Trial Outcomes & Findings for A Study to Evaluate the Pharmacokinetics, Safety,and Efficacy of Omacetaxine Given Subcutaneously as a Fixed Dose in Patients With Chronic Phase (CP) or Accelerated Phase (AP) Chronic Myeloid Leukemia (CML) (Referred to as the SYNSINCT Study) (NCT NCT02078960)

NCT ID: NCT02078960

Last Updated: 2021-11-09

Results Overview

The Independent Data Monitoring Committee assessments are summarized. Major response for participants with chronic phase CML was a major cytogenetic response (MCyR) defined as a complete cytogenetic response with no Ph+ metaphases, or a partial cytogenetic response with up to 35% Ph+ metaphases. Note that a complete hematologic response was not considered a major response. Major response for participants with accelerated phase CML was a major hematologic response (MaHR) defined as a complete hematologic response or no evidence of leukemia, and/or a major cytogenic response (MCyR).

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

10 participants

Primary outcome timeframe

Day 1 up to Month 15 (longest treatment duration)

Results posted on

2021-11-09

Participant Flow

A total of 14 patients with chronic myeloid leukemia were screened for enrollment into this study. Of the 4 patients who were not enrolled, 2 were excluded on the basis of inclusion/exclusion criteria and 2 for "other" reasons.

Of the 14 patients screened, 9 patients at 3 centers in the US and 1 patient at a single centre in France met entry criteria and were considered to be eligible for enrollment into the study.

Participant milestones

Participant milestones
Measure
Cohort 1
Participants whose body surface area (BSA) is less than 1.7 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 2
Participants whose body surface area (BSA) is between 1.7 m\^2 to 2.0 m\^2 inclusive All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 3
Participants whose body surface area (BSA) is greater than 2.0 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Treatment Period
STARTED
2
4
4
Treatment Period
COMPLETED
0
1
1
Treatment Period
NOT COMPLETED
2
3
3
Follow-up Period
STARTED
2
2
1
Follow-up Period
COMPLETED
0
1
1
Follow-up Period
NOT COMPLETED
2
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Cohort 1
Participants whose body surface area (BSA) is less than 1.7 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 2
Participants whose body surface area (BSA) is between 1.7 m\^2 to 2.0 m\^2 inclusive All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 3
Participants whose body surface area (BSA) is greater than 2.0 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Treatment Period
Other
0
0
1
Treatment Period
Lack of Efficacy
0
1
0
Treatment Period
Disease progression - accelerated phase
0
1
0
Treatment Period
Disease progression - blast phase
1
0
0
Treatment Period
Withdrawal by Subject
0
1
1
Treatment Period
Adverse Event
1
0
0
Treatment Period
Death
0
0
1
Follow-up Period
Death
2
0
0
Follow-up Period
Lost to Follow-up
0
1
0

Baseline Characteristics

A Study to Evaluate the Pharmacokinetics, Safety,and Efficacy of Omacetaxine Given Subcutaneously as a Fixed Dose in Patients With Chronic Phase (CP) or Accelerated Phase (AP) Chronic Myeloid Leukemia (CML) (Referred to as the SYNSINCT Study)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1
n=2 Participants
Participants whose body surface area (BSA) is less than 1.7 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 2
n=4 Participants
Participants whose body surface area (BSA) is between 1.7 m\^2 to 2.0 m\^2 inclusive All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 3
n=4 Participants
Participants whose body surface area (BSA) is greater than 2.0 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Total
n=10 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=5 Participants
3 Participants
n=7 Participants
1 Participants
n=5 Participants
5 Participants
n=4 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
5 Participants
n=4 Participants
Age, Continuous
66.5 years
STANDARD_DEVIATION 9.19 • n=5 Participants
46.3 years
STANDARD_DEVIATION 22.87 • n=7 Participants
68.3 years
STANDARD_DEVIATION 17.31 • n=5 Participants
59.1 years
STANDARD_DEVIATION 20.16 • n=4 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
8 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
7 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
White
1 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
7 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Weight
55.1 kg
STANDARD_DEVIATION 7.78 • n=5 Participants
73.7 kg
STANDARD_DEVIATION 4.58 • n=7 Participants
105.3 kg
STANDARD_DEVIATION 18.34 • n=5 Participants
82.6 kg
STANDARD_DEVIATION 23.63 • n=4 Participants
Height
167.0 cm
STANDARD_DEVIATION 1.41 • n=5 Participants
167.3 cm
STANDARD_DEVIATION 8.02 • n=7 Participants
169.7 cm
STANDARD_DEVIATION 9.55 • n=5 Participants
168.2 cm
STANDARD_DEVIATION 7.33 • n=4 Participants
Body Surface Area (BSA)
1.6 m^2
STANDARD_DEVIATION 0.08 • n=5 Participants
1.8 m^2
STANDARD_DEVIATION 0.09 • n=7 Participants
2.2 m^2
STANDARD_DEVIATION 0.25 • n=5 Participants
2.0 m^2
STANDARD_DEVIATION 0.30 • n=4 Participants
Phase of Chronic Myeloid Leukemia (CML) at Study Entry
Chronic Phase (CP)
2 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
9 Participants
n=4 Participants
Phase of Chronic Myeloid Leukemia (CML) at Study Entry
Accelerated Phase (AP)
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Day 1 up to Month 15 (longest treatment duration)

Population: Enrolled participants

The Independent Data Monitoring Committee assessments are summarized. Major response for participants with chronic phase CML was a major cytogenetic response (MCyR) defined as a complete cytogenetic response with no Ph+ metaphases, or a partial cytogenetic response with up to 35% Ph+ metaphases. Note that a complete hematologic response was not considered a major response. Major response for participants with accelerated phase CML was a major hematologic response (MaHR) defined as a complete hematologic response or no evidence of leukemia, and/or a major cytogenic response (MCyR).

Outcome measures

Outcome measures
Measure
Cohort 1
n=2 Participants
Participants whose body surface area (BSA) is less than 1.7 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 2
n=4 Participants
Participants whose body surface area (BSA) is between 1.7 m\^2 to 2.0 m\^2 inclusive All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 3
n=4 Participants
Participants whose body surface area (BSA) is greater than 2.0 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Number of Participants Who Achieved a Major Response at Any Time During Treatment
0 Participants
1 Participants
2 Participants

SECONDARY outcome

Timeframe: Day 1 to Day 541 (longest progression/survival follow-up)

Population: Enrolled participants who had a response

Duration of response was defined for responders as the time interval from the first reported date of a major cytogenetic response (MCyR) or a major hematologic response (MaHR) to the earliest date of objective evidence of disease progression (ie, development of accelerated-phase CML), relapse (ie, loss of complete hematologic or major cytogenetic response), or death. Kaplan-Meier estimates for duration of response were not performed due the small enrollment population and early termination of the study. What is reported is the longest duration of response observed prior to disease progression, death, lost to follow-up or study termination.

Outcome measures

Outcome measures
Measure
Cohort 1
n=5 Participants
Participants whose body surface area (BSA) is less than 1.7 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 2
Participants whose body surface area (BSA) is between 1.7 m\^2 to 2.0 m\^2 inclusive All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 3
Participants whose body surface area (BSA) is greater than 2.0 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Longest Duration of Response At Study Termination
316 days

SECONDARY outcome

Timeframe: Day 1 up to Month 15

Population: Enrolled participants

Molecular response was defined by the decrease in the amount of BCR-ABL (an abnormality of chromosome 22) messenger ribonucleic acid (mRNA) measured by reverse transcriptase polymerase chain reaction (RT-PCR) or by the actual percentage of BCR-ABL mRNA transcripts (ratio of BCR-ABL transcript numbers to the number of control gene transcripts).

Outcome measures

Outcome measures
Measure
Cohort 1
n=10 Participants
Participants whose body surface area (BSA) is less than 1.7 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 2
Participants whose body surface area (BSA) is between 1.7 m\^2 to 2.0 m\^2 inclusive All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 3
Participants whose body surface area (BSA) is greater than 2.0 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Number of Participants Who Had a Molecular Response at Any Time During Treatment
1 Participants

SECONDARY outcome

Timeframe: Day 1 to Day 541 (longest progression/survival follow-up)

Population: Enrolled participants

Progression-free survival was defined as the time interval from the date of first dose to the date of the earliest objective evidence of disease progression (ie, development of accelerated-phase CML), relapse (ie, loss of complete hematologic or major cytogenetic response), or death. Kaplan-Meier estimates for time for progression-free survival were not performed due the small enrollment population and early termination of the study. What is reported is the number of participants who were alive and progression-free at the time of study termination.

Outcome measures

Outcome measures
Measure
Cohort 1
n=10 Participants
Participants whose body surface area (BSA) is less than 1.7 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 2
Participants whose body surface area (BSA) is between 1.7 m\^2 to 2.0 m\^2 inclusive All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 3
Participants whose body surface area (BSA) is greater than 2.0 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Number of Participants Who Were Alive and Progression-Free at Study Termination
4 Participants

SECONDARY outcome

Timeframe: Day 1 to Day 541 (longest progression/survival follow-up)

Population: Enrolled participants

Overall survival was defined as the time interval from the date of the first dose to the date of death from any cause. Kaplan-Meier time estimates for overall survival were not performed due to the small enrollment population and early termination of the study. What is reported is the number of participants who were alive at the time of study termination.

Outcome measures

Outcome measures
Measure
Cohort 1
n=10 Participants
Participants whose body surface area (BSA) is less than 1.7 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 2
Participants whose body surface area (BSA) is between 1.7 m\^2 to 2.0 m\^2 inclusive All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 3
Participants whose body surface area (BSA) is greater than 2.0 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Number of Participants Who Were Alive at Study Termination
7 Participants

SECONDARY outcome

Timeframe: Cycle 1 - Day 1 (predose, 15, 30, 45 minutes, 1, 2, 4, 8, 24, 48, 72 hours post-dose) Day 10 (predose, 2 samples postdose), Day 13 (predose) Cycles 2+3 - Day 1 (2 samples postdose), Days 10 and 17 (1 sample predose)

Population: PK analysis set

Maximum observed plasma drug concentration (Cmax) by inspection (without interpolation). Nominal PK sampling times were used.

Outcome measures

Outcome measures
Measure
Cohort 1
n=10 Participants
Participants whose body surface area (BSA) is less than 1.7 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 2
Participants whose body surface area (BSA) is between 1.7 m\^2 to 2.0 m\^2 inclusive All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 3
Participants whose body surface area (BSA) is greater than 2.0 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Maximum Observed Plasma Concentration (Cmax) for Omacetaxine
23.88 ng/mL
Standard Deviation 13.32

SECONDARY outcome

Timeframe: Cycle 1 - Day 1 (predose, 15, 30, 45 minutes, 1, 2, 4, 8, 24, 48, 72 hours post-dose) Day 10 (predose, 2 samples postdose), Day 13 (predose) Cycles 2+3 - Day 1 (2 samples postdose), Days 10 and 17 (1 sample predose)

Population: PK analysis set

Time to maximum observed plasma drug concentration (Cmax) by inspection (without interpolation). Nominal PK sampling times were used.

Outcome measures

Outcome measures
Measure
Cohort 1
n=10 Participants
Participants whose body surface area (BSA) is less than 1.7 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 2
Participants whose body surface area (BSA) is between 1.7 m\^2 to 2.0 m\^2 inclusive All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 3
Participants whose body surface area (BSA) is greater than 2.0 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Time to Maximum Observed Plasma Concentration (Cmax) for Omacetaxine
0.25 hour
Interval 0.25 to 1.0

SECONDARY outcome

Timeframe: Cycle 1 - Day 1 (predose, 15, 30, 45 minutes, 1, 2, 4, 8, 24, 48, 72 hours post-dose) Day 10 (predose, 2 samples postdose), Day 13 (predose) Cycles 2+3 - Day 1 (2 samples postdose), Days 10 and 17 (1 sample predose)

Population: PK analysis set

Nominal PK sampling times were used.

Outcome measures

Outcome measures
Measure
Cohort 1
n=10 Participants
Participants whose body surface area (BSA) is less than 1.7 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 2
Participants whose body surface area (BSA) is between 1.7 m\^2 to 2.0 m\^2 inclusive All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 3
Participants whose body surface area (BSA) is greater than 2.0 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Area Under the Drug Concentration by Time Curve From Time 0 to the Time of the Last Measurable Drug Concentration (AUC0-t) for Omacetaxine
150.2 ng*hr/mL
Standard Deviation 55.8

SECONDARY outcome

Timeframe: Cycle 1 - Day 1 (predose, 15, 30, 45 minutes, 1, 2, 4, 8, 24, 48, 72 hours post-dose) Day 10 (predose, 2 samples postdose), Day 13 (predose) Cycles 2+3 - Day 1 (2 samples postdose), Days 10 and 17 (1 sample predose)

Population: PK analysis set

Nominal PK sampling times were used.

Outcome measures

Outcome measures
Measure
Cohort 1
n=10 Participants
Participants whose body surface area (BSA) is less than 1.7 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 2
Participants whose body surface area (BSA) is between 1.7 m\^2 to 2.0 m\^2 inclusive All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 3
Participants whose body surface area (BSA) is greater than 2.0 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Area Under the Drug Concentration by Time Curve From Time 0 to Infinity (AUC0-inf) for Omacetaxine
154.8 ng*hr/mL
Standard Deviation 60.8

SECONDARY outcome

Timeframe: Cycle 1 - Day 1 (predose, 15, 30, 45 minutes, 1, 2, 4, 8, 24, 48, 72 hours post-dose) Day 10 (predose, 2 samples postdose), Day 13 (predose) Cycles 2+3 - Day 1 (2 samples postdose), Days 10 and 17 (1 sample predose)

Population: PK analysis set

Nominal PK sampling times were used.

Outcome measures

Outcome measures
Measure
Cohort 1
n=10 Participants
Participants whose body surface area (BSA) is less than 1.7 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 2
Participants whose body surface area (BSA) is between 1.7 m\^2 to 2.0 m\^2 inclusive All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 3
Participants whose body surface area (BSA) is greater than 2.0 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Terminal Elimination Half-Life (t1/2) for Omacetaxine
13.3 hour
Standard Deviation 1.6

SECONDARY outcome

Timeframe: Cycle 1 - Day 1 (predose, 15, 30, 45 minutes, 1, 2, 4, 8, 24, 48, 72 hours post-dose) Day 10 (predose, 2 samples postdose), Day 13 (predose) Cycles 2+3 - Day 1 (2 samples postdose), Days 10 and 17 (1 sample predose)

Population: PK analysis set

Nominal PK sampling times were used.

Outcome measures

Outcome measures
Measure
Cohort 1
n=10 Participants
Participants whose body surface area (BSA) is less than 1.7 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 2
Participants whose body surface area (BSA) is between 1.7 m\^2 to 2.0 m\^2 inclusive All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 3
Participants whose body surface area (BSA) is greater than 2.0 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Total Oral Clearance (CL/F) for Omacetaxine
18.1 L/hour
Standard Deviation 6.1

SECONDARY outcome

Timeframe: Cycle 1 - Day 1 (predose, 15, 30, 45 minutes, 1, 2, 4, 8, 24, 48, 72 hours post-dose) Day 10 (predose, 2 samples postdose), Day 13 (predose) Cycles 2+3 - Day 1 (2 samples postdose), Days 10 and 17 (1 sample predose)

Population: PK analysis set

Nominal PK sampling times were used.

Outcome measures

Outcome measures
Measure
Cohort 1
n=10 Participants
Participants whose body surface area (BSA) is less than 1.7 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 2
Participants whose body surface area (BSA) is between 1.7 m\^2 to 2.0 m\^2 inclusive All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 3
Participants whose body surface area (BSA) is greater than 2.0 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Apparent Volume of Distribution (V/F) for Omacetaxine
344.9 L
Standard Deviation 117.0

SECONDARY outcome

Timeframe: Day 1 up to Month 15

Population: Safety Analysis set

An adverse event is any untoward medical occurrence in a patient administered a pharmaceutical product, regardless of whether it has a causal relationship with this treatment. A treatment-emergent adverse event (TEAE) is an AE that that began or worsened after treatment with study drug. Severity rating of 3=Severe or medically significant but not immediately life-threatening 4=Life-threatening consequences and 5=Death. Relation to study drug is determined by the investigator. A serious adverse event (SAE) includes death, a life-threatening AE, hospitalization, persistent or significant disability or incapacity, a congenital anomaly/birth defect, or any important medical event requiring immediate intervention to prevent one of the outcomes above.

Outcome measures

Outcome measures
Measure
Cohort 1
n=2 Participants
Participants whose body surface area (BSA) is less than 1.7 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 2
n=4 Participants
Participants whose body surface area (BSA) is between 1.7 m\^2 to 2.0 m\^2 inclusive All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Cohort 3
n=4 Participants
Participants whose body surface area (BSA) is greater than 2.0 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily. Induction cycles of 14 days twice daily treatment were followed by 14 days without treatment (1 induction cycle) for as long as they adequately recover their blood counts and/or until they achieve hematologic response. \[Cycle 1 was an exception since participants were not dosed a second time on Day 1, nor at all on Days 2+3 to accommodate the PK study objective.\] Participants then received maintenance cycles of 7 days twice daily treatment followed by 21 days without treatment (1 maintenance cycle) for as long as they continued to benefit up to a period of 12 months following the first dose.
Participants With Treatment-Emergent Adverse Events (TEAEs)
Withdrawn from treatment due to a TEAE
1 Participants
0 Participants
0 Participants
Participants With Treatment-Emergent Adverse Events (TEAEs)
Any TEAE
2 Participants
4 Participants
4 Participants
Participants With Treatment-Emergent Adverse Events (TEAEs)
TEAE of Severity Grade 3
0 Participants
3 Participants
0 Participants
Participants With Treatment-Emergent Adverse Events (TEAEs)
TEAE of Severity Grade 4
1 Participants
1 Participants
3 Participants
Participants With Treatment-Emergent Adverse Events (TEAEs)
TEAE of Severity Grade 5
1 Participants
0 Participants
1 Participants
Participants With Treatment-Emergent Adverse Events (TEAEs)
Treatment-related TEAE
2 Participants
4 Participants
4 Participants
Participants With Treatment-Emergent Adverse Events (TEAEs)
Deaths
2 Participants
0 Participants
1 Participants
Participants With Treatment-Emergent Adverse Events (TEAEs)
Serious AE
2 Participants
2 Participants
4 Participants

Adverse Events

COHORT 1

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

COHORT 2

Serious events: 2 serious events
Other events: 4 other events
Deaths: 0 deaths

COHORT 3

Serious events: 4 serious events
Other events: 4 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
COHORT 1
n=2 participants at risk
Participants whose body surface area (BSA) is less than 1.7 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily.
COHORT 2
n=4 participants at risk
Participants whose body surface area (BSA) is between 1.7 m\^2 to 2.0 m\^2 inclusive All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily.
COHORT 3
n=4 participants at risk
Participants whose body surface area (BSA) is greater than 2.0 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Blood and lymphatic system disorders
Anaemia
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Blood and lymphatic system disorders
Neutropenia
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Blood and lymphatic system disorders
Thrombocytopenia
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Cardiac disorders
Cardiac failure congestive
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Gastrointestinal disorders
Abdominal pain
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Gastrointestinal disorders
Diarrhoea
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 2 • Day 1 up to Month 15
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Gastrointestinal disorders
Oral pain
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Gastrointestinal disorders
Stomatitis
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Gastrointestinal disorders
Vomiting
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
General disorders
Death
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
General disorders
Non-cardiac chest pain
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
General disorders
Pain
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 2 • Day 1 up to Month 15
General disorders
Pyrexia
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 2 • Day 1 up to Month 15
Infections and infestations
Abscess limb
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Infections and infestations
Gastroenteritis
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 2 • Day 1 up to Month 15
Infections and infestations
Herpes zoster
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Infections and infestations
Pneumonia
50.0%
1/2 • Number of events 2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
50.0%
2/4 • Number of events 2 • Day 1 up to Month 15
Infections and infestations
Septic shock
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Infections and infestations
Tooth abscess
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Infections and infestations
Urinary tract infection
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Injury, poisoning and procedural complications
Toxicity to various agents
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Metabolism and nutrition disorders
Hyperkalaemia
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Nervous system disorders
Cerebrovascular accident
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Nervous system disorders
Dizziness
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Nervous system disorders
Syncope
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Renal and urinary disorders
Nephrolithiasis
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Renal and urinary disorders
Renal failure acute
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Respiratory, thoracic and mediastinal disorders
Pleural effusion
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15

Other adverse events

Other adverse events
Measure
COHORT 1
n=2 participants at risk
Participants whose body surface area (BSA) is less than 1.7 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily.
COHORT 2
n=4 participants at risk
Participants whose body surface area (BSA) is between 1.7 m\^2 to 2.0 m\^2 inclusive All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily.
COHORT 3
n=4 participants at risk
Participants whose body surface area (BSA) is greater than 2.0 m\^2. All participants were given a fixed dose of 2.5 mg omacetaxine by subcutaneous injection twice daily.
Vascular disorders
Pallor
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
50.0%
2/4 • Number of events 2 • Day 1 up to Month 15
Musculoskeletal and connective tissue disorders
Pain in extremity
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Nervous system disorders
Dizziness
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 2 • Day 1 up to Month 15
Nervous system disorders
Dysaesthesia
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Nervous system disorders
Dysgeusia
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
50.0%
2/4 • Number of events 2 • Day 1 up to Month 15
Nervous system disorders
Headache
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Nervous system disorders
Lethargy
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Nervous system disorders
Neuralgia
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Nervous system disorders
Syncope
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Psychiatric disorders
Anxiety
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Psychiatric disorders
Insomnia
100.0%
2/2 • Number of events 3 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Psychiatric disorders
Sleep disorder
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Renal and urinary disorders
Renal failure
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Renal and urinary disorders
Renal failure acute
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
50.0%
2/4 • Number of events 2 • Day 1 up to Month 15
Renal and urinary disorders
Urethritis noninfective
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Renal and urinary disorders
Urinary retention
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Reproductive system and breast disorders
Scrotal oedema
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Respiratory, thoracic and mediastinal disorders
Atelectasis
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/2 • Day 1 up to Month 15
50.0%
2/4 • Number of events 2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Respiratory, thoracic and mediastinal disorders
Dyspnoea
100.0%
2/2 • Number of events 2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Respiratory, thoracic and mediastinal disorders
Pleural effusion
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Skin and subcutaneous tissue disorders
Alopecia
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Skin and subcutaneous tissue disorders
Dermatitis
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Skin and subcutaneous tissue disorders
Petechiae
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Skin and subcutaneous tissue disorders
Rash
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Skin and subcutaneous tissue disorders
Skin hypopigmentation
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Skin and subcutaneous tissue disorders
Skin ulcer
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Vascular disorders
Hypotension
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Blood and lymphatic system disorders
Anaemia
100.0%
2/2 • Number of events 5 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
50.0%
2/4 • Number of events 7 • Day 1 up to Month 15
Blood and lymphatic system disorders
Febrile neutropenia
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Blood and lymphatic system disorders
Hypofibrinogenaemia
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Blood and lymphatic system disorders
Leukopenia
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
25.0%
1/4 • Number of events 10 • Day 1 up to Month 15
Blood and lymphatic system disorders
Lymphopenia
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 7 • Day 1 up to Month 15
25.0%
1/4 • Number of events 6 • Day 1 up to Month 15
Blood and lymphatic system disorders
Neutropenia
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
25.0%
1/4 • Number of events 7 • Day 1 up to Month 15
25.0%
1/4 • Number of events 9 • Day 1 up to Month 15
Blood and lymphatic system disorders
Pancytopenia
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Blood and lymphatic system disorders
Thrombocytopenia
100.0%
2/2 • Number of events 2 • Day 1 up to Month 15
75.0%
3/4 • Number of events 7 • Day 1 up to Month 15
50.0%
2/4 • Number of events 10 • Day 1 up to Month 15
Blood and lymphatic system disorders
Thrombocytosis
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Cardiac disorders
Bradycardia
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Cardiac disorders
Tachycardia
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Endocrine disorders
Hypothyroidism
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Gastrointestinal disorders
Abdominal pain
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Gastrointestinal disorders
Constipation
100.0%
2/2 • Number of events 2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 3 • Day 1 up to Month 15
25.0%
1/4 • Number of events 2 • Day 1 up to Month 15
Gastrointestinal disorders
Diarrhoea
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
50.0%
2/4 • Number of events 6 • Day 1 up to Month 15
Gastrointestinal disorders
Dry mouth
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Gastrointestinal disorders
Dyspepsia
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Gastrointestinal disorders
Nausea
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
25.0%
1/4 • Number of events 5 • Day 1 up to Month 15
50.0%
2/4 • Number of events 2 • Day 1 up to Month 15
Gastrointestinal disorders
Oral pain
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Gastrointestinal disorders
Toothache
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Gastrointestinal disorders
Vomiting
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
General disorders
Injection site pain
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 5 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
General disorders
Injection site rash
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
General disorders
Injection site reaction
0.00%
0/2 • Day 1 up to Month 15
50.0%
2/4 • Number of events 2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
General disorders
Mucosal dryness
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
General disorders
Oedema peripheral
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
General disorders
Pyrexia
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
General disorders
Temperature intolerance
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Hepatobiliary disorders
Hyperbilirubinaemia
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 3 • Day 1 up to Month 15
Immune system disorders
Hypersensitivity
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Infections and infestations
Injection site cellulitis
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Infections and infestations
Legionella infection
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Infections and infestations
Oral candidiasis
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Infections and infestations
Upper respiratory tract infection
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Injury, poisoning and procedural complications
Contusion
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Injury, poisoning and procedural complications
Limb injury
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Injury, poisoning and procedural complications
Spinal fracture
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Investigations
Activated partial thromboplastin time prolonged
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 2 • Day 1 up to Month 15
Investigations
Alanine aminotransferase increased
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Investigations
Blood calcium decreased
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Investigations
Blood lactate dehydrogenase decreased
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Investigations
International normalised ratio increased
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 2 • Day 1 up to Month 15
Investigations
Lymphocyte count decreased
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
50.0%
2/4 • Number of events 2 • Day 1 up to Month 15
Investigations
Neutrophil count decreased
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Investigations
Platelet count decreased
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 3 • Day 1 up to Month 15
Investigations
Weight decreased
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Investigations
Weight increased
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 2 • Day 1 up to Month 15
Metabolism and nutrition disorders
Decreased appetite
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
50.0%
2/4 • Number of events 2 • Day 1 up to Month 15
Metabolism and nutrition disorders
Dehydration
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
75.0%
3/4 • Number of events 4 • Day 1 up to Month 15
Metabolism and nutrition disorders
Diabetes mellitus
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Metabolism and nutrition disorders
Gout
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Metabolism and nutrition disorders
Hyperglycaemia
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 2 • Day 1 up to Month 15
Metabolism and nutrition disorders
Hyperphosphataemia
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Metabolism and nutrition disorders
Hyperuricaemia
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Metabolism and nutrition disorders
Hypomagnesaemia
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Metabolism and nutrition disorders
Hyponatraemia
50.0%
1/2 • Number of events 2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
Metabolism and nutrition disorders
Hypophosphataemia
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Musculoskeletal and connective tissue disorders
Arthralgia
50.0%
1/2 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 2 • Day 1 up to Month 15
Musculoskeletal and connective tissue disorders
Joint swelling
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Musculoskeletal and connective tissue disorders
Muscular weakness
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/2 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/2 • Day 1 up to Month 15
25.0%
1/4 • Number of events 1 • Day 1 up to Month 15
0.00%
0/4 • Day 1 up to Month 15

Additional Information

Director, Clinical Research

Teva Branded Pharmaceutical Products, R&D Inc.

Phone: 1-888-483-8279

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor has the right 60 days before submission for publication to review/provide comments. If the Sponsor's review shows that potentially patentable subject matter would be disclosed, publication or public disclosure shall be delayed for up to 90 additional days in order for the Sponsor, or Sponsor's designees, to file the necessary patent applications. In multicenter trials, each PI will postpone single center publications until after disclosure or publication of multicenter data.
  • Publication restrictions are in place

Restriction type: OTHER