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    Clinical Trial Results:
    Title: An Open-Label Phase 2 Study of Tipifarnib in Subjects with Relapsed or Refractory Peripheral T-Cell Lymphoma (PTCL) Study design: This study utilised an open-label, nonrandomised design, a standard and appropriate approach for a Phase 2 study in subjects with relapsed or refractory PTCL. The primary objective was to determine the antitumour activity in terms of objective response rate (ORR) of tipifarnib in subjects with relapsed or refractory PTCL. Secondary objectives included antitumor activity in terms of progression-free survival (PFS) and duration of response (DOR), the safety and tolerability of tipifarnib, and the assessment of ORR, PFS, and DOR in subgroups defined according to genetic subtypes. Eligible subjects received tipifarnib administered at a starting dose of 300 mg, orally with food, twice daily (BID) on Days 1-21 in 28-day cycles (i.e., 3 weeks on/1 week off). In the absence of unmanageable toxicities, subjects may have continued to receive tipifarnib treatment for up to 12 months in the absence of disease progression. Tumour assessments were performed at screening, at the Day 22 visit (±5 days), during Cycles 2, 4, 6, and once every approximately 12 weeks (Cycles 9, 12, 15, etc.) thereafter, until disease progression. Determination of objective tumour response was performed based on the Lugano Classification. Upon disease progression, subjects were followed approximately every 12 weeks for survival until either death or 12 months after accrual of the last study subject, whichever occurred first. All subjects were followed-up for safety during treatment and for approximately 30 additional days after treatment discontinuation.

    Summary
    EudraCT number
    2016-001396-69
    Trial protocol
    ES  
    Global end of trial date
    31 Mar 2021

    Results information
    Results version number
    v1(current)
    This version publication date
    12 Aug 2022
    First version publication date
    12 Aug 2022
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    KO-TIP-002
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Kura Oncology, Inc
    Sponsor organisation address
    12730 High Bluff Drive, San Diego, United States, CA 92130
    Public contact
    Information desk, Kura Oncology, Inc, 001 8585008800, info@kuraoncology.com
    Scientific contact
    Information desk, Kura Oncology, Inc, 001 8585008800, info@kuraoncology.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    31 Mar 2021
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    31 Mar 2021
    Global end of trial reached?
    Yes
    Global end of trial date
    31 Mar 2021
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To determine the antitumour activity in terms of ORR of tipifarnib in subjects with relapsed or refractory PTCL. Subjects were enrolled into 4 cohorts based on the type of lymphoma: angioimmunoblastic T-cell lymphoma (AITL), PTCL not otherwise specified (PTCL-NOS), PTCL-NOS with CXCL12+ (C-X-C motif chemokine 12+), and Other. For the purposes of the analysis an additional reporting group was defined combining patients from both the PTCL-NOS and PTCL-NOS CXCL12+ groups.
    Protection of trial subjects
    This trial was designed and monitored in accordance with sponsor procedures, which comply with the ethical principles of Good Clinical Practice (GCP) as required by the major regulatory authorities, and in accordance with the Declaration of Helsinki. The protocol, informed consent form (ICF), and other relevant study documentation were approved by the independent ethics committee (IEC)/institutional review boards (IRBs) before initiation of the study.
    Background therapy
    All prescription and over-the-counter medications taken by a subject within 28 days before the first study drug administration were recorded in the electronic case report form (eCRF). Supportive care medications considered necessary for the subject’s safety and well-being may have been given at the discretion of the investigator. Any concomitant medications added or discontinued during the study were recorded on the eCRF. Best supportive care (BSC) was provided by the clinical study sites according to local guidelines and standard practices. Furthermore, the following treatments were allowed during the trial: • Intravenous hydration • Correction of electrolyte deficiencies • Haematopoietic growth factors and transfusions of blood or blood products in subjects who were experiencing haematological toxicity in accordance with standard institutional practice • Radiotherapy for pain control against non-target lesions as long as it did not influence bone marrow function • Total tumour resection in responding subjects who had become candidates for curative resection Any additional concomitant therapy that became necessary during the trial and any change to concomitant drugs were recorded in the corresponding section of the eCRF, noting the name, dose, duration, and indication of each drug.
    Evidence for comparator
    -
    Actual start date of recruitment
    08 Oct 2015
    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: 13
    Country: Number of subjects enrolled
    Korea, Republic of: 12
    Country: Number of subjects enrolled
    United States: 40
    Worldwide total number of subjects
    65
    EEA total number of subjects
    13
    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)
    26
    From 65 to 84 years
    37
    85 years and over
    2

    Subject disposition

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    Recruitment
    Recruitment details
    The first patient was enrolled on 25 Feb 2016 (13 in Europe; 52 outside Europe) and the date of the last visit was 31 Mar 2021. Overall, 65 patients were enrolled into cohorts with AITL, PTCL-NOS, PTCL-NOS CXCL12+, and Other (ALCL-ALK neg and PTCL-subtype not spec). For the analysis, a combined group of PTCL-NOS and PTCL-NOS CXCL12+ was defined.

    Pre-assignment
    Screening details
    Only consented subjects who met all the eligibility criteria were enrolled in the study. All screening evaluations were to be completed within 4 weeks (28 days) of Cycle 1 Day 1. Screen failure reasons were not included in the database.

    Period 1
    Period 1 title
    Baseline (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded
    Blinding implementation details
    No blinding was used; this was an open-label study with no placebo or comparators.

    Arms
    Are arms mutually exclusive
    No

    Arm title
    Cohort AITL
    Arm description
    Subjects with angioimmunoblastic T-cell lymphoma (AITL).
    Arm type
    Experimental

    Investigational medicinal product name
    Tipifarnib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received tipifarnib as monotherapy. Tipifarnib was administered with food at a starting dose of 300 mg administered orally BID on Days 1 – 21 of 28 -day treatment cycles. Subjects who received tipifarnib 300 mg administered orally BID on Days 1 – 7 and Days 15 – 21 during the conduct of earlier versions of this protocol may have remained on that dose regimen at the discretion of the investigator. Alternatively, the subject may have transitioned to receive a dose of 300 mg administered orally BID on Days 1 – 21 of 28-day treatment cycles beginning on Day 1 of their next cycle. The first study dosing (Cycle 1 Day 1) took place in the study clinic. Subjects were provided with diaries with instructions to record the date and time of each dose and were asked to bring the diaries and tablet bottles to each clinic visit for subject compliance and drug accountability review by the site staff.

    Arm title
    Cohort PTCL-NOS
    Arm description
    Subjects with peripheral T-cell lymphoma-not otherwise specified (PTCL-NOS).
    Arm type
    Experimental

    Investigational medicinal product name
    Tipifarnib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received tipifarnib as monotherapy. Tipifarnib was administered with food at a starting dose of 300 mg administered orally BID on Days 1 – 21 of 28 -day treatment cycles. Subjects who received tipifarnib 300 mg administered orally BID on Days 1 – 7 and Days 15 – 21 during the conduct of earlier versions of this protocol may have remained on that dose regimen at the discretion of the investigator. Alternatively, the subject may have transitioned to receive a dose of 300 mg administered orally BID on Days 1 – 21 of 28-day treatment cycles beginning on Day 1 of their next cycle. The first study dosing (Cycle 1 Day 1) took place in the study clinic. Subjects were provided with diaries with instructions to record the date and time of each dose and were asked to bring the diaries and tablet bottles to each clinic visit for subject compliance and drug accountability review by the site staff.

    Arm title
    Cohort PTCL-NOS, CXCL12+
    Arm description
    Subjects with peripheral T-cell lymphoma-not otherwise specified (PTCL-NOS) whose tumours expressed high levels of C-X-C motif chemokine 12 (CXCL12).
    Arm type
    Experimental

    Investigational medicinal product name
    Tipifarnib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received tipifarnib as monotherapy. Tipifarnib was administered with food at a starting dose of 300 mg administered orally BID on Days 1 – 21 of 28 -day treatment cycles. Subjects who received tipifarnib 300 mg administered orally BID on Days 1 – 7 and Days 15 – 21 during the conduct of earlier versions of this protocol may have remained on that dose regimen at the discretion of the investigator. Alternatively, the subject may have transitioned to receive a dose of 300 mg administered orally BID on Days 1 – 21 of 28-day treatment cycles beginning on Day 1 of their next cycle. The first study dosing (Cycle 1 Day 1) took place in the study clinic. Subjects were provided with diaries with instructions to record the date and time of each dose and were asked to bring the diaries and tablet bottles to each clinic visit for subject compliance and drug accountability review by the site staff.

    Arm title
    Cohort PTCL-NOS, Overall
    Arm description
    All subjects with peripheral T-cell lymphoma-not otherwise specified (PTCL-NOS) from the PTCL-NOS and PTCL-NOS CXCL12+ cohorts combined. For the purposes of the analysis an additional reporting group was defined combining patients from both the PTCL-NOS and PTCL-NOS CXCL12+ groups.
    Arm type
    Experimental

    Investigational medicinal product name
    Tipifarnib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received tipifarnib as monotherapy. Tipifarnib was administered with food at a starting dose of 300 mg administered orally BID on Days 1 – 21 of 28 -day treatment cycles. Subjects who received tipifarnib 300 mg administered orally BID on Days 1 – 7 and Days 15 – 21 during the conduct of earlier versions of this protocol may have remained on that dose regimen at the discretion of the investigator. Alternatively, the subject may have transitioned to receive a dose of 300 mg administered orally BID on Days 1 – 21 of 28-day treatment cycles beginning on Day 1 of their next cycle. The first study dosing (Cycle 1 Day 1) took place in the study clinic. Subjects were provided with diaries with instructions to record the date and time of each dose and were asked to bring the diaries and tablet bottles to each clinic visit for subject compliance and drug accountability review by the site staff.

    Arm title
    Cohort Other
    Arm description
    Subjects with Other, including anaplastic large cell lymphoma-anaplastic lymphoma kinase (ALCL-ALK) negative and PTCL-subtype not specified per protocol.
    Arm type
    Experimental

    Investigational medicinal product name
    Tipifarnib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received tipifarnib as monotherapy. Tipifarnib was administered with food at a starting dose of 300 mg administered orally BID on Days 1 – 21 of 28 -day treatment cycles. Subjects who received tipifarnib 300 mg administered orally BID on Days 1 – 7 and Days 15 – 21 during the conduct of earlier versions of this protocol may have remained on that dose regimen at the discretion of the investigator. Alternatively, the subject may have transitioned to receive a dose of 300 mg administered orally BID on Days 1 – 21 of 28-day treatment cycles beginning on Day 1 of their next cycle. The first study dosing (Cycle 1 Day 1) took place in the study clinic. Subjects were provided with diaries with instructions to record the date and time of each dose and were asked to bring the diaries and tablet bottles to each clinic visit for subject compliance and drug accountability review by the site staff.

    Number of subjects in period 1
    Cohort AITL Cohort PTCL-NOS Cohort PTCL-NOS, CXCL12+ Cohort PTCL-NOS, Overall Cohort Other
    Started
    38
    14
    11
    25
    2
    Completed
    2
    0
    0
    0
    0
    Not completed
    36
    14
    11
    25
    2
         Consent withdrawn by subject
    1
    1
    1
    2
    -
         Disease progression
    22
    12
    5
    17
    2
         PI decision
    2
    -
    1
    1
    -
         Adverse event, non-fatal
    9
    -
    3
    3
    -
         Not specified
    1
    -
    1
    1
    -
         Termination for symptomatic deterioration
    1
    1
    -
    1
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Cohort AITL
    Reporting group description
    Subjects with angioimmunoblastic T-cell lymphoma (AITL).

    Reporting group title
    Cohort PTCL-NOS
    Reporting group description
    Subjects with peripheral T-cell lymphoma-not otherwise specified (PTCL-NOS).

    Reporting group title
    Cohort PTCL-NOS, CXCL12+
    Reporting group description
    Subjects with peripheral T-cell lymphoma-not otherwise specified (PTCL-NOS) whose tumours expressed high levels of C-X-C motif chemokine 12 (CXCL12).

    Reporting group title
    Cohort PTCL-NOS, Overall
    Reporting group description
    All subjects with peripheral T-cell lymphoma-not otherwise specified (PTCL-NOS) from the PTCL-NOS and PTCL-NOS CXCL12+ cohorts combined. For the purposes of the analysis an additional reporting group was defined combining patients from both the PTCL-NOS and PTCL-NOS CXCL12+ groups.

    Reporting group title
    Cohort Other
    Reporting group description
    Subjects with Other, including anaplastic large cell lymphoma-anaplastic lymphoma kinase (ALCL-ALK) negative and PTCL-subtype not specified per protocol.

    Reporting group values
    Cohort AITL Cohort PTCL-NOS Cohort PTCL-NOS, CXCL12+ Cohort PTCL-NOS, Overall Cohort Other Total
    Number of subjects
    38 14 11 25 2
    Age categorical
    Units: Subjects
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    65.50 ( 10.7 ) 65.73 ( 13.7 ) 65.74 ( 12.6 ) 65.73 ( 12.9 ) 56.68 ( 12.0 ) -
    Gender categorical
    Units: Subjects
        Female
    16 2 5 7 1 24
        Male
    22 12 6 18 1 41
    ECOG performance score
    Units: Subjects
        Performance score 0
    18 3 5 8 0 26
        Performance score 1
    13 10 6 16 2 31
        Performance score 2
    7 1 0 1 0 8
        Other
    0 0 0 0 0 0

    End points

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    End points reporting groups
    Reporting group title
    Cohort AITL
    Reporting group description
    Subjects with angioimmunoblastic T-cell lymphoma (AITL).

    Reporting group title
    Cohort PTCL-NOS
    Reporting group description
    Subjects with peripheral T-cell lymphoma-not otherwise specified (PTCL-NOS).

    Reporting group title
    Cohort PTCL-NOS, CXCL12+
    Reporting group description
    Subjects with peripheral T-cell lymphoma-not otherwise specified (PTCL-NOS) whose tumours expressed high levels of C-X-C motif chemokine 12 (CXCL12).

    Reporting group title
    Cohort PTCL-NOS, Overall
    Reporting group description
    All subjects with peripheral T-cell lymphoma-not otherwise specified (PTCL-NOS) from the PTCL-NOS and PTCL-NOS CXCL12+ cohorts combined. For the purposes of the analysis an additional reporting group was defined combining patients from both the PTCL-NOS and PTCL-NOS CXCL12+ groups.

    Reporting group title
    Cohort Other
    Reporting group description
    Subjects with Other, including anaplastic large cell lymphoma-anaplastic lymphoma kinase (ALCL-ALK) negative and PTCL-subtype not specified per protocol.

    Primary: Antitumor activity by overall objective response rate

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    End point title
    Antitumor activity by overall objective response rate [1]
    End point description
    The objective response rate (ORR) of tipifarnib was based on response assessments according to the Lugano Classification. Either complete responses (CRs) or partial responses (PRs) contributed to an objective response. 2-sided 95% CIs were based on either Wilson approximation (N > 4) or Clopper-Pearson method (N ≤ 4). P-value was calculated testing an overall response of 10% using a 2-sided binomial test. P- values by cohort: AITL = 0.000 PTCL-NOS = 1.000 PTCL, CXCL12+ = 0.026 PTCL-NOS, Overall = 0.077 Other = 1.000
    End point type
    Primary
    End point timeframe
    From baseline to end of follow-up.
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: There were no between group comparisons for the primary endpoint. Each group was compared against a target rate of 10%. The statistical analysis is therefore described under 'Description of the endpoint'.
    End point values
    Cohort AITL Cohort PTCL-NOS Cohort PTCL-NOS, CXCL12+ Cohort PTCL-NOS, Overall Cohort Other
    Number of subjects analysed
    32
    14
    10
    24
    2
    Units: percent
        arithmetic mean (confidence interval 95%)
    56.3 (39.3 to 71.8)
    7.1 (0.2 to 33.9)
    40.0 (12.2 to 73.8)
    20.8 (9.2 to 40.5)
    0.0 (0.0 to 84.2)
    No statistical analyses for this end point

    Secondary: Progression-free survival

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    End point title
    Progression-free survival
    End point description
    Progression-free survival (PFS) was defined as the time (in months) from first dose (Cycle 1 Day 1) to either first observation of progressive disease (PD) or occurrence of death due to any cause within 126 days (approximately 2 time-intervals for tumour assessments) of either first administration of tipifarnib or the last tumour assessment. Observation of PD could have been by either documented radiographic progression (i.e., scan results) or documentation of symptomatic or clinical progression agreed upon and documented by investigators. In subjects without a progression date or with a death date more than 126 days after the first administration of study drugs or the last tumour assessment, the PFS time should have been censored on the date of last tumour assessment or date of first administration of study tipifarnib. 95% CI was calculated using Hall-Wellner Method.
    End point type
    Secondary
    End point timeframe
    From baseline to end of follow-up.
    End point values
    Cohort AITL Cohort PTCL-NOS Cohort PTCL-NOS, CXCL12+ Cohort PTCL-NOS, Overall Cohort Other
    Number of subjects analysed
    32
    14
    10
    24
    2
    Units: Months
        median (confidence interval 95%)
    3.6 (1.9 to 8.3)
    2.1 (1.4 to 4.0)
    5.3 (1.8 to 11.1)
    3.5 (1.8 to 5.3)
    1.4 (1.1 to 1.6)
    No statistical analyses for this end point

    Secondary: Duration of response

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    End point title
    Duration of response [2]
    End point description
    The duration of the objective response (DOR) was defined as the time (in months) from the start date of the objective response to the first date of either documented PD or death. All efforts were made to objectively define the endpoint by collecting the necessary data and reducing the likelihood of missing data. No data imputations were conducted for missing data. In the event of a maintained response, the DOR was censored at the last evaluable non-PD assessment. Data are presented for cohorts for which median and 95% CI were calculable (Kaplan-Meier analysis). 95% CI was calculated using Hall-Wellner Method. Where not calculable (NC), median (95% CI) listed below; N = number of responders: PTCL-NOS (N = 1): 1.0 (NC, NC) PTCL-NOS, CXCL12+ (N = 4): 2.8 (2.0, NC) PTCL-NOS, Overall (N = 5): 2.0 (1.0, NC) Other (N = 0): NC (NC, NC)
    End point type
    Secondary
    End point timeframe
    From baseline to end of follow-up.
    Notes
    [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: For several cohorts, 95% CI were not estimable for median duration of response, therefore statistical analysis could only be described under 'Description of the endpoint'.
    End point values
    Cohort AITL
    Number of subjects analysed
    18
    Units: months
        median (confidence interval 95%)
    7.8 (2.0 to 16.3)
    No statistical analyses for this end point

    Secondary: Antitumor activity - best overall response

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    End point title
    Antitumor activity - best overall response
    End point description
    Best overall response according to the Lugano Classification was summarised using descriptive statistics.
    End point type
    Secondary
    End point timeframe
    From baseline to end of follow-up.
    End point values
    Cohort AITL Cohort PTCL-NOS Cohort PTCL-NOS, CXCL12+ Cohort PTCL-NOS, Overall Cohort Other
    Number of subjects analysed
    32
    14
    10
    24
    2
    Units: Subjects
        Complete response
    9
    0
    1
    1
    0
        Partial response
    9
    1
    3
    4
    0
        Stable disease
    3
    4
    5
    9
    0
        Progressive disease
    11
    8
    1
    9
    2
        Not evaluable
    0
    1
    0
    1
    0
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    From the date of first signature of informed consent through the post-treatment follow-up period, defined as 30 days from final administration of study drug or immediately before initiation of any other anticancer therapy, whichever came first.
    Adverse event reporting additional description
    The 5% cut-off for reporting of non-serious AEs (non-SAEs) was based on the percentages within individual cohorts.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    19.0
    Reporting groups
    Reporting group title
    Cohort AITL
    Reporting group description
    Subjects with angioimmunoblastic T-cell lymphoma (AITL).

    Reporting group title
    Cohort PTCL-NOS
    Reporting group description
    Subjects with peripheral T-cell lymphoma-not otherwise specified (PTCL-NOS).

    Reporting group title
    Cohort PTCL-NOS, CXCL12+
    Reporting group description
    Subjects with peripheral T-cell lymphoma-not otherwise specified (PTCL-NOS) whose tumours expressed high levels of C-X-C motif chemokine 12 (CXCL12).

    Reporting group title
    Cohort PTCL-NOS, Overall
    Reporting group description
    All subjects with peripheral T-cell lymphoma-not otherwise specified (PTCL-NOS) from the other cohorts combined.

    Reporting group title
    Cohort Other
    Reporting group description
    Subjects with Other, including ALCL-ALK Negative and PTCL-subtype not specified per protocol.

    Serious adverse events
    Cohort AITL Cohort PTCL-NOS Cohort PTCL-NOS, CXCL12+ Cohort PTCL-NOS, Overall Cohort Other
    Total subjects affected by serious adverse events
         subjects affected / exposed
    21 / 38 (55.26%)
    8 / 14 (57.14%)
    8 / 11 (72.73%)
    16 / 25 (64.00%)
    1 / 2 (50.00%)
         number of deaths (all causes)
    13
    8
    4
    12
    1
         number of deaths resulting from adverse events
    4
    1
    1
    2
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Acute myeloid leukaemia
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Myelodysplastic syndrome
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Squamous cell carcinoma of lung
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Tumour pain
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Death
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pyrexia
         subjects affected / exposed
    2 / 38 (5.26%)
    3 / 14 (21.43%)
    1 / 11 (9.09%)
    4 / 25 (16.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    2 / 3
    0 / 3
    0 / 1
    0 / 4
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Malaise
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypoxia
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory failure
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    Psychiatric disorders
    Delirium
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Confusional state
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Investigations
    Platelet count decreased
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Fall
         subjects affected / exposed
    1 / 38 (2.63%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Femoral neck fracture
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Overdose
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Atrial fibrillation
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Atrioventricular block second degree
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac failure
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiopulmonary failure
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Myocardial infarction
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Encephalopathy
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Syncope
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Febrile neutropenia
         subjects affected / exposed
    3 / 38 (7.89%)
    4 / 14 (28.57%)
    0 / 11 (0.00%)
    4 / 25 (16.00%)
    1 / 2 (50.00%)
         occurrences causally related to treatment / all
    2 / 3
    4 / 4
    0 / 0
    4 / 4
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Haemolytic anaemia
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Neutropenia
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    1 / 1
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pancytopenia
         subjects affected / exposed
    3 / 38 (7.89%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    3 / 3
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Anaemia
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cytopenia
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Histiocytosis haematophagic
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Colitis
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Diarrhoea
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vomiting
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Cholelithiasis
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Stevens-Johnson syndrome
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Urticaria
         subjects affected / exposed
    2 / 38 (5.26%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Toxic skin eruption
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Muscular weakness
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Joint effusion
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Cellulitis
         subjects affected / exposed
    1 / 38 (2.63%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Bacteraemia
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Kidney infection
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Lung infection
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumocystis jirovecii pneumonia
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonia
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Sepsis
         subjects affected / exposed
    1 / 38 (2.63%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Dehydration
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypercalcaemia
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypokalaemia
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Failure to thrive
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Cohort AITL Cohort PTCL-NOS Cohort PTCL-NOS, CXCL12+ Cohort PTCL-NOS, Overall Cohort Other
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    38 / 38 (100.00%)
    14 / 14 (100.00%)
    11 / 11 (100.00%)
    25 / 25 (100.00%)
    2 / 2 (100.00%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Tumour pain
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    2
    2
    0
    Vascular disorders
    Deep vein thrombosis
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Haematoma
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    0
    1
    1
    0
    Hypotension
         subjects affected / exposed
    8 / 38 (21.05%)
    2 / 14 (14.29%)
    1 / 11 (9.09%)
    3 / 25 (12.00%)
    0 / 2 (0.00%)
         occurrences all number
    8
    2
    2
    4
    0
    Peripheral coldness
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    3 / 38 (7.89%)
    3 / 14 (21.43%)
    3 / 11 (27.27%)
    6 / 25 (24.00%)
    0 / 2 (0.00%)
         occurrences all number
    3
    3
    4
    7
    0
    Chest pain
         subjects affected / exposed
    1 / 38 (2.63%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    1
    0
    1
    0
    Chills
         subjects affected / exposed
    4 / 38 (10.53%)
    1 / 14 (7.14%)
    2 / 11 (18.18%)
    3 / 25 (12.00%)
    1 / 2 (50.00%)
         occurrences all number
    5
    2
    3
    5
    1
    Fatigue
         subjects affected / exposed
    19 / 38 (50.00%)
    7 / 14 (50.00%)
    2 / 11 (18.18%)
    9 / 25 (36.00%)
    0 / 2 (0.00%)
         occurrences all number
    23
    7
    2
    9
    0
    Gait disturbance
         subjects affected / exposed
    2 / 38 (5.26%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    1
    0
    1
    0
    Decreased activity
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Influenza like illness
         subjects affected / exposed
    1 / 38 (2.63%)
    1 / 14 (7.14%)
    1 / 11 (9.09%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    2
    1
    3
    0
    Malaise
         subjects affected / exposed
    1 / 38 (2.63%)
    1 / 14 (7.14%)
    2 / 11 (18.18%)
    3 / 25 (12.00%)
    1 / 2 (50.00%)
         occurrences all number
    1
    1
    3
    4
    1
    Oedema peripheral
         subjects affected / exposed
    3 / 38 (7.89%)
    3 / 14 (21.43%)
    4 / 11 (36.36%)
    7 / 25 (28.00%)
    0 / 2 (0.00%)
         occurrences all number
    4
    3
    5
    8
    0
    Pain
         subjects affected / exposed
    2 / 38 (5.26%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    1 / 2 (50.00%)
         occurrences all number
    2
    0
    1
    1
    1
    Medical device pain
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Non-cardiac chest pain
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    1 / 11 (9.09%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    1
    2
    0
    Pyrexia
         subjects affected / exposed
    13 / 38 (34.21%)
    2 / 14 (14.29%)
    3 / 11 (27.27%)
    5 / 25 (20.00%)
    1 / 2 (50.00%)
         occurrences all number
    17
    2
    7
    9
    1
    Reproductive system and breast disorders
    Gynaecomastia
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    8 / 38 (21.05%)
    3 / 14 (21.43%)
    2 / 11 (18.18%)
    5 / 25 (20.00%)
    0 / 2 (0.00%)
         occurrences all number
    9
    3
    2
    5
    0
    Dysphonia
         subjects affected / exposed
    2 / 38 (5.26%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    0
    0
    0
    0
    Dyspnoea
         subjects affected / exposed
    4 / 38 (10.53%)
    6 / 14 (42.86%)
    0 / 11 (0.00%)
    6 / 25 (24.00%)
    1 / 2 (50.00%)
         occurrences all number
    5
    6
    0
    6
    1
    Dyspnoea exertional
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Epistaxis
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    0
    1
    1
    0
    Hiccups
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Nasal congestion
         subjects affected / exposed
    3 / 38 (7.89%)
    1 / 14 (7.14%)
    1 / 11 (9.09%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    3
    1
    1
    2
    0
    Oropharyngeal pain
         subjects affected / exposed
    3 / 38 (7.89%)
    1 / 14 (7.14%)
    1 / 11 (9.09%)
    2 / 25 (8.00%)
    1 / 2 (50.00%)
         occurrences all number
    3
    1
    1
    2
    1
    Pleural effusion
         subjects affected / exposed
    2 / 38 (5.26%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    0
    0
    0
    0
    Productive cough
         subjects affected / exposed
    2 / 38 (5.26%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    2
    0
    2
    0
    Pulmonary mass
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Rhinorrhoea
         subjects affected / exposed
    2 / 38 (5.26%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    0
    0
    0
    0
    Psychiatric disorders
    Abnormal dreams
         subjects affected / exposed
    0 / 38 (0.00%)
    2 / 14 (14.29%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    2
    0
    2
    0
    Agitation
         subjects affected / exposed
    0 / 38 (0.00%)
    2 / 14 (14.29%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    2
    0
    2
    0
    Anxiety
         subjects affected / exposed
    3 / 38 (7.89%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    4
    0
    0
    0
    0
    Confusional state
         subjects affected / exposed
    1 / 38 (2.63%)
    2 / 14 (14.29%)
    1 / 11 (9.09%)
    3 / 25 (12.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    2
    1
    3
    0
    Disorientation
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Insomnia
         subjects affected / exposed
    5 / 38 (13.16%)
    3 / 14 (21.43%)
    1 / 11 (9.09%)
    4 / 25 (16.00%)
    1 / 2 (50.00%)
         occurrences all number
    5
    3
    1
    4
    1
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    1 / 38 (2.63%)
    1 / 14 (7.14%)
    1 / 11 (9.09%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    1
    1
    2
    0
    Aspartate aminotransferase increased
         subjects affected / exposed
    2 / 38 (5.26%)
    1 / 14 (7.14%)
    1 / 11 (9.09%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    2
    1
    3
    0
    Blood alkaline phosphatase increased
         subjects affected / exposed
    1 / 38 (2.63%)
    2 / 14 (14.29%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    2
    0
    2
    0
    Blood bilirubin increased
         subjects affected / exposed
    0 / 38 (0.00%)
    3 / 14 (21.43%)
    0 / 11 (0.00%)
    3 / 25 (12.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    6
    0
    6
    0
    Blood creatinine increased
         subjects affected / exposed
    5 / 38 (13.16%)
    5 / 14 (35.71%)
    1 / 11 (9.09%)
    6 / 25 (24.00%)
    0 / 2 (0.00%)
         occurrences all number
    5
    6
    1
    7
    0
    Blood lactate dehydrogenase increased
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Blood urea increased
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Blood uric acid increased
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    CD4 lymphocytes decreased
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    2
    2
    0
    Epstein-Barr virus test positive
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    2 / 38 (5.26%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    4
    0
    0
    0
    0
    Human rhinovirus test positive
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    International normalised ratio increased
         subjects affected / exposed
    1 / 38 (2.63%)
    1 / 14 (7.14%)
    1 / 11 (9.09%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    1
    2
    3
    0
    Lymphocyte count decreased
         subjects affected / exposed
    4 / 38 (10.53%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    8
    2
    0
    2
    0
    Lymphocyte count increased
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    2
    2
    0
    Monocyte count decreased
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Neutrophil count decreased
         subjects affected / exposed
    11 / 38 (28.95%)
    8 / 14 (57.14%)
    1 / 11 (9.09%)
    9 / 25 (36.00%)
    0 / 2 (0.00%)
         occurrences all number
    37
    25
    3
    28
    0
    Platelet count decreased
         subjects affected / exposed
    15 / 38 (39.47%)
    10 / 14 (71.43%)
    4 / 11 (36.36%)
    14 / 25 (56.00%)
    1 / 2 (50.00%)
         occurrences all number
    35
    14
    8
    22
    1
    Urine output increased
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    2
    0
    2
    0
    Weight decreased
         subjects affected / exposed
    4 / 38 (10.53%)
    6 / 14 (42.86%)
    2 / 11 (18.18%)
    8 / 25 (32.00%)
    0 / 2 (0.00%)
         occurrences all number
    4
    6
    3
    9
    0
    White blood cell count decreased
         subjects affected / exposed
    4 / 38 (10.53%)
    3 / 14 (21.43%)
    2 / 11 (18.18%)
    5 / 25 (20.00%)
    0 / 2 (0.00%)
         occurrences all number
    11
    8
    2
    10
    0
    Injury, poisoning and procedural complications
    Contusion
         subjects affected / exposed
    2 / 38 (5.26%)
    0 / 14 (0.00%)
    2 / 11 (18.18%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    3
    0
    2
    2
    0
    Eye injury
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Fall
         subjects affected / exposed
    3 / 38 (7.89%)
    2 / 14 (14.29%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    3
    2
    0
    2
    0
    Humerus fracture
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Joint injury
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Periorbital haemorrhage
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Radiation pneumonitis
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Thermal burn
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Cardiac disorders
    Atrial fibrillation
         subjects affected / exposed
    3 / 38 (7.89%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    3
    0
    0
    0
    0
    Sinus tachycardia
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    0
    1
    1
    0
    Tachycardia
         subjects affected / exposed
    2 / 38 (5.26%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    1 / 2 (50.00%)
         occurrences all number
    3
    1
    0
    1
    1
    Palpitations
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Ventricular arrhythmia
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    8 / 38 (21.05%)
    2 / 14 (14.29%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    1 / 2 (50.00%)
         occurrences all number
    9
    2
    0
    2
    1
    Dysarthria
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Dysgeusia
         subjects affected / exposed
    2 / 38 (5.26%)
    1 / 14 (7.14%)
    1 / 11 (9.09%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    1
    1
    2
    0
    Haemorrhage intracranial
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Headache
         subjects affected / exposed
    5 / 38 (13.16%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    2 / 2 (100.00%)
         occurrences all number
    5
    0
    0
    0
    2
    Paraesthesia
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    2
    2
    0
    Peripheral sensory neuropathy
         subjects affected / exposed
    4 / 38 (10.53%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    6
    2
    0
    2
    0
    Sciatica
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Sinus headache
         subjects affected / exposed
    1 / 38 (2.63%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    1
    0
    1
    0
    Somnolence
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Tremor
         subjects affected / exposed
    0 / 38 (0.00%)
    2 / 14 (14.29%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    2
    0
    2
    0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    16 / 38 (42.11%)
    10 / 14 (71.43%)
    6 / 11 (54.55%)
    16 / 25 (64.00%)
    1 / 2 (50.00%)
         occurrences all number
    32
    17
    9
    26
    1
    Febrile neutropenia
         subjects affected / exposed
    2 / 38 (5.26%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    1
    0
    1
    0
    Leukopenia
         subjects affected / exposed
    1 / 38 (2.63%)
    4 / 14 (28.57%)
    0 / 11 (0.00%)
    4 / 25 (16.00%)
    1 / 2 (50.00%)
         occurrences all number
    1
    5
    0
    5
    1
    Lymphopenia
         subjects affected / exposed
    1 / 38 (2.63%)
    1 / 14 (7.14%)
    1 / 11 (9.09%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    1
    2
    3
    0
    Neutropenia
         subjects affected / exposed
    6 / 38 (15.79%)
    4 / 14 (28.57%)
    3 / 11 (27.27%)
    7 / 25 (28.00%)
    0 / 2 (0.00%)
         occurrences all number
    11
    5
    9
    14
    0
    Thrombocytopenia
         subjects affected / exposed
    3 / 38 (7.89%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    8
    0
    1
    1
    0
    Splenomegaly
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Ear and labyrinth disorders
    Ear pain
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    1 / 2 (50.00%)
         occurrences all number
    0
    0
    1
    1
    1
    Eye disorders
    Vision blurred
         subjects affected / exposed
    2 / 38 (5.26%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    0
    0
    0
    0
    Macular degeneration
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Vitreous floaters
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    5 / 38 (13.16%)
    2 / 14 (14.29%)
    2 / 11 (18.18%)
    4 / 25 (16.00%)
    0 / 2 (0.00%)
         occurrences all number
    5
    3
    3
    6
    0
    Abdominal pain lower
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Abdominal pain upper
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Abdominal discomfort
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Abdominal distension
         subjects affected / exposed
    0 / 38 (0.00%)
    2 / 14 (14.29%)
    1 / 11 (9.09%)
    3 / 25 (12.00%)
    1 / 2 (50.00%)
         occurrences all number
    0
    2
    2
    4
    1
    Constipation
         subjects affected / exposed
    5 / 38 (13.16%)
    5 / 14 (35.71%)
    1 / 11 (9.09%)
    6 / 25 (24.00%)
    0 / 2 (0.00%)
         occurrences all number
    5
    7
    1
    8
    0
    Diarrhoea
         subjects affected / exposed
    14 / 38 (36.84%)
    8 / 14 (57.14%)
    2 / 11 (18.18%)
    10 / 25 (40.00%)
    1 / 2 (50.00%)
         occurrences all number
    28
    9
    5
    14
    1
    Dyspepsia
         subjects affected / exposed
    2 / 38 (5.26%)
    0 / 14 (0.00%)
    2 / 11 (18.18%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    0
    2
    2
    0
    Dysphagia
         subjects affected / exposed
    5 / 38 (13.16%)
    0 / 14 (0.00%)
    2 / 11 (18.18%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    5
    0
    2
    2
    0
    Dry mouth
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 2 (50.00%)
         occurrences all number
    0
    0
    0
    0
    1
    Gastritis
         subjects affected / exposed
    2 / 38 (5.26%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    0
    0
    0
    0
    Gastrointestinal wall thickening
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Gastrooesophageal reflux disease
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Gingival pain
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Nausea
         subjects affected / exposed
    12 / 38 (31.58%)
    9 / 14 (64.29%)
    4 / 11 (36.36%)
    13 / 25 (52.00%)
    1 / 2 (50.00%)
         occurrences all number
    17
    9
    5
    14
    1
    Stomatitis
         subjects affected / exposed
    3 / 38 (7.89%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    3
    0
    1
    1
    0
    Toothache
         subjects affected / exposed
    1 / 38 (2.63%)
    1 / 14 (7.14%)
    1 / 11 (9.09%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    1
    1
    2
    0
    Vomiting
         subjects affected / exposed
    6 / 38 (15.79%)
    5 / 14 (35.71%)
    3 / 11 (27.27%)
    8 / 25 (32.00%)
    0 / 2 (0.00%)
         occurrences all number
    8
    5
    4
    9
    0
    Hepatobiliary disorders
    Cholecystitis
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Skin and subcutaneous tissue disorders
    Dermatitis acneiform
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Erythema multiforme
         subjects affected / exposed
    2 / 38 (5.26%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 2 (50.00%)
         occurrences all number
    2
    0
    0
    0
    1
    Hyperhidrosis
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    2
    0
    2
    0
    Ingrowing nail
         subjects affected / exposed
    2 / 38 (5.26%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    0
    0
    0
    0
    Night sweats
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Onychomadesis
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Pruritus
         subjects affected / exposed
    10 / 38 (26.32%)
    0 / 14 (0.00%)
    2 / 11 (18.18%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    11
    0
    4
    4
    0
    Rash
         subjects affected / exposed
    9 / 38 (23.68%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    11
    0
    0
    0
    0
    Rash macular
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Rash maculo-papular
         subjects affected / exposed
    5 / 38 (13.16%)
    0 / 14 (0.00%)
    2 / 11 (18.18%)
    2 / 25 (8.00%)
    1 / 2 (50.00%)
         occurrences all number
    7
    0
    6
    6
    1
    Skin lesion
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    1 / 11 (9.09%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    4
    5
    0
    Urticaria
         subjects affected / exposed
    5 / 38 (13.16%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    5
    0
    0
    0
    0
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    2 / 38 (5.26%)
    3 / 14 (21.43%)
    0 / 11 (0.00%)
    3 / 25 (12.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    3
    0
    3
    0
    Haematuria
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Nocturia
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Renal colic
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Urinary retention
         subjects affected / exposed
    1 / 38 (2.63%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    1
    0
    1
    0
    Urine abnormality
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    3 / 38 (7.89%)
    4 / 14 (28.57%)
    2 / 11 (18.18%)
    6 / 25 (24.00%)
    0 / 2 (0.00%)
         occurrences all number
    4
    4
    3
    7
    0
    Back pain
         subjects affected / exposed
    1 / 38 (2.63%)
    1 / 14 (7.14%)
    2 / 11 (18.18%)
    3 / 25 (12.00%)
    1 / 2 (50.00%)
         occurrences all number
    1
    1
    2
    3
    1
    Bone pain
         subjects affected / exposed
    2 / 38 (5.26%)
    1 / 14 (7.14%)
    1 / 11 (9.09%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    1
    3
    4
    0
    Flank pain
         subjects affected / exposed
    2 / 38 (5.26%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    0
    0
    0
    0
    Groin pain
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    1 / 2 (50.00%)
         occurrences all number
    0
    1
    0
    1
    1
    Muscle spasms
         subjects affected / exposed
    1 / 38 (2.63%)
    2 / 14 (14.29%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    3
    0
    3
    0
    Muscular weakness
         subjects affected / exposed
    7 / 38 (18.42%)
    0 / 14 (0.00%)
    3 / 11 (27.27%)
    3 / 25 (12.00%)
    0 / 2 (0.00%)
         occurrences all number
    10
    0
    3
    3
    0
    Myalgia
         subjects affected / exposed
    1 / 38 (2.63%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    1
    0
    1
    0
    Neck pain
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 2 (50.00%)
         occurrences all number
    0
    0
    0
    0
    1
    Pain in extremity
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    1 / 2 (50.00%)
         occurrences all number
    2
    0
    1
    1
    1
    Scoliosis
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Synovitis
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Infections and infestations
    Bacterial infection
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Clostridium difficile infection
         subjects affected / exposed
    1 / 38 (2.63%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    0
    2
    2
    0
    Diverticulitis
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Dermatitis infected
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Epstein-Barr virus infection
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Herpes zoster
         subjects affected / exposed
    2 / 38 (5.26%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 2 (50.00%)
         occurrences all number
    2
    0
    0
    0
    1
    Oral candidiasis
         subjects affected / exposed
    4 / 38 (10.53%)
    0 / 14 (0.00%)
    2 / 11 (18.18%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    4
    0
    2
    2
    0
    Pharyngitis
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    2 / 11 (18.18%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    2
    2
    0
    Pneumonia
         subjects affected / exposed
    4 / 38 (10.53%)
    1 / 14 (7.14%)
    1 / 11 (9.09%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    4
    1
    1
    2
    0
    Rash pustular
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    2
    0
    2
    0
    Sepsis
         subjects affected / exposed
    1 / 38 (2.63%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    1
    0
    1
    0
    Sinusitis
         subjects affected / exposed
    2 / 38 (5.26%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    1
    0
    1
    0
    Streptoccocal urinary tract infection
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    Upper respiratory tract infection
         subjects affected / exposed
    5 / 38 (13.16%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    5
    0
    0
    0
    0
    Urinary tract infection
         subjects affected / exposed
    3 / 38 (7.89%)
    1 / 14 (7.14%)
    1 / 11 (9.09%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    3
    1
    1
    2
    0
    Skin infection
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 2 (50.00%)
         occurrences all number
    0
    0
    0
    0
    1
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    13 / 38 (34.21%)
    7 / 14 (50.00%)
    2 / 11 (18.18%)
    9 / 25 (36.00%)
    1 / 2 (50.00%)
         occurrences all number
    16
    8
    3
    11
    1
    Dehydration
         subjects affected / exposed
    5 / 38 (13.16%)
    4 / 14 (28.57%)
    0 / 11 (0.00%)
    4 / 25 (16.00%)
    0 / 2 (0.00%)
         occurrences all number
    6
    5
    0
    5
    0
    Hypercalcaemia
         subjects affected / exposed
    3 / 38 (7.89%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    3
    4
    0
    4
    0
    Hyperglycaemia
         subjects affected / exposed
    1 / 38 (2.63%)
    2 / 14 (14.29%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    1 / 2 (50.00%)
         occurrences all number
    1
    2
    0
    2
    1
    Hyperkalaemia
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Hyperuricaemia
         subjects affected / exposed
    2 / 38 (5.26%)
    2 / 14 (14.29%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    2
    0
    2
    0
    Hypoalbuminaemia
         subjects affected / exposed
    2 / 38 (5.26%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    2
    0
    2
    0
    Hypocalcaemia
         subjects affected / exposed
    2 / 38 (5.26%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    3
    0
    3
    0
    Hypokalaemia
         subjects affected / exposed
    9 / 38 (23.68%)
    5 / 14 (35.71%)
    1 / 11 (9.09%)
    6 / 25 (24.00%)
    0 / 2 (0.00%)
         occurrences all number
    15
    7
    1
    8
    0
    Hypomagnesaemia
         subjects affected / exposed
    5 / 38 (13.16%)
    5 / 14 (35.71%)
    0 / 11 (0.00%)
    5 / 25 (20.00%)
    0 / 2 (0.00%)
         occurrences all number
    7
    6
    0
    6
    0
    Hyponatraemia
         subjects affected / exposed
    2 / 38 (5.26%)
    7 / 14 (50.00%)
    1 / 11 (9.09%)
    8 / 25 (32.00%)
    1 / 2 (50.00%)
         occurrences all number
    3
    10
    1
    11
    1
    Hypophosphataemia
         subjects affected / exposed
    1 / 38 (2.63%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    1
    0
    1
    0
    Hypovolaemia
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Lactic acidosis
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Metabolic acidosis
         subjects affected / exposed
    0 / 38 (0.00%)
    1 / 14 (7.14%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Vitamin B1 deficiency
         subjects affected / exposed
    0 / 38 (0.00%)
    0 / 14 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    06 Jan 2016
    Protocol Amendment 1 (dated 06 January 2016), implemented the following substantive changes: •Modified dosing regimen of tipifarnib to 900 mg po BID on Days 1 – 7 and 15 – 21 of 28-day treatment cycles •Indicated that if treatment-related treatment-emergent adverse event (TEAE) Common Terminology Criteria for Adverse Events (CTCAE) Grade > 3 haematological toxicity or CTCAE Grade 3 or 4 non-haematological toxicity was observed that could not be managed with supportive care measures, treatment with tipifarnib would be discontinued until recovery to CTCAE Grade ≤ 3 or CTCAE Grade ≤ 2 respectively. •Included (specifically for renal toxicity): If TEAE CTCAE Grade ≥ 2 renal toxicity was observed, treatment with tipifarnib was to be discontinued until recovery to Grade 1 or resolution. Upon recovery to Grade 1 or resolution, tipifarnib should have been restarted at a reduced dose level. •Dose re-escalation was clarified. Unless otherwise indicated (e.g., dosing discontinuation), reduced doses may have been re-escalated to the original dose at the judgement of the investigator. However, subjects who experienced SAEs or a recurrence of Grade ≥ 3 toxicity deemed to be related to tipifarnib would not have the dose re-escalated following dose reduction. In addition, subjects experiencing more than 1 dose delay of ≥ 14 days would not have the dose re-escalated. •The option for dose escalation to 1200 mg BID was clarified. At the discretion of the investigator, the dose of tipifarnib may have been increased to 1200 mg BID if the subject did not experience at dose limiting toxicity (DLT) at the 900 mg BID dose. However, the tipifarnib dose would not be escalated to 1200 mg BID in subjects who developed SAEs or experienced Grade ≥ 2 TEAEs that were deemed related to tipifarnib and lasted ≥ 14 days or in those subjects who had required dose reductions or dose delays ≥ 14 days for TEAEs deemed related to tipifarnib.
    06 Jan 2016
    Protocol Amendment 1 continued (dated 06 January 2016), implemented the following substantive changes: •Inclusion criteria 11 (acceptable haematological status) was updated to remove the exclusion of growth factor support or transfusion dependency. •Clarified the exclusion of subjects with hypersensitivity to structural compounds similar to tipifarnib. Subjects with hypersensitivity to imidazoles, such as clotrimazole, ketoconazole, miconazole, and others in this drug class were excluded from enrolment. •Defined non-tolerable Grade 2 toxicities as those with moderate symptoms that the subject was not able to endure for the conduct of instrumental activities of daily life or that persisted ≥ 7 days. •Added electrocardiogram (ECG) testing at Cycle 1 Day 1 and Day 7 at the projected time of Cmax, 2 – 4 hours postdose. Replaced Day 15 procedures with Day 7 procedures in order to allow collection of ECG and laboratory safety evaluations at steady state. •Included the following statement: Subjects should not use enzyme-inducing anticonvulsants (e.g., phenytoin, phenobarbital, and carbamazepine) while taking tipifarnib. If needed, subjects may have used non-enzyme-inducing anticonvulsants (e.g., gabapentin, topiramate, valproate) while taking tipifarnib. •Detailed the exploratory objective to include oncogene panel sequencing from tumour tissue samples, immune cytokine profiling from serum samples, and Killer cell Immunoglobulin-like receptor (KIR) genotyping. •Updated protocol Section 9.5 Dose Modification and Management of Toxicity to align with the change in dose and schedule. •Added a blood sample for biomarkers as well as additional details on serum biomarker collections.
    06 Jan 2016
    Protocol Amendment 1 continued (dated 06 January 2016), implemented the following substantive changes: •Added the following: Subjects may have used proton pump inhibitors or H2 antagonists during the treatment portion of this study. However, subjects were instructed to use antacids (magnesium or aluminium containing products) at least 2 hours before or after taking study drug. •Removed the need to perform urinalysis (based on absence of prior findings). •Clarified the tumour assessment schedule. •To facilitate the scheduling of subjects, assessments on Day 22 were removed (ECOG, physical examination, vital signs) and allowed a window (± 1 day) for Cycle 2 Day 1.
    29 Mar 2016
    Protocol Amendment 2 (dated 29 March 2016), implemented the following substantive changes: • Reduced the number of required tumour slides from 12 to 6 and clarified that if no slides were available, a formalin-fixed paraffin-embedded block could have been provided for biomarker testing. • Included a serum biomarker collection at Cycle 1 Day 7. • Clarified that baseline samples for biomarkers were 2 distinct samples (1 blood and 1 serum sample). • Allowed (in exceptional circumstances), dosing delays or skipping of doses for reasons other than management of toxicity. This was allowed at the judgement of the investigator as long as 50% of the total dose was maintained for a given cycle. • To facilitate the scheduling of subjects, allowed a window (± 2 day) for Cycle 2 Day 1. • Provided clarity to the sample size determination. − At least 4 out of 18 subjects would need to be observed for rejection of the null hypothesis. In a prior tipifarnib study, 4 responses were observed in 8 PTCL subjects. If this high level of activity were to be observed, provisions were to be made to address the unmet medical need of this patient population. − If 5 or more objective responses are observed in initial 11 subjects, enrolment would continue until a new study was initiated or until a maximum of 30 subjects were enrolled, whichever occurred first. − No specific statistical hypothesis was to be tested in this extension cohort and descriptive statistics would be employed to define the response rate and its 95% confidence interval of the overall set of treated subjects. • Included newly acquired EudraCT number.
    25 Aug 2016
    Protocol Amendment 3 (dated 25 August 2016), implemented the following substantive changes: •Reduced tipifarnib starting dose to 600 mg on Days 1 – 7 and 15 – 21 of a 28-day cycle. Additionally, the dose of tipifarnib may have been increased to 800 mg BID if the subject had not experienced DLTs at the 600 mg dose level. Subjects who received a starting dose of 900 mg BID during the conduct of the original version of the protocol may have been dose reduced to the 600 mg BID dose at the investigators discretion. •Incorporated 200 mg dose reductions as part of the management of TEAE toxicities. Incorporated dose modification (200 mg dose reduction) upon occurrence of Grade 3 haematological toxicities and clarified treatment interruption and reinitiation of tipifarnib at each dose level. •Clarified that for inclusion into the study, the site had to confirm that sufficient archival tumour tissue was available during screening, or the subject must have had a biopsy performed prior to initiation of tipifarnib. Allowed replacement of subjects who were unable to provide archival tumour tissue by the end of Cycle 1 and who had not had a tumour biopsy prior to initiation of tipifarnib therapy. •Clarified the response assessment to be used in the study was the Lugano Classification. In line with these response criteria, additional guidance was provided on the selection of imaging method (PET-CT or Spiral CT) and bone marrow (BM) evaluation (biopsy or PET). •Allowed for continuation of enrolment up to a maximum of 30 subjects if 5 or more responses were observed in the first 18 evaluable subjects. •Clarified that the visit schedule should have been maintained regardless of dose delays or additional assessments performed. •Reduced the frequency of coagulation testing and collection of vital signs. •Clarified that pregnancy testing could have been urine or serum . •Aligned the description of TEAE grading with CTCAE v4.03; moved “disabling” from Grade 4 to Grade 3.
    08 Mar 2017
    Protocol Amendment 4 (dated 08 March 2017), implemented the following substantive changes: • Added AITL expansion cohort (N = 12) and statistical rationale for the selected sample size. • Added a buccal swab collection at screening and included markers for herpes virus infection as potential biomarkers for evaluation • Added a plasma sample in addition to the already included serum sample for the assessment of circulating biomarkers. • Provided additional clarification under which circumstances subjects may have been replaced.
    06 Jul 2017
    Protocol Amendment 5 (dated 06 July 2017), implemented the following substantive changes: • Changed the tipifarnib dose and regimen from 600 mg BID for 7 days in alternating weeks to 300 mg BID administered for 21 days in 28-day treatment cycles and allowed for stepwise 100 mg dose reductions to control treatment-related, treatment-emergent toxicities. Dose modifications guidelines were adjusted to account for the new dose regimen. In addition, guidance was included to allow subjects who received tipifarnib BID on Days 1 – 7 and Days 15 – 21 in 28-day cycles during the conduct of earlier versions of the protocol to remain on that dose regimen at the discretion of the investigator. Alternatively, the subject may have transitioned to receive a dose of 300 mg, orally with food, BID on Days 1 – 21 of 28-day treatment cycles beginning on Day 1 of the next cycle. • Adjusted contraception requirements for inclusion in the study, provided further information on the potential effects of tipifarnib on reproduction and fertility, and provided guidance on sperm cryopreservation in male subjects wishing to preserve their fertility after tipifarnib treatment. • Clarified that a negative pregnancy test must have been obtained during screening within 72 hours of the first dose of tipifarnib in women of childbearing potential. • Updated information on the study drug characteristics and the 300 mg tablet, which may have been used as clinical trial material. Revised guidance on crushing or chewing tablets. • Removed the limit on the number of allowable dose reductions prior to removing the subject from the study. Subjects should have been removed from the study based on criteria outlined in the protocol. • Provided additional clarification on how to define the cycle and day when tipifarnib is restarted following a treatment interruption.
    06 Jul 2017
    Protocol Amendment 5 continued (dated 06 July 2017), implemented the following substantive changes: • Provided additional emphasis that tumour assessments, including radiological assessments, should have maintained actual time schedule regardless of treatment delays or interruptions. In other words, subjects should have had their tumour assessed approximately every 8 weeks from starting tipifarnib treatment through the first 6 months of study participation. Thereafter, tumour assessments were to be performed every 12 weeks. • Provided additional details on the definition of End of Study. • Removed erroneously placed “x” for tumour assessment on Cycle 1 Day 7 in Schedule of Activities table.
    08 Jan 2018
    Protocol Amendment 6 (dated 08 January 2018), implemented the following substantive changes: • Added a CXCL12+ PTCL expansion cohort (N = 12) and statistical rationale for the selected sample size. • Clarified that pregnancy testing on Day 1 of each cycle was to begin at Cycle 2 as the screening pregnancy testing was to be done within 72 hours of first dose on Cycle 1 Day 1.
    12 Jul 2019
    Protocol Amendment 7 (dated 12 July 2019), implemented the following substantive changes: • Based on the high antitumor activity observed in AITL subjects in the AITL cohort and other portions of the study, enrolment in the AITL cohort was expanded to include up to 20 additional subjects with tumours of AITL and related T follicular helper cell histologies in order to gather further experience with tipifarnib in this relatively rare patient population. The selection of 20 subjects was empirical and no statistical hypotheses were tested. Descriptive statistics were to be used to report response rate. • Expanded the buccal swab genomic assessments to allow for the determination of germinal/somatic status of gene variations in tumour samples. • Included supplementary clinical experience data, which supported the expansion of the study.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

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