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| ID | Type | Description | Link |
|---|---|---|---|
| 2017-002985-28 | EudraCT Number |
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Based on the limited activity observed with avelumab monotherapy in the pediatric population, the Phase II study part was cancelled.
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| Name | Class |
|---|---|
| Merck KGaA, Darmstadt, Germany | INDUSTRY |
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This is a multi-center, open-label, international study to evaluate the dose, safety and tolerability, antitumor activity, pharmacokinetic and pharmacodynamics of avelumab in pediatric subjects 0 to less than 18 years of age with refractory or relapsed malignant solid tumors (including central nervous system tumors) and lymphoma for which no standard therapy is available or for which the subject is not eligible for the existing therapy.
The study was planned to be conducted in 2 parts: the dose-finding part (Phase I) and the tumor-specified expansion part (Phase II). However, Phase II was cancelled due to limited clinical benefit of PD-L1 monotherapy in pediatric participants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Avelumab: 10 miligram per kilogram (mg/kg) | Experimental |
| |
| Avelumab 20mg/kg | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Avelumab | Drug | Participants received an intravenous infusion of avelumab 10mg/kg intervention (IV) once every 2 weeks until confirmed progression, death, unacceptable toxicity, or any criterion for withdrawal occurred. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment-Emergent Adverse Events (TEAEs) as Per Severity With Grade 3 or Higher According to National Cancer Institute-Common Terminology Criteria for Adverse Events Version 4.03 (NCI-CTCAE v4.03) | Adverse event (AE) was defined as any untoward medical occurrence in a participant, which does not necessarily have causal relationship with treatment. A serious AE was defined as an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged in participant hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. TEAEs were those events with onset dates occurring during the on-treatment period for the first time, or if the worsening of an event was during the on-treatment period. TEAEs included both serious TEAEs and non-serious TEAEs. Severity of grade 3 or higher TEAEs were graded using NCI-CTCAE v4.03 toxicity grades, as follows: Grade 1 = Mild, Grade 2= Moderate, Grade 3 = Severe; Grade 4 = Life-threatening and Grade 5 = Death. Number of participants with TEAEs as per severity with Grade 3 and higher were reported. | Baseline up to 1182 days |
| Number of Participants Who Experienced Dose-Limiting Toxicities (DLTs) | For the purpose of dose finding, any of the following AEs occurring during the primary DLT observation period. Hematologic: Grade 4 neutropenia for more than 7 days in duration; Grade greater than or equal to (>=) 3 neutropenic infection; Grade >= 3 thrombocytopenia with bleeding; Grade 4 thrombocytopenia > 7 days and Grade 4 anemia. Nonhematologic: Any Grade >= 3 toxicity, except for any of the following: Transient (less than or equal to (<=) 72 hours; Grade 3 flu-like symptoms or fever, which was controlled with medical management; Transient (<= 72 hours) Grade 3 fatigue, local reactions, headache, nausea, or emesis that resolved to Grade <= 1 or to Baseline. Grade 3 diarrhea or Grade 3 skin toxicity that resolved to Grade <= 1 in less than 7 days after medical management (immunosuppressant treatment) had been initiated. Grade >= 3 amylase or lipase abnormality that was not associated with clinical manifestations of pancreatitis. | Baseline up to 28 days |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Confirmed Best Overall Response (BOR) as Per Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) and as Adjudicated by the Investigator | Confirmed BOR was evaluated based on RECIST v1.1 and Investigator's assessments and defined as best response of any of confirmed complete response (CR), partial response (PR), stable disease (SD) and progressive disease (PD) recorded from date of study treatment until disease progression. CR: Disappearance of all evidence of target/non-target lesions. PR: At least 30 percent (%) reduction from baseline in sum of longest diameter (SLD) of all lesions. SD: Neither sufficient increase to qualify for PD nor sufficient shrinkage to qualify for PR. PD: at least a 20% increase in SLD, taking as reference smallest SLD recorded from baseline/appearance of 1or more new lesions and unequivocal progression of non-target lesions. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Responsible | Merck KGaA, Darmstadt, Germany | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Children's Hospital Colorado | Aurora | Colorado | 80045 | United States | ||
| The Children's Hospital at Montefiore (CHAM) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35484319 | Result | Vugmeyster Y, Grisic AM, Brockhaus B, Rueckert P, Ruisi M, Dai H, Khandelwal A. Avelumab Dose Selection for Clinical Studies in Pediatric Patients with Solid Tumors. Clin Pharmacokinet. 2022 Jul;61(7):985-995. doi: 10.1007/s40262-022-01111-8. Epub 2022 Apr 29. | |
| 35262780 | Result | Loeb DM, Lee JW, Morgenstern DA, Samson Y, Uyttebroeck A, Lyu CJ, Van Damme A, Nysom K, Macy ME, Zorzi AP, Xiong J, Pollert P, Joerg I, Vugmeyster Y, Ruisi M, Kang HJ. Avelumab in paediatric patients with refractory or relapsed solid tumours: dose-escalation results from an open-label, single-arm, phase 1/2 trial. Cancer Immunol Immunother. 2022 Oct;71(10):2485-2495. doi: 10.1007/s00262-022-03159-8. Epub 2022 Mar 9. |
| Label | URL |
|---|---|
| Trial Awareness and Transparency website | View source |
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The study was planned to be conducted in 2 parts: the dose-finding part (Phase I) and the tumor-specified expansion part (Phase II). However, Phase II was cancelled due to limited clinical benefit of Programmed death ligand 1 (PD-L1) monotherapy in pediatric participants.
A total of 26 participants were screened for participation in the Phase I part of the study, out of which 21 participants were eligible and received the study treatment.
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| ID | Title | Description |
|---|---|---|
| FG000 | Avelumab 10 Miligram Per Kilogram (mg/kg) | Participants received an intravenous infusion of avelumab 10mg/kg intervention (IV) once every 2 weeks until confirmed progression, death, unacceptable toxicity, or any criterion for withdrawal occurred. |
| FG001 | Avelumab 20 mg/kg | Participants received an intravenous infusion of avelumab 20 mg/kg IV once every 2 weeks until confirmed progression, death, unacceptable toxicity, or any criterion for withdrawal occurred. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
Full analysis set included all participants who had received any dose of avelumab.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Avelumab 10 Miligram Per Kilogram (mg/kg) | Participants received an intravenous infusion of avelumab 10mg/kg intervention (IV) once every 2 weeks until confirmed progression, death, unacceptable toxicity, or any criterion for withdrawal occurred. |
| BG001 | Avelumab 20 mg/kg |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With Treatment-Emergent Adverse Events (TEAEs) as Per Severity With Grade 3 or Higher According to National Cancer Institute-Common Terminology Criteria for Adverse Events Version 4.03 (NCI-CTCAE v4.03) | Adverse event (AE) was defined as any untoward medical occurrence in a participant, which does not necessarily have causal relationship with treatment. A serious AE was defined as an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged in participant hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. TEAEs were those events with onset dates occurring during the on-treatment period for the first time, or if the worsening of an event was during the on-treatment period. TEAEs included both serious TEAEs and non-serious TEAEs. Severity of grade 3 or higher TEAEs were graded using NCI-CTCAE v4.03 toxicity grades, as follows: Grade 1 = Mild, Grade 2= Moderate, Grade 3 = Severe; Grade 4 = Life-threatening and Grade 5 = Death. Number of participants with TEAEs as per severity with Grade 3 and higher were reported. | Safety analysis set included all participants who received any dose of avelumab. | Posted | Count of Participants | Participants | Baseline up to 1182 days |
Baseline up to 1182 days
The Adverse Events reported under Serious AEs are the AEs (including non-serious as well as serious AEs) as no separate non-serious AEs were generated as per planned analysis.
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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 | Avelumab 10 Miligram Per Kilogram (mg/kg) | Participants received an intravenous infusion of avelumab 10mg/kg intervention (IV) once every 2 weeks until confirmed progression, death, unacceptable toxicity, or any criterion for withdrawal occurred. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Thrombocytopaenia | Blood and lymphatic system disorders | MedDRA 24.0 | Non-systematic Assessment |
Not provided
The study was planned to be conducted in 2 parts: the dose-finding part (Phase I) and the tumor-specified expansion part (Phase II). However, Phase II was cancelled due to limited clinical benefit of PD-L1 monotherapy in pediatric participants.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Communication Center | Merck KGaA, Darmstadt, Germany | +49-6151-72-5200 | service@emdgroup.com |
Not provided
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Sep 15, 2017 | May 25, 2022 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jun 22, 2021 | May 25, 2022 | SAP_001.pdf |
| ID | Term |
|---|---|
| D008223 | Lymphoma |
| D016543 | Central Nervous System Neoplasms |
| ID | Term |
|---|---|
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
Not provided
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| ID | Term |
|---|---|
| C000609138 | avelumab |
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| Avelumab | Drug | Participants received an intravenous infusion of avelumab 20mg/kg intervention (IV) once every 2 weeks until confirmed progression, death, unacceptable toxicity, or any criterion for withdrawal occurred. |
|
| Baseline up to 1182 days |
| Duration of Response (DOR) as Per Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) and as Adjudicated by the Investigator | Duration of response was defined for participants with confirmed objective response (OR), as the time from first documentation of objective response (Complete Response or Partial Response) to the date of first documentation of objective PD or death due to any cause, whichever occurred first. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the SLD of all lesions. PD: At least a 20 % increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. DOR was determined according to RECIST v1.1 and assessed by Investigator. | Time from first documentation of objective response up to 1182 days |
| Time to Response According to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) and as Adjudicated by the Investigator | Time to response (TTR) was defined, for participants with an objective response, as the time from the start date of study treatment to the first documentation of OR (CR or PR) which was subsequently confirmed. | Time from start of study treatment up to 1182 days |
| Progression-Free Survival According to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) and as Adjudicated by the Investigator | Progression-Free survival was defined as the time from first administration of study treatment until the first documentation of disease progression (PD) or death due to any cause, whichever occurred first. PD: At least a 20 % increase in the SLD, 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. | Time from first administration of study drug until the first documentation of PD or death, assessed up to 1182 days |
| Overall Survival (OS) | Overall Survival was defined as the time from date of first dose of study drug to the date of death due to any cause. For participants who were still alive at the time of data analysis or who were lost to follow-up, OS time was censored at the date of last contact. OS was measured using Kaplan-Meier (KM) estimates. | Time from first administration of study drug up to 1182 days |
| Number of Participants With Treatment-Emergent Adverse Events, Adverse Events of Special Interest (AESI) and Treatment-related Adverse Events According to NCI-CTCAE v4.03 | Adverse Event (AE) was defined any untoward medical occurrence in a participant administered with a study drug, which does not necessarily had a causal relationship with this treatment. Serious AE was defined AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital anomaly/birth defect. TEAEs: TEAEs was defined as events with onset date or worsening during the on-treatment period. TEAEs included serious AEs and non-serious AEs. Treatment-related TEAEs: reasonably related to the study intervention. AESIs included Infusion-related reactions (IRRs) and Immune-related AE (irAEs). | Baseline up to 1182 days |
| Number of Participants With Grade 3 or Higher Laboratory Abnormalities According to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 4.03 | The total number of participants with laboratory test abnormalities were assessed. Clinical laboratory tests included hematology and biochemistry abnormalities. The hematology and biochemistry abnormalities (by worst on-treatment NCI-CTCAE Grade 3 and Grade 4) were reported. Laboratory abnormalities were graded using NCI-CTCAE v4.03 toxicity grades, as follows: Grade 1 = Mild, Grade 2= Moderate, Grade 3 = Severe; Grade 4 = Life-threatening and Grade 5 = Death. | Baseline up to 1182 days |
| Maximum Observed Serum Concentration (Cmax) of Avelumab | Cmax is the maximum observed serum concentration obtained directly from the concentration versus time curve. | Pre-dose, end of infusion (1 hour), 3 hours post-dose on Day 1, cycle 1 (each cycle is for 14 days) |
| Area Under the Serum Concentration-Time Curve From Time Zero to the 336 Hours Post-Dose (AUC 0-336 Hours) of Avelumab | Area under the serum concentration-time curve from time zero to the 336 Hours Post-Dose (AUC 0-336 hours) of Avelumab were calculated. Calculated using the mixed loglinear trapezoidal rule (linear up, log down). | Pre-dose, end of infusion (1 hour), 3 hours to 336 hours post-dose |
| Apparent Terminal Half Life (t1/2) of Avelumab | Apparent terminal half-life was defined as the time required for the plasma concentration of drug to decrease 50 percent in the final stage of its elimination. Apparent terminal half-life. t1/2 = log (ln) 2/lambdaz (λz). | Pre-dose, end of infusion (1 hour), 3 hours post-dose on Day 1, cycle 1 (each cycle is for 14 days) |
| Minimum Serum Post-dose Trough (Ctrough) Concentration of Avelumab | The concentration observed immediately before next dosing (corresponding to predose or trough concentration for multiple dosing) was calculated. | Pre-dose at Day 15 |
| Number of Participants With Positive Treatment Emergent Anti-drug Antibodies (ADA) and Neutralizing Antibodies (Nabs) | Serum samples were analyzed by a validated electrochemiluminesce immunoassay to detect the presence of anti-drug antibodies and neutralizing antibodies. Samples that screened positive were subsequently tested in a confirmatory assay. Those confirmed positive were tittered for a quasi-quantitative result. Number of participants with positive treatment emergent anti-drug antibodies and neutralizing antibodies were reported. Participants not positive prior to treatment with avelumab and with at least one positive result in the human-Antihuman Antibodies assay were characterized as treatment-emergent. | Baseline up to 1182 days |
| Number of Participants With Positive Tumor Programmed Death Ligand 1 (PD-L1) Expression | Number of participants with positive tumor programmed death ligand 1 (PDL-1) with cut off >=1%, >= 5%, >=25%, >=50% and >=80% expression were reported. | Baseline up to end of treatment visit (27.5 weeks) |
| Number of Participants With Substantial, Sustained, or Significant Changes From Baseline for Tumor-Infiltrating T-cell Levels | Number of participants with substantial, sustained, or significant changes from baseline for Tumor-Infiltrating T-cell Levels were reported. Significant clinical deterioration (clinical progression), defined as new symptoms that are deemed by the Investigator to be clinically significant or significant worsening of existing symptoms. | Baseline up to end of treatment visit (27.5 weeks) |
| Number of Participants With Substantial, Sustained, or Significant Changes From Baseline for T-cell Population in Blood | Number of participants with substantial, sustained, or significant changes from baseline for T-cell population in blood were reported. Significant clinical deterioration (clinical progression), defined as new symptoms that are deemed by the Investigator to be clinically significant or significant worsening of existing symptoms. | Baseline up to end of treatment visit (27.5 weeks) |
| Number of Participants With Substantial, Sustained, or Significant Changes From Baseline for B-cell and Natural Killer Cell (NK-Cell) in Blood | Number of participants with substantial, sustained, or significant changes from baseline for B-cell and NK-cell in blood were reported. Significant clinical deterioration (clinical progression), defined as new symptoms that are deemed by the Investigator to be clinically significant or significant worsening of existing symptoms. | Baseline up to end of treatment visit (27.5 weeks) |
| Number of Participants With Substantial, Sustained, or Significant Changes From Baseline for Vaccination-Related Antibody Concentrations | Samples for the testing of vaccination-related antibody concentrations for diphtheria, tetanus, and pneumococcal conjugate (PCV-7) were collected. Significant clinical deterioration (clinical progression), defined as new symptoms that are deemed by the Investigator to be clinically significant or significant worsening of existing symptoms. | Baseline up to end of treatment visit (27.5 weeks) |
| Number of Participants With TEAEs Related to Vital Signs That Resulted in Treatment Discontinuation | Vital signs included: Body temperature, Heart Rate, Blood pressure and respiratory rate. Vital signs were measured in semi-supine position after 5 minutes rest for the participants. | Baseline up to 1182 days |
| The Bronx |
| New York |
| 10467 |
| United States |
| Cliniques Universitaires Saint-Luc | Brussels | Belgium |
| UZ Leuven | Leuven | Belgium |
| Children's Hospital - London Health Sciences Centre | London | Canada |
| CHU Sainte-Justine | Montreal | Canada |
| The Hospital for Sick Children | Toronto | Canada |
| Rigshospitalet | Copenhagen | Denmark |
| Samsung Medical Center | Seoul | South Korea |
| Seoul National University Hospital | Seoul | South Korea |
| Severance Hospital, Yonsei University | Seoul | South Korea |
| US Medical Information website, Medical Resources | View source |
Participants received an intravenous infusion of avelumab 20 mg/kg IV once every 2 weeks until confirmed progression, death, unacceptable toxicity, or any criterion for withdrawal occurred. |
| BG002 | Total | Total of all reporting groups |
| Years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| ID | Title | Description |
|---|---|---|
| OG000 | Avelumab 10 Miligram Per Kilogram (mg/kg) | Participants received an intravenous infusion of avelumab 10mg/kg intervention (IV) once every 2 weeks until confirmed progression, death, unacceptable toxicity, or any criterion for withdrawal occurred. |
| OG001 | Avelumab 20 mg/kg | Participants received an intravenous infusion of avelumab 20 mg/kg IV once every 2 weeks until confirmed progression, death, unacceptable toxicity, or any criterion for withdrawal occurred. |
|
|
| Primary | Number of Participants Who Experienced Dose-Limiting Toxicities (DLTs) | For the purpose of dose finding, any of the following AEs occurring during the primary DLT observation period. Hematologic: Grade 4 neutropenia for more than 7 days in duration; Grade greater than or equal to (>=) 3 neutropenic infection; Grade >= 3 thrombocytopenia with bleeding; Grade 4 thrombocytopenia > 7 days and Grade 4 anemia. Nonhematologic: Any Grade >= 3 toxicity, except for any of the following: Transient (less than or equal to (<=) 72 hours; Grade 3 flu-like symptoms or fever, which was controlled with medical management; Transient (<= 72 hours) Grade 3 fatigue, local reactions, headache, nausea, or emesis that resolved to Grade <= 1 or to Baseline. Grade 3 diarrhea or Grade 3 skin toxicity that resolved to Grade <= 1 in less than 7 days after medical management (immunosuppressant treatment) had been initiated. Grade >= 3 amylase or lipase abnormality that was not associated with clinical manifestations of pancreatitis. | The DLT analysis set includes all participants who meet either of the following criteria: Have received 100 percent (% ) of all planned doses of treatment during the DLT evaluation period (first 2 cycles of treatment) and have been followed for at least 28 days or have stopped treatment because of a DLT in the DLT evaluation period. | Posted | Count of Participants | Participants | Baseline up to 28 days |
|
|
|
| Secondary | Number of Participants With Confirmed Best Overall Response (BOR) as Per Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) and as Adjudicated by the Investigator | Confirmed BOR was evaluated based on RECIST v1.1 and Investigator's assessments and defined as best response of any of confirmed complete response (CR), partial response (PR), stable disease (SD) and progressive disease (PD) recorded from date of study treatment until disease progression. CR: Disappearance of all evidence of target/non-target lesions. PR: At least 30 percent (%) reduction from baseline in sum of longest diameter (SLD) of all lesions. SD: Neither sufficient increase to qualify for PD nor sufficient shrinkage to qualify for PR. PD: at least a 20% increase in SLD, taking as reference smallest SLD recorded from baseline/appearance of 1or more new lesions and unequivocal progression of non-target lesions. | Full analysis set included all participants who received any dose of avelumab. | Posted | Count of Participants | Participants | Baseline up to 1182 days |
|
|
|
| Secondary | Duration of Response (DOR) as Per Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) and as Adjudicated by the Investigator | Duration of response was defined for participants with confirmed objective response (OR), as the time from first documentation of objective response (Complete Response or Partial Response) to the date of first documentation of objective PD or death due to any cause, whichever occurred first. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the SLD of all lesions. PD: At least a 20 % increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. DOR was determined according to RECIST v1.1 and assessed by Investigator. | Data could not be calculated as none of the participants showed objective response. | Posted | Time from first documentation of objective response up to 1182 days |
|
|
| Secondary | Time to Response According to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) and as Adjudicated by the Investigator | Time to response (TTR) was defined, for participants with an objective response, as the time from the start date of study treatment to the first documentation of OR (CR or PR) which was subsequently confirmed. | Data could not be calculated as none of the participants showed confirmed objective response. | Posted | Time from start of study treatment up to 1182 days |
|
|
| Secondary | Progression-Free Survival According to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) and as Adjudicated by the Investigator | Progression-Free survival was defined as the time from first administration of study treatment until the first documentation of disease progression (PD) or death due to any cause, whichever occurred first. PD: At least a 20 % increase in the SLD, 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. | Full analysis set included all participants who received any dose of avelumab. Here, "Number of participants analyzed" signifies those participants who were evaluable for this outcome measure. | Posted | Median | Full Range | Weeks | Time from first administration of study drug until the first documentation of PD or death, assessed up to 1182 days |
|
|
|
| Secondary | Overall Survival (OS) | Overall Survival was defined as the time from date of first dose of study drug to the date of death due to any cause. For participants who were still alive at the time of data analysis or who were lost to follow-up, OS time was censored at the date of last contact. OS was measured using Kaplan-Meier (KM) estimates. | Full analysis set included all participants who received any dose of avelumab. Here, "Number of participants analyzed" signifies those participants who were evaluable for this outcome measure. | Posted | Median | Full Range | Months | Time from first administration of study drug up to 1182 days |
|
|
|
| Secondary | Number of Participants With Treatment-Emergent Adverse Events, Adverse Events of Special Interest (AESI) and Treatment-related Adverse Events According to NCI-CTCAE v4.03 | Adverse Event (AE) was defined any untoward medical occurrence in a participant administered with a study drug, which does not necessarily had a causal relationship with this treatment. Serious AE was defined AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital anomaly/birth defect. TEAEs: TEAEs was defined as events with onset date or worsening during the on-treatment period. TEAEs included serious AEs and non-serious AEs. Treatment-related TEAEs: reasonably related to the study intervention. AESIs included Infusion-related reactions (IRRs) and Immune-related AE (irAEs). | The safety analysis set included all participants who received any dose of avelumab. | Posted | Count of Participants | Participants | Baseline up to 1182 days |
|
|
|
| Secondary | Number of Participants With Grade 3 or Higher Laboratory Abnormalities According to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 4.03 | The total number of participants with laboratory test abnormalities were assessed. Clinical laboratory tests included hematology and biochemistry abnormalities. The hematology and biochemistry abnormalities (by worst on-treatment NCI-CTCAE Grade 3 and Grade 4) were reported. Laboratory abnormalities were graded using NCI-CTCAE v4.03 toxicity grades, as follows: Grade 1 = Mild, Grade 2= Moderate, Grade 3 = Severe; Grade 4 = Life-threatening and Grade 5 = Death. | Safety analysis set included all participants who received any dose of avelumab. | Posted | Count of Participants | Participants | Baseline up to 1182 days |
|
|
|
| Secondary | Maximum Observed Serum Concentration (Cmax) of Avelumab | Cmax is the maximum observed serum concentration obtained directly from the concentration versus time curve. | The Pharmacokinetic (PK) analysis set included all participants who received at least one dose of avelumab, had no important protocol deviations or important events affecting PK, and provided at least one measurable post-dose concentration. | Posted | Geometric Mean | Geometric Coefficient of Variation | microgram per mililiter (mcg/mL) | Pre-dose, end of infusion (1 hour), 3 hours post-dose on Day 1, cycle 1 (each cycle is for 14 days) |
|
|
|
| Secondary | Area Under the Serum Concentration-Time Curve From Time Zero to the 336 Hours Post-Dose (AUC 0-336 Hours) of Avelumab | Area under the serum concentration-time curve from time zero to the 336 Hours Post-Dose (AUC 0-336 hours) of Avelumab were calculated. Calculated using the mixed loglinear trapezoidal rule (linear up, log down). | The PK analysis set included all particpants who received at least one dose of avelumab, had no important protocol deviations or important events affecting PK, and provided at least one measurable post-dose concentration. Here" number of participants analyzed" are those who are evaluable for this outcome measure. | Posted | Geometric Mean | Geometric Coefficient of Variation | microgram*hour per mililiter (mcg•h/mL) | Pre-dose, end of infusion (1 hour), 3 hours to 336 hours post-dose |
|
|
|
| Secondary | Apparent Terminal Half Life (t1/2) of Avelumab | Apparent terminal half-life was defined as the time required for the plasma concentration of drug to decrease 50 percent in the final stage of its elimination. Apparent terminal half-life. t1/2 = log (ln) 2/lambdaz (λz). | The PK analysis set included all participants who received at least one dose of avelumab, had no important protocol deviations or important events affecting PK, and provided at least one measurable post-dose concentration. Here, "Number of participants analyzed" are those who are evaluable for this outcome measure. | Posted | Geometric Mean | Geometric Coefficient of Variation | hours | Pre-dose, end of infusion (1 hour), 3 hours post-dose on Day 1, cycle 1 (each cycle is for 14 days) |
|
|
|
| Secondary | Minimum Serum Post-dose Trough (Ctrough) Concentration of Avelumab | The concentration observed immediately before next dosing (corresponding to predose or trough concentration for multiple dosing) was calculated. | The PK analysis set included all participants who received at least one dose of avelumab, had no important protocol deviations or important events affecting PK, and provided at least one measurable post-dose concentration. | Posted | Geometric Mean | Geometric Coefficient of Variation | microgram per ml (mcg/mL) | Pre-dose at Day 15 |
|
|
|
| Secondary | Number of Participants With Positive Treatment Emergent Anti-drug Antibodies (ADA) and Neutralizing Antibodies (Nabs) | Serum samples were analyzed by a validated electrochemiluminesce immunoassay to detect the presence of anti-drug antibodies and neutralizing antibodies. Samples that screened positive were subsequently tested in a confirmatory assay. Those confirmed positive were tittered for a quasi-quantitative result. Number of participants with positive treatment emergent anti-drug antibodies and neutralizing antibodies were reported. Participants not positive prior to treatment with avelumab and with at least one positive result in the human-Antihuman Antibodies assay were characterized as treatment-emergent. | Immunogenicity Analysis Set included all partiicpants who received any dose of avelumab and have at least one valid ADA result. | Posted | Count of Participants | Participants | Baseline up to 1182 days |
|
|
|
| Secondary | Number of Participants With Positive Tumor Programmed Death Ligand 1 (PD-L1) Expression | Number of participants with positive tumor programmed death ligand 1 (PDL-1) with cut off >=1%, >= 5%, >=25%, >=50% and >=80% expression were reported. | Biomarker Analysis Set included all participants who received any dose of avelumab and who have provided at least one blood, serum, plasma, or tumor sample for biomarker assessments. | Posted | Count of Participants | Participants | Baseline up to end of treatment visit (27.5 weeks) |
|
|
|
| Secondary | Number of Participants With Substantial, Sustained, or Significant Changes From Baseline for Tumor-Infiltrating T-cell Levels | Number of participants with substantial, sustained, or significant changes from baseline for Tumor-Infiltrating T-cell Levels were reported. Significant clinical deterioration (clinical progression), defined as new symptoms that are deemed by the Investigator to be clinically significant or significant worsening of existing symptoms. | Since all evaluable tumor tissue samples were collected at baseline and no evaluable sample was provided at end of treatment as planned, an analysis of participants with substantial, sustained, or significant changes from baseline for tumor-infiltrating T-cell levels could not be performed. | Posted | Baseline up to end of treatment visit (27.5 weeks) |
|
|
| Secondary | Number of Participants With Substantial, Sustained, or Significant Changes From Baseline for T-cell Population in Blood | Number of participants with substantial, sustained, or significant changes from baseline for T-cell population in blood were reported. Significant clinical deterioration (clinical progression), defined as new symptoms that are deemed by the Investigator to be clinically significant or significant worsening of existing symptoms. | Due to early termination of the study, the data for this outcome measure was not collected. | Posted | Baseline up to end of treatment visit (27.5 weeks) |
|
|
| Secondary | Number of Participants With Substantial, Sustained, or Significant Changes From Baseline for B-cell and Natural Killer Cell (NK-Cell) in Blood | Number of participants with substantial, sustained, or significant changes from baseline for B-cell and NK-cell in blood were reported. Significant clinical deterioration (clinical progression), defined as new symptoms that are deemed by the Investigator to be clinically significant or significant worsening of existing symptoms. | Due to early termination of the study, the data for this outcome measure was not collected. | Posted | Baseline up to end of treatment visit (27.5 weeks) |
|
|
| Secondary | Number of Participants With Substantial, Sustained, or Significant Changes From Baseline for Vaccination-Related Antibody Concentrations | Samples for the testing of vaccination-related antibody concentrations for diphtheria, tetanus, and pneumococcal conjugate (PCV-7) were collected. Significant clinical deterioration (clinical progression), defined as new symptoms that are deemed by the Investigator to be clinically significant or significant worsening of existing symptoms. | Due to early termination of the study, the data for this outcome measure was not collected. | Posted | Baseline up to end of treatment visit (27.5 weeks) |
|
|
| Secondary | Number of Participants With TEAEs Related to Vital Signs That Resulted in Treatment Discontinuation | Vital signs included: Body temperature, Heart Rate, Blood pressure and respiratory rate. Vital signs were measured in semi-supine position after 5 minutes rest for the participants. | The safety analysis set included all participants who received any dose of avelumab. | Posted | Count of Participants | Participants | Baseline up to 1182 days |
|
|
|
| 6 |
| 6 |
| 6 |
| 6 |
| 0 |
| 0 |
| EG001 | Avelumab 20 mg/kg | Participants received an intravenous infusion of avelumab 20 mg/kg IV once every 2 weeks until confirmed progression, death, unacceptable toxicity, or any criterion for withdrawal occurred. | 12 | 15 | 15 | 15 | 0 | 0 |
| Abdominal Pain | Gastrointestinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Disease progression | General disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Influenza like illness | General disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Pyrexia | General disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Post procedural inflammation | Injury, poisoning and procedural complications | MedDRA 24.0 | Non-systematic Assessment |
|
| Hypophagia | Metabolism and nutrition disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Malignant pleural effusion | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 24.0 | Non-systematic Assessment |
|
| Tumour haemorrhage | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 24.0 | Non-systematic Assessment |
|
| Tumour pseudoprogression | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 24.0 | Non-systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Intracranial pressure increased | Nervous system disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Pelvic venous thrombosis | Vascular disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA 24.0 | Non-systematic Assessment |
|
| Anaemia | Blood and lymphatic system disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Coagulopathy | Blood and lymphatic system disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Sinus tachycardia | Cardiac disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Ear pain | Ear and labyrinth disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Hypothyroidism | Endocrine disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Diplopia | Eye disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Vision blurred | Eye disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Abdominal distension | Gastrointestinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Ascites | Gastrointestinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Dental caries | Gastrointestinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Dry mouth | Gastrointestinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Dyspepsia | Gastrointestinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Dysphagia | Gastrointestinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Gastric haemorrhage | Gastrointestinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Gastrointestinal ulcer | Gastrointestinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Stomatitis | Gastrointestinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Asthenia | General disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Catheter site pain | General disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Chills | General disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Fatigue | General disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Gait disturbance | General disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Malaise | General disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Non-cardiac chest pain | General disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Oedema | General disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Oedema peripheral | General disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Pain | General disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Peripheral swelling | General disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Folliculitis | Infections and infestations | MedDRA 24.0 | Non-systematic Assessment |
|
| Fungal skin infection | Infections and infestations | MedDRA 24.0 | Non-systematic Assessment |
|
| Hordeolum | Infections and infestations | MedDRA 24.0 | Non-systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA 24.0 | Non-systematic Assessment |
|
| Oral candidiasis | Infections and infestations | MedDRA 24.0 | Non-systematic Assessment |
|
| Oral herpes | Infections and infestations | MedDRA 24.0 | Non-systematic Assessment |
|
| Otitis media | Infections and infestations | MedDRA 24.0 | Non-systematic Assessment |
|
| Pharyngitis | Infections and infestations | MedDRA 24.0 | Non-systematic Assessment |
|
| Pyuria | Infections and infestations | MedDRA 24.0 | Non-systematic Assessment |
|
| Rhinitis | Infections and infestations | MedDRA 24.0 | Non-systematic Assessment |
|
| Skin infection | Infections and infestations | MedDRA 24.0 | Non-systematic Assessment |
|
| Tonsillitis | Infections and infestations | MedDRA 24.0 | Non-systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA 24.0 | Non-systematic Assessment |
|
| Infusion related reaction | Injury, poisoning and procedural complications | MedDRA 24.0 | Non-systematic Assessment |
|
| Ligament sprain | Injury, poisoning and procedural complications | MedDRA 24.0 | Non-systematic Assessment |
|
| Limb injury | Injury, poisoning and procedural complications | MedDRA 24.0 | Non-systematic Assessment |
|
| Procedural pain | Injury, poisoning and procedural complications | MedDRA 24.0 | Non-systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA 24.0 | Non-systematic Assessment |
|
| Amylase increased | Investigations | MedDRA 24.0 | Non-systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA 24.0 | Non-systematic Assessment |
|
| Blood alkaline phosphatase increased | Investigations | MedDRA 24.0 | Non-systematic Assessment |
|
| Blood creatine phosphokinase increased | Investigations | MedDRA 24.0 | Non-systematic Assessment |
|
| Blood creatinine increased | Investigations | MedDRA 24.0 | Non-systematic Assessment |
|
| Blood phosphorus increased | Investigations | MedDRA 24.0 | Non-systematic Assessment |
|
| C-reactive protein increased | Investigations | MedDRA 24.0 | Non-systematic Assessment |
|
| Electrocardiogram QT prolonged | Investigations | MedDRA 24.0 | Non-systematic Assessment |
|
| Lymphocyte count decreased | Investigations | MedDRA 24.0 | Non-systematic Assessment |
|
| Platelet count decreased | Investigations | MedDRA 24.0 | Non-systematic Assessment |
|
| Urine output decreased | Investigations | MedDRA 24.0 | Non-systematic Assessment |
|
| Weight decreased | Investigations | MedDRA 24.0 | Non-systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Dehydration | Metabolism and nutrition disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Hyperkalaemia | Metabolism and nutrition disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Hyperuricaemia | Metabolism and nutrition disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Hypoalbuminaemia | Metabolism and nutrition disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Hypomagnesaemia | Metabolism and nutrition disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Hyponatraemia | Metabolism and nutrition disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Hypophosphataemia | Metabolism and nutrition disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Flank pain | Musculoskeletal and connective tissue disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Groin pain | Musculoskeletal and connective tissue disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Muscular weakness | Musculoskeletal and connective tissue disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Lip and/or oral cavity cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 24.0 | Non-systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Dizziness postural | Nervous system disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Hemiparesis | Nervous system disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Hydrocephalus | Nervous system disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Hypoaesthesia | Nervous system disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Lethargy | Nervous system disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Memory impairment | Nervous system disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Nystagmus | Nervous system disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Paraesthesia | Nervous system disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Seizure | Nervous system disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Device occlusion | Product Issues | MedDRA 24.0 | Non-systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Acute kidney injury | Renal and urinary disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Cystitis noninfective | Renal and urinary disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Dysuria | Renal and urinary disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Haematuria | Renal and urinary disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Nephritis | Renal and urinary disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Renal tubular disorder | Renal and urinary disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Urinary retention | Renal and urinary disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Dyspnoea exertional | Respiratory, thoracic and mediastinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Hypoxia | Respiratory, thoracic and mediastinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Increased bronchial secretion | Respiratory, thoracic and mediastinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Pharyngeal inflammation | Respiratory, thoracic and mediastinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Blister | Skin and subcutaneous tissue disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Decubitus ulcer | Skin and subcutaneous tissue disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Dermatitis atopic | Skin and subcutaneous tissue disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Erythema | Skin and subcutaneous tissue disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Pain of skin | Skin and subcutaneous tissue disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Pruritus allergic | Skin and subcutaneous tissue disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Rash maculo-papular | Skin and subcutaneous tissue disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Urticaria | Skin and subcutaneous tissue disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Hypertension | Vascular disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Hypotension | Vascular disorders | MedDRA 24.0 | Non-systematic Assessment |
|
| Lymphoedema | Vascular disorders | MedDRA 24.0 | Non-systematic Assessment |
|
Not provided
Not provided
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D009423 | Nervous System Neoplasms |
| D009371 | Neoplasms by Site |
| D009422 | Nervous System Diseases |
| Stable Disease (SD) |
|
| Non-CR/Non-PR |
|
| Progressive Disease (PD) |
|
| Not Evaluable |
|
| Participants with Treatment-emergent IRR |
|
| Participants with Study-drug related TEAEs |
|
| Grade 4: platelet count decreased |
|
| Grade 3: hyponatremia |
|
| Grade 3: hyperkalemia |
|
| Grade 3: creatinine increased |
|
| Grade 3: alkaline phosphatase increased |
|
| Grade 3: hypokalemia |
|
| Grade 3: serum amylase increased |
|
| Grade 4: Hyperkalemia |
|
| PD-L1 expression at cut-off of >=25% |
|
| PD-L1 expression at cut-off of >=50% |
|
| PD-L1 expression at cut-off of >=80% |
|