Trial Outcomes & Findings for Chemotherapy for Relapsed Epstein Barr Virus Associated Lymphoma (NCT NCT01964755)

NCT ID: NCT01964755

Last Updated: 2019-09-23

Results Overview

Complete Response (CR) rate in study participants to protocol therapy. Response will be assessed via CT Scan and bone marrow aspirate/biopsy, if applicable. Complete response criteria include: * Complete disappearance of all detectable clinical and radiographic evidence of disease and disappearance of all disease-related symptoms if present before therapy, and normalization of those biochemical abnormalities definitely assignable to Non Hodgkin's Lymphoma (NHL); * All lymph nodes and tumor masses disappeared or regressed to normal size (≤ 1.5 cm in their greatest transverse diameters for nodes \> 1.5 cm before therapy); * Previously involved nodes that were 1.1 to 1.5 cm in their greatest transverse diameter (GTD) before treatment must have decreased to ≤ 1 cm in their GTD after treatment, or by more than 75% bin the sum of the products of the greatest diameters (SPD); * No new sites of disease.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

6 participants

Primary outcome timeframe

About 21 days

Results posted on

2019-09-23

Participant Flow

Participant milestones

Participant milestones
Measure
Chemotherapy + Antiviral-Based Therapy
Combination Chemotherapy for up to six (6) 21-day cycles and Antiviral-Based Therapy per study protocol: * Chemotherapy: Up to 6 cycles, 21 days each: * Doxorubicin: 20 mg/m2 intravenously (IV) on Day 1; * Rituximab: 375mg/m2 (optional) IV on Day 1; * Methotrexate: 3.5 gm/m2 IV on Day 2; * Leucovorin: 10 mg/m2 IV starting approximately 24 hours after start of Methotrexate infusion, and then 25 mg orally every 6 hours for at least 10 doses; * Antiviral-Based Therapy * Zidovudine: Starting 750 mg/m2 IV on Day 2, then 1200 mg orally twice daily for 10 doses; * Hydroxyurea: 1,000 mg orally twice daily starting Day 2 for a total of 10 doses. Doxorubicin: Doxorubicin 20 mg/m2 intravenously will be administered on Day 1 in patients with systemic (non-primary CNS) lymphoma as per institutional guidelines Methotrexate: Methotrexate administered starting on Day 2.
Overall Study
STARTED
6
Overall Study
Cycle 2
5
Overall Study
Cycle 3
4
Overall Study
Cycle 4
4
Overall Study
Cycle 5
4
Overall Study
COMPLETED
4
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Chemotherapy + Antiviral-Based Therapy
Combination Chemotherapy for up to six (6) 21-day cycles and Antiviral-Based Therapy per study protocol: * Chemotherapy: Up to 6 cycles, 21 days each: * Doxorubicin: 20 mg/m2 intravenously (IV) on Day 1; * Rituximab: 375mg/m2 (optional) IV on Day 1; * Methotrexate: 3.5 gm/m2 IV on Day 2; * Leucovorin: 10 mg/m2 IV starting approximately 24 hours after start of Methotrexate infusion, and then 25 mg orally every 6 hours for at least 10 doses; * Antiviral-Based Therapy * Zidovudine: Starting 750 mg/m2 IV on Day 2, then 1200 mg orally twice daily for 10 doses; * Hydroxyurea: 1,000 mg orally twice daily starting Day 2 for a total of 10 doses. Doxorubicin: Doxorubicin 20 mg/m2 intravenously will be administered on Day 1 in patients with systemic (non-primary CNS) lymphoma as per institutional guidelines Methotrexate: Methotrexate administered starting on Day 2.
Overall Study
Death
2

Baseline Characteristics

Chemotherapy for Relapsed Epstein Barr Virus Associated Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Chemotherapy + Antiviral-Based Therapy
n=6 Participants
Combination Chemotherapy for up to six (6) 21-day cycles and Antiviral-Based Therapy per study protocol: * Chemotherapy: Up to 6 cycles, 21 days each: * Doxorubicin: 20 mg/m2 intravenously (IV) on Day 1; * Rituximab: 375mg/m2 (optional) IV on Day 1; * Methotrexate: 3.5 gm/m2 IV on Day 2; * Leucovorin: 10 mg/m2 IV starting approximately 24 hours after start of Methotrexate infusion, and then 25 mg orally every 6 hours for at least 10 doses; * Antiviral-Based Therapy * Zidovudine: Starting 750 mg/m2 IV on Day 2, then 1200 mg orally twice daily for 10 doses; * Hydroxyurea: 1,000 mg orally twice daily starting Day 2 for a total of 10 doses. Doxorubicin: Doxorubicin 20 mg/m2 intravenously will be administered on Day 1 in patients with systemic (non-primary CNS) lymphoma as per institutional guidelines Methotrexate: Methotrexate administered starting on Day 2.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
Age, Continuous
47 years
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
6 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
6 participants
n=5 Participants

PRIMARY outcome

Timeframe: About 21 days

Population: Participants who started at least one cycle of protocol therapy.

Complete Response (CR) rate in study participants to protocol therapy. Response will be assessed via CT Scan and bone marrow aspirate/biopsy, if applicable. Complete response criteria include: * Complete disappearance of all detectable clinical and radiographic evidence of disease and disappearance of all disease-related symptoms if present before therapy, and normalization of those biochemical abnormalities definitely assignable to Non Hodgkin's Lymphoma (NHL); * All lymph nodes and tumor masses disappeared or regressed to normal size (≤ 1.5 cm in their greatest transverse diameters for nodes \> 1.5 cm before therapy); * Previously involved nodes that were 1.1 to 1.5 cm in their greatest transverse diameter (GTD) before treatment must have decreased to ≤ 1 cm in their GTD after treatment, or by more than 75% bin the sum of the products of the greatest diameters (SPD); * No new sites of disease.

Outcome measures

Outcome measures
Measure
Chemotherapy + Antiviral-Based Therapy
n=6 Participants
Combination Chemotherapy for up to six (6) 21-day cycles and Antiviral-Based Therapy per study protocol: * Chemotherapy: Up to 6 cycles, 21 days each: * Doxorubicin: 20 mg/m2 intravenously (IV) on Day 1; * Rituximab: 375mg/m2 (optional) IV on Day 1; * Methotrexate: 3.5 gm/m2 IV on Day 2; * Leucovorin: 10 mg/m2 IV starting approximately 24 hours after start of Methotrexate infusion, and then 25 mg orally every 6 hours for at least 10 doses; * Antiviral-Based Therapy * Zidovudine: Starting 750 mg/m2 IV on Day 2, then 1200 mg orally twice daily for 10 doses; * Hydroxyurea: 1,000 mg orally twice daily starting Day 2 for a total of 10 doses. Doxorubicin: Doxorubicin 20 mg/m2 intravenously will be administered on Day 1 in patients with systemic (non-primary CNS) lymphoma as per institutional guidelines Methotrexate: Methotrexate administered starting on Day 2.
Rate of Complete Response to Protocol Therapy
3 Participants

SECONDARY outcome

Timeframe: 12 months

Population: Participants receiving at least one cycle of protocol therapy.

Rate of overall survival of study participants at one year since initiation of protocol therapy. Overall survival (OS) will be measured from the date of initiation of study treatment until date of death from any cause. In the absence of death, the follow-up will be censored at date of last contact (censored observation). Kaplan-Meier estimate of overall survival at one-year.

Outcome measures

Outcome measures
Measure
Chemotherapy + Antiviral-Based Therapy
n=6 Participants
Combination Chemotherapy for up to six (6) 21-day cycles and Antiviral-Based Therapy per study protocol: * Chemotherapy: Up to 6 cycles, 21 days each: * Doxorubicin: 20 mg/m2 intravenously (IV) on Day 1; * Rituximab: 375mg/m2 (optional) IV on Day 1; * Methotrexate: 3.5 gm/m2 IV on Day 2; * Leucovorin: 10 mg/m2 IV starting approximately 24 hours after start of Methotrexate infusion, and then 25 mg orally every 6 hours for at least 10 doses; * Antiviral-Based Therapy * Zidovudine: Starting 750 mg/m2 IV on Day 2, then 1200 mg orally twice daily for 10 doses; * Hydroxyurea: 1,000 mg orally twice daily starting Day 2 for a total of 10 doses. Doxorubicin: Doxorubicin 20 mg/m2 intravenously will be administered on Day 1 in patients with systemic (non-primary CNS) lymphoma as per institutional guidelines Methotrexate: Methotrexate administered starting on Day 2.
One-year Rate of Overall Survival
83.3 percentage of participants
Interval 27.3 to 97.5

SECONDARY outcome

Timeframe: 12 months

Population: Participants receiving at least one cycle of protocol therapy.

Rate of failure-free survival of study participants one-year after start of protocol therapy. Failure-free survival (FFS) will be measured from the date of treatment initiation until date of documented disease progression, relapse after response, or death from any cause. For patients alive and free of relapse or progression, follow-up time will be censored at the last documented date of failure-free status. Kaplan-Meier estimate of failure-free survival at one-year.

Outcome measures

Outcome measures
Measure
Chemotherapy + Antiviral-Based Therapy
n=6 Participants
Combination Chemotherapy for up to six (6) 21-day cycles and Antiviral-Based Therapy per study protocol: * Chemotherapy: Up to 6 cycles, 21 days each: * Doxorubicin: 20 mg/m2 intravenously (IV) on Day 1; * Rituximab: 375mg/m2 (optional) IV on Day 1; * Methotrexate: 3.5 gm/m2 IV on Day 2; * Leucovorin: 10 mg/m2 IV starting approximately 24 hours after start of Methotrexate infusion, and then 25 mg orally every 6 hours for at least 10 doses; * Antiviral-Based Therapy * Zidovudine: Starting 750 mg/m2 IV on Day 2, then 1200 mg orally twice daily for 10 doses; * Hydroxyurea: 1,000 mg orally twice daily starting Day 2 for a total of 10 doses. Doxorubicin: Doxorubicin 20 mg/m2 intravenously will be administered on Day 1 in patients with systemic (non-primary CNS) lymphoma as per institutional guidelines Methotrexate: Methotrexate administered starting on Day 2.
One-Year Rate of Failure-Free Survival (FFS)
37.5 percentage of participants
Interval 1.1 to 80.8

SECONDARY outcome

Timeframe: Through Duration of Protocol Therapy, Up to six 21-day cycles (+/- 7 days)

Population: Participants starting at least once cycle of protocol therapy. Participants experiencing toxicity are tabulated by grade (gr.) of toxicity.

Rate of adverse events, serious adverse events or other toxicities related to protocol therapy in study participants.

Outcome measures

Outcome measures
Measure
Chemotherapy + Antiviral-Based Therapy
n=6 Participants
Combination Chemotherapy for up to six (6) 21-day cycles and Antiviral-Based Therapy per study protocol: * Chemotherapy: Up to 6 cycles, 21 days each: * Doxorubicin: 20 mg/m2 intravenously (IV) on Day 1; * Rituximab: 375mg/m2 (optional) IV on Day 1; * Methotrexate: 3.5 gm/m2 IV on Day 2; * Leucovorin: 10 mg/m2 IV starting approximately 24 hours after start of Methotrexate infusion, and then 25 mg orally every 6 hours for at least 10 doses; * Antiviral-Based Therapy * Zidovudine: Starting 750 mg/m2 IV on Day 2, then 1200 mg orally twice daily for 10 doses; * Hydroxyurea: 1,000 mg orally twice daily starting Day 2 for a total of 10 doses. Doxorubicin: Doxorubicin 20 mg/m2 intravenously will be administered on Day 1 in patients with systemic (non-primary CNS) lymphoma as per institutional guidelines Methotrexate: Methotrexate administered starting on Day 2.
Rate of Toxicity Related to Protocol Therapy
Patients w/Toxicity Definitely Treatment-Related
0 Participants
Rate of Toxicity Related to Protocol Therapy
Gr. 4 Toxicity Probably/Possibly Treatment-Related
1 Participants
Rate of Toxicity Related to Protocol Therapy
Gr. 3 Toxicity Probably/Possibly Treatment-Related
4 Participants
Rate of Toxicity Related to Protocol Therapy
Gr. 2 Toxicity Probably/Possibly Treatment-Related
6 Participants
Rate of Toxicity Related to Protocol Therapy
Gr. 1 Toxicity Probably/Possibly Treatment-Related
6 Participants

SECONDARY outcome

Timeframe: From Baseline Up to 1 Year Post-Therapy

Population: Per protocol, evaluable participants are those who receive 3 or more cycles of treatment. Three of these participants were HIV-positive. Before therapy, HIV viral load was undetectable in 2 participants.

Measurement of HIV Viral Load in positive subjects before, during and after protocol therapy to assess the effect of protocol therapy on immune reconstitution or exhaustion.

Outcome measures

Outcome measures
Measure
Chemotherapy + Antiviral-Based Therapy
n=3 Participants
Combination Chemotherapy for up to six (6) 21-day cycles and Antiviral-Based Therapy per study protocol: * Chemotherapy: Up to 6 cycles, 21 days each: * Doxorubicin: 20 mg/m2 intravenously (IV) on Day 1; * Rituximab: 375mg/m2 (optional) IV on Day 1; * Methotrexate: 3.5 gm/m2 IV on Day 2; * Leucovorin: 10 mg/m2 IV starting approximately 24 hours after start of Methotrexate infusion, and then 25 mg orally every 6 hours for at least 10 doses; * Antiviral-Based Therapy * Zidovudine: Starting 750 mg/m2 IV on Day 2, then 1200 mg orally twice daily for 10 doses; * Hydroxyurea: 1,000 mg orally twice daily starting Day 2 for a total of 10 doses. Doxorubicin: Doxorubicin 20 mg/m2 intravenously will be administered on Day 1 in patients with systemic (non-primary CNS) lymphoma as per institutional guidelines Methotrexate: Methotrexate administered starting on Day 2.
HIV Viral Load in Positive Subjects Before, During and After Protocol Therapy
Before Therapy
333 copies/ml
HIV Viral Load in Positive Subjects Before, During and After Protocol Therapy
During Therapy
NA copies/ml
HIV viral load undetectable in study participants.
HIV Viral Load in Positive Subjects Before, During and After Protocol Therapy
After Therapy
NA copies/ml
HIV viral load undetectable in study participants.

SECONDARY outcome

Timeframe: From Baseline Up to 1 Year Post-Therapy

Population: Per protocol, evaluable participants are those who receive 3 or more cycles of treatment. Three of these participants were HIV-positive. Data for T-cell subset levels (CD4, CD8) were available during and after for two of these three participants.

Measurement of T-cell subset levels (CD4, CD8) in peripheral blood before, during and after protocol therapy to assess the effect of protocol therapy on immune re-constitution or exhaustion.

Outcome measures

Outcome measures
Measure
Chemotherapy + Antiviral-Based Therapy
n=3 Participants
Combination Chemotherapy for up to six (6) 21-day cycles and Antiviral-Based Therapy per study protocol: * Chemotherapy: Up to 6 cycles, 21 days each: * Doxorubicin: 20 mg/m2 intravenously (IV) on Day 1; * Rituximab: 375mg/m2 (optional) IV on Day 1; * Methotrexate: 3.5 gm/m2 IV on Day 2; * Leucovorin: 10 mg/m2 IV starting approximately 24 hours after start of Methotrexate infusion, and then 25 mg orally every 6 hours for at least 10 doses; * Antiviral-Based Therapy * Zidovudine: Starting 750 mg/m2 IV on Day 2, then 1200 mg orally twice daily for 10 doses; * Hydroxyurea: 1,000 mg orally twice daily starting Day 2 for a total of 10 doses. Doxorubicin: Doxorubicin 20 mg/m2 intravenously will be administered on Day 1 in patients with systemic (non-primary CNS) lymphoma as per institutional guidelines Methotrexate: Methotrexate administered starting on Day 2.
T-Cell Subset Levels in Peripheral Blood in Positive Participants Before, During and After Protocol Therapy
CD4 count, Before Therapy
328 cells/mm^3
Standard Deviation 164.05
T-Cell Subset Levels in Peripheral Blood in Positive Participants Before, During and After Protocol Therapy
CD4 count, During Therapy
285 cells/mm^3
Standard Deviation 124.58
T-Cell Subset Levels in Peripheral Blood in Positive Participants Before, During and After Protocol Therapy
CD4 count, After Therapy
323.5 cells/mm^3
Standard Deviation 178.90
T-Cell Subset Levels in Peripheral Blood in Positive Participants Before, During and After Protocol Therapy
CD8 count, Before Therapy
1246 cells/mm^3
Standard Deviation 668.86
T-Cell Subset Levels in Peripheral Blood in Positive Participants Before, During and After Protocol Therapy
CD8 count, During Therapy
1006 cells/mm^3
Standard Deviation 741.05
T-Cell Subset Levels in Peripheral Blood in Positive Participants Before, During and After Protocol Therapy
CD8 count, After Thaerapy
1006 cells/mm^3
Standard Deviation 741.05

SECONDARY outcome

Timeframe: From Baseline Up to 1 year Post-Therapy

Population: Serum EBV viral load levels were below the limit of detection in subjects before therapy. Data were not collected during and after therapy.

Measurement of Epstein Barr Virus (EBV) viral load in peripheral blood in study participants before, after treatment, and during surveillance in order to correlate the presence of with tumor load and disease status.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: From Baseline Up to 1 year Post-Therapy

Population: This outcome measure was added via amendment for new participants enrolled after December 2016 however; no new participants were enrolled. No data were collected for this outcome measure.

Measurement of EBV reactivation in circulating peripheral blood memory B-cells before and after treatment with chemotherapy/Zidovudine (ZDV) in order to assess the drug effect on EBV latency.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline

Population: This outcome measure was added via amendment for new participants enrolled after December 2016 however; no new participants were enrolled. No data were collected for this outcome measure.

Determine baseline tumor EBV gene expression profile to assess viral thymidine kinases. (BXLF1/vTK and BGLF4/PK), EBV latency pattern (I, II or III) and lytic phase.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Through Duration of Response to Protocol Therapy Until Disease Progression, Up to 5 years

Population: This outcome measure was added via amendment for new participants enrolled after December 2016 however; no new participants were enrolled. No data were collected for this outcome measure.

Measurement of immune activation markers and inflammation in peripheral blood in response to treatment and EBV reactivation.

Outcome measures

Outcome data not reported

Adverse Events

Chemotherapy + Antiviral-Based Therapy

Serious events: 2 serious events
Other events: 6 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Chemotherapy + Antiviral-Based Therapy
n=6 participants at risk
Combination Chemotherapy for up to six (6) 21-day cycles and Antiviral-Based Therapy per study protocol: * Chemotherapy: Up to 6 cycles, 21 days each: * Doxorubicin: 20 mg/m2 intravenously (IV) on Day 1; * Rituximab: 375mg/m2 (optional) IV on Day 1; * Methotrexate: 3.5 gm/m2 IV on Day 2; * Leucovorin: 10 mg/m2 IV starting approximately 24 hours after start of Methotrexate infusion, and then 25 mg orally every 6 hours for at least 10 doses; * Antiviral-Based Therapy * Zidovudine: Starting 750 mg/m2 IV on Day 2, then 1200 mg orally twice daily for 10 doses; * Hydroxyurea: 1,000 mg orally twice daily starting Day 2 for a total of 10 doses. Doxorubicin: Doxorubicin 20 mg/m2 intravenously will be administered on Day 1 in patients with systemic (non-primary CNS) lymphoma as per institutional guidelines Methotrexate: Methotrexate administered starting on Day 2.
Respiratory, thoracic and mediastinal disorders
Hypoxia
16.7%
1/6 • Number of events 2 • 4 years
Respiratory, thoracic and mediastinal disorders
Pneumonitis
16.7%
1/6 • Number of events 1 • 4 years
Respiratory, thoracic and mediastinal disorders
Adult respiratory distress syndrome
16.7%
1/6 • Number of events 2 • 4 years
Blood and lymphatic system disorders
Febrile Neutropenia
16.7%
1/6 • Number of events 1 • 4 years
Investigations
Platelet count decreased
16.7%
1/6 • Number of events 1 • 4 years
Metabolism and nutrition disorders
Dehydration
16.7%
1/6 • Number of events 1 • 4 years
Metabolism and nutrition disorders
Hypophosphatemia
16.7%
1/6 • Number of events 1 • 4 years

Other adverse events

Other adverse events
Measure
Chemotherapy + Antiviral-Based Therapy
n=6 participants at risk
Combination Chemotherapy for up to six (6) 21-day cycles and Antiviral-Based Therapy per study protocol: * Chemotherapy: Up to 6 cycles, 21 days each: * Doxorubicin: 20 mg/m2 intravenously (IV) on Day 1; * Rituximab: 375mg/m2 (optional) IV on Day 1; * Methotrexate: 3.5 gm/m2 IV on Day 2; * Leucovorin: 10 mg/m2 IV starting approximately 24 hours after start of Methotrexate infusion, and then 25 mg orally every 6 hours for at least 10 doses; * Antiviral-Based Therapy * Zidovudine: Starting 750 mg/m2 IV on Day 2, then 1200 mg orally twice daily for 10 doses; * Hydroxyurea: 1,000 mg orally twice daily starting Day 2 for a total of 10 doses. Doxorubicin: Doxorubicin 20 mg/m2 intravenously will be administered on Day 1 in patients with systemic (non-primary CNS) lymphoma as per institutional guidelines Methotrexate: Methotrexate administered starting on Day 2.
Gastrointestinal disorders
Abdominal Pain
16.7%
1/6 • Number of events 1 • 4 years
Metabolism and nutrition disorders
Alanine aminotransferase increased
33.3%
2/6 • Number of events 2 • 4 years
Blood and lymphatic system disorders
Anemia
100.0%
6/6 • Number of events 23 • 4 years
Metabolism and nutrition disorders
Anorexia
50.0%
3/6 • Number of events 4 • 4 years
Psychiatric disorders
Anxiety
16.7%
1/6 • Number of events 1 • 4 years
Metabolism and nutrition disorders
Aspartate aminotransferase increased
33.3%
2/6 • Number of events 5 • 4 years
Musculoskeletal and connective tissue disorders
Back pain
33.3%
2/6 • Number of events 4 • 4 years
Investigations
Blood bilirubin increased
16.7%
1/6 • Number of events 4 • 4 years
Infections and infestations
Conjunctivitis infective
16.7%
1/6 • Number of events 1 • 4 years
Gastrointestinal disorders
Constipation
16.7%
1/6 • Number of events 2 • 4 years
Respiratory, thoracic and mediastinal disorders
Cough
16.7%
1/6 • Number of events 1 • 4 years
Investigations
Creatinine increased
33.3%
2/6 • Number of events 6 • 4 years
Nervous system disorders
Depressed level of consciousness
16.7%
1/6 • Number of events 1 • 4 years
Gastrointestinal disorders
Diarrhea
33.3%
2/6 • Number of events 4 • 4 years
Gastrointestinal disorders
Dyspepsia
33.3%
2/6 • Number of events 2 • 4 years
Respiratory, thoracic and mediastinal disorders
Dyspnea
16.7%
1/6 • Number of events 1 • 4 years
General disorders
Edema limbs
16.7%
1/6 • Number of events 1 • 4 years
Respiratory, thoracic and mediastinal disorders
Epistaxis
16.7%
1/6 • Number of events 3 • 4 years
General disorders
Fatigue
33.3%
2/6 • Number of events 2 • 4 years
General disorders
Fever
16.7%
1/6 • Number of events 1 • 4 years
Skin and subcutaneous tissue disorders
Flushing
16.7%
1/6 • Number of events 1 • 4 years
Gastrointestinal disorders
Gastritis
16.7%
1/6 • Number of events 3 • 4 years
Gastrointestinal disorders
Gastroesophageal reflux disease
16.7%
1/6 • Number of events 1 • 4 years
General disorders
Headache
33.3%
2/6 • Number of events 4 • 4 years
Reproductive system and breast disorders
Hiccups
50.0%
3/6 • Number of events 6 • 4 years
Metabolism and nutrition disorders
Hypercalcemia
16.7%
1/6 • Number of events 1 • 4 years
Metabolism and nutrition disorders
Hyperglycemia
100.0%
6/6 • Number of events 47 • 4 years
Skin and subcutaneous tissue disorders
Hyperhidrosis
16.7%
1/6 • Number of events 1 • 4 years
Metabolism and nutrition disorders
Hyperkalemia
16.7%
1/6 • Number of events 2 • 4 years
Metabolism and nutrition disorders
Hypernatremia
50.0%
3/6 • Number of events 4 • 4 years
Metabolism and nutrition disorders
Hypoalbuminemia
50.0%
3/6 • Number of events 9 • 4 years
Metabolism and nutrition disorders
Hypocalcemia
66.7%
4/6 • Number of events 10 • 4 years
Metabolism and nutrition disorders
Hypoglycemia
33.3%
2/6 • Number of events 4 • 4 years
Metabolism and nutrition disorders
Hypokalemia
66.7%
4/6 • Number of events 18 • 4 years
Metabolism and nutrition disorders
Hypomagnesemia
16.7%
1/6 • Number of events 3 • 4 years
Metabolism and nutrition disorders
Hyponatremia
50.0%
3/6 • Number of events 6 • 4 years
Metabolism and nutrition disorders
Hypophosphatemia
16.7%
1/6 • Number of events 1 • 4 years
Vascular disorders
Hypotension
16.7%
1/6 • Number of events 1 • 4 years
Reproductive system and breast disorders
Hypoxia
16.7%
1/6 • Number of events 1 • 4 years
Investigations
INR increased
16.7%
1/6 • Number of events 1 • 4 years
General disorders
Insomnia
16.7%
1/6 • Number of events 1 • 4 years
Psychiatric disorders
Insomnia
16.7%
1/6 • Number of events 1 • 4 years
Musculoskeletal and connective tissue disorders
Joint effusion
16.7%
1/6 • Number of events 1 • 4 years
Blood and lymphatic system disorders
Leukocytes
16.7%
1/6 • Number of events 1 • 4 years
Blood and lymphatic system disorders
Leukocytosis
16.7%
1/6 • Number of events 1 • 4 years
Investigations
Lymphocyte count decreased
50.0%
3/6 • Number of events 12 • 4 years
General disorders
Malaise
33.3%
2/6 • Number of events 2 • 4 years
Gastrointestinal disorders
Mucositis oral
50.0%
3/6 • Number of events 12 • 4 years
Gastrointestinal disorders
Nausea
83.3%
5/6 • Number of events 16 • 4 years
Investigations
Neutrophil count decreased
33.3%
2/6 • Number of events 5 • 4 years
General disorders
Oral pain
16.7%
1/6 • Number of events 1 • 4 years
Musculoskeletal and connective tissue disorders
Pain in extremity
16.7%
1/6 • Number of events 1 • 4 years
Cardiac disorders
Palpitations
16.7%
1/6 • Number of events 1 • 4 years
Nervous system disorders
Peripheral sensory neuropathy
16.7%
1/6 • Number of events 1 • 4 years
Nervous system disorders
Personality change
16.7%
1/6 • Number of events 1 • 4 years
General disorders
Pharyngolaryngeal pain
16.7%
1/6 • Number of events 1 • 4 years
Respiratory, thoracic and mediastinal disorders
Pleural effusion
16.7%
1/6 • Number of events 1 • 4 years
Respiratory, thoracic and mediastinal disorders
Pneumonitis
16.7%
1/6 • Number of events 1 • 4 years
Skin and subcutaneous tissue disorders
Pruritus
16.7%
1/6 • Number of events 1 • 4 years
Skin and subcutaneous tissue disorders
Seborrheic Dermatitis
16.7%
1/6 • Number of events 1 • 4 years
Infections and infestations
Genital Herpes
16.7%
1/6 • Number of events 1 • 4 years
Respiratory, thoracic and mediastinal disorders
Sore throat
16.7%
1/6 • Number of events 1 • 4 years
Gastrointestinal disorders
Vomiting
50.0%
3/6 • Number of events 7 • 4 years
General disorders
Weight loss
16.7%
1/6 • Number of events 1 • 4 years
Investigations
White blood cell decreased
66.7%
4/6 • Number of events 13 • 4 years

Additional Information

Juan C. Ramos MD

University of Miami

Phone: 305-243-1326

Results disclosure agreements

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