respiratory, thoracic and mediastinal disorders
Pulmonary/Upper Respiratory - Other
10.5%
6/57 • Number of events 7 • 4 years, 10 months
Respiratory, thoracic and mediastinal disorders
Hiccoughs
10.5%
6/57 • Number of events 9 • 4 years, 10 months
Respiratory, thoracic and mediastinal disorders
Voice changes/dysarthria
5.3%
3/57 • Number of events 3 • 4 years, 10 months
General disorders
Dizziness
21.1%
12/57 • Number of events 12 • 4 years, 10 months
Nervous system disorders
Neuropathy: sensory
22.8%
13/57 • Number of events 16 • 4 years, 10 months
Psychiatric disorders
Mood alteration - Depression
12.3%
7/57 • Number of events 7 • 4 years, 10 months
Nervous system disorders
Neurology - Other
10.5%
6/57 • Number of events 6 • 4 years, 10 months
Nervous system disorders
Syncope (fainting)
5.3%
3/57 • Number of events 3 • 4 years, 10 months
Nervous system disorders
Tremor
12.3%
7/57 • Number of events 7 • 4 years, 10 months
Nervous system disorders
Neuropathy: motor
5.3%
3/57 • Number of events 3 • 4 years, 10 months
Blood and lymphatic system disorders
Edema: limb
50.9%
29/57 • Number of events 44 • 4 years, 10 months
Blood and lymphatic system disorders
Lymphatics - Other
5.3%
3/57 • Number of events 5 • 4 years, 10 months
Blood and lymphatic system disorders
Edema: head and neck
5.3%
3/57 • Number of events 4 • 4 years, 10 months
Infections and infestations
Febrile neutropenia
14.0%
8/57 • Number of events 11 • 4 years, 10 months
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils - Vagina
5.3%
3/57 • Number of events 3 • 4 years, 10 months
Musculoskeletal and connective tissue disorders
Musculoskeletal/Soft Tissue - Other
17.5%
10/57 • Number of events 16 • 4 years, 10 months
Musculoskeletal and connective tissue disorders
Muscle weakness, generalized or specific area (not due to neuropathy) - Whole body/generalized
15.8%
9/57 • Number of events 10 • 4 years, 10 months
Musculoskeletal and connective tissue disorders
Muscle weakness, generalized or specific area (not due to neuropathy) - Extraocular
5.3%
3/57 • Number of events 3 • 4 years, 10 months
Musculoskeletal and connective tissue disorders
Muscle weakness, generalized or specific area (not due to neuropathy) - Extremity-lower
5.3%
3/57 • Number of events 3 • 4 years, 10 months
Immune system disorders
Allergic rhinitis
14.0%
8/57 • Number of events 8 • 4 years, 10 months
Metabolism and nutrition disorders
Potassium, serum-low (hypokalemia)
8.8%
5/57 • Number of events 8 • 4 years, 10 months
Metabolism and nutrition disorders
Glucose, serum-high (hyperglycemia)
5.3%
3/57 • Number of events 10 • 4 years, 10 months
Metabolism and nutrition disorders
Potassium, serum-high (hyperkalemia)
5.3%
3/57 • Number of events 3 • 4 years, 10 months
Renal and urinary disorders
Urinary retention (including neurogenic bladder)
5.3%
3/57 • Number of events 3 • 4 years, 10 months
Cardiac disorders
Hypotension
12.3%
7/57 • Number of events 11 • 4 years, 10 months
Eye disorders
Ocular/Visual - Other
8.8%
5/57 • Number of events 5 • 4 years, 10 months
Eye disorders
Dry eye syndrome
5.3%
3/57 • Number of events 3 • 4 years, 10 months
Respiratory, thoracic and mediastinal disorders
Hemorrhage, pulmonary/upper respiratory - Nose
8.8%
5/57 • Number of events 5 • 4 years, 10 months
General disorders
Flu-like syndrome
7.0%
4/57 • Number of events 5 • 4 years, 10 months

Additional Information

Rachid Baz, M.D.

H. Lee Moffitt Cancer Center and Research Institute

Phone: 813-745-8212

Results disclosure agreements

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