Phase I Dose-Escalation, Safety, Pharmacokinetic and Pharmacodynamic Study of BVD-523 in Patients With Advanced Malignancies

Sponsor
BioMed Valley Discoveries, Inc (Industry)
Overall Status
Completed
CT.gov ID
NCT01781429
Collaborator
(none)
136
9
1
66
15.1
0.2

Study Details

Study Description

Brief Summary

This open-label, multi-center Phase 1/2 study will assess the safety, pharmacokinetics, and pharmacodynamics of escalating doses of BVD-523 in patients with advanced malignancies. The study also seeks to demonstrate target modulation and early signs of clinical response in select patient populations.

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

Detailed Description

The study is being performed to assess the safety and tolerability of BVD-523

In Part 1 of the study, an accelerated dose escalation plan will be used to establish dose limiting toxicities, maximum tolerated dose, and the recommended Phase 2 dose.

In Part 2 of the study, additional patients with particular tumor types and/or cancers harboring specific genetic mutations will be recruited for treatment at the Recommended Phase 2 Dose. Patients may also be assessed pharmacodynamic measures in healthy or malignant tissues, using biomarker assays for phosphorylation, cytotoxic or cytostatic measures.

Study Design

Study Type:
Interventional
Actual Enrollment :
136 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Phase I Dose-Escalation, Safety, Pharmacokinetic and Pharmacodynamic Study of BVD-523 in Patients With Advanced Malignancies
Actual Study Start Date :
Mar 1, 2013
Actual Primary Completion Date :
Feb 1, 2018
Actual Study Completion Date :
Sep 1, 2018

Arms and Interventions

Arm Intervention/Treatment
Experimental: BVD-523

Drug: BVD-523
Oral, multiple escalating doses, twice daily, for 21 days in each treatment cycle

Outcome Measures

Primary Outcome Measures

  1. Determination of Recommended Phase 2 Dose (RP2D) of BVD-523 by Dose-limiting Toxicities (DLT). [As indicated by safety and tolerability during study conduct; ~42 months]

    DLT is defined as any BVD-523 related toxicity in the first 21 days of treatment that results in: ≥Grade 4 hematologic toxicity for >1 day; Grade 3 hematologic toxicity with complications e.g., thrombocytopenia with bleeding; ≥Grade 3 non-hematologic toxicity, except untreated nausea, vomiting, constipation, pain and rash (these become DLTs if the adverse event (AE) persists despite adequate treatment), a doubling of aspartate transaminase (AST)/alanine transaminase (ALT) in patients with grade 2 ALT/AST at baseline; A treatment interruption exceeding 5 days (or an interruption exceeding 7 days for rash, despite adequate treatment) in Cycle 1 (or inability to begin Cycle 2 for > 7 days) due to BVD-523-related toxicity.

Secondary Outcome Measures

  1. Characterization of the Time Versus Plasma Concentration Profiles of BVD-523 and Selected Metabolites. [Samples will be collected on day 1 and day 15 of Cycle 1]

    Data provided is for BVD-523.

  2. Clinical Evidence of Tumor Response Assessed by Physical or Radiological Exam. [Patients will be evaluated at baseline & at periodic follow-up visits through the time their participation in the study is completion. The best responses presented occurred at different time points for each patient.]

    At enrollment, all study patients had metastatic or advanced-stage malignant tumor for which no curative therapy was known to exist. Patients entering Part 2 additionally had to have measurable disease by RECIST version 1.1. Data shown is best response.

Other Outcome Measures

  1. Pharmacodynamic (PD) Response Measured as Percentage Enzyme Inhibition of RSK1 Ser 380 (pRSK) [Patients will be evaluated at baseline and on ~day 15 of Cycle 1]

    RSK1, a member of the RSK serine/threonine kinase family, is a direct substrate of the MAP Kinases ERK1 & ERK2. RSK1 and ERK1/2 form an inactive complex in unstimulated cells. Upon activation of the mitogenic pathway, ERK1/2 phosphorylates Thr573, Thr359 and Ser363 on RSK1. Thr573 resides in the activation loop of the carboxy terminal kinase domain of RSK1 and once phosphorylated, enables RSK1 to autophosphorylate Ser380. Phosphorylation of Ser380 on RSK1 can therefore be used as a target biomarker for ERK1 and ERK2 activity. BVD-523 inhibits the activity of ERK. In this study, phosphorylation of RSK1 Ser 380 (pRSK) was used as a target biomarker for assessment of ERK inhibition by BVD-523 in human whole blood samples.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Patients with metastatic or advanced-stage malignant tumor. Patients may have received up to 2 prior lines of chemotherapy for their metastatic disease

  • ECOG score of 0 or 1

  • Predicted life expectancy of ≥ 3 months

  • Adequate bone marrow, liver and renal function renal function

  • Adequate cardiac function

  • For women: Negative pregnancy test for females of child-bearing potential; must be surgically sterile, postmenopausal, or compliant with a contraceptive regimen during and for 3 months after the treatment period

  • For men: Must be surgically sterile, or compliant with a contraceptive regimen during and for 3 months after the treatment period

  • For Part 2 of the Study only, patients must have measurable disease by RECIST 1.1 and be in one of the the groups below. Patients in groups 1, 2, 4, 5 and 6 may not have been previously treated with BRAF and/or MEK inhibitors

  • Group 1: Patients with BRAF mutated cancer, except those with colorectal or non-small cell lung cancers

  • Group 2: Patients with BRAF mutated colorectal cancer

  • Group 3: Patients with BRAF mutated melanoma who have progressed on, or are refractory to BRAF and/or MEK inhibitors

  • Group 4: Patients with NRAS mutated melanoma

  • Group 5: Patients with MEK mutated cancer

  • Group 6: Patients with BRAF mutated non-small cell lung cancer

  • Group 7: Patients with ERK mutated cancer

Exclusion Criteria:
  • Gastrointestinal condition which could impair absorption of study medication

  • Uncontrolled or severe intercurrent medical condition

  • Known uncontrolled brain metastases. Stable brain metastases either treated or being treated with a stable dose of steroids/anticonvulsants

  • Any cancer-directed therapy (chemotherapy, radiotherapy, hormonal therapy, biologic or immunotherapy, etc.) within 28 days or 5 half-lives, whichever is shorter

  • Major surgery within 4 weeks prior to first dose

  • Any use of an investigational drug within 28 days or 5 half-lives (whichever is shorter) prior to the first dose of BVD-523.

  • Pregnant or breast-feeding women

  • Any evidence of serious active infections

  • Any important medical illness or abnormal laboratory finding that would increase the risk of participating in this study

  • A history or current evidence/risk of retinal vein occlusion or central serous retinopathy

  • Concurrent therapy with any other investigational agent

  • Concomitant malignancies or previous malignancies with less than 2 years disease-free interval at the time of enrollment

Contacts and Locations

Locations

Site City State Country Postal Code
1 UCLA Med-Hematology & Oncology Los Angeles California United States 90095
2 Yale Cancer Center New Haven Connecticut United States 06520
3 Florida Cancer Specialists and Research Group (Sarah Cannon Research Institute) Sarasota Florida United States 34232
4 Massachusetts General Hospital (MGH) Boston Massachusetts United States 02114
5 Washington University School of Medicine Saint Louis Missouri United States 63110
6 Memorial Sloan-Kettering Cancer Center New York New York United States 10065
7 Sarah Cannon Research Institute Hospital at Vanderbilt Nashville Tennessee United States 37203
8 Vanderbilt-Ingram Cancer Center Nashville Tennessee United States 37212
9 UT M.D Anderson Cancer Center Houston Texas United States 77030

Sponsors and Collaborators

  • BioMed Valley Discoveries, Inc

Investigators

None specified.

Study Documents (Full-Text)

More Information

Publications

None provided.
Responsible Party:
BioMed Valley Discoveries, Inc
ClinicalTrials.gov Identifier:
NCT01781429
Other Study ID Numbers:
  • BVD-523-01
  • BVD-523-01
First Posted:
Feb 1, 2013
Last Update Posted:
Mar 20, 2020
Last Verified:
Mar 1, 2020
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Dose-escalation 10mg b.i.d. Cohort Dose-escalation 20mg b.i.d. Cohort Dose-escalation 40mg b.i.d. Cohort Dose-escalation 75mg b.i.d. Cohort Dose-escalation 150mg b.i.d. Cohort Dose-escalation 300mg b.i.d. Cohort Dose-escalation 600mg b.i.d. Cohort Dose-escalation 750mg b.i.d. Cohort Dose-escalation 900mg b.i.d. Cohort Cohort-expansion Group 1 Cohort-expansion Group 2 Cohort-expansion Group 3 Cohort-expansion Group 4 Cohort-expansion Group 5 Cohort-expansion Group 6 Cohort-expansion Group 7
Arm/Group Description Patients received 10mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 20mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 40mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 75mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 150mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 300mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 750mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 900mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients with BRAF mutated cancer, except those with colorectal or non-small cell lung cancers, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with BRAF mutated colorectal cancer, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with BRAF mutated melanoma who had progressed or were refractory to BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with NRAS mutated melanoma, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with MEK mutated cancer, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with BRAF mutated non-small cell lung cancer, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with ERK mutated cancer, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs.
Period Title: Overall Study
STARTED 1 1 1 1 1 4 7 4 7 24 18 21 22 8 16 0
COMPLETED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NOT COMPLETED 1 1 1 1 1 4 7 4 7 24 18 21 22 8 16 0

Baseline Characteristics

Arm/Group Title Dose-escalation 10mg b.i.d. Cohort Dose-escalation 20mg b.i.d. Cohort Dose-escalation 40mg b.i.d. Cohort Dose-escalation 75mg b.i.d. Cohort Dose-escalation 150mg b.i.d. Cohort Dose-escalation 300mg b.i.d. Cohort Dose-escalation 600mg b.i.d. Cohort Dose-escalation 750mg b.i.d. Cohort Dose-escalation 900mg b.i.d. Cohort Cohort-expansion Group 1 Cohort-expansion Group 2 Cohort-expansion Group 3 Cohort-expansion Group 4 Cohort-expansion Group 5 Cohort-expansion Group 6 Total
Arm/Group Description Patients received 10mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 20mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 40mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 75mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 150mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 300mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 750mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 900mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients with BRAF mutated cancer, except those with colorectal or non-small cell lung cancers, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with BRAF mutated colorectal cancer, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with BRAF mutated melanoma who had progressed or were refractory to BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with NRAS mutated melanoma, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with MEK mutated cancer, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with BRAF mutated non-small cell lung cancer, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Total of all reporting groups
Overall Participants 1 1 1 1 1 4 7 4 7 24 17 21 22 8 16 135
Age (Count of Participants)
<=18 years
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Between 18 and 65 years
0
0%
1
100%
1
100%
0
0%
0
0%
0
0%
3
42.9%
3
75%
6
85.7%
12
50%
7
41.2%
16
76.2%
11
50%
6
75%
6
37.5%
72
53.3%
>=65 years
1
100%
0
0%
0
0%
1
100%
1
100%
4
100%
4
57.1%
1
25%
1
14.3%
12
50%
10
58.8%
5
23.8%
11
50%
2
25%
10
62.5%
63
46.7%
Sex: Female, Male (Count of Participants)
Female
1
100%
0
0%
0
0%
0
0%
0
0%
1
25%
5
71.4%
1
25%
5
71.4%
8
33.3%
7
41.2%
9
42.9%
5
22.7%
1
12.5%
9
56.3%
52
38.5%
Male
0
0%
1
100%
1
100%
1
100%
1
100%
3
75%
2
28.6%
3
75%
2
28.6%
16
66.7%
10
58.8%
12
57.1%
17
77.3%
7
87.5%
7
43.8%
83
61.5%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
3
13.6%
0
0%
0
0%
3
2.2%
Not Hispanic or Latino
1
100%
1
100%
1
100%
1
100%
1
100%
4
100%
7
100%
4
100%
7
100%
19
79.2%
15
88.2%
21
100%
16
72.7%
8
100%
15
93.8%
121
89.6%
Unknown or Not Reported
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
5
20.8%
2
11.8%
0
0%
3
13.6%
0
0%
1
6.3%
11
8.1%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Asian
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
1
14.3%
2
8.3%
1
5.9%
0
0%
0
0%
2
25%
0
0%
6
4.4%
Native Hawaiian or Other Pacific Islander
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Black or African American
0
0%
0
0%
0
0%
0
0%
0
0%
1
25%
0
0%
0
0%
1
14.3%
2
8.3%
0
0%
0
0%
1
4.5%
0
0%
1
6.3%
6
4.4%
White
1
100%
1
100%
1
100%
1
100%
1
100%
3
75%
7
100%
4
100%
5
71.4%
19
79.2%
15
88.2%
20
95.2%
18
81.8%
6
75%
15
93.8%
117
86.7%
More than one race
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Unknown or Not Reported
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
1
4.2%
1
5.9%
1
4.8%
3
13.6%
0
0%
0
0%
6
4.4%
Region of Enrollment (participants) [Number]
United States
1
100%
1
100%
1
100%
1
100%
1
100%
4
100%
7
100%
4
100%
7
100%
24
100%
17
100%
21
100%
22
100%
8
100%
16
100%
135
100%

Outcome Measures

1. Primary Outcome
Title Determination of Recommended Phase 2 Dose (RP2D) of BVD-523 by Dose-limiting Toxicities (DLT).
Description DLT is defined as any BVD-523 related toxicity in the first 21 days of treatment that results in: ≥Grade 4 hematologic toxicity for >1 day; Grade 3 hematologic toxicity with complications e.g., thrombocytopenia with bleeding; ≥Grade 3 non-hematologic toxicity, except untreated nausea, vomiting, constipation, pain and rash (these become DLTs if the adverse event (AE) persists despite adequate treatment), a doubling of aspartate transaminase (AST)/alanine transaminase (ALT) in patients with grade 2 ALT/AST at baseline; A treatment interruption exceeding 5 days (or an interruption exceeding 7 days for rash, despite adequate treatment) in Cycle 1 (or inability to begin Cycle 2 for > 7 days) due to BVD-523-related toxicity.
Time Frame As indicated by safety and tolerability during study conduct; ~42 months

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Dose-escalation 10mg b.i.d. Cohort Dose-escalation 20mg b.i.d. Cohort Dose-escalation 40mg b.i.d. Cohort Dose-escalation 75mg b.i.d. Cohort Dose-escalation 150mg b.i.d. Cohort Dose-escalation 300mg b.i.d. Cohort Dose-escalation 600mg b.i.d. Cohort Dose-escalation 750mg b.i.d. Cohort Dose-escalation 900mg b.i.d. Cohort
Arm/Group Description Patients received 10mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 20mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 40mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 75mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 150mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 300mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 750mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 900mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks.
Measure Participants 1 1 1 1 1 4 7 4 7
Yes
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
1
14.3%
2
50%
2
28.6%
No
1
100%
1
100%
1
100%
1
100%
1
100%
4
100%
6
85.7%
2
50%
5
71.4%
Yes
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
1
25%
2
28.6%
No
1
100%
1
100%
1
100%
1
100%
1
100%
4
100%
7
100%
3
75%
5
71.4%
Yes
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
1
14.3%
2
50%
2
28.6%
No
1
100%
1
100%
1
100%
1
100%
1
100%
4
100%
6
85.7%
2
50%
5
71.4%
2. Secondary Outcome
Title Characterization of the Time Versus Plasma Concentration Profiles of BVD-523 and Selected Metabolites.
Description Data provided is for BVD-523.
Time Frame Samples will be collected on day 1 and day 15 of Cycle 1

Outcome Measure Data

Analysis Population Description
Day 1 - Dose-escalation 10mg b.i.d. patient was not calculable. Cohort-expansion numbers do not include those patients that were dose reduced and/or were not at a steady state with 600mg b.i.d. for the Day 15 draw.
Arm/Group Title Dose-escalation 10mg b.i.d. Cohort Dose-escalation 20mg b.i.d. Cohort Dose-escalation 40mg b.i.d. Cohort Dose-escalation 75mg b.i.d. Cohort Dose-escalation 150mg b.i.d. Cohort Dose-escalation 300mg b.i.d. Cohort Dose-escalation 600mg b.i.d. Cohort Dose-escalation 750mg b.i.d. Cohort Dose-escalation 900mg b.i.d. Cohort Cohort-expansion Group 1 Cohort-expansion Group 2 Cohort-expansion Group 3 Cohort-expansion Group 4 Cohort-expansion Group 5 Cohort-expansion Group 6
Arm/Group Description Patients received 10mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 20mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 40mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 75mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 150mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 300mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 750mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 900mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients with BRAF mutated cancer, except those with colorectal or non-small cell lung cancers, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with BRAF mutated colorectal cancer, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with BRAF mutated melanoma who had progressed or were refractory to BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with NRAS mutated melanoma, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with MEK mutated cancer, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with BRAF mutated non-small cell lung cancer, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs.
Measure Participants 1 1 1 1 1 4 7 4 7 24 18 21 22 8 16
Cmax Day 1
NA
14.9
100
133
216
765
(234)
1110
(589)
1450
(539)
1430
(1010)
1180
(501)
1260
(474)
1190
(467)
1230
(840)
1140
(423)
1560
(885)
Cmax Day 15
45.7
15.8
191
326
459
586
(257)
3090
(1570)
2290
(1790)
1730
(401)
2440
(900)
1890
(953)
2340
(962)
1890
(1060)
2050
(1570)
2680
(1520)
3. Secondary Outcome
Title Clinical Evidence of Tumor Response Assessed by Physical or Radiological Exam.
Description At enrollment, all study patients had metastatic or advanced-stage malignant tumor for which no curative therapy was known to exist. Patients entering Part 2 additionally had to have measurable disease by RECIST version 1.1. Data shown is best response.
Time Frame Patients will be evaluated at baseline & at periodic follow-up visits through the time their participation in the study is completion. The best responses presented occurred at different time points for each patient.

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Dose-escalation 10mg b.i.d. Cohort Dose-escalation 20mg b.i.d. Cohort Dose-escalation 40mg b.i.d. Cohort Dose-escalation 75mg b.i.d. Cohort Dose-escalation 150mg b.i.d. Cohort Dose-escalation 300mg b.i.d. Cohort Dose-escalation 600mg b.i.d. Cohort Dose-escalation 750mg b.i.d. Cohort Dose-escalation 900mg b.i.d. Cohort Cohort-expansion Group 1 Cohort-expansion Group 2 Cohort-expansion Group 3 Cohort-expansion Group 4 Cohort-expansion Group 5 Cohort-expansion Group 6
Arm/Group Description Patients received 10mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 20mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 40mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 75mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 150mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 300mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 750mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 900mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients with BRAF mutated cancer, except those with colorectal or non-small cell lung cancers, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with BRAF mutated colorectal cancer, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with BRAF mutated melanoma who had progressed or were refractory to BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with NRAS mutated melanoma, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with MEK mutated cancer, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with BRAF mutated non-small cell lung cancer, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs.
Measure Participants 1 1 1 1 1 4 7 4 7 22 13 15 19 5 14
Complete Response
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Partial Response
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
1
14.3%
1
25%
1
14.3%
4
16.7%
0
0%
1
4.8%
3
13.6%
0
0%
3
18.8%
Stable Disease
1
100%
1
100%
0
0%
1
100%
1
100%
2
50%
5
71.4%
0
0%
4
57.1%
14
58.3%
8
47.1%
6
28.6%
7
31.8%
2
25%
9
56.3%
Progressive Disease
0
0%
0
0%
1
100%
0
0%
0
0%
2
50%
1
14.3%
3
75%
2
28.6%
4
16.7%
5
29.4%
8
38.1%
9
40.9%
3
37.5%
2
12.5%
4. Other Pre-specified Outcome
Title Pharmacodynamic (PD) Response Measured as Percentage Enzyme Inhibition of RSK1 Ser 380 (pRSK)
Description RSK1, a member of the RSK serine/threonine kinase family, is a direct substrate of the MAP Kinases ERK1 & ERK2. RSK1 and ERK1/2 form an inactive complex in unstimulated cells. Upon activation of the mitogenic pathway, ERK1/2 phosphorylates Thr573, Thr359 and Ser363 on RSK1. Thr573 resides in the activation loop of the carboxy terminal kinase domain of RSK1 and once phosphorylated, enables RSK1 to autophosphorylate Ser380. Phosphorylation of Ser380 on RSK1 can therefore be used as a target biomarker for ERK1 and ERK2 activity. BVD-523 inhibits the activity of ERK. In this study, phosphorylation of RSK1 Ser 380 (pRSK) was used as a target biomarker for assessment of ERK inhibition by BVD-523 in human whole blood samples.
Time Frame Patients will be evaluated at baseline and on ~day 15 of Cycle 1

Outcome Measure Data

Analysis Population Description
The protocol was amended to stop collecting PD samples unless the patient consented to a tumor biopsy. Therefore, some patients did not have PD samples collected or did not consent to optional research tests involving collection of tumor tissue and blood/plasma samples.
Arm/Group Title Cohort-expansion Group 1 Cohort-expansion Group 2 Cohort-expansion Group 3 Cohort-expansion Group 4 Cohort-expansion Group 5 Cohort-expansion Group 6
Arm/Group Description Patients with BRAF mutated cancer, except those with colorectal or non-small cell lung cancers, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with BRAF mutated colorectal cancer, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with BRAF mutated melanoma who had progressed or were refractory to BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with NRAS mutated melanoma, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with MEK mutated cancer, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs. Patients with BRAF mutated non-small cell lung cancer, not previously treated with BRAF and/or MEK inhibitors. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs.
Measure Participants 24 17 21 22 8 16
Cycle 1, Day 1; pre-dose
0.000
(0)
0.000
(0)
0.000
(0)
0.000
(0)
0.000
(0)
0.000
(0)
Cycle 1, Day 1; 4 hours post-dose
82.162
(27.3012)
69.989
(36.9362)
87.563
(26.8634)
96.868
(5.8054)
93.910
(12.1800)
80.214
(28.9393)
Cycle 1, Day 15; pre-dose
94.607
(9.9291)
66.667
(57.7350)
78.679
(37.6286)
91.955
(21.5915)
89.050
(18.9660)
99.447
(1.4627)
Cycle 1, Day 15; 4 hours post-dose
91.419
(13.9282)
56.554
(51.2962)
87.624
(26.0916)
98.902
(3.4722)
92.640
(12.7479)
85.329
(27.2781)

Adverse Events

Time Frame The reporting period of an AE began from the time that the patient provided informed consent through and including 30 calendar days after the last administration of BVD-523 (or at the time when a patient begins a new anti-cancer therapy). Anticipated fluctuations of preexisting conditions, including the disease under study that did not represent a clinically significant exacerbation or worsening, did not need to be considered AEs. AEs were collected/assessed at each study visit.
Adverse Event Reporting Description A TEAE is any AE temporally assoc. with the use of BVD-523 related or not. If the onset of an AE was missing & the AE resolution date was either after the initial BVD-523 dose date or missing, then the AE was considered TE. A patient who reported multiple AEs that map to a common PT/SOC was counted only once for that PT/SOC at the highest severity reported & at the greatest relationship to study drug. AEs were assessed for all participants in Part 2 combined.
Arm/Group Title Dose-escalation 10mg b.i.d. Cohort Dose-escalation 20mg b.i.d. Cohort Dose-escalation 40mg b.i.d. Cohort Dose-escalation 75mg b.i.d. Cohort Dose-escalation 150mg b.i.d. Cohort Dose-escalation 300mg b.i.d. Cohort Dose-escalation 600mg b.i.d. Cohort Dose-escalation 750mg b.i.d. Cohort Dose-escalation 900mg b.i.d. Cohort Cohort-expansion
Arm/Group Description Patients received 10mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 20mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 40mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks Patients received 75mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 150mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 300mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 750mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 900mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion was noted. Treatment cycles occurred consecutively without interruption, except when necessary to manage AEs. All dose-escalation decisions were based on Cycle 1 safety data and doses were not escalated unless the patients receiving the highest current dose had been observed for at least 3 weeks. Patients received 600mg oral doses of BVD 523 b.i.d. for 21 days (a "Cycle"). Patients received doses of BVD-523 until disease progression, unacceptable toxicity, or another withdrawal criterion was met. Treatment cycles occurred consecutively without interruption except when necessary to manage AEs.
All Cause Mortality
Dose-escalation 10mg b.i.d. Cohort Dose-escalation 20mg b.i.d. Cohort Dose-escalation 40mg b.i.d. Cohort Dose-escalation 75mg b.i.d. Cohort Dose-escalation 150mg b.i.d. Cohort Dose-escalation 300mg b.i.d. Cohort Dose-escalation 600mg b.i.d. Cohort Dose-escalation 750mg b.i.d. Cohort Dose-escalation 900mg b.i.d. Cohort Cohort-expansion
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 Affected / at Risk (%) # Events
Total 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 3/108 (2.8%)
Serious Adverse Events
Dose-escalation 10mg b.i.d. Cohort Dose-escalation 20mg b.i.d. Cohort Dose-escalation 40mg b.i.d. Cohort Dose-escalation 75mg b.i.d. Cohort Dose-escalation 150mg b.i.d. Cohort Dose-escalation 300mg b.i.d. Cohort Dose-escalation 600mg b.i.d. Cohort Dose-escalation 750mg b.i.d. Cohort Dose-escalation 900mg b.i.d. Cohort Cohort-expansion
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 Affected / at Risk (%) # Events
Total 0/1 (0%) 1/1 (100%) 1/1 (100%) 1/1 (100%) 1/1 (100%) 2/4 (50%) 2/7 (28.6%) 1/4 (25%) 5/7 (71.4%) 57/108 (52.8%)
Blood and lymphatic system disorders
ANAEMIA /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
LEUKOCYTOSIS /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
FACTOR VIII INHIBITION /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
THROMBOCYTOPENIA /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
THROMBOTIC THROMBOCYTOPENIC PURPURA /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
Cardiac disorders
ATRIAL FIBRILLATION /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
CARDIAC ARREST /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
CARDIAC FAILURE /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
TACHYCARDIA /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
Congenital, familial and genetic disorders
PERICARDIAL EFFUSION /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
Endocrine disorders
ADRENAL INSUFFICIENCY /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
Eye disorders
OPTIC NERVE DISORDER /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
RETINAL VEIN OCCLUSION /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
Gastrointestinal disorders
DIARRHOEA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 2/7 (28.6%) 6/108 (5.6%)
DIVERTICULUM 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
NAUSEA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 2/108 (1.9%)
SMALL INTESTINAL OBSTRUCTION 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
GASTROINTESTINAL HAEMORRHAGE 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
VOMITING 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 2/108 (1.9%)
ABDOMINAL PAIN 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
ABDOMINAL PAIN UPPER 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
GASTRIC ULCER 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
LARGE INTESTINAL ULCER 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
OESOPHAGITIS 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
PANCREATITIS 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
PERITONEAL HAEMORRHAGE 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
RETROPERITONEAL HAEMORRHAGE 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
INTESTINAL OBSTRUCTION /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
LARGE INTESTINAL OBSTRUCTION /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
UPPER GASTROINTESTINAL HAEMORRHAGE /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
PANCREATITIS ACUTE /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
General disorders
DISEASE PROGRESSION 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 1/4 (25%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 9/108 (8.3%)
PYREXIA 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 5/108 (4.6%)
ASTHENIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 1/108 (0.9%)
FATIGUE 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 2/108 (1.9%)
CHEST PAIN 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
DEATH 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
OEDEMA PERIPHERAL 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
Hepatobiliary disorders
CHOLANGITIS /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
CHOLECYSTITIS /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
GALLBLADDER OBSTRUCTION /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
JAUNDICE /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
Infections and infestations
URINARY TRACT INFECTION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 1/4 (25%) 0/7 (0%) 0/108 (0%)
BACTERAEMIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
GASTROENTERITIS VIRAL 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
PNEUMONIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 3/108 (2.8%)
SEPSIS 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
CELLULITIS 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
FUNGAEMIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
RESPIRATORY TRACT INFECTION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
SKIN INFECTION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
VIRAL INFECTION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
ESCHERICHIA BACTERAEMIA /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
BACTERIAL SEPSIS /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
UROSEPSIS /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
Injury, poisoning and procedural complications
FALL /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
OVERDOSE /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
TOXICITY TO VARIOUS AGENTS /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
WOUND HAEMORRHAGE /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
FRACTURE /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
SPINAL FRACTURE /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
Investigations
BLOOD CREATININE INCREASED 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 2/7 (28.6%) 0/108 (0%)
ALANINE AMINOTRANSFERASE INCREASED /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
LIPASE INCREASED /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
Metabolism and nutrition disorders
DEHYDRATION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 2/7 (28.6%) 4/108 (3.7%)
HYPOGLYCAEMIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 1/108 (0.9%)
ELECTROLYTE IMBALANCE /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
HYPONATRAEMIA /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
HYPOALBUMINAEMIA /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
Musculoskeletal and connective tissue disorders
PATHOLOGICAL FRACTURE 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
BACK PAIN /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
FLANK PAIN /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
ARTHRALGIA /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
RECTAL CANCER 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
CARDIAC NEOPLASM UNSPECIFIED /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
Nervous system disorders
CEREBELLAR INFARCTION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/4 (25%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
CONVULSION /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
ATAXIA /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
CEREBRAL HAEMORRHAGE /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
HEADACHE /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
HEMIPARESIS /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
PETIT MAL EPILEPSY /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
SYNCOPE /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
Psychiatric disorders
CONFUSIONAL STATE /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
DELIRIUM /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
Renal and urinary disorders
RENAL FAILURE ACUTE /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
HAEMATURIA /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
Respiratory, thoracic and mediastinal disorders
DYSPNOEA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 2/108 (1.9%)
PLEURAL EFFUSION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/4 (25%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
PULMONARY EMBOLISM 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
CHRONIC OBSTRUCTIVE PULMONARY DISEASE /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
HAEMOPTYSIS /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
PNEUMONITIS /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
PNEUMOTHORAX /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
STRIDOR /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
Skin and subcutaneous tissue disorders
RASH MACULO-PAPULAR /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
DERMATITIS ACNEIFORM /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
RASH /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
SWELLING FACE /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
Vascular disorders
HYPOTENSION /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 4/108 (3.7%)
THROMBOSIS /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
HYPOVOLAEMIC SHOCK /1 (NaN) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
Other (Not Including Serious) Adverse Events
Dose-escalation 10mg b.i.d. Cohort Dose-escalation 20mg b.i.d. Cohort Dose-escalation 40mg b.i.d. Cohort Dose-escalation 75mg b.i.d. Cohort Dose-escalation 150mg b.i.d. Cohort Dose-escalation 300mg b.i.d. Cohort Dose-escalation 600mg b.i.d. Cohort Dose-escalation 750mg b.i.d. Cohort Dose-escalation 900mg b.i.d. Cohort Cohort-expansion
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 Affected / at Risk (%) # Events
Total 1/1 (100%) 1/1 (100%) 1/1 (100%) 1/1 (100%) 1/1 (100%) 4/4 (100%) 7/7 (100%) 4/4 (100%) 7/7 (100%) 107/108 (99.1%)
Blood and lymphatic system disorders
ANAEMIA 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/1 (0%) 1/1 (100%) 1/4 (25%) 1/7 (14.3%) 1/4 (25%) 3/7 (42.9%) 21/108 (19.4%)
LYMPHOPENIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
THROMBOCYTOPENIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 3/108 (2.8%)
Cardiac disorders
PALPITATIONS 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
TACHYCARDIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 6/108 (5.6%)
ATRIAL FIBRILLATION 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
CONDUCTION DISORDER 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
Eye disorders
VISION BLURRED 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 7/108 (6.5%)
VISUAL IMPAIRMENT 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 1/7 (14.3%) 10/108 (9.3%)
ABNORMAL SENSATION IN EYE 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
BLEPHARITIS 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
CHALAZION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
CHORIORETINOPATHY 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
EYE DISCHARGE 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 1/108 (0.9%)
MYDRIASIS 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
PHOTOPHOBIA 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
Gastrointestinal disorders
ABDOMINAL DISTENSION 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 2/7 (28.6%) 1/108 (0.9%)
ABDOMINAL PAIN 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 1/7 (14.3%) 12/108 (11.1%)
CONSTIPATION 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 2/7 (28.6%) 1/4 (25%) 3/7 (42.9%) 25/108 (23.1%)
DIARRHOEA 1/1 (100%) 1/1 (100%) 1/1 (100%) 1/1 (100%) 1/1 (100%) 0/4 (0%) 3/7 (42.9%) 3/4 (75%) 6/7 (85.7%) 59/108 (54.6%)
DRY MOUTH 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 1/7 (14.3%) 7/108 (6.5%)
GASTROOESOPHAGEAL REFLUX DISEASE 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 1/4 (25%) 0/7 (0%) 9/108 (8.3%)
NAUSEA 1/1 (100%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/1 (0%) 1/4 (25%) 4/7 (57.1%) 1/4 (25%) 6/7 (85.7%) 49/108 (45.4%)
ORAL PAIN 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 1/108 (0.9%)
STOMATITIS 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 6/108 (5.6%)
VOMITING 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/4 (25%) 3/7 (42.9%) 3/4 (75%) 5/7 (71.4%) 31/108 (28.7%)
ABDOMINAL PAIN UPPER 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 6/108 (5.6%)
ABDOMINAL DISCOMFORT 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 3/108 (2.8%)
ABDOMINAL PAIN LOWER 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
ANAL FISSURE 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
ASCITES 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 1/108 (0.9%)
CHEILITIS 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
DIVERTICULUM 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
DYSPHAGIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 3/108 (2.8%)
FLATULENCE 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 3/108 (2.8%)
GINGIVAL BLEEDING 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
LOWER GASTROINTESTINAL HAEMORRHAGE 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 1/4 (25%) 0/7 (0%) 2/108 (1.9%)
MELAENA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 1/4 (25%) 0/7 (0%) 1/108 (0.9%)
PAINFUL DEFAECATION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
PERITONEAL DISORDER 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
SMALL INTESTINAL OBSTRUCTION 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
UPPER GASTROINTESTINAL HAEMORRHAGE 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
General disorders
ASTHENIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 1/4 (25%) 2/7 (28.6%) 5/108 (4.6%)
CHILLS 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 2/7 (28.6%) 6/108 (5.6%)
FATIGUE 0/1 (0%) 1/1 (100%) 1/1 (100%) 1/1 (100%) 1/1 (100%) 2/4 (50%) 5/7 (71.4%) 1/4 (25%) 7/7 (100%) 54/108 (50%)
MUCOSAL INFLAMMATION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 1/4 (25%) 1/7 (14.3%) 2/108 (1.9%)
OEDEMA PERIPHERAL 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 1/1 (100%) 0/4 (0%) 2/7 (28.6%) 0/4 (0%) 2/7 (28.6%) 28/108 (25.9%)
PAIN 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 1/7 (14.3%) 7/108 (6.5%)
PYREXIA 0/1 (0%) 1/1 (100%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 1/4 (25%) 1/7 (14.3%) 1/4 (25%) 3/7 (42.9%) 20/108 (18.5%)
DISEASE PROGRESSION 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 1/4 (25%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 9/108 (8.3%)
APPLICATION SITE RASH 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
CHEST DISCOMFORT 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
MALAISE 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 2/108 (1.9%)
THIRST 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
CHEST PAIN 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 6/108 (5.6%)
Hepatobiliary disorders
HYPERBILIRUBINAEMIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
Immune system disorders
SEASONAL ALLERGY 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
Infections and infestations
BRONCHITIS 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/1 (0%) 1/4 (25%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
UPPER RESPIRATORY TRACT INFECTION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 1/4 (25%) 0/7 (0%) 4/108 (3.7%)
URINARY TRACT INFECTION 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 2/7 (28.6%) 1/4 (25%) 1/7 (14.3%) 3/108 (2.8%)
GASTROENTERITIS VIRAL 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
BACTERAEMIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
BACTERIAL SEPSIS 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 1/108 (0.9%)
CANDIDIASIS 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 1/108 (0.9%)
FOLLICULITIS 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
INFLUENZA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
KIDNEY INFECTION 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
NAIL INFECTION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
ONYCHOMYCOSIS 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
ORAL CANDIDIASIS 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 2/108 (1.9%)
ORAL HERPES 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
PERITONITIS BACTERIAL 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
PNEUMONIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 7/108 (6.5%)
RESPIRATORY TRACT INFECTION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
RESPIRATORY TRACT INFECTION VIRAL 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
SINUSITIS 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
STAPHYLOCOCCAL INFECTION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/4 (25%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
VIRAL INFECTION 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
VIRAL UPPER RESPIRATORY TRACT INFECTION 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
Injury, poisoning and procedural complications
FALL 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 2/7 (28.6%) 5/108 (4.6%)
EXCORIATION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/4 (25%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
EYE CONTUSION 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
INCISION SITE COMPLICATION 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
LACERATION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
LIP INJURY 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
UPPER LIMB FRACTURE 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
Investigations
ALANINE AMINOTRANSFERASE INCREASED 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 1/4 (25%) 1/7 (14.3%) 5/108 (4.6%)
ASPARTATE AMINOTRANSFERASE INCREASED 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 1/4 (25%) 2/7 (28.6%) 8/108 (7.4%)
BLOOD CREATININE INCREASED 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 2/4 (50%) 0/7 (0%) 1/4 (25%) 3/7 (42.9%) 13/108 (12%)
WEIGHT DECREASED 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 11/108 (10.2%)
LYMPHOCYTE COUNT DECREASED 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 5/108 (4.6%)
BLOOD ALKALINE PHOSPHATASE INCREASED 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 3/108 (2.8%)
BLOOD BILIRUBIN INCREASED 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 3/108 (2.8%)
BLOOD PHOSPHORUS INCREASED 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
BODY TEMPERATURE INCREASED 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
LIVER FUNCTION TEST ABNORMAL 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
OCCULT BLOOD POSITIVE 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
PLATELET COUNT DECREASED 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 3/108 (2.8%)
PROTEIN TOTAL DECREASED 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
Metabolism and nutrition disorders
DECREASED APPETITE 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 3/4 (75%) 5/7 (71.4%) 38/108 (35.2%)
DEHYDRATION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/4 (25%) 2/7 (28.6%) 0/4 (0%) 4/7 (57.1%) 19/108 (17.6%)
HYPERGLYCAEMIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 7/108 (6.5%)
HYPOALBUMINAEMIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 2/7 (28.6%) 10/108 (9.3%)
HYPOCALCAEMIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 7/108 (6.5%)
HYPOKALAEMIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 2/7 (28.6%) 0/4 (0%) 1/7 (14.3%) 8/108 (7.4%)
HYPOMAGNESAEMIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/4 (25%) 1/7 (14.3%) 0/4 (0%) 1/7 (14.3%) 4/108 (3.7%)
HYPONATRAEMIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 13/108 (12%)
HYPERKALAEMIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 4/108 (3.7%)
HYPOGLYCAEMIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 2/108 (1.9%)
Musculoskeletal and connective tissue disorders
ARTHRALGIA 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/4 (25%) 1/7 (14.3%) 0/4 (0%) 1/7 (14.3%) 12/108 (11.1%)
BACK PAIN 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 1/4 (25%) 1/7 (14.3%) 8/108 (7.4%)
FLANK PAIN 1/1 (100%) 1/1 (100%) 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
MUSCULOSKELETAL CHEST PAIN 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/4 (25%) 0/7 (0%) 1/4 (25%) 0/7 (0%) 3/108 (2.8%)
MUSCULOSKELETAL PAIN 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/4 (25%) 0/7 (0%) 1/4 (25%) 0/7 (0%) 4/108 (3.7%)
MYALGIA 1/1 (100%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 4/108 (3.7%)
NECK PAIN 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 5/108 (4.6%)
JOINT SWELLING 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
MUSCLE SPASMS 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 4/108 (3.7%)
MUSCLE TIGHTNESS 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
MUSCLE TWITCHING 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 1/4 (25%) 0/7 (0%) 0/108 (0%)
MUSCULAR WEAKNESS 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 2/108 (1.9%)
MUSCULOSKELETAL DISCOMFORT 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
PAIN IN EXTREMITY 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 3/108 (2.8%)
PATHOLOGICAL FRACTURE 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
KERATOACANTHOMA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
RECTAL CANCER 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
SEBORRHOEIC KERATOSIS 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
TUMOUR PAIN 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 3/108 (2.8%)
Nervous system disorders
DIZZINESS 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/4 (25%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 16/108 (14.8%)
DYSGEUSIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 1/4 (25%) 0/7 (0%) 12/108 (11.1%)
HEADACHE 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 3/7 (42.9%) 10/108 (9.3%)
SOMNOLENCE 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/4 (25%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
ATAXIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
CEREBELLAR INFARCTION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/4 (25%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
CEREBROVASCULAR ACCIDENT 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
HYPOAESTHESIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
LETHARGY 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
PARAESTHESIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 1/4 (25%) 0/7 (0%) 1/108 (0.9%)
TENSION HEADACHE 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
SYNCOPE 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 5/108 (4.6%)
Psychiatric disorders
ANXIETY 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/4 (0%) 2/7 (28.6%) 0/4 (0%) 1/7 (14.3%) 2/108 (1.9%)
INSOMNIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 8/108 (7.4%)
AGITATION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
MENTAL STATUS CHANGES 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
Renal and urinary disorders
HAEMATURIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 9/108 (8.3%)
PROTEINURIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 5/108 (4.6%)
DYSURIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
HYDRONEPHROSIS 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
RENAL FAILURE 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 3/108 (2.8%)
URINARY INCONTINENCE 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
RENAL FAILURE ACUTE 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 6/108 (5.6%)
Reproductive system and breast disorders
ERECTILE DYSFUNCTION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
VULVOVAGINAL ERYTHEMA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
Respiratory, thoracic and mediastinal disorders
COUGH 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 3/7 (42.9%) 1/4 (25%) 1/7 (14.3%) 10/108 (9.3%)
DYSPNOEA 0/1 (0%) 1/1 (100%) 0/1 (0%) 1/1 (100%) 0/1 (0%) 3/4 (75%) 2/7 (28.6%) 1/4 (25%) 1/7 (14.3%) 20/108 (18.5%)
OROPHARYNGEAL PAIN 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 1/7 (14.3%) 4/108 (3.7%)
PLEURAL EFFUSION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/4 (25%) 1/7 (14.3%) 0/4 (0%) 2/7 (28.6%) 7/108 (6.5%)
RHINORRHOEA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 1/4 (25%) 0/7 (0%) 1/108 (0.9%)
DYSPNOEA EXERTIONAL 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 1/7 (14.3%) 6/108 (5.6%)
EPISTAXIS 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
HAEMOPTYSIS 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 3/108 (2.8%)
HICCUPS 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 4/108 (3.7%)
NASAL CONGESTION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 3/108 (2.8%)
PRODUCTIVE COUGH 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
PULMONARY EMBOLISM 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 3/108 (2.8%)
THROAT IRRITATION 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
Skin and subcutaneous tissue disorders
ALOPECIA 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 1/4 (25%) 1/7 (14.3%) 11/108 (10.2%)
DERMATITIS ACNEIFORM 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/4 (25%) 3/7 (42.9%) 2/4 (50%) 3/7 (42.9%) 36/108 (33.3%)
DRY SKIN 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 1/7 (14.3%) 18/108 (16.7%)
PRURITUS 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 1/4 (25%) 1/7 (14.3%) 1/4 (25%) 3/7 (42.9%) 31/108 (28.7%)
RASH 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/4 (0%) 3/7 (42.9%) 2/4 (50%) 2/7 (28.6%) 26/108 (24.1%)
RASH ERYTHEMATOUS 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 1/7 (14.3%) 5/108 (4.6%)
RASH MACULO-PAPULAR 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 1/4 (25%) 2/7 (28.6%) 2/4 (50%) 1/7 (14.3%) 31/108 (28.7%)
ACNE 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
ACTINIC KERATOSIS 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
DECUBITUS ULCER 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
ERYTHEMA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
ERYTHEMA MULTIFORME 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
HIRSUTISM 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
MACULE 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
NAIL BED DISORDER 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
NAIL GROWTH ABNORMAL 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 0/108 (0%)
PALMAR-PLANTAR ERYTHRODYSAESTHESIA SYNDROME 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 1/4 (25%) 0/7 (0%) 0/108 (0%)
PHOTOSENSITIVITY REACTION 0/1 (0%) 0/1 (0%) 0/1 (0%) 1/1 (100%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 4/108 (3.7%)
RASH MACULAR 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
RASH PRURITIC 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 2/108 (1.9%)
SKIN LESION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
URTICARIA 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 1/7 (14.3%) 0/108 (0%)
Surgical and medical procedures
SINUS OPERATION 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
Vascular disorders
HYPOTENSION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 1/4 (25%) 3/7 (42.9%) 11/108 (10.2%)
DEEP VEIN THROMBOSIS 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 3/108 (2.8%)
HOT FLUSH 1/1 (100%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 0/7 (0%) 0/4 (0%) 0/7 (0%) 1/108 (0.9%)
HYPERTENSION 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/1 (0%) 0/4 (0%) 1/7 (14.3%) 0/4 (0%) 0/7 (0%) 4/108 (3.7%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/Title Brent Kreider, PhD
Organization BioMed Valley Discoveries
Phone 816-960-4644
Email bkreider@biomed-valley.com
Responsible Party:
BioMed Valley Discoveries, Inc
ClinicalTrials.gov Identifier:
NCT01781429
Other Study ID Numbers:
  • BVD-523-01
  • BVD-523-01
First Posted:
Feb 1, 2013
Last Update Posted:
Mar 20, 2020
Last Verified:
Mar 1, 2020