Trial Outcomes & Findings for Bendamustine and Rituximab Induction Therapy and Maintenance Rituximab and Lenalidomide in Previously Untreated CLL/SLL (NCT NCT01754857)

NCT ID: NCT01754857

Last Updated: 2023-06-27

Results Overview

The primary objective is progression-free survival (PFS). Tumor measurements and disease assessments will be performed at the time of screening, following cycles 3 and 6 of induction chemotherapy, every 4 cycles during the maintenance portion of treatment, and at the end of treatment (EOT). Subjects with clinical evidence of progression prior to a planned disease assessment will be evaluated at the time of clinically suspected progression. Follow-up visits for disease assessment will occur every 3 months after the EOT visit until PD, initiation of alternate anti-neoplastic therapy, decision by the subject to withdraw from the study, or death. The follow-up period will begin after the EOT visit, and all subjects will be followed for at least 2 years after completion of therapy or until death or progression and until the last patient has been followed for at least 1 year following completion of therapy.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

36 participants

Primary outcome timeframe

At least 24 months following completion of therapy, an average of 5 years

Results posted on

2023-06-27

Participant Flow

Participant milestones

Participant milestones
Measure
Bendamustine, Rituximab, Lenalidomide
INDUCTION: Bendamustine 90mg/m2 IV D1\&2 and rituximab IV D1 (up to day 5 of course 1) every 28 days for 6 cycles. Patients with objective response move to maintenance therapy. Patients with objective response after 4 courses are eligible to for maintenance therapy if ongoing induction therapy is associated w/unacceptable toxicity. MAINTENANCE: At 6-12 wks post induction therapy, patients receive rituximab IV on day 1 of odd-numbered cycles for 24 cycles; lenalidomide 5mg PO daily on days 1-21 of each cycle (28 day cycles). Dose escalation to 10mg daily on days 1-21 allowed at start of cycle 2 or at start of subsequent cycles in subjects w/acceptable toxicities. Lenalidomide dose escalation only allowed at start of a new cycle up to a max dose of 10 mg/day on days 1- 21. Subjects entering maintenance with CrCl ≥40 \& \<60mL/min will begin dosing at 5mg every other day on days 1-21. Patients with excessive toxicity from lenalidomide may continue maintenance therapy with rituximab alone. Bendamustine: Given IV Rituximab: Given IV Lenalidomide: Given PO
Overall Study
STARTED
36
Overall Study
COMPLETED
17
Overall Study
NOT COMPLETED
19

Reasons for withdrawal

Reasons for withdrawal
Measure
Bendamustine, Rituximab, Lenalidomide
INDUCTION: Bendamustine 90mg/m2 IV D1\&2 and rituximab IV D1 (up to day 5 of course 1) every 28 days for 6 cycles. Patients with objective response move to maintenance therapy. Patients with objective response after 4 courses are eligible to for maintenance therapy if ongoing induction therapy is associated w/unacceptable toxicity. MAINTENANCE: At 6-12 wks post induction therapy, patients receive rituximab IV on day 1 of odd-numbered cycles for 24 cycles; lenalidomide 5mg PO daily on days 1-21 of each cycle (28 day cycles). Dose escalation to 10mg daily on days 1-21 allowed at start of cycle 2 or at start of subsequent cycles in subjects w/acceptable toxicities. Lenalidomide dose escalation only allowed at start of a new cycle up to a max dose of 10 mg/day on days 1- 21. Subjects entering maintenance with CrCl ≥40 \& \<60mL/min will begin dosing at 5mg every other day on days 1-21. Patients with excessive toxicity from lenalidomide may continue maintenance therapy with rituximab alone. Bendamustine: Given IV Rituximab: Given IV Lenalidomide: Given PO
Overall Study
Adverse Event
7
Overall Study
Disease progression
3
Overall Study
Physician Decision
2
Overall Study
Withdrawal by Subject
3
Overall Study
other complicating disease
1
Overall Study
ineligible to continue onto maintenance
1
Overall Study
Patient does not wish to be treated, but will continue to be followed for survival
1
Overall Study
Patient decided not to begin maintenance therapy
1

Baseline Characteristics

Bendamustine and Rituximab Induction Therapy and Maintenance Rituximab and Lenalidomide in Previously Untreated CLL/SLL

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Bendamustine, Rituximab, Lenalidomide
n=36 Participants
INDUCTION: Bendamustine 90mg/m2 IV D1\&2 and rituximab IV D1 (up to day 5 of course 1) every 28 days for 6 cycles. Patients with objective response move to maintenance therapy. Patients with objective response after 4 courses are eligible to for maintenance therapy if ongoing induction therapy is associated w/unacceptable toxicity. MAINTENANCE: At 6-12 wks post induction therapy, patients receive rituximab IV on day 1 of odd-numbered cycles for 24 cycles; lenalidomide 5mg PO daily on days 1-21 of each cycle (28 day cycles). Dose escalation to 10mg daily on days 1-21 allowed at start of cycle 2 or at start of subsequent cycles in subjects w/acceptable toxicities. Lenalidomide dose escalation only allowed at start of a new cycle up to a max dose of 10 mg/day on days 1- 21. Subjects entering maintenance with CrCl ≥40 \& \<60mL/min will begin dosing at 5mg every other day on days 1-21. Patients with excessive toxicity from lenalidomide may continue maintenance therapy with rituximab alone. Bendamustine: Given IV Rituximab: Given IV Lenalidomide: Given PO
Age, Customized
40-49 years
1 Participants
n=93 Participants
Age, Customized
50-59 years
7 Participants
n=93 Participants
Age, Customized
60-69 years
19 Participants
n=93 Participants
Age, Customized
70-79 years
9 Participants
n=93 Participants
Sex: Female, Male
Female
9 Participants
n=93 Participants
Sex: Female, Male
Male
27 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
36 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
1 Participants
n=93 Participants
Race (NIH/OMB)
Black or African American
0 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

PRIMARY outcome

Timeframe: At least 24 months following completion of therapy, an average of 5 years

Population: Time to progression, for which only 30 patients were assessable due to being off study prior to study timepoint

The primary objective is progression-free survival (PFS). Tumor measurements and disease assessments will be performed at the time of screening, following cycles 3 and 6 of induction chemotherapy, every 4 cycles during the maintenance portion of treatment, and at the end of treatment (EOT). Subjects with clinical evidence of progression prior to a planned disease assessment will be evaluated at the time of clinically suspected progression. Follow-up visits for disease assessment will occur every 3 months after the EOT visit until PD, initiation of alternate anti-neoplastic therapy, decision by the subject to withdraw from the study, or death. The follow-up period will begin after the EOT visit, and all subjects will be followed for at least 2 years after completion of therapy or until death or progression and until the last patient has been followed for at least 1 year following completion of therapy.

Outcome measures

Outcome measures
Measure
Bendamustine, Rituximab, Lenalidomide
n=30 Participants
INDUCTION: Bendamustine 90mg/m2 IV D1\&2 and rituximab IV D1 (up to day 5 of course 1) every 28 days for 6 cycles. Patients with objective response move to maintenance therapy. Patients with objective response after 4 courses are eligible to for maintenance therapy if ongoing induction therapy is associated w/unacceptable toxicity. MAINTENANCE: At 6-12 wks post induction therapy, patients receive rituximab IV on day 1 of odd-numbered cycles for 24 cycles; lenalidomide 5mg PO daily on days 1-21 of each cycle (28 day cycles). Dose escalation to 10mg daily on days 1-21 allowed at start of cycle 2 or at start of subsequent cycles in subjects w/acceptable toxicities. Lenalidomide dose escalation only allowed at start of a new cycle up to a max dose of 10 mg/day on days 1- 21. Subjects entering maintenance with CrCl ≥40 \& \<60mL/min will begin dosing at 5mg every other day on days 1-21. Patients with excessive toxicity from lenalidomide may continue maintenance therapy with rituximab alone. Bendamustine: Given IV Rituximab: Given IV Lenalidomide: Given PO
Time to Progression
4.76 years
Interval 3.95 to 5.57

SECONDARY outcome

Timeframe: Up to 30 months

Population: Objective response rate to maintenance, for which only 30 patients were assessable due to being off study prior to study timepoint

To determine objective response rates (CR + PR). As described in the primary objective, formal disease assessments including imaging will be performed after cycles 3 and 6 of induction chemotherapy and every 4 cycles during the maintenance portion of treatment. Response and progression in cases of SLL will be evaluated using the International Working Group Criteria30 for response in lymphoma. Response and progression in cases of CLL will be evaluated in this study using the Revised IWCLL Criteria31 for response in CLL. Radiological methodologies, techniques and/or physical examination, established at baseline for the assessment and measurement of each identified lesion will be used for all subsequent assessments.

Outcome measures

Outcome measures
Measure
Bendamustine, Rituximab, Lenalidomide
n=30 Participants
INDUCTION: Bendamustine 90mg/m2 IV D1\&2 and rituximab IV D1 (up to day 5 of course 1) every 28 days for 6 cycles. Patients with objective response move to maintenance therapy. Patients with objective response after 4 courses are eligible to for maintenance therapy if ongoing induction therapy is associated w/unacceptable toxicity. MAINTENANCE: At 6-12 wks post induction therapy, patients receive rituximab IV on day 1 of odd-numbered cycles for 24 cycles; lenalidomide 5mg PO daily on days 1-21 of each cycle (28 day cycles). Dose escalation to 10mg daily on days 1-21 allowed at start of cycle 2 or at start of subsequent cycles in subjects w/acceptable toxicities. Lenalidomide dose escalation only allowed at start of a new cycle up to a max dose of 10 mg/day on days 1- 21. Subjects entering maintenance with CrCl ≥40 \& \<60mL/min will begin dosing at 5mg every other day on days 1-21. Patients with excessive toxicity from lenalidomide may continue maintenance therapy with rituximab alone. Bendamustine: Given IV Rituximab: Given IV Lenalidomide: Given PO
Objective Response Rates
Complete response
12 Participants
Objective Response Rates
Partial response
18 Participants

SECONDARY outcome

Timeframe: Up to 30 months

To determine toxicities observed with induction chemotherapy and maintenance therapy. Safety evaluations will be based on the incidence, intensity, and type of adverse events (AEs) and clinical laboratory results. Drug doses will be modified as required based on toxicity as assessed using the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE), version 4.0.

Outcome measures

Outcome measures
Measure
Bendamustine, Rituximab, Lenalidomide
n=36 Participants
INDUCTION: Bendamustine 90mg/m2 IV D1\&2 and rituximab IV D1 (up to day 5 of course 1) every 28 days for 6 cycles. Patients with objective response move to maintenance therapy. Patients with objective response after 4 courses are eligible to for maintenance therapy if ongoing induction therapy is associated w/unacceptable toxicity. MAINTENANCE: At 6-12 wks post induction therapy, patients receive rituximab IV on day 1 of odd-numbered cycles for 24 cycles; lenalidomide 5mg PO daily on days 1-21 of each cycle (28 day cycles). Dose escalation to 10mg daily on days 1-21 allowed at start of cycle 2 or at start of subsequent cycles in subjects w/acceptable toxicities. Lenalidomide dose escalation only allowed at start of a new cycle up to a max dose of 10 mg/day on days 1- 21. Subjects entering maintenance with CrCl ≥40 \& \<60mL/min will begin dosing at 5mg every other day on days 1-21. Patients with excessive toxicity from lenalidomide may continue maintenance therapy with rituximab alone. Bendamustine: Given IV Rituximab: Given IV Lenalidomide: Given PO
Count of Events Related to Toxicity
Serious Adverse Events due to toxicities
41 toxicity related events
Count of Events Related to Toxicity
Adverse Events due to toxicities
167 toxicity related events

Adverse Events

Bendamustine, Rituximab, Lenalidomide

Serious events: 36 serious events
Other events: 36 other events
Deaths: 3 deaths

Serious adverse events

Serious adverse events
Measure
Bendamustine, Rituximab, Lenalidomide
n=36 participants at risk
INDUCTION: Bendamustine 90mg/m2 IV D1\&2 and rituximab IV D1 (up to day 5 of course 1) every 28 days for 6 cycles. Patients with objective response move to maintenance therapy. Patients with objective response after 4 courses are eligible to for maintenance therapy if ongoing induction therapy is associated w/unacceptable toxicity. MAINTENANCE: At 6-12 wks post induction therapy, patients receive rituximab IV on day 1 of odd-numbered cycles for 24 cycles; lenalidomide 5mg PO daily on days 1-21 of each cycle (28 day cycles). Dose escalation to 10mg daily on days 1-21 allowed at start of cycle 2 or at start of subsequent cycles in subjects w/acceptable toxicities. Lenalidomide dose escalation only allowed at start of a new cycle up to a max dose of 10 mg/day on days 1- 21. Subjects entering maintenance with CrCl ≥40 \& \<60mL/min will begin dosing at 5mg every other day on days 1-21. Patients with excessive toxicity from lenalidomide may continue maintenance therapy with rituximab alone. Bendamustine: Given IV Rituximab: Given IV Lenalidomide: Given PO
Blood and lymphatic system disorders
Anemia
2.8%
1/36 • Number of events 1 • 30 months
Blood and lymphatic system disorders
Blood and lymphatic system disorders - Other, specify
2.8%
1/36 • Number of events 1 • 30 months
Blood and lymphatic system disorders
Febrile neutropenia
16.7%
6/36 • Number of events 6 • 30 months
Gastrointestinal disorders
Enterocolitis
2.8%
1/36 • Number of events 1 • 30 months
Gastrointestinal disorders
Gastrointestinal disorders - Other, specify
2.8%
1/36 • Number of events 1 • 30 months
Gastrointestinal disorders
Ileus
2.8%
1/36 • Number of events 1 • 30 months
Gastrointestinal disorders
Pancreatitis
2.8%
1/36 • Number of events 1 • 30 months
Gastrointestinal disorders
Small intestinal obstruction
2.8%
1/36 • Number of events 1 • 30 months
Gastrointestinal disorders
Typhlitis
2.8%
1/36 • Number of events 1 • 30 months
General disorders
Fatigue
2.8%
1/36 • Number of events 1 • 30 months
General disorders
Fever
2.8%
1/36 • Number of events 1 • 30 months
Hepatobiliary disorders
Cholecystitis
2.8%
1/36 • Number of events 1 • 30 months
Immune system disorders
Cytokine release syndrome
2.8%
1/36 • Number of events 1 • 30 months
Immune system disorders
Immune system disorders - Other, specify
5.6%
2/36 • Number of events 2 • 30 months
Infections and infestations
Bronchial infection
2.8%
1/36 • Number of events 1 • 30 months
Infections and infestations
Infections and infestations - Other, specify
5.6%
2/36 • Number of events 2 • 30 months
Infections and infestations
Lung infection
5.6%
2/36 • Number of events 2 • 30 months
Infections and infestations
Sepsis
2.8%
1/36 • Number of events 1 • 30 months
Infections and infestations
Skin infection
5.6%
2/36 • Number of events 2 • 30 months
Infections and infestations
Upper respiratory infection
2.8%
1/36 • Number of events 1 • 30 months
Investigations
Alkaline phosphatase increased
2.8%
1/36 • Number of events 1 • 30 months
Investigations
Aspartate aminotransferase increased
2.8%
1/36 • Number of events 1 • 30 months
Investigations
Blood bilirubin increased
2.8%
1/36 • Number of events 1 • 30 months
Investigations
GGT increased
2.8%
1/36 • Number of events 1 • 30 months
Investigations
Lipase increased
2.8%
1/36 • Number of events 1 • 30 months
Investigations
Neutrophil count decreased
72.2%
26/36 • Number of events 26 • 30 months
Investigations
Platelet count decreased
2.8%
1/36 • Number of events 1 • 30 months
Metabolism and nutrition disorders
Hypoalbuminemia
2.8%
1/36 • Number of events 1 • 30 months
Metabolism and nutrition disorders
Hypokalemia
2.8%
1/36 • Number of events 1 • 30 months
Metabolism and nutrition disorders
Hyponatremia
2.8%
1/36 • Number of events 1 • 30 months
Metabolism and nutrition disorders
Tumor lysis syndrome
2.8%
1/36 • Number of events 1 • 30 months
Musculoskeletal and connective tissue disorders
Joint effusion
2.8%
1/36 • Number of events 1 • 30 months
Musculoskeletal and connective tissue disorders
Neck pain
2.8%
1/36 • Number of events 1 • 30 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specify
50.0%
18/36 • Number of events 18 • 30 months
Psychiatric disorders
Depression
2.8%
1/36 • Number of events 1 • 30 months
Renal and urinary disorders
Acute kidney injury
5.6%
2/36 • Number of events 2 • 30 months
Respiratory, thoracic and mediastinal disorders
Pleural effusion
2.8%
1/36 • Number of events 1 • 30 months
Respiratory, thoracic and mediastinal disorders
Productive cough
2.8%
1/36 • Number of events 1 • 30 months
Skin and subcutaneous tissue disorders
Rash maculo-papular
5.6%
2/36 • Number of events 2 • 30 months
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify
2.8%
1/36 • Number of events 1 • 30 months
Vascular disorders
Thromboembolic event
2.8%
1/36 • Number of events 1 • 30 months

Other adverse events

Other adverse events
Measure
Bendamustine, Rituximab, Lenalidomide
n=36 participants at risk
INDUCTION: Bendamustine 90mg/m2 IV D1\&2 and rituximab IV D1 (up to day 5 of course 1) every 28 days for 6 cycles. Patients with objective response move to maintenance therapy. Patients with objective response after 4 courses are eligible to for maintenance therapy if ongoing induction therapy is associated w/unacceptable toxicity. MAINTENANCE: At 6-12 wks post induction therapy, patients receive rituximab IV on day 1 of odd-numbered cycles for 24 cycles; lenalidomide 5mg PO daily on days 1-21 of each cycle (28 day cycles). Dose escalation to 10mg daily on days 1-21 allowed at start of cycle 2 or at start of subsequent cycles in subjects w/acceptable toxicities. Lenalidomide dose escalation only allowed at start of a new cycle up to a max dose of 10 mg/day on days 1- 21. Subjects entering maintenance with CrCl ≥40 \& \<60mL/min will begin dosing at 5mg every other day on days 1-21. Patients with excessive toxicity from lenalidomide may continue maintenance therapy with rituximab alone. Bendamustine: Given IV Rituximab: Given IV Lenalidomide: Given PO
Gastrointestinal disorders
Nausea
72.2%
26/36 • Number of events 51 • 30 months
Gastrointestinal disorders
Constipation
66.7%
24/36 • Number of events 41 • 30 months
Gastrointestinal disorders
Diarrhea
66.7%
24/36 • Number of events 53 • 30 months
Gastrointestinal disorders
Gastrointestinal disorders - Other, specify
36.1%
13/36 • Number of events 21 • 30 months
Gastrointestinal disorders
Abdominal pain
16.7%
6/36 • Number of events 7 • 30 months
Gastrointestinal disorders
Vomiting
16.7%
6/36 • Number of events 11 • 30 months
Gastrointestinal disorders
Dry mouth
5.6%
2/36 • Number of events 2 • 30 months
Gastrointestinal disorders
Gastritis
5.6%
2/36 • Number of events 2 • 30 months
Gastrointestinal disorders
Gastroesophageal reflux disease
5.6%
2/36 • Number of events 2 • 30 months
Gastrointestinal disorders
Stomach pain
5.6%
2/36 • Number of events 2 • 30 months
Gastrointestinal disorders
Toothache
5.6%
2/36 • Number of events 2 • 30 months
Gastrointestinal disorders
Ascites
2.8%
1/36 • Number of events 1 • 30 months
Gastrointestinal disorders
Colitis
2.8%
1/36 • Number of events 1 • 30 months
Gastrointestinal disorders
Enterocolitis
2.8%
1/36 • Number of events 1 • 30 months
Gastrointestinal disorders
Esophagitis
2.8%
1/36 • Number of events 1 • 30 months
Gastrointestinal disorders
Gingival pain
2.8%
1/36 • Number of events 1 • 30 months
Gastrointestinal disorders
Ileus
2.8%
1/36 • Number of events 1 • 30 months
Gastrointestinal disorders
Mucositis oral
2.8%
1/36 • Number of events 1 • 30 months
Gastrointestinal disorders
Oral dysesthesia
2.8%
1/36 • Number of events 1 • 30 months
Gastrointestinal disorders
Oral pain
2.8%
1/36 • Number of events 1 • 30 months
Gastrointestinal disorders
Pancreatitis
2.8%
1/36 • Number of events 1 • 30 months
Gastrointestinal disorders
Small intestinal obstruction
2.8%
1/36 • Number of events 1 • 30 months
Gastrointestinal disorders
Typhlitis
2.8%
1/36 • Number of events 1 • 30 months
General disorders
Fatigue
88.9%
32/36 • Number of events 59 • 30 months
General disorders
General disorders and administration site conditions - Other, specify
38.9%
14/36 • Number of events 54 • 30 months
General disorders
Infusion related reaction
33.3%
12/36 • Number of events 14 • 30 months
General disorders
Edema limbs
30.6%
11/36 • Number of events 15 • 30 months
General disorders
Chills
13.9%
5/36 • Number of events 7 • 30 months
General disorders
Fever
11.1%
4/36 • Number of events 7 • 30 months
General disorders
Non-cardiac chest pain
11.1%
4/36 • Number of events 4 • 30 months
General disorders
Pain
11.1%
4/36 • Number of events 5 • 30 months
General disorders
Localized edema
8.3%
3/36 • Number of events 5 • 30 months
General disorders
Flu like symptoms
5.6%
2/36 • Number of events 3 • 30 months
General disorders
Irritability
5.6%
2/36 • Number of events 2 • 30 months
General disorders
Malaise
5.6%
2/36 • Number of events 2 • 30 months
General disorders
Gait disturbance
2.8%
1/36 • Number of events 1 • 30 months
Investigations
Neutrophil count decreased
80.6%
29/36 • Number of events 117 • 30 months
Investigations
White blood cell decreased
63.9%
23/36 • Number of events 97 • 30 months
Investigations
Lymphocyte count decreased
58.3%
21/36 • Number of events 111 • 30 months
Investigations
Platelet count decreased
36.1%
13/36 • Number of events 24 • 30 months
Investigations
Aspartate aminotransferase increased
13.9%
5/36 • Number of events 7 • 30 months
Investigations
Creatinine increased
11.1%
4/36 • Number of events 7 • 30 months
Investigations
Weight loss
11.1%
4/36 • Number of events 13 • 30 months
Investigations
Alanine aminotransferase increased
8.3%
3/36 • Number of events 3 • 30 months
Investigations
Alkaline phosphatase increased
8.3%
3/36 • Number of events 5 • 30 months
Investigations
Blood bilirubin increased
8.3%
3/36 • Number of events 4 • 30 months
Investigations
Investigations - Other, specify
8.3%
3/36 • Number of events 3 • 30 months
Investigations
Weight gain
8.3%
3/36 • Number of events 3 • 30 months
Investigations
GGT increased
2.8%
1/36 • Number of events 1 • 30 months
Investigations
Haptoglobin decreased
2.8%
1/36 • Number of events 1 • 30 months
Investigations
Lipase increased
2.8%
1/36 • Number of events 1 • 30 months
Investigations
Lymphocyte count increased
2.8%
1/36 • Number of events 1 • 30 months
Infections and infestations
Upper respiratory infection
44.4%
16/36 • Number of events 31 • 30 months
Infections and infestations
Infections and infestations - Other, specify
27.8%
10/36 • Number of events 16 • 30 months
Infections and infestations
Sinusitis
25.0%
9/36 • Number of events 14 • 30 months
Infections and infestations
Skin infection
22.2%
8/36 • Number of events 9 • 30 months
Infections and infestations
Lung infection
13.9%
5/36 • Number of events 15 • 30 months
Infections and infestations
Enterocolitis infectious
11.1%
4/36 • Number of events 6 • 30 months
Infections and infestations
Phlebitis infective
8.3%
3/36 • Number of events 5 • 30 months
Infections and infestations
Urinary tract infection
8.3%
3/36 • Number of events 4 • 30 months
Infections and infestations
Bronchial infection
5.6%
2/36 • Number of events 3 • 30 months
Infections and infestations
Otitis media
5.6%
2/36 • Number of events 2 • 30 months
Infections and infestations
Paronychia
5.6%
2/36 • Number of events 2 • 30 months
Infections and infestations
Penile infection
2.8%
1/36 • Number of events 1 • 30 months
Infections and infestations
Sepsis
2.8%
1/36 • Number of events 1 • 30 months
Infections and infestations
Soft tissue infection
2.8%
1/36 • Number of events 2 • 30 months
Infections and infestations
Tooth infection
2.8%
1/36 • Number of events 3 • 30 months
Infections and infestations
Vaginal infection
2.8%
1/36 • Number of events 1 • 30 months
Skin and subcutaneous tissue disorders
Rash maculo-papular
52.8%
19/36 • Number of events 43 • 30 months
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify
36.1%
13/36 • Number of events 26 • 30 months
Skin and subcutaneous tissue disorders
Dry skin
30.6%
11/36 • Number of events 12 • 30 months
Skin and subcutaneous tissue disorders
Pruritus
30.6%
11/36 • Number of events 13 • 30 months
Skin and subcutaneous tissue disorders
Alopecia
2.8%
1/36 • Number of events 1 • 30 months
Skin and subcutaneous tissue disorders
Periorbital edema
2.8%
1/36 • Number of events 1 • 30 months
Skin and subcutaneous tissue disorders
Photosensitivity
2.8%
1/36 • Number of events 1 • 30 months
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
2.8%
1/36 • Number of events 1 • 30 months
Skin and subcutaneous tissue disorders
Skin ulceration
2.8%
1/36 • Number of events 1 • 30 months
Nervous system disorders
Headache
44.4%
16/36 • Number of events 26 • 30 months
Nervous system disorders
Dizziness
30.6%
11/36 • Number of events 15 • 30 months
Nervous system disorders
Dysgeusia
25.0%
9/36 • Number of events 9 • 30 months
Nervous system disorders
Paresthesia
11.1%
4/36 • Number of events 4 • 30 months
Nervous system disorders
Peripheral sensory neuropathy
11.1%
4/36 • Number of events 4 • 30 months
Nervous system disorders
Nervous system disorders - Other, specify
5.6%
2/36 • Number of events 3 • 30 months
Nervous system disorders
Tremor
5.6%
2/36 • Number of events 2 • 30 months
Nervous system disorders
Amnesia
2.8%
1/36 • Number of events 1 • 30 months
Nervous system disorders
Memory impairment
2.8%
1/36 • Number of events 1 • 30 months
Nervous system disorders
Neuralgia
2.8%
1/36 • Number of events 1 • 30 months
Nervous system disorders
Peripheral motor neuropathy
2.8%
1/36 • Number of events 1 • 30 months
Nervous system disorders
Presyncope
2.8%
1/36 • Number of events 1 • 30 months
Nervous system disorders
Seizure
2.8%
1/36 • Number of events 1 • 30 months
Nervous system disorders
Sinus pain
2.8%
1/36 • Number of events 1 • 30 months
Respiratory, thoracic and mediastinal disorders
Cough
47.2%
17/36 • Number of events 23 • 30 months
Respiratory, thoracic and mediastinal disorders
Dyspnea
25.0%
9/36 • Number of events 11 • 30 months
Respiratory, thoracic and mediastinal disorders
Productive cough
16.7%
6/36 • Number of events 8 • 30 months
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - Other, specify
13.9%
5/36 • Number of events 8 • 30 months
Respiratory, thoracic and mediastinal disorders
Nasal congestion
11.1%
4/36 • Number of events 4 • 30 months
Respiratory, thoracic and mediastinal disorders
Epistaxis
8.3%
3/36 • Number of events 3 • 30 months
Respiratory, thoracic and mediastinal disorders
Sore throat
8.3%
3/36 • Number of events 4 • 30 months
Respiratory, thoracic and mediastinal disorders
Pleural effusion
5.6%
2/36 • Number of events 2 • 30 months
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
2.8%
1/36 • Number of events 1 • 30 months
Respiratory, thoracic and mediastinal disorders
Pneumonitis
2.8%
1/36 • Number of events 1 • 30 months
Respiratory, thoracic and mediastinal disorders
Postnasal drip
2.8%
1/36 • Number of events 1 • 30 months
Respiratory, thoracic and mediastinal disorders
Wheezing
2.8%
1/36 • Number of events 1 • 30 months
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other, specify
27.8%
10/36 • Number of events 17 • 30 months
Musculoskeletal and connective tissue disorders
Pain in extremity
22.2%
8/36 • Number of events 9 • 30 months
Musculoskeletal and connective tissue disorders
Bone pain
13.9%
5/36 • Number of events 7 • 30 months
Musculoskeletal and connective tissue disorders
Myalgia
13.9%
5/36 • Number of events 6 • 30 months
Musculoskeletal and connective tissue disorders
Arthralgia
8.3%
3/36 • Number of events 4 • 30 months
Musculoskeletal and connective tissue disorders
Neck pain
8.3%
3/36 • Number of events 3 • 30 months
Musculoskeletal and connective tissue disorders
Back pain
5.6%
2/36 • Number of events 3 • 30 months
Musculoskeletal and connective tissue disorders
Arthritis
2.8%
1/36 • Number of events 1 • 30 months
Musculoskeletal and connective tissue disorders
Buttock pain
2.8%
1/36 • Number of events 2 • 30 months
Musculoskeletal and connective tissue disorders
Joint effusion
2.8%
1/36 • Number of events 1 • 30 months
Metabolism and nutrition disorders
Anorexia
22.2%
8/36 • Number of events 10 • 30 months
Metabolism and nutrition disorders
Hypoalbuminemia
16.7%
6/36 • Number of events 21 • 30 months
Metabolism and nutrition disorders
Hypocalcemia
16.7%
6/36 • Number of events 9 • 30 months
Metabolism and nutrition disorders
Hypokalemia
11.1%
4/36 • Number of events 7 • 30 months
Metabolism and nutrition disorders
Hyponatremia
11.1%
4/36 • Number of events 4 • 30 months
Metabolism and nutrition disorders
Hypernatremia
8.3%
3/36 • Number of events 3 • 30 months
Metabolism and nutrition disorders
Metabolism and nutrition disorders - Other, specify
8.3%
3/36 • Number of events 3 • 30 months
Metabolism and nutrition disorders
Hyperkalemia
5.6%
2/36 • Number of events 2 • 30 months
Metabolism and nutrition disorders
Hypermagnesemia
5.6%
2/36 • Number of events 2 • 30 months
Metabolism and nutrition disorders
Hypomagnesemia
5.6%
2/36 • Number of events 2 • 30 months
Metabolism and nutrition disorders
Tumor lysis syndrome
5.6%
2/36 • Number of events 3 • 30 months
Metabolism and nutrition disorders
Dehydration
2.8%
1/36 • Number of events 1 • 30 months
Metabolism and nutrition disorders
Hypophosphatemia
2.8%
1/36 • Number of events 1 • 30 months
Psychiatric disorders
Insomnia
33.3%
12/36 • Number of events 14 • 30 months
Psychiatric disorders
Agitation
8.3%
3/36 • Number of events 4 • 30 months
Psychiatric disorders
Anxiety
8.3%
3/36 • Number of events 3 • 30 months
Psychiatric disorders
Depression
8.3%
3/36 • Number of events 6 • 30 months
Psychiatric disorders
Psychiatric disorders - Other, specify
2.8%
1/36 • Number of events 1 • 30 months
Psychiatric disorders
Restlessness
2.8%
1/36 • Number of events 1 • 30 months
Vascular disorders
Hypertension
16.7%
6/36 • Number of events 13 • 30 months
Vascular disorders
Phlebitis
16.7%
6/36 • Number of events 9 • 30 months
Vascular disorders
Hot flashes
13.9%
5/36 • Number of events 5 • 30 months
Vascular disorders
Hematoma
8.3%
3/36 • Number of events 3 • 30 months
Vascular disorders
Flushing
5.6%
2/36 • Number of events 3 • 30 months
Vascular disorders
Thromboembolic event
5.6%
2/36 • Number of events 2 • 30 months
Vascular disorders
Vascular disorders - Other, specify
2.8%
1/36 • Number of events 1 • 30 months
Blood and lymphatic system disorders
Anemia
25.0%
9/36 • Number of events 29 • 30 months
Blood and lymphatic system disorders
Febrile neutropenia
13.9%
5/36 • Number of events 7 • 30 months
Blood and lymphatic system disorders
Blood and lymphatic system disorders - Other, specify
5.6%
2/36 • Number of events 3 • 30 months
Eye disorders
Eye disorders - Other, specify
13.9%
5/36 • Number of events 5 • 30 months
Eye disorders
Conjunctivitis
11.1%
4/36 • Number of events 5 • 30 months
Eye disorders
Dry eye
8.3%
3/36 • Number of events 3 • 30 months
Eye disorders
Blurred vision
5.6%
2/36 • Number of events 3 • 30 months
Eye disorders
Cataract
2.8%
1/36 • Number of events 1 • 30 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specify
30.6%
11/36 • Number of events 25 • 30 months
Renal and urinary disorders
Urinary frequency
13.9%
5/36 • Number of events 6 • 30 months
Renal and urinary disorders
Acute kidney injury
5.6%
2/36 • Number of events 2 • 30 months
Renal and urinary disorders
Chronic kidney disease
2.8%
1/36 • Number of events 1 • 30 months
Renal and urinary disorders
Renal calculi
2.8%
1/36 • Number of events 1 • 30 months
Renal and urinary disorders
Urinary incontinence
2.8%
1/36 • Number of events 1 • 30 months
Injury, poisoning and procedural complications
Injury, poisoning and procedural complications - Other, specify
11.1%
4/36 • Number of events 4 • 30 months
Injury, poisoning and procedural complications
Fall
8.3%
3/36 • Number of events 3 • 30 months
Injury, poisoning and procedural complications
Bruising
5.6%
2/36 • Number of events 2 • 30 months
Injury, poisoning and procedural complications
Fracture
2.8%
1/36 • Number of events 1 • 30 months
Ear and labyrinth disorders
Ear and labyrinth disorders - Other, specify
5.6%
2/36 • Number of events 2 • 30 months
Ear and labyrinth disorders
Ear pain
5.6%
2/36 • Number of events 2 • 30 months
Ear and labyrinth disorders
Vertigo
5.6%
2/36 • Number of events 3 • 30 months
Ear and labyrinth disorders
Tinnitus
2.8%
1/36 • Number of events 1 • 30 months
Cardiac disorders
Cardiac disorders - Other, specify
8.3%
3/36 • Number of events 5 • 30 months
Cardiac disorders
Atrial fibrillation
2.8%
1/36 • Number of events 1 • 30 months
Cardiac disorders
Sinus tachycardia
2.8%
1/36 • Number of events 1 • 30 months
Immune system disorders
Immune system disorders - Other, specify
8.3%
3/36 • Number of events 8 • 30 months
Immune system disorders
Cytokine release syndrome
5.6%
2/36 • Number of events 2 • 30 months
Surgical and medical procedures
Surgical and medical procedures - Other, specify
2.8%
1/36 • Number of events 1 • 30 months

Additional Information

Julie Chang, MD

University of Wisconsin Carbone Cancer Center

Phone: 800-622-9822

Results disclosure agreements

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