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    Clinical Trial Results:
    A Phase Ib/II study of docetaxel with or without buparlisib as second line therapy for patients with advanced or metastatic squamous non-small cell lung cancer

    Summary
    EudraCT number
    2013-000833-11
    Trial protocol
    SE   IT   DE   ES   GB   BE   HU   NO   FR  
    Global end of trial date
    04 Aug 2015

    Results information
    Results version number
    v1
    This version publication date
    21 Aug 2016
    First version publication date
    21 Aug 2016
    Other versions
    v2

    Trial information

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    Trial identification
    Sponsor protocol code
    CBKM120D2205
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01911325
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Novartis Pharma AG
    Sponsor organisation address
    CH-4002, Basel, Switzerland,
    Public contact
    Clinical Disclosure Office, Novartis Pharma AG, +41 613241111,
    Scientific contact
    Clinical Disclosure Office, Novartis Pharma AG, +41 613241111,
    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
    04 Aug 2015
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    04 Aug 2015
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    For phase Ib: To determine the maximum-tolerated dose (MTD) / recommended Phase II dose (RP2D) of buparlisib when administered orally in combination with every-3-week administration of docetaxel to adult patients with Stage IIIb or Stage IV NSCLC of squamous histology previously treated with platinum-based chemotherapy For phase II: To estimate the treatment effect of every-three-week administration of docetaxel and daily buparlisib or placebo on PFS in patients previously treated with platinum-based chemotherapy for advanced or metastatic squamous NSCLC
    Protection of trial subjects
    The study was in compliance with the ethical principles derived from the Declaration of Helsinki and the International Conference on Harmonization (ICH) Good Clinical Practice (GCP) guidelines. All the local regulatory requirements pertinent to safety of trial subjects were also followed during the conduct of the trial.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    31 Oct 2013
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Korea, Republic of: 2
    Country: Number of subjects enrolled
    United States: 2
    Country: Number of subjects enrolled
    Spain: 1
    Country: Number of subjects enrolled
    Belgium: 1
    Country: Number of subjects enrolled
    France: 9
    Country: Number of subjects enrolled
    Germany: 6
    Country: Number of subjects enrolled
    Italy: 6
    Worldwide total number of subjects
    27
    EEA total number of subjects
    23
    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)
    13
    From 65 to 84 years
    14
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    The study did not proceed to the phase ll part of the study as the phase ll part was not conducted. So the results are based only on the phase l part of the study.

    Pre-assignment
    Screening details
    After signing the study Informed Consent Form, the screening assessments were done within 21 days prior to starting the treatment. Eligible patients started treatment only if a treatment cohort was open and the Sponsor had authorized the entry of the respective patient. Treatment was organized into cycles of 21 days.

    Period 1
    Period 1 title
    Overall Study (Phase lb only) (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Carer, Assessor

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Phase Ib: Buparlisib 80 mg/d
    Arm description
    Buparlisib (BKM120) oral once daily: 80 mg dose levels to be tested in the dose escalation part of the trial in combination with docetaxel every three week intravenous (i.v.) infusion: 75 mg/m2 as per label.
    Arm type
    Experimental

    Investigational medicinal product name
    Buparlisib
    Investigational medicinal product code
    BKM120
    Other name
    Pharmaceutical forms
    Capsule, hard
    Routes of administration
    Oral use
    Dosage and administration details
    Buparlisib was supplied as 10 mg and 50 mg hard gelatin capsules for oral daily dosing.

    Investigational medicinal product name
    docetaxel
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Docetaxel is available in single dose vials (1-vial-Taxotere®) containing 20 mg (1 mL) and 80 mg (4 mL) docetaxel. Each mL contains 20 mg docetaxel and 1.04 g polysorbate 80 and was taken every-three-week docetaxel at 75 mg/m2.

    Arm title
    Phase lb: Buparlisib 100 mg/d
    Arm description
    Buparlisib (BKM120) oral once daily: 100 mg dose levels to be tested in the dose escalation part of the trial in combination with docetaxel every three week intravenous (i.v.) infusion: 75 mg/m2 as per label.
    Arm type
    Experimental

    Investigational medicinal product name
    Buparlisib
    Investigational medicinal product code
    BKM120
    Other name
    Pharmaceutical forms
    Capsule, hard
    Routes of administration
    Oral use
    Dosage and administration details
    Buparlisib was supplied as 10 mg and 50 mg hard gelatin capsules for oral daily dosing.

    Number of subjects in period 1
    Phase Ib: Buparlisib 80 mg/d Phase lb: Buparlisib 100 mg/d
    Started
    16
    11
    Completed
    0
    0
    Not completed
    16
    11
         Consent withdrawn by subject
    4
    1
         Physician decision
    3
    1
         Adverse event, non-fatal
    2
    2
         Death
    1
    2
         progressive disease
    6
    3
         Protocol deviation
    -
    2

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Phase Ib: Buparlisib 80 mg/d
    Reporting group description
    Buparlisib (BKM120) oral once daily: 80 mg dose levels to be tested in the dose escalation part of the trial in combination with docetaxel every three week intravenous (i.v.) infusion: 75 mg/m2 as per label.

    Reporting group title
    Phase lb: Buparlisib 100 mg/d
    Reporting group description
    Buparlisib (BKM120) oral once daily: 100 mg dose levels to be tested in the dose escalation part of the trial in combination with docetaxel every three week intravenous (i.v.) infusion: 75 mg/m2 as per label.

    Reporting group values
    Phase Ib: Buparlisib 80 mg/d Phase lb: Buparlisib 100 mg/d Total
    Number of subjects
    16 11 27
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    63 ± 5.9 65 ± 5.9 -
    Gender categorical
    Units: Subjects
        Female
    0 3 3
        Male
    16 8 24

    End points

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    End points reporting groups
    Reporting group title
    Phase Ib: Buparlisib 80 mg/d
    Reporting group description
    Buparlisib (BKM120) oral once daily: 80 mg dose levels to be tested in the dose escalation part of the trial in combination with docetaxel every three week intravenous (i.v.) infusion: 75 mg/m2 as per label.

    Reporting group title
    Phase lb: Buparlisib 100 mg/d
    Reporting group description
    Buparlisib (BKM120) oral once daily: 100 mg dose levels to be tested in the dose escalation part of the trial in combination with docetaxel every three week intravenous (i.v.) infusion: 75 mg/m2 as per label.

    Subject analysis set title
    Dose determining set (DDS)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    The dose determining set included all patients who either met the minimum exposure criteria and had sufficient safety evaluations, or had experienced a DLT during Cycle 1.

    Primary: Maximum tolerated dose (MTD) of buparlisisb

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    End point title
    Maximum tolerated dose (MTD) of buparlisisb [1]
    End point description
    MTD was defined as the highest safe dose of BKM120 given in combination with docetaxel in the first treatment cycle (Day 1 to Day 21). This is the highest dose not expected to cause DLT in 35% or more of the treated participants in the first cycle of treatment during the escalation part of the study. The analysis was performed on the dose determining set (DDS) population.
    End point type
    Primary
    End point timeframe
    Day 1 to Day 21
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was planned for this endpoint.
    End point values
    Dose determining set (DDS)
    Number of subjects analysed
    20
    Units: mg
        number (not applicable)
    80
    No statistical analyses for this end point

    Primary: Recommended phase 2 dose (RP2D) of BKM120

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    End point title
    Recommended phase 2 dose (RP2D) of BKM120 [2]
    End point description
    The RP2D was selected based on the safety, pharmacokinetic and pharmacodynamics profiles of the combination. The analysis was performed on the DDS population.
    End point type
    Primary
    End point timeframe
    Day 1 to Day 21
    Notes
    [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was planned for this endpoint.
    End point values
    Dose determining set (DDS)
    Number of subjects analysed
    20
    Units: mg
        number (not applicable)
    80
    No statistical analyses for this end point

    Secondary: Percentage of participants with overall response rate (ORR)

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    End point title
    Percentage of participants with overall response rate (ORR)
    End point description
    The ORR was defined as the percentage of patients with a best overall response of complete response (CR) or partial response (PR). CR is the disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to < 10 mm. PR is at least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.
    End point type
    Secondary
    End point timeframe
    22 months
    End point values
    Phase Ib: Buparlisib 80 mg/d Phase lb: Buparlisib 100 mg/d
    Number of subjects analysed
    16
    11
    Units: percentage of participants
        number (confidence interval 95%)
    6.3 (0.2 to 30.2)
    18.2 (2.3 to 51.8)
    No statistical analyses for this end point

    Secondary: Progression free survival as per local investigator assessments at 3 months

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    End point title
    Progression free survival as per local investigator assessments at 3 months
    End point description
    PFS was defined as the time from start date of study treatment until objective tumor progression (based on investigator’s assessment) or death from any cause. PFS was described using Kaplan-Meier curves.
    End point type
    Secondary
    End point timeframe
    3 months
    End point values
    Phase Ib: Buparlisib 80 mg/d Phase lb: Buparlisib 100 mg/d
    Number of subjects analysed
    16
    11
    Units: percentage of patients events free
        number (confidence interval 95%)
    37.04 (11.5 to 63.38)
    46.67 (11.45 to 76.49)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse Events are collected from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV). All Adverse Events reported in this record are from date of First Patient First Treatment until Last Patient Last Visit.
    Adverse event reporting additional description
    Consistent with EudraCT disclosure specifications, Novartis has reported under the Serious adverse events field “number of deaths resulting from adverse events” all those deaths, resulting from serious adverse events that are deemed to be causally related to treatment by the investigator.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    18.0
    Reporting groups
    Reporting group title
    Buparlisib 80mg/d
    Reporting group description
    Buparlisib 80mg/d

    Reporting group title
    Buparlisib 100mg/d
    Reporting group description
    Buparlisib 100mg/d

    Serious adverse events
    Buparlisib 80mg/d Buparlisib 100mg/d
    Total subjects affected by serious adverse events
         subjects affected / exposed
    8 / 16 (50.00%)
    9 / 11 (81.82%)
         number of deaths (all causes)
    1
    2
         number of deaths resulting from adverse events
    1
    0
    Investigations
    WEIGHT DECREASED
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (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
    LIMB INJURY
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    ANAEMIA
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    NEUTROPENIA
         subjects affected / exposed
    0 / 16 (0.00%)
    2 / 11 (18.18%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    LEUKOPENIA
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General disorders and administration site conditions
    ASTHENIA
         subjects affected / exposed
    1 / 16 (6.25%)
    1 / 11 (9.09%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    GENERAL PHYSICAL HEALTH DETERIORATION
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    DIARRHOEA
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    ACUTE RESPIRATORY FAILURE
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    LUNG DISORDER
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PNEUMONITIS
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PNEUMOTHORAX
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RESPIRATORY FAILURE
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RESPIRATORY DISTRESS
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    1 / 1
    0 / 0
    PULMONARY EMBOLISM
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Skin and subcutaneous tissue disorders
    TOXIC SKIN ERUPTION
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Psychiatric disorders
    ANXIETY
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CONFUSIONAL STATE
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    PNEUMONIA
         subjects affected / exposed
    1 / 16 (6.25%)
    2 / 11 (18.18%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    LUNG INFECTION
         subjects affected / exposed
    1 / 16 (6.25%)
    1 / 11 (9.09%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    H1N1 INFLUENZA
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    BRONCHOPNEUMONIA
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    DECREASED APPETITE
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HYPERGLYCAEMIA
         subjects affected / exposed
    0 / 16 (0.00%)
    2 / 11 (18.18%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DIABETES MELLITUS INADEQUATE CONTROL
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (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: 5%
    Non-serious adverse events
    Buparlisib 80mg/d Buparlisib 100mg/d
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    16 / 16 (100.00%)
    11 / 11 (100.00%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    TUMOUR ASSOCIATED FEVER
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    Vascular disorders
    FLUSHING
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    3
    0
    PHLEBITIS
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    HYPOTENSION
         subjects affected / exposed
    1 / 16 (6.25%)
    1 / 11 (9.09%)
         occurrences all number
    1
    1
    General disorders and administration site conditions
    ASTHENIA
         subjects affected / exposed
    9 / 16 (56.25%)
    8 / 11 (72.73%)
         occurrences all number
    11
    9
    AXILLARY PAIN
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    CHEST DISCOMFORT
         subjects affected / exposed
    1 / 16 (6.25%)
    1 / 11 (9.09%)
         occurrences all number
    1
    1
    CHILLS
         subjects affected / exposed
    1 / 16 (6.25%)
    1 / 11 (9.09%)
         occurrences all number
    1
    1
    FACE OEDEMA
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    NON-CARDIAC CHEST PAIN
         subjects affected / exposed
    1 / 16 (6.25%)
    3 / 11 (27.27%)
         occurrences all number
    1
    3
    OEDEMA PERIPHERAL
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    2
    FATIGUE
         subjects affected / exposed
    1 / 16 (6.25%)
    1 / 11 (9.09%)
         occurrences all number
    1
    1
    GENERAL PHYSICAL HEALTH DETERIORATION
         subjects affected / exposed
    1 / 16 (6.25%)
    1 / 11 (9.09%)
         occurrences all number
    1
    1
    HYPERTHERMIA
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    PYREXIA
         subjects affected / exposed
    5 / 16 (31.25%)
    1 / 11 (9.09%)
         occurrences all number
    9
    1
    PAIN
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    Respiratory, thoracic and mediastinal disorders
    DYSPNOEA
         subjects affected / exposed
    7 / 16 (43.75%)
    2 / 11 (18.18%)
         occurrences all number
    8
    2
    COUGH
         subjects affected / exposed
    6 / 16 (37.50%)
    3 / 11 (27.27%)
         occurrences all number
    7
    3
    DYSPHONIA
         subjects affected / exposed
    1 / 16 (6.25%)
    1 / 11 (9.09%)
         occurrences all number
    1
    1
    EPISTAXIS
         subjects affected / exposed
    2 / 16 (12.50%)
    2 / 11 (18.18%)
         occurrences all number
    2
    2
    HAEMOPTYSIS
         subjects affected / exposed
    1 / 16 (6.25%)
    1 / 11 (9.09%)
         occurrences all number
    1
    1
    HYPOXIA
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    RHINORRHOEA
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    PRODUCTIVE COUGH
         subjects affected / exposed
    2 / 16 (12.50%)
    1 / 11 (9.09%)
         occurrences all number
    2
    1
    Psychiatric disorders
    ANXIETY
         subjects affected / exposed
    0 / 16 (0.00%)
    2 / 11 (18.18%)
         occurrences all number
    0
    5
    DEPRESSION
         subjects affected / exposed
    2 / 16 (12.50%)
    4 / 11 (36.36%)
         occurrences all number
    2
    6
    INSOMNIA
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    MOOD ALTERED
         subjects affected / exposed
    2 / 16 (12.50%)
    3 / 11 (27.27%)
         occurrences all number
    3
    3
    Investigations
    ALANINE AMINOTRANSFERASE INCREASED
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    ASPARTATE AMINOTRANSFERASE INCREASED
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    BLOOD BILIRUBIN INCREASED
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    BLOOD CREATININE INCREASED
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    C-REACTIVE PROTEIN INCREASED
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    WEIGHT DECREASED
         subjects affected / exposed
    4 / 16 (25.00%)
    2 / 11 (18.18%)
         occurrences all number
    4
    2
    INSULIN C-PEPTIDE INCREASED
         subjects affected / exposed
    0 / 16 (0.00%)
    2 / 11 (18.18%)
         occurrences all number
    0
    2
    NEUTROPHIL COUNT DECREASED
         subjects affected / exposed
    2 / 16 (12.50%)
    0 / 11 (0.00%)
         occurrences all number
    2
    0
    GAMMA-GLUTAMYLTRANSFERASE INCREASED
         subjects affected / exposed
    1 / 16 (6.25%)
    1 / 11 (9.09%)
         occurrences all number
    1
    1
    Injury, poisoning and procedural complications
    FEMORAL NECK FRACTURE
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    INCISIONAL HERNIA
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    PERIORBITAL HAEMATOMA
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    PROCEDURAL PAIN
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    RADIATION PNEUMONITIS
         subjects affected / exposed
    1 / 16 (6.25%)
    1 / 11 (9.09%)
         occurrences all number
    1
    1
    Cardiac disorders
    ACUTE CORONARY SYNDROME
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    ANGINA PECTORIS
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    CARDIAC FAILURE
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    PERICARDIAL EFFUSION
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    SINUS TACHYCARDIA
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    SUPRAVENTRICULAR TACHYCARDIA
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    TACHYCARDIA
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    Nervous system disorders
    ATAXIA
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    AGEUSIA
         subjects affected / exposed
    2 / 16 (12.50%)
    1 / 11 (9.09%)
         occurrences all number
    2
    1
    DYSGEUSIA
         subjects affected / exposed
    0 / 16 (0.00%)
    2 / 11 (18.18%)
         occurrences all number
    0
    3
    HEADACHE
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    MEMORY IMPAIRMENT
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    PERIPHERAL SENSORY NEUROPATHY
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    TREMOR
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    NEUROPATHY PERIPHERAL
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    Blood and lymphatic system disorders
    ANAEMIA
         subjects affected / exposed
    3 / 16 (18.75%)
    1 / 11 (9.09%)
         occurrences all number
    3
    1
    LEUKOPENIA
         subjects affected / exposed
    6 / 16 (37.50%)
    8 / 11 (72.73%)
         occurrences all number
    13
    17
    EOSINOPHILIA
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    LYMPHOPENIA
         subjects affected / exposed
    1 / 16 (6.25%)
    1 / 11 (9.09%)
         occurrences all number
    1
    2
    NEUTROPENIA
         subjects affected / exposed
    11 / 16 (68.75%)
    10 / 11 (90.91%)
         occurrences all number
    22
    22
    THROMBOCYTOPENIA
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    Ear and labyrinth disorders
    HYPOACUSIS
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    TINNITUS
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    Eye disorders
    AMBLYOPIA
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    VISUAL ACUITY REDUCED
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    Gastrointestinal disorders
    CONSTIPATION
         subjects affected / exposed
    0 / 16 (0.00%)
    2 / 11 (18.18%)
         occurrences all number
    0
    2
    APHTHOUS STOMATITIS
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    CHEILITIS
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    ABDOMINAL PAIN UPPER
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    ABDOMINAL PAIN
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    GASTROOESOPHAGEAL REFLUX DISEASE
         subjects affected / exposed
    1 / 16 (6.25%)
    1 / 11 (9.09%)
         occurrences all number
    1
    1
    GINGIVAL PAIN
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    GINGIVAL BLEEDING
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    DYSPHAGIA
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    DYSPEPSIA
         subjects affected / exposed
    0 / 16 (0.00%)
    2 / 11 (18.18%)
         occurrences all number
    0
    2
    DIARRHOEA
         subjects affected / exposed
    6 / 16 (37.50%)
    6 / 11 (54.55%)
         occurrences all number
    8
    9
    DRY MOUTH
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    NAUSEA
         subjects affected / exposed
    4 / 16 (25.00%)
    4 / 11 (36.36%)
         occurrences all number
    5
    6
    STOMATITIS
         subjects affected / exposed
    5 / 16 (31.25%)
    1 / 11 (9.09%)
         occurrences all number
    7
    3
    PERIODONTAL DISEASE
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    VOMITING
         subjects affected / exposed
    4 / 16 (25.00%)
    2 / 11 (18.18%)
         occurrences all number
    7
    3
    Skin and subcutaneous tissue disorders
    DERMATITIS
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    ALOPECIA
         subjects affected / exposed
    5 / 16 (31.25%)
    4 / 11 (36.36%)
         occurrences all number
    5
    4
    ERYTHEMA
         subjects affected / exposed
    0 / 16 (0.00%)
    2 / 11 (18.18%)
         occurrences all number
    0
    2
    HYPERHIDROSIS
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    NAIL DISORDER
         subjects affected / exposed
    2 / 16 (12.50%)
    1 / 11 (9.09%)
         occurrences all number
    2
    2
    PURPURA
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    PHOTOSENSITIVITY REACTION
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    PRURITUS
         subjects affected / exposed
    0 / 16 (0.00%)
    4 / 11 (36.36%)
         occurrences all number
    0
    6
    ONYCHOLYSIS
         subjects affected / exposed
    1 / 16 (6.25%)
    1 / 11 (9.09%)
         occurrences all number
    1
    1
    RASH
         subjects affected / exposed
    2 / 16 (12.50%)
    3 / 11 (27.27%)
         occurrences all number
    3
    6
    RASH ERYTHEMATOUS
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    RASH MACULO-PAPULAR
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    URTICARIA
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    SKIN ULCER
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    TOXIC SKIN ERUPTION
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    SKIN REACTION
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    Renal and urinary disorders
    ACUTE KIDNEY INJURY
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    Musculoskeletal and connective tissue disorders
    MUSCULOSKELETAL CHEST PAIN
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    ARTHRALGIA
         subjects affected / exposed
    1 / 16 (6.25%)
    2 / 11 (18.18%)
         occurrences all number
    1
    3
    BACK PAIN
         subjects affected / exposed
    0 / 16 (0.00%)
    2 / 11 (18.18%)
         occurrences all number
    0
    2
    MUSCULAR WEAKNESS
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    MUSCULOSKELETAL PAIN
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    MYALGIA
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    NECK PAIN
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    PAIN IN EXTREMITY
         subjects affected / exposed
    1 / 16 (6.25%)
    3 / 11 (27.27%)
         occurrences all number
    1
    3
    Infections and infestations
    CLOSTRIDIAL INFECTION
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    CONJUNCTIVITIS
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    GINGIVITIS
         subjects affected / exposed
    1 / 16 (6.25%)
    1 / 11 (9.09%)
         occurrences all number
    1
    1
    INFECTION
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    INFLUENZA
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    ORAL HERPES
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    ORAL FUNGAL INFECTION
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    RESPIRATORY TRACT INFECTION
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    ORAL INFECTION
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    PNEUMONIA
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    ORAL CANDIDIASIS
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    URINARY TRACT INFECTION
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    Metabolism and nutrition disorders
    DECREASED APPETITE
         subjects affected / exposed
    6 / 16 (37.50%)
    4 / 11 (36.36%)
         occurrences all number
    9
    6
    DIABETES MELLITUS
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    HYPERCALCAEMIA
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    HYPOKALAEMIA
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    HYPERGLYCAEMIA
         subjects affected / exposed
    13 / 16 (81.25%)
    6 / 11 (54.55%)
         occurrences all number
    17
    8
    HYPERLIPASAEMIA
         subjects affected / exposed
    0 / 16 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1
    HYPERCHOLESTEROLAEMIA
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    HYPOMAGNESAEMIA
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    HYPONATRAEMIA
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    HYPOPHOSPHATAEMIA
         subjects affected / exposed
    2 / 16 (12.50%)
    0 / 11 (0.00%)
         occurrences all number
    2
    0
    TETANY
         subjects affected / exposed
    1 / 16 (6.25%)
    0 / 11 (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? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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