ENTO in AML: Entospletinib Monotherapy and in Combination With Chemotherapy in Adults With Acute Myeloid Leukemia (AML)

Sponsor
Gilead Sciences (Industry)
Overall Status
Terminated
CT.gov ID
NCT02343939
Collaborator
(none)
148
17
3
43.7
8.7
0.2

Study Details

Study Description

Brief Summary

This study will evaluate the efficacy, safety, and tolerability of entospletinib when administered as monotherapy or in combination with chemotherapy in adults with acute myeloid leukemia (AML).

Condition or Disease Intervention/Treatment Phase
Phase 1/Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
148 participants
Allocation:
Randomized
Intervention Model:
Sequential Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 1b/2 Study of Entospletinib (GS-9973) Monotherapy and in Combination With Chemotherapy in Patients With Acute Myeloid Leukemia (AML)
Actual Study Start Date :
Jul 1, 2015
Actual Primary Completion Date :
Sep 4, 2018
Actual Study Completion Date :
Feb 21, 2019

Arms and Interventions

Arm Intervention/Treatment
Experimental: Entospletinib + daunorubicin + cytarabine (Group A)

Dose Escalation: Entospletinib up to 400 mg for 14 days and then entospletinib up to 400 mg in combination with daunorubicin and cytarabine for up to two 14-day cycles. Dose Expansion: Entospletinib 400 mg for 14 days and then entospletinib 400 mg in combination with daunorubicin and cytarabine for up to two 14-day cycles. Some participants will have the option to receive post-induction therapy with entospletinib 400 mg in combination with cytarabine/cytosine arabinoside (ARA-C). Participants may receive maintenance therapy with 28-day cycles of entospletinib 400 mg for up to twelve 28-day cycles, if the participant is not eligible for stem cell transplant.

Drug: Entospletinib
Tablet(s) administered orally every 12 hours
Other Names:
  • GS-9973
  • ENTO
  • Drug: Daunorubicin
    60 mg/m^2 administered intravenously daily on Days 1 to 3 for up to two 14-day induction cycles

    Drug: Cytarabine
    100 mg/m^2 administered intravenously daily on Days 1 to 7 for up to two 14-day cycles

    Experimental: Entospletinib + decitabine (Group B)

    Dose Escalation: Entospletinib 400 mg for 14 days and then entospletinib 400 mg in combination with decitabine for 10 days beginning on Day 1 of every 28-day cycle (at least 2 cycles of induction therapy but no more than 4 cycles). Participants who are intolerant of decitabine may switch to entospletinib monotherapy maintenance at any time after completing the first 2 cycles. Dose Expansion: Entospletinib 400 mg for 14 days for the safety run-in participants or Entospletinib 400 mg for 5 days for the randomization participants. Then entospletinib 400 mg in combination with decitabine or azacitidine (at least 2 cycles of induction therapy but no more than 4 cycles). Some participants will have the option to receive maintenance therapy with entospletinib in combination with decitabine or azacitidine. Participants who are intolerant of decitabine or azacitidine may switch to entospletinib monotherapy maintenance at any time after completing the first 2 cycles.

    Drug: Entospletinib
    Tablet(s) administered orally every 12 hours
    Other Names:
  • GS-9973
  • ENTO
  • Drug: Decitabine
    20 mg/m^2 administered intravenously

    Drug: Azacitidine
    75 mg/m^2 administered intravenously or subcutaneously

    Experimental: Entospletinib (Group C)

    Dose Escalation: Entospletinib up to 800 mg for 28-day cycles until the participant meets criteria for study treatment discontinuation per the study protocol. Dose Expansion: Entospletinib 400 mg for 28-day cycles until the participant meets criteria for study treatment discontinuation per the protocol.

    Drug: Entospletinib
    Tablet(s) administered orally every 12 hours
    Other Names:
  • GS-9973
  • ENTO
  • Outcome Measures

    Primary Outcome Measures

    1. Percentage of Participants Experiencing Dose Limiting Toxicities (DLTs) [Group A: Cycle 0 Day 1 to Cycle 2 Day 28; Group B: Cycle 0 Day 1 to Cycle 1 Day 28; Group C: Cycle 1 Day 1 to Cycle 1 Day 28 (Cycle length: for Cycle 0 = 14 days, for all other cycles = 28 days)]

      DLTs refer to toxicities experienced during the first 28 days of study treatment that have been judged to be clinically significant and related to study treatment. DLT assessment was applicable only for Phase 1b and Phase 2 safety run-in participants.

    2. Percentage of Participants With Morphologic Complete Remission (CR) at the End of Induction [At the end of induction (Group A: up to end of Cycle 2; Group B: up to end of Cycle 4) (cycle length = up to 28 days); Group C: From Day 1 until meeting the criteria for study treatment discontinuation (up to approximately 3 years)]

      Clinical response was assessed according to the International Working Group criteria (Cheson 2003). Morphologic CR included CR and cytogenetic CR (CRc). CR required all of the following: < 5% blasts in bone marrow aspirate; Neutrophils ≥ 1,000/microliter (mcL); Platelets ≥ 100,000/mcL; No extramedullary disease; No blasts with Auer rods detected; and Independent of transfusions. CRc, in addition to CR criteria, required reversion to a normal karyotype with an abnormal karyotype at the time of diagnosis.

    3. Percentage of Participants With Composite Complete Remission at the End of Induction [At the end of induction (Group A: up to end of Cycle 2; Group B: up to end of Cycle 4) (cycle length = up to 28 days); Group C: From Day 1 until meeting the criteria for study treatment discontinuation (up to approximately 3 years)]

      Clinical response was assessed according to the International Working Group criteria (Cheson 2003). Composite complete remission included CR, CRc, and morphologic complete remission with incomplete blood count recovery (CRi). CR required all of the following: < 5% blasts in bone marrow aspirate; Neutrophils ≥ 1,000/mcL; Platelets ≥ 100,000/mcL; No extramedullary disease; No blasts with Auer rods detected; and Independent of transfusions. CRc, in addition to CR criteria, required reversion to a normal karyotype with an abnormal karyotype at the time of diagnosis. CRi required all of the CR criteria except the criterion of neutrophils and platelets.

    4. Percentage of Participants With Overall Response at the End of Induction [At the end of induction (Group A: up to end of Cycle 2; Group B: up to end of Cycle 4) (cycle length = up to 28 days); Group C: From Day 1 until meeting the criteria for study treatment discontinuation (up to approximately 3 years)]

      Clinical response was assessed according to the International Working Group criteria (Cheson 2003). Overall response included CR, CRc, CRi, and partial remission (PR). CR required all of the following: < 5% blasts in bone marrow aspirate; Neutrophils ≥ 1,000/mcL; Platelets ≥ 100,000/mcL; No extramedullary disease; No blasts with Auer rods detected; and Independent of transfusions. CRc, in addition to CR criteria, required reversion to a normal karyotype with an abnormal karyotype at the time of diagnosis. CRi required all of the CR criteria except the criterion of neutrophils and platelets. PR required all of the following: ≥ 50% decrease in blasts in bone marrow aspirate to a range of 5% to 25%; Neutrophils ≥ 1,000/mcL; Platelets ≥ 100,000/mcL; Independent of transfusions; and A value of ≤ 5% blasts was also considered a PR if Auer rods were detected.

    Secondary Outcome Measures

    1. Duration of Exposure of Entospletinib [First dose date up to approximately 3 years]

    2. Event Free Survival (EFS) [First dose date up to approximately 38 months]

      EFS was defined as the time interval from the start of the study therapy until the date of treatment failure, acute myeloid leukemia (AML) relapse, or death from any cause, whichever occurred first. Participants who received other anti-cancer therapy (prior to the event if any) were censored. Median EFS was analyzed using Kaplan-Meier (KM) method.

    3. Overall Survival (OS) [First dose date up to approximately 38 months]

      OS was defined as the time interval from the start of the study therapy to death from any cause. Median OS was analyzed using KM method.

    4. Percentage of Participants Experiencing Treatment-Emergent Adverse Events [First dose date up to the last dose date plus 30 days (maximum: 18 months)]

    5. Percentage of Participants Who Experienced Laboratory Abnormalities [First dose date up to the last dose date plus 30 days (maximum: 18 months)]

      Treatment-emergent laboratory abnormalities were defined as values that increase at least one toxicity grade from baseline. The most severe graded abnormality from all tests was counted for each participant.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Key Inclusion Criteria:
    • Adults with AML in need of treatment

    • Group A : Individuals ≥ 18 years of age with previously untreated AML by World Health Organization (WHO) criteria who are able and should receive up to 2 cycles of induction chemotherapy with 7+3 as determined by the treating physician

    • Group B: Individuals > 70 years of age with previously untreated AML by WHO criteria; or individuals ≤ 70 years of age with previously untreated AML who refuse or are unable to receive chemotherapy with 7+3 as determined by the treating physician

    • Group C: Individuals ≥ 18 years of age with relapsed/refractory AML by WHO criteria; or with relapsed/refractory AML with mixed-lineage leukemia (MLL); or with previously untreated AML by WHO criteria and who would have met disease eligibility criteria for Group A or B but refuse or are unable to receive chemotherapy and hypomethylating agent as determined by the treating physician

    Key Exclusion Criteria:
    • Known active central nervous system or leptomeningeal lymphoma

    • Subjects with acute promyelocytic leukemia (M3)

    • Treatment with proton pump inhibitors (PPIs) within 7 days prior to enrollment.

    NOTE: Other protocol defined Inclusion/ Exclusion criteria may apply.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 UCLA Los Angeles California United States
    2 University of Chicago Chicago Illinois United States
    3 Loyola University Medical Center Maywood Illinois United States
    4 Indiana University Indianapolis Indiana United States
    5 University of Kansas Medical Center Research Institute, Inc Fairway Kansas United States
    6 Dana Farber Cancer Institute Boston Massachusetts United States
    7 Henry Ford Health System Detroit Michigan United States
    8 Karmanos Cancer Institute Detroit Michigan United States
    9 Weill Cornell Medical College - New York - Presbyterian Hospital New York New York United States
    10 Duke Cancer Center Durham North Carolina United States
    11 University Hospitals Case Medical Center Cleveland Ohio United States
    12 Ohio State University Columbus Ohio United States
    13 Oregon Health & Science University Portland Oregon United States 97239
    14 Saint Francis Cancer Center Greenville South Carolina United States
    15 Princess Margaret Toronto Ontario Canada
    16 Jewish General Hospital Montreal Quebec Canada
    17 Universitätsklinikum Frankfurt Medizinische Klinik II Frankfurt Germany 60590

    Sponsors and Collaborators

    • Gilead Sciences

    Investigators

    • Study Director: Gilead Study Director, Gilead Sciences

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    Gilead Sciences
    ClinicalTrials.gov Identifier:
    NCT02343939
    Other Study ID Numbers:
    • GS-US-339-1559
    • 2016-003353-16
    First Posted:
    Jan 22, 2015
    Last Update Posted:
    Nov 15, 2019
    Last Verified:
    Nov 1, 2019
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details Participants were enrolled at study sites in United States, Canada, and Germany. The first participant was screened on 01 July 2015.
    Pre-assignment Detail 233 participants were screened.
    Arm/Group Title Group A Phase 1b ENTO 200 mg + Cytarabine + Daunorubicin Group A Phase 1b/2 ENTO 400 mg + Cytarabine + Daunorubicin Group B Phase 1b ENTO 200 mg + Decitabine Group B Phase 1b ENTO 400 mg + Decitabine Group B Phase 2 ENTO 400 mg + Azacitidine (Safety Run-In) Group B Phase 2 ENTO 400 mg + Decitabine (Randomized) Group B Phase 2 ENTO 400 mg + Azacitidine (Randomized) Group C Phase 1b/2 ENTO 400 mg Group C Phase 1b ENTO 800 mg
    Arm/Group Description Participants received ENTO 200 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (during induction chemotherapy). Phase1b/2: Participants received ENTO 400 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (induction chemotherapy). Phase 2 only: Participants who achieved a CR/CRi and did not require or could not proceed to allogeneic stem cell transplantation (SCT) were offered post-remission chemotherapy (cytarabine 3 g/m^2 intravenously every 12 hours on Days 1, 3, and 5 or 1 g/m^2 intravenously once daily on Days 1-5) in combination with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for at least 3 and up to 4 cycles. Participants who maintained a CR/CRi after 3 or 4 cycles were offered maintenance therapy with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for up to 12 cycles. Participants received ENTO 200 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 200 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. As part of the safety run-in, participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of a 28-day cycle (Cycle 1). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants received ENTO 800 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor.
    Period Title: Overall Study
    STARTED 3 50 5 6 8 17 15 37 7
    COMPLETED 0 2 0 0 0 0 0 0 0
    NOT COMPLETED 3 48 5 6 8 17 15 37 7

    Baseline Characteristics

    Arm/Group Title Group A Phase 1b ENTO 200 mg + Cytarabine + Daunorubicin Group A Phase 1b/2 ENTO 400 mg + Cytarabine + Daunorubicin Group B Phase 1b ENTO 200 mg + Decitabine Group B Phase 1b ENTO 400 mg + Decitabine Group B Phase 2 ENTO 400 mg + Azacitidine (Safety Run-In) Group B Phase 2 ENTO 400 mg + Decitabine (Randomized) Group B Phase 2 ENTO 400 mg + Azacitidine (Randomized) Group C Phase 1b/2 ENTO 400 mg Group C Phase 1b ENTO 800 mg Total
    Arm/Group Description Participants received ENTO 200 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (during induction chemotherapy). Phase1b/2: Participants received ENTO 400 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (induction chemotherapy). Phase 2 only: Participants who achieved a CR/CRi and did not require or could not proceed to allogeneic stem cell transplantation (SCT) were offered post-remission chemotherapy (cytarabine 3 g/m^2 intravenously every 12 hours on Days 1, 3, and 5 or 1 g/m^2 intravenously once daily on Days 1-5) in combination with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for at least 3 and up to 4 cycles. Participants who maintained a CR/CRi after 3 or 4 cycles were offered maintenance therapy with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for up to 12 cycles. Participants received ENTO 200 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 200 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. As part of the safety run-in, participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of a 28-day cycle (Cycle 1). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants received ENTO 800 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Total of all reporting groups
    Overall Participants 3 50 5 6 8 17 14 35 7 145
    Age, Customized (Count of Participants)
    < 65 Years
    3
    100%
    32
    64%
    0
    0%
    1
    16.7%
    1
    12.5%
    1
    5.9%
    0
    0%
    17
    48.6%
    0
    0%
    55
    37.9%
    ≥ 65 years
    0
    0%
    18
    36%
    5
    100%
    5
    83.3%
    7
    87.5%
    16
    94.1%
    14
    100%
    18
    51.4%
    7
    100%
    90
    62.1%
    Sex: Female, Male (Count of Participants)
    Female
    1
    33.3%
    21
    42%
    2
    40%
    2
    33.3%
    2
    25%
    7
    41.2%
    3
    21.4%
    18
    51.4%
    5
    71.4%
    61
    42.1%
    Male
    2
    66.7%
    29
    58%
    3
    60%
    4
    66.7%
    6
    75%
    10
    58.8%
    11
    78.6%
    17
    48.6%
    2
    28.6%
    84
    57.9%
    Race/Ethnicity, Customized (Count of Participants)
    Hispanic or Latino
    0
    0%
    2
    4%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    2
    5.7%
    0
    0%
    4
    2.8%
    Not Hispanic or Latino
    3
    100%
    48
    96%
    5
    100%
    6
    100%
    7
    87.5%
    15
    88.2%
    13
    92.9%
    33
    94.3%
    7
    100%
    137
    94.5%
    Not Permitted
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    12.5%
    2
    11.8%
    1
    7.1%
    0
    0%
    0
    0%
    4
    2.8%
    Race/Ethnicity, Customized (Count of Participants)
    White/Caucasian
    3
    100%
    44
    88%
    3
    60%
    6
    100%
    6
    75%
    14
    82.4%
    11
    78.6%
    31
    88.6%
    7
    100%
    125
    86.2%
    Black or African American
    0
    0%
    5
    10%
    2
    40%
    0
    0%
    1
    12.5%
    0
    0%
    1
    7.1%
    2
    5.7%
    0
    0%
    11
    7.6%
    Asian
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    2.9%
    0
    0%
    1
    0.7%
    Other
    0
    0%
    1
    2%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    7.1%
    1
    2.9%
    0
    0%
    3
    2.1%
    Not Permitted
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    12.5%
    3
    17.6%
    1
    7.1%
    0
    0%
    0
    0%
    5
    3.4%
    Region of Enrollment (Count of Participants)
    Canada
    0
    0%
    4
    8%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    6
    17.1%
    0
    0%
    10
    6.9%
    United States
    3
    100%
    46
    92%
    5
    100%
    6
    100%
    8
    100%
    15
    88.2%
    11
    78.6%
    29
    82.9%
    7
    100%
    130
    89.7%
    Germany
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    2
    11.8%
    3
    21.4%
    0
    0%
    0
    0%
    5
    3.4%

    Outcome Measures

    1. Primary Outcome
    Title Percentage of Participants Experiencing Dose Limiting Toxicities (DLTs)
    Description DLTs refer to toxicities experienced during the first 28 days of study treatment that have been judged to be clinically significant and related to study treatment. DLT assessment was applicable only for Phase 1b and Phase 2 safety run-in participants.
    Time Frame Group A: Cycle 0 Day 1 to Cycle 2 Day 28; Group B: Cycle 0 Day 1 to Cycle 1 Day 28; Group C: Cycle 1 Day 1 to Cycle 1 Day 28 (Cycle length: for Cycle 0 = 14 days, for all other cycles = 28 days)

    Outcome Measure Data

    Analysis Population Description
    The DLT Analysis Set included all participants who received 21 days of ENTO (applicable to all groups) and all doses of cytarabine and daunorubicin in Group A Phase 1b, decitabine in Group B Phase 1b, or azacitidine in Group B Phase 2 safety run-in during the DLT assessment window; or experienced a DLT during the DLT assessment window.
    Arm/Group Title Group A Phase 1b ENTO 200 mg + Cytarabine + Daunorubicin Group A Phase 1b/2 ENTO 400 mg + Cytarabine + Daunorubicin Group B Phase 1b ENTO 200 mg + Decitabine Group B Phase 1b ENTO 400 mg + Decitabine Group B Phase 2 ENTO 400 mg + Azacitidine (Safety Run-In) Group C Phase 1b/2 ENTO 400 mg Group C Phase 1b ENTO 800 mg
    Arm/Group Description Participants received ENTO 200 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (during induction chemotherapy). Phase1b/2: Participants received ENTO 400 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (induction chemotherapy). Phase 2 only: Participants who achieved a CR/CRi and did not require or could not proceed to allogeneic stem cell transplantation (SCT) were offered post-remission chemotherapy (cytarabine 3 g/m^2 intravenously every 12 hours on Days 1, 3, and 5 or 1 g/m^2 intravenously once daily on Days 1-5) in combination with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for at least 3 and up to 4 cycles. Participants who maintained a CR/CRi after 3 or 4 cycles were offered maintenance therapy with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for up to 12 cycles. Participants received ENTO 200 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 200 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. As part of the safety run-in, participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of a 28-day cycle (Cycle 1). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants received ENTO 800 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor.
    Measure Participants 3 6 3 6 6 6 6
    Number [percentage of participants]
    0
    0%
    0
    0%
    0
    0%
    16.7
    278.3%
    0
    0%
    0
    0%
    16.7
    119.3%
    2. Primary Outcome
    Title Percentage of Participants With Morphologic Complete Remission (CR) at the End of Induction
    Description Clinical response was assessed according to the International Working Group criteria (Cheson 2003). Morphologic CR included CR and cytogenetic CR (CRc). CR required all of the following: < 5% blasts in bone marrow aspirate; Neutrophils ≥ 1,000/microliter (mcL); Platelets ≥ 100,000/mcL; No extramedullary disease; No blasts with Auer rods detected; and Independent of transfusions. CRc, in addition to CR criteria, required reversion to a normal karyotype with an abnormal karyotype at the time of diagnosis.
    Time Frame At the end of induction (Group A: up to end of Cycle 2; Group B: up to end of Cycle 4) (cycle length = up to 28 days); Group C: From Day 1 until meeting the criteria for study treatment discontinuation (up to approximately 3 years)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set included all participants who received at least 1 dose of study drug with treatment designated according to the planned treatment.
    Arm/Group Title Group A Phase 1b ENTO 200 mg + Cytarabine + Daunorubicin Group A Phase 1b ENTO 400 mg + Cytarabine + Daunorubicin Group A Phase 2 ENTO 400 mg + Cytarabine + Daunorubicin Group B Phase 1b ENTO 200 mg + Decitabine Group B Phase 1b ENTO 400 mg + Decitabine Group B Phase 2 ENTO 400 mg + Azacitidine (Safety Run-In) Group B Phase 2 ENTO 400 mg + Decitabine (Randomized) Group B Phase 2 ENTO 400 mg + Azacitidine (Randomized) Group C Phase 1b ENTO 400 mg Group C Phase 1b ENTO 800 mg Group C Phase 2 ENTO 400 mg (Cohort C1A - R/R AML) Group C Phase 2 ENTO 400 mg (Cohort C2 - MLL) Group C Phase 2 ENTO 400 mg (Cohort C3 - Untreated AML)
    Arm/Group Description Participants received ENTO 200 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (during induction chemotherapy). Participants received ENTO 400 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (during induction chemotherapy). Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (induction chemotherapy). Participants who achieved a CR/CRi and did not require or could not proceed to allogeneic stem cell transplantation (SCT) were offered post-remission chemotherapy (cytarabine 3 g/m^2 intravenously every 12 hours on Days 1, 3, and 5 or 1 g/m^2 intravenously once daily on Days 1-5) in combination with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for at least 3 and up to 4 cycles. Participants who maintained a CR/CRi after 3 or 4 cycles were offered maintenance therapy with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for up to 12 cycles. Participants received ENTO 200 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 200 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. As part of the safety run-in, participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of a 28-day cycle (Cycle 1). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants received ENTO 800 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants with relapsed/refractory (R/R) acute myeloid leukemia (AML) received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants R/R AML with mixed-lineage leukemia (MLL) received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants with previously untreated AML who were unfit for chemotherapy or hypomethylating agents or refused chemotherapy or hypomethylating agent received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor.
    Measure Participants 3 9 41 5 6 8 17 14 7 7 6 13 9
    Number (95% Confidence Interval) [percentage of participants]
    66.7
    2223.3%
    66.7
    133.4%
    46.3
    926%
    0.0
    0%
    16.7
    208.8%
    25.0
    147.1%
    0.0
    0%
    7.1
    20.3%
    0.0
    0%
    0.0
    0%
    0.0
    NaN
    15.4
    NaN
    11.1
    NaN
    3. Primary Outcome
    Title Percentage of Participants With Composite Complete Remission at the End of Induction
    Description Clinical response was assessed according to the International Working Group criteria (Cheson 2003). Composite complete remission included CR, CRc, and morphologic complete remission with incomplete blood count recovery (CRi). CR required all of the following: < 5% blasts in bone marrow aspirate; Neutrophils ≥ 1,000/mcL; Platelets ≥ 100,000/mcL; No extramedullary disease; No blasts with Auer rods detected; and Independent of transfusions. CRc, in addition to CR criteria, required reversion to a normal karyotype with an abnormal karyotype at the time of diagnosis. CRi required all of the CR criteria except the criterion of neutrophils and platelets.
    Time Frame At the end of induction (Group A: up to end of Cycle 2; Group B: up to end of Cycle 4) (cycle length = up to 28 days); Group C: From Day 1 until meeting the criteria for study treatment discontinuation (up to approximately 3 years)

    Outcome Measure Data

    Analysis Population Description
    Participants in the Full Analysis Set were analyzed.
    Arm/Group Title Group A Phase 1b ENTO 200 mg + Cytarabine + Daunorubicin Group A Phase 1b ENTO 400 mg + Cytarabine + Daunorubicin Group A Phase 2 ENTO 400 mg + Cytarabine + Daunorubicin Group B Phase 1b ENTO 200 mg + Decitabine Group B Phase 1b ENTO 400 mg + Decitabine Group B Phase 2 ENTO 400 mg + Azacitidine (Safety Run-In) Group B Phase 2 ENTO 400 mg + Decitabine (Randomized) Group B Phase 2 ENTO 400 mg + Azacitidine (Randomized) Group C Phase 1b ENTO 400 mg Group C Phase 1b ENTO 800 mg Group C Phase 2 ENTO 400 mg (Cohort C1A - R/R AML) Group C Phase 2 ENTO 400 mg (Cohort C2 - MLL) Group C Phase 2 ENTO 400 mg (Cohort C3 - Untreated AML)
    Arm/Group Description Participants received ENTO 200 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (during induction chemotherapy). Participants received ENTO 400 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (during induction chemotherapy). Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (induction chemotherapy). Participants who achieved a CR/CRi and did not require or could not proceed to allogeneic stem cell transplantation (SCT) were offered post-remission chemotherapy (cytarabine 3 g/m^2 intravenously every 12 hours on Days 1, 3, and 5 or 1 g/m^2 intravenously once daily on Days 1-5) in combination with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for at least 3 and up to 4 cycles. Participants who maintained a CR/CRi after 3 or 4 cycles were offered maintenance therapy with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for up to 12 cycles. Participants received ENTO 200 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 200 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. As part of the safety run-in, participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of a 28-day cycle (Cycle 1). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants received ENTO 800 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants with relapsed/refractory (R/R) acute myeloid leukemia (AML) received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants R/R AML with mixed-lineage leukemia (MLL) received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants with previously untreated AML who were unfit for chemotherapy or hypomethylating agents or refused chemotherapy or hypomethylating agent received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor.
    Measure Participants 3 9 41 5 6 8 17 14 7 7 6 13 9
    Number (95% Confidence Interval) [percentage of participants]
    100.0
    3333.3%
    77.8
    155.6%
    65.9
    1318%
    40.0
    666.7%
    50.0
    625%
    25.0
    147.1%
    23.5
    167.9%
    14.3
    40.9%
    14.3
    204.3%
    0.0
    0%
    0.0
    NaN
    15.4
    NaN
    11.1
    NaN
    4. Primary Outcome
    Title Percentage of Participants With Overall Response at the End of Induction
    Description Clinical response was assessed according to the International Working Group criteria (Cheson 2003). Overall response included CR, CRc, CRi, and partial remission (PR). CR required all of the following: < 5% blasts in bone marrow aspirate; Neutrophils ≥ 1,000/mcL; Platelets ≥ 100,000/mcL; No extramedullary disease; No blasts with Auer rods detected; and Independent of transfusions. CRc, in addition to CR criteria, required reversion to a normal karyotype with an abnormal karyotype at the time of diagnosis. CRi required all of the CR criteria except the criterion of neutrophils and platelets. PR required all of the following: ≥ 50% decrease in blasts in bone marrow aspirate to a range of 5% to 25%; Neutrophils ≥ 1,000/mcL; Platelets ≥ 100,000/mcL; Independent of transfusions; and A value of ≤ 5% blasts was also considered a PR if Auer rods were detected.
    Time Frame At the end of induction (Group A: up to end of Cycle 2; Group B: up to end of Cycle 4) (cycle length = up to 28 days); Group C: From Day 1 until meeting the criteria for study treatment discontinuation (up to approximately 3 years)

    Outcome Measure Data

    Analysis Population Description
    Participants in the Full Analysis Set were analyzed.
    Arm/Group Title Group A Phase 1b ENTO 200 mg + Cytarabine + Daunorubicin Group A Phase 1b ENTO 400 mg + Cytarabine + Daunorubicin Group A Phase 2 ENTO 400 mg + Cytarabine + Daunorubicin Group B Phase 1b ENTO 200 mg + Decitabine Group B Phase 1b ENTO 400 mg + Decitabine Group B Phase 2 ENTO 400 mg + Azacitidine (Safety Run-In) Group B Phase 2 ENTO 400 mg + Decitabine (Randomized) Group B Phase 2 ENTO 400 mg + Azacitidine (Randomized) Group C Phase 1b ENTO 400 mg Group C Phase 1b ENTO 800 mg Group C Phase 2 ENTO 400 mg (Cohort C1A - R/R AML) Group C Phase 2 ENTO 400 mg (Cohort C2 - MLL) Group C Phase 2 ENTO 400 mg (Cohort C3 - Untreated AML)
    Arm/Group Description Participants received ENTO 200 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (during induction chemotherapy). Participants received ENTO 400 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (during induction chemotherapy). Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (induction chemotherapy). Participants who achieved a CR/CRi and did not require or could not proceed to allogeneic stem cell transplantation (SCT) were offered post-remission chemotherapy (cytarabine 3 g/m^2 intravenously every 12 hours on Days 1, 3, and 5 or 1 g/m^2 intravenously once daily on Days 1-5) in combination with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for at least 3 and up to 4 cycles. Participants who maintained a CR/CRi after 3 or 4 cycles were offered maintenance therapy with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for up to 12 cycles. Participants received ENTO 200 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 200 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. As part of the safety run-in, participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of a 28-day cycle (Cycle 1). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants received ENTO 800 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants with relapsed/refractory (R/R) acute myeloid leukemia (AML) received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants R/R AML with mixed-lineage leukemia (MLL) received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants with previously untreated AML who were unfit for chemotherapy or hypomethylating agents or refused chemotherapy or hypomethylating agent received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor.
    Measure Participants 3 9 41 5 6 8 17 14 7 7 6 13 9
    Number (95% Confidence Interval) [percentage of participants]
    100.0
    3333.3%
    77.8
    155.6%
    70.7
    1414%
    40.0
    666.7%
    50.0
    625%
    25.0
    147.1%
    23.5
    167.9%
    14.3
    40.9%
    14.3
    204.3%
    0.0
    0%
    0.0
    NaN
    15.4
    NaN
    11.1
    NaN
    5. Secondary Outcome
    Title Duration of Exposure of Entospletinib
    Description
    Time Frame First dose date up to approximately 3 years

    Outcome Measure Data

    Analysis Population Description
    The Safety Analysis Set included all participants who received at least 1 dose of study drug.
    Arm/Group Title Group A Phase 1b ENTO 200 mg + Cytarabine + Daunorubicin Group A Phase 1b/2 ENTO 400 mg + Cytarabine + Daunorubicin Group B Phase 1b ENTO 200 mg + Decitabine Group B Phase 1b ENTO 400 mg + Decitabine Group B Phase 2 ENTO 400 mg + Azacitidine (Safety Run-In) Group B Phase 2 ENTO 400 mg + Decitabine (Randomized) Group B Phase 2 ENTO 400 mg + Azacitidine (Randomized) Group C Phase 1b/2 ENTO 400 mg Group C Phase 1b ENTO 800 mg
    Arm/Group Description Participants received ENTO 200 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (during induction chemotherapy). Phase1b/2: Participants received ENTO 400 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (induction chemotherapy). Phase 2 only: Participants who achieved a CR/CRi and did not require or could not proceed to allogeneic stem cell transplantation (SCT) were offered post-remission chemotherapy (cytarabine 3 g/m^2 intravenously every 12 hours on Days 1, 3, and 5 or 1 g/m^2 intravenously once daily on Days 1-5) in combination with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for at least 3 and up to 4 cycles. Participants who maintained a CR/CRi after 3 or 4 cycles were offered maintenance therapy with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for up to 12 cycles. Participants received ENTO 200 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 200 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. As part of the safety run-in, participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of a 28-day cycle (Cycle 1). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants received ENTO 800 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor.
    Measure Participants 3 50 5 6 8 17 14 35 7
    Median (Full Range) [weeks]
    8.6
    7.1
    13.7
    15.4
    10.1
    13.9
    10.1
    4.4
    7.6
    6. Secondary Outcome
    Title Event Free Survival (EFS)
    Description EFS was defined as the time interval from the start of the study therapy until the date of treatment failure, acute myeloid leukemia (AML) relapse, or death from any cause, whichever occurred first. Participants who received other anti-cancer therapy (prior to the event if any) were censored. Median EFS was analyzed using Kaplan-Meier (KM) method.
    Time Frame First dose date up to approximately 38 months

    Outcome Measure Data

    Analysis Population Description
    Participants in the Full Analysis Set were analyzed.
    Arm/Group Title Group A Phase 1b ENTO 200 mg + Cytarabine + Daunorubicin Group A Phase 1b ENTO 400 mg + Cytarabine + Daunorubicin Group A Phase 2 ENTO 400 mg + Cytarabine + Daunorubicin Group B Phase 1b ENTO 200 mg + Decitabine Group B Phase 1b ENTO 400 mg + Decitabine Group B Phase 2 ENTO 400 mg + Azacitidine (Safety Run-In) Group B Phase 2 ENTO 400 mg + Decitabine (Randomized) Group B Phase 2 ENTO 400 mg + Azacitidine (Randomized) Group C Phase 1b ENTO 400 mg Group C Phase 1b ENTO 800 mg Group C Phase 2 ENTO 400 mg (Cohort C1A - R/R AML) Group C Phase 2 ENTO 400 mg (Cohort C2 - MLL) Group C Phase 2 ENTO 400 mg (Cohort C3 - Untreated AML)
    Arm/Group Description Participants received ENTO 200 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (during induction chemotherapy). Participants received ENTO 400 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (during induction chemotherapy). Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (induction chemotherapy). Participants who achieved a CR/CRi and did not require or could not proceed to allogeneic stem cell transplantation (SCT) were offered post-remission chemotherapy (cytarabine 3 g/m^2 intravenously every 12 hours on Days 1, 3, and 5 or 1 g/m^2 intravenously once daily on Days 1-5) in combination with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for at least 3 and up to 4 cycles. Participants who maintained a CR/CRi after 3 or 4 cycles were offered maintenance therapy with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for up to 12 cycles. Participants received ENTO 200 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 200 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. As part of the safety run-in, participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of a 28-day cycle (Cycle 1). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants received ENTO 800 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants with relapsed/refractory (R/R) acute myeloid leukemia (AML) received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants R/R AML with mixed-lineage leukemia (MLL) received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants with previously untreated AML who were unfit for chemotherapy or hypomethylating agents or refused chemotherapy or hypomethylating agent received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor.
    Measure Participants 3 9 41 5 6 8 17 14 7 7 6 13 9
    Median (95% Confidence Interval) [months]
    NA
    1.9
    9.0
    2.2
    2.9
    2.3
    3.2
    2.4
    1.8
    1.8
    1.0
    1.0
    1.7
    7. Secondary Outcome
    Title Overall Survival (OS)
    Description OS was defined as the time interval from the start of the study therapy to death from any cause. Median OS was analyzed using KM method.
    Time Frame First dose date up to approximately 38 months

    Outcome Measure Data

    Analysis Population Description
    Participants in the Full Analysis Set were analyzed.
    Arm/Group Title Group A Phase 1b ENTO 200 mg + Cytarabine + Daunorubicin Group A Phase 1b ENTO 400 mg + Cytarabine + Daunorubicin Group A Phase 2 ENTO 400 mg + Cytarabine + Daunorubicin Group B Phase 1b ENTO 200 mg + Decitabine Group B Phase 1b ENTO 400 mg + Decitabine Group B Phase 2 ENTO 400 mg + Azacitidine (Safety Run-In) Group B Phase 2 ENTO 400 mg + Decitabine (Randomized) Group B Phase 2 ENTO 400 mg + Azacitidine (Randomized) Group C Phase 1b ENTO 400 mg Group C Phase 1b ENTO 800 mg Group C Phase 2 ENTO 400 mg (Cohort C1A - R/R AML) Group C Phase 2 ENTO 400 mg (Cohort C2 - MLL) Group C Phase 2 ENTO 400 mg (Cohort C3 - Untreated AML)
    Arm/Group Description Participants received ENTO 200 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (during induction chemotherapy). Participants received ENTO 400 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (during induction chemotherapy). Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (induction chemotherapy). Participants who achieved a CR/CRi and did not require or could not proceed to allogeneic stem cell transplantation (SCT) were offered post-remission chemotherapy (cytarabine 3 g/m^2 intravenously every 12 hours on Days 1, 3, and 5 or 1 g/m^2 intravenously once daily on Days 1-5) in combination with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for at least 3 and up to 4 cycles. Participants who maintained a CR/CRi after 3 or 4 cycles were offered maintenance therapy with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for up to 12 cycles. Participants received ENTO 200 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 200 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. As part of the safety run-in, participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of a 28-day cycle (Cycle 1). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants received ENTO 800 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants with relapsed/refractory (R/R) acute myeloid leukemia (AML) received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants R/R AML with mixed-lineage leukemia (MLL) received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants with previously untreated AML who were unfit for chemotherapy or hypomethylating agents or refused chemotherapy or hypomethylating agent received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor.
    Measure Participants 3 9 41 5 6 8 17 14 7 7 6 13 9
    Median (95% Confidence Interval) [months]
    37.1
    34.1
    NA
    3.2
    5.3
    6.9
    7.3
    6.2
    5.9
    5.6
    8.2
    7.9
    2.2
    8. Secondary Outcome
    Title Percentage of Participants Experiencing Treatment-Emergent Adverse Events
    Description
    Time Frame First dose date up to the last dose date plus 30 days (maximum: 18 months)

    Outcome Measure Data

    Analysis Population Description
    Participants in the Safety Analysis Set were analyzed.
    Arm/Group Title Group A Phase 1b ENTO 200 mg + Cytarabine + Daunorubicin Group A Phase 1b/2 ENTO 400 mg + Cytarabine + Daunorubicin Group B Phase 1b ENTO 200 mg + Decitabine Group B Phase 1b ENTO 400 mg + Decitabine Group B Phase 2 ENTO 400 mg + Azacitidine (Safety Run-In) Group B Phase 2 ENTO 400 mg + Decitabine (Randomized) Group B Phase 2 ENTO 400 mg + Azacitidine (Randomized) Group C Phase 1b/2 ENTO 400 mg Group C Phase 1b ENTO 800 mg
    Arm/Group Description Participants received ENTO 200 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (during induction chemotherapy). Phase1b/2: Participants received ENTO 400 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (induction chemotherapy). Phase 2 only: Participants who achieved a CR/CRi and did not require or could not proceed to allogeneic stem cell transplantation (SCT) were offered post-remission chemotherapy (cytarabine 3 g/m^2 intravenously every 12 hours on Days 1, 3, and 5 or 1 g/m^2 intravenously once daily on Days 1-5) in combination with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for at least 3 and up to 4 cycles. Participants who maintained a CR/CRi after 3 or 4 cycles were offered maintenance therapy with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for up to 12 cycles. Participants received ENTO 200 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 200 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. As part of the safety run-in, participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of a 28-day cycle (Cycle 1). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants received ENTO 800 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor.
    Measure Participants 3 50 5 6 8 17 14 35 7
    Number [percentage of participants]
    100.0
    3333.3%
    100.0
    200%
    100.0
    2000%
    100.0
    1666.7%
    100.0
    1250%
    100.0
    588.2%
    100.0
    714.3%
    100.0
    285.7%
    100.0
    1428.6%
    9. Secondary Outcome
    Title Percentage of Participants Who Experienced Laboratory Abnormalities
    Description Treatment-emergent laboratory abnormalities were defined as values that increase at least one toxicity grade from baseline. The most severe graded abnormality from all tests was counted for each participant.
    Time Frame First dose date up to the last dose date plus 30 days (maximum: 18 months)

    Outcome Measure Data

    Analysis Population Description
    Participants in the Safety Analysis Set who had non-missing postbaseline value prior to or on the last dosing date plus 30 days were analyzed.
    Arm/Group Title Group A Phase 1b ENTO 200 mg + Cytarabine + Daunorubicin Group A Phase 1b/2 ENTO 400 mg + Cytarabine + Daunorubicin Group B Phase 1b ENTO 200 mg + Decitabine Group B Phase 1b ENTO 400 mg + Decitabine Group B Phase 2 ENTO 400 mg + Azacitidine (Safety Run-In) Group B Phase 2 ENTO 400 mg + Decitabine (Randomized) Group B Phase 2 ENTO 400 mg + Azacitidine (Randomized) Group C Phase 1b/2 ENTO 400 mg Group C Phase 1b ENTO 800 mg
    Arm/Group Description Participants received ENTO 200 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (during induction chemotherapy). Phase1b/2: Participants received ENTO 400 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (induction chemotherapy). Phase 2 only: Participants who achieved a CR/CRi and did not require or could not proceed to allogeneic stem cell transplantation (SCT) were offered post-remission chemotherapy (cytarabine 3 g/m^2 intravenously every 12 hours on Days 1, 3, and 5 or 1 g/m^2 intravenously once daily on Days 1-5) in combination with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for at least 3 and up to 4 cycles. Participants who maintained a CR/CRi after 3 or 4 cycles were offered maintenance therapy with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for up to 12 cycles. Participants received ENTO 200 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 200 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. As part of the safety run-in, participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of a 28-day cycle (Cycle 1). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants received ENTO 800 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor.
    Measure Participants 3 50 5 6 7 17 14 35 7
    Any Laboratory Abnormality
    100
    3333.3%
    100
    200%
    100
    2000%
    100
    1666.7%
    100
    1250%
    94.1
    553.5%
    100
    714.3%
    100
    285.7%
    100
    1428.6%
    Grade 3 or 4 Laboratory Abnormalities
    100
    3333.3%
    98.0
    196%
    100
    2000%
    100
    1666.7%
    85.7
    1071.3%
    94.1
    553.5%
    92.9
    663.6%
    82.9
    236.9%
    85.7
    1224.3%

    Adverse Events

    Time Frame - All-Cause Mortality: First dose date up to approximately 38 months. - Adverse Events: First dose date up to the last dose date plus 30 days (maximum: 18 months)
    Adverse Event Reporting Description The Safety Analysis Set included all participants who received at least 1 dose of study drug.
    Arm/Group Title Group A Phase 1b ENTO 200 mg + Cytarabine + Daunorubicin Group A Phase 1b/2 ENTO 400 mg + Cytarabine + Daunorubicin Group B Phase 1b ENTO 200 mg + Decitabine Group B Phase 1b ENTO 400 mg + Decitabine Group B Phase 2 ENTO 400 mg + Azacitidine (Safety Run-In) Group B Phase 2 ENTO 400 mg + Decitabine (Randomized) Group B Phase 2 ENTO 400 mg + Azacitidine (Randomized) Group C Phase 1b/2 ENTO 400 mg Group C Phase 1b ENTO 800 mg
    Arm/Group Description Participants received ENTO 200 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (during induction chemotherapy). Phase1b/2: Participants received ENTO 400 mg tablet orally every 12 hours on Days 1 to 14 (Cycle 0) (monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with chemotherapy (cytarabine 100 mg/m^2 on Days 1-7 and daunorubicin 60 mg/m^2 on Days 1-3 intravenously) for up to two 14-day cycles (Cycles 1 and 2) (induction chemotherapy). Phase 2 only: Participants who achieved a CR/CRi and did not require or could not proceed to allogeneic stem cell transplantation (SCT) were offered post-remission chemotherapy (cytarabine 3 g/m^2 intravenously every 12 hours on Days 1, 3, and 5 or 1 g/m^2 intravenously once daily on Days 1-5) in combination with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for at least 3 and up to 4 cycles. Participants who maintained a CR/CRi after 3 or 4 cycles were offered maintenance therapy with ENTO 400 mg tablet orally every 12 hours on Days 1-28 of each 28-day cycle for up to 12 cycles. Participants received ENTO 200 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 200 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 200 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28) (induction chemotherapy). Participants who achieved a CR/CRi received SCT (if eligible) per investigator's discretion; other participants were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. As part of the safety run-in, participants received ENTO 400 mg tablet orally every 12 hours on Days 1-14 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of a 28-day cycle (Cycle 1). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with decitabine 20 mg/m^2 intravenously on Days 1-10 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with decitabine on Days 1-5 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to decitabine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants were randomized to receive ENTO 400 mg tablet orally every 12 hours on Days 1-5 (Cycle 0) (during monotherapy lead-in), followed by ENTO 400 mg tablet orally every 12 hours in combination with azacitidine 75 mg/m^2 intravenously on Days 1-7 of every 28-day cycle for 2 cycles (or up to 4 cycles for participants with persistent disease after Cycle 2 Day 28). Participants who were not eligible for SCT were offered maintenance therapy with ENTO every 12 hours on Days 1-28 in combination with azacitidine on Days 1-7 of every 28-day cycle for at least 2 cycles (maximum up to 12 cycles). Participants who were intolerant to azacitidine were offered maintenance therapy with ENTO 400 mg as monotherapy after completing 2 maintenance cycles. Participants received ENTO 400 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor. Participants received ENTO 800 mg tablet orally every 12 hours on Days 1-28 of every 28-day cycle until treatment failure, start of new therapy, unacceptable toxicity, withdrawal of consent, withdrawal from study by investigator, or study termination by sponsor.
    All Cause Mortality
    Group A Phase 1b ENTO 200 mg + Cytarabine + Daunorubicin Group A Phase 1b/2 ENTO 400 mg + Cytarabine + Daunorubicin Group B Phase 1b ENTO 200 mg + Decitabine Group B Phase 1b ENTO 400 mg + Decitabine Group B Phase 2 ENTO 400 mg + Azacitidine (Safety Run-In) Group B Phase 2 ENTO 400 mg + Decitabine (Randomized) Group B Phase 2 ENTO 400 mg + Azacitidine (Randomized) Group C Phase 1b/2 ENTO 400 mg Group C Phase 1b ENTO 800 mg
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 2/3 (66.7%) 21/50 (42%) 5/5 (100%) 4/6 (66.7%) 5/8 (62.5%) 12/17 (70.6%) 11/14 (78.6%) 30/35 (85.7%) 6/7 (85.7%)
    Serious Adverse Events
    Group A Phase 1b ENTO 200 mg + Cytarabine + Daunorubicin Group A Phase 1b/2 ENTO 400 mg + Cytarabine + Daunorubicin Group B Phase 1b ENTO 200 mg + Decitabine Group B Phase 1b ENTO 400 mg + Decitabine Group B Phase 2 ENTO 400 mg + Azacitidine (Safety Run-In) Group B Phase 2 ENTO 400 mg + Decitabine (Randomized) Group B Phase 2 ENTO 400 mg + Azacitidine (Randomized) Group C Phase 1b/2 ENTO 400 mg Group C Phase 1b ENTO 800 mg
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/3 (0%) 23/50 (46%) 5/5 (100%) 5/6 (83.3%) 7/8 (87.5%) 11/17 (64.7%) 7/14 (50%) 19/35 (54.3%) 4/7 (57.1%)
    Blood and lymphatic system disorders
    Febrile neutropenia 0/3 (0%) 13/50 (26%) 4/5 (80%) 4/6 (66.7%) 3/8 (37.5%) 8/17 (47.1%) 0/14 (0%) 5/35 (14.3%) 0/7 (0%)
    Cardiac disorders
    Angina pectoris 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Atrial fibrillation 0/3 (0%) 0/50 (0%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Cardiac arrest 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Cardiac failure chronic 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Cardiac failure congestive 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 2/35 (5.7%) 0/7 (0%)
    Sinus bradycardia 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Gastrointestinal disorders
    Colitis 0/3 (0%) 0/50 (0%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Constipation 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 1/7 (14.3%)
    Gastric haemorrhage 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Gastrointestinal haemorrhage 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Haematemesis 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Haematochezia 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Intestinal ischaemia 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Large intestine perforation 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Oesophagitis 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Proctalgia 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Stomatitis 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Vomiting 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    General disorders
    Asthenia 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Catheter site haemorrhage 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Non-cardiac chest pain 0/3 (0%) 1/50 (2%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Pyrexia 0/3 (0%) 1/50 (2%) 1/5 (20%) 1/6 (16.7%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 2/35 (5.7%) 0/7 (0%)
    Infections and infestations
    Anal abscess 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Bacteraemia 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Bacterial infection 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Cellulitis 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Cellulitis staphylococcal 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Clostridium difficile colitis 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Device related infection 0/3 (0%) 1/50 (2%) 0/5 (0%) 2/6 (33.3%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Enteritis infectious 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Escherichia sepsis 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Fungal infection 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Influenza 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Lung infection 0/3 (0%) 0/50 (0%) 2/5 (40%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 2/7 (28.6%)
    Mucosal infection 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Otitis media 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Pneumonia 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 2/17 (11.8%) 2/14 (14.3%) 2/35 (5.7%) 0/7 (0%)
    Sepsis 0/3 (0%) 2/50 (4%) 1/5 (20%) 0/6 (0%) 2/8 (25%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Staphylococcal infection 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Staphylococcal sepsis 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Urinary tract infection 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Vascular device infection 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Injury, poisoning and procedural complications
    Fall 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 1/7 (14.3%)
    Investigations
    Blood alkaline phosphatase increased 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Transaminases increased 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Troponin I increased 0/3 (0%) 0/50 (0%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Metabolism and nutrition disorders
    Dehydration 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 1/7 (14.3%)
    Gout 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Hyponatraemia 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Tumour lysis syndrome 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Musculoskeletal and connective tissue disorders
    Muscular weakness 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 1/7 (14.3%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Acute lymphocytic leukaemia recurrent 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Thyroid cancer 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Nervous system disorders
    Cerebrovascular accident 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Cognitive disorder 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Haemorrhage intracranial 0/3 (0%) 0/50 (0%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Neuromyopathy 0/3 (0%) 0/50 (0%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Transient ischaemic attack 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Renal and urinary disorders
    Acute kidney injury 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea 0/3 (0%) 1/50 (2%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Haemoptysis 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Hypoxia 0/3 (0%) 0/50 (0%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Lung consolidation 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Pleural effusion 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Pneumonitis 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Pneumothorax 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Respiratory failure 0/3 (0%) 1/50 (2%) 0/5 (0%) 1/6 (16.7%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Skin and subcutaneous tissue disorders
    Photosensitivity reaction 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Rash maculo-papular 0/3 (0%) 1/50 (2%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Skin haemorrhage 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Vascular disorders
    Deep vein thrombosis 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Hypotension 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Thrombosis 0/3 (0%) 0/50 (0%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Other (Not Including Serious) Adverse Events
    Group A Phase 1b ENTO 200 mg + Cytarabine + Daunorubicin Group A Phase 1b/2 ENTO 400 mg + Cytarabine + Daunorubicin Group B Phase 1b ENTO 200 mg + Decitabine Group B Phase 1b ENTO 400 mg + Decitabine Group B Phase 2 ENTO 400 mg + Azacitidine (Safety Run-In) Group B Phase 2 ENTO 400 mg + Decitabine (Randomized) Group B Phase 2 ENTO 400 mg + Azacitidine (Randomized) Group C Phase 1b/2 ENTO 400 mg Group C Phase 1b ENTO 800 mg
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 3/3 (100%) 50/50 (100%) 5/5 (100%) 6/6 (100%) 7/8 (87.5%) 17/17 (100%) 14/14 (100%) 33/35 (94.3%) 7/7 (100%)
    Blood and lymphatic system disorders
    Anaemia 0/3 (0%) 24/50 (48%) 3/5 (60%) 1/6 (16.7%) 2/8 (25%) 5/17 (29.4%) 6/14 (42.9%) 10/35 (28.6%) 3/7 (42.9%)
    Febrile neutropenia 2/3 (66.7%) 36/50 (72%) 1/5 (20%) 3/6 (50%) 2/8 (25%) 2/17 (11.8%) 4/14 (28.6%) 8/35 (22.9%) 0/7 (0%)
    Leukocytosis 0/3 (0%) 0/50 (0%) 0/5 (0%) 1/6 (16.7%) 1/8 (12.5%) 0/17 (0%) 1/14 (7.1%) 1/35 (2.9%) 0/7 (0%)
    Lymphadenopathy 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 1/35 (2.9%) 0/7 (0%)
    Neutropenia 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Pancytopenia 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Thrombocytopenia 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 1/14 (7.1%) 1/35 (2.9%) 0/7 (0%)
    Cardiac disorders
    Angina pectoris 0/3 (0%) 0/50 (0%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Arrhythmia 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Atrial fibrillation 0/3 (0%) 7/50 (14%) 1/5 (20%) 0/6 (0%) 1/8 (12.5%) 3/17 (17.6%) 3/14 (21.4%) 1/35 (2.9%) 0/7 (0%)
    Bradycardia 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Diastolic dysfunction 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Palpitations 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Sinus bradycardia 0/3 (0%) 5/50 (10%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 1/35 (2.9%) 0/7 (0%)
    Sinus tachycardia 0/3 (0%) 6/50 (12%) 0/5 (0%) 2/6 (33.3%) 1/8 (12.5%) 2/17 (11.8%) 2/14 (14.3%) 1/35 (2.9%) 0/7 (0%)
    Supraventricular tachycardia 0/3 (0%) 1/50 (2%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 1/7 (14.3%)
    Tachycardia 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 2/14 (14.3%) 0/35 (0%) 0/7 (0%)
    Ear and labyrinth disorders
    Ear pain 0/3 (0%) 2/50 (4%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 2/17 (11.8%) 0/14 (0%) 2/35 (5.7%) 0/7 (0%)
    Hypoacusis 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Tinnitus 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Eye disorders
    Dry eye 1/3 (33.3%) 4/50 (8%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 2/35 (5.7%) 0/7 (0%)
    Eye haemorrhage 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Eye oedema 0/3 (0%) 0/50 (0%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Eye pain 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Lacrimation increased 0/3 (0%) 0/50 (0%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Optic nerve cupping 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Periorbital oedema 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 1/7 (14.3%)
    Scleral hyperaemia 0/3 (0%) 0/50 (0%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 1/7 (14.3%)
    Ulcerative keratitis 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Vision blurred 0/3 (0%) 10/50 (20%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Gastrointestinal disorders
    Abdominal distension 0/3 (0%) 7/50 (14%) 0/5 (0%) 2/6 (33.3%) 0/8 (0%) 0/17 (0%) 2/14 (14.3%) 2/35 (5.7%) 1/7 (14.3%)
    Abdominal pain 1/3 (33.3%) 13/50 (26%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 1/17 (5.9%) 4/14 (28.6%) 4/35 (11.4%) 0/7 (0%)
    Abdominal pain lower 0/3 (0%) 1/50 (2%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Abdominal pain upper 0/3 (0%) 0/50 (0%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 4/17 (23.5%) 0/14 (0%) 2/35 (5.7%) 0/7 (0%)
    Anal incontinence 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Anal ulcer 0/3 (0%) 0/50 (0%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Angina bullosa haemorrhagica 0/3 (0%) 3/50 (6%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Ascites 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Colitis 0/3 (0%) 2/50 (4%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Colitis ischaemic 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Constipation 1/3 (33.3%) 20/50 (40%) 3/5 (60%) 4/6 (66.7%) 6/8 (75%) 10/17 (58.8%) 9/14 (64.3%) 3/35 (8.6%) 0/7 (0%)
    Diarrhoea 1/3 (33.3%) 34/50 (68%) 1/5 (20%) 3/6 (50%) 3/8 (37.5%) 9/17 (52.9%) 4/14 (28.6%) 14/35 (40%) 4/7 (57.1%)
    Dry mouth 0/3 (0%) 2/50 (4%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 1/14 (7.1%) 1/35 (2.9%) 0/7 (0%)
    Dyspepsia 0/3 (0%) 8/50 (16%) 0/5 (0%) 0/6 (0%) 2/8 (25%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Dysphagia 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 2/8 (25%) 1/17 (5.9%) 0/14 (0%) 2/35 (5.7%) 0/7 (0%)
    Enterocolitis 1/3 (33.3%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Faecaloma 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Flatulence 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 2/35 (5.7%) 0/7 (0%)
    Gastrooesophageal reflux disease 1/3 (33.3%) 6/50 (12%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Gingival bleeding 0/3 (0%) 1/50 (2%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 1/14 (7.1%) 1/35 (2.9%) 0/7 (0%)
    Haemorrhoidal haemorrhage 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Haemorrhoids 0/3 (0%) 5/50 (10%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 3/17 (17.6%) 1/14 (7.1%) 3/35 (8.6%) 0/7 (0%)
    Hiatus hernia 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Ileus 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Intestinal dilatation 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Intra-abdominal haematoma 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Lip pain 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 1/7 (14.3%)
    Lower gastrointestinal haemorrhage 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Mouth haemorrhage 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Mouth ulceration 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 2/17 (11.8%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Nausea 3/3 (100%) 34/50 (68%) 4/5 (80%) 4/6 (66.7%) 4/8 (50%) 5/17 (29.4%) 7/14 (50%) 15/35 (42.9%) 2/7 (28.6%)
    Oral pain 0/3 (0%) 5/50 (10%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 2/17 (11.8%) 1/14 (7.1%) 1/35 (2.9%) 0/7 (0%)
    Pancreatic disorder 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Proctalgia 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 3/14 (21.4%) 0/35 (0%) 0/7 (0%)
    Rectal haemorrhage 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 2/14 (14.3%) 0/35 (0%) 0/7 (0%)
    Regurgitation 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Salivary hypersecretion 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Small intestinal obstruction 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Stomatitis 0/3 (0%) 8/50 (16%) 1/5 (20%) 1/6 (16.7%) 0/8 (0%) 4/17 (23.5%) 1/14 (7.1%) 6/35 (17.1%) 1/7 (14.3%)
    Tongue ulceration 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Vomiting 2/3 (66.7%) 16/50 (32%) 0/5 (0%) 1/6 (16.7%) 1/8 (12.5%) 6/17 (35.3%) 5/14 (35.7%) 8/35 (22.9%) 1/7 (14.3%)
    General disorders
    Asthenia 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 1/17 (5.9%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Catheter site dermatitis 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Catheter site erythema 0/3 (0%) 3/50 (6%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Catheter site pain 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 1/35 (2.9%) 0/7 (0%)
    Catheter site rash 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Chest pain 0/3 (0%) 3/50 (6%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 2/14 (14.3%) 2/35 (5.7%) 0/7 (0%)
    Chills 0/3 (0%) 8/50 (16%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 2/17 (11.8%) 5/14 (35.7%) 4/35 (11.4%) 0/7 (0%)
    Device related thrombosis 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Face oedema 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Fatigue 1/3 (33.3%) 14/50 (28%) 3/5 (60%) 1/6 (16.7%) 2/8 (25%) 9/17 (52.9%) 6/14 (42.9%) 10/35 (28.6%) 3/7 (42.9%)
    Feeling hot 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    General physical health deterioration 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Injection site erythema 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 2/14 (14.3%) 0/35 (0%) 0/7 (0%)
    Injection site pain 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Malaise 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Mucosal inflammation 0/3 (0%) 10/50 (20%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 4/35 (11.4%) 0/7 (0%)
    Non-cardiac chest pain 0/3 (0%) 7/50 (14%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 1/17 (5.9%) 1/14 (7.1%) 1/35 (2.9%) 0/7 (0%)
    Oedema 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Oedema peripheral 2/3 (66.7%) 29/50 (58%) 2/5 (40%) 3/6 (50%) 4/8 (50%) 6/17 (35.3%) 4/14 (28.6%) 4/35 (11.4%) 3/7 (42.9%)
    Pain 0/3 (0%) 2/50 (4%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Performance status decreased 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Pyrexia 0/3 (0%) 9/50 (18%) 0/5 (0%) 2/6 (33.3%) 2/8 (25%) 2/17 (11.8%) 1/14 (7.1%) 5/35 (14.3%) 0/7 (0%)
    Hepatobiliary disorders
    Hyperbilirubinaemia 0/3 (0%) 4/50 (8%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Infections and infestations
    Abdominal infection 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Atypical pneumonia 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Bacteraemia 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Bacterial infection 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Bacterial sepsis 0/3 (0%) 0/50 (0%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Candida infection 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Cellulitis 0/3 (0%) 2/50 (4%) 0/5 (0%) 1/6 (16.7%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Chronic sinusitis 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Clostridium difficile colitis 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 1/35 (2.9%) 0/7 (0%)
    Clostridium difficile infection 0/3 (0%) 3/50 (6%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Corona virus infection 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Device related infection 1/3 (33.3%) 9/50 (18%) 1/5 (20%) 2/6 (33.3%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Enterococcal bacteraemia 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Folliculitis 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 2/35 (5.7%) 0/7 (0%)
    Leptotrichia infection 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Lung infection 0/3 (0%) 11/50 (22%) 1/5 (20%) 2/6 (33.3%) 1/8 (12.5%) 1/17 (5.9%) 0/14 (0%) 3/35 (8.6%) 0/7 (0%)
    Mucosal infection 0/3 (0%) 3/50 (6%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Mycobacterium avium complex infection 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Oral candidiasis 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 2/17 (11.8%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Otitis externa 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 2/35 (5.7%) 0/7 (0%)
    Perirectal abscess 0/3 (0%) 0/50 (0%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Pharyngitis 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Pneumonia 0/3 (0%) 5/50 (10%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 3/35 (8.6%) 0/7 (0%)
    Postoperative wound infection 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Sepsis 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 1/35 (2.9%) 0/7 (0%)
    Sinusitis 0/3 (0%) 2/50 (4%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Skin infection 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 2/17 (11.8%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Soft tissue infection 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Staphylococcal infection 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Staphylococcal skin infection 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Tinea cruris 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Tooth abscess 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Upper respiratory tract infection 0/3 (0%) 0/50 (0%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 2/35 (5.7%) 0/7 (0%)
    Urinary tract infection 0/3 (0%) 4/50 (8%) 1/5 (20%) 1/6 (16.7%) 3/8 (37.5%) 0/17 (0%) 3/14 (21.4%) 3/35 (8.6%) 0/7 (0%)
    Injury, poisoning and procedural complications
    Contusion 0/3 (0%) 2/50 (4%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 1/14 (7.1%) 4/35 (11.4%) 1/7 (14.3%)
    Eye contusion 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 2/17 (11.8%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Fall 0/3 (0%) 6/50 (12%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 4/17 (23.5%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Infusion related reaction 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Limb injury 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Pelvic fracture 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Skin abrasion 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Transfusion reaction 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Vascular access complication 1/3 (33.3%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Investigations
    Activated partial thromboplastin time prolonged 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 2/14 (14.3%) 0/35 (0%) 0/7 (0%)
    Alanine aminotransferase increased 0/3 (0%) 8/50 (16%) 0/5 (0%) 0/6 (0%) 2/8 (25%) 0/17 (0%) 1/14 (7.1%) 4/35 (11.4%) 2/7 (28.6%)
    Amylase increased 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 4/14 (28.6%) 0/35 (0%) 0/7 (0%)
    Aspartate aminotransferase increased 0/3 (0%) 8/50 (16%) 0/5 (0%) 0/6 (0%) 2/8 (25%) 1/17 (5.9%) 2/14 (14.3%) 3/35 (8.6%) 1/7 (14.3%)
    Bilirubin conjugated increased 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Blood alkaline phosphatase increased 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 3/17 (17.6%) 1/14 (7.1%) 2/35 (5.7%) 1/7 (14.3%)
    Blood bilirubin increased 0/3 (0%) 12/50 (24%) 0/5 (0%) 0/6 (0%) 2/8 (25%) 5/17 (29.4%) 4/14 (28.6%) 3/35 (8.6%) 0/7 (0%)
    Blood creatine phosphokinase increased 0/3 (0%) 3/50 (6%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Blood creatinine decreased 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Blood creatinine increased 0/3 (0%) 6/50 (12%) 1/5 (20%) 1/6 (16.7%) 1/8 (12.5%) 1/17 (5.9%) 7/14 (50%) 2/35 (5.7%) 2/7 (28.6%)
    Blood lactate dehydrogenase increased 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Blood phosphorus increased 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Body temperature increased 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    C-reactive protein increased 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 2/17 (11.8%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Chest X-ray abnormal 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Ejection fraction decreased 0/3 (0%) 5/50 (10%) 0/5 (0%) 1/6 (16.7%) 2/8 (25%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Electrocardiogram QT prolonged 0/3 (0%) 4/50 (8%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    International normalised ratio increased 1/3 (33.3%) 0/50 (0%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 2/17 (11.8%) 2/14 (14.3%) 1/35 (2.9%) 0/7 (0%)
    Lipase increased 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 2/17 (11.8%) 1/14 (7.1%) 1/35 (2.9%) 0/7 (0%)
    Lymphocyte count decreased 0/3 (0%) 2/50 (4%) 1/5 (20%) 1/6 (16.7%) 2/8 (25%) 4/17 (23.5%) 0/14 (0%) 1/35 (2.9%) 1/7 (14.3%)
    Lymphocyte count increased 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 2/17 (11.8%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Neutrophil count decreased 0/3 (0%) 16/50 (32%) 2/5 (40%) 2/6 (33.3%) 2/8 (25%) 4/17 (23.5%) 2/14 (14.3%) 6/35 (17.1%) 2/7 (28.6%)
    Platelet count decreased 0/3 (0%) 26/50 (52%) 3/5 (60%) 3/6 (50%) 3/8 (37.5%) 5/17 (29.4%) 7/14 (50%) 9/35 (25.7%) 1/7 (14.3%)
    Spleen palpable 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Troponin I increased 0/3 (0%) 2/50 (4%) 2/5 (40%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Troponin increased 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Ultrasound liver abnormal 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Weight decreased 1/3 (33.3%) 2/50 (4%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 3/17 (17.6%) 2/14 (14.3%) 1/35 (2.9%) 0/7 (0%)
    Weight increased 2/3 (66.7%) 3/50 (6%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 2/17 (11.8%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    White blood cell count decreased 0/3 (0%) 18/50 (36%) 2/5 (40%) 1/6 (16.7%) 2/8 (25%) 7/17 (41.2%) 5/14 (35.7%) 4/35 (11.4%) 1/7 (14.3%)
    White blood cell count increased 0/3 (0%) 1/50 (2%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 2/35 (5.7%) 0/7 (0%)
    Metabolism and nutrition disorders
    Decreased appetite 0/3 (0%) 22/50 (44%) 2/5 (40%) 1/6 (16.7%) 3/8 (37.5%) 6/17 (35.3%) 6/14 (42.9%) 7/35 (20%) 1/7 (14.3%)
    Dehydration 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 2/8 (25%) 2/17 (11.8%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Fluid overload 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Hypercalcaemia 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 2/14 (14.3%) 1/35 (2.9%) 0/7 (0%)
    Hyperglycaemia 0/3 (0%) 2/50 (4%) 1/5 (20%) 1/6 (16.7%) 1/8 (12.5%) 1/17 (5.9%) 2/14 (14.3%) 1/35 (2.9%) 1/7 (14.3%)
    Hyperkalaemia 0/3 (0%) 4/50 (8%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 5/14 (35.7%) 0/35 (0%) 0/7 (0%)
    Hypermagnesaemia 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 4/14 (28.6%) 1/35 (2.9%) 0/7 (0%)
    Hypernatraemia 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Hyperphosphataemia 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 1/17 (5.9%) 2/14 (14.3%) 0/35 (0%) 0/7 (0%)
    Hyperuricaemia 0/3 (0%) 3/50 (6%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 3/14 (21.4%) 1/35 (2.9%) 1/7 (14.3%)
    Hypervolaemia 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Hypoalbuminaemia 0/3 (0%) 3/50 (6%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 3/17 (17.6%) 3/14 (21.4%) 1/35 (2.9%) 0/7 (0%)
    Hypocalcaemia 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 3/17 (17.6%) 1/14 (7.1%) 1/35 (2.9%) 0/7 (0%)
    Hypoglycaemia 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 2/17 (11.8%) 1/14 (7.1%) 0/35 (0%) 1/7 (14.3%)
    Hypokalaemia 0/3 (0%) 10/50 (20%) 1/5 (20%) 0/6 (0%) 1/8 (12.5%) 3/17 (17.6%) 3/14 (21.4%) 4/35 (11.4%) 1/7 (14.3%)
    Hypomagnesaemia 0/3 (0%) 7/50 (14%) 1/5 (20%) 0/6 (0%) 1/8 (12.5%) 2/17 (11.8%) 4/14 (28.6%) 3/35 (8.6%) 1/7 (14.3%)
    Hyponatraemia 0/3 (0%) 4/50 (8%) 1/5 (20%) 1/6 (16.7%) 0/8 (0%) 4/17 (23.5%) 5/14 (35.7%) 2/35 (5.7%) 0/7 (0%)
    Hypophagia 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Hypophosphataemia 0/3 (0%) 3/50 (6%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 3/17 (17.6%) 2/14 (14.3%) 4/35 (11.4%) 1/7 (14.3%)
    Metabolic acidosis 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Vitamin D deficiency 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 0/3 (0%) 7/50 (14%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 2/17 (11.8%) 2/14 (14.3%) 1/35 (2.9%) 0/7 (0%)
    Back pain 1/3 (33.3%) 6/50 (12%) 0/5 (0%) 2/6 (33.3%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 6/35 (17.1%) 1/7 (14.3%)
    Bone pain 0/3 (0%) 4/50 (8%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 1/17 (5.9%) 1/14 (7.1%) 1/35 (2.9%) 0/7 (0%)
    Flank pain 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 1/35 (2.9%) 0/7 (0%)
    Groin pain 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Muscular weakness 0/3 (0%) 3/50 (6%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 3/17 (17.6%) 2/14 (14.3%) 1/35 (2.9%) 0/7 (0%)
    Musculoskeletal discomfort 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Musculoskeletal pain 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Myalgia 0/3 (0%) 6/50 (12%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 4/35 (11.4%) 0/7 (0%)
    Myositis 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Pain in extremity 0/3 (0%) 2/50 (4%) 0/5 (0%) 1/6 (16.7%) 1/8 (12.5%) 4/17 (23.5%) 1/14 (7.1%) 3/35 (8.6%) 1/7 (14.3%)
    Vertebral lesion 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Squamous cell carcinoma 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Nervous system disorders
    Amnesia 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Cerebrovascular accident 0/3 (0%) 0/50 (0%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Depressed level of consciousness 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Dizziness 0/3 (0%) 14/50 (28%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 1/14 (7.1%) 5/35 (14.3%) 0/7 (0%)
    Dysgeusia 0/3 (0%) 11/50 (22%) 0/5 (0%) 1/6 (16.7%) 3/8 (37.5%) 2/17 (11.8%) 3/14 (21.4%) 0/35 (0%) 0/7 (0%)
    Encephalopathy 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Headache 1/3 (33.3%) 20/50 (40%) 2/5 (40%) 3/6 (50%) 0/8 (0%) 3/17 (17.6%) 2/14 (14.3%) 6/35 (17.1%) 2/7 (28.6%)
    Lethargy 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Neuropathy peripheral 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Paraesthesia 0/3 (0%) 4/50 (8%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 3/35 (8.6%) 0/7 (0%)
    Parosmia 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Somnolence 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Syncope 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Tremor 0/3 (0%) 2/50 (4%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 2/35 (5.7%) 0/7 (0%)
    Psychiatric disorders
    Anxiety 0/3 (0%) 7/50 (14%) 1/5 (20%) 2/6 (33.3%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 3/35 (8.6%) 0/7 (0%)
    Apathy 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Confusional state 0/3 (0%) 5/50 (10%) 1/5 (20%) 0/6 (0%) 1/8 (12.5%) 2/17 (11.8%) 0/14 (0%) 2/35 (5.7%) 1/7 (14.3%)
    Delirium 0/3 (0%) 3/50 (6%) 0/5 (0%) 2/6 (33.3%) 0/8 (0%) 2/17 (11.8%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Depression 0/3 (0%) 5/50 (10%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 1/14 (7.1%) 1/35 (2.9%) 0/7 (0%)
    Hallucination 1/3 (33.3%) 1/50 (2%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Insomnia 0/3 (0%) 16/50 (32%) 2/5 (40%) 1/6 (16.7%) 1/8 (12.5%) 2/17 (11.8%) 4/14 (28.6%) 7/35 (20%) 0/7 (0%)
    Mental status changes 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 2/17 (11.8%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Restlessness 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Suicidal ideation 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Renal and urinary disorders
    Acute kidney injury 0/3 (0%) 8/50 (16%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 2/17 (11.8%) 3/14 (21.4%) 3/35 (8.6%) 0/7 (0%)
    Dysuria 0/3 (0%) 1/50 (2%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Haematuria 0/3 (0%) 5/50 (10%) 2/5 (40%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Micturition urgency 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 1/7 (14.3%)
    Nephrolithiasis 0/3 (0%) 0/50 (0%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Pollakiuria 0/3 (0%) 3/50 (6%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Renal cyst 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Urinary incontinence 0/3 (0%) 4/50 (8%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 2/35 (5.7%) 0/7 (0%)
    Urinary retention 0/3 (0%) 2/50 (4%) 0/5 (0%) 1/6 (16.7%) 1/8 (12.5%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Reproductive system and breast disorders
    Scrotal oedema 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Respiratory, thoracic and mediastinal disorders
    Atelectasis 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 1/14 (7.1%) 1/35 (2.9%) 0/7 (0%)
    Cough 0/3 (0%) 18/50 (36%) 1/5 (20%) 4/6 (66.7%) 3/8 (37.5%) 5/17 (29.4%) 5/14 (35.7%) 5/35 (14.3%) 0/7 (0%)
    Dyspnoea 0/3 (0%) 20/50 (40%) 2/5 (40%) 3/6 (50%) 2/8 (25%) 5/17 (29.4%) 4/14 (28.6%) 10/35 (28.6%) 1/7 (14.3%)
    Dyspnoea exertional 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 1/7 (14.3%)
    Epistaxis 0/3 (0%) 10/50 (20%) 1/5 (20%) 2/6 (33.3%) 0/8 (0%) 3/17 (17.6%) 2/14 (14.3%) 7/35 (20%) 0/7 (0%)
    Haemoptysis 0/3 (0%) 3/50 (6%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Hiccups 0/3 (0%) 0/50 (0%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Hypoxia 0/3 (0%) 11/50 (22%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 2/17 (11.8%) 1/14 (7.1%) 1/35 (2.9%) 0/7 (0%)
    Lung infiltration 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Nasal congestion 0/3 (0%) 7/50 (14%) 1/5 (20%) 1/6 (16.7%) 0/8 (0%) 2/17 (11.8%) 0/14 (0%) 2/35 (5.7%) 0/7 (0%)
    Oropharyngeal pain 0/3 (0%) 10/50 (20%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 3/17 (17.6%) 1/14 (7.1%) 2/35 (5.7%) 0/7 (0%)
    Paranasal sinus hyposecretion 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Pleural effusion 0/3 (0%) 4/50 (8%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 3/17 (17.6%) 2/14 (14.3%) 1/35 (2.9%) 0/7 (0%)
    Productive cough 0/3 (0%) 3/50 (6%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 2/14 (14.3%) 2/35 (5.7%) 0/7 (0%)
    Pulmonary hypertension 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Pulmonary oedema 0/3 (0%) 3/50 (6%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Rales 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Respiratory failure 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Rhinitis allergic 0/3 (0%) 2/50 (4%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 3/35 (8.6%) 0/7 (0%)
    Rhinorrhoea 0/3 (0%) 3/50 (6%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 2/35 (5.7%) 0/7 (0%)
    Rhonchi 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Sinus pain 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Sleep apnoea syndrome 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Upper respiratory tract congestion 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Upper-airway cough syndrome 0/3 (0%) 2/50 (4%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 1/17 (5.9%) 1/14 (7.1%) 1/35 (2.9%) 0/7 (0%)
    Wheezing 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Skin and subcutaneous tissue disorders
    Alopecia 0/3 (0%) 6/50 (12%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 1/14 (7.1%) 1/35 (2.9%) 0/7 (0%)
    Dermal cyst 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Drug eruption 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Dry skin 0/3 (0%) 3/50 (6%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Ecchymosis 0/3 (0%) 0/50 (0%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Erythema 1/3 (33.3%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Hyperhidrosis 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Night sweats 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Pain of skin 1/3 (33.3%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Petechiae 1/3 (33.3%) 4/50 (8%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 2/17 (11.8%) 2/14 (14.3%) 2/35 (5.7%) 0/7 (0%)
    Photosensitivity reaction 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Pruritus 1/3 (33.3%) 7/50 (14%) 0/5 (0%) 1/6 (16.7%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 2/35 (5.7%) 0/7 (0%)
    Rash 0/3 (0%) 3/50 (6%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 2/17 (11.8%) 1/14 (7.1%) 1/35 (2.9%) 0/7 (0%)
    Rash macular 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 1/35 (2.9%) 0/7 (0%)
    Rash maculo-papular 1/3 (33.3%) 21/50 (42%) 1/5 (20%) 3/6 (50%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 8/35 (22.9%) 1/7 (14.3%)
    Rash papular 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Skin lesion 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Skin ulcer 0/3 (0%) 5/50 (10%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 1/14 (7.1%) 0/35 (0%) 0/7 (0%)
    Vascular disorders
    Deep vein thrombosis 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Embolism 0/3 (0%) 2/50 (4%) 1/5 (20%) 0/6 (0%) 0/8 (0%) 0/17 (0%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Haematoma 0/3 (0%) 1/50 (2%) 0/5 (0%) 0/6 (0%) 1/8 (12.5%) 2/17 (11.8%) 0/14 (0%) 2/35 (5.7%) 0/7 (0%)
    Hot flush 0/3 (0%) 0/50 (0%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)
    Hypertension 0/3 (0%) 12/50 (24%) 0/5 (0%) 3/6 (50%) 0/8 (0%) 3/17 (17.6%) 0/14 (0%) 2/35 (5.7%) 1/7 (14.3%)
    Hypotension 1/3 (33.3%) 7/50 (14%) 0/5 (0%) 0/6 (0%) 2/8 (25%) 4/17 (23.5%) 5/14 (35.7%) 6/35 (17.1%) 1/7 (14.3%)
    Orthostatic hypotension 0/3 (0%) 2/50 (4%) 0/5 (0%) 0/6 (0%) 0/8 (0%) 1/17 (5.9%) 0/14 (0%) 0/35 (0%) 0/7 (0%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    After conclusion of the study and without prior written approval from Gilead, investigators in this study may communicate, orally present, or publish in scientific journals or other media only after the following conditions have been met: The results of the study in their entirety have been publicly disclosed by or with the consent of Gilead in an abstract, manuscript, or presentation form; or The study has been completed at all study sites for at least 2 years

    Results Point of Contact

    Name/Title Gilead Clinical Study Information Center
    Organization Gilead Sciences
    Phone 1-833-445-3230 (GILEAD-0)
    Email GileadClinicalTrials@gilead.com
    Responsible Party:
    Gilead Sciences
    ClinicalTrials.gov Identifier:
    NCT02343939
    Other Study ID Numbers:
    • GS-US-339-1559
    • 2016-003353-16
    First Posted:
    Jan 22, 2015
    Last Update Posted:
    Nov 15, 2019
    Last Verified:
    Nov 1, 2019