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    Clinical Trial Results:
    Efficacy of Gemcitabine With Pazopanib as Second Line Treatment in Patient With Metastatic or Relapsed Uterine (LMS03)

    Summary
    EudraCT number
    2011-001308-36
    Trial protocol
    FR  
    Global end of trial date
    30 Mar 2018

    Results information
    Results version number
    v1(current)
    This version publication date
    23 Apr 2021
    First version publication date
    23 Apr 2021
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    SARCOME 11
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01442662
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    UNICANCER
    Sponsor organisation address
    101 RUE DE TOLBIAC, PARIS, France, 75013
    Public contact
    N. AIT RAHMOUNE, UNICANCER, 33 (0) 1 71 93 674 04, n.ait-rahmoune@unicancer.fr
    Scientific contact
    N. AIT RAHMOUNE, UNICANCER, 33 (0) 1 71 93 6740, n.ait-rahmoune@unicancer.fr
    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
    31 Jul 2018
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    30 Mar 2018
    Global end of trial reached?
    Yes
    Global end of trial date
    30 Mar 2018
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To assess the efficacy of the combination of gemcitabine and pazopanib for treating patients with leiomyosarcoma (uterine or soft tissue) either metastatic and/or inoperable at relapse after first-line anthracycline-based therapy, according to the 9-month PFS rate.
    Protection of trial subjects
    In order to ensure the protection of the rights, safety and well-being of trial subjects, this clinical trial was performed in compliance with the principles laid down in the declaration of Helsinki, good Clinical Practice and European regulation.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    20 Oct 2011
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Efficacy
    Long term follow-up duration
    3 Years
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    France: 106
    Worldwide total number of subjects
    106
    EEA total number of subjects
    106
    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)
    72
    From 65 to 84 years
    34
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Study Initiation Date: 20-Oct-2011 Last patient included: 12-May-2016

    Pre-assignment
    Screening details
    Patients with histologically confirmed leiomyosarcoma (uterine or soft tissue) either metastatic and/or inoperable at relapse after first-line anthracycline-based therapy. Patients having received adjuvant therapy less than one year before relapse are considered as having received first-line therapy. Furthermore, if the maximum anthracycline do

    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
    Treatment arm
    Arm description
    Patients recreived: - Gemcitabine (1000 mg/m2/day) was to be administered intravenously on D1 and D8 of a 21-day cycle. The gemcitabine solution was perfused at a rate of 10 mg/m2/min. Gemcitabine treatment was planned for a maximum of 8 cycles. - Oral pazopanib was taken daily at a dose of 800 mg/day (4 x 200-mg tablets). If after 6-8 weeks of being treated with pazopanib plus gemcitabine, the tumour response was stable disease (SD), partial (PR) or complete response (CR). The patients could have been treated with pazopanib monotherapy until disease progression, limiting toxicity, or patient’s refusal to continue treatment.
    Arm type
    Experimental

    Investigational medicinal product name
    GEMCITABIN
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Gemcitabine (1000 mg/m2/day) was to be administered intravenously on D1 and D8 of a 21-day cycle. The gemcitabine solution was perfused at a rate of 10 mg/m2/min. Gemcitabine treatment was planned for a maximum of 8 cycles. 

    Investigational medicinal product name
    PAZOPANIB
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Oral pazopanib was taken daily at a dose of 800 mg/day (4 x 200-mg tablets). If after 6-8 weeks of being treated with pazopanib plus gemcitabine, the tumour response was stable disease (SD), partial (PR) or complete response (CR). The patients could have been treated with pazopanib monotherapy until disease progression, limiting toxicity, or patient’s refusal to continue treatment.

    Number of subjects in period 1 [1]
    Treatment arm
    Started
    105
    Completed
    105
    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: 105 patients were included and treated in this study

    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
    105 105
    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)
    71 71
        From 65-84 years
    34 34
        85 years and over
    0 0
    Gender categorical
    Units: Subjects
        Female
    90 90
        Male
    15 15

    End points

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    End points reporting groups
    Reporting group title
    Treatment arm
    Reporting group description
    Patients recreived: - Gemcitabine (1000 mg/m2/day) was to be administered intravenously on D1 and D8 of a 21-day cycle. The gemcitabine solution was perfused at a rate of 10 mg/m2/min. Gemcitabine treatment was planned for a maximum of 8 cycles. - Oral pazopanib was taken daily at a dose of 800 mg/day (4 x 200-mg tablets). If after 6-8 weeks of being treated with pazopanib plus gemcitabine, the tumour response was stable disease (SD), partial (PR) or complete response (CR). The patients could have been treated with pazopanib monotherapy until disease progression, limiting toxicity, or patient’s refusal to continue treatment.

    Primary: Primary endpoint (9month PFS)

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    End point title
    Primary endpoint (9month PFS) [1]
    End point description
    To assess the efficacy of the combination of gemcitabine and pazopanib for treating patients with leiomyosarcoma (uterine or soft tissue) either metastatic and/or inoperable at relapse after firstline anthracycline-based therapy, according to the 9-month PFS rate.
    End point type
    Primary
    End point timeframe
    9 month
    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: Efficacy endpoints were reported as rates with 95% CIs. Kaplan-Meier analyses were used for the time-to-event outcomes and Kaplan-Meier plots were
    End point values
    Treatment arm
    Number of subjects analysed
    105
    Units: percent
        arithmetic mean (confidence interval 5%)
    32.1 (23.1 to 41.4)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Safety data were collected for each cycle of the gemcitabine-pazopanib combination and every 6 weeks for pazopanib monotherapy. Serious adverse events were collected since patient's consent until 30 days after last study treatment adlinistration
    Adverse event reporting additional description
    For non serious adverse events only name of event must be take into account. The number of subjects affected and the number of occurrence are not available and will be always noted "1"
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    15
    Reporting groups
    Reporting group title
    All patients treated
    Reporting group description
    -

    Serious adverse events
    All patients treated
    Total subjects affected by serious adverse events
         subjects affected / exposed
    71 / 105 (67.62%)
         number of deaths (all causes)
    105
         number of deaths resulting from adverse events
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Tumor pain
         subjects affected / exposed
    2 / 105 (1.90%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Vascular disorders
    Ischemic stroke
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    2 / 105 (1.90%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Transient ischemic attacks
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Surgical and medical procedures
    Metastasectomy
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Fever
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    General physical health deterioration
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Oedema lower limb
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Thorax pain
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Dyspnea
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Dyspnea exacerbated
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Epistaxis
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Interstitial pneumonitis
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    8 / 105 (7.62%)
         occurrences causally related to treatment / all
    8 / 9
         deaths causally related to treatment / all
    0 / 0
    SGPT increased
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Transaminases increased
         subjects affected / exposed
    2 / 105 (1.90%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Cardiac disorders
    Atrial fibrillation
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Cardiomyopathy secondary
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Left ventricular dysfunction
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Myocarditis
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Nervous system disorders
    Diplopia
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Headache
         subjects affected / exposed
    1 / 105 (0.95%)
         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
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Bicytopenia
         subjects affected / exposed
    5 / 105 (4.76%)
         occurrences causally related to treatment / all
    5 / 5
         deaths causally related to treatment / all
    0 / 0
    Febrile aplasia
         subjects affected / exposed
    2 / 105 (1.90%)
         occurrences causally related to treatment / all
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    Lymphopenia
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Neutropenia
         subjects affected / exposed
    33 / 105 (31.43%)
         occurrences causally related to treatment / all
    44 / 44
         deaths causally related to treatment / all
    0 / 0
    Thrombocytopenia
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Thrombocytosis
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Thrombopenia
         subjects affected / exposed
    15 / 105 (14.29%)
         occurrences causally related to treatment / all
    15 / 15
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Ascites
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorder
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Intestinal obstruction
         subjects affected / exposed
    2 / 105 (1.90%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Sigmoiditis
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Vomiting
         subjects affected / exposed
    2 / 105 (1.90%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Hepatobiliary disorders
    Cholangiolitis
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatic enzymes increased
         subjects affected / exposed
    5 / 105 (4.76%)
         occurrences causally related to treatment / all
    5 / 5
         deaths causally related to treatment / all
    0 / 0
    Hepatic insufficiency
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatotoxicity
         subjects affected / exposed
    2 / 105 (1.90%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Skin and subcutaneous tissue disorders
    Skin eruption
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Acute renal insufficiency
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Neutropenic infection
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    All patients treated
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    34 / 105 (32.38%)
    Vascular disorders
    Transient ischemic attack
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Deep vein thrombosis
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Haemorrhage
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Other vascular toxicities
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    General disorders and administration site conditions
    Anorexia
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Weight loss
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Fatigue/asthenia
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Fever
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Oedema
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Thyroid gland perturbation
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Other general toxicities
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Respiratory, thoracic and mediastinal disorders
    Bronchospasms
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Dyspnoea
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Interstitial pneumopathy
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Other pulmonary and upper air tract toxicities
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Investigations
    Hypokalaemia
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Proteinuria
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Hypocalcaemia
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Hyperuricemia
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Hypoglycaemia
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Hypomagnesaemia
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Hyponatremia
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Other biological investigation toxicities
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Cardiac disorders
    Decrease in LVEF
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Cardiac ischemia/heart attack/angina
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Temporary ECG modifications
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    QTc prolongation
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Torsade de pointes
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Hypertension
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Arrhythmia
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Other cardiac toxicities
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Nervous system disorders
    Anxiety/depression
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Neurosensory problems
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Neuromotor problems
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Other neurological toxicities
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Blood and lymphatic system disorders
    Haemoglobin decreased
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Leukopenia
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Neutrophil count decreased
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Febrile neutropenia
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Platelet count decreased
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Constipation
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Other haematological toxicities
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Ear and labyrinth disorders
    Loss of hearing
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Other auditive toxicities
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Eye disorders
    Visual problems
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Other ocular toxicities
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Abdominal pain
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Dyspepsia
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Mucositis/stomatitis
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Nausea
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Vomiting
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Other digestive toxicities
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Hepatobiliary disorders
    Elevated ASAT/ALAT
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Elevated bilirubin
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Elevated phosphatase alkaline
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Other hepatobiliary toxicities
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Skin and subcutaneous tissue disorders
    Alopecia
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Depigmentation of the hair/skin
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Skin eruptions/rash
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Hand and foot syndrome
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Other skin/hair toxicities
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Renal and urinary disorders
    Kidney failure
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Elevation of creatinine level
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Other renal toxicities
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Myalgia
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1
    Other musculo-skeletal toxicities
         subjects affected / exposed
    1 / 105 (0.95%)
         occurrences all number
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    25 Oct 2011
    Precision concerning one inclusion criteria, information concerning dose adptation and precision concerning exams required by the protocol
    12 Dec 2011
    New name of the sponsor
    12 Jul 2012
    Submision of the new investigator brochure
    26 Mar 2013
    Modification of protocol in order to take in account new requirement concerning liver tests
    04 Jul 2014
    Protocole updated
    14 Jan 2015
    Protocol updated
    02 Feb 2016
    Submision of the new investigator's brichure and protocole was updated

    Interruptions (globally)

    Were there any global interruptions to the trial? Yes
    Date
    Interruption
    Restart date
    19 Dec 2013
    After information of safety concerning severe liver toxicity observed in another clinical trial with the same study products, it was decided to interrupt inclusion. After evaluation of this event, the relation with the study treatment was not confirmed. It was decided to continue inclusion.
    -

    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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