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As part of a portfolio-level management of the company's oncology pipeline, it was decided to stop the next phase of internal development of the MetAP2 (M8891) program to enable realization of other opportunities within the oncology portfolio.
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| Name | Class |
|---|---|
| Merck KGaA, Darmstadt, Germany | INDUSTRY |
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The purpose of this study was to determine the maximum tolerated dose (MTD), safety, tolerability, Pharmacokinetic (PK), pharmacodynamic and clinical activity of M8891 as single agent in participants with advanced solid tumors in Part 1.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| M8891 7 mg | Experimental | Participant received M8891 at dose of 7 milligrams (mg) orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. |
|
| M8891 12 mg | Experimental | Participant received M8891 at dose of 12 mg orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. |
|
| M8891 20 mg | Experimental | Participant received M8891 at dose of 20 mg orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. |
|
| M8891 35 mg | Experimental | Participant received M8891 at dose of 35 mg orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Part 1: M8891 | Drug | Participants receives M8891 orally once daily at escalated dose levels under fasting condition for consecutive 21-day cycles of continuous treatment until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Who Experienced Dose Limiting Toxicities (DLTs) Assessed Using National Cancer Institute (NCI) Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 | A DLT was defined as the occurrence of any of following events that were judged by the study investigator, to be related to the study medication: Grade 4 liver enzyme elevation; Grade 4 neutropenia lasting >5 days or Grade >= 3 neutropenia with fever; Grade 4 thrombocytopenia lasting >5 days or Grade >=3 thrombocytopenia with clinically significant bleeding; Any treatment interruption >7 days or >30% of total dose in Cycle 1 due to AEs not related to the underlying disease or concomitant medication; Grade >=3 non-hematologic toxicity excluding Grade 3 nausea or vomiting lasting <48 hours, and resolves to <= Grade 1 either spontaneously or with medication, Grade 3 fatigue <= 3 days, Grade 3 hypertension in the absence of maximal medical therapy, Grade 3 rash <= 3 days, Grade 3 electrolyte abnormality that lasts <72 hours, is not clinically complicated, and resolves spontaneously or responds to conventional medication and Grade >=3 single lab value increase without clinical correlate. | At the end of Cycle 1 (each Cycle is of 21 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment-Emergent Adverse Events (TEAE) and TEAEs Leading to Death | An Adverse event (AE) was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease associated with the use of study drug, whether or not considered related to the study drug or worsening of pre-existing medical condition, whether or not related to study drug. A serious adverse event (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. The term TEAE is defined as AEs starting or worsening after the first intake of the study drug. TEAEs include both Serious TEAEs and non-serious TEAEs. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Responsible | EMD Serono Research & Development Institute, Inc., a business of Merck KGaA, Darmstadt, Germany | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Smilow Cancer Hospital - Yale | New Haven | Connecticut | 06510 | United States | ||
| Indiana University Health Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37798538 | Derived | Lignet F, Friese-Hamim M, Jaehrling F, El Bawab S, Rohdich F. Preclinical Pharmacokinetics and Translational Pharmacokinetic/Pharmacodynamic Modeling of M8891, a Potent and Reversible Inhibitor of Methionine Aminopeptidase 2. Pharm Res. 2023 Dec;40(12):3011-3023. doi: 10.1007/s11095-023-03611-z. Epub 2023 Oct 5. | |
| 37637935 | Derived |
| Label | URL |
|---|---|
| Trial Awareness and Transparency website | View source |
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Per company policy, following approval of a new product or a new indication for an approved product in both the EU and the US, EMD Serono will share study protocols, anonymized patient level and study level data and redacted clinical study reports from clinical trials in patients with qualified scientific and medical researchers, upon request, as necessary for conducting legitimate research. Further information on how to request data can be found on our website https://www.emdgroup.com/en/research/our-approach-to-research-and-development/healthcare/clinical-trials/commitment-responsible-data-sharing.html
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This study was to be conducted in 2 parts; Part 1 was the dose escalation phase and Part 2 was the expansion phase. However, due to early termination of the study, the sponsor decided not to conduct the expansion phase (Part 2).
First/last participant (informed consent): 08 August 2017. Last participant completed: 16 September 2020.
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| ID | Title | Description |
|---|---|---|
| FG000 | M8891 7 mg | Participant received M8891 at dose of 7 milligrams (mg) orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. |
| FG001 | M8891 12 mg | Participant received M8891 at dose of 12 mg orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. |
| FG002 | M8891 20 mg | Participant received M8891 at dose of 20 mg orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. |
| FG003 | M8891 35 mg | Participant received M8891 at dose of 35 mg orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. |
| FG004 | M8891 60 mg | Participant received M8891 at dose of 60 mg orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. |
| FG005 | M8891 80 mg | Participant received M8891 at dose of 80 mg orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
Safety analysis set included all participants who received at least 1 dose of study drug.
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| ID | Title | Description |
|---|---|---|
| BG000 | M8891 7 mg | Participant received M8891 at dose of 7 mg orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. |
| BG001 |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of 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 Who Experienced Dose Limiting Toxicities (DLTs) Assessed Using National Cancer Institute (NCI) Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 | A DLT was defined as the occurrence of any of following events that were judged by the study investigator, to be related to the study medication: Grade 4 liver enzyme elevation; Grade 4 neutropenia lasting >5 days or Grade >= 3 neutropenia with fever; Grade 4 thrombocytopenia lasting >5 days or Grade >=3 thrombocytopenia with clinically significant bleeding; Any treatment interruption >7 days or >30% of total dose in Cycle 1 due to AEs not related to the underlying disease or concomitant medication; Grade >=3 non-hematologic toxicity excluding Grade 3 nausea or vomiting lasting <48 hours, and resolves to <= Grade 1 either spontaneously or with medication, Grade 3 fatigue <= 3 days, Grade 3 hypertension in the absence of maximal medical therapy, Grade 3 rash <= 3 days, Grade 3 electrolyte abnormality that lasts <72 hours, is not clinically complicated, and resolves spontaneously or responds to conventional medication and Grade >=3 single lab value increase without clinical correlate. | Dose escalation set included all participants treated in dose-escalation cohorts who did not miss > 4 cumulative days planned doses of M8891 in the first cycle of the dose-escalation part for other than safety reasons. | Posted | Count of Participants | Participants | At the end of Cycle 1 (each Cycle is of 21 days) |
Up to 1136 Days
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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 | M8891 7 mg | Participant received M8891 at dose of 7 milligrams (mg) orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Disease progression | General disorders | MedDRA version 23.0. | Non-systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal distension | Gastrointestinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Communication Center | Merck KGaA, Darmstadt, Germany | +49-6151-72-5200 | service@emdgroup.com |
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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 | Mar 11, 2020 | Dec 21, 2021 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Apr 20, 2018 | Dec 15, 2021 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D002292 | Carcinoma, Renal Cell |
| ID | Term |
|---|---|
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
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| M8891 60 mg | Experimental | Participant received M8891 at dose of 60 mg orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. |
|
| M8891 80 mg | Experimental | Participant received M8891 at dose of 80 mg orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. |
|
|
| Up to 1136 Days |
| Number of Participants With Treatment-Emergent Adverse Events (TEAE) by Severity | Severity of adverse events (AE) were assessed by the investigator according to National Cancer Institute (NCI) Common Toxicity Criteria for Adverse Events (CTCAE) version 4.03 as Grade 1 to Grade 5. Grade 1= Mild, Grade 2=Moderate, Grade 3=Severe, Grade 4= Life-threatening and Grade 5= Death. The number of participants that experienced at least one solicited local TEAE were summarized by grade. The term TEAE is defined as AEs starting or worsening after the first intake of the study drug. TEAEs include both Serious TEAEs and non-serious TEAEs. Number of participants with Grade >=3, >=4 and 5 were reported. | Up to 1136 Days |
| Maximum Observed Plasma Concentration (Cmax) of M8891 | Maximum observed plasma concentration (Cmax) was taken directly from the observed concentration-time curve. | Cycle 1 Pre-dose, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 (Each cycle is of 21 days) |
| Time to Reach Maximum Observed Plasma Concentration (Tmax) of M8891 | The time to reach the maximum observed plasma concentration (tmax) was obtained directly from the concentration versus time curve. | Cycle 1 Pre-dose, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 (Each cycle is of 21 days) |
| Area Under the Plasma Concentration Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of M8891 | The AUC from time zero (= dosing time) to the last sampling time (tlast) at which the concentration is at or above the lower limit of quantification (LLOQ), calculated using the mixed log-linear trapezoidal rule (linear up, log down). | Cycle 1 Pre-dose, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 (Each cycle is of 21 days) |
| Area Under the Concentration-time Curve From Zero Extrapolated to Infinity (AUC0-inf) of M8891 | The AUC from time zero (dosing time) extrapolated to infinity, based on the predicted value for the concentration at tlast, as estimated using the linear regression from the determination of the terminal first order (elimination) rate constant (lambda z). AUC0-inf = AUC0-t plus Clast pred/lambda z. Lambda Z was terminal elimination rate constant determined from the terminal slope of the log-transformed plasma concentration curve using linear regression on terminal data points of the curve. Clastpred was the last predicted quantifiable concentration. | Cycle 1 Pre-dose, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 (Each cycle is of 21 days) |
| Area Under the Plasma Concentration Versus Time Curve Within One Dosing Interval (AUC0-tau) of M8891 | AUC (0-tau) is the area under the plasma concentration time curve within 1 dosing interval. Calculated using the mixed log linear trapezoidal rule (linear up, log down). | Cycle 1 Pre-dose, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 (Each cycle is of 21 days) |
| Apparent Terminal Half Life (t1/2) of M8891 | Terminal half-life of M8891 in Plasma was calculated as log2/ lambda z. Lambda z was determined from the terminal slope of the log-transformed concentration curve using linear regression on terminal data points of the curve. | Cycle 1 Pre-dose, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 (Each cycle is of 21 days) |
| Terminal Elimination Rate Constant (Lambda z) of M8891 | Lambda z was determined from the terminal slope of the log-transformed concentration curve using linear regression on terminal data points of the curve. | Cycle 1 Pre-dose, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 (Each cycle is of 21 days) |
| Apparent Total Body Clearance (CL/f) of M8891 | Apparent total body clearance of drug from plasma following extravascular administration, calculated as dose/AUC0-infinity for M8891. Area under the plasma concentration-time curve from time zero (dosing time) extrapolated to infinity of unchanged drug calculated as AUC0-t + AUCextra. AUCextra represents the extrapolated part of AUC0-infinity calculated by Clastpred/lambda z, where Clastpred is the predicted plasma concentration at the last sampling time point, calculated from the log linear regression line for lambda z determination at which the measured plasma concentration is at or above lower limit of quantification. | Cycle 1 Pre-dose, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 (Each cycle is of 21 days) |
| Apparent Body Clearance of Drug Following Extravascular Administration At Steady State (CLss/f) of M8891 | The apparent total body clearance of drug at steady state following extravascular administration, taking into account the fraction of dose absorbed. It is calculated as dose/AUCtau for M8891. | Cycle 1 Pre-dose, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 (Each cycle is of 21 days) |
| Apparent Volume of Distribution During Terminal Phase (VZ/f) of M8891 | Apparent volume of distribution during the terminal phase following extravascular administration for M8891 was calculated. Vz/f = Dose/(AUC0-infinity multiply by Lambda z) following single dose. The AUC from time zero (dosing time) extrapolated to infinity, based on the predicted value for the concentration at tlast, as estimated using the linear regression from lambda z determination. AUC(0- inf)=AUC0-t plus Clastpred/lambda z where Clastpred was last predicted concentration. Lambda Z was terminal elimination rate constant determined from the terminal slope of the log-transformed plasma concentration curve using linear regression on terminal data points of the curve. | Cycle 1 Pre-dose, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 (Each cycle is of 21 days) |
| Accumulation Ratios of AUC (Racc AUC) of M8891 | Racc (AUC) is defined as the accumulation factor to assess the increase in exposure until steady state is reached. Accumulation ratio for AUC was calculated as AUC, after dosing on Day 15 divided by AUC, after dosing on Day 1 of Cycle 1. | Pre-dose and at 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 of Cycle 1 (each cycle is 21 days) |
| Accumulation Ratio of Cmax (Racc Cmax) of M8891 | Accumulation ratio of Cmax was calculated as Cmax, after dosing on Day 15 divided by Cmax, after dosing on Day 1 of Cycle 1. | Pre-dose and at 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 of Cycle 1 (each cycle is 21 days) |
| Number of Participants With Best Overall Response Assessment According to Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST v1.1) Criteria | BOR was determined according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) as assessed by investigators. BOR is defined as the best response of any of the complete response (CR), partial response (PR), stable disease (SD) and progressive disease (PD) recorded from the date of randomization until disease progression. CR: Disappearance of all evidence of target and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 millimeter (mm). PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. Stable disease (SD) defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest SLD while on study. PD is defined as at least a 20 percent (%) increase in the SLD of target lesion, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. | Up to 1136 Days |
| Number of Participants With Clinical Benefit | Clinical benefit defined as Complete Response (CR), Partial Response (PR) or Stable Disease (SD) for >= 12 weeks. Clinical benefit was assessed according to RECIST Version 1.1. CR: defined as disappearance of all target and all non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 millimeter (mm). PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. SD: defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest SLD while on study. PD is defined as at least a 20 percent (%) increase in the SLD of target lesion, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. | Up to 1136 Days |
| Progression-Free Survival (PFS) | Progression-free survival (PFS) defined as the time from first study drug administration to either first observation of progressive disease (PD) (as assessed by Investigators according to RECIST v1.1) or occurrence of death due to any cause, whichever occurs first. Progressive disease (PD) defined as at least a 20% increase in sum of longest diameter (SLD) of target lesions, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. PFS was measured using Kaplan-Meier (KM) estimates. Here the 20 mg dose level was selected for stratification as the highest dose level equal to or smaller than the median of all dose levels administered to at least 1 participant. | Up to 1136 Days |
| Number of Participants With Change From Baseline in Laboratory Test Abnormalities to Grade 3 or Higher Severity Based on NCI-CTCAE Version 4.03 | The laboratory measurements included hematology, biochemistry, and urinalysis values were graded with National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 4.03 toxicity grades (where Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = life threatening and Grade 5 = death). Number of participants with change from baseline to grade 3 or higher values for the hematology, biochemistry and urinalysis parameters were reported. | Up to 1136 Days |
| Number of Participants With Clinically Meaningful Changes From Baseline in Vital Signs | Vital sign assessments included assessments of heart rate, diastolic blood pressure, systolic blood pressure, weight, respiratory rate and temperature. Clinical relevance was assessed by the investigator. Number of participants who had any clinically meaningful change from baseline in vital signs were reported. | Up to 1136 Days |
| Number of Participants With Clinically Meaningful Changes From Baseline in Electrocardiogram (ECG) Values | ECG parameters included rhythm, heart rate (as measured by RR interval), PR interval, QRS duration, QT intervals, and corrected QT(QTc) intervals. Clinical significance was determined by the investigator. Number of participants with clinically meaningful change from baseline in 12-lead ECG were reported. | Up to 1136 Days |
| Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status (PF) Score of 2 or Higher Than 2 | ECOG PS score is widely used by doctors and researchers to assess how a participants' disease is progressing, and is used to assess how the disease affects the daily living abilities of the participant, and determine appropriate treatment and prognosis. The score ranges from Grade 0 to Grade 5, where Grade 0 = Fully active, able to carry on all pre-disease performance without restriction, Grade 1 = Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature (like light house work, office work), Grade 2 = Ambulatory and capable of all self-care but unable to carry out any work activities, Grade 3 = Capable of only limited self-care, confined to bed or chair more than 50% of waking hours and Grade 4 = Completely disabled. Cannot carry on any self-care. Totally confined to bed or chair, Grade 5 = Death. Number of participants with ECOG performance status score of 2 or higher than 2 were reported. | Up to 1136 Days |
| Percentage of Participants With Objective Response | Objective response is defined as the percentage of participants with complete response (CR) and partial response (PR). CR is defined as disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. | Up to 1136 Days |
| Indianapolis |
| Indiana |
| 46202 |
| United States |
| Sidney Kimmel Cancer Center - Johns Hopkins | Baltimore | Maryland | 21205-1911 | United States |
| Henry Ford Health System | Detroit | Michigan | 48202 | United States |
| Nebraska Cancer Specialists | Omaha | Nebraska | 68130 | United States |
| Comprehensive Cancer Centers of Nevada | Las Vegas | Nevada | 89169 | United States |
| Rutgers Cancer Institute of New Jersey | New Brunswick | New Jersey | 08901 | United States |
| Carducci MA, Wang D, Habermehl C, Bodding M, Rohdich F, Lignet F, Duecker K, Karpenko O, Pudelko L, Gimmi C, LoRusso P. A First-in-human, Dose-escalation Study of the Methionine Aminopeptidase 2 Inhibitor M8891 in Patients with Advanced Solid Tumors. Cancer Res Commun. 2023 Aug 24;3(8):1638-1647. doi: 10.1158/2767-9764.CRC-23-0048. eCollection 2023 Aug. |
| US Medical Information website, Medical Resources | View source |
| M8891 12 mg |
Participant received M8891 at dose of 12 mg orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. |
| BG002 | M8891 20 mg | Participant received M8891 at dose of 20 mg orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. |
| BG003 | M8891 35 mg | Participant received M8891 at dose of 35 mg orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. |
| BG004 | M8891 60 mg | Participant received M8891 at dose of 60 mg orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. |
| BG005 | M8891 80 mg | Participant received M8891 at dose of 80 mg orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. |
| BG006 | Total | Total of all reporting groups |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
|
|
|
| Secondary | Number of Participants With Treatment-Emergent Adverse Events (TEAE) and TEAEs Leading to Death | An Adverse event (AE) was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease associated with the use of study drug, whether or not considered related to the study drug or worsening of pre-existing medical condition, whether or not related to study drug. A serious adverse event (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. The term TEAE is defined as AEs starting or worsening after the first intake of the study drug. TEAEs include both Serious TEAEs and non-serious TEAEs. | Safety analysis set included all participants who received at least 1 dose of study drug. | Posted | Count of Participants | Participants | Up to 1136 Days |
|
|
|
| Secondary | Number of Participants With Treatment-Emergent Adverse Events (TEAE) by Severity | Severity of adverse events (AE) were assessed by the investigator according to National Cancer Institute (NCI) Common Toxicity Criteria for Adverse Events (CTCAE) version 4.03 as Grade 1 to Grade 5. Grade 1= Mild, Grade 2=Moderate, Grade 3=Severe, Grade 4= Life-threatening and Grade 5= Death. The number of participants that experienced at least one solicited local TEAE were summarized by grade. The term TEAE is defined as AEs starting or worsening after the first intake of the study drug. TEAEs include both Serious TEAEs and non-serious TEAEs. Number of participants with Grade >=3, >=4 and 5 were reported. | Safety analysis set included all participants who received at least 1 dose of study drug. | Posted | Count of Participants | Participants | Up to 1136 Days |
|
|
|
| Secondary | Maximum Observed Plasma Concentration (Cmax) of M8891 | Maximum observed plasma concentration (Cmax) was taken directly from the observed concentration-time curve. | Pharmacokinetic (PK) analysis set included all participants from the safety analysis set without major protocol deviations/violations or events that would affect PK. Here "Number Analyzed"=number of participants evaluable at specified time points. | Posted | Geometric Mean | Geometric Coefficient of Variation | Nanogram per milliliter (ng/mL) | Cycle 1 Pre-dose, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 (Each cycle is of 21 days) |
|
|
|
| Secondary | Time to Reach Maximum Observed Plasma Concentration (Tmax) of M8891 | The time to reach the maximum observed plasma concentration (tmax) was obtained directly from the concentration versus time curve. | PK analysis set included all participants from the safety analysis set without major protocol deviations/violations or events that would affect PK. Here "Number Analyzed"=number of participants evaluable at specified time points. | Posted | Median | Full Range | Hour | Cycle 1 Pre-dose, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 (Each cycle is of 21 days) |
|
|
|
| Secondary | Area Under the Plasma Concentration Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of M8891 | The AUC from time zero (= dosing time) to the last sampling time (tlast) at which the concentration is at or above the lower limit of quantification (LLOQ), calculated using the mixed log-linear trapezoidal rule (linear up, log down). | PK analysis set included all participants from the safety analysis set without major protocol deviations/violations or events that would affect PK. Here "Number Analyzed"=number of participants evaluable at specified time points. | Posted | Geometric Mean | Geometric Coefficient of Variation | Nanogram*hour per milliliter (ng*h/mL) | Cycle 1 Pre-dose, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 (Each cycle is of 21 days) |
|
|
|
| Secondary | Area Under the Concentration-time Curve From Zero Extrapolated to Infinity (AUC0-inf) of M8891 | The AUC from time zero (dosing time) extrapolated to infinity, based on the predicted value for the concentration at tlast, as estimated using the linear regression from the determination of the terminal first order (elimination) rate constant (lambda z). AUC0-inf = AUC0-t plus Clast pred/lambda z. Lambda Z was terminal elimination rate constant determined from the terminal slope of the log-transformed plasma concentration curve using linear regression on terminal data points of the curve. Clastpred was the last predicted quantifiable concentration. | PK analysis set included all participants from the safety analysis set without major protocol deviations/violations or events that would affect PK. As R2 was <0.80, %AUCextra was >20% and elimination phase was not characterized, AUC0-inf derived from lambda z was regarded as implausible and not calculated. | Posted | Cycle 1 Pre-dose, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 (Each cycle is of 21 days) |
|
|
| Secondary | Area Under the Plasma Concentration Versus Time Curve Within One Dosing Interval (AUC0-tau) of M8891 | AUC (0-tau) is the area under the plasma concentration time curve within 1 dosing interval. Calculated using the mixed log linear trapezoidal rule (linear up, log down). | PK analysis set included all participants from the safety analysis set without major protocol deviations/violations or events that would affect PK. Here "Number Analyzed"=number of participants evaluable at specified time points. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng*h/mL | Cycle 1 Pre-dose, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 (Each cycle is of 21 days) |
|
|
|
| Secondary | Apparent Terminal Half Life (t1/2) of M8891 | Terminal half-life of M8891 in Plasma was calculated as log2/ lambda z. Lambda z was determined from the terminal slope of the log-transformed concentration curve using linear regression on terminal data points of the curve. | PK analysis set included all participants from the safety analysis set without major protocol deviations/violations or events that would affect PK. As coefficient of correlation (R2) was <0.80, %AUCextra was >20% and elimination phase was not characterized, t1/2 derived from lambda z was regarded as implausible and not calculated. | Posted | Cycle 1 Pre-dose, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 (Each cycle is of 21 days) |
|
|
| Secondary | Terminal Elimination Rate Constant (Lambda z) of M8891 | Lambda z was determined from the terminal slope of the log-transformed concentration curve using linear regression on terminal data points of the curve. | PK analysis set included all participants from the safety analysis set without major protocol deviations/violations or events that would affect PK. As R2 was <0.80, %AUCextra was >20% and elimination phase was not characterized, lambda z was regarded as implausible and not calculated. | Posted | Cycle 1 Pre-dose, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 (Each cycle is of 21 days) |
|
|
| Secondary | Apparent Total Body Clearance (CL/f) of M8891 | Apparent total body clearance of drug from plasma following extravascular administration, calculated as dose/AUC0-infinity for M8891. Area under the plasma concentration-time curve from time zero (dosing time) extrapolated to infinity of unchanged drug calculated as AUC0-t + AUCextra. AUCextra represents the extrapolated part of AUC0-infinity calculated by Clastpred/lambda z, where Clastpred is the predicted plasma concentration at the last sampling time point, calculated from the log linear regression line for lambda z determination at which the measured plasma concentration is at or above lower limit of quantification. | PK analysis set included all participants from the safety analysis set without major protocol deviations/violations or events that would affect PK. As R2 was <0.80, %AUCextra was >20% and elimination phase was not characterized, CL/f derived from lambda z was regarded as implausible and not calculated. | Posted | Cycle 1 Pre-dose, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 (Each cycle is of 21 days) |
|
|
| Secondary | Apparent Body Clearance of Drug Following Extravascular Administration At Steady State (CLss/f) of M8891 | The apparent total body clearance of drug at steady state following extravascular administration, taking into account the fraction of dose absorbed. It is calculated as dose/AUCtau for M8891. | PK analysis set included all participants from the safety analysis set without major protocol deviations/violations or events that would affect PK. As R2 was <0.80, %AUCextra was >20% and elimination phase was not characterized, CLss/f derived from lambda z was regarded as implausible and not calculated. | Posted | Cycle 1 Pre-dose, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 (Each cycle is of 21 days) |
|
|
| Secondary | Apparent Volume of Distribution During Terminal Phase (VZ/f) of M8891 | Apparent volume of distribution during the terminal phase following extravascular administration for M8891 was calculated. Vz/f = Dose/(AUC0-infinity multiply by Lambda z) following single dose. The AUC from time zero (dosing time) extrapolated to infinity, based on the predicted value for the concentration at tlast, as estimated using the linear regression from lambda z determination. AUC(0- inf)=AUC0-t plus Clastpred/lambda z where Clastpred was last predicted concentration. Lambda Z was terminal elimination rate constant determined from the terminal slope of the log-transformed plasma concentration curve using linear regression on terminal data points of the curve. | PK analysis set included all participants from the safety analysis set without major protocol deviations/violations or events that would affect PK. As R2 was <0.80, %AUCextra was >20% and elimination phase was not characterized, VZ/f derived from lambda z was regarded as implausible and not calculated. | Posted | Cycle 1 Pre-dose, 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 (Each cycle is of 21 days) |
|
|
| Secondary | Accumulation Ratios of AUC (Racc AUC) of M8891 | Racc (AUC) is defined as the accumulation factor to assess the increase in exposure until steady state is reached. Accumulation ratio for AUC was calculated as AUC, after dosing on Day 15 divided by AUC, after dosing on Day 1 of Cycle 1. | PK analysis set included all participants from the safety analysis set without major protocol deviations/violations or events that would affect PK. Here "Number Analyzed"=number of participants evaluable at specified time points. | Posted | Geometric Mean | Geometric Coefficient of Variation | Ratio | Pre-dose and at 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 of Cycle 1 (each cycle is 21 days) |
|
|
|
| Secondary | Accumulation Ratio of Cmax (Racc Cmax) of M8891 | Accumulation ratio of Cmax was calculated as Cmax, after dosing on Day 15 divided by Cmax, after dosing on Day 1 of Cycle 1. | PK analysis set included all participants from the safety analysis set without major protocol deviations/violations or events that would affect PK. Here "Number Analyzed"=number of participants evaluable at specified time points. | Posted | Geometric Mean | Geometric Coefficient of Variation | Ratio | Pre-dose and at 1, 2, 3, 4, 5, 6, 8, 12, 24 hours post-dose on Day 1 and 15 of Cycle 1 (each cycle is 21 days) |
|
|
|
| Secondary | Number of Participants With Best Overall Response Assessment According to Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST v1.1) Criteria | BOR was determined according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) as assessed by investigators. BOR is defined as the best response of any of the complete response (CR), partial response (PR), stable disease (SD) and progressive disease (PD) recorded from the date of randomization until disease progression. CR: Disappearance of all evidence of target and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 millimeter (mm). PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. Stable disease (SD) defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest SLD while on study. PD is defined as at least a 20 percent (%) increase in the SLD of target lesion, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. | Safety analysis set included all participants who received at least 1 dose of study drug. | Posted | Count of Participants | Participants | Up to 1136 Days |
|
|
|
| Secondary | Number of Participants With Clinical Benefit | Clinical benefit defined as Complete Response (CR), Partial Response (PR) or Stable Disease (SD) for >= 12 weeks. Clinical benefit was assessed according to RECIST Version 1.1. CR: defined as disappearance of all target and all non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 millimeter (mm). PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. SD: defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest SLD while on study. PD is defined as at least a 20 percent (%) increase in the SLD of target lesion, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. | Safety analysis set included all participants who received at least 1 dose of study drug. | Posted | Count of Participants | Participants | Up to 1136 Days |
|
|
|
| Secondary | Progression-Free Survival (PFS) | Progression-free survival (PFS) defined as the time from first study drug administration to either first observation of progressive disease (PD) (as assessed by Investigators according to RECIST v1.1) or occurrence of death due to any cause, whichever occurs first. Progressive disease (PD) defined as at least a 20% increase in sum of longest diameter (SLD) of target lesions, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. PFS was measured using Kaplan-Meier (KM) estimates. Here the 20 mg dose level was selected for stratification as the highest dose level equal to or smaller than the median of all dose levels administered to at least 1 participant. | Safety analysis set included all participants who received at least 1 dose of study drug. | Posted | Median | 95% Confidence Interval | Months | Up to 1136 Days |
|
|
|
| Secondary | Number of Participants With Change From Baseline in Laboratory Test Abnormalities to Grade 3 or Higher Severity Based on NCI-CTCAE Version 4.03 | The laboratory measurements included hematology, biochemistry, and urinalysis values were graded with National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 4.03 toxicity grades (where Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = life threatening and Grade 5 = death). Number of participants with change from baseline to grade 3 or higher values for the hematology, biochemistry and urinalysis parameters were reported. | Safety analysis set included all participants who received at least 1 dose of study drug. | Posted | Count of Participants | Participants | Up to 1136 Days |
|
|
|
| Secondary | Number of Participants With Clinically Meaningful Changes From Baseline in Vital Signs | Vital sign assessments included assessments of heart rate, diastolic blood pressure, systolic blood pressure, weight, respiratory rate and temperature. Clinical relevance was assessed by the investigator. Number of participants who had any clinically meaningful change from baseline in vital signs were reported. | Safety analysis set included all participants who received at least 1 dose of study drug. | Posted | Count of Participants | Participants | Up to 1136 Days |
|
|
|
| Secondary | Number of Participants With Clinically Meaningful Changes From Baseline in Electrocardiogram (ECG) Values | ECG parameters included rhythm, heart rate (as measured by RR interval), PR interval, QRS duration, QT intervals, and corrected QT(QTc) intervals. Clinical significance was determined by the investigator. Number of participants with clinically meaningful change from baseline in 12-lead ECG were reported. | Safety analysis set included all participants who received at least 1 dose of study drug. | Posted | Count of Participants | Participants | Up to 1136 Days |
|
|
|
| Secondary | Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status (PF) Score of 2 or Higher Than 2 | ECOG PS score is widely used by doctors and researchers to assess how a participants' disease is progressing, and is used to assess how the disease affects the daily living abilities of the participant, and determine appropriate treatment and prognosis. The score ranges from Grade 0 to Grade 5, where Grade 0 = Fully active, able to carry on all pre-disease performance without restriction, Grade 1 = Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature (like light house work, office work), Grade 2 = Ambulatory and capable of all self-care but unable to carry out any work activities, Grade 3 = Capable of only limited self-care, confined to bed or chair more than 50% of waking hours and Grade 4 = Completely disabled. Cannot carry on any self-care. Totally confined to bed or chair, Grade 5 = Death. Number of participants with ECOG performance status score of 2 or higher than 2 were reported. | Safety analysis set included all participants who received at least 1 dose of study drug. | Posted | Count of Participants | Participants | Up to 1136 Days |
|
|
|
| Secondary | Percentage of Participants With Objective Response | Objective response is defined as the percentage of participants with complete response (CR) and partial response (PR). CR is defined as disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. | Safety analysis set included all participants who received at least 1 dose of study drug. | Posted | Number | 95% Confidence Interval | Percentage of participants | Up to 1136 Days |
|
|
|
| 0 |
| 3 |
| 0 |
| 3 |
| 3 |
| 3 |
| EG001 | M8891 12 mg | Participant received M8891 at dose of 12 mg orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. | 1 | 3 | 1 | 3 | 2 | 3 |
| EG002 | M8891 20 mg | Participant received M8891 at dose of 20 mg orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. | 2 | 3 | 3 | 3 | 3 | 3 |
| EG003 | M8891 35 mg | Participant received M8891 at dose of 35 mg orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. | 2 | 8 | 3 | 8 | 8 | 8 |
| EG004 | M8891 60 mg | Participant received M8891 at dose of 60 mg orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. | 0 | 7 | 1 | 7 | 7 | 7 |
| EG005 | M8891 80 mg | Participant received M8891 at dose of 80 mg orally with first dose in Cycle 1 Day 1 and consist of consecutive 21-day cycles of continuous once daily M8891 monotherapy under fasting conditions until disease progression, unacceptable toxicity, withdrawal of consent, or any criterion for withdrawal from the study. | 0 | 3 | 0 | 3 | 3 | 3 |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Adrenal insufficiency | Endocrine disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Small intestinal obstruction | Gastrointestinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Sepsis | Infections and infestations | MedDRA version 23.0. | Non-systematic Assessment |
|
| Platelet count decreased | Investigations | MedDRA version 23.0. | Non-systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Ascites | Gastrointestinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Dry mouth | Gastrointestinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Flatulence | Gastrointestinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Haematochezia | Gastrointestinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Periodontal disease | Gastrointestinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Rectal haemorrhage | Gastrointestinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Stomatitis | Gastrointestinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA version 23.0. | Non-systematic Assessment |
|
| Amylase increased | Investigations | MedDRA version 23.0. | Non-systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA version 23.0. | Non-systematic Assessment |
|
| Bilirubin conjugated increased | Investigations | MedDRA version 23.0. | Non-systematic Assessment |
|
| Blood alkaline phosphatase increased | Investigations | MedDRA version 23.0. | Non-systematic Assessment |
|
| Blood bilirubin increased | Investigations | MedDRA version 23.0. | Non-systematic Assessment |
|
| Fibrin D dimer increased | Investigations | MedDRA version 23.0. | Non-systematic Assessment |
|
| Gamma-glutamyltransferase increased | Investigations | MedDRA version 23.0. | Non-systematic Assessment |
|
| Lipase increased | Investigations | MedDRA version 23.0. | Non-systematic Assessment |
|
| Lymphocyte count decreased | Investigations | MedDRA version 23.0. | Non-systematic Assessment |
|
| Platelet count decreased | Investigations | MedDRA version 23.0. | Non-systematic Assessment |
|
| Weight decreased | Investigations | MedDRA version 23.0. | Non-systematic Assessment |
|
| Weight increased | Investigations | MedDRA version 23.0. | Non-systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Dehydration | Metabolism and nutrition disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Hyperamylasaemia | Metabolism and nutrition disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Hyperkalaemia | Metabolism and nutrition disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Hyperlipasaemia | Metabolism and nutrition disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Hyperuricaemia | Metabolism and nutrition disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Hypoalbuminaemia | Metabolism and nutrition disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Catheter site rash | General disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Chest pain | General disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Chills | General disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Fatigue | General disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Non-cardiac chest pain | General disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Oedema peripheral | General disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Dysarthria | Nervous system disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Dysgeusia | Nervous system disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Paraesthesia | Nervous system disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Anaemia | Blood and lymphatic system disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Dysphonia | Respiratory, thoracic and mediastinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Hydrothorax | Respiratory, thoracic and mediastinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Nasal ulcer | Respiratory, thoracic and mediastinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Productive cough | Respiratory, thoracic and mediastinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Upper-airway cough syndrome | Respiratory, thoracic and mediastinal disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Conjunctivitis | Infections and infestations | MedDRA version 23.0. | Non-systematic Assessment |
|
| Diverticulitis | Infections and infestations | MedDRA version 23.0. | Non-systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA version 23.0. | Non-systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA version 23.0. | Non-systematic Assessment |
|
| Tinea pedis | Infections and infestations | MedDRA version 23.0. | Non-systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA version 23.0. | Non-systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Neck pain | Musculoskeletal and connective tissue disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Anxiety | Psychiatric disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Confusional state | Psychiatric disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Depression | Psychiatric disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Hallucination | Psychiatric disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Alopecia | Skin and subcutaneous tissue disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Dry skin | Skin and subcutaneous tissue disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Night sweats | Skin and subcutaneous tissue disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Pain of skin | Skin and subcutaneous tissue disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Rash maculo-papular | Skin and subcutaneous tissue disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Deep vein thrombosis | Vascular disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Thrombophlebitis superficial | Vascular disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Eye pruritus | Eye disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Lacrimation increased | Eye disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Vision blurred | Eye disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Ear pain | Ear and labyrinth disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Fall | Injury, poisoning and procedural complications | MedDRA version 23.0. | Non-systematic Assessment |
|
| Wound complication | Injury, poisoning and procedural complications | MedDRA version 23.0. | Non-systematic Assessment |
|
| Palpitations | Cardiac disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Adrenal insufficiency | Endocrine disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Cholelithiasis | Hepatobiliary disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Cancer pain | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 23.0. | Non-systematic Assessment |
|
| Vaginal haemorrhage | Reproductive system and breast disorders | MedDRA version 23.0. | Non-systematic Assessment |
|
| Glomerular filtration rate decreased | Investigations | MedDRA version 23.0. | Non-systematic Assessment |
|
Not provided
| D009369 | Neoplasms |
| D007680 | Kidney Neoplasms |
| D014571 | Urologic Neoplasms |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052801 | Male Urogenital Diseases |
| TEAEs leading to death |
|
| Grade >=4 |
|
| Grade 5 |
|
|
| Day 15 |
|
|
|
| Day 15 |
|
|
|
| Day 15 |
|
|
|
| Day 15 |
|
|
| Partial Response |
|
| Stable Disease |
|
| Progressive Disease |
|
| Not Evaluable |
|
| Partial Response |
|
| Stable Disease |
|
| Grade >= 3 hematology |
|
| Grade >= 3 urinalysis |
|