Trial Outcomes & Findings for Neoadjuvant Pembrolizumab in Combination With Gemcitabine Therapy in Cis-eligible/Ineligible UC Subjects (NCT NCT02365766)

NCT ID: NCT02365766

Last Updated: 2025-03-18

Results Overview

Number of patients with experienced Dose-Limiting Toxicities (DLTs) will be monitored as a safety and tolerability of pembrolizumab in combination with gemcitabine and cisplatin . The Pembrolizumab DLT is defined as a drug-related adverse events (AEs) per Common Terminology Criteria for Adverse Events (CTCAE) V4 criteria that occurs in the first 4 weeks of treatment of pembrolizumab (C1D8 - C2D14) and meets the DLT definition per protocol.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

83 participants

Primary outcome timeframe

Up to 4 weeks

Results posted on

2025-03-18

Participant Flow

All participants in Phase 1b received same dose (Pembrolizumab 200 mg).

Participant milestones

Participant milestones
Measure
Phase 1b Cohort I: Cisplatin-eligible - Pembrolizumab 200 mg
Arm A: Cisplatin-eligible subjects were received pembrolizumab at starting dose of 200mg (dose level 0) in combination with gemcitabine and cisplatin. Once the MTD is established, this portion of the study will close and the phase II will open to cohorts I and II at the recommended phase II dose (RP2D). Pembrolizumab: In this dose-finding cohort, pembrolizumab (MK-3475) were administered (cisplatin-eligible patients only) at starting dose 200mg IV every 21 days for 4 cycles to determine RP2D. Once MTD is established in phase Ib, pembrolizumab will be administered on phase II cohorts I and II at RP2D every 21 days for 5 cycles. Gemcitabine: For cisplatin-eligible patients on phase Ib, gemcitabine 1000mg/m2 IV, D1 and D8 every 21 days for 4 cycles. Cisplatin: For cisplatin-eligible patients, cisplatin 70mg/m2 IV will be administered D1 every 21 days for 4 cycles.
Phase II Cohort I: Cisplatin-eligible- Pembrolizumab 200 mg
Arm B: Cisplatin-eligible subjects receive gemcitabine/cisplatin every 21 days, repeated for 4 cycles. (Subjects with Ccr of 50-59 mL/min must follow split dosing of cisplatin over two days) . Pembrolizumab at RP2D is given every 21 days for 5 doses starting C1D8. Note: the last dose of pembrolizumab falls on what would be day 8 of a 5th 'chemo' cycle, however gemcitabine/cisplatin is NOT GIVEN. Subjects will then have consolidative surgery to remove their primary tumor within 2-7 weeks after their last dose of neoadjuvant therapy. Pembrolizumab: Once MTD is established in phase Ib, pembrolizumab will be administered on phase II cohorts I and II at RP2D every 21 days for 5 cycles. Gemcitabine: For cisplatin-eligible patients on phase II cohort 1, gemcitabine 1000mg/m2 IV, D1 and D8 every 21 days for 4 cycles. Cisplatin: For cisplatin-eligible patients, cisplatin 70mg/m2 IV will be administered D1 every 21 days for 4 cycles.
Phase II Cohort II: Cisplatin-ineligible -Pembrolizumab 200 mg
Arm C: Cisplatin-ineligible subjects receive gemcitabine every week every 28 days for 3 cycles. Pembrolizumab at RP2D is given every 21 days for 5 doses starting C1D8. NOTE: due to the timing of gemcitabine cycles every 4 weeks, and every 3-week dosing of pembrolizumab, there are two doses of pembrolizumab given during cycle 2: D1 and D22. Additionally, the last dose of pembrolizumab falls on what would be D8 of a 4th 'chemo' cycle; however gemcitabine is NOT GIVEN. Subjects will then have consolidative surgery to remove their primary tumor within 2-7 weeks after their last dose of neoadjuvant therapy. Pembrolizumab: Once MTD is established in phase Ib, pembrolizumab will be administered on phase II cohorts I and II at RP2D every 21 days for 5 cycles. Gemcitabine: For cisplatin-ineligible patients on phase II cohort II, gemcitabine 1000mg/m2 will be administered D1, D8 and D15 every 28 days for 3 cycles.
Overall Study
STARTED
6
37
40
Overall Study
COMPLETED
6
37
38
Overall Study
NOT COMPLETED
0
0
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Phase 1b Cohort I: Cisplatin-eligible - Pembrolizumab 200 mg
Arm A: Cisplatin-eligible subjects were received pembrolizumab at starting dose of 200mg (dose level 0) in combination with gemcitabine and cisplatin. Once the MTD is established, this portion of the study will close and the phase II will open to cohorts I and II at the recommended phase II dose (RP2D). Pembrolizumab: In this dose-finding cohort, pembrolizumab (MK-3475) were administered (cisplatin-eligible patients only) at starting dose 200mg IV every 21 days for 4 cycles to determine RP2D. Once MTD is established in phase Ib, pembrolizumab will be administered on phase II cohorts I and II at RP2D every 21 days for 5 cycles. Gemcitabine: For cisplatin-eligible patients on phase Ib, gemcitabine 1000mg/m2 IV, D1 and D8 every 21 days for 4 cycles. Cisplatin: For cisplatin-eligible patients, cisplatin 70mg/m2 IV will be administered D1 every 21 days for 4 cycles.
Phase II Cohort I: Cisplatin-eligible- Pembrolizumab 200 mg
Arm B: Cisplatin-eligible subjects receive gemcitabine/cisplatin every 21 days, repeated for 4 cycles. (Subjects with Ccr of 50-59 mL/min must follow split dosing of cisplatin over two days) . Pembrolizumab at RP2D is given every 21 days for 5 doses starting C1D8. Note: the last dose of pembrolizumab falls on what would be day 8 of a 5th 'chemo' cycle, however gemcitabine/cisplatin is NOT GIVEN. Subjects will then have consolidative surgery to remove their primary tumor within 2-7 weeks after their last dose of neoadjuvant therapy. Pembrolizumab: Once MTD is established in phase Ib, pembrolizumab will be administered on phase II cohorts I and II at RP2D every 21 days for 5 cycles. Gemcitabine: For cisplatin-eligible patients on phase II cohort 1, gemcitabine 1000mg/m2 IV, D1 and D8 every 21 days for 4 cycles. Cisplatin: For cisplatin-eligible patients, cisplatin 70mg/m2 IV will be administered D1 every 21 days for 4 cycles.
Phase II Cohort II: Cisplatin-ineligible -Pembrolizumab 200 mg
Arm C: Cisplatin-ineligible subjects receive gemcitabine every week every 28 days for 3 cycles. Pembrolizumab at RP2D is given every 21 days for 5 doses starting C1D8. NOTE: due to the timing of gemcitabine cycles every 4 weeks, and every 3-week dosing of pembrolizumab, there are two doses of pembrolizumab given during cycle 2: D1 and D22. Additionally, the last dose of pembrolizumab falls on what would be D8 of a 4th 'chemo' cycle; however gemcitabine is NOT GIVEN. Subjects will then have consolidative surgery to remove their primary tumor within 2-7 weeks after their last dose of neoadjuvant therapy. Pembrolizumab: Once MTD is established in phase Ib, pembrolizumab will be administered on phase II cohorts I and II at RP2D every 21 days for 5 cycles. Gemcitabine: For cisplatin-ineligible patients on phase II cohort II, gemcitabine 1000mg/m2 will be administered D1, D8 and D15 every 28 days for 3 cycles.
Overall Study
Withdrawal by Subject
0
0
1
Overall Study
Eligibility Criteria Not Met
0
0
1

Baseline Characteristics

Neoadjuvant Pembrolizumab in Combination With Gemcitabine Therapy in Cis-eligible/Ineligible UC Subjects

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Phase 1b Cohort I: Cisplatin-eligible - Pembrolizumab 200 mg
n=6 Participants
Arm A: Cisplatin-eligible subjects were received pembrolizumab at starting dose of 200mg (dose level 0) in combination with gemcitabine and cisplatin. Once the MTD is established, this portion of the study will close and the phase II will open to cohorts I and II at the recommended phase II dose (RP2D). Pembrolizumab: In this dose-finding cohort, pembrolizumab (MK-3475) were administered (cisplatin-eligible patients only) at starting dose 200mg IV every 21 days for 4 cycles to determine RP2D. Once MTD is established in phase Ib, pembrolizumab will be administered on phase II cohorts I and II at RP2D every 21 days for 5 cycles. Gemcitabine: For cisplatin-eligible patients on phase Ib, gemcitabine 1000mg/m2 IV, D1 and D8 every 21 days for 4 cycles. Cisplatin: For cisplatin-eligible patients, cisplatin 70mg/m2 IV will be administered D1 every 21 days for 4 cycles.
Phase II Cohort I: Cisplatin-eligible- Pembrolizumab 200 mg
n=37 Participants
Arm B: Cisplatin-eligible subjects receive gemcitabine/cisplatin every 21 days, repeated for 4 cycles. (Subjects with Ccr of 50-59 mL/min must follow split dosing of cisplatin over two days) . Pembrolizumab at RP2D is given every 21 days for 5 doses starting C1D8. Note: the last dose of pembrolizumab falls on what would be day 8 of a 5th 'chemo' cycle, however gemcitabine/cisplatin is NOT GIVEN. Subjects will then have consolidative surgery to remove their primary tumor within 2-7 weeks after their last dose of neoadjuvant therapy. Pembrolizumab: Once MTD is established in phase Ib, pembrolizumab will be administered on phase II cohorts I and II at RP2D every 21 days for 5 cycles. Gemcitabine: For cisplatin-eligible patients on phase II cohort 1, gemcitabine 1000mg/m2 IV, D1 and D8 every 21 days for 4 cycles. Cisplatin: For cisplatin-eligible patients, cisplatin 70mg/m2 IV will be administered D1 every 21 days for 4 cycles.
Phase II Cohort II: Cisplatin-ineligible -Pembrolizumab 200 mg
n=38 Participants
Arm C: Cisplatin-ineligible subjects receive gemcitabine every week every 28 days for 3 cycles. Pembrolizumab at RP2D is given every 21 days for 5 doses starting C1D8. NOTE: due to the timing of gemcitabine cycles every 4 weeks, and every 3-week dosing of pembrolizumab, there are two doses of pembrolizumab given during cycle 2: D1 and D22. Additionally, the last dose of pembrolizumab falls on what would be D8 of a 4th 'chemo' cycle; however gemcitabine is NOT GIVEN. Subjects will then have consolidative surgery to remove their primary tumor within 2-7 weeks after their last dose of neoadjuvant therapy. Pembrolizumab: Once MTD is established in phase Ib, pembrolizumab will be administered on phase II cohorts I and II at RP2D every 21 days for 5 cycles. Gemcitabine: For cisplatin-ineligible patients on phase II cohort II, gemcitabine 1000mg/m2 will be administered D1, D8 and D15 every 28 days for 3 cycles.
Total
n=81 Participants
Total of all reporting groups
Age, Continuous
66 years
n=5 Participants
63 years
n=7 Participants
73 years
n=5 Participants
68 years
n=4 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
10 Participants
n=7 Participants
11 Participants
n=5 Participants
22 Participants
n=4 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
27 Participants
n=7 Participants
27 Participants
n=5 Participants
59 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=5 Participants
35 Participants
n=7 Participants
36 Participants
n=5 Participants
77 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
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 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
1 Participants
n=5 Participants
5 Participants
n=7 Participants
3 Participants
n=5 Participants
9 Participants
n=4 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
31 Participants
n=7 Participants
35 Participants
n=5 Participants
71 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
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
6 participants
n=5 Participants
37 participants
n=7 Participants
38 participants
n=5 Participants
81 participants
n=4 Participants
ECOG performance status
ECOG = 0
6 Participants
n=5 Participants
26 Participants
n=7 Participants
22 Participants
n=5 Participants
54 Participants
n=4 Participants
ECOG performance status
ECOG = 1
0 Participants
n=5 Participants
11 Participants
n=7 Participants
12 Participants
n=5 Participants
23 Participants
n=4 Participants
ECOG performance status
ECOG = 2
0 Participants
n=5 Participants
0 Participants
n=7 Participants
4 Participants
n=5 Participants
4 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Up to 4 weeks

Population: All participants in Phase 1b received same dose.

Number of patients with experienced Dose-Limiting Toxicities (DLTs) will be monitored as a safety and tolerability of pembrolizumab in combination with gemcitabine and cisplatin . The Pembrolizumab DLT is defined as a drug-related adverse events (AEs) per Common Terminology Criteria for Adverse Events (CTCAE) V4 criteria that occurs in the first 4 weeks of treatment of pembrolizumab (C1D8 - C2D14) and meets the DLT definition per protocol.

Outcome measures

Outcome measures
Measure
Phase 1b Cohort I: Cisplatin-eligible - Pembrolizumab 200 mg
n=6 Participants
Arm A: Cisplatin-eligible subjects were received pembrolizumab at starting dose of 200mg (dose level 0) in combination with gemcitabine and cisplatin. Once the MTD is established, this portion of the study will close and the phase II will open to cohorts I and II at the recommended phase II dose (RP2D). Pembrolizumab: In this dose-finding cohort, pembrolizumab (MK-3475) were administered (cisplatin-eligible patients only) at starting dose 200mg IV every 21 days for 4 cycles to determine RP2D. Once MTD is established in phase Ib, pembrolizumab will be administered on phase II cohorts I and II at RP2D every 21 days for 5 cycles. Gemcitabine: For cisplatin-eligible patients on phase Ib, gemcitabine 1000mg/m2 IV, D1 and D8 every 21 days for 4 cycles. Cisplatin: For cisplatin-eligible patients, cisplatin 70mg/m2 IV will be administered D1 every 21 days for 4 cycles.
Cohort II: Cisplatin Ineligible - Pembrolizumab 200 mg
Cisplatin ineligible (receive treatment in Phase II only) : Cisplatin ineligible subjects receive gemcitabine every week (weekly) for three consecutive weeks, repeated every 28 days for 3 cycles. Pembrolizumab is given every 3 weeks for 5 doses starting with Cycle 1 Day 8 (C1D8). NOTE: due to the timing of gemcitabine cycles every 4 weeks, and every three week dosing of pembrolizumab, there are two doses of pembrolizumab given during cycle 2: days 1 and 22. Additionally, the last dose of pembrolizumab falls on what would be day 8 of a 4th 'chemo' cycle; however gemcitabine is NOT GIVEN.
Phase Ib: Safety of Pembrolizumab in Combination With Gemcitabine-Cisplatin
0 Participants

PRIMARY outcome

Timeframe: Within 2-7 weeks post last dose of pembrolizumab (up to 6 months)

Population: In accordance with the Statistical Analysis Plan, the analysis population for the endpoint PaIR Rate was defined as all Cisplatin-eligible treated at the MTD, which was determined to be pembrolizumab 200 mg + gemcitabine 1000mg/m2 + cisplatin 70mg/m2; and all Cisplatin-ineligible treated at the MTD which was determined to be pembrolizumab 200 mg + gemcitabine 1000mg/m2. 38 out of 43 Cisplatin eligible patients and 33 out of 38 Cisplatin ineligible patients had data of pathological response.

Pathologic muscle invasion response (PaIR), or ≤ypT1N0M0, rate is assessed from the consolidative surgery (radical cystectomy (RC) / nephroureterectomy (NU) - lymph node dissection (LND)) specimen.

Outcome measures

Outcome measures
Measure
Phase 1b Cohort I: Cisplatin-eligible - Pembrolizumab 200 mg
n=38 Participants
Arm A: Cisplatin-eligible subjects were received pembrolizumab at starting dose of 200mg (dose level 0) in combination with gemcitabine and cisplatin. Once the MTD is established, this portion of the study will close and the phase II will open to cohorts I and II at the recommended phase II dose (RP2D). Pembrolizumab: In this dose-finding cohort, pembrolizumab (MK-3475) were administered (cisplatin-eligible patients only) at starting dose 200mg IV every 21 days for 4 cycles to determine RP2D. Once MTD is established in phase Ib, pembrolizumab will be administered on phase II cohorts I and II at RP2D every 21 days for 5 cycles. Gemcitabine: For cisplatin-eligible patients on phase Ib, gemcitabine 1000mg/m2 IV, D1 and D8 every 21 days for 4 cycles. Cisplatin: For cisplatin-eligible patients, cisplatin 70mg/m2 IV will be administered D1 every 21 days for 4 cycles.
Cohort II: Cisplatin Ineligible - Pembrolizumab 200 mg
n=33 Participants
Cisplatin ineligible (receive treatment in Phase II only) : Cisplatin ineligible subjects receive gemcitabine every week (weekly) for three consecutive weeks, repeated every 28 days for 3 cycles. Pembrolizumab is given every 3 weeks for 5 doses starting with Cycle 1 Day 8 (C1D8). NOTE: due to the timing of gemcitabine cycles every 4 weeks, and every three week dosing of pembrolizumab, there are two doses of pembrolizumab given during cycle 2: days 1 and 22. Additionally, the last dose of pembrolizumab falls on what would be day 8 of a 4th 'chemo' cycle; however gemcitabine is NOT GIVEN.
Rate of Pathologic Muscle Invasive Response (PaIR)
61 Percentage of participants
Interval 46.0 to 74.0
51.5 Percentage of participants
Interval 35.0 to 68.0

SECONDARY outcome

Timeframe: 18 months

Population: In accordance with the Statistical Analysis Plan, the analysis population for the endpoint Relapse-Free Survival was defined as all Cisplatin-eligible patients treated at the MTD, which was determined to be pembrolizumab 200 mg + gemcitabine 1000mg/m2 + cisplatin 70mg/m2; and all Cisplatin-ineligible patients treated at the MTD which was determined to be pembrolizumab 200 mg + gemcitabine 1000mg/m2. 37 out of 38 Cisplatin ineligible patients were evaluable for RFS.

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST): Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Progressive Disease (PD) \>= 20% increase in tumor burden relative to nadir or the appearance of one or more new lesions; Stable Disease (SD), not meet criteria for CR/PR/PD. Relapse-Free Survival is defined by the date of randomization until the criteria for disease progression is met as defined by RECIST 1.1 or death occurs.

Outcome measures

Outcome measures
Measure
Phase 1b Cohort I: Cisplatin-eligible - Pembrolizumab 200 mg
n=43 Participants
Arm A: Cisplatin-eligible subjects were received pembrolizumab at starting dose of 200mg (dose level 0) in combination with gemcitabine and cisplatin. Once the MTD is established, this portion of the study will close and the phase II will open to cohorts I and II at the recommended phase II dose (RP2D). Pembrolizumab: In this dose-finding cohort, pembrolizumab (MK-3475) were administered (cisplatin-eligible patients only) at starting dose 200mg IV every 21 days for 4 cycles to determine RP2D. Once MTD is established in phase Ib, pembrolizumab will be administered on phase II cohorts I and II at RP2D every 21 days for 5 cycles. Gemcitabine: For cisplatin-eligible patients on phase Ib, gemcitabine 1000mg/m2 IV, D1 and D8 every 21 days for 4 cycles. Cisplatin: For cisplatin-eligible patients, cisplatin 70mg/m2 IV will be administered D1 every 21 days for 4 cycles.
Cohort II: Cisplatin Ineligible - Pembrolizumab 200 mg
n=37 Participants
Cisplatin ineligible (receive treatment in Phase II only) : Cisplatin ineligible subjects receive gemcitabine every week (weekly) for three consecutive weeks, repeated every 28 days for 3 cycles. Pembrolizumab is given every 3 weeks for 5 doses starting with Cycle 1 Day 8 (C1D8). NOTE: due to the timing of gemcitabine cycles every 4 weeks, and every three week dosing of pembrolizumab, there are two doses of pembrolizumab given during cycle 2: days 1 and 22. Additionally, the last dose of pembrolizumab falls on what would be day 8 of a 4th 'chemo' cycle; however gemcitabine is NOT GIVEN.
Relapse-Free Survival (RFS) at 18 Months
83 Percentage of participants
Interval 67.0 to 91.0
57.4 Percentage of participants
Interval 40.0 to 72.0

SECONDARY outcome

Timeframe: 5 years

Population: In accordance with the Statistical Analysis Plan, the analysis population for the endpoint Overall Survival was defined as all Cisplatin-eligible patients treated at the MTD, which was determined to be pembrolizumab 200 mg + gemcitabine 1000mg/m2 + cisplatin 70mg/m2; and all Cisplatin-ineligible patients treated at the MTD which was determined to be pembrolizumab 200 mg + gemcitabine 1000mg/m2.

Determine the Overall survival at 5 years. OS is defined by the date of randomization to date of death from any cause.

Outcome measures

Outcome measures
Measure
Phase 1b Cohort I: Cisplatin-eligible - Pembrolizumab 200 mg
n=43 Participants
Arm A: Cisplatin-eligible subjects were received pembrolizumab at starting dose of 200mg (dose level 0) in combination with gemcitabine and cisplatin. Once the MTD is established, this portion of the study will close and the phase II will open to cohorts I and II at the recommended phase II dose (RP2D). Pembrolizumab: In this dose-finding cohort, pembrolizumab (MK-3475) were administered (cisplatin-eligible patients only) at starting dose 200mg IV every 21 days for 4 cycles to determine RP2D. Once MTD is established in phase Ib, pembrolizumab will be administered on phase II cohorts I and II at RP2D every 21 days for 5 cycles. Gemcitabine: For cisplatin-eligible patients on phase Ib, gemcitabine 1000mg/m2 IV, D1 and D8 every 21 days for 4 cycles. Cisplatin: For cisplatin-eligible patients, cisplatin 70mg/m2 IV will be administered D1 every 21 days for 4 cycles.
Cohort II: Cisplatin Ineligible - Pembrolizumab 200 mg
n=38 Participants
Cisplatin ineligible (receive treatment in Phase II only) : Cisplatin ineligible subjects receive gemcitabine every week (weekly) for three consecutive weeks, repeated every 28 days for 3 cycles. Pembrolizumab is given every 3 weeks for 5 doses starting with Cycle 1 Day 8 (C1D8). NOTE: due to the timing of gemcitabine cycles every 4 weeks, and every three week dosing of pembrolizumab, there are two doses of pembrolizumab given during cycle 2: days 1 and 22. Additionally, the last dose of pembrolizumab falls on what would be day 8 of a 4th 'chemo' cycle; however gemcitabine is NOT GIVEN.
Overall Survival (OS) at 5 Years
71.9 Percentage of participants
Interval 55.0 to 83.0
56.6 Percentage of participants
Interval 39.0 to 71.0

SECONDARY outcome

Timeframe: Within 2-7 weeks post last dose of pembrolizumab (up to 6 months)

Population: In accordance with the Statistical Analysis Plan, the analysis population for the endpoint Radical Cystectomy Rate was defined as all Cisplatin-eligible patients treated at the MTD, which was determined to be pembrolizumab 200 mg + gemcitabine 1000mg/m2 + cisplatin 70mg/m2; and all Cisplatin-ineligible patients treated at the MTD which was determined to be pembrolizumab 200 mg + gemcitabine 1000mg/m2. 37 out of 38 Cisplatin ineligible patients were evaluable for Radical Cystectomy Rate.

To compare the radical cystectomy (RC) rates in subjects who are cisplatin-eligible with those who are cisplatin-ineligible.

Outcome measures

Outcome measures
Measure
Phase 1b Cohort I: Cisplatin-eligible - Pembrolizumab 200 mg
n=43 Participants
Arm A: Cisplatin-eligible subjects were received pembrolizumab at starting dose of 200mg (dose level 0) in combination with gemcitabine and cisplatin. Once the MTD is established, this portion of the study will close and the phase II will open to cohorts I and II at the recommended phase II dose (RP2D). Pembrolizumab: In this dose-finding cohort, pembrolizumab (MK-3475) were administered (cisplatin-eligible patients only) at starting dose 200mg IV every 21 days for 4 cycles to determine RP2D. Once MTD is established in phase Ib, pembrolizumab will be administered on phase II cohorts I and II at RP2D every 21 days for 5 cycles. Gemcitabine: For cisplatin-eligible patients on phase Ib, gemcitabine 1000mg/m2 IV, D1 and D8 every 21 days for 4 cycles. Cisplatin: For cisplatin-eligible patients, cisplatin 70mg/m2 IV will be administered D1 every 21 days for 4 cycles.
Cohort II: Cisplatin Ineligible - Pembrolizumab 200 mg
n=37 Participants
Cisplatin ineligible (receive treatment in Phase II only) : Cisplatin ineligible subjects receive gemcitabine every week (weekly) for three consecutive weeks, repeated every 28 days for 3 cycles. Pembrolizumab is given every 3 weeks for 5 doses starting with Cycle 1 Day 8 (C1D8). NOTE: due to the timing of gemcitabine cycles every 4 weeks, and every three week dosing of pembrolizumab, there are two doses of pembrolizumab given during cycle 2: days 1 and 22. Additionally, the last dose of pembrolizumab falls on what would be day 8 of a 4th 'chemo' cycle; however gemcitabine is NOT GIVEN.
Radical Cystectomy (RC) Rate
86 Percentage of participants
Interval 73.0 to 93.0
89 Percentage of participants
Interval 76.0 to 96.0

Adverse Events

Phase 1b Cohort I: Cisplatin Eligible - Pembrolizumab 200 mg

Serious events: 1 serious events
Other events: 6 other events
Deaths: 1 deaths

Phase II Cohort I: Cisplatin Eligible- Pembrolizumab 200 mg

Serious events: 17 serious events
Other events: 37 other events
Deaths: 11 deaths

Phase II Cohort II: Cisplatin Ineligible -Pembrolizumab 200 mg

Serious events: 17 serious events
Other events: 38 other events
Deaths: 16 deaths

Serious adverse events

Serious adverse events
Measure
Phase 1b Cohort I: Cisplatin Eligible - Pembrolizumab 200 mg
n=6 participants at risk
Cisplatin-eligible subjects were received pembrolizumab at starting dose of 200mg (dose level 0) in combination with gemcitabine and cisplatin. Once the MTD is established, this portion of the study will close and the phase II will open to cohorts I and II at the recommended phase II dose (RP2D). Pembrolizumab: In this dose-finding cohort, pembrolizumab (MK-3475) were administered (cisplatin-eligible patients only) at starting dose 200mg IV every 21 days for 4 cycles to determine RP2D. Once MTD is established in phase Ib, pembrolizumab will be administered on phase II cohorts I and II at RP2D every 21 days for 5 cycles. Gemcitabine: For cisplatin-eligible patients on phase Ib, gemcitabine 1000mg/m2 IV, D1 and D8 every 21 days for 4 cycles. Cisplatin: For cisplatin-eligible patients, cisplatin 70mg/m2 IV will be administered D1 every 21 days for 4 cycles.
Phase II Cohort I: Cisplatin Eligible- Pembrolizumab 200 mg
n=37 participants at risk
Cisplatin-eligible subjects receive gemcitabine/cisplatin every 21 days, repeated for 4 cycles. (Subjects with Ccr of 50-59 mL/min must follow split dosing of cisplatin over two days) . Pembrolizumab at RP2D is given every 21 days for 5 doses starting C1D8. Note: the last dose of pembrolizumab falls on what would be day 8 of a 5th 'chemo' cycle, however gemcitabine/cisplatin is NOT GIVEN. Subjects will then have consolidative surgery to remove their primary tumor within 2-7 weeks after their last dose of neoadjuvant therapy. Pembrolizumab: Once MTD is established in phase Ib, pembrolizumab will be administered on phase II cohorts I and II at RP2D every 21 days for 5 cycles. Gemcitabine: For cisplatin-eligible patients on phase II cohort 1, gemcitabine 1000mg/m2 IV, D1 and D8 every 21 days for 4 cycles. Cisplatin: For cisplatin-eligible patients, cisplatin 70mg/m2 IV will be administered D1 every 21 days for 4 cycles.
Phase II Cohort II: Cisplatin Ineligible -Pembrolizumab 200 mg
n=38 participants at risk
Cisplatin ineligible (receive treatment in Phase II only): Cisplatin ineligible subjects receive gemcitabine every week (weekly) for three consecutive weeks, repeated every 28 days for 3 cycles. Pembrolizumab is given every 3 weeks for 5 doses starting with Cycle 1 Day 8 (C1D8). NOTE: due to the timing of gemcitabine cycles every 4 weeks, and every three week dosing of pembrolizumab, there are two doses of pembrolizumab given during cycle 2: days 1 and 22. Additionally, the last dose of pembrolizumab falls on what would be day 8 of a 4th 'chemo' cycle; however gemcitabine is NOT GIVEN.
Metabolism and nutrition disorders
ACIDOSIS
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Renal and urinary disorders
ACUTE KIDNEY INJURY
16.7%
1/6 • Number of events 2 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
General disorders
FEVER
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Metabolism and nutrition disorders
HYPONATREMIA
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Infections and infestations
SEPSIS
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
8.1%
3/37 • Number of events 3 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Vascular disorders
THROMBOEMBOLIC EVENT
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
7.9%
3/38 • Number of events 3 • Up to a maximum of 5 years
Cardiac disorders
ACUTE CORONARY SYNDROME
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Blood and lymphatic system disorders
ANEMIA
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Infections and infestations
APPENDICITIS
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Psychiatric disorders
CONFUSION
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Investigations
CREATININE INCREASED
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 3 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Respiratory, thoracic and mediastinal disorders
DYSPNEA
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Renal and urinary disorders
HEMATURIA
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Gastrointestinal disorders
JEJUNAL FISTULA
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 2 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Infections and infestations
KIDNEY INFECTION
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Infections and infestations
LUNG INFECTION
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Cardiac disorders
MOBITZ TYPE I
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Skin and subcutaneous tissue disorders
RASH MACULO-PAPULAR
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Respiratory, thoracic and mediastinal disorders
RESPIRATORY, THORACIC AND MEDIASTINAL DISORDERS - OTHER, SPECIFY
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 2 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Cardiac disorders
SINUS TACHYCARDIA
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Skin and subcutaneous tissue disorders
SKIN AND SUBCUTANEOUS TISSUE DISORDERS - OTHER, SPECIFY
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 3 • Up to a maximum of 5 years
Nervous system disorders
SYNCOPE
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Infections and infestations
URINARY TRACT INFECTION
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
7.9%
3/38 • Number of events 4 • Up to a maximum of 5 years
Renal and urinary disorders
URINARY TRACT OBSTRUCTION
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Gastrointestinal disorders
ABDOMINAL PAIN
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Investigations
ALANINE AMINOTRANSFERASE INCREASED
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Investigations
ALKALINE PHOSPHATASE INCREASED
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Investigations
ASPARTATE AMINOTRANSFERASE INCREASED
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Cardiac disorders
CARDIAC DISORDERS - OTHER, SPECIFY
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Gastrointestinal disorders
COLITIS
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Gastrointestinal disorders
CONSTIPATION
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Nervous system disorders
DYSPHASIA
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Musculoskeletal and connective tissue disorders
GENERALIZED MUSCLE WEAKNESS
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Cardiac disorders
HEART FAILURE
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Endocrine disorders
HYPERTHYROIDISM
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Vascular disorders
HYPOTENSION
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Infections and infestations
INFECTIONS AND INFESTATIONS - OTHER, SPECIFY
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Musculoskeletal and connective tissue disorders
MUSCLE WEAKNESS LOWER LIMB
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
General disorders
PAIN
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Investigations
PLATELET COUNT DECREASED
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Respiratory, thoracic and mediastinal disorders
PNEUMONITIS
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Infections and infestations
SOFT TISSUE INFECTION
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years

Other adverse events

Other adverse events
Measure
Phase 1b Cohort I: Cisplatin Eligible - Pembrolizumab 200 mg
n=6 participants at risk
Cisplatin-eligible subjects were received pembrolizumab at starting dose of 200mg (dose level 0) in combination with gemcitabine and cisplatin. Once the MTD is established, this portion of the study will close and the phase II will open to cohorts I and II at the recommended phase II dose (RP2D). Pembrolizumab: In this dose-finding cohort, pembrolizumab (MK-3475) were administered (cisplatin-eligible patients only) at starting dose 200mg IV every 21 days for 4 cycles to determine RP2D. Once MTD is established in phase Ib, pembrolizumab will be administered on phase II cohorts I and II at RP2D every 21 days for 5 cycles. Gemcitabine: For cisplatin-eligible patients on phase Ib, gemcitabine 1000mg/m2 IV, D1 and D8 every 21 days for 4 cycles. Cisplatin: For cisplatin-eligible patients, cisplatin 70mg/m2 IV will be administered D1 every 21 days for 4 cycles.
Phase II Cohort I: Cisplatin Eligible- Pembrolizumab 200 mg
n=37 participants at risk
Cisplatin-eligible subjects receive gemcitabine/cisplatin every 21 days, repeated for 4 cycles. (Subjects with Ccr of 50-59 mL/min must follow split dosing of cisplatin over two days) . Pembrolizumab at RP2D is given every 21 days for 5 doses starting C1D8. Note: the last dose of pembrolizumab falls on what would be day 8 of a 5th 'chemo' cycle, however gemcitabine/cisplatin is NOT GIVEN. Subjects will then have consolidative surgery to remove their primary tumor within 2-7 weeks after their last dose of neoadjuvant therapy. Pembrolizumab: Once MTD is established in phase Ib, pembrolizumab will be administered on phase II cohorts I and II at RP2D every 21 days for 5 cycles. Gemcitabine: For cisplatin-eligible patients on phase II cohort 1, gemcitabine 1000mg/m2 IV, D1 and D8 every 21 days for 4 cycles. Cisplatin: For cisplatin-eligible patients, cisplatin 70mg/m2 IV will be administered D1 every 21 days for 4 cycles.
Phase II Cohort II: Cisplatin Ineligible -Pembrolizumab 200 mg
n=38 participants at risk
Cisplatin ineligible (receive treatment in Phase II only): Cisplatin ineligible subjects receive gemcitabine every week (weekly) for three consecutive weeks, repeated every 28 days for 3 cycles. Pembrolizumab is given every 3 weeks for 5 doses starting with Cycle 1 Day 8 (C1D8). NOTE: due to the timing of gemcitabine cycles every 4 weeks, and every three week dosing of pembrolizumab, there are two doses of pembrolizumab given during cycle 2: days 1 and 22. Additionally, the last dose of pembrolizumab falls on what would be day 8 of a 4th 'chemo' cycle; however gemcitabine is NOT GIVEN.
Gastrointestinal disorders
ABDOMINAL PAIN
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
8.1%
3/37 • Number of events 3 • Up to a maximum of 5 years
13.2%
5/38 • Number of events 9 • Up to a maximum of 5 years
Investigations
ACTIVATED PARTIAL THROMBOPLASTIN TIME PROLONGED
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Renal and urinary disorders
ACUTE KIDNEY INJURY
33.3%
2/6 • Number of events 2 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Endocrine disorders
ADRENAL INSUFFICIENCY
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Investigations
ALANINE AMINOTRANSFERASE INCREASED
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
10.8%
4/37 • Number of events 5 • Up to a maximum of 5 years
28.9%
11/38 • Number of events 24 • Up to a maximum of 5 years
Respiratory, thoracic and mediastinal disorders
ALLERGIC RHINITIS
50.0%
3/6 • Number of events 3 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
7.9%
3/38 • Number of events 3 • Up to a maximum of 5 years
Skin and subcutaneous tissue disorders
ALOPECIA
33.3%
2/6 • Number of events 2 • Up to a maximum of 5 years
37.8%
14/37 • Number of events 17 • Up to a maximum of 5 years
15.8%
6/38 • Number of events 7 • Up to a maximum of 5 years
Blood and lymphatic system disorders
ANEMIA
83.3%
5/6 • Number of events 14 • Up to a maximum of 5 years
62.2%
23/37 • Number of events 97 • Up to a maximum of 5 years
81.6%
31/38 • Number of events 112 • Up to a maximum of 5 years
Metabolism and nutrition disorders
ANOREXIA
50.0%
3/6 • Number of events 5 • Up to a maximum of 5 years
43.2%
16/37 • Number of events 27 • Up to a maximum of 5 years
50.0%
19/38 • Number of events 32 • Up to a maximum of 5 years
Psychiatric disorders
ANXIETY
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
8.1%
3/37 • Number of events 5 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Musculoskeletal and connective tissue disorders
ARTHRALGIA
16.7%
1/6 • Number of events 2 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
7.9%
3/38 • Number of events 4 • Up to a maximum of 5 years
Investigations
ASPARTATE AMINOTRANSFERASE INCREASED
16.7%
1/6 • Number of events 2 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
31.6%
12/38 • Number of events 20 • Up to a maximum of 5 years
Musculoskeletal and connective tissue disorders
BACK PAIN
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
10.8%
4/37 • Number of events 4 • Up to a maximum of 5 years
21.1%
8/38 • Number of events 9 • Up to a maximum of 5 years
Gastrointestinal disorders
BLOATING
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Eye disorders
BLURRED VISION
50.0%
3/6 • Number of events 4 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 2 • Up to a maximum of 5 years
7.9%
3/38 • Number of events 3 • Up to a maximum of 5 years
Injury, poisoning and procedural complications
BRUISING
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 3 • Up to a maximum of 5 years
Gastrointestinal disorders
CONSTIPATION
50.0%
3/6 • Number of events 7 • Up to a maximum of 5 years
51.4%
19/37 • Number of events 29 • Up to a maximum of 5 years
52.6%
20/38 • Number of events 28 • Up to a maximum of 5 years
Respiratory, thoracic and mediastinal disorders
COUGH
33.3%
2/6 • Number of events 2 • Up to a maximum of 5 years
24.3%
9/37 • Number of events 10 • Up to a maximum of 5 years
42.1%
16/38 • Number of events 18 • Up to a maximum of 5 years
Investigations
CREATININE INCREASED
33.3%
2/6 • Number of events 3 • Up to a maximum of 5 years
21.6%
8/37 • Number of events 18 • Up to a maximum of 5 years
21.1%
8/38 • Number of events 12 • Up to a maximum of 5 years
Metabolism and nutrition disorders
DEHYDRATION
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
10.8%
4/37 • Number of events 4 • Up to a maximum of 5 years
13.2%
5/38 • Number of events 6 • Up to a maximum of 5 years
Psychiatric disorders
DEPRESSION
33.3%
2/6 • Number of events 2 • Up to a maximum of 5 years
8.1%
3/37 • Number of events 3 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Gastrointestinal disorders
DIARRHEA
50.0%
3/6 • Number of events 5 • Up to a maximum of 5 years
18.9%
7/37 • Number of events 9 • Up to a maximum of 5 years
21.1%
8/38 • Number of events 13 • Up to a maximum of 5 years
Nervous system disorders
DIZZINESS
50.0%
3/6 • Number of events 6 • Up to a maximum of 5 years
10.8%
4/37 • Number of events 4 • Up to a maximum of 5 years
21.1%
8/38 • Number of events 8 • Up to a maximum of 5 years
Nervous system disorders
DYSGEUSIA
33.3%
2/6 • Number of events 2 • Up to a maximum of 5 years
27.0%
10/37 • Number of events 10 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 2 • Up to a maximum of 5 years
Respiratory, thoracic and mediastinal disorders
DYSPNEA
66.7%
4/6 • Number of events 7 • Up to a maximum of 5 years
24.3%
9/37 • Number of events 9 • Up to a maximum of 5 years
47.4%
18/38 • Number of events 34 • Up to a maximum of 5 years
General disorders
EDEMA LIMBS
33.3%
2/6 • Number of events 3 • Up to a maximum of 5 years
24.3%
9/37 • Number of events 9 • Up to a maximum of 5 years
44.7%
17/38 • Number of events 23 • Up to a maximum of 5 years
General disorders
FATIGUE
83.3%
5/6 • Number of events 13 • Up to a maximum of 5 years
81.1%
30/37 • Number of events 50 • Up to a maximum of 5 years
76.3%
29/38 • Number of events 48 • Up to a maximum of 5 years
General disorders
FEVER
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
10.8%
4/37 • Number of events 4 • Up to a maximum of 5 years
26.3%
10/38 • Number of events 13 • Up to a maximum of 5 years
Musculoskeletal and connective tissue disorders
FLANK PAIN
33.3%
2/6 • Number of events 2 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Gastrointestinal disorders
GASTROINTESTINAL DISORDERS - OTHER, SPECIFY
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
13.5%
5/37 • Number of events 9 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 2 • Up to a maximum of 5 years
Musculoskeletal and connective tissue disorders
GENERALIZED MUSCLE WEAKNESS
50.0%
3/6 • Number of events 3 • Up to a maximum of 5 years
13.5%
5/37 • Number of events 5 • Up to a maximum of 5 years
15.8%
6/38 • Number of events 6 • Up to a maximum of 5 years
Ear and labyrinth disorders
HEARING IMPAIRED
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
8.1%
3/37 • Number of events 3 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Metabolism and nutrition disorders
HYPERGLYCEMIA
33.3%
2/6 • Number of events 6 • Up to a maximum of 5 years
13.5%
5/37 • Number of events 9 • Up to a maximum of 5 years
18.4%
7/38 • Number of events 14 • Up to a maximum of 5 years
Vascular disorders
HYPERTENSION
66.7%
4/6 • Number of events 9 • Up to a maximum of 5 years
35.1%
13/37 • Number of events 25 • Up to a maximum of 5 years
47.4%
18/38 • Number of events 37 • Up to a maximum of 5 years
Metabolism and nutrition disorders
HYPOALBUMINEMIA
50.0%
3/6 • Number of events 6 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 3 • Up to a maximum of 5 years
26.3%
10/38 • Number of events 19 • Up to a maximum of 5 years
Metabolism and nutrition disorders
HYPOCALCEMIA
50.0%
3/6 • Number of events 4 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
7.9%
3/38 • Number of events 6 • Up to a maximum of 5 years
Metabolism and nutrition disorders
HYPOGLYCEMIA
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Metabolism and nutrition disorders
HYPOMAGNESEMIA
33.3%
2/6 • Number of events 2 • Up to a maximum of 5 years
18.9%
7/37 • Number of events 8 • Up to a maximum of 5 years
7.9%
3/38 • Number of events 13 • Up to a maximum of 5 years
Metabolism and nutrition disorders
HYPONATREMIA
16.7%
1/6 • Number of events 4 • Up to a maximum of 5 years
18.9%
7/37 • Number of events 10 • Up to a maximum of 5 years
15.8%
6/38 • Number of events 11 • Up to a maximum of 5 years
Vascular disorders
HYPOTENSION
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Psychiatric disorders
INSOMNIA
50.0%
3/6 • Number of events 3 • Up to a maximum of 5 years
13.5%
5/37 • Number of events 5 • Up to a maximum of 5 years
7.9%
3/38 • Number of events 3 • Up to a maximum of 5 years
Investigations
LYMPHOCYTE COUNT DECREASED
16.7%
1/6 • Number of events 3 • Up to a maximum of 5 years
8.1%
3/37 • Number of events 10 • Up to a maximum of 5 years
21.1%
8/38 • Number of events 24 • Up to a maximum of 5 years
Metabolism and nutrition disorders
METABOLISM AND NUTRITION DISORDERS - OTHER, SPECIFY
50.0%
3/6 • Number of events 7 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 2 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Gastrointestinal disorders
NAUSEA
100.0%
6/6 • Number of events 10 • Up to a maximum of 5 years
56.8%
21/37 • Number of events 40 • Up to a maximum of 5 years
44.7%
17/38 • Number of events 27 • Up to a maximum of 5 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
NEOPLASMS BENIGN, MALIGNANT AND UNSPECIFIED (INCL CYSTS AND POLYPS) - OTHER, SPECIFY
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Investigations
NEUTROPHIL COUNT DECREASED
50.0%
3/6 • Number of events 7 • Up to a maximum of 5 years
48.6%
18/37 • Number of events 32 • Up to a maximum of 5 years
34.2%
13/38 • Number of events 26 • Up to a maximum of 5 years
General disorders
PAIN
50.0%
3/6 • Number of events 3 • Up to a maximum of 5 years
13.5%
5/37 • Number of events 9 • Up to a maximum of 5 years
21.1%
8/38 • Number of events 13 • Up to a maximum of 5 years
Skin and subcutaneous tissue disorders
PALMAR-PLANTAR ERYTHRODYSESTHESIA SYNDROME
16.7%
1/6 • Number of events 3 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Infections and infestations
PAPULOPUSTULAR RASH
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 2 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Nervous system disorders
PERIPHERAL SENSORY NEUROPATHY
50.0%
3/6 • Number of events 7 • Up to a maximum of 5 years
24.3%
9/37 • Number of events 11 • Up to a maximum of 5 years
15.8%
6/38 • Number of events 7 • Up to a maximum of 5 years
Investigations
PLATELET COUNT DECREASED
33.3%
2/6 • Number of events 4 • Up to a maximum of 5 years
40.5%
15/37 • Number of events 36 • Up to a maximum of 5 years
44.7%
17/38 • Number of events 39 • Up to a maximum of 5 years
Respiratory, thoracic and mediastinal disorders
PRODUCTIVE COUGH
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Skin and subcutaneous tissue disorders
PRURITUS
16.7%
1/6 • Number of events 3 • Up to a maximum of 5 years
21.6%
8/37 • Number of events 10 • Up to a maximum of 5 years
21.1%
8/38 • Number of events 9 • Up to a maximum of 5 years
Skin and subcutaneous tissue disorders
RASH MACULO-PAPULAR
50.0%
3/6 • Number of events 5 • Up to a maximum of 5 years
29.7%
11/37 • Number of events 14 • Up to a maximum of 5 years
18.4%
7/38 • Number of events 9 • Up to a maximum of 5 years
Renal and urinary disorders
RENAL AND URINARY DISORDERS - OTHER, SPECIFY
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
10.8%
4/37 • Number of events 4 • Up to a maximum of 5 years
7.9%
3/38 • Number of events 4 • Up to a maximum of 5 years
Cardiac disorders
SINUS TACHYCARDIA
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
8.1%
3/37 • Number of events 6 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Skin and subcutaneous tissue disorders
SKIN AND SUBCUTANEOUS TISSUE DISORDERS - OTHER, SPECIFY
16.7%
1/6 • Number of events 3 • Up to a maximum of 5 years
13.5%
5/37 • Number of events 6 • Up to a maximum of 5 years
21.1%
8/38 • Number of events 10 • Up to a maximum of 5 years
Infections and infestations
SKIN INFECTION
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
8.1%
3/37 • Number of events 3 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Gastrointestinal disorders
SMALL INTESTINAL OBSTRUCTION
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Respiratory, thoracic and mediastinal disorders
SORE THROAT
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 2 • Up to a maximum of 5 years
7.9%
3/38 • Number of events 3 • Up to a maximum of 5 years
Ear and labyrinth disorders
TINNITUS
50.0%
3/6 • Number of events 5 • Up to a maximum of 5 years
13.5%
5/37 • Number of events 7 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Nervous system disorders
TREMOR
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Renal and urinary disorders
URINARY FREQUENCY
33.3%
2/6 • Number of events 3 • Up to a maximum of 5 years
13.5%
5/37 • Number of events 5 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Renal and urinary disorders
URINARY RETENTION
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Infections and infestations
URINARY TRACT INFECTION
33.3%
2/6 • Number of events 3 • Up to a maximum of 5 years
24.3%
9/37 • Number of events 13 • Up to a maximum of 5 years
31.6%
12/38 • Number of events 13 • Up to a maximum of 5 years
Renal and urinary disorders
URINARY TRACT PAIN
16.7%
1/6 • Number of events 1 • Up to a maximum of 5 years
10.8%
4/37 • Number of events 5 • Up to a maximum of 5 years
7.9%
3/38 • Number of events 3 • Up to a maximum of 5 years
Gastrointestinal disorders
VOMITING
33.3%
2/6 • Number of events 3 • Up to a maximum of 5 years
29.7%
11/37 • Number of events 14 • Up to a maximum of 5 years
21.1%
8/38 • Number of events 11 • Up to a maximum of 5 years
Investigations
WEIGHT LOSS
50.0%
3/6 • Number of events 4 • Up to a maximum of 5 years
21.6%
8/37 • Number of events 11 • Up to a maximum of 5 years
10.5%
4/38 • Number of events 4 • Up to a maximum of 5 years
Investigations
WHITE BLOOD CELL DECREASED
50.0%
3/6 • Number of events 7 • Up to a maximum of 5 years
18.9%
7/37 • Number of events 16 • Up to a maximum of 5 years
23.7%
9/38 • Number of events 24 • Up to a maximum of 5 years
Gastrointestinal disorders
ABDOMINAL DISTENSION
0.00%
0/6 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 2 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Investigations
ALKALINE PHOSPHATASE INCREASED
0.00%
0/6 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 2 • Up to a maximum of 5 years
18.4%
7/38 • Number of events 8 • Up to a maximum of 5 years
Infections and infestations
BLADDER INFECTION
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 2 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Renal and urinary disorders
BLADDER SPASM
0.00%
0/6 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 2 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Blood and lymphatic system disorders
BLOOD AND LYMPHATIC SYSTEM DISORDERS - OTHER, SPECIFY
0.00%
0/6 • Up to a maximum of 5 years
13.5%
5/37 • Number of events 5 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Investigations
BLOOD BILIRUBIN INCREASED
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 3 • Up to a maximum of 5 years
Musculoskeletal and connective tissue disorders
BONE PAIN
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Infections and infestations
BRONCHIAL INFECTION
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Musculoskeletal and connective tissue disorders
BUTTOCK PAIN
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Cardiac disorders
CARDIAC ARREST
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Eye disorders
CATARACT
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Musculoskeletal and connective tissue disorders
CHEST WALL PAIN
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Investigations
CHOLESTEROL HIGH
0.00%
0/6 • Up to a maximum of 5 years
8.1%
3/37 • Number of events 3 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Renal and urinary disorders
CHRONIC KIDNEY DISEASE
0.00%
0/6 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 2 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Gastrointestinal disorders
COLITIS
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 2 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Eye disorders
DRY EYE
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Gastrointestinal disorders
DRY MOUTH
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Skin and subcutaneous tissue disorders
DRY SKIN
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
7.9%
3/38 • Number of events 3 • Up to a maximum of 5 years
Gastrointestinal disorders
DYSPEPSIA
0.00%
0/6 • Up to a maximum of 5 years
10.8%
4/37 • Number of events 4 • Up to a maximum of 5 years
7.9%
3/38 • Number of events 4 • Up to a maximum of 5 years
Gastrointestinal disorders
DYSPHAGIA
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
General disorders
EDEMA FACE
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Gastrointestinal disorders
ENTEROCOLITIS
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Respiratory, thoracic and mediastinal disorders
EPISTAXIS
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Eye disorders
EYE DISORDERS - OTHER, SPECIFY
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Eye disorders
EYE PAIN
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Blood and lymphatic system disorders
FEBRILE NEUTROPENIA
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
General disorders
FLU LIKE SYMPTOMS
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Vascular disorders
FLUSHING
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
General disorders
GAIT DISTURBANCE
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
7.9%
3/38 • Number of events 3 • Up to a maximum of 5 years
Gastrointestinal disorders
GASTRITIS
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Gastrointestinal disorders
GASTROESOPHAGEAL REFLUX DISEASE
0.00%
0/6 • Up to a maximum of 5 years
10.8%
4/37 • Number of events 4 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
General disorders
GENERAL DISORDERS AND ADMINISTRATION SITE CONDITIONS - OTHER, SPECIFY
0.00%
0/6 • Up to a maximum of 5 years
8.1%
3/37 • Number of events 3 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Gastrointestinal disorders
GINGIVAL PAIN
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Eye disorders
GLAUCOMA
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Nervous system disorders
HEADACHE
0.00%
0/6 • Up to a maximum of 5 years
16.2%
6/37 • Number of events 6 • Up to a maximum of 5 years
28.9%
11/38 • Number of events 15 • Up to a maximum of 5 years
Vascular disorders
HEMATOMA
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Renal and urinary disorders
HEMATURIA
0.00%
0/6 • Up to a maximum of 5 years
13.5%
5/37 • Number of events 5 • Up to a maximum of 5 years
15.8%
6/38 • Number of events 8 • Up to a maximum of 5 years
Respiratory, thoracic and mediastinal disorders
HICCUPS
0.00%
0/6 • Up to a maximum of 5 years
16.2%
6/37 • Number of events 7 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Respiratory, thoracic and mediastinal disorders
HOARSENESS
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Vascular disorders
HOT FLASHES
0.00%
0/6 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 2 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Metabolism and nutrition disorders
HYPERCALCEMIA
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Metabolism and nutrition disorders
HYPERKALEMIA
0.00%
0/6 • Up to a maximum of 5 years
13.5%
5/37 • Number of events 5 • Up to a maximum of 5 years
10.5%
4/38 • Number of events 9 • Up to a maximum of 5 years
Endocrine disorders
HYPERTHYROIDISM
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Metabolism and nutrition disorders
HYPOKALEMIA
0.00%
0/6 • Up to a maximum of 5 years
8.1%
3/37 • Number of events 4 • Up to a maximum of 5 years
13.2%
5/38 • Number of events 12 • Up to a maximum of 5 years
Metabolism and nutrition disorders
HYPOPHOSPHATEMIA
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 2 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Endocrine disorders
HYPOTHYROIDISM
0.00%
0/6 • Up to a maximum of 5 years
13.5%
5/37 • Number of events 5 • Up to a maximum of 5 years
7.9%
3/38 • Number of events 3 • Up to a maximum of 5 years
Gastrointestinal disorders
ILEAL OBSTRUCTION
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Infections and infestations
INFECTIONS AND INFESTATIONS - OTHER, SPECIFY
0.00%
0/6 • Up to a maximum of 5 years
13.5%
5/37 • Number of events 6 • Up to a maximum of 5 years
26.3%
10/38 • Number of events 15 • Up to a maximum of 5 years
General disorders
INFUSION RELATED REACTION
0.00%
0/6 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 2 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
General disorders
INFUSION SITE EXTRAVASATION
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
General disorders
INJECTION SITE REACTION
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Injury, poisoning and procedural complications
INJURY TO SUPERIOR VENA CAVA
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
General disorders
LOCALIZED EDEMA
0.00%
0/6 • Up to a maximum of 5 years
8.1%
3/37 • Number of events 3 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Gastrointestinal disorders
MUCOSITIS ORAL
0.00%
0/6 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 2 • Up to a maximum of 5 years
10.5%
4/38 • Number of events 7 • Up to a maximum of 5 years
Musculoskeletal and connective tissue disorders
MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDER - OTHER, SPECIFY
0.00%
0/6 • Up to a maximum of 5 years
10.8%
4/37 • Number of events 4 • Up to a maximum of 5 years
7.9%
3/38 • Number of events 3 • Up to a maximum of 5 years
Musculoskeletal and connective tissue disorders
MYALGIA
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
7.9%
3/38 • Number of events 3 • Up to a maximum of 5 years
Respiratory, thoracic and mediastinal disorders
NASAL CONGESTION
0.00%
0/6 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 2 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Musculoskeletal and connective tissue disorders
PAIN IN EXTREMITY
0.00%
0/6 • Up to a maximum of 5 years
18.9%
7/37 • Number of events 9 • Up to a maximum of 5 years
18.4%
7/38 • Number of events 8 • Up to a maximum of 5 years
Skin and subcutaneous tissue disorders
PAIN OF SKIN
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 2 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Injury, poisoning and procedural complications
PANCREATIC ANASTOMOTIC LEAK
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Reproductive system and breast disorders
PELVIC PAIN
0.00%
0/6 • Up to a maximum of 5 years
10.8%
4/37 • Number of events 5 • Up to a maximum of 5 years
10.5%
4/38 • Number of events 7 • Up to a maximum of 5 years
Reproductive system and breast disorders
PENILE PAIN
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Vascular disorders
PHLEBITIS
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Respiratory, thoracic and mediastinal disorders
PNEUMONITIS
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Respiratory, thoracic and mediastinal disorders
POSTNASAL DRIP
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Renal and urinary disorders
PROTEINURIA
0.00%
0/6 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 2 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Skin and subcutaneous tissue disorders
PURPURA
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Skin and subcutaneous tissue disorders
RASH ACNEIFORM
0.00%
0/6 • Up to a maximum of 5 years
24.3%
9/37 • Number of events 12 • Up to a maximum of 5 years
7.9%
3/38 • Number of events 3 • Up to a maximum of 5 years
Respiratory, thoracic and mediastinal disorders
RESPIRATORY, THORACIC AND MEDIASTINAL DISORDERS - OTHER, SPECIFY
0.00%
0/6 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 2 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Infections and infestations
RHINITIS INFECTIVE
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 2 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Reproductive system and breast disorders
SCROTAL PAIN
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Cardiac disorders
SINUS BRADYCARDIA
0.00%
0/6 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 2 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Respiratory, thoracic and mediastinal disorders
SINUS DISORDER
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 2 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Respiratory, thoracic and mediastinal disorders
SNEEZING
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Vascular disorders
SUPERFICIAL THROMBOPHLEBITIS
0.00%
0/6 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 2 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Vascular disorders
THROMBOEMBOLIC EVENT
0.00%
0/6 • Up to a maximum of 5 years
13.5%
5/37 • Number of events 5 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 3 • Up to a maximum of 5 years
Blood and lymphatic system disorders
THROMBOTIC THROMBOCYTOPENIC PURPURA
0.00%
0/6 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 3 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Infections and infestations
TOOTH INFECTION
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Infections and infestations
UPPER RESPIRATORY INFECTION
0.00%
0/6 • Up to a maximum of 5 years
13.5%
5/37 • Number of events 6 • Up to a maximum of 5 years
7.9%
3/38 • Number of events 3 • Up to a maximum of 5 years
Renal and urinary disorders
URINARY INCONTINENCE
0.00%
0/6 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 2 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Renal and urinary disorders
URINARY TRACT OBSTRUCTION
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Renal and urinary disorders
URINARY URGENCY
0.00%
0/6 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 2 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Skin and subcutaneous tissue disorders
URTICARIA
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Reproductive system and breast disorders
VAGINAL DRYNESS
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
0.00%
0/38 • Up to a maximum of 5 years
Vascular disorders
VASCULAR DISORDERS - OTHER, SPECIFY
0.00%
0/6 • Up to a maximum of 5 years
2.7%
1/37 • Number of events 1 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Eye disorders
WATERING EYES
0.00%
0/6 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 2 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Investigations
WEIGHT GAIN
0.00%
0/6 • Up to a maximum of 5 years
5.4%
2/37 • Number of events 2 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Nervous system disorders
AKATHISIA
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Gastrointestinal disorders
ASCITES
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Cardiac disorders
ATRIAL FIBRILLATION
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Cardiac disorders
ATRIAL FLUTTER
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Cardiac disorders
CARDIAC DISORDERS - OTHER, SPECIFY
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
General disorders
CHILLS
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
10.5%
4/38 • Number of events 4 • Up to a maximum of 5 years
Psychiatric disorders
CONFUSION
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
7.9%
3/38 • Number of events 3 • Up to a maximum of 5 years
Renal and urinary disorders
CYSTITIS NONINFECTIVE
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Ear and labyrinth disorders
EAR AND LABYRINTH DISORDERS - OTHER, SPECIFY
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Skin and subcutaneous tissue disorders
ERYTHEMA MULTIFORME
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Injury, poisoning and procedural complications
FALL
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Cardiac disorders
HEART FAILURE
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Hepatobiliary disorders
HEPATIC FAILURE
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 2 • Up to a maximum of 5 years
Metabolism and nutrition disorders
HYPERMAGNESEMIA
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
7.9%
3/38 • Number of events 4 • Up to a maximum of 5 years
Metabolism and nutrition disorders
HYPERURICEMIA
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Blood and lymphatic system disorders
LEUKOCYTOSIS
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Infections and infestations
LUNG INFECTION
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Vascular disorders
LYMPHEDEMA
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
General disorders
MALAISE
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Infections and infestations
MUCOSAL INFECTION
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Musculoskeletal and connective tissue disorders
MUSCLE WEAKNESS LOWER LIMB
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Skin and subcutaneous tissue disorders
NAIL DISCOLORATION
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Infections and infestations
NAIL INFECTION
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Musculoskeletal and connective tissue disorders
NECK PAIN
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Nervous system disorders
NERVOUS SYSTEM DISORDERS - OTHER, SPECIFY
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
General disorders
NON-CARDIAC CHEST PAIN
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 3 • Up to a maximum of 5 years
Gastrointestinal disorders
ORAL PAIN
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Nervous system disorders
PERIPHERAL MOTOR NEUROPATHY
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Respiratory, thoracic and mediastinal disorders
PHARYNGEAL MUCOSITIS
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 2 • Up to a maximum of 5 years
Respiratory, thoracic and mediastinal disorders
PLEURAL EFFUSION
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
5.3%
2/38 • Number of events 2 • Up to a maximum of 5 years
Respiratory, thoracic and mediastinal disorders
PULMONARY EDEMA
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Infections and infestations
SCROTAL INFECTION
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Nervous system disorders
SEIZURE
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Infections and infestations
SOFT TISSUE INFECTION
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Reproductive system and breast disorders
VAGINAL PAIN
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Cardiac disorders
VENTRICULAR TACHYCARDIA
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Ear and labyrinth disorders
VERTIGO
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years
Respiratory, thoracic and mediastinal disorders
WHEEZING
0.00%
0/6 • Up to a maximum of 5 years
0.00%
0/37 • Up to a maximum of 5 years
2.6%
1/38 • Number of events 1 • Up to a maximum of 5 years

Additional Information

Fauzia Sharmin

Hoosier Cancer Research Network

Phone: 317-921-2050

Results disclosure agreements

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