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The purpose of this clinical study is to assess the safety and tolerability and efficacy of active immunotherapy with dose escalation and cohort expansion of OBI-833 in advanced/metastatic gastric, lung, colorectal, or breast cancer subjects.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose escalation | Experimental | Each subject will be given a total of 10 doses of OBI-833/OBI-821 subcutaneously at weeks 1,2,3,4,6,8,12,16,20,and 24 (Visits 1,2,3,4,5,6,7,8,9 and 10, respectively). Post treatment, subjects will be continually evaluated for safety and immune response every 4 weeks until the end of study, which is 12 weeks after the last dose, i.e., week 36. Subsequently, subjects will be followed for survival every 8 weeks up to 12 months after the end of study. |
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| Cohort expansion phase | Experimental | Each subject will be given OBI-833/OBI-821 at Weeks 1, 2, 3, 4, 6, 8, 12, 16, 20, 24, and every 8 weeks thereafter (Visits 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and every 8 weeks thereafter) until disease progression. For the subjects discontinued treatment because of disease progression, subjects will be continually evaluated for safety and immune response every 8 weeks until the end of the study, which is 24 weeks after the last dose. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| OBI-833/OBI-821 | Drug |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment-emergent Adverse Events | Approximately 13 weeks for dose escalation cohorts and 44 weeks for expansion cohort |
| Measure | Description | Time Frame |
|---|---|---|
| Maximal Post-baseline Anti-Globo H Antibody Responses | Anti-Globo H IgM and IgG concentrations were measured using a chemical binding assay. | Approximately 13 weeks for dose escalation cohorts and 44 weeks for expansion cohort |
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Inclusion Criteria:
Subjects ≥21 years of age
Dose escalation phase: Histologically or cytologically confirmed diagnosis of gastric, lung, colorectal or breast cancer on file Cohort expansion phase: Histologically or cytologically confirmed diagnosis of Globo H-positive NSCLC
Dose escalation: Subjects with recurrent or metastatic incurable disease that failed to respond to at least one line of anticancer standard therapy and for which standard treatment is no longer effective or tolerable.
Cohort expansion phase: Subjects with recurrent or metastatic NSCLC who have achieved stable disease (SD), or partial response (PR) status after at least 1 regimen of anticancer therapy (i.e., chemotherapy, or targeted therapy, or PD-1/PD-L1 antagonists either alone or in combination) , and there are no standard treatments available except permitted Target or PD-1/PD-L1 therapies
Measurable disease (i.e., present with at least one measurable lesion per RECIST, version 1.1.
Dose Escalation Phase: No known central nervous system (CNS) metastases or neurological symptoms possibly related to active CNS metastasis in Dose Escalation Phase.
Cohort Expansion Phase: Subjects with asymptomatic CNS metastases for at least four weeks before study drug treatment
Performance status: ECOG ≤ 1
Organ Function Requirements - Subjects must have adequate organ functions as defined below:
AST/ALT ≤ 3X ULN (upper limit of normal) AST/ALT ≤ 5X ULN [with underlying liver metastasis] Total bilirubin ≤ 2.0 X ULN Serum creatinine ≤ 1.5X ULN ANC ≥ 1500 /µL Platelets > 100,000/µL
Subjects of child-bearing potential must agree to use acceptable contraceptive methods during treatment and until the end of the study. Subject not of childbearing potential (i.e., permanently sterilized, postmenopausal) can be included in study. Postmenopausal is defined as 12 months with no menses without an alternative medical cause.
Ability to understand and the willingness to sign a written informed consent document according to institutional guidelines.
Exclusion Criteria:
Patients who have not received standard chemotherapy, hormonal or targeted therapy for their underlying advanced/metastatic cancer.
Subjects who are pregnant or breast-feeding at entry.
Subjects with splenectomy.
Subjects with known or clinically manifest, symptomatic CNS metastases in Dose Escalation Phase.
Subjects with HIV infection, active hepatitis B infection or active hepatitis C infection.
Subjects with any autoimmune disorders requiring iv/oral steroids or immunosuppressive or immunomodulatory therapies.
- e.g., Type 1 juvenile onset diabetes mellitus, antibody positive for rheumatoid arthritis, Grave's disease, Hashimoto's thyroiditis, lupus, scleroderma, systemic vasculitis, hemolytic anemia, immune mediated thrombocytopenia, etc.
Subjects with any known uncontrolled inter-current illness including ongoing or active infections, symptomatic congestive heart failure (NYHA>2), unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
Dose escalation phase: Subjects with any of the following MEDICATIONS within 4 weeks prior to IP treatment, except permitted therapies as listed in section 7.1:
Cohort Expansion Phase: Subjects with any of the following MEDICATIONS within 4 weeks prior to IP treatment, except permitted therapies:
Subjects with pleural effusions and/or ascites, due to malignancy, requiring paracentesis every 2 weeks or more frequently.
Subjects with any known severe allergies (e.g., anaphylaxis) to any active or inactive ingredients in the study drugs.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Taipei Medical University Shuang Ho Hospital | New Taipei City | 23561 | Taiwan | |||
| National Taiwan University Hospital |
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| ID | Title | Description |
|---|---|---|
| FG000 | Dose Escalation - Cohort 1 | 10 μg OBI-833/100 μg OBI-821 |
| FG001 | Dose Escalation - Cohort 2 | 30 μg OBI-833/100 μg OBI-821 |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jul 30, 2020 | Dec 21, 2021 |
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| Taipei |
| 10002 |
| Taiwan |
| Taipei Medical University Hospital | Taipei | 11031 | Taiwan |
| Tri-Service General Hospital | Taipei | 114 | Taiwan |
| FG002 | Dose Escalation - Cohort 3 | 100 μg OBI-833/100 μg OBI-821 |
| FG003 | Expansion Cohort | NSCLC patients receiving 30 μg OBI-833/100 μg OBI-821 |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Dose Escalation - Cohort 1 | 10 μg OBI-833/100 μg OBI-821 |
| BG001 | Dose Escalation - Cohort 2 | 30 μg OBI-833/100 μg OBI-821 |
| BG002 | Dose Escalation - Cohort 3 | 100 μg OBI-833/100 μg OBI-821 |
| BG003 | Expansion Cohort | NSCLC patients receiving 30 μg OBI-833/100 μg OBI-821 |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants | No |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants | No |
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| Race (NIH/OMB) | Count of Participants | Participants | No |
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| Region of Enrollment | Number | participants |
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| Cancer Type | Count of Participants | Participants | No |
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| Tumor Globo H Expression | Tumor samples were tested for Globo H expression by immunohistochemistry (IHC). The % of tumor cells with complete/partial membrane and/or cytoplasmic Globo H expression were recorded at each staining intensity - 0 for no detectable stain; 1+ for translucent or low-level stain; 2+ for moderate or opaque stain; 3+ for strong or solid stain. The H-score values [0 (no expression) to 300 (full expression)] were calculated as follows: H-score = [(% of tumor cell membrane/cytoplasmic at 1+) x 1 + (% of tumor cell membrane/cytoplasmic at 2+) x 2 + (% of tumor cell membrane/cytoplasmic at 3+) x 3] | Subjects in the dose escalation phase were not screened for Globo H expression. Only subjects in the cohort expansion phase were screened for Globo H expression for enrollment. | Mean | Standard Deviation | scores on a scale |
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| 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 | |||||||||||||||||||||||||||||
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| Primary | Number of Participants With Treatment-emergent Adverse Events | Posted | Number | Participants | Approximately 13 weeks for dose escalation cohorts and 44 weeks for expansion cohort |
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| Secondary | Maximal Post-baseline Anti-Globo H Antibody Responses | Anti-Globo H IgM and IgG concentrations were measured using a chemical binding assay. | Posted | Geometric Mean | 95% Confidence Interval | μg/mL | Approximately 13 weeks for dose escalation cohorts and 44 weeks for expansion cohort |
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Approximately 13 weeks for dose escalation cohorts and 44 weeks for expansion cohort.
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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 | Dose Escalation - Cohort 1 | 10 μg OBI-833/100 μg OBI-821 | 1 | 4 | 1 | 4 | 4 | 4 |
| EG001 | Dose Escalation - Cohort 2 | 30 μg OBI-833/100 μg OBI-821 | 0 | 3 | 0 | 3 | 3 | 3 |
| EG002 | Dose Escalation - Cohort 3 | 100 μg OBI-833/100 μg OBI-821 | 1 | 4 | 3 | 4 | 4 | 4 |
| EG003 | Expansion Cohort | NSCLC patients receiving 30 μg OBI-833/100 μg OBI-821 | 3 | 14 | 3 | 14 | 13 | 14 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Disease Progression | General disorders | Systematic Assessment |
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| Hyponatraemia | Metabolism and nutrition disorders | Systematic Assessment |
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| Malignant pleural effusion | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
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| Acute kidney injury | Renal and urinary disorders | Systematic Assessment |
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| Acute respiratory failure | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Ascites | Gastrointestinal disorders | Systematic Assessment |
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| Pancreatitis Acute | Gastrointestinal disorders | Systematic Assessment |
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| Pneumonia | Infections and infestations | Systematic Assessment |
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| Septic Shock | Infections and infestations | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Injection site induration | General disorders | Systematic Assessment |
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| Injection site erythema | General disorders | Systematic Assessment |
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| Injection site pain | General disorders | Systematic Assessment |
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| Injection site pruritus | General disorders | Systematic Assessment |
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| Injection site swelling | General disorders | Systematic Assessment |
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| Oedema peripheral | General disorders | Systematic Assessment |
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| Injection site paraesthesia | General disorders | Systematic Assessment |
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| Pyrexia | General disorders | Systematic Assessment |
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| Constipation | Gastrointestinal disorders | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | Systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | Systematic Assessment |
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| Decreased appetite | Metabolism and nutrition disorders | Systematic Assessment |
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| Dehydration | Metabolism and nutrition disorders | Systematic Assessment |
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| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | Systematic Assessment |
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| Urinary tract infection | Infections and infestations | Systematic Assessment |
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| Weight decreased | Investigations | Systematic Assessment |
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| Dyspnoea | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Cough | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Carpal tunnel syndrome | Nervous system disorders | Systematic Assessment |
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| Dysgeusia | Nervous system disorders | Systematic Assessment |
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| Hypertension | Vascular disorders | Systematic Assessment |
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| Injection site reaction | General disorders | Systematic Assessment |
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| Influenza like illness | General disorders | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | Systematic Assessment |
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| Bronchitis | Infections and infestations | Systematic Assessment |
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| Herpes zoster | Infections and infestations | Systematic Assessment |
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| Abdominal distension | Gastrointestinal disorders | Systematic Assessment |
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| Haemorrhoids | Gastrointestinal disorders | Systematic Assessment |
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| RBC sedimentation rate increased | Investigations | Systematic Assessment |
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| Blood cholesterol increased | Investigations | Systematic Assessment |
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| Blood triglycerides increased | Investigations | Systematic Assessment |
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| Hydronephrosis | Renal and urinary disorders | Systematic Assessment |
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| Epistaxis | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Joint injury | Injury, poisoning and procedural complications | Systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Headache | Nervous system disorders | Systematic Assessment |
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| Seizure | Nervous system disorders | Systematic Assessment |
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| Hypothyroidism | Endocrine disorders | Systematic Assessment |
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| Dry eye | Eye disorders | Systematic Assessment |
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| Cholelithiasis | Hepatobiliary disorders | Systematic Assessment |
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| Pruritus | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Device occlusion | General disorders | Systematic Assessment |
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| Early satiety | General disorders | Systematic Assessment |
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| Injection site oedema | General disorders | Systematic Assessment |
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| Injection site rash | General disorders | Systematic Assessment |
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| Injection site warmth | General disorders | Systematic Assessment |
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| Non-cardiac chest pain | General disorders | Systematic Assessment |
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| Dry mouth | Gastrointestinal disorders | Systematic Assessment |
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| Flatulence | Gastrointestinal disorders | Systematic Assessment |
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| Gastritis | Gastrointestinal disorders | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | Systematic Assessment |
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| Toothache | Gastrointestinal disorders | Systematic Assessment |
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| Hyperlipidaemia | Metabolism and nutrition disorders | Systematic Assessment |
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| Arthralgia | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Pain in extremity | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Paronychia | Infections and infestations | Systematic Assessment |
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| Breath sounds abnormal | Investigations | Systematic Assessment |
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| Upper-airway cough syndrome | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Burning sensations | Nervous system disorders | Systematic Assessment |
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| Metastases to spine | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
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| Anaemia | Blood and lymphatic system disorders | Systematic Assessment |
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| Coronary artery disease | Cardiac disorders | Systematic Assessment |
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| Conjunctivaloedema | Eye disorders | Systematic Assessment |
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| Hyperbilirubinaemia | Hepatobiliary disorders | Systematic Assessment |
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| Irritability | Psychiatric disorders | Systematic Assessment |
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| Nervousness | Psychiatric disorders | Systematic Assessment |
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| Rash macular | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Gingivitis | Infections and infestations | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | Systematic Assessment |
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| Oral herpes | Infections and infestations | Systematic Assessment |
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| Impaired gastric emptying | Gastrointestinal disorders | Systematic Assessment |
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| Alanine aminotransferase increased | Investigations | Systematic Assessment |
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| Blood creatinine increased | Investigations | Systematic Assessment |
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| Micturition urgency | Renal and urinary disorders | Systematic Assessment |
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| Productive cough | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Limb injury | Injury, poisoning and procedural complications | Systematic Assessment |
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| Musculoskeletal Pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Insomnia | Psychiatric disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Chen-En Tsai, MD, PhD | OBI Pharma, Inc. | 886 2 27866589 | 215 | chenentsai@obipharma.com |
| Prot_000.pdf |
| ID | Term |
|---|---|
| D013274 | Stomach Neoplasms |
| D001943 | Breast Neoplasms |
| D015179 | Colorectal Neoplasms |
| D008175 | Lung Neoplasms |
| ID | Term |
|---|---|
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D013272 | Stomach Diseases |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D007414 | Intestinal Neoplasms |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| Any TEAEs |
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