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    Clinical Trial Results:
    AN OPEN-LABEL, DOSE-FINDING AND PROOF OF CONCEPT STUDY OF THE PD-L1 PROBODY® THERAPEUTIC, CX-072, AS MONOTHERAPY AND IN COMBINATION WITH YERVOY® (IPILIMUMAB) OR WITH ZELBORAF® (VEMURAFENIB) IN SUBJECTS WITH ADVANCED OR RECURRENT SOLID TUMORS OR LYMPHOMAS

    Summary
    EudraCT number
    2016-002490-36
    Trial protocol
    HU   ES   NL   PL   GB  
    Global end of trial date
    27 Oct 2020

    Results information
    Results version number
    v1(current)
    This version publication date
    23 Oct 2025
    First version publication date
    23 Oct 2025
    Other versions

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    CTMX-M-072-001
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03013491
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    CytomX Therapeutics, Inc
    Sponsor organisation address
    151 Oyster Point Boulevard, Suite 400, South San Francisco, United States, 94080
    Public contact
    Head of Clinical Operations, CytomX Therapeutics, Inc, +1 650-515-3185, Clinicaltrials@cytomx.com
    Scientific contact
    Head of Clinical Operations, CytomX Therapeutics, Inc, +1 650-515-3185, Clinicaltrials@cytomx.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
    14 Nov 2022
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    27 Oct 2020
    Global end of trial reached?
    Yes
    Global end of trial date
    27 Oct 2020
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    Parts A through C: 1. To evaluate the safety and tolerability of multiple doses of CX-072 administered as monotherapy or in combination with ipilimumab or vemurafenib to patients with metastatic or locally advanced unresectable solid tumors or lymphomas; 2. To determine the maximum tolerated dose (MTD) and dose-limiting toxicities (DLTs) of the following: • CX-072 as a monotherapy administered to programmed cell death 1/programmed cell death ligand 1 (PD-1/PD-L1) naive patients. • CX-072 in combination with ipilimumab administered to PD-1/PD-L1 and CTLA-4 inhibitor naïve patients. • CX-072 in combination with ipilimumab administered to patients who had prior treatment with a PD-1/PD-L1 inhibitor. • CX-072 in combination with vemurafenib administered to PD-1/PD-L1 naive patients Parts D and E: 1. To obtain preliminary and confirmatory evidence of the efficacy of CX-072 monotherapy, respectively, via the objective response rate (ORR) according to the Response Evaluation Criteria
    Protection of trial subjects
    All considerations regarding the protection of human subjects were carried out in accordance with the protocol, GCP, ICH Guidelines, the ethical principles that have their origin in the Declaration of Helsinki, and all applicable regulatory requirements. The investigator (according to applicable regulatory requirements) or a person designated by the investigator and under the investigator’s responsibility fully informed patients of all pertinent aspects of the clinical trial.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    19 Jan 2017
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Ethical reason, Safety
    Long term follow-up duration
    12 Months
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Ukraine: 9
    Country: Number of subjects enrolled
    United States: 100
    Country: Number of subjects enrolled
    Netherlands: 22
    Country: Number of subjects enrolled
    Poland: 1
    Country: Number of subjects enrolled
    Spain: 28
    Country: Number of subjects enrolled
    United Kingdom: 36
    Worldwide total number of subjects
    196
    EEA total number of subjects
    51
    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)
    136
    From 65 to 84 years
    60
    85 years and over
    0

    Subject disposition

    Close Top of page
    Recruitment
    Recruitment details
    This was a multicenter study with a total of 41 sites in 6 countries (Netherlands, Poland, Spain, Ukraine, UK, and the US). A total of 278 patients were screened for the study, and 196 patients received study treatment.

    Pre-assignment
    Screening details
    All patients must have had histologically confirmed diagnosis of metastatic or locally advanced unresectable tumors that progressed or were intolerant to standard therapy. Patients who fulfilled the specific inclusion/exclusion criteria for one of the Parts (A, A2, B1, B2, C or D) at the screening visit were eligible for admission into the study.

    Period 1
    Period 1 title
    Parts A, A2, B1, B2, C and D
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Part A and Part A2 - CX-072 0.03 mg/kg
    Arm description
    Part A and Part A2 - Monotherapy CX-072 0.03 mg/kg
    Arm type
    Experimental

    Investigational medicinal product name
    CX-072
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    CX-072 monotherapy was administered intravenously (IV) at the following doses: 0.03, 0.1, 0.3, 1, 3, 10, and 30 mg/kg.

    Arm title
    Part A and Part A2 - CX-072 0.1 mg/kg
    Arm description
    Part A and Part A2 - Monotherapy CX-072 0.1 mg/kg
    Arm type
    Experimental

    Investigational medicinal product name
    CX-072
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    CX-072 monotherapy was administered intravenously (IV) at the following doses: 0.03, 0.1, 0.3, 1, 3, 10, and 30 mg/kg

    Arm title
    Part A and Part A2 - CX-072 0.3 mg/kg
    Arm description
    Part A and Part A2 - Monotherapy CX-072 0.3 mg/kg
    Arm type
    Experimental

    Investigational medicinal product name
    CX-072
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    CX-072 monotherapy was administered intravenously (IV) at the following doses: 0.03, 0.1, 0.3, 1, 3, 10, and 30 mg/kg

    Arm title
    Part A and Part A2 - CX-072 1 mg/kg
    Arm description
    Part A and Part A2 - Monotherapy CX-072 1 mg/kg
    Arm type
    Experimental

    Investigational medicinal product name
    CX-072
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    CX-072 monotherapy was administered intravenously (IV) at the following doses: 0.03, 0.1, 0.3, 1, 3, 10, and 30 mg/kg

    Arm title
    Part A and Part A2 - CX-072 3 mg/kg
    Arm description
    Part A and Part A2 - Monotherapy CX-072 3 mg/kg
    Arm type
    Experimental

    Investigational medicinal product name
    CX-072
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    CX-072 monotherapy was administered intravenously (IV) at the following doses: 0.03, 0.1, 0.3, 1, 3, 10, and 30 mg/kg.

    Arm title
    Part A and Part A2 - CX-072 10 mg/kg
    Arm description
    Part A and Part A2 - Monotherapy CX-072 10 mg/kg
    Arm type
    Experimental

    Investigational medicinal product name
    CX-072
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    CX-072 monotherapy was administered intravenously (IV) at the following doses: 0.03, 0.1, 0.3, 1, 3, 10, and 30 mg/kg

    Arm title
    Part A and Part A2 - CX-072 30 mg/kg
    Arm description
    Part A and Part A2 - Monotherapy CX-072 30 mg/kg
    Arm type
    Experimental

    Investigational medicinal product name
    CX-072
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    CX-072 monotherapy was administered intravenously (IV) at the following doses: 0.03, 0.1, 0.3, 1, 3, 10, and 30 mg/kg.

    Arm title
    Part B1 – CX-072 0.3 mg/kg + Ipilimumab 3 mg/kg
    Arm description
    Part B1 - Combination CX-072 0.3 mg/kg + ipilimumab 3 mg/kg
    Arm type
    Experimental

    Investigational medicinal product name
    CX-072
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    CX-072 was administered intravenously (IV) at the following doses: 0.3, 1, 3, and 10 mg/kg

    Investigational medicinal product name
    Ipilimumab
    Investigational medicinal product code
    Other name
    Yervoy
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    Yervoy (Ipilimumab) is supplied in single-use vials of 50 mg/10 mL and 200 mg/40 mL. Participants received escalating doses of CX-072 administered concomitantly with ipilimumab. Ipilimumab was administered intravenously (IV) at the following doses: 3, 6, and 10 mg/kg.

    Arm title
    Part B1 – CX-072 1 mg/kg + Ipilimumab 3 mg/kg
    Arm description
    Part B1 - Combination CX-072 1 mg/kg + ipilimumab 3 mg/kg
    Arm type
    Experimental

    Investigational medicinal product name
    CX-072
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    CX-072 was administered intravenously (IV) at the following doses: 0.3, 1, 3, and 10 mg/kg

    Investigational medicinal product name
    Ipilimumab
    Investigational medicinal product code
    Other name
    Yervoy
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    Yervoy (Ipilimumab) is supplied in single-use vials of 50 mg/10 mL and 200 mg/40 mL. Participants received escalating doses of CX-072 administered concomitantly with ipilimumab. Ipilimumab was administered intravenously (IV) at the following doses: 3, 6, and 10 mg/kg.

    Arm title
    Part B1 – CX-072 3 mg/kg + Ipilimumab 3 mg/kg
    Arm description
    Part B1 - Combination CX-072 3 mg/kg + ipilimumab 3 mg/kg
    Arm type
    Experimental

    Investigational medicinal product name
    CX-072
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    CX-072 was administered intravenously (IV) at the following doses: 0.3, 1, 3, and 10 mg/kg

    Investigational medicinal product name
    Ipilimumab
    Investigational medicinal product code
    Other name
    Yervoy
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    Yervoy (Ipilimumab) is supplied in single-use vials of 50 mg/10 mL and 200 mg/40 mL. Participants received escalating doses of CX-072 administered concomitantly with ipilimumab. Ipilimumab was administered intravenously (IV) at the following doses: 3, 6, and 10 mg/kg.

    Arm title
    Part B1 – CX-072 10 mg/kg + Ipilimumab 3 mg/kg
    Arm description
    Part B1 - Combination CX-072 10 mg/kg + ipilimumab 3 mg/kg
    Arm type
    Experimental

    Investigational medicinal product name
    CX-072
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    CX-072 was administered intravenously (IV) at the following doses: 0.3, 1, 3, and 10 mg/kg

    Investigational medicinal product name
    Ipilimumab
    Investigational medicinal product code
    Other name
    Yervoy
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    Yervoy (Ipilimumab) is supplied in single-use vials of 50 mg/10 mL and 200 mg/40 mL. Participants received escalating doses of CX-072 administered concomitantly with ipilimumab. Ipilimumab was administered intravenously (IV) at the following doses: 3, 6, and 10 mg/kg.

    Arm title
    Part B1 – CX-072 10 mg/kg + Ipilimumab 6 mg/kg
    Arm description
    Part B1 - Combination CX-072 10 mg/kg + ipilimumab 6 mg/kg
    Arm type
    Experimental

    Investigational medicinal product name
    CX-072
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    CX-072 was administered intravenously (IV) at the following doses: 0.3, 1, 3, and 10 mg/kg

    Investigational medicinal product name
    Ipilimumab
    Investigational medicinal product code
    Other name
    Yervoy
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    Yervoy (Ipilimumab) is supplied in single-use vials of 50 mg/10 mL and 200 mg/40 mL. Participants received escalating doses of CX-072 administered concomitantly with ipilimumab. Ipilimumab was administered intravenously (IV) at the following doses: 3, 6, and 10 mg/kg.

    Arm title
    Part B1 – CX-072 10 mg/kg + Ipilimumab 10 mg/kg
    Arm description
    Part B1 - Combination CX-072 10 mg/kg + ipilimumab 10 mg/kg
    Arm type
    Experimental

    Investigational medicinal product name
    CX-072
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    CX-072 was administered intravenously (IV) at the following doses: 0.3, 1, 3, and 10 mg/kg

    Investigational medicinal product name
    Ipilimumab
    Investigational medicinal product code
    Other name
    Yervoy
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    Yervoy (Ipilimumab) is supplied in single-use vials of 50 mg/10 mL and 200 mg/40 mL. Participants received escalating doses of CX-072 administered concomitantly with ipilimumab. Ipilimumab was administered intravenously (IV) at 3 mg/kg.

    Arm title
    Part B2 – CX-072 3 mg/kg + ipilimumab 3 mg/kg
    Arm description
    Part B2 - Combination CX-072 3 mg/kg + ipilimumab 3 mg/kg
    Arm type
    Experimental

    Investigational medicinal product name
    CX-072
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    CX-072 was administered intravenously (IV) at the following doses: 3 and 10 mg/kg

    Investigational medicinal product name
    Ipilimumab
    Investigational medicinal product code
    Other name
    Yervoy
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    Yervoy (Ipilimumab) is supplied in single-use vials of 50 mg/10 mL and 200 mg/40 mL. Participants received escalating doses of CX-072 administered concomitantly with ipilimumab. Ipilimumab was administered intravenously (IV) at 3 mg/kg.

    Arm title
    Part B2 – CX-072 10 mg/kg + ipilimumab 3 mg/kg
    Arm description
    Part B2 - Combination CX-072 10 mg/kg + ipilimumab 3 mg/kg
    Arm type
    Experimental

    Investigational medicinal product name
    CX-072
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    CX-072 was administered intravenously (IV) at the following doses: 3 and 10 mg/kg

    Investigational medicinal product name
    Ipilimumab
    Investigational medicinal product code
    Other name
    Yervoy
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    Yervoy (Ipilimumab) is supplied in single-use vials of 50 mg/10 mL and 200 mg/40 mL. Participants received escalating doses of CX-072 administered concomitantly with ipilimumab. Ipilimumab was administered intravenously (IV) at 3 mg/kg.

    Arm title
    Part C - CX-072 1 mg/kg + Vemurafenib 960 mg
    Arm description
    Part C - Combination CX-072 1 mg/kg + Vemurafenib 960 mg
    Arm type
    Experimental

    Investigational medicinal product name
    CX-072
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    CX-072 was administered intravenously (IV) at the following doses: 1, 3 and 10 mg/kg

    Investigational medicinal product name
    Vemurafenib
    Investigational medicinal product code
    Other name
    Zelboraf
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Vemurafenib is available as 240 mg tablets for oral use. Tablets are white to off-white and are supplied as 240 mg film-coated tablets with VEM debossed on 1 side. Vemurafenib is administered PO, twice daily (approximately every 12 hours [q12h]) at 960 mg.

    Arm title
    Part C - CX-072 3 mg/kg + Vemurafenib 960 mg
    Arm description
    Part C - Combination CX-072 3 mg/kg + Vemurafenib 960 mg
    Arm type
    Experimental

    Investigational medicinal product name
    CX-072
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    CX-072 was administered intravenously (IV) at the following doses: 1, 3 and 10 mg/kg

    Investigational medicinal product name
    Vemurafenib
    Investigational medicinal product code
    Other name
    Zelboraf
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Vemurafenib is available as 240 mg tablets for oral use. Tablets are white to off-white and are supplied as 240 mg film-coated tablets with VEM debossed on 1 side. Vemurafenib is administered PO, twice daily (approximately every 12 hours [q12h]) at 960 mg.

    Arm title
    Part C - CX-072 10 mg/kg + Vemurafenib 960 mg
    Arm description
    Part C - Combination CX-072 10 mg/kg + Vemurafenib 960 mg
    Arm type
    Experimental

    Investigational medicinal product name
    CX-072
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    CX-072 was administered intravenously (IV) at the following doses: 1, 3, and 10 mg/kg

    Investigational medicinal product name
    Vemurafenib
    Investigational medicinal product code
    Other name
    Zelboraf
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Vemurafenib is available as 240 mg tablets for oral use. Tablets are white to off-white and are supplied as 240 mg film-coated tablets with VEM debossed on 1 side.

    Arm title
    Part D - CX-072 10 mg/kg
    Arm description
    Part D - Monotherapy CX-072 10 mg/kg
    Arm type
    Experimental

    Investigational medicinal product name
    CX-072
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    CX-072 monotherapy was administered intravenously (IV) at 10 mg/kg

    Number of subjects in period 1
    Part A and Part A2 - CX-072 0.03 mg/kg Part A and Part A2 - CX-072 0.1 mg/kg Part A and Part A2 - CX-072 0.3 mg/kg Part A and Part A2 - CX-072 1 mg/kg Part A and Part A2 - CX-072 3 mg/kg Part A and Part A2 - CX-072 10 mg/kg Part A and Part A2 - CX-072 30 mg/kg Part B1 – CX-072 0.3 mg/kg + Ipilimumab 3 mg/kg Part B1 – CX-072 1 mg/kg + Ipilimumab 3 mg/kg Part B1 – CX-072 3 mg/kg + Ipilimumab 3 mg/kg Part B1 – CX-072 10 mg/kg + Ipilimumab 3 mg/kg Part B1 – CX-072 10 mg/kg + Ipilimumab 6 mg/kg Part B1 – CX-072 10 mg/kg + Ipilimumab 10 mg/kg Part B2 – CX-072 3 mg/kg + ipilimumab 3 mg/kg Part B2 – CX-072 10 mg/kg + ipilimumab 3 mg/kg Part C - CX-072 1 mg/kg + Vemurafenib 960 mg Part C - CX-072 3 mg/kg + Vemurafenib 960 mg Part C - CX-072 10 mg/kg + Vemurafenib 960 mg Part D - CX-072 10 mg/kg
    Started
    2
    2
    8
    9
    13
    16
    3
    6
    3
    3
    8
    6
    1
    6
    1
    3
    6
    2
    98
    Completed
    0
    0
    0
    1
    0
    0
    0
    1
    0
    0
    0
    0
    0
    0
    1
    0
    1
    0
    11
    Not completed
    2
    2
    8
    8
    13
    16
    3
    5
    3
    3
    8
    6
    1
    6
    0
    3
    5
    2
    87
         Adverse event, serious fatal
    2
    2
    5
    3
    9
    12
    3
    5
    1
    2
    4
    1
    1
    4
    -
    3
    5
    1
    47
         Consent withdrawn by subject
    -
    -
    -
    4
    2
    1
    -
    -
    -
    -
    1
    2
    -
    2
    -
    -
    -
    -
    18
         Other
    -
    -
    -
    1
    -
    1
    -
    -
    1
    -
    2
    1
    -
    -
    -
    -
    -
    -
    6
         Termination of Study by Sponsor
    -
    -
    2
    -
    1
    2
    -
    -
    1
    1
    1
    2
    -
    -
    -
    -
    -
    1
    13
         Lost to follow-up
    -
    -
    1
    -
    1
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    3
    Period 2
    Period 2 title
    Long-Term extension
    Is this the baseline period?
    No
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Long-Term extension
    Arm description
    Participants from Study CTMX-M-072-001 were eligible to enroll in the LTE if they were actively receiving CX-072 monotherapy and would continue to benefit from treatment with CX-072 monotherapy as determined by the Investigator. Patients continued the same dose of CX-072 that they last received in the previous cohort (Parts A-D) of the study that they were enrolled in. No dose increase or decrease of CX-072 was permitted in long-term extension.
    Arm type
    Experimental

    Investigational medicinal product name
    CX-072
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    CX-072 monotherapy was administered intravenously (IV) at the following doses: 0.03, 0.1, 0.3, 1, 3, 10, and 30 mg/kg

    Number of subjects in period 2
    Long-Term extension
    Started
    15
    Completed
    10
    Not completed
    5
         Adverse event, serious fatal
    1
         Consent withdrawn by subject
    1
         Adverse event, non-fatal
    1
         Disease Progression
    2

    Baseline characteristics

    Close Top of page
    Baseline characteristics reporting groups
    Reporting group title
    Part A and Part A2 - CX-072 0.03 mg/kg
    Reporting group description
    Part A and Part A2 - Monotherapy CX-072 0.03 mg/kg

    Reporting group title
    Part A and Part A2 - CX-072 0.1 mg/kg
    Reporting group description
    Part A and Part A2 - Monotherapy CX-072 0.1 mg/kg

    Reporting group title
    Part A and Part A2 - CX-072 0.3 mg/kg
    Reporting group description
    Part A and Part A2 - Monotherapy CX-072 0.3 mg/kg

    Reporting group title
    Part A and Part A2 - CX-072 1 mg/kg
    Reporting group description
    Part A and Part A2 - Monotherapy CX-072 1 mg/kg

    Reporting group title
    Part A and Part A2 - CX-072 3 mg/kg
    Reporting group description
    Part A and Part A2 - Monotherapy CX-072 3 mg/kg

    Reporting group title
    Part A and Part A2 - CX-072 10 mg/kg
    Reporting group description
    Part A and Part A2 - Monotherapy CX-072 10 mg/kg

    Reporting group title
    Part A and Part A2 - CX-072 30 mg/kg
    Reporting group description
    Part A and Part A2 - Monotherapy CX-072 30 mg/kg

    Reporting group title
    Part B1 – CX-072 0.3 mg/kg + Ipilimumab 3 mg/kg
    Reporting group description
    Part B1 - Combination CX-072 0.3 mg/kg + ipilimumab 3 mg/kg

    Reporting group title
    Part B1 – CX-072 1 mg/kg + Ipilimumab 3 mg/kg
    Reporting group description
    Part B1 - Combination CX-072 1 mg/kg + ipilimumab 3 mg/kg

    Reporting group title
    Part B1 – CX-072 3 mg/kg + Ipilimumab 3 mg/kg
    Reporting group description
    Part B1 - Combination CX-072 3 mg/kg + ipilimumab 3 mg/kg

    Reporting group title
    Part B1 – CX-072 10 mg/kg + Ipilimumab 3 mg/kg
    Reporting group description
    Part B1 - Combination CX-072 10 mg/kg + ipilimumab 3 mg/kg

    Reporting group title
    Part B1 – CX-072 10 mg/kg + Ipilimumab 6 mg/kg
    Reporting group description
    Part B1 - Combination CX-072 10 mg/kg + ipilimumab 6 mg/kg

    Reporting group title
    Part B1 – CX-072 10 mg/kg + Ipilimumab 10 mg/kg
    Reporting group description
    Part B1 - Combination CX-072 10 mg/kg + ipilimumab 10 mg/kg

    Reporting group title
    Part B2 – CX-072 3 mg/kg + ipilimumab 3 mg/kg
    Reporting group description
    Part B2 - Combination CX-072 3 mg/kg + ipilimumab 3 mg/kg

    Reporting group title
    Part B2 – CX-072 10 mg/kg + ipilimumab 3 mg/kg
    Reporting group description
    Part B2 - Combination CX-072 10 mg/kg + ipilimumab 3 mg/kg

    Reporting group title
    Part C - CX-072 1 mg/kg + Vemurafenib 960 mg
    Reporting group description
    Part C - Combination CX-072 1 mg/kg + Vemurafenib 960 mg

    Reporting group title
    Part C - CX-072 3 mg/kg + Vemurafenib 960 mg
    Reporting group description
    Part C - Combination CX-072 3 mg/kg + Vemurafenib 960 mg

    Reporting group title
    Part C - CX-072 10 mg/kg + Vemurafenib 960 mg
    Reporting group description
    Part C - Combination CX-072 10 mg/kg + Vemurafenib 960 mg

    Reporting group title
    Part D - CX-072 10 mg/kg
    Reporting group description
    Part D - Monotherapy CX-072 10 mg/kg

    Reporting group values
    Part A and Part A2 - CX-072 0.03 mg/kg Part A and Part A2 - CX-072 0.1 mg/kg Part A and Part A2 - CX-072 0.3 mg/kg Part A and Part A2 - CX-072 1 mg/kg Part A and Part A2 - CX-072 3 mg/kg Part A and Part A2 - CX-072 10 mg/kg Part A and Part A2 - CX-072 30 mg/kg Part B1 – CX-072 0.3 mg/kg + Ipilimumab 3 mg/kg Part B1 – CX-072 1 mg/kg + Ipilimumab 3 mg/kg Part B1 – CX-072 3 mg/kg + Ipilimumab 3 mg/kg Part B1 – CX-072 10 mg/kg + Ipilimumab 3 mg/kg Part B1 – CX-072 10 mg/kg + Ipilimumab 6 mg/kg Part B1 – CX-072 10 mg/kg + Ipilimumab 10 mg/kg Part B2 – CX-072 3 mg/kg + ipilimumab 3 mg/kg Part B2 – CX-072 10 mg/kg + ipilimumab 3 mg/kg Part C - CX-072 1 mg/kg + Vemurafenib 960 mg Part C - CX-072 3 mg/kg + Vemurafenib 960 mg Part C - CX-072 10 mg/kg + Vemurafenib 960 mg Part D - CX-072 10 mg/kg Total
    Number of subjects
    2 2 8 9 13 16 3 6 3 3 8 6 1 6 1 3 6 2 98 196
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    0 0 4 6 6 13 3 3 3 3 8 6 0 5 1 2 5 2 66 136
        From 65-84 years
    2 2 4 3 7 3 0 3 0 0 0 0 1 1 0 1 1 0 32 60
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    69.5 ( 2.12 ) 72.0 ( 2.83 ) 60.8 ( 9.88 ) 59.2 ( 9.43 ) 63.3 ( 15.12 ) 55.3 ( 13.11 ) 58.0 ( 10.44 ) 56.5 ( 16.94 ) 38.0 ( 1.73 ) 53.0 ( 8.72 ) 53.9 ( 9.14 ) 51.8 ( 10.19 ) 67.0 ( 0.0 ) 56.7 ( 8.38 ) 40 ( 0.0 ) 47.3 ( 17.24 ) 46.3 ( 20.88 ) 53.5 ( 9.19 ) 59.9 ( 12.28 ) -
    Gender categorical
    Units: Subjects
        Female
    1 2 4 3 8 9 1 2 1 3 6 3 1 4 1 2 4 1 60 116
        Male
    1 0 4 6 5 7 2 4 2 0 2 3 0 2 0 1 2 1 38 80

    End points

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    End points reporting groups
    Reporting group title
    Part A and Part A2 - CX-072 0.03 mg/kg
    Reporting group description
    Part A and Part A2 - Monotherapy CX-072 0.03 mg/kg

    Reporting group title
    Part A and Part A2 - CX-072 0.1 mg/kg
    Reporting group description
    Part A and Part A2 - Monotherapy CX-072 0.1 mg/kg

    Reporting group title
    Part A and Part A2 - CX-072 0.3 mg/kg
    Reporting group description
    Part A and Part A2 - Monotherapy CX-072 0.3 mg/kg

    Reporting group title
    Part A and Part A2 - CX-072 1 mg/kg
    Reporting group description
    Part A and Part A2 - Monotherapy CX-072 1 mg/kg

    Reporting group title
    Part A and Part A2 - CX-072 3 mg/kg
    Reporting group description
    Part A and Part A2 - Monotherapy CX-072 3 mg/kg

    Reporting group title
    Part A and Part A2 - CX-072 10 mg/kg
    Reporting group description
    Part A and Part A2 - Monotherapy CX-072 10 mg/kg

    Reporting group title
    Part A and Part A2 - CX-072 30 mg/kg
    Reporting group description
    Part A and Part A2 - Monotherapy CX-072 30 mg/kg

    Reporting group title
    Part B1 – CX-072 0.3 mg/kg + Ipilimumab 3 mg/kg
    Reporting group description
    Part B1 - Combination CX-072 0.3 mg/kg + ipilimumab 3 mg/kg

    Reporting group title
    Part B1 – CX-072 1 mg/kg + Ipilimumab 3 mg/kg
    Reporting group description
    Part B1 - Combination CX-072 1 mg/kg + ipilimumab 3 mg/kg

    Reporting group title
    Part B1 – CX-072 3 mg/kg + Ipilimumab 3 mg/kg
    Reporting group description
    Part B1 - Combination CX-072 3 mg/kg + ipilimumab 3 mg/kg

    Reporting group title
    Part B1 – CX-072 10 mg/kg + Ipilimumab 3 mg/kg
    Reporting group description
    Part B1 - Combination CX-072 10 mg/kg + ipilimumab 3 mg/kg

    Reporting group title
    Part B1 – CX-072 10 mg/kg + Ipilimumab 6 mg/kg
    Reporting group description
    Part B1 - Combination CX-072 10 mg/kg + ipilimumab 6 mg/kg

    Reporting group title
    Part B1 – CX-072 10 mg/kg + Ipilimumab 10 mg/kg
    Reporting group description
    Part B1 - Combination CX-072 10 mg/kg + ipilimumab 10 mg/kg

    Reporting group title
    Part B2 – CX-072 3 mg/kg + ipilimumab 3 mg/kg
    Reporting group description
    Part B2 - Combination CX-072 3 mg/kg + ipilimumab 3 mg/kg

    Reporting group title
    Part B2 – CX-072 10 mg/kg + ipilimumab 3 mg/kg
    Reporting group description
    Part B2 - Combination CX-072 10 mg/kg + ipilimumab 3 mg/kg

    Reporting group title
    Part C - CX-072 1 mg/kg + Vemurafenib 960 mg
    Reporting group description
    Part C - Combination CX-072 1 mg/kg + Vemurafenib 960 mg

    Reporting group title
    Part C - CX-072 3 mg/kg + Vemurafenib 960 mg
    Reporting group description
    Part C - Combination CX-072 3 mg/kg + Vemurafenib 960 mg

    Reporting group title
    Part C - CX-072 10 mg/kg + Vemurafenib 960 mg
    Reporting group description
    Part C - Combination CX-072 10 mg/kg + Vemurafenib 960 mg

    Reporting group title
    Part D - CX-072 10 mg/kg
    Reporting group description
    Part D - Monotherapy CX-072 10 mg/kg
    Reporting group title
    Long-Term extension
    Reporting group description
    Participants from Study CTMX-M-072-001 were eligible to enroll in the LTE if they were actively receiving CX-072 monotherapy and would continue to benefit from treatment with CX-072 monotherapy as determined by the Investigator. Patients continued the same dose of CX-072 that they last received in the previous cohort (Parts A-D) of the study that they were enrolled in. No dose increase or decrease of CX-072 was permitted in long-term extension.

    Primary: The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib

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    End point title
    The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib [1] [2]
    End point description
    Adverse events (AEs) that were considered DLTs: • Grade 5 AEs • Grade 4 AEs judged by the Investigator to be treatment-related or judged by the Sponsor as a DLT, regardless of Investigator-attribution (with some exceptions) • Any Grade 4 endocrinopathy. • Grade 3 AEs judged by the Investigator to be treatment-related or by the Sponsor, regardless of Investigator attribution (with some exceptions) • Any Grade 3 central nervous system event, regardless of duration or reversibility. • Grade 2 pneumonitis necessitating CX-072 discontinuation • Grade 2 ocular toxicity necessitating CX-072 discontinuation The analysis was performed on the safety analysis population which including all enrolled subjects who received at least one dose of study drug. The baseline population and safety analysis populations are the same.
    End point type
    Primary
    End point timeframe
    28 days (dose limiting toxicity period)
    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: This endpoint was evaluated only descriptively. Thus, no statistical hypothesis were tested. A summary of the results has been added in the Endpoint description.
    [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was assessed only in Parts A, B and C.
    End point values
    Part A and Part A2 - CX-072 0.03 mg/kg Part A and Part A2 - CX-072 0.1 mg/kg Part A and Part A2 - CX-072 0.3 mg/kg Part A and Part A2 - CX-072 1 mg/kg Part A and Part A2 - CX-072 3 mg/kg Part A and Part A2 - CX-072 10 mg/kg Part A and Part A2 - CX-072 30 mg/kg Part B1 – CX-072 0.3 mg/kg + Ipilimumab 3 mg/kg Part B1 – CX-072 1 mg/kg + Ipilimumab 3 mg/kg Part B1 – CX-072 3 mg/kg + Ipilimumab 3 mg/kg Part B1 – CX-072 10 mg/kg + Ipilimumab 3 mg/kg Part B1 – CX-072 10 mg/kg + Ipilimumab 6 mg/kg Part B1 – CX-072 10 mg/kg + Ipilimumab 10 mg/kg Part B2 – CX-072 3 mg/kg + ipilimumab 3 mg/kg Part B2 – CX-072 10 mg/kg + ipilimumab 3 mg/kg Part C - CX-072 1 mg/kg + Vemurafenib 960 mg Part C - CX-072 3 mg/kg + Vemurafenib 960 mg Part C - CX-072 10 mg/kg + Vemurafenib 960 mg
    Number of subjects analysed
    2
    2
    8
    9
    13
    16
    3
    6
    3
    3
    8
    6
    1
    6
    1
    3
    6
    2
    Units: patients
    0
    0
    0
    1
    1
    0
    0
    1
    0
    0
    0
    2
    1
    0
    0
    0
    0
    0
    No statistical analyses for this end point

    Secondary: The Percentage of Subjects Experiencing Anti-cancer Activity (ORR) When Given 10 mg/kg CX-072 as Monotherapy

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    End point title
    The Percentage of Subjects Experiencing Anti-cancer Activity (ORR) When Given 10 mg/kg CX-072 as Monotherapy [3]
    End point description
    The primary efficacy endpoint, ORR, was defined as the proportion of subjects with complete response (CR) or partial response (PR) on two consecutive tumor assessments according to RECIST v1.1. Per CX-072-001 Statistical Analysis Plan, efficacy analyses will be limited to subjects who received 10 mg/kg CX-072 monotherapy during the study. This efficacy subset includes subjects from Parts A, A2 and D. Efficacy summaries will have parts A and A2 combined.
    End point type
    Secondary
    End point timeframe
    2 years
    Notes
    [3] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The analysis for this endpoint is presented for patients who received the dose of 10 mg/kg of CX-072 in Parts A, A2, and D.
    End point values
    Part A and Part A2 - CX-072 10 mg/kg Part D - CX-072 10 mg/kg
    Number of subjects analysed
    16
    98
    Units: patients
    1
    13
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Up to 2 years. Adverse event monitoring starts from the time the patient consents to the study until they complete the trial.
    Adverse event reporting additional description
    AEs are presented for the treatment-emergent adverse event (TEAE) population. On-study deaths reported as SAEs due to progressive disease and considered unrelated to study drug were excluded from TEAE analysis.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    16.1
    Reporting groups
    Reporting group title
    Safety Population- Part A-A2
    Reporting group description
    CX-072 as Monotherapy.

    Reporting group title
    Safety Population- Part B1
    Reporting group description
    CX-072 in combination with Ipilimumab.

    Reporting group title
    Safety Population- Part B2
    Reporting group description
    CX-072 in combination with Ipilimumab.

    Reporting group title
    Safety Population- Part C
    Reporting group description
    CX-072 in combination with Vemurafenib

    Reporting group title
    Safety Population- Part D
    Reporting group description
    CX-072 10 mg/kg as monotherapy. Dose expansion in patients with specific cancer tumor types.

    Serious adverse events
    Safety Population- Part A-A2 Safety Population- Part B1 Safety Population- Part B2 Safety Population- Part C Safety Population- Part D
    Total subjects affected by serious adverse events
         subjects affected / exposed
    21 / 53 (39.62%)
    13 / 27 (48.15%)
    3 / 7 (42.86%)
    8 / 11 (72.73%)
    33 / 98 (33.67%)
         number of deaths (all causes)
    38
    15
    4
    9
    50
         number of deaths resulting from adverse events
    0
    0
    0
    2
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Metastases to meninges
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (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 / 1
    0 / 0
    Tumour haemorrhage
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    2 / 98 (2.04%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Tumour obstruction
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         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
    Vascular disorders
    Deep vein thrombosis
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Thrombosis
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (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
    General disorders and administration site conditions
    Pyrexia
         subjects affected / exposed
    1 / 53 (1.89%)
    1 / 27 (3.70%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Fatigue
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Chest discomfort
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         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
    Immune system disorders
    Hypersensitivity
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         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
    Reproductive system and breast disorders
    Testicular pain
         subjects affected / exposed
    0 / 53 (0.00%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Dyspnoea
         subjects affected / exposed
    1 / 53 (1.89%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences causally related to treatment / all
    0 / 2
    1 / 2
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pleural effusion
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    0 / 98 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonitis
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Pulmonary embolism
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Acute respiratory failure
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         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
    Cough
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         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
    Haemoptysis
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         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
    immune-mediated pneumonitis
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         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
    Respiratory failure
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Aspartate aminotransferase increased
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Blood bilirubin increased
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (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
    Infusion related reaction
         subjects affected / exposed
    2 / 53 (3.77%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences causally related to treatment / all
    2 / 2
    1 / 1
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Skin infection
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         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
    Clavicle fracture
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         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
    Humerus fracture
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Atrial fibrillation
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pericardial effusion
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    2 / 98 (2.04%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Stress cardiomyopathy
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Supraventricular tachycardia
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         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
    Cardiopulmonary failure
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (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 / 1
    0 / 0
    Myocardial infarction
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (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
    Myocarditis
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         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
    Nervous system disorders
    Guillain-Barre syndrome
         subjects affected / exposed
    0 / 53 (0.00%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Somnolence
         subjects affected / exposed
    0 / 53 (0.00%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         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
    Seizure
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Spinal cord compression
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         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 and lymphatic system disorders
    Febrile neutropenia
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Anaemia
         subjects affected / exposed
    0 / 53 (0.00%)
    2 / 27 (7.41%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    2 / 98 (2.04%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Neutropenia
         subjects affected / exposed
    0 / 53 (0.00%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Blood creatinine increased
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    0 / 98 (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
    Blood loss anaemia
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (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
    Lymph node haemorrhage
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (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
    Thrombocytopenia
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (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
    Leukocytosis
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         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
    Diarrhoea
         subjects affected / exposed
    2 / 53 (3.77%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences causally related to treatment / all
    0 / 2
    1 / 2
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Enterocutaneous fistula
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Intestinal obstruction
         subjects affected / exposed
    1 / 53 (1.89%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         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
    Small intestinal obstruction
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vomiting
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Abdominal pain
         subjects affected / exposed
    0 / 53 (0.00%)
    6 / 27 (22.22%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 9
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Colitis
         subjects affected / exposed
    0 / 53 (0.00%)
    2 / 27 (7.41%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    0 / 98 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ileus
         subjects affected / exposed
    0 / 53 (0.00%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Pancreatitis
         subjects affected / exposed
    0 / 53 (0.00%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Large intestine perforation
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    0 / 98 (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 / 1
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Hyperbilirubinaemia
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Haemobilia
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Rash
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (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
    Renal and urinary disorders
    Nephrolithiasis
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Urinary tract obstruction
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Acute kidney injury
         subjects affected / exposed
    0 / 53 (0.00%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal failure
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    2 / 98 (2.04%)
         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
    Endocrine disorders
    Hypophysitis
         subjects affected / exposed
    0 / 53 (0.00%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Musculoskeletal and connective tissue disorders
    Bone pain
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Arthralgia
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    3 / 98 (3.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal chest pain
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    2 / 98 (2.04%)
         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
    Infections and infestations
    Lower respiratory tract infection
         subjects affected / exposed
    2 / 53 (3.77%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    2 / 98 (2.04%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Abdominal wall abscess
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Abscess
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Diverticulitis
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    4 / 98 (4.08%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory tract infection
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Sepsis
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    2 / 98 (2.04%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Cellulitis
         subjects affected / exposed
    0 / 53 (0.00%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    2 / 98 (2.04%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Escherichia bacteraemia
         subjects affected / exposed
    0 / 53 (0.00%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Infection
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    0 / 98 (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
    COVID-19
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Dehydration
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypokalaemia
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (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
    Decreased appetite
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         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
    Hypercalcaemia
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         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
    Hyperkalaemia
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         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
    Hyponatraemia
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         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
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Safety Population- Part A-A2 Safety Population- Part B1 Safety Population- Part B2 Safety Population- Part C Safety Population- Part D
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    53 / 53 (100.00%)
    26 / 27 (96.30%)
    7 / 7 (100.00%)
    11 / 11 (100.00%)
    94 / 98 (95.92%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Basal cell carcinoma
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences all number
    0
    0
    1
    0
    5
    Infected neoplasm
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Skin papilloma
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    2 / 11 (18.18%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    3
    0
    Metastases to meninges
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Papilloma
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Vascular disorders
    Hypotension
         subjects affected / exposed
    3 / 53 (5.66%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (0.00%)
         occurrences all number
    3
    1
    0
    0
    0
    Embolism
         subjects affected / exposed
    0 / 53 (0.00%)
    2 / 27 (7.41%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    0 / 98 (0.00%)
         occurrences all number
    0
    2
    0
    0
    0
    Hypertension
         subjects affected / exposed
    2 / 53 (3.77%)
    2 / 27 (7.41%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    8 / 98 (8.16%)
         occurrences all number
    2
    2
    0
    0
    10
    Lymphostasis
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    2
    0
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    16 / 53 (30.19%)
    8 / 27 (29.63%)
    2 / 7 (28.57%)
    3 / 11 (27.27%)
    33 / 98 (33.67%)
         occurrences all number
    21
    14
    6
    7
    45
    Pyrexia
         subjects affected / exposed
    7 / 53 (13.21%)
    3 / 27 (11.11%)
    1 / 7 (14.29%)
    1 / 11 (9.09%)
    11 / 98 (11.22%)
         occurrences all number
    10
    3
    2
    1
    12
    Asthenia
         subjects affected / exposed
    4 / 53 (7.55%)
    2 / 27 (7.41%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    3 / 98 (3.06%)
         occurrences all number
    4
    3
    0
    0
    3
    Non-cardiac chest pain
         subjects affected / exposed
    4 / 53 (7.55%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    3 / 98 (3.06%)
         occurrences all number
    7
    0
    0
    0
    3
    Oedema peripheral
         subjects affected / exposed
    5 / 53 (9.43%)
    3 / 27 (11.11%)
    1 / 7 (14.29%)
    1 / 11 (9.09%)
    9 / 98 (9.18%)
         occurrences all number
    9
    5
    1
    1
    11
    Malaise
         subjects affected / exposed
    1 / 53 (1.89%)
    2 / 27 (7.41%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences all number
    1
    2
    0
    0
    1
    Influenza like illness
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    3 / 98 (3.06%)
         occurrences all number
    7
    0
    1
    0
    6
    Localised oedema
         subjects affected / exposed
    0 / 53 (0.00%)
    1 / 27 (3.70%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences all number
    0
    1
    1
    0
    1
    Oedema
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    5 / 98 (5.10%)
         occurrences all number
    1
    0
    1
    0
    5
    Peripheral swelling
         subjects affected / exposed
    2 / 53 (3.77%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    2 / 98 (2.04%)
         occurrences all number
    2
    0
    1
    0
    2
    Chest pain
         subjects affected / exposed
    0 / 53 (0.00%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Reproductive system and breast disorders
    Erectile dysfunction
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences all number
    0
    0
    1
    0
    1
    Vaginal discharge
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    0 / 98 (0.00%)
         occurrences all number
    1
    0
    1
    0
    0
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    13 / 53 (24.53%)
    4 / 27 (14.81%)
    1 / 7 (14.29%)
    1 / 11 (9.09%)
    16 / 98 (16.33%)
         occurrences all number
    14
    6
    1
    1
    18
    Dyspnoea
         subjects affected / exposed
    9 / 53 (16.98%)
    4 / 27 (14.81%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    15 / 98 (15.31%)
         occurrences all number
    11
    7
    0
    0
    18
    Epistaxis
         subjects affected / exposed
    3 / 53 (5.66%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    2 / 98 (2.04%)
         occurrences all number
    4
    0
    0
    0
    2
    Productive cough
         subjects affected / exposed
    1 / 53 (1.89%)
    4 / 27 (14.81%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    2 / 98 (2.04%)
         occurrences all number
    3
    4
    0
    0
    2
    Oropharyngeal pain
         subjects affected / exposed
    1 / 53 (1.89%)
    3 / 27 (11.11%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences all number
    1
    3
    1
    0
    1
    Dysphonia
         subjects affected / exposed
    2 / 53 (3.77%)
    2 / 27 (7.41%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    3 / 98 (3.06%)
         occurrences all number
    2
    3
    0
    0
    3
    Haemoptysis
         subjects affected / exposed
    0 / 53 (0.00%)
    2 / 27 (7.41%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences all number
    0
    2
    0
    0
    1
    Pleural effusion
         subjects affected / exposed
    0 / 53 (0.00%)
    2 / 27 (7.41%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    2 / 98 (2.04%)
         occurrences all number
    0
    2
    0
    0
    2
    Psychiatric disorders
    Insomnia
         subjects affected / exposed
    3 / 53 (5.66%)
    3 / 27 (11.11%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    4 / 98 (4.08%)
         occurrences all number
    3
    3
    0
    0
    5
    Depression
         subjects affected / exposed
    1 / 53 (1.89%)
    3 / 27 (11.11%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    2 / 98 (2.04%)
         occurrences all number
    1
    4
    0
    0
    2
    Investigations
    Blood alkaline phosphatase increased
         subjects affected / exposed
    6 / 53 (11.32%)
    4 / 27 (14.81%)
    1 / 7 (14.29%)
    2 / 11 (18.18%)
    9 / 98 (9.18%)
         occurrences all number
    7
    4
    1
    2
    11
    Alanine aminotransferase increased
         subjects affected / exposed
    2 / 53 (3.77%)
    5 / 27 (18.52%)
    1 / 7 (14.29%)
    1 / 11 (9.09%)
    14 / 98 (14.29%)
         occurrences all number
    3
    9
    2
    1
    15
    Aspartate aminotransferase increased
         subjects affected / exposed
    1 / 53 (1.89%)
    6 / 27 (22.22%)
    1 / 7 (14.29%)
    2 / 11 (18.18%)
    23 / 98 (23.47%)
         occurrences all number
    2
    9
    3
    2
    35
    Amylase increased
         subjects affected / exposed
    1 / 53 (1.89%)
    4 / 27 (14.81%)
    0 / 7 (0.00%)
    2 / 11 (18.18%)
    6 / 98 (6.12%)
         occurrences all number
    3
    8
    0
    2
    9
    Blood creatinine increased
         subjects affected / exposed
    0 / 53 (0.00%)
    3 / 27 (11.11%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    10 / 98 (10.20%)
         occurrences all number
    0
    3
    0
    1
    20
    Lipase increased
         subjects affected / exposed
    0 / 53 (0.00%)
    3 / 27 (11.11%)
    0 / 7 (0.00%)
    4 / 11 (36.36%)
    8 / 98 (8.16%)
         occurrences all number
    0
    5
    0
    9
    13
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    2 / 53 (3.77%)
    2 / 27 (7.41%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    2 / 98 (2.04%)
         occurrences all number
    2
    2
    2
    0
    3
    Blood bilirubin increased
         subjects affected / exposed
    0 / 53 (0.00%)
    1 / 27 (3.70%)
    1 / 7 (14.29%)
    5 / 11 (45.45%)
    1 / 98 (1.02%)
         occurrences all number
    0
    1
    5
    10
    1
    Blood thyroid stimulating hormone decreased
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Transaminases increased
         subjects affected / exposed
    0 / 53 (0.00%)
    1 / 27 (3.70%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    0 / 98 (0.00%)
         occurrences all number
    0
    2
    1
    0
    0
    Blood lactate dehydrogenase increased
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    2 / 11 (18.18%)
    0 / 98 (0.00%)
         occurrences all number
    1
    0
    0
    2
    0
    Body temperature increased
         subjects affected / exposed
    0 / 53 (0.00%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    Creatinine renal clearance decreased
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Heart rate increased
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Protein total decreased
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Weight decreased
         subjects affected / exposed
    3 / 53 (5.66%)
    1 / 27 (3.70%)
    2 / 7 (28.57%)
    2 / 11 (18.18%)
    12 / 98 (12.24%)
         occurrences all number
    5
    1
    3
    2
    18
    Blood albumin decreased
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Injury, poisoning and procedural complications
    Infusion related reaction
         subjects affected / exposed
    10 / 53 (18.87%)
    4 / 27 (14.81%)
    0 / 7 (0.00%)
    4 / 11 (36.36%)
    6 / 98 (6.12%)
         occurrences all number
    26
    5
    0
    14
    13
    Ligament sprain
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Skin laceration
         subjects affected / exposed
    0 / 53 (0.00%)
    1 / 27 (3.70%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    0 / 98 (0.00%)
         occurrences all number
    0
    1
    1
    0
    0
    Poisoning
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    2
    0
    Sunburn
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    2
    0
    Cardiac disorders
    Coronary artery disease
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Nervous system disorders
    Headache
         subjects affected / exposed
    7 / 53 (13.21%)
    6 / 27 (22.22%)
    2 / 7 (28.57%)
    0 / 11 (0.00%)
    12 / 98 (12.24%)
         occurrences all number
    8
    13
    2
    0
    13
    Dizziness
         subjects affected / exposed
    6 / 53 (11.32%)
    2 / 27 (7.41%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    6 / 98 (6.12%)
         occurrences all number
    6
    2
    1
    0
    6
    Neuropathy peripheral
         subjects affected / exposed
    3 / 53 (5.66%)
    2 / 27 (7.41%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    3 / 98 (3.06%)
         occurrences all number
    3
    2
    0
    0
    4
    Paraesthesia
         subjects affected / exposed
    2 / 53 (3.77%)
    1 / 27 (3.70%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    2 / 98 (2.04%)
         occurrences all number
    3
    1
    1
    0
    3
    Autonomic nervous system imbalance
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Complex regional pain syndrome
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    2
    0
    Facial paresis
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Metabolic encephalopathy
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    1
    0
    0
    1
    0
    Syncope
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    1
    0
    0
    1
    0
    Taste disorder
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Vascular encephalopathy
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    12 / 53 (22.64%)
    6 / 27 (22.22%)
    2 / 7 (28.57%)
    5 / 11 (45.45%)
    24 / 98 (24.49%)
         occurrences all number
    15
    6
    2
    9
    40
    Lymph node pain
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    2 / 11 (18.18%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    3
    0
    Neutropenia
         subjects affected / exposed
    0 / 53 (0.00%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    2 / 11 (18.18%)
    2 / 98 (2.04%)
         occurrences all number
    0
    1
    0
    6
    5
    Blood loss anaemia
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    1 / 98 (1.02%)
         occurrences all number
    0
    0
    0
    1
    1
    Eosinophilia
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Leukopenia
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    2 / 98 (2.04%)
         occurrences all number
    0
    0
    0
    1
    6
    Lymph node haemorrhage
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    4
    0
    Lymphocytosis
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    2
    0
    Lymphopenia
         subjects affected / exposed
    0 / 53 (0.00%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    1 / 98 (1.02%)
         occurrences all number
    0
    2
    0
    1
    1
    Ear and labyrinth disorders
    Deafness unilateral
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Deafness neurosensory
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Eye disorders
    Dry eye
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    1
    0
    0
    1
    0
    Keratitis
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    1 / 98 (1.02%)
         occurrences all number
    0
    0
    0
    1
    5
    Gastrointestinal disorders
    Nausea
         subjects affected / exposed
    14 / 53 (26.42%)
    13 / 27 (48.15%)
    4 / 7 (57.14%)
    0 / 11 (0.00%)
    22 / 98 (22.45%)
         occurrences all number
    19
    21
    4
    0
    28
    Constipation
         subjects affected / exposed
    12 / 53 (22.64%)
    5 / 27 (18.52%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    14 / 98 (14.29%)
         occurrences all number
    12
    5
    0
    0
    17
    Diarrhoea
         subjects affected / exposed
    6 / 53 (11.32%)
    7 / 27 (25.93%)
    2 / 7 (28.57%)
    2 / 11 (18.18%)
    26 / 98 (26.53%)
         occurrences all number
    11
    8
    4
    2
    38
    Vomiting
         subjects affected / exposed
    4 / 53 (7.55%)
    7 / 27 (25.93%)
    3 / 7 (42.86%)
    2 / 11 (18.18%)
    17 / 98 (17.35%)
         occurrences all number
    7
    7
    3
    4
    22
    Abdominal pain
         subjects affected / exposed
    4 / 53 (7.55%)
    6 / 27 (22.22%)
    2 / 7 (28.57%)
    1 / 11 (9.09%)
    7 / 98 (7.14%)
         occurrences all number
    7
    7
    3
    1
    9
    Dyspepsia
         subjects affected / exposed
    4 / 53 (7.55%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    2 / 98 (2.04%)
         occurrences all number
    4
    1
    0
    0
    2
    Abdominal distension
         subjects affected / exposed
    3 / 53 (5.66%)
    2 / 27 (7.41%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    4 / 98 (4.08%)
         occurrences all number
    4
    2
    1
    0
    4
    Dysphagia
         subjects affected / exposed
    3 / 53 (5.66%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    2 / 98 (2.04%)
         occurrences all number
    3
    0
    0
    0
    2
    Abdominal pain upper
         subjects affected / exposed
    1 / 53 (1.89%)
    2 / 27 (7.41%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    8 / 98 (8.16%)
         occurrences all number
    1
    2
    0
    0
    9
    Colitis
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Dry mouth
         subjects affected / exposed
    2 / 53 (3.77%)
    2 / 27 (7.41%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    4 / 98 (4.08%)
         occurrences all number
    3
    2
    0
    0
    5
    Abdominal tenderness
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Haemorrhoids
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences all number
    1
    0
    1
    0
    1
    Abdominal pain lower
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Oral pain
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Stomatitis
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    5 / 98 (5.10%)
         occurrences all number
    2
    0
    0
    1
    5
    Abdominal discomfort
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    2 / 98 (2.04%)
         occurrences all number
    0
    0
    0
    0
    2
    Hepatobiliary disorders
    Cholecystitis
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Hepatomegaly
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    1 / 98 (1.02%)
         occurrences all number
    0
    0
    0
    1
    1
    Hyperbilirubinaemia
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    1 / 98 (1.02%)
         occurrences all number
    0
    0
    0
    1
    1
    Skin and subcutaneous tissue disorders
    Pruritus
         subjects affected / exposed
    6 / 53 (11.32%)
    10 / 27 (37.04%)
    1 / 7 (14.29%)
    3 / 11 (27.27%)
    7 / 98 (7.14%)
         occurrences all number
    13
    22
    1
    3
    7
    Night sweats
         subjects affected / exposed
    3 / 53 (5.66%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    3 / 98 (3.06%)
         occurrences all number
    3
    0
    0
    0
    3
    Rash
         subjects affected / exposed
    1 / 53 (1.89%)
    5 / 27 (18.52%)
    1 / 7 (14.29%)
    7 / 11 (63.64%)
    14 / 98 (14.29%)
         occurrences all number
    1
    11
    1
    14
    18
    Rash maculo-papular
         subjects affected / exposed
    1 / 53 (1.89%)
    4 / 27 (14.81%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    3 / 98 (3.06%)
         occurrences all number
    1
    5
    0
    2
    6
    Dry skin
         subjects affected / exposed
    1 / 53 (1.89%)
    3 / 27 (11.11%)
    0 / 7 (0.00%)
    3 / 11 (27.27%)
    0 / 98 (0.00%)
         occurrences all number
    1
    3
    0
    3
    0
    Erythema ab igne
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Photosensitivity reaction
         subjects affected / exposed
    0 / 53 (0.00%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    3 / 11 (27.27%)
    0 / 98 (0.00%)
         occurrences all number
    0
    1
    0
    3
    0
    Alopecia
         subjects affected / exposed
    1 / 53 (1.89%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    2 / 98 (2.04%)
         occurrences all number
    1
    1
    0
    1
    2
    Drug eruption
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    1
    0
    0
    1
    0
    Hyperkeratosis
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    2
    0
    Renal and urinary disorders
    Haematuria
         subjects affected / exposed
    3 / 53 (5.66%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences all number
    3
    2
    0
    0
    1
    Endocrine disorders
    Hypothyroidism
         subjects affected / exposed
    3 / 53 (5.66%)
    2 / 27 (7.41%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    4 / 98 (4.08%)
         occurrences all number
    3
    3
    0
    1
    4
    Hyperthyroidism
         subjects affected / exposed
    0 / 53 (0.00%)
    2 / 27 (7.41%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    2 / 98 (2.04%)
         occurrences all number
    0
    2
    0
    0
    2
    Empty sella syndrome
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    10 / 53 (18.87%)
    4 / 27 (14.81%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    11 / 98 (11.22%)
         occurrences all number
    10
    4
    2
    0
    13
    Arthralgia
         subjects affected / exposed
    8 / 53 (15.09%)
    3 / 27 (11.11%)
    2 / 7 (28.57%)
    3 / 11 (27.27%)
    12 / 98 (12.24%)
         occurrences all number
    10
    3
    2
    6
    15
    Pain in extremity
         subjects affected / exposed
    6 / 53 (11.32%)
    2 / 27 (7.41%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    4 / 98 (4.08%)
         occurrences all number
    8
    4
    0
    0
    9
    Myalgia
         subjects affected / exposed
    5 / 53 (9.43%)
    3 / 27 (11.11%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    8 / 98 (8.16%)
         occurrences all number
    6
    4
    1
    0
    12
    Muscular weakness
         subjects affected / exposed
    3 / 53 (5.66%)
    3 / 27 (11.11%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    5 / 98 (5.10%)
         occurrences all number
    3
    3
    0
    0
    5
    Musculoskeletal pain
         subjects affected / exposed
    3 / 53 (5.66%)
    2 / 27 (7.41%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    8 / 98 (8.16%)
         occurrences all number
    3
    2
    0
    0
    9
    Neck pain
         subjects affected / exposed
    3 / 53 (5.66%)
    2 / 27 (7.41%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences all number
    3
    2
    0
    0
    1
    Musculoskeletal chest pain
         subjects affected / exposed
    2 / 53 (3.77%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    5 / 98 (5.10%)
         occurrences all number
    2
    0
    0
    0
    7
    Muscle spasms
         subjects affected / exposed
    1 / 53 (1.89%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    5 / 98 (5.10%)
         occurrences all number
    4
    1
    0
    0
    5
    Infections and infestations
    Urinary tract infection
         subjects affected / exposed
    3 / 53 (5.66%)
    2 / 27 (7.41%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    11 / 98 (11.22%)
         occurrences all number
    4
    2
    0
    0
    12
    Upper respiratory tract infection
         subjects affected / exposed
    3 / 53 (5.66%)
    4 / 27 (14.81%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    10 / 98 (10.20%)
         occurrences all number
    3
    5
    0
    0
    16
    Nasopharyngitis
         subjects affected / exposed
    0 / 53 (0.00%)
    2 / 27 (7.41%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    2 / 98 (2.04%)
         occurrences all number
    0
    2
    0
    1
    2
    Pneumonia
         subjects affected / exposed
    1 / 53 (1.89%)
    0 / 27 (0.00%)
    2 / 7 (28.57%)
    0 / 11 (0.00%)
    5 / 98 (5.10%)
         occurrences all number
    1
    0
    2
    0
    8
    Candida infection
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    1 / 98 (1.02%)
         occurrences all number
    0
    0
    1
    0
    1
    Respiratory tract infection viral
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    2 / 11 (18.18%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    2
    0
    Conjunctivitis bacterial
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    2
    0
    Ear infection
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Genital candidiasis
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Mastoiditis
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Petrositis
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Pharyngitis
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Pyelonephritis acute
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Rhinitis
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    1 / 98 (1.02%)
         occurrences all number
    0
    0
    0
    1
    1
    Vestibular neuronitis
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Lower respiratory tract infection
         subjects affected / exposed
    2 / 53 (3.77%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    5 / 98 (5.10%)
         occurrences all number
    4
    0
    0
    0
    5
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    15 / 53 (28.30%)
    8 / 27 (29.63%)
    1 / 7 (14.29%)
    4 / 11 (36.36%)
    23 / 98 (23.47%)
         occurrences all number
    19
    8
    3
    5
    25
    Hyponatraemia
         subjects affected / exposed
    6 / 53 (11.32%)
    2 / 27 (7.41%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    7 / 98 (7.14%)
         occurrences all number
    8
    2
    0
    0
    9
    Dehydration
         subjects affected / exposed
    4 / 53 (7.55%)
    3 / 27 (11.11%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    6 / 98 (6.12%)
         occurrences all number
    4
    4
    1
    0
    7
    Hypoalbuminaemia
         subjects affected / exposed
    5 / 53 (9.43%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    7 / 98 (7.14%)
         occurrences all number
    5
    1
    0
    1
    7
    Hypokalaemia
         subjects affected / exposed
    5 / 53 (9.43%)
    3 / 27 (11.11%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    3 / 98 (3.06%)
         occurrences all number
    8
    6
    0
    1
    4
    Hypercalcaemia
         subjects affected / exposed
    3 / 53 (5.66%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    5 / 98 (5.10%)
         occurrences all number
    3
    2
    0
    0
    5
    Hypomagnesaemia
         subjects affected / exposed
    2 / 53 (3.77%)
    4 / 27 (14.81%)
    0 / 7 (0.00%)
    0 / 11 (0.00%)
    6 / 98 (6.12%)
         occurrences all number
    4
    6
    0
    0
    8
    Cachexia
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Hypophosphataemia
         subjects affected / exposed
    2 / 53 (3.77%)
    0 / 27 (0.00%)
    1 / 7 (14.29%)
    0 / 11 (0.00%)
    0 / 98 (0.00%)
         occurrences all number
    3
    0
    2
    0
    0
    Hyperglycaemia
         subjects affected / exposed
    0 / 53 (0.00%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    6 / 98 (6.12%)
         occurrences all number
    0
    3
    0
    1
    10
    Hyperkalaemia
         subjects affected / exposed
    1 / 53 (1.89%)
    1 / 27 (3.70%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    2 / 98 (2.04%)
         occurrences all number
    1
    1
    0
    1
    2
    Increased appetite
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Tumour lysis syndrome
         subjects affected / exposed
    0 / 53 (0.00%)
    0 / 27 (0.00%)
    0 / 7 (0.00%)
    1 / 11 (9.09%)
    0 / 98 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    30 Aug 2016
    Module Amendment 1 (Global) (30 August 2016). For Part B1 of the trial, an additional dosing cohort was added, lowering the initial dose for CX-072 to 0.3 mg/kg. The 30 mg/kg CX-072 dosage was changed from an IV infusion duration of over 1 hour to ≥ 90 minutes. The Part B2 population for enrollment text was modified to remove patients with Hodgkin lymphoma with measurable disease. The Part C population for enrollment text was modified to include nonmeasurable BRAF V600E mutation–positive advanced melanoma. The Part D population for enrollment text was modified to clarify the diseases indicated must be measurable. Screening laboratory values were updated to clarify criteria for patients with HCC or pancreatic cancer for AST, ALT, and bilirubin, and to include criteria for amylase and lipase. An exclusion criterion was added for CAR T-cell containing regimens and AMD. Dose proportionality analysis was added. Reticulocyte counts were removed from the hematology assessment. Follow-up procedures for addressing events were added.
    14 Nov 2016
    Module Amendment 2 (Global) (14 November 2016) • The primary objective was modified to determine the maximum tolerated dose (MTD) and dose-limiting toxicities (DLTs) of CX-072 as monotherapy and in combination in predefined patient populations. • The secondary objectives were expanded to obtain preliminary evidence of anticancer activity on the basis of objective responses in patients treated with CX-072 as monotherapy in advanced or metastatic gastric and gastroesophageal junction (GEJ) tumors. • The study design was modified. • The DLT definitions were updated such that any Grade 5 adverse event, Grade 4 endocrinopathy, and Grade 2 pneumonitis or ocular toxicity necessitating discontinuation of CX-072 were designated as DLTs; the provision to exempt any Grade 3 toxicities (including immune-related) that resolve within 7 days as a DLT was removed; and Grade 3 adverse events of nausea, diarrhea, asthenia, constipation, pyrexia, and vomiting that resolve within 48 hours with appropriate treatment were specified as not considered a DLT. • The DLT evaluation period was increased from 21 days to 28 days for Parts A, B1, B2, and C. • A section was added specifying late stopping rules to be applied when ≥ 2 patients experience Grade ≥ 4 CX‑072–related adverse events beyond the DLT evaluation period. • A Safety Review Committee was added to monitor adverse event data and to provide recommendations related to dose escalation for the subsequent cohort. • The sample size was reduced for the study from approximately 300 patients to ≤ 149 patients and include further justification for the planned sample size. • The inclusion and exclusion criteria were modified to reflect the patient eligibility requirements specified in the updated study design; to remove barrier method as a highly effective method of contraception; and to exclude patients with prior history of myocarditis and prohibit the use of cytochrome P450 1A2 (CYP1A2) substrates, rather than CYP1B1 substrates.
    19 Jan 2017
    Module Amendment 3 (Global) (19 January 2017) • Nonclinical safety data were updated. • Secondary objectives were updated. • The length of treatment cycles was added for Parts A, B1, B2, C, and D. • Part B2 treatment regimen was updated from 3 doses to 4 doses of CX-072. • Language was added to indicate that a maximum of 4 doses of ipilimumab may be administered in Part B2. • The laboratory values for white blood cells, aspartate aminotransferase for patients in Part C, and total bilirubin in inclusion criterion 8 were updated. • Contraception requirements were updated to include acceptable contraceptive methods. • Exclusion criteria 2 and 14 were updated. • Guidelines for the management of allergic reactions were updated. • Statistical analysis of pharmacokinetic (PK) assessments was updated. • Details of the immunogenicity assessments were updated. • Biopsy collection in Parts B1 and B2 was clarified. • Optional serial collection of blood samples for measurement of exploratory biomarker for patients in Parts A, B1, and D was included. • The definition of adverse event was clarified. • Monitoring of adverse event data was updated to include the completion of an electronic serious adverse event (SAE) form for SAEs and added that the type of follow-up visit will be left to the discretion of the Investigator. • SAE reporting requirements were updated to include SAEs up to and including 30 days after administration of last dose of study drug and to include additional reporting instructions. • Reporting criteria of suspected and unexpected suspected adverse events were updated to include instructions for reporting to the Food and Drug Administration and applicable competent authorities in the European Union Member States concerned, and the Central Institutional Review Board/Ethics Committee.
    13 Jul 2017
    Module Amendment 4 (Global) (13 July 2017) • A cohort (Part A2) was added to the study to refine the selection of the MTD/maximum achieved dose. • The use of prior immunotherapies was clarified. • An additional exploratory objective was added to examine the relationship between dose/exposure and pharmacodynamics, safety, and efficacy for CX-072 monotherapy. • The late stopping rules were updated. • The patient’s tumor type in Part D was modified to undifferentiated pleomorphic sarcoma. • The sample size and statistical analyses was updated. • The inclusion/exclusion criteria were updated. • The packaging requirements and administration timing for vemurafenib was updated. • The management of allergic reactions was clarified. • A prior/concomitant medication exception was added allowing patients with prostate cancer to receive androgen deprivation therapy.
    18 Apr 2018
    Module Amendment 5 (Global) (18 April 2018). • The secondary and exploratory objectives were updated. • The 30 mg/kg dose of CX-072 was removed from Parts B1 and B2. • A 6 mg/kg dose of ipilimumab was added. • Language was added to indicated that a monotherapy dose expansion imaging substudy was to be performed in the Netherlands. • Tumor types in Part D were modified to include small bowel adenocarcinoma, cutaneous squamous cell carcinoma, Merkel cell carcinoma, thymic carcinoma, anal squamous cell carcinoma, triple-negative breast cancer, and high tumor mutational burden. • The language to allow for cohort over enrollment so enough evaluable patients for DLT evaluation was removed. • The sample size and statistical analyses were updated to reflect changes to CX-072 dose, ipilimumab dose, and Part D tumor type additions. • The inclusion and exclusion criteria were updated. • The use of concomitant medications for patients with triple-negative breast cancer was specified. • A blood sample for tumor mutation burden (Part D) and blood sample for thymoma safety monitoring (Parts A and A2) was added. • The exact dose for each infusion was specified to be calculated based on the patient’s body weight from the specific dosing visit. • A 3-hour postdose (vemurafenib) PK sample on Cycle 1 Day 1 was added for Part C. • Adverse event language was clarified. • Appendix 2 was added to include information on thymic carcinoma classification and staging.
    02 Nov 2018
    Module Amendment 6 (Global) (02 November 2018) • The introduction and study rationale for dose escalation and dose expansion was updated. • Part E (Response Evaluation of CX-072 Monotherapy with Fixed Dosing) was added because encouraging safety and antitumor activity was observed in patients treated with at least 1 dose of CX-072 monotherapy at ≥ 3 mg/kg. These data warranted planning for confirming antitumor activity that might be observed in Part D by implementing an appropriately designed Part E with clear criteria for advancement from Part D to Part E, based on objective response rates. • The language of the primary, secondary, and exploratory objectives was updated for Parts A to D and defined for Part E. • The 10 mg/kg ipilimumab dose was removed from Parts B1 and B2 due to the increased toxicity according to published ipilimumab safety data. • Intra-patient dose escalation was added for patients in Cohorts 3A2, 4A2, and 5A2. • Language was added to discourage further enrollment of patients in Part B2 receiving CX-072 run-in phased dosing of CX-072 in combination with ipilimumab. Future patients enrolling in Part B2 were to receive CX072 administered in a concomitant combination schedule with ipilimumab. • Language was updated to clarify that TET encompasses thymic epithelial tumors, which includes thymoma and thymic carcinoma. • Assessment of dose-limiting toxicities was clarified for vemurafenib. • The sample size determination and statistical analyses was updated to reflect the addition of Part E and define the criteria for cohort expansion in Part D and assumptions and criteria for Simon’s 2-stage design in Part E. • The inclusion criteria were updated to clarify Part D criteria and define Part E criteria to limit prior lines of therapy to target patient populations that are more likely to benefit from participation in the trial. • Inclusion criterion 8 was updated to define acceptable contraception methods and introduce Appendix 5.
    20 Feb 2020
    Module Amendment 7 (Global) (03 April 2020) Not Submitted
    04 Jun 2020
    Module Amendment 8 (Global) (04 June 2020) Updates were made to reflect the addition of a long-term extension to the study.
    19 Aug 2020
    Module Amendment 9 (Global) (19 August 2020) Updates were made to reflect the commitments made to the UK MHRA for changes to the long-term extension study safety assessment and to clarify the purpose of the long-term extension study.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

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

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/34253583
    http://www.ncbi.nlm.nih.gov/pubmed/34301809
    http://www.ncbi.nlm.nih.gov/pubmed/34301808
    http://www.ncbi.nlm.nih.gov/pubmed/32681519
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