Trial Outcomes & Findings for Nivolumab/Ipilimumab Plus Cabozantinib in Patients With Unresectable Advanced Melanoma (NCT NCT04091750)

NCT ID: NCT04091750

Last Updated: 2025-02-25

Results Overview

The PFS rate for nivolumab/ipilimumab plus cabozantinib in patients with unresectable advanced melanoma using imRECIST.

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE2

Target enrollment

14 participants

Primary outcome timeframe

1 year

Results posted on

2025-02-25

Participant Flow

Participant milestones

Participant milestones
Measure
Single Arm
Induction phase: Nivolumab 3mg/kg IV plus Ipilimumab 1mg/kg IV every 3 weeks x 4 cycles (12 week period) Cabozantinib 40mg PO daily for 12 weeks Maintenance phase: Nivolumab 480mg IV every 4 weeks for up to 92 weeks Cabozantinib 40mg PO daily for up to 92 weeks Maintenance therapy will continue for up to 92 weeks to complete 2 years total of treatment if tolerating therapy well and disease is controlled. Nivolumab: Induction: 3mg/kg IV every 3 weeks x 4 cycles Maintenance: 480mg IV every 4 weeks for up to 92 weeks Ipilimumab: Induction: 1mg/kg IV every 3 weeks x 4 cycles Cabozantinib: Induction and Maintenance: 40mg PO daily
Overall Study
STARTED
14
Overall Study
COMPLETED
9
Overall Study
NOT COMPLETED
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Single Arm
Induction phase: Nivolumab 3mg/kg IV plus Ipilimumab 1mg/kg IV every 3 weeks x 4 cycles (12 week period) Cabozantinib 40mg PO daily for 12 weeks Maintenance phase: Nivolumab 480mg IV every 4 weeks for up to 92 weeks Cabozantinib 40mg PO daily for up to 92 weeks Maintenance therapy will continue for up to 92 weeks to complete 2 years total of treatment if tolerating therapy well and disease is controlled. Nivolumab: Induction: 3mg/kg IV every 3 weeks x 4 cycles Maintenance: 480mg IV every 4 weeks for up to 92 weeks Ipilimumab: Induction: 1mg/kg IV every 3 weeks x 4 cycles Cabozantinib: Induction and Maintenance: 40mg PO daily
Overall Study
Adverse Event
4
Overall Study
Withdrawal by Subject
1

Baseline Characteristics

Nivolumab/Ipilimumab Plus Cabozantinib in Patients With Unresectable Advanced Melanoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Single Arm
n=14 Participants
Induction phase: Nivolumab 3mg/kg IV plus Ipilimumab 1mg/kg IV every 3 weeks x 4 cycles (12 week period) Cabozantinib 40mg PO daily for 12 weeks Maintenance phase: Nivolumab 480mg IV every 4 weeks for up to 92 weeks Cabozantinib 40mg PO daily for up to 92 weeks Maintenance therapy will continue for up to 92 weeks to complete 2 years total of treatment if tolerating therapy well and disease is controlled. Nivolumab: Induction: 3mg/kg IV every 3 weeks x 4 cycles Maintenance: 480mg IV every 4 weeks for up to 92 weeks Ipilimumab: Induction: 1mg/kg IV every 3 weeks x 4 cycles Cabozantinib: Induction and Maintenance: 40mg PO daily
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=5 Participants
Age, Categorical
>=65 years
7 Participants
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 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
1 Participants
n=5 Participants
Race (NIH/OMB)
White
10 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 1 year

The PFS rate for nivolumab/ipilimumab plus cabozantinib in patients with unresectable advanced melanoma using imRECIST.

Outcome measures

Outcome measures
Measure
Single Arm
n=14 Participants
Induction phase: Nivolumab 3mg/kg IV plus Ipilimumab 1mg/kg IV every 3 weeks x 4 cycles (12 week period) Cabozantinib 40mg PO daily for 12 weeks Maintenance phase: Nivolumab 480mg IV every 4 weeks for up to 92 weeks Cabozantinib 40mg PO daily for up to 92 weeks Maintenance therapy will continue for up to 92 weeks to complete 2 years total of treatment if tolerating therapy well and disease is controlled. Nivolumab: Induction: 3mg/kg IV every 3 weeks x 4 cycles Maintenance: 480mg IV every 4 weeks for up to 92 weeks Ipilimumab: Induction: 1mg/kg IV every 3 weeks x 4 cycles Cabozantinib: Induction and Maintenance: 40mg PO daily
The Progression Free Survival (PFS) for Nivolumab/Ipilimumab Plus Cabozantinib in Patients With Unresectable Advanced Melanoma.
6 Participants

SECONDARY outcome

Timeframe: 1 year

The ORR by imRECIST of nivolumab/ipilimumab plus cabozantinib in patients with unresectable advanced melanoma.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 3 years

The median and 3 year OS rate of patients with unresectable advanced melanoma treated with nivolumab/ipilimumab plus cabozantinib.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 2 years

The rate of all grade and grade 3-5 adverse events and the rate of discontinuation of study drug(s) due to adverse events.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 3 years

Measured in terms of ORR, PFS, and OS.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 3 years

Measured in terms of ORR, PFS, and OS.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Measured by the change in immune cell populations, CD31 vascularization, and MHC class I expression by multiplex immunofluorescense (IF) between baseline and on treatment tumor specimens.

Outcome measures

Outcome data not reported

Adverse Events

Single Arm

Serious events: 9 serious events
Other events: 14 other events
Deaths: 10 deaths

Serious adverse events

Serious adverse events
Measure
Single Arm
n=14 participants at risk
Induction phase: Nivolumab 3mg/kg IV plus Ipilimumab 1mg/kg IV every 3 weeks x 4 cycles (12 week period) Cabozantinib 40mg PO daily for 12 weeks Maintenance phase: Nivolumab 480mg IV every 4 weeks for up to 92 weeks Cabozantinib 40mg PO daily for up to 92 weeks Maintenance therapy will continue for up to 92 weeks to complete 2 years total of treatment if tolerating therapy well and disease is controlled. Nivolumab: Induction: 3mg/kg IV every 3 weeks x 4 cycles Maintenance: 480mg IV every 4 weeks for up to 92 weeks Ipilimumab: Induction: 1mg/kg IV every 3 weeks x 4 cycles Cabozantinib: Induction and Maintenance: 40mg PO daily
Cardiac disorders
Atrial fibrillation
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Cardiac disorders
Myocardial infarction
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Cardiac disorders
Heart failure
14.3%
2/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Cardiac disorders
Supraventricular tachycardia
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Eye disorders
Eye disorders - Other, specify
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Gastrointestinal disorders
Abdominal pain
7.1%
1/14 • Number of events 3 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Gastrointestinal disorders
Dysphagia
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Gastrointestinal disorders
Vomiting
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
General disorders
Fatigue
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
General disorders
Fever
14.3%
2/14 • Number of events 3 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
General disorders
Non-cardiac chest pain
7.1%
1/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Infections and infestations
Catheter related infection
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Infections and infestations
Urinary tract infection
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Infections and infestations
Upper respiratory infection
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Infections and infestations
Sepsis
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Metabolism and nutrition disorders
Hyperglycemia
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Metabolism and nutrition disorders
Dehydration
14.3%
2/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Metabolism and nutrition disorders
Arthralgia
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Musculoskeletal and connective tissue disorders
Myalgia
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Musculoskeletal and connective tissue disorders
Back pain
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Nervous system disorders
Paresthesia
14.3%
2/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Nervous system disorders
Dizziness
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Nervous system disorders
Syncope
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Psychiatric disorders
Confusion
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Renal and urinary disorders
Acute kidney injury
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Respiratory, thoracic and mediastinal disorders
Pneumonitis
7.1%
1/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).

Other adverse events

Other adverse events
Measure
Single Arm
n=14 participants at risk
Induction phase: Nivolumab 3mg/kg IV plus Ipilimumab 1mg/kg IV every 3 weeks x 4 cycles (12 week period) Cabozantinib 40mg PO daily for 12 weeks Maintenance phase: Nivolumab 480mg IV every 4 weeks for up to 92 weeks Cabozantinib 40mg PO daily for up to 92 weeks Maintenance therapy will continue for up to 92 weeks to complete 2 years total of treatment if tolerating therapy well and disease is controlled. Nivolumab: Induction: 3mg/kg IV every 3 weeks x 4 cycles Maintenance: 480mg IV every 4 weeks for up to 92 weeks Ipilimumab: Induction: 1mg/kg IV every 3 weeks x 4 cycles Cabozantinib: Induction and Maintenance: 40mg PO daily
Gastrointestinal disorders
Diarrhea
42.9%
6/14 • Number of events 22 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Gastrointestinal disorders
Dyspepsia
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Gastrointestinal disorders
Dysphagia
7.1%
1/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Gastrointestinal disorders
Enterocolitis
7.1%
1/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Gastrointestinal disorders
Gastroesophageal reflux disease
21.4%
3/14 • Number of events 4 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Gastrointestinal disorders
Mucositis oral
7.1%
1/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Gastrointestinal disorders
Nausea
21.4%
3/14 • Number of events 5 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Gastrointestinal disorders
Oral pain
14.3%
2/14 • Number of events 3 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Gastrointestinal disorders
Vomiting
21.4%
3/14 • Number of events 10 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
General disorders
Edema face
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
General disorders
Edema limbs
21.4%
3/14 • Number of events 4 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
General disorders
Fatigue
42.9%
6/14 • Number of events 9 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
General disorders
Fever
21.4%
3/14 • Number of events 3 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
General disorders
General disorders and administration site conditions - Other, specify
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
General disorders
Pain
21.4%
3/14 • Number of events 3 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Immune system disorders
Allergic reaction
14.3%
2/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Infections and infestations
Bronchial infection
14.3%
2/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Immune system disorders
Paronychia
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Infections and infestations
Shingles
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Infections and infestations
Skin infection
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Infections and infestations
Soft tissue infection
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Infections and infestations
Tooth infection
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Infections and infestations
Upper respiratory infection
14.3%
2/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Infections and infestations
Urinary tract infection
28.6%
4/14 • Number of events 5 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Infections and infestations
Wound infection
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Injury, poisoning and procedural complications
Burn
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Investigations
Alanine aminotransferase increased
57.1%
8/14 • Number of events 16 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Investigations
Alkaline phosphatase increased
21.4%
3/14 • Number of events 6 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Investigations
Aspartate aminotransferase increased
57.1%
8/14 • Number of events 18 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Investigations
CPK increased
14.3%
2/14 • Number of events 21 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Investigations
Creatinine increased
35.7%
5/14 • Number of events 7 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Investigations
Electrocardiogram QT corrected interval prolonged
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Investigations
GGT increased
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Investigations
Lipase increased
14.3%
2/14 • Number of events 6 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Investigations
Neutrophil count decreased
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Investigations
Serum amylase increased
21.4%
3/14 • Number of events 4 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Investigations
Weight loss
14.3%
2/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Investigations
White blood cell decreased
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Metabolism and nutrition disorders
Anorexia
21.4%
3/14 • Number of events 4 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Metabolism and nutrition disorders
Dehydration
21.4%
3/14 • Number of events 5 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Metabolism and nutrition disorders
Hyperuricemia
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Metabolism and nutrition disorders
Hypokalemia
21.4%
3/14 • Number of events 5 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Metabolism and nutrition disorders
Hypomagnesemia
28.6%
4/14 • Number of events 15 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Metabolism and nutrition disorders
Hypophosphatemia
21.4%
3/14 • Number of events 3 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Eye disorders
Eye disorders - Other, specify
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Eye disorders
Watering eyes
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Gastrointestinal disorders
Abdominal distension
14.3%
2/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Gastrointestinal disorders
Abdominal pain
14.3%
2/14 • Number of events 8 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Gastrointestinal disorders
Belching
7.1%
1/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Gastrointestinal disorders
Bloating
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Gastrointestinal disorders
Constipation
21.4%
3/14 • Number of events 4 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Ear and labyrinth disorders
Vertigo
7.1%
1/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Endocrine disorders
Adrenal insufficiency
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Endocrine disorders
Endocrine disorders - Other, specify
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Endocrine disorders
Hyperthyroidism
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Endocrine disorders
Hypoparathyroidism
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Endocrine disorders
Hypophysitis
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Endocrine disorders
Hypothyroidism
14.3%
2/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Blood and lymphatic system disorders
Anemia
7.1%
1/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Cardiac disorders
Atrial fibrillation
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Cardiac disorders
Myocardial infarction
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Metabolism and nutrition disorders
Metabolism and nutrition disorders - Other, specify
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Musculoskeletal and connective tissue disorders
Arthralgia
28.6%
4/14 • Number of events 4 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Musculoskeletal and connective tissue disorders
Arthritis
7.1%
1/14 • Number of events 3 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
14.3%
2/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Musculoskeletal and connective tissue disorders
Joint range of motion decreased
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Musculoskeletal and connective tissue disorders
Muscle cramp
14.3%
2/14 • Number of events 4 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Musculoskeletal and connective tissue disorders
Myalgia
7.1%
1/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Musculoskeletal and connective tissue disorders
Myositis
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Musculoskeletal and connective tissue disorders
Pain in extremity
14.3%
2/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Nervous system disorders
Dizziness
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Nervous system disorders
Dysesthesia
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Nervous system disorders
Dysgeusia
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Nervous system disorders
Headache
21.4%
3/14 • Number of events 6 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Nervous system disorders
Paresthesia
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Nervous system disorders
Peripheral sensory neuropathy
14.3%
2/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Nervous system disorders
Presyncope
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Nervous system disorders
Syncope
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Psychiatric disorders
Depression
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Psychiatric disorders
Insomnia
28.6%
4/14 • Number of events 4 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Psychiatric disorders
Irritability
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Renal and urinary disorders
Hematuria
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Renal and urinary disorders
Proteinuria
21.4%
3/14 • Number of events 6 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Renal and urinary disorders
Renal and urinary disorders - Other, specify
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Renal and urinary disorders
Renal calculi
14.3%
2/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Respiratory, thoracic and mediastinal disorders
Cough
14.3%
2/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Respiratory, thoracic and mediastinal disorders
Dyspnea
21.4%
3/14 • Number of events 3 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Respiratory, thoracic and mediastinal disorders
Epistaxis
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Respiratory, thoracic and mediastinal disorders
Nasal congestion
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Respiratory, thoracic and mediastinal disorders
Pleural effusion
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Respiratory, thoracic and mediastinal disorders
Pneumonitis
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Respiratory, thoracic and mediastinal disorders
Sore throat
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Skin and subcutaneous tissue disorders
Dry skin
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Skin and subcutaneous tissue disorders
Hyperhidrosis
14.3%
2/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Skin and subcutaneous tissue disorders
Pain of skin
7.1%
1/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysesthesia syndrome
50.0%
7/14 • Number of events 15 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Skin and subcutaneous tissue disorders
Pruritus
14.3%
2/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Skin and subcutaneous tissue disorders
Rash maculo-papular
35.7%
5/14 • Number of events 6 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Skin and subcutaneous tissue disorders
Skin hypopigmentation
14.3%
2/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Vascular disorders
Hot flashes
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Vascular disorders
Hypertension
21.4%
3/14 • Number of events 4 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Vascular disorders
Hypotension
14.3%
2/14 • Number of events 2 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Vascular disorders
Phlebitis
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Vascular disorders
Thromboembolic event
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Vascular disorders
Vascular disorder- Other, specify
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).
Vascular disorders
Vascular disorder- other, specify
7.1%
1/14 • Number of events 1 • Adverse events were collected from after informed consent through 30 days after the decision to discontinue study treatment (approximately 2 years); All Cause Mortality was collected after discontinuation of treatment until death during a long term follow up period (approximately 4 years).

Additional Information

Geoffrey T. Gibney, MD

Georgetown University

Phone: 202-444-2223

Results disclosure agreements

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