Trial Outcomes & Findings for Yttrium-90 Ibritumomab Tiuxetan Plus High-Dose BEAM Followed By ASCT For Relapsed B-Cell Non-Hodgkin Lymphoma (NCT NCT00695409)

NCT ID: NCT00695409

Last Updated: 2018-07-06

Results Overview

Progression-free survival (PFS) was defined as time from peripheral stem cell infusion to recurrence, progression or death. In a clinical trial, measuring the progression-free survival is one way to see how well a new treatment works. Progression-free survival was estimated using the Kaplan-Meier method; the 95% confidence interval was calculated using Greenwood's formula \[Breslow NE, Day NE. Statistical methods in cancer research: volume II, the design and analysis of cohort studies. IARC Sci Publ 1987;82:1-406.\]

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

122 participants

Primary outcome timeframe

From peripheral stem cell infusion (Day0 ASCT) to first observation of progressive disease or death due to any cause, whichever comes first, assessed up to 5 years

Results posted on

2018-07-06

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment (RIT, ZBEAM, ASCT)
RADIOIMMUNOTHERAPY: Patients receive yttrium Y 90 ibritumomab tiuxetan IV following rituximab IV on day -14. HIGH-DOSE COMBINATION CHEMOTHERAPY: Patients receive carmustine IV on days -7 and -6; etoposide IV over 1 hour twice daily and cytarabine IV over 2 hours twice daily on days -5 to -2; and melphalan IV on day -1. STEM CELL TRANSPLANTATION: Patients undergo autologous peripheral blood stem cell transplant on day 0. Patients also receive rituximab on day 8\*. NOTE: \* Some patients may also receive rituximab on day -1. Treatment continues in the absence of disease progression or unacceptable toxicity. rituximab: Given IV carmustine: Given IV cytarabine: Given IV etoposide: Given IV melphalan: Given IV ASCT: Undergo autologous peripheral blood stem cell transplant yttrium Y 90 ibritumomab tiuxetan: Given IV
Overall Study
STARTED
122
Overall Study
COMPLETED
122
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Yttrium-90 Ibritumomab Tiuxetan Plus High-Dose BEAM Followed By ASCT For Relapsed B-Cell Non-Hodgkin Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (RIT, ZBEAM, ASCT)
n=122 Participants
RADIOIMMUNOTHERAPY: Patients receive yttrium Y 90 ibritumomab tiuxetan IV following rituximab IV on day -14. HIGH-DOSE COMBINATION CHEMOTHERAPY: Patients receive carmustine IV on days -7 and -6; etoposide IV over 1 hour twice daily and cytarabine IV over 2 hours twice daily on days -5 to -2; and melphalan IV on day -1. STEM CELL TRANSPLANTATION: Patients undergo autologous peripheral blood stem cell transplant on day 0. Patients also receive rituximab on day 8\*. NOTE: \* Some patients may also receive rituximab on day -1. Treatment continues in the absence of disease progression or unacceptable toxicity. rituximab: Given IV carmustine: Given IV cytarabine: Given IV etoposide: Given IV melphalan: Given IV ASCT: Undergo autologous peripheral blood stem cell transplant yttrium Y 90 ibritumomab tiuxetan: Given IV
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
103 Participants
n=5 Participants
Age, Categorical
>=65 years
19 Participants
n=5 Participants
Sex: Female, Male
Female
49 Participants
n=5 Participants
Sex: Female, Male
Male
73 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
30 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
92 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
10 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
6 Participants
n=5 Participants
Race (NIH/OMB)
White
104 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
Region of Enrollment
United States
122 Participants
n=5 Participants

PRIMARY outcome

Timeframe: From peripheral stem cell infusion (Day0 ASCT) to first observation of progressive disease or death due to any cause, whichever comes first, assessed up to 5 years

Population: 6 patients did not receive full treatment so are excluded from the result analysis.

Progression-free survival (PFS) was defined as time from peripheral stem cell infusion to recurrence, progression or death. In a clinical trial, measuring the progression-free survival is one way to see how well a new treatment works. Progression-free survival was estimated using the Kaplan-Meier method; the 95% confidence interval was calculated using Greenwood's formula \[Breslow NE, Day NE. Statistical methods in cancer research: volume II, the design and analysis of cohort studies. IARC Sci Publ 1987;82:1-406.\]

Outcome measures

Outcome measures
Measure
Treatment (RIT, ZBEAM, ASCT)
n=116 Participants
RADIOIMMUNOTHERAPY: Patients receive yttrium Y 90 ibritumomab tiuxetan IV following rituximab IV on day -14. HIGH-DOSE COMBINATION CHEMOTHERAPY: Patients receive carmustine IV on days -7 and -6; etoposide IV over 1 hour twice daily and cytarabine IV over 2 hours twice daily on days -5 to -2; and melphalan IV on day -1. STEM CELL TRANSPLANTATION: Patients undergo autologous peripheral blood stem cell transplant on day 0. Patients also receive rituximab on day 8\*. NOTE: \* Some patients may also receive rituximab on day -1. Treatment continues in the absence of disease progression or unacceptable toxicity. rituximab: Given IV carmustine: Given IV cytarabine: Given IV etoposide: Given IV melphalan: Given IV ASCT: Undergo autologous peripheral blood stem cell transplant yttrium Y 90 ibritumomab tiuxetan: Given IV
2-Year Progression-Free Survival
71 Percentage of Participants (%)
Interval 61.0 to 78.0

SECONDARY outcome

Timeframe: From peripheral stem cell infusion (Day0 ASCT) to death due to any cause, assessed up to 5 years

Population: 6 patients did not receive full treatment so are excluded from the result analysis.

Overall survival (OS) was measured from peripheral stem cell infusion to death from any cause. It was estimated using the Kaplan-Meier method; the 95% confidence interval was calculated using Greenwood's formula. \[Breslow NE, Day NE. Statistical methods in cancer research: volume II, the design and analysis of cohort studies. IARC Sci Publ 1987;82:1-406.\]

Outcome measures

Outcome measures
Measure
Treatment (RIT, ZBEAM, ASCT)
n=116 Participants
RADIOIMMUNOTHERAPY: Patients receive yttrium Y 90 ibritumomab tiuxetan IV following rituximab IV on day -14. HIGH-DOSE COMBINATION CHEMOTHERAPY: Patients receive carmustine IV on days -7 and -6; etoposide IV over 1 hour twice daily and cytarabine IV over 2 hours twice daily on days -5 to -2; and melphalan IV on day -1. STEM CELL TRANSPLANTATION: Patients undergo autologous peripheral blood stem cell transplant on day 0. Patients also receive rituximab on day 8\*. NOTE: \* Some patients may also receive rituximab on day -1. Treatment continues in the absence of disease progression or unacceptable toxicity. rituximab: Given IV carmustine: Given IV cytarabine: Given IV etoposide: Given IV melphalan: Given IV ASCT: Undergo autologous peripheral blood stem cell transplant yttrium Y 90 ibritumomab tiuxetan: Given IV
2-Year Overall Survival
89 Percentage of Participants (%)
Interval 82.0 to 94.0

SECONDARY outcome

Timeframe: From peripheral stem cell infusion (Day0 ASCT) to date of first observation of progressive disease or relapsed disease, assessed up to 5 years

Population: 6 patients did not receive full treatment so are excluded from the result analysis

The cumulative incidence was estimated after taking into account the competing risk of early death.

Outcome measures

Outcome measures
Measure
Treatment (RIT, ZBEAM, ASCT)
n=116 Participants
RADIOIMMUNOTHERAPY: Patients receive yttrium Y 90 ibritumomab tiuxetan IV following rituximab IV on day -14. HIGH-DOSE COMBINATION CHEMOTHERAPY: Patients receive carmustine IV on days -7 and -6; etoposide IV over 1 hour twice daily and cytarabine IV over 2 hours twice daily on days -5 to -2; and melphalan IV on day -1. STEM CELL TRANSPLANTATION: Patients undergo autologous peripheral blood stem cell transplant on day 0. Patients also receive rituximab on day 8\*. NOTE: \* Some patients may also receive rituximab on day -1. Treatment continues in the absence of disease progression or unacceptable toxicity. rituximab: Given IV carmustine: Given IV cytarabine: Given IV etoposide: Given IV melphalan: Given IV ASCT: Undergo autologous peripheral blood stem cell transplant yttrium Y 90 ibritumomab tiuxetan: Given IV
2-Year Cumulative Incidence of Progression
28 Percentage of Participants (%)
Interval 20.0 to 37.0

SECONDARY outcome

Timeframe: Up to Day 100 post-ASCT

Responses are assessed using the Revised Criteria for Malignant Lymphoma Response Definitions for Clinical Trials (Cheson et al. 2007). Complete Response (CR) defined as disappearance of all evidence of disease. Partial Response (PR) defined as regression of measurable disease and no new sites.

Outcome measures

Outcome measures
Measure
Treatment (RIT, ZBEAM, ASCT)
n=64 Participants
RADIOIMMUNOTHERAPY: Patients receive yttrium Y 90 ibritumomab tiuxetan IV following rituximab IV on day -14. HIGH-DOSE COMBINATION CHEMOTHERAPY: Patients receive carmustine IV on days -7 and -6; etoposide IV over 1 hour twice daily and cytarabine IV over 2 hours twice daily on days -5 to -2; and melphalan IV on day -1. STEM CELL TRANSPLANTATION: Patients undergo autologous peripheral blood stem cell transplant on day 0. Patients also receive rituximab on day 8\*. NOTE: \* Some patients may also receive rituximab on day -1. Treatment continues in the absence of disease progression or unacceptable toxicity. rituximab: Given IV carmustine: Given IV cytarabine: Given IV etoposide: Given IV melphalan: Given IV ASCT: Undergo autologous peripheral blood stem cell transplant yttrium Y 90 ibritumomab tiuxetan: Given IV
Number of Patients With Active Disease at ASCT Achieving CR/PR by Day 100 After ASCT
53 Participants

SECONDARY outcome

Timeframe: From initial of study treatment to Day 100 post-ASCT

Toxicities were recorded using the modified Bearman Scale for non-hematologic adverse events.

Outcome measures

Outcome measures
Measure
Treatment (RIT, ZBEAM, ASCT)
n=122 Participants
RADIOIMMUNOTHERAPY: Patients receive yttrium Y 90 ibritumomab tiuxetan IV following rituximab IV on day -14. HIGH-DOSE COMBINATION CHEMOTHERAPY: Patients receive carmustine IV on days -7 and -6; etoposide IV over 1 hour twice daily and cytarabine IV over 2 hours twice daily on days -5 to -2; and melphalan IV on day -1. STEM CELL TRANSPLANTATION: Patients undergo autologous peripheral blood stem cell transplant on day 0. Patients also receive rituximab on day 8\*. NOTE: \* Some patients may also receive rituximab on day -1. Treatment continues in the absence of disease progression or unacceptable toxicity. rituximab: Given IV carmustine: Given IV cytarabine: Given IV etoposide: Given IV melphalan: Given IV ASCT: Undergo autologous peripheral blood stem cell transplant yttrium Y 90 ibritumomab tiuxetan: Given IV
Number of Patients With Grade 3-4 Bearman Toxicities.
Gastrointestinal Toxicity
1 Participants
Number of Patients With Grade 3-4 Bearman Toxicities.
Pulmonary Toxicity
1 Participants
Number of Patients With Grade 3-4 Bearman Toxicities.
No Grade 3-4 Toxicity
120 Participants

SECONDARY outcome

Timeframe: From peripheral stem cell infusion (Day0 ASCT) to death due to any couse, assessed up to 5 years

Population: 6 patients did not receive full treatment so are excluded from the result analysis.

The cumulative incidence was estimated after taking into account the competing risk of relapse post-ASCT.

Outcome measures

Outcome measures
Measure
Treatment (RIT, ZBEAM, ASCT)
n=116 Participants
RADIOIMMUNOTHERAPY: Patients receive yttrium Y 90 ibritumomab tiuxetan IV following rituximab IV on day -14. HIGH-DOSE COMBINATION CHEMOTHERAPY: Patients receive carmustine IV on days -7 and -6; etoposide IV over 1 hour twice daily and cytarabine IV over 2 hours twice daily on days -5 to -2; and melphalan IV on day -1. STEM CELL TRANSPLANTATION: Patients undergo autologous peripheral blood stem cell transplant on day 0. Patients also receive rituximab on day 8\*. NOTE: \* Some patients may also receive rituximab on day -1. Treatment continues in the absence of disease progression or unacceptable toxicity. rituximab: Given IV carmustine: Given IV cytarabine: Given IV etoposide: Given IV melphalan: Given IV ASCT: Undergo autologous peripheral blood stem cell transplant yttrium Y 90 ibritumomab tiuxetan: Given IV
100-Day Treatment-Related Mortality
0.9 Percentage of Participants (%)
Interval 0.1 to 6.1

SECONDARY outcome

Timeframe: From peripheral stem cell infusion (Day0 ASCT) till the first of 3 consecutive days of an absolute neutrophil count ≥ 500/µL.)

Population: 6 patients did not receive full treatment so are excluded from the result analysis.

Neutrophil recovery was defined as the first of 3 consecutive days of an absolute neutrophil count ≥ 500/µL.

Outcome measures

Outcome measures
Measure
Treatment (RIT, ZBEAM, ASCT)
n=116 Participants
RADIOIMMUNOTHERAPY: Patients receive yttrium Y 90 ibritumomab tiuxetan IV following rituximab IV on day -14. HIGH-DOSE COMBINATION CHEMOTHERAPY: Patients receive carmustine IV on days -7 and -6; etoposide IV over 1 hour twice daily and cytarabine IV over 2 hours twice daily on days -5 to -2; and melphalan IV on day -1. STEM CELL TRANSPLANTATION: Patients undergo autologous peripheral blood stem cell transplant on day 0. Patients also receive rituximab on day 8\*. NOTE: \* Some patients may also receive rituximab on day -1. Treatment continues in the absence of disease progression or unacceptable toxicity. rituximab: Given IV carmustine: Given IV cytarabine: Given IV etoposide: Given IV melphalan: Given IV ASCT: Undergo autologous peripheral blood stem cell transplant yttrium Y 90 ibritumomab tiuxetan: Given IV
Time to Neutrophil Recovery
10 Days
Interval 9.0 to 13.0

SECONDARY outcome

Timeframe: From peripheral stem cell infusion (Day0 ASCT) till the first of 7 consecutive days with a platelet count ≥ 20,000/µL with no transfusions

Population: 6 patients did not receive full treatment so are excluded from the result analysis.

Platelet recovery was defined as the first of 7 consecutive days with a platelet count ≥ 20,000/µL with no transfusions.

Outcome measures

Outcome measures
Measure
Treatment (RIT, ZBEAM, ASCT)
n=116 Participants
RADIOIMMUNOTHERAPY: Patients receive yttrium Y 90 ibritumomab tiuxetan IV following rituximab IV on day -14. HIGH-DOSE COMBINATION CHEMOTHERAPY: Patients receive carmustine IV on days -7 and -6; etoposide IV over 1 hour twice daily and cytarabine IV over 2 hours twice daily on days -5 to -2; and melphalan IV on day -1. STEM CELL TRANSPLANTATION: Patients undergo autologous peripheral blood stem cell transplant on day 0. Patients also receive rituximab on day 8\*. NOTE: \* Some patients may also receive rituximab on day -1. Treatment continues in the absence of disease progression or unacceptable toxicity. rituximab: Given IV carmustine: Given IV cytarabine: Given IV etoposide: Given IV melphalan: Given IV ASCT: Undergo autologous peripheral blood stem cell transplant yttrium Y 90 ibritumomab tiuxetan: Given IV
Time to Platelet Recovery
12 Days
Interval 8.0 to 86.0

SECONDARY outcome

Timeframe: From peripheral stem cell infusion (Day0 ASCT) to onset of therapy induced MDS/AML, assessed up to 5 years

Population: 6 patients did not receive full treatment so are excluded from the result analysis.

Patient receiving the full treatment of RIT/ZBEAM developed therapy induced MDS or AML.

Outcome measures

Outcome measures
Measure
Treatment (RIT, ZBEAM, ASCT)
n=116 Participants
RADIOIMMUNOTHERAPY: Patients receive yttrium Y 90 ibritumomab tiuxetan IV following rituximab IV on day -14. HIGH-DOSE COMBINATION CHEMOTHERAPY: Patients receive carmustine IV on days -7 and -6; etoposide IV over 1 hour twice daily and cytarabine IV over 2 hours twice daily on days -5 to -2; and melphalan IV on day -1. STEM CELL TRANSPLANTATION: Patients undergo autologous peripheral blood stem cell transplant on day 0. Patients also receive rituximab on day 8\*. NOTE: \* Some patients may also receive rituximab on day -1. Treatment continues in the absence of disease progression or unacceptable toxicity. rituximab: Given IV carmustine: Given IV cytarabine: Given IV etoposide: Given IV melphalan: Given IV ASCT: Undergo autologous peripheral blood stem cell transplant yttrium Y 90 ibritumomab tiuxetan: Given IV
Number of Patients With RIT/ZBEAM Developing Therapy Induced MDS and AML
0 Participants

Adverse Events

Treatment (RIT, ZBEAM, ASCT)

Serious events: 2 serious events
Other events: 121 other events
Deaths: 25 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (RIT, ZBEAM, ASCT)
n=122 participants at risk
RADIOIMMUNOTHERAPY: Patients receive yttrium Y 90 ibritumomab tiuxetan IV following rituximab IV on day -14. HIGH-DOSE COMBINATION CHEMOTHERAPY: Patients receive carmustine IV on days -7 and -6; etoposide IV over 1 hour twice daily and cytarabine IV over 2 hours twice daily on days -5 to -2; and melphalan IV on day -1. STEM CELL TRANSPLANTATION: Patients undergo autologous peripheral blood stem cell transplant on day 0. Patients also receive rituximab on day 8\*. NOTE: \* Some patients may also receive rituximab on day -1. Treatment continues in the absence of disease progression or unacceptable toxicity. rituximab: Given IV carmustine: Given IV cytarabine: Given IV etoposide: Given IV melphalan: Given IV ASCT: Undergo autologous peripheral blood stem cell transplant yttrium Y 90 ibritumomab tiuxetan: Given IV
Respiratory, thoracic and mediastinal disorders
Pneumonitis/pulmonary infiltrates
0.82%
1/122 • Number of events 1 • Up to 5 years
Nervous system disorders
Secondary Malignancy
0.82%
1/122 • Number of events 1 • Up to 5 years

Other adverse events

Other adverse events
Measure
Treatment (RIT, ZBEAM, ASCT)
n=122 participants at risk
RADIOIMMUNOTHERAPY: Patients receive yttrium Y 90 ibritumomab tiuxetan IV following rituximab IV on day -14. HIGH-DOSE COMBINATION CHEMOTHERAPY: Patients receive carmustine IV on days -7 and -6; etoposide IV over 1 hour twice daily and cytarabine IV over 2 hours twice daily on days -5 to -2; and melphalan IV on day -1. STEM CELL TRANSPLANTATION: Patients undergo autologous peripheral blood stem cell transplant on day 0. Patients also receive rituximab on day 8\*. NOTE: \* Some patients may also receive rituximab on day -1. Treatment continues in the absence of disease progression or unacceptable toxicity. rituximab: Given IV carmustine: Given IV cytarabine: Given IV etoposide: Given IV melphalan: Given IV ASCT: Undergo autologous peripheral blood stem cell transplant yttrium Y 90 ibritumomab tiuxetan: Given IV
Blood and lymphatic system disorders
Blood/Bone Marrow - Other (Specify, __)
1.7%
2/121 • Number of events 2 • Up to 5 years
Blood and lymphatic system disorders
Bone marrow cellularity
9.1%
11/121 • Number of events 11 • Up to 5 years
Blood and lymphatic system disorders
Hemoglobin
98.3%
119/121 • Number of events 119 • Up to 5 years
Blood and lymphatic system disorders
Leukocytes (total WBC)
96.7%
117/121 • Number of events 130 • Up to 5 years
Blood and lymphatic system disorders
Lymphopenia
97.5%
118/121 • Number of events 129 • Up to 5 years
Blood and lymphatic system disorders
Myelodysplasia
0.83%
1/121 • Number of events 1 • Up to 5 years
Blood and lymphatic system disorders
Neutrophils/granulocytes (ANC/AGC)
95.0%
115/121 • Number of events 154 • Up to 5 years
Blood and lymphatic system disorders
Phlebitis (including superficial thrombosis)
0.83%
1/121 • Number of events 1 • Up to 5 years
Blood and lymphatic system disorders
Platelets
95.0%
115/121 • Number of events 121 • Up to 5 years
Blood and lymphatic system disorders
Thrombosis/embolism (vascular access-related)
0.83%
1/121 • Number of events 1 • Up to 5 years
Blood and lymphatic system disorders
Thrombosis/thrombus/embolism
1.7%
2/121 • Number of events 4 • Up to 5 years
Blood and lymphatic system disorders
INR (International Normalized Ratio of prothrombin time)
1.7%
2/121 • Number of events 2 • Up to 5 years
Blood and lymphatic system disorders
PTT (Partial Thromboplastin Time)
3.3%
4/121 • Number of events 4 • Up to 5 years
Cardiac disorders
Cardiac Arrhythmia - Other (Specify, __)
2.5%
3/121 • Number of events 3 • Up to 5 years
Cardiac disorders
Cardiac General - Other (Specify, __)
10.7%
13/121 • Number of events 17 • Up to 5 years
Cardiac disorders
Conduction abnormality/atrioventricular heart block
1.7%
2/121 • Number of events 2 • Up to 5 years
Cardiac disorders
Hypertension
29.8%
36/121 • Number of events 43 • Up to 5 years
Cardiac disorders
Hypotension
38.8%
47/121 • Number of events 47 • Up to 5 years
Cardiac disorders
Left ventricular diastolic dysfunction
0.83%
1/121 • Number of events 1 • Up to 5 years
Cardiac disorders
Left ventricular systolic dysfunction
14.9%
18/121 • Number of events 18 • Up to 5 years
Cardiac disorders
Palpitations
2.5%
3/121 • Number of events 3 • Up to 5 years
Cardiac disorders
Pericardial effusion (non-malignant)
4.1%
5/121 • Number of events 5 • Up to 5 years
Cardiac disorders
Prolonged QTc interval
15.7%
19/121 • Number of events 19 • Up to 5 years
Cardiac disorders
Pulmonary hypertension
0.83%
1/121 • Number of events 1 • Up to 5 years
Cardiac disorders
Right ventricular dysfunction (cor pulmonale)
0.83%
1/121 • Number of events 1 • Up to 5 years
Cardiac disorders
Supraventricular and nodal arrhythmia
36.4%
44/121 • Number of events 56 • Up to 5 years
Cardiac disorders
Valvular heart disease
3.3%
4/121 • Number of events 4 • Up to 5 years
Cardiac disorders
Ventricular arrhythmia
1.7%
2/121 • Number of events 2 • Up to 5 years
Ear and labyrinth disorders
Auditory/Ear - Other (Specify, __)
3.3%
4/121 • Number of events 4 • Up to 5 years
Ear and labyrinth disorders
Hearing: patients without baseline audiogram and not enrolled in a monitoring program
5.8%
7/121 • Number of events 10 • Up to 5 years
Ear and labyrinth disorders
Tinnitus
6.6%
8/121 • Number of events 8 • Up to 5 years
Endocrine disorders
Endocrine - Other (Specify, __)
0.83%
1/121 • Number of events 1 • Up to 5 years
Endocrine disorders
Hot flashes/flushes
1.7%
2/121 • Number of events 2 • Up to 5 years
Eye disorders
Dry eye syndrome
4.1%
5/121 • Number of events 5 • Up to 5 years
Eye disorders
Glaucoma
1.7%
2/121 • Number of events 2 • Up to 5 years
Eye disorders
Nystagmus
2.5%
3/121 • Number of events 3 • Up to 5 years
Eye disorders
Ocular surface disease
2.5%
3/121 • Number of events 3 • Up to 5 years
Eye disorders
Ocular/Visual - Other (Specify, __)
5.0%
6/121 • Number of events 8 • Up to 5 years
Eye disorders
Retinal detachment
0.83%
1/121 • Number of events 1 • Up to 5 years
Eye disorders
Vision-blurred vision
5.8%
7/121 • Number of events 7 • Up to 5 years
Eye disorders
Vision-flashing lights/floaters
1.7%
2/121 • Number of events 2 • Up to 5 years
Eye disorders
Watery eye (epiphora, tearing)
2.5%
3/121 • Number of events 3 • Up to 5 years
Gastrointestinal disorders
Anorexia
82.6%
100/121 • Number of events 100 • Up to 5 years
Gastrointestinal disorders
Colitis
6.6%
8/121 • Number of events 8 • Up to 5 years
Gastrointestinal disorders
Constipation
56.2%
68/121 • Number of events 69 • Up to 5 years
Gastrointestinal disorders
Dehydration
6.6%
8/121 • Number of events 8 • Up to 5 years
Gastrointestinal disorders
Diarrhea
91.7%
111/121 • Number of events 112 • Up to 5 years
Gastrointestinal disorders
Distension/bloating, abdominal
25.6%
31/121 • Number of events 31 • Up to 5 years
Gastrointestinal disorders
Dry mouth/salivary gland (xerostomia)
39.7%
48/121 • Number of events 48 • Up to 5 years
Gastrointestinal disorders
Dysphagia (difficulty swallowing)
13.2%
16/121 • Number of events 16 • Up to 5 years
Gastrointestinal disorders
Esophagitis
5.8%
7/121 • Number of events 7 • Up to 5 years
Gastrointestinal disorders
Fistula, GI
0.83%
1/121 • Number of events 1 • Up to 5 years
Gastrointestinal disorders
Flatulence
5.0%
6/121 • Number of events 6 • Up to 5 years
Gastrointestinal disorders
Gastritis (including bile reflux gastritis)
0.83%
1/121 • Number of events 1 • Up to 5 years
Gastrointestinal disorders
Gastrointestinal - Other (Specify, __)
6.6%
8/121 • Number of events 9 • Up to 5 years
Gastrointestinal disorders
Heartburn/dyspepsia
30.6%
37/121 • Number of events 37 • Up to 5 years
Gastrointestinal disorders
Hemorrhoids
14.9%
18/121 • Number of events 18 • Up to 5 years
Gastrointestinal disorders
Ileus, GI (functional obstruction of bowel, i.e., neuroconstipation)
1.7%
2/121 • Number of events 2 • Up to 5 years
Gastrointestinal disorders
Incontinence, anal
0.83%
1/121 • Number of events 1 • Up to 5 years
Gastrointestinal disorders
Mucositis/stomatitis (clinical exam)
83.5%
101/121 • Number of events 152 • Up to 5 years
Gastrointestinal disorders
Mucositis/stomatitis (functional/symptomatic)
81.0%
98/121 • Number of events 151 • Up to 5 years
Gastrointestinal disorders
Nausea
93.4%
113/121 • Number of events 114 • Up to 5 years
Gastrointestinal disorders
Obstruction, GI
0.83%
1/121 • Number of events 1 • Up to 5 years
Gastrointestinal disorders
Proctitis
0.83%
1/121 • Number of events 1 • Up to 5 years
Gastrointestinal disorders
Salivary gland changes/saliva
9.1%
11/121 • Number of events 11 • Up to 5 years
Gastrointestinal disorders
Stricture/stenosis (including anastomotic), GI
0.83%
1/121 • Number of events 1 • Up to 5 years
Gastrointestinal disorders
Taste alteration (dysgeusia)
30.6%
37/121 • Number of events 37 • Up to 5 years
Gastrointestinal disorders
Vomiting
77.7%
94/121 • Number of events 96 • Up to 5 years
General disorders
Fatigue (asthenia, lethargy, malaise)
97.5%
118/121 • Number of events 120 • Up to 5 years
General disorders
Fever (in the absence of neutropenia, where neutropenia is defined as ANC <1.0 x 10e9/L)
26.4%
32/121 • Number of events 32 • Up to 5 years
General disorders
Insomnia
59.5%
72/121 • Number of events 72 • Up to 5 years
General disorders
Pain
95.9%
116/121 • Number of events 646 • Up to 5 years
General disorders
Pain - Other (Specify, __)
28.1%
34/121 • Number of events 42 • Up to 5 years
General disorders
Rigors/chills
40.5%
49/121 • Number of events 49 • Up to 5 years
General disorders
Sweating (diaphoresis)
16.5%
20/121 • Number of events 20 • Up to 5 years
General disorders
Weight gain
28.1%
34/121 • Number of events 34 • Up to 5 years
General disorders
Weight loss
50.4%
61/121 • Number of events 61 • Up to 5 years
Blood and lymphatic system disorders
Hematoma
2.5%
3/121 • Number of events 3 • Up to 5 years
Blood and lymphatic system disorders
Hemorrhage, GI
27.3%
33/121 • Number of events 35 • Up to 5 years
Blood and lymphatic system disorders
Hemorrhage, GU
19.8%
24/121 • Number of events 26 • Up to 5 years
Blood and lymphatic system disorders
Hemorrhage, pulmonary/upper respiratory
19.0%
23/121 • Number of events 24 • Up to 5 years
Blood and lymphatic system disorders
Hemorrhage/Bleeding - Other (Specify, __)
1.7%
2/121 • Number of events 2 • Up to 5 years
Blood and lymphatic system disorders
Petechiae/purpura (hemorrhage/bleeding into skin or mucosa)
29.8%
36/121 • Number of events 36 • Up to 5 years
Immune system disorders
Allergic reaction/hypersensitivity (including drug fever)
3.3%
4/121 • Number of events 4 • Up to 5 years
Immune system disorders
Allergic rhinitis (including sneezing, nasal stuffiness, postnasal drip)
5.0%
6/121 • Number of events 6 • Up to 5 years
Immune system disorders
Allergy/Immunology - Other (Specify, __)
0.83%
1/121 • Number of events 1 • Up to 5 years
Infections and infestations
Colitis, infectious (e.g., Clostridium difficile)
6.6%
8/121 • Number of events 8 • Up to 5 years
Infections and infestations
Febrile neutropenia
32.2%
39/121 • Number of events 40 • Up to 5 years
Infections and infestations
Infection with Grade 3 or 4 neutrophils
23.1%
28/121 • Number of events 32 • Up to 5 years
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils
38.8%
47/121 • Number of events 60 • Up to 5 years
Infections and infestations
Infection with unknown ANC
10.7%
13/121 • Number of events 15 • Up to 5 years
General disorders
Edema:head and neck
10.7%
13/121 • Number of events 13 • Up to 5 years
General disorders
Edema:limb
43.0%
52/121 • Number of events 52 • Up to 5 years
Metabolism and nutrition disorders
ALT, SGPT (serum glutamic pyruvic transaminase)
49.6%
60/121 • Number of events 60 • Up to 5 years
Metabolism and nutrition disorders
AST, SGOT(serum glutamic oxaloacetic transaminase)
58.7%
71/121 • Number of events 71 • Up to 5 years
Metabolism and nutrition disorders
Acidosis (metabolic or respiratory)
1.7%
2/121 • Number of events 2 • Up to 5 years
Metabolism and nutrition disorders
Albumin, serum-low (hypoalbuminemia)
87.6%
106/121 • Number of events 106 • Up to 5 years
Metabolism and nutrition disorders
Alkaline phosphatase
33.9%
41/121 • Number of events 41 • Up to 5 years
Metabolism and nutrition disorders
Alkalosis (metabolic or respiratory)
0.83%
1/121 • Number of events 1 • Up to 5 years
Metabolism and nutrition disorders
Amylase
0.83%
1/121 • Number of events 1 • Up to 5 years
Metabolism and nutrition disorders
Bicarbonate, serum-low
19.0%
23/121 • Number of events 23 • Up to 5 years
Metabolism and nutrition disorders
Bilirubin (hyperbilirubinemia)
9.9%
12/121 • Number of events 13 • Up to 5 years
Metabolism and nutrition disorders
Calcium, serum-high (hypercalcemia)
4.1%
5/121 • Number of events 5 • Up to 5 years
Metabolism and nutrition disorders
Calcium, serum-low (hypocalcemia)
76.0%
92/121 • Number of events 92 • Up to 5 years
Metabolism and nutrition disorders
Cholesterol, serum-high (hypercholesteremia)
35.5%
43/121 • Number of events 43 • Up to 5 years
Metabolism and nutrition disorders
Creatinine
11.6%
14/121 • Number of events 14 • Up to 5 years
Metabolism and nutrition disorders
Glucose, serum-high (hyperglycemia)
57.9%
70/121 • Number of events 78 • Up to 5 years
Metabolism and nutrition disorders
Glucose, serum-low (hypoglycemia)
39.7%
48/121 • Number of events 48 • Up to 5 years
Metabolism and nutrition disorders
Magnesium, serum-high (hypermagnesemia)
6.6%
8/121 • Number of events 8 • Up to 5 years
Metabolism and nutrition disorders
Magnesium, serum-low (hypomagnesemia)
29.8%
36/121 • Number of events 36 • Up to 5 years
Metabolism and nutrition disorders
Metabolic/Laboratory - Other (Specify, __)
0.83%
1/121 • Number of events 1 • Up to 5 years
Metabolism and nutrition disorders
Phosphate, serum-low (hypophosphatemia)
38.8%
47/121 • Number of events 49 • Up to 5 years
Metabolism and nutrition disorders
Potassium, serum-high (hyperkalemia)
4.1%
5/121 • Number of events 5 • Up to 5 years
Metabolism and nutrition disorders
Potassium, serum-low (hypokalemia)
67.8%
82/121 • Number of events 84 • Up to 5 years
Metabolism and nutrition disorders
Proteinuria
1.7%
2/121 • Number of events 2 • Up to 5 years
Metabolism and nutrition disorders
Sodium, serum-high (hypernatremia)
4.1%
5/121 • Number of events 5 • Up to 5 years
Metabolism and nutrition disorders
Sodium, serum-low (hyponatremia)
85.1%
103/121 • Number of events 103 • Up to 5 years
Metabolism and nutrition disorders
Triglyceride, serum-high (hypertriglyceridemia)
28.1%
34/121 • Number of events 34 • Up to 5 years
Metabolism and nutrition disorders
Uric acid, serum-high (hyperuricemia)
5.8%
7/121 • Number of events 8 • Up to 5 years
Metabolism and nutrition disorders
Obesity
62.8%
76/121 • Number of events 190 • Up to 5 years
Musculoskeletal and connective tissue disorders
Arthritis (non-septic)
2.5%
3/121 • Number of events 3 • Up to 5 years
Musculoskeletal and connective tissue disorders
Extremity-lower (gait/walking)
1.7%
2/121 • Number of events 2 • Up to 5 years
Musculoskeletal and connective tissue disorders
Extremity-upper (function)
1.7%
2/121 • Number of events 2 • Up to 5 years
Musculoskeletal and connective tissue disorders
Joint-effusion
0.83%
1/121 • Number of events 1 • Up to 5 years
Musculoskeletal and connective tissue disorders
Joint-function
0.83%
1/121 • Number of events 1 • Up to 5 years
Musculoskeletal and connective tissue disorders
Muscle weakness, generalized or specific area (not due to neuropathy)
69.4%
84/121 • Number of events 123 • Up to 5 years
Musculoskeletal and connective tissue disorders
Musculoskeletal/Soft Tissue - Other (Specify, __)
2.5%
3/121 • Number of events 3 • Up to 5 years
Musculoskeletal and connective tissue disorders
Osteonecrosis (avascular necrosis)
0.83%
1/121 • Number of events 2 • Up to 5 years
Musculoskeletal and connective tissue disorders
Osteoporosis
1.7%
2/121 • Number of events 2 • Up to 5 years
Nervous system disorders
Arachnoiditis/meningismus/radiculitis
0.83%
1/121 • Number of events 1 • Up to 5 years
Nervous system disorders
Ataxia (incoordination)
1.7%
2/121 • Number of events 2 • Up to 5 years
Nervous system disorders
Cognitive disturbance
0.83%
1/121 • Number of events 1 • Up to 5 years
Nervous system disorders
Confusion
14.9%
18/121 • Number of events 18 • Up to 5 years
Nervous system disorders
Dizziness
54.5%
66/121 • Number of events 66 • Up to 5 years
Nervous system disorders
Encephalopathy
1.7%
2/121 • Number of events 2 • Up to 5 years
Nervous system disorders
Extrapyramidal/involuntary movement/restlessness
14.0%
17/121 • Number of events 17 • Up to 5 years
Nervous system disorders
Memory impairment
5.8%
7/121 • Number of events 7 • Up to 5 years
Nervous system disorders
Mood alteration
72.7%
88/121 • Number of events 137 • Up to 5 years
Nervous system disorders
Neurology - Other (Specify, __)
8.3%
10/121 • Number of events 10 • Up to 5 years
Nervous system disorders
Neuropathy: cranial
0.83%
1/121 • Number of events 1 • Up to 5 years
Nervous system disorders
Neuropathy: motor
5.8%
7/121 • Number of events 8 • Up to 5 years
Nervous system disorders
Neuropathy: sensory
34.7%
42/121 • Number of events 43 • Up to 5 years
Nervous system disorders
Psychosis (hallucinations/delusions)
9.9%
12/121 • Number of events 12 • Up to 5 years
Nervous system disorders
Seizure
1.7%
2/121 • Number of events 2 • Up to 5 years
Nervous system disorders
Somnolence/depressed level of consciousness
5.8%
7/121 • Number of events 8 • Up to 5 years
Nervous system disorders
Syncope (fainting)
2.5%
3/121 • Number of events 4 • Up to 5 years
Nervous system disorders
Tremor
5.0%
6/121 • Number of events 6 • Up to 5 years
Renal and urinary disorders
Cystitis
0.83%
1/121 • Number of events 1 • Up to 5 years
Renal and urinary disorders
Incontinence, urinary
2.5%
3/121 • Number of events 3 • Up to 5 years
Renal and urinary disorders
Renal failure
1.7%
2/121 • Number of events 2 • Up to 5 years
Renal and urinary disorders
Renal/Genitourinary - Other (Specify, __)
2.5%
3/121 • Number of events 3 • Up to 5 years
Renal and urinary disorders
Stricture/stenosis (including anastomotic), GU
0.83%
1/121 • Number of events 1 • Up to 5 years
Renal and urinary disorders
Urinary frequency/urgency
9.1%
11/121 • Number of events 11 • Up to 5 years
Renal and urinary disorders
Urinary retention (including neurogenic bladder)
0.83%
1/121 • Number of events 1 • Up to 5 years
Renal and urinary disorders
Urine color change
6.6%
8/121 • Number of events 8 • Up to 5 years
Reproductive system and breast disorders
Erectile dysfunction
2.5%
3/121 • Number of events 3 • Up to 5 years
Reproductive system and breast disorders
Irregular menses (change from baseline)
1.7%
2/121 • Number of events 2 • Up to 5 years
Reproductive system and breast disorders
Libido
1.7%
2/121 • Number of events 2 • Up to 5 years
Reproductive system and breast disorders
Sexual/Reproductive Function - Other (Specify, __)
0.83%
1/121 • Number of events 1 • Up to 5 years
Respiratory, thoracic and mediastinal disorders
Adult Respiratory Distress Syndrome (ARDS)
0.83%
1/121 • Number of events 1 • Up to 5 years
Respiratory, thoracic and mediastinal disorders
Atelectasis
14.0%
17/121 • Number of events 17 • Up to 5 years
Respiratory, thoracic and mediastinal disorders
Bronchospasm, wheezing
7.4%
9/121 • Number of events 9 • Up to 5 years
Respiratory, thoracic and mediastinal disorders
Carbon monoxide diffusion capacity (DL(co))
48.8%
59/121 • Number of events 61 • Up to 5 years
Respiratory, thoracic and mediastinal disorders
Cough
59.5%
72/121 • Number of events 73 • Up to 5 years
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
28.9%
35/121 • Number of events 35 • Up to 5 years
Respiratory, thoracic and mediastinal disorders
FEV(1)
20.7%
25/121 • Number of events 25 • Up to 5 years
Respiratory, thoracic and mediastinal disorders
Hiccoughs (hiccups, singultus)
7.4%
9/121 • Number of events 9 • Up to 5 years
Respiratory, thoracic and mediastinal disorders
Hypoxia
16.5%
20/121 • Number of events 20 • Up to 5 years
Respiratory, thoracic and mediastinal disorders
Nasal cavity/paranasal sinus reactions
0.83%
1/121 • Number of events 1 • Up to 5 years
Respiratory, thoracic and mediastinal disorders
Obstruction/stenosis of airway
0.83%
1/121 • Number of events 1 • Up to 5 years
Respiratory, thoracic and mediastinal disorders
Pleural effusion (non-malignant)
9.1%
11/121 • Number of events 11 • Up to 5 years
Respiratory, thoracic and mediastinal disorders
Pneumonitis/pulmonary infiltrates
17.4%
21/121 • Number of events 23 • Up to 5 years
Respiratory, thoracic and mediastinal disorders
Pulmonary fibrosis (radiographic changes)
0.83%
1/121 • Number of events 1 • Up to 5 years
Respiratory, thoracic and mediastinal disorders
Pulmonary/Upper Respiratory - Other (Specify, __)
44.6%
54/121 • Number of events 74 • Up to 5 years
Respiratory, thoracic and mediastinal disorders
Vital capacity
22.3%
27/121 • Number of events 27 • Up to 5 years
Respiratory, thoracic and mediastinal disorders
Voice changes/dysarthria (e.g., hoarseness, loss or alteration in voice, laryngitis)
9.1%
11/121 • Number of events 11 • Up to 5 years
Investigations
Secondary Malignancy - possibly related to cancer treatment (Specify, __)
5.0%
6/121 • Number of events 6 • Up to 5 years
Investigations
Syndromes - Other (Specify, __)
7.4%
9/121 • Number of events 9 • Up to 5 years
Skin and subcutaneous tissue disorders
Bruising (in absence of Grade 3 or 4 thrombocytopenia)
11.6%
14/121 • Number of events 14 • Up to 5 years
Skin and subcutaneous tissue disorders
Burn
0.83%
1/121 • Number of events 1 • Up to 5 years
Skin and subcutaneous tissue disorders
Dermatology/Skin - Other (Specify, __)
19.8%
24/121 • Number of events 27 • Up to 5 years
Skin and subcutaneous tissue disorders
Dry skin
24.0%
29/121 • Number of events 30 • Up to 5 years
Skin and subcutaneous tissue disorders
Flushing
28.9%
35/121 • Number of events 35 • Up to 5 years
Skin and subcutaneous tissue disorders
Hair loss/alopecia (scalp or body)
41.3%
50/121 • Number of events 50 • Up to 5 years
Skin and subcutaneous tissue disorders
Hyperpigmentation
17.4%
21/121 • Number of events 21 • Up to 5 years
Skin and subcutaneous tissue disorders
Induration/fibrosis (skin and subcutaneous tissue)
0.83%
1/121 • Number of events 1 • Up to 5 years
Skin and subcutaneous tissue disorders
Injection site reaction/extravasation changes
0.83%
1/121 • Number of events 1 • Up to 5 years
Skin and subcutaneous tissue disorders
Nail changes
0.83%
1/121 • Number of events 1 • Up to 5 years
Skin and subcutaneous tissue disorders
Pruritus/itching
38.0%
46/121 • Number of events 46 • Up to 5 years
Skin and subcutaneous tissue disorders
Rash/desquamation
69.4%
84/121 • Number of events 84 • Up to 5 years
Skin and subcutaneous tissue disorders
Rash: acne/acneiform
6.6%
8/121 • Number of events 8 • Up to 5 years
Skin and subcutaneous tissue disorders
Rash: dermatitis associated with radiation
2.5%
3/121 • Number of events 3 • Up to 5 years
Skin and subcutaneous tissue disorders
Rash: hand-foot skin reaction
0.83%
1/121 • Number of events 1 • Up to 5 years
Skin and subcutaneous tissue disorders
Skin breakdown/decubitus ulcer
0.83%
1/121 • Number of events 1 • Up to 5 years
Skin and subcutaneous tissue disorders
Urticaria (hives, welts, wheals)
5.0%
6/121 • Number of events 6 • Up to 5 years

Additional Information

Dr. Amrita Krishnan

City of Hope National Medical Center

Phone: 626-256-4673

Results disclosure agreements

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