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    Clinical Trial Results:
    A SINGLE-ARM, MULTICENTER, PHASE II STUDY OF PANITUMUMAB IN COMBINATION WITH CAPECITABINE / OXALIPLATIN IN FIRST-LINE, WILD-TYPE K-RAS METASTATIC COLORECTAL CANCER PATIENTS

    Summary
    EudraCT number
    2009-012655-26
    Trial protocol
    GR  
    Global end of trial date
    26 Aug 2014

    Results information
    Results version number
    v1(current)
    This version publication date
    14 Nov 2018
    First version publication date
    14 Nov 2018
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    HE 6A/09
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01215539
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Hellenic Cooperative Oncology Group
    Sponsor organisation address
    Hatzikonstandi 18, Athens, Greece, 11524
    Public contact
    Hellenic Cooperative Oncology Group, Hellenic Cooperative Oncology Group, hecogoff@otenet.gr
    Scientific contact
    Hellenic Cooperative Oncology Group, Hellenic Cooperative Oncology Group, hecogoff@otenet.gr
    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
    26 Aug 2014
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    26 Aug 2014
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To estimate the objective response rate in wild-type k-ras, metastatic colorectal cancer patients treated with panitumumab in combination with capecitabine/oxaliplatin as first-line therapy.
    Protection of trial subjects
    This study was conducted in conformance with ICH GCP, all applicable laws and regulations. All participants were required to read and sign an Informed Consent Form.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    13 Oct 2010
    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
    Greece: 78
    Worldwide total number of subjects
    78
    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)
    37
    From 65 to 84 years
    41
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Participants were enrolled in the study from 13 October 2010 until 10 September 2013 from 12 sites in Greece.

    Pre-assignment
    Screening details
    All potentially eligible subjects underwent screening in order to confirm that all eligibility criteria were met prior to the first administration of the study treatment.

    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
    Panitumumab+capecitabine+oxaliplatin
    Arm description
    Panitumumab was administered by IV infusion on day 1 of each 3-week cycle prior to the administration of chemotherapy. The starting panitumumab dose was 9 mg/kg. Oxaliplatin 130 mg/m2 IV infusion over 2 hours on Day 1 of each cycle after the administration of panitumumab, capecitabine 2000 mg/m2 divided in two doses, orally, on Days 1 - 14.
    Arm type
    Experimental

    Investigational medicinal product name
    Panitumumab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    The starting panitumumab dose was 9 mg/kg iv administration on day 1 of each 3-week cycle.

    Number of subjects in period 1
    Panitumumab+capecitabine+oxaliplatin
    Started
    78
    Completed
    45
    Not completed
    33
         Physician decision
    5
         Consent withdrawn by subject
    6
         Adverse event, non-fatal
    3
         Death
    4
         Other
    3
         Progression
    10
         Moved to other hospital
    2

    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
    78 78
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    37 37
        From 65-84 years
    41 41
        85 years and over
    0 0
    Age continuous
    Units: years
        arithmetic mean (full range (min-max))
    63.4 (30.1 to 80.9) -
    Gender categorical
    Units: Subjects
        Female
    33 33
        Male
    45 45

    End points

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    End points reporting groups
    Reporting group title
    Panitumumab+capecitabine+oxaliplatin
    Reporting group description
    Panitumumab was administered by IV infusion on day 1 of each 3-week cycle prior to the administration of chemotherapy. The starting panitumumab dose was 9 mg/kg. Oxaliplatin 130 mg/m2 IV infusion over 2 hours on Day 1 of each cycle after the administration of panitumumab, capecitabine 2000 mg/m2 divided in two doses, orally, on Days 1 - 14.

    Primary: Objective Response Rate

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    End point title
    Objective Response Rate [1]
    End point description
    Response was centrally assessed using RECIST criteria.An objective response was defined as either a complete or a partial response.
    End point type
    Primary
    End point timeframe
    Tumor response was assessed every 6 weeks through week 18 and every 3 months thereafter, until disease progression
    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: The percentage of patients that achieved a complete or partial response out of the total number of enrolled patients is provided. No comparisons were performed since this was a single-arm study.
    End point values
    Panitumumab+capecitabine+oxaliplatin
    Number of subjects analysed
    78
    Units: percentage of patients
        number (not applicable)
    44.9
    No statistical analyses for this end point

    Secondary: Progression-Free Survival

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    End point title
    Progression-Free Survival
    End point description
    Progression-free survival was defined as the time from the date of enrollment to the date of documented disease progression, death or last contact. Deaths without a documented progression were treated as events at the time of death for the PFS analysis.
    End point type
    Secondary
    End point timeframe
    Tumor response was assessed every 6 weeks through week 18 and every 3 months thereafter, until disease progression.
    End point values
    Panitumumab+capecitabine+oxaliplatin
    Number of subjects analysed
    78
    Units: months
        median (confidence interval 95%)
    8.1 (6.5 to 9.9)
    Attachments
    Kaplan-meier with respect to PFS
    No statistical analyses for this end point

    Secondary: Safety profile

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    End point title
    Safety profile
    End point description
    End point type
    Secondary
    End point timeframe
    Adverse Events of all participants were recorded and assessed upon signature of the Informed Consent Form, until 30 days after the last administration of study treatment.
    End point values
    Panitumumab+capecitabine+oxaliplatin
    Number of subjects analysed
    78
    Units: number of patients
        Any adverse event
    76
        Adverse event grade≥3
    54
        Adverse event grade≥4
    12
        Fatal adverse events
    6
        Serious adverse events
    27
    No statistical analyses for this end point

    Secondary: Overall survival

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    End point title
    Overall survival
    End point description
    Overall survival was defined as the time from enrollment to the date of death or last contact. Alive patients were censored at the date of their last contact.
    End point type
    Secondary
    End point timeframe
    The median follow-up time was 12.8 months (range 0-39).
    End point values
    Panitumumab+capecitabine+oxaliplatin
    Number of subjects analysed
    78
    Units: months
        median (confidence interval 95%)
    23.2 (18.0 to 28.8)
    Attachments
    Kaplan-meier curve with respect to OS
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse Events of all participants were recorded and assessed upon signature of the Informed Consent Form, until 30 days after the last administration of study treatment.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    12.1
    Reporting groups
    Reporting group title
    Panitumumab+capecitabine+oxaliplatin
    Reporting group description
    Panitumumab was administered by IV infusion on day 1 of each 3-week cycle prior to the administration of chemotherapy. The starting panitumumab dose was 9 mg/kg. Oxaliplatin 130 mg/m2 IV infusion over 2 hours on Day 1 of each cycle after the administration of panitumumab, capecitabine 2000 mg/m2 divided in two doses, orally, on Days 1 - 14.

    Serious adverse events
    Panitumumab+capecitabine+oxaliplatin
    Total subjects affected by serious adverse events
         subjects affected / exposed
    27 / 78 (34.62%)
         number of deaths (all causes)
    26
         number of deaths resulting from adverse events
    6
    Investigations
    Hyperbilirubinaemia
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Neutropenia
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Thrombocytopenia
         subjects affected / exposed
    2 / 78 (2.56%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Vascular disorders
    Deep vein thrombosis
         subjects affected / exposed
    2 / 78 (2.56%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    1 / 1
    Phlebitis superficial
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Ischaemic stroke
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    1 / 1
    Cardiac disorders
    Cardiac arrest
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    1 / 1
    Nervous system disorders
    Depressed level of consciousness
    Additional description: Somnolence
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    1 / 1
    Neuropathy
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Neuropathy sensory
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Catheter site thrombosis
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Sudden death
    Additional description: Cause unknown
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    1 / 1
    Immune system disorders
    Allergic reaction
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    6 / 78 (7.69%)
         occurrences causally related to treatment / all
    6 / 6
         deaths causally related to treatment / all
    0 / 0
    Ileus
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    1 / 1
    Vomiting
         subjects affected / exposed
    3 / 78 (3.85%)
         occurrences causally related to treatment / all
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    Abdominal pain
         subjects affected / exposed
    3 / 78 (3.85%)
         occurrences causally related to treatment / all
    2 / 3
         deaths causally related to treatment / all
    0 / 0
    Intestinal perforation
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Rectal haemorrhage
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Intestinal obstruction
         subjects affected / exposed
    1 / 78 (1.28%)
         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
    2 / 78 (2.56%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Dyspnoea
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    1 / 1
    Chronic obstructive pulmonary disease
    Additional description: Exacerbation of Chronic Obstructive Pulmonary Disease
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    1 / 1
    Infections and infestations
    Infection
         subjects affected / exposed
    2 / 78 (2.56%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Lung infection
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Infectious colitis
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Diverticulitis
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Metabolism and nutrition disorders
    Hypokalaemia
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Panitumumab+capecitabine+oxaliplatin
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    76 / 78 (97.44%)
    Vascular disorders
    Phlebitis
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    26 / 78 (33.33%)
         occurrences all number
    36
    Insomnia
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Fever
         subjects affected / exposed
    3 / 78 (3.85%)
         occurrences all number
    4
    Edema head and neck
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Edema limbs
         subjects affected / exposed
    4 / 78 (5.13%)
         occurrences all number
    4
    Flu like symptomes
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Pain
         subjects affected / exposed
    10 / 78 (12.82%)
         occurrences all number
    11
    Immune system disorders
    Allergic reaction
         subjects affected / exposed
    5 / 78 (6.41%)
         occurrences all number
    9
    Immune system disorder
    Additional description: Allergy-Dermatology-Skin
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Respiratory, thoracic and mediastinal disorders
    Hemorrhage pulmonary
         subjects affected / exposed
    3 / 78 (3.85%)
         occurrences all number
    4
    Bronchospasm
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Cough
         subjects affected / exposed
    4 / 78 (5.13%)
         occurrences all number
    4
    Dyspnoea
         subjects affected / exposed
    4 / 78 (5.13%)
         occurrences all number
    5
    Voice alteration
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Psychiatric disorders
    Confusional state
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Personality change
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Investigations
    Weight decreased
         subjects affected / exposed
    8 / 78 (10.26%)
         occurrences all number
    8
    International normalised ratio increased
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Activated partial thromboplastin time prolonged
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Alanine aminotransferase increased
         subjects affected / exposed
    19 / 78 (24.36%)
         occurrences all number
    33
    Aspartate aminotransferase increased
         subjects affected / exposed
    36 / 78 (46.15%)
         occurrences all number
    67
    Alkaline phosphatase increased
         subjects affected / exposed
    29 / 78 (37.18%)
         occurrences all number
    38
    Amylase increased
         subjects affected / exposed
    2 / 78 (2.56%)
         occurrences all number
    3
    Blood bilirubin increased
         subjects affected / exposed
    20 / 78 (25.64%)
         occurrences all number
    31
    Hypercholesterolaemia
         subjects affected / exposed
    4 / 78 (5.13%)
         occurrences all number
    4
    Creatinine increased
         subjects affected / exposed
    2 / 78 (2.56%)
         occurrences all number
    2
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    28 / 78 (35.90%)
         occurrences all number
    33
    Hyperkalaemia
         subjects affected / exposed
    7 / 78 (8.97%)
         occurrences all number
    8
    Hypermagnesaemia
         subjects affected / exposed
    9 / 78 (11.54%)
         occurrences all number
    11
    Hypernatraemia
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Hypertriglyceridaemia
         subjects affected / exposed
    2 / 78 (2.56%)
         occurrences all number
    2
    Hyperuricaemia
         subjects affected / exposed
    3 / 78 (3.85%)
         occurrences all number
    4
    Hypoalbuminaemia
         subjects affected / exposed
    24 / 78 (30.77%)
         occurrences all number
    29
    Hypocalcaemia
         subjects affected / exposed
    12 / 78 (15.38%)
         occurrences all number
    14
    Hypokalaemia
         subjects affected / exposed
    22 / 78 (28.21%)
         occurrences all number
    37
    Hypomagnesaemia
         subjects affected / exposed
    24 / 78 (30.77%)
         occurrences all number
    33
    Hyponatraemia
         subjects affected / exposed
    10 / 78 (12.82%)
         occurrences all number
    15
    Hypophosphataemia
         subjects affected / exposed
    4 / 78 (5.13%)
         occurrences all number
    6
    Blood lactate dehydrogenase increased
         subjects affected / exposed
    20 / 78 (25.64%)
         occurrences all number
    35
    Blood urea increased
         subjects affected / exposed
    2 / 78 (2.56%)
         occurrences all number
    2
    Injury, poisoning and procedural complications
    Vascular access complication
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Cardiac disorders
    Hypotension
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Nervous system disorders
    Dysgeusia
         subjects affected / exposed
    5 / 78 (6.41%)
         occurrences all number
    6
    Dizziness
         subjects affected / exposed
    2 / 78 (2.56%)
         occurrences all number
    2
    Mood altered
         subjects affected / exposed
    2 / 78 (2.56%)
         occurrences all number
    2
    Vertigo
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Peripheral motor neuropathy
         subjects affected / exposed
    2 / 78 (2.56%)
         occurrences all number
    2
    Peripheral sensory neuropathy
         subjects affected / exposed
    35 / 78 (44.87%)
         occurrences all number
    53
    Neuropathy cranial
    alternative dictionary used: CTCAE 3
         subjects affected / exposed
    3 / 78 (3.85%)
         occurrences all number
    4
    Speech disorder
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    28 / 78 (35.90%)
         occurrences all number
    45
    Leukopenia
         subjects affected / exposed
    26 / 78 (33.33%)
         occurrences all number
    46
    Neutropenia
         subjects affected / exposed
    24 / 78 (30.77%)
         occurrences all number
    44
    Thrombocytopenia
         subjects affected / exposed
    26 / 78 (33.33%)
         occurrences all number
    51
    Ear and labyrinth disorders
    Ear and labyrinth disorder- other
    Additional description: Partial temporary hearing loss
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Eye disorders
    Dry eye
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Ocular surface disease
         subjects affected / exposed
    4 / 78 (5.13%)
         occurrences all number
    4
    Gastrointestinal disorders
    Constipation
         subjects affected / exposed
    11 / 78 (14.10%)
         occurrences all number
    13
    Diarrhoea
         subjects affected / exposed
    34 / 78 (43.59%)
         occurrences all number
    60
    Flatulence
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Dry mouth
         subjects affected / exposed
    2 / 78 (2.56%)
         occurrences all number
    2
    Dysphagia
         subjects affected / exposed
    4 / 78 (5.13%)
         occurrences all number
    4
    Stomatitis
         subjects affected / exposed
    10 / 78 (12.82%)
         occurrences all number
    13
    Nausea
         subjects affected / exposed
    17 / 78 (21.79%)
         occurrences all number
    26
    Vomiting
         subjects affected / exposed
    16 / 78 (20.51%)
         occurrences all number
    26
    Gastrointestinal pain
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Abdominal distension
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Esophagitis
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Hemorrhage gastrointestinal
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Skin and subcutaneous tissue disorders
    Acne
         subjects affected / exposed
    13 / 78 (16.67%)
         occurrences all number
    13
    Cheilitis
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Skin disorder
         subjects affected / exposed
    6 / 78 (7.69%)
         occurrences all number
    6
    Dry skin
         subjects affected / exposed
    6 / 78 (7.69%)
         occurrences all number
    6
    Palmar-plantar erythrodysaesthesia syndrome
         subjects affected / exposed
    20 / 78 (25.64%)
         occurrences all number
    23
    Nail disorder
         subjects affected / exposed
    4 / 78 (5.13%)
         occurrences all number
    4
    Photosensitivity reaction
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Pruritus
         subjects affected / exposed
    4 / 78 (5.13%)
         occurrences all number
    4
    Rash
         subjects affected / exposed
    56 / 78 (71.79%)
         occurrences all number
    63
    Hyperhidrosis
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Hair growth rate abnormal
         subjects affected / exposed
    2 / 78 (2.56%)
         occurrences all number
    2
    Subcutaneous abscess
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Renal and urinary disorders
    Hematuria
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Hemorrhage GU
    alternative dictionary used: CTCAE 3
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Infections and infestations
    Infections and infestations- Other specify
         subjects affected / exposed
    4 / 78 (5.13%)
         occurrences all number
    5
    Lower respiratory tract infection
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Upper respiratory tract infection
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Viral infection
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Diverticulitis
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Nail infection
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Herpes virus infection
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1
    Metabolism and nutrition disorders
    Anorexia
         subjects affected / exposed
    19 / 78 (24.36%)
         occurrences all number
    24
    Hyperglycemia
         subjects affected / exposed
    32 / 78 (41.03%)
         occurrences all number
    65
    Hypoglycaemia
         subjects affected / exposed
    1 / 78 (1.28%)
         occurrences all number
    1

    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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