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    Clinical Trial Results:
    A phase II study of the anti-PDL1 antibody atezolizumab, bevacizumab and acetylsalicylic acid to investigate safety and efficacy of this combination in recurrent platinum-resistant ovarian, fallopian tube or primary peritoneal adenocarcinoma

    Summary
    EudraCT number
    2015-004601-17
    Trial protocol
    ES   FR   NL   GB  
    Global end of trial date
    16 Feb 2022

    Results information
    Results version number
    v1(current)
    This version publication date
    03 Feb 2023
    First version publication date
    03 Feb 2023
    Other versions

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    1508-GCG
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02659384
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    EORTC
    Sponsor organisation address
    Avenue E. Mounier 83, Brussels, Belgium, 1200
    Public contact
    Clinical Operations Unit, European Organisation For Research and Treatment of Cancer (EORTC), 32 2774 10 15, regulatory@eortc.be
    Scientific contact
    Clinical Operations Unit, European Organisation For Research and Treatment of Cancer (EORTC), 32 2774 10 15, regulatory@eortc.be
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    22 Apr 2022
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    16 Feb 2022
    Global end of trial reached?
    Yes
    Global end of trial date
    16 Feb 2022
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective of the study is to evaluate the efficacy and safety of 5 different treatments involving atezolizumab, bevacizumab and/or acetylsalicylic acid in advanced recurrent platinum-resistant ovarian, fallopian tube or primary peritoneal cancer patients in order to select the optimal treatments for further development in phase III.
    Protection of trial subjects
    The study is conducted in agreement with the Declaration of Helsinki (available on the World Medical Association web site (http://www.wma.net)) and/or the laws and regulations of the participating countries, whichever provides the greatest protection of the patient. The protocol has been written, and the study conducted according to the ICH Harmonized Tripartite Guideline on Good Clinical Practice. The protocol was approved by the competent ethics committee(s) as required by the applicable national legislation. Safety data were reviewed within the EORTC Headquarters on a regular basis as part of the Medical Review process. Safety information was included in trial status reports which served as a basis of discussion during EORTC Group meetings.
    Background therapy
    None.
    Evidence for comparator
    Work from Coukos et al. as well as other groups has provided evidence that ovarian tumors are spontaneously recognized and attacked by the immune system in many patients, and that the presence of tumor-infiltrating lymphocytes (TILs) is associated with improved outcome. This suggests that immune therapy could produce substantial clinical benefits in ovarian cancer, which is supported by pilot clinical data. It has been demonstrated that increased levels of intratumoral VEGF are associated with absence of TILs in human ovarian cancer. Tumor endothelial cells express Fas ligand (FasL), killing activated lymphocytes and in particular effector cells while immune-suppressive regulatory T cells (Tregs) seem to be resistant to FasL induced cell death. In addition, expression of FasL on tumor endothelial cells was induced by prostaglandin E2 (PGE2) produced at high levels by tumor cells expressing COX1. The effect of PGE2 on FasL expression was further amplified by vascular endothelial growth factor A (VEGF-A), also produced by tumor cells. In several mouse tumor models the administration of acetylsalicylic acid (ASA) to irreversibly inhibit the constitutively expressed COX1 as well as the inducible COX2 combined with anti-VEGF antibody resulted in reduced tumor growth, which was associated and mediated by increased T cell infiltration. Thus, blockade of VEGF and PGE2 in ovarian cancer can reverse the endothelial barrier and allow T cell infiltration, which is expected to synergize with T cell activation by PD-L1 blockade. In the EORTC 1508 trial we propose to combine an anti-PDL1 antibody atezolizumab, to relieve suppression of effector T cells, with bevacizumab and the irreversible COX1/2 inhibitor ASA (acetlysalicyclic acid), with the goal to downregulate the expression of FasL on tumor endothelial cells, ablating the barrier that keeps effector lymphocytes out of the tumor.
    Actual start date of recruitment
    14 Oct 2016
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Spain: 10
    Country: Number of subjects enrolled
    United Kingdom: 30
    Country: Number of subjects enrolled
    France: 20
    Country: Number of subjects enrolled
    Switzerland: 26
    Country: Number of subjects enrolled
    Netherlands: 36
    Worldwide total number of subjects
    122
    EEA total number of subjects
    66
    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)
    66
    From 65 to 84 years
    56
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Between 22 December 2016 and 27 February 2020, 122 patients were recruited by 12 centers from 5 countries (Netherlands, United Kingdom, Switzerland, France and Spain).

    Pre-assignment
    Screening details
    Recurrent, histologically proven, platinum-resistant, epithelial ovarian cancer, fallopian tube and primary peritoneal cancer in advanced or metastatic stage. Age ≥18 years. Life expectancy of ≥ 12 weeks. Adequate hematologic and end organ function. Written informed consent must be given according to ICH/GCP, and national/local regulations.

    Period 1
    Period 1 title
    Overall study period (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded
    Blinding implementation details
    The trial design is partially blind. Only the ASA administration is masked from the patient and local staff through placebo use. The clinical trial administrative personnel (not at the local hospital) remains aware of the actual treatment arm allocation. Allocation of bevacizumab and atezolizumab is not blinded. This blinding system was implemented as ASA can be purchased by patients outside of the trial. Therefore blinding of ASA allocation was enforced to avoid self-medication by the patient.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    bevacizumab mono
    Arm description
    Bevacizumab 15 mg/kg q3w will be administered as bevacizumab monotherapy treatment and discontinued upon RECISTv1.1-documented progression or upon treatment withdrawal, whichever occurs first. Patients will cross-over to the combination of bevacizumab and atezolizumab upon progression as long as they meet cross-over criteria.
    Arm type
    Active comparator

    Investigational medicinal product name
    bevacizumab
    Investigational medicinal product code
    rhuMAb VEGF
    Other name
    Avastin
    Pharmaceutical forms
    Solution for injection/infusion
    Routes of administration
    Parenteral use
    Dosage and administration details
    Bevacizumab 15 mg/kg q3w will be administered as bevacizumab monotherapy treatment and discontinued upon RECISTv1.1-documented progression or upon treatment withdrawal, whichever occurs first.

    Arm title
    atezolizumab + placebo
    Arm description
    atezolizumab 1200 mg flat dose q3w will be administered together with placebo 320 mg/d as combination treatment and discontinued upon RECISTv1.1-documented progression or upon treatment withdrawal, whichever occurs first. Patients will cross-over to the combination of bevacizumab and atezolizumab upon progression as long as they meet cross-over criteria
    Arm type
    Active comparator

    Investigational medicinal product name
    Atezolizumab
    Investigational medicinal product code
    MPDL3280A
    Other name
    Tecentriq
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    atezolizumab 1200 mg flat dose q3w will be administered and discontinued upon RECISTv1.1-documented progression or upon treatment withdrawal, whichever occurs first.

    Arm title
    atezolizumab + ASA
    Arm description
    atezolizumab 1200 mg flat dose q3w will be administered together with ASA 320 mg/d as combination treatment and discontinued upon RECISTv1.1-documented progression or upon treatment withdrawal, whichever occurs first. Patients will cross-over to the combination of bevacizumab and atezolizumab upon progression as long as they meet cross-over criteria
    Arm type
    Active comparator

    Investigational medicinal product name
    Atezolizumab
    Investigational medicinal product code
    MPDL3280A
    Other name
    Tecentriq
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    atezolizumab 1200 mg flat dose q3w will be administered and discontinued upon RECISTv1.1-documented progression or upon treatment withdrawal, whichever occurs first.

    Arm title
    atezolizumab + bevacizumab + placebo
    Arm description
    atezolizumab 1200 mg flat dose q3w will be administered together with bevacizumab 15 mg/kg q3w and placebo 320 mg/d as combination treatment and discontinued upon treatment failure or upon treatment withdrawal, whichever occurs first. Patients then go off protocol treatment and further treatment is left to the investigator’s decision.
    Arm type
    Active comparator

    Investigational medicinal product name
    bevacizumab
    Investigational medicinal product code
    rhuMAb VEGF
    Other name
    Avastin
    Pharmaceutical forms
    Solution for injection/infusion
    Routes of administration
    Parenteral use
    Dosage and administration details
    Bevacizumab 15 mg/kg q3w will be administered as bevacizumab monotherapy treatment and discontinued upon RECISTv1.1-documented progression or upon treatment withdrawal, whichever occurs first.

    Investigational medicinal product name
    Atezolizumab
    Investigational medicinal product code
    MPDL3280A
    Other name
    Tecentriq
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    atezolizumab 1200 mg flat dose q3w will be administered and discontinued upon RECISTv1.1-documented progression or upon treatment withdrawal, whichever occurs first.

    Arm title
    atezolizumab + bevacizumab + ASA
    Arm description
    atezolizumab 1200 mg flat dose q3w will be administered together with bevacizumab 15 mg/kg q3w and ASA 320 mg/d as combination treatment and discontinued upon treatment failure or upon treatment withdrawal, whichever occurs first. Patients then go off protocol treatment and further treatment is left to the investigator’s decision.
    Arm type
    Active comparator

    Investigational medicinal product name
    bevacizumab
    Investigational medicinal product code
    rhuMAb VEGF
    Other name
    Avastin
    Pharmaceutical forms
    Solution for injection/infusion
    Routes of administration
    Parenteral use
    Dosage and administration details
    Bevacizumab 15 mg/kg q3w will be administered as bevacizumab monotherapy treatment and discontinued upon RECISTv1.1-documented progression or upon treatment withdrawal, whichever occurs first.

    Investigational medicinal product name
    Atezolizumab
    Investigational medicinal product code
    MPDL3280A
    Other name
    Tecentriq
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    atezolizumab 1200 mg flat dose q3w will be administered and discontinued upon RECISTv1.1-documented progression or upon treatment withdrawal, whichever occurs first.

    Number of subjects in period 1
    bevacizumab mono atezolizumab + placebo atezolizumab + ASA atezolizumab + bevacizumab + placebo atezolizumab + bevacizumab + ASA
    Started
    33
    11
    13
    32
    33
    Completed
    33
    11
    13
    32
    33

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    bevacizumab mono
    Reporting group description
    Bevacizumab 15 mg/kg q3w will be administered as bevacizumab monotherapy treatment and discontinued upon RECISTv1.1-documented progression or upon treatment withdrawal, whichever occurs first. Patients will cross-over to the combination of bevacizumab and atezolizumab upon progression as long as they meet cross-over criteria.

    Reporting group title
    atezolizumab + placebo
    Reporting group description
    atezolizumab 1200 mg flat dose q3w will be administered together with placebo 320 mg/d as combination treatment and discontinued upon RECISTv1.1-documented progression or upon treatment withdrawal, whichever occurs first. Patients will cross-over to the combination of bevacizumab and atezolizumab upon progression as long as they meet cross-over criteria

    Reporting group title
    atezolizumab + ASA
    Reporting group description
    atezolizumab 1200 mg flat dose q3w will be administered together with ASA 320 mg/d as combination treatment and discontinued upon RECISTv1.1-documented progression or upon treatment withdrawal, whichever occurs first. Patients will cross-over to the combination of bevacizumab and atezolizumab upon progression as long as they meet cross-over criteria

    Reporting group title
    atezolizumab + bevacizumab + placebo
    Reporting group description
    atezolizumab 1200 mg flat dose q3w will be administered together with bevacizumab 15 mg/kg q3w and placebo 320 mg/d as combination treatment and discontinued upon treatment failure or upon treatment withdrawal, whichever occurs first. Patients then go off protocol treatment and further treatment is left to the investigator’s decision.

    Reporting group title
    atezolizumab + bevacizumab + ASA
    Reporting group description
    atezolizumab 1200 mg flat dose q3w will be administered together with bevacizumab 15 mg/kg q3w and ASA 320 mg/d as combination treatment and discontinued upon treatment failure or upon treatment withdrawal, whichever occurs first. Patients then go off protocol treatment and further treatment is left to the investigator’s decision.

    Reporting group values
    bevacizumab mono atezolizumab + placebo atezolizumab + ASA atezolizumab + bevacizumab + placebo atezolizumab + bevacizumab + ASA Total
    Number of subjects
    33 11 13 32 33 122
    Age categorical
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    18 2 8 20 18 66
        From 65-84 years
    15 9 5 12 15 56
    Age continuous
    Age continuous
    Units: years
        median (full range (min-max))
    64 (36 to 75) 70 (47 to 80) 60 (43 to 78) 59.5 (40 to 80) 63 (40 to 82) -
    Gender categorical
    Gender categorical
    Units: Subjects
        Female
    33 11 13 32 33 122
        Male
    0 0 0 0 0 0
    WHO PS
    WHO performance status
    Units: Subjects
        WHO PS 0
    14 5 7 13 23 62
        WHO PS 1
    19 6 5 19 10 59
        WHO PS 2
    0 0 1 0 0 1
    Primary tumour site
    Primary tumour site
    Units: Subjects
        ovary
    25 9 10 30 26 100
        fallopian tube
    3 1 1 2 4 11
        peritoneum
    5 1 2 0 2 10
        other
    0 0 0 0 1 1
    FIGO stage
    FIGO stage
    Units: Subjects
        FIGO I
    1 1 1 1 0 4
        FIGO II
    1 0 0 2 1 4
        FIGO III
    22 6 7 21 19 75
        FIGO IV
    9 4 5 7 13 38
        Unknown
    0 0 0 1 0 1
    Months since initial diagnosis
    Time in months between initial diagnosis of the primary cancer and date of randomization
    Units: months
        median (full range (min-max))
    44.0 (9.5 to 117.8) 52.5 (26.8 to 131.9) 41.9 (27.0 to 74.2) 44.8 (23.9 to 133.7) 39.8 (17.4 to 135.0) -
    Subject analysis sets

    Subject analysis set title
    ITT set
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    All randomized patients according to allocated treatment arm

    Subject analysis set title
    PFS6 analysis set
    Subject analysis set type
    Modified intention-to-treat
    Subject analysis set description
    The primary endpoint was the progression free survival rate at 6 months (PFS-6) defined as the number of patients who are alive and without confirmed progression at month 6 + 1 week after randomization divided by the number of patients known to be alive or dead at month 6 + 1 week after randomization per treatment arm. Two randomized patients with incomplete follow-up prior to month 6 are excluded from the PFS-6 endpoint: one patient withdrew consent at the time of randomization and received no protocol treatment. A second patient received an immunosuppressor (tocilizumab) due to toxicity, which is a medication prohibited by the protocol. This patient was lost-to-follow-up shortly thereafter. Patients included in the Atezolizumab+ASA and Atezolizumab+Placebo arms are excluded as these arms were closed prematurely due to inefficiency.

    Subject analysis sets values
    ITT set PFS6 analysis set
    Number of subjects
    122
    96
    Age categorical
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    66
        From 65-84 years
    56
    Age continuous
    Age continuous
    Units: years
        median (full range (min-max))
    62.5 (36 to 82)
    Gender categorical
    Gender categorical
    Units: Subjects
        Female
    122
        Male
    0
    WHO PS
    WHO performance status
    Units: Subjects
        WHO PS 0
    62
    49
        WHO PS 1
    59
    47
        WHO PS 2
    1
    0
    Primary tumour site
    Primary tumour site
    Units: Subjects
        ovary
    100
    79
        fallopian tube
    11
    9
        peritoneum
    10
    7
        other
    1
    1
    FIGO stage
    FIGO stage
    Units: Subjects
        FIGO I
    4
    2
        FIGO II
    4
    4
        FIGO III
    75
    61
        FIGO IV
    38
    28
        Unknown
    1
    1
    Months since initial diagnosis
    Time in months between initial diagnosis of the primary cancer and date of randomization
    Units: months
        median (full range (min-max))
    43.3 (9.5 to 135.0)
    43.3 (15.6 to 135.0)

    End points

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    End points reporting groups
    Reporting group title
    bevacizumab mono
    Reporting group description
    Bevacizumab 15 mg/kg q3w will be administered as bevacizumab monotherapy treatment and discontinued upon RECISTv1.1-documented progression or upon treatment withdrawal, whichever occurs first. Patients will cross-over to the combination of bevacizumab and atezolizumab upon progression as long as they meet cross-over criteria.

    Reporting group title
    atezolizumab + placebo
    Reporting group description
    atezolizumab 1200 mg flat dose q3w will be administered together with placebo 320 mg/d as combination treatment and discontinued upon RECISTv1.1-documented progression or upon treatment withdrawal, whichever occurs first. Patients will cross-over to the combination of bevacizumab and atezolizumab upon progression as long as they meet cross-over criteria

    Reporting group title
    atezolizumab + ASA
    Reporting group description
    atezolizumab 1200 mg flat dose q3w will be administered together with ASA 320 mg/d as combination treatment and discontinued upon RECISTv1.1-documented progression or upon treatment withdrawal, whichever occurs first. Patients will cross-over to the combination of bevacizumab and atezolizumab upon progression as long as they meet cross-over criteria

    Reporting group title
    atezolizumab + bevacizumab + placebo
    Reporting group description
    atezolizumab 1200 mg flat dose q3w will be administered together with bevacizumab 15 mg/kg q3w and placebo 320 mg/d as combination treatment and discontinued upon treatment failure or upon treatment withdrawal, whichever occurs first. Patients then go off protocol treatment and further treatment is left to the investigator’s decision.

    Reporting group title
    atezolizumab + bevacizumab + ASA
    Reporting group description
    atezolizumab 1200 mg flat dose q3w will be administered together with bevacizumab 15 mg/kg q3w and ASA 320 mg/d as combination treatment and discontinued upon treatment failure or upon treatment withdrawal, whichever occurs first. Patients then go off protocol treatment and further treatment is left to the investigator’s decision.

    Subject analysis set title
    ITT set
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    All randomized patients according to allocated treatment arm

    Subject analysis set title
    PFS6 analysis set
    Subject analysis set type
    Modified intention-to-treat
    Subject analysis set description
    The primary endpoint was the progression free survival rate at 6 months (PFS-6) defined as the number of patients who are alive and without confirmed progression at month 6 + 1 week after randomization divided by the number of patients known to be alive or dead at month 6 + 1 week after randomization per treatment arm. Two randomized patients with incomplete follow-up prior to month 6 are excluded from the PFS-6 endpoint: one patient withdrew consent at the time of randomization and received no protocol treatment. A second patient received an immunosuppressor (tocilizumab) due to toxicity, which is a medication prohibited by the protocol. This patient was lost-to-follow-up shortly thereafter. Patients included in the Atezolizumab+ASA and Atezolizumab+Placebo arms are excluded as these arms were closed prematurely due to inefficiency.

    Primary: PFS at 6 months

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    End point title
    PFS at 6 months
    End point description
    The primary endpoint is PFS at 6 months (PFS-6) as assessed by the local investigator according to RECIST 1.1. This is defined as the number of patients who are alive and without confirmed progression at month 6 + 1 week after randomization divided by the number of patients known to be alive or dead at month 6 + 1 week after randomization per treatment arm. Patients with incomplete follow-up prior to month 6 are not included.
    End point type
    Primary
    End point timeframe
    6 months after randomization
    End point values
    bevacizumab mono atezolizumab + placebo atezolizumab + ASA atezolizumab + bevacizumab + placebo atezolizumab + bevacizumab + ASA PFS6 analysis set
    Number of subjects analysed
    32
    11
    13
    32
    32
    96
    Units: patients
        Alive without progression
    7
    1
    3
    8
    8
    23
        Dead or progressed
    25
    10
    10
    24
    24
    73
    Statistical analysis title
    A'hern test for bevacizumab mono
    Statistical analysis description
    In order to consider a treatment arm successful, an increase from 30% to 50% PFS-6 would need to be observed within that arm. An A’hern design will first be applied within each arm independently which would require at least 12 out of 29 patients alive and progression-free at month 6.
    Comparison groups
    bevacizumab mono v PFS6 analysis set
    Number of subjects included in analysis
    128
    Analysis specification
    Pre-specified
    Analysis type
    other [1]
    P-value
    < 0.15 [2]
    Method
    binary decision rule
    Parameter type
    proportion
    Point estimate
    24.1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    10.3
         upper limit
    43.5
    Notes
    [1] - In order to consider a treatment arm successful, an increase from 30% to 50% PFS-6 would need to be observed within that arm. An A’hern design will first be applied within each arm independently which would require at least 12 out of 29 patients alive and progression-free at month 6. This decision rule was applied to the first 29 patients in each arm.
    [2] - An A’hern design was applied within each arm independently to test the null hypothesis (H0: PFS-6 = 30%) against the alternative (H1: PFS-6 = 50%) at 1-sided 15% significance level and 85% power.
    Statistical analysis title
    A'hern test for Bevacizumab+Atezolizumab+Placebo
    Statistical analysis description
    In order to consider a treatment arm successful, an increase from 30% to 50% PFS-6 would need to be observed within that arm. An A’hern design will first be applied within each arm independently which would require at least 12 out of 29 patients alive and progression-free at month 6.
    Comparison groups
    atezolizumab + bevacizumab + placebo v PFS6 analysis set
    Number of subjects included in analysis
    128
    Analysis specification
    Pre-specified
    Analysis type
    other [3]
    P-value
    < 0.15 [4]
    Method
    binary decision rule
    Parameter type
    proportion
    Point estimate
    20.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    8
         upper limit
    39.7
    Notes
    [3] - In order to consider a treatment arm successful, an increase from 30% to 50% PFS-6 would need to be observed within that arm. An A’hern design will first be applied within each arm independently which would require at least 12 out of 29 patients alive and progression-free at month 6. This decision rule was applied to the first 29 patients in each arm.
    [4] - An A’hern design was applied within each arm independently to test the null hypothesis (H0: PFS-6 = 30%) against the alternative (H1: PFS-6 = 50%) at 1-sided 15% significance level and 85% power.
    Statistical analysis title
    A'hern test for Bevacizumab+Atezolizumab+ASA
    Statistical analysis description
    In order to consider a treatment arm successful, an increase from 30% to 50% PFS-6 would need to be observed within that arm. An A’hern design will first be applied within each arm independently which would require at least 12 out of 29 patients alive and progression-free at month 6.
    Comparison groups
    atezolizumab + bevacizumab + ASA v PFS6 analysis set
    Number of subjects included in analysis
    128
    Analysis specification
    Pre-specified
    Analysis type
    other [5]
    P-value
    < 0.15 [6]
    Method
    binary decision rule
    Parameter type
    proportion
    Point estimate
    27.6
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    12.7
         upper limit
    47.2
    Notes
    [5] - In order to consider a treatment arm successful, an increase from 30% to 50% PFS-6 would need to be observed within that arm. An A’hern design will first be applied within each arm independently which would require at least 12 out of 29 patients alive and progression-free at month 6. This decision rule was applied to the first 29 patients in each arm.
    [6] - An A’hern design was applied within each arm independently to test the null hypothesis (H0: PFS-6 = 30%) against the alternative (H1: PFS-6 = 50%) at 1-sided 15% significance level and 85% power.

    Secondary: PFS

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    End point title
    PFS
    End point description
    Progression-free survival (PFS) is defined as the time between the date of randomization and the date of first documented progression or death (whatever the cause), whichever occurs first. For patients who remain alive and whose disease has not recurred, PFS will be censored on the date of last visit/contact with disease assessments. PFS will be based on the disease assessment or date of death provided by the local investigator.
    End point type
    Secondary
    End point timeframe
    From randomization to end of trial completion.
    End point values
    bevacizumab mono atezolizumab + placebo atezolizumab + ASA atezolizumab + bevacizumab + placebo atezolizumab + bevacizumab + ASA
    Number of subjects analysed
    33
    11
    13
    32
    33
    Units: months
        median (confidence interval 95%)
    2.3 (2.0 to 4.1)
    2.1 (0.9 to 2.5)
    2.2 (1.5 to 4.2)
    4.1 (2.2 to 5.4)
    4.0 (2.3 to 5.7)
    Statistical analysis title
    PFS: Bev mono vs Bev+Ate+Pbo
    Statistical analysis description
    Comparison of the progression free survival in the Bevacizumab + Atezolizumab + Placebo arm to the Bevacizumab monotherapy arm.
    Comparison groups
    bevacizumab mono v atezolizumab + bevacizumab + placebo
    Number of subjects included in analysis
    65
    Analysis specification
    Pre-specified
    Analysis type
    superiority [7]
    P-value
    = 0.801 [8]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.84
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.5
         upper limit
    1.38
    Notes
    [7] - Comparison of the progression free survival in the Bevacizumab + Atezolizumab + Placebo arm to the Bevacizumab monotherapy arm.
    [8] - Logrank test
    Statistical analysis title
    PFS: Bev mono vs Bev+Ate+ASA
    Statistical analysis description
    Comparison of the progression free survival in the Bevacizumab + Atezolizumab + ASA arm to the Bevacizumab monotherapy arm.
    Comparison groups
    atezolizumab + bevacizumab + ASA v bevacizumab mono
    Number of subjects included in analysis
    66
    Analysis specification
    Pre-specified
    Analysis type
    superiority [9]
    P-value
    = 0.561 [10]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.81
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.49
         upper limit
    1.34
    Notes
    [9] - Comparison of the progression free survival in the Bevacizumab + Atezolizumab + ASA arm to the Bevacizumab monotherapy arm.
    [10] - Logrank test

    Secondary: Overall survival

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    End point title
    Overall survival
    End point description
    Overall survival (OS) is defined as the time from the date of randomization to the date of death, whatever the cause. The follow-up of patients still alive will be censored at the moment of last visit/contact.
    End point type
    Secondary
    End point timeframe
    From randomization until end of trial completion
    End point values
    bevacizumab mono atezolizumab + placebo atezolizumab + ASA atezolizumab + bevacizumab + placebo atezolizumab + bevacizumab + ASA
    Number of subjects analysed
    33
    11
    13
    32
    33
    Units: months
        median (confidence interval 95%)
    10.4 (5.6 to 13.0)
    9.6 (2.4 to 21.7)
    16.2 (1.8 to 31.1)
    12.1 (6.0 to 14.1)
    11.6 (8.8 to 24.7)
    Statistical analysis title
    OS: Bev mono vs Bev+Ate+Pbo
    Statistical analysis description
    Comparison of the overall survival in the Bevacizumab + Atezolizumab + Placebo to the Bevacizumab monotherapy arm.
    Comparison groups
    bevacizumab mono v atezolizumab + bevacizumab + placebo
    Number of subjects included in analysis
    65
    Analysis specification
    Pre-specified
    Analysis type
    superiority [11]
    P-value
    = 0.752 [12]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.88
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.49
         upper limit
    1.6
    Notes
    [11] - Comparison of the overall survival in the Bevacizumab + Atezolizumab + Placebo to the Bevacizumab monotherapy arm.
    [12] - Logrank test
    Statistical analysis title
    OS: Bev mono vs Bev+Ate+ASA
    Statistical analysis description
    Comparison of the overall survival in the Bevacizumab + Atezolizumab + ASA to the Bevacizumab monotherapy arm.
    Comparison groups
    bevacizumab mono v atezolizumab + bevacizumab + ASA
    Number of subjects included in analysis
    66
    Analysis specification
    Pre-specified
    Analysis type
    superiority [13]
    P-value
    = 0.2 [14]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.73
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.4
         upper limit
    1.32
    Notes
    [13] - Comparison of the overall survival in the Bevacizumab + Atezolizumab + ASA to the Bevacizumab monotherapy arm.
    [14] - Logrank test

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse events were recorded as they occur and graded according to the CTCAE version 4.0 from time of first protocol treatment administration until 30 days after last protocol treatment or if deemed related to study participation.
    Adverse event reporting additional description
    AEs are evaluated using CTCAE v4 grading, SAEs using MedDra. AEs were also derived from laboratory toxicities if grade ≥3 and all laboratory toxicities that triggered a treatment modification, if not reported on an AE form, were added.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    24
    Reporting groups
    Reporting group title
    Safety population Bev mono arm
    Reporting group description
    All patients who have started their allocated treatment (at least one dose) in the Bevacizumab monotherapy arm.

    Reporting group title
    Safety population Bev+Ate+ASA
    Reporting group description
    All patients who have started their allocated treatment (at least one dose) in the Bevacizumab + Atezolizumab + ASA arm.

    Reporting group title
    Safety population Bev+Ate+Pbo
    Reporting group description
    All patients who have started their allocated treatment (at least one dose) in the Bevacizumab + Atezolizumab + Placebo arm.

    Serious adverse events
    Safety population Bev mono arm Safety population Bev+Ate+ASA Safety population Bev+Ate+Pbo
    Total subjects affected by serious adverse events
         subjects affected / exposed
    15 / 31 (48.39%)
    14 / 33 (42.42%)
    12 / 31 (38.71%)
         number of deaths (all causes)
    22
    22
    21
         number of deaths resulting from adverse events
    2
    0
    2
    Investigations
    ALANINE AMINOTRANSFERASE INCREASED
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    ASPARTATE AMINOTRANSFERASE INCREASED
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    BLOOD BILIRUBIN INCREASED
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    PLATELET COUNT DECREASED
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    WHITE BLOOD CELL COUNT DECREASED
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    FRACTURE
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    ATRIAL FIBRILATION
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    CARDIAC ARREST
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    CARDIAC DISORDER, OTHER : CORONARY SPASM
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    HEART FAILURE
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    MYOCARDITIS
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    DEPRESSED LEVEL OF CONSCIOUNESS
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    ENCEPHALOPATHY
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    ANAEMIA
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    FATIGUE
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    FEVER
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    1 / 33 (3.03%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    FLU LIKE SYMPTOMS
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    2 / 33 (6.06%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Immune system disorders
    AUTOIMMUNE DISORDER
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    4 / 4
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    AUTOIMMUNE TOXICITY
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    CHECKPOINT INHIBITOR IMMUNE INDUCED ENCEPHALITIS
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    CYTOKINE RELEASE SYNDROME
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    ABDOMINAL PAIN
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    2 / 33 (6.06%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    ANAL HAEMORRHAGE
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    BOWEL OBSTRUCTION
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    COLITIS
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    COLONIC PERFORATION
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    COLONIC ULCER
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    CONSTIPATION
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    DIARRHEA
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    GASTRIC HEMORRHAGE
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    GASTRITIS
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    GASTROINTESTINAL DISORDER, OTHER: COPROSTASIS
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    GASTROINTESTINAL DISORDER, OTHER: SMALL BOWEL PERFORATION
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    GASTROINTESTINAL DISORDER, OTHER: SMALL INTESTINAL OBSTRUCTION
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    GASTROINTESTINAL DISORDERS, OTHER : GASTROENTERITIS
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    GASTROINTESTINAL FISTULA
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    ILEAL PERFORATION
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    NAUSEA
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    RECTAL PAIN
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    SMALL INTESTINAL STENOSIS
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    VOMITING
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    DYSPNEA
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    2 / 31 (6.45%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    PLEURITIC PAIN
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    PNEUMONITIS
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    PULMONARY EDEMA
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    Renal and urinary disorders
    ACUTE KIDNEY INJURY
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    HYDRONEPHROSIS
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    URINAY RETENTION
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    BACK PAIN
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    ABDOMINAL INFECTION
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    2 / 33 (6.06%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    COVID-19 INFECTION
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    FLU LIKE SYMPTOMS
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    INFECTIOUS PNEUMONITIS
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    LUNG INFECTION
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    2 / 31 (6.45%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    PELVIC INFECTION
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    PERITONEAL INFECTION
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    SEPSIS
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    3 / 31 (9.68%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    STOMA SITE INFECTION
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    URINARY TRACT INFECTION
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    1 / 31 (3.23%)
    1 / 33 (3.03%)
    4 / 31 (12.90%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    1 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    VAGINAL INFECTION
    alternative dictionary used: MedDRA 24
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Safety population Bev mono arm Safety population Bev+Ate+ASA Safety population Bev+Ate+Pbo
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    31 / 31 (100.00%)
    33 / 33 (100.00%)
    31 / 31 (100.00%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    NEOPLASMS BENIGN - OTHER, BILATERAL BREAST NODULES
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    NEOPLASMS BENIGN - OTHER, PITUITARY CYSTIC LESION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    TUMOR PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    2 / 31 (6.45%)
         occurrences all number
    0
    1
    2
    TUMOUR PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    Vascular disorders
    FINGERS PERIPHERAL VASOCONSTRICTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    HEMATOMA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    1 / 31 (3.23%)
         occurrences all number
    0
    1
    1
    HOT FLASHES
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    0 / 33 (0.00%)
    3 / 31 (9.68%)
         occurrences all number
    2
    0
    4
    HYPERTENSION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    11 / 31 (35.48%)
    10 / 33 (30.30%)
    9 / 31 (29.03%)
         occurrences all number
    23
    37
    23
    LYMPHEDEMA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    OCCLUSIVE SYNDROME
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    THROMBOEMBOLIC EVENT
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    VASCULAR DISORDERS - OTHER, CYANOSIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    VASCULAR DISORDERS - OTHER, PROMINENT CHEST VEINS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    General disorders and administration site conditions
    ABDOMINAL PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    3
    0
    0
    ASTENIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    ASTHENIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    2 / 31 (6.45%)
         occurrences all number
    0
    0
    2
    EDEMA LIMBS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    4 / 31 (12.90%)
    4 / 33 (12.12%)
    6 / 31 (19.35%)
         occurrences all number
    4
    4
    7
    EDEMA RIGHT LOWER LIMB
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    FATIGUE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    21 / 31 (67.74%)
    16 / 33 (48.48%)
    17 / 31 (54.84%)
         occurrences all number
    33
    26
    24
    FEVER
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    6 / 31 (19.35%)
    12 / 33 (36.36%)
    5 / 31 (16.13%)
         occurrences all number
    10
    20
    6
    FLU LIKE SYMPTOMS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    5 / 31 (16.13%)
    7 / 33 (21.21%)
    4 / 31 (12.90%)
         occurrences all number
    6
    11
    5
    GAIT DISTURBANCE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    GENERAL DISORDERS - OTHER, ARM DISCOMFORT
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    GENERAL DISORDERS - OTHER, NIGHT SWEATS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    INFUSION RELATED REACTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    0 / 33 (0.00%)
    2 / 31 (6.45%)
         occurrences all number
    2
    0
    2
    INFUSION SITE EXTRAVASATION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    INGUINAL PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    INJECTION SITE REACTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    LOCALIZED EDEMA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    MALAISE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    2
    0
    1
    NIGHT SWEAT
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    NON-CARDIAC CHEST PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    2 / 33 (6.06%)
    0 / 31 (0.00%)
         occurrences all number
    0
    2
    0
    PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    3 / 31 (9.68%)
    1 / 33 (3.03%)
    2 / 31 (6.45%)
         occurrences all number
    3
    1
    2
    PERIPHERAL EDEMA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    SHIVERING
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    WEIGHT GAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    WEIGT LOSS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    Immune system disorders
    ALLERGIC REACTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    1 / 33 (3.03%)
    2 / 31 (6.45%)
         occurrences all number
    3
    1
    3
    AUTOIMMUNE DISORDER
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    3 / 33 (9.09%)
    1 / 31 (3.23%)
         occurrences all number
    1
    6
    1
    AUTOIMMUNE TOXICITY
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    CHECKPOINT INHIBITOR IMMUNE INDUCED ENCEPHALITIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    CYTOKINE RELEASE SYNDROME
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    Reproductive system and breast disorders
    BREAST DISORDERS - OTHER, THICKNESS OF L BREAST
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    BREAST DISORDERS, OTHER - BREAST HARDENING (L)
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    REPRODUCTIVE SYSTEM DISORDERS - OTHER, VULVAR MUCOSITIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    UTERINE HEMORRHAGE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    2
    0
    VAGINAL DISCHARGE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    VAGINAL DRYNESS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    VAGINAL HEMORRAGE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    VAGINAL HEMORRHAGE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    2
    3
    0
    Respiratory, thoracic and mediastinal disorders
    ALLERGIC RHINITIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    2 / 31 (6.45%)
         occurrences all number
    0
    1
    2
    ATELECTASIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    BREATHLESSNESS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    2
    COUGH
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    7 / 31 (22.58%)
    5 / 33 (15.15%)
    4 / 31 (12.90%)
         occurrences all number
    7
    5
    6
    DYSPNEA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    13 / 31 (41.94%)
    8 / 33 (24.24%)
    8 / 31 (25.81%)
         occurrences all number
    16
    9
    8
    EPISTAXIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    4 / 31 (12.90%)
    1 / 33 (3.03%)
    2 / 31 (6.45%)
         occurrences all number
    4
    3
    2
    HICCUPS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    HOARSENESS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    3 / 31 (9.68%)
    8 / 33 (24.24%)
    6 / 31 (19.35%)
         occurrences all number
    3
    8
    6
    INFECTION UPPER RESPIRATORY
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    LARYNGEAL INFLAMMATION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    NASAL CONGESTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    PLEURAL EFFUSION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    PLEURITIC PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    3 / 31 (9.68%)
         occurrences all number
    0
    0
    3
    PNEUMONITIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    3
    0
    0
    PRODUCTIVE COUGH
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    PULMONARY EDEMA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    'RESPIRATORY, THORACIC AND MEDIASTINAL DISORDERS - OTHER
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    RHINORRHEA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    SORE THROAT
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    2 / 33 (6.06%)
    0 / 31 (0.00%)
         occurrences all number
    2
    2
    0
    Psychiatric disorders
    ANXIETY
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    3 / 31 (9.68%)
    2 / 33 (6.06%)
    0 / 31 (0.00%)
         occurrences all number
    3
    2
    0
    CONFUSION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    2 / 31 (6.45%)
         occurrences all number
    2
    0
    2
    DEPRESSION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    HALLUCINATIONS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    INSOMNIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    4 / 31 (12.90%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    4
    0
    1
    Investigations
    ALANINE AMINOTRANSERASE INCREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    ALANINE AMINOTRANSFERASE INCREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    4 / 33 (12.12%)
    3 / 31 (9.68%)
         occurrences all number
    4
    4
    4
    ALKALINE PHOSPHATASE INCREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    3 / 31 (9.68%)
    4 / 33 (12.12%)
    0 / 31 (0.00%)
         occurrences all number
    9
    5
    0
    ALP INCREASE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    ALT INCREASE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    2
    AMYLASE INCREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    1
    0
    1
    APTT INCREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    ASPARTATE AMINOTRANSFERASE INCREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    4 / 33 (12.12%)
    5 / 31 (16.13%)
         occurrences all number
    3
    6
    5
    AST INCREASE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    BLOOD BILIRUBIN INCREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    2
    0
    0
    CARDIAC TROPONIN T INCREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    CREATININE INCREASE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    2
    0
    1
    CREATININE INCREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    1 / 33 (3.03%)
    1 / 31 (3.23%)
         occurrences all number
    4
    1
    1
    CRP INCREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    FOLATE DEFICIT
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    GGT INCREASE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    2 / 31 (6.45%)
         occurrences all number
    0
    0
    3
    GGT INCREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    4
    3
    0
    HYPERKALEMIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    INVESTIGATION OTHER: WHITE BLOOD CELL INCREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    INVESTIGATIONS - OTHER, PT DECREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    LDH INCREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    LIPASE INCREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    5 / 33 (15.15%)
    3 / 31 (9.68%)
         occurrences all number
    3
    6
    5
    LYMPHOCYTE COUNT DECREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    5 / 33 (15.15%)
    1 / 31 (3.23%)
         occurrences all number
    3
    13
    2
    LYMPHOCYTES COUNT DECREASE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    LYMPHOPENIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    2 / 31 (6.45%)
         occurrences all number
    0
    0
    2
    NEUTROPHIL COUNT DECREASE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    2
    PLATELET COUNT DECREASE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    2 / 31 (6.45%)
         occurrences all number
    0
    0
    3
    NEUTROPHIL COUNT DECREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    3 / 33 (9.09%)
    2 / 31 (6.45%)
         occurrences all number
    1
    5
    7
    PLATELET COUNT DECREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    5 / 33 (15.15%)
    6 / 31 (19.35%)
         occurrences all number
    2
    7
    9
    WEIGH LOSS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    SERUM AMYLASE INCREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    5 / 33 (15.15%)
    4 / 31 (12.90%)
         occurrences all number
    3
    6
    5
    WEIGHT GAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    1 / 33 (3.03%)
    4 / 31 (12.90%)
         occurrences all number
    1
    1
    6
    WEIGHT LOSS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    12 / 31 (38.71%)
    7 / 33 (21.21%)
    11 / 31 (35.48%)
         occurrences all number
    16
    16
    17
    WHITE BLOOD CELL COUNT DECREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    WHITE BLOOD CELLS DECREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    WHITE BLOOD CELL DECREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    4 / 33 (12.12%)
    3 / 31 (9.68%)
         occurrences all number
    0
    7
    5
    Injury, poisoning and procedural complications
    BRUISING
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    2 / 33 (6.06%)
    0 / 31 (0.00%)
         occurrences all number
    1
    2
    0
    FRACTURE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    Cardiac disorders
    ATRIAL FIBRILATION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    CARDIAC ARREST
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    CARDIAC DISORDER, OTHER : CORONARY SPASM
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    HEART FAILURE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    2 / 31 (6.45%)
         occurrences all number
    0
    0
    2
    MYOCARDITIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    PALPITATIONS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    1 / 33 (3.03%)
    2 / 31 (6.45%)
         occurrences all number
    2
    1
    2
    SINUS TACHYCARDIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    1 / 33 (3.03%)
    1 / 31 (3.23%)
         occurrences all number
    2
    1
    1
    SUPRAVENTRICULAR TACHYCARDIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    1
    4
    0
    TACHYCARDIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    VENTRICULAR ARRHYTHMIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    Nervous system disorders
    DEPRESSED LEVEL OF CONSCIOUNESS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    DIZZINESS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    3 / 31 (9.68%)
    2 / 33 (6.06%)
    2 / 31 (6.45%)
         occurrences all number
    4
    2
    3
    DYSESTHESIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    DYSGEUSIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    2
    1
    0
    DYSGUEUSIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    ENCEPHALOPATHY
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    HEADACHE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    5 / 31 (16.13%)
    4 / 33 (12.12%)
    8 / 31 (25.81%)
         occurrences all number
    9
    4
    10
    HEADACHES
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    2 / 33 (6.06%)
    0 / 31 (0.00%)
         occurrences all number
    0
    2
    0
    HEADEACHE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    MUSCLE SPASTICITY
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    NEURALGIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    1
    1
    0
    PARESTHESIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    2
    0
    0
    PERIPHAL SENSORY NEUROPATHY
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    PERIPHERAL MOTOR NEUROPATHY
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    PERIPHERAL NEUROPATHY
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    2
    0
    0
    PERIPHERAL SENSORY NEUROPATHY
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    3 / 33 (9.09%)
    1 / 31 (3.23%)
         occurrences all number
    1
    3
    1
    SOMNOLENCE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    SPASTICITY
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    SYNCOPE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    THORACIC NEUROGENIC PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    TREMOR
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    Blood and lymphatic system disorders
    ANAEMIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    2 / 31 (6.45%)
         occurrences all number
    0
    0
    3
    ANEMIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    8 / 31 (25.81%)
    7 / 33 (21.21%)
    10 / 31 (32.26%)
         occurrences all number
    17
    10
    17
    HEMOLYTIC UREMIC SYNDROME
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    PLATELET COUNT DECREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    Ear and labyrinth disorders
    EAR PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    HEARING IMPAIRED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    HEARING LOSS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    TINNITUS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    1 / 33 (3.03%)
    1 / 31 (3.23%)
         occurrences all number
    2
    1
    1
    VERTIGO
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    Eye disorders
    BLURRED VISION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    0 / 33 (0.00%)
    2 / 31 (6.45%)
         occurrences all number
    2
    0
    2
    CATARACT
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    CONJUNCTIVITIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    DRY EYE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    1
    2
    0
    EYE DISORDERS - OTHER, PUFFY EYES
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    EYE DISORDERS, OTHER: DETERIORATION OF VISUAL ACUITY
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    WATERING EYES
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    Gastrointestinal disorders
    ABDOMINAL DISCOMFORT
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    ABDOMINAL DISTENSION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    ABDOMINAL PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    10 / 31 (32.26%)
    7 / 33 (21.21%)
    9 / 31 (29.03%)
         occurrences all number
    23
    10
    12
    ADDOMINAL PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    ANAL HAEMORRHAGE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    ANAL HEMORRHAGE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    1
    1
    0
    ASCITES
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    2 / 33 (6.06%)
    0 / 31 (0.00%)
         occurrences all number
    2
    2
    0
    BLOATING
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    1 / 33 (3.03%)
    1 / 31 (3.23%)
         occurrences all number
    1
    1
    1
    BOWEL OBSTRUCTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    COLITIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    3
    0
    1
    COLONIC PERFORATION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    2
    COLONIC ULCER
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    3
    0
    0
    CONSTIPATION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    9 / 31 (29.03%)
    16 / 33 (48.48%)
    8 / 31 (25.81%)
         occurrences all number
    12
    18
    9
    DIARRHEA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    12 / 31 (38.71%)
    7 / 33 (21.21%)
    8 / 31 (25.81%)
         occurrences all number
    23
    10
    11
    DIARRHEOA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    DRY MOUTH
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    4 / 33 (12.12%)
    1 / 31 (3.23%)
         occurrences all number
    2
    10
    1
    DYSPEPSIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    2 / 31 (6.45%)
         occurrences all number
    0
    1
    3
    DYSPHAGIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    2 / 33 (6.06%)
    0 / 31 (0.00%)
         occurrences all number
    2
    3
    0
    ESOPHAGEAL PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    ESOPHAGITIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    FLATULENCE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    2 / 31 (6.45%)
         occurrences all number
    0
    0
    2
    GASTRIC HEMORRHAGE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    GASTRITIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    GASTROESOPHAGEAL REFLUX DISEASE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    2 / 33 (6.06%)
    1 / 31 (3.23%)
         occurrences all number
    3
    4
    1
    GASTROINTESTINAL - OTHER: SMALL INTESTINAL OBSTRUCTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    GASTROINTESTINAL DISORDER, OTHER: COPROSTASIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    GASTROINTESTINAL DISORDER, OTHER: COPROSTATIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    GASTROINTESTINAL DISORDER, OTHER: SMALL BOWEL PERFORATION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    2
    GASTROINTESTINAL DISORDERS - OTHER, AEROPHAGIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    GASTROINTESTINAL DISORDERS - OTHER, GUM BLEEDING
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    GASTROINTESTINAL DISORDERS - OTHER, PYROSIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    GASTROINTESTINAL DISORDERS - OTHER: GASTROENTERITIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    GASTROINTESTINAL DISORDERS, OTHER : GASTROENTERITIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    GASTROINTESTINAL FISTULA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    GASTROINTESTINAL PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    2
    1
    0
    GASTROPARESIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    HAEMARRHOIDS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    HEMORRHOIDS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    ILEAL PERFORATION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    1
    2
    0
    ILEUS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    2
    0
    1
    INTESTINAL OCCLUSION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    LIP PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    LOWER GASTROINTESTINAL HEMORRHAGE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    2
    0
    0
    MELENA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    MUCOSITIS ORAL
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    5 / 31 (16.13%)
    4 / 33 (12.12%)
    2 / 31 (6.45%)
         occurrences all number
    5
    5
    2
    MUCOSITIS ORAL (EVENTHOUGH NOT AS ACCURATE AS TONSILOLITH)
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    NAUSEA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    10 / 31 (32.26%)
    6 / 33 (18.18%)
    9 / 31 (29.03%)
         occurrences all number
    19
    9
    12
    ORAL HEMORRHAGE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    1 / 31 (3.23%)
         occurrences all number
    0
    2
    1
    ORAL MUSCOSITIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    ORAL PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    1
    1
    0
    OTHER - EPIGASTRIC PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    PANCREATITIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    RECTAL FISTULA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    RECTAL HEMORRHAGE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    2 / 33 (6.06%)
    0 / 31 (0.00%)
         occurrences all number
    0
    3
    0
    RECTAL MUCOSITIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    RECTAL PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    8
    0
    0
    SMALL INTESTINAL STENOSIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    STOMACH PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    2 / 33 (6.06%)
    0 / 31 (0.00%)
         occurrences all number
    2
    3
    0
    TOOTHACHE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    UPPER GASTROINTESTINAL HEMORRHAGE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    VOMINTING
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    2
    0
    0
    VOMITING
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    12 / 31 (38.71%)
    8 / 33 (24.24%)
    5 / 31 (16.13%)
         occurrences all number
    27
    14
    6
    Hepatobiliary disorders
    HEPATIC INFECTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    HEPATITIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    HEPATITIS VIRAL
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    HEPATOBILIARY DISORDERS - OTHER, HEPATITIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    Skin and subcutaneous tissue disorders
    ALLERGIC RASH CUTANEOUS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    ALOPECIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    2 / 33 (6.06%)
    0 / 31 (0.00%)
         occurrences all number
    0
    2
    0
    DRY SKIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    5 / 31 (16.13%)
    4 / 33 (12.12%)
    3 / 31 (9.68%)
         occurrences all number
    5
    4
    3
    ERYTHEMA MULTIFORME
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    1
    0
    1
    NAIL DISCOLORATION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    NAIL LOSS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    PAIN OF SKIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    1
    2
    0
    PALMAR-PLANTAR ERYTHRODYSESTHESIA SYNDROME
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    PALMAR-PLANTAR ERYTHRODYSETHESIA SYNDROME
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    PLAMAR-PLANTAR ERYTHRODYSESTHESIA SYNDROME
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    PRURITIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    PRURITUS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    4 / 31 (12.90%)
    3 / 33 (9.09%)
    1 / 31 (3.23%)
         occurrences all number
    5
    3
    1
    RASH
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    RASH ACNEIFORM
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    2 / 33 (6.06%)
    2 / 31 (6.45%)
         occurrences all number
    0
    2
    2
    RASH MACULAR
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    2
    0
    0
    RASH MACULO PAPULAR
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    RASH MACULO-PAPULAR
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    3 / 31 (9.68%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    3
    0
    0
    SCALP PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    SKIN AND SUBCUT. TISSUE DISORDERS - OTHER, REDNESS LEFT FOOT
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    SKIN AND SUBCUTANEOUS DISORDERS, OTHER : ZONA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    SKIN AND SUBCUTANEOUS TISSUE DISORDERS - OTHER, RASH
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    SKIN AND SUBCUTANEOUS TISSUE DISORDERS - OTHER, XEROSIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    SKIN AND SUBCUTANEOUS TISSUE DISORDERS: OTHER, RASH
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    SKIN OTHER: SKIN ABRASION LEFT FOREARM
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    SKIN ULCERATION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    2 / 33 (6.06%)
    0 / 31 (0.00%)
         occurrences all number
    0
    3
    0
    URTICARIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    Renal and urinary disorders
    ACUTE KIDNEY INJURY
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    BLADDER SPASM
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    2
    0
    0
    CHRONIC KIDNEY DISEASE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    1
    2
    0
    CYSTITIS NONINFECTIVE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    1 / 31 (3.23%)
         occurrences all number
    0
    1
    2
    HEMATURIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    1
    0
    5
    HYDRONEPHROSIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    PROTEINURIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    6 / 31 (19.35%)
    4 / 33 (12.12%)
    1 / 31 (3.23%)
         occurrences all number
    10
    17
    2
    RENAL AND URINARY DISORDERS - OTHER, DYSURIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    2
    RENAL AND URINARY DISORDERS - OTHER, HYDRONEPHROSIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    RENAL AND URINARY DISORDERS - OTHER, NOCTURIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    RENAL AND URINARY DISORDERS - OTHER, RENAL IMPAIRMENT
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    RENAL AND URINARY DISORDERS, OTHER, LEUKOCYTURIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    RENAL AND URINARY DISORDERS: LEUKOCYTURIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    URINARY FREQUENCY
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    URINARY INCONTINENCE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    2
    0
    0
    URINAY RETENTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    Endocrine disorders
    ENDOCRINE DISORDER; OTHER: TSH INCREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    ENDOCRINE DISORDERS - OTHER, INCREASED TSH
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    HIPOTHYROIDISM
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    HYPERTHYROIDISM
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    4 / 33 (12.12%)
    0 / 31 (0.00%)
         occurrences all number
    0
    5
    0
    HYPOTHYROIDISM
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    3 / 33 (9.09%)
    3 / 31 (9.68%)
         occurrences all number
    1
    3
    4
    Musculoskeletal and connective tissue disorders
    ARTHRALGIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    3 / 31 (9.68%)
    4 / 33 (12.12%)
    4 / 31 (12.90%)
         occurrences all number
    3
    5
    4
    ARTHRITIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    2 / 33 (6.06%)
    0 / 31 (0.00%)
         occurrences all number
    0
    5
    0
    BACK PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    4 / 31 (12.90%)
    5 / 33 (15.15%)
    2 / 31 (6.45%)
         occurrences all number
    6
    6
    2
    CHEST WALL PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    1 / 33 (3.03%)
    2 / 31 (6.45%)
         occurrences all number
    1
    1
    3
    FLANK PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    4 / 31 (12.90%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    4
    0
    1
    GENERALIZED MUSCLE WEAKNESS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    JOINT RANGE OF MOTION DECREASED
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    LEG CRAMPS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    MUSCLE SPASM
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    MUSCLE WEAKNESS LOWER LIMB
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    3
    MUSCLE WEAKNESS LOWER LIMBS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    MUSCLE WEAKNESS UPPER LIMB
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    MUSCLE WEAKNESS UPPER LIMBS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    MUSCULAR OTHER, LEGS CRAMPS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    MUSCULOSKELETAL - OTHER, TORSION RIGHT TOE WITH PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    MUSCULOSKELETAL AND CONNECTIVE TISS. DIS.- OTHER, BODY ACHES
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDER
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    MUSCULOSKELETAL DEFORMITY
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    MUSCULOSKELETAL DISORDER - OTHER: CRAMP INFERIOR LIMB
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    MUSCULOSKELETAL DISORDERS - OTHER, MYOCLONUS SUPERIOR LIMBS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    MYALGIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    5 / 31 (16.13%)
    7 / 33 (21.21%)
    1 / 31 (3.23%)
         occurrences all number
    5
    10
    1
    MYOSITIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    1 / 33 (3.03%)
    1 / 31 (3.23%)
         occurrences all number
    1
    1
    1
    NECK PAIN
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    3 / 31 (9.68%)
    1 / 33 (3.03%)
    2 / 31 (6.45%)
         occurrences all number
    4
    1
    3
    OSTEOPOROSIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    1 / 31 (3.23%)
         occurrences all number
    0
    2
    1
    PAIN EXTREMITY
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    PAIN IN EXTREMITY
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    4 / 31 (12.90%)
    1 / 33 (3.03%)
    1 / 31 (3.23%)
         occurrences all number
    4
    1
    1
    Infections and infestations
    ABDOMINAL INFECTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    5
    0
    CATHETER RELATED INFECTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    1
    0
    1
    COVID-19 INFECTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    4
    0
    0
    FLU LIKE SYMPTOMS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    1
    1
    0
    GUM INFECTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    2
    INFECTION - OTHER: STAPHILOCOCCUS EPIDERMIDIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    INFECTIONS AND INFESTATIONS - OTHER, SHINGLES
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    INFECTIONS AND INFESTATIONS- OTHER: ORAL THRUSH
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    INFECTIONS AND INFESTATIONS, OTHER : VARICELLA ZOSTER
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    INFECTIOUS PNEUMONITIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    LIP INFECTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    LUNG INFECTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    2
    0
    0
    MUCOSAL INFECTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    4
    0
    PELVIC INFECTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    2
    0
    0
    PERITONEAL INFECTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0
    RHINITIS INFECTIVE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    1 / 33 (3.03%)
    1 / 31 (3.23%)
         occurrences all number
    3
    1
    1
    RHINITUS INFECTIVE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    SEPSIS
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    3 / 31 (9.68%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    3
    0
    0
    SKIN INFECTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    2 / 33 (6.06%)
    0 / 31 (0.00%)
         occurrences all number
    0
    2
    0
    STOMA SITE INFECTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    2
    0
    0
    TOOTH INFECTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    UPPER RESPIRATORY INFECTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    3 / 31 (9.68%)
    4 / 33 (12.12%)
    1 / 31 (3.23%)
         occurrences all number
    3
    4
    1
    URINARY TRACT INFECTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    8 / 31 (25.81%)
    5 / 33 (15.15%)
    6 / 31 (19.35%)
         occurrences all number
    9
    9
    11
    URINARY TRACT INFECTION/KLEBSIELLA PNEUMONIAE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    VAGINAL INFECTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    VULVAL INFECTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    WOUND INFECTION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    Metabolism and nutrition disorders
    ANOREXIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    12 / 31 (38.71%)
    10 / 33 (30.30%)
    7 / 31 (22.58%)
         occurrences all number
    16
    10
    13
    DEHYDRATION
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    1 / 31 (3.23%)
         occurrences all number
    0
    1
    1
    HYPERCALCEMIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    5
    0
    0
    HYPERGLYCAEMIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    HYPERGYLCEMIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    HYPERGLYCEMIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    2 / 31 (6.45%)
         occurrences all number
    0
    0
    3
    HYPERKALEMIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    HYPOALBUMINEMIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    1 / 33 (3.03%)
    2 / 31 (6.45%)
         occurrences all number
    2
    2
    2
    HYPERPHOSPHATEMIA INTERMITTENT
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    HYPOKALAEMIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    HYPOCALCEMIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    1
    0
    1
    HYPOKALEMIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    3 / 31 (9.68%)
         occurrences all number
    2
    0
    3
    HYPOMAGNESAEMIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    1 / 31 (3.23%)
         occurrences all number
    0
    2
    2
    HYPOMAGNESEMIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    2 / 31 (6.45%)
    3 / 33 (9.09%)
    3 / 31 (9.68%)
         occurrences all number
    4
    15
    3
    HYPOMAGNESMIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 33 (3.03%)
    0 / 31 (0.00%)
         occurrences all number
    0
    1
    0
    HYPONATREMIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    3 / 31 (9.68%)
    1 / 33 (3.03%)
    2 / 31 (6.45%)
         occurrences all number
    3
    1
    3
    HYPOPHOSPHATEMIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    2 / 33 (6.06%)
    1 / 31 (3.23%)
         occurrences all number
    1
    2
    3
    METABOLISM AND NUTRITION DISORDERS: HYPOPREALBUMINEMIA
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    NUTRITION DISORDERS - OTHER, EARLY SATIETY
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 33 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    0
    0
    1
    REDUCED APETITE
    alternative dictionary used: CTCAE 4
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 33 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    1
    0
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    18 Feb 2019
    This amendment resulted in a major impact on the study design. The original study design was composed of 5 arms. Following amendment 7 (protocol version 5.0), the 2 Atezolizumab monotherapy arms (+ ASA/placebo) were closed. The amendment was motivated by the results of the Javelin 200 trial casting doubts on the efficacy of the Atelizumab + ASA/Placebo arms (arms 2 and 3). The results from this phase III study showed that the efficacy of this PD-L1 inhibitor alone in resistant/refractory ovarian cancer failed to achieve the required efficacy criteria for both primary endpoints (OS & PFS). Keeping the Atezolizumab + ASA/Placebo arms open to recruitment, given the Javelin results, would be unethical to the patients as it would put them at risk of being exposed to potentially ineffective yet toxic therapy. At the time of this amendment (18/02/2019), 57 patients had been randomized in the 5 arms, of which 24 in the now defunct arms. The objectives, statistical methodology and sample size for the three remaining arms did not change requiring 32 patients in each of arms 1, 4 and 5. In addition to the closure of the 2 Atezolizumab monotherapy arms, amendment 7 also formalized the change in study coordinator whereby the original study coordinator, Anita Wolfer (Centre Hospitalier Universitaire Vaudois – Lausanne, Switzerland) was replaced by the current study coordinator Susana Banerjee (The Royal Marsden NHS Foundation Trust, London).

    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.
    Two of the 5 initial treatment arms were discontinued during the course of the study. See amendment section for more details.
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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