Trial Outcomes & Findings for A Study Of Everolimus, Trastuzumab And Vinorelbine In HER2-Positive Breast Cancer Brain Metastases (NCT NCT01305941)

NCT ID: NCT01305941

Last Updated: 2018-12-17

Results Overview

response will be evaluated via gadolinium-enhanced brain MRI using modified RECIST criteria. Complete Response (CR) - Disappearance of all target and nontarget lesions Partial Response (PR) - at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum longest diameter AND an absolute decrease of at least 5mm in at least one target lesion. Stable Disease (SD) - neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum of the longest diameter since the treatment started. Progressive Disease (PD) - at least a 20% increase in the sum LD of target lesions, taking as reference the smallest sum of the longest diameter recorded since the treatment started AND an absolute increase in size of at least 5 mm in at least one target lesion OR the appearance of one or more new lesions of at least 6 mm in size.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

32 participants

Primary outcome timeframe

3 years

Results posted on

2018-12-17

Participant Flow

Subjects were recruited from 4 institutions between September, 2011 and May, 2016.

A total of 41 patients were consented to this study. Of these, 6 patients were found ineligible, 2 withdrew prior to treatment, and 1 patient has disease progression prior to protocol therapy. Therefore only 32 patients were enrolled and participated in the trial.

Participant milestones

Participant milestones
Measure
Everolimus +Vinorelbine + Trastuzumab
daily everolimus plus weekly (Days 1, 8, and 15) vinorelbine and trastuzumab Everolimus: everolimus 5 mg PO daily as two 2.5-mg tablets Vinorelbine: vinorelbine 25 mg/m2 will be administered via IV infusion over 6-10 minutes weekly. Trastuzumab: 2 mg/kg IV administered over 30 minutes weekly
Overall Study
STARTED
32
Overall Study
COMPLETED
22
Overall Study
NOT COMPLETED
10

Reasons for withdrawal

Reasons for withdrawal
Measure
Everolimus +Vinorelbine + Trastuzumab
daily everolimus plus weekly (Days 1, 8, and 15) vinorelbine and trastuzumab Everolimus: everolimus 5 mg PO daily as two 2.5-mg tablets Vinorelbine: vinorelbine 25 mg/m2 will be administered via IV infusion over 6-10 minutes weekly. Trastuzumab: 2 mg/kg IV administered over 30 minutes weekly
Overall Study
Adverse Event
6
Overall Study
Clinical decline
2
Overall Study
Withdrawal by Subject
1
Overall Study
Death
1

Baseline Characteristics

A Study Of Everolimus, Trastuzumab And Vinorelbine In HER2-Positive Breast Cancer Brain Metastases

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Everolimus +Vinorelbine + Trastuzumab
n=32 Participants
daily everolimus plus weekly (Days 1, 8, and 15) vinorelbine and trastuzumab Everolimus: everolimus 5 mg PO daily as two 2.5-mg tablets Vinorelbine: vinorelbine 25 mg/m2 will be administered via IV infusion over 6-10 minutes weekly. Trastuzumab: 2 mg/kg IV administered over 30 minutes weekly
Age, Continuous
53 years
n=5 Participants
Sex: Female, Male
Female
32 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
Race (NIH/OMB)
White
26 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Region of Enrollment
United States
32 Participants
n=5 Participants
Stage at breast cancer diagnosis
0-III
19 Participants
n=5 Participants
Stage at breast cancer diagnosis
IV
13 Participants
n=5 Participants
Median time since first brain metastases (years)
1.12 years
n=5 Participants
Prior Systemic Chemotherapy (metastatic)
30 Participants
n=5 Participants
Prior metastatic chemotherapy lines, # (range)
2 Metastatic Lines
n=5 Participants
Prior anti-Her2 (metastatic) Agents
Trastuzumab
29 Participants
n=5 Participants
Prior anti-Her2 (metastatic) Agents
Lapatinib
22 Participants
n=5 Participants
Prior anti-Her2 (metastatic) Agents
Pertuzumab
12 Participants
n=5 Participants
Prior anti-Her2 (metastatic) Agents
Trastuzumab Emtansine (TDM-1)
8 Participants
n=5 Participants
Prior Central Nervous System Local Therapy
Surgery
10 Participants
n=5 Participants
Prior Central Nervous System Local Therapy
Whole brain radiation therapy
22 Participants
n=5 Participants
Prior Central Nervous System Local Therapy
Stereotactic Radiosurgery (SRS)
17 Participants
n=5 Participants
Recursive Partitioning Analysis (RPA) Score
Class 1
10 Participants
n=5 Participants
Recursive Partitioning Analysis (RPA) Score
Class 2
21 Participants
n=5 Participants
Recursive Partitioning Analysis (RPA) Score
Class 3
1 Participants
n=5 Participants
Steroid use at baseline
10 Participants
n=5 Participants
Extracranial disease at enrollment
20 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 years

Population: Six subjects were not evaluable for response because there was no follow-up disease assessment done due to poor clinical status of subjects

response will be evaluated via gadolinium-enhanced brain MRI using modified RECIST criteria. Complete Response (CR) - Disappearance of all target and nontarget lesions Partial Response (PR) - at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum longest diameter AND an absolute decrease of at least 5mm in at least one target lesion. Stable Disease (SD) - neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum of the longest diameter since the treatment started. Progressive Disease (PD) - at least a 20% increase in the sum LD of target lesions, taking as reference the smallest sum of the longest diameter recorded since the treatment started AND an absolute increase in size of at least 5 mm in at least one target lesion OR the appearance of one or more new lesions of at least 6 mm in size.

Outcome measures

Outcome measures
Measure
Everolimus +Vinorelbine + Trastuzumab
n=26 Participants
daily everolimus plus weekly (Days 1, 8, and 15) vinorelbine and trastuzumab Everolimus: everolimus 5 mg PO daily as two 2.5-mg tablets Vinorelbine: vinorelbine 25 mg/m2 will be administered via IV infusion over 6-10 minutes weekly. Trastuzumab: 2 mg/kg IV administered over 30 minutes weekly
Intracranial Objective Response Rate- Modified RECIST Criteria
Complete Response
0 Participants
Intracranial Objective Response Rate- Modified RECIST Criteria
Partial Response
1 Participants
Intracranial Objective Response Rate- Modified RECIST Criteria
Stable Disease
17 Participants
Intracranial Objective Response Rate- Modified RECIST Criteria
Progressive Disease
8 Participants

SECONDARY outcome

Timeframe: 3 years

Population: Six subjects were not evaluable for response because there was no follow-up disease assessment done due to poor clinical status of subjects

Intracranial tumor lesions were evaluated via gadolinium-enhanced brain MRI using the MacDonald criteria. Measurable disease is defined as at least 1 measurable brain lesion accurately measured in at least 2 dimensions (longest diameter) as ≥5.0 mm. Tumor size is the product of the 2 longest bi-dimensional lines. Complete Response (CR)- Disappearance of all tumor on consecutive CT or MRI scans at least 1 month apart, off steroids for treatment of neurological symptoms, and neurologically stable or improved. Partial Response (PR)- ≥50% reduction in size of tumor on consecutive CT or MRI scans at least 1 month part, steroids stable or reduced, and neurologically stable or improved. Progressive Disease (PD)- ≥25% increase in size of tumor or any new tumor on CT or MRI scans, or neurologically worse, and steroids stable or increased due to neurologic symptoms. Stable Disease (SD)- all other situations Overall Response Rate (ORR) is the sum of partial responses (PRs) and CRs.

Outcome measures

Outcome measures
Measure
Everolimus +Vinorelbine + Trastuzumab
n=26 Participants
daily everolimus plus weekly (Days 1, 8, and 15) vinorelbine and trastuzumab Everolimus: everolimus 5 mg PO daily as two 2.5-mg tablets Vinorelbine: vinorelbine 25 mg/m2 will be administered via IV infusion over 6-10 minutes weekly. Trastuzumab: 2 mg/kg IV administered over 30 minutes weekly
Intracranial Response Rate- MacDonald Criteria
1 Participants

SECONDARY outcome

Timeframe: 24 weeks

Grade 3 or higher toxicities of interest are reported. Toxicity was assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v4. The NCI CTCAE is a descriptive terminology which can be utilized for Adverse Event (AE) reporting. A grading (severity) scale is provided for each AE term. Grade 1 Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2 Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental Activities of Daily Living (ADL). Grade 3 Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care ADL. Grade 4 Life-threatening consequences; urgent intervention indicated. Grade 5 Death related to AE.

Outcome measures

Outcome measures
Measure
Everolimus +Vinorelbine + Trastuzumab
n=32 Participants
daily everolimus plus weekly (Days 1, 8, and 15) vinorelbine and trastuzumab Everolimus: everolimus 5 mg PO daily as two 2.5-mg tablets Vinorelbine: vinorelbine 25 mg/m2 will be administered via IV infusion over 6-10 minutes weekly. Trastuzumab: 2 mg/kg IV administered over 30 minutes weekly
Toxicity
Alkaline phosphatase increased
1 Participants
Toxicity
Anemia
5 Participants
Toxicity
Anorexia
1 Participants
Toxicity
Asparate Aminotransferase Increased
2 Participants
Toxicity
Diarrhea
1 Participants
Toxicity
Febrile Neutropenia
2 Participants
Toxicity
Hyperkalemia
1 Participants
Toxicity
Lymphocyte Count Decreased
3 Participants
Toxicity
Mucositis Oral
5 Participants
Toxicity
Neutrophil Count Decreased
13 Participants
Toxicity
Pneumonitis
1 Participants
Toxicity
Sepsis
3 Participants
Toxicity
White Blood Cell Decreased
11 Participants

SECONDARY outcome

Timeframe: 3 years

Time to intracranial progression after administration of everolimus in combination with trastuzumab and vinorelbine as defined via modified RECIST criteria. Progressive Disease (PD) - at least a 20% increase in the sum LD of target lesions, taking as reference the smallest sum of the longest diameter recorded since the treatment started AND an absolute increase in size of at least 5 mm in at least one target lesion OR the appearance of one or more new lesions of at least 6 mm in size.

Outcome measures

Outcome measures
Measure
Everolimus +Vinorelbine + Trastuzumab
n=32 Participants
daily everolimus plus weekly (Days 1, 8, and 15) vinorelbine and trastuzumab Everolimus: everolimus 5 mg PO daily as two 2.5-mg tablets Vinorelbine: vinorelbine 25 mg/m2 will be administered via IV infusion over 6-10 minutes weekly. Trastuzumab: 2 mg/kg IV administered over 30 minutes weekly
Time to Intracranial Progression.
3.93 months
Interval 2.27 to 5.0

SECONDARY outcome

Timeframe: 3 years

Population: Seven subjects were not evaluable for extra-cranial response because there was no follow-up disease assessment done due to poor clinical status of subjects. An additional 12 subjects were excluded since they did not have extra-cranial disease at baseline and one additional subject was non compliant for follow-up scans.

Extracranial response was measured using RECIST 1.1 criteria and defined as the number of subjects achieving CR or PR. Complete Response (CR) - Disappearance of all target and nontarget lesions Partial Response (PR) - at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum longest diameter AND an absolute decrease of at least 5mm in at least one target lesion. Stable Disease (SD) - neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum of the longest diameter since the treatment started. Progressive Disease (PD) - at least a 20% increase in the sum LD of target lesions, taking as reference the smallest sum of the longest diameter recorded since the treatment started AND an absolute increase in size of at least 5 mm in at least one target lesion OR the appearance of one or more new lesions of at least 6 mm in size.

Outcome measures

Outcome measures
Measure
Everolimus +Vinorelbine + Trastuzumab
n=12 Participants
daily everolimus plus weekly (Days 1, 8, and 15) vinorelbine and trastuzumab Everolimus: everolimus 5 mg PO daily as two 2.5-mg tablets Vinorelbine: vinorelbine 25 mg/m2 will be administered via IV infusion over 6-10 minutes weekly. Trastuzumab: 2 mg/kg IV administered over 30 minutes weekly
Extracranial Response
5 Participants

SECONDARY outcome

Timeframe: 3 years

Population: Seven subjects were not evaluable for extra-cranial response due to no follow-up disease assessments due to poor clinical status; 12 subjects were excluded since they did not have extra-cranial disease at baseline; 1 subject was non compliant for follow-up scans; and 1 subject was excluded due to intracranial progression prior to extracranial.

To evaluate the extracranial time to progression as determined by RECIST 1.1 criteria after administration of everolimus in combination with trastuzumab and vinorelbine. Progressive Disease (PD) - at least a 20% increase in the sum LD of target lesions, taking as reference the smallest sum of the longest diameter recorded since the treatment started AND an absolute increase in size of at least 5 mm in at least one target lesion OR the appearance of one or more new lesions of at least 6 mm in size.

Outcome measures

Outcome measures
Measure
Everolimus +Vinorelbine + Trastuzumab
n=6 Participants
daily everolimus plus weekly (Days 1, 8, and 15) vinorelbine and trastuzumab Everolimus: everolimus 5 mg PO daily as two 2.5-mg tablets Vinorelbine: vinorelbine 25 mg/m2 will be administered via IV infusion over 6-10 minutes weekly. Trastuzumab: 2 mg/kg IV administered over 30 minutes weekly
Extracranial Time to Progression
4.01 months
Interval 1.97 to 8.26

SECONDARY outcome

Timeframe: 3 years

Overall survival (OS) after administration of everolimus in combination with trastuzumab and vinorelbine

Outcome measures

Outcome measures
Measure
Everolimus +Vinorelbine + Trastuzumab
n=32 Participants
daily everolimus plus weekly (Days 1, 8, and 15) vinorelbine and trastuzumab Everolimus: everolimus 5 mg PO daily as two 2.5-mg tablets Vinorelbine: vinorelbine 25 mg/m2 will be administered via IV infusion over 6-10 minutes weekly. Trastuzumab: 2 mg/kg IV administered over 30 minutes weekly
Overall Survival
1.01 years
Interval 0.57 to 1.78

SECONDARY outcome

Timeframe: 9 weeks

Population: Quality of life was an optional assessment for patients, so results are only reported for subjects who completed questionnaires at each timepoint

The FACT-Br is a 23-question self-report questionnaire subscale administered with the Functional Assessment of Cancer Therapy- General (FACT-G) which contains concerns relevant to patients with brain tumors . Each question has a value 0-4. For some questions a higher indicates better outcome and others are the opposite. The former are summed as is, the latter are reversed in value before adding, such that each domain ranges from 0 to 4 times the number of questions in the domain, with 0 indicating worst and the highest possible value indicating best outcome. Total scores on the FACT-Br subscale range from 0 to 92 with lower scores indicating declining quality of life. The change from baseline is the difference in scores between the baseline and 9 week assessments.

Outcome measures

Outcome measures
Measure
Everolimus +Vinorelbine + Trastuzumab
n=9 Participants
daily everolimus plus weekly (Days 1, 8, and 15) vinorelbine and trastuzumab Everolimus: everolimus 5 mg PO daily as two 2.5-mg tablets Vinorelbine: vinorelbine 25 mg/m2 will be administered via IV infusion over 6-10 minutes weekly. Trastuzumab: 2 mg/kg IV administered over 30 minutes weekly
Functional Assessment of Cancer Therapy- Brain (FACT-Br) Change From Baseline to Assess Impact of Everolimus in Combination With Trastuzumab and Vinorelbine on Quality of Life
-1.0 units on a scale
Interval -5.0 to 4.8

SECONDARY outcome

Timeframe: 9 weeks

Population: Quality of life was an optional assessment for patients, so results are only reported for subjects who completed questionnaires at each timepoint

The FACT-B is a 10-question self-report questionnaire subscale administered with the Functional Assessment of Cancer Therapy- General (FACT-G) which contains concerns relevant to patients with breast cancer. Each question has a value 0-4. For some questions a higher indicates better outcome and others are the opposite. The former are summed as is, the latter are reversed in value before adding, such that each domain ranges from 0 to 4 times the number of questions in the domain, with 0 indicating worst and the highest possible value indicating best outcome. Total scores on the FACT-B subscale range from 0 to 40 with lower scores indicating declining quality of life. The change from baseline is the difference in scores between the baseline and 9 week assessments.

Outcome measures

Outcome measures
Measure
Everolimus +Vinorelbine + Trastuzumab
n=11 Participants
daily everolimus plus weekly (Days 1, 8, and 15) vinorelbine and trastuzumab Everolimus: everolimus 5 mg PO daily as two 2.5-mg tablets Vinorelbine: vinorelbine 25 mg/m2 will be administered via IV infusion over 6-10 minutes weekly. Trastuzumab: 2 mg/kg IV administered over 30 minutes weekly
Functional Assessment Cancer Therapy- Breast (FACT-B) From Baseline to 9 Weeks of Treatment to Assess Impact of Everolimus in Combination With Trastuzumab and Vinorelbine on Quality of Life
1.0 units on a scale
Interval -2.0 to 3.0

Adverse Events

Everolimus +Vinorelbine + Trastuzumab

Serious events: 13 serious events
Other events: 32 other events
Deaths: 29 deaths

Serious adverse events

Serious adverse events
Measure
Everolimus +Vinorelbine + Trastuzumab
n=32 participants at risk
daily everolimus plus weekly (Days 1, 8, and 15) vinorelbine and trastuzumab Everolimus: everolimus 5 mg PO daily as two 2.5-mg tablets Vinorelbine: vinorelbine 25 mg/m2 will be administered via IV infusion over 6-10 minutes weekly. Trastuzumab: 2 mg/kg IV administered over 30 minutes weekly
Endocrine disorders
Adrenal Insufficiency
3.1%
1/32 • 24 weeks
Immune system disorders
Anaphylaxis
3.1%
1/32 • 24 weeks
Blood and lymphatic system disorders
Anemia
3.1%
1/32 • 24 weeks
Musculoskeletal and connective tissue disorders
Bone Pain
3.1%
1/32 • 24 weeks
Psychiatric disorders
Confusion
3.1%
1/32 • 24 weeks
Investigations
Creatinine Increased
6.2%
2/32 • 24 weeks
General disorders
Fever
6.2%
2/32 • 24 weeks
Metabolism and nutrition disorders
Hyperkalemia
3.1%
1/32 • 24 weeks
Metabolism and nutrition disorders
Hyperuricemia
3.1%
1/32 • 24 weeks
Vascular disorders
Hypotension
3.1%
1/32 • 24 weeks
Respiratory, thoracic and mediastinal disorders
Hypoxia
3.1%
1/32 • 24 weeks
General disorders
Infusion related reaction
3.1%
1/32 • 24 weeks
Respiratory, thoracic and mediastinal disorders
Laryngeal Hemorrhage
3.1%
1/32 • 24 weeks
Infections and infestations
Lung Infection
3.1%
1/32 • 24 weeks
Musculoskeletal and connective tissue disorders
Muscle Weakness Lower Limb
3.1%
1/32 • 24 weeks
General disorders
Pain
3.1%
1/32 • 24 weeks
Respiratory, thoracic and mediastinal disorders
Pneumonitis
3.1%
1/32 • 24 weeks
Nervous system disorders
Seizure
6.2%
2/32 • 24 weeks
Infections and infestations
Sepsis
9.4%
3/32 • 24 weeks
Nervous system disorders
Tremor
3.1%
1/32 • 24 weeks
Infections and infestations
Upper Respiratory Infection
3.1%
1/32 • 24 weeks
Gastrointestinal disorders
Vomiting
3.1%
1/32 • 24 weeks

Other adverse events

Other adverse events
Measure
Everolimus +Vinorelbine + Trastuzumab
n=32 participants at risk
daily everolimus plus weekly (Days 1, 8, and 15) vinorelbine and trastuzumab Everolimus: everolimus 5 mg PO daily as two 2.5-mg tablets Vinorelbine: vinorelbine 25 mg/m2 will be administered via IV infusion over 6-10 minutes weekly. Trastuzumab: 2 mg/kg IV administered over 30 minutes weekly
Gastrointestinal disorders
Abdominal pain
6.2%
2/32 • 24 weeks
Renal and urinary disorders
Acute kidney injury
6.2%
2/32 • 24 weeks
Investigations
Alanine aminotransferase increased
28.1%
9/32 • 24 weeks
Investigations
Alkaline phosphatase increased
12.5%
4/32 • 24 weeks
Skin and subcutaneous tissue disorders
Alopecia
12.5%
4/32 • 24 weeks
Blood and lymphatic system disorders
Anemia
34.4%
11/32 • 24 weeks
Metabolism and nutrition disorders
Anorexia
31.2%
10/32 • 24 weeks
Psychiatric disorders
Anxiety
9.4%
3/32 • 24 weeks
Investigations
Aspartate aminotransferase increased
28.1%
9/32 • 24 weeks
Musculoskeletal and connective tissue disorders
Back pain
9.4%
3/32 • 24 weeks
Investigations
Blood bilirubin increased
9.4%
3/32 • 24 weeks
Musculoskeletal and connective tissue disorders
Bone pain
6.2%
2/32 • 24 weeks
Injury, poisoning and procedural complications
Bruising
6.2%
2/32 • 24 weeks
Gastrointestinal disorders
Constipation
37.5%
12/32 • 24 weeks
Respiratory, thoracic and mediastinal disorders
Cough
18.8%
6/32 • 24 weeks
Investigations
Creatinine increased
9.4%
3/32 • 24 weeks
Psychiatric disorders
Depression
15.6%
5/32 • 24 weeks
Gastrointestinal disorders
Diarrhea
25.0%
8/32 • 24 weeks
Nervous system disorders
Dizziness
6.2%
2/32 • 24 weeks
Nervous system disorders
Dysphasia
6.2%
2/32 • 24 weeks
Respiratory, thoracic and mediastinal disorders
Dyspnea
9.4%
3/32 • 24 weeks
General disorders
Edema limbs
9.4%
3/32 • 24 weeks
Respiratory, thoracic and mediastinal disorders
Epistaxis
9.4%
3/32 • 24 weeks
Eye disorders
Eye Disorders - Other, Specify
6.2%
2/32 • 24 weeks
Injury, poisoning and procedural complications
Fall
6.2%
2/32 • 24 weeks
General disorders
Fatigue
43.8%
14/32 • 24 weeks
Blood and lymphatic system disorders
Febrile neutropenia
6.2%
2/32 • 24 weeks
Musculoskeletal and connective tissue disorders
Flank pain
6.2%
2/32 • 24 weeks
General disorders
Flu like symptoms
6.2%
2/32 • 24 weeks
Gastrointestinal disorders
Gastroesophageal reflux disease
6.2%
2/32 • 24 weeks
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
9.4%
3/32 • 24 weeks
Nervous system disorders
Headache
34.4%
11/32 • 24 weeks
Metabolism and nutrition disorders
Hyperglycemia
12.5%
4/32 • 24 weeks
Vascular disorders
Hypertension
6.2%
2/32 • 24 weeks
Metabolism and nutrition disorders
Hypoalbuminemia
6.2%
2/32 • 24 weeks
Metabolism and nutrition disorders
Hypocalcemia
6.2%
2/32 • 24 weeks
Metabolism and nutrition disorders
Hypokalemia
15.6%
5/32 • 24 weeks
Infections and infestations
Infections And Infestations - Other, Specify
6.2%
2/32 • 24 weeks
Psychiatric disorders
Insomnia
18.8%
6/32 • 24 weeks
Investigations
Lymphocyte count decreased
18.8%
6/32 • 24 weeks
Nervous system disorders
Memory impairment
6.2%
2/32 • 24 weeks
Infections and infestations
Mucosal infection
6.2%
2/32 • 24 weeks
Gastrointestinal disorders
Mucositis oral
65.6%
21/32 • 24 weeks
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
6.2%
2/32 • 24 weeks
Musculoskeletal and connective tissue disorders
Musculoskeletal And Connective Tissue Disorder - Other, Specify
18.8%
6/32 • 24 weeks
Musculoskeletal and connective tissue disorders
Myalgia
9.4%
3/32 • 24 weeks
Respiratory, thoracic and mediastinal disorders
Nasal congestion
9.4%
3/32 • 24 weeks
Gastrointestinal disorders
Nausea
21.9%
7/32 • 24 weeks
Investigations
Neutrophil count decreased
53.1%
17/32 • 24 weeks
General disorders
Pain
21.9%
7/32 • 24 weeks
Musculoskeletal and connective tissue disorders
Pain in extremity
6.2%
2/32 • 24 weeks
Infections and infestations
Papulopustular rash
6.2%
2/32 • 24 weeks
Nervous system disorders
Peripheral sensory neuropathy
28.1%
9/32 • 24 weeks
Investigations
Platelet count decreased
21.9%
7/32 • 24 weeks
Respiratory, thoracic and mediastinal disorders
Pneumonitis
6.2%
2/32 • 24 weeks
Renal and urinary disorders
Proteinuria
6.2%
2/32 • 24 weeks
Skin and subcutaneous tissue disorders
Pruritus
6.2%
2/32 • 24 weeks
Skin and subcutaneous tissue disorders
Rash acneiform
18.8%
6/32 • 24 weeks
Skin and subcutaneous tissue disorders
Rash maculo-papular
9.4%
3/32 • 24 weeks
Respiratory, thoracic and mediastinal disorders
Respiratory, Thoracic And Mediastinal Disorders - Other, Specify
6.2%
2/32 • 24 weeks
Skin and subcutaneous tissue disorders
Skin And Subcutaneous Tissue Disorders - Other, Specify
6.2%
2/32 • 24 weeks
Respiratory, thoracic and mediastinal disorders
Sore throat
6.2%
2/32 • 24 weeks
Infections and infestations
Upper respiratory infection
12.5%
4/32 • 24 weeks
Infections and infestations
Urinary tract infection
25.0%
8/32 • 24 weeks
Gastrointestinal disorders
Vomiting
12.5%
4/32 • 24 weeks
Investigations
Weight loss
6.2%
2/32 • 24 weeks
Investigations
White blood cell decreased
46.9%
15/32 • 24 weeks

Additional Information

Robin V. Johnson

UNC Comprehensive Cancer Center

Phone: 919-966-1125

Results disclosure agreements

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

Restriction type: GT60