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The trial was stopped due to the toxicities observed with the combination of pimasertib and temsirolimus.
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The research trial is testing the experimental drug pimasertib and the drug Torisel, given together, in the treatment of advanced solid tumors. The primary purpose of the study is to determine the maximum tolerated dose (MTD) and the recommended Phase 2 dose (RP2D) of the drug combination.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pimasertib 45 mg+Temsirolimus 12.5 mg | Experimental |
| |
| Pimasertib 45 mg+Temsirolimus 25 mg | Experimental |
| |
| Pimasertib 75 mg+Temsirolimus 25 mg | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pimasertib | Drug | Pimasertib will be administered in fasted state at a dose of 45 mg once daily orally on Days 1 to 15. Treatment will be continued until disease progression, intolerable toxicity, investigator's decision to discontinue treatment, or withdrawal of consent. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Subjects With Dose Limiting Toxicities (DLTs) | DLT was defined as any of the following toxicities graded as per National Cancer Institute (NCI) common terminology criteria for adverse events (NCI CTCAE v4.0) encountered within cycle 1 of treatment at any dose level and judged not to be related to the underlying disease or concomitant medications. A treatment emergent adverse event (TEAE) of potential clinical significance such that further dose escalation would expose subjects to unacceptable risk; any Grade >=3 non-hematological toxicity except Grade 3 asymptomatic increases in liver function tests, diarrhea, nausea or vomiting with duration <= 48 hours and alopecia; Grade 4 neutropenia of >5 days duration or febrile neutropenia of >1 day duration; Grade 3 thrombocytopenia with bleeding or Grade 4 thrombocytopenia; any treatment interruption >2 weeks due to adverse events; any severe, impairing daily functions or life-threatening, complication or abnormality not defined in NCI-CTCAE that is attributable to the therapy. | Up to 21 Days (within Cycle 1) |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Subjects With Treatment-emergent Adverse Events (TEAEs) | An AE was defined as any new untoward medical occurrences/worsening of pre-existing medical condition, whether or not related to study drug. The TEAEs were those events that occur between first dose of trial treatment and up to 30 days after last dose of the trial treatment that were absent before treatment or that worsened relative to pretreatment state. |
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Inclusion Criteria:
Additional inclusion criteria also apply.
Exclusion Criteria:
Additional exclusion criteria also apply.
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| Name | Affiliation | Role |
|---|---|---|
| Medical Responsible | EMD Serono, an affiliate of MerckKGaA, Darmstadt, Germany | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cedars-Sinai Medical Center | Los Angeles | California | United States | |||
| For Recruiting Locations in the US contact US Medical Information in |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28194539 | Derived | Mita M, Fu S, Piha-Paul SA, Janku F, Mita A, Natale R, Guo W, Zhao C, Kurzrock R, Naing A. Phase I trial of MEK 1/2 inhibitor pimasertib combined with mTOR inhibitor temsirolimus in patients with advanced solid tumors. Invest New Drugs. 2017 Oct;35(5):616-626. doi: 10.1007/s10637-017-0442-3. Epub 2017 Feb 13. | |
| 24668327 | Derived |
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46 screened for eligibility; 13 were excluded (mainly non-fulfillment of inclusion or exclusion criteria). 33 subjects were enrolled and treated in the study.
First/last subject (informed consent): 27 May 2011/23 August 2012. Last subject completed: 23 February 2012; Subjects randomized at 2 centers in United States.
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| ID | Title | Description |
|---|---|---|
| FG000 | Pimasertib 45 mg+Temsirolimus 12.5 mg | Pimasertib was administered in fasted state at a dose of 45 mg once daily orally on Days 1 to 15. Temsirolimus was administered at a dose of 12.5 mg as intravenous infusion over a 30-60 minute period once a week within 10 minutes after administration of pimasertib on Days 1, 8 and 15 in successive 21-day cycles. Treatment was continued until disease progression, intolerable toxicity, investigator's decision to discontinue treatment, or withdrawal of consent. |
| FG001 | Pimasertib 45 mg+Temsirolimus 25 mg | Pimasertib was administered in fasted state at a dose of 45 mg once daily orally on Days 1 to 15. Temsirolimus was administered at a dose of 25 mg as intravenous infusion over a 30-60 minute period once a week within 10 minutes after administration of pimasertib on Days 1, 8 and 15 in successive 21-day cycles. Treatment was continued until disease progression, intolerable toxicity, investigator's decision to discontinue treatment, or withdrawal of consent. |
| FG002 | Pimasertib 75 mg+Temsirolimus 25 mg | Pimasertib was administered in fasted state at a dose of 75 mg once daily orally on Days 1 to 15. Temsirolimus was administered at a dose of 25 mg as intravenous infusion over a 30-60 minute period once a week within 10 minutes after administration of pimasertib on Days 1, 8 and 15 in successive 21-day cycles. Treatment was continued until disease progression, intolerable toxicity, investigator's decision to discontinue treatment, or withdrawal of consent. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
The safety analysis set included all the subjects who received at least one administration of trial medication.
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| ID | Title | Description |
|---|---|---|
| BG000 | Pimasertib 45 mg+Temsirolimus 12.5 mg | Pimasertib was administered in fasted state at a dose of 45 mg once daily orally on Days 1 to 15. Temsirolimus was administered at a dose of 12.5 mg as intravenous infusion over a 30-60 minute period once a week within 10 minutes after administration of pimasertib on Days 1, 8 and 15 in successive 21-day cycles. Treatment was continued until disease progression, intolerable toxicity, investigator's decision to discontinue treatment, or withdrawal of consent. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Subjects With Dose Limiting Toxicities (DLTs) | DLT was defined as any of the following toxicities graded as per National Cancer Institute (NCI) common terminology criteria for adverse events (NCI CTCAE v4.0) encountered within cycle 1 of treatment at any dose level and judged not to be related to the underlying disease or concomitant medications. A treatment emergent adverse event (TEAE) of potential clinical significance such that further dose escalation would expose subjects to unacceptable risk; any Grade >=3 non-hematological toxicity except Grade 3 asymptomatic increases in liver function tests, diarrhea, nausea or vomiting with duration <= 48 hours and alopecia; Grade 4 neutropenia of >5 days duration or febrile neutropenia of >1 day duration; Grade 3 thrombocytopenia with bleeding or Grade 4 thrombocytopenia; any treatment interruption >2 weeks due to adverse events; any severe, impairing daily functions or life-threatening, complication or abnormality not defined in NCI-CTCAE that is attributable to the therapy. | The dose escalation analysis set included all the subjects who received at least 80% of the planned doses of each treatment (pimasertib and temsirolimus) in the first cycle of treatment or who experienced DLT during the first cycle of treatment regardless of the received amount of drug. | Posted | Number | subjects | Up to 21 Days (within Cycle 1) |
From the start of the trial treatment until data cut-off date (23 February 2012)
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Pimasertib 45 mg+Temsirolimus 12.5 mg | Pimasertib was administered in fasted state at a dose of 45 mg once daily orally on Days 1 to 15. Temsirolimus was administered at a dose of 12.5 mg as intravenous infusion over a 30-60 minute period once a week within 10 minutes after administration of pimasertib on Days 1, 8 and 15 in successive 21-day cycles. Treatment was continued until disease progression, intolerable toxicity, investigator's decision to discontinue treatment, or withdrawal of consent. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Visual impairment | Eye disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA Version 15.1 | Non-systematic Assessment |
No formal efficacy evaluation was performed for this trial due to early termination of the trial.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Merck KGaA Communication Center | Merck Serono, a division of Merck KGaA | +49-6151-72-5200 | service@merckgroup.com |
Not provided
| ID | Term |
|---|---|
| D009369 | Neoplasms |
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| C550600 | N-(2,3-dihydroxypropyl)-1-((2-fluoro-4-iodophenyl)amino)isonicotinamide |
| C401859 | temsirolimus |
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|
| Pimasertib | Drug | Pimasertib will be administered in fasted state at a dose of 75 mg once daily orally on Days 1 to 15. Treatment will be continued until disease progression, intolerable toxicity, investigator's decision to discontinue treatment, or withdrawal of consent. |
|
|
| Temsirolimus | Drug | Temsirolimus will be administered at a dose of 12.5 mg as intravenous infusion over a 30-60 minute period once a week within 10 minutes after administration of pimasertib on Days 1, 8 and 15 in successive 21-day cycles. Treatment will be continued until disease progression, intolerable toxicity, investigator's decision to discontinue treatment, or withdrawal of consent. |
|
| Temsirolimus | Drug | Temsirolimus will be administered at a dose of 25 mg as intravenous infusion over a 30-60 minute period once a week within 10 minutes after administration of pimasertib on Days 1, 8 and 15 in successive 21-day cycles. Treatment will be continued until disease progression, intolerable toxicity, investigator's decision to discontinue treatment, or withdrawal of consent. |
|
| From the start of the trial treatment until data cut-off date (23 February 2012) |
| Maximum Plasma Concentration (Cmax) of Pimasertib | Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | Drug-drug interaction (DDI) cohorts: Days 1 and 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 |
| Maximum Plasma Concentration (Cmax) of Temsirolimus | Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 8 |
| Time to Reach Maximum Plasma Concentration (Tmax) of Pimasertib | Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | DDI cohorts: Days 1 and 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 |
| Time to Reach Maximum Plasma Concentration (Tmax) of Temsirolimus | Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 |
| Area Under the Concentration Time Curve During a Dosing Interval (AUCtau) and Area Under the Concentration Time Curve From Time Zero to Infinity (AUC0-inf) of Pimasertib | The AUCtau was defined as the area under the concentration curve divided by the dosing interval. AUC(0-inf) was estimated by determining the total area under the curve of the concentration versus time curve extrapolated to infinity. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | DDI cohorts: Days 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 for AUCtau; DDI cohorts: Day 1 of Cycle 1 AUC0-inf |
| Area Under Plasma Concentration Time Curve From Time Zero to Infinity (AUC0-inf) of Temsirolimus | The AUC(0-inf) was estimated by determining the total area under the curve of the concentration versus time curve extrapolated to infinity. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 |
| Apparent Terminal Half-life (t1/2) of Pimasertib | The t1/2 was defined as the time required for the plasma concentration of drug to decrease 50% in the final stage of its elimination. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | DDI cohorts: Days 1 and 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 |
| Apparent Terminal Half-life (t1/2) of Temsirolimus | The t1/2 was defined as the time required for the plasma concentration of drug to decrease 50% in the final stage of its elimination. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 |
| Apparent Clearance From Plasma Following Oral Administration (CL/f) of Pimasertib | Clearance (CL) of a drug was a measure of the rate at which a drug was metabolized or eliminated by normal biological processes. The CL obtained after oral dose (CL/F) was influenced by the fraction of the dose absorbed (bioavailability). Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | DDI cohorts: Days 1 and 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 |
| Total Body Clearance From Plasma Following Intravenous Administration (CL) of Temsirolimus | The clearance of a drug was a measure of the rate at which a drug was metabolized or eliminated by normal biological processes. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 |
| Apparent Volume of Distribution (Vz/F) of Pimasertib | Volume of distribution (Vz) was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug. The Vz after oral dose (Vz/F) was influenced by the fraction absorbed. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | DDI cohorts: Days 1 and 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 |
| Volume of Distribution (Vz) of Temsirolimus | The Vz was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 |
| Number of Subjects With Disease Control Rate | Disease control is defined as confirmed complete response (CR), partial response (PR), or stable disease (SD) >=12 weeks), based on tumor assessments as determined by Response Evaluation Criteria In Solid Tumors (RECIST) version 1.0. CR: The disappearance of all lesions and normalization of tumor marker level. PR: At least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the sum of the longest diameter at baseline. SD: Neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum of the longest diameter since treatment started. | From the start of the trial treatment until data cut-off date (23 February 2012) |
| Phospho Extracellular Signal Regulated Kinase (pERK ) Levels and Phospho Ribosomal Protein S6 (pS6) Levels in in Peripheral Blood Mononuclear Cells (PBMCs) | During the first cycle (either Cycle 1 non-DDI or Cycle 1-DDI) blood samples will be collected for pharmacodynamic marker assessments by flow cytometry such as phospho-ERK and phospho- S6 activities in PBMCs | DDI cohorts: Days 1, 9 and 10 of Cycle 1; Non-DDI cohorts: Days 1, 8 and 9 of Cycle 1 |
| Rockland |
| Massachusetts |
| United States |
| The University of Texas MD Anderson Cancer Center | Houston | Texas | United States |
| Liu X, Lorusso P, Mita M, Piha-Paul S, Hong DS, Fu S, McQuinn L, Asatiani E, Doyle LA, Chen HX, Hess KR, Kurzrock R, Naing A. Incidence of mucositis in patients treated with temsirolimus-based regimens and correlation to treatment response. Oncologist. 2014 Apr;19(4):426-8. doi: 10.1634/theoncologist.2013-0231. Epub 2014 Mar 25. |
| BG001 | Pimasertib 45 mg+Temsirolimus 25 mg | Pimasertib was administered in fasted state at a dose of 45 mg once daily orally on Days 1 to 15. Temsirolimus was administered at a dose of 25 mg as intravenous infusion over a 30-60 minute period once a week within 10 minutes after administration of pimasertib on Days 1, 8 and 15 in successive 21-day cycles. Treatment was continued until disease progression, intolerable toxicity, investigator's decision to discontinue treatment, or withdrawal of consent. |
| BG002 | Pimasertib 75 mg+Temsirolimus 25 mg | Pimasertib was administered in fasted state at a dose of 75 mg once daily orally on Days 1 to 15. Temsirolimus was administered at a dose of 25 mg as intravenous infusion over a 30-60 minute period once a week within 10 minutes after administration of pimasertib on Days 1, 8 and 15 in successive 21-day cycles. Treatment was continued until disease progression, intolerable toxicity, investigator's decision to discontinue treatment, or withdrawal of consent. |
| BG003 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
|
|
|
| Secondary | Number of Subjects With Treatment-emergent Adverse Events (TEAEs) | An AE was defined as any new untoward medical occurrences/worsening of pre-existing medical condition, whether or not related to study drug. The TEAEs were those events that occur between first dose of trial treatment and up to 30 days after last dose of the trial treatment that were absent before treatment or that worsened relative to pretreatment state. | The safety analysis set included all the subjects who received at least one administration of trial medication. | Posted | Number | subjects | From the start of the trial treatment until data cut-off date (23 February 2012) |
|
|
|
| Secondary | Maximum Plasma Concentration (Cmax) of Pimasertib | Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | Pharmacokinetic analysis was performed in all the subjects who received at least one administration of trial medication and whose plasma samples were collected. "Number Analyzed" signifies subjects evaluable for this measure for specified categories for each reporting group, respectively. | Posted | Median | Full Range | nanogram/milliliter | Drug-drug interaction (DDI) cohorts: Days 1 and 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 |
|
|
|
| Secondary | Maximum Plasma Concentration (Cmax) of Temsirolimus | Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | Pharmacokinetic analysis was performed in all the subjects who received at least one administration of trial medication and whose plasma samples were collected. "Number Analyzed" signifies subjects evaluable for this measure for specified categories for each reporting group, respectively. | Posted | Median | Full Range | nanogram/milliliter | DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 8 |
|
|
|
| Secondary | Time to Reach Maximum Plasma Concentration (Tmax) of Pimasertib | Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | Pharmacokinetic analysis was performed in all the subjects who received at least one administration of trial medication and whose plasma samples were collected. "Number Analyzed" signifies subjects evaluable for this measure for specified categories for each reporting group, respectively. | Posted | Median | Full Range | hour | DDI cohorts: Days 1 and 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 |
|
|
|
| Secondary | Time to Reach Maximum Plasma Concentration (Tmax) of Temsirolimus | Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | Pharmacokinetic analysis was performed in all the subjects who received at least one administration of trial medication and whose plasma samples were collected. "Number Analyzed" signifies subjects evaluable for this measure for specified categories for each reporting group, respectively. | Posted | Median | Full Range | hour | DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 |
|
|
|
| Secondary | Area Under the Concentration Time Curve During a Dosing Interval (AUCtau) and Area Under the Concentration Time Curve From Time Zero to Infinity (AUC0-inf) of Pimasertib | The AUCtau was defined as the area under the concentration curve divided by the dosing interval. AUC(0-inf) was estimated by determining the total area under the curve of the concentration versus time curve extrapolated to infinity. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | Pharmacokinetic analysis was performed in all the subjects who received at least one administration of trial medication and whose plasma samples were collected. 'N'=subjects evaluable for this outcome measure; "Number Analyzed" signifies subjects evaluable for this measure for specified categories for each reporting group, respectively. | Posted | Median | Full Range | hour*nanogram/milliliter | DDI cohorts: Days 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 for AUCtau; DDI cohorts: Day 1 of Cycle 1 AUC0-inf |
|
|
|
| Secondary | Area Under Plasma Concentration Time Curve From Time Zero to Infinity (AUC0-inf) of Temsirolimus | The AUC(0-inf) was estimated by determining the total area under the curve of the concentration versus time curve extrapolated to infinity. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | Pharmacokinetic analysis was performed in all the subjects who received at least one administration of trial medication and whose plasma samples were collected. 'N'=subjects evaluable for this outcome measure;"Number Analyzed" signifies subjects evaluable for this measure for specified categories for each reporting group, respectively. | Posted | Median | Full Range | hour*nanogram/milliliter | DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 |
|
|
|
| Secondary | Apparent Terminal Half-life (t1/2) of Pimasertib | The t1/2 was defined as the time required for the plasma concentration of drug to decrease 50% in the final stage of its elimination. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | Pharmacokinetic analysis was performed in all the subjects who received at least one administration of trial medication and whose plasma samples were collected. 'N'=subjects evaluable for this outcome measure; "Number Analyzed" signifies subjects evaluable for this measure for specified categories for each reporting group, respectively. | Posted | Median | Full Range | hour | DDI cohorts: Days 1 and 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 |
|
|
|
| Secondary | Apparent Terminal Half-life (t1/2) of Temsirolimus | The t1/2 was defined as the time required for the plasma concentration of drug to decrease 50% in the final stage of its elimination. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | Pharmacokinetic analysis was performed in all the subjects who received at least one administration of trial medication and whose plasma samples were collected. N=subjects evaluable for this outcome measure; "Number Analyzed" signifies subjects evaluable for this measure for specified categories for each reporting group, respectively. | Posted | Median | Full Range | hour | DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 |
|
|
|
| Secondary | Apparent Clearance From Plasma Following Oral Administration (CL/f) of Pimasertib | Clearance (CL) of a drug was a measure of the rate at which a drug was metabolized or eliminated by normal biological processes. The CL obtained after oral dose (CL/F) was influenced by the fraction of the dose absorbed (bioavailability). Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | Pharmacokinetic analysis was performed in all the subjects who received at least one administration of trial medication and whose plasma samples were collected. 'N' =subjects evaluable for this outcome measure;"Number Analyzed" signifies subjects evaluable for this measure for specified categories for each reporting group, respectively. | Posted | Median | Full Range | liter/hour | DDI cohorts: Days 1 and 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 |
|
|
|
| Secondary | Total Body Clearance From Plasma Following Intravenous Administration (CL) of Temsirolimus | The clearance of a drug was a measure of the rate at which a drug was metabolized or eliminated by normal biological processes. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | Pharmacokinetic analysis was performed in all the subjects who received at least one administration of trial medication and whose plasma samples were collected. 'N' =subjects evaluable for this outcome measure; "Number Analyzed" signifies subjects evaluable for this measure for specified categories for each reporting group, respectively. | Posted | Median | Full Range | liter/hour | DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 |
|
|
|
| Secondary | Apparent Volume of Distribution (Vz/F) of Pimasertib | Volume of distribution (Vz) was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug. The Vz after oral dose (Vz/F) was influenced by the fraction absorbed. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | Pharmacokinetic analysis was performed in all the subjects who received at least one administration of trial medication and whose plasma samples were collected. 'N' =subjects evaluable for this outcome measure; "Number Analyzed" signifies subjects evaluable for this measure for specified categories for each reporting group, respectively. | Posted | Median | Full Range | liter | DDI cohorts: Days 1 and 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 |
|
|
|
| Secondary | Volume of Distribution (Vz) of Temsirolimus | The Vz was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. | Pharmacokinetic analysis was performed in all the subjects who received at least one administration of trial medication and whose plasma samples were collected. "Number Analyzed" signifies subjects evaluable for this measure for specified categories for each reporting group, respectively. | Posted | Median | Full Range | liter | DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 |
|
|
|
| Secondary | Number of Subjects With Disease Control Rate | Disease control is defined as confirmed complete response (CR), partial response (PR), or stable disease (SD) >=12 weeks), based on tumor assessments as determined by Response Evaluation Criteria In Solid Tumors (RECIST) version 1.0. CR: The disappearance of all lesions and normalization of tumor marker level. PR: At least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the sum of the longest diameter at baseline. SD: Neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum of the longest diameter since treatment started. | Data was not evaluated for this outcome as the subjects did not met the minimum criteria duration for the evaluation of the outcome measure due to the early termination of the trial | Posted | From the start of the trial treatment until data cut-off date (23 February 2012) |
|
|
| Secondary | Phospho Extracellular Signal Regulated Kinase (pERK ) Levels and Phospho Ribosomal Protein S6 (pS6) Levels in in Peripheral Blood Mononuclear Cells (PBMCs) | During the first cycle (either Cycle 1 non-DDI or Cycle 1-DDI) blood samples will be collected for pharmacodynamic marker assessments by flow cytometry such as phospho-ERK and phospho- S6 activities in PBMCs | As the trial was terminated early due to toxicities observed with the combination of pimasertib and temsirolimus, it was decided as per plan not to evaluate the biomarker data for this study | Posted | DDI cohorts: Days 1, 9 and 10 of Cycle 1; Non-DDI cohorts: Days 1, 8 and 9 of Cycle 1 |
|
|
| 3 |
| 4 |
| 4 |
| 4 |
| EG001 | Pimasertib 45 mg+Temsirolimus 25 mg | Pimasertib was administered in fasted state at a dose of 45 mg once daily orally on Days 1 to 15. Temsirolimus was administered at a dose of 25 mg as intravenous infusion over a 30-60 minute period once a week within 10 minutes after administration of pimasertib on Days 1, 8 and 15 in successive 21-day cycles. Treatment was continued until disease progression, intolerable toxicity, investigator's decision to discontinue treatment, or withdrawal of consent. | 17 | 23 | 23 | 23 |
| EG002 | Pimasertib 75 mg+Temsirolimus 25 mg | Pimasertib was administered in fasted state at a dose of 75 mg once daily orally on Days 1 to 15. Temsirolimus was administered at a dose of 25 mg as intravenous infusion over a 30-60 minute period once a week within 10 minutes after administration of pimasertib on Days 1, 8 and 15 in successive 21-day cycles. Treatment was continued until disease progression, intolerable toxicity, investigator's decision to discontinue treatment, or withdrawal of consent. | 5 | 6 | 6 | 6 |
| Small intestinal obstruction | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Stomatitis | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Abdominal pain lower | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Enterocutaneous fistula | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Haematemesis | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Oesophagitis ulcerative | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Pyrexia | General disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Abdominal wall abscess | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Cellulitis | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Clostridial infection | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Clostridium difficile sepsis | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Osteomyelitis | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Pharyngitis | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Pulmonary sepsis | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Pyelonephritis | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Sepsis | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Fall | Injury, poisoning and procedural complications | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Post procedural haemorrhage | Injury, poisoning and procedural complications | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Procedural complication | Injury, poisoning and procedural complications | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Blood creatine phosphokinase increased | Investigations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Dehydration | Metabolism and nutrition disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Balance disorder | Nervous system disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Mental status changes | Psychiatric disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Pneumothorax | Respiratory, thoracic and mediastinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Pulmonary infarction | Respiratory, thoracic and mediastinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Extremity necrosis | Vascular disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Hypotension | Vascular disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Peripheral ischaemia | Vascular disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Leukocytosis | Blood and lymphatic system disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Leukopenia | Blood and lymphatic system disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Neutropenia | Blood and lymphatic system disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Pancytopenia | Blood and lymphatic system disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Pericardial effusion | Cardiac disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Ear pain | Ear and labyrinth disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Hypothyroidism | Endocrine disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Chorioretinopathy | Eye disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Conjunctivitis | Eye disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Detachment of retinal pigment epithelium | Eye disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Dry eye | Eye disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Eye disorder | Eye disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Eyelid oedema | Eye disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Periorbital oedema | Eye disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Retinal disorder | Eye disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Retinal haemorrhage | Eye disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Vision blurred | Eye disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Visual impairment | Eye disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Vitreous floaters | Eye disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Abdominal distension | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Abdominal pain lower | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Ascites | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Colitis | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Dry mouth | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Dyspepsia | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Dysphagia | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Gastritis | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Glossodynia | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Haemorrhoids | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Inguinal hernia | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Lip dry | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Oesophagitis | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Oesophagitis ulcerative | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Oral pain | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Proctalgia | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Small intestinal obstruction | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Stomatitis | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Application site reaction | General disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Asthenia | General disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Chest discomfort | General disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Chest pain | General disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Chills | General disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Early satiety | General disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Face oedema | General disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Fatigue | General disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Malaise | General disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Oedema peripheral | General disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Pyrexia | General disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Bacterial sepsis | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Breast infection | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Bronchitis | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Cellulitis | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Eye infection | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Folliculitis | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Furuncle | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Herpes simplex | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Infusion site infection | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Laryngitis | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| lung infection | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| oral candidiasis | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Paronychia | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Pharyngitis | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Pneumonia klebsiella | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Sepsis | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Skin infection | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Urinary tract infection enterococcal | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Vulvovaginal candidiasis | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Accidental overdose | Injury, poisoning and procedural complications | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Contusion | Injury, poisoning and procedural complications | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Fall | Injury, poisoning and procedural complications | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Post procedural haemorrhage | Injury, poisoning and procedural complications | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Procedural pain | Injury, poisoning and procedural complications | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Rib fracture | Injury, poisoning and procedural complications | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Wound secretion | Injury, poisoning and procedural complications | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Activated partial thromboplastin time prolonged | Investigations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Blood alkaline phosphatase increased | Investigations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Blood cholesterol increased | Investigations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Blood creatinine phosphokinase increased | Investigations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Blood creatinine increased | Investigations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Blood thyroid stimulating hormone increased | Investigations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Ejection fraction decreased | Investigations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Grip strength decreased | Investigations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Oxygen saturation decreased | Investigations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Transaminases increased | Investigations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Weight decreased | Investigations | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Dehydration | Metabolism and nutrition disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Hypercholesterolaemia | Metabolism and nutrition disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Hyperkalaemia | Metabolism and nutrition disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Hyperphosphataemia | Metabolism and nutrition disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Hypertriglyceridaemia | Metabolism and nutrition disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Hyperuricaemia | Metabolism and nutrition disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Hypoalbuminaemia | Metabolism and nutrition disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Hypocalcaemia | Metabolism and nutrition disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Hypoglycaemia | Metabolism and nutrition disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Hypomagnesaemia | Metabolism and nutrition disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Hyponatraemia | Metabolism and nutrition disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Hypophosphataemia | Metabolism and nutrition disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Flank pain | Musculoskeletal and connective tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Groin pain | Musculoskeletal and connective tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Tendon pain | Musculoskeletal and connective tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Cancer pain | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Balance disorder | Nervous system disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Dysgeusia | Nervous system disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Hemianopia homonymous | Nervous system disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Lethargy | Nervous system disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Myoclonus | Nervous system disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Neuropathy peripheral | Nervous system disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Syncope | Nervous system disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Anxiety | Psychiatric disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Delirium | Psychiatric disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Depression | Psychiatric disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Mental status changes | Psychiatric disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Dysuria | Renal and urinary disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Haematuria | Renal and urinary disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Hydronephrosis | Renal and urinary disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Renal failure | Renal and urinary disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Renal failure acute | Renal and urinary disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Vaginal discharge | Reproductive system and breast disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Vaginal fistula | Reproductive system and breast disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Dysphonia | Respiratory, thoracic and mediastinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Dyspnoea exertional | Respiratory, thoracic and mediastinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Hypoxia | Respiratory, thoracic and mediastinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Productive cough | Respiratory, thoracic and mediastinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Wheezing | Respiratory, thoracic and mediastinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Acanthosis nigricans | Skin and subcutaneous tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Alopecia | Skin and subcutaneous tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Dermatitis acneiform | Skin and subcutaneous tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Dry skin | Skin and subcutaneous tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Ecchymosis | Skin and subcutaneous tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Erythema | Skin and subcutaneous tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Night sweats | Skin and subcutaneous tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Pruritus generalized | Skin and subcutaneous tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Rash erythematous | Skin and subcutaneous tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Rash generalised | Skin and subcutaneous tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Rash macular | Skin and subcutaneous tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Rash maculo-papular | Skin and subcutaneous tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Rash pruritic | Skin and subcutaneous tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Skin ulcer | Skin and subcutaneous tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Subcutaneous nodule | Skin and subcutaneous tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Deep vein thrombosis | Vascular disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Hypotension | Vascular disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Lymphoedema | Vascular disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Peripheral artery thrombosis | Vascular disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
Not provided
Not provided
|
| DDI: Day 9 |
|
|
| Non-DDI: Day 8 |
|
|
|
| DDI: Day 16 |
|
|
| Non-DDI: Day 8 |
|
|
|
| DDI: Day 9 |
|
|
| Non-DDI: Day 8 |
|
|
|
| DDI: Day 16 |
|
|
| Non-DDI: Day 8 |
|
|
|
| Non-DDI: AUCtau: Day 8 |
|
|
| DDI: AUC0-inf: Day 1 |
|
|
|
| DDI: Day 16 |
|
|
| Non-DDI: Day 8 |
|
|
|
| DDI: Day 9 |
|
|
| Non-DDI: Day 8 |
|
|
|
| DDI: Day 16 |
|
|
| Non-DDI: Day 8 |
|
|
|
| DDI: Day 9 |
|
|
| Non-DDI: Day 8 |
|
|
|
| DDI: Day 16 |
|
|
| Non-DDI: Day 8 |
|
|
|
| DDI: Day 9 |
|
|
| Non-DDI: Day 8 |
|
|
|
| DDI: Day 16 |
|
|
| Non-DDI: Day 8 |
|
|