Trial Outcomes & Findings for De-Escalation Therapy for Human Papillomavirus Negative Disease (NCT NCT03944915)

NCT ID: NCT03944915

Last Updated: 2025-05-11

Results Overview

DRR is 50% or greater response to induction therapy based on RECIST criteria. The objective is to intensify induction chemotherapy with the addition of an immune checkpoint inhibitor aimed at increasing the proportion of patients achieving a deep tumor response in order to subsequently allow risk-adapted definitive chemoradiotherapy in advanced stage HPV negative head and neck squamous cell cancer patients.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

35 participants

Primary outcome timeframe

2 years

Results posted on

2025-05-11

Participant Flow

Participant milestones

Participant milestones
Measure
Standard Chemotherapy
Induction Therapy Carboplatin: Carboplatin will be given through IV infusions for 30-60 minutes on day 1 of each cycle. Each cycle will last 21 days. There will be 3 cycles. Paclitaxel: During Induction Therapy Paclitaxel (100 mg) will be given through IV infusions on days 1, 8 and 15 of each 21 day cycle. There will be 3 cycles. During Radiotherapy, paclitaxel will be given after a dose of radiation by IV infusion for 60 minutes after day 1 of radiotherapy. Nivolumab: Nivolumab will be given through IV infusions at 360 mg on day 1 every 21 days for 3 cycles.
De-escalated Chemotherapy
Radiation therapy with chemotherapy Paclitaxel: During Induction Therapy Paclitaxel (100 mg) will be given through IV infusions on days 1, 8 and 15 of each 21 day cycle. There will be 3 cycles. During Radiotherapy, paclitaxel will be given after a dose of radiation by IV infusion for 60 minutes after day 1 of radiotherapy. Radiation: Patients will receive 4.5-5 cycles of radiation depending on response. Those with a positive response will receive radiation for 4.5 cycles with a total radiation dose of 66 Gy. Patients with a moderate or no response will receive 5 cycles with a total radiation dose of 70-75 Gy. 2 times a day for days 1-5 followed by a rest period for days 6-13 Hydroxyurea Pill: One dose of hydroxyurea pill by mouth at start of 5-FU infusion during radiotherapy cycle 5-fluorouracil: 5-FU will be given by IV infusion continuously for 5 days during radiotherapy cycles Filgrastim Injection: Filgrastim shot will be given if patient has certain side effects during radiotherapy cycle on days 6-12. Cisplatin: Radiotherapy may also be given with a different chemotherapy agent called cisplatin. This is the traditional standard of care chemotherapy regimen. In this case, the radiotherapy will be given once daily for 5 days per week. Cisplatin will be administered via IV once every 21 days for 2 or 3 cycles.
Overall Study
STARTED
16
19
Overall Study
COMPLETED
16
19
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

De-Escalation Therapy for Human Papillomavirus Negative Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard Chemotherapy
n=16 Participants
Standard chemoradiotherapy with paclitaxel, 5-FU, hydroxyurea and hyperfractionated, accelerated radiotherapy to 75 Gy encompassing GTV of primary and nodal disease as well as elective prophylactic nodal irradiation. OR Standard chemoradiotherapy with cisplatin and radiotherapy to 70 Gy encompassing GTV of primary and nodal disease as well as elective prophylactic nodal irradiation
De-escalated Chemotherapy
n=19 Participants
De-escalated chemoradiotherapy with paclitaxel, 5-FU, hydroxyurea and hyperfractionated, accelerated radiotherapy to 66 Gy encompassing GTV of primary and nodal disease without elective prophylactic nodal irradiation. OR De-escalated chemoradiotherapy with cisplatin and radiotherapy to 66 Gy encompassing GTV of primary and nodal disease without elective prophylactic nodal irradiation.
Total
n=35 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
11 Participants
n=5 Participants
11 Participants
n=7 Participants
22 Participants
n=5 Participants
Age, Categorical
>=65 years
5 Participants
n=5 Participants
8 Participants
n=7 Participants
13 Participants
n=5 Participants
Age, Continuous
57.0 years
STANDARD_DEVIATION 11.9 • n=5 Participants
60.1 years
STANDARD_DEVIATION 12.4 • n=7 Participants
58.7 years
STANDARD_DEVIATION 12.1 • n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
6 Participants
n=7 Participants
8 Participants
n=5 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
13 Participants
n=7 Participants
27 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
15 Participants
n=5 Participants
19 Participants
n=7 Participants
34 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
White
14 Participants
n=5 Participants
13 Participants
n=7 Participants
27 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Region of Enrollment
United States
16 participants
n=5 Participants
19 participants
n=7 Participants
35 participants
n=5 Participants

PRIMARY outcome

Timeframe: 2 years

DRR is 50% or greater response to induction therapy based on RECIST criteria. The objective is to intensify induction chemotherapy with the addition of an immune checkpoint inhibitor aimed at increasing the proportion of patients achieving a deep tumor response in order to subsequently allow risk-adapted definitive chemoradiotherapy in advanced stage HPV negative head and neck squamous cell cancer patients.

Outcome measures

Outcome measures
Measure
Standard Chemotherapy
n=16 Participants
Standard chemoradiotherapy with paclitaxel, 5-FU, hydroxyurea and hyperfractionated, accelerated radiotherapy to 75 Gy encompassing GTV of primary and nodal disease as well as elective prophylactic nodal irradiation. OR Standard chemoradiotherapy with cisplatin and radiotherapy to 70 Gy encompassing GTV of primary and nodal disease as well as elective prophylactic nodal irradiation
De-escalated Chemotherapy
n=19 Participants
De-escalated chemoradiotherapy with paclitaxel, 5-FU, hydroxyurea and hyperfractionated, accelerated radiotherapy to 66 Gy encompassing GTV of primary and nodal disease without elective prophylactic nodal irradiation. OR De-escalated chemoradiotherapy with cisplatin and radiotherapy to 66 Gy encompassing GTV of primary and nodal disease without elective prophylactic nodal irradiation.
Deep Response Rate (DRR)
16 Participants
19 Participants

SECONDARY outcome

Timeframe: 26 months

Progression free survival at 24 months after completing chemoradiation. PFS will be defined as the time from registration to the date of the first documented disease progression, clinical progression, or death due to any cause, whichever occurs first.

Outcome measures

Outcome measures
Measure
Standard Chemotherapy
n=16 Participants
Standard chemoradiotherapy with paclitaxel, 5-FU, hydroxyurea and hyperfractionated, accelerated radiotherapy to 75 Gy encompassing GTV of primary and nodal disease as well as elective prophylactic nodal irradiation. OR Standard chemoradiotherapy with cisplatin and radiotherapy to 70 Gy encompassing GTV of primary and nodal disease as well as elective prophylactic nodal irradiation
De-escalated Chemotherapy
n=19 Participants
De-escalated chemoradiotherapy with paclitaxel, 5-FU, hydroxyurea and hyperfractionated, accelerated radiotherapy to 66 Gy encompassing GTV of primary and nodal disease without elective prophylactic nodal irradiation. OR De-escalated chemoradiotherapy with cisplatin and radiotherapy to 66 Gy encompassing GTV of primary and nodal disease without elective prophylactic nodal irradiation.
Progression Free Survival Rate (PFS)
69 percentage of patients in each arm
Interval 40.0 to 86.0
69 percentage of patients in each arm
Interval 39.0 to 87.0

SECONDARY outcome

Timeframe: 26 months

Overall survival will be defined as the time between the date of registration and the date of death.

Outcome measures

Outcome measures
Measure
Standard Chemotherapy
n=16 Participants
Standard chemoradiotherapy with paclitaxel, 5-FU, hydroxyurea and hyperfractionated, accelerated radiotherapy to 75 Gy encompassing GTV of primary and nodal disease as well as elective prophylactic nodal irradiation. OR Standard chemoradiotherapy with cisplatin and radiotherapy to 70 Gy encompassing GTV of primary and nodal disease as well as elective prophylactic nodal irradiation
De-escalated Chemotherapy
n=19 Participants
De-escalated chemoradiotherapy with paclitaxel, 5-FU, hydroxyurea and hyperfractionated, accelerated radiotherapy to 66 Gy encompassing GTV of primary and nodal disease without elective prophylactic nodal irradiation. OR De-escalated chemoradiotherapy with cisplatin and radiotherapy to 66 Gy encompassing GTV of primary and nodal disease without elective prophylactic nodal irradiation.
Overall Survival Rate (OS)
79 percentage of patients in each arm
Interval 47.0 to 93.0
74 percentage of patients in each arm
Interval 41.0 to 90.0

SECONDARY outcome

Timeframe: 26 months

Assess disease control in all patients receiving induction chemoimmunotherapy and compare disease control between radiation arms.

Outcome measures

Outcome measures
Measure
Standard Chemotherapy
n=16 Participants
Standard chemoradiotherapy with paclitaxel, 5-FU, hydroxyurea and hyperfractionated, accelerated radiotherapy to 75 Gy encompassing GTV of primary and nodal disease as well as elective prophylactic nodal irradiation. OR Standard chemoradiotherapy with cisplatin and radiotherapy to 70 Gy encompassing GTV of primary and nodal disease as well as elective prophylactic nodal irradiation
De-escalated Chemotherapy
n=19 Participants
De-escalated chemoradiotherapy with paclitaxel, 5-FU, hydroxyurea and hyperfractionated, accelerated radiotherapy to 66 Gy encompassing GTV of primary and nodal disease without elective prophylactic nodal irradiation. OR De-escalated chemoradiotherapy with cisplatin and radiotherapy to 66 Gy encompassing GTV of primary and nodal disease without elective prophylactic nodal irradiation.
Locoregional Control After Completing Chemoradiation
93 percentage of patients in each arm
Interval 61.0 to 99.0
89 percentage of patients in each arm
Interval 63.0 to 97.0

SECONDARY outcome

Timeframe: 26 months

Distant control will be defined as the percent of patients with disease progression below the clavicles. Comparison between the two radiation arms will be made.

Outcome measures

Outcome measures
Measure
Standard Chemotherapy
n=16 Participants
Standard chemoradiotherapy with paclitaxel, 5-FU, hydroxyurea and hyperfractionated, accelerated radiotherapy to 75 Gy encompassing GTV of primary and nodal disease as well as elective prophylactic nodal irradiation. OR Standard chemoradiotherapy with cisplatin and radiotherapy to 70 Gy encompassing GTV of primary and nodal disease as well as elective prophylactic nodal irradiation
De-escalated Chemotherapy
n=19 Participants
De-escalated chemoradiotherapy with paclitaxel, 5-FU, hydroxyurea and hyperfractionated, accelerated radiotherapy to 66 Gy encompassing GTV of primary and nodal disease without elective prophylactic nodal irradiation. OR De-escalated chemoradiotherapy with cisplatin and radiotherapy to 66 Gy encompassing GTV of primary and nodal disease without elective prophylactic nodal irradiation.
Distant Control After Completing Chemoradiation
90 percentage of patients in each arm
Interval 47.0 to 99.0
94 percentage of patients in each arm
Interval 63.0 to 99.0

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Assess long term and late toxicities in all patients receiving induction therapy and risk-adapted chemoradiotherapy after deep response to induction therapy. Acute and late toxicities will be defined using the National Cancer Institute Common Terminology Criteria for Adverse Events. Comparisons will be made using Fisher's exact test. Acute and late toxicity during treatment and at 1 month, 3 months and 1 year post chemoradiation

Outcome measures

Outcome measures
Measure
Standard Chemotherapy
n=16 Participants
Standard chemoradiotherapy with paclitaxel, 5-FU, hydroxyurea and hyperfractionated, accelerated radiotherapy to 75 Gy encompassing GTV of primary and nodal disease as well as elective prophylactic nodal irradiation. OR Standard chemoradiotherapy with cisplatin and radiotherapy to 70 Gy encompassing GTV of primary and nodal disease as well as elective prophylactic nodal irradiation
De-escalated Chemotherapy
n=19 Participants
De-escalated chemoradiotherapy with paclitaxel, 5-FU, hydroxyurea and hyperfractionated, accelerated radiotherapy to 66 Gy encompassing GTV of primary and nodal disease without elective prophylactic nodal irradiation. OR De-escalated chemoradiotherapy with cisplatin and radiotherapy to 66 Gy encompassing GTV of primary and nodal disease without elective prophylactic nodal irradiation.
Acute and Late Toxicity During Treatment
0 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Enteral tube dependency will be defined as continued necessity of any nutrition through enteral tube to maintain weight. The rate of enteral tube dependency will be described within the safety population and among each radiation treatment. Comparisons will be made using Fisher's exact test.

Outcome measures

Outcome measures
Measure
Standard Chemotherapy
n=16 Participants
Standard chemoradiotherapy with paclitaxel, 5-FU, hydroxyurea and hyperfractionated, accelerated radiotherapy to 75 Gy encompassing GTV of primary and nodal disease as well as elective prophylactic nodal irradiation. OR Standard chemoradiotherapy with cisplatin and radiotherapy to 70 Gy encompassing GTV of primary and nodal disease as well as elective prophylactic nodal irradiation
De-escalated Chemotherapy
n=19 Participants
De-escalated chemoradiotherapy with paclitaxel, 5-FU, hydroxyurea and hyperfractionated, accelerated radiotherapy to 66 Gy encompassing GTV of primary and nodal disease without elective prophylactic nodal irradiation. OR De-escalated chemoradiotherapy with cisplatin and radiotherapy to 66 Gy encompassing GTV of primary and nodal disease without elective prophylactic nodal irradiation.
Enteral Tube Dependency
3 participants
3 participants

Adverse Events

Standard Chemotherapy

Serious events: 0 serious events
Other events: 15 other events
Deaths: 3 deaths

De-escalated Chemotherapy

Serious events: 0 serious events
Other events: 15 other events
Deaths: 2 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Standard Chemotherapy
n=16 participants at risk
Standard chemoradiotherapy with paclitaxel, 5-FU, hydroxyurea and hyperfractionated, accelerated radiotherapy to 75 Gy encompassing GTV of primary and nodal disease as well as elective prophylactic nodal irradiation. OR Standard chemoradiotherapy with cisplatin and radiotherapy to 70 Gy encompassing GTV of primary and nodal disease as well as elective prophylactic nodal irradiation
De-escalated Chemotherapy
n=19 participants at risk
De-escalated chemoradiotherapy with paclitaxel, 5-FU, hydroxyurea and hyperfractionated, accelerated radiotherapy to 66 Gy encompassing GTV of primary and nodal disease without elective prophylactic nodal irradiation. OR De-escalated chemoradiotherapy with cisplatin and radiotherapy to 66 Gy encompassing GTV of primary and nodal disease without elective prophylactic nodal irradiation.
Skin and subcutaneous tissue disorders
Photosensitivity
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Skin and subcutaneous tissue disorders
Rash acneiform
6.2%
1/16 • Number of events 2 • 26 months
0.00%
0/19 • 26 months
Skin and subcutaneous tissue disorders
Rash maculo-papular
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
0.00%
0/16 • 26 months
10.5%
2/19 • Number of events 2 • 26 months
Skin and subcutaneous tissue disorders
Skin ulceration
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify
43.8%
7/16 • Number of events 11 • 26 months
21.1%
4/19 • Number of events 6 • 26 months
Vascular disorders
Hot flashes
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Vascular disorders
Hypertension
12.5%
2/16 • Number of events 10 • 26 months
5.3%
1/19 • Number of events 2 • 26 months
Vascular disorders
Hypotension
0.00%
0/16 • 26 months
15.8%
3/19 • Number of events 3 • 26 months
Blood and lymphatic system disorders
Anemia
12.5%
2/16 • Number of events 2 • 26 months
31.6%
6/19 • Number of events 12 • 26 months
Blood and lymphatic system disorders
Febrile neutropenia
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Blood and lymphatic system disorders
Leukocytosis
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Blood and lymphatic system disorders
Blood and lymphatic system disorders - Other, specify
6.2%
1/16 • Number of events 1 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Cardiac disorders
Atrial Fibrillation
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Cardiac disorders
Sinus tachycardia
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Cardiac disorders
Cardiac disorders - Other, specify
6.2%
1/16 • Number of events 1 • 26 months
5.3%
1/19 • Number of events 2 • 26 months
Ear and labyrinth disorders
Hearing impaired
18.8%
3/16 • Number of events 6 • 26 months
15.8%
3/19 • Number of events 3 • 26 months
Ear and labyrinth disorders
Tinnitus
43.8%
7/16 • Number of events 7 • 26 months
36.8%
7/19 • Number of events 8 • 26 months
Ear and labyrinth disorders
Vertigo
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Ear and labyrinth disorders
Ear and labyrinth disorders - Other, specify
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Endocrine disorders
Adrenal insufficiency
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Endocrine disorders
Hyperthyroidism
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Endocrine disorders
Hypothyroidism
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Eye disorders
Blurred vision
6.2%
1/16 • Number of events 1 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Eye disorders
Eye disorders - Other, specify
12.5%
2/16 • Number of events 2 • 26 months
0.00%
0/19 • 26 months
Gastrointestinal disorders
Abdominal distension
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Gastrointestinal disorders
Abdominal pain
12.5%
2/16 • Number of events 2 • 26 months
10.5%
2/19 • Number of events 2 • 26 months
Gastrointestinal disorders
Bloating
0.00%
0/16 • 26 months
10.5%
2/19 • Number of events 2 • 26 months
Gastrointestinal disorders
Constipation
50.0%
8/16 • Number of events 8 • 26 months
36.8%
7/19 • Number of events 8 • 26 months
Gastrointestinal disorders
Diarrhea
25.0%
4/16 • Number of events 5 • 26 months
26.3%
5/19 • Number of events 5 • 26 months
Gastrointestinal disorders
Dry mouth
62.5%
10/16 • Number of events 11 • 26 months
36.8%
7/19 • Number of events 9 • 26 months
Gastrointestinal disorders
Dysphagia
31.2%
5/16 • Number of events 6 • 26 months
26.3%
5/19 • Number of events 6 • 26 months
Gastrointestinal disorders
Esophagitis
18.8%
3/16 • Number of events 4 • 26 months
10.5%
2/19 • Number of events 2 • 26 months
Gastrointestinal disorders
Gastroesophageal reflux disease
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Gastrointestinal disorders
Hemorrhoids
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Gastrointestinal disorders
Lip pain
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Gastrointestinal disorders
Mucositis oral
93.8%
15/16 • Number of events 36 • 26 months
73.7%
14/19 • Number of events 34 • 26 months
Gastrointestinal disorders
Nausea
43.8%
7/16 • Number of events 9 • 26 months
31.6%
6/19 • Number of events 8 • 26 months
Gastrointestinal disorders
Oral pain
6.2%
1/16 • Number of events 1 • 26 months
15.8%
3/19 • Number of events 3 • 26 months
Gastrointestinal disorders
Vomiting
43.8%
7/16 • Number of events 8 • 26 months
10.5%
2/19 • Number of events 4 • 26 months
Gastrointestinal disorders
Gastrointestinal disorders - Other, specify
56.2%
9/16 • Number of events 15 • 26 months
57.9%
11/19 • Number of events 25 • 26 months
General disorders
Chills
6.2%
1/16 • Number of events 1 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
General disorders
Edema limbs
18.8%
3/16 • Number of events 5 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
General disorders
Fatigue
18.8%
3/16 • Number of events 3 • 26 months
31.6%
6/19 • Number of events 7 • 26 months
General disorders
Gait disturbance
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
General disorders
Hypothermia
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
General disorders
Injection site reaction
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
General disorders
Malaise
0.00%
0/16 • 26 months
10.5%
2/19 • Number of events 2 • 26 months
General disorders
General disorders and administration site conditions - Other, specify
6.2%
1/16 • Number of events 1 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Immune system disorders
Immune system disorders - Other, specify
12.5%
2/16 • Number of events 2 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Infections and infestations
Paronychia
6.2%
1/16 • Number of events 2 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Infections and infestations
Infections and infestations - Other, specify
12.5%
2/16 • Number of events 2 • 26 months
0.00%
0/19 • 26 months
Injury, poisoning and procedural complications
Bruising
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Injury, poisoning and procedural complications
Dermatitis radiation
87.5%
14/16 • Number of events 33 • 26 months
68.4%
13/19 • Number of events 25 • 26 months
Injury, poisoning and procedural complications
Fall
6.2%
1/16 • Number of events 2 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Investigations
Alanine aminotransferase increased
6.2%
1/16 • Number of events 7 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Investigations
Alkaline phosphatase increased
6.2%
1/16 • Number of events 5 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Investigations
Aspartate aminotransferase increased
6.2%
1/16 • Number of events 2 • 26 months
0.00%
0/19 • 26 months
Investigations
Creatinine increased
18.8%
3/16 • Number of events 3 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Investigations
Neutrophil count decreased
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Investigations
Platelet count decreased
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 2 • 26 months
Investigations
Weight loss
25.0%
4/16 • Number of events 4 • 26 months
15.8%
3/19 • Number of events 3 • 26 months
Investigations
White blood cell decreased
0.00%
0/16 • 26 months
10.5%
2/19 • Number of events 3 • 26 months
Metabolism and nutrition disorders
Anorexia
31.2%
5/16 • Number of events 7 • 26 months
36.8%
7/19 • Number of events 7 • 26 months
Metabolism and nutrition disorders
Hyperglycemia
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Metabolism and nutrition disorders
Hyperkalemia
18.8%
3/16 • Number of events 3 • 26 months
0.00%
0/19 • 26 months
Metabolism and nutrition disorders
Hypokalemia
37.5%
6/16 • Number of events 9 • 26 months
21.1%
4/19 • Number of events 4 • 26 months
Metabolism and nutrition disorders
Hypomagnesemia
31.2%
5/16 • Number of events 7 • 26 months
5.3%
1/19 • Number of events 2 • 26 months
Metabolism and nutrition disorders
Hyponatremia
18.8%
3/16 • Number of events 6 • 26 months
10.5%
2/19 • Number of events 3 • 26 months
Metabolism and nutrition disorders
Hypophosphatemia
12.5%
2/16 • Number of events 2 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Metabolism and nutrition disorders
Obesity
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Metabolism and nutrition disorders
Metabolism and nutrition disorders - Other, specify
6.2%
1/16 • Number of events 1 • 26 months
10.5%
2/19 • Number of events 2 • 26 months
Musculoskeletal and connective tissue disorders
Arthralgia
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Musculoskeletal and connective tissue disorders
Myalgia
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/16 • 26 months
10.5%
2/19 • Number of events 2 • 26 months
Musculoskeletal and connective tissue disorders
Pain in extremity
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Musculoskeletal and connective tissue disorders
Trismus
6.2%
1/16 • Number of events 1 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Nervous system disorders
Aphonia
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 2 • 26 months
Nervous system disorders
Dizziness
12.5%
2/16 • Number of events 2 • 26 months
10.5%
2/19 • Number of events 2 • 26 months
Nervous system disorders
Dysarthria
6.2%
1/16 • Number of events 1 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Nervous system disorders
Dysgeusia
62.5%
10/16 • Number of events 13 • 26 months
42.1%
8/19 • Number of events 11 • 26 months
Nervous system disorders
Dysphasia
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Nervous system disorders
Headache
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Nervous system disorders
Lethargy
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Nervous system disorders
Peripheral sensory neuropathy
37.5%
6/16 • Number of events 8 • 26 months
21.1%
4/19 • Number of events 6 • 26 months
Nervous system disorders
Presyncope
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Nervous system disorders
Stroke
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Nervous system disorders
Syncope
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 2 • 26 months
Nervous system disorders
Tremor
6.2%
1/16 • Number of events 1 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Nervous system disorders
Nervous system disorders - Other, specify
6.2%
1/16 • Number of events 1 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Psychiatric disorders
Agitation
12.5%
2/16 • Number of events 2 • 26 months
0.00%
0/19 • 26 months
Psychiatric disorders
Anxiety
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Psychiatric disorders
Confusion
12.5%
2/16 • Number of events 5 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Psychiatric disorders
Delirium
6.2%
1/16 • Number of events 2 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Psychiatric disorders
Depression
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Psychiatric disorders
Insomnia
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Renal and urinary disorders
Acute kidney injury
6.2%
1/16 • Number of events 1 • 26 months
21.1%
4/19 • Number of events 5 • 26 months
Renal and urinary disorders
Urinary frequency
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Renal and urinary disorders
Urinary incontinence
6.2%
1/16 • Number of events 2 • 26 months
0.00%
0/19 • 26 months
Renal and urinary disorders
Renal and urinary disorders - Other, specify
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Respiratory, thoracic and mediastinal disorders
Aspiration
6.2%
1/16 • Number of events 1 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Respiratory, thoracic and mediastinal disorders
Cough
6.2%
1/16 • Number of events 2 • 26 months
15.8%
3/19 • Number of events 4 • 26 months
Respiratory, thoracic and mediastinal disorders
Dyspnea
12.5%
2/16 • Number of events 2 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Respiratory, thoracic and mediastinal disorders
Epistaxis
6.2%
1/16 • Number of events 1 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Respiratory, thoracic and mediastinal disorders
Hiccups
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Respiratory, thoracic and mediastinal disorders
Hoarseness
6.2%
1/16 • Number of events 1 • 26 months
15.8%
3/19 • Number of events 3 • 26 months
Respiratory, thoracic and mediastinal disorders
Hypoxia
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Respiratory, thoracic and mediastinal disorders
Nasal congestion
18.8%
3/16 • Number of events 3 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Respiratory, thoracic and mediastinal disorders
Productive cough
12.5%
2/16 • Number of events 2 • 26 months
10.5%
2/19 • Number of events 2 • 26 months
Respiratory, thoracic and mediastinal disorders
Sore throat
43.8%
7/16 • Number of events 9 • 26 months
42.1%
8/19 • Number of events 9 • 26 months
Respiratory, thoracic and mediastinal disorders
Wheezing
6.2%
1/16 • Number of events 1 • 26 months
0.00%
0/19 • 26 months
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - Other, specify
37.5%
6/16 • Number of events 10 • 26 months
21.1%
4/19 • Number of events 4 • 26 months
Skin and subcutaneous tissue disorders
Alopecia
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Skin and subcutaneous tissue disorders
Dry skin
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.00%
0/16 • 26 months
5.3%
1/19 • Number of events 1 • 26 months
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysesthesia syndrome
18.8%
3/16 • Number of events 5 • 26 months
10.5%
2/19 • Number of events 2 • 26 months

Additional Information

Dr. Ari Rosenberg

University of Chicago

Phone: 855-702-8222

Results disclosure agreements

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