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    Clinical Trial Results:
    A Multicenter, Open-Label Trial of Belinostat in Patients with Relapsed or Refractory Peripheral T-Cell Lymphoma

    Summary
    EudraCT number
    2008-005843-40
    Trial protocol
    DK   FR   IT   NL   BE   DE   ES   HU   SK   PL   GB  
    Global end of trial date
    27 Oct 2014

    Results information
    Results version number
    v2(current)
    This version publication date
    27 Jan 2017
    First version publication date
    11 Nov 2016
    Other versions
    v1
    Version creation reason
    • Changes to summary attachments
    Replacing draft results provided in attachments (Study report and Investigator's Brochure) by final consolidated results (Full Data Set). Deleting the investigator's brochure and study report attachments from version 1.

    Trial information

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    Trial identification
    Sponsor protocol code
    PXD101-CLN-19
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00865969
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Spectrum Pharmaceuticals
    Sponsor organisation address
    157 Technology Drive, Irvine, United States, 92618
    Public contact
    Clinical Operations, Spectrum Pharmaceuticals, clinicaltrialinquiries@sppirx.com
    Scientific contact
    Clinical Operations, Spectrum Pharmaceuticals, clinicaltrialinquiries@sppirx.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
    13 Dec 2013
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    27 Oct 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 determine the objective response rate in patients with peripheral T cell lymphoma who are treated with belinostat monotherapy.
    Protection of trial subjects
    Informed Consent Form was used to ensure all participation is voluntary and study subjects are aware of their right, including personal health information privacy. Clinical monitoring visits were conducted throughout the life of study to ensure study patient safety are continuously monitored and protected. The assigned medical monitor also reviewed the data on frequent basis to ensure that all safety data are adequately monitored and issues addressed timely.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    15 Dec 2008
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Netherlands: 10
    Country: Number of subjects enrolled
    Israel: 4
    Country: Number of subjects enrolled
    Canada: 7
    Country: Number of subjects enrolled
    United States: 37
    Country: Number of subjects enrolled
    Croatia: 4
    Country: Number of subjects enrolled
    South Africa: 3
    Country: Number of subjects enrolled
    Poland: 8
    Country: Number of subjects enrolled
    Slovakia: 2
    Country: Number of subjects enrolled
    Spain: 2
    Country: Number of subjects enrolled
    United Kingdom: 3
    Country: Number of subjects enrolled
    Belgium: 11
    Country: Number of subjects enrolled
    Denmark: 4
    Country: Number of subjects enrolled
    France: 4
    Country: Number of subjects enrolled
    Germany: 16
    Country: Number of subjects enrolled
    Hungary: 11
    Country: Number of subjects enrolled
    Italy: 3
    Worldwide total number of subjects
    129
    EEA total number of subjects
    78
    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)
    67
    From 65 to 84 years
    62
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Patients with relapsed or refractory T-Cell lymphoma must sign consent and meet all Inclusion/Exclusion criteria

    Period 1
    Period 1 title
    Overall Trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Belinostat
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Belinostat
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    1000 mg/m2 of Belinostat administered as a 30 minutes IV infusion on days 1-5 of every 3-week cycle

    Number of subjects in period 1
    Belinostat
    Started
    129
    Completed
    129

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall Trial
    Reporting group description
    -

    Reporting group values
    Overall Trial Total
    Number of subjects
    129 129
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    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)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: years
        median (full range (min-max))
    63 (29 to 81) -
    Gender categorical
    Units: Subjects
        Female
    60 60
        Male
    69 69
    Disease Stage at Entry
    Units: Subjects
        Stage IA
    6 6
        Stage IIA
    8 8
        Stage IIIA
    26 26
        Stage IVA
    38 38
        Stage IIB
    4 4
        Stage IIIB
    19 19
        Stage IVB
    26 26
        Unknown
    2 2
    Height
    Units: cm
        arithmetic mean (standard deviation)
    167.6 ± 10.1 -
    Weight
    Units: kg
        arithmetic mean (standard deviation)
    74.9 ± 18.6 -

    End points

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    End points reporting groups
    Reporting group title
    Belinostat
    Reporting group description
    -

    Primary: Objective Response Rate

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    End point title
    Objective Response Rate [1]
    End point description
    Overall study duration from first dose until 2 years after the first dose. Objective response rate was defined as the percentage of patients with a complete response or a partial response according to IWG criteria. Response was assessed on the basis of clinical and radiological criteria. In addition to the primary analysis of response by central radiographic and clinical review by the IRC, the response assessment was also determined by the local Investigators. As pre-defined, the primary endpoint analysis for this study was based on the IRC assessment of response.
    End point type
    Primary
    End point timeframe
    24 months
    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 for these endpoints
    End point values
    Belinostat
    Number of subjects analysed
    120 [2]
    Units: Percentage
        number (confidence interval 95%)
    25.8 (18.3 to 34.6)
    Notes
    [2] - Efficacy Analysis Dataset= pts received at least 1 dose of Belinostat & confirmed PTCL diagnosis
    No statistical analyses for this end point

    Secondary: Time to Response

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    End point title
    Time to Response
    End point description
    End point type
    Secondary
    End point timeframe
    24 months
    End point values
    Belinostat
    Number of subjects analysed
    120 [3]
    Units: Weeks
        median (full range (min-max))
    5.6 (4.3 to 50.4)
    Notes
    [3] - Efficacy Analysis Dataset= pts received at least 1 dose of Belinostat & confirmed PTCL diagnosis
    No statistical analyses for this end point

    Secondary: Duration of Response

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    End point title
    Duration of Response
    End point description
    The Duration of Response was assessed by IWG criteria per the IRC and estimated by the Kaplan-Meier method. The median Duration of Response for the Efficacy Analysis Dataset, was assessed by IRC using IWG criteria and based on 31 responding patients.
    End point type
    Secondary
    End point timeframe
    24 months
    End point values
    Belinostat
    Number of subjects analysed
    120 [4]
    Units: Months
        median (confidence interval 95%)
    13.6 (4.5 to 29.4)
    Notes
    [4] - Efficacy Analysis Dataset= pts received at least 1 dose of Belinostat & confirmed PTCL diagnosis
    No statistical analyses for this end point

    Secondary: Time to Progression

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    End point title
    Time to Progression
    End point description
    End point type
    Secondary
    End point timeframe
    24 months
    End point values
    Belinostat
    Number of subjects analysed
    120 [5]
    Units: Months
        median (confidence interval 95%)
    2 (1.5 to 2.8)
    Notes
    [5] - Efficacy Analysis Dataset= pts received at least 1 dose of Belinostat & confirmed PTCL diagnosis
    No statistical analyses for this end point

    Secondary: Progression Free Survival

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    End point title
    Progression Free Survival
    End point description
    End point type
    Secondary
    End point timeframe
    24 months
    End point values
    Belinostat
    Number of subjects analysed
    120 [6]
    Units: Months
        median (confidence interval 95%)
    1.6 (1.4 to 2.7)
    Notes
    [6] - Efficacy Analysis Dataset= pts received at least 1 dose of Belinostat & confirmed PTCL diagnosis
    No statistical analyses for this end point

    Secondary: Overall Survival

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    End point title
    Overall Survival
    End point description
    End point type
    Secondary
    End point timeframe
    24 months
    End point values
    Belinostat
    Number of subjects analysed
    120 [7]
    Units: Months
        median (confidence interval 95%)
    7.9 (6.1 to 13.9)
    Notes
    [7] - Efficacy Analysis Dataset= pts received at least 1 dose of Belinostat & confirmed PTCL diagnosis
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    25 months. Patients must be carefully monitored for all adverse events that occur from the time Informed Consent is obtained until 30 days after the last study drug administration.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    14.0
    Reporting groups
    Reporting group title
    Full Patient Population
    Reporting group description
    Overall description of adverse events in CLN-19 trial.

    Serious adverse events
    Full Patient Population
    Total subjects affected by serious adverse events
         subjects affected / exposed
    61 / 129 (47.29%)
         number of deaths (all causes)
    14
         number of deaths resulting from adverse events
    14
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Tumour associated fever
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Tumour haemorrhage
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Vascular disorders
    Deep vein thrombosis
         subjects affected / exposed
    3 / 129 (2.33%)
         occurrences causally related to treatment / all
    1 / 3
         deaths causally related to treatment / all
    0 / 0
    Hypotension
         subjects affected / exposed
    2 / 129 (1.55%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Extremity necrosis
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Iliac artery occlusion
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Shock
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Vasculitis
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Venous thrombosis limb
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Surgical and medical procedures
    Central venous catheterisation
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Pyrexia
         subjects affected / exposed
    6 / 129 (4.65%)
         occurrences causally related to treatment / all
    4 / 8
         deaths causally related to treatment / all
    0 / 0
    Multi-organ disorder
         subjects affected / exposed
    3 / 129 (2.33%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 3
    Fatigue
         subjects affected / exposed
    2 / 129 (1.55%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Asthenia
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Chills
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Disease progression
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Euthanasia
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    General physical health deterioration
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Malaise
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pain
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Pulmonary embolism
         subjects affected / exposed
    3 / 129 (2.33%)
         occurrences causally related to treatment / all
    1 / 3
         deaths causally related to treatment / all
    0 / 0
    Alveolitis
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Chylothorax
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    hypoxia
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Pulmonary haemorrhage
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Pulmonary mass
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory failure
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Impaired self-care
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Investigations
    Blood creatinine increased
         subjects affected / exposed
    3 / 129 (2.33%)
         occurrences causally related to treatment / all
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    Alanine aminotransferase increased
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Aspartate aminotransferase increased
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Liver function test abnormal
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Platelet count decreased
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Injury, poisoning and procedural complications
    Lower limb fracture
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Multiple fractures
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cardiac disorders
    Cardiac failure
         subjects affected / exposed
    2 / 129 (1.55%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 2
    Atrial fibrillation
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Nervous system disorders
    Peripheral sensory neuropathy
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    3 / 129 (2.33%)
         occurrences causally related to treatment / all
    2 / 3
         deaths causally related to treatment / all
    0 / 0
    Thrombocytopenia
         subjects affected / exposed
    3 / 129 (2.33%)
         occurrences causally related to treatment / all
    5 / 5
         deaths causally related to treatment / all
    0 / 0
    Febrile neutropenia
         subjects affected / exposed
    2 / 129 (1.55%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Autoimmune haemolytic anaemia
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Haemolytic anaemia
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Pancytopenia
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Splenomegaly
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Eye disorders
    Toxic cataract
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Constipation
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal haemorrhage
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Hepatobiliary disorders
    Hepatic failure
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    1 / 1
    Hyperbilirubinaemia
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Skin and subcutaneous tissue disorders
    Actinic keratosis
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pain of skin
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Rash
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Renal and urinary disorders
    Renal failure
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Musculoskeletal and connective tissue disorders
    Urosepsis
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Arthralgia
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pathological fracture
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Pneumonia
         subjects affected / exposed
    10 / 129 (7.75%)
         occurrences causally related to treatment / all
    2 / 10
         deaths causally related to treatment / all
    0 / 1
    Infection
         subjects affected / exposed
    4 / 129 (3.10%)
         occurrences causally related to treatment / all
    2 / 4
         deaths causally related to treatment / all
    0 / 0
    Bronchitis
         subjects affected / exposed
    3 / 129 (2.33%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    Sepsis
         subjects affected / exposed
    2 / 129 (1.55%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Bronchitis bacterial
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Bronchopneumopathy
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Device related infection
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Endocarditis
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal fungal infection
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Lung infection
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Pharyngitis
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Septic shock
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Upper respiratory tract infection
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Metabolism and nutrition disorders
    Tumour lysis syndrome
         subjects affected / exposed
    2 / 129 (1.55%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Decreased appetite
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Dehydration
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hypercalcaemia
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Hyperglycaemia
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hypoglycaemia
         subjects affected / exposed
    1 / 129 (0.78%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Full Patient Population
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    125 / 129 (96.90%)
    Investigations
    Blood lactate dehydrogenase increased
         subjects affected / exposed
    20 / 129 (15.50%)
         occurrences all number
    45
    Electrocardiogram QT prolonged
         subjects affected / exposed
    15 / 129 (11.63%)
         occurrences all number
    46
    Aspartate aminotransferase increased
         subjects affected / exposed
    11 / 129 (8.53%)
         occurrences all number
    20
    Alanine aminotransferase increased
         subjects affected / exposed
    9 / 129 (6.98%)
         occurrences all number
    29
    Blood creatinine increased
         subjects affected / exposed
    8 / 129 (6.20%)
         occurrences all number
    16
    Platelet count decreased
         subjects affected / exposed
    8 / 129 (6.20%)
         occurrences all number
    16
    Weight decreased
         subjects affected / exposed
    8 / 129 (6.20%)
         occurrences all number
    8
    Blood alkaline phosphatase increased
         subjects affected / exposed
    7 / 129 (5.43%)
         occurrences all number
    12
    Vascular disorders
    Hypotension
         subjects affected / exposed
    13 / 129 (10.08%)
         occurrences all number
    26
    Phlebitis
         subjects affected / exposed
    12 / 129 (9.30%)
         occurrences all number
    23
    Flushing
         subjects affected / exposed
    9 / 129 (6.98%)
         occurrences all number
    11
    Hypertension
         subjects affected / exposed
    7 / 129 (5.43%)
         occurrences all number
    8
    Nervous system disorders
    Headache
         subjects affected / exposed
    19 / 129 (14.73%)
         occurrences all number
    20
    Dizziness
         subjects affected / exposed
    13 / 129 (10.08%)
         occurrences all number
    26
    Neuropathy peripheral
         subjects affected / exposed
    9 / 129 (6.98%)
         occurrences all number
    9
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    47 / 129 (36.43%)
         occurrences all number
    76
    Pyrexia
         subjects affected / exposed
    45 / 129 (34.88%)
         occurrences all number
    98
    Oedema Peripheral
         subjects affected / exposed
    27 / 129 (20.93%)
         occurrences all number
    34
    Chills
         subjects affected / exposed
    21 / 129 (16.28%)
         occurrences all number
    23
    Infusion site pain
         subjects affected / exposed
    18 / 129 (13.95%)
         occurrences all number
    31
    Asthenia
         subjects affected / exposed
    12 / 129 (9.30%)
         occurrences all number
    14
    Pain
         subjects affected / exposed
    12 / 129 (9.30%)
         occurrences all number
    12
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    41 / 129 (31.78%)
         occurrences all number
    132
    Thrombocytopenia
         subjects affected / exposed
    21 / 129 (16.28%)
         occurrences all number
    73
    Leukopenia
         subjects affected / exposed
    13 / 129 (10.08%)
         occurrences all number
    36
    Neutropenia
         subjects affected / exposed
    13 / 129 (10.08%)
         occurrences all number
    39
    Lymphopenia
         subjects affected / exposed
    11 / 129 (8.53%)
         occurrences all number
    91
    Gastrointestinal disorders
    Nausea
         subjects affected / exposed
    55 / 129 (42.64%)
         occurrences all number
    130
    Vomiting
         subjects affected / exposed
    37 / 129 (28.68%)
         occurrences all number
    95
    Constipation
         subjects affected / exposed
    29 / 129 (22.48%)
         occurrences all number
    37
    Diarrhoea
         subjects affected / exposed
    28 / 129 (21.71%)
         occurrences all number
    44
    Abdominal pain
         subjects affected / exposed
    14 / 129 (10.85%)
         occurrences all number
    17
    Abdominal pain upper
         subjects affected / exposed
    7 / 129 (5.43%)
         occurrences all number
    9
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    29 / 129 (22.48%)
         occurrences all number
    34
    Cough
         subjects affected / exposed
    25 / 129 (19.38%)
         occurrences all number
    27
    Oropharyngeal pain
         subjects affected / exposed
    8 / 129 (6.20%)
         occurrences all number
    10
    Skin and subcutaneous tissue disorders
    Rash
         subjects affected / exposed
    26 / 129 (20.16%)
         occurrences all number
    36
    Pruritus
         subjects affected / exposed
    21 / 129 (16.28%)
         occurrences all number
    39
    Night sweats
         subjects affected / exposed
    8 / 129 (6.20%)
         occurrences all number
    11
    Hyperhidrosis
         subjects affected / exposed
    7 / 129 (5.43%)
         occurrences all number
    8
    Psychiatric disorders
    Insomnia
         subjects affected / exposed
    9 / 129 (6.98%)
         occurrences all number
    11
    Anxiety
         subjects affected / exposed
    7 / 129 (5.43%)
         occurrences all number
    8
    Musculoskeletal and connective tissue disorders
    Pain in extremity
         subjects affected / exposed
    11 / 129 (8.53%)
         occurrences all number
    20
    Muscle spasms
         subjects affected / exposed
    9 / 129 (6.98%)
         occurrences all number
    13
    Infections and infestations
    Upper respiratory tract infection
         subjects affected / exposed
    10 / 129 (7.75%)
         occurrences all number
    12
    Bronchitis
         subjects affected / exposed
    9 / 129 (6.98%)
         occurrences all number
    15
    Nasopharyngitis
         subjects affected / exposed
    7 / 129 (5.43%)
         occurrences all number
    8
    Sinusitis
         subjects affected / exposed
    7 / 129 (5.43%)
         occurrences all number
    8
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    19 / 129 (14.73%)
         occurrences all number
    23
    Hypokalaemia
         subjects affected / exposed
    17 / 129 (13.18%)
         occurrences all number
    45
    Hyperglycaemia
         subjects affected / exposed
    12 / 129 (9.30%)
         occurrences all number
    36
    Hypoalbuminaemia
         subjects affected / exposed
    10 / 129 (7.75%)
         occurrences all number
    16
    Hypomagnesaemia
         subjects affected / exposed
    9 / 129 (6.98%)
         occurrences all number
    18
    Hyperuricaemia
         subjects affected / exposed
    8 / 129 (6.20%)
         occurrences all number
    37

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    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.
    None reported
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