Trial Outcomes & Findings for A Study of Nilotinib Versus Imatinib in GIST Patients (NCT NCT00785785)

NCT ID: NCT00785785

Last Updated: 2016-06-16

Results Overview

PFS was defined as the time from the date of start of treatment to the date of the first documented progression or death due to any cause. Progression is defined as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

644 participants

Primary outcome timeframe

up to month 37

Results posted on

2016-06-16

Participant Flow

Participant milestones

Participant milestones
Measure
Imatinib First, Then Nilotinib
patients were on imatinib 400mg once daily in the core phase and then crossed over to nilotinib 400 mg twice a day in the extension phase
Nilotinib First, Then Imatinib
patients were on nilotinib 400 mg twice a day in the core phase and then crossed over to in the extension phase imatinib 400mg once daily
Core Phase up to 36 Months
STARTED
324
320
Core Phase up to 36 Months
COMPLETED
0
0
Core Phase up to 36 Months
NOT COMPLETED
324
320
Optional Extension Phase
STARTED
39
125
Optional Extension Phase
COMPLETED
0
0
Optional Extension Phase
NOT COMPLETED
39
125

Reasons for withdrawal

Reasons for withdrawal
Measure
Imatinib First, Then Nilotinib
patients were on imatinib 400mg once daily in the core phase and then crossed over to nilotinib 400 mg twice a day in the extension phase
Nilotinib First, Then Imatinib
patients were on nilotinib 400 mg twice a day in the core phase and then crossed over to in the extension phase imatinib 400mg once daily
Core Phase up to 36 Months
Patients didn't receive 1st line therapy
3
4
Core Phase up to 36 Months
Adverse Event
31
21
Core Phase up to 36 Months
Abnormal laboratory value
1
0
Core Phase up to 36 Months
Abnormal test procedure result
2
2
Core Phase up to 36 Months
Withdrawal by Subject
16
17
Core Phase up to 36 Months
Lost to Follow-up
3
7
Core Phase up to 36 Months
Administrative problems
3
3
Core Phase up to 36 Months
Death
5
8
Core Phase up to 36 Months
Disease progression
139
119
Core Phase up to 36 Months
Protocol deviation
5
6
Core Phase up to 36 Months
Study terminated by sponsor
116
133
Optional Extension Phase
Adverse Event
4
5
Optional Extension Phase
Withdrawal by Subject
6
6
Optional Extension Phase
Lost to Follow-up
1
0
Optional Extension Phase
Administrative problems
2
0
Optional Extension Phase
Death
1
5
Optional Extension Phase
Disease progression
22
70
Optional Extension Phase
Protocol deviation
0
2
Optional Extension Phase
Study terminated by sponsor
3
37

Baseline Characteristics

A Study of Nilotinib Versus Imatinib in GIST Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Imatinib First, Then Nilotinib
n=324 Participants
patients were on imatinib 400mg once daily in the core phase and then crossed over to nilotinib 400 mg twice a day in the extension phase
Nilotinib First, Then Imatinib
n=320 Participants
patients were on nilotinib 400 mg twice a day in the core phase and then crossed over to in the extension phase imatinib 400mg once daily
Total
n=644 Participants
Total of all reporting groups
Age, Continuous
57.4 years
STANDARD_DEVIATION 12.91 • n=5 Participants
57.3 years
STANDARD_DEVIATION 12.63 • n=7 Participants
57.35 years
STANDARD_DEVIATION 12.77 • n=5 Participants
Sex: Female, Male
Female
145 Participants
n=5 Participants
133 Participants
n=7 Participants
278 Participants
n=5 Participants
Sex: Female, Male
Male
179 Participants
n=5 Participants
187 Participants
n=7 Participants
366 Participants
n=5 Participants

PRIMARY outcome

Timeframe: up to month 37

Population: Full Analysis Set (FAS) consists of all randomized patients for the Core Phase.

PFS was defined as the time from the date of start of treatment to the date of the first documented progression or death due to any cause. Progression is defined as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions

Outcome measures

Outcome measures
Measure
Nilotinib
n=324 Participants
nilotinib 400 mg twice a day
Imatinib
n=320 Participants
imatinib 400 mg once daily
Time to Progression Free Survival (PFS)
25.9 months
Interval 0.0 to 32.8
29.7 months
Interval 0.0 to 36.1

Adverse Events

Nilotinib

Serious events: 80 serious events
Other events: 291 other events
Deaths: 0 deaths

Imatinib

Serious events: 85 serious events
Other events: 289 other events
Deaths: 0 deaths

Crossover Nilotinib

Serious events: 15 serious events
Other events: 28 other events
Deaths: 0 deaths

Crossover Imatinib

Serious events: 26 serious events
Other events: 89 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Nilotinib
n=321 participants at risk
Exposure to Nilotinib only
Imatinib
n=316 participants at risk
Exposure to Imatinib only
Crossover Nilotinib
n=39 participants at risk
exposure to imatinib and then nilotinib
Crossover Imatinib
n=125 participants at risk
exposure to nilotinib and then imatinib
Blood and lymphatic system disorders
Anaemia
1.9%
6/321
0.95%
3/316
5.1%
2/39
2.4%
3/125
Blood and lymphatic system disorders
Febrile neutropenia
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Blood and lymphatic system disorders
Neutropenia
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Blood and lymphatic system disorders
Thrombocytopenia
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Cardiac disorders
Acute myocardial infarction
0.62%
2/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Cardiac disorders
Angina pectoris
0.62%
2/321
0.00%
0/316
0.00%
0/39
0.80%
1/125
Cardiac disorders
Angina unstable
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Cardiac disorders
Arrhythmia
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Cardiac disorders
Atrial fibrillation
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Cardiac disorders
Cardiac arrest
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Cardiac disorders
Cardiac failure
0.00%
0/321
0.00%
0/316
0.00%
0/39
0.80%
1/125
Cardiac disorders
Cardiac failure congestive
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Cardiac disorders
Cardio-respiratory arrest
0.00%
0/321
0.63%
2/316
0.00%
0/39
0.00%
0/125
Cardiac disorders
Mitral valve stenosis
0.00%
0/321
0.00%
0/316
0.00%
0/39
0.80%
1/125
Cardiac disorders
Myocardial infarction
0.31%
1/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Cardiac disorders
Palpitations
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Cardiac disorders
Pericardial effusion
0.62%
2/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Cardiac disorders
Supraventricular tachycardia
0.00%
0/321
0.63%
2/316
0.00%
0/39
0.00%
0/125
Congenital, familial and genetic disorders
Dermoid cyst
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Abdominal distension
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.80%
1/125
Gastrointestinal disorders
Abdominal hernia
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Abdominal mass
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Abdominal pain
4.7%
15/321
3.8%
12/316
10.3%
4/39
2.4%
3/125
Gastrointestinal disorders
Abdominal pain upper
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Anal fissure
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Anal fistula
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Ascites
0.62%
2/321
0.32%
1/316
0.00%
0/39
1.6%
2/125
Gastrointestinal disorders
Colonic fistula
0.00%
0/321
0.00%
0/316
2.6%
1/39
0.00%
0/125
Gastrointestinal disorders
Constipation
0.93%
3/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Diarrhoea
0.31%
1/321
1.3%
4/316
0.00%
0/39
1.6%
2/125
Gastrointestinal disorders
Faecaloma
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.80%
1/125
Gastrointestinal disorders
Gastric ulcer
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Gastric ulcer haemorrhage
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Gastritis
0.62%
2/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Gastritis haemorrhagic
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Gastrointestinal haemorrhage
1.6%
5/321
1.6%
5/316
2.6%
1/39
0.00%
0/125
Gastrointestinal disorders
Gastrointestinal obstruction
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Gastrooesophageal reflux disease
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Haematemesis
0.31%
1/321
0.63%
2/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Haematochezia
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Haemorrhoids
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Ileus
0.62%
2/321
0.63%
2/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Intestinal obstruction
1.2%
4/321
0.63%
2/316
2.6%
1/39
2.4%
3/125
Gastrointestinal disorders
Intestinal perforation
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Intra-abdominal haemorrhage
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Jejunal perforation
0.00%
0/321
0.63%
2/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Large intestinal stenosis
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Mechanical ileus
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Nausea
0.62%
2/321
0.63%
2/316
0.00%
0/39
0.80%
1/125
Gastrointestinal disorders
Peptic ulcer
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Small intestinal haemorrhage
0.00%
0/321
0.00%
0/316
2.6%
1/39
0.00%
0/125
Gastrointestinal disorders
Subileus
0.62%
2/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
0.31%
1/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Gastrointestinal disorders
Vomiting
1.6%
5/321
0.95%
3/316
2.6%
1/39
3.2%
4/125
General disorders
Asthenia
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
General disorders
Death
0.00%
0/321
0.00%
0/316
0.00%
0/39
0.80%
1/125
General disorders
Disease progression
0.00%
0/321
0.00%
0/316
2.6%
1/39
0.80%
1/125
General disorders
Face oedema
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
General disorders
Fatigue
0.00%
0/321
0.63%
2/316
0.00%
0/39
0.80%
1/125
General disorders
General physical health deterioration
0.00%
0/321
0.00%
0/316
0.00%
0/39
0.80%
1/125
General disorders
Generalised oedema
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
General disorders
Multi-organ failure
0.31%
1/321
0.32%
1/316
0.00%
0/39
0.80%
1/125
General disorders
Oedema mucosal
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
General disorders
Oedema peripheral
0.31%
1/321
0.95%
3/316
2.6%
1/39
0.00%
0/125
General disorders
Pain
0.00%
0/321
0.00%
0/316
5.1%
2/39
0.80%
1/125
General disorders
Performance status decreased
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.80%
1/125
General disorders
Pyrexia
0.62%
2/321
1.9%
6/316
0.00%
0/39
2.4%
3/125
Hepatobiliary disorders
Bile duct obstruction
0.31%
1/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Hepatobiliary disorders
Cholangitis
0.62%
2/321
0.63%
2/316
0.00%
0/39
0.00%
0/125
Hepatobiliary disorders
Hepatic failure
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Hepatobiliary disorders
Hepatic function abnormal
0.31%
1/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Hepatobiliary disorders
Hepatic pain
0.00%
0/321
0.00%
0/316
2.6%
1/39
0.00%
0/125
Hepatobiliary disorders
Hyperbilirubinaemia
0.00%
0/321
0.00%
0/316
0.00%
0/39
0.80%
1/125
Hepatobiliary disorders
Jaundice
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Hepatobiliary disorders
Jaundice cholestatic
0.31%
1/321
0.63%
2/316
0.00%
0/39
0.00%
0/125
Hepatobiliary disorders
Portal hypertension
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Immune system disorders
Hypersensitivity
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Infections and infestations
Abdominal infection
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.80%
1/125
Infections and infestations
Abdominal wall abscess
0.00%
0/321
0.00%
0/316
0.00%
0/39
0.80%
1/125
Infections and infestations
Appendicitis
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Infections and infestations
Bacterial sepsis
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Infections and infestations
Bronchitis
0.00%
0/321
0.32%
1/316
2.6%
1/39
0.00%
0/125
Infections and infestations
Cellulitis
0.31%
1/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Infections and infestations
Ear infection
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Infections and infestations
Eye infection
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Infections and infestations
Gastroenteritis
0.62%
2/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Infections and infestations
Helicobacter gastritis
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Infections and infestations
Infection
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Infections and infestations
Infectious pleural effusion
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Infections and infestations
Lung infection
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Infections and infestations
Periodontitis
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Infections and infestations
Peritonitis
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Infections and infestations
Pneumonia
0.93%
3/321
1.3%
4/316
2.6%
1/39
0.80%
1/125
Infections and infestations
Post procedural infection
0.00%
0/321
0.63%
2/316
0.00%
0/39
0.00%
0/125
Infections and infestations
Postoperative wound infection
0.00%
0/321
0.00%
0/316
2.6%
1/39
0.00%
0/125
Infections and infestations
Respiratory tract infection
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Infections and infestations
Sepsis
0.62%
2/321
0.63%
2/316
0.00%
0/39
0.00%
0/125
Infections and infestations
Septic shock
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Infections and infestations
Upper respiratory tract infection
0.31%
1/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Infections and infestations
Urinary tract infection
1.2%
4/321
0.63%
2/316
0.00%
0/39
0.00%
0/125
Infections and infestations
Viral infection
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Injury, poisoning and procedural complications
Accidental overdose
0.00%
0/321
0.00%
0/316
0.00%
0/39
0.80%
1/125
Injury, poisoning and procedural complications
Fall
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Injury, poisoning and procedural complications
Femur fracture
0.00%
0/321
0.00%
0/316
0.00%
0/39
0.80%
1/125
Injury, poisoning and procedural complications
Fracture
0.00%
0/321
0.63%
2/316
0.00%
0/39
0.00%
0/125
Injury, poisoning and procedural complications
Multiple fractures
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Injury, poisoning and procedural complications
Overdose
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Injury, poisoning and procedural complications
Post procedural bile leak
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Injury, poisoning and procedural complications
Procedural pain
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Injury, poisoning and procedural complications
Thermal burn
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Injury, poisoning and procedural complications
Transfusion reaction
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Investigations
Alanine aminotransferase increased
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Investigations
Aspartate aminotransferase increased
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Investigations
Bilirubin conjugated increased
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Investigations
Blood bilirubin increased
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Investigations
Blood creatinine increased
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Investigations
Blood potassium decreased
0.00%
0/321
0.00%
0/316
0.00%
0/39
0.80%
1/125
Investigations
Haemoglobin decreased
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Investigations
Lipase increased
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Investigations
Weight decreased
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Metabolism and nutrition disorders
Decreased appetite
1.2%
4/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Metabolism and nutrition disorders
Dehydration
0.00%
0/321
0.00%
0/316
0.00%
0/39
2.4%
3/125
Metabolism and nutrition disorders
Diabetes mellitus
0.62%
2/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Metabolism and nutrition disorders
Fluid overload
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Metabolism and nutrition disorders
Hypoglycaemia
0.93%
3/321
0.00%
0/316
0.00%
0/39
0.80%
1/125
Metabolism and nutrition disorders
Hypokalaemia
0.31%
1/321
0.95%
3/316
2.6%
1/39
0.00%
0/125
Metabolism and nutrition disorders
Hypomagnesaemia
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Metabolism and nutrition disorders
Hyponatraemia
0.00%
0/321
0.63%
2/316
0.00%
0/39
0.00%
0/125
Metabolism and nutrition disorders
Hypophosphataemia
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Metabolism and nutrition disorders
Hypovolaemia
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Musculoskeletal and connective tissue disorders
Back pain
0.93%
3/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Musculoskeletal and connective tissue disorders
Fibromyalgia
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Musculoskeletal and connective tissue disorders
Joint swelling
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Musculoskeletal and connective tissue disorders
Osteoporosis
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Musculoskeletal and connective tissue disorders
Tenosynovitis
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Adenoma benign
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bladder cancer
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric cancer
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastrointestinal stromal tumour
0.62%
2/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hepatic neoplasm
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hodgkin's disease
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Infected neoplasm
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lip and/or oral cavity cancer
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm malignant
0.31%
1/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to liver
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to peritoneum
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasm
0.00%
0/321
0.00%
0/316
0.00%
0/39
0.80%
1/125
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pancreatic carcinoma metastatic
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Small intestine carcinoma
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Thyroid cancer
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour haemorrhage
0.93%
3/321
0.63%
2/316
0.00%
0/39
0.00%
0/125
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour necrosis
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour pain
0.00%
0/321
0.00%
0/316
0.00%
0/39
0.80%
1/125
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour perforation
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Urinary tract neoplasm
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Altered state of consciousness
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Cerebral haemorrhage
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Cerebral infarction
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Cerebral ischaemia
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Cerebrovascular accident
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Cognitive disorder
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Complex partial seizures
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Convulsion
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Dizziness
0.00%
0/321
0.00%
0/316
5.1%
2/39
0.00%
0/125
Nervous system disorders
Epilepsy
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Haemorrhage intracranial
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Haemorrhagic stroke
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Headache
0.31%
1/321
0.63%
2/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Hemiparesis
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
IIIrd nerve paralysis
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Ischaemic stroke
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Loss of consciousness
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Migraine
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Myelitis transverse
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Peripheral motor neuropathy
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Peripheral sensory neuropathy
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Radiculopathy
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Sciatica
0.62%
2/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Status epilepticus
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Nervous system disorders
Syncope
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Psychiatric disorders
Confusional state
0.00%
0/321
0.63%
2/316
0.00%
0/39
0.00%
0/125
Psychiatric disorders
Mental status changes
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Renal and urinary disorders
Anuria
0.00%
0/321
0.00%
0/316
0.00%
0/39
0.80%
1/125
Renal and urinary disorders
Haematuria
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Renal and urinary disorders
Pollakiuria
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Renal and urinary disorders
Renal failure
0.00%
0/321
0.00%
0/316
2.6%
1/39
0.80%
1/125
Renal and urinary disorders
Renal failure acute
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Renal and urinary disorders
Renal impairment
0.00%
0/321
0.00%
0/316
0.00%
0/39
0.80%
1/125
Renal and urinary disorders
Urinary tract obstruction
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Reproductive system and breast disorders
Scrotal oedema
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Respiratory, thoracic and mediastinal disorders
Atelectasis
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.62%
2/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Respiratory, thoracic and mediastinal disorders
Cough
0.31%
1/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.62%
2/321
0.32%
1/316
2.6%
1/39
0.00%
0/125
Respiratory, thoracic and mediastinal disorders
Interstitial lung disease
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Respiratory, thoracic and mediastinal disorders
Laryngeal oedema
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.80%
1/125
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Respiratory, thoracic and mediastinal disorders
Pulmonary fibrosis
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Respiratory, thoracic and mediastinal disorders
Pulmonary infarction
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Respiratory, thoracic and mediastinal disorders
Pulmonary oedema
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.62%
2/321
0.00%
0/316
0.00%
0/39
0.80%
1/125
Respiratory, thoracic and mediastinal disorders
Respiratory tract haemorrhage
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Respiratory, thoracic and mediastinal disorders
Upper respiratory tract congestion
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Skin and subcutaneous tissue disorders
Dermatitis
0.00%
0/321
0.00%
0/316
0.00%
0/39
0.80%
1/125
Skin and subcutaneous tissue disorders
Erythema multiforme
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Skin and subcutaneous tissue disorders
Exfoliative rash
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Skin and subcutaneous tissue disorders
Pityriasis rosea
0.00%
0/321
0.00%
0/316
0.00%
0/39
0.80%
1/125
Skin and subcutaneous tissue disorders
Rash
0.00%
0/321
0.32%
1/316
2.6%
1/39
0.00%
0/125
Skin and subcutaneous tissue disorders
Rash generalised
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Surgical and medical procedures
Cytoreductive surgery
0.00%
0/321
0.00%
0/316
2.6%
1/39
0.00%
0/125
Surgical and medical procedures
Gastrectomy
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Surgical and medical procedures
Tumour excision
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Vascular disorders
Deep vein thrombosis
0.31%
1/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Vascular disorders
Femoral artery occlusion
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Vascular disorders
Hypotension
0.31%
1/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Vascular disorders
Peripheral arterial occlusive disease
0.62%
2/321
0.00%
0/316
0.00%
0/39
0.00%
0/125
Vascular disorders
Thrombosis
0.00%
0/321
0.00%
0/316
2.6%
1/39
0.00%
0/125
Vascular disorders
Vena cava thrombosis
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125
Vascular disorders
Venous thrombosis limb
0.00%
0/321
0.32%
1/316
0.00%
0/39
0.00%
0/125

Other adverse events

Other adverse events
Measure
Nilotinib
n=321 participants at risk
Exposure to Nilotinib only
Imatinib
n=316 participants at risk
Exposure to Imatinib only
Crossover Nilotinib
n=39 participants at risk
exposure to imatinib and then nilotinib
Crossover Imatinib
n=125 participants at risk
exposure to nilotinib and then imatinib
Blood and lymphatic system disorders
Anaemia
11.8%
38/321
19.3%
61/316
17.9%
7/39
16.0%
20/125
Blood and lymphatic system disorders
Leukopenia
1.2%
4/321
11.1%
35/316
2.6%
1/39
8.0%
10/125
Blood and lymphatic system disorders
Neutropenia
1.2%
4/321
13.3%
42/316
2.6%
1/39
8.8%
11/125
Blood and lymphatic system disorders
Thrombocytopenia
0.62%
2/321
1.6%
5/316
5.1%
2/39
0.80%
1/125
Eye disorders
Eyelid oedema
1.6%
5/321
17.4%
55/316
0.00%
0/39
15.2%
19/125
Eye disorders
Lacrimation increased
0.93%
3/321
6.6%
21/316
0.00%
0/39
2.4%
3/125
Eye disorders
Periorbital oedema
0.62%
2/321
18.4%
58/316
0.00%
0/39
7.2%
9/125
Gastrointestinal disorders
Abdominal distension
5.3%
17/321
3.8%
12/316
2.6%
1/39
0.80%
1/125
Gastrointestinal disorders
Abdominal pain
19.6%
63/321
19.3%
61/316
15.4%
6/39
14.4%
18/125
Gastrointestinal disorders
Abdominal pain upper
11.8%
38/321
4.7%
15/316
2.6%
1/39
4.0%
5/125
Gastrointestinal disorders
Constipation
15.3%
49/321
7.6%
24/316
7.7%
3/39
2.4%
3/125
Gastrointestinal disorders
Diarrhoea
14.3%
46/321
33.5%
106/316
5.1%
2/39
13.6%
17/125
Gastrointestinal disorders
Nausea
22.7%
73/321
33.2%
105/316
30.8%
12/39
16.0%
20/125
Gastrointestinal disorders
Stomatitis
3.1%
10/321
4.4%
14/316
5.1%
2/39
0.80%
1/125
Gastrointestinal disorders
Vomiting
15.9%
51/321
20.6%
65/316
12.8%
5/39
8.0%
10/125
General disorders
Asthenia
8.4%
27/321
9.2%
29/316
0.00%
0/39
4.8%
6/125
General disorders
Face oedema
1.6%
5/321
13.6%
43/316
0.00%
0/39
10.4%
13/125
General disorders
Fatigue
20.6%
66/321
20.6%
65/316
17.9%
7/39
9.6%
12/125
General disorders
Oedema peripheral
9.0%
29/321
21.5%
68/316
5.1%
2/39
13.6%
17/125
General disorders
Pyrexia
7.2%
23/321
9.5%
30/316
7.7%
3/39
3.2%
4/125
Hepatobiliary disorders
Hyperbilirubinaemia
19.6%
63/321
3.5%
11/316
7.7%
3/39
2.4%
3/125
Infections and infestations
Nasopharyngitis
7.8%
25/321
6.0%
19/316
2.6%
1/39
0.80%
1/125
Infections and infestations
Upper respiratory tract infection
2.5%
8/321
5.4%
17/316
0.00%
0/39
0.80%
1/125
Investigations
Alanine aminotransferase increased
14.0%
45/321
5.7%
18/316
12.8%
5/39
2.4%
3/125
Investigations
Amylase increased
2.5%
8/321
4.1%
13/316
5.1%
2/39
1.6%
2/125
Investigations
Aspartate aminotransferase increased
7.2%
23/321
4.7%
15/316
5.1%
2/39
1.6%
2/125
Investigations
Blood alkaline phosphatase increased
2.2%
7/321
0.95%
3/316
7.7%
3/39
1.6%
2/125
Investigations
Blood bilirubin increased
10.0%
32/321
1.3%
4/316
5.1%
2/39
0.80%
1/125
Investigations
Gamma-glutamyltransferase increased
2.8%
9/321
0.63%
2/316
10.3%
4/39
0.80%
1/125
Investigations
Haemoglobin decreased
3.1%
10/321
6.3%
20/316
7.7%
3/39
4.0%
5/125
Investigations
Lipase increased
8.4%
27/321
7.3%
23/316
2.6%
1/39
4.8%
6/125
Investigations
Neutrophil count decreased
0.62%
2/321
7.6%
24/316
2.6%
1/39
5.6%
7/125
Investigations
Weight decreased
8.4%
27/321
6.3%
20/316
7.7%
3/39
2.4%
3/125
Investigations
White blood cell count decreased
0.93%
3/321
6.6%
21/316
0.00%
0/39
8.8%
11/125
Metabolism and nutrition disorders
Decreased appetite
12.5%
40/321
15.8%
50/316
12.8%
5/39
4.0%
5/125
Metabolism and nutrition disorders
Hyperglycaemia
4.7%
15/321
2.2%
7/316
5.1%
2/39
1.6%
2/125
Metabolism and nutrition disorders
Hyperuricaemia
0.62%
2/321
1.6%
5/316
5.1%
2/39
0.80%
1/125
Metabolism and nutrition disorders
Hypokalaemia
2.8%
9/321
6.0%
19/316
0.00%
0/39
6.4%
8/125
Metabolism and nutrition disorders
Hypophosphataemia
6.2%
20/321
16.8%
53/316
7.7%
3/39
8.0%
10/125
Musculoskeletal and connective tissue disorders
Arthralgia
6.2%
20/321
4.7%
15/316
5.1%
2/39
2.4%
3/125
Musculoskeletal and connective tissue disorders
Back pain
10.0%
32/321
5.7%
18/316
7.7%
3/39
2.4%
3/125
Musculoskeletal and connective tissue disorders
Muscle spasms
5.6%
18/321
14.9%
47/316
2.6%
1/39
1.6%
2/125
Musculoskeletal and connective tissue disorders
Myalgia
12.1%
39/321
5.4%
17/316
5.1%
2/39
1.6%
2/125
Musculoskeletal and connective tissue disorders
Pain in extremity
6.9%
22/321
5.1%
16/316
5.1%
2/39
2.4%
3/125
Nervous system disorders
Dizziness
6.9%
22/321
6.0%
19/316
5.1%
2/39
3.2%
4/125
Nervous system disorders
Dysgeusia
3.1%
10/321
2.8%
9/316
5.1%
2/39
2.4%
3/125
Nervous system disorders
Headache
16.8%
54/321
7.6%
24/316
12.8%
5/39
1.6%
2/125
Psychiatric disorders
Insomnia
6.5%
21/321
6.3%
20/316
2.6%
1/39
1.6%
2/125
Respiratory, thoracic and mediastinal disorders
Cough
8.7%
28/321
6.6%
21/316
2.6%
1/39
2.4%
3/125
Respiratory, thoracic and mediastinal disorders
Dyspnoea
5.3%
17/321
6.6%
21/316
5.1%
2/39
4.0%
5/125
Skin and subcutaneous tissue disorders
Alopecia
10.3%
33/321
4.1%
13/316
2.6%
1/39
2.4%
3/125
Skin and subcutaneous tissue disorders
Dry skin
5.9%
19/321
6.6%
21/316
0.00%
0/39
2.4%
3/125
Skin and subcutaneous tissue disorders
Pruritus
12.1%
39/321
7.9%
25/316
10.3%
4/39
1.6%
2/125
Skin and subcutaneous tissue disorders
Rash
27.7%
89/321
14.6%
46/316
10.3%
4/39
9.6%
12/125

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: 862-778-8300

Results disclosure agreements

  • Principal investigator is a sponsor employee The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial or disclosure of trial results in their entirety.
  • Publication restrictions are in place

Restriction type: OTHER