Trial Outcomes & Findings for First-Line Gemcitabine, Cisplatin + Ipilimumab for Metastatic Urothelial Carcinoma (NCT NCT01524991)

NCT ID: NCT01524991

Last Updated: 2022-07-11

Results Overview

To determine the median overall survival of patients with advanced/metastatic urothelial cancer treated with gemcitabine, cisplatin, plus ipilimumab, calculated from the date of registration until the date of final analysis, projected to be 48 months from the start of the study.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

36 participants

Primary outcome timeframe

48 months

Results posted on

2022-07-11

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment
Gemcitabine 1000 mg/m2 Days 1 \& 8 Cisplatin 70 mg/m2 Day 1 Ipilimumab 10 mg/kg Day 1 (start cycle 3) Gemcitabine: Gemcitabine 1000 mg/m2 Days 1 \& 8 (all cycles) Cisplatin: Cisplatin 70 mg/m2 Day 1 (all cycles) Ipilimumab: Ipilimumab 10 mg/kg Day 1 (start cycle 3)
Overall Study
STARTED
36
Overall Study
COMPLETED
2
Overall Study
NOT COMPLETED
34

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment
Gemcitabine 1000 mg/m2 Days 1 \& 8 Cisplatin 70 mg/m2 Day 1 Ipilimumab 10 mg/kg Day 1 (start cycle 3) Gemcitabine: Gemcitabine 1000 mg/m2 Days 1 \& 8 (all cycles) Cisplatin: Cisplatin 70 mg/m2 Day 1 (all cycles) Ipilimumab: Ipilimumab 10 mg/kg Day 1 (start cycle 3)
Overall Study
Adverse Event
12
Overall Study
Death
1
Overall Study
Disease ProgressionDu
17
Overall Study
Other complicating disease
1
Overall Study
Withdrawal by Subject
2
Overall Study
Symptomatic Deterioration
1

Baseline Characteristics

First-Line Gemcitabine, Cisplatin + Ipilimumab for Metastatic Urothelial Carcinoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment
n=36 Participants
Gemcitabine 1000 mg/m2 Days 1 \& 8 Cisplatin 70 mg/m2 Day 1 Ipilimumab 10 mg/kg Day 1 (start cycle 3) Gemcitabine: Gemcitabine 1000 mg/m2 Days 1 \& 8 (all cycles) Cisplatin: Cisplatin 70 mg/m2 Day 1 (all cycles) Ipilimumab: Ipilimumab 10 mg/kg Day 1 (start cycle 3)
Age, Continuous
36 years
n=93 Participants
Sex: Female, Male
Female
7 Participants
n=93 Participants
Sex: Female, Male
Male
29 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
32 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=93 Participants
Race (NIH/OMB)
White
35 Participants
n=93 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
Region of Enrollment
United States
36 participants
n=93 Participants
Karnovsky Performance Status
KPS 100
9 Participants
n=93 Participants
Karnovsky Performance Status
KPS 90
16 Participants
n=93 Participants
Karnovsky Performance Status
KPS 80
11 Participants
n=93 Participants

PRIMARY outcome

Timeframe: 48 months

To determine the median overall survival of patients with advanced/metastatic urothelial cancer treated with gemcitabine, cisplatin, plus ipilimumab, calculated from the date of registration until the date of final analysis, projected to be 48 months from the start of the study.

Outcome measures

Outcome measures
Measure
Treatment
n=36 Participants
Gemcitabine 1000 mg/m2 Days 1 \& 8 Cisplatin 70 mg/m2 Day 1 Ipilimumab 10 mg/kg Day 1 (start cycle 3) Gemcitabine: Gemcitabine 1000 mg/m2 Days 1 \& 8 (all cycles) Cisplatin: Cisplatin 70 mg/m2 Day 1 (all cycles) Ipilimumab: Ipilimumab 10 mg/kg Day 1 (start cycle 3)
Median Overall Survival
13.9 months
Interval 10.5 to 23.4

SECONDARY outcome

Timeframe: 12 months

To determine the progression-free survival (using irRC and RECIST v1.0) of patients with advanced/metastatic urothelial carcinoma treated with gemcitabine, cisplatin, and ipilimumab. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions". Progression is definied by IrRC as "at least 25% increase in tumor burden compared with nadir (at any single time point) in two consecutive observations at least 4 wk apart."

Outcome measures

Outcome measures
Measure
Treatment
n=36 Participants
Gemcitabine 1000 mg/m2 Days 1 \& 8 Cisplatin 70 mg/m2 Day 1 Ipilimumab 10 mg/kg Day 1 (start cycle 3) Gemcitabine: Gemcitabine 1000 mg/m2 Days 1 \& 8 (all cycles) Cisplatin: Cisplatin 70 mg/m2 Day 1 (all cycles) Ipilimumab: Ipilimumab 10 mg/kg Day 1 (start cycle 3)
Progression-Free Survival
7.9 months
Interval 6.4 to 9.9

SECONDARY outcome

Timeframe: 12 months

To determine the best overall response rate to treatment with gemcitabine, cisplatin, plus ipilimumab, per RECIST 1.1 criteria.

Outcome measures

Outcome measures
Measure
Treatment
n=36 Participants
Gemcitabine 1000 mg/m2 Days 1 \& 8 Cisplatin 70 mg/m2 Day 1 Ipilimumab 10 mg/kg Day 1 (start cycle 3) Gemcitabine: Gemcitabine 1000 mg/m2 Days 1 \& 8 (all cycles) Cisplatin: Cisplatin 70 mg/m2 Day 1 (all cycles) Ipilimumab: Ipilimumab 10 mg/kg Day 1 (start cycle 3)
Best Overall Response Rate
Complete Response (CR)
6 Participants
Best Overall Response Rate
Partial Response (PR)
19 Participants
Best Overall Response Rate
Stable Disease (SD)
10 Participants
Best Overall Response Rate
Progressive Disease (PD)
1 Participants

SECONDARY outcome

Timeframe: 12 months

To determine the safety of treatment with gemcitabine, cisplatin, plus ipilimumab. The highest grade adverse event for each subject is presented.

Outcome measures

Outcome measures
Measure
Treatment
n=36 Participants
Gemcitabine 1000 mg/m2 Days 1 \& 8 Cisplatin 70 mg/m2 Day 1 Ipilimumab 10 mg/kg Day 1 (start cycle 3) Gemcitabine: Gemcitabine 1000 mg/m2 Days 1 \& 8 (all cycles) Cisplatin: Cisplatin 70 mg/m2 Day 1 (all cycles) Ipilimumab: Ipilimumab 10 mg/kg Day 1 (start cycle 3)
Number of Adverse Events Experienced by Patients
Grade 1
1 Participants
Number of Adverse Events Experienced by Patients
Grade 2
6 Participants
Number of Adverse Events Experienced by Patients
Grade 3
19 Participants
Number of Adverse Events Experienced by Patients
Grade 4
10 Participants

Adverse Events

Treatment

Serious events: 18 serious events
Other events: 36 other events
Deaths: 28 deaths

Serious adverse events

Serious adverse events
Measure
Treatment
n=36 participants at risk
Gemcitabine 1000 mg/m2 Days 1 \& 8 Cisplatin 70 mg/m2 Day 1 Ipilimumab 10 mg/kg Day 1 (start cycle 3) Gemcitabine: Gemcitabine 1000 mg/m2 Days 1 \& 8 (all cycles) Cisplatin: Cisplatin 70 mg/m2 Day 1 (all cycles) Ipilimumab: Ipilimumab 10 mg/kg Day 1 (start cycle 3)
Renal and urinary disorders
ACUTE KIDNEY INJURY
8.3%
3/36 • Number of events 3 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Endocrine disorders
ADRENAL INSUFFICIENCY
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Blood and lymphatic system disorders
ANEMIA
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Cardiac disorders
ATRIAL FIBRILLATION
5.6%
2/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Immune system disorders
AUTOIMMUNE DISORDER
5.6%
2/36 • Number of events 3 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
COLITIS
2.8%
1/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Investigations
CREATININE INCREASED
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
DIARRHEA
5.6%
2/36 • Number of events 3 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Endocrine disorders
ENDOCRINE DISORDERS - OTHER, SPECIFY
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
General disorders
FEVER
11.1%
4/36 • Number of events 5 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Endocrine disorders
HYPERTHYROIDISM
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Metabolism and nutrition disorders
HYPONATREMIA
2.8%
1/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Infections and infestations
LUNG INFECTION
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
OBSTRUCTION GASTRIC
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Nervous system disorders
PERIPHERAL MOTOR NEUROPATHY
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
RECTAL PAIN
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Infections and infestations
SEPSIS
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
SMALL INTESTINAL OBSTRUCTION
2.8%
1/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Vascular disorders
THROMBOEMBOLIC EVENT
13.9%
5/36 • Number of events 9 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
UPPER GASTROINTESTINAL HEMORRHAGE
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Infections and infestations
UPPER RESPIRATORY INFECTION
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Infections and infestations
URINARY TRACT INFECTION
8.3%
3/36 • Number of events 3 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year

Other adverse events

Other adverse events
Measure
Treatment
n=36 participants at risk
Gemcitabine 1000 mg/m2 Days 1 \& 8 Cisplatin 70 mg/m2 Day 1 Ipilimumab 10 mg/kg Day 1 (start cycle 3) Gemcitabine: Gemcitabine 1000 mg/m2 Days 1 \& 8 (all cycles) Cisplatin: Cisplatin 70 mg/m2 Day 1 (all cycles) Ipilimumab: Ipilimumab 10 mg/kg Day 1 (start cycle 3)
Gastrointestinal disorders
ABDOMINAL DISTENSION
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
ABDOMINAL PAIN
38.9%
14/36 • Number of events 19 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Endocrine disorders
ADRENAL INSUFFICIENCY
5.6%
2/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Psychiatric disorders
AGITATION
5.6%
2/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Investigations
ALANINE AMINOTRANSFERASE INCREASED
13.9%
5/36 • Number of events 7 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Investigations
ALKALINE PHOSPHATASE INCREASED
13.9%
5/36 • Number of events 10 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Immune system disorders
ALLERGIC REACTION
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Respiratory, thoracic and mediastinal disorders
ALLERGIC RHINITIS
11.1%
4/36 • Number of events 4 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Skin and subcutaneous tissue disorders
ALOPECIA
27.8%
10/36 • Number of events 12 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Blood and lymphatic system disorders
ANEMIA
66.7%
24/36 • Number of events 109 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Metabolism and nutrition disorders
ANOREXIA
52.8%
19/36 • Number of events 30 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Psychiatric disorders
ANXIETY
19.4%
7/36 • Number of events 7 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Musculoskeletal and connective tissue disorders
ARTHRALGIA
11.1%
4/36 • Number of events 4 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Musculoskeletal and connective tissue disorders
ARTHRITIS
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
ASCITES
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Investigations
ASPARTATE AMINOTRANSFERASE INCREASED
11.1%
4/36 • Number of events 7 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Cardiac disorders
ATRIAL FIBRILLATION
8.3%
3/36 • Number of events 4 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Musculoskeletal and connective tissue disorders
BACK PAIN
30.6%
11/36 • Number of events 17 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Renal and urinary disorders
BLADDER SPASM
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
BLOATING
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Investigations
BLOOD BILIRUBIN INCREASED
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Eye disorders
BLURRED VISION
11.1%
4/36 • Number of events 4 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Musculoskeletal and connective tissue disorders
BONE PAIN
11.1%
4/36 • Number of events 4 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Injury, poisoning and procedural complications
BRUISING
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Eye disorders
CATARACT
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Cardiac disorders
CHEST PAIN - CARDIAC
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Musculoskeletal and connective tissue disorders
CHEST WALL PAIN
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
General disorders
CHILLS
19.4%
7/36 • Number of events 9 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Investigations
CHOLESTEROL HIGH
11.1%
4/36 • Number of events 4 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
COLITIS
11.1%
4/36 • Number of events 4 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
CONSTIPATION
66.7%
24/36 • Number of events 34 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Respiratory, thoracic and mediastinal disorders
COUGH
50.0%
18/36 • Number of events 24 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Investigations
CREATININE INCREASED
33.3%
12/36 • Number of events 26 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Metabolism and nutrition disorders
DEHYDRATION
19.4%
7/36 • Number of events 11 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Psychiatric disorders
DELIRIUM
5.6%
2/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Psychiatric disorders
DEPRESSION
16.7%
6/36 • Number of events 6 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
DIARRHEA
63.9%
23/36 • Number of events 40 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Nervous system disorders
DIZZINESS
30.6%
11/36 • Number of events 14 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Skin and subcutaneous tissue disorders
DRY SKIN
11.1%
4/36 • Number of events 4 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Nervous system disorders
DYSGEUSIA
30.6%
11/36 • Number of events 13 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
DYSPEPSIA
25.0%
9/36 • Number of events 11 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
DYSPHAGIA
2.8%
1/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Respiratory, thoracic and mediastinal disorders
DYSPNEA
44.4%
16/36 • Number of events 18 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Ear and labyrinth disorders
EAR PAIN
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
General disorders
EDEMA LIMBS
30.6%
11/36 • Number of events 15 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Nervous system disorders
ENCEPHALOPATHY
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Endocrine disorders
ENDOCRINE DISORDERS - OTHER, SPECIFY
11.1%
4/36 • Number of events 5 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Respiratory, thoracic and mediastinal disorders
EPISTAXIS
5.6%
2/36 • Number of events 4 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Reproductive system and breast disorders
ERECTILE DYSFUNCTION
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Skin and subcutaneous tissue disorders
ERYTHEMA MULTIFORME
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Injury, poisoning and procedural complications
FALL
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
General disorders
FATIGUE
91.7%
33/36 • Number of events 71 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
General disorders
FEVER
33.3%
12/36 • Number of events 17 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Musculoskeletal and connective tissue disorders
FLANK PAIN
16.7%
6/36 • Number of events 8 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
General disorders
FLU LIKE SYMPTOMS
5.6%
2/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
General disorders
GAIT DISTURBANCE
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
GASTROESOPHAGEAL REFLUX DISEASE
13.9%
5/36 • Number of events 5 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
GASTROINTESTINAL DISORDERS - OTHER, SPECIFY
5.6%
2/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
GASTROINTESTINAL PAIN
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
General disorders
GENERAL DISORDERS AND ADMINISTRATION SITE CONDITIONS - OTHER, SPECIFY
5.6%
2/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Musculoskeletal and connective tissue disorders
GENERALIZED MUSCLE WEAKNESS
11.1%
4/36 • Number of events 5 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Reproductive system and breast disorders
GENITAL EDEMA
5.6%
2/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Nervous system disorders
HEADACHE
33.3%
12/36 • Number of events 17 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Ear and labyrinth disorders
HEARING IMPAIRED
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Renal and urinary disorders
HEMATURIA
27.8%
10/36 • Number of events 11 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Respiratory, thoracic and mediastinal disorders
HICCUPS
13.9%
5/36 • Number of events 5 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Respiratory, thoracic and mediastinal disorders
HOARSENESS
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Vascular disorders
HOT FLASHES
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Metabolism and nutrition disorders
HYPERCALCEMIA
2.8%
1/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Metabolism and nutrition disorders
HYPERGLYCEMIA
16.7%
6/36 • Number of events 9 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Skin and subcutaneous tissue disorders
HYPERHIDROSIS
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Metabolism and nutrition disorders
HYPERKALEMIA
11.1%
4/36 • Number of events 9 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Vascular disorders
HYPERTENSION
27.8%
10/36 • Number of events 11 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Endocrine disorders
HYPERTHYROIDISM
5.6%
2/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Metabolism and nutrition disorders
HYPERTRIGLYCERIDEMIA
5.6%
2/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Metabolism and nutrition disorders
HYPERURICEMIA
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Metabolism and nutrition disorders
HYPOALBUMINEMIA
13.9%
5/36 • Number of events 18 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Metabolism and nutrition disorders
HYPOCALCEMIA
8.3%
3/36 • Number of events 3 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Metabolism and nutrition disorders
HYPOGLYCEMIA
2.8%
1/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Metabolism and nutrition disorders
HYPOKALEMIA
25.0%
9/36 • Number of events 19 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Metabolism and nutrition disorders
HYPOMAGNESEMIA
25.0%
9/36 • Number of events 26 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Metabolism and nutrition disorders
HYPONATREMIA
47.2%
17/36 • Number of events 41 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Metabolism and nutrition disorders
HYPOPHOSPHATEMIA
8.3%
3/36 • Number of events 3 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Vascular disorders
HYPOTENSION
5.6%
2/36 • Number of events 3 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Endocrine disorders
HYPOTHYROIDISM
11.1%
4/36 • Number of events 5 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Respiratory, thoracic and mediastinal disorders
HYPOXIA
5.6%
2/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Infections and infestations
INFECTIONS AND INFESTATIONS - OTHER, SPECIFY
11.1%
4/36 • Number of events 5 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Injury, poisoning and procedural complications
INJURY, POISONING AND PROCEDURAL COMPLICATIONS - OTHER, SPECIFY
2.8%
1/36 • Number of events 3 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Psychiatric disorders
INSOMNIA
30.6%
11/36 • Number of events 12 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Investigations
INVESTIGATIONS - OTHER, SPECIFY
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Infections and infestations
KIDNEY INFECTION
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Blood and lymphatic system disorders
LEUKOCYTOSIS
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Infections and infestations
LIP INFECTION
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
General disorders
LOCALIZED EDEMA
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Vascular disorders
LYMPHEDEMA
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Investigations
LYMPHOCYTE COUNT DECREASED
13.9%
5/36 • Number of events 13 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
General disorders
MALAISE
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Nervous system disorders
MEMORY IMPAIRMENT
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Metabolism and nutrition disorders
METABOLISM AND NUTRITION DISORDERS - OTHER, SPECIFY
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
MUCOSITIS ORAL
11.1%
4/36 • Number of events 6 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Musculoskeletal and connective tissue disorders
MUSCLE WEAKNESS UPPER LIMB
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Musculoskeletal and connective tissue disorders
MYALGIA
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Respiratory, thoracic and mediastinal disorders
NASAL CONGESTION
8.3%
3/36 • Number of events 3 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
NAUSEA
75.0%
27/36 • Number of events 64 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Musculoskeletal and connective tissue disorders
NECK PAIN
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
NEOPLASMS BENIGN, MALIGNANT AND UNSPECIFIED (INCL CYSTS AND POLYPS) - OTHER, SPECIFY
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Nervous system disorders
NERVOUS SYSTEM DISORDERS - OTHER, SPECIFY
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Nervous system disorders
NEURALGIA
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Investigations
NEUTROPHIL COUNT DECREASED
58.3%
21/36 • Number of events 56 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
General disorders
NON-CARDIAC CHEST PAIN
5.6%
2/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Metabolism and nutrition disorders
OBESITY
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
OBSTRUCTION GASTRIC
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
ORAL PAIN
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
General disorders
PAIN
41.7%
15/36 • Number of events 22 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Musculoskeletal and connective tissue disorders
PAIN IN EXTREMITY
27.8%
10/36 • Number of events 15 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Skin and subcutaneous tissue disorders
PAIN OF SKIN
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Cardiac disorders
PALPITATIONS
5.6%
2/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Infections and infestations
PAPULOPUSTULAR RASH
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Nervous system disorders
PARESTHESIA
5.6%
2/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Reproductive system and breast disorders
PELVIC PAIN
8.3%
3/36 • Number of events 3 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Nervous system disorders
PERIPHERAL MOTOR NEUROPATHY
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Nervous system disorders
PERIPHERAL SENSORY NEUROPATHY
44.4%
16/36 • Number of events 20 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Vascular disorders
PHLEBITIS
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Investigations
PLATELET COUNT DECREASED
47.2%
17/36 • Number of events 38 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Respiratory, thoracic and mediastinal disorders
PNEUMONITIS
5.6%
2/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Respiratory, thoracic and mediastinal disorders
PRODUCTIVE COUGH
2.8%
1/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Reproductive system and breast disorders
PROSTATIC OBSTRUCTION
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Renal and urinary disorders
PROTEINURIA
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Skin and subcutaneous tissue disorders
PRURITUS
19.4%
7/36 • Number of events 9 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Respiratory, thoracic and mediastinal disorders
PULMONARY EDEMA
5.6%
2/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Respiratory, thoracic and mediastinal disorders
PULMONARY FIBROSIS
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Skin and subcutaneous tissue disorders
PURPURA
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Skin and subcutaneous tissue disorders
RASH ACNEIFORM
19.4%
7/36 • Number of events 9 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Skin and subcutaneous tissue disorders
RASH MACULO-PAPULAR
19.4%
7/36 • Number of events 13 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Infections and infestations
RASH PUSTULAR
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
RECTAL HEMORRHAGE
5.6%
2/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
RECTAL PAIN
2.8%
1/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Renal and urinary disorders
RENAL AND URINARY DISORDERS - OTHER, SPECIFY
19.4%
7/36 • Number of events 9 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Renal and urinary disorders
RENAL CALCULI
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Respiratory, thoracic and mediastinal disorders
RESPIRATORY FAILURE
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Respiratory, thoracic and mediastinal disorders
RESPIRATORY, THORACIC AND MEDIASTINAL DISORDERS - OTHER, SPECIFY
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Psychiatric disorders
RESTLESSNESS
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Cardiac disorders
SINUS BRADYCARDIA
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Respiratory, thoracic and mediastinal disorders
SINUS DISORDER
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Cardiac disorders
SINUS TACHYCARDIA
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Skin and subcutaneous tissue disorders
SKIN AND SUBCUTANEOUS TISSUE DISORDERS - OTHER, SPECIFY
16.7%
6/36 • Number of events 6 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Infections and infestations
SKIN INFECTION
13.9%
5/36 • Number of events 7 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Skin and subcutaneous tissue disorders
SKIN ULCERATION
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
SMALL INTESTINAL OBSTRUCTION
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Infections and infestations
SMALL INTESTINE INFECTION
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Respiratory, thoracic and mediastinal disorders
SNEEZING
5.6%
2/36 • Number of events 3 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Nervous system disorders
SOMNOLENCE
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Respiratory, thoracic and mediastinal disorders
SORE THROAT
8.3%
3/36 • Number of events 6 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Vascular disorders
SUPERFICIAL THROMBOPHLEBITIS
5.6%
2/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Surgical and medical procedures
SURGICAL AND MEDICAL PROCEDURES - OTHER, SPECIFY
5.6%
2/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Nervous system disorders
SYNCOPE
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Vascular disorders
THROMBOEMBOLIC EVENT
16.7%
6/36 • Number of events 7 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Ear and labyrinth disorders
TINNITUS
11.1%
4/36 • Number of events 7 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Nervous system disorders
TREMOR
8.3%
3/36 • Number of events 3 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Infections and infestations
UPPER RESPIRATORY INFECTION
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Renal and urinary disorders
URINARY FREQUENCY
16.7%
6/36 • Number of events 7 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Renal and urinary disorders
URINARY INCONTINENCE
5.6%
2/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Renal and urinary disorders
URINARY RETENTION
5.6%
2/36 • Number of events 2 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Infections and infestations
URINARY TRACT INFECTION
30.6%
11/36 • Number of events 14 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Renal and urinary disorders
URINARY TRACT PAIN
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Renal and urinary disorders
URINARY URGENCY
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Vascular disorders
VASCULAR DISORDERS - OTHER, SPECIFY
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Gastrointestinal disorders
VOMITING
38.9%
14/36 • Number of events 35 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Investigations
WEIGHT GAIN
5.6%
2/36 • Number of events 9 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Investigations
WEIGHT LOSS
19.4%
7/36 • Number of events 12 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Investigations
WHITE BLOOD CELL DECREASED
19.4%
7/36 • Number of events 18 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year
Infections and infestations
WOUND INFECTION
2.8%
1/36 • Number of events 1 • From the start of treatment to 30 days following the last treatment, a maximum of 1 year

Additional Information

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