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    Clinical Trial Results:
    Phase I/II trial of S 81694 administered intravenously in combination with paclitaxel to evaluate the safety, pharmacokinetic and efficacy in metastatic breast cancer.

    Summary
    EudraCT number
    2017-002459-27
    Trial protocol
    BE   NL   FR  
    Global end of trial date
    08 Jun 2020

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

    Trial information

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    Trial identification
    Sponsor protocol code
    CL1-81694-003
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03411161
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Institut de Recherches Internationales Servier
    Sponsor organisation address
    50 rue Carnot, Suresnes Cedex, France, 92284
    Public contact
    Center for Therapeutic Innovation in Oncology, Institut de Recherches Internationales Servier, +33 155724366, clinicaltrials@servier.com
    Scientific contact
    Center for Therapeutic Innovation in Oncology, Institut de Recherches Internationales Servier, +33 155724366, clinicaltrials@servier.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
    28 Jul 2020
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    08 Jun 2020
    Global end of trial reached?
    Yes
    Global end of trial date
    08 Jun 2020
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    For Phase I: -To determine the safety profile and tolerability of S 81694 given in combination with paclitaxel by assessment of the Dose-Limiting Toxicities (DLT) and the Maximum Tolerated Dose (MTD) based on safety data described using Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 4.03 in patients with metastatic Breast Cancer (mBC). - To establish the recommended phase II dose (RP2D) of S 81694 in combination with paclitaxel. For phase II: - To evaluate Progression Free Survival (PFS). Phase II was not initiated and is not described here.
    Protection of trial subjects
    This study was conducted in accordance with Good Practice standards, ethical principles stated in the Declaration of Helsinki and applicable regulatory requirements. After the subject has ended his/her participation in the trial, the investigator provided appropriate medication and/or arranged access to appropriate care for the patient.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    04 Jan 2018
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Efficacy
    Long term follow-up duration
    6 Months
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Netherlands: 3
    Country: Number of subjects enrolled
    Belgium: 7
    Country: Number of subjects enrolled
    France: 8
    Country: Number of subjects enrolled
    Japan: 4
    Worldwide total number of subjects
    22
    EEA total number of subjects
    18
    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)
    20
    From 65 to 84 years
    2
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    The investigators were specialists in Medical Oncology

    Pre-assignment
    Screening details
    Male or female patient aged ≥ 18 years old, with metastatic Breast Cancer, refractory to any standard therapy. Patient had at least one evaluable or measurable metastatic lesion, ECOG ≤1, estimated life expectancy of at least 3 months, adequate haematological, renal, hepatic functions.

    Period 1
    Period 1 title
    Phase I period (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    S81694 + Paclitaxel
    Arm description
    The dose escalation phase I part was a single arm, non-randomised and non-comparative study in patient with mBC , guided by a Bayesian dose-finding design for drug combination trials.
    Arm type
    Experimental

    Investigational medicinal product name
    S81694 + Paclitaxel
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    A range of six provisional dose for S81694 was defined (13.5, 20, 30, 60, 80 and 150 mg/m²). The investigational medicinal product S81694 was given in combination with paclitaxel 80mg/m2/W. S81694 administration was first scheduled on D1, D8 and D15 of a 28-day cycle until the approval of Amendment No. 4; then only two administrations on D1 and D15 of a 28-day cycle were done. Paclitaxel was administered IV as a one-hour infusion on D1, D8 and D15 of a 28-day cycle.

    Number of subjects in period 1
    S81694 + Paclitaxel
    Started
    22
    Completed
    0
    Not completed
    22
         Adverse event, serious fatal
    1
         Physician decision
    4
         Adverse event, non-fatal
    3
         Progressive disease
    14

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Phase I period (overall period)
    Reporting group description
    -

    Reporting group values
    Phase I period (overall period) Total
    Number of subjects
    22 22
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    20 20
        From 65-84 years
    2 2
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    52.4 ± 8.2 -
    Gender categorical
    Units: Subjects
        Female
    22 22
        Male
    0 0
    Subject analysis sets

    Subject analysis set title
    Safety set
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    The safety set consisted of all included patients who took at least one dose of IMP (either S81694 or paclitaxel).

    Subject analysis set title
    DLT evaluable set
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    The DLT evaluable set consisted of all patients of the Safety Set who were evaluable for DLT according to the DLT assessment at end of cycle 1. A patient was not considered evaluable if : ­he/she discontinued treatment during DLTs assessment period for reasons other than DLT, or ­he/she did not undergo a DLT assessment at C1D28 or on C2D1, or ­he/she did not receive at least 90% (90% of paclitaxel and 90% of S81694) of associated agent prescribed doses from study entry to DLTs assessment visit (on C1D28 or on C2D1), unless treatment was stopped for a DLT, or ­he/she did receive more than 110% of associated agent prescribed doses from study entry to DLT occurrence during the DLT assessment period.

    Subject analysis sets values
    Safety set DLT evaluable set
    Number of subjects
    22
    16
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    20
        From 65-84 years
    2
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    52.4 ± 8.2
    ±
    Gender categorical
    Units: Subjects
        Female
    22
    16
        Male
    0
    0

    End points

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    End points reporting groups
    Reporting group title
    S81694 + Paclitaxel
    Reporting group description
    The dose escalation phase I part was a single arm, non-randomised and non-comparative study in patient with mBC , guided by a Bayesian dose-finding design for drug combination trials.

    Subject analysis set title
    Safety set
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    The safety set consisted of all included patients who took at least one dose of IMP (either S81694 or paclitaxel).

    Subject analysis set title
    DLT evaluable set
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    The DLT evaluable set consisted of all patients of the Safety Set who were evaluable for DLT according to the DLT assessment at end of cycle 1. A patient was not considered evaluable if : ­he/she discontinued treatment during DLTs assessment period for reasons other than DLT, or ­he/she did not undergo a DLT assessment at C1D28 or on C2D1, or ­he/she did not receive at least 90% (90% of paclitaxel and 90% of S81694) of associated agent prescribed doses from study entry to DLTs assessment visit (on C1D28 or on C2D1), unless treatment was stopped for a DLT, or ­he/she did receive more than 110% of associated agent prescribed doses from study entry to DLT occurrence during the DLT assessment period.

    Primary: Recommended Phase II Dose

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    End point title
    Recommended Phase II Dose [1]
    End point description
    During the dose-escalation, four S81694 dose levels were tested (13.5 mg/m²/W; 20 mg/m²/W; 30 mg/m²/EOW; 45 mg/m²/EOW) in combination with fixed dose paclitaxel (80 mg/m²/W). Dose limiting Toxicity (DLT) was assessed during cycle 1 according to a Bayesian Logistic Regression Model for drug combination trials. One DLT at 20 mg/m2/W (grade 3 acute kidney injury, grade 3 anaemia, grade 3 hyperkaliaemia and grade 4 hyperuricaemia) was observed in one patient of the third cohort (20 mg/m2/W of S81694 on D1, D8 and D15 in combination with paclitaxel 80 mg/m2/W). Five successive cohorts were observed during C1. With the fifth cohort, following the sponsor’s decision to discontinue the study, no Maximum Tolerated Dose (MTD) was reached. The highest combination tested, i.e. 45mg/m2/EOW of S81694 (D1, D15) in combination with paclitaxel 80 mg/m2/W (D1, D8, D15) had a median toxicity rate of 12% and a probability of being in the toxicity interval of 27%.
    End point type
    Primary
    End point timeframe
    See description above.
    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: No statistical analysis for this endpoint.
    End point values
    DLT evaluable set
    Number of subjects analysed
    16 [2]
    Units: number of patients at risk
    1
    Notes
    [2] - 16 patients were evaluable for DLT according to the DLT assessment at end of C1, 1 DLT identified.
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse events were reported as follows: Serious adverse events (SAE) during the study Emergent adverse event (EAE) under treatment Non-Emergent adverse events after treatment period Death during the treatment and/or follow-up period
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    22
    Reporting groups
    Reporting group title
    S81694 13.5 mg/m2/W + Paclitaxel 80 mg/m2/W
    Reporting group description
    The investigational medicinal product S81694 was given in combination with paclitaxel 80mg/m2/W.

    Reporting group title
    S81694 30 mg/m2/EOW + Paclitaxel 80 mg/m2/W
    Reporting group description
    The investigational medicinal product S81694 was given in combination with paclitaxel 80mg/m2/W.

    Reporting group title
    S81694 45 mg/m2/EOW + Paclitaxel 80 mg/m2/W
    Reporting group description
    The investigational medicinal product S81694 was given in combination with paclitaxel 80mg/m2/W.

    Reporting group title
    S81694 20 mg/m2/W + Paclitaxel 80 mg/m2/W
    Reporting group description
    The investigational medicinal product S81694 was given in combination with paclitaxel 80mg/m2/W.

    Serious adverse events
    S81694 13.5 mg/m2/W + Paclitaxel 80 mg/m2/W S81694 30 mg/m2/EOW + Paclitaxel 80 mg/m2/W S81694 45 mg/m2/EOW + Paclitaxel 80 mg/m2/W S81694 20 mg/m2/W + Paclitaxel 80 mg/m2/W
    Total subjects affected by serious adverse events
         subjects affected / exposed
    1 / 4 (25.00%)
    1 / 4 (25.00%)
    1 / 5 (20.00%)
    2 / 9 (22.22%)
         number of deaths (all causes)
    0
    0
    0
    1
         number of deaths resulting from adverse events
    0
    0
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Malignant neoplasm progression
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    Metastases to central nervous system
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Malignant pleural effusion
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    Pelvic venous thrombosis
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Neutropenia
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Pulmonary embolism
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Psychiatric disorders
    Delirium
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Osteonecrosis of jaw
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Pneumonia
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Hyperkalaemia
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hyperuricaemia
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    S81694 13.5 mg/m2/W + Paclitaxel 80 mg/m2/W S81694 30 mg/m2/EOW + Paclitaxel 80 mg/m2/W S81694 45 mg/m2/EOW + Paclitaxel 80 mg/m2/W S81694 20 mg/m2/W + Paclitaxel 80 mg/m2/W
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    4 / 4 (100.00%)
    4 / 4 (100.00%)
    5 / 5 (100.00%)
    8 / 9 (88.89%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Cancer pain
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    1
    1
    Malignant neoplasm progression
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Tumour associated fever
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Vascular disorders
    Hot flush
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    1
    1
    Hypertension
         subjects affected / exposed
    1 / 4 (25.00%)
    1 / 4 (25.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    1
    0
    0
    Lymphoedema
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Peripheral coldness
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    0
    0
    0
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    3 / 4 (75.00%)
    1 / 4 (25.00%)
    3 / 5 (60.00%)
    6 / 9 (66.67%)
         occurrences all number
    3
    1
    3
    8
    Influenza like illness
         subjects affected / exposed
    2 / 4 (50.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    2
    0
    0
    1
    Malaise
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    1
    0
    1
    Mucosal dryness
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Oedema peripheral
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    2 / 5 (40.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    4
    1
    Pain
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    1
    0
    0
    1
    Pyrexia
         subjects affected / exposed
    1 / 4 (25.00%)
    1 / 4 (25.00%)
    2 / 5 (40.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    1
    2
    0
    Immune system disorders
    Contrast media reaction
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Reproductive system and breast disorders
    Vulvovaginal dryness
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    2
    0
    Dysphonia
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    0
    1
    Dyspnoea
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
    1 / 5 (20.00%)
    2 / 9 (22.22%)
         occurrences all number
    0
    1
    3
    2
    Epistaxis
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    1
    0
    0
    1
    Haemoptysis
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Nasal crusting
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Oropharyngeal pain
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Pleural effusion
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Rhinitis allergic
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Vocal cord disorder
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Insomnia
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    1 / 9 (11.11%)
         occurrences all number
    1
    0
    1
    1
    Sleep disorder due to general medical condition, insomnia type
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
    1 / 5 (20.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    1
    1
    1
    Aspartate aminotransferase increased
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    1
    1
    Blood alkaline phosphatase increased
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Blood phosphorus decreased
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    2
    0
    Electrocardiogram QT prolonged
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    2 / 9 (22.22%)
         occurrences all number
    0
    0
    1
    2
    Lymphocyte count decreased
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    2
    0
    0
    0
    Neutrophil count decreased
         subjects affected / exposed
    1 / 4 (25.00%)
    1 / 4 (25.00%)
    4 / 5 (80.00%)
    4 / 9 (44.44%)
         occurrences all number
    2
    2
    4
    12
    Weight decreased
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Weight increased
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    White blood cell count decreased
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Injury, poisoning and procedural complications
    Fall
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    2 / 9 (22.22%)
         occurrences all number
    0
    0
    1
    2
    Infusion related reaction
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Joint injury
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Postmastectomy lymphoedema syndrome
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    0
    1
    Skin injury
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Upper limb fracture
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Nervous system disorders
    Ageusia
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Brachial plexopathy
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Dysgeusia
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    2 / 5 (40.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    2
    1
    Headache
         subjects affected / exposed
    0 / 4 (0.00%)
    2 / 4 (50.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    2
    0
    0
    Memory impairment
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Neuralgia
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Neuropathy peripheral
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    2
    1
    Paraesthesia
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
    2 / 5 (40.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    2
    0
    Peripheral sensory neuropathy
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    3 / 9 (33.33%)
         occurrences all number
    1
    0
    1
    3
    Sciatica
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Somnolence
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    0
    1
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    2 / 4 (50.00%)
    3 / 4 (75.00%)
    2 / 5 (40.00%)
    4 / 9 (44.44%)
         occurrences all number
    3
    4
    3
    6
    Iron deficiency anaemia
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Lymphopenia
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Neutropenia
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Ear and labyrinth disorders
    Tinnitus
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    0
    1
    Eye disorders
    Dry eye
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    0
    1
    Keratitis
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    0
    1
    Lacrimation increased
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Vision blurred
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    0
    1
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    2 / 5 (40.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    2
    0
    Abdominal pain upper
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    1
    0
    0
    1
    Anal incontinence
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Cheilitis
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Constipation
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    1
    0
    0
    2
    Diarrhoea
         subjects affected / exposed
    2 / 4 (50.00%)
    2 / 4 (50.00%)
    3 / 5 (60.00%)
    1 / 9 (11.11%)
         occurrences all number
    2
    2
    7
    1
    Dry mouth
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    1
    0
    0
    1
    Dyspepsia
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    1
    1
    Epigastric discomfort
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Gastrooesophageal reflux disease
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    1
    1
    Haemorrhoids
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    0
    1
    Nausea
         subjects affected / exposed
    2 / 4 (50.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    1 / 9 (11.11%)
         occurrences all number
    2
    0
    2
    2
    Odynophagia
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Stomatitis
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    1 / 9 (11.11%)
         occurrences all number
    2
    0
    1
    1
    Tooth discolouration
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Vomiting
         subjects affected / exposed
    0 / 4 (0.00%)
    2 / 4 (50.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    2
    0
    2
    Hepatobiliary disorders
    Hepatocellular injury
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    2
    0
    Skin and subcutaneous tissue disorders
    Alopecia
         subjects affected / exposed
    1 / 4 (25.00%)
    2 / 4 (50.00%)
    3 / 5 (60.00%)
    3 / 9 (33.33%)
         occurrences all number
    1
    2
    3
    3
    Dry skin
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    1
    1
    Erythema
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Hand dermatitis
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    0
    1
    Nail discolouration
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Onychoclasis
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Onycholysis
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    2 / 5 (40.00%)
    3 / 9 (33.33%)
         occurrences all number
    0
    0
    2
    3
    Palmar-plantar erythrodysaesthesia syndrome
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    0
    1
    Pruritus generalised
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    1
    1
    Rash
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    7
    0
    Rash erythematous
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Rash maculo-papular
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    2
    0
    Skin reaction
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Renal and urinary disorders
    Dysuria
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Urinary incontinence
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    1 / 4 (25.00%)
    1 / 4 (25.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    2
    1
    0
    0
    Arthritis
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Back pain
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    0
    1
    Bone pain
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Joint stiffness
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Muscle spasms
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    2
    1
    Musculoskeletal discomfort
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Myalgia
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    3
    0
    Neck pain
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Pain in extremity
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Periarthritis
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Infections and infestations
    Conjunctivitis
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Gastroenteritis
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Lung infection
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Nasopharyngitis
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Paronychia
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    0
    1
    Rhinitis
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    1
    1
    Sinusitis
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Tooth infection
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    1
    0
    0
    1
    Upper respiratory tract infection
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    0
    1
    Urinary tract infection
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    4
    0
    Viral upper respiratory tract infection
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    0 / 4 (0.00%)
    2 / 4 (50.00%)
    3 / 5 (60.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    2
    4
    0
    Fluid retention
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Hyperglycaemia
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Hypocalcaemia
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    0 / 5 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    0
    1
    Hypokalaemia
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
    1 / 5 (20.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    2
    0
    Hypophosphataemia
         subjects affected / exposed
    1 / 4 (25.00%)
    2 / 4 (50.00%)
    0 / 5 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    2
    0
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    24 Jul 2017
    Following the requests from the Competent Authority in Japan, it mainly concerned the definition of the initial dose of S81694 and added a check for HIV and HCV antibodies and HBs antigen.
    15 Jan 2018
    It mainly concerned the possibility of dose modification for paclitaxel in case of occurrence of toxicity, the patient authorisation when benefiting from treatment to continue on study despite a criterion for discontinuation, recommendations in case of extravasation of S81694 during infusion or contact of the study drug with the eye, and the requirement for a pregnancy test.
    08 Jun 2018
    It mainly concerned the extent of the range of doses of S81694 and the associated dose escalation design, the number of patients needed for the phase I-part, contraindicated drugs and concomitant treatments to be used with caution and the inclusion/exclusion criteria accordingly, the urinary pregnancy test, the table related to S81694 “dose reduction applied in case of toxicity”.
    14 Dec 2018
    It mainly concerned the change of S81694 administration schedule: two administrations on D1 and D15 of a 28-day cycle instead of three administrations on days 1, 8 and 15 of a 28-day cycle. This new administration schedule of S81694 at D1/D15 was applied from cohort 4.

    Interruptions (globally)

    Were there any global interruptions to the trial? Yes
    Date
    Interruption
    Restart date
    02 Dec 2019
    The sponsor decided to discontinue the study CL1-81694-003, with S81694 in combination with paclitaxel in mBC. This decision was related to the likely narrow therapeutic margin of S81694 in combination with paclitaxel and the emergence of effective immune therapies in mTNBC (very recent changes in competitive environment).
    -

    Limitations and caveats

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