Trial Outcomes & Findings for Pilot Study to Evaluate Safety & Biological Effects of Orally Administered Reparixin in Early Breast Cancer (NCT NCT01861054)

NCT ID: NCT01861054

Last Updated: 2021-05-14

Results Overview

CSCs were measured in tissue samples by the following techniques: ALDH-1 by ALDEFLUOR and by immunohistochemistry (IHC); CD44/CD24 by flow cytometry or examination of RNA transcripts by RT-PCR and by immunohistochemistry (IHC); epithelial mesenchymal markers (Snail, Twist, Notch) by immunohistochemistry (IHC).

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

20 participants

Primary outcome timeframe

At day 21

Results posted on

2021-05-14

Participant Flow

Patients recruitment: before initiating a study, the Investigator was required to have written and dated approval from the Institutional Review Board (IRB)/Independent Ethics Committee (IEC) for the study protocol, written informed consent form (ICF), consent form updates, subject recruitment procedures (e.g., advertisements), and any other written information to be provided to subjects.

It was planned to enroll 2 sub-groups of patients into the study, Group A: ER+ and/or PR+/HER-2- and Group B: ER-/PR-/HER-2-, and the sample size of 20 patients per group was chosen. Twenty patients in total were enrolled, 18 in Group A and 2 in Group B. The study was closed prematurely due to slow enrollment in group B. All 20 patients were included in the Safety Population and 6 (30%) were included in the PK population. All 20 patients completed the study.

Participant milestones

Participant milestones
Measure
ER+ and/or PR+/ HER-2 -
Patients of Group A (estrogen receptor positive (ER+) and/or progesterone receptor positive (PR+)/human epidermal growth factor receptor-2 negative (HER-2-)) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack.
ER-/PR-/HER-2-
Patients of Group B (estrogen receptor negative (ER-)/progesterone receptor negative (PR-)/HER-2-) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack.
Overall Study
STARTED
18
2
Overall Study
Safety Population
18
2
Overall Study
PK Population
4
2
Overall Study
COMPLETED
18
2
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pilot Study to Evaluate Safety & Biological Effects of Orally Administered Reparixin in Early Breast Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ER+ and/or PR+/ HER-2 -
n=18 Participants
Patients of Group A (estrogen receptor positive (ER+) and/or progesterone receptor positive (PR+)/human epidermal growth factor receptor-2 negative (HER-2-)) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
ER-/PR-/HER-2-
n=2 Participants
Patients of Group B (estrogen receptor negative (ER-)/progesterone receptor negative (PR-)/HER-2-) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
Total
n=20 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
16 Participants
n=5 Participants
1 Participants
n=7 Participants
17 Participants
n=5 Participants
Age, Categorical
>=65 years
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Age, Continuous
54.0 years
STANDARD_DEVIATION 8.92 • n=5 Participants
56.5 years
STANDARD_DEVIATION 12.02 • n=7 Participants
54.3 years
STANDARD_DEVIATION 8.91 • n=5 Participants
Sex: Female, Male
Female
18 Participants
n=5 Participants
2 Participants
n=7 Participants
20 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants
n=5 Participants
0 Participants
n=7 Participants
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants
n=5 Participants
2 Participants
n=7 Participants
14 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
15 Participants
n=5 Participants
2 Participants
n=7 Participants
17 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
18 participants
n=5 Participants
2 participants
n=7 Participants
20 participants
n=5 Participants

PRIMARY outcome

Timeframe: At day 21

Population: The Safety Population included all enrolled patients who took at least one dose of study drug reparixin. This population was used for primary endpoints and safety analysis

CSCs were measured in tissue samples by the following techniques: ALDH-1 by ALDEFLUOR and by immunohistochemistry (IHC); CD44/CD24 by flow cytometry or examination of RNA transcripts by RT-PCR and by immunohistochemistry (IHC); epithelial mesenchymal markers (Snail, Twist, Notch) by immunohistochemistry (IHC).

Outcome measures

Outcome measures
Measure
ER+ and/or PR+/ HER-2 -
n=18 Participants
Patients of Group A (estrogen receptor positive (ER+) and/or progesterone receptor positive (PR+)/human epidermal growth factor receptor-2 negative (HER-2-)) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
ER-/PR-/HER-2-
n=2 Participants
Patients of Group B (estrogen receptor negative (ER-)/progesterone receptor negative (PR-)/HER-2-) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
Change From Baseline to Day 21 in Markers of Cancer Stem Cells (CSCs) in the Primary Tumor and the Tumoral Microenvironment (ALDH1,CD44/CD24)
ALDH+
1.34 percentage of cells
Standard Deviation 2.737
-0.40 percentage of cells
Standard Deviation 1.131
Change From Baseline to Day 21 in Markers of Cancer Stem Cells (CSCs) in the Primary Tumor and the Tumoral Microenvironment (ALDH1,CD44/CD24)
CD44+/CD24-
-0.57 percentage of cells
Standard Deviation 5.617
0.20 percentage of cells
Standard Deviation 1.273

PRIMARY outcome

Timeframe: Day 21 (or last day of treatment)

Population: The Safety Population included all enrolled patients who took at least one dose of study drug reparixin. This population was used for primary endpoints and safety analysis.

Pathway markers (AKT, FAK, PTEN and CXCR1) were measured in tissue samples at the pre-study (Day -14 to 0) and Day 21 (or within 24 hours of last dose). For the evaluation of the stain extent, the following semi-quantitative score method (0 to 4) was used: 0, no positive cells; 1, 1-25%; 2, 26-50%; 3, 51-75%; and 4, 76-100%. Hence for this scale, the higher the values, the worse is the outcome. For the evaluation of the stain intensity, the following score method (0 to 3) was used: 0, negative; 1, weak; 2, moderate, 3; strong. Also for this scale, the higher the score, the worse the outcome. Serine-threonine protein kinase (AKT, also known as protein kinase B, PKB) Focal adhesion kinase (FAK) Chemokine receptor-1 (CXCR1)

Outcome measures

Outcome measures
Measure
ER+ and/or PR+/ HER-2 -
n=18 Participants
Patients of Group A (estrogen receptor positive (ER+) and/or progesterone receptor positive (PR+)/human epidermal growth factor receptor-2 negative (HER-2-)) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
ER-/PR-/HER-2-
n=2 Participants
Patients of Group B (estrogen receptor negative (ER-)/progesterone receptor negative (PR-)/HER-2-) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
Change From Baseline-1 to Day 21-1 in Pathway Markers by IHC
Stain Phospho-AKT Extent
0 score on a scale
Interval -1.0 to 2.0
0 score on a scale
Interval 0.0 to 0.0
Change From Baseline-1 to Day 21-1 in Pathway Markers by IHC
Stain Phospho-AKT Intensity
0 score on a scale
Interval -1.0 to 1.0
0 score on a scale
Interval 0.0 to 0.0
Change From Baseline-1 to Day 21-1 in Pathway Markers by IHC
Stain AKT Extent
0 score on a scale
Interval -4.0 to 1.0
1.0 score on a scale
Interval 1.0 to 1.0
Change From Baseline-1 to Day 21-1 in Pathway Markers by IHC
Stain AKT Intensity
-0.5 score on a scale
Interval -3.0 to 2.0
0 score on a scale
Interval 0.0 to 0.0
Change From Baseline-1 to Day 21-1 in Pathway Markers by IHC
Phospho-FAK Extent
0 score on a scale
Interval -1.0 to 2.0
0 score on a scale
Interval 0.0 to 0.0
Change From Baseline-1 to Day 21-1 in Pathway Markers by IHC
Phospho-FAK Intensity
0 score on a scale
Interval -1.0 to 2.0
-1.0 score on a scale
Interval -1.0 to -1.0
Change From Baseline-1 to Day 21-1 in Pathway Markers by IHC
Stain FAK Extent
0 score on a scale
Interval -2.0 to 1.0
1.0 score on a scale
Interval 1.0 to 1.0
Change From Baseline-1 to Day 21-1 in Pathway Markers by IHC
Stain FAK Intens
0 score on a scale
Interval -2.0 to 2.0
0 score on a scale
Interval 0.0 to 0.0
Change From Baseline-1 to Day 21-1 in Pathway Markers by IHC
Stain C-PTEN Extent
0 score on a scale
Interval -4.0 to 2.0
0 score on a scale
Interval 0.0 to 0.0
Change From Baseline-1 to Day 21-1 in Pathway Markers by IHC
Stain C-PTEN Intensity
0 score on a scale
Interval -2.0 to 1.0
0 score on a scale
Interval 0.0 to 0.0
Change From Baseline-1 to Day 21-1 in Pathway Markers by IHC
Stain D-PTEN Extent
0 score on a scale
Interval -4.0 to 2.0
0 score on a scale
Interval 0.0 to 0.0
Change From Baseline-1 to Day 21-1 in Pathway Markers by IHC
Stain D-PTEN Intensity
0 score on a scale
Interval -2.0 to 1.0
0 score on a scale
Interval 0.0 to 0.0
Change From Baseline-1 to Day 21-1 in Pathway Markers by IHC
Stain CXCR1 Extent
0 score on a scale
Interval -4.0 to 1.0
1.0 score on a scale
Interval 1.0 to 1.0
Change From Baseline-1 to Day 21-1 in Pathway Markers by IHC
Stain CXCR1 Intensity
-0.5 score on a scale
Interval -3.0 to 1.0
1.0 score on a scale
Interval 1.0 to 1.0

PRIMARY outcome

Timeframe: At Day 21

Population: The Safety Population included all enrolled patients who took at least one dose of study drug reparixin. This population was used for primary endpoints and safety analysis.

Markers of inflammation (IL-1β, IL-6, IL-8, TNF-α, GM-CSF, VEGF, and b-FGF) were measured in plasma from peripheral blood. IL = interleukins TNF-α = tumor necrosis factor-alpha GM-CSF = macrophage colony stimulating factor VEGF = vascular endothelial growth factor b-FGF = basic fibroblast growth factor

Outcome measures

Outcome measures
Measure
ER+ and/or PR+/ HER-2 -
n=18 Participants
Patients of Group A (estrogen receptor positive (ER+) and/or progesterone receptor positive (PR+)/human epidermal growth factor receptor-2 negative (HER-2-)) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
ER-/PR-/HER-2-
n=2 Participants
Patients of Group B (estrogen receptor negative (ER-)/progesterone receptor negative (PR-)/HER-2-) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
Change From Baseline to Day 21 in Markers of Inflammation
Interleukin 1 Beta
7.019 pg/ML
Standard Deviation 30.3118
0 pg/ML
Standard Deviation 0.000
Change From Baseline to Day 21 in Markers of Inflammation
Interleukin 6
9.593 pg/ML
Standard Deviation 39.2733
0 pg/ML
Standard Deviation 0
Change From Baseline to Day 21 in Markers of Inflammation
Interleukin 8
-25.874 pg/ML
Standard Deviation 134.3213
29.320 pg/ML
Standard Deviation 41.6910
Change From Baseline to Day 21 in Markers of Inflammation
TNFα
2.669 pg/ML
Standard Deviation 8.0313
-0.890 pg/ML
Standard Deviation 3.5780
Change From Baseline to Day 21 in Markers of Inflammation
GM-CSF
-2.678 pg/ML
Standard Deviation 8.2154
8.705 pg/ML
Standard Deviation 12.3107
Change From Baseline to Day 21 in Markers of Inflammation
VEGF
253.584 pg/ML
Standard Deviation 1120.6125
27.635 pg/ML
Standard Deviation 39.0818
Change From Baseline to Day 21 in Markers of Inflammation
b-FGF
20.164 pg/ML
Standard Deviation 93.4614
-9.750 pg/ML
Standard Deviation 13.7886

PRIMARY outcome

Timeframe: At day 21

Population: The Safety Population included all enrolled patients who took at least one dose of study drug reparixin. This population was used for primary endpoints and safety analysis.

CD31 staining by IHC. For the evaluation of the stain extent, the following semi-quantitative score method (0 to 4) was used: 0, no positive cells; 1, 1-25%; 2, 26-50%; 3, 51-75%; and 4, 76-100%. Hence for this scale, the higher the values, the worse is the outcome. For the evaluation of the stain intensity, the following score method (0 to 3) was used: 0, negative; 1, weak; 2, moderate, 3; strong. Also for this scale, the higher the score, the worse the outcome. CD31 is a transmembrane glycoprotein, 130-140 kDa, also know as platelet-endothelium cell adhesion molecule (PECAM-1). CD31 is ligand for CD38 and plays a role in thrombosis and angiogenesis. CD31 is strongly expressed in endothelial cells and weakly expressed in megakaryocytes, platelets, occasional plasma cells, lymphocytes (espc. marginal zone B-cells, peripheral T-cells) and neutrophils.

Outcome measures

Outcome measures
Measure
ER+ and/or PR+/ HER-2 -
n=18 Participants
Patients of Group A (estrogen receptor positive (ER+) and/or progesterone receptor positive (PR+)/human epidermal growth factor receptor-2 negative (HER-2-)) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
ER-/PR-/HER-2-
n=2 Participants
Patients of Group B (estrogen receptor negative (ER-)/progesterone receptor negative (PR-)/HER-2-) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
Change From Baseline-1 to Day 21-1 in Markers of Angiogenesis (CD31 Staining)
Stain CD31 Extent
0 score on a scale
Interval -2.0 to 1.0
1.0 score on a scale
Interval 1.0 to 1.0
Change From Baseline-1 to Day 21-1 in Markers of Angiogenesis (CD31 Staining)
Stain CD31 Intensity
0 score on a scale
Interval -1.0 to 1.0
1.0 score on a scale
Interval 1.0 to 1.0

PRIMARY outcome

Timeframe: At day 21

Population: The Safety Population included all enrolled patients who took at least one dose of study drug reparixin. This population was used for primary endpoints and safety analysis.

Autophagy is a lysosomal degradation and recycling process implicated in cancer progression and therapy resistance. Labeling of p62 serves as a useful marker for the induction of autophagy, clearance of protein aggregates, and the inhibition of autophagy. Labeling of LC3B serves to track the binding of p62 and subsequent recruitment of autophagosomes. For the evaluation of the extent, the following semi-quantitative score method (0 to 4) was used: 0, no positive cells; 1, 1-25%; 2, 26-50%; 3, 51-75%; and 4, 76-100%. Hence for this scale, the higher the values, the worse is the outcome. For the evaluation of the intensity, the following score method (0 to 3) was used: 0, negative; 1, weak; 2, moderate, 3; strong. Also for this scale, the higher the score, the worse the outcome.

Outcome measures

Outcome measures
Measure
ER+ and/or PR+/ HER-2 -
n=18 Participants
Patients of Group A (estrogen receptor positive (ER+) and/or progesterone receptor positive (PR+)/human epidermal growth factor receptor-2 negative (HER-2-)) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
ER-/PR-/HER-2-
n=2 Participants
Patients of Group B (estrogen receptor negative (ER-)/progesterone receptor negative (PR-)/HER-2-) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
Change From Baseline-1 to Day 21-1 in Markers of Autophagy (P62 and LC3B by IHC)
Stain P62 Extent
-1.0 score on a scale
Interval -3.0 to 1.0
0 score on a scale
Interval 0.0 to 0.0
Change From Baseline-1 to Day 21-1 in Markers of Autophagy (P62 and LC3B by IHC)
Stain P62 Intensity
0 score on a scale
Interval -2.0 to 0.0
-1.0 score on a scale
Interval -1.0 to -1.0

SECONDARY outcome

Timeframe: At Days 1 (pre-first dose and 0.25, 0.5, 1, 2, 4, 6, 8h post dose) and 21(pre-first dose and 0.25, 0.5, 1, 2, 4, 6, 8h post dose)

Population: The PK Population consisted of patients who received at least one dose of reparixin and had at least one valid, quantifiable PK parameter. This population was used for PK analyses.

Once absorbed, reparixin is highly protein bound. By comparing Cmax and AUC for unbound drug to that for total drug, only \< 0.1% to 0.2% of reparixin is available as unbound (free) drug. The intent of the PK outcomes was not to compare the results between the two cohorts; for this reason results for the PK outcomes are reported for the whole group of the treated patients. Cmax = Maximum plasma concentration obtained directly from the data without interpolation, expressed in concentration units

Outcome measures

Outcome measures
Measure
ER+ and/or PR+/ HER-2 -
n=6 Participants
Patients of Group A (estrogen receptor positive (ER+) and/or progesterone receptor positive (PR+)/human epidermal growth factor receptor-2 negative (HER-2-)) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
ER-/PR-/HER-2-
Patients of Group B (estrogen receptor negative (ER-)/progesterone receptor negative (PR-)/HER-2-) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Cmax
Day1 - DF1681Y
62.925 micrograms/mL
Standard Deviation 31.5024
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Cmax
Day21 - DF1681Y
63.927 micrograms/mL
Standard Deviation 15.7616
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Cmax
Day1 - DF1681Y unbound
145.167 micrograms/mL
Standard Deviation 116.6114
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Cmax
Day21 - DF1681Y unbound
136.552 micrograms/mL
Standard Deviation 104.8681
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Cmax
Day 1 - DF2243Y
15.788 micrograms/mL
Standard Deviation 2.5240
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Cmax
Day 21 - DF2243Y
20.812 micrograms/mL
Standard Deviation 9.9776
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Cmax
Day 1 - DF2188Y
7.302 micrograms/mL
Standard Deviation 1.5129
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Cmax
Day 21 - DF2188Y
10.367 micrograms/mL
Standard Deviation 4.3439

SECONDARY outcome

Timeframe: At Days 1 (pre-first dose and 0.25, 0.5, 1, 2, 4, 6, 8h post dose) and 21(pre-first dose and 0.25, 0.5, 1, 2, 4, 6, 8h post dose)

Population: The PK Population consisted of patients who received at least one dose of reparixin and had at least one valid, quantifiable PK parameter. This population was used for PK analyses.

Once absorbed, reparixin is highly protein-bound. By comparing Cmax and AUC for unbound drug to that for total drug, only \< 0.1% to 0.2% of reparixin is available as unbound (free) drug. The intent of the PK outcomes was not to compare the results between the two cohorts; for this reason results for the PK outcomes are reported for the whole group of the treated patients. tmax = Time to reach the maximum plasma concentration obtained directly from the data without interpolation t1/2 = Terminal elimination half-life calculated as ln(2)/ lambda z; calculated only if the coefficient of determination R2 in lambda z estimation is at least 0.8.

Outcome measures

Outcome measures
Measure
ER+ and/or PR+/ HER-2 -
n=6 Participants
Patients of Group A (estrogen receptor positive (ER+) and/or progesterone receptor positive (PR+)/human epidermal growth factor receptor-2 negative (HER-2-)) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
ER-/PR-/HER-2-
Patients of Group B (estrogen receptor negative (ER-)/progesterone receptor negative (PR-)/HER-2-) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Tmax and T1/2
Day1 - DF1681Y tmax
2.667 hours
Standard Deviation 2.8752
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Tmax and T1/2
Day21 - DF1681Y tmax
0.997 hours
Standard Deviation 0.5508
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Tmax and T1/2
Day1 - DF1681Y unbound tmax
1.583 hours
Standard Deviation 1.2813
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Tmax and T1/2
Day21 - DF1681Y unbound tmax
1.092 hours
Standard Deviation 0.4903
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Tmax and T1/2
Day 1 - DF2243Y tmax
4.333 hours
Standard Deviation 2.3381
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Tmax and T1/2
Day 21 - DF2243Y tmax
2.331 hours
Standard Deviation 0.8179
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Tmax and T1/2
Day 1 - DF2188Y tmax
2.500 hours
Standard Deviation 1.2247
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Tmax and T1/2
Day 21 - DF2188Y tmax
1.508 hours
Standard Deviation 0.5389
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Tmax and T1/2
Day1 - DF1681Y t1/2
2.090 hours
Standard Deviation 0.9847
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Tmax and T1/2
Day21 - DF1681Y t1/2
1.626 hours
Standard Deviation 0.4068
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Tmax and T1/2
Day1 - DF1681Y unbound t1/2
1.403 hours
Standard Deviation 0.4592
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Tmax and T1/2
Day21 - DF1681Y unbound t1/2
0.989 hours
Standard Deviation 0.1683
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Tmax and T1/2
Day 1 - DF2243Y t1/2
1.913 hours
Standard Deviation 0.3268
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Tmax and T1/2
Day 21 - DF2243Y t1/2
2.575 hours
Standard Deviation 0.6442
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Tmax and T1/2
Day 1 - DF2188Y t1/2
2.035 hours
Standard Deviation 1.0618
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - Tmax and T1/2
Day 21 - DF2188Y t1/2
1.575 hours
Standard Deviation 0.1953

SECONDARY outcome

Timeframe: At Days 1 (pre-first dose and 0.25, 0.5, 1, 2, 4, 6, 8h post dose) and 21(pre-first dose and 0.25, 0.5, 1, 2, 4, 6, 8h post dose)

Population: The PK Population consisted of patients who received at least one dose of reparixin and had at least one valid, quantifiable PK parameter. This population was used for PK analyses.

The intent of the PK outcomes was not to compare the results between the two cohorts; for this reason results for the PK outcomes are reported for the whole group of the treated patients. AUC0-8 = The area under the plasma concentration-time curve from time 0 to 8 hours post-dose; AUClast = The area under the concentration-time curve from time 0 to last quantifiable concentration AUCtau = The area under the plasma concentration-time curve for dosing interval (dosing interval \[tau\] = 8 hours); AUCinf = The total area under the plasma concentration-time curve from time zero to time infinity; AUC0-inf = AUClast + Clast/lambda zeta, where Clast is the last observed concentration ≥ lower limit of quantitation at time tlast. All these parameters were calculated by the linear trapezoidal rule.

Outcome measures

Outcome measures
Measure
ER+ and/or PR+/ HER-2 -
n=6 Participants
Patients of Group A (estrogen receptor positive (ER+) and/or progesterone receptor positive (PR+)/human epidermal growth factor receptor-2 negative (HER-2-)) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
ER-/PR-/HER-2-
Patients of Group B (estrogen receptor negative (ER-)/progesterone receptor negative (PR-)/HER-2-) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF1681Y - AUC0-8 - Day 1
189.357 h*μg/mL
Standard Deviation 60.2362
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF1681Y - AUC0-8 - Day 21
174.303 h*μg/mL
Standard Deviation 29.8012
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF1681Y unbound- AUC0-8 - Day 1
222.602 h*μg/mL
Standard Deviation 128.0328
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF1681Y unbound- AUC0-8 - Day 21
233.382 h*μg/mL
Standard Deviation 166.0402
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF2243Y - AUC0-8 - Day 1
78.469 h*μg/mL
Standard Deviation 18.8116
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF2243Y - AUC0-8 - Day 21
105.001 h*μg/mL
Standard Deviation 58.2634
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF2188Y - AUC0-8 - Day 1
31.040 h*μg/mL
Standard Deviation 7.9369
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF2188Y - AUC0-8 - Day 21
33.395 h*μg/mL
Standard Deviation 13.2129
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF1681Y - AUCinf - Day 1
211.243 h*μg/mL
Standard Deviation 71.4823
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF1681Y - AUCinf - Day 21
182.479 h*μg/mL
Standard Deviation 36.1551
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF1681Y unbound - AUCinf - Day 1
235.152 h*μg/mL
Standard Deviation 180.1547
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF1681Y unbound - AUCinf - Day 21
234.547 h*μg/mL
Standard Deviation 166.3017
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF2243Y - AUCinf - Day 1
71.297 h*μg/mL
Standard Deviation 25.6857
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF2243Y - AUCinf - Day 21
129.275 h*μg/mL
Standard Deviation 74.5406
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF2188Y - AUCinf - Day 1
31.669 h*μg/mL
Standard Deviation 11.2792
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF2188Y - AUCinf - Day 21
35.092 h*μg/mL
Standard Deviation 13.9473
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF1681Y - AUClast - Day 1
189.319 h*μg/mL
Standard Deviation 60.2817
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF1681Y - AUClast - Day 21
172.296 h*μg/mL
Standard Deviation 28.1847
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF1681Y unbound - AUClast - Day 1
222.078 h*μg/mL
Standard Deviation 128.1305
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF1681Y unbound - AUClast - Day 21
231.235 h*μg/mL
Standard Deviation 167.0377
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF2243Y - AUClast - Day 1
76.821 h*μg/mL
Standard Deviation 17.3033
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF2243Y - AUClast - Day 21
97.360 h*μg/mL
Standard Deviation 46.6809
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF2188Y - AUClast - Day 1
31.028 h*μg/mL
Standard Deviation 7.9336
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF2188Y - AUClast - Day 21
35.433 h*μg/mL
Standard Deviation 12.8434
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF1681Y - AUCtau - Day 21
174.303 h*μg/mL
Standard Deviation 29.8012
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF1681Y unbound - AUCtau - Day 21
233.382 h*μg/mL
Standard Deviation 166.0402
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF2243Y - AUCtau - Day 21
105.001 h*μg/mL
Standard Deviation 58.2634
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - AUC0-8, AUCinf, AUClast, AUCtau at Day 21,
DF2188Y - AUCtau - Day 21
33.395 h*μg/mL
Standard Deviation 13.2129

SECONDARY outcome

Timeframe: At Days 1 (pre-first dose and 0.25, 0.5, 1, 2, 4, 6, 8h post dose) and 21(pre-first dose and 0.25, 0.5, 1, 2, 4, 6, 8h post dose)

Population: The PK Population consisted of patients who received at least one dose of reparixin and had at least one valid, quantifiable PK parameter. This population was used for PK analyses.

The intent of the PK outcomes was not to compare the results between the two cohorts; for this reason results for the PK outcomes are reported for the whole group of the treated patients. CL/F = Apparent oral clearance - for DF1681Y only, calculated as dose/AUCinf.; calculated only when the coefficient of determination R2 in lambda zeta estimation is at least 0.8 and percent AUC extrapolation is less than or equal to 20%. CLss/F = Steady state apparent oral clearance - for DF1681Y only calculated as dose/AUCtau.

Outcome measures

Outcome measures
Measure
ER+ and/or PR+/ HER-2 -
n=6 Participants
Patients of Group A (estrogen receptor positive (ER+) and/or progesterone receptor positive (PR+)/human epidermal growth factor receptor-2 negative (HER-2-)) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
ER-/PR-/HER-2-
Patients of Group B (estrogen receptor negative (ER-)/progesterone receptor negative (PR-)/HER-2-) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - CL/F (L/h) at Day 1, CLSS/F (L/h) Day 21)
DF1681Y - CL/F - Day 1
5.173 L/h
Standard Deviation 1.7466
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - CL/F (L/h) at Day 1, CLSS/F (L/h) Day 21)
DF1681Y - CLSS/F - Day 21
5.866 L/h
Standard Deviation 0.9086
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - CL/F (L/h) at Day 1, CLSS/F (L/h) Day 21)
DF1681Y unbound - CL/F - Day 1
7156.189 L/h
Standard Deviation 6334.8463
Pharmacokinetics of Reparixin (DF1681Y, DF1681Y Unbound, DF2243Y, DF2188Y) - CL/F (L/h) at Day 1, CLSS/F (L/h) Day 21)
DF1681Y unbound - CLSS/F - Day 21
5604.781 L/h
Standard Deviation 2335.8016

SECONDARY outcome

Timeframe: At Day 21

Population: The Safety Population included all enrolled patients who took at least one dose of study drug reparixin. This population was used for primary endpoints and safety analysis

The Leukocytes subsets analyzed are the following: Lymphocyte in WBC, Total T cell in lymphocytes, B cells in lymphocytes, T-helper cell in lymphocytes, CTL in lymphocytes, NKT cell in lymphocytes, ADCC NK subsets in lymphocytes, Regulatory NK subsets in lymphocytes, Exhausted NK subsets in lymphocytes, CD56-CD16+ NK subsets in lymphocytes, CD11b in PMNs - IL-8, CD18 in PMNs - IL-8, MFI of CD11b - IL-8, MFI of CD66b - IL-8, MFI of CD18 - IL-8, CD11b in PMNs - US, CD18 in PMNs - US, MFI of CD11b - US, MFI of CD66b - US, MFI of CD18 - US, Percent Monocytes expressing IL6 - IL-8,Percent Monocytes expressing IL1b - IL-8, Percent Monocytes expressing IL8 - IL-8, Percent Monocytes expressing TNFa - IL-8, Percent Neutrophils expressing IL6 - IL-8, Percent Neutrophils expressing IL1b - IL-8, Percent Neutrophils expressing IL8 - IL-8, Percent Neutrophils expressing TNFa - IL-8,Percent Monocytes expressing IL6 - US,Percent Monocytes expressing IL1b - US, etc.

Outcome measures

Outcome measures
Measure
ER+ and/or PR+/ HER-2 -
n=16 Participants
Patients of Group A (estrogen receptor positive (ER+) and/or progesterone receptor positive (PR+)/human epidermal growth factor receptor-2 negative (HER-2-)) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
ER-/PR-/HER-2-
n=1 Participants
Patients of Group B (estrogen receptor negative (ER-)/progesterone receptor negative (PR-)/HER-2-) were given Reparixin 1000 mg (two 500 mg tablets) for 21 consecutive days. Reparixin was administered orally, every six to eight hours t.i.d. preferably with food. However, if the patient was unable to eat, reparixin could still be administered. Reparixin was administered with about 250 mL water and a light meal or snack
Change From Baseline to Day 21 in Leukocytes Subsets
Lymphocyte in WBC
-2.51 percent of total
Standard Deviation 9.099
-3.70 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Total T cell in lymphocytes
1.28 percent of total
Standard Deviation 4.602
-2.80 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
MFI of CD11b - IL-8
-1.63 percent of total
Standard Deviation 2.205
3.50 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
B cell in lymphocytes
2.678 percent of total
Standard Deviation 7.5565
43.190 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
T-helper cell in lymphocytes
-1.44 percent of total
Standard Deviation 5.158
-24.90 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
CTL in lymphocytes
-0.639 percent of total
Standard Deviation 5.5106
-24.100 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
NKT cell in lymphocytes
0.510 percent of total
Standard Deviation 1.5759
0.140 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
ADCC NK subsets in lymphocytes
0.727 percent of total
Standard Deviation 4.1787
1.430 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Regulatory NK subsets in lymphocytes
-1.358 percent of total
Standard Deviation 3.2465
0.370 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Exhausted NK subsets in lymphocytes
-0.177 percent of total
Standard Deviation 1.7006
-0.170 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
CD56-CD16+ NK subsets in lymphocytes
0.708 percent of total
Standard Deviation 1.6772
0.310 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
CD11b in PMNs - IL-8
-1.48 percent of total
Standard Deviation 4.877
-11.60 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
CD18 in PMNs - IL-8
-0.23 percent of total
Standard Deviation 4.104
2.10 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
MFI of CD66b - IL-8
-3.9 percent of total
Standard Deviation 507.79
-929.0 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
MFI of CD18 - IL-8
-13.0 percent of total
Standard Deviation 495.89
71.0 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
CD11b in PMNs - US
1.56 percent of total
Standard Deviation 9.515
-4.20 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
CD18 in PMNs - US
-5.758 percent of total
Standard Deviation 23.7696
-0.400 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
MFI of CD11b - US
-0.84 percent of total
Standard Deviation 1.571
-0.30 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
MFI of CD66b - US
35.1 percent of total
Standard Deviation 536.54
-757.0 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
MFI of CD18 - US
-105.64 percent of total
Standard Deviation 679.547
-47.00 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Monocytes expressing IL6 - IL-8
8.40590 percent of total
Standard Deviation 27.654326
0.52600 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Monocytes expressing IL1b - IL-8
8.27479 percent of total
Standard Deviation 24.364503
0.32600 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Monocytes expressing IL8 - IL-8
-0.35947 percent of total
Standard Deviation 3.983235
-0.04400 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Monocytes expressing TNFa - IL-8
0.40504 percent of total
Standard Deviation 1.906309
-0.39900 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Neutrophils expressing IL6 - IL-8
2.83019 percent of total
Standard Deviation 26.145843
0.36340 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Neutrophils expressing IL1b - IL-8
10.24530 percent of total
Standard Deviation 32.068081
0.33400 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Neutrophils expressing IL8 - IL-8
0.04596 percent of total
Standard Deviation 1.667000
0.05742 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Neutrophils expressing TNFa - IL-8
0.35635 percent of total
Standard Deviation 2.269023
0.03500 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Monocytes expressing IL6 - US
9.77675 percent of total
Standard Deviation 29.705447
0.26500 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Monocytes expressing IL1b - US
5.58031 percent of total
Standard Deviation 28.862940
1.03400 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Monocytes expressing IL8 - US
0.14087 percent of total
Standard Deviation 2.716051
-0.27600 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Monocytes expressing TNFa - US
-0.11532 percent of total
Standard Deviation 1.333406
0.28200 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Neutrophils expressing IL6 - US
5.50297 percent of total
Standard Deviation 21.932274
0.59260 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Neutrophils expressing IL1b - US
9.28329 percent of total
Standard Deviation 33.754437
1.36450 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Neutrophils expressing IL8 - US
0.45567 percent of total
Standard Deviation 2.053990
0.15020 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Neutrophils expressing TNFa - US
0.46929 percent of total
Standard Deviation 2.876200
0.54910 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Monocytes expressing IL6 - LPS
-0.23 percent of total
Standard Deviation 8.015
-9.60 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Monocytes expressing IL1b - LPS
-5.18 percent of total
Standard Deviation 18.237
27.80 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Monocytes expressing IL8 - LPS
-4.2057 percent of total
Standard Deviation 21.72201
-74.3700 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Monocytes expressing TNFa - LPS
-3.145 percent of total
Standard Deviation 8.8075
-56.400 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Neutrophils expressing IL6 - LPS
-2.0310 percent of total
Standard Deviation 4.60857
72.3690 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Neutrophils expressing IL1b - LPS
-1.68086 percent of total
Standard Deviation 5.470114
78.19200 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Neutrophils expressing IL8 - LPS
0.14986 percent of total
Standard Deviation 1.844687
1.18700 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Neutrophils expressing TNFa - LPS
0.1497 percent of total
Standard Deviation 1.97537
1.7720 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Monocytes expressing IL6 - LPS+IL-8
-3.42 percent of total
Standard Deviation 6.783
1.20 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Monocytes expressing IL1b - LPS+IL-8
-4.79 percent of total
Standard Deviation 14.168
25.90 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Monocytes expressing IL8 - LPS+IL-8
-7.738 percent of total
Standard Deviation 12.9421
-76.990 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Monocytes expressing TNFa - LPS+IL-8
-0.3018 percent of total
Standard Deviation 9.97119
-57.9100 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Neutrophils expressing IL6 - LPS+IL-8
1.2629 percent of total
Standard Deviation 20.77484
62.7900 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Neutrophils expressing IL1b - LPS+IL-8
0.1980 percent of total
Standard Deviation 27.96300
81.6290 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Neutrophils expressing IL8 - LPS+IL-8
0.0348 percent of total
Standard Deviation 1.81583
1.0010 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent Neutrophils expressing TNFa - LPS+IL-8
-0.0349 percent of total
Standard Deviation 1.75308
2.6490 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent FITC eColi Control
4.327 percent of total
Standard Deviation 7.7795
-8.500 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent FITC eColi Test
-1.056 percent of total
Standard Deviation 3.6456
-4.200 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent PMNs unstimulated
-5.025 percent of total
Standard Deviation 16.3554
28.690 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent PMNs fMLP
9.152 percent of total
Standard Deviation 18.2092
23.300 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent L-selectin unstimulated
4.341 percent of total
Standard Deviation 25.8071
-25.000 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated
Change From Baseline to Day 21 in Leukocytes Subsets
Percent L-selectin fMLP
-0.2845 percent of total
Standard Deviation 0.95877
-0.2460 percent of total
Standard Deviation NA
Since the patient is only one, no SD can be calculated

Adverse Events

Total

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

Serious adverse events

Serious adverse events
Measure
Total
n=20 participants at risk
This represents the total safety population of 20 patients
Infections and infestations
POSTOPERATIVE WOUND INFECTION
5.0%
1/20 • Number of events 1 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin

Other adverse events

Other adverse events
Measure
Total
n=20 participants at risk
This represents the total safety population of 20 patients
Gastrointestinal disorders
Nausea
25.0%
5/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Gastrointestinal disorders
Abdominal pain
10.0%
2/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Gastrointestinal disorders
Constipation
10.0%
2/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Gastrointestinal disorders
Flatulence
10.0%
2/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Gastrointestinal disorders
Vomiting
10.0%
2/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Gastrointestinal disorders
Abdominal discomfort
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Gastrointestinal disorders
Abdominal distension
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Gastrointestinal disorders
Diarrhoea
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Gastrointestinal disorders
Dry mouth
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Gastrointestinal disorders
Dyspepsia
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
General disorders
Fatigue
40.0%
8/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
General disorders
Pain
10.0%
2/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
General disorders
Oedema peripheral
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Injury, poisoning and procedural complications
Procedural pain
25.0%
5/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Injury, poisoning and procedural complications
Incision site haemorrhage
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Injury, poisoning and procedural complications
Incision site pain
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Injury, poisoning and procedural complications
Post procedural haematoma
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Nervous system disorders
Headache
15.0%
3/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Nervous system disorders
Dizziness
10.0%
2/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Nervous system disorders
Paraesthesia
10.0%
2/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Nervous system disorders
Pheripheral sensory neuropathy
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Skin and subcutaneous tissue disorders
Rash
10.0%
2/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Skin and subcutaneous tissue disorders
Petechiae
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Skin and subcutaneous tissue disorders
Pruritus
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Skin and subcutaneous tissue disorders
Rash macular
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Psychiatric disorders
Insomnia
15.0%
3/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Psychiatric disorders
Anxiety
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Psychiatric disorders
Mood swings
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Reproductive system and breast disorders
Breast mass
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Reproductive system and breast disorders
Breast pain
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Reproductive system and breast disorders
Pelvic pain
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Infections and infestations
Eye infection
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Infections and infestations
Infection
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Investigations
Aspartate aminotransferase increased
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Investigations
Blood alkaline phosphatase increased
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Respiratory, thoracic and mediastinal disorders
Cough
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Respiratory, thoracic and mediastinal disorders
nasal congestion
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Blood and lymphatic system disorders
Anaemia
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Congenital, familial and genetic disorders
Epidermolysis
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Eye disorders
Vision blurred
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Metabolism and nutrition disorders
Decreased appetite
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Melanocytic naevus
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin
Vascular disorders
Hot flush
5.0%
1/20 • throughout the study and at OTV (off treatment visit) up to the 30 days after the last dose of reparixin

Additional Information

Pier Adelchi Ruffini, MD

Dompé Farmaceutici

Phone: +39 (0)2 583831

Results disclosure agreements

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