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    Clinical Trial Results:
    A Phase 1/2 Open-label, Multi-center Study of the Safety and Efficacy of IMCgp100 using the Intra-patient Escalation Dosing Regimen in Patients with Advanced Uveal Melanoma

    Summary
    EudraCT number
    2015-004222-34
    Trial protocol
    GB   DE   ES  
    Global end of trial date
    17 Oct 2022

    Results information
    Results version number
    v1(current)
    This version publication date
    20 May 2023
    First version publication date
    20 May 2023
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    IMCgp100-102
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02570308
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Immunocore Ltd.
    Sponsor organisation address
    92 Park Drive, Milton Park, Abindgon, Oxfordshire, United Kingdom, OX14 4RY
    Public contact
    Nicola McKelvie, Immunocore Ltd., +44 1235438600, nicola.mckelvie@immunocore.com.com
    Scientific contact
    Nicola McKelvie, Immunocore Ltd., +44 1235438600, nicola.mckelvie@immunocore.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    20 Mar 2020
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    20 Mar 2020
    Global end of trial reached?
    Yes
    Global end of trial date
    17 Oct 2022
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    IMCgp100-102 is a Phase I/II study of the weekly intra-patient escalation dose regimen with IMCgp100 as a single agent in participants with metastatic uveal melanoma (mUM). According to this regimen, all participants in the trial received 2 weekly doses of IMCgp100 at a dose level below the identified weekly recommended Phase II dose (RP2D-QW) and then a dose escalation commenced at the third weekly dose at C1D15. The Phase I testing of the intra-patient escalation dosing regimen is designed to achieve a higher exposure and maximal plasma concentration of IMCgp100 after doses at Cycle 1 Day 15 (C1D15) and thereafter. The Phase I portion of the study was a standard 3+3 dose escalation design. The recommended Phase II dose of the intra-patient escalation dose regimen (RP2D-IE) was identified and expansion cohorts in metastatic uveal melanoma was accrued based on prior therapy.
    Protection of trial subjects
    This study was conducted in conformance with Good Clinical Practice (GCP) standards and applicable regulations regarding ethical use of human subjects in medical research.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    29 Feb 2016
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Canada: 19
    Country: Number of subjects enrolled
    Germany: 10
    Country: Number of subjects enrolled
    Spain: 9
    Country: Number of subjects enrolled
    United Kingdom: 17
    Country: Number of subjects enrolled
    United States: 91
    Worldwide total number of subjects
    146
    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)
    92
    From 65 to 84 years
    53
    85 years and over
    1

    Subject disposition

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    Recruitment
    Recruitment details
    Adult participants with metastatic Stage 4 uveal melanoma (HLA-A*0201 subtype) with any prior systemic therapy were recruited.

    Pre-assignment
    Screening details
    Participants were enrolled at study centers located in Canada, Germany, Spain, United Kingdom, and United States.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded
    Blinding implementation details
    This was an open-label study.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Phase 1 Dose Escalation Cohort 1: 54 mcg Tebentafusp
    Arm description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) 54 mcg dose administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).
    Arm type
    Experimental

    Investigational medicinal product name
    IMCgp100
    Investigational medicinal product code
    Other name
    Tebentafusp, Kimmtrak
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Bispecific soluble HLA-A2 restricted gp100-specific T-cell receptor fused to anti-CD3.

    Arm title
    Phase 1 Dose Escalation Cohort 2: 64 mcg Tebentafusp
    Arm description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) 64 mcg dose administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).
    Arm type
    Experimental

    Investigational medicinal product name
    IMCgp100
    Investigational medicinal product code
    Other name
    Tebentafusp, Kimmtrak
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Bispecific soluble HLA-A2 restricted gp100-specific T-cell receptor fused to anti-CD3.

    Arm title
    Phase 1 Dose Escalation Cohort 3: 73 mcg Tebentafusp
    Arm description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) 73 mcg dose administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).
    Arm type
    Experimental

    Investigational medicinal product name
    IMCgp100
    Investigational medicinal product code
    Other name
    Tebentafusp, Kimmtrak
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Bispecific soluble HLA-A2 restricted gp100-specific T-cell receptor fused to anti-CD3.

    Arm title
    Phase 1 Dose Escalation Cohort 4: 68 mcg Tebentafusp
    Arm description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) 68 mcg dose administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).
    Arm type
    Experimental

    Investigational medicinal product name
    IMCgp100
    Investigational medicinal product code
    Other name
    Tebentafusp, Kimmtrak
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Bispecific soluble HLA-A2 restricted gp100-specific T-cell receptor fused to anti-CD3.

    Arm title
    Phase 2 Dose Expansion: 68 mcg Tebentafusp
    Arm description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) 68 mcg dose administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).
    Arm type
    Experimental

    Investigational medicinal product name
    IMCgp100
    Investigational medicinal product code
    Other name
    Tebentafusp, Kimmtrak
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Bispecific soluble HLA-A2 restricted gp100-specific T-cell receptor fused to anti-CD3.

    Number of subjects in period 1
    Phase 1 Dose Escalation Cohort 1: 54 mcg Tebentafusp Phase 1 Dose Escalation Cohort 2: 64 mcg Tebentafusp Phase 1 Dose Escalation Cohort 3: 73 mcg Tebentafusp Phase 1 Dose Escalation Cohort 4: 68 mcg Tebentafusp Phase 2 Dose Expansion: 68 mcg Tebentafusp
    Started
    3
    6
    4
    6
    127
    Completed
    2
    1
    0
    2
    53
    Not completed
    1
    5
    4
    4
    74
         Consent withdrawn by subject
    -
    -
    -
    -
    1
         Death
    1
    5
    4
    4
    69
         Unspecified
    -
    -
    -
    -
    2
         Lost to follow-up
    -
    -
    -
    -
    2

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Phase 1 Dose Escalation Cohort 1: 54 mcg Tebentafusp
    Reporting group description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) 54 mcg dose administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).

    Reporting group title
    Phase 1 Dose Escalation Cohort 2: 64 mcg Tebentafusp
    Reporting group description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) 64 mcg dose administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).

    Reporting group title
    Phase 1 Dose Escalation Cohort 3: 73 mcg Tebentafusp
    Reporting group description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) 73 mcg dose administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).

    Reporting group title
    Phase 1 Dose Escalation Cohort 4: 68 mcg Tebentafusp
    Reporting group description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) 68 mcg dose administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).

    Reporting group title
    Phase 2 Dose Expansion: 68 mcg Tebentafusp
    Reporting group description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) 68 mcg dose administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).

    Reporting group values
    Phase 1 Dose Escalation Cohort 1: 54 mcg Tebentafusp Phase 1 Dose Escalation Cohort 2: 64 mcg Tebentafusp Phase 1 Dose Escalation Cohort 3: 73 mcg Tebentafusp Phase 1 Dose Escalation Cohort 4: 68 mcg Tebentafusp Phase 2 Dose Expansion: 68 mcg Tebentafusp Total
    Number of subjects
    3 6 4 6 127 146
    Age categorical
    Units: Subjects
        In utero
    0 0 0 0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0 0 0 0
        Newborns (0-27 days)
    0 0 0 0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0 0 0 0
        Children (2-11 years)
    0 0 0 0 0 0
        Adolescents (12-17 years)
    0 0 0 0 0 0
        Adults (18-64 years)
    2 4 2 4 120 132
        From 65-84 years
    1 2 2 2 6 13
        85 years and over
    0 0 0 0 1 1
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    61.3 ± 6.03 54.7 ± 11.99 56.5 ± 18.41 55.8 ± 9.24 56.5 ± 11.37 -
    Gender categorical
    Units: Subjects
        Female
    2 3 2 3 64 74
        Male
    1 3 2 3 63 72
    Race
    Units: Subjects
        White
    3 6 4 6 126 145
        Other
    0 0 0 0 1 1
    Ethnicity
    Units: Subjects
        Hispanic or Latino
    0 1 0 0 4 5
        Not Hispanic or Latino
    3 5 4 6 123 141
    Subject analysis sets

    Subject analysis set title
    Phase 1 Dose Escalation
    Subject analysis set type
    Per protocol
    Subject analysis set description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) doses per cohort administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).

    Subject analysis sets values
    Phase 1 Dose Escalation
    Number of subjects
    19
    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)
    12
        From 65-84 years
    7
        85 years and over
    0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    ±
    Gender categorical
    Units: Subjects
        Female
        Male
    Race
    Units: Subjects
        White
        Other
    Ethnicity
    Units: Subjects
        Hispanic or Latino
        Not Hispanic or Latino

    End points

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    End points reporting groups
    Reporting group title
    Phase 1 Dose Escalation Cohort 1: 54 mcg Tebentafusp
    Reporting group description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) 54 mcg dose administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).

    Reporting group title
    Phase 1 Dose Escalation Cohort 2: 64 mcg Tebentafusp
    Reporting group description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) 64 mcg dose administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).

    Reporting group title
    Phase 1 Dose Escalation Cohort 3: 73 mcg Tebentafusp
    Reporting group description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) 73 mcg dose administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).

    Reporting group title
    Phase 1 Dose Escalation Cohort 4: 68 mcg Tebentafusp
    Reporting group description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) 68 mcg dose administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).

    Reporting group title
    Phase 2 Dose Expansion: 68 mcg Tebentafusp
    Reporting group description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) 68 mcg dose administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).

    Subject analysis set title
    Phase 1 Dose Escalation
    Subject analysis set type
    Per protocol
    Subject analysis set description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) doses per cohort administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).

    Primary: Number of Participants With a Dose Limiting Toxicity (DLT) in Phase 1

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    End point title
    Number of Participants With a Dose Limiting Toxicity (DLT) in Phase 1 [1] [2]
    End point description
    Number of participants with a dose limiting toxicity, defined as an adverse event (AE) or abnormal laboratory value assessed as having a suspected relationship to study drug, and unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the first cycle of treatment and meets any of the pre-specified criteria. The Safety Analysis Set (SAS) included all participants who received at least 1 full or partial dose of tebentafusp.
    End point type
    Primary
    End point timeframe
    Up to 49 months
    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: Per protocol, only descriptive statistics are presented.
    [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Per protocol, only descriptive statistics are presented.
    End point values
    Phase 1 Dose Escalation Cohort 1: 54 mcg Tebentafusp Phase 1 Dose Escalation Cohort 2: 64 mcg Tebentafusp Phase 1 Dose Escalation Cohort 3: 73 mcg Tebentafusp Phase 1 Dose Escalation Cohort 4: 68 mcg Tebentafusp
    Number of subjects analysed
    3
    6
    4
    6
    Units: Participants
    0
    1
    2
    0
    No statistical analyses for this end point

    Primary: Objective Response Rate in Phase 2

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    End point title
    Objective Response Rate in Phase 2 [3] [4]
    End point description
    Objective response rate (ORR) is defined as the percentage of participants with measurable disease with at least 1 visit response of complete response (CR) or partial response (PR) that is confirmed at least 4 weeks later, as defined in RECIST v.1.1 and assessed by an independent central review (ICR). The denominator in the calculation of the ORR is the number of participants in the full analysis set with measurable disease at baseline. The Full Analysis Set (FAS) included all participants who received at least 1 full or partial dose of tebentafusp.
    End point type
    Primary
    End point timeframe
    Up to 38 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: Per protocol, only descriptive statistics are presented.
    [4] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Per protocol, only descriptive statistics are presented.
    End point values
    Phase 2 Dose Expansion: 68 mcg Tebentafusp
    Number of subjects analysed
    127
    Units: Percentage of participants
        number (confidence interval 95%)
    4.7 (1.8 to 10.0)
    No statistical analyses for this end point

    Secondary: Objective Response Rate in Phase 1

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    End point title
    Objective Response Rate in Phase 1
    End point description
    ORR is defined as the percentage of participants with measurable disease with at least 1 visit response of CR or PR that is confirmed at least 4 weeks later, as defined in RECIST v.1.1 and assessed by an investigator. The denominator in the calculation of the ORR is the number of participants in the full analysis set with measurable disease at baseline. The Full Analysis Set (FAS) included all participants who received at least 1 full or partial dose of tebentafusp. The analysis was pre-specified to be a pooled analysis of all Phase 1 cohort participants (irrespective of dose); therefore, data by individual dose were not analyzed.
    End point type
    Secondary
    End point timeframe
    Up to 49 months
    End point values
    Phase 1 Dose Escalation
    Number of subjects analysed
    19
    Units: Percentage of participants
        number (confidence interval 95%)
    15.8 (3.4 to 39.6)
    No statistical analyses for this end point

    Secondary: Progression-free Survival

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    End point title
    Progression-free Survival [5]
    End point description
    Progression-free survival is defined as the time in months from first dose of study drug until the date of disease progression or death (by any cause in the absence of disease progression) as assessed by RECIST v1.1 by the investigator for Phase 1 and ICR for Phase 2. The Full Analysis Set (FAS) included all participants who received at least 1 full or partial dose of tebentafusp. The analysis was pre-specified to be a pooled analysis of all Phase 1 cohort participants (irrespective of dose); therefore, data by individual dose were not analyzed.
    End point type
    Secondary
    End point timeframe
    Up to 49 months
    Notes
    [5] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Per protocol, only descriptive statistics are presented.
    End point values
    Phase 2 Dose Expansion: 68 mcg Tebentafusp Phase 1 Dose Escalation
    Number of subjects analysed
    127
    19
    Units: Months
        median (confidence interval 95%)
    2.8 (2.0 to 3.7)
    7.4 (1.2 to 14.8)
    No statistical analyses for this end point

    Secondary: Disease Control Rate

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    End point title
    Disease Control Rate [6]
    End point description
    Disease control rate (DCR) is defined as the percentage of participants with a best overall response of CR or PR or stable disease (SD) recorded at least 24 weeks (± 1 week) after commencement of study drug and prior to any progressive disease (PD) event, as assessed by RECIST v1.1 by the investigator for Phase 1 and ICR for Phase 2. The Full Analysis Set (FAS) included all participants who received at least 1 full or partial dose of tebentafusp. The analysis was pre-specified to be a pooled analysis of all Phase 1 cohort participants (irrespective of dose); therefore, data by individual dose were not analyzed.
    End point type
    Secondary
    End point timeframe
    24 weeks
    Notes
    [6] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Per protocol, only descriptive statistics are presented.
    End point values
    Phase 2 Dose Expansion: 68 mcg Tebentafusp Phase 1 Dose Escalation
    Number of subjects analysed
    127
    19
    Units: Percentage of participants
        number (confidence interval 95%)
    22.8 (15.9 to 31.1)
    47.4 (24.4 to 71.1)
    No statistical analyses for this end point

    Secondary: Duration of Response

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    End point title
    Duration of Response [7]
    End point description
    Duration of response (DOR) is defined as the time in months from the date of first documented objective response (CR or PR) until the date of documented disease progression or death by any cause in the absence of disease progression as assessed by RECIST v1.1 by the investigator for Phase 1 and ICR for Phase 2. The analysis population included all participants who received at least 1 full or partial dose of tebentafusp and who achieved a response. The analysis was pre-specified to be a pooled analysis of all Phase 1 cohort participants (irrespective of dose); therefore, data by individual dose were not analyzed.
    End point type
    Secondary
    End point timeframe
    Up to 49 months
    Notes
    [7] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Per protocol, only descriptive statistics are presented.
    End point values
    Phase 2 Dose Expansion: 68 mcg Tebentafusp Phase 1 Dose Escalation
    Number of subjects analysed
    6
    3
    Units: Months
        median (confidence interval 95%)
    8.706 (5.552 to 24.542)
    7.425 (3.713 to 9999)
    No statistical analyses for this end point

    Secondary: Time to Response

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    End point title
    Time to Response [8]
    End point description
    Time to response (TTR) is defined as the time in months from the date of first dose of study drug until the date of first documented objective response as assessed by RECIST v1.1 by the investigator for Phase 1 and ICR for Phase 2. The analysis population included all participants who received at least 1 full or partial dose of tebentafusp and who achieved a response. The analysis was pre-specified to be a pooled analysis of all Phase 1 cohort participants (irrespective of dose); therefore, data by individual dose were not analyzed.
    End point type
    Secondary
    End point timeframe
    Up to 49 months
    Notes
    [8] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Per protocol, only descriptive statistics are presented.
    End point values
    Phase 2 Dose Expansion: 68 mcg Tebentafusp Phase 1 Dose Escalation
    Number of subjects analysed
    6
    3
    Units: Months
        arithmetic mean (standard deviation)
    7.0 ± 6.9
    5.5 ± 1.8
    No statistical analyses for this end point

    Secondary: Overall Survival

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    End point title
    Overall Survival [9]
    End point description
    Overall survival (OS) is defined as the time in months from the date of first dose of study drug until death due to any cause in general. The Full Analysis Set (FAS) included all participants who received at least 1 full or partial dose of tebentafusp. The analysis was pre-specified to be a pooled analysis of all Phase 1 cohort participants (irrespective of dose); therefore, data by individual dose were not analyzed.
    End point type
    Secondary
    End point timeframe
    Up to 49 months
    Notes
    [9] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Per protocol, only descriptive statistics are presented.
    End point values
    Phase 2 Dose Expansion: 68 mcg Tebentafusp Phase 1 Dose Escalation
    Number of subjects analysed
    127
    19
    Units: Months
        median (confidence interval 95%)
    16.8 (12.9 to 21.3)
    29.6 (10.9 to 42.2)
    No statistical analyses for this end point

    Secondary: Minor Response Rate

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    End point title
    Minor Response Rate [10]
    End point description
    Rate of minor response (or better) is defined as the proportion of participants with a confirmed CR, PR, or minor response (MinR) as assessed by RECIST v1.1 by the investigator for Phase 1 or ICR for Phase 2, where MinR is a reduction from baseline in sum of diameters between 10%-29%. The sum of diameters is defined as per RECIST v1.1 as the sum of longest diameters or short axis of target lesions (mm). The Full Analysis Set (FAS) included all participants who received at least 1 full or partial dose of tebentafusp. The analysis was pre-specified to be a pooled analysis of all Phase 1 cohort participants (irrespective of dose); therefore, data by individual dose were not analyzed.
    End point type
    Secondary
    End point timeframe
    Up to 49 months
    Notes
    [10] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Per protocol, only descriptive statistics are presented.
    End point values
    Phase 2 Dose Expansion: 68 mcg Tebentafusp Phase 1 Dose Escalation
    Number of subjects analysed
    127
    19
    Units: Percentage of participants
        number (confidence interval 95%)
    11.0 (6.2 to 17.8)
    26.3 (9.1 to 51.2)
    No statistical analyses for this end point

    Secondary: Number of Participants With Treatment Dose Interruptions or Reductions

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    End point title
    Number of Participants With Treatment Dose Interruptions or Reductions
    End point description
    Tolerability of study treatment was assessed by summarizing the number of participants with dose interruptions or reductions that occurred during the treatment period. The Safety Analysis Set (SAS) included all participants who received at least 1 full or partial dose of tebentafusp.
    End point type
    Secondary
    End point timeframe
    Up to 49 months
    End point values
    Phase 1 Dose Escalation Cohort 1: 54 mcg Tebentafusp Phase 1 Dose Escalation Cohort 2: 64 mcg Tebentafusp Phase 1 Dose Escalation Cohort 3: 73 mcg Tebentafusp Phase 1 Dose Escalation Cohort 4: 68 mcg Tebentafusp Phase 2 Dose Expansion: 68 mcg Tebentafusp
    Number of subjects analysed
    3
    6
    3
    4
    127
    Units: Participants
    2
    4
    3
    4
    49
    No statistical analyses for this end point

    Secondary: Area Under the Plasma Concentration-Time Curve (AUC) of Tebentafusp

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    End point title
    Area Under the Plasma Concentration-Time Curve (AUC) of Tebentafusp [11]
    End point description
    Area under the plasma concentration-time curve (AUC) in dose escalation cohorts. All participants who received at least 1 full or partial dose of tebentafusp and with detectable serum concentrations are included.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 1 and Cycle 1 Day 15: predose, end of infusion, and 4 and 8 hours postdose
    Notes
    [11] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Per protocol, only descriptive statistics are presented.
    End point values
    Phase 1 Dose Escalation Cohort 1: 54 mcg Tebentafusp Phase 1 Dose Escalation Cohort 2: 64 mcg Tebentafusp Phase 1 Dose Escalation Cohort 3: 73 mcg Tebentafusp Phase 1 Dose Escalation Cohort 4: 68 mcg Tebentafusp
    Number of subjects analysed
    3
    6
    4
    6
    Units: hr*pg/mL
    geometric mean (standard deviation)
        Cycle 1 Day 1
    28550 ± 27.0
    36530 ± 23.3
    32920 ± 18.2
    33030 ± 16.5
        Cycle 1 Day 15
    81310 ± 33.7
    98660 ± 34.8
    106800 ± 11.6
    109800 ± 23.3
    No statistical analyses for this end point

    Secondary: Maximum plasma concentration (Cmax) of Tebentafusp

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    End point title
    Maximum plasma concentration (Cmax) of Tebentafusp [12]
    End point description
    The maximum observed plasma drug concentration after single dose administration in dose escalation cohorts. All participants who received at least 1 full or partial dose of tebentafusp and with detectable serum concentrations are included.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 1 and Cycle 1 Day 15: predose, end of infusion, and 4 and 8 hours postdose
    Notes
    [12] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Per protocol, only descriptive statistics are presented.
    End point values
    Phase 1 Dose Escalation Cohort 1: 54 mcg Tebentafusp Phase 1 Dose Escalation Cohort 2: 64 mcg Tebentafusp Phase 1 Dose Escalation Cohort 3: 73 mcg Tebentafusp Phase 1 Dose Escalation Cohort 4: 68 mcg Tebentafusp
    Number of subjects analysed
    3
    6
    4
    6
    Units: pg/mL
    geometric mean (standard deviation)
        Cycle 1 Day 1
    3050 ± 15.1
    3294 ± 22.7
    3041 ± 21.7
    3640 ± 23.3
        Cycle 1 Day 15
    8885 ± 17.2
    9523 ± 23.0
    11300 ± 11.7
    11520 ± 25.8
    No statistical analyses for this end point

    Secondary: Time to Maximum Plasma Concentration (Tmax) of Tebentafusp

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    End point title
    Time to Maximum Plasma Concentration (Tmax) of Tebentafusp [13]
    End point description
    The Tmax of tebentafusp in the phase 1 dose escalation cohorts is reported. All participants who received at least 1 full or partial dose of tebentafusp and with detectable serum concentrations are included.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 1 and Cycle 1 Day 15: predose, end of infusion, and 4 and 8 hours postdose
    Notes
    [13] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Per protocol, only descriptive statistics are presented.
    End point values
    Phase 1 Dose Escalation Cohort 1: 54 mcg Tebentafusp Phase 1 Dose Escalation Cohort 2: 64 mcg Tebentafusp Phase 1 Dose Escalation Cohort 3: 73 mcg Tebentafusp Phase 1 Dose Escalation Cohort 4: 68 mcg Tebentafusp
    Number of subjects analysed
    3
    6
    4
    6
    Units: Hours
    median (full range (min-max))
        Cycle 1 Day 1
    0.50 (0.50 to 0.50)
    0.50 (0.50 to 0.50)
    0.50 (0.50 to 0.50)
    0.50 (0.50 to 0.50)
        Cycle 1 Day 15
    0.50 (0.50 to 0.50)
    0.50 (0.50 to 0.50)
    0.50 (0.50 to 0.50)
    0.50 (0.50 to 0.50)
    No statistical analyses for this end point

    Secondary: Apparent terminal plasma half-life (t½) of tebentafusp

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    End point title
    Apparent terminal plasma half-life (t½) of tebentafusp [14]
    End point description
    The apparent t½ of tebentafusp is reported in phase 1 dose escalation cohorts. All participants who received at least 1 full or partial dose of tebentafusp and with detectable serum concentrations are included.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 1 and Cycle 1 Day 15: predose, end of infusion, and 4 and 8 hours postdose
    Notes
    [14] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Per protocol, only descriptive statistics are presented.
    End point values
    Phase 1 Dose Escalation Cohort 1: 54 mcg Tebentafusp Phase 1 Dose Escalation Cohort 2: 64 mcg Tebentafusp Phase 1 Dose Escalation Cohort 3: 73 mcg Tebentafusp Phase 1 Dose Escalation Cohort 4: 68 mcg Tebentafusp
    Number of subjects analysed
    3
    6
    4
    6
    Units: Hours
    median (full range (min-max))
        Cycle 1 Day 1
    6.635 (5.40 to 6.67)
    7.591 (6.03 to 11.3)
    6.442 (5.82 to 7.63)
    6.273 (5.59 to 10.1)
        Cycle 1 Day 15
    6.897 (6.78 to 8.03)
    7.532 (6.57 to 10.5)
    7.519 (6.36 to 9.24)
    7.488 (5.70 to 11.9)
    No statistical analyses for this end point

    Secondary: Percentage of Participants With Anti-IMCgp100 Antibody Formation

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    End point title
    Percentage of Participants With Anti-IMCgp100 Antibody Formation
    End point description
    The Full Analysis Set (FAS) included all participants who received at least 1 full or partial dose of tebentafusp and with evaluable data; two participants were excluded from ADA evaluation due to lack of sampling after dosing.
    End point type
    Secondary
    End point timeframe
    Up to 49 months
    End point values
    Phase 1 Dose Escalation Cohort 1: 54 mcg Tebentafusp Phase 1 Dose Escalation Cohort 2: 64 mcg Tebentafusp Phase 1 Dose Escalation Cohort 3: 73 mcg Tebentafusp Phase 1 Dose Escalation Cohort 4: 68 mcg Tebentafusp Phase 2 Dose Expansion: 68 mcg Tebentafusp
    Number of subjects analysed
    3
    6
    4
    6
    125
    Units: Percentage of participants
        number (not applicable)
    66.7
    16.7
    25.0
    33.3
    33.6
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Up to 49 months
    Adverse event reporting additional description
    All treated participants are included.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    22.0
    Reporting groups
    Reporting group title
    Phase 1 Dose Escalation Cohort 1: 54 mcg Tebentafusp
    Reporting group description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) 54 mcg dose administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).

    Reporting group title
    Phase 1 Dose Escalation Cohort 2: 64 mcg Tebentafusp
    Reporting group description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) 64 mcg dose administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).

    Reporting group title
    Phase 1 Dose Escalation Cohort 3: 73 mcg Tebentafusp
    Reporting group description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) 73 mcg dose administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).

    Reporting group title
    Phase 1 Dose Escalation Cohort 4: 68 mcg Tebentafusp
    Reporting group description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) 68 mcg dose administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).

    Reporting group title
    Phase 2 Dose Expansion: 68 mcg Tebentafusp
    Reporting group description
    Fixed low doses of 20 mcg tebentafusp at Cycle 1 Day 1 (C1D1) and 30 mcg at Cycle 1 Day 8 (C1D8), followed by weekly (QW) 68 mcg dose administered intravenously at Cycle 1 Day 15 (C1D15) and beyond (each cycle is 28 days).

    Serious adverse events
    Phase 1 Dose Escalation Cohort 1: 54 mcg Tebentafusp Phase 1 Dose Escalation Cohort 2: 64 mcg Tebentafusp Phase 1 Dose Escalation Cohort 3: 73 mcg Tebentafusp Phase 1 Dose Escalation Cohort 4: 68 mcg Tebentafusp Phase 2 Dose Expansion: 68 mcg Tebentafusp
    Total subjects affected by serious adverse events
         subjects affected / exposed
    2 / 3 (66.67%)
    2 / 6 (33.33%)
    3 / 4 (75.00%)
    3 / 6 (50.00%)
    42 / 127 (33.07%)
         number of deaths (all causes)
    1
    5
    4
    4
    69
         number of deaths resulting from adverse events
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Tumor pain
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    2 / 127 (1.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    Embolism
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypertensive crisis
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypotension
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    2 / 127 (1.57%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Multiple organ system dysfunction syndrome
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pyrexia
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    9 / 127 (7.09%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 2
    0 / 11
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Immune system disorders
    Cytokine release syndrome
         subjects affected / exposed
    1 / 3 (33.33%)
    1 / 6 (16.67%)
    1 / 4 (25.00%)
    1 / 6 (16.67%)
    4 / 127 (3.15%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 1
    0 / 1
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Dyspnea
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypoxia
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pleural effusion
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    2 / 127 (1.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pulmonary edema
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Psychiatric disorders
    Confusional state
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    3 / 127 (2.36%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Aspartate aminotransferase increased
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    2 / 127 (1.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    2 / 127 (1.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 5
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General physical condition decreased
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Infusion-related reaction
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pelvic fracture
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Platelet count decreased
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Atrial fibrillation
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Atrial flutter
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    2 / 127 (1.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac failure
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Left ventricular dysfunction
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Sinus tachycardia
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    2 / 127 (1.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infarction
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Aphasia
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hemorrhage intracranial
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Spinal cord compression
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    2 / 127 (1.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    2 / 127 (1.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Abdominal pain upper
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Diarrhea
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    2 / 127 (1.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nausea
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    2 / 127 (1.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Biliary colic
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cholangitis
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatic failure
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hyperbilirubinemia
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    0 / 127 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Jaundice cholestatic
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Rash maculopapular
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    3 / 127 (2.36%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Nephrolithiasis
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    2 / 127 (1.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Bone pain
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal pain
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pain in extremity
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Anal abscess
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Arthritis infective
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Biliary tract infection
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Device related infection
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Sepsis
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    3 / 127 (2.36%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Hypophosphatemia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    2 / 127 (1.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Phase 1 Dose Escalation Cohort 1: 54 mcg Tebentafusp Phase 1 Dose Escalation Cohort 2: 64 mcg Tebentafusp Phase 1 Dose Escalation Cohort 3: 73 mcg Tebentafusp Phase 1 Dose Escalation Cohort 4: 68 mcg Tebentafusp Phase 2 Dose Expansion: 68 mcg Tebentafusp
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    3 / 3 (100.00%)
    6 / 6 (100.00%)
    4 / 4 (100.00%)
    6 / 6 (100.00%)
    127 / 127 (100.00%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Tumor inflammation
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    3
    0
    0
    0
    0
    Tumor pain
         subjects affected / exposed
    1 / 3 (33.33%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    8 / 127 (6.30%)
         occurrences all number
    3
    4
    0
    0
    11
    Peripheral sensory neuropathy
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 6 (33.33%)
    2 / 4 (50.00%)
    0 / 6 (0.00%)
    7 / 127 (5.51%)
         occurrences all number
    0
    2
    3
    0
    9
    Vascular disorders
    Deep vein thrombosis
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    Flushing
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    16 / 127 (12.60%)
         occurrences all number
    0
    0
    0
    2
    20
    Hot flush
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    14 / 127 (11.02%)
         occurrences all number
    0
    2
    0
    2
    26
    Hypertension
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    1 / 6 (16.67%)
    18 / 127 (14.17%)
         occurrences all number
    0
    0
    1
    1
    53
    Hypotension
         subjects affected / exposed
    3 / 3 (100.00%)
    4 / 6 (66.67%)
    2 / 4 (50.00%)
    5 / 6 (83.33%)
    53 / 127 (41.73%)
         occurrences all number
    8
    5
    4
    10
    115
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    9 / 127 (7.09%)
         occurrences all number
    0
    0
    0
    0
    20
    Chest pain
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    2 / 127 (1.57%)
         occurrences all number
    0
    5
    0
    0
    2
    Chills
         subjects affected / exposed
    2 / 3 (66.67%)
    3 / 6 (50.00%)
    4 / 4 (100.00%)
    5 / 6 (83.33%)
    84 / 127 (66.14%)
         occurrences all number
    3
    14
    48
    20
    282
    Diverticulitis
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Edema peripheral
         subjects affected / exposed
    3 / 3 (100.00%)
    5 / 6 (83.33%)
    3 / 4 (75.00%)
    5 / 6 (83.33%)
    44 / 127 (34.65%)
         occurrences all number
    3
    6
    12
    7
    86
    Face edema
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 6 (33.33%)
    1 / 4 (25.00%)
    2 / 6 (33.33%)
    78 / 127 (61.42%)
         occurrences all number
    0
    2
    4
    4
    134
    Facial pain
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    2 / 127 (1.57%)
         occurrences all number
    0
    0
    0
    1
    2
    Fatigue
         subjects affected / exposed
    2 / 3 (66.67%)
    5 / 6 (83.33%)
    4 / 4 (100.00%)
    6 / 6 (100.00%)
    78 / 127 (61.42%)
         occurrences all number
    9
    16
    6
    21
    134
    Feeling hot
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    Fungal skin infection
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    1 / 127 (0.79%)
         occurrences all number
    0
    0
    0
    1
    1
    Gait disturbance
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Generalized edema
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    8 / 127 (6.30%)
         occurrences all number
    0
    0
    0
    0
    12
    Hyperbilirubinemia
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    2 / 4 (50.00%)
    1 / 6 (16.67%)
    10 / 127 (7.87%)
         occurrences all number
    0
    0
    2
    1
    16
    Impaired healing
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    1
    1
    0
    0
    Infusion site hematoma
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences all number
    0
    1
    0
    0
    1
    Localized infection
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Malaise
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    9 / 127 (7.09%)
         occurrences all number
    0
    4
    0
    1
    10
    Nodule
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    2
    0
    0
    0
    0
    Non-cardiac chest pain
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    4 / 127 (3.15%)
         occurrences all number
    0
    1
    2
    0
    4
    Pain
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    10 / 127 (7.87%)
         occurrences all number
    0
    0
    0
    0
    13
    Peripheral swelling
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    1 / 127 (0.79%)
         occurrences all number
    0
    0
    0
    1
    1
    Pyrexia
         subjects affected / exposed
    3 / 3 (100.00%)
    6 / 6 (100.00%)
    3 / 4 (75.00%)
    6 / 6 (100.00%)
    103 / 127 (81.10%)
         occurrences all number
    15
    16
    16
    21
    417
    Temperature regulation disorder
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Immune system disorders
    Cytokine release syndrome
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    10 / 127 (7.87%)
         occurrences all number
    0
    0
    0
    0
    45
    Reproductive system and breast disorders
    Breast pain
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Vulvovaginal dryness
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    2
    0
    0
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    1 / 3 (33.33%)
    2 / 6 (33.33%)
    0 / 4 (0.00%)
    5 / 6 (83.33%)
    29 / 127 (22.83%)
         occurrences all number
    3
    8
    0
    9
    49
    Dysphonia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    Dyspnea
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 6 (33.33%)
    2 / 4 (50.00%)
    2 / 6 (33.33%)
    24 / 127 (18.90%)
         occurrences all number
    0
    3
    4
    6
    34
    Hiccups
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    Hypoxia
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    1 / 6 (16.67%)
    4 / 127 (3.15%)
         occurrences all number
    0
    0
    2
    1
    4
    Nasal congestion
         subjects affected / exposed
    1 / 3 (33.33%)
    3 / 6 (50.00%)
    2 / 4 (50.00%)
    1 / 6 (16.67%)
    10 / 127 (7.87%)
         occurrences all number
    4
    6
    4
    4
    13
    Oropharyngeal pain
         subjects affected / exposed
    1 / 3 (33.33%)
    2 / 6 (33.33%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    13 / 127 (10.24%)
         occurrences all number
    2
    3
    0
    1
    16
    Pleuritic pain
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences all number
    2
    0
    0
    0
    1
    Productive cough
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    1 / 4 (25.00%)
    1 / 6 (16.67%)
    3 / 127 (2.36%)
         occurrences all number
    0
    3
    3
    1
    4
    Pulmonary congestion
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    2 / 127 (1.57%)
         occurrences all number
    0
    2
    0
    0
    2
    Pulmonary edema
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences all number
    0
    1
    0
    0
    1
    Pulmonary embolism
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    3 / 127 (2.36%)
         occurrences all number
    0
    1
    0
    0
    3
    Rhinitis allergic
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    3 / 127 (2.36%)
         occurrences all number
    0
    0
    0
    1
    4
    Rhinorrhea
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    7 / 127 (5.51%)
         occurrences all number
    0
    0
    0
    0
    8
    Sinus pain
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    1 / 127 (0.79%)
         occurrences all number
    0
    0
    0
    3
    1
    Upper-airway cough syndrome
         subjects affected / exposed
    1 / 3 (33.33%)
    1 / 6 (16.67%)
    1 / 4 (25.00%)
    1 / 6 (16.67%)
    2 / 127 (1.57%)
         occurrences all number
    1
    1
    1
    1
    2
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    13 / 127 (10.24%)
         occurrences all number
    0
    1
    1
    0
    13
    Confusional state
         subjects affected / exposed
    1 / 3 (33.33%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    8 / 127 (6.30%)
         occurrences all number
    1
    1
    0
    0
    13
    Depressed mood
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Depression
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    6 / 127 (4.72%)
         occurrences all number
    0
    1
    1
    0
    6
    Insomnia
         subjects affected / exposed
    2 / 3 (66.67%)
    3 / 6 (50.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    20 / 127 (15.75%)
         occurrences all number
    2
    3
    0
    1
    23
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 6 (33.33%)
    2 / 4 (50.00%)
    1 / 6 (16.67%)
    19 / 127 (14.96%)
         occurrences all number
    0
    2
    3
    1
    33
    Amylase increased
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    7 / 127 (5.51%)
         occurrences all number
    0
    0
    0
    1
    8
    Aspartate aminotransferase increased
         subjects affected / exposed
    1 / 3 (33.33%)
    2 / 6 (33.33%)
    2 / 4 (50.00%)
    0 / 6 (0.00%)
    23 / 127 (18.11%)
         occurrences all number
    1
    6
    3
    0
    36
    Blood alklaline phosphatase increased
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 6 (33.33%)
    0 / 4 (0.00%)
    3 / 6 (50.00%)
    13 / 127 (10.24%)
         occurrences all number
    0
    5
    0
    3
    19
    Blood cholesterol increased
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences all number
    0
    0
    1
    0
    1
    Blood creatinine increased
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    4 / 127 (3.15%)
         occurrences all number
    0
    0
    0
    1
    4
    Cardiac murmur
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    Lipase increased
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    12 / 127 (9.45%)
         occurrences all number
    0
    1
    1
    0
    19
    Weight decreased
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 6 (33.33%)
    1 / 4 (25.00%)
    1 / 6 (16.67%)
    20 / 127 (15.75%)
         occurrences all number
    0
    2
    1
    1
    20
    Injury, poisoning and procedural complications
    Arthropod bite
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences all number
    0
    2
    0
    0
    1
    Contusion
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    2 / 4 (50.00%)
    0 / 6 (0.00%)
    5 / 127 (3.94%)
         occurrences all number
    0
    0
    2
    0
    5
    Fall
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    7 / 127 (5.51%)
         occurrences all number
    1
    0
    0
    0
    8
    Infusion related reaction
         subjects affected / exposed
    1 / 3 (33.33%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    2 / 127 (1.57%)
         occurrences all number
    1
    1
    0
    0
    2
    Ligament injury
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    Procedural pain
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    8 / 127 (6.30%)
         occurrences all number
    0
    0
    0
    0
    8
    Scratch
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    Skin abrasion
         subjects affected / exposed
    0 / 3 (0.00%)
    3 / 6 (50.00%)
    1 / 4 (25.00%)
    1 / 6 (16.67%)
    5 / 127 (3.94%)
         occurrences all number
    0
    11
    5
    1
    11
    Skin laceration
         subjects affected / exposed
    0 / 3 (0.00%)
    3 / 6 (50.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    2 / 127 (1.57%)
         occurrences all number
    0
    6
    0
    1
    3
    Sunburn
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    2 / 4 (50.00%)
    0 / 6 (0.00%)
    2 / 127 (1.57%)
         occurrences all number
    0
    0
    2
    0
    4
    Wound
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences all number
    0
    2
    0
    0
    1
    Cardiac disorders
    Cardiomegaly
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Hypertensive heart disease
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Palpitations
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Pericardial effusion
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Sinus tachycardia
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    12 / 127 (9.45%)
         occurrences all number
    0
    0
    0
    3
    15
    Tachycardia
         subjects affected / exposed
    1 / 3 (33.33%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    15 / 127 (11.81%)
         occurrences all number
    1
    1
    0
    0
    22
    Nervous system disorders
    Aphasia
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences all number
    1
    0
    0
    0
    1
    Ataxia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    Cerebral arteriosclerosis
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Disturbance in attention
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    Dizziness
         subjects affected / exposed
    1 / 3 (33.33%)
    2 / 6 (33.33%)
    2 / 4 (50.00%)
    3 / 6 (50.00%)
    21 / 127 (16.54%)
         occurrences all number
    1
    4
    4
    3
    25
    Dysgeusia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    12 / 127 (9.45%)
         occurrences all number
    0
    1
    2
    0
    13
    Headache
         subjects affected / exposed
    2 / 3 (66.67%)
    3 / 6 (50.00%)
    2 / 4 (50.00%)
    4 / 6 (66.67%)
    42 / 127 (33.07%)
         occurrences all number
    3
    6
    2
    12
    91
    Memory impairment
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    3 / 4 (75.00%)
    1 / 6 (16.67%)
    1 / 127 (0.79%)
         occurrences all number
    0
    1
    3
    1
    1
    Neuropathy peripheral
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    3 / 127 (2.36%)
         occurrences all number
    1
    0
    0
    0
    3
    Paresthesia
         subjects affected / exposed
    1 / 3 (33.33%)
    1 / 6 (16.67%)
    2 / 4 (50.00%)
    1 / 6 (16.67%)
    10 / 127 (7.87%)
         occurrences all number
    1
    4
    3
    2
    15
    Syncope
         subjects affected / exposed
    2 / 3 (66.67%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    3 / 127 (2.36%)
         occurrences all number
    2
    0
    0
    0
    3
    Blood and lymphatic system disorders
    Anemia
         subjects affected / exposed
    1 / 3 (33.33%)
    2 / 6 (33.33%)
    1 / 4 (25.00%)
    2 / 6 (33.33%)
    17 / 127 (13.39%)
         occurrences all number
    1
    2
    1
    2
    21
    Lymphadenopathy
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences all number
    0
    0
    1
    0
    1
    Lymphopenia
         subjects affected / exposed
    1 / 3 (33.33%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    4 / 127 (3.15%)
         occurrences all number
    1
    1
    0
    0
    4
    Neutropenia
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    2 / 127 (1.57%)
         occurrences all number
    0
    0
    0
    1
    3
    Ear and labyrinth disorders
    Ear discomfort
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences all number
    0
    0
    2
    0
    1
    Ear pain
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    1 / 127 (0.79%)
         occurrences all number
    0
    1
    0
    2
    1
    Hyperacusis
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Otorrhea
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Parasthesia ear
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    Tinnitus
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences all number
    0
    0
    1
    0
    1
    Vertigo
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    3 / 127 (2.36%)
         occurrences all number
    1
    0
    0
    1
    4
    Eye disorders
    Dry eye
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 6 (33.33%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    9 / 127 (7.09%)
         occurrences all number
    0
    3
    0
    0
    12
    Eye inflammation
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    0 / 127 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Eyelash hypopigmentation
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    2 / 127 (1.57%)
         occurrences all number
    0
    1
    0
    0
    2
    Lacrimation increased
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    4 / 127 (3.15%)
         occurrences all number
    0
    1
    0
    1
    4
    Ocular hyperemia
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    3 / 127 (2.36%)
         occurrences all number
    0
    0
    1
    0
    3
    Periorbital edema
         subjects affected / exposed
    1 / 3 (33.33%)
    4 / 6 (66.67%)
    3 / 4 (75.00%)
    4 / 6 (66.67%)
    34 / 127 (26.77%)
         occurrences all number
    2
    13
    9
    9
    69
    Vision blurred
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    2 / 6 (33.33%)
    6 / 127 (4.72%)
         occurrences all number
    1
    0
    1
    2
    7
    Visual impairment
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    2 / 4 (50.00%)
    1 / 6 (16.67%)
    2 / 127 (1.57%)
         occurrences all number
    0
    1
    4
    1
    2
    Gastrointestinal disorders
    Abdominal distension
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 6 (33.33%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    14 / 127 (11.02%)
         occurrences all number
    0
    2
    0
    1
    16
    Abdominal pain
         subjects affected / exposed
    1 / 3 (33.33%)
    4 / 6 (66.67%)
    3 / 4 (75.00%)
    2 / 6 (33.33%)
    45 / 127 (35.43%)
         occurrences all number
    1
    9
    7
    7
    71
    Abdominal pain lower
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    2 / 127 (1.57%)
         occurrences all number
    0
    0
    0
    2
    4
    Abdominal pain upper
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    2 / 6 (33.33%)
    30 / 127 (23.62%)
         occurrences all number
    2
    0
    1
    3
    45
    Constipation
         subjects affected / exposed
    1 / 3 (33.33%)
    3 / 6 (50.00%)
    2 / 4 (50.00%)
    3 / 6 (50.00%)
    30 / 127 (23.62%)
         occurrences all number
    1
    4
    5
    4
    45
    Dental caries
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Diarrhea
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 6 (33.33%)
    3 / 4 (75.00%)
    4 / 6 (66.67%)
    33 / 127 (25.98%)
         occurrences all number
    0
    13
    7
    11
    50
    Dyspepsia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    1 / 4 (25.00%)
    2 / 6 (33.33%)
    15 / 127 (11.81%)
         occurrences all number
    0
    2
    1
    5
    21
    Dysphagia
         subjects affected / exposed
    1 / 3 (33.33%)
    1 / 6 (16.67%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences all number
    2
    1
    1
    0
    1
    Eructation
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences all number
    1
    0
    0
    0
    1
    Gastric ulcer
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Gastritis
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    6 / 127 (4.72%)
         occurrences all number
    0
    0
    0
    1
    6
    Gastroesophageal reflux disease
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    16 / 127 (12.60%)
         occurrences all number
    0
    0
    1
    0
    23
    Gastrointestinal pain
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    1
    1
    0
    0
    Hemorrhoidal hemorrhage
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    2
    0
    0
    0
    Nausea
         subjects affected / exposed
    2 / 3 (66.67%)
    5 / 6 (83.33%)
    4 / 4 (100.00%)
    5 / 6 (83.33%)
    86 / 127 (67.72%)
         occurrences all number
    7
    21
    18
    14
    247
    Oral pain
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    2 / 127 (1.57%)
         occurrences all number
    0
    1
    0
    0
    2
    Rectal hemorrhage
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 6 (33.33%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    2
    0
    0
    0
    Vomiting
         subjects affected / exposed
    0 / 3 (0.00%)
    3 / 6 (50.00%)
    3 / 4 (75.00%)
    4 / 6 (66.67%)
    52 / 127 (40.94%)
         occurrences all number
    0
    13
    5
    11
    141
    Hepatobiliary disorders
    Hepatic failure
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    Hepatic pain
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    2 / 4 (50.00%)
    1 / 6 (16.67%)
    7 / 127 (5.51%)
         occurrences all number
    0
    0
    4
    1
    10
    Skin and subcutaneous tissue disorders
    Alopecia
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    3 / 4 (75.00%)
    2 / 6 (33.33%)
    12 / 127 (9.45%)
         occurrences all number
    0
    0
    3
    2
    12
    Blister
         subjects affected / exposed
    1 / 3 (33.33%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    2 / 127 (1.57%)
         occurrences all number
    1
    1
    0
    1
    3
    Dermatitis acneiform
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    8 / 127 (6.30%)
         occurrences all number
    1
    0
    0
    1
    13
    Dermatitis allergic
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    2 / 127 (1.57%)
         occurrences all number
    0
    0
    0
    1
    3
    Dry skin
         subjects affected / exposed
    1 / 3 (33.33%)
    4 / 6 (66.67%)
    2 / 4 (50.00%)
    5 / 6 (83.33%)
    52 / 127 (40.94%)
         occurrences all number
    1
    5
    3
    9
    68
    Ephelides
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    2 / 127 (1.57%)
         occurrences all number
    0
    1
    0
    0
    2
    Erythema
         subjects affected / exposed
    1 / 3 (33.33%)
    4 / 6 (66.67%)
    3 / 4 (75.00%)
    2 / 6 (33.33%)
    22 / 127 (17.32%)
         occurrences all number
    1
    20
    19
    8
    33
    Generalized erythema
         subjects affected / exposed
    1 / 3 (33.33%)
    3 / 6 (50.00%)
    2 / 4 (50.00%)
    0 / 6 (0.00%)
    20 / 127 (15.75%)
         occurrences all number
    1
    3
    4
    0
    59
    Hair color changes
         subjects affected / exposed
    1 / 3 (33.33%)
    2 / 6 (33.33%)
    2 / 4 (50.00%)
    3 / 6 (50.00%)
    34 / 127 (26.77%)
         occurrences all number
    1
    2
    2
    7
    38
    Hyperhidrosis
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    4 / 127 (3.15%)
         occurrences all number
    0
    0
    0
    1
    4
    Miiaria
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    Nail discoloration
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    Night sweats
         subjects affected / exposed
    1 / 3 (33.33%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    3 / 127 (2.36%)
         occurrences all number
    1
    1
    0
    2
    3
    Pain of skin
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    3 / 127 (2.36%)
         occurrences all number
    0
    0
    2
    0
    3
    Palmar-plantar erythrodysesthesia syndrome
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    2 / 127 (1.57%)
         occurrences all number
    0
    0
    0
    1
    2
    Papule
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 6 (33.33%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences all number
    0
    9
    0
    0
    1
    Photosensitivity reaction
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    2 / 4 (50.00%)
    1 / 6 (16.67%)
    2 / 127 (1.57%)
         occurrences all number
    0
    1
    4
    1
    3
    Pruritus
         subjects affected / exposed
    3 / 3 (100.00%)
    4 / 6 (66.67%)
    4 / 4 (100.00%)
    6 / 6 (100.00%)
    87 / 127 (68.50%)
         occurrences all number
    6
    25
    18
    26
    206
    Pruritus generalized
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    22 / 127 (17.32%)
         occurrences all number
    0
    1
    0
    0
    70
    Psoriasis
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Purpura
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    Rash
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    2 / 4 (50.00%)
    2 / 6 (33.33%)
    42 / 127 (33.07%)
         occurrences all number
    0
    1
    4
    6
    88
    Rash erythematous
         subjects affected / exposed
    1 / 3 (33.33%)
    1 / 6 (16.67%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    6 / 127 (4.72%)
         occurrences all number
    2
    1
    1
    0
    7
    Rash generalized
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    30 / 127 (23.62%)
         occurrences all number
    0
    0
    1
    0
    63
    Rash macular
         subjects affected / exposed
    1 / 3 (33.33%)
    3 / 6 (50.00%)
    2 / 4 (50.00%)
    2 / 6 (33.33%)
    0 / 127 (0.00%)
         occurrences all number
    2
    9
    15
    5
    0
    Rash maculo-papular
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    51 / 127 (40.16%)
         occurrences all number
    0
    0
    0
    4
    121
    Rash papular
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    1 / 4 (25.00%)
    1 / 6 (16.67%)
    1 / 127 (0.79%)
         occurrences all number
    0
    1
    1
    1
    2
    Rash pruritic
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 6 (33.33%)
    1 / 4 (25.00%)
    1 / 6 (16.67%)
    5 / 127 (3.94%)
         occurrences all number
    0
    5
    12
    1
    18
    Scab
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    2 / 127 (1.57%)
         occurrences all number
    0
    0
    1
    0
    2
    Sensitive skin
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    Skin exfoliation
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    28 / 127 (22.05%)
         occurrences all number
    0
    1
    0
    0
    32
    Skin fissures
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences all number
    0
    1
    0
    0
    1
    Skin hyperpigmentation
         subjects affected / exposed
    1 / 3 (33.33%)
    3 / 6 (50.00%)
    2 / 4 (50.00%)
    0 / 6 (0.00%)
    21 / 127 (16.54%)
         occurrences all number
    1
    3
    2
    0
    22
    Skin hypopigmentation
         subjects affected / exposed
    0 / 3 (0.00%)
    3 / 6 (50.00%)
    0 / 4 (0.00%)
    2 / 6 (33.33%)
    25 / 127 (19.69%)
         occurrences all number
    0
    3
    0
    4
    31
    Skin irritation
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences all number
    0
    0
    1
    0
    1
    Skin lesion
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    6 / 127 (4.72%)
         occurrences all number
    0
    1
    0
    1
    6
    Skin mass
         subjects affected / exposed
    1 / 3 (33.33%)
    3 / 6 (50.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    11 / 127 (8.66%)
         occurrences all number
    2
    11
    0
    1
    15
    Skin ulcer
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Vitiligo
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    2 / 6 (33.33%)
    7 / 127 (5.51%)
         occurrences all number
    0
    0
    0
    2
    7
    Renal and urinary disorders
    Chromaturia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    Dysuria
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    2 / 6 (33.33%)
    3 / 127 (2.36%)
         occurrences all number
    0
    0
    0
    2
    4
    Nocturia
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Musculoskeletal and connective tissue disorders
    Ligament sprain
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Arthralgia
         subjects affected / exposed
    1 / 3 (33.33%)
    4 / 6 (66.67%)
    3 / 4 (75.00%)
    1 / 6 (16.67%)
    33 / 127 (25.98%)
         occurrences all number
    1
    7
    6
    2
    45
    Back pain
         subjects affected / exposed
    2 / 3 (66.67%)
    5 / 6 (83.33%)
    4 / 4 (100.00%)
    2 / 6 (33.33%)
    41 / 127 (32.28%)
         occurrences all number
    6
    24
    5
    4
    57
    Bone pain
         subjects affected / exposed
    1 / 3 (33.33%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    2 / 6 (33.33%)
    3 / 127 (2.36%)
         occurrences all number
    9
    5
    0
    2
    3
    Flank pain
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    4 / 127 (3.15%)
         occurrences all number
    0
    0
    0
    1
    5
    Muscle tightness
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    0
    11
    0
    Muscular weakness
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 6 (33.33%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    5 / 127 (3.94%)
         occurrences all number
    0
    2
    1
    0
    6
    Musculoskeletal chest pain
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    2 / 4 (50.00%)
    0 / 6 (0.00%)
    6 / 127 (4.72%)
         occurrences all number
    0
    4
    2
    0
    8
    Musculoskeletal pain
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 6 (33.33%)
    2 / 4 (50.00%)
    1 / 6 (16.67%)
    12 / 127 (9.45%)
         occurrences all number
    0
    10
    2
    2
    23
    Myalgia
         subjects affected / exposed
    3 / 3 (100.00%)
    3 / 6 (50.00%)
    1 / 4 (25.00%)
    1 / 6 (16.67%)
    23 / 127 (18.11%)
         occurrences all number
    5
    8
    5
    3
    33
    Neck pain
         subjects affected / exposed
    1 / 3 (33.33%)
    2 / 6 (33.33%)
    2 / 4 (50.00%)
    1 / 6 (16.67%)
    11 / 127 (8.66%)
         occurrences all number
    1
    3
    3
    2
    14
    Pain in extremity
         subjects affected / exposed
    1 / 3 (33.33%)
    4 / 6 (66.67%)
    3 / 4 (75.00%)
    2 / 6 (33.33%)
    19 / 127 (14.96%)
         occurrences all number
    1
    19
    10
    3
    33
    Pain in jaw
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    Infections and infestations
    Nail infection
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    Nasopharyngitis
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    13 / 127 (10.24%)
         occurrences all number
    0
    0
    0
    0
    18
    Oral herpes
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 6 (33.33%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    3 / 127 (2.36%)
         occurrences all number
    0
    2
    0
    0
    3
    Otitis media
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    Pharyngitis
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Sinusitis
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    7 / 127 (5.51%)
         occurrences all number
    0
    0
    0
    1
    7
    Skin infection
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences all number
    0
    1
    0
    0
    1
    Tinea pedis
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    0 / 127 (0.00%)
         occurrences all number
    0
    0
    0
    2
    0
    Tooth infection
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    1 / 127 (0.79%)
         occurrences all number
    0
    0
    1
    0
    1
    Upper respiratory tract infection
         subjects affected / exposed
    1 / 3 (33.33%)
    1 / 6 (16.67%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    11 / 127 (8.66%)
         occurrences all number
    2
    3
    2
    0
    16
    Urinary tract infection
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    16 / 127 (12.60%)
         occurrences all number
    0
    1
    0
    1
    18
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    1 / 3 (33.33%)
    4 / 6 (66.67%)
    0 / 4 (0.00%)
    2 / 6 (33.33%)
    32 / 127 (25.20%)
         occurrences all number
    1
    4
    0
    3
    45
    Dehydration
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    5 / 127 (3.94%)
         occurrences all number
    0
    0
    2
    0
    5
    Hyperglycemia
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    1 / 4 (25.00%)
    0 / 6 (0.00%)
    2 / 127 (1.57%)
         occurrences all number
    0
    0
    2
    0
    3
    Hyperkalemia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    3 / 6 (50.00%)
    4 / 127 (3.15%)
         occurrences all number
    0
    2
    0
    3
    4
    Hypermagnesemia
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    2 / 127 (1.57%)
         occurrences all number
    0
    0
    0
    1
    2
    Hypoalbuminemia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    5 / 127 (3.94%)
         occurrences all number
    0
    1
    0
    0
    6
    Hypocalcemia
         subjects affected / exposed
    1 / 3 (33.33%)
    1 / 6 (16.67%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    10 / 127 (7.87%)
         occurrences all number
    1
    2
    0
    0
    13
    Hypoglycemia
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    2 / 127 (1.57%)
         occurrences all number
    0
    0
    0
    2
    4
    Hypokalemia
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    2 / 127 (1.57%)
         occurrences all number
    1
    0
    0
    1
    4
    Hypomagnesemia
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 6 (0.00%)
    0 / 4 (0.00%)
    0 / 6 (0.00%)
    13 / 127 (10.24%)
         occurrences all number
    0
    0
    0
    0
    22
    Hypophosphatemia
         subjects affected / exposed
    1 / 3 (33.33%)
    2 / 6 (33.33%)
    0 / 4 (0.00%)
    1 / 6 (16.67%)
    14 / 127 (11.02%)
         occurrences all number
    1
    2
    0
    1
    25

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    08 Dec 2015
    Amendment 1 was issued to implement dosing changes in the intra-patient dose-escalation regimen in response to hypotension observed in the ongoing first-in-human (FIH) study.
    11 Jan 2016
    Amendment 2 was issued to implement monitoring changes for hypotension in the intra-patient dose escalation regimen.
    23 May 2016
    Amendment 3 was issued to implement a change in the definition of dose limiting toxicity (DLT) with respect to recent observations of transient elevations of hepatic transaminases, alanine aminotransferase (ALT), and aspartate aminotransferase (AST), in patients with uveal melanoma (UM) in the 2 ongoing Phase 1 trials with IMCgp100, the first-in-human (FIH) study (IMCgp100-01) and this UM Phase 1 study.
    07 Sep 2016
    Amendment 4 was issued to only enroll participants with HLA-A*0201 allele determined centrally.
    11 Apr 2017
    Amendment 5 was issued to update the nomenclature of the dose levels and the recommended Phase 2 dose (RP2D) of IMCgp100 utilizing the intra-patient escalation.
    15 Dec 2017
    Amendment 6 was issued primarily to transition the dose expansion cohort of the study to more formal Phase 2 testing in participants with metastatic uveal melanoma who are treated in the second or third line setting in this trial.
    26 Nov 2018
    Amendment 7 was issued to clarify the interim and final analysis that will be done to assess the efficacy of IMCgp100 in the Phase 2 expansion phase.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

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