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    Clinical Trial Results:
    A Randomized Controlled Study of DOXIL®/CAELYX® (doxorubicin HCL liposome injection) and VELCADE™ (bortezomib) or VELCADE Monotherapy for the Treatment of Relapsed Multiple Myeloma

    Due to a system error, the data reported in v1 is not correct and has been removed from public view.
    Summary
    EudraCT number
    2004-001842-34
    Trial protocol
    AT   CZ   GB   ES   IT  
    Global end of trial date
    05 Jun 2014

    Results information
    Results version number
    v2(current)
    This version publication date
    01 Jul 2016
    First version publication date
    06 Aug 2015
    Other versions
    v1 (removed from public view)
    Version creation reason
    • Correction of full data set
    Review of data

    Trial information

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    Trial identification
    Sponsor protocol code
    DOXIL-MMY-3001
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00103506
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Johnson & Johnson Pharmaceutical Research and Development
    Sponsor organisation address
    Berkeley, California, United States,
    Public contact
    Clinical Registry Group, Johnson & Johnson Pharmaceutical Research and Development, ClinicalTrialsEU@its.jnj.com
    Scientific contact
    Clinical Registry Group, Johnson & Johnson Pharmaceutical Research and Development, ClinicalTrialsEU@its.jnj.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    05 Jun 2014
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    05 Jun 2014
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective of this study is to test the hypothesis that treatment with DOXIL/CAELYX and VELCADE in combination, will result in a longer time to progression (TTP) than VELCADE monotherapy in subjects with relapsed multiple myeloma.
    Protection of trial subjects
    The safety assessments included, clinical laboratory results, tests for cardiac function (multiple-gated acquisition scan/echocardiogram and electrocardiogram) and adverse events were monitored throughout the study.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    20 Dec 2004
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety
    Long term follow-up duration
    8 Years
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Argentina: 15
    Country: Number of subjects enrolled
    Australia: 62
    Country: Number of subjects enrolled
    Austria: 18
    Country: Number of subjects enrolled
    Belgium: 20
    Country: Number of subjects enrolled
    Canada: 43
    Country: Number of subjects enrolled
    Czech Republic: 36
    Country: Number of subjects enrolled
    France: 49
    Country: Number of subjects enrolled
    Israel: 46
    Country: Number of subjects enrolled
    Italy: 28
    Country: Number of subjects enrolled
    Netherlands: 61
    Country: Number of subjects enrolled
    Poland: 52
    Country: Number of subjects enrolled
    Portugal: 20
    Country: Number of subjects enrolled
    Russian Federation: 72
    Country: Number of subjects enrolled
    Singapore: 5
    Country: Number of subjects enrolled
    South Africa: 28
    Country: Number of subjects enrolled
    Spain: 35
    Country: Number of subjects enrolled
    United Kingdom: 15
    Country: Number of subjects enrolled
    United States: 41
    Worldwide total number of subjects
    646
    EEA total number of subjects
    334
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    396
    From 65 to 84 years
    247
    85 years and over
    3

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    A total of 646 participants were enrolled into the study, with 324 subjects randomized to receive DOXIL/CAELYX and VELCADE combination therapy and 322 participants randomized to receive VELCADE monotherapy.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Velcade (Bortezomib) Monotherapy
    Arm description
    Velcade (bortezomib) 1.3 milligram/meter per square (mg/m^2) by rapid (bolus) intravenous (IV) administration given on Day 1, 4, 8, and 11 of each 21-day cycle for up to 8 cycles.
    Arm type
    Experimental

    Investigational medicinal product name
    Bortezomib
    Investigational medicinal product code
    PS-341
    Other name
    VELCADE
    Pharmaceutical forms
    Powder for solution for injection
    Routes of administration
    Intravenous use
    Dosage and administration details
    Participants were administered 1.3 milligram (mg) of Bortezomib by rapid bolus intravenous (i.v.) administration given on Days 1, 4, 8, and 11 of each 21-day cycle for up to 8 cycles

    Arm title
    Doxil/Caelyx Plus Velcade (Bortezomib)
    Arm description
    Velcade (bortezomib) 1.3 milligram per meter square (mg/m^2) by rapid (bolus) IV administration given on Day 1, 4, 8, and 11 of each 21-day cycle for up to 8 cycles. Doxorubicin hydrochloride (DOXIL/CAELYX) 30 mg/m^2 by IV infusion will be given on Day 4 of every 21-day cycle after the administration of VELCADE (bortezomib) up to 8 cycles.
    Arm type
    Active comparator

    Investigational medicinal product name
    Bortezomib
    Investigational medicinal product code
    PS-341
    Other name
    VELCADE
    Pharmaceutical forms
    Powder for solution for injection
    Routes of administration
    Intravenous use
    Dosage and administration details
    Participants were administered 1.3 milligram (mg) of Bortezomib by rapid bolus intravenous (i.v.) administration given on Days 1, 4, 8, and 11 of each 21-day cycle for up to 8 cycles

    Investigational medicinal product name
    Doxorubicin hydrochloride
    Investigational medicinal product code
    Doxorubicin HCL Liposome Injection
    Other name
    DOXIL/CAELYX
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Participants were administered Doxorubicin hydrochloride (DOXIL/CAELYX) 30 milligram per metere sqaure (mg/m2) by intravenous (i.v) infusion on Day 4 of every 21-day cycle after the administration of bortezomib (VELCADE) for up to 8 cycles.

    Number of subjects in period 1
    Velcade (Bortezomib) Monotherapy Doxil/Caelyx Plus Velcade (Bortezomib)
    Started
    322
    324
    Completed
    0
    0
    Not completed
    322
    324
         Consent withdrawn by subject
    13
    24
         Physician decision
    6
    9
         Adverse event, non-fatal
    81
    105
         Other
    218
    181
         Adverse event, serious non-fatal
    2
    5
         Lost to follow-up
    2
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Velcade (Bortezomib) Monotherapy
    Reporting group description
    Velcade (bortezomib) 1.3 milligram/meter per square (mg/m^2) by rapid (bolus) intravenous (IV) administration given on Day 1, 4, 8, and 11 of each 21-day cycle for up to 8 cycles.

    Reporting group title
    Doxil/Caelyx Plus Velcade (Bortezomib)
    Reporting group description
    Velcade (bortezomib) 1.3 milligram per meter square (mg/m^2) by rapid (bolus) IV administration given on Day 1, 4, 8, and 11 of each 21-day cycle for up to 8 cycles. Doxorubicin hydrochloride (DOXIL/CAELYX) 30 mg/m^2 by IV infusion will be given on Day 4 of every 21-day cycle after the administration of VELCADE (bortezomib) up to 8 cycles.

    Reporting group values
    Velcade (Bortezomib) Monotherapy Doxil/Caelyx Plus Velcade (Bortezomib) Total
    Number of subjects
    322 324 646
    Title for AgeCategorical
    Units: subjects
        Children (2-11 years)
    0 0 0
        Adolescents (12-17 years)
    0 0 0
        Adults (18-64 years)
    193 203 396
        From 65 to 84 years
    127 120 247
        85 years and over
    2 1 3
    Title for AgeContinuous
    Units: years
        arithmetic mean (standard deviation)
    61.5 ± 9.56 61.4 ± 9.61 -
    Title for Gender
    Units: subjects
        Female
    148 135 283
        Male
    174 189 363

    End points

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    End points reporting groups
    Reporting group title
    Velcade (Bortezomib) Monotherapy
    Reporting group description
    Velcade (bortezomib) 1.3 milligram/meter per square (mg/m^2) by rapid (bolus) intravenous (IV) administration given on Day 1, 4, 8, and 11 of each 21-day cycle for up to 8 cycles.

    Reporting group title
    Doxil/Caelyx Plus Velcade (Bortezomib)
    Reporting group description
    Velcade (bortezomib) 1.3 milligram per meter square (mg/m^2) by rapid (bolus) IV administration given on Day 1, 4, 8, and 11 of each 21-day cycle for up to 8 cycles. Doxorubicin hydrochloride (DOXIL/CAELYX) 30 mg/m^2 by IV infusion will be given on Day 4 of every 21-day cycle after the administration of VELCADE (bortezomib) up to 8 cycles.

    Primary: Time to Progression (TTP)

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    End point title
    Time to Progression (TTP) [1]
    End point description
    Median time to progression of disease is assessed according to International Myeloma Working Group (IMWG) criteria or death from any cause. IMWG criteria: increase of less than or equal (>=) 25% from lowest level in Serum M-component or (the absolute increase must be >=0.5 gram per deciliter [g/dL]); Urine M component or (the absolute increase must be >=200 milligram per 24 hour. Only in participants without measurable serum and urine M-protein levels: the difference between involved and uninvolved free light chain levels. The absolute increase >10 mg/dL. Bone marrow plasma cell percentage >=10%. Definite development of new bone lesions or soft tissue plasmacytomas or definite increase in the size of existing. Development of hypercalcemia. Participants who died or dropped out due to any reason without progression will be censored with the day of death or drop-out, respectively and who are alive at the end of the study without any progression was censored with the last available date.
    End point type
    Primary
    End point timeframe
    From date of first participant randomization (20 December 2004) up to interim analysis cut-off date (28 April 2006).
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Descriptive statistics were done, no inferential statistical analyses were performed
    End point values
    Velcade (Bortezomib) Monotherapy Doxil/Caelyx Plus Velcade (Bortezomib)
    Number of subjects analysed
    322
    324
    Units: Months
        median (full range (min-max))
    6.5 (5.6 to 7.1)
    9.3 (8.2 to 11.1)
    No statistical analyses for this end point

    Secondary: Overall Survival

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    End point title
    Overall Survival
    End point description
    The overall survival is defined as the time from the date of first dose of study drug to date of death from any cause. If the participant is alive or the vital status is unknown, the participant will be censored at the date the participant will be last known to be alive.
    End point type
    Secondary
    End point timeframe
    From date of first participant randomization (20 December 2004) to cut-off date for final survival analysis (16 May 2014).
    End point values
    Velcade (Bortezomib) Monotherapy Doxil/Caelyx Plus Velcade (Bortezomib)
    Number of subjects analysed
    322
    324
    Units: months
        median (full range (min-max))
    30.8 (25.2 to 36.5)
    33 (28.9 to 37.1)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Day 1 to follow up
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    9.0
    Reporting groups
    Reporting group title
    VELCADE
    Reporting group description
    bortezomib monotherapy

    Reporting group title
    DOXIL + VELCADE
    Reporting group description
    doxorubicin hydrochloride [HCl] liposome injection and bortezomib combination therapy

    Serious adverse events
    VELCADE DOXIL + VELCADE
    Total subjects affected by serious adverse events
         subjects affected / exposed
    105 / 322 (32.61%)
    120 / 324 (37.04%)
         number of deaths (all causes)
    12
    12
         number of deaths resulting from adverse events
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Cancer Pain
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Tumour Lysis Syndrome
         subjects affected / exposed
    1 / 322 (0.31%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    1 / 1
    2 / 3
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    Colon Cancer
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vascular disorders
    Deep Vein Thrombosis
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypotension
         subjects affected / exposed
    2 / 322 (0.62%)
    4 / 324 (1.23%)
         occurrences causally related to treatment / all
    2 / 2
    4 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Phlebitis
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Orthostatic Hypotension
         subjects affected / exposed
    2 / 322 (0.62%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    2 / 2
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Thrombophlebitis
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    1 / 322 (0.31%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    1 / 1
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Catheter Related Complication
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Chest Pain
         subjects affected / exposed
    3 / 322 (0.93%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    2 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Chills
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Fatigue
         subjects affected / exposed
    0 / 322 (0.00%)
    3 / 324 (0.93%)
         occurrences causally related to treatment / all
    0 / 0
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Death
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    1 / 1
    0 / 0
    Hyperthermia
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General Physical Health Deterioration
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Influenza Like Illness
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Oedema Peripheral
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Multi-Organ Failure
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Pain
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pyrexia
         subjects affected / exposed
    8 / 322 (2.48%)
    15 / 324 (4.63%)
         occurrences causally related to treatment / all
    5 / 8
    14 / 17
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Sudden Cardiac Death
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Sudden Death
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    Immune system disorders
    Hypersensitivity
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    Benign Prostatic Hyperplasia
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Epididymitis
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Acute Pulmonary Oedema
         subjects affected / exposed
    1 / 322 (0.31%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    0 / 1
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    Chronic Obstructive Pulmonary Disease
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Dyspnoea
         subjects affected / exposed
    6 / 322 (1.86%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    5 / 6
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Dyspnoea Exertional
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Interstitial Lung Disease
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumonitis
         subjects affected / exposed
    0 / 322 (0.00%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pulmonary Embolism
         subjects affected / exposed
    2 / 322 (0.62%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    2 / 2
    1 / 2
         deaths causally related to treatment / all
    1 / 1
    0 / 0
    Pulmonary Fibrosis
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    1 / 1
    0 / 0
    Pulmonary Hypertension
         subjects affected / exposed
    0 / 322 (0.00%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    0 / 0
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    Pulmonary Oedema
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory Failure
         subjects affected / exposed
    1 / 322 (0.31%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Psychiatric disorders
    Agitation
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Anxiety
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Completed Suicide
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    1 / 1
    0 / 0
    Nervousness
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Suicidal Ideation
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Investigations
    Blood Creatinine Increased
         subjects affected / exposed
    2 / 322 (0.62%)
    3 / 324 (0.93%)
         occurrences causally related to treatment / all
    2 / 2
    2 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Blood Glucose Increased
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Troponin I Increased
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ejection Fraction Decreased
         subjects affected / exposed
    0 / 322 (0.00%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Drug Toxicity
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Fall
         subjects affected / exposed
    1 / 322 (0.31%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Skeletal Injury
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Spinal Compression Fracture
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Thoracic Vertebral Fracture
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    Acute Myocardial Infarction
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Angina Pectoris
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Angina Unstable
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Atrial Fibrillation
         subjects affected / exposed
    2 / 322 (0.62%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Arrhythmia
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Atrial Flutter
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac Arrest
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    Cardiac Failure
         subjects affected / exposed
    2 / 322 (0.62%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac Failure Chronic
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac Failure Congestive
         subjects affected / exposed
    2 / 322 (0.62%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    1 / 2
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardio-Respiratory Arrest
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Myocardial Infarction
         subjects affected / exposed
    1 / 322 (0.31%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nodal Arrhythmia
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Right Ventricular Failure
         subjects affected / exposed
    1 / 322 (0.31%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Tachyarrhythmia
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nervous system disorders
    Autonomic Neuropathy
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cauda Equina Syndrome
         subjects affected / exposed
    2 / 322 (0.62%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 2
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Balance Disorder
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cerebral Haemorrhage
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cerebral Ischaemia
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cerebral Infarction
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Coordination Abnormal
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Dizziness
         subjects affected / exposed
    1 / 322 (0.31%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Lumbar Radiculopathy
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Neuralgia
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Neuropathy Peripheral
         subjects affected / exposed
    1 / 322 (0.31%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    1 / 1
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Neuropathy
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Paralysis
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Paraparesis
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Paraplegia
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Polyneuropathy
         subjects affected / exposed
    1 / 322 (0.31%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    2 / 2
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Quadriparesis
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Polyneuropathy in Malignant Disease
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Spinal Cord Compression
         subjects affected / exposed
    0 / 322 (0.00%)
    3 / 324 (0.93%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Tremor
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Syncope
         subjects affected / exposed
    4 / 322 (1.24%)
    4 / 324 (1.23%)
         occurrences causally related to treatment / all
    4 / 5
    3 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    4 / 322 (1.24%)
    3 / 324 (0.93%)
         occurrences causally related to treatment / all
    2 / 4
    5 / 5
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Febrile Neutropenia
         subjects affected / exposed
    2 / 322 (0.62%)
    5 / 324 (1.54%)
         occurrences causally related to treatment / all
    0 / 3
    11 / 12
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Leukopenia
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Neutropenia
         subjects affected / exposed
    0 / 322 (0.00%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    0 / 0
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Thrombocytopenia
         subjects affected / exposed
    0 / 322 (0.00%)
    9 / 324 (2.78%)
         occurrences causally related to treatment / all
    0 / 0
    9 / 9
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pancytopenia
         subjects affected / exposed
    0 / 322 (0.00%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ear and labyrinth disorders
    Deafness
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vertigo
         subjects affected / exposed
    3 / 322 (0.93%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    3 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Eye disorders
    Cataract
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Corneal Erosion
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Diplopia
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Retinal Vein Thrombosis
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Abdominal Pain
         subjects affected / exposed
    2 / 322 (0.62%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    1 / 2
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Diarrhoea
         subjects affected / exposed
    6 / 322 (1.86%)
    7 / 324 (2.16%)
         occurrences causally related to treatment / all
    7 / 8
    8 / 8
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Dyspepsia
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Dysphagia
         subjects affected / exposed
    0 / 322 (0.00%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Faecaloma
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Flatulence
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastric Ulcer
         subjects affected / exposed
    0 / 322 (0.00%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastroduodenal Haemorrhage
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Gastrointestinal Haemorrhage
         subjects affected / exposed
    1 / 322 (0.31%)
    3 / 324 (0.93%)
         occurrences causally related to treatment / all
    1 / 1
    2 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrooesophageal Reflux Disease
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Haematemesis
         subjects affected / exposed
    2 / 322 (0.62%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    2 / 2
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ileus
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ileus Paralytic
         subjects affected / exposed
    1 / 322 (0.31%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Large Intestine Perforation
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Mallory-Weiss Syndrome
         subjects affected / exposed
    0 / 322 (0.00%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nausea
         subjects affected / exposed
    3 / 322 (0.93%)
    7 / 324 (2.16%)
         occurrences causally related to treatment / all
    3 / 3
    6 / 7
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Rectal Haemorrhage
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Rectal Prolapse
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Small Intestinal Obstruction
         subjects affected / exposed
    1 / 322 (0.31%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Upper Gastrointestinal Haemorrhage
         subjects affected / exposed
    0 / 322 (0.00%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Stomatitis
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vomiting
         subjects affected / exposed
    2 / 322 (0.62%)
    13 / 324 (4.01%)
         occurrences causally related to treatment / all
    1 / 2
    15 / 15
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Epidermal Necrosis
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Palmar-Plantar Erythrodysaesthesia Syndrome
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Jessner's Lymphocytic Infiltration
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Rash
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Swelling Face
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal and urinary disorders
    Calculus Bladder
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Haematuria
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nephritis Interstitial
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal Colic
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal Failure
         subjects affected / exposed
    2 / 322 (0.62%)
    3 / 324 (0.93%)
         occurrences causally related to treatment / all
    0 / 2
    1 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Renal Failure Acute
         subjects affected / exposed
    5 / 322 (1.55%)
    4 / 324 (1.23%)
         occurrences causally related to treatment / all
    5 / 6
    4 / 5
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    Renal Failure Chronic
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal Impairment
         subjects affected / exposed
    2 / 322 (0.62%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urinary Bladder Haemorrhage
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urinary Retention
         subjects affected / exposed
    2 / 322 (0.62%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    1 / 2
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Endocrine disorders
    Adrenal Insufficiency
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypercorticoidism
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Inappropriate Antidiuretic Hormone Secretion
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    2 / 322 (0.62%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Bone Lesion
         subjects affected / exposed
    1 / 322 (0.31%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Back Pain
         subjects affected / exposed
    3 / 322 (0.93%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Bone Pain
         subjects affected / exposed
    1 / 322 (0.31%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Bursitis
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Joint Instability
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Myalgia
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Musculoskeletal Chest Pain
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Osteonecrosis
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Pain in Extremity
         subjects affected / exposed
    2 / 322 (0.62%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pathological Fracture
         subjects affected / exposed
    0 / 322 (0.00%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Abdominal Infection
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Bacterial Sepsis
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Bronchitis
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Bronchitis Acute
         subjects affected / exposed
    2 / 322 (0.62%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Bronchitis Chronic
         subjects affected / exposed
    2 / 322 (0.62%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Candidiasis
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Bronchopneumonia
         subjects affected / exposed
    1 / 322 (0.31%)
    3 / 324 (0.93%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Catheter Related Infection
         subjects affected / exposed
    0 / 322 (0.00%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Diarrhoea Infectious
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cellulitis
         subjects affected / exposed
    1 / 322 (0.31%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ear Infection
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Furuncle
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastroenteritis
         subjects affected / exposed
    3 / 322 (0.93%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    3 / 3
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Herpes Zoster
         subjects affected / exposed
    3 / 322 (0.93%)
    5 / 324 (1.54%)
         occurrences causally related to treatment / all
    2 / 3
    5 / 5
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Genitourinary Tract Infection
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Herpes Zoster Disseminated
         subjects affected / exposed
    1 / 322 (0.31%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infection
         subjects affected / exposed
    1 / 322 (0.31%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Klebsiella Sepsis
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Laryngitis
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Lower Respiratory Tract Infection
         subjects affected / exposed
    3 / 322 (0.93%)
    3 / 324 (0.93%)
         occurrences causally related to treatment / all
    2 / 3
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Lobar Pneumonia
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Meningitis Bacterial
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    1 / 1
    0 / 0
    Opportunistic Infection
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Neutropenic Sepsis
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    Orchitis
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Osteomyelitis
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumococcal Bacteraemia
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumococcal Sepsis
         subjects affected / exposed
    1 / 322 (0.31%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumocystis JiroveCI Pneumonia
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumonia
         subjects affected / exposed
    20 / 322 (6.21%)
    16 / 324 (4.94%)
         occurrences causally related to treatment / all
    13 / 21
    11 / 17
         deaths causally related to treatment / all
    3 / 4
    1 / 3
    Pneumonia Aspergillus
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumonia Legionella
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pseudomonas Infection
         subjects affected / exposed
    0 / 322 (0.00%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumonia Pneumococcal
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory Tract Infection
         subjects affected / exposed
    2 / 322 (0.62%)
    3 / 324 (0.93%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Respiratory Tract Infection Bacterial
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Sepsis
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Septic Embolus
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Septic Shock
         subjects affected / exposed
    1 / 322 (0.31%)
    3 / 324 (0.93%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 2
    Sinusitis
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Skin Infection
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Staphylococcal Sepsis
         subjects affected / exposed
    0 / 322 (0.00%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Upper Respiratory Tract Infection
         subjects affected / exposed
    2 / 322 (0.62%)
    4 / 324 (1.23%)
         occurrences causally related to treatment / all
    1 / 3
    4 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urinary Tract Infection
         subjects affected / exposed
    2 / 322 (0.62%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urosepsis
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Anorexia
         subjects affected / exposed
    0 / 322 (0.00%)
    2 / 324 (0.62%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Dehydration
         subjects affected / exposed
    6 / 322 (1.86%)
    6 / 324 (1.85%)
         occurrences causally related to treatment / all
    5 / 8
    6 / 7
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gout
         subjects affected / exposed
    0 / 322 (0.00%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypercalcaemia
         subjects affected / exposed
    1 / 322 (0.31%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypoalbuminaemia
         subjects affected / exposed
    1 / 322 (0.31%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Hyperkalaemia
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypoglycaemia
         subjects affected / exposed
    1 / 322 (0.31%)
    0 / 324 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hyponatraemia
         subjects affected / exposed
    1 / 322 (0.31%)
    1 / 324 (0.31%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypokalaemia
         subjects affected / exposed
    1 / 322 (0.31%)
    3 / 324 (0.93%)
         occurrences causally related to treatment / all
    1 / 1
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    VELCADE DOXIL + VELCADE
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    298 / 322 (92.55%)
    313 / 324 (96.60%)
    Vascular disorders
    Hypertension
         subjects affected / exposed
    17 / 322 (5.28%)
    15 / 324 (4.63%)
         occurrences all number
    18
    22
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    56 / 322 (17.39%)
    70 / 324 (21.60%)
         occurrences all number
    84
    138
    Fatigue
         subjects affected / exposed
    88 / 322 (27.33%)
    115 / 324 (35.49%)
         occurrences all number
    157
    220
    Chills
         subjects affected / exposed
    18 / 322 (5.59%)
    25 / 324 (7.72%)
         occurrences all number
    19
    44
    Influenza Like Illness
         subjects affected / exposed
    13 / 322 (4.04%)
    18 / 324 (5.56%)
         occurrences all number
    14
    36
    Oedema Peripheral
         subjects affected / exposed
    27 / 322 (8.39%)
    32 / 324 (9.88%)
         occurrences all number
    34
    38
    Pyrexia
         subjects affected / exposed
    67 / 322 (20.81%)
    91 / 324 (28.09%)
         occurrences all number
    124
    154
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    38 / 322 (11.80%)
    58 / 324 (17.90%)
         occurrences all number
    48
    69
    Dyspnoea
         subjects affected / exposed
    22 / 322 (6.83%)
    32 / 324 (9.88%)
         occurrences all number
    35
    40
    Epistaxis
         subjects affected / exposed
    12 / 322 (3.73%)
    18 / 324 (5.56%)
         occurrences all number
    12
    22
    Psychiatric disorders
    Insomnia
         subjects affected / exposed
    43 / 322 (13.35%)
    35 / 324 (10.80%)
         occurrences all number
    45
    43
    Investigations
    Weight Decreased
         subjects affected / exposed
    12 / 322 (3.73%)
    37 / 324 (11.42%)
         occurrences all number
    15
    43
    Nervous system disorders
    Dysgeusia
         subjects affected / exposed
    9 / 322 (2.80%)
    18 / 324 (5.56%)
         occurrences all number
    9
    23
    Dizziness
         subjects affected / exposed
    27 / 322 (8.39%)
    32 / 324 (9.88%)
         occurrences all number
    43
    45
    Headache
         subjects affected / exposed
    56 / 322 (17.39%)
    59 / 324 (18.21%)
         occurrences all number
    84
    89
    Neuropathy
         subjects affected / exposed
    38 / 322 (11.80%)
    35 / 324 (10.80%)
         occurrences all number
    53
    48
    Neuralgia
         subjects affected / exposed
    63 / 322 (19.57%)
    54 / 324 (16.67%)
         occurrences all number
    113
    88
    Neuropathy Peripheral
         subjects affected / exposed
    46 / 322 (14.29%)
    36 / 324 (11.11%)
         occurrences all number
    77
    60
    Paraesthesia
         subjects affected / exposed
    31 / 322 (9.63%)
    41 / 324 (12.65%)
         occurrences all number
    41
    57
    Peripheral Sensory Neuropathy
         subjects affected / exposed
    42 / 322 (13.04%)
    41 / 324 (12.65%)
         occurrences all number
    83
    69
    Polyneuropathy
         subjects affected / exposed
    27 / 322 (8.39%)
    26 / 324 (8.02%)
         occurrences all number
    56
    63
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    67 / 322 (20.81%)
    80 / 324 (24.69%)
         occurrences all number
    170
    236
    Leukopenia
         subjects affected / exposed
    23 / 322 (7.14%)
    28 / 324 (8.64%)
         occurrences all number
    95
    152
    Thrombocytopenia
         subjects affected / exposed
    89 / 322 (27.64%)
    104 / 324 (32.10%)
         occurrences all number
    379
    488
    Neutropenia
         subjects affected / exposed
    71 / 322 (22.05%)
    113 / 324 (34.88%)
         occurrences all number
    270
    510
    Eye disorders
    Conjunctivitis
         subjects affected / exposed
    17 / 322 (5.28%)
    24 / 324 (7.41%)
         occurrences all number
    21
    28
    Gastrointestinal disorders
    Abdominal Pain
         subjects affected / exposed
    23 / 322 (7.14%)
    32 / 324 (9.88%)
         occurrences all number
    24
    41
    Abdominal Pain Upper
         subjects affected / exposed
    13 / 322 (4.04%)
    24 / 324 (7.41%)
         occurrences all number
    14
    32
    Constipation
         subjects affected / exposed
    98 / 322 (30.43%)
    99 / 324 (30.56%)
         occurrences all number
    132
    141
    Dyspepsia
         subjects affected / exposed
    13 / 322 (4.04%)
    27 / 324 (8.33%)
         occurrences all number
    15
    39
    Diarrhoea
         subjects affected / exposed
    122 / 322 (37.89%)
    142 / 324 (43.83%)
         occurrences all number
    237
    295
    Nausea
         subjects affected / exposed
    125 / 322 (38.82%)
    152 / 324 (46.91%)
         occurrences all number
    231
    303
    Stomatitis
         subjects affected / exposed
    11 / 322 (3.42%)
    55 / 324 (16.98%)
         occurrences all number
    12
    75
    Vomiting
         subjects affected / exposed
    67 / 322 (20.81%)
    93 / 324 (28.70%)
         occurrences all number
    106
    166
    Skin and subcutaneous tissue disorders
    Dry Skin
         subjects affected / exposed
    7 / 322 (2.17%)
    28 / 324 (8.64%)
         occurrences all number
    7
    30
    Palmar-Plantar Erythrodysaesthesia Syndrome
         subjects affected / exposed
    1 / 322 (0.31%)
    62 / 324 (19.14%)
         occurrences all number
    1
    114
    Pruritus
         subjects affected / exposed
    16 / 322 (4.97%)
    20 / 324 (6.17%)
         occurrences all number
    25
    25
    Rash
         subjects affected / exposed
    29 / 322 (9.01%)
    48 / 324 (14.81%)
         occurrences all number
    45
    69
    Musculoskeletal and connective tissue disorders
    Back Pain
         subjects affected / exposed
    37 / 322 (11.49%)
    38 / 324 (11.73%)
         occurrences all number
    49
    43
    Arthralgia
         subjects affected / exposed
    27 / 322 (8.39%)
    34 / 324 (10.49%)
         occurrences all number
    36
    50
    Bone Pain
         subjects affected / exposed
    25 / 322 (7.76%)
    10 / 324 (3.09%)
         occurrences all number
    36
    10
    Musculoskeletal Chest Pain
         subjects affected / exposed
    12 / 322 (3.73%)
    20 / 324 (6.17%)
         occurrences all number
    12
    24
    Pain in Extremity
         subjects affected / exposed
    47 / 322 (14.60%)
    34 / 324 (10.49%)
         occurrences all number
    66
    40
    Myalgia
         subjects affected / exposed
    20 / 322 (6.21%)
    10 / 324 (3.09%)
         occurrences all number
    27
    10
    Infections and infestations
    Herpes Zoster
         subjects affected / exposed
    26 / 322 (8.07%)
    30 / 324 (9.26%)
         occurrences all number
    28
    32
    Bronchitis
         subjects affected / exposed
    14 / 322 (4.35%)
    25 / 324 (7.72%)
         occurrences all number
    15
    32
    Herpes Simplex
         subjects affected / exposed
    18 / 322 (5.59%)
    32 / 324 (9.88%)
         occurrences all number
    19
    39
    Nasopharyngitis
         subjects affected / exposed
    20 / 322 (6.21%)
    25 / 324 (7.72%)
         occurrences all number
    23
    31
    Pneumonia
         subjects affected / exposed
    9 / 322 (2.80%)
    18 / 324 (5.56%)
         occurrences all number
    11
    20
    Upper Respiratory Tract Infection
         subjects affected / exposed
    32 / 322 (9.94%)
    30 / 324 (9.26%)
         occurrences all number
    46
    52
    Metabolism and nutrition disorders
    Anorexia
         subjects affected / exposed
    43 / 322 (13.35%)
    58 / 324 (17.90%)
         occurrences all number
    63
    99
    Decreased Appetite
         subjects affected / exposed
    9 / 322 (2.80%)
    30 / 324 (9.26%)
         occurrences all number
    13
    39
    Hypocalcaemia
         subjects affected / exposed
    9 / 322 (2.80%)
    19 / 324 (5.86%)
         occurrences all number
    11
    32
    Hypomagnesaemia
         subjects affected / exposed
    12 / 322 (3.73%)
    17 / 324 (5.25%)
         occurrences all number
    21
    35
    Hypokalaemia
         subjects affected / exposed
    15 / 322 (4.66%)
    23 / 324 (7.10%)
         occurrences all number
    22
    31

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    20 Sep 2006
    After the protocol-specified interim analysis, the Independent Data Monitoring Committee (IDMC) concluded that there was a significant benefit to subjects randomized to receive DOXIL/CAELYX and VELCADE regarding the primary endpoint, time to progression, as well as progression - free survival. While there was an increase in adverse events associated with the combination therapy, this increase was judged to be acceptable in the context of the benefits. The primary objective of this amendment is to communicate this result to the investigators, who can then offer the subjects who were randomized to VELCADE monotherapy and are still actively receiving study treatment the option to cross over to receive the combination therapy.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    Study stopped in terms of primary endpoint based on its results at planned interim analysis (28 Apr 2006). However, Long-term follow-up for survival continued until 2014.
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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