Trial Outcomes & Findings for A Study of a Combination of Trastuzumab and Capecitabine With or Without Pertuzumab in Patients With HER2-positive Metastatic Breast Cancer (PHEREXA) (NCT NCT01026142)

NCT ID: NCT01026142

Last Updated: 2018-08-14

Results Overview

Progression Free Survival (PFS) was defined as the time from randomization to first documented disease progression (PD), as determined by an Independent Review Facility (IRF) using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.0, or death from any cause, whichever occurred first. PD was defined as at least a 20% increase in the sum of the longest diameter (LD) of target lesions taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions; or the appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions. IRF review of tumor assessment ceased after the primary PFS analysis. The primary endpoint was analyzed after approximately 337 IRF-assessed PFS events were observed.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

452 participants

Primary outcome timeframe

Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).

Results posted on

2018-08-14

Participant Flow

452 participants were randomized to one of two treatment arms: trastuzumab and capecitabine (Arm A, 224 participants) or pertuzumab with trastuzumab and capecitabine (Arm B, 228 participants). Of participants randomized to Arm A: trastuzumab and capecitabine, 6 participants did not receive study treatment.

Participant milestones

Participant milestones
Measure
A: Capecitabine + Trastuzumab
Capecitabine \[Xeloda\]: 1250 mg/m2 po twice daily for 14 days every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
B: Capecitabine + Trastuzumab + Pertuzumab
Capecitabine \[Xeloda\]: 1000 mg/m2 po twice daily for 14 days every 3 weeks. Pertuzumab \[Perjeta\]: 840 mg iv loading, then 420 mg iv every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
Overall Study
STARTED
224
228
Overall Study
COMPLETED
52
65
Overall Study
NOT COMPLETED
172
163

Reasons for withdrawal

Reasons for withdrawal
Measure
A: Capecitabine + Trastuzumab
Capecitabine \[Xeloda\]: 1250 mg/m2 po twice daily for 14 days every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
B: Capecitabine + Trastuzumab + Pertuzumab
Capecitabine \[Xeloda\]: 1000 mg/m2 po twice daily for 14 days every 3 weeks. Pertuzumab \[Perjeta\]: 840 mg iv loading, then 420 mg iv every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
Overall Study
Death
136
134
Overall Study
Withdrew consent or lost to follow-up
36
29

Baseline Characteristics

A Study of a Combination of Trastuzumab and Capecitabine With or Without Pertuzumab in Patients With HER2-positive Metastatic Breast Cancer (PHEREXA)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
A: Capecitabine + Trastuzumab
n=218 Participants
Capecitabine \[Xeloda\]: 1250 mg/m2 po twice daily for 14 days every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
B: Capecitabine + Trastuzumab + Pertuzumab
n=228 Participants
Capecitabine \[Xeloda\]: 1000 mg/m2 po twice daily for 14 days every 3 weeks. Pertuzumab \[Perjeta\]: 840 mg iv loading, then 420 mg iv every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
Total
n=446 Participants
Total of all reporting groups
Region of Enrollment
Germany
23 participants
n=93 Participants
11 participants
n=4 Participants
34 participants
n=27 Participants
Region of Enrollment
Croatia
4 participants
n=93 Participants
3 participants
n=4 Participants
7 participants
n=27 Participants
Age, Continuous
55.1 years
STANDARD_DEVIATION 10.10 • n=93 Participants
53.0 years
STANDARD_DEVIATION 11.21 • n=4 Participants
54.0 years
STANDARD_DEVIATION 10.72 • n=27 Participants
Sex: Female, Male
Female
218 Participants
n=93 Participants
228 Participants
n=4 Participants
446 Participants
n=27 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Region of Enrollment
Russian Federation
8 participants
n=93 Participants
3 participants
n=4 Participants
11 participants
n=27 Participants
Region of Enrollment
Argentina
3 participants
n=93 Participants
4 participants
n=4 Participants
7 participants
n=27 Participants
Region of Enrollment
Romania
6 participants
n=93 Participants
8 participants
n=4 Participants
14 participants
n=27 Participants
Region of Enrollment
Hungary
13 participants
n=93 Participants
29 participants
n=4 Participants
42 participants
n=27 Participants
Region of Enrollment
Hong Kong
5 participants
n=93 Participants
11 participants
n=4 Participants
16 participants
n=27 Participants
Region of Enrollment
United Kingdom
18 participants
n=93 Participants
17 participants
n=4 Participants
35 participants
n=27 Participants
Region of Enrollment
Thailand
0 participants
n=93 Participants
5 participants
n=4 Participants
5 participants
n=27 Participants
Region of Enrollment
Spain
39 participants
n=93 Participants
31 participants
n=4 Participants
70 participants
n=27 Participants
Region of Enrollment
Canada
3 participants
n=93 Participants
6 participants
n=4 Participants
9 participants
n=27 Participants
Region of Enrollment
Czech Republic
12 participants
n=93 Participants
10 participants
n=4 Participants
22 participants
n=27 Participants
Region of Enrollment
Austria
2 participants
n=93 Participants
3 participants
n=4 Participants
5 participants
n=27 Participants
Region of Enrollment
Netherlands
0 participants
n=93 Participants
2 participants
n=4 Participants
2 participants
n=27 Participants
Region of Enrollment
Belgium
12 participants
n=93 Participants
11 participants
n=4 Participants
23 participants
n=27 Participants
Region of Enrollment
Poland
6 participants
n=93 Participants
6 participants
n=4 Participants
12 participants
n=27 Participants
Region of Enrollment
Brazil
7 participants
n=93 Participants
6 participants
n=4 Participants
13 participants
n=27 Participants
Region of Enrollment
Korea, Republic of
14 participants
n=93 Participants
24 participants
n=4 Participants
38 participants
n=27 Participants
Region of Enrollment
Italy
16 participants
n=93 Participants
18 participants
n=4 Participants
34 participants
n=27 Participants
Region of Enrollment
Mexico
1 participants
n=93 Participants
0 participants
n=4 Participants
1 participants
n=27 Participants
Region of Enrollment
France
19 participants
n=93 Participants
12 participants
n=4 Participants
31 participants
n=27 Participants
Region of Enrollment
Peru
7 participants
n=93 Participants
8 participants
n=4 Participants
15 participants
n=27 Participants

PRIMARY outcome

Timeframe: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).

Population: All randomized participants.

Progression Free Survival (PFS) was defined as the time from randomization to first documented disease progression (PD), as determined by an Independent Review Facility (IRF) using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.0, or death from any cause, whichever occurred first. PD was defined as at least a 20% increase in the sum of the longest diameter (LD) of target lesions taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions; or the appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions. IRF review of tumor assessment ceased after the primary PFS analysis. The primary endpoint was analyzed after approximately 337 IRF-assessed PFS events were observed.

Outcome measures

Outcome measures
Measure
A: Capecitabine + Trastuzumab
n=224 Participants
Capecitabine \[Xeloda\]: 1250 mg/m2 po twice daily for 14 days every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
B: Capecitabine + Trastuzumab + Pertuzumab
n=228 Participants
Capecitabine \[Xeloda\]: 1000 mg/m2 po twice daily for 14 days every 3 weeks. Pertuzumab \[Perjeta\]: 840 mg iv loading, then 420 mg iv every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
Progression Free Survival (Independent Assessment)
9.0 months
Interval 8.0 to 10.0
11.1 months
Interval 9.0 to 13.0

SECONDARY outcome

Timeframe: From randomization until death from any cause (up to 7.5 years).

Population: All randomized participants.

Overall Survival (OS) was defined as the time from the date of randomization to the date of death from any cause. The results of the final OS analysis are presented here. Participants who were alive or lost to follow-up at the time of the analysis were censored at the last known alive date. Participants with no postbaseline information were censored at the time of randomization plus 1 day. Prior to the final data analysis cut-off, it was ensured that all participants who were in survival follow-up had been contacted as recently as possible within the last 3 months to confirm current survival status.

Outcome measures

Outcome measures
Measure
A: Capecitabine + Trastuzumab
n=224 Participants
Capecitabine \[Xeloda\]: 1250 mg/m2 po twice daily for 14 days every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
B: Capecitabine + Trastuzumab + Pertuzumab
n=228 Participants
Capecitabine \[Xeloda\]: 1000 mg/m2 po twice daily for 14 days every 3 weeks. Pertuzumab \[Perjeta\]: 840 mg iv loading, then 420 mg iv every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
Overall Survival (OS)
28.1 Months
Interval 22.0 to 35.0
37.2 Months
Interval 33.0 to 42.0

SECONDARY outcome

Timeframe: From randomization until death from any cause (up to 2 years)

Population: All randomized participants.

The Overall Survival (OS) 2-year truncated analysis is the Kaplan-Meier estimate of the percentage of participants who were surviving at 2 years. OS is defined as the time from the date of randomization to the date of death from any cause, with censoring of all events and follow-up beyond the end of the second year.

Outcome measures

Outcome measures
Measure
A: Capecitabine + Trastuzumab
n=224 Participants
Capecitabine \[Xeloda\]: 1250 mg/m2 po twice daily for 14 days every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
B: Capecitabine + Trastuzumab + Pertuzumab
n=228 Participants
Capecitabine \[Xeloda\]: 1000 mg/m2 po twice daily for 14 days every 3 weeks. Pertuzumab \[Perjeta\]: 840 mg iv loading, then 420 mg iv every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
Overall Survival (OS) Rate Based on a 2-year Truncated Analysis
55.0 Percentage of participants
Interval 48.07 to 61.85
74.9 Percentage of participants
Interval 69.05 to 80.68

SECONDARY outcome

Timeframe: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 7.5 years).

Population: All randomized participants.

Investigator Assessment Progression-Free Survival (PFS) was defined as the time from randomization to the first documented progressive disease, as determined by the investigator using Response Evaluation Criteria in Solid Tumors (RECIST) v1.0, or death from any cause, whichever occurred first. PD is defined as at least a 20% increase in the sum of the longest diameter (LD) of target lesions taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions; or the appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions.

Outcome measures

Outcome measures
Measure
A: Capecitabine + Trastuzumab
n=224 Participants
Capecitabine \[Xeloda\]: 1250 mg/m2 po twice daily for 14 days every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
B: Capecitabine + Trastuzumab + Pertuzumab
n=228 Participants
Capecitabine \[Xeloda\]: 1000 mg/m2 po twice daily for 14 days every 3 weeks. Pertuzumab \[Perjeta\]: 840 mg iv loading, then 420 mg iv every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
Investigator Assessment Progression-Free Survival (PFS)
9.0 Months
Interval 8.0 to 12.0
11.8 Months
Interval 9.0 to 14.0

SECONDARY outcome

Timeframe: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).

Population: All randomized participants.

Time to Progression (TTP) was defined as time between randomization and the first occurrence of progressive disease (PD), based on IRF assessment.

Outcome measures

Outcome measures
Measure
A: Capecitabine + Trastuzumab
n=224 Participants
Capecitabine \[Xeloda\]: 1250 mg/m2 po twice daily for 14 days every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
B: Capecitabine + Trastuzumab + Pertuzumab
n=228 Participants
Capecitabine \[Xeloda\]: 1000 mg/m2 po twice daily for 14 days every 3 weeks. Pertuzumab \[Perjeta\]: 840 mg iv loading, then 420 mg iv every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
Time to Progression (TTP) Based Upon Independent Review Facility (IRF) Assessment
39.0 Weeks
Interval 35.0 to 44.0
50.6 Weeks
Interval 39.0 to 62.0

SECONDARY outcome

Timeframe: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).

Population: All randomized participants.

Time to Treatment Failure (TTF) was defined as time between randomization and date of disease progression based on independent review, death, or withdrawal of treatment due to adverse events, withdrawn informed consent, refusal of treatment/failure to cooperate, or failure to return, whichever occurred first.

Outcome measures

Outcome measures
Measure
A: Capecitabine + Trastuzumab
n=224 Participants
Capecitabine \[Xeloda\]: 1250 mg/m2 po twice daily for 14 days every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
B: Capecitabine + Trastuzumab + Pertuzumab
n=228 Participants
Capecitabine \[Xeloda\]: 1000 mg/m2 po twice daily for 14 days every 3 weeks. Pertuzumab \[Perjeta\]: 840 mg iv loading, then 420 mg iv every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
Time to Treatment Failure (TTF) Based Upon Independent Review Facility (IRF) Assessment
39.0 Weeks
Interval 34.0 to 44.0
50.9 Weeks
Interval 39.0 to 62.0

SECONDARY outcome

Timeframe: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).

Population: Participants without a post-baseline tumor assessment were considered to be non-responders and were not included in this outcome measure.

Overall Objective Response Rate is based upon investigator and IRF assessments. Objective Response Rate (ORR) was defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) among those who had measurable disease at baseline. CR was defined as the disappearance of all target lesions. PR was defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD.

Outcome measures

Outcome measures
Measure
A: Capecitabine + Trastuzumab
n=164 Participants
Capecitabine \[Xeloda\]: 1250 mg/m2 po twice daily for 14 days every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
B: Capecitabine + Trastuzumab + Pertuzumab
n=163 Participants
Capecitabine \[Xeloda\]: 1000 mg/m2 po twice daily for 14 days every 3 weeks. Pertuzumab \[Perjeta\]: 840 mg iv loading, then 420 mg iv every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
Overall Objective Response Rate (ORR)
Complete Response (CR) - IRF Assessment
0 Percentage of participants
1.8 Percentage of participants
Overall Objective Response Rate (ORR)
Partial Response (PR) - IRF assessment
32.9 Percentage of participants
38.7 Percentage of participants
Overall Objective Response Rate (ORR)
Complete Response (CR) - Investigator Assessed
1.2 Percentage of participants
6.7 Percentage of participants
Overall Objective Response Rate (ORR)
Partial Response (PR) - Investigator Assessed
36.0 Percentage of participants
38.0 Percentage of participants

SECONDARY outcome

Timeframe: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).

Population: Participants without a post-baseline tumor assessment were considered to be non-responders and were not included in this outcome measure.

Clinical Benefit Rate is based upon Independent Review Facility (IRF) assessments; defined as the percentage of participants a complete response (CR), partial response (PR), or stable disease for at least 8 cycles or 6 months.

Outcome measures

Outcome measures
Measure
A: Capecitabine + Trastuzumab
n=224 Participants
Capecitabine \[Xeloda\]: 1250 mg/m2 po twice daily for 14 days every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
B: Capecitabine + Trastuzumab + Pertuzumab
n=228 Participants
Capecitabine \[Xeloda\]: 1000 mg/m2 po twice daily for 14 days every 3 weeks. Pertuzumab \[Perjeta\]: 840 mg iv loading, then 420 mg iv every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
Clinical Benefit Rate (CBR)
54.0 Percentage of participants
Interval 47.3 to 60.7
63.6 Percentage of participants
Interval 57.0 to 69.8

SECONDARY outcome

Timeframe: Tumor assessments every 9 weeks from randomization until Week 27, then every 12 weeks thereafter, until IRF-determined PD, initiation of alternative anticancer medication, or death (up to 5.5 years).

Duration of Objective Response was defined for the subpopulation of responders as time from first Independent Review Facility (IRF)-assessed complete response (CR) or partial response (PR) to subsequent first documented, IRF-confirmed evidence of disease progression. Only participants with an objective response were included in the analysis of duration of objective response.

Outcome measures

Outcome measures
Measure
A: Capecitabine + Trastuzumab
n=54 Participants
Capecitabine \[Xeloda\]: 1250 mg/m2 po twice daily for 14 days every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
B: Capecitabine + Trastuzumab + Pertuzumab
n=66 Participants
Capecitabine \[Xeloda\]: 1000 mg/m2 po twice daily for 14 days every 3 weeks. Pertuzumab \[Perjeta\]: 840 mg iv loading, then 420 mg iv every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
Duration of Objective Response
30.0 Weeks
Interval 21.0 to 42.0
51.6 Weeks
Interval 42.0 to 57.0

Adverse Events

A: Capecitabine + Trastuzumab

Serious events: 53 serious events
Other events: 209 other events
Deaths: 136 deaths

B: Capecitabine + Trastuzumab + Pertuzumab

Serious events: 58 serious events
Other events: 216 other events
Deaths: 134 deaths

Serious adverse events

Serious adverse events
Measure
A: Capecitabine + Trastuzumab
n=218 participants at risk
Capecitabine \[Xeloda\]: 1250 mg/m2 po twice daily for 14 days every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
B: Capecitabine + Trastuzumab + Pertuzumab
n=228 participants at risk
Capecitabine \[Xeloda\]: 1000 mg/m2 po twice daily for 14 days every 3 weeks. Pertuzumab \[Perjeta\]: 840 mg iv loading, then 420 mg iv every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
Gastrointestinal disorders
Diarrhoea
2.8%
6/218 • Number of events 6 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
3.5%
8/228 • Number of events 8 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Gastrointestinal disorders
Nausea
0.92%
2/218 • Number of events 2 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Gastrointestinal disorders
Vomiting
0.92%
2/218 • Number of events 2 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Gastrointestinal disorders
Abdominal Hernia
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Gastrointestinal disorders
Colitis
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Gastrointestinal disorders
Diverticulum
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Gastrointestinal disorders
Dysphagia
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Gastrointestinal disorders
Gastric Perforation
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Gastrointestinal disorders
Gastric Ulcer
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Gastrointestinal disorders
Ileus
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Gastrointestinal disorders
Subileus
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Cardiac disorders
Left Ventricular Dysfunction
1.8%
4/218 • Number of events 4 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
5.7%
13/228 • Number of events 13 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Cardiac disorders
Atrial Fibrillation
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.88%
2/228 • Number of events 2 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Cardiac disorders
Angina Unstable
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Cardiac disorders
Arteriospasm Coronary
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Cardiac disorders
Cardiac Arrest
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Cardiac disorders
Supraventricular Extrasystoles
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Cardiac disorders
Ventricular Fibrillation
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Injury, poisoning and procedural complications
Femur Fracture
0.92%
2/218 • Number of events 2 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.88%
2/228 • Number of events 2 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Injury, poisoning and procedural complications
Infusion Related Reaction
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.88%
2/228 • Number of events 2 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Injury, poisoning and procedural complications
Acetabulum Fracture
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Injury, poisoning and procedural complications
Bone Fissure
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Injury, poisoning and procedural complications
Craniocerebral Injury
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Injury, poisoning and procedural complications
Facial Bones Fracture
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Injury, poisoning and procedural complications
Fracture
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Injury, poisoning and procedural complications
Hip Fracture
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Injury, poisoning and procedural complications
Joint Dislocation
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Injury, poisoning and procedural complications
Lumbar Vertebral Fracture
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Injury, poisoning and procedural complications
Meniscus Injury
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Injury, poisoning and procedural complications
Subdural Haematoma
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Injury, poisoning and procedural complications
Synovial Rupture
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Injury, poisoning and procedural complications
Wrist Fracture
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Infections and infestations
Sepsis
0.92%
2/218 • Number of events 2 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Infections and infestations
Appendicitis
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Infections and infestations
Bacteraemia
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Infections and infestations
Catheter Site Infection
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Infections and infestations
Cellulitis
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Infections and infestations
Clostridium Difficile Colitis
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Infections and infestations
Device Related Infection
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Infections and infestations
Gastroenteritis
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Infections and infestations
Phlebitis Infective
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Infections and infestations
Pneumonia
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Infections and infestations
Pulmonary Tuberculosis
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Infections and infestations
Respiratory Tract Infection
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Infections and infestations
Urinary Tract Infection
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Nervous system disorders
Syncope
0.92%
2/218 • Number of events 2 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Nervous system disorders
Dizziness
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Nervous system disorders
Hemiparesis
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Nervous system disorders
Ischaemic Stroke
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Nervous system disorders
Sciatica
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Nervous system disorders
Secondary Cerebellar Degeneration
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Nervous system disorders
Status Epilepticus
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Injury, poisoning and procedural complications
Subarachnoid Haemorrhage
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Respiratory, thoracic and mediastinal disorders
Pulmonary Embolism
1.8%
4/218 • Number of events 4 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
1.3%
3/228 • Number of events 4 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Respiratory, thoracic and mediastinal disorders
Pulmonary Thrombosis
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.88%
2/228 • Number of events 2 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
General disorders
General Physical Health Deterioration
0.92%
2/218 • Number of events 2 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.88%
2/228 • Number of events 2 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
General disorders
Pyrexia
0.92%
2/218 • Number of events 2 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.88%
2/228 • Number of events 2 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
General disorders
Chest Pain
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
General disorders
Device Related Thrombosis
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Blood and lymphatic system disorders
Febrile Neutropenia
0.92%
2/218 • Number of events 2 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Blood and lymphatic system disorders
Neutropenia
0.92%
2/218 • Number of events 2 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Blood and lymphatic system disorders
Anaemia
0.46%
1/218 • Number of events 2 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Blood and lymphatic system disorders
Thrombocytopenia
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Blood and lymphatic system disorders
Pancytopenia
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Musculoskeletal and connective tissue disorders
Back Pain
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.88%
2/228 • Number of events 2 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Musculoskeletal and connective tissue disorders
Bone Pain
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Musculoskeletal and connective tissue disorders
Joint Swelling
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Musculoskeletal and connective tissue disorders
Osteitis
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Musculoskeletal and connective tissue disorders
Osteonecrosis
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Musculoskeletal and connective tissue disorders
Pain in Extremity
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Vascular disorders
Vena Cava Thrombosis
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.88%
2/228 • Number of events 2 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Vascular disorders
Hypertension
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Vascular disorders
Thrombophlebitis Superficial
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Vascular disorders
Venous Thrombosis
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Hepatobiliary disorders
Cholecystitis
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Hepatobiliary disorders
Hyperbilirubinaemia
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute Myeloid Leukaemia
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute Promyelocytic Leukaemia
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cervix Carcinoma
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Skin and subcutaneous tissue disorders
Palmar-Plantar Erythrodysaesthesia Syndrome
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Skin and subcutaneous tissue disorders
Rash
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Psychiatric disorders
Delirium
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Psychiatric disorders
Depression
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Eye disorders
Retinal Detachment
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Immune system disorders
Anaphylactic Shock
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Investigations
Blood Sodium Decreased
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Metabolism and nutrition disorders
Hypokalaemia
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Renal and urinary disorders
Ureteric Stenosis
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Reproductive system and breast disorders
Endometrial Hyperplasia
0.00%
0/218 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.44%
1/228 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast Cancer
0.46%
1/218 • Number of events 1 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
0.00%
0/228 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.

Other adverse events

Other adverse events
Measure
A: Capecitabine + Trastuzumab
n=218 participants at risk
Capecitabine \[Xeloda\]: 1250 mg/m2 po twice daily for 14 days every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
B: Capecitabine + Trastuzumab + Pertuzumab
n=228 participants at risk
Capecitabine \[Xeloda\]: 1000 mg/m2 po twice daily for 14 days every 3 weeks. Pertuzumab \[Perjeta\]: 840 mg iv loading, then 420 mg iv every 3 weeks. Trastuzumab \[Herceptin\]: 8 mg/kg iv loading, then 6 mg/kg iv every 3 weeks.
Infections and infestations
Influenza
1.8%
4/218 • Number of events 5 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
5.3%
12/228 • Number of events 12 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Respiratory, thoracic and mediastinal disorders
Cough
10.1%
22/218 • Number of events 27 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
13.2%
30/228 • Number of events 38 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
11.0%
24/218 • Number of events 28 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
9.2%
21/228 • Number of events 25 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Respiratory, thoracic and mediastinal disorders
Epistaxis
4.1%
9/218 • Number of events 9 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
5.3%
12/228 • Number of events 14 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Metabolism and nutrition disorders
Decreased Appetite
12.8%
28/218 • Number of events 43 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
15.8%
36/228 • Number of events 43 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Metabolism and nutrition disorders
Hypokalaemia
6.0%
13/218 • Number of events 19 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
12.3%
28/228 • Number of events 40 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Blood and lymphatic system disorders
Neutropenia
17.4%
38/218 • Number of events 89 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
12.7%
29/228 • Number of events 74 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Blood and lymphatic system disorders
Anaemia
7.8%
17/218 • Number of events 23 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
9.2%
21/228 • Number of events 28 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Investigations
Weight Decreased
6.0%
13/218 • Number of events 14 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
8.3%
19/228 • Number of events 20 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Investigations
Aspartate Aminotransferase Increased
5.0%
11/218 • Number of events 15 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
7.5%
17/228 • Number of events 26 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Investigations
Alanine Aminotransferase Increased
3.7%
8/218 • Number of events 11 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
7.5%
17/228 • Number of events 24 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Psychiatric disorders
Insomnia
5.5%
12/218 • Number of events 17 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
10.1%
23/228 • Number of events 27 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Vascular disorders
Hypertension
6.4%
14/218 • Number of events 18 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
8.3%
19/228 • Number of events 19 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Eye disorders
Lacrimation Increased
6.0%
13/218 • Number of events 17 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
2.6%
6/228 • Number of events 8 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Cardiac disorders
Left Ventricular Dysfunction
2.3%
5/218 • Number of events 5 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
5.7%
13/228 • Number of events 15 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Gastrointestinal disorders
Diarrhoea
58.7%
128/218 • Number of events 275 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
68.9%
157/228 • Number of events 436 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Gastrointestinal disorders
Nausea
44.5%
97/218 • Number of events 152 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
38.6%
88/228 • Number of events 129 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Gastrointestinal disorders
Vomiting
20.6%
45/218 • Number of events 56 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
16.2%
37/228 • Number of events 58 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Gastrointestinal disorders
Stomatitis
14.7%
32/218 • Number of events 39 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
18.0%
41/228 • Number of events 60 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Gastrointestinal disorders
Abdominal Pain
13.8%
30/218 • Number of events 36 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
12.3%
28/228 • Number of events 50 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Gastrointestinal disorders
Abdominal Pain Upper
11.0%
24/218 • Number of events 31 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
12.7%
29/228 • Number of events 45 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Gastrointestinal disorders
Dyspepsia
10.1%
22/218 • Number of events 23 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
10.5%
24/228 • Number of events 33 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Gastrointestinal disorders
Constipation
9.6%
21/218 • Number of events 27 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
7.9%
18/228 • Number of events 22 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Skin and subcutaneous tissue disorders
Palmar-Plantar Erythrodysaesthesia Syndrome
72.9%
159/218 • Number of events 242 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
56.6%
129/228 • Number of events 179 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Skin and subcutaneous tissue disorders
Rash
5.0%
11/218 • Number of events 12 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
15.4%
35/228 • Number of events 45 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Skin and subcutaneous tissue disorders
Pruritus
3.2%
7/218 • Number of events 7 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
9.2%
21/228 • Number of events 29 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Skin and subcutaneous tissue disorders
Dry Skin
4.1%
9/218 • Number of events 10 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
7.0%
16/228 • Number of events 17 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Skin and subcutaneous tissue disorders
Nail Disorder
3.7%
8/218 • Number of events 8 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
6.1%
14/228 • Number of events 15 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Skin and subcutaneous tissue disorders
Alopecia
5.0%
11/218 • Number of events 12 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
2.6%
6/228 • Number of events 6 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
General disorders
Asthenia
23.4%
51/218 • Number of events 87 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
20.6%
47/228 • Number of events 77 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
General disorders
Fatigue
17.9%
39/218 • Number of events 59 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
19.3%
44/228 • Number of events 62 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
General disorders
Mucosal Inflammation
12.4%
27/218 • Number of events 36 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
14.0%
32/228 • Number of events 45 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
General disorders
Pyrexia
9.2%
20/218 • Number of events 24 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
12.7%
29/228 • Number of events 41 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
General disorders
Oedema Peripheral
6.0%
13/218 • Number of events 13 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
7.9%
18/228 • Number of events 19 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
General disorders
Chest Pain
5.5%
12/218 • Number of events 15 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
3.9%
9/228 • Number of events 11 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Musculoskeletal and connective tissue disorders
Pain in Extremity
6.9%
15/218 • Number of events 24 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
11.8%
27/228 • Number of events 32 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Musculoskeletal and connective tissue disorders
Arthralgia
7.8%
17/218 • Number of events 19 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
9.2%
21/228 • Number of events 27 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Musculoskeletal and connective tissue disorders
Back Pain
8.3%
18/218 • Number of events 23 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
8.8%
20/228 • Number of events 23 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Musculoskeletal and connective tissue disorders
Muscle Spasms
5.5%
12/218 • Number of events 20 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
7.5%
17/228 • Number of events 21 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Musculoskeletal and connective tissue disorders
Bone Pain
5.5%
12/218 • Number of events 16 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
3.5%
8/228 • Number of events 9 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Musculoskeletal and connective tissue disorders
Myalgia
2.8%
6/218 • Number of events 8 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
5.3%
12/228 • Number of events 19 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Musculoskeletal and connective tissue disorders
Musculoskeletal Chest Pain
2.3%
5/218 • Number of events 7 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
5.3%
12/228 • Number of events 13 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Nervous system disorders
Headache
17.9%
39/218 • Number of events 68 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
17.5%
40/228 • Number of events 52 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Nervous system disorders
Dizziness
9.6%
21/218 • Number of events 28 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
10.5%
24/228 • Number of events 26 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Nervous system disorders
Neuropathy Peripheral
6.4%
14/218 • Number of events 17 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
7.0%
16/228 • Number of events 17 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Nervous system disorders
Paraesthesia
6.0%
13/218 • Number of events 15 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
3.9%
9/228 • Number of events 9 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Infections and infestations
Viral Upper Respiratory Tract Infection
5.5%
12/218 • Number of events 15 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
11.0%
25/228 • Number of events 37 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Infections and infestations
Urinary Tract Infection
7.8%
17/218 • Number of events 20 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
9.2%
21/228 • Number of events 28 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Infections and infestations
Upper Respiratory Tract Infection
4.1%
9/218 • Number of events 12 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
8.3%
19/228 • Number of events 46 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
Infections and infestations
Paronychia
5.0%
11/218 • Number of events 15 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.
6.6%
15/228 • Number of events 16 • Adverse events were recorded and reported during the study and up to two years after the last dose of the study drug was received.

Additional Information

Medical Communications

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Phone: 800 821-8590

Results disclosure agreements

  • Principal investigator is a sponsor employee The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER