Trial Outcomes & Findings for A Study to Assess the Pharmacokinetics of Ramucirumab (IMC-1121B) in Combination With FOLFIRI (NCT NCT01634555)

NCT ID: NCT01634555

Last Updated: 2019-02-26

Results Overview

Dose-normalized AUC(0-∞) was calculated from AUC(0-∞) divided by the dose. Data presented are Geometric Least Squares (Geo LS) means. Geo LS means were adjusted for cycle, participant and random error.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

29 participants

Primary outcome timeframe

Cycle 1: 0, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 22, 25, 28, 31, 34, 48, 72, 96 and 168 hours post-irinotecan infusion

Results posted on

2019-02-26

Participant Flow

Participant milestones

Participant milestones
Measure
Ramucirumab (IMC-1121B) and FOLFIRI
Treatment is sequential. Ramucirumab (IMC-1121B) was administered before FOLFIRI (Irinotecan + Folinic acid + 5-Fluorouracil) during Cycles 2+ Ramucirumab (IMC-1121B): 8 milligrams per kilogram (mg/kg) administered as an intravenous (IV) infusion on Day 1 of each 2-week cycle (except Cycle 1) Irinotecan: 180 milligrams per square meter (mg/m²) administered IV on Day 1 of each 2-week cycle Folinic acid: 400 mg/m² administered IV on Day 1 of each 2-week cycle 5-Fluorouracil: 400 mg/m² bolus over 2 to 4 minutes administered IV on Day 1 of each cycle, followed by 2400 mg/m² administered IV over 46 to 48 hours on Days 1 and 2 of each 2-week cycle
Overall Study
STARTED
29
Overall Study
Received at Least 1 Dose of Study Drug
29
Overall Study
Drug-Drug Interaction (DDI) Population
25
Overall Study
COMPLETED
25
Overall Study
NOT COMPLETED
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Ramucirumab (IMC-1121B) and FOLFIRI
Treatment is sequential. Ramucirumab (IMC-1121B) was administered before FOLFIRI (Irinotecan + Folinic acid + 5-Fluorouracil) during Cycles 2+ Ramucirumab (IMC-1121B): 8 milligrams per kilogram (mg/kg) administered as an intravenous (IV) infusion on Day 1 of each 2-week cycle (except Cycle 1) Irinotecan: 180 milligrams per square meter (mg/m²) administered IV on Day 1 of each 2-week cycle Folinic acid: 400 mg/m² administered IV on Day 1 of each 2-week cycle 5-Fluorouracil: 400 mg/m² bolus over 2 to 4 minutes administered IV on Day 1 of each cycle, followed by 2400 mg/m² administered IV over 46 to 48 hours on Days 1 and 2 of each 2-week cycle
Overall Study
Adverse Event
3
Overall Study
Physician Decision
1

Baseline Characteristics

A Study to Assess the Pharmacokinetics of Ramucirumab (IMC-1121B) in Combination With FOLFIRI

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ramucirumab (IMC-1121B) and FOLFIRI
n=29 Participants
Treatment is sequential. Ramucirumab (IMC-1121B) was administered before FOLFIRI (Irinotecan + Folinic acid + 5-Fluorouracil) during Cycles 2+ Ramucirumab (IMC-1121B): 8 mg/kg administered as IV infusion on Day 1 of each 2-week cycle (except Cycle 1) Irinotecan: 180 mg/m² administered IV on Day 1 of each 2-week cycle Folinic acid: 400 mg/m² administered IV on Day 1 of each 2-week cycle 5-Fluorouracil: 400 mg/m² bolus over 2 to 4 minutes administered IV on Day 1 of each 2-week cycle, followed by 2400 mg/m² administered IV over 46 to 48 hours on Days 1 and 2 of each cycle
Age, Categorical
<=18 years
0 Participants
n=93 Participants
Age, Categorical
Between 18 and 65 years
19 Participants
n=93 Participants
Age, Categorical
>=65 years
10 Participants
n=93 Participants
Sex: Female, Male
Female
14 Participants
n=93 Participants
Sex: Female, Male
Male
15 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
26 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 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
4 Participants
n=93 Participants
Race (NIH/OMB)
White
24 Participants
n=93 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=93 Participants
Region of Enrollment
United States
29 Participants
n=93 Participants

PRIMARY outcome

Timeframe: Cycle 1: 0, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 22, 25, 28, 31, 34, 48, 72, 96 and 168 hours post-irinotecan infusion

Population: All participants in DDI population (who completed the required treatment in Cycle 1, Day 1 and Cycle 2, Day 1) and had sufficient concentration data to calculate irinotecan and its metabolite SN-38 AUC(0-∞) in Cycle 1.

Dose-normalized AUC(0-∞) was calculated from AUC(0-∞) divided by the dose. Data presented are Geometric Least Squares (Geo LS) means. Geo LS means were adjusted for cycle, participant and random error.

Outcome measures

Outcome measures
Measure
FOLFIRI (Cycle 1)
n=25 Participants
Irinotecan: 180 mg/m² administered IV on Day 1 of Cycle 1 (2-week cycle) Folinic acid: 400 mg/m² administered IV on Day 1 of Cycle 1 (2-week cycle) 5-Fluorouracil: 400 mg/m² bolus over 2 to 4 minutes administered IV on Day 1, followed by 2400 mg/m² administered IV over 46 to 48 hours on Days 1 and 2 of Cycle 1 (2-week cycle)
Pharmacokinetics: Dose-Normalized Area Under the Concentration Versus Time Curve of Irinotecan and Its Metabolite SN-38 From Time Zero to Infinity [AUC(0-∞)] in Cycle 1
Irinotecan
22.12 nanograms*hour/milliliter/milligram
Interval 19.72 to 24.82
Pharmacokinetics: Dose-Normalized Area Under the Concentration Versus Time Curve of Irinotecan and Its Metabolite SN-38 From Time Zero to Infinity [AUC(0-∞)] in Cycle 1
Metabolite SN-38
0.81 nanograms*hour/milliliter/milligram
Interval 0.7 to 0.93

PRIMARY outcome

Timeframe: Cycle 2: 0, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 22, 25, 28, 31, 34, 48, 72, 96 and 168 hours post-irinotecan infusion

Population: All participants in DDI population (who completed the required treatment in Cycle 1, Day 1 and Cycle 2, Day 1) and had sufficient concentration data to calculate irinotecan and its metabolite SN-38 AUC(0-∞) in Cycle 2.

Dose-normalized AUC(0-∞) was calculated from AUC(0-∞) divided by the dose. Data presented are Geo LS means. Geo LS means were adjusted for cycle, participant and random error.

Outcome measures

Outcome measures
Measure
FOLFIRI (Cycle 1)
n=25 Participants
Irinotecan: 180 mg/m² administered IV on Day 1 of Cycle 1 (2-week cycle) Folinic acid: 400 mg/m² administered IV on Day 1 of Cycle 1 (2-week cycle) 5-Fluorouracil: 400 mg/m² bolus over 2 to 4 minutes administered IV on Day 1, followed by 2400 mg/m² administered IV over 46 to 48 hours on Days 1 and 2 of Cycle 1 (2-week cycle)
Pharmacokinetics: Dose-Normalized AUC(0-∞) of Irinotecan and Its Metabolite SN-38 in Cycle 2
Irinotecan
20.56 nanograms*hour/milliliter/milligram
Interval 18.33 to 23.06
Pharmacokinetics: Dose-Normalized AUC(0-∞) of Irinotecan and Its Metabolite SN-38 in Cycle 2
Metabolite SN-38
0.77 nanograms*hour/milliliter/milligram
Interval 0.67 to 0.89

PRIMARY outcome

Timeframe: Cycle 1: 0, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 22, 25, 28, 31, 34, 48, 72, 96 and 168 hours post-irinotecan infusion

Population: All participants in DDI population (who completed the required treatment in Cycle 1, Day 1 and Cycle 2, Day 1) and had sufficient concentration data to calculate irinotecan and its metabolite SN-38 Cmax in Cycle 1.

Dose-normalized Cmax was calculated from Cmax divided by the dose. Data presented are Geo LS means. Geo LS means were adjusted for cycle, participant and random error.

Outcome measures

Outcome measures
Measure
FOLFIRI (Cycle 1)
n=23 Participants
Irinotecan: 180 mg/m² administered IV on Day 1 of Cycle 1 (2-week cycle) Folinic acid: 400 mg/m² administered IV on Day 1 of Cycle 1 (2-week cycle) 5-Fluorouracil: 400 mg/m² bolus over 2 to 4 minutes administered IV on Day 1, followed by 2400 mg/m² administered IV over 46 to 48 hours on Days 1 and 2 of Cycle 1 (2-week cycle)
Pharmacokinetics: Dose-Normalized Maximum Observed Drug Concentration (Cmax) of Irinotecan and Its Metabolite SN-38 in Cycle 1
Irinotecan
3.18 nanograms/milliliter/milligram
Interval 2.91 to 3.48
Pharmacokinetics: Dose-Normalized Maximum Observed Drug Concentration (Cmax) of Irinotecan and Its Metabolite SN-38 in Cycle 1
Metabolite SN-38
0.05 nanograms/milliliter/milligram
Interval 0.04 to 0.06

PRIMARY outcome

Timeframe: Cycle 2: 0, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 22, 25, 28, 31, 34, 48, 72, 96 and 168 hours post-irinotecan infusion

Population: All participants in DDI population (who completed the required treatment in Cycle 1, Day 1 and Cycle 2, Day 1) and had sufficient concentration data to calculate irinotecan and its metabolite SN-38 Cmax in Cycle 2.

Dose-normalized Cmax was calculated from Cmax divided by the dose. Data presented are Geo LS means. Geo LS means were adjusted for cycle, participant and random error.

Outcome measures

Outcome measures
Measure
FOLFIRI (Cycle 1)
n=23 Participants
Irinotecan: 180 mg/m² administered IV on Day 1 of Cycle 1 (2-week cycle) Folinic acid: 400 mg/m² administered IV on Day 1 of Cycle 1 (2-week cycle) 5-Fluorouracil: 400 mg/m² bolus over 2 to 4 minutes administered IV on Day 1, followed by 2400 mg/m² administered IV over 46 to 48 hours on Days 1 and 2 of Cycle 1 (2-week cycle)
Pharmacokinetics: Dose-Normalized Cmax of Irinotecan and Its Metabolite SN-38 in Cycle 2
Metabolite SN-38
0.05 nanograms/milliliter/milligram
Interval 0.04 to 0.06
Pharmacokinetics: Dose-Normalized Cmax of Irinotecan and Its Metabolite SN-38 in Cycle 2
Irinotecan
3.31 nanograms/milliliter/milligram
Interval 3.02 to 3.62

SECONDARY outcome

Timeframe: Cycle 2: -2, -1, -0.5, 0, 2, 3, 4, 5, 8, 10, 25, 48, 72, 96, 168, 264, 336 hours post-ramucirumab (IMC-1121B) infusion

Population: All participants who received study drug and had sufficient concentration data to calculate ramucirumab (IMC-1121B) Cmax in Cycle 2.

Outcome measures

Outcome measures
Measure
FOLFIRI (Cycle 1)
n=25 Participants
Irinotecan: 180 mg/m² administered IV on Day 1 of Cycle 1 (2-week cycle) Folinic acid: 400 mg/m² administered IV on Day 1 of Cycle 1 (2-week cycle) 5-Fluorouracil: 400 mg/m² bolus over 2 to 4 minutes administered IV on Day 1, followed by 2400 mg/m² administered IV over 46 to 48 hours on Days 1 and 2 of Cycle 1 (2-week cycle)
Pharmacokinetics: Cmax of Ramucirumab (IMC-1121B)
201.6 micrograms/milliliter (µg/mL)
Geometric Coefficient of Variation 31

SECONDARY outcome

Timeframe: Up To 2 Years

Population: All participants with both baseline and at least one post baseline ADA assessments.

Number of participants with positive treatment emergent anti-ramucirumab antibodies was summarized by treatment group.

Outcome measures

Outcome measures
Measure
FOLFIRI (Cycle 1)
n=11 Participants
Irinotecan: 180 mg/m² administered IV on Day 1 of Cycle 1 (2-week cycle) Folinic acid: 400 mg/m² administered IV on Day 1 of Cycle 1 (2-week cycle) 5-Fluorouracil: 400 mg/m² bolus over 2 to 4 minutes administered IV on Day 1, followed by 2400 mg/m² administered IV over 46 to 48 hours on Days 1 and 2 of Cycle 1 (2-week cycle)
Number of Participants With Treatment Emergent Anti-Drug Antibodies (TE-ADA)
0 Participants

Adverse Events

Ramucirumab (IMC-1121B) and FOLFIRI

Serious events: 11 serious events
Other events: 28 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Ramucirumab (IMC-1121B) and FOLFIRI
n=29 participants at risk
Treatment is sequential. Ramucirumab (IMC-1121B) was administered before FOLFIRI (Irinotecan + Folinic acid + 5-Fluorouracil) during Cycles 2+ Ramucirumab (IMC-1121B): 8 mg/kg, administered as IV infusion on Day 1 of each 2-week cycle (except Cycle 1) Irinotecan: 180 mg/m² administered IV on Day 1 of each 2-week cycle Folinic acid: 400 mg/m² administered IV on Day 1 of each 2-week cycle 5-Fluorouracil: 400 mg/m² bolus over 2 to 4 minutes administered IV on Day 1 of each 2-week cycle, followed by 2400 mg/m² administered IV over 46 to 48 hours on Days 1 and 2 of each cycle
Gastrointestinal disorders
Ascites
3.4%
1/29 • Number of events 1 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Gastrointestinal disorders
Colonic fistula
3.4%
1/29 • Number of events 1 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Gastrointestinal disorders
Diarrhoea
3.4%
1/29 • Number of events 1 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Gastrointestinal disorders
Gastrointestinal haemorrhage
3.4%
1/29 • Number of events 1 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Gastrointestinal disorders
Large intestinal obstruction
3.4%
1/29 • Number of events 1 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Gastrointestinal disorders
Small intestinal obstruction
3.4%
1/29 • Number of events 4 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Infections and infestations
Clostridium difficile colitis
3.4%
1/29 • Number of events 1 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Infections and infestations
Pneumonia
10.3%
3/29 • Number of events 3 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Injury, poisoning and procedural complications
Femur fracture
3.4%
1/29 • Number of events 1 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Metabolism and nutrition disorders
Dehydration
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
3.4%
1/29 • Number of events 1 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to central nervous system
3.4%
1/29 • Number of events 1 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Psychiatric disorders
Hallucination
3.4%
1/29 • Number of events 1 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
3.4%
1/29 • Number of events 1 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.

Other adverse events

Other adverse events
Measure
Ramucirumab (IMC-1121B) and FOLFIRI
n=29 participants at risk
Treatment is sequential. Ramucirumab (IMC-1121B) was administered before FOLFIRI (Irinotecan + Folinic acid + 5-Fluorouracil) during Cycles 2+ Ramucirumab (IMC-1121B): 8 mg/kg, administered as IV infusion on Day 1 of each 2-week cycle (except Cycle 1) Irinotecan: 180 mg/m² administered IV on Day 1 of each 2-week cycle Folinic acid: 400 mg/m² administered IV on Day 1 of each 2-week cycle 5-Fluorouracil: 400 mg/m² bolus over 2 to 4 minutes administered IV on Day 1 of each 2-week cycle, followed by 2400 mg/m² administered IV over 46 to 48 hours on Days 1 and 2 of each cycle
Nervous system disorders
Dysgeusia
20.7%
6/29 • Number of events 6 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Nervous system disorders
Headache
17.2%
5/29 • Number of events 6 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Nervous system disorders
Neuropathy peripheral
20.7%
6/29 • Number of events 9 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Nervous system disorders
Tremor
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Psychiatric disorders
Anxiety
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Psychiatric disorders
Depression
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Psychiatric disorders
Insomnia
17.2%
5/29 • Number of events 6 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Renal and urinary disorders
Nocturia
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Renal and urinary disorders
Proteinuria
24.1%
7/29 • Number of events 11 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Reproductive system and breast disorders
Erectile dysfunction
6.7%
1/15 • Number of events 3 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Reproductive system and breast disorders
Testicular pain
6.7%
1/15 • Number of events 1 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Respiratory, thoracic and mediastinal disorders
Cough
37.9%
11/29 • Number of events 14 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Respiratory, thoracic and mediastinal disorders
Dysphonia
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
24.1%
7/29 • Number of events 7 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Respiratory, thoracic and mediastinal disorders
Dyspnoea exertional
10.3%
3/29 • Number of events 3 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Respiratory, thoracic and mediastinal disorders
Epistaxis
27.6%
8/29 • Number of events 9 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
10.3%
3/29 • Number of events 4 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
13.8%
4/29 • Number of events 6 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Respiratory, thoracic and mediastinal disorders
Productive cough
10.3%
3/29 • Number of events 3 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Skin and subcutaneous tissue disorders
Alopecia
20.7%
6/29 • Number of events 7 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Skin and subcutaneous tissue disorders
Dermatitis acneiform
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Skin and subcutaneous tissue disorders
Dry skin
10.3%
3/29 • Number of events 3 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysaesthesia syndrome
10.3%
3/29 • Number of events 7 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Skin and subcutaneous tissue disorders
Rash
10.3%
3/29 • Number of events 4 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Skin and subcutaneous tissue disorders
Rash maculo-papular
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Vascular disorders
Hypertension
17.2%
5/29 • Number of events 6 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Blood and lymphatic system disorders
Anaemia
51.7%
15/29 • Number of events 48 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Blood and lymphatic system disorders
Leukocytosis
10.3%
3/29 • Number of events 3 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Blood and lymphatic system disorders
Leukopenia
24.1%
7/29 • Number of events 18 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Blood and lymphatic system disorders
Lymphopenia
17.2%
5/29 • Number of events 5 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Blood and lymphatic system disorders
Neutropenia
51.7%
15/29 • Number of events 28 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Blood and lymphatic system disorders
Thrombocytopenia
31.0%
9/29 • Number of events 14 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Gastrointestinal disorders
Abdominal distension
13.8%
4/29 • Number of events 4 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Gastrointestinal disorders
Abdominal pain
51.7%
15/29 • Number of events 23 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Gastrointestinal disorders
Ascites
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Gastrointestinal disorders
Constipation
41.4%
12/29 • Number of events 17 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Gastrointestinal disorders
Diarrhoea
69.0%
20/29 • Number of events 32 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Gastrointestinal disorders
Dry mouth
10.3%
3/29 • Number of events 3 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Gastrointestinal disorders
Dyspepsia
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Gastrointestinal disorders
Flatulence
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Gastrointestinal disorders
Gastrooesophageal reflux disease
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Gastrointestinal disorders
Gingival bleeding
6.9%
2/29 • Number of events 4 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Gastrointestinal disorders
Haematochezia
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Gastrointestinal disorders
Nausea
58.6%
17/29 • Number of events 28 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Gastrointestinal disorders
Oral pain
13.8%
4/29 • Number of events 4 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Gastrointestinal disorders
Stomatitis
6.9%
2/29 • Number of events 4 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Gastrointestinal disorders
Tongue discolouration
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Gastrointestinal disorders
Vomiting
34.5%
10/29 • Number of events 14 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
General disorders
Asthenia
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
General disorders
Chest pain
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
General disorders
Chills
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
General disorders
Fatigue
72.4%
21/29 • Number of events 45 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
General disorders
Mucosal inflammation
37.9%
11/29 • Number of events 16 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
General disorders
Oedema peripheral
24.1%
7/29 • Number of events 11 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Infections and infestations
Upper respiratory tract infection
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Infections and infestations
Urinary tract infection
6.9%
2/29 • Number of events 4 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Injury, poisoning and procedural complications
Contusion
10.3%
3/29 • Number of events 3 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Investigations
Alanine aminotransferase increased
10.3%
3/29 • Number of events 4 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Investigations
Aspartate aminotransferase increased
27.6%
8/29 • Number of events 18 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Investigations
Blood alkaline phosphatase increased
34.5%
10/29 • Number of events 13 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Investigations
Blood creatinine increased
6.9%
2/29 • Number of events 6 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Investigations
Blood lactate dehydrogenase increased
10.3%
3/29 • Number of events 3 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Investigations
Haemoglobin decreased
6.9%
2/29 • Number of events 3 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Investigations
Neutrophil count decreased
13.8%
4/29 • Number of events 7 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Investigations
Weight decreased
34.5%
10/29 • Number of events 15 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Investigations
White blood cell count decreased
10.3%
3/29 • Number of events 5 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Metabolism and nutrition disorders
Decreased appetite
51.7%
15/29 • Number of events 30 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Metabolism and nutrition disorders
Dehydration
13.8%
4/29 • Number of events 4 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Metabolism and nutrition disorders
Hyperglycaemia
20.7%
6/29 • Number of events 9 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Metabolism and nutrition disorders
Hypermagnesaemia
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Metabolism and nutrition disorders
Hypoalbuminaemia
48.3%
14/29 • Number of events 24 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Metabolism and nutrition disorders
Hypocalcaemia
17.2%
5/29 • Number of events 7 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Metabolism and nutrition disorders
Hypokalaemia
24.1%
7/29 • Number of events 7 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Metabolism and nutrition disorders
Hypomagnesaemia
13.8%
4/29 • Number of events 6 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Metabolism and nutrition disorders
Hyponatraemia
13.8%
4/29 • Number of events 8 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Metabolism and nutrition disorders
Hypophosphataemia
17.2%
5/29 • Number of events 5 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Musculoskeletal and connective tissue disorders
Arthralgia
13.8%
4/29 • Number of events 9 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Musculoskeletal and connective tissue disorders
Back pain
17.2%
5/29 • Number of events 8 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Musculoskeletal and connective tissue disorders
Flank pain
6.9%
2/29 • Number of events 3 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Musculoskeletal and connective tissue disorders
Muscle spasms
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Musculoskeletal and connective tissue disorders
Muscular weakness
6.9%
2/29 • Number of events 2 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
10.3%
3/29 • Number of events 4 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
13.8%
4/29 • Number of events 5 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Musculoskeletal and connective tissue disorders
Pain in extremity
10.3%
3/29 • Number of events 5 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Nervous system disorders
Dizziness
13.8%
4/29 • Number of events 4 • Up To 2 Years
All participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.

Additional Information

Chief Medical Officer

Eli Lilly and Company

Phone: 800-545-5979

Results disclosure agreements

  • Principal investigator is a sponsor employee Investigators agreed to delay independently publishing or disclosing data, findings or conclusions from the study except as part of a multi-center publication. Upon study publication or if the draft publication is not produced within approximately 6 months of the final report of the study results, investigators may independently publish, subject to confidential information review/redaction by sponsor. The sponsor may request publication delay up to 90 days to seek patent protection.
  • Publication restrictions are in place

Restriction type: OTHER