A Study To Evaluate PF-04449913 With Chemotherapy In Patients With Acute Myeloid Leukemia or Myelodysplastic Syndrome
Study Details
Study Description
Brief Summary
This is a study to evaluate PF-04449913 (an inhibitor of the Hedgehog pathway) in Acute Myeloid Leukemia and high-risk Myelodysplastic Syndrome in combination with standard agents used to treat these diseases.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Arm A (Phase 1B) PF-04449913 in combination with low dose ARA-C (LDAC) |
Drug: PF-04449913
PF-04449913 administered orally and continuously for 28-days.
Drug: Low dose ARA-C (LDAC)
Low dose ARA-C (LDAC) administered at 20 mg SQ, BID on Days 1 through 10.
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Experimental: Arm B (Phase 1B) PF-04449913 in combination with Decitabine |
Drug: PF-04449913
PF-04449913 administered orally and continuously for 28 days.
Drug: Decitabine
Decitabine given at 20 mg/m2 over 1 hour infusion for 5-days
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Experimental: Arm C (Phase 1B) PF-04449913 in combination with intensive chemotherapy: PF-04449913 administered continuously for 28 days. Daunorubicin given using 60 mg/m2 for 3-days together with cytarabine 100 mg/m2 on days 1 through 7 followed by cytarabine 1g/m2 on days 1, 3, and 5 during 2-4 cycles of consolidation therapy. |
Drug: PF-04449913
PF-04449913 administered orally and continuously for 28 days
Drug: Daunorubicin
Daunorubicin given using 60 mg/m2 for 3-days
Drug: Cytarabine
Cytarabine 100 mg/m2 on days 1 through 7
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Experimental: P2 Fit (Phase 2 Single Arm) PF-04449913 in combination with intensive chemotherapy: PF-04449913 administered continuously for 28 days. Daunorubicin given using 60 mg/m2 for 3-days together with cytarabine 100 mg/m2 on days 1 through 7 followed by cytarabine 1g/m2 on days 1, 3, and 5 during 2-4 cycles of consolidation therapy. |
Drug: PF-04449913
PF-04449913 administered orally and continuously for 28 days
Drug: Daunorubicin
Daunorubicin given using 60 mg/m2 for 3-days
Drug: Cytarabine
Cytarabine 100 mg/m2 on days 1 through 7
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Other: P2 Unfit (Phase 2 Randomized) Patients will be randomized 2:1 (low dose ARA-C in combination with PF-04449913: low dose ARA-C alone). |
Drug: PF-04449913
PF-04449913 administered orally and continuously for 28 days (if randomized to receive PF-04449913)
Drug: Low dose ARA-C (LDAC)
Low dose ARA-C (LDAC) administered at 20 mg SQ, BID on Days 1 through 10.
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Outcome Measures
Primary Outcome Measures
- Number of Participants With Dose-limiting Toxicities (DLTs) at Phase 1B [Arms A and B: Cycle 1, Day 1 to Day 28; Arm C: Cycle 1, Day -3 to Day 21 or to Day 28 depending on when the next chemotherapy cycle was started]
A DLT was any of the following adverse events (AEs) in Cycle 1 and considered by the investigator possibly related to glasdegib in combination with chemotherapy: (1) Grade >= 3 non-hematologic toxicity, excluding Grade >= 3 infection, fever (including febrile neutropenia), infusion related AEs, electrolyte abnormalities and ALT/AST elevation that returned to Grade <= 1 or baseline within 7 days; (2) prolonged myelosuppression that lasted longer than 42 days from the point of detection, defined as absolute neutrophil count (ANC) < 500/microliter(mcL) or platelet count < 10 *10^9/L with a normal bone marrow (<5% blasts and no evidence of disease or dysplasia); (3) inability to deliver at least 80% of the planned study doses for all agents in a combination due to non-hematologic toxicities; (4) Delay of >28 days in receiving the next scheduled cycle due to persisting non-hematologic toxicities. Arm A: Glasdegib+LDAC; Arm B: Glasdegib+Decitabine; Arm C: Glasdegib+Cytarabine/Daunorubicin.
- Percentage of Participants With Complete Response (CR) at Phase 2 Fit [4 years]
For AML participants:CR were those with repeat bone marrow showing <5% myeloblasts,spicules present and no Auer rods, peripheral blood showing neutrophils>=1000/mcL and platelets>=100,000/mcL, transfusion independent and no extramedullary disease. For MDS participants:CR were those with repeat bone marrow showing <=5% myeloblasts, peripheral blood showing neutrophils>=1000/mcL, platelets>=100,000/mcL, 0% blast and hemoglobin (Hgb)>= 11 g/dL, normal maturation of all cell lines.
- Overall Survival (OS) at Phase 2 Unfit [Randomization to Follow-up (4 years)]
OS was defined as duration from the date of randomization to the date of death from any cause. Kaplan-Meier (KM) method was used to estimate median OS. In this method, every participant had a follow-up time which was associated with an indicator, 1=event (death in our case), and 0 =censored. If the participants were not known to have died, time to date of last known to be alive was used as to calculate the follow-up time and indicator was 0 for these participants. KM method estimates the median OS based on the K-M curve. The K-M curve only drops when we had an event and censor data are the ticks in the graph. To estimate median OS, the K-M curve usually will be smoothed first and a line will be drawn at 50%. The median OS is the point when K-M curve and the horizontal hit. Survival status was collected every month for the first 2 months after discontinuation of study treatment and thereafter every 2 months until death or 4 years from time of randomization for each participant.
Secondary Outcome Measures
- Overall Survival (OS) at Phase 1B [First dose to Follow-up (4 years)]
OS was defined as duration from the date of randomization to the date of death from any cause. Kaplan-Meier (KM) method was used to estimate median OS. In this method, every participant had a follow-up time which was associated with an indicator, 1=event (death in our case), and 0 =censored. If the participants were not known to have died, time to date of last known to be alive was used as to calculate the follow-up time and indicator was 0 for these participants. KM method estimates the median OS based on the K-M curve. The K-M curve only drops when we had an event and censor data are the ticks in the graph. To estimate median OS, the K-M curve usually will be smoothed first and a line will be drawn at 50%. The median OS is the point when K-M curve and the horizontal hit. Survival status was collected every month for the first 2 months after discontinuation of study treatment and thereafter every 2 months until death or 4 years from each participant's first dose.
- Overall Survival (OS) at Phase 2 Fit [First dose to Follow-up (4 years)]
OS was defined as duration from the date of randomization to the date of death from any cause. Kaplan-Meier (KM) method was used to estimate median OS. In this method, every participant had a follow-up time which was associated with an indicator, 1=event (death in our case), and 0 =censored. If the participants were not known to have died, time to date of last known to be alive was used as to calculate the follow-up time and indicator was 0 for these participants. KM method estimates the median OS based on the K-M curve. The K-M curve only drops when we had an event and censor data are the ticks in the graph. To estimate median OS, the K-M curve usually will be smoothed first and a line will be drawn at 50%. The median OS is the point when K-M curve and the horizontal hit. Survival status was collected every month for the first 2 months after discontinuation of study treatment and thereafter every 2 months until death or 4 years from each participant's first dose.
- Percentage of Participants With CR / Complete Response With Incomplete Blood Count Recovery (CRi) at Phase 1B [4 years]
For AML participants:CR were those with repeat bone marrow showing <5% myeloblasts,spicules present and no Auer rods, peripheral blood showing neutrophils>=1000/mcL and platelets>=100,000/mcL, transfusion independent and no extramedullary disease. For MDS participants:CR were those with repeat bone marrow showing <=5% myeloblasts, peripheral blood showing neutrophils>=1000/mcL, platelets>=100,000/mcL, 0% blast and hemoglobin (Hgb)>= 11 g/dL, normal maturation of all cell lines.For AML and MDS participants, complete response with incomplete blood count recovery(CRi)were those with repeat bone marrow showing <5% myeloblasts with either platelets or neutrophils not recovered (platelets <100,000/mcL or neutrophils <1000/mcL).
- Percentage of Participants With Complete Response (CR) at Phase 2 Unfit [4 years]
For AML participants:CR were those with repeat bone marrow showing <5% myeloblasts,spicules present and no Auer rods, peripheral blood showing neutrophils>=1000/mcL and platelets>=100,000/mcL, transfusion independent and no extramedullary disease. For MDS participants:CR were those with repeat bone marrow showing <=5% myeloblasts, peripheral blood showing neutrophils>=1000/mcL, platelets>=100,000/mcL, 0% blast and hemoglobin (Hgb)>= 11 g/dL, normal maturation of all cell lines.
- Percentage of Participants With Disease-specific Efficacy for Acute Myeloid Leukemia (AML) at Phase 2 Fit and Unfit [4 years]
AML participants,disease specific efficacy measures included:CRi;Morphologic Leukemia Free State(MLFS)(bone marrow<5%myeloblasts with spicules and no blasts with auer rods,neutrophils<1000/mcL and platelets<100,000/mcL);partial remission(PR)(bone marrow myeloblasts decrease to 5-25&>=50%decrease from start, neutrophils>=1000/mcL, platelets>=100,000/mcL);PR with incomplete blood count recovery(PRi)(bone marrow myeloblasts decrease to 5-25&>=50%decrease from start,neutrophils<1000/mcL or platelets<100,000/mcL);minor response(MR)(bone marrow myeloblasts decrease to>=25% from start);stable disease(SD)(bone marrow myeloblasts stable+/-25% from screening value);cytogenetic complete response(CRc)(bone marrow<5%myeloblasts, neutrophils>1000/mcL, platelets>100,000/mcL and normal cytogenetics),molecular complete response(CRm)(bone marrow<5%myeloblasts, neutrophils>1000/mcL, platelets>100,000/mcL and molecular-negative).
- Percentage of Participants With Disease-specific Efficacy for Myelodysplastic Syndrome (MDS) at Phase 2 Fit and Unfit [4 years]
For all MDS participants, disease specific efficacy measures included: CRi (bone marrow showing <5% myeloblasts with platelets <100,000/mcL or neutrophils <1000/mcL, including confirmed and unconfirmed responses); PR (repeat bone marrow myeloblasts showing decreased by >= 50% decrease but still >5%, peripheral blood showing neutrophils >= 1,000/mcL, platelets >= 100,000/mcL and Hgb>=11g/dL; including confirmed and unconfirmed responses); SD (including confirmed and unconfirmed responses, failure to achieve PR and no evidence of progression for >8 weeks); marrow complete response (mCR) (bone marrow showing <=5% myeloblasts and decreased by >= 50%), partial cytogenetic response (>=50% reduction of chromosomal abnormality) and complete cytogenetic response (CRc) (disappearance of chromosomal abnormality with no appearance of now ones).
- Maximum Observed Plasma Concentration (Cmax) of Glasdegib in Participants Receiving Glasdegib and LDAC at Phase 1B on Cycle 1/Day 10 and Cycle 1/Day 21 [Pre-dose, 0.5, 1, 2, 4, 6 and 24 hours post-dose on Cycle 1/Day 10 and Cycle 1/Day 21]
- Time to Cmax (Tmax) of Glasdegib in Participants Receiving Glasdegib and LDAC at Phase 1B on Cycle 1/Day 10 and Cycle 1/Day 21 [Pre-dose, 0.5, 1, 2, 4, 6 and 24 hours post-dose on Cycle 1/Day 10 and Cycle 1/Day 21]
- Area Under the Plasma Concentration-time Profile From Time 0 to Dosing Interval (AUCtau) of Glasdegib in Participants Receiving Glasdegib and LDAC at Phase 1B on Cycle 1/Day 10 and Cycle 1/Day 21 [Pre-dose, 0.5, 1, 2, 4, 6 and 24 hours post-dose on Cycle 1/Day 10 and Cycle 1/Day 21]
- Cmax of Glasdegib in Participants Receiving Glasdegib and Decitabine at Phase 1B on Cycle 1/Day 10 and Cycle 2/Day 1 [Pre-dose, 0.5, 1, 2, 4, 6 and 24 hours post-dose on Cycle 1/Day 10; pre-dose, 0.5, 1, 2, 6 and 24 hours post-dose on Cycle 2/Day 1]
- Tmax of Glasdegib in Participants Receiving Glasdegib and Decitabine at Phase 1B on Cycle 1/Day 10 and Cycle 2/Day 1 [Pre-dose, 0.5, 1, 2, 4, 6 and 24 hours post-dose on Cycle 1/Day 10; pre-dose, 0.5, 1, 2, 6 and 24 hours post-dose on Cycle 2/Day 1]
- AUCtau of Glasdegib in Participants Receiving Glasdegib and Decitabine at Phase 1B on Cycle 1/Day 10 and Cycle 2/Day 1 [Pre-dose, 0.5, 1, 2, 4, 6 and 24 hours post-dose on Cycle 1/Day 10; pre-dose, 0.5, 1, 2, 6 and 24 hours post-dose on Cycle 2/Day 1]
- Cmax of Glasdegib in Participants Receiving Glasdegib and Cytarabine/Daunorubicin at Phase 1B on Induction Cycle 1/Day 3 and Day 10 [Pre-dose, 0.5, 1, 6 and 24 hours post-dose on Induction Cycle 1/Day 3; pre-dose, 0.5, 1, 4, 6 and 24 hours post-dose on Induction Cycle 1/Day 10]
- Tmax of Glasdegib in Participants Receiving Glasdegib and Cytarabine/Daunorubicin at Phase 1B on Induction Cycle 1/Day 3 and Day 10 [Pre-dose, 0.5, 1, 6 and 24 hours post-dose on Induction Cycle 1/Day 3; pre-dose, 0.5, 1, 4, 6 and 24 hours post-dose on Induction Cycle 1/Day 10]
- AUCtau of Glasdegib in Participants Receiving Glasdegib and Cytarabine/Daunorubicin at Phase 1B on Induction Cycle 1/Day 3 and Day 10 [Pre-dose, 0.5, 1, 6 and 24 hours post-dose on Induction Cycle 1/Day 3; pre-dose, 0.5, 1, 4, 6 and 24 hours post-dose on Induction Cycle 1/Day 10]
- Cmax of LDAC and Ara-U in Participants Receiving Glasdegib and LDAC at Phase 1B on Cycle 1/Day 2 and Cycle 1/Day 10 [Pre-dose, 0.25, 0.5, 1, 2, 4 and 6 hours post-dose on Cycle 1/Day 2 and Cycle 1/Day 10]
Ara-U is the major metabolite of cytarabine. LDAC (low dose cytarabine) is rapidly degraded to the stable metabolite Ara-U, Cmax levels of both LDAC and Ara-U were reported.
- Tmax of LDAC and Ara-U in Participants Receiving Glasdegib and LDAC at Phase 1B on Cycle 1/Day 2 and Cycle 1/Day 10 [Pre-dose, 0.25, 0.5, 1, 2, 4 and 6 hours post-dose on Cycle 1/Day 2 and Cycle 1/Day 10]
Ara-U is the major metabolite of cytarabine. LDAC (low dose cytarabine) is rapidly degraded to the stable metabolite Ara-U, Tmax levels of both LDAC and Ara-U were reported.
- Area Under the Plasma Concentration-time Profile From Time 0 to Infinity (AUCinf) of LDAC in Participants Receiving Glasdegib and LDAC at Phase 1B on Cycle 1/Day 2 and Cycle 1/Day 10 [Pre-dose, 0.25, 0.5, 1, 2, 4 and 6 hours post-dose on Cycle 1/Day 2 and Cycle 1/Day 10]
- Area Under the Plasma Concentration-time Profile From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of LDAC and Ara-U in Participants Receiving Glasdegib and LDAC at Phase 1B on Cycle 1/Day 2 and Cycle 1/Day 10 [Pre-dose, 0.25, 0.5, 1, 2, 4 and 6 hours post-dose on Cycle 1/Day 2 and Cycle 1/Day 10]
Ara-U is the major metabolite of cytarabine. LDAC (low dose cytarabine) is rapidly degraded to the stable metabolite Ara-U. Area under the plasma concentration-time profile from time 0 to the time of the last quantifiable concentration (AUClast) levels of both LDAC and Ara-U were reported.
- Cmax of Decitabine in Participants Receiving Glasdegib and Decitabine at Phase 1B on Cycle 1/Day 1 and Cycle 1/Day 2 [Pre-dose, 0.5 hour from start of infusion, 1 hour (at end of infusion) and 2, 3 and 4 hours from start of infusion on Cycle 1/Day 1 and Cycle 1/Day 2]
- Tmax of Decitabine in Participants Receiving Glasdegib and Decitabine at Phase 1B on Cycle 1/Day 1 and Cycle 1/Day 2 [Pre-dose, 0.5 hour from start of infusion, 1 hour (at end of infusion) and 2, 3 and 4 hours from start of infusion on Cycle 1/Day 1 and Cycle 1/Day 2]
- AUCinf of Decitabine in Participants Receiving Glasdegib and Decitabine at Phase 1B on Cycle 1/Day 1 and Cycle 1/Day 2 [Pre-dose, 0.5 hour from start of infusion, 1 hour (at end of infusion) and 2, 3 and 4 hours from start of infusion on Cycle 1/Day 1 and Cycle 1/Day 2]
- AUCtau of Cytarabine and Ara-U in Participants Receiving Glasdegib and Cytarabine/Daunorubicin at Phase 1B on Induction Cycle 1/Day 3 [Pre-dose, 6 and 24 hours post start of cytarabine infusion on Induction Cycle 1/Day 3]
Ara-U is the major metabolite of cytarabine. LDAC (low dose cytarabine) is rapidly degraded to the stable metabolite Ara-U, levels of both cytarabine and Ara-U were reported.
- Cmax of Daunorubicin and Daunorubicinol in Participants Receiving Glasdegib and Cytarabine/Daunorubicin at Phase 1B on Induction Cycle 1/Day 3 [Pre-dose, 0.25, 0.5, 1, 4, 6, 24 hours post administration of daunorubicin on Induction Cycle 1/Day 3]
Daunorubicinol is the major metabolite of daunorubicin, which has anti-neoplastic activity. Cmax values of daunorubicin and daunorubicinol are reported.
- Tmax of Daunorubicin and Daunorubicinol in Participants Receiving Glasdegib and Cytarabine/Daunorubicin at Phase 1B on Induction Cycle 1/Day 3 [Pre-dose, 0.25, 0.5, 1, 4, 6, 24 hours post administration of daunorubicin on Induction Cycle 1/Day 3]
Daunorubicinol is the major metabolite of daunorubicin, which has anti-neoplastic activity. Tmax values of daunorubicin and daunorubicinol are reported.
- AUCtau of Daunorubicin and Daunorubicinol in Participants Receiving Glasdegib and Cytarabine/Daunorubicin at Phase 1B on Induction Cycle 1/Day 3 [Pre-dose, 0.25, 0.5, 1, 4, 6, 24 hours post administration of daunorubicin on Induction Cycle 1/Day 3]
Daunorubicinol is the major metabolite of daunorubicin, which has anti-neoplastic activity. AUCtau values of daunorubicin and daunorubicinol are reported.
- Pre-dose Plasma Concentration (Ctrough) of Glasdegib in Phase 2 Fit on Induction Cycle 1/Day 10 [Pre-dose, 1 and 4 hours post-dose on Induction Cycle 1/Day 10]
- Cmax of Glasdegib in Participants Receiving Glasdegib and LDAC at Phase 2 Unfit on Cycle 1/Day 10 [Pre-dose, 1, 2, 4, and 6 hour post-dose on Cycle 1/Day 10]
- Tmax of Glasdegib in Participants Receiving Glasdegib and LDAC at Phase 2 Unfit on Cycle 1/Day 10 [Pre-dose, 1, 2, 4, and 6 hour post-dose on Cycle 1/Day 10]
- AUCtau of Glasdegib in Participants Receiving Glasdegib and LDAC at Phase 2 Unfit on Cycle 1/Day 10 [Pre-dose, 1, 2, 4, and 6 hour post-dose on Cycle 1/Day 10]
- Number of Participants With Disease-related Gene Mutations at Phase 1B [Baseline (Cycle 1/Day 1 pre-dose for Glasdegib + LDAC and Glasdegib + Decitabine Arms; Induction Cycle 1/Day -3 pre-dose for Glasdegib +Cytarabine/Daunorubicin Arm)]
Peripheral blood and bone marrow aspirate were collected for baseline mutational analyses. Genetic abnormalities frequently associated with AML were analyzed. These genetic abnormalities included known mutations in the genes NPM1, CEBPA, FLT3, RUNX1, IDH1, IDH2, KIT, K Ras, N Ras and WT1. Additional genes with mutations known to be associated with AML and MDS such as TET2 and DNMT3A were also evaluated.
- Serum Levels of Circulating Protein Analytes at Phase 1B - Baseline [Baseline (Induction Cycle 1/Day -3 pre-dose)]
Serum levels were determined for 38 circulating proteins. Values showing statistically significant, ≥2-fold difference compared with baseline are reported here.
- Serum Levels of Circulating Protein Analytes at Phase 1B - Induction Cycle 1/Day 3 [Induction Cycle 1/Day 3, 1 Hour Post dose]
Serum levels were determined for 38 circulating proteins. Values showing statistically significant, ≥2-fold difference compared with baseline are reported here. Statistically significant, >=2-fold baseline difference was only seen for MMP-3 (Matrix metalloproteinase-3) at Induction Cycle 1/Day 3.
- Serum Levels of Circulating Protein Analytes at Phase 1B - Induction Cycle 1/Day 10 [Induction Cycle 1/Day 10, 1 Hour Post dose]
Serum levels were determined for 38 circulating proteins. Values showing statistically significant, ≥2-fold difference compared with baseline are reported here.
- Baseline Levels of Serum Circulating Protein Analytes Associated With Best Overall Response at Phase 1B [Baseline (Cycle 1/Day 1 pre-dose for Glasdegib + LDAC and Glasdegib + Decitabine Arms; Induction Cycle 1/Day -3 pre-dose for Glasdegib +Cytarabine/Daunorubicin Arm)]
Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. The data of analytes for which the serum level showed statistically significant correlation with clinical response in Arm C are reported. Baseline levels statistically associated with best overall response was only seen in SDF-1 (stromal cell-derived factor 1) in glasdegib+cytarabine/daunorubicin arm.
- Post-baseline Levels of Serum Circulating Protein Analytes Associated With Best Overall Response at Phase 1B - Induction Cycle 1/Lead-In [Induction Cycle 1/Lead-in, 1 Hour Post dose]
Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. The data of analytes for which the serum level showed statistically significant correlation with clinical response are reported. Post-baseline levels statistically significant associated with best overall response was only seen for MMP-3 (Matrix metalloproteinase-3) at Induction Cycle 1/Lead-in.
- Post-baseline Levels of Serum Circulating Protein Analytes Associated With Best Overall Response at Phase 1B - Induction Cycle 1/Day 3 [Induction Cycle 1/Day 3, 1 Hour Post dose]
Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. The data of analytes for which the serum level showed statistically significant correlation with clinical response are reported. Post-baseline levels statistically significant associated with best overall response was only seen for SDF-1 (Stromal cell-derived factor 1) at Induction Cycle 1/Day 3.
- Number of Participants With Disease-related Gene Mutations at Phase 2 Fit and Unfit [Baseline (Induction Cycle 1/Day -3 pre-dose for Phase 2 Fit; Cycle 1/Day 1 pre-dose for Phase 2 Unfit)]
Peripheral blood and bone marrow aspirate were collected for baseline mutational analyses. Genetic abnormalities frequently associated with AML were analyzed. These genetic abnormalities included known mutations in the genes NPM1, CEBPA, FLT3, RUNX1, IDH1, IDH2, KIT, K Ras, N Ras and WT1. Additional genes with mutations known to be associated with AML and MDS such as TET2 and DNMT3A were also evaluated.
- Serum Levels of Circulating Protein Analytes at Phase 2 Fit - Induction Cycle 1/Day 3 [Induction Cycle 1/Day 3, 1 Hour Post dose]
Serum levels were determined for 38 circulating proteins. Selected values showing statistically significant difference compared with baseline are reported here.
- Serum Levels of Circulating Protein Analytes at Phase 2 Fit - Induction Cycle 1/Day 10 [Induction Cycle 1/Day 10, 1 Hour Post dose]
Serum levels were determined for 38 circulating proteins. Selected values showing statistically significant difference compared with baseline are reported here.
- Serum Levels of Circulating Protein Analytes at Phase 2 Fit - Consolidation Cycle 1/Day 1 [Consolidation Cycle 1/Day 1, 1 Hour Post dose]
Serum levels were determined for 38 circulating proteins. Selected values showing statistically significant difference compared with baseline are reported here.
- Serum Levels of Circulating Protein Analytes at Phase 2 Fit - Consolidation Cycle 1/Day 10 [Consolidation Cycle 1/Day 10, Pre-dose]
Serum levels were determined for 38 circulating proteins. Selected values showing statistically significant difference compared with baseline are reported here.
- Serum Levels of Circulating Protein Analytes at Phase 2 Fit - End of Treatment [End of Treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, participant refusal or unacceptable toxicity occurred, whichever came first, an average of 1 year)]
Serum levels were determined for 38 circulating proteins. Selected values showing statistically significant difference compared with baseline are reported here.
- Baseline Levels of Serum Circulating Protein Analytes Associated With Best Overall Response at Phase 2 Fit [Baseline (Induction Cycle 1/Day -3 pre-dose)]
Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. Selected data of analyte for which the serum level showed statistically significant correlation with clinical response are reported.
- Post-baseline Levels of Serum Circulating Protein Analytes Associated With Best Overall Response at Phase 2 Fit - Induction Cycle 1/Day 3 [Induction Cycle 1/Day 3, 1 Hour Post dose]
Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. Selected data of analyte for which the serum level showed statistically significant correlation with clinical response are reported.
- Post-baseline Levels of Serum Circulating Protein Analytes Associated With Best Overall Response at Phase 2 Fit - Induction Cycle 1/Day 10 [Induction Cycle 1/Day 10, 1 Hour Post dose]
Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. Selected data of analyte for which the serum level showed statistically significant correlation with clinical response are reported.
- Post-baseline Levels of Serum Circulating Protein Analytes Associated With Best Overall Response at Phase 2 Fit - End of Treatment [End of Treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, participant refusal or unacceptable toxicity occurred, whichever came first, an average of 1 year)]
Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. Selected data of analytes for which the serum level showed statistically significant correlation with clinical response are reported.
- Serum Levels of Circulating Protein Analytes at Phase 2 Unfit - Cycle 1/Day 1 [Cycle 1/Day 1, 1 Hour Post dose]
Serum levels were determined for 38 circulating proteins. Selected value showing statistically significant difference compared with baseline is reported here.
- Serum Levels of Circulating Protein Analytes at Phase 2 Unfit - Cycle 1/Day 10 [Cycle 1/Day 10, Pre-dose]
Serum levels were determined for 38 circulating proteins. Selected values showing statistically significant differences compared with baseline are reported here. ITAC (Interferon-inducible T-cell α chemoattractant) level in LDAC alone arm at Cycle 1/Day 10 exhibited non-significant change from baseline but similar trends as in Glasdegib 100 mg+LDAC arm.
- Baseline Levels of Serum Circulating Protein Analytes Associated With Best Overall Response at Phase 2 Unfit [Baseline (Cycle 1/Day 1 pre-dose)]
Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. The data of analytes for which the serum level showed statistically significant correlation with clinical response are reported.
- Post-baseline Levels of Serum Circulating Protein Analytes Associated With Best Overall Response at Phase 2 Unfit - Cycle 1/Day 1 [Cycle 1/Day 1, 1 Hour Post-dose]
Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. Selected data of analytes for which the serum level showed statistically significant correlation with clinical response are reported.
- Post-baseline Levels of Serum Circulating Protein Analytes Associated With Best Overall Response at Phase 2 Unfit - End of Treatment [End of Treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, participant refusal or unacceptable toxicity occurred, whichever came first, an average of 1 year)]
Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. Selected data of analyte for which the serum level showed statistically significant correlation with clinical response are reported.
- Ratios of mRNA Levels to Baseline at Phase 2 Fit - Induction Cycle 1/Day 3 [Baseline (Induction Cycle 1/Day -3 pre-dose); Induction Cycle 1/Day 3, 1 Hour Post dose]
Whole blood mRNA analyses were performed on 21 mRNA candidates. Values showing statistically significant, ≥2-fold differences compared with baseline are reported here. CDKN1A: cyclin-dependent kinase inhibitor 1A; SMO: mRNA encoding the glasdegib target Smoothened; PTCH2: Patched 2; MYCN: Neuroblastoma Myc oncogene.
- Ratios of mRNA Levels to Baseline at Phase 2 Fit - End of Treatment [Baseline (Induction Cycle 1/Day -3 pre-dose); End of Treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, participant refusal or unacceptable toxicity occurred, whichever came first, an average of 1 year)]
Whole blood mRNA analyses were performed on 21 mRNA candidates. Selected values showing statistically significant differences compared with baseline are reported here. CCND2:G1/S-Specific Cyclin D2; MSI2: Musashi RNA Binding Protein 2; PTCH2: Patched 2.
- Ratios of mRNA Levels to Baseline at Phase 2 Unfit - End of Treatment [Baseline (Cycle 1/Day 1 pre-dose); End of Treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, participant refusal or unacceptable toxicity occurred, whichever came first, an average of 1 year)]
Whole blood mRNA analyses were performed on 21 mRNA candidates. Only the analytes showing statistically significant change from baseline are reported here.
- Baseline mRNA Levels Associated With Best Overall Response at Phase 2 Fit [Baseline (Induction Cycle 1/Day -3 pre-dose)]
Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. Whole blood mRNA analyses were performed on 21 mRNA candidates. Baseline mRNA level showing statistically significant correlation with clinical response are reported. Baseline mRNA levels statistically significant associated with best overall response was only seen for CCND2 (G1/S-Specific Cyclin D2).
- Baseline mRNA Levels Associated With Best Overall Response at Phase 2 Unfit [Baseline (Cycle 1/Day 1 pre-dose)]
Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. Whole blood mRNA analyses were performed on 21 mRNA candidates. Baseline mRNA level showing statistically significant correlation with clinical response are reported. FOXM1: Forkhead box M1; PTCH1: Patched 1.
- Ratios of mRNA Levels to Baseline Associated With Best Overall Response at Phase 2 Fit [Baseline (Induction Cycle 1/Day -3 pre-dose); End of Treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, participant refusal or unacceptable toxicity occurred, whichever came first, an average of 1 year)]
Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. Whole blood mRNA analyses were performed on 21 mRNA candidates. Ratios of mRNA level to baseline showing statistically significant correlation with clinical response are reported.
- Ratios of mRNA Levels Associated With Best Overall Response at Phase 2 Unfit [Baseline (Cycle 1/Day 1 pre-dose); Cycle 1/Day 1, 1 Hour Post dose]
Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. Whole blood mRNA analyses were performed on 21 mRNA candidates. Ratios of mRNA level to baseline showing statistically significant correlation with clinical response are reported. Ratios of mRNA levels to baseline statistically significant associated with best overall response was only seen for MYCN (Neuroblastoma Myc oncogene) at Cycle 1/Day 1.
- Number of Participants With Corrected QT Interval Using Fridericia's Formula (QTcF) Values Meeting Predefined Criteria at Phase 1B [1 year]
Maximum absolute values and increases from baseline were summarized for QTcF interval (time from the beginning of Q wave to the end of T wave corresponding to electrical systole corrected for heart rate using Fridericia's formula). Number of participants with QTcF meeting the following criteria is presented: QTcF interval:<450 msec; QTcF interval: 450 to <480 msec; QTcF interval: 480 to <500 msec; QTcF interval >=500 msec; QTcF interval increase from baseline: <30 msec; QTcF interval increase from baseline: 30 to <60 msec; QTcF interval increase from baseline >=60 msec. Arms in the time frame description are defined as: Arm A, Glasdegib +LDAC; Arm B, Glasdegib + Decitabine; Arm C, Glasdegib + Cytarabine/Daunorubicin. End of treatment in the time frame were defined as: maximum of 12 cycles from start of therapy or until disease progression or relapse, participant refusal or unacceptable toxicity occurred, whichever came first.
- Number of Participants With Corrected QT Interval Using Fridericia's Formula (QTcF) Values Meeting Predefined Criteria at Phase 2 Fit and Unfit [1 year]
Maximum absolute values and increases from baseline were summarized for QTcF interval (time from the beginning of Q wave to the end of T wave corresponding to electrical systole corrected for heart rate using Fridericia's formula). Number of participants with QTcF meeting the following criteria is presented:QTcF interval:<450 msec; QTcF interval: 450 to <480 msec; QTcF interval: 480 to <500 msec; QTcF interval >=500 msec; QTcF interval increase from baseline: <30 msec; QTcF interval increase from baseline: 30 to <60 msec; QTcF interval increase from baseline >=60 msec. End of treatment in the time frame were defined as: maximum of 12 cycles from start of therapy or until disease progression or relapse, participant refusal or unacceptable toxicity occurred, whichever came first.
- Number of Participants With Treatment-emergent Adverse Events (AEs) at Phase 1B (All Causality) [4 years]
An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event did not necessarily had a causal relationship with the treatment or usage. Treatment Emergent AEs were those with initial onset or increasing in severity after the first dose of study medication and occurred within 28 days post last dose. AEs were graded by the investigator according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 : Grade 1: mild AE; Grade 2: moderate AE; Grade 3: severe AE; Grade 4: life-threatening consequences, urgent intervention indicated; Grade 5: death related to AE.
- Number of Participants With Treatment-emergent AEs at Phase 1B (Treatment-related) [4 years]
An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event did not necessarily had a causal relationship with the treatment or usage. Treatment Emergent AEs were those with initial onset or increasing in severity after the first dose of study medication and occurred within 28 days post last dose. Treatment-related AEs were AEs related to glasdegib and/or backbone chemotherapy. AEs were graded by the investigator according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 : Grade 1: mild AE; Grade 2: moderate AE; Grade 3: severe AE; Grade 4: life-threatening consequences, urgent intervention indicated; Grade 5: death related to AE.
- Number of Participants With Treatment-emergent AEs Categorized by Seriousness at Phase 1B [4 years]
An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event did not necessarily had a causal relationship with the treatment or usage. Treatment Emergent AEs were those with initial onset or increasing in severity after the first dose of study medication and occurred within 28 days post last dose. An serious adverse event (SAE) was any untoward medical occurrence at any dose that: resulted in death; was life threatening (immediate risk of death); required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); resulted in congenital anomaly/birth defect.
- Number of Participants With Treatment-emergent AEs at Phase 2 Fit and Unfit (All Causality) [4 years]
An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event did not necessarily had a causal relationship with the treatment or usage. Treatment Emergent AEs were those with initial onset or increasing in severity after the first dose of study medication and occurred within 28 days post last dose. AEs were graded by the investigator according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 : Grade 1: mild AE; Grade 2: moderate AE; Grade 3: severe AE; Grade 4: life-threatening consequences, urgent intervention indicated; Grade 5: death related to AE.
- Number of Participants With Treatment-emergent AEs at Phase 2 Fit and Unfit (Treatment-related) [4 years]
An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event did not necessarily had a causal relationship with the treatment or usage. Treatment Emergent AEs were those with initial onset or increasing in severity after the first dose of study medication and occurred within 28 days post last dose. Treatment-related AEs were AEs related to glasdegib and/or backbone chemotherapy. AEs were graded by the investigator according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 : Grade 1: mild AE; Grade 2: moderate AE; Grade 3: severe AE; Grade 4: life-threatening consequences, urgent intervention indicated; Grade 5: death related to AE.
- Number of Participants With Treatment-emergent AEs Categorized by Seriousness at Phase 2 Fit and Unfit [4 years]
An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event did not necessarily had a causal relationship with the treatment or usage. Treatment Emergent AEs were those with initial onset or increasing in severity after the first dose of study medication and occurred within 28 days post last dose. An serious adverse event (SAE) was any untoward medical occurrence at any dose that: resulted in death; was life threatening (immediate risk of death); required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); resulted in congenital anomaly/birth defect.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patients with AML or RAEB 2 High Risk MDS who are newly diagnosed according to the WHO 2008 Classification and previously untreated.
-
Patients with AML (arising from an antecedent hematologic disease [AHD]) or MDS who may have had one prior regimen with commercially available agents for the treatment of their prior hematologic disease. The patients may not have had a prior therapy for their AML.
-
AML patients include de novo AML, AML evolving from MDS or other AHD and AML after previous cytotoxic therapy or radiation (secondary AML)
-
For a diagnosis of AML, a bone marrow blast count of 20% or more is required.
-
For a diagnosis of high-risk Myelodysplastic Syndrome RAEB 2 the patient must have 10-19% bone marrow blasts
-
Adequate Organ Function
-
ECOG Performance Status 0, 1, or 2
Exclusion Criteria:
-
AML M3 Acute Promyelocytic Leukemia (APL) or patients with a t(9:22) cytogenetic translocation.
-
Patients with known active uncontrolled central nervous system (CNS) leukemia.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University of Alabama at Birmingham | Birmingham | Alabama | United States | 35233 |
2 | University of Alabama at Birmingham | Birmingham | Alabama | United States | 35249-6909 |
3 | University of Alabama at Birmingham | Birmingham | Alabama | United States | 35249 |
4 | UC San Diego Moores Cancer Center - Investigational Drug Services | La Jolla | California | United States | 92037-0845 |
5 | UC San Diego Medical Center - La Jolla | La Jolla | California | United States | 92037 |
6 | UC San Diego Moores Cancer Center | La Jolla | California | United States | 92093-0698 |
7 | Keck Hospital of USC | Los Angeles | California | United States | 90033 |
8 | LAC & USC Medical Center | Los Angeles | California | United States | 90033 |
9 | USC/Norris Comprehensive Cancer Center / Investigational Drug Services | Los Angeles | California | United States | 90033 |
10 | USC/Norris Comprehensive Cancer Center | Los Angeles | California | United States | 90033 |
11 | Ronald Reagan UCLA Medical Center Drug Information Center | Los Angeles | California | United States | 90095 |
12 | Ronald Reagan UCLA Medical Center | Los Angeles | California | United States | 90095 |
13 | UCLA Drug lnformation/lnvestigational Drugs | Los Angeles | California | United States | 90095 |
14 | UCLA Hematology/Oncology Clinic | Los Angeles | California | United States | 90095 |
15 | UC San Diego Medical Center - Hillcrest | San Diego | California | United States | 92103 |
16 | University of Colorado Denver | Aurora | Colorado | United States | 80045 |
17 | University of Colorado Hospital | Aurora | Colorado | United States | 80045 |
18 | H.Lee Moffitt Cancer Center and Research Institute | Tampa | Florida | United States | 33612 |
19 | Emory University Hospital | Atlanta | Georgia | United States | 30322 |
20 | Investigational Drug Service, Emory University Clinic | Atlanta | Georgia | United States | 30322 |
21 | The Emory Clinic | Atlanta | Georgia | United States | 30322 |
22 | Winship Cancer Institute, Emory University | Atlanta | Georgia | United States | 30322 |
23 | Northwestern Medical Faculty Foundation | Chicago | Illinois | United States | 60611 |
24 | Northwestern Medicine Developmental Therapeutics Institute | Chicago | Illinois | United States | 60611 |
25 | Northwestern Memorial Hospital | Chicago | Illinois | United States | 60611 |
26 | The University of Chicago Medical Center | Chicago | Illinois | United States | 60637 |
27 | The University of Chicago's Medical Center | Chicago | Illinois | United States | 60637 |
28 | University of Kansas Clinical Research Center | Fairway | Kansas | United States | 66205 |
29 | University of Kansas Hospital | Kansas City | Kansas | United States | 66160 |
30 | University of Kansas Cancer Center and Medical Pavilion | Westwood | Kansas | United States | 66205 |
31 | Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins | Baltimore | Maryland | United States | 21287 |
32 | Tufts Medical Center | Boston | Massachusetts | United States | 02111 |
33 | Massachusetts General Hospital | Boston | Massachusetts | United States | 02114 |
34 | Brigham and Women's Hospital | Boston | Massachusetts | United States | 02115 |
35 | Dana Farber Cancer Institute (DFCI) | Boston | Massachusetts | United States | 02215 |
36 | University of Michigan Comprehensive Cancer Center Clinical Trials Office | Ann Arbor | Michigan | United States | 48109-2800 |
37 | University of Michigan Health System | Ann Arbor | Michigan | United States | 48109 |
38 | Siteman Cancer Center - West County | Creve Coeur | Missouri | United States | 63141 |
39 | Barnes Jewish Hospital North Campus | Saint Louis | Missouri | United States | 63110 |
40 | Barnes-Jewish Hospital | Saint Louis | Missouri | United States | 63110 |
41 | Washington University School of Medicine - Division of Bone Marrow Transplant & Leukemia | Saint Louis | Missouri | United States | 63110 |
42 | Washington University School of Medicine, Siteman Cancer Center | Saint Louis | Missouri | United States | 63110 |
43 | Hackensack University Medical Center | Hackensack | New Jersey | United States | 07601 |
44 | John Theurer Cancer Center at Hackensack University Medical Center | Hackensack | New Jersey | United States | 07601 |
45 | Roswell Park Cancer Institute | Buffalo | New York | United States | 14263 |
46 | Cleveland Clinic Cancer Institute | Cleveland | Ohio | United States | 44195 |
47 | Centennial Medical Center | Nashville | Tennessee | United States | 37203 |
48 | Sarah Cannon Research Institute | Nashville | Tennessee | United States | 37203 |
49 | Tennessee Oncology, PLLC | Nashville | Tennessee | United States | 37203 |
50 | The University of Texas, MD Anderson Cancer Center | Houston | Texas | United States | 77030 |
51 | University of Washington-Seattle Cancer Care Alliance | Seattle | Washington | United States | 98109 |
52 | University of Washington Medical Center | Seattle | Washington | United States | 98195 |
53 | Juravinski Cancer Centre @ Hamilton Health Sciences | Hamilton | Ontario | Canada | L8V 5C2 |
54 | Centre de Sante et de Services Sociaux (CSSS) Champlain - Charles-Le Moyne | Greenfield Park | Quebec | Canada | J4V 2H1 |
55 | Universitaetsklinikum Ulm | Ulm | Baden-wuerttemberg | Germany | 89081 |
56 | Johann Wolfgang Goethe University | Frankfurt am Main | Hessen | Germany | 60590 |
57 | Medizinische Hochschule Hannover | Hannover | Lower Saxony | Germany | 30625 |
58 | Charite -Universitatsmedizin Berlin - Campus Benjamin Franklin | Berlin | Germany | 12203 | |
59 | Charite - Universitatsmedizin Berlin | Berlin | Germany | 13353 | |
60 | Universitaetsklinikum Hamburg-Eppendorf | Hamburg | Germany | 20246 | |
61 | Universitaetsklinikum Schleswig-Holstein | Kiel | Germany | 24105 | |
62 | Universitaetsklinikum Magdeburg A.oe.R. | Magdeburg | Germany | 39120 | |
63 | Johannes Gutenberg-Universitaet Mainz | Mainz | Germany | 55131 | |
64 | Universitaetsklinikum Muenster | Muenster | Germany | 48149 | |
65 | Universitaetsklinikum Ulm | Ulm | Germany | 89081 | |
66 | Policlinico S. Orsola-Malpighi | Bologna | Province OF Bologna | Italy | 40138 |
67 | ASST Grande Ospedale Metropolitano Niguarda | Milano | Italy | 20162 | |
68 | Policlinico Universitario "Umberto I" Universita degli Studi "La Sapienza" Sezione di Ematologia | Rome | Italy | 00161 | |
69 | A.O. Citta della Salute e della Scienza di Torino - S.C. Ematologia | Torino | Italy | 10126 | |
70 | Azienda Sanitaria Universitaria Integrata di Udine | Udine | Italy | 33100 | |
71 | Uniwersyteckie Centrum Kliniczne Gdanskiego Uniwersytetu Medycznego | Gdansk | Pomorskie | Poland | 80-952 |
72 | Oddzial Hematologii Z pododzialem chemioterapii-Klinika Hematologii Wojewodzkie Wielospecjalistyczne | Lodz | Poland | 93-513 | |
73 | Dolnoslaskie Centrum Transplantacji Komorkowych z Krajowym Bankiem Dawcow Szpiku | Wroclaw | Poland | 53-439 | |
74 | Hospital Universitario Virgen del Rocio | Sevilla | Andalucia | Spain | 41013 |
75 | Hospital Universitario Germans Trias i Pujol | Badalona | Barcelona | Spain | 08916 |
76 | Hospital del Mar | Barcelona | Spain | 08003 | |
77 | Hospital de la Santa Creu i Sant Pau | Barcelona | Spain | 08025 | |
78 | Hospital Universitari Vall d'Hebron | Barcelona | Spain | 08035 | |
79 | Hospital Clinic de Barcelona | Barcelona | Spain | 08036 | |
80 | Hospital Ramon y Cajal | Madrid | Spain | 28034 | |
81 | Hospital Universitario y Politecnico La Fe | Valencia | Spain | 46026 |
Sponsors and Collaborators
- Pfizer
Investigators
- Study Director: Pfizer CT.gov Call Center, Pfizer
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- B1371003
- 2012-000684-24
Study Results
Participant Flow
Recruitment Details | |
---|---|
Pre-assignment Detail | Phase 1B:Unfit(unfit for intensive chemotherapy)participants with prior decitabine or azacitidine for high risk MDS or AHD(antecedent hematologic disease)were eligible for the LDAC arm only;with prior cytarabine were eligible for decitabine arm only.Phase 2:Participant's treatment arm assignment was based on the fit or unfit status at screening. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + LDAC | Phase 1B: Glasdegib 200 mg + LDAC | Phase 1B: Glasdegib 100 mg + Decitabine | Phase 1B: Glasdegib 200 mg + Decitabine | Phase 1B: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 1B: Glasdegib 200 mg + Cytarabine/Daunorubicin | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 2 Unfit: Glasdegib 100 mg + LDAC | Phase 2 Unfit: LDAC Alone |
---|---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants received oral doses of glasdegib (PF-04449913) tablets 100 milligram (mg) starting on Day 3 of Cycle 1 for pharmacokinetic (PK) assessment purposes and thereafter once daily (QD) and continuously for 28-day cycles (starting on Day 1 for all other cycles). Low dose Ara-C (LDAC) was given at a dose of 20 mg subcutaneously twice daily (BID) on Days 1-10 of the 28-day cycles. | Participants received oral doses of glasdegib tablets 200 mg starting on Day 3 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28-day cycles. In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg. Participants who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) participants in this cohort had dose reduction to 100 mg starting from Cycle 2/Day 1 and Cycle 2/Day 16, respectively. | Participants received oral doses of glasdegib tablets 100 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an intravenous (IV) infusion over 1 hour on Days 1-5 of the 28-day cycles. | Participants received oral doses of glasdegib tablets 200 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an IV infusion over 1 hour on Days 1-5 of the 28-day cycles.In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg. Participants who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) participants in this cohort had dose reduction to 100 mg starting from Cycle 1/Day 24 and Cycle 5/Day 1, respectively. | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 200 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days.In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg.One (1) participant in this cohort had dose reduction to 100 mg starting from Consolidation Cycle 1/Day 21. | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | Participants received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28-day cycles. | Participants received LDAC subcutaneously at a dose of 20 mg BID on Days 1-10 of the 28-day cycles. |
Period Title: Overall Study | |||||||||
STARTED | 17 | 6 | 4 | 3 | 16 | 6 | 71 | 88 | 44 |
Received Treatment | 17 | 6 | 4 | 3 | 16 | 6 | 69 | 84 | 41 |
COMPLETED | 1 | 0 | 0 | 0 | 6 | 2 | 18 | 4 | 1 |
NOT COMPLETED | 16 | 6 | 4 | 3 | 10 | 4 | 53 | 84 | 43 |
Baseline Characteristics
Arm/Group Title | Phase 1B: Glasdegib + LDAC | Phase 1B: Glasdegib + Decitabine | Phase 1B: Glasdegib + Cytarabine/Daunorubicin | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 2 Unfit: Glasdegib 100 mg + LDAC | Phase 2 Unfit: LDAC Alone | Total |
---|---|---|---|---|---|---|---|
Arm/Group Description | Included all participants who received oral glasdegib in combination with LDAC in phase 1B portion. | Included all participants who received oral glasdegib in combination with decitabine in phase 1B portion. | Included all participants who received oral glasdegib in combination with cytarabine/daunorubicin in phase 1B portion. | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | Participants received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28-day cycles. | Participants received LDAC subcutaneously at a dose of 20 mg BID on Days 1-10 of the 28-day cycles. | Total of all reporting groups |
Overall Participants | 23 | 7 | 22 | 71 | 88 | 44 | 255 |
Age (Years) [Mean (Standard Deviation) ] | |||||||
Mean (Standard Deviation) [Years] |
75.8
(6.5)
|
75.0
(4.4)
|
54.9
(12.7)
|
61.9
(9.6)
|
76.2
(6.2)
|
74.5
(4.9)
|
66.8
(13.9)
|
Sex: Female, Male (Count of Participants) | |||||||
Female |
8
34.8%
|
2
28.6%
|
10
45.5%
|
28
39.4%
|
19
21.6%
|
18
40.9%
|
85
33.3%
|
Male |
15
65.2%
|
5
71.4%
|
12
54.5%
|
43
60.6%
|
69
78.4%
|
26
59.1%
|
170
66.7%
|
Outcome Measures
Title | Number of Participants With Dose-limiting Toxicities (DLTs) at Phase 1B |
---|---|
Description | A DLT was any of the following adverse events (AEs) in Cycle 1 and considered by the investigator possibly related to glasdegib in combination with chemotherapy: (1) Grade >= 3 non-hematologic toxicity, excluding Grade >= 3 infection, fever (including febrile neutropenia), infusion related AEs, electrolyte abnormalities and ALT/AST elevation that returned to Grade <= 1 or baseline within 7 days; (2) prolonged myelosuppression that lasted longer than 42 days from the point of detection, defined as absolute neutrophil count (ANC) < 500/microliter(mcL) or platelet count < 10 *10^9/L with a normal bone marrow (<5% blasts and no evidence of disease or dysplasia); (3) inability to deliver at least 80% of the planned study doses for all agents in a combination due to non-hematologic toxicities; (4) Delay of >28 days in receiving the next scheduled cycle due to persisting non-hematologic toxicities. Arm A: Glasdegib+LDAC; Arm B: Glasdegib+Decitabine; Arm C: Glasdegib+Cytarabine/Daunorubicin. |
Time Frame | Arms A and B: Cycle 1, Day 1 to Day 28; Arm C: Cycle 1, Day -3 to Day 21 or to Day 28 depending on when the next chemotherapy cycle was started |
Outcome Measure Data
Analysis Population Description |
---|
Per protocol analysis set: all enrolled participants in the dose escalation component who received at least 1 dose of glasdegib and of the co-administered chemotherapeutics and who did not have major treatment deviations during the DLT monitoring period. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + LDAC | Phase 1B: Glasdegib 200 mg + LDAC | Phase 1B: Glasdegib 100 mg + Decitabine | Phase 1B: Glasdegib 200 mg + Decitabine | Phase 1B: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 1B: Glasdegib 200 mg + Cytarabine/Daunorubicin |
---|---|---|---|---|---|---|
Arm/Group Description | Participants received oral doses of glasdegib (PF-04449913) tablets 100 milligram (mg) starting on Day 3 of Cycle 1 for pharmacokinetic (PK) assessment purposes and thereafter once daily (QD) and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously twice daily (BID) on Days 1-10 of the 28-day cycles. | Participants received oral doses of glasdegib tablets 200 mg starting on Day 3 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28-day cycles. In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg. Participants who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) participants in this cohort had dose reduction to 100 mg starting from Cycle 2/Day 1 and Cycle 2/Day 16, respectively. | Participants received oral doses of glasdegib tablets 100 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an intravenous (IV) infusion over 1 hour on Days 1-5 of the 28-day cycles. | Participants received oral doses of glasdegib tablets 200 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an IV infusion over 1 hour on Days 1-5 of the 28-day cycles.In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg. Participants who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) participants in this cohort had dose reduction to 100 mg starting from Cycle 1/Day 24 and Cycle 5/Day 1, respectively. | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 200 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days.In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg.One (1) participant in this cohort had dose reduction to 100 mg starting from Consolidation Cycle 1/Day 21. |
Measure Participants | 3 | 5 | 4 | 2 | 6 | 6 |
Number [Participants] |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
1.1%
|
0
0%
|
Title | Percentage of Participants With Complete Response (CR) at Phase 2 Fit |
---|---|
Description | For AML participants:CR were those with repeat bone marrow showing <5% myeloblasts,spicules present and no Auer rods, peripheral blood showing neutrophils>=1000/mcL and platelets>=100,000/mcL, transfusion independent and no extramedullary disease. For MDS participants:CR were those with repeat bone marrow showing <=5% myeloblasts, peripheral blood showing neutrophils>=1000/mcL, platelets>=100,000/mcL, 0% blast and hemoglobin (Hgb)>= 11 g/dL, normal maturation of all cell lines. |
Time Frame | 4 years |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set: all enrolled participants of Phase 2 Fit arm who received at least 1 dose of study medication. Number of participants analyzed signifies number of participants who were evaluable for this outcome measure. Number analyzed refers to number of participants evaluable for specified rows of categories. |
Arm/Group Title | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin |
---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. |
Measure Participants | 69 |
Total participants |
42.0
182.6%
|
Participants >= 55 years old |
36.7
159.6%
|
Participants < 55 years old |
77.8
338.3%
|
Title | Overall Survival (OS) at Phase 2 Unfit |
---|---|
Description | OS was defined as duration from the date of randomization to the date of death from any cause. Kaplan-Meier (KM) method was used to estimate median OS. In this method, every participant had a follow-up time which was associated with an indicator, 1=event (death in our case), and 0 =censored. If the participants were not known to have died, time to date of last known to be alive was used as to calculate the follow-up time and indicator was 0 for these participants. KM method estimates the median OS based on the K-M curve. The K-M curve only drops when we had an event and censor data are the ticks in the graph. To estimate median OS, the K-M curve usually will be smoothed first and a line will be drawn at 50%. The median OS is the point when K-M curve and the horizontal hit. Survival status was collected every month for the first 2 months after discontinuation of study treatment and thereafter every 2 months until death or 4 years from time of randomization for each participant. |
Time Frame | Randomization to Follow-up (4 years) |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set: all randomized participants of Phase 2 Unfit arm. |
Arm/Group Title | Phase 2 Unfit: Glasdegib 100 mg + LDAC | Phase 2 Unfit: LDAC Alone |
---|---|---|
Arm/Group Description | Participants received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28 day cycles. | Participants received LDAC subcutaneously at a dose of 20 mg BID on Days 1-10 of the 28 day cycles. |
Measure Participants | 88 | 44 |
Median (80% Confidence Interval) [Months] |
8.8
|
4.9
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Phase 1B: Glasdegib 100 mg + LDAC, Phase 1B: Glasdegib 200 mg + LDAC |
---|---|---|
Comments | ||
Type of Statistical Test | Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.0020 |
Comments | 1-sided p-value from the log-rank test stratified by prognosis stratum according to Interactive Voice Response System (IVRS). | |
Method | Log Rank | |
Comments | ||
Method of Estimation | Estimation Parameter | Hazard Ratio (HR) |
Estimated Value | 0.569 | |
Confidence Interval |
(2-Sided) 80% 0.441 to 0.734 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | Based on the Cox proportional hazards model stratified by prognosis stratum according to IVRS. |
Title | Overall Survival (OS) at Phase 1B |
---|---|
Description | OS was defined as duration from the date of randomization to the date of death from any cause. Kaplan-Meier (KM) method was used to estimate median OS. In this method, every participant had a follow-up time which was associated with an indicator, 1=event (death in our case), and 0 =censored. If the participants were not known to have died, time to date of last known to be alive was used as to calculate the follow-up time and indicator was 0 for these participants. KM method estimates the median OS based on the K-M curve. The K-M curve only drops when we had an event and censor data are the ticks in the graph. To estimate median OS, the K-M curve usually will be smoothed first and a line will be drawn at 50%. The median OS is the point when K-M curve and the horizontal hit. Survival status was collected every month for the first 2 months after discontinuation of study treatment and thereafter every 2 months until death or 4 years from each participant's first dose. |
Time Frame | First dose to Follow-up (4 years) |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set: all enrolled participants of Phase 1B portion who received at least 1 dose of study medication. |
Arm/Group Title | Phase 1B: Glasdegib + LDAC | Phase 1B: Glasdegib + Decitabine | Phase 1B: Glasdegib + Cytarabine/Daunorubicin |
---|---|---|---|
Arm/Group Description | Included all participants who received oral glasdegib in combination with LDAC in phase 1B portion. | Included all participants who received oral glasdegib in combination with decitabine in phase 1B portion. | Included all participants who received oral glasdegib in combination with cytarabine/daunorubicin in phase 1B portion. |
Measure Participants | 23 | 7 | 22 |
Median (80% Confidence Interval) [Months] |
4.4
|
11.5
|
37.8
|
Title | Overall Survival (OS) at Phase 2 Fit |
---|---|
Description | OS was defined as duration from the date of randomization to the date of death from any cause. Kaplan-Meier (KM) method was used to estimate median OS. In this method, every participant had a follow-up time which was associated with an indicator, 1=event (death in our case), and 0 =censored. If the participants were not known to have died, time to date of last known to be alive was used as to calculate the follow-up time and indicator was 0 for these participants. KM method estimates the median OS based on the K-M curve. The K-M curve only drops when we had an event and censor data are the ticks in the graph. To estimate median OS, the K-M curve usually will be smoothed first and a line will be drawn at 50%. The median OS is the point when K-M curve and the horizontal hit. Survival status was collected every month for the first 2 months after discontinuation of study treatment and thereafter every 2 months until death or 4 years from each participant's first dose. |
Time Frame | First dose to Follow-up (4 years) |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set: all enrolled participants of Phase 2 Fit arm who received at least 1 dose of study medication. Number of participants analyzed signifies number of participants who were evaluable for this outcome measure. Number analyzed refers to number of participants evaluable for specified rows of categories. |
Arm/Group Title | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin |
---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. |
Measure Participants | 69 |
Total participants |
14.9
|
Participants >= 55 years old |
14.7
|
Participants < 55 years old |
NA
|
Title | Percentage of Participants With CR / Complete Response With Incomplete Blood Count Recovery (CRi) at Phase 1B |
---|---|
Description | For AML participants:CR were those with repeat bone marrow showing <5% myeloblasts,spicules present and no Auer rods, peripheral blood showing neutrophils>=1000/mcL and platelets>=100,000/mcL, transfusion independent and no extramedullary disease. For MDS participants:CR were those with repeat bone marrow showing <=5% myeloblasts, peripheral blood showing neutrophils>=1000/mcL, platelets>=100,000/mcL, 0% blast and hemoglobin (Hgb)>= 11 g/dL, normal maturation of all cell lines.For AML and MDS participants, complete response with incomplete blood count recovery(CRi)were those with repeat bone marrow showing <5% myeloblasts with either platelets or neutrophils not recovered (platelets <100,000/mcL or neutrophils <1000/mcL). |
Time Frame | 4 years |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set: all enrolled participants of Phase 1B portion who received at least 1 dose of study medication. |
Arm/Group Title | Phase 1B: Glasdegib + LDAC | Phase 1B: Glasdegib + Decitabine | Phase 1B: Glasdegib + Cytarabine/Daunorubicin |
---|---|---|---|
Arm/Group Description | Included all participants who received oral glasdegib in combination with LDAC in phase 1B portion. | Included all participants who received oral glasdegib in combination with decitabine in phase 1B portion. | Included all participants who received oral glasdegib in combination with cytarabine/daunorubicin in phase 1B portion. |
Measure Participants | 23 | 7 | 22 |
Number (80% Confidence Interval) [Percentage of participants] |
8.7
37.8%
|
28.6
408.6%
|
54.5
247.7%
|
Title | Percentage of Participants With Complete Response (CR) at Phase 2 Unfit |
---|---|
Description | For AML participants:CR were those with repeat bone marrow showing <5% myeloblasts,spicules present and no Auer rods, peripheral blood showing neutrophils>=1000/mcL and platelets>=100,000/mcL, transfusion independent and no extramedullary disease. For MDS participants:CR were those with repeat bone marrow showing <=5% myeloblasts, peripheral blood showing neutrophils>=1000/mcL, platelets>=100,000/mcL, 0% blast and hemoglobin (Hgb)>= 11 g/dL, normal maturation of all cell lines. |
Time Frame | 4 years |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set: all randomized participants of Phase 2 Unfit arm. |
Arm/Group Title | Phase 2 Unfit: Glasdegib 100 mg + LDAC | Phase 2 Unfit: LDAC Alone |
---|---|---|
Arm/Group Description | Participants received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28 day cycles. | Participants received LDAC subcutaneously at a dose of 20 mg BID on Days 1-10 of the 28 day cycles. |
Measure Participants | 88 | 44 |
Number (80% Confidence Interval) [Percentage of participants] |
18.2
79.1%
|
2.3
32.9%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Phase 1B: Glasdegib 100 mg + LDAC, Phase 1B: Glasdegib 200 mg + LDAC |
---|---|---|
Comments | ||
Type of Statistical Test | Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.0112 |
Comments | ||
Method | Cochran-Mantel-Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Odds Ratio (OR) |
Estimated Value | 4.2755 | |
Confidence Interval |
(2-Sided) 80% 1.3057 to 13.9994 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | Based on the Cox proportional hazards model stratified by prognosis stratum according to IVRS. |
Title | Percentage of Participants With Disease-specific Efficacy for Acute Myeloid Leukemia (AML) at Phase 2 Fit and Unfit |
---|---|
Description | AML participants,disease specific efficacy measures included:CRi;Morphologic Leukemia Free State(MLFS)(bone marrow<5%myeloblasts with spicules and no blasts with auer rods,neutrophils<1000/mcL and platelets<100,000/mcL);partial remission(PR)(bone marrow myeloblasts decrease to 5-25&>=50%decrease from start, neutrophils>=1000/mcL, platelets>=100,000/mcL);PR with incomplete blood count recovery(PRi)(bone marrow myeloblasts decrease to 5-25&>=50%decrease from start,neutrophils<1000/mcL or platelets<100,000/mcL);minor response(MR)(bone marrow myeloblasts decrease to>=25% from start);stable disease(SD)(bone marrow myeloblasts stable+/-25% from screening value);cytogenetic complete response(CRc)(bone marrow<5%myeloblasts, neutrophils>1000/mcL, platelets>100,000/mcL and normal cytogenetics),molecular complete response(CRm)(bone marrow<5%myeloblasts, neutrophils>1000/mcL, platelets>100,000/mcL and molecular-negative). |
Time Frame | 4 years |
Outcome Measure Data
Analysis Population Description |
---|
AML participants in the Full analysis set: all enrolled participants of Phase 2 Fit arm who received at least 1 dose of study medication, and all randomized participants of Phase 2 Unfit arm. |
Arm/Group Title | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 2 Unfit: Glasdegib 100 mg + LDAC | Phase 2 Unfit: LDAC Alone |
---|---|---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | Participants received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28 day cycles. | Participants received LDAC subcutaneously at a dose of 20 mg BID on Days 1-10 of the 28 day cycles. |
Measure Participants | 64 | 78 | 38 |
CRi |
10.9
47.4%
|
5.1
72.9%
|
2.6
11.8%
|
MLFS |
7.8
33.9%
|
2.6
37.1%
|
0.0
0%
|
PR |
1.6
7%
|
6.4
91.4%
|
2.6
11.8%
|
PRi |
1.6
7%
|
1.3
18.6%
|
0.0
0%
|
MR |
10.9
47.4%
|
6.4
91.4%
|
10.5
47.7%
|
SD |
6.3
27.4%
|
16.7
238.6%
|
21.1
95.9%
|
CRc |
35.9
156.1%
|
11.5
164.3%
|
0.0
0%
|
CRm |
37.5
163%
|
16.7
238.6%
|
2.6
11.8%
|
Title | Percentage of Participants With Disease-specific Efficacy for Myelodysplastic Syndrome (MDS) at Phase 2 Fit and Unfit |
---|---|
Description | For all MDS participants, disease specific efficacy measures included: CRi (bone marrow showing <5% myeloblasts with platelets <100,000/mcL or neutrophils <1000/mcL, including confirmed and unconfirmed responses); PR (repeat bone marrow myeloblasts showing decreased by >= 50% decrease but still >5%, peripheral blood showing neutrophils >= 1,000/mcL, platelets >= 100,000/mcL and Hgb>=11g/dL; including confirmed and unconfirmed responses); SD (including confirmed and unconfirmed responses, failure to achieve PR and no evidence of progression for >8 weeks); marrow complete response (mCR) (bone marrow showing <=5% myeloblasts and decreased by >= 50%), partial cytogenetic response (>=50% reduction of chromosomal abnormality) and complete cytogenetic response (CRc) (disappearance of chromosomal abnormality with no appearance of now ones). |
Time Frame | 4 years |
Outcome Measure Data
Analysis Population Description |
---|
MDS participants in the Full analysis set: all enrolled participants of Phase 2 Fit arm who received at least 1 dose of study medication, and all randomized participants of Phase 2 Unfit arm. |
Arm/Group Title | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 2 Unfit: Glasdegib 100 mg + LDAC | Phase 2 Unfit: LDAC Alone |
---|---|---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | Participants received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28 day cycles. | Participants received LDAC subcutaneously at a dose of 20 mg BID on Days 1-10 of the 28 day cycles. |
Measure Participants | 5 | 10 | 6 |
mCR |
0.0
0%
|
10.0
142.9%
|
0.0
0%
|
PR |
0.0
0%
|
0.0
0%
|
0.0
0%
|
SD |
0.0
0%
|
0.0
0%
|
33.3
151.4%
|
CRi |
20.0
87%
|
10.0
142.9%
|
0.0
0%
|
Unconfirmed SD |
0.0
0%
|
10.0
142.9%
|
0.0
0%
|
Unconfirmed CRi |
0.0
0%
|
10.0
142.9%
|
0.0
0%
|
mCR (CRi not included) |
0.0
0%
|
10.0
142.9%
|
0.0
0%
|
CRc |
60.0
260.9%
|
10.0
142.9%
|
0.0
0%
|
Title | Maximum Observed Plasma Concentration (Cmax) of Glasdegib in Participants Receiving Glasdegib and LDAC at Phase 1B on Cycle 1/Day 10 and Cycle 1/Day 21 |
---|---|
Description | |
Time Frame | Pre-dose, 0.5, 1, 2, 4, 6 and 24 hours post-dose on Cycle 1/Day 10 and Cycle 1/Day 21 |
Outcome Measure Data
Analysis Population Description |
---|
Dose compliant group:Participants who had at least 4 days of uninterrupted dosing for a multiple dose PK assessment were considered to be at steady state,part of the "dose compliant" group. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + LDAC | Phase 1B: Glasdegib 200 mg + LDAC |
---|---|---|
Arm/Group Description | Participants received oral doses of glasdegib (PF-04449913) tablets 100 milligram (mg) starting on Day 3 of Cycle 1 for pharmacokinetic (PK) assessment purposes and thereafter once daily (QD) and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously twice daily (BID) on Days 1-10 of the 28-day cycles. | Participants received oral doses of glasdegib tablets 200 mg starting on Day 3 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28-day cycles. In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg. Participants who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) participants in this cohort had dose reduction to 100 mg starting from Cycle 2/Day 1 and Cycle 2/Day 16, respectively. |
Measure Participants | 17 | 6 |
Cycle 1/Day 10 |
1074
(63)
|
1942
(75)
|
Cycle 1/Day 21 |
1242
(56)
|
2577
(104)
|
Title | Time to Cmax (Tmax) of Glasdegib in Participants Receiving Glasdegib and LDAC at Phase 1B on Cycle 1/Day 10 and Cycle 1/Day 21 |
---|---|
Description | |
Time Frame | Pre-dose, 0.5, 1, 2, 4, 6 and 24 hours post-dose on Cycle 1/Day 10 and Cycle 1/Day 21 |
Outcome Measure Data
Analysis Population Description |
---|
Dose compliant group:Participants who had at least 4 days of uninterrupted dosing for a multiple dose PK assessment were considered to be at steady state,part of the "dose compliant" group. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + LDAC | Phase 1B: Glasdegib 200 mg + LDAC |
---|---|---|
Arm/Group Description | Participants received oral doses of glasdegib (PF-04449913) tablets 100 milligram (mg) starting on Day 3 of Cycle 1 for pharmacokinetic (PK) assessment purposes and thereafter once daily (QD) and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously twice daily (BID) on Days 1-10 of the 28-day cycles. | Participants received oral doses of glasdegib tablets 200 mg starting on Day 3 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28-day cycles. In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg. Participants who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) participants in this cohort had dose reduction to 100 mg starting from Cycle 2/Day 1 and Cycle 2/Day 16, respectively. |
Measure Participants | 17 | 6 |
Cycle 1/Day 10 |
1.75
|
4.00
|
Cycle 1/Day 21 |
1.34
|
4.00
|
Title | Area Under the Plasma Concentration-time Profile From Time 0 to Dosing Interval (AUCtau) of Glasdegib in Participants Receiving Glasdegib and LDAC at Phase 1B on Cycle 1/Day 10 and Cycle 1/Day 21 |
---|---|
Description | |
Time Frame | Pre-dose, 0.5, 1, 2, 4, 6 and 24 hours post-dose on Cycle 1/Day 10 and Cycle 1/Day 21 |
Outcome Measure Data
Analysis Population Description |
---|
Dose compliant group:Participants who had at least 4 days of uninterrupted dosing for a multiple dose PK assessment were considered to be at steady state,part of the "dose compliant" group. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + LDAC | Phase 1B: Glasdegib 200 mg + LDAC |
---|---|---|
Arm/Group Description | Participants received oral doses of glasdegib (PF-04449913) tablets 100 milligram (mg) starting on Day 3 of Cycle 1 for pharmacokinetic (PK) assessment purposes and thereafter once daily (QD) and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously twice daily (BID) on Days 1-10 of the 28-day cycles. | Participants received oral doses of glasdegib tablets 200 mg starting on Day 3 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28-day cycles. In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg. Participants who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) participants in this cohort had dose reduction to 100 mg starting from Cycle 2/Day 1 and Cycle 2/Day 16, respectively. |
Measure Participants | 17 | 6 |
Cycle 1/Day 10 |
15020
(49)
|
28600
(17)
|
Cycle 1/Day 21 |
16660
(43)
|
31400
(119)
|
Title | Cmax of Glasdegib in Participants Receiving Glasdegib and Decitabine at Phase 1B on Cycle 1/Day 10 and Cycle 2/Day 1 |
---|---|
Description | |
Time Frame | Pre-dose, 0.5, 1, 2, 4, 6 and 24 hours post-dose on Cycle 1/Day 10; pre-dose, 0.5, 1, 2, 6 and 24 hours post-dose on Cycle 2/Day 1 |
Outcome Measure Data
Analysis Population Description |
---|
Dose compliant group:Participants who had at least 4 days of uninterrupted dosing for a multiple dose PK assessment were considered to be at steady state,part of the "dose compliant" group. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + Decitabine | Phase 1B: Glasdegib 200 mg + Decitabine |
---|---|---|
Arm/Group Description | Participants received oral doses of glasdegib tablets 100 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an intravenous (IV) infusion over 1 hour on Days 1-5 of the 28-day cycles. | Participants received oral doses of glasdegib tablets 200 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an IV infusion over 1 hour on Days 1-5 of the 28-day cycles.In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg. Participants who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) participants in this cohort had dose reduction to 100 mg starting from Cycle 1/Day 24 and Cycle 5/Day 1, respectively. |
Measure Participants | 4 | 3 |
Cycle 1/Day 10 |
1718
(28)
|
2381
(28)
|
Cycle 2/Day 1 |
1826
(44)
|
NA
(NA)
|
Title | Tmax of Glasdegib in Participants Receiving Glasdegib and Decitabine at Phase 1B on Cycle 1/Day 10 and Cycle 2/Day 1 |
---|---|
Description | |
Time Frame | Pre-dose, 0.5, 1, 2, 4, 6 and 24 hours post-dose on Cycle 1/Day 10; pre-dose, 0.5, 1, 2, 6 and 24 hours post-dose on Cycle 2/Day 1 |
Outcome Measure Data
Analysis Population Description |
---|
Dose compliant group:Participants who had at least 4 days of uninterrupted dosing for a multiple dose PK assessment were considered to be at steady state,part of the "dose compliant" group. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + Decitabine | Phase 1B: Glasdegib 200 mg + Decitabine |
---|---|---|
Arm/Group Description | Participants received oral doses of glasdegib tablets 100 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an intravenous (IV) infusion over 1 hour on Days 1-5 of the 28-day cycles. | Participants received oral doses of glasdegib tablets 200 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an IV infusion over 1 hour on Days 1-5 of the 28-day cycles.In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg. Participants who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) participants in this cohort had dose reduction to 100 mg starting from Cycle 1/Day 24 and Cycle 5/Day 1, respectively. |
Measure Participants | 4 | 3 |
Cycle 1/Day 10 |
2.00
|
2.05
|
Cycle 2/Day 1 |
1.03
|
NA
|
Title | AUCtau of Glasdegib in Participants Receiving Glasdegib and Decitabine at Phase 1B on Cycle 1/Day 10 and Cycle 2/Day 1 |
---|---|
Description | |
Time Frame | Pre-dose, 0.5, 1, 2, 4, 6 and 24 hours post-dose on Cycle 1/Day 10; pre-dose, 0.5, 1, 2, 6 and 24 hours post-dose on Cycle 2/Day 1 |
Outcome Measure Data
Analysis Population Description |
---|
Dose compliant group:Participants who had at least 4 days of uninterrupted dosing for a multiple dose PK assessment were considered to be at steady state,part of the "dose compliant" group. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + Decitabine | Phase 1B: Glasdegib 200 mg + Decitabine |
---|---|---|
Arm/Group Description | Participants received oral doses of glasdegib tablets 100 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an intravenous (IV) infusion over 1 hour on Days 1-5 of the 28-day cycles. | Participants received oral doses of glasdegib tablets 200 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an IV infusion over 1 hour on Days 1-5 of the 28-day cycles.In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg. Participants who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) participants in this cohort had dose reduction to 100 mg starting from Cycle 1/Day 24 and Cycle 5/Day 1, respectively. |
Measure Participants | 4 | 3 |
Cycle 1/Day 10 |
NA
(NA)
|
28380
(11)
|
Cycle 2/Day 1 |
17060
(29)
|
NA
(NA)
|
Title | Cmax of Glasdegib in Participants Receiving Glasdegib and Cytarabine/Daunorubicin at Phase 1B on Induction Cycle 1/Day 3 and Day 10 |
---|---|
Description | |
Time Frame | Pre-dose, 0.5, 1, 6 and 24 hours post-dose on Induction Cycle 1/Day 3; pre-dose, 0.5, 1, 4, 6 and 24 hours post-dose on Induction Cycle 1/Day 10 |
Outcome Measure Data
Analysis Population Description |
---|
Dose compliant group:Participants who had at least 4 days of uninterrupted dosing for a multiple dose PK assessment were considered to be at steady state,part of the "dose compliant" group. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 1B: Glasdegib 200 mg + Cytarabine/Daunorubicin |
---|---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 200 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days.In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg.One (1) participant in this cohort had dose reduction to 100 mg starting from Consolidation Cycle 1/Day 21. |
Measure Participants | 16 | 6 |
Induction Cycle 1/Day 3 |
674.2
(45)
|
1622
(25)
|
Induction Cycle 1/Day 10 |
1135
(43)
|
2371
(43)
|
Title | Tmax of Glasdegib in Participants Receiving Glasdegib and Cytarabine/Daunorubicin at Phase 1B on Induction Cycle 1/Day 3 and Day 10 |
---|---|
Description | |
Time Frame | Pre-dose, 0.5, 1, 6 and 24 hours post-dose on Induction Cycle 1/Day 3; pre-dose, 0.5, 1, 4, 6 and 24 hours post-dose on Induction Cycle 1/Day 10 |
Outcome Measure Data
Analysis Population Description |
---|
Dose compliant group:Participants who had at least 4 days of uninterrupted dosing for a multiple dose PK assessment were considered to be at steady state,part of the "dose compliant" group. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 1B: Glasdegib 200 mg + Cytarabine/Daunorubicin |
---|---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 200 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days.In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg.One (1) participant in this cohort had dose reduction to 100 mg starting from Consolidation Cycle 1/Day 21. |
Measure Participants | 16 | 6 |
Induction Cycle 1/Day 3 |
5.99
|
6.00
|
Induction Cycle 1/Day 10 |
4.08
|
1.04
|
Title | AUCtau of Glasdegib in Participants Receiving Glasdegib and Cytarabine/Daunorubicin at Phase 1B on Induction Cycle 1/Day 3 and Day 10 |
---|---|
Description | |
Time Frame | Pre-dose, 0.5, 1, 6 and 24 hours post-dose on Induction Cycle 1/Day 3; pre-dose, 0.5, 1, 4, 6 and 24 hours post-dose on Induction Cycle 1/Day 10 |
Outcome Measure Data
Analysis Population Description |
---|
Dose compliant group:Participants who had at least 4 days of uninterrupted dosing for a multiple dose PK assessment were considered to be at steady state,part of the "dose compliant" group. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 1B: Glasdegib 200 mg + Cytarabine/Daunorubicin |
---|---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 200 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days.In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg.One (1) participant in this cohort had dose reduction to 100 mg starting from Consolidation Cycle 1/Day 21. |
Measure Participants | 16 | 6 |
Induction Cycle 1/Day 3 |
9332
(56)
|
22840
(43)
|
Induction Cycle 1/Day 10 |
16300
(46)
|
26370
(39)
|
Title | Cmax of LDAC and Ara-U in Participants Receiving Glasdegib and LDAC at Phase 1B on Cycle 1/Day 2 and Cycle 1/Day 10 |
---|---|
Description | Ara-U is the major metabolite of cytarabine. LDAC (low dose cytarabine) is rapidly degraded to the stable metabolite Ara-U, Cmax levels of both LDAC and Ara-U were reported. |
Time Frame | Pre-dose, 0.25, 0.5, 1, 2, 4 and 6 hours post-dose on Cycle 1/Day 2 and Cycle 1/Day 10 |
Outcome Measure Data
Analysis Population Description |
---|
PK concentration population: all treated participants who had at least 1 concentration of any of the study drugs. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + LDAC | Phase 1B: Glasdegib 200 mg + LDAC |
---|---|---|
Arm/Group Description | Participants received oral doses of glasdegib (PF-04449913) tablets 100 milligram (mg) starting on Day 3 of Cycle 1 for pharmacokinetic (PK) assessment purposes and thereafter once daily (QD) and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously twice daily (BID) on Days 1-10 of the 28-day cycles. | Participants received oral doses of glasdegib tablets 200 mg starting on Day 3 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28-day cycles. In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg. Participants who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) participants in this cohort had dose reduction to 100 mg starting from Cycle 2/Day 1 and Cycle 2/Day 16, respectively. |
Measure Participants | 17 | 6 |
LDAC Cycle 1/Day 2 |
58.50
(58)
|
100.1
(29)
|
LDAC Cycle 1/Day 10 |
63.01
(88)
|
132.5
(39)
|
Ara-U Cycle 1/Day 2 |
379.5
(34)
|
569.7
(29)
|
Ara-U Cycle 1/Day 10 |
452.2
(36)
|
652.0
(27)
|
Title | Tmax of LDAC and Ara-U in Participants Receiving Glasdegib and LDAC at Phase 1B on Cycle 1/Day 2 and Cycle 1/Day 10 |
---|---|
Description | Ara-U is the major metabolite of cytarabine. LDAC (low dose cytarabine) is rapidly degraded to the stable metabolite Ara-U, Tmax levels of both LDAC and Ara-U were reported. |
Time Frame | Pre-dose, 0.25, 0.5, 1, 2, 4 and 6 hours post-dose on Cycle 1/Day 2 and Cycle 1/Day 10 |
Outcome Measure Data
Analysis Population Description |
---|
PK parameter analysis set: all treated participants who had at least 1 of the PK parameters of interest for any of the study drugs. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + LDAC | Phase 1B: Glasdegib 200 mg + LDAC |
---|---|---|
Arm/Group Description | Participants received oral doses of glasdegib (PF-04449913) tablets 100 milligram (mg) starting on Day 3 of Cycle 1 for pharmacokinetic (PK) assessment purposes and thereafter once daily (QD) and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously twice daily (BID) on Days 1-10 of the 28-day cycles. | Participants received oral doses of glasdegib tablets 200 mg starting on Day 3 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28-day cycles. In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg. Participants who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) participants in this cohort had dose reduction to 100 mg starting from Cycle 2/Day 1 and Cycle 2/Day 16, respectively. |
Measure Participants | 17 | 6 |
LDAC Cycle 1/Day 2 |
0.250
|
0.250
|
LDAC Cycle 1/Day 10 |
0.325
|
0.250
|
Ara-U Cycle 1/Day 2 |
3.97
|
4.00
|
Ara-U Cycle 1/Day 10 |
2.00
|
1.99
|
Title | Area Under the Plasma Concentration-time Profile From Time 0 to Infinity (AUCinf) of LDAC in Participants Receiving Glasdegib and LDAC at Phase 1B on Cycle 1/Day 2 and Cycle 1/Day 10 |
---|---|
Description | |
Time Frame | Pre-dose, 0.25, 0.5, 1, 2, 4 and 6 hours post-dose on Cycle 1/Day 2 and Cycle 1/Day 10 |
Outcome Measure Data
Analysis Population Description |
---|
PK parameter analysis set: all treated participants who had at least 1 of the PK parameters of interest for any of the study drugs. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + LDAC | Phase 1B: Glasdegib 200 mg + LDAC |
---|---|---|
Arm/Group Description | Participants received oral doses of glasdegib (PF-04449913) tablets 100 milligram (mg) starting on Day 3 of Cycle 1 for pharmacokinetic (PK) assessment purposes and thereafter once daily (QD) and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously twice daily (BID) on Days 1-10 of the 28-day cycles. | Participants received oral doses of glasdegib tablets 200 mg starting on Day 3 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28-day cycles. In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg. Participants who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) participants in this cohort had dose reduction to 100 mg starting from Cycle 2/Day 1 and Cycle 2/Day 16, respectively. |
Measure Participants | 17 | 6 |
LDAC Cycle 1/Day 2 |
71.10
(28)
|
89.35
(28)
|
LDAC Cycle 1/Day 10 |
92.28
(25)
|
143.9
(24)
|
Title | Area Under the Plasma Concentration-time Profile From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of LDAC and Ara-U in Participants Receiving Glasdegib and LDAC at Phase 1B on Cycle 1/Day 2 and Cycle 1/Day 10 |
---|---|
Description | Ara-U is the major metabolite of cytarabine. LDAC (low dose cytarabine) is rapidly degraded to the stable metabolite Ara-U. Area under the plasma concentration-time profile from time 0 to the time of the last quantifiable concentration (AUClast) levels of both LDAC and Ara-U were reported. |
Time Frame | Pre-dose, 0.25, 0.5, 1, 2, 4 and 6 hours post-dose on Cycle 1/Day 2 and Cycle 1/Day 10 |
Outcome Measure Data
Analysis Population Description |
---|
PK parameter analysis set: all treated participants who had at least 1 of the PK parameters of interest for any of the study drugs. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + LDAC | Phase 1B: Glasdegib 200 mg + LDAC |
---|---|---|
Arm/Group Description | Participants received oral doses of glasdegib (PF-04449913) tablets 100 milligram (mg) starting on Day 3 of Cycle 1 for pharmacokinetic (PK) assessment purposes and thereafter once daily (QD) and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously twice daily (BID) on Days 1-10 of the 28-day cycles. | Participants received oral doses of glasdegib tablets 200 mg starting on Day 3 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28-day cycles. In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg. Participants who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) participants in this cohort had dose reduction to 100 mg starting from Cycle 2/Day 1 and Cycle 2/Day 16, respectively. |
Measure Participants | 17 | 6 |
LDAC Cycle 1/Day 2 |
62.55
(41)
|
87.49
(29)
|
LDAC Cycle 1/Day 10 |
65.56
(76)
|
134.8
(26)
|
Ara-U Cycle 1/Day 2 |
2036
(36)
|
3050
(29)
|
Ara-U Cycle 1/Day 10 |
2283
(43)
|
3528
(29)
|
Title | Cmax of Decitabine in Participants Receiving Glasdegib and Decitabine at Phase 1B on Cycle 1/Day 1 and Cycle 1/Day 2 |
---|---|
Description | |
Time Frame | Pre-dose, 0.5 hour from start of infusion, 1 hour (at end of infusion) and 2, 3 and 4 hours from start of infusion on Cycle 1/Day 1 and Cycle 1/Day 2 |
Outcome Measure Data
Analysis Population Description |
---|
PK concentration population: all treated participants who had at least 1 concentration of any of the study drugs. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + Decitabine | Phase 1B: Glasdegib 200 mg + Decitabine |
---|---|---|
Arm/Group Description | Participants received oral doses of glasdegib tablets 100 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an intravenous (IV) infusion over 1 hour on Days 1-5 of the 28-day cycles. | Participants received oral doses of glasdegib tablets 200 mg starting on Day 3 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28-day cycles. In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg. Participants who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) participants in this cohort had dose reduction to 100 mg starting from Cycle 2/Day 1 and Cycle 2/Day 16, respectively. |
Measure Participants | 4 | 3 |
Cycle 1/Day 1 |
113.4
(59)
|
174.2
(113)
|
Cycle 1/Day 2 |
127.9
(43)
|
121.7
(37)
|
Title | Tmax of Decitabine in Participants Receiving Glasdegib and Decitabine at Phase 1B on Cycle 1/Day 1 and Cycle 1/Day 2 |
---|---|
Description | |
Time Frame | Pre-dose, 0.5 hour from start of infusion, 1 hour (at end of infusion) and 2, 3 and 4 hours from start of infusion on Cycle 1/Day 1 and Cycle 1/Day 2 |
Outcome Measure Data
Analysis Population Description |
---|
PK parameter analysis set: all treated participants who had at least 1 of the PK parameters of interest for any of the study drugs. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + Decitabine | Phase 1B: Glasdegib 200 mg + Decitabine |
---|---|---|
Arm/Group Description | Participants received oral doses of glasdegib tablets 100 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an intravenous (IV) infusion over 1 hour on Days 1-5 of the 28-day cycles. | Participants received oral doses of glasdegib tablets 200 mg starting on Day 3 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28-day cycles. In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg. Participants who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) participants in this cohort had dose reduction to 100 mg starting from Cycle 2/Day 1 and Cycle 2/Day 16, respectively. |
Measure Participants | 4 | 3 |
Cycle 1/Day 1 |
0.75
|
0.53
|
Cycle 1/Day 2 |
0.58
|
0.53
|
Title | AUCinf of Decitabine in Participants Receiving Glasdegib and Decitabine at Phase 1B on Cycle 1/Day 1 and Cycle 1/Day 2 |
---|---|
Description | |
Time Frame | Pre-dose, 0.5 hour from start of infusion, 1 hour (at end of infusion) and 2, 3 and 4 hours from start of infusion on Cycle 1/Day 1 and Cycle 1/Day 2 |
Outcome Measure Data
Analysis Population Description |
---|
PK parameter analysis set: all treated participants who had at least 1 of the PK parameters of interest for any of the study drugs. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + Decitabine | Phase 1B: Glasdegib 200 mg + Decitabine |
---|---|---|
Arm/Group Description | Participants received oral doses of glasdegib tablets 100 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an intravenous (IV) infusion over 1 hour on Days 1-5 of the 28-day cycles. | Participants received oral doses of glasdegib tablets 200 mg starting on Day 3 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28-day cycles. In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg. Participants who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) participants in this cohort had dose reduction to 100 mg starting from Cycle 2/Day 1 and Cycle 2/Day 16, respectively. |
Measure Participants | 4 | 3 |
Cycle 1/Day 1 |
133.4
(71)
|
251.5
(140)
|
Cycle 1/Day 2 |
NA
(NA)
|
NA
(NA)
|
Title | AUCtau of Cytarabine and Ara-U in Participants Receiving Glasdegib and Cytarabine/Daunorubicin at Phase 1B on Induction Cycle 1/Day 3 |
---|---|
Description | Ara-U is the major metabolite of cytarabine. LDAC (low dose cytarabine) is rapidly degraded to the stable metabolite Ara-U, levels of both cytarabine and Ara-U were reported. |
Time Frame | Pre-dose, 6 and 24 hours post start of cytarabine infusion on Induction Cycle 1/Day 3 |
Outcome Measure Data
Analysis Population Description |
---|
PK parameter analysis set: all treated participants who had at least 1 of the PK parameters of interest for any of the study drugs. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 1B: Glasdegib 200 mg + Cytarabine/Daunorubicin |
---|---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 200 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days.In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg.One (1) participant in this cohort had dose reduction to 100 mg starting from Consolidation Cycle 1/Day 21. |
Measure Participants | 9 | 2 |
Cytarabine |
1070
(211)
|
NA
(NA)
|
Ara-U |
28420
(32)
|
NA
(NA)
|
Title | Cmax of Daunorubicin and Daunorubicinol in Participants Receiving Glasdegib and Cytarabine/Daunorubicin at Phase 1B on Induction Cycle 1/Day 3 |
---|---|
Description | Daunorubicinol is the major metabolite of daunorubicin, which has anti-neoplastic activity. Cmax values of daunorubicin and daunorubicinol are reported. |
Time Frame | Pre-dose, 0.25, 0.5, 1, 4, 6, 24 hours post administration of daunorubicin on Induction Cycle 1/Day 3 |
Outcome Measure Data
Analysis Population Description |
---|
PK concentration population: all treated participants who had at least 1 concentration of any of the study drugs. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 1B: Glasdegib 200 mg + Cytarabine/Daunorubicin |
---|---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 200 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days.In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg.One (1) participant in this cohort had dose reduction to 100 mg starting from Consolidation Cycle 1/Day 21. |
Measure Participants | 15 | 6 |
Daunorubicin |
275.3
(153)
|
341.0
(82)
|
Daunorubicinol |
195.4
(139)
|
233.4
(46)
|
Title | Tmax of Daunorubicin and Daunorubicinol in Participants Receiving Glasdegib and Cytarabine/Daunorubicin at Phase 1B on Induction Cycle 1/Day 3 |
---|---|
Description | Daunorubicinol is the major metabolite of daunorubicin, which has anti-neoplastic activity. Tmax values of daunorubicin and daunorubicinol are reported. |
Time Frame | Pre-dose, 0.25, 0.5, 1, 4, 6, 24 hours post administration of daunorubicin on Induction Cycle 1/Day 3 |
Outcome Measure Data
Analysis Population Description |
---|
PK parameter analysis set: all treated participants who had at least 1 of the PK parameters of interest for any of the study drugs. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 1B: Glasdegib 200 mg + Cytarabine/Daunorubicin |
---|---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 200 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days.In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg.One (1) participant in this cohort had dose reduction to 100 mg starting from Consolidation Cycle 1/Day 21. |
Measure Participants | 15 | 6 |
Daunorubicin |
0.500
|
0.492
|
Daunorubicinol |
1.00
|
0.642
|
Title | AUCtau of Daunorubicin and Daunorubicinol in Participants Receiving Glasdegib and Cytarabine/Daunorubicin at Phase 1B on Induction Cycle 1/Day 3 |
---|---|
Description | Daunorubicinol is the major metabolite of daunorubicin, which has anti-neoplastic activity. AUCtau values of daunorubicin and daunorubicinol are reported. |
Time Frame | Pre-dose, 0.25, 0.5, 1, 4, 6, 24 hours post administration of daunorubicin on Induction Cycle 1/Day 3 |
Outcome Measure Data
Analysis Population Description |
---|
PK parameter analysis set: all treated participants who had at least 1 of the PK parameters of interest for any of the study drugs. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 1B: Glasdegib 200 mg + Cytarabine/Daunorubicin |
---|---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 200 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days.In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg.One (1) participant in this cohort had dose reduction to 100 mg starting from Consolidation Cycle 1/Day 21. |
Measure Participants | 16 | 6 |
Daunorubicin |
499.3
(61)
|
424.9
(38)
|
Daunorubicinol |
2152
(24)
|
2712
(33)
|
Title | Pre-dose Plasma Concentration (Ctrough) of Glasdegib in Phase 2 Fit on Induction Cycle 1/Day 10 |
---|---|
Description | |
Time Frame | Pre-dose, 1 and 4 hours post-dose on Induction Cycle 1/Day 10 |
Outcome Measure Data
Analysis Population Description |
---|
Dose compliant, non CYP3A4 group: dose compliant group participants who did not have administration of any strong or moderate CYP3A4 inhibitors. |
Arm/Group Title | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin |
---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. |
Measure Participants | 42 |
Geometric Mean (Geometric Coefficient of Variation) [ng/mL] |
308.7
(74)
|
Title | Cmax of Glasdegib in Participants Receiving Glasdegib and LDAC at Phase 2 Unfit on Cycle 1/Day 10 |
---|---|
Description | |
Time Frame | Pre-dose, 1, 2, 4, and 6 hour post-dose on Cycle 1/Day 10 |
Outcome Measure Data
Analysis Population Description |
---|
Dose compliant, non CYP3A4 group: dose compliant group participants who did not have administration of any strong or moderate CYP3A4 inhibitors. |
Arm/Group Title | Phase 2 Unfit: Glasdegib 100 mg + LDAC |
---|---|
Arm/Group Description | Participants received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28 day cycles. |
Measure Participants | 41 |
Geometric Mean (Geometric Coefficient of Variation) [ng/mL] |
1252
(44)
|
Title | Tmax of Glasdegib in Participants Receiving Glasdegib and LDAC at Phase 2 Unfit on Cycle 1/Day 10 |
---|---|
Description | |
Time Frame | Pre-dose, 1, 2, 4, and 6 hour post-dose on Cycle 1/Day 10 |
Outcome Measure Data
Analysis Population Description |
---|
Dose compliant, non CYP3A4 group: dose compliant group participants who did not have administration of any strong or moderate CYP3A4 inhibitors. |
Arm/Group Title | Phase 2 Unfit: Glasdegib 100 mg + LDAC |
---|---|
Arm/Group Description | Participants received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28 day cycles. |
Measure Participants | 41 |
Median (Full Range) [Hours] |
1.67
|
Title | AUCtau of Glasdegib in Participants Receiving Glasdegib and LDAC at Phase 2 Unfit on Cycle 1/Day 10 |
---|---|
Description | |
Time Frame | Pre-dose, 1, 2, 4, and 6 hour post-dose on Cycle 1/Day 10 |
Outcome Measure Data
Analysis Population Description |
---|
Dose compliant, non CYP3A4 group: dose compliant group participants who did not have administration of any strong or moderate CYP3A4 inhibitors. |
Arm/Group Title | Phase 2 Unfit: Glasdegib 100 mg + LDAC |
---|---|
Arm/Group Description | Participants received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28 day cycles. |
Measure Participants | 37 |
Geometric Mean (Geometric Coefficient of Variation) [ng*hr/mL] |
17210
(54)
|
Title | Number of Participants With Disease-related Gene Mutations at Phase 1B |
---|---|
Description | Peripheral blood and bone marrow aspirate were collected for baseline mutational analyses. Genetic abnormalities frequently associated with AML were analyzed. These genetic abnormalities included known mutations in the genes NPM1, CEBPA, FLT3, RUNX1, IDH1, IDH2, KIT, K Ras, N Ras and WT1. Additional genes with mutations known to be associated with AML and MDS such as TET2 and DNMT3A were also evaluated. |
Time Frame | Baseline (Cycle 1/Day 1 pre-dose for Glasdegib + LDAC and Glasdegib + Decitabine Arms; Induction Cycle 1/Day -3 pre-dose for Glasdegib +Cytarabine/Daunorubicin Arm) |
Outcome Measure Data
Analysis Population Description |
---|
Pharmacodynamic (PD) analysis set: all enrolled participants in the Phase 1B portion who received at least 1 dose of glasdegib; responders and non-responders in each arm with at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 1B: Glasdegib + LDAC (Biomarker, Responder) | Phase 1B: Glasdegib + LDAC (Biomarker, Non-Responder) | Phase 1B: Glasdegib + Decitabine (Biomarker,Responder) | Phase 1B: Glasdegib + Decitabine (Biomaker,Non-Responder) | Phase 1B: Glasdegib + Cytarabine/Dauno (Biomarker, Responder) | Phase 1B: Glasdegib+Cytarabine/Dauno(Biomarker,Non-Responder) |
---|---|---|---|---|---|---|
Arm/Group Description | AML participants who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS participants who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). | AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. | AML participants who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS participants who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). | AML participants who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS participants who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. | AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). Dauno is short for daunorubicin. | AML participants who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS participants who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. Dauno is short for daunorubicin. |
Measure Participants | 0 | 9 | 0 | 1 | 11 | 1 |
CEBPA (CCAAT/enhancer-binding protein alpha) |
3
13%
|
0
0%
|
2
9.1%
|
0
0%
|
||
DNMT3A (DNA [cytosine-5]-methyltransferase 3A) |
2
8.7%
|
0
0%
|
0
0%
|
0
0%
|
||
FLT3 (Fms-like tyrosine kinase 3) |
1
4.3%
|
0
0%
|
2
9.1%
|
0
0%
|
||
FLT3-ITD (FLT3 internal tandem duplications) |
0
0%
|
0
0%
|
1
4.5%
|
0
0%
|
||
IDH1 (Isocitrate dehydrogenase 1) |
1
4.3%
|
0
0%
|
0
0%
|
0
0%
|
||
IDH2 (Isocitrate dehydrogenase 2) |
0
0%
|
0
0%
|
2
9.1%
|
0
0%
|
||
KIT(Tyrosine-protein kinase Kit) |
0
0%
|
1
14.3%
|
0
0%
|
0
0%
|
||
KRAS(Kirsten rat sarcoma 2 viral oncogene homolog) |
1
4.3%
|
0
0%
|
0
0%
|
0
0%
|
||
NPM1 (Nucleophosmin) |
0
0%
|
0
0%
|
4
18.2%
|
0
0%
|
||
NRAS(Neuroblastoma RAS viral oncogene homolog) |
5
21.7%
|
0
0%
|
1
4.5%
|
0
0%
|
||
RUNX1 (Runt related transcription factor 1) |
1
4.3%
|
0
0%
|
1
4.5%
|
0
0%
|
||
TET2 (Tet methylcytosine dioxygenase 2) |
3
13%
|
0
0%
|
1
4.5%
|
0
0%
|
||
WT1 (Wilm's tumour tumor suppressor gene1) |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Title | Serum Levels of Circulating Protein Analytes at Phase 1B - Baseline |
---|---|
Description | Serum levels were determined for 38 circulating proteins. Values showing statistically significant, ≥2-fold difference compared with baseline are reported here. |
Time Frame | Baseline (Induction Cycle 1/Day -3 pre-dose) |
Outcome Measure Data
Analysis Population Description |
---|
Pharmacodynamic (PD) analysis set: all enrolled participants in the Phase 1B portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 1B: Glasdegib + Cytarabine/Daunorubicin |
---|---|
Arm/Group Description | Included all participants who received oral glasdegib in combination with cytarabine/daunorubicin in phase 1B portion. |
Measure Participants | 22 |
MMP-3 (Matrix metalloproteinase-3) |
10200
|
IL-8 (Interleukin-8) |
10.7
|
BDNF (Brain-derived neurotrophic factor) |
1200
|
IL-5 (Interleukin-5) |
0.00
|
VEGF (Vascular endothelial growth factor) |
88.00
|
MCP-1 (Monocyte chemotactic protein-1) |
180.5
|
ITAC:Interferon-inducible T-cell α chemoattractant |
0.00
|
Title | Serum Levels of Circulating Protein Analytes at Phase 1B - Induction Cycle 1/Day 3 |
---|---|
Description | Serum levels were determined for 38 circulating proteins. Values showing statistically significant, ≥2-fold difference compared with baseline are reported here. Statistically significant, >=2-fold baseline difference was only seen for MMP-3 (Matrix metalloproteinase-3) at Induction Cycle 1/Day 3. |
Time Frame | Induction Cycle 1/Day 3, 1 Hour Post dose |
Outcome Measure Data
Analysis Population Description |
---|
Pharmacodynamic (PD) analysis set: all enrolled participants in the Phase 1B portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 1B: Glasdegib + Cytarabine/Daunorubicin |
---|---|
Arm/Group Description | Included all participants who received oral glasdegib in combination with cytarabine/daunorubicin in phase 1B portion. |
Measure Participants | 21 |
Median (Full Range) [pg/mL] |
20000
|
Title | Serum Levels of Circulating Protein Analytes at Phase 1B - Induction Cycle 1/Day 10 |
---|---|
Description | Serum levels were determined for 38 circulating proteins. Values showing statistically significant, ≥2-fold difference compared with baseline are reported here. |
Time Frame | Induction Cycle 1/Day 10, 1 Hour Post dose |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in the Phase 1B portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 1B: Glasdegib + Cytarabine/Daunorubicin |
---|---|
Arm/Group Description | Included all participants who received oral glasdegib in combination with cytarabine/daunorubicin in phase 1B portion. |
Measure Participants | 21 |
IL-8 |
37.00
|
BDNF |
200
|
IL-5 |
99.00
|
VEGF |
51.00
|
MCP-1 |
684.00
|
ITAC |
0.00
|
Title | Baseline Levels of Serum Circulating Protein Analytes Associated With Best Overall Response at Phase 1B |
---|---|
Description | Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. The data of analytes for which the serum level showed statistically significant correlation with clinical response in Arm C are reported. Baseline levels statistically associated with best overall response was only seen in SDF-1 (stromal cell-derived factor 1) in glasdegib+cytarabine/daunorubicin arm. |
Time Frame | Baseline (Cycle 1/Day 1 pre-dose for Glasdegib + LDAC and Glasdegib + Decitabine Arms; Induction Cycle 1/Day -3 pre-dose for Glasdegib +Cytarabine/Daunorubicin Arm) |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in the Phase 1B portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 1B: Glasdegib + Cytarabine/Dauno (Biomarker, Responder) | Phase 1B: Glasdegib+Cytarabine/Dauno(Biomarker,Non-Responder) |
---|---|---|
Arm/Group Description | AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). Dauno is short for daunorubicin. | AML participants who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS participants who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. Dauno is short for daunorubicin. |
Measure Participants | 14 | 8 |
Median (Full Range) [pg/mL] |
2275.00
|
3275.00
|
Title | Post-baseline Levels of Serum Circulating Protein Analytes Associated With Best Overall Response at Phase 1B - Induction Cycle 1/Lead-In |
---|---|
Description | Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. The data of analytes for which the serum level showed statistically significant correlation with clinical response are reported. Post-baseline levels statistically significant associated with best overall response was only seen for MMP-3 (Matrix metalloproteinase-3) at Induction Cycle 1/Lead-in. |
Time Frame | Induction Cycle 1/Lead-in, 1 Hour Post dose |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in the Phase 1B portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 1B: Glasdegib + Cytarabine/Dauno (Biomarker, Responder) | Phase 1B: Glasdegib+Cytarabine/Dauno(Biomarker,Non-Responder) |
---|---|---|
Arm/Group Description | AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). Dauno is short for daunorubicin. | AML participants who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS participants who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. Dauno is short for daunorubicin. |
Measure Participants | 14 | 8 |
Median (Full Range) [ng/mL] |
8.90
|
10.50
|
Title | Post-baseline Levels of Serum Circulating Protein Analytes Associated With Best Overall Response at Phase 1B - Induction Cycle 1/Day 3 |
---|---|
Description | Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. The data of analytes for which the serum level showed statistically significant correlation with clinical response are reported. Post-baseline levels statistically significant associated with best overall response was only seen for SDF-1 (Stromal cell-derived factor 1) at Induction Cycle 1/Day 3. |
Time Frame | Induction Cycle 1/Day 3, 1 Hour Post dose |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in the Phase 1B portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 1B: Glasdegib + Cytarabine/Dauno (Biomarker, Responder) | Phase 1B: Glasdegib+Cytarabine/Dauno(Biomarker,Non-Responder) |
---|---|---|
Arm/Group Description | AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). Dauno is short for daunorubicin. | AML participants who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS participants who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. Dauno is short for daunorubicin. |
Measure Participants | 13 | 8 |
Median (Full Range) [pg/mL] |
2510.00
|
3260.00
|
Title | Number of Participants With Disease-related Gene Mutations at Phase 2 Fit and Unfit |
---|---|
Description | Peripheral blood and bone marrow aspirate were collected for baseline mutational analyses. Genetic abnormalities frequently associated with AML were analyzed. These genetic abnormalities included known mutations in the genes NPM1, CEBPA, FLT3, RUNX1, IDH1, IDH2, KIT, K Ras, N Ras and WT1. Additional genes with mutations known to be associated with AML and MDS such as TET2 and DNMT3A were also evaluated. |
Time Frame | Baseline (Induction Cycle 1/Day -3 pre-dose for Phase 2 Fit; Cycle 1/Day 1 pre-dose for Phase 2 Unfit) |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in the Phase 2 Fit and Unfit portion who received at least 1 dose of glasdegib; responders and non-responders in each arm with at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Fit (Biomarker, Responder) | Phase 2 Fit (Biomarker,Non-Responder) | Phase 2 Unfit: Glasdegib 100 mg + LDAC (Biomarker, Responder) | Phase 2 Unfit: Glasdegib 100 mg+LDAC(Biomarker, Non-Responder) | Phase 2 Unfit: LDAC Alone (Biomarker, Responder) | Phase 2 Unfit: LDAC Alone (Biomarker, Non-Responder) |
---|---|---|---|---|---|---|
Arm/Group Description | AML participants who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS participants who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). | AML participants who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS participants who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. | AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). | AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. | AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). | AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. |
Measure Participants | 32 | 18 | 21 | 40 | 1 | 26 |
CEBPA |
6
26.1%
|
3
42.9%
|
3
13.6%
|
5
7%
|
0
0%
|
3
6.8%
|
DNMT3A |
12
52.2%
|
6
85.7%
|
2
9.1%
|
13
18.3%
|
0
0%
|
6
13.6%
|
FLT3 |
3
13%
|
2
28.6%
|
1
4.5%
|
4
5.6%
|
0
0%
|
0
0%
|
FLT3-ITD |
2
8.7%
|
1
14.3%
|
1
4.5%
|
2
2.8%
|
0
0%
|
2
4.5%
|
IDH1 |
2
8.7%
|
1
14.3%
|
5
22.7%
|
5
7%
|
0
0%
|
2
4.5%
|
IDH2 |
5
21.7%
|
4
57.1%
|
2
9.1%
|
10
14.1%
|
0
0%
|
5
11.4%
|
KIT |
2
8.7%
|
1
14.3%
|
1
4.5%
|
2
2.8%
|
0
0%
|
1
2.3%
|
KRAS |
0
0%
|
1
14.3%
|
0
0%
|
2
2.8%
|
0
0%
|
2
4.5%
|
NPM1 |
12
52.2%
|
3
42.9%
|
2
9.1%
|
3
4.2%
|
0
0%
|
1
2.3%
|
NRAS |
5
21.7%
|
1
14.3%
|
1
4.5%
|
4
5.6%
|
0
0%
|
3
6.8%
|
RUNX1 |
7
30.4%
|
7
100%
|
10
45.5%
|
18
25.4%
|
0
0%
|
7
15.9%
|
TET2 |
7
30.4%
|
5
71.4%
|
7
31.8%
|
8
11.3%
|
1
1.1%
|
8
18.2%
|
WT1 |
0
0%
|
1
14.3%
|
1
4.5%
|
2
2.8%
|
0
0%
|
1
2.3%
|
Title | Serum Levels of Circulating Protein Analytes at Phase 2 Fit - Induction Cycle 1/Day 3 |
---|---|
Description | Serum levels were determined for 38 circulating proteins. Selected values showing statistically significant difference compared with baseline are reported here. |
Time Frame | Induction Cycle 1/Day 3, 1 Hour Post dose |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin |
---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. |
Measure Participants | 57 |
Factor VII(activated blood coagulation factor VII) |
318000
|
BDNF |
700
|
MMP-3 |
21000
|
IL-8 |
28.00
|
ITAC |
14.00
|
Title | Serum Levels of Circulating Protein Analytes at Phase 2 Fit - Induction Cycle 1/Day 10 |
---|---|
Description | Serum levels were determined for 38 circulating proteins. Selected values showing statistically significant difference compared with baseline are reported here. |
Time Frame | Induction Cycle 1/Day 10, 1 Hour Post dose |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin |
---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. |
Measure Participants | 62 |
IL-1β (Interleukin-1β) |
8.50
|
IL-6 |
17.00
|
Factor VII |
292500
|
BDNF |
300
|
VEGF |
69.00
|
MCP-1 |
594.00
|
MMP-3 |
12000
|
IL-8 |
55.00
|
IL-5 |
85.00
|
ITAC |
0.00
|
Title | Serum Levels of Circulating Protein Analytes at Phase 2 Fit - Consolidation Cycle 1/Day 1 |
---|---|
Description | Serum levels were determined for 38 circulating proteins. Selected values showing statistically significant difference compared with baseline are reported here. |
Time Frame | Consolidation Cycle 1/Day 1, 1 Hour Post dose |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin |
---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. |
Measure Participants | 24 |
MIP-1β (Macrophage Inflammatory Protein-1β) |
226.00
|
BDNF |
7000
|
VEGF |
232.50
|
IL-8 |
9.90
|
ITAC |
41.50
|
Title | Serum Levels of Circulating Protein Analytes at Phase 2 Fit - Consolidation Cycle 1/Day 10 |
---|---|
Description | Serum levels were determined for 38 circulating proteins. Selected values showing statistically significant difference compared with baseline are reported here. |
Time Frame | Consolidation Cycle 1/Day 10, Pre-dose |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin |
---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. |
Measure Participants | 20 |
MIP-1β |
239.50
|
MCP-1 |
581.00
|
MMP-3 |
12000
|
IL-8 |
11.00
|
ITAC |
4.10
|
Title | Serum Levels of Circulating Protein Analytes at Phase 2 Fit - End of Treatment |
---|---|
Description | Serum levels were determined for 38 circulating proteins. Selected values showing statistically significant difference compared with baseline are reported here. |
Time Frame | End of Treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, participant refusal or unacceptable toxicity occurred, whichever came first, an average of 1 year) |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin |
---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. |
Measure Participants | 42 |
MIP-1β |
338.00
|
VEGF |
133.00
|
MCP-1 |
277.00
|
Title | Baseline Levels of Serum Circulating Protein Analytes Associated With Best Overall Response at Phase 2 Fit |
---|---|
Description | Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. Selected data of analyte for which the serum level showed statistically significant correlation with clinical response are reported. |
Time Frame | Baseline (Induction Cycle 1/Day -3 pre-dose) |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Fit (Biomarker, Responder) | Phase 2 Fit (Biomarker, Non-Responder) |
---|---|---|
Arm/Group Description | AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). | AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. |
Measure Participants | 43 | 22 |
Median (Full Range) [pg/mL] |
323.00
|
362.00
|
Title | Post-baseline Levels of Serum Circulating Protein Analytes Associated With Best Overall Response at Phase 2 Fit - Induction Cycle 1/Day 3 |
---|---|
Description | Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. Selected data of analyte for which the serum level showed statistically significant correlation with clinical response are reported. |
Time Frame | Induction Cycle 1/Day 3, 1 Hour Post dose |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Fit (Biomarker, Responder) | Phase 2 Fit (Biomarker, Non-Responder) |
---|---|---|
Arm/Group Description | AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). | AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. |
Measure Participants | 37 | 20 |
Mean (Full Range) [pg/mL] |
3.20
|
10.90
|
Title | Post-baseline Levels of Serum Circulating Protein Analytes Associated With Best Overall Response at Phase 2 Fit - Induction Cycle 1/Day 10 |
---|---|
Description | Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. Selected data of analyte for which the serum level showed statistically significant correlation with clinical response are reported. |
Time Frame | Induction Cycle 1/Day 10, 1 Hour Post dose |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Fit (Biomarker, Responder) | Phase 2 Fit (Biomarker, Non-Responder) |
---|---|---|
Arm/Group Description | AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). | AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. |
Measure Participants | 42 | 20 |
Mean (Full Range) [pg/mL] |
1.20
|
6.60
|
Title | Post-baseline Levels of Serum Circulating Protein Analytes Associated With Best Overall Response at Phase 2 Fit - End of Treatment |
---|---|
Description | Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. Selected data of analytes for which the serum level showed statistically significant correlation with clinical response are reported. |
Time Frame | End of Treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, participant refusal or unacceptable toxicity occurred, whichever came first, an average of 1 year) |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Fit (Biomarker, Responder) | Phase 2 Fit (Biomarker, Non-Responder) |
---|---|---|
Arm/Group Description | AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). | AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. |
Measure Participants | 27 | 15 |
IL-1β |
9.70
|
6.70
|
IL-15 (Interleukin-15) |
700
|
600
|
Title | Serum Levels of Circulating Protein Analytes at Phase 2 Unfit - Cycle 1/Day 1 |
---|---|
Description | Serum levels were determined for 38 circulating proteins. Selected value showing statistically significant difference compared with baseline is reported here. |
Time Frame | Cycle 1/Day 1, 1 Hour Post dose |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in the Phase 2 Unfit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Unfit: Glasdegib 100 mg + LDAC |
---|---|
Arm/Group Description | Participants received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28 day cycles. |
Measure Participants | 18 |
Median (Full Range) [pg/mL] |
483.00
|
Title | Serum Levels of Circulating Protein Analytes at Phase 2 Unfit - Cycle 1/Day 10 |
---|---|
Description | Serum levels were determined for 38 circulating proteins. Selected values showing statistically significant differences compared with baseline are reported here. ITAC (Interferon-inducible T-cell α chemoattractant) level in LDAC alone arm at Cycle 1/Day 10 exhibited non-significant change from baseline but similar trends as in Glasdegib 100 mg+LDAC arm. |
Time Frame | Cycle 1/Day 10, Pre-dose |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in the Phase 2 Unfit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Unfit: Glasdegib 100 mg + LDAC | Phase 2 Unfit: LDAC Alone |
---|---|---|
Arm/Group Description | Participants received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28 day cycles. | Participants received LDAC subcutaneously at a dose of 20 mg BID on Days 1-10 of the 28 day cycles. |
Measure Participants | 66 | 24 |
BDNF |
500
|
200
|
ITAC |
7.5
|
0.00
|
Title | Baseline Levels of Serum Circulating Protein Analytes Associated With Best Overall Response at Phase 2 Unfit |
---|---|
Description | Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. The data of analytes for which the serum level showed statistically significant correlation with clinical response are reported. |
Time Frame | Baseline (Cycle 1/Day 1 pre-dose) |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in the Phase 2 Unfit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Unfit: Glasdegib 100 mg + LDAC (Biomarker, Responder) | Phase 2 Unfit: Glasdegib 100 mg+LDAC(Biomarker, Non-Responder) |
---|---|---|
Arm/Group Description | AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). | AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. |
Measure Participants | 28 | 44 |
BDNF |
2000
|
900
|
ICAM-1 (Intercellular cell adhesion molecule-1) |
128000
|
161000
|
6CKINE |
223.50
|
318.00
|
BAFF (B-cell activating factor) |
704.50
|
1295.00
|
MIP-3β |
275.00
|
414.50
|
Eotaxin-1 (C-C motif chemokine 11) |
169.00
|
0.00
|
Title | Post-baseline Levels of Serum Circulating Protein Analytes Associated With Best Overall Response at Phase 2 Unfit - Cycle 1/Day 1 |
---|---|
Description | Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. Selected data of analytes for which the serum level showed statistically significant correlation with clinical response are reported. |
Time Frame | Cycle 1/Day 1, 1 Hour Post-dose |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in the Phase 2 Unfit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Unfit: Glasdegib 100 mg + LDAC (Biomarker, Responder) | Phase 2 Unfit: Glasdegib 100 mg+LDAC(Biomarker, Non-Responder) |
---|---|---|
Arm/Group Description | AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). | AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. |
Measure Participants | 6 | 12 |
Factor VII:activated blood coagulation factor VII |
311500
|
234500
|
IL-6 (Interleukin-6) |
0.00
|
6.80
|
Title | Post-baseline Levels of Serum Circulating Protein Analytes Associated With Best Overall Response at Phase 2 Unfit - End of Treatment |
---|---|
Description | Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. Selected data of analyte for which the serum level showed statistically significant correlation with clinical response are reported. |
Time Frame | End of Treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, participant refusal or unacceptable toxicity occurred, whichever came first, an average of 1 year) |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in the Phase 2 Unfit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Unfit: Glasdegib 100 mg + LDAC (Biomarker, Responder) | Phase 2 Unfit: Glasdegib 100 mg+LDAC(Biomarker, Non-Responder) |
---|---|---|
Arm/Group Description | AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). | AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. |
Measure Participants | 17 | 18 |
Median (Full Range) [pg/mL] |
0.00
|
9.40
|
Title | Ratios of mRNA Levels to Baseline at Phase 2 Fit - Induction Cycle 1/Day 3 |
---|---|
Description | Whole blood mRNA analyses were performed on 21 mRNA candidates. Values showing statistically significant, ≥2-fold differences compared with baseline are reported here. CDKN1A: cyclin-dependent kinase inhibitor 1A; SMO: mRNA encoding the glasdegib target Smoothened; PTCH2: Patched 2; MYCN: Neuroblastoma Myc oncogene. |
Time Frame | Baseline (Induction Cycle 1/Day -3 pre-dose); Induction Cycle 1/Day 3, 1 Hour Post dose |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in Phase 2 Fit who received at least 1 dose of glasdegib, had at least 1 PD parameter with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin |
---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. |
Measure Participants | 62 |
CDKN1A |
2.40
|
SMO |
4.80
|
PTCH2 |
0.60
|
MYCN |
0.20
|
Title | Ratios of mRNA Levels to Baseline at Phase 2 Fit - End of Treatment |
---|---|
Description | Whole blood mRNA analyses were performed on 21 mRNA candidates. Selected values showing statistically significant differences compared with baseline are reported here. CCND2:G1/S-Specific Cyclin D2; MSI2: Musashi RNA Binding Protein 2; PTCH2: Patched 2. |
Time Frame | Baseline (Induction Cycle 1/Day -3 pre-dose); End of Treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, participant refusal or unacceptable toxicity occurred, whichever came first, an average of 1 year) |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in Phase 2 Fit who received at least 1 dose of glasdegib, had at least 1 PD parameter with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin |
---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. |
Measure Participants | 62 |
CCND2 |
0.80
|
MSI2 |
0.80
|
PTCH2 |
0.70
|
Title | Ratios of mRNA Levels to Baseline at Phase 2 Unfit - End of Treatment |
---|---|
Description | Whole blood mRNA analyses were performed on 21 mRNA candidates. Only the analytes showing statistically significant change from baseline are reported here. |
Time Frame | Baseline (Cycle 1/Day 1 pre-dose); End of Treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, participant refusal or unacceptable toxicity occurred, whichever came first, an average of 1 year) |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set:all enrolled participants in Phase 2 Unfit who received at least 1 dose of glasdegib, had at least 1 PD parameter with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Unfit: Glasdegib 100 mg + LDAC |
---|---|
Arm/Group Description | Participants received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28 day cycles. |
Measure Participants | 47 |
CCND2 |
0.70
|
SMO |
0.40
|
CCND1 |
0.40
|
Title | Baseline mRNA Levels Associated With Best Overall Response at Phase 2 Fit |
---|---|
Description | Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. Whole blood mRNA analyses were performed on 21 mRNA candidates. Baseline mRNA level showing statistically significant correlation with clinical response are reported. Baseline mRNA levels statistically significant associated with best overall response was only seen for CCND2 (G1/S-Specific Cyclin D2). |
Time Frame | Baseline (Induction Cycle 1/Day -3 pre-dose) |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Fit (Biomarker, Responder) | Phase 2 Fit (Biomarker, Non-Responder) |
---|---|---|
Arm/Group Description | AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). | AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. |
Measure Participants | 39 | 22 |
Median (Full Range) [Normalized expression units] |
10.9
|
14.80
|
Title | Baseline mRNA Levels Associated With Best Overall Response at Phase 2 Unfit |
---|---|
Description | Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. Whole blood mRNA analyses were performed on 21 mRNA candidates. Baseline mRNA level showing statistically significant correlation with clinical response are reported. FOXM1: Forkhead box M1; PTCH1: Patched 1. |
Time Frame | Baseline (Cycle 1/Day 1 pre-dose) |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set:all enrolled participants in Phase 2 Unfit who received at least 1 dose of glasdegib, had at least 1 PD parameter with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Unfit: Glasdegib 100 mg + LDAC (Biomarker, Responder) | Phase 2 Unfit: Glasdegib 100 mg+LDAC(Biomarker, Non-Responder) |
---|---|---|
Arm/Group Description | AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). | AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. |
Measure Participants | 33 | 55 |
FOXM1 |
0.20
|
0.40
|
PTCH1 |
0.20
|
0.10
|
Title | Ratios of mRNA Levels to Baseline Associated With Best Overall Response at Phase 2 Fit |
---|---|
Description | Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. Whole blood mRNA analyses were performed on 21 mRNA candidates. Ratios of mRNA level to baseline showing statistically significant correlation with clinical response are reported. |
Time Frame | Baseline (Induction Cycle 1/Day -3 pre-dose); End of Treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, participant refusal or unacceptable toxicity occurred, whichever came first, an average of 1 year) |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in Phase 2 Fit who received at least 1 dose of glasdegib, had at least 1 PD parameter with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Fit (Biomarker, Responder) | Phase 2 Fit (Biomarker, Non-Responder) |
---|---|---|
Arm/Group Description | AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). | AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. |
Measure Participants | 45 | 26 |
CCNE1 |
0.60
|
1.10
|
MSI2 |
0.90
|
0.50
|
Title | Ratios of mRNA Levels Associated With Best Overall Response at Phase 2 Unfit |
---|---|
Description | Responders were AML participants who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS participants who achieved CR, mCR, PR or SD based on investigator-reported best overall response. Whole blood mRNA analyses were performed on 21 mRNA candidates. Ratios of mRNA level to baseline showing statistically significant correlation with clinical response are reported. Ratios of mRNA levels to baseline statistically significant associated with best overall response was only seen for MYCN (Neuroblastoma Myc oncogene) at Cycle 1/Day 1. |
Time Frame | Baseline (Cycle 1/Day 1 pre-dose); Cycle 1/Day 1, 1 Hour Post dose |
Outcome Measure Data
Analysis Population Description |
---|
PD analysis set: all enrolled participants in the Phase 2 Unfit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. |
Arm/Group Title | Phase 2 Unfit: Glasdegib 100 mg + LDAC (Biomarker, Responder) | Phase 2 Unfit: Glasdegib 100 mg+LDAC(Biomarker, Non-Responder) |
---|---|---|
Arm/Group Description | AML participants who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS participants who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). | AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. |
Measure Participants | 33 | 55 |
Median (Full Range) [ratio] |
1.60
|
0.50
|
Title | Number of Participants With Corrected QT Interval Using Fridericia's Formula (QTcF) Values Meeting Predefined Criteria at Phase 1B |
---|---|
Description | Maximum absolute values and increases from baseline were summarized for QTcF interval (time from the beginning of Q wave to the end of T wave corresponding to electrical systole corrected for heart rate using Fridericia's formula). Number of participants with QTcF meeting the following criteria is presented: QTcF interval:<450 msec; QTcF interval: 450 to <480 msec; QTcF interval: 480 to <500 msec; QTcF interval >=500 msec; QTcF interval increase from baseline: <30 msec; QTcF interval increase from baseline: 30 to <60 msec; QTcF interval increase from baseline >=60 msec. Arms in the time frame description are defined as: Arm A, Glasdegib +LDAC; Arm B, Glasdegib + Decitabine; Arm C, Glasdegib + Cytarabine/Daunorubicin. End of treatment in the time frame were defined as: maximum of 12 cycles from start of therapy or until disease progression or relapse, participant refusal or unacceptable toxicity occurred, whichever came first. |
Time Frame | 1 year |
Outcome Measure Data
Analysis Population Description |
---|
QTc analysis set: all participants enrolled in the study having at least 1 ECG assessment after receiving at least 1 dose of glasdegib. |
Arm/Group Title | Phase 1B: Glasdegib + LDAC | Phase 1B: Glasdegib + Decitabine | Phase 1B: Glasdegib + Cytarabine/Daunorubicin |
---|---|---|---|
Arm/Group Description | Included all participants who received oral glasdegib in combination with LDAC in phase 1B portion. | Included all participants who received oral glasdegib in combination with decitabine in phase 1B portion. | Included all participants who received oral glasdegib in combination with cytarabine/daunorubicin in phase 1B portion. |
Measure Participants | 21 | 7 | 22 |
QTcF interval increase < 30 msec |
16
69.6%
|
2
28.6%
|
14
63.6%
|
QTcF interval increase: 30 to < 60 msec |
5
21.7%
|
3
42.9%
|
6
27.3%
|
QTcF interval increase >= 60 msec |
0
0%
|
2
28.6%
|
2
9.1%
|
Maximum QTcF interval < 450 msec |
10
43.5%
|
4
57.1%
|
10
45.5%
|
Maximum QTcF interval: 450 to < 480 msec |
11
47.8%
|
2
28.6%
|
10
45.5%
|
Maximum QTcF interval: 480 to < 500 msec |
0
0%
|
0
0%
|
1
4.5%
|
Maximum QTcF interval >= 500 msec |
0
0%
|
1
14.3%
|
1
4.5%
|
Title | Number of Participants With Corrected QT Interval Using Fridericia's Formula (QTcF) Values Meeting Predefined Criteria at Phase 2 Fit and Unfit |
---|---|
Description | Maximum absolute values and increases from baseline were summarized for QTcF interval (time from the beginning of Q wave to the end of T wave corresponding to electrical systole corrected for heart rate using Fridericia's formula). Number of participants with QTcF meeting the following criteria is presented:QTcF interval:<450 msec; QTcF interval: 450 to <480 msec; QTcF interval: 480 to <500 msec; QTcF interval >=500 msec; QTcF interval increase from baseline: <30 msec; QTcF interval increase from baseline: 30 to <60 msec; QTcF interval increase from baseline >=60 msec. End of treatment in the time frame were defined as: maximum of 12 cycles from start of therapy or until disease progression or relapse, participant refusal or unacceptable toxicity occurred, whichever came first. |
Time Frame | 1 year |
Outcome Measure Data
Analysis Population Description |
---|
QTc analysis set: all participants enrolled in the study having at least 1 ECG assessment after receiving at least 1 dose of glasdegib. |
Arm/Group Title | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 2 Unfit: Glasdegib 100 mg + LDAC | Phase 2 Unfit: LDAC Alone |
---|---|---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | Participants received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28 day cycles. | Participants received LDAC subcutaneously at a dose of 20 mg BID on Days 1-10 of the 28 day cycles. |
Measure Participants | 68 | 83 | 17 |
QTcF interval increase < 30 msec |
41
178.3%
|
60
857.1%
|
12
54.5%
|
QTcF interval increase: 30 to < 60 msec |
21
91.3%
|
19
271.4%
|
4
18.2%
|
QTcF interval increase >= 60 msec |
6
26.1%
|
4
57.1%
|
1
4.5%
|
Maximum QTcF interval < 450 msec |
46
200%
|
46
657.1%
|
8
36.4%
|
Maximum QTcF interval: 450 to < 480 msec |
18
78.3%
|
29
414.3%
|
4
18.2%
|
Maximum QTcF interval: 480 to < 500 msec |
3
13%
|
3
42.9%
|
3
13.6%
|
Maximum QTcF interval >= 500 msec |
1
4.3%
|
5
71.4%
|
2
9.1%
|
Title | Number of Participants With Treatment-emergent Adverse Events (AEs) at Phase 1B (All Causality) |
---|---|
Description | An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event did not necessarily had a causal relationship with the treatment or usage. Treatment Emergent AEs were those with initial onset or increasing in severity after the first dose of study medication and occurred within 28 days post last dose. AEs were graded by the investigator according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 : Grade 1: mild AE; Grade 2: moderate AE; Grade 3: severe AE; Grade 4: life-threatening consequences, urgent intervention indicated; Grade 5: death related to AE. |
Time Frame | 4 years |
Outcome Measure Data
Analysis Population Description |
---|
Safety analysis set: all enrolled participants who received at least 1 dose of any of the study medications for each drug combination. |
Arm/Group Title | Phase 1B: Glasdegib + LDAC | Phase 1B: Glasdegib + Decitabine | Phase 1B: Glasdegib + Cytarabine/Daunorubicin |
---|---|---|---|
Arm/Group Description | Included all participants who received oral glasdegib in combination with LDAC in phase 1B portion. | Included all participants who received oral glasdegib in combination with decitabine in phase 1B portion. | Included all participants who received oral glasdegib in combination with cytarabine/daunorubicin in phase 1B portion. |
Measure Participants | 23 | 7 | 22 |
Grade 1 AEs |
1
4.3%
|
1
14.3%
|
0
0%
|
Grade 2 AEs |
2
8.7%
|
0
0%
|
3
13.6%
|
Grade 3 AEs |
3
13%
|
1
14.3%
|
8
36.4%
|
Grade 4 AEs |
10
43.5%
|
4
57.1%
|
10
45.5%
|
Grade 5 AEs |
7
30.4%
|
1
14.3%
|
1
4.5%
|
Missing or unknown AEs |
0
0%
|
0
0%
|
0
0%
|
Title | Number of Participants With Treatment-emergent AEs at Phase 1B (Treatment-related) |
---|---|
Description | An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event did not necessarily had a causal relationship with the treatment or usage. Treatment Emergent AEs were those with initial onset or increasing in severity after the first dose of study medication and occurred within 28 days post last dose. Treatment-related AEs were AEs related to glasdegib and/or backbone chemotherapy. AEs were graded by the investigator according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 : Grade 1: mild AE; Grade 2: moderate AE; Grade 3: severe AE; Grade 4: life-threatening consequences, urgent intervention indicated; Grade 5: death related to AE. |
Time Frame | 4 years |
Outcome Measure Data
Analysis Population Description |
---|
Safety analysis set: all enrolled participants who received at least 1 dose of any of the study medications for each drug combination. |
Arm/Group Title | Phase 1B: Glasdegib + LDAC | Phase 1B: Glasdegib + Decitabine | Phase 1B: Glasdegib + Cytarabine/Daunorubicin |
---|---|---|---|
Arm/Group Description | Included all participants who received oral glasdegib in combination with LDAC in phase 1B portion. | Included all participants who received oral glasdegib in combination with decitabine in phase 1B portion. | Included all participants who received oral glasdegib in combination with cytarabine/daunorubicin in phase 1B portion. |
Measure Participants | 23 | 7 | 22 |
Grade 1 AEs |
3
13%
|
2
28.6%
|
2
9.1%
|
Grade 2 AEs |
2
8.7%
|
0
0%
|
7
31.8%
|
Grade 3 AEs |
7
30.4%
|
0
0%
|
3
13.6%
|
Grade 4 AEs |
6
26.1%
|
4
57.1%
|
10
45.5%
|
Grade 5 AEs |
3
13%
|
0
0%
|
0
0%
|
Missing or unknown AEs |
0
0%
|
0
0%
|
0
0%
|
Title | Number of Participants With Treatment-emergent AEs Categorized by Seriousness at Phase 1B |
---|---|
Description | An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event did not necessarily had a causal relationship with the treatment or usage. Treatment Emergent AEs were those with initial onset or increasing in severity after the first dose of study medication and occurred within 28 days post last dose. An serious adverse event (SAE) was any untoward medical occurrence at any dose that: resulted in death; was life threatening (immediate risk of death); required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); resulted in congenital anomaly/birth defect. |
Time Frame | 4 years |
Outcome Measure Data
Analysis Population Description |
---|
Safety analysis set: all enrolled participants who received at least 1 dose of any of the study medications for each drug combination. |
Arm/Group Title | Phase 1B: Glasdegib 100 mg + LDAC | Phase 1B: Glasdegib 200 mg + LDAC | Phase 1B: Glasdegib 100 mg + Decitabine | Phase 1B: Glasdegib 200 mg + Decitabine | Phase 1B: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 1B: Glasdegib 200 mg + Cytarabine/Daunorubicin |
---|---|---|---|---|---|---|
Arm/Group Description | Participants received oral doses of glasdegib (PF-04449913) tablets 100 milligram (mg) starting on Day 3 of Cycle 1 for pharmacokinetic (PK) assessment purposes and thereafter once daily (QD) and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously twice daily (BID) on Days 1-10 of the 28-day cycles. | Participants received oral doses of glasdegib tablets 200 mg starting on Day 3 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28-day cycles. In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg. Participants who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) participants in this cohort had dose reduction to 100 mg starting from Cycle 2/Day 1 and Cycle 2/Day 16, respectively. | Participants received oral doses of glasdegib tablets 100 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an intravenous (IV) infusion over 1 hour on Days 1-5 of the 28-day cycles. | Participants received oral doses of glasdegib tablets 200 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an IV infusion over 1 hour on Days 1-5 of the 28-day cycles.In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg. Participants who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) participants in this cohort had dose reduction to 100 mg starting from Cycle 1/Day 24 and Cycle 5/Day 1, respectively. | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 200 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days.In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg.One (1) participant in this cohort had dose reduction to 100 mg starting from Consolidation Cycle 1/Day 21. |
Measure Participants | 17 | 6 | 4 | 3 | 16 | 6 |
AEs |
17
73.9%
|
6
85.7%
|
4
18.2%
|
3
4.2%
|
16
18.2%
|
6
13.6%
|
SAEs |
13
56.5%
|
5
71.4%
|
4
18.2%
|
2
2.8%
|
10
11.4%
|
3
6.8%
|
Title | Number of Participants With Treatment-emergent AEs at Phase 2 Fit and Unfit (All Causality) |
---|---|
Description | An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event did not necessarily had a causal relationship with the treatment or usage. Treatment Emergent AEs were those with initial onset or increasing in severity after the first dose of study medication and occurred within 28 days post last dose. AEs were graded by the investigator according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 : Grade 1: mild AE; Grade 2: moderate AE; Grade 3: severe AE; Grade 4: life-threatening consequences, urgent intervention indicated; Grade 5: death related to AE. |
Time Frame | 4 years |
Outcome Measure Data
Analysis Population Description |
---|
Safety analysis set: all enrolled participants who received at least 1 dose of any of the study medications for each drug combination. |
Arm/Group Title | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 2 Unfit: Glasdegib 100 mg + LDAC | Phase 2 Unfit: LDAC Alone |
---|---|---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | Participants received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28 day cycles. | Participants received LDAC subcutaneously at a dose of 20 mg BID on Days 1-10 of the 28 day cycles. |
Measure Participants | 69 | 84 | 41 |
Grade 1 AEs |
0
0%
|
2
28.6%
|
0
0%
|
Grade 2 AEs |
1
4.3%
|
4
57.1%
|
1
4.5%
|
Grade 3 AEs |
11
47.8%
|
15
214.3%
|
8
36.4%
|
Grade 4 AEs |
52
226.1%
|
39
557.1%
|
15
68.2%
|
Grade 5 AEs |
5
21.7%
|
24
342.9%
|
17
77.3%
|
Missing or unknown AEs |
0
0%
|
0
0%
|
0
0%
|
Title | Number of Participants With Treatment-emergent AEs at Phase 2 Fit and Unfit (Treatment-related) |
---|---|
Description | An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event did not necessarily had a causal relationship with the treatment or usage. Treatment Emergent AEs were those with initial onset or increasing in severity after the first dose of study medication and occurred within 28 days post last dose. Treatment-related AEs were AEs related to glasdegib and/or backbone chemotherapy. AEs were graded by the investigator according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 : Grade 1: mild AE; Grade 2: moderate AE; Grade 3: severe AE; Grade 4: life-threatening consequences, urgent intervention indicated; Grade 5: death related to AE. |
Time Frame | 4 years |
Outcome Measure Data
Analysis Population Description |
---|
Safety analysis set: all enrolled participants who received at least 1 dose of any of the study medications for each drug combination. |
Arm/Group Title | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 2 Unfit: Glasdegib 100 mg + LDAC | Phase 2 Unfit: LDAC Alone |
---|---|---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | Participants received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28 day cycles. | Participants received LDAC subcutaneously at a dose of 20 mg BID on Days 1-10 of the 28 day cycles. |
Measure Participants | 69 | 84 | 41 |
Grade 1 AEs |
0
0%
|
4
57.1%
|
4
18.2%
|
Grade 2 AEs |
4
17.4%
|
9
128.6%
|
6
27.3%
|
Grade 3 AEs |
15
65.2%
|
20
285.7%
|
3
13.6%
|
Grade 4 AEs |
46
200%
|
34
485.7%
|
10
45.5%
|
Grade 5 AEs |
1
4.3%
|
1
14.3%
|
1
4.5%
|
Missing or unknown AEs |
0
0%
|
0
0%
|
0
0%
|
Title | Number of Participants With Treatment-emergent AEs Categorized by Seriousness at Phase 2 Fit and Unfit |
---|---|
Description | An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event did not necessarily had a causal relationship with the treatment or usage. Treatment Emergent AEs were those with initial onset or increasing in severity after the first dose of study medication and occurred within 28 days post last dose. An serious adverse event (SAE) was any untoward medical occurrence at any dose that: resulted in death; was life threatening (immediate risk of death); required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); resulted in congenital anomaly/birth defect. |
Time Frame | 4 years |
Outcome Measure Data
Analysis Population Description |
---|
Safety analysis set: all enrolled participants who received at least 1 dose of any of the study medications for each drug combination. |
Arm/Group Title | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 2 Unfit: Glasdegib 100 mg + LDAC | Phase 2 Unfit: LDAC Alone |
---|---|---|---|
Arm/Group Description | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | Participants received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28 day cycles. | Participants received LDAC subcutaneously at a dose of 20 mg BID on Days 1-10 of the 28 day cycles. |
Measure Participants | 69 | 84 | 41 |
AEs |
69
300%
|
84
1200%
|
41
186.4%
|
SAEs |
35
152.2%
|
68
971.4%
|
32
145.5%
|
Adverse Events
Time Frame | 4 years | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Adverse Event Reporting Description | The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study. All-cause mortality reflects the number of deaths from start of treatment to and including 28 days after last dose. Safety analysis set was evaluated. | |||||||||||||||||
Arm/Group Title | Phase 1B: Glasdegib 100 mg + LDAC | Phase 1B: Glasdegib 200 mg + LDAC | Phase 1B: Glasdegib 100 mg + Decitabine | Phase 1B: Glasdegib 200 mg + Decitabine | Phase 1B: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 1B: Glasdegib 200 mg + Cytarabine/Daunorubicin | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 2 Unfit: Glasdegib 100 mg + LDAC | Phase 2 Unfit: LDAC Alone | |||||||||
Arm/Group Description | Participants received oral doses of glasdegib (PF-04449913) tablets 100 milligram (mg) starting on Day 3 of Cycle 1 for pharmacokinetic (PK) assessment purposes and thereafter once daily (QD) and continuously for 28-day cycles (starting on Day 1 for all other cycles). Low dose Ara-C (LDAC) was given at a dose of 20 mg subcutaneously twice daily (BID) on Days 1-10 of the 28-day cycles. | Participants received oral doses of glasdegib tablets 200 mg starting on Day 3 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28-day cycles. In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg. Participants who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) participants in this cohort had dose reduction to 100 mg starting from Cycle 2/Day 1 and Cycle 2/Day 16, respectively. | Participants received oral doses of glasdegib tablets 100 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an intravenous (IV) infusion over 1 hour on Days 1-5 of the 28-day cycles. | Participants received oral doses of glasdegib tablets 200 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an IV infusion over 1 hour on Days 1-5 of the 28-day cycles.In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg. Participants who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) participants in this cohort had dose reduction to 100 mg starting from Cycle 1/Day 24 and Cycle 5/Day 1, respectively. | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 200 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days.In March 2013, all active participants receiving glasdegib 200 mg were required to reduce dose to 100 mg.One (1) participant in this cohort had dose reduction to 100 mg starting from Consolidation Cycle 1/Day 21. | Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | Participants received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28-day cycles. | Participants received LDAC subcutaneously at a dose of 20 mg BID on Days 1-10 of the 28-day cycles. | |||||||||
All Cause Mortality |
||||||||||||||||||
Phase 1B: Glasdegib 100 mg + LDAC | Phase 1B: Glasdegib 200 mg + LDAC | Phase 1B: Glasdegib 100 mg + Decitabine | Phase 1B: Glasdegib 200 mg + Decitabine | Phase 1B: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 1B: Glasdegib 200 mg + Cytarabine/Daunorubicin | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 2 Unfit: Glasdegib 100 mg + LDAC | Phase 2 Unfit: LDAC Alone | ||||||||||
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 | 6/17 (35.3%) | 1/6 (16.7%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 5/69 (7.2%) | 26/84 (31%) | 17/41 (41.5%) | |||||||||
Serious Adverse Events |
||||||||||||||||||
Phase 1B: Glasdegib 100 mg + LDAC | Phase 1B: Glasdegib 200 mg + LDAC | Phase 1B: Glasdegib 100 mg + Decitabine | Phase 1B: Glasdegib 200 mg + Decitabine | Phase 1B: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 1B: Glasdegib 200 mg + Cytarabine/Daunorubicin | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 2 Unfit: Glasdegib 100 mg + LDAC | Phase 2 Unfit: LDAC Alone | ||||||||||
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 | 13/17 (76.5%) | 5/6 (83.3%) | 4/4 (100%) | 2/3 (66.7%) | 10/16 (62.5%) | 3/6 (50%) | 35/69 (50.7%) | 68/84 (81%) | 32/41 (78%) | |||||||||
Blood and lymphatic system disorders | ||||||||||||||||||
Febrile neutropenia | 3/17 (17.6%) | 3/6 (50%) | 0/4 (0%) | 1/3 (33.3%) | 1/16 (6.3%) | 1/6 (16.7%) | 14/69 (20.3%) | 24/84 (28.6%) | 7/41 (17.1%) | |||||||||
Neutropenia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 2/69 (2.9%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Pancytopenia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 0/84 (0%) | 2/41 (4.9%) | |||||||||
Anaemia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 6/84 (7.1%) | 0/41 (0%) | |||||||||
Disseminated intravascular coagulation | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 1/41 (2.4%) | |||||||||
Granulocytopenia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 1/41 (2.4%) | |||||||||
Leukocytosis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 1/41 (2.4%) | |||||||||
Lymphadenitis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Thrombocytosis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Cardiac disorders | ||||||||||||||||||
Acute myocardial infarction | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 0/84 (0%) | 1/41 (2.4%) | |||||||||
Cardiac failure congestive | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Angina pectoris | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Atrial fibrillation | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 1/41 (2.4%) | |||||||||
Cardiac arrest | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 2/84 (2.4%) | 0/41 (0%) | |||||||||
Cardiac failure | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 2/84 (2.4%) | 0/41 (0%) | |||||||||
Cardiogenic shock | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 1/41 (2.4%) | |||||||||
Myocardial infarction | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 2/84 (2.4%) | 1/41 (2.4%) | |||||||||
Tachyarrhythmia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Ventricular fibrillation | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Myocarditis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Tachycardia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Eye disorders | ||||||||||||||||||
Mydriasis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Gastrointestinal disorders | ||||||||||||||||||
Gastrointestinal haemorrhage | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 2/84 (2.4%) | 0/41 (0%) | |||||||||
Impaired gastric emptying | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Nausea | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 1/41 (2.4%) | |||||||||
Neutropenic colitis | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Vomiting | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 1/41 (2.4%) | |||||||||
Abdominal pain | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 2/69 (2.9%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Upper gastrointestinal haemorrhage | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Diarrhoea | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 0/84 (0%) | 1/41 (2.4%) | |||||||||
Colitis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Constipation | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Gastrooesophageal reflux disease | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Haematemesis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Lower gastrointestinal haemorrhage | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 1/41 (2.4%) | |||||||||
Pancreatitis acute | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Retroperitoneal haematoma | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
General disorders | ||||||||||||||||||
Disease progression | 3/17 (17.6%) | 1/6 (16.7%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 2/69 (2.9%) | 10/84 (11.9%) | 5/41 (12.2%) | |||||||||
Fatigue | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 3/84 (3.6%) | 0/41 (0%) | |||||||||
Multiple organ dysfunction syndrome | 1/17 (5.9%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Nodule | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Pyrexia | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 3/84 (3.6%) | 1/41 (2.4%) | |||||||||
Asthenia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 1/41 (2.4%) | |||||||||
Death | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
General physical health deterioration | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 1/41 (2.4%) | |||||||||
Mucosal inflammation | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Oedema | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Sudden death | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 2/84 (2.4%) | 0/41 (0%) | |||||||||
Hepatobiliary disorders | ||||||||||||||||||
Cholecystitis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 2/69 (2.9%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Infections and infestations | ||||||||||||||||||
Appendicitis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Bacteraemia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 2/69 (2.9%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Cellulitis | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Clostridium difficile infection | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Enterobacter sepsis | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Enterocolitis infectious | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 2/16 (12.5%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Lower respiratory tract infection bacterial | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Neutropenic sepsis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Pneumonia | 2/17 (11.8%) | 0/6 (0%) | 2/4 (50%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 4/69 (5.8%) | 19/84 (22.6%) | 7/41 (17.1%) | |||||||||
Sepsis | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 6/69 (8.7%) | 3/84 (3.6%) | 5/41 (12.2%) | |||||||||
Skin infection | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Staphylococcal bacteraemia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 1/69 (1.4%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Septic shock | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 2/84 (2.4%) | 1/41 (2.4%) | |||||||||
Abscess | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Aspergillus infection | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Clostridium difficile colitis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Cystitis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 1/41 (2.4%) | |||||||||
Device related infection | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Escherichia urinary tract infection | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Herpes zoster | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Infected dermal cyst | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Influenza | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 1/41 (2.4%) | |||||||||
Lung infection | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 1/41 (2.4%) | |||||||||
Otitis media chronic | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Pneumonia fungal | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Pseudomembranous colitis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 1/41 (2.4%) | |||||||||
Respiratory tract infection | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Septic encephalopathy | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Urogenital infection bacterial | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 1/41 (2.4%) | |||||||||
Adenovirus infection | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Arthritis bacterial | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Mycobacterium avium complex infection | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Pharyngitis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Pneumocystis jirovecii pneumonia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Pseudomonal sepsis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Tooth abscess | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Abdominal infection | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Clostridial sepsis | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Injury, poisoning and procedural complications | ||||||||||||||||||
Fall | 0/17 (0%) | 2/6 (33.3%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 2/84 (2.4%) | 0/41 (0%) | |||||||||
Skin abrasion | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Infusion related reaction | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Subdural haematoma | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 2/69 (2.9%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Femur fracture | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Subarachnoid haemorrhage | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Splenic rupture | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 1/41 (2.4%) | |||||||||
Thoracic vertebral fracture | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Investigations | ||||||||||||||||||
Lumbar puncture abnormal | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Alanine aminotransferase increased | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Aspartate aminotransferase increased | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Laboratory test abnormal | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 1/41 (2.4%) | |||||||||
Metabolism and nutrition disorders | ||||||||||||||||||
Dehydration | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Gout | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Hyperuricaemia | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Hyponatraemia | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 2/84 (2.4%) | 0/41 (0%) | |||||||||
Tumour lysis syndrome | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Decreased appetite | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Musculoskeletal and connective tissue disorders | ||||||||||||||||||
Arthralgia | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Myalgia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Back pain | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Muscle spasms | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Muscular weakness | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 2/84 (2.4%) | 0/41 (0%) | |||||||||
Neoplasms benign, malignant and unspecified (incl cysts and polyps) | ||||||||||||||||||
Squamous cell carcinoma of skin | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 1/41 (2.4%) | |||||||||
Nervous system disorders | ||||||||||||||||||
Autonomic nervous system imbalance | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Dizziness | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 1/3 (33.3%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Ischaemic stroke | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Neurotoxicity | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Polyneuropathy | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Subarachnoid haemorrhage | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Dyskinesia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Presyncope | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Syncope | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 4/84 (4.8%) | 0/41 (0%) | |||||||||
Cerebral haemorrhage | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Haemorrhage intracranial | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 3/84 (3.6%) | 1/41 (2.4%) | |||||||||
Peripheral sensorimotor neuropathy | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Transient ischaemic attack | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Cerebrovascular accident | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Psychiatric disorders | ||||||||||||||||||
Bipolar II disorder | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Mental status changes | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Confusional state | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Renal and urinary disorders | ||||||||||||||||||
Acute kidney injury | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 3/84 (3.6%) | 0/41 (0%) | |||||||||
Respiratory, thoracic and mediastinal disorders | ||||||||||||||||||
Acute respiratory distress syndrome | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Respiratory failure | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Pleuritic pain | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Pneumonitis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Cough | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 1/41 (2.4%) | |||||||||
Dyspnoea | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Pleural effusion | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 1/41 (2.4%) | |||||||||
Pulmonary embolism | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Respiratory arrest | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 1/41 (2.4%) | |||||||||
Respiratory distress | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Skin and subcutaneous tissue disorders | ||||||||||||||||||
Rash generalised | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Rash maculo-papular | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Rash | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Skin toxicity | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Vascular disorders | ||||||||||||||||||
Hypotension | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 1/69 (1.4%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Haemorrhage | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Hypertension | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 0/41 (0%) | |||||||||
Other (Not Including Serious) Adverse Events |
||||||||||||||||||
Phase 1B: Glasdegib 100 mg + LDAC | Phase 1B: Glasdegib 200 mg + LDAC | Phase 1B: Glasdegib 100 mg + Decitabine | Phase 1B: Glasdegib 200 mg + Decitabine | Phase 1B: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 1B: Glasdegib 200 mg + Cytarabine/Daunorubicin | Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin | Phase 2 Unfit: Glasdegib 100 mg + LDAC | Phase 2 Unfit: LDAC Alone | ||||||||||
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 | 16/17 (94.1%) | 6/6 (100%) | 4/4 (100%) | 3/3 (100%) | 16/16 (100%) | 6/6 (100%) | 69/69 (100%) | 82/84 (97.6%) | 39/41 (95.1%) | |||||||||
Blood and lymphatic system disorders | ||||||||||||||||||
Anaemia | 3/17 (17.6%) | 1/6 (16.7%) | 2/4 (50%) | 1/3 (33.3%) | 4/16 (25%) | 1/6 (16.7%) | 28/69 (40.6%) | 37/84 (44%) | 17/41 (41.5%) | |||||||||
Febrile neutropenia | 3/17 (17.6%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 8/16 (50%) | 2/6 (33.3%) | 38/69 (55.1%) | 8/84 (9.5%) | 4/41 (9.8%) | |||||||||
Leukocytosis | 1/17 (5.9%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 6/84 (7.1%) | 2/41 (4.9%) | |||||||||
Leukopenia | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 2/16 (12.5%) | 1/6 (16.7%) | 9/69 (13%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Lymphadenitis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Neutropenia | 7/17 (41.2%) | 0/6 (0%) | 2/4 (50%) | 2/3 (66.7%) | 4/16 (25%) | 1/6 (16.7%) | 15/69 (21.7%) | 13/84 (15.5%) | 8/41 (19.5%) | |||||||||
Spleen disorder | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Splenomegaly | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Thrombocytopenia | 6/17 (35.3%) | 1/6 (16.7%) | 2/4 (50%) | 1/3 (33.3%) | 3/16 (18.8%) | 2/6 (33.3%) | 23/69 (33.3%) | 26/84 (31%) | 11/41 (26.8%) | |||||||||
Lymphadenopathy | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 4/69 (5.8%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Cardiac disorders | ||||||||||||||||||
Angina pectoris | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Atrial fibrillation | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 5/69 (7.2%) | 7/84 (8.3%) | 1/41 (2.4%) | |||||||||
Diastolic dysfunction | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Palpitations | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 4/69 (5.8%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Sinus bradycardia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Sinus tachycardia | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 7/69 (10.1%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Tachycardia | 1/17 (5.9%) | 1/6 (16.7%) | 0/4 (0%) | 1/3 (33.3%) | 0/16 (0%) | 1/6 (16.7%) | 5/69 (7.2%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Ventricular tachycardia | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Pericardial effusion | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 4/69 (5.8%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Endocrine disorders | ||||||||||||||||||
Adrenal insufficiency | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Hypothyroidism | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Eye disorders | ||||||||||||||||||
Diplopia | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Eye haemorrhage | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Ocular hyperaemia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Photophobia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Scleral pigmentation | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Vision blurred | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 2/16 (12.5%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Gastrointestinal disorders | ||||||||||||||||||
Abdominal discomfort | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Abdominal distension | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 2/16 (12.5%) | 0/6 (0%) | 10/69 (14.5%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Abdominal pain | 4/17 (23.5%) | 0/6 (0%) | 1/4 (25%) | 1/3 (33.3%) | 6/16 (37.5%) | 0/6 (0%) | 20/69 (29%) | 15/84 (17.9%) | 4/41 (9.8%) | |||||||||
Abdominal pain upper | 2/17 (11.8%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 7/84 (8.3%) | 1/41 (2.4%) | |||||||||
Anal fissure | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Anal haemorrhage | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Angina bullosa haemorrhagica | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Ascites | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Constipation | 7/17 (41.2%) | 3/6 (50%) | 2/4 (50%) | 1/3 (33.3%) | 10/16 (62.5%) | 3/6 (50%) | 32/69 (46.4%) | 21/84 (25%) | 6/41 (14.6%) | |||||||||
Diarrhoea | 8/17 (47.1%) | 2/6 (33.3%) | 2/4 (50%) | 0/3 (0%) | 10/16 (62.5%) | 6/6 (100%) | 49/69 (71%) | 24/84 (28.6%) | 9/41 (22%) | |||||||||
Diverticulum | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Dry mouth | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 1/3 (33.3%) | 2/16 (12.5%) | 1/6 (16.7%) | 10/69 (14.5%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Dyspepsia | 0/17 (0%) | 0/6 (0%) | 2/4 (50%) | 0/3 (0%) | 4/16 (25%) | 1/6 (16.7%) | 12/69 (17.4%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Dysphagia | 1/17 (5.9%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Faeces discoloured | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 1/3 (33.3%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Flatulence | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 4/69 (5.8%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Gastritis | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Gastrooesophageal reflux disease | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 2/6 (33.3%) | 6/69 (8.7%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Gingival bleeding | 2/17 (11.8%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 1/6 (16.7%) | 4/69 (5.8%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Gingival pain | 0/17 (0%) | 1/6 (16.7%) | 1/4 (25%) | 0/3 (0%) | 2/16 (12.5%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Haematemesis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Haematochezia | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Haemorrhoidal haemorrhage | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 2/16 (12.5%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Haemorrhoids | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 4/16 (25%) | 2/6 (33.3%) | 5/69 (7.2%) | 7/84 (8.3%) | 0/41 (0%) | |||||||||
Hiatus hernia | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Megacolon | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Mouth haemorrhage | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 5/69 (7.2%) | 2/84 (2.4%) | 4/41 (9.8%) | |||||||||
Nausea | 6/17 (35.3%) | 4/6 (66.7%) | 4/4 (100%) | 1/3 (33.3%) | 14/16 (87.5%) | 3/6 (50%) | 40/69 (58%) | 30/84 (35.7%) | 5/41 (12.2%) | |||||||||
Oral disorder | 1/17 (5.9%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 2/16 (12.5%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Oral mucosal blistering | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Oral pain | 1/17 (5.9%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Pancreatitis | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Proctalgia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 2/16 (12.5%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Retching | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Stomatitis | 2/17 (11.8%) | 0/6 (0%) | 0/4 (0%) | 2/3 (66.7%) | 5/16 (31.3%) | 0/6 (0%) | 17/69 (24.6%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Tongue disorder | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Tooth loss | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Toothache | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 2/16 (12.5%) | 0/6 (0%) | 5/69 (7.2%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Vomiting | 1/17 (5.9%) | 2/6 (33.3%) | 1/4 (25%) | 1/3 (33.3%) | 5/16 (31.3%) | 4/6 (66.7%) | 25/69 (36.2%) | 18/84 (21.4%) | 4/41 (9.8%) | |||||||||
Mouth ulceration | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 3/41 (7.3%) | |||||||||
General disorders | ||||||||||||||||||
Asthenia | 3/17 (17.6%) | 1/6 (16.7%) | 1/4 (25%) | 2/3 (66.7%) | 1/16 (6.3%) | 0/6 (0%) | 8/69 (11.6%) | 10/84 (11.9%) | 8/41 (19.5%) | |||||||||
Catheter site pain | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Catheter site swelling | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Chest discomfort | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Chest pain | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 2/6 (33.3%) | 9/69 (13%) | 9/84 (10.7%) | 1/41 (2.4%) | |||||||||
Chills | 1/17 (5.9%) | 1/6 (16.7%) | 0/4 (0%) | 1/3 (33.3%) | 5/16 (31.3%) | 0/6 (0%) | 21/69 (30.4%) | 5/84 (6%) | 1/41 (2.4%) | |||||||||
Fatigue | 6/17 (35.3%) | 1/6 (16.7%) | 1/4 (25%) | 2/3 (66.7%) | 6/16 (37.5%) | 2/6 (33.3%) | 25/69 (36.2%) | 26/84 (31%) | 8/41 (19.5%) | |||||||||
Gait disturbance | 0/17 (0%) | 2/6 (33.3%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Generalised oedema | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Hernia | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Influenza like illness | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Injection site pain | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Localised oedema | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Mucosal inflammation | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 1/6 (16.7%) | 8/69 (11.6%) | 6/84 (7.1%) | 2/41 (4.9%) | |||||||||
Nodule | 2/17 (11.8%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Non-cardiac chest pain | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 3/16 (18.8%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Oedema | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 1/6 (16.7%) | 6/69 (8.7%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Oedema peripheral | 5/17 (29.4%) | 1/6 (16.7%) | 0/4 (0%) | 1/3 (33.3%) | 7/16 (43.8%) | 2/6 (33.3%) | 22/69 (31.9%) | 22/84 (26.2%) | 7/41 (17.1%) | |||||||||
Pain | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 3/16 (18.8%) | 0/6 (0%) | 6/69 (8.7%) | 4/84 (4.8%) | 3/41 (7.3%) | |||||||||
Performance status decreased | 2/17 (11.8%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Pyrexia | 5/17 (29.4%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 10/16 (62.5%) | 1/6 (16.7%) | 34/69 (49.3%) | 23/84 (27.4%) | 9/41 (22%) | |||||||||
Thirst | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Catheter site erythema | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 6/69 (8.7%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Catheter site haemorrhage | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 4/69 (5.8%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Hepatobiliary disorders | ||||||||||||||||||
Cholelithiasis | 1/17 (5.9%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Hyperbilirubinaemia | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 4/69 (5.8%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Immune system disorders | ||||||||||||||||||
Hypersensitivity | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Infections and infestations | ||||||||||||||||||
Arthritis bacterial | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Bacteraemia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Bronchiolitis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Candida infection | 1/17 (5.9%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Cellulitis | 1/17 (5.9%) | 1/6 (16.7%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Clostridium difficile colitis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Clostridium difficile infection | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 2/16 (12.5%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Device related infection | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Enterobacter bacteraemia | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Enterocolitis bacterial | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Enterocolitis infectious | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Folliculitis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Fungal infection | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Genital infection viral | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Nasopharyngitis | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Onychomycosis | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Otitis media | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Pneumonia | 1/17 (5.9%) | 1/6 (16.7%) | 1/4 (25%) | 0/3 (0%) | 2/16 (12.5%) | 1/6 (16.7%) | 6/69 (8.7%) | 9/84 (10.7%) | 3/41 (7.3%) | |||||||||
Pneumonia fungal | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 2/6 (33.3%) | 4/69 (5.8%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Pulmonary mycosis | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Sepsis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Skin infection | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Staphylococcal bacteraemia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Staphylococcal infection | 2/17 (11.8%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Subcutaneous abscess | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Upper respiratory tract infection | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Urinary tract infection | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 1/3 (33.3%) | 0/16 (0%) | 1/6 (16.7%) | 8/69 (11.6%) | 5/84 (6%) | 5/41 (12.2%) | |||||||||
Viral infection | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Oral herpes | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 3/84 (3.6%) | 3/41 (7.3%) | |||||||||
Injury, poisoning and procedural complications | ||||||||||||||||||
Contusion | 1/17 (5.9%) | 2/6 (33.3%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 6/69 (8.7%) | 5/84 (6%) | 2/41 (4.9%) | |||||||||
Fall | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 1/6 (16.7%) | 0/69 (0%) | 9/84 (10.7%) | 1/41 (2.4%) | |||||||||
Infusion related reaction | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Post procedural haemorrhage | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Procedural headache | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Skin abrasion | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Vascular access complication | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Investigations | ||||||||||||||||||
Alanine aminotransferase increased | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 4/16 (25%) | 1/6 (16.7%) | 21/69 (30.4%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Amylase increased | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Aspartate aminotransferase increased | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 2/16 (12.5%) | 1/6 (16.7%) | 17/69 (24.6%) | 6/84 (7.1%) | 1/41 (2.4%) | |||||||||
Blood alkaline phosphatase increased | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 1/6 (16.7%) | 13/69 (18.8%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Blood bilirubin increased | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 2/16 (12.5%) | 0/6 (0%) | 19/69 (27.5%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Blood creatinine increased | 2/17 (11.8%) | 2/6 (33.3%) | 1/4 (25%) | 1/3 (33.3%) | 0/16 (0%) | 1/6 (16.7%) | 14/69 (20.3%) | 9/84 (10.7%) | 3/41 (7.3%) | |||||||||
Blood fibrinogen decreased | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Blood uric acid increased | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Chest X-ray abnormal | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Eastern Cooperative Oncology Group performance status worsened | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Electrocardiogram QT prolonged | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 7/69 (10.1%) | 7/84 (8.3%) | 1/41 (2.4%) | |||||||||
International normalised ratio increased | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 2/16 (12.5%) | 0/6 (0%) | 7/69 (10.1%) | 3/84 (3.6%) | 5/41 (12.2%) | |||||||||
Karnofsky scale worsened | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Lipase increased | 0/17 (0%) | 1/6 (16.7%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Liver function test increased | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Lymphocyte count decreased | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 3/16 (18.8%) | 0/6 (0%) | 6/69 (8.7%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Neutrophil count decreased | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 12/69 (17.4%) | 11/84 (13.1%) | 1/41 (2.4%) | |||||||||
Platelet count decreased | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 2/16 (12.5%) | 0/6 (0%) | 18/69 (26.1%) | 14/84 (16.7%) | 4/41 (9.8%) | |||||||||
Weight decreased | 1/17 (5.9%) | 1/6 (16.7%) | 1/4 (25%) | 0/3 (0%) | 1/16 (6.3%) | 1/6 (16.7%) | 9/69 (13%) | 17/84 (20.2%) | 1/41 (2.4%) | |||||||||
White blood cell count decreased | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 4/16 (25%) | 0/6 (0%) | 20/69 (29%) | 13/84 (15.5%) | 2/41 (4.9%) | |||||||||
Activated partial thromboplastin time prolonged | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 5/69 (7.2%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Weight increased | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 4/69 (5.8%) | 0/84 (0%) | 0/41 (0%) | |||||||||
C-reactive protein increased | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 6/84 (7.1%) | 6/41 (14.6%) | |||||||||
Metabolism and nutrition disorders | ||||||||||||||||||
Decreased appetite | 1/17 (5.9%) | 2/6 (33.3%) | 1/4 (25%) | 2/3 (66.7%) | 2/16 (12.5%) | 2/6 (33.3%) | 26/69 (37.7%) | 29/84 (34.5%) | 5/41 (12.2%) | |||||||||
Dehydration | 1/17 (5.9%) | 1/6 (16.7%) | 1/4 (25%) | 0/3 (0%) | 2/16 (12.5%) | 0/6 (0%) | 6/69 (8.7%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Gout | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 5/84 (6%) | 2/41 (4.9%) | |||||||||
Hyperkalaemia | 1/17 (5.9%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 6/69 (8.7%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Hypermagnesaemia | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 4/69 (5.8%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Hypernatraemia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 5/69 (7.2%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Hyperphosphataemia | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 1/3 (33.3%) | 2/16 (12.5%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Hyperuricaemia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 2/16 (12.5%) | 1/6 (16.7%) | 0/69 (0%) | 7/84 (8.3%) | 1/41 (2.4%) | |||||||||
Hypoalbuminaemia | 2/17 (11.8%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 3/16 (18.8%) | 2/6 (33.3%) | 18/69 (26.1%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Hypocalcaemia | 2/17 (11.8%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 5/16 (31.3%) | 2/6 (33.3%) | 22/69 (31.9%) | 5/84 (6%) | 1/41 (2.4%) | |||||||||
Hypoglycaemia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Hypokalaemia | 2/17 (11.8%) | 3/6 (50%) | 1/4 (25%) | 0/3 (0%) | 6/16 (37.5%) | 2/6 (33.3%) | 37/69 (53.6%) | 13/84 (15.5%) | 6/41 (14.6%) | |||||||||
Hypomagnesaemia | 1/17 (5.9%) | 1/6 (16.7%) | 1/4 (25%) | 0/3 (0%) | 4/16 (25%) | 2/6 (33.3%) | 20/69 (29%) | 8/84 (9.5%) | 2/41 (4.9%) | |||||||||
Hyponatraemia | 2/17 (11.8%) | 0/6 (0%) | 1/4 (25%) | 1/3 (33.3%) | 5/16 (31.3%) | 1/6 (16.7%) | 23/69 (33.3%) | 10/84 (11.9%) | 0/41 (0%) | |||||||||
Hypophagia | 1/17 (5.9%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Hypophosphataemia | 1/17 (5.9%) | 1/6 (16.7%) | 1/4 (25%) | 0/3 (0%) | 3/16 (18.8%) | 0/6 (0%) | 15/69 (21.7%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Hypovolaemia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Metabolic acidosis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Tumour lysis syndrome | 1/17 (5.9%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Vitamin D deficiency | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Hyperglycaemia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 13/69 (18.8%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Musculoskeletal and connective tissue disorders | ||||||||||||||||||
Arthralgia | 1/17 (5.9%) | 2/6 (33.3%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 11/69 (15.9%) | 10/84 (11.9%) | 0/41 (0%) | |||||||||
Back pain | 2/17 (11.8%) | 1/6 (16.7%) | 2/4 (50%) | 2/3 (66.7%) | 4/16 (25%) | 1/6 (16.7%) | 12/69 (17.4%) | 9/84 (10.7%) | 3/41 (7.3%) | |||||||||
Bone pain | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 4/16 (25%) | 0/6 (0%) | 0/69 (0%) | 2/84 (2.4%) | 3/41 (7.3%) | |||||||||
Joint effusion | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Muscle spasms | 5/17 (29.4%) | 1/6 (16.7%) | 0/4 (0%) | 2/3 (66.7%) | 10/16 (62.5%) | 2/6 (33.3%) | 11/69 (15.9%) | 19/84 (22.6%) | 2/41 (4.9%) | |||||||||
Muscular weakness | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 1/3 (33.3%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 6/84 (7.1%) | 0/41 (0%) | |||||||||
Musculoskeletal pain | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 3/16 (18.8%) | 0/6 (0%) | 7/69 (10.1%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Musculoskeletal stiffness | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Myalgia | 1/17 (5.9%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 3/16 (18.8%) | 1/6 (16.7%) | 5/69 (7.2%) | 5/84 (6%) | 0/41 (0%) | |||||||||
Neck pain | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 4/69 (5.8%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Osteoarthritis | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Pain in extremity | 1/17 (5.9%) | 0/6 (0%) | 1/4 (25%) | 1/3 (33.3%) | 4/16 (25%) | 3/6 (50%) | 9/69 (13%) | 15/84 (17.9%) | 2/41 (4.9%) | |||||||||
Pain in jaw | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Periarthritis | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Plantar fasciitis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Spinal pain | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Neoplasms benign, malignant and unspecified (incl cysts and polyps) | ||||||||||||||||||
Squamous cell carcinoma | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Nervous system disorders | ||||||||||||||||||
Ageusia | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Amnesia | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Central nervous system lesion | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Cognitive disorder | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Dizziness | 1/17 (5.9%) | 2/6 (33.3%) | 1/4 (25%) | 1/3 (33.3%) | 1/16 (6.3%) | 2/6 (33.3%) | 12/69 (17.4%) | 18/84 (21.4%) | 4/41 (9.8%) | |||||||||
Dysgeusia | 4/17 (23.5%) | 4/6 (66.7%) | 1/4 (25%) | 1/3 (33.3%) | 7/16 (43.8%) | 1/6 (16.7%) | 19/69 (27.5%) | 21/84 (25%) | 1/41 (2.4%) | |||||||||
Headache | 3/17 (17.6%) | 1/6 (16.7%) | 1/4 (25%) | 0/3 (0%) | 9/16 (56.3%) | 2/6 (33.3%) | 22/69 (31.9%) | 11/84 (13.1%) | 5/41 (12.2%) | |||||||||
Lethargy | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Memory impairment | 0/17 (0%) | 1/6 (16.7%) | 1/4 (25%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Mental impairment | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Paraesthesia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Peroneal nerve palsy | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 1/3 (33.3%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Presyncope | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 1/3 (33.3%) | 0/16 (0%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Sedation | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Syncope | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 1/3 (33.3%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Hypoaesthesia | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 5/69 (7.2%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Psychiatric disorders | ||||||||||||||||||
Agitation | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 3/84 (3.6%) | 3/41 (7.3%) | |||||||||
Anxiety | 1/17 (5.9%) | 2/6 (33.3%) | 0/4 (0%) | 0/3 (0%) | 3/16 (18.8%) | 1/6 (16.7%) | 15/69 (21.7%) | 3/84 (3.6%) | 4/41 (9.8%) | |||||||||
Apathy | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Confusional state | 1/17 (5.9%) | 1/6 (16.7%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 4/69 (5.8%) | 7/84 (8.3%) | 0/41 (0%) | |||||||||
Depressed mood | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Depression | 2/17 (11.8%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 2/6 (33.3%) | 4/69 (5.8%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Disorientation | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Insomnia | 1/17 (5.9%) | 0/6 (0%) | 2/4 (50%) | 0/3 (0%) | 5/16 (31.3%) | 0/6 (0%) | 19/69 (27.5%) | 10/84 (11.9%) | 2/41 (4.9%) | |||||||||
Panic attack | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Delirium | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 4/69 (5.8%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Hallucination | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 5/69 (7.2%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Renal and urinary disorders | ||||||||||||||||||
Acute kidney injury | 2/17 (11.8%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 3/16 (18.8%) | 2/6 (33.3%) | 8/69 (11.6%) | 7/84 (8.3%) | 1/41 (2.4%) | |||||||||
Dysuria | 1/17 (5.9%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 4/69 (5.8%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Haematuria | 1/17 (5.9%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 5/69 (7.2%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Pollakiuria | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 4/69 (5.8%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Proteinuria | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 4/69 (5.8%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Renal cyst | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Renal failure | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Urinary retention | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Urinary incontinence | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 7/84 (8.3%) | 0/41 (0%) | |||||||||
Reproductive system and breast disorders | ||||||||||||||||||
Pelvic pain | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Vaginal haemorrhage | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Vulvovaginal pruritus | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Respiratory, thoracic and mediastinal disorders | ||||||||||||||||||
Atelectasis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 2/16 (12.5%) | 1/6 (16.7%) | 5/69 (7.2%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Cough | 4/17 (23.5%) | 1/6 (16.7%) | 1/4 (25%) | 1/3 (33.3%) | 1/16 (6.3%) | 2/6 (33.3%) | 14/69 (20.3%) | 18/84 (21.4%) | 7/41 (17.1%) | |||||||||
Dysphonia | 1/17 (5.9%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Dyspnoea | 2/17 (11.8%) | 0/6 (0%) | 1/4 (25%) | 1/3 (33.3%) | 3/16 (18.8%) | 2/6 (33.3%) | 13/69 (18.8%) | 21/84 (25%) | 11/41 (26.8%) | |||||||||
Dyspnoea exertional | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Epistaxis | 1/17 (5.9%) | 1/6 (16.7%) | 1/4 (25%) | 1/3 (33.3%) | 3/16 (18.8%) | 1/6 (16.7%) | 11/69 (15.9%) | 7/84 (8.3%) | 6/41 (14.6%) | |||||||||
Hypoxia | 2/17 (11.8%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 8/69 (11.6%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Lung infiltration | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Nasal congestion | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 7/69 (10.1%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Oropharyngeal pain | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 2/6 (33.3%) | 12/69 (17.4%) | 9/84 (10.7%) | 0/41 (0%) | |||||||||
Pleural effusion | 2/17 (11.8%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 9/69 (13%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Pleuritic pain | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Pulmonary fibrosis | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Pulmonary oedema | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Respiratory failure | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Rhinitis allergic | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 2/16 (12.5%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Rhinorrhoea | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 5/69 (7.2%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Sinus congestion | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Wheezing | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 7/69 (10.1%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Hiccups | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 5/69 (7.2%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Sinus pain | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Skin and subcutaneous tissue disorders | ||||||||||||||||||
Alopecia | 1/17 (5.9%) | 1/6 (16.7%) | 1/4 (25%) | 2/3 (66.7%) | 4/16 (25%) | 2/6 (33.3%) | 16/69 (23.2%) | 9/84 (10.7%) | 0/41 (0%) | |||||||||
Decubitus ulcer | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Dermatitis acneiform | 0/17 (0%) | 1/6 (16.7%) | 1/4 (25%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Dry skin | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 2/16 (12.5%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Ecchymosis | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Erythema | 0/17 (0%) | 2/6 (33.3%) | 0/4 (0%) | 0/3 (0%) | 2/16 (12.5%) | 0/6 (0%) | 0/69 (0%) | 7/84 (8.3%) | 2/41 (4.9%) | |||||||||
Macule | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Night sweats | 2/17 (11.8%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 1/6 (16.7%) | 4/69 (5.8%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Pain of skin | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 1/3 (33.3%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Palmar erythema | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Panniculitis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Petechiae | 2/17 (11.8%) | 2/6 (33.3%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 1/6 (16.7%) | 11/69 (15.9%) | 7/84 (8.3%) | 4/41 (9.8%) | |||||||||
Plantar erythema | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Pruritus | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 4/16 (25%) | 1/6 (16.7%) | 10/69 (14.5%) | 6/84 (7.1%) | 1/41 (2.4%) | |||||||||
Pruritus allergic | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Purpura | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Rash | 2/17 (11.8%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 3/16 (18.8%) | 1/6 (16.7%) | 14/69 (20.3%) | 11/84 (13.1%) | 1/41 (2.4%) | |||||||||
Rash macular | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Rash maculo-papular | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 3/16 (18.8%) | 0/6 (0%) | 9/69 (13%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Rash papular | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Skin disorder | 0/17 (0%) | 0/6 (0%) | 1/4 (25%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Skin lesion | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Skin ulcer | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Urticaria | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 1/6 (16.7%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Hyperhidrosis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 9/69 (13%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Vascular disorders | ||||||||||||||||||
Hypertension | 0/17 (0%) | 1/6 (16.7%) | 0/4 (0%) | 1/3 (33.3%) | 3/16 (18.8%) | 1/6 (16.7%) | 12/69 (17.4%) | 6/84 (7.1%) | 1/41 (2.4%) | |||||||||
Hypotension | 1/17 (5.9%) | 2/6 (33.3%) | 0/4 (0%) | 0/3 (0%) | 4/16 (25%) | 0/6 (0%) | 14/69 (20.3%) | 12/84 (14.3%) | 4/41 (9.8%) | |||||||||
Ischaemia | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Phlebitis | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 1/16 (6.3%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Thrombophlebitis | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Venous thrombosis | 1/17 (5.9%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 0/84 (0%) | 0/41 (0%) | |||||||||
Pallor | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 1/84 (1.2%) | 3/41 (7.3%) | |||||||||
Haematoma | 0/17 (0%) | 0/6 (0%) | 0/4 (0%) | 0/3 (0%) | 0/16 (0%) | 0/6 (0%) | 0/69 (0%) | 5/84 (6%) | 2/41 (4.9%) |
Limitations/Caveats
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Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
Results Point of Contact
Name/Title | Pfizer ClinicalTrials.gov Call Center |
---|---|
Organization | Pfizer, Inc. |
Phone | 1-800-718-1021 |
ClinicalTrials.gov_Inquiries@pfizer.com |
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