Trial Outcomes & Findings for Pembrolizumab (MK3475), Gemcitabine, and Concurrent Hypofractionated Radiation Therapy for Muscle-Invasive Urothelial Cancer of the Bladder (NCT NCT02621151)

NCT ID: NCT02621151

Last Updated: 2025-10-07

Results Overview

Bladder-intact disease-free survival is defined as the time from initiation of protocol therapy until the first occurrence of muscle-invasive bladder cancer recurrence, regional pelvic recurrence, distant metastases, bladder cancer-related death, or cystectomy.

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE2

Target enrollment

60 participants

Primary outcome timeframe

2 years

Results posted on

2025-10-07

Participant Flow

Participant milestones

Participant milestones
Measure
Pembrolizumab, Gemcitabine, and RT
* Lead-in single dose Pembrolizumab 200 mg, intravenously (IV) * Transurethral Resection of Bladder Tumor (TURBT) at pre-RT (maximal) and completion of therapy (diagnostic) * External Beam Radiation Therapy (EBRT) - 52 Gy in 20 fractions over 4 weeks (1 fraction = 2.6 Gy) * Gemcitabine 27 mg/m\^2 IV twice weekly for 4 weeks concurrent with EBRT * Pembrolizumab 200 mg IV every 3 weeks for total 3 doses starting day 1 of EBRT Pembrolizumab Transurethral Resection of Bladder Tumor Gemcitabine External Beam Radiation Therapy
Overall Study
STARTED
60
Overall Study
COMPLETED
54
Overall Study
NOT COMPLETED
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Pembrolizumab, Gemcitabine, and RT
* Lead-in single dose Pembrolizumab 200 mg, intravenously (IV) * Transurethral Resection of Bladder Tumor (TURBT) at pre-RT (maximal) and completion of therapy (diagnostic) * External Beam Radiation Therapy (EBRT) - 52 Gy in 20 fractions over 4 weeks (1 fraction = 2.6 Gy) * Gemcitabine 27 mg/m\^2 IV twice weekly for 4 weeks concurrent with EBRT * Pembrolizumab 200 mg IV every 3 weeks for total 3 doses starting day 1 of EBRT Pembrolizumab Transurethral Resection of Bladder Tumor Gemcitabine External Beam Radiation Therapy
Overall Study
Not eligible for trial
6

Baseline Characteristics

Pembrolizumab (MK3475), Gemcitabine, and Concurrent Hypofractionated Radiation Therapy for Muscle-Invasive Urothelial Cancer of the Bladder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pembrolizumab, Gemcitabine, and RT
n=54 Participants
* Lead-in single dose Pembrolizumab 200 mg, intravenously (IV) * Transurethral Resection of Bladder Tumor (TURBT) at pre-RT (maximal) and completion of therapy (diagnostic) * External Beam Radiation Therapy (EBRT) - 52 Gy in 20 fractions over 4 weeks (1 fraction = 2.6 Gy) * Gemcitabine 27 mg/m\^2 IV twice weekly for 4 weeks concurrent with EBRT * Pembrolizumab 200 mg IV every 3 weeks for total 3 doses starting day 1 of EBRT Pembrolizumab Transurethral Resection of Bladder Tumor Gemcitabine External Beam Radiation Therapy
Age, Continuous
73.6 years
n=5 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
Sex: Female, Male
Male
39 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
52 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
5 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
3 Participants
n=5 Participants
Race (NIH/OMB)
White
45 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Region of Enrollment
United States
54 participants
n=5 Participants

PRIMARY outcome

Timeframe: 2 years

Population: The analysis focused on the efficacy cohort and did not include the safety lead-in cohort.

Bladder-intact disease-free survival is defined as the time from initiation of protocol therapy until the first occurrence of muscle-invasive bladder cancer recurrence, regional pelvic recurrence, distant metastases, bladder cancer-related death, or cystectomy.

Outcome measures

Outcome measures
Measure
Pembrolizumab, Gemcitabine, and RT
n=48 Participants
* Lead-in single dose Pembrolizumab 200 mg, intravenously (IV) * Transurethral Resection of Bladder Tumor (TURBT) at pre-RT (maximal) and completion of therapy (diagnostic) * External Beam Radiation Therapy (EBRT) - 52 Gy in 20 fractions over 4 weeks (1 fraction = 2.6 Gy) * Gemcitabine 27 mg/m\^2 IV twice weekly for 4 weeks concurrent with EBRT * Pembrolizumab 200 mg IV every 3 weeks for total 3 doses starting day 1 of EBRT Pembrolizumab Transurethral Resection of Bladder Tumor Gemcitabine External Beam Radiation Therapy
Percentage of Participants Who Achieved Two-year Bladder-intact Disease-free Survival
60 percentage of participants
Interval 45.0 to 73.0

SECONDARY outcome

Timeframe: up to 21 weeks

Population: The analysis focused on the efficacy cohort and did not include the safety lead-in cohort.

The CR rate is the percentage of patients who have achieved CR. At the completion of protocol therapy, patients undergo standard cystoscopy, exam under anesthesia and transurethral resection of bladder tumor to document pathologic response. CR requires no tumor palpable on bimanual examination under anesthesia, no tumor visible on cystoscopy, negative tumor site biopsy, and negative urine cytology.

Outcome measures

Outcome measures
Measure
Pembrolizumab, Gemcitabine, and RT
n=48 Participants
* Lead-in single dose Pembrolizumab 200 mg, intravenously (IV) * Transurethral Resection of Bladder Tumor (TURBT) at pre-RT (maximal) and completion of therapy (diagnostic) * External Beam Radiation Therapy (EBRT) - 52 Gy in 20 fractions over 4 weeks (1 fraction = 2.6 Gy) * Gemcitabine 27 mg/m\^2 IV twice weekly for 4 weeks concurrent with EBRT * Pembrolizumab 200 mg IV every 3 weeks for total 3 doses starting day 1 of EBRT Pembrolizumab Transurethral Resection of Bladder Tumor Gemcitabine External Beam Radiation Therapy
Complete Response (CR) Rate
56 percentage of participants

SECONDARY outcome

Timeframe: up to 5 years

Population: The analysis focused on the efficacy cohort and did not include the safety lead-in cohort.

Outcome measures

Outcome measures
Measure
Pembrolizumab, Gemcitabine, and RT
n=48 Participants
* Lead-in single dose Pembrolizumab 200 mg, intravenously (IV) * Transurethral Resection of Bladder Tumor (TURBT) at pre-RT (maximal) and completion of therapy (diagnostic) * External Beam Radiation Therapy (EBRT) - 52 Gy in 20 fractions over 4 weeks (1 fraction = 2.6 Gy) * Gemcitabine 27 mg/m\^2 IV twice weekly for 4 weeks concurrent with EBRT * Pembrolizumab 200 mg IV every 3 weeks for total 3 doses starting day 1 of EBRT Pembrolizumab Transurethral Resection of Bladder Tumor Gemcitabine External Beam Radiation Therapy
Percentage of Participants Who Survived at Study Completion
83 percentage of participants
Interval 68.9 to 91.1

SECONDARY outcome

Timeframe: up to 5 years

Population: The analysis focused on the efficacy cohort and did not include the safety lead-in cohort.

Metastasis-free survival is defined as not having developed radiographic distant metastases.

Outcome measures

Outcome measures
Measure
Pembrolizumab, Gemcitabine, and RT
n=48 Participants
* Lead-in single dose Pembrolizumab 200 mg, intravenously (IV) * Transurethral Resection of Bladder Tumor (TURBT) at pre-RT (maximal) and completion of therapy (diagnostic) * External Beam Radiation Therapy (EBRT) - 52 Gy in 20 fractions over 4 weeks (1 fraction = 2.6 Gy) * Gemcitabine 27 mg/m\^2 IV twice weekly for 4 weeks concurrent with EBRT * Pembrolizumab 200 mg IV every 3 weeks for total 3 doses starting day 1 of EBRT Pembrolizumab Transurethral Resection of Bladder Tumor Gemcitabine External Beam Radiation Therapy
Percentage of Participants Who Achieved Metastasis-free Survival at Study Completion
84 percentage of participants
Interval 70.0 to 92.0

Adverse Events

Pembrolizumab, Gemcitabine, and RT

Serious events: 15 serious events
Other events: 54 other events
Deaths: 16 deaths

Serious adverse events

Serious adverse events
Measure
Pembrolizumab, Gemcitabine, and RT
n=54 participants at risk
* Lead-in single dose Pembrolizumab 200 mg, intravenously (IV) * Transurethral Resection of Bladder Tumor (TURBT) at pre-RT (maximal) and completion of therapy (diagnostic) * External Beam Radiation Therapy (EBRT) - 52 Gy in 20 fractions over 4 weeks (1 fraction = 2.6 Gy) * Gemcitabine 27 mg/m\^2 IV twice weekly for 4 weeks concurrent with EBRT * Pembrolizumab 200 mg IV every 3 weeks for total 3 doses starting day 1 of EBRT Pembrolizumab Transurethral Resection of Bladder Tumor Gemcitabine External Beam Radiation Therapy
Gastrointestinal disorders
Abdominal Pain
24.1%
13/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Investigations
Aspartate Aminotransferase Increased
16.7%
9/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Musculoskeletal and connective tissue disorders
Back Pain
9.3%
5/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Cardiac disorders
Chest Pain
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Colitis
5.6%
3/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Colonic Perforation
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
General disorders
Death
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Metabolism and nutrition disorders
Dehydration
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Diarrhea
3.7%
2/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Protein Losing Enteropathy
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Renal and urinary disorders
Hematuria
3.7%
2/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Metabolism and nutrition disorders
Hypoglycemia
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Metabolism and nutrition disorders
Hyponatremia
11.1%
6/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Immune system disorders
Immune System Disorders - Other
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Leukemia secondary to oncology chemotherapy
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms Benign, Malignant And Unspecified (Incl Cysts And Polyps) - Other
5.6%
3/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Small Intestinal Obstruction
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Infections and infestations
Upper Respiratory Infection
5.6%
3/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Renal and urinary disorders
Urinary Tract Infection
24.1%
13/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Renal and urinary disorders
Urinary Tract Obstruction
5.6%
3/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit

Other adverse events

Other adverse events
Measure
Pembrolizumab, Gemcitabine, and RT
n=54 participants at risk
* Lead-in single dose Pembrolizumab 200 mg, intravenously (IV) * Transurethral Resection of Bladder Tumor (TURBT) at pre-RT (maximal) and completion of therapy (diagnostic) * External Beam Radiation Therapy (EBRT) - 52 Gy in 20 fractions over 4 weeks (1 fraction = 2.6 Gy) * Gemcitabine 27 mg/m\^2 IV twice weekly for 4 weeks concurrent with EBRT * Pembrolizumab 200 mg IV every 3 weeks for total 3 doses starting day 1 of EBRT Pembrolizumab Transurethral Resection of Bladder Tumor Gemcitabine External Beam Radiation Therapy
Gastrointestinal disorders
Abdominal Distention
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Renal and urinary disorders
Acute Kidney Injury
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Investigations
Alanine Aminotransferace Increased
16.7%
9/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Blood and lymphatic system disorders
Anemia
33.3%
18/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Metabolism and nutrition disorders
Anorexia
27.8%
15/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Psychiatric disorders
Anxiety
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Musculoskeletal and connective tissue disorders
Arthalgia
9.3%
5/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Musculoskeletal and connective tissue disorders
Arthritis
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Ascites
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
General disorders
Edema limbs
16.7%
9/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Renal and urinary disorders
Bladder Spasm
20.4%
11/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Bloating
5.6%
3/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Blood and lymphatic system disorders
Blood And Lymphatic System Disorders - Other
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Investigations
Blood Bilirubin Increased
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Respiratory, thoracic and mediastinal disorders
Bronchial Infection
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Injury, poisoning and procedural complications
Bruising
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Cardiac disorders
Cardiac Disorders - Other
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
General disorders
Chills
9.3%
5/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Renal and urinary disorders
Chronic Kidney Disease
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
General disorders
Cold
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Constipation
22.2%
12/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Respiratory, thoracic and mediastinal disorders
Cough
11.1%
6/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Investigations
Creatinine Increase
11.1%
6/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Renal and urinary disorders
Cystitis Noninfective
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Psychiatric disorders
Delirium
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Diarrhea
46.3%
25/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Nervous system disorders
Dizziness
13.0%
7/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Dry Mouth
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Skin and subcutaneous tissue disorders
Dry Skin
5.6%
3/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Nervous system disorders
Dysgeusia
3.7%
2/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Dyspepsia
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Respiratory, thoracic and mediastinal disorders
Dyspnea
9.3%
5/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Renal and urinary disorders
Dysuria
3.7%
2/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Ear and labyrinth disorders
Otitis Media
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Ear and labyrinth disorders
Ear And Labyrinth Disorders - Other
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Investigations
Elevated Lft
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Injury, poisoning and procedural complications
Fall
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
General disorders
Fatigue
57.4%
31/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Blood and lymphatic system disorders
Febrile Neutropenia
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Fecal Incontinence
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
General disorders
Fever
14.8%
8/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Flatulence
7.4%
4/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
General disorders
Flu Like Symptoms
3.7%
2/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
General disorders
Gait Disturbance
3.7%
2/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Gas
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Gastrointestinal Disorders - Other
18.5%
10/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
General disorders
General Disorders And Administration Site Conditions - Other
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Musculoskeletal and connective tissue disorders
Generalized Muscle Weakness
7.4%
4/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Fecal Urgency
3.7%
2/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Diverticulosis
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Loose Stool
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Nervous system disorders
Headache
13.0%
7/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Renal and urinary disorders
Hematuria
31.5%
17/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Hemorrhoids
3.7%
2/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Metabolism and nutrition disorders
Hypercalcemia
3.7%
2/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Metabolism and nutrition disorders
Hyperglycemia
3.7%
2/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Metabolism and nutrition disorders
Hyperkalemia
9.3%
5/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Metabolism and nutrition disorders
Hypermagnesemia
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Metabolism and nutrition disorders
Hypernatremia
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Metabolism and nutrition disorders
Hyperphosphatemia
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Cardiac disorders
Hypertension
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Endocrine disorders
Hyperthyroidism
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Metabolism and nutrition disorders
Hyperuricemia
7.4%
4/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Metabolism and nutrition disorders
Hypoalbuminemia
5.6%
3/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Metabolism and nutrition disorders
Hypocalcemia
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Metabolism and nutrition disorders
Hypokalemia
9.3%
5/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Metabolism and nutrition disorders
Hypomagnesemia
3.7%
2/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Metabolism and nutrition disorders
Hypophosphatemia
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Cardiac disorders
Hypotension
5.6%
3/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Endocrine disorders
Hypothyroidism
5.6%
3/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Infections and infestations
Kidney Infection
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Infections and infestations
Infection - Other
3.7%
2/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Psychiatric disorders
Insomnia
3.7%
2/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Injury, poisoning and procedural complications
Intraoperative Urinary Injury
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Blood and lymphatic system disorders
Iron Deficiency Anemia
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
General disorders
Irritability
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Musculoskeletal and connective tissue disorders
Flank Pain
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Musculoskeletal and connective tissue disorders
Pain in extremity
3.7%
2/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Lower Abdominal Discomfort
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Reproductive system and breast disorders
Pelvic Pain
5.6%
3/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Blood and lymphatic system disorders
Lymphocyte Count Decreased
7.4%
4/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
General disorders
Malaise
3.7%
2/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Metabolism and nutrition disorders
Metabolism And Nutrition Disorders, Other
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Infections and infestations
Musocal Infection
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Musculoskeletal and connective tissue disorders
Muscle Weakness Upper Limb
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Musculoskeletal and connective tissue disorders
Myalgia
5.6%
3/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Respiratory, thoracic and mediastinal disorders
Nasal Congestion
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Nausea
50.0%
27/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Blood and lymphatic system disorders
Neutropenia
14.8%
8/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
General disorders
Pain
14.8%
8/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Nervous system disorders
Paresthesia
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Nervous system disorders
Peripheral Sensory Neuropathy
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Infections and infestations
Pharyngitis
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Investigations
Platelet Count Decreased
29.6%
16/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Nervous system disorders
Presyncope
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Proctitis
3.7%
2/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Renal and urinary disorders
Proteinuria
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Skin and subcutaneous tissue disorders
Pruritus
11.1%
6/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Skin and subcutaneous tissue disorders
Rash maculo-papular
25.9%
14/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Rectal Mucus Discharge
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Rectal Pain
5.6%
3/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Rectal Spasms
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Rectal Ulcer
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Rectal Urgency
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Renal and urinary disorders
Renal And Urinary Disorders - Other
11.1%
6/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Eye disorders
Retinopathy
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Cardiac disorders
Sinus Bradycardia
3.7%
2/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Cardiac disorders
Sinus Tachycardia
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Respiratory, thoracic and mediastinal disorders
Sinusitis
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Skin and subcutaneous tissue disorders
Skin And Other Subcutaneous Tissue Disorders - Other
5.6%
3/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Skin and subcutaneous tissue disorders
Skin Infection
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Skin and subcutaneous tissue disorders
Skin Lesion
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Respiratory, thoracic and mediastinal disorders
Sneezing
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Respiratory, thoracic and mediastinal disorders
Sore Throat
3.7%
2/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Stomach Pain
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Cardiac disorders
Supraventricular Tachycardia
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Vascular disorders
Thromboembolitic Event
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Infections and infestations
Tooth Infection
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Renal and urinary disorders
Urinary Frequency
38.9%
21/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Renal and urinary disorders
Urinary Incontinence
14.8%
8/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Renal and urinary disorders
Urinary Retention
7.4%
4/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Renal and urinary disorders
Urinary Tract Pain
35.2%
19/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Renal and urinary disorders
Urinary Urgency
14.8%
8/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Vascular disorders
Vascular Disorder, Other
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Ear and labyrinth disorders
Vertigo
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Vomiting
16.7%
9/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Investigations
Weight Gain
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Blood and lymphatic system disorders
White Blood Cell Decreased
14.8%
8/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit
Gastrointestinal disorders
Gastroesophageal reflux disease
1.9%
1/54 • AEs and SAEs assessed for 16 weeks (consent through 30 days post treatment); All cause mortality assessed throughout the 5 year study period
investigator assessment at each treatment and follow-up visit

Additional Information

Minas Economides, MD

NYU Langone Health

Phone: 2127315413

Results disclosure agreements

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