Trial Outcomes & Findings for Phase I Trial of Afatinib and Trastuzumab in HER2 Overexpressing Cancer. (NCT NCT01649271)

NCT ID: NCT01649271

Last Updated: 2025-02-11

Results Overview

Maximum Tolerated Dose (MTD) of Afatinib in combination with trastuzumab based on the number of patients with dose limiting toxicity (DLT) during the first treatment cycle (Dose escalation part). The MTD was defined as the highest dose studied at which the incidence of a DLT was less than 17% (i.e. 1/6 patients) during the first cycle. One patient in the Afa30+Trast8 cohort developed tumour lysis syndrome during the first course of treatment and was therefore not evaluable for the primary endpoint.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

13 participants

Primary outcome timeframe

First 21 days treatment cycle

Results posted on

2025-02-11

Participant Flow

HER2: Human Epidermal Growth Factor Receptor 2; RECIST,v1.1: Response Evaluation Criteria In Solid Tumors, version 1.1

Phase Ia: Open label, uncontrolled, dose escalation study of afatinib given continuously in combination with trastuzumab administered every 3 weeks. Phase Ib: Open label, uncontrolled study to explore the efficacy, safety, pharmacokinetics \& biomarkers of afatinib at the MTD dosage, with 3- weekly trastuzumab.

Participant milestones

Participant milestones
Measure
Phase Ia: Afatinib 20mg+Trastuzumab 8 mg/kg
In each 21 day treatment cycle, patients were administered orally 20 mg afatinib tablet from Day 2 continuous daily administration in combination with trastuzumab. An initial loading dose of trastuzumab 8 mg/kg was administered via intravenous infusion at Day1 Cycle1, followed by trastuzumab 6 mg/kg every 3 weeks. Trastuzumab intravenous infusion, 90 minutes, infusion duration could be reduced to 30 minutes if well tolerated.
Phase Ia: Afatinib 30mg+Trastuzumab 8 mg/kg
In each 21 day treatment cycle, patients were administered orally 30 mg afatinib tablet from Day 2 continuous daily administration in combination with trastuzumab. An initial loading dose of trastuzumab 8 mg/kg was administered via intravenous infusion at Day1 Cycle1, followed by trastuzumab 6 mg/kg every 3 weeks. Trastuzumab intravenous infusion, 90 minutes, infusion duration could be reduced to 30 minutes if well tolerated.
Overall Study
STARTED
6
7
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
6
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Phase Ia: Afatinib 20mg+Trastuzumab 8 mg/kg
In each 21 day treatment cycle, patients were administered orally 20 mg afatinib tablet from Day 2 continuous daily administration in combination with trastuzumab. An initial loading dose of trastuzumab 8 mg/kg was administered via intravenous infusion at Day1 Cycle1, followed by trastuzumab 6 mg/kg every 3 weeks. Trastuzumab intravenous infusion, 90 minutes, infusion duration could be reduced to 30 minutes if well tolerated.
Phase Ia: Afatinib 30mg+Trastuzumab 8 mg/kg
In each 21 day treatment cycle, patients were administered orally 30 mg afatinib tablet from Day 2 continuous daily administration in combination with trastuzumab. An initial loading dose of trastuzumab 8 mg/kg was administered via intravenous infusion at Day1 Cycle1, followed by trastuzumab 6 mg/kg every 3 weeks. Trastuzumab intravenous infusion, 90 minutes, infusion duration could be reduced to 30 minutes if well tolerated.
Overall Study
Progressive disease
4
5
Overall Study
Other Adverse Event
0
2
Overall Study
Withdrawal by Subject
1
0
Overall Study
Other than stated above
1
0

Baseline Characteristics

Phase I Trial of Afatinib and Trastuzumab in HER2 Overexpressing Cancer.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Phase Ia: Afatinib 20mg+Trastuzumab 8 mg/kg
n=6 Participants
In each 21 day treatment cycle, patients were administered orally 20 mg afatinib tablet from Day 2 continuous daily administration in combination with trastuzumab. An initial loading dose of trastuzumab 8 mg/kg was administered via intravenous infusion at Day1 Cycle1, followed by trastuzumab 6 mg/kg every 3 weeks. Trastuzumab intravenous infusion, 90 minutes, infusion duration could be reduced to 30 minutes if well tolerated.
Phase Ia: Afatinib 30mg+Trastuzumab 8 mg/kg
n=7 Participants
In each 21 day treatment cycle, patients were administered orally 30 mg afatinib tablet from Day 2 continuous daily administration in combination with trastuzumab. An initial loading dose of trastuzumab 8 mg/kg was administered via intravenous infusion at Day1 Cycle1, followed by trastuzumab 6 mg/kg every 3 weeks. Trastuzumab intravenous infusion, 90 minutes, infusion duration could be reduced to 30 minutes if well tolerated.
Total
n=13 Participants
Total of all reporting groups
Age, Continuous
60.8 Years
STANDARD_DEVIATION 3.7 • n=5 Participants
48.4 Years
STANDARD_DEVIATION 7.6 • n=7 Participants
54.2 Years
STANDARD_DEVIATION 8.7 • n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
7 Participants
n=7 Participants
11 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants

PRIMARY outcome

Timeframe: First 21 days treatment cycle

Population: Treated set: This analysis set includes all patients who were documented to have taken at least one dose of study medication.

Maximum Tolerated Dose (MTD) of Afatinib in combination with trastuzumab based on the number of patients with dose limiting toxicity (DLT) during the first treatment cycle (Dose escalation part). The MTD was defined as the highest dose studied at which the incidence of a DLT was less than 17% (i.e. 1/6 patients) during the first cycle. One patient in the Afa30+Trast8 cohort developed tumour lysis syndrome during the first course of treatment and was therefore not evaluable for the primary endpoint.

Outcome measures

Outcome measures
Measure
Phase Ia: Afatinib +Trastuzumab 8 mg/kg
n=12 Participants
In each 21 day treatment cycle, patients were administered orally afatinib tablet from Day 2 continuous daily administration in combination with trastuzumab. An initial loading dose of trastuzumab 8 mg/kg was administered via intravenous infusion at Day1 Cycle1, followed by trastuzumab 6 mg/kg every 3 weeks. Trastuzumab intravenous infusion, 90 minutes, infusion duration could be reduced to 30 minutes if well tolerated.
Phase Ia: Afatinib 30mg+Trastuzumab 8 mg/kg
In each 21 day treatment cycle, patients were administered orally 30 mg afatinib tablet from Day 2 continuous daily administration in combination with trastuzumab. An initial loading dose of trastuzumab 8 mg/kg was administered via intravenous infusion at Day1 Cycle1, followed by trastuzumab 6 mg/kg every 3 weeks. Trastuzumab intravenous infusion, 90 minutes, infusion duration could be reduced to 30 minutes if well tolerated.
MTD of Afatinib in Combination With Trastuzumab Based on the Number of Patients With DLTs During the First Treatment Cycle (Afatinib).
20 mg

PRIMARY outcome

Timeframe: First 21-day treatment cycle

Population: Treated set

Number of Patients With Dose Limiting Toxicity (DLT) occurring during Cycle 1 based on the investigator assessment. One patient in the Afa30+Trast8 cohort developed tumour lysis syndrome during the first course of treatment and was therefore not evaluable for the primary endpoint.

Outcome measures

Outcome measures
Measure
Phase Ia: Afatinib +Trastuzumab 8 mg/kg
n=6 Participants
In each 21 day treatment cycle, patients were administered orally afatinib tablet from Day 2 continuous daily administration in combination with trastuzumab. An initial loading dose of trastuzumab 8 mg/kg was administered via intravenous infusion at Day1 Cycle1, followed by trastuzumab 6 mg/kg every 3 weeks. Trastuzumab intravenous infusion, 90 minutes, infusion duration could be reduced to 30 minutes if well tolerated.
Phase Ia: Afatinib 30mg+Trastuzumab 8 mg/kg
n=6 Participants
In each 21 day treatment cycle, patients were administered orally 30 mg afatinib tablet from Day 2 continuous daily administration in combination with trastuzumab. An initial loading dose of trastuzumab 8 mg/kg was administered via intravenous infusion at Day1 Cycle1, followed by trastuzumab 6 mg/kg every 3 weeks. Trastuzumab intravenous infusion, 90 minutes, infusion duration could be reduced to 30 minutes if well tolerated.
Dose Limiting Toxicities During cycle1
1 Participants
2 Participants

SECONDARY outcome

Timeframe: Post baseline tumour-imaging was performed at every 6 weeks (in the week preceding the start of Cycles 3, 5, 7, 9, 11, etc.) until End of Treatment (EOT); up to 33 months

Population: Treated set Missing: First image time point not reached before discontinuation.

BOR represents the best response a patient had during their time in study from start of treatment until progression, the last evaluable assessment in absence of progression or start of subsequent anticancer therapy. For patients that died, BOR was to be calculated based on data up to last evaluable RECIST,v1.1 assessment prior to death. Death did not contribute as PD for BOR. As per RECIST v1.1 for target lesions (TL) \& assessed by MRI: CR: Disappearance of all TL,all non-TL, \& no new lesion. Any pathological lymph nodes must have had reduction in the short axis to \<10 mm. PR: At least 30% decrease in sum of the longest diameter (SLD) of TL taking as reference the baseline SLD. PD: At least a 20% increase in SLD of TL taking as reference the smallest SLD recorded since treatment started, together with an absolute increase in SLD of at least 5mm. SD: Neither sufficient shrinkage to qualify for PR, taking as reference the baseline SLD, nor sufficient increase to qualify for PD.

Outcome measures

Outcome measures
Measure
Phase Ia: Afatinib +Trastuzumab 8 mg/kg
n=6 Participants
In each 21 day treatment cycle, patients were administered orally afatinib tablet from Day 2 continuous daily administration in combination with trastuzumab. An initial loading dose of trastuzumab 8 mg/kg was administered via intravenous infusion at Day1 Cycle1, followed by trastuzumab 6 mg/kg every 3 weeks. Trastuzumab intravenous infusion, 90 minutes, infusion duration could be reduced to 30 minutes if well tolerated.
Phase Ia: Afatinib 30mg+Trastuzumab 8 mg/kg
n=7 Participants
In each 21 day treatment cycle, patients were administered orally 30 mg afatinib tablet from Day 2 continuous daily administration in combination with trastuzumab. An initial loading dose of trastuzumab 8 mg/kg was administered via intravenous infusion at Day1 Cycle1, followed by trastuzumab 6 mg/kg every 3 weeks. Trastuzumab intravenous infusion, 90 minutes, infusion duration could be reduced to 30 minutes if well tolerated.
Best Overall Response (BOR)
Complete Response (CR)
0.0 percentage of participants
0.0 percentage of participants
Best Overall Response (BOR)
Partial Response (PR)
16.7 percentage of participants
0.0 percentage of participants
Best Overall Response (BOR)
Stable Disease (SD)
16.7 percentage of participants
100.0 percentage of participants
Best Overall Response (BOR)
Progressive Disease (PD)
50.0 percentage of participants
0.0 percentage of participants
Best Overall Response (BOR)
Missing
16.7 percentage of participants
0.0 percentage of participants
Best Overall Response (BOR)
Not Evaluable
0.0 percentage of participants
0.0 percentage of participants

SECONDARY outcome

Timeframe: Post baseline tumour-imaging was performed at every 6 weeks (in the week preceding the start of Cycles 3, 5, 7, 9, 11, etc.) until EOT; up to 33 months

Population: Treated set

Objective Response (OR) was defined as best overall response of complete response (CR) or partial response (PR), where best overall response was determined according to Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1 from first administration of study medication until the earliest of disease progression, death or last evaluable tumour assessment before start of subsequent anti-cancer therapy. As Per RECIST v1.1 for target lesions (TL) \& assessed by MRI: CR: Disappearance of all TL,all non-TL, \& no new lesion. Any pathological lymph nodes must have had reduction in the short axis to \<10 mm. PR: At least 30% decrease in sum of the longest diameter (SLD) of TL taking as reference the baseline SLD.

Outcome measures

Outcome measures
Measure
Phase Ia: Afatinib +Trastuzumab 8 mg/kg
n=6 Participants
In each 21 day treatment cycle, patients were administered orally afatinib tablet from Day 2 continuous daily administration in combination with trastuzumab. An initial loading dose of trastuzumab 8 mg/kg was administered via intravenous infusion at Day1 Cycle1, followed by trastuzumab 6 mg/kg every 3 weeks. Trastuzumab intravenous infusion, 90 minutes, infusion duration could be reduced to 30 minutes if well tolerated.
Phase Ia: Afatinib 30mg+Trastuzumab 8 mg/kg
n=7 Participants
In each 21 day treatment cycle, patients were administered orally 30 mg afatinib tablet from Day 2 continuous daily administration in combination with trastuzumab. An initial loading dose of trastuzumab 8 mg/kg was administered via intravenous infusion at Day1 Cycle1, followed by trastuzumab 6 mg/kg every 3 weeks. Trastuzumab intravenous infusion, 90 minutes, infusion duration could be reduced to 30 minutes if well tolerated.
Objective Response
16.7 percentage of participants
0.0 percentage of participants

SECONDARY outcome

Timeframe: Post baseline tumour-imaging was performed at every 6 weeks (in the week preceding the start of Cycles 3, 5, 7, 9, 11, etc.) until EOT; up to 33 months

Population: Treated set

Clinical benefit was defined as best overall response of CR or PR or stable disease (SD) where best overall response is defined according to RECIST version 1.1 from first treatment administration until the earliest of disease progression, death or last evaluable tumour assessment before start of subsequent anti-cancer therapy. As Per RECIST v1.1 for target lesions (TL) \& assessed by MRI: CR: Disappearance of all TL,all non-TL, \& no new lesion. Any pathological lymph nodes must have had reduction in the short axis to \<10 mm. PR: At least 30% decrease in sum of the longest diameter (SLD) of TL taking as reference the baseline SLD. SD: Neither sufficient shrinkage to qualify for PR, taking as reference the baseline SLD, nor sufficient increase to qualify for PD.

Outcome measures

Outcome measures
Measure
Phase Ia: Afatinib +Trastuzumab 8 mg/kg
n=6 Participants
In each 21 day treatment cycle, patients were administered orally afatinib tablet from Day 2 continuous daily administration in combination with trastuzumab. An initial loading dose of trastuzumab 8 mg/kg was administered via intravenous infusion at Day1 Cycle1, followed by trastuzumab 6 mg/kg every 3 weeks. Trastuzumab intravenous infusion, 90 minutes, infusion duration could be reduced to 30 minutes if well tolerated.
Phase Ia: Afatinib 30mg+Trastuzumab 8 mg/kg
n=7 Participants
In each 21 day treatment cycle, patients were administered orally 30 mg afatinib tablet from Day 2 continuous daily administration in combination with trastuzumab. An initial loading dose of trastuzumab 8 mg/kg was administered via intravenous infusion at Day1 Cycle1, followed by trastuzumab 6 mg/kg every 3 weeks. Trastuzumab intravenous infusion, 90 minutes, infusion duration could be reduced to 30 minutes if well tolerated.
Clinical Benefit
33.3 percentage of participants
100.0 percentage of participants

Adverse Events

Phase Ia: Afatinib 20mg+Trastuzumab 8 mg/kg

Serious events: 4 serious events
Other events: 6 other events
Deaths: 0 deaths

Phase Ia: Afatinib 30mg+Trastuzumab 8 mg/kg

Serious events: 4 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Phase Ia: Afatinib 20mg+Trastuzumab 8 mg/kg
n=6 participants at risk
In each 21 day treatment cycle, patients were administered orally 20 mg afatinib tablet from Day 2 continuous daily administration in combination with trastuzumab. An initial loading dose of trastuzumab 8 mg/kg was administered via intravenous infusion at Day1 Cycle1, followed by trastuzumab 6 mg/kg every 3 weeks. Trastuzumab intravenous infusion, 90 minutes, infusion duration could be reduced to 30 minutes if well tolerated.
Phase Ia: Afatinib 30mg+Trastuzumab 8 mg/kg
n=7 participants at risk
In each 21 day treatment cycle, patients were administered orally 30 mg afatinib tablet from Day 2 continuous daily administration in combination with trastuzumab. An initial loading dose of trastuzumab 8 mg/kg was administered via intravenous infusion at Day1 Cycle1, followed by trastuzumab 6 mg/kg every 3 weeks. Trastuzumab intravenous infusion, 90 minutes, infusion duration could be reduced to 30 minutes if well tolerated.
Gastrointestinal disorders
Diarrhoea
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
General disorders
Chest pain
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
General disorders
General physical health deterioration
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Hepatobiliary disorders
Biliary colic
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Infections and infestations
Clostridium difficile colitis
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Injury, poisoning and procedural complications
Infusion related reaction
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Metabolism and nutrition disorders
Hypokalaemia
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Metabolism and nutrition disorders
Tumour lysis syndrome
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Nervous system disorders
Spinal cord compression
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Renal and urinary disorders
Acute kidney injury
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Renal and urinary disorders
Renal failure
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Vascular disorders
Jugular vein thrombosis
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months

Other adverse events

Other adverse events
Measure
Phase Ia: Afatinib 20mg+Trastuzumab 8 mg/kg
n=6 participants at risk
In each 21 day treatment cycle, patients were administered orally 20 mg afatinib tablet from Day 2 continuous daily administration in combination with trastuzumab. An initial loading dose of trastuzumab 8 mg/kg was administered via intravenous infusion at Day1 Cycle1, followed by trastuzumab 6 mg/kg every 3 weeks. Trastuzumab intravenous infusion, 90 minutes, infusion duration could be reduced to 30 minutes if well tolerated.
Phase Ia: Afatinib 30mg+Trastuzumab 8 mg/kg
n=7 participants at risk
In each 21 day treatment cycle, patients were administered orally 30 mg afatinib tablet from Day 2 continuous daily administration in combination with trastuzumab. An initial loading dose of trastuzumab 8 mg/kg was administered via intravenous infusion at Day1 Cycle1, followed by trastuzumab 6 mg/kg every 3 weeks. Trastuzumab intravenous infusion, 90 minutes, infusion duration could be reduced to 30 minutes if well tolerated.
Blood and lymphatic system disorders
Anaemia
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Cardiac disorders
Cardiotoxicity
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Eye disorders
Dry eye
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Eye disorders
Lacrimation increased
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Eye disorders
Visual acuity reduced
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Gastrointestinal disorders
Abdominal distension
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Gastrointestinal disorders
Abdominal pain
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Gastrointestinal disorders
Cheilitis
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Gastrointestinal disorders
Constipation
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
28.6%
2/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Gastrointestinal disorders
Diarrhoea
100.0%
6/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
85.7%
6/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Gastrointestinal disorders
Duodenal ulcer
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Gastrointestinal disorders
Gastrooesophageal reflux disease
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Gastrointestinal disorders
Mouth ulceration
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Gastrointestinal disorders
Nausea
33.3%
2/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Gastrointestinal disorders
Perianal erythema
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Gastrointestinal disorders
Stomatitis
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
42.9%
3/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Gastrointestinal disorders
Tongue oedema
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Gastrointestinal disorders
Vomiting
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
General disorders
Asthenia
66.7%
4/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
71.4%
5/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
General disorders
Face oedema
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
General disorders
Fatigue
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
General disorders
Influenza like illness
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
General disorders
Pyrexia
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
General disorders
Xerosis
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Hepatobiliary disorders
Cholestasis
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Hepatobiliary disorders
Gallbladder obstruction
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Hepatobiliary disorders
Hepatocellular injury
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Infections and infestations
Bronchitis
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
28.6%
2/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Infections and infestations
Conjunctivitis
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Infections and infestations
Cystitis
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Infections and infestations
Folliculitis
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Infections and infestations
Herpes virus infection
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Infections and infestations
Herpes zoster
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Infections and infestations
Nasopharyngitis
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Infections and infestations
Oral herpes
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Infections and infestations
Paronychia
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
71.4%
5/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Infections and infestations
Rash pustular
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Infections and infestations
Urinary tract infection
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Investigations
Alanine aminotransferase increased
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Investigations
Aspartate aminotransferase increased
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Investigations
Blood bilirubin increased
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Investigations
Blood creatinine increased
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Investigations
Ejection fraction decreased
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
28.6%
2/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Investigations
Glomerular filtration rate decreased
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Investigations
Weight decreased
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
28.6%
2/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Metabolism and nutrition disorders
Decreased appetite
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
42.9%
3/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Metabolism and nutrition disorders
Hyperuricaemia
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Metabolism and nutrition disorders
Hypokalaemia
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
28.6%
2/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Metabolism and nutrition disorders
Hypomagnesaemia
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Metabolism and nutrition disorders
Hyponatraemia
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Metabolism and nutrition disorders
Vitamin D deficiency
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Musculoskeletal and connective tissue disorders
Arthralgia
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Musculoskeletal and connective tissue disorders
Muscle spasms
50.0%
3/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Musculoskeletal and connective tissue disorders
Pain in extremity
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pyogenic granuloma
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Nervous system disorders
Headache
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Nervous system disorders
Paraesthesia
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Psychiatric disorders
Depression
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Renal and urinary disorders
Renal failure
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Respiratory, thoracic and mediastinal disorders
Epistaxis
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Respiratory, thoracic and mediastinal disorders
Nasal dryness
33.3%
2/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Respiratory, thoracic and mediastinal disorders
Nasal mucosal disorder
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Skin and subcutaneous tissue disorders
Acne
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Skin and subcutaneous tissue disorders
Dermatitis acneiform
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Skin and subcutaneous tissue disorders
Dry skin
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Skin and subcutaneous tissue disorders
Eczema
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Skin and subcutaneous tissue disorders
Erythema
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Skin and subcutaneous tissue disorders
Nail disorder
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Skin and subcutaneous tissue disorders
Onycholysis
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
0.00%
0/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Skin and subcutaneous tissue disorders
Rash
33.3%
2/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
71.4%
5/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Skin and subcutaneous tissue disorders
Skin exfoliation
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Skin and subcutaneous tissue disorders
Skin fissures
16.7%
1/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
Skin and subcutaneous tissue disorders
Skin reaction
0.00%
0/6 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months
14.3%
1/7 • From first dose administration of the study medication to 28 days after last drug administration; up to 33 months

Additional Information

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  • Principal investigator is a sponsor employee Boehringer Ingelheim (BI) acknowledges that investigators have the right to publish the study results. Investigators shall provide BI with a copy of any publication or presentation for review prior to any submission. Such review will be done with regard to proprietary information, information related to patentable inventions, medical, scientific, and statistical accuracy within 60 days. BI may request a delay of the publication in order to protect BI's intellectual property rights.
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