Trial Outcomes & Findings for Neoadjuvant Modified FOLFIRINOX and Stereotactic Body Radiation Therapy in Borderline Resectable Pancreatic Adenocarcinoma (NCT NCT03099265)

NCT ID: NCT03099265

Last Updated: 2022-10-27

Results Overview

The primary outcome of this study is the R0 resection count of patients with BRPC treated with neoadjuvant mFOLFIRINOX and SBRT. R0 resection indicates a microscopically margin-negative resection, in which no gross or microscopic tumor remains in the primary tumor bed. When the study results were entered, rate was replaced with count as the manner in which these data were summarized.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

9 participants

Primary outcome timeframe

Up to 40 weeks

Results posted on

2022-10-27

Participant Flow

Participant milestones

Participant milestones
Measure
Patients With Borderline Resectable Pancreatic Adenocarcinoma
Borderline resectable disease will be defined by NCCN criteria, and determined centrally by review of a diagnostic pancreas protocol CT scan and/or MRI scan with contrast by a dedicated surgical oncologist and radiologist. neoadjuvant mFOLFIRINOX: Patients will receive 8 cycles of mFOLFIRINOX every 2 weeks. mFOLFIRINOX will be dosed as follows: Oxaliplatin 85 mg/m2, followed by folinic acid 400 mg/m2 infused over 120 minutes and irinotecan 135 mg/m2 infused over 90 minutes, followed by 5-fluorouracil 300 mg/m2 IV bolus, followed by 2,400 mg/m2 continuous infusion for 46 hours. Levoleucovorin may be substituted for folinic acid at a dose of 200 mg/m2 infused over 120 minutes. Stereotactic body radiotherapy (SBRT): Stereotactic body radiotherapy (SBRT) will be delivered to the primary tumor and any adjacent involved nodes to 33 Gy in 5 fractions over the course of 2 weeks, and within 4 weeks of chemotherapy.
Overall Study
STARTED
9
Overall Study
Per Protocol Week 12
8
Overall Study
Per Protocol Week 24
4
Overall Study
COMPLETED
8
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Patients With Borderline Resectable Pancreatic Adenocarcinoma
Borderline resectable disease will be defined by NCCN criteria, and determined centrally by review of a diagnostic pancreas protocol CT scan and/or MRI scan with contrast by a dedicated surgical oncologist and radiologist. neoadjuvant mFOLFIRINOX: Patients will receive 8 cycles of mFOLFIRINOX every 2 weeks. mFOLFIRINOX will be dosed as follows: Oxaliplatin 85 mg/m2, followed by folinic acid 400 mg/m2 infused over 120 minutes and irinotecan 135 mg/m2 infused over 90 minutes, followed by 5-fluorouracil 300 mg/m2 IV bolus, followed by 2,400 mg/m2 continuous infusion for 46 hours. Levoleucovorin may be substituted for folinic acid at a dose of 200 mg/m2 infused over 120 minutes. Stereotactic body radiotherapy (SBRT): Stereotactic body radiotherapy (SBRT) will be delivered to the primary tumor and any adjacent involved nodes to 33 Gy in 5 fractions over the course of 2 weeks, and within 4 weeks of chemotherapy.
Overall Study
Adverse Event
1

Baseline Characteristics

Neoadjuvant Modified FOLFIRINOX and Stereotactic Body Radiation Therapy in Borderline Resectable Pancreatic Adenocarcinoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Patients With Borderline Resectable Pancreatic Adenocarcinoma
n=9 Participants
Borderline resectable disease will be defined by NCCN criteria, and determined centrally by review of a diagnostic pancreas protocol CT scan and/or MRI scan with contrast by a dedicated surgical oncologist and radiologist. neoadjuvant mFOLFIRINOX: Patients will receive 8 cycles of mFOLFIRINOX every 2 weeks. mFOLFIRINOX will be dosed as follows: Oxaliplatin 85 mg/m2, followed by folinic acid 400 mg/m2 infused over 120 minutes and irinotecan 135 mg/m2 infused over 90 minutes, followed by 5-fluorouracil 300 mg/m2 IV bolus, followed by 2,400 mg/m2 continuous infusion for 46 hours. Levoleucovorin may be substituted for folinic acid at a dose of 200 mg/m2 infused over 120 minutes. Stereotactic body radiotherapy (SBRT): Stereotactic body radiotherapy (SBRT) will be delivered to the primary tumor and any adjacent involved nodes to 33 Gy in 5 fractions over the course of 2 weeks, and within 4 weeks of chemotherapy.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
6 Participants
n=5 Participants
Age, Categorical
>=65 years
3 Participants
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 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
0 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
2 Participants
n=5 Participants
Race (NIH/OMB)
White
6 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
9 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 40 weeks

The primary outcome of this study is the R0 resection count of patients with BRPC treated with neoadjuvant mFOLFIRINOX and SBRT. R0 resection indicates a microscopically margin-negative resection, in which no gross or microscopic tumor remains in the primary tumor bed. When the study results were entered, rate was replaced with count as the manner in which these data were summarized.

Outcome measures

Outcome measures
Measure
Patients With Borderline Resectable Pancreatic Adenocarcinoma
n=9 Participants
Borderline resectable disease will be defined by NCCN criteria, and determined centrally by review of a diagnostic pancreas protocol CT scan and/or MRI scan with contrast by a dedicated surgical oncologist and radiologist. neoadjuvant mFOLFIRINOX: Patients will receive 8 cycles of mFOLFIRINOX every 2 weeks. mFOLFIRINOX will be dosed as follows: Oxaliplatin 85 mg/m2, followed by folinic acid 400 mg/m2 infused over 120 minutes and irinotecan 135 mg/m2 infused over 90 minutes, followed by 5-fluorouracil 300 mg/m2 IV bolus, followed by 2,400 mg/m2 continuous infusion for 46 hours. Levoleucovorin may be substituted for folinic acid at a dose of 200 mg/m2 infused over 120 minutes. Stereotactic body radiotherapy (SBRT): Stereotactic body radiotherapy (SBRT) will be delivered to the primary tumor and any adjacent involved nodes to 33 Gy in 5 fractions over the course of 2 weeks, and within 4 weeks of chemotherapy.
Number of Participants With and Without R0 Resection
Yes
2 Participants
Number of Participants With and Without R0 Resection
No
7 Participants

SECONDARY outcome

Timeframe: Up to 40 weeks

Response to treatment will be assessed by the treating physicians and investigators according to RECIST version 1.1. Counts of participants' RECIST category at their final visit up to 40 weeks below are provided. Per Response Evaluation Criteria In Solid TumorsCriteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response(CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

Outcome measures

Outcome measures
Measure
Patients With Borderline Resectable Pancreatic Adenocarcinoma
n=9 Participants
Borderline resectable disease will be defined by NCCN criteria, and determined centrally by review of a diagnostic pancreas protocol CT scan and/or MRI scan with contrast by a dedicated surgical oncologist and radiologist. neoadjuvant mFOLFIRINOX: Patients will receive 8 cycles of mFOLFIRINOX every 2 weeks. mFOLFIRINOX will be dosed as follows: Oxaliplatin 85 mg/m2, followed by folinic acid 400 mg/m2 infused over 120 minutes and irinotecan 135 mg/m2 infused over 90 minutes, followed by 5-fluorouracil 300 mg/m2 IV bolus, followed by 2,400 mg/m2 continuous infusion for 46 hours. Levoleucovorin may be substituted for folinic acid at a dose of 200 mg/m2 infused over 120 minutes. Stereotactic body radiotherapy (SBRT): Stereotactic body radiotherapy (SBRT) will be delivered to the primary tumor and any adjacent involved nodes to 33 Gy in 5 fractions over the course of 2 weeks, and within 4 weeks of chemotherapy.
Number of Participants Response to Neoadjuvant Therapy Using RECIST
stable disease (SD)
7 Participants
Number of Participants Response to Neoadjuvant Therapy Using RECIST
progressive disease (PD)
1 Participants
Number of Participants Response to Neoadjuvant Therapy Using RECIST
partial response (PR)
1 Participants

SECONDARY outcome

Timeframe: Up to 40 weeks

Population: Only patients with R0 resection had pathologic response assesssed.

A pathologic complete response is defined as the absence of residual invasive disease at the completion of the neoadjuvant treatment. This was performed only in those that had R0 resection performed.

Outcome measures

Outcome measures
Measure
Patients With Borderline Resectable Pancreatic Adenocarcinoma
n=2 Participants
Borderline resectable disease will be defined by NCCN criteria, and determined centrally by review of a diagnostic pancreas protocol CT scan and/or MRI scan with contrast by a dedicated surgical oncologist and radiologist. neoadjuvant mFOLFIRINOX: Patients will receive 8 cycles of mFOLFIRINOX every 2 weeks. mFOLFIRINOX will be dosed as follows: Oxaliplatin 85 mg/m2, followed by folinic acid 400 mg/m2 infused over 120 minutes and irinotecan 135 mg/m2 infused over 90 minutes, followed by 5-fluorouracil 300 mg/m2 IV bolus, followed by 2,400 mg/m2 continuous infusion for 46 hours. Levoleucovorin may be substituted for folinic acid at a dose of 200 mg/m2 infused over 120 minutes. Stereotactic body radiotherapy (SBRT): Stereotactic body radiotherapy (SBRT) will be delivered to the primary tumor and any adjacent involved nodes to 33 Gy in 5 fractions over the course of 2 weeks, and within 4 weeks of chemotherapy.
Number of Participants With and Without Pathologic Response to Neoadjuvant Therapy
Yes
0 Participants
Number of Participants With and Without Pathologic Response to Neoadjuvant Therapy
No
2 Participants

SECONDARY outcome

Timeframe: Up to 40 weeks

Population: This population includes the 8 of 9 patients that experienced disease progression.

Number of participants with and without recurrence following surgery. This outcome was updated when the results were entered.

Outcome measures

Outcome measures
Measure
Patients With Borderline Resectable Pancreatic Adenocarcinoma
n=8 Participants
Borderline resectable disease will be defined by NCCN criteria, and determined centrally by review of a diagnostic pancreas protocol CT scan and/or MRI scan with contrast by a dedicated surgical oncologist and radiologist. neoadjuvant mFOLFIRINOX: Patients will receive 8 cycles of mFOLFIRINOX every 2 weeks. mFOLFIRINOX will be dosed as follows: Oxaliplatin 85 mg/m2, followed by folinic acid 400 mg/m2 infused over 120 minutes and irinotecan 135 mg/m2 infused over 90 minutes, followed by 5-fluorouracil 300 mg/m2 IV bolus, followed by 2,400 mg/m2 continuous infusion for 46 hours. Levoleucovorin may be substituted for folinic acid at a dose of 200 mg/m2 infused over 120 minutes. Stereotactic body radiotherapy (SBRT): Stereotactic body radiotherapy (SBRT) will be delivered to the primary tumor and any adjacent involved nodes to 33 Gy in 5 fractions over the course of 2 weeks, and within 4 weeks of chemotherapy.
Number of Participants With and Without Recurrence
Local Progression
4 Participants
Number of Participants With and Without Recurrence
Metastatic Progression
4 Participants

SECONDARY outcome

Timeframe: Up to 2 years

Presented are count of patients that had experienced either progression free survival or disease progression through the follow up period.

Outcome measures

Outcome measures
Measure
Patients With Borderline Resectable Pancreatic Adenocarcinoma
n=9 Participants
Borderline resectable disease will be defined by NCCN criteria, and determined centrally by review of a diagnostic pancreas protocol CT scan and/or MRI scan with contrast by a dedicated surgical oncologist and radiologist. neoadjuvant mFOLFIRINOX: Patients will receive 8 cycles of mFOLFIRINOX every 2 weeks. mFOLFIRINOX will be dosed as follows: Oxaliplatin 85 mg/m2, followed by folinic acid 400 mg/m2 infused over 120 minutes and irinotecan 135 mg/m2 infused over 90 minutes, followed by 5-fluorouracil 300 mg/m2 IV bolus, followed by 2,400 mg/m2 continuous infusion for 46 hours. Levoleucovorin may be substituted for folinic acid at a dose of 200 mg/m2 infused over 120 minutes. Stereotactic body radiotherapy (SBRT): Stereotactic body radiotherapy (SBRT) will be delivered to the primary tumor and any adjacent involved nodes to 33 Gy in 5 fractions over the course of 2 weeks, and within 4 weeks of chemotherapy.
Number of Participants: Progression Free Survival
Progression Free Survival
1 Participants
Number of Participants: Progression Free Survival
Disease Progression
8 Participants

SECONDARY outcome

Timeframe: Up to 2 years

Presented are counts of patients that we either deceased or not deceased at the end of the follow up period.

Outcome measures

Outcome measures
Measure
Patients With Borderline Resectable Pancreatic Adenocarcinoma
n=9 Participants
Borderline resectable disease will be defined by NCCN criteria, and determined centrally by review of a diagnostic pancreas protocol CT scan and/or MRI scan with contrast by a dedicated surgical oncologist and radiologist. neoadjuvant mFOLFIRINOX: Patients will receive 8 cycles of mFOLFIRINOX every 2 weeks. mFOLFIRINOX will be dosed as follows: Oxaliplatin 85 mg/m2, followed by folinic acid 400 mg/m2 infused over 120 minutes and irinotecan 135 mg/m2 infused over 90 minutes, followed by 5-fluorouracil 300 mg/m2 IV bolus, followed by 2,400 mg/m2 continuous infusion for 46 hours. Levoleucovorin may be substituted for folinic acid at a dose of 200 mg/m2 infused over 120 minutes. Stereotactic body radiotherapy (SBRT): Stereotactic body radiotherapy (SBRT) will be delivered to the primary tumor and any adjacent involved nodes to 33 Gy in 5 fractions over the course of 2 weeks, and within 4 weeks of chemotherapy.
Number of Participants: Overall Survival
Deceased
6 Participants
Number of Participants: Overall Survival
Not Deceased
3 Participants

SECONDARY outcome

Timeframe: Up to 40 weeks

To determine rates of grade 3 or greater gastrointestinal toxicity, including acute toxicities occurring within 3 months of treatment, and late toxicities occurring over 3 months after completion of radiation. This outcome was clarified when results were entered. The number of patients that experienced at least 1 grade 3 (or greater) event are presented.

Outcome measures

Outcome measures
Measure
Patients With Borderline Resectable Pancreatic Adenocarcinoma
n=9 Participants
Borderline resectable disease will be defined by NCCN criteria, and determined centrally by review of a diagnostic pancreas protocol CT scan and/or MRI scan with contrast by a dedicated surgical oncologist and radiologist. neoadjuvant mFOLFIRINOX: Patients will receive 8 cycles of mFOLFIRINOX every 2 weeks. mFOLFIRINOX will be dosed as follows: Oxaliplatin 85 mg/m2, followed by folinic acid 400 mg/m2 infused over 120 minutes and irinotecan 135 mg/m2 infused over 90 minutes, followed by 5-fluorouracil 300 mg/m2 IV bolus, followed by 2,400 mg/m2 continuous infusion for 46 hours. Levoleucovorin may be substituted for folinic acid at a dose of 200 mg/m2 infused over 120 minutes. Stereotactic body radiotherapy (SBRT): Stereotactic body radiotherapy (SBRT) will be delivered to the primary tumor and any adjacent involved nodes to 33 Gy in 5 fractions over the course of 2 weeks, and within 4 weeks of chemotherapy.
Grade 3 or Greater Acute and Late Gastrointestinal Toxicity
5 Participants

Adverse Events

Patients With Borderline Resectable Pancreatic Adenocarcinoma

Serious events: 6 serious events
Other events: 9 other events
Deaths: 6 deaths

Serious adverse events

Serious adverse events
Measure
Patients With Borderline Resectable Pancreatic Adenocarcinoma
n=9 participants at risk
Borderline resectable disease will be defined by NCCN criteria, and determined centrally by review of a diagnostic pancreas protocol CT scan and/or MRI scan with contrast by a dedicated surgical oncologist and radiologist. neoadjuvant mFOLFIRINOX: Patients will receive 8 cycles of mFOLFIRINOX every 2 weeks. mFOLFIRINOX will be dosed as follows: Oxaliplatin 85 mg/m2, followed by folinic acid 400 mg/m2 infused over 120 minutes and irinotecan 135 mg/m2 infused over 90 minutes, followed by 5-fluorouracil 300 mg/m2 IV bolus, followed by 2,400 mg/m2 continuous infusion for 46 hours. Levoleucovorin may be substituted for folinic acid at a dose of 200 mg/m2 infused over 120 minutes. Stereotactic body radiotherapy (SBRT): Stereotactic body radiotherapy (SBRT) will be delivered to the primary tumor and any adjacent involved nodes to 33 Gy in 5 fractions over the course of 2 weeks, and within 4 weeks of chemotherapy.
Blood and lymphatic system disorders
Anemia
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Gastrointestinal disorders
Abdominal pain
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Gastrointestinal disorders
Colitis
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Gastrointestinal disorders
Gastric ulcer
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Gastrointestinal disorders
Nausea
22.2%
2/9 • Number of events 2 • Up to 40 weeks
Gastrointestinal disorders
Vomiting
11.1%
1/9 • Number of events 1 • Up to 40 weeks
General disorders
Fever
22.2%
2/9 • Number of events 2 • Up to 40 weeks
General disorders
Malaise
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Hepatobiliary disorders
Hepatobility disorders - Other, specify
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Infections and infestations
Sepsis
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Infections and infestations
Upper respiratory infection
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Vascular disorders
Hypertension
11.1%
1/9 • Number of events 2 • Up to 40 weeks
Vascular disorders
Hypotension
11.1%
1/9 • Number of events 1 • Up to 40 weeks

Other adverse events

Other adverse events
Measure
Patients With Borderline Resectable Pancreatic Adenocarcinoma
n=9 participants at risk
Borderline resectable disease will be defined by NCCN criteria, and determined centrally by review of a diagnostic pancreas protocol CT scan and/or MRI scan with contrast by a dedicated surgical oncologist and radiologist. neoadjuvant mFOLFIRINOX: Patients will receive 8 cycles of mFOLFIRINOX every 2 weeks. mFOLFIRINOX will be dosed as follows: Oxaliplatin 85 mg/m2, followed by folinic acid 400 mg/m2 infused over 120 minutes and irinotecan 135 mg/m2 infused over 90 minutes, followed by 5-fluorouracil 300 mg/m2 IV bolus, followed by 2,400 mg/m2 continuous infusion for 46 hours. Levoleucovorin may be substituted for folinic acid at a dose of 200 mg/m2 infused over 120 minutes. Stereotactic body radiotherapy (SBRT): Stereotactic body radiotherapy (SBRT) will be delivered to the primary tumor and any adjacent involved nodes to 33 Gy in 5 fractions over the course of 2 weeks, and within 4 weeks of chemotherapy.
Ear and labyrinth disorders
Ear and labyrinth disorders - Other, specify
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Endocrine disorders
Hyperthyroidism
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Gastrointestinal disorders
Abdominal pain
77.8%
7/9 • Number of events 9 • Up to 40 weeks
Gastrointestinal disorders
Constipation
77.8%
7/9 • Number of events 9 • Up to 40 weeks
Gastrointestinal disorders
Diarrhea
77.8%
7/9 • Number of events 19 • Up to 40 weeks
Gastrointestinal disorders
Dry mouth
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Gastrointestinal disorders
Dyspepsia
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Gastrointestinal disorders
Flatulence
22.2%
2/9 • Number of events 3 • Up to 40 weeks
Gastrointestinal disorders
Gastrointestinal disorders - Other, specify
44.4%
4/9 • Number of events 5 • Up to 40 weeks
Gastrointestinal disorders
Hemorrhoids
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Gastrointestinal disorders
Nausea
88.9%
8/9 • Number of events 12 • Up to 40 weeks
Gastrointestinal disorders
Pancreatitis
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Gastrointestinal disorders
Rectal hemorrhage
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Gastrointestinal disorders
Vomiting
11.1%
1/9 • Number of events 4 • Up to 40 weeks
Gastrointestinal disorders
Oral dysesthesia
22.2%
2/9 • Number of events 3 • Up to 40 weeks
Gastrointestinal disorders
Gastroesophageal reflux disease
55.6%
5/9 • Number of events 6 • Up to 40 weeks
General disorders
Fatigue
100.0%
9/9 • Number of events 16 • Up to 40 weeks
General disorders
Gait disturbance
11.1%
1/9 • Number of events 1 • Up to 40 weeks
General disorders
General disorders and administration site conditions - Other, specify
66.7%
6/9 • Number of events 10 • Up to 40 weeks
General disorders
Irritability
11.1%
1/9 • Number of events 1 • Up to 40 weeks
General disorders
Pain
11.1%
1/9 • Number of events 1 • Up to 40 weeks
General disorders
Edema limbs
33.3%
3/9 • Number of events 3 • Up to 40 weeks
General disorders
Infusion related reaction
44.4%
4/9 • Number of events 4 • Up to 40 weeks
General disorders
Non-cardiac chest pain
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Hepatobiliary disorders
Hepatobiliary disorders - Other, specify
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Hepatobiliary disorders
Portal vein thrombosis
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Vascular disorders
Hypertension
11.1%
1/9 • Number of events 2 • Up to 40 weeks
Blood and lymphatic system disorders
Anemia
33.3%
3/9 • Number of events 3 • Up to 40 weeks
Blood and lymphatic system disorders
Blood and lymphatic system disorders - Other, specify
22.2%
2/9 • Number of events 5 • Up to 40 weeks
Infections and infestations
Infections and infestations - Other, specify
22.2%
2/9 • Number of events 3 • Up to 40 weeks
Infections and infestations
Upper respiratory infection
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Infections and infestations
Urinary tract infection
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Injury, poisoning and procedural complications
Injury, poisoning and procedural complications - Other, specify
11.1%
1/9 • Number of events 2 • Up to 40 weeks
Investigations
Alanine aminotransferase increased
33.3%
3/9 • Number of events 5 • Up to 40 weeks
Investigations
Alkaline phosphatase increased
33.3%
3/9 • Number of events 6 • Up to 40 weeks
Investigations
Aspartate aminotransferase increased
22.2%
2/9 • Number of events 6 • Up to 40 weeks
Investigations
Blood bilirubin increased
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Investigations
Investigations - Other, specify
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Investigations
Neutrophil count decreased
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Investigations
Platelet count decreased
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Investigations
Weight gain
11.1%
1/9 • Number of events 2 • Up to 40 weeks
Investigations
Weight loss
55.6%
5/9 • Number of events 11 • Up to 40 weeks
Investigations
White blood cell decreased
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Metabolism and nutrition disorders
Anorexia
88.9%
8/9 • Number of events 11 • Up to 40 weeks
Metabolism and nutrition disorders
Hyperglycemia
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Metabolism and nutrition disorders
Hypoalbuminemia
22.2%
2/9 • Number of events 3 • Up to 40 weeks
Metabolism and nutrition disorders
Hypokalemia
22.2%
2/9 • Number of events 2 • Up to 40 weeks
Musculoskeletal and connective tissue disorders
Back pain
33.3%
3/9 • Number of events 3 • Up to 40 weeks
Musculoskeletal and connective tissue disorders
Myalgia
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Musculoskeletal and connective tissue disorders
Neck pain
11.1%
1/9 • Number of events 2 • Up to 40 weeks
Nervous system disorders
Amnesia
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Nervous system disorders
Dizziness
22.2%
2/9 • Number of events 2 • Up to 40 weeks
Nervous system disorders
Dysarthria
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Nervous system disorders
Dysgeusia
22.2%
2/9 • Number of events 2 • Up to 40 weeks
Nervous system disorders
Headache
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Nervous system disorders
Nervous system disorders - Other, specify
22.2%
2/9 • Number of events 4 • Up to 40 weeks
Nervous system disorders
Paresthesia
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Nervous system disorders
Peripheral sensory neuropathy
66.7%
6/9 • Number of events 7 • Up to 40 weeks
Nervous system disorders
Reversible posterior leukoencephalopathy syndrome
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Psychiatric disorders
Anxiety
22.2%
2/9 • Number of events 2 • Up to 40 weeks
Psychiatric disorders
Depression
22.2%
2/9 • Number of events 2 • Up to 40 weeks
Psychiatric disorders
Insomnia
66.7%
6/9 • Number of events 6 • Up to 40 weeks
Cardiac disorders
Palpitations
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Renal and urinary disorders
Renal and urinary disorders - Other, specify
22.2%
2/9 • Number of events 2 • Up to 40 weeks
Renal and urinary disorders
Urine discoloration
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Reproductive system and breast disorders
Erectile dysfunction
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Respiratory, thoracic and mediastinal disorders
Dyspnea
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Respiratory, thoracic and mediastinal disorders
Epistaxis
33.3%
3/9 • Number of events 3 • Up to 40 weeks
Respiratory, thoracic and mediastinal disorders
Nasal congestion
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Respiratory, thoracic and mediastinal disorders
Postnasal drip
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Respiratory, thoracic and mediastinal disorders
Productive cough
22.2%
2/9 • Number of events 2 • Up to 40 weeks
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - Other, specify
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Respiratory, thoracic and mediastinal disorders
Sore throat
11.1%
1/9 • Number of events 2 • Up to 40 weeks
Skin and subcutaneous tissue disorders
Alopecia
33.3%
3/9 • Number of events 4 • Up to 40 weeks
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify
11.1%
1/9 • Number of events 1 • Up to 40 weeks
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
22.2%
2/9 • Number of events 2 • Up to 40 weeks

Additional Information

Kimberly L. Johung, MD, PhD Associate Professor of Therapeutic Radiology

Yale School of Medicine

Phone: (203) 200-2008

Results disclosure agreements

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