Trial Outcomes & Findings for Bendamustine Hydrochloride, Lenalidomide, and Dexamethasone in Treating Patients With Relapsed Multiple Myeloma (NCT NCT01049945)

NCT ID: NCT01049945

Last Updated: 2020-02-11

Results Overview

The Maximum Tolerated Dose (MTD) is the dose level below that at which a dose limiting toxicity (DLT) is observed in ≥ 33% (i.e., ≥ 2 of 6) subjects in a cohort. A dose limiting toxicity is defined as one of the following adverse events in the Common Terminology Criteria for Adverse Events (CTCAE) v 3.0 deemed at least possibly related to treatment: * Grade 2 neuropathy with pain * Any grade 3 Non-Hematologic toxicity * Any grade Non-Hematologic event requiring a dose reduction in cycle 1 or delaying the next cycle by \>14 days. * Grade 4 neutropenia * Febrile neutropenia * Grade 4 thrombocytopenia * Grade 3 thrombocytopenia associated with bleeding * Any Hematologic event requiring a dose reduction in cycle 1 or a delay in the next cycle of treatment by \>14 days. We are reporting the results of this endpoint as the number of DLTs per dose level.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

70 participants

Primary outcome timeframe

One cycle of treatment

Results posted on

2020-02-11

Participant Flow

Participant milestones

Participant milestones
Measure
Phase I, Dose Level 1
Bendamustine 50 mg/m\^2 IV day 1 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 2
Bendamustine 50 mg/m\^2 IV day 1 and 2 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 3
Bendamustine 75 mg/m\^2 IV day 1 and 2 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 4
Bendamustine 75 mg/m\^2 IV day 1 and 2 Lenalidomide 25 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 5
Bendamustine 100 mg/m\^2 IV day 1 and 2 Lenalidomide 25 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase II, Dose Level 4
Bendamustine 75 mg/m\^2 IV day 1 and 2 Lenalidomide 25 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Overall Study
STARTED
3
6
3
6
3
49
Overall Study
COMPLETED
3
6
3
6
3
49
Overall Study
NOT COMPLETED
0
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Bendamustine Hydrochloride, Lenalidomide, and Dexamethasone in Treating Patients With Relapsed Multiple Myeloma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Phase I
n=15 Participants
Participant demographics were analyzed according to their status for the Phase II Primary Endpoint. All participants registered to Dose Level 4 (the Maximum Tolerated Dose (MTD)) were eligible for the Phase II Primary Endpoint. This group included the 6 patients registered to Phase I, Dose Level 4 and the 49 participants registered to the Phase II portion. The demographic information for all other participants registered to Phase I (Dose Level 1, Dose Level 2, Dose Level 3, and Dose Level 5) were summarized together.
Maximum Tolerated Dose, Dose Level 4
n=55 Participants
Participant demographics were analyzed according to their status for the Phase II Primary Endpoint. All participants registered to Dose Level 4 (the Maximum Tolerated Dose (MTD)) were eligible for the Phase II Primary Endpoint. This group included the 6 patients registered to Phase I, Dose Level 4 and the 49 participants registered to the Phase II portion. The demographic information for all other participants registered to Phase I (Dose Level 1, Dose Level 2, Dose Level 3, and Dose Level 5) were summarized together.
Total
n=70 Participants
Total of all reporting groups
Age, Continuous
63.5 years
n=5 Participants
61.9 years
n=7 Participants
62.3 years
n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
27 Participants
n=7 Participants
30 Participants
n=5 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
28 Participants
n=7 Participants
40 Participants
n=5 Participants
Region of Enrollment
United States
15 participants
n=5 Participants
55 participants
n=7 Participants
70 participants
n=5 Participants

PRIMARY outcome

Timeframe: One cycle of treatment

Population: All participants registered to the Phase I portion of this study were evaluable for this endpoint.

The Maximum Tolerated Dose (MTD) is the dose level below that at which a dose limiting toxicity (DLT) is observed in ≥ 33% (i.e., ≥ 2 of 6) subjects in a cohort. A dose limiting toxicity is defined as one of the following adverse events in the Common Terminology Criteria for Adverse Events (CTCAE) v 3.0 deemed at least possibly related to treatment: * Grade 2 neuropathy with pain * Any grade 3 Non-Hematologic toxicity * Any grade Non-Hematologic event requiring a dose reduction in cycle 1 or delaying the next cycle by \>14 days. * Grade 4 neutropenia * Febrile neutropenia * Grade 4 thrombocytopenia * Grade 3 thrombocytopenia associated with bleeding * Any Hematologic event requiring a dose reduction in cycle 1 or a delay in the next cycle of treatment by \>14 days. We are reporting the results of this endpoint as the number of DLTs per dose level.

Outcome measures

Outcome measures
Measure
Phase I, Dose Level 1
n=3 Participants
Bendamustine 50 mg/m\^2 IV day 1 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 2
n=6 Participants
Bendamustine 50 mg/m\^2 IV day 1 and 2 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 3
n=3 Participants
Bendamustine 75 mg/m\^2 IV day 1 and 2 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 4
n=6 Participants
Bendamustine 75 mg/m\^2 IV day 1 and 2 Lenalidomide 25 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 5
n=3 Participants
Bendamustine 100 mg/m\^2 IV day 1 and 2 Lenalidomide 25 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Dose Limiting Toxicity of Bendamustine Hydrochloride and Lenalidomide in Combination With Dexamethasone (Phase I)
0 Dose Limiting Toxic Events
1 Dose Limiting Toxic Events
0 Dose Limiting Toxic Events
0 Dose Limiting Toxic Events
2 Dose Limiting Toxic Events

PRIMARY outcome

Timeframe: Up to 6 cycles of treatment

Population: All participants registered to Dose Level 4 (the Maximum Tolerated Dose (MTD)) were eligible for the Phase II Primary Endpoint. This group included the 6 patients registered to Phase I, Dose Level 4 and the 49 participants registered to the Phase II portion.

Complete response (CR) \- Negative immunofixation on the serum and urine and disappearance of any soft tissue plasmacytomas and \<5% plasma cells in bone marrow. Stringent complete response (sCR) - A CR plus normal FLC ratio and no clonal cells in bone marrow Near complete response (nCR) A CR, with the persistence of original monoclonal protein Very good partial response (VGPR) \- Serum and urine M-component detectable by immunofixation but not on electrophoresis or 90% or greater reduction in serum M-component plus urine M-component \<100 mg per 24 h Partial response (PR) * ≥50% reduction of serum M-protein and reduction in 24-h urinary M-protein by ≥90% or to \<200 mg per 24 h. * a ≥50% decrease in the difference between involved and uninvolved FLC levels * or a ≥50% reduction in plasma cells is required in place of M-protein, if ≥30% at baseline.

Outcome measures

Outcome measures
Measure
Phase I, Dose Level 1
n=55 Participants
Bendamustine 50 mg/m\^2 IV day 1 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 2
Bendamustine 50 mg/m\^2 IV day 1 and 2 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 3
Bendamustine 75 mg/m\^2 IV day 1 and 2 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 4
Bendamustine 75 mg/m\^2 IV day 1 and 2 Lenalidomide 25 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 5
Bendamustine 100 mg/m\^2 IV day 1 and 2 Lenalidomide 25 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Confirmed Response Rate (Dose Level 4) Reported as the Percentage of Patients Achieving a Confirmed Response (sCR, CR, VGPR, or PR).
44 percentage of participants
Interval 30.0 to 58.0

SECONDARY outcome

Timeframe: Up to 2 years from study completion

DOR is the time from the date the patient's objective status is first noted to be PR or better to the earliest date of progression (PD=Increase of \> 25% from lowest response value in Serum/Urine M-component) is documented. Treatment response was assessed using the International Myeloma Working Group uniform criteria. Complete response (CR)=Negative immunofixation on the serum and urine and disappearance of any soft tissue plasmacytomas and \<5% plasma cells in bone marrow. Stringent complete response (sCR)=A CR plus normal FLC ratio and no clonal cells in bone marrow. Near complete response (nCR)=A CR, with the persistence of original monoclonal protein. Very good partial response (VGPR) =Serum and urine M-component detectable by immunofixation but not on electrophoresis or 90% or greater reduction in serum M-component plus urine M-component \<100 mg per 24 h, Partial response (PR)=≥50% reduction of serum M-protein and reduction in 24-h urinary M-protein by ≥90% or to \<200 mg per 24 h.

Outcome measures

Outcome measures
Measure
Phase I, Dose Level 1
n=55 Participants
Bendamustine 50 mg/m\^2 IV day 1 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 2
Bendamustine 50 mg/m\^2 IV day 1 and 2 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 3
Bendamustine 75 mg/m\^2 IV day 1 and 2 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 4
Bendamustine 75 mg/m\^2 IV day 1 and 2 Lenalidomide 25 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 5
Bendamustine 100 mg/m\^2 IV day 1 and 2 Lenalidomide 25 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Duration of Response (DOR) (Phase II)
24.4 months
Interval 10.8 to 29.0

SECONDARY outcome

Timeframe: Up to 2 years from study completion

The event-free survival time is defined as the time from registration to disease progression (PD=Increase of \> 25% from lowest response value in Serum/Urine M-component) while receiving bendamustine, lenalidomide, and dexamethasone, death due to any cause, or subsequent treatment for multiple myeloma. The distribution of event-free survival will be estimated using the method of Kaplan-Meier. Treatment response was assessed using the International Myeloma Working Group uniform criteria.

Outcome measures

Outcome measures
Measure
Phase I, Dose Level 1
n=55 Participants
Bendamustine 50 mg/m\^2 IV day 1 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 2
Bendamustine 50 mg/m\^2 IV day 1 and 2 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 3
Bendamustine 75 mg/m\^2 IV day 1 and 2 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 4
Bendamustine 75 mg/m\^2 IV day 1 and 2 Lenalidomide 25 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 5
Bendamustine 100 mg/m\^2 IV day 1 and 2 Lenalidomide 25 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Event Free Survival (Phase II)
5.6 months
Interval 3.2 to 9.1

SECONDARY outcome

Timeframe: Up to 2 years from study completion

The progression-free survival time is defined as the time from registration to disease progression (PD=Increase of \> 25% from lowest response value in Serum/Urine M-component) while receiving bendamustine, lenalidomide, and dexamethasone or death due to any cause, whichever comes first. The distribution of progression-free survival will be estimated using the method of Kaplan-Meier. Treatment response was assessed using the International Myeloma Working Group uniform criteria.

Outcome measures

Outcome measures
Measure
Phase I, Dose Level 1
n=55 Participants
Bendamustine 50 mg/m\^2 IV day 1 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 2
Bendamustine 50 mg/m\^2 IV day 1 and 2 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 3
Bendamustine 75 mg/m\^2 IV day 1 and 2 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 4
Bendamustine 75 mg/m\^2 IV day 1 and 2 Lenalidomide 25 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 5
Bendamustine 100 mg/m\^2 IV day 1 and 2 Lenalidomide 25 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Progression Free Survival (Phase II)
11.8 months
Interval 3.5 to 13.8

SECONDARY outcome

Timeframe: at 6 months

The overall survival time is defined as the time from registration to death due to any cause. The distribution of overall survival will be estimated using the method of Kaplan-Meier. The overall survival rate at 6 months is defined as the percentage of participants who are alive at 6 months.

Outcome measures

Outcome measures
Measure
Phase I, Dose Level 1
n=55 Participants
Bendamustine 50 mg/m\^2 IV day 1 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 2
Bendamustine 50 mg/m\^2 IV day 1 and 2 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 3
Bendamustine 75 mg/m\^2 IV day 1 and 2 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 4
Bendamustine 75 mg/m\^2 IV day 1 and 2 Lenalidomide 25 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 5
Bendamustine 100 mg/m\^2 IV day 1 and 2 Lenalidomide 25 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Overall Survival (Phase II)
87 percentage of participants
Interval 77.0 to 97.0

Adverse Events

Phase I, Dose Level 1

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Phase I, Dose Level 2

Serious events: 2 serious events
Other events: 6 other events
Deaths: 0 deaths

Phase I, Dose Level 3

Serious events: 2 serious events
Other events: 3 other events
Deaths: 0 deaths

Phase I, Dose Level 4

Serious events: 2 serious events
Other events: 6 other events
Deaths: 0 deaths

Phase I, Dose Level 5

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Phase II, Dose Level 4

Serious events: 24 serious events
Other events: 49 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Phase I, Dose Level 1
n=3 participants at risk
Bendamustine 50 mg/m\^2 IV day 1 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 2
n=6 participants at risk
Bendamustine 50 mg/m\^2 IV day 1 and 2 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 3
n=3 participants at risk
Bendamustine 75 mg/m\^2 IV day 1 and 2 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 4
n=6 participants at risk
Bendamustine 75 mg/m\^2 IV day 1 and 2 Lenalidomide 25 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 5
n=3 participants at risk
Bendamustine 100 mg/m\^2 IV day 1 and 2 Lenalidomide 25 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase II, Dose Level 4
n=49 participants at risk
Bendamustine 75 mg/m\^2 IV day 1 and 2 Lenalidomide 25 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Infections and infestations
Herpes Zoster
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Blood and lymphatic system disorders
Anemia
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
4.1%
2/49 • Number of events 2
Blood and lymphatic system disorders
Febrile neutropenia
0.00%
0/3
0.00%
0/6
33.3%
1/3 • Number of events 1
0.00%
0/6
33.3%
1/3 • Number of events 1
2.0%
1/49 • Number of events 1
Cardiac disorders
Atrial fibrillation
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Gastrointestinal disorders
Abdominal pain
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
4.1%
2/49 • Number of events 2
Gastrointestinal disorders
Constipation
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Gastrointestinal disorders
Diarrhea
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Gastrointestinal disorders
Ileus
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Gastrointestinal disorders
Pancreatitis
0.00%
0/3
0.00%
0/6
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/49
General disorders
Chest pain
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
General disorders
Disease progression
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
6.1%
3/49 • Number of events 3
General disorders
Fatigue
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
General disorders
Fever
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
4.1%
2/49 • Number of events 2
Hepatobiliary disorders
Cholecystitis
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Infections and infestations
Appendicitis
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Infections and infestations
Bronchitis
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Infections and infestations
Opportunistic infection
0.00%
0/3
0.00%
0/6
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
0.00%
0/49
Infections and infestations
Pneumonia
0.00%
0/3
0.00%
0/6
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
12.2%
6/49 • Number of events 6
Infections and infestations
Upper respiratory infection
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
33.3%
1/3 • Number of events 1
0.00%
0/49
Investigations
Creatinine increased
0.00%
0/3
0.00%
0/6
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/49
Investigations
Neutrophil count decreased
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
33.3%
1/3 • Number of events 1
4.1%
2/49 • Number of events 2
Investigations
Platelet count decreased
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
4.1%
2/49 • Number of events 2
Metabolism and nutrition disorders
Dehydration
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
4.1%
2/49 • Number of events 2
Metabolism and nutrition disorders
Hypokalemia
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Metabolism and nutrition disorders
Serum calcium decreased
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/3
0.00%
0/6
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Nervous system disorders
Ataxia
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/49
Nervous system disorders
CNS hemorrhage/bleeding
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Nervous system disorders
Ischemia cerebrovascular
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Nervous system disorders
Peripheral motor neuropathy
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Nervous system disorders
Seizure
0.00%
0/3
0.00%
0/6
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/49
Nervous system disorders
Syncope
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Renal and urinary disorders
Renal failure
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Dyspnea
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Vascular disorders
Hypotension
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Vascular disorders
Thrombosis
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1

Other adverse events

Other adverse events
Measure
Phase I, Dose Level 1
n=3 participants at risk
Bendamustine 50 mg/m\^2 IV day 1 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 2
n=6 participants at risk
Bendamustine 50 mg/m\^2 IV day 1 and 2 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 3
n=3 participants at risk
Bendamustine 75 mg/m\^2 IV day 1 and 2 Lenalidomide 15 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 4
n=6 participants at risk
Bendamustine 75 mg/m\^2 IV day 1 and 2 Lenalidomide 25 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase I, Dose Level 5
n=3 participants at risk
Bendamustine 100 mg/m\^2 IV day 1 and 2 Lenalidomide 25 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Phase II, Dose Level 4
n=49 participants at risk
Bendamustine 75 mg/m\^2 IV day 1 and 2 Lenalidomide 25 mg PO days 1-21 Dexamethasone 40 mg PO or IV days 1, 8, 15, 22 Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity
Infections and infestations
Bronchitis
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
4.1%
2/49 • Number of events 2
Infections and infestations
Colitis, infectious (e.g., Clostridium difficile)
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Infections and infestations
Gingival infection
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
4.1%
2/49 • Number of events 2
Infections and infestations
Mucosal infection
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
4.1%
2/49 • Number of events 2
Infections and infestations
Nail infection
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/49
Infections and infestations
Opportunistic infection
0.00%
0/3
0.00%
0/6
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
0.00%
0/49
Infections and infestations
Otitis externa
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
33.3%
1/3 • Number of events 1
2.0%
1/49 • Number of events 1
Infections and infestations
Pneumonia
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
4.1%
2/49 • Number of events 2
Infections and infestations
Sinusitis
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
33.3%
1/3 • Number of events 1
2.0%
1/49 • Number of events 1
Infections and infestations
Skin infection
0.00%
0/3
0.00%
0/6
0.00%
0/3
16.7%
1/6 • Number of events 2
0.00%
0/3
2.0%
1/49 • Number of events 1
Infections and infestations
Upper aerodigestive tract infection
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/49
Infections and infestations
Upper respiratory infection
33.3%
1/3 • Number of events 1
50.0%
3/6 • Number of events 4
0.00%
0/3
66.7%
4/6 • Number of events 5
66.7%
2/3 • Number of events 2
20.4%
10/49 • Number of events 11
Infections and infestations
Urinary tract infection
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
4.1%
2/49 • Number of events 2
Injury, poisoning and procedural complications
Bruising
33.3%
1/3 • Number of events 1
33.3%
2/6 • Number of events 2
0.00%
0/3
16.7%
1/6 • Number of events 2
0.00%
0/3
22.4%
11/49 • Number of events 12
Injury, poisoning and procedural complications
Fracture
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Investigations
Alkaline phosphatase increased
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Investigations
Creatinine increased
0.00%
0/3
0.00%
0/6
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Investigations
Leukocyte count decreased
66.7%
2/3 • Number of events 3
50.0%
3/6 • Number of events 3
100.0%
3/3 • Number of events 3
83.3%
5/6 • Number of events 5
100.0%
3/3 • Number of events 4
79.6%
39/49 • Number of events 39
Investigations
Lymphocyte count decreased
66.7%
2/3 • Number of events 3
83.3%
5/6 • Number of events 6
100.0%
3/3 • Number of events 3
100.0%
6/6 • Number of events 6
66.7%
2/3 • Number of events 2
85.7%
42/49 • Number of events 43
Investigations
Neutrophil count decreased
0.00%
0/3
16.7%
1/6 • Number of events 2
100.0%
3/3 • Number of events 4
83.3%
5/6 • Number of events 7
100.0%
3/3 • Number of events 4
81.6%
40/49 • Number of events 48
Cardiac disorders
Sinus tachycardia
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Cardiac disorders
Ventricular arrhythmia
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/49
Endocrine disorders
Hypothyroidism
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Eye disorders
Cataract
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Eye disorders
Eye disorder
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/49
Eye disorders
Vision
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/49
Eye disorders
Watering eyes
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Gastrointestinal disorders
Abdominal pain
33.3%
1/3 • Number of events 2
16.7%
1/6 • Number of events 1
0.00%
0/3
33.3%
2/6 • Number of events 2
33.3%
1/3 • Number of events 1
8.2%
4/49 • Number of events 5
Gastrointestinal disorders
Colitis
0.00%
0/3
0.00%
0/6
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/49
Gastrointestinal disorders
Constipation
33.3%
1/3 • Number of events 1
33.3%
2/6 • Number of events 2
0.00%
0/3
16.7%
1/6 • Number of events 1
33.3%
1/3 • Number of events 1
30.6%
15/49 • Number of events 15
Gastrointestinal disorders
Diarrhea
100.0%
3/3 • Number of events 3
33.3%
2/6 • Number of events 3
33.3%
1/3 • Number of events 1
83.3%
5/6 • Number of events 7
33.3%
1/3 • Number of events 1
49.0%
24/49 • Number of events 26
Gastrointestinal disorders
Dry mouth
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Gastrointestinal disorders
Dyspepsia
33.3%
1/3 • Number of events 1
33.3%
2/6 • Number of events 2
0.00%
0/3
16.7%
1/6 • Number of events 1
33.3%
1/3 • Number of events 1
18.4%
9/49 • Number of events 10
Gastrointestinal disorders
Dysphagia
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
8.2%
4/49 • Number of events 4
Gastrointestinal disorders
Flatulence
33.3%
1/3 • Number of events 1
16.7%
1/6 • Number of events 2
0.00%
0/3
0.00%
0/6
0.00%
0/3
4.1%
2/49 • Number of events 3
Gastrointestinal disorders
Melena/GI bleeding
0.00%
0/3
0.00%
0/6
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/49
Gastrointestinal disorders
Mucositis oral
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
16.7%
1/6 • Number of events 2
0.00%
0/3
4.1%
2/49 • Number of events 2
Gastrointestinal disorders
Nausea
66.7%
2/3 • Number of events 2
33.3%
2/6 • Number of events 2
0.00%
0/3
50.0%
3/6 • Number of events 3
33.3%
1/3 • Number of events 1
46.9%
23/49 • Number of events 23
Gastrointestinal disorders
Oral pain
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/49
Gastrointestinal disorders
Pancreatitis
0.00%
0/3
0.00%
0/6
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/49
Gastrointestinal disorders
Rectal hemorrhage
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
4.1%
2/49 • Number of events 2
Gastrointestinal disorders
Vomiting
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
28.6%
14/49 • Number of events 14
General disorders
Chest pain
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
8.2%
4/49 • Number of events 4
General disorders
Chills
0.00%
0/3
0.00%
0/6
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
6.1%
3/49 • Number of events 3
General disorders
Edema limbs
33.3%
1/3 • Number of events 2
0.00%
0/6
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
14.3%
7/49 • Number of events 9
General disorders
Fatigue
100.0%
3/3 • Number of events 4
50.0%
3/6 • Number of events 4
0.00%
0/3
66.7%
4/6 • Number of events 4
66.7%
2/3 • Number of events 2
55.1%
27/49 • Number of events 30
General disorders
Fever
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
22.4%
11/49 • Number of events 11
General disorders
Gait abnormal
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
General disorders
Gait disturbance
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
General disorders
Injection site reaction
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
4.1%
2/49 • Number of events 2
General disorders
Pain
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Hepatobiliary disorders
Cholecystitis
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/49
Immune system disorders
Hypersensitivity
0.00%
0/3
0.00%
0/6
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
8.2%
4/49 • Number of events 4
Infections and infestations
Herpes Zoster
0.00%
0/3
16.7%
1/6 • Number of events 1
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
14.3%
7/49 • Number of events 8
Musculoskeletal and connective tissue disorders
Leg Cramp
66.7%
2/3 • Number of events 3
0.00%
0/6
0.00%
0/3
33.3%
2/6 • Number of events 2
0.00%
0/3
16.3%
8/49 • Number of events 14
Blood and lymphatic system disorders
Anemia
33.3%
1/3 • Number of events 1
0.00%
0/6
33.3%
1/3 • Number of events 1
33.3%
2/6 • Number of events 2
33.3%
1/3 • Number of events 1
44.9%
22/49 • Number of events 25
Cardiac disorders
Atrial fibrillation
0.00%
0/3
0.00%
0/6
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
2.0%
1/49 • Number of events 2
Cardiac disorders
Cardiac pain
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Cardiac disorders
Conduction disorder
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Cardiac disorders
Edema
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
16.7%
1/6 • Number of events 2
0.00%
0/3
10.2%
5/49 • Number of events 5
Cardiac disorders
Palpitations
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Cardiac disorders
Sinus bradycardia
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
33.3%
2/6 • Number of events 2
0.00%
0/3
8.2%
4/49 • Number of events 4
Investigations
Platelet count decreased
33.3%
1/3 • Number of events 2
16.7%
1/6 • Number of events 1
0.00%
0/3
66.7%
4/6 • Number of events 6
33.3%
1/3 • Number of events 1
65.3%
32/49 • Number of events 34
Investigations
Weight gain
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/49
Investigations
Weight loss
0.00%
0/3
33.3%
2/6 • Number of events 2
0.00%
0/3
33.3%
2/6 • Number of events 2
33.3%
1/3 • Number of events 1
28.6%
14/49 • Number of events 14
Investigations
White blood cell decreased
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/49
Metabolism and nutrition disorders
Acidosis
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Metabolism and nutrition disorders
Anorexia
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
33.3%
2/6 • Number of events 2
0.00%
0/3
14.3%
7/49 • Number of events 7
Metabolism and nutrition disorders
Blood bicarbonate decreased
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Metabolism and nutrition disorders
Blood uric acid increased
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Metabolism and nutrition disorders
Dehydration
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/49
Metabolism and nutrition disorders
Hyperglycemia
33.3%
1/3 • Number of events 2
33.3%
2/6 • Number of events 2
33.3%
1/3 • Number of events 1
16.7%
1/6 • Number of events 1
0.00%
0/3
12.2%
6/49 • Number of events 6
Metabolism and nutrition disorders
Hypokalemia
33.3%
1/3 • Number of events 1
0.00%
0/6
33.3%
1/3 • Number of events 1
16.7%
1/6 • Number of events 1
33.3%
1/3 • Number of events 1
14.3%
7/49 • Number of events 7
Metabolism and nutrition disorders
Serum calcium decreased
0.00%
0/3
0.00%
0/6
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Metabolism and nutrition disorders
Serum calcium increased
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Metabolism and nutrition disorders
Serum magnesium decreased
0.00%
0/3
0.00%
0/6
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
2.0%
1/49 • Number of events 1
Metabolism and nutrition disorders
Serum phosphate decreased
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
6.1%
3/49 • Number of events 3
Metabolism and nutrition disorders
Serum potassium decreased
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
4.1%
2/49 • Number of events 2
Metabolism and nutrition disorders
Serum sodium decreased
0.00%
0/3
0.00%
0/6
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
2.0%
1/49 • Number of events 1
Metabolism and nutrition disorders
Tumor lysis syndrome
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/49
Musculoskeletal and connective tissue disorders
Arthralgia
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Musculoskeletal and connective tissue disorders
Back pain
100.0%
3/3 • Number of events 3
16.7%
1/6 • Number of events 1
33.3%
1/3 • Number of events 1
16.7%
1/6 • Number of events 1
33.3%
1/3 • Number of events 1
20.4%
10/49 • Number of events 11
Musculoskeletal and connective tissue disorders
Musculoskeletal
33.3%
1/3 • Number of events 1
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/49
Musculoskeletal and connective tissue disorders
Myalgia
66.7%
2/3 • Number of events 2
16.7%
1/6 • Number of events 1
33.3%
1/3 • Number of events 1
33.3%
2/6 • Number of events 2
0.00%
0/3
38.8%
19/49 • Number of events 23
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Musculoskeletal and connective tissue disorders
Pain in extremity
66.7%
2/3 • Number of events 2
33.3%
2/6 • Number of events 2
0.00%
0/3
0.00%
0/6
33.3%
1/3 • Number of events 1
10.2%
5/49 • Number of events 6
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specify
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
4.1%
2/49 • Number of events 3
Nervous system disorders
Ataxia
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/49
Nervous system disorders
Dizziness
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
16.3%
8/49 • Number of events 8
Nervous system disorders
Dysgeusia
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
6.1%
3/49 • Number of events 3
Nervous system disorders
Encephalopathy
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Nervous system disorders
Facial nerve disorder
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Nervous system disorders
Headache
33.3%
1/3 • Number of events 1
0.00%
0/6
33.3%
1/3 • Number of events 1
16.7%
1/6 • Number of events 1
33.3%
1/3 • Number of events 1
16.3%
8/49 • Number of events 8
Nervous system disorders
Ischemia cerebrovascular
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Nervous system disorders
Peripheral motor neuropathy
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/49
Nervous system disorders
Peripheral sensory neuropathy
33.3%
1/3 • Number of events 1
50.0%
3/6 • Number of events 3
0.00%
0/3
33.3%
2/6 • Number of events 4
33.3%
1/3 • Number of events 1
28.6%
14/49 • Number of events 14
Nervous system disorders
Somnolence
0.00%
0/3
0.00%
0/6
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
0.00%
0/49
Nervous system disorders
Tremor
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
6.1%
3/49 • Number of events 3
Psychiatric disorders
Agitation
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
33.3%
1/3 • Number of events 1
2.0%
1/49 • Number of events 1
Psychiatric disorders
Anxiety
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
4.1%
2/49 • Number of events 2
Psychiatric disorders
Confusion
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Psychiatric disorders
Depression
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
33.3%
1/3 • Number of events 1
2.0%
1/49 • Number of events 1
Psychiatric disorders
Hallucinations
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Psychiatric disorders
Insomnia
66.7%
2/3 • Number of events 2
16.7%
1/6 • Number of events 1
0.00%
0/3
33.3%
2/6 • Number of events 2
0.00%
0/3
22.4%
11/49 • Number of events 11
Psychiatric disorders
Psychiatric disorders - Other, specify
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Renal and urinary disorders
Cystitis
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Renal and urinary disorders
Glomerular filtration rate decreased
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Renal and urinary disorders
Hematuria (absence of vaginal bleeding)
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Renal and urinary disorders
Renal failure
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Renal and urinary disorders
Urinary frequency
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Reproductive system and breast disorders
Pelvic pain
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/49
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
4.1%
2/49 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Apnea
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/49
Respiratory, thoracic and mediastinal disorders
Cough
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
0.00%
0/6
33.3%
1/3 • Number of events 1
16.3%
8/49 • Number of events 8
Respiratory, thoracic and mediastinal disorders
Dyspnea
66.7%
2/3 • Number of events 2
0.00%
0/6
33.3%
1/3 • Number of events 1
33.3%
2/6 • Number of events 2
66.7%
2/3 • Number of events 2
12.2%
6/49 • Number of events 6
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.00%
0/3
16.7%
1/6 • Number of events 1
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Hemoptysis
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Hiccups
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
4.1%
2/49 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pneumonitis
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/49
Respiratory, thoracic and mediastinal disorders
Productive cough
0.00%
0/3
0.00%
0/6
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Skin and subcutaneous tissue disorders
Alopecia
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Skin and subcutaneous tissue disorders
Decubitus ulcer
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Skin and subcutaneous tissue disorders
Dry skin
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Skin and subcutaneous tissue disorders
Erythema multiforme
0.00%
0/3
16.7%
1/6 • Number of events 1
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
4.1%
2/49 • Number of events 2
Skin and subcutaneous tissue disorders
Hyperhidrosis
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
4.1%
2/49 • Number of events 2
Skin and subcutaneous tissue disorders
Nail disorder
0.00%
0/3
0.00%
0/6
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
0.00%
0/49
Skin and subcutaneous tissue disorders
Pain of skin
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/3
16.7%
1/6 • Number of events 1
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
6.1%
3/49 • Number of events 4
Skin and subcutaneous tissue disorders
Rash acneiform
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Skin and subcutaneous tissue disorders
Rash desquamating
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/49
Skin and subcutaneous tissue disorders
Rash maculo-papular
33.3%
1/3 • Number of events 1
16.7%
1/6 • Number of events 1
0.00%
0/3
33.3%
2/6 • Number of events 3
33.3%
1/3 • Number of events 1
20.4%
10/49 • Number of events 11
Skin and subcutaneous tissue disorders
Skin atrophy
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Skin and subcutaneous tissue disorders
Sweating
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
33.3%
1/3 • Number of events 1
2.0%
1/49 • Number of events 1
Vascular disorders
Flushing
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Vascular disorders
Hematoma
0.00%
0/3
0.00%
0/6
33.3%
1/3 • Number of events 1
0.00%
0/6
0.00%
0/3
0.00%
0/49
Vascular disorders
Hypertension
33.3%
1/3 • Number of events 1
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Vascular disorders
Hypotension
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
4.1%
2/49 • Number of events 2
Vascular disorders
Phlebitis
0.00%
0/3
0.00%
0/6
0.00%
0/3
0.00%
0/6
0.00%
0/3
2.0%
1/49 • Number of events 1
Vascular disorders
Thrombosis
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/3
0.00%
0/6
0.00%
0/3
8.2%
4/49 • Number of events 4

Additional Information

Shaji K. Kumar, M.D.

Mayo Clinic

Results disclosure agreements

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