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    Clinical Trial Results:
    Activity and safety of regorafenib in patients with metastatic. Soft tissue sarcoma previously treated with anthracyclin-based chemotherapy: a multinational, randomized, phase II, placebo-controlled trial

    Summary
    EudraCT number
    2012-005743-24
    Trial protocol
    AT  
    Global end of trial date
    11 Mar 2020

    Results information
    Results version number
    v1(current)
    This version publication date
    07 Nov 2025
    First version publication date
    07 Nov 2025
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    REGO-SARC-1214
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01900743
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Centre Oscar Lambret
    Sponsor organisation address
    3 rue Frédéric Combemale, Lille, France, 59000
    Public contact
    Project manager, Centre Oscar Lambret, 33 320295918, promotion@o-lambret.fr
    Scientific contact
    Project manager, Centre Oscar Lambret, 33 320295918, promotion@o-lambret.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
    11 Mar 2020
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    11 Mar 2020
    Global end of trial reached?
    Yes
    Global end of trial date
    11 Mar 2020
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Main objective: to investigate whether treatment with regorafenib improves the outcome of patients with metastatic soft tissue sarcoma, when compared with placebo. The primary endpoint was progression-free survival in the intention-to-treat population, according to RECIST (version 1.1) based on central radiological review.
    Protection of trial subjects
    The study was approved by an ethical and regulatory committee (French Ethical Committee [Comité de Protection des Patients Nord-Ouest IV; date of approval March 21, 2013], Austrian Ethical Committee [Ethik Kommission Medizinische Universität Wien; number 1376/2013], and the French and Austrian Drug Agencies [Agence Nationale de Sécurité du Médicament; date of approval March 8, 2013]). IDMC (23/05/2014) => In view of the acceptable tolerability data, consistent with that already known for regorafenib, and the encouraging preliminary activity data, the IDMC members recommend continuing the study. However, due to the number of deaths, the IDMC recommends particular vigilance with regard to toxicities and wishes to meet again at the end of the year to reassess tolerability
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    12 Jun 2013
    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
    Austria: 15
    Country: Number of subjects enrolled
    France: 203
    Worldwide total number of subjects
    218
    EEA total number of subjects
    218
    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)
    143
    From 65 to 84 years
    75
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Overall, 218 pts included between 12/06/2013 and 19/10/2017, - placebo: n=111 - regorafenib: n=107 stratified in 5 cohorts -Cohort A: Liposarcoma -Cohort B: leiomyosarcoma -Cohort C: synovial sarcoma -Cohort D: other sarcoma -Cohort E: non-adipocytic patients previously treated with both chemotherapy and pazopanib

    Pre-assignment
    Screening details
    One patient was included twice, his duplicate was deleted from the analysis.

    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, Assessor
    Blinding implementation details
    Patients, investigators and radiologists were all blinded to treatment allocation. At the treating sites, only pharmacists were aware of the allocated treatment. Unblinding could be done by the sponsor on request of the investigator in case of emergency (safety issue), progression and need to know the treatment received to continue medical care, or for any reason justified by the investigator. A cross-over was authorized after confirmed progression.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Cohort A - Placebo arm
    Arm description
    Patients with liposarcoma and treatment by placebo (4 tablets once daily, 3 weeks on / 1 week off plus Best Supportive Care)
    Arm type
    No intervention

    Investigational medicinal product name
    No investigational medicinal product assigned in this arm
    Arm title
    Cohort A - Regorafenib arm
    Arm description
    Patients with liposarcoma and treatment by Regorafenib (160 mg, 4 tablets, once daily, 3 weeks on / 1 week off plus Best Supportive Care)
    Arm type
    Experimental

    Investigational medicinal product name
    Regorafenib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Regorafenib: 4 tablets, once daily, 3 weeks on / 1 week off + Best Supportive Care

    Arm title
    Cohort B -Placebo arm
    Arm description
    Patients with Leiomyosarcoma and treatment by placebo (4 tablets once daily, 3 weeks on / 1 week off plus Best Supportive Care)
    Arm type
    No intervention

    Investigational medicinal product name
    No investigational medicinal product assigned in this arm
    Arm title
    Cohort B - Regorafenib arm
    Arm description
    Patients with Leiomyosarcoma and treatment by Regorafenib (160 mg, 4 tablets, once daily, 3 weeks on / 1 week off plus Best Supportive Care)
    Arm type
    Experimental

    Investigational medicinal product name
    Regorafenib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Regorafenib: 4 tablets, once daily, 3 weeks on / 1 week off + Best Supportive Care

    Arm title
    Cohort C - Placebo arm
    Arm description
    Patients with synovial sarcoma and treatment by placebo (4 tablets once daily, 3 weeks on / 1 week off plus Best Supportive Care)
    Arm type
    No intervention

    Investigational medicinal product name
    No investigational medicinal product assigned in this arm
    Arm title
    Cohort C - Regorafenib arm
    Arm description
    Patients with synovial sarcoma and treatment by Regorafenib (160 mg, 4 tablets, once daily, 3 weeks on / 1 week off plus Best Supportive Care)
    Arm type
    Experimental

    Investigational medicinal product name
    Regorafenib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Regorafenib: 4 tablets, once daily, 3 weeks on / 1 week off + Best Supportive Care

    Arm title
    Cohort D -Placebo arm
    Arm description
    Patients with other sarcoma and treatment by placebo (4 tablets once daily, 3 weeks on / 1 week off plus Best Supportive Care)
    Arm type
    No intervention

    Investigational medicinal product name
    No investigational medicinal product assigned in this arm
    Arm title
    Cohort D -Regorafenib arm
    Arm description
    Patients with other sarcoma and treatment by Regorafenib (160 mg, 4 tablets, once daily, 3 weeks on / 1 week off plus Best Supportive Care)
    Arm type
    Experimental

    Investigational medicinal product name
    Regorafenib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Regorafenib: 4 tablets, once daily, 3 weeks on / 1 week off + Best Supportive Care

    Arm title
    Cohort E -Placebo arm
    Arm description
    Patients with metastatic non-adipocytic STS who were previously treated with both chemotherapy and pazopanib and treated by placebo (4 tablets once daily, 3 weeks on / 1 week off plus Best Supportive Care)
    Arm type
    No intervention

    Investigational medicinal product name
    No investigational medicinal product assigned in this arm
    Arm title
    Cohort E - Regorafenib arm
    Arm description
    Patients with metastatic non-adipocytic STS who were previously treated with both chemotherapy and pazopanib and treated by Regorafenib(160mg, 4 tablets once daily, 3 weeks on / 1 week off plus Best Supportive Care)
    Arm type
    Experimental

    Investigational medicinal product name
    Regorafenib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Regorafenib: 4 tablets, once daily, 3 weeks on / 1 week off + Best Supportive Care

    Number of subjects in period 1
    Cohort A - Placebo arm Cohort A - Regorafenib arm Cohort B -Placebo arm Cohort B - Regorafenib arm Cohort C - Placebo arm Cohort C - Regorafenib arm Cohort D -Placebo arm Cohort D -Regorafenib arm Cohort E -Placebo arm Cohort E - Regorafenib arm
    Started
    23
    20
    28
    28
    14
    13
    27
    28
    19
    18
    Completed
    23
    20
    28
    28
    14
    13
    27
    28
    19
    18

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Cohort A - Placebo arm
    Reporting group description
    Patients with liposarcoma and treatment by placebo (4 tablets once daily, 3 weeks on / 1 week off plus Best Supportive Care)

    Reporting group title
    Cohort A - Regorafenib arm
    Reporting group description
    Patients with liposarcoma and treatment by Regorafenib (160 mg, 4 tablets, once daily, 3 weeks on / 1 week off plus Best Supportive Care)

    Reporting group title
    Cohort B -Placebo arm
    Reporting group description
    Patients with Leiomyosarcoma and treatment by placebo (4 tablets once daily, 3 weeks on / 1 week off plus Best Supportive Care)

    Reporting group title
    Cohort B - Regorafenib arm
    Reporting group description
    Patients with Leiomyosarcoma and treatment by Regorafenib (160 mg, 4 tablets, once daily, 3 weeks on / 1 week off plus Best Supportive Care)

    Reporting group title
    Cohort C - Placebo arm
    Reporting group description
    Patients with synovial sarcoma and treatment by placebo (4 tablets once daily, 3 weeks on / 1 week off plus Best Supportive Care)

    Reporting group title
    Cohort C - Regorafenib arm
    Reporting group description
    Patients with synovial sarcoma and treatment by Regorafenib (160 mg, 4 tablets, once daily, 3 weeks on / 1 week off plus Best Supportive Care)

    Reporting group title
    Cohort D -Placebo arm
    Reporting group description
    Patients with other sarcoma and treatment by placebo (4 tablets once daily, 3 weeks on / 1 week off plus Best Supportive Care)

    Reporting group title
    Cohort D -Regorafenib arm
    Reporting group description
    Patients with other sarcoma and treatment by Regorafenib (160 mg, 4 tablets, once daily, 3 weeks on / 1 week off plus Best Supportive Care)

    Reporting group title
    Cohort E -Placebo arm
    Reporting group description
    Patients with metastatic non-adipocytic STS who were previously treated with both chemotherapy and pazopanib and treated by placebo (4 tablets once daily, 3 weeks on / 1 week off plus Best Supportive Care)

    Reporting group title
    Cohort E - Regorafenib arm
    Reporting group description
    Patients with metastatic non-adipocytic STS who were previously treated with both chemotherapy and pazopanib and treated by Regorafenib(160mg, 4 tablets once daily, 3 weeks on / 1 week off plus Best Supportive Care)

    Reporting group values
    Cohort A - Placebo arm Cohort A - Regorafenib arm Cohort B -Placebo arm Cohort B - Regorafenib arm Cohort C - Placebo arm Cohort C - Regorafenib arm Cohort D -Placebo arm Cohort D -Regorafenib arm Cohort E -Placebo arm Cohort E - Regorafenib arm Total
    Number of subjects
    23 20 28 28 14 13 27 28 19 18 218
    Age categorical
    Units: Subjects
        In utero
    0 0 0 0 0 0 0 0 0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0 0 0 0 0 0 0 0 0
        Newborns (0-27 days)
    0 0 0 0 0 0 0 0 0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0 0 0 0 0 0 0 0 0
        Children (2-11 years)
    0 0 0 0 0 0 0 0 0 0 0
        Adolescents (12-17 years)
    0 0 0 0 0 0 0 0 0 0 0
        Adults (18-64 years)
    11 15 18 17 13 12 16 14 16 11 143
        From 65-84 years
    12 5 10 11 1 1 11 14 3 7 75
        85 years and over
    0 0 0 0 0 0 0 0 0 0 0
    Age continuous
    Units: years
        median (full range (min-max))
    65 (22 to 80) 57.5 (24 to 76) 60 (30 to 76) 60.5 (32 to 74) 35.5 (20 to 68) 46 (21 to 73) 55 (20 to 78) 62.5 (26 to 81) 60 (36 to 76) 61 (41 to 71) -
    Gender categorical
    Units: Subjects
        Female
    9 8 21 19 5 5 8 15 14 14 118
        Male
    14 12 7 9 9 8 19 13 5 4 100
    ECOG performance status
    ECOG performance status
    Units: Subjects
        ECOG=0
    10 10 13 12 9 7 13 11 8 9 102
        ECOG=1
    12 10 15 16 5 6 14 17 11 8 114
        ECOG=2
    1 0 0 0 0 0 0 0 0 0 1
        Missing
    0 0 0 0 0 0 0 0 0 1 1
    Metastasis
    Metastasis at inclusion
    Units: Subjects
        No
    4 1 0 0 1 0 0 2 2 0 10
        Yes
    19 19 28 28 13 13 27 26 17 18 208
    Histological subtype (definitive)
    Histological subtype (definitive)
    Units: Subjects
        Liposarcoma
    23 20 0 0 0 0 0 1 0 0 44
        Leiomysarcoma
    0 0 28 28 0 0 0 1 11 13 81
        Synovial sarcoma
    0 0 0 0 14 13 0 0 1 0 28
        Other sarcoma
    0 0 0 0 0 0 27 26 7 5 65
    Histopronostic grade
    Histopronostic grade
    Units: Subjects
        Grade 1
    2 6 2 1 0 0 1 1 0 2 15
        Grade 2
    13 7 17 10 8 3 7 6 3 7 81
        Grade 3
    5 4 7 14 5 9 13 13 10 5 85
        Missing
    3 3 2 3 1 1 0 0 6 4 23
        Not applicable
    0 0 0 0 0 0 6 8 0 0 14

    End points

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    End points reporting groups
    Reporting group title
    Cohort A - Placebo arm
    Reporting group description
    Patients with liposarcoma and treatment by placebo (4 tablets once daily, 3 weeks on / 1 week off plus Best Supportive Care)

    Reporting group title
    Cohort A - Regorafenib arm
    Reporting group description
    Patients with liposarcoma and treatment by Regorafenib (160 mg, 4 tablets, once daily, 3 weeks on / 1 week off plus Best Supportive Care)

    Reporting group title
    Cohort B -Placebo arm
    Reporting group description
    Patients with Leiomyosarcoma and treatment by placebo (4 tablets once daily, 3 weeks on / 1 week off plus Best Supportive Care)

    Reporting group title
    Cohort B - Regorafenib arm
    Reporting group description
    Patients with Leiomyosarcoma and treatment by Regorafenib (160 mg, 4 tablets, once daily, 3 weeks on / 1 week off plus Best Supportive Care)

    Reporting group title
    Cohort C - Placebo arm
    Reporting group description
    Patients with synovial sarcoma and treatment by placebo (4 tablets once daily, 3 weeks on / 1 week off plus Best Supportive Care)

    Reporting group title
    Cohort C - Regorafenib arm
    Reporting group description
    Patients with synovial sarcoma and treatment by Regorafenib (160 mg, 4 tablets, once daily, 3 weeks on / 1 week off plus Best Supportive Care)

    Reporting group title
    Cohort D -Placebo arm
    Reporting group description
    Patients with other sarcoma and treatment by placebo (4 tablets once daily, 3 weeks on / 1 week off plus Best Supportive Care)

    Reporting group title
    Cohort D -Regorafenib arm
    Reporting group description
    Patients with other sarcoma and treatment by Regorafenib (160 mg, 4 tablets, once daily, 3 weeks on / 1 week off plus Best Supportive Care)

    Reporting group title
    Cohort E -Placebo arm
    Reporting group description
    Patients with metastatic non-adipocytic STS who were previously treated with both chemotherapy and pazopanib and treated by placebo (4 tablets once daily, 3 weeks on / 1 week off plus Best Supportive Care)

    Reporting group title
    Cohort E - Regorafenib arm
    Reporting group description
    Patients with metastatic non-adipocytic STS who were previously treated with both chemotherapy and pazopanib and treated by Regorafenib(160mg, 4 tablets once daily, 3 weeks on / 1 week off plus Best Supportive Care)

    Primary: Progression-free survival - cohort A

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    End point title
    Progression-free survival - cohort A [1]
    End point description
    Progression-Free Survival measured from the date of randomization until the date of radiological progression or death whatever the cause (if death occurs before progression). Patients without tumor progression or death at the time of analysis censored at their last date of radiological tumor assessment. The date of disease of progression was the date of first observation of progression (primary analysis on intent-to-treat analysis, according to RECIST 1.1 guidelines).
    End point type
    Primary
    End point timeframe
    Tumor evaluation was planned every 1 month during the first 4 months, at 6 months and then every 3 months.
    Notes
    [1] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The results provided are results by cohort and treatment group.
    End point values
    Cohort A - Placebo arm Cohort A - Regorafenib arm
    Number of subjects analysed
    23
    20
    Units: Survival estimate (%)
    number (confidence interval 95%)
        At 3 months
    26 (10 to 44)
    25 (9 to 45)
        At 6 months
    8 (1 to 24)
    20 (6 to 39)
        At 9 months
    8 (1 to 24)
    5 (0 to 20)
    Statistical analysis title
    Progression free survival
    Statistical analysis description
    Cox model were used to estimate the hazard ratios (HR) and 95% confidence intervals (95%CI) associated with the treatmeant effect (regorafenib versus placebo) after testing the proportional hazards assumption, using the scaled Schoenfeld residuals method
    Comparison groups
    Cohort A - Regorafenib arm v Cohort A - Placebo arm
    Number of subjects included in analysis
    43
    Analysis specification
    Pre-specified
    Analysis type
    other [2]
    P-value
    = 0.7
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.89
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.48
         upper limit
    1.64
    Notes
    [2] - Effect of treatment (Regorafenib versus placebo) Cox model

    Primary: Progression-free survival - cohort B

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    End point title
    Progression-free survival - cohort B [3]
    End point description
    Progression-Free Survival measured from the date of randomization until the date of radiological progression or death whatever the cause (if death occurs before progression). Patients without tumor progression or death at the time of analysis censored at their last date of radiological tumor assessment. The date of disease of progression was the date of first observation of progression (primary analysis on intent-to-treat analysis, according to RECIST 1.1 guidelines and central radiological review).
    End point type
    Primary
    End point timeframe
    Tumor evaluation was planned every 1 month during the first 4 months, at 6 months and then every 3 months Based on data from a complete review carried out in 2021
    Notes
    [3] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The results provided are results by cohort and treatment group.
    End point values
    Cohort B -Placebo arm Cohort B - Regorafenib arm
    Number of subjects analysed
    28
    28
    Units: Survival estimate (%)
    number (confidence interval 95%)
        At 3 months
    11.6 (3.0 to 26.8)
    21.4 (8.7 to 37.8)
        At 6 months
    7.7 (1.4 to 21.8)
    7.1 (1.3 to 20.4)
        At 12 months
    3.9 (0.3 to 16.5)
    3.6 (0.3 to 15.4)
    Statistical analysis title
    Progression free survival - adjusted HR
    Statistical analysis description
    Cox model were used to estimate the hazard ratios (HR) and 95% confidence intervals (95%CI) associated with the treatmeant effect (regorafenib versus placebo) after testing the proportional hazards assumption, using the scaled Schoenfeld residuals method
    Comparison groups
    Cohort B - Regorafenib arm v Cohort B -Placebo arm
    Number of subjects included in analysis
    56
    Analysis specification
    Pre-specified
    Analysis type
    other [4]
    P-value
    = 0.21
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.71
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.41
         upper limit
    1.21
    Notes
    [4] - Effect of treatment (Regorafenib versus placebo) Cox model: Adjusted HR (IC95%) HR adjusted on stratification factors (Country: France versus Austria; prior exposure to pazopanib: Yes vs no)
    Statistical analysis title
    Progression free survival - not adjusted HR
    Statistical analysis description
    Cox model were used to estimate the hazard ratios (HR) and 95% confidence intervals (95%CI) associated with the treatmeant effect (regorafenib versus placebo) after testing the proportional hazards assumption, using the scaled Schoenfeld residuals method
    Comparison groups
    Cohort B - Regorafenib arm v Cohort B -Placebo arm
    Number of subjects included in analysis
    56
    Analysis specification
    Pre-specified
    Analysis type
    other [5]
    P-value
    = 0.21
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.71
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.42
         upper limit
    1.22
    Notes
    [5] - Effect of treatment (Regorafenib versus placebo) Cox model: not adjusted HR (IC95%)

    Primary: Progression-free survival - cohort C

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    End point title
    Progression-free survival - cohort C [6]
    End point description
    Progression-Free Survival measured from the date of randomization until the date of radiological progression or death whatever the cause (if death occurs before progression). Patients without tumor progression or death at the time of analysis censored at their last date of radiological tumor assessment. The date of disease of progression was the date of first observation of progression (primary analysis on intent-to-treat analysis, according to RECIST 1.1 guidelines and central radiological review).
    End point type
    Primary
    End point timeframe
    Tumor evaluation was planned every 1 month during the first 4 months, at 6 months and then every 3 months Based on data from a complete review carried out in 2021
    Notes
    [6] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The results provided are results by cohort and treatment group.
    End point values
    Cohort C - Placebo arm Cohort C - Regorafenib arm
    Number of subjects analysed
    14
    13
    Units: Survival estimate (%)
    number (confidence interval 95%)
        At 3 months
    0 (0 to 0)
    42.3 (15.6 to 67.1)
        At 6 months
    0 (0 to 0)
    21.2 (3.6 to 48.4)
        At 12 months
    0 (0 to 0)
    0 (0 to 0)
    Statistical analysis title
    Progression free survival - adjusted HR
    Statistical analysis description
    Cox model were used to estimate the hazard ratios (HR) and 95% confidence intervals (95%CI) associated with the treatmeant effect (regorafenib versus placebo) after testing the proportional hazards assumption, using the scaled Schoenfeld residuals method.
    Comparison groups
    Cohort C - Regorafenib arm v Cohort C - Placebo arm
    Number of subjects included in analysis
    27
    Analysis specification
    Pre-specified
    Analysis type
    other [7]
    P-value
    = 0.001
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.14
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.04
         upper limit
    0.46
    Notes
    [7] - Effect of treatment (Regorafenib versus placebo) Cox model: Adjusted HR (IC95%) HR adjusted on stratification factors (Country: France versus Austria; prior exposure to pazopanib: Yes vs no)
    Statistical analysis title
    Progression free survival - not adjusted H
    Statistical analysis description
    Cox model were used to estimate the hazard ratios (HR) and 95% confidence intervals (95%CI) associated with the treatmeant effect (regorafenib versus placebo) after testing the proportional hazards assumption, using the scaled Schoenfeld residuals method.
    Comparison groups
    Cohort C - Regorafenib arm v Cohort C - Placebo arm
    Number of subjects included in analysis
    27
    Analysis specification
    Pre-specified
    Analysis type
    other [8]
    P-value
    = 0.001
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.14
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.05
         upper limit
    0.45
    Notes
    [8] - Effect of treatment (Regorafenib versus placebo) Cox model: not adjusted HR (IC95%)

    Primary: Progression-free survival - cohort D

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    End point title
    Progression-free survival - cohort D [9]
    End point description
    Progression-Free Survival measured from the date of randomization until the date of radiological progression or death whatever the cause (if death occurs before progression). Patients without tumor progression or death at the time of analysis censored at their last date of radiological tumor assessment. The date of disease of progression was the date of first observation of progression (primary analysis on intent-to-treat analysis, according to RECIST 1.1 guidelines and central radiological review).
    End point type
    Primary
    End point timeframe
    Tumor evaluation was planned every 1 month during the first 4 months, at 6 months and then every 3 months Based on data from a complete review carried out in 2021
    Notes
    [9] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The results provided are results by cohort and treatment group.
    End point values
    Cohort D -Placebo arm Cohort D -Regorafenib arm
    Number of subjects analysed
    27
    28
    Units: Survival estimate (%)
    number (confidence interval 95%)
        At 3 months
    10.0 (2.0 to 25.3)
    46.4 (27.6 to 63.3)
        At 6 months
    4.9 (0.4 to 19.5)
    16.9 (5.4 to 33.7)
        At 12 months
    4.9 (0.4 to 19.5)
    4.2 (0.3 to 17.7)
    Statistical analysis title
    Progression free survival - adjusted HR
    Statistical analysis description
    Cox models were used to estimate the hazard ratios (HR) and 95% confidence intervals (95%CI) associated with the treatmeant effect (regorafenib versus placebo) after testing the proportional hazards assumption, using the scaled Schoenfeld residuals method
    Comparison groups
    Cohort D -Regorafenib arm v Cohort D -Placebo arm
    Number of subjects included in analysis
    55
    Analysis specification
    Pre-specified
    Analysis type
    other [10]
    P-value
    = 0.03
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.53
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.29
         upper limit
    0.95
    Notes
    [10] - Effect of treatment (Regorafenib versus placebo) Cox model: Adjusted HR (IC95%) HR adjusted on stratification factors (Country: France versus Austria; prior exposure to pazopanib: Yes vs no)
    Statistical analysis title
    Progression free survival - not adjusted HR
    Statistical analysis description
    Cox models were used to estimate the hazard ratios (HR) and 95% confidence intervals (95%CI) associated with the treatmeant effect (regorafenib versus placebo) after testing the proportional hazards assumption, using the scaled Schoenfeld residuals method
    Comparison groups
    Cohort D -Regorafenib arm v Cohort D -Placebo arm
    Number of subjects included in analysis
    55
    Analysis specification
    Pre-specified
    Analysis type
    other [11]
    P-value
    = 0.03
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.53
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.3
         upper limit
    0.94
    Notes
    [11] - Effect of treatment (Regorafenib versus placebo) Cox model: not adjusted HR (IC95%)

    Primary: Progression-free survival - cohort E

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    End point title
    Progression-free survival - cohort E [12]
    End point description
    Progression-Free Survival measured from the date of randomization until the date of radiological progression or death whatever the cause (if death occurs before progression). Patients without tumor progression or death at the time of analysis censored at their last date of radiological tumor assessment. The date of disease of progression was the date of first observation of progression (primary analysis on intent-to-treat analysis, according to RECIST 1.1 guidelines and central radiological review).
    End point type
    Primary
    End point timeframe
    Tumor evaluation was planned every 1 month during the first 4 months, at 6 months and then every 3 months. Based on data from a complete review carried out in 2021
    Notes
    [12] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The results provided are results by cohort and treatment group.
    End point values
    Cohort E -Placebo arm Cohort E - Regorafenib arm
    Number of subjects analysed
    19
    18
    Units: Survival estimate (%)
    number (confidence interval 95%)
        At 3 months
    5 (0 to 21)
    33 (14 to 54)
        At 6 months
    0 (0 to 0)
    22 (7 to 43)
        At 12 months
    0 (0 to 0)
    6 (0 to 22)
    Statistical analysis title
    Progression free survival - adjusted HR
    Statistical analysis description
    Cox models were used to estimate the hazard ratios (HR) and 95% confidence intervals (95%CI) associated with the treatmeant effect (regorafenib versus placebo) after testing the proportional hazards assumption, using the scaled Schoenfeld residuals method
    Comparison groups
    Cohort E - Regorafenib arm v Cohort E -Placebo arm
    Number of subjects included in analysis
    37
    Analysis specification
    Pre-specified
    Analysis type
    other [13]
    P-value
    = 0.007
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.33
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.15
         upper limit
    0.74
    Notes
    [13] - Analysis: model adjusted for histology (leiomyosarcoma vs. other sarcoma, one patient with synovial sarcoma was considered as other sarcoma for this analysis), number of prior lines of systemic treatment (<4 vs. 4+).
    Statistical analysis title
    Progression free survival - not adjusted HR
    Statistical analysis description
    Cox models were used to estimate the hazard ratios (HR) and 95% confidence intervals (95%CI) associated with the treatmeant effect (regorafenib versus placebo) after testing the proportional hazards assumption, using the scaled Schoenfeld residuals method
    Comparison groups
    Cohort E - Regorafenib arm v Cohort E -Placebo arm
    Number of subjects included in analysis
    37
    Analysis specification
    Pre-specified
    Analysis type
    other [14]
    P-value
    = 0.0023
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.31
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.15
         upper limit
    0.67
    Notes
    [14] - Effect of treatment (Regorafenib versus placebo) Cox model: not adjusted HR (IC95%)
    Statistical analysis title
    Progression free survival - Post-hoc adjusted HR
    Statistical analysis description
    Cox models were used to estimate the hazard ratios (HR) and 95% confidence intervals (95%CI) associated with the treatmeant effect (regorafenib versus placebo) after testing the proportional hazards assumption, using the scaled Schoenfeld residuals method
    Comparison groups
    Cohort E - Regorafenib arm v Cohort E -Placebo arm
    Number of subjects included in analysis
    37
    Analysis specification
    Pre-specified
    Analysis type
    other [15]
    P-value
    = 0.12
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.39
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.12
         upper limit
    1.28
    Notes
    [15] - Post-hoc analysis: model adjusted for histology (Leiomyosarcoma vs. other sarcoma, one patient with synovial sarcoma was considered as other sarcoma for this analysis), number of prior lines of systemic treatment (<4 vs. 4+) and histological grade (I and II vs III). Ten cases are excluded in this analysis because of missing data for the grade: six in placebo arm and four in regorafenib arm.

    Secondary: Overall Survival - cohort A

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    End point title
    Overall Survival - cohort A [16]
    End point description
    OS, defined as the time interval from the date of randomisation to the date of death from any cause. In each group, the OS curve was estimated using the Kaplan-Meier method
    End point type
    Secondary
    End point timeframe
    Until the end of the study
    Notes
    [16] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The results provided are results by cohort and treatment group.
    End point values
    Cohort A - Placebo arm Cohort A - Regorafenib arm
    Number of subjects analysed
    23
    20
    Units: Survival estimate (%)
    number (confidence interval 95%)
        At 3 months
    91.3 (69.5 to 97.6)
    73.9 (48.2 to 88.2)
        At 6 months
    77.6 (54.3 to 90.0)
    42.2 (20.5 to 62.6)
    Statistical analysis title
    Overall survival - not adjusted HR
    Statistical analysis description
    Cox model were used to estimate the hazard ratios (HR) and 95% confidence intervals (95%CI) associated with the treatment effect (regorafenib versus placebo) after testing the proportional hazards assumption, using the scaled Schoenfeld residuals method
    Comparison groups
    Cohort A - Regorafenib arm v Cohort A - Placebo arm
    Number of subjects included in analysis
    43
    Analysis specification
    Pre-specified
    Analysis type
    other [17]
    P-value
    = 0.21
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    1.6
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.77
         upper limit
    3.21
    Notes
    [17] - Effect of treatment (Regorafenib versus placebo) Cox model: not ajusted HR (IC95%)

    Secondary: Overall Survival - cohort B

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    End point title
    Overall Survival - cohort B [18]
    End point description
    OS, defined as the time interval from the date of randomisation to the date of death from any cause. In each group, the OS curve was estimated using the Kaplan-Meier method
    End point type
    Secondary
    End point timeframe
    Until the end of the study
    Notes
    [18] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The results provided are results by cohort and treatment group.
    End point values
    Cohort B -Placebo arm Cohort B - Regorafenib arm
    Number of subjects analysed
    28
    28
    Units: Survival estimate (%)
    number (confidence interval 95%)
        At 3 months
    92.9 (74.4 to 98.2)
    92.9 (74.4 to 98.2)
        At 6 months
    78.6 (58.4 to 89.8)
    78.6 (58.4 to 89.8)
        At 12 months
    46.4 (27.6 to 63.3)
    60.7 (40.4 to 76.0)
    Statistical analysis title
    Overall survival - adjusted HR
    Statistical analysis description
    Cox models were used to estimate the hazard ratios (HR) and 95% confidence intervals (95%CI) associated with the treatment effect (regorafenib versus placebo) after testing the proportional hazards assumption, using the scaled Schoenfeld residuals method
    Comparison groups
    Cohort B - Regorafenib arm v Cohort B -Placebo arm
    Number of subjects included in analysis
    56
    Analysis specification
    Pre-specified
    Analysis type
    other [19]
    P-value
    = 0.15
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.67
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.39
         upper limit
    1.15
    Notes
    [19] - Effect of treatment (Regorafenib versus placebo) Cox model: adjusted HR (IC95%) HR - Adjusted on stratification factors (Country: France versus Austria; prior exposure to pazopanib: Yes vs no)
    Statistical analysis title
    Overall survival - not adjusted HR
    Statistical analysis description
    Cox model were used to estimate the hazard ratios (HR) and 95% confidence intervals (95%CI) associated with the treatment effect (regorafenib versus placebo) after testing the proportional hazards assumption, using the scaled Schoenfeld residuals method
    Comparison groups
    Cohort B - Regorafenib arm v Cohort B -Placebo arm
    Number of subjects included in analysis
    56
    Analysis specification
    Pre-specified
    Analysis type
    other [20]
    P-value
    = 0.17
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.69
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.4
         upper limit
    1.18
    Notes
    [20] - Effect of treatment (Regorafenib versus placebo) Cox model: not adjusted HR (IC95%)

    Secondary: Best tumor response, according to full central review -Cohort B

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    End point title
    Best tumor response, according to full central review -Cohort B [21]
    End point description
    End point type
    Secondary
    End point timeframe
    Best tumor response, according to full central review (and clinical information if applicable) – by treatment arm (cohort B)
    Notes
    [21] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The results provided are results by cohort and treatment group.
    End point values
    Cohort B -Placebo arm Cohort B - Regorafenib arm
    Number of subjects analysed
    28
    28
    Units: Best response
    number (not applicable)
        Complete response
    0
    0
        Partial response
    0
    0
        Stable disease
    12
    17
        Progressive disease
    16
    11
    No statistical analyses for this end point

    Secondary: Overall Survival - cohort C

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    End point title
    Overall Survival - cohort C [22]
    End point description
    OS, defined as the time interval from the date of randomisation to the date of death from any cause. In each group, the OS curve was estimated using the Kaplan-Meier method
    End point type
    Secondary
    End point timeframe
    Until the end of the study
    Notes
    [22] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The results provided are results by cohort and treatment group.
    End point values
    Cohort C - Placebo arm Cohort C - Regorafenib arm
    Number of subjects analysed
    14
    13
    Units: Survival estimate (%)
    number (confidence interval 95%)
        At 3 months
    85.7 (53.9 to 96.2)
    92.3 (56.6 to 98.9)
        At 6 months
    64.3 (34.3 to 83.3)
    76.9 (44.2 to 91.9)
        At 12 months
    35.7 (13.0 to 59.4)
    61.5 (30.8 to 81.8)
    Statistical analysis title
    Overall survival - adjusted HR
    Statistical analysis description
    Cox models were used to estimate the hazard ratios (HR) and 95% confidence intervals (95%CI) associated with the treatment effect (regorafenib versus placebo) after testing the proportional hazards assumption, using the scaled Schoenfeld residuals method
    Comparison groups
    Cohort C - Regorafenib arm v Cohort C - Placebo arm
    Number of subjects included in analysis
    27
    Analysis specification
    Pre-specified
    Analysis type
    other [23]
    P-value
    = 0.78
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.89
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.39
         upper limit
    2.01
    Notes
    [23] - Effect of treatment (Regorafenib versus placebo) Cox model: adjusted HR (IC95%) HR - Adjusted on stratification factors (Country: France versus Austria; prior exposure to pazopanib: Yes vs no)
    Statistical analysis title
    Overall survival - not adjusted HR
    Statistical analysis description
    Cox models were used to estimate the hazard ratios (HR) and 95% confidence intervals (95%CI) associated with the treatment effect (regorafenib versus placebo) after testing the proportional hazards assumption, using the scaled Schoenfeld residuals method
    Comparison groups
    Cohort C - Regorafenib arm v Cohort C - Placebo arm
    Number of subjects included in analysis
    27
    Analysis specification
    Pre-specified
    Analysis type
    other [24]
    P-value
    = 0.94
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.97
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.44
         upper limit
    2.13
    Notes
    [24] - Effect of treatment (Regorafenib versus placebo) Cox model: not adjusted HR (IC95%)

    Secondary: Best tumor response, according to full central review -Cohort C

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    End point title
    Best tumor response, according to full central review -Cohort C [25]
    End point description
    End point type
    Secondary
    End point timeframe
    Best tumor response, according to full central review (and clinical information if applicable) – by treatment arm (cohort C)
    Notes
    [25] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The results provided are results by cohort and treatment group.
    End point values
    Cohort C - Placebo arm Cohort C - Regorafenib arm
    Number of subjects analysed
    14
    12 [26]
    Units: Best response
    number (not applicable)
        Complete response
    0
    0
        Partial response
    0
    0
        Stable disease
    3
    8
        Progressive disease
    11
    4
    Notes
    [26] - One patient had no central review due to issue in quality control
    No statistical analyses for this end point

    Secondary: Overall Survival - cohort D

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    End point title
    Overall Survival - cohort D [27]
    End point description
    OS, defined as the time interval from the date of randomisation to the date of death from any cause. In each group, the OS curve was estimated using the Kaplan-Meier method
    End point type
    Secondary
    End point timeframe
    Until the end of the study
    Notes
    [27] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The results provided are results by cohort and treatment group.
    End point values
    Cohort D -Placebo arm Cohort D -Regorafenib arm
    Number of subjects analysed
    27
    28
    Units: Survival estimate (%)
    number (confidence interval 95%)
        At 3 months
    77.8 (57.1 to 89.3)
    82.1 (62.3 to 92.2)
        At 6 months
    66.7 (45.7 to 81.1)
    75.0 (54.6 to 87.2)
        At 12 months
    37.0 (19.6 to 54.6)
    53.6 (33.8 to 69.8)
    Statistical analysis title
    Overall survival - adjusted HR
    Statistical analysis description
    Cox models were used to estimate the hazard ratios (HR) and 95% confidence intervals (95%CI) associated with the treatment effect (regorafenib versus placebo) after testing the proportional hazards assumption, using the scaled Schoenfeld residuals method
    Comparison groups
    Cohort D -Regorafenib arm v Cohort D -Placebo arm
    Number of subjects included in analysis
    55
    Analysis specification
    Pre-specified
    Analysis type
    other [28]
    P-value
    = 0.91
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.97
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.55
         upper limit
    1.7
    Notes
    [28] - Effect of treatment (Regorafenib versus placebo) Cox model: adjusted HR (IC95%) HR - Adjusted on stratification factors (Country: France versus Austria; prior exposure to pazopanib: Yes vs no)
    Statistical analysis title
    Overall survival - not adjusted HR
    Statistical analysis description
    Cox models were used to estimate the hazard ratios (HR) and 95% confidence intervals (95%CI) associated with the treatment effect (regorafenib versus placebo) after testing the proportional hazards assumption, using the scaled Schoenfeld residuals method
    Comparison groups
    Cohort D -Regorafenib arm v Cohort D -Placebo arm
    Number of subjects included in analysis
    55
    Analysis specification
    Pre-specified
    Analysis type
    other [29]
    P-value
    = 0.82
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.94
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.54
         upper limit
    1.63
    Notes
    [29] - Effect of treatment (Regorafenib versus placebo) Cox model: not adjusted HR (IC95%)

    Secondary: Best tumor response, according to full central review -Cohort D

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    End point title
    Best tumor response, according to full central review -Cohort D [30]
    End point description
    End point type
    Secondary
    End point timeframe
    Best tumor response, according to full central review (and clinical information if applicable) – by treatment arm (cohort D)
    Notes
    [30] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The results provided are results by cohort and treatment group.
    End point values
    Cohort D -Placebo arm Cohort D -Regorafenib arm
    Number of subjects analysed
    27
    26 [31]
    Units: Best response
    number (not applicable)
        Complete response
    0
    0
        Partial response
    0
    1
        Stable disease
    9
    12
        Progressive disease
    18
    13
    Notes
    [31] - 2 patients had no central review due to issue in quality control
    No statistical analyses for this end point

    Secondary: Overall Survival - cohort E

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    End point title
    Overall Survival - cohort E [32]
    End point description
    OS, defined as the time interval from the date of randomisation to the date of death from any cause. In each group, the OS curve was estimated using the Kaplan-Meier method
    End point type
    Secondary
    End point timeframe
    Until the end of the study
    Notes
    [32] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The results provided are results by cohort and treatment group.
    End point values
    Cohort E -Placebo arm Cohort E - Regorafenib arm
    Number of subjects analysed
    19
    18
    Units: Survival estimate (%)
    number (confidence interval 95%)
        At 3 months
    89 (64 to 97)
    88 (61 to 97)
        At 6 months
    79 (53 to 91)
    83 (55 to 94)
        At 12 months
    37 (16 to 57)
    65 (38 to 82)
    Statistical analysis title
    Overall survival - adjusted HR
    Statistical analysis description
    Cox models were used to estimate the hazard ratios (HR) and 95% confidence intervals (95%CI) associated with the treatment effect (regorafenib versus placebo) after testing the proportional hazards assumption, using the scaled Schoenfeld residuals method
    Comparison groups
    Cohort E - Regorafenib arm v Cohort E -Placebo arm
    Number of subjects included in analysis
    37
    Analysis specification
    Pre-specified
    Analysis type
    other [33]
    P-value
    = 0.07
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.49
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.23
         upper limit
    1.06
    Notes
    [33] - Analysis: model adjusted for histology (leiomyosarcoma vs. other sarcoma, one patient with synovial sarcoma was considered as other sarcoma for this analysis), number of prior lines of systemic treatment (<4 vs. 4+).
    Statistical analysis title
    Overall survival - not adjusted HR
    Statistical analysis description
    Cox models were used to estimate the hazard ratios (HR) and 95% confidence intervals (95%CI) associated with the treatment effect (regorafenib versus placebo) after testing the proportional hazards assumption, using the scaled Schoenfeld residuals method
    Comparison groups
    Cohort E - Regorafenib arm v Cohort E -Placebo arm
    Number of subjects included in analysis
    37
    Analysis specification
    Pre-specified
    Analysis type
    other [34]
    P-value
    = 0.058
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.49
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.23
         upper limit
    1.03
    Notes
    [34] - Effect of treatment (Regorafenib versus placebo) Cox model: not adjusted HR (IC95%)
    Statistical analysis title
    Overall survival - Post-hoc adjusted HR
    Statistical analysis description
    Cox models were used to estimate the hazard ratios (HR) and 95% confidence intervals (95%CI) associated with the treatment effect (regorafenib versus placebo) after testing the proportional hazards assumption, using the scaled Schoenfeld residuals method
    Comparison groups
    Cohort E - Regorafenib arm v Cohort E -Placebo arm
    Number of subjects included in analysis
    37
    Analysis specification
    Pre-specified
    Analysis type
    other [35]
    P-value
    = 0.09
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.37
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.11
         upper limit
    1.17
    Notes
    [35] - Post-hoc analysis: model adjusted for histology (Leiomyosarcoma vs. other sarcoma, one patient with synovial sarcoma was considered as other sarcoma for this analysis), number of prior lines of systemic treatment (<4 vs. 4+) and histological grade (I and II vs III). Ten cases are excluded in this analysis because of missing data for the grade: six in placebo arm and four in regorafenib arm.

    Secondary: Best tumor response, according to full central review -Cohort E

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    End point title
    Best tumor response, according to full central review -Cohort E [36]
    End point description
    End point type
    Secondary
    End point timeframe
    Best tumor response, according to full central review (and clinical information if applicable) – by treatment arm (cohort E)
    Notes
    [36] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The results provided are results by cohort and treatment group.
    End point values
    Cohort E -Placebo arm Cohort E - Regorafenib arm
    Number of subjects analysed
    19
    18
    Units: Best response
    number (not applicable)
        Complete response
    0
    0
        Partial response
    0
    0
        Stable disease
    8
    13
        Progressive disease
    11
    5
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Safety was evaluated during the whole treatment duration up to the visit performed 30 (+/- 7) days after permanent treatment discontinuation.
    Adverse event reporting additional description
    AE additional description AEs are detailed by treatment group: regorafenib versus placebo across all cohorts combined.
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    20.0
    Reporting groups
    Reporting group title
    Regorafenib arm
    Reporting group description
    -

    Reporting group title
    Placebo arm
    Reporting group description
    -

    Serious adverse events
    Regorafenib arm Placebo arm
    Total subjects affected by serious adverse events
         subjects affected / exposed
    52 / 107 (48.60%)
    21 / 111 (18.92%)
         number of deaths (all causes)
    102
    109
         number of deaths resulting from adverse events
    6
    5
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Malignant neoplasm progression
    Additional description: Malignant neoplasm progression
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Tumor pain
    Additional description: Tumor pain
         subjects affected / exposed
    5 / 107 (4.67%)
    2 / 111 (1.80%)
         occurrences causally related to treatment / all
    1 / 5
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vascular disorders
    Arterial hypertension
    Additional description: Arterial hypertension
         subjects affected / exposed
    3 / 107 (2.80%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    3 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypotension
    Additional description: Hypotension
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pulmonary embolism
    Additional description: Pulmonary embolism
         subjects affected / exposed
    1 / 107 (0.93%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Tumor hemorrhage
    Additional description: Tumor hemorrhage
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Surgical and medical procedures
    Neurosurgery
    Additional description: Neurosurgery
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Surgery
    Additional description: Surgery
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Anorexia
    Additional description: Anorexia
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Asthenia
    Additional description: Asthenia
         subjects affected / exposed
    2 / 107 (1.87%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    1 / 2
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Fever
    Additional description: Fever
         subjects affected / exposed
    5 / 107 (4.67%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    3 / 5
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General physical health deterioration
    Additional description: General physical health deterioration
         subjects affected / exposed
    6 / 107 (5.61%)
    4 / 111 (3.60%)
         occurrences causally related to treatment / all
    0 / 6
    0 / 4
         deaths causally related to treatment / all
    0 / 2
    0 / 3
    Pain
    Additional description: Pain
         subjects affected / exposed
    2 / 107 (1.87%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    Pelvic pain
    Additional description: Pelvic pain
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Acute respiratory distress syndrome
    Additional description: Acute respiratory distress syndrome
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Aspiration
    Additional description: Aspiration
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Dyspnoea
    Additional description: Dyspnoea
         subjects affected / exposed
    3 / 107 (2.80%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hemothorax
    Additional description: Hemothorax
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumothorax
    Additional description: Pneumothorax
         subjects affected / exposed
    2 / 107 (1.87%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Pleural effusion
    Additional description: Pleural effusion
         subjects affected / exposed
    2 / 107 (1.87%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Respiratory failure
    Additional description: Respiratory failure
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Respiratory distress
    Additional description: Respiratory distress
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Investigations
    Hypercalcemia
    Additional description: Hypercalcemia
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hyperglycemia
    Additional description: Hyperglycemia
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypoglycemia
    Additional description: Hypoglycemia
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Acetabulum fracture
    Additional description: Acetabulum fracture
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Postoperative wound complication
    Additional description: Postoperative wound complication
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    Cardiac arrest
    Additional description: Cardiac arrest
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac failure
    Additional description: Cardiac failure
         subjects affected / exposed
    2 / 107 (1.87%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Chest pain
    Additional description: Chest pain
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Myocardial ischaemia
    Additional description: Myocardial ischaemia
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Tachycardia
    Additional description: Tachycardia
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nervous system disorders
    Encephalopathy
    Additional description: Encephalopathy
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Headache
    Additional description: Headache
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Motor dysfunction
    Additional description: Motor dysfunction
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vertigo
    Additional description: Vertigo
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Anemia
    Additional description: Anemia
         subjects affected / exposed
    2 / 107 (1.87%)
    3 / 111 (2.70%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Abdominal pain
    Additional description: Abdominal pain
         subjects affected / exposed
    4 / 107 (3.74%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Ascites
    Additional description: Ascites
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Diarrhoea
    Additional description: Diarrhoea
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastric perforation
    Additional description: Gastric perforation
         subjects affected / exposed
    2 / 107 (1.87%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal fistula
    Additional description: Gastrointestinal fistula
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal perforation
    Additional description: Gastrointestinal perforation
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hernial eventration
    Additional description: Hernial eventration
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Intestinal perforation
    Additional description: Intestinal perforation
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Oesophagitis
    Additional description: Oesophagitis
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nausea
    Additional description: Nausea
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Subileus
    Additional description: Subileus
         subjects affected / exposed
    1 / 107 (0.93%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vomiting
    Additional description: Vomiting
         subjects affected / exposed
    3 / 107 (2.80%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Cholecystitis
    Additional description: Cholecystitis
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatocellular injury
    Additional description: Hepatocellular injury
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    1 / 1
    0 / 0
    Jaundice
    Additional description: Jaundice
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Dermatitis allergic
    Additional description: Dermatitis allergic
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Skin toxicity
    Additional description: Skin toxicity
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Skin exfoliation
    Additional description: Skin exfoliation
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Rash
    Additional description: Rash
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal and urinary disorders
    Urinary retention
    Additional description: Urinary retention
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Endocrine disorders
    Hyperthyroidism
    Additional description: Hyperthyroidism
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Back pain
    Additional description: Back pain
         subjects affected / exposed
    1 / 107 (0.93%)
    2 / 111 (1.80%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Flank pain
    Additional description: Flank pain
         subjects affected / exposed
    1 / 107 (0.93%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pain in extremity
    Additional description: Pain in extremity
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Device related infection
    Additional description: Device related infection
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Herpes zoster
    Additional description: Herpes zoster
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pyelonephritis
    Additional description: Pyelonephritis
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumonia
    Additional description: Pneumonia
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Peritonitis
    Additional description: Peritonitis
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Staphylococcal infection
    Additional description: Staphylococcal infection
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Regorafenib arm Placebo arm
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    107 / 107 (100.00%)
    105 / 111 (94.59%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Skin papilloma
    Additional description: Skin papilloma
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Tumor pain
    Additional description: Tumor pain
         subjects affected / exposed
    5 / 107 (4.67%)
    3 / 111 (2.70%)
         occurrences all number
    5
    3
    Vascular disorders
    Anal hemorrhage
    Additional description: Anal hemorrhage
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Arterial hypertension
    Additional description: Arterial hypertension
         subjects affected / exposed
    32 / 107 (29.91%)
    5 / 111 (4.50%)
         occurrences all number
    46
    6
    Ecchymosis
    Additional description: Ecchymosis
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Epistaxis
    Additional description: Epistaxis
         subjects affected / exposed
    11 / 107 (10.28%)
    3 / 111 (2.70%)
         occurrences all number
    20
    3
    Flushing
    Additional description: Flushing
         subjects affected / exposed
    2 / 107 (1.87%)
    1 / 111 (0.90%)
         occurrences all number
    2
    1
    Haematoma
    Additional description: Haematoma
         subjects affected / exposed
    1 / 107 (0.93%)
    2 / 111 (1.80%)
         occurrences all number
    1
    2
    Hematuria
    Additional description: Hematuria
         subjects affected / exposed
    2 / 107 (1.87%)
    0 / 111 (0.00%)
         occurrences all number
    2
    0
    Hemoptysis
    Additional description: Hemoptysis
         subjects affected / exposed
    6 / 107 (5.61%)
    2 / 111 (1.80%)
         occurrences all number
    11
    3
    Hemorrhage
    Additional description: Hemorrhage
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Hypertensive crisis
    Additional description: Hypertensive crisis
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Hypotension
    Additional description: Hypotension
         subjects affected / exposed
    4 / 107 (3.74%)
    3 / 111 (2.70%)
         occurrences all number
    4
    3
    Metrorrhagia
    Additional description: Metrorrhagia
         subjects affected / exposed
    2 / 107 (1.87%)
    1 / 111 (0.90%)
         occurrences all number
    3
    1
    Mouth hemorrhage
    Additional description: Mouth hemorrhage
         subjects affected / exposed
    2 / 107 (1.87%)
    1 / 111 (0.90%)
         occurrences all number
    2
    2
    Thrombosis
    Additional description: Thrombosis
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Thrombophlebitis
    Additional description: Thrombophlebitis
         subjects affected / exposed
    0 / 107 (0.00%)
    2 / 111 (1.80%)
         occurrences all number
    0
    2
    Superior vena cava syndrome
    Additional description: Superior vena cava syndrome
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Rectal hemorrhage
    Additional description: Rectal hemorrhage
         subjects affected / exposed
    2 / 107 (1.87%)
    1 / 111 (0.90%)
         occurrences all number
    2
    1
    Surgical and medical procedures
    Cataract operation
    Additional description: Cataract operation
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    General disorders and administration site conditions
    Anorexia
    Additional description: Anorexia
         subjects affected / exposed
    44 / 107 (41.12%)
    23 / 111 (20.72%)
         occurrences all number
    49
    25
    Appetite disorder
    Additional description: Appetite disorder
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Asthenia
    Additional description: Asthenia
         subjects affected / exposed
    72 / 107 (67.29%)
    46 / 111 (41.44%)
         occurrences all number
    107
    55
    Cachexia
    Additional description: Cachexia
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Chills
    Additional description: Chills
         subjects affected / exposed
    4 / 107 (3.74%)
    1 / 111 (0.90%)
         occurrences all number
    4
    1
    Discomfort
    Additional description: Discomfort
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Edema peripheral
    Additional description: Edema peripheral
         subjects affected / exposed
    7 / 107 (6.54%)
    7 / 111 (6.31%)
         occurrences all number
    9
    7
    Effusion
    Additional description: Effusion
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Face edema
    Additional description: Face edema
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Fever
    Additional description: Fever
         subjects affected / exposed
    18 / 107 (16.82%)
    6 / 111 (5.41%)
         occurrences all number
    37
    6
    General physical health deterioration
    Additional description: General physical health deterioration
         subjects affected / exposed
    3 / 107 (2.80%)
    2 / 111 (1.80%)
         occurrences all number
    3
    2
    Influenza like illness
    Additional description: Influenza like illness
         subjects affected / exposed
    4 / 107 (3.74%)
    3 / 111 (2.70%)
         occurrences all number
    4
    3
    Local swelling
    Additional description: Local swelling
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Malaise
    Additional description: Malaise
         subjects affected / exposed
    3 / 107 (2.80%)
    0 / 111 (0.00%)
         occurrences all number
    3
    0
    Mucosal dryness
    Additional description: Mucosal dryness
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Pain
    Additional description: Pain
         subjects affected / exposed
    3 / 107 (2.80%)
    3 / 111 (2.70%)
         occurrences all number
    3
    3
    Weight loss
    Additional description: Weight loss
         subjects affected / exposed
    26 / 107 (24.30%)
    10 / 111 (9.01%)
         occurrences all number
    26
    10
    Immune system disorders
    Seasonal allergy
    Additional description: Seasonal allergy
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Reproductive system and breast disorders
    Amenorrhoea
    Additional description: Amenorrhoea
         subjects affected / exposed
    2 / 107 (1.87%)
    0 / 111 (0.00%)
         occurrences all number
    2
    0
    Breast pain
    Additional description: Breast pain
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Gynaecomastia
    Additional description: Gynaecomastia
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Pelvic pain
    Additional description: Pelvic pain
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Phimosis
    Additional description: Phimosis
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    2
    0
    Vaginal inflammation
    Additional description: Vaginal inflammation
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Vulvovaginal burning sensation
    Additional description: Vulvovaginal burning sensation
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Respiratory, thoracic and mediastinal disorders
    Atelectasis
    Additional description: Atelectasis
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Cough
    Additional description: Cough
         subjects affected / exposed
    13 / 107 (12.15%)
    10 / 111 (9.01%)
         occurrences all number
    14
    10
    Dysphonia
    Additional description: Dysphonia
         subjects affected / exposed
    26 / 107 (24.30%)
    2 / 111 (1.80%)
         occurrences all number
    27
    2
    Dyspnoea
    Additional description: Dyspnoea
         subjects affected / exposed
    22 / 107 (20.56%)
    15 / 111 (13.51%)
         occurrences all number
    23
    17
    Lower respiratory tract congestion
    Additional description: Lower respiratory tract congestion
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Lung disorder
    Additional description: Lung disorder
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Nasal discomfort
    Additional description: Nasal discomfort
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Oropharyngeal pain
    Additional description: Oropharyngeal pain
         subjects affected / exposed
    5 / 107 (4.67%)
    1 / 111 (0.90%)
         occurrences all number
    7
    1
    Pleural effusion
    Additional description: Pleural effusion
         subjects affected / exposed
    4 / 107 (3.74%)
    2 / 111 (1.80%)
         occurrences all number
    4
    2
    Pneumonitis
    Additional description: Pneumonitis
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Rhinorrhoea
    Additional description: Rhinorrhoea
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Psychiatric disorders
    Anxiety
    Additional description: Anxiety
         subjects affected / exposed
    11 / 107 (10.28%)
    3 / 111 (2.70%)
         occurrences all number
    11
    3
    Confusional state
    Additional description: Confusional state
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Depression
    Additional description: Depression
         subjects affected / exposed
    1 / 107 (0.93%)
    1 / 111 (0.90%)
         occurrences all number
    1
    1
    Depressive symptom
    Additional description: Depressive symptom
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Insomnia
    Additional description: Insomnia
         subjects affected / exposed
    4 / 107 (3.74%)
    5 / 111 (4.50%)
         occurrences all number
    4
    5
    Libido decreased
    Additional description: Libido decreased
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Mental disorder
    Additional description: Mental disorder
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Sleep disorder
    Additional description: Sleep disorder
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Investigations
    Blood alkaline phosphatase increased
    Additional description: Blood alkaline phosphatase increased
         subjects affected / exposed
    51 / 107 (47.66%)
    45 / 111 (40.54%)
         occurrences all number
    117
    79
    Blood chloride decreased
    Additional description: Blood chloride decreased
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Blood lactate dehydrogenase increased
    Additional description: Blood lactate dehydrogenase increased
         subjects affected / exposed
    0 / 107 (0.00%)
    3 / 111 (2.70%)
         occurrences all number
    0
    3
    Blood uric acid increased
    Additional description: Blood uric acid increased
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Gamma-glutamyltransferase increased
    Additional description: Gamma-glutamyltransferase increased
         subjects affected / exposed
    5 / 107 (4.67%)
    8 / 111 (7.21%)
         occurrences all number
    8
    8
    Hypoglycemia
    Additional description: Hypoglycemia
         subjects affected / exposed
    13 / 107 (12.15%)
    5 / 111 (4.50%)
         occurrences all number
    23
    8
    Hyperamylasemia
    Additional description: Hyperamylasemia
         subjects affected / exposed
    2 / 107 (1.87%)
    0 / 111 (0.00%)
         occurrences all number
    2
    0
    Hypercalcemia
    Additional description: Hypercalcemia
         subjects affected / exposed
    8 / 107 (7.48%)
    11 / 111 (9.91%)
         occurrences all number
    9
    15
    Hypercreatininemia
    Additional description: Hypercreatininemia
         subjects affected / exposed
    24 / 107 (22.43%)
    37 / 111 (33.33%)
         occurrences all number
    86
    98
    Hyperglycemia
    Additional description: Hyperglycemia
         subjects affected / exposed
    48 / 107 (44.86%)
    37 / 111 (33.33%)
         occurrences all number
    101
    64
    Hyperkalemia
    Additional description: Hyperkalemia
         subjects affected / exposed
    11 / 107 (10.28%)
    8 / 111 (7.21%)
         occurrences all number
    23
    14
    Hyperlipasemia
    Additional description: Hyperlipasemia
         subjects affected / exposed
    12 / 107 (11.21%)
    1 / 111 (0.90%)
         occurrences all number
    12
    1
    Hypernatraemia
    Additional description: Hypernatraemia
         subjects affected / exposed
    1 / 107 (0.93%)
    1 / 111 (0.90%)
         occurrences all number
    1
    1
    Hypertriglyceridemia
    Additional description: Hypertriglyceridemia
         subjects affected / exposed
    3 / 107 (2.80%)
    1 / 111 (0.90%)
         occurrences all number
    4
    1
    Hypoalbuminemia
    Additional description: Hypoalbuminemia
         subjects affected / exposed
    48 / 107 (44.86%)
    34 / 111 (30.63%)
         occurrences all number
    152
    69
    Hypocalcemia
    Additional description: Hypocalcemia
         subjects affected / exposed
    39 / 107 (36.45%)
    8 / 111 (7.21%)
         occurrences all number
    70
    15
    Hypokalemia
    Additional description: Hypokalemia
         subjects affected / exposed
    26 / 107 (24.30%)
    9 / 111 (8.11%)
         occurrences all number
    63
    10
    Hypophosphatemia
    Additional description: Hypophosphatemia
         subjects affected / exposed
    34 / 107 (31.78%)
    6 / 111 (5.41%)
         occurrences all number
    51
    8
    Hypovolaemia
    Additional description: Hypovolaemia
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Iron deficiency
    Additional description: Iron deficiency
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Hyponatremia
    Additional description: Hyponatremia
         subjects affected / exposed
    36 / 107 (33.64%)
    32 / 111 (28.83%)
         occurrences all number
    85
    39
    Injury, poisoning and procedural complications
    Contusion
    Additional description: Contusion
         subjects affected / exposed
    2 / 107 (1.87%)
    0 / 111 (0.00%)
         occurrences all number
    2
    0
    Eschar
    Additional description: Eschar
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Fall
    Additional description: Fall
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    2
    0
    Hand fracture
    Additional description: Hand fracture
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Rib fracture
    Additional description: Rib fracture
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Cardiac disorders
    Arrhythmia
    Additional description: Arrhythmia
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Atrial fibrillation
    Additional description: Atrial fibrillation
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Chest pain
    Additional description: Chest pain
         subjects affected / exposed
    10 / 107 (9.35%)
    4 / 111 (3.60%)
         occurrences all number
    10
    4
    Ejection fraction decreased
    Additional description: Ejection fraction decreased
         subjects affected / exposed
    1 / 107 (0.93%)
    1 / 111 (0.90%)
         occurrences all number
    1
    1
    Palpitations
    Additional description: Palpitations
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Tachycardia
    Additional description: Tachycardia
         subjects affected / exposed
    3 / 107 (2.80%)
    2 / 111 (1.80%)
         occurrences all number
    3
    2
    Ventricular hypokinesia
    Additional description: Ventricular hypokinesia
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Nervous system disorders
    Dysaesthesia
    Additional description: Dysaesthesia
         subjects affected / exposed
    2 / 107 (1.87%)
    1 / 111 (0.90%)
         occurrences all number
    2
    1
    Dysarthria
    Additional description: Dysarthria
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Headache
    Additional description: Headache
         subjects affected / exposed
    24 / 107 (22.43%)
    11 / 111 (9.91%)
         occurrences all number
    36
    12
    Hyperaesthesia
    Additional description: Hyperaesthesia
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Hypoaesthesia
    Additional description: Hypoaesthesia
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Memory impairment
    Additional description: Memory impairment
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Motor dysfunction
    Additional description: Motor dysfunction
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Paraesthesia
    Additional description: Paraesthesia
         subjects affected / exposed
    7 / 107 (6.54%)
    3 / 111 (2.70%)
         occurrences all number
    9
    5
    Paraplegia
    Additional description: Paraplegia
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Neuralgia
    Additional description: Neuralgia
         subjects affected / exposed
    1 / 107 (0.93%)
    2 / 111 (1.80%)
         occurrences all number
    1
    2
    Somnolence
    Additional description: Somnolence
         subjects affected / exposed
    2 / 107 (1.87%)
    1 / 111 (0.90%)
         occurrences all number
    2
    1
    Sciatica
    Additional description: Sciatica
         subjects affected / exposed
    4 / 107 (3.74%)
    1 / 111 (0.90%)
         occurrences all number
    4
    1
    Vertigo
    Additional description: Vertigo
         subjects affected / exposed
    6 / 107 (5.61%)
    0 / 111 (0.00%)
         occurrences all number
    6
    0
    Tremor
    Additional description: Tremor
         subjects affected / exposed
    4 / 107 (3.74%)
    0 / 111 (0.00%)
         occurrences all number
    4
    0
    Blood and lymphatic system disorders
    Anemia
    Additional description: Anemia
         subjects affected / exposed
    104 / 107 (97.20%)
    103 / 111 (92.79%)
         occurrences all number
    597
    289
    Leukocytosis
    Additional description: Leukocytosis
         subjects affected / exposed
    0 / 107 (0.00%)
    2 / 111 (1.80%)
         occurrences all number
    0
    2
    Leukopenia
    Additional description: Leukopenia
         subjects affected / exposed
    104 / 107 (97.20%)
    103 / 111 (92.79%)
         occurrences all number
    584
    276
    Lymphopenia
    Additional description: Lymphopenia
         subjects affected / exposed
    87 / 107 (81.31%)
    85 / 111 (76.58%)
         occurrences all number
    437
    204
    Platelet count increased
    Additional description: Platelet count increased
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Neutropenia
    Additional description: Neutropenia
         subjects affected / exposed
    9 / 107 (8.41%)
    3 / 111 (2.70%)
         occurrences all number
    20
    5
    Thrombocytopenia
    Additional description: Thrombocytopenia
         subjects affected / exposed
    33 / 107 (30.84%)
    8 / 111 (7.21%)
         occurrences all number
    124
    12
    White blood cell count increased
    Additional description: White blood cell count increased
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Ear and labyrinth disorders
    Auditory disorder
    Additional description: Auditory disorder
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Deafness
    Additional description: Deafness
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Ear discomfort
    Additional description: Ear discomfort
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Ear pain
    Additional description: Ear pain
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Hearing impaired
    Additional description: Hearing impaired
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Tinnitus
    Additional description: Tinnitus
         subjects affected / exposed
    2 / 107 (1.87%)
    0 / 111 (0.00%)
         occurrences all number
    2
    0
    Eye disorders
    Dry eye
    Additional description: Dry eye
         subjects affected / exposed
    2 / 107 (1.87%)
    0 / 111 (0.00%)
         occurrences all number
    2
    0
    Visual impairment
    Additional description: Visual impairment
         subjects affected / exposed
    5 / 107 (4.67%)
    2 / 111 (1.80%)
         occurrences all number
    5
    2
    Gastrointestinal disorders
    Abdominal distension
    Additional description: Abdominal distension
         subjects affected / exposed
    3 / 107 (2.80%)
    0 / 111 (0.00%)
         occurrences all number
    6
    0
    Abdominal pain
    Additional description: Abdominal pain
         subjects affected / exposed
    25 / 107 (23.36%)
    16 / 111 (14.41%)
         occurrences all number
    40
    16
    Anal inflammation
    Additional description: Anal inflammation
         subjects affected / exposed
    2 / 107 (1.87%)
    0 / 111 (0.00%)
         occurrences all number
    2
    0
    Aphthous ulcer
    Additional description: Aphthous ulcer
         subjects affected / exposed
    3 / 107 (2.80%)
    3 / 111 (2.70%)
         occurrences all number
    3
    3
    Ascites
    Additional description: Ascites
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Breath odour
    Additional description: Breath odour
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Cheilitis
    Additional description: Cheilitis
         subjects affected / exposed
    3 / 107 (2.80%)
    0 / 111 (0.00%)
         occurrences all number
    6
    0
    Dysphagia
    Additional description: Dysphagia
         subjects affected / exposed
    7 / 107 (6.54%)
    0 / 111 (0.00%)
         occurrences all number
    7
    0
    Diarrhoea
    Additional description: Diarrhoea
         subjects affected / exposed
    52 / 107 (48.60%)
    10 / 111 (9.01%)
         occurrences all number
    130
    13
    Dry mouth
    Additional description: Dry mouth
         subjects affected / exposed
    10 / 107 (9.35%)
    2 / 111 (1.80%)
         occurrences all number
    11
    2
    Dysgeusia
    Additional description: Dysgeusia
         subjects affected / exposed
    6 / 107 (5.61%)
    0 / 111 (0.00%)
         occurrences all number
    6
    0
    Dyspepsia
    Additional description: Dyspepsia
         subjects affected / exposed
    4 / 107 (3.74%)
    1 / 111 (0.90%)
         occurrences all number
    5
    1
    Constipation
    Additional description: Constipation
         subjects affected / exposed
    29 / 107 (27.10%)
    11 / 111 (9.91%)
         occurrences all number
    45
    11
    Gingival pain
    Additional description: Gingival pain
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Faeces discoloured
    Additional description: Faeces discoloured
         subjects affected / exposed
    2 / 107 (1.87%)
    0 / 111 (0.00%)
         occurrences all number
    3
    0
    Gastritis
    Additional description: Gastritis
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Gastrointestinal disorder
    Additional description: Gastrointestinal disorder
         subjects affected / exposed
    5 / 107 (4.67%)
    1 / 111 (0.90%)
         occurrences all number
    5
    1
    Gastrointestinal motility disorder
    Additional description: Gastrointestinal motility disorder
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Gastrooesophageal reflux disease
    Additional description: Gastrooesophageal reflux disease
         subjects affected / exposed
    0 / 107 (0.00%)
    3 / 111 (2.70%)
         occurrences all number
    0
    3
    Gingivitis
    Additional description: Gingivitis
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Haematochezia
    Additional description: Haematochezia
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Haemorrhoids
    Additional description: Haemorrhoids
         subjects affected / exposed
    7 / 107 (6.54%)
    1 / 111 (0.90%)
         occurrences all number
    9
    1
    Intestinal transit time abnormal
    Additional description: Intestinal transit time abnormal
         subjects affected / exposed
    2 / 107 (1.87%)
    0 / 111 (0.00%)
         occurrences all number
    2
    0
    Mouth ulceration
    Additional description: Mouth ulceration
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Mucosal inflammation
    Additional description: Mucosal inflammation
         subjects affected / exposed
    6 / 107 (5.61%)
    1 / 111 (0.90%)
         occurrences all number
    11
    2
    Nausea
    Additional description: Nausea
         subjects affected / exposed
    23 / 107 (21.50%)
    14 / 111 (12.61%)
         occurrences all number
    28
    15
    Oesophagitis
    Additional description: Oesophagitis
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Subileus
    Additional description: Subileus
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Stomatitis
    Additional description: Stomatitis
         subjects affected / exposed
    38 / 107 (35.51%)
    3 / 111 (2.70%)
         occurrences all number
    51
    3
    Toothache
    Additional description: Toothache
         subjects affected / exposed
    1 / 107 (0.93%)
    1 / 111 (0.90%)
         occurrences all number
    1
    1
    Vomiting
    Additional description: Vomiting
         subjects affected / exposed
    26 / 107 (24.30%)
    12 / 111 (10.81%)
         occurrences all number
    33
    12
    Hepatobiliary disorders
    Hyperbilirubinemia
    Additional description: Hyperbilirubinemia
         subjects affected / exposed
    40 / 107 (37.38%)
    10 / 111 (9.01%)
         occurrences all number
    97
    18
    Hypertransaminasemia
    Additional description: Hypertransaminasemia
         subjects affected / exposed
    63 / 107 (58.88%)
    35 / 111 (31.53%)
         occurrences all number
    246
    82
    Jaundice
    Additional description: Jaundice
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Jaundice cholestatic
    Additional description: Jaundice cholestatic
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Skin and subcutaneous tissue disorders
    Acne
    Additional description: Acne
         subjects affected / exposed
    2 / 107 (1.87%)
    0 / 111 (0.00%)
         occurrences all number
    2
    0
    Alopecia
    Additional description: Alopecia
         subjects affected / exposed
    14 / 107 (13.08%)
    1 / 111 (0.90%)
         occurrences all number
    15
    1
    Dry skin
    Additional description: Dry skin
         subjects affected / exposed
    5 / 107 (4.67%)
    2 / 111 (1.80%)
         occurrences all number
    6
    2
    Eczema
    Additional description: Eczema
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Erythema
    Additional description: Erythema
         subjects affected / exposed
    4 / 107 (3.74%)
    0 / 111 (0.00%)
         occurrences all number
    4
    0
    Hair disorder
    Additional description: Hair disorder
         subjects affected / exposed
    4 / 107 (3.74%)
    0 / 111 (0.00%)
         occurrences all number
    4
    0
    Hand foot skin reaction
    Additional description: Hand foot skin reaction
         subjects affected / exposed
    47 / 107 (43.93%)
    3 / 111 (2.70%)
         occurrences all number
    86
    3
    Hyperkeratosis
    Additional description: Hyperkeratosis
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Pain of skin
    Additional description: Pain of skin
         subjects affected / exposed
    2 / 107 (1.87%)
    1 / 111 (0.90%)
         occurrences all number
    2
    1
    Nail disorder
    Additional description: Nail disorder
         subjects affected / exposed
    2 / 107 (1.87%)
    0 / 111 (0.00%)
         occurrences all number
    2
    0
    Night sweats
    Additional description: Night sweats
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Skin toxicity
    Additional description: Skin toxicity
         subjects affected / exposed
    4 / 107 (3.74%)
    1 / 111 (0.90%)
         occurrences all number
    7
    1
    Skin exfoliation
    Additional description: Skin exfoliation
         subjects affected / exposed
    12 / 107 (11.21%)
    0 / 111 (0.00%)
         occurrences all number
    13
    0
    Skin disorder
    Additional description: Skin disorder
         subjects affected / exposed
    1 / 107 (0.93%)
    2 / 111 (1.80%)
         occurrences all number
    1
    2
    Pruritus
    Additional description: Pruritus
         subjects affected / exposed
    1 / 107 (0.93%)
    3 / 111 (2.70%)
         occurrences all number
    1
    3
    Radiation skin injury
    Additional description: Radiation skin injury
         subjects affected / exposed
    2 / 107 (1.87%)
    0 / 111 (0.00%)
         occurrences all number
    2
    0
    Rash
    Additional description: Rash
         subjects affected / exposed
    22 / 107 (20.56%)
    1 / 111 (0.90%)
         occurrences all number
    26
    1
    Urticaria
    Additional description: Urticaria
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    2
    Renal and urinary disorders
    Chromaturia
    Additional description: Chromaturia
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Dysuria
    Additional description: Dysuria
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Nocturia
    Additional description: Nocturia
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Pollakiuria
    Additional description: Pollakiuria
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Proteinuria
    Additional description: Proteinuria
         subjects affected / exposed
    11 / 107 (10.28%)
    9 / 111 (8.11%)
         occurrences all number
    14
    9
    Pyelocaliectasis
    Additional description: Pyelocaliectasis
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Urinary retention
    Additional description: Urinary retention
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Endocrine disorders
    Blood thyroid stimulating hormone decreased
    Additional description: Blood thyroid stimulating hormone decreased
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    2
    0
    Blood thyroid stimulating hormone increased
    Additional description: Blood thyroid stimulating hormone increased
         subjects affected / exposed
    3 / 107 (2.80%)
    0 / 111 (0.00%)
         occurrences all number
    3
    0
    Cushingoid
    Additional description: Cushingoid
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Hyperparathyroidism
    Additional description: Hyperparathyroidism
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Hyperthyroidism
    Additional description: Hyperthyroidism
         subjects affected / exposed
    2 / 107 (1.87%)
    0 / 111 (0.00%)
         occurrences all number
    3
    0
    Hypothyroidism
    Additional description: Hypothyroidism
         subjects affected / exposed
    7 / 107 (6.54%)
    1 / 111 (0.90%)
         occurrences all number
    9
    1
    Thyroid disorder
    Additional description: Thyroid disorder
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Tri-iodothyronine decreased
    Additional description: Tri-iodothyronine decreased
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Musculoskeletal and connective tissue disorders
    Arthralgia
    Additional description: Arthralgia
         subjects affected / exposed
    15 / 107 (14.02%)
    8 / 111 (7.21%)
         occurrences all number
    21
    10
    Back pain
    Additional description: Back pain
         subjects affected / exposed
    11 / 107 (10.28%)
    10 / 111 (9.01%)
         occurrences all number
    12
    11
    Bone pain
    Additional description: Bone pain
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Chondrocalcinosis
    Additional description: Chondrocalcinosis
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Fistula
    Additional description: Fistula
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Flank pain
    Additional description: Flank pain
         subjects affected / exposed
    2 / 107 (1.87%)
    1 / 111 (0.90%)
         occurrences all number
    2
    1
    Muscle spasms
    Additional description: Muscle spasms
         subjects affected / exposed
    7 / 107 (6.54%)
    4 / 111 (3.60%)
         occurrences all number
    8
    4
    Joint effusion
    Additional description: Joint effusion
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Osteoarthritis
    Additional description: Osteoarthritis
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Pain in extremity
    Additional description: Pain in extremity
         subjects affected / exposed
    17 / 107 (15.89%)
    4 / 111 (3.60%)
         occurrences all number
    20
    4
    Pain in jaw
    Additional description: Pain in jaw
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Musculoskeletal chest pain
    Additional description: Musculoskeletal chest pain
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Musculoskeletal disorder
    Additional description: Musculoskeletal disorder
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Musculoskeletal pain
    Additional description: Musculoskeletal pain
         subjects affected / exposed
    2 / 107 (1.87%)
    0 / 111 (0.00%)
         occurrences all number
    3
    0
    Myalgia
    Additional description: Myalgia
         subjects affected / exposed
    15 / 107 (14.02%)
    4 / 111 (3.60%)
         occurrences all number
    17
    4
    Neck pain
    Additional description: Neck pain
         subjects affected / exposed
    3 / 107 (2.80%)
    1 / 111 (0.90%)
         occurrences all number
    3
    1
    Tendon disorder
    Additional description: Tendon disorder
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Scoliosis
    Additional description: Scoliosis
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Torticollis
    Additional description: Torticollis
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Infections and infestations
    Bronchitis
    Additional description: Bronchitis
         subjects affected / exposed
    4 / 107 (3.74%)
    1 / 111 (0.90%)
         occurrences all number
    4
    1
    Device related infection
    Additional description: Device related infection
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Ear infection
    Additional description: Ear infection
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Erysipelas
    Additional description: Erysipelas
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Fungal sepsis
    Additional description: Fungal sepsis
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Gastroenteritis
    Additional description: Gastroenteritis
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Infection
    Additional description: Infection
         subjects affected / exposed
    2 / 107 (1.87%)
    1 / 111 (0.90%)
         occurrences all number
    3
    1
    Pharyngitis
    Additional description: Pharyngitis
         subjects affected / exposed
    2 / 107 (1.87%)
    1 / 111 (0.90%)
         occurrences all number
    2
    1
    Nasopharyngitis
    Additional description: Nasopharyngitis
         subjects affected / exposed
    1 / 107 (0.93%)
    3 / 111 (2.70%)
         occurrences all number
    1
    3
    Sinusitis
    Additional description: Sinusitis
         subjects affected / exposed
    2 / 107 (1.87%)
    0 / 111 (0.00%)
         occurrences all number
    2
    0
    Sepsis
    Additional description: Sepsis
         subjects affected / exposed
    1 / 107 (0.93%)
    1 / 111 (0.90%)
         occurrences all number
    1
    1
    Rhinitis
    Additional description: Rhinitis
         subjects affected / exposed
    0 / 107 (0.00%)
    4 / 111 (3.60%)
         occurrences all number
    0
    4
    Vaginal infection
    Additional description: Vaginal infection
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Urinary tract infection
    Additional description: Urinary tract infection
         subjects affected / exposed
    3 / 107 (2.80%)
    1 / 111 (0.90%)
         occurrences all number
    5
    1
    Tracheitis
    Additional description: Tracheitis
         subjects affected / exposed
    0 / 107 (0.00%)
    2 / 111 (1.80%)
         occurrences all number
    0
    2
    Tooth infection
    Additional description: Tooth infection
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Tonsillitis
    Additional description: Tonsillitis
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Vulvovaginal mycotic infection
    Additional description: Vulvovaginal mycotic infection
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    Viral upper respiratory tract infection
    Additional description: Viral upper respiratory tract infection
         subjects affected / exposed
    0 / 107 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    Viral infection
    Additional description: Viral infection
         subjects affected / exposed
    1 / 107 (0.93%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    09 Aug 2013
    Removal of exclusion criterion No. 25, clarification/modification of eligibility criteria, change of service provider for drug management, addition of procedures for reporting serious adverse events related to pregnancy, addition of investigation centers. Addition of German coordinator, update of study schedule, correction of typographical errors, modification of contact details
    22 Nov 2013
    New participating centers / Change of IP Appendix C of the protocol: clarification of histology
    18 Jun 2014
    MS1 (Austria ) Participation of Germany, Change in eligibility criteria Details on the declaration of SAEs for pregnancies
    16 Sep 2015
    Change in the person responsible for secondary packaging, labeling, and distribution of the product
    08 Oct 2015
    Addition of cohort E (change in the number of patients to be included, change in selection criteria, extension of the study duration), modification of liver monitoring procedures and treatment adjustments to be adopted in the event of liver toxicity, update of the study schedule, modifications to paragraph 8.8 “Dose reductions and treatment delay” following the update of the SPCs, update of the section on interactions with other medicinal products Update of the contact details of the persons involved in the study at the sponsor's site
    23 May 2016
    Update of the list of participating centers
    04 Oct 2016
    - Modification of a non-inclusion criterion: “More than 3 to 4 lines of systemic treatment for metastatic sarcoma.” - Addition of a stratification criterion in cohort E: “Number of lines of systemic treatment for metastatic sarcoma: 0 to 3 lines versus 4 lines.” - 24-month extension and update of protocol signatories
    16 Dec 2016
    MS2 (Austria) Addition of cohort E (change in the number of patients to be included, change in selection criteria, extension of the study duration), modification of liver monitoring procedures and treatment djustments to be adopted in the event of liver toxicity, update of the study schedule, modifications to paragraph 8.8 “Dose reductions and treatment delay” following the update of the SPCs, update of the section on interactions with other medicinal products. Change in protocol signatories, change in the sponsor team, update to the study schedule
    28 Apr 2017
    - Temporary halt to recruitment (problem with supply of treatment in the study) - Update of the list of participating centers
    19 Sep 2017
    - Recruitment resumes as of 09/19/17 - Update of the list of participating centers
    20 Oct 2017
    - BI update (version 12) + update with BI v 9-10-11 + BI update (version 13) following the ANSM NR Following the BI update (versions 12 and 13): changes to expected adverse events and actions to be taken in the event of infection - Update of the list of participating centers - modification of NICE
    12 Mar 2019
    RGPD compliance
    04 Nov 2019
    - BI update (versions 14 and 15) - Update of the list of participating centers

    Interruptions (globally)

    Were there any global interruptions to the trial? Yes
    Date
    Interruption
    Restart date
    28 Apr 2017
    Temporary halt to recruitment (problem with supply of treatment in the study)
    19 Sep 2017

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/27751846
    http://www.ncbi.nlm.nih.gov/pubmed/29902612
    http://www.ncbi.nlm.nih.gov/pubmed/31918233
    http://www.ncbi.nlm.nih.gov/pubmed/28295221
    http://www.ncbi.nlm.nih.gov/pubmed/29722789
    http://www.ncbi.nlm.nih.gov/pubmed/33322802
    For support, Contact us.
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    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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