Trial Outcomes & Findings for Perioperative Chemo and Pembrolizumab in Gastric Cancer (NCT NCT02918162)

NCT ID: NCT02918162

Last Updated: 2024-02-15

Results Overview

Number of subjects with absence of viable tumor on surgical resection specimen as determined by local pathology review.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

49 participants

Primary outcome timeframe

Up to 34 months

Results posted on

2024-02-15

Participant Flow

49 participants signed a consent form, 10 of which were screen failures and 3 of which withdrew consent prior to completion of screening.

Participant milestones

Participant milestones
Measure
Pembrolizumab
All study subjects will receive standard of care chemotherapy regimen for 3 cycles prior to and 3 cycles following surgery in combination with Pembrolizumab with an additional cycle of Pembrolizumab (4 total) in the pre-operative period. Additionally subjects will complete 12 months of maintenance Pembrolizumab (14 additional doses to complete 17 post-operative cycles) following completion of post-operative chemotherapy. Standard of care combination chemotherapy regimen has a 21-day cycle. Pembrolizumab: Pembrolizumab dosed IV at 200mg every 21 days per cycle. Standard of care chemotherapy regimen: Standard regimen containing at least a platinum and Fluorouracil (5-FU) agent (per National Comprehensive Cancer Network guidelines) - such as Doublet or Triplet chemotherapy with capecitabine, oxaliplatin, and epirubicin (optional) (21 day cycle). Epirubicin can be excluded at the discretion of the treating physician. Example: Oxaliplatin dosed IV at 130 mg/m2 every 21 days per cycle. Capecitabine dosed orally at 625mg/m2 twice a day daily.
Overall Study
STARTED
36
Overall Study
COMPLETED
34
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Pembrolizumab
All study subjects will receive standard of care chemotherapy regimen for 3 cycles prior to and 3 cycles following surgery in combination with Pembrolizumab with an additional cycle of Pembrolizumab (4 total) in the pre-operative period. Additionally subjects will complete 12 months of maintenance Pembrolizumab (14 additional doses to complete 17 post-operative cycles) following completion of post-operative chemotherapy. Standard of care combination chemotherapy regimen has a 21-day cycle. Pembrolizumab: Pembrolizumab dosed IV at 200mg every 21 days per cycle. Standard of care chemotherapy regimen: Standard regimen containing at least a platinum and Fluorouracil (5-FU) agent (per National Comprehensive Cancer Network guidelines) - such as Doublet or Triplet chemotherapy with capecitabine, oxaliplatin, and epirubicin (optional) (21 day cycle). Epirubicin can be excluded at the discretion of the treating physician. Example: Oxaliplatin dosed IV at 130 mg/m2 every 21 days per cycle. Capecitabine dosed orally at 625mg/m2 twice a day daily.
Overall Study
Withdrawal by Subject
1
Overall Study
Omental Disease
1

Baseline Characteristics

Perioperative Chemo and Pembrolizumab in Gastric Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pembrolizumab
n=34 Participants
All study subjects will receive standard of care chemotherapy regimen for 3 cycles prior to and 3 cycles following surgery in combination with Pembrolizumab with an additional cycle of Pembrolizumab (4 total) in the pre-operative period. Additionally subjects will complete 12 months of maintenance Pembrolizumab (14 additional doses to complete 17 post-operative cycles) following completion of post-operative chemotherapy. Standard of care combination chemotherapy regimen has a 21-day cycle. Pembrolizumab: Pembrolizumab dosed IV at 200mg every 21 days per cycle. Standard of care chemotherapy regimen: Standard regimen containing at least a platinum and Fluorouracil (5-FU) agent (per National Comprehensive Cancer Network guidelines) - such as Doublet or Triplet chemotherapy with capecitabine, oxaliplatin, and epirubicin (optional) (21 day cycle). Epirubicin can be excluded at the discretion of the treating physician. Example: Oxaliplatin dosed IV at 130 mg/m2 every 21 days per cycle. Capecitabine dosed orally at 625mg/m2 twice a day daily.
Age, Continuous
65 years
n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
Sex: Female, Male
Male
23 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
5 Participants
n=5 Participants
Race (NIH/OMB)
White
22 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
Region of Enrollment
United States
34 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 34 months

Number of subjects with absence of viable tumor on surgical resection specimen as determined by local pathology review.

Outcome measures

Outcome measures
Measure
Pembrolizumab
n=34 Participants
All study subjects will receive standard of care chemotherapy regimen for 3 cycles prior to and 3 cycles following surgery in combination with Pembrolizumab with an additional cycle of Pembrolizumab (4 total) in the pre-operative period. Additionally subjects will complete 12 months of maintenance Pembrolizumab (14 additional doses to complete 17 post-operative cycles) following completion of post-operative chemotherapy. Standard of care combination chemotherapy regimen has a 21-day cycle. Pembrolizumab: Pembrolizumab dosed IV at 200mg every 21 days per cycle. Standard of care chemotherapy regimen: Standard regimen containing at least a platinum and Fluorouracil (5-FU) agent (per National Comprehensive Cancer Network guidelines) - such as Doublet or Triplet chemotherapy with capecitabine, oxaliplatin, and epirubicin (optional) (21 day cycle). Epirubicin can be excluded at the discretion of the treating physician. Example: Oxaliplatin dosed IV at 130 mg/m2 every 21 days per cycle. Capecitabine dosed orally at 625mg/m2 twice a day daily.
Pathologic Complete Response (pCR) Rate
7 Participants

SECONDARY outcome

Timeframe: Treatment initiation until death or study end, whichever occurs first (up to approximately 5 years)

OS defined as the time from Cyle 1 Day 1 treatment administration to death due to any cause. The 24 month overall survival probability was estimated using the Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
Pembrolizumab
n=34 Participants
All study subjects will receive standard of care chemotherapy regimen for 3 cycles prior to and 3 cycles following surgery in combination with Pembrolizumab with an additional cycle of Pembrolizumab (4 total) in the pre-operative period. Additionally subjects will complete 12 months of maintenance Pembrolizumab (14 additional doses to complete 17 post-operative cycles) following completion of post-operative chemotherapy. Standard of care combination chemotherapy regimen has a 21-day cycle. Pembrolizumab: Pembrolizumab dosed IV at 200mg every 21 days per cycle. Standard of care chemotherapy regimen: Standard regimen containing at least a platinum and Fluorouracil (5-FU) agent (per National Comprehensive Cancer Network guidelines) - such as Doublet or Triplet chemotherapy with capecitabine, oxaliplatin, and epirubicin (optional) (21 day cycle). Epirubicin can be excluded at the discretion of the treating physician. Example: Oxaliplatin dosed IV at 130 mg/m2 every 21 days per cycle. Capecitabine dosed orally at 625mg/m2 twice a day daily.
Overall Survival (OS)
80.6 Probability
Interval 67.6 to 96.1

SECONDARY outcome

Timeframe: Treatment initiation to progression, recurrence, death or study end, whichever comes first (up to approximately 5 years)

DFS defined as time from Cycle 1 Day 1 treatment administration to the first documented event of disease progression, disease recurrence following surgery (preferably biopsy proven), or death whichever occurs first. The 24 month DFS probability was estimated using the Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
Pembrolizumab
n=34 Participants
All study subjects will receive standard of care chemotherapy regimen for 3 cycles prior to and 3 cycles following surgery in combination with Pembrolizumab with an additional cycle of Pembrolizumab (4 total) in the pre-operative period. Additionally subjects will complete 12 months of maintenance Pembrolizumab (14 additional doses to complete 17 post-operative cycles) following completion of post-operative chemotherapy. Standard of care combination chemotherapy regimen has a 21-day cycle. Pembrolizumab: Pembrolizumab dosed IV at 200mg every 21 days per cycle. Standard of care chemotherapy regimen: Standard regimen containing at least a platinum and Fluorouracil (5-FU) agent (per National Comprehensive Cancer Network guidelines) - such as Doublet or Triplet chemotherapy with capecitabine, oxaliplatin, and epirubicin (optional) (21 day cycle). Epirubicin can be excluded at the discretion of the treating physician. Example: Oxaliplatin dosed IV at 130 mg/m2 every 21 days per cycle. Capecitabine dosed orally at 625mg/m2 twice a day daily.
Disease Free Survival (DFS)
67.8 Probability
Interval 53.1 to 86.6

SECONDARY outcome

Timeframe: Up to 34 months

Number of subjects with initial RECIST 1.1 measurable disease who have complete response (CR) or partial response (PR) at any time (ORR= CR + PR). CR defined as the disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. PR defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.

Outcome measures

Outcome measures
Measure
Pembrolizumab
n=34 Participants
All study subjects will receive standard of care chemotherapy regimen for 3 cycles prior to and 3 cycles following surgery in combination with Pembrolizumab with an additional cycle of Pembrolizumab (4 total) in the pre-operative period. Additionally subjects will complete 12 months of maintenance Pembrolizumab (14 additional doses to complete 17 post-operative cycles) following completion of post-operative chemotherapy. Standard of care combination chemotherapy regimen has a 21-day cycle. Pembrolizumab: Pembrolizumab dosed IV at 200mg every 21 days per cycle. Standard of care chemotherapy regimen: Standard regimen containing at least a platinum and Fluorouracil (5-FU) agent (per National Comprehensive Cancer Network guidelines) - such as Doublet or Triplet chemotherapy with capecitabine, oxaliplatin, and epirubicin (optional) (21 day cycle). Epirubicin can be excluded at the discretion of the treating physician. Example: Oxaliplatin dosed IV at 130 mg/m2 every 21 days per cycle. Capecitabine dosed orally at 625mg/m2 twice a day daily.
Overall Response Rate (ORR)
14 Participants

Adverse Events

Pembrolizumab

Serious events: 9 serious events
Other events: 35 other events
Deaths: 8 deaths

Serious adverse events

Serious adverse events
Measure
Pembrolizumab
n=35 participants at risk
All study subjects will receive standard of care chemotherapy regimen for 3 cycles prior to and 3 cycles following surgery in combination with Pembrolizumab with an additional cycle of Pembrolizumab (4 total) in the pre-operative period. Additionally subjects will complete 12 months of maintenance Pembrolizumab (14 additional doses to complete 17 post-operative cycles) following completion of post-operative chemotherapy. Standard of care combination chemotherapy regimen has a 21-day cycle. Pembrolizumab: Pembrolizumab dosed IV at 200mg every 21 days per cycle. Standard of care chemotherapy regimen: Standard regimen containing at least a platinum and Fluorouracil (5-FU) agent (per National Comprehensive Cancer Network guidelines) - such as Doublet or Triplet chemotherapy with capecitabine, oxaliplatin, and epirubicin (optional) (21 day cycle). Epirubicin can be excluded at the discretion of the treating physician. Example: Oxaliplatin dosed IV at 130 mg/m2 every 21 days per cycle. Capecitabine dosed orally at 625mg/m2 twice a day daily.
Gastrointestinal disorders
Diarrhea
17.1%
6/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Metabolism and nutrition disorders
Dehydration
5.7%
2/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Metabolism and nutrition disorders
Hypokalemia
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Blood and lymphatic system disorders
Febrile neutropenia
5.7%
2/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Metabolism and nutrition disorders
Hyperglycemia
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Infections and infestations
Sepsis
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Renal and urinary disorders
Acute kidney injury
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Respiratory, thoracic and mediastinal disorders
Aspiration
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Gastrointestinal disorders
Gastric hemorrhage
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Gastrointestinal disorders
Gastric perforation
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Infections and infestations
Lung infection
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Gastrointestinal disorders
Rectal hemorrhage
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Blood and lymphatic system disorders
Pancytopenia
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Endocrine disorders
Adrenal insufficiency
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Metabolism and nutrition disorders
Anorexia
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.

Other adverse events

Other adverse events
Measure
Pembrolizumab
n=35 participants at risk
All study subjects will receive standard of care chemotherapy regimen for 3 cycles prior to and 3 cycles following surgery in combination with Pembrolizumab with an additional cycle of Pembrolizumab (4 total) in the pre-operative period. Additionally subjects will complete 12 months of maintenance Pembrolizumab (14 additional doses to complete 17 post-operative cycles) following completion of post-operative chemotherapy. Standard of care combination chemotherapy regimen has a 21-day cycle. Pembrolizumab: Pembrolizumab dosed IV at 200mg every 21 days per cycle. Standard of care chemotherapy regimen: Standard regimen containing at least a platinum and Fluorouracil (5-FU) agent (per National Comprehensive Cancer Network guidelines) - such as Doublet or Triplet chemotherapy with capecitabine, oxaliplatin, and epirubicin (optional) (21 day cycle). Epirubicin can be excluded at the discretion of the treating physician. Example: Oxaliplatin dosed IV at 130 mg/m2 every 21 days per cycle. Capecitabine dosed orally at 625mg/m2 twice a day daily.
Gastrointestinal disorders
Diarrhea
57.1%
20/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
General disorders
Fatigue
65.7%
23/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Nervous system disorders
Peripheral sensory neuropathy
57.1%
20/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Gastrointestinal disorders
Nausea
54.3%
19/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Metabolism and nutrition disorders
Anorexia
31.4%
11/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Gastrointestinal disorders
Vomitting
31.4%
11/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Investigations
Neutrophil count decreased
28.6%
10/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Blood and lymphatic system disorders
Anemia
25.7%
9/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Skin and subcutaneous tissue disorders
Rash maculo-papular
22.9%
8/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysesthesia syndrome
20.0%
7/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Skin and subcutaneous tissue disorders
Pruritus
20.0%
7/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Gastrointestinal disorders
Abdominal pain
17.1%
6/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
14.3%
5/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Endocrine disorders
Hypothyroidism
14.3%
5/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Musculoskeletal and connective tissue disorders
Arthralgia
11.4%
4/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Gastrointestinal disorders
Mucositis oral
11.4%
4/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Investigations
Platelet count decreased
11.4%
4/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Endocrine disorders
Adrenal insufficiency
5.7%
2/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Skin and subcutaneous tissue disorders
Alopecia
8.6%
3/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
General disorders
Chills
8.6%
3/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Gastrointestinal disorders
Constipation
8.6%
3/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Metabolism and nutrition disorders
Dehydration
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Nervous system disorders
Dizziness
8.6%
3/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Gastrointestinal disorders
Dry mouth
8.6%
3/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Respiratory, thoracic and mediastinal disorders
Dyspnea
8.6%
3/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Nervous system disorders
Headache
8.6%
3/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Metabolism and nutrition disorders
Hypokalemia
5.7%
2/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Nervous system disorders
Paresthesia
8.6%
3/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Skin and subcutaneous tissue disorders
Rash acneiform
8.6%
3/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
8.6%
3/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Investigations
Weight loss
8.6%
3/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Immune system disorders
Allergic reaction
5.7%
2/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Gastrointestinal disorders
Bloating
5.7%
2/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Gastrointestinal disorders
Colitis
5.7%
2/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Skin and subcutaneous tissue disorders
Dry skin
5.7%
2/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Gastrointestinal disorders
Dyspepsia
5.7%
2/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
General disorders
Flu like symptoms
5.7%
2/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Metabolism and nutrition disorders
Hyperglycemia
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Endocrine disorders
Hyperthyroidism
5.7%
2/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Metabolism and nutrition disorders
Hypomagnesemia
5.7%
2/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Vascular disorders
Hypotension
5.7%
2/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Musculoskeletal and connective tissue disorders
Myalgia
5.7%
2/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
General disorders
Pain
5.7%
2/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Nervous system disorders
Peripheral motor neuropathy
5.7%
2/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Investigations
White blood cell decreased
5.7%
2/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Investigations
Alkaline phosphatase increased
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Skin and subcutaneous tissue disorders
Body odor
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Skin and subcutaneous tissue disorders
Bullous dermatitis
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Nervous system disorders
Cognitive disturbance
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Nervous system disorders
Concentration impairment
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Nervous system disorders
Confusion
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Respiratory, thoracic and mediastinal disorders
Cough
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Nervous system disorders
Dysarthria
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Nervous system disorders
Dysesthesia
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Nervous system disorders
Dysgeusia
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Gastrointestinal disorders
Dysphagia
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
General disorders
Edema face
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Skin and subcutaneous tissue disorders
Erythema multiforme
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Injury, poisoning and procedural complications
Fall
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
General disorders
Fever
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Vascular disorders
Flushing
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
General disorders
Gait disturbance
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Psychiatric disorders
Hallucinations
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Vascular disorders
Hot flashes
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Metabolism and nutrition disorders
Hypophosphatemia
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
General disorders
Infusion related reaction
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Nervous system disorders
Memory impairment
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Musculoskeletal and connective tissue disorders
Pain in extremity
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Skin and subcutaneous tissue disorders
Photosensitivity
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Nervous system disorders
Presyncope
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Respiratory, thoracic and mediastinal disorders
Sore throat
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Nervous system disorders
Tremor
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Infections and infestations
Upper respiratory infection
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Renal and urinary disorders
Urinary frequency
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Metabolism and nutrition disorders
Hyperkalemia
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Metabolism and nutrition disorders
Hyponatremia
5.7%
2/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Infections and infestations
Sepsis
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Skin and subcutaneous tissue disorders
Dermatitis
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Nervous system disorders
Syncope
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Skin and subcutaneous tissue disorders
Skin and subcutaneous disorder
17.1%
6/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Endocrine disorders
Endocrine Disorder
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Cardiac disorders
Cardiac Disorder
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Infections and infestations
Infection and Infestation
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Nervous system disorders
Cold Sensitivity
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Surgical and medical procedures
Surgical and Medical Procedure
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Gastrointestinal disorders
Cramping
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Gastrointestinal disorders
Pseudo laryngospasm
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.
Metabolism and nutrition disorders
Hypoglycemia
2.9%
1/35 • Up to 34 months
Systematic assessment of adverse events: Routine review of and for adverse events at each scheduled visit through investigator assessment and laboratory testing. 36 participants enrolled in the study, one participant withdrew consent, therefore 35 were included in adverse events assessment.

Additional Information

Gulam Manji, MD, PhD

Columbia University

Phone: 212-305-7115

Results disclosure agreements

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