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    Clinical Trial Results:
    A Phase 2, Fast Real-time Assessment of Combination Therapies in Immuno-ONcology Study in Subjects with Advanced Non-small Cell Lung Cancer (FRACTION-Lung)

    Summary
    EudraCT number
    2016-001835-11
    Trial protocol
    ES   AT   FR   IT  
    Global end of trial date
    29 Jan 2020

    Results information
    Results version number
    v1(current)
    This version publication date
    12 Feb 2021
    First version publication date
    12 Feb 2021
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    CA018-001
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Bristol-Myers Squibb
    Sponsor organisation address
    Chaussée de la Hulpe 185, Brussels, Belgium, 1170
    Public contact
    EU Study Start-Up Unit, Bristol-Myers Squibb International Corporation, Clinical.Trials@bms.com
    Scientific contact
    Bristol-Myers Squibb Study Director, Bristol-Myers Squibb, Clinical.Trials@bms.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
    17 Mar 2020
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    29 Jan 2020
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To evaluate the preliminary efficacy, safety, and tolerability of novel FRACTION-Lung treatment combinations in subjects with advanced non-small cell lung cancer (NSCLC).
    Protection of trial subjects
    The study was in compliance with the ethical principles derived from the Declaration of Helsinki and in compliance with all International Conference on Harmonization Good Clinical Practice Guidelines. All the local regulatory requirements pertinent to safety of trial subjects were followed.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    06 May 2016
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Austria: 2
    Country: Number of subjects enrolled
    Australia: 6
    Country: Number of subjects enrolled
    Canada: 23
    Country: Number of subjects enrolled
    France: 4
    Country: Number of subjects enrolled
    Italy: 25
    Country: Number of subjects enrolled
    Spain: 28
    Country: Number of subjects enrolled
    Switzerland: 1
    Country: Number of subjects enrolled
    United States: 206
    Worldwide total number of subjects
    295
    EEA total number of subjects
    59
    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)
    149
    From 65 to 84 years
    146
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Each of the 295 subjects was assigned to 1 of 5 non-consecutive Tracks (based on previous therapy exposure and/or PD-1/PD-L1 expression). 14 of the 295 subjects, after receiving initial treatment, were re-randomized to a second, different treatment (either under a different Track or within the same Track).

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

    Arms
    Are arms mutually exclusive
    No

    Arm title
    Nivolumab
    Arm description
    Nivolumab monotherapy 240 mg Q2W administered until completion of 6 cycles (1 cycle=4 weeks)
    Arm type
    Experimental

    Investigational medicinal product name
    Nivolumab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravenous use
    Dosage and administration details
    Flat dose 240 mg Q2W given as an IV over approximately 30 minutes

    Arm title
    Nivolumab + Dasatinib
    Arm description
    Nivolumab 240 mg Q2W + Dasatinib 100 mg QD, administered until completion of 6 cycles (1 cycle=4 weeks)
    Arm type
    Experimental

    Investigational medicinal product name
    Nivolumab + Dasatinib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection, Tablet
    Routes of administration
    Intravenous use, Oral use
    Dosage and administration details
    Nivolumab: flat dose 240 mg Q2W Dasatinib: 100 mg QD

    Arm title
    Nivolumab + BMS986016
    Arm description
    Nivolumab 240 mg Q2W + BMS986016 20 mg Q2W, administered until completion of 6 cycles (1 cycle=4 weeks)
    Arm type
    Experimental

    Investigational medicinal product name
    Nivolumab + BMS986016
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravenous use
    Dosage and administration details
    Nivolumab: flat dose 240 mg Q2W BMS986016: 20 mg Q2W

    Arm title
    Nivolumab + Ipilimumab
    Arm description
    Nivolumab 240 mg Q2W for 12 doses + Ipilimumab 1 mg/kg Q6W for 4 doses, administered until completion of 24 weeks of study
    Arm type
    Experimental

    Investigational medicinal product name
    Nivolumab + Ipilimumab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravenous use
    Dosage and administration details
    Nivolumab: flat dose 240 mg Q2W Ipilimumab: 1 mg/Kg Q6W

    Arm title
    Nivolumab + BMS986205
    Arm description
    Nivolumab 480 mg Q4W + BMS986205 100 mg QD, administered until completion of 6 cycles (1 cycle=4 weeks
    Arm type
    Experimental

    Investigational medicinal product name
    Nivolumab + BMS986205
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection, Tablet
    Routes of administration
    Intravenous use, Oral use
    Dosage and administration details
    Nivolumab: flat dose 240 mg Q2W BMS986205: 100 mg QD

    Number of subjects in period 1
    Nivolumab Nivolumab + Dasatinib Nivolumab + BMS986016 Nivolumab + Ipilimumab Nivolumab + BMS986205
    Started
    49
    104
    17
    88
    37
    Completed
    16
    9
    1
    26
    0
    Not completed
    33
    97
    17
    67
    43
         Subject withdrew consent
    -
    5
    1
    -
    -
         Disease progression
    24
    63
    15
    52
    34
         Subject request to discontinue
    1
    3
    -
    1
    3
         Study drug toxicity
    5
    12
    -
    9
    2
         Death
    -
    -
    -
    1
    -
         AE unrelated to study drug
    2
    6
    1
    1
    2
         Other reasons
    1
    8
    -
    3
    2
    Joined
    0
    2
    1
    5
    6
         Re-randomized to a second treatment
    -
    2
    1
    5
    6

    Baseline characteristics

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    Baseline characteristics reporting groups [1]
    Reporting group title
    Nivolumab
    Reporting group description
    Nivolumab monotherapy 240 mg Q2W administered until completion of 6 cycles (1 cycle=4 weeks)

    Reporting group title
    Nivolumab + Dasatinib
    Reporting group description
    Nivolumab 240 mg Q2W + Dasatinib 100 mg QD, administered until completion of 6 cycles (1 cycle=4 weeks)

    Reporting group title
    Nivolumab + BMS986016
    Reporting group description
    Nivolumab 240 mg Q2W + BMS986016 20 mg Q2W, administered until completion of 6 cycles (1 cycle=4 weeks)

    Reporting group title
    Nivolumab + Ipilimumab
    Reporting group description
    Nivolumab 240 mg Q2W for 12 doses + Ipilimumab 1 mg/kg Q6W for 4 doses, administered until completion of 24 weeks of study

    Reporting group title
    Nivolumab + BMS986205
    Reporting group description
    Nivolumab 480 mg Q4W + BMS986205 100 mg QD, administered until completion of 6 cycles (1 cycle=4 weeks

    Notes
    [1] - The number of subjects reported to be in the baseline period is not equal to the worldwide number of subjects enrolled in the trial. It is expected that these numbers will be the same.
    Justification: 14 subjects, after receiving a first treatment, were re-randomized to a second different treatment group
    Reporting group values
    Nivolumab Nivolumab + Dasatinib Nivolumab + BMS986016 Nivolumab + Ipilimumab Nivolumab + BMS986205 Total
    Number of subjects
    49 106 18 93 43 309
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    24 49 8 51 22 154
        From 65-84 years
    25 57 10 42 21 155
    Age Continuous
    Units: Years
        arithmetic mean (standard deviation)
    64.5 ( 10.27 ) 63.8 ( 9.26 ) 66.3 ( 8.99 ) 62.4 ( 8.88 ) 64.5 ( 8.05 ) -
    Sex: Female, Male
    Units: Participants
        Female
    21 35 8 39 22 125
        Male
    28 71 10 54 21 184
    Race (NIH/OMB)
    Units: Subjects
        Asian
    2 7 2 3 4 18
        Black or African American
    0 6 1 6 7 20
        White
    42 87 15 82 30 256
        Unknown or Not Reported
    5 6 0 2 2 15
    Ethnicity (NIH/OMB)
    Units: Subjects
        Hispanic or Latino
    1 2 0 5 1 9
        Not Hispanic or Latino
    25 66 18 63 31 203
        Unknown or Not Reported
    23 38 0 25 11 97

    End points

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    End points reporting groups
    Reporting group title
    Nivolumab
    Reporting group description
    Nivolumab monotherapy 240 mg Q2W administered until completion of 6 cycles (1 cycle=4 weeks)

    Reporting group title
    Nivolumab + Dasatinib
    Reporting group description
    Nivolumab 240 mg Q2W + Dasatinib 100 mg QD, administered until completion of 6 cycles (1 cycle=4 weeks)

    Reporting group title
    Nivolumab + BMS986016
    Reporting group description
    Nivolumab 240 mg Q2W + BMS986016 20 mg Q2W, administered until completion of 6 cycles (1 cycle=4 weeks)

    Reporting group title
    Nivolumab + Ipilimumab
    Reporting group description
    Nivolumab 240 mg Q2W for 12 doses + Ipilimumab 1 mg/kg Q6W for 4 doses, administered until completion of 24 weeks of study

    Reporting group title
    Nivolumab + BMS986205
    Reporting group description
    Nivolumab 480 mg Q4W + BMS986205 100 mg QD, administered until completion of 6 cycles (1 cycle=4 weeks

    Primary: Objective Response Rate (ORR)

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    End point title
    Objective Response Rate (ORR) [1]
    End point description
    ORR is defined as the percentage of subjects whose confirmed best overall response (BOR) is either a complete response (CR) or partial response (PR). BOR was assessed by investigator per RECIST1.1. Results are presented by study tracks. IO YES/NO = Prior immuno-oncology therapy exposure status. PD-L1 + = PD-L1 expression levels >=1%. PD-L1 - = PD-L1 expression levels <1%. Results for treatment groups not receiving treatment during a specific study track are indicated as 99999.
    End point type
    Primary
    End point timeframe
    From first dose to 2 years following last dose (up to 30 months)
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: ORR is estimated and corresponding exact two-sided 95% CI is derived based Clopper and Pearson method.
    End point values
    Nivolumab Nivolumab + Dasatinib Nivolumab + BMS986016 Nivolumab + Ipilimumab Nivolumab + BMS986205
    Number of subjects analysed
    49 [2]
    106 [3]
    18 [4]
    93 [5]
    43 [6]
    Units: Percent of Subjects
    number (confidence interval 95%)
        Track 1 = NO IO - PD-L1 +
    17.5 (7.3 to 32.8)
    25.0 (0.6 to 80.6)
    99999 (99999 to 99999)
    0 (0.0 to 70.8)
    9999 (9999 to 9999)
        Track 2 = NO IO - PD-L1 -
    0 (0.0 to 33.6)
    0 (0.0 to 33.6)
    0 (0.0 to 84.2)
    25.0 (5.5 to 57.2)
    99999 (99999 to 99999)
        Track 3 = YES IO
    99999 (99999 to 99999)
    2.4 (0.1 to 12.9)
    0 (0.0 to 20.6)
    5.6 (0.1 to 27.3)
    99999 (99999 to 99999)
        Track 4 = NO IO (after enrollment stop in 1,2,3)
    99999 (99999 to 99999)
    1.9 (0.0 to 10.1)
    99999 (99999 to 99999)
    20.0 (10.8 to 32.3)
    99999 (99999 to 99999)
        Track 5 = YES IO (after enrollment stop in 1,2,3)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    2.3 (0.1 to 12.3)
    Notes
    [2] - Track1=40 Track2=9 Track3=0 Track4=0 Track5=0
    [3] - Track1=4 Track2=8 Track3=41 Track4=53 Track5=0
    [4] - Track1=0 Track2=2 Track3=16 Track4=0 Track5=0
    [5] - Track1=3 Track2=12 Track3=18 Track4=60 Track5=0
    [6] - Track1=0 Track2=0 Track3=0 Track4=0 Track5=43
    No statistical analyses for this end point

    Primary: Duration of Response (DOR)

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    End point title
    Duration of Response (DOR) [7]
    End point description
    DOR, computed for all treated subjects with a confirmed BOR of CR or PR, is defined as the time between the date of first response and the date of first documented disease progression (as determined by RECIST 1.1) or death due to any cause. Results are presented by study tracks. IO YES/NO = Prior immuno-oncology therapy exposure status. PD-L1 + = PD-L1 expression levels >=1%. PD-L1 - = PD-L1 expression levels <1%. Results for treatment groups not receiving treatment during a specific study track or for which a value was not calculable are indicated as 99999.
    End point type
    Primary
    End point timeframe
    From first dose to 2 years following last dose (up to 30 months)
    Notes
    [7] - 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: DOR is estimated using the Kaplan-Meier (KM) product limit method. Median values of DOR, along with two-sided 95% CI, is computed based on a log-log transformation method.
    End point values
    Nivolumab Nivolumab + Dasatinib Nivolumab + BMS986016 Nivolumab + Ipilimumab Nivolumab + BMS986205
    Number of subjects analysed
    7 [8]
    3 [9]
    0 [10]
    16 [11]
    1 [12]
    Units: Months
    median (confidence interval 95%)
        Track 1 =NO IO - PD-L1 +
    12.81 (0.03 to 99999)
    8.57 (-99999 to 99999)
    ( to )
    99999 (99999 to 99999)
    99999 (99999 to 99999)
        Track 2 = NO IO - PD-L1 -
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    ( to )
    99999 (99999 to 99999)
    99999 (99999 to 99999)
        Track 3 = YES IO
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    ( to )
    99999 (99999 to 99999)
    99999 (99999 to 99999)
        Track 4 = NO IO (after enrollment stop in 1,2,3)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    ( to )
    12.65 (8.77 to 99999)
    99999 (99999 to 99999)
        Track 5 = YES IO (after enrollment stop in 1,2,3)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    ( to )
    99999 (99999 to 99999)
    3.75 (-99999 to 99999)
    Notes
    [8] - Track1=7 Track2=0 Track3=0 Track4=0 Track5=0
    [9] - Track1=1 Track2=0 Track3=1 Track4=1 Track5=0
    [10] - Track1=0 Track2=0 Track3=0 Track4=0 Track5=0
    [11] - Track1=0 Track2=3 Track3=1 Track4=12 Track5=0
    [12] - Track1=0 Track2=0 Track3=0 Track4=0 Track5=1
    No statistical analyses for this end point

    Primary: Progression Free Survival Rate (PFSR) at 24 Weeks

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    End point title
    Progression Free Survival Rate (PFSR) at 24 Weeks [13]
    End point description
    The PFSR at 24 weeks is defined as the proportion of treated subjects remaining progression free and surviving at 24 weeks since the first dosing date. Results are presented by study tracks and only for the treatment groups with a sufficient number of subjects remaining progression-free during the timeframe (n>=5). IO YES/NO = Prior immuno-oncology therapy exposure status. PD-L1 + = PD-L1 expression levels >=1%. PD-L1 - = PD-L1 expression levels <1%. Results for treatment groups not receiving treatment during a specific study track or with an insufficient number of subjects remaining progression-free are indicated as 99999.
    End point type
    Primary
    End point timeframe
    From first dose to 24 weeks after first dose
    Notes
    [13] - 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: PFSR at 24 weeks is derived from the Kaplan Meier estimate and corresponding CIs are derived based on Greenwood formula for variance derivation and on log-log transformation applied on the survivor function.
    End point values
    Nivolumab Nivolumab + Dasatinib Nivolumab + BMS986016 Nivolumab + Ipilimumab Nivolumab + BMS986205
    Number of subjects analysed
    49 [14]
    106 [15]
    18 [16]
    93 [17]
    43 [18]
    Units: Proportion of Participants
    number (confidence interval 95%)
        Track 1 = NO IO - PD-L1 +
    0.302 (0.164 to 0.451)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
        Track 2 = NO IO - PD-L1 -
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    0.455 (0.167 to 0.707)
    99999 (99999 to 99999)
        Track 3 = YES IO
    99999 (99999 to 99999)
    0.191 (0.079 to 0.340)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
        Track 4 = NO IO (after enrollment stop in 1,2,3)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    0.391 (0.265 to 0.514)
    99999 (99999 to 99999)
        Track 5 = YES IO (after enrollment stop in 1,2,3)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    0.111 (0.036 to 0.235)
    Notes
    [14] - Track1=40 Track2=9 Track3=0 Track4=0 Track5=0
    [15] - Track1=4 Track2=8 Track3=41 Track4=53 Track5=0
    [16] - Track1=0 Track2=2 Track3=16 Track4=0 Track5=0
    [17] - Track1=3 Track2=12 Track3=18 Track4=60 Track5=0
    [18] - Track1=0 Track2=0 Track3=0 Track4=0 Track5=43
    No statistical analyses for this end point

    Secondary: Percentage of Subjects Experiencing Adverse Events (AEs)

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    End point title
    Percentage of Subjects Experiencing Adverse Events (AEs)
    End point description
    This outcome measure describes the percentage of subjects who experienced any grade, all causality AEs during the specified time frame
    End point type
    Secondary
    End point timeframe
    From first dose to 100 days following last dose
    End point values
    Nivolumab Nivolumab + Dasatinib Nivolumab + BMS986016 Nivolumab + Ipilimumab Nivolumab + BMS986205
    Number of subjects analysed
    49
    106
    18
    93
    43
    Units: Percent of Subjects
        number (not applicable)
    100.0
    100.0
    100.0
    98.9
    100.0
    No statistical analyses for this end point

    Secondary: Percentage of Subjects Experiencing Serious Adverse Events (SAEs)

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    End point title
    Percentage of Subjects Experiencing Serious Adverse Events (SAEs)
    End point description
    This outcome measure describes the percentage of subjects who experienced any grade, all causality SAEs during the specified time frame
    End point type
    Secondary
    End point timeframe
    From first dose to 100 days following last dose
    End point values
    Nivolumab Nivolumab + Dasatinib Nivolumab + BMS986016 Nivolumab + Ipilimumab Nivolumab + BMS986205
    Number of subjects analysed
    49
    106
    18
    93
    43
    Units: Percent of Subjects
        number (not applicable)
    57.1
    53.8
    61.1
    58.1
    60.5
    No statistical analyses for this end point

    Secondary: Percentage of Subjects Experiencing Adverse Events (AEs) Leading to Discontinuation

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    End point title
    Percentage of Subjects Experiencing Adverse Events (AEs) Leading to Discontinuation
    End point description
    This outcome measure describes the percentage of subjects who experienced all causality AEs leading to discontinuation of study therapy during the specified time frame
    End point type
    Secondary
    End point timeframe
    From first dose to 100 days following last dose
    End point values
    Nivolumab Nivolumab + Dasatinib Nivolumab + BMS986016 Nivolumab + Ipilimumab Nivolumab + BMS986205
    Number of subjects analysed
    49
    106
    18
    93
    43
    Units: Percent of Subjects
        number (not applicable)
    14.3
    23.6
    5.6
    11.8
    14.0
    No statistical analyses for this end point

    Secondary: Percentage of Subjects Experiencing Death

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    End point title
    Percentage of Subjects Experiencing Death
    End point description
    This outcome measure describes the percentage of subjects who died (due to any cause) during the specified time frame
    End point type
    Secondary
    End point timeframe
    From first dose to up to 45 months following first dose
    End point values
    Nivolumab Nivolumab + Dasatinib Nivolumab + BMS986016 Nivolumab + Ipilimumab Nivolumab + BMS986205
    Number of subjects analysed
    49
    106
    18
    93
    43
    Units: Percent of Subjects
        number (not applicable)
    57.1
    55.7
    66.7
    46.2
    62.8
    No statistical analyses for this end point

    Secondary: Number of Subjects Experiencing Laboratory Abnormalities in Hepatic Tests

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    End point title
    Number of Subjects Experiencing Laboratory Abnormalities in Hepatic Tests
    End point description
    The following measurements will be considered laboratory abnormalities for hepatic tests: - ALT or AST > 3 x ULN, > 5 x ULN, > 10 x ULN and > 20 x ULN - Total bilirubin > 2 x ULN - Concurrent (within 1 day) ALT or AST > 3 x ULN and total bilirubin > 2 x ULN - Concurrent (within 30 days) ALT or AST > 3 x ULN and total bilirubin > 2 x ULN ALT=Alanine aminotransferase AST=Aspartate aminotransferase ULN=Upper Limit of Normal
    End point type
    Secondary
    End point timeframe
    From first dose to 100 days following last dose
    End point values
    Nivolumab Nivolumab + Dasatinib Nivolumab + BMS986016 Nivolumab + Ipilimumab Nivolumab + BMS986205
    Number of subjects analysed
    49
    106
    18
    93
    43
    Units: Subjects
        ALT OR AST > 3XULN
    4
    3
    1
    5
    3
        ALT OR AST > 5XULN
    2
    0
    0
    3
    2
        ALT OR AST > 10XULN
    2
    0
    0
    1
    2
        ALT OR AST > 20XULN
    0
    0
    0
    1
    1
        TOTAL BILIRUBIN > 2XULN
    1
    0
    0
    2
    3
        (1 day) ALT or AST>3x ULN and total bilir.>2x ULN
    0
    0
    0
    2
    2
        (30 day) ALT or AST>3x ULN and total bilir.>2x ULN
    0
    0
    0
    2
    2
    No statistical analyses for this end point

    Secondary: Number of Subjects Experiencing Laboratory Abnormalities in Thyroid Tests

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    End point title
    Number of Subjects Experiencing Laboratory Abnormalities in Thyroid Tests
    End point description
    The following measurements will be considered laboratory abnormalities for thyroid tests: - TSH value > ULN and - With baseline TSH value ≤ ULN - At least one T3/T4 test value < LLN - Low TSH < LLN and - With baseline TSH value ≥ LLN - At least one T3/T4 test value > ULN TSH = thyroid stimulating hormone ULN=Upper Limit of Normal LLN=Lower Limit of Normal T3=Triiodothyronine T4=Thyroxin
    End point type
    Secondary
    End point timeframe
    From first dose to 100 days following last dose
    End point values
    Nivolumab Nivolumab + Dasatinib Nivolumab + BMS986016 Nivolumab + Ipilimumab Nivolumab + BMS986205
    Number of subjects analysed
    29
    76
    14
    75
    35
    Units: Subjects
        TSH > ULN
    9
    16
    3
    24
    9
        TSH > ULN WITH TSH <= ULN AT BASELINE
    6
    9
    1
    17
    6
        TSH > ULN AT LEAST 1 FT3/FT4 VALUE < LLN
    4
    3
    1
    8
    6
        TSH < LLN
    5
    3
    0
    20
    4
        TSH < LLN WITH TSH >= LLN AT BASELINE
    5
    1
    0
    16
    4
        TSH < LLN AT LEAST 1 FT3/FT4 VALUE > ULN
    3
    1
    0
    5
    0
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Deaths = collected from first dose to up to 45 months following first dose Serious adverse events and other adverse events = collected from start of treatment up to 100 days of discontinuation of dosing.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    22.1
    Reporting groups
    Reporting group title
    Nivolumab
    Reporting group description
    Nivolumab monotherapy 240 mg Q2W administered until completion of 6 cycles (1 cycle=4 weeks)

    Reporting group title
    Nivolumab + Dasatinib
    Reporting group description
    Nivolumab 240 mg Q2W + Dasatinib 100 mg QD, administered until completion of 6 cycles (1 cycle=4 weeks)

    Reporting group title
    Nivolumab + BMS986016
    Reporting group description
    Nivolumab 240 mg Q2W + BMS986016 20 mg Q2W, administered until completion of 6 cycles (1 cycle=4 weeks)

    Reporting group title
    Nivolumab + Ipilimumab
    Reporting group description
    Nivolumab 240 mg Q2W for 12 doses + Ipilimumab 1 mg/kg Q6W for 4 doses, administered until completion of 24 weeks of study

    Reporting group title
    Nivolumab + BMS986205
    Reporting group description
    Nivolumab 480 mg Q4W + BMS986205 100 mg QD, administered until completion of 6 cycles (1 cycle=4 weeks)

    Serious adverse events
    Nivolumab Nivolumab + Dasatinib Nivolumab + BMS986016 Nivolumab + Ipilimumab Nivolumab + BMS986205
    Total subjects affected by serious adverse events
         subjects affected / exposed
    28 / 49 (57.14%)
    57 / 106 (53.77%)
    11 / 18 (61.11%)
    54 / 93 (58.06%)
    26 / 43 (60.47%)
         number of deaths (all causes)
    28
    59
    12
    43
    27
         number of deaths resulting from adverse events
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Basal cell carcinoma
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cancer pain
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Lung neoplasm malignant
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Malignant neoplasm progression
         subjects affected / exposed
    12 / 49 (24.49%)
    29 / 106 (27.36%)
    4 / 18 (22.22%)
    20 / 93 (21.51%)
    13 / 43 (30.23%)
         occurrences causally related to treatment / all
    0 / 12
    0 / 30
    0 / 4
    0 / 20
    0 / 15
         deaths causally related to treatment / all
    0 / 11
    0 / 27
    0 / 4
    0 / 20
    0 / 12
    Malignant pleural effusion
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    2 / 93 (2.15%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metastases to meninges
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Neoplasm progression
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    Second primary malignancy
         subjects affected / exposed
    1 / 49 (2.04%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (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
    Tumour pain
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    1 / 18 (5.56%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    Deep vein thrombosis
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypotension
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (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
    Orthostatic hypotension
         subjects affected / exposed
    1 / 49 (2.04%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (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
    Superior vena cava syndrome
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    1 / 18 (5.56%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Euthanasia
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Fatigue
         subjects affected / exposed
    1 / 49 (2.04%)
    2 / 106 (1.89%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    2 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General physical health deterioration
         subjects affected / exposed
    1 / 49 (2.04%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (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
    Influenza like illness
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Oedema peripheral
         subjects affected / exposed
    1 / 49 (2.04%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (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
    Pain
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pyrexia
         subjects affected / exposed
    0 / 49 (0.00%)
    3 / 106 (2.83%)
    0 / 18 (0.00%)
    3 / 93 (3.23%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 3
    0 / 0
    1 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    Scrotal oedema
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Acute respiratory failure
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    4 / 93 (4.30%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 4
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 1
    Atelectasis
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Bronchial obstruction
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Chronic obstructive pulmonary disease
         subjects affected / exposed
    2 / 49 (4.08%)
    0 / 106 (0.00%)
    1 / 18 (5.56%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Dyspnoea
         subjects affected / exposed
    2 / 49 (4.08%)
    7 / 106 (6.60%)
    0 / 18 (0.00%)
    5 / 93 (5.38%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 8
    0 / 0
    2 / 5
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Haemoptysis
         subjects affected / exposed
    0 / 49 (0.00%)
    2 / 106 (1.89%)
    0 / 18 (0.00%)
    2 / 93 (2.15%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypoxia
         subjects affected / exposed
    0 / 49 (0.00%)
    2 / 106 (1.89%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Interstitial lung disease
         subjects affected / exposed
    1 / 49 (2.04%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (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
    Lung consolidation
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Oesophagobronchial fistula
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pleural effusion
         subjects affected / exposed
    2 / 49 (4.08%)
    7 / 106 (6.60%)
    0 / 18 (0.00%)
    3 / 93 (3.23%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 2
    3 / 7
    0 / 0
    0 / 4
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonitis
         subjects affected / exposed
    3 / 49 (6.12%)
    6 / 106 (5.66%)
    1 / 18 (5.56%)
    3 / 93 (3.23%)
    3 / 43 (6.98%)
         occurrences causally related to treatment / all
    3 / 3
    6 / 8
    1 / 1
    3 / 3
    3 / 4
         deaths causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Pneumothorax
         subjects affected / exposed
    1 / 49 (2.04%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    4 / 49 (8.16%)
    0 / 106 (0.00%)
    1 / 18 (5.56%)
    1 / 93 (1.08%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 0
    0 / 1
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    Respiratory distress
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (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
    Respiratory failure
         subjects affected / exposed
    1 / 49 (2.04%)
    2 / 106 (1.89%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 2
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
    0 / 1
    Psychiatric disorders
    Confusional state
         subjects affected / exposed
    2 / 49 (4.08%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 2
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Delirium
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Mental status changes
         subjects affected / exposed
    1 / 49 (2.04%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Investigations
    Blood bilirubin increased
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Blood creatine phosphokinase increased
         subjects affected / exposed
    1 / 49 (2.04%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (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
    Human chorionic gonadotropin positive
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Transaminases increased
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Ankle fracture
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Fall
         subjects affected / exposed
    1 / 49 (2.04%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (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
    Humerus fracture
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infusion related reaction
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Overdose
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    2 / 43 (4.65%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    1 / 1
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Subdural haematoma
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Toxicity to various agents
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Atrial fibrillation
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    3 / 93 (3.23%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    1 / 7
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Atrial flutter
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    1 / 18 (5.56%)
    1 / 93 (1.08%)
    0 / 43 (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 arrest
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac tamponade
         subjects affected / exposed
    1 / 49 (2.04%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (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
    Myocarditis
         subjects affected / exposed
    1 / 49 (2.04%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (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
    Pericardial effusion
         subjects affected / exposed
    3 / 49 (6.12%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    1 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Supraventricular tachycardia
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Tachycardia
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Brachial plexopathy
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cerebral ischaemia
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cerebrovascular accident
         subjects affected / exposed
    1 / 49 (2.04%)
    1 / 106 (0.94%)
    1 / 18 (5.56%)
    0 / 93 (0.00%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 2
    1 / 1
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Dizziness
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Facial paralysis
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Haemorrhage intracranial
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Headache
         subjects affected / exposed
    1 / 49 (2.04%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (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
    Ischaemic stroke
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    1 / 18 (5.56%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Peripheral sensory neuropathy
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    2 / 43 (4.65%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Polyneuropathy
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Seizure
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Spinal cord compression
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Neutropenia
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Eye disorders
    Vision blurred
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Visual impairment
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Colitis
         subjects affected / exposed
    0 / 49 (0.00%)
    2 / 106 (1.89%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 3
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Constipation
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Diarrhoea
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    2 / 93 (2.15%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Large intestinal obstruction
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    1 / 18 (5.56%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nausea
         subjects affected / exposed
    0 / 49 (0.00%)
    3 / 106 (2.83%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 3
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Oesophageal food impaction
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Peritoneal haemorrhage
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vomiting
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Cholecystitis acute
         subjects affected / exposed
    1 / 49 (2.04%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (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
    Hepatitis
         subjects affected / exposed
    2 / 49 (4.08%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (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
    Hyperbilirubinaemia
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Stevens-Johnson syndrome
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    2 / 93 (2.15%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Endocrine disorders
    Adrenal insufficiency
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypoparathyroidism
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypophysitis
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    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
    Arthralgia
         subjects affected / exposed
    2 / 49 (4.08%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (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 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Back pain
         subjects affected / exposed
    1 / 49 (2.04%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Flank pain
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Muscular weakness
         subjects affected / exposed
    1 / 49 (2.04%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    1 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal chest pain
         subjects affected / exposed
    1 / 49 (2.04%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (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
    Osteolysis
         subjects affected / exposed
    1 / 49 (2.04%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (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
    Pain in extremity
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Sjogren's syndrome
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Appendicitis
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Brain abscess
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Clostridium difficile colitis
         subjects affected / exposed
    1 / 49 (2.04%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (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
    Enterocolitis infectious
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    1 / 18 (5.56%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Influenza
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pharyngitis streptococcal
         subjects affected / exposed
    1 / 49 (2.04%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (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
    Pneumonia
         subjects affected / exposed
    3 / 49 (6.12%)
    2 / 106 (1.89%)
    0 / 18 (0.00%)
    5 / 93 (5.38%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 3
    2 / 3
    0 / 0
    0 / 6
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonia bacterial
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Post procedural infection
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory tract infection
         subjects affected / exposed
    1 / 49 (2.04%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    2 / 93 (2.15%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Sepsis
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    1 / 18 (5.56%)
    2 / 93 (2.15%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    0 / 0
    Septic shock
         subjects affected / exposed
    0 / 49 (0.00%)
    2 / 106 (1.89%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Staphylococcal infection
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    1 / 49 (2.04%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (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
    Metabolism and nutrition disorders
    Dehydration
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    1 / 18 (5.56%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Diabetes mellitus
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Diabetic ketoacidosis
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Failure to thrive
         subjects affected / exposed
    1 / 49 (2.04%)
    1 / 106 (0.94%)
    1 / 18 (5.56%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 1
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypercalcaemia
         subjects affected / exposed
    1 / 49 (2.04%)
    2 / 106 (1.89%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    Hyperglycaemia
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hyponatraemia
         subjects affected / exposed
    0 / 49 (0.00%)
    2 / 106 (1.89%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    1 / 43 (2.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 1
    0 / 1
         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
    Nivolumab Nivolumab + Dasatinib Nivolumab + BMS986016 Nivolumab + Ipilimumab Nivolumab + BMS986205
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    46 / 49 (93.88%)
    98 / 106 (92.45%)
    18 / 18 (100.00%)
    91 / 93 (97.85%)
    41 / 43 (95.35%)
    Vascular disorders
    Deep vein thrombosis
         subjects affected / exposed
    2 / 49 (4.08%)
    1 / 106 (0.94%)
    1 / 18 (5.56%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences all number
    2
    1
    1
    0
    0
    Hypertension
         subjects affected / exposed
    2 / 49 (4.08%)
    6 / 106 (5.66%)
    0 / 18 (0.00%)
    5 / 93 (5.38%)
    6 / 43 (13.95%)
         occurrences all number
    2
    9
    0
    7
    7
    Hypotension
         subjects affected / exposed
    3 / 49 (6.12%)
    2 / 106 (1.89%)
    0 / 18 (0.00%)
    6 / 93 (6.45%)
    2 / 43 (4.65%)
         occurrences all number
    3
    2
    0
    8
    2
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    7 / 49 (14.29%)
    18 / 106 (16.98%)
    0 / 18 (0.00%)
    11 / 93 (11.83%)
    1 / 43 (2.33%)
         occurrences all number
    9
    21
    0
    16
    1
    Chest discomfort
         subjects affected / exposed
    0 / 49 (0.00%)
    2 / 106 (1.89%)
    2 / 18 (11.11%)
    3 / 93 (3.23%)
    1 / 43 (2.33%)
         occurrences all number
    0
    2
    2
    3
    1
    Chest pain
         subjects affected / exposed
    4 / 49 (8.16%)
    7 / 106 (6.60%)
    1 / 18 (5.56%)
    5 / 93 (5.38%)
    2 / 43 (4.65%)
         occurrences all number
    5
    7
    1
    6
    3
    Chills
         subjects affected / exposed
    0 / 49 (0.00%)
    11 / 106 (10.38%)
    1 / 18 (5.56%)
    5 / 93 (5.38%)
    1 / 43 (2.33%)
         occurrences all number
    0
    15
    1
    5
    3
    Early satiety
         subjects affected / exposed
    0 / 49 (0.00%)
    2 / 106 (1.89%)
    1 / 18 (5.56%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences all number
    0
    2
    1
    1
    0
    Fatigue
         subjects affected / exposed
    17 / 49 (34.69%)
    51 / 106 (48.11%)
    5 / 18 (27.78%)
    44 / 93 (47.31%)
    20 / 43 (46.51%)
         occurrences all number
    24
    53
    5
    52
    25
    Oedema
         subjects affected / exposed
    0 / 49 (0.00%)
    7 / 106 (6.60%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    2 / 43 (4.65%)
         occurrences all number
    0
    8
    0
    1
    2
    Oedema peripheral
         subjects affected / exposed
    7 / 49 (14.29%)
    8 / 106 (7.55%)
    1 / 18 (5.56%)
    8 / 93 (8.60%)
    7 / 43 (16.28%)
         occurrences all number
    9
    9
    1
    10
    9
    Pyrexia
         subjects affected / exposed
    4 / 49 (8.16%)
    18 / 106 (16.98%)
    1 / 18 (5.56%)
    15 / 93 (16.13%)
    5 / 43 (11.63%)
         occurrences all number
    6
    30
    1
    23
    7
    Non-Cardiac chest pain
         subjects affected / exposed
    1 / 49 (2.04%)
    6 / 106 (5.66%)
    0 / 18 (0.00%)
    5 / 93 (5.38%)
    0 / 43 (0.00%)
         occurrences all number
    1
    6
    0
    6
    0
    Immune system disorders
    Hypersensitivity
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    1 / 18 (5.56%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences all number
    0
    1
    1
    0
    0
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    12 / 49 (24.49%)
    21 / 106 (19.81%)
    2 / 18 (11.11%)
    25 / 93 (26.88%)
    11 / 43 (25.58%)
         occurrences all number
    14
    24
    2
    28
    11
    Dyspnoea
         subjects affected / exposed
    16 / 49 (32.65%)
    34 / 106 (32.08%)
    1 / 18 (5.56%)
    27 / 93 (29.03%)
    6 / 43 (13.95%)
         occurrences all number
    18
    40
    1
    32
    9
    Dyspnoea exertional
         subjects affected / exposed
    2 / 49 (4.08%)
    8 / 106 (7.55%)
    2 / 18 (11.11%)
    4 / 93 (4.30%)
    1 / 43 (2.33%)
         occurrences all number
    2
    8
    2
    4
    1
    Haemoptysis
         subjects affected / exposed
    6 / 49 (12.24%)
    8 / 106 (7.55%)
    0 / 18 (0.00%)
    4 / 93 (4.30%)
    2 / 43 (4.65%)
         occurrences all number
    7
    8
    0
    6
    2
    Hypoxia
         subjects affected / exposed
    2 / 49 (4.08%)
    6 / 106 (5.66%)
    0 / 18 (0.00%)
    6 / 93 (6.45%)
    1 / 43 (2.33%)
         occurrences all number
    2
    6
    0
    6
    2
    Nasal congestion
         subjects affected / exposed
    1 / 49 (2.04%)
    2 / 106 (1.89%)
    0 / 18 (0.00%)
    5 / 93 (5.38%)
    1 / 43 (2.33%)
         occurrences all number
    1
    2
    0
    5
    1
    Oropharyngeal pain
         subjects affected / exposed
    2 / 49 (4.08%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    5 / 93 (5.38%)
    0 / 43 (0.00%)
         occurrences all number
    2
    1
    0
    6
    0
    Pleural effusion
         subjects affected / exposed
    2 / 49 (4.08%)
    20 / 106 (18.87%)
    1 / 18 (5.56%)
    4 / 93 (4.30%)
    3 / 43 (6.98%)
         occurrences all number
    2
    26
    1
    4
    3
    Pneumonia aspiration
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    1 / 18 (5.56%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Pneumonitis
         subjects affected / exposed
    1 / 49 (2.04%)
    3 / 106 (2.83%)
    1 / 18 (5.56%)
    4 / 93 (4.30%)
    2 / 43 (4.65%)
         occurrences all number
    1
    4
    1
    4
    3
    Productive cough
         subjects affected / exposed
    7 / 49 (14.29%)
    11 / 106 (10.38%)
    0 / 18 (0.00%)
    7 / 93 (7.53%)
    2 / 43 (4.65%)
         occurrences all number
    9
    13
    0
    8
    2
    Pulmonary embolism
         subjects affected / exposed
    0 / 49 (0.00%)
    2 / 106 (1.89%)
    1 / 18 (5.56%)
    3 / 93 (3.23%)
    0 / 43 (0.00%)
         occurrences all number
    0
    2
    1
    3
    0
    Wheezing
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    6 / 93 (6.45%)
    2 / 43 (4.65%)
         occurrences all number
    0
    0
    0
    6
    2
    Upper-Airway cough syndrome
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    1 / 18 (5.56%)
    3 / 93 (3.23%)
    1 / 43 (2.33%)
         occurrences all number
    0
    1
    1
    3
    1
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    7 / 49 (14.29%)
    15 / 106 (14.15%)
    0 / 18 (0.00%)
    8 / 93 (8.60%)
    2 / 43 (4.65%)
         occurrences all number
    7
    15
    0
    9
    2
    Confusional state
         subjects affected / exposed
    3 / 49 (6.12%)
    5 / 106 (4.72%)
    0 / 18 (0.00%)
    3 / 93 (3.23%)
    2 / 43 (4.65%)
         occurrences all number
    4
    5
    0
    3
    2
    Depression
         subjects affected / exposed
    2 / 49 (4.08%)
    5 / 106 (4.72%)
    0 / 18 (0.00%)
    5 / 93 (5.38%)
    0 / 43 (0.00%)
         occurrences all number
    2
    5
    0
    5
    0
    Insomnia
         subjects affected / exposed
    7 / 49 (14.29%)
    11 / 106 (10.38%)
    0 / 18 (0.00%)
    12 / 93 (12.90%)
    5 / 43 (11.63%)
         occurrences all number
    8
    11
    0
    12
    6
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    4 / 49 (8.16%)
    8 / 106 (7.55%)
    0 / 18 (0.00%)
    5 / 93 (5.38%)
    5 / 43 (11.63%)
         occurrences all number
    5
    8
    0
    5
    6
    Amylase increased
         subjects affected / exposed
    4 / 49 (8.16%)
    8 / 106 (7.55%)
    1 / 18 (5.56%)
    8 / 93 (8.60%)
    0 / 43 (0.00%)
         occurrences all number
    7
    9
    1
    9
    0
    Aspartate aminotransferase increased
         subjects affected / exposed
    6 / 49 (12.24%)
    7 / 106 (6.60%)
    1 / 18 (5.56%)
    6 / 93 (6.45%)
    4 / 43 (9.30%)
         occurrences all number
    7
    7
    1
    6
    4
    Blood alkaline phosphatase increased
         subjects affected / exposed
    3 / 49 (6.12%)
    3 / 106 (2.83%)
    0 / 18 (0.00%)
    4 / 93 (4.30%)
    1 / 43 (2.33%)
         occurrences all number
    3
    3
    0
    6
    1
    Blood bilirubin increased
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    4 / 43 (9.30%)
         occurrences all number
    0
    0
    0
    1
    4
    Blood creatinine increased
         subjects affected / exposed
    2 / 49 (4.08%)
    3 / 106 (2.83%)
    1 / 18 (5.56%)
    5 / 93 (5.38%)
    2 / 43 (4.65%)
         occurrences all number
    2
    3
    1
    6
    3
    Blood thyroid stimulating hormone increased
         subjects affected / exposed
    2 / 49 (4.08%)
    0 / 106 (0.00%)
    1 / 18 (5.56%)
    2 / 93 (2.15%)
    0 / 43 (0.00%)
         occurrences all number
    2
    0
    1
    2
    0
    Lipase increased
         subjects affected / exposed
    2 / 49 (4.08%)
    6 / 106 (5.66%)
    0 / 18 (0.00%)
    8 / 93 (8.60%)
    2 / 43 (4.65%)
         occurrences all number
    2
    6
    0
    9
    2
    Lymphocyte count decreased
         subjects affected / exposed
    2 / 49 (4.08%)
    2 / 106 (1.89%)
    1 / 18 (5.56%)
    3 / 93 (3.23%)
    3 / 43 (6.98%)
         occurrences all number
    3
    3
    1
    5
    3
    Weight decreased
         subjects affected / exposed
    7 / 49 (14.29%)
    18 / 106 (16.98%)
    0 / 18 (0.00%)
    15 / 93 (16.13%)
    13 / 43 (30.23%)
         occurrences all number
    7
    19
    0
    17
    14
    Injury, poisoning and procedural complications
    Contusion
         subjects affected / exposed
    1 / 49 (2.04%)
    3 / 106 (2.83%)
    1 / 18 (5.56%)
    0 / 93 (0.00%)
    2 / 43 (4.65%)
         occurrences all number
    1
    3
    1
    0
    2
    Cardiac disorders
    Tachycardia
         subjects affected / exposed
    3 / 49 (6.12%)
    4 / 106 (3.77%)
    0 / 18 (0.00%)
    5 / 93 (5.38%)
    1 / 43 (2.33%)
         occurrences all number
    4
    5
    0
    6
    1
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    7 / 49 (14.29%)
    14 / 106 (13.21%)
    1 / 18 (5.56%)
    15 / 93 (16.13%)
    3 / 43 (6.98%)
         occurrences all number
    7
    14
    1
    18
    3
    Dizziness postural
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    1 / 18 (5.56%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Dysgeusia
         subjects affected / exposed
    2 / 49 (4.08%)
    10 / 106 (9.43%)
    0 / 18 (0.00%)
    2 / 93 (2.15%)
    2 / 43 (4.65%)
         occurrences all number
    2
    11
    0
    2
    2
    Headache
         subjects affected / exposed
    12 / 49 (24.49%)
    16 / 106 (15.09%)
    2 / 18 (11.11%)
    14 / 93 (15.05%)
    8 / 43 (18.60%)
         occurrences all number
    14
    18
    2
    21
    10
    Hypoaesthesia
         subjects affected / exposed
    3 / 49 (6.12%)
    2 / 106 (1.89%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    1 / 43 (2.33%)
         occurrences all number
    3
    3
    0
    1
    1
    Peripheral motor neuropathy
         subjects affected / exposed
    0 / 49 (0.00%)
    2 / 106 (1.89%)
    1 / 18 (5.56%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences all number
    0
    3
    1
    0
    0
    Peripheral sensory neuropathy
         subjects affected / exposed
    0 / 49 (0.00%)
    4 / 106 (3.77%)
    1 / 18 (5.56%)
    4 / 93 (4.30%)
    2 / 43 (4.65%)
         occurrences all number
    0
    4
    1
    4
    2
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    8 / 49 (16.33%)
    25 / 106 (23.58%)
    2 / 18 (11.11%)
    14 / 93 (15.05%)
    6 / 43 (13.95%)
         occurrences all number
    11
    34
    2
    16
    7
    Eye disorders
    Vision blurred
         subjects affected / exposed
    3 / 49 (6.12%)
    3 / 106 (2.83%)
    0 / 18 (0.00%)
    5 / 93 (5.38%)
    1 / 43 (2.33%)
         occurrences all number
    3
    4
    0
    5
    1
    Gastrointestinal disorders
    Abdominal discomfort
         subjects affected / exposed
    1 / 49 (2.04%)
    1 / 106 (0.94%)
    1 / 18 (5.56%)
    0 / 93 (0.00%)
    2 / 43 (4.65%)
         occurrences all number
    1
    1
    1
    0
    2
    Abdominal distension
         subjects affected / exposed
    1 / 49 (2.04%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    5 / 93 (5.38%)
    2 / 43 (4.65%)
         occurrences all number
    1
    1
    0
    5
    2
    Abdominal pain
         subjects affected / exposed
    5 / 49 (10.20%)
    11 / 106 (10.38%)
    2 / 18 (11.11%)
    12 / 93 (12.90%)
    6 / 43 (13.95%)
         occurrences all number
    7
    15
    2
    14
    6
    Abdominal pain upper
         subjects affected / exposed
    3 / 49 (6.12%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    4 / 93 (4.30%)
    2 / 43 (4.65%)
         occurrences all number
    3
    1
    0
    4
    2
    Constipation
         subjects affected / exposed
    9 / 49 (18.37%)
    33 / 106 (31.13%)
    1 / 18 (5.56%)
    26 / 93 (27.96%)
    13 / 43 (30.23%)
         occurrences all number
    11
    38
    1
    29
    14
    Diarrhoea
         subjects affected / exposed
    15 / 49 (30.61%)
    32 / 106 (30.19%)
    5 / 18 (27.78%)
    24 / 93 (25.81%)
    11 / 43 (25.58%)
         occurrences all number
    25
    43
    5
    36
    13
    Dry mouth
         subjects affected / exposed
    1 / 49 (2.04%)
    1 / 106 (0.94%)
    2 / 18 (11.11%)
    5 / 93 (5.38%)
    0 / 43 (0.00%)
         occurrences all number
    1
    1
    2
    6
    0
    Dyspepsia
         subjects affected / exposed
    3 / 49 (6.12%)
    3 / 106 (2.83%)
    1 / 18 (5.56%)
    4 / 93 (4.30%)
    1 / 43 (2.33%)
         occurrences all number
    3
    4
    1
    4
    1
    Mouth ulceration
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    1 / 18 (5.56%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Nausea
         subjects affected / exposed
    17 / 49 (34.69%)
    45 / 106 (42.45%)
    3 / 18 (16.67%)
    27 / 93 (29.03%)
    16 / 43 (37.21%)
         occurrences all number
    20
    60
    3
    33
    18
    Stomatitis
         subjects affected / exposed
    1 / 49 (2.04%)
    4 / 106 (3.77%)
    2 / 18 (11.11%)
    0 / 93 (0.00%)
    3 / 43 (6.98%)
         occurrences all number
    3
    4
    2
    0
    3
    Tongue dysplasia
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    1 / 18 (5.56%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Vomiting
         subjects affected / exposed
    9 / 49 (18.37%)
    26 / 106 (24.53%)
    1 / 18 (5.56%)
    20 / 93 (21.51%)
    5 / 43 (11.63%)
         occurrences all number
    11
    30
    2
    30
    6
    Hepatobiliary disorders
    Cholelithiasis
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    1 / 18 (5.56%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Skin and subcutaneous tissue disorders
    Alopecia
         subjects affected / exposed
    0 / 49 (0.00%)
    6 / 106 (5.66%)
    1 / 18 (5.56%)
    3 / 93 (3.23%)
    3 / 43 (6.98%)
         occurrences all number
    0
    6
    1
    3
    3
    Dry skin
         subjects affected / exposed
    4 / 49 (8.16%)
    6 / 106 (5.66%)
    1 / 18 (5.56%)
    8 / 93 (8.60%)
    3 / 43 (6.98%)
         occurrences all number
    4
    6
    1
    11
    3
    Hyperhidrosis
         subjects affected / exposed
    2 / 49 (4.08%)
    2 / 106 (1.89%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    3 / 43 (6.98%)
         occurrences all number
    2
    3
    0
    1
    4
    Night sweats
         subjects affected / exposed
    0 / 49 (0.00%)
    1 / 106 (0.94%)
    1 / 18 (5.56%)
    3 / 93 (3.23%)
    0 / 43 (0.00%)
         occurrences all number
    0
    1
    1
    3
    0
    Pruritus
         subjects affected / exposed
    8 / 49 (16.33%)
    11 / 106 (10.38%)
    1 / 18 (5.56%)
    22 / 93 (23.66%)
    3 / 43 (6.98%)
         occurrences all number
    12
    15
    1
    28
    3
    Rash
         subjects affected / exposed
    5 / 49 (10.20%)
    17 / 106 (16.04%)
    3 / 18 (16.67%)
    15 / 93 (16.13%)
    3 / 43 (6.98%)
         occurrences all number
    7
    19
    3
    19
    3
    Rash maculo-papular
         subjects affected / exposed
    2 / 49 (4.08%)
    2 / 106 (1.89%)
    0 / 18 (0.00%)
    9 / 93 (9.68%)
    2 / 43 (4.65%)
         occurrences all number
    2
    2
    0
    11
    2
    Rash pruritic
         subjects affected / exposed
    1 / 49 (2.04%)
    4 / 106 (3.77%)
    1 / 18 (5.56%)
    2 / 93 (2.15%)
    0 / 43 (0.00%)
         occurrences all number
    1
    4
    1
    3
    0
    Endocrine disorders
    Hyperthyroidism
         subjects affected / exposed
    0 / 49 (0.00%)
    2 / 106 (1.89%)
    1 / 18 (5.56%)
    3 / 93 (3.23%)
    0 / 43 (0.00%)
         occurrences all number
    0
    2
    1
    4
    0
    Hypothyroidism
         subjects affected / exposed
    4 / 49 (8.16%)
    4 / 106 (3.77%)
    0 / 18 (0.00%)
    9 / 93 (9.68%)
    1 / 43 (2.33%)
         occurrences all number
    4
    4
    0
    9
    1
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    12 / 49 (24.49%)
    11 / 106 (10.38%)
    1 / 18 (5.56%)
    15 / 93 (16.13%)
    6 / 43 (13.95%)
         occurrences all number
    14
    14
    1
    15
    7
    Back pain
         subjects affected / exposed
    10 / 49 (20.41%)
    17 / 106 (16.04%)
    1 / 18 (5.56%)
    19 / 93 (20.43%)
    8 / 43 (18.60%)
         occurrences all number
    11
    18
    1
    20
    8
    Flank pain
         subjects affected / exposed
    0 / 49 (0.00%)
    5 / 106 (4.72%)
    1 / 18 (5.56%)
    3 / 93 (3.23%)
    2 / 43 (4.65%)
         occurrences all number
    0
    5
    1
    3
    2
    Musculoskeletal chest pain
         subjects affected / exposed
    3 / 49 (6.12%)
    7 / 106 (6.60%)
    1 / 18 (5.56%)
    4 / 93 (4.30%)
    1 / 43 (2.33%)
         occurrences all number
    3
    7
    1
    4
    1
    Musculoskeletal pain
         subjects affected / exposed
    8 / 49 (16.33%)
    10 / 106 (9.43%)
    1 / 18 (5.56%)
    8 / 93 (8.60%)
    5 / 43 (11.63%)
         occurrences all number
    8
    11
    1
    8
    5
    Musculoskeletal stiffness
         subjects affected / exposed
    3 / 49 (6.12%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences all number
    3
    0
    0
    0
    0
    Myalgia
         subjects affected / exposed
    4 / 49 (8.16%)
    6 / 106 (5.66%)
    1 / 18 (5.56%)
    5 / 93 (5.38%)
    5 / 43 (11.63%)
         occurrences all number
    5
    6
    1
    5
    5
    Neck pain
         subjects affected / exposed
    1 / 49 (2.04%)
    6 / 106 (5.66%)
    1 / 18 (5.56%)
    1 / 93 (1.08%)
    0 / 43 (0.00%)
         occurrences all number
    1
    6
    1
    1
    0
    Pain in extremity
         subjects affected / exposed
    7 / 49 (14.29%)
    11 / 106 (10.38%)
    0 / 18 (0.00%)
    4 / 93 (4.30%)
    3 / 43 (6.98%)
         occurrences all number
    8
    13
    0
    5
    3
    Spinal pain
         subjects affected / exposed
    3 / 49 (6.12%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences all number
    3
    0
    0
    0
    0
    Infections and infestations
    Bronchitis
         subjects affected / exposed
    1 / 49 (2.04%)
    1 / 106 (0.94%)
    1 / 18 (5.56%)
    3 / 93 (3.23%)
    0 / 43 (0.00%)
         occurrences all number
    2
    2
    1
    4
    0
    Influenza
         subjects affected / exposed
    2 / 49 (4.08%)
    0 / 106 (0.00%)
    0 / 18 (0.00%)
    1 / 93 (1.08%)
    3 / 43 (6.98%)
         occurrences all number
    3
    0
    0
    2
    3
    Laryngitis
         subjects affected / exposed
    0 / 49 (0.00%)
    0 / 106 (0.00%)
    1 / 18 (5.56%)
    0 / 93 (0.00%)
    0 / 43 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Nasopharyngitis
         subjects affected / exposed
    2 / 49 (4.08%)
    6 / 106 (5.66%)
    0 / 18 (0.00%)
    2 / 93 (2.15%)
    1 / 43 (2.33%)
         occurrences all number
    2
    7
    0
    2
    1
    Pneumonia
         subjects affected / exposed
    3 / 49 (6.12%)
    6 / 106 (5.66%)
    0 / 18 (0.00%)
    3 / 93 (3.23%)
    2 / 43 (4.65%)
         occurrences all number
    4
    6
    0
    3
    3
    Upper respiratory tract infection
         subjects affected / exposed
    3 / 49 (6.12%)
    4 / 106 (3.77%)
    1 / 18 (5.56%)
    1 / 93 (1.08%)
    4 / 43 (9.30%)
         occurrences all number
    4
    5
    1
    2
    4
    Urinary tract infection
         subjects affected / exposed
    7 / 49 (14.29%)
    2 / 106 (1.89%)
    0 / 18 (0.00%)
    3 / 93 (3.23%)
    1 / 43 (2.33%)
         occurrences all number
    8
    2
    0
    6
    1
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    18 / 49 (36.73%)
    39 / 106 (36.79%)
    5 / 18 (27.78%)
    24 / 93 (25.81%)
    15 / 43 (34.88%)
         occurrences all number
    22
    44
    5
    30
    17
    Dehydration
         subjects affected / exposed
    1 / 49 (2.04%)
    6 / 106 (5.66%)
    0 / 18 (0.00%)
    5 / 93 (5.38%)
    4 / 43 (9.30%)
         occurrences all number
    1
    6
    0
    5
    4
    Hyperglycaemia
         subjects affected / exposed
    1 / 49 (2.04%)
    3 / 106 (2.83%)
    1 / 18 (5.56%)
    4 / 93 (4.30%)
    3 / 43 (6.98%)
         occurrences all number
    4
    3
    1
    5
    3
    Hyperkalaemia
         subjects affected / exposed
    1 / 49 (2.04%)
    1 / 106 (0.94%)
    0 / 18 (0.00%)
    6 / 93 (6.45%)
    0 / 43 (0.00%)
         occurrences all number
    1
    1
    0
    7
    0
    Hypocalcaemia
         subjects affected / exposed
    3 / 49 (6.12%)
    2 / 106 (1.89%)
    0 / 18 (0.00%)
    2 / 93 (2.15%)
    0 / 43 (0.00%)
         occurrences all number
    5
    2
    0
    3
    0
    Hypokalaemia
         subjects affected / exposed
    4 / 49 (8.16%)
    6 / 106 (5.66%)
    1 / 18 (5.56%)
    7 / 93 (7.53%)
    2 / 43 (4.65%)
         occurrences all number
    5
    8
    1
    8
    2
    Hypomagnesaemia
         subjects affected / exposed
    5 / 49 (10.20%)
    8 / 106 (7.55%)
    0 / 18 (0.00%)
    11 / 93 (11.83%)
    1 / 43 (2.33%)
         occurrences all number
    5
    9
    0
    12
    1
    Hyponatraemia
         subjects affected / exposed
    6 / 49 (12.24%)
    10 / 106 (9.43%)
    1 / 18 (5.56%)
    13 / 93 (13.98%)
    2 / 43 (4.65%)
         occurrences all number
    6
    13
    1
    18
    2
    Hypophosphataemia
         subjects affected / exposed
    3 / 49 (6.12%)
    9 / 106 (8.49%)
    0 / 18 (0.00%)
    4 / 93 (4.30%)
    1 / 43 (2.33%)
         occurrences all number
    3
    14
    0
    6
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    08 Apr 2016
    Statistical study design update
    27 Jul 2016
    Inclusion/exclusion criteria update
    21 Sep 2016
    Management Algorithms for Immuno-Oncology Agents update
    13 Oct 2016
    Inclusion/exclusion criteria update
    16 Feb 2017
    Study design simplification and study tracks re-arrangement
    12 Apr 2018
    Study design changes
    22 Apr 2019
    Adjustment of Follow-up period timelines

    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.
    This study was terminated early by sponsor for reasons unrelated to safety.. 14 of the 295 participants initially received a treatment and then were re-randomized to a different, non-concomitant second treatment
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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