Trial Outcomes & Findings for Study of Melphalan HCl for Injection (Propylene Glycol-free), Carmustine, Etoposide, Cytarabine (BEAM Regimen) and Autologous Stem Cell Transplantation for Lymphoma (NCT NCT01969435)

NCT ID: NCT01969435

Last Updated: 2018-02-13

Results Overview

Adverse events will be assessed using the National Cancer Institute (NCI)-CTCAE version 4.0. Number of events, grade 2 or higher, occurring in 10% or greater of participants. Grade 2 diarrhea and Grade 2 nausea/vomiting were not recorded.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

50 participants

Primary outcome timeframe

Day -7 through Day 30

Results posted on

2018-02-13

Participant Flow

Participant milestones

Participant milestones
Measure
Melphalan, Carmustine, Etoposide, Cytarabine (BEAM)
* Day -7, carmustine intravenous (IV) infusion * Days -6, -5, -4, and -3, etoposide and cytarabine (IV) infusions twice a day * Day -2, melphalan HCl (propylene glycol-free)(IV) infusion * Day 0, stem cell transplant.
Overall Study
STARTED
50
Overall Study
COMPLETED
50
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of Melphalan HCl for Injection (Propylene Glycol-free), Carmustine, Etoposide, Cytarabine (BEAM Regimen) and Autologous Stem Cell Transplantation for Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Melphalan, Carmustine, Etoposide, Cytarabine (BEAM)
n=50 Participants
* Day -7, carmustine intravenous (IV) infusion * Days -6, -5, -4, and -3, etoposide and cytarabine (IV) infusions twice a day * Day -2, melphalan HCl (propylene glycol-free)(IV) infusion * Day 0, stem cell transplant.
Age, Continuous
51 years
n=5 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
Sex: Female, Male
Male
36 Participants
n=5 Participants
Region of Enrollment
United States
50 participants
n=5 Participants
Diagnosis
Hodgkin lymphoma
17 participants
n=5 Participants
Diagnosis
Diffuse large B-cell lymphoma
15 participants
n=5 Participants
Diagnosis
Mantle cell lymphoma
8 participants
n=5 Participants
Diagnosis
Other Non-Hodgkin Lymphoma
10 participants
n=5 Participants
Remission status prior to autologous stem cell transplant
Complete remission
23 participants
n=5 Participants
Remission status prior to autologous stem cell transplant
Partial remission
25 participants
n=5 Participants
Remission status prior to autologous stem cell transplant
Progressive disease
2 participants
n=5 Participants

PRIMARY outcome

Timeframe: Day -7 through Day 30

Adverse events will be assessed using the National Cancer Institute (NCI)-CTCAE version 4.0. Number of events, grade 2 or higher, occurring in 10% or greater of participants. Grade 2 diarrhea and Grade 2 nausea/vomiting were not recorded.

Outcome measures

Outcome measures
Measure
Melphalan, Carmustine, Etoposide, Cytarabine (BEAM)
n=50 Participants
* Day -7, carmustine intravenous (IV) infusion * Days -6, -5, -4, and -3, etoposide and cytarabine (IV) infusions twice a day * Day -2, melphalan HCl (propylene glycol-free)(IV) infusion * Day 0, stem cell transplant.
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Fever neutropenia
34 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Fever
6 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Bacteremia
7 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Clostridium difficile
3 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Respiratory infection
5 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Mucosal infection
7 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Skin infection
3 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Genito-urinary tract infection
3 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Hypotension
15 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Abdominal pain
5 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Diarrhea
8 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Mucositis oral
27 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Liver enzymes increased
5 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Bilirubin increased
5 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Dehydration
5 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Hyperglycemia
6 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Hypoalbuminemia
10 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Hypocalcemia
12 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Hypokalemia
14 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Hypophosphatemia
35 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Pain
10 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Headache
7 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Hypoxia
9 participants
Safety and Toxicity as Measured by Treatment Related Non-hematologic Adverse Events
Rash
8 participants

PRIMARY outcome

Timeframe: 100 days

TRM is defined as death not due to progressive lymphoma prior to Day 100 after transplant

Outcome measures

Outcome measures
Measure
Melphalan, Carmustine, Etoposide, Cytarabine (BEAM)
n=50 Participants
* Day -7, carmustine intravenous (IV) infusion * Days -6, -5, -4, and -3, etoposide and cytarabine (IV) infusions twice a day * Day -2, melphalan HCl (propylene glycol-free)(IV) infusion * Day 0, stem cell transplant.
Treatment-related Mortality (TRM)
0 percentage of participants

SECONDARY outcome

Timeframe: Up to Day 100

* The response rates according to each category of response Complete Response (CR), Partial Response (PR), Stable Disease (SD), and Progressive Disease (PD) will be summarized by the proportion of patients meeting each criterion. * Evaluated using PET or CT scan and Revised Response Criteria for Malignant Lymphoma

Outcome measures

Outcome measures
Measure
Melphalan, Carmustine, Etoposide, Cytarabine (BEAM)
n=50 Participants
* Day -7, carmustine intravenous (IV) infusion * Days -6, -5, -4, and -3, etoposide and cytarabine (IV) infusions twice a day * Day -2, melphalan HCl (propylene glycol-free)(IV) infusion * Day 0, stem cell transplant.
Efficacy as Measured by Response Rates
Complete response
84 percentage of participants
Efficacy as Measured by Response Rates
Partial response
4 percentage of participants
Efficacy as Measured by Response Rates
Stable disease
0 percentage of participants
Efficacy as Measured by Response Rates
Progressive disease
12 percentage of participants

SECONDARY outcome

Timeframe: 1 year

Percentage of patients who survive without any signs or symptoms of cancer at 1 year.

Outcome measures

Outcome measures
Measure
Melphalan, Carmustine, Etoposide, Cytarabine (BEAM)
n=50 Participants
* Day -7, carmustine intravenous (IV) infusion * Days -6, -5, -4, and -3, etoposide and cytarabine (IV) infusions twice a day * Day -2, melphalan HCl (propylene glycol-free)(IV) infusion * Day 0, stem cell transplant.
Disease-free Survival
70 percentage of participants
Interval 58.0 to 85.0

SECONDARY outcome

Timeframe: 2 years

Percentage of patients who survive without any signs or symptoms of cancer at 2 years.

Outcome measures

Outcome measures
Measure
Melphalan, Carmustine, Etoposide, Cytarabine (BEAM)
n=50 Participants
* Day -7, carmustine intravenous (IV) infusion * Days -6, -5, -4, and -3, etoposide and cytarabine (IV) infusions twice a day * Day -2, melphalan HCl (propylene glycol-free)(IV) infusion * Day 0, stem cell transplant.
Disease-free Survival
64 percentage of participants

SECONDARY outcome

Timeframe: Assessed up to day 30

Time from the date of the transplant to the date of neutrophil engraftment.

Outcome measures

Outcome measures
Measure
Melphalan, Carmustine, Etoposide, Cytarabine (BEAM)
n=50 Participants
* Day -7, carmustine intravenous (IV) infusion * Days -6, -5, -4, and -3, etoposide and cytarabine (IV) infusions twice a day * Day -2, melphalan HCl (propylene glycol-free)(IV) infusion * Day 0, stem cell transplant.
Time to Engraftment (Neutrophil)
10 days
Interval 9.0 to 13.0

SECONDARY outcome

Timeframe: Assessed up to day 100

Population: One patient did not have platelet engraftment by Day 100

Time from the date of transplant to the date of platelet engraftment.

Outcome measures

Outcome measures
Measure
Melphalan, Carmustine, Etoposide, Cytarabine (BEAM)
n=49 Participants
* Day -7, carmustine intravenous (IV) infusion * Days -6, -5, -4, and -3, etoposide and cytarabine (IV) infusions twice a day * Day -2, melphalan HCl (propylene glycol-free)(IV) infusion * Day 0, stem cell transplant.
Time to Engraftment (Platelet)
19 days
Interval 12.0 to 90.0

POST_HOC outcome

Timeframe: 6 months

PFS - Time from start of treatment to the time of progression or death, whichever occurs first.

Outcome measures

Outcome measures
Measure
Melphalan, Carmustine, Etoposide, Cytarabine (BEAM)
n=50 Participants
* Day -7, carmustine intravenous (IV) infusion * Days -6, -5, -4, and -3, etoposide and cytarabine (IV) infusions twice a day * Day -2, melphalan HCl (propylene glycol-free)(IV) infusion * Day 0, stem cell transplant.
Progression-free Survival (PFS) Rate
84 percentage of participants
Interval 74.0 to 95.0

POST_HOC outcome

Timeframe: 1 year

Outcome measures

Outcome measures
Measure
Melphalan, Carmustine, Etoposide, Cytarabine (BEAM)
n=50 Participants
* Day -7, carmustine intravenous (IV) infusion * Days -6, -5, -4, and -3, etoposide and cytarabine (IV) infusions twice a day * Day -2, melphalan HCl (propylene glycol-free)(IV) infusion * Day 0, stem cell transplant.
Progression-free Survival Rate (PFS)
70 percentage of participants
Interval 58.0 to 85.0

POST_HOC outcome

Timeframe: 1 year

Outcome measures

Outcome measures
Measure
Melphalan, Carmustine, Etoposide, Cytarabine (BEAM)
n=50 Participants
* Day -7, carmustine intravenous (IV) infusion * Days -6, -5, -4, and -3, etoposide and cytarabine (IV) infusions twice a day * Day -2, melphalan HCl (propylene glycol-free)(IV) infusion * Day 0, stem cell transplant.
Relapse Free Survival
0 percentage of participants

POST_HOC outcome

Timeframe: Median follow-up 15.4 months (range 4.7-24.6)

Outcome measures

Outcome measures
Measure
Melphalan, Carmustine, Etoposide, Cytarabine (BEAM)
n=50 Participants
* Day -7, carmustine intravenous (IV) infusion * Days -6, -5, -4, and -3, etoposide and cytarabine (IV) infusions twice a day * Day -2, melphalan HCl (propylene glycol-free)(IV) infusion * Day 0, stem cell transplant.
Overall Survival (OS) Rate
10 percentage of participants

Adverse Events

Melphalan, Carmustine, Etoposide, Cytarabine (BEAM)

Serious events: 1 serious events
Other events: 50 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Melphalan, Carmustine, Etoposide, Cytarabine (BEAM)
n=50 participants at risk
* Day -7, carmustine intravenous (IV) infusion * Days -6, -5, -4, and -3, etoposide and cytarabine (IV) infusions twice a day * Day -2, melphalan HCl (propylene glycol-free)(IV) infusion * Day 0, stem cell transplant.
General disorders
Multi-organ failure due to sepsis
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.

Other adverse events

Other adverse events
Measure
Melphalan, Carmustine, Etoposide, Cytarabine (BEAM)
n=50 participants at risk
* Day -7, carmustine intravenous (IV) infusion * Days -6, -5, -4, and -3, etoposide and cytarabine (IV) infusions twice a day * Day -2, melphalan HCl (propylene glycol-free)(IV) infusion * Day 0, stem cell transplant.
Gastrointestinal disorders
Abdominal pain
10.0%
5/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Investigations
Alanine aminotransferase increased
6.0%
3/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Investigations
Alkaline phosphatase increased
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Immune system disorders
Allergic reaction
4.0%
2/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Metabolism and nutrition disorders
Anorexia
6.0%
3/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Investigations
Aspartate aminotransferase increased
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Respiratory, thoracic and mediastinal disorders
Atelectasis
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Cardiac disorders
Atrial fibrillation
6.0%
3/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Respiratory, thoracic and mediastinal disorders
BCNU pulmonary toxicity
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Musculoskeletal and connective tissue disorders
Back pain
4.0%
2/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Investigations
Blood bilirubin increased
10.0%
5/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Infections and infestations
Blood-Coagulase-negative staphylococcus
6.0%
3/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Infections and infestations
Blood-Enterobacter clocae/streptococcus mitis
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Infections and infestations
Blood-Klebsiella pneumoniae
4.0%
2/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Musculoskeletal and connective tissue disorders
Bone pain
6.0%
3/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Infections and infestations
Catheter related infection
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
General disorders
Chills
4.0%
2/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Infections and infestations
Clostridium difficile
6.0%
3/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Gastrointestinal disorders
Colitis
4.0%
2/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Gastrointestinal disorders
Constipation
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Respiratory, thoracic and mediastinal disorders
Cough
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Investigations
Creatinine increased
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Metabolism and nutrition disorders
Dehydration
10.0%
5/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Gastrointestinal disorders
Diarrhea
16.0%
8/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Nervous system disorders
Dizziness
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Respiratory, thoracic and mediastinal disorders
Dyspnea
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
General disorders
Edema limbs
4.0%
2/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Investigations
Electrocardiogram QT corrected interval prolonged
6.0%
3/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Gastrointestinal disorders
Esophageal spasm
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Injury, poisoning and procedural complications
Fall
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Infections and infestations
Febrile neutropenia
68.0%
34/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
General disorders
Fever
12.0%
6/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Vascular disorders
Flushing
4.0%
2/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Skin and subcutaneous tissue disorders
Folliculitis
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Gastrointestinal disorders
Gastric hemorrhage
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Gastrointestinal disorders
Gastroesophageal reflux disease
6.0%
3/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
8.0%
4/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Infections and infestations
HSV (oral)
4.0%
2/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Nervous system disorders
Headache
14.0%
7/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Cardiac disorders
Heart failure
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Renal and urinary disorders
Hematuria
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Gastrointestinal disorders
Hemorrhoids
8.0%
4/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Musculoskeletal and connective tissue disorders
Hip pain
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Metabolism and nutrition disorders
Hyperglycemia
12.0%
6/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Metabolism and nutrition disorders
Hypernatremia
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Vascular disorders
Hypertension
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Metabolism and nutrition disorders
Hypoalbuminemia
20.0%
10/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Metabolism and nutrition disorders
Hypocalcemia
24.0%
12/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Metabolism and nutrition disorders
Hypokalemia
28.0%
14/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Metabolism and nutrition disorders
Hypomagnesemia
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Metabolism and nutrition disorders
Hyponatremia
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Metabolism and nutrition disorders
Hypophosphatemia
70.0%
35/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Vascular disorders
Hypotension
30.0%
15/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Respiratory, thoracic and mediastinal disorders
Hypoxia
18.0%
9/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Gastrointestinal disorders
Ileal obstruction
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Psychiatric disorders
Insomnia
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Nervous system disorders
Lethargy
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
General disorders
Localized edema
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Gastrointestinal disorders
Lower gastrointestinal hemorrhage
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Infections and infestations
Lung infection
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Infections and infestations
Mucosal infection (oral candidiasis)
10.0%
5/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Gastrointestinal disorders
Mucositis oral
54.0%
27/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Gastrointestinal disorders
Nausea
4.0%
2/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
General disorders
Non-cardiac chest pain
8.0%
4/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Musculoskeletal and connective tissue disorders
Pain in extremity
8.0%
4/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Infections and infestations
Parainfluenaza virus type 3
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Respiratory, thoracic and mediastinal disorders
Pleural effusion
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Respiratory, thoracic and mediastinal disorders
Productive cough
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Skin and subcutaneous tissue disorders
Pruritus
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Skin and subcutaneous tissue disorders
Rash maculo-papular
16.0%
8/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Gastrointestinal disorders
Rectal pain
4.0%
2/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Cardiac disorders
Sinus tachycardia
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Infections and infestations
Sinusitis
4.0%
2/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Infections and infestations
Skin infection
6.0%
3/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Respiratory, thoracic and mediastinal disorders
Sore throat
4.0%
2/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Skin and subcutaneous tissue disorders
Subcutaneous nodule
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Cardiac disorders
Supraventricular tachycardia
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Nervous system disorders
Syncope
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Vascular disorders
Thromboembolic event
4.0%
2/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Infections and infestations
Upper respiratory infection
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Renal and urinary disorders
Urinary retention
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Infections and infestations
Urinary tract infection
4.0%
2/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Infections and infestations
Vaginal infection
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Gastrointestinal disorders
Vomiting
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Investigations
Weight gain
2.0%
1/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.
Investigations
Weight loss
8.0%
4/50 • Reportable adverse events were collected from the first dose of study treatment (Day -7) through the Day +30 visit.
Reportable adverse events are events grade 2 or higher. Hematologic adverse events are expected and therefore the following adverse events were not collected/reported regardless of grade: anemia, white blood cell decreased, neutrophil count decreased, lymphocyte count decreased, and platelet count decreased. In addition, the following grade 2 non-hematologic adverse events were expected and not collected/reported: nausea, vomiting, diarrhea, anorexia, fatigue, and alopecia.

Additional Information

Amanda F. Cashen, M.D.

Washington University School of Medicine

Phone: 314-454-8304

Results disclosure agreements

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