Trial Outcomes & Findings for Pre-operation Chemo and Antibody Therapy Followed by Surgical Resection and Adjuvant Chemoradiation for Gastric Cancer (NCT NCT00857246)

NCT ID: NCT00857246

Last Updated: 2015-12-07

Results Overview

Clinical response rate is defined as the percentage of patients who responded to the induction regimen. The response is determined based on endoscopic ultrasonography (EUS) staging pre-treatment and post-treatment, CT scans pre- and post- operatively, and initial clinical stage (based on these tests) compared with the pathologic stage. Any "down-staging" of T or N stage is considered to be a result of induction therapy and counted as a clinical response.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

30 participants

Primary outcome timeframe

4 months from the beginning of the induction regimen

Results posted on

2015-12-07

Participant Flow

From October 2005 to November 2010, 30 patients were enrolled to the study from New York University Langone Medical Center and its affiliated hospitals.

Participant milestones

Participant milestones
Measure
Induction/ Surgery/ chemoRT
1. Induction treatment (3 weeks/cycle x 4 cycles): Cisplatin and Irinotecan on days 1 and 8; Cetuximab on days 1, 8, and 15. 2. Surgery (starts 3-4 weeks after induction treatment). 3. Chemoradiation treatment (starts 4-6 weeks after surgery): weeks 1-19: Cetuximab on day 1 of every week; week 1: 5-FU and Leucovorin (LV) x 5 days; weeks 2-4: recovery; weeks 5-9: radiation, 150 cGy x 5 fractions/week x 5 weeks; week 5: 5-FU+ LV on days 1-4; week 9: 5-FU+ LV on days 1-3; weeks 14 and 19: 5-FU+LV x 5days
Induction Regimen
STARTED
30
Induction Regimen
COMPLETED
27
Induction Regimen
NOT COMPLETED
3
Surgery (Curative)
STARTED
27
Surgery (Curative)
COMPLETED
21
Surgery (Curative)
NOT COMPLETED
6
ChemoRT
STARTED
15
ChemoRT
COMPLETED
12
ChemoRT
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Induction/ Surgery/ chemoRT
1. Induction treatment (3 weeks/cycle x 4 cycles): Cisplatin and Irinotecan on days 1 and 8; Cetuximab on days 1, 8, and 15. 2. Surgery (starts 3-4 weeks after induction treatment). 3. Chemoradiation treatment (starts 4-6 weeks after surgery): weeks 1-19: Cetuximab on day 1 of every week; week 1: 5-FU and Leucovorin (LV) x 5 days; weeks 2-4: recovery; weeks 5-9: radiation, 150 cGy x 5 fractions/week x 5 weeks; week 5: 5-FU+ LV on days 1-4; week 9: 5-FU+ LV on days 1-3; weeks 14 and 19: 5-FU+LV x 5days
Induction Regimen
Adverse Event
1
Induction Regimen
disease-related complications
1
Induction Regimen
Withdrawal by Subject
1
Surgery (Curative)
disease progression
6
ChemoRT
Withdrawal by Subject
1
ChemoRT
Adverse Event
2

Baseline Characteristics

Pre-operation Chemo and Antibody Therapy Followed by Surgical Resection and Adjuvant Chemoradiation for Gastric Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Induction/ Surgery/ chemoRT
n=30 Participants
1. Induction treatment (3 weeks/cycle x 4 cycles): Cisplatin and Irinotecan on days 1 and 8; Cetuximab on days 1, 8, and 15. 2. Surgery (3-4 weeks after induction treatment). 3. Chemoradiation treatment (4-6 weeks after surgery): weeks 1-19: Cetuximab on day 1 of every week; week 1: 5-FU and Leucovorin (LV) x 5 days; weeks 2-4: recovery; weeks 5-9: radiation, 150 cGy x 5 fractions/week x 5 weeks; week 5: 5-FU+ LV on days 1-4; week 9: 5-FU+ LV on days 1-3; weeks 14 and 19: 5-FU+LV x 5days
Age, Customized
25-34 years
1 participants
n=93 Participants
Age, Customized
35-44 years
1 participants
n=93 Participants
Age, Customized
45-53 years
8 participants
n=93 Participants
Age, Customized
54-63 years
12 participants
n=93 Participants
Age, Customized
64-73 years
3 participants
n=93 Participants
Age, Customized
74-83 years
5 participants
n=93 Participants
Sex: Female, Male
Female
7 Participants
n=93 Participants
Sex: Female, Male
Male
23 Participants
n=93 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
Race (NIH/OMB)
Asian
13 Participants
n=93 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=93 Participants
Race (NIH/OMB)
White
11 Participants
n=93 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=93 Participants
Region of Enrollment
United States
30 participants
n=93 Participants

PRIMARY outcome

Timeframe: 4 months from the beginning of the induction regimen

Population: Evaluable patients (known pre-treatment clinical and post-treatment pathologic stages)

Clinical response rate is defined as the percentage of patients who responded to the induction regimen. The response is determined based on endoscopic ultrasonography (EUS) staging pre-treatment and post-treatment, CT scans pre- and post- operatively, and initial clinical stage (based on these tests) compared with the pathologic stage. Any "down-staging" of T or N stage is considered to be a result of induction therapy and counted as a clinical response.

Outcome measures

Outcome measures
Measure
Induction/ Surgery/ chemoRT
n=25 Participants
1. Induction treatment (3 weeks/cycle x 4 cycles): Cisplatin and Irinotecan on days 1 and 8; Cetuximab on days 1, 8, and 15. 2. Surgery (starts 3-4 weeks after induction treatment). 3. Chemoradiation treatment (starts 4-6 weeks after surgery): weeks 1-19: Cetuximab on day 1 of every week; week 1: 5-FU and Leucovorin (LV) x 5 days; weeks 2-4: recovery; weeks 5-9: radiation, 150 cGy x 5 fractions/week x 5 weeks; week 5: 5-FU+ LV on days 1-4; week 9: 5-FU+ LV on days 1-3; weeks 14 and 19: 5-FU+LV x 5days
Clinical Response Rate of an Induction Regimen Consisting of Irinotecan, Cisplatin and Cetuximab
40 percentage of paticipants

SECONDARY outcome

Timeframe: 4 months from the beginning of the induction treatment

Population: Evaluable patients (known pre-treatment clinical and post-treatment pathologic stages)

This is defined as the percentage of patients whose nodal involvement of cancer has been cleared based on surgery results.

Outcome measures

Outcome measures
Measure
Induction/ Surgery/ chemoRT
n=25 Participants
1. Induction treatment (3 weeks/cycle x 4 cycles): Cisplatin and Irinotecan on days 1 and 8; Cetuximab on days 1, 8, and 15. 2. Surgery (starts 3-4 weeks after induction treatment). 3. Chemoradiation treatment (starts 4-6 weeks after surgery): weeks 1-19: Cetuximab on day 1 of every week; week 1: 5-FU and Leucovorin (LV) x 5 days; weeks 2-4: recovery; weeks 5-9: radiation, 150 cGy x 5 fractions/week x 5 weeks; week 5: 5-FU+ LV on days 1-4; week 9: 5-FU+ LV on days 1-3; weeks 14 and 19: 5-FU+LV x 5days
Rate of Clearance of Nodal Involvement Among Patients Who Have Received the Induction Therapy
0 percentage of participants

SECONDARY outcome

Timeframe: 4 months from the beginning of the induction treatment

Population: patients who underwent surgery

This is defined as the percentage of patients who underwent curative surgery (surgery to remove all cancerous tissue).

Outcome measures

Outcome measures
Measure
Induction/ Surgery/ chemoRT
n=27 Participants
1. Induction treatment (3 weeks/cycle x 4 cycles): Cisplatin and Irinotecan on days 1 and 8; Cetuximab on days 1, 8, and 15. 2. Surgery (starts 3-4 weeks after induction treatment). 3. Chemoradiation treatment (starts 4-6 weeks after surgery): weeks 1-19: Cetuximab on day 1 of every week; week 1: 5-FU and Leucovorin (LV) x 5 days; weeks 2-4: recovery; weeks 5-9: radiation, 150 cGy x 5 fractions/week x 5 weeks; week 5: 5-FU+ LV on days 1-4; week 9: 5-FU+ LV on days 1-3; weeks 14 and 19: 5-FU+LV x 5days
Rate of Potentially Curative Surgery
78 percentage of participants

SECONDARY outcome

Timeframe: 4 months from the beginning of the induction treatment

Population: Evaluable patients (known pre-treatment clinical and post-treatment pathologic stages)

This is defined as the percentage of patients who had a reduction from T3/T4 disease.

Outcome measures

Outcome measures
Measure
Induction/ Surgery/ chemoRT
n=25 Participants
1. Induction treatment (3 weeks/cycle x 4 cycles): Cisplatin and Irinotecan on days 1 and 8; Cetuximab on days 1, 8, and 15. 2. Surgery (starts 3-4 weeks after induction treatment). 3. Chemoradiation treatment (starts 4-6 weeks after surgery): weeks 1-19: Cetuximab on day 1 of every week; week 1: 5-FU and Leucovorin (LV) x 5 days; weeks 2-4: recovery; weeks 5-9: radiation, 150 cGy x 5 fractions/week x 5 weeks; week 5: 5-FU+ LV on days 1-4; week 9: 5-FU+ LV on days 1-3; weeks 14 and 19: 5-FU+LV x 5days
Rate of "Down-staging" From Pre-operative Clinical Staging
53 percentage of participants

SECONDARY outcome

Timeframe: 4 months from the beginning of the induction

Population: Patients who had at least a dose of treatment

This describes the number of patients who experienced grade 3 and higher adverse events related to the regimen.

Outcome measures

Outcome measures
Measure
Induction/ Surgery/ chemoRT
n=30 Participants
1. Induction treatment (3 weeks/cycle x 4 cycles): Cisplatin and Irinotecan on days 1 and 8; Cetuximab on days 1, 8, and 15. 2. Surgery (starts 3-4 weeks after induction treatment). 3. Chemoradiation treatment (starts 4-6 weeks after surgery): weeks 1-19: Cetuximab on day 1 of every week; week 1: 5-FU and Leucovorin (LV) x 5 days; weeks 2-4: recovery; weeks 5-9: radiation, 150 cGy x 5 fractions/week x 5 weeks; week 5: 5-FU+ LV on days 1-4; week 9: 5-FU+ LV on days 1-3; weeks 14 and 19: 5-FU+LV x 5days
Safety of the Induction Regimen
Neutrophils/granulocytes
13 participants
Safety of the Induction Regimen
Diarrhea
4 participants
Safety of the Induction Regimen
Fatigue
3 participants
Safety of the Induction Regimen
Rash
3 participants
Safety of the Induction Regimen
Leukocytes
2 participants
Safety of the Induction Regimen
Hypomagnesmia
2 participants
Safety of the Induction Regimen
Hypotension
2 participants
Safety of the Induction Regimen
Lymphopenia
1 participants
Safety of the Induction Regimen
Vomiting
1 participants
Safety of the Induction Regimen
Dehydration
1 participants
Safety of the Induction Regimen
Hypophosphatemia
1 participants
Safety of the Induction Regimen
Hypokelemia
1 participants
Safety of the Induction Regimen
Stomatitis/Pharyngitis
1 participants
Safety of the Induction Regimen
Febrile neutropenia
1 participants
Safety of the Induction Regimen
Hemoglobin
1 participants
Safety of the Induction Regimen
Carpopedal syndrome
1 participants

SECONDARY outcome

Timeframe: up to 5 years

Population: Patients who completed induction treatment and underwent curative surgery

This is the length of time from the start of treatment that half of the patients are still alive.

Outcome measures

Outcome measures
Measure
Induction/ Surgery/ chemoRT
n=21 Participants
1. Induction treatment (3 weeks/cycle x 4 cycles): Cisplatin and Irinotecan on days 1 and 8; Cetuximab on days 1, 8, and 15. 2. Surgery (starts 3-4 weeks after induction treatment). 3. Chemoradiation treatment (starts 4-6 weeks after surgery): weeks 1-19: Cetuximab on day 1 of every week; week 1: 5-FU and Leucovorin (LV) x 5 days; weeks 2-4: recovery; weeks 5-9: radiation, 150 cGy x 5 fractions/week x 5 weeks; week 5: 5-FU+ LV on days 1-4; week 9: 5-FU+ LV on days 1-3; weeks 14 and 19: 5-FU+LV x 5days
Median Overall Survival (Induction Treatment and Curative Surgery)
35.3 months
Interval 1.0 to 81.0

SECONDARY outcome

Timeframe: up to 5 years

Population: Patients who received at least one cycle of adjuvant therapy

This is the length of time from the start of treatment that half of the patients are still alive.

Outcome measures

Outcome measures
Measure
Induction/ Surgery/ chemoRT
n=15 Participants
1. Induction treatment (3 weeks/cycle x 4 cycles): Cisplatin and Irinotecan on days 1 and 8; Cetuximab on days 1, 8, and 15. 2. Surgery (starts 3-4 weeks after induction treatment). 3. Chemoradiation treatment (starts 4-6 weeks after surgery): weeks 1-19: Cetuximab on day 1 of every week; week 1: 5-FU and Leucovorin (LV) x 5 days; weeks 2-4: recovery; weeks 5-9: radiation, 150 cGy x 5 fractions/week x 5 weeks; week 5: 5-FU+ LV on days 1-4; week 9: 5-FU+ LV on days 1-3; weeks 14 and 19: 5-FU+LV x 5days
Median Overall Survival (Adjuvant Therpary)
39.5 months
Interval 8.0 to 81.0

Adverse Events

Induction/ Surgery/ chemoRT

Serious events: 15 serious events
Other events: 30 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Induction/ Surgery/ chemoRT
n=30 participants at risk
1. Induction treatment (3 weeks/cycle x 4 cycles): Cisplatin and Irinotecan on days 1 and 8; Cetuximab on days 1, 8, and 15. 2. Surgery (starts 3-4 weeks after induction treatment). 3. Chemoradiation treatment (starts 4-6 weeks after surgery): weeks 1-19: Cetuximab on day 1 of every week; week 1: 5-FU and Leucovorin (LV) x 5 days; weeks 2-4: recovery; weeks 5-9: radiation, 150 cGy x 5 fractions/week x 5 weeks; week 5: 5-FU+ LV on days 1-4; week 9: 5-FU+ LV on days 1-3; weeks 14 and 19: 5-FU+LV x 5days
Gastrointestinal disorders
Ascites (non-malignant)
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Cardiac disorders
Chest pain (non-cardiac and non-pleuritic)
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Dehydration
6.7%
2/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Diarrhea patients without colostomy
6.7%
2/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Dysphagia, esophagitis, odynophagia (painful swallowing)
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
General disorders
Fatigue (lethargy, malaise, asthenia)
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
General disorders
Fever (in the absence of neutropenia)
6.7%
2/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Abdominal pain or cramping
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
General disorders
Gastrointestinal-Other: small bowel obstruction
6.7%
2/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Hematemesis
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Blood and lymphatic system disorders
Hemoglobin
6.7%
2/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Cardiac disorders
Hypotension
6.7%
2/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Infections and infestations
Infection without neutropenia
6.7%
2/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Musculoskeletal and connective tissue disorders
Musculoskeletal-Other: muscle twitching
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Blood and lymphatic system disorders
Neutrophils/granulocytes (ANC/AGC)
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Musculoskeletal and connective tissue disorders
Syndromes-Other: carpopedal
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Vascular disorders
Thrombosis/embolism
10.0%
3/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Vomiting
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.

Other adverse events

Other adverse events
Measure
Induction/ Surgery/ chemoRT
n=30 participants at risk
1. Induction treatment (3 weeks/cycle x 4 cycles): Cisplatin and Irinotecan on days 1 and 8; Cetuximab on days 1, 8, and 15. 2. Surgery (starts 3-4 weeks after induction treatment). 3. Chemoradiation treatment (starts 4-6 weeks after surgery): weeks 1-19: Cetuximab on day 1 of every week; week 1: 5-FU and Leucovorin (LV) x 5 days; weeks 2-4: recovery; weeks 5-9: radiation, 150 cGy x 5 fractions/week x 5 weeks; week 5: 5-FU+ LV on days 1-4; week 9: 5-FU+ LV on days 1-3; weeks 14 and 19: 5-FU+LV x 5days
Gastrointestinal disorders
Abdominal pain or cramping
46.7%
14/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Investigations
Alkaline phosphatase
30.0%
9/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Immune system disorders
Allergic rhinitis (including sneezing, nasal stuffiness, postnasal drip)
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Skin and subcutaneous tissue disorders
Alopecia
10.0%
3/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Anorexia
63.3%
19/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Musculoskeletal and connective tissue disorders
Arthtitis
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Metabolism and nutrition disorders
Bicarbonate
10.0%
3/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Hepatobiliary disorders
Bilirubin
6.7%
2/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Cardiac disorders
Cardiovascular/Arrhythmia-Other: Atrial Fibrillation
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Cardiac disorders
Chest pain (non-cardiac and nonpleuritic
6.7%
2/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Constipation
40.0%
12/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Respiratory, thoracic and mediastinal disorders
Cough
13.3%
4/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Investigations
Creatitine
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Dehydration
10.0%
3/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Skin and subcutaneous tissue disorders
Dermatology/Skin-Other: blister
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Skin and subcutaneous tissue disorders
Dermatology/Skin-Other: fissurs
16.7%
5/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Skin and subcutaneous tissue disorders
Dermatology/Skin-Other: Itchy scalp
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Skin and subcutaneous tissue disorders
Dermatology/Skin-Other: Paronychia
6.7%
2/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Skin and subcutaneous tissue disorders
Dermatology/Skin-Other: surgical scar stiffness
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Diarrhea patients without colostomy
66.7%
20/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Nervous system disorders
Dizziness/lightheadedness
23.3%
7/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Eye disorders
Dry eye
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Skin and subcutaneous tissue disorders
Dry skin
23.3%
7/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Dyspepsia/heartburn
13.3%
4/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Dysphagia, esophagitis, odynophagia (painful swallowing)
20.0%
6/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
16.7%
5/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
General disorders
Edema
6.7%
2/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
General disorders
Fatigue (lethargy, malaise, asthenia)
66.7%
20/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Blood and lymphatic system disorders
Febrile neutropenia
6.7%
2/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
General disorders
Fever (in the absence of neutropenia)
13.3%
4/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Flatulence
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Vascular disorders
Flushing
6.7%
2/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Gastritis
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Gastrointestinal-Other: Abdominal bloating
6.7%
2/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Gastrointestinal-Other: Early Satiety
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Gastrointestinal-Other: Hemorrhoids
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Gastrointestinal-Other: Oral Lesions
10.0%
3/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Gastrointestinal-Other: Pressure discomfort
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Skin and subcutaneous tissue disorders
Hand-foot skin reaction
10.0%
3/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Nervous system disorders
Headache
10.0%
3/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Blood and lymphatic system disorders
Hemoglobin
46.7%
14/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Hemorrhage/bleeding without grade 3 or 4 thrombocytopenia
6.7%
2/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Respiratory, thoracic and mediastinal disorders
Hiccoughs (hiccups, singultus)
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Metabolism and nutrition disorders
Hyperglycemia
36.7%
11/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Metabolism and nutrition disorders
Hyperkalemia
10.0%
3/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Metabolism and nutrition disorders
Hypermagnesemia
16.7%
5/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Metabolism and nutrition disorders
Hypernatremia
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Cardiac disorders
Hypertension
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Hepatobiliary disorders
Hypoalbuminemia
23.3%
7/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Metabolism and nutrition disorders
Hypocalcemia
26.7%
8/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Metabolism and nutrition disorders
Hypoglycemia
13.3%
4/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Metabolism and nutrition disorders
Hypokalemia
33.3%
10/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Metabolism and nutrition disorders
Hypomagnesmia
23.3%
7/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Metabolism and nutrition disorders
Hyponatremia
20.0%
6/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Metabolism and nutrition disorders
Hypophosphatemia
16.7%
5/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Cardiac disorders
Hypotension
10.0%
3/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Infections and infestations
Infection without neutropenia
13.3%
4/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Nervous system disorders
Insomnia
10.0%
3/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Blood and lymphatic system disorders
Leukocytes (total WBC)
46.7%
14/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Blood and lymphatic system disorders
Lymphopenia
33.3%
10/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Nervous system disorders
Mood alteration-depression
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Mouth dryness
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Skin and subcutaneous tissue disorders
Nail changes
6.7%
2/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Nausea
80.0%
24/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Nervous system disorders
Neuropathy-sensory
10.0%
3/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Blood and lymphatic system disorders
Neutrophils/granulocytes (ANC/AGC)
70.0%
21/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Eye disorders
Ocular/Visual - Other: periorbital edema
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Musculoskeletal and connective tissue disorders
Pain-Other: back pain
6.7%
2/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Musculoskeletal and connective tissue disorders
Pain-Other: cramps
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Musculoskeletal and connective tissue disorders
Pain-Other: heels
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Injury, poisoning and procedural complications
Pain-other: incision site
16.7%
5/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Musculoskeletal and connective tissue disorders
Pain-other: thigh pain
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Pain-Other: toungue
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Cardiac disorders
Palpitations
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Blood and lymphatic system disorders
Platelets
43.3%
13/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Respiratory, thoracic and mediastinal disorders
Pleural effusion (non-malignant)
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Skin and subcutaneous tissue disorders
Pruritus
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Respiratory, thoracic and mediastinal disorders
Pulmonary-Other: sputum
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Skin and subcutaneous tissue disorders
Radiation dermatitis
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Skin and subcutaneous tissue disorders
Rash/dermatitis associated with high-dose chemotherapy or BMT studies.
23.3%
7/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Skin and subcutaneous tissue disorders
Rash/desquamation
80.0%
24/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
General disorders
Rigors, chills
13.3%
4/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Hepatobiliary disorders
SGOT (AST) (serum glutamic oxaloacetic transaminase)
20.0%
6/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Hepatobiliary disorders
SGPT (ALT) (serum glutamic pyruvic transaminase)
23.3%
7/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Cardiac disorders
Sinus Tachycardia
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Stomatitis/pharyngitis (oral/pharyngeal mucositis)
20.0%
6/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
General disorders
Sweating (diaphoresis)
6.7%
2/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Taste disturbance (dysgeusia)
13.3%
4/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Vascular disorders
Thrombosis/embolism
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Eye disorders
Vision-blurred vision
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Respiratory, thoracic and mediastinal disorders
Voice changes/stridor/larynx (e.g., hoarseness, loss of voice, laryngitis)
6.7%
2/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Gastrointestinal disorders
Vomiting
40.0%
12/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
General disorders
Weight gain
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
General disorders
Weight loss
53.3%
16/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.
Skin and subcutaneous tissue disorders
Wound-infectious
3.3%
1/30 • Up to 1 year
All the adverse events (AEs) from the induction to adjuvant therapies are reported here regardless of attributions.

Additional Information

Theresa Ryan, MD

Perlmutter Cancer Center

Phone: 212-731-5430

Results disclosure agreements

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