Trial Outcomes & Findings for Imatinib and Rituximab in Treating Cutaneous Sclerosis in Patients With Chronic Graft-Versus-Host Disease (NCT NCT01309997)

NCT ID: NCT01309997

Last Updated: 2016-06-15

Results Overview

Assessed by decline in an affected area's skin score as measured with the Vienna Skin Scale (from 4 \[worst\] to 2, 3 to 1, or 2 to 0 \[best\]) without a concurrent increase of two or more points in another area OR by an increase in the range of motion of the shoulders, elbows or wrists by two points (in a 1-7 scale where 1 is worst and 7 is best) or of the ankles by one point (in a 1 to 4 scale where 1 is worst and 4 is best) without a concurrent worsening in another area.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

72 participants

Primary outcome timeframe

6 months

Results posted on

2016-06-15

Participant Flow

Participant milestones

Participant milestones
Measure
Arm I (Enzyme Inhibitor)
Patients receive imatinib mesylate PO QD for 6 months in the absence of progression of sclerosis or unacceptable toxicity. During the 6mo study treatment period, if drug intolerance or disease progression is observed, they are crossed over to rituximab.
Arm II (Monoclonal Antibody)
Patients receive rituximab IV on days 1, 8, 15, and 22. A second treatment cycle is repeated at 3 months for a total of 8 doses of rituximab in the absence of progression of sclerosis or unacceptable toxicity. During the 6mo study treatment period, if drug intolerance or disease progression is observed, they are crossed over to imatinib.
Overall Study
STARTED
35
37
Overall Study
Remained on First Arm Only
16
14
Overall Study
Crossed Over to Second Arm
19
23
Overall Study
COMPLETED
30
31
Overall Study
NOT COMPLETED
5
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm I (Enzyme Inhibitor)
Patients receive imatinib mesylate PO QD for 6 months in the absence of progression of sclerosis or unacceptable toxicity. During the 6mo study treatment period, if drug intolerance or disease progression is observed, they are crossed over to rituximab.
Arm II (Monoclonal Antibody)
Patients receive rituximab IV on days 1, 8, 15, and 22. A second treatment cycle is repeated at 3 months for a total of 8 doses of rituximab in the absence of progression of sclerosis or unacceptable toxicity. During the 6mo study treatment period, if drug intolerance or disease progression is observed, they are crossed over to imatinib.
Overall Study
Adverse Event
1
0
Overall Study
Death
1
3
Overall Study
Lack of Efficacy
2
2
Overall Study
Withdrawal by Subject
1
1

Baseline Characteristics

Imatinib and Rituximab in Treating Cutaneous Sclerosis in Patients With Chronic Graft-Versus-Host Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm I (Enzyme Inhibitor)
n=35 Participants
Patients receive imatinib mesylate PO QD for 6 months in the absence of progression of sclerosis or unacceptable toxicity. During the 6mo study treatment period, if drug intolerance or disease progression is observed, they are crossed over to rituximab.
Arm II (Monoclonal Antibody)
n=37 Participants
Patients receive rituximab IV on days 1, 8, 15, and 22. A second treatment cycle is repeated at 3 months for a total of 8 doses of rituximab in the absence of progression of sclerosis or unacceptable toxicity. TDuring the 6mo study treatment period, if drug intolerance or disease progression is observed, they are crossed over to imatinib.
Total
n=72 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
31 Participants
n=5 Participants
30 Participants
n=7 Participants
61 Participants
n=5 Participants
Age, Categorical
>=65 years
4 Participants
n=5 Participants
7 Participants
n=7 Participants
11 Participants
n=5 Participants
Sex: Female, Male
Female
18 Participants
n=5 Participants
22 Participants
n=7 Participants
40 Participants
n=5 Participants
Sex: Female, Male
Male
17 Participants
n=5 Participants
15 Participants
n=7 Participants
32 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 months

Population: Patients were not eligible for evaluation if they discontinued participation or had missing 6 mo data.

Assessed by decline in an affected area's skin score as measured with the Vienna Skin Scale (from 4 \[worst\] to 2, 3 to 1, or 2 to 0 \[best\]) without a concurrent increase of two or more points in another area OR by an increase in the range of motion of the shoulders, elbows or wrists by two points (in a 1-7 scale where 1 is worst and 7 is best) or of the ankles by one point (in a 1 to 4 scale where 1 is worst and 4 is best) without a concurrent worsening in another area.

Outcome measures

Outcome measures
Measure
Arm I (Enzyme Inhibitor)
n=30 Participants
Patients who were randomized to receive imatinib mesylate PO QD for 6 months in the absence of progression of sclerosis or unacceptable toxicity.
Arm II (Monoclonal Antibody)
n=31 Participants
Patients who were randomized to receive rituximab IV on days 1, 8, 15, and 22. A second treatment cycle was repeated at 3 months for a total of 8 doses of rituximab in the absence of progression of sclerosis or unacceptable toxicity.
Imatinib Responders
Attained a SCR with imatinib
Imatinib Nonresponders
Did not attain a SCR with imatinib
Significant Clinical Response
9 participants
10 participants

SECONDARY outcome

Timeframe: 6 months

Population: Patients with no corticosteroid dose data missing from baseline or 6mo.

Patients who achieved a greater than or equal to 50% reduction in the daily corticosteroid dose at 6mo compared to baseline

Outcome measures

Outcome measures
Measure
Arm I (Enzyme Inhibitor)
n=27 Participants
Patients who were randomized to receive imatinib mesylate PO QD for 6 months in the absence of progression of sclerosis or unacceptable toxicity.
Arm II (Monoclonal Antibody)
n=32 Participants
Patients who were randomized to receive rituximab IV on days 1, 8, 15, and 22. A second treatment cycle was repeated at 3 months for a total of 8 doses of rituximab in the absence of progression of sclerosis or unacceptable toxicity.
Imatinib Responders
Attained a SCR with imatinib
Imatinib Nonresponders
Did not attain a SCR with imatinib
Patients Who Were Able to Taper Corticosteroids
7 participants
9 participants

SECONDARY outcome

Timeframe: 6 months

Population: Only patients who were evaluable for SCR are included.

Defined as discontinuation of randomized treatment due to chronic GVHD progression or treatment intolerance or no significant clinical response in sclerosis.

Outcome measures

Outcome measures
Measure
Arm I (Enzyme Inhibitor)
n=30 Participants
Patients who were randomized to receive imatinib mesylate PO QD for 6 months in the absence of progression of sclerosis or unacceptable toxicity.
Arm II (Monoclonal Antibody)
n=31 Participants
Patients who were randomized to receive rituximab IV on days 1, 8, 15, and 22. A second treatment cycle was repeated at 3 months for a total of 8 doses of rituximab in the absence of progression of sclerosis or unacceptable toxicity.
Imatinib Responders
Attained a SCR with imatinib
Imatinib Nonresponders
Did not attain a SCR with imatinib
Cumulative Incidence of Treatment Failure
24 participants
26 participants

SECONDARY outcome

Timeframe: 6 months

Population: Only patients evaluable at 6 mo are included.

Assessed by decrease of \>= 0.2 units (where 0 is best and 3.0 is worst ) in the Scleroderma Health Assessment Questionnaire (SHAQ).

Outcome measures

Outcome measures
Measure
Arm I (Enzyme Inhibitor)
n=30 Participants
Patients who were randomized to receive imatinib mesylate PO QD for 6 months in the absence of progression of sclerosis or unacceptable toxicity.
Arm II (Monoclonal Antibody)
n=31 Participants
Patients who were randomized to receive rituximab IV on days 1, 8, 15, and 22. A second treatment cycle was repeated at 3 months for a total of 8 doses of rituximab in the absence of progression of sclerosis or unacceptable toxicity.
Imatinib Responders
Attained a SCR with imatinib
Imatinib Nonresponders
Did not attain a SCR with imatinib
Number of Patients Achieving Improvement in Cutaneous Sclerosis
2 participants
9 participants

SECONDARY outcome

Timeframe: Enrollment

Population: Only patients with skin biopsies at enrollment are included.

Instrument: Nash dermal fibrosis grade. Measures extent of sclerosis in skin biopsies by histologic examination. Scale ranges from grade 0-5. Nash grade 5 is most severe fibrosis (0 is better outcome, 5 is worse outcome). No subscales are used in Nash grade. Please see table 1 in the reference for grading of dermal fibrosis. Nash RA, McSweeney PA, Crofford LJ, Abidi M, Chen CS, Godwin JD, et al. High-dose immunosuppressive therapy and autologous hematopoietic cell transplantation for severe systemic sclerosis: long-term follow-up of the US multicenter pilot study. Blood 2007;110:1388-96.

Outcome measures

Outcome measures
Measure
Arm I (Enzyme Inhibitor)
n=32 Participants
Patients who were randomized to receive imatinib mesylate PO QD for 6 months in the absence of progression of sclerosis or unacceptable toxicity.
Arm II (Monoclonal Antibody)
n=31 Participants
Patients who were randomized to receive rituximab IV on days 1, 8, 15, and 22. A second treatment cycle was repeated at 3 months for a total of 8 doses of rituximab in the absence of progression of sclerosis or unacceptable toxicity.
Imatinib Responders
Attained a SCR with imatinib
Imatinib Nonresponders
Did not attain a SCR with imatinib
Baseline Histopathologic Score in the Two Treatment Arms
2 units on a scale
Interval 0.0 to 5.0
2 units on a scale
Interval 0.0 to 5.0

SECONDARY outcome

Timeframe: 6 months

Population: Only patients who were evaluable at 6mo are included.

Maximum of 10 body areas. Each area can be graded 0 (best) to 4 (worst). Each of those grades requires a percentage of involvement. Improvement is measured by reduction of involvement in any grade and any body area.

Outcome measures

Outcome measures
Measure
Arm I (Enzyme Inhibitor)
n=30 Participants
Patients who were randomized to receive imatinib mesylate PO QD for 6 months in the absence of progression of sclerosis or unacceptable toxicity.
Arm II (Monoclonal Antibody)
n=31 Participants
Patients who were randomized to receive rituximab IV on days 1, 8, 15, and 22. A second treatment cycle was repeated at 3 months for a total of 8 doses of rituximab in the absence of progression of sclerosis or unacceptable toxicity.
Imatinib Responders
Attained a SCR with imatinib
Imatinib Nonresponders
Did not attain a SCR with imatinib
Patients With Any Percentage Decline in Any Grade of Sclerosis Without Increase in Percentage of Higher Grades of Sclerosis in Other Areas on the Vienna Skin Scale
14 participants
9 participants

SECONDARY outcome

Timeframe: 6 months

%CD27+ B cells

Outcome measures

Outcome measures
Measure
Arm I (Enzyme Inhibitor)
n=3 Participants
Patients who were randomized to receive imatinib mesylate PO QD for 6 months in the absence of progression of sclerosis or unacceptable toxicity.
Arm II (Monoclonal Antibody)
n=10 Participants
Patients who were randomized to receive rituximab IV on days 1, 8, 15, and 22. A second treatment cycle was repeated at 3 months for a total of 8 doses of rituximab in the absence of progression of sclerosis or unacceptable toxicity.
Imatinib Responders
n=3 Participants
Attained a SCR with imatinib
Imatinib Nonresponders
n=11 Participants
Did not attain a SCR with imatinib
Percentage of CD27+ B Cells in Responders (SCR) and Non-responders
10 percentage of CD27+ B cells
Interval 5.0 to 17.0
4.3 percentage of CD27+ B cells
Interval 0.0 to 9.0
14.2 percentage of CD27+ B cells
Interval 5.2 to 21.6
17.1 percentage of CD27+ B cells
Interval 4.8 to 23.7

Adverse Events

Imatinib as Initial Therapy

Serious events: 11 serious events
Other events: 12 other events
Deaths: 0 deaths

Rituximab as Initial Therapy

Serious events: 19 serious events
Other events: 12 other events
Deaths: 0 deaths

Imatinib as Secondary Therapy

Serious events: 19 serious events
Other events: 21 other events
Deaths: 0 deaths

Rituximab as Secondary Therapy

Serious events: 15 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Imatinib as Initial Therapy
n=35 participants at risk
Arm I = imatinib, adverse event occurred after the start date of imatinib and if applicable, prior to start date of rituximab.
Rituximab as Initial Therapy
n=37 participants at risk
Arm I = rituximab, adverse event occurred after the start date of rituximab and if applicable, prior to start date of imatinib.
Imatinib as Secondary Therapy
n=23 participants at risk
Arm II = imatinib, adverse event occurred after the start date of imatinib. (All participants in this group received rituximab prior).
Rituximab as Secondary Therapy
n=19 participants at risk
Arm II = rituximab, adverse event occurred after the start date of rituximab. (All participants in this group received imatinib prior).
Blood and lymphatic system disorders
Febrile Neutropenia
0.00%
0/35 • 18 months
2.7%
1/37 • Number of events 1 • 18 months
0.00%
0/23 • 18 months
5.3%
1/19 • Number of events 1 • 18 months
Blood and lymphatic system disorders
INR increased
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
0.00%
0/23 • 18 months
5.3%
1/19 • Number of events 1 • 18 months
Blood and lymphatic system disorders
Neutropenia
2.9%
1/35 • Number of events 1 • 18 months
5.4%
2/37 • Number of events 2 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
10.5%
2/19 • Number of events 2 • 18 months
Cardiac disorders
Aortic valve disease
0.00%
0/35 • 18 months
2.7%
1/37 • Number of events 1 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
Cardiac disorders
Other, specify: congestive heart failure
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
0.00%
0/23 • 18 months
5.3%
1/19 • Number of events 1 • 18 months
Cardiac disorders
Other, specify: coronary vasculopathy
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months
Gastrointestinal disorders
Diarrhea
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months
Gastrointestinal disorders
Mucositis oral
0.00%
0/35 • 18 months
2.7%
1/37 • Number of events 1 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
Gastrointestinal disorders
Vomiting
0.00%
0/35 • 18 months
2.7%
1/37 • Number of events 1 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
General disorders
Edema limbs
2.9%
1/35 • Number of events 1 • 18 months
0.00%
0/37 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
General disorders
Fatigue
0.00%
0/35 • 18 months
2.7%
1/37 • Number of events 1 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
General disorders
Fever
0.00%
0/35 • 18 months
2.7%
1/37 • Number of events 1 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
5.3%
1/19 • Number of events 1 • 18 months
General disorders
Flu like symptoms
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
General disorders
Other, specify: Pneumoperitoneum
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months
Infections and infestations
Lung infection
5.7%
2/35 • Number of events 2 • 18 months
5.4%
2/37 • Number of events 3 • 18 months
17.4%
4/23 • Number of events 4 • 18 months
5.3%
1/19 • Number of events 1 • 18 months
Infections and infestations
Other specify: Norovirus
2.9%
1/35 • Number of events 1 • 18 months
0.00%
0/37 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
Infections and infestations
Other, specify: unknown etiology
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
0.00%
0/23 • 18 months
5.3%
1/19 • Number of events 2 • 18 months
Infections and infestations
Sepsis
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
8.7%
2/23 • Number of events 2 • 18 months
0.00%
0/19 • 18 months
Infections and infestations
Skin infection
2.9%
1/35 • Number of events 1 • 18 months
0.00%
0/37 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
Infections and infestations
Urinary tract infection
0.00%
0/35 • 18 months
2.7%
1/37 • Number of events 1 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
Injury, poisoning and procedural complications
Fracture
0.00%
0/35 • 18 months
2.7%
1/37 • Number of events 1 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
Metabolism and nutrition disorders
Anorexia
0.00%
0/35 • 18 months
2.7%
1/37 • Number of events 1 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
Metabolism and nutrition disorders
Dehydration
0.00%
0/35 • 18 months
2.7%
1/37 • Number of events 1 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months
Metabolism and nutrition disorders
Hyperglycemia
2.9%
1/35 • Number of events 1 • 18 months
0.00%
0/37 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
Musculoskeletal and connective tissue disorders
Avascular necrosis
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
0.00%
0/23 • 18 months
5.3%
1/19 • Number of events 1 • 18 months
Musculoskeletal and connective tissue disorders
Other, specify: mastectomy
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
0.00%
0/23 • 18 months
5.3%
1/19 • Number of events 1 • 18 months
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Other, specify: brain tumor
0.00%
0/35 • 18 months
2.7%
1/37 • Number of events 1 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
Renal and urinary disorders
Acute kidney injury
2.9%
1/35 • Number of events 1 • 18 months
0.00%
0/37 • 18 months
0.00%
0/23 • 18 months
5.3%
1/19 • Number of events 2 • 18 months
Respiratory, thoracic and mediastinal disorders
Dyspnea
0.00%
0/35 • 18 months
5.4%
2/37 • Number of events 2 • 18 months
8.7%
2/23 • Number of events 3 • 18 months
0.00%
0/19 • 18 months
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
0.00%
0/23 • 18 months
5.3%
1/19 • Number of events 1 • 18 months
Respiratory, thoracic and mediastinal disorders
Pneumonitis
2.9%
1/35 • Number of events 1 • 18 months
2.7%
1/37 • Number of events 2 • 18 months
0.00%
0/23 • 18 months
5.3%
1/19 • Number of events 1 • 18 months
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months
Respiratory, thoracic and mediastinal disorders
Respiratory failure
5.7%
2/35 • Number of events 2 • 18 months
0.00%
0/37 • 18 months
13.0%
3/23 • Number of events 3 • 18 months
0.00%
0/19 • 18 months
Vascular disorders
Hypotension
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
0.00%
0/23 • 18 months
5.3%
1/19 • Number of events 1 • 18 months
Vascular disorders
Thromboembolic event
0.00%
0/35 • 18 months
2.7%
1/37 • Number of events 1 • 18 months
0.00%
0/23 • 18 months
5.3%
1/19 • Number of events 1 • 18 months

Other adverse events

Other adverse events
Measure
Imatinib as Initial Therapy
n=35 participants at risk
Arm I = imatinib, adverse event occurred after the start date of imatinib and if applicable, prior to start date of rituximab.
Rituximab as Initial Therapy
n=37 participants at risk
Arm I = rituximab, adverse event occurred after the start date of rituximab and if applicable, prior to start date of imatinib.
Imatinib as Secondary Therapy
n=23 participants at risk
Arm II = imatinib, adverse event occurred after the start date of imatinib. (All participants in this group received rituximab prior).
Rituximab as Secondary Therapy
n=19 participants at risk
Arm II = rituximab, adverse event occurred after the start date of rituximab. (All participants in this group received imatinib prior).
Blood and lymphatic system disorders
Anemia
2.9%
1/35 • Number of events 1 • 18 months
0.00%
0/37 • 18 months
4.3%
1/23 • Number of events 4 • 18 months
5.3%
1/19 • Number of events 1 • 18 months
General disorders
Infusion related reaction
0.00%
0/35 • 18 months
2.7%
1/37 • Number of events 1 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
General disorders
Pain
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months
Eye disorders
Retinal detachment
2.9%
1/35 • Number of events 1 • 18 months
0.00%
0/37 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
Gastrointestinal disorders
Nausea
2.9%
1/35 • Number of events 1 • 18 months
0.00%
0/37 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
Infections and infestations
Lung infection
2.9%
1/35 • Number of events 1 • 18 months
0.00%
0/37 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months
Infections and infestations
Skin infection
0.00%
0/35 • 18 months
2.7%
1/37 • Number of events 1 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
Investigations
Alanine aminotransferase increased
2.9%
1/35 • Number of events 1 • 18 months
0.00%
0/37 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
Investigations
Aspartate aminotransferase increased
2.9%
1/35 • Number of events 1 • 18 months
0.00%
0/37 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
Investigations
Creatinine increased
2.9%
1/35 • Number of events 1 • 18 months
0.00%
0/37 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months
Investigations
White blood cell decreased
2.9%
1/35 • Number of events 1 • 18 months
2.7%
1/37 • Number of events 1 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
Investigations
Forced expiratory volume decreased
0.00%
0/35 • 18 months
2.7%
1/37 • Number of events 1 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months
Investigations
Lymphocyte count decreased
0.00%
0/35 • 18 months
2.7%
1/37 • Number of events 2 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months
Investigations
Neutrophil count decreased
0.00%
0/35 • 18 months
2.7%
1/37 • Number of events 1 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months
Metabolism and nutrition disorders
Anorexia
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months
Metabolism and nutrition disorders
Hyperglycemia
0.00%
0/35 • 18 months
8.1%
3/37 • Number of events 4 • 18 months
13.0%
3/23 • Number of events 3 • 18 months
0.00%
0/19 • 18 months
Metabolism and nutrition disorders
Hypophosphatemia
5.7%
2/35 • Number of events 2 • 18 months
2.7%
1/37 • Number of events 2 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months
Musculoskeletal and connective tissue disorders
Avascular necrosis
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
4.3%
1/23 • Number of events 2 • 18 months
0.00%
0/19 • 18 months
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Treatment related secondary malignancy
2.9%
1/35 • Number of events 1 • 18 months
0.00%
0/37 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
Reproductive system and breast disorders
Gynecomastia
2.9%
1/35 • Number of events 1 • 18 months
0.00%
0/37 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Other, specify: squamous cell carcinoma
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months
Pregnancy, puerperium and perinatal conditions
Unintended pregnancy
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months
Psychiatric disorders
Agitation
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months
Renal and urinary disorders
Renal calculi
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months
Respiratory, thoracic and mediastinal disorders
Dyspnea
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months
Vascular disorders
Hypertension
0.00%
0/35 • 18 months
5.4%
2/37 • Number of events 3 • 18 months
0.00%
0/23 • 18 months
0.00%
0/19 • 18 months
Vascular disorders
Hypotension
0.00%
0/35 • 18 months
0.00%
0/37 • 18 months
4.3%
1/23 • Number of events 1 • 18 months
0.00%
0/19 • 18 months

Additional Information

Stephanie J. Lee MD MPH

FHCRC

Phone: 206-667-6190

Results disclosure agreements

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