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    Clinical Trial Results:
    A Phase 1b/Randomized Phase 2 Study to Evaluate LY3039478 in Combination with Dexamethasone in T-ALL/T-LBL Patients

    Summary
    EudraCT number
    2014-005024-10
    Trial protocol
    DE   SE   IT  
    Global end of trial date
    15 Jan 2018

    Results information
    Results version number
    v1(current)
    This version publication date
    09 Feb 2019
    First version publication date
    09 Feb 2019
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    I6F-MC-JJCB
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02518113
    WHO universal trial number (UTN)
    -
    Other trial identifiers
    Trial Number: 14548
    Sponsors
    Sponsor organisation name
    Eli Lilly and Company
    Sponsor organisation address
    Lilly Corporate Center, Indianapolis, United States, 46285
    Public contact
    Available Mon ‐ Fri 9 AM ‐ 5 PM EST, Eli Lilly and Company, 1 877‐CTLilly,
    Scientific contact
    Available Mon ‐ Fri 9 AM ‐ 5 PM EST, Eli Lilly and Company, 1 877‐285‐4559,
    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
    15 Jan 2018
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    15 Jan 2018
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Phase1: to determine the recommended dose of LY3039478 in combination with dexamethasone in adult patients with relapsed/refractory T-cell acute lymphoblastic leukemia (T-ALL) or T-cell lymphoblastic lymphoma (T-LBL) (Part A) and pediatric patients (Part B) Phase2: to determine if the overall remission rate (ORR) (CR plus CR with incomplete blood count recovery [CRi]) in adult patients with relapsed/refractory T-ALL/T-LBL treated with LY3039478 in combination with dexamethasone exceeds that of those patients treated with placebo in combination with dexamethasone
    Protection of trial subjects
    This study was conducted in accordance with International Conference on Harmonization (ICH) Good Clinical Practice, and the principles of the Declaration of Helsinki, in addition to following the laws and regulations of the country or countries in which a study is conducted.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    01 Oct 2015
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety
    Long term follow-up duration
    2 Years
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    France: 11
    Country: Number of subjects enrolled
    Germany: 4
    Country: Number of subjects enrolled
    United States: 17
    Country: Number of subjects enrolled
    Italy: 4
    Worldwide total number of subjects
    36
    EEA total number of subjects
    19
    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)
    34
    From 65 to 84 years
    2
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    No text entered

    Pre-assignment
    Screening details
    Study completers are those participants that completed Part A cycle 1 or experienced a DLT. There were no participants enrolled to Part B and Phase 2 of the study.

    Period 1
    Period 1 title
    Period 1 (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    50 mg LY3039478 + Dexamethasone
    Arm description
    Part A: 50 mg LY3039478 administered orally three times per week (TIW) and 24 mg dexamethasone administered orally on days 1-5 every other week during 28 day cycles. Participants receiving benefit may continue until disease progression.
    Arm type
    Experimental

    Investigational medicinal product name
    LY3039478
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    50 mg LY3039478 administered orally three times per week (TIW).

    Investigational medicinal product name
    Dexamethasone
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    24 mg dexamethasone administered orally on days 1-5 every other week during 28 day cycles.

    Arm title
    75 mg LY3039478 + Dexamethasone
    Arm description
    Part A: 75 mg LY3039478 administered orally three times per week (TIW) and 24 mg dexamethasone administered orally on days 1-5 every other week during 28 day cycles. Participants receiving benefit may continue until disease progression.
    Arm type
    Experimental

    Investigational medicinal product name
    LY3039478
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    75 mg LY3039478 administered orally three times per week (TIW).

    Investigational medicinal product name
    Dexamethasone
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    24 mg dexamethasone administered orally on days 1-5 every other week during 28 day cycles.

    Arm title
    100 mg LY3039478 + Dexamethasone
    Arm description
    Part A: 100 mg LY3039478 administered orally three times per week (TIW) and 24 mg dexamethasone administered orally on days 1-5 every other week during 28 day cycles. Participants receiving benefit may continue until disease progression.
    Arm type
    Experimental

    Investigational medicinal product name
    LY3039478
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    100 mg LY3039478 administered orally three times per week (TIW).

    Investigational medicinal product name
    Dexamethasone
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    24 mg dexamethasone administered orally on days 1-5 every other week during 28 day cycles.

    Arm title
    125 mg LY3039478 + Dexamethasone
    Arm description
    Part A: 125 mg LY3039478 administered orally three times per week (TIW) and 24 mg dexamethasone administered orally on days 1-5 every other week during 28 day cycles. Participants receiving benefit may continue until disease progression.
    Arm type
    Experimental

    Investigational medicinal product name
    LY3039478
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    125 mg LY3039478 administered orally three times per week (TIW).

    Investigational medicinal product name
    Dexamethasone
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    24 mg dexamethasone administered orally on days 1-5 every other week during 28 day cycles.

    Number of subjects in period 1
    50 mg LY3039478 + Dexamethasone 75 mg LY3039478 + Dexamethasone 100 mg LY3039478 + Dexamethasone 125 mg LY3039478 + Dexamethasone
    Started
    6
    12
    15
    3
    Completed
    3
    7
    11
    3
    Not completed
    3
    5
    4
    0
         Physician decision
    -
    1
    -
    -
         Adverse Event
    1
    -
    1
    -
         Death
    1
    2
    -
    -
         Progressive Disease
    1
    2
    3
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    50 mg LY3039478 + Dexamethasone
    Reporting group description
    Part A: 50 mg LY3039478 administered orally three times per week (TIW) and 24 mg dexamethasone administered orally on days 1-5 every other week during 28 day cycles. Participants receiving benefit may continue until disease progression.

    Reporting group title
    75 mg LY3039478 + Dexamethasone
    Reporting group description
    Part A: 75 mg LY3039478 administered orally three times per week (TIW) and 24 mg dexamethasone administered orally on days 1-5 every other week during 28 day cycles. Participants receiving benefit may continue until disease progression.

    Reporting group title
    100 mg LY3039478 + Dexamethasone
    Reporting group description
    Part A: 100 mg LY3039478 administered orally three times per week (TIW) and 24 mg dexamethasone administered orally on days 1-5 every other week during 28 day cycles. Participants receiving benefit may continue until disease progression.

    Reporting group title
    125 mg LY3039478 + Dexamethasone
    Reporting group description
    Part A: 125 mg LY3039478 administered orally three times per week (TIW) and 24 mg dexamethasone administered orally on days 1-5 every other week during 28 day cycles. Participants receiving benefit may continue until disease progression.

    Reporting group values
    50 mg LY3039478 + Dexamethasone 75 mg LY3039478 + Dexamethasone 100 mg LY3039478 + Dexamethasone 125 mg LY3039478 + Dexamethasone Total
    Number of subjects
    6 12 15 3 36
    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
    All participants who received at least one dose of study drug.
    Units: years
        arithmetic mean (standard deviation)
    38.8 ( 12.2 ) 36.4 ( 13.4 ) 45.8 ( 14.4 ) 26.6 ( 10.6 ) -
    Gender categorical
    Units: Subjects
        Female
    0 5 5 1 11
        Male
    6 7 10 2 25
    Ethnicity
    Units: Subjects
        Hispanic or Latino
    1 1 1 1 4
        Not Hispanic or Latino
    4 8 11 2 25
        Unknown or Not Reported
    1 3 3 0 7
    Race
    Units: Subjects
        Asian
    0 1 0 0 1
        Black or African American
    0 1 1 0 2
        White
    5 10 12 3 30
        Unknown or Not Reported
    1 0 2 0 3
    Region Of Enrollment
    Units: Subjects
        United States
    2 7 7 1 17
        Italy
    0 0 2 2 4
        France
    3 4 4 0 11
        Germany
    1 1 2 0 4

    End points

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    End points reporting groups
    Reporting group title
    50 mg LY3039478 + Dexamethasone
    Reporting group description
    Part A: 50 mg LY3039478 administered orally three times per week (TIW) and 24 mg dexamethasone administered orally on days 1-5 every other week during 28 day cycles. Participants receiving benefit may continue until disease progression.

    Reporting group title
    75 mg LY3039478 + Dexamethasone
    Reporting group description
    Part A: 75 mg LY3039478 administered orally three times per week (TIW) and 24 mg dexamethasone administered orally on days 1-5 every other week during 28 day cycles. Participants receiving benefit may continue until disease progression.

    Reporting group title
    100 mg LY3039478 + Dexamethasone
    Reporting group description
    Part A: 100 mg LY3039478 administered orally three times per week (TIW) and 24 mg dexamethasone administered orally on days 1-5 every other week during 28 day cycles. Participants receiving benefit may continue until disease progression.

    Reporting group title
    125 mg LY3039478 + Dexamethasone
    Reporting group description
    Part A: 125 mg LY3039478 administered orally three times per week (TIW) and 24 mg dexamethasone administered orally on days 1-5 every other week during 28 day cycles. Participants receiving benefit may continue until disease progression.

    Subject analysis set title
    All Participants
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Part A data.

    Primary: Number of Participants With Dose Limiting Toxicities (DLTs)

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    End point title
    Number of Participants With Dose Limiting Toxicities (DLTs) [1]
    End point description
    A DLT was an Adverse Event(AE) observed during the first 28 day cycle that is determined by the investigator to be at least possibly related to LY3039478 according to CTCAE v 4.0 and fulfills any of the following criteria: CTCAE Grade 3 nonhematological toxicity with a few exceptions, any other significant toxicity deemed to be dose limiting (eg, any toxicity that is possibly related to the study medication that requires the withdrawal of the patient from the study during Cycle 1). Analysis Population Description (APD) : All participants who received at least one dose of study drug in Part A.
    End point type
    Primary
    End point timeframe
    Cycle 1 (Up To 28 Days)
    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 arm comparison analyses were planned or conducted.
    End point values
    50 mg LY3039478 + Dexamethasone 75 mg LY3039478 + Dexamethasone 100 mg LY3039478 + Dexamethasone 125 mg LY3039478 + Dexamethasone
    Number of subjects analysed
    6
    12
    15
    3
    Units: participants
    0
    2
    2
    3
    No statistical analyses for this end point

    Primary: Recommended Dose of LY3039478 in Combination With Dexamethasone

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    End point title
    Recommended Dose of LY3039478 in Combination With Dexamethasone [2]
    End point description
    A DLT was an Adverse Event(AE) observed during the first 28 day cycle that is determined by the investigator to be at least possibly related to LY3039478 according to CTCAE v 4.0 and fulfills any of the following criteria:CTCAE Grade 3 nonhematological toxicity with a few exceptions, any other significant toxicity deemed to be dose limiting.A dose-limiting equivalent toxicity (DLET) was defined as an AE occurring between Day 1 and Day 28 of any cycle (other than Cycle 1) for a patient enrolled in the Phase 1 portion or in any cycle (including Cycle 1) for a patient enrolled in the Phase 2 portion that would have met the criteria for DLT if it had occurred during Cycle 1 for a patient enrolled in the Phase 1 portion. APD: All participants who received at least one dose of study drug in Part A.
    End point type
    Primary
    End point timeframe
    Cycle 1 (28 Days)
    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 arm comparison analyses were planned or conducted.
    End point values
    All Participants
    Number of subjects analysed
    36
    Units: mg
        number (not applicable)
    75
    No statistical analyses for this end point

    Primary: Number of Participants Who Achieve Complete Remission (CR) or CR With Incomplete Blood Count Recovery (CRi): Overall Remission Rate (ORR)

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    End point title
    Number of Participants Who Achieve Complete Remission (CR) or CR With Incomplete Blood Count Recovery (CRi): Overall Remission Rate (ORR) [3]
    End point description
    ORR is defined as the number of participants who achieved a best overall response of either complete remission (CR) or incomplete remission (CRi). The ORR (CR and CRi) is the sum of patients achieving a CR or a CRi divided by the total number of patients randomized in that arm. CR is defined as the number of participants who achieved a best overall response of complete remission (CR), out of the total number of participants randomized in that arm. APD: All participants who received at least one dose of study drug in Part A.
    End point type
    Primary
    End point timeframe
    Baseline to Objective Disease Progression (Up To 2 Months)
    Notes
    [3] - 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 arm comparison analyses were planned or conducted.
    End point values
    50 mg LY3039478 + Dexamethasone 75 mg LY3039478 + Dexamethasone 100 mg LY3039478 + Dexamethasone 125 mg LY3039478 + Dexamethasone
    Number of subjects analysed
    6
    12
    15
    3
    Units: participants
    1
    0
    0
    0
    No statistical analyses for this end point

    Secondary: Pharmacokinetics (PK): Area Under the Concentration-Time Curve (AUC[0-∞]) of LY3039478 in Combination With Dexamethasone in Day 1

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    End point title
    Pharmacokinetics (PK): Area Under the Concentration-Time Curve (AUC[0-∞]) of LY3039478 in Combination With Dexamethasone in Day 1
    End point description
    Pharmacokinetics (PK): Area Under the Concentration-Time Curve (AUC[0-∞]) of LY3039478 in Combination with Dexamethasone in Day 1. APD: All participants who received at least one dose of study drug in Part A and had evaluable PK data.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 1: Predose, 1-2, 3-4,6-8,24-30 hours
    End point values
    50 mg LY3039478 + Dexamethasone 75 mg LY3039478 + Dexamethasone 100 mg LY3039478 + Dexamethasone 125 mg LY3039478 + Dexamethasone
    Number of subjects analysed
    5
    12
    15
    2 [4]
    Units: nanogram hour per milliliter (ng*h/mL)
        geometric mean (geometric coefficient of variation)
    3480 ( 26 )
    5000 ( 45 )
    5870 ( 49 )
    6330 ( 9999 )
    Notes
    [4] - 9999 = NA ( For n=2, range 3180-12600 was reported)
    No statistical analyses for this end point

    Secondary: Pharmacokinetics (PK): Area Under the Concentration-Time Curve (AUC[0- 48]) of LY3039478 in Combination With Dexamethasone in Day 8

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    End point title
    Pharmacokinetics (PK): Area Under the Concentration-Time Curve (AUC[0- 48]) of LY3039478 in Combination With Dexamethasone in Day 8
    End point description
    Pharmacokinetics (PK): Area Under the Concentration-Time Curve (AUC[0- 48]) of LY3039478 in Combination with Dexamethasone in Day 8. APD: All participants who received at least one dose of study drug in Part A and had evaluable PK data.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 8: Predose, 1-2, 3-4,6-8,24-30 hours
    End point values
    50 mg LY3039478 + Dexamethasone 75 mg LY3039478 + Dexamethasone 100 mg LY3039478 + Dexamethasone 125 mg LY3039478 + Dexamethasone
    Number of subjects analysed
    5
    8
    12
    2 [5]
    Units: ng*h/mL
        geometric mean (geometric coefficient of variation)
    3050 ( 18 )
    4070 ( 92 )
    4640 ( 55 )
    8240 ( 9999 )
    Notes
    [5] - 9999=NA (For n=2, range 4410-16100 was reported.)
    No statistical analyses for this end point

    Secondary: Number of Participants With CR or CRi and Notch-1 or FBXW7 Mutations

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    End point title
    Number of Participants With CR or CRi and Notch-1 or FBXW7 Mutations
    End point description
    ORR is defined as the number of participants who achieved a best overall response of either complete remission (CR) or incomplete remission (CRi). The ORR (CR and CRi) is the sum of participants achieving a CR or a CRi divided by the total number of participants randomized in that arm. CR is defined as the number of participants who achieved a best overall response of complete remission (CR), out of the total number of participants randomized in that arm. APD: All participants who received at least one dose of study drug in Part A.
    End point type
    Secondary
    End point timeframe
    Baseline to Objective Disease Progression (Up To 12 Months)
    End point values
    50 mg LY3039478 + Dexamethasone 75 mg LY3039478 + Dexamethasone 100 mg LY3039478 + Dexamethasone 125 mg LY3039478 + Dexamethasone
    Number of subjects analysed
    6
    12
    15
    3
    Units: Participants
    0
    0
    0
    0
    No statistical analyses for this end point

    Secondary: Phase 2: Number of Participants Who Achieve CR, CRi or Partial Remission (PR): Overall Remission Rate (ORR) Plus PR

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    End point title
    Phase 2: Number of Participants Who Achieve CR, CRi or Partial Remission (PR): Overall Remission Rate (ORR) Plus PR
    End point description
    There were no participants enrolled to Part B and Phase 2 of the study. The plan for Phase 2 was to randomize participants into two groups: LY3039478 + Dexamethasone and Placebo + Dexamethasone. Due to system limitation we cannot present data in the two arms for this outcome measure because number started is "0". The database does not allow a started number/enrolled number of "0" therefore reported data in the existing 4 Part A arms.
    End point type
    Secondary
    End point timeframe
    Baseline to Objective Disease Progression (Up To 12 Months)
    End point values
    50 mg LY3039478 + Dexamethasone 75 mg LY3039478 + Dexamethasone 100 mg LY3039478 + Dexamethasone 125 mg LY3039478 + Dexamethasone
    Number of subjects analysed
    0 [6]
    0 [7]
    0 [8]
    0 [9]
    Units: participants
    Notes
    [6] - There were no participants enrolled to Part B and Phase 2 of the study.
    [7] - There were no participants enrolled to Part B and Phase 2 of the study.
    [8] - There were no participants enrolled to Part B and Phase 2 of the study.
    [9] - There were no participants enrolled to Part B and Phase 2 of the study.
    No statistical analyses for this end point

    Secondary: Phase 2: Number of Participants Who Achieve PR

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    End point title
    Phase 2: Number of Participants Who Achieve PR
    End point description
    There were no participants enrolled to Part B and Phase 2 of the study. The plan for Phase 2 was to randomize participants into two groups: LY3039478 + Dexamethasone and Placebo + Dexamethasone. Due to system limitation we cannot present data in the two arms for this outcome measure because number started is "0". The database does not allow a started number/enrolled number of "0" therefore reported data in the existing 4 Part A arms.
    End point type
    Secondary
    End point timeframe
    Date of CR, CRi, or PR to Date of Relapse or Death from Any Cause (Approximately 1 Year)
    End point values
    50 mg LY3039478 + Dexamethasone 75 mg LY3039478 + Dexamethasone 100 mg LY3039478 + Dexamethasone 125 mg LY3039478 + Dexamethasone
    Number of subjects analysed
    0 [10]
    0 [11]
    0 [12]
    0 [13]
    Units: participants
    Notes
    [10] - There were no participants enrolled to Part B and Phase 2 of the study.
    [11] - There were no participants enrolled to Part B and Phase 2 of the study.
    [12] - There were no participants enrolled to Part B and Phase 2 of the study.
    [13] - There were no participants enrolled to Part B and Phase 2 of the study.
    No statistical analyses for this end point

    Secondary: Phase 2: Duration of Remission (DoR)

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    End point title
    Phase 2: Duration of Remission (DoR)
    End point description
    There were no participants enrolled to Part B and Phase 2 of the study. The plan for Phase 2 was to randomize participants into two groups: LY3039478 + Dexamethasone and Placebo + Dexamethasone. Due to system limitation we cannot present data in the two arms for this outcome measure because number started is "0". The database does not allow a started number/enrolled number of "0" therefore reported data in the existing 4 Part A arms.
    End point type
    Secondary
    End point timeframe
    Date of CR, CRi, or PR to Date of Relapse or Death from Any Cause (Approximately 1 Year)
    End point values
    50 mg LY3039478 + Dexamethasone 75 mg LY3039478 + Dexamethasone 100 mg LY3039478 + Dexamethasone 125 mg LY3039478 + Dexamethasone
    Number of subjects analysed
    0 [14]
    0 [15]
    0 [16]
    0 [17]
    Units: years
        median (confidence interval 95%)
    ( to )
    ( to )
    ( to )
    ( to )
    Notes
    [14] - There were no participants enrolled to Part B and Phase 2 of the study.
    [15] - There were no participants enrolled to Part B and Phase 2 of the study.
    [16] - There were no participants enrolled to Part B and Phase 2 of the study.
    [17] - There were no participants enrolled to Part B and Phase 2 of the study.
    No statistical analyses for this end point

    Secondary: Phase 2:Relapse Free Survival (RFS)

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    End point title
    Phase 2:Relapse Free Survival (RFS)
    End point description
    There were no participants enrolled to Part B and Phase 2 of the study. The plan for Phase 2 was to randomize participants into two groups: LY3039478 + Dexamethasone and Placebo + Dexamethasone. Due to system limitation we cannot present data in the two arms for this outcome measure because number started is "0". The database does not allow a started number/enrolled number of "0" therefore reported data in the existing 4 Part A arms.
    End point type
    Secondary
    End point timeframe
    Date of CR to Relapse or Death from any Cause (Approximately 1 Year)
    End point values
    50 mg LY3039478 + Dexamethasone 75 mg LY3039478 + Dexamethasone 100 mg LY3039478 + Dexamethasone 125 mg LY3039478 + Dexamethasone
    Number of subjects analysed
    0 [18]
    0 [19]
    0 [20]
    0 [21]
    Units: Years
        median (confidence interval 95%)
    ( to )
    ( to )
    ( to )
    ( to )
    Notes
    [18] - There were no participants enrolled to Part B and Phase 2 of the study.
    [19] - There were no participants enrolled to Part B and Phase 2 of the study.
    [20] - There were no participants enrolled to Part B and Phase 2 of the study.
    [21] - There were no participants enrolled to Part B and Phase 2 of the study.
    No statistical analyses for this end point

    Secondary: Phase 2: Event Free Survival (EFS)

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    End point title
    Phase 2: Event Free Survival (EFS)
    End point description
    There were no participants enrolled to Part B and Phase 2 of the study. The plan for Phase 2 was to randomize participants into two groups: LY3039478 + Dexamethasone and Placebo + Dexamethasone. Due to system limitation we cannot present data in the two arms for this outcome measure because number started is "0". The database does not allow a started number/enrolled number of "0" therefore reported data in the existing 4 Part A arms.
    End point type
    Secondary
    End point timeframe
    Baseline to Objective Disease Progression or Death from Any Cause (Approximately 1 Year)
    End point values
    50 mg LY3039478 + Dexamethasone 75 mg LY3039478 + Dexamethasone 100 mg LY3039478 + Dexamethasone 125 mg LY3039478 + Dexamethasone
    Number of subjects analysed
    0 [22]
    0 [23]
    0 [24]
    0 [25]
    Units: Years
        median (confidence interval 95%)
    ( to )
    ( to )
    ( to )
    ( to )
    Notes
    [22] - There were no participants enrolled to Part B and Phase 2 of the study.
    [23] - There were no participants enrolled to Part B and Phase 2 of the study.
    [24] - There were no participants enrolled to Part B and Phase 2 of the study.
    [25] - There were no participants enrolled to Part B and Phase 2 of the study.
    No statistical analyses for this end point

    Secondary: Phase 2: Overall Survival (OS)

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    End point title
    Phase 2: Overall Survival (OS)
    End point description
    There were no participants enrolled to Part B and Phase 2 of the study. The plan for Phase 2 was to randomize participants into two groups: LY3039478 + Dexamethasone and Placebo + Dexamethasone. Due to system limitation we cannot present data in the two arms for this outcome measure because number started is "0". The database does not allow a started number/enrolled number of "0" therefore reported data in the existing 4 Part A arms.
    End point type
    Secondary
    End point timeframe
    Baseline to the Date of Death from Any Cause (Approximately 1.5 Years)
    End point values
    50 mg LY3039478 + Dexamethasone 75 mg LY3039478 + Dexamethasone 100 mg LY3039478 + Dexamethasone 125 mg LY3039478 + Dexamethasone
    Number of subjects analysed
    0 [26]
    0 [27]
    0 [28]
    0 [29]
    Units: Years
        median (confidence interval 95%)
    ( to )
    ( to )
    ( to )
    ( to )
    Notes
    [26] - There were no participants enrolled to Part B and Phase 2 of the study.
    [27] - There were no participants enrolled to Part B and Phase 2 of the study.
    [28] - There were no participants enrolled to Part B and Phase 2 of the study.
    [29] - There were no participants enrolled to Part B and Phase 2 of the study.
    No statistical analyses for this end point

    Secondary: Phase 2: Change From Baseline in the Functional Assessment of Cancer Therapy-Leukemia-General (FACT-Leu-G) Score

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    End point title
    Phase 2: Change From Baseline in the Functional Assessment of Cancer Therapy-Leukemia-General (FACT-Leu-G) Score
    End point description
    There were no participants enrolled to Part B and Phase 2 of the study. The plan for Phase 2 was to randomize participants into two groups: LY3039478 + Dexamethasone and Placebo + Dexamethasone. Due to system limitation we cannot present data in the two arms for this outcome measure because number started is "0". The database does not allow a started number/enrolled number of "0" therefore reported data in the existing 4 Part A arms.
    End point type
    Secondary
    End point timeframe
    Baseline, End of Study (Approximately 1.5 Years)
    End point values
    50 mg LY3039478 + Dexamethasone 75 mg LY3039478 + Dexamethasone 100 mg LY3039478 + Dexamethasone 125 mg LY3039478 + Dexamethasone
    Number of subjects analysed
    0 [30]
    0 [31]
    0 [32]
    0 [33]
    Units: units on a scale
        least squares mean (standard error)
    ( )
    ( )
    ( )
    ( )
    Notes
    [30] - There were no participants enrolled to Part B and Phase 2 of the study.
    [31] - There were no participants enrolled to Part B and Phase 2 of the study.
    [32] - There were no participants enrolled to Part B and Phase 2 of the study.
    [33] - There were no participants enrolled to Part B and Phase 2 of the study.
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Entire Study
    Adverse event reporting additional description
    I6F-MC-JJCB
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    20.1
    Reporting groups
    Reporting group title
    50 mg LY3039478 + Dexamethasone
    Reporting group description
    50 mg LY3039478 administered orally three times per week (TIW) and 24 mg dexamethasone administered orally on days 1-5 every other week during 28 day cycles. Participants receiving benefit may continue until disease progression.

    Reporting group title
    75 mg LY3039478 + Dexamethasone
    Reporting group description
    Part A: 75 mg LY3039478 administered orally three times per week (TIW) and 24 mg dexamethasone administered orally on days 1-5 every other week during 28 day cycles. Participants receiving benefit may continue until disease progression.

    Reporting group title
    100 mg LY3039478 + Dexamethasone
    Reporting group description
    Part A: 100 mg LY3039478 administered orally three times per week (TIW) and 24 mg dexamethasone administered orally on days 1-5 every other week during 28 day cycles. Participants receiving benefit may continue until disease progression.

    Reporting group title
    125 mg LY3039478 + Dexamethasone
    Reporting group description
    Part A: 125 mg LY3039478 administered orally three times per week (TIW) and 24 mg dexamethasone administered orally on days 1-5 every other week during 28 day cycles. Participants receiving benefit may continue until disease progression.

    Serious adverse events
    50 mg LY3039478 + Dexamethasone 75 mg LY3039478 + Dexamethasone 100 mg LY3039478 + Dexamethasone 125 mg LY3039478 + Dexamethasone
    Total subjects affected by serious adverse events
         subjects affected / exposed
    6 / 6 (100.00%)
    11 / 12 (91.67%)
    9 / 15 (60.00%)
    3 / 3 (100.00%)
         number of deaths (all causes)
    1
    4
    1
    1
         number of deaths resulting from adverse events
    0
    1
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    nasopharyngeal cancer
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    hypotension
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    3 / 12 (25.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    fatigue
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    2 / 12 (16.67%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    non-cardiac chest pain
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    pain
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    pyrexia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    aspiration
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    dyspnoea
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    hypoxia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    respiratory failure
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Investigations
    lipase increased
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    weight decreased
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    overdose
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    generalised tonic-clonic seizure
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    haemorrhage intracranial
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    syncope
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    anaemia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    2 / 12 (16.67%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    febrile neutropenia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    colitis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    diarrhoea
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    2 / 12 (16.67%)
    2 / 15 (13.33%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    2 / 2
    3 / 3
    4 / 4
    5 / 5
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    gastric ulcer
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    gastrointestinal haemorrhage
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    2 / 12 (16.67%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ileus
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    intestinal obstruction
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    nausea
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    upper gastrointestinal haemorrhage
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    vomiting
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    acute kidney injury
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    muscular weakness
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    atypical pneumonia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    bacteraemia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    device related infection
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    h1n1 influenza
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    infection
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    lung infection
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    1 / 15 (6.67%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    neutropenic infection
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    perirectal abscess
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    pneumonia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    2 / 12 (16.67%)
    2 / 15 (13.33%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    sepsis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    septic shock
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    upper respiratory tract infection
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    dehydration
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    3 / 12 (25.00%)
    2 / 15 (13.33%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 3
    3 / 3
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    failure to thrive
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    hypokalaemia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    1 / 15 (6.67%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    3 / 3
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    tumour lysis syndrome
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    50 mg LY3039478 + Dexamethasone 75 mg LY3039478 + Dexamethasone 100 mg LY3039478 + Dexamethasone 125 mg LY3039478 + Dexamethasone
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    6 / 6 (100.00%)
    12 / 12 (100.00%)
    15 / 15 (100.00%)
    3 / 3 (100.00%)
    Vascular disorders
    flushing
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    hypertension
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    hypotension
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    2 / 6 (33.33%)
    1 / 12 (8.33%)
    2 / 15 (13.33%)
    0 / 3 (0.00%)
         occurrences all number
    2
    1
    2
    0
    peripheral artery thrombosis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    General disorders and administration site conditions
    asthenia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    3 / 12 (25.00%)
    3 / 15 (20.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    5
    3
    0
    chest pain
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    chills
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    complication associated with device
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    face oedema
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    1
    0
    fatigue
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    3 / 12 (25.00%)
    6 / 15 (40.00%)
    2 / 3 (66.67%)
         occurrences all number
    0
    3
    10
    8
    malaise
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    mucosal inflammation
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    0
    1
    multiple organ dysfunction syndrome
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    non-cardiac chest pain
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    2 / 15 (13.33%)
    1 / 3 (33.33%)
         occurrences all number
    0
    1
    2
    1
    oedema peripheral
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    2 / 6 (33.33%)
    1 / 12 (8.33%)
    2 / 15 (13.33%)
    0 / 3 (0.00%)
         occurrences all number
    2
    3
    2
    0
    pyrexia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    2 / 6 (33.33%)
    3 / 12 (25.00%)
    4 / 15 (26.67%)
    1 / 3 (33.33%)
         occurrences all number
    2
    4
    4
    1
    Immune system disorders
    hypersensitivity
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Respiratory, thoracic and mediastinal disorders
    acute respiratory failure
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    1
    0
    cough
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    3 / 6 (50.00%)
    1 / 12 (8.33%)
    6 / 15 (40.00%)
    0 / 3 (0.00%)
         occurrences all number
    3
    1
    6
    0
    dysphonia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    1
    0
    0
    dyspnoea
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    2 / 12 (16.67%)
    3 / 15 (20.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    2
    3
    0
    epistaxis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    3 / 6 (50.00%)
    1 / 12 (8.33%)
    4 / 15 (26.67%)
    1 / 3 (33.33%)
         occurrences all number
    3
    1
    4
    2
    hiccups
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    0
    1
    hypoxia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    nasal congestion
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    1
    0
    oropharyngeal pain
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    2 / 6 (33.33%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    1
    0
    pleural effusion
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    2 / 15 (13.33%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    3
    0
    pneumonitis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    productive cough
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    2
    1
    0
    pulmonary fibrosis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    pulmonary oedema
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    respiratory failure
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    rhinitis allergic
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    1
    0
    sinus congestion
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    tachypnoea
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    wheezing
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Psychiatric disorders
    anxiety
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    depressed mood
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    0
    1
    depression
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    2 / 15 (13.33%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    2
    0
    dysphoria
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    insomnia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    4 / 15 (26.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    5
    0
    mental disorder
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Investigations
    alanine aminotransferase increased
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    2 / 6 (33.33%)
    2 / 12 (16.67%)
    3 / 15 (20.00%)
    1 / 3 (33.33%)
         occurrences all number
    2
    4
    5
    2
    amylase increased
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    2
    0
    aspartate aminotransferase increased
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    2 / 12 (16.67%)
    4 / 15 (26.67%)
    1 / 3 (33.33%)
         occurrences all number
    1
    6
    8
    3
    blood bilirubin increased
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 12 (8.33%)
    2 / 15 (13.33%)
    0 / 3 (0.00%)
         occurrences all number
    1
    1
    4
    0
    blood creatinine increased
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 12 (8.33%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    1
    1
    1
    0
    blood glucose increased
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    blood lactate dehydrogenase increased
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    3
    0
    blood phosphorus increased
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    c-reactive protein increased
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    5
    0
    chest x-ray abnormal
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    gamma-glutamyltransferase increased
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    1 / 3 (33.33%)
         occurrences all number
    1
    0
    2
    5
    immunoglobulins decreased
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    lipase increased
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    2 / 12 (16.67%)
    4 / 15 (26.67%)
    0 / 3 (0.00%)
         occurrences all number
    2
    8
    8
    0
    platelet count decreased
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 12 (8.33%)
    2 / 15 (13.33%)
    0 / 3 (0.00%)
         occurrences all number
    1
    1
    9
    0
    weight decreased
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    2
    1
    0
    1
    weight increased
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    3
    0
    0
    white blood cell count decreased
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    6
    0
    0
    0
    Injury, poisoning and procedural complications
    contusion
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    fall
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    muscle strain
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    overdose
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Cardiac disorders
    atrial fibrillation
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    bradycardia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    2
    0
    cardiac failure congestive
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    pericardial effusion
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    sinus bradycardia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    0
    1
    sinus tachycardia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    1 / 15 (6.67%)
    1 / 3 (33.33%)
         occurrences all number
    0
    1
    1
    1
    supraventricular tachycardia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    tachycardia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    2 / 12 (16.67%)
    3 / 15 (20.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    2
    3
    0
    ventricular fibrillation
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    ventricular tachycardia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Nervous system disorders
    ageusia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    aphonia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    depressed level of consciousness
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    dizziness
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    1
    0
    dysgeusia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    2 / 15 (13.33%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    2
    0
    headache
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    0
    0
    lethargy
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 12 (8.33%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    1
    1
    1
    0
    metabolic encephalopathy
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    seizure
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    syncope
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    1
    0
    1
    Blood and lymphatic system disorders
    anaemia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    3 / 6 (50.00%)
    2 / 12 (16.67%)
    3 / 15 (20.00%)
    1 / 3 (33.33%)
         occurrences all number
    4
    3
    4
    1
    febrile neutropenia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    1 / 3 (33.33%)
         occurrences all number
    1
    0
    1
    1
    immune thrombocytopenic purpura
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    0
    1
    increased tendency to bruise
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    0
    1
    leukocytosis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    2 / 15 (13.33%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    4
    0
    thrombocytopenia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 12 (8.33%)
    2 / 15 (13.33%)
    0 / 3 (0.00%)
         occurrences all number
    2
    1
    2
    0
    Ear and labyrinth disorders
    ear pain
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    hypoacusis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    1
    0
    0
    tinnitus
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Eye disorders
    exophthalmos
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    eye pain
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    ocular hyperaemia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    periorbital oedema
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    photophobia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    vision blurred
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    vitritis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Gastrointestinal disorders
    abdominal discomfort
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    abdominal distension
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    2 / 6 (33.33%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    1
    0
    abdominal pain
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 12 (8.33%)
    3 / 15 (20.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    1
    3
    0
    abdominal pain upper
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    2 / 15 (13.33%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    2
    1
    colitis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    constipation
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    4 / 15 (26.67%)
    1 / 3 (33.33%)
         occurrences all number
    0
    1
    4
    1
    diarrhoea
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    3 / 6 (50.00%)
    7 / 12 (58.33%)
    8 / 15 (53.33%)
    2 / 3 (66.67%)
         occurrences all number
    3
    20
    19
    6
    dry mouth
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    3 / 15 (20.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    3
    0
    dyspepsia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    2 / 12 (16.67%)
    2 / 15 (13.33%)
    0 / 3 (0.00%)
         occurrences all number
    0
    2
    2
    0
    dysphagia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    2 / 6 (33.33%)
    1 / 12 (8.33%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    2
    1
    1
    0
    eructation
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    flatulence
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    gastric haemorrhage
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    gastrointestinal haemorrhage
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    gastrooesophageal reflux disease
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    1 / 3 (33.33%)
         occurrences all number
    1
    0
    1
    1
    gingival bleeding
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    1
    0
    haematemesis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    haematochezia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    0
    1
    haemorrhoids
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    ileus
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    1 / 15 (6.67%)
    1 / 3 (33.33%)
         occurrences all number
    0
    1
    1
    1
    lip dry
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    mouth haemorrhage
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    nausea
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    5 / 12 (41.67%)
    5 / 15 (33.33%)
    3 / 3 (100.00%)
         occurrences all number
    1
    8
    6
    8
    oesophagitis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    pancreatitis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    proctalgia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    proctitis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    2 / 15 (13.33%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    2
    0
    rectal haemorrhage
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    stomatitis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    3 / 15 (20.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    3
    0
    toothache
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    vomiting
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    2 / 6 (33.33%)
    3 / 12 (25.00%)
    8 / 15 (53.33%)
    3 / 3 (100.00%)
         occurrences all number
    2
    4
    8
    9
    Hepatobiliary disorders
    hepatomegaly
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Skin and subcutaneous tissue disorders
    alopecia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    dermatitis acneiform
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    dermatitis allergic
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    dry skin
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    ecchymosis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    erythema
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    hand dermatitis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    night sweats
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    pruritus
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    rash
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    2 / 12 (16.67%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    2
    0
    0
    rash maculo-papular
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    2 / 12 (16.67%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    1
    2
    3
    0
    scab
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    skin ulcer
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Renal and urinary disorders
    acute kidney injury
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    2 / 6 (33.33%)
    2 / 12 (16.67%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    2
    2
    1
    0
    dysuria
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    urinary retention
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    0
    1
    Endocrine disorders
    adrenal insufficiency
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    diabetes insipidus
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Musculoskeletal and connective tissue disorders
    arthralgia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    2 / 15 (13.33%)
    0 / 3 (0.00%)
         occurrences all number
    0
    2
    2
    0
    back pain
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    bone pain
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    muscle spasms
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    muscular weakness
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 12 (8.33%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    1
    1
    1
    0
    musculoskeletal pain
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    myalgia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    1
    0
    pain in extremity
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Infections and infestations
    bacteraemia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    bronchitis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    2 / 12 (16.67%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    2
    1
    0
    bronchopulmonary aspergillosis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    candida infection
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    cellulitis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    0
    1
    clostridium difficile colitis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    clostridium difficile infection
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    2 / 12 (16.67%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    3
    1
    0
    conjunctivitis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    0
    0
    corona virus infection
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    cytomegalovirus infection
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    dermatophytosis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    enterococcal infection
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    epstein-barr virus infection
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    0
    1
    folliculitis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    0
    1
    gastroenteritis norovirus
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    hordeolum
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    infective glossitis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    0
    1
    influenza
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    lung infection
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    2 / 15 (13.33%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    2
    0
    mucosal infection
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    nasopharyngitis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    oral candidiasis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    pharyngitis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    pneumonia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    1
    0
    pneumonia cytomegaloviral
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    pneumonia fungal
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    pseudomonas infection
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    2
    0
    0
    rhinitis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    rhinovirus infection
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    1
    0
    1
    sepsis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    septic encephalopathy
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    sinusitis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    staphylococcal infection
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    0
    1
    tonsillitis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    upper respiratory tract infection
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    urinary tract infection
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Metabolism and nutrition disorders
    decreased appetite
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    2 / 12 (16.67%)
    5 / 15 (33.33%)
    0 / 3 (0.00%)
         occurrences all number
    1
    3
    5
    0
    dehydration
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 12 (8.33%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    1
    1
    1
    0
    fluid overload
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0
    hyperglycaemia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    2 / 6 (33.33%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    4
    0
    0
    0
    hyperkalaemia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    2 / 15 (13.33%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    3
    0
    hypernatraemia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    4
    0
    hyperphosphataemia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    hyperuricaemia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    2 / 12 (16.67%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    2
    0
    0
    hypoalbuminaemia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    1
    hypocalcaemia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    5 / 15 (33.33%)
    0 / 3 (0.00%)
         occurrences all number
    0
    2
    7
    0
    hypokalaemia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    2 / 6 (33.33%)
    3 / 12 (25.00%)
    8 / 15 (53.33%)
    0 / 3 (0.00%)
         occurrences all number
    2
    5
    14
    0
    hypomagnesaemia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    2 / 6 (33.33%)
    2 / 12 (16.67%)
    2 / 15 (13.33%)
    0 / 3 (0.00%)
         occurrences all number
    2
    8
    3
    0
    hyponatraemia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 12 (8.33%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    1
    1
    1
    0
    hypophosphataemia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    4 / 15 (26.67%)
    1 / 3 (33.33%)
         occurrences all number
    1
    0
    4
    5
    hypoproteinaemia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 12 (0.00%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    0
    hypouricaemia
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    lactic acidosis
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 12 (0.00%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    malnutrition
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    1 / 15 (6.67%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    1
    0
    tumour lysis syndrome
    alternative dictionary used: MedDRA 20.1
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 12 (8.33%)
    0 / 15 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    04 Jun 2015
    This study was amended at the request of the Food and Drug Administration (FDA) to clarify the criteria for DLTs and to change the PK sampling. In addition, CSF sampling was simplified based on new data; the CSF sampling has been reduced to one draw. PK sampling for Dexamethasone during the phase 1 portion of the study was added and one additional time point for the determination of plasma concentrations of LY3039478 and dexamethasone was added during Phase 2 portion of the study.

    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.
    There were no participants enrolled to Part B and Phase 2 of the study.
    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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