Safety And Efficacy Study Of Bosutinib In Patients With P... | NCT02228382 | Trialant
NCT02228382
Sponsor
Pfizer
Status
Terminated
Last Update Posted
Dec 30, 2021Actual
Enrollment
163Actual
Phase
Phase 4
Conditions
Previously Treated PH + CML
Interventions
Bosutinib
Countries
United States
Austria
France
Germany
Italy
Norway
Spain
Sweden
Protocol Section
Identification Module
NCT ID
NCT02228382
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
B1871039
Secondary IDs
ID
Type
Description
Link
2013-003250-25
EudraCT Number
BYOND
Other Identifier
Alias Study Number
Brief Title
Safety And Efficacy Study Of Bosutinib In Patients With Philadelphia Chromosome Positive Chronic Myeloid Leukemia Previously Treated With One Or More Tyrosine Kinase Inhibitors
Official Title
A PHASE 4 SAFETY AND EFFICACY STUDY OF BOSUTINIB (BOSULIF (REGISTERED)) IN PATIENTS WITH PHILADELPHIA CHROMOSOME POSITIVE CHRONIC MYELOID LEUKEMIA PREVIOUSLY TREATED WITH ONE OR MORE TYROSINE KINASE INHIBITORS
Acronym
Not provided
Organization
PfizerINDUSTRY
Status Module
Record Verification Date
Dec 2021
Overall Recruitment Status or Expanded Access Status
Terminated
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Nov 7, 2014Actual
Primary Completion Date
Oct 13, 2020Actual
Completion Date
Oct 13, 2020Actual
First Submitted Date
Aug 27, 2014
First Submission Date that Met QC Criteria
Aug 27, 2014
First Posted Date
Aug 29, 2014Estimated
Results Waived
Not provided
Results First Submitted Date
Oct 12, 2021
Results First Submitted that Met QC Criteria
Dec 2, 2021
Results First Posted Date
Dec 30, 2021Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Not provided
Certification/Extension First Submitted that Passed QC Review
Not provided
Certification/Extension First Posted Date
Not provided
Last Update Submitted Date
Dec 2, 2021
Last Update Posted Date
Dec 30, 2021Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
PfizerINDUSTRY
Collaborators
Name
Class
Developmental Therapeutics Consortium
OTHER
Oversight Module
Has Data Monitoring Committee (DMC)
No
Is FDA Regulated Drug
Not provided
Is FDA Regulated Device
Not provided
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
The purpose of this study is to fulfill the post-authorization commitment made by Pfizer to the European Medicines Agency in providing additional safety and efficacy data in approximately 150 Philadelphia Chromosome Positive Chronic Myeloid Leukemia patients with high unmet medical need, including 75 Chronic Phase, Accelerated Phase or Blast Phase patients in the fourth or later line treatment setting (i.e., after treatment with at least 3 other Tyrosine Kinase Inhibitors).
Detailed Description
Not provided
Conditions Module
Conditions
Previously Treated PH + CML
Keywords
Bosutinib
Chronic Myeloid Leukemia
CML
Leukemia
Myelogenous
Chronic
BC-ABL Positive
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 4
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
163Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Bosutinib
Experimental
Drug: Bosutinib
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Bosutinib
Drug
100 mg and 500 mg tablets, once daily dosage up to 4 years duration
Bosutinib
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Percentage of Participants With Cumulative Confirmed Major Cytogenetic Response (MCyR) in 2nd and 3rd Line Chronic Phase (CP) Participants
Confirmed MCyR: confirmed (complete cytogenetic response[CCyR] or partial cytogenetic response[PCyR]) by 1 year for participants entering the study without CCyR or maintenance of confirmed CCyR for at least 1 year after treatment start with bosutinib for participants entering the study with CCyR or at least major molecular response(MMR) by 1 year and a deeper molecular response compared to baseline. Participants with baseline PCyR that did not achieve CCyR were counted as nonresponders. Initial cytogenetic (in absence of MMR) responses must have been confirmed by 2 consecutive assessments >=28 days apart. CCyR: 0% Ph+ cells from >=20 metaphases from conventional cytogenetics or <1% Ph+ cells from >= 200 cells from fluorescent in situ hybridization(FISH). PCyR: 1 to 35% Ph+ cells. MMR: <=0.1% BCR-ABL1 on the international scale (IS) with at least 10,000 ABL1 transcripts assessed by central laboratory.
Up to 1 year (52 weeks)
Percentage of Participants With Cumulative Confirmed Major Cytogenetic Response (MCyR) in 4th or Later Line Chronic Phase (CP) Participants
Confirmed MCyR: confirmed CCyR or PCyR by 1 year for participants entering the study without CCyR or maintenance of confirmed CCyR for at least 1 year after treatment start with bosutinib for participants entering the study with CCyR or at least MMR by 1 year and a deeper molecular response compared to baseline. Participants with baseline PCyR that did not achieve CCyR were counted as nonresponders. Initial cytogenetic (in absence of MMR) responses must have been confirmed by 2 consecutive assessments >=28 days apart. CCyR: 0% Ph+ cells from >=20 metaphases from conventional cytogenetics or <1% Ph+ cells from >= 200 cells from fluorescent in situ hybridization(FISH). PCyR: 1 to 35% Ph+ cells. MMR: <=0.1% BCR-ABL1 on the IS with at least 10,000 ABL1 transcripts assessed by central laboratory.
Up to 1 year (52 weeks)
Percentage of Participants With Cumulative Confirmed Overall Hematological Response (OHR) in Accelerated Phase (AP) Chronic Myelogenous Leukemia (CML) Participants
Confirmed OHR was defined as complete hematological response (CHR) or return to chronic phase (RCP) by 1 year in AP and BP participants. CHR was defined as white blood cells (WBC) <10*10^9/L, peripheral blood basophils <5%, no peripheral blood myelocytes, promyelocytes, myeloblasts in the differential, platelet count <450*10^9/L, spleen not palpable. Hematologic responses must be of >=4 weeks duration confirmed by 2 assessments >=4 weeks apart.
Secondary Outcomes
Measure
Description
Time Frame
Percentage of Participants With Cumulative Major Cytogenetic Response (MCyR)
CyR was based on prevalence of Ph+ cells. CCyR was achieved when there was 0 % Ph+ cells from >=20 metaphases from conventional bone marrow cytogenetics or <1% Ph+ cells from >=200 cells analyzed from FISH. PCyR was achieved when 1 to 35% Ph+ cells were present. MCyR was categorized as either CCyR or PCyR. Participants with MMR or better at baseline were counted as CCyR if baseline response was maintained or improved while on treatment.
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Confirmed Philadelphia Chromosome positive Chronic Myeloid Leukemia or Confirmed BCR-ABL1 (Abelson-break point cluster) Positive if Philadelphia Chromosome negative Chronic Myeloid Leukemia (from initial diagnosis).
Prior treatment with 1 or more tyrosine kinase inhibitor drugs (imatinib, dasatinib and/or nilotinib) for Philadelphia Chromosome positive Chronic Myeloid Leukemia (CML).
Any Chronic Myeloid Leukemia disease phase, as long as the patient is unable to receive treatment with imatinib, dasatinib and/or nilotinib for any reason.
Exclusion Criteria:
Participation in any other clinical studies involving investigational drug(s) within 14 days or within 3 half-lives of drug levels in blood (whichever is longer) prior to the first dose of bosutinib.
Gambacorti-Passerini C, Brummendorf TH, Abruzzese E, Kelly KR, Oehler VG, Garcia-Gutierrez V, Hjorth-Hansen H, Ernst T, Leip E, Purcell S, Luscan G, Viqueira A, Giles FJ, Hochhaus A. Efficacy and safety of bosutinib in previously treated patients with chronic myeloid leukemia: final results from the BYOND trial. Leukemia. 2024 Oct;38(10):2162-2170. doi: 10.1038/s41375-024-02372-x. Epub 2024 Aug 20.
Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
A total of 177 participants signed the ICF, 14 participants were screen failure and 163 were enrolled into the study and assigned to study treatment. Reporting arms were based on line of therapy (CP2L, CP3L, CP4L) and disease phase (CP and AP). Data collection and planned analysis on BP participants was not performed because no participants with BP were enrolled in the study.
Recruitment Details
Participants with chronic phase (CP), accelerated phase (AP), or blast phase (BP) philadelphia chromosome positive (Ph+) chronic myelogenous leukemia (CML), or breakpoint cluster region-abelson kinase (BCR-ABL1) positive and Philadelphia chromosome negative (Ph-), who failed prior treatment with commercially available tyrosine kinase inhibitors (TKIs) due to drug resistance or intolerance, or were otherwise contraindicated for treatment with commercially available TKIs were enrolled.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Bosutinib: Chronic Phase 2nd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 2nd line chronic myelogenous leukemia resistant or intolerant to imatinib, dasatinib, or nilotinib received bosutinib 500 milligram (mg), orally once daily until disease progression, unacceptable toxicity, withdrawal of consent, death or discontinuation of study (up to maximum of 4 years). Participants who discontinued bosutinib prior to completing at least 4 years of therapy were followed for survival until they completed at least 4 years of follow-up from the time of first dose.
Periods
Title
Milestones
Reasons Not Completed
Overall Study
Type
Comment
Milestone Data
STARTED
Baseline Characteristics Module
Baseline Analysis Population Description
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
5
More Info Module
Limitations and Caveats
Not provided
Annotation Section
No data available
No data is available for this block.
Document Section
Large Document Module
Document Has No Statistical Analysis Plan (SAP)
Not provided
Uploaded Document Information
Type
Includes Protocol
Includes SAP
Includes ICF
Document Label
Document Date
Document Uploaded Date
Document File Name
Prot
Yes
No
No
Study Protocol
Sep 7, 2017
Oct 12, 2021
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Belgium
Finland
Netherlands
Submission Tracking
No data available
No data is available for this block.
Condition Browse Module
MeSH Terms
Intervention Browse Module
MeSH Terms
N/A
Intervention Model
Not provided
Intervention Model Description
Not provided
Primary Purpose
Treatment
Observational Model
Not provided
Time Perspective
Not provided
Masking Info
Masking
None (Open Label)
Masking Description
Not provided
Who Masked
Not provided
BOSULIF
Up to 1 year (52 weeks)
Up to 4 years
Percentage of Participants With Cumulative Confirmed Overall Hematological Response (OHR) in Participants With Accelerated Phase (AP) Chronic Myelogenous Leukemia (CML)
Confirmed OHR was defined as CHR or RCP in AP and BP participants. CHR was defined as WBC <10*10^9/L, peripheral blood basophils <5%, no peripheral blood myelocytes, promyelocytes, myeloblasts in the differential, platelet count <450*10^9/L, spleen not palpable. Hematologic responses must be of >=4 weeks duration confirmed by 2 assessments >=4 weeks apart.
Up to 4 years
Percentage of Participants With Cumulative Best Response
Hierarchy best response: %participants with best response among molecular/cytogenetic/hematologic response. Molecular response:MR4.5/MR4/MMR defined as <=0.0032/0.01/0.1% BCR-ABL1 ratio on IS corresponding to >=4.5/4/3-log reduction from standardised baseline with at least 32,000/10,000/10,000 ABL1 assessed by central laboratory. CyR:based on prevalence of Ph+cells. CCyR: 0% Ph+cells from >=20 metaphases from conventional cytogenetics or <1%Ph+cells from >=200 cells from FISH. PCyR:1 to 35% Ph+cells. CHR:WBC <10*10^9/L, peripheral blood basophils<5%, no peripheral blood myelocytes, promyelocytes, myeloblasts in differential, platelet count<450*10^9/L, spleen not palpable.
Up to 4 years
Percentage of Participants With Major Cytogenetic Response (MCyR) at Months 3, 6, 12, 18 and 24
CyR was based on prevalence of Ph+ cells. CCyR was achieved when there was 0 % Ph+ cells from >=20 metaphases from conventional bone marrow cytogenetics or <1% Ph+ cells from >=200 cells analyzed from FISH. PCyR was achieved when 1 to 35% Ph+ cells were present. MCyR was categorized as either CCyR or PCyR. Participants with MMR or better at baseline were counted as CCyR if baseline response was maintained or improved while on treatment.
Months 3, 6, 12, 18, and 24
Percentage of Accelerated Phase Participants With Confirmed Overall Hematological Response (OHR) at Month 3, 6, 9, 12, 18, and 24
Confirmed OHR was defined as CHR or RCP in AP and BP participants. CHR was defined as WBC <10*10^9/L, peripheral blood basophils <5%, no peripheral blood myelocytes, promyelocytes, myeloblasts in the differential, platelet count <450*10^9/L, spleen not palpable. Hematologic responses must be of >=4 weeks duration confirmed by 2 assessments >=4 weeks apart.
Months 3, 6, 9, 12, 18, and 24
Percentage of Participants With Cumulative Confirmed Complete Hematological Response (CHR)
CHR was defined as WBC <10*10^9/L, peripheral blood basophils <5%, no peripheral blood myelocytes, promyelocytes, myeloblasts in the differential, platelet count <450*10^9/L, spleen not palpable. Hematologic responses must be of >=4 weeks duration confirmed by 2 assessments >=4 weeks apart.
Up to 4 years
Percentage of Participants With Cumulative Major Molecular Response (MMR)
Molecular response: MR4.5/MR4/MMR defined as <=0.0032/0.01/0.1% BCR-ABL1 ratio respectively, on IS corresponding to >=4.5/4/3-log reduction from standardized baseline with at least 32,000/10,000/10,000 ABL1 assessed by central laboratory. To be considered a responder, the participant must have had maintenance of baseline response while on-treatment or an improvement from baseline.
Up to 4 years
Kaplan-Meier Estimate of Probability of Retaining Complete Cytogenetic Response (CCyR) at Month 36
Kaplan-Meier analysis. Duration of CCyR: from first date of CCyR to date of confirmed loss of CCyR/disease progression/on-treatment death or censoring, analyzed for responders only. CyR: prevalence of Ph+ cells. CCyR: 0% Ph+ cells from >=20 metaphases from conventional cytogenetics or <1% Ph+ cells from >=200 cells analyzed by FISH or MMR (<=0.1% BCR-ABL1 on the IS with at least 10,000 ABL1 transcripts assessed by central laboratory). Confirmed loss: 2 consecutive non-response assessments >=28 days apart. Progression: for CP: participants evolving from CP to AP, loss of CHR; loss of MCyR; in participants without CHR WBC >20*10^9/L on 2 occasions >=2 weeks apart after the first 4 weeks of treatment; for AP: confirmed BP, loss of previous hematologic response over a 2-week period, loss of CHR, no decrease from baseline levels (if considered clinically relevant) in percentage blasts in peripheral blood or bone marrow on all assessments over a 4-week period.
At Month 36
Kaplan-Meier Estimate of Probability of Retaining Major Molecular Response (MMR) at Month 36
Kaplan-Meier analysis. Duration of MMR: from first date of MMR to confirmed loss of MMR/disease progression/on-treatment death or censoring, analyzed for responders only. MMR:<=0.1% BCR-ABL1 on the IS with at least 10,000 ABL1 transcripts assessed by central laboratory . Confirmed loss: 2 consecutive non-response assessments >=28 days apart with a <3-log (>0.1%) reduction in transcripts one of which corresponds to a <=2-log reduction (>=1%). Progression: for CP: participants evolving from CP to AP, loss of CHR; loss of MCyR; in participants without CHR WBC >20*10^9/L on 2 occasions >=2weeks apart after the first 4 weeks of treatment; for AP: confirmed BP, loss of previous hematologic response over a 2-week period, loss of CHR, no decrease from baseline levels (if considered clinically relevant) in percentage blasts in peripheral blood or bone marrow on all assessments over a 4-week period.
At Month 36
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious AEs
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAE: any event increasing in severity from baseline or any new event started during bosutinib therapy or within 28 days of the last dose of study drug. SAE: an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial/prolonged inpatient hospitalization; life-threatening experience (immediate risk of death); persistent or significant disability/incapacity; congenital anomaly.
First dose of study drug up to 28 days after last dose (up to maximum of 4 years)
Number of Participants With Grade 3 or 4 Treatment Emergent Adverse Events (TEAEs) Based on National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAE was any event increasing in severity from baseline or any new event that started during bosutinib therapy or within 28 days of the last dose of study drug. Severity was graded as Grade 1: asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; Grade 2: moderate, minimal, local or noninvasive intervention indicated, limiting age-appropriate instrumental activities of daily life (ADL); Grade 3: severe or medically significant but not immediately life-threatening, hospitalization or prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence, urgent intervention indicated; Grade 5: death related to AE. Number of participants with Grade 3 or 4 TEAEs are reported.
First dose of study drug up to 28 days after last dose (up to maximum of 4 years)
Number of Participants With Treatment Related Treatment Emergent Adverse Events (TEAEs)
An AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. TEAE was any event increasing in severity from baseline or any new event that started during bosutinib therapy or within 28 days of the last dose of study drug. Relatedness to drug was assessed by investigator.
First dose of study drug up to 28 days after last dose (up to maximum of 4 years)
Number of Participants With Laboratory Abnormalities Based on National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03
Number of participants with any hematological, chemistry and coagulation abnormality of any grade were reported. Hematological: absolute neutrophil count (low), hemoglobin (low), lymphocytes (low), platelets (low) and leukocytes (low). Chemistry: alkaline phosphatase (high), alanine aminotransferase (high), amylase (high), aspartate aminotransferase (high), bilirubin (high), creatinine (high), lipase (high). Coagulation: activated partial prothrombin time (low), prothrombin time (low and high), partial prothrombin time (high).
First dose of study drug up to 28 days after last dose (up to maximum of 4 years)
Los Angeles
California
90033
United States
USC/Norris Comprehensive Cancer Center
Los Angeles
California
90033
United States
Sylvester Deerfield Beach
Deerfield Beach
Florida
33442
United States
University of Miami Hospital & Clinics
Miami
Florida
33136
United States
Indiana Blood and Marrow Transplantation-Clinic
Indianapolis
Indiana
46237
United States
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Baltimore
Maryland
21287
United States
Siteman Cancer Center - West County
Creve Coeur
Missouri
63141-6337
United States
Barnes-Jewish Hospital
St Louis
Missouri
63110
United States
Washington University School of Medicine
St Louis
Missouri
63110
United States
Siteman Cancer Center - South County
St Louis
Missouri
63129
United States
Weill Cornell Medical College - New York-Presbyterian Hospital
New York
New York
10021
United States
Seattle Cancer Care Alliance
Seattle
Washington
98109
United States
Medizinische Universitaet Innsbruck
Innsbruck
6020
Austria
Ordensklinikum Linz Gmbh Barmherzige Schwestern
Linz
4010
Austria
Institut Bergonie
Bordeaux
33076
France
Centre Hospitalier de Versailles (CHV)-Hopital Andre Mignot Service d'Hematologie Clinique- Oncology
Le Chesnay
78157
France
Centre Regional De Lutte Contre Le Cancer
Marseille
13009
France
Hopital Archet I
Nice
06202
France
Institut Universitaire du Cancer Toulouse - Oncopole
Toulouse
31059
France
CHU Brabois
Vandœuvre-lès-Nancy
54511
France
RWTH Uniklinik Aachen Klinik fur Onkologie, Hamatologie und Stammzelltransplantation
Aachen
52074
Germany
Charite - Universitaetsmedizin Berlin - Campus Virchow-Klinikum (CVK)
Berlin
13353
Germany
Universitaetsklinikum Koeln (AoeR)
Cologne
50937
Germany
Universitaetsklinikum Hamburg-Eppendorf
Hamburg
20246
Germany
Klinik fur Innere Medizin II
Jena
07747
Germany
III. Medizinische Klinik Universitaetsmedizin Mannheim
Mannheim
D-68167
Germany
AOU Policlinico Consorziale di Bari - UO Ematologia con Trapianto
Bari
BA
70124
Italy
A.O.U. Policlinico S. Orsola-Malpighi
Bologna
BO
40138
Italy
Azienda Socio Sanitaria Territoriale - ASST Monza
Monza
MB
20900
Italy
Ospedale S. Eugenio - UOC Ematologia
Rome
RM
00144
Italy
AOU San Luigi Gonzaga SCDU Medicina Interna II ad indirizzo Ematologico
Orbassano
TO
10043
Italy
AOU Policlinico Vittorio Emanuele-P.O.G. Rodolico
Catania
95123
Italy
SOD Ematologia
Florence
50134
Italy
A.O. Ospedale Niguarda Ca Granda - SC Ematologia
Milan
20162
Italy
Haukeland Universitetssjukehus
Bergen
5021
Norway
St Olav Hospital
Trondheim
7030
Norway
Hospital Universitario Quiron Madrid
Pozuelo de Alarcón
Madrid
28223
Spain
Hospital Universitari Vall d' Hebron
Barcelona
08035
Spain
Hospital Universitari Vall d'Hebron
Barcelona
08035
Spain
Hospital Clinic De Barcelona
Barcelona
08036
Spain
Hospital Universitario de La Princesa
Madrid
28006
Spain
Hospital Universitario Ramon y Cajal
Madrid
28034
Spain
Hospital Clinico Universitario de Salamanca
Salamanca
37007
Spain
Hospital Universitari i Politecnic La Fe de Valencia
Valencia
46026
Spain
Hospital de dia Quiron Zaragoza
Zaragoza
50012
Spain
Hematologiskt centrum
Stockholm
171 76
Sweden
Akademiska Sjukhuset
Uppsala
751 85
Sweden
Derived
Smith BD, Brummendorf TH, Roboz GJ, Gambacorti-Passerini C, Charbonnier A, Viqueira A, Leip E, Purcell S, Goldman EH, Giles F, Ernst T, Hochhaus A, Rosti G. Efficacy and safety of bosutinib in patients treated with prior imatinib and/or dasatinib and/or nilotinib: Subgroup analyses from the phase 4 BYOND study. Leuk Res. 2024 Apr;139:107481. doi: 10.1016/j.leukres.2024.107481. Epub 2024 Mar 11.
Rosti G, Brummendorf TH, Gjertsen BT, Giraldo-Castellano P, Castagnetti F, Gambacorti-Passerini C, Ernst T, Zhao H, Kuttschreuter L, Purcell S, Giles FJ, Hochhaus A. Impact of age and comorbidities on the efficacy and tolerability of bosutinib in previously treated patients with chronic myeloid leukemia: results from the phase 4 BYOND study. Leukemia. 2024 Jan;38(1):126-135. doi: 10.1038/s41375-023-02080-y. Epub 2023 Nov 25.
Takahashi N, Cortes JE, Sakaida E, Ishizawa K, Ono T, Doki N, Matsumura I, Garcia-Gutierrez V, Rosti G, Ono C, Ohkura M, Tanetsugu Y, Viqueira A, Brummendorf TH. Safety profile of bosutinib in Japanese versus non-Japanese patients with chronic myeloid leukemia: a pooled analysis. Int J Hematol. 2022 Jun;115(6):838-851. doi: 10.1007/s12185-022-03314-y. Epub 2022 Mar 2.
Hochhaus A, Gambacorti-Passerini C, Abboud C, Gjertsen BT, Brummendorf TH, Smith BD, Ernst T, Giraldo-Castellano P, Olsson-Stromberg U, Saussele S, Bardy-Bouxin N, Viqueira A, Leip E, Russell-Smith TA, Leone J, Rosti G, Watts J, Giles FJ; BYOND Study Investigators. Bosutinib for pretreated patients with chronic phase chronic myeloid leukemia: primary results of the phase 4 BYOND study. Leukemia. 2020 Aug;34(8):2125-2137. doi: 10.1038/s41375-020-0915-9. Epub 2020 Jun 22.
FG001
Bosutinib: Chronic Phase 3rd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic Phase 3rd line chronic myelogenous leukemia resistant or intolerant to imatinib and/or dasatinib and/or nilotinib received bosutinib 500 mg, orally once daily until disease progression, unacceptable toxicity, withdrawal of consent, death or discontinuation of study (up to maximum of 4 years). Participants who discontinued bosutinib prior to completing at least 4 years of therapy were followed for survival until they completed at least 4 years of follow-up from the time of first dose.
FG002
Bosutinib: Chronic Phase 4th Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 4th line chronic myelogenous leukemia resistant or intolerant to imatinib and dasatinib and nilotinib received bosutinib 500 mg, orally once daily until disease progression, unacceptable toxicity, withdrawal of consent, death or discontinuation of study (up to maximum of 4 years). Participants who discontinued bosutinib prior to completing at least 4 years of therapy were followed for survival until they completed at least 4 years of follow-up from the time of first dose.
Participants with philadelphia chromosome positive accelerated phase chronic myelogenous leukemia resistant or intolerant to at least one tyrosine kinase inhibitor among imatinib, dasatinib, or nilotinib received bosutinib 500 mg, orally once daily until disease progression, unacceptable toxicity, withdrawal of consent, death or discontinuation of study (up to maximum of 4 years). Participants who discontinued bosutinib prior to completing at least 4 years of therapy were followed for survival until they completed at least 4 years of follow-up from the time of first dose.
FG004
Bosutinib: Philadelphia Chromosome Negative Chronic Myelogenous Leukemia
Participants with BCR-ABL1 positive and philadelphia chromosome negative chronic myelogenous leukemia received bosutinib 500 mg, orally once daily until disease progression, unacceptable toxicity, withdrawal of consent, death or discontinuation of study (up to maximum of 4 years). Participants who discontinued bosutinib prior to completing at least 4 years of therapy were followed for survival until they completed at least 4 years of follow-up from the time of first dose.
FG00046 subjects
FG00161 subjects
FG00249 subjects
FG0034 subjects
FG0043 subjects
COMPLETED
FG00036 subjects
FG00143 subjects
FG00228 subjects
FG0032 subjects
FG0041 subjects
NOT COMPLETED
FG00010 subjects
FG00118 subjects
FG00221 subjects
FG0032 subjects
FG0042 subjects
Type
Comment
Reasons
Death
FG0005 subjects
FG0017 subjects
FG0025 subjects
FG0030 subjects
FG0042 subjects
Participant refused further follow-up
FG0000 subjects
FG0010 subjects
FG0021 subjects
FG0030 subjects
FG004
Study terminated by sponsor
FG0003 subjects
FG0015 subjects
FG0027 subjects
FG0030 subjects
FG004
Lost to Follow-up
FG0000 subjects
FG0010 subjects
FG0023 subjects
FG0031 subjects
FG004
Withdrawal by Subject
FG0000 subjects
FG0013 subjects
FG0022 subjects
FG0031 subjects
FG004
Other
FG0002 subjects
FG0013 subjects
FG0023 subjects
FG0030 subjects
FG004
Safety analysis set included all participants who received at least 1 dose of bosutinib
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Bosutinib: Chronic Phase 2nd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 2nd line chronic myelogenous leukemia.
BG001
Bosutinib: Chronic Phase 3rd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic Phase 3rd line chronic myelogenous leukemia.
BG002
Bosutinib: Chronic Phase 4th Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 4th line chronic myelogenous leukemia.
Participants with philadelphia chromosome positive accelerated phase chronic myelogenous leukemia.
BG004
Bosutinib: Philadelphia Chromosome Negative Chronic Myelogenous Leukemia
Participants with BCR-ABL1 positive and philadelphia chromosome negative chronic myelogenous leukemia.
BG005
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG00046
BG00161
BG00249
BG0034
BG0043
BG005163
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Mean
Standard Deviation
Years
Title
Denominators
Categories
Title
Measurements
BG00055.8± 15.4
BG00161.8± 15.0
BG00259.4± 15.3
BG003
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG00023
BG00124
BG002
Race (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
American Indian or Alaska Native
BG0000
BG0010
BG002
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
Percentage of Participants With Cumulative Confirmed Major Cytogenetic Response (MCyR) in 2nd and 3rd Line Chronic Phase (CP) Participants
Confirmed MCyR: confirmed (complete cytogenetic response[CCyR] or partial cytogenetic response[PCyR]) by 1 year for participants entering the study without CCyR or maintenance of confirmed CCyR for at least 1 year after treatment start with bosutinib for participants entering the study with CCyR or at least major molecular response(MMR) by 1 year and a deeper molecular response compared to baseline. Participants with baseline PCyR that did not achieve CCyR were counted as nonresponders. Initial cytogenetic (in absence of MMR) responses must have been confirmed by 2 consecutive assessments >=28 days apart. CCyR: 0% Ph+ cells from >=20 metaphases from conventional cytogenetics or <1% Ph+ cells from >= 200 cells from fluorescent in situ hybridization(FISH). PCyR: 1 to 35% Ph+ cells. MMR: <=0.1% BCR-ABL1 on the international scale (IS) with at least 10,000 ABL1 transcripts assessed by central laboratory.
Evaluable set for cytogenetic response: treated participants with valid baseline efficacy assessment (>=20 metaphases from baseline bone marrow or CCyR with >=200 cells from FISH or baseline MMR). Data for this outcome measure was not planned to be collected and analyzed for AP CML and Ph- participants and planned to be analyzed for 2nd line and 3rd line population.
Posted
Number
95% Confidence Interval
percentage of participants
Up to 1 year (52 weeks)
ID
Title
Description
OG000
Bosutinib, Chronic Phase 2nd and 3rd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 2nd and 3rd line chronic myelogenous leukemia.
Units
Counts
Participants
OG00098
Title
Denominators
Categories
Title
Measurements
OG00076.5(66.9 to 84.5)
Primary
Percentage of Participants With Cumulative Confirmed Major Cytogenetic Response (MCyR) in 4th or Later Line Chronic Phase (CP) Participants
Confirmed MCyR: confirmed CCyR or PCyR by 1 year for participants entering the study without CCyR or maintenance of confirmed CCyR for at least 1 year after treatment start with bosutinib for participants entering the study with CCyR or at least MMR by 1 year and a deeper molecular response compared to baseline. Participants with baseline PCyR that did not achieve CCyR were counted as nonresponders. Initial cytogenetic (in absence of MMR) responses must have been confirmed by 2 consecutive assessments >=28 days apart. CCyR: 0% Ph+ cells from >=20 metaphases from conventional cytogenetics or <1% Ph+ cells from >= 200 cells from fluorescent in situ hybridization(FISH). PCyR: 1 to 35% Ph+ cells. MMR: <=0.1% BCR-ABL1 on the IS with at least 10,000 ABL1 transcripts assessed by central laboratory.
Evaluable set cytogenetic response: treated participants with valid baseline efficacy assessment (>= 20 metaphases from baseline bone marrow or CCyR with >=200 cells from FISH or baseline MMR). Data for this outcome measure was not planned to be collected and analyzed for AP CML and Ph-participants.
Posted
Number
95% Confidence Interval
percentage of participants
Up to 1 year (52 weeks)
ID
Title
Description
OG000
Bosutinib: Chronic Phase 4th Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 4th line chronic myelogenous leukemia.
Primary
Percentage of Participants With Cumulative Confirmed Overall Hematological Response (OHR) in Accelerated Phase (AP) Chronic Myelogenous Leukemia (CML) Participants
Confirmed OHR was defined as complete hematological response (CHR) or return to chronic phase (RCP) by 1 year in AP and BP participants. CHR was defined as white blood cells (WBC) <10*10^9/L, peripheral blood basophils <5%, no peripheral blood myelocytes, promyelocytes, myeloblasts in the differential, platelet count <450*10^9/L, spleen not palpable. Hematologic responses must be of >=4 weeks duration confirmed by 2 assessments >=4 weeks apart.
Evaluable set for hematological response: treated participants with a valid baseline hematologic assessment. Data for this outcome measure was not planned to be collected and analyzed for CP2L, CP3L, CP4L and Ph- CML participants.
Participants with philadelphia chromosome positive accelerated phase chronic myelogenous leukemia.
Units
Counts
Participants
OG000
Secondary
Percentage of Participants With Cumulative Major Cytogenetic Response (MCyR)
CyR was based on prevalence of Ph+ cells. CCyR was achieved when there was 0 % Ph+ cells from >=20 metaphases from conventional bone marrow cytogenetics or <1% Ph+ cells from >=200 cells analyzed from FISH. PCyR was achieved when 1 to 35% Ph+ cells were present. MCyR was categorized as either CCyR or PCyR. Participants with MMR or better at baseline were counted as CCyR if baseline response was maintained or improved while on treatment.
Evaluable set cytogenetic response: treated participants with valid baseline efficacy assessment (>=20 metaphases from baseline bone marrow or CCyR with >=200 cells from FISH or baseline MMR). Data for this outcome measure was not planned to be collected and analyzed for Ph- participants.
Posted
Number
95% Confidence Interval
percentage of participants
Up to 4 years
ID
Title
Description
OG000
Bosutinib: Chronic Phase 2nd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 2nd line chronic myelogenous leukemia.
OG001
Bosutinib: Chronic Phase 3rd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic Phase 3rd line chronic myelogenous leukemia.
OG002
Bosutinib: Chronic Phase 4th Line Chronic Myelogenous Leukemia
Secondary
Percentage of Participants With Cumulative Confirmed Overall Hematological Response (OHR) in Participants With Accelerated Phase (AP) Chronic Myelogenous Leukemia (CML)
Confirmed OHR was defined as CHR or RCP in AP and BP participants. CHR was defined as WBC <10*10^9/L, peripheral blood basophils <5%, no peripheral blood myelocytes, promyelocytes, myeloblasts in the differential, platelet count <450*10^9/L, spleen not palpable. Hematologic responses must be of >=4 weeks duration confirmed by 2 assessments >=4 weeks apart.
Evaluable set for hematological response: treated participants with a valid baseline hematologic assessment. Data for this outcome measure was not planned to be collected and analyzed for CP2L, CP3L, CP4L and Ph- CML participants.
Participants with philadelphia chromosome positive accelerated phase chronic myelogenous leukemia.
Units
Counts
Participants
OG000
Secondary
Percentage of Participants With Cumulative Best Response
Hierarchy best response: %participants with best response among molecular/cytogenetic/hematologic response. Molecular response:MR4.5/MR4/MMR defined as <=0.0032/0.01/0.1% BCR-ABL1 ratio on IS corresponding to >=4.5/4/3-log reduction from standardised baseline with at least 32,000/10,000/10,000 ABL1 assessed by central laboratory. CyR:based on prevalence of Ph+cells. CCyR: 0% Ph+cells from >=20 metaphases from conventional cytogenetics or <1%Ph+cells from >=200 cells from FISH. PCyR:1 to 35% Ph+cells. CHR:WBC <10*10^9/L, peripheral blood basophils<5%, no peripheral blood myelocytes, promyelocytes, myeloblasts in differential, platelet count<450*10^9/L, spleen not palpable.
Evaluable set:treated participants with valid baseline molecular, cytogenetic or hematologic assessment. Data for this outcome measure (all categories including OHR) was not planned to be collected and analyzed for Ph- CML participants. Data for OHR was not planned to be collected and analyzed for CP CML participants.
Posted
Number
95% Confidence Interval
percentage of participants
Up to 4 years
ID
Title
Description
OG000
Bosutinib: Chronic Phase 2nd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 2nd line chronic myelogenous leukemia.
OG001
Bosutinib: Chronic Phase 3rd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic Phase 3rd line chronic myelogenous leukemia.
Secondary
Percentage of Participants With Major Cytogenetic Response (MCyR) at Months 3, 6, 12, 18 and 24
CyR was based on prevalence of Ph+ cells. CCyR was achieved when there was 0 % Ph+ cells from >=20 metaphases from conventional bone marrow cytogenetics or <1% Ph+ cells from >=200 cells analyzed from FISH. PCyR was achieved when 1 to 35% Ph+ cells were present. MCyR was categorized as either CCyR or PCyR. Participants with MMR or better at baseline were counted as CCyR if baseline response was maintained or improved while on treatment.
Evaluable set cytogenetic response: treated participants with valid baseline efficacy assessment (>= 20 metaphases from baseline bone marrow or CCyR with >=200 cells from FISH or baseline MMR). Data for this outcome measure was not planned to be collected and analyzed for Ph- participants.
Posted
Number
95% Confidence Interval
percentage of participants
Months 3, 6, 12, 18, and 24
ID
Title
Description
OG000
Bosutinib: Chronic Phase 2nd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 2nd line chronic myelogenous leukemia.
OG001
Bosutinib: Chronic Phase 3rd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic Phase 3rd line chronic myelogenous leukemia.
OG002
Secondary
Percentage of Accelerated Phase Participants With Confirmed Overall Hematological Response (OHR) at Month 3, 6, 9, 12, 18, and 24
Confirmed OHR was defined as CHR or RCP in AP and BP participants. CHR was defined as WBC <10*10^9/L, peripheral blood basophils <5%, no peripheral blood myelocytes, promyelocytes, myeloblasts in the differential, platelet count <450*10^9/L, spleen not palpable. Hematologic responses must be of >=4 weeks duration confirmed by 2 assessments >=4 weeks apart.
Evaluable set hematological response: treated participants with a valid baseline hematologic assessment. Data for this outcome measure was not planned to be collected and analyzed for CP2L, CP3L, CP4L and Ph- CML participants.
Participants with philadelphia chromosome positive accelerated phase chronic myelogenous leukemia.
Units
Counts
Participants
OG000
Secondary
Percentage of Participants With Cumulative Confirmed Complete Hematological Response (CHR)
CHR was defined as WBC <10*10^9/L, peripheral blood basophils <5%, no peripheral blood myelocytes, promyelocytes, myeloblasts in the differential, platelet count <450*10^9/L, spleen not palpable. Hematologic responses must be of >=4 weeks duration confirmed by 2 assessments >=4 weeks apart.
Evaluable set for hematological response: treated participants with a valid baseline hematologic assessment. Data for this outcome measure was not planned to be collected and analyzed for Ph- participants.
Posted
Number
95% Confidence Interval
percentage of participants
Up to 4 years
ID
Title
Description
OG000
Bosutinib: Chronic Phase 2nd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 2nd line chronic myelogenous leukemia.
OG001
Bosutinib: Chronic Phase 3rd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic Phase 3rd line chronic myelogenous leukemia.
OG002
Bosutinib: Chronic Phase 4th Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 4th line chronic myelogenous leukemia.
Secondary
Percentage of Participants With Cumulative Major Molecular Response (MMR)
Molecular response: MR4.5/MR4/MMR defined as <=0.0032/0.01/0.1% BCR-ABL1 ratio respectively, on IS corresponding to >=4.5/4/3-log reduction from standardized baseline with at least 32,000/10,000/10,000 ABL1 assessed by central laboratory. To be considered a responder, the participant must have had maintenance of baseline response while on-treatment or an improvement from baseline.
Evaluable set for molecular response: treated participants with a valid baseline molecular assessment. Data for this outcome measure was not planned to be collected and analyzed for Ph- participants.
Posted
Number
95% Confidence Interval
percentage of participants
Up to 4 years
ID
Title
Description
OG000
Bosutinib: Chronic Phase 2nd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 2nd line chronic myelogenous leukemia.
OG001
Bosutinib: Chronic Phase 3rd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic Phase 3rd line chronic myelogenous leukemia.
OG002
Bosutinib: Chronic Phase 4th Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 4th line chronic myelogenous leukemia.
Secondary
Kaplan-Meier Estimate of Probability of Retaining Complete Cytogenetic Response (CCyR) at Month 36
Kaplan-Meier analysis. Duration of CCyR: from first date of CCyR to date of confirmed loss of CCyR/disease progression/on-treatment death or censoring, analyzed for responders only. CyR: prevalence of Ph+ cells. CCyR: 0% Ph+ cells from >=20 metaphases from conventional cytogenetics or <1% Ph+ cells from >=200 cells analyzed by FISH or MMR (<=0.1% BCR-ABL1 on the IS with at least 10,000 ABL1 transcripts assessed by central laboratory). Confirmed loss: 2 consecutive non-response assessments >=28 days apart. Progression: for CP: participants evolving from CP to AP, loss of CHR; loss of MCyR; in participants without CHR WBC >20*10^9/L on 2 occasions >=2 weeks apart after the first 4 weeks of treatment; for AP: confirmed BP, loss of previous hematologic response over a 2-week period, loss of CHR, no decrease from baseline levels (if considered clinically relevant) in percentage blasts in peripheral blood or bone marrow on all assessments over a 4-week period.
Evaluable set for cytogenetic response: treated participants with valid baseline cytogenetic assessment (>= 20 metaphases from baseline bone marrow or CCyR with >=200 cells from FISH or baseline MMR) and who achieved CCyR. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure who had CCyR.
Posted
Number
95% Confidence Interval
percentage of participants
At Month 36
ID
Title
Description
OG000
Bosutinib: Chronic Phase 2nd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 2nd line chronic myelogenous leukemia.
Secondary
Kaplan-Meier Estimate of Probability of Retaining Major Molecular Response (MMR) at Month 36
Kaplan-Meier analysis. Duration of MMR: from first date of MMR to confirmed loss of MMR/disease progression/on-treatment death or censoring, analyzed for responders only. MMR:<=0.1% BCR-ABL1 on the IS with at least 10,000 ABL1 transcripts assessed by central laboratory . Confirmed loss: 2 consecutive non-response assessments >=28 days apart with a <3-log (>0.1%) reduction in transcripts one of which corresponds to a <=2-log reduction (>=1%). Progression: for CP: participants evolving from CP to AP, loss of CHR; loss of MCyR; in participants without CHR WBC >20*10^9/L on 2 occasions >=2weeks apart after the first 4 weeks of treatment; for AP: confirmed BP, loss of previous hematologic response over a 2-week period, loss of CHR, no decrease from baseline levels (if considered clinically relevant) in percentage blasts in peripheral blood or bone marrow on all assessments over a 4-week period.
Evaluable set for molecular response: treated participants with valid baseline molecular assessment and who achieved MMR. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure who had MMR.
Posted
Number
95% Confidence Interval
percentage of participants
At Month 36
ID
Title
Description
OG000
Bosutinib: Chronic Phase 2nd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 2nd line chronic myelogenous leukemia.
OG001
Bosutinib: Chronic Phase 3rd Line Chronic Myelogenous Leukemia
Secondary
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious AEs
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAE: any event increasing in severity from baseline or any new event started during bosutinib therapy or within 28 days of the last dose of study drug. SAE: an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial/prolonged inpatient hospitalization; life-threatening experience (immediate risk of death); persistent or significant disability/incapacity; congenital anomaly.
The safety analysis set included participants who received at least 1 dose of bosutinib.
Posted
Count of Participants
Participants
First dose of study drug up to 28 days after last dose (up to maximum of 4 years)
ID
Title
Description
OG000
Bosutinib: Chronic Phase 2nd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 2nd line chronic myelogenous leukemia.
OG001
Bosutinib: Chronic Phase 3rd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic Phase 3rd line chronic myelogenous leukemia.
OG002
Bosutinib: Chronic Phase 4th Line Chronic Myelogenous Leukemia
Secondary
Number of Participants With Grade 3 or 4 Treatment Emergent Adverse Events (TEAEs) Based on National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAE was any event increasing in severity from baseline or any new event that started during bosutinib therapy or within 28 days of the last dose of study drug. Severity was graded as Grade 1: asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; Grade 2: moderate, minimal, local or noninvasive intervention indicated, limiting age-appropriate instrumental activities of daily life (ADL); Grade 3: severe or medically significant but not immediately life-threatening, hospitalization or prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence, urgent intervention indicated; Grade 5: death related to AE. Number of participants with Grade 3 or 4 TEAEs are reported.
The safety analysis set included participants who received at least 1 dose of bosutinib.
Posted
Count of Participants
Participants
First dose of study drug up to 28 days after last dose (up to maximum of 4 years)
ID
Title
Description
OG000
Bosutinib: Chronic Phase 2nd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 2nd line chronic myelogenous leukemia.
OG001
Bosutinib: Chronic Phase 3rd Line Chronic Myelogenous Leukemia
Secondary
Number of Participants With Treatment Related Treatment Emergent Adverse Events (TEAEs)
An AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. TEAE was any event increasing in severity from baseline or any new event that started during bosutinib therapy or within 28 days of the last dose of study drug. Relatedness to drug was assessed by investigator.
The safety analysis set included participants who received at least 1 dose of bosutinib.
Posted
Count of Participants
Participants
First dose of study drug up to 28 days after last dose (up to maximum of 4 years)
ID
Title
Description
OG000
Bosutinib: Chronic Phase 2nd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 2nd line chronic myelogenous leukemia.
OG001
Bosutinib: Chronic Phase 3rd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic Phase 3rd line chronic myelogenous leukemia.
OG002
Bosutinib: Chronic Phase 4th Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 4th line chronic myelogenous leukemia.
Secondary
Number of Participants With Laboratory Abnormalities Based on National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03
Number of participants with any hematological, chemistry and coagulation abnormality of any grade were reported. Hematological: absolute neutrophil count (low), hemoglobin (low), lymphocytes (low), platelets (low) and leukocytes (low). Chemistry: alkaline phosphatase (high), alanine aminotransferase (high), amylase (high), aspartate aminotransferase (high), bilirubin (high), creatinine (high), lipase (high). Coagulation: activated partial prothrombin time (low), prothrombin time (low and high), partial prothrombin time (high).
The safety analysis set included participants who received at least 1 dose of bosutinib.
Posted
Count of Participants
Participants
First dose of study drug up to 28 days after last dose (up to maximum of 4 years)
ID
Title
Description
OG000
Bosutinib: Chronic Phase 2nd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 2nd line chronic myelogenous leukemia.
OG001
Bosutinib: Chronic Phase 3rd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic Phase 3rd line chronic myelogenous leukemia.
OG002
Bosutinib: Chronic Phase 4th Line Chronic Myelogenous Leukemia
Time Frame
From first dose of study drug up to 28 days after last dose (up to maximum of 4 years)
Description
The total number of deaths occurring during study, from first dose and up to the end of the study are reported for all treated participants and includes deaths which occurred after 28 days post last study drug dose. Same event may appear as both an AE and Serious Adverse Events. An event may be categorized as serious in 1 participant and as non-serious in another, or a participant may have experienced both a serious and non-serious event. Analysis performed on safety set.
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Bosutinib: Chronic Phase 2nd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 2nd line chronic myelogenous leukemia.
5
46
21
46
46
46
EG001
Bosutinib: Chronic Phase 3rd Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic Phase 3rd line chronic myelogenous leukemia.
7
61
30
61
61
61
EG002
Bosutinib: Chronic Phase 4th Line Chronic Myelogenous Leukemia
Participants with philadelphia chromosome positive chronic phase 4th line chronic myelogenous leukemia.
Participants with philadelphia chromosome positive accelerated phase chronic myelogenous leukemia.
0
4
1
4
4
4
EG004
Bosutinib: Philadelphia Chromosome Negative Chronic Myelogenous Leukemia
Participants with BCR-ABL1 positive and philadelphia chromosome negative chronic myelogenous leukemia.
2
3
3
3
3
3
EG005
Bosutinib: Chronic Myelogenous Leukemia
Participants with Philadelphia chromosome positive chronic phase 2nd, 3rd and 4th line chronic myelogenous leukemia, Philadelphia chromosome positive accelerated phase chronic myelogenous leukemia and BCR-ABL1-chronic myelogenous leukemia/Philadelphia chromosome negative chronic myelogenous leukemia.
19
163
69
163
162
163
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Anaemia
Blood and lymphatic system disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0012 affected61 at risk
EG0020 affected49 at risk
EG0030 affected4 at risk
EG0040 affected3 at risk
EG0053 affected163 at risk
Abdominal lymphadenopathy
Blood and lymphatic system disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Lymphadenopathy
Blood and lymphatic system disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Pancytopenia
Blood and lymphatic system disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Cardiac failure
Cardiac disorders
MedDRA v23.1
Non-systematic Assessment
EG0002 affected46 at risk
EG0013 affected61 at risk
EG0021 affected49 at risk
EG003
Atrial fibrillation
Cardiac disorders
MedDRA v23.1
Non-systematic Assessment
EG0003 affected46 at risk
EG0011 affected61 at risk
EG0021 affected49 at risk
EG003
Pericardial effusion
Cardiac disorders
MedDRA v23.1
Non-systematic Assessment
EG0002 affected46 at risk
EG0010 affected61 at risk
EG0021 affected49 at risk
EG003
Angina pectoris
Cardiac disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Angina unstable
Cardiac disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Atrioventricular block complete
Cardiac disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Bundle branch block right
Cardiac disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Cardiac failure congestive
Cardiac disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Cardiogenic shock
Cardiac disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0010 affected61 at risk
EG0021 affected49 at risk
EG003
Cardiomyopathy
Cardiac disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Coronary artery occlusion
Cardiac disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Sinus node dysfunction
Cardiac disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Keratoconus
Eye disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Abdominal pain
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0021 affected49 at risk
EG003
Appendiceal mucocoele
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Ascites
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Colitis
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Gastritis
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Gastrointestinal haemorrhage
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Gastrooesophageal reflux disease
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Hiatus hernia
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Ileus
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Oesophageal fistula
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Pancreatitis
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0010 affected61 at risk
EG0021 affected49 at risk
EG003
Rectal polyp
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0010 affected61 at risk
EG0021 affected49 at risk
EG003
Subileus
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Pyrexia
General disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0013 affected61 at risk
EG0020 affected49 at risk
EG003
Chest pain
General disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Multiple organ dysfunction syndrome
General disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Cholecystitis
Hepatobiliary disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Cholelithiasis
Hepatobiliary disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0010 affected61 at risk
EG0021 affected49 at risk
EG003
Hepatic cirrhosis
Hepatobiliary disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Hypersensitivity
Immune system disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0010 affected61 at risk
EG0021 affected49 at risk
EG003
Pneumonia
Infections and infestations
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0012 affected61 at risk
EG0023 affected49 at risk
EG003
Cellulitis
Infections and infestations
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0010 affected61 at risk
EG0021 affected49 at risk
EG003
Appendicitis
Infections and infestations
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Bronchitis
Infections and infestations
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0010 affected61 at risk
EG0021 affected49 at risk
EG003
Pneumonia pneumococcal
Infections and infestations
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Pseudomembranous colitis
Infections and infestations
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Sepsis
Infections and infestations
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0010 affected61 at risk
EG0021 affected49 at risk
EG003
Viral infection
Infections and infestations
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Arterial restenosis
Injury, poisoning and procedural complications
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0010 affected61 at risk
EG0021 affected49 at risk
EG003
Femur fracture
Injury, poisoning and procedural complications
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Hip fracture
Injury, poisoning and procedural complications
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Rib fracture
Injury, poisoning and procedural complications
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Spinal fracture
Injury, poisoning and procedural complications
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Subdural haematoma
Injury, poisoning and procedural complications
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Tendon rupture
Injury, poisoning and procedural complications
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Blood creatinine increased
Investigations
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0010 affected61 at risk
EG0021 affected49 at risk
EG003
Diabetes mellitus
Metabolism and nutrition disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Diabetic ketoacidosis
Metabolism and nutrition disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Fluid retention
Metabolism and nutrition disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Metabolic disorder
Metabolism and nutrition disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Back pain
Musculoskeletal and connective tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0012 affected61 at risk
EG0020 affected49 at risk
EG003
Groin pain
Musculoskeletal and connective tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Musculoskeletal pain
Musculoskeletal and connective tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Neck pain
Musculoskeletal and connective tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Adenocarcinoma of colon
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Anaplastic large-cell lymphoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Brain neoplasm
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Laryngeal squamous cell carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Lung neoplasm malignant
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Lymphoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Metastases to liver
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Pancreatic carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Prostate cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Squamous cell carcinoma of lung
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Syncope
Nervous system disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0011 affected61 at risk
EG0021 affected49 at risk
EG003
Cerebrovascular accident
Nervous system disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0012 affected61 at risk
EG0020 affected49 at risk
EG003
Transient ischaemic attack
Nervous system disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Sciatica
Nervous system disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Anxiety
Psychiatric disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0010 affected61 at risk
EG0021 affected49 at risk
EG003
Acute kidney injury
Renal and urinary disorders
MedDRA v23.1
Non-systematic Assessment
EG0002 affected46 at risk
EG0011 affected61 at risk
EG0021 affected49 at risk
EG003
Chronic kidney disease
Renal and urinary disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Breast mass
Reproductive system and breast disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0010 affected61 at risk
EG0021 affected49 at risk
EG003
Ovarian cyst ruptured
Reproductive system and breast disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0010 affected61 at risk
EG0021 affected49 at risk
EG003
Pleural effusion
Respiratory, thoracic and mediastinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0002 affected46 at risk
EG0011 affected61 at risk
EG0023 affected49 at risk
EG003
Respiratory failure
Respiratory, thoracic and mediastinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0012 affected61 at risk
EG0020 affected49 at risk
EG003
Dyspnoea
Respiratory, thoracic and mediastinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Acute respiratory failure
Respiratory, thoracic and mediastinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Emphysema
Respiratory, thoracic and mediastinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Haemoptysis
Respiratory, thoracic and mediastinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Hypoxia
Respiratory, thoracic and mediastinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Lung disorder
Respiratory, thoracic and mediastinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Pneumonitis
Respiratory, thoracic and mediastinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Pulmonary hypertension
Respiratory, thoracic and mediastinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0010 affected61 at risk
EG0021 affected49 at risk
EG003
Skin ulcer
Skin and subcutaneous tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Peripheral arterial occlusive disease
Vascular disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0012 affected61 at risk
EG0021 affected49 at risk
EG003
Peripheral ischaemia
Vascular disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0012 affected61 at risk
EG0020 affected49 at risk
EG003
Haemorrhage
Vascular disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Shock haemorrhagic
Vascular disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0010 affected61 at risk
EG0020 affected49 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Anaemia
Blood and lymphatic system disorders
MedDRA v23.1
Non-systematic Assessment
EG0007 affected46 at risk
EG00114 affected61 at risk
EG0025 affected49 at risk
EG0030 affected4 at risk
EG0042 affected3 at risk
EG00528 affected163 at risk
Thrombocytopenia
Blood and lymphatic system disorders
MedDRA v23.1
Non-systematic Assessment
EG0007 affected46 at risk
EG0016 affected61 at risk
EG0024 affected49 at risk
EG003
Neutropenia
Blood and lymphatic system disorders
MedDRA v23.1
Non-systematic Assessment
EG0003 affected46 at risk
EG0014 affected61 at risk
EG0020 affected49 at risk
EG003
Atrial fibrillation
Cardiac disorders
MedDRA v23.1
Non-systematic Assessment
EG0004 affected46 at risk
EG0012 affected61 at risk
EG0020 affected49 at risk
EG003
Cardiac failure
Cardiac disorders
MedDRA v23.1
Non-systematic Assessment
EG0003 affected46 at risk
EG0012 affected61 at risk
EG0021 affected49 at risk
EG003
Dry eye
Eye disorders
MedDRA v23.1
Non-systematic Assessment
EG0003 affected46 at risk
EG0011 affected61 at risk
EG0021 affected49 at risk
EG003
Conjunctival hyperaemia
Eye disorders
MedDRA v23.1
Non-systematic Assessment
EG0003 affected46 at risk
EG0012 affected61 at risk
EG0020 affected49 at risk
EG003
Diarrhoea
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG00043 affected46 at risk
EG00154 affected61 at risk
EG00242 affected49 at risk
EG003
Nausea
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG00015 affected46 at risk
EG00129 affected61 at risk
EG00225 affected49 at risk
EG003
Vomiting
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG00013 affected46 at risk
EG00122 affected61 at risk
EG00219 affected49 at risk
EG003
Abdominal pain
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG00014 affected46 at risk
EG00117 affected61 at risk
EG00216 affected49 at risk
EG003
Abdominal pain upper
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG00019 affected46 at risk
EG0018 affected61 at risk
EG0029 affected49 at risk
EG003
Constipation
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG00013 affected46 at risk
EG00111 affected61 at risk
EG0027 affected49 at risk
EG003
Dyspepsia
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0004 affected46 at risk
EG0016 affected61 at risk
EG0023 affected49 at risk
EG003
Abdominal distension
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0003 affected46 at risk
EG0015 affected61 at risk
EG0023 affected49 at risk
EG003
Gastrooesophageal reflux disease
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0004 affected46 at risk
EG0013 affected61 at risk
EG0022 affected49 at risk
EG003
Flatulence
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0005 affected46 at risk
EG0013 affected61 at risk
EG0021 affected49 at risk
EG003
Abdominal discomfort
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0003 affected46 at risk
EG0012 affected61 at risk
EG0021 affected49 at risk
EG003
Fatigue
General disorders
MedDRA v23.1
Non-systematic Assessment
EG00010 affected46 at risk
EG00115 affected61 at risk
EG00219 affected49 at risk
EG003
Asthenia
General disorders
MedDRA v23.1
Non-systematic Assessment
EG00020 affected46 at risk
EG0019 affected61 at risk
EG0026 affected49 at risk
EG003
Pyrexia
General disorders
MedDRA v23.1
Non-systematic Assessment
EG0007 affected46 at risk
EG00111 affected61 at risk
EG00213 affected49 at risk
EG003
Oedema peripheral
General disorders
MedDRA v23.1
Non-systematic Assessment
EG0009 affected46 at risk
EG00111 affected61 at risk
EG0029 affected49 at risk
EG003
Chest pain
General disorders
MedDRA v23.1
Non-systematic Assessment
EG0004 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Influenza like illness
General disorders
MedDRA v23.1
Non-systematic Assessment
EG0004 affected46 at risk
EG0011 affected61 at risk
EG0021 affected49 at risk
EG003
Nasopharyngitis
Infections and infestations
MedDRA v23.1
Non-systematic Assessment
EG0007 affected46 at risk
EG00111 affected61 at risk
EG0028 affected49 at risk
EG003
Influenza
Infections and infestations
MedDRA v23.1
Non-systematic Assessment
EG0006 affected46 at risk
EG0013 affected61 at risk
EG0025 affected49 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0016 affected61 at risk
EG0022 affected49 at risk
EG003
Bronchitis
Infections and infestations
MedDRA v23.1
Non-systematic Assessment
EG0003 affected46 at risk
EG0013 affected61 at risk
EG0022 affected49 at risk
EG003
Upper respiratory tract infection
Infections and infestations
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0015 affected61 at risk
EG0022 affected49 at risk
EG003
Folliculitis
Infections and infestations
MedDRA v23.1
Non-systematic Assessment
EG0006 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Fall
Injury, poisoning and procedural complications
MedDRA v23.1
Non-systematic Assessment
EG0002 affected46 at risk
EG00110 affected61 at risk
EG0023 affected49 at risk
EG003
Alanine aminotransferase increased
Investigations
MedDRA v23.1
Non-systematic Assessment
EG00010 affected46 at risk
EG00118 affected61 at risk
EG00216 affected49 at risk
EG003
Aspartate aminotransferase increased
Investigations
MedDRA v23.1
Non-systematic Assessment
EG0009 affected46 at risk
EG00111 affected61 at risk
EG00213 affected49 at risk
EG003
Blood creatinine increased
Investigations
MedDRA v23.1
Non-systematic Assessment
EG0008 affected46 at risk
EG0017 affected61 at risk
EG00210 affected49 at risk
EG003
Lipase increased
Investigations
MedDRA v23.1
Non-systematic Assessment
EG0009 affected46 at risk
EG00111 affected61 at risk
EG0025 affected49 at risk
EG003
Amylase increased
Investigations
MedDRA v23.1
Non-systematic Assessment
EG0005 affected46 at risk
EG0018 affected61 at risk
EG0023 affected49 at risk
EG003
Weight decreased
Investigations
MedDRA v23.1
Non-systematic Assessment
EG0002 affected46 at risk
EG0017 affected61 at risk
EG0024 affected49 at risk
EG003
Gamma-glutamyl transferase increased
Investigations
MedDRA v23.1
Non-systematic Assessment
EG0003 affected46 at risk
EG0016 affected61 at risk
EG0023 affected49 at risk
EG003
Blood uric acid increased
Investigations
MedDRA v23.1
Non-systematic Assessment
EG0001 affected46 at risk
EG0016 affected61 at risk
EG0022 affected49 at risk
EG003
Blood folate decreased
Investigations
MedDRA v23.1
Non-systematic Assessment
EG0003 affected46 at risk
EG0012 affected61 at risk
EG0020 affected49 at risk
EG003
Decreased appetite
Metabolism and nutrition disorders
MedDRA v23.1
Non-systematic Assessment
EG0004 affected46 at risk
EG00110 affected61 at risk
EG0027 affected49 at risk
EG003
Hyperuricaemia
Metabolism and nutrition disorders
MedDRA v23.1
Non-systematic Assessment
EG0003 affected46 at risk
EG0010 affected61 at risk
EG0022 affected49 at risk
EG003
Arthralgia
Musculoskeletal and connective tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0008 affected46 at risk
EG00118 affected61 at risk
EG00210 affected49 at risk
EG003
Myalgia
Musculoskeletal and connective tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0007 affected46 at risk
EG00112 affected61 at risk
EG0024 affected49 at risk
EG003
Pain in extremity
Musculoskeletal and connective tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0008 affected46 at risk
EG0018 affected61 at risk
EG0025 affected49 at risk
EG003
Bone pain
Musculoskeletal and connective tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0005 affected46 at risk
EG0014 affected61 at risk
EG0023 affected49 at risk
EG003
Neck pain
Musculoskeletal and connective tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0004 affected46 at risk
EG0014 affected61 at risk
EG0022 affected49 at risk
EG003
Intervertebral disc disorder
Musculoskeletal and connective tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0003 affected46 at risk
EG0011 affected61 at risk
EG0021 affected49 at risk
EG003
Headache
Nervous system disorders
MedDRA v23.1
Non-systematic Assessment
EG00014 affected46 at risk
EG00117 affected61 at risk
EG00214 affected49 at risk
EG003
Paraesthesia
Nervous system disorders
MedDRA v23.1
Non-systematic Assessment
EG0003 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Insomnia
Psychiatric disorders
MedDRA v23.1
Non-systematic Assessment
EG0004 affected46 at risk
EG0012 affected61 at risk
EG0024 affected49 at risk
EG003
Dyspnoea
Respiratory, thoracic and mediastinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0009 affected46 at risk
EG00117 affected61 at risk
EG00212 affected49 at risk
EG003
Cough
Respiratory, thoracic and mediastinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0008 affected46 at risk
EG00118 affected61 at risk
EG0023 affected49 at risk
EG003
Pleural effusion
Respiratory, thoracic and mediastinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0006 affected46 at risk
EG00113 affected61 at risk
EG0029 affected49 at risk
EG003
Oropharyngeal pain
Respiratory, thoracic and mediastinal disorders
MedDRA v23.1
Non-systematic Assessment
EG00010 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Productive cough
Respiratory, thoracic and mediastinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0014 affected61 at risk
EG0021 affected49 at risk
EG003
Epistaxis
Respiratory, thoracic and mediastinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0003 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Pruritus
Skin and subcutaneous tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0005 affected46 at risk
EG0016 affected61 at risk
EG0027 affected49 at risk
EG003
Alopecia
Skin and subcutaneous tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0005 affected46 at risk
EG0015 affected61 at risk
EG0022 affected49 at risk
EG003
Dry skin
Skin and subcutaneous tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0003 affected46 at risk
EG0013 affected61 at risk
EG0025 affected49 at risk
EG003
Skin lesion
Skin and subcutaneous tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0004 affected46 at risk
EG0013 affected61 at risk
EG0022 affected49 at risk
EG003
Erythema
Skin and subcutaneous tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0005 affected46 at risk
EG0012 affected61 at risk
EG0021 affected49 at risk
EG003
Acne
Skin and subcutaneous tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0003 affected46 at risk
EG0013 affected61 at risk
EG0021 affected49 at risk
EG003
Rash pruritic
Skin and subcutaneous tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0004 affected46 at risk
EG0013 affected61 at risk
EG0020 affected49 at risk
EG003
Night sweats
Skin and subcutaneous tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0003 affected46 at risk
EG0010 affected61 at risk
EG0021 affected49 at risk
EG003
Hypertension
Vascular disorders
MedDRA v23.1
Non-systematic Assessment
EG0004 affected46 at risk
EG0011 affected61 at risk
EG0028 affected49 at risk
EG003
Haematoma
Vascular disorders
MedDRA v23.1
Non-systematic Assessment
EG0000 affected46 at risk
EG0014 affected61 at risk
EG0021 affected49 at risk
EG003
Back pain
Musculoskeletal and connective tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0007 affected46 at risk
EG00113 affected61 at risk
EG0029 affected49 at risk
EG003
Muscle spasms
Musculoskeletal and connective tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0002 affected46 at risk
EG0015 affected61 at risk
EG0022 affected49 at risk
EG003
Dizziness
Nervous system disorders
MedDRA v23.1
Non-systematic Assessment
EG0008 affected46 at risk
EG0019 affected61 at risk
EG0029 affected49 at risk
EG003
Rash
Skin and subcutaneous tissue disorders
MedDRA v23.1
Non-systematic Assessment
EG0009 affected46 at risk
EG0018 affected61 at risk
EG0028 affected49 at risk
EG003
Gastrointestinal disorder
Gastrointestinal disorders
MedDRA v23.1
Non-systematic Assessment
EG0003 affected46 at risk
EG0011 affected61 at risk
EG0020 affected49 at risk
EG003
Certain Agreements
Are all PI(s) employees of the sponsor?
No
Restriction Type
OTHER
Results Disclosure Restriction on PI(s)?
Yes
Other Details
Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.