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    Clinical Trial Results:
    A Double-blind Randomised, Parallel Phase I/IIb Study to Evaluate Initial Safety and Efficacy, Comparative Pharmacokinetics and Immunogenicity for CT-P6 and Herceptin in Metastatic Breast Cancer

    Summary
    EudraCT number
    2009-014463-39
    Trial protocol
    LV   BG   GB  
    Global end of trial date
    29 Dec 2023

    Results information
    Results version number
    v1(current)
    This version publication date
    24 Aug 2024
    First version publication date
    24 Aug 2024
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    1.1
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Celltrion, Inc.
    Sponsor organisation address
    23, Academy-ro, Yeonsu-gu, Incheon, Korea, Republic of, 22014, Incheon, Korea, Republic of,
    Public contact
    Celltrion, Inc., Celltrion, Inc., 82 850 5000, contact@celltrion.com, Celltrion, Inc., 82 8505000,
    Scientific contact
    Celltrion, Inc., Celltrion, Inc., 82 850 5000, contact@celltrion.com, Celltrion, Inc., 82 8505000,
    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
    18 Mar 2024
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    25 Jun 2012
    Global end of trial reached?
    Yes
    Global end of trial date
    29 Dec 2023
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective of this study is to demonstrate equivalent PK in terms of area under the curve at steady state (AUCSS) between CT-P6 and the comparator Herceptin in patients with metastatic breast cancer.
    Protection of trial subjects
    The study was conducted according to the protocol and in compliance with Good Clinical Practice (GCP) and other applicable regulatory requirements.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    02 Feb 2010
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety
    Long term follow-up duration
    14 Years
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Bulgaria: 10
    Country: Number of subjects enrolled
    Latvia: 15
    Country: Number of subjects enrolled
    Serbia: 11
    Country: Number of subjects enrolled
    Ukraine: 29
    Country: Number of subjects enrolled
    Korea, Republic of: 63
    Country: Number of subjects enrolled
    Russian Federation: 45
    Country: Number of subjects enrolled
    Taiwan: 1
    Worldwide total number of subjects
    174
    EEA total number of subjects
    25
    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)
    150
    From 65 to 84 years
    24
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Patients were enrolled at 7 sites across Bulgaria, Korea, Republic of, Latvia, Russian Federation, Serbia, Taiwan, and Ukraine.

    Pre-assignment
    Screening details
    This study included females 18 years of age or older with HER-2 positive metastatic breast cancer who had not been treated in the first line metastatic setting.

    Pre-assignment period milestones
    Number of subjects started
    174
    Number of subjects completed
    143

    Pre-assignment subject non-completion reasons
    Reason: Number of subjects
    excluded from Full Analysis Set (FAS): 31
    Period 1
    Period 1 title
    Main Study Treatment Period
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor, Data analyst, Carer

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    CT-P6
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Trastuzumab (CT-P6, Herzuma)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    8 mg/kg body weight on Day 1, Cycle 1, followed by 6 mg/kg body weight repeated at every 3 weeks until disease progression, death, or discontinuation.

    Arm title
    Herceptin
    Arm description
    -
    Arm type
    Active comparator

    Investigational medicinal product name
    Trastuzumab (Herceptin)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    8 mg/kg body weight on Day 1, Cycle 1, followed by 6 mg/kg body weight repeated at every 3 weeks until disease progression, death, or discontinuation.

    Number of subjects in period 1 [1]
    CT-P6 Herceptin
    Started
    76
    67
    Completed
    60
    56
    Not completed
    16
    11
         Disease progression
    11
    7
         Adverse Event
    5
    3
         Other reason
    -
    1
    Notes
    [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same.
    Justification: Overall, 31 enrolled patients who did not met definition of FAS was excluded.
    Period 2
    Period 2 title
    Treatment Period Beyond Cycle 8
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor, Data analyst, Carer

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    CT-P6
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Trastuzumab (CT-P6, Herzuma)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    8 mg/kg body weight on Day 1, Cycle 1, followed by 6 mg/kg body weight repeated at every 3 weeks until disease progression, death, or discontinuation.

    Arm title
    Herceptin
    Arm description
    -
    Arm type
    Active comparator

    Investigational medicinal product name
    Trastuzumab (Herceptin)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    8 mg/kg body weight on Day 1, Cycle 1, followed by 6 mg/kg body weight repeated at every 3 weeks until disease progression, death, or discontinuation.

    Number of subjects in period 2
    CT-P6 Herceptin
    Started
    60
    56
    Discontinued treatment after Cycle 8
    60
    56
    Completed
    0
    0
    Not completed
    60
    56
         Consent withdrawn by subject
    4
    4
         Physician decision
    2
    4
         Disease progression
    51
    45
         Adverse Event
    1
    -
         Unknown
    -
    1
         Other reason
    2
    2

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    CT-P6
    Reporting group description
    -

    Reporting group title
    Herceptin
    Reporting group description
    -

    Reporting group values
    CT-P6 Herceptin Total
    Number of subjects
    76 67 143
    Age categorical
    Units: Subjects
        In utero
    0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0
        Newborns (0-27 days)
    0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0
        Children (2-11 years)
    0 0 0
        Adolescents (12-17 years)
    0 0 0
        Adults (18-64 years)
    63 59 122
        From 65-84 years
    13 8 21
        85 years and over
    0 0 0
    Age continuous
    Units: years
        median (full range (min-max))
    56.0 (33 to 75) 56.0 (28 to 76) -
    Gender categorical
    Units: Subjects
        Female
    76 67 143
        Male
    0 0 0
    Subject analysis sets

    Subject analysis set title
    Full Analysis Set (FAS)
    Subject analysis set type
    Full analysis
    Subject analysis set description
    All randomized patients who received any study drug and had at least one post-baseline assessment, with the exception of the patients who violated against Herceptin indication. Patients were analyzed according to the treatment to which they were randomized and not according to what they actually received, in the event there will be a discrepancy between the actual treatment received and the randomized treatment. All summaries of study population data, including disposition of patients, major protocol deviations, and analysis sets, as well as demographic and baseline characteristics were performed using the FAS. Also, all efficacy analysis were performed using the FAS.

    Subject analysis set title
    PK Analysis Set – Global (PKASg)
    Subject analysis set type
    Full analysis
    Subject analysis set description
    All FAS patients who had achieved steady state by the 8th cycle, which required 3 consecutive similar trough concentrations. Patients were analyzed according to the study drug they actually received. All summaries of PK parameter were performed using the PKASg.

    Subject analysis sets values
    Full Analysis Set (FAS) PK Analysis Set – Global (PKASg)
    Number of subjects
    143
    100
    Age categorical
    Units: Subjects
        In utero
    0
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
    0
        Newborns (0-27 days)
    0
    0
        Infants and toddlers (28 days-23 months)
    0
    0
        Children (2-11 years)
    0
    0
        Adolescents (12-17 years)
    0
    0
        Adults (18-64 years)
    122
    83
        From 65-84 years
    21
    17
        85 years and over
    0
    0
    Age continuous
    Units: years
        median (full range (min-max))
    56.0 (28 to 76)
    56.0 (28 to 76)
    Gender categorical
    Units: Subjects
        Female
    143
    100
        Male
    0
    0

    End points

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    End points reporting groups
    Reporting group title
    CT-P6
    Reporting group description
    -

    Reporting group title
    Herceptin
    Reporting group description
    -
    Reporting group title
    CT-P6
    Reporting group description
    -

    Reporting group title
    Herceptin
    Reporting group description
    -

    Subject analysis set title
    Full Analysis Set (FAS)
    Subject analysis set type
    Full analysis
    Subject analysis set description
    All randomized patients who received any study drug and had at least one post-baseline assessment, with the exception of the patients who violated against Herceptin indication. Patients were analyzed according to the treatment to which they were randomized and not according to what they actually received, in the event there will be a discrepancy between the actual treatment received and the randomized treatment. All summaries of study population data, including disposition of patients, major protocol deviations, and analysis sets, as well as demographic and baseline characteristics were performed using the FAS. Also, all efficacy analysis were performed using the FAS.

    Subject analysis set title
    PK Analysis Set – Global (PKASg)
    Subject analysis set type
    Full analysis
    Subject analysis set description
    All FAS patients who had achieved steady state by the 8th cycle, which required 3 consecutive similar trough concentrations. Patients were analyzed according to the study drug they actually received. All summaries of PK parameter were performed using the PKASg.

    Primary: AUCss at 6 months (8 treatment cycles).

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    End point title
    AUCss at 6 months (8 treatment cycles).
    End point description
    The primary endpoint was to demonstrate PK equivalence in terms of area under the concentration time curve at steady state (AUCss) between CT-P6 and the comparator. The primary endpoint was reached at 6 months (8 treatment cycle; Main Study Treatment Period).
    End point type
    Primary
    End point timeframe
    6 months
    End point values
    CT-P6 Herceptin
    Number of subjects analysed
    48
    49
    Units: ug*h/mL
        arithmetic mean (standard deviation)
    34400 ( 15000 )
    31800 ( 9820 )
    Statistical analysis title
    Geometric Mean Ratio
    Comparison groups
    Herceptin v CT-P6
    Number of subjects included in analysis
    97
    Analysis specification
    Pre-specified
    Analysis type
    equivalence
    Method
    Parameter type
    Geometric Mean Ratio
    Point estimate
    104.57
    Confidence interval
         level
    90%
         sides
    2-sided
         lower limit
    93.64
         upper limit
    116.78

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Up to approximately 14 years.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    13.0
    Reporting groups
    Reporting group title
    CT-P6
    Reporting group description
    -

    Reporting group title
    Herceptin
    Reporting group description
    -

    Serious adverse events
    CT-P6 Herceptin
    Total subjects affected by serious adverse events
         subjects affected / exposed
    12 / 76 (15.79%)
    19 / 67 (28.36%)
         number of deaths (all causes)
    2
    3
         number of deaths resulting from adverse events
    0
    1
    Vascular disorders
    Hypertension
         subjects affected / exposed
    0 / 76 (0.00%)
    1 / 67 (1.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Surgical and medical procedures
    Biliary drainage
         subjects affected / exposed
    0 / 76 (0.00%)
    1 / 67 (1.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Disease progression
         subjects affected / exposed
    1 / 76 (1.32%)
    5 / 67 (7.46%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 5
         deaths causally related to treatment / all
    0 / 1
    0 / 2
    Infusion related reaction
         subjects affected / exposed
    1 / 76 (1.32%)
    1 / 67 (1.49%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pyrexia
         subjects affected / exposed
    1 / 76 (1.32%)
    1 / 67 (1.49%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Pleural effusion
         subjects affected / exposed
    0 / 76 (0.00%)
    1 / 67 (1.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Investigations
    Endoscopic retrograde cholangiopancreatography
         subjects affected / exposed
    0 / 76 (0.00%)
    1 / 67 (1.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatic enzyme increased
         subjects affected / exposed
    1 / 76 (1.32%)
    0 / 67 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Spinal fracture
         subjects affected / exposed
    0 / 76 (0.00%)
    1 / 67 (1.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    Cardiac failure acute
         subjects affected / exposed
    0 / 76 (0.00%)
    1 / 67 (1.49%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    Nervous system disorders
    Brain oedema
         subjects affected / exposed
    0 / 76 (0.00%)
    1 / 67 (1.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cerebrovascular accident
         subjects affected / exposed
    1 / 76 (1.32%)
    0 / 67 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Blood and lymphatic system disorders
    Febrile neutropenia
         subjects affected / exposed
    2 / 76 (2.63%)
    3 / 67 (4.48%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Neutropenia
         subjects affected / exposed
    0 / 76 (0.00%)
    3 / 67 (4.48%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Colitis
         subjects affected / exposed
    0 / 76 (0.00%)
    1 / 67 (1.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nausea
         subjects affected / exposed
    1 / 76 (1.32%)
    0 / 67 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vomiting
         subjects affected / exposed
    0 / 76 (0.00%)
    1 / 67 (1.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Cholangitis
         subjects affected / exposed
    0 / 76 (0.00%)
    1 / 67 (1.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cholecystitis acute
         subjects affected / exposed
    0 / 76 (0.00%)
    1 / 67 (1.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatitis cholestatic
         subjects affected / exposed
    0 / 76 (0.00%)
    1 / 67 (1.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    0 / 76 (0.00%)
    1 / 67 (1.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Acute tonsillitis
         subjects affected / exposed
    1 / 76 (1.32%)
    0 / 67 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Bacteraemia
         subjects affected / exposed
    2 / 76 (2.63%)
    0 / 67 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gangrene
         subjects affected / exposed
    1 / 76 (1.32%)
    0 / 67 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Neutropenic infection
         subjects affected / exposed
    0 / 76 (0.00%)
    1 / 67 (1.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumonia
         subjects affected / exposed
    1 / 76 (1.32%)
    0 / 67 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Sepsis
         subjects affected / exposed
    0 / 76 (0.00%)
    1 / 67 (1.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    1 / 76 (1.32%)
    0 / 67 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Hypercalcaemia
         subjects affected / exposed
    0 / 76 (0.00%)
    1 / 67 (1.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypoglycaemia
         subjects affected / exposed
    0 / 76 (0.00%)
    1 / 67 (1.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    CT-P6 Herceptin
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    75 / 76 (98.68%)
    65 / 67 (97.01%)
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    7 / 76 (9.21%)
    8 / 67 (11.94%)
         occurrences all number
    12
    19
    Aspartate aminotransferase increased
         subjects affected / exposed
    6 / 76 (7.89%)
    7 / 67 (10.45%)
         occurrences all number
    8
    16
    Vascular disorders
    Hypertension
         subjects affected / exposed
    5 / 76 (6.58%)
    4 / 67 (5.97%)
         occurrences all number
    6
    9
    Nervous system disorders
    Peripheral sensory neuropathy
         subjects affected / exposed
    21 / 76 (27.63%)
    27 / 67 (40.30%)
         occurrences all number
    79
    50
    Neuropathy peripheral
         subjects affected / exposed
    23 / 76 (30.26%)
    21 / 67 (31.34%)
         occurrences all number
    46
    54
    Headache
         subjects affected / exposed
    11 / 76 (14.47%)
    13 / 67 (19.40%)
         occurrences all number
    16
    18
    Dizziness
         subjects affected / exposed
    6 / 76 (7.89%)
    13 / 67 (19.40%)
         occurrences all number
    11
    23
    Blood and lymphatic system disorders
    Neutropenia
         subjects affected / exposed
    32 / 76 (42.11%)
    33 / 67 (49.25%)
         occurrences all number
    59
    85
    Leukopenia
         subjects affected / exposed
    8 / 76 (10.53%)
    12 / 67 (17.91%)
         occurrences all number
    10
    28
    Anaemia
         subjects affected / exposed
    9 / 76 (11.84%)
    5 / 67 (7.46%)
         occurrences all number
    19
    9
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    24 / 76 (31.58%)
    10 / 67 (14.93%)
         occurrences all number
    52
    14
    Fatigue
         subjects affected / exposed
    10 / 76 (13.16%)
    10 / 67 (14.93%)
         occurrences all number
    27
    31
    Pyrexia
         subjects affected / exposed
    10 / 76 (13.16%)
    10 / 67 (14.93%)
         occurrences all number
    18
    18
    Oedema peripheral
         subjects affected / exposed
    8 / 76 (10.53%)
    8 / 67 (11.94%)
         occurrences all number
    10
    12
    Chills
         subjects affected / exposed
    6 / 76 (7.89%)
    7 / 67 (10.45%)
         occurrences all number
    11
    8
    Mucosal inflammation
         subjects affected / exposed
    4 / 76 (5.26%)
    5 / 67 (7.46%)
         occurrences all number
    5
    6
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    13 / 76 (17.11%)
    18 / 67 (26.87%)
         occurrences all number
    23
    38
    Stomatitis
         subjects affected / exposed
    6 / 76 (7.89%)
    11 / 67 (16.42%)
         occurrences all number
    13
    14
    Constipation
         subjects affected / exposed
    4 / 76 (5.26%)
    10 / 67 (14.93%)
         occurrences all number
    6
    14
    Abdominal pain upper
         subjects affected / exposed
    4 / 76 (5.26%)
    8 / 67 (11.94%)
         occurrences all number
    4
    13
    Dyspepsia
         subjects affected / exposed
    5 / 76 (6.58%)
    3 / 67 (4.48%)
         occurrences all number
    6
    3
    Nausea
         subjects affected / exposed
    19 / 76 (25.00%)
    17 / 67 (25.37%)
         occurrences all number
    51
    41
    Vomiting
         subjects affected / exposed
    5 / 76 (6.58%)
    9 / 67 (13.43%)
         occurrences all number
    10
    14
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    11 / 76 (14.47%)
    8 / 67 (11.94%)
         occurrences all number
    13
    11
    Dyspnoea
         subjects affected / exposed
    8 / 76 (10.53%)
    5 / 67 (7.46%)
         occurrences all number
    11
    7
    Oropharyngeal pain
         subjects affected / exposed
    3 / 76 (3.95%)
    5 / 67 (7.46%)
         occurrences all number
    4
    6
    Skin and subcutaneous tissue disorders
    Alopecia
         subjects affected / exposed
    47 / 76 (61.84%)
    44 / 67 (65.67%)
         occurrences all number
    59
    50
    Rash
         subjects affected / exposed
    10 / 76 (13.16%)
    12 / 67 (17.91%)
         occurrences all number
    16
    29
    Pruritus
         subjects affected / exposed
    7 / 76 (9.21%)
    12 / 67 (17.91%)
         occurrences all number
    11
    18
    Psychiatric disorders
    Insomnia
         subjects affected / exposed
    7 / 76 (9.21%)
    13 / 67 (19.40%)
         occurrences all number
    14
    16
    Musculoskeletal and connective tissue disorders
    Myalgia
         subjects affected / exposed
    31 / 76 (40.79%)
    31 / 67 (46.27%)
         occurrences all number
    134
    127
    Arthralgia
         subjects affected / exposed
    10 / 76 (13.16%)
    15 / 67 (22.39%)
         occurrences all number
    33
    29
    Pain in extremity
         subjects affected / exposed
    10 / 76 (13.16%)
    17 / 67 (25.37%)
         occurrences all number
    14
    32
    Bone pain
         subjects affected / exposed
    13 / 76 (17.11%)
    6 / 67 (8.96%)
         occurrences all number
    22
    10
    Back pain
         subjects affected / exposed
    5 / 76 (6.58%)
    11 / 67 (16.42%)
         occurrences all number
    7
    19
    Musculoskeletal pain
         subjects affected / exposed
    6 / 76 (7.89%)
    7 / 67 (10.45%)
         occurrences all number
    7
    9
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    7 / 76 (9.21%)
    3 / 67 (4.48%)
         occurrences all number
    11
    9
    Upper respiratory tract infection
         subjects affected / exposed
    3 / 76 (3.95%)
    6 / 67 (8.96%)
         occurrences all number
    3
    10
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    7 / 76 (9.21%)
    8 / 67 (11.94%)
         occurrences all number
    12
    22

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    19 May 2010
    Amendments in the eligibility crieria and procedures
    02 Dec 2010
    Amendments in the sample size calculation
    23 Feb 2012
    Clarification in determination of disease progression related to follow-up of patient was moved to the Investigator from ITRC
    03 Jul 2013
    Amendments in study duration and updated study protocol to open-label study

    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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