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    Clinical Trial Results:
    An Open-Label, Multi-Center, Expanded Access Program With Eribulin for the Treatment of Advanced Breast Cancer Refractory to All Other Commercially Available Therapies

    Summary
    EudraCT number
    2009-017671-22
    Trial protocol
    BE  
    Global end of trial date
    10 Nov 2014

    Results information
    Results version number
    v1(current)
    This version publication date
    05 Nov 2016
    First version publication date
    05 Nov 2016
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    E7389-G000-398
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01240421
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Eisai
    Sponsor organisation address
    100 Tice Boulevard, Woodcliff Lake, United States, 07677
    Public contact
    Eisai Call Center, Eisai Inc., 888 422-4743,
    Scientific contact
    Eisai Call Center, Eisai Inc., 888 422-4743,
    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
    23 Apr 2015
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    10 Nov 2014
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To provide eribulin to patients with advanced breast cancer who have no further treatment options and therapy is requested by an investigator
    Protection of trial subjects
    This study was conducted in accordance with standard operating procedures (SOPs) of the sponsor (or designee), which are designed to ensure adherence to Good Clinical Practice (GCP) guidelines as required by the following: - Principles of the World Medical Association Declaration of Helsinki (World Medical Association, 2008) - International Conference on Harmonisation (ICH) E6 Guideline for GCP (CPMP/ICH/135/95) of the European Agency for the Evaluation of Medicinal Products, Committee for Proprietary Medicinal Products, International Conference on Harmonisation of Pharmaceuticals for Human Use - Title 21 of the United States (US) Code of Federal Regulations (US 21 CFR) regarding clinical studies, including Part 50 and Part 56 concerning informed subject consent and Institutional Review Board (IRB) regulations and applicable sections of US 21 CFR Part 312 - European Good Clinical Practice Directive 2005/28/EC and Clinical Trial Directive 2001/20/EC for studies conducted within any European Union (EU) country. All suspected unexpected serious adverse reactions were reported, as required, to the Competent Authorities of all involved EU member states. - Article 14, Paragraph 3, and Article 80-2 of the Pharmaceutical Affairs Law (Law No. 145, 1960) for studies conducted in Japan, in addition to Japan’s GCP Subject Information and Informed Consent.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    06 Aug 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
    Belgium: 141
    Country: Number of subjects enrolled
    France: 261
    Country: Number of subjects enrolled
    Canada: 104
    Worldwide total number of subjects
    506
    EEA total number of subjects
    402
    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)
    385
    From 65 to 84 years
    121
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Of the 508 participants enrolled into the study, 2 participants did not receive any study drug, 414 participants completed the Treatment Phase, and 92 participants discontinued the study prior to the clinical or radiological evidence of progression.

    Period 1
    Period 1 title
    Overall Period
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded

    Arms
    Arm title
    Eribulin
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Eribulin mesylate
    Investigational medicinal product code
    E7389
    Other name
    Halaven
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravenous bolus use
    Dosage and administration details
    Eribulin mesylate at a dose of 1.4 mg/m^2 was administered as a 2 to 5 minute intravenous (IV) bolus on Days 1 and 8 of a 21-day cycle. If desired, the dose was diluted in up to 100 mL of normal saline for injection (an aqueous solution of 0.9% weight per volume (w/v) of sodium chloride).

    Number of subjects in period 1
    Eribulin
    Started
    506
    Completed
    414
    Not completed
    92
         Participant choice
    17
         Consent withdrawn by subject
    14
         Adverse event, non-fatal
    53
         Not specified
    8

    Baseline characteristics

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

    Reporting group values
    Overall Period Total
    Number of subjects
    506 506
    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
        arithmetic mean (standard deviation)
    56.7 ± 10.84 -
    Gender categorical
    Units: Subjects
        Female
    506 506
        Male
    0 0

    End points

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

    Primary: Overview of Treatment-Emergent Adverse Events (TEAEs)

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    End point title
    Overview of Treatment-Emergent Adverse Events (TEAEs) [1]
    End point description
    General safety was assessed by monitoring all adverse events (AEs) and serious adverse events (SAEs), regular monitoring of hematology and blood chemistry, regular measurement of vital signs, and the performance of physical examinations and other safety assessments. Descriptive statistics were used to summarize the frequency, and listings indicated severity, duration, and relationship to treatment for all AEs occurring after initiation of treatment. TEAEs were defined as AEs that had an onset date, or a worsening in severity from baseline (pre-treatment), on or after the first dose of study drug up to the last visit, or 30 days following the last dose of study drug. AEs were graded in severity according to Common Terminology Criteria for Adverse Events (CTCAE). Participants with multiple CTCAE grades were counted in their highest grade. Treatment-related AEs were considered by the investigator to be possible or probably related to study drug.
    End point type
    Primary
    End point timeframe
    From date of administration of first dose up to 30 days after the last dose, or each participant, or up to approximately 2 years and 4 months per overall study duration.
    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: Only descriptive analyses were performed for this data.
    End point values
    Eribulin
    Number of subjects analysed
    506
    Units: Percentage of participants
    number (not applicable)
        All TEAEs
    98.6
        Treatment-related TEAEs
    94.9
        TEAEs with CTCAE grade 3
    40.7
        TEAEs with CTCAE grade 4
    18.4
        TEAEs with CTCAE grade 5 (Deaths)
    2.8
        Serious TEAEs
    27.7
        TEAEs leading to study drug withdrawal
    8.9
        TEAEs leading to study drug dose reduction
    29.2
        TEAEs leading to study drug interruption
    27.7
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    From date of administration of first dose up to 30 days after the last dose, or each participant, or up to approximately 2 years and 4 months per overall study duration.
    Adverse event reporting additional description
    Treatment-emergent adverse events (TEAEs) and serious TEAEs were collected and reported. Safety analysis set included all participants who received at least one dose of study drug. AEs were graded using Common Terminology Criteria for Adverse Events (CTCAE) version 4.03.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17.1
    Reporting groups
    Reporting group title
    Eribulin mesylate
    Reporting group description
    -

    Serious adverse events
    Eribulin mesylate
    Total subjects affected by serious adverse events
         subjects affected / exposed
    140 / 506 (27.67%)
         number of deaths (all causes)
    14
         number of deaths resulting from adverse events
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Cancer pain
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Lymphangiosis carcinomatosa
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Metastases to central nervous system
         subjects affected / exposed
    3 / 506 (0.59%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    Metastases to meninges
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Metastases to skin
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Metastatic pain
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Paraneoplastic syndrome
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Skin neoplasm bleeding
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Vascular disorders
    Deep vein thrombosis
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Lymphoedema
         subjects affected / exposed
    3 / 506 (0.59%)
         occurrences causally related to treatment / all
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    Surgical and medical procedures
    Tumour excision
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Axillary pain
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Chest pain
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Device malfunction
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Disease progression
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Euthanasia
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    General physical health deterioration
         subjects affected / exposed
    15 / 506 (2.96%)
         occurrences causally related to treatment / all
    2 / 20
         deaths causally related to treatment / all
    1 / 5
    Malaise
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Mucosal inflammation
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    Pyrexia
         subjects affected / exposed
    13 / 506 (2.57%)
         occurrences causally related to treatment / all
    6 / 16
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Asphyxia
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Chronic obstructive pulmonary disease
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 1
    Cough
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Dyspnoea
         subjects affected / exposed
    17 / 506 (3.36%)
         occurrences causally related to treatment / all
    2 / 17
         deaths causally related to treatment / all
    0 / 0
    Laryngeal dyspnoea
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Lung disorder
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Pleural effusion
         subjects affected / exposed
    8 / 506 (1.58%)
         occurrences causally related to treatment / all
    0 / 8
         deaths causally related to treatment / all
    0 / 0
    Pneumothorax
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    5 / 506 (0.99%)
         occurrences causally related to treatment / all
    0 / 5
         deaths causally related to treatment / all
    0 / 1
    Respiratory failure
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 1
    Psychiatric disorders
    Confusional state
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Delirium
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Mental disorder
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Mental status changes
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Aspartate aminotransferase increased
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood creatinine increased
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Ejection fraction decreased
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Liver function test abnormal
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Neutrophil count decreased
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Oxygen saturation decreased
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Injury, poisoning and procedural complications
    Fall
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Femur fracture
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Humerus fracture
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Radiation sickness syndrome
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Subdural haematoma
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cardiac disorders
    Left ventricular dysfunction
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Myocardial infarction
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Pericardial effusion
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Sinus tachycardia
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Nervous system disorders
    Brain oedema
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cerebellar syndrome
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cerebral haemorrhage
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Coma
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Convulsion
         subjects affected / exposed
    3 / 506 (0.59%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    Depressed level of consciousness
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Epilepsy
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Generalised tonic-clonic seizure
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Headache
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatic encephalopathy
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 1
    Intracranial pressure increased
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Peripheral sensorimotor neuropathy
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Somnolence
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    Anemia
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Disseminated intravascular coagulation
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Febrile neutropenia
         subjects affected / exposed
    26 / 506 (5.14%)
         occurrences causally related to treatment / all
    25 / 26
         deaths causally related to treatment / all
    0 / 0
    Neutropenia
         subjects affected / exposed
    12 / 506 (2.37%)
         occurrences causally related to treatment / all
    15 / 15
         deaths causally related to treatment / all
    0 / 0
    Thrombocytopenia
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Ear and labyrinth disorders
    Vertigo
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    6 / 506 (1.19%)
         occurrences causally related to treatment / all
    0 / 6
         deaths causally related to treatment / all
    0 / 0
    Diarrhoea
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Dysphagia
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal obstruction
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Haematemesis
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Intestinal obstruction
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    Nausea
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Oesophagitis
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Small intestinal obstruction
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Stomatitis
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Subileus
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Hepatobiliary disorders
    Cholecystitis
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatic failure
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 1
    Hepatic pain
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Jaundice
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Skin and subcutaneous tissue disorders
    Rash
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Renal and urinary disorders
    Renal failure
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Renal failure acute
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    5 / 506 (0.99%)
         occurrences causally related to treatment / all
    0 / 5
         deaths causally related to treatment / all
    0 / 0
    Bone pain
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Flank pain
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Musculoskeletal chest pain
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Neck pain
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pain in extremity
         subjects affected / exposed
    5 / 506 (0.99%)
         occurrences causally related to treatment / all
    2 / 6
         deaths causally related to treatment / all
    0 / 0
    Spinal pain
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Enterococcal sepsis
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Erysipelas
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 1
    Lobar pneumonia
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Lung infection
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Pneumocystis jirovecii pneumonia
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pneumonia
         subjects affected / exposed
    6 / 506 (1.19%)
         occurrences causally related to treatment / all
    4 / 6
         deaths causally related to treatment / all
    0 / 0
    Sepsis
         subjects affected / exposed
    4 / 506 (0.79%)
         occurrences causally related to treatment / all
    2 / 4
         deaths causally related to treatment / all
    0 / 0
    Septic shock
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Staphylococcal skin infection
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Tonsillitis
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Dehydration
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Diabetes mellitus
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Hypercalcaemia
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    Hyperkalaemia
         subjects affected / exposed
    1 / 506 (0.20%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hyponatraemia
         subjects affected / exposed
    2 / 506 (0.40%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Eribulin mesylate
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    490 / 506 (96.84%)
    Investigations
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    30 / 506 (5.93%)
         occurrences all number
    44
    Nervous system disorders
    Dysgeusia
         subjects affected / exposed
    33 / 506 (6.52%)
         occurrences all number
    44
    Headache
         subjects affected / exposed
    54 / 506 (10.67%)
         occurrences all number
    73
    Neuropathy peripheral
         subjects affected / exposed
    109 / 506 (21.54%)
         occurrences all number
    179
    Paraesthesia
         subjects affected / exposed
    50 / 506 (9.88%)
         occurrences all number
    61
    Peripheral sensory neuropathy
         subjects affected / exposed
    35 / 506 (6.92%)
         occurrences all number
    49
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    98 / 506 (19.37%)
         occurrences all number
    170
    Leukopenia
         subjects affected / exposed
    42 / 506 (8.30%)
         occurrences all number
    96
    Lymphopenia
         subjects affected / exposed
    34 / 506 (6.72%)
         occurrences all number
    61
    Neutropenia
         subjects affected / exposed
    191 / 506 (37.75%)
         occurrences all number
    429
    Thrombocytopenia
         subjects affected / exposed
    35 / 506 (6.92%)
         occurrences all number
    60
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    187 / 506 (36.96%)
         occurrences all number
    293
    Fatigue
         subjects affected / exposed
    158 / 506 (31.23%)
         occurrences all number
    223
    Mucosal inflammation
         subjects affected / exposed
    30 / 506 (5.93%)
         occurrences all number
    33
    Oedema peripheral
         subjects affected / exposed
    42 / 506 (8.30%)
         occurrences all number
    46
    Pyrexia
         subjects affected / exposed
    84 / 506 (16.60%)
         occurrences all number
    127
    Eye disorders
    Lacrimation increased
         subjects affected / exposed
    39 / 506 (7.71%)
         occurrences all number
    53
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    40 / 506 (7.91%)
         occurrences all number
    45
    Abdominal pain upper
         subjects affected / exposed
    39 / 506 (7.71%)
         occurrences all number
    41
    Constipation
         subjects affected / exposed
    107 / 506 (21.15%)
         occurrences all number
    135
    Diarrhoea
         subjects affected / exposed
    91 / 506 (17.98%)
         occurrences all number
    122
    Nausea
         subjects affected / exposed
    151 / 506 (29.84%)
         occurrences all number
    206
    Stomatitis
         subjects affected / exposed
    52 / 506 (10.28%)
         occurrences all number
    63
    Vomiting
         subjects affected / exposed
    74 / 506 (14.62%)
         occurrences all number
    90
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    53 / 506 (10.47%)
         occurrences all number
    66
    Dyspnoea
         subjects affected / exposed
    79 / 506 (15.61%)
         occurrences all number
    100
    Skin and subcutaneous tissue disorders
    Alopecia
         subjects affected / exposed
    212 / 506 (41.90%)
         occurrences all number
    243
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    53 / 506 (10.47%)
         occurrences all number
    76
    Back pain
         subjects affected / exposed
    37 / 506 (7.31%)
         occurrences all number
    41
    Bone pain
         subjects affected / exposed
    35 / 506 (6.92%)
         occurrences all number
    42
    Muscle spasms
         subjects affected / exposed
    32 / 506 (6.32%)
         occurrences all number
    39
    Myalgia
         subjects affected / exposed
    66 / 506 (13.04%)
         occurrences all number
    87
    Pain in extremity
         subjects affected / exposed
    30 / 506 (5.93%)
         occurrences all number
    33
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    86 / 506 (17.00%)
         occurrences all number
    106

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    07 Apr 2011
    The purpose of the amendment was to support the use of eribulin on a compassionate use basis prior to regulatory approval in Canada.

    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.
    Age is not available for 13 participants. Since the mean age was 56.7 years, these participants were added to the 18-64 years age category in 'Age group breakdown for trial'.
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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