Trial Outcomes & Findings for Study of Lenvatinib (E7080) in Unresectable Biliary Tract Cancer (BTC) Who Failed Gemcitabine-based Combination Chemotherapy (NCT NCT02579616)

NCT ID: NCT02579616

Last Updated: 2020-12-23

Results Overview

ORR was assessed by the investigator based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. ORR was defined as the percentage of participants with best overall response (BOR) of complete response (CR) or partial response (PR). Confirmation of CR or PR was performed at least 28 days following the initial achievement of the response.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

29 participants

Primary outcome timeframe

From the date of first dose of study drug to the date of last documentation of disease progression or date of death from any cause, whichever occurred first (up to approximately 1 year 1 month)

Results posted on

2020-12-23

Participant Flow

Participants took part in the study at 7 investigative sites in Japan from 23 Oct 2015 to 27 Feb 2019.

A total of 29 participants were screened and enrolled, of which 3 were screen failures and 26 were treated in the study.

Participant milestones

Participant milestones
Measure
Lenvatinib 24 mg
Participants received lenvatinib 24 milligram (mg) capsules, orally, once daily in 28-days treatment cycles until disease progression, adverse events (AEs), withdrawal of consent, or participant's choice (up to Cycle 40).
Overall Study
STARTED
29
Overall Study
Treated
26
Overall Study
COMPLETED
26
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Lenvatinib 24 mg
Participants received lenvatinib 24 milligram (mg) capsules, orally, once daily in 28-days treatment cycles until disease progression, adverse events (AEs), withdrawal of consent, or participant's choice (up to Cycle 40).
Overall Study
Participants did not receive treatment
3

Baseline Characteristics

Study of Lenvatinib (E7080) in Unresectable Biliary Tract Cancer (BTC) Who Failed Gemcitabine-based Combination Chemotherapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lenvatinib 24 mg
n=26 Participants
Participants received lenvatinib 24 mg capsules, orally, once daily in 28-days treatment cycles until disease progression, AEs, withdrawal of consent, or participant's choice (up to Cycle 40).
Age, Continuous
62.1 years
STANDARD_DEVIATION 9.48 • n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
26 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
26 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: From the date of first dose of study drug to the date of last documentation of disease progression or date of death from any cause, whichever occurred first (up to approximately 1 year 1 month)

Population: The FAS included the group of participants who received at least one dose of study drug.

ORR was assessed by the investigator based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. ORR was defined as the percentage of participants with best overall response (BOR) of complete response (CR) or partial response (PR). Confirmation of CR or PR was performed at least 28 days following the initial achievement of the response.

Outcome measures

Outcome measures
Measure
Lenvatinib 24 mg
n=26 Participants
Participants received lenvatinib 24 mg capsules, orally, once daily in 28-days treatment cycles until disease progression, AEs, withdrawal of consent, or participant's choice (up to Cycle 40).
Objective Response Rate (ORR)
11.5 percentage of participant
Interval 2.4 to 30.2

SECONDARY outcome

Timeframe: From the date of first dose to the date of last documentation of disease progression or death from any cause, whichever occurred first (up to Week 12)

Population: The FAS included the group of participants who received at least one dose of study drug.

PFS was assessed by the investigator based on RECIST 1.1. PFS was defined as the time from the date of first dose to the date of last documentation of disease progression or death from any cause, whichever occurred first. PFS rate was cumulative probability for event-free participants at 12 weeks. PFS rate at 12 weeks was calculated using Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
Lenvatinib 24 mg
n=26 Participants
Participants received lenvatinib 24 mg capsules, orally, once daily in 28-days treatment cycles until disease progression, AEs, withdrawal of consent, or participant's choice (up to Cycle 40).
Progression-free Survival (PFS) Rate at 12 Weeks
72.2 percentage of participant
Interval 50.4 to 85.7

SECONDARY outcome

Timeframe: From the date of first dose of study drug to the date of last documentation of disease progression or date of death from any cause, whichever occurred first (up to approximately 3 years 4 months)

Population: The FAS included the group of participants who received at least one dose of study drug.

PFS was assessed by the investigator based on RECIST 1.1. PFS was defined as the time from the date of first dose to the date of last documentation of disease progression or date of death from any cause, whichever occurred first. For participants who did not have an event, PFS were censored. PFS was calculated using Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
Lenvatinib 24 mg
n=26 Participants
Participants received lenvatinib 24 mg capsules, orally, once daily in 28-days treatment cycles until disease progression, AEs, withdrawal of consent, or participant's choice (up to Cycle 40).
Progression-free Survival (PFS)
3.19 months
Interval 2.79 to 7.23

SECONDARY outcome

Timeframe: From the date of first dose of study drug to the date of death from any cause (up to approximately 3 years 4 months)

Population: The FAS included the group of participants who received at least one dose of study drug.

OS was defined as the time from the date of first dose to the date of death from any cause. For the participants who were alive or unknown, OS was censored on the last date participant was known to be event-free or date of data-cut-off. OS was calculated using the Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
Lenvatinib 24 mg
n=26 Participants
Participants received lenvatinib 24 mg capsules, orally, once daily in 28-days treatment cycles until disease progression, AEs, withdrawal of consent, or participant's choice (up to Cycle 40).
Overall Survival (OS)
7.35 months
Interval 4.5 to 11.27

SECONDARY outcome

Timeframe: From the date of first dose of study drug to the date of last documentation of disease progression or date of death from any cause, whichever occurred first (up to approximately 3 years 4 months)

Population: The FAS included the group of participants who received at least one dose of study drug.

DCR was assessed by the investigator based on RECIST 1.1. DCR was defined as the percentage of participants whose BOR was CR, PR or SD.

Outcome measures

Outcome measures
Measure
Lenvatinib 24 mg
n=26 Participants
Participants received lenvatinib 24 mg capsules, orally, once daily in 28-days treatment cycles until disease progression, AEs, withdrawal of consent, or participant's choice (up to Cycle 40).
Disease Control Rate (DCR)
84.6 percentage of participant
Interval 65.1 to 95.6

SECONDARY outcome

Timeframe: From the date of first dose of study drug to the date of the last documentation of disease progression or death from any cause, whichever occurred first (up to approximately 3 years 4 months)

Population: The FAS included the group of participants who received at least one dose of study drug.

CBR was assessed by the investigator based on RECIST 1.1.CBR was defined as percentage of participants with BOR of CR, PR or durable SD. Durable SD: Durable SD: duration of SD greater than or equal to (\>=23) weeks.

Outcome measures

Outcome measures
Measure
Lenvatinib 24 mg
n=26 Participants
Participants received lenvatinib 24 mg capsules, orally, once daily in 28-days treatment cycles until disease progression, AEs, withdrawal of consent, or participant's choice (up to Cycle 40).
Clinical Benefit Rate (CBR)
38.5 percentage of participant
Interval 20.2 to 59.4

SECONDARY outcome

Timeframe: From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)

Population: The safety analysis set included group of participants who received at least one dose of study drug.

Outcome measures

Outcome measures
Measure
Lenvatinib 24 mg
n=26 Participants
Participants received lenvatinib 24 mg capsules, orally, once daily in 28-days treatment cycles until disease progression, AEs, withdrawal of consent, or participant's choice (up to Cycle 40).
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
TEAEs
26 participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
SAEs
18 participants

SECONDARY outcome

Timeframe: Cycle 1 Day 1: 0.5-2 hours post dose (Cycle length is 28 days)

Population: The safety analysis set included group of participants who received at least one dose of study drug. The safety analysis set was used for plasma lenvatinib concentration calculation.

Outcome measures

Outcome measures
Measure
Lenvatinib 24 mg
n=26 Participants
Participants received lenvatinib 24 mg capsules, orally, once daily in 28-days treatment cycles until disease progression, AEs, withdrawal of consent, or participant's choice (up to Cycle 40).
Plasma Concentrations of Lenvatinib
3.90 nanogram per milliliter (ng/mL)
Interval to 782.0
The lower limit value was not estimable as it was below the limit of quantification.

Adverse Events

Lenvatinib 24 mg

Serious events: 18 serious events
Other events: 26 other events
Deaths: 17 deaths

Serious adverse events

Serious adverse events
Measure
Lenvatinib 24 mg
n=26 participants at risk
Participants received lenvatinib 24 mg capsules, orally, once daily in 28-days treatment cycles until disease progression, AEs, withdrawal of consent, or participant's choice (up to Cycle 40).
Gastrointestinal disorders
Abdominal distension
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Gastrointestinal disorders
Gastrointestinal haemorrhage
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Gastrointestinal disorders
Gastrointestinal obstruction
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Gastrointestinal disorders
Gastrointestinal perforation
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Hepatobiliary disorders
Bile duct obstruction
7.7%
2/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Hepatobiliary disorders
Bile duct stenosis
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Hepatobiliary disorders
Cholangitis
15.4%
4/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Hepatobiliary disorders
Cholecystitis 1
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Hepatobiliary disorders
Haemobilia
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Hepatobiliary disorders
Jaundice cholestatic
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Infections and infestations
Biliary tract infection
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Infections and infestations
Lung abscess
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Infections and infestations
Urinary tract infection
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Injury, poisoning and procedural complications
Anastomotic ulcer
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Metabolism and nutrition disorders
Decreased appetite
7.7%
2/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Psychiatric disorders
Completed suicide
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Renal and urinary disorders
Hydronephrosis
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Renal and urinary disorders
Renal impairment 1
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Skin and subcutaneous tissue disorders
Erythema multiforme
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)

Other adverse events

Other adverse events
Measure
Lenvatinib 24 mg
n=26 participants at risk
Participants received lenvatinib 24 mg capsules, orally, once daily in 28-days treatment cycles until disease progression, AEs, withdrawal of consent, or participant's choice (up to Cycle 40).
Blood and lymphatic system disorders
Anaemia
23.1%
6/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Blood and lymphatic system disorders
Disseminated intravascular coagulation
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Blood and lymphatic system disorders
Leukopenia
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Blood and lymphatic system disorders
Lymphopenia
11.5%
3/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Blood and lymphatic system disorders
Neutropenia
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Blood and lymphatic system disorders
Thrombocytopenia
53.8%
14/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Endocrine disorders
Hypoparathyroidism
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Endocrine disorders
Hypothyroidism
46.2%
12/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Eye disorders
Conjunctival haemorrhage 1
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Gastrointestinal disorders
Abdominal distension
7.7%
2/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Gastrointestinal disorders
Abdominal pain
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Gastrointestinal disorders
Abdominal pain upper
23.1%
6/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Gastrointestinal disorders
Ascites
15.4%
4/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Gastrointestinal disorders
Cheilitis
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Gastrointestinal disorders
Constipation
30.8%
8/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Gastrointestinal disorders
Diarrhoea
30.8%
8/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Gastrointestinal disorders
Dry mouth
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Gastrointestinal disorders
Fistula of small intestine
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Gastrointestinal disorders
Gastroduodenal ulcer
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Gastrointestinal disorders
Gastrointestinal haemorrhage
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Gastrointestinal disorders
Nausea
23.1%
6/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Gastrointestinal disorders
Pancreatitis
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Gastrointestinal disorders
Stomatitis 4
15.4%
4/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Gastrointestinal disorders
Toothache
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Gastrointestinal disorders
Vomiting
11.5%
3/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
General disorders
Catheter site pain
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
General disorders
Face oedema
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
General disorders
Fatigue
50.0%
13/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
General disorders
Malaise
19.2%
5/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
General disorders
Medical device pain
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
General disorders
Mucosal inflammation
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
General disorders
Oedema peripheral
34.6%
9/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
General disorders
Pyrexia
30.8%
8/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Hepatobiliary disorders
Bile duct obstruction
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Hepatobiliary disorders
Cholangitis
11.5%
3/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Hepatobiliary disorders
Hepatic function abnormal
7.7%
2/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Infections and infestations
Angular cheilitis
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Infections and infestations
Bronchitis
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Infections and infestations
Fungal infection
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Infections and infestations
Gingivitis
7.7%
2/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Infections and infestations
Herpes zoster
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Infections and infestations
Influenza
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Infections and infestations
Liver abscess
7.7%
2/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Infections and infestations
Lung abscess
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Infections and infestations
Nasopharyngitis
7.7%
2/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Infections and infestations
Pneumonia
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Infections and infestations
Sepsis
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Infections and infestations
Sinusitis
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Investigations
Alanine aminotransferase increased
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Investigations
Amylase increased
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Investigations
Aspartate aminotransferase increased
7.7%
2/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Investigations
Blood alkaline phosphatase increased
7.7%
2/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Investigations
Blood bilirubin increased
7.7%
2/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Investigations
Blood cholesterol increased
7.7%
2/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Investigations
Blood creatine phosphokinase increased
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Investigations
Blood creatinine increased
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Investigations
Blood lactate dehydrogenase increased
7.7%
2/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Investigations
Blood thyroid stimulating hormone increased
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Investigations
C-reactive protein increased
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Investigations
Thyroxine free increased
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Investigations
Tri-iodothyronine free increased
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Investigations
Weight decreased
30.8%
8/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Metabolism and nutrition disorders
Decreased appetite
53.8%
14/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Metabolism and nutrition disorders
Hypertriglyceridaemia
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Metabolism and nutrition disorders
Hypoalbuminaemia
11.5%
3/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Metabolism and nutrition disorders
Hyponatraemia
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Metabolism and nutrition disorders
Hypophosphataemia
11.5%
3/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Musculoskeletal and connective tissue disorders
Arthralgia
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Musculoskeletal and connective tissue disorders
Back pain
7.7%
2/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Musculoskeletal and connective tissue disorders
Enthesopathy
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Musculoskeletal and connective tissue disorders
Musculoskeletal stiffness
7.7%
2/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Musculoskeletal and connective tissue disorders
Myalgia
15.4%
4/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cancer pain
15.4%
4/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour pain
15.4%
4/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Nervous system disorders
Akathisia
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Nervous system disorders
Dizziness
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Nervous system disorders
Dysgeusia
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Nervous system disorders
Headache
15.4%
4/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Nervous system disorders
Muscle spasticity
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Psychiatric disorders
Delirium
11.5%
3/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Psychiatric disorders
Depression
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Psychiatric disorders
Insomnia
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Renal and urinary disorders
Acute kidney injury
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Renal and urinary disorders
Haematuria
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Renal and urinary disorders
Proteinuria
61.5%
16/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Renal and urinary disorders
Renal impairment
7.7%
2/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Renal and urinary disorders
Urinary tract obstruction
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Respiratory, thoracic and mediastinal disorders
Cough
7.7%
2/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Respiratory, thoracic and mediastinal disorders
Dysphonia
61.5%
16/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Respiratory, thoracic and mediastinal disorders
Dyspnoea
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Respiratory, thoracic and mediastinal disorders
Epistaxis
11.5%
3/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Respiratory, thoracic and mediastinal disorders
Laryngeal pain
7.7%
2/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
7.7%
2/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Skin and subcutaneous tissue disorders
Alopecia
11.5%
3/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Skin and subcutaneous tissue disorders
Dermatitis acneiform
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Skin and subcutaneous tissue disorders
Dermatitis contact
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Skin and subcutaneous tissue disorders
Eczema asteatotic
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Skin and subcutaneous tissue disorders
Nail discolouration
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysaesthesia syndrome
57.7%
15/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Skin and subcutaneous tissue disorders
Pruritus
11.5%
3/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Skin and subcutaneous tissue disorders
Rash
23.1%
6/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Skin and subcutaneous tissue disorders
Rash maculo-papular
7.7%
2/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Vascular disorders
Hypertension
84.6%
22/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Vascular disorders
Hypotension
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)
Vascular disorders
Orthostatic hypotension
3.8%
1/26 • From signing of informed consent form to 30 days after the decision to discontinue study treatment or 30 days after last dose of study drug, whichever comes later (up to approximately 3 years 4 months)

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Results disclosure agreements

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