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| ID | Type | Description | Link |
|---|---|---|---|
| NCI-2015-00127 | Registry Identifier | CTRP (Clinical Trial Reporting Program) | |
| PHI-76 | |||
| 9837 | Other Identifier | City of Hope Comprehensive Cancer Center LAO | |
| 9837 | Other Identifier | CTEP | |
| UM1CA186689 | U.S. NIH Grant/Contract | View source | |
| UM1CA186705 | U.S. NIH Grant/Contract | View source | |
| UM1CA186717 | U.S. NIH Grant/Contract | View source | |
| ZIABC011078 | U.S. NIH Grant/Contract | View source |
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This phase I/II trial studies the side effects and the best dose of methoxyamine when given together with cisplatin and pemetrexed disodium and to see how well it works in treating patients with solid tumors or mesothelioma that have spread to other places in the body and usually cannot be cured or controlled with standard treatment (advanced), or mesothelioma that does not respond to pemetrexed disodium and cisplatin or carboplatin (refractory). Methoxyamine may shrink the tumor and may also help cisplatin and pemetrexed disodium work better by making tumor cells more sensitive to the drugs. Drugs used in chemotherapy, such as cisplatin and pemetrexed disodium, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving methoxyamine together with cisplatin and pemetrexed disodium may be a better treatment for solid tumors or mesothelioma than methoxyamine and pemetrexed disodium.
PRIMARY OBJECTIVES:
I. To determine the maximum tolerated dose (MTD) and the recommended phase 2 dose (RP2D) for the combination of methoxyamine (TRC102) with pemetrexed (pemetrexed disodium) and cisplatin in patients with advanced solid tumors. (Arm A) II. To describe the toxicities of TRC102 combined with pemetrexed and cisplatin at each dose studied. (Arm A) III. To describe responses to the drug combination at each dose level. (Arm A) IV. To detect activity of the combination of TRC102 and pemetrexed, as evidenced by tumor response in patients with advanced malignant mesothelioma previously treated with pemetrexed and cisplatin. (Arm B)
SECONDARY OBJECTIVES:
I. To describe pharmacokinetic parameters of TRC102 given concurrent with pemetrexed and cisplatin.
II. To evaluate the pharmacodynamic parameters of TRC102 given concurrently with pemetrexed and cisplatin.
III. To explore the feasibility of establishing pleural and peritoneal effluent-derived cell lines and to evaluate the response of cultured pleural and peritoneal mesothelioma cells to cisplatin, pemetrexed, and TRC102.
IV. To document all objective clinical responses to TRC102 in combination with pemetrexed and cisplatin.
OUTLINE: This is a phase I, dose-escalation study of methoxyamine, followed by a phase II study. Patients are assigned to 1 of 2 treatment arms.
ARM A: Patients receive methoxyamine orally (PO) once daily (QD) on days 1-4, pemetrexed disodium intravenously (IV) over 10 minutes, and cisplatin IV over 30-60 minutes on day 1. Treatment repeats every 21 days for up to 6 cycles in the absence of disease progression or unacceptable toxicity. Patients may continue methoxyamine and pemetrexed disodium beyond cycle 6 if the patient continues to benefit from treatment at the discretion of the treating physician.
ARM B: Patients receive methoxyamine PO QD on days 1-4 and pemetrexed disodium IV over 10 minutes on day 1. Treatment repeats every 21 days for up to 6 cycles in the absence of disease progression or unacceptable toxicity. Patients may continue methoxyamine and pemetrexed disodium beyond cycle 6 if the patient continues to benefit from treatment at the discretion of the treating physician.
After completion of study treatment, patients are followed up for 8 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm A (methoxyamine, pemetrexed disodium, cisplatin) | Experimental | Patients receive methoxyamine PO QD on days 1-4, pemetrexed disodium IV over 10 minutes, and cisplatin IV over 30-60 minutes on day 1. Treatment repeats every 21 days for up to 6 cycles in the absence of disease progression or unacceptable toxicity. Patients may continue methoxyamine and pemetrexed disodium beyond cycle 6 if the patient continues to benefit from treatment at the discretion of the treating physician. |
|
| Arm B (methoxyamine, pemetrexed disodium) | Experimental | Patients receive methoxyamine PO QD on days 1-4 and pemetrexed disodium IV over 10 minutes on day 1. Treatment repeats every 21 days for up to 6 cycles in the absence of disease progression or unacceptable toxicity. Patients may continue methoxyamine and pemetrexed disodium beyond cycle 6 if the patient continues to benefit from treatment at the discretion of the treating physician. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cisplatin | Drug | Given IV |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With at Least One Dose Limiting Toxicity (DLT) - Phase I | Dose-limiting toxicity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0. Pre-specified DLT criteria included the following adverse events (AE), judged to be at least possibly related to study therapy: grade 3 or greater non-hematologic toxicity, grade 3 thrombocytopenia with bleeding, any grade 4 thrombocytopenia, grade 4 febrile neutropenia lasting > 7 day, any grade febrile neutropenia, any grade 5 toxicity. Treatment delay of cycle 2 by more than 2 weeks and inability to administer 3 of the 4 doses due to toxicity in the first treatment course were also considered DLTs. Controllable nausea, vomiting and diarrhea, electrolyte toxicities correctable (to baseline or grade 1) with repletion and grade 3 creatinine elevation correctable (to grade 1 or less) with IV hydration were not considered DLT's. | During the first cycle of treatment, up to 21 days |
| Maximum Tolerated Dose (MTD) | The maximum tolerated dose of TRC102 in combination with 500mg/m^2 IV of Pemetrex and 60 or 75 mg/m^2 IV of Cisplatin is based on toxicities observed during the first cycle and is defined as the highest dose tested in which fewer than 33% of patients experience an attributable DLT to the study drug, when at least 6 patients are treated at that dose and are evaluable for toxicity. Dose escalations proceeded according to a standard 3+3 design. | 21 days from start of treatment, up to 2 years |
| Number of Subject With Overall Response | Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm; Partial Response (PR), at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters; Overall Response (OR) = CR + PR | Up to 8 weeks post-treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Progression-free Survival | Progression-free survival will be summarized as time from first protocol treatment until progression or death from any cause, using the product-limit Kaplan-Meier estimator. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECISTv1.1), as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marianna Koczywas | City of Hope Comprehensive Cancer Center LAO | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| City of Hope Comprehensive Cancer Center | Duarte | California | 91010 | United States | ||
| Los Angeles General Medical Center |
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| ID | Title | Description |
|---|---|---|
| FG000 | Arm A, Dose Level 1 - 50mg TRC102, 60mg/m^2 Cisplatin (Phase I) | TRC102 50 mg/day PO days 1-4; Pemetrex 500 mg/m^2 IV over 10 min day1; Cisplatin 60 mg/m^2 IV over 30-60 min day1 |
| FG001 | Arm A, Dose Level 2 - 75mg TRC102, 60mg/m^2 Cisplatin (Phase I) |
| 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_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Mar 7, 2019 |
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| Methoxyamine | Drug | Given PO |
|
|
| Pemetrexed Disodium | Drug | Given IV |
|
|
| From start of treatment to time of progression or death from any cause, whichever occurs first, assessed up to at least 1 year |
| Overall Survival | Overall survival will be summarized as time from first protocol treatment until death from any cause, using the product-limit Kaplan-Meier estimator. | From start of treatment to time of death from any cause, assessed up to at least 3 years |
| Los Angeles |
| California |
| 90033 |
| United States |
| USC / Norris Comprehensive Cancer Center | Los Angeles | California | 90033 | United States |
| Keck Medical Center of USC Pasadena | Pasadena | California | 91105 | United States |
| University of California Davis Comprehensive Cancer Center | Sacramento | California | 95817 | United States |
| UCHealth University of Colorado Hospital | Aurora | Colorado | 80045 | United States |
| University of Maryland/Greenebaum Cancer Center | Baltimore | Maryland | 21201 | United States |
| University of Michigan Rogel Cancer Center | Ann Arbor | Michigan | 48109 | United States |
| Mayo Clinic in Rochester | Rochester | Minnesota | 55905 | United States |
| Ohio State University Comprehensive Cancer Center | Columbus | Ohio | 43210 | United States |
| University of Pittsburgh Cancer Institute (UPCI) | Pittsburgh | Pennsylvania | 15232 | United States |
| Vanderbilt Breast Center at One Hundred Oaks | Nashville | Tennessee | 37204 | United States |
| Vanderbilt University/Ingram Cancer Center | Nashville | Tennessee | 37232 | United States |
| University of Wisconsin Carbone Cancer Center - University Hospital | Madison | Wisconsin | 53792 | United States |
TRC102 75 mg/day PO days 1-4; Pemetrex 500 mg/m^2 IV over 10 min day1; Cisplatin 60 mg/m^2 IV over 30-60 min day1 |
| FG002 | Arm A, Dose Level 3 - 100mg TRC102, 60mg/m^2 Cisplatin (Phase I) | TRC102 100 mg/day PO days 1-4; Pemetrex 500 mg/m^2 IV over 10 min day1; Cisplatin 60 mg/m^2 IV over 30-60 min day1 |
| FG003 | Arm A, Dose Level 4 - 100mg TRC102, 75mg/m^2 Cisplatin (Phase I) | TRC102 100 mg/day PO days 1-4; Pemetrex 500 mg/m^2 IV over 10 min day1; Cisplatin 75 mg/m^2 IV over 30-60 min day1 |
| FG004 | Arm B, Dose Level 1 - 50mg TRC102 (Phase II) | TRC102 50mg/day PO on days 1-4; Pemetrex 500mg/m^2 IV over 10 min day 1 |
| COMPLETED |
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| NOT COMPLETED |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Arm A, Dose Level 1 - 50mg TRC102, 60mg/m^2 Cisplatin (Phase I) | TRC102 50 mg/day PO days 1-4; Pemetrex 500 mg/m^2 IV over 10 min day1; Cisplatin 60 mg/m^2 IV over 30-60 min day1 |
| BG001 | Arm A, Dose Level 2 - 75mg TRC102, 60mg/m^2 Cisplatin (Phase I) | TRC102 75 mg/day PO days 1-4; Pemetrex 500 mg/m^2 IV over 10 min day1; Cisplatin 60 mg/m^2 IV over 30-60 min day1 |
| BG002 | Arm A, Dose Level 3 - 100mg TRC102, 60mg/m^2 Cisplatin (Phase I) | TRC102 100 mg/dayPO days 1-4; Pemetrex 500 mg/m^2 IV over 10 min day1; Cisplatin 60 mg/m^2 IV over 30-60 min day1 |
| BG003 | Arm A, Dose Level 4 - 100mg TRC102, 75mg/m^2 Cisplatin (Phase I) | TRC102 100 mg/day PO days 1-4; Pemetrex 500 mg/m^2 IV over 10 min day1; Cisplatin 75 mg/m^2 IV over 30-60 min day1 |
| BG004 | Arm B, Dose Level 1 - 50mg TRC102 (Phase II) | TRC102 50mg/day PO on days 1-4; Pemetrex 500mg/m^2 IV over 10 min day 1 |
| BG005 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Median | Full Range | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Race/Ethnicity, Customized | Count of Participants | Participants |
| ||||||||||||||||
| Region of Enrollment | Number | participants |
| ||||||||||||||||
| ECOG performance status | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With at Least One Dose Limiting Toxicity (DLT) - Phase I | Dose-limiting toxicity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0. Pre-specified DLT criteria included the following adverse events (AE), judged to be at least possibly related to study therapy: grade 3 or greater non-hematologic toxicity, grade 3 thrombocytopenia with bleeding, any grade 4 thrombocytopenia, grade 4 febrile neutropenia lasting > 7 day, any grade febrile neutropenia, any grade 5 toxicity. Treatment delay of cycle 2 by more than 2 weeks and inability to administer 3 of the 4 doses due to toxicity in the first treatment course were also considered DLTs. Controllable nausea, vomiting and diarrhea, electrolyte toxicities correctable (to baseline or grade 1) with repletion and grade 3 creatinine elevation correctable (to grade 1 or less) with IV hydration were not considered DLT's. | Posted | Count of Participants | Participants | During the first cycle of treatment, up to 21 days |
|
|
| ||||||||||||||||||||||||||||||||||||
| Primary | Maximum Tolerated Dose (MTD) | The maximum tolerated dose of TRC102 in combination with 500mg/m^2 IV of Pemetrex and 60 or 75 mg/m^2 IV of Cisplatin is based on toxicities observed during the first cycle and is defined as the highest dose tested in which fewer than 33% of patients experience an attributable DLT to the study drug, when at least 6 patients are treated at that dose and are evaluable for toxicity. Dose escalations proceeded according to a standard 3+3 design. | Posted | Number | mg/day | 21 days from start of treatment, up to 2 years |
|
| |||||||||||||||||||||||||||||||||||||
| Primary | Number of Subject With Overall Response | Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm; Partial Response (PR), at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters; Overall Response (OR) = CR + PR | Posted | Count of Participants | Participants | Up to 8 weeks post-treatment |
| ||||||||||||||||||||||||||||||||||||||
| Secondary | Progression-free Survival | Progression-free survival will be summarized as time from first protocol treatment until progression or death from any cause, using the product-limit Kaplan-Meier estimator. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECISTv1.1), as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression). | Pre-specified in the Study Protocol to collect, analyze, and report data for this Outcome Measure by Phase and not by dose-level. | Posted | Median | 95% Confidence Interval | Months | From start of treatment to time of progression or death from any cause, whichever occurs first, assessed up to at least 1 year |
| ||||||||||||||||||||||||||||||||||||
| Secondary | Overall Survival | Overall survival will be summarized as time from first protocol treatment until death from any cause, using the product-limit Kaplan-Meier estimator. | Pre-specified in the Study Protocol to collect, analyze, and report data for this Outcome Measure by Phase and not by dose-level. | Posted | Median | 95% Confidence Interval | Months | From start of treatment to time of death from any cause, assessed up to at least 3 years |
|
Adverse events were assessed from the time of initial treatment until 30 days post discontinuation of treatment, up to 5 years.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
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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 | Arm A, Dose Level 1 - 50mg TRC102, 60mg/m^2 Cisplatin (Phase I) | TRC102 50 mg PO days 1-4; Pemetrex 500 mg/m^2 IV over 10 min day1; Cisplatin 60 mg/m^2 IV over 30-60 min day1 | 0 | 3 | 0 | 3 | 3 | 3 |
| EG001 | Arm A, Dose Level 2 - 75mg TRC102, 60mg/m^2 Cisplatin (Phase I) | TRC102 75 mg PO days 1-4; Pemetrex 500 mg/m^2 IV over 10 min day1; Cisplatin 60 mg/m^2 IV over 30-60 min day1 | 2 | 4 | 3 | 4 | 4 | 4 |
| EG002 | Arm A, Dose Level 3 - 100mg TRC102, 60mg/m^2 Cisplatin (Phase I) | TRC102 100 mg PO days 1-4; Pemetrex 500 mg/m^2 IV over 10 min day1; Cisplatin 60 mg/m^2 IV over 30-60 min day1 | 2 | 3 | 2 | 3 | 3 | 3 |
| EG003 | Arm A, Dose Level 4 - 100mg TRC102, 75mg/m^2 Cisplatin (Phase I) | TRC102 100 mg PO days 1-4; Pemetrex 500 mg/m^2 IV over 10 min day1; Cisplatin 75 mg/m^2 IV over 30-60 min day1 | 0 | 6 | 3 | 6 | 6 | 6 |
| EG004 | Arm B, Dose Level 1 - 50mg TRC102 (Phase II) | TRC102 50mg PO on days 1-4; Pemetrex 500mg/m^2 IV over 10 min day 1 | 6 | 14 | 9 | 14 | 14 | 14 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anemia | Blood and lymphatic system disorders | Non-systematic Assessment |
| ||
| Febrile neutropenia | Blood and lymphatic system disorders | Non-systematic Assessment |
| ||
| Heart failure | Cardiac disorders | Non-systematic Assessment |
| ||
| Sinus bradycardia | Cardiac disorders | Non-systematic Assessment |
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| Sinus tachycardia | Cardiac disorders | Non-systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | Non-systematic Assessment |
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| Nausea | Gastrointestinal disorders | Non-systematic Assessment |
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| Vomiting | Gastrointestinal disorders | Non-systematic Assessment |
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| Disease Progression | General disorders | Non-systematic Assessment |
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| Fatigue | General disorders | Non-systematic Assessment |
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| Fever | General disorders | Non-systematic Assessment |
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| Non-cardiac chest pain | General disorders | Non-systematic Assessment |
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| Lung infection | Infections and infestations | Non-systematic Assessment |
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| Rhinovirus/Enterovirus Infection | Infections and infestations | Non-systematic Assessment |
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| CD4 lymphocytes decreased | Investigations | Non-systematic Assessment |
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| Lymphocyte count decreased | Investigations | Non-systematic Assessment |
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| Neutrophil count decreased | Investigations | Non-systematic Assessment |
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| Platelet count decreased | Investigations | Non-systematic Assessment |
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| White blood cell decreased | Investigations | Non-systematic Assessment |
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| Dehydration | Metabolism and nutrition disorders | Non-systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
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| Bone pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
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| Chest wall pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
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| Adenocarcinoma of lung | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
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| Stroke | Nervous system disorders | Non-systematic Assessment |
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| Dyspnea | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
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| Hypoxia | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
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| Hypertension | Vascular disorders | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anemia | Blood and lymphatic system disorders | Non-systematic Assessment |
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| LDH Increased | Blood and lymphatic system disorders | Non-systematic Assessment |
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| nose bleed | Blood and lymphatic system disorders | Non-systematic Assessment |
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| Sinus bradycardia | Cardiac disorders | Non-systematic Assessment |
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| Sinus tachycardia | Cardiac disorders | Non-systematic Assessment |
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| Ear infection | Ear and labyrinth disorders | Non-systematic Assessment |
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| Ear pain | Ear and labyrinth disorders | Non-systematic Assessment |
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| Hearing impaired | Ear and labyrinth disorders | Non-systematic Assessment |
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| Blurred vision | Eye disorders | Non-systematic Assessment |
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| Dry eye | Eye disorders | Non-systematic Assessment |
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| Flashing lights | Eye disorders | Non-systematic Assessment |
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| Unequal Pupil Dilation | Eye disorders | Non-systematic Assessment |
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| Watering eyes | Eye disorders | Non-systematic Assessment |
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| discharge | Eye disorders | Non-systematic Assessment |
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| drooping right eyelid | Eye disorders | Non-systematic Assessment |
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| unequal pupil dilation | Eye disorders | Non-systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | Non-systematic Assessment |
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| Ascites | Gastrointestinal disorders | Non-systematic Assessment |
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| Bloating | Gastrointestinal disorders | Non-systematic Assessment |
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| Constipation | Gastrointestinal disorders | Non-systematic Assessment |
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| Dark stools | Gastrointestinal disorders | Non-systematic Assessment |
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| Diarrhea | Gastrointestinal disorders | Non-systematic Assessment |
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| Dry mouth | Gastrointestinal disorders | Non-systematic Assessment |
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| Dyspepsia | Gastrointestinal disorders | Non-systematic Assessment |
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| Gastritis | Gastrointestinal disorders | Non-systematic Assessment |
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| Gastroesophageal reflux disease | Gastrointestinal disorders | Non-systematic Assessment |
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| Green Stool | Gastrointestinal disorders | Non-systematic Assessment |
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| Helicobactor Pylori Gastritis | Gastrointestinal disorders | Non-systematic Assessment |
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| Mucositis oral | Gastrointestinal disorders | Non-systematic Assessment |
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| Nausea | Gastrointestinal disorders | Non-systematic Assessment |
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| Stomach pain | Gastrointestinal disorders | Non-systematic Assessment |
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| Vomiting | Gastrointestinal disorders | Non-systematic Assessment |
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| Asthenia | General disorders | Non-systematic Assessment |
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| Chills | General disorders | Non-systematic Assessment |
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| Edema face | General disorders | Non-systematic Assessment |
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| Edema limbs | General disorders | Non-systematic Assessment |
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| Fatigue | General disorders | Non-systematic Assessment |
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| Fever | General disorders | Non-systematic Assessment |
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| Flu like symptoms | General disorders | Non-systematic Assessment |
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| Gait disturbance | General disorders | Non-systematic Assessment |
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| Infusion related reaction | General disorders | Non-systematic Assessment |
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| Infusion site extravasation | General disorders | Non-systematic Assessment |
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| Irritability | General disorders | Non-systematic Assessment |
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| Malaise | General disorders | Non-systematic Assessment |
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| Non-cardiac chest pain | General disorders | Non-systematic Assessment |
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| Pain | General disorders | Non-systematic Assessment |
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| night sweats | General disorders | Non-systematic Assessment |
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| Allergic reaction | Immune system disorders | Non-systematic Assessment |
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| Bronchial infection | Infections and infestations | Non-systematic Assessment |
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| Laryngitis | Infections and infestations | Non-systematic Assessment |
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| Oral Thrush | Infections and infestations | Non-systematic Assessment |
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| Sinusitis | Infections and infestations | Non-systematic Assessment |
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| Tooth infection | Infections and infestations | Non-systematic Assessment |
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| Upper respiratory infection | Infections and infestations | Non-systematic Assessment |
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| rhinorrhea | Infections and infestations | Non-systematic Assessment |
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| upper respiratory infection | Infections and infestations | Non-systematic Assessment |
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| Bruising | Injury, poisoning and procedural complications | Non-systematic Assessment |
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| CrCl decrease | Injury, poisoning and procedural complications | Non-systematic Assessment |
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| Fall | Injury, poisoning and procedural complications | Non-systematic Assessment |
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| Fracture | Injury, poisoning and procedural complications | Non-systematic Assessment |
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| decrease CrCl | Injury, poisoning and procedural complications | Non-systematic Assessment |
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| decrecease CrCl | Injury, poisoning and procedural complications | Non-systematic Assessment |
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| ALT decrease | Investigations | Non-systematic Assessment |
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| AST decrease | Investigations | Non-systematic Assessment |
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| Alanine aminotransferase increased | Investigations | Non-systematic Assessment |
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| Alkaline phosphatase increased | Investigations | Non-systematic Assessment |
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| Aspartate aminotransferase increased | Investigations | Non-systematic Assessment |
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| Blood bilirubin increased | Investigations | Non-systematic Assessment |
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| Creatinine increased | Investigations | Non-systematic Assessment |
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| Flashing lights -eye | Investigations | Non-systematic Assessment |
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| INR increased | Investigations | Non-systematic Assessment |
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| LDH increase | Investigations | Non-systematic Assessment |
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| LDH increased | Investigations | Non-systematic Assessment |
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| Lymphocyte count decreased | Investigations | Non-systematic Assessment |
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| Neutrophil count decreased | Investigations | Non-systematic Assessment |
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| Platelet count decreased | Investigations | Non-systematic Assessment |
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| Weight gain | Investigations | Non-systematic Assessment |
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| Weight loss | Investigations | Non-systematic Assessment |
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| White blood cell decreased | Investigations | Non-systematic Assessment |
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| blood bicarbonate decreased | Investigations | Non-systematic Assessment |
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| decrease AST | Investigations | Non-systematic Assessment |
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| decrease ALT | Investigations | Non-systematic Assessment |
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| decrease AST | Investigations | Non-systematic Assessment |
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| decrese ALT | Investigations | Non-systematic Assessment |
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| elevated LDH | Investigations | Non-systematic Assessment |
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| elevated LDh | Investigations | Non-systematic Assessment |
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| elevated troponin | Investigations | Non-systematic Assessment |
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| increase LDH | Investigations | Non-systematic Assessment |
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| incresae LDH | Investigations | Non-systematic Assessment |
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| runny nose | Investigations | Non-systematic Assessment |
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| total protein decrease | Investigations | Non-systematic Assessment |
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| transferrin saturation decrease | Investigations | Non-systematic Assessment |
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| Anorexia | Metabolism and nutrition disorders | Non-systematic Assessment |
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| Dehydration | Metabolism and nutrition disorders | Non-systematic Assessment |
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| Elevated LDH | Metabolism and nutrition disorders | Non-systematic Assessment |
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| Hypercalcemia | Metabolism and nutrition disorders | Non-systematic Assessment |
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| Hyperglycemia | Metabolism and nutrition disorders | Non-systematic Assessment |
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| Hyperkalemia | Metabolism and nutrition disorders | Non-systematic Assessment |
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| Hypernatremia | Metabolism and nutrition disorders | Non-systematic Assessment |
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| Hypoalbuminemia | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| Hypocalcemia | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| Hypokalemia | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| Hypomagnesemia | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| Hyponatremia | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| Hypophosphatemia | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| Increased LDH | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| Iron decrease | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| LDH | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| LDH Elevated | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| Low Iron | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| decrease total protein | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| hyponatrmia | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| increased LDH | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| low iron | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| Arthralgia | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Arthritis | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Back pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Bone pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Chest wall pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Generalized muscle weakness | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Muscle weakness lower limb | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Numbness | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Pain in extremity | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| R. distal hand numbness | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Right Hand Numbness | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| increased shoulder pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| numbness | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| truncal instability | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Tumor pain | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
| ||
| soft tissue growth on right upper latera | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
| ||
| Dizziness | Nervous system disorders | Non-systematic Assessment |
| ||
| Dysgeusia | Nervous system disorders | Non-systematic Assessment |
| ||
| Headache | Nervous system disorders | Non-systematic Assessment |
| ||
| Memory impairment | Nervous system disorders | Non-systematic Assessment |
| ||
| Paresthesia | Nervous system disorders | Non-systematic Assessment |
| ||
| Peripheral sensory neuropathy | Nervous system disorders | Non-systematic Assessment |
| ||
| Right Distal Hand numbness | Nervous system disorders | Non-systematic Assessment |
| ||
| Somnolence | Nervous system disorders | Non-systematic Assessment |
| ||
| Syncope | Nervous system disorders | Non-systematic Assessment |
| ||
| Tremor | Nervous system disorders | Non-systematic Assessment |
| ||
| disorientation | Nervous system disorders | Non-systematic Assessment |
| ||
| slow walking/speech | Nervous system disorders | Non-systematic Assessment |
| ||
| Anxiety | Psychiatric disorders | Non-systematic Assessment |
| ||
| Confusion | Psychiatric disorders | Non-systematic Assessment |
| ||
| Insomnia | Psychiatric disorders | Non-systematic Assessment |
| ||
| Restlessness | Psychiatric disorders | Non-systematic Assessment |
| ||
| Proteinuria | Renal and urinary disorders | Non-systematic Assessment |
| ||
| Urinary frequency | Renal and urinary disorders | Non-systematic Assessment |
| ||
| Allergic rhinitis | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Bronchospasm | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Cough | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Dyspnea | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Hiccups | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Hoarseness | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Pneumonitis | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Postnasal drip | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Productive cough | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Pulmonary edema | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Sore throat | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| chest congestion | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| rhinnorhea | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Fungal rash | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| Palmar-plantar erythrodysesthesia syndro | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| Pruritic rash | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| Pruritus | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| Rash NOS | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| Rash maculo-papular | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| Skin ulceration | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| cellulitiis | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| cellulitis | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| cellulittis | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| skin rash on scalp | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| sore on lower lip | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| Flushing | Vascular disorders | Non-systematic Assessment |
| ||
| Hematoma | Vascular disorders | Non-systematic Assessment |
| ||
| Hot flashes | Vascular disorders | Non-systematic Assessment |
| ||
| Hypertension | Vascular disorders | Non-systematic Assessment |
| ||
| Hypotension | Vascular disorders | Non-systematic Assessment |
| ||
| Lymphedema | Vascular disorders | Non-systematic Assessment |
| ||
| Sweats | Vascular disorders | Non-systematic Assessment |
| ||
| Thromboembolic event | Vascular disorders | Non-systematic Assessment |
| ||
| superficial thrombophlebitis greater sap | Vascular disorders | Non-systematic Assessment |
|
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Paul Frankel, Ph.D. | City of Hope | 626-218-5265 | pfrankel@coh.org |
| Jan 12, 2024 |
| Prot_SAP_000.pdf |
| ID | Term |
|---|---|
| D000086002 | Mesothelioma, Malignant |
| ID | Term |
|---|---|
| D008654 | Mesothelioma |
| D000236 | Adenoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D018301 | Neoplasms, Mesothelial |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D010997 | Pleural Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D002945 | Cisplatin |
| C044245 | 1,2-diaminocyclohexaneplatinum II citrate |
| D010984 | Platinum |
| C005214 | methoxyamine |
| D000068437 | Pemetrexed |
| ID | Term |
|---|---|
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017672 | Nitrogen Compounds |
| D017671 | Platinum Compounds |
| D019216 | Metals, Heavy |
| D004602 | Elements |
| D028561 | Transition Elements |
| D008670 | Metals |
| D006147 | Guanine |
| D007042 | Hypoxanthines |
| D011688 | Purinones |
| D011687 | Purines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D005971 | Glutamates |
| D024342 | Amino Acids, Acidic |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D000600 | Amino Acids, Dicarboxylic |
Not provided
Not provided
| Male |
|
| Hispanic |
|
| Unknown |
|
| Asian |
|
| 1=Symptomatic; fully ambulatory; restricted in physically strenuous activity |
|
|
| Arm A, Dose Level 4 - 100mg TRC102, 75mg/m^2 Cisplatin (Phase I) |
TRC102 100 mg/day PO days 1-4; Pemetrex 500 mg/m^2 IV over 10 min day1; Cisplatin 75 mg/m^2 IV over 30-60 min day1 |
| OG004 | Arm B, Dose Level 1 - 50mg TRC102 (Phase II) | TRC102 50 mg/day PO on days 1-4; Pemetrex 500mg/m^2 IV over 10 min day 1 |
|
|
Patients receive 50 mg/day of TRC102 PO QD on days 1-4 and 500 mg/m^2 of pemetrexed disodium IV over 10 minutes on day 1. Treatment repeats every 21 days for up to 6 cycles in the absence of disease progression or unacceptable toxicity. Patients may continue TRC102 and pemetrexed disodium beyond cycle 6 if the patient continues to benefit from treatment at the discretion of the treating physician. |
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