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    Clinical Trial Results:
    Randomized, Blinded, Multicenter, Phase 2 Study Comparing Veliparib Plus FOLFIRI ± Bevacizumab Versus Placebo Plus FOLFIRI ± Bevacizumab in Previously Untreated Metastatic Colorectal Cancer

    Summary
    EudraCT number
    2014-002866-65
    Trial protocol
    AT   HU   DE   BE   ES   GB  
    Global end of trial date
    22 Sep 2017

    Results information
    Results version number
    v1(current)
    This version publication date
    26 Sep 2018
    First version publication date
    26 Sep 2018
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    M14-217
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02305758
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    AbbVie Deutschland GmbH & Co. KG
    Sponsor organisation address
    AbbVie House, Vanwall Business Park, Vanwall Road, Maidenhead, Berkshire, United Kingdom, SL6-4UB
    Public contact
    Global Medical Services, AbbVie, 001 800-633-9110,
    Scientific contact
    Yan Luo, AbbVie, yan.luo@abbvie.com
    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
    22 Sep 2017
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    22 Sep 2017
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    This was a blinded, randomized, placebo-controlled Phase 2 multicenter study evaluating the efficacy and tolerability of veliparib plus irinotecan, fluorouracil, and leucovorin chemotherapy regimen (FOLFIRI) compared to placebo plus FOLFIRI in participants with previously untreated metastatic colorectal cancer. Participants could also have been treated with bevacizumab at the discretion of the Investigator.
    Protection of trial subjects
    The Investigator or his/her representative explained the nature of the study to the subject, and answered all questions regarding this study. Prior to any study-related screening procedures being performed on the subject, the informed consent statement was reviewed, signed, and dated by the subject, the person who administered the informed consent, and any other signatories according to local requirements. Pharmacogenetic analysis was only performed if the subject had voluntarily signed and dated a separate pharmacogenetic informed consent approved by an IRB/IEC, after the nature of the testing was explained and the subject has had an opportunity to ask questions. The separate pharmacogenetic informed consent was signed before the pharmacogenetic testing was performed. If the subject did not consent to the pharmacogenetic testing, it did not impact the subject's participation in the study.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    02 Dec 2014
    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
    Australia: 10
    Country: Number of subjects enrolled
    Austria: 6
    Country: Number of subjects enrolled
    Belgium: 10
    Country: Number of subjects enrolled
    Germany: 8
    Country: Number of subjects enrolled
    Hungary: 14
    Country: Number of subjects enrolled
    Russian Federation: 29
    Country: Number of subjects enrolled
    Spain: 27
    Country: Number of subjects enrolled
    United Kingdom: 9
    Country: Number of subjects enrolled
    United States: 17
    Worldwide total number of subjects
    130
    EEA total number of subjects
    74
    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)
    78
    From 65 to 84 years
    52
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    The study population consisted of adult subjects with histologically or cytologically documented adenocarcinoma of the colon or rectum with metastatic disease, who had not received prior chemotherapy for their metastatic colorectal cancer.

    Pre-assignment
    Screening details
    Screening procedures and baseline radiographic tumor assessments were to be performed within 28 days prior to the first dose of veliparib/placebo on Cycle 1 Day –2.

    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

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Veliparib + modified FOLFIRI ± bevacizumab
    Arm description
    Dosing of oral veliparib (200 mg) began 2 days prior to the start of FOLFIRI and continued twice a day (BID) for a total of 7 consecutive days. At the discretion of the Investigator, bevacizumab (5 mg/kg) could be administered intravenously (IV) immediately preceding FOLFIRI. Modified FOLFIRI was administered as irinotecan 180 mg/m^2 (90-minute infusion ± 30 minutes); leucovorin 400 mg/m^2 (90-minute infusion ± 30 minutes); and saline bolus (up to 15-minute infusion) immediately followed by fluorouracil 2400 mg/m^2 (46-hour continuous infusion ± 4 hours) starting on Day 1 of each 14-day cycle.
    Arm type
    Experimental

    Investigational medicinal product name
    Veliparib
    Investigational medicinal product code
    Other name
    ABT-888
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    200 mg oral dose beginning 2 days prior to the start of FOLFIRI and continuing twice a day (BID) for a total of 7 consecutive days

    Investigational medicinal product name
    Modified FOLFIRI
    Investigational medicinal product code
    Other name
    Irinotecan; leucovorin; saline bolus
    Pharmaceutical forms
    Infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Irinotecan 180 mg/m^2 (90-minute infusion ± 30 minutes); leucovorin 400 mg/m^2 (90-minute infusion ± 30 minutes); and saline bolus (up to 15-minute infusion) on Day 1 of each 14-day cycle

    Investigational medicinal product name
    Bevacizumab
    Investigational medicinal product code
    Other name
    Avastin
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    At the discretion of the Investigator, 5 mg/kg may be administered intravenously immediately preceding FOLFIRI dosing

    Investigational medicinal product name
    Fluorouracil infusion
    Investigational medicinal product code
    Other name
    5-FU
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    2400 mg/m^2 (46-hour continuous infusion ± 4 hours) starting on Day 1 of each 14-day cycle

    Arm title
    Placebo + FOLFIRI ± bevacizumab
    Arm description
    Dosing of oral placebo (200 mg) began 2 days prior to the start of FOLFIRI and continued twice a day (BID) for a total of 7 consecutive days. At the discretion of the Investigator, bevacizumab (5 mg/kg) could be administered intravenously (IV) immediately preceding FOLFIRI. Standard FOLFIRI was administered as irinotecan 180 mg/m^2 (90-minute infusion ± 30 minutes); leucovorin 400 mg/m^2 (90-minute infusion ± 30 minutes); and fluorouracil bolus 400 mg/m^2 (up to 15-minute infusion) immediately followed by fluorouracil 2400 mg/m^2 (46-hour continuous infusion ± 4 hours) on Day 1 of each 14-day cycle.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    200 mg oral dose beginning 2 days prior to the start of FOLFIRI and continuing twice a day (BID) for a total of 7 consecutive days

    Investigational medicinal product name
    FOLFIRI
    Investigational medicinal product code
    Other name
    Irinotecan; leucovorin; fluorouracil
    Pharmaceutical forms
    Infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Irinotecan 180 mg/m^2 (90-minute infusion ± 30 minutes); leucovorin 400 mg/m^2 (90-minute infusion ± 30 minutes); and fluorouracil bolus 400 mg/m^2 (up to 15-minute infusion) on Day 1 of each 14-day cycle

    Investigational medicinal product name
    Bevacizumab
    Investigational medicinal product code
    Other name
    Avastin
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    At the discretion of the Investigator, 5 mg/kg may be administered intravenously immediately preceding FOLFIRI dosing

    Investigational medicinal product name
    Fluorouracil infusion
    Investigational medicinal product code
    Other name
    5-FU
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    2400 mg/m^2 (46-hour continuous infusion ± 4 hours) starting on Day 1 of each 14-day cycle

    Number of subjects in period 1
    Veliparib + modified FOLFIRI ± bevacizumab Placebo + FOLFIRI ± bevacizumab
    Started
    65
    65
    Completed
    0
    0
    Not completed
    65
    65
         Consent withdrawn by subject
    9
    2
         Death
    27
    27
         Other, not specified
    2
    1
         Study terminated by sponsor
    21
    34
         Lost to follow-up
    6
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Veliparib + modified FOLFIRI ± bevacizumab
    Reporting group description
    Dosing of oral veliparib (200 mg) began 2 days prior to the start of FOLFIRI and continued twice a day (BID) for a total of 7 consecutive days. At the discretion of the Investigator, bevacizumab (5 mg/kg) could be administered intravenously (IV) immediately preceding FOLFIRI. Modified FOLFIRI was administered as irinotecan 180 mg/m^2 (90-minute infusion ± 30 minutes); leucovorin 400 mg/m^2 (90-minute infusion ± 30 minutes); and saline bolus (up to 15-minute infusion) immediately followed by fluorouracil 2400 mg/m^2 (46-hour continuous infusion ± 4 hours) starting on Day 1 of each 14-day cycle.

    Reporting group title
    Placebo + FOLFIRI ± bevacizumab
    Reporting group description
    Dosing of oral placebo (200 mg) began 2 days prior to the start of FOLFIRI and continued twice a day (BID) for a total of 7 consecutive days. At the discretion of the Investigator, bevacizumab (5 mg/kg) could be administered intravenously (IV) immediately preceding FOLFIRI. Standard FOLFIRI was administered as irinotecan 180 mg/m^2 (90-minute infusion ± 30 minutes); leucovorin 400 mg/m^2 (90-minute infusion ± 30 minutes); and fluorouracil bolus 400 mg/m^2 (up to 15-minute infusion) immediately followed by fluorouracil 2400 mg/m^2 (46-hour continuous infusion ± 4 hours) on Day 1 of each 14-day cycle.

    Reporting group values
    Veliparib + modified FOLFIRI ± bevacizumab Placebo + FOLFIRI ± bevacizumab Total
    Number of subjects
    65 65 130
    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)
    58.9 ± 13.06 63.8 ± 9.04 -
    Gender categorical
    Units: Subjects
        Female
    21 25 46
        Male
    44 40 84

    End points

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    End points reporting groups
    Reporting group title
    Veliparib + modified FOLFIRI ± bevacizumab
    Reporting group description
    Dosing of oral veliparib (200 mg) began 2 days prior to the start of FOLFIRI and continued twice a day (BID) for a total of 7 consecutive days. At the discretion of the Investigator, bevacizumab (5 mg/kg) could be administered intravenously (IV) immediately preceding FOLFIRI. Modified FOLFIRI was administered as irinotecan 180 mg/m^2 (90-minute infusion ± 30 minutes); leucovorin 400 mg/m^2 (90-minute infusion ± 30 minutes); and saline bolus (up to 15-minute infusion) immediately followed by fluorouracil 2400 mg/m^2 (46-hour continuous infusion ± 4 hours) starting on Day 1 of each 14-day cycle.

    Reporting group title
    Placebo + FOLFIRI ± bevacizumab
    Reporting group description
    Dosing of oral placebo (200 mg) began 2 days prior to the start of FOLFIRI and continued twice a day (BID) for a total of 7 consecutive days. At the discretion of the Investigator, bevacizumab (5 mg/kg) could be administered intravenously (IV) immediately preceding FOLFIRI. Standard FOLFIRI was administered as irinotecan 180 mg/m^2 (90-minute infusion ± 30 minutes); leucovorin 400 mg/m^2 (90-minute infusion ± 30 minutes); and fluorouracil bolus 400 mg/m^2 (up to 15-minute infusion) immediately followed by fluorouracil 2400 mg/m^2 (46-hour continuous infusion ± 4 hours) on Day 1 of each 14-day cycle.

    Primary: Progression-Free Survival (PFS): Time to Event

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    End point title
    Progression-Free Survival (PFS): Time to Event
    End point description
    PFS was defined as the number of days from the date the participant was randomized to the date the participant experienced an event of disease progression or death, whichever occurred first. All events of disease progression were included, whether the participant was still taking or had discontinued study drug. Events of death were included for participants who had not experienced an event of disease progression, if the death occurred within 8 weeks of the last evaluable disease progression assessment. If the participant did not have an event of disease progression and the participant had not died as defined above, data were censored at the date of the participant's last evaluable disease progression assessment. The PFS distribution was estimated using Kaplan-Meier methodology. Point estimates and 95% confidence intervals (95% CIs) for the PFS distribution quartiles are provided.
    End point type
    Primary
    End point timeframe
    Every 8 weeks from Cycle 1, Day 1 until radiographic progression was observed. The maximum observed follow up duration at the progression-free survival analysis time was 579 days.
    End point values
    Veliparib + modified FOLFIRI ± bevacizumab Placebo + FOLFIRI ± bevacizumab
    Number of subjects analysed
    65 [1]
    65 [2]
    Units: days
    number (confidence interval 95%)
        25th Quartile
    221 (120 to 295)
    213 (121 to 233)
        50th Quartile
    361 (289 to 453)
    337 (233 to 421)
        75th Quartile
    534 (453 to 999)
    512 (421 to 999)
    Notes
    [1] - 999= upper 95% CI limit not estimable due to an insufficient number of subjects with events
    [2] - 999= upper 95% CI limit not estimable due to an insufficient number of subjects with events
    Statistical analysis title
    Progression-Free Survival (PFS): Time to Event
    Statistical analysis description
    Comparisons between treatment groups were performed using the Cox Proportional Hazard Model, stratified by planned bevacizumab use (planned use versus no planned use).
    Comparison groups
    Veliparib + modified FOLFIRI ± bevacizumab v Placebo + FOLFIRI ± bevacizumab
    Number of subjects included in analysis
    130
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    Method
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.939
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.596
         upper limit
    1.48

    Secondary: Overall Survival (OS): Time to Event

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    End point title
    Overall Survival (OS): Time to Event
    End point description
    Overall survival was defined as the number of days from the date that the participant was randomized to the date of the participant's death. All events of death were included, regardless of whether the event occurred while the participant was still taking or had discontinued study drug. If a participant had not died, the data were censored at the date last known to be alive. The OS distribution was estimated using Kaplan-Meier methodology. Point estimates and 95% confidence intervals (95% CIs) for the OS distribution quartiles are provided.
    End point type
    Secondary
    End point timeframe
    Survival information was to be collected 4 wks after the last study visit, continuing every 4 wks for 1 yr, then every 8 wks for up to 2 more yrs or until death. The maximum observed follow up duration at the overall survival analysis time was 914 days.
    End point values
    Veliparib + modified FOLFIRI ± bevacizumab Placebo + FOLFIRI ± bevacizumab
    Number of subjects analysed
    65 [3]
    65 [4]
    Units: days
    number (confidence interval 95%)
        25th Quartile
    557 (391 to 616)
    512 (326 to 655)
        50th Quartile
    770 (609 to 999)
    811 (678 to 999)
        75th Quartile
    999 (784 to 999)
    999 (811 to 999)
    Notes
    [3] - 999 = not calculable/estimable due to an insufficient number of subjects with events
    [4] - 999 = not calculable/estimable due to an insufficient number of subjects with events
    Statistical analysis title
    Overall Survival (OS): Time to Event
    Statistical analysis description
    Comparisons between treatment groups were performed using the Cox Proportional Hazard Model, stratified by planned bevacizumab use (planned use versus no planned use).
    Comparison groups
    Veliparib + modified FOLFIRI ± bevacizumab v Placebo + FOLFIRI ± bevacizumab
    Number of subjects included in analysis
    130
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    Method
    Parameter type
    Hazard ratio (HR)
    Point estimate
    1.261
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.738
         upper limit
    2.156

    Secondary: Objective Response Rate (ORR)

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    End point title
    Objective Response Rate (ORR)
    End point description
    ORR was defined as the proportion of participants with a complete (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST, version 1.1) for target lesions, assessed by computed tomography (CT). Complete response (CR) was defined as disappearance of all target lesions; partial response (PR) ≥30% decrease in the the sum of diameters of target lesions, taking as reference the baseline sum diameters. For participants who underwent surgery, ORR was not evaluated after surgery.
    End point type
    Secondary
    End point timeframe
    Per protocol, post-baseline tumor assessment was conducted every 8 weeks from Cycle 1 Day 1 until radiographic progression. The maximum observed follow up duration at the progression-free survival analysis time was 579 days.
    End point values
    Veliparib + modified FOLFIRI ± bevacizumab Placebo + FOLFIRI ± bevacizumab
    Number of subjects analysed
    65 [5]
    65 [6]
    Units: Participants
    37
    40
    Notes
    [5] - All randomized participants
    [6] - All randomized participants
    Statistical analysis title
    Objective Response Rate (ORR)
    Statistical analysis description
    Comparisons between treatment groups were performed using the Mantel-Haenszel method, stratified by planned bevacizumab use (planned use versus no planned use).
    Comparison groups
    Veliparib + modified FOLFIRI ± bevacizumab v Placebo + FOLFIRI ± bevacizumab
    Number of subjects included in analysis
    130
    Analysis specification
    Pre-specified
    Analysis type
    superiority [7]
    Method
    Mantel-Haenszel
    Parameter type
    Mean difference (final values)
    Point estimate
    -4.62
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -21.4
         upper limit
    12.1
    Notes
    [7] - Difference in proportions

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Treatment-emergent adverse events (TEAEs) and serious adverse events (TESAEs) were collected from the time of veliparib/placebo administration until 30 days after the last dose of veliparib/placebo (up to 396 days).
    Adverse event reporting additional description
    TEAEs and TESAEs are defined as any adverse event (AE) with an onset date that is after the first dose of veliparib/placebo until 30 days after the last dose of veliparib/placebo and were collected whether elicited or spontaneously reported by the participant.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    20
    Reporting groups
    Reporting group title
    Placebo + FOLFIRI ± Bevacizumab
    Reporting group description
    Dosing of oral placebo (200 mg) began 2 days prior to the start of FOLFIRI and continued twice a day (BID) for a total of 7 consecutive days. At the discretion of the Investigator, bevacizumab (5 mg/kg) could be administered intravenously (IV) immediately preceding FOLFIRI. Standard FOLFIRI was administered as irinotecan 180 mg/m^2 (90-minute infusion ± 30 minutes); leucovorin 400 mg/m^2 (90-minute infusion ± 30 minutes); and fluorouracil bolus 400 mg/m^2 (up to 15-minute infusion) immediately followed by fluorouracil 2400 mg/m^2 (46-hour continuous infusion ± 4 hours) on Day 1 of each 14-day cycle.

    Reporting group title
    Veliparib + Modified FOLFIRI ± Bevacizumab
    Reporting group description
    Dosing of oral veliparib (200 mg) began 2 days prior to the start of FOLFIRI and continued twice a day (BID) for a total of 7 consecutive days. At the discretion of the Investigator, bevacizumab (5 mg/kg) could be administered intravenously (IV) immediately preceding FOLFIRI. Modified FOLFIRI was administered as irinotecan 180 mg/m^2 (90-minute infusion ± 30 minutes); leucovorin 400 mg/m^2 (90-minute infusion ± 30 minutes); and saline bolus (up to 15-minute infusion) immediately followed by fluorouracil 2400 mg/m^2 (46-hour continuous infusion ± 4 hours) starting on Day 1 of each 14-day cycle.

    Serious adverse events
    Placebo + FOLFIRI ± Bevacizumab Veliparib + Modified FOLFIRI ± Bevacizumab
    Total subjects affected by serious adverse events
         subjects affected / exposed
    33 / 65 (50.77%)
    30 / 65 (46.15%)
         number of deaths (all causes)
    27
    27
         number of deaths resulting from adverse events
    2
    2
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    MALIGNANT NEOPLASM PROGRESSION
         subjects affected / exposed
    2 / 65 (3.08%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    METASTASES TO CENTRAL NERVOUS SYSTEM
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vascular disorders
    DEEP VEIN THROMBOSIS
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General disorders and administration site conditions
    CHEST PAIN
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    EXTRAVASATION
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PYREXIA
         subjects affected / exposed
    0 / 65 (0.00%)
    2 / 65 (3.08%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    FEMALE GENITAL TRACT FISTULA
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    DYSPNOEA
         subjects affected / exposed
    2 / 65 (3.08%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HICCUPS
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PLEURAL EFFUSION
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PULMONARY EMBOLISM
         subjects affected / exposed
    2 / 65 (3.08%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Product issues
    Device dislocation
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Investigations
    BLOOD CREATININE INCREASED
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (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
    FEMORAL NECK FRACTURE
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HIP FRACTURE
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    ATRIAL FLUTTER
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CARDIAC ARREST
         subjects affected / exposed
    2 / 65 (3.08%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 2
    0 / 0
    LEFT VENTRICULAR DYSFUNCTION
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MYOCARDIAL ISCHAEMIA
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    TACHYARRHYTHMIA
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    TACHYCARDIA
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nervous system disorders
    CEREBROVASCULAR ACCIDENT
         subjects affected / exposed
    1 / 65 (1.54%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    LACUNAR INFARCTION
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SYNCOPE
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (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
    FEBRILE NEUTROPENIA
         subjects affected / exposed
    3 / 65 (4.62%)
    3 / 65 (4.62%)
         occurrences causally related to treatment / all
    2 / 3
    4 / 5
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    NEUTROPENIA
         subjects affected / exposed
    1 / 65 (1.54%)
    2 / 65 (3.08%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    ABDOMINAL PAIN
         subjects affected / exposed
    2 / 65 (3.08%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    1 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CONSTIPATION
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DIARRHOEA
         subjects affected / exposed
    2 / 65 (3.08%)
    9 / 65 (13.85%)
         occurrences causally related to treatment / all
    2 / 2
    1 / 10
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ENTERITIS
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    GASTROINTESTINAL OBSTRUCTION
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    INTESTINAL OBSTRUCTION
         subjects affected / exposed
    3 / 65 (4.62%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 5
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    INTESTINAL PERFORATION
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    INTRA-ABDOMINAL FLUID COLLECTION
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    LARGE INTESTINAL OBSTRUCTION
         subjects affected / exposed
    1 / 65 (1.54%)
    2 / 65 (3.08%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    NAUSEA
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PROCTITIS
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RECTAL HAEMORRHAGE
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SMALL INTESTINAL OBSTRUCTION
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    VOMITING
         subjects affected / exposed
    0 / 65 (0.00%)
    2 / 65 (3.08%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatobiliary disorders
    BILE DUCT STENOSIS
         subjects affected / exposed
    0 / 65 (0.00%)
    2 / 65 (3.08%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HEPATOTOXICITY
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal and urinary disorders
    ACUTE KIDNEY INJURY
         subjects affected / exposed
    1 / 65 (1.54%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    NEPHROLITHIASIS
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RENAL FAILURE
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    ARTHRALGIA
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    FLANK PAIN
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MUSCULAR WEAKNESS
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MUSCULOSKELETAL PAIN
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    OSTEONECROSIS OF JAW
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PAIN IN JAW
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    ABDOMINAL ABSCESS
         subjects affected / exposed
    1 / 65 (1.54%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CAMPYLOBACTER INFECTION
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    LOWER RESPIRATORY TRACT INFECTION
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    LUNG INFECTION
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PNEUMONIA
         subjects affected / exposed
    1 / 65 (1.54%)
    2 / 65 (3.08%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SERRATIA INFECTION
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    STREPTOCOCCAL INFECTION
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    URINARY TRACT INFECTION
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    UROSEPSIS
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    VIRAL INFECTION
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    VIRAL UPPER RESPIRATORY TRACT INFECTION
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (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
    DEHYDRATION
         subjects affected / exposed
    1 / 65 (1.54%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HYPOKALAEMIA
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HYPOMAGNESAEMIA
         subjects affected / exposed
    0 / 65 (0.00%)
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HYPONATRAEMIA
         subjects affected / exposed
    1 / 65 (1.54%)
    0 / 65 (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
    Placebo + FOLFIRI ± Bevacizumab Veliparib + Modified FOLFIRI ± Bevacizumab
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    60 / 65 (92.31%)
    59 / 65 (90.77%)
    Vascular disorders
    HYPERTENSION
         subjects affected / exposed
    9 / 65 (13.85%)
    6 / 65 (9.23%)
         occurrences all number
    10
    12
    General disorders and administration site conditions
    ASTHENIA
         subjects affected / exposed
    14 / 65 (21.54%)
    16 / 65 (24.62%)
         occurrences all number
    41
    34
    FATIGUE
         subjects affected / exposed
    24 / 65 (36.92%)
    25 / 65 (38.46%)
         occurrences all number
    65
    38
    MUCOSAL INFLAMMATION
         subjects affected / exposed
    14 / 65 (21.54%)
    4 / 65 (6.15%)
         occurrences all number
    27
    7
    OEDEMA PERIPHERAL
         subjects affected / exposed
    7 / 65 (10.77%)
    5 / 65 (7.69%)
         occurrences all number
    7
    5
    PYREXIA
         subjects affected / exposed
    11 / 65 (16.92%)
    8 / 65 (12.31%)
         occurrences all number
    13
    15
    Respiratory, thoracic and mediastinal disorders
    COUGH
         subjects affected / exposed
    7 / 65 (10.77%)
    3 / 65 (4.62%)
         occurrences all number
    8
    3
    DYSPHONIA
         subjects affected / exposed
    5 / 65 (7.69%)
    3 / 65 (4.62%)
         occurrences all number
    5
    3
    DYSPNOEA
         subjects affected / exposed
    8 / 65 (12.31%)
    5 / 65 (7.69%)
         occurrences all number
    9
    5
    EPISTAXIS
         subjects affected / exposed
    17 / 65 (26.15%)
    6 / 65 (9.23%)
         occurrences all number
    22
    8
    NASAL DRYNESS
         subjects affected / exposed
    2 / 65 (3.08%)
    4 / 65 (6.15%)
         occurrences all number
    2
    4
    OROPHARYNGEAL PAIN
         subjects affected / exposed
    2 / 65 (3.08%)
    4 / 65 (6.15%)
         occurrences all number
    2
    4
    PRODUCTIVE COUGH
         subjects affected / exposed
    4 / 65 (6.15%)
    1 / 65 (1.54%)
         occurrences all number
    4
    1
    PULMONARY EMBOLISM
         subjects affected / exposed
    6 / 65 (9.23%)
    3 / 65 (4.62%)
         occurrences all number
    6
    3
    RHINORRHOEA
         subjects affected / exposed
    3 / 65 (4.62%)
    5 / 65 (7.69%)
         occurrences all number
    4
    5
    Psychiatric disorders
    INSOMNIA
         subjects affected / exposed
    8 / 65 (12.31%)
    10 / 65 (15.38%)
         occurrences all number
    9
    10
    Investigations
    BLOOD ALKALINE PHOSPHATASE INCREASED
         subjects affected / exposed
    4 / 65 (6.15%)
    1 / 65 (1.54%)
         occurrences all number
    8
    3
    WEIGHT DECREASED
         subjects affected / exposed
    5 / 65 (7.69%)
    6 / 65 (9.23%)
         occurrences all number
    9
    6
    Nervous system disorders
    DIZZINESS
         subjects affected / exposed
    4 / 65 (6.15%)
    0 / 65 (0.00%)
         occurrences all number
    5
    0
    DYSGEUSIA
         subjects affected / exposed
    6 / 65 (9.23%)
    11 / 65 (16.92%)
         occurrences all number
    6
    11
    HEADACHE
         subjects affected / exposed
    5 / 65 (7.69%)
    10 / 65 (15.38%)
         occurrences all number
    12
    11
    PARAESTHESIA
         subjects affected / exposed
    5 / 65 (7.69%)
    5 / 65 (7.69%)
         occurrences all number
    6
    6
    PERIPHERAL SENSORY NEUROPATHY
         subjects affected / exposed
    7 / 65 (10.77%)
    3 / 65 (4.62%)
         occurrences all number
    7
    3
    Blood and lymphatic system disorders
    ANAEMIA
         subjects affected / exposed
    12 / 65 (18.46%)
    25 / 65 (38.46%)
         occurrences all number
    28
    59
    LEUKOPENIA
         subjects affected / exposed
    4 / 65 (6.15%)
    11 / 65 (16.92%)
         occurrences all number
    8
    24
    LYMPHOPENIA
         subjects affected / exposed
    2 / 65 (3.08%)
    4 / 65 (6.15%)
         occurrences all number
    3
    5
    NEUTROPENIA
         subjects affected / exposed
    23 / 65 (35.38%)
    41 / 65 (63.08%)
         occurrences all number
    54
    108
    Gastrointestinal disorders
    ABDOMINAL PAIN
         subjects affected / exposed
    22 / 65 (33.85%)
    12 / 65 (18.46%)
         occurrences all number
    37
    16
    ABDOMINAL PAIN UPPER
         subjects affected / exposed
    8 / 65 (12.31%)
    2 / 65 (3.08%)
         occurrences all number
    9
    7
    CONSTIPATION
         subjects affected / exposed
    21 / 65 (32.31%)
    9 / 65 (13.85%)
         occurrences all number
    29
    16
    DIARRHOEA
         subjects affected / exposed
    35 / 65 (53.85%)
    29 / 65 (44.62%)
         occurrences all number
    103
    73
    DRY MOUTH
         subjects affected / exposed
    1 / 65 (1.54%)
    4 / 65 (6.15%)
         occurrences all number
    1
    5
    FLATULENCE
         subjects affected / exposed
    2 / 65 (3.08%)
    4 / 65 (6.15%)
         occurrences all number
    2
    4
    GASTROOESOPHAGEAL REFLUX DISEASE
         subjects affected / exposed
    4 / 65 (6.15%)
    1 / 65 (1.54%)
         occurrences all number
    5
    1
    HAEMORRHOIDS
         subjects affected / exposed
    4 / 65 (6.15%)
    4 / 65 (6.15%)
         occurrences all number
    6
    5
    NAUSEA
         subjects affected / exposed
    40 / 65 (61.54%)
    35 / 65 (53.85%)
         occurrences all number
    66
    69
    STOMATITIS
         subjects affected / exposed
    10 / 65 (15.38%)
    15 / 65 (23.08%)
         occurrences all number
    14
    25
    TOOTHACHE
         subjects affected / exposed
    4 / 65 (6.15%)
    1 / 65 (1.54%)
         occurrences all number
    6
    1
    VOMITING
         subjects affected / exposed
    26 / 65 (40.00%)
    26 / 65 (40.00%)
         occurrences all number
    38
    48
    Skin and subcutaneous tissue disorders
    ALOPECIA
         subjects affected / exposed
    18 / 65 (27.69%)
    25 / 65 (38.46%)
         occurrences all number
    30
    28
    DRY SKIN
         subjects affected / exposed
    3 / 65 (4.62%)
    5 / 65 (7.69%)
         occurrences all number
    3
    12
    PRURITUS
         subjects affected / exposed
    4 / 65 (6.15%)
    4 / 65 (6.15%)
         occurrences all number
    5
    8
    Renal and urinary disorders
    DYSURIA
         subjects affected / exposed
    3 / 65 (4.62%)
    5 / 65 (7.69%)
         occurrences all number
    3
    8
    HAEMATURIA
         subjects affected / exposed
    5 / 65 (7.69%)
    2 / 65 (3.08%)
         occurrences all number
    6
    2
    PROTEINURIA
         subjects affected / exposed
    4 / 65 (6.15%)
    3 / 65 (4.62%)
         occurrences all number
    6
    4
    Musculoskeletal and connective tissue disorders
    ARTHRALGIA
         subjects affected / exposed
    5 / 65 (7.69%)
    5 / 65 (7.69%)
         occurrences all number
    7
    6
    BACK PAIN
         subjects affected / exposed
    8 / 65 (12.31%)
    8 / 65 (12.31%)
         occurrences all number
    11
    10
    MUSCULOSKELETAL PAIN
         subjects affected / exposed
    4 / 65 (6.15%)
    3 / 65 (4.62%)
         occurrences all number
    4
    3
    MYALGIA
         subjects affected / exposed
    5 / 65 (7.69%)
    3 / 65 (4.62%)
         occurrences all number
    5
    3
    Infections and infestations
    BRONCHITIS
         subjects affected / exposed
    5 / 65 (7.69%)
    2 / 65 (3.08%)
         occurrences all number
    5
    7
    UPPER RESPIRATORY TRACT INFECTION
         subjects affected / exposed
    5 / 65 (7.69%)
    2 / 65 (3.08%)
         occurrences all number
    5
    5
    URINARY TRACT INFECTION
         subjects affected / exposed
    4 / 65 (6.15%)
    6 / 65 (9.23%)
         occurrences all number
    6
    8
    VIRAL UPPER RESPIRATORY TRACT INFECTION
         subjects affected / exposed
    2 / 65 (3.08%)
    6 / 65 (9.23%)
         occurrences all number
    2
    7
    Metabolism and nutrition disorders
    DECREASED APPETITE
         subjects affected / exposed
    19 / 65 (29.23%)
    15 / 65 (23.08%)
         occurrences all number
    36
    21
    DEHYDRATION
         subjects affected / exposed
    6 / 65 (9.23%)
    6 / 65 (9.23%)
         occurrences all number
    7
    9
    HYPERGLYCAEMIA
         subjects affected / exposed
    9 / 65 (13.85%)
    4 / 65 (6.15%)
         occurrences all number
    15
    5
    HYPERURICAEMIA
         subjects affected / exposed
    0 / 65 (0.00%)
    4 / 65 (6.15%)
         occurrences all number
    0
    9
    HYPOKALAEMIA
         subjects affected / exposed
    3 / 65 (4.62%)
    10 / 65 (15.38%)
         occurrences all number
    3
    18
    HYPOMAGNESAEMIA
         subjects affected / exposed
    4 / 65 (6.15%)
    1 / 65 (1.54%)
         occurrences all number
    5
    1
    HYPONATRAEMIA
         subjects affected / exposed
    3 / 65 (4.62%)
    4 / 65 (6.15%)
         occurrences all number
    4
    8

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    23 Sep 2014
    Protocol Amendment 1: This study did not begin under the original protocol. Sites needed to obtain amendment approval before study initiation. The purpose of this amendment was to: ● Revise study design such that subjects randomized to the placebo arm will receive a fluorouracil bolus (400 mg/m^2) prior to the 46-hr (2400 mg/m^2 ) infusion, i.e., these subjects will receive the standard FOLFIRI regimen. This change was made in response to FDA's comments. ● Add new information regarding unblinded site pharmacy personnel responsible for the preparation of a fluorouracil or saline bolus in response to FDA's comments. ● Clarify that a female subject must be postmenopausal for at least 1 yr. ● Update the informed consent inclusion criterion in the Synopsis and Section 5.2.2 and remove the references to the "subject's legally acceptable representative" as subjects in the study are required to consent for themselves. ● Clarify a discrepancy in the Main Exclusion Criteria of the synopsis to indicate that subjects must be disease-free from previous or concurrent malignancies for a minimum of 3 yrs. ● Clarify a discrepancy in the Main Exclusion Criteria of the synopsis and Section 5.2.2 to indicate that "symptomatic congestive heart failure" is an exclusion criterion for all subjects, not only subjects receiving bevacizumab. ● Clarify that leucovorin will be administered for 90 minutes concurrently with irinotecan per National Comprehensive Cancer Network (NCCN) Guidelines. ● Increase frequency of radiographic tumor assessments to ensure adequate evaluation of subjects and maintain consistency throughout the duration of the study. ● Update Clinical Experience Section 3.8 to include the rationale for excluding the 5-fluorouracil (5-FU) bolus with veliparib treatment based on published Phase 1 trial data. ● Move Benefits and Risks Section 3.9 to the end of the Introduction to improve overall clarity.
    23 Sep 2014
    Protocol Amendment 1, continued: ● Update the Benefits and Risks Section 3.9 to include potential risk of excluding fluorouracil bolus from the veliparib arm. ● Add an exclusion criterion to the Synopsis and Section 5.2.2 to exclude subjects that have received an investigational product within the 28 days prior to Screening. ● Add an exclusion criterion to the Synopsis and Section 5.2.2 to cover local laws and regulations where certain patient groups would be prohibited from participation. ● Update Table 2 Excluded Medications for clarity to specify the appropriate patient population. ● Clarify in Section 5.3.1.1 that body weight measurement is not a necessary component for every physical exam, only for those visits as indicated in Table 4. ● Update Table 4 Study Assessments to include Adverse Event (AE) assessments and Prior and Concomitant Therapy assessments. ● Clarify in Section 5.3.1.1 that radiographic tumor assessments may be performed up to 4 days before scheduled date, but not after, and should be performed prior to the next cycle of FOLFIRI to ensure subjects are evaluated before receiving additional chemotherapy. ● Add in Section 5.3.1.1 that AbbVie may require sites to electronically transfer copies of CT or MRI scans to facilitate third party review of disease progression. ● Update Section 5.3.1.1 to remove the statement that Australia should select "Europe" in the Interactive Response Technology (IRT) system at randomization as the IRT system only includes "Rest of World" and "North America" classifications. ● Clarify in Table 5 that the subject's morning dose of veliparib on the pharmacokinetic (PK) sampling days of C2D1 and C3D1 should be taken on site. ● Clarify the timing of the safety data analysis in Section 5.3.4. ● Provide additional clarity in Section 5.4.1 and Section 8.1.2.2 for subjects that undergo surgical resection while on the study.
    23 Sep 2014
    Protocol Amendment 1, continued: ● Clarify in Section 5.5.9 that AbbVie must be notified before the blind is broken by the Investigator. ● Add Section 8.1.7, Interim Analysis, to indicate that AbbVie will perform at least 2 efficacy and 2 safety interim analyses to ensure subject safety and assess efficacy of veliparib. ● Clarify language in Completion of Study Section 13.0. ● Revise guidelines for dose reduction and toxicity management (Appendix G and Appendix I) for fluorouracil to adjust for inclusion of the bolus in the placebo arm. ● Add the central back-up phone number under Section 6.7 Adverse Event. ● Reporting as required per the current version of the protocol template. ● Incorporate minor linguistic and administrative changes throughout the document for clarification.
    16 Jul 2015
    Protocol Amendment 2: The purpose of this amendment was to: ● Update contact information for the AbbVie Study Designated Physician. ● Provide timing windows around the infusion duration of fluorouracil, irinotecan, leucovorin and bevacizumab. ● Section 1.2, Synopsis, add bevacizumab as a reference therapy in the table. ● Section 1.2, Synopsis, and Section 5.2.2, Exclusion Criteria, clarify that Exclusion Criterion 3 pertains to neoadjuvant chemotherapy in addition to adjuvant therapy and change "prior to colorectal cancer recurrence" to "prior to C1D–2." ● Section 1.2, Synopsis, and Section 5.2.2, Exclusion Criteria, add a definition to symptomatic congestive heart failure. ● Section 3.8, Clinical Experience, correct inaccurate adverse event frequencies from Study M10-977, Phase 1 dose escalation study. ● Section 5.1, Overall Study Design and Plan: Description, update Figure 1 to reflect that subjects will receive either fluorouracil or saline bolus and illustrate that the 46-hour fluorouracil infusion will continue into Day 3. ● Section 5.1, Overall Study Design and Plan: Description, and Section 5.4.5, Timing and Collection of Survival and Post-Treatment Cancer Information, clarify that the survival information and post-treatment cancer information will be collected beginning 4 weeks after the last clinical assessment. ● Section 5.3.1, Efficacy and Safety Measurements Assessed and Flow Chart, remove physical exam requirement at C1D1. ● Section 5.3.1.1, Study Procedures, clarify that RAS, BRAF and MSI status only need to be captured in Medical History if known. ● Section 5.3.1.1, Study Procedures, Table 7, Clinical Laboratory Tests, update clinical chemistry terminology. ● Section 5.3.2.1, Blood Samples for Pharmacokinetic Analysis, update the information that is to be captured. ● Section 5.3.2.2, Measurement Methods, revise "non-GLP" to "non-validated."
    16 Jul 2015
    Protocol Amendment 2, continued: ● Section 5.3.2.3, Blood Samples for Pharmacogenetic Analysis, revise the label for the pharmacogenetic sample collection tube from "PG-DNA" to "PG-DNA blood." ● Section 5.3.7, Pharmacodynamic Variables, and Section 5.4, Removal (Discontinuation) of Subjects from Protocol Therapy and Study Visits, update storage and retention language for the pharmacodynamics samples. ● Section 5.4, Removal (Discontinuation) of Subjects from Protocol Therapy and Study Visits, update language regarding consent withdrawal and the pharmacodynamic samples. ● Section 5.5.1, Protocol Therapy Administered, specify that sites can use their own method for calculating body surface area (BSA), and dose re-calculations must be made if a subject's weight increases or decreases by more than 10%. ● Section 5.5.1, Protocol Therapy Administered, update protocol therapy administration to allow for sequential infusion of irinotecan followed by leucovorin. ● Section 5.5.9, Blinding, update language regarding unblinded AbbVie study personnel. ● Section 6.7, Adverse Event Reporting, update information regarding reporting SAEs if the site does not have access to Electronic Data Capture (EDC) or the system is not operable and update the 24-hour AbbVie Medical Escalation Hotline information. ● Section 7.0, Protocol Deviations, update language regarding intentional/prospective deviations from the protocol. ● Section 8.1.7, Interim Analysis, update interim analysis plan. ● Appendix I, Toxicity Management Guidelines for Protocol Therapy, update language regarding dose modifications and unresolved toxicity. ● Additional minor corrections and clarifications.

    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
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