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    Clinical Trial Results:
    Double-Blind Placebo-Controlled Randomized Phase 2 Study of IPH2102 as Maintenance Treatment in Elderly patients with Acute Myeloid Leukemia (AML) in First Complete Remission

    Summary
    EudraCT number
    2012-001594-93
    Trial protocol
    FR  
    Global end of trial date
    17 Nov 2016

    Results information
    Results version number
    v1(current)
    This version publication date
    06 Jan 2018
    First version publication date
    06 Jan 2018
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    IPH2102-201
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01687387
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Innate Pharma
    Sponsor organisation address
    117 avenue de Luminy, Marseille, France, 13009
    Public contact
    Medical Director, Innate Pharma, 33 (0)430 30 30 30, info@innate-pharma.fr
    Scientific contact
    Medical Director, Innate Pharma, 33 (0)430 30 30 30, info@innate-pharma.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
    20 Dec 2016
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    17 Nov 2016
    Global end of trial reached?
    Yes
    Global end of trial date
    17 Nov 2016
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To evaluate the efficacy of IPH2102 administered in patients with AML in first complete remission
    Protection of trial subjects
    Information providing the common features of the research were given to patients themselves. Restraints and risks were explained, as well as the right to refuse or discontinue their participation in the study at any stage, without further affecting the relationship with the investigator and/or their future care. An independent Data and Safety Monitoring Board reviewed the safety data every 6 months. This study was performed in accordance with the principles stated in the Declaration of Helsinki adopted by the World Medical Association and in accordance with the International Conference of Harmonization (ICH) guidelines on Good Clinical Practice (GCP) (CPMP/ICH/135/95).
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    01 Oct 2012
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    France: 152
    Worldwide total number of subjects
    152
    EEA total number of subjects
    152
    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)
    39
    From 65 to 84 years
    113
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    169 patients were screened and 152 patients were randomized and treated in France

    Pre-assignment
    Screening details
    Primary or secondary Acute Myeloid Leukemia in first CR/CRi, following induction chemotherapy and 1 or 2 consolidation cycles. Randomization was to take place within 6 months after the start of induction chemotherapy.

    Period 1
    Period 1 title
    Overall Trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor, Data analyst, Assessor

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Lirilumab 0.1 mg/kg Q12weeks
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Lirilumab
    Investigational medicinal product code
    IPH2102
    Other name
    Pharmaceutical forms
    Solution for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    1 hour infusion

    Arm title
    Lirilumab 1 mg/kg Q4weeks
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Lirilumab
    Investigational medicinal product code
    IPH2102
    Other name
    Pharmaceutical forms
    Solution for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    1 hour infusion

    Arm title
    Placebo
    Arm description
    -
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Placebo
    Other name
    Pharmaceutical forms
    Solution for injection/infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    normal saline 1 hour infusion

    Number of subjects in period 1
    Lirilumab 0.1 mg/kg Q12weeks Lirilumab 1 mg/kg Q4weeks Placebo
    Started
    50
    51
    51
    Completed
    12
    10
    13
    Not completed
    38
    41
    38
         Relapse
    27
    37
    32
         Consent withdrawn by subject
    1
    -
    -
         Adverse event, non-fatal
    8
    3
    5
         Investigator decision
    1
    -
    1
         Sponsor decision
    1
    1
    -

    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
    152 152
    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)
    39 39
        From 65-84 years
    113 113
        85 years and over
    0 0
    Age continuous
    Units: years
        median (full range (min-max))
    70 (60 to 80) -
    Gender categorical
    Units: Subjects
        Female
    61 61
        Male
    91 91

    End points

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    End points reporting groups
    Reporting group title
    Lirilumab 0.1 mg/kg Q12weeks
    Reporting group description
    -

    Reporting group title
    Lirilumab 1 mg/kg Q4weeks
    Reporting group description
    -

    Reporting group title
    Placebo
    Reporting group description
    -

    Primary: Leukemia Free Survival

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    End point title
    Leukemia Free Survival
    End point description
    Following DSMB decision to stop further treatment in 1 mg/kg Q4W arm, the final primary efficacy analysis consisted of a simple comparison of the remaining active arm with the placebo. So, a one-sided significance level of 0.025 was used for the comparison of the remaining active arm vs. the placebo arm. Moreover, for exploratory purpose, the comparison between the stopped active arm and the placebo will was performed using the same one-sided stratified log-rank test.
    End point type
    Primary
    End point timeframe
    The primary endpoint is Leukemia-Free Survival (LFS) defined as the time from the date of randomization until the occurrence of a relapse, as determined by the IRC, or death from any cause
    End point values
    Lirilumab 0.1 mg/kg Q12weeks Lirilumab 1 mg/kg Q4weeks Placebo
    Number of subjects analysed
    50
    51
    51
    Units: months
        median (confidence interval 95%)
    17.6 (11.2 to 25)
    6.7 (2.9 to 14.8)
    13.9 (7.9 to 27.9)
    Statistical analysis title
    Lirilumab 0.1 mg/kg vs placebo
    Comparison groups
    Lirilumab 0.1 mg/kg Q12weeks v Placebo
    Number of subjects included in analysis
    101
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.025
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.98
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.61
         upper limit
    1.56
    Variability estimate
    Standard deviation
    Statistical analysis title
    Lirilumab 1 mg/kg vs Placebo
    Comparison groups
    Lirilumab 1 mg/kg Q4weeks v Placebo
    Number of subjects included in analysis
    102
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.025
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    1.42
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.88
         upper limit
    2.28
    Variability estimate
    Standard deviation

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    AEs and SAEs were collected throughout the study from the time of patient signing the consent form until 28 days after the last administration, or until the patient’s last study visit
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    16.0
    Reporting groups
    Reporting group title
    Lirilumab 0.1 mg/kg Q12weeks
    Reporting group description
    -

    Reporting group title
    Lirilumab 1 mg/kg Q4weeks
    Reporting group description
    -

    Reporting group title
    Placebo
    Reporting group description
    -

    Serious adverse events
    Lirilumab 0.1 mg/kg Q12weeks Lirilumab 1 mg/kg Q4weeks Placebo
    Total subjects affected by serious adverse events
         subjects affected / exposed
    17 / 50 (34.00%)
    12 / 51 (23.53%)
    11 / 51 (21.57%)
         number of deaths (all causes)
    26
    32
    23
         number of deaths resulting from adverse events
    1
    2
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Basal cell carcinoma
         subjects affected / exposed
    3 / 50 (6.00%)
    0 / 51 (0.00%)
    2 / 51 (3.92%)
         occurrences causally related to treatment / all
    2 / 3
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Invasive lobular breast carcinoma
         subjects affected / exposed
    0 / 50 (0.00%)
    0 / 51 (0.00%)
    1 / 51 (1.96%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Lung cancer metastatic
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 51 (1.96%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Lymphoma
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Myelodysplastic syndrome
         subjects affected / exposed
    0 / 50 (0.00%)
    0 / 51 (0.00%)
    1 / 51 (1.96%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    Myxofibrosarcoma
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Papillary thyroid cancer
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Polycythaemia vera
         subjects affected / exposed
    0 / 50 (0.00%)
    0 / 51 (0.00%)
    1 / 51 (1.96%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Rectal adenocarcinoma
         subjects affected / exposed
    0 / 50 (0.00%)
    0 / 51 (0.00%)
    1 / 51 (1.96%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Surgical and medical procedures
    Respiratory therapy
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    General physical health deterioration
         subjects affected / exposed
    2 / 50 (4.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    Pyrexia
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    Prostatitis
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Pulmonary embolism
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 51 (1.96%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pulmonary mass
         subjects affected / exposed
    0 / 50 (0.00%)
    0 / 51 (0.00%)
    1 / 51 (1.96%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Psychiatric disorders
    Suicide attempt
         subjects affected / exposed
    0 / 50 (0.00%)
    0 / 51 (0.00%)
    1 / 51 (1.96%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Investigations
    Biopsy spleen
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Head injury
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 51 (1.96%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Injury corneal
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 51 (1.96%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Subdural haematoma
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 51 (1.96%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Congenital, familial and genetic disorders
    Hydrocele
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 51 (1.96%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Atrial fibrillation
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 51 (1.96%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Encephalopathy
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Ischaemic stroke
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Sciatica
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 51 (1.96%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Neutropenia
         subjects affected / exposed
    0 / 50 (0.00%)
    0 / 51 (0.00%)
    2 / 51 (3.92%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Eye disorders
    Chorioretinal disorder
         subjects affected / exposed
    0 / 50 (0.00%)
    0 / 51 (0.00%)
    1 / 51 (1.96%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Abdominal wall haematoma
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Diarrhoea
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 51 (1.96%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Umbilical hernia
         subjects affected / exposed
    1 / 50 (2.00%)
    1 / 51 (1.96%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Cholecystitis
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 51 (1.96%)
    1 / 51 (1.96%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Acute febrile neutrophilic dermatosis
         subjects affected / exposed
    0 / 50 (0.00%)
    0 / 51 (0.00%)
    1 / 51 (1.96%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Urinary incontinence
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Urinary retention
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Endocrine disorders
    Hyperthyroidism
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 51 (1.96%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 51 (1.96%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Chondrocalcinosis
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Myalgia
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Osteoarthritis
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 51 (1.96%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Anal abscess
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Device related infection
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 51 (1.96%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Peritonitis
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pneumonia
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Sepsis
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Septic shock
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    Sialoadenitis
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Staphylococcal sepsis
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 51 (1.96%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Urosepsis
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 51 (1.96%)
    0 / 51 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Lirilumab 0.1 mg/kg Q12weeks Lirilumab 1 mg/kg Q4weeks Placebo
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    48 / 50 (96.00%)
    38 / 51 (74.51%)
    43 / 51 (84.31%)
    Investigations
    Lipase increased
         subjects affected / exposed
    3 / 50 (6.00%)
    0 / 51 (0.00%)
    0 / 51 (0.00%)
         occurrences all number
    3
    0
    0
    Weight increased
         subjects affected / exposed
    5 / 50 (10.00%)
    1 / 51 (1.96%)
    6 / 51 (11.76%)
         occurrences all number
    6
    1
    6
    Vascular disorders
    Hypertension
         subjects affected / exposed
    5 / 50 (10.00%)
    2 / 51 (3.92%)
    2 / 51 (3.92%)
         occurrences all number
    6
    2
    4
    Nervous system disorders
    Headache
         subjects affected / exposed
    4 / 50 (8.00%)
    8 / 51 (15.69%)
    3 / 51 (5.88%)
         occurrences all number
    9
    9
    5
    Neuropathy peripheral
         subjects affected / exposed
    3 / 50 (6.00%)
    2 / 51 (3.92%)
    1 / 51 (1.96%)
         occurrences all number
    4
    2
    1
    Paraesthesia
         subjects affected / exposed
    6 / 50 (12.00%)
    0 / 51 (0.00%)
    1 / 51 (1.96%)
         occurrences all number
    9
    0
    1
    Sciatica
         subjects affected / exposed
    3 / 50 (6.00%)
    1 / 51 (1.96%)
    0 / 51 (0.00%)
         occurrences all number
    3
    1
    0
    Anxiety
         subjects affected / exposed
    2 / 50 (4.00%)
    4 / 51 (7.84%)
    3 / 51 (5.88%)
         occurrences all number
    2
    4
    3
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    5 / 50 (10.00%)
    3 / 51 (5.88%)
    2 / 51 (3.92%)
         occurrences all number
    5
    3
    3
    Neutropenia
         subjects affected / exposed
    4 / 50 (8.00%)
    4 / 51 (7.84%)
    5 / 51 (9.80%)
         occurrences all number
    5
    9
    11
    Thrombocytopenia
         subjects affected / exposed
    7 / 50 (14.00%)
    9 / 51 (17.65%)
    3 / 51 (5.88%)
         occurrences all number
    11
    9
    4
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    14 / 50 (28.00%)
    14 / 51 (27.45%)
    14 / 51 (27.45%)
         occurrences all number
    19
    20
    22
    Chest pain
         subjects affected / exposed
    4 / 50 (8.00%)
    1 / 51 (1.96%)
    2 / 51 (3.92%)
         occurrences all number
    4
    1
    2
    Chills
         subjects affected / exposed
    3 / 50 (6.00%)
    4 / 51 (7.84%)
    1 / 51 (1.96%)
         occurrences all number
    4
    5
    2
    Fatigue
         subjects affected / exposed
    2 / 50 (4.00%)
    5 / 51 (9.80%)
    3 / 51 (5.88%)
         occurrences all number
    2
    5
    4
    Influenza like illness
         subjects affected / exposed
    4 / 50 (8.00%)
    2 / 51 (3.92%)
    5 / 51 (9.80%)
         occurrences all number
    5
    2
    9
    Oedema peripheral
         subjects affected / exposed
    2 / 50 (4.00%)
    1 / 51 (1.96%)
    3 / 51 (5.88%)
         occurrences all number
    2
    1
    3
    Pyrexia
         subjects affected / exposed
    3 / 50 (6.00%)
    6 / 51 (11.76%)
    5 / 51 (9.80%)
         occurrences all number
    3
    6
    5
    Eye disorders
    Conjunctivitis
         subjects affected / exposed
    0 / 50 (0.00%)
    3 / 51 (5.88%)
    2 / 51 (3.92%)
         occurrences all number
    0
    3
    2
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    3 / 50 (6.00%)
    3 / 51 (5.88%)
    2 / 51 (3.92%)
         occurrences all number
    4
    3
    4
    Abdominal pain upper
         subjects affected / exposed
    0 / 50 (0.00%)
    0 / 51 (0.00%)
    3 / 51 (5.88%)
         occurrences all number
    0
    0
    3
    Constipation
         subjects affected / exposed
    5 / 50 (10.00%)
    2 / 51 (3.92%)
    3 / 51 (5.88%)
         occurrences all number
    5
    4
    3
    Diarrhoea
         subjects affected / exposed
    6 / 50 (12.00%)
    7 / 51 (13.73%)
    2 / 51 (3.92%)
         occurrences all number
    6
    8
    2
    Haemorrhoids
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    4 / 51 (7.84%)
         occurrences all number
    1
    0
    4
    Nausea
         subjects affected / exposed
    6 / 50 (12.00%)
    2 / 51 (3.92%)
    3 / 51 (5.88%)
         occurrences all number
    6
    3
    3
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    2 / 50 (4.00%)
    2 / 51 (3.92%)
    3 / 51 (5.88%)
         occurrences all number
    2
    2
    5
    Dyspnoea
         subjects affected / exposed
    1 / 50 (2.00%)
    4 / 51 (7.84%)
    1 / 51 (1.96%)
         occurrences all number
    1
    4
    1
    Rhinorrhoea
         subjects affected / exposed
    2 / 50 (4.00%)
    0 / 51 (0.00%)
    3 / 51 (5.88%)
         occurrences all number
    2
    0
    3
    Skin and subcutaneous tissue disorders
    Dry skin
         subjects affected / exposed
    3 / 50 (6.00%)
    3 / 51 (5.88%)
    3 / 51 (5.88%)
         occurrences all number
    3
    3
    3
    Pruritus
         subjects affected / exposed
    10 / 50 (20.00%)
    8 / 51 (15.69%)
    7 / 51 (13.73%)
         occurrences all number
    11
    9
    12
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    6 / 50 (12.00%)
    3 / 51 (5.88%)
    5 / 51 (9.80%)
         occurrences all number
    6
    3
    5
    Arthritis
         subjects affected / exposed
    0 / 50 (0.00%)
    0 / 51 (0.00%)
    3 / 51 (5.88%)
         occurrences all number
    0
    0
    3
    Back pain
         subjects affected / exposed
    6 / 50 (12.00%)
    3 / 51 (5.88%)
    7 / 51 (13.73%)
         occurrences all number
    7
    3
    8
    Muscle spasms
         subjects affected / exposed
    2 / 50 (4.00%)
    0 / 51 (0.00%)
    3 / 51 (5.88%)
         occurrences all number
    3
    0
    3
    Musculoskeletal pain
         subjects affected / exposed
    4 / 50 (8.00%)
    1 / 51 (1.96%)
    2 / 51 (3.92%)
         occurrences all number
    4
    1
    2
    Myalgia
         subjects affected / exposed
    2 / 50 (4.00%)
    0 / 51 (0.00%)
    4 / 51 (7.84%)
         occurrences all number
    2
    0
    4
    Neck pain
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 51 (1.96%)
    5 / 51 (9.80%)
         occurrences all number
    0
    1
    6
    Osteoarthritis
         subjects affected / exposed
    1 / 50 (2.00%)
    2 / 51 (3.92%)
    6 / 51 (11.76%)
         occurrences all number
    1
    2
    6
    Infections and infestations
    Bronchitis
         subjects affected / exposed
    17 / 50 (34.00%)
    6 / 51 (11.76%)
    14 / 51 (27.45%)
         occurrences all number
    20
    9
    15
    Gastroenteritis
         subjects affected / exposed
    4 / 50 (8.00%)
    1 / 51 (1.96%)
    3 / 51 (5.88%)
         occurrences all number
    5
    1
    4
    Nasopharyngitis
         subjects affected / exposed
    6 / 50 (12.00%)
    2 / 51 (3.92%)
    6 / 51 (11.76%)
         occurrences all number
    6
    2
    7
    Oral herpes
         subjects affected / exposed
    2 / 50 (4.00%)
    0 / 51 (0.00%)
    3 / 51 (5.88%)
         occurrences all number
    2
    0
    3
    Pharyngitis
         subjects affected / exposed
    3 / 50 (6.00%)
    0 / 51 (0.00%)
    1 / 51 (1.96%)
         occurrences all number
    3
    0
    1
    Rhinitis
         subjects affected / exposed
    3 / 50 (6.00%)
    0 / 51 (0.00%)
    2 / 51 (3.92%)
         occurrences all number
    3
    0
    2
    Urinary tract infection
         subjects affected / exposed
    2 / 50 (4.00%)
    2 / 51 (3.92%)
    5 / 51 (9.80%)
         occurrences all number
    8
    4
    7

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    23 Sep 2013
    Addition of a biological ancillary study for volunteer patients

    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.
    Following DSMB meeting recommendation to stop further treatment for ongoing patients in lirilumab 1 mg/kg, the primary efficacy analysis was performed on the placebo and 0.1 mg/kg arms, with the alpha error decreased to 2.5% and the power to 55%.
    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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