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    Clinical Trial Results:
    A Phase I/IIa, multicentre, open label study designed to evaluate the safety and tolerability of escalating doses of AGI-134 in unresectable/metastatic solid tumours.

    Summary
    EudraCT number
    2018-001032-22
    Trial protocol
    GB  
    Global end of trial date
    31 Dec 2023

    Results information
    Results version number
    v1(current)
    This version publication date
    30 Jan 2025
    First version publication date
    30 Jan 2025
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    AGI-134.FIM.101
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03593226
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Agalimmune Ltd
    Sponsor organisation address
    1st Floor Thavies Inn House, 3-4 Holborn Circus, London, United Kingdom, EC1N 2HA
    Public contact
    VP Clinical & Medical, BioLineRx Ltd, 972 8642910, clinicaltrials@biolinerx.com
    Scientific contact
    VP Clinical & Medical, BioLineRx Ltd, 972 8642910, clinicaltrials@biolinerx.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
    08 Mar 2023
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    06 Apr 2022
    Global end of trial reached?
    Yes
    Global end of trial date
    31 Dec 2023
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To assess the safety and tolerability of AGI-134 administered by intratumoural injection and to determine the maximum tolerated dose (MTD) and recommended Part 2 dose (RP2D).
    Protection of trial subjects
    This study was conducted in conformance with Good Clinical Practice standards and applicable country and/or local statutes and regulations regarding Ethical Committee review, Informed Consent and the protection of human subjects participating in research. Only subjects that met all the study inclusion criteria and none of the exclusion criteria were enrolled.
    Background therapy
    AGI-134 is a synthetic glycophospholipid comprised of an alpha-gal epitope (Galα-1,3-Galβ-1,4-GlcNAc) linked to a lipid tail via adipate, designed to be administrated IT to solid tumors and label cells with alpha-gal, with the aim of triggering innate immune responses.
    Evidence for comparator
    -
    Actual start date of recruitment
    01 Oct 2018
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Spain: 9
    Country: Number of subjects enrolled
    Israel: 5
    Country: Number of subjects enrolled
    United Kingdom: 24
    Worldwide total number of subjects
    38
    EEA total number of subjects
    9
    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
    17
    85 years and over
    1

    Subject disposition

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    Recruitment
    Recruitment details
    The study was conducted in two parts: Part 1 and Part 2 Part 1 included 5 Patients in Israel and UK; First ICF Consent Date (in Israel): 15-Nov-2018; Last Discontinuation Date (in UK): 30-Sep-2019 Part 2 included 33 Patients in Israel, UK and Spain; First ICF Consent Date (in UK): 12-Sep-2019; Last Discontinuation Date: 06-Apr-2022

    Pre-assignment
    Screening details
    ICF, Inclusion/Exclusion Criteria, Demographics, Medical/Disease/Treatment History, Prior & Concomitant Medications, AEs, ECG, Full Physical Examination, Vital Signs, Weight, Height, Urine, ECOG, Blood (Pregnancy, FSH, Disease Markers, HPV, PT/INR, aPTT, CBC, Biochemistry, T3, Free T4 & TSH, HIV, HBV & HCV, Anti-Gal IgE), Tumor Imaging, RECIST

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

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    25 mg
    Arm description
    25 mg AGI-134 (1 mL)
    Arm type
    Experimental

    Investigational medicinal product name
    AGI-134
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Intratumoral use
    Dosage and administration details
    One dose of 25 mg AGI-134 (1 mL) per cycle; three weeks per cycle; dosing will be given for 4 cycles.

    Arm title
    50 mg
    Arm description
    50 mg AGI-134 (2 mL)
    Arm type
    Experimental

    Investigational medicinal product name
    AGI-134
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Intratumoral use
    Dosage and administration details
    One dose of 50 mg AGI-134 (2 mL) per cycle; three weeks per cycle; dosing will be given for 4 cycles.

    Arm title
    100 mg
    Arm description
    100 mg AGI-134 (4 mL)
    Arm type
    Experimental

    Investigational medicinal product name
    AGI-134
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Intratumoral use
    Dosage and administration details
    One dose of 100 mg AGI-134 (4 mL) per cycle; three weeks per cycle; dosing will be given for 4 cycles.

    Arm title
    200 mg
    Arm description
    200 mg AGI-134 (8 mL)
    Arm type
    Experimental

    Investigational medicinal product name
    AGI-134
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Intratumoral use
    Dosage and administration details
    One dose of 200 mg AGI-134 (8 mL) per cycle; three weeks per cycle; dosing will be given for 4 cycles.

    Number of subjects in period 1
    25 mg 50 mg 100 mg 200 mg
    Started
    6
    19
    7
    6
    Completed
    0
    0
    0
    0
    Not completed
    6
    19
    7
    6
         Physician decision
    -
    1
    -
    -
         Consent withdrawn by subject
    -
    4
    1
    -
         Disease progression
    6
    13
    5
    6
         Adverse event, non-fatal
    -
    1
    -
    -
         Clinical disease progression
    -
    -
    1
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    25 mg
    Reporting group description
    25 mg AGI-134 (1 mL)

    Reporting group title
    50 mg
    Reporting group description
    50 mg AGI-134 (2 mL)

    Reporting group title
    100 mg
    Reporting group description
    100 mg AGI-134 (4 mL)

    Reporting group title
    200 mg
    Reporting group description
    200 mg AGI-134 (8 mL)

    Reporting group values
    25 mg 50 mg 100 mg 200 mg Total
    Number of subjects
    6 19 7 6 38
    Age categorical
    Units: Subjects
        In utero
    0 0 0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0 0 0
        Newborns (0-27 days)
    0 0 0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0 0 0
        Children (2-11 years)
    0 0 0 0 0
        Adolescents (12-17 years)
    0 0 0 0 0
        Adults (18-64 years)
    1 11 5 3 20
        From 65-84 years
    5 7 2 3 17
        85 years and over
    0 1 0 0 1
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    67.8 ( 8.2 ) 59.95 ( 13.4 ) 54 ( 11 ) 59.2 ( 18.5 ) -
    Gender categorical
    Units: Subjects
        Female
    1 11 2 3 17
        Male
    5 8 5 3 21

    End points

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    End points reporting groups
    Reporting group title
    25 mg
    Reporting group description
    25 mg AGI-134 (1 mL)

    Reporting group title
    50 mg
    Reporting group description
    50 mg AGI-134 (2 mL)

    Reporting group title
    100 mg
    Reporting group description
    100 mg AGI-134 (4 mL)

    Reporting group title
    200 mg
    Reporting group description
    200 mg AGI-134 (8 mL)

    Subject analysis set title
    ITT
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    All enrolled subjects who received at least one dose of study drug.

    Primary: Safety and Tolerability of AGI-134

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    End point title
    Safety and Tolerability of AGI-134 [1]
    End point description
    Participants who experiences a dose-limiting toxicity (DLT); DLTs assessed during the first cycle (21 days)
    End point type
    Primary
    End point timeframe
    Up to 3 weeks at each dose level
    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 analyses have been specified for this end point, only descriptive data were planned to be analyzed for this endpoint.
    End point values
    25 mg 50 mg 100 mg 200 mg
    Number of subjects analysed
    6
    19
    7
    6
    Units: Subjects
    0
    0
    0
    0
    No statistical analyses for this end point

    Primary: Discontinuation of Study Drug Due to an Adverse Events

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    End point title
    Discontinuation of Study Drug Due to an Adverse Events [2]
    End point description
    Participants Who Discontinued Study Drug Due to an Adverse Event (AE). AEs are defined as any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of study treatment or protocol-specified procedure, whether or not considered related to the study treatment or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition that is temporally associated with the use of the study treatment, is also an AE.
    End point type
    Primary
    End point timeframe
    54 weeks
    Notes
    [2] - 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 analyses have been specified for this end point, only descriptive data were planned to be analyzed for this endpoint.
    End point values
    25 mg 50 mg 100 mg 200 mg
    Number of subjects analysed
    6
    19
    7
    6
    Units: Subjects
    0
    1
    0
    0
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    AEs collected during the course of the study from ICF signature time until study completed or ceased, approximately 12 months.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    23
    Reporting groups
    Reporting group title
    25 mg
    Reporting group description
    25 mg AGI-134 (1 mL)

    Reporting group title
    50 mg
    Reporting group description
    50 mg AGI-134 (2 mL)

    Reporting group title
    100 mg
    Reporting group description
    100 mg AGI-134 (4 mL)

    Reporting group title
    200 mg
    Reporting group description
    200 mg AGI-134 (8 mL)

    Serious adverse events
    25 mg 50 mg 100 mg 200 mg
    Total subjects affected by serious adverse events
         subjects affected / exposed
    3 / 6 (50.00%)
    8 / 19 (42.11%)
    2 / 7 (28.57%)
    5 / 6 (83.33%)
         number of deaths (all causes)
    3
    16
    6
    5
         number of deaths resulting from adverse events
    0
    0
    0
    1
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Infected neoplasm
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         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
    Tumour haemorrhage
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         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
    Vascular disorders
    Hypotension
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Chills
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    0 / 6 (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
    Pyrexia
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    1 / 6 (16.67%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Immune system disorders
    Hypersensitivity
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         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
    Reproductive system and breast disorders
    Pelvic pain
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (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
    Respiratory, thoracic and mediastinal disorders
    Hypoxia
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    0 / 6 (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
    Pleural effusion
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         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
    Psychiatric disorders
    Confusional state
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         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
    Injury, poisoning and procedural complications
    Injection related reaction
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Bradycardia
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pericardial effusion
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (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
    Nervous system disorders
    Syncope
         subjects affected / exposed
    0 / 6 (0.00%)
    2 / 19 (10.53%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    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 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Nausea
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Abdominal pain
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    2 / 6 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vomiting
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         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 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (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
    Oliguria
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (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
    Catheter site infection
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Groin infection
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (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
    Skin infection
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (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
    Lower respiratory tract infection
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (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
    Localised infection
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (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
    Injection site infection
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (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
    Cellulitis
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         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
    Wound infection
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         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
    Metabolism and nutrition disorders
    Hyponatraemia
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (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
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    25 mg 50 mg 100 mg 200 mg
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    6 / 6 (100.00%)
    19 / 19 (100.00%)
    7 / 7 (100.00%)
    6 / 6 (100.00%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Metastases to central nervous system
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Infected neoplasm
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    1
    0
    0
    Tumour haemorrhage
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    3
    0
    0
    Tumour ulceration
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Skin neoplasm bleeding
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    2
    0
    0
    0
    Vascular disorders
    Peripheral venous disease
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Hyperaemia
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Deep vein thrombosis
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Flushing
         subjects affected / exposed
    0 / 6 (0.00%)
    3 / 19 (15.79%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    4
    0
    0
    Hot flush
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Peripheral coldness
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Hypertension
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    2 / 7 (28.57%)
    0 / 6 (0.00%)
         occurrences all number
    0
    0
    2
    0
    Systolic hypertension
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Hypotension
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    1 / 6 (16.67%)
         occurrences all number
    1
    0
    1
    1
    Surgical and medical procedures
    Tooth extraction
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    0
    0
    1
    0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Fatigue
         subjects affected / exposed
    3 / 6 (50.00%)
    6 / 19 (31.58%)
    4 / 7 (57.14%)
    1 / 6 (16.67%)
         occurrences all number
    3
    13
    5
    1
    Malaise
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    1
    Pyrexia
         subjects affected / exposed
    0 / 6 (0.00%)
    3 / 19 (15.79%)
    0 / 7 (0.00%)
    2 / 6 (33.33%)
         occurrences all number
    0
    4
    0
    6
    Chills
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    1 / 6 (16.67%)
         occurrences all number
    1
    0
    1
    1
    Feeling hot
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Peripheral swelling
         subjects affected / exposed
    0 / 6 (0.00%)
    2 / 19 (10.53%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    2
    0
    0
    Injection site bruising
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Injection site discharge
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    1
    Injection site discomfort
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    3
    0
    0
    Injection site erythema
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Injection site oedema
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    1
    Injection site pain
         subjects affected / exposed
    2 / 6 (33.33%)
    2 / 19 (10.53%)
    3 / 7 (42.86%)
    3 / 6 (50.00%)
         occurrences all number
    3
    2
    4
    4
    Injection site swelling
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Nodule
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Oedema peripheral
         subjects affected / exposed
    0 / 6 (0.00%)
    2 / 19 (10.53%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    2
    0
    0
    Chest pain
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Chest discomfort
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 19 (5.26%)
    1 / 7 (14.29%)
    1 / 6 (16.67%)
         occurrences all number
    1
    1
    1
    1
    Non-cardiac chest pain
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Pain
         subjects affected / exposed
    0 / 6 (0.00%)
    2 / 19 (10.53%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    3
    0
    0
    Reproductive system and breast disorders
    Pelvic pain
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Vulvovaginal inflammation
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 19 (5.26%)
    1 / 7 (14.29%)
    2 / 6 (33.33%)
         occurrences all number
    1
    1
    1
    2
    Hypoxia
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Cough
         subjects affected / exposed
    1 / 6 (16.67%)
    2 / 19 (10.53%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    1
    2
    0
    1
    Productive cough
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Pleural effusion
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Aspiration
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Increased upper airway secretion
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Oropharyngeal pain
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Rhinorrhoea
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    1
    0
    0
    Dysphonia
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Nasal congestion
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    1
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Insomnia
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Depressed mood
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Panic attack
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Libido increased
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Investigations
    Activated partial thromboplastin time shortened
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Fibrin D dimer increased
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Electrocardiogram QT prolonged
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Blood bilirubin increased
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    3
    0
    0
    Past-pointing
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Weight decreased
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Weight increased
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Platelet count increased
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    1
    Blood albumin increased
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    C-reactive protein increased
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Protein total decreased
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Blood urea increased
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    1
    Blood alkaline phosphatase decreased
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Blood alkaline phosphatase increased
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    2
    Blood lactate dehydrogenase increased
         subjects affected / exposed
    0 / 6 (0.00%)
    2 / 19 (10.53%)
    0 / 7 (0.00%)
    2 / 6 (33.33%)
         occurrences all number
    0
    3
    0
    3
    Protein urine present
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    2
    1
    0
    0
    Neutrophil count decreased
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    2
    0
    0
    Neutrophil count increased
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    1
    Aspartate aminotransferase increased
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Blood uric acid increased
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Injury, poisoning and procedural complications
    Ligament sprain
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Muscle strain
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Fall
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Incision site pain
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    2
    0
    0
    Post procedural contusion
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Skin laceration
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    0
    0
    2
    0
    Cardiac disorders
    Bradycardia
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    1
    Tachycardia
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    2 / 6 (33.33%)
         occurrences all number
    0
    0
    1
    2
    Supraventricular extrasystoles
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Nervous system disorders
    Balance disorder
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Somnolence
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    1
    Syncope
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Dyskinesia
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    1
    Headache
         subjects affected / exposed
    0 / 6 (0.00%)
    2 / 19 (10.53%)
    4 / 7 (57.14%)
    0 / 6 (0.00%)
         occurrences all number
    0
    2
    4
    0
    Memory impairment
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    1
    0
    1
    Dizziness
         subjects affected / exposed
    1 / 6 (16.67%)
    5 / 19 (26.32%)
    1 / 7 (14.29%)
    1 / 6 (16.67%)
         occurrences all number
    1
    6
    1
    1
    Presyncope
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    1 / 7 (14.29%)
    1 / 6 (16.67%)
         occurrences all number
    0
    1
    1
    1
    Paraesthesia
         subjects affected / exposed
    0 / 6 (0.00%)
    2 / 19 (10.53%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    0
    2
    1
    0
    Neuropathy peripheral
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    1
    Neuralgia
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    1 / 6 (16.67%)
    4 / 19 (21.05%)
    1 / 7 (14.29%)
    1 / 6 (16.67%)
         occurrences all number
    1
    12
    1
    1
    Leukocytosis
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    1
    Lymphopenia
         subjects affected / exposed
    2 / 6 (33.33%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    2
    1
    0
    1
    Lymph node pain
         subjects affected / exposed
    0 / 6 (0.00%)
    2 / 19 (10.53%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    2
    0
    0
    Lymphadenopathy
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Eye disorders
    Periorbital oedema
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Asthenopia
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    1
    Gastrointestinal disorders
    Toothache
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Diarrhoea
         subjects affected / exposed
    0 / 6 (0.00%)
    3 / 19 (15.79%)
    0 / 7 (0.00%)
    2 / 6 (33.33%)
         occurrences all number
    0
    3
    0
    5
    Dyspepsia
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 19 (5.26%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    1
    3
    1
    0
    Abdominal pain
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    0
    4
    1
    0
    Abdominal pain upper
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    1
    1
    0
    1
    Constipation
         subjects affected / exposed
    0 / 6 (0.00%)
    2 / 19 (10.53%)
    1 / 7 (14.29%)
    1 / 6 (16.67%)
         occurrences all number
    0
    3
    1
    2
    Nausea
         subjects affected / exposed
    1 / 6 (16.67%)
    4 / 19 (21.05%)
    2 / 7 (28.57%)
    2 / 6 (33.33%)
         occurrences all number
    3
    5
    2
    4
    Vomiting
         subjects affected / exposed
    0 / 6 (0.00%)
    6 / 19 (31.58%)
    2 / 7 (28.57%)
    3 / 6 (50.00%)
         occurrences all number
    0
    8
    3
    5
    Mouth haemorrhage
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Lip pain
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    1
    Oral pain
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Parotid gland haemorrhage
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Stomatitis
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    0
    0
    2
    0
    Tongue movement disturbance
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Dysphagia
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Hepatobiliary disorders
    Hepatic pain
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    1
    Hepatomegaly
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Skin and subcutaneous tissue disorders
    Alopecia
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    1
    Hyperhidrosis
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Night sweats
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Erythema
         subjects affected / exposed
    1 / 6 (16.67%)
    3 / 19 (15.79%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    1
    3
    0
    1
    Skin exfoliation
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Pruritus
         subjects affected / exposed
    1 / 6 (16.67%)
    4 / 19 (21.05%)
    3 / 7 (42.86%)
    0 / 6 (0.00%)
         occurrences all number
    1
    6
    4
    0
    Purpura
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    1
    Rash
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Skin mass
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Skin burning sensation
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Renal and urinary disorders
    Bladder dilatation
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Acute kidney injury
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Urinary tract discomfort
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Chronic kidney disease
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Musculoskeletal and connective tissue disorders
    Pain in jaw
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Arthralgia
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    2 / 7 (28.57%)
    2 / 6 (33.33%)
         occurrences all number
    1
    0
    3
    2
    Joint range of motion decreased
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Myalgia
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    1
    Muscle spasms
         subjects affected / exposed
    1 / 6 (16.67%)
    2 / 19 (10.53%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    1
    3
    1
    0
    Muscular weakness
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    2
    0
    Back pain
         subjects affected / exposed
    1 / 6 (16.67%)
    3 / 19 (15.79%)
    1 / 7 (14.29%)
    1 / 6 (16.67%)
         occurrences all number
    1
    5
    2
    2
    Flank pain
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    5
    0
    0
    Musculoskeletal discomfort
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Musculoskeletal pain
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    5
    0
    1
    Pain in extremity
         subjects affected / exposed
    0 / 6 (0.00%)
    2 / 19 (10.53%)
    1 / 7 (14.29%)
    1 / 6 (16.67%)
         occurrences all number
    0
    4
    3
    1
    Infections and infestations
    Cellulitis
         subjects affected / exposed
    0 / 6 (0.00%)
    3 / 19 (15.79%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    3
    0
    0
    Oral candidiasis
         subjects affected / exposed
    0 / 6 (0.00%)
    2 / 19 (10.53%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    2
    0
    0
    COVID-19
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    1
    0
    0
    Conjunctivitis
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Hepatic infection
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Groin infection
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Infection
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Injection site infection
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Wound infection
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    2
    Lower respiratory tract infection
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    2
    0
    0
    Pseudomonas infection
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Urinary tract infection
         subjects affected / exposed
    0 / 6 (0.00%)
    3 / 19 (15.79%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    0
    4
    1
    0
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    0 / 6 (0.00%)
    6 / 19 (31.58%)
    1 / 7 (14.29%)
    1 / 6 (16.67%)
         occurrences all number
    0
    6
    2
    1
    Increased appetite
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Hypercalcaemia
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    1
    Hyperchloraemia
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    0
    0
    2
    0
    Hyperglycaemia
         subjects affected / exposed
    1 / 6 (16.67%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    2
    0
    0
    Hypoglycaemia
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    1
    Hyperphosphataemia
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    1 / 7 (14.29%)
    0 / 6 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Hyperkalaemia
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    0
    1
    Hypoalbuminaemia
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 19 (0.00%)
    0 / 7 (0.00%)
    4 / 6 (66.67%)
         occurrences all number
    0
    0
    0
    4
    Hyponatraemia
         subjects affected / exposed
    0 / 6 (0.00%)
    1 / 19 (5.26%)
    0 / 7 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    0
    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
    21 Jun 2018
    AMENDMENT 1 (Protocol version 1.1) - dated 21-Jun-2018 (not submitted): - Update of Sponsor staff - Clarifications regarding study procedure assessment visits - Additional optional biopsy was added on Week 27 - Additional blood collection for PBMC isolation was added on Baseline Visit, Cycle 3, and Termination - PK timepoint was added on Cycles 2 and 3 (2 hours post-dose) - Clarifications and detail regarding exploratory endpoints
    05 Nov 2018
    AMENDMENT 2 (Protocol version 1.2) - submitted in UK only (on 05-Nov-2018): - Clarification of dose-limiting toxicity and AGI-134-related adverse event - Clarification on the Recommended Part 2 Dose and safety committee meeting schedule - Clarification of procedure to contact sponsor in case of moderate, clinically significant and AGI-134 related AEs - Update of medical monitor and PhV contact information - Update of vital signs timepoint prior to AGI-134 administration - Update of NCI-CTCAE version used to 5.0 and MedDRA version used to 21.1 - Add term LPLV in Glossary and text to replace “last patient out” - Clarification of inclusion criteria re. type and number of lesions - Clarification of Survival Status and Post-study Anti-cancer Therapy Status, to be completed in cases of early termination - Clarification of Collection of Mutational and dMMR/MSI status
    28 Jan 2019
    AMENDMENT 3 (Protocol version 1.3) - submitted in UK only (approved by UK REC on 28-Jan-2019): - Clarification of the escalation rules specifying expansion in case of a DLT event during the accelerated escalation - Clarification of contraception requirements and the definition of abstinence - General stopping rules of the study were updated to include a change in the risk/benefit ratio - Subjects are not allowed to receive live vaccines 90 days after last dose - Dose modification guidance for pembrolizumab was updated to indicate that pembrolizumab should be withheld in case of hypothyroidism Grade 4
    23 Apr 2019
    AMENDMENT 4 (Protocol version 2.0) - submitted in UK and US (approved by UK REC 23-Apr-2019): - Update countries and sites in the study. - Clarification of language describing type of injectable lesion in Part 2 of the study to deep or superficial in Inclusion Criterion No. 3. - Clarification of the language defining non-childbearing potential in Inclusion Criterion No. 11. - Clarification of prior therapies excluded in Exclusion Criteria Nos. 18 and 19. - Clarifications and additions to study procedures/assessments and visits: adding safety assessment follow up activities, including physical examinations and examination of injection site, photography of lesions and safety labs - Clarifications regarding examination and photography of superficial injected lesions, added time specifications; 1 hour (± 30 min) pre- and post-dose - Clarification of FSH lab required only for women who reported menopause less than two years - Blood for PBMC isolation, immunophenotyping by FACS and for DNA and RNA was added to Visit on week 27 - Clarification regarding Safety interim analyses timelines. - Clarification that immune checkpoint inhibitor refers to pembrolizumab throughout the protocol. - Clarification of language describing DLT assessment period. - Added measurement of LDH as part of biochemistry panel. - Clarification of the timing of biopsy collection and tumor imaging during Cycle 3. - Update to the definition of “Events of Clinical Interest” removing liver enzyme-related events.
    16 May 2019
    AMENDMENT 5 (Protocol version 2.1) - submitted in US only (on 16-May-2019): - Clarification of language describing previous treatment in Inclusion Criteria No. 2. - Addition of definition for deep lesions - Limitation of HNSCC patients to include only those with recurrent or metastatic HNSCC with disease progression on or after platinum-containing chemotherapy in Inclusion Criteria No. 3 - The reference to the manual for administration of AGI-134 has been updated for clarity in Section 3. - Clarification of DLT definition - Adding a statement of compliance with regulations per 21 CFR 312.32 regarding IND safety reporting for SUSAR to the FDA
    25 Oct 2019
    AMENDMENT 6 (Protocol version 3.0) - submitted in UK and US (approved by UK REC 25-Oct-2019): - Change in treatment arms, removal of combination therapy and increase of the number of subjects in the basket monotherapy. - Additional biopsy for superficial lesions only between 48-72 hours post-AGI-134 administration was added. - The window for Baseline biopsy was changed from 3 days to 7 days before the first dose of AGI-134. - Optional biopsy was moved from Week 27 to Week 18. - Blood sampling for biomarkers, concomitant with biopsies, was added for Cycle 1, Cycle 3 and Week 18. - PK for metabolites was added.
    17 Mar 2020
    AMENDMENT 7 (Protocol version 4.0) - submitted in UK, ES and US (approved by UK REC 17-Mar-2020): - Addition of definition of deep lesions - Addition of photography of superficial lesion if applicable in Cycle 1 Day 3 - Clarification of study procedures and assessments, definition of causality, the relationship of AEs to the study medication, study procedure - Clarification of definition of significant medical events as excess dosing of investigational product - Addition of a statistical analysis for predefined subpopulation of melanoma to support the new data from subpopulation - Appendix – SoA Part 2: Addition of review of AEs on the first survival follow-up visit (defining the reporting of AEs more appropriately). - Addition of optional radiologic imaging: In the event that a radiological imaging verifies initial PD, at PI's discretion, tumor assessment can be repeated ≥4 weeks later and no later than the next schedule CT scan in order to confirm PD with the option of continuing treatment.
    05 Feb 2021
    AMENDMENT 8 (Protocol version 5.0) - submitted in UK, US and ES (approved by UK REC 05-Feb-2021): - Change of Sponsor address - General instructions before study drug administration were added to the synopsis and to the body of protocol. - Omission of the exclusion criterion related to live vaccines
    19 May 2021
    AMENDMENT 9 (Protocol version 6.0) - submitted in UK only and withdrawn due to mistake in Inclusion Criteria: - Change of Sponsor address - Addition of Spain to study sites, removal of USA. - Small changes in wording of Study Design and MedDRA version updated to 24.0. - Redefinition of timepoint of safety assessment for SAEs and AEs. - Removal of predefined subpopulation of melanoma second line.
    24 Jun 2021
    AMENDMENT 10 (Protocol version 6.1) - submitted in UK and ES (approved by UK REC 11-Jun-2021): - Change in wording of Inclusion Criterion 7:“Tumor dimensions should allow injection of a minimum of 1 mL" - Clarification of instruction for the AGI-134 administration added: “AGI-134 administration, every effort should be made to inject the same lesion as in previous cycle.” - Reference to the Administration of AGI-134 and Tumor Biopsy Procedures in Study AGI-134.FIM.101 document was added - Section 5.12.2, the sentence: “Optional biopsies from the injected and un-injected lesion may be performed on Week 18.” was removed, as it was left in section 5.12.2 by error in protocol version 6.0.

    Interruptions (globally)

    Were there any global interruptions to the trial? Yes
    Date
    Interruption
    Restart date
    18 Mar 2020
    Temporary hold on the recruitment of new subjects to the ongoing study in light of the world-wide outbreak of COVID-19. This also included subjects who signed an ICF but did not start dosing with the investigational product.
    07 Jul 2020

    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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    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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