Trial Outcomes & Findings for Ibrutinib Combined With Gemcitabine and Nab-Paclitaxel in Patients With Metastatic Pancreatic Cancer (NCT NCT02562898)

NCT ID: NCT02562898

Last Updated: 2021-05-06

Results Overview

DLTs will be based on the first course of treatment and defined as any unexpected grade 3 non-hematologic toxicity not reversible to grade 2 or less within 96 hours, or any grade 4 toxicity. Grade 4 hematological toxicities will not be considered dose limiting in this trial since a significant fraction of patients who are treated with gemcitabine and nab-paclitaxel are expected to experience these toxicities. Grade 3 peripheral neuropathy, a common and expected toxicity of treatment with nabpaclitaxel, will not be considered a DLT.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

18 participants

Primary outcome timeframe

Up to 2 years

Results posted on

2021-05-06

Participant Flow

Participant milestones

Participant milestones
Measure
Dose Escalation for Safety and Toxicity
All patients in phase Ib dosing escalation with extended safety and toxicity cohorts will start treatment with daily dosing of ibrutinib concurrently with standard doses of gemcitabine and nab-paclitaxel. Ibrutinib (560 mg/day, 840 mg/day, or 420 and 280 mg/day if de-escalation is necessary) will be started on day 1. Approximately patients 15-30 will be enrolled in escalation and extended safety cohort.
Immune Response Cohort
Subjects who are assigned to the Immune Response Cohort will have a biopsy before starting ibrutinib-only therapy. They will then receive ibrutinib for 7 days and have a second biopsy after completing the ibrutinib-only therapy, before starting the combination of chemotherapy with ibrutinib. Approximately 20 patients will be enrolled in this arm.
Overall Study
STARTED
10
8
Overall Study
COMPLETED
10
8
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Ibrutinib Combined With Gemcitabine and Nab-Paclitaxel in Patients With Metastatic Pancreatic Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dose Escalation for Safety and Toxicity
n=10 Participants
All patients in phase Ib dosing escalation with extended safety and toxicity cohorts will start treatment with daily dosing of ibrutinib concurrently with standard doses of gemcitabine and nab-paclitaxel. Ibrutinib (560 mg/day, 840 mg/day, or 420 and 280 mg/day if de-escalation is necessary) will be started on day 1. Approximately patients 15-30 will be enrolled in escalation and extended safety cohort.
Immune Response Cohort
n=8 Participants
Subjects who are assigned to the Immune Response Cohort will have a biopsy before starting ibrutinib-only therapy. They will then receive ibrutinib for 7 days and have a second biopsy after completing the ibrutinib-only therapy, before starting the combination of chemotherapy with ibrutinib. Approximately 20 patients will be enrolled in this arm.
Total
n=18 Participants
Total of all reporting groups
Age, Customized
50-59 years
4 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants
Age, Customized
60-69 years
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Age, Customized
40-49 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Age, Customized
30-39 years
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Age, Customized
70-79 years
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Age, Customized
80-89 years
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
4 Participants
n=7 Participants
10 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=5 Participants
8 Participants
n=7 Participants
14 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
0 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
7 Participants
n=7 Participants
11 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
5 Participants
n=5 Participants
0 Participants
n=7 Participants
5 Participants
n=5 Participants
Region of Enrollment
United States
10 participants
n=5 Participants
8 participants
n=7 Participants
18 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 2 years

DLTs will be based on the first course of treatment and defined as any unexpected grade 3 non-hematologic toxicity not reversible to grade 2 or less within 96 hours, or any grade 4 toxicity. Grade 4 hematological toxicities will not be considered dose limiting in this trial since a significant fraction of patients who are treated with gemcitabine and nab-paclitaxel are expected to experience these toxicities. Grade 3 peripheral neuropathy, a common and expected toxicity of treatment with nabpaclitaxel, will not be considered a DLT.

Outcome measures

Outcome measures
Measure
Immune Response Cohort
n=8 Participants
Subjects who are assigned to the Immune Response Cohort will have a biopsy before starting ibrutinib-only therapy. They will then receive ibrutinib for 7 days and have a second biopsy after completing the ibrutinib-only therapy, before starting the combination of chemotherapy with ibrutinib. Approximately 20 patients will be enrolled in this arm. Ibrutinib: 560, 840, 420, or 280mg, orally once per day - 4 week cycle Paclitaxel: 125mg/m2 IV Day 1, 8, and 15 - 4 week cycle Gemcitabine: 1000mg/m2 IV Day 1, 8, and 15 - 4 week cycle
Dose Escalation for Safety and Toxicity
n=10 Participants
All patients in phase Ib dosing escalation with extended safety and toxicity cohorts will start treatment with daily dosing of ibrutinib concurrently with standard doses of gemcitabine and nab-paclitaxel. Ibrutinib (560 mg/day, 840 mg/day, or 420 and 280 mg/day if de-escalation is necessary) will be started on day 1. Approximately patients 15-30 will be enrolled in escalation and extended safety cohort. Ibrutinib: 560, 840, 420, or 280mg, orally once per day - 4 week cycle Paclitaxel: 125mg/m2 IV Day 1, 8, and 15 - 4 week cycle Gemcitabine: 1000mg/m2 IV Day 1, 8, and 15 - 4 week cycle
Number of Patients Who Experienced a Dose-Limiting Toxicity (DLT)
8 participants
9 participants

PRIMARY outcome

Timeframe: Up to 2 years

The dose level at which fewer than 2 of 6 patients experience a dose-limiting toxicity (DLT) will be designated as the Maximum Tolerated Dose (MTD)

Outcome measures

Outcome measures
Measure
Immune Response Cohort
n=8 Participants
Subjects who are assigned to the Immune Response Cohort will have a biopsy before starting ibrutinib-only therapy. They will then receive ibrutinib for 7 days and have a second biopsy after completing the ibrutinib-only therapy, before starting the combination of chemotherapy with ibrutinib. Approximately 20 patients will be enrolled in this arm. Ibrutinib: 560, 840, 420, or 280mg, orally once per day - 4 week cycle Paclitaxel: 125mg/m2 IV Day 1, 8, and 15 - 4 week cycle Gemcitabine: 1000mg/m2 IV Day 1, 8, and 15 - 4 week cycle
Dose Escalation for Safety and Toxicity
n=10 Participants
All patients in phase Ib dosing escalation with extended safety and toxicity cohorts will start treatment with daily dosing of ibrutinib concurrently with standard doses of gemcitabine and nab-paclitaxel. Ibrutinib (560 mg/day, 840 mg/day, or 420 and 280 mg/day if de-escalation is necessary) will be started on day 1. Approximately patients 15-30 will be enrolled in escalation and extended safety cohort. Ibrutinib: 560, 840, 420, or 280mg, orally once per day - 4 week cycle Paclitaxel: 125mg/m2 IV Day 1, 8, and 15 - 4 week cycle Gemcitabine: 1000mg/m2 IV Day 1, 8, and 15 - 4 week cycle
Maximum Tolerated Dose (MTD)
560 mg/day
820 mg/day

PRIMARY outcome

Timeframe: 12 months

Population: Some patients did not have a decrease of 75% or did not have subsequent CA19-9 labs collected on study (i.e. off study prior to next time point) so they were not included in this analysis

The CA19-9 Response Rate is calculated using CA 19-9 treated patients who had a baseline CA19-9 \> 75 units who have confirmed CA19-9 reduction of 75% from baseline value. Patients who have missing CA19-9 measurements will be treated as non-responders, i.e., they will be included in the denominator when calculating the percentage. The CA19-9 Response Rate, along with exact 95% confidence intervals, will be reported for the study.

Outcome measures

Outcome measures
Measure
Immune Response Cohort
n=7 Participants
Subjects who are assigned to the Immune Response Cohort will have a biopsy before starting ibrutinib-only therapy. They will then receive ibrutinib for 7 days and have a second biopsy after completing the ibrutinib-only therapy, before starting the combination of chemotherapy with ibrutinib. Approximately 20 patients will be enrolled in this arm. Ibrutinib: 560, 840, 420, or 280mg, orally once per day - 4 week cycle Paclitaxel: 125mg/m2 IV Day 1, 8, and 15 - 4 week cycle Gemcitabine: 1000mg/m2 IV Day 1, 8, and 15 - 4 week cycle
Dose Escalation for Safety and Toxicity
n=6 Participants
All patients in phase Ib dosing escalation with extended safety and toxicity cohorts will start treatment with daily dosing of ibrutinib concurrently with standard doses of gemcitabine and nab-paclitaxel. Ibrutinib (560 mg/day, 840 mg/day, or 420 and 280 mg/day if de-escalation is necessary) will be started on day 1. Approximately patients 15-30 will be enrolled in escalation and extended safety cohort. Ibrutinib: 560, 840, 420, or 280mg, orally once per day - 4 week cycle Paclitaxel: 125mg/m2 IV Day 1, 8, and 15 - 4 week cycle Gemcitabine: 1000mg/m2 IV Day 1, 8, and 15 - 4 week cycle
CA19-9 Clinical Response Rate
0.143 proportion of responders
Interval 0.0036 to 0.5787
0.333 proportion of responders
Interval 0.0433 to 0.7772

SECONDARY outcome

Timeframe: 10 months

Time to Progression is defined as the time from date of first dose of protocol therapy to time of documented radiographic and/or clinical disease progression or death from any cause. Kaplan-Meier methods will be used to summarize median TTP with 95% confidence intervals.

Outcome measures

Outcome measures
Measure
Immune Response Cohort
n=8 Participants
Subjects who are assigned to the Immune Response Cohort will have a biopsy before starting ibrutinib-only therapy. They will then receive ibrutinib for 7 days and have a second biopsy after completing the ibrutinib-only therapy, before starting the combination of chemotherapy with ibrutinib. Approximately 20 patients will be enrolled in this arm. Ibrutinib: 560, 840, 420, or 280mg, orally once per day - 4 week cycle Paclitaxel: 125mg/m2 IV Day 1, 8, and 15 - 4 week cycle Gemcitabine: 1000mg/m2 IV Day 1, 8, and 15 - 4 week cycle
Dose Escalation for Safety and Toxicity
n=10 Participants
All patients in phase Ib dosing escalation with extended safety and toxicity cohorts will start treatment with daily dosing of ibrutinib concurrently with standard doses of gemcitabine and nab-paclitaxel. Ibrutinib (560 mg/day, 840 mg/day, or 420 and 280 mg/day if de-escalation is necessary) will be started on day 1. Approximately patients 15-30 will be enrolled in escalation and extended safety cohort. Ibrutinib: 560, 840, 420, or 280mg, orally once per day - 4 week cycle Paclitaxel: 125mg/m2 IV Day 1, 8, and 15 - 4 week cycle Gemcitabine: 1000mg/m2 IV Day 1, 8, and 15 - 4 week cycle
Median Time-to-progression (TTP)
126 days
Interval 64.0 to
The upper range of the confidence interval was calculated to be infinity
128 days
Interval 56.0 to
The upper range of the confidence interval was calculated to be infinity

SECONDARY outcome

Timeframe: Up to 2 years

Median OS for all enrolled patients will be calculated from date of first dose of protocol therapy until date of death, using chart review and/or follow up phone calls to determine date of death in patients after removal from study. The survival of patients still alive after 2 years of follow up post study discontinuation will be censored. Alive patients are censored at the date last known alive. Kaplan-Meier methods will be used to summarize median OS with 95% confidence intervals.

Outcome measures

Outcome measures
Measure
Immune Response Cohort
n=8 Participants
Subjects who are assigned to the Immune Response Cohort will have a biopsy before starting ibrutinib-only therapy. They will then receive ibrutinib for 7 days and have a second biopsy after completing the ibrutinib-only therapy, before starting the combination of chemotherapy with ibrutinib. Approximately 20 patients will be enrolled in this arm. Ibrutinib: 560, 840, 420, or 280mg, orally once per day - 4 week cycle Paclitaxel: 125mg/m2 IV Day 1, 8, and 15 - 4 week cycle Gemcitabine: 1000mg/m2 IV Day 1, 8, and 15 - 4 week cycle
Dose Escalation for Safety and Toxicity
n=10 Participants
All patients in phase Ib dosing escalation with extended safety and toxicity cohorts will start treatment with daily dosing of ibrutinib concurrently with standard doses of gemcitabine and nab-paclitaxel. Ibrutinib (560 mg/day, 840 mg/day, or 420 and 280 mg/day if de-escalation is necessary) will be started on day 1. Approximately patients 15-30 will be enrolled in escalation and extended safety cohort. Ibrutinib: 560, 840, 420, or 280mg, orally once per day - 4 week cycle Paclitaxel: 125mg/m2 IV Day 1, 8, and 15 - 4 week cycle Gemcitabine: 1000mg/m2 IV Day 1, 8, and 15 - 4 week cycle
Median Overall Survival (OS)
170 days
Interval 66.0 to
The upper range of the confidence interval was calculated to be infinity
246 days
Interval 84.0 to
The upper range of the confidence interval was calculated to be infinity

SECONDARY outcome

Timeframe: 10 months

PFS is defined as the duration of time from date of first dose of protocol therapy to time of documented radiographic and/or clinical disease progression or death from any cause. Eligible patients are evaluable for PFS who are response-evaluable and who are removed from study for radiographic or clinical progression and/or who experience death from any cause during study follow up. Patients who have not progressed or died are censored at the date last known to be progression-free. Kaplan-Meier methods will be used to summarize median PFS with 95% confidence intervals. The proportion of patients with PFS equal to or exceeding 6 months will also be calculated and reported along with 95% confidence intervals.

Outcome measures

Outcome measures
Measure
Immune Response Cohort
n=8 Participants
Subjects who are assigned to the Immune Response Cohort will have a biopsy before starting ibrutinib-only therapy. They will then receive ibrutinib for 7 days and have a second biopsy after completing the ibrutinib-only therapy, before starting the combination of chemotherapy with ibrutinib. Approximately 20 patients will be enrolled in this arm. Ibrutinib: 560, 840, 420, or 280mg, orally once per day - 4 week cycle Paclitaxel: 125mg/m2 IV Day 1, 8, and 15 - 4 week cycle Gemcitabine: 1000mg/m2 IV Day 1, 8, and 15 - 4 week cycle
Dose Escalation for Safety and Toxicity
n=10 Participants
All patients in phase Ib dosing escalation with extended safety and toxicity cohorts will start treatment with daily dosing of ibrutinib concurrently with standard doses of gemcitabine and nab-paclitaxel. Ibrutinib (560 mg/day, 840 mg/day, or 420 and 280 mg/day if de-escalation is necessary) will be started on day 1. Approximately patients 15-30 will be enrolled in escalation and extended safety cohort. Ibrutinib: 560, 840, 420, or 280mg, orally once per day - 4 week cycle Paclitaxel: 125mg/m2 IV Day 1, 8, and 15 - 4 week cycle Gemcitabine: 1000mg/m2 IV Day 1, 8, and 15 - 4 week cycle
Median Progression-free Survival (PFS)
99 days
Interval 64.0 to
The upper range of the confidence interval was calculated to be infinity
128 days
Interval 56.0 to
The upper range of the confidence interval was calculated to be infinity

Adverse Events

Dose Escalation for Safety and Toxicity

Serious events: 5 serious events
Other events: 10 other events
Deaths: 10 deaths

Immune Response Cohort

Serious events: 3 serious events
Other events: 6 other events
Deaths: 7 deaths

Serious adverse events

Serious adverse events
Measure
Dose Escalation for Safety and Toxicity
n=10 participants at risk
All patients in phase Ib dosing escalation with extended safety and toxicity cohorts will start treatment with daily dosing of ibrutinib concurrently with standard doses of gemcitabine and nab-paclitaxel. Ibrutinib (560 mg/day, 840 mg/day, or 420 and 280 mg/day if de-escalation is necessary) will be started on day 1. Approximately patients 15-30 will be enrolled in escalation and extended safety cohort.
Immune Response Cohort
n=8 participants at risk
Subjects who are assigned to the Immune Response Cohort will have a biopsy before starting ibrutinib-only therapy. They will then receive ibrutinib for 7 days and have a second biopsy after completing the ibrutinib-only therapy, before starting the combination of chemotherapy with ibrutinib. Approximately 20 patients will be enrolled in this arm.
Hepatobiliary disorders
Hepatobiliary disorders - Other
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Infections and infestations
Sepsis
10.0%
1/10 • Number of events 1 • Up to 2 years
25.0%
2/8 • Number of events 2 • Up to 2 years
Respiratory, thoracic and mediastinal disorders
Pleural effusion
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Vascular disorders
Thromboembolic event
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Infections and infestations
Abdominal infection
0.00%
0/10 • Up to 2 years
12.5%
1/8 • Number of events 1 • Up to 2 years
Infections and infestations
Infections and infestations - Other
0.00%
0/10 • Up to 2 years
12.5%
1/8 • Number of events 2 • Up to 2 years
Blood and lymphatic system disorders
Thrombotic thrombocytopenic purpura
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Gastrointestinal disorders
GI Bleed
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Investigations
Blood Bilirubin increased
20.0%
2/10 • Number of events 3 • Up to 2 years
0.00%
0/8 • Up to 2 years
Injury, poisoning and procedural complications
Fall
0.00%
0/10 • Up to 2 years
12.5%
1/8 • Number of events 1 • Up to 2 years
Investigations
Alanine aminotransferase increased
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Investigations
Aspartate Aminotransferase
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years

Other adverse events

Other adverse events
Measure
Dose Escalation for Safety and Toxicity
n=10 participants at risk
All patients in phase Ib dosing escalation with extended safety and toxicity cohorts will start treatment with daily dosing of ibrutinib concurrently with standard doses of gemcitabine and nab-paclitaxel. Ibrutinib (560 mg/day, 840 mg/day, or 420 and 280 mg/day if de-escalation is necessary) will be started on day 1. Approximately patients 15-30 will be enrolled in escalation and extended safety cohort.
Immune Response Cohort
n=8 participants at risk
Subjects who are assigned to the Immune Response Cohort will have a biopsy before starting ibrutinib-only therapy. They will then receive ibrutinib for 7 days and have a second biopsy after completing the ibrutinib-only therapy, before starting the combination of chemotherapy with ibrutinib. Approximately 20 patients will be enrolled in this arm.
Gastrointestinal disorders
Diarrhea
50.0%
5/10 • Number of events 13 • Up to 2 years
62.5%
5/8 • Number of events 8 • Up to 2 years
Gastrointestinal disorders
Vomiting
30.0%
3/10 • Number of events 4 • Up to 2 years
37.5%
3/8 • Number of events 8 • Up to 2 years
Gastrointestinal disorders
Abdominal pain
50.0%
5/10 • Number of events 6 • Up to 2 years
0.00%
0/8 • Up to 2 years
Gastrointestinal disorders
Abdominal distension
40.0%
4/10 • Number of events 4 • Up to 2 years
0.00%
0/8 • Up to 2 years
Gastrointestinal disorders
Constipation
40.0%
4/10 • Number of events 5 • Up to 2 years
0.00%
0/8 • Up to 2 years
General disorders
Fatigue
80.0%
8/10 • Number of events 17 • Up to 2 years
37.5%
3/8 • Number of events 5 • Up to 2 years
General disorders
Edema limbs
70.0%
7/10 • Number of events 12 • Up to 2 years
0.00%
0/8 • Up to 2 years
General disorders
Fever
30.0%
3/10 • Number of events 4 • Up to 2 years
12.5%
1/8 • Number of events 1 • Up to 2 years
Investigations
Platelet count decreased
60.0%
6/10 • Number of events 17 • Up to 2 years
25.0%
2/8 • Number of events 6 • Up to 2 years
Investigations
Blood bilirubin increased
20.0%
2/10 • Number of events 3 • Up to 2 years
12.5%
1/8 • Number of events 1 • Up to 2 years
Investigations
Weight loss
20.0%
2/10 • Number of events 2 • Up to 2 years
25.0%
2/8 • Number of events 2 • Up to 2 years
Investigations
Neutrophil count decreased
20.0%
2/10 • Number of events 3 • Up to 2 years
12.5%
1/8 • Number of events 1 • Up to 2 years
Investigations
Alkaline phosphatase increased
20.0%
2/10 • Number of events 2 • Up to 2 years
0.00%
0/8 • Up to 2 years
Metabolism and nutrition disorders
Anorexia
40.0%
4/10 • Number of events 6 • Up to 2 years
25.0%
2/8 • Number of events 2 • Up to 2 years
Metabolism and nutrition disorders
Dehydration
20.0%
2/10 • Number of events 2 • Up to 2 years
50.0%
4/8 • Number of events 4 • Up to 2 years
Skin and subcutaneous tissue disorders
Rash maculo-papular
70.0%
7/10 • Number of events 7 • Up to 2 years
12.5%
1/8 • Number of events 1 • Up to 2 years
Skin and subcutaneous tissue disorders
Alopecia
40.0%
4/10 • Number of events 5 • Up to 2 years
12.5%
1/8 • Number of events 1 • Up to 2 years
Musculoskeletal and connective tissue disorders
Myalgia
30.0%
3/10 • Number of events 4 • Up to 2 years
37.5%
3/8 • Number of events 3 • Up to 2 years
Musculoskeletal and connective tissue disorders
Back pain
40.0%
4/10 • Number of events 4 • Up to 2 years
0.00%
0/8 • Up to 2 years
Musculoskeletal and connective tissue disorders
Bone pain
20.0%
2/10 • Number of events 3 • Up to 2 years
0.00%
0/8 • Up to 2 years
Nervous system disorders
Peripheral sensory neuropathy
70.0%
7/10 • Number of events 21 • Up to 2 years
12.5%
1/8 • Number of events 2 • Up to 2 years
Nervous system disorders
Dizziness
40.0%
4/10 • Number of events 5 • Up to 2 years
0.00%
0/8 • Up to 2 years
Nervous system disorders
Dysgeusia
20.0%
2/10 • Number of events 2 • Up to 2 years
12.5%
1/8 • Number of events 1 • Up to 2 years
Nervous system disorders
Peripheral motor neuropathy
20.0%
2/10 • Number of events 4 • Up to 2 years
0.00%
0/8 • Up to 2 years
Blood and lymphatic system disorders
Anemia
40.0%
4/10 • Number of events 9 • Up to 2 years
12.5%
1/8 • Number of events 1 • Up to 2 years
Psychiatric disorders
Depression
30.0%
3/10 • Number of events 3 • Up to 2 years
0.00%
0/8 • Up to 2 years
Gastrointestinal disorders
Bloating
10.0%
1/10 • Number of events 1 • Up to 2 years
12.5%
1/8 • Number of events 1 • Up to 2 years
Gastrointestinal disorders
Dry Mouth
20.0%
2/10 • Number of events 2 • Up to 2 years
12.5%
1/8 • Number of events 1 • Up to 2 years
Gastrointestinal disorders
Gastritis
20.0%
2/10 • Number of events 2 • Up to 2 years
0.00%
0/8 • Up to 2 years
Gastrointestinal disorders
Ascites
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Gastrointestinal disorders
Esophageal pain
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Gastrointestinal disorders
Mucositis oral
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Gastrointestinal disorders
Obstruction gastric
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Gastrointestinal disorders
Oral hemorrhage
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
General disorders
Flu like symptoms
10.0%
1/10 • Number of events 2 • Up to 2 years
12.5%
1/8 • Number of events 1 • Up to 2 years
General disorders
Edema Face
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
General disorders
Facial Pain
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
General disorders
Pain
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
General disorders
Irritability
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Vascular disorders
Thromboembolic event
20.0%
2/10 • Number of events 2 • Up to 2 years
0.00%
0/8 • Up to 2 years
Investigations
Alanine aminotransferase increased
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Investigations
Aspartate aminotransferase increased
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Investigations
Creatinine increased
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Metabolism and nutrition disorders
Hypokalemia
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Metabolism and nutrition disorders
Hyponatremia
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Respiratory, thoracic and mediastinal disorders
Cough
20.0%
2/10 • Number of events 2 • Up to 2 years
25.0%
2/8 • Number of events 2 • Up to 2 years
Reproductive system and breast disorders
Nasal congestion
20.0%
2/10 • Number of events 2 • Up to 2 years
12.5%
1/8 • Number of events 1 • Up to 2 years
Respiratory, thoracic and mediastinal disorders
Dyspnea
20.0%
2/10 • Number of events 2 • Up to 2 years
0.00%
0/8 • Up to 2 years
Respiratory, thoracic and mediastinal disorders
Epistaxis
10.0%
1/10 • Number of events 3 • Up to 2 years
12.5%
1/8 • Number of events 1 • Up to 2 years
Respiratory, thoracic and mediastinal disorders
Pleural effusion
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Respiratory, thoracic and mediastinal disorders
Postnasal drip
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Respiratory, thoracic and mediastinal disorders
Sore Throat
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Skin and subcutaneous tissue disorders
Dry skin
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Skin and subcutaneous tissue disorders
Pruritus
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Musculoskeletal and connective tissue disorders
Arthralgia
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
10.0%
1/10 • Number of events 1 • Up to 2 years
12.5%
1/8 • Number of events 1 • Up to 2 years
Musculoskeletal and connective tissue disorders
Joint range of motion decreased
10.0%
1/10 • Number of events 2 • Up to 2 years
0.00%
0/8 • Up to 2 years
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Musculoskeletal and connective tissue disorders
Neck pain
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Nervous system disorders
Headache
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Nervous system disorders
Tremor
0.00%
0/10 • Up to 2 years
12.5%
1/8 • Number of events 1 • Up to 2 years
Blood and lymphatic system disorders
Disseminated intravascular coagulation
10.0%
1/10 • Number of events 2 • Up to 2 years
0.00%
0/8 • Up to 2 years
Blood and lymphatic system disorders
Leukocytosis
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Infections and infestations
Urinary tract infection
10.0%
1/10 • Number of events 1 • Up to 2 years
12.5%
1/8 • Number of events 1 • Up to 2 years
Infections and infestations
Lung infection
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Infections and infestations
Paronychia
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Infections and infestations
Upper respiratory infection
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Psychiatric disorders
Anxiety
20.0%
2/10 • Number of events 2 • Up to 2 years
0.00%
0/8 • Up to 2 years
Psychiatric disorders
Agitation
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Psychiatric disorders
Confusion
10.0%
1/10 • Number of events 2 • Up to 2 years
0.00%
0/8 • Up to 2 years
Vascular disorders
Hypotension
0.00%
0/10 • Up to 2 years
25.0%
2/8 • Number of events 2 • Up to 2 years
Hepatobiliary disorders
Portal vein thrombosis
20.0%
2/10 • Number of events 2 • Up to 2 years
12.5%
1/8 • Number of events 3 • Up to 2 years
Hepatobiliary disorders
Hepatobiliary disorders - Other, specify
20.0%
2/10 • Number of events 2 • Up to 2 years
0.00%
0/8 • Up to 2 years
Injury, poisoning and procedural complications
Bruising
20.0%
2/10 • Number of events 2 • Up to 2 years
12.5%
1/8 • Number of events 1 • Up to 2 years
Renal and urinary disorders
Cystitis noninfective
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Renal and urinary disorders
Hematuria
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Renal and urinary disorders
Urinary incontinence
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Renal and urinary disorders
Urinary tract pain
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Immune system disorders
Allergic reaction
20.0%
2/10 • Number of events 2 • Up to 2 years
0.00%
0/8 • Up to 2 years
Eye disorders
Blurred Vision
10.0%
1/10 • Number of events 1 • Up to 2 years
0.00%
0/8 • Up to 2 years
Gastrointestinal disorders
Nausea
70.0%
7/10 • Number of events 12 • Up to 2 years
62.5%
5/8 • Number of events 12 • Up to 2 years
Reproductive system and breast disorders
Vaginal inflammation
0.00%
0/10 • Up to 2 years
12.5%
1/8 • Number of events 1 • Up to 2 years
Injury, poisoning and procedural complications
Fall
0.00%
0/10 • Up to 2 years
12.5%
1/8 • Number of events 2 • Up to 2 years
Blood and lymphatic system disorders
Blood and lymphatic system disorders - Other
0.00%
0/10 • Up to 2 years
12.5%
1/8 • Number of events 1 • Up to 2 years

Additional Information

Dr. Margaret Tempero

University of California, San Francisco

Phone: 415-353-7528

Results disclosure agreements

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