Trial Outcomes & Findings for Palbociclib + Ganitumab In Ewing Sarcoma (NCT NCT04129151)

NCT ID: NCT04129151

Last Updated: 2024-08-01

Results Overview

ORR was defined as the percentage of participants achieving complete response (CR) or partial response (PR) on treatment based on RECIST 1.1 criteria. Per RECIST 1.1 for target lesions: CR is complete disappearance of all target lesions and PR is at least a 30% decrease in the sum of longest diameter (LD) of target lesions, taking as reference baseline sum LD. PR or better overall response assumes at a minimum incomplete response/stable disease (SD) for the evaluation of non-target lesions and absence of new lesions.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

10 participants

Primary outcome timeframe

Participants were followed up to 10.8 months

Results posted on

2024-08-01

Participant Flow

Patients were enrolled between December 2019 and August 2021.

Participant milestones

Participant milestones
Measure
PALBOCICLIB and GANITUMAB
This is a single arm, open-label, phase 2 study of ganitumab and palbociclib. Patients started treatment with standard dosing (Palbociclib 125 mg on days 1-21 and ganitumab 18 mg/kg on days 1 and 15 of a 28-day cycle). Safety stopping rules were used to monitor for toxicity of this novel combination therapy. Participants received up to 12 cycles of therapy in a single cohort. The first 3 participants started treatment at standard dosing (Palbociclib 125 mg on days 1-21 and ganitumab 18 mg/kg on days 1 and 15 of a 28-day cycle). After 2 initial patients experienced dose limiting toxicity, safety stopping rules were triggered and the starting palbociclib dose was reduced to 100 mg on days 1-21 (ganitumab dose was not changed). The subsequent 7 participants were treated at the reduced starting dose (Palbociclib 100 mg on days 1-21 and ganitumab 18 mg/kg on days 1 and 15 of a 28-day cycle). This study did not include formal dose escalation given both agents had previously established recommended phase 2 dosing.
Overall Study
STARTED
10
Overall Study
COMPLETED
1
Overall Study
NOT COMPLETED
9

Reasons for withdrawal

Reasons for withdrawal
Measure
PALBOCICLIB and GANITUMAB
This is a single arm, open-label, phase 2 study of ganitumab and palbociclib. Patients started treatment with standard dosing (Palbociclib 125 mg on days 1-21 and ganitumab 18 mg/kg on days 1 and 15 of a 28-day cycle). Safety stopping rules were used to monitor for toxicity of this novel combination therapy. Participants received up to 12 cycles of therapy in a single cohort. The first 3 participants started treatment at standard dosing (Palbociclib 125 mg on days 1-21 and ganitumab 18 mg/kg on days 1 and 15 of a 28-day cycle). After 2 initial patients experienced dose limiting toxicity, safety stopping rules were triggered and the starting palbociclib dose was reduced to 100 mg on days 1-21 (ganitumab dose was not changed). The subsequent 7 participants were treated at the reduced starting dose (Palbociclib 100 mg on days 1-21 and ganitumab 18 mg/kg on days 1 and 15 of a 28-day cycle). This study did not include formal dose escalation given both agents had previously established recommended phase 2 dosing.
Overall Study
Adverse Event
1
Overall Study
Disease Progression
7
Overall Study
Study closure
1

Baseline Characteristics

Palbociclib + Ganitumab In Ewing Sarcoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PALBOCICLIB and GANITUMAB
n=10 Participants
Participants receive up to 12 cycles of therapy (cycle duration=28 days). Palbociclib: Oral, 100mg, daily on days 1-21 Ganitumab: Intravenous, 18mg/kg, days 1, 15 Per protocol, participants were monitored for dose-limiting toxicity over cycle one according to an interim safety analysis. The safety monitoring rule was triggered after 3 patients had enrolled, prompting an amendment according to Contingency Plan A which was a reduction of the palbociclib dose from 125mg (days 1-21).
Age, Continuous
25.7 Years
n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
Race/Ethnicity, Customized
White
8 Participants
n=5 Participants
Race/Ethnicity, Customized
More than one race
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Non-Hispanic
10 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
0 Participants
n=5 Participants
Primary site at diagnosis
Bone
8 Participants
n=5 Participants
Primary site at diagnosis
Soft tissue
2 Participants
n=5 Participants
Primary site at diagnosis
Femur
3 Participants
n=5 Participants
Primary site at diagnosis
Iliac
2 Participants
n=5 Participants
Primary site at diagnosis
Gluteal soft tissue
2 Participants
n=5 Participants
Primary site at diagnosis
Scapula
1 Participants
n=5 Participants
Primary site at diagnosis
Tibia
1 Participants
n=5 Participants
Primary site at diagnosis
Thoracic vertebra
1 Participants
n=5 Participants
Translocation
EWSR1/FLI1
5 Participants
n=5 Participants
Translocation
EWSR1-translocation by FISH
5 Participants
n=5 Participants
Prior IGF - 1R therapy
No
10 Participants
n=5 Participants
Prior IGF - 1R therapy
Yes
0 Participants
n=5 Participants
Stage at diagnosis
Localized
4 Participants
n=5 Participants
Stage at diagnosis
Metastatic
6 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Participants were followed up to 10.8 months

ORR was defined as the percentage of participants achieving complete response (CR) or partial response (PR) on treatment based on RECIST 1.1 criteria. Per RECIST 1.1 for target lesions: CR is complete disappearance of all target lesions and PR is at least a 30% decrease in the sum of longest diameter (LD) of target lesions, taking as reference baseline sum LD. PR or better overall response assumes at a minimum incomplete response/stable disease (SD) for the evaluation of non-target lesions and absence of new lesions.

Outcome measures

Outcome measures
Measure
PALBOCICLIB and GANITUMAB
n=10 Participants
Participants receive up to 12 cycles of therapy (cycle duration=28 days). Palbociclib: Oral, 100mg, daily on days 1-21 Ganitumab: Intravenous, 18mg/kg, days 1, 15 Per protocol, participants were monitored for dose-limiting toxicity over cycle one according to an interim safety analysis. The safety monitoring rule was triggered after 3 patients had enrolled, prompting an amendment according to Contingency Plan A which was a reduction of the palbociclib dose from 125mg (days 1-21).
Objective Response Rate (ORR)
0 percentage of participants
Interval 0.0 to 30.0

PRIMARY outcome

Timeframe: Participants were followed up to 11.8 months.

The proportion of participants who experienced a maximum grade 3 or 4 treatment-related adverse event based on the Common Toxicity Criteria for Adverse events Version 5.0 (CTCAEv5) as reported on case report forms

Outcome measures

Outcome measures
Measure
PALBOCICLIB and GANITUMAB
n=10 Participants
Participants receive up to 12 cycles of therapy (cycle duration=28 days). Palbociclib: Oral, 100mg, daily on days 1-21 Ganitumab: Intravenous, 18mg/kg, days 1, 15 Per protocol, participants were monitored for dose-limiting toxicity over cycle one according to an interim safety analysis. The safety monitoring rule was triggered after 3 patients had enrolled, prompting an amendment according to Contingency Plan A which was a reduction of the palbociclib dose from 125mg (days 1-21).
Grade 3/4 Treatment-Related Toxicity Rate
0.8 proportion of participants
Interval 0.44 to 0.97

SECONDARY outcome

Timeframe: Participants were followed up to 6 months.

PFS6 is the percent probability estimate at 6 months based on the Kaplan-Meier method. PFS is defined as the duration of time from study entry to documented disease progression (PD) requiring removal from the study or death. Participants alive without PD were censored at the earliest of the date of the last disease evaluation or start of new anticancer therapy. Per RECIST 1.1 for target lesions: PD is at least a 20% increase in sum LD, taking as reference the smallest sum on study with at least 5 mm absolute increase. For non-target lesions, progression-free means no new lesions or unequivocal progression on existing non-target lesions or not evaluated.

Outcome measures

Outcome measures
Measure
PALBOCICLIB and GANITUMAB
n=10 Participants
Participants receive up to 12 cycles of therapy (cycle duration=28 days). Palbociclib: Oral, 100mg, daily on days 1-21 Ganitumab: Intravenous, 18mg/kg, days 1, 15 Per protocol, participants were monitored for dose-limiting toxicity over cycle one according to an interim safety analysis. The safety monitoring rule was triggered after 3 patients had enrolled, prompting an amendment according to Contingency Plan A which was a reduction of the palbociclib dose from 125mg (days 1-21).
6-month Progression Free Survival (PFS6)
30 Percent Probability
Interval 1.6 to 58.4

SECONDARY outcome

Timeframe: Participants were followed up to 6 months.

OS6 is the percent probability estimate at 6 months based on the Kaplan-Meier method. Overall survival was defined as the time from study enrollment to death. Participants alive were censored at the last date of contact (including lost-to-follow-up) or at the date of withdrawal of consent, if relevant.

Outcome measures

Outcome measures
Measure
PALBOCICLIB and GANITUMAB
n=10 Participants
Participants receive up to 12 cycles of therapy (cycle duration=28 days). Palbociclib: Oral, 100mg, daily on days 1-21 Ganitumab: Intravenous, 18mg/kg, days 1, 15 Per protocol, participants were monitored for dose-limiting toxicity over cycle one according to an interim safety analysis. The safety monitoring rule was triggered after 3 patients had enrolled, prompting an amendment according to Contingency Plan A which was a reduction of the palbociclib dose from 125mg (days 1-21).
6-month Overall Survival (OS6)
80 Percent Probability
Interval 55.1 to 100.0

Adverse Events

PALBOCICLIB and GANITUMAB

Serious events: 1 serious events
Other events: 10 other events
Deaths: 6 deaths

Serious adverse events

Serious adverse events
Measure
PALBOCICLIB and GANITUMAB
n=10 participants at risk
Participants receive up to 12 cycles of therapy (cycle duration=28 days). Palbociclib: Oral, 100mg, daily on days 1-21 Ganitumab: Intravenous, 18mg/kg, days 1, 15 Per protocol, participants were monitored for dose-limiting toxicity over cycle one according to an interim safety analysis. The safety monitoring rule was triggered after 3 patients had enrolled, prompting an amendment according to Contingency Plan A which was a reduction of the palbociclib dose from 125mg (days 1-21).
General disorders
Non-Cardiac Chest Patin
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.

Other adverse events

Other adverse events
Measure
PALBOCICLIB and GANITUMAB
n=10 participants at risk
Participants receive up to 12 cycles of therapy (cycle duration=28 days). Palbociclib: Oral, 100mg, daily on days 1-21 Ganitumab: Intravenous, 18mg/kg, days 1, 15 Per protocol, participants were monitored for dose-limiting toxicity over cycle one according to an interim safety analysis. The safety monitoring rule was triggered after 3 patients had enrolled, prompting an amendment according to Contingency Plan A which was a reduction of the palbociclib dose from 125mg (days 1-21).
Blood and lymphatic system disorders
Anemia
80.0%
8/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Blood and lymphatic system disorders
Eosinophilia
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Cardiac disorders
Sinus bradycardia
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Cardiac disorders
Sinus tachycardia
40.0%
4/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Endocrine disorders
Hypothyroidism
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Eye disorders
Vision decreased
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Gastrointestinal disorders
Abdominal distension
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Gastrointestinal disorders
Abdominal pain
30.0%
3/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Gastrointestinal disorders
Constipation
30.0%
3/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Gastrointestinal disorders
Diarrhea
70.0%
7/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Gastrointestinal disorders
Dyspepsia
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Gastrointestinal disorders
Flatulence
20.0%
2/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Gastrointestinal disorders
Gastroesophageal reflux disease
20.0%
2/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Gastrointestinal disorders
Gastrointestinal disorders - Other, specify
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Gastrointestinal disorders
Mucositis oral
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Gastrointestinal disorders
Nausea
40.0%
4/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Gastrointestinal disorders
Oral pain
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Gastrointestinal disorders
Toothache
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Gastrointestinal disorders
Vomiting
30.0%
3/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
General disorders
Edema limbs
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
General disorders
Fatigue
70.0%
7/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
General disorders
Fever
20.0%
2/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
General disorders
Gait disturbance
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
General disorders
General disorders and administration site conditions - Other, specify
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
General disorders
Non-cardiac chest pain
40.0%
4/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
General disorders
Pain
40.0%
4/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Immune system disorders
Immune system disorders - Other, specify
20.0%
2/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Infections and infestations
Gum infection
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Infections and infestations
Infections and infestations - Other, specify
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Injury, poisoning and procedural complications
Bruising
20.0%
2/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Injury, poisoning and procedural complications
Infusion related reaction
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Injury, poisoning and procedural complications
Wound complication
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Investigations
Alanine aminotransferase increased
20.0%
2/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Investigations
Alkaline phosphatase increased
20.0%
2/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Investigations
Aspartate aminotransferase increased
20.0%
2/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Investigations
Blood bicarbonate decreased
20.0%
2/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Investigations
Creatinine increased
40.0%
4/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Investigations
Hemoglobin increased
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Investigations
Investigations - Other, specify
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Investigations
Lymphocyte count decreased
40.0%
4/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Investigations
Neutrophil count decreased
90.0%
9/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Investigations
Platelet count decreased
90.0%
9/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Investigations
Weight loss
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Investigations
White blood cell decreased
100.0%
10/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Metabolism and nutrition disorders
Anorexia
50.0%
5/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Metabolism and nutrition disorders
Hyperglycemia
30.0%
3/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Metabolism and nutrition disorders
Hyperkalemia
40.0%
4/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Metabolism and nutrition disorders
Hypermagnesemia
30.0%
3/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Metabolism and nutrition disorders
Hyperphosphatemia
40.0%
4/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Metabolism and nutrition disorders
Hypocalcemia
20.0%
2/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Metabolism and nutrition disorders
Hypomagnesemia
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Metabolism and nutrition disorders
Hyponatremia
20.0%
2/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Metabolism and nutrition disorders
Hypophosphatemia
40.0%
4/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Metabolism and nutrition disorders
Metabolism and nutrition disorders - Other, specify
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Musculoskeletal and connective tissue disorders
Arthralgia
20.0%
2/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Musculoskeletal and connective tissue disorders
Back pain
40.0%
4/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Musculoskeletal and connective tissue disorders
Bone pain
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Musculoskeletal and connective tissue disorders
Chest wall pain
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Musculoskeletal and connective tissue disorders
Muscle cramp
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other, specify
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumor pain
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Nervous system disorders
Concentration impairment
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Nervous system disorders
Dizziness
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Nervous system disorders
Headache
50.0%
5/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Nervous system disorders
Muscle weakness right-sided
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Nervous system disorders
Peripheral motor neuropathy
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Nervous system disorders
Peripheral sensory neuropathy
20.0%
2/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Nervous system disorders
Syncope
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Psychiatric disorders
Anxiety
20.0%
2/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Psychiatric disorders
Depression
40.0%
4/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Psychiatric disorders
Insomnia
30.0%
3/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Respiratory, thoracic and mediastinal disorders
Cough
30.0%
3/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Respiratory, thoracic and mediastinal disorders
Dyspnea
40.0%
4/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Respiratory, thoracic and mediastinal disorders
Epistaxis
20.0%
2/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - Other, specify
20.0%
2/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Respiratory, thoracic and mediastinal disorders
Sore throat
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Respiratory, thoracic and mediastinal disorders
Wheezing
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Skin and subcutaneous tissue disorders
Hyperhidrosis
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Skin and subcutaneous tissue disorders
Rash acneiform
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify
20.0%
2/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Skin and subcutaneous tissue disorders
Urticaria
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Vascular disorders
Hot flashes
10.0%
1/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Vascular disorders
Hypertension
20.0%
2/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.
Vascular disorders
Hypotension
30.0%
3/10 • Participants were followed for AEs up to 11.8 months and survival up to 2 years.
Serious adverse events were defined per protocol section (7.6). All remaining adverse events were classified as other adverse events. Maximum grade per toxicity type is presented.

Additional Information

David S Shulman, MD

Dana-Farber Cancer Institute

Phone: 617-632-6670

Results disclosure agreements

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