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| ID | Type | Description | Link |
|---|---|---|---|
| 2018-001420-19 | EudraCT Number |
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The purpose of this trial was to evaluate the safety and efficacy of capmatinib in combination with spartalizumab in adult participants with epidermal growth factor receptor (EGFR) wild type (for exon 19 deletions and exon 21 L858R substitution mutations), anaplastic lymphoma kinase (ALK) rearrangement negative in locally advanced (stage IIIB, not eligible for definitive chemo-radiation) or metastatic (stage IV) Non-small cell lung cancer (NSCLC) after failure of platinum doublet and checkpoint inhibitor treatment.
This was a two-part prospectively designed, multicenter, open-label, randomized phase II study.
Part 1: Run-in. Prior to the randomized part of the study, a run-in to assess the safety and tolerability as well as preliminary efficacy of the capmatinib and spartalizumab combination was conducted. Participants were treated with capmatinib 400 mg twice daily (BID) and spartalizumab 400 mg intravenously (i.v.) once every 28 days. A review was planned to take place after all participants had at least 24 weeks of follow-up. The decision to expand the study to the randomized part was to be based on the safety, tolerability, and preliminary efficacy of the capmatinib and spartalizumab combination.
Part 2: Randomized. Subjects were planned to be randomized to one of the following arms in a 2:1 ratio: 1) combination of capmatinib 400 mg BID and spartalizumab 400 mg i.v. once every 28 days; 2) docetaxel 75 mg/m2 i.v. following local guidelines as per standard of care and product labels. Based on the results obtained in the run-in part of the study, the randomized part was not opened.
For the run-in part of the study, the treatment period began on Cycle 1 Day 1 and continued in 28-day cycles until disease progression, unacceptable toxicity, withdrawal of informed consent, pregnancy, lost to follow-up, or death irrespective of start of new anti-neoplastic therapy. After treatment discontinuation, all subjects were followed for safety evaluations during the safety follow-up period, and the subject's status was collected every 8 weeks as part of the survival follow-up
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Run-in part: capmatinib + spartalizumab | Experimental | Participants (enrolled in the run-in part) were treated with capmatinib 400 mg twice daily (BID) and spartalizumab 400 mg intravenously (i.v.) once every 28 days |
|
| Randomized part: capmatinib+spartalizumab | Experimental | Participants (enrolled in the randomized part) treated with capmatinib 400 mg twice daily (BID) and spartalizumab 400 mg intravenously (i.v.) once every 28 days |
|
| Randomized part: docetaxel | Active Comparator | Participants (enrolled in the randomized part) treated with docetaxel 75mg/m2 i.v. following local guidelines as per standard of care and product labels once every 21 days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Capmatinib | Drug | Capmatinib 400 mg (tablets) orally taken twice daily |
|
| Measure | Description | Time Frame |
|---|---|---|
| Run-in Part: Percentage of Participants With Dose Limiting Toxicities (DLTs) | A DLT was defined as an adverse event or abnormal laboratory value assessed as unrelated to disease progression, inter-current illness, or concomitant medications that met certain criteria as defined in the protocol. | From the day of the first dose of study medication up to 56 days |
| Run-in Part: Percentage of Participants With Adverse Events (AEs) | Percentage of participants with AEs, including changes from baseline in vital signs and laboratory results qualifying and reported as AEs. AEs were assessed and graded according to the Common Terminology Criteria for Adverse Events (CTCAE) v5.0: Grade 1: mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences; Grade 5: Death | From the day of the first dose of study medication to 150 days after the last dose of spartalizumab, or 30 days after the last dose of capmatinib (whichever is later) up to maximum duration of approximately 1.7 years |
| Run-in Part: Percentage of Participants With at Least One Dose Reduction. | Percentage of participants with at least one dose reduction. Dose reductions were only allowed for capmatinib | From the day of the first dose of study medication to end of treatment, assessed up to maximum duration of 68 weeks |
| Run-in Part: Percentage of Participants With at Least One Dose Interruption | Percentage of participants with at least one dose interruption. Dose interruptions were allowed for capmatinib and spartalizumab. | From the day of the first dose of study medication to end of treatment, assessed up to maximum duration of 68 weeks |
| Run-in Part: Relative Dose Intensity Received by Participants | The relative dose intensity of capmatinib and spartalizumab is computed as the ratio of dose intensity and planned dose intensity, multiplied by 100. |
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate (ORR) Based on RECIST 1.1 and as Per Investigator Assessment | ORR is defined as the percentage of subjects with best overall response (BOR) of complete response (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 and as per investigator assessment. CR: Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to < 10 mm. PR: At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. ORR results for randomized part are not available because randomized part never started. |
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Inclusion Criteria:
Exclusion Criteria:
Other protocol-defined inclusion/exclusion criteria might apply.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Highlands Oncology Group | Fayetteville | Arkansas | 72703 | United States | ||
| Novartis Investigative Site |
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| Label | URL |
|---|---|
| Plain language trial summaries are available on this link | View source |
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Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.
This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
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Based on preliminary results of run-in part, the decision was not to open randomized part of the study. Therefore, no participants were enrolled in randomized part.
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| ID | Title | Description |
|---|---|---|
| FG000 | Run-in Part: Capmatinib + Spartalizumab | Participants (enrolled in the run-in part) were treated with capmatinib 400 mg twice daily (BID) and spartalizumab 400 mg intravenously (i.v.) once every 28 days |
| FG001 | Randomized Part: Capmatinib + Spartalizumab | Participants (enrolled in the randomized part) treated with capmatinib 400 mg twice daily (BID) and spartalizumab 400 mg intravenously (i.v.) once every 28 days |
| FG002 | Randomized Part: Docetaxel | Participants (enrolled in the randomized part) treated with docetaxel 75mg/m2 i.v. following local guidelines as per standard of care and product labels once every 21 days |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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Based on preliminary results of run-in part, randomized part was not opened. Therefore, no participants were enrolled in the randomized part of the study.
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| ID | Title | Description |
|---|---|---|
| BG000 | Run-in Part: Capmatinib + Spartalizumab | Participants (enrolled in the run-in part) were treated with capmatinib 400 mg twice daily (BID) and spartalizumab 400 mg intravenously (i.v.) once every 28 days |
| BG001 | Randomized Part: Capmatinib + Spartalizumab |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, 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 | Run-in Part: Percentage of Participants With Dose Limiting Toxicities (DLTs) | A DLT was defined as an adverse event or abnormal laboratory value assessed as unrelated to disease progression, inter-current illness, or concomitant medications that met certain criteria as defined in the protocol. | All participants from the Safety Set in the run-in who experienced DLT during the first 8 weeks of dosing or met the minimum exposure criterion (subject received at least 1 infusion of spartalizumab and took at least 50% of the planned dose of capmatinib within the first 8 weeks of treatment) and had sufficient safety evaluations (subjects were observed for ≥56 days following the first dose, and are considered to have enough safety data to conclude that a DLT did not occur). | Posted | Count of Participants | Participants | From the day of the first dose of study medication up to 56 days |
|
On-treatment deaths due to any cause and adverse events were collected from first dose of study medication to 150 days after the last dose of spartalizumab, or 30 days after the last dose of capmatinib, whichever is later, up to a maximum duration of approximately 1.7 years.
Any sign or symptom that occurs during the study treatment plus 150 days after the last dose of spartalizumab or 30 days after the last dose of capmatinib (on-treatment). Total number of deaths are captured in Outcome Measure 22 (post-hoc: all-cause mortality). Analysis performed on the safety set in the run-in part: all participants who received at least one dose of spartalizumab [including incomplete infusion] or of capmatinib. No safety data is available for part 2 because it was not opened.
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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 | Run-in Part: Capmatinib + Spartalizumab | Participants (enrolled in the run-in part) were treated with capmatinib 400 mg twice daily (BID) and spartalizumab 400 mg intravenously (i.v.) once every 28 days |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cardiac failure congestive | Cardiac disorders | MedDRA (23.0) | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA (23.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Novartis Pharmaceuticals | 862-778-8300 | novartis.email@novartis.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 | Jul 16, 2018 | Jun 8, 2021 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Oct 5, 2020 | Jun 8, 2021 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
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| ID | Term |
|---|---|
| C000613976 | capmatinib |
| C000711728 | spartalizumab |
| D000077143 | Docetaxel |
| ID | Term |
|---|---|
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
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Run-in part was single group. Randomized part (parallel design) was not opened.
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|
| Spartalizumab | Drug | Spartalizumab 400 mg via intravenous infusion once every 28 days |
|
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| Docetaxel | Drug | Docetaxel 75mg/m2 i.v. following local guidelines as per standard of care and product labels once every 21 days |
|
| From the day of the first dose of study medication to end of treatment, assessed up to maximum duration of 68 weeks |
| Randomized Part: Overall Survival (OS) | OS is defined as the time from date of start of treatment to date of death due to any cause. If a participant was not known to have died, survival was censored at the date of last known date patient alive. Results are not available because randomized part never started. | From start of treatment to death due to any cause, assessed until the end of the study (up to a planned duration of 18 months) |
| From start of treatment until end of treatment, assessed up to 68 weeks (run-in part) |
| Disease Control Rate (DCR) Based on RECIST 1.1 and as Per Investigator Assessment | DCR is defined as the percentage of subjects with best overall response of CR or PR or stable disease based on RECIST 1.1 and as per investigator assessment. CR: Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to < 10 mm. PR: At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. Stable disease: Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progression. DCR results for randomized part are not available because randomized part never started. | From start of treatment until end of treatment, assessed up to 68 weeks (run-in part) |
| Progression Free Survival (PFS) | PFS is defined as the time from the date of start of treatment to the date of the first documented radiological progression or death due to any cause. For participants who had not progressed or died at the analysis cut-off date, PFS was censored at the date of the last adequate tumor evaluation date. An adequate tumour assessment is a tumour assessment with an overall response other than unknown. Progression is defined using RECIST 1.1 and as per investigator assessment as at least a 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. PFS results for randomized part are not available because randomized part never started. | From start of treatment until the first documented radiological progression or death, whichever comes first, assessed up to 68 weeks (run-in part) |
| Time to Response (TTR) Based on RECIST 1.1 and as Per Investigator Assessment | TTR is defined as the time from the date of start of treatment to the first documented response of either CR or PR, which must be subsequently confirmed. TTR was evaluated according to RECIST 1.1 and as per investigator assessment. CR: Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to < 10 mm. PR: At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. For run-in part, TTR results are not available because there were no participants achieving response (CR or PR) For randomized part , TTR results are not available because randomized part never started. | From start of treatment to the first documented response of either complete response or partial response, assessed up to 68 weeks (run-in part) |
| Duration of Response (DOR) Based on RECIST 1.1 and as Per Investigator Assessment | DOR is the time between the date of first documented response(CR or PR) and the date of first documented progression or death due to underlying cancer based on RECIST1.1 and as per investigator assessment. If progression or death has not occurred, the subject is censored at the date of last adequate tumor assessment. CR: Disappearance of all non-nodal target lesions and any pathological lymph nodes assigned as target lesions must have a reduction in short axis to <10 mm. PR: At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. Progression: at least a 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline. The sum must also demonstrate an absolute increase of at least 5 mm. Results are not available because there were no participants achieving response in the run-in part and randomized part never started | From first documented response (CR or PR) to first documented progression or death, whichever came first, assessed up to 68 weeks (run-in part) |
| AUClast of Capmatinib | AUClast is the area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration. AUClast was calculated using non-compartmental methods. | Cycle 3 day 1 at predose, 0.5 hours (h), 1h, 2h, 4h and 8h postdose. Each Cycle is 28 days |
| AUCtau of Capmatinib | AUCtau is the area under the plasma concentration-time curve from time zero to the end of the dosing interval Tau. AUCtau was calculated using non-compartmental methods. | Cycle 3 day 1 at predose, 0.5 hours (h), 1h, 2h, 4h and 8h postdose. Each Cycle is 28 days |
| Maximum Plasma Concentration (Cmax) of Capmatinib | The maximum (peak) observed plasma concentration after single dose administration. Cmax was calculated using non-compartmental methods. | Cycle 3 day 1 at predose, 0.5 hours (h), 1h, 2h, 4h and 8h postdose. Each Cycle is 28 days |
| Time to Reach Maximum (Tmax) Plasma Concentration of Capmatinib | Tmax is the time to reach maximum (peak) plasma concentration of capmatinib after single dose administration (time). Tmax was calculated using non-compartmental methods. | Cycle 3 day 1 at predose, 0.5 hours (h), 1h, 2h, 4h and 8h postdose. Each Cycle is 28 days |
| AUClast of Spartlizumab | AUClast is the area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration. AUClast was calculated using non-compartmental methods. | CCycle 3 day 1 at predose and 1 hour postdose (up to 1.53 hours postdose), cycle 3 day 4 (=72 hours postdose), cycle 3 day 8 (=168 hours postdose) and cycle 3 day 15 (=336 hours postdose). Each Cycle is 28 days |
| AUCtau of Spartlizumab | AUCtau is the area under the plasma concentration-time curve from time zero to the end of the dosing interval Tau. AUCtau was calculated using non-compartmental methods. | Cycle 3 day 1 at predose and 1 hour postdose (up to 1.53 hours postdose), cycle 3 day 4 (=72 hours postdose), cycle 3 day 8 (=168 hours postdose) and cycle 3 day 15 (=336 hours postdose). Each Cycle is 28 days |
| Maximum Plasma Concentration (Cmax) of Spartlizumab | The maximum (peak) observed plasma concentration after single dose administration. Cmax was calculated using non-compartmental methods. | Cycle 3 day 1 at predose and 1 hour postdose (up to 1.53 hours postdose), cycle 3 day 4 (=72 hours postdose), cycle 3 day 8 (=168 hours postdose) and cycle 3 day 15 (=336 hours postdose). Each Cycle is 28 days |
| Time to Reach Maximum (Tmax) Plasma Concentration of Spartlizumab | Tmax is the time to reach maximum (peak) plasma concentration of spartlizumab after single dose administration (time). Tmax was calculated using non-compartmental methods. | Cycle 3 day 1 at predose and 1 hour postdose (up to 1.53 hours postdose), cycle 3 day 4 (=72 hours postdose), cycle 3 day 8 (=168 hours postdose) and cycle 3 day 15 (=336 hours postdose). Each Cycle is 28 days |
| Spartalizumab Antidrug Antibodies (ADA) Prevalence at Baseline | ADA prevalence at baseline was calculated as the proportion of participants who had an ADA positive result at baseline | Cycle 1 Day 1 at predose. Each Cycle is 28 days |
| Spartalizumab ADA Incidence On-treatment | ADA incidence on treatment was calculated as the proportion of participants who were treatment-induced ADA positive (post-baseline ADA positive with ADA-negative sample at baseline) and treatment-boosted ADA positive (post-baseline ADA positive with titer that is at least the fold titer change greater than the ADA-positive baseline titer) | Predose at Cycle (C)1 Day (D)1, C2D1, C3D1, C4D1, C6D1, C8D1, C10D1, C12D1, thereafter every 6 cycles until discontinuation, and end of treatment (EOT), 30-day and 150-day after EOT |
| Leuven |
| 3000 |
| Belgium |
| Novartis Investigative Site | Grenoble | 38043 | France |
| Novartis Investigative Site | Lille Cédex | 59037 | France |
| Novartis Investigative Site | Cologne | 50937 | Germany |
| Novartis Investigative Site | Tel Aviv | 6423906 | Israel |
| Novartis Investigative Site | Barcelona | Catalonia | 08036 | Spain |
| Novartis Investigative Site | Madrid | 28009 | Spain |
| Clinical progression |
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| Participant refused to take investigational product |
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Participants (enrolled in the randomized part) treated with capmatinib 400 mg twice daily (BID) and spartalizumab 400 mg intravenously (i.v.) once every 28 days |
| BG002 | Randomized Part: Docetaxel | Participants (enrolled in the randomized part) treated with docetaxel 75mg/m2 i.v. following local guidelines as per standard of care and product labels once every 21 days |
| BG003 | Total | Total of all reporting groups |
| Years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
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Participants (enrolled in the run-in part) were treated with capmatinib 400 mg twice daily (BID) and spartalizumab 400 mg intravenously (i.v.) once every 28 days
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| Primary | Run-in Part: Percentage of Participants With Adverse Events (AEs) | Percentage of participants with AEs, including changes from baseline in vital signs and laboratory results qualifying and reported as AEs. AEs were assessed and graded according to the Common Terminology Criteria for Adverse Events (CTCAE) v5.0: Grade 1: mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences; Grade 5: Death | All participants in the run-in who received at least one dose of study treatment (i.e. at least one dose of spartalizumab [including incomplete infusion] or of capmatinib). | Posted | Count of Participants | Participants | From the day of the first dose of study medication to 150 days after the last dose of spartalizumab, or 30 days after the last dose of capmatinib (whichever is later) up to maximum duration of approximately 1.7 years |
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| Primary | Run-in Part: Percentage of Participants With at Least One Dose Reduction. | Percentage of participants with at least one dose reduction. Dose reductions were only allowed for capmatinib | All participants in the run-in who received at least one dose of study treatment (i.e. at least one dose of spartalizumab [including incomplete infusion] or of capmatinib). | Posted | Count of Participants | Participants | From the day of the first dose of study medication to end of treatment, assessed up to maximum duration of 68 weeks |
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| Primary | Run-in Part: Percentage of Participants With at Least One Dose Interruption | Percentage of participants with at least one dose interruption. Dose interruptions were allowed for capmatinib and spartalizumab. | All participants in the run-in who received at least one dose of study treatment (i.e. at least one dose of spartalizumab [including incomplete infusion] or of capmatinib). | Posted | Count of Participants | Participants | From the day of the first dose of study medication to end of treatment, assessed up to maximum duration of 68 weeks |
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| Primary | Run-in Part: Relative Dose Intensity Received by Participants | The relative dose intensity of capmatinib and spartalizumab is computed as the ratio of dose intensity and planned dose intensity, multiplied by 100. | All participants in the run-in who received at least one dose of study treatment (i.e. at least one dose of spartalizumab [including incomplete infusion] or of capmatinib). | Posted | Median | Full Range | Percentage of dose received | From the day of the first dose of study medication to end of treatment, assessed up to maximum duration of 68 weeks |
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| Primary | Randomized Part: Overall Survival (OS) | OS is defined as the time from date of start of treatment to date of death due to any cause. If a participant was not known to have died, survival was censored at the date of last known date patient alive. Results are not available because randomized part never started. | Data was not collected as no participants were enrolled in randomized part. | Posted | From start of treatment to death due to any cause, assessed until the end of the study (up to a planned duration of 18 months) |
|
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| Secondary | Objective Response Rate (ORR) Based on RECIST 1.1 and as Per Investigator Assessment | ORR is defined as the percentage of subjects with best overall response (BOR) of complete response (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 and as per investigator assessment. CR: Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to < 10 mm. PR: At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. ORR results for randomized part are not available because randomized part never started. | All participants in the run-in who received at least one dose of any component of study treatment. | Posted | Number | 95% Confidence Interval | Percentage of participants | From start of treatment until end of treatment, assessed up to 68 weeks (run-in part) |
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| Secondary | Disease Control Rate (DCR) Based on RECIST 1.1 and as Per Investigator Assessment | DCR is defined as the percentage of subjects with best overall response of CR or PR or stable disease based on RECIST 1.1 and as per investigator assessment. CR: Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to < 10 mm. PR: At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. Stable disease: Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progression. DCR results for randomized part are not available because randomized part never started. | All participants in the run-in who received at least one dose of any component of study treatment. | Posted | Number | 95% Confidence Interval | Percentage of participants | From start of treatment until end of treatment, assessed up to 68 weeks (run-in part) |
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| Secondary | Progression Free Survival (PFS) | PFS is defined as the time from the date of start of treatment to the date of the first documented radiological progression or death due to any cause. For participants who had not progressed or died at the analysis cut-off date, PFS was censored at the date of the last adequate tumor evaluation date. An adequate tumour assessment is a tumour assessment with an overall response other than unknown. Progression is defined using RECIST 1.1 and as per investigator assessment as at least a 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. PFS results for randomized part are not available because randomized part never started. | All participants in the run-in who received at least one dose of any component of study treatment. | Posted | Median | 95% Confidence Interval | Months | From start of treatment until the first documented radiological progression or death, whichever comes first, assessed up to 68 weeks (run-in part) |
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| Secondary | Time to Response (TTR) Based on RECIST 1.1 and as Per Investigator Assessment | TTR is defined as the time from the date of start of treatment to the first documented response of either CR or PR, which must be subsequently confirmed. TTR was evaluated according to RECIST 1.1 and as per investigator assessment. CR: Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to < 10 mm. PR: At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. For run-in part, TTR results are not available because there were no participants achieving response (CR or PR) For randomized part , TTR results are not available because randomized part never started. | No data available as no participants had event | Posted | From start of treatment to the first documented response of either complete response or partial response, assessed up to 68 weeks (run-in part) |
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| Secondary | Duration of Response (DOR) Based on RECIST 1.1 and as Per Investigator Assessment | DOR is the time between the date of first documented response(CR or PR) and the date of first documented progression or death due to underlying cancer based on RECIST1.1 and as per investigator assessment. If progression or death has not occurred, the subject is censored at the date of last adequate tumor assessment. CR: Disappearance of all non-nodal target lesions and any pathological lymph nodes assigned as target lesions must have a reduction in short axis to <10 mm. PR: At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. Progression: at least a 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline. The sum must also demonstrate an absolute increase of at least 5 mm. Results are not available because there were no participants achieving response in the run-in part and randomized part never started | No data available as no participants had event | Posted | From first documented response (CR or PR) to first documented progression or death, whichever came first, assessed up to 68 weeks (run-in part) |
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| Secondary | AUClast of Capmatinib | AUClast is the area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration. AUClast was calculated using non-compartmental methods. | The capmatinib pharmacokinetic (PK) analysis set included all participants in the run-in phase who provided at least one evaluable capmatinib PK concentration. Only those participants with data available for this endpoint at specified data points were analyzed. | Posted | Geometric Mean | Geometric Coefficient of Variation | nanogram*hour/milliliter (ng*hr/mL) | Cycle 3 day 1 at predose, 0.5 hours (h), 1h, 2h, 4h and 8h postdose. Each Cycle is 28 days |
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| Secondary | AUCtau of Capmatinib | AUCtau is the area under the plasma concentration-time curve from time zero to the end of the dosing interval Tau. AUCtau was calculated using non-compartmental methods. | The capmatinib pharmacokinetic (PK) analysis set included all participants in the run-in phase who provided at least one evaluable capmatinib PK concentration. Only those participants with data available for this endpoint at specified data points were analyzed. | Posted | Geometric Mean | Geometric Coefficient of Variation | nanogram*hour/milliliter (ng*hr/mL) | Cycle 3 day 1 at predose, 0.5 hours (h), 1h, 2h, 4h and 8h postdose. Each Cycle is 28 days |
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| Secondary | Maximum Plasma Concentration (Cmax) of Capmatinib | The maximum (peak) observed plasma concentration after single dose administration. Cmax was calculated using non-compartmental methods. | The capmatinib pharmacokinetic (PK) analysis set included all participants in the run-in phase who provided at least one evaluable capmatinib PK concentration. Only those participants with data available for this endpoint at specified data points were analyzed. | Posted | Geometric Mean | Geometric Coefficient of Variation | nanogram/milliliter (ng/mL) | Cycle 3 day 1 at predose, 0.5 hours (h), 1h, 2h, 4h and 8h postdose. Each Cycle is 28 days |
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|
|
| Secondary | Time to Reach Maximum (Tmax) Plasma Concentration of Capmatinib | Tmax is the time to reach maximum (peak) plasma concentration of capmatinib after single dose administration (time). Tmax was calculated using non-compartmental methods. | The capmatinib pharmacokinetic (PK) analysis set included all participants in the run-in phase who provided at least one evaluable capmatinib PK concentration. Only those participants with data available for this endpoint at specified data points were analyzed. | Posted | Median | Full Range | hour (h) | Cycle 3 day 1 at predose, 0.5 hours (h), 1h, 2h, 4h and 8h postdose. Each Cycle is 28 days |
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|
| Secondary | AUClast of Spartlizumab | AUClast is the area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration. AUClast was calculated using non-compartmental methods. | The spartlizumab pharmacokinetic (PK) analysis set included all participants in the run-in phase who provided at least one evaluable spartlizumab PK concentration. Only those participants with data available for this endpoint at specified data points were analyzed. | Posted | Geometric Mean | Geometric Coefficient of Variation | microgram*day/milliliter (μg*day/mL) | CCycle 3 day 1 at predose and 1 hour postdose (up to 1.53 hours postdose), cycle 3 day 4 (=72 hours postdose), cycle 3 day 8 (=168 hours postdose) and cycle 3 day 15 (=336 hours postdose). Each Cycle is 28 days |
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| Secondary | AUCtau of Spartlizumab | AUCtau is the area under the plasma concentration-time curve from time zero to the end of the dosing interval Tau. AUCtau was calculated using non-compartmental methods. | The spartlizumab pharmacokinetic (PK) analysis set included all participants in the run-in phase who provided at least one evaluable spartlizumab PK concentration. Only those participants with data available for this endpoint at specified data points were analyzed. | Posted | Geometric Mean | Geometric Coefficient of Variation | microgram*day/milliliter (μg*day/mL) | Cycle 3 day 1 at predose and 1 hour postdose (up to 1.53 hours postdose), cycle 3 day 4 (=72 hours postdose), cycle 3 day 8 (=168 hours postdose) and cycle 3 day 15 (=336 hours postdose). Each Cycle is 28 days |
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|
| Secondary | Maximum Plasma Concentration (Cmax) of Spartlizumab | The maximum (peak) observed plasma concentration after single dose administration. Cmax was calculated using non-compartmental methods. | The spartlizumab pharmacokinetic (PK) analysis set included all participants in the run-in phase who provided at least one evaluable spartlizumab PK concentration. Only those participants with data available for this endpoint at specified data points were analyzed. | Posted | Geometric Mean | Geometric Coefficient of Variation | microgram/milliliter (μg/mL) | Cycle 3 day 1 at predose and 1 hour postdose (up to 1.53 hours postdose), cycle 3 day 4 (=72 hours postdose), cycle 3 day 8 (=168 hours postdose) and cycle 3 day 15 (=336 hours postdose). Each Cycle is 28 days |
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| Secondary | Time to Reach Maximum (Tmax) Plasma Concentration of Spartlizumab | Tmax is the time to reach maximum (peak) plasma concentration of spartlizumab after single dose administration (time). Tmax was calculated using non-compartmental methods. | The spartlizumab pharmacokinetic (PK) analysis set included all participants in the run-in phase who provided at least one evaluable spartlizumab PK concentration. Only those participants with data available for this endpoint at specified data points were analyzed. | Posted | Median | Full Range | hour (h) | Cycle 3 day 1 at predose and 1 hour postdose (up to 1.53 hours postdose), cycle 3 day 4 (=72 hours postdose), cycle 3 day 8 (=168 hours postdose) and cycle 3 day 15 (=336 hours postdose). Each Cycle is 28 days |
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| Secondary | Spartalizumab Antidrug Antibodies (ADA) Prevalence at Baseline | ADA prevalence at baseline was calculated as the proportion of participants who had an ADA positive result at baseline | immunogenicity (IG) prevalence set includes all subjects in the Full analysis set with a determinant baseline IG sample or at least one determinant post-baseline sample. Determinant sample: sample that is neither ADA-inconclusive nor unevaluable | Posted | Count of Participants | Participants | Cycle 1 Day 1 at predose. Each Cycle is 28 days |
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| Secondary | Spartalizumab ADA Incidence On-treatment | ADA incidence on treatment was calculated as the proportion of participants who were treatment-induced ADA positive (post-baseline ADA positive with ADA-negative sample at baseline) and treatment-boosted ADA positive (post-baseline ADA positive with titer that is at least the fold titer change greater than the ADA-positive baseline titer) | The IG incidence set includes all subjects in the IG prevalence set with a determinant baseline IG sample and at least one determinant post-baseline IG sample. Determinant sample: sample that is neither ADA-inconclusive nor unevaluable. | Posted | Count of Participants | Participants | Predose at Cycle (C)1 Day (D)1, C2D1, C3D1, C4D1, C6D1, C8D1, C10D1, C12D1, thereafter every 6 cycles until discontinuation, and end of treatment (EOT), 30-day and 150-day after EOT |
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| Post-Hoc | All Collected Deaths | On-treatment deaths due to any cause were collected from first dose of study medication to 150 days after the last dose of spartalizumab, or 30 days after the last dose of capmatinib, whichever is later, up to a maximum duration of approximately 1.7 years. Total deaths were collected from first dose of study treatment until end of post-treatment efficacy or survival follow, up to maximum duration of approximately 1.7 years | Safety Set consisted of all participants who received at least one dose of study treatment, i.e. at least one dose of spartalizumab [including incomplete infusion] or of capmatinib. | Posted | Number | Participants | On-treatment deaths: up to approximately 1.7 years. All deaths: up to approximately 1.7 years |
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|
| 5 |
| 18 |
| 10 |
| 18 |
| 18 |
| 18 |
| Ventricular arrhythmia | Cardiac disorders | MedDRA (23.0) | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA (23.0) | Systematic Assessment |
|
| General physical health deterioration | General disorders | MedDRA (23.0) | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (23.0) | Systematic Assessment |
|
| Anaphylactic reaction | Immune system disorders | MedDRA (23.0) | Systematic Assessment |
|
| Drug hypersensitivity | Immune system disorders | MedDRA (23.0) | Systematic Assessment |
|
| Abdominal infection | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
|
| Respiratory tract infection | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA (23.0) | Systematic Assessment |
|
| Bronchial obstruction | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Haemoptysis | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Deep vein thrombosis | Vascular disorders | MedDRA (23.0) | Systematic Assessment |
|
| Pericardial effusion | Cardiac disorders | MedDRA (23.0) | Systematic Assessment |
|
| Stress cardiomyopathy | Cardiac disorders | MedDRA (23.0) | Systematic Assessment |
|
| Eyelid oedema | Eye disorders | MedDRA (23.0) | Systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Cheilitis | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Dry mouth | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Dyspepsia | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Dysphagia | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Stomatitis | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Asthenia | General disorders | MedDRA (23.0) | Systematic Assessment |
|
| Axillary pain | General disorders | MedDRA (23.0) | Systematic Assessment |
|
| Chest pain | General disorders | MedDRA (23.0) | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA (23.0) | Systematic Assessment |
|
| Oedema peripheral | General disorders | MedDRA (23.0) | Systematic Assessment |
|
| Pain | General disorders | MedDRA (23.0) | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (23.0) | Systematic Assessment |
|
| Herpes zoster | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
|
| Osteomyelitis | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA (23.0) | Systematic Assessment |
|
| Amylase increased | Investigations | MedDRA (23.0) | Systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA (23.0) | Systematic Assessment |
|
| Blood alkaline phosphatase increased | Investigations | MedDRA (23.0) | Systematic Assessment |
|
| Blood creatinine increased | Investigations | MedDRA (23.0) | Systematic Assessment |
|
| Blood magnesium decreased | Investigations | MedDRA (23.0) | Systematic Assessment |
|
| C-reactive protein increased | Investigations | MedDRA (23.0) | Systematic Assessment |
|
| Creatinine renal clearance decreased | Investigations | MedDRA (23.0) | Systematic Assessment |
|
| Gamma-glutamyltransferase increased | Investigations | MedDRA (23.0) | Systematic Assessment |
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| Lipase increased | Investigations | MedDRA (23.0) | Systematic Assessment |
|
| Lymphocyte count decreased | Investigations | MedDRA (23.0) | Systematic Assessment |
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| Weight decreased | Investigations | MedDRA (23.0) | Systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA (23.0) | Systematic Assessment |
|
| Dehydration | Metabolism and nutrition disorders | MedDRA (23.0) | Systematic Assessment |
|
| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA (23.0) | Systematic Assessment |
|
| Hypoalbuminaemia | Metabolism and nutrition disorders | MedDRA (23.0) | Systematic Assessment |
|
| Hypomagnesaemia | Metabolism and nutrition disorders | MedDRA (23.0) | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
|
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
|
| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
|
| Cancer pain | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (23.0) | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
|
| Dysgeusia | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
|
| Lethargy | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
|
| Somnolence | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
|
| Anxiety | Psychiatric disorders | MedDRA (23.0) | Systematic Assessment |
|
| Confusional state | Psychiatric disorders | MedDRA (23.0) | Systematic Assessment |
|
| Depression | Psychiatric disorders | MedDRA (23.0) | Systematic Assessment |
|
| Sleep disorder | Psychiatric disorders | MedDRA (23.0) | Systematic Assessment |
|
| Renal pain | Renal and urinary disorders | MedDRA (23.0) | Systematic Assessment |
|
| Nipple pain | Reproductive system and breast disorders | MedDRA (23.0) | Systematic Assessment |
|
| Bronchospasm | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Dysphonia | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Dyspnoea exertional | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Productive cough | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Hyperhidrosis | Skin and subcutaneous tissue disorders | MedDRA (23.0) | Systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (23.0) | Systematic Assessment |
|
| Rash macular | Skin and subcutaneous tissue disorders | MedDRA (23.0) | Systematic Assessment |
|
| Hypotension | Vascular disorders | MedDRA (23.0) | Systematic Assessment |
|
The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (ie, data from all sites) in the clinical trial.
| D013899 |
| Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D006844 |
| Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D004224 | Diterpenes |
| D013729 | Terpenes |
| Title | Measurements |
|---|---|
|
| Treatment related AEs- Grade ≥3 |
|
| Serious AEs (SAEs)- All grades |
|
| SAEs- Grade ≥3 |
|
| Treatment-related SAEs- All grades |
|
| Treatment-related SAEs- Grade ≥3 |
|
| Fatal SAEs- All grades |
|
| Fatal SAEs- Grade ≥3 |
|
| AEs leading to discontinuation- All grades |
|
| AEs leading to discontinuation- Grade ≥3 |
|
| Treatment-related AEs leading to discontinuation- All grades |
|
| Treatment-related AEs leading to discontinuation- Grade ≥3 |
|
| AEs leading to dose adjustment/interruption- All grades |
|
| AEs leading to dose adjustment/interruption- Grade ≥3 |
|
| AEs requiring additional therapy- All grades |
|
| AEs requiring additional therapy- Grade ≥3 |
|